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Bychenko, Yuri, und Igor Smirnov. „Social control of food supply for Russian military personnel“. E3S Web of Conferences 222 (2020): 05012. http://dx.doi.org/10.1051/e3sconf/202022205012.
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The scientific article presents a theoretical and methodological substantiation of the problem of social control of food supply for military personnel, suggests ways to improve the interaction of military organizations with the structures of the agro-industrial complex. It has been substantiated that the most important indicators of social control are embedded in the self-assessments of servicemen in terms of the following parameters: 1) verification of compliance with the norms, rules and procedures of servicemen’s activities; 2) compliance with the norms, rules and procedures for the provision of military personnel, including food. It is proved that in modern conditions the current system of social control cannot eliminate the manifestation of negative tendencies in the system of relations of a modern military collective. The necessity is substantiated and the directions of improving the food supply system for military personnel are presented: 1) the formation of a comprehensive model of social control of food supply for military units (integration of external, internal, self-controlling substructures of control); 2) strengthening the existing model of supplying an additional component of proactive food support for military personnel, which determines the storage of food stocks and mechanisms for effective interaction with the structures of the agro-industrial complex in conditions of a destabilizing situation, local conflict, and peacekeeping operations.
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Romanova, V. V. „Problems and trends of legal regulation of the heat energy market in the Russian Federation and legal support of competition in the heat energy market“. Courier of Kutafin Moscow State Law University, Nr. 3 (15.05.2020): 24–30. http://dx.doi.org/10.17803/2311-5998.2020.67.3.024-030.
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Despite the seemingly active development of legal regulation of the heat energy market, there are gaps and contradictions in the legal regulation, in the legal provision of competition in the heat energy market, which draw the attention of representatives of the expert community and government agencies. A significant number of legal disputes in the field of heat supply and acts of the constitutional Court of the Russian Federation also indicate problems in legal regulation. Based on the results of legal analysis of legal regulation and law enforcement practice, proposals were made to introduce the following provisions into the model of legal regulation: maintaining a register of companies that sell heat energy, including data on the financial, technological, and personnel status; licensing the activities of companies that sell heat energy; licensing of companies that provide services to heat networks and heat supply facilities, including heat‑receiving equipment for consumers; introduction of a system for intelligent accounting of heat consumption.
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Schenk, A. R. J. „RESOURCE SHARING AND STRATEGIC ALLIANCES-REDUCTION OF OILFIELD COSTS THROUGH INNOVATIVE SUPPLY CHAIN MANAGEMENT“. APPEA Journal 38, Nr. 1 (1998): 570. http://dx.doi.org/10.1071/aj97032.
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Supply chain management is the relatively recently implemented concept of managing an integrated supply function from production of a product or service to its receipt by its ultimate end user.This management philosophy has revolutionised production and manufacturing industries throughout the world, and has brought about dramatic efficiency improvements, with similar effects upon reducing overall costs. Traditionally, this was an area that was considered of low priority, presenting little opportunity for value adding or innovation, and characterised by adversarial, uncompetitive management techniques.Similarly, in the oil and gas industry, especially in the North Sea and the Gulf of Mexico, extended supply chains have necessitated a re-evaluation of the mechanisms used not only for provision of the supply service, but in the relationship between the operator and the service provider. Most notable examples being the CRINE (Cost Reduction Initiative for the New Era) initiative in the United Kingdom and Chevron Corporation's (one of West Australian Petroleum's participants and also its technical advisor) CSQIP (Chevron Supplier Quality Improvement Process) methodology.This paper will concern itself therefore with the application of cutting edge Supply Chain Management techniques garnered from both the North Sea and the United States. Focussing specifically upon alliancing/partnering, resource sharing and outsourcing, upon West Australian Petroleum Pty Limited (WAPET) and its respective contractors.It will seek to show that through innovative use of current supply chain management tools, as well as imaginative 'out of the box' thinking by WAPET personnel and contractor personnel alike, significant cost reductions and performance improvements can be brought to bear on oilfield operating costs.
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Steedman, Hilary, Geoff Mason und Karin Wagner. „Intermediate Skills in the Workplace: Deployment, Standards and Supply in Britain, France and Germany∗“. National Institute Economic Review 136 (Mai 1991): 60–76. http://dx.doi.org/10.1177/002795019113600106.
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Previous international comparisons of workforce skills by the National Institute have focussed on the relative shortage of craft skills in Britain. The present study is concerned with the next higher level of supervisory and technician skills; on the basis of visits to factories and technical colleges in Britain, France and Germany, and analysis of labour force statistics, it compares and contrasts the provision and deployment of these intermediate skills in manufacturing industry in the three countries. At supervisory level only Germany undertakes a significant amount of training and to standards adequate to the increased complexity and technical demands of modern manufacturing. At technician (Higher National) level, the numbers acquiring comparable qualifications in Britain and France are substantially higher than in Germany: in part this reflects the allocation of a large proportion of technical support functions in German industry to craft-trained personnel. After examining the relative distribution of training costs between employers, individuals and the public authorities in the three countries, the paper makes proposals for a more cost-effective mix of craft- and technician-level skills in British manufacturing which might, in the process, reduce the need for over-qualified personnel to ‘plug the gaps’ in skills among shopfloor workers and supervisors.
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Anibaldi, Renata, Julia Carins und Sharyn Rundle-Thiele. „Eating Behaviors in Australian Military Personnel: Constructing a System of Interest for a Social Marketing Intervention“. Social Marketing Quarterly 26, Nr. 3 (25.08.2020): 229–43. http://dx.doi.org/10.1177/1524500420948487.
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Background: Eating behaviors are complex and have particular significance for military personnel who require sound nutrition to support health and physical fitness for job performance. Policies and guidelines for the provision of nutritionally appropriate food/drink on base and in the field do exist; however, many military personnel have poor dietary habits, and these habits are evident early in their career. Social marketing could assist in changing unhealthy eating behaviors of personnel through implementation of feasible interventions co-created with stakeholders that are valued by Australian Defence Force (ADF) personnel. : The article reports the first phase of a systemic co-inquiry into unhealthy eating behaviors of military personnel. This study aimed to gain an initial framing of the problem situation and thus hypothesize a “system of interest” in which to conduct future work. Research questions What components (e.g., ideas, objects, attributes, activities) are perceived to be relevant for eating behaviors in military personnel? Do interrelationships and interconnections among components suggest how unhealthy eating behaviors may emerge? Are there places that suggest viable leverage points as opportunities for changing unhealthy eating behaviors through delivery of offerings that ADF personnel value? Program Design/Approach: This study was part of a systemic inquiry approach. Methods: Data for the study included document analysis and 14 semi-structured depth interviews with ADF stakeholders. Data were thematically analyzed to construct a system of interest in which to explore how eating behaviors emerge among personnel and ADF-controlled leverage points that can be used to increase healthy eating for ADF personnel through social marketing intervention. Results: The data analysis identified alternative systems of interest in which to explore how eating behaviors emerge among personnel. Demand and supply side leverage points were identified. On the supply side, the encouragement of patronage through menu innovation, investment in facilities, cooking skills training, and auditing provision were opportunities for social marketing intervention. On the demand side, education and training coupled with communications that challenge cultural and regulatory norms and link to military values were areas that programs seeking to increase healthy eating in ADF personnel could focus on. Importance to the Social Marketing Field: As an approach for addressing “wicked” problems, the application of systems thinking in social marketing has privileged an ontological concept of system as a metaphor for reality. This approach assists in expanding the focus of change beyond the individual to include factors in social, economic, and policy environments. By using systems thinking as an epistemological device, this article offers an approach that may be applied to overcome practical and philosophical limitations in the application of systems thinking. Recommendations for Research or Practice: Research on alternative methods for applying systems thinking is recommended to strengthen the potential of system approaches in the field of social marketing. Limitations: This study is part of a broader program, and its findings on the problem of unhealthy eating behaviors in ADF are preliminary. Limitations specific to the study include the possibility of “reductionism” in stakeholder identification and self-selection bias in participation.
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Akor, Philip Usman, und Julie Udensi. „An Assessment of Record Management System in Establishment Division of Two Universities in Nigeria“. International Letters of Social and Humanistic Sciences 13 (Oktober 2013): 97–109. http://dx.doi.org/10.18052/www.scipress.com/ilshs.13.97.
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The major purpose of this study was to assess record management of the Federal University of Technology, Minna Nigeria and Ibrahim Badamasi Babangida University Lapai, Nigeria. In carrying out this study, four (4) research questions were posed. The study sample population comprised of 88 staff (46 staff from the establishment division of the Federal University of Technology, Minna and 42 staff from the establishment division of the Ibrahim Badamasi Babangida University, Lapai. The instrument used for data collection was questionnaire. The research questions were answered using frequency and percentages. The major findings of the study revealed: ineffectiveness in record management practices, incompetent personnel, inadequate infrastructural facilities, constant power failure. Based on these findings, the following recommendations were made. Effort should be made for provision of standby generator as an alternative to power supply, training of staff to handle the universities‟ record, provision of adequate fund and enough infrastructural facilities.
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Alkhalili, Mohammad, Janice Ma und Sylvain Grenier. „Defining Roles for Pharmacy Personnel in Disaster Response and Emergency Preparedness“. Disaster Medicine and Public Health Preparedness 11, Nr. 4 (30.01.2017): 496–504. http://dx.doi.org/10.1017/dmp.2016.172.
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AbstractOngoing provision of pharmaceuticals and medical supplies is of key importance during and following a disaster or other emergency event. An effectively coordinated response involving locally available pharmacy personnel—drawing upon the efforts of licensed pharmacists and unlicensed support staff—can help to mitigate harms and alleviate hardship in a community after emergency events. However, pharmacists and their counterparts generally receive limited training in disaster medicine and emergency preparedness as part of their initial qualifications, even in countries with well-developed professional education programs. Pharmacy efforts have also traditionally focused on medical supply activities, more so than on general emergency preparedness. To facilitate future work between pharmacy personnel on an international level, our team undertook an extensive review of the published literature describing pharmacists’ experiences in responding to or preparing for both natural and manmade disasters. In addition to identifying key activities that must be performed, we have developed a classification scheme for pharmacy personnel. We believe that this framework will enable pharmacy personnel working in diverse practice settings to identify and undertake essential actions that are necessary to ensure an effective emergency response and will promote better collaboration between pharmacy team members during actual disaster situations. (Disaster Med Public Health Preparedness. 2017;11:496–504)
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Pînzariu, Sorin, und Costel-Dorel Mînea. „The Military Units’ Logistic Support Principles“. Land Forces Academy Review 24, Nr. 1 (01.03.2019): 20–28. http://dx.doi.org/10.2478/raft-2019-0002.
