Oncological Morbidity of Children in the Arkhangelsk Region and the Nenets Autonomous District: An Ecological Study

2019 ◽  
Vol 6 (2) ◽  
pp. 70-79
Author(s):  
Ivan A. Turabov ◽  
Alexander V. Kudryavtsev ◽  
Maxim Yu. Rykov ◽  
Anton A. Karpunov ◽  
Anna S. Ulanova
Keyword(s):  
Russian Federation ◽  
Annual Incidence ◽  
Malignant Neoplasms ◽  
Age Group ◽  
Autonomous District ◽  
Arkhangelsk Region ◽  
Average Annual Incidence ◽  
Group 15 ◽  
The Russian Federation ◽  
Nenets Autonomous

Background. The study of oncological morbidity in children, as well as the characteristics of its structure and the analysis of temporal trends within the subject of the Russian Federation is aimed at improving the organization of medical care: increasing early diagnosis, reliability of static data, and optimizing patient routing. Objective. Our aim was to analyze the incidence and its structure in children (0–17 years old) who lived in the Arkhangelsk Region and the Nenets Autonomous District in 2007–2016. Methods. The analysis of the incidence of malignant neoplasms of the child population in the Arkhangelsk region and the Nenets Autonomous District was carried out. Results. During the study period, the diagnosis of cancer was first established in 329 (including 6 patients from other subjects of the Russian Federation children (boys — 177, girls — 146) at the age of 0–17 years, of which 260 children at the age of 0–14 years and 63 — at the age of 15–17 years. The average annual incidence of children over 10 years was 14.3: for the age group 0–14 years old — 13.8, for the age group 15–17 years old — 16.6. During the analyzed period, there were significant fluctuations in annual incidence rates (minimum — 9.8 in 2010; maximum — 16.8 in 2009). The average annual incidence in the age group 15–17 years (16.6) was 18% higher than in the age group 0–14 years (14). The morbidity structure was characterized by some predominance of solid tumors (51.7%) over hemoblastosis (48.3%), and in the group of 0–14 years this ratio was 54.6/45.4%, in the group of 15–17 years — 50, 9/49.1%. Conclusion. In the analyzed subjects in recent years there has been practically no increase in the incidence in children. The incidence in the age group 15–17 years is slightly higher than in the age group 0–14 years. Changes in the morbidity structure are noted, mainly due to a decrease in the proportion of lymphomas.

scholarly journals Medical care for children with cancer in the Central Federal District

2018 ◽  
Vol 63 (6) ◽  
pp. 75-82 ◽  
Author(s):  
M. Yu. Rykov
Keyword(s):  
Medical Care ◽  
Russian Federation ◽  
Pediatric Oncology ◽  
Conflict Of Interest ◽  
Federal District ◽  
Malignant Neoplasms ◽  
Age Group ◽  
Children With Cancer ◽  
Central Federal District ◽  
The Russian Federation

Relevance. Statistical indicators are the basis for planning of the organization of medical care for children with cancer, as well as analysis of the effectiveness of medical care. Materials and methods. The authors have analyzed operational reports for 2017 of the executive authorities in the field of health care of 18 objects of the Russian Federation being part of the Central Federal District. Results. There 9 pediatric oncology departments, there are 464 children’s oncological beds, the bed occupancy per yearis 319.3. There are 91 doctors providing medical care to children with cancer, 64 (70.3%) of the doctors have a certificate of pediatric oncologist. In 11 subjects there are no Departments for Pediatric Oncology. There are 821 primary patients with malignant neoplasms. There are 156 deceased patients, 66 of them were diagnosed in 2017. 52 (6.3%) patients are revealed actively. There were 12 (per 100 thousand for the age group of 0–17 years) cases of incidence of malignant neoplasms, mortality is 2.3 (per 100 thousand for the age group of 0–17 years), one-year mortality is 8%. The average time taken to diagnose and to verify the diagnosis before the beginning of treatment remains unknown. Conclusion. Operational reports contain non-matching indicators, thus, the information is not completely reliable. Incidence rates are significantly lower than those in countries with high reliability of statistical data. The percentage of patients identified actively remains extremely low. In order to eliminate the noted defects, it is necessary to introduce a single database of children with cancer in the Russian Federation.Conflict of interest: The author of this article confirmed the lack of conflict of interest and financial support, which should be reported.

