The Role of the Usa in the IMF’s Functioning at the Present Stage

Доклад посвящен анализу роли США в функционировании МВФ на современном этапе. Автор приходит к выводу, что действия США угрожают стабильности мировой финансовой системы и направлены на сохранение ведущих позиций в МВФ.The report analyzes the role of the United States in the functioning of the IMF at the present stage. The author comes to the conclusion that US actions threaten the stability of the global financial system and are aimed at maintaining a leading position in the IMF

The Fate of Global Multilateralism (on the Example of the UN)

Благодарности: Шенину Сергею Юрьевичу.Acknowledgments: to Shenin Sergey Yurievich.Тезисы посвящены анализу современной системы международных отношений, основанной на мультилатерализме, и роли в ней ООН. Автор делает вывод, что глобальные потрясения и множественность акторов мировой политики существенно влияют на процесс принятия решений в ООН и приводят к транзитному состоянию международной системы.Theses are devoted to the analysis of the modern system of international relations based on multilateralism and the role of the UN in it. The author concludes that global upheavals and the multiplicity of actors in world politics significantly affect the decision-making process in the UN and lead to a transitional state of the international system

A CLINICAL CASE OF ACUTE ALLERGIC MYOCARDITIS SIMULATING MYOCARDIAL INFARCTION

Objective: to describe a clinical case of evolving acute eosinophilic myocarditis simulating coronary heart disease. Subjects and methods. Patient B. aged 62 years was admitted to Intensive Care Unit Fifteen, N.I. Pirogov First Moscow City Clinical Hospital, by being transferred from Thailand with a referral diagnosis of acute myocardial infarction made on November 1, 2012, with complaints of pressing and aching heart pains. At a Phuket hospital, his electrocardiogram recorded atrial fibrillation; indirect cardiac massage, electric pulse therapy, and mechanical ventilation were performed. After being admitted to the N.I. Pirogov First Moscow City Clinical Hospital, the patient underwent examination: estimation of laboratory indicators over time, electrocardiography (ECG), echocardiography, Holter ECG monitoring, and myocardial scintigraphy. Results. The patient had a history of an allergic reaction as urticaria to the ingestion of fish products. His examination showed practically all diagnostic criteria for allergic myocarditis: hypereosinophilia (the admission level of eosinophils was 9% with their further normalization); the characteristic clinical presentation of myocarditis (pressing retrosternal pain); elevated levels of cardiac specific enzymes (creatinine phosphokinase-MB, lactate dehydrogenase, troponin T); ECG changes – myocardial hypokinesis in the acute period, followed by its pattern normalization. of the pattern. Myocardial scintigraphy (by taking into account the fact that the patient had had a new allergic reaction episode, the investigators decided not to perform coronary angiography) revealed decreased radiopharmaceutical accumulation in the lower left ventricular wall in the right coronary arterial bed; perfusion remained in the other myocardial walls. Conclusion. This clinical case reflects the specific features of the course of and difficulties in the diagnosis of acute allergic myocarditis that, in most cases, has no specific clinical manifestations and may mimic different diseases

A Hydride Route to Ternary Alkali Metal Borides: A Case Study of Lithium Nickel Borides

Ternary lithium nickel borides LiNi3B1.8 and Li2.8Ni16B8 have been synthesized by using reactive LiH as a precursor. This synthetic route allows for the better mixing of the precursor powders, thus facilitating fast preparation of the alkali metal containing ternary borides. This method is suitable for “fast screening” of multicomponent systems comprised of elements with drastically different reactivities. Crystal structures of the compounds LiNi3B1.8 and Li2.8Ni16B8 were reinvestigated by combination of X‐ray single crystal/synchrotron powder diffraction data, solid state 7Li and 11B NMR, and scanning transmission electron microscopy which allow determination of fine structural details including split position of Ni sites and ordering of B vacancies. Field dependent and temperature dependent magnetization measurements are consistent with spin glass behavior for both samples

Scientific and method provision and evaluation of activities of local Rospotrebnadzor bodies in the Sverdlovsk region in the system of health risk management in municipalities

We describe the results of introducing the package of organizational and method documents in support of activities of the local Rospotrebnadzor offices in the Sverdlovsk Region and results of the pilot project of their testing. We propose an approach to planning and evaluating activities of the local Rospotrebnadzor bodies in the Sverdlovsk Region taking into account activities of municipalities (surveyed areas) within the common regional system of health risk management. The use of economic methods of substantiating health risk management actions («cost-benefit» and «cost-effect» analyses) is described. We substantiate the approach to optimization of activities of the local Rospotrebnadzor bodies in the Sverdlovsk Region based on realizing the principle of budgeting oriented to the end result.В статье описаны результаты внедрения пакета организационных и методических документов по обеспечению деятельности территориальных органов Управления Роспотребнадзора по Свердловской области и результаты пилотного проекта по их отработке. Предложен подход к планированию и оценке деятельности территориальных органов Управления Роспотребнадзора по Свердловской области с учетом деятельности муниципальных образований (поднадзорных территорий) в рамках единой региональной системы управления риском для здоровья населения. Описано использование экономических методов обоснования мер по управлению риском для здоровья (анализ «затраты - выгоды» и «затраты - эффективность»), Обоснован подход к оптимизации деятельности территориальных органов Управления Роспотребнадзора по Свердловской области на основе реализации принципа бюджетирования, ориентированного на конечный результат

Epidemiological Situation on Crimean-Congo Hemorrhagic Fever in the Russian Federation in 2012 and Prognosis for 2013

Represented is epidemiological evaluation of the morbidity rate as regards Crimean-Congo hemorrhagic fever (CCHF) in Russia in 2012. Summarized are the results of epizootiological surveillance over the territory of CHF natural focus in the South of European part of Russia. Forecast of CCHF epidemiological situation development for 2013 is made based on the epizootiological monitoring data

Influence of occupational risk for shoulder pain syndromes

One-stage cross-sectional observation of prevalence shoulder pain syndrome was investigated. The observed 6094 workers were divided into four groups. The highest prevalence index of SP were registered in the в first group - 32,9% Workers exposed to toxic effects of fluoride and physical strain, the lowest - in the 3-rd group - 6,9% without the impact of toxic action. The highest relative risk of SP progress was observed in the 1st group in the relation to 4th (5,67) and 3rd groups (5,24), at the same time etiological fraction was 77.5% and 78,7%, it indicates very high influence of labour conditions on prevalence of shoulder pain syndrome.На основании одномоментного кросс - секционного обследования 6094 работающих в различных условиях труда изучена распространенность болевого синдрома плеча у 1819 (29,8%) женщин и 4275 (70,2%) мужчин. Получены данные о повышенной распространенности болевого синдрома плеча у работающих в условиях физического перенапряжения и токсического действия фторидов (32,9%), а также в условиях токсического воздействия фторидов по сравнению с работающими только в условиях физического перенапряжения (6,9%) и без воздействия «вредных» производственных факторов. В первой группе наиболее высокий относительный риск развития БСП по отношению к 4-ой группе (5,6) и 3-ей (5,2), при этом этиологическая фракция составила соответственно 77.5% и 78,7%, что свидетельствует об очень высокой степени связи нарушения здоровья с условиями труда, в данном случае - с воздействием комплекса факторов: физического перенапряжения и токсического воздействия фторидов. Из анализируемых «непроизводственных» показателей в большей степени повышают риск развития БСП сопутствующая патология бронхолегочной системы и шейный остеохондроз