scholarly journals Detectability of the novel coronavirus (SARS-CoV-2) infection and rates of mortality for COVID-19 in different regions of the Russian Federation

2020 ◽  
Author(s):  
Edward Goldstein
Keyword(s):  
Medical Care ◽  
Russian Federation ◽  
Respiratory Symptoms ◽  
Case Fatality ◽  
Laboratory Diagnosis ◽  
The Novel ◽  
Active Testing ◽  
The Russian Federation ◽  
Novel Coronavirus ◽  
Related Mortality

AbstractRelevanceLaboratory diagnosis of the novel coronavirus (SARS-CoV-2) infection combined with tracing/quarantine for contacts of infected individuals affects the spread of the SARS-CoV-2 infection and levels of related mortality. At the same time, testing practices for SARS-CoV-2 infection vary in the different regions of the Russian Federation. For example, in the city of St. Petersburg, where mortality rate for COVID-19 is the highest in the Russian Federation on Oct. 25, 2020, every death for COVID-19 corresponds to 15.7 detected cases of COVID-19 in the population, while the corresponding number for the whole of Russia is 58.1, suggesting limited detection of mild and moderate cases of COVID-19 in St. Petersburg. Additionally, while in some regions in Russia, all individuals with respiratory symptoms presenting for medical care are tested for SARS-CoV-2 infection, in a number of other regions in Russia, only certain categories of individuals presenting for medical care with respiratory symptoms were tested for the SARS-CoV-2 infection prior to Oct. 26, 2020.Materials & MethodsMore active testing for SARS-CoV-2 in the population results in increased detectability (i.e. the proportion of detected COVID-19 cases among all cases of SARS-CoV-2 infection in the population) and decreased case-fatality ratio (CFR, the proportion of deaths among reported COVID-19 cases in the population) – this because under more active testing, the number of mild and moderate cases of COVID-19 increases. We used data from the Russian Federal Service for Surveillance on Consumer Rights Protection and Human Wellbeing (Rospotrebnadzor) on the number of detected cases and the number of deaths from COVID-19 in the different regions of the Russian Federation to examine the correlation between case-fatality ratios and rates of mortality for COVID-19 in different regions of the Russian Federation.ResultsThe correlation between case-fatality ratios and rates of mortality for COVID-19 in the 85 different regions of the Russian Federation on Oct. 25, 2020 is 0.64 (0.50,0.75). For several regions of the Russian Federation, detectability of SARS-CoV-2 infection is relatively low, while rates of mortality for COVID-19 are relatively high.ConclusionsDetectability of the SARS-CoV-2 infection is one of the factors that affects the levels of mortality from COVID-19 – higher detectability contributes to lower rates of mortality for COVID-19. To increase detectability, one ought to test all individuals with respiratory symptoms seeking medical care for SARS-CoV-2 infection (which is also suggested by the recent recommendations from the Ministry of Health), and to undertake additional measures to increase the volume of testing for SARS-CoV-2. Such measures, in combination with quarantine for infected cases and their close contacts help to mitigate the spread of the SARS-CoV-2 infection and diminish the related mortality.

scholarly journals Organization of Specialized Medical Care for Patients with the New Coronavirus Infection COVID-19 on the Basis of a Multidisciplinary Hospital

2021 ◽  
Vol 3 (1) ◽  
pp. 163-169
Author(s):  
Aleksandr V. Esipov ◽  
Aleksandr I. Pavlov ◽  
Yuri V. Nemytin ◽  
Aleksey V. Solovov ◽  
Alexandr V. Khaev
Keyword(s):  
Medical Care ◽  
Russian Federation ◽  
Medical Center ◽  
Federal State ◽  
High Tech ◽  
The Novel ◽  
Resource Saving ◽  
Coronavirus Infection ◽  
The Russian Federation ◽  
Novel Coronavirus

The first experience of organizing specialized care for patients with the novel coronavirus infection COVID-19 on the basis of the leading multidisciplinary hospital of the Ministry of Defense of Russia FSBI 3rd Central Military Clinical Hospital named after A. A. Vishnevsky. Aims: to scientifically substantiate and develop organizational and methodological recommendations for re-profiling a multidisciplinary hospital to create a multifunctional medical center for the treatment of the new coronavirus infection COVID-19. Based on the regulatory and organizational and methodological documents (Orders and Resolutions of the Government of the Russian Federation, orders of the Ministry of Health of the Russian Federation, directives and orders of the Main Military Medical Directorate of the Ministry of Defense of the Russian Federation), a set of measures was taken to create a multifunctional medical center for the treatment of the new coronavirus infection COVID-19. Algorithms for organizational, diagnostic and therapeutic resource-saving technologies, as well as standard operating procedures for assisting patients with the novel coronavirus infection COVID-19, have been developed and tested. Within the framework of the medical association of the Federal State Budgetary Institution 3 CVKG im. A. A. Vishnevsky, the Ministry of Defense of Russia created a system for the provision of specialized medical care to patients with the new coronavirus infection COVID-19 with the established routing and provision of specialized medical care with elements of high-tech medical care, including extracorporeal membrane oxygenation, biological anti-cytokine therapy. Conclusion. The accumulated experience in the work of the newly created center for the treatment of patients with the new coronavirus infection COVID-19 can be used for further medical activities of medical organizations of military and civilian health care.

