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

Downhole telemetry system reliability calculation and improvement

Work on PNIER RFMEFI57815X0134 performed with the financial support of the Ministry of Education and Science of the Russian Federation in the framework of the agreement №14.578.21.0134 on 27 October 2015

Downhole Telemetry System Reliability Calculation and Improvement

The article gives an estimation and a calculation of the reliability indexes for the downhole telemetry system downhole unit under severe operating conditions of high temperature environment. The reliability-growth methods are suggested. It is shown that the use of redundancy significantly extends mean time to failure even in high temperature environment. © 2017 Author(s).Work on PNIER RFMEFI57815X0134 was performed with the financial support of the Ministry of Education and Science of the Russian Federation as a part of the agreement No. 14.578.21.0134 on 27 October 2015

Downhole Telemetry System Reliability Calculation and Improvement

The article gives an estimation and a calculation of the reliability indexes for the downhole telemetry system downhole unit under severe operating conditions of high temperature environment. The reliability-growth methods are suggested. It is shown that the use of redundancy significantly extends mean time to failure even in high temperature environment. © 2017 Author(s).Work on PNIER RFMEFI57815X0134 was performed with the financial support of the Ministry of Education and Science of the Russian Federation as a part of the agreement No. 14.578.21.0134 on 27 October 2015

Application of Distance Educational Technologies in Preschool Education

В статье описывается опытно-экспериментальная работа по организации условий для дистанционного обучения в дошкольном образовании. Во время эксперимента авторами использовались технологии удаленного обучения, были разработаны пять проектов авторских самостоятельных работ.The article describes the experimental work on the organization of conditions for distance learning in preschool education. During the experiment, the authors used distance learning technologies; five projects of author's independent works were developed

Organization of Preschool Educational Activities Using Distance Educational Technologies

В статье рассматриваются теоретические основы организации дошкольной образовательной деятельности с применением дистанционных образовательных технологий. Проанализированы труды ученых, посвященные значимости использования дистанционных образовательных технологий в дошкольном образовании.The article discusses the theoretical foundations of organizing preschool educational activities using distance learning technologies. The works of scientists devoted to the importance of using distance educational technologies in preschool education are analyzed

Steady state of atoms in a resonant field with elliptical polarization

We present a complete set of analytical and invariant expressions for the steady-state density matrix of atoms in a resonant radiation field with arbitrary intensity and polarization. The field drives the closed dipole transition with arbitrary values of the angular momenta $J_{g}$ and $J_{e}$ of the ground and excited state. The steady-state density matrix is expressed in terms of spherical harmonics of a complex direction given by the field polarization vector. The generalization to the case of broad-band radiation is given. We indicate various applications of these results.Comment: revtex, 26 pages, including 3 eps figures; PRA accepted for publication;v2 three typos are fixe

Ectothiorhodospira variabilis, sp. nov., an alkaliphilic and halophilic purple sulfur bacterium from soda lakes

During studies of moderately halophilic strains of Ectothiorhodospira from steppe soda lakes, we found a novel group of bacteria related to Ectothiorhodospira haloalkaliphila with salt optima at 50–80 g NaCl l”1. Phylogenetic analysis using 16S rRNA gene sequences of strains from soda lakes in Mongolia, Egypt and Siberia revealed separation of the group of new isolates from other Ectothiorhodospira species, including the closely related Ect. haloalkaliphila. DNA–DNA hybridization studies demonstrated that the new isolates form a homogeneous group at the species level, but at the same time are distinct from related species such as Ect. haloalkaliphila, Ect. vacuolata, Ect. shaposhnikovii and Ect. marina. The new isolates are considered to be strains of a novel species, for which the name Ectothiorhodospira variabilis sp. nov. is proposed, with the type strain WN22T (5VKM B-2479T 5DSM 21381T). Photosynthetic pigments of the novel species are bacteriochlorophyll a and carotenoids of the spirilloxanthin series with spirilloxanthin and derivatives thereof, together with small amounts of lycopene and rhodopin. Gas vesicles are formed by most of the strains, particularly in media containing yeast extract (0.5 g l”1) and acetate (0.5–2.0 g l”1). Sequence analysis of nifH (nitrogenase) and cbbL (RuBisCO) confirmed the assignment of the strains to the genus Ectothiorhodospira and in particular the close relationship to Ect. haloalkaliphila. The novel species Ect. variabilis is found in soda lakes separated by great geographical distances and is an alkaliphilic and halophilic bacterium that tolerates salt concentrations up to 150–200 g NaCl l”1

