scholarly journals Determination of the level of regional morbidity of the population based on data on anthropogenic load

2021 ◽  
Vol 27 (4) ◽  
pp. 307-319
Author(s):  
Alla Martynova ◽  
Roman Mikhaylov ◽  
Sergei Pryanichnikov
Keyword(s):  
Health Care ◽  
Russian Federation ◽  
Adult Population ◽  
Federal State ◽  
Processing Plant ◽  
Central Research ◽  
Ministry Of Health ◽  
Environmental Situation ◽  
Murmansk Region ◽  
The Russian Federation

The aim of the work is to determine the external, anthropogenic environmental factors that negatively affect the morbidity of the population and associated nosologies. The knowledge gained in this area will allow us to identify the adverse impacts of man-made nature and identify tools for environmental quality management to promote public health. Geoinformation data will help to identify the areas with the most intense environmental situation in the Murmansk region. It will also identify the dominant diseases in these areas. Mining and metallurgical enterprises mainly contribute to the pollution of the territory of the region: Kola MMC, Severonikel, Phosagro, Kovdor mining and processing plant, North-Western Phosphorus Company, Olkon and Rusal, as well as the nuclear fleet and fish processing enterprises, power supply facilities. The air basin is dominated by fluoride compounds, which are the emissions of ethylene into the atmosphere. Data on the demographic situation and medical statistics, including data on general morbidity and mortality, were obtained from the Territorial Body of the Federal State Statistics for Murmansk Region, Ministry of Health of the Russian Federation, Department of Monitoring, Analysis and Strategic Development of Health Care, Federal State Budgetary Institution “Central Research Institute for the Organization and Informatization of Health Care” of Ministry of Health of the Russian Federation and Ministry of Natural Resources and Ecology of Murmansk Region. The medical and environmental analysis of adverse factors in the regions of Murmansk region was carried out taking into account the environmentally dependent diseases of the adult population. The assessment of the morbidity of the population in the Murmansk region showed that several areas with a tense environmental situation are identified in the region. Diseases of the respiratory system, digestive system, genitourinary system, and musculoskeletal system are leading in the structure of overall morbidity.

Evaluating the efficiency of the environmental security policy in the Russian regions

2020 ◽  
Vol 19 (4) ◽  
pp. 633-649
Author(s):  
G.T. Shkiperova ◽  
P.V. Druzhinin
Keyword(s):  
Environmental Policy ◽  
Russian Federation ◽  
Security Policy ◽  
Quantitative Methods ◽  
Federal District ◽  
Environmental Security ◽  
Environmental Indicators ◽  
Federal State ◽  
Environmental Situation ◽  
The Russian Federation

Subject. Considering the existing environmental situation, it becomes especially important for the State to regulate the anthropogenic footprint on the environment in the Russian Federation. Current amendments to the legislative framework for environmental security are intended to ensure the innovative development of regions concurrently with a reduction in adverse environmental effects and more active environmental policy. Objectives. The research is to devise methodological tools to evaluate the efficiency of environmental policy in regions. Methods. The research employs qualitative and quantitative methods of economic analysis, including statistical and content analysis, rating, matrix zoning. The dataset proceeds from the Federal State Statistics Service, governmental reports on the current environmental situation and environmental protection in the Russian Federation. Results. We propose our own approach to evaluating the efficiency of environmental policy. It may help trace the correlation between the quality of strategic documents and changes in environmental indicators for a certain period, flag the challenging areas in terms of the environmental policy implementation and outline possible development paths. The approach extends the list of quantification indicators in line with those ones adopted internationally and presented in the Environmental Security Strategy of the Russian Federation up to 2025. We evaluated the efficiency of the environmental policy referring to the regions of the Northwestern Federal District for the period from 2012–2016. Conclusions. Having analyzed the evaluation results, most of the Northwestern regions tend to be controversial and ambivalent in setting environmental goals and achieving them. The findings may prove useful as the analytical and data basis for articulating the environmental and economic policy of the regions.

