107 research outputs found

    Dialectics of Efficient Change Management in the Regional Social Systems

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    The research has placed emphasis on the role of the social infrastructure sectors, providing social services, which facilitate human potential development in a modern state. Theoretical positions of the scientist considering the nature of social benefits and necessity of the government support for the social sphere has been summarized in the article. The state of the Russian social infrastructure sectors has been considered and the analysis of their performance compared to these of the social infrastructure sectors in other countries has been conducted in the research work. Taking into consideration the performance ratings of the effectiveness of the national education systems, the countries around the world concerning the effectiveness of the health system, the countries around the world concerning the social development level in 2014, the authors have proposed the conceptual approach that makes it possible to consider the correlation and interrelation of the level of the government financing of the social sphere and the dynamics of the contribution of social infrastructure sectors in the development of the human capital, ensuring the gross domestic product increase. The necessity of making innovative changes in the socio-economic systems of the social infrastructure sectors, to improve their performance, taking into account the results obtained, in the first place, in health care, has been wellgrounded and theoretical approaches to the changes management in the socio-economic systems has been studied in the article. The theoretical approaches to the changes management in the socio-economic systems have been studied by the authors. Based on the conducted studies and the formed theoretical basis for improving the level of changes management in open socio-economic systems, for the purpose of development of the theoretical and methodological approaches to changes management as applied to health care sphere, optimization model of management of health care organizations by way of ranking of manageable and unmanageable changes has been proposed. The possibility of using management optimization by way of ranking of manageable and unmanageable changes in the health care management at different levels has been confirmed with high-performance indicators at the micro-, meso- and macro levels in the sector, by the example of implementation of the national project β€œHealth” and innovative organizational changes facilitating the return to work of patients of the working age, which are involved in the gross domestic product formation in the city of Yekaterinburg.The article has been prepared with the support of the Russian Science Foundation grant No. 14-18-00456 β€œSupport of geoecosocioeconomic approach to development of strategic nature resources capacity of the low-studied northern territories within the investment project β€œArctic β€” Central Asia”

    The elastic electron-deuteron scattering beyond one-photon exchange

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    We discuss the elastic ed scattering beyond Born approximation. It is shown that the reaction amplitude contains six generalized form factors, but only three linearly independent combinations of them (we call them generalized charge, quadrupole and magnetic form factors) contribute to the reaction cross section in the second order perturbation theory. We examine two-photon exchange and find that it includes two types of diagrams, when two virtual photons interact with the same nucleon and when the photons interact with different nucleons. Estimations based on nonrelativistic calculations with the deuteron wave function for realistic NN potential show that the main contribution to the generalized charge, quadrupole and magnetic form factors comes from diagrams of the first type.Comment: v2, published version in PR

    Impurity-induced moments in underdoped cuprates

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    We examine the effect of a nonmagnetic impurity in a two-dimensional spin liquid in the spin-gap phase, employing a drone-fermion representation of spin-1/2 operators. The properties of the local moment induced in the vicinity of the impurity are investigated and an expression for the nuclear-magnetic- resonance Knight shift is derived, which we compare with experimental results. Introducing a second impurity into the spin liquid an antiferromagnetic interaction between the moments is found when the two impurities are located on different sublattices. The presence of many impurities leads to a screening of this interaction as is shown by means of a coherent-potential approximation. Further, the Kondo screening of an impurity-induced local spin by charge carriers is discussed.Comment: 8 pages, 1 figure. To be published in Phys. Rev. B, Vol. 56, No. 1

    High-Performance Alkali-Activated Cement Concretes for Marine Engineering Applications

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    The contribution covers results of studies on the alkali-activated cement concretes intended for marine engineering applications. Such properties as strength, wear, corrosion, freeze-thaw, weather resistance and many others have been studied, and the results are reported and discussed in detail. The obtained results suggested to draw a conclusion on high potential of the alkali-activated cement concretes for marine engineering applications, since in their performance properties these concretes are highly advantageous over other concretes used as marine concretes and big savings can be expected in the future due to the longer span of service life. The results are supported by long-term observations in real conditions. The above advantages are attributed to more perfect micro- and macrostructure of the alkali-activated cement stone. The authors have summarized their own experience and results collected by PhD and DSc students under their supervision dedicated to assessment of durability of these concretes, in particular, for marine engineering applications. In order to bring these advanced materials into practice of construction worldwide, two rilem (International Union of Laboratories and Experts in Construction Materials, Systems and Structures) committees have been founded: β€œAlkali-activated Materials” (2010–2013) and β€œDurability Testing of Alkali Activated Materials” (2013–ongoing)

