Russian Federation President Research Articles

Dynamics of Some Medical and Demographic Indicators in St. Petersburg During the Period from 2018 to 2023

Background. There have been negative trends in the birth rate and population growth decline in recent years. Forecasts from demographers are also not so encouraging as the next generation of childbearing age is one from the end of the last century which is characterized by low birth rate. Population mortality exceeded the birth rate during the years of challenging and questionable economic reforms. Moreover, there was a high level of chronic morbidity in child population, and physical development had the trend to retardation. Meanwhile under these circumstances, the President of Russian Federation and the Government adopted regulatory documents (decrees, dedicated programs) that determined the directions of state social policy on improving the situation with children in Russian Federation until 2000.Objective. The aim of the study is to evaluate the dynamics of several medical and social indicators of 2018–2023 characterizing demographic trends direction, with proposals on improving medical care in the maternal and child health care system.Methods. The study has covered reporting form No. 19 of Russian Federal State Statistics Service (Rosstat) for children’s outpatient clinics, form No. 14 for children’s hospitals, form No. 030/у “Check-list of dispensary observation”. The study has used the materials of the Presidential Coordination board meeting from November 15, 2016. Statistical data was obtained from the “Office of the Federal State Statistics Service for St. Petersburg and the Leningrad Region” (Petrostat) and the Center for Analysis and Forecast of Mother and Child Health at Health Committee of St. Petersburg, Medical Information and Analytical Center (“Major results in the field of health care in St. Petersburg”, 2019, 2020, 2021, 2022). Statistical processing was carried out via variational statistics methods (Pearson’s criterion, Fisher’s angular transformation criterion) and data from the automated system of prophylactic medical examination, registration certificate FSR No. 2009/05279, corresponding to the order of the Ministry of Health of Russian Federation No. 514н dated August 10, 2017.Results. The analysis of study results confirms the negative demographic patterns in St. Petersburg like the all-Russian. Increase assisted reproductive technologies was noted alongside with birth rate decrease. There are still high rates of stillbirth and perinatal mortality, as well as increased infant mortality rate. The correlation of depopulation processes with children’s health worsening and increasing disability is emphasized.Conclusion. The problems raised in this paper do not have an straightforward solution and require multimodal approach.

ПРОМЕЖУТОЧНЫЙ АНАЛИЗ НАЦИОНАЛЬНЫХ ПРОЕКТОВ, РЕАЛИЗУЕМЫХ В ДАЛЬНЕВОСТОЧНОМ ФЕДЕРАЛЬНОМ ОКРУГЕ

In the article, the author considers the national projects interim results in the subjects of the Far Eastern Federal District. Based on the Russian Federation President Decree of 05.07.2018 No. 204 – «On national goals and the Russian Federation development strategic objectives for the period up to 2024», it was developed national projects in 12 areas and, on their basis, it has been created regional programs for the Far Eastern Federal District development. This work is relevant as there is a need in these projects implementation monitoring in the Russian Federation subjects.

푸틴 대통령 취임사의 담화 분석과 개념적 은유

This study aims to analyze the content of the inaugural addresses of Russian President Putin and to identify their distinctive features. Typically, a president’s inaugural address outlines gratitude towards supporters and plans for governing the nation. However, as the first message delivered by a new president to the people, the inaugural address is of great importance. Vladimir Putin has been inaugurated as the president of Russian Federation in 2000, 2004, 2012, and 2018, and analyzing his inaugural addresses can reveal his attitudes towards the people and towards the presidency itself for more than 20 years at the core of Russian power. By analyzing these speeches from a discourse analysis perspective, it is possible to identify five thematic structures, including greetings, gratitude towards the people, a vision and plan for governing, promises to fulfill campaign pledges, and a strong finish. Additionally, another distinctive feature is the use of diverse conceptual metaphors and frames on the metaphors. Inaugural addresses conceptualize the president as the father figure, Putin seeks to be perceived as a strong leader, modeling the nation as a family with strict rules. The Russian people are implicitly asked to revere and obey the rules. This suggests that Putin aimed to gain both strong leadership and the obedience of the people. This study focuses on analyzing speeches with specific themes using discourse analysis and conceptual metaphors from cognitive linguistics.

