PRODUCTIVE EFFICIENCY OF DAIRY CATTLE IN THE NORTH-WEST FEDERAL DISTRICT

2021 ◽  
pp. 65-70
Author(s):  
A.A. Deshevykh
Keyword(s):  
Dairy Cattle ◽  
Federal District ◽  
Productive Efficiency ◽  
North West ◽  
The North

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.

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.

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.

scholarly journals Assessment of Some Indicators of Availability of Dermatovenereologic Aid to the Population of the North-Western Federal District

2019 ◽  
Vol 5 (4) ◽  
pp. 144-151
Author(s):  
N. Ermakova ◽  
Sh. Kharbedia ◽  
D. Zaslavsky
Keyword(s):  
Federal District ◽  
Medical Personnel ◽  
North West ◽  
The North ◽  
North Western

The article is devoted to the assessment of such indicators of the availability of dermatological care as the provision of the population with medical personnel and cots. In 2015–2017, in the North–West Federal District, in comparison with the average Russian indicators, there is a higher provision of doctors with dermatovenereologists and a lower provision with dermatovenereologic beds. The negative dynamics of indicators allows judging about the decrease in the availability of dermatovenereologic aid to the population of the North–Western Federal District.

scholarly journals Algorithm for determining the feasibility of referring a patient for consultation with pediatric oncologist: results of implementation

2020 ◽  
Vol 64 (6) ◽  
pp. 84-88
Author(s):  
M. Yu. Rykov ◽  
O. A. Manerova ◽  
I. A. Turabov ◽  
V. V. Kozlov ◽  
V. A. Reshetnikov
Keyword(s):  
Clinical Practice ◽  
Social Study ◽  
Federal District ◽  
Steady Increase ◽  
North Caucasus ◽  
North West ◽  
The North ◽  
Number Of Patients ◽  
Pediatric Oncologist ◽  
Oncological Diseases

Actuality. Over the past decades, there has been a steady increase in the number of oncological diseases in children, most of which are detected at common stages. Moreover, only 5.2% of patients are actively detected (during routine preventive examinations).Material and methods. In order to detect oncological diseases in children in the early stages, an “Algorithm for determining the feasibility of referring a patient for consultation with a pediatric oncologist” (hereinafter referred to as the Algorithm) has been developed, which is a questionnaire of 20 questions. Answering with unambiguous answers (yes / no), a local pediatrician may decide on further tactics of examination and treatment of the patient. In order to analyze the results of the implementation of the Algorithm, a “Questionnaire for a local pediatrician to evaluate the effectiveness of the implementation of the Algorithm for determining the feasibility of referring a patient for a consultation with a pediatric oncologist” has been developed, which consisted of 10 questions.Results. 427 district pediatricians took part in the medical and social study, taking into account stratification by federal districts of the Russian Federation: from the Central Federal District – 101 (23.6%) respondents, from the North-West Federal District – 40 (9.2%), from the Southern Federal District – 47 (10.9%), from the North Caucasus Federal District – 32 (7.7%), from the Volga Federal District – 92 (21.4%), from the Ural Federal District – 32 (7.7%), from the Siberian Federal District – 55 (12.9%) ), from the Far Eastern Federal District – 28 (6.6%). After the implementation of the Algorithm in clinical practice, the number of patients referred for consultation with a pediatric oncologist increased, which was noted by 61.9±2.4% of respondents. In this case, the Algorithm is used by 11.3±1.5% of the respondents, sometimes used by 12.6±1.6%, used if they are suspected of having an oncological disease by 21.9±2.0%. Among those who do not apply the Algorithm in clinical practice, 78.1±2.0% indicated that they had not received it before.Conclusion. A survey showed the feasibility of introducing into clinical practice the “Algorithm for determining the feasibility of referring a patient for consultation with a pediatric oncologist”.

scholarly journals Assessment of the food security level in the regions of the European North of Russia based on benchmarking methodology

2020 ◽  
pp. 66-73
Author(s):  
O. G. Moronova ◽  
O. B. Kirik ◽  
N. A. Kremlyova
Keyword(s):  
Food Security ◽  
Agricultural Sector ◽  
Federal District ◽  
Regulatory Framework ◽  
Security Level ◽  
North West ◽  
The North ◽  
European North ◽  
Starting Conditions ◽  
Leading Position

This paper justifies the need to use benchmarking tools when assessing food security in the regions of the European North of Russia. The authors reveal the essence and advantages of this approach, define the criteria that characterize the agrarian potential of the regions. On the basis of the author’s methodology, the study develops an algorithm for the benchmarking procedure and tests it on the subjects of the North-West Federal District. Based on the indicators of the formation and use of the agrarian potential and the applied ranking methodology, the paper reveals the similarity of five regions of the European North of Russia, substantiates the leading position of the agricultural sector of the Vologda region. As a result of the study, the authors make a conclusion that the level of food security in the region depends on the starting conditions of the region, relies on state and regional needs, takes into account the regulatory framework. This circumstance makes it necessary to constantly assess the level of food security in order to make appropriate decisions about the necessary management impacts.

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