    Role of rotational symmetry in the magnetism of a multiorbital model

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    Effect of rotationally invariant Hund's rule coupling on a magnetism of multiorbital Hubbard models is studied within a dynamical mean-field theory framework. Comparison of static magnetic susceptibilities and local densities of states of two- and three-orbital models of a complete rotationally invariant Coulomb interaction and a "density-density" Hartree type interaction shows the different role of spin-flip interactions for different band fillings. In the particle-hole symmetric case, the Mott-Hubbard physics dominates due to the strong effective Coulomb interaction, while for the multiple electronic configurations away from half-filling (two electrons in the three-band model) the formation of local magnetic moments due to Hund's exchange interaction becomes the most significant effect for itinerant magnetic systems. A shift of the temperature of magnetic ordering due to the rotationally invariant Hund's rule coupling is found to be the largest in a three-orbital model with a two-electron occupancy where the single particle spectrum is metallic and is not sensitive to different forms of the Coulomb vertex. A larger enhancement of the effective mass in a model with a rotationally invariant interaction is discussed. In the half-filled case we find a drastic change in the density of states close to the Mott transition which is related to the spin-flip Kondo fluctuations in a degenerate orbital case, while the corresponding shift of the magnetic transition temperature is relatively small. It is shown that a change in the ground-state degeneracy due to a different symmetry of the Coulomb interaction in the density-density model leads to a breakdown of the quasiparticle peak at the Fermi level in the proximity of a Mott transition on the metallic side. We discuss the relevance of rotationally invariant Hund's interaction in the transition metal magnetism. Β© 2012 American Physical Society

    Electronic spectrum in high-temperature cuprate superconductors

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    A microscopic theory for electronic spectrum of the CuO2 plane within an effective p-d Hubbard model is proposed. Dyson equation for the single-electron Green function in terms of the Hubbard operators is derived which is solved self-consistently for the self-energy evaluated in the noncrossing approximation. Electron scattering on spin fluctuations induced by kinematic interaction is described by a dynamical spin susceptibility with a continuous spectrum. Doping and temperature dependence of electron dispersions, spectral functions, the Fermi surface and the coupling constant are studied in the hole doped case. At low doping, an arc-type Fermi surface and a pseudogap in the spectral function are observed.Comment: 13 pages (revtex), 18 figures, to be published in JET

    Import Substitution as a Stabilisation Tool for the Socioeconomic Development of Regions

