scholarly journals C. difficile toxins A and B from the clinician's viewpoint

2013 ◽  
Vol 18 (6) ◽  
pp. 42-48
Author(s):  
N. M Gyulazyan ◽  
O. F Belaya ◽  
V. A Malov ◽  
S. G Pak

To date, C. difficile is considered as an etiological factor in pseudomembranous colitis and antibiotic-associated diarrhea as well as the main cause of nosocomial diarrhea spread mainly in economically developed countries. The complexity of laboratory and experimental studies of infection is what the microbe cannot be genetically manipulated. At the same time, the most of hospital and municipal laboratories have no the possibility to carry out research on detection C. difficile toxins, that limits the resource of real estimation of the spread of the disease in the Russian Federation.

2020 ◽  
Vol 93 (4) ◽  
pp. 101-108
Author(s):  
I. S. Khvan ◽  

Development institutions are an important modern instrument of government regulation of the economy in all developed countries. The system of development institutions of the Russian Federation includes the federal and regional development institutions. Key federal development institutions include such well-known state corporations as the investment fund of the Russian Federation; the State Corporation "Bank for Development and Foreign Economic Activity (Vnesheconombank)"; the state corporation "Russian Corporation of Nanotechnologies," etc. According to experts of the Ministry of Economic Development of the Russian Federation, about 200 regional development institutions operate on the territory of the constituent entities of the Russian Federation. The objectives of this extensive system of development institutions so far have been to overcome the so-called "market failures," which cannot be optimally realized by the market mechanisms, and to promote the sustained economic growth of a country or an individual region. In November 2020, the Government of the Russian Federation announced the reform of the system of development institutions in the country. The article analyzes the goals and main directions of the announced reform. On the example of the system of development institutions of the Far East, an attempt was made to assess its possible consequences.


2021 ◽  
Vol 100 (6) ◽  
pp. 610-616
Author(s):  
Sergey V. Andronov ◽  
Andrey A. Lobanov ◽  
Irina V. Kobel’kova ◽  
Andrey I. Popov ◽  
Luo Luo ◽  
...  

Introduction. The nutrition of the Nenets in the Arctic zone of Western Siberia is mainly based on traditional products (raw (thermally unprocessed) local fish and venison), which is the most important factor of survival in the Arctic. Storing up food products for an extended period is not relevant for the Nenets. Climate change and industrial development in the Arctic primarily affect the seasonality of consumption. Changing the calendar of fish and venison harvesting leads to greater use of imported and canned local food, increasing the length of the periods when local food completely disappears from the diet of the Nenets. Material and methods. During the expeditions to the national villages of the Yamal-Nenets Autonomous Okrug, cross-sectional screening studies were performed, in which 985 Nenets people took part. Nutritional analysis was conducted using the questionnaire method based on an album of portions and dishes. Retrospective information was collected on the seasonality of consumption of reindeer products and local fisheries (the length of the period when unserved fish and venison are available). Results. The consumption of reindeer and river fishery products is seasonal. The duration of the season of venison consumption was from 150±14.0 to 180±21.0, and raw fish - from 120±14.0 to 200±21.0 days. Despite the high level of consuming reindeer products per season, the average annual consumption of venison by Nenets in the Arctic zone of Western Siberia was 240 g/day/person that is less than in the central regions of the Russian Federation and industrially developed countries. In the studied area, the average annual consumption of fish (171.5 g/day/person) is three times higher than the average consumption in the Russian Federation. However, increased consumption of traditional food is typically only during the season of fishing or slaughtering reindeer. The average annual consumption reduced; during the off-season, the share of easily digestible carbohydrates in the diet increased. Conclusion. The creation of fish and venison stocks in villages and their year-round sale to the population is a necessary step in ensuring the food security of the Nenets people.


Author(s):  
Анна Владимировна Мусалева ◽  
Никита Алексеевич Кубасов

В статье рассмотрен такой инструмент исправления осужденных, как общественно полезный труд, который в Российской Федерации на законодательном уровне признан одним из эффективных инструментов исправления наряду с другими основными средствами исправительного воздействия. В работе в том числе рассматриваются проблемы принудительного труда осужденных. Авторы раскрыли порядок и условия организации привлечения к трудовой деятельности лиц, содержащихся в пенитенциарных учреждениях зарубежных стран. В статье проводится сравнительный анализ особенностей содержания, условий привлечения к труду осужденных в зависимости от вида пенитенциарного учреждения различных государств, организации работы осужденных, а именно оплаты труда, продолжительности трудовой деятельности, норм охраны труда, реализации права на отдых и социального обеспечения. Авторы помимо этого обобщают опыт трудовой дисциплины осужденных в пенитенциарных системах ряда развитых в экономическом и социальном плане государств. Изучая опыт зарубежных стран по привлечению заключенных к труду, представляется возможным перенять некоторые важные особенности, которые могут быть частично внедрены в отечественную уголовно-исполнительную систему. The article considers such a tool for the correction of convicts as socially useful work, which in the Russian Federation at the legislative level is recognized as one of the effective tools of correction along with other basic means of correctional influence. The article also deals with the problems of forced labor of convicts. The authors revealed the procedure and conditions for organizing the employment of persons held in places of forced isolation from the society of penitentiary institutions of foreign countries. The paper provides a comparative analysis of the features of the content, conditions for the employment of prisoners, depending on the type of penitentiary institution in different states, the working methods of prisoners, namely, remuneration, duration of work, labor protection standards, the exercise of the right to rest and social security. The authors also summarize the experience of labor discipline of prisoners in the penitentiary systems of a number of economically and socially developed countries. Studying the experience of foreign countries in attracting prisoners to work, it is possible to adopt some important features that can be partially implemented in the domestic penal system.


