2021: VOL 29, NOS1 (2021)

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Articles
On the Need for Psychological Support for Citizens in the Context of the COVID-19 Pandemic
Aksenova E.I., Kamynina N.N., Metelskaya A.V., Shkrumyak A.R.
Abstract
The article deals with issues related to the psychological support of citizens during the most acute periods of the COVID-19 pandemic. Even before the COVID-19 pandemic, global statistics on mental illness and disorders (including neurological and substance use disorders; suicide risk and related psychosocial and cognitive impairments) were already disappointing. In this connection, the world economy is suffering serious financial losses, and the social sphere is faced with the need to organize socio-psychological support and rehabilitation of citizens experiencing certain psychological problems. The purpose of this work is to present data reflecting the work of psychiatrists and psychologists in providing counseling and rehabilitation psychological assistance to citizens during the COVID-19 pandemic through indicators of the depth of anxiety of citizens who applied for appropriate services.
Problems of Social Hygiene, Public Health and History of Medicine. 2021;29(S1):572-575
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Strategic directions for the competitiveness of primary health care organizations
Davydovich A.R., Karamova A.S., Kresova N.S., Fesenko O.P.
Abstract
The article analyzes the impact of the pandemic COVID-19 in 2020 on the state of competition in the medical services market and the competitiveness of primary care organizations, and identifies prospects for the development of the medical services market.The SWOT-analysis and analysis of complaints and statements of citizens on the quality of medical services made it possible to comprehensively assess the strengths and weaknesses of organizations, external opportunities and threats, specify the positions of medical organizations in the medical services market and determine strategic directions for the development and ensuring the competitiveness of primary medical organizations.The results of the study allowed the authors to propose strategic directions for ensuring the competitiveness of the primary medical organization, namely, the creation of mechanisms for material and intangible incentives for medical personnel; improving the quality of health services; modernization of the medical diagnostic base of the primary medical organization.
Problems of Social Hygiene, Public Health and History of Medicine. 2021;29(S1):576-581
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Public health and medical prevention centers in modern conditions of non-infectious and infectious risks
Zhelezova P.V., Mingazova E.N.
Abstract
The article provides an assessment of the validity of the formation of a new nomenclature unit within the framework of the population health protection system - the Centers for Public Health and Medical Prevention. The analysis of new directions of activity of the health care center, structural and functional transformations is carried out. The article presents a detailed description of promising areas of activity based on the use of various modern information and communication technologies, and also reflects the possibility of constructive interactions of the health care center with various social institutions. The role of government initiatives aimed at preventing non-communicable diseases, including in increasing the motivation of the population to adhere to a healthy lifestyle, is shown. The potential possibility of the developed conceptual approaches in the field of strategy and tactics of disease prevention from the point of view of protecting public health, including reproductive health, has been determined.
Problems of Social Hygiene, Public Health and History of Medicine. 2021;29(S1):582-587
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Health risks of school-age children with distance learning in the first months of the spread of COVID-19
Mingazova E.N., Akimova L.V., Pozharskaya E.N., Mingazov R.N.
Abstract
According to the results of a sociological survey of 10,237 parents of schoolchildren during the period of emergency transfer of students to distance learning in the initial period of the spread of coronavirus infection, a low provision of children with technical teaching aids was revealed: only 18% of children had a stationary computer at home, 42% of children had a basic gadget available. available for training, there was a smartphone. At the same time, it was determined that children also use gadgets for a considerable time for personal purposes (entertainment, games): according to 17% of parents, 3-4 hours, and 8% of parents answered - more than 5 hours a day. However, most parents are not aware of the amount of time a child spends with a gadget due to their busy schedule. A significant number of parents-respondents (16.5%) pointed to difficulties that arose during distance learning in the relationship between the child and the teacher. Only 60% of the parents surveyed indicated that the child sits at the table while working with the gadget, 24% - the child is more likely to sit in an armchair or on the sofa, 16% - more often the child is in the «reclining» position on the sofa or bed. All this determines the health risks of students and indicates the need to develop skills and ways to level them.Taking into account the fact that all participants in the educational process have to face the problems that have arisen during distance learning: students, their parents and teachers, recommendations for the implementation of the general education system of medical, socio-psychological support of students and their families, operational collection data to ensure a quick response, which is possible only by means of technologically modern information systems for medical, social and psychological purposes.
Problems of Social Hygiene, Public Health and History of Medicine. 2021;29(S1):588-592
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Deficient micronutrient status of the population of various countries as a risk factor in COVID-19
Mingazova E.N., Gureev S.A.
Abstract
The article provides an overview of scientific information on the modern features of the micronutrient status of the population of different countries of the world. It is emphasized that in conditions of epidemiological risk, it is necessary to take into account the provision of micronutrients for various social groups of the population: children, elderly people with a low socio-economic status, as well as those with chronic diseases.As a result of the analysis, it is determined that the deficient micronutrient status contributes not only to a high risk of the body's susceptibility to infectious agents, but also negatively affects the course and outcome of an infectious disease. The authors' studies confirm that in infectious diseases and in the early stages of COVID-19, a protective immune response is responsible for the elimination of the virus, therefore, the use of trace elements and vitamins in the treatment of COVID-19 is an immunoprotection strategy, the effectiveness and safety of which there is sufficient clinical data.
Problems of Social Hygiene, Public Health and History of Medicine. 2021;29(S1):593-597
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ORGANIZATION OF MEDICAL REHABILITATION OF PATIENTS WITH COVID-19 IN THE POST-HOSPITAL PERIOD
Orlova N.V., Gololobova T.V., Suranova T.G., Bonkalo T.I., Azevich S.A., Grashchenkova A.N., Spiryakina Y.G., Lomaichikov V.V.
Abstract
The COVID-19 pandemic poses new challenges for the health sector, related to the organization of medical rehabilitation of patients with COVID-19. Special attention is required for patients after artificial ventilation, who have a high risk of developing physical, mental and cognitive disorders. There are acute post-ovoid syndrome lasting more than 3 weeks and chronic-lasting more than 12 weeks after discharge from the hospital. The most common symptoms are: shortness of breath, fatigue, anosmia, ageusia, myalgia, feeling of fever, tightness in the chest, tachycardia, headaches, anxiety, memory loss, sleep disorders, difficulty concentrating. The article presents the stages of rehabilitation of patients with COVID-19. Dynamic monitoring, measures for the prevention of complications, organization and methods of rehabilitation, including physiotherapy procedures and physical therapy, are considered.
