Wyniki wyszukiwania - Biblioteka Nauki

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Suicidal behaviour issues – crisis intervention

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Zawadzki Ł. , Zawadzka A. , Dębska A. , Zukow W. , ojs o. , Muszkieta R. , Gozhenko E. A. , adm a. , Gozhenko A. , Badiuk N. S. , Zukow W. , Szulc A. , Gozhenko A. I. , Gozhenko A. I. , Gozhenko A. I. , Badiuk N. S. , Gotowski R. , ojs o. , Zukow W. , adm a. , Muszkieta R. , Zukow W. , Badiuk N. S. , Gozhenko A. , Gozhenko E. A. , Gozhenko A. I. , Gozhenko A. I. , Gozhenko A. I. , Badiuk N. S. , Szulc A. , Gotowski R.

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nr 4

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Introduction. Suicide is a serious problem globally. More and more people are dying because of taking their lives. This tragic act is an expression of helplessness and loneliness of a man who did not receive help in a timely manner. Suicide is a process of intertwined thoughts and deeds. This process lasts for several weeks to several months or even years, and the sequence of reactions taking place during that time is called suicidal behavior. This process can be interrupted at any time through crisis intervention saving human life.Aim. The aim of this work is to analyze the suicidal crisis and the phenomenon of suicide, as well as to familiarize the reader with risk factors that may indicate the possibility of committing suicide. Moreover, the aim of the work is to present effective crisis intervention to people threatened with a suicidal act.Summary. Human life is the most important value. Each saved life is a great success for both the suicide, his relatives and the whole society. That is why prevention and education are so important. If the society is sensitive to risk factors that may indicate a threat of committing suicide, it will be able to react at the right time by helping a person who is in a suicidal crisis.

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Mechanisms of formation of maladaptation states among internship doctors and approaches to their correction

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Vyun V. V. , Zukow W. , ojs o. , Muszkieta R. , Gozhenko E. A. , adm a. , Gozhenko A. , Badiuk N. S. , Zukow W. , Szulc A. , Gozhenko A. I. , Gozhenko A. I. , Gozhenko A. I. , Badiuk N. S. , Gotowski R. , ojs o. , Zukow W. , adm a. , Muszkieta R. , Zukow W. , Badiuk N. S. , Gozhenko A. , Gozhenko E. A. , Gozhenko A. I. , Gozhenko A. I. , Gozhenko A. I. , Badiuk N. S. , Szulc A. , Gotowski R.

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tom 6

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nr 3

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A doctor’s adaptation to medical activity has a great influence on the effectiveness of his professional activity. The objective: to explore individual psychological predictors of the formation of maladaptation states of internship doctors for the development of a system for their diagnosis, correction and psychoprophylaxis. A comprehensive clinical-psychological, psychodiagnostic and clinical-anamnestic examination of 213 internship doctors of the first year of training atKharkovNationalMedicalUniversity, 116 women and 97 men, aged 22-25 years old had been conducted. It had been established that internship doctors are characterized by feelings of internal tension and dissatisfaction, decreased mood, irritability, anxiety, long-term uncertain negative emotions, unmotivated fears, self-doubt, doubts about making decisions, decline in intellectual activityin conjunction with increased exhaustion and withdrawal mercurial attention. We have developed a system of medical and psychological support during the professional training period depending on the type of disadaptation. The psychotherapeutic complex in the internship doctors included the use of rational psychotherapy, autogenous training (psychotonic version of Shogham-Mirovsky), art therapy, progressive muscle relaxation by Jacobson, cognitive-behavioral therapy of Beck, autogenous training in the modification of Lebedinsky - Bortnik, etc. were used. The results of a three-year catamnestic study proved the effectiveness of the proposed system of psychotherapeutic correction of disorders of adaptation, positive dynamics of the mental state was noted, the maladaptive states were reduced; 92.6% of the examined recurrences of the violations of adaptation did not occur.

