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1.
Biochemistry (Mosc) ; 87(3): 294-299, 2022 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-35526855

RESUMO

Analysis of demographic data indicates uneven distribution of mortality within a year, month, and even week time period. This is of great practical importance for the operation of medical institutions, including intensive care units, and makes it possible to calculate economic and labor requirements of medical institutions. All the above is especially relevant during the era of the COVID-19 pandemic. Malygin showed the presence of one to two fluctuations per week in the mortality of male patients with type 2 diabetes. The height of the peaks of such fluctuations is determined, as expected, by the regular parameter indicating their position on the axis of lifespan and random parameter reflecting adverse effects of external environmental factors on the body, as well as the extent of the periodically occurring sharp decrease in the nonspecific resistance. This article discusses results of recent research in the field of small (semi-weekly, weekly, monthly, and seasonal) fluctuations of mortality. Based on a large array of accumulated data, it can be concluded that the decrease in seasonal variability of mortality accompanies an increase in the life expectancy. Studying characteristics of mortality fluctuations makes it possible to move from investigating the impact of biorhythms (Master Clock) on the development of acute and chronic phenoptotic processes directly to studying the patterns of mortality rhythms themselves (rhythms of phenoptosis).


Assuntos
COVID-19 , Diabetes Mellitus Tipo 2 , Humanos , Masculino , Morbidade , Moscou , Pandemias
2.
Biochemistry (Mosc) ; 87(2): 87-90, 2022 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-35508904

RESUMO

This issue of Biochemistry (Moscow) is dedicated to the role of protein misfolding and aggregation in cataract development. In fact, many genetic mutations or chemical and physical deleterious factors can initiate alterations in the macrostructural order and proper folding of eye lens proteins, which in some cases result in the formation of large light-scattering aggregates, affecting the quality of vision and making lens more prone to cataract development. Diabetes mellitus, which is associated with oxidative stress and mass production of highly reactive compounds, can accelerate unfolding and aggregation of eye lens proteins. This journal issue contains reviews and research articles that describe the destructive effects of mutations and highly reactive metabolites on the structure and function of lens crystallin proteins, as well important molecules in the lens's natural defense system involved in protection against deleterious effects of the physical and chemical factors.


Assuntos
Catarata , Cristalinas , Cristalino , Catarata/patologia , Cristalinas/química , Cristalinas/genética , Cristalinas/metabolismo , Humanos , Cristalino/metabolismo , Moscou , Agregados Proteicos
3.
Dokl Biol Sci ; 503(1): 58-62, 2022 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-35437736

RESUMO

The first study on the dynamics of virioplankton abundance (VA) in the coastal waters of the Moscow River in the autumn-winter period at stations differing in the level of anthropogenic impact has been performed. The VA in the waters of the more polluted Dzerzhinsky st. (with a mean of 235.6 ± 71.5 × 106 particles/mL, varying from 167.79 to 397.39 × 106 particles/mL) was higher than in the waters of the less polluted Tushino st. (with a mean value of 129.0 ± 39.6 × 106 particles/mL, varying from 61.01 to 186.85 × 106 particles/mL) throughout the study. Positive correlation was observed (R = 0.6, p < 0.01) between the abundances of virio- and bacterioplankton in the waters of the Dzerzhinsky st. We assume that a significant proportion of the virioplankton of the coastal waters o of the Moscow River is represented by bacteriophages. Three quarters of the differences in the VA dynamics were significantly positively correlated with the content of ammonium and phosphates in the waters at the Dzerzhinsky st. Apparently, an increase in the nutrient load is the main factor responsible for the high VA in the waters of the Moscow River in the autumn-winter period.


