bluuebunny/crossref_metadata_2025 huggingface dataset:
Food Intolerance and Sensitivity Are Associated With Chronic Musculoskeletal Pain in a Self-Selected Community Population
Authors: Thomson Ella , Beer Harriet , Ryan Laura , Philcox Edward , Kelly Clive
Published: February 2023

INTRODUCTION People are presenting with chronic musculoskeletal pain at a younger age, and many fulfil criteria for fibromyalgia. We have recently shown a strong association between fibromyalgia symptoms and autistic traits in a self-selected community population, with the relationship mediated in part by the presence of hypermobility. Many respondents also described food sensitivities and intolerances. This study explores the relationships between food issues and fibromyalgia symptoms in this population. METHODS The study used a nonexperimental, correlational design with data collected from a volunteer sample of 442 adults (aged 18-60) who completed online self-report questionnaires assessing each of fibromyalgia symptoms (ACR criteria), autistic traits (RAADS score) and hypermobility (Beighton’s test). Subjects were also asked to record any food sensitivities, allergies, or intolerances, along with their consequences. Correlation analyses and linear regressions were used to test the relationships between these features and each of fibromyalgia, autistic traits and hypermobility. Data was analysed using parametric and non-parametric techniques to assess the strength and significance of relationships, and the potential mediating effect of food-related symptoms in the correlation between fibromyalgia features and autistic traits. RESULTS Our self-selected community population had a mean age of 24 years and was 77% female. The prevalence of fibromyalgia, autistic traits and hypermobility was 40%, 65% and 44% respectively. Half of all subjects reported food sensitivity and 31% reported food intolerance. The incidence of food-related symptoms was higher among subjects who met criteria for fibromyalgia than those who reported autistic traits or hypermobility. Food sensitivity and food intolerance were both more significantly associated with fibromyalgia (r=0.24, p<0.001 and r=0.38, p<0.001) than with autistic traits (r=0.15, p<0.01 and r=0.17, p<0.01). DISCUSSION This is the first community study to provide evidence for a direct association between features of fibromyalgia and reported food intolerance and sensitivity. Although self-selected, the findings in our predominantly young population suggest that gluten and lactose consumption may be associated with higher levels of musculoskeletal pain. The study population commonly reported that avoidance of gluten and / or lactose containing foods reduced symptoms. Dietary adjustment may merit further investigation as a therapeutic modality for some patients with fibromyalgia.
The impact of business simulation games on Vietnamese students’ entrepreneurial intention
Authors:   School of International Business and Marketing, University of Economics Ho Chi Minh City - UEH, Viet Nam, Hoang Long Cuu , Vo Hong Nhung Thi ,   School of International Business and Marketing, University of Economics Ho Chi Minh City - UEH, Viet Nam, Nguyen Nha Quynh Thi ,   School of International Business and Marketing, University of Economics Ho Chi Minh City - UEH, Viet Nam, Bui Thien Thanh Nhat ,   School of International Business and Marketing, University of Economics Ho Chi Minh City - UEH, Viet Nam, Nguyen Yen Nhi Le ,   School of International Business and Marketing, University of Economics Ho Chi Minh City - UEH, Viet Nam
Published: February 2023

In Vietnam, business simulation games have been affirmed as a very effective business learning tool for entrepreneurship education. However, few educators have properly applied them to arouse students' desire to study entrepreneurship. This paper aims to explore the role of human-system interaction and subjective norms (extrinsic) with self-efficacy (intrinsic) in building students’ entrepreneurial intention using the theories of Self-Determination (SDT), and Stimulus-Organism-Response (SOR). The PLS-SEM was employed to analyze the data collected from 195 undergraduates from Vietnam’s southern business universities. The results showed that self-efficacy plays a full mediator between human-system interaction and entrepreneurial intention. Additionally, subjective norms strengthens the effect of human-systems interaction on self-efficacy, implying that subjective norms plays a moderating role in this connection. It is anticipated that the study's findings will provide practical applications for universities' boards of management, game designers, and future researchers to focus on developing entrepreneurship that accommodates students’ values.
Factors affecting the mental health of students at Vietnam National University Ho Chi Minh City
Authors:   University of Economics & Law, VNU-HCM, Vietnam, Trịnh Hoàng Hồng Huệ , Lữ Quỳnh Gia Hân ,   University of Economics & Law, VNU-HCM, Vietnam, Nguyễn Gia Hân ,   University of Economics & Law, VNU-HCM, Vietnam, Trần Thu Ngân ,   University of Economics & Law, VNU-HCM, Vietnam, Nguyễn Ngọc Lan Quỳnh ,   University of Economics & Law, VNU-HCM, Vietnam, Lê Minh Thuỳ ,   University of Economics & Law, VNU-HCM, Vietnam
Published: February 2023