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Abstract The fundamental objective of the military units’ logistic system during peacetime is ensuring necessary logistic support for the military personnel to properly carry out the training and instruction activities in order to fulfill the missions assigned to the military units at every hierachical level. Concurrently, the logistic system of the military units during peacetime tracks the supply of material assets for emergency situations, crisis, mobilization and war. Achieving logistic support for military units during peacetime depends on a number of principles that underpin the provision of high-quality logistic support necessary for the fulfillment of the basic mission and the fundamental objectives of each military structure.
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Ashraf, Zohaib, Muna Malik und Muhammad Irfan Malik. „COVID-19: Utmost Need to Protect Frontline Health Care Workers in Pakistan“. BioMedica 36, Nr. 2S (24.06.2020): 41–42. http://dx.doi.org/10.51441/biomedica//biomedica/5-389.
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<p>Health care professionals (HCPs) remain the most vulnerable population while performing their duties they inadvertently put themselves at high risk for any pandemic. During COVID-19 outbreak, scarce supply of personal protective equipment (PPEs) and prolonged exposure of HCPs with large number of COVID-19 positive cases in healthcare settings, long stressful duty hours and insufficient infection prevention and control (IPC) training given to them has led to a large number of infected cases. Policies should be designed and implemented for more screening and better protection with provision of optimal resources to these valuable personnel of health care system.</p>
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Moye, Robert A., Kim Mason, Amy Flatt, Barbara Faircloth, Janisha Livermore, Brittany Brown, Adam Furr, Cassey Starnes, John R. Yates und Robert Hurt. „Emergency preparation and mitigation for COVID-19 response in an integrated pharmacy practice model“. American Journal of Health-System Pharmacy 78, Nr. 8 (27.02.2021): 705–11. http://dx.doi.org/10.1093/ajhp/zxab015.
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Abstract Purpose The purpose of this descriptive report is to share experiences in crisis response planning and risk mitigation at a university health system department of pharmacy with an integrated clinical practice model in the early months of the coronarvirus disease 2019 (COVID-19) pandemic. Summary The department of pharmacy’s COVID-19 pandemic response included successful planning and implementation of measures to maintain pharmacy operations and minimize COVID-19 exposure of patients and staff. These measures included ensuring adequate personnel staffing using flexible staffing solutions, ongoing assessment of supply chain integrity, and continuation of integrated clinical pharmacy services 24/7 throughout the initial phase of the COVID-19 pandemic. Information technology (IT) and educational program modifications are also discussed. Conclusion This report describes successful crisis planning and risk mitigation in the setting of COVID-19, which was facilitated by the department of pharmacy’s integrated clinical practice model. This model enabled uninterrupted personnel scheduling, supply chain integrity, continued provision of 24/7 integrated clinical services, adaptive use of IT tools, and continuation of educational programs. The experiences described may be instructive to other pharmacy departments in evaluating their response to the COVID-19 pandemic and in planning for similar pandemic or other emergency scenarios.
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Verna, V. V., und M. N. Hoyna. „METHODOLOGICAL APPROACHES TO MONITORING AND MANAGING STAFF TURNOVER IN HEAT SUPPLY COMPANIES“. Construction economic and environmental management 78, Nr. 1 (2021): 69–76. http://dx.doi.org/10.37279/2519-4453-2021-1-69-76.
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The article considers the essence of staff turnover and its impact on the functioning of the organization of the heat supply industry in modern conditions. An analytical approach is proposed using functional cost analysis (hereinafter referred to as FСA) in order to monitor staff turnover at a heat supply company. On the basis of the FСA, the costs of performing the labor functions of an engineer for the organization, operation and repair of an enterprise engaged in the provision of services for heating and hot water supply are analyzed. According to the results of the study revealed excessive and unusual office functions proposed measures to change the duties of the employee to reduce workload for the position, indirectly contributing to the reduction of staff turnover in this position and allowing to increase the employee satisfaction employment within the organization and, consequently, increase the efficiency of the organization and the level of its competitiveness. A list of indicators reflecting the level of staff turnover in the organization is proposed. The relevance of the implementation of the personnel turnover monitoring system in the organization is justified.
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ZAKIROVА, Elena N., und Olesya S. RASCHEKTAEVA. „SOCIAL AND MEDICAL PROVISION OF SPECIAL SETTLERS IN THE TERRITORY OF THE OSTYAKO-VOGULSKY NATIONAL DISTRICT IN THE 1930TH“. Historical and social-educational ideas 10, Nr. 6/2 (01.02.2019): 69–74. http://dx.doi.org/10.17748/2075-9908-2018-10-6/2-69-74.
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Events of regional history often become a subject of study for researchers from different areas that allow you to restore a single picture the history of the country. The issue of medical care organization of spec. migratory population of Ostyako-Vogul national region in the period of industrial development of the country in the 20-30s of the twentieth century has been considered in this article, based on archival documents, including declassified. The expansion of the raw material and energy base through the active development of areas of Ural and Siberia, led to the rapid growth of the population of the region, by forcibly resettled from other regions of the country. Population growth, in turn, complicated the situation with health care, which was already not easy because of the specificity of the region (territorial remoteness and long distances between localities, harsh climate, lack of medical personnel, and so on. Health care for special settlers, especially in the beginning of the 1930s, was hardly established. Existed in the district, few medical aid stations were sent to help the local population, aboriginal people. Medical institutions and personnel were not enough, the most necessary medicines were lack ion sites and so on. The living conditions not meeting the standards, overcrowding, lack of normal living conditions, insufficient supply, paltry rations, hard labor conditions, inadequate and untimely medical care were the main causes of high morbidity and factors in the development of epidemics among special settlers.
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Muttamara, S., und H. P Ricarte. „Sanitation Program Development for Rural Thailand in Relation to the International Drinking Water Supply and Sanitation Decade“. Water Science and Technology 18, Nr. 7-8 (01.07.1986): 51–58. http://dx.doi.org/10.2166/wst.1986.0273.
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The sanitation level in the villages of Thailand is still generally low despite the past efforts of the Sanitation Division of the Department of Health. Consequently, the Royal Thai Government (RTG) is embarking on a national sanitation program with a view to minimizing the occurrence of excreta-related diseases in the rural communities, which will be implemented together with the rural water supply program, so as to produce the optimum effects on health. This dual program, otherwise known as the “Thailand Decade Plan,” will be initiated in 1985 and will continue until the end of 1991. The realization of this plan will serve as Thailand's commitment to the International Drinking Water Supply and Sanitation Decade (IDWSSD). With only 2.8 million pour-flush (PF) latrines installed up to the end of 1983, accounting for 44.3% of the total number of households, the plan calls for the provision of an additional 2.5 million PF latrines in order to achieve the target, which is to provide 75% of households with PF latrines by the end of 1991. Considering the attitudes and economic status of the Thai rural people, the proposed strategies for the implementation of the sanitation program will be the provision of material subsidies and/or “revolving funds,” with strong support from such activities as health education, especially for women and children, and the necessary training of personnel. Implementation of the plan will require an investment of approximately Baht 1,792.6 million (roughly U.S.$ 66.4 million).
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Nurgaliev, R. K., und A. A. Nurgalieva. „FEATURES OF PERSONNEL MANAGEMENT OF A PETROCHEMICAL ENTERPRISE IN A SMART PRODUCTION ENVIRONMENT“. Izvestiya of Samara Scientific Center of the Russian Academy of Sciences 23, Nr. 2 (2021): 98–105. http://dx.doi.org/10.37313/1990-5378-2021-23-2-98-105.
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Digitalization of the petrochemical complex is focused on the use and creation of end-to-end technologies, such as distributed ledger systems, advanced manufacturing technologies, industrial Internet, Internet of Things, and big data. These technologies are now sufficiently advanced to integrate with the main production processes of petrochemical enterprises for the digital transformation of operations and the provision of "smart" supply chains, as well as the development and implementation of new business models. Smart manufacturing is a new paradigm that provides speed and flexibility through the introduction of digital innovations that create a circular economy model, facilitating the use of solutions such as digital platforms, smart devices, and artificial intelligence that contribute to resource optimization. The article deals with the issues of personnel support for petrochemical enterprises that contribute to improving production efficiency in the digital economy. Integrating human resource management into the strategic planning process allows you to create and develop the necessary skills and competencies to achieve effective results, opportunities and competitive advantages. The introduction of more efficient and faster production systems and innovative technologies allows you to reduce production processes, accelerate the entry of new products and services to the market, as well as the associated delivery times, reduce production stages and increase the ability to differentiate products.
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Kayode, Ogunyemi Joseph, Mufutau Akanmu Popoola und Adewole Joseph Adeyinka. „Credit Risk Management and Entrepreneurship Development in Nigeria: A Case Study of Small and Medium Scale Industries in Ondo State“. International Journal of Small and Medium Enterprises 3, Nr. 1 (12.03.2020): 18–33. http://dx.doi.org/10.46281/ijsmes.v3i1.512.
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The paper summarizes the arguments and counterarguments within the scientific discussion on credit risk management and entrepreneurship development in Nigeria with focus on small and medium scale industries in Ondo State. The objective of the study is to examine the effect of credit risk management on entrepreneurship development. The study adopted the use of descriptive statistics and regression analysis method to test the hypothesis formulated. The results indicated that entrepreneurship development is being hampered by ineffective credit risk management. The findings has shown that Small Scale Enterprise still suffers greatly from inadequate policy on fund raising, lack of risk management personnel, lack of credit advisory unit in loan houses and Inability to determine appropriate source of funding which significantly affects their level of development. The findings of this study have also found out that the Nigerian markets are filled with numerous business opportunities. Based on the findings, it was recommended that increased government support, uninterrupted power supply and communication link, provision of skilled manpower and computer wizard in operation of payment system, collaboration among banks, provision of adequate security and fight against corruption would assists and improve the growth and development of entrepreneurship in Nigeria.
