scholarly journals Medical professional consultation for adolescents with deviations in health state as a professional trajectory into adulthood

2021 ◽  
Vol 24 (5) ◽  
pp. 335-339
Author(s):  
Valery M. Ganuzin ◽  
Marina S. Maskova
Keyword(s):  
Adult Life ◽  
Risk Groups ◽  
Vocational Guidance ◽  
Medical Professional ◽  
Working Environment ◽  
Successful Implementation ◽  
Health State ◽  
Industrial Complex ◽  
Professional Advice ◽  
Ulcer Disease

The issues of adaptation and vocational guidance of children with disabilities during the transition from school to vocational training and employment are undoubtedly crucial for the socialization of children with various forms of chronic pathology. The aim of this work is to determine the possibilities of professional medical consultation (PMC) in the rehabilitation of adolescents with disabilities. Materials and methods. The issues of the history of the development of vocational guidance of children are considered. The personal experience of the medical professional consulting of 940 adolescents with various deviations in health conditions is presented. Results. The structure of diseases in adolescents who received professional advice was analyzed. Clinical examples of PMC of adolescents with various forms of pathology of the central nervous system, arterial hypertension and peptic ulcer disease are presented. The unfavourable factors of the working environment and the professions recommended for adolescents have been determined. The importance of the cooperating work of a doctor and a psychologist in the development of a professional trajectory for adolescents with various health deviations from risk groups is shown. Conclusion. The PMC of adolescents with deviations in health is one of the stages of medical, social and labour rehabilitation. It allows choosing a worthy profession and determining its successful implementation in adult life. The military-industrial complex for children is one of the critical areas of social paediatrics.

Industry 4.0 initiatives in EU countries: experience for Ukraine

2020 ◽  
pp. 65-70
Author(s):  
Nataliya Ryvak ◽  
Anna Kernytska
Keyword(s):  
Industry 4.0 ◽  
Business Models ◽  
Industrial Revolution ◽  
Successful Implementation ◽  
Industrial Complex ◽  
Interconnected System ◽  
Industrial Transformation ◽  
Eu Countries ◽  
European Experience ◽  
High Level

In this paper, digital technologies development was analyzed as the basis for the so-called “fourth industrial revolution” with the potential for the qualitative transformation of the Ukrainian economy based on EU countries’ experience. Industry 4.0 is a new control chain over the entire chain of creating value throughout the product lifecycle. When developing an economic policy, it is important to pay attention to Industry 4.0. It increases productivity, produces new, better, and individualized products, and implements new business models based on “undermining” innovations. A comparative analysis of national initiatives I4.0 with their characteristics according to the main dimensions, including funding, focus, direction, was conducted. Particular attention was paid to considering deterrents to the successful implementation and enforcement of the I4.0 initiative in European countries. The factors of successful implementation of I4.0 initiatives in the EU countries were analyzed. Drawing on the analysis of the European experience of digital transformations in industry and national economies in general, the necessity of critical focus of such transformations in Ukraine was highlighted, and the need for state support of industrial transformation was substantiated. The emphasis was placed on the cooperation development between stakeholders within the implementation of Industry 4.0 – it is necessary to create national and regional 4.0 platforms, following the example of EU countries, which would bring together government institutions, businesses, and academics. The successful positioning of the Ukrainian modern industrial complex on the world markets depends on the high level of the interconnected system providing factors that characterize its development process. Considering the influence of a list of inhibiting factors on implementing the country’s industry accelerated development, a set of measures needed to transform Ukraine’s industry based on European experience was substantiated.

scholarly journals Evaluation of the efficiency of using agricultural land in agricultural production

2021 ◽  
pp. 135-139
Author(s):  
L. V. Kireicheva ◽  
V. A. Shevchenko ◽  
I. F. Yurchenko
Keyword(s):  
Land Use ◽  
Agricultural Production ◽  
Quantitative Methods ◽  
Agricultural Land ◽  
Land Reclamation ◽  
Theory And Practice ◽  
Successful Implementation ◽  
Industrial Complex ◽  
Land Resources ◽  
Integral Assessment

