scholarly journals Involvement of Moscow medical personnel in the mentoring system

POPULATION ◽  
2020 ◽  
Vol 23 (4) ◽  
pp. 104-114
Author(s):  
Olga Kolennikova

The article is devoted to the study of real and prospective practice of mentoring. The information base was data from the questionnaire survey of the personnel of Moscow medical organizations, carried out in 2019. The scale and character of the involvement of medical personnel in the mentoring system were studied with regards to prospective and appropriate models. The need for introduction or expansion of mentoring was compared with the available personnel potential. It turned out that doctors and nurses are involved in various types of mentoring. These are additional training in the workplace, regulated by the management, initiative assistance to youth during their adaptation, and various forms of informal transfer of practical knowledge on a wide range of issues. The demand for mentoring turned out to be higher among doctors and in hospitals. A comparison of respondents who had a mentor and who did not had one, but needed, revealed a shortage of models beyond the standard adaptation. Three groups of respondents were compared: those who were already a mentor, who would agree to become a mentor, who did not want to become a mentor. The educational and qualification level, research activities, work experience in the specialty, specifics of providing medical care with the account of complexity and responsibility were the comparison criteria. The need to introduce or expand mentoring is recognized by many respondents, and the potential composition of mentors allows us to speak about the prospects for its development.

2020 ◽  
Vol 99 (5) ◽  
pp. 493-497
Author(s):  
M. M. Aslanova ◽  
T. V. Gololobova ◽  
K. Yu. Kuznetsova ◽  
Tamari R. Maniya ◽  
D. V. Rakitina ◽  
...  

Introduction. The purpose of our work was to justify the need to improve the legislative, regulatory and methodological framework and preventative measures in relation to the spread of parasitic infections in the provision of medical care. There is a wide range of pathogens of parasitic infestations that are transmitted to humans through various medical manipulations and interventions carried out in various medical institutions. Contaminated care items and furnishings, medical instruments and equipment, solutions for infusion therapy, medical personnel’s clothing and hands, reusable medical products, drinking water, bedding, suture and dressing materials can serve as a major factor in the spread of parasitic infections in the provision of medical care. Purpose of research is the study of the structure and SMP of parasitic origin, circulating on the objects of the production environment in multi-profile medical and preventive institutions of stationary type in order to prevent the occurrence of their spread within medical institutions. Material and methods. The material for the study was flushes taken from the production environment in 3 multi-profile treatment and prevention institutions of inpatient type: a multi-specialty hospital, a maternity hospital and a hospital specializing in the treatment of patients with intestinal diseases for the eggs of worms and cysts of pathogenic protozoa. Results. During the 2-year monitoring of medical preventive institutions, a landscape of parasitic contamination was found to be obtained from the flushes taken from the production environment objects in the premises surveyed as part of the research work. Discussions. In the course of research, the risk of developing ISMP of parasitic origin was found to be determined by the degree of epidemiological safety of the hospital environment, the number and invasiveness of treatment and diagnostic manipulations and various medical technologies. Conclusion. It is necessary to conduct an expert assessment of regulatory and methodological documents in the field of epidemiological surveillance and sanitary and hygienic measures for the prevention of medical aid related infections of parasitic origin, to optimize the regulatory and methodological base, to develop a number of preventive measures aimed at stopping the spread of parasitic infections in the medical network.


2020 ◽  
pp. 30-33
Author(s):  
E. V. Panina ◽  
M. V. Pugachev ◽  
A. G. Shchesiu

The article shows that in the daily activities of nursing staff of functional diagnostics departments (offices), it is necessary to strictly observe the requirements and rules for the prevention of infections associated with medical care, especially during the COVID-19 pandemic. The types of personal protective equipment (PPE) of medical personnel (MP), as well as current effective methods of disinfection, rules for collecting medical waste in a complex epidemiological situation are presented.


2018 ◽  
Vol 79 (7) ◽  
pp. 3-6
Author(s):  
R. L. Smulakovskaya ◽  
E. M. Ivanova

The article discusses and summarizes the experience of project and research activities of students in the Russian language, presents the content and structure of each stage of the research project, determines the role of the project manager in getting significant and reflected results of the project research activities.


