bluuebunny/crossref_metadata_2025 huggingface dataset:
Analisis Dan Perancangan Sistem Informasi Pendaftaran Pasien Rawat Jalan Di Rumah Sakit Umum Daerah Lagita
Authors: Arifin Ismail
Published: October 2022

Rumah sakit merupakan salah satu fasilitas penyelenggara kesehatan, menurut peraturan UURI No. 44 Tahun 2009 tentang rumah sakit disebutkan Rumah Sakit sebagai institusi pelayanan kesehatan yang menyelenggarakan pelayanan kesehatan perorangan secara paripurna yang menyediakan pelayanan rawat jalan, rawat inap dan gawat darurat. Seiring perkembangan  era teknologi, rumah sakit mengalami dampak dari perkembangan tesebut. Rumah sakit harus memiliki sistem informasi untuk melaksanakan kegiatan bisnisnya. Hal ini tercantum dalam PERMENKES No. 82 tahun 2013 tentang rumah sakit harus memiliki Sistem Informasi Manajemen Rumah Sakit untuk melakukan kegiatan registrasi pasien baik rawat jalan, rawat inap dan gawat darurat. Dalam hal ini Rumah Sakit Unit Daerah Lagita merupakan salah satu rumah sakit yang menyelenggarakan kegiatan bisnis di fasilitas pelayanan kesehatan, akan tetapi dalam pelaksanaannya belum mengikuti permenkes no 82 tahun 2013 sehingga kegiatan registrasi masih dilakukan secara manual menggunakan buku registrasi. Berdasarkan hasil observasi awal, dampak yang terjadi menyebabkan data pasien yang di daftarkan mengalami duplikasi data, rentan kehilangan data, lamanya waktu pelayanan dan berdampak terhadap akreditasi rumah sakit nantinya. Berdasarkan hasil observasi tersebut, maka peneliti akan melakukan Analisis dan rancangan Sistem Informasi Pendaftaran Pasien Rawat Jalan di Rumah Sakit Umum Daerah Lagita. Nantinya sistem ini bisa digunakan untuk menunjang proses kegiatan bisnis di RSUD Lagita.
Pengaruh Kualitas Layanan Terhadap Implementasi SIMRS dengan Penggunaan Sistem dan Struktur Organisasi Sebagai Variabel Intervining
Authors: Amalia Rizkiyatul , Ferdianto Angga
Published: October 2022

SIMRS implementation aims to help improve the quality of services provided by hospitals so as to increase patient satisfaction. Service quality is one of the obstacles in the implementation of SIMRS provided by service providers which has an impact on the use of information systems and SIMRS implementation. The purpose of this study was to determine the effect of service quality on the implementation of SIMRS using the HOT – Fit method. The sample used was 167 people in Hospital X, selected using probability sampling with disproportionate sampling technique. Results: (1) There is no effect of service quality on system usage (T Statistics is 0.162 and P Value is 0.871). (2) There is an effect of service quality on organizational structure (T Statistics is 2,309 and P Value is 0.021). (3) There is an influence of organizational structure on the use of the system (T Statistics is 2.092, P Value is 0.037). (4) There is no effect of system usage on SIMRS implementation (T Statistics is 0.899, P Value is 0.369). (5) There is an influence of organizational structure on the implementation of SIMRS (T Statistics of 4.293, P Value of 0.000). (6) There is no effect of service quality on SIMRS implementation through the use of the system (T Statistics of 0.111 1.96, P Value of 0.912 0.05 and) and there is an effect of service quality on SIMRS implementation through organizational structure (T Statistics of 2.152 1.96, P Value of 0.032 0.05). (7) There is no influence of organizational structure on the implementation of SIMRS through the use of the system (T Statistics is 0.732 1.96, P Value is 0.464 0.05).
Protocol for a Mixed-Methods Process Evaluation of BetterBrains: A Person-Centered Online Intervention to Delay Cognitive Decline in Adults at Risk of Dementia
Authors: Ayton Darshini ,   on behalf of the BetterBrains Research Group, Pirotta Stephanie , Morello Renata , Rosenich Emily , Barton Chris , Lavale Alexandra , Pase Matthew P. , Maruff Paul , Yassi Nawaf , Brodtmann Amy , Lim Yen Ying , Barker Anna
Published: October 2022

Background: The BetterBrains Randomized Controlled Trial (RCT) will evaluate the effectiveness of an online, person-centered, risk factor management, coaching intervention in community-dwelling, healthy adults at risk of cognitive decline. Multi-component interventions are challenging to evaluate due to program complexity and personalization to individual needs and contexts. This paper describes a multi-level process evaluation conducted alongside the BetterBrains RCT. Objective: To understand how and why the BetterBrains intervention was effective or ineffective at reducing cognitive decline in healthy adults whilst considering the context in which it was implemented. Methods: 1,510 non cognitively-deteriorated community-dwelling adults aged 40–70 years old at risk of cognitive decline will be recruited and randomly assigned to the intervention or control group. All BetterBrains intervention participants, coaches, and the research team will be included in the evaluation. A mixed-methods design will be used, guided by The Framework for Implementation Fidelity and the program logic model. Data will be sourced from interviews, focus groups, surveys, BetterBrains coach notes, participant weekly check-in surveys, and audio recordings of intervention coaching sessions. Quantitative data will be analyzed via descriptive and inferential statistics and qualitative data will be analyzed using content and thematic analysis. Results: The process evaluation will provide information about contextual and influencing factors related to the implementation of BetterBrains and the RCT outcomes. Conclusion: Understanding how BetterBrains was implemented and its associated impacts will inform the translation of the program into community and clinical settings, providing easy access to online, personalized dementia prevention services.
Reliability, Validity, and User-Experience of Remote Unsupervised Computerized Neuropsychological Assessments in Community-Living 55- to 75-Year-Olds
Authors: Kochan Nicole A. , Heffernan Megan , Valenzuela Michael , Sachdev Perminder S. , Lam Ben C.P. , Fiatarone Singh Maria , Anstey Kaarin J. , Chau Tiffany , Brodaty Henry
Published: October 2022

