scholarly journals Application of the innovative methods of mathematical modeling in the development of standards for providing the ambulatory link by doctors in Russia

2021 ◽  
Vol 9 (4) ◽  
pp. 40-47
Author(s):  
N. E. Guryanova ◽  
M. A. Ivanova ◽  
L. A. Soprun
Keyword(s):  
Mathematical Modeling ◽  
Clinical Practice ◽  
Medical Personnel ◽  
Treatment And Prevention ◽  
Innovative Methods ◽  
Specialized Care ◽  
Federal Districts ◽  
The Russian Federation ◽  
The Relationship

The work presents data on the relationship between the regional incidence of gastrointestinal tract diseases and the number of medical personnel in various regions of the Russian Federation. Indicators for all federal districts for 2013-2017 have been studied. Mathematical models describing this relationship have been proposed. It has been shown that regional morbidity correlates with the number of medical personnel, as well as with attendance at treatment and prevention institutions. The average number of gastroenterologists from 1.3 to 1.5 per 100,000 inhabitants of the region is optimal for the timely detection of gastroenterology diseases. The data obtained can be used in management decisions to optimize the burden on the healthcare system in each region. The introduction of the standards into clinical practice under the established procedure will help to improve the quality of specialized care for patients with gastroenterological problems.

scholarly journals Prevalence of Violence Estimation in Russia through a Retrospective Youth Survey

2021 ◽  
Vol 12 (2) ◽  
pp. 166-182
Author(s):  
E.N. Volkova ◽  
I.V. Volkova ◽  
O.M. Isaeva
Keyword(s):  
Child Abuse ◽  
Child Protection ◽  
Public Perceptions ◽  
Measuring Instruments ◽  
Youth Survey ◽  
Wide Variability ◽  
The Russian Federation ◽  
Forms Of Violence ◽  
The Relationship

Objective. Estimating the prevalence of violence among children born in Russia in the 1980s, in the early 1990s and in the late 1990s using a retrospective youth survey. Background. Assessing the prevalence of a child abuse is an unresolved scientific and methodological problem. There are disagreements in approaches to assess the prevalence of violence, in interpreting the results. However, the main problem is the problem of reliable measuring instruments. Many studies show a wide variability in estimating prevalence and even in compared parameters; even greater discrepancies arise when it comes to identifying the factors and consequences of child abuse. Such a wide variability of estimation is associated with the insufficient quality of the measuring instruments and research procedures themselves. Study design. The sampling analyzed data on the prevalence of violence among “post-Soviet children”, “children of the 90s” and “children of the 21st century”. The presence and nature of the relationship was checked using methods of mathematical statistics (correlation analysis and analysis of the significance of differences). Participants. The study sample consisted of 537 people aged 18 to 24 years (M=20.23, SD=1.84) living in the Russian Federation. The 2006 sample of respondents included 144 people (25,7% of boys, 74,3% of girls), 2012 — 203 people (36,4% of boys, 63,6% of girls), 2018 — 190 people (35,7% of boys, 64,3% of girls). Measurements. International Questionnaire ICAST-R (ICAST-Retrospective) (adapted by E.N. Volkova, O.M. Isaeva). Results. A comparative analysis of the prevalence of violence among “children of the 21st cen¬tury”, “post-Soviet children” and “children of the 90s” showed that there is more similarity between these groups than differences in the severity of types, forms of violence and their frequency of occurrence (with the exception of cases of sexual violence, the percentage of cases of which is significantly reduced from the 2006 study to the 2018th year). Conclusions. A retrospective survey of young people using ICAST-R allows you to assess the prevalence of violence among children, as well as the state of the child protection system from violence and the content of public perceptions regarding child abuse.

scholarly journals The structure of the quality of clinical practice guidelines with the items and overall assessment in AGREE II: a regression analysis

