scholarly journals Socio-geographical processes and enhancement of territorial structures of Siberia from the perspectives of national priorities and global challenges of the 21th century

2021 ◽  
Vol 885 (1) ◽  
pp. 012003
Author(s):  
T I Zabortseva
Keyword(s):  
Regional Policy ◽  
Social Geography ◽  
Economic Research ◽  
Eastern Siberia ◽  
Growth Path ◽  
Internal Factors ◽  
The Past ◽  
Modern Level ◽  
The Republic

Abstract The Laboratory of Economic and Social Geography of the V B Sochava Institute of Geography SB RAS (Irkutsk, Russia) has been carrying out socio-economic research in the indicated field over the past decade. We consider the Siberian macroregion traditionally within the space of Western and Eastern Siberia with the inclusion of the Republic of Sakha (Yakutia). The research results reflect, firstly, the growth path of Siberia in the new millennium, taking into account the multidirectional external and internal factors. Secondly, our findings include the identified spatial patterns of the main socio-geographical structures (specialization of existing industries, infrastructure, market and non-market services and the population) as the basis of regional policy with the aim of sustainable development, ensuring the modern level of quality of life of Siberians. We studied the key Baikal region in more detail.

PP048 Quality Of Health Care Through Integration: Experience Of Cochlear Implantation

2017 ◽  
Vol 33 (S1) ◽  
pp. 93-94
Author(s):  
Lyazzat Kosherbayeva ◽  
Aigul Medeulova ◽  
Abdulla Alzhanov
Keyword(s):  
Health Care ◽  
Healthcare System ◽  
Cochlear Implantation ◽  
Cost Utility ◽  
Economic Research ◽  
Rehabilitation Programs ◽  
Life Years ◽  
The Republic ◽  
The Cost

INTRODUCTION:The State Program for Health Development of the Republic of Kazakhstan (RK) “Densaulyk” for 2016–2019 initiated the modernization of primary health care with the introduction of family practice in order to ensure the availability, completeness and quality of health services on the basis of an integrated healthcare system focused on the needs of the population. The aim of this study was to determine the effectiveness of the cochlear implantation (CI) programs.METHODS:A literature search was conducted for all clinical trials, randomized controlled trials, and reviews in the PubMed, Cochrane, and Center for Reviews and Dissemination databases. Two reviewers independently evaluated all publications for selection. The analysis included the cost-effectiveness and benefit from the CI program.RESULTS:We analyzed the effectiveness of the services for CI in the RK and other countries (1). In our analysis, we identified that there is no research on Quality-adjusted Life Years (QALYs) and Cost-Utility Analysis (CUA) in RK. We found that, in general, the cost of CI and pre-surgical procedures are comparable with other countries. The length of stay in Kazakhstan was much higher (an average of 8 days) compared with other countries (3 days). Also in RK, there were significantly lower prices per hospital day and cost of various consultations. Postoperative costs of other countries consisted of one-third to two-thirds of the total costs for preoperative and implantation stages (2, 3). There was a little information on the effectiveness of rehabilitation programs in RK.CONCLUSIONS:Economic research like QALYs and CUA are new directions in the healthcare system in the RK. Lack of integration between primary care, rehabilitation and other services leads to difficulties in assessing the effectiveness of CI programs (for example, in our case, there was the restriction of assessment in only postoperative costs).

scholarly journals ON COORDINATION OF STRATEGIC PLANNING TOOLS AND MANAGEMENT OF MACRO-, MESO- AND MICROECONOMIC DEVELOPMENT IN THE REGIONAL POLICY

2018 ◽  
Vol 2018 (1) ◽  
pp. 80-85
Author(s):  
Б. Ерзнкян ◽  
B. Yerznkyan ◽  
Р. Магомедов ◽  
R. Magomedov
Keyword(s):  
Regional Policy ◽  
Policy Instruments ◽  
Cash Flows ◽  
Coordination Mechanism ◽  
Actual State ◽  
Power Structures ◽  
The Republic ◽  
State Of Affairs ◽  
State Programs

