The issue of forming a comfortable environment in cities with complex climatic conditions has always been an urgent and difficult issue for urban planners. Cities located in the territories of the Far North are characterized by extremely harsh climatic characteristics that affect the planning solutions for the public spaces of the city. Low temperatures and strong winds reduce the time of comfortable stay in the open air, which leads to a decrease in the mobility of the population in the city and stimulates the use of personal cars. The research question is the rational placement of points of interest on the street network to ensure a comfortable travel time between objects. The research methodology of public space planning taking into account the climatic comfortability of Far North cities is proposed in this article. Also, an automated GIS-based algorithm for determining intermediate points on linear objects to increase POIs’ connectivity for the development of the public space of Far North cities under the condition of organizing climatic comfort is proposed. Development of safe and comfortable public space on the basis of network accessibility, taking into account the difficult climatic conditions of these cities, will increase the social activity of the population and tourists, as well as promote economic growth and business development in the city.

The process of industrial transformation, becoming the most important for building up sustainable cities, is in urgent need for studying alternative options for land use to ensure sustainable city development. Rapid urbanization requires new built-up design in strong correlation with urban spatial planning issues. The objective of this paper is to contribute for the studies of sustainable land use solutions through investigating the problems of the reorganization of depressed industrial areas. The research methodology is based on the multicriteria decision-making method to provide primarily social functions of depressed industrial areas, depending on environmental and economic aspects of their historical location in urban structure. Since the article highlights the concept of the 15-min city to build a polycentric urban spatial structure, the assessment of supply and demand matching of social facilities is based on the analysis of 15 min accessibility to the serviced within either industrial zone and the city on the whole. The GIS spatial analysis method supports the developed criteria set to evaluate main city functions. The research provides the methodology for defining the priority land use solution for a specific industrial area in a specific location. The proposed methodology suggests a procedure for evaluating the importance of the land use composition for the city community, considering environmental requirements and cost-effectiveness of the project. Three different industrial zones located in the same city are a case study to asses the reliability of the proposed methodology. The research conclusion provides implementing sustainable land-use solutions for improving urban environment quality as well as the quality of life for the population.

ЦЕЛЬ ИССЛЕДОВАНИЯ Разработать методологию выделения фенотипов постковидного синдрома (ПКС) и определить их нишу для клинического использования в амбулаторной практике, изучить наиболее распространенные клинические варианты (фенотипы) ПКС в зависимости от коморбидного фона и особенностей течения новой коронавирусной инфекции (НКВИ). МАТЕРИАЛ И МЕТОДЫ Проведено одномоментное исследование с участием 665 респондентов в возрасте от 18 лет, которые перенесли НКВИ в 2020—2022 гг. Пациенты заполняли онлайн-анкету с вопросами об особенностях течения острого периода COVID-19, наличии хронических заболеваний, о проявлениях ПКС и качестве жизни. Статистическая обработка проводилась в программе MS Excel 2021 и Jamovi. РЕЗУЛЬТАТЫ Средний возраст участников (88,1% женщин, 11,9% мужчин) составил 38 (30; 46) лет. Вирусная пневмония диагностирована у 25,3% пациентов. Из сопутствующих заболеваний чаще всего встречались артериальная гипертензия (24%), ожирение (18,6%), ишемическая болезнь сердца (6,1%). Всего выделено 7 основных фенотипов ПКС. На преобладание определенного фенотипа статистически значимого влияния не оказывали пол, статус госпитализации и наличие положительного ПЦР-теста на НКВИ. Пациенты с более длительным течением НКВИ (более 15 дней), а также перенесшие ковид-ассоциированную пневмонию, чаще имели фенотип с поражением сердечно-сосудистой системы (p=0,009 и p=0,015), с неврологическими (p=0,036 и p=0,039), желудочно-кишечными нарушениями (p=0,05 и p=0,022). У пациентов с коморбидным фоном чаще выявлялись фенотипы с поражением дыхательной (p=0,004), сердечно-сосудистой системы (p=0,001), с неврологическими (p=0,0043) и желудочно-кишечными нарушениями (p=0,001). ЗАКЛЮЧЕНИЕ Новая коронавирусная инфекция вызывает поражение большого количества органов и систем, что проявляется в многообразии симптомов постковидного синдрома. Основными факторами, повлиявшими на фенотип постковидного синдрома, стали сопутствующие хронические заболевания, наличие ковид-ассоциированной пневмонии и длительность течения новой коронавирусной инфекции. Можно предполагать, что выделение фенотипов постковидного синдрома позволит оптимизировать тактику ведения пациентов и улучшить их качество жизни.

