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Sample records for russian public healthcare

  1. Two decades of reforms. Appraisal of the financial reforms in the Russian public healthcare sector.

    Science.gov (United States)

    Gordeev, Vladimir S; Pavlova, Milena; Groot, Wim

    2011-10-01

    This paper reviews the empirical evidence on the outcomes of the financial reforms in the Russian public healthcare sector. A systematic literature review identified 37 relevant publications that presented empirical evidence on changes in quality, equity, efficiency and sustainability in public healthcare provision due to the Russian public healthcare financial reforms. Evidence suggests that there are substantial inter-regional inequalities across income groups both in terms of financing and access to public healthcare services. There are large efficiency differences between regions, along with inter-regional variations in payment and reimbursement mechanisms. Informal and quasi-formal payments deteriorate access to public healthcare services and undermine the overall financing sustainability. The public healthcare sector is still underfinanced, although the implementation of health insurance gave some premises for future increases of efficiency. Overall, the available empirical data are not sufficient for an evidence-based evaluation of the reforms. More studies on the quality, equity, efficiency and sustainability impact of the reforms are needed. Future reforms should focus on the implementation of cost-efficiency and cost-control mechanisms; provide incentives for better allocation and distribution of resources; tackle problems in equity in access and financing; implement a system of quality controls; and stimulate healthy competition between insurance companies. Copyright © 2010 Elsevier Ireland Ltd. All rights reserved.

  2. Russian as a Commodity: Medical Tourism and the Healthcare Industry in Post-Soviet Lithuania

    Science.gov (United States)

    Muth, Sebastian

    2017-01-01

    The focus of this paper is on Lithuania, where government policies continue to limit the use of Russian in education, the public space and the media, while the local economy has recognized proficiency in Russian as a commodity. This is particularly salient in the healthcare industry that grew significantly in the past years with patients from…

  3. INVESTMENTS AS A FACTOR OF STABILITY OF THE RUSSIAN HEALTHCARE SYSTEM

    Directory of Open Access Journals (Sweden)

    Lyudmila Valentinovna Tokun

    2016-01-01

    Full Text Available In this article the author examines the structure of public expenditure on health in Russia and analyzes the adequacy of the investments in the health system. Goal / Objectives. The aim of this article is to analyze the expenses of the project “Development strategy of the Russian healthcare system for the long-term period 2015–2030”. The main objectives of this article are the definition of the technical condition of the buildings and improvement of health facilities, evaluation of the value of fixed assets in the healthcare and medical equipment depreciation, evaluation of tariff s in the compulsory health insurance system. Methodology. the method of comparative analysis of 10 past years indicators is used in this article Results. From 2005 to 2014 healthcare expenditures have increased 3 times, which is comparable to GDP growth. In the same period, investments in health have increased by 2 times. The main increase in expenditures occurred in the wages. These trends may indicate a lack of attention in relation to fixed assets. In relation to the renovation and the depreciation factor, rate of growth and the level of investment cast doubt on the adequacy and sustainability of the healthcare’s material basis for the provision of necessary medical assistance. It is required to calculate the standard, which includes continuous updating of fixed assets based on the each region of RF, depending on the regional characteristics and the structure of fixed assets. Conclusions / Significance. The study concluded that at the moment the size of the annual investment in health by the federal and regional budgets do not meet the needs of even simple reproduction, not to mention the modernization and development. Planning budget investment requirements can be carried out based on a special standard ratio, which takes into account the volume, composition and structure of fixed assets. Financial stability of the Russian healthcare depends not only on

  4. Public-Privat e Partnership in the System of Regional Healthcare Financing

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    Margarita Yur’evna Molchanova

    2016-05-01

    Full Text Available Healthcare financing reform in the Russian Federation, besides its positive consequences, has led to the emergence of several major organizational and economic problems that hinder the expansion of financing sources for this sphere, which also involves public-private partnership (PPP. The paper highlights the regional specifics of such healthcare projects compared to similar projects of other spheres of the national economy. The author describes the problems of PPP projects implementation in healthcare; they include the insufficiency of substantiation of public-private partnership application in healthcare, and the absence of typical models for establishment of relations between PPP participants. The paper presents the healthcare priorities put forward by the author; these priorities are based on the theory of the life cycle of a service. The author presents her own model for organizing a regional concession, which is the most common form of public-private partnership in healthcare so far. The cluster brings together on a voluntary basis the legally independent organizations that are interested in improving the quality and increasing the accessibility of health services. These can include medical institutions of various forms of ownership located in the region, clinics, facilities, institutions that train healthcare workers, authorities, etc. The author shows that a favorable environment for the formation and implementation of PPP projects can be created under the cluster approach to the organization of healthcare. When establishing the medical cluster, the main task is to organize interaction between all its subjects in the interest of the overall development of healthcare in the region and the implementation of one’s own interests

  5. Meta-analysis: Problems with Russian Publications.

    Science.gov (United States)

    Verbitskaya, E V

    2015-01-01

    Meta-analysis is a powerful tool to identify Evidence Based medical technologies (interventions) for use in every day practice. Meta-analysis uses statistical approaches to combine results from multiple studies in an effort to increase power (over individual studies), improve estimates of the size of the effect and/or to resolve uncertainty when reports disagree. Meta-analysis is a quantitative, formal study design used to systematically assess previous research studies to derive conclusions from this research. Meta-analysis may provide more precise estimate of the effect of treatment or risk factor for a disease, or other outcomes, than any individual study contributing to the pooled analysis.We have quite a substantial number of Russian medical publications, but not so many Meta-Analyses published in Russian. Russian publications are cited in English language papers not so often. A total of 90% of clinical studies included in published Meta-Analyses incorporate only English language papers. International studies or papers with Russian co-authors are published in English language. The main question is: what is the problem with inclusion of Russian medical publications in Meta-Analysis? The main reasons for this are the following: 1) It is difficult to find Russian papers, difficult to work with them and to work with Russian journals:a. There are single Russian Biomedical Journals, which are translated into English and are included in databases (PubMed, Scopus and other), despite the fact that all of them have English language abstracts.b. The majority the meta-analyses authors use in their work different citation management software such as the Mendeley, Reference Manager, ProCite, EndNote, and others. These citation management systems allow scientists to organize their own literature databases with internet searches and have adds-on for the Office programs what makes process of literature citation very convenient. The Internet sites of the majority of

  6. The Emergence of Public Relations in the Russian Federation.

    Science.gov (United States)

    Guth, David W.

    2000-01-01

    Describes the emergence of public relations in the Russian Federation over the past 7 years. Concludes that Russia is developing its own vision of public relations, similar in many aspects to that found in the West but also adapted to the harsh realities of Russian life. (NH)

  7. Reforming voluntary drug insurance in Russian healthcare: does social solidarity matter?

    Science.gov (United States)

    Gerry, Christopher J; Kaneva, Maria; Zasimova, Liudmila

    2017-11-01

    With low take-up of both private health insurance and the existing public drug reimbursement scheme, it is thought that less than 5% of the Russian population have access to free outpatient drug treatment. This represents a major policy challenge for a country grappling with reforms of its healthcare system and experiencing low or no economic growth and significant associated reductions in spending on social services. In this paper, we draw on data from a 2011 Levada-Center survey to examine the attitudes and social solidarity of the Russian population towards drug policies in general and towards the introduction of a proposed voluntary drug insurance system in particular. In addition to being among the first to explore these important questions in the post-Communist setting, we make three important contributions to the emerging policy debates. First, we find that, if introduced immediately and without careful planning and preparation, Russia's voluntary drug insurance scheme is likely to collapse financially due to the over-representation of high-risk unhealthy individuals opting in to the scheme. Second, the negative attitude of higher income groups towards the redistribution of wealth to the poor may further impede government efforts to introduce voluntary drug insurance. Finally, we argue that Russia currently lacks the breadth and depth of social solidarity necessary for implementing this form of health financing. Copyright © 2017 Elsevier B.V. All rights reserved.

  8. Public information - Northwest region of Russian Federation

    International Nuclear Information System (INIS)

    Saiapina, A.

    2001-01-01

    Regional Center of Public Information in Northwest region of Russian Federation is a part of the State Regional Educational Center of Ministry of the Russian Federation for atomic energy in St.-Petersburg, Russia (http://graph.runnet.ru/). This Center of Public Information (CPI) provides a wide range of information dealing with the nuclear power. The objectives of the CPI are: to conduct informational and educational activities so as to form a positive attitude toward atomic energy and nuclear technologies; to provide the population with a means reliable information about objects of potential risk; to organize an active exchange of the information with enterprises using nuclear technologies in the region. The main topics of informational support are these: electricity production, the ground of nuclear power, new Russian nuclear reactors, nuclear safety, nuclear power and environment, radioactivity, Leningrad nuclear power plant, responsibilities in nuclear engineering. (author)

  9. Nuclear power crises and public opinion: Russian Experience

    International Nuclear Information System (INIS)

    Gagarinski, A.Y.

    1998-01-01

    This report presents the state of Russian nuclear power, which provides 13 per cent of the country's electricity production (up to 80 per cent in some large regions) and shows no recession trends, characteristic of the whole Russian economic complex. The report discusses measures taken both for improvement of the safety of operating and future new-generation NPPs, and for improvement of public confidence in them. Also considered are the problems related to both civil power and the military heritage, which are most actively discussed in mass media. This report provides the prognosis for nuclear power and public opinion for the next 10-15 years. (author)

  10. Environmental sustainability in European public healthcare.

    Science.gov (United States)

    Chiarini, Andrea; Vagnoni, Emidia

    2016-01-01

    Purpose - The purpose of this paper is to enlarge the debate concerning the influence of leadership on environmental sustainability implementation in European public healthcare organisations. Design/methodology/approach - This paper is a viewpoint. It is based on preliminary analysis of European standards dedicated to environmental sustainability and their spread across Europe in public healthcare organisations. Viewpoints concerning leadership are then discussed and asserted. Findings - This paper found a limited implementation of standards such as Green Public Procurement criteria, Eco-Management and Audit Scheme and ISO 14001 in public healthcare. Some clues indicate that the lack of implementation is related to leadership and management commitment. Originality/value - For the first time, this paper investigates relationships between leadership and environmental sustainability in European public healthcare opening further avenues of research on the subject.

  11. Public information - North West region of Russian Federation

    International Nuclear Information System (INIS)

    Saiapina, A.

    2000-01-01

    Center of Public Information (CPI) in North West region of Russian Federation is a part of the State Regional Educational Center of Ministry of the Russian Federation on atomic energy. The premises of the Centre (about 500 sq. rn.) include the exposition hall, video hall, the hall for press conferences, rooms for meetings, conferences. CPI provides the visitor with the wide range of information dealing with the nuclear power. It was opened in the structure of State Regional Educational Centre in 1997. Regional Centre of Public Information of MINATOM of Russia in Saint Petersburg was created according to the agreement with the European Union Commission in the framework of the TACIS program with the participation of French companies EDF, COGEMA, STEPFER. The objectives of the CPI are discussed (authors)

  12. Financing public healthcare institutions in Ghana.

    Science.gov (United States)

    Akortsu, Mercy Akosua; Abor, Patience Aseweh

    2011-01-01

    The financing of healthcare services has been of a major concern to all governments in the face of increasing healthcare costs. For developing countries, where good health is considered a poverty reduction strategy, it is imperative that the hospitals used in the delivery of healthcare services are well financed to accomplish their tasks. The purpose of this paper is to examine how public hospitals in Ghana are financed, and the challenges facing the financing modes adopted. To achieve the objectives of the study, one major public healthcare institution in Ghana became the main focus. The findings of the study revealed that the main sources of financing the public healthcare institution are government subvention, internally-generated funds and donor-pooled funds. Of these sources, the internally generated fund was regarded as the most reliable, and the least reliable was the donor-pooled funds. Several challenges associated with the various financing sources were identified. These include delay in receipt of government subvention, delay in the reimbursement of services provided to subscribers of health insurance schemes, influence of government in setting user fees, and the specifications to which donor funds are put. The findings of this study have important implications for improving the financing of public healthcare institutions in Ghana. A number of recommendations are provided in this regard.

  13. Problems of Public Initiatives Realization in the Russian Federation

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    Guziy A. E.

    2013-10-01

    Full Text Available The article reads about the institute of public initiatives in the Russian Federation. The comparative law analysis of this form of democracy with the analogous institute in the United States of America has been conducted.

  14. Demand for private healthcare in a universal public healthcare system: empirical evidence from Sri Lanka.

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    Pallegedara, Asankha; Grimm, Michael

    2017-11-01

    This paper examines healthcare utilization behaviour in Sri Lanka with special emphasis on the choice between costly private and free public healthcare services. We use a data set that combines nationwide household survey data and district level healthcare supply data. Our findings suggest that even with universal public healthcare policy, richer people tend to use private sector healthcare services rather than public services. We also find significant regional and ethnic discrepancies in healthcare access bearing the risk of social tensions if these are further amplified. Latent class analysis shows in addition that the choice between private and public sector healthcare significantly differs between people with and without chronic diseases. We find in particular that chronically ill people rely for their day-to-day care on the public sector, but for their inpatient care they turn more often than non-chronically ill people to the private sector, implying an additional financial burden for the chronically ill. If the observed trend continues it may not only increase further the health-income gradient in Sri Lanka but also undermine the willingness of the middle class to pay taxes to finance public healthcare. © The Author 2017. Published by Oxford University Press in association with The London School of Hygiene and Tropical Medicine. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

  15. Evaluation of citations of Russian publications in the world patent documents

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    L. A. Tsvetkova

    2017-01-01

    Full Text Available According to the European patent agency, 15% of the references in the patent search reports are so-called non-patent literature (NPL, which refer to scientific publications not related to the patents. An included overview of research proves that a high level of NPL citation indicates a research intensity of technical solutions proposed by the patent. There has been evaluated the level of citation of Russian scientific publications, indexed in Scopus, in patent documents with cross-country comparisons. It has shown by the indicator «number of citations of national publications patents» Russian Federation is almost 87 times inferior to the United States and more than ten times worse than the performance of Japan, China, and Germany. The indicator «number of citations in patents per 1,000 publications» for Russia is (4,9 less than for Turkish (5,4, Argentine (8,5, Mexican (7,0 and South African publications (7,6. Publications of Qatar, Saudi Arabia, and Egypt also have a substantially higher value of this indicator: with 8,0 to 15,3 and 9,5, respectively.

  16. PUBLIC FINANCING OF HEALTHCARE SERVICES

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    Agnieszka Bem

    2013-10-01

    Full Text Available Healthcare in Poland is mainly financed by public sector entities, among them the National Health Fund (NFZ, state budget and local government budgets. The task of the National Health Fund, as the main payer in the system, is chiefly currently financing the services. The state budget plays a complementary role in the system, and finances selected groups of services, health insurance premiums and investments in healthcare infrastructure. The basic role of the local governments is to ensure access to the services, mostly by performing ownership functions towards healthcare institutions.

  17. Public and private health-care financing with alternate public rationing rules.

    Science.gov (United States)

    Cuff, Katherine; Hurley, Jeremiah; Mestelman, Stuart; Muller, Andrew; Nuscheler, Robert

    2012-02-01

    We develop a model to analyze parallel public and private health-care financing under two alternative public sector rationing rules: needs-based rationing and random rationing. Individuals vary in income and severity of illness. There is a limited supply of health-care resources used to treat individuals, causing some individuals to go untreated. Insurers (both public and private) must bid to obtain the necessary health-care resources to treat their beneficiaries. Given individuals' willingnesses-to-pay for private insurance are increasing in income, the introduction of private insurance diverts treatment from relatively poor to relatively rich individuals. Further, the impact of introducing parallel private insurance depends on the rationing mechanism in the public sector. We show that the private health insurance market is smaller when the public sector rations according to need than when allocation is random. Copyright © 2010 John Wiley & Sons, Ltd.

  18. Public healthcare interests require strict competition enforcement.

    Science.gov (United States)

    Loozen, Edith M H

    2015-07-01

    Several countries have introduced competition in their health systems in order to maintain the supply of high quality health care in a cost-effective manner. The introduction of competition triggers competition enforcement. Since healthcare is characterized by specific market failures, many favor healthcare-specific competition enforcement in order not only to account for the competition interest, but also for the healthcare interests. The question is whether healthcare systems based on competition can succeed when competition enforcement deviates from standard practice. This paper analyzes whether healthcare-specific competition enforcement is theoretically sound and practically effective. This is exemplified by the Dutch system that is based on regulated competition and thus crucially depends on getting competition enforcement right. Governments are responsible for correcting market failures. Markets are responsible for maximizing the public healthcare interests. By securing sufficient competitive pressure, competition enforcement makes sure they do. When interpreted according to welfare-economics, competition law takes into account both costs and benefits specific market behavior may have for healthcare. Competition agencies and judiciary are not legitimized to deviate from standard evidentiary requirements. Dutch case law shows that healthcare-specific enforcement favors the healthcare undertakings concerned, but to the detriment of public health care. Healthcare-specific competition enforcement is conceptually flawed and counterproductive. In order for healthcare systems based on competition to succeed, competition enforcement should be strict. Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.

  19. CORPORATE MODEL OF PUBLIC SECTOR OF THE RUSSIAN ECONOMY: TRENDS AND PATTERNS OF DEVELOPMENT

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    Olga S. Makarenko

    2017-06-01

    Full Text Available The article reveals the issues of development and functioning of corporate model of public sector of the Russian economy. Today Russia is fully influenced by consequences of entry into world economy. Privatization processes, on the one hand, and increase in intervention of the state in economy, on the other hand, changed composition and structure of the public sector of the Russian economy. Establishment of large state corporations and further increase in scales and directions of Russian government’s policy. These corporations acquired an extensive set of functions, large volumes of state property (federal budgetary funds, different production and financial assets, which ensured their activity in the long run. The state corporations carry out an important role in ensuring stable development of national economic systems for already several years, smoothing the so-called “failures” of the market, and create the necessary conditions for overcoming the crisis phenomena. The author presents the classification of economic sectors consisting of public, municipal and private sectors, studies the character and structure of public sector of the developed foreign countries. The carried-out comparative characteristic of main national models of public sector allowed to reveal the extent of state’s influence on the economy in the North American, Western European and Asian countries, as well as to define the main features of public sector in these countries. The concept and essence of the state corporation, as well as trends of their creation and development are also studied. The author proposes the corporate model of public sector of the Russian economy and defines its main characteristics. The analysis of the conducted research allowed to draw a conclusion on the need of further development of the state corporations and large national companies with the state participation.

  20. Benchmarking and Learning in Public Healthcare

    DEFF Research Database (Denmark)

    Buckmaster, Natalie; Mouritsen, Jan

    2017-01-01

    This research investigates the effects of learning-oriented benchmarking in public healthcare settings. Benchmarking is a widely adopted yet little explored accounting practice that is part of the paradigm of New Public Management. Extant studies are directed towards mandated coercive benchmarking...

  1. Approaches to organizing public relations functions in healthcare.

    Science.gov (United States)

    Guy, Bonnie; Williams, David R; Aldridge, Alicia; Roggenkamp, Susan D

    2007-01-01

    This article provides health care audiences with a framework for understanding different perspectives of the role and functions of public relations in healthcare organizations and the resultant alternatives for organizing and enacting public relations functions. Using an example of a current issue receiving much attention in US healthcare (improving rates of organ donation), the article provides examples of how these different perspectives influence public relations goals and objectives, definitions of 'public', activities undertaken, who undertakes them and where they fit into the organizational hierarchy.

  2. Age of diagnosis of congenital hearing loss: Private v. public healthcare sector.

    Science.gov (United States)

    Butler, I R T; Ceronio, D; Swart, T; Joubert, G

    2015-11-01

    The age of diagnosis of congenital hearing loss is one of the most important determinants of communication outcome. A previous study by the lead author had evaluated the performance of the public health services in Bloemfontein, South Africa (SA), in this regard. This study aimed to examine whether the private health services in the same city were any better. To determine whether the age of diagnosis of congenital hearing loss (CHL) in children seen in the private healthcare sector in Bloemfontein, Free State Province, SA, was lower than that in the public healthcare system in the same city. A comparative study design was utilised and a retrospective database review conducted. Data obtained from this study in the private healthcare sector were compared with data from a previous study in the public healthcare sector using the same study design. Forty-eight children aged private healthcare sector during the study period; 33/47 (70.2%) did not undergo hearing screening at birth. The median age of diagnosis of DHI in the private healthcare sector was 2.24 years, and this was statistically significantly lower than the median age of diagnosis of 3.71 years in the public healthcare sector (pprivate healthcare sector was 3.01 years in children who were not screened at birth, and 1.25 years in those who were screened at birth. This difference was statistically significant (pprivate healthcare sector who were not screened at birth (median 3.01 years) with that in children in the public healthcare sector (median 3.71 years). This difference was statistically significant (pprivate healthcare sector than in the public healthcare sector. With the social and economic benefits of early intervention in cases of DHI well established internationally, SA healthcare providers in both the public and private sectors need to develop screening, diagnostic and (re)habilitation services for children with hearing impairment.

  3. Some aspects of public relation activities at Russian NPPs

    International Nuclear Information System (INIS)

    Ermakov, Sergei

    1995-01-01

    Full text: Since 1992 Rosenergoatom has managed most of the Russian NPPs. Here in this report we present its main public relations activities. 1. The leading role of the management of Rosenergoatom (Direction of Public Relations) is in relations with the public. 2. The main public relations activities are: - contact with the selected and administrative authorities of different levels, - interaction with mass media, - information of employees, - information of, and interaction with, the people of the areas close to the NPPs and especially of the nearby towns, - organising and carrying out opinion polls, - celebration campaigns at NPPs. 3. The use of NPPs' information centers and groups for PR activities: - construction and equipping of NPPs' public information centers; organising excursions, lectures, debates at NPPs; - publishing of news papers at NPPs and at NPPs' towns. 4. Public information in the regions close to the NPPs construction sites (Far East, Kostroma, Rostov, Veronezh regions). 5. Conclusions on the activities and plans for the future. (author)

  4. Russian in Estonia's Public Sector: "Playing on the Borderline" between Official Policy and Real-Life Needs

    Science.gov (United States)

    Berezkina, Maimu

    2017-01-01

    This article examines the use of Russian in state communication in officially monolingual Estonia. Drawing on interviews with high-level public employees in four central state institutions and an analysis of these institutions' websites, the article shows that while Russian is not specifically mentioned in the laws, it is "de facto"…

  5. PROBLEMS OF THE DEVELOPMENT OF PUBLIC-PRIVATE PARTNERSHIP IN THE RUSSIAN FEDERATION

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    Vladimir B. Zotov

    2015-01-01

    Full Text Available Public-private partnership (PPP is a complex mechanism, which includes a variety of industry legislation, which together form a system of legislative regulation of relations at the interaction of private and public parties in the realization of long-term capital-intensive investment projects for the development of public infrastructure. The article describes the current state of PPP in the Russian Federation, the analysis of the main problems and needs integrated action (regulatory, institutional and investment to improve and develop this project.

  6. Public Participation and the Rights of the Child: Reflection on International Law Standards in the Legal System of the Russian Federation

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    Mariya Riekkinen

    2016-01-01

    Full Text Available This article deals with the much debated issue of children’s public participation from the perspective of legal practices in the Russian Federation. Having emerged at the level of national jurisdictions, the practice of engaging minors in decision-making processes on issues of public significance – or the practice of public participation of children – is stipulated by the UN Committee on the Rights of the Child, based on Article 12 of the UN Convention on the Rights of the Child. Public participation of minors implies that children have clearly defined opportunities to take part in decision-making processes concerning those political and public matters affecting their interests.Albeit limited by the clause “regarding the issues concerning them,” the claims for such participation are dictated by emerging standards of international law. The author has examined the process of devising these standards in Russian public law. Moreover, an analysis of the evolution of academic views on public participation of children in Russian legal scholarship is also included in this article.Relying extensively on the method of legal analysis and the comparative analysis of the conformity of national public law standards with respect to international law, the author proposes several legal amendments to the Federal law “On the Basic Guarantees of the Rights of the Child in the Russian Federation,” which would lead to anchoring more solidly the participatory right of minors in the legal system of the Russian Federation.

  7. [Public health stewardship and governance regarding the Colombian healthcare system, 2012-2013].

    Science.gov (United States)

    Roth-Deubel, André N; Molina-Marín, Gloria

    2013-01-01

    Analysing decision-making concerning public health issues regarding the Colombian healthcare system from a market economy-based approach. This study involved applying Glaser and Strauss's grounded theory in six Colombian cities during 2012: Bogotá, Barranquilla, Bucaramanga, Leticia, Medellin and Pasto. 120 individual interviews were conducted with professionals involved in decision-making, running public healthcare programmes and making policy within public and private institutions. Fourteen focus groups were held with community organisation leaders. The findings suggested national and municipal health authorities' weak stewardship and ineffective governance regarding public healthcare policy and programmes, related to a lack of staff trained in public health management issues. In turn, this was related to political parties' interference and private insurers' particular interests and the structural fragmentation of functions and actors within the health system, thereby limiting public health development. A new axiology is necessary for achieving effective governance (I.e. cooperation between Colombian Healthcare Social Security System actors) to overcome current incompetence and financial self-interest predominating within the Colombian healthcare system.

  8. PUBLIC-PRIVATE PARTNERSHIP AS A FORM OF DEVELOPMENT OF THE AGRO-INDUSTRIAL COMPLEX OF THE RUSSIAN FEDERATION

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    Albert G. Mnatsakanyan

    2018-03-01

    Full Text Available The article examines the current state of public-private partnership in the agro-industrial complex of the Russian Federation, provides a refined definition of public-private partnership. The authors give a full determination of the public-private partnership in Russia. The structure of existing agro-industrial clusters on the territory of the Russian Federation is studied. The article contains characteristics of the agro-industrial complex, which affect the low involvement of private investment. The state of the agro-industrial complex is analyzed, the main problems of applying public-private partnerships in the agro-industrial complex are revealed, and recommendations for improving the mechanism for applying public-private partnerships are given. The study highlights the main advantages of using the mechanism of public-private partnership, analyzes trends and prospects for using this mechanism. The scientific works of domestic and foreign scientists in the field of public-private partnership and agro-industrial complex became the methodological basis of scientific research. System analysis, a set of methods of economic and statistical analysis, methods of synthesis and analysis of economic information, a comparative method were used as the methods of research. The article concludes that it is necessary to use the mechanisms of public-private partnership in the agro-industrial complex of the Russian Federation regarding the need for significant investments in the industry to maintain competitiveness. It is necessary to use such forms of public-private partnership that will use financial and administrative resources of state authorities even at the initial stage of the project, and later private business will repay the share of the invested state funds, up to the privatization of the property complex. This form of cooperation will help reduce the risks of private investors and attract new investments in the agro-industrial complex of the Russian

  9. Benchmarking and Learning in Public Healthcare

    DEFF Research Database (Denmark)

    Buckmaster, Natalie; Mouritsen, Jan

    2017-01-01

    This research investigates the effects of learning-oriented benchmarking in public healthcare settings. Benchmarking is a widely adopted yet little explored accounting practice that is part of the paradigm of New Public Management. Extant studies are directed towards mandated coercive benchmarking...... applications. The present study analyses voluntary benchmarking in a public setting that is oriented towards learning. The study contributes by showing how benchmarking can be mobilised for learning and offers evidence of the effects of such benchmarking for performance outcomes. It concludes that benchmarking...... can enable learning in public settings but that this requires actors to invest in ensuring that benchmark data are directed towards improvement....

  10. Exploring democracy in the Russian Federation: political regime, public opinion and international assistance

    NARCIS (Netherlands)

    Gerrits, A.W.M.

    2010-01-01

    This article discusses three questions: what is the purpose of ‘democratic’ institutions and practices in Russia's authoritarian political system; how do these institutions and practices resonate with Russian public opinion; and how do they relate to the international democracy-promotion effort in

  11. Public perceptions of key performance indicators of healthcare in Alberta, Canada.

    Science.gov (United States)

    Northcott, Herbert C; Harvey, Michael D

    2012-06-01

    To examine the relationship between public perceptions of key performance indicators assessing various aspects of the health-care system. Cross-sequential survey research. Annual telephone surveys of random samples of adult Albertans selected by random digit dialing and stratified according to age, sex and region (n = 4000 for each survey year). The survey questionnaires included single-item measures of key performance indicators to assess public perceptions of availability, accessibility, quality, outcome and satisfaction with healthcare. Cronbach's α and factor analysis were used to assess the relationship between key performance indicators focusing on the health-care system overall and on a recent interaction with the health-care system. The province of Alberta, Canada during the years 1996-2004. Four thousand adults randomly selected each survey year. Survey questions measuring public perceptions of healthcare availability, accessibility, quality, outcome and satisfaction with healthcare. Factor analysis identified two principal components with key performance indicators focusing on the health system overall loading most strongly on the first component and key performance indicators focusing on the most recent health-care encounter loading most strongly on the second component. Assessments of the quality of care most recently received, accessibility of that care and perceived outcome of care tended to be higher than the more general assessments of overall health system quality and accessibility. Assessments of specific health-care encounters and more general assessments of the overall health-care system, while related, nevertheless comprise separate dimensions for health-care evaluation.

  12. Russian Science and Russian State: Image of a Scientist in Modern Russian Cinema

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    Svetlana M. Medvedeva

    2014-01-01

    Full Text Available The article analyses the image of a scientist represented in recent Russian movies. The article discusses two groups of questions: (1 nature and role of popular science in the life of society; (2 national features of scientific cultures. The article agues that popular science should not be conceived as a week copy of the real science. On the contrary, modern models of science communication assume that popular science have its own value and is able to influence scientific practices. Simultaneously we assume, that since popular science is less integrated with international scientific norms, it can easer reveal national traditions of scientific life. As a result, the analyze of recent Russian movies shows that the tradition established in Peter I times for Russian scientists to work out their self-identity in concern with Russian state still exists (scientist- state supporter/scientist- oppositionist. Actually the modern interpretation of dilemma between state patriotism and liberalism given by modern movies shows that Russian scientist don't have real choice, because they loose anyway whereas the state always wins. So owing to recent movies this representation of hopeless destiny of a scientist is becoming widespread in Russian public culture.

  13. Reflection in Russian public opinion accession to the throne of Emperor Alexander II

    Directory of Open Access Journals (Sweden)

    Maxim N. Krot

    2016-03-01

    Full Text Available The article deals with the perception of Russian society coming to the throne of Emperor Alexander II in 1855. The author analyzes the internal and external situation in Russia in this period, identifying the most significant factors that influenced the public's attitude to the new monarch, and the expectations that were associated with his coming to power. The article draws parallels between the initial period of the reign of the two liberal Russian monarchs of the XIX century – Alexander I and Alexander II, most clearly expressed not so much in the circumstances of their accession, but in the public mood that prevailed in the country. It presents a broad picture of the "awakening" of public consciousness and activity after the stagnation and oppression of the preceding reign, which was reflected primarily in an effort to think freely and to discuss pressing issues facing the country, as well as contribute to the supreme power in the modernization of social and political relations, awareness where necessary, at this time it becomes clearly. The author identifies semantic levels of social consciousness of the period, indicating the particular circumstances that have shaped them. Much attention is paid to the influence of Russian society of the Crimean War, which in many ways was the starting point of social upheaval transformed in 1855 from a national-patriotic in the socio-political. The author points out that at this time has unique conditions for overcoming the contradictions between state and society and their successful cooperation in the reform of the country. This suggests a significant, perhaps - the crucial role of the public in the selection of the vector conversion of Russia, which has become a feature of the reign of Alexander II.

  14. Funding New Zealand's public healthcare system: time for an honest appraisal and public debate.

    Science.gov (United States)

    Keene, Lyndon; Bagshaw, Philip; Nicholls, M Gary; Rosenberg, Bill; Frampton, Christopher M; Powell, Ian

    2016-05-27

    Successive New Zealand governments have claimed that the cost of funding the country's public healthcare services is excessive and unsustainable. We contest that these claims are based on a misrepresentation of healthcare spending. Using data from the New Zealand Treasury and the Organisation for Economic Cooperation and Development (OECD), we show how government spending as a whole is low compared with most other OECD countries and is falling as a proportion of GDP. New Zealand has a modest level of health spending overall, but government health spending is also falling as a proportion of GDP. Together, the data indicate the New Zealand Government can afford to spend more on healthcare. We identify compelling reasons why it should do so, including forecast growing health need, signs of increasing unmet need, and the fact that if health needs are not met the costs still have to be borne by the economy. The evidence further suggests it is economically and socially beneficial to meet health needs through a public health system. An honest appraisal and public debate is needed to determine more appropriate levels of healthcare spending.

  15. [Zero citation of Russian institute publications on the psychiatry and addiction].

    Science.gov (United States)

    Nemtsov, A V; Kuznetsova-Moreva, E A

    To evaluate the zero-citation sizes. Based on the data of the Russian Science Citation Index the publication activity of four leading institutes in the field of Psychiatry and Addiction is analyzed. The same indices in the field of Neurology were used as a control. Number and percentage of publications with ≥1 citations and zero-citation were analyzed. It has been shown that in psychiatric science zero citation rate is quite high (from 32.8% to 47.2%, an average of 42.9%). It is higher compared to the control. Zero-citation indicator is essential to evaluate the effectiveness of scientific institutions.

  16. Public trust in the healthcare system in a developing country.

    Science.gov (United States)

    Peters, Dexnell; Youssef, Farid F

    2016-04-01

    Broadly defined, trust in the healthcare system is concerned with how the public perceives the system and the actors therein as it pertains to their ability to both deliver services and seek the best interests of their clientele. Trust is important because it impacts upon a range of health behaviors including compliance and ultimately affects the ability of the healthcare system to meet its goals. While several studies exist on public trust within the developed world, few studies have explored this issue in developing countries. This paper therefore assesses public trust in the healthcare system of a developing small island nation, Trinidad and Tobago. A cross-sectional survey of adults was conducted using a questionnaire that has been successfully used across Europe. We report that trust levels in the healthcare system in Trinidad and Tobago are relatively low with less than 50% of persons indicating fair trust in the healthcare system. In addition, individual health professionals also did not score highly with lowest scores found for nurses and complementary therapists. Results on four out of five dimensions of trust also demonstrated scores significantly lower than those reported in more developed nations. Open-ended comments supported these findings with the majority of persons indicating a lack of confidence in the healthcare system. These results may reflect the reality in the wider developing world, and we suggest that bolstering trust is a needed area of focus in the delivery of healthcare services throughout the nation. Copyright © 2014 John Wiley & Sons, Ltd. Copyright © 2014 John Wiley & Sons, Ltd.

  17. The public healthcare sector and governance in South Africa

    Directory of Open Access Journals (Sweden)

    Melody Brauns

    2015-05-01

    Full Text Available This article reviews literature on governance in order to facilitate an analysis of the governance of the South African public healthcare sector. Some of the key theoretical perspectives have been presented on how best to organise the state and its bureaucracy. Theorists have long interrogated in what way public institutions foster or impede economic growth. Evans and Rauch point out for example, that the role of bureaucratic authority structures in facilitating economic growth has been a sociological concern since Max Weber’s classic contributions almost 100 years ago. These debates and others are explored in this article with specific reference to the provision of equitable public healthcare. Weber’s theory on rational bureaucracy as well as New Public Management will be reviewed as these theories offer two distinct approaches to governance

  18. Beyond patient care: the impact of healthcare reform on job satisfaction in the Ethiopian public healthcare sector.

    Science.gov (United States)

    Manyazewal, Tsegahun; Matlakala, Mokgadi C

    2017-02-03

    While healthcare reform has been a central attention for local governments, its impact on job satisfaction is poorly understood. This study aimed to determine the impact of healthcare reform on job satisfaction in the public healthcare sector in Ethiopia. The study was designed as a facility-based cross-sectional survey of healthcare professionals and carried out in all public hospitals in central Ethiopia which have been implementing healthcare reform (n = 5). All healthcare professionals in the hospitals who were involved in the reform from the inception (n = 476) were purposively sourced to complete a self-administered questionnaire adapted from a framework proposed for measuring job satisfaction of health professionals in sub-Saharan Africa. Kaiser-Meyer-Olkin and Bartlett's tests were conducted to measure sampling adequacy and sphericity for factor analysis. Likert's transformation formula was used to numerically analyse the satisfaction level of the respondents and to determine the cut-off value of satisfaction levels. Non-parametric and multiple logistic regression analysis were conducted to determine predictors of job satisfaction. A total of 410 healthcare professionals completed the survey, representing an 88% response rate. The median and mean job satisfaction scores were 50 and 49, respectively, on a scale 1-100, which was equivalent to 'Job dissatisfied' on the Likert scale. Only 25% of respondents perceived job satisfaction due to implementation of the reform. Moral satisfaction (adjusted odds ratio (aOR), 177.65; 95% confidence interval (CI), 59.54-530.08), management style (aOR, 4.02; 95% CI, 1.49-10.83), workload (aOR, 2.42; 95% CI, 0.93-6.34), and task (aOR, 5.49; 95% CI, 2.31-13.07) were the most significant predictors. Job satisfaction results were significantly different among the study hospitals (χ 2  = 30.56, p < .001). The healthcare reform significantly and negatively influences public healthcare professionals' job

  19. The political economy of healthcare reform in China: negotiating public and private.

    Science.gov (United States)

    Daemmrich, Arthur

    2013-01-01

    China's healthcare system is experiencing significant growth from expanded government-backed insurance, greater public-sector spending on hospitals, and the introduction of private insurance and for-profit clinics. An incremental reform process has sought to develop market incentives for medical innovation and liberalize physician compensation and hospital finance while continuing to keep basic care affordable to a large population that pays for many components of care out-of-pocket. Additional changes presently under consideration by policymakers are likely to further restructure insurance and the delivery of care and will alter competitive dynamics in major healthcare industries, notably pharmaceuticals, medical devices, and diagnostic testing. This article describes the institutional history of China's healthcare system and identifies dilemmas emerging as the country negotiates divisions between public and private in healthcare. Building on this analysis, the article considers opportunities for public-private partnerships and greater systems integration to reconcile otherwise incommensurable approaches to rewarding innovation and improving access. The article concludes with observations on the public function of health insurance and its significance to further development of China's healthcare system.

  20. Artificial Intelligence and Public Healthcare Service Innovation

    DEFF Research Database (Denmark)

    Sun, Tara Qian; Medaglia, Rony

    Public healthcare ecosystems are complex networks of diverse actors that are subject to pressures to innovate, also a result of technological advancements. Artificial Intelligence (AI), in particular, has the potential to transform the way hospitals, doctors, patients, government agencies...

  1. Quality of the ophthalmological service to outpatients of the public and private healthcare systems.

    Science.gov (United States)

    Hercos, Benigno Vicente Santos; Berezovsky, Adriana

    2017-01-01

    To compare perceptions of the quality of ophthalmological services offered to outpatients from the public healthcare system to those from the private healthcare system, and to determine which measures are seen as necessary and a priority for improving the quality of care. This was a prospective observational study on 200 patients, 101 and 99 of whom were from the public and private healthcare systems, respectively. All patients underwent an ophthalmological examination at an ophthalmology hospital in Belo Horizonte, Minas Gerais, Brazil. Personal interviews were conducted using two structured questionnaires adapted from the modified SERVQUAL scale. Overall, patients from the private healthcare system were significantly more dissatisfied than those from the public healthcare system. In both systems, reliability was considered to be the most important determinant of quality, and it presented the highest level of dissatisfaction. Satisfaction with the public healthcare system was significantly greater than that with the private healthcare system in terms of the tangibles, reliability, responsiveness, and assurance determinants of the SERVQUAL scale. Institutions must plan, execute, evaluate, and monitor measures that seek to improve the overall patient satisfaction with the quality of services provided, particularly in the private healthcare system, and special attention must be paid to reliability in both healthcare systems. The identification and monitoring of the quality of healthcare services through the periodic use of the SERVQUAL scale may provide healthcare managers with information so that they can identify, plan, and monitor necessary and priority measures. This could be a key strategy for improving the quality of outpatient health services in the public and private systems.

  2. [Autonomy for financial management in public and private healthcare facilities in Brazil].

    Science.gov (United States)

    Santos, Maria Angelica Borges dos; Madeira, Fátima Carvalho; Passos, Sonia Regina Lambert; Bakr, Felipe; Oliveira, Klivia Brayner de; Andreazzi, Marco Antonio Ratzsch de

    2014-01-01

    Autonomy in financial management is an advantage in public administration. A 2009 National Healthcare Facility Survey showed that 3.9% of Brazil's 52,055 public healthcare facilities had some degree of financial autonomy. Such autonomy was more common in inpatient facilities (17.8%), those managed by State governments (26.3%), and in Southern Brazil (6.6%). Autonomy was mainly partial (for resources in specific areas, relating to small outlays, consumables and capital goods, and outsourced services or personnel). 74.3% of 2,264 public facilities with any financial autonomy were under direct government administration. Financial autonomy in public healthcare facilities appears to be linked to local political decisions and not necessarily to the facility's specific legal and administrative status. However, legal status displays distinct scopes of autonomy - those under direct government administration tend to be less autonomous, and those under private businesses more autonomous; 85.8% of the 45,394 private healthcare facilities reported that they were financially autonomous.

  3. L’opinion publique russe et l’affaire Boudanov [Russian Public Opinion and The Budanov Case

    Directory of Open Access Journals (Sweden)

    Amandine Regamey

    2008-07-01

    Full Text Available In March 2000, Colonel Yuri Budanov kidnapped, raped and killed a young Chechen girl from the village of Tangui-Chu. After his arrest and during the entire trial, he claimed that she was a sniper who had murdered several of his soldiers, and that he had lost his temper and strangled her, but he denied raping her. High-ranking military officials closed ranks behind him, and at all stages of his trial demonstrations of support were organised in front of the court. He was finally condemned to ten years of imprisonment in July 2003. The aim of this article is to study how Russian public opinion perceived this case, using different kinds of sources (newspapers, forums and discussions on the Internet, public opinion polls, Human rights report, etc.. How were the events covered by the Russian medias? Some groups (the military, the Cossacks, fascist groups can be identified as his supporters. But what support did he receive from the general public and on what basis? Which arguments were used to defend Budanov and how were they perceived? Was this crime “justified” by the vengeance against “a sniper”, by the “laws of war”? Was Budanov a scapegoat sacrificed for the sake of good relations with the West? Defining the attitude towards Budanov might help explain why other Russian servicemen charged with crimes against Chechen civilians (the Ulman group, Arkacheev-Khudiakov have been systematically acquitted by a popular jury.

  4. Accounting System in Croatian Public Healthcare Organizations: an Empirical Analysis

    Directory of Open Access Journals (Sweden)

    Davor VAŠIČEK

    2010-06-01

    Full Text Available In considering the adequacy of adopting accruals and IPSASs, this paper tests the appropriateness of existing modified accrual accounting and financial reporting system in Croatian public healthcare sector. The paper indicates that accounting information system contains discrepancies and constraints in assuring true and fair view of organization’s financial position and performance. Our statistics confirms low level of cost and managerial accounting methods development, and external and internal financial reporting convergence.Having in mind its specificities, we argue that Croatian public healthcare sector represents a segmental accounting subsystem within the integral public sector accounting framework, where accruals implementation might prove justifiable.

  5. Analysis of experience of legal regulation in the sphere of public administration of sanatorium providing of children in the Russian Federation

    Directory of Open Access Journals (Sweden)

    Kovalenko T.Yu.

    2014-03-01

    Full Text Available Motherhood and childhood are one of the main priorities of the government social policy for any country. The Ukrainian state, its President and government are keeping under scrutiny issues of improving quality of life and health of population, in particular, health of women and children. Continuing study of problems of Public Administration in the sphere of health resort services for children in Ukraine, in her previous scientific publications the author drew attention to insufficient scope of researches and weak grounds of theoretical justification of possible organizational changes in this sphere. This very fact stipulates the necessity to continue thorough scientific research and study, first of all, a positive experience of foreign countries as to implementing reforms in the sphere of health resort services for children. The share of separate factors of different nature, impacting indicators of public health depends on age, sex and individual-typological characteristics of a person. However, the greatest impact on a human health is made by his lifestyle that may be attributed to conditionally controlled process. In this case, it is appropriate to note that the controlled impact on lifestyle can be made both by internal factors (e.g., motivation, and external factors. One of the most powerful external factors of controlled impact on the public health is health resort provision. The experience of the Russian Federation in this area is extremely useful for the Ukrainian state, which is actively promoting the idea of the health system modernization in the domestic market as the area in need of such changes. Now, 1997 health resorts are operating in the Russian Federation, annually serving approximately 6 million people. The jurisdiction of the Ministry of Health and Social Development of the Russian Federation encompasses 51 health resort facilities (HRF providing a wide range of health-improving services. The laws, government regulations

  6. Maternal healthcare in context: A qualitative study of women's tactics to improve their experience of public healthcare in rural Burkina Faso

    DEFF Research Database (Denmark)

    Østergaard, Lise Rosendal

    2015-01-01

    their chances of having a positive experience with public maternal healthcare. The synthesis of the cases shows that, in a context of poverty and social insecurity, women employ five tactics: establishing good relations with health workers, being mindful of their ‘health booklet’, attending prenatal care......Improving the use of public maternal health facilities to prevent maternal death is a priority in developing countries. Accumulating evidence suggests that a key factor in choosing a facility-based delivery is the collaboration and the communication between healthcare providers and women....... This article attempts to provide a fine-grained understanding of health system deficiencies, healthcare provider practices and women's experiences with maternal public healthcare. This article presents findings from ethnographic research conducted in the Central-East Region of Burkina Faso over a period...

  7. [Private health insurance in Brazil: approaches to public/private patterns in healthcare].

    Science.gov (United States)

    Sestelo, José Antonio de Freitas; Souza, Luis Eugenio Portela Fernandes de; Bahia, Lígia

    2013-05-01

    This article draws on a previous review of 270 articles on private health plans published from 2000 to 2010 and selects 17 that specifically address the issue of the relationship between the public and private healthcare sectors. Content analysis considered the studies' concepts and terms, related theoretical elements, and predominant lines of argument. A reading of the argumentative strategies detected the existence of a critical view of the modus operandi in the public/private relationship based on Social Medicine and the theoretical tenets of the Brazilian Health Reform Movement. The study also identified contributions based on neoliberal business approaches that focus strictly on economic issues to discuss private health insurance. Understanding the public/private link in healthcare obviously requires the development of a solid empirical base, analyzed with adequate theoretical assumptions due to the inherent degree of complexity in the public/private healthcare interface.

  8. Performance management of the public healthcare services in Ireland: a review.

    Science.gov (United States)

    Mesabbah, Mohammed; Arisha, Amr

    2016-01-01

    Performance Management (PM) processes have become a potent part of strategic and service quality decisions in healthcare organisations. In 2005, the management of public healthcare in Ireland was amalgamated into a single integrated management body, named the Health Service Executive (HSE). Since then, the HSE has come up with a range of strategies for healthcare developments and reforms, and has developed a PM system as part of its strategic planning. The purpose of this paper is to review the application of PM in the Irish Healthcare system, with a particular focus on Irish Hospitals and Emergency Services. An extensive review of relevant HSE's publications from 2005 to 2013 is conducted. Studies of the relevant literature related to the application of PM and of international best practices in healthcare performance systems are also presented. PM and performance measurement systems used by the HSE include many performance reports designed to monitor performance trends and strategic goals. Issues in the current PM system include inconsistency of measures and performance reporting, unclear strategy alignment, and deficiencies in reporting (e.g. feedback and corrective actions). Furthermore, PM processes have not been linked adequately into Irish public hospitals' management systems. The HSE delivers several services such as mental health, social inclusion, etc. This study focuses on the HSE's PM framework, with a particular interest in acute hospitals and emergency services. This is the first comprehensive review of Irish healthcare PM since the introduction of the HSE. A critical analysis of the HSE reports identifies the shortcomings in its current PM system.

  9. PUBLICATION ACTIVITY AND ITS ROLE IN ASSESSMENT OF PROFESSIONAL ENGAGEMENT OF HEI ACADEMIC STAFF (RUSSIAN PRACTICES

    Directory of Open Access Journals (Sweden)

    I. B. Ardashkin

    2016-01-01

    Full Text Available The aim of the research is to analyze and summarize the Russian best practices of using the publication activity as a criterion to assess the professional activity of the academic staff; to identify the role of motivational factors as a method to manage and control the publication activity of the academic staff.Methods. The authors address the methodology of comprehensive research based on the method of document analysis, comparative analysis, and method of secondary use of sociological and psychological data.Results and scientific novelty concludes in presenting Russian and international best practices generalized on using the publication activity to assess the engagement of HEI (Higher Educational Institution academic staff; the most appropriate formats of using the publication activity as a criterion to assess the research component of the academic staff engagement are defined. Degree of reliability of this criterion is shown – its strengths and shortcomings. The conclusion is drawn on need of the essential changes in management of publication activity affecting both professional and motivational spheres of scientific and pedagogical staff. The most acceptable options of measurement of staff work efficiency of this category are formulated.Practical significance. The research outcomes can be the corpus for designing the assessment method for the professional engagement of the academic staff.

  10. Educational Exchanges in Public Diplomacy: Russian and International Experience

    Directory of Open Access Journals (Sweden)

    Alexey Dolinkiy

    2014-01-01

    Full Text Available Education exchanges are a key element of public diplomacy for most countries that considered effective in that domain of foreign policy activities. Education exchanges are attributed an important role in the post-war peace settlement between Germany and France and in determining the outcome of the Cold war. Relevant aspects of public diplomacy remain key elements of foreign policy instruments of the US, Germany and many other countries. Russia has been increasingly active in public diplomacy in the past decade and the role of education exchanges has been increasing which is also demonstrated by a growing number of expert publications on the subject. However the strategy, the quality of organization and the use of modern technologies remain at a relatively low level which leads to an inefficient use of resources. Priority issues that can be a core of Russia's public diplomacy (and foreign policy in general. Moreover, systemic work would be required to evaluate efficiency of current and complete projects which would allow determine effectiveness of programs and appropriateness of resources used. Education exchanges need to be targeted at both bringing international students to Russia and assisting Russian students to study internationally and professors to teach abroad. Finally, international best practices show that there is a need to maintain connections with international exchanges alumni and assist them to maintain connections with each other including with the use of modern technologies.

  11. Determinants of Healthcare Utilisation and Out-of-Pocket Payments in the Context of Free Public Primary Healthcare in Zambia

    Directory of Open Access Journals (Sweden)

    Felix Masiye

    2016-12-01

    Full Text Available Background Access to appropriate and affordable healthcare is needed to achieve better health outcomes in Africa. However, access to healthcare remains low, especially among the poor. In Zambia, poor access exists despite the policy by the government to remove user fees in all primary healthcare facilities in the public sector. The paper has two main objectives: (i to examine the factors associated with healthcare choices among sick people, and (ii to assess the determinants of the magnitude of out-of-pocket (OOP payments related to a visit to a health provider. Methods This paper employs a multilevel multinomial logistic regression to model the determinants of an individual’s choice of healthcare options following an illness. Further, the study analyses the drivers of the magnitude of OOP expenditure related to a visit to a health provider using a two-part generalised linear model. The analysis is based on a nationally representative healthcare utilisation and expenditure survey that was conducted in 2014. Results Household per capita consumption expenditure is significantly associated with increased odds of seeking formal care (odds ratio [OR] = 1.12, P = .000. Living in a household in which the head has a higher level of education is associated with increased odds of seeking formal healthcare (OR = 1.54, P = .000 and (OR = 1.55, P = .01, for secondary and tertiary education, respectively. Rural residence is associated with reduced odds of seeking formal care (OR = 0.706, P = .002. The magnitude of OOP expenditure during a visit is significantly dependent on household economic wellbeing, distance from a health facility, among other factors. A 10% increase in per capita consumption expenditure was associated with a 0.2% increase in OOP health expenditure while every kilometre travelled was associated with a K0.51 increase in OOP health expenditure. Conclusion Despite the removal of user fees on public primary healthcare in Zambia, access to

  12. Experience of shipping Russian-origin research reactor spent fuel to the Russian Federation

    International Nuclear Information System (INIS)

    2009-11-01

    The primary goal of the Russian Research Reactor Fuel Return (RRRFR) programme is to advance nuclear non-proliferation objectives by eliminating stockpiles of Russian-origin highly enriched uranium (HEU). The RRRFR programme was first conceived during trilateral discussions among the USA, the Russian Federation and the IAEA, initiated in 1999, when participants identified more than 20 research reactors in 17 countries having Russian/Soviet supplied fuel. In 2000, the Director General of the IAEA sent a letter to 15 countries asking for their willingness to return HEU spent fuel to the Russian Federation. Fourteen countries responded positively to the Director General's letter. In 2004, the Russian Federation and the USA signed a Government-to-Government Agreement concerning cooperation to return the Russian produced research reactor nuclear fuel to the Russian Federation. This agreement established the legal framework necessary for the cooperation between the Russian Federation and the USA for the return of Russian supplied research reactor fuel from eligible countries. Under the Bratislava agreements concluded by Presidents George W. Bush and Vladimir Putin in February 2005, both countries committed to completing all shipments of Russian-origin HEU spent fuel currently stored outside research reactors by the end of 2010. Up to the time of writing (May 2009) the programme has completed 19 shipments totalling over 838 kg of Russian-origin HEU spent and fresh fuel which has been returned from Bulgaria, the Czech Republic, Germany, Kazakhstan, Latvia, the Libyan Arab Jamahiriya, Poland, Romania, Serbia, Uzbekistan and Vietnam. During this time, the programme successfully removed all HEU from two countries, Latvia and Bulgaria. HEU spent fuel shipments have been the most complex shipments under the RRRFR programme, which will be the focus of this publication. The first shipment of HEU spent fuel from Uzbekistan was completed in January 2006, followed by HEU spent fuel

  13. Creation of Real Estate Based on Public Private Partnership and Municipal Private Partnership Agreements in the Russian Federation

    Science.gov (United States)

    Voronina, M. D.

    2017-11-01

    The article considers individual questions connected with the application of the legislation on public private partnership and municipal private partnership agreements as new types of contracts at the newly built property development. Public private partnership and municipal private partnership agreements are contracts at the initial development stage. Their objective is to attract investments in the Russian economy including for the creation of separate real estate types (capital facilities). The Law enables one to build the relationship in such a way that joint efforts result in the grounds for the accrual of the ownership right to the built (reconstructed) asset. This circumstance certainly influences the infrastructural development of the Russian Federation and its municipal units, the rather that it occurs due to the attraction of extra-budgetary sources

  14. Improving Outcomes in the Nigeria Healthcare Sector through Public ...

    African Journals Online (AJOL)

    PPP) model in the Country's healthcare sector. Public - Private Interaction offers opportunity of leveraging private sector investment in the sector and further enhances improvements in service delivery as well as increases access to quality ...

  15. Approaches to the international standards application in healthcare and public health in different countries

    Directory of Open Access Journals (Sweden)

    Vitaliy Sarancha

    2017-06-01

    Full Text Available As a result of consequent development, and guided by an increasing demand of different types of the organizations regarding structured management, the system of standardization has been established. The idea behind standardization is adjusting the characteristics of a product, process or a production cycle to make them consistent and in line with the rules regarding what is proper and acceptable. The “standard” is a document that specifies such established set of criteria covering a broad range of topics and applicable to commissioners of health, specialists in primary care, public health staff, and social care providers, as well as the local authorities and service users. Health products, ranging from medical devices and health informatics to traditional medicines and unconventional healing tools are all in the focus of standards’ application. Different countries have their own quality management traditions based on their history, mentality, socio-economic environment and the local regulations. Taking into consideration that community social system organization and the quality of social infrastructure are the main foundations of social relations and future prosperity, here we review the existing standardization environment in the health sector in different countries, both developed and those on a convergence path. We focused on standardization environment in the United States of America, Great Britain, Germany, Ukraine, Russian Federation, Croatia and Albania. In order to simplify comprehension, we also demonstrate the algorithm of standardization, as well as the opportunities for application of the international standards in healthcare and public health.

  16. Health indicators and social gradient in adolescent immigrants' health risk and healthcare experiences.

    Science.gov (United States)

    Zlotnick, Cheryl; Birenbaum-Carmeli, Daphna; Goldblatt, Hadass; Dishon, Yael; Taychaw, Omer; Shadmi, Efrat

    2018-02-01

    Few studies have assessed healthcare experiences in apparently healthy adolescents, or whether healthcare attitudes are linked to the two leading adolescent health indicators, smoking and obesity. Even fewer have examined these relationships in adolescent immigrant groups or made comparisons to adolescent non-immigrants. Using a cross-sectional study, healthcare experiences were compared among three groups of adolescents (n = 589) including Russian immigrants (n = 154), Ethiopian immigrants (n = 54), and non-immigrants (n = 381). Bootstrap estimates indicated positive healthcare experiences were less common among Russian adolescent immigrants (OR = 0.38, CI = 0.17, 0.86) compared to non-immigrants, unless the Russian adolescent immigrants reported above average socioeconomic status, in which case they were more likely than non-immigrant adolescents to report positive healthcare experiences (OR = 3.22, CI = 1.05, 9.85). Positive healthcare experiences were less likely among adolescents who were smokers (OR = 0.50, CI = 0.27, 0.91), and more likely for adolescents with a normal or low BMI (OR = 3.16, CI = 1.56, 6.40) and for those relying on parents for health information (OR = 1.97, CI = 1.05, 3.70). Findings suggest a social gradient in which positive healthcare experiences were more common among adolescence with higher socioeconomic status for some immigrants (Russian adolescents) but not for others. The two leading health indicators were related to healthcare experiences, but as adolescent smokers were less likely to have positive healthcare experiences, proactive efforts are needed to engage this group. What is Known: • Health indicators (such as obesity) and healthcare attitudes are linked to healthcare service use among adolescents sampled from outpatient and inpatient populations. What is New: • A social gradient involving socioeconomic status and being an adolescent immigrant was found regarding

  17. Public health and social supervision issues within public administration of ukrainian territories in the late 8th- early 9th centuries.

    Science.gov (United States)

    Hrynzovskyi, Anatolii M; Holovanova, Irina A; Omelchuk, Sergei T; Kuzminska, Olena V; Hrynzovska, Anastasia A; Karlova, Olena O; Kondratiuk, Vitalii Ye

    Introduction: The public health system modernization history is based upon the progress in state country administration and administration of healthcare within the sectorwide approach. The WHO European Bureau pays much attention to the National Health Service systems development while implementing their basic policies. The Ukrainian state health service management was founded basing on the regulatory field of the Russian Empire, using the European healthcare promotion experience. Aim: of the article is the analysis of the regulatory field of police and amenity authorities of the Russian Empire and Ukraine within the medical and social service in the 18th-19th centuries. Materials and methods: The structure of the article corresponds to the problem city and chronology principles, using the following methods and techniques of scientific learning: the systemic, historic, regulatory comparative, logical and structural-functional analysis of the studied medical-legal phenomena. The study sources are the scientific publications, collections of laws and executive orders of the Russian Empire and Ukraine in the 18th-19th centuries. Review: As a result of the performed work it can be determined were the main directions of the police competence in late 18th- early 19th centuries. Conclusion: Preserving health, treatment of the ill and injured, management of medical and social service of those in need, holding various preventive activities and supporting safe environment and regulating the safety of food were the main directions of the police competence in late 18th- early 19th centuries.

  18. Commercial versus in-situ usability testing of healthcare information systems: towards "public" usability testing in healthcare organizations.

    Science.gov (United States)

    Kushniruk, Andre W; Borycki, Elizabeth M; Kannry, Joseph

    2013-01-01

    The need for improved usability in healthcare IT has been widely recognized. In addition, methods from usability engineering, including usability testing and usability inspection have received greater attention. Many vendors of healthcare software are now employing usability testing methods in the design and development of their products. However, despite this, the usability of healthcare IT is still considered to be problematic and many healthcare organizations that have purchased systems that have been tested at vendor testing sites are still reporting a range of usability and safety issues. In this paper we explore the distinction between commercial usability testing (conducted at centralized vendor usability laboratories and limited beta test sites) and usability testing that is carried out locally within healthcare organizations that have purchased vendor systems and products (i.e. public "in-situ" usability testing). In this paper it will be argued that both types of testing (i.e. commercial vendor-based testing) and in-situ testing are needed to ensure system usability and safety.

  19. Healthcare public key infrastructure (HPKI) and non-profit organization (NPO): essentials for healthcare data exchange.

    Science.gov (United States)

    Takeda, Hiroshi; Matsumura, Yasushi; Nakagawa, Katsuhiko; Teratani, Tadamasa; Qiyan, Zhang; Kusuoka, Hideo; Matsuoka, Masami

    2004-01-01

    To share healthcare information and to promote cooperation among healthcare providers and customers (patients) under computerized network environment, a non-profit organization (NPO), named as OCHIS, was established at Osaka, Japan in 2003. Since security and confidentiality issues on the Internet have been major concerns in the OCHIS, the system has been based on healthcare public key infrastructure (HPKI), and found that there remained problems to be solved technically and operationally. An experimental study was conducted to elucidate the central and the local function in terms of a registration authority and a time stamp authority by contracting with the Ministry of Economics and Trading Industries in 2003. This paper describes the experimental design with NPO and the results of the study concerning message security and HPKI. The developed system has been operated practically in Osaka urban area.

  20. Workforce diversity among public healthcare workers in Nigeria: Implications on job satisfaction and organisational commitment

    Directory of Open Access Journals (Sweden)

    Ayodotun Stephen Ibidunni

    2018-06-01

    Full Text Available The aim of this research was to present a data article that identify the relationship between workforce diversity, job satisfaction and employee commitment among public healthcare workers in Nigeria. Copies of structured questionnaire were administered to 133 public healthcare workers from the Lagos state ministry of health in Nigeria. Using descriptive and structural equation modelling statistical analysis, the data revealed the relationship between workforce diversity and job satisfaction, workforce diversity and organisational commitment, and the role of job satisfaction on organisational commitment was also established. Keywords: Workforce diversity, Job satisfaction, Employee commitment, Public healthcare, Diversity management

  1. PARTICIPATORY GOVERNANCE IN THE PUBLIC HEALTHCARE SYSTEMS OF THE SCANDINAVIAN AND BALTIC COUNTRIES

    Directory of Open Access Journals (Sweden)

    Stefanescu Aurelia

    2011-12-01

    Full Text Available The diminished trust of citizens in the public sector, the increased complexity of policy issues and the reforms in accordance with the new public management principles generate the need of focusing more extensively on participatory governance. Participatory governance can be defined as the genuine engagement of citizens and other organizations in the formulation of policies and strategies, in the decision-making process from the public sector and in the implementation of the decisions. The present paper's objectives are to define the concept of participatory governance, to argue in favor of implementing it in the public sector and to find to what extent public healthcare institutions from Scandinavian and Baltic countries publish information on participatory governance and how they perceive community engagement. The research findings are that the information on participatory governance disclosed on the websites of relevant institutions from within the Scandinavian and Baltic public healthcare systems is scarce. The countries with the greatest concern for community engagement are Denmark and Sweden. It is argued that there should be a shift in focus within the public sector in general and within the healthcare system in particular, so that citizens are genuinely involved in the relevant processes and their satisfaction is indeed at an adequate level.

