scholarly journals DYNAMICS AND REGIONAL GRADIENTS OF RESPIRATORY DISEASE MORBIDITY OF POPULATION IN THE FAR EASTERN FEDERAL DISTRICT

2018 ◽  
Vol 1 (69) ◽  
pp. 8-18 ◽  
Author(s):  
Леонид Манаков ◽  
Leonid Manakov ◽  
Виктор Колосов ◽  
Viktor Kolosov
Keyword(s):  
Russian Federation ◽  
Respiratory Diseases ◽  
Adult Population ◽  
Federal District ◽  
Federal State ◽  
Federal Level ◽  
Chronic Respiratory Diseases ◽  
Rate Of Increase ◽  
The Russian Federation ◽  
Far Eastern

There was done analysis of epidemiological monitoring of respiratory diseases (RD) on the territory of the Far Eastern Federal District (FEFD), which allows to assess the levels, structure and regional features of the spread of pathology among different populations and territorial formations, the dynamics of the disease and its relationship with the environmental factors of the region. To organize the study, the methods of cluster, structural and comparative analysis, predictive modeling, dynamic series analysis, statistical and information-analytical methods, databases of the Ministry of Health of the Russian Federation, the Federal State Statistics Service of the Russian Federation were used. The epidemiological analysis of the main indicators of RD level and dynamics in the FEFD territory indicates the presence of regional differences in the registered morbidity, the degree of which is due to the natural-climatic and socio-demographic characteristics of the habitat. 77.8% of the region's subjects are in the zone of low morbidity. At the same time, the values of maximum and minimum levels of general and primary RD morbidity in the region differ by 2.2 and 2.4 times, respectively, becoming the most pronounced among the adult population (by 3.6 times). In chronic bronchitis and COPD, the regional gradients of the registered morbidity are 10.9 and 9.8 times, respectively. It was found that the values of the primary RD morbidity in children's population in the FEFD are 14.4% higher than at the federal level, and among the adult population the gradient of values has the opposite indicators: 24.9% lower. At the same time, if the incidence of pneumonia in the region is 15.2% higher than the incidence of pneumonia in the Russian Federation as a whole, the incidence of chronic forms of RD in the region is 17.3-28.9% lower than at the federal level. The level of primary RD morbidity in 2005-2016 in the Far Eastern Federal District increased by 23.3%, including bronchial asthma (by 20.3%) and COPD (by 47.7%), and the incidence of pneumonia significantly decreased. At the same time, the average annual rate of increase in primary RD morbidity is higher than in the Russian Federation as a whole. This is shown by the predictive model of morbidity dynamics, the linear trends of which are more progressive in the FEFD compared to the dynamics at the federal level. The rate of positive dynamics of morbidity, significantly exceeding the same rate of morbidity growth at the federal level, indicates an increase in the level of availability and quality of medical care for patients with pulmonological profile, timely and early detection of chronic forms of respiratory diseases, positive motivation of the population for treatment in medical organizations. These trends in the dynamics of the registered morbidity are due to the active introduction of effective methods of diagnosis and treatment of chronic respiratory diseases, preventive and educational programs implemented both at the federal and regional level.

scholarly journals Dynamics of morbidity of the population with respiratory diseases in the pandemic COVID-19 period in the Far Eastern Federal District

2021 ◽  
pp. 19-26
Author(s):  
E. A. Bazykina ◽  
O. E. Trotsenko ◽  
L. A. Balakhontseva ◽  
V. O. Kotova ◽  
T. V. Korita
Keyword(s):  
Viral Infection ◽  
Russian Federation ◽  
Respiratory System ◽  
Respiratory Diseases ◽  
Adult Population ◽  
Federal District ◽  
Respiratory Viral Infection ◽  
Icd 10 ◽  
The Russian Federation ◽  
Far Eastern