Background: Self-administered computerized neuropsychological assessments (CNAs) provide lower cost, more accessible alternatives to traditional in-person assessments but lack critical information on psychometrics and subjective experience of older adults in remote testing environments. Objective: We used an online brief battery of computerized tasks selected from the Cogstate Brief Battery (CBB) and Cambridge Brain Sciences (CBS) to 1) determine test-retest reliability in an unsupervised setting; 2) examine convergent validity with a comprehensive ‘gold standard’ paper-and-pencil neuropsychological test battery administered in-person; and 3) explore user-experience of remote computerized testing and individual tests. Methods: Fifty-two participants (mean age 65.8±5.7 years) completed CBB and CBS tests on their own computer, unsupervised from home, on three occasions, and visited a research center for an in-person paper-and-pencil assessment. They also completed a user-experience questionnaire. Results: Test-retest reliabilities varied for individual measures (ICCs = 0.20 to 0.83). Global cognition composites showed excellent reliability (ICCs > 0.8 over 1-month follow-up). A strong relationship between a combination of CNA measures and paper-and-pencil battery was found (canonical correlation R = 0.87, p = 0.04). Most tests were rated as enjoyable with easy-to-understand instructions. Ratings of general experience with online testing were mostly favorable; few had difficulty concentrating (17%) or using the computer for tasks (10%), although over one-third experienced performance anxiety (38%). Conclusion: A combined brief online battery selected from two CNAs demonstrated robust psychometric standards for reliability (global composite), and convergent validity with a gold standard battery, and mostly good usability and acceptability in the remote testing environment.
Comparison of two types of separation axioms in soft topological spaces1
Authors: Guan Xuechong
Published: October 2022

Soft separation axioms and their properties are popular topic in the research of soft topological spaces. Two types of separation axioms Ti-I and Ti-II (i = 0, 1, ⋯ , 4) which take single point soft sets and soft points as separated objects have been given in [18] and [30] respectively. In this paper we show that a soft T0-II(T1-II, T2-II, and T4-II respectively) space is a soft T0-I(T1-I, T2-I, and T4-I respectively) space, if the initial universe set X and the parameter set E are sets of two elements. Some examples are given to explain that a soft Ti-I may not to be a soft Ti-II space (i = 0, 1, ⋯ , 4).
A Heterozygous Mutation in MFF Associated with a Mild Mitochondrial Phenotype
Authors: Murata Daisuke , Grunseich Christopher , Iijima Miho , Chan David , Corse Andrea , Hoke Ahmet , Schindler Alice , Sesaki Hiromi , Roda Ricardo H.
Published: October 2022

Background:

The number of mutations in nuclear encoded genes causing mitochondrial disease is ever increasing. Identification of these mutations is particularly important in the diagnosis of neuromuscular disorders as their presentation may mimic other acquired disorders.We present a novel heterozygous variant in mitochondrial fission factor (MFF) which mimics myasthenia gravis.

Objective:

To determine if the MFF c.937G>A, p.E313K variant causes a mild mitochondrial phenotype.

Methods:

We used whole exome sequencing (WES) to identify a novel heterozygous variant in MFF in a patient with ptosis, fatigue and muscle weakness. Using patient derived fibroblasts, we performed assays to evaluate mitochondrial and peroxisome dynamics.

Results:

We show that fibroblasts derived from this patient are defective in mitochondrial fission, despite normal recruitment of Drp1 to the mitochondria.

Conclusions:

The MFF c.937G>A, p.E313K variant leads to a mild mitochondrial phenotype and is associated with defective mitochondrial fission in patient-derived fibroblasts.
Multisystem inflammatory syndrome in neonates associated with SARS-CoV-2 infection, a different entity?
Authors: Gámez-González L.B. , Escárcega-Juárez Ana Silvia A.S. , Aguilar-Soto D.E. , Colmenero Rascón M. , García Espinosa A.C. , Yamazaki-Nakashimada M.A.
Published: October 2022

BACKGROUND: Multisystemic inflammatory syndrome in children (MIS-C) is a novel disease that is associated with the severe acute respiratory syndrome coronavirus 2 (SARS-CoV2). MIS-C usually affects children older than 5 years of age and adolescents, with a median of 8-years and an interquartile range of 3 to 11 years. A multisystemic inflammatory disease has been described in neonates and named MIS-N (multisystemic inflammatory syndrome in Neonates). We report three cases of Mexican newborns with MIS-N presenting with multiorgan compromise and a positive anti-SARS-CoV-2 IgG who developed Kawasaki disease (KD)-like cardiac features and discuss the current dilemma regarding diagnosis and treatment in these patients.
The effect of the COVID-19 pandemic on the professional perception and image of nursing among nurses working in surgical units: An online study
Authors: Sayilan Aylin Aydin , Kulakac Nursen
Published: October 2022

