scholarly journals Availability and Affordability of Medicines for the Treatment of Cardiovascular Diseases in Pharmacies in Six Regions of the Russian Federation

2019 ◽  
Vol 14 (6) ◽  
pp. 804-815 ◽  
Author(s):  
A. E. Imaeva ◽  
Yu. A. Balanova ◽  
A. V. Kontsevaya ◽  
A. V. Kapustina ◽  
D. V. Duplyakov ◽  
...  

Aim. To evaluate the availability and affordability of medicines used to treat of cardiovascular diseases (CVD) in several regions of the Russian Federation with different climatic, geographic, economic and demographic characteristics. Material and methods. The study was conducted in 6 regional capitals, chosen to differ in geographically, economically, and demographically. In each city, 5 pharmacies providing free medicines to certain categories of citizens (beneficiaries) and 5 private pharmacies serving anyone were selected at random. Medicine availability was assessed in all pharmacies, along with price only in the private pharmacies. Data were obtained for both original drug and appropriate generics. A list of 25 of the most frequently prescribed medicines for cardiovascular diseases was compiled. Results. Some general findings emerged. With the existence of a generic drug, the original drug was not available in the pharmacy supplying beneficiaries. Diuretics, as well as some ACE inhibitors, are not available in a number of pharmacies for beneficiaries. Enalapril in most licensed pharmacies is represented by generics, lisinopril in a number of cities is represented by both the original drug and generics. The presence of sartans was much lower than ACE inhibitors. Bisoprolol was most common beta-blocker. Calcium antagonists: if amlodipine was present in all licensed pharmacies, at list as generic, then nifedipine was not available in many licensed pharmacies. Among antiplatelet agents, aspirin was available in most pharmacies, and clopidogrel was mostly represented by generics. As for statins, only simvastatin could be found in almost all pharmacies. When analyzing the cost of drugs in licensed pharmacies, it was found that drugs containing furosemide are the cheapest among generics – about 17 rubles. The most expensive treatment with generics of rosuvastatin – about 4,374 rubles a month. The most expensive original medicine was also rosuvastatin – about 4,500 rubles for 30 tablets, the cheapest – the original drug of furosemide – about 35 rubles. On average, the cost of CVD treatment with major classes of drugs, including ACE inhibitor, beta-blocker, antiplatelet drug and statin, is 1,921.9 rubles per month. Conclusion. The basic cardiovascular medicines were characterized by a relatively high availability in 6 regions of the Russian Federation included in the analysis both by the criterion of the availability of drugs and by the criterion of the minimum price.

Author(s):  
Andrei Georgievich Maliavin ◽  
Alana Viktorovna Dzanaeva ◽  
Maria Vladimirovna Avxentyeva ◽  
Sergei Lvovich Babak

Purpose of the study. Healthcare budget impact analysis in the Russian Federation of providing adult patients with chronic obstructive pulmonary disease (COPD) with basic therapy for outpatient treatment. Material and methods. The hypothesis of reducing costs for the treatment of exacerbations of COPD was tested while providing all patients with basic therapy on an outpatient basis. The model calculates the direct medical costs of drug provision and treatment of exacerbations in patients with COPD in the current situation and when all patients with COPD are covered with basic therapy as part of a program of preferential drug provision. The simulation period is 1 year. The analysis does not take into account social losses associated with disability, payment of disability certificates, reduced labor productivity and mortality. Results. The cost of providing all patients with COPD with the recommended basic drug therapy on an outpatient basis is substantially offset by a decrease in the cost of treating exacerbations: drug costs should increase by 14.1 billion rubles compared with the current situation, while the cost of providing medical care to patients with exacerbations is reduced by 9.7 billion rubles. As a result, the difference in direct medical costs, or the necessary additional investments, is 4.4 billion rubles. The price of drugs used for basic therapy has the greatest impact on the size of the required additional investments. Conclusion. Providing all patients with COPD with the recommended basic drug therapy on an outpatient basis, we can expect a decrease in the number of moderate exacerbations per year by 14.7% and severe exacerbations by 31.2%. Taking into account not only medical, but also socio-economic costs can not only offset additional investments, but also demonstrate significant savings. When implementing a pilot project of preferential drug provision for patients with COPD in a specific region of the Russian Federation, it is possible to reduce the cost of purchasing medicines when forming a municipal order.