Introduction. Currently, COVID-19, which is rapidly spreading around the world in the form of a pandemic, is a serious public health problem that poses a significant epidemiological and medico-social threat to the population and its quality of life, and affects all spheres of public life and economy. Aim. To assess the degree of influence of the pandemic of the new respiratory viral infection COVID-19 on the level of registered primary morbidity by classes of diseases, including the class "Diseases of the respiratory system" in the territory of the Far Eastern Federal District.Materials and methods. To implement the tasks of the study, a complex of analytical, epidemiological and statistical studies was carried out. Methods used: epidemiological analysis and monitoring, statistical, comparative and correlation analysis and methods for analyzing time series. Epidemiological and statistical assessment of the incidence of the population was carried out on the basis of ICD-10 according to the data of the state statistical monitoring of the incidence of the population of the Russian Federation for 2019-2020 using the database of the Ministry of Health of the Russian Federation, the Central Research Institute of Organization and Informatization of Healthcare of the Ministry of Health of the Russian Federation.Results. The pandemic of the new respiratory viral infection COVID-19 significantly changed the dynamics of the registered morbidity in the adult population, which dropped sharply in all ICD-10 classes, most intensively in the classes "Diseases of the endocrine system" (by 27.8%), "Diseases of the blood and hematopoietic organs" (by 22.6%), "Neoplasms" (by 21.1%), "Diseases of the circulatory system" (by 18.5%), with the exception of the class "Diseases of the respiratory system", the level of primary morbidity for which in the territory of the Far Eastern Federal District in 2020 increased by 23.9%. The most common and severe clinical manifestation of COVID-19 is bilateral pneumonia, the incidence of which among the adult population in the Far Eastern Federal District increased 2.7 times, and in the territory of the Russian Federation – 3.8 times. At the same time, the incidence of pneumonia in the child population decreased by 36.4%. Along with the growth of acute forms of respiratory pathology during the COVID-19 pandemic in the Far Eastern Federal District, the level of registered primary morbidity of chronic respiratory diseases decreased: chronic bronchitis (by 22.3%), bronchialasthma (by 20.8%), COPD (by 3, 6%).Conclusion. The negative dynamics of the growth of the registered morbidity of the population can have negative consequences due to the late detection and untimely diagnosis of chronic forms of pathology, including respiratory diseases, their progression and the development of life-threatening complications of the disease and, as a consequence, an increase in mortality from these causes of the population, who did not receive timely and adequate medical assistance.

scholarly journals Dynamics of morbidity of the population with respiratory diseases in the pandemic COVID-19 period in the Far Eastern Federal District

2021 ◽  
pp. 8-18
Author(s):  
V. P. Kolosov ◽  
L. G. Manakov ◽  
E. V. Polyanskaya ◽  
J. M. Perelman
Keyword(s):  
Viral Infection ◽  
Russian Federation ◽  
Respiratory System ◽  
Respiratory Diseases ◽  
Adult Population ◽  
Federal District ◽  
Respiratory Viral Infection ◽  
Icd 10 ◽  
The Russian Federation ◽  
Far Eastern

Introduction. Currently, COVID-19, which is rapidly spreading around the world in the form of a pandemic, is a serious public health problem that poses a significant epidemiological and medico-social threat to the population and its quality of life, and affects all spheres of public life and economy. Aim. To assess the degree of influence of the pandemic of the new respiratory viral infection COVID-19 on the level of registered primary morbidity by classes of diseases, including the class "Diseases of the respiratory system" in the territory of the Far Eastern Federal District.Materials and methods. To implement the tasks of the study, a complex of analytical, epidemiological and statistical studies was carried out. Methods used: epidemiological analysis and monitoring, statistical, comparative and correlation analysis and methods for analyzing time series. Epidemiological and statistical assessment of the incidence of the population was carried out on the basis of ICD-10 according to the data of the state statistical monitoring of the incidence of the population of the Russian Federation for 2019-2020 using the database of the Ministry of Health of the Russian Federation, the Central Research Institute of Organization and Informatization of Healthcare of the Ministry of Health of the Russian Federation.Results. The pandemic of the new respiratory viral infection COVID-19 significantly changed the dynamics of the registered morbidity in the adult population, which dropped sharply in all ICD-10 classes, most intensively in the classes "Diseases of the endocrine system" (by 27.8%), "Diseases of the blood and hematopoietic organs" (by 22.6%), "Neoplasms" (by 21.1%), "Diseases of the circulatory system" (by 18.5%), with the exception of the class "Diseases of the respiratory system", the level of primary morbidity for which in the territory of the Far Eastern Federal District in 2020 increased by 23.9%. The most common and severe clinical manifestation of COVID-19 is bilateral pneumonia, the incidence of which among the adult population in the Far Eastern Federal District increased 2.7 times, and in the territory of the Russian Federation – 3.8 times. At the same time, the incidence of pneumonia in the child population decreased by 36.4%. Along with the growth of acute forms of respiratory pathology during the COVID-19 pandemic in the Far Eastern Federal District, the level of registered primary morbidity of chronic respiratory diseases decreased: chronic bronchitis (by 22.3%), bronchialasthma (by 20.8%), COPD (by 3, 6%).Conclusion. The negative dynamics of the growth of the registered morbidity of the population can have negative consequences due to the late detection and untimely diagnosis of chronic forms of pathology, including respiratory diseases, their progression and the development of life-threatening complications of the disease and, as a consequence, an increase in mortality from these causes of the population, who did not receive timely and adequate medical assistance.

scholarly journals The morbidity, disability, and mortality associated with respiratory diseases in the Russian Federation (2015 – 2019)