Assuntos
Organismos Aquáticos , Rios , Moscou , Estações do Ano , Água
4.
Artigo em Russo | MEDLINE | ID: mdl-35439380

RESUMO

The article presents the results of analysis of repeated disability because of thyroid cancer in adult population of Moscow in 2015-2019. The study established negative dynamics of increasing of the number of individuals with repeated disability because of thyroid cancer in all essential age contingents (young, middle and elderly age) of adult population. The similar trend was revealed in gender contingents of individuals with repeated disability because of thyroid cancer (in males, increase was made up to 112.5% and in females up to 196.3%). In the gender and age structure of repeated disability because of thyroid cancer, predominated females and the elderly. The study established dynamics of decreasing of percentage of individuals with repeated disability because of thyroid cancer of the disability groups I and III and corresponding increasing in disability group II. The percentage of individuals with repeated disability because of thyroid cancer in disability groups I and II was higher in males as compared with females. Most individuals with disabilities because of thyroid cancer don't work. The study results make available spectrum of disorders of main functions of organism, their degree and types and intensity of limitations in vital activity of individuals with repeated disability because of thyroid cancer. The organized database of characteristics of repeated disability because of thyroid cancer in adult population can be used in implementation of personalized approach to medical social rehabilitation of increasing number of disabled individuals with malignant damage of the most important organ of endocrine system.


Assuntos
Pessoas com Deficiência , Neoplasias da Glândula Tireoide , Adulto , Idoso , Gerenciamento de Dados , Feminino , Humanos , Masculino , Moscou/epidemiologia , Neoplasias da Glândula Tireoide/epidemiologia
5.
Artigo em Russo | MEDLINE | ID: mdl-35439388

RESUMO

The primary health care is characterized by its directivity to population health, while general practitioner is key figure in its organization and is responsible for assigned population health. The Russian Federation continues to suffer from overspecialization of medical care in outpatient health care. At that, the number of unreasonable visits to medical specialists is too high. The general practitioner, with appropriate training, can appoint patients by 11 specialties and in conditions of municipal polyclinic can undertake up to 81% of visits to medical specialists. The purpose of the study is to evaluate primary health care functioning in Moscow and to formulate proposals for reforming health care, considering development of general medical practices in a metropolis. The study was focused on analysis of morbidity of population of Moscow, on support of out-patient health care with physicians before and after implementation of three-level system of ambulatory polyclinic care, on evaluation of preventive activities of general practitioners and on development of proposals for improving organizational forms of activities with emphasis on health preservation. In the study were applied such methods as statistical, direct observation, sociological. The analysis was applied to forms of federal statistical observation i.e. form № 30 in Moscow and the Russian Federation for 2010-2019. The population sociological surveys concerning satisfaction with medical care were carried out. The research base was Moscow. The analysis demonstrated that results of Moscow health care system reformation is economically effective because of shortage of medical personnel primarily of administrative staff and its rational employment. The reformation results were positively assessed by patients, whose satisfaction with medical care made up to 95.6%. The general practitioner is to be responsible for health status of attached population and is called upon not only to carry out treatment and preventive activities, but also to coordinate organization of medical care of attached population at all stages of its provision. The implementation of general medical practice in conditions of municipality is to calculate complete transition of medical organizations providing out-patient medical care to general medical practice, that will result to certain extent, in reduction of staff positions of medical specialists. It is necessary to expand duties of medical nurse in general practice. The optimal model of joint work of general practitioner with feldsher and medical nurse of general practice. The complex general practice team can include medical registrar. The proposed perspective models permit to implement integrating role of general practitioner and to increase accessibility and efficiency of primary health care.


Assuntos
Clínicos Gerais , Atenção à Saúde , Reforma dos Serviços de Saúde , Humanos , Moscou , Atenção Primária à Saúde
6.
Anatol J Cardiol ; 26(4): 342-343, 2022 04.
Artigo em Inglês | MEDLINE | ID: mdl-35435850
7.
Front Immunol ; 13: 841868, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35392074