<p>The current research is based on the study of passports of state programs at the federal and regional levels related to the development of the Republic of Dagestan. The authors analyze the quality of regulatory, legal and methodological base of the state programs and compare them with the actual state of affairs. Quality problems are indicated by serious methodological flaws in the database, which prevent effective solutions of regional problems and lead to their conservation. As for the realities, it has been found that it is impossible to determine the contribution of programs to the achievement of declared goals and to assess the effectiveness of the executive bodies responsible for their implementation. The discrepancy between goals and results is due to the duplication of functions and the erosion of the responsibility of power structures, the lack of clarity in the movement of counter cash flows from the center to the regions and vice versa, the lack of coordination of various regional policy instruments aimed at solving strategic tasks and implementing program guidelines. The unresolved nature of such problems actualizes the need to create a multilevel coordination mechanism in order to pursue a strategically coordinated and balanced socio-economic policy in the region.</p>

CHINGHIZ AITMATOV’S “AND THE DAY LASTS LONGER THAN A CENTURY” IN MEMORY STUDIES

2020 ◽  
pp. 122-129
Author(s):  
Aleksandr P. Logunov ◽  
◽  
Vasilii L. Dmitriev ◽  
Keyword(s):  
Intermediate State ◽  
Memory Studies ◽  
Value Orientations ◽  
The Novel ◽  
Internal Factors ◽  
Soviet State ◽  
The Past ◽  
Great Patriotic War ◽  
Post War

The article considers the war memorialization in the USSR of the post-war years in the context of Ch. Aitmatov’s novel “And The Day Lasts Longer Than A Century”. Authors’ attention is paid primarily to the symbolism of the novel. The symbolism is both in its text and in the novel’s title itself. It is the symbolism that allows the authors to consider the novel not only as fiction but also as a historiosophic text. The article describes the main quality of the war memorialization in 1945–1980. It is a competition of different generations’ historic memories – the memory of the generation that survived the war and the memory of the generation that was born much later. In that regard the authors define two value orientations outlining the framework for such a memorialization. The article analyzes reasons for the legitimation of the present through the past. It also raises the question of an “intermediate state”, of external and internal factors that determine it, and an issue of the memory’s existence in the transition from one state to another. Besides, the article analyzes the historic policy of the Soviet state and its influence on the memory of the Great Patriotic War. It includes the methods for creating images of the war and their translation to different generations.

Marketing identity of Croatian Danube Basin as a tourism destination

1998 ◽  
Vol 4 (1) ◽  
pp. 173-186
Author(s):  
Marcel Meler
Keyword(s):  
Tourism Destination ◽  
Danube Basin ◽  
The Past ◽  
Tourism Product ◽  
The Future ◽  
Tourism Destinations ◽  
The Republic

The purpose of a characteristic identity of Croatian Danube Basin is, among other things, to transform this region from an object into a subject of all events, not only in Croatia but also on a broader political and economic scale. In terms of time, the identity of Croatian Danube Basin can, of course, be observed as connected with the past, with the present or with the future. This paper sets forth a possible future identity of Croatian Danube Basin, based on the tenets of the past and of the present and supported by a strategic theoretical organization of exploiting and directing the natural, social, human and other resources; an additional part of this paper discusses also the region’s tourist identity. The author especially emphasizes the unmistakable quality of natural and other attractive resources of Croatian Danube Basin, their polyvalence with other tourism destinations in Eastern Croatia, as well as their integrability within the total tourism product of the Republic of Croatia.