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KRAMAR, Oleh. „Development trends and structural disorders in the human resource provision“. Economics. Finances. Law, Nr. 3(1) (31.03.2020): 11–15. http://dx.doi.org/10.37634/efp.2020.3(1).2.
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The article describes the dynamics of the number of employees employed by large, medium and small construction enterprises, as well as by types of construction activities during the period 2010-2018. On the basis of calculations of the index, speed and intensity of structural changes in the personnel supply of enterprises by types of construction works, their dynamics during the period 2010-2018 was established. The purpose of the paper is to identify trends in development and structural changes in the staffing of the functioning of construction enterprises. The functioning of construction enterprises is currently occurring under difficult conditions of external and internal threats to Ukraine's national security, which is reflected by a number of negative socio-economic trends. In particular, human resources, as one of the key factors in the development of construction enterprises, have declined significantly in recent years. This is due to a number of objective and subjective reasons, one of which is the activation of labor migration. After a rapid decrease in the number of employees at construction enterprises during 2010-2015, from 2017, a positive trend is observed. The results of the analysis show that the greatest impact of staffing in the construction of residential and non-residential buildings and specialized construction works in the study period is traced in 2018, and in the construction of engineering structures - in 2012, where the intensity of structural changes showed the highest value. The lion's share of all employees work in small construction enterprises - 156.1 thousand people (53%), medium-sized enterprises - 109.3 thousand people and significantly fewer in large enterprises - 6.8 thousand people (2.5%) in 2018. Changes in the structure of employment by size of enterprises over the years 2010-2018 are observed. The largest number of employees is observed in enterprises specializing in the construction of buildings - about 150 thousand people, including the construction of residential and non-residential buildings - 138.6 thousand people and the organization of construction of buildings - 11.4 thousand people.
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Grachev, V. A., P. В. Panov, Yu V. Krasnova, E. V. Umnikov und E. Yu Kazakova. „MORDERN APPROACHES TO THE COMPLETE AND ORGANIC EQUIPMEN OF SHIPS AND BOATS OF NAVY OF THE RUSSIAN FEDERATION“. Marine Medicine 5, Nr. 1 (06.04.2019): 71–75. http://dx.doi.org/10.22328/2413-5747-2019-5-1-71-75.
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Ensuring timely emergency medical service and implementation of actions for first-aid treatment the most significant making organization seamen health protection. The first-aid kits, a bag of the doctor and the paramedic developed for ground forces and which are available on supply not fully conform to requirements imposed to complete organic equipment of the ships and boats of Navy. Medical equipment modernization and introduction of new and innovative complete and organic equipment for first-aid treatment is a need of real time. Improvement of this type equipment characteristic allows to increase efciency of the provided medical care at the initial stage and to provide maintenance of the Navy ship forces, by decrease in incidence of the personnel. The main directions of development of medical equipment of providing first and emergency medical care, designed for the provision ships and boats of Navy. Critical parameters that must be considered in the process of modernization available and developing new kits of medical equipment. A short characteristic of the ship first-aid kits and medical emergency and urgent aid bags offered for the development, taking into account the specifics of the daily and combat activities of the personnel of the underwater and surface ship of the Navy.
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Bielyozorova, O. V., und O. P. Shmatenko. „Order of medicines rationing with the provision of qualified surgical help to military servicing“. Farmatsevtychnyi zhurnal, Nr. 1 (18.03.2019): 20–30. http://dx.doi.org/10.32352/0367-3057.1.19.02.
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The standardization of medicines, taking into account the considerable experience of the military medical service, is a promising direction for improving the medical supply of the health facilities of the Ministry of Defense of Ukraine and provides medical provision in accordance with established norms in order to fully and timely meet the needs of the medical service in the Ministry of Health for the provision of quality and effective medical care and treatment of wounded and sick.
The purpose of the study was the rationale of the method of valuation and a comparative analysis of the proposed norms for supplying medicines to a military hospital and a military mobile hospital offered in the treatment of surgical personnel.
A comprehensive analysis of the medical treatment of soldiers in the surgical section of the military hospital and the military mobile hospital was conducted (345 and 202 persons, respectively), the normative method of the proposed nomenclature and the number of drugs for the provision of qualified surgical care in the conditions of the military hospital and the military mobile hospital.
The nomenclature of medicines under the international non-proprietary names included in the proposed list of norms for the supply of medicinal products and is intended for servicemen of a surgical profile for the needs of military hospitals and military mobile hospitals is 147 and 130 titles of medicines, respectively. In the conditions of the military hospital in the species diversity, the most represented groups are medicinal products that affect the blood system and hemopoiesis (19%), drugs that affect the nervous system (16%), antimicrobials for systemic use (15%); in the conditions of a military mobile hospital ‒ medicines affecting the blood system and hemopoiesis (23 titles), in the second place drugs affecting the nervous system (21 titles), the third means affecting the digestive system and path (19 titles).
Thus, a comparative analysis of the proposed fragment of the delivery of medicines for the needs of the military hospital and the military mobile hospital with approved Temporary Settlement of Medical Assets for the provision of medical care and treatment of wounded and patients for a special period demonstrated the conformity of the nomenclature of drugs to 41% (68 INN medicines for provision of qualified surgical assistance from 167 INN medicines for providing qualified medical aid).
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Chernysh, Vladimir F., Vera F. Lopatina und Stanislav A. Lopatin. „PROBLEM ISSUES OF THE ORGANIZATION AND RENDERING OF DENTAL CARE TO MILITARY SERVANTS AND CITIZENS HAVING THE RIGHT TO ITS OBTAINING IN MILITARY MEDICAL ORGANIZATIONS“. Marine Medicine 5, Nr. 3 (11.09.2019): 61–67. http://dx.doi.org/10.22328/2413-5747-2019-5-3-61-67.
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The article outlines the modern aspects of the organization of ambulatory dental care (rehabilitation of the oral cavity) to military personnel and attached contingents eligible to receive it in the military medical organizations of the Ministry of Defense of the Russian Federation. The analysis of the results of epidemiological studies of the stamatological morbidity of various groups of servicemen of both the Russian, Soviet and Russian Army and their need for the rehabilitation of the mouth of the mouth has been carried out. There are scientifically based medical standards for the optimal provision of the dispensary form of the organization of outpatient dental care for conscript and contract servicemen. Discussing the main directions of primary prevention of dental caries, it was proposed to use methods and means aimed at eliminating the deficiency of fluoride in drinking water and in food. At the stage of designing or reconstructing centralized water supply systems, it is desirable to conduct an expert assessment by the bodies of the sanitary and epidemiological service of the expediency of organizing water fluoridation at waterworks. Although there is a very small part of tap water for drinking needs, its fluoridation is expedient and economically beneficial, which is confirmed by domestic and foreign experience in the fluoridation of drinking water: taking into account the costs associated with the treatment of a single tooth, the economic effect in terms of the cost of fluoridation and the cost of treatment on average, it reaches 1:100. Also promising is the organization of the centralized supply of military service personnel with fluoride toothpastes, which have existing tive anti-caries effect.
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Trunova, Iryna, Oleksandr Miroshnyk, Oleksandr Moroz, Anatolii Sereda und Volodymyr Pazii. „ANALYSIS OF THE EFFICIENCY OF USING INVESTMENTS FOR INCREASE OF CONTINUITY OF ELECTRICITY SUPPLY“. Energy saving. Power engineering. Energy audit., Nr. 10(152) (24.04.2021): 23–29. http://dx.doi.org/10.20998/2313-8890.2020.09.03.
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The method of the analysis of efficiency of use of investments for increase of continuity of electricity supply for customers is offered. The use of coefficients which are identical to product of average specific financing of investment programs with taking into account of standard units of electric equipment and a target System Average Interruption Duration Index in a method of the comparative analysis of efficiency of use of investments is offered. The calculation of factors of an inefficiency of use of investments for increase of continuity of electricity supply of customers which are in rural and city areas is offered. It is offered optimization model of efficiency of use of investments for increase of continuity of electricity supply of customers. The example of practical application of the offered method for definition of companies with inefficient use of investments for increase of continuity of electricity supply of customers in rural and city areas is given. The rank of companies which are chosen for research, by efficiency of use of investments for increase of continuity of electricity supply for customers is determined. Application of this method for the analysis of efficiency of use of investments in the sub-units of the companies and for the use of the calculated coefficients as Key Performance Indicators and corresponding stimulation of sub-units of the regulated companies to more effective use of investments is offered. Conclusion that in sub-units of the regulated companies which are certain as such where inefficiently use investments, on the basis of the analysis of the organization of technical operation and quality of performance of works, uses of modern technologies of repair and maintenance service of an electric equipment, improvement of professional skill of the personnel, and, using corresponding provision of economic incentives, probably to reach increase of continuity of electricity supply of customers is given.
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Limbani, Felix, Margaret Thorogood, Francesc Xavier Gómez-Olivé, Chodziwadziwa Kabudula und Jane Goudge. „Task shifting to improve the provision of integrated chronic care: realist evaluation of a lay health worker intervention in rural South Africa“. BMJ Global Health 4, Nr. 1 (Januar 2019): e001084. http://dx.doi.org/10.1136/bmjgh-2018-001084.
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IntroductionTask shifting is a potential solution to the shortage of healthcare personnel in low/middle-income countries, but contextual factors often dilute its effectiveness. We report on a task shifting intervention using lay health workers to support clinic staff in providing chronic disease care in rural South Africa, where the HIV epidemic and an ageing population have increased demand for care.MethodsWe conducted a realist evaluation in a cluster randomised controlled trial. We conducted observations in clinics, focus group discussions, in-depth interviews and patient exit interviews, and wrote weekly diaries to collect data.ResultsAll clinic managers had to cope with an increasing but variable patient load and unplanned staff shortages, insufficient space, poorly functioning equipment and erratic supply of drugs. These conditions inevitably generated tension among staff. Lay health workers relieved the staff of some of their tasks and improved care for patients, but in some cases the presence of the lay health worker generated conflict with other staff. Where managers were able to respond to the changing circumstances, and to contain tension among staff, facilities were better able to meet patient needs. This required facility managers to be flexible, consultative and willing to act on suggestions, sometimes from junior staff and patients. While all facilities experienced an erratic supply of drugs and poorly maintained equipment, facilities where there was effective management, teamwork and sufficient space had better chronic care processes and a higher proportion of patients attending on their appointed day.ConclusionLay health workers can be valuable members of a clinic team, and an important resource for managing increasing patient demand in primary healthcare. Task shifting will only be effective if clinic managers respond to the constantly changing system and contain conflict between staff. Strengthening facility-level management and leadership skills is a priority.Trial registration numberISRCTN12128227.
