10 research outputs found

    Work in Hypoxic Conditions-Consensus Statement of the Medical Commission of the Union Internationale des Associations d'Alpinisme (UIAA MedCom)

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    Objectives: The Commission gives recommendations on how to provide health and safety for employees in different kinds of low oxygen atmospheres. So far, no recommendations exist that take into account the several factors we have outlined in this report. Methods: The health and safety recommendations of several countries were analysed for their strength and deficiencies. The scientific literature was checked (Medline, etc.) and evaluated for relevance of the topic. Typical situations of work in hypoxia were defined and their specific risks described. Specific recommendations are provided for any of these situations. Results: We defined four main groups with some subgroups (main risk in brackets): short exposure (pressure change), limited exposure (acute altitude disease), expatriates (chronic altitude disease), and high-altitude populations (re-entry pulmonary oedema). For healthy unacclimatized persons, an acute but limited exposure down to 13% O2 does not cause a health risk. Employees should be advised to leave hypoxic areas for any break, if possible. Detailed advice is given for any other situation and pre-existing diseases. Conclusions: If the specific risk of the respective type of hypoxia is taken into account, a pragmatic approach to provide health and safety for employees is possible. In contrast to other occupational exposures, a repeated exposure as often as possible is of benefit as it causes partial acclimatization. The consensus statement was approved by written consent in lieu of a meeting in July 200

    Anesthetists (and physicians) at altitude

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    Trace element composition of aqueous extracts of some diatomite and lydite samples from Karelia

