Primary pediatric stroke center in the multidisciplinary pediatric hospital. New reality in pediatrics

2020 ◽  
Vol 1 (1) ◽  
pp. 15-30
Author(s):  
E.E. Petryaykina ◽  
◽  
I.O. Shchederkina ◽  
I.P. Vitkovskaya ◽  
P.V. Svirin ◽  
...  

Background. The increase in the number of diagnosed strokes in children, significant distinctive features and complexity of diagnosis, treatment and prevention of cerebrovascular diseases in children compared with adults, the impossibility of direct extrapolation of therapeutic recommendations from adult practice to pediatrics required the creation of specialized primary centers of pediatric stroke in Russia. Purpose. The purpose of this article is to describe the experience of organizing a Center for the treatment of children and adolescents with cerebrovascular diseases (hereinafter referred to as the Center) on the basis of the multidisciplinary pediatric hospital of the Morozovskaya Children's City Clinical Hospital of Moscow Healthcare Department, the introduction of modern methods of diagnosis and treatment of strokes in pediatrics, the organization of preventive measures, maintaining the city register of children's stroke, coordinating the provision of medical care to children with cerebrovascular diseases at various levels in the city of Moscow. Materials and methods. The presented experience of organizing and operating the Center covers the period from 2014 to 2019. Researchers used descriptive, statistical, and comparative analysis to demonstrate the Center's performance and justify proposed improvements in diagnostics, management of pediatric patients with cerebrovascular disease, and relapse prevention. Results. In the course of the organization and operation of the Center, there was assessed the frequency of children's strokes in the city: in 2015 - 6.59 cases per 100 thousand of the child population of Moscow; in 2016 - 6.51 per 100 thousand; in 2017 - 6.43 per 100 thousand and in 2018 - 5.86 per 100 thousand. There were improved: the diagnostics of cerebrovascular pathology and its algorithm, modern reperfusion methods of treatment (thrombolysis, thromboextraction) were introduced into practice, outpatient observation. The equipment and trained specialists concentration on the basis of the Center allowed the creation of the Center "full cycle". Maintaining the city register of pediatric stroke made it possible to compare Russian data with those available in the literature and to establish international cooperation with the International Pediatric Stroke Organization. Conclusion. The establishment of the Center is an important example of interdisciplinary interaction in pediatrics. The City Register of Pediatric Stroke will make it possible to assess the problem of childhood stroke in Moscow. The accumulated organizational, medical and diagnostic, scientific, international and educational experience of the Center can be introduced in other regions of the Russian Federation to improve the provision of medical care to children and to solve the most important problem - preserving the health of the country's child population.

2020 ◽  
Vol 1 (1) ◽  
pp. 51-59
Author(s):  
A.V. Vlasova ◽  
◽  
T.A. Tenovskaya ◽  
L.V. Dymnova ◽  
Yu.V. Romanova ◽  
...  

