Watching out for regional separatism in the Russian far East: Ideological cueing of territorial security,economic incentives and cultural identity

Why has regional separatism failed to materialise in the post‐Soviet Russian Far East despite the region's remoteness from Russia's European heartland, its proximity to the Pacific Rim economies, the decline of economic support from Moscow, and a ‘frontier’ culture of resistance to Moscow's rule? Focusing on political developments in Primorskii Krai ‐ the key frontier province in the Russian Far East ‐ the study finds that territorial security, economic incentives, and cultural identity affect proclivities for regional separatism selectively, depending on ideological and institutional constraints in which centre‐periphery relations are embedded. In the absence of ideological commitments and enforceable institutional rales and norms, centre‐periphery conflicts devolve into economic bargaining and rule‐manipulation by elites for quick material gains. The changing ideological context amidst post‐Soviet institutional transition in Russia provide the most consistent explanation of conflict dynamic between Primorskii Krai's leaders and Moscow, of the non‐emergence of regional separatism, and of gross economic mismanagement of the province.     

Training Needs in Russian Industrial Companies: Assessment by CEOs

The article reports on the results of a recent survey of 740 Russian CEOs on their attitudes towards business education. It was found that the implied demand of Russian CEOs for managerial retraining is consistent, as retraining is seen as a remedy for current rather than fundamental problems in managerial efficiency, and it is insolvent as Russian companies currently are not ready for serious investment in human resources. In addition, there are low chances for dissemination of knowledge and skills within the company as Russian CEOs do not value coaching and mentoring. Some policy recommendations are provided.     

Real-world healthcare resource utilization related to migraine treatment failure: a panel-based chart review in France,Germany, Italy,and Spain

Abstract

Aims: This retrospective chart review examined the six-month migraine-related healthcare resource use (HRU) among European patients who had ≥4 migraine days per month and previously failed at least two prophylactic migraine treatments.

Methods: Neurologists, headache specialists, and pain specialists in France, Germany, Italy, and Spain who treated ≥10 patients with migraine in 2017 were recruited (April–June 2018) to extract anonymized patient-level data. Eligible physicians randomly selected charts of up to five adult patients with clinically-confirmed migraine, ≥4 migraine days in the month prior to the index date, and had previously failed at least two prophylactic migraine treatments. Treatment failure was defined as discontinuation due to lack of efficacy and/or tolerability. Demographic and disease characteristics as of the index date, and migraine-related HRU incurred during the 6-month study period, were recorded.

Results: A total of 104 physicians contributed 168 charts for patients (63% female). On average, patients were 38?years old and failed 2.3 prophylactic treatments as of the index date. During the study period, 83% of patients had ≥1 outpatient visit for migraine in the physician’s office, and 27% went to the ER/A&E. Approximately 5% of patients were hospitalized for migraine, with an average of one hospitalization and an average length of stay of 3 days. Approximately 39% of patients had ≥1 blood test, 22% had ≥1 magnetic resonance imaging, 17% had ≥1 electroencephalogram, and 13% had ≥1 computerized tomography scan. Visits to other healthcare providers were common.

Limitations: This study is subject to the limitations of chart review studies, such as errors in data entry.

Conclusions: Across four European countries, the HRU burden of migraine among patients who previously failed at least two prophylactic treatments was high, indicating a need for more effective prophylactic treatments to appropriately manage migraine and reduce the HRU burden attributable to this common disorder.     

Russkiy Mir: The Geopolitics of Russian Compatriots Abroad

ABSTRACT

This paper argues that the instrumental reference to Russian ‘compatriots’ in Georgia in 2008 and Ukraine in 2014 served as a discursive framing to justify contradictions in Russian approaches to state sovereignty to an international audience. Contrary to teleological readings of Russian foreign policy, however, the paper argues that while Russian diaspora policies have been tapped into, the iterative and partially contradictory development thereof on a governmental level suggests that these were not the blueprint for a revisionist foreign policy by design. It contextualizes the evolution of Russian diaspora policies against the background of the evolution of the wider ‘Russian World’ conception and shows how the discourse about the protection of ‘compatriots’ was contextual and has translated into geopolitical boundary-making at a time when relations between Russia and the West deteriorated.     

The cost of warfarin treatment for stroke prevention in patients with non-valvular atrial fibrillation in Russia from a collective perspective

Aims: Vitamin K antagonists (VKAs) are used for stroke prevention in patients with non-valvular atrial fibrillation (NVAF), but necessitate regular monitoring of prothrombin time via international normalized ratio (INR) testing. This study explores the economic burden of VKA therapy for Russian patients with NVAF.