Влияние количества биоптатов, взятых при таргетной биопсии предстательной железы, на вероятность положительного результата у пациентов с клинически значимым раком предстательной железы

Background. Targeted biopsy is proposed as a method of choice in the algorithm of prostate cancer diagnosis, but not all the features of method has been evaluated. Objective: determine the rational number of targeted biopsy samples in patients with clinically significant prostate cancer. Materials and methods. The magnetic resonance imaging and fusion biopsy data of 156 patients with suspected prostate cancer were retrospectively evaluated. Results and conclusion. In the study statistically significant dependence of the positive histological results in patients with clinically significant prostate cancer from the number of biopsy samples was found. The potential probability of a false negative histological examination with an insufficient number of biopsy samples was noted. These results confirm the latest published data of potential targeted biopsy false in true positive patients after multiparametric magnetic resonance imaging. An increase in the number of biopsy samples in the target lesion reduces the likelihood of false-negative results. The main causes of such discrepancy are some technical laxity and the heterogeneous histological structure of prostate cancer. Increase the number of biopsy cores can reduce the likelihood of false-negative results. © 2020 ABC-press Publishing House. All rights reserved

Infective and nonbacterial thrombotic endocarditis in patients with post-COVID-19 viral-immune myocarditis

The possibility of heart inflammation (both myocardial and endocardial) months after a coronavirus disease 2019 (COVID-19) has not been practically studied, especially since approaches to the treatment of myocarditis in combination with various endocarditis forms have not been developed.Aim. To study the prevalence and mechanisms of SARS-CoV-2-associated endocardial injury in patients with morphologically verified post-COVID-19 myocarditis, as well as to develop approaches to comprehensive therapy.Material and methods. The study included 18 patients with severe morphologically verified post-COVID-19 myocarditis (men, 9; 51,1±9,4 years; 35 to 66 years). Patients with prior verified myocarditis/myocardial infarction, rheumatic heart disease, and systemic immune diseases were excluded. The average time after COVID-19 was 6,5 [3.5; 10] months The diagnosis of myocarditis was confirmed by endomyocardial biopsy (including immunohistochemical examination with antibodies to CD3, CD20, CD45, CD68, and to SARS-CoV-2 antigens; polymerase chain reaction for SARS-CoV-2 RNA, DNA of cardiotropic viruses). The blood level of anticardiac antibodies was determined by indirect immunofluorescence. In addition, echocardiography, magnetic resonance imaging (n=8), cardiac multislice tomography (n=1), and coronary angiography (n=14) were performed.Results. Biopsy revealed active (n=12) and borderline (n=3) lymphocytic myocarditis, eosinophilic (n=2) and giant cell (n=1) myocarditis. In 4 patients, nonbacterial thrombotic endocarditis (NBTE) with parietal and intravascular thrombosis was diagnosed, and in one patient — infective endocarditis (IE) of the bicuspid aortic valve. Myocardial persistence of SARS-CoV-2 was detected in 72% of cases (in 3 patients — with NBTE; in 1 — with IE; in 9 — without endocarditis). Titers of anticardiac antibodies increased by 3-4 times in 94% of patients. Patients with endocarditis were characterized by larger heart chambers, lower ejection fraction (27,5±6,6 vs 36,0±13,4%), more severe pulmonary hypertension, and valvular regurgitation. Intraventricular thrombosis according to echocardiography/magnetic resonance imaging and cardiac embolism was not observed. Treatment in all patients included methylprednisolone at an average dose of 24 mg a day. In 10 patients, the result was monitored for at least 3 months as follows: the ejection fraction was 46,0±12,7% and 44,3±7,3% in patients with and without endocarditis, respectively.Conclusion. Endocarditis in patients with post-COVID-19 myocarditis was detected in 28% (1 patient — IE; 4 — NBTE). The key mechanisms of post-COVID-19 myocarditis and NBTE are long-term (up to 18 months) myocardial persistence of SARS-Cov-2 and the development of an autoimmune reaction. Endocarditis was diagnosed in more severe patients, including those with giant cell and eosinophilic myocarditis. The effectiveness of steroid therapy in combination with anticoagulants in patients with NBTE requires further study. In case of IE, steroids can also be used in the treatment of myocarditis (in combination with antibiotics and immunoglobulin)