DYNAMICS IN INCIDENCE OF DISEASES OF THE CIRCULATORY SYSTEM AMONG ADULTS IN THE RUSSIAN FEDERATION IN 2007-2019

2021 ◽  
Vol 67 (2) ◽  
pp. 1-1
Author(s):  
A.A. Savina ◽  
◽  
S.I. Feyginova ◽  
Keyword(s):  
Russian Federation ◽  
Heart Diseases ◽  
Adult Population ◽  
Incidence Structure ◽  
Circulatory System ◽  
Total Mortality ◽  
The State ◽  
Ministry Of Health ◽  
Study Results ◽  
The Russian Federation

Significance. Diseases of the circulatory system remain one of the leading causes of death and morbidity of the adult population. Over the years, the efforts of the State aimed at controlling diseases of the circulatory system have made the contribution of this disease class to the total mortality in Russia gradually reduce. Nevertheless, diseases of the circulatory system remain the leading ones among diseases, characterized by a steady growth and rapidly increasing prevalence among the population. The purpose of the study is to analyze dynamics in incidence and prevalence of the diseases of the circulatory system among the Russian adult population in 2007-2019. Material and methods. The study used data of the statistical collections of the Ministry of Health of the Russian Federation and the Federal Research Institute for Health Organization and Informatics of the Ministry of Health of Russia: "Morbidity of the adult population of the Russian Federation" for 2007-2019. The study, which is a continuous statistical observation, used the method of direct ranking, calculation of indicators of time series. Results. Diseases of the circulatory system in 2019 ranked fourth in the incidence structure of the adult population (8%), while its prevalence ranked second to none (21%). Over 13 years, the incidence of diseases of the circulatory system in adults increased by 42% (2007-2019) while its prevalence increased by 24%. The highest levels of incidence of diseases of the circulatory system in 2019 are registered in the Krasnodar Territory (9,024.3 per 100 000 population, + 324%), the Kurgan Region (7,404.2, + 103%) and the Karachayevo-Circassian Republic (7 286.2, + 268%), and prevalence - in the Altai Territory (52 557.6, + 2%), the Chuvash Republic (51 814.6, + 38%) and the Voronezh Region (45 339.4, + 59%). The maximum rates of increase in morbidity with diseases of the circulatory system from 2007 to 2019 are registered in the South Federal district (incidence - by 119%, prevalence - by 56%), among the constituent entities of the Russian Federation: incidence - in the Krasnodar Territory (by 324%), prevalence – the Karachayevo-Circassian Republic (by 136%). According to the state statistical reporting, on average, every 7th acute myocardial infarction is complicated by recurrent heart attack in Russia. Conclusions. Throughout the study period of 13 years, the leading nosological forms include: Hypertensive diseases (35%; 45%, respectively), Ischemic heart diseases (22%; 21,6%) and Cerebrovascular diseases (23%; 20%). Over half of the diseases of the circulatory system are registered in the older working ages (55-60 and over). Scope of application. The study results can be useful to regional authorities in public health in planning and implementing regional programs aimed at controlling diseases of the circulatory system.

scholarly journals In memory of Professor Abrosimov Vladimir Nikolaevich

2019 ◽  
Vol 27 (1) ◽  
pp. 117-121
Author(s):  
Board of the journal I.P. Pavlov Russian medical biological herald
Keyword(s):  
Family Medicine ◽  
Russian Federation ◽  
Medical Community ◽  
Federal State ◽  
Medical Sciences ◽  
Ministry Of Health ◽  
State Budget ◽  
The Russian Federation ◽  
Medical University ◽  
Domestic Medical

On January 22, 2019, the domestic medical community suffered a serious loss - Abrosimov Vladimir Nikolaevich, Doctor of Medical Sciences, Professor, Head of the Department of Therapy and Family Medicine of the FDPO with a course of medical and social examination of the Federal State Budget Healthcare Institution of Ryazan State Medical University of the Russian Ministry of Health, Honored Doctor of the Russian Federation, member correspondent of the Euro-Asian Academy of Medical Sciences, chief freelance pulmonologist of the Ministry of Health of the Ryazan Region.

scholarly journals The Attitude of Pregnant Women and Health Workers for Influenza Vaccination

2017 ◽  
Vol 16 (1) ◽  
pp. 55-61 ◽  
Author(s):  
N. I. Briko ◽  
T. S. Saltykova ◽  
A. N. Gerasimov ◽  
A. A. Pozdnyakov ◽  
E. B. Brusina ◽  
...  
Keyword(s):  
Infectious Diseases ◽  
Pregnant Women ◽  
Russian Federation ◽  
Health Workers ◽  
Statistical Processing ◽  
Federal State ◽  
Ministry Of Health ◽  
Negative Experience ◽  
The Russian Federation ◽  
Information Work

