Аbstract. The current regulatory framework of the Ministry of Health and the Ministry of Defense of the Russian Federation on the regulation of the provision of medical assistance to military personnel affected by the infection caused by the SARS-CoV-2 coronavirus is considered. The state of the problem of information support for the provision of medical care to military personnel of this category is assessed. The developed methodology and the draft regulatory document for organizing the collection of medical information in the register of military personnel affected by the infection caused by the SARS-CoV-2 coronavirus are presented, and a regulation on this register is developed. The content, scope and algorithm of creating an information-analytical system for registering this pathology among military personnel, as well as the need to introduce new medical document management technologies into the medical service of the Armed Forces of Russia based on personified records of military personnel and the medical and psychological assistance provided to them, are substantiated. It is shown that for the smooth functioning of the register within the framework of a justified list of tasks, the presence of high-speed secure communication channels between the participating military units, institutions and medical service management bodies will be required. Consequently, the improvement of the information support system for managing the medical support of troops in peacetime and wartime is an important component of increasing the effectiveness of managing medical support for military.
AIM: The mission is to assess possible psychosomatic disorders (in particular, stress as a nervous breakdown, an acute temporal phase of a specific disorder, which is manifested primarily by signs of depression and neurosis) in young patients who have had COVID-19, in the course of rehabilitation, to improve medical and psychological support after their discharge from the hospital. MATERIALS AND METHODS: 60 convalescents who have had COVID-19 and had practically been healthy before (men aged 19.87 1.64 years) were examined. The main clinical variants and manifestations of COVID-19 in our study were inapparent infection (II) in 19 cases (31.67%), acute respiratory viral infection (ARVI) in 21 cases (35.0%), pneumonia without respiratory failure (P) in 20 cases (33.33%). These are clinical variants and manifestations of mild-to-moderate of COVID-19 severity. The diagnosis of all clinical variants and manifestations of COVID-19, the patients examination, treatment and discharge from the hospital were carried out in accordance with regulatory documents. The patients were examined 68 month after discharge from the hospital. Psychometric examination of these individuals to separate their clinical manifestations of distress and somatization and manifestations of depression and anxiety was carried out according to the questionnaire The Four-Dimensional Symptom Questionnaire, 4DSQ), developed in 1996 by the Dutch specialists B. Terluin. This questionnaire was translation into Russian and adapted by A.B. Smulevich et al. [2014]. Voluntary informed consent was obtained from each of the patients before their participating the study. RESULTS: Indicators of distress, anxiety, somatization after all the clinical variants and manifestations of COVID-19 have a moderately increased level, which indicates a serious illness that has been suffered, in some cases with an unfavorable outcome. The strongly increased level of depression in our study is probably due to the presence of astheno-neurotic syndrome due to the previous COVID-19 disease. The data on the correlation between the scales of methods indicate the direction of possible psychoprophylactic work with convalescents. CONCLUSIONS: The results of the study showed that young patients without concomitant diseases who have had COVID-19, even with a mild and low-symptom course, may develop psychosomatic consequences such as distress, anxiety, somatization and some others. The reasons, duration, potential risk factors for their development require further study, however, timely developed preventive and therapeutic and diagnostic measures, taking into account the individual characteristics of the patient, can have a positive effect.
Currently, both in our country and around the world, there is an epidemic of coronavirus infection COVID-19. A list of its main forms of syndromes and complications is known. Against this background, people who have undergone COVID-19 may develop a mental burnout syndrome, which at its core has a manifested growing emotional exhaustion, due, first of all, to the tension of the workload among the representatives of the human-to-human profession. Features of mental burnout were studied in 62 convalescents 90 days after discharge from the hospital. A feature of the study is the fact that it is almost impossible to select a control group for the disease under study. Therefore, psychological indicators were compared between different clinical forms of COVID-19. There were no statistically significant differences between the indices of the subscales of the Burnout Syndrome Questionnaire in different forms of COVID-19. Psycho-emotional exhaustion in all convalescents is weakly expressed, personal distance is not expressed, professional motivation is high in 100% of cases. Moreover, in patients with pneumonia caused by COVID-19, this figure was 90%. At the same time, the index of mental burnout in survivors of COVID-19 has an average value. In a number of cases, emotional exhaustion was revealed, which was combined with physical overwork; however, it did not significantly affect the indicators of mental burnout, which indicates adequate medical and psychological support of patients in the course of treatment.
More than 1,7 million people, 770 thousand people from HIV infection, died from tuberculosis worldwide in 2018. In accordance with the United Nations Sustainable Development Goals and the World Health Organization’s strategy to fight tuberculosis, all countries need to reduce the incidence of tuberculosis by 80% and reduce the death rate from tuberculosis by 90% by 2030. According to the Joint United Nations programme on HIV/AIDS (UNAIDS) goals of «90–90–90», countries should achieve the following indicators by 2020: «90% of people living with HIV infection should know their HIV status; 90% of those who know about their HIV infection should receive treatment, and 90% of those who are being treated should not have their viral load determined». Socially significant diseases are a serious problem for the Russian Federation (RF). The RF is one of 30 countries with a high incidence of tuberculosis and ranks 3rd place in multidrug-resistant tuberculosis and 6th place in the prevalence of HIV infection. Socially significant diseases present a serious problem for the Armed Forces of the RF. 150 new cases of tuberculosis, over 50 cases of HIV infection are diagnosed every year among military personnel of the RF Armed Forces.The purpose of the study is to analyze the current epidemiological situation of tuberculosis and HIV infection in the armed forces of the Russian Federation and foreign armies, to generalize domestic and foreign experience in the organization of medical care for military personnel with these diseases.Data from reports of the medical service and a review of domestic Russian and foreign medical literature allowed us to assess TB and HIV sickness rate among military personnel in the RF and foreign states, as well as to characterize the current system of medical care for this category of patients.
OBJECTIVES: To study the interrelationships of decision-making style as a reflection of individual differences in coping with uncertainty and emotional creativity as a factor of self-realization in young people who have had COVID-19.MATERIALS AND METHODS: We examined 100 convalescents aged 18.2±2.25 years, including 50 men (Group M) and 50 women (Group G) (the age difference between the groups is not significant). The main transferred clinical forms of COVID-19 were the inapparent form — 42.0% (group M — 32 people, group G — 10 people), acute respiratory viral infection — 56.0% (group M — 17 people, group G — 39 people) according to the Russian versions of the Melbourne Decision Making Questionnaire (MDMQ) and the Emotional Creativity Inventory (ECI).RESULTS AND DISCUSSION: In both groups of examined individuals after suffering COVID-19 in all clinical forms of the disease, the «vigilance” strategy, considered as productive, is of the greatest importance in the decision- making process; unproductive strategies are not expressed, which is important for the subsequent medical and psychological support of convalescents. It is noted that the interaction between the factors of emotional creativity is expressed not only in an increase in creativity when high values coincide on two or more faces, but also in the fact that low values of one component can be compensated by high values of another.CONCLUSION: The data obtained are important for conducting medical and psychological support for convalescents and for preventing the formation of professional burnout, and for quick adaptation to various life situations, and for motivation to prevent the occurrence of changes in functional states after suffering COVID-19.
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