Blockchain technologies in healthcare institutions : focus on security and effective cooperation with the government

Purpose: This article considers the relevance of healthcare modernization processes in Russia in terms of marketing activities activation, public-private partnerships intensification. Design/Methodology/Approach: The problem of ensuring security when government and healthcare institutions interact by means of blockchain technologies is under-explored and requires further research and investigation. Therefore, methods of induction, deduction, problem, system and logical analysis along with the economic process and system modelling method combined with the formalization method are used in this article. Findings: A mechanism for effective ensuring the safety of interaction between the government and healthcare institutions using blockchain technologies in the course of conducting financial flows and operational information exchange in modern Russia is proposed. Practical Implications: The proposed mechanism for effective ensuring of security in terms of interaction between the government and the healthcare institution by means of blockchain technologies in modern Russia effectively ensures the security of interaction between the government and healthcare institutions . Originality/Value: Authors’ findings could be introduced into the healthcare industry.peer-reviewe

The role of social-ethical marketing and information and communication technologies in response to challenges of oncology

The aim of this article is to present theoretical justification of a possible and appropriate active use of social-ethical marketing in business and the involvement of the public and the professional medical community in communication on social networking platforms as an economic response to challenges of oncology, as well as elaboration of practical recommendations for this purpose. The authors analyze the potential of social networks and the development of information and communication technologies in solving the oncological disease problem. They compare current capacities of information and communication technologies and the desired level of their development in tackling the problem of oncological diseases in Russia. They also present the role of the information component in social-ethical marketing for the solution of the oncological disease problem offering an original model of the economic response to challenges of oncology.peer-reviewe

Assessment of the efficacy of a peroral anticoagulant after surgical resection of gastric cancer

Aims Patients suffering from gastric cancer have a high risk of postoperative thrombotic complications and often use anticoagulants. Direct oral anticoagulants absorb in the proximal region of the digestive tract. Consequently, a reduction in anticoagulating activity is possible. In the present research given is an evaluation of the anti-Xa activity upon administration of Rivaroxaban at a fixed dose of 20 mg once daily in oncological patients after gastrectomy or cases of extensive resection of the stomach. Materials and methods The study cohort covered 20 patients after surgical treatment of gastric cancer having normal renal/hepatic function. The patients received Rivaroxaban at a fixed dose of 20 mg once daily to prevent venous thromboembolic complications. Results When evaluating absorption and bioavailability of 20 mg of Rivaroxaban sufficient anti-Xa blood plasma activity (1.37±0.16 UI/ml) was recorded. However, in 5 patients the absorption of a therapeutic agent was not-critical, their average anti-Xa activity being 0.32 ± 0.14 UI/ml. Conclusion Absorption of peroral anticoagulants in most patients who have experienced extensive stomach resections, is satisfactory. However, the level of anticoagulant activity showed significant changeability, as in a quarter of patients malabsorption of rivaroxaban was observed. Thus, when prescribing anticoagulant tablets to this category of patients it is necessary to control the absorption of medical drugs