RESUMO

The Bacillus Calmette-Guérin (BCG) vaccine, which is widely used to protect children against tuberculosis, can also improve immune response against viral infections. This unicentric, randomized-controlled clinical trial assessed the efficacy and safety of revaccination with BCG Moscow in reducing the positivity and symptoms of COVID-19 in health care workers (HCWs) during the COVID-19 pandemic. HCWs who had negative COVID-19 IgM and IgG and who dedicated at least eight hours per week in facilities that attended to individuals suspected of having COVID-19 were included in the study and were followed for 7, 15, 30, 60, and 180 days by telemedicine. The HCWs were randomly allocated to a revaccinated with BCG group, which received the BCG vaccine, or an unvaccinated group. Revaccination with BCG Moscow was found to be safe, and its efficacy ranged from 30.0% (95.0%CI -78.0 to 72.0%) to 31.0% (95.0%CI -74.0 to 74.0%). Mycobacterium bovis BCG Moscow did not induce NK cell activation at 15-20 days post-revaccination. As hypothesized, revaccination with BCG Moscow was associated with a lower incidence of COVID-19 positivity, though the results did not reach statistical significance. Further studies should be carried out to assess whether revaccination with BCG is able to protect HCWs against COVID-19. The protocol of this clinical trial was registered on August 5th, 2020, at REBEC (Registro Brasileiro de Ensaios Clínicos, RBR-4kjqtg - ensaiosclinicos.gov.br/rg/RBR-4kjqtg/1) and the WHO (# U1111-1256-3892). The clinical trial protocol was approved by the Comissão Nacional de ética de pesquisa- CONEP (CAAE 31783720.0.0000.5078).


Assuntos
COVID-19 , Mycobacterium bovis , Vacina BCG , COVID-19/prevenção & controle , Criança , Pessoal de Saúde , Humanos , Imunização Secundária/métodos , Moscou , Pandemias/prevenção & controle
8.
Vopr Virusol ; 67(1): 27-36, 2022 03 15.
Artigo em Russo | MEDLINE | ID: mdl-35293186

RESUMO

INTRODUCTION: The study of the intensity of humoral immunity to the measles virus (Paramyxoviridae: Morbillivirus) (MV) remains relevant due to the ongoing registration of the cluster cases of measles (including nosocomial cases).The aim of the study was to analyze correlation between the intensity of the humoral immunity to measles virus and the measles incidence in different age groups of the Moscow residents. MATERIAL AND METHODS: A simple analytic study was carried out under the framework of measles prevention improvement program conducted in the subjects of the Russian Federation. The study included the analysis of the reasons for the increase in the proportion of seronegative individuals and the comparison of the results of seromonitoring with the data of age-related measles incidence. Throughout 2018, total 1,855 blood serum samples obtained from employees of a large hospital center in Moscow who were previously vaccinated against measles were tested for IgG antibodies (ABs) to MV. The subjects were divided into 11 groups according to their age. Statistical analysis of the obtained data was performed using nonparametric criteria. RESULTS AND DISCUSSION: The proportion of seronegative individuals among the staff of the medical facility decreased with age, from 38.5% in persons aged 19-23 to 0% among employees aged 64 and over. Persons aged 19-43 years were the most susceptible to measles infection, which was confirmed also by the highest incidence rate at these age groups (from 6.93 to 14.03 per 100,000 population). The age group most protected against measles was those over 64 years of age, who were all seropositive and had the lowest rates of incidence. This is probably due to the fact that by this age most of them have had a measles infection and have formed a sufficient immune response. At the same time, younger individuals living in the post-elimination era have only vaccine-induced ABs to MV, the level of which declines rapidly to non-protective values in the absence of boosterization due to the exposure to the wild-type strain of the pathogen. CONCLUSION: The monitoring of the MV-specific IgG- AB levels is required for employees in the medical institutions under the age of 35. Administration of the single dose of the appropriate vaccine is recommended for seronegative individuals.


