Evaluating the effectiveness of public health financing based on financial and non-financial indicators in terms of the knowledge economy

In conditions of the knowledge economy human capital, human value are the main factors of economic growth and prosperity of the state. Qualitative characteristics of human capital are indicators of public health. Therefore, one of the most important tasks of the state is to assess the effectiveness of financing public health expenditures. The methodological base of the research was the methods of system and economic analysis, mathematical statistics and decision optimization, which resulted in the identification of factors influencing the resource supply, availability and quality of public health. The formation of a comprehensive indicator of the effectiveness of the public health system based on the system of financial and non-financial indicators will allow to form numerically an assessment of the effectiveness of investments in public health and draw conclusions about the resources' provision, level of development, accessibility and quality of public health. The obtained results can be used in making effective public financial decisions, which allow to achieve an increase of accessibility and quality of health care, focusing on the human capital in conditions of knowledge economy.peer-reviewe

Design of Pre-Dumping Ring Spin Rotator with a Possibility of Helicity Switching for Polarized Positrons at the ILC

The use of polarized beams enhance the possibility of the precision measurements at the International Linear Collider (ILC). In order to preserve the degree of polarization during beam transport spin rotators are included in the current TDR ILC Lattice. In this report some advantages of using a combined spin rotator/spin flipper are discussed. A few possible lattice designs of spin flipper developed at DESY in 2012 are presented.Comment: Talk presented at the International Workshop on Future Linear Colliders (LCWS15), Whistler, Canada, 2-6 November 201

The Role of Biologically Active Aqueous Humor Molecules of the Anterior Chamber and Lacrimal Fluid in the Implementation of the Hypotensive Effect of Non-Penetrating Deep Sclerectomy

To date, the factors affecting the course of the reparative process after non-penetrating deep sclerectomy (NPDS) have not been fully determined. There is no systematic information about the regulatory role of the cytokines TGF-β, IL-6, IL-8 and MMP-9, VEGF A 121 and 165 in the formation mechanisms of the newly created pathways consistency of intraocular aqueous humor outflow.Purpose. To determine possible ways of impact of biologically active aqueous humor molecules of the anterior chamber and lacrimal fluid on the hypotensive effect of non-penetrating deep sclerectomy.Methods. A prospective study of 65 patients with open-angle glaucoma before and 12 months after NPDS and 22 patients without eye hydrodynamic disorders with the determination of the initial concentrations of biologically active molecules in the lacrimal fluid and aqueous humor of the anterior chamber. Twelve months after NPDS all patients were divided into three groups, depending on the hypotensive effect of the operation, according to the criteria.Results. Multivariate discriminant analysis showed the greatest inter-group differences, calculated by the square of the Mahalanobis distance, between group 3 with no hypotensive effect of NPDS and the control group (R2 = 8.48, p = 0.001). The most informative features that determine the differences between the 4 groups in the total population, calculated according to the Fischer F-test, were MMP-9 (F = 14.7, p = 0.001) and TGF-β (F = 7.08, p = 0.001) in the aqueous humor of the anterior chamber. In pairwise comparison of groups 1 and 2, the maximum level of significance according to the F-criterion was characteristic of the level of tear IL-6 (F = 21.25, p = 0.001), with approximately equal degree – IL-8 (F = 7.85, p = 0.001) and VEGF (F = 7.12, p = 0.001), to a lesser extent TGF of aqueous humor (F = 4.43, p = 0.001) and MMR-9 (F = 2.23, p = 0.001). Between groups 1–3, the maximum differences according to the Fisher criterion were observed in the IL-8 (F = 20.99, p = 0.001), TGF (F = 8.75, p = 0.001) and to a lesser extent – TGF (F = 5.83, p = 0.001).Conclusion. The analysis of the obtained data showed the decisive role of the imbalance of proinflammatory cytokines, signaling proteins with prolymphoangiogenic activity, and MMP-9 in the aqueous humor of the anterior chamber, as well as in the initial state of the lacrimal fluid in the postoperative healing processes after NPDS

THE RESULTS OF THE STUDY OF VARIETIES OF ALFALFA IN THE CENTRAL-CHERNOZEM ZONE

Three-year study of one hundred world collection of alfalfa was conducted in Central Black-Earth zone of Russia. The varieties of Medicago × varia ‘Zheltogibridnaya 99’, ‘Flora 2’, ‘Karlygash’ and ‘№ 152’ (hybrid ‘Severnaya hybridnaya’ בAugune II’) were recommended for breeding programs. The most variable were character of seed production, productivity of green mass and hay yield productivity; character of foliage and the intensity of regrowth of plants on the 20-th day after spring regrowth had medium variability. The height before the first mowing and height in the phase of full flowering had low variability. There was a significant correlation between the yield of green mass and hay, the yield of green mass and intensity of regrowth and a weak negative correlation between the yield of green mass and seed yield