Background. The increase in the number of diagnosed strokes in children, significant distinctive features and complexity of diagnosis, treatment and prevention of cerebrovascular diseases in children compared with adults, the impossibility of direct extrapolation of therapeutic recommendations from adult practice to pediatrics required the creation of specialized primary centers of pediatric stroke in Russia. Purpose. The purpose of this article is to describe the experience of organizing a Center for the treatment of children and adolescents with cerebrovascular diseases (hereinafter referred to as the Center) on the basis of the multidisciplinary pediatric hospital of the Morozovskaya Children’s City Clinical Hospital of Moscow Healthcare Department, the introduction of modern methods of diagnosis and treatment of strokes in pediatrics, the organization of preventive measures, maintaining the city register of children’s stroke, coordinating the provision of medical care to children with cerebrovascular diseases at various levels in the city of Moscow. Materials and methods. The presented experience of organizing and operating the Center covers the period from 2014 to 2019. Researchers used descriptive, statistical, and comparative analysis to demonstrate the Center’s performance and justify proposed improvements in diagnostics, management of pediatric patients with cerebrovascular disease, and relapse prevention. Results. In the course of the organization and operation of the Center, there was assessed the frequency of children’s strokes in the city: in 2015 - 6.59 cases per 100 thousand of the child population of Moscow; in 2016 - 6.51 per 100 thousand; in 2017 - 6.43 per 100 thousand and in 2018 - 5.86 per 100 thousand. There were improved: the diagnostics of cerebrovascular pathology and its algorithm, modern reperfusion methods of treatment (thrombolysis, thromboextraction) were introduced into practice, outpatient observation. The equipment and trained specialists concentration on the basis of the Center allowed the creation of the Center «full cycle». Maintaining the city register of pediatric stroke made it possible to compare Russian data with those available in the literature and to establish international cooperation with the International Pediatric Stroke Organization. Conclusion. The establishment of the Center is an important example of interdisciplinary interaction in pediatrics. The City Register of Pediatric Stroke will make it possible to assess the problem of childhood stroke in Moscow. The accumulated organizational, medical and diagnostic, scientific, international and educational experience of the Center can be introduced in other regions of the Russian Federation to improve the provision of medical care to children and to solve the most important problem - preserving the health of the country’s child population.


2020 ◽  
Vol 37 (4) ◽  
pp. 101-108
Author(s):  
V. I. Bosikova ◽  
Tatiana E. Burtseva ◽  
N. I. Douglas

Objective. To analyze the incidence rate in child population of the Republic of Sakha (Yakutia) according to the data of treatment and prevention institutions. Materials and methods. The article presents an analysis of the incidence rate in child population of the Republic of Sakha (Yakutia) according to the data of treatment and prevention institutions for 20172019 including the data of Yakut Republican Medical Information and Analytical Center. Results. The primary and general morbidity of children and adolescents in the Republic of Sakha (Yakutia) for the period 20172019 was analyzed. The morbidity rate in the republic regarding the disease classes and regions is described, and the increase and decrease rates are calculated. According to the analysis results, there is noted an increase in the general and primary morbidity of the child and adolescent population. In the context of regions of the Republic of Sakha, the highest incidence rate in child population was registered in Srednekolymsky, Allaikhovsky, Ust-Yansky, Oleneksky, and Tattinsky regions. Conclusions. The increase in the general and primary morbidity among the child population and the heterogeneity of these indices in the regions of the Republic of Sakha (Yakutia) requires the implementation of regional and Federal programs to improve primary and specialized medical care in the region.


Author(s):  
Azhari Amri

Film Unyil puppet comes not just part of the entertainment world that can be enjoyed by people from the side of the story, music, and dialogue. However, there is more value in it which is a manifestation of the creator that can be absorbed into the charge for the benefit of educating the children of Indonesia to the public at large. The Unyil puppet created by the father of Drs. Suyadi is one of the works that are now widely known by the whole people of Indonesia. The process of creating a puppet Unyil done with simple materials and formation of character especially adapted to the realities of the existing rural region. Through this process, this research leads to the design process is fundamentally educational puppet inspired by the creation of Si Unyil puppet. The difference is the inspiring character created in this study is on the characters that exist in urban life, especially the city of Jakarta. Thus the results of this study are the pattern of how to shape the design of products through the creation of the puppet with the approach of urban culture.


Author(s):  
Kolyagina N.M. ◽  
Berezhnova T.A. ◽  
Kulintsova Ya.V. ◽  
Elistratova O.S. ◽  
Drapalyuk M.A.