Assuntos
Imunidade Humoral , Sarampo , Anticorpos Antivirais , Pessoal de Saúde , Humanos , Imunoglobulina G , Incidência , Recém-Nascido , Sarampo/epidemiologia , Sarampo/prevenção & controle , Vacina contra Sarampo , Vírus do Sarampo , Moscou/epidemiologia
9.
Kardiologiia ; 62(2): 52-108, 2022 Feb 28.
Artigo em Russo | MEDLINE | ID: mdl-35272609

RESUMO

Тезисы докладов, представленных в рамках Национального конгресса с международным участием «Ð¡ÐµÑ€Ð´ÐµÑ‡Ð½Ð°Ñ недостаточность 2021¼.


Assuntos
Insuficiência Cardíaca , Humanos , Moscou
10.
Sci Rep ; 12(1): 3458, 2022 03 02.
Artigo em Inglês | MEDLINE | ID: mdl-35236881

RESUMO

Microbial communities in wastewater treatment plants (WWTPs) play a key role in water purification. Microbial communities of activated sludge (AS) vary extensively based on plant operating technology, influent characteristics and WWTP capacity. In this study we performed 16S rRNA gene profiling of AS at nine large-scale WWTPs responsible for the treatment of municipal sewage from the city of Moscow, Russia. Two plants employed conventional aerobic process, one plant-nitrification/denitrification technology, and six plants were operated with the University of Cape Town (UCT) anaerobic/anoxic/oxic process. Microbial communities were impacted by the technology and dominated by the Proteobacteria, Bacteroidota and Actinobacteriota. WWTPs employing the UCT process enabled efficient removal of not only organic matter, but also nitrogen and phosphorus, consistently with the high content of ammonia-oxidizing Nitrosomonas sp. and phosphate-accumulating bacteria. The latter group was represented by Candidatus Accumulibacter, Tetrasphaera sp. and denitrifiers. Co-occurrence network analysis provided information on key hub microorganisms in AS, which may be targeted for manipulating the AS stability and performance. Comparison of AS communities from WWTPs in Moscow and worldwide revealed that Moscow samples clustered together indicating that influent characteristics, related to social, cultural and environmental factors, could be more important than a plant operating technology.


Assuntos
Microbiota , Purificação da Água , Bactérias , Reatores Biológicos , Desnitrificação/genética , Microbiota/genética , Moscou , Nitrogênio , RNA Ribossômico 16S/genética , Esgotos/microbiologia , Eliminação de Resíduos Líquidos , Águas Residuárias/microbiologia
11.
PLoS One ; 17(3): e0263237, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35358196

RESUMO

Under the background of "the Belt and Road" and "the economic corridor of China, Mongolia and Russia" initiatives, it is of great significance to study the temporal and spatial economic pattern in the Russian Federation. Based on the economic development difference index, regional economic grade index, global trend analysis tool and spatial autocorrelation model, this paper analyzes the temporal and spatial pattern evolution characteristics of Russian economic differences from 2002 to 2020. The results are as following. First, although the economic imbalance among various federal subjects has been decreasing, the economic polarization has been still severe between the prosperous developed regions and the stagnant backward regions during 2002-2020. Russia's economy shows a trend of changing from significant positive correlation in strong agglomeration space to positive correlation in weak agglomeration space, and then to random distribution. Second, there has been great differences of the economic development among various federal subjects. The economic grade of the Russian federal subjects presents a significant spatial differentiation pattern. The Russian Federation's economic resources are concentrated in the first-class federal subject (Moscow City), second-class federal subjects (Tumen Region, Moscow Region and Saint-Petersburg city) and a few third-class federal subjects (Yamalo-Nenetsky Autonomous Area, Khanty-Mansiysky Autonomous Area, Republic of Tatarstan, Krasnodar Territory, Sverdlovsk Region, etc). Third, the Russian Federation's economy presents "High Core, Low Periphery", "High West, Low East" and "High south, Low north" spatial differentiation pattern. The economic hot regions coincide with the high-class economic regions, which are mainly distributed in the contiguous areas of Ural Federal District and Volga Federal District, as well as the Moscow City, Moscow Region, Saint-Petersburg city, Krasnodar Territory and Rostov Region. The economic cold regions coincide with the low-class economic regions, which are mainly located in the Far East Federal District, the east of Siberian Federal District, the north of North West Federal District and the south of North-Caucasian Federal District. Finally, we suggest the recommendation for policy makers in Russia. And we propose the future research ideas.


