scholarly journals Analysis of a modular approach in the formation of medical rapid response units at level II medical care of NATO Allies

2021 ◽  
Vol 25 (4) ◽  
pp. 640-644
Author(s):  
O. V. Moskaliuk

Annotation. The article highlights the current state of the structural construction of level 2 rapid response units for the medical service of the NATO Alliance. The relevance of this analysis is due to the fact that Ukraine's active course in cooperation with NATO allies requires the creation of a different model for the construction of medical forces units to create compliance. The non-compliance of these units prevents the possible use of the Medical Forces of the Armed Forces of Ukraine within NATO allies. Today, there is an urgent need to analyze the modern construction of NATO Alliance medical units and further reform the medical units of the 20th level of medical care of the Armed Forces of Ukraine. The purpose of this study was to analyze the medical support of NATO allies and a modular approach to the creation of medical units at the second level of medical care by forming separate functional components – medical modules. The analysis of medical rapid response units of level 2 medical care of NATO allies and their components is carried out. It was established that the use of a modular approach to the formation of medical rapid response units at the second level of medical care provides an opportunity to form the structure of the unit depending on the operational situation and the needs for medical care. It should also be noted that the "flexible" formation of the structure of the medical unit allows rational use of human resources and property in conditions of armed conflict.

Author(s):  
R. Sossa

The basic principles and current state of topographic mapping of the territory of Ukraine are considered. Prior to the proclamation of Ukraine's independence, its territory was covered by topographic maps in the scale of 1:10 000 to 1: 1 000 000, created by the Main Department of Geodesy and Cartography under the USSR Council of Ministers and the Military Topographic Service of the USSR Armed Forces. The interaction of these departments in topographic mapping is highlighted. The topographic study of Ukrainian territory as of 1991 is analyzed in detail. Today the content of most topographic maps of scales from 1:10 000 to 1: 200 000 is characterized by "aging" of information and does not correspond to the current state of the area. The unsatisfactory state of topographic study of the territory led to the unclaimed topographic maps with much outdated information for consumers, and for the military it very difficult to perform combat tasks. The needs of current topographic information users require a significant improvement in topographic maps content. Since the mid-1990s, the creation of national geospatial data infrastructures has become crucial for providing spatial information to the state and society. The basic principles and general requirements for the creation and updating of state topographic maps are now defined by the "Procedure for national topographic and thematic mapping" (2013). The adoption of the Law of Ukraine "On the National Infrastructure of Geospatial Data", giving a powerful impetus to topographic mapping, poses a responsible task of organizational and regulatory and technical support of this process. The issue of obtaining topographic maps from the topographic database requires scientific and technical elaboration, development of appropriate normative and technical documents (guides, principles, instructions, symbols, etc.).


Author(s):  
G. V. Dmitriev ◽  
R. N. Lemeshkin ◽  
I. F. Savchenko ◽  
A. V. Stepanov

Relevance. Currently, the solution to the problem of medical support for troops (forces) and the population during the liquidation of the health consequences of emergencies by forces and means of the medical service of the Armed Forces of the Russian Federation does not lose its relevance.Intention. The system-morphological method to create a multidimensional morphological matrix with the corresponding morphological features and develop solutions to the problem of medical support in responding to the health consequences of emergencies.Methodology. The methodology of system-morphological analysis is presented, which allows creating alternative solutions. Variants of medical support for troops (forces) and the population were developed during the liquidation of the health consequences of emergency situations of a natural, technogenic and social nature: “Departmental”, “Interdepartmental”, “International”. In relation to each option, 9 indicators (criteria) are proposed: normative legal regulation; system controllability; complexity of organizing the system; resource (material) cost; staffing; the adequacy of medical care; efficiency; experience and innovation; autonomy of action. To achieve the goal of the study, the original MPRIORITY 1.0 dialog system (MY PRIORITY) was used which implements a method for analyzing hierarchies through repetitions (iterations).Results and Discussion. The results characterize each of the considered alternative options with an appropriate weight priority, and their preference is determined. During the first iteration, priorities were identified for a system of indicators and criteria that are characteristic for achieving a result with an emphasis on normative legal regulation of activities with its organizational structure and management system. In the second one, the priorities for the system of indicators and criteria were changed with a focus on the organization of medical care with the existing system of material and technical support, medical supply, as well as the proper level of training of medical personnel.Conclusion Proposals have been developed for the medical service of the Armed Forces of the Russian Federation, in particular for the Service for Disaster Medicine of the Ministry of Defense of Russia, on the organization of a medical support system for troops (forces) and the population during mitigation of the health consequences of emergencies.


2020 ◽  
Vol 9 (3) ◽  
pp. 131-144
Author(s):  
D.A. REDIN ◽  

The purpose of the article is to research the history of creation and formation of the Chancellery of Contract Affairs – the first supervisory and regulatory body in the field of public procurement in Russia. The early history of the Contracting Chancellery (1715–1717) can be traced in the context of the development of legislative and administrative regulation of public procurement during the reign of Peter the Great. The institution of public procurement itself, according to the author, is associated with the acquisition of distinct features of the modern state by Russia, which was manifested in the previous time. The immediate impetus for the development of the institution was the reform of the armed forces and the resulting mobilization efforts of the supreme power. The very content of the research predetermined the use of source-based and historical-legal methods. As a result of the study, the author states that the creation of a special body – the Chancellery of Contract Affairs, designed to take control of the situation under state contracts, turned out to be the right decision. The well-coordinated work of the Contracting Chancellery with the Senate, fiscal authorities and investigative bodies led to the creation of a number of important regulatory legal acts, almost ‘from scratch’ forming the legislative basis for the institution of public procurement functioning. The need for further work on the designated topic is noted.


