I. Olovyanishnikova
V. Groysman
A. Zhuikov
V. Miklyukova
A. Chigrichenko |
PRELEVANCE OF ENDOCRINE DISEASES AMONG MEDICAL STAFF
(RESULTS OF AN ADDITIONAL MEDICAL EXAMINATION) |
| Endocrinology department, Municipal Clinical Hospital
#1, Togliatti, Russia |
Over recent years the growth of the population with endocrine diseases has become
the concern not only of the people who have to deal with these diseases, but
also the organs of public health care service. And the reason for that is the
growing number of early disability oncet among the population. In 2006 year
the Ministry of Public Health and Social Development of the Russian Federation
issued the order “Of the additional medical examination procedure and
volume for people working in public and municipal institutions, in educational
system, health care services, social security services, culture, physical culture
and sport, and research institutions”. According to the above-named order
the examination by an endocrinologist is obligatory for everyone who undergoes
prophylactic medical examination. The aim of the research is to detect and to
estimate endocrine pathology among the employees of the hospital. 485 employees
were examined in year 2006: 101 of them were men (in the average age of 49)
and 374 – were women (in the average age of 45), the average period of
work at a hospital was about 10 years. Among the examined only 50 employees
(9,8%) comprised the group of (nearly) healthy people (their average age was
29 and the average period of work at a hospital was about 4 years) and 29 employees
(4,2%) entered a risk group in a premonitory phase. The rest of the employees
– 406 people (86,0%) made the groups of people requiring an additional
examination in order to start an outpatient and/or in-patient treatment and
who need sanatorium-and-spa rehabilitation. In 145 cases the following endocrine
disorders were revealed: obesity, pathology of the thyroid gland, diabetes mellitus
and adrenal gland disease. Among them prevail: obesity – 201 people (body
build index over 29,9), excess weight (body build index over 24,9) – 136
people. Diabetes melitus II was revealed in 16 cases, in five cases the
disease was detected for the first time. Diabetes mellitus I was revealed
in 3 cases, carbohydrates tolerance disorder – in 18 cases. Chronic adrenal
gland incompetence was revealed in 1 case, thyroid gland diseases such as diffusive
nontoxic goiter was found in 56 cases, nodular and multinodular nontoxic goiter
– in 16 cases, thyrotoxicosis – in 8 cases, postoperative thyroiditis
– in 10 cases. Among the other pathologies (inter)vertebral osteochondrosis
(376 cases) and arterial hypertension (258 cases) were most commonly revealed
among the employees. The results of the additional medical examination were
as follows: 38 people gave up smoking, the majority of employees placed higher
emphasis on weight loss and blood pressure control, the number of visits to
narrow branch specialists (endocrinology, cardiology and neurology) in order
to correct opportune remedies increased. The majority of employees engaged in
sports, the hospital administration set up the remedial gymnastics hall. The
subsequent examination in 2007 witnessed weight reduction in 38 cases which
resulted in improvement and normalization of arterial pressure index, cholesterol
and glucose rates. In 25 cases the normalization of thyroid gland volume was
registered as the effect of continuous twelve months’ micro iodine treatment.
The redetected endocrine pathology morbid events amounted to 3 (diabetes mellitus
II).