Assuntos
Economia , China , Extremo Oriente , Humanos , Mongólia , Moscou , Federação Russa
12.
Sci Total Environ ; 825: 153999, 2022 Jun 15.
Artigo em Inglês | MEDLINE | ID: mdl-35196544

RESUMO

Despite numerous studies on the spatial distribution of pollutants in urban environments, little is known about their vertical profile. The presented research aims to analyze loadings and concentration of elements sedimented on exterior glass window surfaces of a high-rise building in Moscow city. The roadside part of a typical 17-level building was examined. Window sediments were collected along vertical from the 2nd to the 17th level using the novel instrumental approach of wet vacuum dust collection. A clear declining trend of sediment weight distribution was observed along the height increase. The values decreased by six times within 40-m vertical, from the 3rd (386 mg m-2) by the 17th level (63 mg m-2), driven by a decline of coarse dust fraction. Organic matter, Si, and Ca were the key contributors to the window sediments, providing 40%, 15%, and 4% in total weight, respectively. Among other elements, the highest proportions (over 1%) were identified for S, Fe, and Al, whereas little less (0.5-1%), for Mg, K, and Na, individually. Other element concentrations decreased in the following order P > Zn > Mn > Cu > Ba > Sr > Cr > V > Ni > Pb > Co > As>Cd. Element concentrations did not differ along vertical gradient due to the constant proportion of the finest dust fraction. Window sediments were characterized by 2-4 times higher concentrations of most of the studied elements than the road dust, being enriched by S, Na, Zn, and Cu - 27, 15, 10, and 6 times higher, respectively. Based on the strong correlation between the composition of road dust and window sediments, we consider resuspension of the road dust as a predominant source of particles sedimented on window glass surfaces and its enrichment by non-exhaust traffic-related elements. The research proved the validity of the suggested instrumental technique for sediment collection from window glass surfaces. Elemental analysis of window sediments was considered as a promising approach for environmental studies.


Assuntos
Metais Pesados , Cidades , Poeira/análise , Monitoramento Ambiental , Metais Pesados/análise , Moscou , Medição de Risco
13.
Sud Med Ekspert ; 65(1): 72, 2022.
Artigo em Russo | MEDLINE | ID: mdl-35142477

RESUMO

Professor of the Department of Forensic Medicine at Pirogov Russian State Medical University, Doctor of Medicine, Associate Professor Ivan Vladimirovich Buromsky was born in Moscow in a family of employees. After completing secondary school with the silver medal, he continued his studies at the therapeutic department of the 2nd Moscow Order of Lenin Pirogov State Medical Institute (now N.I. Pirogov Russian National Research Medical University), graduating with honors in 1975. All his professional activities of I.V. Buromsky are connected with the department of forensic medicine of the therapeutic faculty of Pirogov Russian National Research Medical University. After completing his postgraduate studies under the supervision of Prof. V. M. Smolyaninov, he defended his PhD thesis on "The dynamics of nucleic acid decay as a criterion for forensic medical determination of the time of death" and went on from assistant (1980) to professor at the Forensic Medicine Department of the Medical Faculty (2007).


Assuntos
Medicina Legal , Universidades , História do Século XX , Humanos , Moscou , Federação Russa
14.
Comput Math Methods Med ; 2022: 6145242, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35222685

RESUMO

A new theoretical model of epidemic kinetics is considered, which uses elements of the physical model of the kinetics of the atomic level populations of an active laser medium as follows: a description of states and their populations, transition rates between states, an integral operator, and a source of influence. It is shown that to describe a long-term epidemic, it is necessary to use the concept of the source of infection. With a model constant source of infection, the epidemic, in terms of the number of actively infected people, goes to a stationary regime, which does not depend on the population size and the characteristics of quarantine measures. Statistics for Moscow daily increase in infected is used to determine the real source of infection. An interpretation of the waves generated by the source is given. It is shown that more accurate statistics of excess mortality can only be used to clarify the frequency rate of mortality of the epidemic, but not to determine the source of infection.


