Letteratura scientifica selezionata sul tema "Residents (medicine) – great britain – anecdotes"

Background Care home staff have a critical bearing on quality. The staff employed, the training they receive and how well they identify and manage residents’ needs are likely to influence outcomes. The Care Act 2014 (Great Britain. The Care Act 2014. London: The Stationery Office; 2014) requires services to improve ‘well-being’, but many residents cannot self-report and are at risk of exclusion from giving their views. The Adult Social Care Outcomes Toolkit enables social care-related quality of life to be measured using a mixed-methods approach. There is currently no equivalent way of measuring aspects of residents’ health-related quality of life. We developed new tools for measuring pain, anxiety and depression using a mixed-methods approach. We also explored the relationship between care home quality, residents’ outcomes, and the skill mix and employment conditions of the workforce who support them. Objectives The objectives were to develop and test measures of pain, anxiety and depression for residents unable to self-report; to assess the extent to which regulator quality ratings reflect residents’ care-related quality of life; and to assess the relationship between aspects of the staffing of care homes and the quality of care homes. Design This was a mixed-methods study. Setting The setting was care homes for older adults in England. Participants Care home residents participated. Results Three measures of pain, anxiety and low mood were developed and tested, using a mixed-methods approach, with 182 care home residents in 20 care homes (nursing and residential). Psychometric testing found that the measures had good construct validity. The mixed-methods approach was both feasible and necessary with this population, as the majority of residents could not self-report. Using a combined data set (n = 475 residents in 54 homes) from this study and the Measuring Outcomes in Care Homes study (Towers AM, Palmer S, Smith N, Collins G, Allan S. A cross-sectional study exploring the relationship between regulator quality ratings and care home residents’ quality of life in England. Health Qual Life Outcomes 2019;17:22) we found a significant positive association between residents’ social care-related quality of life and regulator (i.e. Care Quality Commission) quality ratings. Multivariate regression revealed that homes rated ‘good/outstanding’ are associated with a 12% improvement in mean current social care-related quality of life among residents who have higher levels of dependency. Secondary data analysis of a large, national sample of care homes over time assessed the impact of staffing and employment conditions on Care Quality Commission quality ratings. Higher wages and a higher prevalence of training in both dementia and dignity-/person-centred care were positively associated with care quality, whereas high staff turnover and job vacancy rates had a significant negative association. A 10% increase in the average care worker wage increased the likelihood of a ‘good/outstanding’ rating by 7%. Limitations No care homes rated as inadequate were recruited to the study. Conclusions The most dependent residents gain the most from homes rated ‘good/outstanding’. However, measuring the needs and outcomes of these residents is challenging, as many cannot self-report. A mixed-methods approach can reduce methodological exclusion and an over-reliance on proxies. Improving working conditions and reducing staff turnover may be associated with better outcomes for residents. Future work Further work is required to explore the relationship between pain, anxiety and low mood and other indicators of care homes quality and to examine the relationship between wages, training and social care outcomes. Funding This project was funded by the National Institute for Health Research (NIHR) Health Services and Delivery Research programme and will be published in full in Health Services and Delivery Research; Vol. 9, No. 19. See the NIHR Journals Library website for further project information.

Territorial marketing is a multifaceted scientific direction that includes elements of branding, use of digital technologies, performance evaluation and consideration of cultural factors. It is an important tool for territories' economic, social, cultural and ecological development. It helps attract investment, support local businesses, improve the quality of life for residents, preserve cultural heritage and promote sustainable development. The purpose of the article is to study the main trends in publishing activity on the subject of territory marketing. The authors have systematised the research areas of territory marketing: the conceptual foundations of territory marketing, territory branding strategies, the use of digital technologies in territory marketing, measuring the effectiveness of marketing campaigns, and the influence of cultural and social factors. With the help of the Scopus tools, the peculiarities of publication activity on territory marketing were investigated. For the period from 1990 to 2023, more than 1,573 publications were analysed. Italy, the USA, France, Spain, Great Britain, Australia, Portugal, India, and Canada are among the leading countries in publishing activity. Key subject areas include Social Sciences, Business, Management and Accounting, Economics, Econometrics and Finance, Environmental Science, Engineering, and Medicine. The most significant publications are affiliated with the Polytechnic Institute of Cávado and Ave, Portugal, the University of Guam, Guam Island, and Charles Darwin University, Australia. The authors conclude that socio-economic development and territorial development strategies focus on increasing competitiveness by preserving and using existing, as well as forming and implementing new competitive advantages, which determines the positioning of the territory. Given this, the relevant strategies for developing territories and cities should ensure the convergence of management and economic activities of the subjects of the territorial system, effective management of production infrastructure, and provision of consumer needs. In the face of global environmental challenges, marketing territories can contribute to promoting environmentally friendly technologies and practices. This helps to attract investments in sustainable projects and increase the population's environmental awareness.