Good health and well-being are among the 17 essential goals for sustainable development set forth by the United Nations in 2015. In particular, mental health plays a very important role because it includes the emotional, psychological, and social well-being of each individual; it has a direct influence on how people think, feel and act (WHO, 2018). The COVID-19 pandemic not only directly impacts physical health but also threatens the mental health of millions of people globally, especially youth and children. In Vietnam, the COVID-19 pandemic has also put pressure on the mental health of adolescents in general and students in particular. Through a survey of 332 students, the authors assessed the impact of factors on the mental health of students at Viet Nam National University Ho Chi Minh City. The research results show that there are 4 factors that positively affect mental health, with the corresponding order of impact: Social media; Living mode; Relationships; Adaptability; and one factor that has a negative impact on Mental Health being Economic/Financial Concern. The research results aim to evaluate the actual impact of factors on mental health and offer solutions for students in particular and the whole population in general on protecting and improving mental health in the COVID-19 pandemic.
The impact of perceived value factors on customers's trust and loyalty for internet banking service
Authors:   Hoa Sen University, Viet Nam, Vo Thi Ngoc Thuy , Ho Dang Khoa ,   Sai Gon Commercial Bank, Viet Nam
Published: February 2023

This study identifies factors that affect the perceived value of users of Internet Banking services and the degree of influence of factors in the research theory model on trust and loyalty in the period from 2019 to 2020. The model is tested with 420 random customers who live in Ho Chi Minh City continuously for 6 months or more, have at least one bank account and make at least one monthly transaction through online banking. During the conduct of the research, which occurred simultaneously with the fourth outbreak of the Covid-19 epidemic in Vietnam, most of the livelihoods of many households were severely affected by the production shutdown, the reduction of working hours as well as the diversion to online working from home. During that time, in order to promote the maintenance of transactions, the government encouraged non-cash payment. This factor has made the online banking industry a potential market for development and competition among service providers. This research paper aims to support the bank's administrators in designing policies and developing online banking products and services in accordance with the actual needs of customers. The results of the study showed that the factors of performance value, convenience value, monetary value, emotional value and brand integration value together have a positive impact on the perceived value of customers of Internet Banking services. In addition, perceived value and trust have a positive impact on the loyalty of customers using online banking services. In particular, perceived value has a much more positive impact.
Moderating effect of shopping orientations on the impact of antecedents on online purchase intention: An empirical study with msem application
Authors:   Business Administration Faculty, Sai Gon Technology University, Viet Nam, Nguyen Hoa Thai Le , Dao Huan Quang ,   Ho Chi Minh City Open University, Viet Nam
Published: February 2023

Previous research identified several factors influencing online purchase intention. However, the impact was controlled by some moderators. The aim of this study is to investigate the moderating role of shopping orientations on the impact of influencing factors on online purchase intention. These relationships were examined via an online survey of 394 customers in Ho Chi Minh City. By analyzing research model and hypotheses with MSEM method, the result identified that three out of four antecedents in the research model did not have significant direct impact on purchase intention but indirectly through the mediator of trust, in which social influence had the most robust effect, followed by product description and delivery service quality. Perceived risk had a negative effect on trust and purchase intention. The moderator analysis result also revealed both key shopping orientations (utilitarian and hedonic) significantly reduced the influencing level of trust on purchase intention. Based on the results, the research has significantly contributed to marketing literature by determining the moderating role of shopping orientations as well as drawn out management implications in order to build up consumers’ trust and then to enhance online shopping intention.
Asymmetric impact of economic growth, financial development and energy consumption on CO2 emissions in Vietnam
Authors:   University of Finance - Marketing, Le Trung San , Ngo Thai Hung ,   University of Finance - Marketing
Published: February 2023

This study aims to investigate the asymmetric effects of economic growth, financial development, and energy consumption on CO2 emissions in Vietnam over the period 1995–2020. By doing so, we employ Quantile on Quantile Regression introduced by Sim and Zhou (2015) and Granger Causality in different quantiles developed by Troster (2018). Our findings indicate that there is a positive influence of economic growth, financial development, and energy usage on CO2 emissions at most quantiles, which implies that these macroeconomic factors would increase CO2 emissions in this country. In addition, economic development requires more energy, resulting in a rise in environmental degradation is inevitable in the short run. Nevertheless, it is necessary for Vietnam to pay attention to enhancing the use of clean energy and controlling CO2 emissions in order to achieve sustainable development. Furthermore, financial policies are able to support the development of renewable energy and contribute to reducing CO2 emissions. The Vietnamese government should develop a rough, transparent, and relatively stable policy mechanism in the long run, including emission benchmark, tax incentives and other incentives to encourage private investment and foreign direct investment participating in the process of technological innovation, clean energy and renewable energy.
Impacts of public spending on economic growth in Dong Thap province
Authors:   Ho Chi Minh City University of Technology and Education, Viet Nam, Le Thi Tuyet Thanh , Vang Dang Quang ,   Ho Chi Minh City University of Technology and Education, Viet Nam
Published: February 2023

