scholarly journals Progress in the development of general practice / family medicine in the city of Saint Petersburg (Russian Federation)

2020 ◽  
Vol 23 (4) ◽  
pp. 19-31
Author(s):  
Uel Gillan ◽  
Rob McQuiston ◽  
Oliver Slevin
Keyword(s):  
Family Medicine ◽  
Russian Federation ◽  
Comprehensive Evaluation ◽  
Early Years ◽  
Pilot Studies ◽  
Saint Petersburg ◽  
Family Practitioners ◽  
The City ◽  
Made In

In previous years, indeed in some respects preceding the establishment of the Russian Federation, consideration had been given to the establishment of new approaches to general medical practice in Russia. Particular attention centred upon the establishment of Family Medicine and the preparation of doctors as Family Practitioners to advance this initiative. A number of pilot studies were initiated, including in the city of Saint Petersburg. These were intended to provide real-world opportunities to test and develop new and more effective approaches to primary health care that would more efficiently integrate with secondary care. The authors were involved in the initial pilot studies in the mid to late 1990s and subsequent follow-up projects to further advance the initiatives in the early years of the 21st century (20022010). This brief paper reports on a review of progress made in respect of the above initiatives. It is not at this time a comprehensive evaluation of the healthcare systems as they now operate. The authors nevertheless present some indications of satisfactory progress across a range of practices, some insights into challenges that have arisen, and some suggestions that might be helpful in the current rounds of strategic planning for health.

scholarly journals Connecting in COVID 19: Neurology tele-follow-up experience

2020 ◽  
Author(s):  
Deepti Vibha ◽  
MV Padma Srivastava ◽  
Kameshwar Prasad ◽  
Manjari Tripathi ◽  
Achal Kumar Srivastava ◽  
...  
Keyword(s):  
Neurological Diseases ◽  
Tertiary Care ◽  
Outpatient Services ◽  
Successful Communication ◽  
Novel Approach ◽  
Voice Calls ◽  
Temporary Closure ◽  
The City ◽  
Made In

Introduction: The lockdown due to COVID-19 pandemic led to temporary closure of routine hospital services. This prompted the initiation of teleconsult follow-up in our department. The study outlines the experience of tele-follow-up at a tertiary care teaching hospital in India, and the perspective of neurologists about this novel approach. Methods: The tele-follow-up was started from 26th March 2020. Data of follow up appointments was provided by the medical record section. The faculty and senior residents conducted the tele-follow-up. Communication was made via voice calls. The data for initial ten days was analyzed to find the utility and experience of the new service. Results: In the initial ten working days, data of 968 patients was provided for tele-follow-up. A successful communication was made in 50.3% patients (contact with patients: 27.7% and family members 22.6%). The phone numbers which were not contactable/invalid/not available constituted 36.8% of the data. A total of 35 faculty and residents conducted the tele-follow-up. The utility of tele-follow-up was perceived as good by 71.4% of neurologists. Majority of neurologists (71.4%) observed that ≥90% of patients were continuing medications. Patients outside the city constituted 50-75% of the list. The survey revealed that all neurologists felt the need to continue tele-follow-up for far off stable patients post lock down and resumption of regular outpatient services. Conclusion: The survey established the feasibility and utility of teleconsult for follow up of patients with neurological diseases who were attending the regular outpatient services before the lock down.

Connecting in COVID 19: Neurology tele-follow-up experience in the pandemic (Preprint)

2020 ◽  
Author(s):  
Room 707 ◽  
MV Padma Srivastava ◽  
Kameshwar Prasad ◽  
Manjari Tripathi ◽  
Achal Kumar Srivastava ◽  
...  
Keyword(s):  
Neurological Diseases ◽  
Tertiary Care ◽  
Outpatient Services ◽  
Successful Communication ◽  
Novel Approach ◽  
Voice Calls ◽  
Temporary Closure ◽  
The City ◽  
Made In

BACKGROUND The lockdown due to COVID-19 pandemic led to temporary closure of routine hospital services. This prompted the initiation of teleconsult follow-up in our department. OBJECTIVE The study outlines the experience of tele-follow-up at a tertiary care teaching hospital in India, and the perspective of neurologists about this novel approach. METHODS The tele-follow-up was started from 26th March 2020. Data of follow up appointments was provided by the medical record section. The faculty and senior residents conducted the tele-follow-up. Communication was made via voice calls. The data for initial ten days was analyzed to find the utility and experience of the new service. Subsequent data up to August was taken to observe the temporal evolution of the practice. RESULTS In the initial ten working days, data of 968 patients was provided for tele-follow-up. A successful communication was made in 50.3% patients (contact with patients: 27.7% and family members 22.6%). The phone numbers which were not contactable/invalid/not available constituted 36.8% of the data. In subsequent months, the successful tele-follow-ups increased to 68.9% (range: 64.0%-71.5%). The utility of tele-follow-up was perceived as good by 71.4% of neurologists. Majority of neurologists (71.4%) observed that >90% of patients were continuing medications. Patients outside the city constituted 50-75% of the list. The survey revealed that all neurologists felt the need to continue tele-follow-up for far off stable patients post lock down and resumption of regular outpatient services. CONCLUSIONS The survey established the feasibility and utility of teleconsult for follow up of patients with neurological diseases who were attending the regular outpatient services before the pandemic.

scholarly journals Saint Petersburg period of creativity of P. K. Vaulin (1906-1914)

2021 ◽  
pp. 1-11
Author(s):  
Elena Mikhailovna Safronova
Keyword(s):  
Artistic Expression ◽  
Insurance Company ◽  
Art Nouveau ◽  
Saint Petersburg ◽  
Inclusive Approach ◽  
The Subject ◽  
The City ◽  
Artistic Analysis ◽  
Descriptive Method ◽  
Made In

