scholarly journals International standard HL7 FHIR as a working framework for development of common healthcare information space of the Republic of Belarus

Informatics ◽  
2021 ◽  
Vol 17 (4) ◽  
pp. 83-91
Author(s):  
K. I. Kostyuk ◽  
A. V. Branitski ◽  
V. V. Roubo ◽  
I. M. Nesterovich
Keyword(s):  
Medical Information ◽  
Medical Data ◽  
Information Resources ◽  
International Standard ◽  
Data Store ◽  
Rest Service ◽  
Basic Set ◽  
Hl7 Fhir ◽  
The Republic ◽  
The Cost

The positions of theRepublicofBelarusin the field of ICT, the levels of medical data store and collection, HL7 FHIR standard are considered. International standard HL7 FHIR for the exchange of medical data, designed to improve the interaction of independent medical information systems and reduce the cost of developing interfaces. FHIR introduces the term Resource as the main unit of meaningful information for transferring and storing data, describes a set of information resources and a protocol for interacting with the resource store through a REST service or messaging. A fixed basic set of information resources is designed to cover 80 % of information scenarios. This standard is used in the national system of electronic prescriptions in theRepublicofBelarus.

Current Status of a Medical Information System

1970 ◽  
Vol 09 (03) ◽  
pp. 149-160 ◽  
Author(s):  
E. Van Brunt ◽  
L. S. Davis ◽  
J. F. Terdiman ◽  
S. Singer ◽  
E. Besag ◽  
...  
Keyword(s):  
Information System ◽  
Medical Records ◽  
Medical Information ◽  
Clinical Laboratory ◽  
Development Program ◽  
Medical Data ◽  
Direct Access ◽  
Medical Information System ◽  
Current Status ◽  
Central System

A pilot medical information system is being implemented and currently is providing services for limited categories of patient data. In one year, physicians’ diagnoses for 500,000 office visits, 300,000 drug prescriptions for outpatients, one million clinical laboratory tests, and 60,000 multiphasic screening examinations are being stored in and retrieved from integrated, direct access, patient computer medical records.This medical information system is a part of a long-term research and development program. Its major objective is the development of a multifacility computer-based system which will support eventually the medical data requirements of a population of one million persons and one thousand physicians. The strategy employed provides for modular development. The central system, the computer-stored medical records which are therein maintained, and a satellite pilot medical data system in one medical facility are described.

Investigating the Relationship between Company Competitiveness and Environmental Regulation in European Food Processing: Results of a Matched Firm Comparison

1998 ◽  
Vol 30 (9) ◽  
pp. 1585-1602 ◽  
Author(s):  
D M W N Hitchens ◽  
J E Birnie ◽  
A McGowan ◽  
U Triebswetter ◽  
A Cottica
Keyword(s):  
Environmental Regulation ◽  
Food Processing ◽  
Value Added ◽  
Effluent Treatment ◽  
Environmental Costs ◽  
The European Union ◽  
The Republic ◽  
The Cost ◽  
The Relationship ◽  
Regulation Costs

The authors use a method of matched-plant comparisons between food processing firms in Germany, Italy, Northern Ireland, and the Republic of Ireland to investigate the relationship between environmental regulation and company competitiveness across the European Union. Comparative competitiveness was indicated by measures of value-added per employee, physical productivity, export share, and employment growth. The cost of water supply (public or well), effluent treatment (in-plant treatment and/or sewerage system), and disposal of sludge and packaging were also compared. Total environmental costs in Germany, Italy, and Ireland were small: usually less than 1% of turnover. Compared with the Irish firms, German companies had relatively high environmental costs as well as productivity levels. There was, however, a lack of a clear relationship between company competitiveness and the size of regulation costs: in Ireland and Italy environmental costs were similar but German firms had much higher productivity; compared with German counterparts, Italian firms had lower environmental costs but higher productivity.

The use of natural conditions of the high alpine province of Dagestan for reproduction of prospective varieties and hybrids of potato

2021 ◽  
pp. 34-37
Author(s):  
В.К. Сердеров ◽  
Д.В. Сердерова
Keyword(s):  
Field Experiments ◽  
Climatic Conditions ◽  
High Yield ◽  
Potato Varieties ◽  
Caspian Lowland ◽  
The Republic ◽  
High Yielding Varieties ◽  
Almost All ◽  
The Cost ◽  
Mountain Province