The study examines the effect of public spending from many perspectives on economic growth and vice versa in Dong Thap province. The Granger causality theory and the VAR autoregressive vector model of real GDP (GDPR) were used to test the causal relationship between public spending and provincial economic growth. Time series data from 1995 to 2020 were collected from Dong Thap Provincial Statistics Office. The research results show that: aggregate public expenditure has no Granger relationship with GRDP but is significant in the opposite direction; GRDP has a positive effect on overall public spending - economic growth increases the scale of public spending; development investment spending has no Granger relationship with GRDP but recurrent spending has a positive effect on GRDP. However, in the opposite direction, GRDP does not have a Granger relationship with recurrent expenditure but has a Granger relationship with development investment spending. The study also found that private investment and growth in labor size have a positive effect on GRDP. The author has proposed a number of significant solution groups based on the investigation’s findings. The first solution is to allocate budget resources so that the recurrent expenditure proportion can account for an increasing proportion in the structure of public expenditure. The second option is to create an environment that encourages private investment. For instance, perfecting mechanisms and policies on attracting private investment; socializing, attracting, and establishing favorable conditions for the private sector to participate in the delivery of public services; encouraging and assisting the private sector to make investments in cutting-edge research, development, and technology transfer. The third option is to put more of an emphasis on human resource development, with a particular emphasis on educating top-notch human resources to meet the province's development needs. In the upcoming years, boosting training and labor support services through procedures and policies as well as financial support from the budget will also have a significant positive impact on output volume.
A Rare Case of Cherubism In a 23-Year-Old Man
Authors:   Department of Oral and Maxillofacial Medicine, School of Dentistry, Shahid Sadoughi University of Medical Sciences, Yazd, Iran., Heidary Arezoo , Akhavankarbasi Mohammadhasan ,   Department of Oral and Maxillofacial Medicine, School of Dentistry, Shahid Sadoughi University of Medical Sciences, Yazd, Iran., Sabaghzadgan Yasaman ,   Department of Oral and Maxillofacial Medicine, School of Dentistry, Shahid Sadoughi University of Medical Sciences, Yazd, Iran., Babaie Ehsan ,   Department of Oral and Maxillofacial Medicine, School of Dentistry, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
Published: February 2023

Background and Objectives: Cherubism is a rare hereditary autosomal dominant fibro-osseous disease that is characterized by painless, bilateral, symmetric swelling in the jaw with multilocular radiolucent lesions in the maxilla, mandible, or both, and give the patient a typical “cherubic” appearance. It occurs in children, especially boys, aged 2-5 years. The aim of this study was to report a case of cherubism at an uncommon age that did not improve with age. Case Presentation: The patient was a 23-year-old man complaining of bilateral jaw pain along with swelling and multiple bilateral radiolucent lesions with a previous history of childhood cherubism. In the examination, bilateral and symmetric swelling of the face, especially in the maxilla region, with eyes raised to heaven were evident. The pain was more in the vicinity of the condyle. No abnormal manifestations were observed by the intraoral examination. In the radiographic view, multiple bilateral and symmetric lucent lesions were observed on trunk and mandible, continued to the neck of the condyle. Conclusion: Despite the common manifestations and age in patients, cherubism can show different manifestations; lack of attention to the patient’s history can lead to misdiagnosis by the pathologist and unnecessary treatments. Due to being a self-limiting condition, non-invasive treatments are preferred; however, surgical management is sometimes required for cosmetic reasons.
Predicting the Immune System Performance Based on Stress Coping Strategies and Defense Mechanisms in Women With Breast Cancer
Authors:   Department of Psychology, Rudehen Branch, Islamic Azad University, Rudehen, Iran., Kousha Saghi , Lotfi Kashani Farah ,   Department of Psychology, Medical Sciences Branch, Islamic Azad University, Tehran, Iran., Vaziri Shahram ,   Department of Psychology, Rudehen Branch, Islamic Azad University, Rudehen, Iran., Nafisi Nahid ,   Department of General Surgery, Rasool Akram Medical Complex Clinical Research Development Center (RCRDC), Iran University of Medical Sciences, Tehran, Iran.
Published: February 2023

