Admission Planning Research Articles

Manajemen Peserta Didik Sekolah Dasar (Studi Multi Situs pada SDN Paringin Selatan 1 dan SD IT Darul Fikri Kabupaten Balangan)

The aim of this research is to describe student management including student admission planning, student development and student evaluation at SDN Paringin Selatan 1 and SD IT Darul Fikri, Balangan Regency. This research is qualitative research in the form of case studies at 2 sites, namely SDN Paringin Selatan 1 and SD IT Darul Fikri. The research data sources are school principals and teachers. Data collection was carried out through interviews, observation and documentation and then analyzed using within-site data analysis, individual site analysis and cross-case data analysis. Checking the validity of the data was carried out by source triangulation. The research results from 2 research sites illustrate that student admission planning includes stages starting from analyzing student needs, such as planning the number of students who will be accepted, forming a new student admissions committee and holding promotions and outreach, implementing the School Environment Introduction Period (MPLS). Developing students by creating a comfortable and conducive learning atmosphere, integrating the general curriculum with character and religious education values. Organizing extracurricular activities as a means of channeling students' talents and potential. Student evaluations, attitude competency evaluations, knowledge competency and skill competency evaluations are all contained in evaluation reports in the form of student report cards, remedial implementation and teacher performance evaluations. The conclusion of this research is that student recruitment planning includes: analysis of student needs, student recruitment planning, student selection, student orientation and reporting of new student data. Student development includes coaching in the learning process, coaching in extracurricular activities and coaching students in discipline. Student evaluation includes the development of children's knowledge, reports on children's learning outcomes, remedial activities and evaluation of teacher performance. Keywords: Elementary School Students, Management olah Dasar

<span>System for university and college admission projects: Design and Implementation based on Linear Programming</span>

The rapid development of information technology and network infrastructure has brought about numerous opportunities and breakthrough applications in management and operations across all sectors of modern life, with education holding a significant position. Currently, the Ministry of Education and Training has implemented transactional portals to support universities and colleges in constructing admission plans. However, these transactional portals only provide basic support such as uploading data on lecturers, floor area, student scale, and some forms and reports. Despite some improvements, these systems are still incomplete and not consistently updated with admission plan data over the years. Additionally, there is no automated mechanism to propose an optimal solution for balancing the faculty size, student scale, and floor area to estimate admission targets for specific fields and disciplines. Therefore, we propose a new solution: building a web-based system integrated with linear programming algorithms. The goal is to optimize the admission process, balance the faculty, minimize errors, and enhance efficiency, thereby fixing the limitations of the current Ministry's system.

Students for Fair Admissions Through the Lens of Interest-Convergence Theory: Reality, Perception, and Fear

In two cases, Students for Fair Admissions, Inc. v. President & Fellows of Harvard College and Students for Fair Admissions, Inc. v. University of North Carolina (SFFA), the Supreme Court held that Harvard and UNC violated the Equal Protection Clause of the Fourteenth Amendment and Title VI of the Civil Rights Act in their use of race in their admissions process. This Article examines the SFFA decision through the lens of interest-convergence theory. This Article is novel in three respects. It is the first article to explain the SFFA decision in-depth. The opaqueness of the decision has led to significant confusion between commentators, scholars, and universities about the impact of the decision. I conclude that the SFFA decision overturned prior precedent and ended affirmative action in higher education, no matter how carefully crafted the race-conscious admission plan. I also conclude that universities will not be able to ignore the decision, or use race-neutral alternatives, to maintain a critical mass of minority students. Second, this Article is the first to explain the SFFA outcome using interest-convergence theory. I break down the separate interests of Black,[1] Hispanic,[2] White,[3] and Asian-Americans.[4] I find that Black and Hispanic interests remain served by race-conscious admission policies, but that shifting racial demographics and political power dynamics changed the decades-long White interest in supporting affirmative action. I further find that Asian-Americans have an interest in maintaining affirmative action, but that the SFFA outcome aligned with White interests because it permitted universities to continue “negative action” against Asian-Americans in favor of White students. Third, this Article is the first to explain how the perceptions of White Americans about policies that benefit minorities overrides the significant benefits they receive from diverse educational environments. I conclude that the longstanding and concrete benefits that White students receive from a critical mass of minority students on campus has become less important than the perceived threat of such admission policies to the current societal hierarchy. I conclude that interest-convergence theory explains why the Supreme Court overturned decades of precedent and university admission practices: it served the perceived interests of White Americans.