  2. Do senior management cultures affect performance? Evidence from Italian public healthcare organizations.

    Science.gov (United States)

    Prenestini, Anna; Lega, Federico

    2013-01-01

    Healthcare organizations are often characterized by diffuse power, ambiguous goals, and a plurality of actors. In this complex and pluralistic context, senior healthcare managers are expected to provide strategic direction and lead their organizations toward their goals and performance targets. The present work explores the relationship between senior management team culture and performance by investigating Italian public healthcare organizations in the Tuscany region. Our assessment of senior management culture was accomplished through the use of an established framework and a corresponding tool, the competing values framework, which supports the idea that specific aspects of performance are related to a dominant management culture. Organizational performance was assessed using a wide range of measures collected by a multidimensional performance evaluation system, which was developed in Tuscany to measure the performance of its 12 local health authorities (LHAs) and four teaching hospitals (THs). Usable responses were received from 80 senior managers of 11 different healthcare organizations (two THs and nine LHAs). Our findings show that Tuscan healthcare organizations are characterized by various dominant cultures: developmental, clan, rational, and hierarchical. These variations in dominant culture were associated with performance measures. The implications for management theory, professional practice, and public policy are discussed.

  3. Post-Fukushima trends in russian nuclear energy and public perception

    International Nuclear Information System (INIS)

    Gagarinskiy, A. Yu.

    2012-01-01

    The gloomy 'nuclear spring' of 2011 in practice had virtually no effect on the new nuclear construction program in Russia, which keeps its second place in the world as concerns the number of new NPP units under construction. Russian positions on the world nuclear power plant construction markets have improved. Current intensive analysis of Fukushima-Daiichi accident consequences is already starting to influence not only specific safety enhancement measures at operating units, but also the opinions related to strategic areas of future nuclear energy development. This paper is intended to demonstrate the nuclear community's position on the development strategy, as well as post-Fukushima trends in the activities of public forces, which try to form the attitude towards the nuclear option. (authors)

  4. Harnessing the Potential to Quantify Public Preferences for Healthcare Priorities through Citizens’ Juries

    Directory of Open Access Journals (Sweden)

    Jennifer A. Whitty

    2014-07-01

    Full Text Available Despite progress towards greater public engagement, questions about the optimal approach to access public preferences remain unanswered. We review two increasingly popular methods for engaging the public in healthcare priority-setting and determining their preferences; the Citizens’ Jury (CJ and Discrete Choice Experiment (DCE. We discuss the theoretical framework from which each method is derived, its application in healthcare, and critique the information it can provide for decision-makers. We conclude that combining deliberation of an informed public via CJs and quantification of preferences using DCE methods, whilst it remains to be tested as an approach to engaging the public in priority-setting, could potentially achieve much richer information than the application of either method in isolation.

  5. New challenges of public health: bringing the future of personalised healthcare into focus.

    Science.gov (United States)

    Ricciardi, Walter; Boccia, Stefania

    2017-10-01

    The greater personalization of healthcare represents a driver of innovation for research, and for the healthcare systems and industries as a whole. Still policy-makers, healthcare professionals, citizens and private companies need to take some steps to realize the potential for such a radical shift. In this paper, we illustrate the challenges, the benefits and consequences that might accompany the implementation of personalized healthcare, and the steps that policy-makers and practitioners would need to take to realise its potential. Six main prerequisites for radical change in healthcare are presented, that include achieving better genetic literacy for professionals and for the public; engaging citizen in the discourse; improved governance, consent and trust in healthcare; feeding and harnessing the data-knowledge cycle for better health; adopting and adapting the Health Technology Assessment framework for the evaluation of the new technologies; and retaining humanity and community in health and care. Some of these concepts originate from a discussion on the future of health and healthcare, looking at least 15-20 years into the future, that we had at the end of 2016 at Ickworth with an international group of experts, under the aegis of the PHG Foundation. © The Author 2017. Published by Oxford University Press on behalf of the European Public Health Association. All rights reserved.

  6. The public healthcare sector and governance in South Africa

    OpenAIRE

    Melody Brauns

    2015-01-01

    This article reviews literature on governance in order to facilitate an analysis of the governance of the South African public healthcare sector. Some of the key theoretical perspectives have been presented on how best to organise the state and its bureaucracy. Theorists have long interrogated in what way public institutions foster or impede economic growth. Evans and Rauch point out for example, that the role of bureaucratic authority structures in facilitating economic growth has been a soc...

  7. Knowledge, attitudes, and practices regarding dengue infection among public sector healthcare providers in Machala, Ecuador

    OpenAIRE

    Handel, Andrew S.; Ayala, Efra?n Beltr?n; Borbor-Cordova, Mercy J.; Fessler, Abigail G.; Finkelstein, Julia L.; Espinoza, Roberto Xavier Robalino; Ryan, Sadie J.; Stewart-Ibarra, Anna M.

    2016-01-01

    Background Dengue fever is a rapidly emerging infection throughout the tropics and subtropics with extensive public health burden. Adequate training of healthcare providers is crucial to reducing infection incidence through patient education and collaboration with public health authorities. We examined how public sector healthcare providers in a dengue-endemic region of Ecuador view and manage dengue infections, with a focus on the 2009 World Health Organization (WHO) Dengue Guidelines. Metho...

  8. Toward a Nationwide Mobile-Based Public Healthcare Service System with Wireless Sensor Networks

    Directory of Open Access Journals (Sweden)

    Chien-wen Shen

    2016-01-01

    Full Text Available This paper describes the development of a nationwide public healthcare service system with the integration of cloud technology, wireless sensor networks, and mobile technology to provide citizens with convenient and professional healthcare services. The basic framework of the system includes the architectures for the user end of wireless physiological examinations, for the regional healthcare cloud, and for national public healthcare service system. Citizens with chronic conditions or elderly people who are living alone can use the wireless physiological sensing devices to keep track of their health conditions and get warning if the system detects abnormal signals. Through mobile devices, citizens are able to get real-time health advice, prompt warning, health information, feedback, personalized support, and intervention ubiquitously. With the long-term tracking data for physiological sensing, reliable prediction models for epidemic diseases and chronic diseases can be developed for the government to respond to and control diseases immediately. Besides, such a nationwide approach enables government to have a holistic understanding of the public health information in real time, which is helpful to establish effective policies or strategies to prevent epidemic diseases or chronic diseases.

  9. Basic guide of modern Russian education

    OpenAIRE

    Ibragimova, Liliya; Rodikov, Alexander

    2014-01-01

    This article is devoted to the study of the problems of modern Russian education in the context of globalization of the world of education. The publication addresses the main guide of the modern Russian education. It presents an analysis of contemporary processes of globalization and their impact on the international scientific community.

  10. Public Health Risks from Mismanagement of Healthcare Wastes in Shinyanga Municipality Health Facilities, Tanzania

    Directory of Open Access Journals (Sweden)

    Kizito Kuchibanda

    2015-01-01

    Full Text Available The increase of healthcare facilities in Shinyanga municipality has resulted in an increase of healthcare wastes, which poses serious threats to the environment, health workers, and the general public. This research was conducted to investigate management practices of healthcare wastes in Shinyanga municipality with a view of assessing health risks to health workers and the general public. The study, which was carried out in three hospitals, involved the use of questionnaires, in-depth interview, and observation checklist. The results revealed that healthcare wastes are not quantified or segregated in all the three hospitals. Healthcare wastes at the Shinyanga Regional Referral Hospital are disposed of by on-site incineration and burning and some wastes are disposed off-site. At Kolandoto DDH only on-site burning and land disposal are practiced, while at Kambarage UHC healthcare solid wastes are incinerated, disposed of on land disposal, and burned. Waste management workers do not have formal training in waste management techniques and the hospital administrations pay very little attention to appropriate management of healthcare wastes. In light of this, it is evident that management of healthcare solid wastes is not practiced in accordance with the national and WHO’s recommended standards.

  11. English/Russian and Russian/English glossary of physical protection terms

    International Nuclear Information System (INIS)

    Soo Hoo, M.S.

    1995-07-01

    This glossary was prepared in fulfillment of the Glossary Preparation Task identified in the Program Plan for providing Assistance to the Russian Federation in Nuclear Material Control and Accounting and Physical Protection. The Program Plan is part of the Cooperative Threat Reduction Program as provided for under House Resolution (H.R.) 3807 (Title II, as referenced under Public Law (P.L.) 102-229. The terms in this glossary were derived from physical protection training material prepared at Sandia. The training material, and thus refinements to the glossary, has undergone years of development in presentation to both domestic and international audiences. Also, Russian Colleagues and interpreters have reviewed the translations for accuracy

  12. English/Russian and Russian/English glossary of physical protection terms

    Energy Technology Data Exchange (ETDEWEB)

    Soo Hoo, M.S. [ed.

    1995-07-01

    This glossary was prepared in fulfillment of the Glossary Preparation Task identified in the Program Plan for providing Assistance to the Russian Federation in Nuclear Material Control and Accounting and Physical Protection. The Program Plan is part of the Cooperative Threat Reduction Program as provided for under House Resolution (H.R.) 3807 (Title II, as referenced under Public Law (P.L.) 102-229. The terms in this glossary were derived from physical protection training material prepared at Sandia. The training material, and thus refinements to the glossary, has undergone years of development in presentation to both domestic and international audiences. Also, Russian Colleagues and interpreters have reviewed the translations for accuracy.

  13. Open Access Publishing - A Challenge for Russian Psychology

    Directory of Open Access Journals (Sweden)

    BORIS B. VELICHKOVSKY

    2009-06-01

    Full Text Available Publication practices in Russian psychology have changed a lot since the break-up of the Soviet Union, but still differ substantially from those in the Western countries. In the last decade, an exponen-tial growth of the number of scientific psychological journals was observed, but in general, scientific publishing is not a profitable business in Russia. There is a lot of variability in the accessibility and quality of the journals. In sum, psychological publishing in today’s Russia is not well developed. Open access (OA publishing technologies seem to bring clear benefits to Russian psychology, but there are some problems that prevent their ready acceptance. First, there is a linguistic problem – Russian read-ers and writers have bad command of foreign languages. Second, there is a problem of background – Russian readers and writers are not used to Western-style research papers. Third, there is an economic problem – it is unclear, whether Russian universities and funding agencies will ever be ready to support publications in OA-journals. Thus, self-archiving and no-fee OA seem to be the most obvious ways to introduce OA to Russian psychologists.

  14. The Healthcare Public System – Does Standardization Withhold the Bucket from Leaking?

    Directory of Open Access Journals (Sweden)

    Biţoiu Teodora

    2017-12-01

    Full Text Available The public healthcare system is heavily influenced by the 3C trilemma - cost - coverage - choice. The paper’s argument tackles the fact that should the public decision on improving capacity be leaning towards universal coverage in would result in efficiency losses and, in an attempt to control the costs it would limit patients’ choice. Should priority be given to performance or value? The present paper deals with the compromise between the equity and efficiency, a leaky bucket that becomes more visible in the struggle to build capacity and intervene in the market by setting standards. Setting healthcare standards is a global concern, the 3rd Sustainable Development Goal is a clear proof of that the aim to emphasise and better analyse two of the most influential variables: efficiency and equity. All in all, what we argue is that the current leaky bucket is a trade-off between choice, coverage, and cost. For a complex public service like healthcare, targeting a full coverage and multiple choice would incur huge costs and, cutting costs considerably restricts both the choice and coverage. The cost is influenced by the production capacity use when the activity has large fixed costs.

  15. The Russian oil industry between public and private governance: obstacles to international oil companies' investment strategies

    International Nuclear Information System (INIS)

    Locatelli, Catherine

    2006-01-01

    The low level of involvement by international oil companies in Russia seems difficult to explain given what development of its resources and production has to offer. There are still many restrictions and contradictions, born of the particular institutional and political environment of the Russian oil industry at the end of 15 years of transition, that act as a bar to international integration. Three factors currently define the establishment of relations with foreign investors. First, because of the many different levels of negotiation with Russian companies, the State and the Regions, the decisions are based on complex relations between the various forces. Second, the reforms, and especially privatisation and the allocation of rights of ownership to deposits, are considered by sizeable sections of public opinion and many political classes to be illegitimate, thus making the issue of international investment and foreign presence still more complicated. Finally, the State's wish to take back the oil industry in order to use it to fulfil its economic and foreign policies is creating further uncertainty. These three elements seriously restrict the entry of international oil companies to the Russian market

  16. To serve or to leave: a question faced by public sector healthcare providers in Pakistan.

    Science.gov (United States)

    Mir, Ali Mohammad; Shaikh, Muhammad Saleem; Rashida, Gul; Mankani, Neha

    2015-11-25

    The availability of properly trained and motivated providers is a prerequisite for provision of easily accessible healthcare. Pakistan has been listed by the World Health Organization in its World Health Report 2006 as one of 57 countries with a critical health workforce deficiency. This study examines the factors associated with the willingness of public sector healthcare providers to leave government service and recommends measures that can be adopted to attract and retain staff in the country's public healthcare system. A stratified, random sampling methodology was adopted to recruit a nationally representative sample of 1,296 public sector healthcare providers, including paramedics, medical doctors, and specialists. A semi-structured questionnaire was used to interview these providers. Logistic regressions measured the association with determinants of their willingness to leave the public health sector for better prospects elsewhere. A third of all healthcare providers who were interviewed were of the view that, provided the opportunity, they would leave government service. The odds of willingness to leave service were highest among providers from the region of Azad Jammu and Kashmir (adjusted odds ratio [AOR] = 4.33; 95% CI, 2.49-7.54) followed by the province of Balochistan (AOR = 4.21; 95% CI, 2.41-7.33), and the region of Gilgit Baltistan (AOR = 3.34; 95% CI, 1.67-6.67). Providers who expressed dissatisfaction in the manner their performance was evaluated and those who were dissatisfied with the current salary, each had higher odds of considering leaving government service (AOR = 1.67; 95% CI, 1.18-2.40 and AOR = 2.03; 95% CI, 1.47-2.81, respectively). Providers who reported experiencing interference in their work by influential politicians of the area were more inclined to leave (AOR = 1.44; 95% CI, 1.05-1.98). This study clearly highlights the need to implement more focused strategies in the public healthcare system in Pakistan in

  17. Does social trust increase willingness to pay taxes to improve public healthcare? Cross-sectional cross-country instrumental variable analysis.

    Science.gov (United States)

    Habibov, Nazim; Cheung, Alex; Auchynnikava, Alena

    2017-09-01

    The purpose of this paper is to investigate the effect of social trust on the willingness to pay more taxes to improve public healthcare in post-communist countries. The well-documented association between higher levels of social trust and better health has traditionally been assumed to reflect the notion that social trust is positively associated with support for public healthcare system through its encouragement of cooperative behaviour, social cohesion, social solidarity, and collective action. Hence, in this paper, we have explicitly tested the notion that social trust contributes to an increase in willingness to financially support public healthcare. We use micro data from the 2010 Life-in-Transition survey (N = 29,526). Classic binomial probit and instrumental variables ivprobit regressions are estimated to model the relationship between social trust and paying more taxes to improve public healthcare. We found that an increase in social trust is associated with a greater willingness to pay more taxes to improve public healthcare. From the perspective of policy-making, healthcare administrators, policy-makers, and international donors should be aware that social trust is an important factor in determining the willingness of the population to provide much-needed financial resources to supporting public healthcare. From a theoretical perspective, we found that estimating the effect of trust on support for healthcare without taking confounding and measurement error problems into consideration will likely lead to an underestimation of the true effect of trust. Copyright © 2017 Elsevier Ltd. All rights reserved.

  18. Is healthcare a 'Necessity' or 'Luxury'? an empirical evidence from public and private sector analyses of South-East Asian countries?

    Science.gov (United States)

    Khan, Jahangir Am; Mahumud, Rashidul Alam

    2015-01-01

    South-East Asian Regional (SEAR) countries range from low- to middle-income countries and have considerable differences in mix of public and private sector expenditure on health. This study intends to estimate the income-elasticities of healthcare expenditure in public and private sectors separately for investigating whether healthcare is a 'necessity' or 'luxury' for citizens of these countries. Panel data from 9 SEAR countries over 16 years (1995-2010) were employed. Fixed- and random-effect models were fitted to estimate income-elasticity of public, private and total healthcare expenditure. Results showed that one percent point increase in GDP per capita increased private expenditure on healthcare by 1.128%, while public expenditure increased by only 0.412%. Inclusion of three-year lagged variables of GDP per capita in the models did not have remarkable influence on the findings. The citizens of SEAR countries consider healthcare as a necessity while provided through public sector and a luxury when delivered by private sector. By increasing the public provisions of healthcare, more redistribution of healthcare resources can be ensured, which can accelerate the journey of SEAR countries towards universal health coverage.

  19. Mental healthcare need and service utilization in older adults living in public housing.

    Science.gov (United States)

    Simning, Adam; van Wijngaarden, Edwin; Fisher, Susan G; Richardson, Thomas M; Conwell, Yeates

    2012-05-01

    Anxiety and depression in socioeconomically disadvantaged older adults frequently go unrecognized and untreated. This study aims to characterize mental illness and its treatment in older adult public housing residents who have many risk factors for anxiety and depression. Cross-sectional study. Public housing high-rises in Rochester, New York. One hundred ninety residents aged 60 years and older. Anxiety and depression were assessed using the Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, GAD-7, and Patient Health Questionnaire. We obtained information on mental healthcare from medication review and self-report. Participants had a median age of 66 years, 58% were women, 80% were black, and 92% lived alone. Many participants (31%) were in need of mental healthcare: 21% had syndromal and 11% had subsyndromal anxiety or depression. Mental healthcare need was associated with younger age; intact cognitive functioning; impairments in instrumental activities of daily living (IADL); more medical illness; decreased mobility; smaller social network size; more severe life events; and increased utilization of medical, human, and informal services. Of those with mental healthcare need, most were not receiving it. Compared with residents receiving mental healthcare, residents with untreated need were more likely to be men and have less IADL impairment, medical illness, severe life events, onsite social worker use, and human services utilization. Mental illness was common and largely untreated in public housing residents. Increasing collaboration between medical, mental, and human services is needed to improve identification, treatment, and ultimately prevention of late-life mental illness in this community setting.

  20. Preconception healthcare delivery at a population level: construction of public health models of preconception care.

    Science.gov (United States)

    Shannon, Geordan D; Alberg, Corinna; Nacul, Luis; Pashayan, Nora

    2014-08-01

    A key challenge of preconception healthcare is identifying how it can best be delivered at a population level. To review current strategies of preconception healthcare, explore methods of preconception healthcare delivery, and develop public health models which reflect different preconception healthcare pathways. Preconception care strategies, programmes and evaluations were identified through a review of Medline and Embase databases. Search terms included: preconception, pre-pregnancy, intervention, primary care, healthcare, model, delivery, program, prevention, trial, effectiveness, congenital disorders OR abnormalities, evaluation, assessment, impact. Inclusion criteria for review articles were: (1) English, (2) human subjects, (3) women of childbearing age, (4) 1980–current data, (5) all countries, (6) both high risk and universal approaches, (7) guidelines or recommendations, (8) opinion articles, (9) experimental studies. Exclusion criteria were: (1) non-human subjects, (2) non-English, (3) outside of the specified timeframe, (4) articles on male healthcare. The results of the literature review were synthesised into public health models of care: (1) primary care; (2) hospital-based and inter-conception care; (3) specific preconception care clinics; and, (4) community outreach. Fifteen evaluations of preconception care were identified. Community programmes demonstrated a significant impact on substance use, folic acid supplementation, diabetes optimization, and hyperphenylalaninemia. An ideal preconception visits entail risk screening, education, and intervention if indicated. Subsequently, four public health models were developed synthesizing preconception care delivery at a population level. Heterogeneity of risk factors, health systems and strategies of care reflect the lack of consensus about the best way to deliver preconception care. The proposed models aim to reflect differing aspects of preconception healthcare delivery.

  1. Web-based integrated public healthcare information system of Korea: development and performance.

    Science.gov (United States)

    Ryu, Seewon; Park, Minsu; Lee, Jaegook; Kim, Sung-Soo; Han, Bum Soo; Mo, Kyoung Chun; Lee, Hyung Seok

    2013-12-01

    The Web-based integrated public healthcare information system (PHIS) of Korea was planned and developed from 2005 to 2010, and it is being used in 3,501 regional health organizations. This paper introduces and discusses development and performance of the system. We reviewed and examined documents about the development process and performance of the newly integrated PHIS. The resources we analyzed the national plan for public healthcare, information strategy for PHIS, usage and performance reports of the system. The integrated PHIS included 19 functional business areas, 47 detailed health programs, and 48 inter-organizational tasks. The new PHIS improved the efficiency and effectiveness of the business process and inter-organizational business, and enhanced user satisfaction. Economic benefits were obtained from five categories: labor, health education and monitoring, clinical information management, administration and civil service, and system maintenance. The system was certified by a patent from the Korean Intellectual Property Office and accredited as an ISO 9001. It was also reviewed and received preliminary comments about its originality, advancement, and business applicability from the Patent Cooperation Treaty. It has been found to enhance the quality of policy decision-making about regional healthcare at the self-governing local government level. PHIS, a Web-based integrated system, has contributed to the improvement of regional healthcare services of Korea. However, when it comes to an appropriate evolution, the needs and changing environments of community-level healthcare service and IT infrastructure should be analyzed properly in advance.

  2. Selected Translated Abstracts of Russian-Language Climate-Change Publications, II. Clouds

    Energy Technology Data Exchange (ETDEWEB)

    Ravina, C.B.

    1994-01-01

    This report presents abstracts (translated into English) of important Russian-language literature concerning clouds as they relate to climate change. In addition to the bibliographic citations and abstracts translated into English, this report presents the original citations and abstracts in Russian. Author and title indexes are included, to assist the reader in locating abstracts of particular interest.

  3. Radioecological Investigations in the Russian Far-East and Public Opinion

    International Nuclear Information System (INIS)

    Nicolaevich Soyfer, V.

    1992-01-01

    At the first stage of this investigation a report based on the data collected by departmental radiation monitoring services radioecological investigations fulfilled by RECH has beer prepared. The report gives an assessment of radiation conditions of the Russian Far-East region and adjacent seas as well as of the activities of the above-said services. Among the radiator monitoring survives subject to inspection were NPP, Hydrometsosurvics, Civil defence offices, Sanitary epidemiological survive and also plants and bases for exploitation and repairs of nuclear power submarines. In the course of the inspection of these objects it was inevitable to face a wide spectrum of public opinion of different orientation and organizational forms concerning nuclear problems. The report analyzes the relationships between the population on the one hand and the administrations and the staff of the territories and object on the other, in connection with the radiation situation in the ares

  4. EDWARD SUESS AND RUSSIAN GEOLOGISTS

    Directory of Open Access Journals (Sweden)

    Boris A. Natal’in

    2011-01-01

    Full Text Available The publication is devoted to the history of one of the greatest concepts of tectonics of Asia, that has been widely accepted and yet obliterated with time, while the splendors of this concept are doubtful. Numerous citations in the Russian papers to «The Face of the Earth» by Edward Suess and the fact that he was elected a Corresponding Member of the Imperial Saint Petersburg Academy of Sciences clearly demonstrate how highly Suess’s contribution to studies of the structure and geological evolution of Asia was valued by the Russian geological community. Suess’s letters to Vladimir A. Obruchev give evidence how close and productive the relationship between Edward Suess and the Russian researchers was in the late 19th and the early 20th centuries and also illustrate how the great tectonic concept of Asia [Suess, 1908] was born and developed. The idea of centrifugal propagation of tectonic waves of the Altaids from a continental node located somewhere in Siberia was mainly inspired by Suess’s profound scientific intuition. The idea matured after Edward Suess got acquainted with Ivan D. Chersky’s paper [Черский, 1886] that greatly facilitated in shaping and improving this idea. It was mailed to Suess by Vladimir A. Obruchev who translated the paper, attached his own map and provided explanations to Chersky’s ideas. The available historical documents suggest that Vladimir A. Obruchev facilitated communication between the Russian geologists, on the one side, and Edward Suess and other Austrian geologists who conducted geological studies in Asia, on the other side. Being actively involved in exchange of publications and cooperation in field data processing, Edward Suess was aware of all the details of the Russian geological studies.In addition to the concept of tectonic arcs of the Altaids and descriptions of main geological structures located in Northern Asia and China, Edward Suess adopted a concept of disjunctive dislocations

  5. Selected translated abstracts of Russian-language climate-change publications, III aerosols: Issue 164

    Energy Technology Data Exchange (ETDEWEB)

    Razuvaev, V.N.; Ssivachok, S.G. [All-Russian Research Inst. of Hydrometeorological Information-World Data Center, Obninsk (Russian Federation)

    1995-10-01

    This report presents abstracts in Russian and translated into English of important Russian-language literature concerning aerosols as they relate to climate change. In addition to the bibliographic citations and abstracts translated into English, this report presents the original citations and abstracts in Russian. Author and title indexes are included to assist the reader in locating abstracts of particular interest.

  6. Public Participation and the Rights of the Child: Reflection on International Law Standards in the Legal System of the Russian Federation

    OpenAIRE

    Mariya Riekkinen

    2016-01-01

    This article deals with the much debated issue of children’s public participation from the perspective of legal practices in the Russian Federation. Having emerged at the level of national jurisdictions, the practice of engaging minors in decision-making processes on issues of public significance – or the practice of public participation of children – is stipulated by the UN Committee on the Rights of the Child, based on Article 12 of the UN Convention on the Rights of the Child. Public parti...

  7. Importance of the First and the Second Russian Olympic Games for development of sports and Olympic movement in the Russian Empire

    OpenAIRE

    Лях-Породько, Олексій

    2014-01-01

    The article reveals and analyses external and internal (nation-wide and regional) factors which have affected the holding of the First Russian Olympic Games of 1913 in Kiev and the Second Russian Olympic Games of 1914 in Riga are analyzed. It was determined that sports activity in the state was considerably stirred up during 1913–1914 years. It was found that the first Russian Olympic Games directly affected development of governmental-public structure of physical training and sports, creatio...

  8. 'Where is the public health sector?' Public and private sector healthcare provision in Madhya Pradesh, India.

    Science.gov (United States)

    De Costa, Ayesha; Diwan, Vinod

    2007-12-01

    This paper aims to empirically demonstrate the size and composition of the private health care sector in one of India's largest provinces, Madhya Pradesh. It is based on a field survey of all health care providers in Madhya Pradesh (60.4 million in 52,117 villages and 394 towns). Seventy-five percent of the population is rural and 37% live below poverty line. This survey was done as part of the development of a health management information system. The distribution of health care providers in the province with regard to sector of work (public/private), rural-urban location, qualification, commercial orientation and institutional set-up are described. Of the 24,807 qualified doctors mapped in the survey, 18,757 (75.6%) work in the private sector. Fifteen thousand one hundred forty-two (80%) of these private physicians work in urban areas. The 72.1% (67793) of all qualified paramedical staff work in the private sector, mostly in rural areas. The paper empirically demonstrates the dominant heterogeneous private health sector and the overall the disparity in healthcare provision in rural and urban areas. It argues for a new role for the public health sector, one of constructive oversight over the entire health sector (public and private) balanced with direct provision of services where necessary. It emphasizes the need to build strong public private partnerships to ensure equitable access to healthcare for all.

  9. Income, egalitarianism and attitudes towards healthcare policy: a study on public attitudes in 29 countries.

    Science.gov (United States)

    Azar, A; Maldonado, L; Castillo, J C; Atria, J

    2018-01-01

    To evaluate the relationship between income and egalitarian values and attitudes towards healthcare policy. Cross-sectional and cross-national study. Data for 29 countries from the International Social Survey Programme (ISSP) 2011 were used. The dependent variables are a general attitude towards government involvement in healthcare provision and two attitudes regarding specific policies (taxes and public funding). Income and egalitarianism were also measured by using ISSP. Data were analysed using regression models that account for individual and country-level characteristics, and country-fixed effects. The effect of income is small and non-significant for attitudes towards government involvement and public funding. For willingness to pay (WTP) taxes to improve healthcare services, we find a positive association with income. Results for egalitarianism suggest a positive association with government involvement in healthcare provision and significant interactions with WTP taxes. The distinction of dimensions and mechanisms underlying policy attitudes appears as relevant. Citizens across socioeconomic groups are motivated to support state-funded healthcare, favouring the design of non-selfish policies. These findings suggest that there is space for policymakers who seek to increase healthcare spending encouraging either policies for specific groups or broader institutional changes. Copyright © 2017 The Royal Society for Public Health. Published by Elsevier Ltd. All rights reserved.

  10. Education of healthcare professionals and the public.

    Science.gov (United States)

    McNulty, Cliodna A M; Cookson, Barry D; Lewis, Michael A O

    2012-07-01

    In the winter of 2007-08 a new public-facing antimicrobial campaign was agreed by the Advisory Committee on Antimicrobial Resistance and Healthcare-Associated Infection (ARHAI) Education sub-Group (later divided into subgroups for professional and public education): it comprised posters with a positive message on how the public could help themselves when they had a cold. However, the poster campaign, used in isolation in England, did not improve antibiotic use; therefore, the Public Education sub-Group took forward educational approaches to change the behaviour of the public and health professionals. Professionals have been encouraged to give patients clear information about the likely duration of symptoms, self-care, and benefits and harms of antibiotics, reinforcing the public poster campaigns in surgeries, hospitals and pharmacies. Since 2008, campaigns have been launched in England to coincide with European Antibiotic Awareness Day (EAAD) on 18 November, using Department of Health and EAAD materials. Professional education has been facilitated by the 2008 National Institute for Health and Clinical Excellence respiratory tract infection delayed prescribing guidance for general practitioners. A toolkit of materials for medicines management teams, to facilitate good antimicrobial stewardship in primary care (ASPIC), is being taken forward by the Public Education sub-Group and professional societies. After advice from ARHAI, in 2009 the General Medical Council requested that all postgraduate deans and Royal Colleges ensure infection prevention and control and antimicrobial prescribing become standard practice implemented in all clinical settings, and that they are emphasized strongly in undergraduate and postgraduate medical training. ARHAI has also taken a keen interest in reviewing, advising and leading on a number of European Union initiatives dealing with professional education.

  11. Statistical Studies of Non-price Competition in the Structure of Public Procurement in the Russian Federation

    OpenAIRE

    Svetlana Aleksandrovna Sergeeva; Alexander Alexandrovich Arionchik

    2016-01-01

    The principle of securing competition is one of the basic principles of the contract system in public procurement in the Russian Federation. The law on the contract system in procurement stipulates that the contract system in procurement is aimed at creating equal conditions to ensure competition between the parties to procurement. An important aspect is that the competition for procurement should be based on compliance with the principle of fair price and non-price competition. The purpose o...

  12. CONTINUING EDUCATION FOR MANAGERS AS THE BASIS OF INNOVATION ECONOMY (EXPERIENCE OF THE RUSSIAN PRESIDENTIAL ACADEMY OF NATIONAL ECONOMY AND PUBLIC ADMINISTRATION

    Directory of Open Access Journals (Sweden)

    Elena Kosareva

    2016-05-01

    Full Text Available The experience of establishing a system of continuing education at the Russian Presidential Academy of National Economy and Public Administration (RANEPA to support the institutional reform of the Russian economy was investigated. A review of the scientific research activities carried out by the Academy was provided. The role of the Academy in the formation of the educational space was demonstrated. The practice of creation of education and training cluster within a structural division of the Academy – the Institute of Sectorial Management – was evaluated as an example.

  13. Workforce diversity among public healthcare workers in Nigeria: Implications on job satisfaction and organisational commitment.

    Science.gov (United States)

    Ibidunni, Ayodotun Stephen; Falola, Hezekiah Olubusayo; Ibidunni, Oyebisi Mary; Salau, Odunayo Paul; Olokundun, Maxwell Ayodele; Borishade, Taiye Tairat; Amaihian, Augusta Bosede; Peter, Fred

    2018-06-01

    The aim of this research was to present a data article that identify the relationship between workforce diversity, job satisfaction and employee commitment among public healthcare workers in Nigeria. Copies of structured questionnaire were administered to 133 public healthcare workers from the Lagos state ministry of health in Nigeria. Using descriptive and structural equation modelling statistical analysis, the data revealed the relationship between workforce diversity and job satisfaction, workforce diversity and organisational commitment, and the role of job satisfaction on organisational commitment was also established.

  14. The root causes of ineffective and inefficient healthcare technology management in Benin public health sector

    NARCIS (Netherlands)

    Houngbo, T.; Zweekhorst, M.B.M.; Bunders- Aelen, J.G.F.; Coleman, H.L.S.; Medenou, D.; Dakpanon, L.Y.; de Cock Buning, Tjard

    2017-01-01

    This study aims to identify the root causes and solutions of main problems facing Healthcare Technology Management in Benin׳s public health sector. Conducted in Benin from 2008 to 2010, two surveys were used with key actors in Healthcare Technology Management. The first survey was based on 377

  15. Russian oil policy under Putin in perspective

    International Nuclear Information System (INIS)

    Rossiaud, S.

    2009-01-01

    This article intends to explain and evaluate the interactions between the three developments which have structured the Russian oil industry since the beginning of V. Putin's second presidential term of office: the slowing down in production growth as well as the absolute decline of the latter observed in 2008, the reorganization of this industry marked by the increasing role of public oil companies and, finally, the adjustments made to the contractual arrangements surrounding the activities of the upstream oil sector. It has shown, on one hand, that the decline in current production is the result of the exhaustion of short term strategies by private Russian companies, and on the other hand, that the contract adjustments are insufficient to allow the Russian companies to adjust to more long term strategies. From this perspective, the increased role played by public oil companies can be analysed as an organisational response to this institutional dead-end. (author)

  16. Developing a conceptual model for the application of patient and public involvement in the healthcare system in Iran.

    Science.gov (United States)

    Azmal, Mohammad; Sari, Ali Akbari; Foroushani, Abbas Rahimi; Ahmadi, Batoul

    2016-06-01

    Patient and public involvement is engaging patients, providers, community representatives, and the public in healthcare planning and decision-making. The purpose of this study was to develop a model for the application of patient and public involvement in decision making in the Iranian healthcare system. A mixed qualitative-quantitative approach was used to develop a conceptual model. Thirty three key informants were purposely recruited in the qualitative stage, and 420 people (patients and their companions) were included in a protocol study that was implemented in five steps: 1) Identifying antecedents, consequences, and variables associated with the patient and the publics' involvement in healthcare decision making through a comprehensive literature review; 2) Determining the main variables in the context of Iran's health system using conceptual framework analysis; 3) Prioritizing and weighting variables by Shannon entropy; 4) designing and validating a tool for patient and public involvement in healthcare decision making; and 5) Providing a conceptual model of patient and the public involvement in planning and developing healthcare using structural equation modeling. We used various software programs, including SPSS (17), Max QDA (10), EXCEL, and LISREL. Content analysis, Shannon entropy, and descriptive and analytic statistics were used to analyze the data. In this study, seven antecedents variable, five dimensions of involvement, and six consequences were identified. These variables were used to design a valid tool. A logical model was derived that explained the logical relationships between antecedent and consequent variables and the dimensions of patient and public involvement as well. Given the specific context of the political, social, and innovative environments in Iran, it was necessary to design a model that would be compatible with these features. It can improve the quality of care and promote the patient and the public satisfaction with healthcare and

  17. Buprenorphine Maintenance for Opioid Dependence in Public Sector Healthcare: Benefits and Barriers.

    Science.gov (United States)

    Duncan, Laura G; Mendoza, Sonia; Hansen, Helena

    Since its U.S. FDA approval in 2002, buprenorphine has been available for maintenance treatment of opiate dependence in primary care physicians' offices. Though buprenorphine was intended to facilitate access to treatment, disparities in utilization have emerged; while buprenorphine treatment is widely used in private care setting, public healthcare integration of buprenorphine lags behind. Through a review of the literature, we found that U.S. disparities are partly due to a shortage of certified prescribers, concern of patient diversion, as well as economic and institutional barriers. Disparity of buprenorphine treatment dissemination is concerning since buprenorphine treatment has specific characteristics that are especially suited for low-income patient population in public sector healthcare such as flexible dosing schedules, ease of concurrently treating co-morbidities such as HIV and hepatitis C, positive patient attitudes towards treatment, and the potential of reducing addiction treatment stigma. As the gap between buprenorphine treatment in public sector settings and private sector settings persists in the U.S., current research suggests ways to facilitate its dissemination.

  18. Building a middle-range theory of free public healthcare seeking in sub-Saharan Africa: a realist review.

    Science.gov (United States)

    Robert, Emilie; Samb, Oumar Mallé; Marchal, Bruno; Ridde, Valéry

    2017-09-01

    Realist reviews are a new form of knowledge synthesis aimed at providing middle-range theories (MRTs) that specify how interventions work, for which populations, and under what circumstances. This approach opens the 'black box' of an intervention by showing how it triggers mechanisms in specific contexts to produce outcomes. We conducted a realist review of health user fee exemption policies (UFEPs) in sub-Saharan Africa (SSA). This article presents how we developed both the intervention theory (IT) of UFEPs and a MRT of free public healthcare seeking in SSA, building on Sen's capability approach. Over the course of this iterative process, we explored theoretical writings on healthcare access, services use, and healthcare seeking behaviour. We also analysed empirical studies on UFEPs and healthcare access in free care contexts. According to the IT, free care at the point of delivery is a resource allowing users to make choices about their use of public healthcare services, choices previously not generally available to them. Users' ability to choose to seek free care is influenced by structural, local, and individual conversion factors. We tested this IT on 69 empirical studies selected on the basis of their scientific rigor and relevance to the theory. From that analysis, we formulated a MRT on seeking free public healthcare in SSA. It highlights three key mechanisms in users' choice to seek free public healthcare: trust, risk awareness and acceptability. Contextual elements that influence both users' ability and choice to seek free care include: availability of and control over resources at the individual level; characteristics of users' and providers' communities at the local level; and health system organization, governance and policies at the structural level. © The Author 2017. Published by Oxford University Press in association with The London School of Hygiene and Tropical Medicine.

  19. Detecting Bots on Russian Political Twitter.

    Science.gov (United States)

    Stukal, Denis; Sanovich, Sergey; Bonneau, Richard; Tucker, Joshua A

    2017-12-01

    Automated and semiautomated Twitter accounts, bots, have recently gained significant public attention due to their potential interference in the political realm. In this study, we develop a methodology for detecting bots on Twitter using an ensemble of classifiers and apply it to study bot activity within political discussions in the Russian Twittersphere. We focus on the interval from February 2014 to December 2015, an especially consequential period in Russian politics. Among accounts actively Tweeting about Russian politics, we find that on the majority of days, the proportion of Tweets produced by bots exceeds 50%. We reveal bot characteristics that distinguish them from humans in this corpus, and find that the software platform used for Tweeting is among the best predictors of bots. Finally, we find suggestive evidence that one prominent activity that bots were involved in on Russian political Twitter is the spread of news stories and promotion of media who produce them.

  20. Patients' appraisals of public and private healthcare: a qualitative study of physiotherapy and osteopathy.

    Science.gov (United States)

    Bradbury, Katherine J; Bishop, Felicity L; Yardley, Lucy; Lewith, George

    2013-10-01

    Patients have previously reported differences in their experiences of treatments received in the public and private sectors; it remains unclear whether such perceived differences are particular to or shared across different interventions. This study explored whether patients' appraisals of public and private treatments are similar when appraising a complementary therapy (osteopathy) compared to a mainstream therapy (physiotherapy). Thirty-five qualitative interviews were analysed thematically. Patients' appraisals varied by health-care sector and therapy type: physiotherapy was appraised more negatively in the National Health Service than the private sector but osteopathy was appraised similarly within both health-care sectors. Potential reasons for this are discussed.

  1. Regional Healthcare Effectiveness

    Directory of Open Access Journals (Sweden)

    Olga Vladimirovna Kudelina

    2016-03-01

    Full Text Available An evaluation of healthcare systems effectiveness of the regions of the Russian Federation (federal districts was conducted using the Minmax method based on the data available at the United Interdepartmental Statistical Information System. Four groups of components (i.e. availability of resources; use of resources; access to resources and medical effectiveness decomposed into 17 items were analyzed. The resource availability was measured by four indicators, including the provision of doctors, nurses, hospital beds; agencies providing health care to the population. Use of resources was measured by seven indicators: the average hospital stay, days; the average bed occupancy, days; the number of operations per 1 physician surgical; the cost per unit volume of medical care: in outpatient clinics, day hospitals, inpatient and emergency care. Access to the resources was measured by three indicators: the satisfaction of the population by medical care; the capacity of outpatient clinics; the average number of visits to health facility. The medical effectiveness was also measured by three indicators: incidence with the "first-ever diagnosis of malignancy"; life expectancy at birth, years; the number of days of temporary disability. The study of the dynamics of the components and indexes for 2008–2012 allows to indicate a multidirectional influence on the regional healthcare system. In some federal districts (e.g. North Caucasian, the effectiveness decreases due to resource availability, in others (South, North Caucasian — due to the use of resources, in others (Far Eastern, Ural — due to access to resources. It is found that the effectiveness of the healthcare systems of the federal districts differs significantly. In addition, the built matrix proves the variability the of effectiveness (comparison of expenditures and results of healthcare systems of the federal districts of the Russian Federation: the high results can be obtained at high costs

  2. Healthcare waste management: current practices in selected healthcare facilities, Botswana.

    Science.gov (United States)

    Mbongwe, Bontle; Mmereki, Baagi T; Magashula, Andrew

    2008-01-01

    Healthcare waste management continues to present an array of challenges for developing countries, and Botswana is no exception. The possible impact of healthcare waste on public health and the environment has received a lot of attention such that Waste Management dedicated a special issue to the management of healthcare waste (Healthcare Wastes Management, 2005. Waste Management 25(6) 567-665). As the demand for more healthcare facilities increases, there is also an increase on waste generation from these facilities. This situation requires an organised system of healthcare waste management to curb public health risks as well as occupational hazards among healthcare workers as a result of poor waste management. This paper reviews current waste management practices at the healthcare facility level and proposes possible options for improvement in Botswana.

  3. Improving interpretation of publically reported statistics on health and healthcare: the Figure Interpretation Assessment Tool (FIAT-Health).

    Science.gov (United States)

    Gerrits, Reinie G; Kringos, Dionne S; van den Berg, Michael J; Klazinga, Niek S

    2018-03-07

    Policy-makers, managers, scientists, patients and the general public are confronted daily with figures on health and healthcare through public reporting in newspapers, webpages and press releases. However, information on the key characteristics of these figures necessary for their correct interpretation is often not adequately communicated, which can lead to misinterpretation and misinformed decision-making. The objective of this research was to map the key characteristics relevant to the interpretation of figures on health and healthcare, and to develop a Figure Interpretation Assessment Tool-Health (FIAT-Health) through which figures on health and healthcare can be systematically assessed, allowing for a better interpretation of these figures. The abovementioned key characteristics of figures on health and healthcare were identified through systematic expert consultations in the Netherlands on four topic categories of figures, namely morbidity, healthcare expenditure, healthcare outcomes and lifestyle. The identified characteristics were used as a frame for the development of the FIAT-Health. Development of the tool and its content was supported and validated through regular review by a sounding board of potential users. Identified characteristics relevant for the interpretation of figures in the four categories relate to the figures' origin, credibility, expression, subject matter, population and geographical focus, time period, and underlying data collection methods. The characteristics were translated into a set of 13 dichotomous and 4-point Likert scale questions constituting the FIAT-Health, and two final assessment statements. Users of the FIAT-Health were provided with a summary overview of their answers to support a final assessment of the correctness of a figure and the appropriateness of its reporting. FIAT-Health can support policy-makers, managers, scientists, patients and the general public to systematically assess the quality of publicly reported

  4. Archetypes of the spiritual movement in Russian historiosophy

    Directory of Open Access Journals (Sweden)

    Sorokina Tatyana Evgenievna

    2016-03-01

    Full Text Available The article considers the main principles of Russian philosophy of history. The most discussed historiosophical idea, going through a variety of transformations, remains Slavyanofil doctrine of special destiny of Russia, its spiritual integrity. The author focuses on the fact that preserving «national archetype» as a key issue, Russian historiosophy offered various options related to the West as a symbol of a different worldview. Mindful of the global fascination with Buddhist understanding of human destiny and history of the world, it must be said that the Russian historiosophy presumed itself in opposition to the Buddhist concept of the historiosophical. Briefly it is explained the reasons for the occurrence of classical Russian literature historiosophical space. 1. The national literature was perceived by Russian thinkers as the «second history». 2. Figures of historical discourse were five Russian classics: Pushkin, Lermontov, Gogol, Dostoevsky, Tolstoy. 3. The fate and the works of Russian writers of the inherent rationale of national historical path in its different variants. 4. The Russian philosophy of history, to show interest in religious issues, examines the life and work of every writer as a definite spiritual model of public importance and is being implemented in the historical world. It is commented on historico-philosophical concept of Leontiev and Fedorov, Rozanov and Solovyov who emphasize that eschatology is the semantic core of Russian philosophy of history.

  5. Comparative analysis of public service advertising regulation in Russian Federation and European countries

    Directory of Open Access Journals (Sweden)

    Nureeva Maria, R.

    2015-03-01

    Full Text Available In modern world public service advertising is a direct reflection of social values, humanistic relationships between people, level of cultural development of the society. The aim of PSA is to form social challenges in the society’s mind, to lead to reforms in social sphere. Underestimation and inattentiveness towards social problems could lead to loss of moral values, destruction of culture and forming the basis for aggravation in relation between different levels of society. The tasks of the research are the following: to analyze the legislative base of public service advertising, to determine their strengths and weaknesses; to find out typical problems arising while PSA realization in Russia and Europe; to determine the main obstacles, preventing from creation of efficient and qualitative PSA and to find out and provide the measures of creating an efficient and qualitative public service advertising. In the first part of the paper we compare PSA regulation, sort out PSA legislative and practical issues in Russia and Europe. In the second part we consider the process of efficient PSA realization. For this purpose there were investigated the main obstacles on the way of realization of PSA strategy in Russia and Europe, possibilities of application of marketing mix approach. Though the level of social activity has increased in Russia especially in recent years, PSA market is only in the process of formation – there are huge potentials for investigations, initiatives and improvements. We could conclude that modern PSA legal base of Russian Federation restrains the development of PSA in our country and puts obstacles in the way of PSA participants: government, non-commercial organizations and businesses. In comparison with EU our country fails behind European countries both in the level of legislative regulation and practical experience. The most important difference between PSA practice in Russia and in Europe is that in Europe there is clear

  6. How do we want to grow old? Anti-ageing-medicine and the scope of public healthcare in liberal democracies.

    Science.gov (United States)

    Schweda, Mark; Marckmann, Georg

    2013-09-01

    Healthcare counts as a morally relevant good whose distribution should neither be left to the free market nor be simply imposed by governmental decisions without further justification. This problem is particularly prevalent in the current boom of anti-ageing medicine. While the public demand for medical interventions which promise a longer, healthier and more active and attractive life has been increasing, public healthcare systems usually do not cover these products and services, thus leaving their allocation to the mechanisms of supply and demand on the free market. This situation raises the question on which basis the underlying preferences for and claims to a longer, healthier life should be evaluated. What makes anti-ageing medicine eligible for public funding? In this article, we discuss the role of anti-ageing medicine with regard to the scope and limits of public healthcare. We will first briefly sketch the basic problem of justifying a particular healthcare scheme within the framework of a modern liberal democracy, focusing on the challenge anti-ageing interventions pose in this regard. In the next section, we will present and discuss three possible solutions to the problem, essentialistic, transcendental, and procedural strategies of defining the scope of public healthcare. We will suggest a procedural solution adopting essentialistic and transcendental elements and discuss its theoretical and practical implications with regard to anti-ageing medicine. © 2012 John Wiley & Sons Ltd.

  7. Russian Media Educators: Case Studies Portraits

    Directory of Open Access Journals (Sweden)

    Alexander Fedorov

    2013-01-01

    Full Text Available This article is devoted to case studies of the media education works of some well knowns Russian media educators. The analysis of media educational work of the famous Russian media educators leads us to the conclusion that media education in Russia is developing, building on the synthesis of the aesthetic, socio-cultural, and practical concepts, with a focus on the development of media competence of the audience, mainly school and youth. The enthusiasts of media education, even devoid of substantial public support for its innovative projects, achieve significant and meaningful results.

  8. The CRACK programme: a scientific alliance for bridging healthcare research and public health policies in Italy

    Directory of Open Access Journals (Sweden)

    Giovanni Corrao

    2013-09-01

    Full Text Available Healthcare utilisation databases, and other secondary data sources, have been used with growing frequency to assess health outcomes and healthcare interventions worldwide. Their increased popularity as a research tool is due to their timely availability, the large patient populations covered, low cost, and applicability for studying real-world clinical practice. Despite the need to measure Italian National Health Service performance both at regional and national levels, the wealth of good quality electronic data and the high standards of scientific research in this field, healthcare research and public health policies seem to progress along orthogonal dimensions in Italy. The main barriers to the development of evidence-based public health include the lack of understanding of evidence-based methodologies by policy makers, and of involvement of researchers in the policy process. The CRACK programme was launched by some academics from the Lombardy Region. By extensively using electronically stored data, epidemiologists, biostatisticians, pharmacologists and clinicians applied methods and evidence to several issues of healthcare research. The CRACK programme was based on their intention to remove barriers that thwart the process of bridging methods and findings from scientific journals to public health practice. This paper briefly describes aim, articulation and management of the CRACK programme, and discusses why it might find articulated application in Italy.

  9. Ethnic Motives in Russian Mass Consciousness

    Directory of Open Access Journals (Sweden)

    Natalija Pliskevič

    2000-12-01

    Full Text Available The author examines certain finding on ethnic aspects of mass consciousness in the Russian Federation, as presented in the journal Monitoring public opinion: economic and social changes (rus. Мониторинг общественного мнения: экономические и социальные перемены, published by the All-Russian Centre for the Study of Public Opinion. The problems of national identity and ethnic tension in Russia increased after the collapse of the Soviet empire. Ethnic phobias, complexes and ambitions reached a peak in the period 1993–1995. However, by 1999–2000, according to the surveys, they returned to the 1989–1990 level. The increase until 1995 occurred during the break-down of former Soviet political and administrative relations. By 1994 negative attitudes, apart from a traditional aversion to immigrants from the Caucasus, were directed to peoples of the newly independent former Soviet republics (especially to those from the Baltic states, and to ethnic groups such as the Vietnamese, Gypsies, etc. On the other hand, the subsequent decrease in negative attitudes to other ethnic groups was not so much the result of greater tolerance or the development of civil society, but rather due to an imperial tradition of indifference to ethnic problems. According to L. Gudkov, ethnic views in 1994–1995 showed traces inherited from the Stalinist period. Gudkov found that passivity and a “victim“ complex had assumed a central position in the self-image of Russians. Such a complex serves to exonerate the subject from any feeling of personal blame or deficiency, but also leads to a nostalgic idealisation of the past and a negation of the present. The result is a social syndrome that denies action and an ethnosocial self-awareness that prevents universalisation and the development of a national identity based on the principles of civil society. The “victim“ complex fosters a feeling of threat to the

  10. Disrupt, Coerce, Legitimize, Attract: The Four Dimensions of Russian Smart Power

    Science.gov (United States)

    2017-03-31

    baby food , sleeping bags and generators”29 coincided with the appearance of large formations of well-armed, highly organized but anonymous “little...effective in maintaining a semi-permeable echo-chamber of Russian public support by limiting the cross- contamination of deliberately contradictory...completes the application of Russian Smart Power. The reaction to the downing of Malaysia Airlines flight 17 on 17 July, 2014 by a Russian BUK SA

  11. The Healthcare and Public Health Sector Challenges and Strategies to Conducting Sector Wide Assessments

    OpenAIRE

    Meyer, Harry

    2008-01-01

    Our Healthcare and Public Health (HPH) sector is vast, complex and essential to virtually all other sectors of our nation’s infrastructure. Without a healthy workforce modern society quickly grinds to a halt. The often messy networks of healthcare providers, insurance companies, emergency departments, pharmaceutical manufactures and other equally important actors are bound together in fragile alliances to maintain and restore basic health. Thus the HPH sector becomes an important cog in the w...

  12. Bell Discourse in Russian Culture

    Directory of Open Access Journals (Sweden)

    Элеонора Р Лассан

    2014-12-01

    Full Text Available The article focuses on the symbolic meaning of Russian ringing of bell in the Russian discourse. According to Lotman’s definition of symbol, it has dual nature: an invariant essence and its modification in relation to the cultural context. The article introduces informative and linguistic modifications of the bell topic in the Russian poetic discourse of the 19th, the 20th and the beginning of the 21st century. The author of the article provides the detailed analysis of such discursive descriptions of bell ringing as the ringing of church bells and alarm . The author arrives at the conlusion that the alarm topic prevails in contemporary poetry and this indicates the state of public dissatisfaction. In the 19th and the 20th centuries lexemes the ringing of church bells and alarm were used literally, but in the 21st century lexeme alarm acquires metaphorical meaning of call for blood.

  13. Selected translated abstracts of Russian-language climate-change publications. 4: General circulation models

    Energy Technology Data Exchange (ETDEWEB)

    Burtis, M.D. [comp.] [Oak Ridge National Lab., TN (United States). Carbon Dioxide Information Analysis Center; Razuvaev, V.N.; Sivachok, S.G. [All-Russian Research Inst. of Hydrometeorological Information--World Data Center, Obninsk (Russian Federation)

    1996-10-01

    This report presents English-translated abstracts of important Russian-language literature concerning general circulation models as they relate to climate change. Into addition to the bibliographic citations and abstracts translated into English, this report presents the original citations and abstracts in Russian. Author and title indexes are included to assist the reader in locating abstracts of particular interest.

  14. Selected translated abstracts of Russian-language climate-change publications: II, Clouds. Issue 159

    Energy Technology Data Exchange (ETDEWEB)

    Burtis, M.D. [comp.

    1994-01-01

    This report presents abstracts (translated into English) of important Russian-language literature concerning clouds as they relate to climate change. In addition to the bibliographic citations and abstracts translated into English, this report presents the original citations and abstracts in Russian. Author and title indexes are included to assist the reader in locating abstracts of particular interest.

  15. [Ophthalmological service quality offered to outpatients of the Public Healthcare System].

    Science.gov (United States)

    Santos Hercos, Benigno Vicente; Berezovsky, Adriana

    2006-01-01

    To identify the perception of the ophthalmic service quality provided for outpatients of the public healthcare system as well as to detect which actions should be considered necessary and priority in order to improve its quality. A quantitative descriptive study was carried out on 100 outpatients of the public healthcare system which were submitted to ophthalmic tests at Fundação Hilton Rocha--Belo Horizonte-MG, from July 1st-July 30th 2004. Individual interviews were carried out by giving the interviewees two structured questionnaires adapted from the modified SERVQUAL. This scale is in agreement with the reality of the studied institute. The adapted SERVQUAL scale was submitted to statistical validation and it showed a suitable internal consistency index. In general terms, a slight general dissatisfaction was detected regarding ophthalmological service quality. The interviewees cared more about safety and reliability. A higher degree of dissatisfaction was detected mainly concerning fulfillment of procedures at scheduled appointments related to the execution of services within due time-limits. The institute is supposed to plan as well as carry out actions which lead to a general improvement in the patient's satisfaction regarding service quality and mainly reliability. Service quality monitoring through periodic use of the SERVQUAL scale will not only make it possible to plan highly precise and effective intervention strategies in these and in other healthcare services but it will also allow monitoring the responses to these actions. All these actions will contribute to the improvement of the service in the system as a whole.

  16. Russian guidelines for the management of COPD: algorithm of pharmacologic treatment

    Directory of Open Access Journals (Sweden)

    Aisanov Z

    2018-01-01

    Full Text Available Zaurbek Aisanov,1 Sergey Avdeev,2 Vladimir Arkhipov,3 Andrey Belevskiy,1 Alexander Chuchalin,1 Igor Leshchenko,4 Svetlana Ovcharenko,5 Evgeny Shmelev,6 Marc Miravitlles7 1Department of Pulmonology, N.I. Pirogov Russian State National Research Medical University, Healthcare Ministry of Russia, 2Clinical Department, Federal Pulmonology Research Institute, Federal Medical and Biological Agency of Russia, 3Clinical Pharmacology Department, RUDN University, 4Department of Phthisiology, Pulmonology and Thoracic Surgery, Ural State Medical University, Healthcare Ministry of Russia, Ekaterinburg, 5Internal Medicine Department No.1, I.M. Sechenov First Moscow State Medical University, Healthcare Ministry of Russia, 6Department of Differential Diagnostics, Federal Central Research Institute of Tuberculosis, Moscow, Russia; 7Pneumology Department, University Hospital Vall d’Hebron, Ciber de Enfermedades Respiratorias (CIBERES, Barcelona, Spain Abstract: The high prevalence of COPD together with its high level of misdiagnosis and late diagnosis dictate the necessity for the development and implementation of clinical practice guidelines (CPGs in order to improve the management of this disease. High-quality, evidence-based international CPGs need to be adapted to the particular situation of each country or region. A new version of the Russian Respiratory Society guidelines released at the end of 2016 was based on the proposal by Global Initiative for Obstructive Lung Disease but adapted to the characteristics of the Russian health system and included an algorithm of pharmacologic treatment of COPD. The proposed algorithm had to comply with the requirements of the Russian Ministry of Health to be included into the unified electronic rubricator, which required a balance between the level of information and the simplicity of the graphic design. This was achieved by: exclusion of the initial diagnostic process, grouping together the common pharmacologic and

  17. Public engagement in setting healthcare priorities: a ranking exercise in Cyprus.

    Science.gov (United States)

    Farmakas, Antonis; Theodorou, Mamas; Galanis, Petros; Karayiannis, Georgios; Ghobrial, Stefanos; Polyzos, Nikos; Papastavrou, Evridiki; Agapidaki, Eirini; Souliotis, Kyriakos

    2017-01-01

    In countries such as Cyprus the financial crisis and the recession have severely affected the funding and priority setting of the health care system. There is evidence highlighting the importance of population' preferences in designing priorities for health care settings. Although public preferences have been thorough analysed in many countries, there is a research gap in terms of simultaneously investigating the relative importance and the weight of differing and competing criteria for determining healthcare priority settings. The main objective of the study was tο investigate public preferences for the relative utility and weight of differing and competing criteria for health care priority setting in Cyprus. The 'conjoint analysis' technique was applied to develop a ranking exercise. The aim of the study was to identify the preferences of the participants for alternative options. Participants were asked to grade in a priority order 16 hypothetical case scenarios of patients with different disease and of diverse socio-economic characteristics awaiting treatment. The sample was purposive and consisted of 100 Cypriots, selected from public locations all over the country. It was revealed that the "severity of the disease" and the " age of the patient" were the key prioritization criteria. Participants assigned the smallest relative value to the criterion " healthy lifestyle" . More precisely, participants older than 35 years old assigned higher relative importance to " age" , while younger participants to the " severity of the disease". The " healthy lifestyle" criterion was assigned to the lowest relative importance to by all participants. In Cyprus, public participation in health care priority setting is almost inexistent. Nonetheless, it seems that the public's participation in this process could lead to a wider acceptance of the healthcare system especially as a result of the financial crisis and the upcoming reforms implemented such as the establishment of the

  18. The construction of a public key infrastructure for healthcare information networks in Japan.

    Science.gov (United States)

    Sakamoto, N

    2001-01-01

    The digital signature is a key technology in the forthcoming Internet society for electronic healthcare as well as for electronic commerce. Efficient exchanges of authorized information with a digital signature in healthcare information networks require a construction of a public key infrastructure (PKI). In order to introduce a PKI to healthcare information networks in Japan, we proposed a development of a user authentication system based on a PKI for user management, user authentication and privilege management of healthcare information systems. In this paper, we describe the design of the user authentication system and its implementation. The user authentication system provides a certification authority service and a privilege management service while it is comprised of a user authentication client and user authentication serves. It is designed on a basis of an X.509 PKI and is implemented with using OpenSSL and OpenLDAP. It was incorporated into the financial information management system for the national university hospitals and has been successfully working for about one year. The hospitals plan to use it as a user authentication method for their whole healthcare information systems. One implementation of the system is free to the national university hospitals with permission of the Japanese Ministry of Education, Culture, Sports, Science and Technology. Another implementation is open to the other healthcare institutes by support of the Medical Information System Development Center (MEDIS-DC). We are moving forward to a nation-wide construction of a PKI for healthcare information networks based on it.

  19. CENTENARY OF 1917 RUSSIAN REVOLUTION IN THE FOCUS OF ANTI-RUSSIAN HISTORICAL PROPAGANDA

    Directory of Open Access Journals (Sweden)

    Вардан Эрнестович Багдасарян

    2017-12-01

    Full Text Available The article analyzes the anti-Russian historical narrative focused on the 1917 events. The relevance of the theme is determined bythe wide-ranging discussion on the Russian revolution due toits anniversary. The authors solve the problem of the scientific criticism of the anti-Russian myths, focused on the assessments and interpretations of the two Russian revolutions of 1917. In the article there are shown the ideological basis and political context of the coverage of the events of 1917. The authors analyze 5 historical ideologemes, which are disseminated in the public consciousness. They also show the cognitive and political implications of adopting the respective ideology. As a typical liberal myth, the authors regard the interpretation of the October Revolution as “stolen freedom” provided by the February revolution. In the article there is shown that through the myth of “stolen freedom” the whole history of Russia is presented as a reproduction of the “totalitarian regime”. The authors prove the incorrectness of showing Bolsheviks as the initiators of the use of mass terror tactics, to which all major opposing forces resorted. There is considered the connection of the interpretation of the Revolution as the manifestation of the “Russian rebellion” with the Russophobic myth of the Russian barbarism. The authors criticize the idea of the Bolshevik imperialism, which is allegedly based on the ideology of world revolution. The article gives the deconstruction of the myth of the Bolshevik regime illegitimacy and shows the cognitive contradictions of the attempts to counter the concepts of “October Revolution” and “October Coup”. The authors reveal that the thesis of the Constituent Assembly, as an illustration of the Bolshevik illegitimacy, doesn’t correspondent to the historical facts. The authors conclude that the issues of covering the events of both the Revolutionand the Great Patriotic War are linked to the national

  20. Radioactive waste in the Russian Federation

    International Nuclear Information System (INIS)

    Grundfelt, B.; Lindbom, B.