Background and Objectives: Breast cancer, as the most common cancer, is the cause of death in many women around the world. This study aims to predict the immune system performance based on stress coping methods and defense mechanisms in women with breast cancer. Methods: The study population includs all women with breast cancer in Tehran and Guilan provinces of Iran in 2019, from whom 250 were selected by a purposive sampling method. Data were collected using the warning signs of immunodeficiency list, the Defense Style Questionnaire, and the Multidimensional Coping Inventory. The collected data were analyzed using Pearson correlation test and multiple regression analysis in SPSS software, version 22. Results: The results of regression analysis showed that the emotion-focused coping as well as mature, neurotic, and immature defense mechanisms could significantly predict the immune system performance (P<0.05). Together, these variables were able to explain 28% of the variance in the immune performance. Conclusion: In women with breast cancer, the immune system function can be predicted by their used defense mechanisms and stress coping strategies.
The hospital substitution form of home medical care of population of Tte Russian Federation: the analysis of functioning
Authors: Shlyafer S. I.
Published: February 2023

The important direction of the National Project “Health Care” are improvement of primary health care system, including introduction of hospital-replacing technologies.The purpose of the study is to evaluate functioning of hospital-substituting form of home medical care (home hospitals) to population of the Russian Federation in 2006-2020.The normative legal documents regulating activities of stationary-substituting form of home medical care (home hospitals) for adults and children, reporting forms of sectoral statistical observation № 14ds for 2006-2018 were analyzed. In 2019-2020, unified data on functioning of day hospitals and home hospitals and composition of patients treated there of medical organizations providing medical care on out-patient basis was filled in form № 14ds. The in-depth analysis permitted to extract information about activities of home hospitals for adults and children and to study their functioning in dynamics for 15 years. The content analysis, statistical and analytical methods were applied.The examination of data for 2006-2020 established increasing of number of treated adult patients in home hospitals up to 27.9% and children up to 15.0%.The distribution of the number of treated adults and children in hospitals at home per 1000 of the corresponding population by subjects indicates their significant fluctuation.For 15 years, it has been established that in the structure of treated adult patients, the proportion of people with diseases of the circulatory system has decreased from 62.2 to 31.5%, the musculoskeletal system and connective tissue - from 11.7 to 7.4%; in children - with respiratory diseases from 81.9 to 63.4%, some infectious and parasitic diseases - from 7.7 to 3.0%, diseases of the digestive system - from 3.6 to 3.2%.In the country for 2019-2020 in hospitals at home, the number of treated adults significantly increased by 1.8 times, children - by 2.3 times, the composition of those treated has changed, which is associated with the treatment of patients with a new coronavirus infection COVID-19 in them under conditions re-profiling of the majority of medical organizations into infectious diseases hospitals.
The medicinal support in ambulatory conditions and the integral estimates of public health
Authors: Khabriev R. U. , Kolomiychenko M. E.
Published: February 2023

Within the framework of the 2030 Agenda for Sustainable Development, goals were formulated, including those targeting to improve quality of life of people all around the world. The task was formulated to ensure universal coverage of health services. In 2019, the United Nations General Assembly noted that at least half of world's population have no access to basic health services. The study developed methodology to carry out comprehensive comparative analysis of values of individual public health indicators and amount of population payments for medications to confirm possibility of applying these indicators to monitor public health, including possibility of international comparisons. The study demonstrated inverse relationship between share of citizens' funds to pay for medications, index of universal health coverage and life expectancy. The stable direct relationship between such indicators as overall mortality rate from non-communicable diseases and likelihood of dying at the age of 30-70 years from any of cardiovascular diseases, cancer, diabetes or chronic respiratory diseases.
The Renaissance of Russian pharmaceutical market (2000-2004). Report II. The Pharma servants of Russia
Authors: Zatravkin S. N. , Vishlenkova E. A. , Ignatiev V. G.
Published: February 2023

The article (the third one of authors cycle of historical studies of medication supply and pharmaceutical business) examines period of economic renaissance of the Russian pharmaceutical market in the first years of third millennium. The state of market according data of Russian analytical agencies, medical periodicals and recollections of participants is considered. The article consists of three reports. In the first report the issue was the “field players” of pharmaceutical market, and in the second one - all the personnel serving market game, making it possible, their reflections on their new, post-Soviet experience of life in private business.
The international cooperation in organizing penicillin production in the USSR
Authors: Sherstneva E. V.
Published: February 2023

The article considers interaction of the USSR with foreign scientists and international organizations in the process of mastering production of penicillin and establishment of penicillin industry. The analysis of archival documents demonstrated that despite influence of unfavorable foreign policy factors, various forms of this interaction were one of the decisive conditions of establishment of large-scale antibiotic production in the USSR by the end of the 1940s.
The stomatological care of schoolchildren in the Soviet Russia in 1920s: Succession of ideas
Authors: Plotnichenko P. K. , Ratmanov P. E.
Published: February 2023

