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The paper deals with environment-induced changes in the health status of the population living in areas exposed to factors associated with the activities of railway objects and associates them with the data obtained from a comprehensive assessment of environmental pollution at the present level of technological process of an object under study, in this case it is a locomotive depot in one of the towns of the Moscow Region.
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The analyses of micronuclei of peripheral blood lymphocyte was performed in 51 attendents in diesel locomotive and 30 wheel axle workers. The results showed that the rates of positive micronucleus, micronucleus cells and micronuclei in the attendants and the wheel axle workers were much higher than the control group. The frequencies of micronucleus cells and micronuclei obviously increased with the service time. The possible reasons which caused the micronucleus increase in two types of workers were discussed.
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The conducted sanitary-and-hygienic investigations contributed to working out the up-to-date sanitary-and-hygienic requirements aimed at maintaining the health status of the mentioned workers, they are also expected to enhance the safety in trains' traffic.
The paper presents data on the health status of a large professional group of transport building workers--those who build BAM railway tunnels and those who build Moscow and Saint Petersburg underground stations. Major factors that are associated with underground work and that form the level of morbidity with temporary disability are identified. Respiratory, osteomuscular, digestive diseases, accidents, intoxications, and injuries are predominant in the structure of temporary disability. Lines of better organization of therapeutical-and-prophylactic aid to this contingent are defined.
Abraham Lincoln would have well understood the challenges facing many modern emerging nations. In Lincoln's America, as in many developing nations today, sweeping economic change threatened older industries, traditional ways of living, and social and national cohesion by exposing economies and societies to new and powerful competitive forces. Yet even in the midst of the brutal and expensive American Civil war--and in part because of it--Lincoln and the Republican Congress enacted bold legislation that helped create a huge national market, a strong and unified economy governed by national institutions, and a rising middle class of businessmen and property owners. Figuring out how to maximize the benefits of globalization while minimizing its disruptions is a formidable challenge for policy makers. How do you expand opportunities for the talented and the lucky while making sure the rest of society doesn't fall behind? It may be helpful to look at the principles that informed the policies that Lincoln and the Republican Congress instituted after they came to power in 1861: Facilitate the upward mobility of low- and middle-income groups to give them a significant stake in the country. Emphasize the good of the national economy over regional interests. Affirm the need for sound government institutions to temper the dynamics of the free enterprise system. Tailor policies to the national situation. Realize that a period of turmoil may present a unique opportunity for reform. These principles drove the reforms that helped Americans cope with and benefit from rapid technological advances and the fast integration of the American economy in the nineteenth century. They may be instructive to today's policy makers who are struggling to help their own citizens integrate into the fast-changing global economy of the twenty-first century.
The paper presents the data of clinical and hygienic studies of railway cashiers' health. The main deleterious factors of their working conditions are poor microclimatic conditions, bacterial inoculation of the working area air, a forced working posture, and a high vocal load under mental stress. There is a significant prevalence of nervous, obstetric, gynecological, thyroid, and vocal diseases and oral dysbacteriosis among the workers of this professional group. There is evidence for the necessity of including the job of a railway cashier into the List of decreed contingents for periodical medical examinations.
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Occupational hygiene of the railway transport is a well defined sphere of knowledge. It is closely connected with the general occupational medicine and yet occupies a significant place in the railway medicine. Occupational medicine of the railway transport is based on results of sciences connected with each other and at the same time it serves for the favourable research is included sciences, such as occupational physiology and hygiene pathology, sanitary technics, chemistry, acoustics et al.
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