Futility and appropriateness: challenging words, important concepts

2018 ◽  
Vol 94 (1110) ◽  
pp. 238-243 ◽  
Author(s):  
D Robin Taylor ◽  
Calvin J Lightbody

The provision of healthcare is being challenged by a ‘perfect storm’ of forces including an increasing population with multiple comorbidities, high expectations and resource limitations, and in the background, the pre-eminence of the ‘curative medical model’. Non-beneficial (futile) treatments are wasteful and costly. They have a negative impact on quality of life especially in the last year of life. Among professionals, frequent encounters with futility cause moral distress and demoralisation. The factors that drive non-beneficial treatments include personal biases, patient-related pressures and institutional imperatives. Breaking loose from the perceived necessity to deliver non-beneficial treatment is a major challenge. Curative intent should give way to appropriateness such that curative and palliative interventions are valued equally. Goals of treatment should be shaped by illness trajectory, the risk of harms as well as potential benefits and patient preferences. This strategy should be reflected in professional training and the design of acute services.

2020 ◽  
Vol 1 (191) ◽  
pp. 262-264
Author(s):  
Olena Radionova ◽  

The article looks at the issue of health education for future physical education teachers, it also substantiates the need to insure they undergo professional development in the area of health promotion for students of elementary and secondary schools. The essence and sings of health culture of the future teachers of physical education. The data presented in this article is based on a research in the field of health education for students who are studying to become physical education teachers, which was conducted by the author. This data points to a rather low level of student health education and of their health culture level, which in return will have a negative impact on the quality of their professional activity when it comes to cultivating resiliency in elementary and secondary school students. This can be done with the destructive or indifferent attitude of future teachers to their health and affects the quality of their health function. The function of creating health is seen as a unity of components: - inclusion in the content of education of some issues related to the formation of student’s healthy lifestyle skills focused on the value of health and motivation to creative behavior. - self-development of students in the field of health saving knowledge (professional and personal). In general, the article heretically substantiates the problems of trading future teachers of physical education. the article considers the preservation of health through pedagogical means as giving a humanistic attitude to the educational environment and learning process, denial of violent training methods relying on the internal positive motivation towards training activities, development of personal and physical capacities of students elementary and secondary schools, outlines the current state of professional training of student in higher education. The article explores conceptual ideas, approaches, methods and paths for promoting health education among future teachers and development of their culture of health.


2011 ◽  
Vol 2 (2) ◽  
pp. 77-87 ◽  
Author(s):  
Michael L. Reed ◽  
Bryan J. Woodward ◽  
Jason E. Swain

During infertility treatment with IVF, embryos are cultured either in groups or individually. Each approach has potential benefits and detriments, and the purpose of this review is to try to come to a consensus based on the literature as to which approach yields superior results. Group culture of embryos may produce better quality embryos via secretion of embryotrophic factors, while opponents of the approach argue that embryos cultured together may either deplete the media of substrates or negatively affect nearby embryos via the transmission of other secreted factors. In these cases, quantity of embryos, volume of media and proximity and quality of companion embryos are also important factors to consider. While it has long been accepted that group culture is beneficial for embryos from various animal species, emerging data also suggest a similar benefit in the human. Conversely, embryos cultured individually avoid potential substrate depletion, negative impact from factors secreted from companion embryos, while more practically permitting the ability to monitor and track the embryo for identification via morphology or molecular analysis to select and transfer potentially superior embryos. Importantly, advancements in embryo culture platforms now permit tracking of individual embryos, while also offering ability to reap the benefits of group culture. These approaches utilize confined microenvironments immediately surrounding the embryos that may be conducive for periodic sampling/analysis, while also allowing access to a larger media reservoir to avoid substrate depletion. Thus, though questions remain as to optimal embryo density and volume of culture media, group embryo culture in the correct culture platform is likely to be superior to individual embryo culture.


Author(s):  
Elena Lindeman ◽  
◽  
Darya Moseeva ◽  

The quality of programs in library and information activity offered by various advanced professional training centers are discussed along with the issues and vectors of advanced training of the RNPLS&T staff. The RNPLS&T has to choose between expensive courses when new knowledge and skills are guaranteed, and online express courses (fast, easy, cheaply) where no new competences are guaranteed though employees get standard certificates. This trend facilitates establishing more and more online training centers that are just making money due to the demand for standardized certification. The double standards of education programs evaluation influence the quality of knowledge, though documented and certified. The authors argue that the above mentioned educational organizations have to be controlled, the more so, as the libraries are to accomplish their staff appraisal.


