Definition of the Level of Budget Balance in the Large and Medium Cities of the North-West Federal District by Cluster Analysis Methods

2017 ◽  
Vol 34 (2) ◽  
Author(s):  
Maria Ivanova ◽  
Tatiana Kudryashova ◽  
Alexander Pikovskiy
Keyword(s):  
Cluster Analysis ◽  
Federal District ◽  
Budget Balance ◽  
North West ◽  
The North ◽  
Analysis Methods ◽  
Definition Of

scholarly journals Current EpidemiologicaL Situation on Tularemia in the Northwestern Federal District of Russia

2016 ◽  
Vol 15 (5) ◽  
pp. 14-23 ◽  
Author(s):  
T. N. Demidova ◽  
V. P. Popov ◽  
D. S. Orlov ◽  
T. V. Mikhaylova ◽  
I. S. Meshcheryakova
Keyword(s):  
Federal District ◽  
Human Infection ◽  
North West ◽  
The North ◽  
Natural Foci ◽  
Selection Of Cultures ◽  
Federal Districts ◽  
Epizootic Process ◽  
Definition Of ◽  
Epidemiological Situation

Relevance. In Russia every year are registred 100 or more cases of tularemia, with about 70% of them in the Central, Northwest and Siberian federal districts. Goal. Assessment of the current epidemiological situation on tularemia in the North-West Federal district (NWFD). Materials and methods. By means of a MapInfo Professional-10,5 GIS-package information on selection of cultures of the activator of a tularemia and the recorded incidence was transformed to the database on the basis of which GIS layers were created. Definition of geographical coordinates of places of isolation of cultures of a tulyaremiyny microbe from biological objects in the territory of the NWFD is carried out by means of the GoogleEarth program. Results. In 2001 - 2015 in NWFD incidence observed in all regions of the district, except Novgorod and Pskov regions. But the analysis of incidence of a tularemia allowed to reveal the sick people who infected in the territory of these regions that means there regions is endemic of tularemia. There remains a strong tendency to increase the incidence of tularemia urban population.The lack of permanent monitoring of natural eyes of tularemia in some regions of the district, does not allow to trace the development of epizootic process and to assess the intensity and magnitude of epizootics. As a result, activation of natural foci of tularemia is not noted, which increases the risk of human infection in these areas. Conclusions. Insufficient or complete lack of vaccination of people against tularemia living in areas enzootic for this infection may lead to complication of the epidemiological situation.

Pulmonology service staff N orth­Western Federal District in 2015–2019

MedAlliance ◽  
2021 ◽  
Vol 9 (1) ◽  
pp. 91-101
Keyword(s):  
Healthcare System ◽  
Federal District ◽  
Continuous Medical Education ◽  
The State ◽  
Human Potential ◽  
Respiratory Morbidity ◽  
North West ◽  
The North ◽  
Service Staff ◽  
Regional Budgets

Introduction. Prior to detailed review of the North- West Federal District (NWFD) pulmonology service per- formance during the COVID-19 pandemic, it is especial- ly worthwhile to evaluate its human resourcing in the prepandemic period of 2015–2019, since the perfor- mance of pulmonology service largely depends on its staffing, moreover in conditions of restructuring and decreased number of pulmonology bedspace in hospi- tals. Мethods. In the course of the study, the authors have analysed human resourcing data for pulmonology profile within the state healthcare system in NWFD for the period of 2015–2019. The results were statistically processed and data analysis carried out using Micro- soft Office Excel and SPSS software. Results . In the state healthcare system medical institutions of the NWFD throughout 2015–2019, the number of regular pulm- onologists’ positions fluctuated unrhythmically. The number of pulmonologists (MDs) in NWFD grew 0.82% during the period of 2015–2019, for comparison, in the Russian Federation the growth for the same period was 32.08%. The number of operating pulmonology depart- ments remained practically the same, but the number of occupied positions constantly changed. Practically all the pulmonologists in the NWFD have a specialist certi- ficate, but the share of doctors with qualification grade remains insufficient, and is on the decrease. Statistical analysis demonstrated significant positive Pearson cor- relation between the number of pulmonologists and general respiratory incidence (0.74 р=0.04), mortality (0.756 р=0.003), and the number of occupied pulmo- nology bedspace (0.619 р=0.024). Conclusion. Today, pulmonology service human resourcing review is to be conducted taking into account respiratory morbidity and mortality and the need for pulmonology services among the general population. Currently, there is no sci- entifically justified regulatory framework for the deve- lopment of the pulmonology service in NWFD regions, while the work of such services depends very much on the regional budgets and medical services’ tariffs. The development and fast implementation of such compre- hensive measures as salaries’ increase, adequate social support, regular residential and non-residential courses of continuous medical education, professional networ- king, etc. will allow to maintain and holistically develop the human potential of the NWFD pulmonology service.