Problems of Social Hygiene, Public Health and History of Medicine. 2021;29(S1):598-602
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Analysis of the development of acute coronary syndrome during the COVID-19 pandemic
Orlova N.V., Gololobova T.V., Suranova T.G., Spiryakina Y.G., Chuvarayan G.A., Lomaichikov V.V., Petrenko A.P.
Abstract
The study compares two groups of patients with acute coronary syndrome, depending on the presence of COVID-19 in the anamnesis. The comparison groups analyzed the risk factors for cardiovascular diseases, including smoking, heredity, gender differences, age, diabetes, and obesity. The results of biochemical blood tests were analyzed. It was found that patients with acute coronary syndrome who underwent COVID-19 were less likely to have risk factors for cardiovascular diseases. Patients with acute coronary syndrome who underwent COVID-19 were found to have lower blood glucose, cholesterol, very-low-density lipoprotein, and triglycerides. As a result of the study, it was revealed that COVID-19 is an independent risk factor for the development of acute coronary syndrome.
Problems of Social Hygiene, Public Health and History of Medicine. 2021;29(S1):603-606
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Integrated indicator of the current assessment of the COVID-19 pandemic process in the subjects of the Russian Federation
Osmanov E.M., Manyakov R.R., Tuktamysheva L.M., Garaeva A.S., Arsanukaev I.M.
Abstract
Information on the main indicators of the Pandemic COVID-19 is published daily for each subject of the Russian Federation. Of interest is the comparative ranking of regions in terms of new cases, active cases that have recovered from COVID-19, the allocation of homogeneous groups of regions in terms of the distribution of COVID-19. Since several indicators, respectively, the ranking of regions can be several options: the same regions with a high level of morbidity can be characterized by lower mortality from COVID-19 and vice versa, which will shift their position in the overall rating assessment. Such a state complicates the perception of the situation with the COVID-19 pandemic in the spatial-territorial context. In this regard, it makes sense to develop a certain latent integral indicator for assessing the COVID-19 pandemic process, which will allow comparing the subjects of the Russian Federation with each other in order to develop practical recommendations.
Problems of Social Hygiene, Public Health and History of Medicine. 2021;29(S1):607-612
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Gender and age features frequencies of COVID-19
Osmanov E.M., Manyakov R.R., Tuktamysheva L.M., Yusupov R.V., Demenkova V.V.
Abstract
The incidence of COVID-19, both complicated and uncomplicated pneumonia, among men is 40% higher than in women and increases at the age of 35-49 years, with a subsequent decrease in the rate. Pneumonia complicates the course of COVID-19 in older persons, due to the greater burden of comorbidity. Among men, the probability of contracting COVID-19 complicated by pneumonia is 1.4 times higher than among women. At the same time, the average duration of outpatient treatment among women is significantly higher both in the group of patients with COVID-19 with complicated and uncomplicated pneumonia. The data obtained indicate the need to develop additional measures to prevent the spread of COVID-19 infection among the male population and the middle-aged population, the incidence of the disease among which is the highest.
Problems of Social Hygiene, Public Health and History of Medicine. 2021;29(S1):613-618
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DENTAL CARE FOR MOSCOW REGION CITIZENS IN THE CONDITIONS OF THE COVID-19 PANDEMIC (APRIL-JUNE 2020)
Stroganova A.G., Amkhadova M.A., Alexandrova O.Y., Soykher M.I., Soykher M.G., Enikeev A.M.
Abstract
It is known that the oral cavity is an epidemiological hazard due to the high level of viral and bacterial contamination. Despite the narrow specialization and distant connection with the problem of viral pneumonia, dentists, nevertheless, are at risk of contracting the new coronavirus infection COVID-19. To reduce the epidemiological activity the provision of routine dental care was suspended in the vast majority of regions of the Russian Federation including the Moscow region, from the end of March 2020 to June 20, 2020. During the entire period of routine medical care suspended, the Moscow region chief dentist’s team was daily monitoring information about applied patients. The suspension of routine medical care has reduced the number of cases of COVID-19 infection contact transmission in medical organizations during the period of the most active increase in the morbidity. In addition, the decrease in the number of patients enabled medical organizations to reduce the number of medical personnel, which contributed to a decrease in the percentage of morbidity among doctors.
Problems of Social Hygiene, Public Health and History of Medicine. 2021;29(S1):619-624
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ORGANIZATIONAL AND METHODICAL PROBLEMS OF DISTANCE LEARNING OF MEDICAL STUDENTS IN THE COVID-19 PANDEMIC
Abramov A.Y., Zorin K.V., Silkina S.V.
Abstract
In connection with the COVID-19 pandemic, since March 2020, medical universities in different countries have been forced to switch to distance or blended learning formats. The article discusses the limitations and advantages of distance learning through a meta-analysis of the research results and the authors' own experience. The article describes different options for conducting current classes, intermediate and final online certification, the peculiarities of establishing new methods of communication and changes in student-teacher communication. Practical recommendations are offered for solving organizational, methodical, educational, technical and informational problems of RUDN University and A. I. Yevdokimov MSMSU, associated with distance learning of future doctors.
Problems of Social Hygiene, Public Health and History of Medicine. 2021;29(S1):625-629
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MOTIVATING AND STIMULATING THE WORK OF MEDICAL PROFESSIONALS: THE REALITIES AND PROBLEMS OF TODAY
Guskova I.V., Serebrovskaya N.E., Ablyazova N.O.
Abstract
The article considers and justifies the need to change the system of motivation and incentives for the work of medical workers in the Russian healthcare system in the context of new socio-economic conditions and the growth of professional risks in the medical field. The COVID-19 pandemic, which has lasted for more than a year, has exposed significant shortcomings in the system of motivation of medical workers, showing serious problems consisting in a shortage of specialists, hospital beds, medicines, and an increase in professional workload. As a result, of the analysis of statistical data and the conducted sociological survey, a system of key socio-psychological factors and motivational indicators of the work of medical workers was developed, and ways to optimize the system of their labor motivation were identified.