Method: Cardiologists provided clinical characteristics and healthcare resource use data relating to the patient’s first year of treatment. Data were used to quantify direct medical costs (INR testing, consultations, drug costs). The same patients completed a questionnaire providing data on direct non-medical costs (travel/expenses for attendance at VKA appointments) and indirect costs (opportunity cost and reduced work productivity). Mean costs per patient per year are described (US dollars).

Results: Cardiologists (n?=?50) provided data on 400 patients (mean age?=?63, 47% female), and 351 patients (88%) completed the patient questionnaire. Patients had a mean of nine INR tests. Estimated direct medical costs totaled $151.06, and 18.5% of direct medical costs were attributable to drug costs. Estimated annual direct non-medical costs were $22.89 per patient, and indirect costs were $275.59 per patient.

Limitations: Included patients had been treated for 12–24 months, so are not fully representative of the broader treatment population.

Conclusion: Although VKA drugs costs are relatively low, regular INR testing and consultations drive the economic burden for Russian NVAF patients treated with VKA.     

Strategic Technology Alliances: A Way to Innovative Enterprises in Russia?

This article examines whether, how, and to what extent international technology partnerships of Russian enterprises and research institutes contribute to their technological capability building. It presents results obtained by analysis of both a unique survey of Russian enterprises and research institutes co-operating with Western partners in seven selected high-technology fields and four Russian regions with a high concentration of R&D, and additional evidence from 16 in-depth interviews with managers of such Russian high-technology entities (HTE).     

Slonimsky's view on Antoine-Augustin Cournot∗

Abstract

In 1878 the Russian Liudvig Zinov'sevich Slonimsky published a lengthy article on the mathematization of economics. To defend the legacy of applying mathematics in the study of economics, he made ample uses of both von Thünen and Cournot's works. The article published in Russian and in the Russian Vestnik Evropy (Journal of Europe) has passed virtually ignored by economists. This notes gives a complete account of Slonimsky's references to Cournot's work.     

The Role of Non-monetary Trade in Russian Transition

The appearance of significant non-monetary trade in the Russian transition of 1992-98 has been differently interpreted by analysts and observers. Some have seen barter as a symbol of passive resistance to reforms while others have blamed reformist policies for its development. We argue that non-monetary trade is best understood as a natural response of companies to market imperfections remaining from Soviet times. We provide an overview of market institutions that existed at the onset of the transition and conclude that market infrastructure was under-developed (especially trade and finance-related institutions). This fact became obvious after the liberalisation of trade in 1992. When the Central Bank of Russia stopped issuing direct credit to enterprises, newly established commercial banks were unable to fill the gap. Firms had to develop alternative means of financing trade and non-monetary trade was one of them. In our opinion barter, while an inefficient mode of trade, also played a positive role in the transition. Its high transaction costs offered ample opportunities to earn profits from trade and financial intermediation. The latter mushroomed as a result and at the time of the 1998 default the Russian economy had sufficiently developed trade, financial and legal systems to afford a switch from barter to money trade.     

Adapting the Asthma Life Impact Scale (ALIS) for use in Southern European (Italian) and Eastern European (Russian) cultures

Abstract

Background:

The Asthma Life Impact Scale (ALIS) is a disease-specific measure used to assess the quality-of-life of people with asthma. It was developed in the UK and US and has proven to be acceptable to patients, to have good psychometric properties, and to be unidimensional.

Objective:

This paper reports on the adaptation and validation of the ALIS for use in representative Southern European (Italian) and Eastern European (Russian) languages.

Methods:

The ALIS was translated for both cultures using the dual-panel process. The newly translated versions were then tested with asthma patients to ensure face and content validity. Psychometric properties of the new language versions were assessed via a test–re-test postal survey conducted in both countries.

Limitations:

It is possible that some cultural or language differences still exist between the different language versions. Further research should be undertaken to determine responsiveness. Further studies designed to determine the clinical validity of the Italian ALIS would be valuable.