Measuring the intensive care experience of intensive care unit patients: A cross-sectional study in western China

BackgroundThe negative experiences of intensive care unit (ICU) patients seriously affect their quality of life and survival outcomes. Thus, it is of great significance to evaluate the monitoring experience of ICU patients for the clinical improvement of their experiences and promote interventions. ObjectivesThe objective of this study was to investigate patients' experiences of ICU and to understand the sources of patient experience and influencing factors. MethodsFrom November 2021 to September 2022, a cross-sectional survey was conducted with 600 inpatients from four grade A–III hospitals in western China. Data were collected using the Chinese version of the Intensive Care Experience Questionnaire. Results585 valid questionnaires were collected, the response rate was 97.5%. ICU patients in western China scored below-the-average for their intensive care experience. Family monthly income, occupation types, medical payment method, type of ICU, ICU admission plan, ICU admission times, mechanical ventilation use, fertility status, analgesia, sedation, and Acute Physiology and Chronic Health Evaluation II scores are important factors influencing ICU patients' intensive care experience. ConclusionsMedical staff need to pay attention to patient experience, improve the awareness of patient stressors and influencing factors, design nursing programs conducive to patient-positive experience, and promote interventions to further improve the long-term prognosis of patients. The results of this study can also be used as a set of nursing-sensitive indicators for evaluating nursing structure, process, and outcomes.

Slow and Steady Wins the Race: Optimization of Older Adult Allogeneic Hematopoietic Cell Transplant (Allo-HCT) Candidates

Background: Allo-HCT is the only potentially curative therapy available for many hematologic malignancies, but due to its intensity and associated toxicities, is infrequently offered to older adults. This study explored the feasibility and efficacy of individualized, geriatric assessment (GA)-guided intervention among older adult candidates for allo-HCT. Methods: Patients ≥ 60 years old that were candidates for allo-HCT were recruited between June 11, 2021 and July 1, 2022. Exclusion criteria included inability to speak English, diagnosis of dementia, and planned allo-HCT in < 1 month or > 6 months. Baseline GA was completed at time of enrollment. Subjects were prescribed multi-domain personalized geriatric intervention based on results of their individual GA. Patients were continued on geriatric intervention for up to 6 months or until transplant. A post-intervention GA was conducted after 6 months or at time of admission for allo-HCT, whichever occurred first. Metrics included in GA are defined in table 1. Subjects were provided wearable accelerometer device for activity tracking. Primary outcome of interest was change in 6-minute walk test (6MWT) and secondary outcomes included improved or maintained short physical performance battery (SPPB), receipt of allo-HCT, and overall survival (OS). Wilcoxon signed rank test was used to compare GA metrics pre- and post-intervention, and OS was estimated using the Kaplan-Meier method. Exploratory analyses included univariable modeling of association of baseline GA metrics with receipt of allo-HCT and OS. Results: A total of 63 allo-HCT eligible patients were approached, 30 consented and were evaluable. Of 33 not enrolled, 17 declined (7 due to requirement to wear accelerometer device), 7 were planned for allo-HCT in < 1 month, 4 were not interested in allo-HCT, 3 had virtual appointments with incomplete GA, 1 had dementia and 1 with anticipated allo-HCT date > 6 months. The majority of enrolled subjects were male (80%) and all were non-Hispanic, white. Median age at enrollment was 68.9 years (range: 60.8-79.2). Half (n=15) were diagnosed with acute myeloid leukemia, 40% (n=12) with myelodysplastic syndrome, and one each with chronic myelomonocytic leukemia, myelofibrosis, and non-Hodgkin lymphoma. The median time from allo-HCT-eligible diagnosis to baseline GA was 4.1 months (range: 1.2-118.9). More than half (n=16, 53.3%) of subjects received allo-HCT. Median time to allo-HCT from diagnosis was 13.8 months (range: 3.3-122.1) and from baseline GA was 4.6 months (range: 0.5-10.8). No one baseline GA metric was associated with receipt of allo-HCT (table 2). Median OS from study enrollment for all subjects was not reached (95% CI: 9.8 month-NR) with median follow-up of 14.8 months (range: 10.7-19.3). At baseline, better gait speed on 6MWT (HR: 0.72; 95% CI: 0.59-0.89, p=0.0018), SPPB (HR: 0.76; 95% CI: 0.60-0.97; p=0.02), and Montreal Cognitive Assessment (MOCA; HR: 0.72; 95% CI: 0.55-0.95; p = 0.02) scores were all associated with improved OS in univariable analysis (table 2). Pre and post-intervention GA metrics are presented in table 1. Only 14 subjects completed at least partial post-intervention GA, 12 of whom received allo-HCT. Reasons for not completing post-intervention GA included subjects declining to schedule (n=6), issues of care coordination (e.g.: frequent or prolonged hospital admissions, changes to allo-HCT admission plan; n=6), and death (n=4). Twelve subjects had both pre and post-intervention 6MWT data, 83.3% (n=10) improved by at least 50 feet. Ten subjects had both pre and post-intervention SPPB and all improved by at least 1 point or maintained a normal score (>9). Discussion: Improvement in or maintenance of 6MWT and SPPB were demonstrated in the majority of subjects with measured pre and post-intervention GA. Unfortunately, attrition was a major limitation of the study. Patterns of loss to follow-up, as well as reasons for screen failure, will be important areas for further exploration and potential targets for intervention at institutional and provider levels. Importantly, age was not associated with OS. Early education about allo-HCT paired with patient-centered goals of care conversations may be useful in identifying older adults most motivated and likely to benefit from GA-guided intervention.

