Upbringing of Talents: Youth Aspect

In the last decade of the XXth century, Russian employers began to experience difficulties with the selection of qualified personnel. The current situation was due to a structural imbalance between the supply and demand of labor and a general decline in the level of skilled personnel employed in industry. Over the years of reforms associated with the transition to market relations, the Russian industry has lost a significant number of production personnel, including people with the highest qualifications. The acute shortage, and sometimes the staff shortage, which many enterprises of the country are experiencing today are mainly of a structural nature, since the country uses technologies of different technological modes, and resource constraints on economic development from the supply of labor and its quality generations are poorly counted. According to various estimates, from 40 to 60 % of graduates of educational institutions do not work in their specialty and do not stay in the first place of work for a long period. Most leave after six months or a year. But the economy is changing rapidly. It is becoming innovative, high-tech and digital. The noted processes lead to the growth of the importance of the human factor and increase the requirements for people who enter the economy and must move it forward. For this, among other conditions, it is necessary to advance training of young personnel in the framework of newly emerging professions and even to «run ahead» somewhat in this matter. Since one of the main problems of Russian professional education today is the quality of training of specialists and qualified personnel, mastering a set of skills, characteristic of newly emerging professions and industries. The main trends against which the formation of today’s 6–14-year-old generation will take place are the subject of this article. The fourth industrial revolution is closely related to the latest technological advances – digitalization, robotization, the creation of artificial intelligence, etc., which in the short term will lead to the following: - about half of all existing professions will die out in the next decade; a huge mass of people will be without work, as the world will enter an era of high technological unemployment; the rate of technological change will be so high that workers physically do not keep up with retraining for new specialties, continuously replenishing the army of the unemployed. As a result of these transformations, not only the level, but also the structure of labor demand is changing – some professions become obsolete, others are replenished. J. Schumpeter said that the process of industrial mutation continuously reconstructs the economic structure from the inside, destroying the old and creating a new one.

Communities of Rivne region in the cultural process civil society creation

The purpose of the article is to systematize the regional material on the cultural approach of communities to the development of civil society. The research methodology was based on the use of general scientific and special methods. The method of theoretical generalization was used to develop the concept of the stated topic and develop recommendations for improving the development of territorial communities, which are presented in the conclusions. The culturological method allowed to analyze the resource and cultural potential of civil society development in the regional dimension. Methods of systematization and comparison made it possible to identify features of socio-cultural development of different territorial communities of the Rivne region. The scientific novelty of the work is to identify the cultural potential of territorial communities to build civil society in Ukraine. Conclusions. Problems of territorial communities are typical for Ukraine: insufficiency and inefficiency of financing; inconsistency and imperfection of the existing infrastructure; lack of quality roads; inconsistency of work or lack of CNAPs; obsolescence of premises in need of repair or reconstruction; staff shortage, etc. Activation of communities affects the development of civil society, which in turn is a stimulating factor for their development. Ways to improve the development of territorial communities are inter-municipal cooperation in all spheres of community life; providing quality services to citizens; job creation not only for young people but for all citizens; cluster approach (a partnership between public, private, civic structures) to the implementation of cultural activities for the formation of the regional cultural space; the cultural heritage of territorial communities as a basic basis of regional development; introduction of innovations, including digitalization, in community development; the synergy of modern information technologies at the community level as a way to timely public awareness of local cultural and artistic projects and activation of citizens to participate in them. Key words: civil society, territorial communities, identity, cultural potential, cultural and artistic projects, Rivne region.

Patterns and predictors of sick leave among Swedish non-hospitalized healthcare and residential care workers with Covid-19 during the early phase of the pandemic