The second decade of the XXI century in the Eurasian space was marked by new socio-economic and political developments. Significant changes have taken place in the political landscape of Eurasia. They were largely due to the fact that the political processes in which the Eurasian states that appeared on the map of Eurasia after the collapse of the USSR began to change their character. New political actors have entered the arena of political activity, gradually replacing people from the former party nomenclature. The political elite was now formed not from graduates of the Soviet higher school, but mainly from those who received education in higher educational institutions of Great Britain, Germany, China, the USA, Turkey, France, Japan, etc. The consequence was the reorientation of such politicians, political scientists, administrative workers from the traditional values of Euro-Asian peoples to liberal pseudo-traditions characteristic of for the realities of transatlantic states (“hedonism for the body and narcissism for the soul”).Researchers note the generational change of political figures taking place in Central Asia today, the change in the composition of political elites, their positions in relation to neighboring countries and states that they consider as investors and allies. In the conditions of the SVO in Ukraine and the ongoing sanctions pressure on Russia, Russophobic sentiments have significantly increased both among the ruling circles and among ordinary residents of the Eurasian states. The media are especially trying to emphasize and develop this. The article provides examples of recent events in a number of EAEU countries and neighboring Eurasian states. Attention is drawn to the need for a wider dissemination of historical information about political and other events of modern and modern times in the Great Steppe. The effectiveness of the application of the principles and methods of economic, political, and cultural interaction of various state entities accumulated over the centuries in the heart of Eurasia is emphasized. Attention is drawn to the effectiveness of using education as a means of soft power to ensure the sustainable development of the states of the region. The prospects for the change of political generations, the need for “rejuvenation” of political elites are briefly described.Aim. To highlight significant aspects and perspectives of the evolution of political elites in Central Asian countries.Tasks. To introduce into scientific circulation the results of a comparative analysis of the formation and activity of political elites of new state formations in Eurasia at the present stage.Methods. Comparative-analytical method, systematic approach, transdisciplinary approach.Results. The changes in the political landscape of Eurasia and their impact on the activities of the political elites of the Central Asian countries are characterized. New elements of the state of the regional integration process are highlighted. The results of the use of education as a means of soft power in the change of political generations in the states of the region are shown.Conclusions. In modern conditions, a significant factor in the formation of a new political landscape on the Eurasian continent is the emergence of new centers of power and the change of political generations of the ruling ones. It is necessary to expand the use of historical experience in the implementation of vocational education to include young people in the management system in the Eurasian states.

Purpose. The purpose of the article is to reveal the content and form a categorical definition ofthe administrative procedure for the export and import of military and dual-use goods in Ukrainebased on the existing and prospective legislation and the theory of administrative law. On thisbasis, form the latest concept of development of social relations in the analyzed sphere.Methods. A system of methods of scientific knowledge was used during the research. Using themethod of systematic analysis, various legal sources and empirical material were analyzed andnew generalizations and conclusions were formed on the basis of this. Special legal method –formal-dogmatic gave an opportunity to analyze the current legislation. The forecasting methodensured the development of legislation on administrative procedures for the import of military anddual-purpose goods in Ukraine.Results. It has been proven that administrative procedures are the bottom level of legal regulation,which in most cases are most often directly faced by private individuals and legal entities in orderto ensure their rights, freedoms and legitimate interests in public administration, in particularbusiness entities that export and import goods for military purposes and dual purpose. It wasconcluded that in today’s conditions, the administrative procedures for the export and importof military and dual-purpose goods are regulated by the norms of a special profile Law anda number of secondary legal acts approved by the Government of Ukraine.It has been found that the administrative procedure for the export of military and dual purposegoods from Ukraine, which operated before the full-scale invasion of Russian-terrorist troops intoUkraine on February 24, 2022, was characterized by the monopoly of certain influential groupsclose to the government, which were not interested in the development of weapons productionand other means of fighting, and focused their attention mainly on the sale of weapons thatUkraine inherited from a bygone era. Public finances for the development of domestic armamentswere insufficiently provided, and effective economic and financial methods of attracting privateinvestments were not introduced. As a result, when repelling the armed aggression of Russianterrorist forces, Ukrainian soldiers mainly use outdated weapons and armaments, or thoseobtained from foreign partners. The rapid import of weapons to Ukraine was established thanks tothe goodwill of the top political leadership of the USA, Great Britain, Lithuania, Poland, a dozenother democratic states, and the liberalization of the administrative procedure for importinggoods for military purposes and dual purposes into Ukraine under martial law conditions, asbusiness entities, as well as charitable foundations, which received permits for this from the StateExport Control Office under a simplified administrative procedure. The latest concept of the administrative procedure for the export, import of military and dualpurposegoods from Ukraine is proposed, taking into account the experience gained by the subjectsof importing weapons under martial law and the principles of the Law of Ukraine of February 17,2022 No. 2073-IX “On Administrative Procedure”. After all, the war for domestic manufacturersis a time to improve their products. In some positions, they have good initial positions that areobjectively developed and tested on the battlefield. As a result, after the victory, weapons releasedin Ukraine will be bought by foreign countries with pleasure. At the same time, the new civilsociety will no longer allow a few government officials to monopolize the arms export market.Accordingly, permits for the export of weapons manufactured by domestic manufacturers shouldfirst of all be granted (legalized) to entities that imported them during the war. Next, it is necessaryto carry out systemic reforms, both at the level of foundations and public tools and administrativeprocedures. Therefore, liberalization in this area should be carried out, but not at the expense ofweakening control over the export of weapons, but the admission to it of all entities that meet thespecified conditions, regardless of the form of ownership, both domestic and residents of the USA,Canada, Great Britain, countries EU members (with the exception of Hungary) and other partnerstates, which imported weapons to Ukraine in the face of a full-scale invasion.Conclusions. The administrative procedure for the export and import of goods for military anddual purpose in Ukraine is a procedure defined by law for consideration and resolution of casesregarding the issuance to business entities of permits to import into Ukraine and (or) export fromUkraine weapons, goods for military and dual purpose. The provisions of the Law of Ukraineof February 17, 2022 No. 2073-IX “On Administrative Procedure” do not directly apply to theapproval of the administrative procedure for the export, import of goods for military use and dualpurpose, however, the categorical apparatus and principles defined in it must be used in a specialregulatory and legal high-level act - the new version of the Law of Ukraine “On State Control ofInternational Transfers of Military and Dual-Use Goods”, or, more appropriately, in the new draftof the Law of Ukraine “On Export, Import of Weapons, Military and Dual-Use Goods”.