Communicating a Plan for Involuntary Psychiatric Admission: A Standardized Patient Workshop Intervention for General Psychiatry Residents.

One important and often difficult act of communication common in psychiatry is communication regarding the need for involuntarily commitment for psychiatric treatment. Thus, we designed an educational workshop for psychiatry residents on how to communicate the plan for involuntarily commitment to a psychiatric hospital. Using faculty expertise, we created a protocol to guide trainees on how to structure conversations around involuntary commitment. Residents first attended a didactic on the protocol, followed by a 1-hour workshop with standardized patients (SPs) 1 week later. The workshop consisted of three 14-minute simulated scenarios with the SP with debriefing. Trainees filled out pre- and postworkshop surveys. Fifteen and 12 residents completed the pre- and postworkshop surveys, respectively. Residents' perceived comfort level in their ability to deliver involuntary commitment news significantly improved after the workshop when compared to before (3.0 vs. 3.7 for pre- and postworkshop surveys, respectively). Residents trended toward intending to make more changes to their approach after the workshop when compared to before (2.2 vs. 2.6, respectively). Feedback on the didactic and workshop were largely positive. To our knowledge, our intervention is the first designed specifically to teach psychiatry residents how to communicate to patients that they are being involuntarily committed to emergent psychiatric treatment. This educational model has potential for improving resident skills and confidence in having difficult conversations around involuntary commitment.

Educational Migration in Russian Regions: Statistical Approach

Educational migration plays an important role in the implementation of admission plans for applicants to higher education institutions in a significant number of Russian regions. The aim of the work is to find out which regions are the most attractive for graduates in terms of higher education on the basis of the study of interregional migration of university entrants, as well as to identify the factors influencing the educational attractiveness of the regions. The research methodology is based on the statistical approach, which allows us to use publicly available data from official statistics. The information base of the study was the data of the federal statistical observation forms No. VPO-1, No. OO-1, as well as other official statistical data of the Federal State Statistics Service. The methods of the study included methods of comparative analysis and descriptive statistics, methods of data mining, such as analysis of key factors of influence and clustering. The main indicator of educational migration was selected as a statistical indicator – the share of students from the total enrollment who received a previous education in another subject of the Russian Federation. The analysis revealed ten factors that have the greatest influence on the indicator of educational migration. The clustering of 83 regions according to the space of selected characteristics resulted in five clusters with different values of the indicator of educational migration and different values of indicators of the quality of life. Three territorially different educational centers of gravity were identified: “Metropolitan”, “Southern” and “Siberian”, which include 27 regions of Russia from the two best clusters by the indicator of educational migration. The regions of the Arctic zone of the Northwestern Federal District and the Far East enjoy the least educational popularity. The trend has been revealed, which is a decrease in the value of the indicator of educational migration of most regions as they move away from the “metropolitan” educational center. The results of the study can be useful to the executive authorities of the regions when solving the tasks in the sphere of educational migration flows management.