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    ΠΠΊΡ‚ΡƒΠ°Π»ΡŒΠ½ΠΎΡΡ‚ΡŒ исслСдования обусловлСна Π½Π΅ΠΎΠ±Ρ…ΠΎΠ΄ΠΈΠΌΠΎΡΡ‚ΡŒΡŽ получСния достовСрной ΠΈΠ½Ρ„ΠΎΡ€ΠΌΠ°Ρ†ΠΈΠΈ ΠΎΠ± элСмСнтном составС Π²ΠΎΠ΄Π½Ρ‹Ρ… экстрактов Π΄ΠΈΠ°Ρ‚ΠΎΠΌΠΈΡ‚ΠΎΠ² ΠΈ Π»ΠΈΠ΄ΠΈΡ‚ΠΎΠ². Π’ настоящСС врСмя Π΄ΠΈΠ°Ρ‚ΠΎΠΌΠΈΡ‚Ρ‹ ΠΈΡΠΏΠΎΠ»ΡŒΠ·ΡƒΡŽΡ‚ΡΡ Π² Ρ€Π°Π·Π»ΠΈΡ‡Π½Ρ‹Ρ… отраслях ΠΏΡ€ΠΎΠΌΡ‹ΡˆΠ»Π΅Π½Π½ΠΎΡΡ‚ΠΈ, Π² Ρ‚ΠΎΠΌ числС мСдицинской ΠΈ фармацСвтичСской. Однако Π΄Π΅Ρ‚Π°Π»ΡŒΠ½ΠΎΠ³ΠΎ изучСния состава ΠΈΡ… Π²ΠΎΠ΄Π½Ρ‹Ρ… экстрактов практичСски Π½Π΅ ΠΏΡ€ΠΎΠ²ΠΎΠ΄ΠΈΠ»ΠΎΡΡŒ. ЦСль: ΠΈΠ·ΡƒΡ‡ΠΈΡ‚ΡŒ микроэлСмСнтный состав Π²ΠΎΠ΄Π½Ρ‹Ρ… экстрактов Π½Π΅ΡΠΊΠΎΠ»ΡŒΠΊΠΈΡ… ΠΎΠ±Ρ€Π°Π·Ρ†ΠΎΠ² Π΄ΠΈΠ°Ρ‚ΠΎΠΌΠΈΡ‚ΠΎΠ² ΠΈ Π»ΠΈΠ΄ΠΈΡ‚ΠΎΠ². ΠžΠ±ΡŠΠ΅ΠΊΡ‚Ρ‹: Ρ‚Ρ€ΠΈ ΠΎΠ±Ρ€Π°Π·Ρ†Π° Π΄ΠΈΠ°Ρ‚ΠΎΠΌΠΈΡ‚ΠΎΠ² ΠΈ Π΄Π²Π° ΠΎΠ±Ρ€Π°Π·Ρ†Π° Π»ΠΈΠ΄ΠΈΡ‚ΠΎΠ² Ρ‚Π΅Ρ€Ρ€ΠΈΡ‚ΠΎΡ€ΠΈΠΈ РСспублики ΠšΠ°Ρ€Π΅Π»ΠΈΡ. ΠœΠ΅Ρ‚ΠΎΠ΄ΠΈΠΊΠ°: Π»Π°Π±ΠΎΡ€Π°Ρ‚ΠΎΡ€Π½Ρ‹ΠΉ экспСримСнт, водная экстракция, масс-спСктромСтрия с ΠΈΠ½Π΄ΡƒΠΊΡ‚ΠΈΠ²Π½ΠΎ-связанной ΠΏΠ»Π°Π·ΠΌΠΎΠΉ (ICP MS). Π Π΅Π·ΡƒΠ»ΡŒΡ‚Π°Ρ‚Ρ‹. Π˜Π·ΡƒΡ‡Π΅Π½ элСмСнтный состав Π²ΠΎΠ΄Π½Ρ‹Ρ… экстрактов Π½Π΅ΡΠΊΠΎΠ»ΡŒΠΊΠΈΡ… ΠΎΠ±Ρ€Π°Π·Ρ†ΠΎΠ² Π΄ΠΈΠ°Ρ‚ΠΎΠΌΠΈΡ‚ΠΎΠ² ΠΈ Π»ΠΈΠ΄ΠΈΡ‚ΠΎΠ² Ρ‚Π΅Ρ€Ρ€ΠΈΡ‚ΠΎΡ€ΠΈΠΈ РСспублики ΠšΠ°Ρ€Π΅Π»ΠΈΡ ΠΌΠ΅Ρ‚ΠΎΠ΄ΠΎΠΌ ICP MS. Π’ΠΎ всСх исслСдованных экстрактах ΠΎΠ±Ρ€Π°Π·Ρ†ΠΎΠ² Π΄ΠΈΠ°Ρ‚ΠΎΠΌΠΈΡ‚ΠΎΠ² ΠΈ Π»ΠΈΠ΄ΠΈΡ‚ΠΎΠ² ΠΏΡ€Π΅ΠΎΠ±Π»Π°Π΄Π°ΡŽΡ‰ΠΈΠΌΠΈ элСмСнтами ΡΠ²Π»ΡΡŽΡ‚ΡΡ Mg, Na, Ca, K ΠΈ Al (Π΄ΠΎ Π½Π΅ΡΠΊΠΎΠ»ΡŒΠΊΠΈΡ… тысяч ΠΌΠΊΠ³/Π»). Экстракты ΠΎΠ±Ρ€Π°Π·Ρ†ΠΎΠ² Π΄ΠΈΠ°Ρ‚ΠΎΠΌΠΈΡ‚ΠΎΠ² ΠΈΠΌΠ΅ΡŽΡ‚ ΠΎΠ΄Π½ΠΎΡ€ΠΎΠ΄Π½Ρ‹ΠΉ состав. ΠœΠ°ΠΊΡΠΈΠΌΠ°Π»ΡŒΠ½Ρ‹Π΅ содСрТания Π² Π½ΠΈΡ… Π΄Ρ€ΡƒΠ³ΠΈΡ…, Π½Π°ΠΈΠ±ΠΎΠ»Π΅Π΅ Π·Π½Π°Ρ‡ΠΈΠΌΡ‹Ρ…, элСмСнтов составляли: P - Π΄ΠΎ 650, Fe - Π΄ΠΎ 1700 (ΠΎΠ±Ρ€Π°Π·Π΅Ρ† β„– 1) ΠΈ Mn - Π΄ΠΎ 3300 (ΠΎΠ±Ρ€Π°Π·Π΅Ρ† β„– 3) ΠΌΠΊΠ³/Π». ΠšΠΎΠ½Ρ†Π΅Π½Ρ‚Ρ€Π°Ρ†ΠΈΠΈ Π² Π΄ΠΈΠ°ΠΏΠ°Π·ΠΎΠ½Π΅ ΠΎΡ‚ 10 Π΄ΠΎ 100 ΠΌΠΊΠ³/Π» Ρ…Π°Ρ€Π°ΠΊΡ‚Π΅Ρ€Π½Ρ‹ для ряда элСмСнтов (Li, B, Ti, Cr, Co, Ni, Cu, Zn, Sr, Y, Zr ΠΈ Ba) Π² экстрактах всСх ΠΎΠ±Ρ€Π°Π·Ρ†ΠΎΠ² Π΄ΠΈΠ°Ρ‚ΠΎΠΌΠΈΡ‚ΠΎΠ². Экстракты ΠΎΠ±Ρ€Π°Π·Ρ†ΠΎΠ² Π΄ΠΈΠ°Ρ‚ΠΎΠΌΠΈΡ‚ΠΎΠ² β„– 1 ΠΈ 2 ΠΈΠΌΠ΅Π»ΠΈ ΠΌΠ°ΠΊΡΠΈΠΌΠ°Π»ΡŒΠ½Ρ‹Π΅ ΠΊΠΎΠ½Ρ†Π΅Π½Ρ‚Ρ€Π°Ρ†ΠΈΠΈ Π»Π΅Π³ΠΊΠΈΡ… Ρ€Π΅Π΄ΠΊΠΎΠ·Π΅ΠΌΠ΅Π»ΡŒΠ½Ρ‹Ρ… элСмСнтов (Π Π—Π­): Nd (Π΄ΠΎ 247), Ce (Π΄ΠΎ 230), La (Π΄ΠΎ 156 ΠΌΠΊΠ³/Π»). Π₯имичСский состав экстрактов ΠΎΠ±Ρ€Π°Π·Ρ†ΠΎΠ² Π»ΠΈΠ΄ΠΈΡ‚ΠΎΠ² Π·Π°ΠΌΠ΅Ρ‚Π½ΠΎ отличался, ΠΊΠ°ΠΊ ΠΌΠ΅ΠΆΠ΄Ρƒ собой, Ρ‚Π°ΠΊ ΠΈ ΠΎΡ‚ экстрактов Π΄ΠΈΠ°Ρ‚ΠΎΠΌΠΈΡ‚ΠΎΠ². Кислая срСда (рН 4,5-4,6) экстракта ΠΎΠ±Ρ€Π°Π·Ρ†Π° β„– 4 способствовала накоплСнию ряда элСмСнтов: Ni, Sr, Be, Mn, U, Tl, ΠΈ особСнно V, Co, Cu, Zn, Y, Ba. Π’ Ρ‚ΠΎ ΠΆΠ΅ врСмя Π² экстрактС ΠΎΠ±Ρ€Π°Π·Ρ†Π° β„– 5 Π² слабощСлочных условиях (рН 7,4-7,5) наблюдались ΠΌΠ°ΠΊΡΠΈΠΌΠ°Π»ΡŒΠ½Ρ‹Π΅ ΠΊΠΎΠ½Ρ†Π΅Π½Ρ‚Ρ€Π°Ρ†ΠΈΠΈ Mo, W, Zr, Hf. Π’ исслСдованных экстрактах ΠΎΠ±Ρ€Π°Π·Ρ†Π°Ρ… Π΄ΠΈΠ°Ρ‚ΠΎΠΌΠΈΡ‚ΠΎΠ² ΠΈ Π»ΠΈΠ΄ΠΈΡ‚Π° β„– 4 ΠΊΠΎΠ½Ρ†Π΅Π½Ρ‚Ρ€Π°Ρ†ΠΈΠΈ Al, Mn, Fe, Co, Ni, Cu, Zn ΠΏΡ€Π΅Π²Ρ‹ΡˆΠ°Π»ΠΈ значСния ΠΏΡ€Π΅Π΄Π΅Π»ΡŒΠ½ΠΎ допустимых ΠΊΠΎΠ½Ρ†Π΅Π½Ρ‚Ρ€Π°Ρ†ΠΈΠΉ (ΠŸΠ”Πš) рыбохозяйствСнных Π²ΠΎΠ΄ΠΎΠ΅ΠΌΠΎΠ². Π’ΠΎΠ΄Π½Ρ‹Π΅ экстракты ΠΎΠ±Ρ€Π°Π·Ρ†ΠΎΠ² Π΄ΠΈΠ°Ρ‚ΠΎΠΌΠΈΡ‚ΠΎΠ² ΠΏΠΎΠΊΠ°Π·Π°Π»ΠΈ Π·Π½Π°Ρ‡ΠΈΡ‚Π΅Π»ΡŒΠ½ΠΎΠ΅ содСрТаниС элСмСнтов, ΠΊΠΎΡ‚ΠΎΡ€Ρ‹Π΅ ΠΌΠΎΠ³ΡƒΡ‚ ΠΎΠΊΠ°Π·Π°Ρ‚ΡŒ влияниС Π½Π° Ρ„ΠΎΡ€ΠΌΠΈΡ€ΠΎΠ²Π°Π½ΠΈΠ΅ состава ΠΌΠ°Π»ΠΎΠΌΠΈΠ½Π΅Ρ€Π°Π»ΠΈΠ·ΠΎΠ²Π°Π½Π½Ρ‹Ρ… ΠΊΠ°Ρ€Π΅Π»ΡŒΡΠΊΠΈΡ… Π²ΠΎΠ΄. ΠŸΡ€ΠΈ этом содСрТаниС ряда ΠΏΠΎΠ»Π΅Π·Π½Ρ‹Ρ… для развития растСний микроэлСмСнтов (Ca, Mg, К, Π , Cu, Zn, V, Mn, Sr, Y, Zr) ΠΏΡ€Π΅Π΄ΠΏΠΎΠ»Π°Π³Π°Π΅Ρ‚ Π²ΠΎΠ·ΠΌΠΎΠΆΠ½ΠΎΡΡ‚ΡŒ ΠΈΡ… использования ΠΊΠ°ΠΊ «мягких» ΡƒΠ΄ΠΎΠ±Ρ€Π΅Π½ΠΈΠΉ (ΠΈΠ»ΠΈ Π΄ΠΎΠ±Π°Π²ΠΎΠΊ ΠΊ ΠΌΠΈΠ½Π΅Ρ€Π°Π»ΡŒΠ½Ρ‹ΠΌ удобрСниям).The relevance of the research consists in the necessity to obtain reliable information on microelemental composition of aqueous extracts of diatomite and lydite. Currently, diatomites are expected to be widely used in medical, pharmaceutical and food industries, but a detailed study of their composition has not been conducted. The main aim of the research is to investigate the trace element composition of aqueous extracts of several samples of diatomite and lydite using ICP MS analytic method. The objects: three samples of diatomite and two samples of lydite from Karelia (North-West of Russia). Methods: grinding samples of diatomite and lydite infused with deionized water at room conditions. Assays of aqueous