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Kitikov, V., V. Нursky und A. Boltrukevich. „ANALYSIS OF THE TRENDS AND RISKS IN THE DEVELOPMENT OF WATER SUPPLY AND SANITATION SECTOR IN THE REPUBLIC OF BELARUS AT THE MODERN STAGE“. Экономическая наука сегодня, Nr. 9 (27.06.2019): 152–68. http://dx.doi.org/10.21122/2309-6667-2019-9-152-168.
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The article analyzes the trends and risks in the development of water and sanitation sectors (WSS) in the Republic of Belarus. The main problems hindering the effective development of WSS are identified. The factors causing the differentiation of the cost of water supply and sanitation services at the regional level have been studied. The following main trends in the development of WSS are identified: increasing requirements for water quality and water supply services from the public and the state; reduction of specific water consumption per capita; regional differentiation of costs and tariffs for water supply and sanitation services. The main provisions of improving the efficiency of the industry are formulated on the basis of research: structural and economic transformation of the system of management and financing of WWS; implementation of a unified innovation and technology, economic and personnel policy, modernization of facilities and engineering infrastructure in the WWS.
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Umirova, A. A., V. L. Adzhienko, T. I. Kabakova, E. A. Korzhavykh und V. V. Gatsan. „MODERN MODEL FORMATION OF DRUG PROVISION OF PATIENTS WITH COMMUNITY-ACQUIRED PNEUMONIA IN KABARDINO-BALKARIA“. Pharmacy & Pharmacology 7, Nr. 3 (09.07.2019): 158–69. http://dx.doi.org/10.19163/2307-9266-2019-7-3-158-169.
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The increase in the incidence of community-acquired pneumonia (СAP) is a major problem of national and regional importance. Its pharmacotherapy is based on the active use of antibacterial drugs. That requires a special attention of both, a doctor and a patient, the search for all new and advanced medicines (drugs).The aim of the study is to justify and develop a regional model of drug provision of pharmacotherapy in community-acquired pneumonia.Materials and methods. The use of the resource approach and the methodology of pharmaceutical care (PhC) for the formation of a modern model of drug supply have been tested. Logical, retrospective, sociological, pharmacoeconomic, marketing, statistical and other analytical methods have been used. The materials were official statistics, literature data and the results of the research carried out by the authors themselves.Results. The state and tendencies of development of organizational, personnel, financial (population) and drug resources as the external factors affecting PhC to patients with CAP in the Kabardino-Balkarian Republic (KBR) have been identified. The following internal factors of PhC have been defined: medical prescriptions, consumer demands and the cost of pharmacotherapy. A model of drug provision for patients with CAP in the region has been formed. It is aimed at increasing the effectiveness of treatment, taking into account the stage of treatment and the price factor.Conclusion. Under the conditions of a particular region, the use of the resource approach and the PhC methodology allows to more accurately identify the problems and risks of both drug provision and pharmacotherapy of the patients’ population under study, and form a model adequate to reality, develop recommendations for all participants of PhC – a doctor, a patient and a pharmaceutist (a pharmacist).
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Субаева, Асия, Asiya Subaeva, Наталья Александрова, Natal'ya Aleksandrova, Лейсан Мавлиева und Leysan Mavlieva. „THE ROLE OF TECHNICAL AND TECHNOLOGICAL PROVISION IN CHANGING THE PROFESSIONAL-QUALIFICATION STRUCTURE OF LABOUR IN THE AGRARIAN SECTOR OF THE COUNTRY’S ECONOMY“. Vestnik of Kazan State Agrarian University 13, Nr. 2 (06.08.2018): 173–77. http://dx.doi.org/10.12737/article_5b350c2d456788.84417892.
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During development conditions of technical progress and the modernization of agricultural production, there are processes, that lead to fluctuations of demand and supply level in the labor market, triggering the emergence of a number of social and economic problems: rising unemployment, underemployment, chronic deficits or redundancy in certain professions, low wages, leading to a high turnover of personnel in agriculture, a decrease in the competitiveness of the labor force and the growth of social tension in society. The resulting structural transformation of this kind requires, as a rule, continuous monitoring of agricultural professions and the level of professional training of agricultural workers, which allows to develop timely effective measures to eliminate accumulated problematic issues. In this regard, the purpose of the publication is to study changes in the qualitative and quantitative composition of workers in agricultural enterprises, the evaluation of their professional and qualification structure. The influence of the ongoing changes in technical and technological support on the deepening of its vocational-skill division of labor is considered, which should ultimately be taken into account in the development of conceptual provisions for forecasting labor resources. Based on the results of the analysis, the causes of the identified problems were identified and measures for their solution were proposed.
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Kaoje, Aminu U., Sani Labaran, Aminu G. Magashi und Jessica T. Ango. „Improving maternal and child health: a situational analysis of primary health care centres of Sokoto state, Nigeria“. International Journal Of Community Medicine And Public Health 5, Nr. 12 (24.11.2018): 5052. http://dx.doi.org/10.18203/2394-6040.ijcmph20184777.
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Background: Primary health care facilities constitute the first point of contacts of public with healthcare and form integral part of the country’s health system.Methods: A descriptive cross sectional study was conducted among 88 primary care facilities in the State. A simple random sampling technique was used to select the facilities. Federal Ministry of Health integrated supportive supervision tool was adapted for data collection and analysis done using SPSS Version 20.0. The variables were summarised with frequency and percentage and results presented in tables.Results: Almost two-thirds (65%) of the facilities provide 24 hours service coverage for both maternal and child care services. Only 16% of the facilities had medical officers, 12.5% had required number of nurse/midwife while 27% had no single nurse/midwife. With respect to trainings, one third of the facilities had personnel trained on medium and extended lifesaving skills, 20% had a trained staff on emergency obstetrics and newborn care while 61% had no single trained personnel on integrated management of childhood illnesses. A large proportion of the facilities provide maternal services such as focused ANC and delivery but none use partograph to monitor labour. A good number of facilities were lacking basic equipment and medicine supply with about two third of facilities lacking misoprostol and magnesium sulphate, and only 15% had functional DRF.Conclusions: Health resources and the level of service provision in its current form may not lead to a significant improvement in maternal and child health in the state to guarantee universal coverage.
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Liu, E. Liang, Lindsay A. Flax, Kelly R. Klein, Raymond L. Fowler und Raymond E. Swienton. „Incident Command Adaptations during Sustained Mega-Shelter Medical Clinic Operations during 2017 Hurricane Harvey Response in Dallas, Texas“. Prehospital and Disaster Medicine 34, s1 (Mai 2019): s140. http://dx.doi.org/10.1017/s1049023x19003091.
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Introduction:The Dallas Convention Center received over 3800 evacuees because of the unprecedented flooding caused by Hurricane Harvey. A multidisciplinary medical clinic was established onsite to address evacuee needs for medical evaluations, emergency care, chronic disease management, pharmaceuticals, durable medical equipment, and local health services integration. To operate efficiently, the Dallas Mega-Shelter Emergency Operations Center (EOC) worked with the Mega-Shelter Medical Clinic (MMC) under a fluid incident command (IC) structure that was National Incident Management System (NIMS) compliant. Iterations of MMC IC demonstrated maturations in organizational structure while supporting MMC operations that varied from rigid NIMS doctrine.Aim:To explore the use of a fluid IC structure at a large evacuation medical shelter after Hurricane Harvey.Methods:We observed evolutions of IC organizational charts and operational impacts.Results:Modifications through just-in-time iterations of the IC organizational chart were posted and reviewed with MMC IC and EOC sector chiefs. Changes in the organizational chart were noted to improve identification of logistical needs, supply delivery, coordinate with other agencies, and to make decisions for resource typing and personnel utilization. Adaptations also improved communication, which led to timely situational awareness and reporting accuracy.Discussion:MMC medical services were improved by allowing modifications and adaptations to NIMS compliant MMC IC organizational roles and duty assignments. The fluidity of IC structure with ability for just-in-time modifications directly impacted the provision of disaster medical services. Unique situational awareness, coordination of care pathways within the local innate health infrastructure, compliance with health service regulations, and personnel resource typing all contributed to and benefitted from these IC modifications. MMC and EOC IC collaboration facilitated effective communication and maintained an appropriate span of control and efficient activity reporting.
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Meisels, Samuel J., Gloria Harbin, Kathy Modigliani und Kerry Olson. „Formulating Optimal State Early Childhood Intervention Policies“. Exceptional Children 55, Nr. 2 (Oktober 1988): 159–65. http://dx.doi.org/10.1177/001440298805500207.
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This article presents the results of a survey of early childhood intervention policies in all 50 states and the District of Columbia, regarding handicapping conditions served, overseeing agencies, intervention services, funding sources, interagency contracts, state regulations, training and certification, and supply and demand of professionals. The study as a whole shows extensive variation among the states with respect to policy; funding, lead agency administration, and interagency cooperation were less than optimal. Moreover, the survey documented a dramatic national shortage of trained early childhood personnel. Implications are discussed in terms of the provisions of P.L. 99–457, the Education of the Handicapped Amendments of 1986.
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Nwachukwu, Uche Emma. „The State of Science and Technology Infrastructure in Secondary Schools in Nigeria“. International Letters of Social and Humanistic Sciences 16 (November 2013): 1–12. http://dx.doi.org/10.18052/www.scipress.com/ilshs.16.1.
