Analysis of the restoration of cardiology diagnostics scope in the Russian Federation during the COVID-19 pandemic: results of the Russian segment of the INCAPS COVID 2 study under the auspices of the International Atomic Energy Agency

Aim. To assess the changes in cardiology diagnostics scope in the Russian Federation during the coronavirus disease 2019 (COVID-19) pandemic.Material and methods. In an online survey organized by the Division of Human Health of the International Atomic Energy Agency (IAEA), including questions about changes in the workflow of diagnostic laboratories and the scope of cardiac diagnostics from March 2019 (pre-pandemic) to April 2020 (first wave of the pandemic) and April 2021 (recovery stage), 15 Russian medical centers from 5 cities took part.Results. The decrease in the diagnostics scope by April 2020 by 59,3% compared to March 2019, by April 2021, stopped and was replaced by growth (+7,1%, the recovery rate, 112,1%). The greatest increase was in routine examinations, such as echocardiography (+11,6%), stress echocardiography (+18,7%), stress single photon emission computed tomography (+9,7%), and to a lesser extent resting computed tomography angiography (+7,0%) and magnetic resonance imaging (+6,6%). The performance of stress electrocardiography, stress magnetic resonance imaging and positron emission tomography for the diagnosis of endocarditis in April 2021 compared to March 2019 decreased by 10,3%, 63,2% and 62,5%, respectively.Conclusion. Due to the resumption of patient admissions for cardiac examinations during the ongoing COVID-19 pandemic, with the anti-epidemic measures taken and certain changes in the workflow, there has been a recovery in the diagnostics scope in most of the included centers

науково-практичний коментар

Науково-практичний коментар Кодексу України про адміністративні правопорушення : станом на 5 верес. 2017 р. / за заг. ред. С.В. Пєткова. – Київ: Центр учб. літ., 2017. – 544 с. – ISBN 978-611-01-0880-5.У даному науково-практичному коментарі подано постатейний аналіз чинної редакції Кодексу України про адміністративні правопорушення з урахуванням останніх змін і доповнень станом на 5 вересня 2017 року.This scientific and practical commentary provides an article-by-article analysis of the current version of the Code of Ukraine on Administrative Offenses, taking into account the latest changes and additions as of September 5, 2017.В данном научно-практическом комментарии дан постатейный анализ действующей редакции Кодекса Украины об административных правонарушениях с учетом последних изменений и дополнений по состоянию на 5 сентября 2017

Detailed biostratigraphic scales as based on the palaeobiogenetical approach (an example of the Upper Bajocian – Lower Bathonian ostracod scale of the Russian Platform)

Two new species of ostracods of the family Progonocytheridae Sylvester-Bradley Camptocythere (C.) lateres Tesakova et Shurupova, sp. nov. and C. (C.) angustius Tesakova et Shurupova, sp. nov. from the Michalskii and Besnosovi ammonite zones (Upper Bajocian – Lower Bathonian, Middle Jurassic) of the Sokur section (Saratov) are described. The changes in ontogenesis in the phylogeny of Camptocythere (C.) lateres Tesakova et Shurupova in the stratigraphical interval corresponding to the Palaeocytheridea kalandadzei ostracod Zone, and especially to the beds with C. (C.) lateres, have been studied. The levels of the change in the predominant type of sculpture (corresponding to evolutionary boundaries) are recognized in the sculpture development among the adult representatives of the species in its phylogeny. This palaeobiogenetic (heterochrony) approach allows subdivision of the beds with C. (C.) lateres into three stratigrapical intervals characterized by changes in the type of sculpture

Features public policy development of education and Russian regions

В статье анализируются особенности государственной политики в области развития системы образования как в России, так и в ее регионах.The paper analyzes the characteristics of the state policy in the field of development of the education system in Russia, and in its regions

Search for all solutions to the dynamic programming problem if their multicriteria estimates coincide

