scholarly journals CURRENT ISSUES IN NAVY SURGEONS TRAINING

2018 ◽  
Vol 4 (2) ◽  
pp. 27-31
Author(s):  
I. A. Solovyev ◽  
N. A. Rukhliada ◽  
A. P. Utochkin ◽  
R. V. Titov ◽  
A. V. Kolunov
Keyword(s):  
Emergency Surgery ◽  
Practical Experience ◽  
The Arctic ◽  
Medical Services ◽  
Military Students ◽  
Training Simulator ◽  
Staff Members ◽  
Abdominal Emergency ◽  
Medical Facilities ◽  
Military Preparedness

At the Department of Navy Surgery, military students are educated according to the three main principles: adherence to the profile of the Department, emergency surgery under conditions specific for Navy, and continuing education. The Department educates in surgery academic years 4, 5 and 6 students of Faculty IV. The following disciplines are taught: «Faculty Surgery and Urology», «Hospital and Pediatric Surgery», and «Navy Surgery». Thematic navy surgery lessons are conducted at a training simulator reproducing the mess room of the modern diesel submarine «Varshavianka», which has been constructed at the shipbuilding enterprise «Admiralteyskiye Verfi». Special attention in training is paid to combined mechanical and hypothermic lesions, a theme of undoubtful applied value. NATO nations are currently intensifying their military activities inArctic. In response, we restore out navy base on Novosibirsk Isles, as President V. V. Putin has proclaimed. The staff members of the Department involved in medical services for the arctic convoys that travel toKotelnyiIslandconvey their experience to students at lectures and training sessions. To provide students, especially postgraduates, adequately with emergency patients, the Department makes use of other clinical bases, such as I. I. Dzhanelidze Research Institute of Acute Care, Hospitals No. 14, 17 and 38, and Oncological Dispensary of Leningrad Oblast. It should be noted that, whereas at the first two of the medical facilities emphasis is put on the tactics of abdominal emergency surgery under conditions prevalent in navy ships and divisions, emphasis at Hospital No. 14 is put not only on the theory of emergency care in cases of acute putrescent infections but also and even more on practical experience in local anesthesia. The key issue of military preparedness of navy ships medical services is the continuity of training in navy surgery.

Risk Factors in Abdominal Emergency Surgery Responsible for The Development of Abdominal Compartment Syndrome

2020 ◽  
Vol 23 (14) ◽  
Author(s):  
Hassan Abdulmaged Abdulhameed Al-Gburi ◽  
Ammar Fouad Abdulrazaq ◽  
Mohammad Faraj Dawod Al.Jafary
Keyword(s):  
Risk Factors ◽  
Compartment Syndrome ◽  
Abdominal Compartment Syndrome ◽  
Emergency Surgery ◽  
Abdominal Emergency ◽  
Abdominal Compartment

What every employer needs to know about I-9 audits

2019 ◽  
Vol 18 (2) ◽  
pp. 71-75
Author(s):  
Robert Basso
Keyword(s):  
Design Methodology ◽  
Practical Experience ◽  
Business Owners ◽  
Recent Case ◽  
Content Type ◽  
Staff Members ◽  
The Difference ◽  
Immigration And Customs Enforcement ◽  
File Folder ◽  
New Hires

Purpose This paper aims to put I-9 audit and its compliance into perspective for employers. The paper explains what an I-9 audit is, what it means for employers, who is responsible for maintaining its forms, types of businesses most targeted for I-9 audits, what happens when notified that one is being audited, what type and how much penalties does a business incur if it fails to comply, the difference between technical and substantive violations, factors that Immigration and Customs Enforcement considers for determining penalty amounts against employers, what businesses should do if targeted with I-9 audit, business owners’ I-9 audit rights and how to proactively avoid being targeted by an I-9 audit. Design/methodology/approach The content of this paper was generated through practical experience, interaction with corporate entities and HR staff members, as well as industry knowledge and observations. Findings Every audit is different. It should be expected that all details be examined closely. In the recent case of a business subjected to an I-9 audit, auditors closely examined details of sections 1 and 2 of the I-9 forms for all new hires but did not examine section 3 for re-hires. This reinforces the importance of employers keeping careful track of records for all new hires. All employee I-9 forms should be filed together in a binder or file folder separately from employees’ HR file. While re-hires were not examined, this is no excuse for not properly re-verifying and tracking this information. Originality/value This paper was developed because of the interactions with companies that are facing the issue of I-9 audits. The author developed his responses to help HR leaders and managers better understand and address the challenges as well as the process associated with I-9 audits.