Mechanism for Implementing Land and Building Tax Distribution in Realizing Revenue Autonomy Areas in DKI Jakarta

Mechanism for Implementing Land and Building Tax Collection in Realizing Regional Revenue Autonomy in DKI Jakarta. First, the purpose of the study, to describe and analyze and explain the implementation of the withdrawal of Land and Building Tax (PBB) arrangements in the Province in DKI Jakarta and the objections that can be made by taxpayers to the APBD. To elaborate and analyze and explain the implementation of Land and Building Tax (PBB) collection to realize regional autonomy in DKI Jakarta.Second, the scope of research of the Daerh Government's authority in carrying out the collection of Land and Building Tax in DKI Jakarta regarding the scope of this research includes Land and Building Tax. The third research method is to use qualitative research methods that are normative. Fourth, the results of research that discusses the authority of the Regional Government in collecting regional Land and Building Taxes have been determined by applicable laws and regulations, in the 2022 fiscal year Revenue from the UN Reaches 25% of the Total Tax DKI The DKI Jakarta Provincial Government receives the largest tax income from the Land and Building Tax (PBB). The value reached Rp.6.32 trillion. If detailed, the figure is equivalent to a quarter of the total value of taxes that can be collected. of the admission plan. Meanwhile, the plan to collect Land and Building Tax in the 2023 fiscal year is for the DKI Jakarta Government. Fifth, Conclusion Local Original Revenue is a source of finance extracted from the relevant regional area, therefore in order to be able to finance the implementation of regional government, regions are authorized to regulate their households including increasing local original revenue from taxes and levies, especially the Land and Building Tax (PBB) of the DKI Jakarta Regional Government in practice increases Regional Original Revenue from the Land and Building Tax sector.

ANALISIS BENTUK MANAJEMEN PESERTA DIDIK DI SMTK ROTE TIMUR, KABUPATEN ROTE NDAO

This study aims to determine the form of management of students at SMTK East Rote, East Rote District, Rote Ndao District. This research is classified as qualitative descriptive research with a case study type. The collection techniques used were observation sheets and interviews. Implementation of management forms is carried out through analysis of student planning, coaching and development of students, student evaluation, and student transfers. The results of the study showed that: First, the analysis of student planning showed that it had not been fully carried out by the school, which had not fully conducted an in-depth needs study related to the new student admission plan, as evidenced by not having a single document prepared by the school management starting from the board-teachers to the foundation. Second, coaching and developing students at this stage has been carried out through intra-curricular and extra-curricular activities. Third, evaluations of students the types of evaluation students receive at school include formative evaluation and summative evaluation. Fourth, student transfers: the school is open to students who want to make transfers, either incoming or outgoing transfers, but of course, there are several requirements that must be fulfilled by the student concerned..

Migration Crises as Challenges to EU Security: History of Development and Current Condition