ВВОД ПРОБЫ АРОМАТИЧЕСКИХ СОЕДИНЕНИЙ С КОНЦЕНТРАТОРОВ В ПОЛИКАПИЛЛЯРНУЮ КОЛОНКУ МЕТОДОМ ТЕРМИЧЕСКОЙ ДЕСОРБЦИИ

At present, there is an increased interest in geochemical methods of searching for hydrocarbon deposits by detecting on the Earth's surface the scattering halos of hydrocarbons that migrated from those deposits, namely the aromatic hydrocarbons such as benzene, toluene, xylenes. The concentrations of the migrated hydrocarbons on the surface of the Earth are usually low and could only be detected at the threshold level of the gas analyzers. Therefore, for their registration, the preconcentration is applied, in particular, the passive preconcentration. For this purpose, the concentrators are used, which are laid at shallow depths in the explored area. The survey technology that is being developed by the authors uses the reusable concentrators in the form of hollow stainless-steel tubes with SE-30 siloxane-based sorbent applied on their inner surface. The concentrators placed in the analytical containers are laid in the ground for 1-2 days. The analysis of the samples from the concentrators is carried out on a portable multicapillary gas chromatograph in the field conditions. The current article is devoted to the development of a special device for the sample injection from the passive concentrators and the experimental determination of the optimal mode of thermal desorption sample injection from the concentrators into the multicapillary column. The original injection scheme is given, where the gas-dynamic isolation of the injection device camera and the multicapillary column during the concentrator heating and sample analysis is implemented; the optimum concentrator heating time and the optimum sample injection time are determined.Keywords: passive concentrators, thermal desorption sample injection, gas-dynamic isolation of the injection device and columnDOI: http://dx.doi.org/10.15826/analitika.2019.23.3.003(Russian)V.M. Gruznov1,2,3, M.N. Baldin1, A.O. Malysheva1,3 1Trofimuk Institute of Petroleum Geology and Geophysics of Siberian Branch of Russian Academy of Sciences, Koptug Avenue, 3, Novosibirsk, 630090,Russian Federation2Novosibirsk State University, Pirogova St., 2, Novosibirsk, 630090, Russian Federation3Novosibirsk State Technical University, Prospekt K. Marx Avenue, 20, Novosibirsk, 630073, Russian FederationВ настоящее время возрос интерес к геохимическим методам поиска залежей углеводородов по выявлению на поверхности Земли ореолов углеводородов, мигрирующих из залежей, в частности ароматических углеводородов: бензола, толуола, ксилолов. Концентрации мигрирующих углеводородов на поверхности Земли, как правило низкие, и находятся на уровне пороговых значений для газоаналитических приборов. Поэтому для их регистрации применяют концентрирование, в частности пассивное. Для этого используют концентраторы, закладываемые на небольшие глубины на разведываемой площади. В технологии съёмки, разрабатываемой авторами, используются многоразовые концентраторы в виде полых трубок из нержавеющей стали с сорбентом на основе силоксана SE-30, нанесенного на внутреннюю поверхность. Концентраторы в аналитических контейнерах закладываются в грунт на 1-2 суток. Анализ проб с концентраторов осуществляется на портативном поликапиллярном газовом хроматографе в полевых условиях. Статья посвящена специальному устройству ввода пробы с пассивных концентраторов и экспериментальному определению оптимального режима термодесорбционного ввода пробы с концентраторов в поликапиллярную колонку. Приведена оригинальная схема ввода, в которой реализована газодинамическая изоляция камеры устройства ввода и поликапиллярной колонки во время нагрева концентратора и анализа пробы, определено оптимальное время нагревания концентраторов и время ввода пробы.Ключевые слова: пассивные концентраторы, ввод методом термической десорбции, газодинамическая изоляция устройства ввода и колонкиDOI: http://dx.doi.org/10.15826/analitika.2019.23.3.00

ВНЕЛАБОРАТОРНЫЙ ЭКСПРЕССНЫЙ ГАЗОХРОМАТОГРАФИЧЕСКИЙ МЕТОД АНАЛИЗА ВЫДЫХАЕМОГО ЧЕЛОВЕКОМ ВОЗДУХА С АВТОМАТИЗИРОВАННОЙ ГРАДУИРОВКОЙ

