Introduction. Every driver of a vehicle must be able to provide first aid (FA). Ignorance of the rules of FA can lead to untimely or poor quality of its provision and consequently to an increase in disability and mortality of people involved in a road traffic accident (RTA). Purpose: to assess the level of knowledge about the rules for providing FA, depending on the driving experience. Materials and methods. An anonymous survey was conducted among drivers of vehicles in the city of Krasnoarmeysk. The survey involved 85 respondents who were divided into three groups. Group 1 (n = 30) – drivers with less than 2 years of experience; group 2 (n = 30) – drivers with experience from 10 to 15 years; group 3 (n = 25) – drivers with more than 25 years of experience. In the course of the survey, the level of knowledge about FA was assessed, the readiness to provide it and experience in this, possible reasons for the low level of knowledge about FA and possible ways to improve it. Results. Group 1 drivers are more informed (96,7 %) regarding the designation of the place of an RTA and the rules for calling an ambulance. Respondents of the 1st group also remember best and can put into practice FA. There is a decrease in the level of theoretical and practical knowledge, depending on the increase in driving experience. Respondents of group 1 considered the lack of practice on mannequins in driving schools to be the reason for the decrease in knowledge, drivers of groups 2 and 3 – the lack of updating old knowledge about FA; also, some drivers pointed to the low level of education in driving schools. The higher the driving experience and the lower the level of knowledge about FA, the higher the desire of drivers to increase the level of knowledge and make classes or courses to improve them mandatory and regular. Conclusion. Young drivers have a fairly good level of theoretical and practical knowledge about the provision of FA, drivers with more than 10–15 years of experience have a rather low level of knowledge. Many drivers will not be able to apply this knowledge in life on their own. Therefore, in our opinion, it is necessary to introduce mandatory regular courses or classes in order to increase the level of knowledge about FA.
To assess the impact of the novel coronavirus infection on the mental health of the population, a search was performed in the PubMed electronic database, as well as in scientific electronic libraries, such as eLIBRARY.RU and «CyberLeninka». The mental manifestations of anxiety disorders include: irritability, impatience, a feeling of tension, inability to relax, inability to concentrate, memory impairment, fatigue, fears, obsessive thoughts, insecurity and anxiety. The increased level of anxiety may be the result of misinformation transmitted through social networks. People who follow the news about COVID-19 the most experience more anxiety. Health workers are at the greatest risk of negative psychological impact during pandemics, especially if they have direct contact with the infected. The most pronounced symptoms were observed in middle and junior medical staff, women and young people working in the «red zone». During the pandemic, the levels of anxiety, depression and stress are significantly higher in the age group of 21–40 years. Women are at a higher risk of depression. During the COVID-19 pandemic, people with higher levels of education had higher levels of anxiety, depression and stress. People who have had a history of health problems, as well as those who suffer from poor health, may feel more vulnerable to the new disease. Most adolescents reacted to the stressful situation with suicidal forms of behavior — auto-aggressive and autistic-depressive. Thus, the COVID-19 pandemic can affect the mental health of individuals, various communities and social groups. Therefore, in the current crisis, it is vital to identify people who are prone to psychological disorders in order to preserve and improve the mental health of the population as a whole with the help of appropriate psychological strategies, methods and interventions.
BACKGROUND: SARS-CoV-2 virus, which induces COVID-19, not only affects the lungs, but also negatively affects the cardiovascular system, causing decompensation of the existing cardiovascular diseases (CVD). AIM: Тo find out the peculiarities of the course and treatment of the new coronavirus infection COVID-19 in patients with cardiovascular diseases (CVD). MATERIALS AND METHODS: A survey was conducted among patients with CVD undergoing outpatient treatment for COVID-19. A special questionnaire was developed containing 48 questions about the symptoms of COVID-19 and the prescribed therapy. The respondents were ill with a new coronavirus infection between August 2020 and January 2021. The survey involved 54 patients aged 43–82 years, among them 36 (66.7%) women and 18 (33.3%) men. Patients of age groups 61–70 years and 51–60 years prevailed (33.3% and 29.6%, respectively). The respondents had the following CVD: arterial hypertension — 54 (100%) and coronary heart disease (exertion angina) — 16 (29.6%). RESULTS. COVID-19 was manifested by cough — in 32 (59.3%) patients, shortness of breath — in 34 (63%). There was marked weakness (44 (81.5%)), limitation of physical activity (48 (88.9%)). Of the skin manifestations, patients described itching (14 (25.9%)). Myalgia was present in 40 (74.1%) patients and joint pain — in 36 (66.7%). Of the classic manifestations of COVID-19 infection, 34 (40.7%) and 22 (50%) patients had reduction or loss of olfaction and gustatory sensations. On the part of the gastrointestinal tract, the following symptoms were present: lack of appetite (6 (11.1%)), nausea (6 (11.1%)) and diarrhea (2 (3.7%)). Neurological manifestations of COVID-19, such as episodes of dizziness, disorientation in space and time, and feelings of fear and anxiety, were observed in 38 (70.6%) respondents. There were also unusual manifestations of the disease: increased blood pressure, decreased blood pressure, weakness in the legs, disorders in urination, ring-shaped granuloma, conjunctivitis, tickling in throat. Treatment: most patients with mild and moderate course of the disease took drugs that are not specified in the recommendations of the Ministry of Health of the Russian Federation for COVID-19. CONCLUSIONS: The majority of patients with CVD had manifestations of COVID-19 on the part of the respiratory, musculoskeletal systems, as well as neurological manifestations of the disease. Skin manifestations and manifestations on the part of the gastrointestinal tract were present only in a small part of the respondents.
Актуальность проблемыВоспалительные заболевания органов малого таза (ВЗОМТ) на сегодняшний день остаются одними из распространенных в гинекологии, диагностируются поч-ти у одной трети пациенток и служат наиболее частой причиной госпитализаций [1, 2]. Согласно сведениям Всемирной организации здравоохранения, в мире каждый год фиксируется примерно 448 миллионов новых
Relevance of problem. The new coronavirus infection COVID-19 was first reported in China in 2019 and began to spread very quickly around the world, causing the pandemic. COVID-19 has caused a wide range of psychological problems. Objective: to assess the level of depression, anxiety and stress in women of the reproductive and menopausal periods in the conditions of the pandemic of the novel coronavirus infection. Materials and methods. An anonymous questionnaire was conducted among the patients who were examined in September 2021 on the basis of the SHI SR Krasnoarmeyskaya Regional Hospital. The patients were divided into two groups. The first group included the patients of reproductive period aged from 23 to 44 years; the second group – of menopausal age, from 48 to 64 years. Results. The patients of the first group prevailed among those who were afraid of potential financial difficulties, severe social consequences, the lack of special COVID-19 therapy, the risk to the health and life of relatives and friends, and to their own lives, the high contagiousness of the virus, the lack of sales of protective equipment and the possible lack of medicines. The patients of the second group were more worried about the risk of prolonged isolation. The women of the reproductive period were more exposed to subclinically expressed anxiety, experienced an average level of stress and had a depressive disorder of moderate severity. The menopausal women were more characterized by low stress, mild depressive disorder and a normal level of anxiety. Conclusions. The women of reproductive age were more likely to worry about their own lives, as well as the health and lives of relatives and friends, the social consequences of the pandemic and the lack of medicines and special therapy COVID-19, and also suffered subclinically expressed anxiety to a greater extent. The women of menopausal period experienced low levels of stress and did not suffer from depression. The patients of menopausal age had a normal level of anxiety.
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