THE MORBIDITY WITH A TEMPORARY INCAPACITY FOR WORK IN RUSSIA DURING THE NOVEL CORONAVIRUS (COVID-19) PANDEMIC OUTBREAK

2021 ◽  
Author(s):  
V.G. Gazimova ◽  
◽  
A.S. Shastin ◽  
V.O. Ruzakov
Keyword(s):  
Population Health ◽  
Russian Federation ◽  
Social Life ◽  
Average Duration ◽  
Single Case ◽  
The Novel ◽  
Long Run ◽  
Federal Districts ◽  
The Russian Federation ◽  
Novel Coronavirus

Abstract: The novel coronavirus (COVID-19) pandemic outbreak has had a global impact on all spheres of social life and population health. A study of the influence of a novel coronavirus infection COVID-19 on the working population health is an up-to-date issue. The objective is to assess changes in the morbidity with a temporary incapacity for work during the novel coronavirus (COVID-19) pandemic outbreak. Methods. We have analyzed the data on the morbidity with a temporary incapacity for work obtained from the unified interdepartmental information and statistical system. The change in the rates in 2020 is determined regarding the long-run annual average over 2015-2019 years. We ranked the constituent entities of the Russian Federation. Results. In 2020, there was an increase in all three indicators of a temporary incapacity for work nationwide and in all federal districts. We compared two indicators: “the number of days of temporary incapacity per 100 workers” and “the number of cases of temporary incapacity per 100 workers”. It has emerged that the first indicator is higher both nationwide and in all federal districts than the second one, which is typical for the constituent entities of the Russian Federation. Conclusion. In 2020, there was an increase in the morbidity with a temporary incapacity for work in the Russian Federation as a whole and in all federal districts. It was evaluated according to the indicators: “the number of cases of temporary incapacity per 100 workers”, “the number of days of temporary incapacity per 100 workers” and “an average duration of a temporary incapacity for work”. There was a decrease in the number of cases and days of temporary incapacity for work per 100 employees in five constituent entities of the Russian Federation. Moreover, a decrease in the average duration of a single case was found in six regions. A reduction in the admission number may be the reason for an increase in the duration of a single case of a temporary incapacity for work. Additionally, the limited availability of an elective care is also a determining factor

scholarly journals Foreword

2020 ◽  
Vol 85 ◽  
pp. 00001
Author(s):  
Professor Karmen Toros
Keyword(s):  
Mental Health ◽  
Social Development ◽  
Russian Federation ◽  
Scientific Committee ◽  
Scientific Conference ◽  
The Novel ◽  
Physical And Mental Health ◽  
The Russian Federation ◽  
Novel Coronavirus ◽  
Editing Process

The second part of the 7th International Interdisciplinary Scientific Conference “Society. Health. Welfare” Proceedings addresses challenging discussions on urban and rural social development dynamics and welfare internationally from an interdisciplinary perspective. During the editing process of the Proceedings, the novel Coronavirus disease known as COVID-19 was discovered. Due to the pandemic caused by COVID-19, which has had a global and multi-layered impact with far-reaching physical and mental health implications, the conference scientific committee decided to include COVID-19 related papers in the proceedings to contribute to responding to the challenges of the pandemic. The Proceedings presents 31 papers from various international authors, including Latvia, Ukraine, Slovakia, Croatia, Lithuania and the Russian Federation.

Anti-epidemic measures against the proliferation of the novel coronavirus infection SARS-COV-2

2020 ◽  
pp. 9-15
Author(s):  
Zoya Dmitrenko
Keyword(s):  
Russian Federation ◽  
Medical Personnel ◽  
The Novel ◽  
Urgent Problem ◽  
Epidemiological Risk ◽  
Coronavirus Infection ◽  
The Russian Federation ◽  
The Government ◽  
Novel Coronavirus ◽  
Danger To Others

The novel coronavirus infection (COVID-19) is an acute respiratory disease caused by a new coronavirus (SARS-CoV-2). The SARS-CoV-2 virus is assigned to the II group of pathogenicity in accordance with the sanitary legislation of the Russian Federation. The infection is included in the list of diseases that pose a danger to others (the Government Decree of the Russian Federation from 31.01.2020 No. 66). Dental facilities are at epidemiological risk; all patients are considered as potentially infected with hemocontact and aspiration infections. Disinfection in dental institutions is carried out according to the regime between viruses and fungi of the genus Candida; the mask regime is continuous. The protection against infections of the patient and medical personnel in dental institutions has always been an extremely urgent problem and especially now, during the period of the new coronavirus infection SARS-CoV-2. The purpose of medical dental institutions is to prevent and implement measures to interrupt the transmission of infections related to the provision of medical care (IRMC).

scholarly journals Subsidiarity as a factor and technology for overcoming crises (reception of the principle of subsidiarity in the collective consciousness of the Russians)