2020 ◽  
pp. 80-84
Author(s):  
Vladimir Kurkin ◽  
Ilnur Shaykhutdinov ◽  
Olga Pravivtseva ◽  
Anna Kurkina ◽  
Maxim Egorov

In the Russian Federation, dietary supplements with hawthorn flowers (Crataegi flores) and berries (Crataegi fructus) are used as recommended supplements for the prevention of cardiovascular diseases. We have conducted a study of the content of flavonoid amounts in popular dietary supplements containing hawthorn extracts. It has been found that total flavonoid content in medications is comparable to the therapeutic dosages in some cases.


Author(s):  
I.M. DUNIN ◽  
S.E. TYAPUGIN ◽  
R.K. MESHCHEROV ◽  
V.P. HODYKOV ◽  
V.K. ADZHIBEKOV ◽  
...  

Рассмотрены состояние и перспективы развития мясного скотоводства в Российской Федерации. Проведен мониторинг численности поголовья, породного состава и продуктивности мясного крупного рогатого скота во всех категориях хозяйств, изучены масштабы и объемы бонитировки скота за 20102018 годы. По данным Минсельхоза России, в 2018 году поголовье крупного рогатого скота в стране составило более 18 млн голов, в том числе численность животных специализированных мясных пород во всех категориях хозяйств достигла 2,26 млн голов. Комплексная оценка 711,16 тыс. голов, или 34,1 от общей численности мясного скота, в том числе 389,8 тыс. коров, принадлежащих к 15 породам и типам, разводимым в 57 регионах Российской Федерации показала, что наибольшее подконтрольное поголовье имеют абердин ангусская порода (417545 гол.), калмыцкая (137262 гол.), герефордская (87278 гол.) и казахская белоголовая породы (52563 гол.). Все подконтрольное поголовье животных является чистопородным и IV поколения, в том числе 99,7 быков-производителей и 99,3 коров. Анализ живой массы пробонитированного поголовья выявил тенденцию к ее повышению у коров всех возрастов в среднем на 54 кг, быков производителей на 39 кг, или на 16,7 и 5,2 за последние 9 лет, соответственно. Живая масса коров по итогам 2018 года в среднем составила 546 кг, быков-производителей 791 кг. По состоянию на 1.01.2019 года, племенная база мясного скотоводства страны представлена 270 племенными стадами, в том числе 46 племенными заводами и 224 племенными репродукторами. В 2018 году в различные категории хозяйств из племенных предприятий было продано 35517 голов племенного молодняка, в том числе 6388 ремонтных бычка с классами элита и элита-рекорд (85,3). В 2018 году было продано племенного молодняка в расчете на 100 коров галловейской породы 33,0 головы, казахской белоголовой 29,1 герефордской 28,0 калмыцкой 22,2 лимузинской 15,5 абердин ангусской 8,8 русской комолой 8,2 и симментальской мясной 4,7 голов. На основании мониторинга состояния мясного скотоводства страны за 20102018 годы были намечены перспективы дальнейшего развития.The article considers the state and prospects of development of beef cattle breeding in the Russian Federation. The number of livestock, breed composition and productivity of beef cattle in all categories of farms was monitored, the scale and volumes of bonding of cattle for the studied 9-year period (20102018) were studied. According to the Ministry of Agriculture of Russia, in 2018 the number of cattle in the country amounted to more than 18 million heads, including the number of cattle of specialized meat breeds in all categories of farms reached 2.26 million heads. A comprehensive assessment of the number of livestock in the amount of 711.16 thousand animals or 34.1 of the total number of beef cattle, including: cows 389.8 thousand heads belonging to 15 breeds and types bred in 57 regions of the Russian Federation, showed that the largest controlled livestock are: Aberdeen Angus breed 417545 animals, Kalmyk 1372726 animals, Hereford 87278 animals and Kazakh white-headed breed 52563 animals. Almost all of the controlled livestock of animals is purebred and IV generation, including: respectively 99.7 of bulls producers and 99.3 of cows. The analysis of live mass of a livestock revealed a tendency to its increase at cows of all age on average on 54 kg, bulls on 39 kgor for 16.7 and 5.2 for the last 9 years respectively. The live mass of cows following the results of 2018 averaged 546 kg, bulls 791 kg. As of January 1, 2019, the breeding base of beef cattle breeding in the country is represented by 270 breeding herds, including: 46 breeding plants and 224 breeding reproducers. In 2018, 35,517 heads of pedigree young animals were sold to various categories of farms from pedigree enterprises, including 6,388 repair bulls with elite classes and an elite record record for appraisal (85.3). An analysis of the sales volume of pedigree young animals in the context of farmed meat breeds showed that in 2018 pedigree young animals per 100 cows were sold in the country: Galloveian breed 33.0 goals, Kazakh white-headed 29.1 goals, Hereford 28, 0 goals., Kalmyk 22.2 goals., Limousin 15.5 goals., Aberdeen Angus 8.8 goals, Russian kolola 8.2 and Simmental meat 4.7 goals. Based on the monitoring of the state of beef cattle breeding in the country for the study period (20102018), prospects for further development were outlined.


