Asunto(s)
Antiinfecciosos , Infecciones Comunitarias Adquiridas , Neumonía , Adulto , Antibacterianos/farmacología , Antibacterianos/uso terapéutico , Infecciones Comunitarias Adquiridas/tratamiento farmacológico , Infecciones Comunitarias Adquiridas/epidemiología , Humanos , Neumonía/tratamiento farmacológico , Federación de Rusia/epidemiología , Streptococcus pneumoniaeRESUMEN
Beached macrolitter (>2,5 cm) abundance and composition in the Russian (Eastern) part of the Barents Sea and the adjacent part of the Kara Sea was assessed for 2021-2023. Average densities of beach litter on the coasts are 675 items/100 m and 37 kg/100 m (0.27 items/m2 and 0.015 kg/m2). Annual litter budgets for Cape Zhelaniya beaches are 0.49 items/m2 per year and 0.023 kg/m2 per year. The northernmost tip of Novaya Zemlya is shown to be a beach litter accumulation hot-spot on Novaya Zemlya archipelago, where litter is brought by surface currents and trapped by sea ice margins. Up to 80 % of beached marine macrolitter is made of plastics, originating from vessels. A certain accumulation strip of a beach was identified (14 m - 27.5 m distance from the waterline), and significance of the beach backshore was shown in litter accumulation. Beach litter accounting methodologies on the Arctic beaches are discussed.
Asunto(s)
Playas , Monitoreo del Ambiente , Regiones Árticas , Federación de Rusia , Plásticos/análisisRESUMEN
Proper antibiotic usage education and training of medical students and healthcare professionals is the cornerstone to implement antimicrobial stewardship (AMS) programs worldwide. We conducted this voluntary and anonymous survey on current and preferred educational provision of AMS in Russia. Among 1358 polled respondents from six participating Centers located in geographically remote Federal Districts of Russia, the majority were nurses (52.8%) and doctors (42.0%). Results of the survey demonstrated better coverage of education in AMS on an undergraduate level (57.1%). More than half of respondents in total (52.4%) stated they had not received any postgraduate training. Those 38.4% respondents who received postgraduate teaching in AMS stated that it had been provided substantially by an employing hospital (28.4%) or by a medical university/college (22.3%). According to the conducted survey, the methods of education in AMS in Russian Federation mainly include traditional face-to-face lectures, presentations and provision with clinical guidelines, recommendations and printed materials. The involvement of e-learning and web-based online approaches was lacking. The survey allowed us the identify the key problems associated with training of healthcare workers in this field, in particular the varying availability of under- and postgraduate education in different parts of Russia.