3

Medical appointment and its influence on patients' confidence

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Kozimala M. , Guty E. , Dziechciaż M. , Putowski L. , Zukow W. , ojs o. , Muszkieta R. , Gozhenko E. A. , adm a. , Gozhenko A. , Badiuk N. S. , Zukow W. , Szulc A. , Gozhenko A. I. , Gozhenko A. I. , Gozhenko A. I. , Badiuk N. S. , Gotowski R. , ojs o. , Zukow W. , adm a. , Muszkieta R. , Zukow W. , Badiuk N. S. , Gozhenko A. , Gozhenko E. A. , Gozhenko A. I. , Gozhenko A. I. , Gozhenko A. I. , Badiuk N. S. , Szulc A. , Gotowski R.

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nr 1

PL

IntroductionPatient’s confidence is very important in patient – doctor communication. It is very vital when we talk about efficient medical care because it can improve this care significently. It is particularly important for people who can not contact with it easily. Thanks to watching relations between patient and doctor we can get to know the way the patient judges references of the doctor during his professional activities.The aim of the thesisThe aim of these studies was to estimate the level of patient’s confidence after the last medical appointment. The studies were made with the help of Anderson and Dedrick scale. ResultsPatients were satisfied after the appointment when during the examination they could see a telephone and a computer on the desk, medical equipment and other medical things. The doctor was closer than 61 cm from them and patients could not see any physical barriers. During the examination the position of the doctor was open, he used gestures and he was sitting face to face to the patient (angle 180° or 90°). His eyes were at the same level as patient’s eyes. ConclusionsThe ability of proper communication with the patient is a very important element of medical care. However, it is often underestimated. But efficiency of therapy and efficiency of diagnostics depend on these factors.

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Fear of death and structure of personality with men in the early and late adulthood

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Zawadzka A. , Dębska A. , Zawadzki Ł. , Zukow W. , ojs o. , Muszkieta R. , Gozhenko E. A. , adm a. , Gozhenko A. , Badiuk N. S. , Zukow W. , Szulc A. , Gozhenko A. I. , Gozhenko A. I. , Gozhenko A. I. , Badiuk N. S. , Gotowski R. , ojs o. , Zukow W. , adm a. , Muszkieta R. , Zukow W. , Badiuk N. S. , Gozhenko A. , Gozhenko E. A. , Gozhenko A. I. , Gozhenko A. I. , Gozhenko A. I. , Badiuk N. S. , Szulc A. , Gotowski R.

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nr 11

PL

Introduction. Fear of death is the fear of ending one’s own existence. While a man grows up he/she is aware that his/her life will be ended with death. Nevertheless, the awareness does not reduce the fear. An individual can see, hear, experience. He/she is surrounded by loved people, is determined in pursuin his/her goals and death ends it all, it is the absolete end. Therefore, everyone is more or less affraid of it.Aim. The aim of the study is to verify if there are any differences in the level of fear of death among chosen age groups. What affects and conditions them.Materials and methods. The study involved 60 men divided on two age groups. The first one were 30 men in their early adulthood aged 23 – 28. The secong one were 30 men in their late adulthood aged 60 and more. The research tools were two questionnaires FTVS – Fear of death and dying inventory by R. Oschmann and NEO-PI-R Five Factor Model (FFM).Results. Men in their early and late adulthood experience fear of death in similar manner, fear of facing death, fear of mortality, fear of ending one’s existence, fear of physical destruction, fear of live after death and fear of dying proces. Personal characteristics relate with fear of death differently in gropus of men in early and late adulthood.Keywords: fear, personality, death,

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A comparative analysis of the level of aggression between female and male judokas society

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Wojdat M. , Janowska P. , Pujszo M. , Stępniak R. , Zukow W. , ojs o. , Muszkieta R. , Gozhenko E. A. , adm a. , Gozhenko A. , Badiuk N. S. , Zukow W. , Szulc A. , Gozhenko A. I. , Gozhenko A. I. , Gozhenko A. I. , Badiuk N. S. , Gotowski R. , ojs o. , Zukow W. , adm a. , Muszkieta R. , Zukow W. , Badiuk N. S. , Gozhenko A. , Gozhenko E. A. , Gozhenko A. I. , Gozhenko A. I. , Gozhenko A. I. , Badiuk N. S. , Szulc A. , Gotowski R.