    1994-01-01

    The present report has been produced by Kemakta Consultants Co. under contract from the Swedish Radiation Protection Institute (SSI). The purpose of the study is to give a broad overview of the situation in the Russian Federation with regard to the production and management of radioactive waste. The report also presents an outline of possible risks for environmental and societal consequences of the current waste management practices. The study is intended to be used as a basis for discussions regarding possible international cooperative efforts for improving the waste management system in Russia. The report is mainly based on publicly available literature. In addition, information has been obtained during a two-day visit to the Bochvar Institute and the Russian Atomic Power Ministry, MinAtom, in Moscow. Complementary information has been provided by MinAtom in response to a questionnaire that was sent to MinAtom subsequent to the visit to Moscow. Staff at the Russian embassy in Stockholm has assisted in the organisation of contacts as well as with various clarifications and translations. Some of the information in this report has not been officially confirmed by the Russian authorities. 17 refs, 4 figs, 7 tabs

  1. Public and Healthcare Professionals’ Knowledge and Attitudes toward Binge Eating Disorder: A Narrative Review

    Science.gov (United States)

    Reas, Deborah Lynn

    2017-01-01

    Binge eating disorder (BED) is characterized by recurrent binge eating and marked distress in the absence of inappropriate compensatory behaviors for weight control. BED is prevalent in men and women, is associated with elevated psychosocial and functional impairment, and is associated strongly with obesity and related medical comorbidities. The aim is to provide a brief, state-of-the-art review of the major and recent findings to inform educational and awareness campaigns, stigma reduction interventions, as well as current clinical practice and future research. A narrative approach was used to synthesize emerging literature on the public and healthcare professionals’ knowledge and attitudes toward individuals with BED in comparison to other eating disorders (EDs) or mental illness. A total of 13 articles were reviewed. Nine studies investigated community samples and four studies investigated healthcare professionals. The reviewed literature suggested that BED is perceived by the public as less impairing, less severe, and “easier-to-treat” than other EDs. Attitudes and beliefs reflecting perceived blameworthiness and lack of self-discipline were ascribed to vignettes with BED. Community studies indicated a low level of public awareness that BED constitutes a discreet eating disorder. The literature on healthcare professionals’ knowledge and attitudes toward BED remains very limited. The few existing studies suggest encouraging trends in recognition and diagnostic accuracy, yet there remains a need for increased clinical awareness of BED-associated medical complications and knowledge of full BED diagnostic criteria. PMID:29160843

  2. Public and Healthcare Professionals’ Knowledge and Attitudes toward Binge Eating Disorder: A Narrative Review

    Directory of Open Access Journals (Sweden)

    Deborah Lynn Reas

    2017-11-01

    Full Text Available Binge eating disorder (BED is characterized by recurrent binge eating and marked distress in the absence of inappropriate compensatory behaviors for weight control. BED is prevalent in men and women, is associated with elevated psychosocial and functional impairment, and is associated strongly with obesity and related medical comorbidities. The aim is to provide a brief, state-of-the-art review of the major and recent findings to inform educational and awareness campaigns, stigma reduction interventions, as well as current clinical practice and future research. A narrative approach was used to synthesize emerging literature on the public and healthcare professionals’ knowledge and attitudes toward individuals with BED in comparison to other eating disorders (EDs or mental illness. A total of 13 articles were reviewed. Nine studies investigated community samples and four studies investigated healthcare professionals. The reviewed literature suggested that BED is perceived by the public as less impairing, less severe, and “easier-to-treat” than other EDs. Attitudes and beliefs reflecting perceived blameworthiness and lack of self-discipline were ascribed to vignettes with BED. Community studies indicated a low level of public awareness that BED constitutes a discreet eating disorder. The literature on healthcare professionals’ knowledge and attitudes toward BED remains very limited. The few existing studies suggest encouraging trends in recognition and diagnostic accuracy, yet there remains a need for increased clinical awareness of BED-associated medical complications and knowledge of full BED diagnostic criteria.

  3. Russian Language in the Central Asia Region

    Directory of Open Access Journals (Sweden)

    Ksenia Petrovna Borishpolets

    2014-01-01

    Full Text Available He article is devoted to the role of the Russian language in Central Asia and its development perspectives in the context of the Eurasian integration processes. Russian language has a long historical tradition in Central Asia and hasn't lost its importance even at the background of two waves of "derussification" that took place after 1991. Notwithstanding the decrease of the status, it keeps substantial public significance. During last two decades only in Turkmenistan we are witnessing the decrease in spreading of the Russian language among title population of the Central Asia region. Its positions as an active communication channel is secured not only by the social tradition, but also by the competitiveness of the Russian language education, advantages of the bilingual business, requirements of the labor migrants, HR interests and by some other pragmatic thoughts, which role within the context of Eurasian economic integration will increase. Despite the difficulties, it is too early to speak about the decrease of the Russian language in the Central Asia region. It is more likely that the institutes itself that maintain it and promoting it are at the low ebb. New scales and forms of practical work that is interested not only for Russia, but also Central Asia countries are required. Pressure on the resources of the Russian language increases the possibility of ethnic conflicts and strengthens the positions of political radicalism in Central Asia region.

  4. Preference of Chinese general public and healthcare providers for a good death.

    Science.gov (United States)

    Haishan, Huang; Hongjuan, Liu; Tieying, Zeng; Xuemei, Pu

    2015-03-01

    The aim of this study is to find and compare the current situation between common people and healthcare providers' preferences for a good death in the context of Chinese culture. A cross-sectional anonymous questionnaire survey covering 190 ordinary Chinese people and 323 healthcare providers was conducted. An inventory of the good death was translated and the subjects were surveyed about their attitude toward it. Permission to conduct the study was granted by department chiefs, nurse managers and the participants themselves. The participants were informed that they took part on a voluntary and anonymous basis, that they could withdraw at any time, that they had the right to ignore questions they did not wish to answer, and that whatever they chose to do would not jeopardize their employment conditions. The attributes that were perceived as important by major respondents for a good death were maintaining hope and pleasure, good relationship with medical staff, good relationship with family, independence, environment comfort, being respected as an individual, preparation for death, physical and psychological comfort, dying in a favorite place, and not being a burden to others. And some relatively less important characteristics were life completion, receiving enough treatment, natural death, controlling over the future, unawareness of death, pride and beauty, feeling that one's life is worth living, and religious and spiritual comfort. We also found that healthcare providers were more likely than general out-patients to perceive "physical and psychological comfort," "dying in a favorite place," "good relationship with medical staff," and "natural death" as important for a good death. This study offers healthcare providers in China a fundamental understanding of the normal expectations of the general public for a good death. It is believed that these findings in our study are valuable to improve palliative care in China. We compared the attitudes of Chinese and

  5. National Gender Policy in Public Education in the Russian Empire in the Latter Half of the 19th-Early 20th Centuries

    Science.gov (United States)

    Saifullova, Razilia Rauilovna; Maslova, Inga Vladimirovna; Krapotkina, Irina Evgenevna; Kaviev, Airat Farkhatovich; Nasyrova, Liliya Gabdelvalievna

    2016-01-01

    This article presents the national gender policy in public education in the Russian Empire in the latter half of the 19th-early 20th centuries. In the course of work the authors have used special historical research methods enabling to hammer out the facts and to approach historical sources from a critical standpoint. The comparative method…

  6. Track 7: policy and public interest U.S.-Russian nuclear security cooperation: navigating the present realities. Panel Discussion

    International Nuclear Information System (INIS)

    Hayden, N.K.; Hayden-Prindle, Nancy; McCarthy, Maureen; Rich, John; Graham, Thomas Jr.; Mizin, Victor; Cagan, Debra; Alessi, Vic

    2001-01-01

    Full text of publication follows: In the 10 yr since the beginning of cooperation between the United States and the Russian Federation on nuclear security and nonproliferation issues, the political, economic, and security environment governing the nuclear security cooperation has evolved and, in some cases, undergone dramatic changes. On one hand, the protection of nuclear weapons and materials continues as an urgent national security concern for both the United States and Russia. At the same time, defense infrastructures have been closed or converted to civilian purposes, and there has been increased activity in international cooperation for civilian nuclear technology. This special panel will explore the future of the U.S.-Russia nuclear cooperation with particular attention to the following three themes. Theme 1: Managing the Risks: U.S.-Russian Federation Cooperative Programs for Nuclear Weapons and Materials Security; Theme 2: Creating the Benefits: The Changing Nature of Russia's Domestic Nuclear Industry; Theme 3: Addressing the Impediments: United States and Russia as Nuclear Exporters: Reconciling Nonproliferation Goals, Technology Advancements, and Economic Incentives

  7. Russian translations for Cochrane.

    Science.gov (United States)

    Yudina, E V; Ziganshina, L E

    2015-01-01

    Cochrane collaboration has made a huge contribution to the development of evidence-based medicine; Cochrane work is the international gold standard of independent, credible and reliable high-quality information in medicine. Over the past 20 years the Cochrane Collaboration helped transforming decision-making in health and reforming it significantly, saving lives and contributing to longevity [1]. Until recently, Cochrane evidence were available only in English, which represents a significant barrier to their wider use in non-English speaking countries. To provide access to evidence, obtained from Cochrane Reviews, for health professionals and general public (from non-English-speaking countries), bypassing language barriers, Cochrane collaboration in 2014 initiated an international project of translating Plain language summaries of Cochrane Reviews into other languages [2, 3]. Russian translations of Plain language summaries were started in May 2014 by the team from Kazan Federal University (Department of Basic and Clinical Pharmacology; 2014-2015 as an Affiliated Centre in Tatarstan of the Nordic Cochrane Centre, since August 2015 as Cochrane Russia, a Russian branch of Cochrane Nordic, Head - Liliya Eugenevna Ziganshina) on a voluntary basis. To assess the quality of Russian translations of Cochrane Plain Language Summaries (PLS) and their potential impact on the Russian speaking community through user feedback with the overarching aim of furthering the translations project. We conducted the continuous online survey via Google Docs. We invited respondents through the electronic Russian language discussion forum on Essential Medicines (E-lek), links to survey on the Russian Cochrane.org website, invitations to Cochrane contributors registered in Archie from potential Russian-speaking countries. We set up the survey in Russian and English. The respondents were asked to respond to the questionnaire regarding the relevance and potential impact of the Cochrane Russian

  8. Nuclear energy and society: Russian dimension

    International Nuclear Information System (INIS)

    Gagarinski, A.Y.

    2010-01-01

    Nuclear weapons and crisis of confidence resulting from severe accidents have both formed the attitude towards nuclear issues in the Russian minds. The current status of relations between nuclear energy and the public is still close to this politicization of nuclear energy and to the constant irrational fear of radiations. The 3 basic antinuclear arguments usually mentioned are proliferation risk, wastes and accidents. For proliferation risk it is easy to understand that a complete nuclear power phase-out would not prevent the spreading of nuclear weapons because uranium and centrifuges would still exist. For the Russian society, the issue of radioactive wastes is popular these days because the Russian parliament is considering a bill about it. The issue of radioactive wastes seems to be economically and technically solvable. The main problem is nuclear accidents. In Russia this issue is very touchy: we still remember zero-radiation events, which, when happened not very long ago, have aroused panics in whole regions. It is hard to change the idea, well spread in Russian minds that the authorities are always trying to understate the scale of negative events. Nevertheless, some recent polls show that the positive trend in the attitude towards nuclear energy is obvious as it is in most part of the world. (A.C.)

  9. RUSSIAN LANGUAGE IN NORTHERN NORWAY: HISTORICAL, ECONOMIC AND CULTURAL TIES

    Directory of Open Access Journals (Sweden)

    Маргарита Ольнова

    2017-12-01

    Full Text Available This article addresses the topic “Commodification of the Russian language”. The author examines the process of commodification in the Norwegian city of Kirkenes and connects this phenomenon with the rise of the new economy and the current cooperation between Russia and Norway. The paper pre-sents an analysis of the linguistic landscape of Kirkenes, newspaper publications devoted to the “Russian Kirkenes” and interviews with Russian tourists and residents of the city. According to the author, the situation in Kirkenes illustrates the transition of the old economy into a new one: the former mining city turned into a tourist Mecca of the North, a center of cooperation of the Nordic countries. In such conditions, know-ledge of the Russian language becomes beneficial for the city's residents.

  10. Sowing the seeds of skepticism: Russian state news and anti-GMO sentiment.

    Science.gov (United States)

    Dorius, Shawn F; Lawrence-Dill, Carolyn J

    2018-03-21

    Biotech news coverage in English-language Russian media fits the profile of the Russian information warfare strategy described in recent military reports. This raises the question of whether Russia views the dissemination of anti-GMO information as just one of many divisive issues it can exploit as part of its information war, or if GMOs serve more expansive disruptive purposes. Distinctive patterns in Russian news provide evidence of a coordinated information campaign that could turn public opinion against genetic engineering. The recent branding of Russian agriculture as the ecologically clean alternative to genetically engineered foods is suggestive of an economic motive behind the information campaign against western biotechnologies.

  11. Comparative dynamic analysis of morbidity in various age groups in Russian Federation

    Directory of Open Access Journals (Sweden)

    Vera A. Pogodina

    2016-09-01

    Conclusion ― Rate of healthcare visits in Russian Federation was higher for children aged 0-14 years and population older than 18 years. Morbidity increase rate was higher in children aged 0-14 years and women older than 55 years and men older than 60 years. Structural differences in disease groups were detected, which may be taken into account when planning preventive measures according to population age.

  12. The Guatemala-Penn Partners: An Innovative Inter-Institutional Model for Scientific Capacity-Building, Healthcare Education, and Public Health

    Science.gov (United States)

    Paniagua-Avila, Maria Alejandra; Messenger, Elizabeth; Nelson, Caroline A.; Calgua, Erwin; Barg, Frances K.; Bream, Kent W.; Compher, Charlene; Dean, Anthony J.; Martinez-Siekavizza, Sergio; Puac-Polanco, Victor; Richmond, Therese S.; Roth, Rudolf R.; Branas, Charles C.

    2017-01-01

    Population health outcomes are directly related to robust public health programs, access to basic health services, and a well-trained health-care workforce. Effective health services need to systematically identify solutions, scientifically test these solutions, and share generated knowledge. The World Health Organization (WHO)’s Global Healthcare Workforce Alliance states that the capacity to perform research is an essential factor for well-functioning public health systems. Low- and middle-income countries have greater health-care worker shortages and lower research capacity than higher-income countries. International global health partnerships between higher-income countries and low-middle-income countries aim to directly address such inequalities through capacity building, a process by which human and institutional resources are strengthened and developed, allowing them to perform high-level functions, solve complex problems, and achieve important objectives. The Guatemala–Penn Partners (GPP) is a collaboration among academic centers in Guatemala and the University of Pennsylvania (Penn), in Philadelphia, Pennsylvania that echoes the vision of the WHO’s Global Healthcare Workforce Alliance. This article describes the historical development and present organization of the GPP according to its three guiding principles: university-to-university connections, dual autonomies with locally led capacity building, and mutually beneficial exchanges. It describes the GPP activities within the domains of science, health-care education, and public health, emphasizing implementation factors, such as sustainability and scalability, in relation to the guiding principles. Successes and limitations of this innovative model are also analyzed in the hope that the lessons learned may be applied to similar partnerships across the globe. PMID:28443274

  13. Graduate public health training in healthcare of refugee asylum seekers and clinical human rights: evaluation of an innovative curriculum.

    Science.gov (United States)

    Asgary, Ramin

    2016-04-01

    An innovative curriculum was developed to equip public health students with appropriate attitude and skills to address healthcare of asylum seekers. Implemented in 2005 the curriculum included: (1) didactic sessions covering epidemiology and health sequelae of torture, asylum laws, and approaches to identify survivors' healthcare needs; (2) panel discussions with survivors and advocates; and (3) participating in medico-legal process of asylum seeking. Complementary mixed methods evaluations included pre- and post-curriculum questionnaires, formal curriculum evaluations, final papers and oral presentations. 125 students participated. Students showed improved knowledge regrading sequelae of abuse and survivors' healthcare needs (P health and human rights careers. As an advocacy and cultural competency training in public health practice addressing healthcare of refugees domestically, this curriculum was well received and effective, and will also help students better serve other similar populations. Population case-based domestic opportunities to teach global health and health and human rights should be effectively utilized to develop a well-equipped global health corps.

  14. STRATEGIC ANALYSIS OF THE STATE-PRIVATE PARTNERSHIP INSTITUTE IN THE HEALTHCARE

    Directory of Open Access Journals (Sweden)

    V. L. Adzhienko

    2017-01-01

    Full Text Available Management decisions, both at the enterprise level and at the industry level as a whole, is impossible without carrying out a strategic analysis, which is regarded as the performance of a corresponding management function that is perspective-oriented and has a high level of uncertainty. Strategic analysis involves researching the system of factors that determine the future state of the public-private partnership (PPP in the development of health care. The strategic analysis of PPP in the healthcare sector as a complex study of positive and negative factors that may affect the efficiency of the development of the PPP institution in the development of the healthcare is under consideration in the article. A number of new components complementing the system of strategic analysis of PPPs in the healthcare were proposed, and generalizations and conclusions were made.The aim of the research is to study the impact of the strategic analysis of PPPs in the sphere of healthcare on the formation of strategic directions for increasing the efficiency of using the PPP institution in healthcare.Materials and methods. In the process of achieving the research goal, methods of strategic and integrated economic analysis were used.Results and discussion. In our strategic analysis of PPP in the healthcare, it was revealed that under the conditions of underfunding national economy, medical institutions based on PPPs are being established in order to modernize and improve the quality of public services. PPP is an effective mechanism for attracting long-term investments aimed at the development of the health sector. The results of our analysis of PPP in the sphere of Russian healthcare made it possible to reveal that at present there are more than 70 projects in the process of implementation, 61 projects are already under construction and operation. Within the framework of the PPP-implemented healthcare projects, it is planned to attract investments of 61 billion rubles

  15. Comparative performance of private and public healthcare systems in low- and middle-income countries: a systematic review.

    Directory of Open Access Journals (Sweden)

    Sanjay Basu

    Full Text Available INTRODUCTION: Private sector healthcare delivery in low- and middle-income countries is sometimes argued to be more efficient, accountable, and sustainable than public sector delivery. Conversely, the public sector is often regarded as providing more equitable and evidence-based care. We performed a systematic review of research studies investigating the performance of private and public sector delivery in low- and middle-income countries. METHODS AND FINDINGS: Peer-reviewed studies including case studies, meta-analyses, reviews, and case-control analyses, as well as reports published by non-governmental organizations and international agencies, were systematically collected through large database searches, filtered through methodological inclusion criteria, and organized into six World Health Organization health system themes: accessibility and responsiveness; quality; outcomes; accountability, transparency, and regulation; fairness and equity; and efficiency. Of 1,178 potentially relevant unique citations, data were obtained from 102 articles describing studies conducted in low- and middle-income countries. Comparative cohort and cross-sectional studies suggested that providers in the private sector more frequently violated medical standards of practice and had poorer patient outcomes, but had greater reported timeliness and hospitality to patients. Reported efficiency tended to be lower in the private than in the public sector, resulting in part from perverse incentives for unnecessary testing and treatment. Public sector services experienced more limited availability of equipment, medications, and trained healthcare workers. When the definition of "private sector" included unlicensed and uncertified providers such as drug shop owners, most patients appeared to access care in the private sector; however, when unlicensed healthcare providers were excluded from the analysis, the majority of people accessed public sector care. "Competitive

  16. Comparative performance of private and public healthcare systems in low- and middle-income countries: a systematic review.

    Science.gov (United States)

    Basu, Sanjay; Andrews, Jason; Kishore, Sandeep; Panjabi, Rajesh; Stuckler, David

    2012-01-01

    Private sector healthcare delivery in low- and middle-income countries is sometimes argued to be more efficient, accountable, and sustainable than public sector delivery. Conversely, the public sector is often regarded as providing more equitable and evidence-based care. We performed a systematic review of research studies investigating the performance of private and public sector delivery in low- and middle-income countries. Peer-reviewed studies including case studies, meta-analyses, reviews, and case-control analyses, as well as reports published by non-governmental organizations and international agencies, were systematically collected through large database searches, filtered through methodological inclusion criteria, and organized into six World Health Organization health system themes: accessibility and responsiveness; quality; outcomes; accountability, transparency, and regulation; fairness and equity; and efficiency. Of 1,178 potentially relevant unique citations, data were obtained from 102 articles describing studies conducted in low- and middle-income countries. Comparative cohort and cross-sectional studies suggested that providers in the private sector more frequently violated medical standards of practice and had poorer patient outcomes, but had greater reported timeliness and hospitality to patients. Reported efficiency tended to be lower in the private than in the public sector, resulting in part from perverse incentives for unnecessary testing and treatment. Public sector services experienced more limited availability of equipment, medications, and trained healthcare workers. When the definition of "private sector" included unlicensed and uncertified providers such as drug shop owners, most patients appeared to access care in the private sector; however, when unlicensed healthcare providers were excluded from the analysis, the majority of people accessed public sector care. "Competitive dynamics" for funding appeared between the two sectors, such

  17. Value Chains of Public and Private Health-care Services in a Small EU Island State: A SWOT Analysis.

    Science.gov (United States)

    Buttigieg, Sandra C; Schuetz, Marcus; Bezzina, Frank

    2016-01-01

    The global financial and macroeconomic crisis of 2008/2009 and the ensuing recessions obliged policy makers to maximize use of resources and cut down on waste. Specifically, in health care, governments started to explore ways of establishing collaborations between the public and private health-care sectors. This is essential so as to ensure the best use of available resources, while securing quality of delivery of care as well as health systems sustainability and resilience. This qualitative study explores complementary and mutual attributes in the value creation process to patients by the public and private health-care systems in Malta, a small European Union island state. A workshop was conducted with 28 professionals from both sectors to generate two separate value chains, and this was followed by an analysis of strengths, weaknesses, opportunities, and threats (SWOT). The latter revealed several strengths and opportunities, which can better equip health-policy makers in the quest to maximize provision of health-care services. Moreover, the analysis also highlighted areas of weaknesses in both sectors as well as current threats of the external environment that, unless addressed, may threaten the state's health-care system sustainability and resilience to macroeconomic shocks. The study goes on to provide feasible recommendations aimed at maximizing provision of health-care services in Malta.

  18. Polish-Bulgarian-Russian, Bulgarian-Polish-Russian or Russian-Bulgarian-Polish dictionary?

    Directory of Open Access Journals (Sweden)

    Violetta Koseska-Toszewa

    2015-11-01

    Full Text Available Polish-Bulgarian-Russian, Bulgarian-Polish-Russian or Russian-Bulgarian-Polish dictionary? The trilingual dictionary (M. Duszkin, V. Koseska, J. Satoła and A. Tzoneva is being elaborated based on a working Polish-Bulgarian-Russian electronic parallel corpus authored by Maksim Duszkin, Violetta Koseska-Toszewa and Joanna Satoła-Staśkowiak, and works by A. Tzoneva. It is the first corpus comparing languages belonging to three different Slavic language groups: western, southern and eastern. Works on the dictionary are based on Gramatyka konfrontatywna bułgarsko-polska (Bulgarian-Polish confrontative grammar and the proposed there semantic-oriented interlanguage. Two types of classifiers have been introduced into the dictionary: classic and semantic. The trilingual dictionary will present a consistent and homogeneous set of facts of grammar and semantics. The Authors point out that in a traditional dictionary it is not clear for example whether aspect should be understood as imperfective / perfective form of a verb or as its meaning. Therefore in the dictionary forms and meaning are separated in a regular way. Imperfective verb form has two meanings: state and configuration of states and events culminating in state. Also perfective verb form has two meanings: event and configuration of states and events culminating in event. These meanings are described by the semantic classifiers, respectively, state and event, state1 and event1. The way of describing language units, mentioned in the article, gives a possibility to present language material (Polish, Bulgarian, Russian in any required order, hence the article’s title.

  19. The Illusive Nature of ‘Russian International Law

    Directory of Open Access Journals (Sweden)

    Gleb Bogush

    2015-01-01

    Full Text Available The monograph written by Estonian international law scholar Lauri Mälksoo is impressively well-timed. The record of recent international legal developments involving Russia is striking: the annexation of Crimea and the armed conflict in Ukraine, Russia’s ‘sanctions war’ with the United States and the European Union, nonrecognition and non-compliance with the international arbitral award in the Yukos case, and earlier, in 2013, Russia’s boycott of the proceedings at the International Tribunal for the Law of the Sea. Most recently, already subsequent to the publication of Russian Approaches to International Law, in July 2015 the Russian Constitutional Court sent a message of open disregard to Strasbourg by declaring that the judgments of the European Court of Human Rights could not be implemented in Russia if they contradicted the Russian Constitution. In all these instances the Russian government relied on its own reading of international law, which appeared not only to be strikingly different from that of the vast majority of states, but often detrimental to the foundations of the discipline. One might wonder whether these events are just the excesses of authoritarian power-politics, or more fundamentally grounded. Specifically, is there any special Russian international school of legal thought (referred to below as ‘Russian international law’? And if there is, may it serve as a plausible alternative to Western-centric contemporary international law? Lauri Mälksoo’s book is the first genuine response to these questions.

  20. Highlights of the Russian health studies program and updated research findings

    International Nuclear Information System (INIS)

    Fountos, Barrett N.

    2017-01-01

    Recognized for conducting cutting-edge science in the field of radiation health effects research, the Department of Energy's (DOE) Russian Health Studies Program has continued to generate excitement and enthusiasm throughout its 23-year mission to assess worker and public health risks from radiation exposure resulting from nuclear weapons production activities in the former Soviet Union. The three goals of the Program are to: (1) clarify the relationship between health effects and chronic, low-to-medium dose radiation exposure; (2) estimate the cancer risks from exposure to gamma, neutron, and alpha radiation; and (3) provide information to the national and international organizations that determine radiation protection standards and practices. Research sponsored by DOE's Russian Health Studies Program is conducted under the authority of the Joint Coordinating Committee for Radiation Effects Research (JCCRER), a bi-national committee representing Federal agencies in the United States and the Russian Federation. Signed in 1994, the JCCRER Agreement established the legal basis for the collaborative research between USA and Russian scientists to determine the risks associated with working at or living near Russian former nuclear weapons production sites. The products of the Program are peer-reviewed publications on cancer risk estimates from worker and community exposure to ionizing radiation following the production of nuclear weapons in Russia. The scientific return on investment has been substantial. Through 31 December 2015, JCCRER researchers have published 299 peer-reviewed publications. To date, the research has focused on the Mayak Production Association (Mayak) in Ozersk, Russia, which is the site of the first Soviet nuclear weapons production facility, and people in surrounding communities along the Techa River. There are five current projects in the Russian Health Studies Program: two radiation epidemiology studies; two historical dose reconstruction

  1. Individual responsibility for what? : A conceptual framework for exploring the suitability of private financing in a publicly funded health-care system

    OpenAIRE

    Tinghög, Gustav; Carlsson, Per; Lyttkens, Carl H.

    2010-01-01

    Policymakers in publicly funded health-care systems are frequently required to make intricate decisions on which health-care services to include or exclude from the basic health-care package. Although it seems likely that the concept of individual responsibility is an essential feature of such decisions, it is rarely explicitly articulated or evaluated in health policy. This paper presents a tentative conceptual framwork for exploring when health-care services contain characteristics that fac...

  2. Corporate targeting: Nike on the Russian market

    Directory of Open Access Journals (Sweden)

    Sekulović Ana

    2006-01-01

    Full Text Available Nike Corporation is one of leading global players in sports apparel and footwear market. Strategic development of Nike Co has always been based on superior marketing and engagement of world-class sportspersons in its advertising campaigns. When USSR collapsed, Nike immediately started with penetration on Russian market. By relying on its outstanding innovativeness in product development and marketing, Nike has become one of three biggest players in the market. As its distributor for Russian market, Nike has chosen Serbia-based company, Delta Sport. The strategy of penetration on Russian market is based on four major pillars: sport marketing, public relations retail marketing and advertising. The most relevant competitors on Russian market are Reebok and Adidas. Trying to increase its market share in the Russian Federation, Nike has used following competitive advantages: global brand, retail discounts and cost decrease. Regarding further development of the company's activities on Russian market, long-term objectives are as follows: maintaining the leading position, unfurling production on whole RF and CIS territories, new contracts and improvement of contracts with existing partners, expanding of retail network, establishment of own production on RF and CIS markets, and orientation of marketing department toward "Sport Marketing". Delta Sport, as an agent of Nike Co, has certain freedom in creating business policy but it still has to comply with basic principles adopted for the whole corporation. The most important factors considered when selecting a strategy are: positive sides of firm, its goals and interests top management relationships, financial resources, personnel qualifications influence of external environment, and time factor. Delta Sport has entirely adopted these principles and also developed internal ones, which are complementary with Nike's.

  3. On the modernization of public production in Russian Federation

    Directory of Open Access Journals (Sweden)

    Abel Gezevich Aganbegyan

    2011-06-01

    Full Text Available The paper identifies a number of key areas of economic modernization - modernization of property, modernization of financial system, modernization of regional governance and modernization of social sphere. The problems that arise in these areas and their solutions are noted. Disclosure of modernization of the real sector of the economy is made. Mechanisms of technological renovation and restructuring, the sources of the rapid modernization of public production are defined. Modernization of property includes: mass privatization of state property, aimed at its commercial use and creation of favorable economic environment for small business development. Modernization of the financial system must follow the path of reducing the tax burden on business and increasing the role of banks (assets of the banks should not be less than 150% of GDP. Technological upgrade in the real sector will allow raising productivity by 2-3 times in the next 7-10 years, to halve energy intensity of GDP, to create material conditions for manufacturing of innovative products. The restructuring will help diversify the economic structure and exports, create competitive advantages for taking leading position in the field of aerospace engineering, production and export of electricity and electric machine manufacturing products, production of finished goods made from synthetic materials of forest products over time to become the world's leader. A prerequisite condition of rapid modernization are doubling investment rate on the basis of large-scale privatization, redemption of government bonds, formation of the Russian market funds of "long" money (funded pensions, insurance, mutual funds and development of banking system.

  4. POLITICAL FACTORS OF NSTITUTIONAL TRANSFORMATION OF RUSSIAN PUBLIC SERVICE

    Directory of Open Access Journals (Sweden)

    G. A. Borshevskiy

    2018-01-01

    Full Text Available We define the civil service as a political and administrative institution established to meet the needs in the professional performance of political decisions and providing the daily contact between the society and the political power. The definition of civil service in the Russian legislation is not fit the features of public institution, that is why the institutionalization of the civil service in post-Soviet Russia face difficulties.We see ways to overcome this contradiction, which include the improvement of legislation and implementation to the strategic documents the goals, objectives and performance criteria of civil service institution-building. This goals and objectives should orientate the civil servants to ensure economic growth and improving the quality of citizen’s life.The architecture of the civil service institution was offered, including the legal, institutional and human components. We identified the institutional characteristics and location of this institution in the environment of society.The algorithm of civil service institutional change was clarified, which includes elements such as institutional selection, the definition of institutional norms and institutional effects.The requirements for the assessment of institutional effectiveness were formulated. We proved the necessity to describe the driving forces of civil service development not only by external influences, but also its internal environment.The comparison of this set of statistics with indicators of internal development of the civil service allows concluding about the correlation between the civil service performance on different stages of its institutional transformation and attainment the priorities of the economy and society.

  5. Immigration & Ideas: What Did Russian Scientists 'Bring' to the US?

    OpenAIRE

    Ganguli, Ina

    2014-01-01

    This paper examines how high-skilled immigrants contribute to knowledge diffusion using a rich dataset of Russian scientists and US citations to Soviet-era publications. Analysis of a panel of US cities and scientific fields shows that citations to Soviet-era work increased significantly with the arrival of immigrants. A difference-in-differences analysis with matched paper-pairs also shows that after Russian scientists moved to the US, citations to their Soviet-era papers increased relative ...

  6. Two Web-GIS Projects on Russian Historical Sources of the 15-19th Centuries

    Science.gov (United States)

    Frolov, Aleksei A.; Golubinskiy, Aleksei A.

    2018-05-01

    The paper describes an experience of online-publication of Russian archival materials by means of two web-GIS projects. The first project is devoted to publication of the collection of the earliest Russian cartographic drawings (mainly 2nd half of the 17th century), which cover a significant part of Russian territory, mainly the European part (http://rgada.info/geos2). Most of them have never been published and were not easily accessible for scholars and users due to poor physical condition. We tried to combine opportunities of geocoding of the picture with capacity to use an authentic image. The second project offers the results of localization of toponyms and land parcels from various documents (15-19th cc.) connected with one region of the Russian State called Bezhetsk Upland (http://rgada.info/bezheck/popup.html). These results were arranged in the set of layers which may be combined by the user.

  7. Public Value Creation Enabled by Healthcare IS Projects – a resource-based-view

    DEFF Research Database (Denmark)

    Schlichter, Bjarne Rerup; Svejvig, Per; Laursen, Markus

    Creation of value from IT projects is a recurring theme that has diffused into healthcare information sys-tems (HIS). By applying a resource-based-view on findings from a study on the optimisation project of an integrated health information system (HIS) we develop a framework of capabilities needed...... in a public HIS setting to create value. The framework consists of Professional- , Organisational-, Patient Perceived- and Employee Perceived-Value dimensions. HIS is partly overlooked in the public management literature and the aspect of emergence and (personal as well as organisational) learning plays...... an important role in the creation value in HIS-projects....

  8. Improving Outcomes in the Nigeria Healthcare Sector through Public ...

    African Journals Online (AJOL)

    Nigeria's healthcare sector over the years has continued to degenerate with health indicators ... in service delivery as well as increases access to quality healthcare. ... Key words: Nigeria, Healthcare Sector, Health Outcomes, Health Indicators, ...

  9. Demand for healthcare in India

    Directory of Open Access Journals (Sweden)

    Brijesh C. Purohit

    2013-03-01

    Full Text Available In a developing country like India, allocation of scarce fiscal resources has to be based on a clear understanding of how investments in the heath sector are going to affect demand. Three aspects like overall healthcare demand, consumer decisions to use public and/or private care and role of price/quality influencing poor/rich consumer’s decisions are critical to assessing the equity implications of alternative policies. Our paper addresses these aspects through examining the pattern of healthcare demand in India. Data from the National Family Health Survey are used to model the healthcare choices that individuals make. We consider what these behavioral characteristics imply for public policy. This analysis aims to study disparities between rural and urban areas from all throughout India to five Indian states representing three levels of per capita incomes (all-India average, rich and poor. Results evidence that healthcare demand both in rural and urban areas is a commodity emerging as an essential need. Choices between public or private provider are guided by income and quality variables mainly with regard to public healthcare denoting thus a situation of very limited alternatives in terms of availing private providers. These results emphasize that existing public healthcare facilities do not serve the objective of providing care to the poor in a satisfactory manner in rural areas. Thus, any financing strategy to improve health system and reduce disparities across rich-poor states and rural-urban areas should also take into account not only overcoming inadequacy but also inefficiency in allocation and utilization of healthcare inputs.

  10. Healthcare financing: approaches and trends in India.

    Science.gov (United States)

    Bajpai, Vikas; Saraya, Anoop

    2010-01-01

    Despite the importance of healthcare for the well-being of society, there is little public debate in India on issues relating to it. The 'human capital approach' to finance healthcare largely relies on private investment in health, while the 'human development approach' envisages the State as the guarantorof preventive as well as curative care to achieve universalization of healthcare. The prevailing health indices of India and challenges in the field of public health require a human developmentapproach to healthcare. On the eve of independence, India adopted the human development approach, with the report of the Bhore Committee emphasizing the role of the State in the development and provision of healthcare. However, more recently, successive governments have moved towards the human capital approach. Instead of increasing state spending on health and expanding the public health infrastructure, the government has been relying more and more on the private sector. The public-private partnership has been touted as the new-age panacea for the ills of the Indian healthcare system. This approach has led to a stagnation of public health indices and a decrease in the access of the poor to healthcare.

  11. LEAN thinking in Finnish healthcare.

    Science.gov (United States)

    Jorma, Tapani; Tiirinki, Hanna; Bloigu, Risto; Turkki, Leena

    2016-01-01

    Purpose - The purpose of this study is to evaluate how LEAN thinking is used as a management and development tool in the Finnish public healthcare system and what kind of outcomes have been achieved or expected by using it. The main focus is in managing and developing patient and treatment processes. Design/methodology/approach - A mixed-method approach incorporating the Webropol survey was used. Findings - LEAN is quite a new concept in Finnish public healthcare. It is mainly used as a development tool to seek financial savings and to improve the efficiency of patient processes, but has not yet been deeply implemented. However, the experiences from LEAN initiatives have been positive, and the methodology is already quite well-known. It can be concluded that, because of positive experiences from LEAN, the environment in Finnish healthcare is ready for the deeper implementation of LEAN. Originality/value - This paper evaluates the usage of LEAN thinking for the first time in the public healthcare system of Finland as a development tool and a management system. It highlights the implementation and achieved results of LEAN thinking when used in the healthcare environment. It also highlights the expectations for LEAN thinking in Finnish public healthcare.

  12. Value Chains of Public and Private Health-care Services in a Small EU Island State: A SWOT Analysis

    Science.gov (United States)

    Buttigieg, Sandra C.; Schuetz, Marcus; Bezzina, Frank

    2016-01-01

    The global financial and macroeconomic crisis of 2008/2009 and the ensuing recessions obliged policy makers to maximize use of resources and cut down on waste. Specifically, in health care, governments started to explore ways of establishing collaborations between the public and private health-care sectors. This is essential so as to ensure the best use of available resources, while securing quality of delivery of care as well as health systems sustainability and resilience. This qualitative study explores complementary and mutual attributes in the value creation process to patients by the public and private health-care systems in Malta, a small European Union island state. A workshop was conducted with 28 professionals from both sectors to generate two separate value chains, and this was followed by an analysis of strengths, weaknesses, opportunities, and threats (SWOT). The latter revealed several strengths and opportunities, which can better equip health-policy makers in the quest to maximize provision of health-care services. Moreover, the analysis also highlighted areas of weaknesses in both sectors as well as current threats of the external environment that, unless addressed, may threaten the state’s health-care system sustainability and resilience to macroeconomic shocks. The study goes on to provide feasible recommendations aimed at maximizing provision of health-care services in Malta. PMID:27683658

  13. In science communication, why does the idea of a public deficit always return? How do the shifting information flows in healthcare affect the deficit model of science communication?

    Science.gov (United States)

    Ko, Henry

    2016-05-01

    The healthcare field contains a multitude of opportunities for science communication. Given the many stakeholders dancing together in a multidirectional tango of communication, we need to ask how much does the deficit model apply to the health field? History dictates that healthcare professionals are the holders of all knowledge, and the patients and other stakeholders are the ones that need the scientific information communicated to them. This essay argues otherwise, in part due to the rise of shared decision-making and patients and other stakeholders acting as partners in healthcare. The traditional deficit model in health held that: (1) doctors were experts and patients were consumers, (2) it is impossible for the public to grasp the many disciplines of knowledge in medicine, (3) if experts have trouble keeping up with medical research then the public surely can't keep up, and (4) it is safer for healthcare professionals to communicate to the public using a deficit model. However, with the rise of partnerships with patients in healthcare decision-making, the deficit model might be weakening. Examples of public participation in healthcare decision-making include: (1) crowd-sourcing public participation in systematic reviews, (2) public participation in health policy, (3) public collaboration in health research, and (4) health consumer groups acting as producers of health information. With the challenges to the deficit model in science communication in health, caution is needed with the increasing role of technology and social media, and how these may affect the legitimacy of healthcare information flows away from the healthcare professional. © The Author(s) 2016.

  14. Public health, healthcare, health and inequality in health in the Nordic countries

    DEFF Research Database (Denmark)

    Christiansen, Terkel; Lauridsen, Jørgen Trankjær; Kifmann, Mathias

    2018-01-01

    -economic equality in health. Each of the five countries has established extensive public health programmes, although with somewhat different measures to increase health of the populations. We compare these countries to the UK and Germany by using data from the European Social Survey for 2002 and 2012 in addition......All five Nordic countries emphasize equal and easy access to healthcare, assuming that increased access to healthcare leads to increased health. It is the purpose of the present study to explore to which extent the populations of these countries have reached good health and a high degree of socio...... to OECD statistics for the same years. Health is measured by self-assessed health in five categories, which is transformed to a cardinal scale using Swedish time trade-off (TTO) weights. As socio-economic measures we use household income and length of education. Socio-economic inequality in health...

  15. Comparative Performance of Private and Public Healthcare Systems in Low- and Middle-Income Countries: A Systematic Review

    Science.gov (United States)

    Basu, Sanjay; Andrews, Jason; Kishore, Sandeep; Panjabi, Rajesh; Stuckler, David

    2012-01-01

    Introduction Private sector healthcare delivery in low- and middle-income countries is sometimes argued to be more efficient, accountable, and sustainable than public sector delivery. Conversely, the public sector is often regarded as providing more equitable and evidence-based care. We performed a systematic review of research studies investigating the performance of private and public sector delivery in low- and middle-income countries. Methods and Findings Peer-reviewed studies including case studies, meta-analyses, reviews, and case-control analyses, as well as reports published by non-governmental organizations and international agencies, were systematically collected through large database searches, filtered through methodological inclusion criteria, and organized into six World Health Organization health system themes: accessibility and responsiveness; quality; outcomes; accountability, transparency, and regulation; fairness and equity; and efficiency. Of 1,178 potentially relevant unique citations, data were obtained from 102 articles describing studies conducted in low- and middle-income countries. Comparative cohort and cross-sectional studies suggested that providers in the private sector more frequently violated medical standards of practice and had poorer patient outcomes, but had greater reported timeliness and hospitality to patients. Reported efficiency tended to be lower in the private than in the public sector, resulting in part from perverse incentives for unnecessary testing and treatment. Public sector services experienced more limited availability of equipment, medications, and trained healthcare workers. When the definition of “private sector” included unlicensed and uncertified providers such as drug shop owners, most patients appeared to access care in the private sector; however, when unlicensed healthcare providers were excluded from the analysis, the majority of people accessed public sector care. “Competitive dynamics” for

  16. A community study of language concordance in Russian patients with diabetes.

    Science.gov (United States)

    Mehler, Philip S; Lundgren, Rita A; Pines, Irina; Doll, Katherine

    2004-01-01

    Unique challenges exist in the provision of culturally and linguistically appropriate health care to ethnically diverse populations. The purpose of this study was to improve the metabolic control of Russian patients with diabetes through increased attention to language and cultural concordance between the provider and patient. This is a retrospective cohort study of 55 Russian immigrant type 2 patients with diabetes to assess levels of glycemic, lipid, and blood pressure control before and after the arrival of a bilingual Russian internist trained in both the United States and Russia. Paired t test was used to compare these parameters before and after the bilingual Russian provider joined our practice. Overall, the mean low density lipoprotein (LDL) level decreased by 20% from 126 mg/dL to 102 mg/dL (P=.0002) respectively before and after the Russian provider began treating these patients. Mean hemoglobin A1c decreased from 8.4% to 8.0% (P=.007), and diastolic blood pressure was reduced from 82.7 mm Hg to 76.3 mm Hg (P=.0002). Systolic blood pressure also improved from 143.2 mm Hg to 140.6 mm Hg (P=.3). At the end of the study period more than 90% of the patients with diabetes were appropriately taking lipid-lowering medications and an angiotensin converting enzyme (ACE) inhibitor. Our findings suggest that it is important to facilitate the health care of ethnically diverse minority populations in a manner that attempts to maximize language and cultural concordance. These potential benefits will assume an even greater importance with the expansive growth of ethnic minorities in the United States and their unique healthcare needs.

  17. DEVELOPMENT OF REHABILITATION ORIENTED RUSSIAN INSTITUTION OF BANKRUPTCY

    Directory of Open Access Journals (Sweden)

    Vаleriy Nikolaevich Alferov

    2016-01-01

    Full Text Available The paper conducted a study on the mechanisms of the development of Russian rehabilitative orientation of the institution of bankruptcy. Objectivs. To analyze the existing conditions and particularly the implementation of the institution of bankruptcy of legal entities in Russia and abroad and on the basis of foreign experience to consider proposals for the development of its rehabilitation orientation.Methods. Empirical and economic and statistical research methods based on the Russian and international practice, implementation of bankruptcy legislation. Results. A generalization of the features of the implementation of domestic and foreign institution of bankruptcy and considered proposals for the development of its rehabilitation orientation. Conclusions and Relevance. In the Russian legislation on bankruptcy is necessary to develop rehabilitation procedure of bankruptcy to achieve the goal of a public law character – the restoration of the debtor's solvency. At present, primary importance should be given to the development of pre-trial financial recovery of debtors, including through the conciliation.

  18. Russian science trapped in web of rapid change

    International Nuclear Information System (INIS)

    Josephson, P.R.

    1995-01-01

    During the Cold War, Soviet physicists were revered for their contribution to the country's prestige, economic growth, and national security, says Paul Josephson, a professor in the Department of Science, Technology, and Society at Sarah Lawrence College in Bronxville, New York. But the lavish support the Russian physics establishment once received is gone. In fact, the dissolution of the Soviet regime and deepening economic and political crisis have left scientists struggling to maintain their programs and keep institutes open. Internal crisis and the internationalization of science and technology have led to a drain of top Russian scientists in many fields, particularly in mathematics and theoretical physics. The West has responded to these concerns by giving financial aid and sponsoring initiatives designed to keep former Soviet scientists employed either at home or in the United States or Europe. However, the ultimate health of Russian science will depend on internal government reforms and public support, concludes Josephson

  19. Digital Revolution and Innovative Business Models in Healthcare: Global Trends and Russian Realities.

    Science.gov (United States)

    Bereznoy, A V; Saygitov, R T

    Digital revolution is one of the major global trends resulting in the unprecedented scale and depth of penetration of information and communication technologies into all sectors of national economy, including healthcare. The development of this trend brought about high expectations related to the improvement of quality of medical assistance, accessibility and economic efficiency of healthcare services. However, euphoria of the first steps of digital revolution is passing now, opening doors to more realistic analysis of opportunities and conditions of realization of the true potential hidden in the digital transformation of healthcare. More balanced perception of the peculiarities of innovation processes in the sector is coming together with understanding of the serious barriers, hampering implementation of the new ideas and practices due to complicated interweaving of social, economic, ethical and psychological factors. When taking into account the industry specifics it becomes evident that digital revolution cannot be a quick turnaround but rather would pass a number of phases and is likely to last more than one decade. In this context the article focuses on the prospects of the new business models, capable of making significant changes in today’s economic landscape of the sector (including uber-medicine, retail clinics, retainer medicine, network models of medical services). The authors also provide assessment of the current situation and perspectives of digital healthcare development in Russia.

  20. RUSSIAN MULTINATIONALS IN ROMANIA AND THEIR IMPACT UPON THE ROMANIAN ECONOMY

    Directory of Open Access Journals (Sweden)

    CODRUŢA DURA

    2012-01-01

    Full Text Available Our paper provides an insight into the universe of Russian multinationals and their influence upon the Romanian economy. Even if statistical data on foreign direct investment stock by country of origin do not prove the existence of Russian capital in Romania, it is a fact that the high values of foreign direct investment stock from the Netherlands, Austria, Germany or Switzerland are largely due to the investment projects undertaken in Romania by Russian multinationals. Despite the lack of relevant statistical data, we can say that the impact of Russian MNC’s on the Romanian economy is huge. Among positive influences we can mention: global employment opportunities for highly qualified workforce in the region; the transfer of advanced technologies to Romanian enterprises and the local markets; the awareness of business partners and public opinion on social responsibility; the insert of higher performance standards, competitiveness and managerial ethics.

  1. The Russian gas industry

    International Nuclear Information System (INIS)

    1997-01-01

    The Russian Federation holds the world's largest proven natural gas reserves, and produces more natural gas than any other nation. Russian exports of gas to Europe and the other nations of the Commonwealth of Independent States (CIS) have a significant impact on natural gas markets throughout Europe and Asia. The aim of this three part study is to inform the international energy and investment community about the current status of the Russian gas industry and the prospects for its future development through 2010. It is also intended to provide an opportunity for the appropriate authorities in the Russian Federation to assess the needs of the industry and to consider areas for possible collaboration with the international investment community and international organizations in a rapidly changing economic and business environment. The study was prepared by the Energy Branch of the United Nations Department for Development Support and Management Services (UN/DDSMS). It was financed by the United Nations Development Programme (UNDP). Part I describes Russian gas reserves and potential resources, and overviews the country's gas producing, pipeline and distribution industries. Additionally, it summarizes the markets for Russian natural gas including domestic and external markets. It discusses the primary economics and potential factors that currently impact the Russian gas industry during the Federation's transition toward a market economy. Part II highlights possible directions for the development of the Russian gas resource base, including upstream gas production and downstream marketing in five-, ten- and fifteen-year time frames. It projects export opportunities for Russian Federation gas and evaluates the options for shaping regional and international markets. Part III addresses the legal and regulatory framework and fiscal regime of the Russian gas industry. It also reviews the major investment requirements and the equipment and training needs of the Russian gas

  2. The Russian oil

    International Nuclear Information System (INIS)

    Rucker, Laurent

    2003-01-01

    This article proposes a brief discussion of various assessments of Russian oil reserves, of the evolutions of Russian oil production (Russia is the second world producer after Saudi Arabia), of the distribution of Russian oil exports among various regions, and of the decrease of Russian oil consumption between 1992 and 2002. It describes the evolution of the actor system as the oil sector has been largely privatised since 1992, and indicates the main companies which should control the Russia market on a medium term. It also discusses the obstacles for the development of Production Sharing Agreements (PSA) between these companies. It addresses the issue of modernisation of the oil transport system as its status and its condition are often an obstacle to oil export for Russian companies. The article finally discusses the price issue, the relationship between Russia and other OPEC countries, and the need for huge investments

  3. Slovakian-Russian partnership as a part of the supply chain for nuclear power plants and advanced Russian technology for nuclear power plants

    International Nuclear Information System (INIS)

    Ivanov, T.; Chernyakhovskaya, Y.

    2009-01-01

    The first nuclear power project in the Slovak Republic was launched in 1958 through close cooperation with the Russian nuclear industry. Since then the Slovak and Russian nuclear branches were never separated. Technical and economic performances of the NPP units constructed with participation of Russian specialists were and continue being one of the best globally. The culture of business and competence of ASE is based on about 40 years of experience in construction of 29 NPP power units abroad with 20 GW total capacity. ASE strives to present to the Customers line of NPP designs ready for implementation and well-developed network of the multi-functional alliances and JVs. Currently, large-scale NPP projects involve public-private partnership (PPP) more and more. ASE development vision is to flexibly conform to Customers' requirements and needs and to diversify in related segments of EPC-business, namely designing, manufacturing, electric power trade, etc. Systematical approach to the fostering of mutual relations under the new economic conditions and nuclear renaissance, the Slovak-Russian cooperation in NPP engineering, manufacturing and construction are once again promising and long-term oriented. (authors)

  4. SOCIAL AND HUMANITARIAN ISSUES IN INTERNATIONAL STUDIES: THE RUSSIAN PERSPECTIVE

    Directory of Open Access Journals (Sweden)

    M. M. Lebedeva

    2018-01-01

    Full Text Available Since the end of the 20th century, with the increasing role of the human factor in the world, the importance of the social and humanitarian component in world politics has also increased. This manifested itself not only in humanitarian and social issues, but also in the fact that the human factor has become an important component of other issues, including military and economic ones. The analysis of the Russian international studies on social and humanitarian issues in the article has been carried out in two main areas related to each other: 1 soft power and public diplomacy; 2 human capital. Various approaches to understanding soft power and public diplomacy in Russia are analyzed under the framework of the first area. It is shown that rather often both these terms are understood as informational and propagandistic influence on the societies of other coun­tries. In this regard, in recent years, Russian authors have paid special attention to the issues of information and hybrid wars. Russian researches on human capital in quantitative terms is much inferior to the research of the first area. At the same time Russian works on the issues of the role of higher education, its use as a soft power were to a great extend a pioneer ones. The main conclusion of the article is that humanitarian issues do not occupy the some prominaut place in the international studies they do in real life world politics.

  5. A systematic review of stated preference studies reporting public preferences for healthcare priority setting.

    Science.gov (United States)

    Whitty, Jennifer A; Lancsar, Emily; Rixon, Kylie; Golenko, Xanthe; Ratcliffe, Julie

    2014-01-01

    There is current interest in incorporating weights based on public preferences for health and healthcare into priority-setting decisions. The aim of this systematic review was to explore the extent to which public preferences and trade-offs for priority-setting criteria have been quantified, and to describe the study contexts and preference elicitation methods employed. A systematic review was performed in April 2013 to identify empirical studies eliciting the stated preferences of the public for the provision of healthcare in a priority-setting context. Studies are described in terms of (i) the stated preference approaches used, (ii) the priority-setting levels and contexts, and (iii) the criteria identified as important and their relative importance. Thirty-nine studies applying 40 elicitation methods reported in 41 papers met the inclusion criteria. The discrete choice experiment method was most commonly applied (n = 18, 45.0 %), but other approaches, including contingent valuation and the person trade-off, were also used. Studies prioritised health systems (n = 4, 10.2 %), policies/programmes/services/interventions (n = 16, 41.0 %), or patient groups (n = 19, 48.7 %). Studies generally confirmed the importance of a wide range of process, non-health and patient-related characteristics in priority setting in selected contexts, alongside health outcomes. However, inconsistencies were observed for the relative importance of some prioritisation criteria, suggesting context and/or elicitation approach matter. Overall, findings suggest caution in directly incorporating public preferences as weights for priority setting unless the methods used to elicit the weights can be shown to be appropriate and robust in the priority-setting context.

  6. Assessment of the Public Procurement Role in Public Sector Modernization in Russia

    Directory of Open Access Journals (Sweden)

    Averkieva Elena, S.

    2016-03-01

    Full Text Available The impact of public procurement on the Russian economy is investigated in the paper. An assessment of the system’s effect on national competitiveness and the activities of small businesses is provided. Public contract system is a versatile tool that can be used to control a wide variety of economic sectors. Every year, the share of public sector in the Russian economy is increasing, that means the state influence on economic processes taking place in the country is growing steadily. First of all the importance of public procurement in the Russian economy can be estimated by matching parameters of the budgetary system and GDP. The interrelationship of public procurement and national competitiveness is identified in the paper based on the consideration of measures to ensure energy efficiency and national treatment. Efficient spending of budget funds, as stated in the objectives of the contract system, is analyzed by the indicator of the savings in absolute and relative terms. Indicators of system openness, which will improve the monitoring of its transparency, are given to determine the effect on the economy of corruption component of public procurement.

  7. The private healtcare systems in europe. What can we learn from Russia?

    Science.gov (United States)

    Akulin, Igor M; Chesnokova, Ekaterina A; Genovese2, Umberto; Amato, Simona; Ragazzoni, Massimo Gabriele

    2014-01-01

    The European healthcare system is characterized by different kinds of funding: public, insurance-based, and mixed. In Italy, the prolonged economic crisis and the need for a cost reduction in the public administrations make necessary a cut in expenditure, which has a significant impact also on the funding of the healthcare system. The comparison of different European healthcare systems may offer useful insights for a better definition of the European and / or national healthcare provision strategies, which would be economically and financially sustainable but also capable to protect the population health. In this regard, it is worth to analyze the Russian healthcare system, which in the last years has undergone significant changes in its structure and in the way healthcare services are supplied. The peculiarity of the Russian healthcare system, which is quite different from the European standards for both professional requirements and theoretical knowledge, makes Russia an absolutely interesting partner for a future joint venture research. This paper describes the Russian national healthcare system highlights the differences in the demographic and socio-economic structures relatively to the Italian model. The paper supports a reflection on the sustainability of the health care systems and on the organizational forms that would guarantee the supply of better healthcare services in terms of quality, appropriateness and safety, compatibly with its economic sustainability.

  8. Path of a patient with a rare diagnosis: regulatory documents and organization of the process of treatment and diagnosis of an orphan disease in the Russian Federation

    OpenAIRE

    S. I. Kutsev

    2017-01-01

    The main legislative document of the organization of medical care in the Russian Federation “On fundamental healthcare principles in the Russian Federation” and points related to the rare (orphan) diseases are  discussed. The organization of care, rules for managing a federal  registry of orphan diseases and routing of patients with main orphan nosological forms for which treatment is known are presented.

  9. COMPARATIVE ANALYSIS OF AVAILABILITY OF THE MEDICINES FOR PRIVILEGED CATEGORIES OF CITIZENS SUFFERING FROM DIABETES MELLITUS IN THE RUSSIAN FEDERATION AND UKRAINE BASED ON THE PHARMACEUTICAL LAW

    Directory of Open Access Journals (Sweden)

    Shapovalov VV (Jr

    2015-04-01

    pharmaceutical law. In the study researched the particularities of legal documents in the Ukraine and Russian Federation aimed at organizing rules regulating circulation of the drugs used in the pharmacotherapy of diabetes. Found that pharmaceutical law in the field of public administration in the Russian Federation and Ukraine is the foundation and guarantor in protecting the rights of states declared the privileged category of people suffering from diabetes mellitus on unrestricted access to essential drugs. Established that the Ministry of Healthcare of Ukraine and the Ministry of Healthcare of Russian Federation must provide scientific advice for the prevention of diabetes mellitus; update in accordance to the European standards and directives, standards of diagnosis, clinical protocols and rules of care for patients suffering from diabetes mellitus; raise public awareness about the global epidemic of diabetes; analyze forensic and pharmaceutical practice as a result of violations of the rights of patients with diabetes to ensure preferential (free drugs. Ensuring the rights of patients with diabetes mellitus and providing vital medicines of all classification and legal groups, should base solely on the norms of medical and pharmaceutical law, the Constitution and laws of Ukraine. This will enable to the government to control the process of the licensing conditions for the implementation of activities related to the circulation of drugs among the healthcare facilities (pharmacies and hospitals.

  10. Heat transfer bibliography: russian works

    Energy Technology Data Exchange (ETDEWEB)

    Luikov, A V

    1965-02-01

    This bibliography of recent Russian publications in heat transfer is divided into the following categories: (1) books; (2) general; (3) experimental methods; (4) analytical calculation methods; (5) thermodynamics; (6) transfer processes involving phase conversions; ((7) transfer processes involving chemical conversions; (8) transfer processes involving very high velocities; (9) drying processes; (10) thermal properties of various materials, heat transfer agents and their determination methods; (11) high temperature physics and magneto- hydrodynamics; and (12) transfer processes in technological apparatuses. (357 refs.)

  11. The public-private partnership regulatory support of the healthcare sector in Ukraine

    Directory of Open Access Journals (Sweden)

    N. G. Gojda

    2013-10-01

    Full Text Available Summary: Article is devoted to the legislation review of the public-private partnership projects of the healthcare sector inUkraine. Authors focused attention on the basic problems of public-private partnership projects inUkraine. Objective: Analysis of the legal framework provides the possibility of public-private partnerships in health care ofUkraine and confirms the relevance of the scientific concept of development of public-private partnerships in health care ofUkraine. Methods: There were used periodic data of legal, economic and medical research publications inUkraine and CIS countries on regulatory support public-private partnerships. Results: The researches in many countries have proven the established of state regulatory bodies that carefully study various aspects of the business partnership in the services of provision of health care. Developed numerical models as simple infrastructure projects implement business participation in providing non-medical services (construction, hotels and utilities, technical re-equipment etc. to complex integrated models that involve the transfer of important state functions to private partner (strategic planning, highly specialized medical care, research, medical education, etc.. Conclusion: The development of public-private partnerships in health care of Ukraine is possible only in condition of further improvement of legislation to the line with the norms and principles of international law, providing a clear and coordinated cooperation of all branches and friendly to business partnership administrative environment.

  12. The healthcare system in the Caucasus at the beginning of the XX century: the development features

    Directory of Open Access Journals (Sweden)

    Tatiana E. Gvarliani

    2016-03-01

    Full Text Available The article based on the archival material deals with the healthcare system in the Caucasus at the beginning of the XX century. In writing this article, the authors made use of reports from national archives of Georgia (Tbilisi, Georgia, the archival department of administration of Sochi (Sochi, Russian Federation. There is given the statistics from the works of Russian and foreign authors, and also reference literature. The authors’ use of the principles of objectivity, historicism, systematic, the integrated consideration of socio-subjective in the subject of study and the maximum possible neutrality of the relationship of the researcher to interpret and evaluate the factual material. In conclusion, the authors stated that in the late of XIX – early XX centuries the healthcare system in the Caucasus has experienced a period of significant development. In this time, taking into account the regional peculiarities, there were developed the institutions of the health system, and have been taken measures of anti-epidemic struggle. Despite the difficulties of conducting the health activities in a multinational region the Russian administration managed to significantly reduce the number of patients in the Caucasus.

  13. Healthcare waste management in Uganda: management and generation rates in public and private hospitals in Kampala

    NARCIS (Netherlands)

    Mugambe, R.K.; Ssempebwa, J.C.; Tumwesigye, N.M.; Vliet, van B.J.M.; Adedimeji, A.

    2012-01-01

    Aim The aim of this study was to assess the management, characteristics and generation of healthcare waste (HCW) in public and private hospitals in Kampala City, Uganda. Methods We employed mainly qualitative methods through the use of a waste inventory, observations, document review and key

  14. LINGUISTIC LANDSCAPE AND WHAT IT TELLS US ABOUT THE INTEGRATION OF THE RUSSIAN LANGUAGE INTO ISRAELI ECONOMY

    Directory of Open Access Journals (Sweden)

    Мария Еленевская

    2017-12-01

    Full Text Available This essay analyzes the use of Russian in the linguistic landscape of Israel. Despite continu-ing hegemony of Hebrew, Russian has penetrated all spheres of public life, although concessions to multi-lingualism in Israeli society are hesitant and unsystematic. Russian written texts marking urban areas are unevenly distributed and reveal ethnic and social stratification of Israeli cities. The concentration of Russian signs is highest in business and commercial areas, where they target both domestic and international cus-tomers. The article focuses on the use of Russian in language-intensive domains and traces its influence on the symbolic economy in which cultural symbols are used as a marketing strategy.

