scholarly journals EXPERIENCE IN THE USE OF EVACUATION AND RESCUE CONTAINER DURING THE EXERCISES OF THE BALTIC FLEET

2019 ◽  
Vol 5 (1) ◽  
pp. 57-60
Author(s):  
N. A. Karpun ◽  
D. A. Seryy ◽  
D. A. Pityakov ◽  
A. V. Yurchenko ◽  
I. P. Kolesnikov
Keyword(s):  
Medical Care ◽  
Weather Conditions ◽  
Sea Waves ◽  
Medical Assistance ◽  
Rescue Service ◽  
Medical Specialists ◽  
Medical Evacuation ◽  
Open Sea ◽  
The Baltic ◽  
And Training

A large number of people need medical care at sea, not only in war but also in peacetime. In terms of peaceful navigation, despite the improved reliability of vessels and the advancement of navigation techniques, shipwrecks and damage of the equipment occur which lead to the need for marine medical specialists to be provided with medical assistance and evacuated to the places of medical assistance. One of the factors of the success of medical care is the speedy transfer of the wounded and sick from the ship to the means of medical evacuation. However, the open sea dictates its difcult conditions in which it is necessary to transfer the injured. Aggravating factors, such as severe weather conditions, sea waves, design features of ships, can significantly affect the timeliness of medical care. The experience gained during the actual and training rescue operations strongly shows that rescue of people at sea is an extremely difcult and demanding task, the success of which requires constant readiness of the forces and means of the search and rescue service, as well as personnel involved in rescue operations. The aim of the study was to assess the possibility of using an evacuation rescue container for the transfer of wounded, sick, injured, cargo from ship to ship in the open sea. The article presents the result of the use of the container evacuation and rescue in the open sea. Rules for the use of evacuation and transport container and typical difculties that may arise in the transfer of the wounded (patient) with the use of this container are described.

PERSONALIZED APPROACH TO THE ORGANIZATION OF MEDICAL CARE FOR PATIENTS WITH WEATHER DEPENDENCE

2020 ◽  
pp. 35-39
Author(s):  
Klepikov O.V. ◽  
Kolyagina N.M. ◽  
Berezhnova T.A. ◽  
Kulintsova Ya.V.
Keyword(s):  
Medical Care ◽  
Cardiovascular System ◽  
Performance Indicators ◽  
Weather Conditions ◽  
Climatic Conditions ◽  
Outpatient Clinics ◽  
Vulnerable Groups ◽  
Pathological Effect ◽  
Weather Forecasts ◽  
Personalized Approach

Relevance. Today, in preventive medicine, climatic conditions that have a pathological effect on the functional state of a person are increasingly being updated. the occurrence of exacerbations of many diseases can be causally associated with various weather conditions. Aim: to develop the main tasks for improving the organization of medical care for weather-dependent patients with diseases of the cardiovascular system. Material and methods. The assessment of personnel, material and technical support and the main performance indicators of an outpatient clinic was carried out on the example of the Voronezh city polyclinic No. 18 to develop the main tasks for improving the organization of medical care for weather-dependent patients with diseases of the cardiovascular system. Results. The main personnel problem is the low staffing of district therapists and specialists of a narrow service. One of the priorities for reducing the burden on medical hospitals is the organization of inpatient replacement medical care on the basis of outpatient clinics. The indicators for the implementation of state guarantees for the outpatient network for 2018, which were fully implemented, are given. The analysis of the planned load performance by polyclinic specialists is presented. Cardiological and neurological services carry out measures to reduce the risk of exacerbations of diseases with cerebral atherosclerosis, hypertension, and major neurological nosologies. Conclusion. Improving the organization of medical care for weather-dependent patients with cardiovascular diseases are: informing patients about the sources of specialized medical weather forecasts in the region, organizing the work of the medical prevention office, implementing an interdepartmental approach to providing health care to the most vulnerable groups of the population.

scholarly journals Controlling Shipping Along the North European Trade Axis

1971 ◽  
Vol 24 (4) ◽  
pp. 553-556
Author(s):  
D. J. Lindsay
Keyword(s):  
Weather Conditions ◽  
North Coast ◽  
Baltic Basin ◽  
Long Distance ◽  
The North ◽  
Large Numbers ◽  
Straight Line ◽  
European Trade ◽  
Trade Route ◽  
The Baltic