2020 ◽  
Vol 92 (1) ◽  
pp. 4-9 ◽  
Author(s):  
S A Boytsov ◽  
S A Shalnova ◽  
A D Deev

Chronic non - communicable diseases, mainly cardiovascular diseases, are the leading cause of death worldwide, including in the Russian Federation (RF). The article analyzes the negative and positive trends of the most relevant risk factors for cardiovascular diseases for the period from 2013 to 2017, and also provides a strategy for reducing mortality in the Russian Federation for the period up to 2024 based on data from an epidemiological analysis.


Author(s):  
Aleksey Sklyar ◽  
Margarita Postnova

Currently, the modern poultry farms are located in regions with different climatic conditions. Thus, the component of the electric power being the base for combined heating and ventilating systems, lighting, and local heating of poultry farms, is great in power engineering on the territory of the Russian Federation. The analysis of energy costs of poultry farms showed that of the estimated options for reducing the cost of electricity for poultry farms, one of the most effective can be an alternative source such as the generation of own electricity. Naturally, for biological production with a continuous technological cycle (poultry farming, for example), seems to be replace about 45-55 % of the needs of the factory and serve as a reserve for the rest, but not cover all 100 % of needs.


Author(s):  
E.A. Bagavieva

The investigative action is a request for information about the connections between subscribers and / or subscriber devices, provided for by Article 186.1 of the Code of Criminal Procedure of the Russian Federation, it is in demand in connection with the development of telecommunication systems and has been successfully applied in almost all categories of criminal cases. The author has analyzed the requirements for such a criminal procedure decision as the decision of the investigator (interrogator) to initiate before the court a motion to obtain information about connections between subscribers and (or) subscriber devices. Errors made by investigators (interrogators) in the preparation of this decision are indicated. The article discusses the procedure for obtaining a permission to conduct this investigative action, reveals the shortcomings of the legal regulation of obtaining information about connections between subscribers and (or) subscriber devices.


Author(s):  
R.K. Shautaeva ◽  
O.A. Petryanina

The relevance of the direction chosen for research is multifactorial. First, there is a steady increase in attacks on property by deception or abuse of trust. Second, the emergence of new forms of fraudulent activities requiring a symmetrical response from government agencies. Third, the offensive, not always error-free development of criminal policy in the form of the creation of new legal and technical mechanisms to counter the considered type of criminal deviant behavior of selfish orientation. All this prompted us to identify and consider the most significant methodological problems in the area taken for research in the form of their demonstration, as well as proposals for directions for their solution. The first criminal law flaw in the state strategy in the fight against fraud is the fallacy in the systematization of the crimes reflected in Art. 159-159of the Criminal Code of the Russian Federation. The substitution of the significance of public relations protected by the norms included in these articles caused the imbalance in the Special Part of the Criminal Code. RF. The second methodological problem is the imbalance in the cost criteria of Art. 159-159of the Criminal Code of the Russian Federation, which form the basis for their criminalization and differentiation. The third problem is the fact that there are separate elements of fraud with their fixation in separate articles of the Criminal Code of the Russian Federation, depending on the areas of encroachment. In the article, on the basis of the conducted critical analysis and the presented argumentation, directions for resolving the noted methodological problems, theoretical, applied and legislative format, are proposed.


2021 ◽  
pp. 39-45
Author(s):  
Z. A. Kapelyuk ◽  
Y. V. Popova

The article analyzes the experience of tariff regulation of the cost of passenger railway transportation services in the European Union and the Russian Federation. The features of tariff regulation are disclosed and eleven countries are classified according to the main categories. Tariff policy for transport services is used to ensure the consistency of economic interests of consumers and is a problematic segment for all types of transport. The article deals with tariff regulation of the cost of services provided by the railway infrastructure. Comparison of domestic and foreign experience in pricing of transport services for further development of Russian Railways is carried out. The setting of tariffs and available discounts, as well as benefits for the purchase of tickets for trains in the countries of the European Union and Russia are considered. The indexation of tariffs for transportation services of Russian Railways depending on the period of the trip and the comfort of the car is analyzed. Conclusions on the impact of mobile tariffs on economic efficiency, as well as the need to improve the tariff policy in the Russian Federation by involving foreign transport companies in implementation.


