Work of modern ophthalmosurgical hospital in context of pandemic of the new coronavirus infection COVID-19

Author(s):  
A.L. Zhirov ◽  
◽  
R.S. Zhazybaev ◽  
E.L. Sorokin ◽  
◽  
...  

The article evaluates the effectiveness of changes in the organizational work of the diagnostics department of the Khabarovsk branch of the S. Fyodorov Eye Microsurgery Federal State Institution (Branch) in the context of a pandemic of the new coronavirus infection COVID-19. The data on the organizational restructuring of the activities of the diagnostic department of the Branch are presented. It was due to strict requirements for compliance with anti-epidemic measures in the context of the pandemic of the new coronavirus infection COVID-19. Thanks to this, it was possible to maintain the annual volume of providing ophthalmic surgical care to residents of the Far Eastern region of the Russian Federation. Its decline was only 17.4%. Key words: pandemic of the new coronavirus infection COVID-19, ophthalmosurgical clinic, reorganization of work, volumes of planned surgery.

Author(s):  
O.V. Kolenko ◽  
◽  
V. V. Yegorov ◽  
M.V. Pshenichnov ◽  
O.B. Baleva ◽  
...  

The article provides information and analyzes the regulatory documents adopted in the Russian Federation, the Khabarovsk Krai, and the orders of the director of the Khabarovsk branch of the. 1The S. Fyodorov Eye Microsurgery Fedaral State Institution, the Khabarovsk Branch, of the Ministry of Health of Russia on ensuring epidemiological well-being by organizing assistance to patients with diseases of the organ of vision and adnexa in the context of the spread of a new coronavirus infection. The developed complex of anti-epidemic measures in the provision of emergency and planned ophthalmological care to residents of the Far Eastern Federal District made it possible in 100% of cases to fulfill the state task for the provision of high-tech medical care


Author(s):  
O.V. Kolenko ◽  
◽  
M.V. Pshenichnov ◽  
E.L. Sorokin ◽  
M.G. Grekov ◽  
...  

Purpose. Evaluation of the first experience in organizing systematic telemedicine consultations/conciliums between the national medical research center and medical organizations in the territory of the Far Eastern Federal District (FEFD) of the Russian Federation. Material and methods. The analysis of organizational and technical difficulties in creating of stable system of planned and unscheduled telecommunication events between the Khabarovsk branch of the Fyodorov Eye Microsurgery Federal State Institution (Khabarovsk branch) and assigned to it medical organizations of the 3rd level, providing ophthalmological care for patients from 8 administrative territories of the FEFD. Results. Organizational and methodological department was created in the Khabarovsk branch, which clarified and eliminated the factors that impeded of telemedicine consultations/conciliums for ophthalmologists of medical organizations of the 3rd level; a set of organizational measures was taken to register these medical organizations in the Federal Register of Medical Organizations, in the Unified State Information System in the Field of Healthcare; the equipment necessary for communication was purchased and technically prepared; methodological assistance was provided in setting up equipment in the regions, including on-site visits; backup connections of several providers have been created; an algorithm for preliminary notification of regional ophthalmologists about the knowledge transmission has been worked out; an organizational algorithm for forming a request for telemedicine consultations has been tested. For 2019–2020 the Khabarovsk branch conducted 32 knowledge transmissions, 560 telemedicine consultations on patients living in the FEFD. Conclusion. The introduction into the daily clinical ophthalmologists practice in the FEFD of system of periodic telecommunication events between the Khabarovsk branch and assigned medical organizations of the 3rd level after the elimination of organizational and technical difficulties showed a high demand, allowing consultations on patient management in accordance with modern standards of ophthalmological care. Key words: telemedicine, teleophthalmology, Far Eastern Federal District, knowledge transmission, telemedicine consultations


2020 ◽  
pp. 75-80
Author(s):  
V.V. Looze ◽  
A.V. Gavrilov ◽  
K.B. Gurieva ◽  
S.L. Beletskiy

The article presents and analyzes the temperature conditions of storage of wheat grain batches during the six-year storage period in silos of precast concrete elevators in the Far Eastern Region of the Russian Federation. The time intervals of grain temperature changes depending on the corresponding climatic conditions are considered. It is shown that the grain mass in the silos of elevators is in a cooled state, at a temperature below 10 °C, most of the annual cycle.