Influenza and ARVI - the main nosological form in structure of all infectious diseases. Influenza is especially dangerous to pregnant women. Purpose: to estimate commitment of pregnant women and health workers to vaccination against influenza. Materials and methods: form No. 5, form of the statistical account No. 1 - influenza the section 1, information from the official site of Federal State Budgetary Institution Scientific Research Institute of influenza of the Ministry of Health of the Russian Federation; materials of various conferences and the congresses on a influenza problem, information and analytical reference of the Ministry of Health of the Russian Federation. There were asked 1126 pregnant women on various durations of gestation and 447 health workers in various territories of the Russian Federation. Statistical processing was carried out with use of the Microsoft Excel 2010 and IBM SPSS Statistics 20.0 programs. Results and discussion: Among the interviewed pregnant women planned or were already vaccinated against influenza only 8% of women. The most frequent causes of failure from vaccination against influenza during pregnancy: doubt in safety (41.8%), ignorance about possibilities of vaccination (21,1%), lack of need for vaccination (18,7%). Only 25% of respondents knew about entering vaccination against influenza during pregnancy into a national calendar. At the same time only in 15% of health workers suggested pregnant women to be vaccinated from influenza. 73% of the interviewed health workers didn't recommend vaccination against influenza to pregnant women because they consider undesirable an intervention in immunity of the pregnant woman, 33% doubt in safety of vaccination, 13% don't know about a possibility of vaccination of pregnant women at all, 6% have personal negative experience of vaccination, and 4% don't see need for vaccination from influenza. Conclusion: the received materials showed need of development of knowledge at health workers of a vaccinal prevention of infectious diseases, including also vaccination against influenza during pregnancy, and also to carry out broad and active information work with the population, attracting mass media.

scholarly journals PSYCHOLOGICAL ASPECTS OF THE REHABILITATION OF CANCER PATIENTS

2019 ◽  
Vol 1 (3) ◽  
pp. 40-43
Author(s):  
M V Vagaytseva ◽  
T Yu Semiglazova ◽  
K O Kondratieva
Keyword(s):  
Chronic Illness ◽  
Cancer Patients ◽  
Russian Federation ◽  
Psychological Aspects ◽  
Federal State ◽  
Ministry Of Health ◽  
Essential Component ◽  
The World ◽  
The Russian Federation

The development of medicine increases the number of people living in situations of severe chronic illness, such as cancer. Around the world, the direction of the rehabilitation of such people is being developed in order to prevent disadaptation. Psychological rehabilitation is an essential component of rehabilitation. Psychological rehabilitation of people in a situation of cancer has its own characteristics. Presents the basics of psychological rehabilitation of the rehabilitation department of the Federal State Budgetary Institution "NMIC of Oncology named after NN Petrov" of the Ministry of Health of the Russian Federation.

scholarly journals Experience in Using Simulation Equipment in Teaching Transthoracic Echocardiography Skills

2021 ◽  
Vol 1 (3) ◽  
pp. 132-133
Author(s):  
Kh. A. Tengizov ◽  
S. V. Shahidzhanova ◽  
M. A. Saidova
Keyword(s):  
Medical Research ◽  
Russian Federation ◽  
Transthoracic Echocardiography ◽  
Research Center ◽  
Federal State ◽  
Ministry Of Health ◽  
National Medical ◽  
The Russian Federation

This paper describes the experience of teaching transthoracic echocardiography (TTE) skills on simulation equipment, accumulated over 2 years of training of residents in the direction of "Cardiology" at the Federal State Budgetary Institution "National Medical Research Center of Cardiology" of the Ministry of Health of the Russian Federation (Cardiocenter).

scholarly journals The theory and practice of indicative planning in health care

2019 ◽  
Vol 60 (2) ◽  
pp. 60-65
Author(s):  
V. G. Kudrina ◽  
Dzeynap O. Sapralieva
Keyword(s):  
Health Care ◽  
Infant Mortality ◽  
Medical Care ◽  
Health Care System ◽  
Russian Federation ◽  
Social Economic ◽  
Ministry Of Health ◽  
The Russian Federation ◽  
The Republic ◽  
Care System