BACKGROUND: Understanding the effects of the COVID-19 pandemic on the perception and image of the profession are key factors in nurses’ perceptions regarding their roles and their future. OBJECTIVE: The purpose of this study was to determine the effect of the COVID-19 pandemic on the perception and image of the nursing profession among nurses working in surgical units. METHODS: This cross-sectional, correlational study was conducted with 216 nurses using the random sampling method between 10 and 30 March, 2022. The study data were collected using an information form, the Perception of Nursing Professional Scale (PNPS), and the Scale for the Image of the Nursing Profession. RESULTS: The nurses’ mean age was 32.53±9.16 years (min 21, max 57) and their mean professional experience was 16.44±9.80 years (min 1, max 44). The mean PNPS score was 73.12±9.46, and the mean Scale for the Image of the Nursing Profession score was 171.11±11.16. Female nurses had significantly higher positive perceptions of nursing levels than male nurses. Gender, having a history of COVID-19, marginalization during the pandemic, and perception of the nursing profession significantly affected image perceptions of nursing at multiple linear regression analysis. These variables explained 43% of the total variance. CONCLUSION: Nurses working in surgical units during the COVID-19 pandemic exhibited a good level of professionalism and image perception concerning nursing.
Projection domain processing for low-dose CT reconstruction based on subspace identification
Authors: Ren Junru , Liang Ningning , Yu Xiaohuan , Wang Yizhong , Cai Ailong , Li Lei , Yan Bin
Published: October 2022

Purpose:

Low-dose computed tomography (LDCT) has promising potential for dose reduction in medical applications, while suffering from low image quality caused by noise. Therefore, it is in urgent need for developing new algorithms to obtain high-quality images for LDCT.

Methods:

This study tries to exploit the sparse and low-rank properties of images and proposes a new algorithm based on subspace identification. The collection of transmission data is sparsely represented by singular value decomposition and the eigen-images are then denoised by block-matching frames. Then, the projection is regularized by the correlation information under the frame of prior image compressed sensing (PICCS). With the application of a typical analytical algorithm on the processed projection, the target images are obtained. Both numerical simulations and real data verifications are carried out to test the proposed algorithm. The numerical simulations data is obtained based on real clinical scanning three-dimensional data and the real data is obtained by scanning experimental head phantom.

Results:

In simulation experiment, using new algorithm boots the means of PSNR and SSIM by 1 dB and 0.05, respectively, compared with BM3D under the Gaussian noise with variance 0.04. Meanwhile, on the real data, the proposed algorithm exhibits superiority over compared algorithms in terms of noise suppression, detail preservation and computational overhead. The means of PSNR and SSIM are improved by 1.84 dB and 0.1, respectively, compared with BM3D under the Gaussian noise with variance 0.04.

Conclusion:

This study demonstrates the feasibility and advantages of a new algorithm based on subspace identification for LDCT. It exploits the similarity among three-dimensional data to improve the image quality in a concise way and shows a promising potential on future clinical diagnosis.
Prediction of response to neoadjuvant chemotherapy in advanced gastric cancer: A radiomics nomogram analysis based on CT images and clinicopathological features
Authors: Tan Xiaoying , Yang Xiao , Hu Shudong , Ge Yuxi , Wu Qiong , Wang Jun , Sun Zongqiong
Published: October 2022

PURPOSE:

To investigate the feasibility of predicting the early response to neoadjuvant chemotherapy (NAC) in advanced gastric cancer (AGC) based on CT radiomics nomogram before treatment.

MATERIALS AND METHODS:

The clinicopathological data and pre-treatment portal venous phase CT images of 180 consecutive AGC patients who received 3 cycles of NAC are retrospectively analyzed. They are randomly divided into training set ( n = 120) and validation set ( n = 60) and are categorized into effective group ( n = 83) and ineffective group ( n = 97) according to RECIST 1.1. Clinicopathological features are compared between two groups using Chi-Squared test. CT radiomic features of region of interest (ROI) for gastric tumors are extracted, filtered and minimized to select optimal features and develop radiomics model to predict the response to NAC using Pyradiomics software. Furthermore, a nomogram model is constructed with the radiomic and clinicopathological features via logistic regression analysis. The receiver operating characteristic (ROC) curve analysis is used to evaluate model performance. Additionally, the calibration curve is used to test the agreement between prediction probability of the nomogram and actual clinical findings, and the decision curve analysis (DCA) is performed to assess the clinical usage of the nomogram model.

RESULTS:

Four optimal radiomic features are selected to construct the radiomics model with the areas under ROC curve (AUC) of 0.754 and 0.743, sensitivity of 0.732 and 0.750, specificity of 0.729 and 0.708 in the training set and validation set, respectively. The nomogram model combining the radiomic feature with 2 clinicopathological features (Lauren type and clinical stage) results in AUCs of 0.841 and 0.838, sensitivity of 0.847 and 0.804, specificity of 0.771 and 0.794 in the training set and validation set, respectively. The calibration curve generates a concordance index of 0.912 indicating good agreement of the prediction results between the nomogram model and the actual clinical observation results. DCA shows that patients can receive higher net benefits within the threshold probability range from 0 to 1.0 in the nomogram model than in the radiomics model.