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Science and technology (S&T) education is crucial to the achievement of socio-economic development of any society and also a critical element in the attainment of the Millennium Development Goals (MDGs). Standard laboratories and equipments as well as reagents are S&T infrastructures essential for providing qualitative education for producing national technological manpower. This study evaluates the condition of S&T infrastructures in the Nigerian secondary schools. The study utilises primary data collected from public and private secondary schools across the six geo-political zones in the country. Findings show that there are inadequate teachers, laboratories and necessary equipment for teaching S&T related subjects in most of the secondary schools in Nigeria. Also, electricity supply from the national grid to secondary schools is poor because only 30% of them have light at most 4hours a day. The study therefore recommends the provision of adequate funds and electricity generators for these institutions to enhance the teaching and overall development of S&T education in Nigeria. In addition, adequate and qualified personnel (teachers and laboratory technicians) should be provided while good maintenance culture and improved security of laboratories and equipment in secondary schools should be imbibed by all secondary schools in the country.
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Tamene, Aiggan. „What it takes to save lives: An assessment of water, sanitation, and hygiene facilities in temporary COVID-19 isolation and treatment centers of Southern Ethiopia: A mixed-methods evaluation“. PLOS ONE 16, Nr. 8 (13.08.2021): e0256086. http://dx.doi.org/10.1371/journal.pone.0256086.
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Background Quality water, sanitation, and hygiene facilities act as barricades to the transmission of COVID-19 in health care facilities. These facilities ought to also be available, accessible, and functional in temporary treatment centers. Despite numerous studies on health care facilities, however, there is limited information on the status of WASH facilities in such centers. Methods The assessment of health care facilities for the COVID-19 response checklist and key informant interviews, were used for data collection. 35 treatment centers in Southern Ethiopia were surveyed. Eightkey informants were interviewed to gain an understanding of the WASH conditions in the treatment centers. The Quantitative data was entered using EPI-INFO 7 and exported to SPSS 20 for analysis. Results are presented using descriptive statistics. Open Code 4.02 was used for the thematic analysis of the qualitative data. Results Daily water supply interruptions occurred at 27 (77.1%) of the surveyed sites. Only 30 (85.72%) had bathrooms that were segregated for personnel and patients, and only 3 (3.57%) had toilets that were handicapped accessible. 20(57.2%) of the treatment centers did not have a hand hygiene protocol that satisfied WHO guidelines. In terms of infection prevention and control, 16 (45.71%) of the facilities lacked adequate personal protective equipment stocks. Between urban and rural areas, there was also a significant difference in latrine maintenance, hand hygiene protocol design and implementation, and incineration capacity. Conclusion The results reveal crucial deficiencies in the provision of WASH in the temporary COVID-19 treatment centers. Efforts to improve WASH should offer priority to hygiene service interventions to minimize the risk of healthcare-acquired infections. The sustainable provision of hygiene services, such as hand washing soap, should also be given priority.
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Kudryashev, Gennadiy, Aleksandr Tret’yakov und Oksana Shpak. „The Impact of Electricity Losses on the Reliability of Electrical Equipment in the Rural Power Grid of 0.4 kV“. Elektrotekhnologii i elektrooborudovanie v APK 1, Nr. 42 (Januar 2021): 34–38. http://dx.doi.org/10.22314/2658-4859-2021-68-1-34-38.
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Rural networks are characterized by a large length and low load density. In the country, there are problems with the reliability of electricity supply to agricultural enterprises and the uninterrupted operation of electrical equipment. The average duration of consumer outages is up to 100 hours annually. In Western developed countries, it is statistically defined as an acceptable state of electricity supply, when for a medium- voltage network during the year, the total duration of interruptions is in the range of 15-60 minutes per year. The permanent functioning of the Russian agro-industrial complex is impossible without reliable and stable operation of rural electric distribution networks. (Research purpose) The research purpose is in studying the impact of electricity losses on the reliability of electrical equipment in the rural power grid of 0.4 kilovolt. (Materials and methods) The methods of ensuring reliability include: design features of the system, reliability of electrical equipment; provision of backup power, system management tools, organization of operation. The reasons for the decrease in reliability were: equipment failures, errors of operating personnel, excess of resource capabilities, deviation of the actual operating conditions of the equipment from the calculated ones. (Results and discussion) The article considers the issues of additional electricity losses in the low- voltage network of 0.4 kilovolts on the example of the power supply of an agricultural enterprise, caused by the flow of reactive energy. The article presents graphs of phase voltages and power consumption. Authors conducted experimental studies in a network of 0.4 kilovolts. The article presents the calculated reliability indicators of electrical equipment at an agricultural enterprise. The increase in reliability when installing a compensating device in the 0.4 kilovolt network are described. (Conclusions) The increase of reliability of electrical equipment is revealed, the probability of failure operation of the electric motors decreased by 3 percent; the probability of failure operation of the electric motors decreased by 19 percent; reducing the failure rate by 15 percent; decrease in failure rates by 14 percent.
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Субаева, Асия, Asiya Subaeva, Лейсан Мавлиева und Leysan Mavlieva. „READINESS OF STAFF TO PERCEPTION AND INTRODUCTION OF MODERN TECHNOLOGY AND TECHNOLOGIES IN AGRICULTURAL PRODUCTION“. Vestnik of Kazan State Agrarian University 13, Nr. 3 (07.11.2018): 148–52. http://dx.doi.org/10.12737/article_5bcf5799dbe707.03578820.
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Technical progress and modernization of agricultural production lead to fluctuations in the level of demand and supply in the labor market and provoke a number of social and economic problems: rising unemployment, underemployment, chronic shortages or redundancy of certain professions, aging of staff, low wages, leading to high the turnover of personnel in agriculture, the reduction of labor competitiveness and the growth of social tension in society. In the conditions of increasing use of innovative technologies in agricultural production, qualified personnel become more and more popular every year, as well as receiving permanent additional education. However, the ongoing positive changes in mechanization and automation of production do not significantly affect the social and economic development of the rural population, which leads to staff turnover and aging of the workforce. In this regard, the purpose of the publication is to study the changes in the gender and quantity composition of workers in agricultural enterprises, assess the socio-economic conditions of rural development. The analysis of the state and trends of the personnel potential, the impact of the changes in technical and technological support on the deepening of its professional and qualification of the division of labor, which should ultimately be taken into account in the development of conceptual provisions for the forecasting of labor resources. Based on the results of the analysis, the causes of the identified problems were identified and measures for their solution were proposed.
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Zagorodnyuk, N. I., und N. A. Murashova. „Tobolsk District Library activity in 1923-1930“. Bibliosphere, Nr. 3 (30.09.2018): 44–49. http://dx.doi.org/10.20913/1815-3186-2018-3-44-49.
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The article first considers the historical experience of Tobolsk District Library formation and development in 1923-1930. It characterizes the forms and methods of library practice, the specifics of working with other regional libraries, especially the personnel policy. The regional libraries management was carried on under difficult natural geographical conditions: the district area was more than 1,3 million square kilometers, a significant distance from administrative centers and settlements of the district, instability of socio-political processes, low level of socio-economic development, etc. Operating from 1923 to 1930, the district library was assigned the following tasks: combining libraries, coordination of their activities, assistance in work organization, books provision, creating teaching materials, and others. During the studied period, libraries experienced difficulties related to low funding, poor working conditions, lack of electricity, insufficient supply with literature. New forms of library work required additional funding, training and retraining. These problems have not been resolved. Methodological assistance was provided in various forms: meetings, group classes, by correspondence. In October 30, 1929 the CPSU (b) adopted a resolution «On the library activity improvement», which gave a negative assessment of the library business state in the USSR. In 1930 the work of the District Library was recognized as unsatisfactory. These shortcomings in the work fully coincided with the all-Union ones. Nevertheless, a small team carried on work to preserve the existing libraries and create new ones. Much attention was paid to the rural reading rooms, mobile libraries, and bibliography activity.
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Turcotte, Justin J., Jeffrey M. Gelfand, Christopher M. Jones und Rubie S. Jackson. „Development of a Low-Resource Operating Room and a Wide-Awake Orthopedic Surgery Program During the COVID-19 Pandemic“. Surgical Innovation 28, Nr. 2 (29.03.2021): 183–88. http://dx.doi.org/10.1177/15533506211003530.
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Introduction. The COVID-19 pandemic resulted in significant medication, supply and equipment, and provider shortages, limiting the resources available for provision of surgical care. In response to mandates restricting surgery to high-acuity procedures during this period, our institution developed a multidisciplinary Low-Resource Operating Room (LROR) Taskforce in April 2020. This study describes our institutional experience developing an LROR to maintain access to urgent surgical procedures during the peak of the COVID-19 pandemic. Methods. A delineation of available resources and resource replacement strategies was conducted, and a final institution-wide plan for operationalizing the LROR was formed. Specialty-specific subgroups then convened to determine best practices and opportunities for LROR utilization. Orthopedic surgery performed in the LROR using wide-awake local anesthesia no tourniquet (WALANT) is presented as a use case. Results. Overall, 19 limited resources were identified, spanning across the domains of physical space, drugs, devices and equipment, and personnel. Based on the assessment, the decision to proceed with creation of an LROR was made. Sixteen urgent orthopedic surgeries were successfully performed using WALANT without conversion to general anesthesia. Conclusion. In response to the COVID-19 pandemic, a LROR was successfully designed and operationalized. The process for development of a LROR and recommended strategies for operating in a resource-constrained environment may serve as a model for other institutions and facilitate rapid implementation of this care model should the need arise in future pandemic or disaster situations.
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Puca, Edmond, Rok Čivljak, Jurica Arapović, Corneliu Popescu, Iva Christova, Lul Raka, Fadil Cana et al. „Short epidemiological overview of the current situation on COVID-19 pandemic in Southeast European (SEE) countries“. Journal of Infection in Developing Countries 14, Nr. 05 (31.05.2020): 433–37. http://dx.doi.org/10.3855/jidc.12814.
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We are living in times where a viral disease has brought normal life in much of the world to a halt. The novel coronavirus known as severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) causing coronavirus disease 2019 (COVID-19) started in December 2019 in Wuhan, China initially and in a short time crossed the European borders. After mitigating the epidemic in China, Italy became one of the most COVID-19 affected countries worldwide. International travelers are important sources of infectious diseases and a possible source of epidemic. Due to its political, geographic, and cultural similarities, Italy is one of the main economic partners of Southeast European (SEE) countries. Our data show that infection in index cases in all 11 SEE countries was travel-related with Italy being a source country for 8/11 countries. After the first case identifications on February 25, the number of cases in SEE countries is continually rising reaching the total number of 15,612 with 565 fatal cases and overall case fatality ratio (CFR) of 3.6 (median 3.8, range 0.8–5.5) by April 10, 2020. At a time when the COVID-19 pandemic is approaching its peak, apart from the problems with treatment of the disease and care for critically ill patients, there are other equally important problems, such as organization of outbreak response, provision of health care, lack of hospital personnel, disruption of personal protective equipment supply chains and health care workers (HCWs) protection. But what is more important is the heroic behavior of the HCWs who are showing their humanity by disregarding their lives.