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nr 5

PL

Aim: The comparison the level of aggression of women and men in the judo population, against the background of the average aggression of the Polish societyMaterial and Methods: A group of 77 former and still practicing judokas (30 women and 47 men) were tested using a questionnaire to determine the aggression level of "Aggression Questionnaire" Buss, Perry, Amity Institute in Polish adaptation.Results: Women had lower levels of physical aggression than men. Reduced feelings of hostility among women and men made the judo environment different from the average Polish population.Conclusions: Only the lower level of physical aggression in women is discriminating against the judo environment. The lower level of sense of hostility is a significant distinctive for the entire judo community.

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The role of urban greenery in the sustainable development of the city Bydgoszcz

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Oleś M. , Harłoziński K. , Zukow W. , ojs o. , Muszkieta R. , Gozhenko E. A. , adm a. , Gozhenko A. , Badiuk N. S. , Zukow W. , Szulc A. , Gozhenko A. I. , Gozhenko A. I. , Gozhenko A. I. , Badiuk N. S. , Gotowski R. , ojs o. , Zukow W. , adm a. , Muszkieta R. , Zukow W. , Badiuk N. S. , Gozhenko A. , Gozhenko E. A. , Gozhenko A. I. , Gozhenko A. I. , Gozhenko A. I. , Badiuk N. S. , Szulc A. , Gotowski R.

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nr 13

EN

The problem of the development concerns green areas of the city of Bydgoszcz. It determines the extent to which the urban greenery and its functioning in the city pursue the principles of sustainable development. The paper identifies the influence of urban green on important elements of urban life, ie on the society, microclimate and biodiversity of Bydgoszcz.

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Praktyczne wykorzystanie health literacy - alfabetyzmu zdrowotnego, jako narzędzia osiągania celów zdrowotnych = Practical use of health-literacy as a tool for achieving health goals

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Olejniczak D. , Zukow W. , ojs o. , Muszkieta R. , Gozhenko E. A. , adm a. , Gozhenko A. , Badiuk N. S. , Zukow W. , Szulc A. , Gozhenko A. I. , Gozhenko A. I. , Gozhenko A. I. , Badiuk N. S. , Gotowski R. , ojs o. , Zukow W. , adm a. , Muszkieta R. , Zukow W. , Badiuk N. S. , Gozhenko A. , Gozhenko E. A. , Gozhenko A. I. , Gozhenko A. I. , Gozhenko A. I. , Badiuk N. S. , Szulc A. , Gotowski R.

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tom 6

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nr 2

PL

Olejniczak Dominik. Praktyczne wykorzystanie health literacy - alfabetyzmu zdrowotnego, jako narzędzia osiągania celów zdrowotnych = Practical use of health-literacy as a tool for achieving health goals. Journal of Education, Health and Sport. 2016;6(2):238-243. eISSN 2391-8306. DOI http://dx.doi.org/10.5281/zenodo.46654http://ojs.ukw.edu.pl/index.php/johs/article/view/3383https://pbn.nauka.gov.pl/works/717109 The journal has had 7 points in Ministry of Science and Higher Education parametric evaluation. Part B item 755 (23.12.2015).755 Journal of Education, Health and Sport eISSN 2391-8306 7© The Author (s) 2016;This article is published with open access at Licensee Open Journal Systems of Kazimierz Wielki University in Bydgoszcz, PolandOpen Access. This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium,provided the original author(s) and source are credited. This is an open access article licensed under the terms of the Creative Commons Attribution Non Commercial License(http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited.This is an open access article licensed under the terms of the Creative Commons Attribution Non Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted, non commercialuse, distribution and reproduction in any medium, provided the work is properly cited.The authors declare that there is no conflict of interests regarding the publication of this paper.Received: 05.01.2016. Revised 12.02.2016. Accepted: 21.02.2016. Praktyczne wykorzystanie health literacy - alfabetyzmu zdrowotnego, jako narzędzia osiągania celów zdrowotnychPractical use of health-literacy as a tool for achieving health goals Dominik Olejniczak Zakład Zdrowia Publicznego, Warszawski Uniwersytet Medyczny dr n. med. Dominik OlejniczakZakład Zdrowia PublicznegoWarszawski Uniwersytet Medycznyul. Banacha 1a, blok F02-097 WarszawaTel: 22 599 21 80 Streszczenie Alfabetyzm zdrowotny jest to stosunkowo nowy termin we współczesnej promocji zdrowia. Powstał on w wyniku zapotrzebowania na nazwanie pewnego zbioru uwarunkowań i kompetencji, determinujących zdrowie jednostek i populacji. Można go definiować jako zbiór kompetencji i umiejętności, w zakresie szeroko rozumianego zdrowia, pozyskanych na drodze właściwego wykorzystania źródeł informacji, pozwalający na minimalizowanie występowania i wpływu czynników ryzyka zdrowotnego na jednostkę i środowisko, w którym funkcjonuje, w celu poprawy i utrzymania dobrego stanu zdrowiaBudowanie tej kompetencji stanowić winno jedno z podstawowych zadań promocji zdrowia. Wysoki poziom alfabetyzmu zdrowotnego wiąże się z większym potencjałem zdrowotnym, co znacznie zwiększa szanse na poprawę stanu zdrowia jednostek i populacji. Słowa kluczowe: alfabetyzm zdrowotny, edukacja zdrowotna, promocja zdrowia. Abstract Health literacy is a relatively new term in contemporary health promotion. It was created as a result of the demand for naming a set of conditions and competencies that determine the health of individuals and populations. It can be defined as a set of competencies and skills, in terms of the wider health, obtained through the proper use of sources of information, allowing you to minimize the occurrence and impact of risk factors on individual health and the environment in which it operates, in order to improve and maintain good health. Building health literacy should be the one of the fundamental tasks of health promotion. The high level of health literacy is associated with greater potential for health, which greatly increases the chances of improving the health of individuals and population. Key words: health literacy, health education, health promotion.