Analysis of Medical Care for Children with Cancer in the Central Federal District in 2017: Ecological Study

2018 ◽  
Vol 5 (2) ◽  
pp. 81-90 ◽  
Author(s):  
Maxim Yu. Rykov
Keyword(s):  
Mortality Rate ◽  
Medical Care ◽  
Russian Federation ◽  
Care Delivery ◽  
Federal District ◽  
Malignant Neoplasms ◽  
Age Group ◽  
Children With Cancer ◽  
Central Federal District ◽  
The Russian Federation

Background. Planning the management for medical care delivery for children with cancer, as well as analysis of the effectiveness of medical care delivery is based on the statistical indicators analysis.Objective. Our aim was to analyze the main indicators characterizing medical care delivery for children with cancer in the Central Federal District.Methods. The operative reports for 2017 provided by the executive health protection authorities of 18 subjects of the Russian Federation that are part of the Central Federal District have been analyzed.Results. The study enrolled the following data: number of children was 6 824 049 (0–17 years), pediatric oncological departments — 9, pediatric oncological beds — 464, days of berth employment per year — 319.3. The number of practitioners providing medical care to children with cancer was 91, 64 (70.3%) of them had a certificate of training as a pediatric oncologist. In 11 subjects, the department of pediatric oncology was not available; one of the districts did not provide any pediatric oncological beds. The number of primary patients with malignant neoplasms was 821. The number of deceased patients was 156 including 66 identified in 2017. The incidence of malignant tumors was 12 (per 100 000 for the 0–17 age group), the mortality rate was 2.3 (per 100 thousand for the age group 0–17 years), one-year mortality rate — 8%. We failed to reveal the average time from diagnosis establishing till its validation before the treatment onset since the reports did not provide precise information on the point. 12 (1.5%) primary patients left for treatment abroad.Conclusion. Most reports included indicators which lack congruity with one another. The incidence rates were significantly lower than those in countries with high statistical reliability. The percentage of patients identified actively remained extremely low. To improve the revealed defects a single database of children with oncological diseases should be implemented in the Russian Federation.

scholarly journals The Nenets Autonomous Okrug in the system of Russian federalism: an ethno-sociological investigation

2021 ◽  
Vol 20 (4) ◽  
pp. 568-578
Author(s):  
Vladimir Yu. Zorin ◽  
Mikhail S. Kamenskikh
Keyword(s):  
Public Opinion ◽  
Russian Federation ◽  
Regional Integration ◽  
Opinion Leaders ◽  
Sociological Study ◽  
Arkhangelsk Region ◽  
Depth Interview ◽  
The Russian Federation ◽  
Expert Community ◽  
Nenets Autonomous