The role of the accommodation sector in tourism routes of the Russian Federarion

2015 ◽  
Vol 9 (2) ◽  
pp. 14-22 ◽  
Author(s):  
Антон Мосалев ◽  
Anton Mosalev
Keyword(s):  
Corporate Culture ◽  
Far East ◽  
Federal District ◽  
North West ◽  
The North ◽  
Federal Districts ◽  
Accommodation Sector ◽  
High Standards ◽  
The Individual

The Article presents an analysis of the role of the media sector in the structure created by the placement of tourist routes in the subjects of the Russian Federation. The sample size was 6000 routes in all federal districts of Russia. The problem of poor service provided by the hotel services in Russia is one of the major problems hindering the development of domestic tourism. Value for money and sometimes do not match. Part of the situation could have saved the increasing competition with the hotels listed in the international circuit, which created its own rules of corporate culture, high standards of service, clearly defined for each category of hotel (in terms of stardom). However, this does not justify a revision of its marketing strategy of independent hoteliers. It is also important to pay attention to accommodation, similar to hotels and other accommodation facilities. They are also well represented in the tourist market. According to the author, the low level of service in accommodation facilities is determined not so much by the reluctance of management to improve it, as the structure of demand from tourists and tour operators, to create a product. Most of the routes, which include the need to accommodate tourists, implemented on average, in the area the day — two. At the same time, tourists do not stay in accommodation facilities for a long time and continue your route on. This circumstance serves as an incentive to change the quality of services. Moreover, the article stipulates that personal and other accommodations are well represented in the routes of major federal districts like Central, Ural, Siberia, Far East. Accommodation in hotels more common routes in the North- West, Volga, the Crimea and North Caucasian Federal District. Accommodation facilities, in this case, are the operators of the individual passive format services. However, this strategy cannot be used by all players of the hospitality industry in all federal districts. The specificity of the regions and their remoteness from each other, the price level in the field must be limiting conditions in which hoteliers could develop. It is therefore proposed that the need to actively offer ideas own hiking tour operators or actively interact with them, attracting all new, including the unorganized tourist flows.

scholarly journals Experience in consulting with the use of telemedicine technologies in psychiatry and narcology

2019 ◽  
Vol 21 (2) ◽  
pp. 188-190
Author(s):  
V S Skripov ◽  
N V Semenova ◽  
L V Kochorova ◽  
A A Shvedova ◽  
I I Chekhonadsky
Keyword(s):  
Federal District ◽  
Disaster Medicine ◽  
Medical Report ◽  
North West ◽  
The North ◽  
Telemedicine Consultation ◽  
Federal Districts ◽  
Attending Physician ◽  
North Western ◽  
Annual Period