Author(s):  
Ekaterina V. Shulyak

Development of health care of Siberia in the 18<sup>th</sup>&nbsp;— first half of the 19<sup>th</sup> century was closely connected with economic and political development of the Russian state. Before the medical personnel emergence in Siberia its population received medication only in the form of folk remedies. Development of its territory, insanitary conditions of life of Siberians, constant contingent of exiled to the indigenous people, and severe climate contributed to the spread of such diseases as smallpox, syphilis, and others.<br> The first medical institutions of Siberia were military hospital and infirmaries. In the days of reign of the Empress Anna Ioannovna, the city medical care started developing, and thanks to an initiative of the industrial enterprises owners&nbsp;— medical care for miners. After the establishment of the Public Charity Orders in Siberia, hospitals under their jurisdiction began to function in Tobolsk, Irkutsk, and Tomsk. A worthy contribution to the development of local medical institutions was made by donators Tolstopyatov, Bednyagin, Chupalov, and others. However, deficiency of financing, hospitals, and the medical personnel couldn’t adequately satisfy the needs of Siberian inhabitants in medical care.<br> The purpose of the article is to analyse the condition of public health, causes of morbidity and mortality of the population, as well as the process of medical care development in Siberia the turn of the 18<sup>th</sup> century by means of a historical and genetic method.


2015 ◽  
Vol 81 (7) ◽  
pp. 2481-2488 ◽  
Author(s):  
Volker Winstel ◽  
Petra Kühner ◽  
Bernhard Krismer ◽  
Andreas Peschel ◽  
Holger Rohde

ABSTRACTGenetic manipulation of emerging bacterial pathogens, such as coagulase-negative staphylococci (CoNS), is a major hurdle in clinical and basic microbiological research. Strong genetic barriers, such as restriction modification systems or clustered regularly interspaced short palindromic repeats (CRISPR), usually interfere with available techniques for DNA transformation and therefore complicate manipulation of CoNS or render it impossible. Thus, current knowledge of pathogenicity and virulence determinants of CoNS is very limited. Here, a rapid, efficient, and highly reliable technique is presented to transfer plasmid DNA essential for genetic engineering to important CoNS pathogens from a uniqueStaphylococcus aureusstrain via a specificS. aureusbacteriophage, Φ187. Even strains refractory to electroporation can be transduced by this technique once donor and recipient strains share similar Φ187 receptor properties. As a proof of principle, this technique was used to delete the alternative transcription factor sigma B (SigB) via allelic replacement in nasal and clinicalStaphylococcus epidermidisisolates at high efficiencies. The described approach will allow the genetic manipulation of a wide range of CoNS pathogens and might inspire research activities to manipulate other important pathogens in a similar fashion.


Arthroplasty ◽  
2021 ◽  
Vol 3 (1) ◽  
Author(s):  
Toni Wendler ◽  
Torsten Prietzel ◽  
Robert Möbius ◽  
Jean-Pierre Fischer ◽  
Andreas Roth ◽  
...  

Abstract Background All current total hip arthroplasty (THA) systems are modular in design. Only during the operation femoral head and stem get connected by a Morse taper junction. The junction is realized by hammer blows from the surgeon. Decisive for the junction strength is the maximum force acting once in the direction of the neck axis, which is mainly influenced by the applied impulse and surrounding soft tissues. This leads to large differences in assembly forces between the surgeries. This study aimed to quantify the assembly forces of different surgeons under influence of surrounding soft tissue. Methods First, a measuring system, consisting of a prosthesis and a hammer, was developed. Both components are equipped with a piezoelectric force sensor. Initially, in situ experiments on human cadavers were carried out using this system in order to determine the actual assembly forces and to characterize the influence of human soft tissues. Afterwards, an in vitro model in the form of an artificial femur (Sawbones Europe AB, Malmo, Sweden) with implanted measuring stem embedded in gelatine was developed. The gelatine mixture was chosen in such a way that assembly forces applied to the model corresponded to those in situ. A study involving 31 surgeons was carried out on the aforementioned in vitro model, in which the assembly forces were determined. Results A model was developed, with the influence of human soft tissues being taken into account. The assembly forces measured on the in vitro model were, on average, 2037.2 N ± 724.9 N, ranging from 822.5 N to 3835.2 N. The comparison among the surgeons showed no significant differences in sex (P = 0.09), work experience (P = 0.71) and number of THAs performed per year (P = 0.69). Conclusions All measured assembly forces were below 4 kN, which is recommended in the literature. This could lead to increased corrosion following fretting in the head-neck interface. In addition, there was a very wide range of assembly forces among the surgeons, although other influencing factors such as different implant sizes or materials were not taken into account. To ensure optimal assembly force, the impaction should be standardized, e.g., by using an appropriate surgical instrument.


