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1.
Probl Sotsialnoi Gig Zdravookhranenniiai Istor Med ; 32(Special Issue 1): 567-576, 2024 Jun.
Artigo em Russo | MEDLINE | ID: mdl-39003702

RESUMO

The paper presents the results of in-depth interviews and a questionnaire survey of the Russian cites administration representatives about cities resilience under the sanctions pressure and COVID-19. The survey was conducted by the Center for Territorial Changes and Urban Development of IPEI RANEPA in March-May 2023, it was attended by representatives of the administration of more than 50 cities of the Russian Federation. We found overall situation as stable: social programs are being implemented in full, unemployment is decreasing, construction of municipal facilities continues, problems with failures in the supply of spare parts, equipment and components are being solved. At the same time, the sanctions have affected the urban economy in completely different ways: while in some cities show significant negative effect, in others the impact of sanctions is insignificant. Cites face number of new challenges: disruption of supply chains, refusal to supply paid equipment, inability to find analogues of imported equipment with the necessary characteristics, rising prices for spare parts. components and construction materials, the rupture of established sales channels to unfriendly countries, a drop in municipal budget revenues, etc. The heads of the city administration work overtime to solve emerging problems, organize interaction between enterprises, establish and deepen business contacts with friendly countries, put forward proposals to improve the situation at the federal level. New tasks successfully solved, although it requires serious efforts. To respond to new challenges, we need a new, more decentralized and local-oriented style of public administration, a process of well-established feedback.


Assuntos
COVID-19 , Cidades , Humanos , COVID-19/epidemiologia , Federação Russa/epidemiologia , SARS-CoV-2 , Inquéritos e Questionários
2.
Travel Med Infect Dis ; : 102733, 2024 Jun 26.
Artigo em Inglês | MEDLINE | ID: mdl-38942160

RESUMO

BACKGROUND: By examining 2018-2023 data, this study explored the intricate impact of the Russian invasion, ongoing COVID-19 pandemic, and environmental disruptions on communicable diseases in Ukraine. This conflict exacerbates challenges in disease surveillance and healthcare, compounding stress among the population. METHODS: Leveraging the Centers for Disease Prevention Control's surveillance system, the study employs active and passive surveillance, utilizing medical records and laboratory reports. Notification rates gauge the incidence of communicable diseases, offering insights into trends during the study period. RESULTS: While salmonellosis, shigellosis, and rotavirus incidence are decreasing overall, there is a surge in viral hepatitis A, chronic hepatitis B, and C. This conflict hampers hepatitis C management, as evidenced by decreased numbers of treatment centers and patient enrollment. The prevalence of cough cases will increase in 2023, emphasizing the importance of sustained vaccination. The incidence of tuberculosis will increase in 2023 despite a general decrease. CONCLUSION: This study underscores the urgent need for sustained efforts and adequate resources, infrastructure, and international support to mitigate public health challenges in conflict-ridden Ukraine. Prioritizing vaccination programmes and enhancing healthcare accessibility in affected regions are crucial.

3.
Angew Chem Int Ed Engl ; : e202407805, 2024 Jun 13.
Artigo em Inglês | MEDLINE | ID: mdl-38870085

RESUMO

New stimulus responsive scaffolds are of interest as constituents of hierarchical supramolecular ensembles. 1,3,5-2,4,6-Functionalized, facially segregated benzene moieties have a time-honored role as building blocks for host molecules. However, their user as switchable motifs in the construction of multi-component supramolecular structures remains poorly explored. Here, we report a molecular cage 1, which consists of a bent anthracene dimer 3 paired with 1,3,5-tris(aminomethyl)-2,4,6-triethylbenzene 2. As the result of the pH-induced ababab ↔ bababa isomerization of the constituent functionalized benzene units derived from 2, this cage can reversibly convert between an open state and a closed form, both in solution and in the solid state. Cage 1 was used to create stimuli-responsive hierarchical superstructures, viz. Russian doll-like complexes with [K⊂18-crown-6⊂1]+ and [K⊂cryptand-222⊂1]+. The reversible assembly and disassembly of these superstructures could be induced by switching cage 1 from its open to closed form. The present study thus provides an unusual example where pH-triggered conformation motion within a cage-like scaffold is used to control the formation and disassociation of hierarchical ensembles.

