scholarly journals METHODS OF MULTIDIMENSIONAL STATISTIC PROCESSING OF DATA APPLIED TO FIND REGULARITIES IN THE COURSE OF TUBERCULOSIS IN SIBERIAN AND FAR EASTERN FEDERAL DISTRICTS

2018 ◽  
Vol 96 (6) ◽  
pp. 30-37
Author(s):  
I. O. Meshkov ◽  
O. V. Revyakina ◽  
V. A. Krasnov ◽  
Ya. Sh. Shvarts ◽  
T. I. Petrenko
Keyword(s):  
Early Detection ◽  
Distance Matrix ◽  
Medical Personnel ◽  
Tuberculosis Control ◽  
Principal Coordinates Analysis ◽  
Principal Coordinates ◽  
Federal Districts ◽  
Main Factors ◽  
Far Eastern

The article presents results of multi-dimensional analysis of 83 rates, calculated on the basis of federal and sectoral reports on tuberculosis in 21 regions of Siberian and Far Eastern Federal Districts, which were collected from 2006 to 2016. For statistic processing of data, a distance matrix was used with its consecutive analysis by principal coordinates analysis, which allowed detecting the closest correlations between rates. It has been proved that main factors of successful tuberculosis control are the following: improvement of the organizational quality of treatment and diagnostics, provision with qualified medical personnel, early detection through expansion of coverage of population with fluorography screening. The principal coordinates method also allowed performing a multilateral evaluation of epidemic situation in all regions and defining the ones with the most favorable tuberculosis situation.

scholarly journals Comparison of human gut microbial profiles of matched faecal and biopsy samples from healthy individuals using culture dependent and independent methods

2020 ◽  
Vol 2 (7A) ◽  
Author(s):  
Indrani Mukhopadhya ◽  
Jenny Martin ◽  
Sophie Shaw ◽  
Irini Lazou Ahrén ◽  
Niklas Larsson ◽  
...  
Keyword(s):  
Gut Microbiota ◽  
Healthy Volunteers ◽  
Distance Matrix ◽  
Gastrointestinal Diseases ◽  
Rrna Gene ◽  
Sequence Variant ◽  
Principal Coordinates Analysis ◽  
Principal Coordinates ◽  
Faecal Samples ◽  
The Family

Faecal samples have often been used to characterise the gut microbiota in health and disease. There is significant debate whether faecal bacterial communities accurately reflect the mucosa associated bacterial populations, which are considered critical in the aetiopathogenesis of several gastrointestinal diseases. We simultaneously assessed faecal and mucosal microbiota from healthy volunteers to unravel the degree of concordance between the two profiles. Paired fresh rectal biopsies and faecal samples were obtained from ten healthy volunteers and processed under stringent anaerobic conditions. Composition and diversity of the microbiota were studied using next generation sequencing targeting the 16S ribosomal nucleic acid (rRNA) gene and culturomics. Bacterial richness and diversity were comparable between mucosal and faecal samples with no significant statistical differences. The relative abundance of Oxalobacteraceae, Propionibacteriaceae, Campylobacteraceae and Corynebacteriaceae were significantly increased (Corncob analysis; FDR=0.00027, 0.000046, 0.011 and 0.025 respectively) in biopsy compared to faecal samples at the family level. Conversely, there was increased abundance from the family Ruminococcaceae and Clostridiaceae (Corncob analysis; FDR=0.025 and 0.025 respectively) in faecal samples. Principal Coordinates Analysis of a Bray Curtis distance matrix generated from sequence variant tables did not show distinct clustering of biopsy and faecal samples (PERMANOVA; p=0.991). A total of 528 bacteria were isolated from a subset of 6 volunteer samples (biopsy and faeces) out of which there were 97 unique and 39 novel species identified. Our study showed good concordance between faecal and gut mucosal microbial profile, corroborating that faecal samples can act as a convenient surrogate to study gut microbiota.

scholarly journals Application of the innovative methods of mathematical modeling in the development of standards for providing the ambulatory link by doctors in Russia

