ASSESSMENT OF THE ECONOMIC EFFICIENCY OF THE DRUG SUPPLY STRATEGY FOR PATIENTS WITH HEPATITIS C IN THE CITY OF MOSCOW

Author(s):  
Kornilova E. B. ◽  
◽  
Holovnya-Voloskova M. E. ◽  
Kornilov M. N. ◽  
Zavyalov A. A. ◽  
...  
2011 ◽  
Vol 27 (4) ◽  
pp. 753-758 ◽  
Author(s):  
Natália Gazzoni Scaraveli ◽  
Ana Maria Passos ◽  
Andréia Royer Voigt ◽  
Andréa do Livramento ◽  
Gabriela Tonial ◽  
...  

This study was carried out to determine the prevalence of hepatitis B virus (HBV) and hepatitis C virus (HCV) markers among adolescents aged between 10 and 16 years old, who are elementary school students in the city of Chapecó, Santa Catarina State, Brazil. The study involved a cross-sectional survey that included 418 volunteers, from March to July, 2008. Serology comprised HBsAg, anti-HBc, anti-HBs and anti-HCV. Tests were performed using automated Microparticle Enzyme Immunosorbant Assay (Abbott, AxSYM System, Wiesbaden, Germany). The prevalence of HBsAg was found to be 0.2% (95%CI: 0.0-1.3), and the prevalence of anti-HBc was found to be 1.4% (95%CI: 0.5-3.1). Regarding anti-HBs, 48.6% had titers greater than 10UI/L. None of the volunteers presented reactive results for anti-HCV. This study showed a low prevalence of HBV and HCV markers of infection and a great number of volunteers immunized against HBV. Finally this study shows the importance of proper health campaigns and policies in reducing those prevalences.


2021 ◽  
pp. 126-130
Author(s):  
А.V. Savchuk ◽  
◽  
О.A. Danilenko ◽  
Е.R. Makarevich ◽  
Е.V. Zhuk ◽  
...  

The authors studied the economic efficiency of conservative treatment of 196 patients with injuries of the rotator-bicepital complex on the basis of the City Clinical Hospital № 6 in Minsk for the period from 2013 to 2020 using the developed approaches and the introduction of new technologies. As a result of shortening the length of stay of patients in a hospital with the use of new treatment technologies, it can reduce the cost of money. The total economic effect was 30726 BYN. The study of the parameters of economic efficiency indicates the feasibility of using the introduced medical technologies. As a result, the total amount of savins from reducing economic losses amounted to 24 006 BYN.


2018 ◽  
Vol 193 ◽  
pp. 05048 ◽  
Author(s):  
Kymbat Kunanbayeva ◽  
Alexander Gorovoy ◽  
Andrey Butyrin

The matters of the mechanism of management of development of the city-forming organizations of the construction industry, forms of interference of development of the city-forming organizations and mono-profile municipal unit are defined in the article. The main methodical approaches to the assessment of effectiveness of realization of the mechanism of management of development of the city-forming organizations of construction industry are proved. Assessment of effectiveness of realization of the mechanism of management of development of the city-forming organizations to the sphere of production of construction materials are considered according to the ecological-and-economic aspects of sustainable development, including economic efficiency, social efficiency, environmental efficiency.


2011 ◽  
Vol 140 (6) ◽  
pp. 1048-1053 ◽  
Author(s):  
H. JAFFERBHOY ◽  
M. H. MILLER ◽  
P. McINTYRE ◽  
J. F. DILLON

SUMMARYIn Scotland, an estimated 1% of the population is infected with hepatitis C virus (HCV). There is ethnic diversity in Scotland, with a large Pakistani sub-population. Our aim was to investigate the prevalence of HCV in an immigrant Pakistani population and effectiveness of an outreach testing intervention. We arranged a series of HCV awareness meetings at the mosques and Pakistani Women's centre in the city of Dundee. Thereafter short-term outreach HCV testing clinics were set up in the same venues. Venous blood samples were obtained and tested for HCV IgG and HbsAg. A short questionnaire was also completed. In total, 177 individuals volunteered for testing, out of an estimated 250 who attended meetings and a total Pakistani population in Dundee of 1723. Of those tested 170 were Scottish Pakistanis (159 first generation, 11 second generation). There were 145 (85·2%) men. The mean age was 45·11 (±s.d. 16·7) years. Seven (4·1%) individuals in the cohort were anti-HCV positive. Five (2·9%) were found to have HCV RNA by PCR. Only one patient had chronic hepatitis B infection. All patients with positive results were seen in the liver clinic for consideration of treatment. We have demonstrated that immigrant Pakistanis retain a higher prevalence of HCV compared to the population of their adopted country. Outreach targeted testing in this group can be achieved using religious and cultural gatherings, with only modest investment in staff time.