4.
Front Psychol ; 15: 1385420, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38882509

RESUMO

Introduction: The Russia's full-scale invasion of Ukraine had a significant impact on the Russian-speaking identity, reformulating existing linguistic and cultural boundaries and shaping Russian speakers' self-perception and vision of the world. We focus on families with children who are trying to balance their inner and outer life in order to stabilize the positive environment of the upbringing process and analyze how adults explain to the children the need to learn the Russian, Ukrainian and other languages. This can shed light on the challenges and strategies employed in alleviating prejudiced attitudes against immigrants' languages and cultures which can cause alienation from the roots in the one-and-a-half and second generation. The research questions were: How has the war altered language policies in families with different ethnic backgrounds? What changes in home language use strategies do parents propose? Material and methods: Material drawn from numerous posts of Facebook discussions have been analyzed with the help of thematic analysis. Results and discussion: We observe that in many multilingual families with Ukrainian roots the war has led to a greater emphasis on the Ukrainian language use as an attempt to reinforce ties to their cultural heritage and express support for the country. Russian is increasingly viewed as the language of the aggressor; moreover, Russian culture is devalued and rejected. Some families have become more open to new language learning, especially the languages of their new environment, and try to identify themselves as multicultural and multiethnic personalities. On the other hand, in those families where parents work or study in the fields in which Russian is widely used, adults prioritize the development of Russian language skills in their children in order to improve their future educational and professional opportunities. We explore attitudes and challenges faced by parents in Russian-speaking families, as they demonstrate the complexities of identity formation and language transmission while making salient the interplay between parents' personal experiences, their aspirations for their children's cultural identity, and the pressures of integration into the local society.

5.
Centr Asian Surv ; 43(2): 171-195, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38903059

RESUMO

This article analyses the Kutaisi Trial (1878-80), a little-known case of blood libel in the Caucasus, in which nine Jewish men stood accused of involvement in the killing of a Georgian girl. All defendants were acquitted. While the accusation of killing for allegedly Jewish ritual purposes was not pressed explicitly by the prosecution, the case was widely discussed in terms of blood libel not only by the jurists but also by the authorities, the Georgian villagers, and the press. Existing scholarship on blood libel in Russia has stressed the influence of the Russian administration over court cases and in stirring up intercultural hatred. This article, however, shows much diversity among local and central, administrative and legal actors, and paints a more complex picture of Russian imperial courts and colonialism. It is based on an analysis of archival records from Tbilisi and Kutaisi, published court transcripts, and local and regional newspapers.

6.
Wiad Lek ; 77(4): 676-681, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38865622

RESUMO

OBJECTIVE: Aim: To study the state of mental health of staff of healthcare facilities (HCFs) of different categories (managers, doctors, nurses) 2 years after the beginning of the Russian invasion of Ukraine. PATIENTS AND METHODS: Materials and Methods: The study, using valid psycho-diagnostic methods, was conducted in 3 stages: studying the frequency of mental states, Mental Health Continuum, and occupational self-efficacy. Using descriptive and analytical statistics, we analyzed the results obtained from 114 respondents. RESULTS: Results: It was found that in the majority of the study group, regardless of the position held (manager, doctor, nurse), the levels of anxiety, frustration, aggressiveness, and rigidity were low (64.0%-50.9% of respondents); flourishing and high development of occupational self-efficacy were recorded in 59.6% and 61.0%, staff of HCFs respectively. A small proportion of specialists (10.5%-4.4%) revealed a high level of manifestation of mental states; languishing and a low level of professional self-efficacy were practically absent. In other study participants, all indicators were at the borderline level. CONCLUSION: Conclusions: Almost 2 years of functioning in the context of the war has led to the development of a certain adaptation and resilience in all categories of healthcare employees, which allows them to fulfill their professional duties. At the same time, there is a significant number of healthcare professionals who have moderate and high levels of mental stress, and problems with mental health stability, which requires systemic decisions to be made at the sectoral level to ensure the mental health of staff of healthcare facilities.