8

The use of platelet-rich plasma in anti-aging therapy (overview)

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Chorążewska M. , Piech P. , Pietrak J. , Kozioł M. , Obierzyński P. , Maślanko M. , Wilczyńska K. , Tulwin T. , Łuczyk R. , Zukow W. , ojs o. , Muszkieta R. , Gozhenko E. A. , adm a. , Gozhenko A. , Badiuk N. S. , Zukow W. , Szulc A. , Gozhenko A. I. , Gozhenko A. I. , Gozhenko A. I. , Badiuk N. S. , Gotowski R. , ojs o. , Zukow W. , adm a. , Muszkieta R. , Zukow W. , Badiuk N. S. , Gozhenko A. , Gozhenko E. A. , Gozhenko A. I. , Gozhenko A. I. , Gozhenko A. I. , Badiuk N. S. , Szulc A. , Gotowski R.

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nr 11

EN

IntroductionAging stands for the changes in the human body, which are recognized as natural processes that concern every person and are related to the passage of time. Despite ‘normalness’ of the process, a tendency is emerging to treat aging as a pathology requiring proper diagnostics. Consequently, an ‘anti-aging’ medicine has been established - defined as study of preventing and slowing down the process of aging.Aim of the studyThe aim of this study is to summarize and present the current knowledge, based on the overview of writing on the properties and effectiveness of the use of PRP in anti-aging therapy. Description of knowledge Autologous platelet-rich plasma is a concentrate of human blood platelets suspended in a small amount of plasma, wherein concentration of thrombocytes is higher than initial concentration. For autologous plasma to have high healing properties, platelet levels should be at least 1 million in 5 ml of plasma.The basic condition for initiating repair and regenerative processes in vivo is the formation of a blood clot. Also, by degranulating, platelets release many growth factors, such as PDGF, TGF-β, EGF, FGF, VEGF and others, which are involved not only in blood coagulation, but also in immune response and tissue healing.The large variety of PRP-obtaining methods and the range of concentration levels of growth factors in PRP may lead to ambiguity in the literature, as to the extent to which formulation was actually used in a variety of preclinical and clinical studies. Some of those studies are presented in this article. Summary Platelet-rich treatments are part of the growing popularity of regenerative medicine, which is beginning to be recognized as the medicine of the future. However, without proper control methods or optimization of numerous variables (e.g. concentration or ratio of growth factors) during PRP preparation, it is not known which ingredients are needed and preferred, and which are harmful for tissue regeneration.However, numerous studies show PRP injection as a promising method of rejuvenating the skin, therefore platelet-rich treatments are an important part of the growing popularity of regenerative medicine.