extracts of the studied samples were centrifuged and analyzed by ICP MS after 1, 3 and 10 days. Results. The authors present the results of 54 chemical elements identification in water extracts of diatomite and lydite using ICP MS. In all water extracts Mg, Na, Ca, K and Al (up to several thousand Β΅g/l) are the predominant elements. Extracts of diatomite samples have a more homogeneous composition. The most important elements were: P - 650, Fe - 1700 (sample no. 1) and Mn - up to 3300 (sample no. 3) Β΅g/L. Concentrations in the range from 10 to 100 Β΅g/l are typical for a number of elements (Li, B, Ti, Cr, Co, Ni, Cu, Zn, Sr, Y, Zr and Ba) of all diatomite samples. Extracts of diatomite samples no. 1 and 2 had a maximum concentration of light REE: Nd (up to 247 Β΅g/l), Ce (up to 230 Β΅g/l), La (up to 156 Β΅g/l). Chemical composition of extracts of lydite was differed markedly, both among themselves and from diatomites. Acidic medium (pH 4,5-4,6) of an aqueous extract of the sample lydite no. 4 contributed to accumulation of a number of elements Sr, Mn, U and, especially, Be, Fe, Co, Ni, Cu, Zn, Y, Ba, Tl. At the same time, maximum concentrations of V, Mo, W, Zr, Hf were observed in the extract of sample no. 5 under slightly alkaline conditions (pH 7,4-7,5). We noted an excess of permissible limits of fishery water bodies for Al and Mn in all samples. The excess of the Β«normalΒ» maximum permissible concentrations have also shown the transition elements (Fe, Co, Ni, Cu, Zn) in extracts of diatomite and sample lydite no. 4, as well as V and Mo in the sample lydite no. 5. The study of aqueous extracts of diatomite and lydites showed that diatomite and lydites under certain conditions can have a significant impact on composition of low-mineralized waters in the territory of Karelia. At the same time, the presence of useful elements for the plant growth (Mg, Ca, K, Cu, Zn, V, Mn, Sr, Y, Zr) gives the possibility of their use as a Β«softΒ» fertilizers (or additives to mineral fertilizers)
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