Assuntos
Epidemias/estatística & dados numéricos , Número Básico de Reprodução/estatística & dados numéricos , COVID-19/epidemiologia , COVID-19/mortalidade , Doenças Transmissíveis/epidemiologia , Doenças Transmissíveis/mortalidade , Biologia Computacional , Surtos de Doenças/estatística & dados numéricos , Humanos , Cinética , Moscou/epidemiologia , Pandemias/estatística & dados numéricos , SARS-CoV-2 , Vacinação/estatística & dados numéricos
15.
Artigo em Russo | MEDLINE | ID: mdl-35157392

RESUMO

Actually, in many medical organizations there is an inexpedient structure of labor costs of medical workers, in many respects associated with large time spent on making up medical documentation. The very important aspect is proper formulation of clinical diagnosis and its coding according to the International Classification of Diseases of the 10th revision that in most cases is performed in tradition mode (so called manual coding). The article presents results of functional and cost analysis of application of automated system of coding support in various departments of the Medical Sanitary Unit of of the Ministry of Internal Affairs of Russia at the Moscow Oblast. The study established significant difference in time spent and cost of coding process before and after implementation of automated system. The automated coding of diagnosis permits to reduce six-fold time and cost of coding process, as well as up to 12.6% reduce number of coding errors. The results of functional and cost analysis serve as an objective justification of economic expediency of implementing automated system of diagnosis coding support in multidisciplinary hospital.


Assuntos
Classificação Internacional de Doenças , Custos e Análise de Custo , Humanos , Moscou , Federação Russa
16.
Int J Infect Dis ; 116: 331-338, 2022 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-34986407

RESUMO

OBJECTIVES: This study aimed to estimate the impact of the COVID-19 pandemic on the circulation of non-SARS-CoV-2 respiratory viruses and the clinical characteristics of COVID-19 in hospitalized children. METHODS: A total of 226 and 864 children admitted to the Children's City Clinical Hospital with acute respiratory infection in September to November of 2018 and 2020 in Moscow were tested for respiratory viruses using multiplex polymerase chain reaction (PCR) and Mycoplasma pneumoniae/Chlamydia pneumoniae using enzyme-linked immunosorbent assay. RESULTS: The detection rate of non-SARS-CoV-2 viruses in 2020 was lower than in 2018, 16.9% versus 37.6%. An increase in the median age of children with respiratory viruses was observed during the pandemic (3 years vs 1 year). There was no significant difference in the frequency of intensive care unit (ICU) admission in children with SARS-CoV-2 and other respiratory virus infections (2.7% vs 2.9%). SARS-CoV-2 and human rhinoviruses, human metapneumoviruses, and human adenoviruses showed significantly lower than expected co-detection rates during co-circulation. An increase in body mass index (BMI) or bacterial coinfection leads to an increased risk of ICU admission and a longer duration of COVID-19 in children. CONCLUSIONS: The COVID-19 pandemic led to significant changes in the epidemiological characteristics of non-SARS-CoV-2 respiratory viruses during the autumn peak of the 2020 pandemic, compared with the same period in 2018.