The article is devoted to the analysis of trends in the development of modern Russian federalism, against the background the discussions about a possible merger of the Nenets Autonomous Okrug (NAO) and the Arkhangelsk Region. These discussions caused mass protests among the residents of the Nenets Autonomous Okrug. In 1993, the NAO was proclaimed as an equal subject of the Russian Federation. However, the Okrugs historical dependence on the Arkhangelsk Region in terms of transport and energy caused difficult relations between the two regions over the past 30 years. In this regard, the situation in the Okrug is of interest from the standpoint of analyzing trends in the development of Russian federalism. In 2020, the situation around the NAO and the Arkhangelsk Region came back on the agenda after the announcement of the upcoming merger of the subjects. Mass protests, and the refusal of the majority of the district's population to support the amendments to the Constitution of the Russian Federation, suspended the process of regional integration. The main source of the study are data won from an ethno-sociological study conducted in the district in 2020. The study included questionnaires, focus groups and in-depth interview recordings. The material shows that despite the decision, the population of the district and public opinion leaders find an integration of the district and the Arkhangelsk region into one subject inacceptable. Moreover, the idea is perceived by many people as a threat, an attempt to conquer, invade. The participants of the survey give a negative assessment of the actions of the Arkhangelsk region authorities and support representatives of the district authorities that are against the integration. At the same time, the residents of the Okrug share the values of civil Russian identity and are ready to dialogue and compromises. The authors suppose that now it is essential to develop a flexible strategy and take into consideration the situation that has emerged recently. In the short term, it is necessary to involve broad strata of public opinion leaders in discussion and cooperation, study their sentiments, and take their position into account when studying the feasibility of new regions. It is necessary to involve the expert community in the development of the strategy.

Malignant mesothelioma in the Russian Federation

2020 ◽  
pp. 646-646
Author(s):  
E. V. Kovalevskiy ◽  
S. V. Kashanskiy ◽  
I. M. Tskhomariia
Keyword(s):  
Malignant Mesothelioma ◽  
Russian Federation ◽  
Preventive Measures ◽  
Convincing Evidence ◽  
Malignant Neoplasms ◽  
Asbestos Fibers ◽  
The Russian Federation

One of the malignant neoplasms, which is associated with exposure to only one factor - asbestos fibers, is malignant mesothelioma. At the same time, today there is already convincing evidence of its polyetiology. This indicates the urgent need to expand research in this direction in order to develop targeted preventive measures.

Religious tourism as a component of the Arkhangelsk region branding.

2021 ◽  
Author(s):  
Olga A. Balabeikina ◽  
◽  
Karine S. Gavrilova ◽  
Julia A. Kuznetsova ◽  
◽  
...  
Keyword(s):  
Russian Federation ◽  
Limiting Factor ◽  
Arkhangelsk Region ◽  
Brand Development ◽  
Perception System ◽  
Religious Tourism ◽  
Northern Regions ◽  
Recreational Services ◽  
The Russian Federation ◽  
Cultural Heritage Objects

By the example of the Arkhangelsk region, the process of religious tourism development on the northern Russian subjects territory in the dynamics of the post-Soviet decades, is analyzed. The northern regions of the country are far from its main economic centers, which is not only a limiting factor, but also a competitive advantage for the development of niche types of tourism, which is determined by the creation and implementation of variety of tourist products that are competitive and generate stable demand. In modern conditions, a competent and consistent tourist brand development of the territory is necessary for the successful recreational services promotion on the market. The main purpose of the submitted research is to identify the religious tourism role in the tourist branding of the Arkhangelsk region.The Arkhangelsk region is a region of ancient development and settlement, characterized by a large number of Orthodox religious infrastructure objects. To identify the degree of its placement uniformity, calculations of territorial concentration coefficient were made. By results, the conclusion is justified that Orthodox chapels, temples and monasteries are dispersed and, accordingly, several administrative districts of the region are allocated, acting as the core of the development of Orthodox religious tourism. The list and structure analysis results of the already approved and announced routes of religious tourism in the Arkhangelsk region allow us to assert that the designated sub-sector of recreational economy contributes to the development of local folk crafts, individual entrepreneurship, the preservation and historical and cultural heritage objects revival, as well as the preservation of settlements remote from large centers. The arguments are given in favor of the fact that religious tourism occupies an essential place in the tourist branding of the Russian Federation studied subject. This is confirmed by the results of a survey specially developed and conducted by the authors, which was carried out in order to identify the importance of Orthodox religious infrastructure objects in the Arkhangelsk region perception system among the population of the Russian Federation. The main effective conclusion based on the article results is that the role of religious tourism in the tourist branding of the Russian Federation studied subject is undeniably high, and the further development and improvement of the Arkhangelsk region tourist brand can be largely associated with religious tourism in the organization of a systematic approach to the use of marketing tools.

