ABOUT REHABILITATION OF PATIENTS WITH LONG-TERM CONSEQUENCES OF COVID-19

Author(s):  
Юрий Евгеньевич Антоненков ◽  
Елена Альбертовна Борисова ◽  
Марина Михайловна Романова ◽  
Ирина Леонидовна Панина

Новая коронавирусная инфекция и ее отдаленные последствия занимают особое место в научной медицине и практическом здравоохранении. Появление COVID-19, распространение его среди населения земного шара, появление все новых штаммов поставило перед специалистами здравоохранения задачи, связанные с быстрой диагностикой инфекции, вызванной новым коронавирусом, оказанием специализированной медицинской помощи, включая диагностику, лечение, первичную и вторичную профилактику, медицинскую реабилитацию. Реабилитация пациентов, перенесших COVID-19, имеет важнейшее значение для восстановления трудоспособности и сохранения здоровья этой категории граждан. Эффективная организация и полноценная реализация реабилитационных мероприятий, достижение целей и задач медицинской и социальной реабилитации определяют социальные последствия пандемии как для конкретного индивида, так и для общества и государства в целом. Статья посвящена изучению и анализу возможностей применения рефлексотерапии в комплексе реабилитационных мероприятий пациентов с отдаленными последствиями новой коронавирусной инфекции COVID - 19. Дальнейшее совершенствование системы реабилитации, включая расширение и оптимизацию применения средств и методов реабилитационных мероприятий, будет способствовать повышению качества и эффективности оказания медицинской помощи, преодолению негативных последствий перенесенной новой коронавирусной инфекции COVID-19 The new coronavirus infection and its long-term consequences occupy a special place in scientific medicine and practical healthcare. The emergence of COVID-19, its spread among the world's population, and the emergence of new strains have set health professionals tasks related to the rapid diagnosis of infection caused by the new coronavirus, the provision of specialized medical assistance, including diagnosis, treatment, primary and secondary prevention, and medical rehabilitation. Rehabilitation of patients who have undergone COVID-19 is of crucial importance for the restoration of working capacity and the preservation of the health of this category of citizens. Effective organization and full implementation of rehabilitation measures, achievement of goals and objectives of medical and social rehabilitation determines the social consequences of the pandemic both for a particular individual and for society and the state as a whole. The article is devoted to the study and analysis of the possibilities of using refloxotherapy in a complex of rehabilitation measures for patients with long-term consequences of a new coronavirus infection COVID - 19. Further improvement of the rehabilitation system, including the expansion and optimization of the use of means and methods of rehabilitation measures, will contribute to improving the quality and effectiveness of medical care, overcoming the negative consequences of the new coronavirus infection COVID-19

2021 ◽  
Vol 12 (2) ◽  
pp. 64-101
Author(s):  
Marina G. Bubnova ◽  
Evgenii V. Shliakhto ◽  
David M. Aronov ◽  
Andrei S. Belevskii ◽  
Marina I. Gerasimenko ◽  
...  

In the Consensus of experts from Russian societies, issues of comprehensive medical rehabilitation of patients with a new coronavirus infection are being discussed. Coronavirus Disease 2019 (COVID-19) is a contagious infectious disease that can cause respiratory, cardiac, motor, metabolic, neurocognitive and mental disorders, i.e. multiple organ dysfunction. Patients who survived COVID-19, especially after a severe course, face serious psychological and physical problems, post-traumatic stress, cognitive dysfunction, nutritional deficiencies and exacerbation of concomitant chronic diseases. Some patients, regardless of the severity of the coronavirus infection, have a long-term course of disease ("chronic COVID", "long-term COVID"). There is evidence of the development of "post-COVID-19 syndrome". In this regard, patients with COVID-19 need rehabilitation. The Consensus of experts from Russian societies provides general principles, stages and aspects of medical rehabilitation after COVID-19, indications and contraindications for rehabilitation interventions. The Consensus includes recommendations on comprehensive cardiac and respiratory rehabilitation, as well as the features of the rehabilitation of patients with different clinical course of COVID-19 within the framework of the national three-stage medical rehabilitation system.