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Yosuke Hatakeyama ◽  
Kanako Seto ◽  
Rebeka Amin ◽  
Takefumi Kitazawa ◽  
Shigeru Fujita ◽  
...  
Keyword(s):  
Regression Analysis ◽  
Clinical Practice ◽  
Clinical Practice Guidelines ◽  
Practice Guidelines ◽  
Conflicts Of Interest ◽  
Agree Ii ◽  
Domain 3 ◽  
Based Medicine ◽  
The Relationship

Abstract Background The Appraisal of Guidelines for Research & Evaluation (AGREE) II has been widely used to evaluate the quality of clinical practice guidelines (CPGs). While the relationship between the overall assessment of CPGs and scores of six domains were reported in previous studies, the relationship between items constituting these domains and the overall assessment has not been analyzed. This study aims to investigate the relationship between the score of each item and the overall assessment and identify items that could influence the overall assessment. Methods All Japanese CPGs developed using the evidence-based medicine method and published from 2011 to 2015 were used. They were independently evaluated by three appraisers using AGREE II. The evaluation results were analyzed using regression analysis to evaluate the influence of 6 domains and 23 items on the overall assessment. Results A total of 206 CPGs were obtained. All domains and all items except one were significantly correlated to the overall assessment. Regression analysis revealed that Domain 3 (Rigour of Development), Domain 4 (Clarity of Presentation), Domain 5 (Applicability), and Domain 6 (Editorial Independence) had influence on the overall assessment. Additionally, four items of AGREE II, clear selection of evidence (Item 8), specific/unambiguous recommendations (Item 15), advice/tools for implementing recommendations (Item 19), and conflicts of interest (Item 22), significantly influenced the overall assessment and explained 72.1% of the variance. Conclusions These four items may highlight the areas for improvement in developing CPGs.

scholarly journals Chronic constipation in pediatric practice: what do we know? Anything new?

2019 ◽  
pp. 16-26
Author(s):  
R. A. Fayzullina ◽  
S. V. Belmer
Keyword(s):  
Chronic Constipation ◽  
Functional Constipation ◽  
Evidence Base ◽  
Prolonged Treatment ◽  
Strict Adherence ◽  
Adherence To Diet ◽  
Treatment And Prevention ◽  
Effective Use ◽  
The Relationship

Constipation among children is an extremely widespread state. They arise at any age and may pose major challenges, disrupting the child’s health with the risk of complications, regressing the quality of life of both the child and his family members. Having arisen once, constipation among children can recur, require repeated and prolonged treatment. For children, functional constipation is the most common. According to international recommendations, it is not necessary to resort to complicated methods for its diagnosis, wherein the treatment and prevention of constipation in children requires a fairly strict adherence to diet, motor activity and drug therapy. The evidence base on the use of certain foods for constipation is expanding. The relationship between constipation and intestinal microbiota disturbance was revealed, providing a theoretical basis for the microbial treatment of chronic constipation. Among the wide variety of laxatives traditionally prescribed for constipation in children’s practice, safe and effective use is proven with the use of polyethylene glycol (macrogol) and lactulose.

scholarly journals ELECTORAL LOYALTY AND QUALITY OF SERVICE DELIVERY IN RUSSIAN MUNICIPALITIES

2020 ◽  
Vol 14 (4) ◽  
pp. 62-75
Author(s):  
Margarita Zavadskaya ◽  
◽  
Keyword(s):  
Public Goods ◽  
Political Competition ◽  
Local Level ◽  
Administrative Practices ◽  
The Russian Federation ◽  
Quality Of Governance ◽  
The Relationship ◽  
Election Commission ◽  
Analysis Point

Local self-government in Russia has undergone a number of transformations - from spontaneous decentralization in the 1990s until the stage-by-stage integration into the state vertical system from 2003-2006. Despite the de facto loss of political and, partly, administrative autonomy, we see a huge diversity in the quality of governance and provision of public goods at the local level. Based on the Database of Municipalities' Characteristics (DMC) of Rosstat from 2008 to 2017 and data from the Central Election Commission (CEC of the Russian Federation), the article presents indices of the quality of the provision of public goods and analyzes the relationship with the Duma voting in 2016 and the budgetary autonomy of the municipality. Despite the continuing centralization of government, researchers still observe an impressive variation in both the formats of political competition and administrative practices in the regions, especially at the local level. The results of the analysis point to a number of patterns: 1. There is no strong link between budget independence and the quality of management; 2. Securing votes does not lead to the attraction of additional resources to the field and may even divert scarce funds and the human resources to technically support this loyalty.