Assuntos
Adenovírus Humanos , COVID-19 , Coinfecção , COVID-19/epidemiologia , Criança , Pré-Escolar , Humanos , Moscou/epidemiologia , Pandemias , SARS-CoV-2
17.
Ticks Tick Borne Dis ; 13(1): 101835, 2022 01.
Artigo em Inglês | MEDLINE | ID: mdl-34601345

RESUMO

Theileriae are obligate intracellular protozoan parasites which are transmitted by ixodid ticks and infect both wild and domestic ruminants worldwide. Theileriosis causes significant economic losses to the livestock industry in many countries due to the high morbidity and mortality in cattle herds. In Russia, information concerning prevalence of Theileria spp. in cattle is very limited. This study reports on molecular characterization and phylogenetic analysis of Theileria spp. parasites detected in cattle from the Moscow region of Russia. Phylogenetic analysis based on the full length 18S rRNA gene revealed that the Russian Theileria parasites belong to the Theileria orientalis / Theileria buffeli / Theileria sergenti group and share a common genotype with T. buffeli Marula from Kenya, T. buffeli isolates from Japan and South Korea, T. orientalis isolate from Australia and T. sergenti isolate from Japan, which belong to the pathogenic Chitose genotype.


Assuntos
Parasitos , Theileria , Theileriose , Animais , Bovinos , Moscou , Filogenia , Theileriose/epidemiologia , Theileriose/parasitologia
18.
Artigo em Russo | MEDLINE | ID: mdl-34882323

RESUMO

The purpose of the study is to to identify key social and medical problems of childhood psychiatry by analysis of statistical and clinical data of Moscow health care institutions. It is established that actual problems are related to increasing of incidence of morbidity of mental disorders in children, their late detection, absence or unavailability of diagnostic techniques with high evidentiary effect, inability to use modern achievements of psychopharmacotherapy, close relationship of mental disorders with social factors, as well as with high stigmatization of mental health sphere. It is necessary to intensify research in studying etiopathogenetic factors, elaborating strategies of mental disorders prevention in childhood, clinical trials targeted to expand age range of application of medications and to icrease activities on destigmatization and psychoeducation in society.


Assuntos
Transtornos Mentais , Psiquiatria , Criança , Humanos , Transtornos Mentais/diagnóstico , Transtornos Mentais/epidemiologia , Transtornos Mentais/terapia , Saúde Mental , Moscou/epidemiologia , Estereotipagem
19.
Artigo em Russo | MEDLINE | ID: mdl-34882335

RESUMO

The analysis of level and structure of general and primary morbidity according to medical care appealability of Moscow population during implementation of the State program "The Development of the City of Moscow Health Care (Metropolitan Health Care) in 2012-2020" was carried out according to the data from collections of main indices of functioning of medical organizations subordinated to the Moscow Health Care Department and health indices of Moscow population. The decreasing of both primary and general morbidity indices is established. At that, increasing of the life expectancy indices was marked. At the same time, population morbidity indices according to medical care appealability are not sufficiently reliable in assessing degree of achievement of results of any measures of improving population health due to their dependence on multitude of factors.


Assuntos
Reforma dos Serviços de Saúde , Saúde da População , Atenção à Saúde , Morbidade , Moscou/epidemiologia
20.
Zh Vopr Neirokhir Im N N Burdenko ; 85(6): 131-134, 2021.
Artigo em Russo | MEDLINE | ID: mdl-34951770

RESUMO

The authors claim four milestones of V.M. Ugriumov's career - time spent twice in Moscow, Saratov, and Leningrad. In Moscow, V.M. Ugriumov evolved as an N.N. Burdenko disciple and later as deputy director of Burdenko Neurosurgical Institute. Ugriumov's life and career in Saratov was the least studied part of his biography, and the authors used archive documents of various origins to investigate and describe them. As a result, the new scope of text and photo files was introduced into the scholarly discourse. It was in Saratov where V.M. Ugriumov designed his original neurosurgery studies, laid the groundwork for the development of Saratov neurosurgery school, and brought his management and teaching talents to light. Later, in Leningrad, Professor V.M. Ugriumov proved to be a remarkable neurosurgeon, physiologist, science, and healthcare manager.


Assuntos
Aniversários e Eventos Especiais , Neurocirurgia , Academias e Institutos , História do Século XX , Humanos , Moscou , Procedimentos Neurocirúrgicos
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