Assuntos
Pessoal de Saúde , Saúde Mental , Humanos , Ucrânia/epidemiologia , Feminino , Masculino , Saúde Mental/estatística & dados numéricos , Pessoal de Saúde/psicologia , Pessoal de Saúde/estatística & dados numéricos , Adulto , Pessoa de Meia-Idade , Instalações de Saúde/estatística & dados numéricos , Transtornos Mentais/epidemiologia
7.
Front Psychol ; 15: 1364112, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38845768

RESUMO

Introduction: This paper provides an initial exploration of Ukrainian-Russian bilingualism in the context of the war-affected migration from Ukraine to Austria and Germany. While extensive research exists on various aspects of Ukrainian- Russian bilingualism in relation to Ukraine itself, thus far no studies have been conducted on this bilingualism in the diasporic context, i.e., as a language of the first and subsequential generations with a migrant background in Austria and Germany. Methods: To address this research gap, our paper examines the language attitudes of two respondent groups with a Ukrainian background in the two countries: migrants and refugees who left Ukraine after 2014 and those who left after Russia's invasion in February 2022. In the framework of a sociolinguistic survey, we describe their current attitudes regarding the use of Ukrainian and Russian, among others, in relation to the actual and intended use of the language(s) in the multilingual context of migration. The survey eliciting information on demographic information, language proficiency, language attitudes and language use was conducted on 406 Ukrainians in two host countries (Austria: n = 103; Germany: n = 306). First, we compared self-rated proficiency in Ukrainian and Russian as well as attitudes and use of these languages. Second, we applied a network modelling analysis to determine the nature of relationships between these variables. Results and discussion: The results indicated that proficiency in Ukrainian and in Russian were the strongest nodes in the model affecting language use and language attitudes toward the respective languages. Our data analysis focused on the pragmatic and symbolic value of Russian and Ukrainian playing a crucial role in the language vitality in multilingual settings. The paper discusses the imbalanced correlation of the symbolic and pragmatic value of Ukrainian and Russian in the diasporic Ukrainian communities. While Ukrainian has gained a higher symbolic status, Russian maintains a better pragmatic one, despite its negative symbolic status. However, we anticipate that the increasing symbolic value of Ukrainian and the diminishing value of Russian will lead to an increase in the use of Ukrainian also in Russian-dominant bilingual groups of Ukrainian migrants and refugees, even as an insider-code in hermetic minority groups.

8.
Zookeys ; 1198: 17-54, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38693975

RESUMO

A comprehensive overview of the state of knowledge on the ChilopodaGeophilomorpha of the Asian part of Russia is presented, based on the critical revision of all published morphological descriptions and all geographical records. Revised diagnoses for all the 38 nominal species so far reported from Asian Russia are given, with comments on their validity. Among them a total of 18 species are recorded only from this region and many of them from a single locality only. The species belong to Geophilidae s. l., (in the genera Arctogeophilus, Geophilus, Pachymerium, and Strigamia), Schendylidae (Escaryus), and Mecistocephalidae (Agnostrup, Arrup, and Tygarrup). At least two species have been introduced, namely Geophilusflavus and Tygarrupjavanicus. The history of studies on the Geophilomorpha in the Asian part of Russia are also summarized.

9.
Heliyon ; 10(9): e30558, 2024 May 15.
Artigo em Inglês | MEDLINE | ID: mdl-38765153

RESUMO

This empirical research study aims to investigate the asymmetric spillovers among crypto and key financial assets such as gold, equity, bonds, and the dollar-to-ruble exchange rate volatility, focusing on new developments during the Russia-Ukraine conflict in 2022. Utilizing time- and frequency-domain methodologies, this study conducts an in-depth analysis employing daily frequency data from January 01, 2018, to May 30, 2023. The study employs value at risk and conditional value at risk estimations to assess potential losses in the portfolio during the crisis. The findings reveal that Bitcoin exhibits hedging ability, enabling investors to diversify risk among the underlying financial assets. The study observes a significant increase in Bitcoin investments during the crisis, leading to heightened volatility and uncertainty. Negative news has a stronger impact compared to positive news, underscoring the importance of prudent asset allocation for risk mitigation. The implications of our findings are particularly significant for financial policymakers and trade partners of Russia. The study urges them to differentiate their short- and long-term strategies and procurement contracts. In the long run, policymakers should be cognizant of the influence of the riskiness of crypto assets during economic crises, guiding the formulation of prudent policies and investment decision-making initiatives.