CONCLUSION:

CT radiomics nomogram is a potential useful tool to assist predicting the early response to NAC for AGC patients before treatment.
Persepsi Berhubungan dengan Stigma Masyarakat pada Penderita Tuberkulosis Paru
Authors: Sajodin Sajodin , Ekasari Virna Damayanthy , Syabariyah Sitti
Published: October 2022

Penderita tuberculosis mengalami perlakuan yang tidak menyenangkan baik dari lingkup masyarakat, lingkungan disekitar rumah, maupun lingkungan kerja seperti adanya sebuah penolakan, dikucilkan, diskriminasi, bahkan hingga pemecatan dari tempat kerja. Stigma negative ini disebabkan karena adanya pengetahuan masyarakat mengenai penyakit tuberculosis yang masih terbatas, sehingga masyarakat minimnya sebuah informasi sehingga masyarakat memiliki persepsi yang salah terhadap penderita tuberculosis. Tujuan dari penelitian ini merupakan untuk mengetahui adanya hubungan antara persepsi dengan stigma masyarakat terhadap penderita tuberkulosis paru di wilayah kerja Puskesmas Parongpong Kecamatan Parongpong Kabupaten Bandung Barat. Metode penelitian ini menggunakan desain penelitian deskriptif korelasi dengan pendekatan cross sctional terhadap 100 sampel dengan menggunakan sebar kuesioner secara online. Sampel pada penelitian ini adalah masyarakat di wilayah kerja Puskesmas Parongpong. Pengambilan sampel dilakukan secara purposiv sampling. Analisa data menggunakan distribusi frekuensi dan untuk mengetahui hubungan menggunakan uji statistik Perason Product Moment. Dari hasil penelitian ini menunjukan tidak ada hubungan yang signifikan (p value = 0,183 > 0,05; r=  0,134) antara persepsi dengan stigma masyarakat terhadap penderita tuberkulosis paru
Factor Analysis Related to Self Efficacy Obesity Management in Students Faculty of Nursing Science
Authors: Riniasih Dwi , Purwati Nyimas Heny , Rayasari Fitrian
Published: October 2022

Obesity management will give optimal results, if the person does diet, physical activity, and behavior therapy seriously. Therefore, a strong self-efficacy is needed to get maximum results. This study aims to analyze the factors related to obesity management self-efficacy in students of the Faculty of Nursing, University of Muhammadiyah Jakarta. This study used a large probability sampling. a sample of 83 students.This research uses the methodanalytical descriptivewith cross-sectional design. Data was collected by means of interviews, surveys and distributing questionnaires. The data analysis technique used was logistic regression (logistic regression). This study shows the results of a obtained that Attitude with P value: 0.001 (< 0.05), Physical and Emotional Conditions with P value: 0.001 (< 0.05), and Gender with P value: 0.032 (< 0.05) hasconnectionwhich is significant to the Self Efficacy of Obesity Management Students of the Faculty of Nursing, University of Muhammadiyah Jakarta. Efforts to increase obesity management self-efficacy are byimprove body condition, decrease stress and readiness to go on a diet. This study recommends the need for to be used as a reference material, providing information and understanding to students about factors related to obesity self-efficacy.
Edukasi melalui Buklet Sehat untuk Meningkatkan Perilaku Hidup Bersih dan Sehat (PHBS) pada Masyarakat Pesisir Kota Pasuruan
Authors: Kusuma Erik , Nastiti Ayu Dewi , Puspitasari R.A. Helda , Handayani Dwining
Published: October 2022

PHBS yang rendah pada masyarakat pesisir memberikan dampak negatif pada masyarakat berupa munculnya masalah kesehatan baik pada bayi dan anak, orang dewasa maupun lansia. Penelitian ini bertujuan untuk mengetahui pengaruh edukasi melalui buklet sehat untuk meningkatkan perilaku bersih dan sehat (PHBS) pada masyarakat pesisir Kota Pasuruan. Desain penelitian ini adalah pre eksperimental one group pre-post test design. Teknik pengambilan sampel menggunakan purposive sampling dengan jumlah sampel sebanyak 92 rumah tangga. Instrumen pengumpulan data menggunakan kuesioner. Kuesioner terdiri atas data demografi responden, kuesioner pengetahuan, sikap, dan tindakan. Data yang diperoleh dianalisis dengan uji Wilcoxon dengan tingkat signifikansi 0.05. Hasil penelitian ini menunjukkan bahwa pengetahuan, sikap dan perilaku masyarakat pesisir meningkat setelah diberikan edukasi melalui buklet sehat (p=0.000) sehingga disimpulkan ada pengaruh pemberian edukasi melalui buklet sehat dalam meningkatkan Perilaku Hidup Bersih dan Sehat (PHBS) pada masyarakat pesisir Kota Pasuruan.  Dengan menanamkan nilai-nilai karakter perilaku hidup bersih dan sehat, maka lambat laun perilaku hidup bersih dan sehat tersebut akan tumbuh dalam diri seseorang dan direfleksikan dalam perilaku sehari-hari. Partisipasi anggota keluarga dalam PHBS akan meningkatkan pemahaman masyarakat tentang hidup bersih dan sehat sehingga dapat berkontribusi dalam meningkatkan kesehatan masyarakat.
Cultural Partner Program: Enhancing Intercultural Interactions and Transition Outcomes for International Graduate Level Students
Authors: Dong Shengli , Sirota Pamela Victoria , Liu Lu
Published: October 2022