As a result of English mass media texts analysis, the paper puts forward a nomenclature of verbal and non-verbal means used to convey socio-cultural values inherent in modern Ukrainian society. Based on the review of various approaches to defining the notion of sociocultural values, the authors offer a matrix generalising the content of this concept as it is considered within such fields of humanitarian knowledge as philosophy, ethics, psychology, sociology, and linguistics. The survey carried out among the residents of Ukraine, Great Britain, and the USA allowed identifying those socio-cultural values of Ukrainians, being most frequently presented in English media, namely: freedom, patriotism, yearning for peace, dignity, humanity, tolerance, responsibility for one’s own actions and deeds. The analysis of 118 fragments, selected out of 40 English mass media texts of various genres (interviews, news, articles, posts on social media, magazine covers, caricatures, graphic images, video materials), whose contexts actualise socio-cultural values of Ukrainians, enabled the authors to come up with the set of verbal and non-verbal means. The most frequent verbal means conveying the values, include specialised vocabulary, the use of nouns with negative connotations, comparisons, metaphors, and evaluative adjectives. Among the most recurrent non-verbal means there are visual components (graphic images representing the eye contact, facial expressions, mimicry, etc.), as well as the use of national colours, symbols, clothes, etc., which serve as a mode of broadcasting such Ukrainian values as patriotism, the power of will and spirit, yearning for peace and freedom, love for the family and Motherland, as well as freedom and unity of Ukrainians.

AbstractIntroductionCurrently, there are no dietary consultations in the health service in Poland, that is why free access to the dietician is often difficult. The use of modern teleinformation technologies in medicine, creates unprecedented possibilities of providing medical services. Therefore, as part of the National Health Program financed by the Ministry of Health, the first digital platform was established in Poland - the Online Diet Center, where everyone with access to the Internet can use the advice of a professional dietitian free of charge.The aim of the study was to obtain information on the characteristics of patients reporting online consultations and identifying their needs.Materials and methodsThe study was conducted among the patients of the Online Diet Center during the 12 months of running a diet counseling (December 2017-December 2018) using the authorial questionnaire that each patient completed after creating an account on the online counseling platform before and after the advice (satisfaction survey). Each advice lasted 30 minutes and was conducted by a trained dietitian.ResultsThe number of patients who created an account on the Dietetic Online Center platform was 10,850, of which 23% were men and 77% women. Most often it was used by residents of large cities (including Warsaw, Krakow, Katowice, Wrocław, Poznań, Gdańsk, Łódz´). Almost 2% of patients were also Poles living abroad (Denmark, Australia, Great Britain, Ireland, Germany, Norway, Belgium, Italy, Spain, Brazil). Almost 1/3 of all registered patients after one consultation had another consultation with a dietitian. The most common disease was obesity (17%). Patients also declare hypothyroidism (15%), hypertension (13%), food allergy or intolerance (6.8%), eating disorders (5.6%) and depression (5%). Only 10% of patients were people who did not report any diseases. Only less than 1% of patients were not satisfied with such a consultation system, explaining that the information provided by the dietician was not useful. The duration of the advice was sufficient for patients.DiscussionA large group of patients who apply to the Online Diet Center were women, which is consistent with the general trend in the area of dietary services. Due to the low frequency of using online dietary advice in small towns, in year 2019 a promotional campaign will be addressed to these places. The low percentage of dissatisfied patients and the willingness to make further advices, testifies to the success of platform of online dietary counseling and the legitimacy of its further development.