Problems of Social Hygiene, Public Health and History of Medicine. 2021;29(S1):630-635
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REMOTE EMPLOYMENT AS A FACTOR IN THE TRANSFORMATION OF HUMAN RESOURCE MANAGEMENT DURING AND AFTER THE COVID-19 PANDEMIC
Zotova S.A.
Abstract
The COVID-19 crisis significantly transformed approaches to workplace organization, employment, forms and technologies of professional work activities, causing significant changes in systemic human resource management. A huge number of businesses and organizations found themselves facing the need to move their employees to out-of-office employment.The practice of working remotely, which has become a necessity for many employers in the period since March 2020, has necessitated the transformation of human resource management and personnel management, since remote employment forms new features not only in the performance of work, but also in the provision of the workplace, work safety, training of personnel, etc. Which means that the whole range of personnel work should be adapted to the remote format.The purpose of the presented work is to consider the prospects of reforming approaches to personnel management through indicators of remote employment, massively prevalent during the COVID-19 pandemic.
Problems of Social Hygiene, Public Health and History of Medicine. 2021;29(S1):636-640
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COMPARATIVE ANALYSIS OF SYSTEM HUMAN RESOURCES HEALTH CARE IN THE NORTH CAUCASIAN FEDERAL DISTRICT
Krivokora Y.N., Zaichenko I.A., Ionova A.C., Kalnaya A.Y., Krivokora E.I.
Abstract
The article examines the features of the regional provision of the health care system with personnel on the basis of a comparative assessment, both in terms of quantitative and level indicators of the personnel potential of the industry of the North Caucasian Federal District. In order to identify a real idea of the state of the personnel potential of the region, the indicators of the load on medical workers were studied. Additionally, they were grouped in relation to the average Russian and mid-level levels. The regional asymmetry of the personnel potential and the corresponding disproportions in the development of the regional health care system are revealed. The directions of reducing the differentiation of staffing of health care institutions in the region are indicated.
Problems of Social Hygiene, Public Health and History of Medicine. 2021;29(S1):641-646
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MANAGEMENT OF STUDENT MOBILITY IN THE CASE OF UNIVERSITY MANAGEMENT DURING THE SPREAD OF THE COVID-19 PANDEMIC
Popel A.E.
Abstract
The COVID-19 pandemic outbreak already in the first months of 2020 has dramatically affected the situation in higher education in various aspects, including the transition from face-to-face teaching to online technologies, the cancellation of activities and the development of activities aimed at «next normal» in a university management. The revision of management decisions in the sphere of academic mobility means an opportunity for various university management stakeholders to rethink and even modernize project activities according to effective plans of risk management in order to make international cooperation more sustainable and effective in the future.The purpose of this work is to examine the international landscape of the transformation of international student mobility, which has changed significantly during the 2020-2021 academic year shift as a result of the spread of the coronavirus infection.
Problems of Social Hygiene, Public Health and History of Medicine. 2021;29(S1):647-651
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IMPROVING THE QUALITY OF WORK OF MEDICAL WORKERS AND THE LEVEL OF ASSISTANCE TO THE POPULATION AS A NECESSARY CONDITION FOR MINIMIZING DEATHS IN THE COVID-19 PANDEMIC
Sertakova O.V., Dudin M.N., Krekova M.M.
Abstract
The article considers the key factors that negatively affect the quality of work of medical workers and the quality of medical care to the population in the context of the COVID-19 pandemic, which in practice leads to additional deaths from a new coronavirus infection. There are two key reasons that can have a negative impact on the quality of work of medical workers and lead to an increase in the death rate of the population: 1) lack of relevant scientific support; 2) lack of qualified psychological support. The first reason does not allow to increase the professional competence of medical workers, the second reason leads to their professional deformation and emotional burnout. To solve the problem, it is proposed to use modern information and communication technologies: 1) creation of a rapidly updated database and an online system for sharing experience in COVID-19 treatment, centrally accessible to all Russian health workers; 2) creation of a remote psychological support service, also centrally accessible to all Russian health workers.
Problems of Social Hygiene, Public Health and History of Medicine. 2021;29(S1):652-657
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INSTABILITY OF SOCIAL AND LABOR RELATIONS AND EMPLOYMENT PROBLEMS DURING THE COVID-19 PANDEMIC
Filimonova I.V., Brostrem V.O., Kobozeva D.L.
Abstract
The article is devoted to the analysis of the consequences in the social and labor sphere, which were caused by the outbreak of the coronavirus infection COVID-19. The changes in labor relations during the pandemic and the benefits of the new regulation norms of the remote work are investigated. The impact of working remotely on the social and labor sphere and the prospects for the development and implementation of effective remote mechanisms over the next ten years are analyzed. In a pandemic situation, remote work has proven to be an important factor for business ongoing activity, with benefits in the form of reduced commuting time, the ability to focus on work tasks away from distracting office aspects, and finding an optimal work-life balance. The study concluded that creating decent job opportunities is only possible with the appropriate socio-economic policies.
Problems of Social Hygiene, Public Health and History of Medicine. 2021;29(S1):658-661
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ACTIVITIES OF MEDICAL VOLUNTEERS DURING THE REPORTING PERIOD PANDEMICS COVID-19 (ON THE EXAMPLE OF THE WORK OF THE HEADQUARTERS OF THE VOLUNTEER DETACHMENTS OF THE KURSK STATE MEDICAL UNIVERSITY)
Chuikov O.E., Brovkina I.L., Svechnikov V.A., Kubikova N.V., Rudakova E.Y.
Abstract
This article presents the results of a study of the activities of volunteer detachments to support medical organizations during the COVID-19 pandemic in the Kursk region. The organizational and managerial mechanisms of the formation of the volunteer movement of the Kursk region are defined. The specifics of the work of the volunteer movement in conditions of high readiness at the regional level are revealed. The assessment of the level of professional training of medical volunteers is given.
Problems of Social Hygiene, Public Health and History of Medicine. 2021;29(S1):662-666
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MODERN UNIVERSITY: INTRACORPORATE SOCIAL CONTROL OF THE ORGANIZATION OF THE EDUCATIONAL PROCESS IN A PANDEMIC
Shapovalova I.S., Polukhin O.N., Peresypkin A.P., Nikulina T.V., Shilishpanov R.V.