Digital medicine is actively developing in all areas of health care. Telemedicine technologies are becoming a new trend among doctors and patients. Objective. To study the digital readiness of patients with chronic heart failure (CHF) for self-control using telemedicine technologies and the factors affecting it. Material and methods. A survey of 54 patients at the CHF Treatment Center of the Central City Hospital No. 20 (Yekaterinburg) was conducted. Questionnaires for patients with CHF included a Mini-Cog cognitive assessment, an EHFScBS-9 self-help assessment, and a 21-question questionnaire specifically designed to examine the digital readiness of CHF patients. Results and discussion. The mean Mini-Cog score was 3.7±0.2 (no dementia), and the EHFScBS-9 score was 27.9±1.0, indicating the low ability of patients to self-monitor their CHF symptoms. Low levels of digital competence and medium levels of digital literacy with a high level of digital trust were identified. Levels of digital competence and trust were age-dependent, higher in working and working-age patients and those with access to the internet and smartphone. Low digital literacy was found regarding awareness about receiving telemedicine advice and using mobile applications. When analyzing digital competence, literacy, and trust in pairs, it turned out that the level of digital trust increases with a high level of digital competencies. Conclusions. It is necessary to develop special programs to improve digital literacy and competencies for patients with chronic heart failure. The current level of digital readiness in patients with CHF indicates the opportunity for widespread use of telemedicine technologies in patients of working age, mainly female, with intact cognitive functions.

In Russia, women’s life expectancy is 10 years longer than men’s, possibly due to men’s lower awareness of risk factors for chronic non-communicable diseases and certain behavioral stereotypes. Objective. To study and compare gender differences in awareness and attitude towards a healthy lifestyle among users of medical Internet resources. Material and methods. Users of medical Internet resources were surveyed using the ProZOZH-II questionnaire on commitment to a healthy lifestyle and an adapted questionnaire to assess the adverse impact of risk factors on health. Statistical processing was performed using MS Excel 2021 and Jamovi software. Results. The study included 470 subjects, 98 (20.9%) males and 372 (79.1%) females; the groups were comparable in basic socio-demographic characteristics. Females tend to evaluate the following factors as having a more pronounced impact on their health: smoking, unhealthy diet, low physical activity, hypertension, high cholesterol, and sugar levels; males consider alcohol consumption a more significant adverse factor. No gender differences were identified in assessing the impact of stress/anxiety/depression. The results of the ProZOZH-II questionnaire showed the difference in commitment to healthy lifestyles between males and females only on the Responsibility for Health subscale; there were no gender differences in other parameters (Physical Activity, Nutrition, Self-enrichment, Interpersonal Relationships, Stress Management). Conclusions. Users of medical Internet resources are well aware of the risk factors for chronic non-communicable diseases and have a good commitment to a healthy lifestyle. The data obtained can be used in the development of individual prevention programs focused on the alcohol impact on men’s health and smoking, unhealthy diet, low physical activity, hypertension, hypercholesterolemia, and hyperglycemia impact on women’s health.

Introduction. Currently, telemedicine is one of the most rapidly developing areas in the healthcare system. The aim is to study the awareness and attitude of doctors to telemedicine technologies in th ...