Relevance. Exacerbation of the disease, as a rule, leads to the patient seeking medical help. In this regard, data on the population's access to medical care can serve as an indicator of the exacerbation of the disease. Aim: to analyze meteorological risk factors that contribute to the development of cardiovascular diseases. Material and methods. The ratio of the average number of cases of requests for medical care on unfavorable days for meteorological factors to the average number of cases of requests per day for medical care during the year was calculated. Using software tools (STATISTICA Base V6. 1), the type of data distribution was estimated, and a correlation analysis of the likely relationship between the number of medical care requests and the indicators of meteorological factors was carried out. Results. As a result of the study, it was found that the average number of cases of medical care requests on hot days (air temperature over + 300C) is 1.1-1.4 times higher than the average number of cases of requests per day for the same reasons (diagnoses) during the year and is abnormal for the territory of the city of Voronezh, due to such diagnoses as hypertension without heart failure, brain vascular lesions (specified), cerebrovascular disease, hypertension with heart failure. Conclusions. Thus, it was found that one of the meteorological risk factors for the formation of cardiovascular pathology is high air temperature (above + 300C), which is the goal for the implementation of the main directions of prevention of increased weather sensitivity and treatment of weather-dependent patients.


1913 ◽  
Vol 13 (2) ◽  
pp. 91-110

The Kazan Society of Physicians for the Provision of Medical Aid to the Participants of the Health Insurance Funds Established on the Basis of the Law of June 23, 1912 "has the goal of providing medical assistance to the participants of the Health Insurance Fund established on the basis of the Law of June 23, 1912 in the city of Kazan and its environs.


2020 ◽  
Vol 24 (1) ◽  
pp. 13-44
Author(s):  
Diana Mihnea

During the 1920s, the city of Sibiu expanded by approximately 250 hectares, with an area that was three times larger than its historical core. This great expansion was the result of the application of the agrarian reform, whose laws allowed and encouraged the creation of new building plots in the cities of Transylvania, Banat, Crișana and Maramureș. Although this was the largest territorial growth of the city up until that time, it was not controlled by the municipality and its Technical Office. In fact, the city authorities were excluded from most stages of the decision-making process. All the decisions were taken by the central and local institutions of the Ministry of Agriculture and Domains that were in charge with the application of the agrarian reform. The territorial expansion was not based on any large-scale studies regarding the needs of the city or the impact on its future development. In fact, the proportions and the directions of the city’s expansion were dictated mostly by the number of accepted requests for building plots and by the position of the areas that could be expropriated and that were suitable to be parcelled. The creation of the large new allotments was simultaneous with the efforts of the municipality to draft a systematisation plan that was now urgently necessary, given the rapidly changing situation of the city, and it was imposed by the new administrative legislation of Romania. So, shortly after the parceling plans were issued and the new building plots were distributed to those entitled, a preliminary systematization plan – drafted between 1926 and 1928 – proposed the revision of the new allotments and the modification of the procedure for assigning the building plots according to a system that would allow a gradual territorial growth of the city. Hence, during the second half of the 1920s and the beginning of the 1930s there were ample negotiations over the new urban territory, involving not only the Ministry of Agriculture and Domains, but also the Ministry of Interior and the Superior Technical Council. In the end, after almost a decade of negotiations, only minor adjustments were made to the allotments and the provisions of the systematisation plan were only partly applied.


1995 ◽  
Vol 13 (2) ◽  
pp. 133-157 ◽  
Author(s):  
Benjamin Forest

The 1984 municipal incorporation of West Hollywood, California offers an opportunity to explore two related themes: (1) the role of place in the creation of identity generally, and (2) the role of place in the creation of sexual identity in particular. Work on the second subject has largely concentrated on the political economy of gay territories, although there has been an ongoing concern with the symbolic importance of these places. Although these studies have provided valuable insights on these themes, they do not reflect the renewed concern in humanistic geography with the normative importance of place, and the study of morally valued ways of life. These latter topics provide alternative avenues into questions of identity. In the coverage of the incorporation campaign, the gay press presented an idealized image of the city. In defining a new gay identity, the gay press utilized the holistic quality of place to weave together the ‘natural’ and cultural elements of West Hollywood. This idealized ‘gay city’ united the place's real and imagined physical attributes with social and personal characteristics of gay men. More simply, the qualities of the city itself expressed intellectual and moral virtues, such that characterizations of the city became part of a narrative defining the meaning of ‘gay’. This new gay male identity included seven elements: creativity, aesthetic sensibility, an orientation toward entertainment or consumption, progressiveness, responsibility, maturity, and centrality. The effort to create an identity centered on West Hollywood was relatively conservative in the sense that it was not a fundamental challenge to existing social and political systems. Rather, it reflected a strategy based on an ethnicity model, seeking to ‘demarginalize’ gays and to bring them closer to the symbolic ‘center’ of US society.


