Nuclear power in Russia’s national projects

Population supports the need for switching to green power, which is most often understood to mean the use of solar and wind energy. It would be however a mistake to think that solar and wind power plants will solve in full the problem of uninterrupted power supply for all sectors of economy due to the instability of generation modes and the scale of such energy production. Experts suggest that the only possible way to address global energy and environmental issues is further evolution of nuclear power. Nuclear power is not listed explicitly as a national priority project but it is a component of the Science national project and is expected to contribute to the implementation of the Ecology, Education, and International Cooperation and Export projects. In the context of the Ecology project, nuclear power is capable to play a key role in preventing environmental contamination. In the framework of the International Cooperation and Export project, it is possible to export high-technology fast neutron reactors. The experience of interaction with the interested public, and the developed and implemented occupational training programs will provide for the shaping of radiological literacy among young people as part of the Education project.

A Review of Term of Reference And Budget Plan of SMEs and Cooperatives Development Priority Project : A Logical Framework Approach

One of the most crucial stages in the new system of PP 17/2017 on Synchronization of National Development Planning and Budgeting is creating a comprehensive and accurate Terms of References (TOR) and budget plan, which define all aspects of how line ministries or stakeholders will conduct the priority project. Taking one example of priority projects of the Ministry of Cooperatives and SMEs, which is called Pusat Layanan Usaha Terpadu/ PLUT KUMKM, this study aims to identify how line ministry (the Ministry of Cooperatives and SMEs) describes its project and overall perceives the new system of planning and budgeting. Using logical framework approach, this study analyzes a number of documents such as TOR, budget plan, and government plan that related to PLUT KUMKM project. The result shows that the Ministry of Cooperatives and SMEs needs to improve the perception of the new system since the TOR and budget plan cannot fully describe the project comprehensively.

Bilateral internal thoracic artery grafting in coronary surgery: 10-year outcomes

Background The advantages to use the bilateral internal thoracic artery grafting (BITA) technique for coronary artery bypass grafting (CABG) have been recently questioned, but data on long-term follow-up is limited. Using data from the PRIORITY project, this study aims to assess the outcome with the use of BITA grafting and its implications for public health. Methods The PRIORITY project was planned to evaluate the long-term outcomes of two prospective multicenter studies on CABG conducted between 2002-2004 and 2007-2008. Data on isolated CABG were linked to administrative data in order to retrieve patients' late outcome. Time-to-event distributions were analyzed accordingly to primary event-type (death, major adverse cardiac events (MACEs)) using the Kaplan-Meier and the Cox proportional hazards methods. Results The study population consisted of 11021 patients who underwent isolated CABG. BITA grafting was employed in 24.6% of patients. The median follow-up time was 8.0 years (interquartile range 7.6-10.0 years). After adjustment for potential confounding factors, BITA grafting was significantly associated with better survival (HR 0.85, 95%CI 0.76-0.95, p = 0.003). Moreover, using BITA grafting reduced the incidence of MACE (HR 0.87, 95%CI 0.80-0.94, p = 0.001), showing to be a protective factor for recurrent acute myocardial infarction (HR 0.84, 95%CI 0.71-0.99, p = 0.05) and for rehospitalization for percutaneous cardiac intervention (HR 0.82, 95%CI 0.70-0.96, p = 0.013). Conclusions BITA grafting during isolated CABG is associated with survival advantage at 10-year with a significantly reduced incidence of MACE. Being the choice to perform isolated CABG with or without BITA based mainly on operator personal preferences, these findings may have important implications from a public health perspective. Key messages The choice to perform CABG with or without BITA grafting is associated to different outcomes. The choice to perform CABG with or without BITA grafting is mainly based on operator preferences and may have important implications in terms of healthcare expenditures.

Hospitalization costs related to long-term management of patients undergoing CABG (PRIORITY project)

Background Identifying potential tools that could help improving the standard of care and lead to a better allocation of economic resources represents a main objective of research in public health. Using data from the PRIORITY cohort, this study aims to describe inpatients costs after a discharge for isolated coronary artery bypass surgery (CABG). Methods The PRIORITY project was designed to evaluate the long-term outcomes of 2 large multicenter cohort studies on CABG conducted between 2002-04 and 2007-08. For each patient discharged alive after a CABG intervention, costs of hospitalizations were estimated as the sum of costs of all the admissions occurred during 3 years of follow-up. NHS reimbursement rates were used as standard costs (in Euros). Inpatients costs were analysed according to their baseline risk factors. Results Among the 7363 patients included in this analysis, the median 3-year hospitalization costs were 4341€ (IQR: 1865-11699). Median costs were around 4.000€ for subjects alive at the end of follow up but higher for patients dying within 1 (about 8.600€) and 2-3 years of follow up (about 20.000€). The presence of comorbidities (such as diabetes and cancer) lead to higher median hospitalization costs while the on-pump approach was associated to lower median cost. Sixteen per cent of patients were at zero cost having no re-hospitalizations during the 3 years of follow-up (97% alive). Subjects at zero cost received more frequently on-pump approach, had a lower frequency of cancer, arteriopathy and ictus, but a higher frequency of angina and infarction. Conclusions Inpatient costs after isolated CABG are affected by preoperative comorbidities and by operative variables that could be removed or managed. Identifying independent risk factors for re-hospitalization will lead to the definition of a preoperative clinical and decision-making path that will bring both a clinical advantage for the patient and an optimization of costs for the NHS. Key messages Inpatient costs after isolated CABG are affected by preoperative comorbidities and operative characteristics like the on-pump approach. Appropriate management of operative approaches mainly based on operator preferences can have important implications in terms of healthcare costs.

Dependence of skill and spread of the ensemble forecasts on the type of perturbation and its relationship with long-term norms of precipitation and temperature

A new computing cluster has been operating since 2016 at the Institute of Meteorology and Water Management – National Research Institute. Increasing computing power enabled the implementation of ensemble prediction system forecasts in the operational mode and the use of a new computer for research purposes. As part of the priority project on “Study of Disturbances in the Representation of Modeling Uncertainty in Ensemble Development” and the earlier project entitled “COSMO Towards Ensemble in Km in Our Countries), implemented in the Working Group 7 (Predictability and Ensemble Methods) as part of the COSMO modeling consortium, specific studies were carried out to test ensemble forecasts. This research concerned the impact of variability of physical fields characterizing the soil surface (a selected parameter determining evaporation from the soil surface and soil surface temperature) using various methods of perturbation. Numerical experiments were completed for the warm period (from June to September) 2013.

Trade of the EAEU Countries in Agricultural Products: Trends, Conflicts, Factors

The article is devoted to the analysis of domestic and foreign trade of the Eurasian economic Union (EAEU) of agri-food products; identification and assessment of current trends, growth factors and imbalances in the light of efforts to create a unified agricultural policy of the member States of the Union. It is determined that Russia's successful implementation of the priority project «Export of agricultural products» contributed to the increase in grain exports to third countries in spite of the limited effective demand within the EAEU. The largest contribution to exports within the five countries, especially in terms of livestock products, makes Belarus with a significant negative balance of its trade in agricultural products with countries outside the Union. The free trade agreement with Vietnam stimulates export from Russia with mainly wheat, which strengthens its position as a source of agricultural raw materials without shifting the focus to products of deep processing. The relevance of the article is due to the fact that agriculture is officially recognized as a strategic industry, and food security is an integral part of the national security of the country. It is of interest to study the formation of a single agricultural market within the EAEU and the realities of foreign trade with third countries.