scholarly journals Assessment of Some Indicators of Availability of Dermatovenereologic Aid to the Population of the North-Western Federal District

2019 ◽  
Vol 5 (4) ◽  
pp. 144-151
Author(s):  
N. Ermakova ◽  
Sh. Kharbedia ◽  
D. Zaslavsky
Keyword(s):  
Federal District ◽  
Medical Personnel ◽  
North West ◽  
The North ◽  
North Western

The article is devoted to the assessment of such indicators of the availability of dermatological care as the provision of the population with medical personnel and cots. In 2015–2017, in the North–West Federal District, in comparison with the average Russian indicators, there is a higher provision of doctors with dermatovenereologists and a lower provision with dermatovenereologic beds. The negative dynamics of indicators allows judging about the decrease in the availability of dermatovenereologic aid to the population of the North–Western Federal District.

scholarly journals Experience in consulting with the use of telemedicine technologies in psychiatry and narcology

2019 ◽  
Vol 21 (2) ◽  
pp. 188-190
Author(s):  
V S Skripov ◽  
N V Semenova ◽  
L V Kochorova ◽  
A A Shvedova ◽  
I I Chekhonadsky
Keyword(s):  
Federal District ◽  
Disaster Medicine ◽  
Medical Report ◽  
North West ◽  
The North ◽  
Telemedicine Consultation ◽  
Federal Districts ◽  
Attending Physician ◽  
North Western ◽  
Annual Period

The results of the telemedicine advisory center, organized on the basis of the Bekhterev Psychoneurological Research Institute, for the semi-annual period (from October 2018 to March 2019). The center provides scheduled consultations on the profiles of «psychiatry» and «psychiatry - narcology». Consultations are organized through the circulation of documents in the system developed by the Ministry of Health of Russia and the All-Russian Center for Disaster Medicine «Protection». For half a year of work of the telemedicine center from the subordinate regions (Southern, North-Western, North-Caucasian and Volga federal districts) 76 requests for consultations were received. More than half (57,9%) of patients requiring telemedicine consultation were women. The largest number of requests for telemedicine consultations came in February 2019. It has been established that the Southern Federal District showed the greatest interest in consultations with the use of telemedicine technologies, the number of their requests was 35,5%, and the smallest number of requests came from the North-West Federal District. 88,2% of all complaints were in the «psychiatry» profile, 11,8% - «psychiatry - narcology». 90,9% of women and84.4% of men received counseling on the «psychiatry» profile. 30,2% of requests were returned to doctors for revision, due to the lack of completeness of the documents provided. At the end of the consultation, a medical report is sent to the attending physician, which indicates recommendations for the further management of the patient. Recommendations on the need for additional examinations and the appointment of drug therapy received 52,8% of patients, respectively.

scholarly journals Contemporary problems of professional activity of anesthesiologists-resuscitators

2020 ◽  
Vol 22 (2) ◽  
pp. 149-152
Author(s):  
K. S. Klyukovkin ◽  
L. V. Kochorova ◽  
M. V. Okulov ◽  
S. A. Kozhin
Keyword(s):  
Legal Protection ◽  
Federal District ◽  
Psychological Adaptation ◽  
Medical Personnel ◽  
Medical Specialty ◽  
Professional Activity ◽  
North West ◽  
Professional Activities ◽  
The North ◽  
Medical University

The results of studying the opinions of anesthetists-resuscitators on topical issues of the implementation of their professional activities are presented. A total of 450 doctors were interviewed in St. Petersburg and 450 doctors in other regions of the North-West Federal District. It was found that 68,8% of anesthetists-resuscitators received specialized training in anesthesiology-resuscitation immediately after graduating from a medical university and work by vocation. At the same time, their professional activity is associated with increased workload (about a third of specialists work with workloads of up to80-90 hours a week), including psycho-emotional work (57,4% of respondents experience constant stress, 45,6% have chronic diseases, resulting from professional activities). The main directions of optimizing the conditions of their activity, doctors call both financial (raising wages, equipping with modern medical equipment), and organizational measures (optimizing the balance of work and rest, reducing the load). 61% of doctors working in St. Petersburg would not want to change jobs, in other regions only 27,6% of respondents would not want to change anything, and 15,5% plan to change their medical specialty. Among the positive aspects of their work, doctors unanimously noted the factors of emotional comfort: the ability to help people, a good work team, and a convenient work schedule. Doctors consider tension and fatigue, wage mismatch with the workload, and lack of legal protection as negative sides. Given the high degree of commitment of resuscitation anesthetists to their profession, adaptation to difficult conditions, the main efforts should be directed to measures to attract and retain medical personnel, optimize the required volumes and forms of advanced training, introduce a system of psychological adaptation of specialists to working conditions, development of legal support measures for doctors.