scholarly journals Value orientations of the inhabitants of the Arctic territories of Russia in the intergenerational context (on the example of the Arkhangelsk region)

2021 ◽  
pp. 88-95
Author(s):  
K.O. Malinina ◽  
◽  
T.A. Blynskaia
Keyword(s):  
Economic Development ◽  
Russian Federation ◽  
Value Orientations ◽  
The Arctic ◽  
Special Role ◽  
Arctic Zone ◽  
Value System ◽  
State Management ◽  
Arkhangelsk Region ◽  
The Russian Federation

Discussed is upon the issue of state management of the socio-economic development of the Arctic zone of the Russian Federation. The special role of the Arctic territories in the economic development of our country is noted. The need is indicated to look at the problems of the Russian Arctic from the other side — from the side of human potential, which is one of the driving forces of the economy. The authors present some of the results of a sociological study conducted by them in the Arctic territories of Russia (in particular, in the Arkhangelsk region). The study is devoted to the intergenerational differentiation of value orientations. Its methodological basis, among others, was formed by the scientific views of R. Inglehart and K. Welzel, who believe that the condition that precedes socio-political and economic modernization is the transformation of the value orientations of the majority of the population. The value system, according to scientists, is quite stable within the life of one generation, and therefore, it makes sense to track changes based on the differences between generations. On the basis of the Theory of Generations, a toolkit was developed that makes it possible to identify the parameters of the value system of residents of the Arctic zone of the Russian Federation (AZRF) belonging to different generations. The main method for collecting empirical data was a semi-structured in-depth interview with representatives of the selected generations.

scholarly journals THE DISABILITY OF CITIZEN OF ELDERLY AGE IN THE RUSSIAN FEDERATION

2019 ◽  
Vol 61 (6) ◽  
pp. 292-299
Author(s):  
Marina A. Shurgaya
Keyword(s):  
Social Support ◽  
Health Care ◽  
Russian Federation ◽  
Disabled Persons ◽  
Regional Differentiation ◽  
Malignant Neoplasms ◽  
Urogenital System ◽  
Elderly Age ◽  
Gender Characteristics ◽  
The Russian Federation

During the period of health care reforming, study of a true picture of population health and medical social needs in particular age-gender groups, including elderly age, is a necessary condition for planning development of health care, social support and scientific substantiation of prevention programs. The article presents the results of comparative analysis of indices of disability of main age groups of adult population of the Russian Federation during 2005-2016. The methods of study: documentary, data sampling, statistical and graphic techniques. The volume of study made up to 34,840,933 individuals aged from 18 years and older, recognized as disabled, including disabled persons of elderly age - 12,971,062 individuals. The established characteristics of primary and repeated disability of citizen of elderly age in the Russian Federation (gender characteristics, nosological structure, regional differentiation) are covered that reflect demographic tendencies of aging of population. The dynamics of disability of citizen of elderly age during long term period (2005-2016) testifies alteration of ratio between primary and repeated established cases of disability. In 2005 overwhelming exceeding of primary recognized as disabled persons over repeatedly recognized was marked: 81.2% against 18.9%. In 2016 in total contingent of the examined the disabled persons with repeatedly established disability prevailed: 62.7% against 37.3%. During the period of observation, the level of repeatedly established disability among citizen of elderly age increased up to 74,5% (R2 = 0,546), whereas in contingents of young and middle age is marked a stable tendency to decreasing of value of indicator (R2 = 0,934, R2 = 0,5873 correspondingly). The citizen of elderly age prevails in the structure of disability due to malignant neoplasms, diseases of blood circulation system, diseases of musculoskeletal system and connective tissue, diseases of eye, ear and mastoid bone, diseases of endocrine, nervous and urogenital system. In connection with high invalidation, the elderly category of population is in need of significant medical social support. The development of activities targeted to medical social rehabilitation of citizen of elderly age it is appropriate considering regional differentiation of the subjects in the Russian Federation related to prevalence of disability and also gender characteristics of disability.