Water ◽  
2021 ◽  
Vol 13 (14) ◽  
pp. 1893
Author(s):  
Giuseppe Mancuso ◽  
Grazia Federica Bencresciuto ◽  
Stevo Lavrnić ◽  
Attilio Toscano

The implementation of nature-based solutions (NBSs) can be a suitable and sustainable approach to coping with environmental issues related to diffuse water pollution from agriculture. NBSs exploit natural mitigation processes that can promote the removal of different contaminants from agricultural wastewater, and they can also enable the recovery of otherwise lost resources (i.e., nutrients). Among these, nitrogen impacts different ecosystems, resulting in serious environmental and human health issues. Recent research activities have investigated the capability of NBS to remove nitrogen from polluted water. However, the regulating mechanisms for nitrogen removal can be complex, since a wide range of decontamination pathways, such as plant uptake, microbial degradation, substrate adsorption and filtration, precipitation, sedimentation, and volatilization, can be involved. Investigating these processes is beneficial for the enhancement of the performance of NBSs. The present study provides a comprehensive review of factors that can influence nitrogen removal in different types of NBSs, and the possible strategies for nitrogen recovery that have been reported in the literature.


2013 ◽  
Vol 411-414 ◽  
pp. 2451-2457
Author(s):  
Xu Dong Ni ◽  
Ji Hong Yu ◽  
Xian An Li

This paper started with theories of team heterogeneity and team performance, according to questionnaire survey method, reviewed three dimensions of knowledge heterogeneity (speciality heterogeneity, education heterogeneity and work experience heterogeneity) and their effects on team performance. The result showed that speciality heterogeneity was positively related to task performance and contextual performance, while work experience heterogeneity was positively related to contextual performance significantly, but had no significant relationship with task performance. In addition, education heterogeneity had no significant relationship with task performance and contextual performance.


2021 ◽  
Vol 23 (1) ◽  
pp. 1-4
Author(s):  
Eva Cendon ◽  
John Butcher

This general edition of the journal provides insights and results of research employing a wide range of approaches and perspectives on widening participation and lifelong learning. Studies from across the UK and international sector utilise different methodological approaches, and as such are particularly interesting, with diverse methods and ways of analysis, including phenomenographic, narrative, and thematic analysis. Overall, the articles range from exploratory case studies and small-scale research to wider range and broad scale studies, highlighting different facets and perspectives. Furthermore, the articles in this volume cover a broad spectrum of institutions and places involved in widening participation, with an emphasis on the (higher) education sector in the UK balanced by international perspectives. The first seven empirical articles are based on research activities in a secondary school, a youth centre, in further education colleges (usually focusing on post-compulsory secondary or pre-university education), in so-called post-92 universities (new(er) universities, formerly Polytechnics and teacher training colleges), and last but not least in a research intensive Russell Group university. They reported challenges from the specific local contexts of different regions in England, from the South (Chichester) to London to the North (Carlisle), and can usefully be framed in the context of international discussions appearing later in the journal.


2021 ◽  
Vol 65 (4) ◽  
pp. 310-317
Author(s):  
Anna S. Sedova ◽  
Leonid M. Protsenko

Introduction. High-quality medical support is an essential component of effective and safe recreation of children in the camp. Aim is a scientific substantiation of improving the system of medical care in the camps. Material and methods. A survey of 353 directors of day and stationary camps was conducted in the fall of 2020. Results. The most pressing medical problems of the system of medical care of children in the camp were identified: lack of medical personnel (in 46.3% of camps); difficulties with licensing medical activities in the camp (in 15.8% of camps); low qualifications of medical personnel and medical literacy of pedagogical personnel in matters of medical support for camps (in 7.1% and 10.7% of camps, respectively); the inaccuracy of information available in the camp about the state of health of children in the medical certificates of children (in 22.6% of camps). 74.6% of directors pointed to the problems of interaction with the parents of children (unwillingness to provide children with medical certificates or necessary additional information about the state of health of children, refusal to receive treatment prescribed in the camp, etc.). Conclusion. It is necessary to improve the legal regulation in the field of children’s recreation; provision of camps with qualified medical personnel; educational programs on medical care for children in the camp for teachers; increasing the responsibility for the health of children during their rest period of medical organizations that draw up medical documents for children in front of the camp, as well as parents of children.


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