  15. Protecting Public Health: Plug-In Electric Vehicle Charging and the Healthcare Industry

    Energy Technology Data Exchange (ETDEWEB)

    Ryder, Carrie; Lommele, Stephen

    2016-10-01

    In 2014, the U.S. transportation sector consumed more than 13 million barrels of petroleum a day, approximately 70% of all domestic petroleum consumption. Internal combustion engine vehicles are major sources of greenhouse gases (GHGs), smog-forming compounds, particulate matter, and other air pollutants. Widespread use of alternative fuels and advanced vehicles, including plug-in electric vehicles (PEVs), can reduce our national dependence on petroleum and decrease the emissions that impact our air quality and public health. Healthcare organizations are major employers and community leaders that are committed to public well-being and are often early adopters of employer best practices. A growing number of hospitals are offering PEV charging stations for employees to help promote driving electric vehicles, reduce their carbon footprint, and improve local air quality.

  16. How do healthcare consumers process and evaluate comparative healthcare information? A qualitive study using cognitive interviews

    NARCIS (Netherlands)

    Damman, O.C.; Hendriks, M.; Rademakers, J.; Delnoij, D.M.J.; Groenewegen, P.P.

    2009-01-01

    Background: To date, online public healthcare reports have not been effectively used by consumers. Therefore, we qualitatively examined how healthcare consumers process and evaluate comparative healthcare information on the Internet. Methods: Using semi-structured cognitive interviews, interviewees

  17. How do healthcare consumers process and evaluate comparative healthcare information? A qualitative study using cognitive interviews.

    NARCIS (Netherlands)

    Damman, O.C.; Hendriks, M.; Rademakers, J.; Delnoij, D.; Groenewegen, P.

    2009-01-01

    Background: To date, online public healthcare reports have not been effectively used by consumers. Therefore, we qualitatively examined how healthcare consumers process and evaluate comparative healthcare information on the Internet. Methods: Using semi-structured cognitive interviews, interviewees

  18. The Russian Orthodox Church as moral norm entrepreneur.

    Science.gov (United States)

    Stoeckl, Kristina

    2016-04-02

    Conflicts over religious symbols in the public sphere, gay marriage, abortion or gender equality have shown their disruptive potential across many societies in the world. They have also become the subject of political and legal debates in international institutions. These conflicts emerge out of different worldviews and normative conceptions of the good, and they are frequently framed in terms of competing interpretations of human rights. One newcomer voice in conflicts over rights and values in the international sphere is the Russian Orthodox Church (ROC), which in recent years has become an active promoter of 'traditional values' both inside Russia and internationally. This article studies the ideational prerequisites and dynamics of Russian Orthodox 'norm protagonism' in the international arena.

  19. EVALUATION OF LABOR CONDITIONS BY PUBLIC HEALTH WORKERS IN THE RUSSIAN FAR EAST

    Directory of Open Access Journals (Sweden)

    Yu. V. Kirik

    2018-01-01

    Full Text Available The aim of the study is to analyze the conditions and organization of work of public health workers of state medical organizations in the Far East of Russia according to a medical and sociological survey. Materials and methods. A questionnaire survey was chosen. There are 835 people took part in the poll. To gather social information, three groups of respondents were selected: 1 senior and middle managers, 2 heads of structural units; 3 doctors, various clinical specialties, included in the reserve of management personnel. The collection of statistical data was conducted in 2015- 2017. Statistical analysis of the data was carried out using the methods of calculating relative values, calculating the average values, and ANOVA. Results. According to the obtained results, all groups of respondents believe that present healthcare industry in Russia is developed satisfactorily. Participants in the survey estimate the current state of resources of public health institutions rather low. According to the survey results, health workers give an unsatisfactory assessment of the technical condition of the buildings of medical organizations, of the provision of doctors and middle medical personnel. Among the proposed motivational factors of labor activity, healthcare workers and give a satisfactory assessment of such factors as: the discipline of work, the amount of work, the safety in the workplace, the stability of the workplace and interpersonal relations with colleagues. Opinion of medical workers does not coincide in the assessment of factors: wages, technical support of the workplace, the volume of document circulation, the opportunity for professional development, self-realization and career growth. Senior and middle managers assess these factors as «satisfactory», doctors give an assessment of «unsatisfactory». Heads of structural subdivisions assess the factors of technical support for the workplace, the size of wages and volume of document

  20. A web-based information system for a regional public mental healthcare service network in Brazil.

    Science.gov (United States)

    Yoshiura, Vinicius Tohoru; de Azevedo-Marques, João Mazzoncini; Rzewuska, Magdalena; Vinci, André Luiz Teixeira; Sasso, Ariane Morassi; Miyoshi, Newton Shydeo Brandão; Furegato, Antonia Regina Ferreira; Rijo, Rui Pedro Charters Lopes; Del-Ben, Cristina Marta; Alves, Domingos

    2017-01-01

    Regional networking between services that provide mental health care in Brazil's decentralized public health system is challenging, partly due to the simultaneous existence of services managed by municipal and state authorities and a lack of efficient and transparent mechanisms for continuous and updated communication between them. Since 2011, the Ribeirao Preto Medical School and the XIII Regional Health Department of the Sao Paulo state, Brazil, have been developing and implementing a web-based information system to facilitate an integrated care throughout a public regional mental health care network. After a profound on-site analysis, the structure of the network was identified and a web-based information system for psychiatric admissions and discharges was developed and implemented using a socio-technical approach. An information technology team liaised with mental health professionals, health-service managers, municipal and state health secretariats and judicial authorities. Primary care, specialized community services, general emergency and psychiatric wards services, that comprise the regional mental healthcare network, were identified and the system flow was delineated. The web-based system overcame the fragmentation of the healthcare system and addressed service specific needs, enabling: detailed patient information sharing; active coordination of the processes of psychiatric admissions and discharges; real-time monitoring; the patients' status reports; the evaluation of the performance of each service and the whole network. During a 2-year period of operation, it registered 137 services, 480 health care professionals and 4271 patients, with a mean number of 2835 accesses per month. To date the system is successfully operating and further expanding. We have successfully developed and implemented an acceptable, useful and transparent web-based information system for a regional mental healthcare service network in a medium-income country with a decentralized

  1. Antimasonian activity of Russian monarchical emigration of «first wave» (1917–1940

    Directory of Open Access Journals (Sweden)

    Ermakov V.A.

    2018-03-01

    Full Text Available summary: The work shows that in the modern domestic liberal historiography of Russian emigration, there is a tendency to conceal and hide political problems raised by Russian monarchists. And, on the contrary, in the works of representatives of the patriotic direction, a wide range of views of Russian monarchists, centered around the Masonic problem and the struggle against Bolshevism, are being explored. The system of estimations by Russian right-wing representatives of the «philosophical steamer» as «apologists of Freemasonry» and the bearers of the ideas of «Masonic democracy» and also as «reformers of Orthodoxy» was reconstructed. The specifics of the struggle of Russian patriotic circles of white emigration with the Russian Masonic lodges restored abroad are shown. The anti-Masonic activities of the Russian Church abroad are considered. As the highest achievement of anti-Masonic publicism is considered the religious and political philosophy of the history of Russian monarchists. The author believe that the main historiographic criterion for distinguishing the political activity of Russian emigration should be recognized as its pro-Masonic or anti-Masonic orientation. As a result of the research, the author come to the conclusion that the anti-Masonic activities of the Russian right largely objectively reflected the main contradiction of the Russian history of «post-October abroad» as the struggle of Russian patriotic monarchists and the Orthodox Church abroad with the Russophobic forces of the West, whose concentrated expression was Freemasonry.

  2. Emergence of new Russian and foreign investors in the Russian oil and gas complex

    International Nuclear Information System (INIS)

    Arbatov, A.A.

    1996-01-01

    A critical analysis is presented of the factors influencing foreign investment in Russian oil and gas exploration and production. Greater stability in the Russian economy would help and unfortunately some elements of the Russian bureaucracy hinder quick decision making. Western investors could improve their position by concentrating on developments which are unlikely to be developed by Russian companies in the next decade. (author)

  3. Russian separation program

    International Nuclear Information System (INIS)

    Rea, J.L.

    1993-01-01

    A small contract signed in FY92 with the Khlopin Radium Institute marked the beginning of the Russian Separations program. Under this contract the Khlopin Radium Institute performed laboratory and dynamic hot-cell testing using cobalt dicarbollide technology on simulated radioactive wastes similar to those found at DOE sites in the United States. The current scope of investigation has been extended to identify prospective technologies for application to other United States needs. The Khlopin Radium Institute project served as a model for three other pilot scale technology development projects. The premise of the pilot scale projects is to enable Russian scientists to demonstrate their technology in the context of DOE needs, using Russian technical expertise has proven to be a cost-effective means of screening Russian technologies

  4. RUSSIAN SATIRICAL JOURNALISM FROM THE SOVIET PAST TO THE PRESENT RUSSIAN

    Directory of Open Access Journals (Sweden)

    Romanov Andrey Gennadevich

    2013-03-01

    Full Text Available Purpose of the article: Analysis of satirical journalism in Russia. A comparison of the factors affecting the development of satire in the press today and in the Soviet period. Description of barriers that exist for the development of satire in the press at this stage. Formulation of criteria to be met by modern mass satirical magazine. Show some of the features of the modern comic in the Russian press. The novelty of the work lies in the fact that the importance and the role of the comic in modern journalism is still a question, little studied by science. Of particular importance in this situation becomes identifying the basic factors that affect the availability of the comic in the media of different formats. In the article the following conclusions: With no well-developed public and state institutions with political journalism comic forced to go for it in unusual formats. The traditional entertainment magazines and genres are increasingly found the comic elements of social and political themes. This phenomenon is not peculiar glossy periodicals and other countries is a reflection of a particular modern socio-political situation in Russia. This can be a troubling symptom, warning of unsatisfactory performance of contemporary Russian media features effective communicator between the authorities and society.

  5. Path of a patient with a rare diagnosis: regulatory documents and organization of the process of treatment and diagnosis of an orphan disease in the Russian Federation

    Directory of Open Access Journals (Sweden)

    S. I. Kutsev

    2017-01-01

    Full Text Available The main legislative document of the organization of medical care in the Russian Federation “On fundamental healthcare principles in the Russian Federation” and points related to the rare (orphan diseases are  discussed. The organization of care, rules for managing a federal  registry of orphan diseases and routing of patients with main orphan nosological forms for which treatment is known are presented.

  6. Migrant Image as an "Other Some" in the Russian Mass Media

    Directory of Open Access Journals (Sweden)

    Roman P. Bakanov

    2017-11-01

    Full Text Available This article reveals the main approaches and methods of forming a perception stereotype of the migrant image as "other some" in the Russian mass media. The authors of this article analyzed three federal print publications - "Rossiyskaya Gazeta", "Trud" and "Komsomolskaya Pravda", characterized as mass editions, which enabled to make the most complete coverage of several segments of the readership and to highlight the most widespread meaning of the "migrant" concept in the public consciousness. The study of the dynamics of using the "migrant" concept for the period of 2000-2013 in the Russian print media made it possible to conclude that there were shifts towards a positive assessment of "other some". If the "language of enmity" was used in the public consciousness to form the migrant image at the beginning of the period under investigation, which led to the consolidation of migrant phobia, then the situation changed by 2013 - the migrant image was more often associated with a victim of interethnic tension and corruption. The new migrant image is the image of a migrant who has not found a better life, but has adopted Russia as a second home and therefore trying to adopt new standards and living conditions and helping to solve many of the social and economic problems of Russian society.

  7. “The Russians are coming, the Russians are coming” – an apology of detente

    Directory of Open Access Journals (Sweden)

    Ivan Kovačević

    2016-02-01

    Full Text Available The 1966 film The Russians are coming, the Russians are coming is a film which promotes the politics of detente in America. After cold war era films in which the Soviets are exclusively portrayed as spies endangering America, this is the first film to portray them as positive characters, while ridiculing those who propagate war and confrontation. After the Cuban crisis and the process of stopping the spread of nuclear weapons it was necessary to show the American public the funny face of detente. In the comedy about sailors from a stranded Soviet submarine confrontation is always possible but us avoided through solidarity and communal efforts. This apology of detente, intended to calm the cold war situation and anti-war lobbies in America is one-sided, because there weren’t any such films on the other side. What happened over there during the detente period is evident by the following decade in which the largest number of military interventions by the Soviet and Cuban armies around the world occurred.

  8. Images of Economic Integration Groups in Russian Political Discourse

    Directory of Open Access Journals (Sweden)

    E. V. Rudenko

    2015-01-01

    Full Text Available In comparison with other countries, Russian citizens watch all the details of everything that happens outside the country, especially if it concerns economic partnerships and Russia’s participation in different organizations and associations. The official view of Russian cooperation with other countries in various formats is presented in nationwide media, though the public opinion is not usually accepted there. However, with the help of images, that are created in the political discourse, one can understand, what kind of support can the government expect, working in a certain direction, which is important, considering the aspiration to raise awareness and civil activity. 

  9. Immigration and Ideas: What Did Russian Scientists "Bring" to the United States?

    OpenAIRE

    Ina Ganguli

    2015-01-01

    This paper examines how high-skilled immigrants contribute to knowledge diffusion using a rich data set of Russian scientists and US citations to Soviet-era publications. Analysis of a panel of US cities and scientific fields shows that citations to Soviet-era work increased significantly with the arrival of immigrants. A difference-in-differences analysis with matched paper pairs also shows that after Russian scientists moved to the United States, citations to their Soviet-era papers increas...

  10. Planning of public healthcare facility using a location allocation modelling: A case study

    Science.gov (United States)

    Shariff, S. Sarifah Radiah; Moin, Noor Hasnah; Omar, Mohd

    2014-09-01

    Finding the correct location of any facility and determining the demands which are to be assigned to it is very crucial in public health service. This is to ensure that the public gain maximum benefits. This article analyzes the previous location decisions of public primary healthcare (PHC) facilities in the district of Kuala Langat, Malaysia. With total population of 220214 (in 2010), the PHC in the district is currently served by 28 facilities. The percentages of total population covered (in 2007) within the maximum allowable distance of 3km and 5km are 69.7 percent and 77.8 percent respectively. This is very low compared to the Malaysian National Health Policy of Health for All or 100 percent coverage. The determination of health facility location should be planned carefully to further increase effective primary health service to the nation that is required for economic sustainability.

  11. Constraints, challenges and prospects of public-private partnership in health-care delivery in a developing economy.

    Science.gov (United States)

    Anyaehie, Usb; Nwakoby, Ban; Chikwendu, C; Dim, Cc; Uguru, N; Oluka, Cpi; Ogugua, C

    2014-01-01

    In Nigeria, concerns on the quality and financing of health-care delivery especially in the public sector have initiated reforms including support for public-private partnerships (PPP) at the Federal Ministry of Health. Likewise, Enugu State has developed a draft policy on PPP since 2005. However, non-validation and non-implementation of this policy might have led to loss of interest in the partnership. The aim of this study was to provide evidence for planning the implementation of PPP in Enugu State health system via a multi-sectoral identification of challenges, constraints and prospects. Pre-tested questionnaires were administered to 466 respondents (251 health workers and 215 community members), selected by multi-stage sampling method from nine Local Government Areas of Enugu State, Nigeria, over a study period of April 2011 to September 2011. Data from the questionnaires were collated manually and quantitative data analyzed using SPSS version 15 (Chicago, IL, USA). Only 159 (34.1%, 159/466) of all respondents actually understood the meaning of PPP though 251 (53.9%) of them had claimed knowledge of the concept. This actual understanding was higher among health workers (57.8%, 145/251) when compared with the community members (6.5%, 14/215) (P < 0.001). Post-PPP enlightenment reviews showed a more desire for PPP implementation among private health-care workers (89.4%, 101/113) and community leaders/members (55.4%, 119/215). PPP in health-care delivery in Enugu State is feasible with massive awareness, elaborate stakeholder's engagements and well-structured policy before implementation. A critical challenge will be to convince the public sector workers who are the anticipated partners to accept and support private sector participation.

  12. [Digital health as a motor for change towards new healthcare models and the relationship between patients and healthcare professionals. Disruption of healthcare processes].

    Science.gov (United States)

    Garcia-Cuyàs, Francesc; de San Pedro, Marc; Martínez Roldan, Jordi

    2015-11-01

    We find ourselves at the end of an era of asymmetry in the domain of health information where the majority of this data is in the hands of the healthcare system. Increasingly, the public are calling for a more central role in the new paradigm that enables them to duly exercise their right of access to their health data while availing of more reliable and safer technologies which contribute to the management of their condition and promote healthy lifestyles. So far, the TIC Salud strategic plan has been developed independently from the Generalitat de Catalunya Health Department's Healthcare Plan, which sets out health policy strategy in Catalonia. However, from its initial design stage the new Healthcare Plan (2016- 2020) envisages incorporating a new strategic Information and communications technology (ICT) line called "Digital Health". Incorporating ICT into the Health Plan will allow these technologies to become integral part of all strategic healthcare processes, acting as a driving force for a shift towards a new healthcare models and an innovative relationship between the public and healthcare professionals. The Digital Health implies a disruption in itself, by way of the convergence of several technologies and their positive impact on health and healthcare procedures, by way of the public's access to information concerning their health, and by creating new opportunities for promoting health and the salutogenic paradigm which empowers people to develop their health, welfare and quality of life. Copyright © 2015 Elsevier España, S.L.U. All rights reserved.

  13. Healthcare Quality: A Concept Analysis.

    Science.gov (United States)

    Allen-Duck, Angela; Robinson, Jennifer C; Stewart, Mary W

    2017-10-01

    Worsening quality indicators of health care shake public trust. Although safety and quality of care in hospitals can be improved, healthcare quality remains conceptually and operationally vague. Therefore, the aim of this analysis is to clarify the concept of healthcare quality. Walker and Avant's method of concept analysis, the most commonly used in nursing literature, provided the framework. We searched general and medical dictionaries, public domain websites, and 5 academic literature databases. Search terms included health care and quality, as well as healthcare and quality. Peer-reviewed articles and government publications published in English from 2004 to 2016 were included. Exclusion criteria were related concepts, discussions about the need for quality care, gray literature, and conference proceedings. Similar attributes were grouped into themes during analysis. Forty-two relevant articles were analyzed after excluding duplicates and those that did not meet eligibility. Following thematic analysis, 4 defining attributes were identified: (1) effective, (2) safe, (3) culture of excellence, and (4) desired outcomes. Based on these attributes, the definition of healthcare quality is the assessment and provision of effective and safe care, reflected in a culture of excellence, resulting in the attainment of optimal or desired health. This analysis proposes a conceptualization of healthcare quality that defines its implied foundational components and has potential to improve the provision of quality care. Theoretical and practice implications presented promote a fuller, more consistent understanding of the components that are necessary to improve the provision of healthcare and steady public trust. © 2017 Wiley Periodicals, Inc.

  14. EXPLORATION OF A RUSSIAN CONSUMER ON AN EXAMPLE OF RUSSIAN TOURISTS IN SPAIN

    OpenAIRE

    Glotova, Elena

    2013-01-01

    This thesis represents an intent to get an insight into the market with one of the biggest potential for today – the Russian market. The purpose of the research was to make a profile of the Russian consumer. The study of a Russian consumer and a Russian tourist should be able to help companies understand better the market, draw attention to the need of giving more importance to creating consumer profiles based not only on demographics but on mentality as well. The case company is a technologi...

  15. Periodicals оn the Fate of Russian Captives During the First World War

    Directory of Open Access Journals (Sweden)

    Nazarova Tatyana

    2014-11-01

    Full Text Available The materials of periodicals represent an important source for studying public opinion and the executive policy regarding the fate of Russian captives. The analysis of the periodicals proves that despite the patriotic fervor that swept the press during the First World War, the plight of Russian captives was not widely highlighted. The article analyzes the nature of the publications on the Russian captives and identifies the reasons of journalists’ neglect of their problems. Among these reasons, the author calls an unprecedented scale of captivity – the millions of war prisoners from each warring sides. The government and their controlled press tried to forget the captives instead of analyzing the causes of mass captivity and correcting the command errors. The theme of captivity was not a separate issue in the national press, and it was used only as the material for the formation of the “image of enemy” to illustrate the violations of the international humanistic principles by the Germans. This was largely due to the attitude of the government and the military toward their captives – they were treated like traitors, they were blamed for the failures that have dogged the Russian army in the first years of the war.

  16. Integrating and rationalizing public healthcare services as a source of cost containment in times of economic crises.

    Science.gov (United States)

    Pettoello-Mantovani, Massimo; Namazova-Baranova, Leyla; Ehrich, Jochen

    2016-02-24

    Serious concern has been raised about the sustainability of public health care systems of European Nations and ultimately about the health of European citizens, as a result of the economic crisis that has distressed Europe since 2008. The severe economic crisis of the Euro zone, which is still afflicting Europe in 2016, has in fact threatened to equally impact public health services of nations presenting either a weak or a strong domestic growth. On behalf of the European Paediatric Association, the Union of National European Societies and Associations, the authors of the Commentary debates the relationship between the effects of economic instability and health, through the report on an article recently published in the Italian Journal of Pediatrics, which emphasized the importance of integrating existing public health care services, otherwise independently provided by public hospitals, and Primary Care Paediatric networks. The interconnections between the effects of economic instability and health are briefly commented, following the observation that these two factors are not yet fully understood, and that the definition of proper solutions to be applied in circumstances, where health is negatively impacted by periods of economic distress, is still open for discussion. Furthermore it is noted that the pressure to "deliver more for less" often seems to be the driving force forging the political strategic decisions in the area of pediatric healthcare, rather than social, cultural, and economic sensitivity and competences. Thus, the delivery of appropriate pediatric healthcare seems not to be related exclusively to motivations aimed to the benefit of children, but more often to other intervening factors, including economic, and political rationales. The conclusions emphasize that local European experiences suggest that positive and cost effective healthcare programs are possible, and they could serve as a model in the development of effective cross-border regional

  17. Ways Of Russian Thought by V.A. Kitaev: to Scholar’s Jubilee

    Directory of Open Access Journals (Sweden)

    Oleg V. Kuznetsov

    2017-12-01

    Full Text Available The article is dedicated to the 75th anniversary of Vladimir Kitaev, Doctor of historical sciences, first Dean of the Faculty of History at the Volgograd State University. Today V. Kitaev is a recognized expert on the history of Russian public thought and Professor of the Nizhny Novgorod State University. The article focuses on one of the most important, in the author’s opinion, outcome of long-term V. Kitaev’s studies of the history of Russian public thought of the 19th century – identifying the attempts of synthesis of its main directions: liberal, socialist, conservative. The desire for this synthesis was expressed by representatives of various trends of public thought, who wanted to avoid the revolutionary upheavals. V. Kitaev notes intertwining of both elements of liberalism and conservatism from M. Shcherbatov, who stood at the origins of Russian conservatism. In the pursuit of one of the ideologues of Russian liberalism, K. Kavelin reconciled the assumptions of Slavophilism and Westernism. V. Kitaev rightly saw a reflection of the heterogeneity of its ideological positions, representing a complex set of liberal and conservative elements. Taking into account the political and ideological self-evaluations of B. Chicherin (“guarding” liberalism, V. Kitaev proposed to consider him as a thinker and publicist, liberal-conservative centre left free to drift in the coordinate system. As shown by a scholar, a strong influence of socialist ideas was determined by the position of the liberal Vestnik Evropy (‘Herald of Europe’, the historical justice of which demands to put the formation of social liberalism in Russia in the beginning. The share of Russia is already fallen revolutions “from below” and revolutions “from above”. The Ways of Russian thought by V. Kitaev leads to a synthesis of the best intellectual legacy that we inherited from the nineteenth century. Maybe this is the way to our national reconciliation and unity.

  18. CHALLENGES FOR TODAY’S RUSSIAN POLITICAL ELITE, AND WAYS TO ADDRESS THEM

    Directory of Open Access Journals (Sweden)

    Ф И Шарков

    2017-12-01

    Full Text Available The authors aimed to conduct a study of the current state and prospects for the development of elitology in Russia, and to identify the public perception of political leaders, which is necessary for federal and regional elites and for improving the efficiency of the state personnel policy, mechanisms for interaction of elites in the social-political space and, thus, for increasing the transparency of power. The authors rely on the political, historical-legal, formal-legal, and structural-functional analytical approaches. Based on the results of the panel expert surveys conducted during the First All-Russian Elitological Congress “Elitology of Russia: The Current State and Prospects for the Development” (2013, Rostov-on-Don and the Second All-Russian Elitological Congress “Elitology and Strategies for the Development of Contemporary Russia” (2016, Rostov-on-Don, the authors reconstruct the general perception of Russian elites by the expert com-munity, and the dynamics of changes in the elite group; identify the public estimates of today’s regional political elites, and a discrepancy between elitism in the traditional sense and the real political power. The comparison of the results of the panel surveys conducted in 2013 and 2016 allowed to combine the findings in the groups: general perception of the Russian elites and the reliability of information about them; estimates of the dynamics of qualitative changes in the elites; measures to promote the development of inter-elite interaction and leadership. The authors made the following conclusions: both public and expert opinions underestimate the elite capital of the ruling groups; there are system symptoms of oligarchization of the elites that tend to use non-democratic means of holding power; there is an obvious task of changing the approaches to assessing and recruiting elites in the current social-political situation in Russia; in 2017, the Russian society is at the crossroads, and the

  19. ECONOMIC STATUS OF THE RUSSIAN MINORITY IN TAJIKISTAN

    Directory of Open Access Journals (Sweden)

    Aijaz A. Bandey

    2013-03-01

    Full Text Available From the 1980s onwards, there was a sharp economic decline in the entire Soviet Union including Central Asia. People in general were affected due to this economic decline; however, in case of the Slav minority in Central Asia including Tajikistan the outmigration of Russian, which started from the 1980s, affected them more than that of their Central Asian counterparts. After the disintegration of Soviet Union, the condition of the leftovers was further accentuated by the language policy, ethnicisation while recruitment in the public offices, etc. Besides this Tajikistan has been the poorest country in the post Soviet space, which in turn is adding to the economic hardships of the people in general and ethnic Russians of the country in particular.

  20. Exploratory Study Investigating the Opinions of Russian-Speaking Parents on Maintaining their Children's Use of the Russian Language

    Directory of Open Access Journals (Sweden)

    Sue Kraftsoff

    2009-01-01

    Full Text Available This study explored why and how Russian speaking parents in an Irish context maintained the Russian language in their school-age children. Using a self-administered unstandardised questionnaire, the opinions of 16 Russian-speaking parents, reporting on 24 children, were surveyed. Of this sample, five parents were then interviewed using focus group methodology. The main findings revealed that Russian-speaking parents living in Ireland strongly supported Russian language maintenance in their families and wanted their children to be as fluent as possible in the Russian language. The reasons for the support of Russian language were: cultural preservation, general knowledge of languages in addition to English, and communication with the homeland. Methods employed to maintain the Russian language included conversing with children through Russian, reading and watching Russian TV/DVD. Although most parents spoke only Russian to their children, just three children were considered by their parents to have sufficient language skills to interact through Russian in Russian speaking countries. Interestingly, 15 children were thought to have adequate skills in Russian to speak with those outside their immediate family when in Ireland. Congruent with other studies of bilingualism, development of English, or the secondary, majority language, was also important to parents, as they lived in a dominant English-speaking society.

  1. Automated radiological monitoring at a Russian Ministry of Defence Naval Site

    International Nuclear Information System (INIS)

    Moskowitz, P.D.; Pomerville, J.; Gavrilov, S.; Kisselev, V.; Daniylan, V.; Belikov, A.; Egorkin, A.; Sokolovski, Y.; Endregard, M.; Krosshavn, M.; Sundling, C.V.; Yokstad, H.

    2001-01-01

    The Arctic Military Environmental Cooperation (AMEC) Program is a cooperative effort between the military establishments of the Kingdom of Norway, the Russian Federation, and the US. This paper discusses joint activities conducted over the past year among Norwegian, Russian, and US technical experts on a project to develop, demonstrate and implement automated radiological monitoring at Russian Navy facilities engaged in the dismantlement of nuclear-powered strategic ballistic missile launching submarines. Radiological monitoring is needed at these facilities to help protect workers engaged in the dismantlement program and the public living within the footprint of routine and accidental radiation exposure areas. By providing remote stand-alone monitoring, the Russian Navy will achieve added protection due to the defense-in-depth strategy afforded by local (at the site), regional (Kola) and national-level (Moscow) oversight. The system being implemented at the Polyaminsky Russian Naval Shipyard was developed from a working model tested at the Russian Institute for Nuclear Safety, Moscow, Russia. It includes Russian manufactured terrestrial and underwater gamma detectors, smart controllers for graded sampling, radio-modems for offsite transmission of the data, and a data fusion/display system: The data fusion/display system is derived from the Norwegian Picasso AMEC Environmental Monitoring software package. This computer package allows monitoring personnel to review the real-time and historical status of monitoring at specific sites and objects and to establish new monitoring protocols as required, for example, in an off-normal accident situation. Plans are being developed to implement the use of this system at most RF Naval sites handling spent nuclear fuel

  2. Public Healthcare Organizations: Leadership or Management?

    Directory of Open Access Journals (Sweden)

    Maite Martínez-Gonzalez

    2016-11-01

    Full Text Available This article studies the type of leadership that managers are currently exercising in the Catalan health system in Catalonia. A questionnaire (MQL-5X was sent to 120 people occupying management positions in healthcare centers and hospitals as well as 14 others who also hold such positions in these healthcare centers and hospitals, were interviewed. The mixed methods research design attests that the Catalan health system is managed through a structure of simultaneous transformational and transactional leadership. However, the efficacy of this system is conditioned purely by the communicative competence that a manager may or may not possess, as the system itself makes no effort to encourage transformational leadership. Transformation leadership inspires positive change, conveys a clear vision and enhances morale, motivation and job performance. It galvanizes a team into changing their expectations and perceptions and motivates them to work towards common goals.

  3. Will forensic use of medical biobanks decrease public trust in healthcare services? Some empirical observations.

    Science.gov (United States)

    Bexelius, Christin; Hoeyer, Klaus; Lynöe, Niels

    2007-01-01

    The authors tested the prevalent hypothesis that forensic use of medical biobanks has a negative impact on public trust in healthcare services. A questionnaire was sent to 1,184 inhabitant in the age group 20-80 years in Stockholm County, Sweden, in November 2005. With a response rate of 68.4%, the results showed that a majority (88.1%) of the respondents thought that it would be acceptable for the police to gain access to genetic samples stored in relation to healthcare; 5.6% said no and 6.3% were uncertain. In the case of police access to medical biobanks, a minority (6.3%) indicated that this would have a negative impact on their trust, a larger proportion (37.8%) that it would influence their trust in the healthcare services positively, and 56% stated that it would not affect their trust at all. The hypothesis tested appears to be unfounded. This should cause us to reconsider prevalent assumptions and current policies on the interface of medical and forensic genetics.

  4. Healthcare-associated infections: challenges to public health in Brazil.

    Science.gov (United States)

    Padoveze, Maria Clara; Fortaleza, Carlos Magno Castelo Branco

    2014-12-01

    This study presents a critical evaluation of the scientific literature related to this subject, aiming to assess the policies and administrative issues regarding the prevention and magnitude of healthcare-associated infections and discuss the challenges for their prevention in Brazil. The topics discussed included historical and administrative issues, challenges imposed by the characteristics of the healthcare system and the territorial dimension, laboratorial support limitations, costs, institutional culture, professional qualification, and patient engagement. It is urgent to hold a nationwide discussion among government representatives, institutions, and healthcare workers and users to overcome these challenges.

  5. Legal status of privatdozents in Russian universities (1803-1884

    Directory of Open Access Journals (Sweden)

    Piskunov Il'ia

    2014-08-01

    Full Text Available Article is devoted to the formation of a special legal position of privatdozentur in Russian universities 1803-1884. The author analyzes a wide range of sources: Russian university statutes, documents and publications of the Ministry of National Education, comments on the draft statute in 1862. The aufer gradually build up the whole picture of the legislation on privatdozentur in its development. Article is thematically divided into sections in which the basic aspects of the Ministry of rulemaking activities are represented. Among them: the problem of privatdozentur, requirements to occupy the post, sources of fi nancing, the rights and obligations of university lecturers. Article is preceded by a brief excursion into the history of privatdozentur and reasoning about the discrepancies in the terminology. The author comes to new conclusions that the basic legislation on university lecturers have been laid already in the Charter of the University of Dorpat in 1803, and the term «privatdozent» came into use in the late 50s. (to fix the statute in 1863. The most important step in the development of institutions was the University Statute of 1863 and the University Statute of 1884 became a closing link in the chain of transformations privatdozentur in the universities of the Russian Empire. After 1884 Russian privatdozentur continued existence in a new environment and on a new qualitive basis, resulting in a tremendous increase in the number of privatdozents. Despite all the changes occurred from 1804 to 1884, following provisions remained constant: privatdozents were university professors, who were not included in the staff, were not involved in lectures, had no salary or other regular sources of funding. Until 1884 when they took office, they had to read a public trial lecture (or two and defend a thesis pro venia legendi.

  6. Dynamics of Russian business culture values in the reflection of mass media

    Directory of Open Access Journals (Sweden)

    E. A. Sverdlikova

    2016-01-01

    Full Text Available The article analyses practices of “Traditions and values of Russian business culture” course teaching at Lomonosov Moscow State University’s Faculty of Sociology. The experience allows drawing methodological and theoretical conclusions on the values of business culture which underlie models of the modern business behavior. The first part of the publication concerns analysis of tradition of studying Russian culture values, in the paradigm of which the Russian business culture exists. According to the findings, traditions are enrooted in the Orthodoxy and are determined by patrimonial memories and contradictions of the Russian people’s character, ideals and spiritual framework. A system of Russian business values is developed based on the traditions as well as literary heritage, biographies of famous Russian and Soviet economists and set of rules of ethics code of the pre-revolutionary Russian business class. The main elements of the system include the following values: faith, family, commitment to business, patriotism, natural ingenuity, ability to set and solve atask of extra complexity, original forms of labor organization, and prevalence of moral motivation forms over material ones. The second part of the article deals with succession of the above-mentioned values in the modern Russian business environment. The content analysis is applied to examine the continuity. The object of the research is the text corpus of the Russian business press. The findings of the research show dynamics of the Russian mass media attention to the business culture values for the period from 2010 to 2014. The mass media interest to the issue coverage has been on the constant rise: from 37,2% of the aggregate amount of information on the Russian business in 2012 to 39,8% in 2014. There have also been examined dynamics of mass media attention to certain business culture values. The mass media assignedtop priority in 2012, 2013 and 2014 to the following values

  7. How do healthcare consumers process and evaluate comparative healthcare information? A qualitative study using cognitive interviews.

    OpenAIRE

    Damman, O.C.; Hendriks, M.; Rademakers, J.; Delnoij, D.; Groenewegen, P.

    2009-01-01

    Abstract Background To date, online public healthcare reports have not been effectively used by consumers. Therefore, we qualitatively examined how healthcare consumers process and evaluate comparative healthcare information on the Internet. Methods Using semi-structured cognitive interviews, interviewees (n = 20) were asked to think aloud and answer questions, as they were prompted with three Dutch web pages providing comparative healthcare information. Results We identified twelve themes fr...

  8. The Russian Orthodox and Islamic Languages in the Russian Federation

    NARCIS (Netherlands)

    Bustanov, A.K.; Kemper, M.

    2013-01-01

    What happens to the Russian language if it is used by Muslims? Bustanov and Kemper (2012) analyzed the use of Islamic terminology in a variety of texts by contemporary Muslim authors from several regions of the Russian Federation. This led them to the hypothesis that one can speak of a new

  9. Firms’ reshaping of commercialization practices to overcome the ‘not invented here’ phenomenon in public healthcare organizations

    DEFF Research Database (Denmark)

    Nissen, Helle Aarøe; Evald, Majbritt Rostgaard; Clarke, Ann Højbjerg

    2015-01-01

    The present study is rooted in Public Private Innovation (PPI) projects where public hospitals and private firms engage in cross-sector collaboration with a view to developing new welfare solutions targeting public sector needs. Research into PPI is mainly focused on public management of innovation...... processes. Consequently, PPI is rarely examined from a private sector perspective, including how private firms seek to commercialize new innovations after co-creating these innovations in collaboration with public organizations. However, commercialization is a critical aspect of innovation because...... by elucidating how private firms commercialize co-created welfare solutions. The empirical setting is a multiple case study consisting of four PPI projects conducted in public Danish healthcare. The findings reveal that PPI firms experience the ‘not invented here’ (NIH) phenomenon across Danish hospitals...

  10. RUSSIAN SATIRICAL JOURNALISM FROM THE SOVIET PAST TO THE PRESENT RUSSIAN

    Directory of Open Access Journals (Sweden)

    Андрей Геннадьевич Романов

    2013-04-01

    Full Text Available Purpose of the article:Analysis of satirical journalism inRussia.A comparison of the factors affecting the development of satire in the press today and in the Soviet period.Description of barriers that exist for the development of satire in the press at this stage.Formulation of criteria to be met by modern mass satirical magazine.Show some of the features of the modern comic in the Russian press.The novelty of the work lies in the fact that the importance and the role of the comic in modern journalism is still a question, little studied by science. Of particular importance in this situation becomes identifying the basic factors that affect the availability of the comic in the media of different formats.In the article the following conclusions:With no well-developed public and state institutions with political journalism comic forced to go for it in unusual formats.The traditional entertainment magazines and genres are increasingly found the comic elements of social and political themes. This phenomenon is not peculiar glossy periodicals and other countries is a reflection of a particular modern socio-political situation in Russia. This can be a troubling symptom, warning of unsatisfactory performance of contemporary Russian media features effective communicator between the authorities and society.DOI: http://dx.doi.org/10.12731/2218-7405-2013-3-24

  11. Russian Language Course

    CERN Multimedia

    2009-01-01

    The Russian Cultural Circle is organising a new course of "Russian for Beginners", and is continuing a course for Advanced Students (3rd year). Interested persons are invited to contact: Mrs M. Mikhailova e-mail : mailto:mmmacha@hotmail.com Tel. 022 788 27 53

  12. Russian-Saudian Political Interaction

    Directory of Open Access Journals (Sweden)

    G. G. Kosach

    2017-01-01

    Full Text Available The article analyzes the development of Russian-Saudi political interaction after the restoration (at that time of Soviet-Saudi relations of bilateral relations in September 1990. The article focuses on the role of the Russian Muslim community in shaping the Russian politics towards Riyadh in the 1990-2000s. The authors state there are both periods of “crises” and detente in the development of Russian-Saudi political interaction that were marked by events in Chechnya and former Yugoslavia in 1994-2000, “Arab Spring” 2011, the post-September 2015 era, the Russian anti-terrorist campaign in Syria. The alternation of these periods is the constant of Russian-Saudi political contacts, despite the similarity in the approaches of both sides to the ways and methods of solving crisis situations in the Middle East region, as well as the Saudi’s pro-Russian position regarding the change in the status of the Crimea and the situation in the east of Ukraine. The general attitude of both sides towards ISIS and Jabha al-Nusra as a source of terrorism, regional instability and the challenge of international security does not remove the two main contradictions that divide Moscow and Riyadh – attitude toward the official Syrian regime and the Iran’s regional policy. The study comes to the conclusion that Russia and Saudi Arabia are interested (albeit for various reasons in diversifying their foreign policy and foreign economic relations.

  13. Russian Model Of The Administrative Justice

    Directory of Open Access Journals (Sweden)

    Natalja I. Jaroshenko

    2014-12-01

    Full Text Available On December 25, 2014 it would be twenty-one year since the Constitution of the Russian Federation was adopted on the national referendum on December 12, 1993. During this time, almost all constitutional provisions are implemented. The key point of course was the judicial reform in Russia, launched simultaneously with the adoption of Constitution of the Russian Federation. Adopted the new Civil Procedural Code, Criminal Procedural Code, Arbitration Procedural Code of the Russian Federation, Federal Constitutional Law "On the Constitutional Court of the Russian Federation", Federal Constitutional Law "On the courts of general jurisdiction in Russia", Federal Constitutional Law "On the Supreme Court of the Russian Federation". However, during twenty-one year of Russian Constitution work, the question on establishment of administrative courts in our country has not been resolved. Merger of the Supreme Court and the Supreme Arbitration Court of the Russian Federation, which happened in the year 2014, also shown the need to resolve the status of administrative courts in Russia. Previously submitted to the State Duma of the Federal Assembly of the Russian Federation the draft of the Federal Constitutional Law "On the Federal Administrative Courts in the Russian Federation" and is on the revision, which does not correspond to changes in the judicial system of the Russian Federation. Despite the failure of the Federal Constitutional Law "On the Federal Administrative Courts in the Russian Federation", in the opinion of the author, and it should be called that way, it Russia has already developed an own model of the Russian administrative justice, which is very specific.

  14. Healthcare is primary

    Directory of Open Access Journals (Sweden)

    Raman Kumar

    2015-01-01

    Full Text Available India is undergoing a rapid transformation in terms of governance, administrative reforms, newer policy develoment, and social movements. India is also considered one of the most vibrant economies in the world. The current discourse in public space is dominated by issues such as economic development, security, corruption free governance, gender equity, and women safety. Healthcare though remains a pressing need of population; seems to have taken a backseat. In the era of decreasing subsidies and cautious investment in social sectors, the 2 nd National Conference on Family Medicine and Primary Care 2015 (FMPC brought a focus on "healthcare" in India. The theme of this conference was "Healthcare is Primary." The conference participants discussed on the theme of why healthcare should be a national priority and why strong primary care should remain at the center of healthcare delivery system. The experts recommended that India needs to strengthen the "general health system" instead of focusing on disease based vertical programs. Public health system should have capacity and skill pool to be able to deliver person centered comprehensive health services to the community. Proactive implementation of policies towards human resource in health is the need of the hour. As the draft National Health Policy 2015 is being debated, "family medicine" (academic primary care, the unfinished agenda of National Health Policy 2002, remains a priority area of implementation.

  15. International Atomic Energy Agency publications. Publications catalogue 2004

    International Nuclear Information System (INIS)

    2004-03-01

    This Publications Catalogue lists all sales publications of the IAEA published in 2002, 2003 and forthcoming in early 2004. Most IAEA publications are issued in English, though some are also available in Arabic, Chinese, French, Russian or Spanish. This is indicated at the bottom of the book entry. A complete listing of all IAEA priced publications is available on the IAEA's web site: http://www.iaea.org/books

  16. ABOUT EDUCATION IN RUSSIAN SUNDAY SCHOOLS

    Directory of Open Access Journals (Sweden)

    Tatiana S. Komashinskaia

    2016-01-01

    Full Text Available Аbstract. The aim of the publication is to show the importance of the system of religious education of the Russian Orthodox Church formed in Russia as the system that forms an outlook of the specific person and society in general. The relevance of the problem discussed in the article is caused by the fact that the ideas, moral ideals and values which are founded by an education system now in several years will be realized in specific affairs and acts.Methods. The methods involve theoretical analysis of scientific literature on the considered problem, system analysis, generalization, modeling, survey.Results and scientific novelty. The history of origin, development, decline and the subsequent revival of Sunday schools in Russia is described. Their positive role in the modern Russian system of religious education is noted; firstly, the forming of spiritual and moral values among younger generation, distribution and strengthening in society of moral standards.The main directions of teaching and educational activities in modern Sunday schools and requirements to personal and subject results of training of pupils of schools are stated. These requirements are established by the standard approved by the Sacred Synod of the Russian Orthodox Church in the territory of the Russian Federation.The history of spread of Orthodoxy in the Far East and development of the Vladivostok eparchy is briefly presented. The features of the organization of modern religious education and orthodox education of children are considered on the example of Sunday school of the parish of Temple of St. Seraphim of Sarov of the Vladivostok eparchy.Practical significance. Activities of Sunday school are shown as the most available and mass form of studying and preserving orthodox traditions and cultural wealth. 

  17. Russian Orthography and Learning to Read

    Science.gov (United States)

    Kerek, Eugenia; Niemi, Pekka

    2009-01-01

    The unique structure of Russian orthography may influence the organization and acquisition of reading skills in Russian. The present review examines phonemic-graphemic correspondences in Russian orthography and discusses its grain-size units and possible difficulties for beginning readers and writers. Russian orthography is governed by a…

  18. Ethnic Russian Minority in Estonia

    Directory of Open Access Journals (Sweden)

    Włodarska-Frykowska Agata

    2016-12-01

    Full Text Available The article examines the position of Russians in Estonia and their relation with ethnic Estonians. The author analyzes models of the society integration introduced by Tallinn after 1991. The results raise questions regarding language education in Estonia, the proficiency level of Estonian is getting widely known by Russians, but on the other hand, there is still a significant part of the population that cannot communicate in Estonian. Those who have a good command of Estonian tend to be better integrated and to coexist with both Estonians and Russians. Russians living in Estonia are supposed to be equally involved in social and political life of the state. The potential of all residents has to be effectively and considerably used, especially when the number of population is decreasing. The position of Russians in Estonia is a major domestic and bilateral issue in the relations with the Russian Federation.

  19. Social Problems in the Russian Army within the Framework of Social Work

    Directory of Open Access Journals (Sweden)

    Irina Surkova

    2015-03-01

    Full Text Available This article aims at describing social problems we find in the Russian Army. The research has allowed us to get a ranging of servicemen`s social problems: housing, material maintenance and hard-earned money, realization of social guarantees, life conditions and problem of relationships within families, time-limit, the regulation of life, restricting the freedom, humiliating treatment of juniors and bullying. Unsolved social problems of servicemen may also cause that people who are going to protect the country from danger, may become threats themselves. The Russian army consumes a great amount of resources. Recently mass media has put these issues on the public agenda. Focus in article is also to give a picture of how social workers work to solve social problems in the Russian Army.

  20. The welfare implications of public healthcare financing: a macro-micro simulation analysis of Uganda.

    Science.gov (United States)

    Kabajulizi, Judith; Keogh-Brown, Marcus R; Smith, Richard D

    2017-12-01

    Studies on global health and development suggest that there is a strong correlation between the burden of disease and a country's level of income. Poorer countries tend to suffer more deaths from preventable causes such as communicable, maternal, perinatal and nutritional conditions, compared with high-income countries. In low-income countries, the government health expenditure share in the general government budget is low and out-of-pocket payments for healthcare relatively high. They also rely heavily on external resources for health funding, yet sustainability of external resource flows is not guaranteed. This article explores increasing public healthcare funding from domestic resources mobilization, and evaluates the impact of measures to achieve this on sectoral growth and poverty reduction rates in Uganda using a dynamic computable general equilibrium model. This article shows that increasing the government health budget share, facilitates expanded healthcare services, improved population health, higher sectoral growth and reduced poverty. The agricultural sector is predicted to post the highest growth when compared with services and industry sectors under both domestic taxation and aid funding scenarios, while national poverty is predicted to decline from 31 to 12% of the population by 2020. This article demonstrates that the most effective measure is to frontload investment in healthcare and generate additional domestic funding for health from a household tax earmarked for health. © The Author 2017. Published by Oxford University Press in association with The London School of Hygiene and Tropical Medicine. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

  1. International Atomic Energy Agency publications. New publications Spring 2003

    International Nuclear Information System (INIS)

    2003-01-01

    This Publications Catalogue lists all sales publications of the IAEA issued and forthcoming during the period Spring 2003. Most Agency publications are issued in English, though some are also available in Arabic, Chinese, French, Russian or Spanish. This is indicated at the bottom of the book entry. A complete listing of all IAEA priced publications is available on the IAEA's web site: http://www.iaea.org/books

  2. Public-private partnerships and new models of healthcare access

    NARCIS (Netherlands)

    Lange, Joep M. A.; Schellekens, Onno P.; Lindner, Marianne; van der Gaag, Jacques

    2008-01-01

    PURPOSE OF REVIEW: The aim of this article is to lay the ground for the engagement and support of a well managed and effectively regulated private sector in the delivery of healthcare in sub-Saharan Africa. RECENT FINDINGS: About 60% of healthcare financing in sub-Saharan Africa comes from private

  3. progress on the U.S.-Russian excess weapons plutonium disposition program. Panel discussion

    International Nuclear Information System (INIS)

    Feinroth, Herb; Sicard, Bruno; Kudryavtsev, Evgeny; Sprankle, Kenneth A.; Nesbit, Steve; Gadsby, Robert; Aratani, Kiyonori

    2001-01-01

    Full text of publication follows: On September 1, 2000, the United States and Russia signed a historic agreement to each dispose of 34 tons of excess weapons plutonium by 2025, or sooner if possible. The agreement was conditional on international financing of the Russian program. The parties are now attempting to establish a specific program for disposition of the Russian plutonium and to secure commitments for international financing of the Russian program. In the United States, efforts are moving forward to design, license, and construct the necessary facilities for its disposition program. With the assistance of France and Germany, efforts are moving forward in Russia to plan and design appropriate reactor modifications as well as the needed facilities for plutonium conversion and mixed-oxide fabrication. Japan and Canada are also participants in the Russian disposition program. This panel session will review the status of actions taken to bring this agreement to fruition. (authors)

  4. [Art, mental health, and public healthcare: profile of a care culture in the history of São Paulo city].

    Science.gov (United States)

    Galvanese, Ana Tereza Costa; D'Oliveira, Ana Flávia Pires Lucas; Lima, Elizabeth Maria Freire de Araújo; Pereira, Lygia Maria de França; Nascimento, Ana Paula; Nascimento, Andréia de Fátima

    2016-01-01

    By studying the inclusion of artistic and cultural activities in the care provided throughout the history of public mental healthcare in greater São Paulo, Brazil, we can better understand and characterize the practices adopted in the Psychosocial Care Centers in the city today. Experiments carried out between the 1920s and 1990s are investigated, based on bibliographic research. The contemporary data were obtained from research undertaken at 126 workshops at 21 Psychosocial Care Centers in the same city between April 2007 and April 2008. The findings indicate that the current trend in mental healthcare, whose clinical perspective spans the realms of art and mental health and has territorial ramifications, has maintained some of the features encountered in earlier mental healthcare experiments.

  5. Agricultural terminology in Russian language on the Institute of field and vegetable crops example

    Directory of Open Access Journals (Sweden)

    Savin Dragana

    2014-01-01

    Full Text Available Contemporary science demands that scientists are following domestic and foreign scientific and technical achievements through conference attendances and scientific and professional literature. Agricultural science is based on practical data, field experiments, but nevertheless it is essential to be up to date with the work of foreign researchers, scientific centers and institutions through their publications. The aim of this paper was to present a part of the agricultural lexicon (with the accent on the plant species names, as well as the general scientific and organizational terms with the equivalents in Russian - Serbian and Serbian - Russian, which is of the great importance in activities of Institute of Field and Vegetable Crops, presented through perennial practices of translation. Those terms are recognized as important and frequent, without wishing to go into professional divisions in agriculture as science. This paper is dedicated to the scientists who posses basic linguistic knowledge of Russian language and are starting to use Russian scientific and professional literature in agriculture, as well as students of Russian language for the purpose of establishing and widening linguistic fund.

  6. IAEA Publications Catalogue 2013-2014 - full details of publications published 2012-2014, forthcoming publications and a stocklist of publications published 2010-2013

    International Nuclear Information System (INIS)

    2013-08-01

    This publications catalogue lists all sales publications of the IAEA published in 2012 and 2013 and those forthcoming in 2013-2014. Most IAEA publications are issued in English; some are also available in Arabic, Chinese, French, Russian or Spanish. This is indicated at the bottom of the book entry. A complete listing of all IAEA priced publications is available on the IAEA's web site: http://www.iaea.org/books

  7. IAEA Publications Catalogue 2014-2015 - full details of publications published 2013-2015, forthcoming publications and a stocklist of publications published 2011-2014

    International Nuclear Information System (INIS)

    2014-07-01

    This publications catalogue lists all sales publications of the IAEA published in 2013 and 2014 and those forthcoming in 2014-2015. Most IAEA publications are issued in English; some are also available in Arabic, Chinese, French, Russian or Spanish. This is indicated at the bottom of the book entry. A complete listing of all IAEA priced publications is available on the IAEA's web site: http://www.iaea.org/books

  8. IAEA Publications Catalogue 2015-2016 - full details of publications published 2014-2016, forthcoming publications and a stocklist of publications published 2012-2015

    International Nuclear Information System (INIS)

    2015-01-01

    This publications catalogue lists all sales publications of the IAEA published in 2014 and 2015 and those forthcoming in 2015-2016. Most IAEA publications are issued in English; some are also available in Arabic, Chinese, French, Russian or Spanish. This is indicated at the bottom of the book entry. A complete listing of all IAEA priced publications is available on the IAEA's web site: http://www.iaea.org/books

  9. Patients, the public and priorities in healthcare

    National Research Council Canada - National Science Library

    Littlejohns, Peter; Rawlins, Michael

    2009-01-01

    "Sharing the costs of ill health is the mark of a civilised society. However, every society has limited healthcare resources, and must therefore make finely balanced decisions on how best to allocate...

  10. Social marketing in healthcare.

    Science.gov (United States)

    Aras, Radha

    2011-01-01

    Social marketing is an important tool in the delivery of healthcare services. For any healthcare programme or project to be successful, community/consumer participation is required. The four principles of social marketing can guide policymakers and healthcare providers to successfully plan and implement health programmes. To review the existing literature in order to project the benefits of social marketing in healthcare. A search of periodical literature by the author involving social marketing and marketing concepts in health was carried out. Items were identified initially through health-oriented indexing services such as Medline, Health STAR and Cinahl, using the identifiers "social marketing" and "marketing in health". An extensive search was also carried out on educational database ERIC. A literature review of various studies on social marketing indicated that the selection of the right product (according to the community need) at the right place, with the right strategy for promotion and at the right price yields good results. However, along with technical sustainability (product, price, promotion and place), financial sustainability, institutional sustainability and market sustainability are conducive factors for the success of social marketing. The purpose of this literature review was to ascertain the likely effectiveness of social marketing principles and approaches and behaviour change communication towards health promotion. It is important for all healthcare workers to understand and respond to the public's desires and needs and routinely use consumer research to determine how best to help the public to solve problems and realise aspirations. Social marketing can optimise public health by facilitating relationship-building with consumers and making their lives healthier.

  11. How Multi-Levels of Individual and Team Learning Interact in a Public Healthcare Organisation: A Conceptual Framework

    Science.gov (United States)

    Doyle, Louise; Kelliher, Felicity; Harrington, Denis

    2016-01-01

    The aim of this paper is to review the relevant literature on organisational learning and offer a preliminary conceptual framework as a basis to explore how the multi-levels of individual learning and team learning interact in a public healthcare organisation. The organisational learning literature highlights a need for further understanding of…

  12. Russian nuclear industry exports

    International Nuclear Information System (INIS)

    Gorbatchev, A.

    2016-01-01

    Rosatom is the world leader for the export of nuclear technologies. 34 reactors of Russian technology are being built or planned worldwide. Most reactors proposed by Rosatom are third generation VVER-1200 units with an electric power output of 1200 MWe. Although the nuclear island is always built by Rosatom, the remain of the plant can be subcontracted to other enterprises and European companies are sought because they would bring a european quality touch to Russian works. One of the main assets of Rosatom is to propose an integrated offer from supplying nuclear fuel to managing nuclear waste via the turnkey building of nuclear power plants. Another important asset is the financial assistance of the Russian state through state credit or the support from Russian national banks that appears to be a decisive advantage in the international competition to win markets. We have to temper the Russian export perspectives by noting that most projects are set in countries that are prone to instabilities and that the economic crisis affecting Russia has a negative impact on its financial means. (A.C.)

  13. Teaching at primary healthcare services within the Brazilian national health system (SUS in Brazilian healthcare professionals' training

    Directory of Open Access Journals (Sweden)

    Ramona Fernanda Ceriotti Toassi

    2013-06-01

    Full Text Available The aim of this study was to analyze the role of teaching at primary healthcare services within the Brazilian National Health System (SUS in dentists' training, at a public university in the south of Brazil. A qualitative methodological approach (case study was used. Interviews were conducted with 12 dentistry students, six dentists who were preceptors working in public primary healthcare services and three teachers connected with this curricular training. Our findings showed that the curricular training in SUS primary healthcare services had an impact on the dentists' education through establishment of bonds, autonomy in problem-solving and multiprofessional teamwork. It was seen that they learned about how healthcare services function, about healthcare and about development of cultural competence. There is a need to maintain constant questioning regarding these practices, and to ensure the presence of infrastructure and qualified professionals for teaching at these services.

  14. Individual responsibility, solidarity and differentiation in healthcare

    NARCIS (Netherlands)

    Stegeman, I.; Willems, D. L.; Dekker, E.; Bossuyt, P. M.

    2014-01-01

    Access to healthcare in most western societies is based on equality. Rapidly rising costs have fuelled debates about differentiation in access to healthcare. We assessed the public's perceptions and attitudes about differentiation in healthcare according to lifestyle behaviour. A vignette study was

  15. Russian scientists make desperate plea to save nuclear institute

    CERN Multimedia

    2003-01-01

    Scientists from a Russian nuclear research institute recently held a news conference in Moscow to publicize their work on a revolutionary new type of nuclear reactor. However, it transpired that the scientists were worried about their institute being closed down, and saw the news conference as an opportunity to draw attention to their plight (1 page).

  16. Healthcare Data Gateways: Found Healthcare Intelligence on Blockchain with Novel Privacy Risk Control.

    Science.gov (United States)

    Yue, Xiao; Wang, Huiju; Jin, Dawei; Li, Mingqiang; Jiang, Wei

    2016-10-01

    Healthcare data are a valuable source of healthcare intelligence. Sharing of healthcare data is one essential step to make healthcare system smarter and improve the quality of healthcare service. Healthcare data, one personal asset of patient, should be owned and controlled by patient, instead of being scattered in different healthcare systems, which prevents data sharing and puts patient privacy at risks. Blockchain is demonstrated in the financial field that trusted, auditable computing is possible using a decentralized network of peers accompanied by a public ledger. In this paper, we proposed an App (called Healthcare Data Gateway (HGD)) architecture based on blockchain to enable patient to own, control and share their own data easily and securely without violating privacy, which provides a new potential way to improve the intelligence of healthcare systems while keeping patient data private. Our proposed purpose-centric access model ensures patient own and control their healthcare data; simple unified Indicator-Centric Schema (ICS) makes it possible to organize all kinds of personal healthcare data practically and easily. We also point out that MPC (Secure Multi-Party Computing) is one promising solution to enable untrusted third-party to conduct computation over patient data without violating privacy.

  17. Accumulation of Domain-Specific Physical Inactivity and Presence of Hypertension in Brazilian Public Healthcare System.

    Science.gov (United States)

    Turi, Bruna Camilo; Codogno, Jamile S; Fernandes, Romulo A; Sui, Xuemei; Lavie, Carl J; Blair, Steven N; Monteiro, Henrique Luiz

    2015-11-01

    Hypertension is one of the most common noncommunicable diseases worldwide, and physical inactivity is a risk factor predisposing to its occurrence and complications. However, it is still unclear the association between physical inactivity domains and hypertension, especially in public healthcare systems. Thus, this study aimed to investigate the association between physical inactivity aggregation in different domains and prevalence of hypertension among users of Brazilian public health system. 963 participants composed the sample. Subjects were divided into quartiles groups according to 3 different domains of physical activity (occupational; physical exercises; and leisure-time and transportation). Hypertension was based on physician diagnosis. Physical inactivity in occupational domain was significantly associated with higher prevalence of hypertension (OR = 1.52 [1.05 to 2.21]). The same pattern occurred for physical inactivity in leisure-time (OR = 1.63 [1.11 to 2.39]) and aggregation of physical inactivity in 3 domains (OR = 2.46 [1.14 to 5.32]). However, the multivariate-adjusted model showed significant association between hypertension and physical inactivity in 3 domains (OR = 2.57 [1.14 to 5.79]). The results suggest an unequal prevalence of hypertension according to physical inactivity across different domains and increasing the promotion of physical activity in the healthcare system is needed.

  18. Steering healthcare service delivery: a regulatory perspective.

    Science.gov (United States)

    Prakash, Gyan

    2015-01-01

    The purpose of this paper is to explore regulation in India's healthcare sector and makes recommendations needed for enhancing the healthcare service. The literature was reviewed to understand healthcare's regulatory context. To understand the current healthcare system, qualitative data were collected from state-level officials, public and private hospital staff. A patient survey was performed to assess service quality (QoS). Regulation plays a central role in driving healthcare QoS. India needs to strengthen market and institutional co-production based approaches for steering its healthcare in which delivery processes are complex and pose different challenges. This study assesses current healthcare regulation in an Indian state and presents a framework for studying and strengthening regulation. Agile regulation should be based on service delivery issues (pull approach) rather than monitoring and sanctions based regulatory environment (push approach). Healthcare pitfalls across the world seem to follow similar follies. India's complexity and experience is useful for emerging and developed economies. The author reviewed around 70 publications and synthesised them in healthcare regulatory contexts. Patient's perception of private providers could be a key input towards steering regulation. Identifying gaps across QoS dimensions would be useful in taking corrective measures.

  19. Why do the Russians succumb to the “strong-hand” government? Historical-cultural legitimacy of the Russian state leadership in the context of Yuri Pivovarov’s theory

    Directory of Open Access Journals (Sweden)

    Olędzka Justyna

    2017-12-01

    Full Text Available State leadership in Russia is determined by historical and cultural as well as by legal and institutional premises. The analysis of ways of obtaining legitimacy by state leaders of the Russian Federation is a borderline issue of political science, sociology, and history. The conditions that favor the creation of the archetype on the Russian ground are undoubtedly: extremely centralized political power in Russia (one central decision-making center whose decisions were arbitrarily arbitrary, the problem of the enforcement of the rules of the trilateral division of power (the legislative sphere dominated the legislature, the low level of control Social rulers (lack of effective legal mechanisms to verify the effects of their activities, paternalism of the leadership system and low participation of representative institutions in public life. The aim of the article is to situate in the field of considerations about the archetype of Russian power the concept of Yuri Pivovarov, according to which not only civilization baggage and the immaturity of civil society have decided the legitimacy of the state leadership of the Russian Federation. According to him, the problem of the participation of the political elite in the redistribution of goods (and the low level of participation of citizens in the process of ownership separation is of significant importance. According to the theory of the Russian political scientist, the basis for understanding the phenomenon of Russian state leadership is the combination of elements of archetypal leadership with a proper interpretation of the relation of freedom – property.