Analysis of effectiveness of thrombolytic therapy and introduction of new innovative projects for improving the quality of health care for patients with acute coronary syndrome in the Pavlodar regional ambulance station of the Republic of Kazakhstan

2020 ◽  
pp. 30-34
Author(s):  
K. Akhmetzhanov
Keyword(s):  
Health Care ◽  
Acute Coronary Syndrome ◽  
Comparative Analysis ◽  
Thrombolytic Therapy ◽  
Quality Of Health Care ◽  
Coronary Syndrome ◽  
The Past ◽  
The Republic ◽  
Positive Effect

The article provides statistics on the volume of care for patients with acute coronary syndrome (ACS) at the prehospital stage in the Pavlodar region of the Republic of Kazakhstan. A comparative analysis of the use of thrombolytic therapy (TLT) at the Pavlodar regional ambulance station and other countries was carried out. This article shows what the positive effect from TLT is. The article indicates all the new innovative technologies that have been introduced in the Pavlodar station over the past 5 years and how this has contributed to improving the quality of emergency care.

Multiple sclerosis in the Republic of San Marino: a prevalence and incidence study

2008 ◽  
Vol 14 (3) ◽  
pp. 325-329 ◽  
Author(s):  
E. Granieri ◽  
C. Monaldini ◽  
R. De Gennaro ◽  
S. Guttmann ◽  
M. Volpini ◽  
...  
Keyword(s):  
Multiple Sclerosis ◽  
Temporal Trend ◽  
Prevalence Ratio ◽  
Diagnostic Procedures ◽  
Italian Peninsula ◽  
The Past ◽  
The Republic ◽  
Descriptive Survey ◽  
Crude Prevalence

Studies on the distribution of multiple sclerosis (MS) carried out in Southern Europe in the last years have shown a significant increase in the frequency of the disease. A previous descriptive survey in the Republic of San Marino, northern Italian peninsula, published in 1984 established that this area is at high risk for MS. We updated the frequency estimates of the disease by adopting a complete enumeration approach. On 31 December 2005, 50 MS patients (36 women and 14 men) yieldeda crude prevalence rate of 166.7 per 100 000 (95% CI 123.7—220), 235.3 (95% CI 165—327.4) for women and 95.2 (95% CI 52—160) for men. The average incidence from 1990 to 2005 was 7.9 (95% CI 5.3—11.1) per 100 000, 11.7 (95% CI 7.6—17.3) for women and 3.9 (95% CI 1.7—7.7) for men. We did not detect any significant temporal trend over the study period. These results confirm that in San Marino the disease occurs more frequently than that suggested in the past and support the data on MS frequency in continental Italy. The marked increase in MS prevalence ratio is partly due to the increasing survival of patients and the accumulation of new incidence cases owing to the reduction in diagnostic latency for better quality of neurological diagnostic procedures. However, an increased incidence of the disease could be considered. Multiple Sclerosis 2008; 14: 325—329. http://msj.sagepub.com

Immunoferritin localization of intracellular antigens in positively stained frozen sections

1978 ◽  
Vol 36 (2) ◽  
pp. 168-169
Author(s):  
K. T. Tokuyasu
Keyword(s):  
Surface Tension ◽  
Water Surface ◽  
Thin Layers ◽  
The Other ◽  
Positive Staining ◽  
Frozen Sections ◽  
The Past ◽  
Ultrathin Frozen Sections ◽  
Definition Of

During the past investigations of immunoferritin localization of intracellular antigens in ultrathin frozen sections, we found that the degree of negative staining required to delineate u1trastructural details was often too dense for the recognition of ferritin particles. The quality of positive staining of ultrathin frozen sections, on the other hand, has generally been far inferior to that attainable in conventional plastic embedded sections, particularly in the definition of membranes. As we discussed before, a main cause of this difficulty seemed to be the vulnerability of frozen sections to the damaging effects of air-water surface tension at the time of drying of the sections.Indeed, we found that the quality of positive staining is greatly improved when positively stained frozen sections are protected against the effects of surface tension by embedding them in thin layers of mechanically stable materials at the time of drying (unpublished).