Among the mathematical methods used in economics, a prominent place is occupied by the dynamic programming method, with the help of which the optimal control of multi-stage processes is organized. The disadvantage of this method is the impossibility of calculating all solutions to the problem if their criteria-based estimates coincide. The fact of the existence of several optimal trajectories of a multi-step process may mean that the task is not set correctly, in the sense that the assigned criteria do not fully characterize the system under study. This means that the traditional method of dynamic programming needs to be refined in case of the existence of several optimal trajectories with the same value of the criterion. This article proposes the most general version of such refinement, namely, a multi-criteria numerical scheme is generalized. For a more visual representation of calculations and the result of the study, we will describe the discrete dynamic programming problem in terms of graph theory. In this case, it reduces to the problem of finding the optimal path on a directed graph. To solve it, a three-stage algorithm is proposed, the composition of which includes the following steps. The first stage is the construction of optimal criteria estimates for paths from the initial vertex to all the others. To perform this stage, the most universal method is the multicriteria version of the Ford – Bellman method. The second stage is the construction of a graph of optimal paths. In the original graph, arcs are selected that are part of the optimal paths. Of these, using the original algorithm, a subgraph is formed in which all paths are optimal. It is analytically proved that this algorithm gives the correct result (correct). The third stage is enumeration of all paths in the constructed subgraph. Numerical experiments showed that the proposed three-stage method works efficiently on oriented graphs of any type in a sufficiently large range of dimensions. The proposed algorithm with minimal changes can be used to solve an arbitrary discrete dynamic programming problem

The Potential of Petromagnetic Methods in Paleoecological Reconstructions Based on the Example of Jurassic Deposits (Callovian–Lower Oxfordian) of the Mikhailovtsement Section (Ryazan Region)

© 2019, Allerton Press, Inc. Abstract—: Based on a detailed integrated petromagnetic, lithological, and micropaleontological study of the Mikhailovtsement reference section of the Moscow syneclise (Ryazan Region), the fluctuations in the Middle Russian Sea level in the Callovian–Early Oxfordian were reconstructed. According to the variations of petromagnetic parameters through the section, seven petromagnetic intervals corresponding to different stages of the paleobasin evolution were established. These stages are correlated with sea level fluctuations established on the basis of changes in the rock lithology and the ostracod complexes. In general, the character of sea level change in the Callovian–Oxfordian that was revealed during the study of the Mikhailovtsement section is in agreement with the global trends

Impact of the first wave of coronavirus disease 2019 (COVID-19) pandemic on the diagnosis of heart disease in the Russian Federation: results from the Russian segment of the IAEA INCAPS COVID study

Aim. To assess the impact of the first wave of coronavirus disease 2019 (COVID-19) pandemic on the diagnosis of heart disease in the Russian Federation.Material and methods. Fifteen Russian medical centers from 5 cities took part in an online survey organized by the Division of Human Health of the International Atomic Energy Agency (IAEA), containing questions regarding alterations in cardiovascular procedure volumes resulting from COVID-19 in March-April 2020.Results. A number of outpatients undergoing cardiac diagnostic procedures was noted in 80% of clinics. Cardiovascular procedure volumes in the period from March 2019 to March 2020 in general decreased by 9,5%, and from March 2019 to April 2020, by 56,5%. Stress electrocardiography decreased by 38,4%, stress echocardiography by 72,5%, stress single-photon emission computed tomography by 66,9%, computed tomography angiography by 49,7%, magnetic resonance imaging by 42,7%, invasive coronary angiography by 40,7%. The decrease in diagnostic procedure volumes in selected regions (Tomsk Oblast, Kemerovo Oblast, Tatarstan) was not so pronounced compared to Moscow and St. Petersburg (-20,7%, -75,2%, -93,8% in April 2020, respectively, p<0,001).Conclusion. The first wave of the COVID-19 pandemic caused a sharp decrease in the number of diagnostic cardiac procedures in Russia. This has potential longterm implications for patients with cardiovascular disease. Understanding these implications can help guide diagnostic strategies during the ongoing COVID-19 pandemic and minimize the future losses

Impact of the first wave of coronavirus disease 2019 (COVID-19) pandemic on the diagnosis of heart disease in the Russian Federation: results from the Russian segment of the IAEA INCAPS COVID study

