scholarly journals Features of the psychoemotional state of doctors providing medical care in the context of the COVID-19 pandemic

2021 ◽  
Vol 99 (2) ◽  
pp. 103-107
Author(s):  
A. A. Litvinova ◽  
A. V. Kravtsiva ◽  
A. V. Asmolovsky ◽  
S. V. Shamatkova
Keyword(s):  
Medical Care ◽  
Working Conditions ◽  
Emotional State ◽  
Average Score ◽  
Emergency Hospital ◽  
Psychoemotional State ◽  
Coronavirus Infection ◽  
Main Factors ◽  
Anxiety Depression ◽  
Clinical Emergency

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.

scholarly journals Quality assessment of medical care according to data of annual reports (as exemplified by Urology Department of Municipal Non-profit Enterprise "Lviv Clinical Emergency Hospital")

2021 ◽  
Vol 27 (1-2) ◽  
pp. 83-100
Author(s):  
A.B. Zimenkovsky ◽  
◽  
T.G. Gutor ◽  
O.M. Lesniak ◽  
◽  
...  
Keyword(s):  
Medical Care ◽  
Surgical Complications ◽  
Care Quality ◽  
Annual Reports ◽  
Absolute Increase ◽  
Non Profit ◽  
Emergency Hospital ◽  
Post Surgery ◽  
Positive Tendency ◽  
Clinical Emergency

Aim. The medical care quality remains one of the most pressing issues of the health care system, especially at the stage of reforming of the medical sector. Medical-statistical information comprising reporting forms is the basis for analyzing the status of medical care quality and incorporating management decisions to improve it. Material and Methods. The study was performed by the means of analysis of the annual reports of the Urology Department of Municipal Non-profit Enterprise "Lviv Clinical Emergency Hospital" over a ten-year period: from 2010 to 2019. Statistical analysis included the analysis of average and relative values, as well as the calculation of indicators of the dynamic range: growth rate and absolute increase. Results and Discussion. Analysis of the use of bed stock of the Urology Department of MNELCEH during 2010-2019 showed that the average quantity of inpatient days is 251.12-340.18 days per year. Inpatient turnover was in the range of 30.28-36.55 patients per year. The indicator of surgical activity increased by 5.4 percentage points (from 33.0% in 2010 to 38.4% in 2019). There was also a positive tendency of decrease of the duration of post-surgery stay of patients at the inpatient department of the Urology Department (from 9.25 in 2010 to 8.55 in 2019). During the study period of 2010-2019, the ratio of post-surgical complications remained relatively stable and did not exceed 5.1% (the indicator is in the range of 4.38% -5.09%). The analysis of the total mortality among all treated patients was in the range of 0.06%-0.65%. Conclusion. The indicators analyzed in the annual reports make it possible to identify the main problematic issues in the work of the department. In order to provide professional specialized care, quality and rational use of property and human resources, algorithms should be developed to increase treatment of patients with malignant tumors and urolithiasis at the department, as in recent years we could observe an outflow of patients with these diagnoses to other healthcare establishments. There is a need for individual analysis of the causes of post-surgical complications and mortality. These issues can be resolved by introducing clinical audit into the work of the department

scholarly journals Risk-Based Causal Model of Risk Factors for Infection among Medical Personnel Involved in the Care Of Patients with the New COVID-19 Coronavirus Infection

2021 ◽  
pp. 65-68
Author(s):  
E.A. Annenkova ◽  
◽  
O.A. Tikhonova ◽  
A.P. Biryukov ◽  
L.I. Baranov ◽  
...  
Keyword(s):  
Infectious Disease ◽  
Risk Factors ◽  
Medical Care ◽  
Working Conditions ◽  
Causal Model ◽  
Objective Assessment ◽  
Significant Risk ◽  
Medical Personnel ◽  
Infectious Disease Department ◽  
Coronavirus Infection

The aim of the study is to develop and apply a mathematical model for assessing the risks of contamination of medical personnel involved in providing medical care to patients with COVID-19 in a "red zone" environment. Materials and methods. Based on the analysis of informative signs and information on working conditions in the infectious disease department of the A.I. Burnazyan Federal Medical Biophysical Center of the Federal Medical and Biological Agency of Russia, a decision-making support system was developed to provide an objective assessment of the risks of infection for medical personnel when providing medical care in the "red zone". Results of the study and their analysis. The influence of various risk factors for infection of medical personnel involved in the provision of medical care to patients with new coronavirus infection COVID-19 was analyzed; the most significant risk factors were identified.

Labor of medical workers: paid in equity

2020 ◽  
pp. 63-73
Author(s):  
Viktor Lebedev ◽  
Elena Lebedeva
Keyword(s):  
Comparative Analysis ◽  
Law Enforcement ◽  
Medical Care ◽  
Working Conditions ◽  
Legal Regulation ◽  
Important Work ◽  
Additional Payments ◽  
Coronavirus Infection ◽  
Special Working ◽  
Incentive Payments

The issues of legal regulation of incentive payments to medical and other personnel in the context of the spread of new covid-19 coronavirus infection are considered. Done comparative analysis of the RF Government decree No. 415 of April 2, 2020, which established additional incentive payments for special working conditions and additional workload for medical workers who provide medical care to citizens who have a new coronavirus infection and those at risk of Contracting a new coronavirus infection, as well as RF Government decree No. 484 of April 12, 2020, which established additional payments to specialists who work directly with patients for the period from April to June 2020, infected COVID-19 for performing particularly important work. The issues of using the term “actually worked time” in law enforcement practice are considered.