The subject of this research is the stylistic peculiarities and means of artistic expression of the architectural majolica by Peter Kuzmich Vaulin. The object of this research is the architectural ceramics of Vaulin in facades of the buildings of St. Petersburg in the early XX century. The application of inclusive approach allows tracing correlations between the historical facts and the cultural characteristics of this period. The compositional-artistic analysis, comparative-descriptive method, and imagery-stylistic analysis were used for consideration of the means of artistic expression of architectural ceramics, compositional interaction of the materials and space, and examination of the style and formative peculiarities of ceramics. Detailed analysis is conducted on the Saint Petersburg period of the ceramist P. K. Vaulin, opening of his own ceramic workshop, and active participation in the development of decorative image of St. Petersburg in the early XX century. Special attention is given to the most remarkable works of the master for architectural decoration of the city. Emphasis is placed on his works for the Insurance Company Building “Russia”, which is brilliant example of the harmonious synthesis of majolica and architecture. The conclusion is made that the architectural ceramics of the master made in many ways determined the majolica decoration of St. Petersburg – compositional, textured, color, imagery-stylistic, and plastic peculiarities of the ceramic works of P. K. Vaulin contributed to aesthetic transformation of the environment. The scientific novelty of consists in the thesis that the ceramic workshop of P. K. Vaulin was one of the leading manufacturers of artistic majolica of the indicated period. It is also proven that the Heldwein-Vaulin workshop was able to organically synthesize the heritage of the best traditions of the past with the courage and ambiguity of the Art Nouveau.

Failure of a Traffic Control “Fatality” Sign to Affect Pedestrians' and Motorists' Behavior

2004 ◽  
Vol 95 (3) ◽  
pp. 757-760
Author(s):  
W. Andrew Harrell ◽  
Maria David-Evans ◽  
John Gartrell
Keyword(s):  
Significant Influence ◽  
Traffic Control ◽  
Traffic Sign ◽  
The City ◽  
Made In

The behavior of 643 pedestrians and 1749 motorists at two signal-controlled intersections was observed over a 2-mo. period of observation in March and November. One intersection had a coffin-shaped traffic sign with the wording “Fatality” erected during the first month of observation (March). The second intersection was identical in traffic and pedestrian volume but lacked a “Fatality” sign in either March or November. “Fatality” signs are erected and maintained by the City of Edmonton for 6 mo. whenever a pedestrian death has occurred, and they are intended to raise the awareness of both pedestrians and motorists concerning the risks at dangerous intersections. This sign had been removed for nearly 3 mo. when a follow-up observation was made in November. While female pedestrians and pedestrians over the age of 50 years showed greater caution at both intersections, the presence or absence of the “Fatality” sign had no statistically significant influence on safety. Similarly, the presence or absence of a sign did not significantly influence motorists' behavior. Of motorists 7.6% ran either amber or red traffic control lights at the two intersections. The “Fatality” sign did not affect the rates of these violations.

Data Management in an Epidemiological Study : Experiences from the Iowa 500 Field Follow-up and Family Study

1980 ◽  
Vol 19 (01) ◽  
pp. 37-41
Author(s):  
R. F. Woolson ◽  
M. T. Tsuang ◽  
L. R. Urban
Keyword(s):  
Data Management ◽  
Epidemiological Study ◽  
Family Study ◽  
Data Sets ◽  
Data Handling ◽  
Management Decisions ◽  
Numerous Data ◽  
Made In

We are now conducting a forty-year follow-up and family study of 200 schizophrenics, 325 manic-depressives and 160 surgical controls. This study began in 1973 and has continued to the present date. Numerous data handling and data management decisions were made in the course of collecting the data for the project. In this report some of the practical difficulties in the data handling and computer management of such large and bulky data sets are enumerated.

METHOD SUGGESTING CITY WALKING ROUTES FOR PEDESTRIANS USING AN EXAMPLE OF SAINT-PETERSBURG

2019 ◽  
pp. 71-76
Author(s):  
A.E. Semenov
Keyword(s):  
Random Forest ◽  
Develop Model ◽  
Random Forest Algorithm ◽  
Saint Petersburg ◽  
Pedestrian Navigation ◽  
Factors Influencing ◽  
The City

The method of pedestrian navigation in the cities illustrated by the example of Saint-Petersburg was investigated. The factors influencing people when they choose a route for their walk were determined. Based on acquired factors corresponding data was collected and used to develop model determining attractiveness of a street in the city using Random Forest algorithm. The results obtained shows that routes provided by the method are 14% more attractive and just 6% longer compared with the shortest ones.

The new in monitoring of provision of cancer care in the Russian Federation

2019 ◽  
Vol 2019 (4) ◽  
pp. 35-37
Author(s):  
Наталья Стадченко ◽  
Natal'ya Stadchenko
Keyword(s):  
Russian Federation ◽  
Treatment Guidelines ◽  
Malignant Tumors ◽  
Patient Specific ◽  
Insurance Fund ◽  
Medical Aid ◽  
Proven Case ◽  
The Russian Federation ◽  
Positive Results ◽  
Made In

The Federal Compulsory Medical Insurance Fund created the system of a monitoring of medical aid provided for the oncology patients, which allows realizing control over execution of the treatment guidelines on every stage. Changes been made in the governing documents, aimed at development of patient-specific records of provided medical aid at suspicion on the malignant tumors or in proven case of the malignant tumors. The article presents the data on control and expert activities demonstrating positive results of that work.

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