Due to the difficult working conditions, the lack of effective treatment methods, and the high mortality rate, the work of doctors with a new coronavirus infection significantly affects their mental and emotional state.Objective. To study the features of the psychoemotional state of doctors, providing medical care in the context of a pandemic of a new coronavirus infection in Smolensk.Material and methods. A questionnaire was developed to study the psychoemotional state of health professionals. 110 doctors working with COVID-19 patients were interviewed at the bases of the Smolensk Regional Emergency Hospital, the Clinical Emergency Hospital, and the Clinical Hospital No. 1 in Smolensk. The results of the responses were statistically analyzed and revised.Results. There was an increased level of anxiety (average score 8.427) and depression (average score 7.518). 26.4% of the respondents were found to have a gross sleep disorder. 76.4% of doctors indicated a deterioration in their condition since starting work with COVID-19 patients. For the majority of medical professionals, the main factors that help to maintain normal psychoemotional state are the support of relatives and colleagues (93.6%) and the provision of PPE (74.5%).Conclusions. According to the results of the study, increased anxiety, depression and deterioration of the general condition of doctors working in «red zones» were found. An extremely low organization and availability of psychological support for doctors struggling with a new coronavirus infection was revealed.
Numerous works of domestic and foreign colleagues have proved that obesity is an independent risk factor for severe COVID-19 among patients of all age groups. Of particular interest is the study of the effect of overweight on the course of a new coronavirus infection in children and adolescents.Objective. Demonstration of a clinical case of fatal outcome of COVID-19 in a patient with morbid obesity; analysis and generalization of current data on the effect of obesity on the course of a new coronavirus infection in pediatric patients.The article presents a general understanding of the pathogenetic relationship between the two pathologies, as well as a case of a fatal outcome of a new coronavirus infection in a 9-year-old 4-month-old girl with morbid obesity (BMI — 39 kg/m2, SDS BMI +4.98σ). Emphasis is placed on the lack of parallelism between the results of the procalcitonin test and the development of the septic process.Conclusion. Studies of domestic and foreign colleagues, as well as the clinical case we have cited, confirm that morbid obesity is a risk factor for the adverse course of COVID-19 in children.
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