1973 ◽  
Vol 3 (2) ◽  
pp. 141-151
Author(s):  
Charles Kaiser ◽  
Robert Gold

If it is true that experiences involving altered states of consciousness have historically been confined to a minute segment of the population (such as shamans, prophets, and even self-actualizers within Maslow's [1] context), and if the psychedelics act as a catalyst for such experiences, then their widespread availability portends significant social consequences. The most profound long term consequences of the increasingly widespread use of psychedelics may not be medical or even psychological in nature, but rather socio-logical. Altered states of consciousness create nothing less than new perceptual configurations which may well spell the end of social institutions based upon modes of perception which are incongruent with new perceptions being attained by increasing numbers of people via the psychedelic experience.


2021 ◽  
Vol 7 (5) ◽  
Author(s):  
K. Aitbaev ◽  
I. Murkamilov ◽  
V. Fomin ◽  
I. Kudaibergenova ◽  
Zh. Murkamilova ◽  
...  

The past crisis year 2020 brought a huge number of human casualties from the COVID-19 pandemic, which has claimed more than 2 million lives to date. The high mortality rate in COVID-19 is associated with the development of acute respiratory distress syndrome (ARDS), which leads to hospitalization of patients in intensive care units. In the fight against this deadly disease, in parallel with efforts to control and treat infected patients and study the pathophysiology of this new coronavirus infection, research and clinical follow-up is needed to assess the long-term consequences of ARDS COVID-19. Research should also be undertaken to find reliable clinical and laboratory biomarkers to predict the subset of patients who may develop or progress to pulmonary fibrosis.


Author(s):  
Anna D. Mikhailova ◽  
Irina V. Vlasova ◽  
Armen S. Simonyan

Introduction. Patients with transferred a new coronavirus infection, as a rule need in a rehabilitation. It is necessary to develop clinical recommendations for this group of patients. Medical rehabilitation during the COVID-19 pandemic should include all components of rehabilitation measures aimed at rapid recovery of vital body functions, improving the quality of life of patients and preventing complications. The aim of study is to identify the most effective methods of rehabilitation of patients with lung damage of varying severity caused by a new coronavirus infection. Assessment of rehabilitation potential depending on age, gender, and severity of lung tissue damage. Materials and methods. The article describes the experience of rehabilitation and rehabilitation treatment of 40 patients after acute infection caused by the SARS-CoV-2 virus, which was carried out on the basis of the neurological occupational pathology Department of the Burnazyan State Medical Center. Results. To determine the volume of rehabilitation treatment, each patient was tested using special scales and questionnaires that allow assessing the patient's somatic status, physical activity tolerance, cognitive functions, and the presence of affective disorders. Testing was performed at the patient's admission to the hospital and on the 12th day, which helped to assess the dynamics of recovery. To achieve the maximum effect of the work done, we have organized an individual comprehensive multidisciplinary approach to each patient, including a group of specialists, such as a therapist, pulmonologist, neurologist, rehabilitologist, physiotherapist, psychologist, physical therapy instructor. Against the background of rehabilitation and rehabilitation treatment, there was a positive dynamics in the condition of patients, in the form of an increase in tolerance to physical activity according to scales, questionnaires, and functional tests in 95%, improvement in saturation indicators in 90%, and affective disorders were completely corrected in 85% of patients. Subjectively, 100% of patients report an improvement in their health status. Conclusions. Thus, despite the timely treatment received in the acute period of the disease, a very important stage in the treatment of patients is rehabilitation in the long-term period.


2019 ◽  
Vol 15 (6) ◽  
pp. 48-61
Author(s):  
V. P. Malyshev

Large-scale accidents and disasters, as a rule, leave serious negative consequences and require huge financial and material-technical resources for their liquidation. In this article, based on the generalization of the experience in the elimination of such accidents, possible directions for optimizing the composition of activities and resources necessary for their financing, including the costs of social protection of citizens affected by disasters, are suggested. Features of forecasting the duration of longterm contamination of territories affected by accidents, taking into account the processes of selfcleaning of various natural environments from persistent pollutants, are also considered.


2021 ◽  
Vol 23 (3) ◽  
pp. 261-268
Author(s):  
Yulia G. Belotserkovskaya ◽  
◽  
Anna G. Romanovskikh ◽  
Igor P. Smirnov ◽  
Alexander I. Sinopalnikov ◽  
...  