Author(s):  
Oksana Gurieva ◽  
Viktor Barhatov

Research objective is development of the forecast of scenario conditions of increase of economic efficiency of the city-forming enterprise of the monotown for further social and economic development of the region for 2014-2016. For achievement of a goal a number of tasks is solved: consideration of theoretical prerequisites to concept economic efficiency; research of features of economic efficiency of the city-forming enterprise in the monotown; choice of a method of forecasting; forecasting of economic efficiency of the city-forming enterprise. When carrying out research scenario approaches and expert methods of forecasting are used. The main versions of the forecast – option 1 (conservative), option 2 (moderate and optimistical) and option 3 (forced) – are developed on the basis of a uniform hypothesis of external conditions and differ with models of behavior of the enterprises of the monotown, and as with prospects of increase of their efficiency. It is established that at realization of all versions of the forecast economic efficiency of the city-forming enterprise of the monotown increases. However quality of this increase in considered scenarios of the forecast of social and economic development of the region variously. As the most acceptable the moderate and optimistical option is recognized, so at its realization economic efficiency will increase on the average 0,7 items above, than in option 1. The moderate and optimistical option is more focused on innovations, assumes carrying out transformations in development of the human capital and science, and also active modernization of the enterprise.


2020 ◽  
Vol 209 ◽  
pp. 06023
Author(s):  
Semen Vasilev

The possibility of introducing the technology of integrated heat and cold supply in a sharply continental climate is considered on the example of a specific district of the city of Yakutsk, the Republic of Sakha (Yakutia), Russia. In this paper is analysed the possibility of district cooling system based on absorption for one district. The characteristics of specific cold consumers are analysed. Various options for district cooling technologies for the conditions of the North are compared. Calculations of cold consumption for buildings of series 1-464A are made. The analysis of the composition of the equipment, technical solutions, reconstruction of buildings, etc. A comparison of the financial and economic efficiency of the chiller-fan coil system and local split systems for a specific consumer is made.


2020 ◽  
Vol 7 (1) ◽  
pp. 27-30
Author(s):  
Nabila Kalla ◽  
◽  
Souhila Aouidane ◽  
Faiza Megaache ◽  
Soraya Tebbal

Introduction. L’hépatite virale C pose un réel problème de santé publique à l’échelle mondiale. En Algérie, sa prévalence est modérée, mais il existe une variabilité géographique dans sa distribution, la willaya de Batna est endémique pour la pathologie. Le dépistage précoce de cette pathologie permet de réduire la morbidité et la mortalité liées à la cirrhose et au carcinome hépatocellulaire. Notre objectif est de déterminer la prévalence de l’hépatite C dans la ville de Barika par la réalisation d’un dépistage dans la population générale. Matériels et Méthodes. Une étude descriptive transversale de prévalence de l’hépatite virale C dans la ville de Barika à la wilaya de Batna par la réalisation d’une campagne de dépistage de l’hépatite C dans la population générale. Ce dépistage a été organisé pendant 10 jours en mois de mars 2015. Les personnes qui ont été concernées par ce dépistage sont les patients et leurs accompagnateurs qui transitent par les consultations de la polyclinique centrale de Barika pour d’autres pathologies que l’hépatite virale C. Le dépistage a été réalisé par un test rapide immuno-chromatographique sur bandelette (les tests rapides d’orientation diagnostique (TROD)). Un test ELISA de confirmation a été réalisé sur les prélèvements positifs. Résultats. 413 personnes ont été dépistées (114 hommes et 299 femmes), Le test rapide d’orientation diagnostique était positif chez 27 patients, soit une prévalence de 6,5 %. La plupart des patients séropositifs sont des femmes (77,8%). Cette prévalence est plus élevée chez les femmes (7,02%) que chez les hommes (5,26%). La tranche d’âge 60-69 ans est la plus touchée 40,70 %, la séroprévalence dans cette classe d’âge est de 12,79%. Toutes les personnes dépistées séropositives au VHC ont eu un prélèvement sanguin à la recherche de l’ARN VHC par PCR, La PCR VHC est revenue indétectable chez deux patients. Conclusion. Notre campagne de dépistage anonyme et gratuit de l’hépatite virale C a objectivé une estimation de prévalence de l’infection par le VHC dans la ville de Barika à 6,5%, ce qui a situé notre région dans une zone de forte endémicité de l’infection par le VHC


2013 ◽  
Vol 49 (4) ◽  
pp. 737-744 ◽  
Author(s):  
Tânia Cristina Falquetto ◽  
Denise Coutinho Endringer ◽  
Tadeu Uggere de Andrade ◽  
Dominik Lenz

The aim of the present work was to compare hepatitis C prevalence, genotypes, and risk factors between prisoners and non-prisoners in the city of Colatina, Espírito Santo, Brazil. This cross-sectional study involved approximately 1,600 residents and 730 prisoners, all of whom were living in Colatina. The percentage of individuals who tested positive for anti-HCV was 0.1% (2/1,600) in the non-prisoner group and 1.0% (7/730) in the prisoner group, confirming a higher risk of hepatitis C in the latter group. The percentage of subjects who progressed to HCV-RNA negative was 11.1% (1/9), confirming the high probability of evolution to chronicity. Genotype 1 was the most predominant genotype found. Factors associated with increased risk of hepatitis C were being male, being institutionalized, having an income of less than three minimum wages, having low educational attainment, and using injected drugs. Alcohol use, pain in the liver, migraine, and reported history of hepatitis were markedly associated with hepatitis C. The prison population tested positive for anti-HCV at a higher rate than the non-prison population.


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