Author(s):  
Filip Ejdus

During the cold war, the Socialist Federative Republic of Yugoslavia was a middle-sized power pursuing a non-aligned foreign policy and a defence strategy based on massive armed forces, obligatory conscription, and a doctrine of ‘Total National Defence’. The violent disintegration of Yugoslavia in the early 1990s resulted in the creation of several small states. Ever since, their defence policies and armed forces have been undergoing a thorough transformation. This chapter provides an analysis of the defence transformation of the two biggest post-Yugoslav states—Serbia and Croatia—since the end of the cold war. During the 1990s, defence transformation in both states was shaped by the undemocratic nature of their regimes and war. Ever since they started democratic transition in 2000, and in spite of their diverging foreign policies, both states have pivoted towards building modern, professional, interoperable, and democratically controlled armed forces capable of tackling both traditional and emerging threats.


2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Gema Ramírez-Guerrero ◽  
Javier García-Onetti ◽  
Juan Adolfo Chica-Ruiz ◽  
Manuel Arcíla-Garrido

Purpose This paper attempts to fill the gap that exists in research regarding 20th-century heritage and its social appreciation. The purpose of this paper is to explore different ways of evaluating the heritage value and tourism potential and to propose an innovative model validated in the Zarzuela Hippodrome as an example of cultural asset from 20th century with important economic, social, cultural, aesthetic and architectural aspects. Design/methodology/approach This study opted for an interpretation of heritage from an ecosystem, integrating and global paradigm, understanding the asset as a set of resources that interact with each other, generating a common and enriched tourist experience among all the elements that make it up. From this perspective, it is conceived that by modifying one of the elements, the whole (tourist) ecosystem will be equally influenced. On the other side, it was incorporated non-parametric techniques based on the implementation of surveys for the validation of the tool to the case study of the Zarzuela hippodrome. Findings The results suggest that the hippodrome's internal values have been evaluated very positively, while its external values are low. Through this study, the paper has identified several weaknesses that impede its functioning as a viable “tourist product.” The distance from the city center, the lack of available information and the scarce diffusion and tourism promotion are its main weaknesses. The proposed analysis tool reveals the importance of the active participation of visitors to evaluate cultural assets through the combination of aspects related to the conservation of cultural assets and, in turn, elements that encourage their commodification as tourist products, break down barriers between these two disciplines. Research limitations/implications The management tool proposed in this study can be used to underpin the creation of tourism experiences in cultural or heritage assets by diagnosing the current state of its tourist potential, quantifying its value in relation to the visitors’ perception and making visible those problematic aspects to develop actions to solve them. Although the present study is support for future research, as well as for improving the marketing of heritage in tourist settings, an in-depth analysis of the technical elements of heritage, as well as of its intervention (if applicable), will be necessary for the managers who want to use the tool. Social implications One of the most differentiating characteristics between the construction typology of 20th-century historical buildings is perhaps the scarcity of decorative ornamentation, with exposed concrete being the main surface coating. Many of these constructions have an important cultural and historical relevance, however, the social perception, as regards its consideration as architectural and artistic heritage seems to reflect discordant aspects. This study provides support as a decision-making tool to determine the existing valuation of a building and how to enhance it. Originality/value This study takes steps toward the creation of a model that supports decision-makers and owners of cultural assets through a measurement system that makes it possible to quantify and determine the current state of tourism use through the social evaluation of heritage criteria. It defines which are the elements that favor the resilience of the property or, on the contrary, which are those that undermine its enhancement.


2021 ◽  
Vol 48 (2) ◽  
pp. 119-129
Author(s):  
Lilyana Lesnichkova ◽  

The article focuses on the presentation of the Hungarian-Bulgarian valence dictionary, which is currently in preparation, against the background of an extremely actual task – the creation of an academic English-Bulgarian dictionary, adequately reflecting the current state of vocabulary in both languages. The author substantiates the need for such a dictionary, given the lack of general and specialized Hungarian-Bulgarian dictionaries, based on the theoretical foundations and principles of modern lexicography. Outlined are the main features of the dictionary, the specificities and approaches in the work of its compilation. The selection of material and the methods of its presentation are in accordance with the practical needs of learners of Hungarian as a foreign language.


2020 ◽  
Vol 6 (1) ◽  
pp. 24-32
Author(s):  
A. A. Bogdanov ◽  
A. V. Chernykh

The modern strategy for the development of health care includes as one of the priorities maximum approach of medical services to the consumer. To solve this problem in the conditions of the Navy, it is advisable to create mobile medical complexes placed on specially equipped vessels. For the full and operational medical support of the fleet forces in specified areas of the world’s ocean at different distances from the main base sites, a system of marine mobile medical complexes should be created. In peacetime the system should include hospital ships, multipurpose vessels with a hospital on board, mobile polyclinic mobile complexes and high-speed ambulance boats. During the period of danger, the possibility should be provided for the rapid re-equipment of hospital and multifunctional vessels, as well as polyclinic complexes with an increase in evacuation capacity and an increase in the volume of medical care. For medical support of an amphibious assault operation on universal amphibious ships, a quick re-equipment of the premises specially allocated during the design process to medical facilities for emergency medical assistance and evacuation of the wounded to coastal medical institutions should be provided. In wartime, for the provision of medical care and evacuation of the wounded, vessels of various purposes must be used, the projects of which contain the capabilities and algorithms for their quick conversion into sanitary transports. Variants of the main tactical and technical characteristics of vessels of various classes intended for medical support of the fleet forces are proposed. A significant problem in the operation of medical vessels is their low patient load in the inter-transit period, which leads to the disqualification of full-time medical staff and reduces the quality of the maintenance of the vessel. When forming the operational-tactical model of operation of medical vessels, special attention should be paid to the staffing algorithms and ensuring that the courts are always ready to perform their tasks.


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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