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Берестень, Ю. В., und В. І. Мороз. „Charitable activity of the Orthodox clergy of the Ekaterinoslav diocese at the beginning of the First World War (1914-1915).“ Problems of Political History of Ukraine, Nr. 14 (12.06.2019): 117–38. http://dx.doi.org/10.33287/11911.
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The military and political events during August-September of 1914 resulted in the active incorporation of clerical institutions of the Katerynoslav diocese in organizing systemic and ideological support and material provision for the political course of the Russian autocracy, practical implementation of numerous internal political campaigns aimed at strengthening the state system and defence capabilities of the country, increasing the combat spirit of the current army and naval forces, participation in the mobilization of conscripts, consolidating the population for the practical solution of a number of socio-economic and agricultural problems caused by the war. A significant component of the organization of charity in the Katerynoslav diocese was the provision of systematic material assistance to the personnel of the military units of the Russian army. As a rule, it was mostly implemented in various forms: collecting donations for military purposes, organizing the systematic supply of warm clothes, shoes, bedding and underwear, necessary military equipment, foodstuffs, medicines, articles of daily necessity, tobacco and personal hygiene products. One of the major directions of charitable activity of the Orthodox clergy during the First World War was the organization of a chain of hospitals and military sick quarters which provided the necessary medical assistance to the wounded and sick soldiers and officers. At the initial stage of the First World War, the Orthodox clergy of the Katerynoslav diocese participated actively in the organization and conducting of numerous charitable events and campaigns aimed at providing financial and material assistance to the low-income categories of the population suffering from hostilities. The charitable activity of the Orthodox clergy met the principal needs of the Russian society and played an important role in the depreciation and smoothing of destructive phenomena of social entropy caused by the war. However, due to the economic crisis determined by the exponential growth of the military conflict, the gradual destruction of the economic system, the elimination of the financial resources of a great part of charitable institutions and private benefactors, the rapid increase of the population in need, the charitable activity of the church could not reach its goal and effectively solve a set of urgent problems of social protection of the population of the country and Prydniprovsk region.
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Bove, Vincenzo, und Leandro Elia. „Supplying peace: Participation in and troop contribution to peacekeeping missions“. Journal of Peace Research 48, Nr. 6 (November 2011): 699–714. http://dx.doi.org/10.1177/0022343311418265.
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We explore the supply side of peacekeeping – the determinants of a country’s voluntary contributions to peacekeeping operations. We focus on troop contribution and examine a large set of operations, from UN-led missions to operations led by NATO, the African Union, the European Union, and ad hoc coalitions. We rely on a theoretical model of the private provision of public goods and a dataset on troop contribution across 102 states and 45 operations from 1999 to 2009 to explain both the conditions under which third-party actors are more or less likely to intervene in peacekeeping operations and the factors determining the size of their personnel contribution. We use the characteristics of the conflict to identify which types of conflicts attract outside intervention and the characteristics of the intervener to identify the countries more willing to provide troops. We show that at the domestic level, contributions are driven by the comparative advantage in manpower – or the relative value of labor – and constrained by the tolerance of casualties and the sustainability of multiple and concurrent missions. At the international level, the most robust explanations of when states choose to intervene are the level of threat to global and regional stability, the proximity to the conflict area, and the number of displaced people. In particular, security and humanitarian concerns trigger nation-specific responses. Our empirical findings provide further evidence of the centrality of country-specific gains in explaining the participation in peacekeeping. However, contributor-specific benefits play the same role in UN and non-UN peacekeeping missions, in contrast with previous empirical studies on the financial burden-sharing.
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Kozhabaeva, S., und A. Baktymbet. „Poultry farming in Kazakhstan: problems and solutions“. Problems of AgriMarket, Nr. 1 (15.03.2021): 115–21. http://dx.doi.org/10.46666/2021-1-2708-9991.14.
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The article presents the results of economic and statistical analysis of poultry industry in Kazakhstan. The assessment of its condition and development in the leading regions of Kazakhstan for the period from 2010 to 2019 was done in dynamics. The fundamental factors motivating the efficiency of poultry farming in the republic have been determined. A number of problems are highlighted, the early solution of which will contribute to ensuring the country's food security, which is especially important, taking into account the current state of import dependence in this sector. It is shown that expansion of production of poultry products satisfies the internal needs for poultry meat, thereby reducing import dependence for a number of products of poultry subcomplex. The reasons for the decrease in poultry population number in the regions have been justified. Measures aimed to minimize the influence of constraining factors on development of poultry farming have been developed. The article provides recommendations of recommendatory nature on solution of the problems identified as a result of the analysis, including recommendations on improving the feed base, reimbursing part (30%) of financial costs associated with purchase of machinery and special equipment, construction of modular production structures for meat and egg farms, preferential subsidizing of investment activities of poultry enterprises, as well as the formation of stabilization funds for feed grain in State reserve and association of agricultural producers, the need to use highly productive poultry crosses, development of our own breeding base for poultry farming, purposeful work to improve feed supply, introduction of resource-saving energy-intensive technologies, and provision of the industry with qualified personnel.
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Anglade, Fabienne, Myrlene Mompremier, Kayleigh Bhangdia, Lauren Greenberg, Juan Daniel Orozco, Jane Brock, James Pepoon und Dan Milner. „Implementation of Anatomic Pathology Services in Mirebalais, Haiti“. Journal of Global Oncology 4, Supplement 1 (März 2018): 31s. http://dx.doi.org/10.1200/jgo.18.25000.
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Abstract 97 Purpose Despite great barriers, implementing pathology services in resource-limited rural settings is achievable. Challenges include the lack of infrastructure, trained personnel, supply chain, and decentralized services, and have hindered the appropriate provision of cancer care to those who live in resource-limited settings. In Haiti, we began treating cancer at University Hospital Mirebalais (HUM) before pathology services existed, sending samples to the United States for diagnoses. This model allowed patients to receive treatment, but turnaround time was often delayed. Our goal is to implement pathology services at HUM that can provide high-quality diagnostics to patients who are enrolled in the cancer program. We demonstrate that, by rolling out a phased implementation of local pathology services with appropriate commitment from local and international partners, accurate pathologic diagnoses can exist in low- and middle-income countries. Methods Phase I—infrastructure and personnel—occurred fall 2016 with the construction of the laboratory and the hiring of a pathologist and laboratory technicians, which allowed samples to be grossed into paraffin blocks before being sent to Boston. Phase II—technology transfer and training—occurred fall 2017 with the procurement of additional equipment and hands-on histology training, which allowed samples to be cut, stained, and diagnosed on-site. In this phase, only complex samples that needed additional immunohistochemistry or a second opinion were sent to Boston. Phase III—testing capacity expansion—will occur summer 2018 and involves procuring immunohistochemistry and training, which will further limit the need to send cases to the United States. Phase IV—routine testing and quality assurance—will occur in tandem with phase III and involves implementing a telepathology system on-site in the HUM laboratory. Results Outcomes of this phased implementation will result in decentralized pathology services in the public sector and ultimately decreased turnaround times, producing better clinical outcomes. Our model demonstrates that it is possible to build local pathology capacity in rural areas. Since the opening of our laboratory, more than 1,000 cases have been processed into paraffin blocks before being sent to Boston. In September 2017, the first cases were diagnosed in country, and more than 100 cases have been processed and reported in Haiti. Conclusion Building on the foundational phases, the next phases of implementation involve long-term diagnostic support that will correlate directly with a substantial decrease in turnaround time. AUTHORS' DISCLOSURES OF POTENTIAL CONFLICTS OF INTEREST No COIs from the authors.
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Kusena, Winmore, Heinz Beckedahl und Sumaiya Desai. „Civil Society and Residents’ Coping Strategies with Water Shortages and Household Food Insecurity in Gweru, Zimbabwe“. Journal of Arts and Humanities 6, Nr. 2 (28.02.2017): 91. http://dx.doi.org/10.18533/journal.v6i2.1067.
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<p>Domestic water shortages are distressing many urban areas in developing countries and require well planned and sustainable coping strategies in order to bequeath citizens decent lives. The objectives of this paper were to identify water related civil society groups present in Gweru; reveal devised coping strategies to combat water shortages and household food insecurity; and challenges faced by civil society and residents in obtaining sustainable coping strategies. A survey was conducted through interviews, questionnaires and observations as data collection instruments. The findings show that residents relied on borehole drilled in their respective areas by the municipality, Non-Governmental Organisations (NGOs) and through individual initiatives. Although public boreholes were available, they were found at an average of only two in a given residential area, regardless of its population. Residents also collected water in containers during late hours of the night or early hours of the day. Gweru residents in addition devised strategies to cope with household food insecurity caused by water shortages and high monthly water bills. Combined with the aforementioned water shortage coping strategies, the stratagem by residents included coming up with payment plans, denying city personnel access into their premises for water disconnection; and self-reconnection in the event of disconnection. Community gardens initiated by Non-Governmental Organisations and food imports from neighbouring countries were some of the adaptive mechanisms dealing with household food insecurity. However, despite resolute efforts by civil society and residents to muddle through water supply and food security challenges, the city needs financial aid to enhance service provision that does not solely relying on residents. Financial injection and investment in sustainable alternative water sources for the city’s multiple uses will go a long way in solving the water shortages and food insecurity without further exposing citizens. </p>
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Amoo, Abimbola, und Christiana Ezoke. „Awareness of Personal Protective Equipment Among Laboratory Workers in Tertiary Health Centre, Ibadan“. International Journal of Infection Prevention 1, Nr. 2 (27.10.2020): 14–21. http://dx.doi.org/10.14302/issn.2690-4837.ijip-20-3562.