The War of Legs

Transfers ◽  
2015 ◽  
Vol 5 (2) ◽  
pp. 102-120
Author(s):  
Michael Pesek
Keyword(s):  
World War I ◽  
Medical Care ◽  
East Africa ◽  
Transport Infrastructure ◽  
World War ◽  
East African ◽  
Colonial State ◽  
History Of ◽  
Main Factors ◽  
Belgian Congo

This article describes the little-known history of military labor and transport during the East African campaign of World War I. Based on sources from German, Belgian, and British archives and publications, it considers the issue of military transport and supply in the thick of war. Traditional histories of World War I tend to be those of battles, but what follows is a history of roads and footpaths. More than a million Africans served as porters for the troops. Many paid with their lives. The organization of military labor was a huge task for the colonial and military bureaucracies for which they were hardly prepared. However, the need to organize military transport eventually initiated a process of modernization of the colonial state in the Belgian Congo and British East Africa. This process was not without backlash or failure. The Germans lost their well-developed military transport infrastructure during the Allied offensive of 1916. The British and Belgians went to war with the question of transport unresolved. They were unable to recruit enough Africans for military labor, a situation made worse by failures in the supplies by porters of food and medical care. One of the main factors that contributed to the success of German forces was the Allies' failure in the “war of legs.”

Recommendations of the Ministry of Health of the Russian Federation on the formation of a temporary staff table of a medical organization providing medical care to citizens with coronavirus infection COVID-19

2020 ◽  
pp. 5-12
Author(s):  
Olga Shinkareva
Keyword(s):  
Medical Care ◽  
Russian Federation ◽  
Medical Organization ◽  
Ministry Of Health ◽  
Organization Of Work ◽  
Coronavirus Infection ◽  
The Russian Federation

Article is devoted to the analysis of the Order of the Russian Ministry of Health of 19.03.2020 № 198n (an edition of 29.04.2020) “About a temporary order of the organization of work of the medical organizations for implementation of measures for prevention and reduction of risk of spread of a new koronavirusny infection of COVID19” regarding formation of the temporary staff list of the division of the medical organization providing medical care to citizens with a koronavirusny infection of COVID-19 and also the requirement with the staff of this division. The criteria recommended by the Ministry of Health of the Russian Federation for determining the number of rates of medical workers in these divisions, requirements for medical workers of the division have been considered, a practical example of calculation of rates has been given.

scholarly journals Associations of emotional state and quality of life with lipid concentration, duration of the disease, and the way of treating the disease in persons with type 2 diabetes mellitus

Medicina ◽  
2009 ◽  
Vol 45 (2) ◽  
pp. 85 ◽  
Author(s):  
Lina Lašaitė ◽  
Jūratė Lašienė ◽  
Gintautas Kazanavičius ◽  
Antanas Goštautas
Keyword(s):  
Quality Of Life ◽  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Emotional State ◽  
Lipid Concentration ◽  
Males And Females ◽  
Anxiety Depression

The aim of the study was to evaluate associations of emotional state and quality of life with lipid concentration, duration of the disease, and the way of treating the disease in males and females with type 2 diabetes mellitus. A total of 53 persons with type 2 diabetes mellitus (27 males and 26 females; mean age, 58.7±8.9 years) and 56 healthy persons (26 males and 30 females; mean age, 54.7±8.3 years) participated in the study. Emotional state was evaluated by means of Profile of Mood State and quality of life by means of WHO Brief Quality of Life Questionnaire. Emotional state and quality of life were significantly worse, tension-anxiety and fatigue-inertia were significantly higher, vigor-activity was significantly lower in male patients with type 2 diabetes mellitus than in healthy males. In females, no significant differences in emotional state and quality of life comparing type 2 diabetes mellitus group and controls were detected. In females with type 2 diabetes mellitus, emotional state and quality of life were significantly better, scores of tension-anxiety, depression dejection, anger-hostility, and fatigue-inertia were significantly lower, and score of vigor-activity was significantly higher than in males with type 2 diabetes mellitus. Some significant correlations were found. In males, vigor-activity correlated with total cholesterol level and negatively correlated with triglyceride level. In females, significant correlations were found between scores of emotional state (tension-anxiety, depression-dejection, confusion-bewilderment, and total score of emotional state) and lipid levels (total cholesterol, triglyceride, and low-density lipoprotein cholesterol levels). There were no significant associations of emotional state and quality of life with duration of the disease in males and females with type 2 diabetes mellitus. No significant differences in emotional state and quality of life were found between males and females with type 2 diabetes mellitus, who were treated with oral antidiabetic preparations and insulin preparations.