2021 ◽  
Vol 9 (4) ◽  
pp. 40-47
Author(s):  
N. E. Guryanova ◽  
M. A. Ivanova ◽  
L. A. Soprun
Keyword(s):  
Mathematical Modeling ◽  
Clinical Practice ◽  
Medical Personnel ◽  
Treatment And Prevention ◽  
Innovative Methods ◽  
Specialized Care ◽  
Federal Districts ◽  
The Russian Federation ◽  
The Relationship

The work presents data on the relationship between the regional incidence of gastrointestinal tract diseases and the number of medical personnel in various regions of the Russian Federation. Indicators for all federal districts for 2013-2017 have been studied. Mathematical models describing this relationship have been proposed. It has been shown that regional morbidity correlates with the number of medical personnel, as well as with attendance at treatment and prevention institutions. The average number of gastroenterologists from 1.3 to 1.5 per 100,000 inhabitants of the region is optimal for the timely detection of gastroenterology diseases. The data obtained can be used in management decisions to optimize the burden on the healthcare system in each region. The introduction of the standards into clinical practice under the established procedure will help to improve the quality of specialized care for patients with gastroenterological problems.

Expert Communities of the Siberian and Far Eastern Federal Districts of the Factors and Conditions for the Unification of the Peoples of Russia, Ukraine and Belarus at the Beginning of the 21st Century

2017 ◽  
pp. 13-22
Author(s):  
Григорьев ◽  
S. Grigorev ◽  
Трофимова ◽  
R Trofimova
Keyword(s):  
21St Century ◽  
Far East ◽  
Research Committee ◽  
National State ◽  
Number Of Factors ◽  
Federal Districts ◽  
Main Factors ◽  
International Fund ◽  
Far Eastern ◽  
Stimulation Of

The data characterizing the demographic bases of differentiation in Siberia and the Far East of expert assessments of a number of factors and conditions for inhibition and stimulation of the sociocultural and national-state unity of the peoples of modern Russia, Ukraine and Belarus are presented. The data were obtained during the first stage of the International Research Project «The main factors and conditions for the inhibition (stimulation) of the socio-cultural unification of the peoples of Russia, Ukraine and Belarus at the beginning of the 21st century», implemented under the auspices of the REC «Culture is the basis of the quality of education ...» of the International Fund for Slavic Writing and Culture, Institute of Art Education and Cultural Studies of RAO, Research Committee of Social Qualimetry of the Russian Sociological Association. They testify to the significant socio-demographic differences in assessments of experts characterizing the main factors and conditions of inhibition (stimulation) of the socio-cultural and national-state unity of the peoples of Russia, Ukraine and Belarus at the beginning of the 21st century.

Patterns of psychiatric diagnosis in general practice: the Second National Morbidity Survey

1986 ◽  
Vol 16 (3) ◽  
pp. 573-581 ◽  
Author(s):  
Graham Dunn
Keyword(s):  
General Practice ◽  
Multidimensional Scaling ◽  
General Practitioners ◽  
Psychiatric Diagnosis ◽  
Psychiatric Morbidity ◽  
Practice Variation ◽  
Psychiatric Diagnoses ◽  
Principal Coordinates Analysis ◽  
Principal Coordinates

SynopsisMultidimensional scaling, in the form of principal coordinates analysis and two-way correspondence analysis, is used to illustrate inter-practice variation in patterns of psychiatric diagnoses provided by data from the longitudinal file of the Second National Morbidity Survey. The results strongly support the view that general practitioners' diagnostic habits should be validated before their records are used to provide data on ‘official’ estimates of psychiatric morbidity. It is recommended that, whatever the quality of the data, large tables of official socio-economic or medical statistics should be supplemented by graphical summaries, as they quite often are in France.

