Search

The problem of premature infants is well recognized in Russia and all over the world. The article discusses the mortality level and structure of extremely premature infant during 2015–2019. The aim of the study was to identify significant cause-effect relations for high mortality of premature infants and infants with extremely low body weight (ELBW) according to reports from obstetric departments, pediatric outpatient clinics, children's hospitals, statistical agencies, queries results from Territorial Compulsory Medical Insurance Fund (TCMIF) in Saint Petersburg and Russian Association of Human Reproduction (RAHR). The main demographic indices are presented by the Petrostat association. Russian Federal State Statistics Service (Rosstat) forms provided by the Center for Analysis and Prediction of Maternal and Child Health of the Saint Petersburg Health care Committee (No. 32 “Information on medical care for pregnant women, women in labour and new mothers” (approved by order of Rosstat No. 591 of 27.11.2015); No. 19 “Information on children with disabilities” registered in children's clinics (approved by order of Rosstat No. 866 of 27.12.2016); No. 14 “Information on the activities of medical facilities units providing inpatient medical care” (approved by order of Rosstat No. 723 of 05.12.2014); No. 30 “Information on the medical facility” (approved by order of Rosstat No. 483 of 03.08.2018 “On the approval of statistical tools for the organization of federal statistical observation in the field of healthcare by the Ministry of Health of the Russian Federation”) presented by Saint Petersburg Medical Informational and Analytical Center (MIAC)), and answers from TCMIF in Saint Petersburg and RARCH have been investigated. The authors have analyzed the fertility and mortality rates of premature infants, the group of children with ELBW has been established. High mortality levels have been revealed in the first weeks of life (22–23), they were mainly associated with infectious processes. The authors associate the premature delivery increase with the widespread implementation of assisted reproductive technology (ART). ART can be performed either via compulsory medical insurance funds, or other non-government sources. The assumption was proposed that there are possible violations of ART indications, contraindications, and the number of procedures. The ART efficacy is difficult to estimate as well due to insufficient information provided by Rosstat report form No. 32. The need of implementation of the new statistical form that will cover the data on the of ART administration, the possibility of efficacy estimation of modern invasive methods for infertility treatment and mandatory submission of reports about the use of these methods by medical facilities is discussed.

The development prospects of the mining industry are closely related to the state and development of modern mining machinery and equipment that meet the technical and quality requirements of mining enterprises. Enterprises are focused on a quantitative assessment – the volume of mineral extraction, depending on the functioning efficiency of a promising series of mining machines, which include modern mining excavators. Downtime and unplanned shutdowns of mining excavators directly depend on the operating conditions of the mining machine, which has negative influence on the machine as a whole and its technical condition, which entails a decrease in the efficiency of using expensive mining equipment and economic losses of the mining enterprise. The rationale for external factors that affect the operating time and technical condition of mining excavators is given. For a more detailed assessment of the influence of external influences on the efficiency of operation of mining machines, the influencing factors are divided into two groups: ergatic, directly related to human participation, and factors of a natural-technogenic nature, where human participation is minimized. It was revealed that factors of a natural-technogenic nature have the greatest influence. An algorithm is proposed for a comprehensive assessment of the technical condition and forecasting of operating time both in nominal and in real operating conditions, taking into account factors of a natural and technogenic nature. It is proposed, based on the developed program for planning and evaluating the life of a mining excavator, to adjust the schedules for maintenance and repair (MOT and R) in order to minimize the number of unplanned downtime of a mining excavator and maintain it in good condition.