Features of the profile of the professional crisis of medical workers with professional deformities in the context of the COVID-19 pandemic

Introduction. The specifics of the professional activity of medical workers in the context of the COVID-19 pandemic, in the presence of stressful factors of production situations, negatively affects the professional profile of specialists and leads to the opportunity of a professional crisis. Purpose. To identify the features of the profile of the professional crisis of medical workers with professional deformities in the context of the COVID-19 pandemic. Materials and methods. The study conducted on 816 medical workers with occupational deformities included questionnaires on the personality profile of the crisis by A.E. Taras and on burnout by C. Maslach & S. Jackson, K. Pearson's correlation criterion, descriptive statistics and Chaddock's table to reveal the tightness of correlation processes. Results. The main features of the profile of the professional crisis of medical workers with deformities in the professional field include a high level of functional disorders of cardiac activity and the activity of the gastrointestinal tract;functional disorders of breathing, autonomic system, thinking, sleep;symptoms of anxiety and increased emotionality;attempts to escape from problems, and depressive mood coloring. Limitations. When studying the characteristics of the profile of the professional crisis, a psychodiagnostic study was conducted using the author's methods on a sample of 816 voluntarily participating medical workers with professional deformities in the context of the COVID-19 pandemic, which is a sufficient reference sample. Conclusion. In the context of the COVID-19 pandemic, the grading of deformations in the professional field of medical workers will contribute to: normalization of the activity of the autonomic, respiratory and cardiovascular systems, and the gastrointestinal tract;harmonization of the sleep-wake cycle;reduction of depression, attempts to escape from problems, tension, complications of thinking, anxiety. © POLYAKOVA O.B., BONKALO T.I., 2022.

Semantic Regulation of mental states of the individuals during the SARS-COV-2 Pandemic

The first ever case of Corona Virus Pneumonia was reported on 8th December 2019 in Hubei Province of Wuhan China. The virus was believed to be transferred from seafood market and subsequently the causative agent was identified as SARS-COV-2. In this study, we conducted a study aimed at identifying the nature and characteristics of the influence of the cognitive assessment of the situation associated with the SARS-COV-2 pandemic, its semantic perception on the mental states of people of working age.The main semantic education of a person during the SARS-COV-2 pandemic is situational semantic attitudes-the primary ways of responding to signs of situational uncertainty, which carry out actual management of mental states, exerting a stabilizing or conversely destabilizing effect on them. Situational semantic attitudes of the personality play an indirect role in the interaction of the situation and mental states. It is not the situation itself that becomes the source of the emergence and development of certain mental states, but those situational semantic attitudes that, as a result of conscious and unconscious thought processes, enhance or weaken the signs of uncertainty of the situation that has arisen and determines the selective control of the mental activity of the individual. When organizing psychological assistance to the population during periods of pandemics, it is necessary to take into account the results of the study, which may affect the development of targeted programs for the formation of an adequate perception of the situation that has arisen and the development of conscious mechanisms for self-regulation of mental states.Copyright © RJPT. All right reserved.

Clinical and anamnestic characteristics of acute coronary syndrome after suffering COVID-19