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Introduction Health care personnel are exposed to a variety of material occupational health hazards while handling biological material and contaminated equipment. The use of appropriate and good qualitypersonal protective equipment in work places cannot be over emphasized. Several years ago, this need was highlighted to several physicians like Sir Thomas Morrison Legye. He identified the role of the employer of labour and those of the employee in reducing workplace hazards and consequently achieving a healthy workplace environment. Objectives This study was to determine level of awareness and utilization of Personal Protective Equipment among Medical Laboratory workers. Methods A questionnaire was structured with two sections and a total of 92 were administered. A pilot study was also carried out before the administration of the questionnaire. The data collected was analyzed on Microsoft excel spreadsheet in duplicate. It was then exported into EPI info version 3.4.1. Data was presented using frequency tables and chi square. Results About 77.3%, 72.9%, and 72.7% were aware of the use of goggle, gloves, and importance of hand washing in preventing exposure to Healthcare associated infections while working on patients’ samples. However, under the socio- demographic characteristics of the respondents and awareness level at P-value < 0.5 the results were 0.02. 0.5, 0.85, 0.92 for education, gender, years in service and age respectively. Hence, there is no significant relationship between respondents’ gender, age and year in service, and level of awareness. Conclusion The hospital management should ensure regular provision and supply of Personal Protective Equipment (PPE) to ensure continual usage. Also, regular training and re-training should be conducted to keep the laboratory workers at briefs with latest innovative and benefits of PPE developments to this end.
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Sinichenko, Vladimir, und Dmitriy Kaveckiy. „Personnel support of the police of the Irkutsk province during the period of anti-Bolshevik power in 1918–1919“. Vestnik of the St. Petersburg University of the Ministry of Internal Affairs of Russia 2020, Nr. 3 (02.10.2020): 33–41. http://dx.doi.org/10.35750/2071-8284-2020-3-33-41.
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The article aims to study the activities of the police of the Irkutsk province during the Civil War. The object of the study in the article was the units of the people’s (civilian) police, created in early March 1917 and acting on the basis of the Regulation adopted on April 17, 1917 by the Provisional Government. On October 28 (November 10), 1917, the PKIB of the RSFSR issued a new decree «On the Workers’ Police», but after the overthrow of Soviet power in the summer of 1918 in the east of the country, the eastern regions returned to the Regulation of April 17. The functioning of the police in 1918–1919, based on the principles of the Provisional Government and became the object of analysis in this work. The subject of the study is the personnel work carried out during this period in the law enforcement agencies of the Baikal region. Along with general scientific methods (analysis, synthesis, deduction, induction etc.), the work used problem-chronological and comparative methods that revealed the dynamics of historical events in Eastern Siberia, their impact on politics, on decision-making, and revealed similarities and differences in the forms, organization and manifestation of police actions operating in eastern Russia in the indicated historical period of time. It is concluded that the activities of the authorities of the Irkutsk province to recruit police units were unskilled. Of course, leaders at various levels, to the extent of their limited resources, tried to strengthen the public order authorities, but the lack of systemic organization of law enforcement work had a negative impact on the activities of the police. Neither the Omsk government, nor the civilian and military authorities of the Irkutsk province, could provide at the proper level not the material supply of the police, nor its personnel support. As a result, the police of the Irkutsk province not only did not defend the authorities against the Bolsheviks, but also could not cope with the functions of law enforcement. The increase in criminal criminality in 1918 and 1919 is recorded by all printed publications of the Irkutsk province of that time, as well as statistical reports of the provincial police.
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Luong, Hai Thanh, Toan Quang Le, Dung Tien Lam und Bac Gia Ngo. „Vietnam’s policing in harm reduction: Has one decade seen changes in drug control?“ Journal of Community Safety and Well-Being 4, Nr. 4 (31.12.2019): 67–72. http://dx.doi.org/10.35502/jcswb.108.
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Alongside raising awareness and creating activities to develop a harm-reduction approach in the HIV/AIDS campaign since the end of the 2000s, broader harm-reduction interventions in Vietnam were also deployed that included several positive steps. Police forces, a fundamental sector in reducing the supply of illicit drugs, were also involved, partly to concretize this approach. As the first paper to examine the role of police in harm-reduction interventions in Vietnam, the current study utilizes qualitative approaches relying on in-depth interviews conducted with multiple key informants from government and its related bodies, United Nations personnel, and non-government organizations (NGOs), as well as police officers. We uncover noticeable progress in changing minds and approaches to apply harm reduction in drug policy, particularly within policing. However, major barriers in regulations, slow acceptance by police forces, and a lack of curriculum and courses in police training have limited harm-reduction approaches. As the first study to review and assess the policy of harm reduction after one decade, the paper contributes to a deeper understanding of the nature of Vietnam’s police provisions to balance and improve harm reduction in drug control.
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Guerrazzi, Marco. „Workforce ageing and the training propensity of Italian firms“. European Journal of Training and Development 38, Nr. 9 (28.10.2014): 803–21. http://dx.doi.org/10.1108/ejtd-06-2014-0047.
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Purpose – The purpose of this paper is to take into consideration the propensity to offer vocational training of a large sample of Italian private firms by retrieving cross-sectional data from INDACO (2009). Design/methodology/approach – Estimating a probit model, the author assesses how the age and the gender composition of the employed workforce, as well as a set of relevant corporate characteristics, such as size, sector, geographical location, innovation strategies, R&D investments and use of social safety valves, are linked to the willingness of firms to supply on-the-job training. Findings – First, as far as the average age of the whole employed workforce is concerned, it was found that the propensity of surveyed firms toward training provision follows an inverted U-shaped pattern. Furthermore, it was shown that larger firms have a higher training propensity with respect to small firms, and the same attitude holds for productive units that adopted innovation strategies and/or invested in R&D projects. By contrast, it was found that the propensity to support training activities is negatively correlated to the percentage of employed women and the use social valves. Research limitations/implications – The sample of business units taken into consideration is quite large, but it has some biases toward larger and manufacturing firms. Moreover, the cross-sectional perspective of the analysis does not allow implementation of the finer identification procedures that can be applied with panel data. Furthermore, the lack of employer – employee linked data does not allow to fully address the issue of compliance to training activities. Social implications – From a policy point of view, the results shown throughout the paper suggest some broad guidelines. First, especially in small firms, vocational training for young and older workers should be somehow stimulated. Moreover, as far as mature employees are concerned, those interventions should be framed in an active ageing perspective. Subsidies and targeted job placement programmes are often claimed as being the most appropriate ways to improve the underprivileged position of older workers. However, continuous learning during the whole working life still appears as the most effective device to reduce the employment disadvantages in the older years. Originality/value – While there are a number of papers that study the age patterns of training participation by using workers’ data retrieved from personnel and/or labour force surveys, this work is the first attempt to provide a probabilistic assessment of the decisions of Italian firms regarding training provision by taking into account the ageing perspectives of the incumbent workforce.
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Kinzhalieva, Aliya, und Anna Khanova. „A simulation model for managing field service teams of a power grid company“. Science Bulletin of the Novosibirsk State Technical University, Nr. 2-3 (13.11.2020): 77–94. http://dx.doi.org/10.17212/1814-1196-2020-2-3-77-94.
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The lack of the necessary investment in the electric grid complex over the past 20 years has led to a significant physical and technological obsolescence of electrical networks. In this regard, the task of ensuring the reliability of the provision of services by electric grid companies with a minimum level of costs is urgent. The implementation of this task in many respects depends on the reduction of the duration of the interruption of power supply to consumers, which can be achieved by improving the process of management of duty personnel of field service teams in case of accidents and technological disturbances. At the same time, modern grid companies were focused on minimum economically sound costs and aimed at improving the efficiency of financial and economic activities through the rational use of resources. The structure of a simulation model of field service team management in the event of accidents and technological disturbances in an electric grid company at the middle level of system abstraction is proposed. The simulation model includes an agent model, a system dynamics model, a component of the geo information system and experiments modules. The description of the simulation model of field service team management in the event of accidents and technological disturbances is formalized, input and output information on the components of the model is selected, the information describing the agent model is structured, and a diagram of the system dynamics model is built. The adequacy of the simulation model was checked based on the statistics of Lenenergo PJSC. Experimental schemes have been developed for a simulation model of operational team management in the event of accidents and technological disturbances in order to determine the best reliability and cost indicators. The developed approach can be used to create multi-approach simulation models for the management of operational teams in the event of accidents and technological disturbances for various electric grid companies by selecting modes according to the statistical reports of the electric grid company and connecting the corresponding GIS modules.
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Baidybekova, S. K. „On the Issue of Improving Remuneration System in Budget Organizations of the Republic of Kazakhstan“. Accounting. Analysis. Auditing 8, Nr. 3 (01.07.2021): 17–30. http://dx.doi.org/10.26794/2408-9303-2021-8-3-17-30.
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Budget organizations are created by public authorities, they are non-profit organizations whose activities are related to the provision of various types of services. They are financed by the state budget on the basis of financing plans of higher-level organizations. The main goal of budget organizations is the implementation of socio-cultural, managerial, scientific and technical projects, non-commercial in nature, which and funded by the state budget. The article describes the peculiarities of accounting in budget organizations and analyzes the implementation of an individual financing plan, provides a vertical analysis of the remuneration of key staff of an enterprise, along with the analysis of the number and quality of the staff and its movement in a budget organization. The purpose of the research is to determine the features of accounting and analysis of wages and salaries in budget organizations. To achieve this goal, the tasks were set to determine, on the basis of the analysis, the degree of supply of high-qualified specialists in budget organization; if an organization’s human resources are used effectively and efficiently; to identify the urgent problems in labor accounting and analysis of wages; to develop the main ways to improve accounting processes and increase the efficiency of the use of labor resources in budget organizations. Various research methods were used such as comparative, statistical methods and a structural analysis. In the context of globalization of the economy, the effective and rational use of personnel has a direct impact on the well-being of the people, labor productivity of employees of enterprises of all forms of ownership, including budget organizations. The article proposes the methodology to assess the effectiveness of labor resources within each structural unit, as well as for each employee personally by applying such methods as questioning, testing, appraisal interviews and others. The problems of accounting and analysis at enterprises in the context of international financial reporting standards are currently relevant, consequently it is necessary to work further to improve the organization of accounting and analysis of staff remuneration in budget organizations.
