scholarly journals Comprehensive Clinical and Social Research at the Moscow Research Institute of Psychiatry: Translation into Clinical Practice

10.17816/cp95 ◽  
2021 ◽  
Vol 2 (3) ◽  
pp. 45-52
Author(s):  
Alexander B. Shmukler ◽  
Larisa G. Movina ◽  
Oleg O. Papsuev ◽  
Lyudmila I. Salnikova ◽  
Nina G. Shashkova ◽  
...  
Keyword(s):  
Russian Federation ◽  
Psychotic Disorders ◽  
Psychiatric Care ◽  
Medical Rehabilitation ◽  
Community Treatment ◽  
Psychotic Episode ◽  
Organizational Forms ◽  
New Organizational Forms ◽  
The Russian Federation ◽  
Research Institute

The article is devoted to the work of the Moscow Research Institute of Psychiatry to improve psychiatric care for patients with psychotic disorders. An important feature of this work was an integrated approach, in which the clinical picture of the disease was assessed in close connection with the patient's personal and psychological characteristics, social conditions of his life, therapeutic opportunities, rehabilitation potential and organizational structure of care. The article reflects the results of many years of work of the department of outpatient psychiatry and the organization of psychiatric care under the guidance of Professor I.Ya. Gurovich. The results of scientific research carried out by the staff of the institute in a traditional humanistic manner are presented. The translational nature of the research is emphasized by its inextricable link with clinical and social approaches. As a result of many years of work, a concept was developed to provide assistance to various groups of patients, starting with the first manifestations of the disease and ending with cases of long-term chronic disorders with a pronounced level of social maladaptation. As a result, a whole spectrum of new organizational forms of psychiatric care was proposed, such as departments (clinics) of the first psychotic episode, medical rehabilitation departments, assertive community treatment departments, designed for the most difficult patients. These organizational forms were fixed in the regulatory documents of the Ministry of Health and Social Development of the Russian Federation. To date, the above departments have been established in psychiatric institutions in many regions of the Russian Federation. Further development of this area is associated with neurobiological research to identify complex biomarkers of psychotic spectrum disorders. Thus, the research carried out at the present time preserves the tradition of an integrated clinical and social approach to the study of mental disorders. It is shown that an important advantage of this approach is their translational nature.

Age differences in the dynamics of primary incidence of mental disorders in the Russian Federation in 1991–2018

2020 ◽  
pp. 33-40
Author(s):  
A. Yazdovskaya ◽  
N. Demcheva
Keyword(s):  
Health Care ◽  
Mental Disorders ◽  
Health Care Reform ◽  
Age Differences ◽  
Russian Federation ◽  
Psychotic Disorders ◽  
Psychiatric Care ◽  
Psychiatric Service ◽  
Working Age ◽  
The Russian Federation

The purpose of the study was to determine age characteristics in the dynamics of primary incidence of mental disorders in the Russian Federation in 1991–2018. 2 periods of distinct dynamics of indicators related to the primary incidence of mental disorders were distinguished on the basis of analysis of statistical reports: from 1991 to 2004, when the indicators grew rapidly, and from 2005 to 2018, when the indicators decreased. Change in the direction of the indicator dynamics coincided with the beginning of restructuring of the psychiatric service of the Russian Federation in 2005 as part of the health care reform. Age differences in the dynamics of indicators in 2004–2018 with a significant decrease in the primary incidence of the main forms of mental disorders among working-age people (20–59 years) and an increase in the rates of psychotic disorders among children 0–17 years old were noted. The authors of the article came to the conclusion that one of the main reasons for these changes was a decrease in the number of referrals due to problems of stigmatization and insufficient availability of psychiatric care.

EXPERIENCE IN THE IMPLEMENTATION OF TECHNOLOGY OF ASSISTED LIVING OF PERSONS WITH DISABILITIES

2021 ◽  
pp. 12-19
Author(s):  
Natalia Zabelina ◽  
◽  
Ekatherina Korotkova ◽  
Tatiana Fedchenko ◽  
◽  
...  
Keyword(s):  
Russian Federation ◽  
Assisted Living ◽  
Organizational Forms ◽  
Persons With Disabilities ◽  
Foreign Countries ◽  
The Russian Federation

The article discusses the experience of implementing the technology of assisted living of persons with disabilities in foreign countries, as well as in the Russian Federation, its features and organizational forms.