Author(s):  
O.B. Baleva ◽  
◽  
N.V. Savchenko ◽  
V.V. Egorov ◽  
◽  
...  

Changes in work of the clinical expert department of the Khabarovsk branch of the S. Fyodorov Eye Microsurgery Federal State Institution (the Khabarovsk branch) in the context of a pandemic of the novel coronavirus disease were analyzed in the article. The difficulties that have appeared in all sections of the work performed are described, both medical and expert: the time for checking the quality of filling out medical documentation has increased due to the identification of a larger number of defects; the time for medical control and discharge of patients from the hospital has increased due to the impossibility of accumulating patients in one place and the need to maintain social distance; difficulties arose in working with experts from insurance companies due to the lack of direct communication (medical records are checked outside the Khabarovsk branch). The concern of people about the possibility of carrying out surgical treatment in conditions of coronavirus infection was expressed in an increase in the information load of the «Question - Answer» section on the website of the Khabarovsk branch and, accordingly, on the doctors in the clinical expert department working with it. Key words: pandemic, COVID-19, SARSCoV-2, anti-epidemic measures, personal protective equipment, social distance, treatment control, medical documentation, medical and economic expertise.


2021 ◽  
Vol 31 (5) ◽  
pp. 551-561
Author(s):  
Elena V. Bystritskaya ◽  
Tatiana N. Bilichenko

Respiratory diseases (RD) represent one of the most urgent issues in Russian health care and have high socio-economic significance.The aim. To study the dynamics of total morbidity and mortality in the Russian Federation, as well as the mortality associated with RD in the working-age population in 2015 – 2019.Methods. The official statistical data of the Ministry of Health of the Russian Federation and the Federal State Statistics Service were analyzed.Results. In 2019, the total RD-associated morbidity increased by 5.4%, and the prevalence of pneumonia increased by 29.0% compared to 2015. In 5 federal districts (FD), the morbidity exceeded the average Russian morbidity in 2019 (40,694.7). The maximum level was observed in the North-Western FD (50,224.1). The prevalence of pneumonia (Russia – 524.4) in 4 FDs exceeded the average Russian prevalence. The maximum level was reported in the Far Eastern FD (749.2 cases per 100 thousand of the total population). The RD-associated mortality rate in Russia was 51.8 cases per 100 thousand in 2015 and 41.6 cases per 100 thousand in 2018 (–19.7%). In 2018, the highest RD-associated mortality was observed in the Siberian FD (68.0) and Far Eastern FD (57.8 per 100 thousand people). From January to December 2019, the highest mortality associated with pneumonia in the working-age population was observed in the Far Eastern FD (28.2 per 100 thousand people). The RD-associated mortality rate in the male population was 4.2 times higher than in the female population (26.7 and 6.3, respectively, per 100 thousand persons of matching age).Conclusion. The highest morbidity was found in 2018 and 2019 in the Northwestern FD and Far Eastern FD. The RD-associated mortality in the Siberian FD and Far Eastern FD exceeded the average Russian values. This last observation requires additional research to improve the quality of medical care.