The planning as a key function of management in health care system is focused on target indicators of population health and development of health care sector. The focusing on social economic values of target indicators and setting them as indicators of appropriateness and effectiveness of implementing activities is actual standard ofplanning. For all that, the technique of indicative planning in health care still requires to be putted to level of its theoretical substantiation (prerequisites of becoming, conceptual foundations, terms, requirements to evaluation) and implementation in practice. The example of the Republic of Ingushetia, one of the regions of the Russian Federation, was used to demonstrate becoming of indicative planning and its development with the purpose of effective management. The emphasis is made on terms system, approaches of choosing and monitoring of target indicators for indicative planning. To present the technique of indicative planning scientifically the monograph method (analysis of reports, statistical data of Rosstat, Ministry of Health of the Russian Federation and Ministry of Health of the Republic of Ingushetia) was applied. The SWOT analysis of the situation in health care of the region was applied. The infant mortality indicator became the reference point of evaluation of effectiveness of functioning of health care system and social economic reforming in the region. The level and dynamics of infant mortality indicator reflects shortcomings of medical care organization in the region and first of all absence of the three-level system of its rendering, routing according standards of medical care support of patients on main pathology profiles, including pregnant women, women in labor, newborns and children. According to situation, the investment decisions were made on the federal level. To what extent they will be effective i.e. what will be the reaction of values of target indicators of social economic development of the region, primarily indicators of infant mortality, the «road map» should demonstrate.

Public health and health

2019 ◽  
Author(s):  
Сергей Гонтарев ◽  
Sergey Gontarev
Keyword(s):  
Public Health ◽  
Health Care ◽  
Health Economics ◽  
Russian Federation ◽  
Academic Discipline ◽  
Management Systems ◽  
Ministry Of Health ◽  
The Russian Federation ◽  
Modern Knowledge ◽  
Automated Management

The textbook is developed in accordance with the program of academic discipline "Public health and health care", approved by the Ministry of health of the Russian Federation. The textbook includes modern knowledge in the field of public health and public health. Additionally, lectures on health Economics and automated management systems in health care are also included. The textbook is designed for students and teachers of medical universities and faculties, doctors of various specialties.

Review of clinical guidelines “Cystic fibrosis”, 2020

2021 ◽  
Vol 31 (2) ◽  
pp. 135-146
Author(s):  
E. I. Kondratyeva ◽  
E. L. Amelina ◽  
M. Yu. Chernukha ◽  
V. D. Sherman ◽  
S. A. Krasovskiy ◽  
...  
Keyword(s):  
Health Care ◽  
Cystic Fibrosis ◽  
Medical Care ◽  
Russian Federation ◽  
Clinical Guidelines ◽  
Health Care Services ◽  
Diagnostic Tools ◽  
Federal State ◽  
Diagnostic Strategy ◽  
The Russian Federation

The aim of the experts who provide health care for patients with cystic fibrosis (CF) has been to develop clinical guidelines on cystic fibrosis for children and adults.Methods. The 2020 Clinical Guidelines were based on the European consensus documents on cystic fibrosis and the national consensus “Cystic fibrosis: definition, diagnostic criteria, therapy” (2016, 2019). When creating clinical guidelines, the experts were guided by Article 2 of the Federal Law No.323-FL “On the basics of health care in the Russian Federation” as of November 21st, 2011, and the regulatory legal documents governing the development and approval of clinical guidelines (https://rosmedex.ru/kr/).Results. The clinical guidelines were approved by the Federal State Budgetary Institution “Centre for Expertise and Quality Control of Medical Care” of the Russian Ministry of Health in August 2020. Standards of medical care for children and adults with cystic fibrosis were prepared based on these guidelines. The diagnostic algorithms have been expanded with a three-stage DNA diagnostic strategy, functional assays of CFTR channel, laboratory and instrumental diagnostic tools for assessing disorders of respiratory and other systems, diagnosis of the microbial inflammatory process, microbiological monitoring, and therapeutic approaches. The antibiotic therapy with dosages and courses is described in detail. The updated document should describe a unified tactic for the management of Russian CF patients.Conclusion. Unified clinical guidelines for children and adults should develop unified tactics for the diagnosis, therapy, and follow-up of CF patients in the Russian Federation and ensure continuity between health care services for children and adults.

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