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Role of fumigation in labour conditions characteristic of the grain transport conveyor workers = Роль фумигации в характеристике условий труда рабочих зернового транспортного конвейера

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Shafran L. M. , Sidorenko S. G. , Golikovа V. V. , Zukow W. , Zukow W. , ojs o. , Muszkieta R. , Gozhenko E. A. , adm a. , Gozhenko A. , Badiuk N. S. , Zukow W. , Szulc A. , Gozhenko A. I. , Gozhenko A. I. , Gozhenko A. I. , Badiuk N. S. , Gotowski R. , ojs o. , Zukow W. , adm a. , Muszkieta R. , Zukow W. , Badiuk N. S. , Gozhenko A. , Gozhenko E. A. , Gozhenko A. I. , Gozhenko A. I. , Gozhenko A. I. , Badiuk N. S. , Szulc A. , Gotowski R.

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nr 10

EN

Shafran L. M., Sidorenko S. G., Golikova V. V., Zukow W. Role of fumigation in labour conditions characteristic of the grain transport conveyor workers = Роль фумигации в характеристике условий труда рабочих зернового транспортного конвейера. Journal of Education, Health and Sport. 2015;5(10):350-362. ISSN 2391-8306. DOIhttp://dx.doi.org/10.5281/zenodo.45341http://ojs.ukw.edu.pl/index.php/johs/article/view/3355https://pbn.nauka.gov.pl/works/709979Formerly Journal of Health Sciences. ISSN 1429-9623 / 2300-665X. Archives 2011–2014http://journal.rsw.edu.pl/index.php/JHS/issue/archive Deklaracja.Specyfika i zawartość merytoryczna czasopisma nie ulega zmianie.Zgodnie z informacją MNiSW z dnia 2 czerwca 2014 r., że w roku 2014 nie będzie przeprowadzana ocena czasopism naukowych; czasopismo o zmienionym tytule otrzymuje tyle samo punktów co na wykazie czasopism naukowych z dnia 31 grudnia 2014 r.The journal has had 5 points in Ministry of Science and Higher Education of Poland parametric evaluation. Part B item 1089. (31.12.2014).© The Author (s) 2015;This article is published with open access at Licensee Open Journal Systems of Kazimierz Wielki University in Bydgoszcz, Poland and Radom University in Radom, PolandOpen Access. This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium,provided the original author(s) and source are credited. This is an open access article licensed under the terms of the Creative Commons Attribution Non Commercial License(http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited.This is an open access article licensed under the terms of the Creative Commons Attribution Non Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted, non commercialuse, distribution and reproduction in any medium, provided the work is properly cited.The authors declare that there is no conflict of interests regarding the publication of this paper.Received: 25.09.2015. Revised 25.10.2015. Accepted: 31.10.2015. UDC - УДК 613.6+616-099-057:656.6-083 ROLE OF FUMIGATION IN LABOUR CONDITIONS CHARACTERISTIC OF THE GRAIN TRANSPORT CONVEYOR WORKERS РОЛЬ ФУМИГАЦИИ В ХАРАКТЕРИСТИКЕ УСЛОВИЙ ТРУДА РАБОЧИХ ЗЕРНОВОГО ТРАНСПОРТНОГО КОНВЕЙЕРА L. M. Shafran*, S. G. Sidorenko**, V. V. Golikova*, W. Zukow***Л. М. Шафран, С. Г. Сидоренко, В. В. Голикова, В. Жуков *Ukrainian Scientific and Research Institute of Transport Medicine, Odessa, Ukraine**Main State Sanitary and Epidemiological Service in Kirovograd region of Ukraine***Kazimierz Wielki University, Bydgoszcz, Poland AbstractComplex investigations of working conditions of specialists, involved in the export of grain in Ukraine at all stages of the transport conveyor (elevators - freight transport - rail - enterprises for the primary processing of grain and seeds - grain terminals at sea and river ports - ships for grain transportation in bulk (bulkers)) is made. Under supervision there were 755 people, males, aged 27-56 years, with the occupational experience 3-35 years. All workers were divided into 6 groups: 1.