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    In recent years, the Russian Federation has been actively implementing an import substitution policy. While this particular issue is the topic of various academic studies, there is a lack of research focussing on the quantitative assessment of import substitution. Such an approach allows assessing the effectiveness of the state policy at different levels. Additionally, it provides an opportunity to identify tools for improving the effectiveness of the import substitution. Using examples of Russia and the Ural Federal District (UrFD), the study considers import substitution as an opportunity to stabilise the socio-economic development. We hypothesise that, primarily, the most important competitive advantage of the country is a developed high-tech industry. This assumption requires an immediate activation of import substitution processes and the development of a methodology for assessing its effectiveness. We used the concepts of system economy, sustainable development, innovative development, as well as the methods of comparative, factor, structural analysis, statistical modelling and forecasting methods. Our approach to assessing the effective import substitution includes a developed dynamic import substitution coefficient; its standard value is equal to 1. At the macro-level, this coefficient changes depending on the current import substitution policy. For example, in 2015 β€” 2016, the coefficient had increased sharply and then decreased below the standard value by 20 %. We have predicted that at the macro-level the dynamic coefficient of import substitution will stabilise after 2019. The example of the Ural Federal District demonstrates that the reverse situation occurs at the meso-level. The calculations show that the region still adheres to the economic model based on the sales of raw materials. The distribution of UrFD enterprises by sales and profitability of operating activities confirms this statement. The largest enterprises in the region (by sales) belong to the oil and gas industry. We propose measures to support industrial policy and production aimed at import substitution. These measures include regulatory, infrastructure, financial, and marketing aspects. The obtained results can be applied in the constituent entities of the Russian Federation.ΠŸΠΎΠ»ΠΈΡ‚ΠΈΠΊΠ° импортозамСщСния, Π² послСдниС Π³ΠΎΠ΄Ρ‹ проводимая Π² Π Π€, Π°ΠΊΡ‚ΠΈΠ²Π½ΠΎ освСщаСтся Π²ΠΎ ΠΌΠ½ΠΎΠ³ΠΈΡ… соврСмСнных Π½Π°ΡƒΡ‡Π½Ρ‹Ρ… Ρ€Π°Π±ΠΎΡ‚Π°Ρ…, ΠΎΠ΄Π½Π°ΠΊΠΎ Π² отСчСствСнной ΠΈ Π·Π°Ρ€ΡƒΠ±Π΅ΠΆΠ½ΠΎΠΉ Π»ΠΈΡ‚Π΅Ρ€Π°Ρ‚ΡƒΡ€Π΅ нСдостаточно исслСдований, посвящСнных количСствСнной ΠΎΡ†Π΅Π½ΠΊΠ΅ Π΄Π°Π½Π½ΠΎΠ³ΠΎ явлСния. Вакая ΠΎΡ†Π΅Π½ΠΊΠ° позволяСт ΠΎΠΏΡ€Π΅Π΄Π΅Π»ΠΈΡ‚ΡŒ ΡΡ„Ρ„Π΅ΠΊΡ‚ΠΈΠ²Π½ΠΎΡΡ‚ΡŒ ΠΏΡ€ΠΎΠ²ΠΎΠ΄ΠΈΠΌΠΎΠΉ государствСнной ΠΏΠΎΠ»ΠΈΡ‚ΠΈΠΊΠΈ Π½Π° Ρ€Π°Π·Π½Ρ‹Ρ… уровнях ΠΈ прСдоставляСт Π²ΠΎΠ·ΠΌΠΎΠΆΠ½ΠΎΡΡ‚ΡŒ Π²Ρ‹Π΄Π΅Π»ΠΈΡ‚ΡŒ инструмСнты, ΠΏΠΎΠ²Ρ‹ΡˆΠ°ΡŽΡ‰ΠΈΠ΅ ΡΡ„Ρ„Π΅ΠΊΡ‚ΠΈΠ²Π½ΠΎΡΡ‚ΡŒ импортозамСщСния. ЦСлью