Healthcare and residential care workers represent two occupational groups that have, in particular, been at risk of Covid-19, its long-term consequences, and related sick leave. In this study, we investigated the predictors of prolonged sick leave among healthcare and residential workers due to non-hospitalized Covid-19 in the early period of the pandemic. This study is based on a patient register (n = 3209) and included non-hospitalized healthcare or residential care service workers with a positive RT- PCR for SARS-CoV-2 (n = 433) between March and August 2020. Data such as socio-demographics, clinical characteristics, and the length of sick leave because of Covid-19 and prior to the pandemic were extracted from the patient’s electronic health records. Prolonged sick leave was defined as sick leave ≥ 3 weeks, based on the Swedish pandemic policy. A generalized linear model was used with a binary distribution, adjusted for age, gender, and comorbidity in order to predict prolonged sick leave. Of 433 (77% women) healthcare and residential care workers included in this study, 14.8% needed longer sick leave (> 3 weeks) due to Covid-19. Only 1.4% of the subjects were on sick leave because of long Covid. The risk of sick leave was increased two-fold among residential care workers (adjusted RR 2.14 [95% CI 1.31–3.51]). Depression/anxiety (adjusted RR 2.09 [95% CI 1.31–3.34]), obesity (adjusted RR 1.96 [95% CI 1.01–3.81]) and dyspnea at symptom onset (adjusted RR 2.47 [95% CI 1.55–3.92]), sick leave prior to the pandemic (3–12 weeks) (adjusted RR 2.23 [95% CI 1.21–4.10]) were associated with longer sick leave. From a public health perspective, considering occupational category, comorbidity, symptoms at onset, and sick leave prior to the pandemic as potential predictors of sick leave in healthcare may help prevent staff shortage.

Nursing Home Factors and Their Impact on COVID-19 Cases: A Study of Wisconsin State

COVID-19 has been devastating for Nursing Homes (NHs). The concentration of older adults with underlying chronic conditions inevitably made the setting highly vulnerable leading to high rates of mortality for residents. However, some nursing homes fared better than others. This study examines several quality measures and organizational factors to understand whether these factors are associated with COVID-19 cases in Wisconsin. We combined three datasets from Centers for Medicare & Medicaid Services (CMS) – the Star Rating dataset, Provider Information dataset and COVID-19 Nursing Home dataset. Data used is from the period of Jan 1 – Oct 25, 2020 for the state of Wisconsin. The analysis includes 331 free-standing NHs with no missing values from the data sets. The variables used were self-reported information on nursing home ratings, staff shortage, staff reported hours, occupancy rate, number of beds and ownership. Of the 331 NHs examined, shortages were reported of 25.4%, 31.1%, 3.2% and 15.6% of licensed nurse staff (25.4%), nurse aides (31.1%), clinical staff, (3.2%) and other staff (15.6%) Additionally, there was a significant (p<.05) positive correlation between number of beds and COVID-19 cases, and there was no statistically significant association between occupancy rate and COVID-19 cases. NHs with better star ratings were also found to have less COVID-19 cases. Interestingly, private NHs had significantly higher COVID-19 cases than for-profit and government owned NHs, a finding that is congruent with other studies in this area. Recommendations for practice will be discussed.

The Paradox of Political Accountability and Deficits in the Preconditions for Service Delivery in Elderly Care: A Qualitative Study of Swedish Politicians

The aims of this qualitative grounded theory study were to explore how politicians accountable for Swedish elderly care viewed their assignment, their beliefs and knowledge regarding the psychosocial work environment for elderly care employees, the factors affecting their work environment, and how these politicians regarded elderly care during the COVID-19 pandemic. This study consisted of 41 interviews with politicians in municipalities across Sweden. Three categories emerged from the analysis: (1) interpretation of the assignment directs the focus; (2) recognizing shortfalls in the employees’ work environment; and (3) exposing deficiencies due to the COVID-19 pandemic. The strongest category was identified as interpretation of the assignment directs the focus and was described as the delivery of good and quality care. Nevertheless, this study highlights shortfalls in the delivery of care services where the employees’ work environment, especially in the home care sector, was frequently described as stressful. The COVID-19 pandemic adversely affected the work situation for staff in elderly care. In that setting, staff shortage and lack of competency were common. Nurses were particularly affected by high workload and responsibility. Further research should explore civil servant roles in the elderly care sector and how these actors view their collaboration with municipality politicians.