scholarly journals ANALYSIS OF COMPLICATIONS OF ONCOLOGICAL PATIENTS DIED IN THE EMERGENCY HOSPITAL

2021 ◽  
Vol 21 (4) ◽  
pp. 30-35
Author(s):  
Yu. S. Korneva ◽  
Yа. А. Rudenko
Keyword(s):  
Emergency Medicine ◽  
Cancer Patients ◽  
Emergency Hospital ◽  
Clinical Hospital ◽  
Oncological Patients ◽  
Oncological Diseases ◽  
Clinical Emergency

The article analyzes the autopsy reports of cancer patients who died in the Clinical Emergency Medicine Clinical Hospital in Smolensk in order to study the complications? Related to oncologycal disease in these patients. The complications of oncological diseases that doctors have to deal with in emergency hospitals and their specific manifestations depending on the location of the tumor are also analyzed.

scholarly journals COVID-19 pandemic challenges for dermatology

2020 ◽  
Vol 1 (1) ◽  
pp. 14-17
Author(s):  
Evgenia Dvoryankova ◽  
Keyword(s):  
Medical Care ◽  
Personal Protective Equipment ◽  
Medical Community ◽  
Protective Equipment ◽  
Occupational Dermatitis ◽  
Medical Assistance ◽  
Coronavirus Infection ◽  
Quality Medical Care

COVID-19 pandemic posed a number of new formidable challenges to medical community. Dermatologists have not only to detect, define and reverse the new coronavirus infection cutaneus manifestations, but also to provide medical assistance to colleagues with occupational dermatitis due to personal protective equipment use. Moreover, it is necessary to provide quality medical care to patients with acute and chronic dermatosis given the limitations of present pandemic situation.

scholarly journals Analysis and Risk Assessment of the Working Conditions of a Steam Turbine Operator

2001 ◽  
Vol 14 (5) ◽  
pp. 520-537
Author(s):  
Irina V. Andrunyak ◽  
Keyword(s):  
Risk Assessment ◽  
Hearing Loss ◽  
Steam Turbine ◽  
Working Conditions ◽  
Human Body ◽  
Risk Taking ◽  
Main Factors ◽  
Special Assessment ◽  
The Impact ◽  
Negative Factors

The article analyzes the negative factors of a steam turbine operator of the 5th category using the example of the Krasnoyarsk CHP. The main factors determining the working conditions are reflected. Based on the results of a special assessment of working conditions classes (subclasses) of conditions for a steam turbine operator have been identified. The definitions and the procedure for assessing occupational risk, taking into account injuriesin hazardous areas, have been formulated, on the basis of which a tree of events of the occurrence of accidents has been built. The calculation of risk assessment of working conditions, where the main harmful factor is the impact of noise on the human body and the resulting hearing loss is proposed

Incidence of COVID-19 in outpatient healthcare workers

2021 ◽  
Vol 61 (8) ◽  
pp. 540-545
Author(s):  
Sergey A. Suslin ◽  
Maiia L. Sirotko ◽  
Marina N. Bochkareva ◽  
Sergey A. Babanov
Keyword(s):  
Medical Care ◽  
Health Workers ◽  
Medical Personnel ◽  
Expert Assessment ◽  
Outpatient Basis ◽  
Medical Organization ◽  
Occupational Infection ◽  
Increased Risk ◽  
Need Support ◽  
Coronavirus Infection

Currently, work in any medical organization carries a risk of coronavirus infection, and, first of all, this applies to medical organizations dealing with the treatment of patients infected with coronavirus. Medical workers are a group at increased risk of infection with the SARS-CoV-2 virus in the provision of medical care in modern conditions, which determines their incidence of COVID-19 [1-3]. The aim of the study is to explore the prevalence of cases of COVID-19 infection in medical workers providing medical care on an outpatient basis. Materials and methods. The analysis of the incidence of COVID-19 medical workers in one of the large medical organizations of the Samara region during the period of the pandemic was carried out. The medical staff of the medical organization includes 207 doctors. There are 11 subdivisions in the structure of the medical and prophylactic institution. Research methods: content analysis of the modern regulatory framework (2020-2021), statistical, expert. For the period from May 2020 to March 2021 71 cases of infection of medical workers on an outpatient basis with SARS-CoV-2 were identified, of which 32 doctors (45%) and 39 people (55%) nurses. Based on the results of the expert assessment, the insurance nature of the infection case was established in 50 people (70%). Among the medical and nursing categories of medical workers, the largest number of cases was made by doctors and nurses of primary contact - specialists of the district service: general practitioners (40%), pediatricians (32%), doctors - obstetricians-gynecologists (12%), nurses adults (76%) and children (20%) polyclinic departments. A third of health workers received inpatient treatment for severe COVID-19, an average of 60 days. Conclusion. Medical workers are a risk group of COVID-19 who need support measures, since the possibility of occupational infection has been sufficiently proven, and the risk probably depends on the work performed and the conditions of direct contact of medical personnel, which requires further study in the current persisting epidemic conditions.

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