Большое значение в увеличении продуктивности картофеля имеет внедрение в производство перспективных высокоурожайных сортов и гибридов, приспособленных к местным природно-климатическим условиям возделывания, от чего зависят эффективность отрасли и себестоимость продукции. Цель работы – изучить влияние климатических условий на продуктивность и качественные показатели сортов и гибридов картофеля, а также использование ими благоприятных почвенно-климатических условий высокогорья Республики Дагестан, для размножения и внедрения в производство новых перспективных, высокоурожайных, приспособленных к условиям среды выращивания сортов картофеля с комплексом хозяйственно-ценных признаков. Объектом изучения послужили сорта картофеля раннего, среднераннего и среднего сроков созревания российской, белорусской и иностранной селекции. Полевые опыты закладывали в 2014–2017 годах на высоте 2000–2200 м, на землях горного опорного пункта «Курахский» Курахского района и на равнинной провинции (Прикаспийской низменности) на территории дачного массива «Наука» Махачкалинского района Республики Дагестан. Схема посадки – 70×30 см, повторность – четырехкратная. Технология выращивания картофеля – гребневая. При проведении полевых опытов использовали общепринятые методики. Практически все сорта картофеля, выращенные на равнинной провинции, сформировали высокий урожай в первый год и при дальнейшем размножении в результате развития вирусных болезней резко снизили свои продуктивные качества. Наиболее высокая урожайность в среднем за три года отмечена у сортов Жуковский ранний (20,8 т/га), Импала (20,5 т/га), Невский (17,8 т/га), Предгорный (16,9 т/га) и Удача (16,3 т/га). В свою очередь, горная провинция Дагестана характеризовалась благоприятными почвенно-климатическими условиями для возделывания как продовольственного картофеля, так и для организации первичного семеноводства на безвирусной основе и размножения перспективных сортов этой культуры. В среднем за годы исследований в горной провинции по урожайности выделились сорта Сильвана (37,4 т/га), Удача (37,6 т/га), Рокко (33,3 т/га), Импала (31,7 т/га), Жуковский ранний (29,0 т/га), Предгорный (27,7 т/га) и Примобелла (27,7 т/га), а также гибриды № 12.40/17 (43,1 т/га) и № 13.61/61 (38,8 т/га). The introduction of promising high-yielding varieties and hybrids adapted to the local natural and climatic conditions of cultivation is of great importance in increasing the productivity of potatoes, which determines the efficiency of the industry and the cost of production. The aim of the work is to study the influence of climatic conditions on the productivity and quality indicators of potato varieties and hybrids, as well as their use of favorable soil and climatic conditions in the highlands of the Republic of Dagestan, for breeding and introducing into production new promising, high-yielding, adapted to the growing environment of potato varieties with a complex of economically valuable characteristics. The object of the study was potato varieties of early, mid-early and medium maturation periods of Russian, Belarusian and foreign selection. Field experiments were conducted in 2014–2017 at an altitude of 2000–2200 m, on the lands of the mountain stronghold Kurakhsky of the Kukhar district and on the plain province (the Caspian lowland) on the territory of the suburban area Nauka of the Makhachkala district of the Republic of Dagestan. The landing scheme is 70×30 cm, the repeatability is four times. The technology of growing potatoes is combed. When conducting field experiments, generally accepted methods were used. Almost all potato varieties grown in the lowland province formed a high yield in the first year and, with further propagation, as a result of the development of viral diseases, sharply reduced their productive qualities. The highest yield on average for three years was observed in the varieties Zhukovskiy ranniy (20.8 t/ha), Impala (20.5 t/ha), Nevsky (17.8 t/ha), Predgornyy (16.9 t/ha) and Udacha (16.3 t/ha). In turn, the mountain province of Dagestan was characterized by favorable soil and climatic conditions for the cultivation of both food potatoes, and for the organization of primary seed production on a virus-free basis and the reproduction of promising varieties of this crop. On average, over the years of research in the mountain province, the varieties Silvana (37.4 t/ha), Udacha (37.6 t/ha), Rocco (33.3 t/ha), Impala (31.7 t/ha), Zhukovskiy ranniy (29.0 t/ha), Predgornyy (27.7 t/ha) and Primobella (27.7 t/ha), as well as hybrids No.12.40/17 (43.1 t/ha) and No.13.61/61 (38.8 t/ha) were distinguished by yield.

PP048 Quality Of Health Care Through Integration: Experience Of Cochlear Implantation

2017 ◽  
Vol 33 (S1) ◽  
pp. 93-94
Author(s):  
Lyazzat Kosherbayeva ◽  
Aigul Medeulova ◽  
Abdulla Alzhanov
Keyword(s):  
Health Care ◽  
Healthcare System ◽  
Cochlear Implantation ◽  
Cost Utility ◽  
Economic Research ◽  
Rehabilitation Programs ◽  
Life Years ◽  
The Republic ◽  
The Cost