Aim. To assess the impact of the first wave of coronavirus disease 2019 (COVID-19) pandemic on the diagnosis of heart disease in the Russian Federation. Material and methods. Fifteen Russian medical centers from 5 cities took part in an online survey organized by the Division of Human Health of the International Atomic Energy Agency (IAEA), containing questions regarding alterations in cardiovascular procedure volumes resulting from COVID-19 in March-April 2020. Results. A number of outpatients undergoing cardiac diagnostic procedures was noted in 80% of clinics. Cardiovascular procedure volumes in the period from March 2019 to March 2020 in general decreased by 9,5%, and from March 2019 to April 2020, by 56,5%. Stress electrocardiography decreased by 38,4%, stress echocardiography by 72,5%, stress single-photon emission computed tomography by 66,9%, computed tomography angiography by 49,7%, magnetic resonance imaging by 42,7%, invasive coronary angiography by 40,7%. The decrease in diagnostic procedure volumes in selected regions (Tomsk Oblast, Kemerovo Oblast, Tatarstan) was not so pronounced compared to Moscow and St. Petersburg (-20,7%,-75,2%,-93,8% in April 2020, respectively, p<0,001). Conclusion. The first wave of the COVID-19 pandemic caused a sharp decrease in the number of diagnostic cardiac procedures in Russia. This has potential long-term implications for patients with cardiovascular disease. Understanding these implications can help guide diagnostic strategies during the ongoing COVID-19 pandemic and minimize the future losses

Worldwide Disparities in Recovery of Cardiac Testing 1 Year Into COVID-19

Background: The extent to which health care systems have adapted to the COVID-19 pandemic to provide necessary cardiac diagnostic services is unknown. Objectives: The aim of this study was to determine the impact of the pandemic on cardiac testing practices, volumes and types of diagnostic services, and perceived psychological stress to health care providers worldwide. Methods: The International Atomic Energy Agency conducted a worldwide survey assessing alterations from baseline in cardiovascular diagnostic care at the pandemic's onset and 1 year later. Multivariable regression was used to determine factors associated with procedure volume recovery. Results: Surveys were submitted from 669 centers in 107 countries. Worldwide reduction in cardiac procedure volumes of 64% from March 2019 to April 2020 recovered by April 2021 in high- and upper middle-income countries (recovery rates of 108% and 99%) but remained depressed in lower middle- and low-income countries (46% and 30% recovery). Although stress testing was used 12% less frequently in 2021 than in 2019, coronary computed tomographic angiography was used 14% more, a trend also seen for other advanced cardiac imaging modalities (positron emission tomography and magnetic resonance; 22%-25% increases). Pandemic-related psychological stress was estimated to have affected nearly 40% of staff, impacting patient care at 78% of sites. In multivariable regression, only lower-income status and physicians’ psychological stress were significant in predicting recovery of cardiac testing. Conclusions: Cardiac diagnostic testing has yet to recover to prepandemic levels in lower-income countries. Worldwide, the decrease in standard stress testing is offset by greater use of advanced cardiac imaging modalities. Pandemic-related psychological stress among providers is widespread and associated with poor recovery of cardiac testing

Impact of COVID-19 Pandemic on Cardiovascular Testing in Asia: The IAEA INCAPS-COVID Study

Background: The coronavirus disease-2019 (COVID-19) pandemic significantly affected management of cardiovascular disease around the world. The effect of the pandemic on volume of cardiovascular diagnostic procedures is not known. Objectives: This study sought to evaluate the effects of the early phase of the COVID-19 pandemic on cardiovascular diagnostic procedures and safety practices in Asia. Methods: The International Atomic Energy Agency conducted a worldwide survey to assess changes in cardiovascular procedure volume and safety practices caused by COVID-19. Testing volumes were reported for March 2020 and April 2020 and were compared to those from March 2019. Data from 180 centers across 33 Asian countries were grouped into 4 subregions for comparison. Results: Procedure volumes decreased by 47% from March 2019 to March 2020, showing recovery from March 2020 to April 2020 in Eastern Asia, particularly in China. The majority of centers cancelled outpatient activities and increased time per study. Practice changes included implementing physical distancing and restricting visitors. Although COVID testing was not commonly performed, it was conducted in one-third of facilities in Eastern Asia. The most severe reductions in procedure volumes were observed in lower-income countries, where volumes decreased 81% from March 2019 to April 2020. Conclusions: The COVID-19 pandemic in Asia caused significant reductions in cardiovascular diagnostic procedures, particularly in low-income countries. Further studies on effects of COVID-19 on cardiovascular outcomes and changes in care delivery are warranted