Urban History ◽  
2016 ◽  
Vol 44 (4) ◽  
pp. 586-603 ◽  
Author(s):  
SARAH REES JONES

ABSTRACT:The York House Books provide much-cited evidence of Richard III's relationship with the City of York in 1485, yet the nature and purpose of the House Books has never been satisfactorily explored. Through a focus on the records of a single year (1476–77), this article places their development within the context of new forms of civic bureaucracy in England and France in which the recording of emotions and speech had particular rhetorical and political significance in the reign of Edward IV. This expanding culture of civic literacy led not only to the creation of fuller records of civic politics and events (including the surviving texts of the Corpus Christi drama), but also enabled new forms of political activity.


2017 ◽  
Vol 12 (2) ◽  
pp. 29
Author(s):  
Marta Lucía Bustos

ResumenEl texto examina el surgimiento de la institucionalidad cultural en el municipio de Bogotá como parte del proyecto colonial y señala cómo los discursos y prácticas que legitiman la creación de la Oficina de Propaganda Cultural en la década de los años treinta del siglo XX están anclados en la colonialidad del poder de una autoridad estatal que buscó educar a sectores sociales clasificados en la negativa categoría de masas populares. Al revisar el conjunto de prescripciones, afirmaciones, hechos, deseos e intenciones de una élite intelectual que promovió la creación de oficinas culturales, se identifica una idea de la cultura que se relaciona con un saber oculto y con una serie de prácticas en que la acción cultural destaca como vehículo para transfigurar el alma de un pueblo racialmente concebido y, por lo tanto, desposeído de cultura. Este texto hace parte de una serie de indagaciones sobre la institucionalidad cultural pública en Bogotá que tienen como propósito contribuir a ampliar el mapa interpretativo de las políticas culturales en la capital, y comprender mejor cómo se configuraron y desarrollaron formas, reglas y entidades que ordenan nuestro presente.           Palabras claves Políticas culturales; institucionalidad cultural; Bogotá; colonialidad del poder  Towards a Reading of Cultural Institutions. The Office of Cultural Propaganda in the Municipality of Bogotá (1933)Marta Lucía Bustos GómezAbstractThis article examines the emergence of cultural institutions in the city of Bogota as part of the colonial project and points out how the discourses and practices that legitimize the creation of the Office of Cultural Propaganda in the early 30s of the 20th century are anchored in the coloniality of power of a state authority that sought to educate social sectors classified in the negative category of popular masses. In reviewing the set of prescriptions, statements, facts, desires and intentions of an intellectual elite that promoted the creation of cultural offices, an idea of culture that is associated with an occult lore and a number of practices in which cultural action stands out as a vehicle to transfigure the soul of a racially conceived people and, therefore, one which is deprived of culture. This text is part of a series of inquiries into public cultural institutions in Bogota that are intended to help expand the interpretive map of cultural policies in the capital, and better understand how norms, rules and institutions that command our present were configured and developed.KeywordsCultural policies; cultural institutions; Bogotá, coloniality of power Sug  lecturakuna chi institución  culturalkuna. Chi oficina  propaganda cultural sug Municipio Bogotape (1933)Marta Lucia Bustos GómezMaillallachiska:Kai kilkaska examiname llugsirii chi institucionalidad cultural sug Municipio Bogotape sug aparte proyecto colonial  y señalanme sug discurso  y practica