scholarly journals Statistical evaluation of the quality of working life of employees in the russian federation

2018 ◽  
Vol 15 (4) ◽  
pp. 42-51 ◽  
Author(s):  
Vera V. Zholudeva ◽  
Nadezhda F. Melnichenko
Keyword(s):  
Quality Of Life ◽  
Working Conditions ◽  
Russian Federation ◽  
Local Governments ◽  
Life Quality ◽  
Working Life ◽  
Quality Of Working Life ◽  
Federal Districts ◽  
The Russian Federation

Quality of life is one of the most important characteristics that reflects a comprehensive description of the level and living conditions. Nowadays quality of working life is an integral feature of “Quality of Life”. Quality of working life identifies working conditions and labor management. The quality of working life allows us to determine the working conditions, its organization from the perspective of the optimal realization of the abilities of employees.The article analyzes the domestic approaches to the definition and evaluation of the quality of working life. The conducted research allowed the authors to draw the following conclusions: the quality of working life is characterized by a multitude of indicators, and the required condition for studying the quality of working life is the development of techniques that allow the evaluation of the studied category.The goal is to evaluate the quality of working life in Russia.Methods. A number of indicators are presented to estimate the quality of working life of employees in the Russian Federation. According to the authors, those indicators are employment, labor safety, work safety, salary, and competence level and workforce productivity. The analysis that is based on data from Federal State Statistics Service has been done in view of gender factors and federal district differences. According to this analysis, the general part of workforce has jobs with harmful or dangerous working conditions. Extractive and process industries are considered the most hazardous.The article describes the method of integrated assessment of working life quality, based on the study of social and labor sphere of the Federal districts of Russia. Based on this author’s method, the integral indicators of the quality of working life of the population of the Russian Federation in the context of Federal districts are calculated and analyzed and the rating of each of them is determined.Results. The article notes that the quality of working life reflects not only the working conditions and its payment, but also the relations in the working collective, the motivation of the personnel to work. The most important motivational factors and characteristics of the socio-psychological climate of the enterprise are determined. The set of indicators, proposed by the authors and the methods of assessing the quality of the working life of the population can be useful to local governments for determining the rating of the quality of working life of officers in municipalities, and thus for making various managerial decisions.

scholarly journals METHODS OF MULTIDIMENSIONAL STATISTIC PROCESSING OF DATA APPLIED TO FIND REGULARITIES IN THE COURSE OF TUBERCULOSIS IN SIBERIAN AND FAR EASTERN FEDERAL DISTRICTS

2018 ◽  
Vol 96 (6) ◽  
pp. 30-37
Author(s):  
I. O. Meshkov ◽  
O. V. Revyakina ◽  
V. A. Krasnov ◽  
Ya. Sh. Shvarts ◽  
T. I. Petrenko
Keyword(s):  
Early Detection ◽  
Distance Matrix ◽  
Medical Personnel ◽  
Tuberculosis Control ◽  
Principal Coordinates Analysis ◽  
Principal Coordinates ◽  
Federal Districts ◽  
Main Factors ◽  
Far Eastern

The article presents results of multi-dimensional analysis of 83 rates, calculated on the basis of federal and sectoral reports on tuberculosis in 21 regions of Siberian and Far Eastern Federal Districts, which were collected from 2006 to 2016. For statistic processing of data, a distance matrix was used with its consecutive analysis by principal coordinates analysis, which allowed detecting the closest correlations between rates. It has been proved that main factors of successful tuberculosis control are the following: improvement of the organizational quality of treatment and diagnostics, provision with qualified medical personnel, early detection through expansion of coverage of population with fluorography screening. The principal coordinates method also allowed performing a multilateral evaluation of epidemic situation in all regions and defining the ones with the most favorable tuberculosis situation.