The results of the telemedicine advisory center, organized on the basis of the Bekhterev Psychoneurological Research Institute, for the semi-annual period (from October 2018 to March 2019). The center provides scheduled consultations on the profiles of «psychiatry» and «psychiatry - narcology». Consultations are organized through the circulation of documents in the system developed by the Ministry of Health of Russia and the All-Russian Center for Disaster Medicine «Protection». For half a year of work of the telemedicine center from the subordinate regions (Southern, North-Western, North-Caucasian and Volga federal districts) 76 requests for consultations were received. More than half (57,9%) of patients requiring telemedicine consultation were women. The largest number of requests for telemedicine consultations came in February 2019. It has been established that the Southern Federal District showed the greatest interest in consultations with the use of telemedicine technologies, the number of their requests was 35,5%, and the smallest number of requests came from the North-West Federal District. 88,2% of all complaints were in the «psychiatry» profile, 11,8% - «psychiatry - narcology». 90,9% of women and84.4% of men received counseling on the «psychiatry» profile. 30,2% of requests were returned to doctors for revision, due to the lack of completeness of the documents provided. At the end of the consultation, a medical report is sent to the attending physician, which indicates recommendations for the further management of the patient. Recommendations on the need for additional examinations and the appointment of drug therapy received 52,8% of patients, respectively.

scholarly journals Contemporary problems of professional activity of anesthesiologists-resuscitators

2020 ◽  
Vol 22 (2) ◽  
pp. 149-152
Author(s):  
K. S. Klyukovkin ◽  
L. V. Kochorova ◽  
M. V. Okulov ◽  
S. A. Kozhin
Keyword(s):  
Legal Protection ◽  
Federal District ◽  
Psychological Adaptation ◽  
Medical Personnel ◽  
Medical Specialty ◽  
Professional Activity ◽  
North West ◽  
Professional Activities ◽  
The North ◽  
Medical University

The results of studying the opinions of anesthetists-resuscitators on topical issues of the implementation of their professional activities are presented. A total of 450 doctors were interviewed in St. Petersburg and 450 doctors in other regions of the North-West Federal District. It was found that 68,8% of anesthetists-resuscitators received specialized training in anesthesiology-resuscitation immediately after graduating from a medical university and work by vocation. At the same time, their professional activity is associated with increased workload (about a third of specialists work with workloads of up to80-90 hours a week), including psycho-emotional work (57,4% of respondents experience constant stress, 45,6% have chronic diseases, resulting from professional activities). The main directions of optimizing the conditions of their activity, doctors call both financial (raising wages, equipping with modern medical equipment), and organizational measures (optimizing the balance of work and rest, reducing the load). 61% of doctors working in St. Petersburg would not want to change jobs, in other regions only 27,6% of respondents would not want to change anything, and 15,5% plan to change their medical specialty. Among the positive aspects of their work, doctors unanimously noted the factors of emotional comfort: the ability to help people, a good work team, and a convenient work schedule. Doctors consider tension and fatigue, wage mismatch with the workload, and lack of legal protection as negative sides. Given the high degree of commitment of resuscitation anesthetists to their profession, adaptation to difficult conditions, the main efforts should be directed to measures to attract and retain medical personnel, optimize the required volumes and forms of advanced training, introduce a system of psychological adaptation of specialists to working conditions, development of legal support measures for doctors.

scholarly journals Assessment of Some Indicators of Availability of Dermatovenereologic Aid to the Population of the North-Western Federal District

2019 ◽  
Vol 5 (4) ◽  
pp. 144-151
Author(s):  
N. Ermakova ◽  
Sh. Kharbedia ◽  
D. Zaslavsky
Keyword(s):  
Federal District ◽  
Medical Personnel ◽  
North West ◽  
The North ◽  
North Western

The article is devoted to the assessment of such indicators of the availability of dermatological care as the provision of the population with medical personnel and cots. In 2015–2017, in the North–West Federal District, in comparison with the average Russian indicators, there is a higher provision of doctors with dermatovenereologists and a lower provision with dermatovenereologic beds. The negative dynamics of indicators allows judging about the decrease in the availability of dermatovenereologic aid to the population of the North–Western Federal District.

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