legitimandakuna uiñachingapa sug oficina propagandapa sulturalchi uata kimsa chunga y atun uatasiglo XX kamkuna anclareska colonialidadpe chi autoridad estatalpe markaska aichachingapa sector social clasificado negaspa  categoría masa popularkuna. Maskaspa chi conjunto prescripción, afirmación, ruraska munaikuna y Iuiaikuna sug elite iuiaiug Nirka uiñachingapa oficina cultural y regserenme sug idea chi cultural relacioname sug iachai pakalla y sug practikakuna chi acción culturalka kauachinmi sug autosina trukangapa alma pueblota racial iachaskata  y chasak mana culturaua kangapa.Kai  kilkaska  kame parte indagaska sug institucionalidad  cultural pública Bogotape y kanme aidachingapa atuniachingapa chi mapa interpretativo chi política cultural capitalpe, y entengapa imasa configuraska y desarrollaska forma, regla y entidadkuna Nukanchipa nukaurra.Rimangapa Ministidukuna:Políticas culturales; institucionalidad cultural; Bogota; colonialidad poderpe Vers une lecture des institutions culturelles. Le Bureau de propaganda culturelle à la municipalité de Bogotá (1933)Marta Lucía Bustos GómezRésuméLe texte examine l'émergence d'institutions culturelles dans la ville de Bogota dans le cadre du projet colonial et souligne la façon dont les discours et les pratiques qui légitiment la création du Bureau de propagande culturelle au début des années 30 du XXe siècle sont ancrées dans la colonialité du pouvoir d'une autorité étatique qui cherchait à éduquer les secteurs sociaux classés dans la catégorie négative des masses populaires. En examinant l'ensemble des ordonnances, des déclarations, des faits, des désirs et des intentions d'une élite intellectuelle qui a favorisé la création de bureaux culturels, une idée de la culture qui est associée à une tradition occulte et un certain nombre de pratiques don l'action culturelle se distingue comme un véhicule pour transfigurer l'âme d'un peuple racialement conçu et, par conséquent, privé de culture. Ce texte fait partie d'une série d'enquêtes sur les institutions culturelles publiques à Bogota qui sont destinés à aider à étendre la carte d'interprétation des politiques culturelles dans la capitale, et de mieux comprendre comment elles se sont configurées et ont développé des formes, des règles et des institutions qui commandent notre présent.Mots clésPolitiques culturelles; institutions culturelles; Bogotá; colonialité du pouvoirÀ LEITURA DAS INSTITUIÇÕES CULTURAIS. O ESCRITÓRIO DE PROPAGANDA CULTURAL NO MUNÍCIPIO DE BOGOTÁ (1933)Marta Lucía Bustos GómezO texto examina o surgimento da institucionalidade cultural no munícipio de Bogotá como parte do projeto colonial e assinala cómo os discursos e práticas que legitimam a criação do Escritório de Propaganda Cultural na década dos anos trinta do século XX estão ancorado na colonialidade do poder de uma autoridade no Estado que procurou educar a setores sociais classificados na negativa categoria de massas populares. Ao revisar o conjunto de prescrições, afirmações, fatos, desejos e intenções de uma élite intelectual que promoveu a criação de Escrtórios Culturais, se identifica uma ideia da cultura que se relaciona con um saber oculto e com uma série de práticas em que a ação cultural destaca como veículo para transfigurar a alma de um povo racialmente concebido e, pelo tanto, despossuídos de cultura. Este texto faz parte de uma série de inquéritos sobre a institucionalidade cultural pública em Bogotá que têm como propósito contribuir para expandir o mapa interpretativo das políticas culturais na capital, e compreender melhor como se configuraram e desenvolveram formas, regras e entidades que ordenam nosso presente. Palavras-chavePolíticas culturais; institucionalidade cultural, Bogotá; colonialidade do poder


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