- workers of elevators and grain terminals; 2 - workers of the enterprises for processing of grain and seeds; 3. - workers of fodder industries; 4. – truck drivers; 5 - specialists of fumigation units; 6 – workers without any contact with grain cargoes, control. The research included: analysis of occupational activities by professiografic methods (multimoment observations and self-made checking of working operations and time), assessment of hazards in the volume requirements for certification of workplaces (microclimate parameters, noise, vibration, the definition of dust, germs and fungi, chemicals in the air, including phosphine, indicators of severity and intensity of labor), the study of morbidity with temporary disability according to the company’s data and symptoms of health disorders mentioned in a specially designed questionnaire. The results showed that the surveyed workers are exposed to general and specific hazards types of the working environment. It established the important role of residual amounts of phosphine and airborne dust generated during overload, moving under fumigation of grain and seeds at grain elevators, port terminals, as well as containing the germs and fungi bioaerosol as sources of harmful effects on the operators and truck drivers, which plays an important role in the etiology and pathogenesis of occupationally caused diseases in participants of grain transport conveyer. Concentrations of vegetable dust in grain elevators and terminals exceed the permissible exposure limit (4 mg / m3) in 2-6 times, and the phosphine concentration in the breathing zone of fumigation specialists - up to 15 times. The surveyed groups of workers also greatly differ in severity and intensity of labor. On the basis of integrated work assessment of elevators, grain terminals personnel and specialists in fumigation assigned to class 3.2, animal feed mills workers of and truck drivers – to class 3.1, and workers of the enterprises for processing of grain and seeds - to the 3.1 - 2nd classes in accordance with the current hygienic classification. It is designed and implemented a range of preventive measures to improve working conditions and of the health preservation of workers the grain transportation conveyor. Further researches are needed to differentiate hygienic assessment of employees grain processing industries and the transport conveyor. The necessity for correction of grain dust PEL considering content of not deposited fractions of pesticide residues primarily fumigants.Keywords: grain, transportation, fumigation, phosphine, workers, working conditions. StreszczenieROLA FUMIGACJI W CHARAKTERYSTYCE WARUNKÓW PRACY RUROCIĄGU DO TRANSPORTU ZBÓŻ. Kompleksowe badania warunków pracy zaangażowanych w eksport zboża na Ukrainie na wszystkich etapach przenośnika transportu (windy - transportu towarowego - kolejowe - przedsiębiorstwa do pierwotnej obróbki zbóż i nasion - terminale zbożowe w portach morskich i rzecznych - statki do przewozu luzem ziarna (bulkers)). Pod obserwacją były 755 osoby, mężczyźni w wieku 27-56 lat, z doświadczeniem w zawodach studiował 3-35 lat. Wszyscy badani zostali podzieleni na 6 grup: 1 - pracownicy windy roboczych i terminali zbożowych; 2 - pracownicy przedsiębiorstw do przetwórstwa zboża i nasion; 3 - pracownicy RSS gałęzi przemysłu; 4 - kierowcy ciężarówek; 5 - eksperci w fumigacji; 6 – pracownicy nie kontaktujący się z ładunkiem zboża, kontroli. Badaniami objęto: analiza działań produkcyjnych professjograficznych metod multimomentnych obserwacji i samofotografii czasu pracy, ocena zagrożeń w wymogami głośności dla certyfikacji zakładów pracy, badania zachorowalności o czasowej niezdolności do pracy, zgodnie z firm i objawów zaburzeń zdrowia specjalnie zaprojektowany kwestionariusz. Wyniki wykazały, że badani eksperci są narażone na ogólnych i szczególnych zagrożeń w środowisku pracy. Ustalono ważną rolę resztkowych ilości fosfinie i unoszącego się w powietrzu pyłu wytwarzanego podczas przeciążenia, przemieszczają się w ramach fumigacji ziarna i nasion w elewatorów zbożowych, terminalach portowych, a także zawierający bakterie i grzyby bioaerozolu jako źródeł szkodliwego wpływu na operatorów i kierowców pojazdów, który odgrywa ważną rolę w etiologii i patogenezie chorób spowodowanych u pracowników profesjonalnych