исслСдования являСтся рассмотрСниС импортозамСщСния ΠΊΠ°ΠΊ возмоТности для стабилизации ΡΠΎΡ†ΠΈΠ°Π»ΡŒΠ½ΠΎ-экономичСского развития Π½Π° ΠΏΡ€ΠΈΠΌΠ΅Ρ€Π΅ России ΠΈ Π£Ρ€Π°Π»ΡŒΡΠΊΠΎΠ³ΠΎ Ρ„Π΅Π΄Π΅Ρ€Π°Π»ΡŒΠ½ΠΎΠ³ΠΎ ΠΎΠΊΡ€ΡƒΠ³Π° Π² соврСмСнных условиях. Π’ качСствС ваТнСйшСго ΠΊΠΎΠ½ΠΊΡƒΡ€Π΅Π½Ρ‚Π½ΠΎΠ³ΠΎ прСимущСства страны Π½Π° соврСмСнном этапС, ΠΏΠΎ мнСнию Π°Π²Ρ‚ΠΎΡ€ΠΎΠ², цСлСсообразно Ρ€Π°ΡΡΠΌΠ°Ρ‚Ρ€ΠΈΠ²Π°Ρ‚ΡŒ, Π² ΠΏΠ΅Ρ€Π²ΡƒΡŽ ΠΎΡ‡Π΅Ρ€Π΅Π΄ΡŒ, Ρ€Π°Π·Π²ΠΈΡ‚ΡƒΡŽ Π²Ρ‹ΡΠΎΠΊΠΎΡ‚Π΅Ρ…Π½ΠΎΠ»ΠΎΠ³ΠΈΡ‡Π½ΡƒΡŽ ΠΏΡ€ΠΎΠΌΡ‹ΡˆΠ»Π΅Π½Π½ΠΎΡΡ‚ΡŒ, Ρ‡Ρ‚ΠΎ Ρ‚Ρ€Π΅Π±ΡƒΠ΅Ρ‚ Π½Π΅Π·Π°ΠΌΠ΅Π΄Π»ΠΈΡ‚Π΅Π»ΡŒΠ½ΠΎΠΉ Π°ΠΊΡ‚ΠΈΠ²ΠΈΠ·Π°Ρ†ΠΈΠΈ процСссов импортозамСщСния ΠΈ Ρ€Π°Π·Ρ€Π°Π±ΠΎΡ‚ΠΊΠΈ ΠΎΡ†Π΅Π½ΠΊΠΈ Π΅Π³ΠΎ эффСктивности. ИсслСдованиС ΠΏΡ€ΠΎΠ²Π΅Π΄Π΅Π½ΠΎ с использованиСм ΠΊΠΎΠ½Ρ†Π΅ΠΏΡ†ΠΈΠΉ систСмной экономики, устойчивого развития, ΠΈΠ½Π½ΠΎΠ²Π°Ρ†ΠΈΠΎΠ½Π½ΠΎΠ³ΠΎ развития, ΠΌΠ΅Ρ‚ΠΎΠ΄ΠΎΠ²: ΡΡ€Π°Π²Π½ΠΈΡ‚Π΅Π»ΡŒΠ½ΠΎΠ³ΠΎ, Ρ„Π°ΠΊΡ‚ΠΎΡ€Π½ΠΎΠ³ΠΎ, структурного Π°Π½Π°Π»ΠΈΠ·Π°, статистичСских ΠΌΠ΅Ρ‚ΠΎΠ΄ΠΎΠ² модСлирования ΠΈ прогнозирования. Авторский ΠΏΠΎΠ΄Ρ…ΠΎΠ΄ ΠΊ ΠΎΡ†Π΅Π½ΠΊΠ΅ эффСктивного импортозамСщСния Π²ΠΊΠ»ΡŽΡ‡Π°Π΅Ρ‚ Ρ€Π°Π·Ρ€Π°Π±ΠΎΡ‚Π°Π½Π½Ρ‹ΠΉ динамичСский коэффициСнт импортозамСщСния, Π½ΠΎΡ€ΠΌΠ°Ρ‚ΠΈΠ²Π½ΠΎΠ΅ Π·Π½Π°Ρ‡Π΅Π½ΠΈΠ΅ ΠΊΠΎΡ‚ΠΎΡ€ΠΎΠ³ΠΎ принимаСтся Ρ€Π°Π²Π½Ρ‹ΠΌ Π΅Π΄ΠΈΠ½ΠΈΡ†Π΅. Показана рСакция Π΄Π°Π½Π½ΠΎΠ³ΠΎ коэффициСнта Π½Π° ΠΌΠ°ΠΊΡ€ΠΎΡƒΡ€ΠΎΠ²Π½Π΅ Π½Π° ΠΏΡ€ΠΎΠ²ΠΎΠ΄ΠΈΠΌΡƒΡŽ ΠΏΠΎΠ»ΠΈΡ‚ΠΈΠΊΡƒ импортозамСщСния, отмСчаСтся Π΅Π³ΠΎ Ρ€Π΅Π·ΠΊΠΈΠΉ рост Π² 2015–2016 Π³Π³. с ΠΏΠΎΡΠ»Π΅Π΄ΡƒΡŽΡ‰ΠΈΠΌ сниТСниСм Π½ΠΈΠΆΠ΅ Π½ΠΎΡ€ΠΌΠ°Ρ‚ΠΈΠ²Π½Ρ‹Ρ… Π·Π½Π°Ρ‡Π΅Π½ΠΈΠΉ Π½Π° 20 %. Π‘ΠΏΡ€ΠΎΠ³Π½ΠΎΠ·ΠΈΡ€ΠΎΠ²Π°Π½Π° стабилизация динамичСского коэффициСнта импортозамСщСния послС 2019 Π³. Π½Π° ΠΌΠ°ΠΊΡ€ΠΎΡƒΡ€ΠΎΠ²Π½Π΅. ΠžΠ±Ρ€Π°Ρ‚Π½Π°Ρ ситуация Π²ΠΎΠ·Π½ΠΈΠΊΠ°Π΅Ρ‚ Π½Π° ΠΌΠ΅Π·ΠΎΡƒΡ€ΠΎΠ²Π½Π΅ (Π½Π° ΠΏΡ€ΠΈΠΌΠ΅Ρ€Π΅ Π£Ρ€Π€Πž), расчСты ΠΏΠΎΠΊΠ°Π·Ρ‹Π²Π°ΡŽΡ‚, Ρ‡Ρ‚ΠΎ Ρ€Π΅Π³ΠΈΠΎΠ½Ρƒ Π½Π΅ ΡƒΠ΄Π°Π»ΠΎΡΡŒ Π²Ρ‹ΠΉΡ‚ΠΈ ΠΈΠ· ΠΌΠΎΠ΄Π΅Π»ΠΈ экономики, основанной Π½Π° ΠΏΡ€ΠΎΠ΄Π°ΠΆΠ΅ ΡΡ‹Ρ€ΡŒΡ. Π”Π°Π½Π½ΠΎΠ΅ ΠΏΠΎΠ»ΠΎΠΆΠ΅Π½ΠΈΠ΅ подтвСрТдаСтся распрСдСлСниСм прСдприятий Π£Ρ€Π€Πž ΠΏΠΎ ΠΎΠ±ΡŠΠ΅ΠΌΡƒ Ρ€Π΅Π°Π»ΠΈΠ·Π°Ρ†ΠΈΠΈ ΠΈ Ρ€Π΅Π½Ρ‚Π°Π±Π΅Π»ΡŒΠ½ΠΎΡΡ‚ΠΈ ΠΎΠΏΠ΅Ρ€Π°Ρ†ΠΈΠΎΠ½Π½ΠΎΠΉ Π΄Π΅ΡΡ‚Π΅Π»ΡŒΠ½ΠΎΡΡ‚ΠΈ. К Π½Π΅Ρ„Ρ‚Π΅Π³Π°Π·ΠΎΠ²ΠΎΠΉ отрасли относятся всС ΠΊΡ€ΡƒΠΏΠ½Π΅ΠΉΡˆΠΈΠ΅ ΠΏΠΎ ΠΎΠ±ΡŠΠ΅ΠΌΡƒ Ρ€Π΅Π°Π»ΠΈΠ·Π°Ρ†ΠΈΠΈ прСдприятия Ρ€Π΅Π³ΠΈΠΎΠ½Π°. Для Ρ€Π°Π·Ρ€Π°Π±ΠΎΡ‚ΠΊΠΈ Π΄ΠΎΡ€ΠΎΠΆΠ½Ρ‹Ρ… ΠΊΠ°Ρ€Ρ‚ ΠΏΡ€Π΅Π΄Π»ΠΎΠΆΠ΅Π½Ρ‹ мСроприятия для ΠΏΠΎΠ΄Π΄Π΅Ρ€ΠΆΠΊΠΈ ΠΏΡ€ΠΎΠΌΡ‹ΡˆΠ»Π΅Π½Π½ΠΎΠΉ ΠΏΠΎΠ»ΠΈΡ‚ΠΈΠΊΠΈ ΠΈ производств, ΠΎΡ€ΠΈΠ΅Π½Ρ‚ΠΈΡ€ΠΎΠ²Π°Π½Π½Ρ‹Ρ… Π½Π° ΠΈΠΌΠΏΠΎΡ€Ρ‚ΠΎΠ·Π°ΠΌΠ΅Ρ‰Π΅Π½ΠΈΠ΅, Π²ΠΊΠ»ΡŽΡ‡Π°ΡŽΡ‰ΠΈΠ΅ Π² сСбя Π½ΠΎΡ€ΠΌΠ°Ρ‚ΠΈΠ²Π½Ρ‹ΠΉ, инфраструктурный, финансовый ΠΈ ΠΌΠ°Ρ€ΠΊΠ΅Ρ‚ΠΈΠ½Π³ΠΎΠ²Ρ‹ΠΉ аспСкты. Π Π΅Π·ΡƒΠ»ΡŒΡ‚Π°Ρ‚Ρ‹ Ρ€Π°Π±ΠΎΡ‚Ρ‹ ΠΌΠΎΠ³ΡƒΡ‚ Π±Ρ‹Ρ‚ΡŒ ΠΏΡ€ΠΈΠΌΠ΅Π½Π΅Π½Ρ‹ Π½Π° ΡƒΡ€ΠΎΠ²Π½Π΅ ΡΡƒΠ±ΡŠΠ΅ΠΊΡ‚ΠΎΠ² Π Π€.The article has been prepared in accordance with the plan of Institute of Economics of the Ural Branch of RAS for 2019 β€” 2021.Π‘Ρ‚Π°Ρ‚ΡŒΡ Π²Ρ‹ΠΏΠΎΠ»Π½Π΅Π½Π° Π² соотвСтствии с ΠΏΠ»Π°Π½ΠΎΠΌ НИР ЀГБУН Π˜Π½ΡΡ‚ΠΈΡ‚ΡƒΡ‚Π° экономики Π£Ρ€Πž РАН Π½Π° 2019–2021 Π³Π³