One of the current urgent task in medicine, and preventive medicine in particular, is the development of noninvasive (without surgery) methods of diagnosis and determination of the risks of various diseases. Much attention is paid to the possibilities of exhaled breath analysis for the diagnosis of various diseases such as cancer, gastroenterology, diabetes and others. Possibilities of such analyses are determined by a wide range of human exhaled volatile organic compounds. The growing interest in the development of noninvasive methods of diagnosis of diseases by the analysis of exhaled breath initiated the creation of easy-to-use and portable gas analyzers for the mass examination of patients in non-laboratory conditions. The main requirements for such gas analyzers are combinations of portability, speed, sensitivity and stability control. Current article presents a gas chromatographic method of rapid analysis of exhaled breath with an automated calibration of the vapor-phase concentration source that meets all of the above requirements. A portable polycapillary gas chromatography is used, which provides low thresholds for the determination of substances at the time of analysis of a few tens of seconds. The method of obtaining the vapor-phase calibration concentration of acetone vapors at the level of 10-10 g/cm3 is discussed. The calibration unit is integrated into the gas chromatograph (GC), and its software control ensures the automation of GC calibration. The original scheme of the sampling system (SS) provides multiple input samples from a single exhalation of a person and a completely similar input calibration air mixture in GC to reduce the calibration errors. The structure of the software is implemented in convenient terms for the chemist-analyst practice. Original SS, polycapillary gas chromatography, and built-in automated calibration provide real-time analysis of exhaled air in the presence of the patient. The possibility of differentiation of patients by metabolic disorders (metabolism) in the human body by express analysis of exhaled air using the proposed gas chromatographic method of express analysis of exhaled air with automated calibration is illustrated.Key words: automated sample device, express analysis of exhaled air, polycapillary gas chromatography, automated graduation, a head-space source of concentration(Russian) DOI: http://dx.doi.org/10.15826/analitika.2018.22.2.007A.O. Malysheva1, 3, M.N. Baldin1, V.M. Gruznov1, 2, 3, L.V. Blinova11Trofimuk Institute of Petroleum Geology and Geophysics of Siberian Branch of Russian Academy of Sciences, Koptyug Avenue, 3, Novosibirsk, 630090,Russian Federation 2Novosibirsk State University, Pirogova St., 2, Novosibirsk, 630090, Russian Federation 3Novosibirsk State Technical University, K. Marx Avenue, 20, Novosibirsk, 630073, Russian FederationВ настоящее время актуальной задачей медицины, в частности профилактической, является разработка неинвазивных (бескровных) методик диагностики и определения риска различных заболеваний. Уделяется большое внимание возможностям анализа выдыхаемого воздуха для диагностики различных заболеваний – раковых, гастроэнтерологических, сахарного диабета и других. Возможности такого анализа определены широким набором выдыхаемых человеком летучих органических соединений. Возрастающий интерес к разработке неинвазивных методик диагностики заболеваний по анализу выдыхаемого человеком воздуха инициирует создание простых в обращении и портативных газовых анализаторов для массового обследования пациентов во внелабораторных условиях. Основные требования к газоанализаторам ‒ это сочетание портативности, быстродействия, чувствительности и контроля стабильности отклика. В статье изложен удовлетворяющий этим требованиям газохроматографический метод экспрессного анализа выдыхаемого воздуха с автоматизированной градуировкой парофазным источником концентрации. Использована портативная поликапиллярная газовая хроматография, обеспечивающая низкие пороги определения веществ при времени анализа в несколько десятков секунд. Обсуждается методика получения парофазной градуировочной концентрации паров ацетона на уровне 10–10 г/см3. Блок градуировки встроен в газовый хроматограф (ГХ), его программное управление обеспечивает автоматизацию градуировки ГХ. Оригинальная схема пробоотборного устройства (ПУ) обеспечивает многократный ввод пробы из разового выдоха человека и полностью аналогичный ввод градуировочной воздушной смеси в ГХ для уменьшения погрешностей градуировки. Структура программного обеспечения (ПО) реализована в терминах, удобных для практики химика-аналитика. Оригинальное ПУ, поликапиллярная газовая хроматография, встроенная автоматизированная градуировка обеспечивают анализ выдыхаемого воздуха в режиме реального времени в присутствии пациента. Проиллюстрирована возможность дифференцирования пациентов по нарушению метаболизма (обмену веществ) в организме человека по экспрессному анализу выдыхаемого воздуха предложенным газохроматографическим методом экспрессного анализа выдыхаемого воздуха с автоматизированной градуировкой.Ключевые слова: отбор выдыхаемого воздуха, экспрессный анализ выдыхаемого воздуха, поликапиллярная газовая хроматография, автоматизированная градуировка, парофазный источник концентрацииDOI: http://dx.doi.org/10.15826/analitika.2018.22.2.00

