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I.Kostyuk and V.Kapustnyk Occupational Diseases Approved http://www.medicalcd.info, [email protected], ICQ: 359 787 262 I.Kostyuk and V.Kapustnyk Occupational Diseases Approved by the Ministry of Health of Ukraine as a manual for students and resident-physicians (intern) of higher medical educational establishments of the 3rd and 4th levels of accreditation Kharkiv 2005 htt p: // www. medic alc d.i nfo, [email protected], IC Q: 359 787 262 Reviewers: doctor of medical sciences, professor I. O. Parpaley doctor of medical sciences, professor J.О. Bondarenko Kostyuk I. and Kapustnyk V. Translated from the Ukrainian by ________ Occupational Diseases: Manual. – Kharkiv: Osnova, 2005. – 400 p. Basic forms of occupational pathologies and their classification have been described in the manual. Issues on regional occupational diseases with the consideration of peculiarities and the structure of public economy of Ukraine have been considered. New data on pathogenesis, clinical symptomatology, development, treatment and organization of dispensary care have been suggested. Recommendations on rendering urgent medical assistance in case of some grave conditions and poisoning in clinics to treat occupational diseases have been provided. Principles on organization of conduct of medical examinations and solving expert questions in compliance with the regulations of recent acts have been analyzed. For students and residents (interns) htt p: //rapidshare.com/us ers/ 5B G X23 2 htt p: // www. medic alc d.i nfo, [email protected], IC Q: 359 787 262 CONTENTS FOREWORD......................................................................................... 7 CHAPTER 1. GENERAL ISSUES ON OCCUPATIONAL PATHOLOGY…………………………………………………………. 9 NOTION OF OCCUPATIONAL PATHOLOGY AS A CLINICAL DISCIPLINE.............................................................. 9 BACKGROUND OF DEVELOPMENT OF OCCUPATIONAL PATHOLOGY............................................................................... 11 PECULIARITIES OF CLINICAL EXAMINATION AND DIAGNOSTICS OF OCCUPATIONAL DISEASES........................ 14 CHAPTER 2. PROFESSIONAL DISEASES OF RESPIRATORY ORGANS, CONDITIONED BY DUST IMPACT.................................. 29 BLACK-LUNG DISEASE................................................................. 29 Silicosis............................................................................................... 33 Silicatosis............................................................................................ 49 Carboconiosis...................................................................................... 52 Metal-coniosis..................................................................................... 54 Pneumoconioses Caused by Mixed Dust............................................ 62 Pneumoconiosis Caused by Organic Dust.......................................... 64 DUST BRONCHITIS......................................................................... 66 OCCUPATIONAL BRONCHIAL ASTHMA................................... 75 EXOGENOUS ALLERGIC ALVEOLITIS....................................... 84 CHAPTER 3. DISEASES OF BRONCHOPULMONARY APPARATUS OF TOXIC-CHOMICAL ETIOLOGY......................... 88 ACUTE TOXIC AFFECTION OF BRONCHOPULMONARY APPARATUS..................................................................................... 89 CHRONIC TOXIC DISEASES OF BRONCHOPULMONARY APPARATUS................................................................................ 93 CHAPTER 4. OCCUPATIONAL DISEASES, CAUSED BY CHEMICAL FACTOR IMPACT....................................................... 97 OCCUPATIONAL DISEASES WITH PREDOMINANT AFFECTION OF BLOOD SYSTEM............................................. 97 Intoxication with aromatic hydrocarbon..............................………... 97 Intoxication with carbon oxide………………………………….. 104 Intoxication with Nitrocompounds and Oilsperses of Benzol and its Homologues……………………………………………… 108 htt p: //rapidshare.com/us ers/ 5B G X23 3 htt p: // www. medic alc d.i nfo, [email protected], IC Q: 359 787 262 Intoxication with Lead…………………………………………… 116 Intoxication with Hydrogen Arsenate…………………………… 122 OCCUPATIONAL DISEASES WITH PREDOMINANT AFFECTION OF HEPATOBILIARY SYSTEM (TOXIC HEPATITES)…………………………………………………….. 124 OCCUPATIONAL DISEASES WITH MAJOR AFFECTION OF KIDNEYS AND EXCRETORY TRACTS…………………. 132 OCCUPATIONAL DISEASES WITH MAJOR AFFECTION OF NERVOUS SYSTEM……………………………………….. 139 Intoxication with Manganese……………………………………… 140 Intoxication with Mercury (Mercurialism).....................................… 145 Intoxication with Carbon Bisulfide................................................…. 151 Intoxication with Tetraethyl Lead..................................................…. 157 INTOXICATION, WHICH APPEAR UNDER CONDITIONS OF AGRICULTURE (INTOXICATION WITH PESTICIDES).. 