Features and Challenges of the Russian Federation President’s Implementation of Powers as a Guarantor of Constitutional Provisions

Features and Challenges of the Russian Federation President’s Implementation of Powers as a Guarantor of Constitutional Provisions

UNFAIR CONDUCT IN CONTRACT NEGOTIATION

Abstract: the article is devoted to finding out the peculiarities of the so‐called pre‐ contractual responsibility, legalization of which was stipulated by the Concept of development of civil legislation of the Russian Federation, ap‐ proved by the decision of the Russian Federation President's Council on codification and improvement of the civil legislation dated 07.10.2009. In the study it is concluded that pre‐contractual responsibility is a kind of civil law responsibility that can be both contractual when negotiating an agreement at the conclusion of the contract and non‐contractual respon‐ sibility, to which the rules of Chapter 59 of the Civil Code can be applied. At the same time the institute of pre‐contractual liability contains its own grounds of occurrence associated with the bad faith conduct of one of the participants. The practice of application of the Civil Code norm of pre‐contractual liability has not been uniformly and widely used because of the ambiguous assessment of the good faith of the subjects of the contract negotiation.

Лингвокультурная специфика образа В. В. Путина в сербских СМИ 2021 г. (на материале интернет-порталов Blic и Kurir)

The aim of the research is to identify the characteristic features of the Russian Federation President’s image in modern Serbian online media in 2021. The scientific originality of the research lies in the fact that, for the first time, using the material of popular Serbian online media, it studies the linguistic methods of creating V. V. Putin’s image, and also defines the basic realias of Russian linguoculture, on the basis of which this image is constructed. The result of the research was the accentuation of the topics that journalists turn to when creating the image of the Russian president in 2021 (the historical past of Russia, coronavirus, Afghanistan, Russian weapons, Nord Stream 2, hacker attacks), as well as the identification of key linguistic ways of forming the image in the text (use of vocabulary with positive and negative connotations, set expressions).

Ongoing antiarrhythmic drug therapy type does not affect the rate of first-pass pulmonary vein isolation: data from a multicenter registry

Abstract Background It is well-known that antiarrhythmic drugs (AAD) change the electrophysiological properties of the atrium mostly by increasing the atrial refractory period and wavelength for reentry. Frequently, atrial fibrillation (AF) catheter ablation is being performed with AAD interruption. However, the information on the impact of AAD on AF ablation performance is lacking, and AAD interruption is not desirable in highly symptomatic patients with persistent arrhythmia. Purpose We sought to study potential differences in achieving first-pass pulmonary vein isolation (FPI) during AF ablation in patients receiving different classes of ongoing AADs. Methods This was a prospective observational multicenter registry. All centers were invited to participate in the registry voluntarily. Data on demographic, clinical, and procedure characteristics were derived from a web-based system. All catheter ablation procedures were performed according to local practices. A total of 450 patients were enrolled, 408 of them underwent first-time AF ablation. Data on AAD characteristics were available in 350 patients (mean age 61±9 years, 195 (56%) males, 270 (77%) had paroxysmal AF). All patients were divided into three groups: ongoing I class AAD treatment (propafenone, ethacyzin, allapinin, n=76), ongoing II class AAD (beta-blockers, n=60), and ongoing III class AAD (amiodarone, sotalol, n=214). Results Baseline clinical and procedural characteristics between AAD groups are summarized in Table. Patients in the I class AAD group were younger, likely had paroxysmal AF, and a smaller mean left atrial diameter. Procedures in the III class AAD group were performed with a higher median target ablation index on the posterior left atrial wall. But the percentage of first-pass isolation was distributed equally between groups (60%, 68%, 61%, p=0.56). The correlation matrix revealed no significant associations between FPI and clinical and procedural variables (r=0.02–0.09; p>0.05 for all). Conclusion(s) Our real-life multicenter data demonstrate no difference in FPI achievement between patients receiving different AADs. We suggest that highly symptomatic patients may continue pharmacological treatment during AF ablation without compromising acute ablation success. Funding Acknowledgement Type of funding sources: Public grant(s) – National budget only. Main funding source(s): Ministry of Science and Higher Education grant (Russian Federation President Grant) Table 1. Clinical and procedural parameter

Features of remote rehabilitation using the developed mobile app in patients after cardiac bypass surgery