By the North European Trade Axis is meant the trade route from Ushant and Land's End, up the English Channel, through the Dover Strait fanning out to serve eastern England, the north coast of continental Europe and leading to the Baltic Basin. Recent events in this area have left a feeling that some form of tightening of control is not only desirable, but is rapidly becoming imperative. There is a basic conflict between the two forms of shipping using the area: the local users who use the area more or less constantly, and the long-distance traders, usually much larger, which arrive in the area for a brief stay after a prolonged period at sea, which has usually been in good weather conditions. Frequently these latter ships have a very poor notion of the hornet's nest into which they are steaming when they arrive. The net result is all too often the same: the local users, with familiarity breeding contempt, wander about as they see fit, with scant regard for routing or the regulations; all too often the big ships arrive from sea with navigating staffs who are too confused, sometimes too ignorant—and sometimes too terrified—to do much more than blunder forward in a straight line hoping for the best. Quite obviously this is not a total picture, and there are large numbers of ships which navigate perfectly competently, but the minority of those which do not seem to be rising rapidly, and show every sign of continuing to increase.

Charter of the Kazan Society of Physicians for the provision of medical care to participants in the sickness funds established by law on June 3, 1912

1913 ◽  
Vol 13 (2) ◽  
pp. 91-110
Keyword(s):  
Health Insurance ◽  
Medical Care ◽  
Insurance Fund ◽  
Health Insurance Fund ◽  
Medical Assistance ◽  
Medical Aid ◽  
Insurance Funds ◽  
The Law ◽  
Health Insurance Funds ◽  
The City

The Kazan Society of Physicians for the Provision of Medical Aid to the Participants of the Health Insurance Funds Established on the Basis of the Law of June 23, 1912 "has the goal of providing medical assistance to the participants of the Health Insurance Fund established on the basis of the Law of June 23, 1912 in the city of Kazan and its environs.

Organohalogens of Natural and Industrial Origin in Large Recipients of Bleach-Plant Effluents

1991 ◽  
Vol 24 (3-4) ◽  
pp. 373-383 ◽  
Author(s):  
A. Grimvall ◽  
H. Borén ◽  
S. Jonsson ◽  
S. Karlsson ◽  
R. Sävenhed
Keyword(s):  
Baltic Sea ◽  
Point Sources ◽  
The Baltic Sea ◽  
Long Distance ◽  
Long Distance Transport ◽  
Open Sea ◽  
Receiving Waters ◽  
The Baltic ◽  
Organic Halogens

The long-term fate of chlorophenols and adsorbable organic halogens (AOX) was studied in two large recipients of bleach-plant effluents: Lake Vättern in Sweden and the Baltic Sea. The study showed that there is a long-distance transport (>100 km) of chloroguaiacols from bleach-plants to remote parts of receiving waters. However, there was no evidence of several-year-long accumulation of chloro-organics in the water-phase. A simple water-exchange model for Lake Vättern showed that the cumulated bleach-plant discharges from the past 35 years would have increased the AOX concentration in the lake by more than 100 µg Cl/l, if no AOX had been removed from the water by evaporation, sedimentation or degradation. However, the observed AOX concentration in Lake Vättern averaged only about 15 µg Cl/l, which was less than the average AOX concentration (32 µg Cl/l) in the “unpolluted” tributaries of the lake. Similar investigations in the Baltic Sea showed that non-point sources, including natural halogenation processes, accounted for a substantial fraction of the AOX in the open sea. The presence of 2,4,6-trichlorophenol in precipitation and “unpolluted” surface waters showed that non-point sources may also make a considerable contribution to the background levels of compounds normally regarded as indicators of bleach-plant effluents.

scholarly journals Risk Analysis and Management of Moored Ships in Ports

2018 ◽  
Author(s):  
Liliana V. Pinheiro ◽  
Conceição J. E. M. Fortes ◽  
João A. Santos
Keyword(s):  
Integrated Management ◽  
Warning System ◽  
Weather Conditions ◽  
Complete Information ◽  
Decision Makers ◽  
Modular System ◽  
Economic Losses ◽  
Sea Waves ◽  
Bad Weather ◽  
Port Areas

