Aim. To study the clinical cases of extragenital endometriosis, reveal the key moments of diagnosis and study the risk factors for the development of this disease. Materials and methods. The study was carried out on the basis of gynecological hospitals of Perm in 2000-2015. Retrospective analysis of case histories of 22 patients with extragenital endometriosis of different localization was performed. Prospective analysis by means of questionnaire survey of 20 patients, operated for extragenital endometriosis, was used to assess the quality of life, working ability, prognosis regarding recovery. Results. A mean age of the examined women was 35 ± 3.5 years. Genital endometriosis was diagnosed in 81.8 % of patients, burdened obstetric-gynecological anamnesis - in 86.3 %. The main patients’ complaints were the following: dysmenorrhea and hyperpolymenorrhea (90.9 %), sterility (77.3 %), pain syndrome, dysfunction and hemorrhagic discharges from the damaged organs, cyclically coinciding with menstrual cycle. All patients (100 %) underwent surgical treatment of different forms of extragenital endometriosis, and by the results of histological study of surgical material, stromal and epithelial endometrial cells were detected. Prospectively: prognosis regarding life and working ability was beneficial, as for recovery - doubtful in 55 % of cases, recurrences - 45 % both in previously damaged and other organs. Conclusions. The presented clinical cases demonstrate that endometriosis is an interdisciplinary problem, which needs complex approach to diagnosis and management. Thoroughly collected anamnesis, including obstetric and gynecological as well as questioning, performed by other specialists is required. Patients with the revealed extragenital forms of endometriosis should be treated together with obstetricians and gynecologists.
Настоящая статья посвящена особенностям функционирования промышленных предприятий в условиях развития цифровой экономики и определении основных направлений в управленческой деятельности предприятий. Актуальность проведенного в данной статье исследования обусловлена тем, что в условиях глобализации сегментирования рынков, ужесточения конкуренции, повышаются требования к выживаемости предприятий. В ближайшие годы лидерство будет принадлежать предприятиям с преимущественным развитием цифровых технологий. Основная гипотеза сводилась к тому, что в деятельности предприятий по повышению уровня цифровизации препятствуют, прежде всего, отсутствие стратегии управления человеческого капитала при переходе предприятий на цифровые технологии. Для подтверждения данной гипотезы били проведены эмпирические исследования на базе опроса 75 предприятий. Сегодня применение цифровых технологий воспринимается топ-менеджментом многих российских компаний все еще как сугубо технологическая задача. В то время как смысл происходящей цифровизации состоит в том, что меняются не столько технологии, сколько сама система управления человеческим капиталом и организации деятельности самой компании.
This article provides the results of assessing the factors that impact the cross-sectoral economic and technological effects in the development of digitalization of business processes. The goal of this work is to form a multifactor model for the development of digitalization of corporate business processes and determine the degree of impact of the factors included in this model. The author outlined and tested several hypotheses, the general idea of which is reduced to an assumption that at current stage of economic development in Russia, corporations are actually subject to the emergence of trend in the dynamically changing digital world, which requires quick and effective response to the digital development by increasing investment in digital technologies and intensifying their use in business processes. The empirical framework is comprised on the data provided by the Institute for Statistical Studies and Economics of Knowledge of the Higher School of Economics, as well as Federal State Statistics Service on the current state of digital and business activity. The author conducts a regression analysis for assessing the importance of factors included into the model.; advances and process the hypotheses on the influence of factors upon the index of digitalization and the level of corporate business activity. The acquired results serve as the evidence base for most of the advanced hypotheses, thereby proving the theoretical assumption on the existence of certain consequences of the digital business development. The built multifactor model for the development of digitalization of corporate business processes and assessment of importance of the factors included therein would allow the companies to develop proper solutions aimed at increasing the level of digitalization. The new positions directly depend on the continuous technological changes. As a result, the gap between business needs and competencies of the workforce appears to be the key challenge for the companies.
The relevance of this research is substantiated by the currently growing role of financial relations in the formation and execution of budgets of the constituent entities of the Russian Federation. The formation and implementation of budgetary policy of the Russian Federation determines the economic and financial framework for functionality of the region and life of the society as a whole. The goal is to assess the factors contributing to the formation of regional budget of the Khanty-Mansi Autonomous Okrug – Yugra. The subject of this research is the revenues and expenditures of the budget of Khanty -Mansi Autonomous Okrug – Yugra. Practical importance of the conducted research lies in the obtained results that allow the regional budgets to choose the way for improving budget security. The information base is comprised of the scientific works of Russian and foreign authors, educational-methodological publications, materials of the scientific conferences dedicated to the formation of regional budgets, legislative and normative acts of the Russian Federation, reference materials of the Federal State Statistics Service Of the Russian Federation. The main conclusion consists in determination of the factors influencing the regional budget of the Khanty-Mansi Autonomous Okrug – Yugra. The author's special contribution lies in evaluation of the specificity of formation of budget of the Khanty-Mansi Autonomous Okrug – Yugra, as well as the methods aimed at minimization of budget risks for solution of the regional budgetary problems. The formulated recommendations for increasing budget security would promote the innovative development and improvement of budgetary and tax relations of the regional budgets. The theoretical significance consists in advancement of the theory of regional economy. The acquired results can be applied in theoretical substantiation of the strategic tasks of managing regional budgets.
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