International students, especially graduate-level students, experience unique challenges as they make a transition to a new social and cultural environment. This study examines the impacts of the Cultural Partner Program on transition outcomes for incoming graduate-level international students. Of the 171 participants recruited from a public research university in the southeast U.S., 39 participated in the control group and the rest in the experimental group. Although the regression analysis did not reveal significant results, supplemental standardized mean difference analyses was conducted considering the wide 95% confidence intervals and the relatively small sample size in the regression analysis. The standardized mean difference analyses revealed that in comparison with the control group, the experimental group performed better on specific transition outcomes (i.e., intercultural interaction enjoyment, self-esteem, stress, perceived social support, social and academic integration, and attitudes toward seeking professional help) but performed worse on other intercultural sensitivity subscales and cultural identity. Higher education professionals need to foster inclusive and creative environments for international students to enhance their transition experiences and outcomes.
The Impact of a Sustainable Development Strategy on the Effectiveness and the Efficiency of Procurement Procedures at the Stage of Implementing a Business Code Conduct
Authors: Zaitseva M. V.
Published: October 2022

Issues of sustainable development in the context of procurement often remain undisclosed since key attention is paid to the social and environmental impacts associated with the operational processes of enterprises. At the same time, the risks and opportunities hidden in supply chains have a signifi cant impact on achieving the sustainable development goals of the enterprise. The article provides information on the basic stage of the implementation of the sustainable development strategy in relation to procurement, which is characterized by the updating of the procurement policy of the enterprise and the use of a document regulating the expectations of the enterprise in terms of the specifi cs of building internal and external processes and procedures of suppliers, which is commonly called the code of conduct or the code of business conduct. The article presents a model of working with this document and examines its impact on the eff ectiveness of procurement procedures, depending on the dynamics of implementation and expectations of the degree of compliance with the requirements of its provisions for various categories of suppliers. It is established that consistent and step-by-step work according to the above model on the implementation of the code of conduct does not lead to a decrease in procurement efficiency.
Union Datasets for Information Support in the Risk Management of Forest Fires
Authors: Gilek S. A. , Nicheporchuk V. V.
Published: October 2022

In this paper the sources of forest fi re monitoring data are analyzed. It is required to form a union interdepartmental information space and use intelligent data processing tools to support management. Th e proposed method for linking sets of heterogeneous data in the process of forming management decisions is discussed. An algorithm for applying diff erent data to manage fire safety in rural areas of Siberia is given.
Distributed Assessment of the Risk of Exceeding the Project Deadlines and Recommendations for Improving its Sustainability
Authors: Oparin S. G. , Pushkarsky I. K.
Published: October 2022

The article discusses the problem of exceeding the planned deadlines for the implementation of investment projects and ensuring their sustainability at the stage of project preparation using digital risk management technologies. The risk of exceeding the project deadlines is considered as a consequence of the influence of uncertainty of the initial data, the duration of the project implementation and its individual stages, the resources used, conditions, assumptions and restrictions on the project objectives associated with its implementation within the deadlines established by the project schedule. Risk factors were identifi ed and a digital method of distributed assessment of the risk of exceeding the project deadlines was considered, including its soft ware implementation in the Microsoft Project environment. On the example of a real project for the reconstruction of a unique object — the Felix Chopin Mansion in St. Petersburg, a computational experiment was carried out and new possibilities for building a risk profile and digital visualization of managing the risk of exceeding the project deadlines are shown.
On the Need to Account for Uncertainty in Quantifi cation Technogenic Risk
Authors: Kolesnikov E. Yu.
Published: October 2022

Quantitative assessment of technogenic risk is traditionally carried out in point setting. Meanwhile, in the experimental part of the natural and technical sciences, it has long been customary to take into account the presence of uncertainty and quantify it. It is time to take into account the presence of uncertainty and quantify it in mathematical modeling, in particular, when performing a quantitative assessment of technogenic risk. Th e article contains a draft regulation on the analysis and quantitative assessment of the uncertainty of the estimated indicators of technogenic risk.
THE RUSSIAN HEALTHCARE IMAGE IN THE INFO FIELD DURING THE THIRD WAVE OF COVID-19
Authors: Sharkova I. V.
Published: October 2022

The article contains the results of repeated studies of the Russian healthcare information field conducted during the third wave of COVID-19 in the Medialogia media database, as well as in the Yandex search engine from May 20, 2021 to September 01, 2021. There was carried out a comparative analysis of the results of the study with previous measurements conducted from December 01, 2019 to February 15, 2021. The results of the study are just a part of the image panel study of the Russian healthcare and they can further be used by concerned structures in order to adjust it.
THE NATIONAL PROJECT 'HEALTHCARE' AND ITS IMPACT ON THE EXPORT OF THERUSSIAN MEDICAL SERVICES
Authors: Ananchenkova P. I.
Published: October 2022