162 Intoxication with Organophosphorus Compounds...................... 165 Intoxication with Chlororganic Compounds............................... 169 Intoxication with Mercuric Organic Compounds..........................…. 173 Intoxication with Carbamates.................................................... 177 Intoxication with Compounds which Contain Arsenic............... 179 Intoxication with Pirethroids..................................................... 182 PREVENTION OF POISONING WITH PESTICIDES.............. 183 CHAPTER 5. OCCUPATIONAL DISEASES, CAUSED BY THE ACTION OF MINERAL FERTILIZERS...................................… 185 DISEASES IN THE RESULT OF ACTIONS OF PHOSPHORIC FERTILIZERS.......................................................................... 185 DISEASES IN THE RESULT OF ACTION OF NITROGEN FERTILIZER........................................................................... 188 CHAPTER 6. OCCUPATIONAL DISEASES, WHICH WORKERS HAVE AT PRODUCTION AND PROCESSING OF POLYMERIC MATERIALS............................................................................................. 193 OCCUPATIONAL PATHOLOGY AMONG WORKERS AT THE PRODUCTION OF SYNTHETIC RESINS....................... 194 htt p: //rapidshare.com/us ers/ 5B G X23 4 htt p: // www. medic alc d.i nfo, [email protected], IC Q: 359 787 262 OCCUPATIONAL PATHOLOGY AMONG PATIENTS AT THE PRODUCTION OF SYNTHETIC RUBBER AND RUBBER PRODUCTS........................................................................................ 201 OCCUPATIONAL PATHOLOGY AMONG WORKERS AT PRODUCTION WHERE SYNTHETIC FIBERS ARE OBTAINED AND PROCESSED............................................... 203 PRINCIPLES OF DIAGNOSTICS, TREATMENT, VERIFICATION OF THE ABILITY OF WORK AND PREVENTION OF OCCUPATIONAL DISEASES, WHICH APPEAR UNDER CONDITIONS OF PRODUCTION OF POLYMER MATERIALS......................................................... 206 CHAPTER 7. OCCUPATIONAL DISEASES, CAUSED BY PHYSICAL FACTORS............................................................................ 210 VIBRATION DISEASE..................................................................... 210 Vibration disease in the result of local vibration................................ 212 Vibration Disease, Caused by the Impact of General Vibration......... 215 Vibration Disease, Caused by Combined Affection of General and Local Vibration................................................................................... 216 OCCUPATIONAL PATHOLOGY, CONDITIONED BY THE IMPACT OF NOISE........................................................................... 219 OCCUPATIONAL DISEASES, CONDITIONED BY THE IMPACT OF ELECTROMAGNETIC IRRADIATION OF RADIO-WAVES....... 225 OCCUPATIONAL DISEASES, CAUSED BY LASER IRRADIATION.................................................................................. 232 OCCUPATIONAL DISEASES CAUSED BY INFLUENCE OF ULTRASOUND UPON A PERSON’S ORGANISM……………... 234 INFLUENCING OF IONISING RADIATION ON A PERSON’S ORGANISM (RADIATION SICKNESS)………………………... 237 Acute radiation illness…………………………………………….. 242 Chronic radiation illness……………………………………………. 252 OCCUPATIONAL DISEASES BOUND WITH ATMOSPHERIC PRESSURE CHANGES.................................... 255 Altitude sickness............................................................................ 255 Decompression sickness................................................................ 257 htt p: //rapidshare.com/us ers/ 5B G X23 5 htt p: // www. medic alc d.i nfo, [email protected], IC Q: 359 787 262 ILLNESSES ARISING OWING TO INFLUENCE OF UNFAVORABLE FACTORS OF MANUFACTURE’S MICROCLIMATE......................................................................... 261 Overheat........................................................................................ 262 Cooling.......................................................................................... 265 CHAPTER 8. OCCUPATIONAL DISEASES CONDITIONED BY FUNCTIONAL OVERSTRAIN............................................................... 270 OCCUPATIONAL DYSKINESIA................................................ 272 DISEASES OF PERIPHERAL NERVOUS SYSTEM................... 273 DISEASES OF MUSCLES............................................................ 274 DISEASES OF FIBROUS AND SYNOVIAL FORMATIONS.... 275 OSTEOCHONDROPATHIES....................................................... 278 CHAPTER 9. FIRST AID AT THREATENING CONDITIONS OWING TO EFFECT OF THE OCCUPATIONAL FACTORS......... 283 ACUTE POISONINGS.................................................................. 283 EDEMA OF LUNGS..................................................................... 286 ACUTE FAILURE OF BREATHING........................................... 288 SPONTANEOUS PNEUMOTHORAX........................................
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