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NITSENKO, Vitalii, und Yuriy I. DANKO. „DEVELOPMENT OF MILK PRODUCTION IN UKRAINE AND ECONOMIC SUSTAINABILITY OF THE DAIRY COMPLEX“. Ukrainian Journal of Applied Economics 4, Nr. 4 (30.10.2019): 8–15. http://dx.doi.org/10.36887/2415-8453-2019-4-1.
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The aim of the study was to develop theoretical, methodological and practical foundations for achieving the economic sustainability of dairy products by enterprises. The structure of the dairy subcomplex in terms of supply chain management is disclosed. This methodological approach made it possible to outline the external environment of the milk production and the dairy industry as a whole. We consider the category «economic sustainability» as the system ability to maintain its working condition in order to achieve the planned results in the presence of various perturbation effects (destabilizing internal and external factors). The starting point was the hypothesis that the economic sustainability of the dairy subcomplex as a whole depends on the economic sustainability of milk production entities (agricultural enterprises and households). Comparing the profitability level that has the potential to provide dynamic economic stability with the average in the dairy industry proves - without active state support the dairy industry in Ukraine is in danger of phasing out. The analysis of economic practices in Ukraine (in particular, data of the State Statistics Service) allowed to formulate the author's vision of the directions of achieving the dairy sub-sector of the state of dynamic economic stability. They include: the development of industrial dairy cattle as opposed to the dominance of small-scale production; changes in pricing policy, as well as the calculation of government subsidies by reformatting approaches to determining the cost of milk production, which will allow to adjust the reproduction system of own livestock and will increase the profitability of the dairy industry; achievement of higher quality of dairy raw materials by means of logistical re-equipment of farms, improvement of personnel qualification, provision of high sanitary standards, improvement of veterinary services; diversification of milk distribution channels in order to reduce the market power of the processing industry enterprises. Key words: milk production, economic sustainability, dairy subcomplex, industrial cattle breeding, dairy cattle breeding.
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Kalugina, D. A., und O. S. Kalmykova. „UPDATING THE LIST OF TOP REGIONS AS A WAY TO OVERCOME THE IMBALANCE BETWEEN SUPPLY AND DEMAND IN THE REGIONAL LABOR MARKET. EXPERIENCE OF THE SVERDLOVSK REGION“. KAZAN SOCIALLY-HUMANITARIAN BULLETIN 11, Nr. 4 (August 2020): 27–31. http://dx.doi.org/10.24153/2079-5912-2020-11-4-27-31.
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Overcoming the contradiction between specialists who are trained by the system of secondary vocational education, on the one hand, and the need of employers for personnel, on the other, is one of the priorities of state policy in the field of professional training. The article contains a number of provisions: understanding the problem of imbalance in the labor market, the activities of state Executive bodies to overcome this problem at the Federal and regional levels, as well as the assistance of all stakeholders and social organizations. Such a problem as an imbalance between supply and demand in the labor market of various professions, specialties and qualifications was characteristic of the Sverdlovsk region, as evidenced by its reflection in the current Strategy of socio-economic development of the region. That is why improving the training system has become one of the goals of socio-economic policy. At the Federal level, a list of the TOP 50 most popular in the labor market, new and promising professions that require secondary vocational education has been developed. This list is a guideline for structural changes in the system of secondary vocational education, but it is not enough to bridge the gaps between supply and demand in the market of these regions. To take into account regional specifics, it is necessary to develop a similar list of professions in each subject of the Russian Federation. The adoption and updating of such a list requires an organized interaction of enterprises, authorities and educational organizations. The joint managerial and sociological problems that affect the interaction of social groups and public organizations of Sverdlovsk region in the process of achieving common goals, contains a compilation of practices that can be applied in other subjects of the Russian Federation.
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Anggraeni, Ratih, und Roby Pahala Januario Gultom. „Evaluasi Mutu Pengelolaan Obat di Instalasi Farmasi Rumah Sakit Umum Imelda Pekerja Indonesia Medan“. Jurnal Pharmascience 8, Nr. 1 (28.02.2021): 125. http://dx.doi.org/10.20527/jps.v8i1.9608.
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Pengelolaan obat pada instalasi farmasi rumah sakit merupakan bagian dari pelayanan kefarmasian yang harus terjamin mutunya. Tujuan penelitian ini untuk mendeskripsikan mutu pengelolaan obat di instalasi farmasi Rumah Sakit Umum Imelda Pekerja Indonesia (RSUIPI) Medan. Penelitian ini merupakan penelitian deskriptif periode bulan Maret sampai Mei tahun 2020. Data dikumpulkan melalui wawancara tenaga kefarmasian dan observasi di instalasi farmasi RSUIPI Medan. Indikator aspek pengelolaan obat diukur dari sumber daya manusia, perencanaan obat, pengendalian persediaan obat, penyimpanan obat, serta sarana dan prasarana. Hasil penelitian menunjukkan bahwa perencanaan obat, pengendalian persediaan obat, penyimpanan obat, serta sarana dan prasarana sudah memenuhi ketentuan dalam Permenkes RI Nomor 58 tahun 2014. Walaupun demikian, sumber daya manusia masih belum tercukupi sesuai ketentuan peraturan tersebut. Maka dari itu, kesimpulan dari penelitian ini bahwa mutu pengelolaan obat di instalasi farmasi RSUIPI Medan belum memenuhi ketentuan mutu, terutama pada aspek jumlah SDM. Kata Kunci: pengelolaan obat; instalasi farmasi; apoteker rumah sakit; pelayanan kefarmasian Drug management in pharmacy installation is a part of pharmacy services whose quality must be guaranteed. The purpose of this study was to determine the quality of drug management in the pharmacy installation at the General Hospital Imelda Pekerja Indonesia (RSUIPI) Medan. This study was a descriptive study for the period March-May 2020. Data were collected through interviews with pharmacy personnel and observations at the Pharmacy Installation of RSUIPI Medan. Indicators of drug management aspects are measured from human resources, drugs planning, drug supply control, drug storage, facilities, and infrastructure. The results showed that the drugs planning, controlling drug supply control, drug storage, facilities, and infrastructure had met the requirements in Permenkes RI No 58 (2014). Meanwhile, human resources are still insufficient according to provisions of this regulation. Therefore, the conclusion of this study was that the quality of drug management in the pharmacy installation at RSUIPI Medan has not met the quality requirements, especially in the aspect of the number of human resources.
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Afanas'ev, Valentin Ya, Sergei V. Mishcheryakov und Dmitrii S. Podol'skii. „NETWORK-CENTRIC APPROACH TO MANAGING THE MARKET ENTITIES IN THE CONTEXT OF THE DIGITAL TRANSFORMATION OF THE ELECTRIC POWER INDUSTRY“. RSUH/RGGU Bulletin. Series Economics. Management. Law, Nr. 2 (2021): 8–23. http://dx.doi.org/10.28995/2073-6304-2021-2-8-23.
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The article presents the results of research on the development of the structure, methods and technologies for managing the Unified Energy System (UES) of Russia in the context of the digital transformation of the electric power industry. The analysis of the experience of managing complex socio-technological systems (STS) on the example of the UES of Russia and modern achievements in digital technologies resulted in defining the main directions of the formation of a network-centric approach to ensuring the reliability of energy supply to consumers and the country’s energy security in normal operating conditions and in emergency situations. A comparative analysis of the structures is carried out and examples of practically implemented fragments of the above systems are presented. The article also presents the stratification of control loops and the structure of ontological modeling for the functioning of the entire UES control system. It defines and mathematically substantiates the algorithms for forming decisions for the managing the power facilities in the level range from of the National Crisis Management Center to the operational personnel responsible for maintaining the mode of power systems and power facilities. The given examples of operating systems, SISFEC (state information system of the fuel and energy complex) and SRMS (stability reserve monitoring systems)actually confirm the correctness of the selected solutions of the network-centric approach to managing the UES of Russia. The provisions set out in the article determine the direction in developing the digital control systems for STS.
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Rawal, Lal B., Chandani Kharel, Uday Narayan Yadav, Kie Kanda, Tuhin Biswas, Corneel Vandelanotte, Sushil Baral und Abu S. Abdullah. „Community health workers for non-communicable disease prevention and control in Nepal: a qualitative study“. BMJ Open 10, Nr. 12 (Dezember 2020): e040350. http://dx.doi.org/10.1136/bmjopen-2020-040350.
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Background/objectiveThe increasing burden of non-communicable diseases (NCDs) in Nepal underscores the importance of strengthening primary healthcare systems to deliver efficient care. In this study, we examined the barriers and facilitators to engaging community health workers (CHWs) for NCDs prevention and control in Nepal.DesignWe used multiple approaches including (a) review of relevant literature, (b) key personnel and stakeholders’ consultation meetings and (c) qualitative data collection using semistructured interviews. A grounded theory approach was used for qualitative data collection and the data were analysed thematically.SettingData were collected from health facilities across four districts in Nepal and two stakeholder consultative meetings were conducted at central level.ParticipantsWe conducted in-depth interviews with CHWs (Health Assistants, Auxiliary Health Workers, Auxiliary Nurse Midwife) (n=5); key informant interviews with health policymakers/managers (n=3) and focus group discussions (FGDs) with CHWs (four FGDs; total n=27). Participants in two stakeholder consultative meetings included members from the government (n=8), non-government organisations (n=7), private sector (n=3) and universities (n=6).ResultsThe CHWs were engaged in a wide range of public health programmes and they also deliver NCDs specific programmes such as common NCDs screening, provisional diagnosis, primary care, health education and counselling, basic medication and referral and so on. These NCD prevention and control services are concentrated in those districts, where the WHO, Package for prevention and control of NCDs) program is being implemented. Some challenges and barriers were identified, including inadequate NCD training, high workload, poor system-level support, inadequate remuneration, inadequate supply of logistics and drugs. The facilitating factors included government priority, formation of NCD-related policies, community support systems, social prestige and staff motivation.ConclusionEngaging CHWs has been considered as key driver to delivering NCDs related services in Nepal. Effective integration of CHWs within the primary care system is essential for CHW’s capacity buildings, necessary supervisory arrangements, supply of logistics and medications and setting up effective recording and reporting systems for prevention and control of NCDs in Nepal.