Evolution of organizational forms of integration and cooperation in agro-industrial complex

2021 ◽  
pp. 6-11
Author(s):  
Gennadiy V. Bespakhotniy ◽  
Keyword(s):  
Russian Federation ◽  
Agricultural Policy ◽  
Soviet Period ◽  
Market Reforms ◽  
Organizational Forms ◽  
Industrial Complex ◽  
The Russian Federation

The article examines the features of integration processes in the agro-industrial complex of the Russian Federation at various stages of agricultural policy. The main models of integration and cooperative associations in the Soviet period and in the period of market reforms are analyzed. The forms of integration in modern Russia and the reasons for the insufficient development of cooperative forms are determined. The directions of improving the mechanisms for the development of cooperation and integration are proposed.

OPTIMIZING THE DIAGNOSIS, A MONITORING AND TREATMENT SYSTEM FOR PSORIATIC ARTHRITIS IN REAL PRACTICE: GENERAL PRINCIPLES FOR ORGANIZING AN ALL-RUSSIAN REGISTER OF PATIENTS WITH PSORIATIC ARTHRITIS

2019 ◽  
Vol 57 (4) ◽  
pp. 407-414
Author(s):  
T. V. Korotaeva ◽  
Yu. L. Korsakova ◽  
E. Yu. Loginova ◽  
E. E. Gubar ◽  
A. D. Koltakova ◽  
...  
Keyword(s):  
Psoriatic Arthritis ◽  
Russian Federation ◽  
Treatment Options ◽  
Population Based ◽  
Information Support ◽  
Psychological Status ◽  
The Russian Federation ◽  
Real Practice ◽  
First Time ◽  
Research Institute

The paper presents the design, general characteristics of and possibilities of data usage from the All-Russian register of patients with psoriatic arthritis (PsA).The purpose of creating and introducing the register into Russian healthcare practice is to evaluate the effectiveness of the diagnosis and treatment of PsA. The All-Russian register of PsA patients was created for the period 2016–2018 within the framework of the All-Russian register of patients with arthritis «OREL» on the basis of the V.A. Nasonova Research Institute of Rheumatology and with the support of the All-Russian public organization «Association of Rheumatologists of Russia». This system is an all-Russian population-based register that allows for the recording and monitoring of patients with PsA throughout the follow-up period. This enables healthcare specialists and organizers to obtain reliable information on the state of care for this category of patients in the region.The main purpose of the register is to provide necessary information support and automated technology for solving the problems of accounting, controlling, and monitoring of the status of PsA patients and to organize information interaction between specialists. The register is based on existing state regulatory legal acts. While developing and testing of the register, there were a number of tasks to be solved: to evaluate the efficiency of existing standard and promising targeted PsA therapies in real practice; to assess and improve the routing of patients with PsA. The use of the register allows an operational analysis of the following characteristics: demographic and socioeconomic parameters of patients with PsA; anamnestic data of patients with this condition; results of clinical examinations, instrumental and laboratory data.The geography of the register covers 27 regions of the Russian Federation; the register includes information on 460 patients with PsA.Creating a register permits one to track the dynamics of various parameters (social, demographic, and medical ones), to compare treatment options and the clinical and functional characteristics of patients with PsA, and to evaluate their performance, disability and changes in the social and labor status during the treatment performed. Thus, for the first time in the Russian Federation, the demographic, functional, and socioeconomic parameters of patients with PsA were comprehensively analyzed and the level of performance and impaired daily activities in PsA patients were studied using the WPAI questionnaire; moreover, the patients’ functional and psychological status was evaluated for the first time, by applying the PsAID-12, FACIT questionnaires (in the patients of the V.A. Nasonova Research Institute of Rheumatology).An analysis of the information available in the register makes it possible to compare the efficiency of different PsA treatment regimens, by estimating the rates of remission and/or minimal disease activity in real practice.