1970 ◽  
Vol 6 (1) ◽  
pp. 232-241
Author(s):  
Марина Лапіна

Статтю присвячено проблемам професійного навчання соціальних працівників, зокрема розглянуто психолого-педагогічні аспекти процесу підготовки висококваліфікованих фахівців. Зазначено що в професійній психології та педагогіці набуває поширення компетентнісний підхід до сучасної освіти. Акцентовано увагу на особистісно-орієнтованому та психолого-акмеологічному напрямках професійної освіти та навчання. Особистісні якості фахівця розглядаються як метапрофесійні компетенції, що забезпечують якість праці майбутнього соціального працівника. На основі аналізу специфіки підготовки фахівців соціономічних професій окреслено загальні напрями формування професійних компетенцій соціальних працівників: пріоритет професійно-особистісного розвитку для досягнення високого рівня професіоналізму фахівця; формування психологічної, особистісної та рефлексивної компетентності; практична зорієнтованість процесу навчання. Розглянуто методи та технології активного формування психологічної та особистісної компетентності фахівця в процесі професійного навчання, а саме методика контекстного (знаково-контекстного) навчання та психолого-акмеологічні методи та процедури професійного розвитку. Стверджується, що включення до навчального процесу інноваційних, заснованих на взаємодії педагога та учня, психолого-педагогічних технологій активного навчання має формувати особистісні зони розвитку майбутніх фахівців, удосконалювати способи та засоби професійного становлення, що значно підвищує якість професійного навчання соціальних працівників. The article deals with the problems of vocational training of social workers. They are particularly considered with psychological and pedagogical aspects of training highly qualified specialists. It specifies that competence-based approach to modern education gets spreading in the professional psychology and pedagogy. The article is accented on personality-oriented and psycho-akmeological directions existing in the psychology of professional education and training. Personal qualities of the professional are considered as metaprofessional competences which ensure the future social worker’s quality of work. The general directions of formation professional competence of social workers are identified on the base of the analyses of the specific professional training socionomic professions: priority of vocational and personality development for achievement a high level of professionalism; formation of the psychological, personal and reflective competence; practical orientation of the learning process. The methods and technologies of active formation of psychological and personality’s competence of the specialist during the vocational training are reviewed in the article, specifically the method and technique of signed-contextual learning and psycho-akmeological methods and procedures of professional development. It is alleged that the inclusion in the educational process of preparation innovational, psychological and pedagogical techniques of active learning, based on the interaction between the teacher and the student, should generated personal’s development zones of the future professionals, refine the methods and means of the professional development that significantly improves the quality of social worker’s professional training.


2014 ◽  
Vol 4 (2) ◽  
pp. 84-89
Author(s):  
Inna Pododimenko

Abstract The problem of professional training of skilled human personnel in the industry of information communication technology, the urgency of which is recognized at the state level of Ukraine and the world, has been considered. It has been traced that constantly growing requirements of the labour market, swift scientific progress require the use of innovative approaches to the training of future ІТ specialists with the aim to increase their professional level. The content of standards of professional training and development of information technologies specialists in foreign countries, particularly in Japan, has been analyzed and generalized. On the basis of analysis of educational and professional standards of Japan, basic requirements to the engineer in industry of information communication technology in the conditions of competitive environment at the labour market have been comprehensively characterized. The competencies that graduate students of educational qualification level of bachelor in the conditions of new state policy concerning upgrading the quality of higher education have been considered. The constituents of professional competence in the structure of an engineer-programmer’s personality, necessary on different levels of professional improvement of a specialist for the development of community of highly skilled ІТ specialists, have been summarized. Positive features of foreign experience and the possibility of their implementation into the native educational space have been distinguished. Directions for modernization and upgrading of the quality of higher education in Ukraine and the prospects for further scientific research concerning the practice of specialists in information technologies training have been suggested


Author(s):  
Olha Pavlenko

The article discusses the current state of professional training of engineers, in particular, electronics engineers in Ukrainian higher education institutions (HEIs) and explores best practices from US HEIs. The research outlines the features of professional training of electronics engineers and recent changes in Ukrainian HEIs. Such challenges for Ukrainian HEIs as lack of collaboration between higher education and science with industry, R&D cost reduction for HEIs, and downsizing the research and academic staff, the disparity between the available quality of human capital training and the demanded are addressed. The study attempts to identify successful practices of US HEIs professional training of engineers in order to suggest potential improvements in education, research, and innovation for training electronics engineers in Ukraine.


Author(s):  
Ajeng Embri Legawati ◽  
Nur Azizah ◽  
Achmad Ramadhan

Green beans cultivation technology using mice pets control has been implemented in the Gluranploso village, Benjeng Gresik. The implementation of the technology performed for 2.5 months from August to October 2017. The purpose of the implementation is aimed to reduce the dependence of farmers on the use of chemical pesticides so that the farmers are aware of the negative impact of chemical pesticides. Assessing the impact of the utilization of Bintaro fruit and fruit extracts to explore ways of making Bintaro as a natural biopesticide to overcome rat attack on green bean plants in the Gluranploso village. Pest control mice can reduce the rate of loss of the crops more effectively and efficiently. Finally, with the use of those natural resources as a biopesticide material can also maintain the environmental balance


Author(s):  
M. N. Konkova ◽  
V. N. Dolich ◽  
V. V. Gudz

The article presents a hygienic assessment of the working environment in the process of educational and industrial training of adolescents in construction professions. The increased concentrations of harmful substances (manganese in welding aerosol, ozone) and paper dust in the air of educational and industrial premises were revealed, measures for prevention of their negative impact were proposed.


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