Abstract Aim of the study The aim of the study is to evaluate the features and availability of the developed remote rehabilitation program with the use of a mobile application in patients who have undergone coronary artery bypass surgery (CABG) and surgical correction of valvular heart disease (VHD). Material and methods of research In the current epidemiological situation, to increase the availability of cardiorehabilitation for patients after open heart surgery, a mobile application with the program “Remote rehabilitation of patients who have undergone heart surgery” was developed. The remote rehabilitation program included 46 patients (median age 60.0 [53.0; 64.0]) who underwent cardiac surgery. Of these, 22 patients after CABG (median age 61.0 [53.0; 63.5]) and 24 patients after surgical correction of VHD (median age 59.5 [54.0; 63.75]). On the 5th day after the surgery, the developed application for remote rehabilitation was installed on the smartphone. It consisted of 5 sections: Dosed Walking, Therapeutic gymnastics, Diet, Psychology and Chat. After application installing and until the moment of discharge from the hospital, 3 classes with a total duration of 6 academic hours were conducted with each patient. After being discharged from the hospital the patients were recommended to use the mobile app for rehabilitation at home for 4 months. 4 months after the surgery the app usage statistics were evaluated and a telephone survey of the reasons for non-complience was conducted. Results A total of 34 (74%) patients used the mobile app for remote rehabilitation. Of these, 24 (52.0%) used the app section “Dosed Walking” and “Therapeutic Gymnastics” at least 5 times a week for 4 months, 10 (22%) used the app no more than 10 times during the entire follow-up period, and 12 (26%) did not engage in remote rehabilitation using the app. 22% of patients received consultations with a cardiologist via chat in mobile app. The telephone survey revealed the main reasons for the irregular participation of patients in the remote rehabilitation program using the mobile app: lack of interest/desire to engage in physical rehabilitation – 16 (35%), problems with the Internet – 6 (13%), lack of time – 4 (8.5%), incorrect function of the app – 4 (8.5%). Conclusions Insufficient adherence of patients after cardiac surgery to a remote rehabilitation program using a mobile application, associated with a lack of motivation in patients, was demonstrated. This implies the importance of developing and implementing further measures to increase the motivation and adherence of patients to participate in long-term remote cardiac rehabilitation programs. Funding Acknowledgement Type of funding sources: Public Institution(s). Main funding source(s): Russian Federation President grant

Totalitaryzm i wolność w świetle paradygmatów kultury. Współczesna Rosja

The presented paper is of a theoretical character. It includes a reflection on the mechanisms behind the rebirth of totalitarianism, using contemporary Russia as a case study. The research period taken as exemplification for the theoretical part comprises years 2000–2020 and was chosen for three reasons, mutually interconnected. The first among them is the election of Vladimir Putin, regarded as a strong symbolical representation of centralized state power, as the president of Russian Federation. Secondly, the consolidation of power in the hands of one man who had the tools to control and affect the political system. Thirdly, the modification of the Russian Federation Constitution to favor the durability of Putin’s government. The presented results point to the mechanisms behind the activation of totalitarian tendencies in Russian culture in the light of long-lasting cultural paradigms: collectivism and con-centrism.

Проблема обучения детей иммигрантов в Российской Федерации

The publication proposes to discuss the problem of teaching children of immigrants who have arrived in our country and need to adapt to the new social, linguistic and cultural environment. The principles underlying the organization of education for children of immigrants in the Russian Federation, and the conditions for their education in educational institutions of our country, which were formulated at a meeting of the Council under the President of the Russian Federation for Interethnic Relations on March 30, 2021, are given. The content of the state order of the Ministry of Education of the Russian Federation to the Federal State the budgetary scientific institution “Institute of Education Development
 Strategy of the Russian Academy of Education” to study the difficulties faced by children of immigrants in the process of adaptation. The result of the study should be the creation of a set of guidelines for teachers organizing the work of classes in which children of immigrants study.