The article considers historical interaction between the Soviet Russia and the Weimar Republic related to prevention of caries in children in 1920s and the role of P. G. Dauge in it. The methodology of German Professor A. Kantorovich with minor alterations was adopted to be applied in organization of dental care of schoolchildren in the RSFSR. In the Soviet Russia, the practical implementation of planned oral cavity sanation in children started on a national scale only in second half of the 1920s. It was caused by skeptical attitude of dentists to methodology of “planned sanation” in conditions of the Soviet Russia.
“Whether the Lord putted Moscow and neighbouring cities empty?”: Moscow pest of 1654
Authors: Borisov S. N. , Lipich T. I. , Penskoi V. V.
Published: February 2023

The first ten years of the reign of Tsar Alexei Mikhailovich were distinguished by extreme turbulence. The unsuccessful actions of the “government” of the boyar Morozov provoked chain of city riots which reached their apogee in famous “Salt Riot” in the capital. After that, religious feuding began that in near future resulted in the Schism. Afterwards, Russia, after long hesitation, entered the war with the Polish-Lithuanian Commonwealth that as it turned out, prolonged 13 years. Finally, in 1654, after long break, the plague again visited Russia. The plague pestilence of 1654-1655 was relatively transient (it began in summer and gradually faded away with the onset of winter), however very deadly and shook both the Russian state and Russian society to the ground. It disrupted habitual regular way of life and unsettled all and everything. The authors propose original version of origin of this epidemic and reconstruct its course and consequences on the basis of evidence of contemporaries and extant documents.
The Irkutsk department of the Society of struggle with contagious diseases: history of establishment, structure, tasks, sources of financial appropriations
Authors: Gaidarov G. M. , Alekseevskaya T. I. , Demidova T. V. , Sofronov O. Yu.
Published: February 2023

The article considers chronologies of events of the opening in the city of Irkutsk of the Irkutsk branch of the Society of struggle with contagious diseases, located in St.Petersburg. It is emphasized that socially necessary need for protection against contagious diseases contributed to organization of the Branch of the Society of Struggle with Contagious Diseases. The history of organization of the structure of the Society's branch, the criteria of recruiting the founding members, collaborating members and competing members, including description of their duties are explored. The mechanism of formation of financial allocations and the state of available capital owned by the Branch of the Society are studied. The structure of financial expenses is demonstrated. The role of benefactors and donations collected for needs of struggle with contagious diseases are emphasized. The correspondence of well-known honorary citizens of Irkutsk concerning issues of increasing the number of donations is presented. The objectives and tasks of the Branch of the Society related to struggle with contagious diseases are considered. The necessity of spreading health culture among population to prevent occurrence of contagious diseases is demonstrated. The conclusion is made about progressive role of the Branch of the Society in the Irkutsk Guberniya.
The review of the book “The Soviet health care at international arena in 1920-1940: between ‘soft force’ and propaganda (the Western Europe and the USA)” by P. E. Ratmanov
Authors: Pivovarov N. Iu. , Tikhonov V. V.
Published: February 2023

The review considers the book “The Soviet health care at international arena in 1920-1940: between “soft force” and propaganda (the Western Europe and the USA)” by Ratmanov P. E. The author, on the basis of rich range of historical sources for the first time introduced into scientific turnover, minutely examines phenomenon of the presentation of “The Semashko model” in the international arena. The main array of events described in the book is chronologically divided by two periods - the 1920s and the 1930s. Each of these periods is characterized not only by various forms of presentation of the Soviet health care, but also by directions of cooperation with partner countries. The monograph demonstrably shows that effectiveness of the Soviet medical propaganda was affected by composition of the audience, place and time. Besides, interest in the West to the Soviet model in many ways depended on personal sympathy and political beliefs of representatives of medical community. The author of the book considers the promotion of samples of the Soviet model of medicine as “trade of the future”, i.e. demonstration of common values of the ideology of the Soviet health care, its local successes and promises of major achievements in the future. The monograph is to be recognized as an important step in the study both of the history of scientific medical diplomacy and the role of science in cultural agenda of the Soviet state.
The rare diseases and orphan medications: Placement in health care of the Russian Federation
Authors: Komarov I. A.
Published: February 2023

The rare diseases are characterized both by relatively small prevalence in population and complexity of medical care support of patients. In this particular case, the legal regulation of medical care takes its particular placement in health care. The uniqueness of rare diseases requires development of special normative legal acts, definitions and treating approaches. One of such approaches are orphan drugs that also are unique, complicated in development and require special legislative regulation. The article presents corresponding legislative terminology in modern Russian health care, actual listings of rare diseases and orphan drugs. The directions to improve current terminology and normative legal regulation are proposed.
The regional provision of population with specialized medical care according to profile of cardiovascular surgery
Authors: Naberezhnaya I. B.
Published: February 2023