Problem setting. In countries with democratic regimes at the constitutional level (and Ukraine is no exception), a person, his life and health, honor and dignity, inviolability and security are recognized as the highest social value (including in Ukraine), because it forms the physical and intellectual potential of the country, ensures the existence of the system of state bodies through the taxation system, and the competitiveness of the nation in the international arena. In such regimes, the people themselves, as a collection of individuals, are recognized as the source of political power. Statements similar in content are also reflected in the Founding Treaties of the European Union, which enshrine the key goals and values of the EU, the basic principles of the European Union. Thus, Article 2 of the Treaty on the European Union defines the basic values of the EU as human dignity, freedom, democracy, equality, the rule of law, human rights, in particular of persons belonging to minorities. In addition, there is no objection to the fact that the European Union (beginning with its history from the time of the Communities) has today developed to the level of a unique integration association that has a large number of attractive characteristics for migration, primarily of an organizational and economic nature (4 freedom of movement within the EU, a single customs area, a common border, etc.). Therefore, the issue of demographic security is one of the main goals of regulating the migration policy of the EU member states to ensure the stable development of the countries. Otherwise, demographic problems can easily destabilize the normal functioning of the state in various spheres of its life (economic, political, cultural, religious, social). The subject matter of our research acquires special importance considering the fact that migration policy is assigned to the exclusive competence of the EU, not the member states. Analysis of recent researches and publications. The study of such a phenomenon as migration, its factors and consequences, historical analysis, assessment of its positive and negative sides are devoted to the work of such scientists as M. Weiner, B. Yuskiv, O. Oleksiv, R. Rachynskyi, O. Zastavna. Target of the research is to investigate the causes and consequences of migration flows, their historical origins, to analyze the migration crisis of 2015-2016 in the European Union, to consider the draft Pact on Migration and Asylum, which is intended to be a significant step towards the creation of a reliable and effective migration management system. Article’s main body. The main factors of migration flows are established: “classical (natural) factors” and those caused by “governmental-determined” governments. The historical and legal development of EU visa policy is analyzed. Normative legal acts regulating the sphere of legal status of refugees, citizens of third countries who are long-term residents, migrants and asylum seekers have been studied. The evaluation of the EU migration policy is given and its significant shortcomings are emphasized, namely its inefficiency, high cost and short-sightedness. The EU “migration crisis” of 2015-2016, the unbalanced distribution of migrants between EU member states, which is a violation of the quota-based refugee admission plan, is considered. The positive and negative sides of migration, which influence the internal policy of the member states, are weighed. An analysis of the new EU Migration and Asylum Pact, which opens up the possibility for more effective migration management in Europe, based on commitment to human rights and respect for the dignity of migrants, setting rules on how member states can show solidarity. Conclusions and prospects for the development. The authors claim that the policy of multiculturalism of the EU was effective precisely in the relatively calm second half of the 20th century, and before the beginning of armed conflicts in the East (Iraq, Syria, etc.) in the 21st century. In article proposed approaches to solving migration crisis issues, its occurrence, typification and ways to overcome it. The new Pact on Migration and Asylum was given a positive assessment and its principles were defined.

A new Application of Assignment Problems Using Three Techniques with it Comparison

The assignment models are one of the effective operations research techniques for enhancing the educational process and obtaining the desired learning outcomes. Universities organize the criteria for distributing accepted students in accordance with the central admission plan issued by the Ministry of Higher Education to their departments based on of the student’s qualifications represented in the total of his grades in the general examinations for secondary studies as a criterion that qualifies him to compete with other students, in addition to the student’s choices and the department plan. In this paper, we discuss the assignment problem (AP) in the allocation of students to college departments depending on the degree of comparison. Three techniques of assignment problem were used, namely; the Hungarian technique, the Alternative technique, and the new technique presented by Haleemah Jawad Kadhim in 2021, to find the best allocation

A Description of Interventions Prompted by Preoperative Comprehensive Geriatric Assessment and Optimization in Older Elective Noncardiac Surgical Patients.

