scholarly journals The radical and requisite openness of viable systems: Implications for healthcare strategy and practice

Author(s):  
Felice Borghmans
Keyword(s):  

Author(s):  
P. N. Vanyushin ◽  
A. V. Kuzin ◽  
А. А. Pavlov ◽  
А. V. Nefedov ◽  
N. А. Ivannikova

The article analyzes the current state of the irrigation and drainage systems of the Ryazan region. It is shown that the lack of technical operation of the drainage network led to its failure and failure to perform its functions. Irrigation, in spite of the fact that it gives stability in the years of droughts due to aging and the dismantling of machinery and equipment is not carried out. It is shown that for the reconstruction and / or modernization of irrigation and drainage systems it is necessary on the basis of inventory to determine the environmentally optimal and economically viable systems, their parts and structures that require rehabilitation, reconstruction and / or modernization. The decision to reconstruct may include not only the ameliorative system as a whole, but also some part of it, for example, a canal, pipeline or a separate hydraulic structure, taking into account the justification of economic feasibility. In dry periods, for the Meshcherskaya lowland and areas with peat soils, it is necessary to provide for land-reclamation systems for dual regulation of soil moisture, which reduces the possibility of peat ignition and the spread of fire. It should be borne in mind that the reconstruction of land-reclamation systems has its specific features, which include: socio-economic (increasing the productivity of agricultural land, obtaining additional income, creating modern infrastructure, increasing employment, living conditions, labor, etc.) ; ecological (creation of cultural landscapes, ensuring their ecological sustainability, prevention of land degradation processes, improvement of recreational conditions, elimination of waterlogging, flooding, salinization, erosion, etc.). Reclamation activities are carried out in compliance with the requirements of land, water, forestry legislation of the Russian Federation, as well as the legislation of the Russian Federation on the protection of the environment, on the subsurface, on the plant world and on the animal world.





2011 ◽  
Vol 3 (3) ◽  
pp. 293-298 ◽  
Author(s):  
Vanessa N Palter

Abstract Background The unique skill set required for minimally invasive surgery has in part contributed to a certain portion of surgical residency training transitioning from the operating room to the surgical skills laboratory. Simulation lends itself well as a method to shorten the learning curve for minimally invasive surgery by allowing trainees to practice the unique motor skills required for this type of surgery in a safe, structured environment. Although a significant amount of important work has been done to validate simulators as viable systems for teaching technical skills outside the operating room, the next step is to integrate simulation training into a comprehensive curriculum. Objectives This narrative review aims to synthesize the evidence and educational theories underlining curricula development for technical skills both in a broad context and specifically as it pertains to minimally invasive surgery. Findings The review highlights the critical aspects of simulation training, such as the effective provision of feedback, deliberate practice, training to proficiency, the opportunity to practice at varying levels of difficulty, and the inclusion of both cognitive teaching and hands-on training. In addition, frameworks for integrating simulation training into a comprehensive curriculum are described. Finally, existing curricula on both laparoscopic box trainers and virtual reality simulators are critically evaluated.



2018 ◽  
pp. 199-238
Author(s):  
PENCARELLI, TONINO ◽  
FORLANI, FABIO


1973 ◽  
Vol 95 (2) ◽  
pp. 241-242 ◽  
Author(s):  
A. S. Iberall ◽  
John W. Brewer


Kybernetes ◽  
2009 ◽  
Vol 38 (7/8) ◽  
pp. 1344-1358
Author(s):  
Gary Boyd ◽  
Wojciech M. Jaworski


2005 ◽  
pp. 289-305
Author(s):  
Duncan R. Shaw ◽  
Bob Snowdon ◽  
Christopher P. Holland ◽  
Peter Kawalek ◽  
Brian Warboys


Sign in / Sign up

Export Citation Format

Share Document