Relevance. The effective use of agricultural land is a fundamental prerequisite for the successful implementation in the agro-industrial complex of the task of providing the population with food, and production with raw materials. At the same time, the issues of methodological support of the procedures for determining the integral indicator for assessing the use of agricultural land, established on the basis of a theoretically grounded unified approach based on quantitative methods, have been developed with insufficient completeness. Actualization of the issues of improving the theory and practice of assessing the effectiveness of the use of agricultural land in agricultural production is becoming one of the priority tasks of land reclamation science. The purpose of this work is to create a methodological basis for the process of assessing the use of agricultural land, which guarantees the comparability of the considered options for agroproduction in different natural and economic conditions.Methods. The research is based on the method of point assessments for indicators of agricultural land exploitation and the formation on their basis an integral criterion of land use efficiency. The proposed procedure includes: analysis of statistical data characterizing the dynamics of the values of indicators of used land resources, calculation of local assessments of the feasibility of their exploitation and assessment of the efficiency of land use according to a generalizing criterion represented by the sum of these local assessments.Results. A methodology has been developed and a method has been created for determining the efficiency of the use of agricultural land, based on a generalized integral assessment of the operation of agricultural land, which allows to identify bottlenecks in agricultural production and outline rational directions for the development of land use. The testing of the algorithm of the methodology and capabilities of the scale for the integral assessment of the efficiency of the use of land resources was carried out on the example of the Non-Black Earth Zone of the Russian Federation. Shown is an unsatisfactory (below the national average) contribution of agricultural production to the gross regional product. On the whole, positive dynamics of agricultural production in the Non-Black Earth Zone was established, which is achieved due to the development of animal husbandry, which is an effective factor in the formation of modern efficient agriculture of the territory, with the orientation of the crop production system on the raw material basis of feed production or the sector of the economy of the agro-industrial complex of the territory.

scholarly journals Integrating human factors aspects into performance optimization models of a serial assembly system

2021 ◽  
Author(s):  
Ahmad Sobhani
Keyword(s):  
Markov Chain ◽  
Performance Optimization ◽  
Employee Health ◽  
Working Environment ◽  
Optimization Models ◽  
Assembly System ◽  
Health State ◽  
Total Cost ◽  
Work Related ◽  
Analytical Phase

This dissertation investigates the effects of human factors (HF) of the working environment on the performance of an operation system. Poor HF design of the workplace interrupts the balance of the working environment and reduces employees' overall work performance creating a substantial economic burden on organizations. This thesis focuses on integrating HF aspects into performance optimization models of the serial system. For this reason, a modeling framework has been developed for hierarchical consideration of HF consequences at the individual, workstation and system levels. The developed framework provides a road map for the three analytical phases of this PhD research. In the first analytical phase, a two-state Markov chain is developed to quantify the connection between Work-related Ill Health (WIH) risk factors (ergonomic conditions in the workplace) and employee health-state in a probabilistic way. Subsequently, an optimization model is developed to minimize the total cost of the assembly system with regard to employee health-related productivity loss. Numerical results indicate that there is between 0.5% and 8% difference in the optimal cost of the system with and without including HF effects. In the second analytical phase, a three health-state Markov chain models the connection between HF aspects of the workplace and the employees' work-related productivity and quality variations. Results show between 0.02% and 32% increase for the optimal total cost when both employee productivity and quality losses due to poor HF design of the workplace are integrated into the optimization model. In the third analytical phase, the uncertainty involved in customer demand is considered by developing a two-regime switching model, using a pentanomial lattice. The developed modeling approach investigates the effects of both work-related employee performance variation and demand behavior on the optimal cost of the serial assembly system. Results show that a prediction of the demand distribution throughout the product life cycle is necessary to reduce the over/under cost estimation of the system, due to the stochastic behavior of the demand. This research opens a new window for considering HF intervention not only as occupational health and safety but also as operation improvement method leading to design safer and more efficient systems.

scholarly journals Identifying patients at risk of readmission for heart failure in the French national claim database

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
P Constantinou ◽  
N Pelletier-Fleury ◽  
V Olié ◽  
C Gastaldi-Ménager ◽  
Y Juillière ◽  
...  
Keyword(s):  
Heart Failure ◽  
At Risk ◽  
Administrative Data ◽  
Mortality Risk ◽  
Risk Groups ◽  
Claim Database ◽  
Health State ◽  
Hazard Ratios ◽  
Patients At Risk ◽  
Competing Mortality

Abstract Background To reduce readmissions for heart failure (HF) among HF patients, most at-risk individuals could be targeted to benefit from adapted interventions. A better understanding of HF readmission predictors could help clinicians and regulators identify patients most at-risk. We focused, in particular, on distinguishing HF severity from overall health-state severity. Methods We studied predictors of HF readmission available in administrative data in a nationwide cohort of patients aged 65 years or older surviving an index hospitalization for HF in 2015 (N = 70 657). To take into account the competing mortality risk, we estimated subdistribution hazard ratios (sdHRs) of HF readmission and cause-specific hazard ratios (csHRs) for HF readmission and for death without HF readmission, over a 1-year follow-up period. We then computed cumulative incidences and daily rates of HF readmission for specific risk-groups. Results 31.8% of patients were readmitted at least once for HF, among which 27.2% (8.6% of study cohort) were readmitted 30 days after discharge. 17.6% of patients died without any HF readmission. HF severity and overall health-state severity were the strongest HF readmission predictors (sdHRs 2.66 [95% CI: 2.52-2.81] and 1.37 [1.30-1.45] respectively, when comparing extreme categories). HF severity and length of index stay were more strongly associated with the rate (csHRs) of HF readmissions, whereas overall health-state severity and age were more strongly associated with the competing rate of death without HF readmission. Risk-groups defined upon HF severity and overall health-state severity had approximately 40% of separation in HF readmission proportion (21.9% versus 60.4%). Conclusions Our results stress the importance of considering both HF severity and overall morbidity and of accounting for the competing mortality risk to identify patients at-risk of HF readmission. Such patients could benefit from targeted transitional or post-discharge HF care. Key messages Heart failure patients can be stratified into risk-groups of readmission using administrative data. Identifying at-risk patients could help clinicians and regulators to target interventions.

scholarly journals Improving surveillance of sexually transmitted infections using mandatory electronic clinical reporting: the genitourinary medicine clinic activity dataset, England, 2009 to 2013

2014 ◽  
Vol 19 (48) ◽  
Author(s):  
E J Savage ◽  
H Mohammed ◽  
G Leong ◽  
S Duffell ◽  
G Hughes
Keyword(s):  
Sexually Transmitted Infections ◽  
Surveillance System ◽  
Risk Groups ◽  
Successful Implementation ◽  
Longitudinal Analyses ◽  
Sexually Transmitted ◽  
Medicine Clinic ◽  
New Codes ◽  
Genitourinary Medicine ◽  
Clinic Activity

A new electronic surveillance system for sexually transmitted infections (STIs) was introduced in England in 2009. The genitourinary medicine clinic activity dataset (GUMCAD) is a mandatory, disaggregated, pseudo-anonymised data return submitted by all STI clinics across England. The dataset includes information on all STI diagnoses made and services provided alongside demographic characteristics for every patient attendance at a clinic. The new system enables the timely analysis and publication of routine STI data, detailed analyses of risk groups and longitudinal analyses of clinic attendees. The system offers flexibility so new codes can be introduced to help monitor outbreaks or unusual STI activity. From January 2009 to December 2013 inclusive, over twenty-five million records from a total of 6,668,648 patients of STI clinics have been submitted. This article describes the successful implementation of this new surveillance system and the types of epidemiological outputs and analyses that GUMCAD enables. The challenges faced are discussed and forthcoming developments in STI surveillance in England are described.

scholarly journals Innovative technologies in food production processes

2021 ◽  
Vol 937 (3) ◽  
pp. 032044
Author(s):  
M Belyaeva ◽  
O Kitova ◽  
A Popov ◽  
E Chernikova
Keyword(s):  
Food Production ◽  
Food Industry ◽  
Digital Technologies ◽  
Organizational Factors ◽  
Digital Transformation ◽  
International Standards ◽  
Successful Implementation ◽  
Industrial Complex ◽  
Production Chain ◽  
Big Data Technologies