The term “long COVID-19” describes the long-term effects of the novel coronavirus infection COVID-19. Patients with severe COVID-19 who require hospitalization, as well as those who are on outpatient treatment with mild clinical forms of the disease, often report persistent fatigue, shortness of breath, pain, cough and other respiratory and extrapulmonary symptoms for weeks and months. The generally accepted time frame that separates the duration of the acute and subacute phase of infection from the long COVID-19 is 28 days. The article describes the duration and the course of clinical disorders caused by COVID-19 and their persisting after the end of the acute phase of the disease. In addition, the current understanding of the causes of long-term consequences and the possibilities of drug and non-pharmacological correction are presented.


2021 ◽  
pp. 353-358
Author(s):  
Bhanuprakash Kolla ◽  
Sara E. Hocker

Substance use disorders are chronic, relapsing illnesses that are associated with serious medical, economic, and social consequences. Substance use disorders are associated with loss of control over the amount of substance used, continued use despite negative consequences, preoccupation with use, and dysphoria during abstinence. In heavy and long-term users, abrupt cessation or reduction in substance use results in substance-specific withdrawal syndrome. Risk of substance use disorders is influenced by genetic, psychosocial, and environmental factors.


Religions ◽  
2020 ◽  
Vol 11 (7) ◽  
pp. 374
Author(s):  
Shamara Wyllie Alhassan

Rastafari is a Pan-African socio-spiritual movement and way of life that was created by indigent Black people in the grip of British colonialism in 1930s Jamaica. Although Rastafari is often studied as a Jamaican phenomenon, I center the ways the movement has articulated itself in the Ghanaian polity. Ghana has become the epicenter of the movement on the continent through its representatives’ leadership in the Rastafari Continental Council. Based on fourteen years of ethnography with Rastafari in Ghana and with special emphasis on an interview with one Ghanaian Rastafari woman, this paper analyzes some of the reasons Ghanaians choose to “trod the path” of Rastafari and the long-term consequences of their choices. While some scholars use the term “conversion” to refer to the ways people become Rastafari, I choose to use “trodding the path” to center the ways Rastafari theorize their own understanding of becoming. In the context of this essay, trodding the path of Rastafari denotes the orientations and world-sensorial life ways that Rastafari provides for communal and self-making practices. I argue that Ghanaians trod the path of Rastafari to affirm their African identity and participate in Pan-African anti-colonial politics despite adverse social consequences.


2021 ◽  
Vol 0 (0) ◽  
Author(s):  
Dian Eurike Septyaningtrias ◽  
Rina Susilowati

Abstract As the coronavirus disease 2019 (COVID-19) pandemic continues to be a multidimensional threat to humanity, more evidence of neurological involvement associated with it has emerged. Neuroimmune interaction may prove to be important not only in the pathogenesis of neurological manifestations but also to prevent systemic hyperinflammation. In this review, we summarize reports of COVID-19 cases with neurological involvement, followed by discussion of possible routes of entry, immune responses against coronavirus infection in the central nervous system and mechanisms of nerve degeneration due to viral infection and immune responses. Possible mechanisms for neuroprotection and virus-associated neurological consequences are also discussed.


2020 ◽  
Author(s):  
Javad Yoosefi Lebni ◽  
Arash Ziapour ◽  
Mostafa Qorbani ◽  
Fereshteh Baygi ◽  
Amin Mirzaei ◽  
...  

Abstract Background: In recent years, methamphetamine regular use has increased noticeably in Iran, and this can have harmful consequences for the health of individuals and society. Therefore, the aim of this study is to investigate the consequences of methamphetamine regular use in Tehran.Methods: This qualitative content analysis study was carried out by using conventional approach. Date were collected through observation and in-depth interview with 20 regular users of methamphetamine adult in Tehran (15 males and 5 female). Participants were selected through snowball and purposeful sampling method which continued until data saturation. Guba and Lincoln criteria were used to assess the strength of the research.Results: The extraction of the codes resulted in three main categories, including: 1. The short-term consequences, consisting of the sub-categories of individual and social consequences 2. The long-term consequences, consisting of the sub-categories of psychological and physical consequences, high risk behaviors, severely decayed memory and changes in the eating pattern. 3. hallucinations and delusions including the sub-categories of visual and auditory hallucinations, delusion of suspicion and delusion of having supernatural power.Conclusion: Methamphetamine regular use has serious adverse effects on overall health of individuals. Therefore, implementing educational programs in order to raise awareness and changing attitudes about the short and long term consequences of using methamphetamine in high risk group is highly recommended.


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