10.
Artigo em Inglês | MEDLINE | ID: mdl-38673420

RESUMO

The negative impact of the COVID-19 pandemic on mental health has been widely demonstrated; however, few studies have investigated the psychological processes involved in this impact, including core beliefs violation, meaning-making disruption, interpersonal support, or one's relational functioning. This study explored the mental health of 215 Italian adolescents during the COVID-19 pandemic and the subsequent outbreak of the Russian-Ukrainian war. By administering a set of questionnaires, several cognitive and emotional variables were investigated, including core belief violation, meaning attribution to the pandemic and war, attachment, and emotion regulation, social media addiction, and relationships with significant others and teachers. We conducted some descriptive, mean difference, correlational, and predictive analyses that revealed a significant association between core belief violation caused by war and pandemic, ability to integrate war and pandemic within personal meaning universe, the relational support received, and mental health. The relationship with teachers during these challenging periods improved significantly according to the respondents' opinion, becoming both more authoritative and empathic. This study offers insights into what cognitive and relational processes are useful to intervene on to reduce the distress of adolescents who are facing significant moments of crisis due to events that challenge their cognitive and emotional balance.


Assuntos
COVID-19 , Saúde Mental , Estudantes , Humanos , COVID-19/psicologia , COVID-19/epidemiologia , Adolescente , Itália/epidemiologia , Masculino , Feminino , Estudantes/psicologia , Cognição , SARS-CoV-2 , Inquéritos e Questionários , Conflitos Armados/psicologia , Federação Russa/epidemiologia , Instituições Acadêmicas
11.
Front Psychol ; 15: 1344366, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38572206

RESUMO

Introduction: In this paper, we studied how native (L1) speakers of Russian and speakers of Mandarin Chinese learning Russian as a foreign language (L2) process Russian sentences with different word orders. We compared SVO (canonical) and OVS (non-canonical) orders in isolation and in context. Experiments focusing on the L2 processing of different word orders are still not very numerous, and those using context are extremely rare. Methods: In Experiment 1, target sentences were presented in isolation. In Experiment 2, one-sentence contexts introduced one NP mentioned in the target sentence, either the first (so that given information preceded new information, which is characteristic for Russian and many other languages) or the second. As a result, two factors could be compared: the syntactic (word order) and the contextual (whether the context is appropriate from the information-structural perspective). We used different measures to capture online and offline effects: word-by-word reading times, question-answering accuracy and sentence rating on a 1 to 5 scale (for L1 participants). Results and discussion: In both experiments, RTs and question-answering accuracy data showed that non-canonical orders were difficult for L2 participants, but not for L1 participants. However, L1 participants gave non-canonical orders lower ratings in isolation, presumably because in naturally occurring texts, they are used only in particular contexts. As for the context factor in Experiment 2, some effects were the same for L1 and L2 processing: all participants read given NPs faster than new ones and preferred sentences with a 'given - new' word order. The latter may reflect the universal principles of narrative coherence. However, unlike native speakers, L2 readers are not sensitive to more subtle contextual requirements of different word orders.