Arctic flights of the Aries, 1951

Polar Record ◽  
1952 ◽  
Vol 6 (44) ◽  
pp. 474-483 ◽  
Author(s):  
J. L. Mitchell
Keyword(s):  
Air Force ◽  
Practical Experience ◽  
Cold Weather ◽  
The Arctic ◽  
High Latitudes ◽  
Royal Air Force ◽  
Training Course ◽  
Arctic Regions ◽  
The World ◽  
One Year

The Royal Air Force Flying College at Manby in Lincolnshire, England, was established in 1949. During a training course lasting one year, experienced pilots and navigators study all aspects of the operation of an aircraft as a weapon of war. Such an all-embracing syllabus calls for a knowledge of air operations, backed by practical experience, in all parts of the world. Those taking part are introduced to some of the problems peculiar to cold-weather operation in high latitudes by a number of summer air exercises in the arctic regions, and by liaison flights in the winter months to Alaska and Canada.

scholarly journals Inequality and Influencing Factors of Spatial Accessibility of Medical Facilities in Rural Areas of China: A Case Study of Henan Province

2019 ◽  
Vol 16 (10) ◽  
pp. 1833 ◽  
Author(s):  
Shirui Liu ◽  
Yaochen Qin ◽  
Yanan Xu
Keyword(s):  
Influencing Factors ◽  
Rural Areas ◽  
Henan Province ◽  
Spatial Accessibility ◽  
Medical Services ◽  
Basic Unit ◽  
Mountainous Areas ◽  
Geographically Weighted Regression Model ◽  
Medical Facilities ◽  
Spatial Differences

The equalization of medical services has received increasing attention, and improving the accessibility of medical facilities in rural areas is key for the realization of fairness with regard to medical services. This study studies the rural areas of Henan Province, China, and uses unincorporated villages as the basic unit. The spatial pattern of accessibility in rural areas was comprehensively analyzed via geographic information system spatial analysis and coefficient of variation. The spatial heterogeneity of relevant influencing factors was assessed by using the geographically weighted regression model. The results show that: (1) The distance cost of medical treatment in rural areas is normally distributed, and most areas are within a range of 2–6 km. (2) The accessibility in rural areas has clear spatial differences, is significantly affected by terrain, and shows characteristics of significant spatial agglomeration. The eastern and central regions have good spatial accessibility, while the western regions have poor spatial accessibility. Furthermore, regions with poor accessibility are mainly located in mountainous areas. (3) The spatial equilibrium of accessibility follows a pattern of gradual deterioration from east to west. The better accessibility-unbalanced type is mostly located in the center of Henan Province, while the poor accessibility-unbalanced type is concentrated in mountainous areas. (4) The area, elevation, residential density, and per capita industrial output are positively correlated with spatial accessibility, while road network density and population density are negatively correlated.

scholarly journals Academic training in the certification of medical facilities in mexico

2015 ◽  
Vol 14 (2) ◽  
pp. 37
Author(s):  
Juán Pedro Herranz-Sanmartín
Keyword(s):  
Free Trade Agreement ◽  
Trade Agreement ◽  
Medical Services ◽  
Academic Training ◽  
Government Program ◽  
Healthcare Facilities ◽  
The North ◽  
Medical Facilities ◽  
The Us ◽  
The Republic

The certification of healthcare facilities in Mexico is a established government program, depending of the Presidency of the Republic, as well as global need of the North American Free Trade Agreement (NAFTA) signed by Canada, the US and Mexico, that aligns our country with the progress and development towards a better quality in medical services and with other countries that have developed the accreditation and certification of medical services as a general policy.

Early Oral Feeding Versus Traditional Postoperative Care After Abdominal Emergency Surgery: A Randomized Controlled Trial

2013 ◽  
Vol 37 (10) ◽  
pp. 2293-2299 ◽  
Author(s):  
Roberto F. Klappenbach ◽  
Federico J. Yazyi ◽  
Facundo Alonso Quintas ◽  
Matías E. Horna ◽  
Juan Alvarez Rodríguez ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Emergency Surgery ◽  
Postoperative Care ◽  
Controlled Trial ◽  
Oral Feeding ◽  
Early Oral Feeding ◽  
Abdominal Emergency ◽  
Randomized Controlled

scholarly journals Future developments and advances in disinfectants and application modes for use in departments, military units and medical facilities in a climate of the Arctic and Extreme North

2018 ◽  
Vol 20 (4) ◽  
pp. 149-155
Author(s):  
A A Ivanov ◽  
A B Seleznev ◽  
N V Komissarov ◽  
E V Ivchenko ◽  
A B Yudin ◽  
...  
Keyword(s):  
Low Temperatures ◽  
Climatic Factors ◽  
The Arctic ◽  
Electric Power Station ◽  
The North ◽  
Medical Facilities ◽  
Chemical Solutions ◽  
Operational Criteria ◽  
Extreme North