scholarly journals Analysis of selected statistical indicators of the North-Western Federal district in aspect of infant mortality and stillbirths

2018 ◽  
Vol 9 (2) ◽  
pp. 5-15 ◽  
Author(s):  
Dmitry O. Ivanov ◽  
Kseniia G. Shevtsova
Keyword(s):  
Infant Mortality ◽  
Pregnant Women ◽  
Child Protection ◽  
Federal District ◽  
Medical Personnel ◽  
Infant Mortality Rate ◽  
The North ◽  
Service Activity ◽  
Statistical Indicators ◽  
North Western

The paper presents results of some analyzed statistical indicators of infant mortality and stillbirth in the North-Western Federal District of Russia. The following indicators are considered: availability of medical personnel and inpatient beds, morbidity of pregnant women, the number of abortions, as well as some socio-economic indicators. The negative correlation between infant mortality rate in the region and availability of obstetricians-gynecologists, pediatricians, neonatologists was revealed. Stillbirth rates in the region were found to be related to the provision of pregnant pathology beds, to the proportion of these beds in the total number of obstetric beds, to provision of the population with obstetricians and gynecologists. In addition, both factors are equally dependent on such index of work of women's family planning counseling services as the number of abortions per 100 live and stillbirths. A comparative analysis of the pregnant women morbidity, together with the investigated medical care provision in the region, emphasized the effective organization of the child protection and child delivery service activity in the North-Western Federal District, on the one hand. On the other hand, it determined that, in the search for a reserve of reducing fetal and infantile losses in North-Western Federal District, the priority area is a differentiated study of the pregnant women morbidity aimed at developing an appropriate comprehensive prevention program to reduce of the pregnant women morbidity.

CONDITIONS AND PREREQUISITES OF DEVELOPMENT OF CLUSTERS IN THE SPHERE OF YOUTH TOURISM IN THE NORTH-WEST FEDERAL DISTRICT

2016 ◽  
Vol 10 (3) ◽  
pp. 41-49
Author(s):  
Сергей Гришин ◽  
Sergey Grishin ◽  
Галина Карпова ◽  
Galina Karpova
Keyword(s):  
Young People ◽  
Federal District ◽  
Children And Young People ◽  
North West ◽  
The North ◽  
Modeling Process ◽  
Correct Definition ◽  
The Russian Federation ◽  
Tourism And Hospitality ◽  
North Western

The article is devoted to the issue of identifying the prerequisites and conditions for the formation of the system of clusters of the youth tourism in the North-Western Federal district. Despite the active development of cluster structures in tourism and hospitality, both in Russian and abroad they pay fairly little attention to the establishment of clusters in the sphere of youth tourism. The reasons for this phenomenon is due to the peculiarities of youth tourism (not always profitable nature of this sphere of private businesses, the increased level of attention to consumers and their safety, etc.), as well as the need to strictly control and regulate the various ministries and agencies, whose functional duties are somehow connected with the safeguarding and protecting children and young people. The creation of the system of effectively functioning regional and municipal clusters, the youth tourism would solve many of the problems facing the industry as a whole. The goal of creating a modern and efficient cluster formations in the study area, according to the authors, should have a close connaction with youth tourism peculiarities as a sector of tourism and should take into account the specific trends and dynamics of development of this phenomenon in the Russian context. An important aspect in the modeling process of tourism cluster in the field of youth tourism should recognize the correct definition and allocation of characteristics and features based on classification features, which are typical to any cluster in the field of tourism and hospitality in the Russian Federation.

Individual psychological characteristics of employees of criminal investigation departments in transport due to the risk of professional deformation

2020 ◽  
Vol 2020 (4) ◽  
pp. 220-230
Author(s):  
Yuliya Novikova ◽  
Alexander Shakhmatov ◽  
Maria Salyah
Keyword(s):  
Police Officers ◽  
Social Intelligence ◽  
Federal District ◽  
Psychological Characteristics ◽  
Criminal Investigation ◽  
Professional Burnout ◽  
The North ◽  
The Individual ◽  
North Western ◽  
Learn Behavior

The relevance of the study of individual psychological characteristics of employees of criminal investigation departments in transport in the North-Western Federal district of the Ministry of Internal Affairs of Russia (hereinafter referred to as the NWFD) in relation to indicators of professional deformation is due to the specific features of their official activities. Despite a significant amount of research on the phenomenon of professional deformity of police officers, there are few thoroughly developed and completed works on the prevention of professional deformities of police officers. The purpose of our research was to study the individual psychological characteristics of employees of criminal investigation departments in connection with the risk of professional deformation. The results of the empirical study were processed by correlation and factor analysis (49 parameters). The results of the initial analysis showed that the overall assessment of job satisfaction among employees of the studied departments is average with a downward trend. The results of the study on «professional burnout» revealed that a number of employees surveyed are close to emotional exhaustion. It is established that empathic abilities, social intelligence, and constructive coping strategies play an important role in the structure of individual psychological characteristics of police officers. Low ability of employees to learn behavior determines non-constructive strategies and models for coping with stressful situations, which leads to deformation of relationships with other people, i.e. to professional deformation. The obtained data can be used as the basis for the program of psychoprophylaxis of professional deformation of criminal investigation units in transport in the northwestern Federal district.