scholarly journals ASPEK HUKUM INFORMED CONSENT DAN PERJANJIAN TERAPEUTIK

2019 ◽  
Vol 8 (2) ◽  
pp. 95
Author(s):  
Muh Amin Dali ◽  
Warsito Kasim
Keyword(s):  
Informed Consent ◽  
Health Services ◽  
Legal Aspect ◽  
Secondary Data ◽  
Medical Personnel ◽  
Legal Aspects ◽  
The State ◽  
Care Workers ◽  
The Relationship

(Legal Aspect Of Informed Consent And Therapeutic Agreement). Health is one of the basic rights guaranteed by the state. Therefore, the state is obliged to prepare instruments to protect the health services of citizens. In practice, one of the tools regulated by the state in guaranteeing health services is the Medical Action Agreement. In the medical world, Medical Action Approval is better known as Informed Consent. The approval of this Medical Action will be contained in a written agreement known as the Therapeutic Agreement. This study aims to analyze the legal aspects of informed consent and therapeutic agreements based on formal law in Indonesia. The scope of the discussion is the study of the relationship between the Patient Party and the Medical Personnel in the Informed Consent and Therapeutic Agreement and analysis of its formal legal aspects. The results of the study are expected to be a legal reference for the community and also the medical staff so as to increase understanding and legal awareness that lead to improving the quality of health care workers. The approach used in this study is a normative juridical approach and analytical descriptive nature. This study uses secondary data obtained from primary and secondary legal materials. The results of the study describe the analysis of the legal aspects of protecting the rights and obligations of health services for both patients and medical personnel.Kesehatan adalah salah satu hak dasar masyarakat yang dijamin oleh negara. Maka dari itulah negara berkewajiban menyiapkan perangkat-perangkat dalam melindungi hak pelayanan kesehatan warga negara. Dalam praktiknya, salah satu perangkat yang telah diatur oleh negara dalam menjamin pelayanan kesehatan adalah Persetujuan Tindakan Medis. Dalam dunia medis, Persetujuan Tindakan Medis lebih dikenal dengan istilah Informed Consent. Persetujuan Tindakan Medis ini akan dituangkan dalam perjanjian tertulis yang dikenal dengan Perjanjian Terapeutik. Penelitian ini bertujuan untuk menganalisis Aspek Hukum informed consent dan Perjanjian Terapeutik berdasarkan hukum formil di Indonesia. Ruang lingkup pembahasan adalah pada kajian mengenai hubungan antara Pihak Pasien dan Pihak Tenaga Medis dalam Informed Consent dan Perjanjian Terapeutik serta analisis aspek hukum formilnya. Hasil penelitian diharapkan dapat menjadi referensi hukum bagi masyarakat dan juga para tenaga medis sehingga dapat meningkatkan pemahaman dan kesadaran hukum yang mengarah pada peningkatan kualitas pelayan kesehatan. Pendekatan yang digunakan dalam penelitian ini adalah pendekatan yuridis normatif dan bersifat deskriptif analitis. Penelitian ini menggunakan data sekunder yang diperoleh dari bahan hukum primer dan sekunder. Hasil penelitian mendeskripsikan analisis aspek hukum tentang perlindungan hak dan kewajiban pelayanan kesehatan bagi pihak pasien maupun tenaga medis.

Status and dynamics of parameters of use of bed capacity of oncological profile in Russian Federation

2020 ◽  
Vol 28 (4) ◽  
pp. 462-478
Author(s):  
Valeryan Alekseevich Evdakov ◽  
Marina Nikolaevna Banteva ◽  
Elena Mihailovna Manoshkina ◽  
Yuriy Yurevich Melnikov ◽  
Liudmila Valentinovna Rugol
Keyword(s):  
Russian Federation ◽  
Medical Personnel ◽  
Absolute Number ◽  
Negative Influence ◽  
Malignant Neoplasms ◽  
Federal Districts ◽  
Bed Capacity ◽  
The Russian Federation ◽  
Day Hospitals ◽  
High Level