Results:

Linguistic nuances were easily resolved during the translation process for both language adaptations. Cognitive debriefing interviews (Russia n?=?9, male?=?11.1%, age mean (SD)?=?55.4 (13.2); Italy n?=?15, male?=?66.7%, age mean (SD)?=?63.5 (11.2)) indicated that the ALIS was easy to read and acceptable to patients. Psychometric testing was conducted on the data (Russia n?=?61, age mean (SD)?=?40.7 (15.4); Italy n?=?71, male?=?42.6%, age mean (SD)?=?49.5 (14.1)). The results showed that the new versions of the ALIS were consistent (Russian and Italian Cronbach’s alpha?=?0.92) and reproducible (Russian test–re-test?=?0.86; Italian test–re-test?=?0.94). The Italian adaptation showed the expected correlations with the NHP and the Russian adaptation showed strong correlations with the CASIS and CAFS and weak-to-moderate correlations with %FEV1 and %PEF. In both adaptations the ALIS was able to distinguish between participants based on self-reported general health, self-reported severity, and whether or not they were hospitalized in the previous week.     

Innovations and Legacies in Russian Human Resource Management Practices: Surveys of 700 Chief Executive Officers

In 1998 we administered a survey to 740 Russian chief executive officers (CEOs), which enabled us to raise the question of the current human resource management (HRM) practices in Russian industrial companies. In October-December 2000 we administered another survey among 735 Russian CEOs. This time we observed a major drive towards some modern instruments of HRM policies. However, an additional survey, devoted to the source of innovations in HRM, revealed that most HRM innovations are implemented on a trial and error basis, without reference to international practices.     

A Note on Building a Database on Russian Banks: Fieldwork Against the Odds

This note describes how I constructed a reliable database on Russian banks in early transition. I describe in detail data sourcing, data verification and the representativeness of the resulting database. The note makes available for research a database that captures the genesis of a commercial banking system and is therefore very interesting. Moreover, the note suggests that the availability of data in Russia might in practice be better than generally perceived. Often the data do exist, but it takes a lot of time and effort to find them and turn them into a user-friendly format. Mastering the Russian language and a fair portion of perseverance are a great help in this respect.     

Defence Industry Transformation in Russia: Evidence from a Longitudinal Survey

The article is devoted to the new phenomena in the market transformation of the Russian defence-industrial complex. Based on the data generated by the repeated survey of the CEOs (general directors) of defence enterprises in 1995‐99, it examines economic performance of enterprises, their conflicts with the government and efforts at internal restructuring brought about by reductions of Russia's defence spending, mass privatisation and opening up of the domestic market. We found that despite the dramatic reduction in defence orders, inconsistent government policies and extremely unfavourable macroeconomic environment, the Russian defence industry has made significant progress in its adjustment to the market. Even before the devaluation of the ruble in the autumn of 1998 economic performance of defence enterprises had been gradually improving; it entered a virtual boom since then. Contrary to widely held views, the painful experience of the 1990s has not made the top managers of the defence industry more hostile to reforms: at the end of the decade they were generally more supportive of the market than in 1995.     

Cost-effectiveness of distributing naloxone to heroin users for lay overdose reversal in Russian cities

Abstract

Objective:

To evaluate the cost-effectiveness of distributing naloxone to illicit opioid users for lay overdose reversal in Russian cities.

Method:

This study adapted an integrated Markov and decision analytic model to Russian cities. The model took a lifetime, societal perspective, relied on published literature, and was calibrated to epidemiologic findings.

Results:

For each 20% of heroin users reached with naloxone distribution, the model predicted a 13.4% reduction in overdose deaths in the first 5 years and 7.6% over a lifetime; on probabilistic analysis, one death would be prevented for every 89 naloxone kits distributed (95% CI?=?32–260). Naloxone distribution was cost-effective in all deterministic and probabilistic sensitivity analyses and cost-saving if resulting in a reduction in overdose events. Naloxone distribution increased costs by US$13 (95% CI?=?US$3–US$32) and QALYs by 0.137 (95% CI?=?0.022–0.389) for an incremental cost of US$94 per QALY gained (95% CI?=?US$40–US$325). In a worst-case scenario where overdose was rarely witnessed and naloxone was rarely used, minimally effective, and expensive, the incremental cost was US$1987 per QALY gained. If national expenditures on drug-related HIV, tuberculosis, and criminal justice were applied to heroin users, the incremental cost was US$928 per QALY gained.

Conclusions:

Naloxone distribution to heroin users for lay overdose reversal is highly likely to reduce overdose deaths in target communities and is robustly cost-effective, even within the constraints of this conservative model.     

