[The sanitary constitution and somatic status of students on territory of the Privolzhye Federal Okrug].

The features of sanitary constitution of students of the Nizhniy Novgorod region related to gradation of intra-group somatologic characteristics are presented. The results of anthropometric screening of 10 400 students of the Nizhniy Novgorod Oblast (boys/girls 5100/5300) aged 7-17 years were analyzed; body types were evaluated according to the Darskaya S. S. methodology; biological age - according to the Maximova T. M. methodology; physical development groups - according to the Baranov A. A. and Kuchma V. R. methodology. The typology was considered in formation of age and gender groups. They intra-group statistical analysis was implemented. The patterns of somatotyping were established. In boys/girls main types were thoracic type 58.9/67.3%, muscular - 21.6/17.4%, asthenoid - 9.1/8.2%, digestive - 7.3/8.3% and indefinite - 3.1/3.2%. The age factor significantly (p < 0.05) modifies dynamics of distributions of somatic types. The significant (p < 0.01) heterogeneity on the factor of biological maturation level was demonstrated in 66.0/68.6% of biological age corresponded to passport age, lag in 19.7/15.3%, advance in 14.3/16.1%. The decelerating ones in 30.9% of cases demonstrated thoracic somatotype with a single occurrence of asthenoid body type. In pre- and post-puberty individuals with thoracic somatotype in 57.0% had passport age that corresponded to biological age. For children with advanced type thoracic and muscular body types are specific and the digestive somatotype is specific only to advanced type (p = 0.01). The body typologies in combination with levels of biological development individualize characteristics of growing organism. The rate of maturation decreases its informative significance in post-puberty period. The individuals with different somatotypes are characterized by intra-group morphofunctional features.

Disturbances of the hemostasis system and expression of inflammatory reaction in patients with new coronaviral pneumonia.

Disorders of the hemostatic system and inflammation play a key role in the pathogenesis of new coronavirus pneumonia (NCP), determining its course and outcome. To study the dynamics of the state of the hemostasis system and the severity of the acute phase response in patients with new coronavirus pneumonia. We determined APTT, prothrombin time (PT), fibrinogen (F), D-dimers (D-d), antitrombin III (AT III), C-reactive protein (CRP), platelet count in 22 patients. In 49 patients, the viscoelastic properties of a blood clot were studied by thromboelastography (TEG) with koalin. The age of the patients ranged from 40 to 77 years. According to CT, the severity of 100% cases corresponded to CT2-CT3. Acute respiratory failure (ARF) was diagnosed in 16 patients. A control group included 25 apparently healthy subjects. During hospitalization, patients with NCP were characterized by: an increase in the concentration of D-d, CRP, Fg, lengthening of APTT and PT, ATIII activity and platelet count not differing from the normal range. 10 days after hospitalization and against the background of ongoing therapy, patients with NCP showed positive dynamics in the hemostasiological profile and the severity of the inflammatory response. Thromboelastography indices in patients with LCP did not differ from control values both at hospitalization and on day 10.Thus, in patients with novel coronavirus pneumonia, an increased prothrombotic activity and a pronounced inflammatory response are recorded. Against the background of treatment, there is a positive dynamics in both the coagulation status and the inflammatory response. Additional studies are needed to determine the diagnostic capabilities of thromboelastography in patients with NCP.

Gender Characteristics of the Novel Coronavirus Infection (COVID-19) in Middle-Aged Adults.

The aim of the study is to assess the gender-related specifics of the COVID-19 course in patients under 55 years of age. Materials and Methods: This pilot single-center continuous retrospective non-randomized study was carried out in the repurposed infectious diseases hospital of the Privolzhsky Research Medical University (Nizhny Novgorod, Russia). The study inclusion criterion was the age of patients (up to 55 years) and confirmed coronavirus infection. In the groups based on gender differences (25 men, average age 44.0±7.8 years and 32 women, average age 41.9±9.1 years), we monitored complications of COVID-19 such as the transfer of patients to the ICU and the volume of lung damage (determined with CT scans). Results: The course of COVID-19 in male patients younger than 55 was aggravated by concomitant diseases (γ=0.36; p=0.043), among which IHD (γ=1.00; p=0.003) and liver disease (γ=0.58; p=0.007) dominated. Frequency analysis confirmed the high prevalence of coronary artery disease in men (p=0.044). Significant differences between the gender-related groups were noted in the volume of lung lesions: at admission (p=0.050), during hospital treatment (p=0.019), and at discharge (p=0.044). Using the logistic regression method, a relationship was found between the transfer of male patients to ICU and the Krebs index [y= -2.033 + 1.154 male gender + 1.539 Krebs index (χ2=5.68; p=0.059)] and comorbidity [y= -2.836 + 1.081 male gender + 2.052 comorbidity (χ2=7.03; p=0.030)]. The influence of the Krebs index and the male gender on the excess volume of lung lesions was shown [y= -1.962 + 0.575 male gender + 1.915 Krebs index (χ2=7.78; p=0.021)]. Conclusion: In individuals under the age of 55 diagnosed with COVID-19, gender is of significant importance: in men, there is a more pronounced lesion of the lung parenchyma and a more significant change in laboratory parameters. Risk factors for a severe course of COVID-19 in men are coronary artery disease and hepatobiliary disorder. Calculating the Krebs index can be used to assess the risk of disease progression.