Abstract
The article is devoted to the analysis of the capabilities of a modern university in the field of creating a system of social control and prompt response in a pandemic. The social responsibility of a progressive university for employees and students does not allow crisis situations to be left without proper and timely regulation, despite the stochastic nature of external risks. External challenges should reveal the adaptive potential of a successful educational corporation, create new tools for managing efficiency and internal environment. In this regard, an important element of management is the establishment of continuous feedback, control of important indicators of public assessment for making timely management decisions and optimizing the situation. The article proposes a system of such social control through the organization of monitoring, qualitative research, monographic and express measurements, offers as an example a number of important indicators of perception and assessment of the pandemic situation on the part of the student and teaching community, identifies management accents that are subject to analysis and dynamic control, as well as some solutions, adopted by a modern university to stabilize the situation.
Problems of Social Hygiene, Public Health and History of Medicine. 2021;29(S1):667-672
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ECONOMIC ASPECTS OF PROVIDING PAID MEDICAL SERVICES IN RUSSIA DURING THE PANDEMIC
Andriyanova A.A., Andriyanova L.S., Nebylova Y.G., Rzun I.G.
Abstract
The article notes that the number of citizens who apply for paid medical services is growing all over the world. The main reasons for this growth are: an increase in the level of well-being of the population; an increase in the areas of care for their own health; the inability to get the necessary assistance in state (free) structures that provide medical care; the complete absence of a number of medical services in free polyclinics, etc.The paper also presents data on the conduct of the study, which determines that on the basis of surveys and statistical data, as well as when studying reviews, it can be noted that in their significant part, consumers of medical services note that, first of all, the poor quality of public medical services prompted them to turn to paid services, but a number of respondents note that public free services in the field of medicine, especially recently, have significantly increased the level of quality.It is also concluded that from the point of view of consumers, one of the main advantages of purchasing services in commercial medical institutions is the ability to visit a doctor without waiting lists and guaranteed on the day of the appointment. Among the general trends in the paid medical services market, we can mention measures to consolidate the format and expand the areas of multi-specialty in private clinics, as well as to create conditions and factors, especially in the situation of a pandemic crisis, to provide high-quality medical services, including overcoming the consequences of the coronavirus epidemic and preventing its spread in the network of medical institutions.Statistical data and conclusions on the main areas of multidisciplinary research in the current state of paid medical services in the context of the pandemic crisis are presented. The review of new directions of providing medical services on a daily basis under the influence of the current state of the pandemic is made.
Problems of Social Hygiene, Public Health and History of Medicine. 2021;29(S1):673-679
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TRANSFORMATION OF ADVERTISING COMMUNICATIONS UNDER THE INFLUENCE OF THE COVID-19 PANDEMIC
Komarova A.A., Dianina E.V., Moreeva E.V.
Abstract
The global coronavirus pandemic (COVID-19) has led to changes in advertising, marketing, advertising spending and media activities, forcing companies and brands to rethink their views on current and future advertising and marketing campaigns in order to maintain a stable revenue stream. This becomes even more important, because as a result of COVID-19, it is expected that starting in 2020, in the future, at least for the next 4-5 years, advertising costs for some advertisers will decrease as revenue decreases and the transition to other forms and channels of communication with the target audience of consumers. As a result, many brands may seek to optimize their marketing practices to better reflect the growth of online transactions, communication, and personal interaction time with consumers.
Problems of Social Hygiene, Public Health and History of Medicine. 2021;29(S1):680-683
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SYMBIOSIS OF APITERAPY AND TOURIST - RECREATIONAL RESOURCES IN HEALTH TOURISM AS A FACTOR OF EFFECTIVE POST-COVIDAL HEALTH
Kotova T.P., Lesnikov A.I.
Abstract
The article discusses the possibilities and prospects of using apitherapy in health tourism in Bashkortostan. The features of the development of beekeeping in the republic and the prospects for the use of beekeeping products in the restoration of the immune system, improvement of the psychological state of the consequences of covid in the conditions of tourist and recreational centers of the region are considered. A health-improving tourist product with the use of apitherapy has been developed.The Bashkirsky Med brand is widely known not only in Russia, but also abroad. The list of measures for the development of beekeeping in the republic includes support for scientific developments in the field of apitherapy. The article examines apitourism as a promising type of tourism in Bashkortostan. It can become one of the most popular types of health tourism and attract not only Russian, but also foreign tourists.
Problems of Social Hygiene, Public Health and History of Medicine. 2021;29(S1):684-688
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PROBLEMS OF COMMUNICATION MANAGEMENT IN THE CONTEXT OF THE SPREAD OF THE COVID-19 INFODEMIA
Odintsova O.V., Moreeva E.V.
Abstract
COVID-19 is a crisis that has radically changed the world, as illustrated by the social, psychological, and economic consequences of the spread of infection. This pandemic is framed by endless streams of misinformation and fake news, which have their own consequences, and spread even more distorted and misleading information.Significant part of this misinformation concerns conspiracy theories of all kinds, as well as drugs and treatments that, although approved for other indications, may have potential efficacy in preventing or for treating COVID-19.The purpose of this article is to examine the phenomenon of infodemic as a large-scale flow of misinforming content regarding thematic aspects related to the spread of COVID-19 coronavirus infection.
Problems of Social Hygiene, Public Health and History of Medicine. 2021;29(S1):689-693
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DEVELOPMENT OF THE HEALTHCARE SYSTEM BASED ON THE CLUSTER APPROACH
Polyanin A.V., Pronyaeva L.I., Pavlova A.V.
Abstract
Experience in the functioning of medical clusters made it possible to identify factors that contribute to their successful development. Based on the assessment of the domestic practice of creating clusters in the healthcare sector, their typification was carried out with the identification of groups of high-tech clusters of biomedical technologies and innovations, medical clusters of drug provision and specialized equipment, clusters of medical services, internships and transfer of medical innovations. The grouping of clusters in the healthcare sector operating in the Russian Federation according to the proposed types showed that there are practically no clusters of medical services that are able to bring the quality of medical care to the population to a higher level in the country. The article identifies the problems that prevent the formation of clusters of medical services on the territory of the regions. To solve these problems, an approach was proposed to create a medical technology park on the basis of public-private partnership, which will serve as the basis for a cluster of medical services and built its structural and functional model.