Asymmetric Information and the Russian Individual Savings Market

The article considers the influence of informational imperfections on the performance of the Russian financial market. The focus is on the individual savings market, which exhibits inefficiencies, including those associated with the market power of a dominant agent—Sberbank. Reinforcement of Sberbank's dominance on the market in the period 1994‐98 (before the August default combined with financial crisis) is explained as a consequence of asymmetric information about the probability of bankruptcy of a new bank. Under asymmetric information a new private bank has to provide specific quality signals in order to attract depositors. Two major lines of inquiry are the criteria for choosing forms of savings, including that of a bank in which to deposit money, by Russian citizens, and banks' advertising strategies to confirm the factual risk of default. Within the conceptual framework of a game with separating equilibrium, we analyse the behaviour of the agents on both supply and demand sides in the market. We find that there is evidence of using advertising as a tool of quality signalling at a certain phase of the Russian individual savings market's development.     

The role of the executive in Russian budget formation

Abstract

The article provides an examination of the role of Russia’s dual (semi-presidential) executive in the budget process. The Constitution gives the president a strategic role, leaving operational budget formation to the ‘government’, chaired by the prime minister, whereas the common view of Russian policy making is of the president’s ‘hands-on management’. The article looks at how the president engages in the budget process, and whether, on the one hand, excessive ‘hands-on’ presidential involvement leads to a disrupted policy process, or, on the other hand, it breaks down the inter-agency deadlocks that are common in Russian policy making. The conclusion is that a reasonable balance is found between the two.     

Institutional Change and the Problems of Restructuring the Russian Fishing Industry

This article discusses how the transition from a planned towards a market-based economy has affected the Russian fishing industry. It is based on a series of studies of the Northwest Russian fishing industry, where evidence from its past role and functioning is contrasted with the current situation. The conceptual perspective drawn on is institutional theory, with a focus on higher-order institutions. One of the main findings is that the fishing companies stand out as the only surviving party in the game. The losers are the land-based fish processing industry, the mother ship and transport fleet, and the support structures, which depend on the activities generated by the prime production (fishing). It is argued that the new institutional arrangements necessarily force a new adaptation among the fishing companies, and suggested that some of the changes of the higher-order institutions have been less successful than initially assumed, as there still are several adverse elements in the Russian institutional arrangements that hinder further transition toward a marketbased economy.     

Foreign Investment and National Interests in the Russian Oil and Gas Industry

This article examines the political economy of foreign direct investment in the Russian oil and gas industry in order to explain the limited role of foreign capital in this sector. There are three forms of foreign direct investment in the Russian oil and gas industry: (1) joint ventures, (2) investment within the framework of a production sharing agreement (PSA) and (3) foreign equity investment. The development of these three forms of foreign direct investment is analysed with special reference to the interests of the parties involved, before a conclusion on the political factors determining the conditions for foreign investment is made.     

Geopolitical fantasies,national strategies and ordinary Russians in the post‐communist Era

New geopolitical writings that have developed in the post‐Soviet period are predicated on different ideological and historical perspectives and against the formal statements of Russia's place in the world from President Vladimir Putin and enshrined in the document ‘Concept of the Foreign Policy of the Russian Federation’. Four geopolitical schools can be identified, ranging from the fantastic notions of extreme Eurasianism to the reformers’ goal of tying Russia firmly to the West. Formal statements concentrate on Russia's regional prominence in Eurasia and on close integration into the world economic and political systems. However, ordinary Russians display little interest in these geopolitical writings or in the foreign policy actions of the Russian state, except in special cases where the Russian military are actively involved on Russian territory or the ‘near abroad’. In this regard, Russian public opinion has increasingly become like that of the Western democracies, generally disinterested in foreign policy and focused on their personal day‐to‐day lives.     

The Russian Crisis: A Debt Perspective

On 17 August 1998 the Russian authorities devalued the ruble, suspended repayments of ruble-denominated government paper and announced a moratorium on the Russian foreign debt. By doing so the government brought the domestic banking sector to the edge of bankruptcy and risked losing the little international faith still remaining in its abilities to restructure the economy. In this article we examine the deeper causes of the crisis. After having analysed its antecedents we gather our new insights into a basic stylised model of the crisis. The outcome of the model is then linked to the actual data and events.     

The geopolitics of Slavic Union: Russia,Belarus, and multipolarity

Whether new ‘poles’ will rise to challenge American hegemony is an important issue for international relations theory and policymakers. This article examines the conscious effort by Russian and Belarusian politicians to promote multipolarity through the construction of a ‘Slavic Union’. Although largely theoretical, this union is a clear reaction to the sharp, relative increase in American power since the end of the Cold War and misgivings about its intentions, as evidenced by the expansion of NATO, the proliferation of US missile attacks, and the recent Kosovo conflict. This article suggests that American foreign policy is becoming counterproductive to its position in the international system.