scholarly journals “Dying” or “New Life” of Single-Industry Towns (the Case Study of Socio-economic Adaptation of Residents of Single-industry Settlements in the North-West of Russia)

2020 ◽  
pp. 163-181
Author(s):  
Elena NEDOSEKA ◽  
◽  
Nikolay KARBAINOV ◽  
Keyword(s):  
Informal Economy ◽  
Federal District ◽  
Field Studies ◽  
Small Towns ◽  
Government Support ◽  
Management Approach ◽  
North West ◽  
The North ◽  
Economic Adaptation ◽  
Single Industry

The article is devoted to the socio-economic adaptation of single-industry towns’ population on the example of single-industry settlements in the North-West of Russia. The work’s theoretical and meth-odological framework is the approaches of scientists who study the grassroots practices of survival of small towns and villages (seasonal work, commuting, a distributed way of life, the informal economy). The empirical base of the study are statistical data collected from the databases of EMISS, SPARK Interfax, the Foundation for the Development of Single-Industry Towns, websites of administrations of single-industry settlements in the Northwestern Federal District, as well as data from field studies collected by the method of semi-formalized interviews with representatives of administrations and deputies of city and regional councils, with ordinary residents of single-industry towns in Republic of Karelia, Leningrad and Vologda oblasts. The study’s preliminary results are presented: first, an analysis of the contradictions in the management approach. Many single-industry settlements in the Northwestern Federal District do not meet the criteria according to which they are included in the official list of single-industry towns. Also, government support measures to rescue “dying” monotowns are ineffective. Secondly, empirical research results show that residents of single-industry towns have developed strategies for adapting to new socio-economic conditions of life, which are not associated with employment in a city-forming enterprise. These strategies include: 1) rotational work or seasonal work; 2) pendulum migration within spontaneous local agglomerations; 3) “distributed lifestyle”; 4) involvement in various spheres of the informal economy. Thus, single-industry towns “do not die” but survive primarily due to the population’s grassroots economic practices.

Pulmonology service staff N orth­Western Federal District in 2015–2019

MedAlliance ◽  
2021 ◽  
Vol 9 (1) ◽  
pp. 91-101
Keyword(s):  
Healthcare System ◽  
Federal District ◽  
Continuous Medical Education ◽  
The State ◽  
Human Potential ◽  
Respiratory Morbidity ◽  
North West ◽  
The North ◽  
Service Staff ◽  
Regional Budgets

Introduction. Prior to detailed review of the North- West Federal District (NWFD) pulmonology service per- formance during the COVID-19 pandemic, it is especial- ly worthwhile to evaluate its human resourcing in the prepandemic period of 2015–2019, since the perfor- mance of pulmonology service largely depends on its staffing, moreover in conditions of restructuring and decreased number of pulmonology bedspace in hospi- tals. Мethods. In the course of the study, the authors have analysed human resourcing data for pulmonology profile within the state healthcare system in NWFD for the period of 2015–2019. The results were statistically processed and data analysis carried out using Micro- soft Office Excel and SPSS software. Results . In the state healthcare system medical institutions of the NWFD throughout 2015–2019, the number of regular pulm- onologists’ positions fluctuated unrhythmically. The number of pulmonologists (MDs) in NWFD grew 0.82% during the period of 2015–2019, for comparison, in the Russian Federation the growth for the same period was 32.08%. The number of operating pulmonology depart- ments remained practically the same, but the number of occupied positions constantly changed. Practically all the pulmonologists in the NWFD have a specialist certi- ficate, but the share of doctors with qualification grade remains insufficient, and is on the decrease. Statistical analysis demonstrated significant positive Pearson cor- relation between the number of pulmonologists and general respiratory incidence (0.74 р=0.04), mortality (0.756 р=0.003), and the number of occupied pulmo- nology bedspace (0.619 р=0.024). Conclusion. Today, pulmonology service human resourcing review is to be conducted taking into account respiratory morbidity and mortality and the need for pulmonology services among the general population. Currently, there is no sci- entifically justified regulatory framework for the deve- lopment of the pulmonology service in NWFD regions, while the work of such services depends very much on the regional budgets and medical services’ tariffs. The development and fast implementation of such compre- hensive measures as salaries’ increase, adequate social support, regular residential and non-residential courses of continuous medical education, professional networ- king, etc. will allow to maintain and holistically develop the human potential of the NWFD pulmonology service.

scholarly journals BETA THALASSEMIA MAJOR IN A DEVELOPING COUNTRY: EPIDEMIOLOGICAL, CLINICAL AND EVOLUTIONARY ASPECT

2013 ◽  
Vol 5 (1) ◽  
pp. e2013002 ◽  
Author(s):  
Mohamed Bejaoui ◽  
Naouel Guirat
Keyword(s):  
Low Income ◽  
Ferritin Level ◽  
Thalassemia Major ◽  
Small Towns ◽  
Infectious Complications ◽  
Beta Thalassemia ◽  
North West ◽  
Beta Thalassemia Major ◽  
The North ◽  
Mediterranean Countries

Beta-thalassemia major (TM) remains to be one of the major health problems particularly in developing countries. Tunisia is a part of the Mediterranean countries mostly affected by this disease which is highly concentrated in small towns in families with low-income earners. The main objectives of this study are to provide a description of the demographic, clinical features and transfusion-related complications in patients with TM living in Tunisia. A standardized questionnaire was sent to clinicians throughout 33 different medical institutions caring for thalassemic patients. 391 transfusion dependant thalassemic patients with a median age of 10.7 years (range 3 months- 31 years) were included in the study.The majority were originated from the north west of the country .A moderate overload between 1501 and 2500ng/ml was found in 61patients, while 81 patients (26.9%) had ferritin level more than 2500 ng/ml and greater than 5000ng/ml in 21 patients (6.9%). 51 patients died from complications related to their disease. Heart failure was the main cause of death. The incidence of cardiac, endocrine, and infectious complications will be reviewed. Preventive measures such as health education, carrier screening and premarital screening remain the best ways for lowering the incidence of these diseases, which might be reflected in financial saving, social benefits and health benefits.