AGE-RELATED FEATURES OF THE DYNAMICS OF MORBIDITY AND MORTALITY, LOCALIZATION AND HISTOLOGICAL STRUCTURES OF RECTAL CANCER (POPULATION STUDY)

2021 ◽  
pp. 900-907
Author(s):  
В. М. Мерабишвили ◽  
Д. М. Дубовиченко ◽  
М. Ю. Вальков ◽  
А. М. Щербаков ◽  
Э. Н. Мерабишвили
Keyword(s):  
Rectal Cancer ◽  
Malignant Tumors ◽  
Federal District ◽  
Distal Colon ◽  
Morbidity And Mortality ◽  
The North ◽  
Leading Role ◽  
Age Related ◽  
Icd 10 ◽  
North Western

Рак прямой кишки (РПК) - это злокачественная опухоль дистального отдела толстой кишки эпителиального происхождения. Ежегодно в России регистрируется более 30 тыс. (30 969 в 2018 г.) новых случаев РПК и 16 тыс. (16 151) случаев смерти. Индекс достоверности учета (отношение числа умерших к заболевшим) составляет 0,52 %. РПК относится к локализациям со средним уровнем летальности. В Северо-Западном Федеральном округе зарегистрировано более 3 тыс. первичных случаев РПК (3 285 в 2018 г.). Государственная статистика РПК представляет данные о заболеваемости и смертности населения по трем рубрикам МКБ-10 вместе (С19-21). Детальная разработка данных не только отдельно по каждой рубрике МКБ-10, но и по четвертому знаку возможна только по материалам баз данных раковых регистров. Созданный нами Популяционный раковый регистр Северо-Западного Федерального округа насчитывал на 01.01.2019 г. более 1 млн (1 067 661) случаев злокачественных новообразований (ЗНО), в том числе РПК - 50 745 случаев, или 4,8 %. Удельный вес РПК близок к среднероссийскому - 4,9 %. В работе представлена детальная структура онкологической патологии по РПК. Ведущая роль из трех указанных рубрик принадлежит ЗНО прямой кишки (С20) - 75,4 %; 19,8 % приходится на ЗНО ректосигмоидного отдела (С19) и только 4,7 % на С21 - ЗНО ануса и анального канала. По всем этим рубрикам представлена динамика структуры, которая оказалась достаточно устойчивой. Rectal cancer is a malignant tumor of the distal colon of epithelial origin. Every year, more than 30,000 (30 969 - 2018) new cases of Rectal cancer and 16,000 deaths (16 151) are registered in Russia. The index of reliability of accounting (the ratio of the number of dead to sick) is 0,52 %. Rectal cancer refers to localities with an average mortality rate. In the North-Western Federal district, more than 3 thousand primary cases of Rectal cancer were registered (3285 - 2018). The state statistics of the Rectal cancer provides data on morbidity and mortality in three categories of ICD-10 together (C19-21). Detailed development of data not only separately for each category of ICD-10, but also for the fourth sign is possible only from the data bases of cancer registers. As of 01.01.2019, the Population cancer register of the North-Western Federal district created by us totaled more than 1 million cases of malignant tumors (1 067 661), including Rectal cancer - 50 745 cases, or 4,8 %. The share of the Rectal cancer is close to the national average - 4,9 %. The article presents a detailed structure of cancer pathology in Rectal cancer. The leading role of the 3 specified categories belongs to the rectal malignant tumors (C20) - 75,4 %, 19,8 % falls on the malignant tumors of the rectosigmoid department (C19) and only 4,7 % on the C21 - malignant tumors of the anus and anal canal. For all these categories, the dynamics of the structure is presented, which proved to be quite stable.