scholarly journals Scientist, mentor, teacher (for the 90th anniversary of Aleksandr Solomonovich Mikhlin’s birth) [16.02.1930–30.10.2007]

2019 ◽  
Vol 1 (3) ◽  
pp. 212-219
Author(s):  
Vyacheslav Seliverstov
Keyword(s):  
Russian Federation ◽  
Criminal Law ◽  
Scientific Research Institute ◽  
Public Order ◽  
Legal Adviser ◽  
90Th Anniversary ◽  
Penal Law ◽  
The Russian Federation ◽  
Union Scientific Research Institute ◽  
Research Institute

This article is dedicated to the memory of ScD (Law), Professor, Honored scientist of the RSFSR Aleksandr Solomonovich Mikhlin and to the 90th anniversary of his birth. Aleksandr Solomonovich Mikhlin was born in Moscow on February 16, 1930. In 1951, he graduated from the Moscow law Institute, after which he worked as a legal adviser in the system of the Ministry of Railways. In 1954, he entered the full-time postgraduate course of the All-Union Institute of Legal Sciences of the Ministry of Justice of the USSR. In 1959, he defended his PhD thesis on the topic “Consequences of crime in Soviet criminal law” (under the scientific supervision of a well-known scientist in the field of criminal and correctional labor law, ScD (Law), Professor B. S. Utevskiy). After the defense, he worked for some time as a legal adviser, and in 1962–1965 as a scientific Secretary of the Research Institute of Technology and Chemistry. In 1965 he joined the All-Union Scientific-Research Institute of public order protection at the Ministry of public order of the RSFSR, which later was reorganized into All-Union Scientific Research Institute of the MIA of the USSR (all-Russian Research Institute of the MIA of Russia), where he worked the rest of his life. Since the end of the 60s (with the participation and also under the leadership of A. S. Mikhlin) for 30 years (in 1970, 1975, 1979, 1989, 1994, 1999) the work to prepare and conduct special censuses of convicts was carried out. A huge amount of unique information was obtained on persons sentenced to various punishments, as well as on suspects and accused for committing crimes in custody. Based on the materials of a special census in the late 60s, A. S. Mikhlin began working on his ScD thesis, which was defended in 1974 on the topic “The Identity of convicts sentenced to imprisonment and the problems of their correction and re-education”. After 1997 A. S. Mikhlin became involved in interpretation and explanation of newly adopted legal acts. Under his scientific supervision and direct participation, scientific and practical comments of the Criminal Code of the Russian Federation, the Penal Code of the Russian Federation, the Federal law on detention of suspects and accused for committing crimes, and the Criminal Procedure Code of the Russian Federation were prepared and published. Thematic judicial collections of current decisions of the Plenums of the Supreme Courts of the USSR, the RSFSR, and the Russian Federation, as well as textbooks on criminal law, penal law, and criminal procedure, were very popular. Three editions of the monograph on the death penalty were also published (in Moscow in 1997 and 2000, and in London in 1999, in English). In total, Professor A. S. Mikhlin published more than 550 scientific papers, more than 1000 printed pages, including more than 100 monographs, textbooks, commentaries, manuals on criminal and correctional labor (penal) law in various publications in Russia, the former Soviet Union Republics, as well as in the United States, Great Britain, Canada, Belgium, Romania, Czechoslovakia, Hungary, Germany, and Bulgaria.

scholarly journals An assessment of the effectiveness of the search for unrelated hematopoietic stem cell donors for russian patients in the registry of Kirov Research Institute of Hematology and Blood Transfusion, Federal Medical and Biological Agency of Russia

2020 ◽  
Vol 19 (2) ◽  
pp. 160-164
Author(s):  
M. A. Loginova ◽  
I. V. Paramonov
Keyword(s):  
Stem Cell ◽  
Blood Transfusion ◽  
Hematopoietic Stem Cell ◽  
Russian Federation ◽  
Ethics Committee ◽  
Hematopoietic Stem ◽  
High Concordance ◽  
The Russian Federation ◽  
Matched Donor ◽  
Research Institute