2021 ◽  
pp. 3-8
Author(s):  
Ю.А. Шнейдер ◽  
Е.В. Каримова ◽  
Ю.Н. Приходько ◽  
Е.Н. Лозовая ◽  
Т.С. Живаева

Томат – важнейшая овощная культура с ежегодным увеличением объемов его производства во всем мире. В Российской Федерации последние несколько лет активно развиваются предприятия защищенного грунта, специализирующиеся на производстве томатов. Вместе с тем растения томата поражают более 200 различных вредителей и болезней. Возбудители вирусных болезней растений – важный ограничивающий фактор для многих отраслей растениеводства, в том числе овощеводства. В последние годы в европейских странах производство томатов в открытом и защищенном грунте пострадало от серьезных потерь, вызванных, главным образом, вирусными фитопатогенами. В статье представлен обзор трех наиболее опасных вирусов, возбудителей болезней томатов – коричневой морщинистости плодов томата, мозаики пепино, пятнистого увядания томата. Эти вирусы неоднократно были выявлены в целом ряде стран практически на всех континентах и вызвали значительные экономические потери в странах своего распространения. Ввиду очень быстрого распространения и обнаружения опасных вирусов томата в ряде стран, занимающихся производством и дальнейшим экспортом семян и плодов томатов, Федеральная служба по ветеринарному и фитосанитарному надзору Российской Федерации (Россельхознадзор) с 27 июля 2020 года ввела в качестве временной карантинной фитосанитарной меры требование об отсутствии этих вирусов в семенах, посадочном материале и плодах растений-хозяев при их ввозе и перемещении по территории Российской Федерации. Результаты анализов фитосанитарного риска, проведенных в ФГБУ «ВНИИКР» в 2020 году, показали, что вирусы коричневой морщинистости плодов томата, мозаики пепино и пятнистого увядания томата соответствуют критериям карантинных для Российской Федерации организмов, вирусы способны проникнуть на территорию страны с подкарантинной продукцией, распространиться и нанести существенный ущерб развитию сельского хозяйства и экономической деятельности страны. Tomato is the most important vegetable crop with an annual increase in its production worldwide. In the Russian Federation, greenhouse industry specializing in the production of tomatoes have been actively developing over the past few years. At the same time, tomato plants affect more than 200 different pests and diseases. Pathogens of viral diseases of plants are an important limiting factor for many branches of crop production, including vegetable growing. In recent years, in European countries, the production of tomatoes in open field and greenhouses has suffered from serious losses caused mainly by viral phytopathogens. The article presents an overview of the three most dangerous viruses, pathogens of tomato diseases – tomato brown rugose fruit virus (ToBRFV), pepino mosaic virus (PepMV) and tomato spotted wilt virus (TSWV). These viruses have been repeatedly detected in a number of countries on almost all continents and have caused significant economic losses in the countries of their distribution. In view of the very rapid spread and detection of dangerous tomato viruses in a number of countries engaged in the production and further export of tomato seeds and fruits, Rosselkhoznadzor, from July 27, 2020, introduced as a temporary quarantine phytosanitary measure the requirement that these viruses are not present in seeds, planting material and fruits of host plants when they are imported and moved through the territory of the Russian Federation. The results of the phytosanitary risk analyses conducted at the Federal State Budgetary Institution «VNIIKR» in 2020 showed that ToBRFV, PepMV and TSWV meet the criteria of quarantine organisms for the Russian Federation, viruses are able to enter the territory of the country with quarantined products, spread and cause significant damage to the development of agriculture and economic activity of the country.


Author(s):  
Mary Konstantinovna Dzhikia

In this article, the main program documents for the development of the Russian agro-industrial complex are considered, the dynamics of the cost of agricultural gross output is revealed, the factor analysis of milk production in the Russian Federation is carried out, the factors of increasing milk production are determined, the risks in the field of food security are considered, the trends of changes in the engineering infrastructure in rural areas are revealed, the decrease in the import of basic food and the excess of the threshold values of indicators of food independence (selfsufficiency) are revealed.) Of the Russian Federation in 2019 for basic food products. Based on the analysis of the state of agriculture in Russia, the trends that led to the need for the introduction of integrated reporting for agricultural enterprises are highlighted.


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