MORBIDITY, MORTALITY AND RELIABILITY OF ACCOUNTING OF PATIENTS OF DIFFERENT AGE GROUPS WITH LIVER CANCER IN RUSSIA

2020 ◽  
pp. 240-245
Author(s):  
В. М. Мерабишвили ◽  
В. К. Гуркало ◽  
Э. Н. Мерабишвили
Keyword(s):  
Liver Cancer ◽  
Russian Federation ◽  
Malignant Tumors ◽  
Primary Liver Cancer ◽  
Age Groups ◽  
Federal District ◽  
Cancer Register ◽  
The North ◽  
The Russian Federation ◽  
North Western

Рак печени (РП) - тяжелейшая онкопатология. В России смертность превышает число первично-учтенных больных в среднем. Ежегодно в России регистрируют более 8 тыс. (8 810 - в 2018 г.) случаев рака печени и более 10 тыс. (10 018 - в 2018 г.) случаев смерти от этой причины. Использованы стандартные методы медицинской статистики, все зарегистрированные первичные случаи РП в России. Углубленная разработка материала проведена на основе базы данных Популяционного ракового регистра Северо-Западного Федерального округа РФ. Проанализированы данные всего комплекса доступной информации в целом по России. Установлен прирост заболеваемости РП населения России за 18 лет в «грубых» показателях и абсолютных числах на 20% и в стандартизованных - на 1,22%. У женщин отмечено снижение учтенных случаев РП на 4,55%. Смертность населения России в стандартизованных показателях снизилась за 18 лет практически на 3%. Превышение числа умерших над заболевшими от РП существенно возрастает в старших возрастных группах. Индекс достоверности учета (ИДУ) - это отношение абсолютных чисел или «грубых» показателей смертности населения к заболеваемости. Для всех злокачественных новообразований (ЗНО) величина в среднем по России составила 0,47, практически совпадающая со среднеевропейской. ИДУ у мужчин - 0,55, выше расчетных показателей для женщин - 0,40, что в первую очередь связано с более благоприятной структурой заболеваемости женщин ЗНО. Медиана выживаемости первичных больных РП составляет немногим более 3 мес. Пятилетняя выживаемость больных РП даже на ранних стадиях составляет у лиц моложе 60 лет с I стадией - 25,3%, старше 60 лет - только 17,2%, со II стадией - 17,9 и 11% соответственно. Liver cancer is a severe oncopathology. Mortality exceeds the number of primary-accounted patients in Russia on average. Every year in Russia more than eight thousand (8 810 in 2018) cases of liver cancer and more than 10 000 (10 018 in 2018) deaths from this cause are registered. Used Standard methods of medical statistics, all registered primary cases of liver cancer in Russia. In-depth development of the material was carried out on the basis of the database of the Population cancer register of the North-Western Federal district of the Russian Federation. The analysis of the data of the whole complex of available information in Russia as a whole is carried out. In-depth data development was carried out on the basis of the database of the Population cancer register of the North-Western Federal district of the Russian Federation. The increase in the incidence of liver cancer in Russia over 18 years in «rough» indicators and absolute numbers by 20 % and in standardized by 1,22 % was established. In women, there was a decrease in reported cases of liver cancer by 4,55 %. The mortality rate of the Russian population in standardized indicators has decreased by almost 3 % over 18 years. The excess of the number of deaths over those from liver cancer increases significantly in older age groups. The index of reliability of accounting is the ratio of absolute numbers or «rough» indicators of mortality to morbidity. For all malignant tumors, its value on average in Russia was 0,47, almost coinciding with the average European. The index of reliability of accounting for men is 0,55, higher than the calculated indicators for women - 0,40, which is primarily due to a more favorable structure of the incidence of malignant tumors in women. The median survival of primary liver cancer patients is a little more than three months. The fi ve-year survival rate of patients with liver cancer even in the early stages is in the first among persons younger than 60 years - 25,3 %, over 60 years - only 17,2 %, in the second, respectively, 17,9 and 11%.

Anglo-Dutch-American Enlightenment

2020 ◽  
pp. 250-266
Author(s):  
Jonathan Scott
Keyword(s):  
Present State ◽  
Natural Philosophy ◽  
North West ◽  
Natural Knowledge ◽  
Self Confidence ◽  
American Enlightenment ◽  
The North ◽  
European North ◽  
Cultural Movement ◽  
North Western

This chapter studies cultural invention in light of the North-Western European cultural movement called Enlightenment. Enlightenment refers, in the first place, to a description by European intellectuals of what they took to be an advanced present state of moral and natural knowledge by comparison to that of the ancients. With related self-confidence, in the heyday of their empires, some described their culture as possessed of a dynamic modernity to be distinguished from the ‘oriental' lethargy and backwardness existing elsewhere. Yet Enlightenment also originated as European self-criticism. One context for that was the comparative perspective acquired by discovery of non-European cultures. In this and in other ways the origin of Enlightenment, including its ‘conviction that progress had become unstoppable', lies in the period when Renaissance and Reformation combined with printing and natural philosophy to establish the culture of the European North-West.

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