Comprehensive Geriatric Assessment (CGA), a multicomponent, complex intervention, can be used to improve perioperative outcomes. This study aimed to describe the actions and interventions prompted by preoperative CGA and optimization in elective noncardiac, older, surgical patients. Retrospective observational study. Five hundred consecutive patients aged over 65years attending a preoperative CGA and optimization clinic in a single academic center. A retrospective review of electronic clinical records was undertaken. CGA prompted actions and interventions were categorized a priori and examined according to the perioperative pathway and frailty status. Patients received a median of nine interventions (IQR 6‒12, range 0‒28). Long-term condition medication changes were made in 375 (75.0%) patients, lifestyle advice provided in 269 (53.8%), therapy interventions delivered in 117 (23.4%), shared decision making documented in 495 (99.0%) with individualized admission plans documented in 410/426 (96.2%). Following CGA, 74/500 (14.8%) patients did not undergo surgery and were more likely to have benign pathology (69% vs 53%, P= .01), higher frailty scores (Edmonton Frail Scale 8 (IQR 5‒10) vs 4 (IQR 2-6), P < .001), lower functional status (Nottingham Extended Activities of Daily Living 33 (IQR 16‒47) vs 57 (IQR 45‒64), P < .001) or cognitive scores (Montreal Cognitive Assessment 19 (IQR 14‒24) vs 24 (IQR 20‒26), P < .001). This study provides a description of actions and interventions prompted by preoperative CGA at one center. Such a detailed exploration of the CGA process and the clinical skills necessary to deliver it, should be used to inform future multicenter studies and the development and implementation of perioperative services for older patients.

Impact of Exercise on the Complications of Corticosteroids in Patients with Graft-Versus-Host Disease Following Allogeneic Cell Transplantation: The Restart Trial

Background: Graft-Versus-Host Disease (GVHD) is a common but burdensome side effect of allogeneic hematopoietic cell transplant (HCT) occurring in 35-50% of recipients. Corticosteroids are standard of care for newly diagnosed GVHD; however, long-term use incurs multiple metabolic abnormalities including hypertension, atrial fibrillation, hyperglycemia, fat gain, muscle and bone loss. While exercise is a viable non-pharmacologic intervention that can mitigate common side effects associated with corticosteroids, no study to date has aimed to alleviate corticosteroid-induced side effects with exercise in the GVHD population. Therefore, the RESTART Trial will primarily examine the feasibility of a 12-week, virtually supervised, aerobic and resistance exercise intervention in allogeneic HCT recipients with GVHD receiving corticosteroids. Study Design and Methods: This ongoing two-arm, single center, pilot randomized controlled trial is recruiting 36 patients who are randomized to an exercise or attention control group at a 2:1 ratio. Patients are eligible if they are >18 years old, newly diagnosed with acute or chronic GVHD who are prescribed systemic corticosteroids, received allogeneic HCT (any conditioning, any donor) at Dana-Farber Cancer Institute (DFCI), and currently participate in less than or equal to 60 minutes of structured exercise/week. Exclusion criteria include a plan for hospital admission within the next 13 weeks at the time of recruitment, concurrent musculoskeletal or cardiorespiratory conditions that prevent participation in moderate-vigorous intensity exercise, any uncontrolled illness including ongoing or active infection, uncontrolled diabetes, hypertension, or thyroid disease, ongoing investigational agents, or concurrent biological, chemotherapy, or radiation therapy, active malignancy, and inability to travel to DFCI for necessary data collection. The exercise group will receive the virtually (e.g., Zoom) supervised intervention thrice weekly for 12 weeks, including aerobic-based cycling exercise performed at 50-75% heart rate maximum for 20-30 minutes and resistance exercise performed for 3 sets of 10-12 repetitions at 40-65% with 1-repetition maximum. The attention control group will receive a 12-week stretching program. The primary outcome of the study is feasibility as measured by exercise session attendance and ability to complete prescribed exercise (minutes per session). The secondary outcomes include glycemic control, body composition, physical function, and patient-reported outcomes. We will estimate the proportion and corresponding 95% exact confidence interval (CI) of the feasibility of our program in the active intervention group. We expect that the proportion is 70% or higher. If the true proportion is 70%, the probability we observe a 70% or higher feasibility rate will be 60.8%, and the length of the exact 95% CI will be roughly 40% to 44%. If the true proportion is 75%, the probability we observe a 70% or higher feasibility rate is 78.6%. Changes in secondary endpoints will be estimated by differences, percent change, or fold-change, as is customary for the endpoint. Differences between post- and pre-intervention will be assessed using paired t-test or Wilcoxon signed-rank test. This study is approved by the institutional review board at DFCI (#21-618) and is registered at Clinical Trials.gov (NCT05236062). Discussion: This first-of-its-kind study targets an understudied and vulnerable population of HCT patients where the effects of exercise have only been examined in pre-clinical settings. If positive, our findings will establish the pilot efficacy for the feasibility of aerobic and resistance exercises for patients with cancer diagnosed with GVHD who are receiving corticosteroids, providing the foundation for future larger phase II/III trials to confirm the findings and potentially establish exercise as a standard of care rehabilitation service.