  20. International Atomic Energy Agency publications. New publications Autumn 2003

    International Nuclear Information System (INIS)

    2003-01-01

    This Publications Catalogue lists all sales publications of the IAEA issued and forthcoming for the period Autumn 2003 - early 2004. Most Agency publications are issued in English, though some are also available in Arabic, Chinese, French, Russian or Spanish. This is indicated at the bottom of the book entry. A complete listing of all IAEA priced publications is available on the IAEA's web site: http://www.iaea.org/books

  1. Survey of patient and public perceptions of electronic health records for healthcare, policy and research: Study protocol

    Directory of Open Access Journals (Sweden)

    Luchenski Serena

    2012-05-01

    Full Text Available Abstract Background Immediate access to patients’ complete health records via electronic databases could improve healthcare and facilitate health research. However, the possible benefits of a national electronic health records (EHR system must be balanced against public concerns about data security and personal privacy. Successful development of EHR requires better understanding of the views of the public and those most affected by EHR: users of the National Health Service. This study aims to explore the correlation between personal healthcare experience (including number of healthcare contacts and number and type of longer term conditions and views relating to development of EHR for healthcare, health services planning and policy and health research. Methods/design A multi-site cross-sectional self-complete questionnaire designed and piloted for use in waiting rooms was administered to patients from randomly selected outpatients’ clinics at a university teaching hospital (431 beds and general practice surgeries from the four primary care trusts within the catchment area of the hospital. All patients entering the selected outpatients clinics and general practice surgeries were invited to take part in the survey during August-September 2011. Statistical analyses will be conducted using descriptive techniques to present respondents’ overall views about electronic health records and logistic regression to explore associations between these views and participants’ personal circumstances, experiences, sociodemographics and more specific views about electronic health records. Discussion The study design and implementation were successful, resulting in unusually high response rates and overall recruitment (85.5%, 5336 responses. Rates for face-to-face recruitment in previous work are variable, but typically lower (mean 76.7%, SD 20. We discuss details of how we collected the data to provide insight into how we obtained this unusually high

  2. Healthcare systems--an international review: an overview.

    Science.gov (United States)

    Lameire, N; Joffe, P; Wiedemann, M

    1999-01-01

    Based on the source of their funding, three main models of healthcare can be distinguished. The first is the Beveridge model, which is based on taxation and has many public providers. The second is the Bismarck 'mixed' model, funded by a premium-financed social insurance system and with a mixture of public and private providers. Finally, the 'Private Insurance model' is only in existence in the US. The present report explores the impact of these healthcare models on the access to, quality and cost of healthcare in selected European countries. Access is nearly 100% in countries with a public provider system, while in most of the 'mixed' countries, the difference from 100% is made up by supplementary private insurance. No differences are seen between public and mixed provider systems in terms of quality of care, despite the fact that the countries with the former model spend, in general, less of their Gross National Product on healthcare. The Private Insurance/private provider model of the US produces the highest costs, but is lowest in access and is close to lowest ranking in quality parameters.

  3. Reading L2 Russian: The Challenges of the Russian-English Dictionary

    Science.gov (United States)

    Comer, William J.

    2014-01-01

    This descriptive study examines when and how students use Russian-English dictionaries while reading informational texts in Russian and what success they have with word lookup. The study uses introspective verbal protocols (i.e., think-alouds) to follow how readers construct meaning from two texts while reading them for a limited time first…

  4. TEACHING THE GRAMMAR OF RUSSIAN LANGUAGE AS FOREIGN IN RUSSIAN TEXTBOOKS FOR BEGINNERS (OPINION OF THE CHINESE TEACHER)

    OpenAIRE

    Zeng, T.

    2017-01-01

    Increased interest towards studying the Russian language in China evokes the interest of Chinese teachers of the Russian language to educational and methodological materials created by their Russian colleagues. First and foremost, Chinese philologists are interested in nationally oriented textbooks. In this article, we discuss the main features of grammar in Russian textbooks aimed at Chinese students who are just beginning to learn Russian. This paper compares nationally oriented textbooks “...

  5. Lessons from the Russian meltdown : the economics of soft legal constraints

    NARCIS (Netherlands)

    Perotti, E.C.

    2001-01-01

    On August 17, 1998, Russia defaulted on its domestic public debt, declared a moratorium on the private banks foreign liabilities which was equivalent to an outright default, and abandoned its exchange rate regime. The depth of the Russian meltdown shocked the international markets, and precipitated

  6. Lessons from the Russian meltdown : the economics of soft legal constraints

    NARCIS (Netherlands)

    Perotti, E.C.

    2002-01-01

    On August 17, 1998, Russia defaulted on its domestic public debt, declared a moratorium on the private banks foreign liabilities which was equivalent to an outright default, and abandoned its exchange rate regime. The depth of the Russian meltdown shocked the international markets, and precipitated

  7. Public assessment of key performance indicators of healthcare in a Canadian province: the effect of age and chronic health problems.

    Science.gov (United States)

    Nurullah, Abu Sadat; Northcott, Herbert C; Harvey, Michael D

    2014-01-15

    This study explores the effect of age and chronic conditions on public perceptions of the health system, as measured by the Key Performance Indicators (KPIs) of healthcare, in the province of Alberta in Canada. Drawing from data collected by Government of Alberta's Department of Health and Wellness, this research examines two key questions: (1) Do people in the 65+ age group rate the KPIs of healthcare (i.e., availability, accessibility, quality, outcome, and satisfaction) more favorably compared to people in younger age groups in Alberta? (2) Does the rating of KPIs of healthcare in Alberta vary with different chronic conditions (i.e., no chronic problem, chronic illnesses without pain, and chronic pain)? The findings indicate that people in the older age group tend to rate the KPIs of healthcare more favorably compared to younger age groups in Alberta, net of socio-demographic factors, self-reported health status, and knowledge and utilization of health services. However, people experiencing chronic pain are less likely to rate the KPIs of healthcare favorably compared to people with no chronic health problem in Alberta. Discussion includes implications of the findings for the healthcare system in the province.

  8. Networked Authoritarianism and the Geopolitics of Information: Understanding Russian Internet Policy

    Directory of Open Access Journals (Sweden)

    Nathalie Maréchal

    2017-03-01

    Full Text Available In the aftermath of the 2016 U.S. election, researchers, policymakers and the general public are grappling with the notion that the 45th president of the United States may very well owe his electoral victory to a sophisticated propaganda effort masterminded by the Kremlin. This article synthesizes existing research on Russia’s domestic information controls, its internet policy at the global level (notably via internet governance processes, and the country’s resurgence as a major geopolitical player to argue that policymakers as well as the general public should consider these themes holistically, particularly as they formulate responses to what many see as the Russian threat to Western liberal democracy. Russia may have lost the Cold War, but it is now waging information warfare against the liberal democracies of Europe and North America in a sophisticated bid to win the next round. Russia does not view internet governance, cybersecurity, and media policy as separate domains. Rather, all the areas covered by those disciplines fall under “information security” for Russian foreign policy. The paper begins by tracing the history of information controls within what is now the Russian Federation before discussing the role of information and internet policy in Russian foreign policy, drawing connections between the Russian government’s control and manipulation of information—including its internet policy—in the domestic and international arenas. Next, it discusses the spread of networked authoritarianism and suggests that a “geopolitics of information” will become increasingly necessary in the coming years. Just as networked authoritarianism establishes strategic infrastructures to control the message domestically and intervene in global media systems, liberal democracies need to rethink media and communication infrastructures to ensure they foster pluralist, rights-respecting societies that are resilient to authoritarianism and

  9. Scaling of an information system in a public healthcare market--infrastructuring from the vendor's perspective.

    Science.gov (United States)

    Johannessen, Liv Karen; Obstfelder, Aud; Lotherington, Ann Therese

    2013-05-01

    The purpose of this paper is to explore the making and scaling of information infrastructures, as well as how the conditions for scaling a component may change for the vendor. The first research question is how the making and scaling of a healthcare information infrastructure can be done and by whom. The second question is what scope for manoeuvre there might be for vendors aiming to expand their market. This case study is based on an interpretive approach, whereby data is gathered through participant observation and semi-structured interviews. A case study of the making and scaling of an electronic system for general practitioners ordering laboratory services from hospitals is described as comprising two distinct phases. The first may be characterized as an evolving phase, when development, integration and implementation were achieved in small steps, and the vendor, together with end users, had considerable freedom to create the solution according to the users' needs. The second phase was characterized by a large-scale procurement process over which regional healthcare authorities exercised much more control and the needs of groups other than the end users influenced the design. The making and scaling of healthcare information infrastructures is not simply a process of evolution, in which the end users use and change the technology. It also consists of large steps, during which different actors, including vendors and healthcare authorities, may make substantial contributions. This process requires work, negotiation and strategies. The conditions for the vendor may change dramatically, from considerable freedom and close relationships with users and customers in the small-scale development, to losing control of the product and being required to engage in more formal relations with customers in the wider public healthcare market. Onerous procurement processes may be one of the reasons why large-scale implementation of information projects in healthcare is difficult

  10. The Spanish King Alfonso XIII on pages of Russian Press in 1902–1917

    Directory of Open Access Journals (Sweden)

    Ariadna A. Petrova

    2016-06-01

    Full Text Available The article examines the approaches of the Russian press (“Moskovskie Vedomosti”, “Russkie Vedomosti”, “Novoe Vremia” to the evaluation of the Spanish King Alfonso XIII (1886–1941 at the first stage of his government. During this time he, acting within the powers granted to him by the Spanish constitution of the Restoration era, tried to stabilize the political situation in Spain and raise the prestige of the royal power, is also actively involved in social and political life of the country. Alfonso XIII also sought to raise the country's prestige in the international arena, seriously shaken after the “disaster in 1898”. The special attention is paid to the problem of formation of public opinion by the Russian press, on the example of newspaper coverage of humanitarian and intermediate activity of the Spanish king during the First World War. The activity of Alfonso XIII, aimed at protecting the interests of the citizens of the Russian Empire and the Slavic population of Austria-Hungary, in particular, his personal involvement in the rescue of the Austrian authorities was sentenced to death by a correspondent of the newspaper "New time" in Vienna D.G. Yanchevetskiy, forced the Russian public during the war to change the attitude towards Spain, its king and Spanish neutrality.

  11. Russian gas export strategy and security of supply concerns in Europe

    International Nuclear Information System (INIS)

    Stern, J.P.

    1992-01-01

    Despite great publicity given to security of supply problems associated with Russian gas exports to Europe, these problems seem to be manageable. While the risk of short term technical breakdown exists, we are more likely to see a significant increase in Russian gas exports to Europe, than a significant fall. Increases could be achieved in the short term by moving more gas through the existing infrastructure. The restructuring of sales and transit relationships between Russia and other former Soviet republics (especially the Ukraine) as well as former CMEA member states in Central/Eastern Europe will be very important if export relationships are to be maintained and expanded. 7 refs., 1 tab

  12. Outpatient parenteral antimicrobial therapy for orthopedic infections – a successful public healthcare experience in Brazil

    Directory of Open Access Journals (Sweden)

    Priscila Rosalba Oliveira

    2016-05-01

    Full Text Available Treatment of orthopedic infections usually requires prolonged antimicrobial therapy, ranging from 14 days up to 6 months. Nowadays, rising levels of antimicrobial resistance demands parenteral therapy for many patients. Outpatient parenteral antimicrobial therapy (OPAT is a modality that allows treatment out of hospital in these situations. In Brazil, where a public universal healthcare system allows full coverage for all citizens, implantation and dissemination of OPAT programs would be beneficial for patients and for the system, because it would allow a better allocation of health resources. The Instituto de Ortopedia e Traumatologia do Hospital das Clínicas da Faculdade de Medicina da USP (IOT started, in July 2013, a partnership with municipal health authorities in Sao Paulo, Brazil, in order to initiate an OPAT program in which patients discharged from that hospital would be able to continue antimicrobial therapy at primary care facilities. When necessary, patients could also receive their therapy at the day-hospital located at IOT. Primary care nursing and physician staff were trained about antimicrobial infusion and peripherally inserted central catheter manipulation. An OPAT specific antimicrobial protocol was designed and a special reference and counter-reference organized. As a result, 450 primary healthcare professionals were trained. In the first year of this program, 116 patients were discharged for OPAT. Chronic and acute osteomyelitis were most frequent diagnosis. Teicoplanin, ertapenem and tigecycline were the most used drugs. Duration of treatment varied from 10 to 180 days (average 101, median 42. Total sum of days in OPAT regimen was 11,698. Only 3 patients presented adverse effects. Partnership between services of different levels of complexity allowed implantation of a safe and effective public healthcare OPAT program for treatment of orthopedic infections. This program can serve as a model for developing similar strategies

  13. IAEA Publications Catalogue 2016-2017 - full details of publications published 2015-2016, forthcoming publications 2016-2017 and a stocklist of publications published 2013-2016

    International Nuclear Information System (INIS)

    2016-08-01

    This publications catalogue lists all sales publications of the IAEA published in 2015-2016 and those forthcoming in 2016-2017. Most IAEA publications are issued in English; some are also available in Arabic, Chinese, French, Russian or Spanish. This is indicated at the bottom of the book entry. A complete listing of all IAEA priced publications is available on the IAEA's web site: http://www.iaea.org/books

  14. A new growth model for the Russian economy1

    Directory of Open Access Journals (Sweden)

    Alexey Kudrin

    2015-03-01

    Full Text Available The problems underlying the current slowdown of the Russian economy are of a persistent nature and cannot be resolved with simple measures such as a softer monetary or fiscal policy. The fundamen- tal reason for these problems is the weak market environment dominated by public and quasi-public companies. A new growth model should be based upon strong incentive for the business, as well as the government regulation system, to improve efficiency. This article defines the main steps to be taken in building such a model.

  15. Lessons from the Russian meltdown : the economics of soft legal constraints

    NARCIS (Netherlands)

    Perotti, E.C.

    2002-01-01

    On 17 August 1998 Russia abandoned its exchange rate regime, defaulted on its domestic public debt and declared a moratorium on banks' foreign liabilities. This was equivalent to an outright default. The depth and speed of the Russian meltdown shocked the international markets and precipitated a

  16. [Involving patients, the insured and the general public in healthcare decision making].

    Science.gov (United States)

    Mühlbacher, Axel C; Juhnke, Christin

    2016-01-01

    No doubt, the public should be involved in healthcare decision making, especially when decision makers from politics and self-government agencies are faced with the difficult task of setting priorities. There is a general consensus on the need for a stronger patient centeredness, even in HTA processes, and internationally different ways of public participation are discussed and tested in decision making processes. This paper describes how the public can be involved in different decision situations, and it shows how preference measurement methods are currently being used in an international context to support decision making. It distinguishes between different levels of decision making on health technologies: approval, assessment, pricing, and finally utilization. The range of participation efforts extends from qualitative surveys of patients' needs (Citizen Councils of NICE in the UK) to science-based documentation of quantitative patient preferences, such as in the current pilot projects of the FDA in the US and the EMA at the European level. Possible approaches for the elicitation and documentation of preference structures and trade-offs in relation to alternate health technologies are decision aids, such as multi-criteria decision analysis (MCDA), that provide the necessary information for weighting and prioritizing decision criteria. Copyright © 2015. Published by Elsevier GmbH.

  17. How Business Cycles Affect the Healthcare Sector: A Cross-country Investigation.

    Science.gov (United States)

    Cleeren, Kathleen; Lamey, Lien; Meyer, Jan-Hinrich; De Ruyter, Ko

    2016-07-01

    The long-term relationship between the general economy and healthcare expenditures has been extensively researched, to explain differences in healthcare spending between countries, but the midterm (i.e., business cycle) perspective has been overlooked. This study explores business cycle sensitivity in both public and private parts of the healthcare sector across 32 countries. Responses to the business cycle vary notably, both across spending sources and across countries. Whereas in some countries, consumers and/or governments cut back, in others, private and/or public healthcare buyers tend to spend more. We also assess long-term consequences of business cycle sensitivity and show that public cost cutting during economic downturns deflates the mortality rates, whereas private cut backs increase the long-term growth in total healthcare expenditures. Finally, multiple factors help explain variability in cyclical sensitivity. Private cost cuts during economic downturns are smaller in countries with a predominantly publicly funded healthcare system and more preventive public activities. Public cut backs during contractions are smaller in countries that rely more on tax-based resources rather than social health insurances. Copyright © 2015 John Wiley & Sons, Ltd. Copyright © 2015 John Wiley & Sons, Ltd.

  18. The department of energy's Russian health studies program

    International Nuclear Information System (INIS)

    2017-01-01

    Recognized for conducting cutting edge science in the field of radiation health effects research, the Department of Energy's (DOE) Russian Health Studies Program has continued to generate excitement and enthusiasm throughout its 22-year quest to assess worker and public health risks from radiation exposure resulting from nuclear weapons production activities in the former Soviet Union. The three goals of the program are to: (1) Clarify the relationship between health effects and chronic low-to-medium dose radiation exposure, (2) Estimate the cancer risks from exposure to gamma, neutron and alpha radiation, (3) Provide information to the national and international organizations that determine radiation protection standards and practices. Pursuant to the Joint Coordinating Committee for Radiation Effects Research (JCCRER) Agreement, it is possible to study the effects of radiation at multiple nuclear weapons production facilities throughout Russia. To date, however, the research has focused on: (1) current and former workers from the Mayak Production Association (Mayak), the first Russian nuclear weapons production facility in Ozersk, Russia and (2) current and past residents along the Techa River who were impacted from airborne and waterborne radioactive releases from Mayak. Mayak is comparable to DOE's Hanford facility in Richland, Washington. Mayak workers and Techa River residents received protracted exposures at low-to-moderate dose rates to both internal and external ionizing radiation. Because for over 50 years the Russian Government collected and stored data on Mayak workers and residents in surrounding communities along the Techa River exposed to external and internal radiation, there was a large amount of exposure, workplace and clinical data suitable for conducting epidemiological studies. The Russian Health Studies Program has evolved through four phases since its inception in 1994: (1) coordinating, planning and building infrastructure and

  19. Russian Capital in Latvia: Trends and Perspectives

    Directory of Open Access Journals (Sweden)

    N A Volgina

    2015-12-01

    Full Text Available The article deals the issue of the positions of Russian capital in Latvian market. The paper aims to estimate the volume and dynamics of Russian capital inflows into Latvia in compliance with Russian economic interests; to identify key sectors of Latvian economy that Russian capital is interested to invest in; to systemize information concerning Russian firms investing in Latvia; to assess the role of Russian capital in Latvian economy in comparison with other foreign investors; to propose author’s view on challenges and perspectives of Latvian-Russian investment cooperation in the situation of economic sanctions and geo-political conflict in east Ukraine. The author underlines that at the end of 2013, investments of Russian business to Latvia constituted about 5.0% of the total FDI stock and by that time Russia was the 7th largest investor with 0.5 bln euro of capital invested. The main sectors of Russian interests in Latvia are - gas supply, transport communications (transit corridors, banking and real estate. The article concludes that though the future of Russian-Latvian economic relations in the short-run is on a substantial pressure of geopolitical factors, the economic interests in mutual investment relations will prevail in the long-run perspectives.

  20. IAEA Publications Catalogue 2017-2018 - full details of publications published 2016-2017, forthcoming publications 2017-2018 and a stocklist of publications published 2014-2017

    International Nuclear Information System (INIS)

    2016-08-01

    This publications catalogue lists all sales publications of the IAEA published in 2016–2017 and those forthcoming in 2017–2018. Most IAEA publications are issued in English; some are also available in Arabic, Chinese, French, Russian or Spanish. This is indicated at the bottom of the book entry. Most publications are issued in softcover. A complete listing of all IAEA priced publications is available on the IAEA’s web site: www.iaea.org/books

  1. The Russian Market of University Services: Social and Demographic Aspects

    Science.gov (United States)

    Bydanova, Elizaveta; Mushketova, Natalia; Rouet, Gilles

    2015-01-01

    Purpose: The purpose of this paper is to analyze the impact of demographic, social, economic and international aspects on the market of university services in Russia. It also reminds readers briefly of the evolution of the Russian higher education system during the last 20 years and considers some consequences of the current public policy and…

  2. A 100-YEAR ANNIVERSARY OF THE RUSSIAN GEOGRAPHIC SOCIETY EXPEDITION TO KAMCHATKA (1908–1910

    Directory of Open Access Journals (Sweden)

    Vladimir Kotlyakov

    2010-01-01

    Full Text Available For three centuries, the main task of geography in Russia was gathering information about the geographical features of the country. The unique image of the Russian Geographical Society (RGS is largely due to its expeditionary activities. The RGS Kamchatka Complex Expedition of 1908-1910 was to explore and examine the flora and fauna of the Kamchatka peninsula, mainly in the area of volcanoes. The expedition to Kamchatka played a significant role in promoting science in the Russian Far East. Important scientific and public institutions were founded in this region as a result of this endeavor. Two institutions directly associated with the expedition are the Kamchatka branch of the RGS and the Institute of Volcanology and Seismology (Far Eastern Branch of the Russian Academy of Sciences. These institutions are important members of the Russian scientific community and are well known around the world.

  3. Implementing standards for the interoperability among healthcare providers in the public regionalized Healthcare Information System of the Lombardy Region.

    Science.gov (United States)

    Barbarito, Fulvio; Pinciroli, Francesco; Mason, John; Marceglia, Sara; Mazzola, Luca; Bonacina, Stefano

    2012-08-01

    Information technologies (ITs) have now entered the everyday workflow in a variety of healthcare providers with a certain degree of independence. This independence may be the cause of difficulty in interoperability between information systems and it can be overcome through the implementation and adoption of standards. Here we present the case of the Lombardy Region, in Italy, that has been able, in the last 10 years, to set up the Regional Social and Healthcare Information System, connecting all the healthcare providers within the region, and providing full access to clinical and health-related documents independently from the healthcare organization that generated the document itself. This goal, in a region with almost 10 millions citizens, was achieved through a twofold approach: first, the political and operative push towards the adoption of the Health Level 7 (HL7) standard within single hospitals and, second, providing a technological infrastructure for data sharing based on interoperability specifications recognized at the regional level for messages transmitted from healthcare providers to the central domain. The adoption of such regional interoperability specifications enabled the communication among heterogeneous systems placed in different hospitals in Lombardy. Integrating the Healthcare Enterprise (IHE) integration profiles which refer to HL7 standards are adopted within hospitals for message exchange and for the definition of integration scenarios. The IHE patient administration management (PAM) profile with its different workflows is adopted for patient management, whereas the Scheduled Workflow (SWF), the Laboratory Testing Workflow (LTW), and the Ambulatory Testing Workflow (ATW) are adopted for order management. At present, the system manages 4,700,000 pharmacological e-prescriptions, and 1,700,000 e-prescriptions for laboratory exams per month. It produces, monthly, 490,000 laboratory medical reports, 180,000 radiology medical reports, 180

  4. Some of the issues of modern Russian historiography towards Kazakh-Dzhungarian relations

    Directory of Open Access Journals (Sweden)

    Turganzhan Tulebaev

    2016-03-01

    Full Text Available The relationship between Kazakh people and the Dzhungar Khanate in the 17th - the first half of the 18th centuries was an important milestone in the development of Kazakh sovereignty. Kazakh Khanate had its own place in the development of international relations of the Central Asian countries. The historiography of this problem is very wide. For many years many researchers of post-Soviet, Western, Central Asian countries dedicated their work to this issue. Russian historiography is notable among others for its features. The article discusses some concepts of the modern Russian scientists regarding Kazakh-Dzhungarian relations. Russian historiography of Kazakh-Dzhungarian relations started to develop from the pre-revolutionary period and continues to these days. Kazakhstan scientists of the Soviet period also contributed to the study of international relations in Central Asia in the 17th-18th centuries in line with the required methodological and ideological direction. However, at present in connection with the sovereignization and becoming independent states of the post-Soviet countries, there is some differentiation in the areas of Russian and Kazakh social sciences and humanities. Today our society intentionally seeks to rethink the key milestones of the passed way, know itself and define its new place in the contemporary reality. Therefore, the Russian research on the history of international relations is especially relevant to the public

  5. The New Russian Book

    DEFF Research Database (Denmark)

    Pristed, Birgitte Beck

    This book takes up the obtrusive problem of visual representation of fiction in contemporary Russian book design. By analyzing a broad variety of book covers, the study offers an absolutely unique material that illustrates a radically changing notion of literature in the transformation of Soviet ...... the fields of Russian studies, contemporary book and media history, art, design, and visual studies.......This book takes up the obtrusive problem of visual representation of fiction in contemporary Russian book design. By analyzing a broad variety of book covers, the study offers an absolutely unique material that illustrates a radically changing notion of literature in the transformation of Soviet...... print culture to a post-Soviet book market. It delivers a profound and critical exploration of Russian visual imaginary of classic, popular, and contemporary prose. Among all the carelessly bungled covers of mass-published post-Soviet series the study identifies gems from experimental designers...

  6. Analysis of the Russian political tolerance in society-government relations

    Directory of Open Access Journals (Sweden)

    A. V. Korolevska

    2014-08-01

    Full Text Available The high culture of tolerance accelerates political socialization, improves the qualities of a citizen, a sense of ownership of public affairs, instilling respect for democratic values. Relevance of the work is determined by processes that occur in today’s society and that lead not only to confusion but to destruction of public relations. The article reviews the state of political tolerance in the system of relations society – authorities in Russia. Based on opinion polls statistical analyzes to determine trends in contemporary ensure political tolerance is conducted. Due to correlation between support for Putin and the perception of the political situation in the country as well is determined existence. Fixes sustainable public discontent actual situation in the country, however, people do not use the opportunities for political activism. Almost two thirds of Russians believe that the interests of the government and society in do not match. The low percentage of respondents believe that the political course of the country’s leadership in the interests of ordinary people. There is a steady trend to an agreement among the Russian population to concentrate power in his hands. There is a slight increase of the population of those who are ready to connect to solve their problems in life forms of protest activity.

  7. International Atomic Energy Agency. Publications catalogue 2009 including full details of publications published in 2008-2009, forthcoming publications and a stocklist of publications published in 2006-2007

    International Nuclear Information System (INIS)

    2009-06-01

    This Publications Catalogue lists all sales publications of the IAEA published in 2008 and 2009 and forthcoming in 2009. Most IAEA publications are issued in English, some are also available in Arabic, Chinese, French, Russian or Spanish. This is indicated at the bottom of the book entry. A complete listing of all IAEA priced publications is available on the IAEA's web site: http://www.iaea.org/books

  8. ASPECTS OF COMMODIFICATION OF RUSSIAN IN FINLAND

    Directory of Open Access Journals (Sweden)

    Ханнес Виимаранта

    2017-12-01

    Full Text Available This article examines the commodification of Russian in Finland, where recent decades have seen a sharp rise in the size of the Russian-speaking population and the number of tourists from Russia. We particularly consider the use of Russian in the fields of traditional and medical tourism, education, and culture - all of them areas where Russian tourists show a strong preference for services in their native language. The need to provide a variety of services in Russian means that proficiency in Russian is a sig-nificant asset on the job market, both for immigrants and for the relatively small number of Finns who can speak the language. We also note that there is considerable demand among Russian-speaking parents in Fin-land for educational services to supplement their children’s school education.

  9. Healthcare reforms in Cyprus 2013-2017: Does the crisis mark the end of the healthcare sector as we know it?

    Science.gov (United States)

    Petrou, Panagiotis; Vandoros, Sotiris

    2018-02-01

    As part of a bailout agreement with the International Monetary Fund, the European Commission and the European Central Bank (known as the Troika), Cyprus had to achieve a fiscal surplus through budget constraints and efficiency enhancement. As a result, a number of policy changes were implemented, including a reform of the healthcare sector, and major healthcare reforms are planned for the upcoming years, mainly via the introduction of a National Health System. This paper presents the healthcare sector, provides an overview of recent reforms, assesses the recently implemented policies and proposes further interventions. Recent reforms targeting the demand and supply side included the introduction of clinical guidelines, user charges, introduction of coding for Diagnosis Related Groups (DRGs) and the revision of public healthcare coverage criteria. The latter led to a reduction in the number of people with public healthcare coverage in a time of financial crises, when this is needed the most, while co-payments must be reassessed to avoid creating barriers to access. However, DRGs and clinical guidelines can help improve performance and efficiency. The changes so far are yet to mark the end of the healthcare sector as we know it. A universal public healthcare system must remain a priority and must be introduced swiftly to address important existing coverage gaps. Copyright © 2017 The Author(s). Published by Elsevier B.V. All rights reserved.

  10. The Use of Migrant Labour — Threat or Advantage for Russian Economical Development?

    Directory of Open Access Journals (Sweden)

    Viktoria Aleksandrovna Koretskaya-Garmash

    2016-06-01

    Full Text Available The article is devoted to a relevant problem of labour migration, the potentially possible threats and advantages of attracting and using of foreign migrant labour in the framework of the Russian economy are considered. The purpose of this work is to establish the how the migration processes influence over the current state of the Russian economy, and whether it is possible to meet the demand in the labour force by attracting labour migrants. The research method is the analysis of the statistical indicators of the Russian regions’ development, of demographic, migratory and financial situations in the Russian Federation. The results of the study are presented in the form of a quantitative assessment of the potential threats to the internal market due to the use of external migrant labour, which has already led to the Russian economic disruption, the devaluation of the Russian ruble, the growth of current account deficit, the load on the pension system of Russia. Therefore, we must not forget the positive aspects — rejuvenation of the age composition of the population, occupation of vacant jobs by the workers in the disadvantaged Russian regions, the increasing size of tax revenues to the Russian budget system by filing patents on employment activity. The presented results of the study can be used by public authorities in the migration policy, labour and social work for the development of the state programme stimulating internal and external migrants for employment in the regions with a shortage of manpower. The conducted research allows to define the relationship between labour migrants and economic activity of local population, to characterize the reasons of external labour migration and to analyse the consequences of migration for the host country

  11. A framework to expand public services to children with biomedical healthcare needs related to HIV in the Free State, South Africa.

    Science.gov (United States)

    Reid, Marianne; Botma, Yvonne

    2012-06-01

    The study undertook the development of a framework for expanding the public services available to children with biomedical healthcare needs related to HIV in South Africa. The study consisted of various component projects which were depicted as phases. The first phase was a descriptive quantitative analysis of healthcare services for children exposed to or infected by HIV, as rendered by the public health sector in the Free State Province. The second stage was informed by health policy research: a nominal group technique with stakeholders was used to identify strategies for expanding the healthcare services available to these children. The third phase consisted of workshops with stakeholders in order to devise and validate a framework for the expansion. The theory of change logic model served as the theoretical underpinning of the draft framework. Triangulated data from the literature and the preceding two phases of the study provided the empirical foundation. The problem identified was that of fragmented care delivered to children exposed to or infected with HIV, due to the 'over-verticalization' of programmes. A workshop was held during which the desired results, the possible factors that could influence the results, as well as the suggested strategies to expand and integrate the public services available to HIV-affected children were confirmed. Thus the framework was finalised during the validation workshop by the researchers in collaboration with the stakeholders.

  12. Divergent Accounts of Equivalent Narratives: Russian-Swedish Interdevochka Meets Swedish-Russian Lilya 4-ever

    Directory of Open Access Journals (Sweden)

    Lars Lyngsgaard Fjord Kristensen

    2007-10-01

    Full Text Available In a region that is traditionally considered to be transnational, Nordic cinema has often posed as the prime case for a transnational cinema. The paper contests this notion of Nordic transnationality by analysing two films that depict two Russian women travelling to Sweden. Interdevochka/Intergirl (Todorovski, 1989, USSR and Lilya-4-ever (Moodysson, 2004, Sweden challenge the inclusiveness of the region and make explicit the fact that Russian identities are not part of the homogenous mixture of the region. Instead, Russian identities of cross-border prostitution are cinematically subjected to rejection and victimisation. This paper examines how Lilya-4-ever adheres to a European anxiety narrative by performing a Russian return narrative and how Interdevochka/Intergirl portrays ‘the fallen soviet woman’ by travelling to Sweden. These cinematic representations of the female Russian identity travelling to Sweden differ from each national context, but by probing into a comparative analysis the paper will reveal that both films need the Other to narrate these stories of transnational labour migration.

  13. International Atomic Energy Agency publications. Publications catalogue 2001-2002, including IAEA technical documents

    International Nuclear Information System (INIS)

    2002-09-01

    This catalogue lists all sales publications of the IAEA issued and forthcoming between January 2001 and September 2002. Most Agency publications are issued in English, though some are also available in Arabic, Chinese, French, Russian or Spanish. The lists all publications by subject category, in alphabetical order within each category

  14. Characteristics of Russian Professionals’ Organizational Behavior

    Directory of Open Access Journals (Sweden)

    V V Khurtina

    2013-12-01

    Full Text Available The paper describes organizational behavior of Russian professionals at the individual and organizational levels. The characteristics of Russian professionals’ organizational behavior are examined on the basis of the Russian Longitudinal Monitoring Survey of HSE, depending on the qualification level and age.

  15. The healthcare system and the provision of oral healthcare in European Union member states. Part 8: Italy.

    Science.gov (United States)

    Bindi, M; Paganelli, C; Eaton, K A; Widström, E

    2017-05-26

    In Italy healthcare is provided for all Italian citizens and residents and it is delivered mainly by public providers, with some private or private-public entities. Italy's public healthcare system - the Servizio Sanitario Nazionale (SSN) - is organised by the Ministry of Health and administered on a devolved regional basis. It is financed by general taxation that provides universal coverage, largely free of charge at the point of service. The central government establishes the basic national health benefits package, which must be uniformly provided throughout the country, through services guaranteed under the NHS provision called LEA - (Livelli Essenziali di Assistenza [Essential Level of Assistance]) and allocates national funds to the regions. The regions, through their regional health departments, are responsible for organising, administering and delivering primary, secondary and tertiary healthcare services as well as preventive and health promotion services. Regions are allowed a large degree of autonomy in how they perform this role and regarding decisions about the local structure of the system. Complementary and supplementary private health insurance is also available. However, as in most other Mediterranean European countries, in Italy oral healthcare is mainly provided under private arrangements. The public healthcare system provides only 5-8% of oral healthcare services and this percentage varies from region to region. Oral healthcare is included in the Legislation on Essential levels of care (LEAs) for specific populations such as children, vulnerable people (medically compromised and those on low income) and individuals who need oral healthcare in some urgent/emergency cases. For other people, oral healthcare is generally not covered. Apart from the national benefits package, regions may also carry out their own initiatives autonomously, but must finance these themselves. The number of dentists working in Italy has grown rapidly in the last few years

  16. International Atomic Energy Agency. Publications Catalogue 2011/12 - full details of publications published 2010-2012, forthcoming publications and a stocklist of publications published in 2008-2011

    International Nuclear Information System (INIS)

    2011-06-01

    This publications catalogue lists all sales publications of the IAEA published in 2010 and 2011 and those forthcoming in 2011/12. Most IAEA publications are issued in English; some are also available in Arabic, Chinese, French, Russian or Spanish. This is indicated at the bottom of the book entry. A complete listing of all IAEA priced publications is available on the IAEA's web site: http://www.iaea.org/books

  17. Healthcare 2025 : buildings for the future

    NARCIS (Netherlands)

    2008-01-01

    Healthcare in Europe is changing. Many countries are introducing reforms, and creating more competition and an open healthcare market. Product pricing is becoming normal; in some cases, such as the Netherlands, capital costs are becoming a component of charges. Experiments with public/private

  18. Profiling health-care accreditation organizations: an international survey.

    Science.gov (United States)

    Shaw, Charles D; Braithwaite, Jeffrey; Moldovan, Max; Nicklin, Wendy; Grgic, Ileana; Fortune, Triona; Whittaker, Stuart

    2013-07-01

    To describe global patterns among health-care accreditation organizations (AOs) and to identify determinants of sustainability and opportunities for improvement. Web-based questionnaire survey. Organizations offering accreditation services nationally or internationally to health-care provider institutions or networks at primary, secondary or tertiary level in 2010. s) External relationships, scope and activity public information. Forty-four AOs submitted data, compared with 33 in a survey 10 years earlier. Of the 30 AOs that reported survey activity in 2000 and 2010, 16 are still active and stable or growing. New and old programmes are increasingly linked to public funding and regulation. While the number of health-care AOs continues to grow, many fail to thrive. Successful organizations tend to complement mechanisms of regulation, health-care funding or governmental commitment to quality and health-care improvement that offer a supportive environment. Principal challenges include unstable business (e.g. limited market, low uptake) and unstable politics. Many organizations make only limited information available to patients and the public about standards, procedures or results.

  19. Heutiges Russisch (Contemporary Russian)

    Science.gov (United States)

    Russisch, 1976

    1976-01-01

    For the purpose of supplying information on actual contemporary Russian usage, this article excerpts sections on noun usage and variations of the genitive ending in the masculine singular from "Stilistik der russischen Sprache" (Russian Language Style) by D. Rosental and M. Telenkowa. (Text is in German.) (FB)

  20. Potential of the Russian forests and forest industries

    Energy Technology Data Exchange (ETDEWEB)

    Anttonen, T.; Petrov, A.P. [eds.

    1997-12-31

    The publication contains the proceedings of the seminar `Potential of the Russian Forests and Forest Industries` held in Moscow, May 14-16, 1997. The seminar was one step along the road to spread knowledge and become acquainted with forestry and forest industries in northern Europe and Russia. The seminar proceedings contain a lot of fresh information concerning forestry and forest industries in Russia. Both have undergone many changes and reforms during the last few years

  1. Unemployment, public-sector health-care spending and breast cancer mortality in the European Union: 1990-2009.

    Science.gov (United States)

    Maruthappu, Mahiben; Watkins, Johnathan A; Waqar, Mueez; Williams, Callum; Ali, Raghib; Atun, Rifat; Faiz, Omar; Zeltner, Thomas

    2015-04-01

    The global economic crisis has been associated with increased unemployment, reduced health-care spending and adverse health outcomes. Insights into the impact of economic variations on cancer mortality, however, remain limited. We used multivariate regression analysis to assess how changes in unemployment and public-sector expenditure on health care (PSEH) varied with female breast cancer mortality in the 27 European Union member states from 1990 to 2009. We then determined how the association with unemployment was modified by PSEH. Country-specific differences in infrastructure and demographic structure were controlled for, and 1-, 3-, 5- and 10-year lag analyses were conducted. Several robustness checks were also implemented. Unemployment was associated with an increase in breast cancer mortality [P unemployment rises (P unemployment and breast cancer mortality remained in all robustness checks. Rises in unemployment are associated with significant short- and long-term increases in breast cancer mortality, while increases in PSEH are associated with reductions in breast cancer mortality. Initiatives that bolster employment and maintain total health-care expenditure may help minimize increases in breast cancer mortality during economic crises. © The Author 2014. Published by Oxford University Press on behalf of the European Public Health Association. All rights reserved.

  2. International Atomic Energy Agency publications. Publications catalogue 2007 including full details of publications published in 2005-2007 and forthcoming and a stocklist of publications published in 2003-2004

    International Nuclear Information System (INIS)

    2007-01-01

    This Publications Catalogue lists all sales publications of the IAEA published in 2005, 2006 and 2007 and forthcoming. Most IAEA publications are issued in English, some are also available in Arabic, Chinese, French, Russian or Spanish. This is indicated at the bottom of the book entry. A complete listing of all IAEA priced publications is available on the IAEA's web site: http://www.iaea.org/books

  3. International Atomic Energy Agency publications. Publications catalogue 2007 including full details of publications published in 2005-2007 and forthcoming and a stocklist of publications published in 2003-2004

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2007-07-01

    This Publications Catalogue lists all sales publications of the IAEA published in 2005, 2006 and 2007 and forthcoming. Most IAEA publications are issued in English, some are also available in Arabic, Chinese, French, Russian or Spanish. This is indicated at the bottom of the book entry. A complete listing of all IAEA priced publications is available on the IAEA's web site: http://www.iaea.org/books.

  4. Ukrainian-Russian Mixed Speech “Suržyk” within the System of Ukrainian and Russian Interaction

    Directory of Open Access Journals (Sweden)

    Salvatore Del Gaudio

    2015-12-01

    Full Text Available The question of different forms of real and/or presumed mixed speech, a consequence of the interaction between Ukrainian and Russian and widely known as “Suržyk,” remains central in much of contemporary Ukrainian and, more widely, East Slavic sociolinguistic and language contact research. This article pursues a twofold aim: first, I intend to reaffirm my personal hypothesis on the formation process of this mixed speech, which has at times been cited without attribution in the scholarly literature. Second, the paper aims to examine the functioning of Ukrainian-Russian Suržyk within a broader sociolinguistic framework that takes into account other forms of language interaction. Ukrainian-Russian mixed speech in fact has to be assessed and separated from other factors, such as the Ukrainian variety of Russian, dialects, etc. This approach has rarely been applied in previous studies on the topic. The role played by current language ideology is a further essential aspect in establishing which language elements should be attributed to Ukrainian-Russian Suržik. This undoubtedly affects the average speaker’s judgment about the degree of authenticity of Ukrainian forms. One can note a tendency to restrict the synonymic potential of Ukrainian in favor of lexemes and constructions that are dissimilar to Russian. This situation tends to alter the language consciousness of younger generations of Ukrainian speakers, who are likely to perceive as Russian (and therefore part of the Ukrainian-Russian mix elements that are in fact authentic Ukrainian speech elements. These and other related aspects will be the object of my discussion.

  5. Health-systems efficiency in the Russian Federation: tuberculosis control.

    Science.gov (United States)

    Floyd, Katherine; Hutubessy, Raymond; Samyshkin, Yevgeniy; Korobitsyn, Alexei; Fedorin, Ivan; Volchenkov, Gregory; Kazeonny, Boris; Coker, Richard; Drobniewski, Francis; Jakubowiak, Wieslaw; Shilova, Margarita; Atun, Rifat A.

    2006-01-01

    OBJECTIVE: To conduct a comprehensive assessment of the case-mix of patients admitted to tuberculosis hospitals and the reasons for their admission in four Russian regions: Ivanovo, Orel, Samara and Vladimir. We also sought to quantify the extent to which efficiency could be improved by reducing hospitalization rates and re-profiling hospital beds available in the tuberculosis-control system. METHODS: We used a standard questionnaire to determine how beds were being used and who was using the beds in tuberculosis facilities in four Russian regions. Data were collected to determine how 4306 tuberculosis beds were utilized as well as on the socioeconomic and demographic indicators, clinical parameters and reasons for hospitalization for 3352 patients. FINDINGS: Of the 3352 patients surveyed about 70% were male; the average age was 40; and rates of unemployment, disability and alcohol misuse were high. About one-third of beds were occupied by smear-positive or culture-positive tuberculosis patients; 20% were occupied by tuberculosis patients who were smear-negative and/or culture-negative; 20% were occupied by patients who no longer had tuberculosis; and 20% were unoccupied. If clinical and public health admission criteria were applied then < 50% of admissions would be justified and < 50% of the current number of beds would be required. Up to 85% of admissions and beds were deemed to be necessary when social problems and poor access to outpatient care were considered along with clinical and public health admission criteria. CONCLUSION: Much of the Russian Federation's large tuberculosis hospital infrastructure is unnecessary when clinical and public health criteria are used, but the large hospital infrastructure within the tuberculosis-control system has an important social support function. Improving the efficiency of the system will require the reform of health-system norms and regulations as they relate to resource allocation and clinical care and implementation of

  6. [Production chain supply management for public hospitals: a logistical approach to healthcare].

    Science.gov (United States)

    Infante, Maria; dos Santos, Maria Angélica Borges

    2007-01-01

    Despite their importance for hospital operations, discussions of healthcare organization logistics and supply and materials management are notably lacking in Brazilian literature. This paper describes a methodology for organizing the supply of medical materials in public hospitals, based on an action-research approach. Interventions were based on the assumption that a significant portion of problems in Brazil's National Health System (SUS) facilities derive from the fact that their clinical and administrative departments do not see themselves as belonging to the same production chain - neither the hospital nor the supply department is aware of what the other produces. The development of the methodology and its main steps are presented and discussed, against a background of recent literature and total quality and supply chain management concepts.

  7. The Russian nuclear data research programme

    International Nuclear Information System (INIS)

    1995-11-01

    The report contains the Russian programme of nuclear data research, approved by the Russian Nuclear Data Committee on 16 December 1994. It gives surveys on nuclear data needs, on the structure of nuclear data activities, on experimental facilities for nuclear data measurements at five Russian institutes, on theoretical model work, nuclear data evaluation, and nuclear data testing. It describes four Russian nuclear data centers and their relations to the International Nuclear Data Centres Network, and their holdings of nuclear data libraries of Russian and international origin. A summary of nuclear data applications in energy and non-energy fields is given. An appendix contains a detail nuclear data research programme for the years 1995 - 2005. (author). 16 refs, 1 fig., 6 tabs

  8. Russian Sentence Adverbials

    DEFF Research Database (Denmark)

    Lorentzen, Elena; Durst-Andersen, Per

    2015-01-01

    way or the other to take their starting point in the previous discourse. It is, however, stressed that the specificity of the Russian language is found in modal adverbials where a division between external and internal reality exists. We end the examination by discussing the function of word order......Sentence adverbials (SA) in Russian are analyzed in their totality, i.e. from a lexical, syntactic, semantic and pragmatic point of view. They are classified according to Hare’s three utterance components which yields (1) neustic, (2) tropic and (3) phrastic SAs. These components are used...... to represent semantic paraphrases of Russian SAs in utterances from various types of discourse in order to show their exact contribution to the meaning conveyed by the entire utterance. They are further subdivided according to their function: (1) into connectives and non-connectives; (2) into attitudinal...

  9. INTERACTION OF EUROPEAN AND RUSSIAN LEGAL CONSCIOUSNESS

    Directory of Open Access Journals (Sweden)

    A. Tyrtyshny

    2015-01-01

    Full Text Available This article provides an overview of certain ideologemes of Western (European and Russian legal consciousness – prominent works of Ivan Ilyin and Duncan Kennedy are taken as examples. The article analyzes the tabula rasa principle and its place in legal consciousness. We use legal scholarship, judicial practice and opinion polls to examine the relationship between legal consciousness and the lack of trust in Russian courts, as well as their inefficiency from the point of view of public opinion. There are a number of shocking cases of torture of innocent people by the Russian police. Why is this so? The answer lies in the legal consciousness of police officers and of judges. This is something that has been inherited from the Soviet period. It is completely different from the Western legal consciousness, one of the key features of which is denial of authority. The critical legal studies branch of American legal realism almost denies the very existence of law, and, perhaps for this reason, American culture is less open to abuses like torture. At the same time, there is no possibility to shift legal consciousness immediately, the tabula rasa principle does not work. The final objective of the article is to provide a perspective on the reform of higher legal education and its relation to legal consciousness and legal anthropology. We propose that a greater part of the university curriculum is devoted to legal anthropology.

  10. Gender analysis of the Russian labor market

    Directory of Open Access Journals (Sweden)

    Aleksandr Mikhailovich Panov

    2014-07-01

    Full Text Available The issue of gender inequality in the labor market affects all world countries to some extent. As salary is the basis of population’s sources of income in Russia, unequal pay to men and women for equal work can trigger gender discrimination in the labor market and beyond. The article focusses on the gender analysis of the Russian labor market. It focuses on conjunctural conditions of the labor market in a gender aspect, socio-economic characteristics of men and women as subjects of the labor market and the institutional features of the Russian labor market. The study reveals that, despite lower wages, women, judging by their socio-economic characteristics, possess competitive advantages over men, having higher level of education and better state of health. In addition to horizontal segregation, traditional partition of industries to “male” and “female”, the main causes of gender wage gaps are discriminatory social attitudes and social role of women. The issue to address gender discrimination in the modern Russian society becomes more critical due to contradiction between normative-legal acts, stipulating the gender equality in all spheres of life, and discriminatory social attitudes. The article gives a brief overview of research and practice publications on the problem of gender disparities in labor remuneration and methods to address them in the developed world. The state statistical monitoring of labor productivity in terms of gender is considered as a tool for in-depth study of discrimination

  11. [The legislation of subjects of the Russian Federation concerning prevention of alcoholism, drug addiction and toxicomania].

    Science.gov (United States)

    2011-01-01

    The article deals with analysis of the laws "On prevention of alcoholism, drug addiction and toxicomania" introduced in some subjects of the Russian Federation (Permskaya, Tomskaya, Murmanskaya oblast, the Republics of Bashkortostan, Mordovia, Buryatia, Mari El, etc.). The laws stipulate the participation of the authorities of public and municipal administration, public health, social protection, home affairs and others in the prevention activities. The integral part of this activity is the approval of corresponding regional programs with adequate financing and coordination. The laws on prevention of alcoholism, drug addiction and toxicomania, adopted in the subjects of the Russian Federation are of advance character and testify the necessity of adoption of relevant Federal law.

  12. Preface: II Russian-Spanish Congress on Particle and Nuclear Physics at All Scales, Astroparticle Physics and Cosmology

    OpenAIRE

    Andrianov, Alexander A.; Espriu, D. (Domènec); Andrianov, Vladimir A.; Kolevatov, S.

    2014-01-01

    This publication contains the proceedings of the II Russian-Spanish Congress on Particle and Nuclear Physics at All Scales, Astroparticle Physics and Cosmology, a collection of refereed papers presented in plenary and parallel sessions at a meeting that gathered leading Russian and Spanish Scientists in the above fields in Saint-Petersburg from October 1st through October 4th 2013 (http://hep.phys.spbu.ru/conf/esp-rus2013/).

  13. PKI security in large-scale healthcare networks

    OpenAIRE

    Mantas, G.; Lymberopoulos, D.; Komninos, N.

    2012-01-01

    During the past few years a lot of PKI (Public Key Infrastructures) infrastructures have been proposed for healthcare networks in order to ensure secure communication services and exchange of data among healthcare professionals. However, there is a plethora of challenges in these healthcare PKI infrastructures. Especially, there are a lot of challenges for PKI infrastructures deployed over large-scale healthcare networks. In this paper, we propose a PKI infrastructure to ensure security in a ...

  14. Healthcare in Equatorial Guinea, West Africa: obstacles and barriers to care.

    Science.gov (United States)

    Reuter, Kim Eleanor; Geysimonyan, Aurora; Molina, Gabriela; Reuter, Peter Robert

    2014-01-01

    The provision of healthcare services in developing countries has received increasing attention, but inequalities persist. One nation with potential inequalities in healthcare services is Equatorial Guinea (Central-West Africa). Mitigating these inequalities is difficult, as the Equatoguinean healthcare system remains relatively understudied. In this study, we interviewed members of the healthcare community in order to: 1) learn which diseases are most common and the most common cause of death from the perspective of healthcare workers; and 2) gain an understanding of the healthcare community in Equatorial Guinea by describing how: a) healthcare workers gain their professional knowledge; b) summarizing ongoing healthcare programs aimed at the general public; c) discussing conflicts within the healthcare community and between the public and healthcare providers; d) and addressing opportunities to improve healthcare delivery. We found that some causes of death, such as serious injuries, may not be currently treatable in country, potentially due to a lack of resources and trauma care facilities. In addition, training and informational programs for both healthcare workers and the general public may not be effectively transmitting information to the intended recipients. This presents hurdles to the healthcare community, both in terms of having professional competence in healthcare delivery and in having a community that is receptive to medical care. Our data also highlight government-facility communication as an opportunity for improvement. Our research is an important first step in understanding the context of healthcare delivery in Equatorial Guinea, a country that is relatively data poor.

  15. Russian Language Classes

    CERN Multimedia

    2008-01-01

    The Russian Cultural Circle is organising a new Russian course for beginners and will continue its course for advanced students (3rd year), both from September onwards. Anyone interested in taking part is invited to contact Mrs M. Mikhailova (e-mail: mailto:mmmacha@hotmail.com or tel. 022 788 27 53) or Mrs C. Kukowka (e-mail: mailto:christinekukowka@orange.fror tel. ++ 33 4 50 42 43 22 after 8.00 p.m.).

  16. Russian Academy of Engineering: a strong power for integration of engineering community

    Directory of Open Access Journals (Sweden)

    GUSEV Boris Vladimirovich

    2015-04-01

    Full Text Available Russian Academy of Engineering is legal successor of the Engineering Academy of USSR, founded by 20 ministries and departments of USSR and RSFSR on May 13, 1990. The Engineering Academy of USSR since the very beginning of its functioning, has launched its task-oriented activity on strengthening of links between science and industry, on solving the problems of using the results of basic (fundamental research and their accelerated adaptation into the industry. In the post-Soviet period, on the basis of the Academy, the Ministry of Justice of the Russian Federation, on December 24, 1991, registered the All-Russian Public Organization Russian Academy of Engineering (RAE. At the present time, RAE includes over 1350 full and corresponding members, prominent Russian scientists, engineers and industry organizers, over 200 member societies which include major Russian science & technology organizations, and over 40 regional engineering-technical structures, departments of RAE. RAE carries out large-scale work on the development of science & technology areas in science, creating new machinery and technologies, organization of efficient functioning of the Russian Engineering community. During the 25-year period of work, about 4,5 thousand new technologies were developed, over 6,5 thousand monographs were published. Over 4 thousand patents were obtained. 209 members of RAE became laureates of State Prize of USSR and RF, 376 members of RAE became laureates of Government Prize of USSR and RF. Annual value of science & research, project and other works in the area of engineering amounts from 0,5 to 1 billion roubles. This information and reference edition of the Encyclopedia of the Russian Academy of Engineering is dedicated to the 25th anniversary of the Russian Academy of Engineering. The Encyclopedia includes creative biographies of more than 1750 full and corresponding members of RAE, prominent scientists, distinguished engineers and organizers of industry

  17. Incorporating financial protection into decision rules for publicly financed healthcare treatments.

    Science.gov (United States)

    Smith, Peter C

    2013-02-01

    Almost all health systems seek to offer some form of publicly financed healthcare insurance, and governments must therefore choose the size of the benefit package and the types of treatments to cover. Conventionally, the usual approach of economists has been to recommend choices on the basis of cost effectiveness of treatments, using metrics such as the 'cost per quality adjusted life year'. However, this approach is based on the assumption of health maximization subject to a budget constraint and ignores the potential impact of any additional concern with protecting individuals from the financial consequences of a health shock. Furthermore, it does not take account of the possible availability of complementary privately funded health care. This paper develops a model in which risk-averse individuals care about health but also place a value on protection from the financial consequences of rare but costly events. The paper shows how conventional cost-effectiveness analysis can readily be augmented to take account of financial protection objectives. The results depend on whether or not there exists a market in complementary privately funded health care. They have important implications for the methodology adopted by health technology assessment agencies and for the broader design of publicly funded health systems. Copyright © 2012 John Wiley & Sons, Ltd.

  18. Relation of people-centered public health and person-centered healthcare management: a case study to reduce burn-out.

    Science.gov (United States)

    Stoyanov, Drozdstoj S; Cloninger, C Robert

    2012-01-01

    Healthcare management is one practical tool for mediation and implementation of public health into clinical healthcare outcomes and is taken in our case study as an exemplar arena to demonstrate the vital importance of the person-centered approach. Healthcare personnel are frequently at risk for the 'burn-out' syndrome. However, modern measures of burn-out recognize burn-out only at a late stage when it is fully developed. There are no available methods to assess the risk for vulnerability to burnout in healthcare systems. Our aim was therefore to design a complex person-centered model for detection of high risk for burn-out at an early stage, that has been termed 'flame-out'. We accept the observation that decreased personal performance is one crucial expression of burn-out. Low personal performance and negative emotions are strongly related to low self-directedness as measured by the Temperament and Character Inventory (TCI). At the same time, burn-out is characterized by decreased interest and positive emotions from work. Decreased positive emotion is directly related to low self-transcendence as measured by the TCI. Burn-out is also frequently associated with feelings of social alienation or inadequacy of support, which is in turn related to low TCI Cooperativeness. However, high Persistence and Harm Avoidance are predisposing traits for burn-out in healthcare professionals who are often overly perfectionistic and compulsive, predisposing them to anxiety, depression, suicide and burn-out. Hence, people at risk for future burn-out are often highly conscientious over-achievers with intense mixtures of positive and negative emotions. The high demand for perfection comes from both intrinsic characteristics and from features of the social milieu in their psychological climate. Letting go of the unfulfillable desire to be perfect by increasing self-transcendence allows acceptance of the imperfection of the human condition, thereby preventing burn-out and other

  19. Russian electrometallurgy: Achievements, problems, prospects

    Science.gov (United States)

    Utochkin, Yu. I.; Semin, A. E.

    2011-12-01

    The changes in the Russian metallurgy, in particular, electric furnace steelmaking, having occurred in the recent years are analyzed. The main increase in the steelmaking output is due to putting into operation of new electric furnaces in new miniworks and enterprises equipped earlier with open-hearth furnaces. Reaching the rated capacity of a furnace in Russia substantially lags behind foreign enterprises. Only 30-35% of the Russian market of corrosion-resistant steel are provided by Russian metal.

  20. International Atomic Energy Agency Publications. Catalogue 1980-1995

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1996-08-01

    This catalogue lists all sales publications of the International Atomic Energy Agency issued from 1980 up to the end of 1995 an still available. Some earlier titles which form part of an established series or are still considered of importance have been included. Most Agency publications are issued in English, though some are also available in Chinese, French, Russian or Spanish. This is noted as C for Chinese, E for English, F for French, R for Russian and S For Spanish by the relevant ISBN number. Proceedings of conferences, symposia, seminars and panels, of experts contain papers in their original language (English, French, Russian or Spanish) with abstracts in English and in the original language.

  1. International Atomic Energy Agency Publications. Catalogue 1980-1995

    International Nuclear Information System (INIS)

    1996-08-01

    This catalogue lists all sales publications of the International Atomic Energy Agency issued from 1980 up to the end of 1995 an still available. Some earlier titles which form part of an established series or are still considered of importance have been included. Most Agency publications are issued in English, though some are also available in Chinese, French, Russian or Spanish. This is noted as C for Chinese, E for English, F for French, R for Russian and S For Spanish by the relevant ISBN number. Proceedings of conferences, symposia, seminars and panels, of experts contain papers in their original language (English, French, Russian or Spanish) with abstracts in English and in the original language

  2. Russian natural gas exports-Will Russian gas price reforms improve the European security of supply?

    International Nuclear Information System (INIS)

    Sagen, Eirik Lund; Tsygankova, Marina

    2008-01-01

    In this paper we use both theoretical and numerical tools to study potential effects on Russian gas exports from different Russian domestic gas prices and production capacities in 2015. We also investigate whether a fully competitive European gas market may provide incentives for Gazprom, the dominant Russian gas company, to change its export behaviour. Our main findings suggest that both increased domestic gas prices and sufficient production capacities are vital to maintain Gazprom's market share in Europe over the next decade. In fact, Russia may struggle to carry out its current long-term export commitments if domestic prices are sufficiently low. At the same time, if Russian prices approach European net-back levels, Gazprom may reduce exports in favour of a relatively more profitable domestic market

  3. International Atomic Energy Agency publications. Publications catalogue 2005 including full details of publications published in 2003-2004 and forthcoming in 2005 and a stocklist of publications published in 2001-2002

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2005-03-15

    This Publications Catalogue lists all sales publications of the IAEA published in 2003, 2004 and forthcoming in 2005. Most IAEA publications are issued in English, some are also available in Arabic, Chinese, French, Russian or Spanish. This is indicated at the bottom of the book entry. A complete listing of all IAEA priced publications is available on the IAEA's web site: http://www.iaea.org/books.

  4. International Atomic Energy Agency publications. Publications catalogue 2006 including full details of publications published in 2004-2005 and forthcoming in 2006 and a stocklist of publications published in 2002-2003

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2006-03-15

    This Publications Catalogue lists all sales publications of the IAEA published in 2004, 2005 and forthcoming in 2006. Most IAEA publications are issued in English, some are also available in Arabic, Chinese, French, Russian or Spanish. This is indicated at the bottom of the book entry. A complete listing of all IAEA priced publications is available on the IAEA's web site: http://www.iaea.org/books.

  5. International Atomic Energy Agency publications. Publications catalogue 2006 including full details of publications published in 2004-2005 and forthcoming in 2006 and a stocklist of publications published in 2002-2003

    International Nuclear Information System (INIS)

    2006-03-01

    This Publications Catalogue lists all sales publications of the IAEA published in 2004, 2005 and forthcoming in 2006. Most IAEA publications are issued in English, some are also available in Arabic, Chinese, French, Russian or Spanish. This is indicated at the bottom of the book entry. A complete listing of all IAEA priced publications is available on the IAEA's web site: http://www.iaea.org/books

  6. International Atomic Energy Agency publications. Publications catalogue 2005 including full details of publications published in 2003-2004 and forthcoming in 2005 and a stocklist of publications published in 2001-2002

    International Nuclear Information System (INIS)

    2005-03-01

    This Publications Catalogue lists all sales publications of the IAEA published in 2003, 2004 and forthcoming in 2005. Most IAEA publications are issued in English, some are also available in Arabic, Chinese, French, Russian or Spanish. This is indicated at the bottom of the book entry. A complete listing of all IAEA priced publications is available on the IAEA's web site: http://www.iaea.org/books

  7. PKI security in large-scale healthcare networks.

    Science.gov (United States)

    Mantas, Georgios; Lymberopoulos, Dimitrios; Komninos, Nikos

    2012-06-01

    During the past few years a lot of PKI (Public Key Infrastructures) infrastructures have been proposed for healthcare networks in order to ensure secure communication services and exchange of data among healthcare professionals. However, there is a plethora of challenges in these healthcare PKI infrastructures. Especially, there are a lot of challenges for PKI infrastructures deployed over large-scale healthcare networks. In this paper, we propose a PKI infrastructure to ensure security in a large-scale Internet-based healthcare network connecting a wide spectrum of healthcare units geographically distributed within a wide region. Furthermore, the proposed PKI infrastructure facilitates the trust issues that arise in a large-scale healthcare network including multi-domain PKI infrastructures.

  8. Russian: An Active Introduction.

    Science.gov (United States)

    De La Cruz, Nina

    The Active Introduction is one of the modules in an array of materials used in Russian training for beginners at the Foreign Service Institute. It is essentially a catalog of sentences relating to typical daily activities which can be combined to form different communication sequences in dialog form. Students learn to speak Russian through…

  9. Blogginh in Russia. The Platform LiveJournal as a professional tool of Russian journalists

    Directory of Open Access Journals (Sweden)

    Elena Johansson

    2014-09-01

    Full Text Available The Russian media model combines elements of Western market economy with the considerable influence of the political elite. In regard to professional journalism, it is characterized by state control of media, restriction of journalistic autonomy, and censorship (including self-censorship. The Russian media system today is a hybrid composed of the main public sphere — that is, state-owned mainstream media — and a parallel public sphere or counter-sphere, consisting of mainstream media relatively disloyal to the Kremlin, and social media. The technological developments that led to the introduction of social media changed traditional journalists’ practices, challenged their professional roles, and created new conditions for journalists worldwide. Russian journalists actively use new social media services, and especially blogs. LiveJournal, one of the most popular and relatively non-controlled blog platforms, is considered a core medium of political and public discourse in Russia. As one of the basic components of the new media system, it has great potential as a useful tool for professional journalistic work. The present study is based on an analysis of one hundred journalist’s blogs maintained on the LiveJournal platform in during the 2012 presidential election in Russia. The findings show to what extent journalists’ blogging (called “j-blogging” might assist them in their working routine and can be used as a compensatory medium or a tool for professional and personal self-expression in conditions of editorial restrictions.