2021 ◽  
pp. 39-47
Author(s):  
Aleksandra Olegovna Kalinichenko
Keyword(s):  
Russian Federation ◽  
Statistical Processing ◽  
Russian Society ◽  
Collective Consciousness ◽  
The Novel ◽  
Coronavirus Infection ◽  
The Russian Federation ◽  
The Government ◽  
Novel Coronavirus ◽  
The Relationship

This article provides certain results of empirical study of the collective consciousness of the Russians through the prism of their reception of the principle of subsidiarity and values associated with this principle. The object of this research is the collective consciousness of the Russian society. The subject is the peculiarities of refraction of legal and political meanings of the principle of subsidiarity in the collective consciousness, as well as the degree of implementation of this principle in the relationship between the government and the citizens in Russia. The key research method is the questionnaire-based sociological survey. The acquired empirical data have undergone statistical processing and comparative analysis with the data of the most reputable sociological agencies of the Russian Federation. The novelty consists in examination of the principle of subsidiarity not only as a constitutional federal principle, but also as a technology for overcoming crises and mitigating intra-elite conflict. Using the material on the pandemic of the novel coronavirus infection “COVID-19”, the author describes the changes that in the course of overcoming crises took place in consciousness of the Russian people with regards to the effectiveness of different level of government, as well as the conclusions drawn by the Russian Federal Center out of that crisis. Among the main conclusions, the author indicates the need of the Russian citizens for the strong and effective governance that would be directly related to the citizens and be within their reach. The author believes that such need corresponds the principle of the uniform system of public authority founded in the revised Constitution of the Russian Federation of 2002, which most consistently implements the principle of subsidiarity.

The Results of the External Audit of Medical Care for Children with Cancer in one of the Regions of the Russian Federation

2016 ◽  
Vol 3 (2) ◽  
pp. 67-79
Author(s):  
M.Yu. Rykov ◽  
◽  
E.N. Baibarina ◽  
O.V. Chumakova ◽  
V.G. Polyakov ◽  
...  
Keyword(s):  
Medical Care ◽  
Russian Federation ◽  
External Audit ◽  
Children With Cancer ◽  
The Russian Federation

Recommendations for Test Lab Regarding Transition to New Requirements GOST ISO/IEC 17025–2019

2020 ◽  
Vol 86 (2) ◽  
pp. 69-78
Author(s):  
S. N. Gusarova ◽  
Yu. M. Erokhina ◽  
D. I. Kramok ◽  
E. I. Khunuzidi
Keyword(s):  
Comparative Analysis ◽  
Russian Federation ◽  
Transition Period ◽  
Process Approach ◽  
National Standard ◽  
The Novel ◽  
Self Assessment ◽  
Testing Laboratories ◽  
The Russian Federation ◽  
Practical Level

Since September 1, 2019, GOST ISO/IEC 17025–2019 has been enacted as a national standard in the Russian Federation. The novel standard imposes a number of fundamentally new requirements for testing laboratories (hereinafter referred to as the IL or laboratory), and also supplements and specifies the requirements previously regulated by GOST ISO/IEC 17025–2009. In this regard, in order to transfer laboratories to the new requirements, the FSA issued an order in August 2019 listing the mandatory activities that IL must fulfill to bring their activities in line with the new requirements. However, a transition period desired for matching these requirements is absent on a practical level for a number of the laboratories. The purpose of the article is to facilitate a gentle, efficient and pain-free move from the requirements of GOST ISO/IEC 17025–2009 to the new requirements of GOST ISO/IEC 17025–2019, including compliance with new changes in accreditation criteria. We carried out a comparative analysis of the requirements of the new and previous versions of the standard and marked each new and significant item to which the laboratory should pay attention first of all. The new standard focuses on the application of the process approach, risk and opportunity management, as well as on implementation of the policy of impartiality, independence, minimization of competitive interests and confidentiality. The article describes the planning, implementation and monitoring of each event or phase of the transition of testing laboratories to new requirements. Moreover, the recommendations on the structure of the «Quality Manual» and self-assessment on the compliance of IL activities and QMS with the new requirements, including the use of statistical methods for substantiation of the correctness of the assessment are given as an example of the implementation of IL capabilities.

Recommendations of the Ministry of Health of the Russian Federation on the formation of a temporary staff table of a medical organization providing medical care to citizens with coronavirus infection COVID-19

2020 ◽  
pp. 5-12
Author(s):  
Olga Shinkareva
Keyword(s):  
Medical Care ◽  
Russian Federation ◽  
Medical Organization ◽  
Ministry Of Health ◽  
Organization Of Work ◽  
Coronavirus Infection ◽  
The Russian Federation

Article is devoted to the analysis of the Order of the Russian Ministry of Health of 19.03.2020 № 198n (an edition of 29.04.2020) “About a temporary order of the organization of work of the medical organizations for implementation of measures for prevention and reduction of risk of spread of a new koronavirusny infection of COVID19” regarding formation of the temporary staff list of the division of the medical organization providing medical care to citizens with a koronavirusny infection of COVID-19 and also the requirement with the staff of this division. The criteria recommended by the Ministry of Health of the Russian Federation for determining the number of rates of medical workers in these divisions, requirements for medical workers of the division have been considered, a practical example of calculation of rates has been given.

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