Engineering personnel for the new economy

The article studies the problem of improvement of training of engineering personnel for our economics according to the new model of its development. The country needs a technological sovereignty for its sustainable development. It is essential to make structural transformation in the economy that needs competent human resources, and especially those with technical education. Technological processes are changing significantly, and, consequently, new professions and occupations are emerging. The article indicates the disproportion on the number of higher educational institutions and the number of students between two megapolises (Moscow and St. Petersburg) and all the rest regions of Russia. The analysis of the functioning of the system of higher professional education in the 2018–2019 academic year has shown excessive contingent of students in the universities of Moscow who study for a fee. The authors suggest differentiating the Bachelors and Masters’ admission plans for school and college graduates. In recent years, our country has faced a sharp reorientation of the evaluation of educational outcomes from the concept of knowledge and skills to the concept of competency. However, the accepted within the educational standards competency approach has failed to become a breakthrough in the quality of the students’ training. It has failed to introduce any cardinal changes in the process of training and up bringing itself. The standards do not contain any recommendations on working out mechanisms of formation of graduates’ competencies for higher educational institutions. The authors suggest differentiating the concept of competency by the signs of its manifestation by an employee in his professional activity. The quality of training of the university graduates is alleged to lie in the field of teacher – learner relationships. The article reveals the need for formation of psychological and pedagogical competence of university teachers and training them to apply new pedagogical methods.

Improving health services for patients with extreme obesity requiring bariatric level care at Wellington Regional Hospital: a clinical audit.

To benchmark the quality of bariatric service delivery against moving and handling and patient care best practice standards, and determine the prevalence of hospitalised patients admitted to Wellington Regional Hospital requiring bariatric level care. A clinical audit consisting of retrospective case-note review and cross-sectional survey was conducted and benchmarked against Accident Compensation Corporation (ACC) national standards. Information recorded included patient demographics, admission planning, patient anthropometric and risk assessments, provider communication, room preparation, mobilisation plan, equipment needs, space and facility design considerations, discharge planning and reportable events. A total of 574 patients were included. The prevalence of hospitalised patients requiring bariatric services was 6.4%. One third of patients (34.3%) were not identified by clinical teams as requiring bariatric support. Most bed (80%) and bathroom (83%) spaces failed to achieve the facility design standard. The majority of patient focused moving and handling hazards were documented whereas environmental hazards or equipment limitations were poorly reported. Only 26.1% of patients had a documented discharge plan. Inadequate identification of patients requiring bariatric support and insufficient documentation of bariatric service delivery were identified. Improving policy adherence will address shortcomings in the provision of a safe environment and high quality care for bariatric patients.

A day surgery admissions pathway for children and young people with learning disabilities.

Following feedback from parents and carers, a new pathway was developed by staff in the paediatric day surgery unit of a hospital in England for admitting children and young people with learning disabilities, some of whom are autistic. This article describes the All About Me pathway, which supports individualised admission planning and uses an interdisciplinary approach to enable multiple examinations or procedures to be completed under a single anaesthetic. The authors explain how the All About Me team works with families, schools and caregivers to gain a greater understanding of each child and young person. This enables the team to make reasonable adjustments to the environment and admission process to maximise the chance of a successful admission. Families have reported that the pathway has made significant improvements to their experience of healthcare services. The pathway continues to develop and has become the focus of a quality improvement project which is expected to demonstrate cost savings.

Impact of Pediatric Intensive Care Unit Preadmission Huddle on Perceptions of Interprofessional Communication About Patient Safety.