ziarnotransportowych rurociągów eksportowych. Stężenia pyłu roślin w elewatorach zbożowych i ziarnoterminalach przekraczały maksymalnego dopuszczalne (4 mg / m3) w 2-6 razy, a stężenie fosfina w strefie oddychania odpowiedniej fumigacji - do 15 razy. Grupy pracowników ankietowanych również znacząco różniły się w nasileniu i intensywności pracy. Na podstawie zintegrowanej oceny pracy ekspertów w fumigacji przypisane do klasy 3.2, pracownicy elewatorów zbożowych, terminale zboża, produkcji pasz, kierowcy ciężkich pojazdów - do klasy 3.1 i pracownicy przedsiębiorstw do przetwórstwa zbóż i nasion - do 3,1-2.0 klasom obecnej klasyfikacji higienicznej. Zaprojektowaliśmy i wdrożyliśmy szereg środków mających na celu poprawę warunków pracy i ochronę zdrowia pracowników ziarnotransportowego przenośnika. Konieczne są dalsze badania, aby odróżnić ocenę higieniczną przemysłu przetwórstwa zboża i pracownicy rurociągu transportowego. Konieczność korekty RPP ziarna pyłu biorąc pod uwagę jej treść zawisu i frakcji pozostałości pestycydów głównie fumigacji. Słowa kluczowe: zboża, transport, odgrzybianie, fosfin, pracownicy, warunki pracy. РефератПроведены комплексные исследования условий труда работников, участвующих в операциях по экспорту зерна в Украине на всех этапах транспортного конвейера (элеваторы – грузовой автотранспорт – железнодорожный транспорт – предприятия по первичной переработке зерна и семян – зерновые терминалы в речных и морских портах – суда для перевозки зерна насыпью (балкеры)). Под наблюдением находилось 755 человек, лица мужского пола, в возрасте 27-56 лет, со стажем работы в изучаемых профессиях 3-35 лет. Все обследуемые были разделены на 6 групп: 1.- рабочие элеваторов и зерновых терминалов; 2. – работники предприятий по переработке зерна и семян; 3. – работники комбикормовых производств; 4. – водители грузовых автомобилей; 5. – специалисты по фумигации; 6 – не контактирующие с зерновыми грузами, контроль. Исследования включали: профессиографический анализ производственной деятельности методами мультимоментных наблюдений и самофотографии рабочего времени, оценка вредных и опасных факторов в объеме требований к аттестации рабочих мест, изучение заболеваемости с временной утратой трудоспособности по данным предприятий и симптоматики нарушений в состоянии здоровья по специально разработанным анкетам. Результаты исследований показали, что обследованные специалисты подвергаются действию общих и специфичных вредных факторов производственной среды. Установлена важная роль остаточных количеств фосфина и витающей пыли, образующейся при перегрузке, перемещении фумигированного зерна и семян на элеваторах, портовых терминалах, а также содержащего микробы и грибы биоаэрозоля, как источников вредного воздействия на организм операторов и водителей автотранспорта, что играет важную роль в этиологии и патогенезе профессионально обусловленной заболеваемости участников экспортного зернотранспортного конвейера. Концентрации растительной пыли на элеваторах и зернотерминалах превышали предельно допустимые (4 мг/м3) в 2-6 раз, а концентрации фосфина в зоне дыхания специалистов по фумигации – до 15 раз. Группы обследованных рабочих существенно отличались также по тяжести и напряженности труда. На основе интегральной оценки труд работников элеваторов, зерновых терминалов, специалистов по фумигации отнесен к классу 3.2, комбикормового производства, водителей большегрузных автомобилей – к классу 3.1, а работников предприятий по переработке зерна и семян – к 3.1-2-му классам по действующей гигиенической классификации. Разработан и внедрен комплекс мероприятий по оздоровлению условий труда и сохранению здоровья работников зернотранспортного конвейера. Необходимы дальнейшие исследования по дифференциации гигиенической оценки труда работников зерноперерабатывающих производств и транспортного конвейера. Показана необходимость коррекции ПДК зерновой пыли с учетом содержания в ней витающих фракций и остаточных количеств пестицидов, прежде всего, фумигантов. Ключевые слова: зерно, транспорт, фумигация, фосфин, рабочие, условия труда.