    Antibiotic resistance of microflora to drugs in case of conjunctivitis of cats of bacterial origin

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    Currently, the most common ophthalmic pathology in cats is inflammatory processes. Pathologies are observed frequently and regardless of breed, sex, and age. The causes of the disease are the prevalence of infections affecting the visual analyzer, inadequate care of their pets by the owners, untimely visits to a veterinarian, etc. It is essential to diagnose the cause of inflammation of the ocular mucosa in time, as knowing the etiology of the disease is necessary to prescribe effective treatment, which can lead to complications. Bacteriological tests play an important role, allowing us not only to identify the pathogen but also to determine its sensitivity or resistance to a particular drug, to prescribe effective treatment in time, to reduce the economic costs of treatment, the treatment period, etc. Most of the microorganisms that can be found in the conjunctival sac are non-pathogenic, although some of them are opportunistic. The study was conducted at the VetExpert veterinary center on cats of all ages and sexes with signs of conjunctivitis during 2022–2023. Out of 473 cats examined, cases of eye disease were detected in 105 cats or 22.1 % of the total number of ophthalmopathology cases. According to the results of the research, it was found that conjunctivitis was caused by Staphylococcus aureus, Staphylococcus epidermidis, Nonhaemolytic Streptococcus, and Pseudomonas aeruginosa. In treating conjunctivitis of bacterial etiology, topical application of the drug and systemic antibiotic therapy should be prescribed. In treating cats with bacterial conjunctivitis, systemic drugs, and antibiotic therapy should be prescribed. Antibiotics and antibacterial drugs should be prescribed only based on the results of bacteriological examination and antibioticogramΠ°

    Comprehensive assessment of the efficiency and sustainability of the regional health care system