scholarly journals THE ECOLOGICAL PROBLEMS OF THE RUSSIAN FEDERATION ARCTIC

2015 ◽  
pp. 148-152 ◽  
Author(s):  
N. L. Mamaeva ◽  
S. A. Petrov
Keyword(s):  
Russian Federation ◽  
Maximum Permissible Concentration ◽  
Surface Concentration ◽  
The Arctic ◽  
Arctic Zone ◽  
Atmospheric Air ◽  
Ecological Problems ◽  
The Russian Federation ◽  
Harmful Substances ◽  
Nenets Autonomous

The results of ecological researches in the Arctic zone of the Russian Federation (Purovski district of Yamal-Nenets Autonomous okrug) are presented. The characteristics of emissions in the atmospheric air in Ustpurovsk-Tazovsk (Samburg) and Purovsk geocreology areas (Tarko-Sale) are considered and also the surface concentration of harmful substances in atmospheric air is predicted. A calculation of dispersion of polluting substances in the atmosphere is made. Based on the obtained results the conclusions were drawn about exceeding of the maximum-permissible concentration in the air.

scholarly journals Economic consequences of mandatory price re-registration for medicines from the high-cost nosology program

2020 ◽  
pp. 27-33
Author(s):  
A. V. Rudakova ◽  
D. T. Ugrekhelidze ◽  
V. A. Krylov
Keyword(s):  
Russian Federation ◽  
Economic Consequences ◽  
Malignant Neoplasms ◽  
Selling Price ◽  
Pricing Policy ◽  
Essential Drug List ◽  
Before And After ◽  
The Russian Federation ◽  
The Government ◽  
Reference Stock

The Government Decree, approved in December 2019, required registration certificates holders of reference drugs, included in the essential drug list (EDL), submit applications for mandatory price re-registration. Drugs included in the high-cost nosology list (high-cost list) must be included in the EDL.Objective: to assess the budget impact of price re-registration for high-cost list drugs.Material and methods. The comparing economic analysis of high-cost nosology program before and after price re-registration based on the Government Decree N 1683 (effective from 16.12.2019). 125 reference stock keeping units (SKUs), included in the high-cost list, were evaluated.Results. The analysis showed, that after re-registration the prices of 66 SKUs will remain the same. The prices of 43 reference SKUs will be reduced after setting a single maximum selling price («equalization»). Prices for 16 SKUs will be reduced due to lower registered prices in the reference countries. Considering the contracts executed in 20192020, the budget of the high-cost program is up to 74.430 billion rubles, and after re-registration it will be equal to 64.162 billion rubles, so the savings will amount 10.267 billion (13.8 %). The main drivers of re-registration prices savings are: Advagraf (1.175 billion rubles), Elizaria (2.083 billion rubles) and Revlimid (2.247 billion rubles). Separately, we analyzed the consequences ofprices re-registration in the V-thgroup ofhigh-cost list, which are provided topatients with malignant neoplasms of lymphoid, hematopoietic and related tissues. It was calculated, that in 2019 the contracts for V-th group of high-cost list were signed for 19.217 billion rubles, and after the price re-registration for the purchase of the same number of drugs 16.762 billion rubles will be spent, so the savings from the price re-registration will amount to 2.455 billion rubles (12.8 %), among which 2.247 billion rubles will be provided by price re-registration of Revlimid.Conclusions. The pricing policy implemented in the Russian Federation is aimed at increasing the availability of highly effective medical care to the population of the Russian Federation and significantly reduces the burden on the budget of the healthcare system.

Sign in / Sign up

Export Citation Format

Share Document