Development features of the market of health resort services in Sverdlovsk region

2016 ◽  
Vol 10 (1) ◽  
pp. 54-63
Author(s):  
Матвей Оборин ◽  
Matvey Oborin

Development of the health resort activities on the territory of Sverdlovsk region - an important and controversial factor, which is reflected in low rates and current problems of development. They are connected with the development peculiarities of the region, natural conditions, and availability of federal and regional programs. Necessity for the organization of health resort activities related to its significant impact on the social and economic situation of the region. Sverdlovsk region is an industrial urban area that, apart from the advantages, creates certain problems for the population. These include health deterioration, increasing of mortality and morbidity, reducing of natural population growth, deterioration of health, which leads to a reduction of the rate of economic development. That is why the region needs to organize health resort activity. Recreational potential of Sverdlovsk region is considered to be healthy, and it is caused by a boundary position of the region in Europe and Asia, political stability, which guarantees the security of any type of tourist activity. In addition, the high cultural and historical heritage of the area determines the long-term development of tourism in general. Nevertheless, the author of the article notes the presence of a significant number of problems, such as the need for recreational activities in urban and industrialized territories, but civil and industrial development area limit the possibility of recreation. Load regulation system on the natural systems of certain recreation areas is absent, and it causes a significant increasing of load and violation of the integrity of ecosystems. Low development of transport infrastructure and insufficient quality of personnel training creates problems for the future development of the market of heath resort services




2015 ◽  
Vol 129 (3) ◽  
pp. 206-211 ◽  
Author(s):  
G L Garrett ◽  
I Beegun ◽  
A D'souza

AbstractObjective:To present the clinical outcomes obtained by the first facial transplant teams worldwide, reviewing current practice and addressing controversies.Methods:A bibliographic search of Medline and Embase databases was performed, and a comparative analysis of all articles published from 1980 to the present was conducted. Two independent investigators screened the manuscripts in accordance with pre-defined criteria.Results:A total of 12 partial and 5 full facial transplants were recorded in the literature. Procedures included partial and near-total facial myocutaneous flaps, and complex osteomyocutaneous grafts. Fifteen patients had fully vascularised grafts, and two patients died of transplant-related and infectious complications.Conclusion:Facial transplantation can restore quality of life and enable the social re-integration of recipients. Results published by the first facial transplant teams are promising. However, long-term reports of aesthetic and functional outcomes are needed to more precisely define outcomes. In addition, significant technical, medical and ethical issues remain to be solved.



2019 ◽  
Vol 28 (6) ◽  
pp. 708-714
Author(s):  
N. L. Perel’man ◽  
V. P. Kolosov

The aim of this study was to investigate long-term change in health-related quality of life (HRQL) in patients with asthma in real clinical practice and in relation to emotional disorders, cooperativeness (cooperation between the patient and the physician, and adherence to treatment), and cold air-provoked bronchial hyperresponsiveness (BHR).Methods. This observational study involved 32 patients with mild to moderate asthma. The study duration was 7.5 to 10 years. HRQL was assessed using SF-36 questionnaire and Asthma Quality of Life Questionnaire (AQLQ); emotional disorders were diagnosed using Hospital Anxiety and Depression Scale (HADS). Patients’ cooperativeness assessment was based on number of a patient’s scheduled visits to a physician during the study. The asthma control level was evaluated using the Asthma Control Test (ACT).Results. A significant worsening was found in the social activity domain of HRQL in the total group of the patients. According to AQLQ, a significant improvement was seen in the activity and symptoms domains and in the total score of quality of life (QoL). Long-term pharmacological treatment of asthma decreased anxiety and depression levels. The asthma control (ACT score) increased from 13.2 ± 1.0 to 19.7 ± 1.1 (р = 0.00003). Anxiety and depression decreased in patients with high cooperativeness during the long-term follow-up, while the total QoL and the specific QoL were unchanged excluding the social activity domain. A significant worsening in the activity scale and in the emotional scale of specific QoL together with growing depression and decreasing control of asthma were found in patients with lower cooperativeness. The cold air-provoked BNR slowed down the long-term improvement in the social activity domain. The cold air-provoked BNR also decreased patient-reported evaluation of daily activity.Conclusion. The long-term basic therapy of asthma provides a positive trend in HRQL in the real clinical practice independently on worsening of the disease. Lower cooperativeness of a patient could decrease specific QoL, which, in turn, worsens the control of asthma and contributes to negative emotional background and destructive behavior.



