Aim. To study the lipid profile in hospitalized patients with coronavirus disease 2019 (COVID-19) depending on the outcome of its acute phase according to the AKTIV international registry.Material and methods. The AKTIV registry included men and women over 18 years of age with a diagnosis of COVID-19, who were treated in a hospital. A total of 9364 patients were included in the registry, of which 623 patients were analyzed for levels of total cholesterol, low-density lipoprotein cholesterol (LDL-C) and triglycerides on days 1-2 of hospitalization. The level of high-density lipoprotein cholesterol (HDL-C) was calculated using the Friedewald equation.Results. We found that a decrease in LDL-C level was significantly associated with an unfavorable prognosis for hospitalized patients with COVID-19. This pattern persisted in both univariate and multivariate analyses. LDL-C levels in the final multivariate model had a significant relationship with the prognosis (an increase in the death risk by 1,7 times with a decrease per 1 mmol/l). In addition, we found that the survival of patients with an indicator level of <2,45 mmol/l is significantly worse than in patients with an LDL-C level ≥2,45 mmol/l. All patients with high LDL-C ((≥4,9 mmol/l) survived, while among patients with low LDL-C (<2,45 mmol/l. All patients with high LDL-C ((≥4,9 mmol/l) survived, while among patients with low LDL-C (<1,4 mmol/l), mortality was 13,04%, which was significantly higher than in patients with LDL-C ≥1,4 mmol/l (6,32%, p=0,047).Conclusion. A decrease in LDL-C in the acute period is significantly associated with an unfavorable prognosis for hospitalized patients with COVID-19. Determination of LDL-C can be included in the examination program for patients with COVID-19. However, the predictive value of this parameter requires further study in prospective clinical studies.
Based on the data obtained during the studies, the concentration of ammonia and hydrogen sulfide released during the accelerated processing of livestock waste was established. The design of an experimental setup for modeling the composting process using a biological air filtration system is presented. To ensure effective purification of air from ammonia and hydrogen sulfide generated during the accelerated processing of livestock waste, a method for using organic filter material consisting of compost and wood chips in various ratios is proposed. Also, the optimal time for cleaning air passing through the filter material has been established. The optimum type of filtering material and its characteristics have been experimentally established, ensuring the efficiency of air purification from hydrogen sulfide and ammonia by 97 and 98%, respectively.
BACKGROUND. There is enough evidence of the negative impact of excess weight on the formation and progression of res piratory pathology. Given the continuing SARS-CoV-2 pandemic, it is relevant to determine the relationship between body mass index (BMI) and the clinical features of the novel coronavirus infection (NCI).AIM. To study the effect of BMI on the course of the acute SARS-COV-2 infection and the post-covid period.MATERIALS AND METHODS. AKTIV and AKTIV 2 are multicenter non-interventional real-world registers. The АКТИВ registry (n=6396) includes non-overlapping outpatient and inpatient arms with 6 visits in each. The АКТИВ 2 registry (n=2968) collected the data of hospitalized patients and included 3 visits. All subjects were divided into 3 groups: not overweight (n=2139), overweight (n=2931) and obese (n=2666).RESULTS. A higher BMI was significantly associated with a more severe course of the infection in the form of acute kidney injury (p=0.018), cytokine storm (p<0.001), serum C-reactive protein over 100 mg/l (p<0.001), and the need for targeted therapy (p<0.001) in the hospitalized patients. Obesity increased the odds of myocarditis by 1,84 times (95% confidence interval [CI]: 1,13–3,00) and the need for anticytokine therapy by 1,7 times (95% CI: 1,30–2,30).The patients with the 1st and 2nd degree obesity, undergoing the inpatient treatment, tended to have a higher probability of a mortality rate. While in case of morbid obesity patients this tendency is the most significant (odds ratio — 1,78; 95% CI: 1,13-2,70). At the same time, the patients whose chronical diseases first appeared after the convalescence period, and those who had certain complaints missing before SARS-CoV-2 infection, more often had BMI of more than 30 kg/m2 (p<0,001).Additionally, the odds of death increased by 2,23 times (95% CI: 1,05-4,72) within 3 months after recovery in obese people over the age of 60 yearsCONCLUSION. Overweight and/or obesity is a significant risk factor for severe course of the new coronavirus infection and the associated cardiovascular and kidney damage Overweight people and patients with the 1st and 2nd degree obesity tend to have a high risk of death of SARS-CoV-2 infection in both acute and post-covid periods. On top of that, in case of morbid obesity patients this tendency is statistically significant. Normalization of body weight is a strategic objective of modern medicine and can contribute to prevention of respiratory conditions, severe course and complications of the new coronavirus infection.
A drum dryer with a paddle mixing device which can significantly increase productivity and improve the quality of the drying process has been developed. The recommended values of the following parameters, which provide the most energy-saving mode while maintaining the high quality of the finished product (air supply speed is 2.5 m/s; drum filling factor is 0.25; the stirrer rotation speed is 20 rpm, the drying temperature is 60°C) have been established. These parameter values correspond to the specific power consumption equal to 1.83 kW* h/kg of evaporated moisture.
The method and technology were developed to study the influence of an average diameter, mass and rolling friction of hawthorn fruits on the moisture content during the drying process. It was established that the fruits of smoothed hawthorn (Crataegus oxyacantha L.) have a large unevenness in diameters of 11 mm - 21 mm and weight of 1.3 g - up to 4.2 g. The average diameter of hawthorn fruits decreases from 16 to 12.5 mm with a decrease in moisture content from 74.9 to 14%; the coefficient of rolling friction of hawthorn fruits on the surface of the working chamber increases from 0.12 to 0.31 with a decrease in moisture content from 74.9 to 14%. The results of these studies of hawthorn fruits can be used in the future when designing drying plants and improving drying technology.
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