2021 ◽  
Vol 31 (5) ◽  
pp. 551-561
Author(s):  
Elena V. Bystritskaya ◽  
Tatiana N. Bilichenko
Keyword(s):  
Mortality Rate ◽  
Russian Federation ◽  
Respiratory Diseases ◽  
Maximum Level ◽  
Federal State ◽  
Female Population ◽  
Working Age ◽  
The Russian Federation ◽  
Working Age Population ◽  
Far Eastern

Respiratory diseases (RD) represent one of the most urgent issues in Russian health care and have high socio-economic significance.The aim. To study the dynamics of total morbidity and mortality in the Russian Federation, as well as the mortality associated with RD in the working-age population in 2015 – 2019.Methods. The official statistical data of the Ministry of Health of the Russian Federation and the Federal State Statistics Service were analyzed.Results. In 2019, the total RD-associated morbidity increased by 5.4%, and the prevalence of pneumonia increased by 29.0% compared to 2015. In 5 federal districts (FD), the morbidity exceeded the average Russian morbidity in 2019 (40,694.7). The maximum level was observed in the North-Western FD (50,224.1). The prevalence of pneumonia (Russia – 524.4) in 4 FDs exceeded the average Russian prevalence. The maximum level was reported in the Far Eastern FD (749.2 cases per 100 thousand of the total population). The RD-associated mortality rate in Russia was 51.8 cases per 100 thousand in 2015 and 41.6 cases per 100 thousand in 2018 (–19.7%). In 2018, the highest RD-associated mortality was observed in the Siberian FD (68.0) and Far Eastern FD (57.8 per 100 thousand people). From January to December 2019, the highest mortality associated with pneumonia in the working-age population was observed in the Far Eastern FD (28.2 per 100 thousand people). The RD-associated mortality rate in the male population was 4.2 times higher than in the female population (26.7 and 6.3, respectively, per 100 thousand persons of matching age).Conclusion. The highest morbidity was found in 2018 and 2019 in the Northwestern FD and Far Eastern FD. The RD-associated mortality in the Siberian FD and Far Eastern FD exceeded the average Russian values. This last observation requires additional research to improve the quality of medical care.

scholarly journals First experience using telemedicine technologies in ophthalmology of the Far Eastern Federal District of the Russian Federation

2021 ◽  
pp. 57-63
Author(s):  
O.V. Kolenko ◽  
◽  
M.V. Pshenichnov ◽  
E.L. Sorokin ◽  
M.G. Grekov ◽  
...  
Keyword(s):  
Russian Federation ◽  
Federal District ◽  
State Institution ◽  
Federal State ◽  
Knowledge Transmission ◽  
High Demand ◽  
National Medical ◽  
Key Words Telemedicine ◽  
The Russian Federation ◽  
Far Eastern

Purpose. Evaluation of the first experience in organizing systematic telemedicine consultations/conciliums between the national medical research center and medical organizations in the territory of the Far Eastern Federal District (FEFD) of the Russian Federation. Material and methods. The analysis of organizational and technical difficulties in creating of stable system of planned and unscheduled telecommunication events between the Khabarovsk branch of the Fyodorov Eye Microsurgery Federal State Institution (Khabarovsk branch) and assigned to it medical organizations of the 3rd level, providing ophthalmological care for patients from 8 administrative territories of the FEFD. Results. Organizational and methodological department was created in the Khabarovsk branch, which clarified and eliminated the factors that impeded of telemedicine consultations/conciliums for ophthalmologists of medical organizations of the 3rd level; a set of organizational measures was taken to register these medical organizations in the Federal Register of Medical Organizations, in the Unified State Information System in the Field of Healthcare; the equipment necessary for communication was purchased and technically prepared; methodological assistance was provided in setting up equipment in the regions, including on-site visits; backup connections of several providers have been created; an algorithm for preliminary notification of regional ophthalmologists about the knowledge transmission has been worked out; an organizational algorithm for forming a request for telemedicine consultations has been tested. For 2019–2020 the Khabarovsk branch conducted 32 knowledge transmissions, 560 telemedicine consultations on patients living in the FEFD. Conclusion. The introduction into the daily clinical ophthalmologists practice in the FEFD of system of periodic telecommunication events between the Khabarovsk branch and assigned medical organizations of the 3rd level after the elimination of organizational and technical difficulties showed a high demand, allowing consultations on patient management in accordance with modern standards of ophthalmological care. Key words: telemedicine, teleophthalmology, Far Eastern Federal District, knowledge transmission, telemedicine consultations

Evaluating the efficiency of the environmental security policy in the Russian regions

2020 ◽  
Vol 19 (4) ◽  
pp. 633-649
Author(s):  
G.T. Shkiperova ◽  
P.V. Druzhinin
Keyword(s):  
Environmental Policy ◽  
Russian Federation ◽  
Security Policy ◽  
Quantitative Methods ◽  
Federal District ◽  
Environmental Security ◽  
Environmental Indicators ◽  
Federal State ◽  
Environmental Situation ◽  
The Russian Federation