The diseases of circulatory system take leading position in structure of mortality. The efficiency of development of scientifically-proved and modern models of medical care support is to be based on data of monitoring of level, dynamics and structure of corresponding pathology. The accessibility and timeliness of high-tech medical care support directly depends on degree of influence of relevant regional characteristics.The purpose of study was to estimate demand and accessibility of specialized high-tech medical care to residents of the Astrakhan Oblast related to leading nosological forms of diseases of circulatory system.The monographic, statistical, logical and system analysis methods were applied. The research was carried out applying continuous methodology and included data from reporting forms № 12 and № 14 in the Astrakhan Oblast in 2010-2019. The Absolute and average values, extensive indicators that model structure as well as methods of dynamic numbers derivation were applied. The mathematical methods based on specialized statistical software STATISTICA 10 were implemented too.The indicator of circulatory system general morbidity decreased up to 8,5% in 2010-2019. The leading positions are taken by cerebrovascular diseases (29,2%), ischemic heart diseases (23,8%) and diseases characterized by increasing of blood pressure (17,8%). The indicator of general morbidity of these nosological forms increased up to 16,9% and primary morbidity up to 43,9%. The average long-term level of prevalence comprised 55,3±1,23%0. At that, specialized medical care within the mentioned direction decreased from 44,9% to 30,0% and implementation of high-tech medical care increased from 2,2% to 4,0%.
PATIENT SATISFACTION AS AN INDICATOR OF PATIENT ORIENTATION IN ORGANIZATION OF PAID MEDICAL SERVICES
Authors: Grishina N. K. , Perepelova O. V. , Timurzieva A. B. , Solovyova N. B.
Published: February 2023

Nowadays, the idea of the patient as the main subject of medical care is being established in the public consciousness. It is around the patient that all types of professional medical activities and all forms of relationships with other subjects of modern health care are organized.In the professional sphere, this idea is seen as a principle of patient focus. In the provision of paid care, this factor acquires special relevance and is largely determined by the compliance of the process and results of the provision of medical care with the expectations of consumers of medical services. In this regard, the study of the expectations of the contingent of people applying for paid medical services to state medical organizations, and the degree of their satisfaction with receiving paid medical care was the purpose of this study.
The pharmacy tourism. Part I. The analysis of state of medicinal support of patients with rare diseases
Authors: Ananchenkova P. I. , Tonkonog V. V. , Timchenko T. N.
Published: February 2023

In Russia, the orphan diseases for many years are the object of intent attention both of the national legislation and health care system. The lower prevalence of these diseases in population causes predicaments to timely diagnosis, drug provision and medical care. Besides, absence of integrated approach to issues of diagnosis and treatment of rare diseases contribute nothing to fast solving of actual problems in this field. Frequently, impossibility to get necessary course of treatment forces patients with orphan diseases to seek for alternative sources. The article assesses current situation with medications support of patients suffering from diseases included in the list of life-threatening and chronic progressive rare (orphan) diseases that result in shortening life-span or disability and diseases included in the Federal Program “The 14 high-cost nosologies”. The issues of keeping record of patients and financing medications purchase are touched upon. The study results identified problems of organization of medication support of patients with orphan diseases associated with complexity of accounting their number and absence of integral system of preferential medication support.
The problems of development of medical health-improving tourism in modern conditions
Authors: Agalarova L. S. , Rozanova T. P. , Stytsiuk R. Yu. , Tavakov A. A.
Published: February 2023

The analysis of main approaches to determining essence of health-improving tourism in works of national scientists and researchers is presented. The conclusions are made that the most widespread classification of health-improving tourism is its division into medical and health-improving tourism. The medical tourism includes such its types as medical and sanatorium-health resort, and health-improving tourism covers balneologic, SPA-tourism, Wellness-tourism. The difference between medical and health-improving tourism is determined in order to regulate received services. The author's structure of medical and health-improving services, types of tourism and specialized organizations is developed. The analysis of supply and demand for health-improving tourism in 2014-2020 is presented. The main trends of development of health-improving segment in context of such its directions as increasing of SPA and Wellness industry, development of medical tourism, increasing of return on health tourism are formulated. The factors constraining development and reducing competitiveness of health-improving tourism in Russia are identified and structured.
The awareness of primary health care physicians about methods of evaluation of risks of stroke
Authors: Manoilov A. E. , Markina A. Yu.
Published: February 2023