INTRODUCTION:The State Program for Health Development of the Republic of Kazakhstan (RK) “Densaulyk” for 2016–2019 initiated the modernization of primary health care with the introduction of family practice in order to ensure the availability, completeness and quality of health services on the basis of an integrated healthcare system focused on the needs of the population. The aim of this study was to determine the effectiveness of the cochlear implantation (CI) programs.METHODS:A literature search was conducted for all clinical trials, randomized controlled trials, and reviews in the PubMed, Cochrane, and Center for Reviews and Dissemination databases. Two reviewers independently evaluated all publications for selection. The analysis included the cost-effectiveness and benefit from the CI program.RESULTS:We analyzed the effectiveness of the services for CI in the RK and other countries (1). In our analysis, we identified that there is no research on Quality-adjusted Life Years (QALYs) and Cost-Utility Analysis (CUA) in RK. We found that, in general, the cost of CI and pre-surgical procedures are comparable with other countries. The length of stay in Kazakhstan was much higher (an average of 8 days) compared with other countries (3 days). Also in RK, there were significantly lower prices per hospital day and cost of various consultations. Postoperative costs of other countries consisted of one-third to two-thirds of the total costs for preoperative and implantation stages (2, 3). There was a little information on the effectiveness of rehabilitation programs in RK.CONCLUSIONS:Economic research like QALYs and CUA are new directions in the healthcare system in the RK. Lack of integration between primary care, rehabilitation and other services leads to difficulties in assessing the effectiveness of CI programs (for example, in our case, there was the restriction of assessment in only postoperative costs).

scholarly journals Financial sustainability of home care in the health system of the Republic of Serbia

2013 ◽  
Vol 141 (3-4) ◽  
pp. 214-218 ◽  
Author(s):  
Dejan Konstantinovic ◽  
Vesna Lazarevic ◽  
Valentina Milovanovic ◽  
Mirjana Lapcevic ◽  
Vladan Konstantinovic ◽  
...  
Keyword(s):  
Health Insurance ◽  
Healthcare Services ◽  
Home Healthcare ◽  
Fixed Costs ◽  
Home Therapy ◽  
Healthcare Centre ◽  
Therapy Services ◽  
The Republic ◽  
The Cost ◽  
Therapy Team

Introduction. Over the last several years, during the economic crisis, the Ministry of Health and the Republican Health Insurance Fund (RHIF) have been faced with new challenges in the sphere of healthcare services financing both in the primary as well as other types of health insurance in the Republic of Serbia (RS). Objective. Analysis of cost?effectiveness of two models of organization of home treatment and healthcare in the primary insurance, with evaluation of the cost sustainability of a single visit by the in?home therapy team. Methods. Economic evaluation of the cost of home treatment and healthcare provision in 2011 was performed. In statistical analysis, the methods of descriptive statistics were employed. The structure of fixed costs of home healthcare was developed according to the RS official norms, as well as fixed costs of providing services of home therapy by the Healthcare Centre "New Belgrade". The statement of account for provided home therapy services was made utilizing the RHIF price list. Results. The results showed that the cost of home healthcare and therapy of the heterogeneous population of patients in the Healthcare Centre "New Belgrade" was more cost?effective in relation to the cost of providing home therapy services according to the RS official norms. Conclusion. Approved costs utilized when making a contract for services of home therapy and healthcare with the RHIF are not financially sustainable. It was shown that the price of 10 EUR for each home visit by the in?home therapy team enables sustainability of this form of providing healthcare services in RS.

scholarly journals Young Adults and Reading in the Focus of the Regional University of Culture

2019 ◽  
Vol 68 (5) ◽  
pp. 543-552
Author(s):  
Ekaterina A. Kuchmurukova ◽  
Yuliya S. Rinchinova ◽  
Galina А. Shanginova ◽  
Irina A. Fokicheva
Keyword(s):  
Young People ◽  
Life Experience ◽  
Preventive Health Care ◽  
Educational Process ◽  
Information Resources ◽  
School Students ◽  
State Institute ◽  
Implementation Framework ◽  
The Republic ◽  
Information Materials

The article considers the work of the Department of Library-Information Resources (LIR) of the East-Siberian State Institute of Culture (VSGIK), aimed at supporting the reading of young people. The purpose of this article is to reveal the experience of the Department of Library-Information Resources in the implementation framework of the project “Self-realization of young people in the journalistic creativity as the basis of psychological preventive health care”. The authors consider the stages of project implementation: conducting the contest of journalistic materials, publication of miscellany containing the best journalistic works of pupils of secondary schools, distribution of miscellany in school and university libraries of the Republic of Buryatia, implementation of different preventive events with VSGIK students and school pupils basing on the publication materials. The authors characterize the expert evaluation of competition works of pupils of senior school, based on the use of qualitative and quantitative criteria. The contest was held in two categories: “Best analytical materials” and “Best information materials”. The article describes the results of voting in the nomination “Popular vote Winner” in the social network “Vkontakte” on the VSGIK official web page. The authors describe the stage of work associated with publication of miscellany “On the threshold of adulthood: reflections of schoolchildren on literature, creativity and life”, which includes 28 competition works.The article highlights the most interesting works of senior school students, rich in reasoning, reflecting the emotional state of person, empathy for the main characters and clearly expressed life positions. The miscellany received feedback from library staff of the Republic of Buryatia, Irkutsk Region, Trans-Baikal Region, which gave high assessment of the overall level of published materials and emphasized the wide readership of the publication. Based on the feedback of library specialists and school pupils, the article concludes about the main results of the project: there were created interesting creative works containing the authors’ arguments and reference to their own, though small life experience. Students revealed the role of book in their lives and disclosed how the book forms the personality of a person.The authors present the quantitative and qualitative indicators of project performance. Distribution of the miscellany in 368 school libraries of the Republic of Buryatia makes it possible to ensure its wide application in the educational process.