12.
Front Psychol ; 15: 1305862, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38566943

RESUMO

Filler particles like uhm in English or ähm in German show subtle language-specific differences and their variation in form is related to socio-linguistic variables like gender. The use of fillers in a second language has been shown to differ from monolinguals' filler particle use in both frequency and form in different language contexts. This study investigates the language-specific use of filler particles by bilingual heritage speakers in both their languages, looking at the dominant majority language in the society and their minority heritage language spoken at home. This is done based on heritage Russian and German data and majority German and English data from the RUEG corpus. Language-specific fillers were extracted from the corpus and analyzed for their occurrence and segmental form. The frequency analysis suggests an influence of bilingualism, age group, and formality of the situation on the filler frequency across all languages. The number of filler particles is higher in formal, older, and bilingual speech. The form analysis reveals an effect of language and gender on the type of filler particle. The vocalic-nasal filler particles (e.g., uhm) are more frequently found in German and English and in female speech of these languages. Heritage speakers of Russian in contact with German and English show higher use of vocalic-nasal forms also in their Russian while producing similar gender related patterns to monolingual speakers in both their languages. The higher frequency of filler particles in formal situations, older speakers and in bilingual speech, is discussed related to cognitive load which is assumed to be higher in these contexts while speech style which differs between situations and social groups is also considered as explanation. The higher use of vocalic-nasal filler particles in German and English suggests language specific filler particle preferences also related to the socio-linguistic variable gender in these languages. The results from heritage speakers suggest and influence on filler particle form in their heritage language, while also revealing socio-linguistic usage patterns related to gender which are produced by heritage speakers similarly to monolinguals in their respective language.

13.
Vet Med Sci ; 10(3): e1456, 2024 05.
Artigo em Inglês | MEDLINE | ID: mdl-38652044

RESUMO

BACKGROUND: Few epidemiological studies on respiratory medicine and the relationship between clinical signs and various respiratory diseases in cats have been reported. OBJECTIVES: This retrospective study aimed to investigate the prevalence and breed predisposition to feline respiratory diseases in Japan and determine the association between clinical signs, duration and type of respiratory diseases. METHODS: The medical records of cats with feline respiratory diseases were examined to obtain information on age, sex, breed, final diagnosis, clinical signs and duration. The odds ratios (ORs) and 95% confidence intervals were calculated to evaluate breed predispositions. Mann-Whitney U, Kruskal-Wallis and Dunn's tests were used to assess the duration of clinical signs. RESULTS: This study included 540 cats with 615 respiratory diagnoses. The American Shorthair breed was predisposed to bronchopneumonia (BP; OR: 5.0) and pulmonary tumour (PT; OR: 3.6), while the Russian Blue breed exhibited a predisposition to inflammatory lower airway diseases (OR: 3.4), BP (OR: 6.1) and interstitial lung diseases (OR: 11.1). Similarly, the Scottish Fold breed displayed predisposition to PTs (OR: 5.8). The duration of clinical signs among nasal diseases, nasopharyngeal diseases and lower tracheal/bronchial and pulmonary diseases differed significantly (p = 0.001, p = 0.012, p < 0.0001, respectively). CONCLUSIONS: The results suggest that some popular breeds in Japan are predisposed to feline respiratory diseases, especially the American Shorthair, Russian Blue and Scottish Fold breeds. The characteristics of occurrence, clinical signs and duration of each disease will aid in diagnosing, treating, preventing and elucidating the pathophysiology of feline respiratory disease.


Assuntos
Doenças do Gato , Doenças Respiratórias , Animais , Gatos , Doenças do Gato/epidemiologia , Japão/epidemiologia , Estudos Retrospectivos , Feminino , Masculino , Doenças Respiratórias/veterinária , Doenças Respiratórias/epidemiologia , Prevalência , Predisposição Genética para Doença
14.
Sud Med Ekspert ; 67(2): 5-11, 2024.
Artigo em Russo | MEDLINE | ID: mdl-38587151

RESUMO

The article presents a detailed analysis of the stages of formation, development and achievements of the forensic medicine department of the Russian Medical Academy of Continuing Professional Education of the Ministry of Health of the Russian Federation, established in 1933 yr. More than 100 resident doctors and 15 PhD students have been trained in the department for 90 years. As a part of additional professional education implementation, more than 800 cycles of training courses for forensic medical and forensic experts and more than 30 cycles of professional retraining for doctors of other specialties have been carried out. More than 160 thous. specialists have been trained at the department since its establishment. Many employees of the department were directly involved in the performance of the most complicated and socially significant forensic medical examinations. The article describes the main achievements and scientific directions of the department's staff activity, directions and prospects of improving the training of forensic medical personnel in the country.