  10. Blogging in Russia. THE BLOG PLATFORM LIVEJOURNAL AS A PROFESSIONAL TOOL OF RUSSIAN JOURNALISTS

    Directory of Open Access Journals (Sweden)

    Elena Johansson

    2014-09-01

    Full Text Available The Russian media model combines elements of Western market economy with the considerable influence of the political elite. In regard to professional journalism, it is characterized by state control of media, restriction of journalistic autonomy, and censorship (including self-censorship. The Russian media system today is a hybrid composed of the main public sphere — that is, state-owned mainstream media — and a parallel public sphere or counter-sphere, consisting of mainstream media relatively disloyal to the Kremlin, and social media. The technological developments that led to the introduction of social media changed traditional journalists’ practices, challenged their professional roles, and created new conditions for journalists worldwide. Russian journalists actively use new social media services, and especially blogs. LiveJournal, one of the most popular and relatively non-controlled blog platforms, is considered a core medium of political and public discourse in Russia. As one of the basic components of the new media system, it has great potential as a useful tool for professional journalistic work. The present study is based on an analysis of one hundred journalist’s blogs maintained on the LiveJournal platform in during the 2012 presidential election in Russia. The findings show to what extent journalists’ blogging (called “j-blogging” might assist them in their working routine and can be used as a compensatory medium or a tool for professional and personal self-expression in conditions of editorial restrictions

  11. E-SovTox: An online database of the main publicly-available sources of toxicity data concerning REACH-relevant chemicals published in the Russian language.

    Science.gov (United States)

    Sihtmäe, Mariliis; Blinova, Irina; Aruoja, Villem; Dubourguier, Henri-Charles; Legrand, Nicolas; Kahru, Anne

    2010-08-01

    A new open-access online database, E-SovTox, is presented. E-SovTox provides toxicological data for substances relevant to the EU Registration, Evaluation, Authorisation and Restriction of Chemicals (REACH) system, from publicly-available Russian language data sources. The database contains information selected mainly from scientific journals published during the Soviet Union era. The main information source for this database - the journal, Gigiena Truda i Professional'nye Zabolevania [Industrial Hygiene and Occupational Diseases], published between 1957 and 1992 - features acute, but also chronic, toxicity data for numerous industrial chemicals, e.g. for rats, mice, guinea-pigs and rabbits. The main goal of the abovementioned toxicity studies was to derive the maximum allowable concentration limits for industrial chemicals in the occupational health settings of the former Soviet Union. Thus, articles featured in the database include mostly data on LD50 values, skin and eye irritation, skin sensitisation and cumulative properties. Currently, the E-SovTox database contains toxicity data selected from more than 500 papers covering more than 600 chemicals. The user is provided with the main toxicity information, as well as abstracts of these papers in Russian and in English (given as provided in the original publication). The search engine allows cross-searching of the database by the name or CAS number of the compound, and the author of the paper. The E-SovTox database can be used as a decision-support tool by researchers and regulators for the hazard assessment of chemical substances. 2010 FRAME.

  12. Russian Language Analysis Project

    Science.gov (United States)

    Serianni, Barbara; Rethwisch, Carolyn

    2011-01-01

    This paper is the result of a language analysis research project focused on the Russian Language. The study included a diverse literature review that included published materials as well as online sources in addition to an interview with a native Russian speaker residing in the United States. Areas of study include the origin and history of the…

  13. The US healthcare workforce and the labor market effect on healthcare spending and health outcomes.

    Science.gov (United States)

    Pellegrini, Lawrence C; Rodriguez-Monguio, Rosa; Qian, Jing

    2014-06-01

    The healthcare sector was one of the few sectors of the US economy that created new positions in spite of the recent economic downturn. Economic contractions are associated with worsening morbidity and mortality, declining private health insurance coverage, and budgetary pressure on public health programs. This study examines the causes of healthcare employment growth and workforce composition in the US and evaluates the labor market's impact on healthcare spending and health outcomes. Data are collected for 50 states and the District of Columbia from 1999-2009. Labor market and healthcare workforce data are obtained from the Bureau of Labor Statistics. Mortality and health status data are collected from the Centers for Disease Control and Prevention's Vital Statistics program and Behavioral Risk Factor Surveillance System. Healthcare spending data are derived from the Centers for Medicare and Medicaid Services. Dynamic panel data regression models, with instrumental variables, are used to examine the effect of the labor market on healthcare spending, morbidity, and mortality. Regression analysis is also performed to model the effects of healthcare spending on the healthcare workforce composition. All statistical tests are based on a two-sided [Formula: see text] significance of [Formula: see text] .05. Analyses are performed with STATA and SAS. The labor force participation rate shows a more robust effect on healthcare spending, morbidity, and mortality than the unemployment rate. Study results also show that declining labor force participation negatively impacts overall health status ([Formula: see text] .01), and mortality for males ([Formula: see text] .05) and females ([Formula: see text] .001), aged 16-64. Further, the Medicaid and Medicare spending share increases as labor force participation declines ([Formula: see text] .001); whereas, the private healthcare spending share decreases ([Formula: see text] .001). Public and private healthcare spending also

  14. Evaluation of patient’s satisfaction in a public-private health facility in Northeastern Brazil and the judicialization of healthcare

    Directory of Open Access Journals (Sweden)

    SILVA JUNIOR, Geraldo Bezerra

    2016-10-01

    Full Text Available This article aims to analyze the degree of satisfaction of users of a public-private healthcare service in the Northeast of Brazil, as well as their level of knowledge about their rights and about the judicial procedure used to guarantee these rights. The analysis was based on the responses to a questionnaire applied to 67 patients who are users of a healthcare assistance center that is part of the Brazilian National Public Health System, at Universidade de Fortaleza. The users showed satisfaction with the services offered, seeing them as good or excellent. The main problem highlighted was the difficulty of access to medications provided by the public health system and the lack of knowledge on health-related rights. There was a low demand for justice related to health issues; this can be explained by both the low level of knowledge on the rights related to this field and the low educational level of most respondents. The improvement of the degree of satisfaction can help reduce the judicialization, even though more knowledgeable users might become more demanding and appeal more to justice. Alternative solutions for resolving disputes, such as mediation and restorative justice, can help reduce the appeal to justice.

  15. STUDDING OF MANIPULATIVE IMPACT ON THE RUSSIAN YOUTH DURING THE IMPERIAL PERIOD OF NATIONAL HISTORY

    Directory of Open Access Journals (Sweden)

    S. O. Elishev

    2018-01-01

    Full Text Available Features of studying of manipulative impact on the Russian youth of various subjects of public activity during the imperial period of the Russian history are considered. Studying of purposeful impact on youth of various, not unambiguous subjects of public activity using its as subject to manipulations and also approbations on its political, social and psychological technologies and experiments is the relevant and perspective direction of modern sociological researches. Systematization of knowledge of this perspective and also accounting of the available experiment on studying of this sort of the negative phenomena acquired during the previous periods of national history – the imperial and Soviet periods, has to contribute to development of effective mechanisms of counteraction to manipulative and destructive impact on process of socialization, education and social development of modern Russian youth.The author pays attention to little-known works, official documents and unfairly the forgotten classics of the Russian socio-political thought, opinion of the official government persons and publicists mentioning this perspective in the researches. Interest in this perspective, investigating features of process of socialization, crisis of institutes of socialization, participation of youth in policy, growth of crimes of extremist and terrorist orientation, mood of youth, student’s revolts and performances were generally shown by both official officials, and scientists, experts and publicists, first of all, of the conservative and guarding direction of the Russian socio-political thought.I.K. Palen, K.P. Pobedonostsev, A.I. Georgiyevsky, A.S. Izgoyev, M.N. Katkov, F.P. Elenev, N.A. Berdyaev, S.N. Bulgakov, L.A. Tikhomirov, B.N. Chicherin, etc are highlited as persons who have brought a significant contribution to the development of this perspective. The Russian youth is often acted in ideas of these statesmen and thinkers as the victim of

  16. Russian marine expeditionary investigations of the world ocean - NOAA Atlas NESDIS 56 (NODC Accession 0000954)

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — This accession is an Adobe(tm) Acrobat(tm) file (.pdf) of the publication 'Russian marine expeditionary investigations of the world ocean - NOAA Atlas NESDIS 56'....

  17. Health sector reforms for 21 st century healthcare

    Directory of Open Access Journals (Sweden)

    Darshan Shankar

    2015-01-01

    Full Text Available The form of the public health system in India is a three tiered pyramid-like structure consisting primary, secondary, and tertiary healthcare services. The content of India′s health system is mono-cultural and based on western bio-medicine. Authors discuss need for health sector reforms in the wake of the fact that despite huge investment, the public health system is not delivering. Today, 70% of the population pays out of pocket for even primary healthcare. Innovation is the need of the hour. The Indian government has recognized eight systems of healthcare viz., Allopathy, Ayurveda, Siddha, Swa-rigpa, Unani, Naturopathy, Homeopathy, and Yoga. Allopathy receives 97% of the national health budget, and 3% is divided amongst the remaining seven systems. At present, skewed funding and poor integration denies the public of advantage of synergy and innovations arising out of the richness of India′s Medical Heritage. Health seeking behavior studies reveal that 40-70% of the population exercise pluralistic choices and seek health services for different needs, from different systems. For emergency and surgery, Allopathy is the first choice but for chronic and common ailments and for prevention and wellness help from the other seven systems is sought. Integrative healthcare appears to be the future framework for healthcare in the 21 st century. A long-term strategy involving radical changes in medical education, research, clinical practice, public health and the legal and regulatory framework is needed, to innovate India′s public health system and make it both integrative and participatory. India can be a world leader in the new emerging field of "integrative healthcare" because we have over the last century or so assimilated and achieved a reasonable degree of competence in bio-medical and life sciences and we possess an incredibly rich and varied medical heritage of our own.

  18. Health sector reforms for 21(st) century healthcare.

    Science.gov (United States)

    Shankar, Darshan

    2015-01-01

    The form of the public health system in India is a three tiered pyramid-like structure consisting primary, secondary, and tertiary healthcare services. The content of India's health system is mono-cultural and based on western bio-medicine. Authors discuss need for health sector reforms in the wake of the fact that despite huge investment, the public health system is not delivering. Today, 70% of the population pays out of pocket for even primary healthcare. Innovation is the need of the hour. The Indian government has recognized eight systems of healthcare viz., Allopathy, Ayurveda, Siddha, Swa-rigpa, Unani, Naturopathy, Homeopathy, and Yoga. Allopathy receives 97% of the national health budget, and 3% is divided amongst the remaining seven systems. At present, skewed funding and poor integration denies the public of advantage of synergy and innovations arising out of the richness of India's Medical Heritage. Health seeking behavior studies reveal that 40-70% of the population exercise pluralistic choices and seek health services for different needs, from different systems. For emergency and surgery, Allopathy is the first choice but for chronic and common ailments and for prevention and wellness help from the other seven systems is sought. Integrative healthcare appears to be the future framework for healthcare in the 21(st) century. A long-term strategy involving radical changes in medical education, research, clinical practice, public health and the legal and regulatory framework is needed, to innovate India's public health system and make it both integrative and participatory. India can be a world leader in the new emerging field of "integrative healthcare" because we have over the last century or so assimilated and achieved a reasonable degree of competence in bio-medical and life sciences and we possess an incredibly rich and varied medical heritage of our own.

  19. The utilization of mobile devices for telemedicine services in a South African public healthcare system.

    Science.gov (United States)

    Hartmann, André; Van Dyk, Liezl

    2014-01-01

    The purpose of this study is to develop an understanding in the use of mobile devices in administering telemedicine services within the public health care sector of South Africa. An online questionnaire was developed and distributed amongst medical officers, specialists, students and medical staff of one of the health districts of South Africa. This paper describes the design of the questionnaire as well as the most significant outcomes. Results are presented in terms of reasons why healthcare workers use mobile devices, as well as perceptions in terms of transmission security and quality of transmitted information.

  20. Spirituality and healthcare: Towards holistic people-centred healthcare in South Africa

    Directory of Open Access Journals (Sweden)

    Andre de la Porte

    2016-07-01

    Full Text Available Healthcare in South Africa is in a crisis. Problems with infrastructure, management, human resources and the supply of essential medicines are at a critical level. This is compounded by a high burden of disease and disparity in levels of service delivery, particularly between public and private healthcare. The government has put ambitious plans in place, which are part of the National Development Plan to ward 2030. In the midst of this we find the individual person and their family and community staggering under the suffering caused by disease, poverty, crime and violence. There is a more than 70% chance that this person and their family and community are trying to make sense of this within a spiritual framework and that they belong to a faith-based community. This article explores the valuable contribution of spirituality, spiritual and pastoral work, the faith-based community (FBC and faith-based organisations (FBOs to holistic people-centred healthcare in South Africa. Keywords: Healthcare; Spirituality; Clinical Spiritual Counselling

  1. Population-Wide Genetic Risk Prediction of Complex Diseases: A Pilot Feasibility Study in Macau Population for Precision Public Healthcare Planning

    OpenAIRE

    Tsui, Nancy B. Y.; Cheng, Gregory; Chung, Teresa; Lam, Christopher W. K.; Yee, Anita; Chung, Peter K. C.; Kwan, Tsz-Ki; Ko, Elaine; He, Daihai; Wong, Wing-Tak; Lau, Johnson Y. N.; Lau, Lok Ting; Fok, Manson

    2018-01-01

    The genetic bases of many common diseases have been identified through genome-wide association studies in the past decade. However, the application of this approach on public healthcare planning has not been well established. Using Macau with population of around 650,000 as a basis, we conducted a pilot study to evaluate the feasibility of population genomic research and its potential on public health decisions. By performing genome-wide SNP genotyping of over a thousand Macau individuals, we...

  2. The history of the Russian Orthodox Church in Denmark (1741-2016 seen in a Danish-Russian historical perspective

    Directory of Open Access Journals (Sweden)

    Christensen Carsten Sander

    2017-07-01

    Full Text Available The article deals with the history and the problems of the Russian Orthodox Church in Denmark – and here seen in a Danish-Russian historical perspective, especially, in the last 300 years. The relations between the Danes and the Orthodox Church began, however, around 900 years before, in the Eastern European state of Kievan Rus. The article shows that the history of the church is closely linked to the political development in Russia. In this article, the history of the church and the changing Russian congregations will be illuminated in a historical perspective so that both the church and church buildings will throw a new light on the role of the Russian Church in both Danish and Russian history. In addition, it will be analysed to what extent trade policy, strategy and power policy and family relations have influenced the role and position of the Russian Church in Danish history.

  3. Spirituality and healthcare: Towards holistic peoplecentred ...

    African Journals Online (AJOL)

    Healthcare in South Africa is in a crisis. Problems with infrastructure, management, human resources and the supply of essential medicines are at a critical level. This is compounded by a high burden of disease and disparity in levels of service delivery, particularly between public and private healthcare. The government ...

  4. Western values and the Russian energy weapon

    Science.gov (United States)

    Domingues, Bennett K.

    This thesis explores the competition between Russia and the West for the oil and gas resources of the Caspian Sea region, an area where far more is at stake than simply acquisition of new energy supplies. Ultimately, the "winner" of the competition for Caspian Sea energy resources will determine whether Russia will become the primary energy supplier for Europe in the future, or whether there will be alternative, non-Russian energy routes from East to West. The thesis uses a qualitative approach, drawing on scholarly books and articles, current affairs publications, energy firm websites, and other sources to compare the ethical aspects of the strategies used by Russia and the West, to determine whose strategy has been more successful, and to analyze what this means for the political, economic, and security future of Europe. As this thesis demonstrates, Russia recognizes the importance of energy as both an economic and foreign policy tool. To secure access to the resources of the Caspian Sea region, Russia has used bribery and strongman tactics to secure arrangements and contracts favorable to Russian interests. When a country does not capitulate to these tactics, Russia applies other measures to influence these countries' policies. This thesis draws on two recent examples, Ukraine and Georgia, to demonstrate how Russia has used its position as a supplier of energy resources to influence countries to adopt policies complementary to Russian interests, or to punish them for failing to do so. The effectiveness of these Russian tactics is an important precedent for the countries of the Caspian Sea region to keep in mind as they make decisions that will determine their economic and political future for decades to come. In contrast, the western strategy of promoting quality products and services, while ensuring safety and conducting business according to western ethical norms, has been less successful than western firms originally envisioned. Undoubtedly western firms have

  5. Ministry of health care and the medical industry of the Russian Federation

    International Nuclear Information System (INIS)

    Shamov, O.I.

    1995-01-01

    Organizational structure of Ministry of Health Care and the Medical Industry of the Russian Federation (FDMEP), functions of an industrial public health laboratory, responsibilities of FDMEP for radwaste management and its activities in this area, as well as current programmes of FDMEP related to radwaste management are described. 6 tabs

  6. Nanoscience and nanotechnology in the Siberian Branch of the Russian Academy of Sciences: bibliometric analysis and evaluation

    International Nuclear Information System (INIS)

    Lavrik, Olga L.; Busygina, Tatyana V.; Shaburova, Natalya N.; Zibareva, Inna V.

    2015-01-01

    The multidimensional bibliometric analysis of publications on nanoscience and nanotechnology (NS&NT) produced by the researchers of the Siberian Branch of the Russian Academy of Sciences (SB RAS) in 2007–2012 has shown their growing publication activity and international visibility in the field and the main objects of research such as nanoparticles, nanostructures (nanostructured materials), nanotubes (especially carbon ones), nanocomposites, nanocrystals, nanotechnology, and nanoelectronics and identified the most productive authors and institutes, as well as the most cited publications. It was made using the data from multidisciplinary (Web of Science, Scopus, and Russian Index of Scientific Citation) and specialized (Chemical Abstracts Plus and Inspec) information resources, that is from international (WoS, Scopus, CAPlus, and Inspec) and national (RISC) data bases. The analysis has shown that most of the SB RAS research works on NS&NT are concentrated in Novosibirsk Scientific Centre

  7. Nanoscience and nanotechnology in the Siberian Branch of the Russian Academy of Sciences: bibliometric analysis and evaluation

    Science.gov (United States)

    Lavrik, Olga L.; Busygina, Tatyana V.; Shaburova, Natalya N.; Zibareva, Inna V.

    2015-02-01

    The multidimensional bibliometric analysis of publications on nanoscience and nanotechnology (NS&NT) produced by the researchers of the Siberian Branch of the Russian Academy of Sciences (SB RAS) in 2007-2012 has shown their growing publication activity and international visibility in the field and the main objects of research such as nanoparticles, nanostructures (nanostructured materials), nanotubes (especially carbon ones), nanocomposites, nanocrystals, nanotechnology, and nanoelectronics and identified the most productive authors and institutes, as well as the most cited publications. It was made using the data from multidisciplinary (Web of Science, Scopus, and Russian Index of Scientific Citation) and specialized (Chemical Abstracts Plus and Inspec) information resources, that is from international (WoS, Scopus, CAPlus, and Inspec) and national (RISC) data bases. The analysis has shown that most of the SB RAS research works on NS&NT are concentrated in Novosibirsk Scientific Centre.

  8. Nanoscience and nanotechnology in the Siberian Branch of the Russian Academy of Sciences: bibliometric analysis and evaluation

    Energy Technology Data Exchange (ETDEWEB)

    Lavrik, Olga L., E-mail: lisa@spsl.nsc.ru; Busygina, Tatyana V. [Russian Academy of Sciences, State Public Scientific and Technological Library, Siberian Branch (Russian Federation); Shaburova, Natalya N. [Russian Academy of Sciences, Rzhanov Institute of Semiconductor Physics, Siberian Branch (Russian Federation); Zibareva, Inna V., E-mail: zibareva@catalysis.ru [Russian Academy of Sciences, Boreskov Institute of Catalysis, Siberian Branch (Russian Federation)

    2015-02-15

    The multidimensional bibliometric analysis of publications on nanoscience and nanotechnology (NS&NT) produced by the researchers of the Siberian Branch of the Russian Academy of Sciences (SB RAS) in 2007–2012 has shown their growing publication activity and international visibility in the field and the main objects of research such as nanoparticles, nanostructures (nanostructured materials), nanotubes (especially carbon ones), nanocomposites, nanocrystals, nanotechnology, and nanoelectronics and identified the most productive authors and institutes, as well as the most cited publications. It was made using the data from multidisciplinary (Web of Science, Scopus, and Russian Index of Scientific Citation) and specialized (Chemical Abstracts Plus and Inspec) information resources, that is from international (WoS, Scopus, CAPlus, and Inspec) and national (RISC) data bases. The analysis has shown that most of the SB RAS research works on NS&NT are concentrated in Novosibirsk Scientific Centre.

  9. Operationalization of the Ghanaian Patients’ Charter in a Peri-urban Public Hospital: Voices of Healthcare Workers and Patients

    Science.gov (United States)

    Yarney, Lily; Buabeng, Thomas; Baidoo, Diana; Bawole, Justice Nyigmah

    2016-01-01

    Background: Health is a basic human right necessary for the exercise of other human rights. Every human being is, therefore, entitled to the highest possible standard of health necessary to living a life of dignity. Establishment of patients’ Charter is a step towards protecting the rights and responsibilities of patients, but violation of patients’ rights is common in healthcare institutions, especially in the developing world. This study which was conducted between May 2013 and May 2014, assessed the operationalization of Ghana’s Patients Charter in a peri-urban public hospital. Methods: Qualitative data collection methods were used to collect data from 25 healthcare workers and patients who were purposively selected. The interview data were analyzed manually, using the principles of systematic text condensation. Results: The findings indicate that the healthcare staff of the Polyclinic are aware of the existence of the patients’ Charter and also know some of its contents. Patients have no knowledge of the existence or the contents of the Charter. Availability of the Charter, community sensitization, monitoring and orientation of staff are factors that promote the operationalization of the Charter, while institutional implementation procedures such as lack of complaint procedures and low knowledge among patients militate against operationalization of the Charter. Conclusion: Public health facilities should ensure that their patients are well-informed about their rights and responsibilities to facilitate effective implementation of the Charter. Also, patients’ rights and responsibilities can be dramatized and broadcasted on television and radio in major Ghanaian languages to enhance awareness of Ghanaians on the Charter. PMID:27694679

  10. Operationalization of the Ghanaian Patients’ Charter in a Peri-urban Public Hospital: Voices of Healthcare Workers and Patients

    Directory of Open Access Journals (Sweden)

    Lily Yarney

    2016-09-01

    Full Text Available Background Health is a basic human right necessary for the exercise of other human rights. Every human being is, therefore, entitled to the highest possible standard of health necessary to living a life of dignity. Establishment of patients’ Charter is a step towards protecting the rights and responsibilities of patients, but violation of patients’ rights is common in healthcare institutions, especially in the developing world. This study which was conducted between May 2013 and May 2014, assessed the operationalization of Ghana’s Patients Charter in a peri-urban public hospital. Methods Qualitative data collection methods were used to collect data from 25 healthcare workers and patients who were purposively selected. The interview data were analyzed manually, using the principles of systematic text condensation. Results The findings indicate that the healthcare staff of the Polyclinic are aware of the existence of the patients’ Charter and also know some of its contents. Patients have no knowledge of the existence or the contents of the Charter. Availability of the Charter, community sensitization, monitoring and orientation of staff are factors that promote the operationalization of the Charter, while institutional implementation procedures such as lack of complaint procedures and low knowledge among patients militate against operationalization of the Charter. Conclusion Public health facilities should ensure that their patients are well-informed about their rights and responsibilities to facilitate effective implementation of the Charter. Also, patients’ rights and responsibilities can be dramatized and broadcasted on television and radio in major Ghanaian languages to enhance awareness of Ghanaians on the Charter.

  11. Operationalization of the Ghanaian Patients' Charter in a Peri-urban Public Hospital: Voices of Healthcare Workers and Patients.

    Science.gov (United States)

    Yarney, Lily; Buabeng, Thomas; Baidoo, Diana; Bawole, Justice Nyigmah

    2016-04-23

    Health is a basic human right necessary for the exercise of other human rights. Every human being is, therefore, entitled to the highest possible standard of health necessary to living a life of dignity. Establishment of patients' Charter is a step towards protecting the rights and responsibilities of patients, but violation of patients' rights is common in healthcare institutions, especially in the developing world. This study which was conducted between May 2013 and May 2014, assessed the operationalization of Ghana's Patients Charter in a peri-urban public hospital. Qualitative data collection methods were used to collect data from 25 healthcare workers and patients who were purposively selected. The interview data were analyzed manually, using the principles of systematic text condensation. The findings indicate that the healthcare staff of the Polyclinic are aware of the existence of the patients' Charter and also know some of its contents. Patients have no knowledge of the existence or the contents of the Charter. Availability of the Charter, community sensitization, monitoring and orientation of staff are factors that promote the operationalization of the Charter, while institutional implementation procedures such as lack of complaint procedures and low knowledge among patients militate against operationalization of the Charter. Public health facilities should ensure that their patients are well-informed about their rights and responsibilities to facilitate effective implementation of the Charter. Also, patients' rights and responsibilities can be dramatized and broadcasted on television and radio in major Ghanaian languages to enhance awareness of Ghanaians on the Charter. © 2016 by Kerman University of Medical Sciences

  12. Innovation in healthcare services: notes on the limits of field research

    Directory of Open Access Journals (Sweden)

    Laís Silveira Costa

    Full Text Available Abstract: The contemporary context of population aging, itsthe population's different health and disease characteristics, and the growing incorporation of technologies by healthcare systems have highlighted the need to adjust the healthcare structure as a whole. The defense of a democratic and sustainable system reveals the importance of understanding how changes in healthcare take place. The current article aims to contribute to the understanding of innovation in healthcare services. The study's results indicate that the existence of certain knowledge gaps means that public policies tend to overlook a whole rangeseries of innovations normally associated with social changes, with a consequentwith an impact on human development, social cohesion, equality, and equity, allcentral issues that are central toin the field of collective public healthcare field. The article concludes that the lack of a mature theoretical framework negatively impacts the formulation of such policies, further aggravated in Brazil by growing differences in quality and access between population segments that depend on the public and private healthcare systems.

  13. Russian geological education in the world market (the case of Russian State Geological Prospecting University

    Directory of Open Access Journals (Sweden)

    Vasily Ivanovich Lisov

    2016-12-01

    Full Text Available Higher geological education in Russia and in MSGPI-RSGPU specific. It - engineering. The mineral deposits determine the development of the global industry and foreign trade. Growing global demand for the profession of geologists and mining engineers. Training of foreign students in Russia has its own geopolitical and economic importance. In Russia a strong resource-based economy. It attracts students from developing countries. MGRI-RSGPU is the leading universities training specialists for mining. The article presents data about the University and types of education. Shown scientific and educational problems in higher education. This article discusses the prospects for the promotion of Russian higher geological education at the world market of educational services. The increasing role of new scientific and technological achievements in mining, enhanced environmental as well as staff requirements is revealed. Given that the leading schools in the mining industry, in addition to Russia, are formed in Canada, Germany, USA, Australia, Great Britain, many developing countries rich in natural resources, have begun to form their own national centers for training in this area. Under such competitive conditions Russian geological education maintains its own niche. Recognition of this is the active participation of Russian universities in the creation and development of the World Forum of sustainable development of mineral universities (WFURS, described in the article. The main factors of competitiveness that led to leading positions of Russian State Geological Prospecting University in system of the Russian geological education are described. Particular attention is paid to the international activities of Russian higher educational institutions including Geological Prospecting University. The basic statistics (both in the context of the country, and in the field of foreign undergraduate and graduate students enrolled at this university is provided. The

  14. Practical Implementation of Various Public Key Infrastructure Models

    Directory of Open Access Journals (Sweden)

    Dmitriy Anatolievich Melnikov

    2016-03-01

    Full Text Available The paper proposes a short comparative analysis of the contemporary models of public key infrastructure (PKI and the issues of the PKI models real implementation. The Russian model of PKI is presented. Differences between the North American and West Europe models of PKI and Russian model of PKI are described. The problems of creation and main directions of further development and improvement of the Russian PKI and its integration into the global trust environment are defined.

  15. Russian perspectives: The past shapes the present

    Energy Technology Data Exchange (ETDEWEB)

    Houck, R.P.

    1994-11-01

    This document contains an outline of a speech given to a group of professionals at Pacific Northwest Laboratory which was intended to give an unbiased view of Soviet perceptions. Topics discussed include: The new mission of US and Soviet labs and institutions to develop products and dedicate research to post cold war threat, historical prospectives of Russia, Russian military roles and missions, ideology of Russian politics, evils of capitalism, Russian civil war, communism, world war II, Russian losses during the war, the cold war, reasons why America should care what happens in Russia, the internal threat against a market-based economy, the US should help, and the Russian people and their attitudes.

  16. A Bright Future for Russian Higher Education.

    Science.gov (United States)

    Kishkovsky, Sophia

    2000-01-01

    Russian higher education is reinventing itself, but in distinctly Russian ways. While universities embrace new technology, students are frustrated as new freedoms confront old educational methods (grueling entrance exams, rote learning, dictatorial professors, and minimal participation). Education is still basically Russian, though capitalism is…

  17. Hungarian-Russian Bilingual Schools in Hungary during the Soviet Occupation (1945-1989)

    Science.gov (United States)

    Vamos, Agnes

    2018-01-01

    Through the example of the establishment, functioning, and closing of bilingual schools during the Soviet occupation of Hungary, this paper aims to introduce this segment of public education in Central-Eastern Europe. In the period between 1945 and 1989, the learning of Russian as a compulsory subject was introduced, teaching other languages was…

  18. Reforming primary healthcare: from public policy to organizational change.

    Science.gov (United States)

    Gilbert, Frédéric; Denis, Jean-Louis; Lamothe, Lise; Beaulieu, Marie-Dominique; D'amour, Danielle; Goudreau, Johanne

    2015-01-01

    Governments everywhere are implementing reform to improve primary care. However, the existence of a high degree of professional autonomy makes large-scale change difficult to achieve. The purpose of this paper is to elucidate the change dynamics and the involvement of professionals in a primary healthcare reform initiative carried out in the Canadian province of Quebec. An empirical approach was used to investigate change processes from the inception of a public policy to the execution of changes in professional practices. The data were analysed from a multi-level, combined contextualist-processual perspective. Results are based on a longitudinal multiple-case study of five family medicine groups, which was informed by over 100 interviews, questionnaires, and documentary analysis. The results illustrate the multiple processes observed with the introduction of planned large-scale change in primary care services. The analysis of change content revealed that similar post-change states concealed variations between groups in the scale of their respective changes. The analysis also demonstrated more precisely how change evolved through the introduction of "intermediate change" and how cycles of prescribed and emergent mechanisms distinctively drove change process and change content, from the emergence of the public policy to the change in primary care service delivery. This research was conducted among a limited number of early policy adopters. However, given the international interest in turning to the medical profession to improve primary care, the results offer avenues for both policy development and implementation. The findings offer practical insights for those studying and managing large-scale transformations. They provide a better understanding of how deliberate reforms coexist with professional autonomy through an intertwining of change content and processes. This research is one of few studies to examine a primary care reform from emergence to implementation

  19. '1Care' and the Politics of Healthcare in Malaysia

    OpenAIRE

    Por Heong Hong

    2014-01-01

    In this article, we assess the current state of healthcare financing and the contestation surrounding it in Malaysia. The stakes are high because the system of healthcare financing in a country influences to a large extent issues of healthcare accessibility, equity and universal coverage. The taxation-based public healthcare system is a primary welfare source for the people of this country. Nevertheless, privatization of the healthcare sector, expansion of private hospitals, and increase in u...

  20. Permeability of public and private spaces in reproductive healthcare seeking: barriers to uptake of services among low income African American women in a smaller urban setting.

    Science.gov (United States)

    Golden, Annis G

    2014-05-01

    This study was undertaken in partnership with a publicly funded reproductive healthcare organization to better understand barriers to utilization of its services as perceived by low income African American women in its community and how those barriers might be managed. The study uses a place-based, ecological perspective to theorize privacy challenges across different levels of the communication ecology. Analysis of participant observation, interviews, and focus group data identified three key public-private problematics in African American women's experience of reproductive healthcare seeking in a smaller urban setting: a public-private problematic of organizational identity, of organizational regions, and of organizational members. Potential strategies are identified for managing these problematics by the organization and community members. Copyright © 2014. Published by Elsevier Ltd.

  1. Stakeholders' Perceptions on Shortage of Healthcare Workers in Primary Healthcare in Botswana: Focus Group Discussions.

    Directory of Open Access Journals (Sweden)

    Oathokwa Nkomazana

    Full Text Available An adequate health workforce force is central to universal health coverage and positive public health outcomes. However many African countries have critical shortages of healthcare workers, which are worse in primary healthcare. The aim of this study was to explore the perceptions of healthcare workers, policy makers and the community on the shortage of healthcare workers in Botswana.Fifteen focus group discussions were conducted with three groups of policy makers, six groups of healthcare workers and six groups of community members in rural, urban and remote rural health districts of Botswana. All the participants were 18 years and older. Recruitment was purposive and the framework method was used to inductively analyse the data.There was a perceived shortage of healthcare workers in primary healthcare, which was believed to result from an increased need for health services, inequitable distribution of healthcare workers, migration and too few such workers being trained. Migration was mainly the result of unfavourable personal and family factors, weak and ineffective healthcare and human resources management, low salaries and inadequate incentives for rural and remote area service.Botswana has a perceived shortage of healthcare workers, which is worse in primary healthcare and rural areas, as a result of multiple complex factors. To address the scarcity the country should train adequate numbers of healthcare workers and distribute them equitably to sufficiently resourced healthcare facilities. They should be competently managed and adequately remunerated and the living conditions and rural infrastructure should also be improved.

  2. The Imminent Healthcare and Emergency Care Crisis in Japan

    Directory of Open Access Journals (Sweden)

    Suzuki, Tetsuji

    2008-05-01

    Full Text Available Objectives: Japan has a universal healthcare system, and this paper describes the reality of the healthcare services provided, as well as current issues with the system.Methods: Academic, government, and press reports on Japanese healthcare systems and healthcare guidelines were reviewed.Results: The universal healthcare system of Japan is considered internationally to be both low-cost and effective because the Japanese population enjoys good health status with a long life expectancy, while healthcare spending in Japan is below the average given by the Organization for Economic Corporation and Development (OECD. However, in many regions of Japan the existing healthcare resources are seriously inadequate, especially with regard to the number of physicians and other health professionals. Because healthcare is traditionally viewed as “sacred” work in Japan, healthcare professionals are expected to make large personal sacrifices. Also, public attitudes toward medical malpractice have changed in recent decades, and medical professionals are facing legal issues without experienced support of the government or legal professionals. Administrative response to the lack of resources and collaboration among communities are beginning, and more efficient control and management of the healthcare system is under consideration.Conclusion: The Japanese healthcare system needs to adopt an efficient medical control organization to ease the strain on existing healthcare professionals and to increase the number of physicians and other healthcare resources. Rather than continuing to depend on healthcare professionals being able and willing to make personal sacrifices, the government, the public and medical societies must cooperate and support changes in the healthcare system.

  3. Big russian oil round

    International Nuclear Information System (INIS)

    Slovak, K.; Beer, G.

    2006-01-01

    The departure of Mikhail Khodorkovsky has brought an end to the idyllic times of supplies of Russian oil to the MOL-Slovnaft group. The group used to purchase oil directly from Yukos. But now brokers have again entered the Central European oil business. And their aim is to take control over all of the oil business. The Russians demonstrated the changed situation to Slovakia last autumn: you will either accept the new model, or there will be problems with oil deliveries. Consumers got the message. The main brokers of Russian oil in Central Europe are the Swiss companies Glencore and Fisotra. Little information is available regarding these commodity brokers. But the information available is sufficient to indicate that these are not small companies. Glencore undertakes 3% of all international oil trades. With an annual turnover of 72 billions USD, it was the biggest Swiss company by turnover in 2004. Fisotra also has an extensive product portfolio. It offers financial and commercial services and does not hide its good relations with Russian oil companies. Between 1994 and 1998, it managed their financial operations with major western companies such as BP, Cargill, Elf, Exxon, Shell, Total, and Mutsubishi and also with Glencore. Fisotra states that some of its clients achieved an annual turnover of 1.5 billions USD. At present, the Swiss brokers receive a fee of 1 to 1.5 USD per barrel. The Russian political elite must be aware of these brokerage services as the oil transport through the transit system is closely monitored by the state owned company Transneft. (authors)

  4. Adherence to Healthcare Waste Management Guidelines among ...

    African Journals Online (AJOL)

    BACKGROUND: Despite the set guidelines on Healthcare Waste Management in Kenya, mixing of different categories of waste, crude dumping and poor incineration are still a common phenomenon in public health facilities in Thika Subcounty, Kenya. Thika Subcounty generates 560 Kilograms of healthcare waste daily, ...

  5. Countering Russian Active Measures

    Science.gov (United States)

    2018-04-16

    information laundering has proven effective in several occasions.20 In 2016, Russian social media actors circulated a fake news story about the...Soviet Union, individuals in positions of power funneled communist party financial resources to off-shore bank accounts and later used this money to...international offshore banking industry, they [the current oligarchs] stole money that belonged to the Russian state, took it abroad for safety

  6. Traditional and Current Food Use of Wild Plants Listed in the Russian Pharmacopoeia.

    Science.gov (United States)

    Shikov, Alexander N; Tsitsilin, Andrey N; Pozharitskaya, Olga N; Makarov, Valery G; Heinrich, Michael

    2017-01-01

    Historically Russia can be regarded as a "herbophilious" society. For centuries the multinational population of Russia has used plants in daily diet and for self-medication. The specificity of dietary uptake of medicinal plants (especially those in the unique and highly developed Russian herbal medical tradition) has remained mostly unknown in other regions. Based on 11th edition of the State Pharmacopoeia of the USSR, we selected 70 wild plant species which have been used in food by local Russian populations. Empirical searches were conducted via the Russian-wide applied online database E-library.ru, library catalogs of public libraries in St-Petersburg, the databases Scopus, Web of Science, PubMed, and search engine Google Scholar. The large majority of species included in Russian Pharmacopoeia are used as food by local population, however, aerial parts are more widely used for food. In this review, we summarize data on medicinal species published in Russia and other countries that are included in the Russian Pharmacopoeia and have being used in food for a long time. Consequently, the Russian Pharmacopoeia is an important source of information on plant species used traditionally at the interface of food and medicine. At the same time, there are the so-called "functional foods", which denotes foods that not only serves to provide nutrition but also can be a source for prevention and cure of various diseases. This review highlights the potential of wild species of Russia monographed in its pharmacopeia for further developing new functional foods and-through the lens of their incorporation into the pharmacopeia-showcases the species' importance in Russia.

  7. Traditional and Current Food Use of Wild Plants Listed in the Russian Pharmacopoeia

    Directory of Open Access Journals (Sweden)

    Alexander N. Shikov

    2017-11-01

    Full Text Available Historically Russia can be regarded as a “herbophilious” society. For centuries the multinational population of Russia has used plants in daily diet and for self-medication. The specificity of dietary uptake of medicinal plants (especially those in the unique and highly developed Russian herbal medical tradition has remained mostly unknown in other regions. Based on 11th edition of the State Pharmacopoeia of the USSR, we selected 70 wild plant species which have been used in food by local Russian populations. Empirical searches were conducted via the Russian-wide applied online database E-library.ru, library catalogs of public libraries in St-Petersburg, the databases Scopus, Web of Science, PubMed, and search engine Google Scholar. The large majority of species included in Russian Pharmacopoeia are used as food by local population, however, aerial parts are more widely used for food. In this review, we summarize data on medicinal species published in Russia and other countries that are included in the Russian Pharmacopoeia and have being used in food for a long time. Consequently, the Russian Pharmacopoeia is an important source of information on plant species used traditionally at the interface of food and medicine. At the same time, there are the so-called “functional foods”, which denotes foods that not only serves to provide nutrition but also can be a source for prevention and cure of various diseases. This review highlights the potential of wild species of Russia monographed in its pharmacopeia for further developing new functional foods and—through the lens of their incorporation into the pharmacopeia—showcases the species' importance in Russia.

  8. Public Health Practice Report: water supply and sanitation in Chukotka and Yakutia, Russian Arctic.

    Science.gov (United States)

    Dudarev, Alexey A

    2018-12-01

    Information from 2013-2015 have been analysed on water accessibility, types of water service to households, use of water pretreatment, availability of sewerage, use of sewage treatment in Chukotka Autonomous Okrug and Yakutia Republic, based on evaluation information accessible in open sources, such as regional statistics and sanitary-epidemiologic reports. The main causes of the poor state of water supply and sanitation in the study regions include: very limited access to in-home running water (one-quarter of settlements in Chukotka and half of settlements in Yakutia have no regular water supply) and lack of centralised sewerage (78% and 94% of settlements correspondingly have no sewerage); lack of water pretreatment and sewage treatment, outdated technologies and systems; serious deterioration of facilities and networks, frequent accidents; secondary pollution of drinking water. Lack of open objective information on Russian Arctic water supply and sanitation in the materials of the regional and federal statistics hampers the assessment of the real state of affairs. The situation for water and sanitation supply in these Russian Arctic regions remains steadily unfavourable. A comprehensive intervention from national and regional governmental levels is urgently needed.

  9. Multifractal structures for the Russian stock market

    Science.gov (United States)

    Ikeda, Taro

    2018-02-01

    In this paper, we apply the multifractal detrended fluctuation analysis (MFDFA) to the Russian stock price returns. To the best of our knowledge, this paper is the first to reveal the multifractal structures for the Russian stock market by financial crises. The contributions of the paper are twofold. (i) Finding the multifractal structures for the Russian stock market. The generalized Hurst exponents estimated become highly-nonlinear to the order of the fluctuation functions. (ii) Computing the multifractality degree according to Zunino et al. (2008). We find that the multifractality degree of the Russian stock market can be categorized within emerging markets, however, the Russian 1998 crisis and the global financial crisis dampen the degree when we consider the order of the polynomial trends in the MFDFA.

  10. Overview of the Russian nuclear industry

    International Nuclear Information System (INIS)

    2008-02-01

    In 2004, President Poutine decided to replace the atomic energy ministry (Minatom) by the federal atomic energy agency (Rosatom). Several projects were launched during the next two years which aimed at bringing back Russia to the fore front of the world leaders of nuclear energy use and nuclear technology export. In 2007, Rosatom agency was changed to a public holding company and a new company, named Atomenergoprom, was created which gathers all civil nuclear companies (AtomEnergoMash for the exploitation of power plants, Technabsexport (Tenex) specialized in enrichment or Atomstryexport in charge of export activities). Thus, Rosatom is at the head of all civilian and military nuclear companies, of all research centers, and of all nuclear and radiological safety facilities. In 2006, Russian nuclear power plants supplied 15.8% of the whole power consumption. Russia wishes to develop its nuclear program with the construction of new reactors in order to reach a nuclear electricity share of 25% from now to 2020. This paper presents first the 2007 institutional reform of the Russian atomic sector, and the three sectorial federal programmes: 1 - development of the nuclear energy industrial complex for the 2007-2010 era and up to 2015 (future power plants, nuclear fuel centers and reactor prototypes), 2 - nuclear safety and radioprotection for the 2008-2015 era (waste management, remedial actions, radiation protection), 3 - military program (confidential). Then, the paper presents: the international actions (export of Russian technology, cooperation agreements, non-proliferation), the situation of the existing nuclear park (reactors in operation, stopped, under construction and in project), the fuel cycle activities (production of natural uranium, enrichment, fuel fabrication, spent fuel storage, reprocessing, waste management), the nuclear R and D in Russia, and the nuclear safety authority. (J.S.)

  11. The Formation of the Russian Medical Activities in the Caucasus in 1736–1799

    Directory of Open Access Journals (Sweden)

    Tatyana E. Gvarliani

    2017-03-01

    Full Text Available The article examines the first experience of creation of the Russian Empire of the sanitary affairs on the Caucasus in the middle – to late of the XVIII century. The attention is paid to the process of colonization, but also to the characteristic features of migrants’ life. As materials there were used the documents of the Central state historical archive of Georgia (Tbilisi, Georgia. The importance is given to the scientific publications on the topic of the study, published in pre-revolutionary and modern periods. In conclusion, the authors state that the Russian Empire is faced with multiple problemsduring its promotion on the Caucasus. At times one of them was the inability to choose places with healthy climate for settlements or forts.As a result, it was determined theexistence of significant casualties among the soldiers and representatives of the Russian administration from disease. Faced with these problems, the command began to strengthen the antiepidemic service of forces, authorized the establishment of hospitals and pharmacies. Thus, by the end of the XVIII century the Russian administration has started the systematic work on the creation of an extensive network of medical institutions in the Caucasus.

  12. Public stewardship of private for-profit healthcare providers in low- and middle-income countries

    Science.gov (United States)

    Wiysonge, Charles S; Abdullahi, Leila H; Ndze, Valantine N; Hussey, Gregory D

    2016-01-01

    Background Governments use different approaches to ensure that private for-profit healthcare services meet certain quality standards. Such government guidance, referred to as public stewardship, encompasses government policies, regulatory mechanisms, and implementation strategies for ensuring accountability in the delivery of services. However, the effectiveness of these strategies in low- and middle-income countries (LMICs) have not been the subject of a systematic review. Objectives To assess the effects of public sector regulation, training, or co-ordination of the private for-profit health sector in low- and middle-income countries. Search methods For related systematic reviews, we searched the Cochrane Database of Systematic Reviews (CDSR) 2015, Issue 4; Database of Abstracts of Reviews of Effectiveness (DARE) 2015, Issue 1; Health Technology Assessment Database (HTA) 2015, Issue 1; all part of The Cochrane Library, and searched 28 April 2015. For primary studies, we searched MEDLINE, Epub Ahead of Print, In-Process & Other Non-Indexed Citations, MEDLINE Daily and MEDLINE 1946 to Present, OvidSP (searched 16 June 2016); Science Citation Index and Social Sciences Citation Index 1987 to present, and Emerging Sources Citation Index 2015 to present, ISI Web of Science (searched 3 May 2016 for papers citing included studies); Cochrane Central Register of Controlled Trials (CENTRAL), 2015, Issue 3, part of The Cochrane Library (including the Cochrane Effective Practice and Organisation of Care (EPOC) Group Specialised Register) (searched 28 April 2015); Embase 1980 to 2015 Week 17, OvidSP (searched 28 April 2015); Global Health 1973 to 2015 Week 16, OvidSP (searched 30 April 2015); WHOLIS, WHO (searched 30 April 2015); Science Citation Index and Social Sciences Citation Index 1975 to present, ISI Web of Science (searched 30 April 2015); Health Management, ProQuest (searched 22 November 2013). In addition, in April 2016, we searched the reference lists of relevant

  13. An improved Four-Russians method and sparsified Four-Russians algorithm for RNA folding.

    Science.gov (United States)

    Frid, Yelena; Gusfield, Dan

    2016-01-01

    The basic RNA secondary structure prediction problem or single sequence folding problem (SSF) was solved 35 years ago by a now well-known [Formula: see text]-time dynamic programming method. Recently three methodologies-Valiant, Four-Russians, and Sparsification-have been applied to speedup RNA secondary structure prediction. The sparsification method exploits two properties of the input: the number of subsequence Z with the endpoints belonging to the optimal folding set and the maximum number base-pairs L. These sparsity properties satisfy [Formula: see text] and [Formula: see text], and the method reduces the algorithmic running time to O(LZ). While the Four-Russians method utilizes tabling partial results. In this paper, we explore three different algorithmic speedups. We first expand the reformulate the single sequence folding Four-Russians [Formula: see text]-time algorithm, to utilize an on-demand lookup table. Second, we create a framework that combines the fastest Sparsification and new fastest on-demand Four-Russians methods. This combined method has worst-case running time of [Formula: see text], where [Formula: see text] and [Formula: see text]. Third we update the Four-Russians formulation to achieve an on-demand [Formula: see text]-time parallel algorithm. This then leads to an asymptotic speedup of [Formula: see text] where [Formula: see text] and [Formula: see text] the number of subsequence with the endpoint j belonging to the optimal folding set. The on-demand formulation not only removes all extraneous computation and allows us to incorporate more realistic scoring schemes, but leads us to take advantage of the sparsity properties. Through asymptotic analysis and empirical testing on the base-pair maximization variant and a more biologically informative scoring scheme, we show that this Sparse Four-Russians framework is able to achieve a speedup on every problem instance, that is asymptotically never worse, and empirically better than achieved by

  14. International Atomic Energy Agency Publications. Catalogue 1986-1999

    International Nuclear Information System (INIS)

    2000-07-01

    This catalogue lists all sales publications of the International Atomic Energy Agency issued from 1986 up to the end of 1999 and still available. Some earlier titles which form part of an established series or are still considered of importance have been included. Most Agency publications are issued in English, though some are also available in Chinese, French, Russian or Spanish. This is noted as C for Chinese, E for English, F for French, R for Russian and S for Spanish by the relevant ISBN number

  15. Harnessing the privatisation of China's fragmented health-care delivery.

    Science.gov (United States)

    Yip, Winnie; Hsiao, William

    2014-08-30

    Although China's 2009 health-care reform has made impressive progress in expansion of insurance coverage, much work remains to improve its wasteful health-care delivery. Particularly, the Chinese health-care system faces substantial challenges in its transformation from a profit-driven public hospital-centred system to an integrated primary care-based delivery system that is cost effective and of better quality to respond to the changing population needs. An additional challenge is the government's latest strategy to promote private investment for hospitals. In this Review, we discuss how China's health-care system would perform if hospital privatisation combined with hospital-centred fragmented delivery were to prevail--population health outcomes would suffer; health-care expenditures would escalate, with patients bearing increasing costs; and a two-tiered system would emerge in which access and quality of care are decided by ability to pay. We then propose an alternative pathway that includes the reform of public hospitals to pursue the public interest and be more accountable, with public hospitals as the benchmarks against which private hospitals would have to compete, with performance-based purchasing, and with population-based capitation payment to catalyse coordinated care. Any decision to further expand the for-profit private hospital market should not be made without objective assessment of its effect on China's health-policy goals. Copyright © 2014 Elsevier Ltd. All rights reserved.

  16. FACTORS DETERMINING THE HOSPITALISATION DURATION OF STAY IN CHILDREN WITH SEVERE RESPIRATORY SYNCYTIAL VIRUS (RSV INFECTION IN THE RUSSIAN FEDERATION

    Directory of Open Access Journals (Sweden)

    A.A. Baranov

    2011-01-01

    Full Text Available The epidemiologic data on RSV infection prevalence in the Russian Federation and its impact on respiratory morbidity in the pediatric population are limited. This article provides the analysis of results of a prospective, multicenter, observational cohort study. The study was conducted in 9 centers in the Russian Federation — in Moscow, St. Petersburg, and Tomsk. Children less than 2 years of age were included. It was found that during the season of high RSV morbidity RSV is found in 38 % of children hospitalized for lower respiratory tract infections; mean hospitalisation duration in children with severe RSV infection was over 1 week. Usually the duration of hospitalization was associated with disease severity and requirements for healthcare resources and oxygen supplementation. Moreover, in the Russian Federation the hospital length of stay in patients with RSV infection depended on the type of medical insurance. It was demonstrated that RSV infection caused severe respiratory failure in some infants less than 1 year of age and, therefore, was a substantial burden for the system of hospital medical care in the Russian Federation. Prophylaxis of severe RSV infection in high-risk groups of children during the might reduce the need for hospitalization. Key words: respiratory syncytial virus infection, bronchiolitis, risk factors, prophylaxis, epidemiology, children. (Pediatric pharmacology. — 2011; 8 (6: 61–66.

  17. Multimodal shipments under program on Russian-origin research reactor SFA return to Russian Federation

    International Nuclear Information System (INIS)

    Dorofeev, A.N.; Ivashchenko, A.A.; Kanashov, B.A.; Komarov, S.V.; Komarov, S.N.; Barinkov, O.P.

    2010-01-01

    The paper describes experience in preparation and organization of research reactor nuclear material import under the Program on Russian-Origin Highly Enriched Uranium Return to the Russian Federation. It also summarizes evolution of transport equipment, conveyances and routes and describes types of packages, their adaptation and certification, safety issues, peculiarities and prospective use of the packagings and conveyances. (author)

  18. Geologists of Russian origin in the francophone countries

    Energy Technology Data Exchange (ETDEWEB)

    Tchoumatchenco, P.; Durand-Delga, M.; Ricour, J.; Wiazemsky, M.

    2016-10-01

    Many ethnic Russian geologists have lived and worked in Francophone countries. We describe in this paper the life and career of geologists (i.e. all Earth scientists - geologists, mineralogists, tectonicians, geophysicists, geochemists, paleontologists, mining and drilling engineers, hydrogeologists, cosmos - geologists, etc.), regardless of their original nationality (Russians, Ukrainians, Tatars, Germans, etc.) born in the territory of the Russian Empire, the Soviet Union or the Russian Federation. (Author)

  19. The impact of total quality service (TQS) on healthcare and patient satisfaction: an empirical study of Turkish private and public hospitals.

    Science.gov (United States)

    Bakan, Ismail; Buyukbese, Tuba; Ersahan, Burcu

    2014-01-01

    This paper attempts to measure patients' perceptions of the quality of services in public and private healthcare centers in Turkey. The main aim was to examine the impact of the dimensions of patient-perceived total quality service (TQS) on patients' satisfaction. The research framework and hypotheses are derived from a literature review of service quality and quality in the healthcare industry. The research data were collected through questionnaires and then statistically analyzed using descriptive statistics, Pearson product moment correlation and linear regression. The results suggest that service quality perceptions positively influence patient satisfaction with overall hospital care (SOHC). The most important factors identified in the regression model regarding patient SOHC are the quality of the hospital's social responsibility, administrative processes and overall experience of medical care received. These factors explain 74% of the variance in SOHC. The findings of the study can be used to improve TQS in both private and public hospitals. Copyright © 2013 John Wiley & Sons, Ltd.

  20. IS RUSSIAN DECOMMODIFYING IN CATALONIA?

    Directory of Open Access Journals (Sweden)

    Микел Кабал-Гуарро

    2017-12-01

    Full Text Available The data collected in an ethnographic study conducted between 2014 and 2016 in tourist areas in Catalonia, Spain shows that the mastery of Russian has become a profitable commodity in Spanish tourism industry. The purpose of this paper is to show where and how Russian is used in the service industry and trace the commodification of the language over time. Against the background of fluctuating numbers of Russian-speaking visitors, this analysis will contribute to a better understanding of processes of language commodification and decommodification and the relationship between wider political and economic con-texts and valorisation of particular languages and speakers.

  1. Developing and teaching the virtue-ethics foundations of healthcare whistle blowing.

    Science.gov (United States)

    Faunce, Thomas

    2004-10-01

    Healthcare whistle blowing, despite the benefits it has brought to healthcare systems in many developed countries, remains generally regarded as a pariah activity by many of the most influential healthcare professionals and regulatory institutions. Few if any medical schools or law department health law and bioethics classes, teach whistle blowing in a formal sense. Yet without exception, public inquiries initiated by healthcare whistle blowers have validated their central allegations and demonstrated that the whistle blowers themselves were sincere in their desire to implement the fundamental virtues and principles of medical ethics, bioethics and public health law. In many jurisdictions, the law, this time remarkably in advance of professional opinion, has offered legislative protection for reasonable allegations of whistleblowers made in good faith and in the public interest concerning a substantial and imminent threat to public safety. One reason for this paradoxical position, explored here, is that healthcare whistle blowing lacks a firm virtue-based theoretical bioethical and jurisprudential foundation. The hypothesis discussed is that the lack of this bioethical and jurisprudential substrate has contributed to a situation where healthcare whistle blowing suffers in terms of institutional support due to its lack of academic legitimacy. This article commences the process of redressing this imbalance by attempting to lay the theoretical foundations for healthcare whistle blowing. As a case study, this article concludes by discussing the Personal and Professional Development course at the ANU Medical School where healthcare whistle blowing is a formal part of a virtue-based curriculum that emphasises the foundational importance of conscience. Illustrative elements of that program are discussed.

  2. Russian Loanword Adaptation in Persian; Optimal Approach

    Science.gov (United States)

    Kambuziya, Aliye Kord Zafaranlu; Hashemi, Eftekhar Sadat

    2011-01-01

    In this paper we analyzed some of the phonological rules of Russian loanword adaptation in Persian, on the view of Optimal Theory (OT) (Prince & Smolensky, 1993/2004). It is the first study of phonological process on Russian loanwords adaptation in Persian. By gathering about 50 current Russian loanwords, we selected some of them to analyze. We…

  3. Genetic stock identification of Russian honey bees.

    Science.gov (United States)

    Bourgeois, Lelania; Sheppard, Walter S; Sylvester, H Allen; Rinderer, Thomas E

    2010-06-01

    A genetic stock certification assay was developed to distinguish Russian honey bees from other European (Apis mellifera L.) stocks that are commercially produced in the United States. In total, 11 microsatellite and five single-nucleotide polymorphism loci were used. Loci were selected for relatively high levels of homogeneity within each group and for differences in allele frequencies between groups. A baseline sample consisted of the 18 lines of Russian honey bees released to the Russian Bee Breeders Association and bees from 34 queen breeders representing commercially produced European honey bee stocks. Suitability tests of the baseline sample pool showed high levels of accuracy. The probability of correct assignment was 94.2% for non-Russian bees and 93.3% for Russian bees. A neighbor-joining phenogram representing genetic distance data showed clear distinction of Russian and non-Russian honey bee stocks. Furthermore, a test of appropriate sample size showed a sample of eight bees per colony maximizes accuracy and consistency of the results. An additional 34 samples were tested as blind samples (origin unknown to those collecting data) to determine accuracy of individual assignment tests. Only one of these samples was incorrectly assigned. The 18 current breeding lines were represented among the 2009 blind sampling, demonstrating temporal stability of the genetic stock identification assay. The certification assay will be used through services provided by a service laboratory, by the Russian Bee Breeders Association to genetically certify their stock. The genetic certification will be used in conjunction with continued selection for favorable traits, such as honey production and varroa and tracheal mite resistance.

  4. Direct healthcare costs of spinal disorders in Brazil

    NARCIS (Netherlands)

    Luiz Carregaro, Rodrigo; da Silva, Everton Nunes; van Tulder, Maurits

    2018-01-01

    OBJECTIVES: To investigate the direct healthcare costs of spinal disorders in Brazil, over 2016. METHODS: Prevalence-based cost-of-illness study, top-down approach and public healthcare system's perspective. International Classification of Diseases codes related to spinal disorders were included.

  5. The New Russian Nationalism

    OpenAIRE

    Kolstø, Pal; Blakkisrud, Helge

    2016-01-01

    Assessing the transformation of Russian nationalist discourse in the 21st century Russian nationalism, previously dominated by ‘imperial’ tendencies – pride in a large, strong and multi-ethnic state able to project its influence abroad – is increasingly focused on ethnic issues. This new ethno-nationalism has come in various guises, like racism and xenophobia, but also in a new intellectual movement of ‘national democracy’ deliberately seeking to emulate conservative West European nationalism...

  6. INTERRELATED PROCESSES OF DIGITALIZATION OF THE MODERN RUSSIAN SCIENCE AND EDUCATION

    Directory of Open Access Journals (Sweden)

    S. I. Nekrasov

    2018-01-01

    Full Text Available Introduction. The article was prepared in continuation of the discussion of the topical aspects of the reform of science and education in the Russian Federation, considered in the article by Professor I. P. Smirnov [1].The aim of the publication is to express criticism about the management methods in the Russian science and education.Methodology and research methods. The methods involve comparative analysis, generalization and synthesis.Results.The background of the “digitized society” formation is considered from the positions of educational practice. On the basis of specific examples, the author confirms the conclusions drawn by I. P. Smirnov about inadequacy of administratively imposed formalized qualimetric apparatus for objective assessment of the work of scientists and teachers, and that “digital indicators” (first of all – number of publications and the index of citing set the false orientations which seriously prevent performance of scientific studies demanded by economy and society. The author provides a basis for a skeptical attitude towards the application of similar digitized technologies in education management. The possibility of operating with digital data at different levels does not enable to estimate the real educational results necessary for correction and planning of educational processes and, in general, for educational development. The consequences of introduction of quantitative criteria for measurement of scientific and pedagogical activity outcomes into science and education are shown. It is highlighted that it is important to take into account the opinions of scientists, teachers and the general public about the appropriateness of the commitment to the nationalization and administrative management of science and education.Practical significance. A number of proposals concerning the changes of existing approaches to the reform of science and education in the Russian Federation are brought forward: a revision of

  7. [The interface of public healthcare with the health of the oceans: proliferation of disease, socio-economic impacts and beneficial relationships].

    Science.gov (United States)

    de Moura, Jailson Fulgencio; Cardozo, Marcelo; Belo, Mariana Soares da Silva Peixoto; Hacon, Sandra; Siciliano, Salvatore

    2011-08-01

    Over the past decades, human activities have had a heavy impact on the marine environment, causing alterations in ecological processes. The relationship between the health of the oceans, human activities and public healthcare is already generally accepted, though the mechanisms involved are still under scientific scrutiny. These relationships include a focus on climate change, toxic algal blooms, microbial and chemical contamination in marine waters and bioinvasion by exotic species. Moreover, there is the beneficial effect of the oceans on human health and wellbeing, such as natural products for the human diet, the development of biomedicine, or simply the satisfaction derived from human recreation, sports and other interactions of humans with oceans. The importance of appreciating the link between public healthcare and the health of the oceans is especially important due to the growing number of people living in coastal areas, mainly in tropical and subtropical regions. The backcloth to this is risk-related human activities that pose a danger to marine environmental health and the increase in the vulnerability of humans and biodiversity and socio-environmental iniquity.

  8. 45 CFR 61.1 - The Healthcare Integrity and Protection Data Bank.

    Science.gov (United States)

    2010-10-01

    ... 45 Public Welfare 1 2010-10-01 2010-10-01 false The Healthcare Integrity and Protection Data Bank. 61.1 Section 61.1 Public Welfare DEPARTMENT OF HEALTH AND HUMAN SERVICES GENERAL ADMINISTRATION HEALTHCARE INTEGRITY AND PROTECTION DATA BANK FOR FINAL ADVERSE INFORMATION ON HEALTH CARE PROVIDERS...