The role of the accommodation sector in tourism routes of the Russian Federarion

2015 ◽  
Vol 9 (2) ◽  
pp. 14-22 ◽  
Author(s):  
Антон Мосалев ◽  
Anton Mosalev
Keyword(s):  
Corporate Culture ◽  
Far East ◽  
Federal District ◽  
North West ◽  
The North ◽  
Federal Districts ◽  
Accommodation Sector ◽  
High Standards ◽  
The Individual

The Article presents an analysis of the role of the media sector in the structure created by the placement of tourist routes in the subjects of the Russian Federation. The sample size was 6000 routes in all federal districts of Russia. The problem of poor service provided by the hotel services in Russia is one of the major problems hindering the development of domestic tourism. Value for money and sometimes do not match. Part of the situation could have saved the increasing competition with the hotels listed in the international circuit, which created its own rules of corporate culture, high standards of service, clearly defined for each category of hotel (in terms of stardom). However, this does not justify a revision of its marketing strategy of independent hoteliers. It is also important to pay attention to accommodation, similar to hotels and other accommodation facilities. They are also well represented in the tourist market. According to the author, the low level of service in accommodation facilities is determined not so much by the reluctance of management to improve it, as the structure of demand from tourists and tour operators, to create a product. Most of the routes, which include the need to accommodate tourists, implemented on average, in the area the day — two. At the same time, tourists do not stay in accommodation facilities for a long time and continue your route on. This circumstance serves as an incentive to change the quality of services. Moreover, the article stipulates that personal and other accommodations are well represented in the routes of major federal districts like Central, Ural, Siberia, Far East. Accommodation in hotels more common routes in the North- West, Volga, the Crimea and North Caucasian Federal District. Accommodation facilities, in this case, are the operators of the individual passive format services. However, this strategy cannot be used by all players of the hospitality industry in all federal districts. The specificity of the regions and their remoteness from each other, the price level in the field must be limiting conditions in which hoteliers could develop. It is therefore proposed that the need to actively offer ideas own hiking tour operators or actively interact with them, attracting all new, including the unorganized tourist flows.

Response of phalaris to differing water regimes or grazing treatments as measured by basal bud weight, water-soluble carbohydrates, and plant tillers

2004 ◽  
Vol 55 (8) ◽  
pp. 879 ◽  
Author(s):  
G. M. Lodge
Keyword(s):  
Water Treatment ◽  
Stem Elongation ◽  
Field Studies ◽  
Water Soluble ◽  
Soluble Carbohydrates ◽  
Soluble Carbohydrate ◽  
Mean Values ◽  
North West ◽  
Management Intervention ◽  
The North

Studies of Phalaris aquatica L. were used to collect data for basal bud (all below ground shoot material) weights, their water-soluble carbohydrate (WSC) content, and green vegetative tillers. A glasshouse study of cvv. Australian and Sirosa was conducted on regrowth after 26 days of plants previously exposed to either non-limiting or limiting (simulated Mediterranean environment, and 3- or 6-week drought) watering treatments. The other studies were of Sirosa phalaris pastures that had previously been subjected to continuous or lenient (resting in both spring and autumn each year) grazing by Merino wethers. In the glasshouse study, weight of basal buds (g/plant) was highest (13.88 g/plant) for Australian plants in the non-limiting water treatment, but not significantly different among watering treatments for Sirosa plants. Basal bud WSC values ranged from 2126 mg/plant (Australian phalaris, non-limiting water) to <200 mg/plant in 6-week drought and Mediterranean watering treatments of both cultivars. Tiller regrowth was higher in Australian non-limiting water treatment compared with all other treatments. Post-drought field studies (6 weeks tiller regrowth in May–June 1995) showed that plants in continuously grazed treatments had basal bud weights <11 g/plant, basal bud WSC contents <600 mg/plant, and green vegetative tiller weights <2.5 g/plant, compared with values of >11 g/plant, >1300 mg/plant, and >3.6 g/plant, respectively, for treatments rested for 12 weeks in both autumn and spring. At the end of spring 1995, when plants were post stem elongation and anthesis, basal bud WSC (mg/plant) was significantly higher in autumn–spring rest treatments compared with plants that were continuously grazed (mean values for 2 sites of 2889 and 1458 mg/plant, respectively). From these data, threshold values of basal bud WSC contents of <600 mg/plant after 6 weeks of regrowth in autumn–early winter, or <2000 mg/plant in flowering plants in late spring in continuously grazed pastures >3 years old, were proposed as useful indicators that management intervention may be required to maintain Sirosa phalaris persistence on the North-West Slopes of New South Wales.

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.

Sign in / Sign up

Export Citation Format

Share Document