The risks associated with mooring of ships are a major concern for port and maritime authorities. Sea waves and extreme weather conditions can lead to excessive movements of vessels and mooring loads affecting the safety of ships, cargo, passengers, crew or port infrastructures. Normally, port activities such as ships’ approach manoeuvres and loading/unloading operations, are conditioned or suspended based solely on weather or wave forecasts, causing large economic losses. Nevertheless, it has been shown that some of the most hazardous events with moored ships happen on days with mild sea and wind conditions, being the culprit long waves and resonance phenomena. Bad weather conditions can be managed with an appropriate or reinforced mooring arrangement. A correct risk assessment must be based on the movements of the ship and on the mooring loads, taking into account all the moored ship’s system. In this paper, the development of a forecast and warning system based on the assessment of risks associated with moored ships in port areas, SWAMS ALERT, is detailed. This modular system can be scaled and adapted to any port, providing decision-makers with accurate and complete information on the behaviour of moored ships, movements and mooring loads, allowing a better planning and integrated management of port areas.

scholarly journals COVID-19 pandemic challenges for dermatology

2020 ◽  
Vol 1 (1) ◽  
pp. 14-17
Author(s):  
Evgenia Dvoryankova ◽  
Keyword(s):  
Medical Care ◽  
Personal Protective Equipment ◽  
Medical Community ◽  
Protective Equipment ◽  
Occupational Dermatitis ◽  
Medical Assistance ◽  
Coronavirus Infection ◽  
Quality Medical Care

COVID-19 pandemic posed a number of new formidable challenges to medical community. Dermatologists have not only to detect, define and reverse the new coronavirus infection cutaneus manifestations, but also to provide medical assistance to colleagues with occupational dermatitis due to personal protective equipment use. Moreover, it is necessary to provide quality medical care to patients with acute and chronic dermatosis given the limitations of present pandemic situation.

scholarly journals Road Signs Perception Evaluation by Means of a Semi-immersive Tool

2011 ◽  
Vol 10 (2) ◽  
pp. 39-47
Author(s):  
Roberto Vigano ◽  
Edoardo Rovida ◽  
Riccardo Vincenti ◽  
Marco Ramondino
Keyword(s):  
European Commission ◽  
Virtual Environment ◽  
Weather Conditions ◽  
Road Accident ◽  
Visualization Tool ◽  
Traffic Signs ◽  
Road Signs ◽  
Safety Systems ◽  
Direct Use ◽  
And Training

To reduce the number of road accident victims the European Commission has encouraged the European member states to implement a series of actions in this field. These actions include the development of intelligent and integrated safety systems as well as educational and training initiatives. Educational initiatives include the training of the drivers to improve their ability and sense of responsibility. In addition to the direct use of the vehicle, the training includes the recognition of the traffic signs. Since the recognition may be influenced by both the position of the signal and the weather conditions, the authors have studied the possibility of evaluate the drivers' perception of road signs by means of a virtual environment tool able to perform different operative conditions. A series of tests was conducted to evaluate the visualization tool created and its ability to replace other recognition tests. This paper reports first tests results.

scholarly journals Prevalence, Structure and Nature of Injuries in City of Ryazan and Ryazan Region, According to Records of Emergency Medical Teams

2021 ◽  
pp. 31-34
Author(s):  
S.V. Yankina ◽  
◽  
N.V. Shatrova ◽  
A.Ju Efratov ◽  
Keyword(s):  
Medical Care ◽  
Statistical Data ◽  
Emergency Medical Care ◽  
Medical Evacuation ◽  
Emergency Medical ◽  
Medical Teams ◽  
The City

The aim of the study is to study the prevalence, structure and nature of injuries, to identify the frequency of deaths at the stage of medical evacuation, and to determine the number of injured people who need medical care in medical organizations (LMO), according to the data on requests of the population of the Ryazan region and the city of Ryazan for emergency medical care (SMP). Materials and methods of research. Statistical data on the requests of victims with injuries for emergency medical care in the Ryazan region and the city of Ryazan are analyzed. Materials of the study – maps of calls of the SMP teams in Ryazan and statistical data for the Ryazan region for 2017-2019. The results of the study and their analysis. The most frequent causes of injuries, their nature, the frequency of requests of the population of the Ryazan region and the city of Ryazan for emergency medical care, the number of deaths and the frequency of hospitalizations for injuries were determined.

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