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    ΠžΡ†Π΅Π½ΠΊΠ° Π΄Π΅ΡΡ‚Π΅Π»ΡŒΠ½ΠΎΡΡ‚ΠΈ систСмы здравоохранСния Π² соврСмСнных условиях - Π°ΠΊΡ‚ΡƒΠ°Π»ΡŒΠ½ΠΎΠ΅ Π½Π°ΠΏΡ€Π°Π²Π»Π΅Π½ΠΈΠ΅ исслСдований; Ρ‚Ρ€ΡƒΠ΄Ρ‹ отСчСствСнных ΡƒΡ‡Π΅Π½Ρ‹Ρ… ΠΏΠΎΠΊΠ°Π·Ρ‹Π²Π°ΡŽΡ‚ отсутствиС систСмного ΠΏΠΎΠ΄Ρ…ΠΎΠ΄Π° ΠΊ ΠΎΠΏΡ€Π΅Π΄Π΅Π»Π΅Π½ΠΈΡŽ эффСктивности ΠΈ устойчивости российского здравоохранСния. Π—Π°Ρ€ΡƒΠ±Π΅ΠΆΠ½Ρ‹ΠΉ ΠΎΠΏΡ‹Ρ‚ ΠΏΠΎΠΊΠ°Π·Ρ‹Π²Π°Π΅Ρ‚, Ρ‡Ρ‚ΠΎ, нСсмотря Π½Π° ΡˆΠΈΡ€ΠΎΠΊΠΎΠΌΠ°ΡΡˆΡ‚Π°Π±Π½ΡƒΡŽ Π½Π°ΡƒΡ‡Π½ΡƒΡŽ Ρ€Π°Π±ΠΎΡ‚Ρƒ, ΠΏΠΎ Π΄Π°Π½Π½Ρ‹ΠΌ ЕвропСйского Ρ€Π΅Π³ΠΈΠΎΠ½Π°Π»ΡŒΠ½ΠΎΠ³ΠΎ Π±ΡŽΡ€ΠΎ ВсСмирной ΠΎΡ€Π³Π°Π½ΠΈΠ·Π°Ρ†ΠΈΠΈ здравоохранСния, Π½Π° сСгодняшний дСнь Ρ€Π°Π·Ρ€Π°Π±ΠΎΡ‚Π°Π½ΠΎ нСдостаточно ΠΏΠΎΠΊΠ°Π·Π°Ρ‚Π΅Π»Π΅ΠΉ эффСктивности Ρ€Π°Π±ΠΎΡ‚Ρ‹ систСмы здравоохранСния. РассмотрСна ΠΌΠ½ΠΎΠ³ΠΎΠ³Ρ€Π°Π½Π½ΠΎΡΡ‚ΡŒ ΠΎΡ†Π΅Π½ΠΊΠΈ эффСктивности отрасли, Π΄Π°Π½ΠΎ ΠΎΠΏΡ€Π΅Π΄Π΅Π»Π΅Π½ΠΈΠ΅ устойчивости ΠΏΡ€ΠΈΠΌΠ΅Π½ΠΈΡ‚Π΅Π»ΡŒΠ½ΠΎ ΠΊ систСмС здравоохранСния. Π‘ использованиСм ΠΌΠ΅Ρ‚ΠΎΠ΄Π° ΠΌΠ½ΠΎΠ³ΠΎΠΌΠ΅Ρ€Π½ΠΎΠ³ΠΎ ΡΡ€Π°Π²Π½ΠΈΡ‚Π΅Π»ΡŒΠ½ΠΎΠ³ΠΎ Π°Π½Π°Π»ΠΈΠ·Π°, ΠΌΠ΅Ρ‚ΠΎΠ΄Π° Π΄Π΅Ρ‚Π΅Ρ€ΠΌΠΈΠ½ΠΈΡ€ΠΎΠ²Π°Π½Π½ΠΎΠ³ΠΎ Ρ„Π°ΠΊΡ‚ΠΎΡ€Π½ΠΎΠ³ΠΎ Π°Π½Π°Π»ΠΈΠ·Π°, структурного Π°Π½Π°Π»ΠΈΠ·Π°, ΠΌΠ΅Ρ‚ΠΎΠ΄Π° экспСртных ΠΎΡ†Π΅Π½ΠΎΠΊ, статистичСских ΠΌΠ΅Ρ‚ΠΎΠ΄ΠΎΠ² модСлирования ΠΈ прогнозирования Ρ€Π°Π·Ρ€Π°Π±ΠΎΡ‚Π°Π½ мСтодичСский Π°ΠΏΠΏΠ°Ρ€Π°Ρ‚ комплСксной ΠΎΡ†Π΅Π½ΠΊΠΈ эффСктивности ΠΈ устойчивости Ρ€Π΅Π³ΠΈΠΎΠ½Π°Π»ΡŒΠ½ΠΎΠΉ систСмы здравоохранСния. ΠœΠ΅Ρ‚ΠΎΠ΄ΠΈΡ‡Π΅ΡΠΊΠΈΠΉ инструмСнтарий Π²ΠΊΠ»ΡŽΡ‡Π°Π΅Ρ‚ ΠΊΠΎΠΌΠΏΠ»Π΅ΠΊΡΠ½ΡƒΡŽ ΠΎΡ†Π΅Π½ΠΊΡƒ ΠΎΡ‚Π½ΠΎΡΠΈΡ‚Π΅Π»ΡŒΠ½ΠΎΠΉ эффСктивности ΠΈ ΠΊΠΎΠΌΠΏΠ»Π΅ΠΊΡΠ½ΡƒΡŽ ΠΎΡ†Π΅Π½ΠΊΡƒ ΠΎΡ‚Π½ΠΎΡΠΈΡ‚Π΅Π»ΡŒΠ½ΠΎΠΉ устойчивости Ρ€Π΅Π³ΠΈΠΎΠ½Π°Π»ΡŒΠ½ΠΎΠΉ систСмы здравоохранСния Π½Π° основС Ρ€Π°Π·Ρ€Π°Π±ΠΎΡ‚Π°Π½Π½Ρ‹Ρ… ΠΈΠ½Ρ‚Π΅Π³Ρ€Π°Π»ΡŒΠ½Ρ‹Ρ… ΠΏΠΎΠΊΠ°Π·Π°Ρ‚Π΅Π»Π΅ΠΉ. ΠœΠ΅Ρ‚ΠΎΠ΄ΠΈΡ‡Π΅ΡΠΊΠΈΠΉ инструмСнтарий Π°ΠΏΡ€ΠΎΠ±ΠΈΡ€ΠΎΠ²Π°Π½ Π½Π° ΠΏΡ€ΠΈΠΌΠ΅Ρ€Π΅ систСмы здравоохранСния БвСрдловской области Π² 2017-2018 Π³Π³. На ΠΈΠ½Ρ‚Π΅Π³Ρ€Π°Π»ΡŒΠ½Ρ‹Π΅ коэффициСнты ΠΎΡ‚Π½ΠΎΡΠΈΡ‚Π΅Π»ΡŒΠ½ΠΎΠΉ эффСктивности Ρ€Π΅Π³ΠΈΠΎΠ½Π°Π»ΡŒΠ½ΠΎΠΉ систСмы здравоохранСния ΠΎΠΊΠ°Π·Ρ‹Π²Π°ΡŽΡ‚ нСпосрСдствСнноС влияниС ΠΏΠΎΠΊΠ°Π·Π°Ρ‚Π΅Π»ΠΈ ΠΌΠ΅Π΄ΠΈΠΊΠΎ-ΡΠΎΡ†ΠΈΠ°Π»ΡŒΠ½ΠΎΠΉ Ρ€Π΅Π·ΡƒΠ»ΡŒΡ‚Π°Ρ‚ΠΈΠ²Π½ΠΎΡΡ‚ΠΈ, ΠΊΠΎΡ‚ΠΎΡ€Ρ‹Π΅ Π²ΠΎ ΠΌΠ½ΠΎΠ³ΠΎΠΌ зависят ΠΎΡ‚ уровня финансирования ΠΈ управлСния отрасли. Π’ Ρ‚ΠΎ ΠΆΠ΅ врСмя ΠΏΠΎΠΊΠ°Π·Π°Ρ‚Π΅Π»ΠΈ ΠΎΡ‚Π½ΠΎΡΠΈΡ‚Π΅Π»ΡŒΠ½ΠΎΠΉ эффСктивности ΠΌΠΎΠ³ΡƒΡ‚ Π±Ρ‹Ρ‚ΡŒ высокими Π΄Π°ΠΆΠ΅ ΠΏΡ€ΠΈ нСдостиТСнии Π½ΠΎΡ€ΠΌΠ°Ρ‚ΠΈΠ²Π½ΠΎΠ³ΠΎ уровня ΠΎΡ‚Π½ΠΎΡΠΈΡ‚Π΅Π»ΡŒΠ½ΠΎΠΉ устойчивости. ΠŸΡ€Π΅Π΄Π»ΠΎΠΆΠ΅Π½ ΠΈΠ½Ρ‚Π΅Π³Ρ€Π°Π»ΡŒΠ½Ρ‹ΠΉ коэффициСнт уровня риска, ΡƒΡ‡ΠΈΡ‚Ρ‹Π²Π°ΡŽΡ‰ΠΈΠΉ Π½Π΅ΠΎΠ±Ρ…ΠΎΠ΄ΠΈΠΌΠΎΡΡ‚ΡŒ сохранСния устойчивости систСмы здравоохранСния для ΡΡ‚Π°Π±ΠΈΠ»ΡŒΠ½ΠΎΠ³ΠΎ функционирования ΠΈ развития. ΠŸΠΎΡΡ‚Ρ€ΠΎΠ΅Π½Π° интСрактивная модСль, ΠΏΠΎΠ·Π²ΠΎΠ»ΡΡŽΡ‰Π°Ρ ΠΎΠΏΡ€Π΅Π΄Π΅Π»ΠΈΡ‚ΡŒ Π·ΠΎΠ½Ρƒ риска ΠΈ Π±Π΅Π·ΠΎΠΏΠ°ΡΠ½ΡƒΡŽ Π·ΠΎΠ½Ρƒ для Ρ€Π΅Π³ΠΈΠΎΠ½Π°Π»ΡŒΠ½ΠΎΠΉ систСмы здравоохранСния. Π Π°Π·Ρ€Π°Π±ΠΎΡ‚Π°Π½Π½Ρ‹ΠΉ мСтодичСский инструмСнтарий являСтся ΡƒΠ½ΠΈΠ²Π΅Ρ€ΡΠ°Π»ΡŒΠ½Ρ‹ΠΌ ΠΈ позволяСт ΠΎΠ±ΡŠΠ΅ΠΊΡ‚ΠΈΠ²Π½ΠΎ ΠΎΡ†Π΅Π½ΠΈΡ‚ΡŒ ΡƒΡ€ΠΎΠ²Π΅Π½ΡŒ эффСктивности ΠΈ состояниС устойчивости Ρ€Π΅Π³ΠΈΠΎΠ½Π°Π»ΡŒΠ½ΠΎΠΉ систСмы здравоохранСния. Π”Π°Π»ΡŒΠ½Π΅ΠΉΡˆΠΈΠ΅ исслСдования Π² области ΠΎΡ†Π΅Π½ΠΊΠΈ эффСктивности ΠΈ устойчивости российского здравоохранСния позволят ΡΠΎΠ²Π΅Ρ€ΡˆΠ΅Π½ΡΡ‚Π²ΠΎΠ²Π°Ρ‚ΡŒ ΠΏΡ€Π΅Π΄Π»ΠΎΠΆΠ΅Π½Π½Ρ‹ΠΉ мСтодичСский Π°ΠΏΠΏΠ°Ρ€Π°Ρ‚ с Ρ‚ΠΎΡ‡ΠΊΠΈ зрСния Ρ€Π°ΡΡˆΠΈΡ€Π΅Π½ΠΈΡ ΠΎΡ…Π²Π°Ρ‚Π° Ρ„Π°ΠΊΡ‚ΠΎΡ€ΠΎΠ², Π²Π»ΠΈΡΡŽΡ‰ΠΈΡ… Π½Π° Ρ€Π°Π·Π²ΠΈΡ‚ΠΈΠ΅ отрасли.Nowadays, the sustainability of the health care system is a relevant research topic. The works of Russian scientists demonstrate the lack of a systematic approach to determining the efficiency and sustainability of the Russian health care. International experience and the data of the Regional Office for Europe of the World Health Organization (WHO) show that, despite extensive research, efficiency indicators of the health care system have been insufficiently developed. Using the methods of multidimensional comparative analysis, determined factor analysis, structural analysis, expert assessment, statistical modelling and forecasting methods, we developed a methodology for the comprehensive assessment of the efficiency and sustainability of the regional health care system. The methodological toolkit includes the comprehensive assessment of the relative efficiency and relative sustainability of the regional health care system based on the established integral indicators. We tested this methodology on the example of the health care system of Sverdlovsk Oblast in the period 2017-2018. Integral indicators of the relative efficiency are directly influenced by the