Abstract The article presents the development of the agro-industrial complex taking into account innovations in the field of digitalization of technological processes of the food industry. The tasks of digitalization, the evolution of the industry are described, digital technologies introduced into the processes of the food industry, the introduction of smart production, Big Data technologies, machine vision, additive technologies are listed. Examples of the introduction of digital technologies in different countries are shown. The factors limiting the introduction of digital technologies, lack of personnel, unstable economy, psychological and organizational factors, and lack of international standards in the field of digital transformation are shown. Production statistics are widely used to identify bottlenecks in production, search for hidden reserves and determine the reasons for reducing the efficiency of equipment. Blockchain technologies are beginning to be used in the production of food. Distributed registry systems help to increase the transparency of all stages. Successful implementation requires the interest of all participants in the production chain (from the farmer to the consumer). Digital transformation in Russia began to pay serious attention relatively recently, most of the projects are under implementation. Various innovations introduced in the food production and the food industry are reflected.

scholarly journals The Relevance of Using Market Competencies in the Process of Diversification of Defense Industry Enterprises

2021 ◽  
Vol 19 (4) ◽  
pp. 55-60
Author(s):  
T. A. Berkutova ◽  
S. S. Golubev ◽  
A. V. Makhova ◽  
B. A. Kovtun
Keyword(s):  
Portfolio Management ◽  
Defense Industry ◽  
High Tech ◽  
Successful Implementation ◽  
Industrial Complex ◽  
Product Portfolio ◽  
Dual Use ◽  
Competitive Strategies ◽  
Product Price ◽  
Market Needs

The paper presents an overview of the problems faced by the enterprise of the military-industrial complex in the process of diversification when identifying market needs, searching for directions and opportunities for the promotion and sale of civilian and dual-use products. One of the key constraining factors of diversification is the lack of market competencies of the personnel of defense industry enterprises. In the current conditions, the skills of market segmentation and positioning of goods and enterprises, management of trademarks and brands, creation of intangible market assets, formation of business partnerships that allow entering the markets with competitive goods in a short time, ensuring the flexibility of enterprises and reducing the time to enter the markets of civil products become relevant. The condition for the successful implementation of the diversification strategy is the formation of market competencies: strategic analysis and market research, product portfolio management, the formation of product, price, service policy, the implementation of competitive strategies, the development of marketing services: the creation of divisions focused on working with the markets of civil and dual-use products, the development of new functionality for marketers, ensuring the interaction of production, technological and marketing services within the framework of meeting market needs. The development of market competencies will make it possible to realize the production and technological advantages of defense industry enterprises in the process of diversification and ensure: access to new markets for civil and dual-use products; targeted actions in existing markets; increasing the competitiveness of civil and dual-use products and defense industry enterprises in the markets; increasing the degree of adaptability and mobility of defense industry enterprises in the markets of civil and dual-use products to environmental conditions, reducing the response time to market requirements; solving socio-economic problems through broad integration with the high-tech civilian sector of industry.

scholarly journals Development of public-private partnership mechanisms in the grain product sub-complex

2021 ◽  
Vol 83 (2) ◽  
pp. 277-284
Author(s):  
T. I. Espolov ◽  
K. M. Tireuov ◽  
I. P. Bogomolova ◽  
S. K. Мizаnbеkоvа
Keyword(s):  
Raw Materials ◽  
Public Private Partnership ◽  
Successful Implementation ◽  
Industrial Complex ◽  
Economic Activities ◽  
Integrated Education ◽  
Private Partnership ◽  
Foreign Companies ◽  
Stage Of Development ◽  
High Level

In the context of the active entry of Kazakhstan into the world economy, the growing shortage and decline in the quality of raw materials and the related rise in prices for grain and bakery products, the grain-product subcomplex of the domestic agro-industrial complex is of particular importance. The article notes that the development of production in various sectors and spheres of the economy of Kazakhstan requires the search and use of new, more efficient forms of implementation of production and economic activities. One of the key methods of solving this problem is the integration of commodity producers, which makes it possible to unite in a single complex all the links of the reproduction cycle in the technological chain “production of raw materials - output of finished products”. It is emphasized that domestic and foreign experience has proved that integrated education, formed on the basis of the principles of public-private partnership, achieves a high level of efficiency and competitiveness. For the successful implementation of public-private partnership projects in the grain product sub-complex, an in-depth study, generalization and systematization of the experience of using this mechanism by both national and foreign companies that have achieved high results in this area is required. Currently, public-private partnership continues to remain at the initial stage of development, which is largely due to the specific high-risk features of the functioning of the branches of the grain product sub-complex. These circumstances emphasize the importance of a detailed analysis of methods and tools for increasing the competitiveness of enterprises and organizations of the domestic grain products subcomplex, first of all, targeted investment in the development of production.