The role of a difference between target and actual ablation index values for first-pass point-by-point pulmonary vein isolation: results from a multicenter prospective registry

Abstract Funding Acknowledgements Type of funding sources: Other. Main funding source(s): Ministry of Science and Higher Education grant (Russian Federation President Grant) Background/Introduction. Pulmonary vein electrical isolation (PVI) is a cornerstone of atrial fibrillation (AF) ablation. The Ablation Index (AI) aims to improve the efficacy and safety of radiofrequency (RF) PVI. First-pass isolation (FPI) is an indicator of PVI acute success. Target AI is being calculated for every operator as a mean value (usually, differently for anterior and posterior left atrial (LA) segments) following several "ideal" first-pass PVI procedures. However, adherence to target values, as well as its clinical importance, are unknown. Purpose. The aim of the present study was to evaluate the difference between the target and actual AI in the real practice. Methods. This work represents data from the Prospective Multicenter AF Ablation Registry. Data were collected using a web-based system. PVI procedures were performed according to the local practice, and RF ablation settings depended on operators’ preferences. Between January 2019 and December 2020, a total of 446 patients were enrolled from 7 centers, 407 of them underwent first-time AF ablation and were included into the analysis (mean age 61 ± 9 years old; 226 (55%) males; 313 (76%) with paroxysmal AF). FPI was determined as PVI achieved after circular ablation around PVs without additional applications plus persistence of bidirectional block over a 20-minute waiting period. Therefore, patients were divided in two groups: Group 1 (FPI, n = 242) and Group 2 (non-FPI, n = 165). Results. There was a significant difference between target (the mean target AI for the anterior LA segments was 438 ± 58 and 390 ± 27 for the posterior segments) and actually achieved mean AI (406 ± 33 for anterior segments and 389 ± 34 for posterior segments) with a greater difference for anterior segments (Δ 26 (95% CI [19; 32], p = 0,0001) than for posterior (Δ 4 (95% CI [0,2; 8], p = 0,042). The number of patients with a mean actual AI lower than a target value on the anterior and posterior LA walls was 219 (54%) and 171 (42%), respectively. In the FPI group higher mean values of target AI were present (FPI 444 ± 52 for anterior and 393 ± 27 for posterior LA segments vs non-FPI 432 ± 51 (p = 0,04) and 387 ± 23 (p = 0,01), respectively). The FPI group was characterized by higher mean actual AIs on anterior segments (FPI 410 ± 36 vs non-FPI 399 ± 25, p = 0,0001). There was no difference between groups in actual AI on the posterior wall (391 ± 27 vs 386 ± 41, p = 0,1). The non-FPI group was characterized by a higher proportion of subjects with hypertension (87% vs 69%, p = 0,0001) and a lower number of subjects with central obesity (body mass index≥30 in 48% vs 57%, p = 0,04). Conclusion(s). According to our prospective multicenter data, target AI is not achieved in a significant proportion of patients during PVI. This is associated with acute PV electrical reconduction and the necessity in additional ablations. FPI can be achieved more frequently when a higher mean AI value is achieved.

Shorter interlesion distance is associated with a longer procedure time but not with poorer acute results of pulmonary vein isolation: results from a prospective ablation index registry

Abstract Funding Acknowledgements Type of funding sources: Other. Main funding source(s): This work was supported by the Ministry of Science and Higher Education grant (Russian Federation President Grant) #MD-2314.2020.7. Background/Introduction. Radiofrequency ablation (RFA) is the mainstay of invasive management of atrial fibrillation (AF). Amongst a variety of performance indicators, interlesion distance (ILD) has a potential to become a guiding one. Uptodate clinical AF RFA protocols suggest that ILD has to be less than 6 mm, however the research is still lacking in regard to its actual targeted value. Purpose. The aim of the research is to study a relationship between ILD and first-pass isolation (FPI) in ablation-index guided AF ablation procedures. Methods. This was a prospective observational multicenter study. Data were derived from the web-based system. Pulmonary veins (PV) isolation procedures were performed according to the local practice, and RFA settings depended on operators’ preferences. A total of 446 patients were enrolled, 407 of them underwent first-time AF ablation, data on ILD available in 322 subjects (177 (55%) males, mean age 62 ± 9 years old, 259 (80%) with paroxysmal AF). A mean ILD was calculated manually in each case as a sum of all ILDs divided by number of ablation tag points. FPI was considered in cases when no additional applications were required for bidirectional PV block following creation of a one circle around ipsilateral PVs and after a 20-min waiting period. Patients were divided into two groups according to ILD (Group 1 ILD≤ 4 mm, 163 patients and Group 2 ILD > 4m, 159 patients) post-procedurally. Results. The mean procedure time was 102 ± 52 min, the median fluoro time was 9 min [IQR 6; 15]. The following VisiTag parameters were used: the median target ablation index 400 [IQR 400; 500] on the left atrial anterior wall and 380 [IQR 380; 400] on the posterior segments, the median minimal contact force 3g [IQR 3; 4], median minimal time per a point - 4 sec [IQR 3; 15], mean catheter stability 3 mm (ranged between 2.5 and 3 mm). In 261 (81%) cases operators used 3 mm ablation tag size, and in 19% - 2 mm. The mean ILD was 4,1 ± 1,0 mm (3,2 ± 0,5 mm in Group 1 vs 4,6 ± 0,5 mm Group 2). FPI was achieved in 189 (59%) cases. In the "ILD ≤ 4 mm" group FPI was achieved in 93 (49,2%) cases and there were 96 (50,8%) cases of durable FPI in the "ILD >4 mm" group (χ2 = 2,4, p = 0,124). The mean procedure time was 111 ± 46 min and 100 ± 35 min in Group 1 and 2 (p = 0,01), respectively. The mean fluoro time was 13 ± 4 min and 11 ± 4 min in Group 1 and 2 (p = 0,08), respectively Conclusion(s). The results of our multicenter study suggest that shortening of the distance ≤4 mm has no effect on the achievement of first-pass PV isolation, but required more procedure and relatively more X-ray exposure time.