Background. COVID-19 increases the risk of developing thromboembolic complications, including acute myocardial infarction, in the acute period of the disease. The long-term consequences of COVID-19 are poorly understood. At the same time, the available data on an increased risk of acute coronary syndrome after infectious diseases allow us to make an assumption about a similar risk in COVID-19. The aim of the study was to study the anamnestic and laboratory diagnostic data in patients with acute coronary syndrome after COVID-19. Methods. The study included 185 patients with acute coronary syndrome who were admitted to the State Clinical Hospital No. 13 in Moscow in the period from May to December 2020. 2 groups were identified: group 1 - 109 patients with ACS who had previously suffered COVID-19, group 2 - 76 patients with ACS without COVID-19 in the past. The patients were collected anamnesis, including: the fact of smoking and alcohol consumption, heredity, previous diseases, including diabetes mellitus, acute myocardial infarction, previously performed PCI. Information about the COVID-19 infection has been collected (the duration of the disease, the course of the disease). A clinical and laboratory examination was conducted, including the determination of body mass index (BMI), examination for antibodies to COVID-19, determination of the lipid profile level (total cholesterol, LDL, HDL, triglycerides), blood glucose level, C-RB. The analysis was performed on automatic biochemical analyzers Hitachi-902, 912 (Roche Diagnostics, Japan). All patients underwent coronary angiography. Results. In patients with ACS with previously transferred COVID-19, the development of the disease occurred at a younger age compared to patients without transferred COVID-19. Among the patients with COVID-19, body weight was significantly lower, there were fewer smokers, concomitant type 2 diabetes mellitus and transferred ONMC were less common. In laboratory parameters, lower triglyceride levels were observed in patients with ACS with COVID-19 compared with those of patients without COVID-19. In the laboratory parameters of blood clotting in patients with ACS with COVID-19, higher APTT, thrombin time, fibrinogen level, D-dimer were noted. The indicated laboratory parameters in the groups had statistically significant differences. In ACS patients with a previous COVID-19, compared with patients without COVID-19, the lesion of 2 or more coronary vessels was more common in the anamnesis. Conclusion. According to the results of our study, it was revealed that multivessel coronary artery damage in patients after COVID-19 in comparison with patients without COVID-19 develops significantly more often, while these patients are significantly less likely to have DM and previously suffered ONMC, the level of TG is significantly lower.

[RESEARCH OF SCIENTIFIC INTEREST TO THE CHLOROQUINE USE IN CLINICAL MEDICINE IN THE BASIS OF BIBLIOMETRIC ANALYSIS].

Interest in chloroquine, and its analog with a more favorable safety profile - hydroxychloroquine, in 2020 is certainly associated with the outbreak of a new coronavirus infection, SARS-CoV-2. The high pathogenicity and lack of specific immunity in the population caused the rapid spread of infection with an extraordinary increase in the burden on the health systems of many countries. In such conditions, it was necessary to quickly find and implement effective methods of treatment and prevention. One of the most promising candidates for this role was hydroxychloroquine, as a multi-purpose drug with a well-studied safety profile and a rich history of use. The article describes some historical stages of the study of chloroquine and its derivatives starting from the 19th century and ending in 2020. The experience of its use for the treatment of diseases such as malaria, rheumatoid arthritis, diabetes, bronchial asthma, photosensitivity and skin porphyria was reviewed. Separately, some historical aspects of its use for the treatment of viral and oncological diseases were considered. The bibliometric method used in this scientific work clearly demonstrates the dynamics of the changing interest of the scientific community in chloroquine and its derivatives. Chloroquine and its derivatives can definitely be attributed to «pharmaceutical centenarians¼ with an intense life that continues.

[ORGANIZATION OF MEDICAL REHABILITATION OF PATIENTS WITH COVID-19 IN THE POST-HOSPITAL PERIOD].

The COVID-19 pandemic poses new challenges for the health sector, related to the organization of medical rehabilitation of patients with COVID-19. Special attention is required for patients after artificial ventilation, who have a high risk of developing physical, mental and cognitive disorders. There are acute post-ovoid syndrome lasting more than 3 weeks and chronic-lasting more than 12 weeks after discharge from the hospital. The most common symptoms are: shortness of breath, fatigue, anosmia, ageusia, myalgia, feeling of fever, tightness in the chest, tachycardia, headaches, anxiety, memory loss, sleep disorders, difficulty concentrating. The article presents the stages of rehabilitation of patients with COVID-19. Dynamic monitoring, measures for the prevention of complications, organization and methods of rehabilitation, including physiotherapy procedures and physical therapy, are considered.

Semantic Regulation of Mental States of The Individual During the Covid-19 Pandemic