Problems of Social Hygiene, Public Health and History of Medicine. 2021;29(S1):694-702
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Realization of the national project «Health» in the context of the COVID-19 pandemic
Rudenko G.G., Sidorova V.N., Sidorov N.V.
Abstract
Increasing the level of protection of citizens from the risks associated with the disease of a particular disease is one of the main in modern society. The article analyzes the extent to which the COVID-19 pandemic has affected the implementation of the national project «Health», considers the main work of international researchers on topical health issues in a pandemic. The costs allocated for the implementation of national projects are summarized. The main directions of increasing the medical security of citizens in the country are considered.
Problems of Social Hygiene, Public Health and History of Medicine. 2021;29(S1):703-707
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EXPERIENCE OF FORMING OPERATIONAL AREAS OF OPERATION OF THE CHILDREN'S POLYCLINIC DURING THE PANDEMIC COVID-19
Rusinova D.S., Mingazova E.N., Arestobaeva K.S.
Abstract
The article presents the experience of the city children's polyclinic No. 133 of the Moscow Department of Health in a difficult epidemiological situation associated with a new infection COVID-19. A description of the stages of the organizational work of a polyclinic in a pandemic is given, including such areas as: a) conducting lectures and webinars for doctors and nurses of a medical organization, introducing recommended methods for diagnosing and treating COVID-19, creating and observing conditions for the personal safety of employees; b) the formation of tools and a database for analytical work; creation of registers of patients and employees of the polyclinic in order to monitor and evaluate the effectiveness of work; characteristics of the structures of age-specific morbidity in children who have undergone a new coronavirus infection and community-acquired pneumonia with substantiated confirmation for them of compulsory dispensary observation and rehabilitation measures; description of the development of routing of healthy and sick children, operational identification and continuous analysis of difficulties in the work of the polyclinic during this period; c) the formation of distance technologies in treatment and prophylactic work with patients, organized group and individual exercise therapy classes, including respiratory rehabilitation gymnastics for children who have undergone a new coronavirus infection; development of an organizational algorithm for the formation of medical and nursing teams for visiting patients with COVID-19 at home and individual teams for visiting patients for patronage. The organization of this treatment and prophylactic work was approved and a confirmation was received from the Ministry of Health of the Russian Federation of the right to replicate the experience gained from the work of the polyclinic in the conditions of COVID-19.
Problems of Social Hygiene, Public Health and History of Medicine. 2021;29(S1):708-712
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PRACTICAL AND FUNCTIONAL RESEARCH OF THE INTERACTION OF LEVELS OF PUBLIC AUTHORITY IN FEDERAL STATES IN THE CONTEXT OF THE NEW CORONAVIRUS INFECTION (COVID-19) PANDEMIC: ASSESSMENTS AND PROSPECTS
Sarmanaev S.H., Gololobova T.V., Suranova T.G., Suvorov G.N., Zenin S.S.
Abstract
The objectives of this research are to explore foreign experience of interaction of various levels of public authority in federal states in the context of the COVID-19 pandemic, to determine the prospects for the development and improvement of the activities of the public authority system in Russia in this part. Materials and methods. The regulatory legal acts and the practice of interaction of various levels of public authority during the COVID-19 pandemic in federations (Australia, India, Canada, USA) were research.Results. It has been established that a dual federal system with strict rules for the distribution of powers and responsibilities between the federation and its regions impedes a coordinated national response in the fight against the COVID-19 pandemic, while various forms of executive federalism serve as the key to successfully countering this threat. The latter can be based on historically strong centralist tendencies, the existing negotiating practices of interaction between the executive branch at all levels, the experience of implementing federal programs and the work of emergency intergovernmental mechanisms. Conclusions. It has been substantiated that the optimal organization of managerial decision-making in the context of countering a pandemic presupposes a complex interagency approach with a strong federal presence.
Problems of Social Hygiene, Public Health and History of Medicine. 2021;29(S1):713-719
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THE WAGES IN THE PUBLIC HEALTHCARE: THE PANDEMIC CHALLENGES
Safonov A.L., Dolzhenkova Y.V., Chub A.A.
Abstract
The article analyzes the current practice of remuneration in the Russian budget health care. According to the analysis concluded that at the present stage, the main problems in this area are the high level of differentiation of wages in the context of constituent entities of the Russian Federation, and between different categories of health workers; staff shortages, as well as the opacity of approaches to pay. In addition, it was found that the COVID-19 pandemic not only significantly aggravated the above-mentioned «bottlenecks» of the domestic budget health care, but also created new problems, the most significant of which was the procedure for compensation payments to employees involved in working with COVID-19 patients. Recommendations are formulated to change the current situation, including the need to: review the regulatory approaches to regulating compensation payments to medical workers; formation of lists of professional qualification groups and mandatory types of compensation and incentive payments; determination of the mandatory ratio of the remuneration of the heads of health care institutions to the average salary of the main staff.
Problems of Social Hygiene, Public Health and History of Medicine. 2021;29(S1):720-725
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DIFFERENTIATING THE POSSIBILITIES OF DIFFERENT SEGMENTS OF THE POPULATION TO USE PAID HEALTH SERVICES AS A FACTOR OF SOCIAL TENSION
Alekseenok A.A., Kaira Y.V., Mikhalev I.V., Galtsova A.N., Kolmogorov E.V.
Abstract
The article is devoted to the study of the impact of the possibility of using paid medical services on the level of social tension. A sociological analysis of the differentiation between the use of paid medical services by the poor and non-poor is being carried out, which are most updated during the COVID-19 period. It is summarized that the lack of funds for the care of children's own health and health has a direct impact on the growth of social tensions. The lack of necessary medical care due to lack of money is the most significant problem for the majority of the poor.
Problems of Social Hygiene, Public Health and History of Medicine. 2021;29(S1):726-730
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CHANGING OF SOCIAL WELL-BEING AND HEALTH OF OLDER WOMEN DURING COVID-19: OBJECTIVE AND SUBJECTIVE FACTORS
Anikeeva O.A., Sizikova V.V., Fomina S.N., Besschetnova O.V.
Abstract
The social well-being and health of citizens of all countries has been greatly tested during the pandemic of COVID-19. The situation has exacerbated many social problems. Older women found themselves in a particularly difficult situation, who experienced increased psychological burden, deteriorating health conditions, and social isolation. Even the family had not always proved to be a way of improving the status of women. All this has led to the need to examine the real problems, the objective and subjective factors affecting women's social well-being and the ways in which older women are better off.