There were performed test and development review concerning disinfection procedures in a climate of the Arctic and Extreme North, an assessment of their sophistication, and determination of possible ways to enhancement of efficiency. It was found that long-term low temperatures, geographical distance and hard-to-reach territories, weak natural self-regeneration mechanism of biocenosis, development of human hypersensitivity to infectious agents, congestion of personnel at camping and operation places define the urgency of creation of modern chemical and technical disinfectants which are effective in the north. The basic requirements to these disinfectants were formulated. Thus, process chemical solutions should not become frozen over a period that biocide effect takes; disinfectants to use in human presence should meet the operational criteria for sealable inhabited objects. Engineering tools should be equipped with productive snowmelters, heat-insulated rooms, all-terrain running gear, liquid fuel -powered cauldrons, heaters, electric power station. Promising directions of new disinfectants advancing and development were determined. It’s necessary to study infectious and parasitic morbidity in the Arctic and Extreme North, the causes and conditions governing its structure and dynamics, specificity of epidemic process. The establishment of special climate chambers with variable capacities for materials and goods disinfection mode development, including the use of engineering tools; it is essential to choose or develop the study methods of arctic climatic factors influence on test microorganisms, operating procedure behavior of disinfection, worked objects’ properties. The studies of microbial contamination specifics seemed perspective, both in the environment and within inhabited objects, under long-term exposure of low temperatures; the search of biocidic technologies and factors for making disinfectants, modes and methods of application; substantiation of disinfection procedures tactics. Instructional and methodological base preparing will allow to perform perspective studies and disinfection procedures in a climate of the Arctic and Extreme North in accordance with contemporary requirements.

scholarly journals Marketing Development Strategies in the Medical Field

2021 ◽  
pp. 85-94
Author(s):  
Manana Maghradze ◽  
◽  
Ketevan Kutateladze ◽  
Ketevan Burduladze ◽  
◽  
...  
Keyword(s):  
Public Relations ◽  
Insurance Companies ◽  
Medical Services ◽  
Role Of The State ◽  
Medical Institutions ◽  
Medical Facilities ◽  
Marketing Activities ◽  
State Subsidies

The reduction of state subsidies, the control of expenditures by insurance companies, the introduction of ethical standards in medicine by health care institutions have increased the demand for additional investment. One of the important factors for increasing the competitiveness of private medical institutions and the sustainability of its activities is the formation of a marketing complex. In order to popularize the services of medical institutions, the main tools of the marketing communication system are used: advertising, public relations and so-called Synthetic means. Medical marketing cannot be considered as just developing good services and delivering it to customers. Medical facilities should also establish close links with existing and future clients. Marketing activities should ensure the creation of new medical services and the development of existing medical services. It is important to increase the role of the state in regulating the medical market in order to promote healthy competition among suppliers and the unwavering improvement of the quality of medical services.

scholarly journals Modeling a Process-Oriented System for Ensuring the Guality of Medical Services in the Arctic zone of the Russian Federation

2019 ◽  
Vol 10 (2) ◽  
pp. 182-195
Author(s):  
K. N. Glazov
Keyword(s):  
Health Care ◽  
Russian Federation ◽  
The Arctic ◽  
Medical Services ◽  
Arctic Zone ◽  
Arctic Regions ◽  
The Russian Federation ◽  
Process Oriented ◽  
Oriented System

Purpose: the main goal is to simulate a process-oriented system for ensuring the quality of medical services in health care facilities in the Arctic zone of the Russian Federation. To achieve this goal, the following tasks were solved: formulated the main aspects of process-oriented quality assurance services in health care; a model was built for the implementation of a process-oriented system for ensuring the quality of services in the conditions of the Arctic territories; developed guidelines for the practical implementation of a process-oriented system to ensure the quality of medical services in the Arctic regions of the Russian Federation.Methods: this article is based on an interdisciplinary concept of ensuring the quality of medical services provided in relation to the specifics of the functioning and development of treatment-and-prophylactic organizations based on a process-oriented approach.Results: the most important direction of development of the national economy is to ensure an adequate level of quality of medical services provided in health care organizations and in the formation of patient-oriented service for end users (patients), which is especially important for the Arctic zone of the Russian Federation. The article analyzes foreign sources regarding the use of a process-oriented approach to the issues of ensuring the quality of medical services provided. Also in this publication a model of process-oriented quality assurance of medical services in the conditions of the Arctic territories of the Russian Federation is formed. Practical recommendations for the effective use of process-oriented mechanisms ensuring the quality of medical services in the Arctic regions of the Russian Federation have been developed.Conclusions and Relevance: the materials presented in the article show the special role of the health care system in social and economic processes. The proposed model of ensuring the quality of medical services is recommended for use not only in the represented region, it could be effective for all organizations in the field of health care, regardless of the form of ownership and organizational-legal form, as well as territorial location. Research conducted in this article represents the development of scientific ideas about modern technologies to ensure the quality of medical services in a regional perspective. The practical application of its results will improve the procedures for managing the quality of services, organizing business processes of basic medical activities, including the production of medical services, as well as their service characteristics in relation to healthcare, taking into account current economic and social trends, and as a result ensure their sustainable development.

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