In 2020, all of humanity is faced with a real threat of the spread of a new and dangerous coronavirus infection COVID-19. The COVID-19 pandemic has become a serious stress factor that determines the emergence and development of negative mental states - states of anxiety, fear, emptiness, depression - that disrupt the mental health of an individual. Purpose of the study: to analyze the nature and characteristics of the impact of the cognitive assessment of the situation associated with the COVID-19 pandemic on the mental states of people of working age. The study was conducted in an online format. The online survey included 384 respondents aged 30 to 61 years. The mental states of the respondents were studied, as well as their situational semantic attitudes, formed as a result of the semantic perception of the situation caused by the COVID-19 pandemic. Were used: a test of neuropsychic tension and a clinical test to identify and assess neurotic states, the method of free association and the method of scaling were used. The processing of empirical data was carried out using cluster analysis, percentage distribution, calculation of the Spearman correlation coefficient. Results: During the study, four groups of situational semantic attitudes were identified, each of which includes five types of semantic perception of the essence and nature of COVID-19, restrictive measures taken to prevent the spread of infection, cognitive assessment of oneself in a pandemic situation and one's future ... Close relationships have been identified between the mental states of an individual and the peculiarities of her semantic perception of the situation associated with the COVID-19 pandemic. The study confirmed that during the COVID-19 pandemic, the mental states of people of working age are characterized by increased neuropsychic tension, anxiety, anxiety, frustration, irritability. However, it was not the situation itself that became the primary source of the deterioration in the psychological well-being of the individual, but situational attitudes that are formed on the basis of her cognitive assessment and semantic perception.

Compliance of the expert with the self-isolation in the situation of the COVID-19 pandemic as a factor of the psychological well-being

Introduction. Experts in many occupations are to carry out their occupational activities in unusual conditions. And in particular, in a remote mode, which can be a factor that reduces the level of psychological well-being of the individual if there is no compliance with the situation of self-isolation. The purpose of the study is to study the teachers' compliance with the situation of self-isolation during the COVID-19 pandemic. The tasks of the study include the detection of the grade of the compliance with the situation of self-isolation during the pandemic, the analysis of the level of compliance with the situation of selfisolation during the pandemic as a factor of psychological well-being of teachers. Material and methods. We surveyed 124 teachers (between 23 to 67 years). The respondents' answers are represented on three scales: Understanding the situation of self-isolation', 'Understanding of oneself in the situation of isolation, 'Understanding the characteristics of the interactions and communication in the situation of isolation'. Results. Most respondents agree with the need for self-isolation and consider it to be a practical approach to prevent the incidence of COVID-19. The most pronounced responses are the ones on improving occupational and cultural levels. Most of the respondents note a high level of understanding of the value of relationships. Discussion. In particular, the problem of insufficiently high level of self-understanding in the situation of selfisolation, along with the acknowledgement of the need to comply with it, to be revealed. In this regard, it is advisable to provide psychological assistance in the form of information support for the population. Conclusion. That the better the respondents understand the need for self-isolation, the more effective the process of communication and interaction with others is, and, consequently, the less damage is caused to the level of psychological well-being of the individual. Due to the established lack of understanding of oneself in the situation of self-isolation, the following can be considered practical areas of informational psychological support: Critical attitude to information that appears in various sources;building positive relationships within the family;managing work at home to ensure good performance;preserving the ability to return to the usual mode of life after the period of self-isolation. © 2020 Izdatel'stvo Meditsina. All rights reserved.

Semantic regulation of anxiety expectations during the COVID-19 pandemic: Conspiracy trends

Introduction. The COVID-19 pandemic is associated with the spread of conspiracy theories, which are heterogeneous in terms of the structure of their views. The hypothesis is that the substrate for the spread of conspiracy trend is an increased level of anxiety, reduced due to the paralogical (conspiracy) interpretation of events. The purpose of this research was to study the prevalence of conspiracy trends during the preparation for the COVID-19 pandemic in Moscow (before the introduction of strict restrictive measures). Methods: 320 people, randomly selected from the general population, were asked if they agree or disagree with 9 statements regarding the conspiracy interpretation of events, compared with the level of anxiety/depression (using the HADS scale). There are 3 trends (COVID-conspiracy, COVID-skepticism, COVID-obscurantism). Results: 45.7% of respondents were ready to agree with one or the other conspiracy idea. I The level of anxiety in all adherents of conspiracy theory was found to be higher than in the rest of the sample. Differences in sociodemographic characteristics of adherents of different conspiracy tendencies are revealed. Among COVID skeptics, there are significantly fewer students and pensioners, and among COVID conspiracy theorists, the level of education received is lower, with unstable labor and family status. Discussion. Conspiracy trends were universal for all social groups in the background of increased anxiety among the population of Moscow in preparation for the COVID-19 pandemic. It is suggested that the mechanism for the development of conspiracy tendencies may be the process of rationalization of an increased level of anxiety as a protective response during a crisis. © 2020 Izdatel'stvo Meditsina. All rights reserved.