Problems of Social Hygiene, Public Health and History of Medicine. 2021;29(S1):731-735
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THE ATTITUDE OF RUSSIANS TO VACCINATION AGAINST COVID-19: PROBLEMS AND CONTRADICTIONS
Bogomiagkova E.S.
Abstract
Despite the unfolding of the COVID-19 pandemic, the rate of involvement of Russians in vaccination remains low, which makes the study of attitudes to this technology particularly relevant. Based on the results of the author's empirical research and data from mass surveys of the Foundation “Public Opinion” and All-Russian Center for the Study of Public Opinion, the article assesses the attitude of residents of our country to immunoprophylaxis against coronavirus. The study revealed that vaccination attitudes are a continuum, and the perception of vaccination against a new virus is associated in Russians with seasonal flu shots, and not with the National Vaccination Calendar. Today, the attitude towards immunoprophylaxis against COVID-19 in Russia can be characterized as distrust of a specific vaccine and approval of vaccination in general as an effective technology for combating epidemics. The key strategy is «waiting», and the choice of a personal trajectory of health care is driven by a broader trend of individualization and transformation of traditional social ties.
Problems of Social Hygiene, Public Health and History of Medicine. 2021;29(S1):736-742
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Self-preservation practices of youth: readiness for vaccination against coronavirus
Dorokhova Y.V., Kompaniec S.A., Prokazina N.V., Tarabaeva V.B., Khatnyuk N.N.
Abstract
The authors analyze the self-preservation practices of young people through the prism of their attitude to vaccination against coronavirus. Based on the results of sociological studies, the prevailing motives that prevent a positive attitude to vaccination are identified. The results obtained allowed us to conclude that in youth groups there is a low level of orientation towards vaccination against coronovirus, and, on the contrary, a high level of trust in fake anti-vaccination myths. Among the priority areas, the authors name the discussion of issues with experts and the active dissemination of this content in the Internet space.
Problems of Social Hygiene, Public Health and History of Medicine. 2021;29(S1):743-747
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TRANSFORMATION OF THE ACTIVITIES OF CHILDREN'S PUBLIC ORGANIZATIONS AND NEW OPPORTUNITIES TO WORK IN THE FACE OF THE COVID-19 THREAT
Zotov V.V.
Abstract
The article is devoted to the study of the process of transformation of the activities of Russian children's public organizations in the face of the threat of the spread of coronavirus infection COVID-19 and the opening of new opportunities for non-profit organizations to work in this situation. The paper uses the results of a survey conducted from March 18 to 23, 2020 by experts of the Charitable Foundation for the Development of Philanthropy, which covered 232 organizations operating in the non-profit sector. The results of the study allowed us to conclude that the period of self-isolation contributed to the stimulation of children's public organizations to actively implement information technologies in their activities, find new opportunities for remote interaction in their work, and develop online projects.
Problems of Social Hygiene, Public Health and History of Medicine. 2021;29(S1):748-751
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THE ATTITUDE OF YOUNG PEOPLE TO THE NEW CORONAVIRUS INFECTION: THE DYNAMICS OF IDEAS AND PRACTICES OF HEALTH-SAVING BEHAVIOR
Zubok Y.A., Prokazina N.V.
Abstract
The article examines the dynamics of the attitude of young people about the new coronavirus infection. The attitude of young people to the new coronavirus infection is formed in two types of reality: «online» and «offline». The views, assessments and knowledge of young people about the new coronavirus infection were significantly influenced by the flow of information (often fake) from various sources and, above all, the information posted on social networks. The authors conclude that the attitude to coronavirus infection from the first to the second wave has undergone significant changes and generally influenced the practices of self-preservation behavior of young people. With the expansion of knowledge and experience, understanding them from the point of view of the components of the image of health, there was a clarification of the own behavioral attitudes of young people.
Problems of Social Hygiene, Public Health and History of Medicine. 2021;29(S1):752-757
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THE ROLE OF THE FAMILY IN SHAPING ATTITUDES TO YOUTH HEALTH IN THE CONTEXT OF THE PANDEMIC
Kameneva T.N., Brovkina I.L., Nadutkina I.E., Selyukov M.V., Sakulin V.E.
Abstract
The family plays an important role both in the life of each individual and in society as a whole. In conditions of instability, risks, and increased epidemiological burden, the level of intra-family trust has increased, including in matters of health care. The article analyzes the sociological studies conducted during the first and second waves of the pandemic, on the basis of which it is determined that the family forms an attitude to health, which can be manifested from the standpoint of rational and irrational health-oriented behavior.
Problems of Social Hygiene, Public Health and History of Medicine. 2021;29(S1):758-762
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HEALTHY LIFESTYLE OF THE POPULATION IN THE CONTEXT OF A PANDEMIC: EXPERT OPINIONS OF RESEARCHERS AND EMPLOEES OF NON-PROFIT ORGANIZATIONS
Mozgovaya E.I., Vodolazova Z.M., Gorsky A.A., Volkova O.A.
Abstract
The article presents the results of a study aimed at identifying the problems of maintaining a healthy lifestyle in the context of the COVID-19 pandemic. The results of the study showed that not only people of older age groups are infected, but also young people with chronic diseases. Forced isolation, uncertainty of the future and stress have significantly worsened the physical, social and mental health of the population of all age groups. Therefore, people began to strengthen their own physical, social and psychological health, to carry out preventive health measures. The problems of maintaining a healthy lifestyle in the context of the COVID-19 pandemic can be effectively solved by using an integrated approach to public health, jointly provided by state and public organizations.
Problems of Social Hygiene, Public Health and History of Medicine. 2021;29(S1):763-767
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Social health of the citizens of the States of the Eurasian Economic Union in the context of the COVID-19 pandemic
Osadchaya G.I., Seleznev I.A., Kireev E.Y., Kiseleva E.E.
Abstract
Based on the results of sociological research, the article considers the consequences of the pandemic on the social health of citizens of the Eurasian Economic Union (EAEU) states. A comparative analysis is carried out between groups of labor migrants from the EAEU states in Moscow and Russian citizens of the same age. The paper discusses the measures taken by the EAEU, for the maintenance of social health in terms of the COVID-19 pandemic crisis.