We assessed the effectiveness of the registry of Kirov Research Institute of Hematology and Blood Transfusion, Federal Medical and Biological Agency of Russia, with a total of 35,117 hematopoietic stem cell donors recruited in 22 regions of the Russian Federation (as of 01 January 2019). It was established that a relatively small registry would be sufficient to find at least one fully matched donor for 43% of Russian patients. The sufficient representativeness of this hematopoietic stem cell donor registry is confirmed by the high concordance of established HLA haplotype profiles between the population of donors and the cohort of patients for whom a search of a matching donor was performed. This study was approved by the Independent Ethics Committee and Scientific Council of Kirov Research Institute of Hematology and Blood Transfusion, FMBA of Russia.

scholarly journals The modern state of specialized psychiatric service for the population of the Moscow region

2019 ◽  
Vol 100 (2) ◽  
pp. 310-316
Author(s):  
I A Poslavskaya
Keyword(s):  
Russian Federation ◽  
Psychiatric Service ◽  
Outpatient Service ◽  
Psychiatric Hospitals ◽  
Medical Rehabilitation ◽  
Moscow Region ◽  
Annual Reports ◽  
Number Of Patients ◽  
The Russian Federation ◽  
Day Hospitals

Aim. To perform the analysis of psychiatric service of the Moscow region and to determine the basic targerts to improve the availability of psychiatric service for the population of the Moscow region. Methods. The study included the methods of retrospective statistical observation based on the data from the official statistical forms of annual reports (forms №14, №30, №36) of psychiatric institutions of the Moscow region in 2013-2017. Results. The Moscow region is a territory of sustainable social economic development. In terms of fertility it takes the 1st place among the subjects of the Central Federal district, and 27th place in the Russian Federation. Specialized psychiatric care for the population of the Moscow region is provided in neuropsychiatric dispensaries, hospitals, day hospitals of psychiatric clinics, based on three principles: a differentiated approach to assist different patient cohorts, stepwise and continuity of care at different stages. Despite the restructuring of the psychiatric service and the widespread reduction of the number of beds in the Russian Federation, bed capacity of psychiatric hospitals in the Moscow Region remains at the same level, although there has been a negative dynamics in the work of the hospital bed from 354.3 days in 2013 to 329 in 2017. At the same time, the efficiency of day hospitals has increased: the length of stay of patients in the day hospital has decreased from 51 in 2013 to 39 days in 2017, the day bed turnover rate has increased from 5.5 to 5.9. In five years, the number of patients discharged from day hospitals has increased: 2 200 in 2013 and 2 521 in 2017. In the outpatient service there is a steady decrease in the number of dispensary patients (decreased from 71 413 to 69 364 in 5 years), and vice versa, the number of patients provided with counseling and treatment increased from 79 023 to 93 697. The number of diseases-related visits to a psychiatrist is decreasing. In 2013, 781 243 disease-caused and home visits occured, in 2017 - 496 540. Conclusion. The results of the conducted study indicate both positive tendencies and negative sides of psychiatric service for the population of the Moscow region, which should be taken into account when planning reorganization and optimization of functioning of psychiatric service in the modern conditions: increased number of day beds, establishing medical rehabilitation departments, reduction of inefficient hospital beds.

scholarly journals Environment and women's reproductive health

2005 ◽  
Vol 54 (1) ◽  
pp. 5-6
Author(s):  
Eduard K. Ailamazyan
Keyword(s):  
Reproductive Health ◽  
Russian Federation ◽  
Scientific Research ◽  
Scientific Research Institute ◽  
Obstetrics And Gynecology ◽  
Ministry Of Health ◽  
The Russian Federation ◽  
Women’S Reproductive Health ◽  
Women's Reproductive Health ◽  
Research Institute

For more than 40 years Scientific Research Institute of Obstetrics and Gynecology named after V.I. D.O. Otta RAMS is the leading institution for the problem "Ecology and reproductive health of women" of the Scientific Council (NS) for Obstetrics and Gynecology of the RAMS and the Ministry of Health of the Russian Federation (M3 RF)

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