The article presents the results of a questionnaire survey of medical workers. The questionnaire allows you to assess the attitude of medical workers to the situation related to the new coronavirus infection. A survey was conducted of 186 outpatient medical workers providing medical care in conditions of an increased epidemic threshold for ARVI, influenza and the new coronavirus infection COVID-19 aged 25 to 64 years and 195 medical workers of hospitals providing medical care in their main profile, working as usual and periodically identifying patients with COVID-19 between the ages of 25 and 64. The data obtained indicate the emergence of new factors associated with the new coronavirus infection, which may affect the «emotional burnout» in medical workers.
The article presents the results of a study of emotional burnout syndrome in medical professionals using the Maslach Burnout Inventory (MBI) questionnaire, which measures three burnout indicators: emotional exhaustion, depersonalization and personal achievements. A survey of medical workers of COVID-hospitals providing medical care to patients with a new coronavirus infection (n=201) aged 25 to 64 years was conducted; outpatient medical workers working in conditions of an increased epidemic threshold for acute respiratory viral infections, influenza and new coronavirus infection (n=186) aged 25 to 64 years and medical workers of multidisciplinary hospitals providing medical care according to their main profile and periodically identifying patients with COVID-19 disease (n=195) aged 25 to 64 years. The data obtained indicate that all the studied groups of medical workers in the conditions of the coronavirus pandemic have increased indicators of emotional burnout.
One of the most important complications of the novel coronavirus infection is damage to the nervous system. From the point of view of pathogenesis, neurological disorders in COVID-19 can be caused by a "cytokine storm", hypoxemia, homeostasis disorders (encephalopathy of critical conditions), neurotropy and neurovirulence of SARS-CoV-2 (isolated cranial nerve damage, focal and diffuse central nervous system lesions), as well as mixed effects of these factors. COVID-19 also affects the course of chronic neurological diseases. The range of neurological disorders in COVID-19 is wide: from cranial mononeuropathy, clinically manifested by anosmia and ageusia/dysgeusia, to acute Guillain-Barré inflammatory polyneuropathy and severe lesions of the brain and spinal cord in the form of acute hemorrhagic necrotizing encephalopathy and myelopathy. The new coronavirus infection can be regarded as an occupational disease in medical workers if the infection occurred while they were performing their professional duties. In the presented clinical case, one of the possible serious complications of the coronavirus infection is described, i.e. lesion of the central nervous system (encephalopathy) in a medical worker. The article presents the principles and results of a medical examination conducted in order to establish a causal relationship of the disease and professional activity. The need for a multidisciplinary approach to the diagnosis and treatment of COVID-19 and its complications with the mandatory participation of a neurologist is emphasized.
Medical workers are a group at increased risk of infection with the SARS-CoV-2 virus when providing medical care in modern conditions. The novel coronavirus infection can be considered as an occupational disease in medical workers if the infection occurred while performing their professional duties. One of the most important complications of the new coronavirus infection is the lesion of the cardiovascular system. The presented clinical case reflects one of the possible serious complications of the coronavirus infection that developed in a medical worker against the background of chronic autoimmune pathology, i.e. severe myocarditis with pulmonary embolism, which led to the formation of inflammatory cardiomyopathy with congestive heart failure. The article presents the principles and results of a medical examination conducted in order to establish a causal relationship between the disease and professional activity.
The article is devoted to the definition and assessment of occupational risk, laboratory markers and quality of life in occupational diseases of the respiratory system and in industrial workers who come into contact with high concentrations of industrial fibrogenic aerosols. The conducted research allows assessing the personalized risk, laboratory markers and quality of life in chronic dust bronchitis, silicosis and pneumoconiosis from exposure to highly dispersed welding aerosols, and optimize prevention strategies for this pathology.
Статья "50 years of the Department of Occupational Diseases and Clinical Pharmacology named after the Honored Scientist of the Russian Federation, professor V. V. Kosarev Samara state medical university" Журнал "Therapist /
Therapist"