Introduction. The new coronavirus infection continues to be an urgent health problem worldwide. At the moment, the consequences of the transferred COVID-19 need to be studied.Objective. To study the clinical features, the severity of lung damage in patients with different body weights, 12 weeks after a new coronavirus infection with lung damage.Materials and methods. The prospective study included 52 patients (28 women, 24 men, aged 63.4 ± 13.3 years [30–84 years], hospitalized in the therapeutic department of the Sechenov University UKB No. 1 3 months after COVID-19 with lung damage > 50%. The need for respiratory support, the degree of lung tissue damage were assessed according to high-resolution computed tomography (HRCT), the results of spirometry with DLCO, data from a 6-minute walking test (6MWT). The analysis of the indicators was carried out taking into account the body mass index (BMI), which was used as a criterion for determining overweight and obesity.Results. In obese patients, 12 weeks after the disease, shortness of breath and cough were more common. It was revealed that a high BMI significantly affected the diffusion capacity of the lungs in patients after COVID-associated pneumonia, the preservation of pathological patterns according to the results of HRCT. Conclusions. Obesity is not only a risk factor for the severe course of COVID–19, but also in many ways the reason determining the long-term rehabilitation of patients after infection.
The research focuses on correlation between the parameters of life position and temporal characteristics of personality of female university students. The study is based on the following psychodiagnostic methodologies: “Questionnaire of the life position of a person (LPP)” (D.A. Leontiev, A.E. Shilmanskaya), “Temporal modalities of life fulfillment” (E.V. Bredun, E.A. Shcheglova, E.V. Smeshko, T.A. Shmer). The research evaluated the level of development of harmony, awareness (reflectivity) and activeness of the life position as well as temporal components of life (emotional fixation on events, rationalization of life fulfilment periods, and balance of modal assessments). The reliability of the correlation between the obtained results was estimated according to the Pearson – C and Chuprov – P mutual conjugacy coefficient (p≤0.05). The tested group have shown mostly high and average indicators of awareness and activity combined with a low level of harmony. The results of the study of subjective attitude to time demonstrated the ability of the tested students to integrate the past, the present and the future into a continuous succession, and structure the present focusing on the future and using the experience of the past. Statistics proved the authentic correlation between the parameters of harmony and awareness of young female students and their emotional fixation on events, as well as correlation between harmony and balance of modal assessments. The synthesis of low harmony and high awareness defines engagement into the present, intense activity aimed at its organization and structuring, taking into consideration their visualization of the future. In the case of a constructive variant of personality strategies, it is a resource for the living space transformation; in the case of destructive strategies, it is a psychological indicator of a risk and barriers to authentic self–realization and life transformation.
The article introduces a theoretical and empirical analysis of the phenomenon of life stance. It reviews domestic and foreign theories on essence, structure, and genesis of attitudes, as well as systematizes the objective and subjective determinants of the life stance vector. The author revealed a correlation between the structural components of life position (harmony, awareness, activity) in university students: indicators of harmony decreased as activity and awareness of life processes increased. The empirical study also established statistically significant connections between the parameters of the life position and psychological boundaries, Selfconcept, cognitive personal constructs, and metacognitive processes. Self-efficacy, uncertainty tolerance, and analyticity-holism in the perception and comprehension of reality proved especially important, as did the intersubjective aspects of Self-constructs. The vector of personal and life transformations appeared to be determined by tolerance to uncertainty, interpersonal tolerance, a sense of low self-efficacy, dependence on family and friends, priority of interactionism and contextual explanation of ongoing processes, imbalance and suboptimality of psychological boundaries, limited contacts, etc.
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