  9. Is the United States in the middle of a healthcare bubble?

    Science.gov (United States)

    Chen, Wen-Yi; Liang, Yia-Wun; Lin, Yu-Hui

    2016-01-01

    This study investigates the possibility of multiple healthcare bubbles in the US healthcare market. We first applied the newly developed Generalized Sup ADF test to locate multiple healthcare bubble episodes and then estimated the switching regression model specifying multiple healthcare bubble periods to evaluate to what extent macroeconomic variables (such as the interest rate, public debt, and fiscal deficit) and public financing healthcare programs influence the magnitude of healthcare bubbles in terms of the deviation of the medical care price inflation from either the overall price inflation or the money wage growth. Our results show that expansionary monetary and fiscal policies play important roles in determining the deviation of the medical care price inflation from the overall price inflation and that the net government debt has a positive impact on the deviation of the medical care price inflation from the money wage growth. The US healthcare market is now in the middle of a healthcare bubble, and this healthcare bubble has developed slowly and has lasted for approximately 3 decades, mirroring an increased societal preference for healthcare. Policymakers in the US should cautiously consider the fact that healthcare bubbles must imply a misallocation of resources into healthcare, leading to negative consequences on the sustainability of the healthcare system.

  10. Gazprom vs. other Russian gas producers: The evolution of the Russian gas sector

    International Nuclear Information System (INIS)

    Lunden, Lars Petter; Fjaertoft, Daniel; Overland, Indra; Prachakova, Alesia

    2013-01-01

    The non-Gazprom gas producers (NGPs) doubled their share of the Russian domestic gas market between 2000 and 2010 and have continued growing since then. For several years especially Novatek expanded. More recently, Rosneft has emerged as a key player, not least through its purchase of TNK-BP. This article begins with an overview of the companies in the Russian gas sector, their resource bases and capacities, and subsequently examines whether differences in field development costs and export market access may make it rational for Gazprom to continue ceding market share to the NGPs. With rising costs of Gazprom's queue of greenfield developments, any delays in Gazprom's investment program may be compensated through increased NGP production. The article argues that the NGPs are ready to fill the gap, may be allowed to do so and are already increasing their market share in an increasingly competitive market. The stage may now be set for a continued gradual transformation of the Russian gas market, in which the interests of Gazprom and the NGPs may be complementary or may be pitted against each other, but those of the Russian Federation are in any case likely to be better fulfilled than in the past. - Highlights: • Other Russian gas producers, especially Novatek and Rosneft, are taking market shares from Gazprom. • Gazprom has a monopoly on exports and has had a de facto monopoly on the domestic pipeline grid through its control over trunk pipelines. • Gazprom's greenfield projects are more expensive than those of other producers. • Gazprom's loss of market shares to other producers in the domestic market may actually be in Gazprom's interest

  11. Health status of Russian minorities in former Soviet Republics.

    Science.gov (United States)

    Groenewold, W G F; van Ginneken, J K

    2011-08-01

    To examine if, and to what extent, disparities in health status exist between ethnic Russians and the native majority populations of four former Soviet Republics; and to determine to what extent indicators of socio-economic status and lifestyle behaviours explain variations in health status. Data from the World Health Organization's World Health Surveys of former Soviet Republics that include information on ethnicity (i.e. Estonia, Latvia, Ukraine, Kazakhstan and Russia) were used. Russia was included as the benchmark population as it is the country of origin of ethnic Russians. Data were collected from respondents aged ≥25 years in 2001-2003. Principal component analysis was used to derive the Health Status Index and Household Wealth Index. Multiple classification analysis was applied to examine the effects of the determinants on health status, including ethnic group membership. In Estonia and Kazakhstan, ethnic Russians have, on average, a lower health status than members of the majority population, while their health status is higher in Ukraine. Higher levels of material wealth, educational attainment and physical activity were associated with a higher health status. The association of these variables with health status was often stronger than the association between ethnic group membership and health status. Differences in health status between Russian ethnic minorities and the majority populations were found in Estonia and Kazakhstan, but were non-existent in Latvia and were the opposite of what was expected in Ukraine. Use of the Health Status Index in combination with multiple classification analysis proved to be a useful approach to examine health status differentials, and to identify and profile vulnerable groups in a society. Copyright © 2011 The Royal Society for Public Health. Published by Elsevier Ltd. All rights reserved.

  12. [Bioethics in Russian neurology and epileptology].

    Science.gov (United States)

    Mikhalkovska-Karlova, E P

    2016-01-01

    Historical roots and further development of bioethics in domestic neurology and epileptology are considered. The main bioethical principles were established during the formation of the Russian clinical school and neurosciences. It is most distinctly seen in the development of bioethics in neurology and epileptology. In the author's opinion, the Russian scientist V.M. Bekhterev had played a prominent role in the field. In the time when the term "bioethics" was not coined and its principles were not formulated, V.M. Bekhterev had created the Russian league against epilepsy and established the foundations of the International League Against Epilepsy (ILAE) as the organizations working on the problems of medical and social care to patients with epilepsy. In Russia, the Russian society of neurologists has been doing a great work in the field.

  13. Patient satisfaction with the healthcare system: Assessing the impact of socio-economic and healthcare provision factors.

    Science.gov (United States)

    Xesfingi, Sofia; Vozikis, Athanassios

    2016-03-15

    Patient satisfaction is an important measure of healthcare quality as it offers information on the provider's success at meeting clients' expectations and is a key determinant of patients' perspective behavioral intention. The aim of this paper is first to assess the degree of patient satisfaction, and second, to study the relationship between patient satisfaction of healthcare system and a set of socio-economic and healthcare provision indicators. This empirical analysis covers 31 countries for the years 2007, 2008, 2009 and 2012. The dependent variable, the satisfaction index, is defined as the patient satisfaction of their country's health system. We first construct an index of patient satisfaction and then, at a second stage, this index is related to socio-economic and healthcare provision variables. Our findings support that there is a strong positive association between patient satisfaction level and healthcare provision indicators, such as nurses and physicians per 100,000 habitants, with the latter being the most important contributor, and a negative association between patient satisfaction level and number of hospital beds. Among the socio-economic variables, public health expenditures greatly shape and positive relate to patient satisfaction, while private spending on health relates negatively. Finally, the elder a patient is, the more satisfied with a country's healthcare system appears to be. We conclude that there is a strong positive association between patient satisfaction and public health expenditures, number of physicians and nurses, and the age of the patient, while there is a negative evidence for private health spending and number of hospital beds.

  14. Right to health in Russian Federation: identification of its current stage of constitutional and legal recognition

    Directory of Open Access Journals (Sweden)

    TARASENKO, Elena

    2013-11-01

    Full Text Available Russian Federation has made a strong legal commitment to the human right to health through the ratification of several key international human rights laws. Current public health care policies also demonstrate that Russian Federation has committed itself to provide the human right to health protection of people residing with its jurisdiction. All residents of Russia are eligible for medical care free of charge. Medical services are provided directly to patients by government health care providers. This includes general and specialist medical care, hospitalization, diagnostic laboratory services, dental care, maternity care and transportation, free drugs for disabled, medical rehabilitation, etc. The legal basis for the human right to health at the federal level is provided by a variety of legislative acts (codes, federal laws, presidential decrees, decisions and proposals of the government of the Russian Federation, and orders of the government and of the Ministry of Health and other ministries. The legal bas is at the regional level is provided by legislative instruments enacted by the governments of the Subjects of Russian Federation.

  15. Health care and ideology: a reconsideration of political determinants of public healthcare funding in the OECD.

    Science.gov (United States)

    Herwartz, Helmut; Theilen, Bernd

    2014-02-01

    In this article, we examined if partisan ideology and electoral motives influence public healthcare expenditure (HCE) in countries of the Organization for Economic Cooperation and Development. We distinguished between the effects on the growth of the expenditures and its adjustment to violations of a long-run equilibrium linking HCE with macroeconomic and demographic trends. Regarding the influence of partisan ideology, we found that if governments are sufficiently long in power, right-wing governments spend less on public health than their left-wing counterparts. Furthermore, if a right-wing party governs without coalition partners, it responds more strongly to deviations from the long-run HCE equilibrium than left-wing governments. With regard to electoral motives, we found that health expenditure increases in years of elections. Independent of their partisan ideology, single-party (minority) governments induce higher (lower) growth of public HCE. Each of these political factors by its own may increase (decrease) HCE growth by approximately one percentage point. Given an average annual growth of HCE of approximately 4.1%, political factors turn out to be important determinants of trends in public HCE. Copyright © 2013 John Wiley & Sons, Ltd.

  16. Assisted or Hastened Death: The Healthcare Practitioner’s Dilemma

    Science.gov (United States)

    MacLeod, Rod D; Wilson, Donna M; Malpas, Phillipa

    2012-01-01

    Assisting or hastening death is a dilemma with many ethical as well as practical issues facing healthcare practitioners in most countries worldwide now. Various arguments for and against assisted dying have been made over time but the call from the public for the legalisation of euthanasia and assisted suicide has never been stronger. While some studies have documented the reluctance of medical and other healthcare professionals to be involved in the practice of assisted dying or euthanasia, there is still much open debate in the public domain. Those who have the most experience of palliative care are strongest in their opposition to hastening death. This paper explores salient practical and ethical considerations for healthcare practitioners associated with assisting death, including a focus on examining the concepts of autonomy for patients and healthcare practitioners. The role of the healthcare practitioner has clearly and undoubtedly changed over time with advances in healthcare practices but the duty of care has not changed. The dilemmas for healthcare practitioners thus who have competent patients requesting hastened death extends far beyond acting within a country’s laws as they go to the very heart of the relationship between the practitioner and patient. PMID:23121745

  17. Management accounting use and financial performance in public health-care organisations: evidence from the Italian National Health Service.

    Science.gov (United States)

    Macinati, Manuela S; Anessi-Pessina, E

    2014-07-01

    Reforms of the public health-care sector have emphasised the role of management accounting (MA). However, there is little systematic evidence on its use and benefits. To fill this gap, we propose a contingency-based model which addresses three related issues, that is, whether: (i) MA use is influenced by contextual variables and MA design; (ii) top-management satisfaction with MA mediates the relationship between MA design and MA use; and (iii) financial performance is influenced by MA use. A questionnaire was mailed out to all Italian public health-care organisations. Structural equation modelling was performed to validate the research hypotheses. The response rate was 49%. Our findings suggest that: (i) cost-containment strategies encourage more sophisticated MA designs; (ii) MA use is directly and indirectly influenced by contingency, organisational, and behavioural variables; (iii) a weakly significant positive relationship exists between MA use and financial performance. These findings are relevant from the viewpoint of both top managers and policymakers. The former must make sure that MA is not only technically advanced, but also properly understood and appreciated by users. The latter need to be aware that MA may improve performance in ways and along dimensions that may not fully translate into better financial results. Copyright © 2014 Elsevier Ireland Ltd. All rights reserved.

  18. How the Russian Federation Uses the Informational Instrument of National Power to Influence the Republic of Moldovas Strategic Security Policy

    Science.gov (United States)

    2017-06-09

    describes what media and special techniques Russia uses to influence its target audience in Moldova. The final step outlines the effects of the Russian... social , economic and security problems, is vulnerable to the Russian Federation’s information influence . However, that does not mean that the Republic...of national power. Commonly, these three terms cover actions, activities, symbols, thoughts, beliefs, and media that an actor uses to influence public

  19. THE MYTH OF THE RUSSIAN EXISTENTIAL THREAT

    Science.gov (United States)

    2016-04-01

    Putin’s intent. What we can do is learn from his actions, and what we see suggests growing Russian capabilities, significant military modernization...AU/ACSC/POWELL, N/AY16 AIR COMMAND AND STAFF COLLEGE AIR UNIVERSITY THE MYTH OF THE RUSSIAN EXISTENTIAL THREAT...The methodology focuses on Russian capability, capacity, and intention to threaten NATO members’ existence. While Russia does possess nuclear weapons

  20. Russian nominal semantics and morphology

    DEFF Research Database (Denmark)

    Nørgård-Sørensen, Jens

    The principal idea behind this book is that lexis and grammar make up a single coherent structure. It is shown that the grammatical patterns of the different classes of Russian nominals are closely interconnected. They can be described as reflecting a limited set of semantic distinctions which ar...... or weaker, of Russian. Students will see a pattern in what is traditionally described as disparate subsystems, and linguists may be inspired to consider the theoretical points concerning language as a coherent system, determining usage.......The principal idea behind this book is that lexis and grammar make up a single coherent structure. It is shown that the grammatical patterns of the different classes of Russian nominals are closely interconnected. They can be described as reflecting a limited set of semantic distinctions which...... are also rooted in the lexical-semantic classification of Russian nouns. The presentation focuses on semantics, both lexical and grammatical, and not least the connection between these two levels of content. The principal theoretical impact is the insight that grammar and lexis should not be seen...

  1. Prevalence and compensation of academic leaders, professors, and trustees on publicly traded US healthcare company boards of directors: cross sectional study.

    Science.gov (United States)

    Anderson, Timothy S; Good, Chester B; Gellad, Walid F

    2015-09-29

    To identify the prevalence, characteristics, and compensation of members of the boards of directors of healthcare industry companies who hold academic appointments as leaders, professors, or trustees. Cross sectional study. US healthcare companies publicly traded on the NASDAQ or New York Stock Exchange in 2013. 3434 directors of pharmaceutical, biotechnology, medical equipment and supply, and healthcare provider companies. Prevalence, annual compensation, and beneficial stock ownership of directors with affiliations as leaders, professors, or trustees of academic medical and research institutions. 446 healthcare companies met the study search criteria, of which 442 (99%) had publicly accessible disclosures on boards of directors. 180 companies (41%) had one or more academically affiliated directors. Directors were affiliated with 85 geographically diverse non-profit academic institutions, including 19 of the top 20 National Institute of Health funded medical schools and all of the 17 US News honor roll hospitals. Overall, these 279 academically affiliated directors included 73 leaders, 121 professors, and 85 trustees. Leaders included 17 chief executive officers and 11 vice presidents or executive officers of health systems and hospitals; 15 university presidents, provosts, and chancellors; and eight medical school deans or presidents. The total annual compensation to academically affiliated directors for their services to companies was $54,995,786 (£35,836,000; €49,185,900) (median individual compensation $193,000) and directors beneficially owned 59,831,477 shares of company stock (median 50,699 shares). A substantial number and diversity of academic leaders, professors, and trustees hold directorships at US healthcare companies, with compensation often approaching or surpassing common academic clinical salaries. Dual obligations to for profit company shareholders and non-profit clinical and educational institutions pose considerable personal, financial, and

  2. Safeguards and legal matters 1994. International Atomic Energy Agency Publications

    International Nuclear Information System (INIS)

    1995-01-01

    This catalogue lists all sales publications of the International Atomic Energy Agency dealing with Safeguards and Legal Matters issued during the period 1970-1994. Most publications are published in English, through some are also available in French, Russian and Spanish. Proceedings of conferences, symposia and panels of experts may contain some papers in languages other than English (French, Russian or Spanish), but all of these papers have abstracts in English. If publications are also available in other languages than English, this is noted as C for Chinese, F for French, R for Russian and S for Spanish by the relevant ISBN number. It should be noted that prices of books are quoted in Austrian Schillings. The prices do not include local taxes and are subject to change without notice. All books in this catalogue are 16 x 24 cm, paper-bound, unless otherwise stated

  3. Term Croatian considered in russian context

    Directory of Open Access Journals (Sweden)

    Željka Čelić

    2008-01-01

    Full Text Available Term Croatian is considered in Russian context, i. e. context of Russian scientific material (which is comparable to the unwritten situation in universities. Russian scientific texts connect term Croatian, almost without an exception, with the term Serbian in words such as Serbo-Croatian. This point of view is politically approved in the period untill 1990’s, but it exists in the 21st century’s scientific material. The nature of the problem lays, at the same time, in politics, language and society; thus, the question is: what is the reason of such a context in which Croatian language is placed now? There are no arguments for it, especially if it is for Slovak language politically based and language approved to be an entity – in comparison to the Czech language; for Ukrainian (once Littlerussian – at least in principle, in comparison to the Russian, or, more convincable, Belorussian to Russian (the standard Belorussian language exists from 1905. The term Croatian is independently, even in new books, connected with terms of soil, state, nation, but not language. And though today, because of political reasons, exists an awareness of Croatian language without its Serbian mirror reflexion, the term Serbo-Croatian stays. Thus, this paper looks through the history concerning Croatian language in 19, 20 and 21st century’s Russian philology, including Juraj Križanić and Vatroslav Jagić – innovators of the Croatian word in Russia.

  4. Allowance officers Russian and Austro-Hungarian armies on the eve of the First World War

    Directory of Open Access Journals (Sweden)

    Alexander P. Abramov

    2016-09-01

    Full Text Available On the basis of historical material provides information on measures of state and military administration on the eve of the First World War to improve the welfare of Russian officers and Austro-Hungary, through various forms of material incentives, which are reflected in the cash payments, promotions, awards and social guarantees. On the basis of archival materials of the study period, open scientific publications and Internet resources there are disclosed the features of the destination of salaries, various allowances and compensations Russian army in comparison to the Austro-Hungarian army, who spoke Russian opponent in the First World War. The author notes that the existing system of money allowances in the Russian army was more advantageous than in the Austro-Hungarian army. However, neither one nor the other could not fully meet the needs of the majority of officers of both armies, entered as opponents in the First World War. One of its major shortcomings, both in Russia and in the Austro-Hungarian Empire, was a wide gap in the amounts of all kinds of money allowances between chief officers, staff officers and generals.

  5. Russian oil workers seek employment abroad

    International Nuclear Information System (INIS)

    Anon.

    1992-01-01

    This paper reports that American oil workers discouraged by bleak employment opportunities in the U.S. petroleum industry face increasing competition abroad from Russians seeking a living wage. Moscow's Zagrantrud (Foreign Labor) firm believes millions of Russian skilled and unskilled workers in many occupations will try to find jobs in other countries. The Russian enterprise says it is selecting a group of construction workers to build a refinery in Columbia. Kuwait also wants Russian construction personnel. Russia is especially eager to find overseas work for petroleum industry workers who have lost their jobs in Viet Nam and Cuba. The number of specialists from the former U.S.S.R. in Cuba, many of them engaged in oil exploration and production or pipeline and refinery construction, has fallen from several thousand 2 years ago to 250 at present as Moscow's relations with Havana cooled

  6. The philosophical implications of Russian conceptualism

    Directory of Open Access Journals (Sweden)

    Mikhail Epstein

    2010-01-01

    Conceptualism identifies itself as a predominantly Russian-Soviet mode of thinking. In the West, the correlation between ideological signs and observable reality has been persistently validated through scientific and economic practice; while in Russia, traditionally, reality itself has been constructed from ideological signs generated by its ruling minds as a kind of hyper-reality. Thus, Russian Conceptualism sees itself not as a mere replica of Western postmodernism, but as a reflection of the underlying structures of Russian history, where the signs of reality have always been subject to ideological manipulation.

  7. CORPORATIONS IN RUSSIAN ECONOMICS OF TODAY

    Directory of Open Access Journals (Sweden)

    S. A. Shirokovskikh

    2011-01-01

    Full Text Available In Russian economics there are purely Russian private corporations as well as mixed state/private owned and transnational corporations. Specific ways of forming corporations in Russia resulted in corporate management models different from those used abroad (exclusive of largest holdingcompanies with considerable participation of the state. Difference in the corporation forms is determined by relations between owners and top managers. Efficient and sustainable (in the western sense functioning of Russian corporations may become effective only after long timeprovided RF ownership right legislation gets simultaneously improved.

  8. Big Data, Big Problems: A Healthcare Perspective.

    Science.gov (United States)

    Househ, Mowafa S; Aldosari, Bakheet; Alanazi, Abdullah; Kushniruk, Andre W; Borycki, Elizabeth M

    2017-01-01

    Much has been written on the benefits of big data for healthcare such as improving patient outcomes, public health surveillance, and healthcare policy decisions. Over the past five years, Big Data, and the data sciences field in general, has been hyped as the "Holy Grail" for the healthcare industry promising a more efficient healthcare system with the promise of improved healthcare outcomes. However, more recently, healthcare researchers are exposing the potential and harmful effects Big Data can have on patient care associating it with increased medical costs, patient mortality, and misguided decision making by clinicians and healthcare policy makers. In this paper, we review the current Big Data trends with a specific focus on the inadvertent negative impacts that Big Data could have on healthcare, in general, and specifically, as it relates to patient and clinical care. Our study results show that although Big Data is built up to be as a the "Holy Grail" for healthcare, small data techniques using traditional statistical methods are, in many cases, more accurate and can lead to more improved healthcare outcomes than Big Data methods. In sum, Big Data for healthcare may cause more problems for the healthcare industry than solutions, and in short, when it comes to the use of data in healthcare, "size isn't everything."

  9. Coverage of Russian psychological contributions in American psychology textbooks.

    Science.gov (United States)

    Aleksandrova-Howell, Maria; Abramson, Charles I; Craig, David Philip Arthur

    2012-01-01

    Internationalizing psychology is an important component of current globalization trends. American textbooks on the history of psychology and introductory psychology were surveyed for the presence of historical and contemporary important Russian psychologists to assess the current status of Russian-American crossfertilization. Of a list of 97 important Russian psychologists, as determined by the editors of the Russian journal Methodology and History in Psychology, less than 22% are mentioned in the reviewed texts. The most common names were Pavlov, Luria, and Vygotsky. As the internet is arguably the single most important factor affecting the increase of international communication and dissemination of knowledge, we also searched for these 97 names on various websites, most notably Wikipedia and Google. Forty-one internet sites contained some amount of biographical information about Russian psychologists. On Wikipedia, 14 Russian psychologists had articles documenting biographical information. We also developed a rubric to determine the amount of information available on the internet for these psychologists and compared Wikipedia's mean score with various other websites. Wikipedia pages on average had a significantly higher score than the rest of the internet. Recommendations to improve Russian coverage in America are provided and include: (1) developing pages on Wikipedia and other virtual venues highlighting Russian contributions, (2) soliciting articles for US journals from Russian psychologists, and (3) incorporating Russian contributions in introductory and historical textbooks. We provide a partial bibliography of Russian contributions that can be used by authors of such textbooks. We would like to thank Dr Viktor Fedorovich Petrenko and Dr Igor Nikolaevich Karitsky from the journal Methodology and History of Psychology for supplying the names of the Russian psychologists. We would also like to express our appreciation to Robert García for reviewing and

  10. Confessional Ethical Base of Muslim Entrepreneurship in Russian Empire in Late 19th - Early 20th Centuries

    Directory of Open Access Journals (Sweden)

    Гадиля Гизатуллаевна Корноухова

    2012-06-01

    Full Text Available The article considers the confessional and ethical base of the Muslim entrepreneurship in the Russian Empire in the late 19th - early 20th centuries. The author analyzes the differentiation of the value-institutional system of the broad public on the one hand, and that of entrepreneurs - on the other hand. Whereas the former adhered to the national and ethical values of the traditional culture, the latter - to religious and moral values based on Islam and developed by the Russian Empire reformers of that period.

  11. Italian and Russian Verse: Two Cultures and Two Mentalities

    Directory of Open Access Journals (Sweden)

    Stefano Garzonio

    2006-12-01

    Full Text Available Italian and Russian Verse: Two Cultures and Two Mentalities The present text was given as a talk at Stanford University in 2003. Here the author presents a comparative analysis of Russian and Italian versification and pays attention to the cultural contacts between these two poetical traditions in an effort to define the role played by Italian patterns in Russian verse. In this perspective the author offers a history of Russian poetical translation of Italian texts pointing out the different opinions of Russian poets about the “musicality” of Italian verse. The combined influence of language and culture in modelling different Russian poetical forms in a chronological perspective is underlined.

  12. Energy Efficiency Investments in Public Facilities - Developing a Pilot Mechanism for Russia and Chelyabinsk Region

    Energy Technology Data Exchange (ETDEWEB)

    Evans, Meredydd; Roshchanka, Volha; Parker, Steven A.; Baranovskiy, Aleksandr

    2012-01-01

    Russian public sector buildings tend to be very inefficient, which creates vast opportunities for savings. This paper reviews opportunities to implement energy efficiency projects in Russian public buildings, created by new Russian legislation and regulations. Given Russia's limited experience with energy performance contracts (EPCs), a pilot project can help test an implementation mechanism. The authors use Chelyabinsk Region as an example to discuss opportunities, challenges and solutions to financing and implementing an EPC in Russia, navigating through federal requirements and specific local conditions.

  13. REFORM OF THE RUSSIAN ANTI-CORRUPTION LEGISLATION: OECD ECONOMIC CONDITION OR LEGAL IMPORTANCE

    Directory of Open Access Journals (Sweden)

    Elina L. Sidorenko

    2014-01-01

    Full Text Available In this paper we define the prospects for the criminalization of promises and offers a bribe to a foreign official or an official of a public international organization in the Russian criminal law. Despite the increased interest in the problem of implementation of international law in the national legal system, many aspects of the topic studied. These include punishment, the possibility of establishing criminal liability for bribery. OECD anti-corruption standards considered in working with three positions: through Russia ratified the convention, through the analysis of the experience of the criminalization of bribery of foreign public officials in foreign legislation and from the perspective of the established system of national criminal and administrative law. The paper presents a systematic analysis of the proposal and the promise of a bribe as socially dangerous acts. Refined methods of implementation of anti-corruption standards in the Russian legislation. Problems has led to widespread use of the system, comparative law and documentary approaches. The paper concludes formulate concrete proposals to improve the criminal law and identifies strategic directions of modern anti-corruption policy.

  14. Reform Of The Russian Anti-Corruption Legislation: Oecd Economic Condition Or Legal Importance

    Directory of Open Access Journals (Sweden)

    Elina L. Sidorenko

    2014-01-01

    Full Text Available In this paper we define the prospects for the criminalization of promises and offers a bribe to a foreign official or an official of a public international organization in the Russian criminal law. Despite the increased interest in the problem of implementation of international law in the national legal system, many aspects of the topic studied. These include punishment, the possibility of establishing criminal liability for bribery. OECD anti-corruption standards considered in working with three positions: through Russia ratified the convention, through the analysis of the experience of the criminalization of bribery of foreign public officials in foreign legislation and from the perspective of the established system of national criminal and administrative law. The paper presents a systematic analysis of the proposal and the promise of a bribe as socially dangerous acts. Refined methods of implementation of anti-corruption standards in the Russian legislation. Problems has led to widespread use of the system, comparative law and documentary approaches. The paper concludes formulate concrete proposals to improve the criminal law and identifies strategic directions of modern anti-corruption policy.

  15. Technological Aspects of Russian Energy Diplomacy

    Directory of Open Access Journals (Sweden)

    Stanislaw Z. Zhiznin

    2016-01-01

    Full Text Available In the present study we examined the impact of technology on the development of world energy in the world, as well as on the development of international energy relations. The important role of international cooperation in the field of energy technologies as a key factor in the development and global deployment of energy technologies in the industry. The most effective technology in the world of multilateral cooperation under the auspices of the International Energy Agency (IEA and other international organizations. It allows the joint efforts of the countries concerned to develop new technologies, test them and implement in production. For Russia, it is very important, because at the moment our country is not only a leading exporter of energy resources, but also has a significant impact on global energy security. At the same time Russia's FEC requires urgent and serious modernization through the development and introduction of innovative technologies on the basis of the study of international experience. Therefore the question of modernization of Russian fuel and energy complex has an international character. One way to accelerate the process of modernization of the organization is a public-private partnership that will largely depend on the nature and possibilities of Russian energy diplomacy, given the geopolitical and economic realities in connection with the sanctions imposed by Western countries against our country.

  16. An Interrupted Time-Series Analysis of Durkheim's Social Deregulation Thesis: The Case of the Russian Federation.

    Science.gov (United States)

    Pridemore, William Alex; Chamlin, Mitchell B; Cochran, John K

    2007-06-01

    The dissolution of the Soviet Union resulted in sudden, widespread, and fundamental changes to Russian society. The former social welfare system-with its broad guarantees of employment, healthcare, education, and other forms of social support-was dismantled in the shift toward democracy, rule of law, and a free-market economy. This unique natural experiment provides a rare opportunity to examine the potentially disintegrative effects of rapid social change on deviance, and thus to evaluate one of Durkheim's core tenets. We took advantage of this opportunity by performing interrupted time-series analyses of annual age-adjusted homicide, suicide, and alcohol-related mortality rates for the Russian Federation using data from 1956 to 2002, with 1992-2002 as the postintervention time-frame. The ARIMA models indicate that, controlling for the long-term processes that generated these three time series, the breakup of the Soviet Union was associated with an appreciable increase in each of the cause-of-death rates. We interpret these findings as being consistent with the Durkheimian hypothesis that rapid social change disrupts social order, thereby increasing the level of crime and deviance.

  17. CMS Honours Three Russian and Bielorussian companies

    CERN Multimedia

    2003-01-01

    On 7 March, CMS handed out the three latest Gold Awards under its scheme for honouring its best suppliers suppliers (c.f. Bulletin n°10/2003). Three Russian and Bielorussian firms were honoured, on the occasion of a visit by dignitaries from the two countries. CERN played host to Anatoly Sherbak, Head of the Fundamental Research Department of the Russian Federation Ministry of Industry and Science, Ambassador Sergei Aleinik, Permanent Representative of the Republic of Belarus to the Office of the United Nations at Geneva, Andrei Pirogov, Assistant Permanent Representative of the Russian Federation to the Office of the United Nations, and Alexei Sissakian, Vice Director of the JINR (Joint Institute for Nuclear Research) at Dubna in Russia. The directors of the three Russian and Bielorussian firms have received their awards and are seen with the visiting Russian and Bielorussian dignitaries and the CMS leaders in front of the CMS hadron calorimeter, on the spot where the detector is being assembled.These promi...

  18. Image of «Economic Miracle of Taiwan» in Perception of Russian Society in 1990s

    Directory of Open Access Journals (Sweden)

    Дмитрий Игоревич Петров

    2013-12-01

    Full Text Available This article examines the formation process of the image of Taiwan that was developed in the public opinion in Russia in 1991–2000. This image has become the base for the future Russian-Taiwanese economic and trade relations. In that period the stereotypes of Taiwan that appeared in the Soviet times underwent fundamental changes, and there appeared a new concept of «economic miracle of Taiwan». This completely different image of Taiwan greatly influenced the economic ties between Russia and Taiwan, and it was considered to be the most suitable model for the Russian economic development.

  19. Russian factory inspection (1882-1918): cui bono?

    OpenAIRE

    Volodin , Andrei Y.

    2008-01-01

    This study deals with history of important state institution in late Russian Empire - factory inspection. Such aspects of institutional development as evolution of legislative regulations, growth of staff, and complication of functions (and particularly, mediation in labour conflicts) are scrutinized. This paper presents some results on Russian experience of labour law implementation seeking to determine and evaluate the role and efficiency of Russian factory inspectors in conflicting triangl...

  20. CREATING A BUDGET FOR THE CURRENT STAGE OF DEVEL OPMENT OF THE RUSSIAN ECONOMY

    Directory of Open Access Journals (Sweden)

    Andrey A. Derkach

    2014-01-01

    Full Text Available The article discusses the methodology ofthe budget in terms of innovative development of the Russian economy. Explored approaches to evaluating the effectiveness of public investment. The features of the use of resources of the Investment budget in innovative software industry asthe social sphere and the real economy

  1. How do healthcare consumers process and evaluate comparative healthcare information? A qualitative study using cognitive interviews

    Directory of Open Access Journals (Sweden)

    Delnoij Diana MJ

    2009-11-01

    Full Text Available Abstract Background To date, online public healthcare reports have not been effectively used by consumers. Therefore, we qualitatively examined how healthcare consumers process and evaluate comparative healthcare information on the Internet. Methods Using semi-structured cognitive interviews, interviewees (n = 20 were asked to think aloud and answer questions, as they were prompted with three Dutch web pages providing comparative healthcare information. Results We identified twelve themes from consumers' thoughts and evaluations. These themes were categorized under four important areas of interest: (1 a response to the design; (2 a response to the information content; (3 the use of the information, and (4 the purpose of the information. Conclusion Several barriers to an effective use of comparative healthcare information were identified, such as too much information and the ambiguity of terms presented on websites. Particularly important for future research is the question of how comparative healthcare information can be integrated with alternative information, such as patient reviews on the Internet. Furthermore, the readability of quality of care concepts is an issue that needs further attention, both from websites and communication experts.

  2. RUSSIAN REVOLUTION WAS PREPARED ON CAPRI...” MICHAIL PERVUKHIN ABOUT A RUSSIAN COLONY ON CAPRI (BASED ON THE A.M. GORKY ARCHIVE

    Directory of Open Access Journals (Sweden)

    Marina A. Arias-Vikhil

    2017-03-01

    Full Text Available In his essay “The Russians on Capri” (1924, a Russian journalist Mikhail Pervukhin describes the discovery of Capri by Russian artists and writers before the events of 1905 and the development of the Russian colony on the island afterwards. Pervukhin relates the origin and the history of the Russian colony on Capri to the period from 1906 through 1913, when the island became a residence of Russian political immigrants. He sees Gorky’s arrival on Capri as a major catalyzer in the development of the colony due to the defining and formative nature of the political and literary activity of the latter. The Russian revolution of 1905 had radically changed the structure of the Russian population on Capri: since that time it mostly consisted of political refugees. Pervukhin’s evidence is one of the most important documents on Gorky’s reception in Italy. Pervukhin left documentary and artistic evidence of Gorky’s residence on the island written with a special focus on Gorky’s role in the Russian Revolution of 1917 and its critical reconsideration. The author emphasized the political component in the life of the colony. He criticized activities of the Capri school for workers founded by Gorky and Lunacharsky. According to Pervukhin, Russian revolutionaries were indifferent to the beauty of the island and to the “eternal” values swept away by the storm of the October Revolution.

  3. Nuclear energy and politics in Russian ATWS conditions

    International Nuclear Information System (INIS)

    Gagarinski, A.

    1998-01-01

    Relations between politics and nuclear power in the countries of sustainable development has been many times discussed during the short history of nuclear energy, and regularly arising new events, even very important (in Sweden, USA, etc.), just add to the formed understanding of the problem. Russia for 10 years lives in conditions of a transition period, which seems similar to ATWS-type accidents at nuclear power plants. In these conditions the effect of politics on nuclear power and vice versa are seen very clearly, and, more important, change swiftly, which may present interest for the countries with smoother public processes. The role of political processes in nuclear power is obvious and may be reduced to three main factors: change of political system and transition to market economy have placed nuclear power, though still within state sector, in an absolutely new economic condition, which determine its today's situation as 'Survival'; new possibilities of political influence and opposition to nuclear power (mainly struggle against construction of new nuclear fuel cycle objects) on a levels of authority (local, regional, federal); impact of the USSR collapse on the situation in Russian nuclear power was due sooner to temporary weakening of control and regulatory structures, than to the fact, that some fuel cycle elements have found themselves abroad (the factor of uranium resources' loss is unimportant at present). Nuclear safety was chosen to be the subject of Moscow 1996 Summit, initiated with the purpose of Russia coming closer to G7. The Summit has confirmed the thesis on the possibility of nuclear power o play an important role in the world energy demand in accordance with sustainable development goals. successful activities of Russia-USA Commission for economic and technological cooperation, known as 'Gore-Chernomyrdin' Commission, is to a large extent determined by positive nuclear decisions. Eastern direction of Russian nuclear export (Iran, China

  4. Balancing influence between actors in healthcare decision making

    Directory of Open Access Journals (Sweden)

    Babad Yair M

    2011-04-01

    Full Text Available Abstract Background Healthcare costs in most developed countries are not clearly linked to better patient and public health outcomes, but are rather associated with service delivery orientation. In the U.S. this has resulted in large variation in healthcare availability and use, increased cost, reduced employer participation in health insurance programs, and reduced overall population health outcomes. Recent U.S. healthcare reform legislation addresses only some of these issues. Other countries face similar healthcare issues. Discussion A major goal of healthcare is to enhance patient health outcomes. This objective is not realized in many countries because incentives and structures are currently not aligned for maximizing population health. The misalignment occurs because of the competing interests between "actors" in healthcare. In a simplified model these are individuals motivated to enhance their own health; enterprises (including a mix of nonprofit, for profit and government providers, payers, and suppliers, etc. motivated by profit, political, organizational and other forces; and government which often acts in the conflicting roles of a healthcare payer and provider in addition to its role as the representative and protector of the people. An imbalance exists between the actors, due to the resources and information control of the enterprise and government actors relative to the individual and the public. Failure to use effective preventive interventions is perhaps the best example of the misalignment of incentives. We consider the current Pareto efficient balance between the actors in relation to the Pareto frontier, and show that a significant change in the healthcare market requires major changes in the utilities of the enterprise and government actors. Summary A variety of actions are necessary for maximizing population health within the constraints of available resources and the current balance between the actors. These actions include

  5. Balancing influence between actors in healthcare decision making.

    Science.gov (United States)

    Kaplan, Robert M; Babad, Yair M

    2011-04-19

    Healthcare costs in most developed countries are not clearly linked to better patient and public health outcomes, but are rather associated with service delivery orientation. In the U.S. this has resulted in large variation in healthcare availability and use, increased cost, reduced employer participation in health insurance programs, and reduced overall population health outcomes. Recent U.S. healthcare reform legislation addresses only some of these issues. Other countries face similar healthcare issues. A major goal of healthcare is to enhance patient health outcomes. This objective is not realized in many countries because incentives and structures are currently not aligned for maximizing population health. The misalignment occurs because of the competing interests between "actors" in healthcare. In a simplified model these are individuals motivated to enhance their own health; enterprises (including a mix of nonprofit, for profit and government providers, payers, and suppliers, etc.) motivated by profit, political, organizational and other forces; and government which often acts in the conflicting roles of a healthcare payer and provider in addition to its role as the representative and protector of the people. An imbalance exists between the actors, due to the resources and information control of the enterprise and government actors relative to the individual and the public. Failure to use effective preventive interventions is perhaps the best example of the misalignment of incentives. We consider the current Pareto efficient balance between the actors in relation to the Pareto frontier, and show that a significant change in the healthcare market requires major changes in the utilities of the enterprise and government actors. A variety of actions are necessary for maximizing population health within the constraints of available resources and the current balance between the actors. These actions include improved transparency of all aspects of medical decision

  6. RUSSIAN PERIODICALS AT THE TURN OF THE 19TH -20TH CENTURIESON RUSSIAN MIGRANTS’ SOCIOCULTURAL ADAPTATION IN CENTRAL ASIA

    Directory of Open Access Journals (Sweden)

    Р А Арсланов

    2017-12-01

    Full Text Available In the Russian historiography, the views of the publicists of the early 20th century of the Russian colonists’ life in Central Asia aren’t duly highlighted. The novelty and aim of the research consist in revealing the general and particular in the Russian periodicals’ percep-tion of the colonization of Turkestan, in determining their ideological bent. The authors have discovered that all the reviewed periodicals were adherents of Central Asia colonization. They supported the imperial policy of the government with minor reserva-tions. Most publicists noted that the settling of colonists depended on the actions of the central government, which insuffi ciently took into account the local conditions. However, publicists differed in the choice of the main direction and in the assessments of the value of colonists’ adaptation activity; they proposed various ways of developing the intercultural dialogue.The authors come to the conclusions that liberal periodicals paid special attention to the economic activities of Russian immigrants, assessing the degree of their adaptation by the level of well-being achieved. The Narodnik periodicals considered migrants as a part of the peasant world of Russia. They were concerned, above all, about the colonists’ commu-nity, which they considered an effective means of adaptation, preserving the culture and moral qualities of the Russians. Probably, they considered it a pledge of building fair relations with the local population. Conservative and offi cial publicists viewed Russian immigrants primarily as support of the Russian government in Central Asia. That is why they paid special attention to the preservation of assimilation qualities of the Russians, the loss of which could become, in their view, an obstacle to the strengthening of the empire positions in the region.

  7. Management of Russian military plutonium

    International Nuclear Information System (INIS)

    Zaleski, C.P.

    1996-01-01

    The objective of this paper is to propose and discuss a solution which enables storing as quickly as possible all weapons-grade plutonium from Russian military program in a way which would prevent diversion. Two main conditions apply to this solution. First, it should be achieved in a manner acceptable to Russian government, notably by preserving plutonium for possible future energy production, and second, the economics of the total system should be good enough to ensure no charge or limited charge for the storage of plutonium. A proposal is made to store plutonium in a specially designed fast reactor or specially designed reactor core. This solution could be favorable in comparison to other solutions applying the above mentioned goal and conditions. Additionally the proposed solution would have the following side advantages: utilizing available personnel and installations of the Russian nuclear complex; providing possible basis for decommissioning of older and less safe Russian reactors; giving experience of construction and operation of a series of sodium-cooled fast reactors. The major problem however is the need for large capital investment with the risk of getting no adequate return on investment due to difficult political and economic situation in Russia

  8. Health Care in the Russian Federation.

    Science.gov (United States)

    Younger, David S

    2016-11-01

    The Russian Federation health system has its roots in the country's complex political history. The Ministry of Health and Social Development and its associated federal services are the principal Russian institutions subserving the Russian Federation. Funding for the health system goes through 2 channels: the general revenue budget managed by federal, regional, and local health authorities, and the Mandatory Health Insurance Fund. Although the Soviet Union was the first country in the world to guarantee free medical care as a constitutional right to all its citizens, quality and accessibility are in question. Copyright © 2016 Elsevier Inc. All rights reserved.

  9. Russian- Chinese relations : towards an energy partnership

    OpenAIRE

    Garanina, Olga

    2007-01-01

    18 p.; This paper aims to investigate the Russian-Chinese energy relations in the context of evolution of bilateral strategic relations since 1991.The research is focused on Russia and encompasses three main aspects: strategic approach of Russian-Chinese relations, Russian hydrocarbons production and export potential and prospects for the Eastern Russia. The paper is based on qualitative analysis. It shows that the framework of bilateral relations is globally favourable for creation of costly...

  10. Nuclear power engineering: Public understanding and public opinion

    International Nuclear Information System (INIS)

    Kryshev, A.I.; Sazykina, T.G.

    1998-01-01

    Subjective and objective reasons for the formation of public opinion about nuclear power engineering of Russia were analyzed. Some methodological errors in work with the Russian public on the problems of nuclear energy and possible methods of their correction were discussed. The social groups of the general public, which are of greatest importance in forming the attitude towards nuclear power engineering were indicated. The conclusion was reached that opinion of the ordinary population is often indicative of real drawbacks in the work of specialists in the nuclear fuel cycle. Consequently, careful surveys of public opinion about the problems of the nuclear industry should be very useful in organizing research work properly and improving the radiation safety. (author)

  11. Russian food products marke: New CEFTA export opportunity

    Directory of Open Access Journals (Sweden)

    Stanojević Nataša

    2016-01-01

    Full Text Available This study aims to point out the unexploited export potential of CEFTA economies to the Russian market, using both quantitative and qualitative methods. More precisely, the Russian food market is examined, because of its size, the lack of domestic supply and actual changes of trading partners due to political and security antagonisms. The competitiveness of CEFTA food production on the Russian food market was analyzed by using two classical instruments of competitiveness - coefficient of conformity (CC and real effective exchange rate (RER.CC is applied first to the CEFTA export and Russian import of food in total, and then to the six main Russian import food products. The results indicate the highest degree of matching between Russian import and all CEFTA country export of fruits, vegetable and its processed commodities. RER is calculated to show competitiveness in terms of prices in bilateral trade, and result shows a very favorable ratio of currency, except in the case of Montenegro and Bosnia because their fixation to euro. Due to the small size of CEFTA production and non-proportional large Russian market, the interconnection, e.g. forming the value chain made of CEFTAs agriculture and food industry companies is suggested as the basis of new CEFTA export strategy.

  12. Social Medicine: Twitter in Healthcare.

    Science.gov (United States)

    Pershad, Yash; Hangge, Patrick T; Albadawi, Hassan; Oklu, Rahmi

    2018-05-28

    Social media enables the public sharing of information. With the recent emphasis on transparency and the open sharing of information between doctors and patients, the intersection of social media and healthcare is of particular interest. Twitter is currently the most popular form of social media used for healthcare communication; here, we examine the use of Twitter in medicine and specifically explore in what capacity using Twitter to share information on treatments and research has the potential to improve care. The sharing of information on Twitter can create a communicative and collaborative atmosphere for patients, physicians, and researchers and even improve quality of care. However, risks involved with using Twitter for healthcare discourse include high rates of misinformation, difficulties in verifying the credibility of sources, overwhelmingly high volumes of information available on Twitter, concerns about professionalism, and the opportunity cost of using physician time. Ultimately, the use of Twitter in healthcare can allow patients, healthcare professionals, and researchers to be more informed, but specific guidelines for appropriate use are necessary.

  13. Heutiges Russisch (2) (Contemporary Russian [2])

    Science.gov (United States)

    Russisch, 1976

    1976-01-01

    Considers contemporary Russian usage with regard to variations in the genitive, accusative and nominative inflections and the synonymity of full and shortened adjective forms. Material is excerpted from "Stilistik der russischen Sprache" (Russian Language Style) by D. Rosental and M. Telenkowa. (Text is in German.) (FB)

  14. Electronic Repository of Russian Historical Statistics

    NARCIS (Netherlands)

    Tykhonov, Vyacheslav; Kessler, Gijs; Markevich, Andrei; de Vries, Jerry

    2014-01-01

    The Electronic Repository for Russian Historical Statistics brings together data extracted from various published and unpublished sources in one place. Its principal focus is Russian economic and social history of the last three centuries (18th-21st). The repository caters to the needs of the

  15. THE CONCEPT OF IDENTITY IN THE SOCIO-POLITICAL DISCOURSE OF THE RUSSIAN ORTHODOX CHURCH

    Directory of Open Access Journals (Sweden)

    E. M. Morozov

    2017-01-01

    Full Text Available The article analyzes the strategy of the Russian Orthodox Church for the revival of national, state and church identity in Russia. The peculiarities of the church interpretation of the concept of identity and the risks of loss of national identity are revealed from the standpoint of the Church. The author concludes that in the socio-political discourse of the Orthodox Church the concept of identity is presented as a cultural and social marker and is comprehended in the paradigm of conformity with established standards and behavioral responses. Spiritual identity is seen in Orthodoxy through an appeal to the religious tradition and is correlated with the moral imperative formed in the past and with the social and legal code. The Church considers the Orthodox self-identification of citizens and its participation in sociocultural transformations of Russia to be important factors of state identity. In declarations on the topic of Christian identity, the leaders of the Church rely on the idea of Russian religious philosophy about the genetic connection of Orthodoxy with national consciousness. The tendency of Orthodox participation in the public examination of secular cultural events, in teaching schoolchildren (“General Professional Competences’ in the course of ‘The Basics of Religious Cultures and Secular Ethics” and in the scientific activity of higher educational institutions (the inclusion of “theology” in the list of scientific disciplines of the Higher Certifying Commission is developing. Public support for the interaction of the Church with state institutions of culture and education is regarded by the author as a factor of acquiring institutional features of identity by Orthodoxy. The active participation of the Church in the public discussion on the relationship between Russia and European countries is motivated by the desire to develop international cooperation, which is hampered by the value contradictions that the

  16. Behavioral and biological correlates of medicine use in type 2 diabetic patients attended by Brazilian public healthcare system

    Directory of Open Access Journals (Sweden)

    Jamile Sanches Codogno

    2013-01-01

    Full Text Available DOI: http://dx.doi.org/10.5007/1980-0037.2013v15n1p82 The relationship between physical activity and the use of medicines is not clear. The purpose of this study was to investigate this relationship between the level of physical activity and the use of medications by type 2 diabetic patients who were attended in the Brazilian public healthcare system. The sample was composed of 121 Brazilian diabetic patients, of both genders, attended by the public healthcare system. Body fat (estimated by anthropometry and bioelectrical impedance, physical activity (measured by Baecke’s questionnaire, and the participant’s use of medicines (during the 15 days before evaluation were assessed. There was a relationship between the use of medicines and: gender (r = 0.18; p = 0.045, body mass index (BMI (r = 0.22; p = 0.012, waist circumference (r = 0.19; p = 0.029, body fat percentage (r = 0.21; p = 0.016, age (r = 0.23; p = 0.009, and level of physical activity (r = -0.22; p = 0.012. Linear regression included in the multivariate model only age (β = 0.718; p = 0.057, BMI (β= 0.057; p = 0.022, and level of physical activity (β = -0.176; p = 0.044. In conclusion, physical activity decreases medicinal use independent of age or obesity.

  17. Russian Contract Law for Foreigners

    Directory of Open Access Journals (Sweden)

    Andrey Shirvindt

    2015-01-01

    Full Text Available The book by Maria Efremova, Svetlana Yakovleva and Jane Henderson aims to serve as a short introduction to Russian contract law for a foreign lawyer. Assuming that the target readership are mainly English lawyers the book’s second aim, expressly stated by the authors (pp. i, 1, is to make lawyers from common law countries familiar with codified law, with Russian law being just an example. The book covers most of the general law of obligations as well as some questions of formation and invalidity of contracts that belong to the general part of the Civil Сode, with this preceded by a brief introduction into the Russian law dealing with its history, federal structure and state agencies of Russia, its court system, sources of law and legal profession.

  18. Public Healthcare Services - Component of Tertiary Economy

    Directory of Open Access Journals (Sweden)

    Mircea Bunaciu

    2016-05-01

    Full Text Available The field of public health care is a major social objective in all countries of the world. The public health care assistance reflects an effort organised to protect and promote the health of population, being achievable through political-legislative measures, programs and strategies addressed to the forums in the field of public health, as well as by establishing an organisational framework that would favour the provision of medical services requested by the population. The implementation of the objectives of health policy and strategy is done by the Ministry of Public Health as central authority in the field of public health, and local actions of public health are developed and implemented by the county authorities of public health. Public health authorities in the ascribed territory operate under the subordination of the public health authorities. Also, the county public health authorities coordinate locally the implementation of the activities arising from obligations assumed under the Treaty of Accession of Romania to the European Union and the plans for implementing the Community instruments relating to health.

  19. Third degree waiting time discrimination: optimal allocation of a public sector healthcare treatment under rationing by waiting.

    Science.gov (United States)

    Gravelle, Hugh; Siciliani, Luigi

    2009-08-01

    In many public healthcare systems treatments are rationed by waiting time. We examine the optimal allocation of a fixed supply of a given treatment between different groups of patients. Even in the absence of any distributional aims, welfare is increased by third degree waiting time discrimination: setting different waiting times for different groups waiting for the same treatment. Because waiting time imposes dead weight losses on patients, lower waiting times should be offered to groups with higher marginal waiting time costs and with less elastic demand for the treatment.

  20. Russian New Art of Hybrid Warfare in Ukraine

    Directory of Open Access Journals (Sweden)

    Rusnáková Soňa

    2017-10-01

    Full Text Available The main aim of this paper is to analyse the annexation of Crimea by the Russian Federation. For the purposes of the paper, the theory of hybrid warfare was chosen as an analytical category. Throughout the paper, the concept of hybrid warfare is examined and applied on case study of Crimean annexation. Hybrid warfare, especially in connection with Russian actions in Crimea has been an intensely debated concept. There is an ongoing debate among scholars concerning the meaning of the concept, its existence and employment by the Russian Federation. This paper showed that the article of Valeriy Gerasimov – the incumbent Chief of the General Staff of the Russian Federation-invoked a new warfare strategy for the Russian Federation which was consequently for the very first time in its full spectre and effectivity employed on case of Crimean annexation in March 2014. Observing the application of the hybrid warfare in practice serves the purposes of countering its further potential application in post-Soviet space and Russian ‘near abroad’.

  1. Contaminant transport modeling studies of Russian sites

    International Nuclear Information System (INIS)

    Tsang, Chin-Fu

    1993-01-01

    Lawrence Berkeley Laboratory (LBL) established mechanisms that promoted cooperation between U.S. and Russian scientists in scientific research as well as environmental technology transfer. Using Russian experience and U.S technology, LBL developed approaches for field investigations, site evaluation, waste disposal, and remediation at Russian contaminated sites. LBL assessed a comprehensive database as well as an actual, large-scale contaminated site to evaluate existing knowledge of and test mathematical models used for the assessment of U.S. contaminated sites

  2. Russian Airpower in the Second Chechen War

    National Research Council Canada - National Science Library

    Evans, Robert

    2001-01-01

    .... In the earlier conflict, Russian Air Force operations concentrated on achieving control of the air, directly supporting Russian ground forces, and attacking rebels in the foothills and mountains of southern Chechnya...

  3. Assessment of healthcare waste generation rate and its ...

    African Journals Online (AJOL)

    Assessment of healthcare waste generation rate and its management system in health centers of Bench Maji Zone. ... Background: It is known that the basic role of healthcare system is to preserve the health of patients and protect the public from diseases. However, in the process of performing these activities, health ...

  4. The pitfalls of differentiation in the financing of Russian universities

    Directory of Open Access Journals (Sweden)

    Irina V. Abankina

    2016-01-01

    Full Text Available Objective to identify the causes and consequences of the increasing stratification of higher educational institutions by the volumes and sources of financing as well as by the areas of training. Methods during the research we used methods of statistical and economic analysis of the results of the universitiesrsquo activities. Using econometric models the relationships were estimated of the resource base of higher education industrial and economic potential of Russian regions an empirical analysis of factors influencing the increasing public demand for higher education was conducted. Results the trends of structural changes in the demand for higher education in Russia during the period from 2001 to 2014 were described the regional differentiation of financial provision of higher educational institutions in the transition to effective contract work was evaluated. The major risks were identified associated with the structural mismatch of the demand for higher education from families and the offer of admission quotas for the budgetfunded education with increasing regional differentiation which provokes the separation of the Russian universities by the volumes and sources of financial provision with high commitments to increase the salaries of the teaching staff leading to a shortage of funds for maintenance of the property complex and ensuring of the educational process which jeopardizes the quality of educational programsrsquo implementation. Scientific novelty basing on the empirical analysis using econometric models the tendencies are identified of structural changes in the demand for higher education in the Russian regions the impact is assessed of the economic crisis and the payable demand of families on the financial provision of universities risks are identified and justified in the differentiation of Russian universitiesrsquo financing. Practical significance the main provisions and conclusions of the article can be used by experts in the

  5. Heutiges Russisch (Schluss) (Contemporary Russian [Conclusion])

    Science.gov (United States)

    Russisch, 1976

    1976-01-01

    Considers two aspects of contemporary Russian language usage: (1) synonymity of prepositions, and (2) semantic and stylistic differences arising when certain verbs govern nouns in different cases. Material is excerpted from "Stilistik der russischen Sprache" (Russian Language Style) by Rosental and M. Telenkowa. (Text is in German.) (FB)

  6. Twenty years of the Chernobyl accident: Results and problems in eliminating its consequences in Russia 1986-2006. Russian national report

    International Nuclear Information System (INIS)

    Gerasimova, N.V.; Marchenko, T.A.; Shoigu, S.K.; Bolshov, L.A.

    2006-01-01

    Twenty years after the Chernobyl accident, above 1.5 million people in 14 subjects of the Russian Federation continue to live in the area of radioactive contamination. More than 180,000 of the Russians were affected by radiation, when participating in elimination of the accident and its consequences. Since the first days of the accident, the public health service faced a task to develop and implement the measures on minimization of medical effects of the accident and public provision with medical assistance, including the employees of the nuclear power plant and the participants in mitigation of the accident. The health of the liquidators and the public living in the contaminated areas is the most socially significant issue being solved in the process of elimination of the Chernobyl consequences. Radiological effects have been the focus of attention for the overall 20-year period. The radiation protection system was based on performance of the two conditions, namely: absolute prevention of acute (deterministic) effects and reduction in the risk of remote (stochastic) effects to acceptable (justified) levels. As early as in 1986, a decision was made to create the unified system of medical observation for the individuals affected by radiation as a result of the Chernobyl accident. The Russian State Medical and Dosimetry Register (RSMDR) was established on the basis of the Medical Radiological Research Center of the Russian Academy of Medical Sciences. The two most suffered public groups were defined as a result of research activity of the Register. These are the children (at the moment of the accident) living in the highly contaminated areas and the liquidators who have obtained the exposure dose above 150 mGy. According to the Register's data, 122 cases (54%) out of 226 thyroid cancers revealed during the years 1991-2003 among the children (at the moment of the Chernobyl catastrophe) from the Bryansk region can be considered as radiation-stipulated. Hygienic

  7. Peculiarities of the Nature and Status of the Russian Presidential Administration: Historical, Political and Legal Overview

    Directory of Open Access Journals (Sweden)

    Anton Vladimirovich Zuykov

    2018-03-01

    Full Text Available The Presidential Administration in the Russian Federation has never been just an adminicular mechanism of the head of state. Unlike its western analogs, it has always possessed an incomparably large resource of power. While presidents were changed, the personal stuff, structure and authorities of this body were also changed, but its central place in the management system of the Russian state remained stable. The Administration of the President of the Russian Federation is an institution, whose legal status does not have a clear legal shape. Not without reason the journalists, as well as lawyers, political scientists and historians sometimes call it the shadow government or the secret order. However, the legal nature of the administration of the President of the Russian Federation is not quite clear. Even the name "Administration" is often misleading: whether the Administration of the President of the Russian Federation may be considered the executive power or the public administration in a wider sense? This and other disputes about the nature of the Presidential Administration of the Russian Federation and its legal status have arisen in the expert community with the beginning of complex work on the constitutional project, and are still ongoing today. In this regard, the author of this article decided to make one of the first attempts in the country to investigate what the Administration of the President of the Russian Federation really is, what are the problems associated with its functioning, and whether there are legal means to resolve them at the present stage. To answer these questions, the author thoroughly analyzes the models and arguments proposed at different stages of the development of the new Russia, and correlates them with the basic constitutional principles.

  8. Language categories in Russian morphology

    OpenAIRE

    زهرایی زهرایی

    2009-01-01

    When studying Russian morphology, one can distinguish two categories. These categories are “grammatical” and “lexico-grammatical”. Grammatical categories can be specified through a series of grammatical features of words. Considering different criteria, Russian grammarians and linguists divide grammatical categories of their language into different types. In determining lexico-grammatical types, in addition to a series of grammatical features, they also consider a series of lexico-semantic fe...

  9. ‘Black Robe, Golden Epaulettes’: From the Russian Dissidents to Pussy Riot

    Directory of Open Access Journals (Sweden)

    Cécile Vaissié

    2014-12-01

    Full Text Available The arrest of the members of Pussy Riot, their imprisonment and their trial has attracted great interest worldwide, and some commentators pointed out that the young women in this feminist punk band could be considered as the heirs to the Russian dissidents. The article explores this link further and shows that the action which made this feminist punk band famous can indeed be seen as a continuation of the combat of dissidents who, as of the mid-1960s, fought for the genuine independence of the Russian Orthodox Church from the State, and who denounced the infiltration of the Church by the KGB, an infiltration that the Church itself has never publicly condemned. Therefore the various predecessors of Pussy Riot include an archbishop, priests, lay people such as Solzhenitsyn, young hippyish intellectuals, and – already – feminist believers.

  10. Bioethics and transnational medical travel: India,"medical tourism," and the globalisation of healthcare.

    Science.gov (United States)

    Runnels, Vivien; Turner, Leigh

    2011-01-01

    Health-related travel, also referred to as "medical tourism" is historically well-known. Its emerging contemporary form suggests the development of a form of globalised for-profit healthcare. Medical tourism to India, the focus of a recent conference in Canada, provides an example of the globalisation of healthcare. By positioning itself as a low-cost, high-tech, fast-access and high-quality healthcare destination country, India offers healthcare to medical travellers who are frustrated with waiting lists and the limited availability of some procedures in Canada. Although patients have the right to travel and seek care at international medical facilities, there are a number of dimensions of medical tourism that are disturbing. The diversion of public investments in healthcare to the private sector, in order to serve medical travellers, perversely transfers public resources to international patients at a time when the Indian public healthcare system fails to provide primary healthcare to its own citizens. Further, little is known about patient safety and quality care in transnational medical travel. Countries that are departure points as well as destination countries need to carefully explore the ethical, social, cultural, and economic consequences of the growing phenomenon of for-profit international medical travel.

  11. TRANSFORMATION OF FAMILY IN MODERN RUSSIAN SOCIETY

    Directory of Open Access Journals (Sweden)

    Olga Anatolevna Otradnova

    2014-09-01

    Full Text Available The article examines concept of family in Russian society, changes in interpretation of family, connected with modern tendencies and processes in different sociocultural spheres.   The article is structured and has accurate limits of introduction, main part and conclusion. The relevance of the research is caused by present-day crisis tendencies connected with suicide actions, atomization and hedonization of society, value depreciation of family.  The object of the research is to analyze the conception of family and its transformation in condition of modern Russian society. The tasks are to determine the term family, to analyze approaches to understanding of the family and its genesis, detect some peculiarities of modern Russian society, research the transformation of interpretation of family in modern society; the matter of investigation is modern Russian society, the subject is the transformation of family structures; the following methods of research are used: historical and cultural approach, typological method, existential method, common logic procedures. The research contains author’s definition of the term family, historical and cultural analysis and typological explication of the approaches to interpretation of the problem, classification of family structures - which have been formed in Russian society- on the base of statistic and sociological data.   Some interweaving of concept family with the most important existential values (love, freedom, responsibility were investigated and some tendencies for further development of family relationship in Russian society were revealed, its problems and prospect were emphasized. The results of the investigation testify that modern types of matrimonial relationship differ in limitation of functionality, mutual responsibility, thereby it is possible to state that interpretation of family in modern Russian society has transformed.

  12. Financial risks associated with healthcare consumption in Jinja ...

    African Journals Online (AJOL)

    ... of hospitalization (OR 3, 95% 1.7-6.5). Conclusion: A high burden of healthcare needs, disproportionately affect children and women among households in Jinja. Direct payments for healthcare still occur in spite of the abolishment of user fees at public health facilities and tax based financing of health services in Uganda.