Assuntos
Aniversários e Eventos Especiais , Educação Profissionalizante , Humanos , Federação Russa , Medicina Legal/educação , Educação Médica Continuada
15.
Cureus ; 16(2): e54593, 2024 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-38524050

RESUMO

The effectiveness of Russian electrical stimulation in enhancing muscular strength after anterior cruciate ligament (ACL) restoration is examined in this case study. In addition to traditional physiotherapy, a 29-year-old male athlete having ACL repair took part in a Russian contemporary rehabilitation regimen. Subjective evaluations of pain and functional tests all showed a substantial increase in muscular strength following the intervention. The Russian current's distinct waveform and high-frequency bursts appeared to improve neuromuscular control and quicken the activation of skeletal muscle in the excitation-contraction phase. The evaluation conducted after the intervention revealed notable enhancements in muscular strength and scores on the lower extremity functional scale. The initial score of 32, indicating a moderate functional limitation, improved to 64, indicating a minimal functional limitation. Additionally, the use of Russian electrical stimulation in ACL rehabilitation programs resulted in a reduction in pain levels from 9/10 to 3/10, as measured by the visual analog scale. These findings suggest that the implementation of Russian electrical stimulation shows promise in ACL rehabilitation. However, to validate and further explore these results, it is necessary to conduct larger-scale research studies and randomized controlled trials.

16.
Health Res Policy Syst ; 22(1): 33, 2024 Mar 05.
Artigo em Inglês | MEDLINE | ID: mdl-38443935

RESUMO

OBJECTIVE: This work compares the marketing authorization, labels and dosage forms of medicines in the WHO Model List of Essential Medicines for Children (EMLc) in China, the Russian Federation and Brazil to urge policymakers to pay more attention to paediatric medication. METHODS: Medicines were selected from the 8th EMLc. By searching relevant databases, which include different types of medical information in China, the Russian Federation and Brazil, the marketing authorization, labels and dosage forms of paediatric medicines in the three countries were evaluated. RESULTS: A total of 485 drug products containing 312 active pharmaceutical ingredients listed in the WHO EMLc were evaluated. Among them, 344 products were approved for use in China, 286 in the Russian Federation and 264 in Brazil. Out of the 344 approved medicines, 317 (92.15%) were authorized for paediatric use in China, 224 (78.32%) in the Russian Federation and 218 (82.58%) in Brazil. In terms of guidance information labelling on drug labels, 75.08%, 83.04% and 88.07% of paediatric drugs approved in China, the Russian Federation and Brazil, respectively, clearly indicated the usage and dosage for paediatric use. Additionally, injections and tablets were the most prevalent dosage forms in these three countries. CONCLUSION: There is still scope for enhancing the marketing authorization and development of dosage forms for paediatric medicines in the three countries. Furthermore, additional measures are being implemented to enhance the information provided on drug labels for children, particularly in China.


Assuntos
Marketing , Humanos , Criança , Brasil , China , Federação Russa , Organização Mundial da Saúde
17.
Int J Integr Care ; 24(1): 5, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38312477

RESUMO

Background: The evaluation of continuity of care is usually based on the indicators of the frequency of patients' contacts with specific providers. There are some first attempts to use physician survey for the evaluation. Objective: Is to get additional information on the continuity of care in Russia by a newly developed physician questionnaire with detailed questions related to the specific areas of providers' interaction in the health system. Methods: The questionnaire was developed to increase the number of characteristics and indicators for the evaluation of informational, longitudinal and interpersonal continuity. Each of 17 questions was pretested by a group of experts. A small physician survey was conducted through the mobile App with 2690 respondents. A sample is skewed to young and urban respondents. The attempts have been made to increase its representativeness. Results and discussion: We identified the areas of low continuity of care in Russia. Access to electronic medical records is limited. Outpatient and inpatient physicians rarely contact with each other. Primary care physicians are unaware of the substantial part of hospital admissions and emergency visits of their patients, which makes them unprepared for the follow-up treatment. Home visits to patients with heart attack and stroke after hospital discharge are rare. The lack of timely transfer of hospital cases to rehabilitative and social care settings also limits continuity of care. However, a small scale of the survey and its online operation limit its representativeness and robustness. Bigger scale of the survey with the same or similar questionnaire can improve its results. Conclusion: Physician survey can be a useful instrument of care continuity evaluation. The content of the suggested survey can be valuable for collecting the international evidence.