In the Russian Federation (RF) a steady growth of morbidity with oncologic diseases is observed. An important factor of reduction of negative influence of oncopathology on the parameters of public health is provision of the population with specialists and beds of oncological profile, as well as their effective use. Aim. To determine the status and identify dynamics of the main parameters of use of beds of oncological profile of the state healthcare system of RF, federal districts and constituent entities of RF in comparison with tendencies of parameters of morbidity with malignant neoplasms, and also of provision of the population with medical personnel in the period from 2010 to 2019. Materials and Methods. Using the data of the Federal statistical observation forms (№30, 47, 14LC, 7) based on the calculation of absolute and relative parameters by the descriptive statistics method, the analysis of the main parameters of the use of bed resources of oncology profile was carried out in comparison with the parameters of morbidity with malignant neoplasms and provision of the population with medical personnel in 24-hour and day-stay hospitals in the Russian Federation, federal districts and constituent entities of the Russian Federation in 2010-2019. Results. During the study period, with the underlying increase in the morbidity of the population with diseases of neoplasm class (primarily, malignant) in the Russian Federation, there was found a regular increase in: the absolute number of oncological beds for 24-hour stay by 5.216 beds (+16.8%), provision with these beds from 2.17 to 2.47 per 10 000 population (+13.8%), hospitalization rate from 6.1 to 9.6 per 1000 population (+57.4%); and a decrease in: average stay in an oncological bed by 3.7 days (-30.6%, from 12.1 to 8.4 days), and the average bed occupancy by 15 days per year (-4.3%, from 345 to 330 days). Mortality in cancer beds increased from 0.76% in 2010 to 0.95% in 2019 (by 25.0%). There was an increase in the provision of the population with oncological beds in day-stay hospitals by 3.4 times, in day-stay hospitals of polyclinics by 63.6%. Conclusion. With the underlying growth of oncological morbidity in the country, the bed capacity of the oncological profile of 24-hour and day hospitals has significantly increased, with a high level of disproportional development of the bed capacity both between federal districts and between the subjects of the Russian Federation.

Adaptation and Integration of International Migrants: Theoretical and Methodological Problems

2021 ◽  
Vol 65 (4) ◽  
pp. 103-112
Author(s):  
L. Kononov ◽  
V. Ledeneva
Keyword(s):  
State Policy ◽  
Migration Policy ◽  
The State ◽  
Host Countries ◽  
Theoretical Understanding ◽  
Theoretical Approaches ◽  
Methodological Problems ◽  
The Russian Federation ◽  
The Relationship

Received 28.05.2020. Adaptation and integration of migrants are the final stages of the migration process, the quality of which largely determines the final result: either serious socio-economic problems will arise that threaten the security of host societies, or migration will contribute to the socio-economic development of host countries. The dependence of migration results on the final stages of migration processes necessitates the implementation of effective adaptation and integration policies by states. In the scientific literature, the terms “adaptation” and “integration” are most often used as synonyms. However, this approach makes it difficult to develop common ideas about the essence of the processes of adaptation and integration of migrants. All this gave rise to theoretical uncertainty regarding these phenomena, led to scientific disagreements that impeded the formation of an effective state policy of adaptation and integration, and complicated the development of scientifically-based programs for solving acute problems in the migration sphere. And as a consequence of this, the problem of a separate theoretical understanding of the above concepts has become actualized. The purpose of the article is to theoretically substantiate the essence and content of the processes of adaptation and integration of migrants, the state policy of adaptation and the state policy of integration, and thereupon to create a scientific methodological base intended for future use in the state migration policy of the Russian Federation and other countries. The authors set the tasks: to analyze theoretical approaches to the study of the phenomena of adaptation and integration of migrants; to formulate the concepts of “adaptation”, “integration”, “state policy of adaptation”, “state policy of integration”; to present the authors’ vision of these phenomena and identify the relationship between them. Acknowledgements. The article has been supported by the “RUDN University Program 5–100”.

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