The article reports on the main directions of the national project 'Healthcare', providing for the formation of a medical sector with hospitals and polyclinics fitted with modern equipment, online services for the convenience of patients and medical personnel and staffed with highly qualified medical personnel. The author analyses the factors influencing the development of medical tourism in the Russian Federation. Preserving the best traditions of medical practice and developing together with global trends in the field of health preservation, Russian medicine is becoming innovative. In order to solve the tasks set to expand the scope of medical care to foreign citizens, the federal project 'Development of the export of medical services' is being implemented within the framework of the national project 'Healthcare', which has already united 71 regions of the country. The purpose of this work is to identify the factors influencing the development of the export of the Russian medical services within the framework of the implementation of the national project 'Healthcare'. In conclusion, it is reported that the implementation of the project contributes to the inflow of investment funds into the national healthcare system, the promotion of the Russian medical centers and the creation of a positive image of the country abroad.
STRATEGIC DIRECTIONS FOR THE COMPETITIVENESS OF PRIMARY HEALTH CARE ORGANIZATIONS
Authors: Davydovich A. R. , Grinenko S. V. , Karamova A. S. , Fesenko O. P.
Published: October 2022

The article analyzes the current state of the medical service market of the Russian Federation, including: an assessment of the volume of paid medical services to the population, monetary expenses of households to pay for medical services, expenses of the consolidated budget of the Russian Federation for healthcare, investments in the fixed assets in healthcare, the volume of the pharmaceutical market in Russia and the imports of medicines and medical equipment.The rating of the largest non-governmental medical organizations in Russia in terms of revenue, the number of branches, the cost of initial admission and the number of patients was presented, the total revenue of the top 20 non-governmental medical organizations was analyzed.Negative trends affecting the current state of the medical service market were studied, the risks from the imposition of the sanctions and opportunities for further development of the medical services market were determined; measures of state support for health care in the context of sanctions were discussed.The conclusion presents perspectives for the development of the medical service market in the context of the sanctions imposed on the Russian Federation by the European Union, the United States and other states in connection with the special military operation in Ukraine.
HOMEOSTASIS AS A TOOL FOR STUDYING TECHNOLOGICAL IMPACTS ON HUMAN HEALTH
Authors: Gazniuk L. M. , Lipich T. I. , Lipich V. V. , Noskov V. A.
Published: October 2022

The analysis of homeostasis as a tool for restraining, saving, security and rehabilitation technologies which ensures the sustainable functioning of the human organism through the cultivation of health-saving and rehabilitation technologies, as well as health programs, preventive (anti-alcohol, anti-nicotine, drug addicts) and recreational activities, upbringing of health culture and also environmental, medical treatment practices and correctional technologies. The cyclic mechanism of homeostasis is described, which works on the principle of alternating modes of behavior of the social system - structures for generating order and structures for maintaining order. The functioning stability of the human organism is relative and has the nature of a dynamic balance, fluctuating around a certain average value and constantly deviating from it either in the direction of positive, strengthening changes, or in the direction of negative and destructive ones.
GENDER AND AGE FEATURES OF THE PREVALENCE OF HYPERTENSION IN THE POPULATION OF A MEDIUM-URBANIZED CITY OF CENTRAL RUSSIA
Authors: Osmanov E. M. , Manyakov R. R. , Tuktamysheva L. M. , Garaeva A. S.
Published: October 2022

The purpose of the study: to establish gender and age characteristics of the prevalence and risk of developing hypertension (AH) among outpatients living in the city of Tambov, according to electronic medical records (EMR).The information from the EMC of 47,113 people aged 20-99 living in Tambov was used. The prevalence rate (per 100 people) and the relative risk of developing (RR) hypertension in different sex and age groups were calculated.The prevalence of hypertension among people aged 20-99 was 45.7 cases, in women it is higher than in men by 23% (50.1 vs 38.4 cases). With age, there is an increase in the prevalence of hypertension from 1.7% in 20-24 to 86.8% in 70-74 years old people. In the transition from a smaller age group to a larger one, the increase in the prevalence of hypertension among the female cohort averaged 22.5%, among the male cohort - an average of 17.2%. The RR for the development of hypertension among the female cohort aged 20-99 years is 1.2 times higher compared to the male cohort of the same age. At the age of 25-34, the OR for the development of hypertension prevails among the male cohort, at 45-89 years old - among the female cohort.The high level and established differences in the prevalence and risk of developing hypertension determine the need to develop recommendations for hypertension screening among the population, stratification into risk groups, prevention and treatment, focused on different age and gender groups.
THE ISSUE OF THE IMPACT OF RADIOACTIVE SUBSTANCES ON PUBLIC HEALTH AND COUNTERMEASURES FOR RADIATION EXPOSURE AS A GLOBAL PROBLEM
Authors: Sidorov V. V. , Mingazova E. N. , Bushmanov A. Yu. , Yusupova M. M. , Mingazov R. N.
Published: October 2022

The widespread use in today's world of radioactive sources d in energy, medicine, engineering and construction, for contaminant tracking and food sterilization increases the likelihood of accidental exposure. The use of ionizing radiation and radioactive elements can directly or indirectly cause life-threatening complications, such as oncopathology, radiation burns, and impaired immunity. Pollution of the environment with radioactive elements and depletion of the ozone layer also contribute to an increase in the level of radiation exposure. To protect the health of the population living in contaminated areas and consuming locally produced products, it is necessary to organize a system for monitoring radioactive damage, as well as special anti-radiation protective measures in the field of agriculture and forestry, hunting and fishing, and providing the population with food.The purpose of the study is to analyze modern scientific data on the effect of ionizing radiation on reproductive function and modern approaches aimed at correcting its violations.Bibliographic, information-analytical methods and methods of comparative analysis were used.
Retrospective analysis of the incidence rate of the population in the Republic of Tatarstan with diseases of the endocrine system
Authors: Frolova O. A. , Tafeeva E. A. , Frolov D. N. , Yangirova E. Kh.
Published: October 2022