18.
J Spec Oper Med ; 2024 Mar 13.
Artigo em Inglês | MEDLINE | ID: mdl-38408046

RESUMO

BACKGROUND: Blood is a highly valuable medical resource that necessitates strict guidelines to ensure the safety and well-being of the recipient. Since the onset of the war in Ukraine there has been an increased demand for training in emergency fresh whole blood transfusion (EFWBT) to improve damage control resuscitation capabilities. To meet this demand, we developed, implemented, and evaluated a training program aimed at enhancing Ukrainian EFWBT proficiency. METHODS: Eight Ukrainian healthcare professionals (UHPs), including six physicians and two medics, completed our training, derived from the Joint Trauma System Clinical Practice Guidelines, Tactical Combat Casualty Care (TCCC) Guidelines, 75th Ranger Regiment Ranger O-Low Titer (ROLO) program, and Marine Corps Valkyrie program. Participants were assessed on their confidence in the practical application and administrative oversight requirements of an EFWBT program. A cross-comparison was conducted between a larger data set of third-year medical students from the Uniformed Services University and the UHPs to determine the statistical significance of the program. RESULTS: The difference in mean scores of UHPs during preand post-training was statistically significant (p<0.001). Additionally, the average rate of improvement was greater for the UHPs compared with the third-year medical students (p=0.000065). CONCLUSION: Our study revealed that the application of an EFWBT training program for UHPs can significantly increase confidence in their ability to conduct EFWBTs on the battlefield. Further larger-scale research is needed to determine the impact of this training on performance outcomes.

19.
J Environ Manage ; 352: 120001, 2024 Feb 14.
Artigo em Inglês | MEDLINE | ID: mdl-38219664

RESUMO

This paper analyses the impacts of trading partners' environmental regulation on the export volumes of the Russian regions, using panel data covering about 140,000 observations in 84 Russian regions and 204 countries for the period 2013-2020. We employ the Gravity Model of international trade and Heckman Sample Selection methodology, with the fixed effects and random effects Poisson Pseudo-Maximum Likelihood techniques to analyse two subsamples of the Russian regions with different shares of environmentally sensitive goods in regional exports. As a robustness check, we utilize the non-parametric Driscoll-Kraay approach. The results of the econometric estimation demonstrate that environmental regulations enhance the export of regions with a high share of environmentally sensitive goods in export structure, while for the rest of the regions the environmental regulations negatively affect export volumes. The promoting effect is associated with a higher level of innovativeness of the regions and the role of the global energy transition process. We conclude that the environmental agenda is a challenge for some Russian regional exporters due to the lack of own environmental regulation, and to the specific features of the commodity and geographic structure of exports. To transform the negative impact into the positive one for all Russian regions, policy measures are necessary on the federal, regional, and company levels, encompassing environmental regulations and green development strategies, along with innovation and cluster policies, and the development of human capital and infrastructure.


Assuntos
Comércio , Internacionalidade , Humanos , Desenvolvimento Econômico , Federação Russa , China
20.
Biodivers Data J ; 12: e114682, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38222480

RESUMO

Background: Enchytraeids, or potworms, are tiny oligochaetes that are distributed worldwide in many terrestrial, freshwater and marine ecosystems. Despite their key role in the functioning of ecosystems, the diversity and abundance of Enchytraeidae are rarely studied due to the laborious process of species identification. The present study addresses this gap and sheds some light on the distribution and abundance of enchytraeids in the lands of the Northern Palearctic. The provided dataset constitutes the latest and comprehensive field sampling of enchytraeid assemblages across the Asiatic part of the Northern Palearctic, encompassing an original set of soil samples systematically collected throughout the region from 2019 to 2022. New information: The dataset includes occurrences from 131 georeferenced sites, encompassing 39 species and 7,074 records. This represents the first dataset providing species-specific information about the distribution and abundance of terrestrial enchytraeids across an extensive geographic area covering the Asian sector of the Northern Palaearctic. The compiled dataset is the key for exploring and understanding local and regional enchytraeid diversity. It may also serve as a valuable resource for monitoring and conserving the entire soil biodiversity.

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