2021 ◽  
Vol 227 (4) ◽  
pp. 45-49
Author(s):  
SERGEJ M. KOLOTUSHKIN ◽  

Abstract. The article discusses the issues of assessing the effectiveness of tactical and technical solutions for prevention of prohibited items delivery to the territory of institutions of the penal system of the Russian Federation using unmanned aerial vehicles. The cost of completing the task was taken as the indicator of efficiency. The task was formulated as guaranteed prevention of flights of unmanned aerial vehicles over the territories of pre-trial detention centers, prisons, colonies and other facilities. In the course of theoretical and experimental studies, conceptual approaches to solving the highlighted problem were substantiated, rational characteristics and operating modes of complexes for countering flights of unmanned aerial vehicles over the territories of institutions of the penal system of the Russian Federation were defined. Key words: penal system, unmanned aerial vehicles, prohibited items, effectiveness of countermeasures.


2021 ◽  
Vol 27 (2) ◽  
pp. 146-152
Author(s):  
A.V. Gubin ◽  
◽  
N.V. Khan ◽  
S.O. Ryabykh ◽  
E.N. Ovchinnikov ◽  
...  

Introduction In the year of anniversaries of two leading national centers for traumatology and orthopedics, the authors analyzed the main problems and current challenges in specialized trauma and orthopedic care (TOC). Historical parallels in the development of TOC in our country and its problems and trends abroad motivated the authors to conduct an analysis while the need for their comparative assessment determined the purpose of the work which is a brief analysis of the organizational model of TOC and substantiation of a "3DT" concept as a contemporary organizational model of trauma and orthopedic service in the Russian Federation. Results and discussion The analysis of current trends in the trauma and orthopedic (TO) service showed its variability over the past three decades. However, the original organizational structure of specialized TO care remained almost the same. A comparative assessment of organizational models has shown that the models for providing specialized care in developed countries are extremely diverse. The availability of assistance does not depend on the population density and tariffs even in the regions of developed countries. In addition, the monetary assessment of treatment of spinal pathology, as an example, has not been standardized and harmonized across countries and regions. It is also important to evaluate the steady increase in high technology care with the use of more developed systems of diagnosis, treatment, rehabilitation and, accordingly, its growing costs. The challenges that our specialty faces may be conditionally divided into technical, socio-economic and organizational ones with the need to create a clear vertical structure of organization, control and referral of patients with organizational decisions for selection of patients with a TO profile according to flows within various areas of subspecialties, the need for justification and feed-back control of financing systems for various types of TO assistance. The challenges described above motivated us to propose a new “3DT” organizational concept as a basis for a more stable and understandable model for the functioning of the national trauma and orthopedic service. The proposed basic model includes 4 direction sectors: D1 (pediatric diseases of the musculoskeletal system and their outcomes); D2 (degenerative and involuntary pathology of the musculoskeletal system); D3 (destructive diseases of the musculoskeletal system of tumor or infectious origin); T (trauma of the musculoskeletal system and its consequences), that all have fundamentally different approaches to organization and planning. The main requirement for the model is its simple application by all participants directly or indirectly involved in the provision of care: orthopedic and trauma specialists, doctors of other specialties, authorities and financial institutions, patients, their relatives and patient communities. Conclusion The advantages of the 3DT model lie in the possibility of extrapolating this concept to any region of the Russian Federation, taking into account the difference in their resources. The integral criterion of its effectiveness may be the assessment of the development of these areas as a whole, rather than separate types of assistance. In each sector, it is necessary to indicate the basic, additional and optional amount of assistance. All regions must have the basic level, while the state funding of additional and, moreover, optional assistance should not be carried out without providing the basic one.


2021 ◽  
Vol 67 (3) ◽  
pp. 361-367
Author(s):  
Vakhtang Merabishvili ◽  
Iuliia Iurkova ◽  
Aleksandr Shcherbakov ◽  
Evgenii Levchenko ◽  
Anton Barchuk ◽  
...  