Diseases of the endocrine system are an urgent medical and social problem in connection with their widespread prevalence and negative growth trend throughout the world; they often accompany other chronic diseases and can lead to disability.Aim: to study the trends in the structure and characteristics of the morbidity of the population in the Republic of Tatarstan with diseases of the endocrine system.The study was based on the materials of the official statistics in the Republic of Tatarstan for the period 2014-2019, the methods of descriptive statistics and linear regression analysis were used. The indicators of the primary morbidity and prevalence of the endocrine system diseases among various age groups in the Republic of Tatarstan were studied.The retrospective analysis of the incidence of the endocrine system diseases in the population in the Republic of Tatarstan indicates the formation of stable negative trends in the growth of the prevalence of thyroid diseases, diabetes and obesity among all the groups under study. There is an increase in the primary incidence and prevalence of thyroid diseases among children (growth rate in 2019 compared to 2014 of 198.6 and 50.1% respectively) and adolescents (growth rate of 244.9% and 114.3% respectively), as well as an increase in the prevalence of type 2 diabetes in these groups (growth rate of 500% and 269,2% respectively); an increase in both the primary incidence (growth rate of 200%) and the prevalence of hypothyroidism among children (growth rate of 183.5%), an increase in the prevalence of thyroiditis among adults (growth rate of 24.3%).The rate of increase in the primary incidence of obesity, over 6 years of observation, among children was 74.7%, among adolescents - 171.1%; among the adult population - 21.2%.To reverse negative trends in morbidity, we believe it is necessary to strengthen preventive work among all age groups to form healthy eating habits, maintain a normal body weight, take legislative decisions on mass prevention of iodine deficiency in endemic regions, as well as conduct some research aimed at assessing the impact of risk factors caused by the impact of endocrine disruptors on the health of the population of the Republic.
MONITORING OF OFFICIAL REQUIREMENTS TO THE STATE OF HEALTH OF CITIZENS OF MILITARY AGE WITH DISEASES OF THE NERVOUS SYSTEM
Authors: Sogiyainen A. A. , Chicherin L. P. , Shchepin V. O.
Published: October 2022

The article provides an analysis of changes in official requirements for the state of health of young men with diseases of the nervous system (Regulations on military medical examination as amended from 1995, 2003, 2013). Columns I and II of articles 21-28 of the Schedule of Diseases of this Provision are considered from the point of view of the category of fitness for military service on conscription. A set of measures is proposed to reduce the consequences of changing the requirements for the functional state of the nervous system of the health of future conscripted servicemen.
EVALUATION OF THE MEDICAL AND ECONOMIC EFFICIENCY OF NON-INVASIVE PRENATAL TESTING IN MOSCOW
Authors: Galaktionova A. M. , Kaplanova M. T. , Baranova E. E. , Sagaydak O. V. , Olenev A. S. , Kharkchinov A. Yu. , Chernova M. I. , Yablonskiy K. P. , Patrushev M. A. , Filatov V. B. , Naygovzina N. B.
Published: October 2022

Aim: to evaluate the medical and economic efficiency of prenatal diagnostics of fetal chromosomal abnormalities (CA) in pregnant women in Moscow using a non-invasive prenatal test (NIPT) as a second-line model.A comparative analysis of the medical and economic efficiency of standard prenatal screening and prenatal screening with NIPT in groups of pregnant women, registered in Moscow, with high and medium fetal CA risk was carried out. Analysis was based on the number of children born with CA and the costs of medical care (direct costs) and social payments (indirect costs), calculated for both scenarios.Following standard prenatal screening 111 children with CA would be born, following prenatal screening with NIPT - only 26. Including NIPT in prenatal diagnostics increases direct costs by 299.97 million rubles and reduces annual indirect costs from 61.19 to 28.95 million rubles. Starting from the 13th year of using NIPT the estimated effect of reducing indirect costs would exceed direct costs.NIPT in prenatal diagnostics can increase the detection of fetal CA and reduce indirect costs. Assessing the indirect costs in economic efficiency enhances the accuracy of the estimate.
SATISFACTION OF THE RESIDENTS OF THE CIRCUMPOLAR REGION WITH THE STATE HEALTHCARE SYSTEM, DEPENDING ON THE LEVEL OF THEIR HEALTH LITERACY
Authors: Mordovsky E. A. , Sannikov A. L. , Baranov A. V. , Kornienko K. B. , Tsyganova O. A. , Alexina D. D. , Ivanova L. V.
Published: October 2022

Regions of Arctic Zone and Far North of Russia have a weak social infrastructure, including regional segments of the state healthcare system. The study of citizens satisfaction with the healthcare system is one of the leading methods for assessing its effectiveness. Citizens satisfaction may be distorted by their health literacy (HL). Half of the ‘healthy’ citizens (51.1%) had an excellent or sufficient level of general GVH; 2/3 of the patients of medical organizations (70.4%) had an insufficient or problematic level of general HL. The level of citizens` satisfaction with domestic healthcare is determined by their clinical status - it is higher in the group of patients (60.1%) than in the group of ‘healthy’ people (31.0%). Patients evaluate it more loyally in comparison with health people. Respondents with an insufficient HL evaluate the health care system less loyally. The high level of HL allows patients to assess the results of the work of the domestic health care system more objectively in comparison with healthy citizens. The aim of this study is to assess the satisfaction of the residents of the circumpolar region of Russia (the Arkhangelsk Oblast) with the regional segment of the State Healthcare System, depending on the level of their HL.
SOCIAL HEALTH OF PEOPLE WITH DISABILITIES IN THE CONTEXT OF SOCIAL CHANGE
Authors: Aliyev Sh. I. , Alekseeva E. N. , Tarasov V. A. , Nadutkina I. E.
Published: October 2022