scholarly journals Arcabouço de Comunicação Publish/Subscribe para a Coleta de Dados de Aplicações Médicas

2021 ◽  
Author(s):  
Gabriele Ribeiro ◽  
Joberto S. B. Martins
Keyword(s):  
Network Structure ◽  
Medical Data ◽  
Medical Applications ◽  
Distributed Environment ◽  
Communication Framework ◽  
Production And Consumption ◽  
Basic Set ◽  
Network Communications ◽  
The One ◽  
Health Application

Medical applications are increasingly using computing resources such as IoT sensors and network communications paradigms. An e-Health application requires a basic set of elements such as sensors, a communication framework, and a network structure adapted to the application's specific requirements. This work expands and develops a framework based on the Publish / Subscribe paradigm to develop PSIoT-Health. The PSIoT-Health framework focuses on medical applications that collect data produced in a distributed manner. The PSIoT-Health adapts the Pub/Sub model to the requirements of medical applications and proposes a solution for the production and consumption of data between producers and consumers of medical data in a distributed environment such as the one existing in a smart city.

Classification of Occupational Safety Costs in terms of Medical Examinations in the Republic of Kazakhstan

2021 ◽  
pp. 37-42
Author(s):  
G.T. Aitkenova ◽  
Keyword(s):  
Positive Result ◽  
Empirical Data ◽  
Occupational Safety ◽  
Cost Management ◽  
Correct Classification ◽  
The Republic ◽  
The Cost ◽  
Medical Examinations ◽  
Positive Effect

The results of the study of the classification of occupational safety costs, in particular the classification of costs for medical examinations, according to the current requirements of the regulatory legal acts and documents of the Republic of Kazakhstan are presented. The Labor Code of the Republic of Kazakhstan does not regulate the cost of financing occupational safety costs in the organizations. In addition, there are no state-approved methodology for planning and occupational safety budgeting costs. International research in the field of occupational safety confirms the positive effect of the investments in occupational safety on the competitiveness, productivity, and sustainability of the enterprise at the market. At the same time, the methodologically sound organization of planning and financing of occupational safety costs depends on their correct classification, which further contributes to the construction of a rational budgetary system of the enterprise in the field of occupational safety. The need for cost classification is due to the fact, that the existing occupational safety activities have different signs and types of costs. In the process of the study the empirical data is used, for example, codes, laws, and other regulatory legal acts of the Republic of Kazakhstan, as well as the scientific research from near and far abroad. The paper offers three signs of the classification of occupational safety costs. In accordance with the proposed signs of cost classification, the types of medical examinations that employers are legally required to conduct for their employees are distributed. Thus, the classification of occupational safety costs, which is aimed at the cost management, should consider all the main options for solving managerial tasks of the enterprise in the field of occupational safety, and should be applicable in practice. At the same time, the classification of costs with varying degrees of detail contributes to the sound planning and financing of the costs for employee occupational safety, which will lead to a positive result from the investment.

THE TREND OF CHANGES IN PRICES AND TARIFFS FOR UTILITIES ON THE EXAMPLE OF THE SUGHD REGION OF THE REPUBLIC OF TAJIKISTAN

2020 ◽  
pp. 45-51
Author(s):  
Ustuvorshokh A. Kuliyev ◽  
Keyword(s):  
Residential Buildings ◽  
Human Life ◽  
Well Being ◽  
Economic Indicators ◽  
Housing Sector ◽  
The Creation ◽  
The Republic ◽  
The Cost ◽  
Management Groups

The article discusses the features of the regulation of the housing and communal services market. It was noted that the housing sector is one of the key and plays a key role in human life. Utilities are highly dependent on a person’s well-being and health. The article presents an analysis of the growth in prices for utilities and housing, taking into account the available statistics. Also, in connection with the growth of paid services, including the cost of housing and communal services in the Sughd region of the Republic of Tajikistan, an analysis of wages and other economic indicators was carried out. In the article, the author explains the development of the industry with proposals for the reform of housing and communal services, the implementation of tariffs, the creation of management groups near residential buildings.

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