Medical Care for Children with Cancer in the North-Caucasian, Volga, Urals, Siberian and Far Eastern Federal Districts: An Ecological Study

2018 ◽  
Vol 5 (4) ◽  
pp. 214-237
Author(s):  
M. Yu. Rykov
Keyword(s):  
Medical Care ◽  
Russian Federation ◽  
Ecological Study ◽  
Medical Personnel ◽  
Malignant Neoplasms ◽  
Children With Cancer ◽  
The North ◽  
Federal Districts ◽  
The Russian Federation ◽  
Far Eastern

Background. The analysis of the quality of medical care for children with cancer is based on statistical data. Evaluation of the results is also the basis of the strategy for the development of medical care for this category of patients.Objective. Our aim was to analysie the main indicators characterizing medical care for children with cancer in the North-Caucasian, Volga, Urals, Siberian and Far Eastern Federal Districts.Methods. In ecological study the operative reports for 2017 of the executive authorities in the sphere of health protection of 44/48 (91.6%) subjects of the Russian Federation that are part of the listed above federal districts have been analyzed (Chuvash Republic, Irkutsk Region, Republic of Sakha (Yakutia) and Khabarovsk Territory did not provide data).Results. The number of children’s population was 15 555 306 people (0–17 years), the number of children’s oncological beds — 1166 (0.7 per 10 thousand 0–17 years), the average number of days of berth employment in the year — 324.6 bed days. In 13 (29.5%) subjects of the department of pediatric oncology are absent, in 6 (13.6%) — there are no children’s oncological beds. The number of doctors providing medical care to children with cancer is 213, of which 132 (62%; 0.08 for 10 thousand 0–17 years) have a certificate of a pediatric oncologist. In 6 (13.6%) subjects there are no doctors-children oncologists (6 more (13.6%) subjects did not provide data). The incidence of malignant neoplasms was 13.1 (per 100.000 0–17 years), the prevalence of 93.1 (per 100.000 0–17 years), mortality rate 2.5 (per 100.000 0–17 years), one-year lethality — 6.8%. 10.1% of patients were actively detected. 781 (38.3%) of primary patients were sent to medical organizations for federal subordination, 39 (1.9%) of primary patients left the territory of the Russian Federation.Conclusion. Obvious accounting defects (low incidence rate) and lack of reliable follow-up data (estimation of mortality levels is difficult) are eliminated by introducing electronic accounting systems. For reliable estimation of the level of provision of the population with children’s cancer beds and the percentage of patients sent for treatment in medical organizations of federal subordination, audit of patients’ illnesses is necessary. The traditional problems — the deficiency of doctors and children’s oncologists and a low percentage of patients identified actively — must be addressed through the reform of the training program for medical personnel.

HASTANELERİN HİZMET KALİTESİNİN HASTA TATMİN ÖLÇEĞİ İLE ÖLÇÜLMESİ: KARABÜK DEVLET HASTANESİNDE YATAN HASTALAR ÜZERİNDE BİR ARAŞTIRMA THE MEASUREMENT SERVICE QUALITY OF THE HOSPITALS BY THE PATIENT SCALE: A RESEARCH ON THE PATIENTS IN KARABUK STATE HOSP

2013 ◽  
Vol 1 (1) ◽  
pp. 100
Author(s):  
Selçuk Yurtsever
Keyword(s):  
Patient Satisfaction ◽  
Health Services ◽  
Literature Review ◽  
Private Sector ◽  
State Hospital ◽  
Continuous Change ◽  
Satisfaction Scale ◽  
The World ◽  
Main Factors

It has been known that both in the world and in Turkey a continuous change has been experienced in the provision of health services in recent years. In this sense by adopting the customer(client) focused approach of either public or private sector hospitals; it has been seen that they are in the struggle for presenting a right, fast, trustuble, comfy service. The purpose of this research is to measure the satisfaction degree, expectations and perceptions of the patients in Karabük State Hospital through comparison. In this context, the patient satisfaction scale which has been developed as a result of literature review has been used and by this scale it has been tried to measure the satisfaction levels of the patients in terms of material and human factors which are the two main factors of the service that was presented. In the study, with the scales of Servqual and 0-100 Points together, in the part of the analysis MANOVA have been used. The expectations and the perceptions of the patient has been compared first by generally and then by separating to different groups according to the various criterias and in thisway it has been tried to be measured their satisfaction levels. According to the results that were obtained, although, the satisfaction levels of the patients who have taken service from Karabük State Hospital are high in terms of thedoctors and the nurses; it has been reached to the result that their satisfaction levels are low in terms of the materials that have been used at the presenting of the service and the management.