Problems of Social Hygiene, Public Health and History of Medicine. 2021;29(S1):768-773
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PERSONS WITH DISABILITIES IN TERMS OF THE SPREAD OF THE NEW CORONAVIRUS INFECTION COVID-19
Vladimirova O.N., Afonina K.P., Sevastianov M.A., Ponomarenko G.N., Raduto V.I., Chernyakina T.S., Shoshmin A.V., Malakhovsky V.V., Aliev A.K., Minkova N.K.
Abstract
One of the vulnerable categories of the population during a pandemic of coronavirus infection is the disabled, both from the point of view of the high risk of a severe course of the disease, and from the point of view of the possibility of significantly limiting everyday, professional and social activities.The article discusses the regulatory and organizational measures taken to ensure the rights of people with disabilities in Russia to prevent the spread of coronavirus infection. The epidemiological situation and features of the spread of coronavirus in long-term care facilities have been analyzed. The mortality rate from COVID-19 among residents of inpatient institutions in the EU countries ranged from 24 to 80%, in Russia the average mortality rate was 2.34 per 100 patients, in St. Petersburg from 1.4% to 2.2% of the number of people living in dependence on the type of institution.Using the example of one of the stationary social service institutions in St. Petersburg, it has been shown that the timely introduction of a set of organizational measures makes it possible to successfully manage the spread of coronavirus among residents and staff of long-term care institutions.
Problems of Social Hygiene, Public Health and History of Medicine. 2021;29(S1):774-778
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THE IMPACT OF COVID-19 PANDEMIC ON THE STUDENT’S HEALTH AND LIFESTYLE IN RUSSIA
Subocheva A.O., Ryayantseva M.V., Yakushova E.S.
Abstract
The aim of our research was to study changes in the student's health and lifestyle in the pandemic period. The summaries were based on the statistical analysis of the sociological research (the sample size was 289 people). The authors formulated five hypotheses, two of which were fully confirmed: about the link between student's attitudes to the concept of a healthy living (HL) and the attributes of HL, and about the discrepancy between the real lifestyle of students of the Financial University and the concept of HL.
Problems of Social Hygiene, Public Health and History of Medicine. 2021;29(S1):779-783
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IMPLICATIONS OF THE FIRST WAVE OF COVID-19 FOR SMALL BUSINESSES: SOCIOLOGICAL ASSESSMENT
Tanatova D.K., Yudina T.N., Dolgorukova I.V., Korolev I.V.
Abstract
Statement of the research problem. In the context of the coronavirus pandemic, small businesses have been exposed to serious risks, since their viability primarily depends on the consumer demand of the population, which in turn has declined sharply in these force majeure circumstances. Small businesses are either waiting for the lifting of restrictive measures, or they are counting on state support, or they are looking for other ways out of the current situation in order to preserve jobs, the level of income of employees, remain on the market and ensure the supply of vital goods and services to the population. Economic and social stability in the region and in the country as a whole largely depends on the ability of small businesses to assume these obligations.Description of the data or materials used. The study was conducted using the method of semi-formal interviews with owners of enterprises with a staff of up to one hundred people (small businesses). The experts surveyed included 17 small business entrepreneurs from seven Russian regions (Moscow, Saint Petersburg, Omsk region (Omsk), Krasnodar territory (Anapa), Volgograd region (Cherepovets), Arkhangelsk region (Arkhangelsk), Kemerovo region (Jurga)) and by population (cities with millions of people, large and medium-sized cities). The surveyed entrepreneurs represented both industrial production and service companies. The interview was conducted using remote means of communication using a specially developed guide.The results of the study showed that the conditions of the pandemic forced small businesses to change the usual format of work, transform traditional business processes, and switch to remote customer service. Despite the current problems, small businesses are looking to the future with a restrained degree of optimism. The crisis outlined the weakest points of their business to the leaders of small firms, allowed them to abandon inefficient business processes. Those enterprises that could not do this are forced to leave the market. In the post-crisis period, small businesses expect the government to change fiscal and regulatory policies aimed at reducing the financial burden on business and reducing control and audit measures. Despite the current problems, small businesses are looking to the future with a restrained degree of optimism. The crisis revealed the weaknesses of the business and showed possible prospects for development.
Problems of Social Hygiene, Public Health and History of Medicine. 2021;29(S1):784-788
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ECONOMIC AND ORGANIZATIONAL ASPECTS OF STATE REGULATION OF THE HEALTH SECTOR IN THE REGION IN A COMPLEX EPIDEMIOLOGICAL SITUATION
Vishnevskaya N.G., Aleshkina O.V., Apokina K.V., Galina A.E.
Abstract
The article discusses the organizational and economic aspects of state regulation of the health sector, with special attention paid to the period of the pandemic. An analysis of state federal and regional health programs is carried out, an overview of state programs aimed at supporting medical workers during the spread of a new coronavirus infection is presented. The article presents the results of a sociological survey of medical workers in the Republic of Bashkortostan, conducted by the authors. Based on the results of the study, recommendations were developed for improving the healthcare system in a difficult epidemiological situation.
Problems of Social Hygiene, Public Health and History of Medicine. 2021;29(S1):789-794
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PUBLIC ADMINISTRATION MEASURES TAKEN IN RESPONSE TO THE THREAT OF THE SPREAD OF COVID-19: FOREIGN PRACTICE
Gubachev N.N., Shilikov A.Y.
Abstract
The rapid spread of the COVID-19 virus challenges governments to act in ways that are usually reserved for war or natural disasters. The pandemic has caused massive global upheaval that could last for months, or longer. Governments are taking extreme measures to limit economic shocks and human costs. The pressure on the state authorities in this situation increases. In a rapidly evolving crisis, with information coming in from all sides, citizens turn to their governments for information and guidance. They expect to be kept safe and provided with medical care in a timely manner. The purpose of this paper is to review foreign public administration practices in response to the challenges of the COVID-19 pandemic.
Problems of Social Hygiene, Public Health and History of Medicine. 2021;29(S1):795-798
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PROBLEMATIC ISSUES OF EQUIPPING SEA VESSELS IN TERMS OF STAFFING THE SHIP'S FIRST AID KIT IN THE CONTEXT OF THE NEW CORONAVIRUS INFECTION COVID-19
Timchenko T.N., Tonkonog V.V., Arestova Y.A., Pogarskaya A.S., Golovan T.V.