The assessment of prevalence of acute cerebral circulation disorders in persons with arterial hypertension, together with study of awareness of primary health care physicians about methods of assessing risk of stroke, allows to judge effectiveness of measures preventing acute cerebral circulation disorders and to outline further ways preventing cerebrovascular complications of hypertension.The purpose of study was to investigate morbidity of acute cerebral circulation disorders and awareness of primary care physicians about clinical and instrumental methods assessing risk of stroke in persons with arterial hypertension.Materials and methods included official statistical materials on morbidity of intracerebral bleeding and cerebral infarction in population of Russia, the Chelyabinsk Oblast in 2008-2020, totals of survey of internists and emergency physicians in six regions of Russia.It was established that morbidity of intracerebral bleeding and cerebral infarction in 2008-2020 in the Chelyabinsk Oblast has not changed, while morbidity of intracerebral bleeding and brain infarction in Russia significantly (p
The social portrait of child with disability as conceived by population of the Euro-Arctic region of Russia
Authors: Zhigunova G. V.
Published: February 2023

The problem of perceiving person with disability as “atypical” individual is one of the most acute in modern society. The stereotypes and fears existing in conceptions of citizens regarding this category are negatively reflected in current intensive inclusive processes. The most negatively negative conceptions about persons with disabilities affect children population, aggravating processes of socialization and inclusion in social practices inherent to their “norm-typical” peers. The survey of population of the Euro-Arctic region, carried out by the author in 2022, to identify characteristics of perception of children with disabilities, established that negative perceptions prevail in assessments of children with disabilities. The results demonstrated that, basically, disabled subjects are perceived through assessments of their personal and behavioral characteristics, and not through the social conditions of their life. The results of the study made it possible to conclude that medical model of disability significantly impact on citizens' perceptions of persons with disabilities. The phenomenon of disability itself can be attributed to factors contributing to negative labeling of its subjects. The conclusions and results of the study can be used to develop positive image of disabled perdsons in the Russian socium in process of further development of inclusive processes.
The effect of applying clinical organizational telemedicine technology management of anti-tuberculous care on dynamics of tuberculosis morbidity and mortality
Authors: Kostin A. A. , Tsvetkov A. I. , Abramov A. Yu. , Kicha D. I. , Goloshchapov-Aksenov R. S.
Published: February 2023

The tuberculosis is the most important medical and social problem among globally dangerous epidemiological phenomena. the tuberculosis ranks 9th place in the structure of mortality and disability of population and 1st place among causes of death from single infectious agent.The purpose of the study was to analyze dynamics of total morbidity and mortality because of tuberculosis against the background of the implementation of telemedicine clinical organizational technology in phthisiology care 2007-2021.The official Regional and Federal data of Rosstat for 2007-2021 were used. The indicators of total morbidity and mortality of population caused by tuberculosis in the Sverdlovsk Oblast were established. The research methods were content analysis, dynamic series analysis, graphical analysis, statistical differences analysis.In the Sverdlovsk Oblast, the morbidity and mortality of tuberculosis exceeded national average indicators by 1.2-1.5 times. In 2007-2021, as a result of implementation of clinical organizational telemedicine technology in managing phthisiology care, total morbidity and mortality of population caused by tuberculosis decreased up to 2.275 and 2.97 times respectively. The rate of decrease of analyzed epidemiological indicators generally correlated with national average data with statistical validity of difference t≥2.In regions with unfavorable epidemiological indicators of tuberculosis, application of innovative technologies in management of clinical organizational processes is required. The development and implementation of clinical organizational telemedicine technology for managing regional phthisiology care contributes to significant reduction of morbidity and mortality of tuberculosis and optimizes sanitary and epidemiological well-being.
The psychological and environment risk factors of development of breast cancer in women residing in industrial megalopolis and rural locality
Authors: Tsiring D. A. , Pakhomova Ya. N. , Ponomareva I. V. , Sergienko E. S. , Vazhenin A. V. , Mironchenko M. N.
Published: February 2023

The breast cancer hold leading position in the structure of oncological morbidity of women worldwide. The purpose of the study is to analyze contribution of psychological and environmental factors to risk of development of breast cancer in women residing in industrial metropolis and rural locality. The actuality of the study is conditioned by acquisition of new knowledge about risk factors of breast cancer. The study covered psychological factors (basic beliefs, life orientations, locus of control, coping behavior strategies, subjective assessment of quality of life, subjective age indicator, personal helplessness-independence, resilience) and environmental factor (place of urban of rural residence of women with breast cancer). The study established that in women residing in industrial metropolis the psychological risk factors are reduced indicators of basic beliefs, of quality of life and of resilience, rare application of coping strategy “Escape-Avoidance”, external locus of control. Alternatively, in women residing in rural areas, psychological risk factors for breast cancer are rare application of coping strategies, reduced quality of life indicators, increased vital activity, internal level of subjective control and personal helplessness. The study results can be included in development of personalized breast cancer screening protocols and as well as considered in assessing risk of development of disease when classifying women by breast cancer risk groups.
The transformation of sources providing medical information in male youths of military age in decade dynamics
Authors: Sogiyainen A. A. , Chicherin L. P. , Shchepin V. O.
Published: February 2023