2021 ◽  
Vol 12 ◽  
Author(s):  
Nicolas Vidart d'Egurbide Bagazgoïtia ◽  
Virginie Ehlinger ◽  
Carine Duffaut ◽  
Jérôme Fauconnier ◽  
Silke Schmidt-Schuchert ◽  
...  

Introduction: While most people with cerebral palsy (CP) will have a life expectancy similar to that of the general population, international research has primarily focused on childhood and adolescence; and knowledge about the quality of life (QoL) of young adults with CP, its trajectories, and associated factors remains scarce.Methods: This longitudinal study included young adults with CP living in five European regions and who had previously participated in the SPARCLE cohort as children and/or adolescents. Their QoL in the psychological well-being and social relationships domains was estimated using age-appropriate validated instruments (KIDSCREEN-52 in childhood/adolescence and WHOQOL-Bref in young adulthood). We used generalized linear mixed-effect models with random intercept to estimate long-term trajectories of QoL in both domains and to investigate whether severity of impairment, pain, and seizure influenced these trajectories. We sought to identify potentially different trajectories of QoL from childhood to adulthood using a shape-based clustering method.Results: In total, 164 young adults with CP aged 22–27 years participated in the study. Psychological well-being linearly decreased by 0.78 points (scale 0–100) per year (95% confidence interval (CI) −0.99 to −0.56) from childhood to young adulthood, whereas QoL in the social relationships domain increased (β coefficient 1.24, 95% CI 0.92–1.55). Severity of impairment was associated with reduced QoL in all life periods of the study (childhood, adolescence, and young adulthood): motor impairment with social relationships, and more nuancedly intellectual disability with psychological well-being and social relationships. At all periods, frequent pain significantly reduced psychological well-being, and seizures were associated with lower QoL in the social relationships domain. In both domains, we identified a group of individuals with CP who presented a reverse trajectory compared with the general QoL trajectory.Conclusion: Identification of QoL trajectories and their associated factors yields improved knowledge about the experience of individuals with CP until young adulthood. Further studies are needed to better understand the determinants that have the greatest influence on the different shapes of long-term trajectories of QoL.



2020 ◽  
pp. 135910532094499
Author(s):  
Juliet Ruth Helen Wakefield ◽  
Blerina Kellezi ◽  
Clifford Stevenson ◽  
Niamh McNamara ◽  
Mhairi Bowe ◽  
...  

We examined whether the Social Cure (SC) perspective explains the efficacy of a Social Prescribing (SP) pathway which addresses healthcare needs through enhancing social connections. Data were collected at pathway entry from patients with long-term health conditions, or who felt isolated/lonely/anxious ( N = 630), then again 4 months later ( N = 178), and 6-9 months later ( N = 63). Being on the pathway was associated with increased group memberships between T0 and T1. The relationship between increased group memberships and quality-of-life was serially mediated by belonging, support and loneliness. This study is the first to show SP enhances health/well-being via SC mechanisms.



2016 ◽  
Vol 4 (1) ◽  
Author(s):  
Ranjana Mary Varghese ◽  
Supraja C. S.