Lung cancer (LC) is the main cause of morbidity and mortality in the population of Russia and many economically developed countries of the world. At the same time, referring to localizations with a high mortality rate, the official data on the number of recorded primary cases (which form the incidence rate) are significantly underestimated, which is confirmed by the registration reliability index, which in many territories is higher than critical values. The aim of our study is to present the real state of the prevalence of PC in Russia, based on the newly created database (DB) of the population cancer register (PRR) of the Northwestern Federal District of the Russian Federation (NWFD RF) — the only one in Russia. We analyzed the loss of the number of primary patients who were not included in the state reporting, showed the real value of the achieved death rate of patients in the first year of dispensary observation, calculated the patterns of annual mortality of patients, the median of survival and 1 and 5-year survival of patients with lung cancer based on the database of the population cancer registry. Northwestern Federal District of the Russian Federation, on the materials of which for the first time in Russia the dynamics of changes in the detailed localization and histological structure of lung cancer was traced.


2021 ◽  
pp. 116-125
Author(s):  
А.В. Яшин ◽  
Ю.В. Полывяный ◽  
П.Н. Хорев

Главной задачей сельского хозяйства страны и молочного животноводства, в частности, является дальнейшее увеличение производства молочной продукции, необходимой для населения, на основе снижения ее себестоимости и создание общедоступных решений по механизации обработки молочной продукции с минимизированными трудозатратами. В государственной программе развития сельского хозяйства в Российской Федерации на 2013-2020 гг. одним из приоритетных направлений является развитие малых форм хозяйствования – крестьянских (фермерских) и личных подсобных хозяйств. В нашей стране уже функционируют свыше 340 тыс. крестьянских (фермерских) хозяйств, причем по ситуации на 2016 год К(Ф)Х и ЛПХ произвели порядка 1,5 млн. тонн молока, с процентом товарности в 69 %, на их долю приходится более 1,1 млн голов коров. С введением социально экономических мер в августе 2014 года, позволивших освободить от ввозимой продукции до 20 % российского рынка молочной продукции, образовавшуюся нишу начали заполнять отечественные производители сыров и сливочного масла. The main objective of the country's agriculture and dairy production, in particular, is to further increase the production of dairy products necessary for the population, based on reducing its cost, and to create generally available solutions for mechanizing the processing of dairy products with minimized labor costs. In the state programme for the development of agriculture in the Russian Federation for 2013-2020, one of the priority areas is the development of small forms of farming - peasant (farm) enterprises and personal subsidiary farms (PSF). There are already more than 340,000 peasant (farm) enterprises (P(F)E) in our country. In 2016, P(F)E and PSF produced about 1.5 million tons of milk, with a percentage of 69%, they account for more than 1.1 million head of cows. In our country, more than 340 thousand peasant (farm) farms are already functioning, and according to the situation in 2016, P(F)E and private household plots produced about 1.5 million tons of milk, with a marketability percentage of 69%. They account for more than 1.1 million cows. With the introduction of economic and social measures in August 2014, which made it possible to free up to 20% of the Russian dairy market from imported products, domestic producers of cheeses and butter began to fill the gap.


2014 ◽  
Vol 2014 (2) ◽  
pp. 130-137 ◽  
Author(s):  
Екатерина Стрижакова ◽  
Ekaterina Strizhakova ◽  
Дмитрий Стрижаков ◽  
Dmitriy Strizhakov

The experience of the state industrial policy range of economically developed countries was analyzed, the main directions of the development and implementation of industrial policy in the Russian Federation was formed.


Author(s):  
Marina A. Shurgaya

Disability of the elderly age group of the population is the most important problem of public health and social services of all developed countries over the world without exception. In the Russian Federation, this age segment is characterized by the gain, reflecting the global process of population aging. The aim of the study was to analyze the nosological structure of the primary and secondary disability in elderly people in comparison with the main age categories of the adult population in the Russian Federation and the evaluation of rehabilitation / rehabilitation activities for disabled people. The volume of the study was 34,840,933 people aged of from 18 years and over, recognized as disabled, including the disabled elderly - 12,971,062. The subject of a special study was the nature of functional disorders, the degree of the disability, the nosological spectrum of causes of the disability of elderly people and the effectiveness of implemented measures of medical and social rehabilitation (rehabilitation and expert characterization). The study was selective, the sample size account of 370 people. The results of the research demonstrate the nosological structure of the pathology, the associated types of impairments and the nature of the disability to determine the severity of the disability in elderly people, the complexity of the formation and implementation of individual programs for the rehabilitation and rehabilitation of disabled people (IPRA). The improvement of the quality of life and integrating disabled people into the society has been and remains a difficult task for rehabilitation and habilitation activities. Rehabilitation and provision of technical means of rehabilitation, to a lesser extent - social and professional rehabilitation are the most feasible for the implementation.


2021 ◽  
Vol 9 (3) ◽  
pp. 81-85
Author(s):  
Aleksandr Kodincev

The article reveals the process of formation and functioning of structural divisions of project management bodies in the federal authorities of the Russian Federation. In the 2010s, experiments were carried out to introduce project management technologies in individual ministries and regions. Project management standards have been developed. Since 2014, a series of regulations has been adopted that introduced project management into the system of government bodies. The new system, borrowed from developed countries, takes root with great difficulty. Since 2016, the development of project management has moved into the campaign stage. The leadership of the Russian state attaches great importance to the introduction of modern management technologies in the state system, including Project management. Therefore, despite the periodic slowdown of the campaign, the implementation of project management methods in the state administration continues.


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