Consideration of Petitions for Pardon in the Russian Federation: Novelties of 2020

ntroduction: the paper analyzes the amendments made by the Decree of the President of the Russian Federation no. 797 of December 14, 2020 to the Decree of the President of the Russian Federation of December 28, 2001 no. 1500 “On commissions for pardon in the territories of constituent entities of the Russian Federation” and the norms of the new Regulation on the procedure for considering petitions for pardon in the Russian Federation. Methods: comparative legal method and method of interpretation of legal norms. Results: having analyzed legal documentation on the activities of the commissions and having considered convicts’ petitions for pardon, we point out the following positive changes: an increase in the rotation period of members of the commissions for pardon; clarification of their analytical and control functions; inclusion of social adaptation in the number of circumstances taken into account when considering the issue of pardon; exclusion of personal data of individuals recommended for pardon by the highest official of a constituent entity of the Russian Federation from publication in the mass media; taking into account the opinions of the victims of the crime. We think that negative changes are those that have created new problems in the form of contradictions with the norms of criminal and penal legislation. These include the possibility of granting pardon to persons serving other criminal law measures, and applying for pardon directly to the commission on pardons, bypassing the administration of institutions and bodies that execute sentences. Conclusion: the current task to expand the practice of granting pardon cannot be solved by adopting a new Regulation on the procedure for considering petitions for pardon in the Russian Federation. Keywords: criminal legislation; penal legislation; convict; pardon; criminal punishment; other measures of a criminal legal nature; President of the Russian Federation; commissions on pardons.

Propaganda and illegal advertising of drugs: issues of improving Russian legislation

The article is devoted a current issue in contemporary Russia: the propaganda and advertising of drugs. One of the priorities of the state today is the fight against drug trafficking, an important component of which is the involvement of minors in the use and distribution of prohibited substances and drugs, including narcotic drugs. Methods of distribution and promotion of drugs are constantly improving and the Internet is the most accessible and popular among them. The drug trade is now fully global, and one of the most common ways to interact and implement its goals of distribution and universal access is the worldwide internet. Today, the internet has a billion registered users of all ages, genders, etc. The internet is an area where the mechanisms of state regulation are far from perfect.
 The author analyzes statistical data of registered offenses under article 6.13 of the Administrative Code of the Russian Federation and considers proposals, including legislative initiatives, aimed at implementing the decree of the President of the Russian Federation, which indicates the need to develop strict legal measures to prevent and punish actions aimed at promoting and advertising drugs. The author proposes to make changes to the domestic criminal legislation by adding a new norm providing for punishment for the acts in question. Pro-drug propaganda and advertising are also addressed.

Созидательный аспект регионального развития в Послании Президента Российской Федерации

The article contains an expert opinion on regional development issues reflected in the Message of the President of the Russian Federation of 2021 (hereinafter – the Message). It is noted that the issues of regional development in the Message correspond to the logic of the principles of coordinated functioning and interaction of the bodies included in the public power system. It has been shown that along with social measures, the key idea of the Message is the economic development of the regions. The prerequisites and setting of regional development goals within the framework of the new regional support scheme proposed in the Messageare revealed. The regional block of instructions for implementation of the Message is presented, the implementation of which will ensure the fulfillment of the role of the Message as a document of spatial development and equality of opportunities for the different territories and population groups.