Preadmission discussions in the study institution's pediatric intensive care unit are not standardized and admission plans were thought to be disjointed, leading to a perceived lack of organization and preparation for the arrival of a critically ill child. To evaluate the impact of a new, formalized preadmission pediatric intensive care unit interdisciplinary huddle on clinician perceptions of interprofessional communication. The hypothesis was that preadmission huddles would improve unit clinicians' perceptions of interprofessional communication. Interprofessional pediatric intensive care unit clinicians (physicians, advanced practice providers, nurses, and respiratory therapists) completed surveys before and 7 months after preadmission interdisciplinary huddle implementation. Huddle compliance and perceptions of interprofessional communication in the unit were evaluated. Of 265 eligible pediatric intensive care unit admissions, 69 huddles (26.0%) occurred. The postintervention survey revealed increased odds (odds ratio [95% CI]) of responding "strongly agree" or "agree" to questions about the opportunity to "communicate effectively with health care team members" (2.42 [1.10-5.34]), "respond to feedback from health care team members" (2.54 [1.23-5.24]), and "convey knowledge to other health care team members" (2.71 [1.31-5.61]) before an admission. This study introduced a formalized huddle that improved pediatric intensive care unit clinicians' perceived communication with other health care team members in the preadmission period. Future studies are needed to determine if this perceived improvement in communication significantly affects health care outcomes of critically ill children or if these results are generalizable to other pediatric intensive care unit settings.

Peri-operative care of elective adult surgical patients with a learning disability.

People with a learning disability can experience significant problems in accessing healthcare and this may be partly reflected in worse health outcomes compared with the general population, including a shorter life expectancy. The Equality Act (2010) requires that organisations and individuals make changes to the way services are provided for all disabled people to mitigate, as far as possible, any disadvantage they may face in accessing these services. These changes are termed 'reasonable adjustments'. This article describes the reasonable adjustments that can be made to facilitate the admission of an adult surgical patient with a learning disability, and therefore reduce health inequality. Each stage of a patient's journey through the hospital needs to be anticipated and planned for. Many of these changes are not only applicable to the wider care of people with a learning disability, but also to any person who lacks capacity and who is struggling to access healthcare. Key recommendations include the development of assessment tools, pathways and policies specific to the learning disabled patient; identification of key personnel including a learning disability lead, an acute liaison learning disability nurse, pre-assessment and operating theatre personnel and ward learning disability champions; regular multidisciplinary team meetings for planning and best interest assessments; and establishing an electronic alert on the patient administration system to identify learning disabled patients. The anaesthetist, operating theatre and learning disability teams play a pivotal role in ensuring individualised admission plans are made for patients with a learning disability to reduce these healthcare inequalities and improve peri-operative care.

Multi-disciplinarity as a way to strengthen the positions of Russian technical universities in international rankings

Subject. The article is devoted to the problem of improving the ranking of the leading Russian technical universities by transforming them into multidisciplinary research universities with the limitation of technical faculties (programs) to 40–50% of the admission plan of entrants. Objectives. The study focuses on improving the position of Russian technical universities in international rankings, providing an opportunity for students to change their specialty or shape it, according to the requirements of the employer. Methods. I analyzed the structure of world-class technical universities in terms of differentiation of specialties and methods of improving the rankings. Results. The analysis shows that the leading positions in international rankings belong to multidisciplinary research universities that provide training and conduct integrated research at the intersection of different sciences. Conclusions. There is a need for gradual reforms of Russian research technical universities, in terms of compliance with global trends in multidisciplinarity, differentiation of funding, and research activities. Such reforms can be carried out in the form of mergers and creation of network structures on the basis of agreements on cooperation between technical universities and research institutes of the Russian Academy of Sciences.

Information technology in hospitalization management in a federal medical organization

The article presents the experience of organizing the management process of planned hospitalization at the Federal Center for Traumatology, Orthopedics and Arthroplasty (Cheboksary). Automation of the process of hospital admission planning, including monitoring of hospital admissions failures and the length of patient stay in the Hospital admission, organization of information support for the staff of the Center's admission department based on the developed MIS "Medialog" module, related to patient registration and registration of documents specific to the federal medical center in the Hospital admission, allowed for ongoing monitoring of hospitalization, reducing the proportion of patients waiting in the emergency department for more than 3 hours, improving the quality of patient flow planning and management.