Absolutely all over the world there is a constant increase in the number of people with disabilities, as a result of a number of economic, social, ecological, demographic reasons. The share of disabled people on the territory of the Pridnestrovian Moldavian Republic has remained high in recent years. The article touches upon the issues of qualitative indicators of the social health of people with disabilities, gives a fundamental characteristic of social health. A questionnaire survey was conducted in February 2018 among people with disabilities, and for the purpose of additional study, interviews with people of working age with disabilities were conducted in March 2022. The results of the author's research on the territory of the Pridnestrovian Moldavian Republic among people with disabilities on the subject of studying the processes of socialization and social adaptation in society are presented. Based on the conducted quantitative and qualitative research methods, the main trends regarding the social health of people with disabilities were identified. The main barriers on the way to successful integration processes hindering socialization and social adaptation are outlined. The above results necessitate the modernization of the current system of targeted support for people with disabilities.
FROM “CAPRICE MEDICINE” TO “EQUAL RESPONSIBILITY MEDICINE”: TASKS, TECHNOLOGIES AND SPECIFICS OF CONFLICT MANAGEMENT IN A MULTIDISCIPLINARY PRIVATE CLINIC
Authors: Muslimov M. I. , Petrova I. A.
Published: October 2022

The article substantiates the tasks of introducing a conflict management system into the work of a private sector medical organization, reducing the number of ethical and legal conflicts that arise during the provision of medical care. The analysis of the conceptual foundations, regulatory framework and specifics of the use of conflict management tools in the context of solving organizational and managerial tasks in a private multidisciplinary clinic is presented.
Analysis of the provision of medical personnel in the subjects of the North Caucasus Federal District
Authors: Amlaev K. R. , Koichueva S. M. , Mazharov V. N.
Published: October 2022

The article presents the results of a comparative analysis of the provision of medical personnel. Differences in the indicators of provision with specialists of various profiles have been studied. It is noted that in the North Caucasian Federal District the total values of the medical service density indicator are lower than in the Russian Federation by 2.1%. The highest rates of provision with doctors are registered in the republics of Ingushetia with an increase of 32%, and in the republic of North Ossetia. Higher values of the provision indicator with the heads of the organization and their deputies were established in the North Caucasus Federal District than in the Russian Federation. At the same time, in most subjects of the North Caucasus Federal District there is a shortage of specialists in the following specialties: anesthesiologists-resuscitators, pediatric surgeons, neonatologists, pediatricians, psychiatrists, radiologists, epidemiologists. However, the indicator of provision with dentists in the North Caucasus Federal District exceeded the Russian one by 2 times. Based on the analysis, the authors present recommendations, including the need to eliminate the shortage of doctors in a number of specialties, increase the admission to residency in them, strengthen social support measures, temporarily restrict the admission of applicants in the specialty of dentistry, etc.
MONITORING AND EVALUATION OF EFFECTIVENESS OF INFECTIOUS CONTROL IN STOMATOLOGICAL ORGANIZATIONS OF THE KYRGYZ REPUBLIC
Authors: Choybekova K. M. , Djumalieva G. A.
Published: October 2022

The paper highlights the issues of monitoring and assessing the state of infection control conducted over four years of research in order to prevent infections associated with the provision of medical dental care to the population of the republic. The results are presented at baseline and periodically in order to predict and scientifically substantiate preventive measures. The studies were carried out in dental organizations using the “Evaluation sheet of the state of infection control in dentistry” which included 31 criteria for seven functional and organizational blocks by the method of direct observation of existing practices, interviewing medical staff, discussion of causal relationships between processes and phenomena (qualitative assessment) and the method calculating a numerical expression of the percentage between existing and expected compliance with infection control requirements (quantification). As a result of the fourth Monitoring and Evaluation, indicators of compliance with infection control requirements showed a significant increase, both in general - by 37.2% (2.4 times compared to the baseline monitoring and evaluation), and in the functional blocks of the infection control system. The growth rate was 116.5%, the rate of increase was 16.5% (p
MEDICAL AND SANITATION PROVISION FOR THE REFUGEES IN THE IRKUTSK PROVINCE IN 1914-1916
Authors: Gaidarov G. M. , Alekseevskaya T. I. , Apkhanova N. S.
Published: October 2022

On the basis of the archival documents, the article studies and provides information on the creation of medical and sanitary bodies, public organizations to provide the refugees of the Irkutsk province with medical care in 1914-1916, to carry out comprehensive anti-epidemic measures to combat the emerging epidemics of diseases characteristic of wartime. The study shows the role of medical and sanitary bodies, committees, commissions to ensure the epidemiological well-being of the refugees. The dynamics of an increase in the number of beds, the number of hospitals, the opening of infectious barracks, an increase in financial allocations for the provision of medical assistance to refugees were noted.