Clinical and Immunological Evaluation of the Effectiveness of Non-Penetrating Deep Sclerectomy in the Early Postoperative Period

Today the mechanisms of pathological scarring and inconsistency of the intraocular fluid outflow pathways after nonpenetrating deep sclerectomy (NPDS), reducing its effectiveness, have not yet been determined. There is no systematic information about the regulatory role of cytokine TGF-β and MMP-9 in the mechanisms of formation of the newly created intraocular fluid outflow pathways.Aim: to assess changes in the clinical and immunological status of patients with open-angle glaucoma after NPDS in the early postoperative period.Methods. A prospective examination of 26 patients with open-angle glaucoma before and in 1 month after NPDS with determination of concentration of TGF-β and MMP-9 in tear humor. One month after NPDS, all patients were divided into two groups depending on the effect of the operation achieved according to the developed criteria.Results. Before the operation, tears TGF-β values in group 1 exceeded baseline values of group 2 by 1.4 times, the initial content of MMP-9 in tears in both groups was comparable. After the operation, in group 1, a moderate increase in the concentration of tears TGF-β by 1.3 times and a significant increase in the concentration of tears MMP-9 in 4.6 times compared with baseline values were revealed. In patients of group 2, after NPDS, there was a significant increase in the concentration of tears TGF-β, on average, 2.4 times relative to preoperative values, the content of MMP-9 did not significantly change.Conclusion. 1 month after NPDS, an imbalance in the concentration of TGF-β and MMP-9 in tears was detected in patients of the two groups that have fundamental clinical differences in the hypotensive effect and the formation of postoperative intraocular fluid outflow pathways

Vasa vasorum lumen narrowing in brain vascular hyalinosis in systemic hypertension patients who died of ischemic stroke

Ischemic stroke is a major cause of death among patients with systemic hypertension. The narrowing of the lumen of the brain vasculature contributes to the increased incidence of stroke. While hyalinosis represents the major pathological lesions contributing to vascular lumen narrowing and stroke, the pathogenic mechanism of brain vascular hyalinosis has not been well characterized. Thus, the present study examined the postmortem brain vasculature of human patients who died of ischemic stroke due to systemic hypertension. Hematoxylin and eosin staining and immunohistochemistry showed the occurrence of brain vascular hyalinosis with infiltrated plasma proteins along with the narrowing of the vasa vasorum and oxidative stress. Transmission electron microscopy revealed endothelial cell bulge protrusion into the vasa vasorum lumen and the occurrence of endocytosis in the vasa vasorum endothelium. The treatment of cultured microvascular endothelial cells with adrenaline also promoted the formation of the bulge as well as endocytic vesicles. The siRNA knockdown of sortin nexin-9 (a mediator of clathrin-mediated endocytosis) inhibited adrenaline-induced endothelial cell bulge formation. Adrenaline promoted protein-protein interactions between sortin nexin-9 and neural Wiskott–Aldrich syndrome protein (a regulator of actin polymerization). Spontaneously hypertensive stroke-prone rats also exhibited lesions indicative of brain vascular hyalinosis, the endothelial cell protrusion into the lumen of the vasa vasorum, and endocytosis in vasa vasorum endothelial cells. We propose that endocytosis-dependent endothelial cell bulge protrusion narrows the vasa vasorum, resulting in ischemic oxidative damage to cerebral vessels, the formation of hyalinosis, the occurrence of ischemic stroke, and death in systemic hypertension patients

A clinical case of exocrine pancreatic insufficiency in a patient with type 1 diabetes mellitus

The pancreas belongs to the glands of mixed secretion and simultaneously performs both endo- and exocrine functions. Exocrine pancreatic insufficiency (EPI) is the general name for the malabsorption process caused by inadequate production and decreased activation of the enzymes of the pancreas acinar cells, such as amylase, lipase and protease, which are necessary for digestion. The prevalence of EPI in patients with type 1 diabetes, according to many authors, varies from 25 to 59%, which is determine by the data of pancreatic elastase-1. In this work, we present a clinical case of confirmed exocrine pancreatic insufficiency in a patient with a 6-year history of type 1 diabetes, which became the main cause of the development of episodes of hypoglycemia after meals. In the course of further studies, antibodies to lactoferrin and a reduced prostate volume, determined by MRI data, high levels of antibodies to glutamate decarboxylase and zinc co-transporter 8, as well as residual insulin secretion based on the level of C-peptide on an empty stomach detected

The use of the Cobb-Douglas function in the information support of state planning

The purpose of the study of this article is to test the hypothesis of the expediency of using the Cobb-Douglas function in the information support of state planning as a method of numerical analysis in the regional department of public administratio