Abstract
Today, the presence of specifics in the organization of the work of sea cargo, fishing and passenger ships is indisputable, which affects the difficulties in providing qualified timely medical care in case of need. This issue is especially urgent in the context of the pandemic caused by the new coronavirus infection COVID-19. The article carried out a detailed analysis of the regulatory framework governing the formation of the list of ship's first aid kit and formulated the appropriate conclusions and recommendations. In addition, the article developed recommendations for supplementing the ship's list with drugs necessary for the treatment of COVID-19.
Problems of Social Hygiene, Public Health and History of Medicine. 2021;29(S1):799-803
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PUBLIC MANAGEMENT DURING THE THREAT OF THE SPREAD OF COVID-19
Titov V.N., Korshunov A.M.
Abstract
The article is devoted to the research of problems and tasks of state management under the conditions of threat of spread of coronavirus infection COVID-19 and consideration of approaches to optimization of processes in the system of state management. The social and economic risks of the pandemic are identified and the directions of anti-crisis measures are considered. Public administration is a system consisting of citizens, business structures and government employees. State authorities, while implementing the directions of public policy, must take into account the interests of all participants of the system, building the channels of interaction between them in the most effective way. The pandemic is a serious challenge to the state administration system of any country, the prevention of the consequences of which requires timely and effective measures to be taken. Under the conditions of the pandemic in Russia, as well as all over the world, the role of the state has significantly increased, both in terms of prevention of pandemic spread, and in the form of measures aimed at supporting citizens and businesses, the most affected spheres of the economy. The purpose of this work is to consider new approaches to optimize the processes in the system of public administration, caused by the need to revise the directions of state policy under the threat of the spread of COVID-19.
Problems of Social Hygiene, Public Health and History of Medicine. 2021;29(S1):804-807
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PROBLEMS OF REGULATORY AND LEGAL SUPPLY OF DRUGS CONTAINING NARCOTIC AND PSYCHOTROPIC SUBSTANCES OF OVERSEAS VESSEL
Tonkonog V.V., Timchenko T.N., Pogarskaya A.S., Golovan T.V., Konfino K.V.
Abstract
In the context of the COVID-19 pandemic, the issue of protecting the vital functions of crew members on ship’s board in conditions of a long voyage and stay in a confined space is urgent. In addition, excluding cases of infection with a new coronavirus infection, one must not forget about the readiness to provide first and subsequent medical assistance in case of urgent need to any crew member, and this can sometimes be done only by using drugs containing narcotic drugs and psychotropic substances in treatment or medical care.The analysis carried out indicates that there is no normative legal regulation of the composition of a first-aid kit in the Russian Federation, and many of the available international documents are for the most part advisory in nature. In this regard, the article carried out a detailed analysis of the regulatory framework governing the procedure for providing ships for overseas navigation with drugs, including those containing narcotic drugs and psychotropic substances, to protect the health of crew members of sea vessels in the context of the spread of COVID-19 and formulated the appropriate conclusions and recommendations.
Problems of Social Hygiene, Public Health and History of Medicine. 2021;29(S1):808-812
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The double diseases burdens trends in Ethiopia: COVID-19 aggravate the burdens of diseases and health system
Selgado M.B., Abramov A.Y., Kicha D.I., Zuenkova J.A.
Abstract
The relevance of the study included that scarcity of evidence about the burdens of diseases in Ethiopia, in particular to non-communicable diseases along with the impact of COVID-19.Materials and methods. The systematic analysis and content analysis using GBD 2019 database and health metrics datasets of 2020 was used to analyze diseases burdens trends of Ethiopia. The descriptive retrospective analysis has been performed, and reported in text and charts method.Results. The result of the study showed increment of crude death and premature death due to both communicable and non-communicable diseases such as enteric infections, cardiovascular, neoplasm, others.Conclusion. COVID-19 would be the headache of Ethiopia health systems due to double burdens of diseases have steadily been shooting at ground. Hence, the nation should incite local based innovation work proactively and integrate all health services to fight with COVID-19 based on the experience of Russia.
Problems of Social Hygiene, Public Health and History of Medicine. 2021;29(S1):813-817
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COVID-19 implications: the role of stress and stigmatization
Lipai T.P., Mironava K.
Abstract
At all levels of society, we see almost polarizing attitudes towards the virus, ranging from panic and emptying store shelves to completely denying the existence of the coronavirus problem. A wave of corona parties, as well as protest demonstrations against restrictive measures related to infection swept the world. In addition, protests against arrivals coming from a covid-risk area were known.Stigma and fear can severely impede efforts to manage the spread of COVID-19 outbreak.The predisposing factors in the development of COVID-19 stigma are lack of knowledge, rapid spread of the virus, relatively high mortality, and lack of effective treatment. Meanwhile, at the level of society, particular processes are taking place, when not only infected, but also healthy members of society become subject to stigmatization, who can be determined as “probably” infected.The article is aimed at supplementing information and improving existing knowledge among specialists about various approaches and methods of preventing mental disorders in people due to stressful epidemiological situation in the world.
Problems of Social Hygiene, Public Health and History of Medicine. 2021;29(S1):818-821
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Management of social rehabilitation, habilitation of disabled in the new conditions: challenges and solutions
Prymachonak G.A., Labeiko O.A.
Abstract
The efficiency of the process of rehabilitation and meeting special needs of disabled individuals in the modern conditions is one of the indicators of national social policy’s performance. This article presents the results of research on social adaptation of disabled, measures and directions of social support, legal and economic conditions of rehabilitation of disabled. A special attention is dedicated to coordination of directions of social rehabilitation, habilitation and provision of social services to disabled on on the basis of state institutions of social services for the population. The stages of social rehabilitation, habilitation are detailed, which are separated into blocks of the algorithm for managing this dynamic process. The results of the study are aimed at the social services system’s development, improvement of the quality of life of disabled people.
Problems of Social Hygiene, Public Health and History of Medicine. 2021;29(S1):822-826
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Address: 105064, Vorontsovo Pole, 12, Moscow

Email: ttcheglova@gmail.com

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National research Institute of public health named after N. A. Semashko

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