Of late, the concept of corporate social responsibility has gained prominence from all avenues. Across the globe, most of the prominent leading corporations seem to have realized the importance of being associated with socially relevant causes as a means of promoting their brands. Corporate have started moving from what is our share mode to what is our environmental impact and how much we are accountable mode. Nearly all leading organizations in India are involved in corporate social responsibility (CSR) programmes in areas like education, health, livelihood creation, skill development, and empowerment of not just the weaker sections of the society but the society in large. This paper examines the concept of few notable firms sacrificing profits in the social interest within the environmental realm especially for children. Although the analysis of goodwill and quality of different initiatives within the umbrella of CSR is challenging, an attempt can be made to fulfill the social responsibility. The authors have tried to take four Indian firms who are exclusively into a robust CSR strategy, where child rights are being respected and protected. These programmes aim at holistic development of the concerned. The objective, sector, modus operandi and the scope of the programmes are investigated. Also a small effort has been made to understand the needs of children in India, scope of the corporate in fulfilling those needs and facilitate long term change in the lives of the marginalized children. A brief analysis regarding the best practices by the authors suggests that integrated empowerment is needed for sustainable development in the society. Moreover protecting the rights of children should be integral to every CSR strategy. Corporate can impact the access to the necessities, which are essential for survival and development of children in many ways.



2014 ◽  
Vol 599-601 ◽  
pp. 2030-2032
Author(s):  
Jian Feng Du

With the improving of the social demand for high quality talents, and promote the internationalization of higher education to, as the main position of cultivation of talents in colleges and universities need to connotative development as the dominant direction. Study style construction of colleges and universities as an important guarantee for the cultivation goal of also need to clarify the long-term, systematic work requirement and establish the long-term goal, guided by the connotative development, the introduction of modern teaching and management, strengthen the cultivation of students' social practice ability, to expand domestic and international communication, in order to improve the overall quality of higher education.



Author(s):  
John Selander ◽  
Åsa Tjulin ◽  
Ulrika Müssener ◽  
Kerstin Ekberg

Since long-term sickness absence constitutes a problem in most western countries, research that can facilitate return to work (RTW) is important. Today there is evidence that the social context at the workplace has a significant impact on return to work. The dual aims of the study was firstly to investigate the pattern and quality of contact between employees on long-term sick leave and different actors at the workplace, and secondly to investigate whether contacts with the workplace were associated with expectations regarding return to work. An explorative method and descriptive design was used for the first aim. For the second aim, the data was analysed in a multivariate logistic regression model. The results show that employees had frequent and, in most cases, appreciated contact with their supervisor and co-workers. Contact with other workplace actors; that is, the occupational health unit, the union representative, and the human resources department, were less frequent. Employees who experienced the contact as supportive and constructive were far more positive and optimistic than others regarding return to work. It is concluded that supervisors and co-workers should be aware that they play a significant role in the return-to-work process, and that quality of contact is what matters.



2007 ◽  
Vol 52 (3) ◽  
pp. 529-541 ◽  
Author(s):  
Jing Chen

Abstract The nature of interpreting and the task it fulfills decide that it is an intercultural communicative act. There are two types of intercultural noise disturbing the communication process, that originating from the information sent by the source-language speaker, and that coming from the social, cultural and situational context of the communication process. Intercultural noise impedes the interpreting process and debases the quality of interpreting. If the ideal function of an interpreter is to ensure smooth communication between the primary parties, then his role is to remedy any potential intercultural noise in the channel. This paper then aims to formulate concrete intercultural noise-reducing strategies, which include long-term strategies, pre-interpreting strategies and during-interpreting strategies.



Author(s):  
Jean Anaclet ◽  
Lauric Ngouembe ◽  
Grâce Fleurbellia Domba Biongo

The objective of this work is to examine the effects of foreign direct investment on the diversification of the Congolese economy. The estimation results from the ARDL process, spanning the period 1995 to 2016, showed that FDI is a means of diversifying the Congolese economy in the short term. In the long term however, FDI is not a sufficient factor for the diversification of the Congolese economy. Thus, this research has revealed the importance of integrating political stability given that the effects of FDI on diversification also depend on the quality of the institutions.



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