Формирование дискурсов уголовно-правового обеспечения национальной безопасности России

he article attempts to formulate the criminal law component of the problem of support national security, based on the National Security Strategy approved by the Decree of the President of the Russian Federation in 2021. The authors consider the formation of the national security domestic paradigm, highlight the stages of creating a system of national security legal regulation in the Russian Federation, and assess the effectiveness of such regulation. It is concluded that the negative consequences of the reforms carried out in Russia partly themselves pose a threat to its national security. The article studies the formation of the state criminal law policy; the development of criminal law measures against terrorism, extremism, economic crime and corruption; countering the malicious use of artificial intelligence and robotics as priority areas of countering threats to national security by criminal legal means. The formation of an effective criminal legal framework for countering economic crime and corruption is associated with the development of the modern criminal and criminal-legal policy concept. The changes in Russian legislation aimed at ensuring national security through the tightening a number of the Criminal Code norms in relation to terrorist and extremist crimes after the coup d’état in Ukraine in 2014 are illustrative. The risks of malicious use of artificial intelligence require a proactive reaction of the domestic legislator. Analyzing the sphere of development of the economic foundations of the state and society, it is necessary to focus on the conditions of fierce competition from foreign goods, works and services. At the same time, it is impossible not to take into account the fact that competition is often associated not only with scientific and technological advantages, but also with various kinds of abuses on the part of legal entities, which brings the authors back to the discussion on the introduction of the institution of legal entities criminal liability in the Russian Federation.

ГЕНДЕРНЫЕ АСПЕКТЫ ПОЛИТИЧЕСКОГО ЛИДЕРСТВА И ИМИДЖА: ЭМПИРИЧЕСКОЕ ИССЛЕДОВАНИЕ

The article presents materials from a socio-gender empirical study of the attitude of YouTube users to the candidates for the post of President of the Russian Federation who participated in the 2018 elections. The elections are indicative of the gender imbalance. Of the 8 candidates – only 1 is a woman. YouTube, on request in the search bar “presidential debate 2018”, gave out four posts with millions of views. The videos were concerned with the most emotional moments of the elections. It was revealed that gender stereotypes affect the perception of the image of a political leader by Russians. The conducted sociogender study showed that the Internet has a huge information potential for gender sociology

Assessment of the level of economic security of construction companies

In 2020, the President of Russian Federation outlined new national goals in the form of achieving “digital maturity” of key sectors of the economy and social sphere (Presidential Decree No. 474 of July 21, 2020 “On the national development goals of Russian Federation for the period up to 2030”) … At the meeting of working group of State Council in January 2020, the head of the Ministry of Telecom and Mass Communications named seven areas of development of digital economy in the interests of citizens, business and the state, including “Digital economy - to business: drastic reduction of costs” and “Digital economy - to business: reduction of administrative pressure”. To create the conditions for introduction of new digital technologies in construction activities within the framework of “Digital Economy” program, a subgroup “Digital technologies for managing the development of territories and urban planning policy” was created. The current period - the period of a pandemic (its consequences) and introduction of a number of restrictions for a number of sectors of the economy - is also becoming a new stage for the implementation of digitalization in construction activities. The COVID-19 pandemic is one of those external threats that are unpredictable. It is impossible to predict their appearance, peculiarities of the course. As noted in the economic literature, this greatly complicates the counteraction, since it is impossible to develop a coherent and effective strategy of this kind in advance. Moreover, it is impossible to predict the duration of consequences of this threat, as well as the list of risks and threats to the economic security of construction enterprises caused by the COVID-19 pandemic.

Public Management System Transformation in the Conditions of Digitalization

In modern life conditions, within the framework of the "Digital Society" system formation, advanced functions of public administration are implemented as a key factor in the of efficiency improvement of all eco-nomic structures of Russian society. The key element of electronic interac-tion in public administration is the authorities supporting the working pro-gress of the Plenipotentiary of the Russian Federation President at the federal district level. This allows to consider a system of digital generalization of providing public services to the people on the basis of the electronic infor-mation interaction between all its participants.

Организация офтальмологической помощи социально незащищенным детям на базе ФГБУ «Клинической больницы» Управления делами Президента РФ

Организация офтальмологической помощи социально незащищенным детям на базе ФГБУ «Клинической больницы» Управления делами Президента РФ