In 2021, according to results of survey of citizens of military age, 71.5% of respondents considered their state of health as satisfactory or poor. The negative dynamics was noted by 41.6% and 64.4% stated about absence of chronic diseases. At that, according to Rosstat data, up to 72% of young males have chronic pathology of various organs and systems that indicates insufficient information about health status of respondents. The analysis was applied concerning ways of obtaining medical information by young males aged 17-20 years in the Moscow Oblast in 2012 (n=423), 2017 (n=568) and 2021 (n=814). The sampling of young males participating in survey was 1,805 respondents. It was established that in in the Moscow region main share of medical-oriented information is drawn by young males aged 17-20 years from the Internet and social networks (more than 72%). The medical and pedagogical personnel provide only 4.4% of this information. Over the past 10 years, the role of schools and polyclinics in the formation of healthy lifestyle has decreased by more than in 6 times.
The comparative evaluation of accessibility of stomatological care for municipal and rural population of the Belgorod Oblast
Authors: Kopytov A. A. , Stepanova Yu. S. , Ovchinnikov I. V. , Volobueva E. V.
Published: February 2023

At the actual stage of becoming of Russian stomatology, the problem of sustainable development of rural stomatological care, as system of local formations of complex medical social nature belongs to national priorities and is considered as one of most important directions of public social policy. The stomatological health of rural population is to be considered as indicator of national stomatological health. This is confirmed by spatial structure: rural territories (inhabited territories outside cities) cover 2/3 of territory of the Russian Federation with population of 37.3 million or 1/4 of total population. The spatial structure of the Belgorod Oblast is reliably similar to the all-Russian one. The number of national and foreign studies proved that accessibility, quality and timeliness of insurance (state) stomatology is lower for rural residents that can be considered as one of signs of social inequality. Depending on the social economic status of region, signs of social inequality in the stomatology field are conditioned by broad spectrum of factors. Some of them are discussed in the article.
The combination of moral and law norms in regulation of medical activity
Authors: Sergeev V. V. , Shmelev I. A.
Published: February 2023

The article considers proposals developed according results of the study and targeted on improving social regulation of medical activities on basis of complex institutional approach. The complexity of approach lies in the fact that in regulation of public relations in health care opposition between norms of law and norms of morality is not allowed because in medicine they inter-condition and inter-complement each other. The institutional aspect of approach is reflected in tight interaction of moral and legal foundations, as well as in mechanisms of implementation of social standardization of specific sphere of medical activity. The formalized model of integrated institutional approach is presented. The importance of bioethics, in which principle of inter-complementarity of morality and law is realized to its maximum extent is emphasized. The significance of structural principles of bioethics that characterize totality of stable relationships of subjects of medical intervention is highlighted. The emphasis is made on interrelation between principles of bioethics and medical ethics, on norms of medical ethics, that largely determine content of professional duty of physician. The norms of medical ethics are grouped into three systems: “doctor-patient”, “doctor-colleague” and “doctor-society” that are contained in international ethical documents and “The Code of Professional Ethics for Physicians” of the Russian Federation. The importance of internal and external mechanisms of implementation of complex social regulation of medical activity is marked.
The evaluation of opinions of residents of the Northern Caucasus Okrug about healthy municipal planning issues
Authors: Amlaev K. R. , Karabakhtsyan G. A. , Khripunova A. A. , Dahkilgova Kh. T.
Published: February 2023

The article presents the results of examination of opinions of residents of the North Caucasus Federal District concerning healthy urban planning issues. The most residents of large cities are satisfied with infrastructure of their city, while residents of small towns are less satisfied with it. The prioritization of importance of solving various problems of urban life, opinions of residents are not solidary and differ depending on age and place of residence of respondents. For example, construction of playgrounds is a priority for residents of reproductive age from small towns. Only one out of ten of respondents would like to participate in strategy of development of their cities of residence.
The World Health Organization: Project of novels in the field of controlling international medical sanitary regulations
Authors: Bogovskaia E. A , Alexandrova O. Yu. , Zudin A. B.
Published: February 2023

The article considers draft of new edition of the International Health Regulations. The possible risks associated with changing of the document are evaluated from perspective of member countries, in whose territories occur or supposedly occur emergency situations in field of public health having international importance.