scholarly journals The Burden of Hepatic Pathologies in the Modern World. Some Quality Parameters of Management of Patients with Liver Cirrhosis in the Siberian Federal District.

Doctor Ru ◽  
2019 ◽  
Vol 158 (3) ◽  
pp. 6-10 ◽  
Author(s):  
V.V. Tsukanov ◽  
◽  
A.V. Vasyutin ◽  
Yu.L. Tonkikh ◽  
E.V. Onuchina ◽  
...  
2021 ◽  
Vol 22 (3) ◽  
pp. 4-8
Author(s):  
V. A. Zhmurov ◽  
◽  
Yu. S. Kuzmina ◽  
T. A. Mishchenko ◽  
Yu. A. Rogozhkina ◽  
...  

Chronic diffuse liver diseases (CDLD) of various etiologies remain a serious socio-economic and clinical-epidemiological health problem. Every year more than 1 million people die from cirrhosis of the liver of various etiology all over the world. According to the results of a study by a group of authors, it was found that in the Siberian Federal District there is an unfavorable situation in terms of gastroenterological mortality, in particular, hepatological mortality. CCM is characterized by lengthening of the QT interval, electromechanical dyssynchronization, and chronotropic insufficiency. The duration of the QTc interval in the subgroup of patients with liver cirrhosis who received basic therapy and the drug lisinopril (Diroton) was (418.21 ± 2.74 ms) and was significantly lower than in the subgroup of patients receiving only basic therapy. Evaluating the parameters of transthoracic echocardiography among patients with liver cirrhosis, it was noted that during treatment with basic drugs in combination with lisinopril (Diroton), the volume of LV EDV significantly decreased (p < 0.05). The appointment of an ACE inhibitor lisinopril to patients with cirrhosis of the liver as part of complex therapy leads to an improvement in general well-being, a decrease in shortness of breath, an increase in exercise tolerance, an improvement in basic laboratory parameters, as well as an improvement in some morphometric parameters (EDV) and cardiac electrical systole.


2017 ◽  
pp. 123-141 ◽  
Author(s):  
S. Ageeva ◽  
A. Mishura

We examine the spatial distribution of banks in Russian regions to identify the factors that affect changing territorial architecture of the banking system. The object of the study is dynamics of the number of commercial banks and their branches in 1991-2016. Besides the well-known tendency of concentration of the banking business in Moscow and reducing the number of banks in other regions we analyzed situation in the federal districts taking as an example the Siberian Federal District. This approach allowed us to formulate hypotheses about the causes of differences in the availability of banking institutions in Russian regions.


2020 ◽  
Vol 18 (7) ◽  
pp. 1266-1285
Author(s):  
Sn.P. Mongush

Subject. This article explores the various aspects of the concept of Spatial Development. Objectives. The article aims to develop a conceptual basis for the spatial socio-economic development of the collaborating regions. Methods. For the study, I used the methods of comparative and statistical analyses. Results. The article shows how cooperation between the subjects of the Russian Federation increases the potential of economically united regions. Conclusions. When preparing national strategic planning documents, it is necessary to take into account the specifics of regions, their capacity, available resources, and focus on the relationship between regions.


2020 ◽  
Vol 18 (5) ◽  
pp. 891-908
Author(s):  
T.A. Smirnova

Subject. This article deals with the issues of functioning of the region as a system. Objectives. The article aims to identify the problems of the region's functioning as a system, develop methodological tools to monitor the sustainable development of the Siberian Federal District territories, and determine the the impact of socio-economic and environmental factors on the sustainable development of the region as a whole. Methods. For the study, I used the methods of theoretical, statistical, and empirical analyses taking into account an integrated approach. Results. The article reveals the impact of some individual components of regional development on the sustainability of the territorial system as a whole. Relevance. The results of the study can be used to analyze the sustainability of regions' development.


Author(s):  
Nina M. Edrenkina ◽  
◽  
Aleksandr E. Lisitsyn ◽  
Aleksey I. Suchkov ◽  
◽  
...  

Clustering of the regions of the Siberian Federal District (SFD) was carried out according to the state of reproduction of labor resources in rural areas. The modern problems of reproduction of labor resources in the regions of the SFD are identified, taking into account the peculiarities of each of them. As a result, the distribution of the regions of the Siberian Federal District by the state of labor resources of the rural territories was obtained by the following clusters: national, raw materials and leaders. Recommendations for the development of the reproduction of labor resources in rural areas are offered.


2020 ◽  
Vol 19 (6) ◽  
pp. 117-123
Author(s):  
T.E. Belokrinitskaya ◽  
◽  
N.V. Artymuk ◽  
O.S. Filippov ◽  
E.M. Shifman ◽  
...  

Objective. To perform comparative analysis of parameters and structure of maternal mortality (MM) in the Far Eastern Federal District (FEFD) and Siberian Federal District (SFD) in 2014–2019. Materials and methods. The database for analysis was generated using map-based emergency notifications of maternal deaths (69 in FEFD and 180 in SFD). We used methods of descriptive statistics, Pearson's χ2-test, and calculated odds ratios (ORs) with 95% confidence intervals (95% CIs). Results. Between 2014 and 2018, the dynamics of MM in the FEFD and SFD had a one-way trend: it decreased in 2014–2017, but dramatically increased in 2018 primarily due to social factors. In 2019, we observed a significant growth of MM in the FEFD, while the SFD demonstrated a reduction of MM. The most common cause of maternal death in both districts was extragenital diseases. However, there were some differences in the structure of obstetric causes: in FEFD, preeclampsia and obstetric hemorrhage were the most frequent obstetric causes of death, while in SFD, women primarily developed embolism and placental abruption. Conclusion. The dynamics and structure of MM in the FEFD and SFD require management decisions aimed at improving medical care with the consideration of clinical guidelines, organization of continuous audit, systematic development of practical teamwork skills both in simulation training centers and healthcare institutions. Key words: Far Eastern Federal District, maternal mortality, Siberian Federal District


2019 ◽  
Vol 1 (15) ◽  
pp. 45-48
Author(s):  
S. V. Shirokostup ◽  
I. P. Saldan

The article presents an assessment of the effectiveness of the effect of specific prevention measures on the incidence of tick-borne viral encephalitis in the population of the regions of the Siberian Federal District. The data on the incidence of Rospotrebnadzor of the Russian Federation and the regions of the Siberian Federal District for 2000–2017 years were used, the reporting of regional health services, the conditions and cause-effect relationships of the incidence of tick-borne encephalitis were assessed in the analysis of epidemiological survey maps of outbreaks. The study found that the analysis of the potential risk of contact with the foci of this infection in the regions of the Siberian Federal District, based on the ranking of regions by the level of population’s appeal for tick bites, can be considered as a prognostic criterion in planning the volume of preventive measures. Vaccination, having a significant impact on reducing morbidity (r = –0.89; p < 0.001) and mortality (r = –0.86; p < 0.001) from this infection, together with seroprophylaxis, can be one of the leading factors in epidemiological forecasting the incidence of tick-borne viral encephalitis in endemic areas.


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