A review on initiatives for the management of daily medical emergencies prior to the arrival of emergency medical services

Emergency services worldwide face increasing cost pressure that potentially limits their existing resources. In many countries, emergency services also face the issues of staff shortage–creating extra challenges and constraints, especially during crisis times such as the COVID-19 pandemic–as well as long distances to sparsely populated areas resulting in longer response times. To overcome these issues and potentially reduce consequences of daily (medical) emergencies, several countries, such as Sweden, Germany, and the Netherlands, have started initiatives using new types of human resources as well as equipment, which have not been part of the existing emergency systems before. These resources are employed in response to medical emergency cases if they can arrive earlier than emergency medical services (EMS). A good number of studies have investigated the use of these new types of resources in EMS systems, from medical, technical, and logistical perspectives as their study domains. Several review papers in the literature exist that focus on one or several of these new types of resources. However, to the best of our knowledge, no review paper that comprehensively considers all new types of resources in emergency medical response systems exists. We try to fill this gap by presenting a broad literature review of the studies focused on the different new types of resources, which are used prior to the arrival of EMS. Our objective is to present an application-based and methodological overview of these papers, to provide insights to this important field and to bring it to the attention of researchers as well as emergency managers and administrators.

Effective approach to manage COVID-19 challenges in Hamad General Hospital dialysis facilities

Background: Hamad Medical Corporation (HMC) is providing dialysis treatment to approximately 1050 patients. COVID-19 started from China in December 2019, and the first case in Qatar was confirmed on 27th February 2020. There were challenges to provide dialysis treatment for COVID-19 positive and negative patients during the pandemic due to severe staff shortage, staff fear and psychological distress, workload, lack of dialysis slots, prolonged working hours and staff fatigue. Some staff were even deployed to COVID-19 facilities (modular dialysis services, hotel and quarantine facilities) to provide treatment. Methods: 1) A COVID-19 management committee was established 2) An on-call team was assigned to manage new cases and review dialysis slots availability. 3) Staff performance and adherence to safety measures was monitored. 4) A hierarchy model was implemented for COVID-19. A) Elimination: – Confirmed COVID-19 patients were not to receive dialysis at Ambulatory Dialysis centres. – Unit meetings were only held online. B) Substitution: – Dialysis services were to be provided in HMC dialysis facilities, COVID-19 hospitals, and isolation/quarantine facilities (home/hotels). – Administrators with chronic disease worked from home. C) Engineering: – Reduce number of chairs in tearoom and waiting area – Rearrange offices, working spaces, and conference room to keep everyone 2 meters apart. D) Administrative: – Staff, patient and family education – Screening by using visual triaging scale – Deployment of staff – Managing staff mental health and psychosocial well-being Results: 76 dialysis patients and 30 dialysis staff were infected. 900 hemodialysis sessions were provided inside quarantine and isolation facilities (home, hotel, Bu-Sidra, and other locations) and Hazm Mebaireek General Hospital (HMGH) Modular Dialysis Unit from March to October 2020 . The number of COVID-19 positive patients reduced from 39 in May 2020 to 12 in July 2020 (p = 0002). Conclusion: Thanks to our approach, we were able to provide a high quality and safe dialysis service for in-centre dialysis and in COVID-19 facilities and quarantine centres (home/hotels).

Robotic Assistive Technology Augmenting Dementia Care: Technology Design and Preliminary Acceptability

The growth in the aging population and nursing staff shortage is driving the need for provision of care for the elderly.

A third hand to the surgeon: the use of an endoscope holding arm in endonasal sinus surgery and well beyond

Background Extended endoscopic endonasal operations of the sinuses and the frontal skull base require a bimanual action of the surgeon in many cases. Thus, typically an assistant guides the endoscope and centers the field of view. In this study, we investigate in which cases an endoscope holding arm can be used alternatively. Materials and methods The electromagnetic system ENDOFIXexo was used in different surgical interventions of the paranasal sinuses and beyond questioning ergonomics and geometrical limitations. The realized degrees of freedom were documented, and a topography of possible applications compiled. Results The presented system is limited by the anatomy of the anterior ethmoid and dynamic working conditions in the sagittal direction. Especially in extended interventions in the posterior ethmoid, in which parts of the nasal septum have been resected and a static position of the endoscope is desired the surgeon can greatly benefit from the robotic arm. Moreover, through the high flexibility of the endoscopic arm surgeries of the pharynx and larynx were performed, questioning the current gold standard of microscope-assisted surgical procedures. Conclusion Under the impression of an urging staff shortage and due to its unlimited patience, the ENDOFIXexo arm seems promising. Taking into account the complex anatomy and the limited access, we especially see a favorable field of application in the surgery of the pituitary gland and skull base tumors.