Quality Innovation in Healthcare – The Challenge of the Third Era

2020 ◽  
Vol 3 (2) ◽  
pp. 29
Author(s):  
Pieter Kievit ◽  
Marianne Schoorl ◽  
Jeannette Oomes
Keyword(s):  
Health Care ◽  
Design Thinking ◽  
Social Systems ◽  
Core Values ◽  
Medical Professional ◽  
Change Readiness ◽  
Successful Implementation ◽  
Feasibility Assessment ◽  
Health Delivery ◽  
The Third

In the third era of quality assurance in health care, innovation is no longer the exclusive focus area of the individual medical professional dedicated to optimizing patient care nor is it achieved by design thinking by the health delivery organization aiming for economic sustainability. Change platform in the third era is the community of professionals, committed to providing the best possible care within the limits of organizational logic. We aim to clarify the conditions for sustainable quality improvement in health delivery organizations and in doing so to provide a means of improving initial feasibility assessment by identifying critical factors in the cooperation between different parties. We designed a model representing the sources of influence on the process of decision making regarding the selection of innovations and choosing the most effective implementation strategy. These sources are: aspects of legitimacy, core values and change readiness. We tested this model on a project, aimed at improving the efficiency of the OR in a Dutch University Clinic. The example project failed to deliver the projected outcome because of non-disclosed conflicting interpretations of core values and an implicit controversial status shift between medical professionals and OR management. This confirms the explaining power of our model. Successful implementation of quality innovation in health care depends (among other things) on addressing the challenges of differing concepts of legitimacy, conflicting core values and varying change readiness between social systems in complex organizations. Installing a QIC as such does not meet these challenges.

THE EXPENDITURES FOR THE DEVELOPMENT OF THE MINISTRY OF DEFENSE OF UKRAINE IN THE YEARS 2014-2020

2020 ◽  
pp. 23-26
Author(s):  
I. Marko ◽  
S. Siryi
Keyword(s):  
Armed Forces ◽  
The State ◽  
Successful Implementation ◽  
Industrial Complex ◽  
State Budget ◽  
Military Conflict ◽  
Stage Of Development ◽  
The Government ◽  
The Military ◽  
Current Stage

The article presents and analyses the budget of the Ministry of Defense in the course of the latest years according to datawhich have been approved by the State budget of Ukraine, its state and perspectives of development, as well as the features thatit is influenced by. There’s a presented comparison of the defense budget of the Ministry of Defense of Ukraine in absolute andrelative indicators with a consideration for inflation. In every country the sector of defense in a variety of its manifestationshappens to be a powerful community that often plays a dominating and crucial role. The aspiration of the government to assurethe defense capability of the state is reflected in the adequate establishment of the military budget, the appropriate expendituresfor defense purposes, the peculiarities of their implementation under the conditions of a military conflict and its adherence tointernational norms. Due to the increase in short terms of combat capabilities of the Armed Forces of Ukraine it was possible tostop the illegal armed formations. Yet, the issue of supporting the combat capabilities of our Armed Forces due to the resourcesand finances used for its purpose remains part of the current agenda. At the current stage of development of Ukraine there ar ethe challenges to increase the defense capabilities of the state, the conduct of reforms of the Armed Forces of Ukraine as well asother military formations in accordance with the state of the art requirements and including the experience obtained in the courseof the United Forces Operation, yet also the development of the defense-industrial complex, which is necessary to satisfy theneeds of our Armed Forces to the maximum. The successful implementation of the set tasks is in a significant way dependent onthe appropriate financial support the basis of which is formed by the expenditures of the state budget. Thus, the issue ofdynamics and the structure of the expenditures mentioned as well as the identification of systematic obvious tendencies in thesphere of defense financing are a part of the current agenda, especially under the conditions of the Russian armed aggressionagainst Ukraine.

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