Subject. Considering the existing environmental situation, it becomes especially important for the State to regulate the anthropogenic footprint on the environment in the Russian Federation. Current amendments to the legislative framework for environmental security are intended to ensure the innovative development of regions concurrently with a reduction in adverse environmental effects and more active environmental policy. Objectives. The research is to devise methodological tools to evaluate the efficiency of environmental policy in regions. Methods. The research employs qualitative and quantitative methods of economic analysis, including statistical and content analysis, rating, matrix zoning. The dataset proceeds from the Federal State Statistics Service, governmental reports on the current environmental situation and environmental protection in the Russian Federation. Results. We propose our own approach to evaluating the efficiency of environmental policy. It may help trace the correlation between the quality of strategic documents and changes in environmental indicators for a certain period, flag the challenging areas in terms of the environmental policy implementation and outline possible development paths. The approach extends the list of quantification indicators in line with those ones adopted internationally and presented in the Environmental Security Strategy of the Russian Federation up to 2025. We evaluated the efficiency of the environmental policy referring to the regions of the Northwestern Federal District for the period from 2012–2016. Conclusions. Having analyzed the evaluation results, most of the Northwestern regions tend to be controversial and ambivalent in setting environmental goals and achieving them. The findings may prove useful as the analytical and data basis for articulating the environmental and economic policy of the regions.

scholarly journals Diagnostics of Inequality in the Social Sphere of the Far Eastern Regions of the Russian Federation

2021 ◽  
Vol 8 (1) ◽  
pp. 56-67
Author(s):  
Lyudmila Kovalchuk ◽  
Keyword(s):  
Social Development ◽  
Russian Federation ◽  
Federal District ◽  
Social Sphere ◽  
Interregional Interaction ◽  
The Social ◽  
The Russian Federation ◽  
The Republic ◽  
Far Eastern ◽  
Negative Phenomena

The expansion of the borders of the Far Eastern Federal District due to the inclusion of the Trans-Baikal Territory and the Republic of Buryatia in its composition actualizes the problem of inequality of regions (primarily in the social sphere), which in the new boundaries of the macroregion has significantly increased and has acquired a «supernormal» character. It has been established that the lag of the «new» Far Eastern subjects in the level of social development is accompanied by an increase in negative phenomena in the social sphere. The necessity of implementing a set of measures to form a «corridor of opportunities» that regions can use, including within the framework of interregional interaction within the Far Eastern Federal District, has been substantiated

The first human heart transplant in the Far Eastern Federal District of the Russian Federation

2019 ◽  
pp. 28-31
Author(s):  
P.I. Zakharov ◽  
M.E. Okhlopkov ◽  
N.V. Luginov ◽  
A.I. Vasilyev ◽  
P.P. Portnyagin ◽  
...  
Keyword(s):  
Russian Federation ◽  
Heart Transplant ◽  
Human Heart ◽  
Federal District ◽  
The Russian Federation ◽  
Far Eastern

A hectare of development and opportunities

2021 ◽  
Author(s):  
V.N. Shelomentsev
Keyword(s):  
Economic Development ◽  
Russian Federation ◽  
Federal District ◽  
Legal Framework ◽  
The Arctic ◽  
Arctic Zone ◽  
Municipal Ownership ◽  
Socio Economic Development ◽  
The Russian Federation ◽  
Far Eastern

The article analyzes the regulatory and legal framework for the implementation of the program providing citizens with land plots from the state or municipal ownership and located in the territories of the subjects of the Russian Federation, as well as in the Far Eastern Federal District, or included in the program "Socio-economic development of the Arctic zone of the Russian Federation".

Forms of the local community functioning in the framework of territorial self-government on the territory of municipalities of the Russian Federation

2021 ◽  
Vol 27 (1) ◽  
pp. 34-42
Author(s):  
E. Bulakh ◽  
◽  
T. Leonenko ◽  
V. Tsoy ◽  
◽  
...  
Keyword(s):  
Organizational Structure ◽  
Russian Federation ◽  
Local Community ◽  
Federal District ◽  
Self Organization ◽  
Scientific Interest ◽  
Community Functioning ◽  
Special Scientific ◽  
The Russian Federation ◽  
Far Eastern

This article focuses on the study of territorial self-government as one of the most relevant forms of the local community functioning. A special scientific interest in it is due to its exceptional ability for self-organization, which makes it possible to realize the potential of citizens in solving local issues. The authors present an analysis of two main trends in the formation of the TSG system and structure - administrative and initiative - and their organizational potential. The study of the organizational structure of territorial self-government and the forms of its implementation reveals a number of specific features of TSG. Particular attention in the article is paid to the analysis of the TSG of the Far Eastern Federal District, the problems of the functioning of this form of self-organization and the prospects for development

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