2019 ◽  
Author(s):  
E.A. Ushakov

Аннотация. Республика Бурятия и Забайкальский край указом президента Российской Федерации 3 ноября 2018 года вошли в состав Дальневосточного федерального округа. Эти субъекты имеют свою социальноэкономическую специфику по отношению к другим субъектам по структуре экономики, уровню жизни населения, экономикогеографическому положению. Одна из главных целей работы была сравнить новые субъекты с другими субъектами Дальневосточного федерального округа по структуре экономики и социальноэкономическому положению и его динамики. Оба региона как было установлено имеют схожие структуры экономики с приграничными субъектами юга Дальнего Востока. Они имеют довольно низкие социальноэкономические показатели по отношению к подавляющему большинству субъектов Российской Федерации, так и в особенности среди субъектов Дальневосточного региона находясь наряду с Еврейской автономной областью в числе аутсайдеров. Это было подсчитано на примере одного из коэффициентов сравнения, который показывает степень социальноэкономического развития между субъектами федерального округа. Также на примере этого коэффициента выявлено, что рассматриваемые регионы также уступают значительной части других регионов по динамике социальноэкономических показателей. Оба региона имеют небольшую долю в социально экономических показателях округа, прежде всего за счет слабого развития регионов. Это вызывает и снижение этих показателей в расчете на 1 человека по округу. Был выявлен ряд экономических особенностей и географических факторов характерных для причинноследственной связи низкого социальноэкономического положения и развития Республики Бурятия и Забайкальского края по отношению к другим субъектам федерального округа. На примере структуре экономики регионов указано, что наибольшие социальноэкономические показатели имеют регионы с высокой долей промышленности за счет добычи полезных ископаемых. Обозначен ряд факторов, которые сказываются или должны сказываться положительно на развитии новых субъектов в будущем в составе нового федерального округа. Были подсчитаны изменения социальноэкономических показателей для Дальневосточного федерального округа в результате произошедшего изменения его границ. By a decree of the President of the Russian Federation on November 3, the Republic of Buryatia and the TransBaikal Territory became a part of the Far Eastern Federal District. These subjects have their own socioeconomic specifics relatively to other subjects by the structure of economy, the standard of living of the population, and the economic geographical position. One of the main goals of the work was to compare new subjects with other subjects of the Far Eastern Federal District in terms of the economic structure, a socioeconomic situation, and its dynamics. Both regions were found to have similar economic structures with the border regions of the south of the Far East. They have rather low socioeconomic indicators relatively to the overwhelming majority of the subjects of the Russian Federation, and especially among the subjects of the Far Eastern region, being together with the Jewish Autonomous Region among the outsiders. This was calculated by example of one of the comparison coefficients, which shows the degree of socioeconomic development between the subjects of the Federal district. Besides, by example of this coefficient, it was revealed that the regions under consideration conceded a significant part of other regions in the dynamics of socioeconomic indicators. Both regions have a small share in the socioeconomic indicators of the district, primarily because of weak development of the regions. This causes a decrease in these indicators per 1 person in the district. A number of economic features and geographical factors typical of a causal relationship of a low socioeconomic status and development of the Republic of Buryatia and the TransBaikal Territory relatively to other subjects of the Federal district were identified. By example of the structure of regional economy, it is indicated that, the regions with the highest share of industry have the highest socioeconomic indicators at the expense of mining. A number of factors are indicated that affect or should have a positive effect on the development of new subjects in future as part of a new federal district. The changes in socioeconomic indicators for the Far Eastern Federal District that occurred as a result of the change in its borders have been calculated.


2021 ◽  
Vol 946 (1) ◽  
pp. 012011
Author(s):  
Yu V Fedotova ◽  
P A Anikin ◽  
M I Potapchuk

Abstract Geodynamic activity of the Earth’s crust depends on the parameters of the movement of lithospheric plates and stress fields, both inherited in aseismic areas and modified in seismic active ones. Geomechanical processes occur in rock mass under the influence of various natural (endogenous and exogenous) and man-made (anthropogenic) factors. The degree of influence of these factors on the change in the energy saturation of blocks of various ranks will depend on various factors. In the geological environment of natural and man-made systems, there are dynamic phenomena of various energy levels from acoustic noise (microseismic) to rockburst and mining-induced earthquakes, that is, there is always a geodynamic risk in the geological environment of natural and man-made systems, especially in mining ones. The conditions of the geodynamic risks occurrence at specific deposits are considered on the example of rockburst hazardous deposits in the Far Eastern region of the Russian Federation. The influence of natural seismic activity on the realization of mining-induced seismicity is shown.


2021 ◽  
Vol 6 (1(82)) ◽  
pp. 43-49
Author(s):  
R. Leontyev

The article considers the third group of cases of non-observance of the order of references to the sources of borrowed materials, which are present in the study of the management of the airports of local airlines in the Far Eastern region, as established in the documents regulating state scientific certification in the Russian Federation.


2017 ◽  
Vol 12 (7b) ◽  
pp. 1429-1434 ◽  
Author(s):  
Ekaterina Lutsenko ◽  
Natalia Bazhenova ◽  
Natalia Bogachenko ◽  
Olga Averina ◽  
Polina Nikolaeva ◽  
...  

2021 ◽  
Vol 2 (69) ◽  
pp. 49-55
Author(s):  
R. Leontyev

The article discusses violations of the official rules for their registration, established by the documents governing state scientific certification in the Russian Federation, inherent in the conclusion of the dissertation council on the study of airport management of local airlines in the Far Eastern region and in the certification case of the applicant.


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