Pengaruh Kompetensi Coder terhadap Keakuratan dan Ketepatan Pengkodean Menggunakan ICD 10 di Rumah Sakit X Pekanbaru Tahun 2016

2018 ◽  
Vol 1 (1) ◽  
pp. 31-43
Author(s):  
Nur Maimun ◽  
Jihan Natassa ◽  
Wen Via Trisna ◽  
Yeye Supriatin
Keyword(s):  
Medical Record ◽  
Human Error ◽  
Medical Personnel ◽  
Quality Of Data ◽  
Accuracy And Precision ◽  
Result Show ◽  
Study Implementation ◽  
Icd 10 ◽  
The Cost

The accuracy in administering the diagnosis code was the important matter for medical recorder, quality of data was the most important thing for health information management of medical recorder. This study aims to know the coder competency for accuracy and precision of using ICD 10 at X Hospital in Pekanbaru. This study was a qualitative method with case study implementation from five informan. The result show that medical personnel (doctor) have never received a training about coding, doctors writing that hard and difficult to read, failure for making diagnoses code or procedures, doctor used an usual abbreviations that are not standard, theres still an officer who are not understand about the nomenclature and mastering anatomy phatology, facilities and infrastructure were supported for accuracy and precision of the existing code. The errors of coding always happen because there is a human error. The accuracy and precision in coding very influence against the cost of INA CBGs, medical and the committee did most of the work in the case of severity level III, while medical record had a role in monitoring or evaluation of coding implementation. If there are resumes that is not clearly case mix team check file needed medical record the result the diagnoses or coding for conformity. Keywords: coder competency, accuracy and precision of coding, ICD 10

Мониторинг показателей эффективности целевого приема в дальневосточном государственном медицинском университете

2019 ◽  
pp. 57-61
Keyword(s):  
Educational Institution ◽  
Medical Personnel ◽  
Comparative Assessment ◽  
Federal State ◽  
Specialty Training ◽  
State Budget ◽  
Eastern State ◽  
Medical University ◽  
Far Eastern ◽  
Passing Score

The article analyzes the dynamics of the indicators of target enrollment and education at the Federal State Budget Educational Institution of Higher Education of the Far Eastern State Medical University of the Ministry of Health of Russia for the period from 2013 to 2018, a comparative assessment of the passing score for the places of targeted enrollment and the main places depending on the specialty (training direction) was made, average mark of a unified state exam (USE) was analyzed; the agreements on targeted training with the assessment of measures of social support were analyzed, as well as proposals were formulated to improve the activities of targeted training of medical personnel.

scholarly journals Need to Intervene: An Exploratory Study of Nurses’ Experiences With Patienthood

2021 ◽  
Vol 8 ◽  
pp. 237437352199884
Author(s):  
Marian A O Cohen ◽  
Jim McQuaid ◽  
Ruth Remington
Keyword(s):  
Patient Satisfaction ◽  
Quality Of Care ◽  
Healthcare System ◽  
Family Caregiver ◽  
Exploratory Study ◽  
Medical Personnel ◽  
Healthcare Personnel ◽  
Coordination Of Care ◽  
Professional Perspective

Much has been written about the patient experience, but there is little information about experiences of providers as patients. Since lay patients and providers have differing perspectives and expectations, it is important to identify those elements shared by those in each group and those that diverge. This study identified experiences of nurses as being a patient or a family caregiver of a patient as well as identified assessments of the healthcare system by nurses. An exploratory study using a self-administered electronic questionnaire with a group of registered nurses was conducted. Assessments of the system by responders were positive when addressing quality of care, interactions among healthcare personnel, and interactions with patients. However, when discussing their experiences as patient, nurses reported they encountered problems with coordination of care, responses of medical personnel, attention to details of care, and responses to their attempts to become more involved. Results confirm issues raised by patients who are not medical experts in patient satisfaction studies. Adding a professional perspective highlights where problems with the healthcare system lie.

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