  13. Ongoing Initiatives to Improve the Quality and Efficiency of Medicine Use within the Public Healthcare System in South Africa; A Preliminary Study

    Directory of Open Access Journals (Sweden)

    Johanna C. Meyer

    2017-11-01

    Full Text Available Introduction: South Africa has an appreciable burden of both communicable and non-communicable diseases as well as high maternal, neonatal, and child morbidity. In recent years there have been significant strides with improving the public health system, and addressing current inequalities, with the right to health a constitutional provision in South Africa. Initiatives include the introduction of National Health Insurance, programmes to enhance access to medicines for patients with chronic diseases, as well as activities to improve care in hospitals, including improving pharmacovigilance. Consequently, the objective of this paper is to review ongoing initiatives within the public healthcare sector in South Africa and their influence to provide future direction.Method: Principally a structured review of current and planned activities.Results: There have been a number of major activities and initiatives surrounding the availability and access to medicines in the public system in recent years in South Africa. This includes a National Surveillance Centre and an innovative early warning system for the supply of medicines as well as the development of a National Health Care Pricing Authority and initiatives to improve contracting. There have also been developments to improve the supply chain including instigating Medicine Procurement Units in the provinces and enhancing forecasting capabilities. Access to medicines is improving though the instigation of stable chronic disease management initiatives to increase the number of external pick-up points for medicines. There are also ongoing programmes to enhance adherence to medicines as well as enhance adherence to the Standard Treatment Guidelines and the Essential Medicines List with their increasing availability. In addition, there is a movement to enhance the role of health technology assessment in future decision making. Hospital initiatives include increased focus on reducing antimicrobial resistance

  14. RHEUMATOID ARTHRITIS IN THE RUSSIAN FEDERATION ACCORDING TO RUSSIAN ARTHRITIS REGISTRY DATA (COMMUNICATION I

    Directory of Open Access Journals (Sweden)

    E. L. Nasonov

    2016-01-01

    Full Text Available The paper presents the materials of the Russian Arthritis Registry (OREL that includes 3276 patients from 11 Russian Federation's largest research-and-practical centers situated in Moscow, Saint Petersburg, Novosibirsk, Kazan, Tula, Yaroslavl, Tyumen. It discusses the main goals of setting up registries, compares the results of an analysis of the data available in the Russian Registry OREL and registries of European countries and the USA. The findings suggest that there is non-uniform information on clinical, laboratory, and instrumental parameters in the national registers of a number of European countries and the USA. According to its basic characteristics, the Russian Registry OREL compares favorably with a number of other registries in the completeness of data collection, which allows a general idea of rheumatoidarthritis (RA patients in Russia. For further development of the OREL Registry, it is necessary to concentrate our attention on the following main areas: to improve the quality of filling out documents; to follow-up patients receiving different RA therapy regimens according to the guidelines of the Association of Rheumatologists of Russia for the treatment of RA; to conduct in-depth studies of comorbidity, primarily depressive disorders; to analyze adverse reactions that make RA therapy difficult; to actively use modules for patients' self-rating of their condition; to develop nursing care, etc.

  15. Explaining public satisfaction with health-care systems: findings from a nationwide survey in China.

    Science.gov (United States)

    Munro, Neil; Duckett, Jane

    2016-06-01

    To identify factors associated with health-care system satisfaction in China. Recent research suggests that socio-demographic characteristics, self-reported health, income and insurance, ideological beliefs, health-care utilization, media use and perceptions of services may affect health-care system satisfaction, but the relative importance of these factors is poorly understood. New data from China offer the opportunity to test theories about the sources of health-care system satisfaction. Stratified nationwide survey sample analysed using multilevel logistic regression. 3680 Chinese adults residing in family dwellings between 1 November 2012 and 17 January 2013. Satisfaction with the way the health-care system in China is run. We find only weak associations between satisfaction and socio-demographic characteristics, self-reported health and income. We do, however, find that satisfaction is strongly associated with having insurance and belief in personal responsibility for meeting health-care costs. We also find it is negatively associated with utilization, social media use, perceptions of access as unequal and perceptions of service providers as unethical. To improve satisfaction, Chinese policymakers - and their counterparts in countries with similar health-care system characteristics - should improve insurance coverage and the quality of health services, and tackle unethical medical practices. © 2015 The Authors. Health Expectations published by John Wiley & Sons Ltd.

  16. (In)Complete Acquisition of Aspect in Second Language and Heritage Russian

    Science.gov (United States)

    Mikhaylova, Anna

    2012-01-01

    This dissertation compares the knowledge of Russian Verbal Aspect in two types of learners enrolled in college level Russian courses: foreign language learners of Russian whose native language is English and heritage language speakers of Russian whose dominant language at the time of study is English. Russian Aspect is known to be problematic both…

  17. Healthcare Finance in the Kingdom of Saudi Arabia: A Qualitative Study of Householders' Attitudes.

    Science.gov (United States)

    Al-Hanawi, Mohammed Khaled; Alsharqi, Omar; Almazrou, Saja; Vaidya, Kirit

    2018-02-01

    The public sector healthcare system in Saudi Arabia, essentially financed by oil revenues and 'free at the point of delivery', is coming under increasing strain due to escalating expenditure and an increasingly volatile oil market and is likely to be unsustainable in the medium to long term. This study examines how satisfied the Saudi people are with their public sector healthcare services and assesses their willingness to contribute to financing the system through a national health insurance scheme. The study also examines public preferences and expectations of a future national health insurance system. A total of 36 heads of households participated in face-to-face audio-recorded semi-structured interviews. The participants were purposefully selected based on different socio-economic and socio-demographic factors from urban and rural areas to represent the geographical diversity that would presumably influence individual views, expectations, preferences and healthcare experiences. The evidence showed some dissatisfaction with the provision and quality of current public sector healthcare services, including the availability of appointments, waiting times and the availability of drugs. The households indicated a willingness to contribute to a national insurance scheme, conditional upon improvements in the quality of public sector healthcare services. The results also revealed a variety of preferences and expectations regarding the proposed national health insurance scheme. Quality improvement is a key factor that could motivate the Saudi people to contribute to financing the healthcare system. A new authority, consisting of a partnership between the public and private sectors under government supervision, could represent an acceptable option for addressing the variation in public preferences.

  18. The Category of Personality in the Semantics of Latest English Borrowings in the Russian Idiomatics

    Directory of Open Access Journals (Sweden)

    Вадим Викторович Дементьев

    2014-12-01

    Full Text Available The article examines some of the latest Russian idioms by English origin. The semantics of these idioms has been seen on the material of the informal (including informal political discourse, in terms of opposition personality - impersonality, in connection with some of the new trends in public life.

  19. Serf Thinking of Russian Post-Reform Society and Leveling and Reefficient Community (to Problem Statement

    Directory of Open Access Journals (Sweden)

    М А Давыдов

    2013-12-01

    Full Text Available The article attempt to answer a question why the post reform country community enjoyed solidary support of various and besides public forces hostile each other is made. The author considers that in a basis of this phenomenon the not overcome serf consciousness of the Russian society lay.

  20. Ways to study corporate real estate management in healthcare : An analytical framework

    NARCIS (Netherlands)

    van der Zwart, J.; van der Voordt, Theo; Arkesteijn, M.H.

    2009-01-01

    Since 2008, after 35 years of a publicly supported healthcare real estate budget system, Dutch healthcare organisations have become financially responsible for the profits and risks of their real estate investment. Furthermore the Dutch healthcare system is in transition towards a regulated market

  1. Corruption in the Nigerian healthcare system | Buowari | Nigerian ...

    African Journals Online (AJOL)

    Corruption is the use of public resources for private gain. This is common in most countries though reduced in some and alarming in others. It affects all sectors of the economy and the healthcare system is not spared. Medical corruption is increasing in countries with high rates of corruption and all healthcare professionals ...

  2. mHealth: Knowledge and use among doctors and nurses in public secondary health-care facilities of Lagos, Nigeria

    Directory of Open Access Journals (Sweden)

    Bukola Samuel Owolabi

    2018-01-01

    Full Text Available Objectives: Mobile health (mHealth is gaining importance worldwide, changing and improving the way healthcare and services are provided, but its role is just emerging in Nigeria. This study aimed to assess the knowledge and use of mHealth among health workers and the provisions for its use in public secondary health-care facilities of Lagos State, Nigeria. Methods: The study was a descriptive cross-sectional study carried out among 65 doctors and 135 nurses selected using a two-staged sampling method. Data were collected with pretested self-administered questionnaires and analyzed with EpiInfo™ 7. Results: Majority (doctors 84.6%, nurses 91.1% had not heard of the term “mHealth,” but most (doctors 96.9%, nurses 87.4% were aware of the use of mobile phones in health-care delivery. Only three (27.3% (health call centers/health-care telephone helpline, appointment reminders, and mobile telemedicine out of 11 mHealth components listed were mostly known. Most doctors simply used patient monitoring/surveillance and mobile telemedicine, while nurses mainly used treatment compliance and appointment reminder services. Majority were willing to use more mHealth services if available in their hospital. All the doctors and 97% of nurses had mobile phones. However, only about one-quarter (27.5% had smartphones with applications used for mHealth purposes. Conclusions: Knowledge, awareness, and use of mHealth services were low. Doctors and nurses should be enlightened and trained on ways to use mHealth services to improve health-care delivery, mHealth services should be made available in the hospitals, and use of smartphones encouraged as they portend better adaptability for mHealth use.

  3. 45 CFR 61.14 - Confidentiality of Healthcare Integrity and Protection Data Bank information.

    Science.gov (United States)

    2010-10-01

    ... 45 Public Welfare 1 2010-10-01 2010-10-01 false Confidentiality of Healthcare Integrity and Protection Data Bank information. 61.14 Section 61.14 Public Welfare DEPARTMENT OF HEALTH AND HUMAN SERVICES GENERAL ADMINISTRATION HEALTHCARE INTEGRITY AND PROTECTION DATA BANK FOR FINAL ADVERSE INFORMATION ON...

  4. The Russian Novel, Literature: 5113.88.

    Science.gov (United States)

    Dade County Public Schools, Miami, FL.

    Developed for a high school quinmester unit on the Russian novel, this guide is designed to give students the opportunity to become familiar with the major works of Leo Tolstoy and Fyodor Dostoevski. Performance objectives for the course include studying the general facets of 19th century Russian culture and history, analyzing the novels of…

  5. Dutch business opportunities in the Russian agrifood sector; Animal protein sector and Moscow Metropolitan fresh food chain

    NARCIS (Netherlands)

    Wijnands, J.H.M.; Valeeva, N.I.; Berkum, van S.

    2012-01-01

    This report studies the Russian animal protein sector and the Moscow Metropolitan Food Security. It aims at identifying the opportunities for Dutch business to do businesses through exports or via local investments. Public available government policies, papers and interviews with stakeholders are

  6. Private health insurance and access to healthcare.

    Science.gov (United States)

    Duggal, Ravi

    2011-01-01

    The health insurance business in India has seen a growth of over 25% per annum in the last few years with the expansion of the private health insurance sector. The premium incomes of health insurance have crossed the Rs 8,000 crore mark with the share of private companies increasing to over 41%. This is despite the fact that from the perspective of patients, health insurance is not a good deal, especially when they need it most. This raises a number of ethical issues regarding how the health insurance business runs and how medical practice adjusts to it for profiteering. This article uses the personal experience of the author to argue that health insurance in an unregulated environment can only lead to unethical practices, further victimising the patient. Further, publicly financed healthcare which operates in an environment regulating both public and private healthcare provisioning is the only way to assure access to ethical and equitable healthcare to people.

  7. IMPORT SUBSTITUTION POLICY UNDER ANTI-RUSSIAN SANCTIONS: STATE AND PROSPECTS

    Directory of Open Access Journals (Sweden)

    Elena Vyacheslavovna Galkina

    2016-02-01

    Full Text Available In the context of Western sanctions caused by the events in Ukraine, a sharp drop in oil prices and other commodity prices, Russia is in a difficult political and economic situation. In these conditions, pressing was the question of replacement technologies and products imported from abroad, especially from the European Union, acceding to the anti-Russian sanctions, initiated by the United States. The political leadership of the Russian Federation have repeatedly raised the issue of import substitution, and only the events of recent years have allowed to translate public policy in this area to the actual implementation of programs developed its own production of goods and technology that were previously imported from abroad.Objective: To analyze the current political developments in the modern world and show the pros and cons of the policy of import substitution in Russia in terms of anti-Russian sanctions.Method and methodology of work: Institutional and neo-institutional paradigm, systematic approach.Results: The authors note that the import substitution program in import substitution, in spite of the marked complexity, have a good chance of success, and this is the key to low-cost raw materials, relatively cheap labor, cheap energy sources – natural gas and electricity, as well as carried out in 2014–2015 devaluation of the ruble, which significantly reduce the cost of the potential costs of enterprises.Application of the results: political science and practice, economic policy.

  8. Russian – Chinese Trade and Exchange Rate

    Directory of Open Access Journals (Sweden)

    Dmitry Alexandrovich Izotov

    2012-09-01

    Full Text Available The author assesses the impact of the Yuan exchange rate volatility on the indicators of the Russian-Chinese trade (the analysis is made on the ground of the statistical database CEIC. Quantitative estimates of changes in Russian-Chinese merchandise trade by commodity groups (in the HS classification due to the revaluation of the CNY against the USD were obtained via the regression analysis. In the case of the revaluation of the Yuan to the US dollar the value of Russian exports may increase for such commodity groups as mineral products, chemical industry products, base metals, precious stones and metals, and vehicles. This article shows that the value of Chinese imports will decrease for such merchandise groups as transport vehicles, machinery and equipment, leather industry products, non-precious metals and products from them; in this case, the import of the food industry products, mineral products and optical instruments will decrease insignificantly. The author concludes that the revaluation of the Yuan, contributing to the growth of Russian exports and the reduction in Chinese imports, will not cause a radical change in structure of the Russian-Chinese trade

  9. Barriers to healthcare coordination in market-based and decentralized public health systems: a qualitative study in healthcare networks of Colombia and Brazil.

    Science.gov (United States)

    Vargas, Ingrid; Mogollón-Pérez, Amparo Susana; De Paepe, Pierre; Ferreira da Silva, Maria Rejane; Unger, Jean-Pierre; Vázquez, María-Luisa

    2016-07-01

    Although integrated healthcare networks (IHNs) are promoted in Latin America in response to health system fragmentation, few analyses on the coordination of care across levels in these networks have been conducted in the region. The aim is to analyse the existence of healthcare coordination across levels of care and the factors influencing it from the health personnel' perspective in healthcare networks of two countries with different health systems: Colombia, with a social security system based on managed competition and Brazil, with a decentralized national health system. A qualitative, exploratory and descriptive-interpretative study was conducted, based on a case study of healthcare networks in four municipalities. Individual semi-structured interviews were conducted with a three stage theoretical sample of (a) health (112) and administrative (66) professionals of different care levels, and (b) managers of providers (42) and insurers (14). A thematic content analysis was conducted, segmented by cases, informant groups and themes. The results reveal poor clinical information transfer between healthcare levels in all networks analysed, with added deficiencies in Brazil in the coordination of access and clinical management. The obstacles to care coordination are related to the organization of both the health system and the healthcare networks. In the health system, there is the existence of economic incentives to compete (exacerbated in Brazil by partisan political interests), the fragmentation and instability of networks in Colombia and weak planning and evaluation in Brazil. In the healthcare networks, there are inadequate working conditions (temporary and/or part-time contracts) which hinder the use of coordination mechanisms, and inadequate professional training for implementing a healthcare model in which primary care should act as coordinator in patient care. Reforms are needed in these health systems and networks in order to modify incentives, strengthen

  10. Integrating social justice concerns into economic evaluation for healthcare and public health: A systematic review.

    Science.gov (United States)

    Dukhanin, Vadim; Searle, Alexandra; Zwerling, Alice; Dowdy, David W; Taylor, Holly A; Merritt, Maria W

    2018-02-01

    Social justice is the moral imperative to avoid and remediate unfair distributions of societal disadvantage. In priority setting in healthcare and public health, social justice reaches beyond fairness in the distribution of health outcomes and economic impacts to encompass fairness in the distribution of policy impacts upon other dimensions of well-being. There is an emerging awareness of the need for economic evaluation to integrate all such concerns. We performed a systematic review (1) to describe methodological solutions suitable for integrating social justice concerns into economic evaluation, and (2) to describe the challenges that those solutions face. To be included, publications must have captured fairness considerations that (a) involve cross-dimensional subjective personal life experience and (b) can be manifested at the level of subpopulations. We identified relevant publications using an electronic search in EMBASE, PubMed, EconLit, PsycInfo, Philosopher's Index, and Scopus, including publications available in English in the past 20 years. Two reviewers independently appraised candidate publications, extracted data, and synthesized findings in narrative form. Out of 2388 publications reviewed, 26 were included. Solutions sought either to incorporate relevant fairness considerations directly into economic evaluation or to report them alongside cost-effectiveness measures. The majority of reviewed solutions, if adapted to integrate social justice concerns, would require their explicit quantification. Four broad challenges related to the implementation of these solutions were identified: clarifying the normative basis; measuring and determining the relative importance of criteria representing that basis; combining the criteria; and evaluating trade-offs. All included solutions must grapple with an inherent tension: they must either face the normative and operational challenges of quantifying social justice concerns or accede to offering incomplete policy

  11. The AIDA-MOX 1 program: Results of the French-Russian study on peaceful use of plutonium from dismantled Russian Nuclear weapons

    International Nuclear Information System (INIS)

    Yegorov, N.N.; Kudriavtsev, E.; Poplavsky, V.; Polyakov, A.; Ouin, X.; Camarcat, N.; Sicard, B.; Bernard, H.

    1997-01-01

    The Intergovernmental Agreement signed on November 12, 1992, between the governments of France and the Russian Federation instituted cooperation between the two countries for the safe elimination of the excess Russian nuclear weapons. France has allocated 400 million francs to this program, covering transportation and dismantling of nuclear weapons, interim storage and subsequent commercial use of the nuclear materials from the dismantled weapons, nuclear materials accountancy and safeguards, and scientific research. The concept of loading commercial Russian reactors with fuel fabricated from the plutonium recovered from dismantled nuclear weapons of the former Soviet Union is gaining widespread acceptance, and is at the heart of the French-Russian AIDA/MOX project

  12. Legal Portion in Russian Inheritance Law

    Science.gov (United States)

    Inshina, Roza; Murzalimova, Lyudmila

    2013-01-01

    In this paper the authors describe the right to inherit as one of the basic human rights guaranteed by the Constitution of the Russian Federation. The state has set rules according to which after a person's death, his or her property is inherited by other persons. The Russian civil legislation establishes the institution of legal portions that is…

  13. A Study on the Cost of Issuing Social Healthcare Corporation Bonds.

    Science.gov (United States)

    Fukunaga, Hajime; Yamauchi, Kazunobu

    2015-07-01

    The "Social Healthcare Corporation" system was established on 1 April 2007 as a result of the revised Japanese Medical Care Law. As of 1 October 2014, 234 corporations are certified Social Healthcare Corporations. These corporations are allowed to issue public bonds. However, to this day (1 December 2014), no bonds have been issued. In this paper, we focus on cost analysis with respect to issuing public bonds.

  14. Energy Efficiency Investments in Public Facilities - Developing a Pilot Mechanism for Energy Performance Contracts (EPCs) in Russia

    Energy Technology Data Exchange (ETDEWEB)

    Evans, Meredydd; Roshchanka, Volha; Parker, Steven A.; Baranovskiy, Aleksandr

    2012-02-01

    : Russian public sector buildings tend to be very inefficient, which creates vast opportunities for savings. This report overviews the latest developments in the Russian legislation related to energy efficiency in the public sector, describes the major challenges the regulations pose, and proposes ways to overcome these challenges. Given Russia’s limited experience with energy performance contracts (EPCs), a pilot project can help test an implementation mechanism. This paper discusses how EPCs and other mechanisms can help harness energy savings opportunities in Russia in general, and thus, can be applicable to any Russian region.

  15. Use of surveillance data for prevention of healthcare-associated infection: risk adjustment and reporting dilemmas.

    LENUS (Irish Health Repository)

    O'Neill, Eoghan

    2009-08-01

    Healthcare-associated or nosocomial infection (HCAI) is of increasing importance to healthcare providers and the public. Surveillance is crucial but must be adjusted for risk, especially when used for interhospital comparisons or for public reporting.

  16. Training of professionals in post-graduation courses in public health and primary healthcare in the municipality of Rio de Janeiro, Brazil.

    Science.gov (United States)

    Engstrom, Elyne Montenegro; Motta, José Inácio; Venâncio, Sandra Aparecida

    2016-05-01

    This paper examines post-graduation professional training and qualification courses in the fields of public health and primary healthcare. Its aim is to reflect on the construction and methodological proposal of two courses given by ENSP/Fiocruz in partnership with the Municipality of Rio de Janeiro, over the years 2010 to 2014: The Professional Master's Degree in Primary Healthcare (MPAPS), and Specialization in Public Health. Systematization of academic documents of the courses, with preparation of emerging analytical categories (theoretical management-interface history, field of pedagogy). Two classes of the MPAPS course (n=24 students per group) and five of the Specialization course (average 30 per group) were held in the period, with approval rates at the 90%-80% level, with curriculum structure adjusted to the local situation. As challenges that were implemented, we highlight: 1) On the epistemological level: development of competencies for professional training that would produce results coherent with health, as social/cultural production; 2) from the learning point of view: preparation of dynamics that give value to the students, their social-cultural context and experiences; 3) work environments and relationships, bringing their structured analysis into the learning environment.

  17. The place of ‘Russian music’ on the multicultural map of Europe

    Directory of Open Access Journals (Sweden)

    Piotrowska Anna G.

    2016-01-01

    Full Text Available Both Russian and non-Russian composers and music critics willingly used the notion of Russian exoticism to differentiate the Russian musical legacy from the (western European tradition, especially in the 19th century. At the same time, various Russian musical practices were considered to be exotic in Russia itself. In this article it is suggested that these two perceptions of Russian music influenced each other, having an impact on the formation of Russian national music. It is further claimed that Russian music served both as an internal and external tool for defining the country’s musical culture on the multicultural map of Europe.

  18. Adherence to malaria diagnosis and treatment guidelines among healthcare workers in Ogun State, Nigeria

    Directory of Open Access Journals (Sweden)

    Oluyomi F. Bamiselu

    2016-08-01

    Full Text Available Abstract Background Malaria case management remains a vital component of malaria control strategies. Despite the introduction of national malaria treatment guidelines and scale-up of malaria control interventions in Nigeria, anecdotal evidence shows some deviations from the guidelines in malaria case management. This study assessed factors influencing adherence to malaria diagnosis and treatment guidelines among healthcare workers in public and private sectors in Ogun State, Nigeria. Methods A comparative cross-sectional study was carried out among 432 (216 public and 216 private healthcare workers selected from nine Local Government Areas using a multistage sampling technique. A pre-tested interviewer administered questionnaire was used to collect information on availability and use of malaria Rapid Diagnostic Test (mRDT and artemisinin combination therapy (ACT, for management of uncomplicated malaria. Adherence was defined as when choice of antimalarials for parasitological confirmed malaria cases was restricted to recommended antimalarial medicines. Association between adherence and independent variables were tested using Chi-square at 5 % level of significance. Results Malaria RDT was available in 81.9 % of the public health facilities and 19.4 % of the private health facilities (p = 0.001. Its use was higher among public healthcare workers (85.2 % compared to 32.9 % in private facilities (p = 0.000. Presumptive diagnosis of malaria was higher among private healthcare workers (94.9 % compared to 22.7 % public facilities (p = <0.0001. The main reason for non-usage of mRDT among private healthcare workers was its perceived unreliability of mRDT (40.9 %. Monotherapy including artesunate (58.3 % vs 12.5 %, amodiaquine (38.9 % vs 8.3 % and chloroquine (26.4 % vs 4.2 % were significantly more available in private than public health facilities, respectively. Adherence to guidelines was significantly higher among public

  19. Health-care waste incineration and related dangers to public health: case study of the two teaching and referral hospitals in Kenya.

    Science.gov (United States)

    Njagi, Nkonge A; Oloo, Mayabi A; Kithinji, J; Kithinji, Magambo J

    2012-12-01

    There are practically no low cost, environmentally friendly options in practice whether incineration, autoclaving, chemical treatment or microwaving (World Health Organisation in Health-care waste management training at national level, [2006] for treatment of health-care waste. In Kenya, incineration is the most popular treatment option for hazardous health-care waste from health-care facilities. It is the choice practiced at both Kenyatta National Hospital, Nairobi and Moi Teaching and Referral Hospital, Eldoret. A study was done on the possible public health risks posed by incineration of the segregated hazardous health-care waste in one of the incinerators in each of the two hospitals. Gaseous emissions were sampled and analyzed for specific gases the equipment was designed and the incinerators Combustion efficiency (CE) established. Combustion temperatures were also recorded. A flue gas analyzer (Model-Testos-350 XL) was used to sample flue gases in an incinerator under study at Kenyatta National Hospital--Nairobi and Moi Teaching and Referral Hospital--Eldoret to assess their incineration efficiency. Flue emissions were sampled when the incinerators were fully operational. However the flue gases sampled in the study, by use of the integrated pump were, oxygen, carbon monoxide, nitrogen dioxide, nitrous oxide, sulphur dioxide and No(x). The incinerator at KNH operated at a mean stack temperature of 746 °C and achieved a CE of 48.1 %. The incinerator at MTRH operated at a mean stack temperature of 811 °C and attained a CE of 60.8 %. The two health-care waste incinerators achieved CE below the specified minimum National limit of 99 %. At the detected stack temperatures, there was a possibility that other than the emissions identified, it was possible that the two incinerators tested released dioxins, furans and antineoplastic (cytotoxic drugs) fumes should the drugs be subjected to incineration in the two units.

  20. Utilizing Health Information Technology to Support Universal Healthcare Delivery: Experience of a National Healthcare System.

    Science.gov (United States)

    Syed-Abdul, Shabbir; Hsu, Min-Huei; Iqbal, Usman; Scholl, Jeremiah; Huang, Chih-Wei; Nguyen, Phung Anh; Lee, Peisan; García-Romero, Maria Teresa; Li, Yu-Chuan Jack; Jian, Wen-Shan

    2015-09-01

    Recent discussions have focused on using health information technology (HIT) to support goals related to universal healthcare delivery. These discussions have generally not reflected on the experience of countries with a large amount of experience using HIT to support universal healthcare on a national level. HIT was compared globally by using data from the Ministry of the Interior, Republic of China (Taiwan). Taiwan has been providing universal healthcare since 1995 and began to strategically implement HIT on a national level at that time. Today the national-level HIT system is more extensive in Taiwan than in many other countries and is used to aid administration, clinical care, and public health. The experience of Taiwan thus can provide an illustration of how HIT can be used to support universal healthcare delivery. In this article we present an overview of some key historical developments and successes in the adoption of HIT in Taiwan over a 17-year period, as well as some more recent developments. We use this experience to offer some strategic perspectives on how it can aid in the adoption of large-scale HIT systems and on how HIT can be used to support universal healthcare delivery.

  1. Is the balkanization of the ukrainian-russian conflict probable?

    Directory of Open Access Journals (Sweden)

    Andrey Petrovich Koshkin

    2015-09-01

    Full Text Available Objective to determine the possibility and probability of Balkanization of the UkrainianRussian intersocietal relations. Methods the need to study the main factors affecting the state of the modern RussianUkrainian conflict in its ethnopolitical dimension with the predominat focus on intersocietal relations determined the use of the historicalgenetic comparativehistorical and typological methods of investigation integrated with the systemic approach. Results the main parallels are shown that occur when comparing the ethnopolitical situation in the Balkans and above all the SerbianCroatian relations with the current RussianUkrainian conflict mainly at the level of relations of Russians and Ukrainians as ethnic groups. The ethnosocial and ethnopolitical differences of the genesis and current state of both conflicts do not provide a sufficient basis for specific predictions about the inevitable Balkanization of the RussianUkrainian conflict. Scientific novelty the article proves the inconsistency of unambiguous similes of the RussianUkrainian conflict and interethnic SerbianCroatian conflict at intersocietal and associated levels it shows the significant differences of the conflict situations that do not lead to dogmatic conclusions about the development of the RussianUkrainian relations by the Yugoslavia scenario. Practical significance the main provisions and conclusions of the article can be used in scientific and pedagogical activity in the study of ethnos and ethnicity in the analysis of ethnopolitical processes in modern Ukraine and consideration of the status and prospects of the development of RussianUkrainian relations. nbsp

  2. Russian gas in the west European market

    International Nuclear Information System (INIS)

    Nikitin, B.A.

    1996-01-01

    The paper relates to the Russian supply of natural gas to the west European market. Following themes are discussed: The resource basis of the gas industry; analysis of the European gas market; projects for Russian gas supply to Europe; international co-operation

  3. RUSSIAN STOCK MARKET INSTITUTIONAL PARTICIPANTS: HABITUS AND PRACTICES

    Directory of Open Access Journals (Sweden)

    Boris Borisovich Podgorny

    2017-11-01

    Full Text Available The global investment experience shows that economic growth is impossible without the creation of an effective national stock market. Also, along with the solution of the funds inflow into the economy, developed stock market contributes the creation of a mass economy owners community. Economic characteristics – economy demand for credit resources (especially in sanction terms, the availability of the savings among the Russian population, rates reduction on bank deposits, – saying that “investment boom” should take place in Russia today, in which a significant part of the population must be taken mass participation in the stock market, including the way through collective investment. However, the current situation does not allow us to talk about the successful development this direction of the Russian stock market. In this article, prepared in the framework of the author’s special sociological theory «The Russian Stock Market as a Social Space» [27], presented the results of Russian stock market institutional investors study including: the statistical indicators characterizing institutional investors on the stock market were analyzed; the practices caused by the existing habitus of Russian stock market institutional investors were classified and studied. It was found that the habitus of most institutional investors participating in the Russian stock market is marked a speculative nature.

  4. Russian spent marine fuel as a global security risk

    International Nuclear Information System (INIS)

    Gussgard, K.; Reistad, O.

    2001-01-01

    Russian marine fuel is a trans-national security concern. This paper focuses on specific technical properties of Russian marine nuclear fuel especially relevant for evaluating different aspects on nuclear proliferation, in addition to risks associated with regional environmental degradation and illegal diversion of radiological substances. Russian fresh fuel for marine reactors has been involved in several significant cases of illicit trafficking of special nuclear materials. The amount and quality of nuclear materials in Russian spent marine fuel give also reason for concern. Not less than 200 marine reactor cores are ready for having their spent fuel unloaded and preliminary stored on shore in the Far East and North West of Russia, and large amounts of spent naval fuel have been stored at Russian military bases for decades. In order to assess the security risks associated with Russian spent marine fuel, this paper discusses the material attractiveness of spent fuel from all types of Russian marine reactors. The calculations are based on a model of a light water moderated Russian icebreaker reactor. The computer tool HELIOS, used for modelling the reactor and the reactor operations, has been extensively qualified by comparisons with experimental data and international benchmark problems for reactor physics codes as well as through feedback from applications. Some of these benchmarks and studies include fuel enrichments up to 90% in Russian marine reactors. Several fuel data cases are discussed in the paper, focusing especially on: 1) early fuel designs with low initial enrichment; 2) more modern fuel designs used in third and fourth generation of Russian submarines probably with intermediate enriched fuel; and 3) marine fuel with initial enrichment levels close to weapons-grade material. In each case the fuel has been burned until k eff has reached below 1. Case 1) has been evaluated, the calculations made as basis for this paper have concentrated on fuel with

  5. An Interrupted Time-Series Analysis of Durkheim's Social Deregulation Thesis: The Case of the Russian Federation

    Science.gov (United States)

    Pridemore, William Alex; Chamlin, Mitchell B.; Cochran, John K.

    2009-01-01

    The dissolution of the Soviet Union resulted in sudden, widespread, and fundamental changes to Russian society. The former social welfare system-with its broad guarantees of employment, healthcare, education, and other forms of social support-was dismantled in the shift toward democracy, rule of law, and a free-market economy. This unique natural experiment provides a rare opportunity to examine the potentially disintegrative effects of rapid social change on deviance, and thus to evaluate one of Durkheim's core tenets. We took advantage of this opportunity by performing interrupted time-series analyses of annual age-adjusted homicide, suicide, and alcohol-related mortality rates for the Russian Federation using data from 1956 to 2002, with 1992-2002 as the postintervention time-frame. The ARIMA models indicate that, controlling for the long-term processes that generated these three time series, the breakup of the Soviet Union was associated with an appreciable increase in each of the cause-of-death rates. We interpret these findings as being consistent with the Durkheimian hypothesis that rapid social change disrupts social order, thereby increasing the level of crime and deviance. PMID:20165565

  6. Russian Media Education Researches: 1950-2010

    Science.gov (United States)

    Federov, Alexander

    2010-01-01

    This article analyzed the development of Russian media education researches from 1950 to 2010 years. The list of theses of the Russian authors on the subject of Media Education is about 180 titles since 1950. Nearly 70 of them have been defended for the recent 10 years. From 1950 till 1959 six theses were defended, from 1960 till 1969--15; from…

  7. Russian Revolution: triumph or tragedy?

    Directory of Open Access Journals (Sweden)

    Drozdov Sergey Valentinovich

    2017-04-01

    Full Text Available The present paper focuses on the most important events that happened in Petrograd from February to October 1917 and radically changed the whole character of the country. The paper also deals with their participants’ actions which turned out to be critical for Russian history. The research is based on credible sources and literature. The author tries to understand how the mighty Russian Empire collapsed within several days and why the left extremists took over as a result.

  8. Trends in treatment of anterior cruciate ligament injuries of the knee in the public and private healthcare systems of Brazil

    Directory of Open Access Journals (Sweden)

    Diego Costa Astur

    Full Text Available CONTEXT AND OBJECTIVE Orthopedic surgery implies high costs for both public and private healthcare. The aim of this study was to better understand the differences between the public and private sectors regarding treatment of a damaged anterior cruciate ligament, which is a common knee injury. DESIGN AND SETTING Descriptive cross-sectional study conducted during the Brazilian Orthopedics Congress in Brasília. METHODS We applied questionnaires during the 2010 Brazilian Orthopedics Congress, with participation by 241 knee surgeons from 24 Brazilian states. This was followed by statistical analysis on the data that were obtained. RESULTS The orthopedic surgeons who were evaluated used different approaches and treatment options in different Brazilian states, comparing between the public and private systems. CONCLUSION Both in the public and in the private systems in Brazil, because of non-medical issues surrounding the treatment, the best medical decision is not always made. This may be harmful both to patients and to physicians.

  9. Los (descaminos de la formación profesional del psicólogo en Brasil para la actuación en la salud publica Misdirections in the professional training used to prepare psychologists in Brazil to work in the public health-care system

    Directory of Open Access Journals (Sweden)

    Magda Dimenstein

    2003-05-01

    Full Text Available In Brazil, the practice of psychologists in public health-care institutions is hampered by the professional training that they have received. That training is inadequate in meeting the requirements of primary health care, in satisfying the needs of the patients who use the public health-care system, and in overcoming the social inequalities that exist in Brazil. This piece is intended to identify the factors that make it harder to provide adequate psychological care in public health-care institutions, especially in the local Basic Health Units of Brazil's public health-care system, the Unified Health System. These hindrances to providing good care mainly originate in training that points psychologists in the direction of very restricted models of health care. These narrow models prevent the psychologists from responding appropriately to the needs of their patient clientele and of the public institutions. These limited models also make it hard for psychologists to adapt to the dynamic conditions that they will face in the Unified Health System.

  10. Coping with stress and by stress: Russian men and women talking about transition, stress and health.

    Science.gov (United States)

    Pietilä, Ilkka; Rytkönen, Marja

    2008-01-01

    Several studies have claimed stress to be a major reason for poor public health in Russia and referred to significant social changes as a reason for the high level of perceived stress among Russians. This article aims to examine how stress and its relation to health are interpreted in the context of everyday life in Russian men's and women's interview talk with a focus on descriptions of recent social changes. The research material consists of 29 thematic interviews of men and women from St. Petersburg aged 15-81. In the analysis of contextual constructions of stress, we found that stress was used not only within a context of an individual's own life as an expression of a strained psycho-physiological state but also denoted larger societal processes and changes. In addition to individual experiences, the whole of Russian society was described as suffering from stress. Throughout the material, most interviewees, whilst outspokenly blaming stress for deteriorating physical health, met difficulties in making concrete these negative influences. Based on analysis, we interpret our interviewees' accounts of stress as a part of the cultural discourse wherein 'stress' serves as a conceptual tool in making interpretations about both the people and their social environment. Stress, as a concept, has emerged in a wide range of different institutional sites, such as the media and public health policy and has become a discursive entity of contemporary social life in Russia. We claim that it has simultaneously become an intermediary concept articulating a shared, cultural experience of the changes in Russian society and their effects on individuals' everyday life and health. Thus, the concept of stress helps people to articulate, make sensible, and cope with the impacts of transition on their individual lives.

  11. Russian Medieval Military Architecture

    Directory of Open Access Journals (Sweden)

    Rappoport, Pavel

    1969-12-01

    Full Text Available In Russia defensive works were not less important than in Western Europe. Russian chronicles are full of reports of the building of towns, of their siege and defence. In Ancient Russian the word town meant not a town in the modern sense, but only a fortified settlement as distinct from an unfortified one. Thus the concept town applied to medieval towns proper and to citadels, feudal castles and even fortified villages. Every population centre with a wall round it was called a town. Moreover, until the 17th century this word was frequently applied to mean the fortifications themselves.

  12. The consequences of political dictatorship for Russian science.

    Science.gov (United States)

    Soyfer, V N

    2001-09-01

    The Soviet communist regime had devastating consequences on the state of Russian twentieth century science. Country Communist leaders promoted Trofim Lysenko--an agronomist and keen supporter of the inheritance of acquired characters--and the Soviet government imposed a complete ban on the practice and teaching of genetics, which it condemned as a "bourgeois perversion". Russian science, which had previously flourished, rapidly declined, and many valuable scientific discoveries made by leading Russian geneticists were forgotten.

  13. [Self-Awareness of Disease Stigma: Reflections of Healthcare Professionals].

    Science.gov (United States)

    Chen, Chih-Hsuan; Wang, Ying-Ting; Shu, Bih-Ching

    2017-06-01

    People who suffer from disease frequently experience disease-related stigmas. Stigma presents in daily life during normal human interactions. The stereotypes promoted by the media often impact public opinion significantly. Moreover, healthcare professionals may exacerbate stigmatization due to their misunderstanding of patients and their disease issues. Therefore, the reflection on stigma of healthcare professionals cannot be ignored. The present article illustrates the issue of stigmas held by healthcare professionals, their related stigmas, and their self-awareness. It is hoped that all healthcare professionals may cooperate to develop an anti-stigma strategy and to become true spokespersons for their patients.

  14. Healthcare waste management research: A structured analysis and review (2005-2014).

    Science.gov (United States)

    Thakur, Vikas; Ramesh, A

    2015-10-01

    The importance of healthcare waste management in preserving the environment and protecting the public cannot be denied. Past research has dealt with various issues in healthcare waste management and disposal, which spreads over various journals, pipeline research disciplines and research communities. Hence, this article analyses this scattered knowledge in a systematic manner, considering the period between January 2005 and July 2014. The purpose of this study is to: (i) identify the trends in healthcare waste management literature regarding journals published; (ii) main topics of research in healthcare waste management; (iii) methodologies used in healthcare waste management research; (iv) areas most frequently researched by researchers; and (v) determine the scope of future research in healthcare waste management. To this end, the authors conducted a systematic review of 176 articles on healthcare waste management taken from the following eight esteemed journals: International Journal of Environmental Health Research, International Journal of Healthcare Quality Assurance, Journal of Environmental Management, Journal of Hazardous Material, Journal of Material Cycles and Waste Management, Resources, Conservations and Recycling, Waste Management, and Waste Management & Research. The authors have applied both quantitative and qualitative approaches for analysis, and results will be useful in the following ways: (i) results will show importance of healthcare waste management in healthcare operations; (ii) findings will give a comparative view of the various publications; (c) study will shed light on future research areas. © The Author(s) 2015.

  15. [About development of public health of the Russian Federation].

    Science.gov (United States)

    Shchepin, O P

    2013-01-01

    The article presents public health system characterized by public responsibility for health of citizen under various forms of property. The issues of management, planning, financing and organization of health care are discussed.

  16. Assessing spatial access to public and private hospitals in Sichuan, China: The influence of the private sector on the healthcare geography in China.

    Science.gov (United States)

    Pan, Jay; Zhao, Hanqing; Wang, Xiuli; Shi, Xun

    2016-12-01

    In 2009, the Chinese government launched a new round of healthcare reform, which encourages development of private hospitals. Meanwhile, many public hospitals in China also became increasingly profit-oriented. These trends have led to concerns about social justice and regional disparity. However, there is a lack of empirical scientific analysis to support the debate. We started to fill this gap by conducting a regional-level analysis of spatial variation in spatial access to hospitals in the Sichuan Province. Such variation is an important indication of (in) equity in healthcare resource allocation. Using data of 2012, we intended to provide a snapshot of the situation that was a few years later since the new policies had set out. We employed two methods to quantify the spatial access: the nearest-neighbor method and the enhanced two-step floating catchment area (E2SFCA) method. We recognized two sub-regions of Sichuan: the rural West Sichuan and the well-developed East Sichuan. We classified the hospitals using both ownership and level. We applied the analysis to the resulting groups of hospitals and their combinations in the two sub-regions. The two sub-regions have a high contrast in the spatial access to hospitals, in terms of both quantity and spatial pattern. Public hospitals still dominated the service in the province, especially in the West Sichuan, which had been solely relying on public hospitals. Private hospitals only occurred in the East Sichuan, and at the primary level, they had surpassed public hospitals in terms of spatial accessibility. However, the governmental health expenditures seemed to be disconnected with the actual situation of the spatial access to hospitals. The government should continue carrying on its responsibility in allocating healthcare resources, be cautious about marketizing public hospitals, and encourage private hospitals to expand into rural areas. Methodologically, the results from the two methods are concurring but not

  17. Russian oil prices: courting the world market

    International Nuclear Information System (INIS)

    Khartukov, E.M.

    1995-01-01

    The export and oil pricing of Russian crude was discussed. Russian crude and oil product exports are not yet wholly competitive with world oil markets. It was suggested that to do so, would be neither desirable nor actually possible at present. The reason for this is related to Russia's export duties regime and Russia's trade with its neighbouring countries which include the former Soviet republics. In the first half of 1995, the average border price of crude destined for those countries was US$75.04/tonne as opposed to US$114.77/tonne for crude exported to 'far-abroad', hard-currency markets. A breakdown of Russia's export duties for liquid fuels and a typical breakdown of export and domestic prices for Russian oil was provided. Russian crude is considerably under-priced mainly because of the poor state of the national refining industry which is in need of radical modernization. It was suggested that instead of globalization, it would be more appropriate to redirect the priorities of Russian energy policy towards defining optimal use of Russia's available energy potential, and rationalizing its domestic price structure first, which is the root cause of the national price problem. 5 refs., 5 tabs., 2 figs

  18. Russian-Indian Workshop "Radio Astronomy And Star Formation"

    Science.gov (United States)

    Zinchenko, Igor; Zemlyanukha, P.

    2017-09-01

    In recent years the Russian Foundation for Basic Research and the Department of Science and Technology of the Government of India supported several joint projects in this field. The aims of the workshop were a discussion of the results of these and other relevant projects and promotion of the further Russian-Indian cooperation in this rapidly developing area of astrophysical research. The participants of the workshop represented several Russian and Indian organizations, which have important results in this field. The scientific program included a wide range of relevant observational and theoretical studies. The organizers of the workshop hope that the vivid discussions and tight communications between the participants will lead to increasing cooperation in this field between Russian and Indian researchers.

  19. RUSSIAN LANGUAGE COURSES

    CERN Document Server

    2000-01-01

    Russian Language Courses will be given at CERN from mid-September. For details, please call the teacher, Mrs Mascha Mikhailova, tel. + 41 22 782 62 29. At CERN, please send an e-mail to esthel.laperriere@cern.ch.

  20. Slavic issue and Russian nationalism in liberal journalism in 1860s

    Directory of Open Access Journals (Sweden)

    Екатерина Юрьевна Федорова

    2013-12-01

    Full Text Available The article is devoted to the problems of the nationalism perception in the liberal journalism in the 1860s. The author reveals the political and ideological factors which prompted liberalism theorists K.D. Kavelin, B.N. Chicherin, A.D. Gradovsky to consider national issues. There are analyzed the common and particular features in the works of publicists of public school. Special attention is paid to their attitude to the Slavic idea, the Polish issue and the Russian nationalism.

  1. 45 CFR 61.12 - Requesting information from the Healthcare Integrity and Protection Data Bank.

    Science.gov (United States)

    2010-10-01

    ... 45 Public Welfare 1 2010-10-01 2010-10-01 false Requesting information from the Healthcare Integrity and Protection Data Bank. 61.12 Section 61.12 Public Welfare DEPARTMENT OF HEALTH AND HUMAN SERVICES GENERAL ADMINISTRATION HEALTHCARE INTEGRITY AND PROTECTION DATA BANK FOR FINAL ADVERSE INFORMATION...

  2. Investment financing in Russian financial-industrial groups

    NARCIS (Netherlands)

    Perotti, E.C.; Gelfer, S.

    1998-01-01

    We study whether Russian Financial-Industrial Groups facilitate access by Russianfirms to investment finance. We compare firms which are members of official FinancialIndustrial Groups and/or are owned by a large Russian bank with a control set of large firmscategorized by dispersed ownership or/and

  3. Regulation of the Debt Sustainability of the Russian Economy

    Science.gov (United States)

    Seleznev, Alexander Z.; Chapluk, Vladimir Z.; Sayrenko, Tatiana N.; Sorokina, Larisa N.; Pertovskaya, Maria V.; Alekseenko, Elena A.

    2016-01-01

    The relevance of the investigating problem is caused by the need to reduce the total aggregated amount of debt in Russian economy in conditions of crisis and the strengthening of external anti-Russian sanctions. In this context, the purpose of this article is to identify measures aimed to regulate debt sustainability of the Russian economy using…

  4. I. Bunin and V. Shukshin: Russian national character problem reflection

    Directory of Open Access Journals (Sweden)

    Alieva Raisa Radzhabovna

    2016-03-01

    Full Text Available The paper attempts, using the comparative method of comparative studies, to show the level of artistic content of people’s life stories of the creative intimacy of the great Russian writers I.A. Bunin and V.M. Shukshin. The article shows the writers-realists who worked in different times, in different conditions, due to a good, thorough value of the way of people’s life, the depth of creative gift, gift of «staring look», the power and the truth of the patriotic feelings were able to objectively and historically true artistic revealing of the essence of the Russian national character in its complexity, multi-unroundness ambivalence. For both writers the Russian people embody Russia, deeply beloved homeland, its powerful, life-giving strength. They expressed their admiration for the moral beauty of the Russian people, Russian nature, Russian art.

  5. OSTEOPOROSIS IN RUSSIAN FEDERATION: EPIDEMIOLOGY, SOCIO-MEDICAL AND ECONOMICAL ASPECTS (REVIEW

    Directory of Open Access Journals (Sweden)

    O. M. Lesnyak

    2018-01-01

    Full Text Available The authors performed an analysis of published stadies devoted to osteoporosis situation in Russian Federation including epidemiological, social, medical and economical aspects of this pathology. The analysis demonstrated that osteoporosis is reported in every third woman and every forth man of 50 years old and older. Seven vertebra fractures happen every minute and one fracture of proximal femur — every 5 minutes in Russia. An overall number of all key osteoporotic fractures will increase from 590 thousand up to 730 thousand cases by the year 2035. Osteoporosis is financially demanding for healthcare due to high treatment cost of fractures that are accompanied by life quality deterioration, high mortality and invalidization of patients. Epidemiological studies demonstrated that due to high fracture risk the osteoporosis therapy should be assigned to 31% of female and 4% of male patients over 50 years old. Such factors of osteoporosis risks are widespread in the society: smoking, low food calcium consumption, vitamin D deficit, low physical activity. The authors analyzed the problems in organization of medical care to patients with osteoporosis and osteoporotic fractures and possible solutions to existing issues. The organization of healthcare should be addressed at identification of high risk patient groups, early diagnosis and assignment of corresponding treatment aimed at decreasing potential fracture risk as well as at pathology prophylaxis.

  6. Historical Psychology in Boris Mironov’s “Russian Empire”

    Directory of Open Access Journals (Sweden)

    Vladimir A. Shkuratov

    2016-10-01

    Full Text Available According to Vladimir Shkuratov, the contradictions in the development of historical psychology are associated with the fundamental methodological difference between the two modern disciplines of the humanities and social sciences: the historian works with the documents of the past, psychologists with instrumental and test data on living people. Combining the two cognitive systems into a sustainable system of scientific research has so far been unsuccessful. This explains Mironov’s appeal in the book “Russian Empire” to the sociological classic of the second half of the 19th to the early 20th century – Durkheim’s doctrine of collective representations. The latter is supplemented by the customary dichotomy of “primitive mentality”/“rational mentality” in the wording of L. Levy-Bruhl. Shkuratov notes that, in parallel with the initial thesis that the collective representations of peasants in the 18th to the first half of the 19th centuries conformed to the Christian ideal, an antithesis was formed about the mythological type of consciousness of rural and urban folk. “Mythologiques,” according to L. Levy-Bruhl and C. Levi-Strauss, belong to primitive peoples, while Christianity is part of the genealogy of European rationality. Because of this, Shkuratov proposes a separation of traditionalism from the archaic and a consideration of the Russian mentality in the relationship of three or more socio-cultural orders. Evaluating Mironov’s monograph as a whole, Shkuratov believes that the enormous historical and empirical material of the book confirms the idea of the forward movement of the economy, public administration, social structure, wealth, and Russian culture from the beginning of the 18th century to 1917.

  7. Administrative prejudgment in the Russian criminal law

    Directory of Open Access Journals (Sweden)

    Akhat Akhnafovich Yunusov

    2015-03-01

    Full Text Available Objective basing on the research of formation and development of the administrative prejudgment in the Russian criminal law and comparativelegal analysis of this institution as well as the longterm experience in crime investigation to trace the problems and trends of administrative prejudgment and prove the necessity to introduce or to be more precise legalize the administrative prejudgment in the Russian criminal law. Methods the research is based on the general dialectic method of cognition comparative historical formaljuridical methods as well as special and privatelegal methods of research. Results analysis of the main problems and collisions of administrative prejudgment in the Russian criminal law the doctrine and the practice of implementation of this institution can become the basis for legalization of the administrative prejudgment in the Russian criminal law and implementing it for the crimes stipulated in the Special part of the Russian Criminal Code if they are of low or middle gravity and committed intentionally those most often occurred. The article studies the institution of the administrative prejudgment in the Russian criminal law since 1922 until present. Various researchersrsquo opinions are given for and against returning of this institution. Taking into account the criminological indicators the authors express their own opinion on legalization of the administrative prejudgment. Scientific novelty having abandoned the formal approach to the institution of the administrative prejudgment both in the Russian criminal law and in the foreign laws the authors believe that the criminal personality should be the central factor of the administrative prejudgment legalization. In this context the authors state the direct connection between the personal features of a criminal including their inclination to immoral and illegal behavior and the crime committed by them. Practical value the theoretical conclusions formulated in the research

  8. Meteorological Data from the Russian Arctic, 1961-2000

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — This data set contains monthly means of meteorological observation data from Russian stations from 1961-2000 (for most stations). The Russian station observations...

  9. Support for Separatism in Ethnic Republics of the Russian Federation

    NARCIS (Netherlands)

    Hagendoorn, Louk; Poppe, Edwin; Minescu, Anca

    2008-01-01

    This study examines popular support for separatism among Russians and non-Russian titular nationalities (titulars) in 10 ethnic republics of the Russian Federation: Karelia, Komi, Tatarstan, Bashkortostan, Udmurtia, Adygea, Dagestan, Kabardino-Balkaria, Sakha-Yakutia and Tuva. A survey was carried

  10. Media coverage of Fukushima accident in the Russian press. Lessons for radiation emergency risk communication

    International Nuclear Information System (INIS)

    Melikhova, E.; Arutyunyan, R.

    2014-01-01

    The paper reviews recent results of content analysis of the Russian press and data of all-Russia public opinion polls on the subject of the Fukushima accident and discusses them in the wider context of challenges in communication of 'no risk' messages to the public in the case of a nuclear accident. Radiation risk regulation base in the low dose range is proposed to be one of the main obstacles for the communication and a new approach to emergency risk communication is proposed. (author)

  11. Moscow – Third Rome as Source of Anti-Western Russian Geopolitic

    Directory of Open Access Journals (Sweden)

    Justyna Doroszczyk

    2018-06-01

    Full Text Available Moscow as the Third Rome is the basis of Russian thinking about the state and the Russian nation and also Russian geopolitics. It is a solid foundation of anti-Western tendency in Russian geopolitics. The belief about Russia’s providential mission is a tool of differentiation between the two types of civilizations and cultures – the “rotting” western world and the Russian world, which manifests as a cradle of traditional, conservative values that individualistic, materialistic Western civilisation has rejected.

  12. Can Western quality improvement methods transform the Russian health care system?

    Science.gov (United States)

    Tillinghast, S J

    1998-05-01

    . Evidence-based medicine is critically needed to improve the quality of research and publications, medical education, and medical practice. Physicians everywhere are data driven; they change their practices when convinced by good data. The key to successful introduction of evidence-based medicine is understanding the fundamentals of good scientific method as applied to medicine. The Russian health care system's experience in reporting to higher authorities' process and outcomes data that resemble our modern indicators can provide the basis for accurate and valid measures of quality. In contrast with American expectations that a significant cultural change in an organization could take years, even with great effort, Russian physicians and other clinicians rapidly assimilated the new concepts of QI and put them to use. More on-site assistance by international medical consultants will still be needed for several years to hasten the process of change and ensure that it does not become stalled.

  13. An Analysis of Ratings of Russian Banks

    NARCIS (Netherlands)

    van Soest, A.H.O.; Peresetsky, A.; Karminsky, A.M.

    2003-01-01

    Since the recent financial crisis, both the Russian business community and foreign investors have started to make more and more use of ratings of the reliability of Russian banks, i.e., their ability to meet interest and repayment commitments to the investors.In response to this, the number of

  14. Brief introduction about radiation hygiene in Russian navy

    International Nuclear Information System (INIS)

    Li Yu; Min Rui; Pan Zhen

    2005-01-01

    During long-time radiation working practice, there have been established comprehensive radiation hygiene system of technique and regulation in Russian navy. Brief introduction about radiation hygiene in Russian navy are as follows. (authors)

  15. Service quality benchmarking via a novel approach based on fuzzy ELECTRE III and IPA: an empirical case involving the Italian public healthcare context.

    Science.gov (United States)

    La Fata, Concetta Manuela; Lupo, Toni; Piazza, Tommaso

    2017-11-21

    A novel fuzzy-based approach which combines ELECTRE III along with the Importance-Performance Analysis (IPA) is proposed in the present work to comparatively evaluate the service quality in the public healthcare context. Specifically, ELECTRE III is firstly considered to compare the service performance of examined hospitals in a noncompensatory manner. Afterwards, IPA is employed to support the service quality management to point out improvement needs and their priorities. The proposed approach also incorporates features of the Fuzzy Set Theory so as to address the possible uncertainty, subjectivity and vagueness of involved experts in evaluating the service quality. The model is applied to five major Sicilian public hospitals, and strengths and criticalities of the delivered service are finally highlighted and discussed. Although several approaches combining multi-criteria methods have already been proposed in the literature to evaluate the service performance in the healthcare field, to the best of the authors' knowledge the present work represents the first attempt at comparing service performance of alternatives in a noncompensatory manner in the investigated context.

  16. SPECIFIC OF USING MASSIVE OPEN EDUCATIONAL ELECTRONIC COURSES IN RUSSIAN AND FOREIGN UNIVERSITIES

    Directory of Open Access Journals (Sweden)

    В В Гриншкун

    2017-12-01

    Full Text Available Characteristic feature of informatization of education for several last years is emergence and fast distribution of MOOCs - mass open online courses. Specificity of the Russian education system can’t but affect features of development and deployment of such courses taking into account realities of work of domestic universities. For expansion of opportunities of influence of MOOCs on increase in learning efficiency of students in higher education institutions carrying out the analysis of experience of use of such means of informatization of education, both in Russia, and beyond her limits is expedient. The present article contains transfer and the description of various aspects of emergence and distribution of MOOCs in the world, in general, and in our country, in particular. The short characteristic of possible approaches to development and deployment of MOOCs and their component in domestic system of the higher education is given, examples of the Russian and foreign platforms by means of which such courses become public are given. It is emphasized that universal experience of informatization of the higher education on the basis of use of MOOCs without the corresponding adaptation can’t be applied to training of students in the Russian higher education institutions.

  17. Decoupling the use and meaning of strategic plans in public healthcare.

    Science.gov (United States)

    Lega, Federico; Longo, Francesco; Rotolo, Andrea

    2013-01-04

    The culture of New Public Management has promoted the diffusion of strategic management tools throughout Public Healthcare Organisations (PHOs). There is consensus that better strategic planning tools are required to achieve higher levels of organisational performance. This paper provides evidence and understanding of the emergent uses and scope of strategic planning in PHOs, in order to answer three research questions: (i) has the New Public Management approach changed the organisational culture of PHOs in terms of how they adopt, diffuse, and use strategic planning documents? (ii) how coherent are strategic planning documents in PHOs? and (iii) what are the main purposes of strategic documents in PHOs? An analysis was carried out in three Italian Local Health Authorities. We analysed the number and types of formal strategic documents adopted between 2004 and 2012, evaluating their degree of coherence and coordination, their hierarchy, their degree of disclosure, and the consistency of their strategic goals. A content analysis was performed to investigate overlap in terms of content and focus, and a qualitative analysis was carried out to study and represent the relationships between documents. The analysis showed that a rich set of strategic documents were adopted by each PHO. However, these are often uncoordinated and overlap in terms of content. They adopt different language and formats for various stakeholders. The presence of diverse external drivers may explain the divergent focus, priorities and inconsistent goals in the strategic documents. This planning complexity makes it difficult to determine how the overall goals and mission of an organisation are defined and made visible. The evidence suggests that PHOs use a considerable number of strategic documents. However, they employ no clear or explicit overarching strategy currently, and strategic planning appears to be externally oriented. All the documents communicate similar topics to different

  18. Decoupling the use and meaning of strategic plans in public healthcare

    Science.gov (United States)

    2013-01-01

    Background The culture of New Public Management has promoted the diffusion of strategic management tools throughout Public Healthcare Organisations (PHOs). There is consensus that better strategic planning tools are required to achieve higher levels of organisational performance. This paper provides evidence and understanding of the emergent uses and scope of strategic planning in PHOs, in order to answer three research questions: (i) has the New Public Management approach changed the organisational culture of PHOs in terms of how they adopt, diffuse, and use strategic planning documents? (ii) how coherent are strategic planning documents in PHOs? and (iii) what are the main purposes of strategic documents in PHOs? Methods An analysis was carried out in three Italian Local Health Authorities. We analysed the number and types of formal strategic documents adopted between 2004 and 2012, evaluating their degree of coherence and coordination, their hierarchy, their degree of disclosure, and the consistency of their strategic goals. A content analysis was performed to investigate overlap in terms of content and focus, and a qualitative analysis was carried out to study and represent the relationships between documents. Results The analysis showed that a rich set of strategic documents were adopted by each PHO. However, these are often uncoordinated and overlap in terms of content. They adopt different language and formats for various stakeholders. The presence of diverse external drivers may explain the divergent focus, priorities and inconsistent goals in the strategic documents. This planning complexity makes it difficult to determine how the overall goals and mission of an organisation are defined and made visible. Conclusions The evidence suggests that PHOs use a considerable number of strategic documents. However, they employ no clear or explicit overarching strategy currently, and strategic planning appears to be externally oriented. All the documents communicate

  19. Profile: Mistress of the mysteries of Russian oil and Faberge egg

    Energy Technology Data Exchange (ETDEWEB)

    Lorenz, A.

    2002-10-07

    A book, entitled 'The Russian oil economy', co-authored by Jennifer Considine and William A. Kerr, is reviewed. This singularly instructive book, based on Considine's doctoral dissertation and published by Edward Elger Publishing, Cheltenham, is intended as essential reading for anyone planning to invest in the Russian petroleum industry. The book is also an example of how will-power and discipline will overcome personal tragedy. It is based on a thorough study of how Russia's economy descended to its current decrepit state. The conclusion reached from that study is that the Russian petroleum industry has never been guided by market forces as they are understood in the West. Rather, the Russian industry has been shaped by historical forces and therefore cannot be approached from a market economy perspective. Accordingly, the reader is guided through the turbulent history of the Soviet era, focusing on economic policies affecting the petroleum industry, the forces that were brought to bear on the industry and that guided its development under each of the presidents and party chairmen, Stalin, Kruschev, Brezhnev, Yeltsin. The authors capture the ineptitude -- but also the drama and the fleeting moments of brilliance -- that characterize Russia's petroleum industry, and through painstaking analysis arrive at the conclusion that even today the Russian Federation is not a market economy, and may never become one. As a sideline to the main theme, but at the same time an integral part of the forces that shaped Considine's own personal development, runs the story of her difficult youth, the struggle to continue her studies while looking after her gravely ill mother and while trying also to be part of an investigation of the disappearance of a $3 million Faberge egg from her mother's home, allegedly stolen by a trusted friend. The mystery of the Faberge egg is still unresolved, but Considine completed her studies, the book has been

  20. Functions of Russian University During Formation of Innovation-Based Economy

    Directory of Open Access Journals (Sweden)

    Malika A. Kurdova

    2017-09-01

    Full Text Available Introduction: the formation of innovation-based model of the Russian economy promotes the appearance of new functions of higher education institutions’ activities aimed at sustainable development. The article analyzes various classifications of the above functions in the changed conditions of modern Russia. Materials and Methods: the authors draw on the publications by famous scientists, methods of logical analysis and synthesis, generalisation, sociological and statistical studies: a survey, expert evaluation method, documentation analysis, etc. Results: the authors’ classification of higher education institutions’ functions formed during transition to innovation-oriented model of economic development for training innovation-oriented experts is presented. The aim of new approaches is to generate innovative ideas, to transfer knowledge, to foster the skills of entrepreneurship, to ensure the competitiveness and the employability of graduates. The analysis of implementation of new functions on the example of the universities of the Penza region of the Russian Federation is made. Discussion and Conclusions: the modernisation of higher education, accompanied by update of its content and functions, involves the formation of a new national University model that reflects the specifics of modern stage of the country’s socio-economic development. Therefore changes in higher education affecting the processes of functioning of higher educational institutions are revealed. The influence of rapidly changing factors in the external and internal environment led to the formation of new and transformation of basic functions of Russian universities, the effective implementation of which will contribute to improving the quality of professional training of specialists and formation of innovative potential of new economy.