Exercise Capacity in Chronic Heart Failure

2012 ◽  
Vol 9 (1) ◽  
pp. 57-60 ◽  
Author(s):  
Gina G Mentzer ◽  
Alex J Auseon
Keyword(s):  
Quality Of Life ◽  
Heart Failure ◽  
Exercise Training ◽  
Exercise Capacity ◽  
Positive Impact ◽  
Pharmacologic Therapy ◽  
The Past ◽  
Diagnosis And Prognosis ◽  
Future Therapy

Heart failure (HF) affects more than 5 million people and has an increasing incidence and cost burden. Patients note symptoms of dyspnea and fatigue that result in a decreased quality of life, which has not drastically improved over the past decades despite advances in therapies. The assessment of exercise capacity can provide information regarding patient diagnosis and prognosis, while doubling as a potential future therapy. clinically, there is acceptance that exercise is safe in hf and can have a positive impact on morbidity and quality of life, although evidence for improvement in mortality is still lacking. specific prescriptions for exercise training have not been developed because many variables and confounding factors have prevented research trials from demonstrating an ideal regimen. Physicians are becoming more aware of the indices and goals for hf patients in exercise testing and therapy to provide comprehensive cardiac care. it is further postulated that a combination of exercise training and pharmacologic therapy may eventually provide the most benefits to those suffering from hf.

Bioethics In Neurospinal Patient Care

2018 ◽  
Vol 1 (2) ◽  
pp. 1
Author(s):  
Andi Asadul Islam
Keyword(s):  
Time Frame ◽  
Hippocratic Oath ◽  
Moral Vision ◽  
Human Identity ◽  
The Past ◽  
Harvey Cushing ◽  
Sharp Focus ◽  
Realistic Approach ◽  
Cord Injury

Neurosurgery is among the newest of surgical disciplines, appearing in its modern incarnation at the dawn of twentieth century with the work of Harvey Cushing and contemporaries. Neurosurgical ethics involves challenges of manipulating anatomical locus of human identity and concerns of surgeons and patients who find themselves bound together in that venture.In recent years, neurosurgery ethics has taken on greater relevance as changes in society and technology have brought novel questions into sharp focus. Change of expanded armamentarium of techniques for interfacing with the human brain and spine— demand that we use philosophical reasoning to assess merits of technical innovations.Bioethics can be defined as systematic study of moral challenges in medicine, including moral vision, decisions, conduct, and policies related to medicine. Every surgeon should still take the Hippocratic Oath seriously and consider it a basic guide to follow good medical ethics in medical practice. It is simple and embodies three of the four modern bioethics principles – Respecting autonomy, beneficence, nonmaleficence, and justice.Spinal cord injury (SCI) is a devastating condition often affecting young and healthy individuals around the world. Currently, scientists are pressured on many fronts to develop an all-encompassing “cure” for paralysis. While scientific understanding of central nervous system (CNS) regeneration has advanced greatly in the past years, there are still many unknowns with regard to inducing successful regeneration. A more realistic approach is required if we are interested in improving the quality of life of a large proportion of the paralyzed population in a more expedient time frame.

Estimates on poverty in Russia and the additional measures to reduce it at the regional level

2020 ◽  
Vol 18 (4) ◽  
pp. 739-752 ◽  
Author(s):  
R.M. Sadykov
Keyword(s):  
Poverty Rate ◽  
Regional Level ◽  
Living Standards ◽  
Standard Of Living ◽  
High Quality ◽  
Social Standard ◽  
Republic Of Bashkortostan ◽  
The Republic ◽  
Sociological Studies

Subject. This article deals with the issues of social justice and a high quality of life, creating favorable economic and social conditions. Objectives. The article aims to assess the rate and changes in poverty in Russia and the Republic of Bashkortostan and develop complementary measures to reduce it. Methods. For the study, I used the methods of logical, comparative, economic and statistical analyses, the results of sociological studies, and official statistics. Results. The article highlights additional measures to reduce poverty in the region, including the establishment of a minimum social standard of living in each particular region that determines the poverty rate. Conclusions. Various factors, such as economic sanctions, economic slowdowns, territorial and regional imbalances, lead to living standards decline and poverty rise.

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