indicators of medical and social performance, which largely depend on the funding and management of the health care system. Simultaneously, the indicators of the relative efficiency can be high even if the indicators of the relative sustainability did not reach the established threshold. An integral indicator of the risk level considers the need to maintain the sustainability of the health care system for its functioning and development. Further, we constructed an interactive model for determining the risk zone and safe zone of the health care system. Due to its versatility, the proposed methodological toolkit allows an objective assessment of the efficiency and sustainability of the regional health care system.ИсслСдованиС ΠΏΡ€ΠΎΠ²Π΅Π΄Π΅Π½ΠΎ ΠΏΡ€ΠΈ ΠΏΠΎΠ΄Π΄Π΅Ρ€ΠΆΠΊΠ΅ Российского Ρ„ΠΎΠ½Π΄Π° Ρ„ΡƒΠ½Π΄Π°ΠΌΠ΅Π½Ρ‚Π°Π»ΡŒΠ½Ρ‹Ρ… исслСдований, Π³Ρ€Π°Π½Ρ‚ β„–19–010–00396 Β«Π­Ρ„Ρ„Π΅ΠΊΡ‚ΠΈΠ²Π½ΠΎΡΡ‚ΡŒ систСмы здравоохранСния ΠΊΠ°ΠΊ Ρ„Π°ΠΊΡ‚ΠΎΡ€ устойчивого ΡΠΎΡ†ΠΈΠ°Π»ΡŒΠ½ΠΎ-экономичСского развития Ρ€Π΅Π³ΠΈΠΎΠ½ΠΎΠ²Β».The article has been prepared with the support of Russian Foundation for Basic Research, the grant No. 19–010–00396 β€œEffectiveness of health system as a factor of sustainable social and economic development of regions

    Impurity-induced spin polarization and NMR line broadening in underdoped cuprates

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    We present a theory of magnetic (S=1) Ni and nonmagnetic Zn impurities in underdoped cuprates. Both types of impurities are shown to induce S=1/2 moments on Cu sites in the proximity of the impurity, a process which is intimately related to the spin gap phenomenon in cuprates. Below a characteristic Kondo temperature, the Ni spin is partially screened by the Cu moments, resulting in an effective impurity spin S=1/2. We further analyze the Ruderman-Kittel-Kasiya-Yosida-type response of planar Cu spins to a polarization of the effective impurity moments and derive expressions for the corresponding ^{17}O NMR line broadening. The peculiar aspects of recent experimental NMR data can be traced back to different spatial characteristics of Ni and Zn moments as well as to an inherent temperature dependence of local antiferromagnetic correlations.Comment: PRB B1 01June9
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