Constant Supervision Research Articles

Место коммуникативных навыков в клинической практике врача-анестезиолога

В статье рассмотрены проблемы общения анестезиолога с пациентом и его родственниками в ключе возрастающего давления и повышения требований общества к медицинским работникам. С учетом особых условий и специфики работы врача-анестезиолога отмечена важность совершенствования навыков коммуникативной компетентности, приведены ключевые рекомендации из «Полного руководства по навыкам общения в клинической практике», рассмотрены особенности общения в периоперационном периоде и во время пребывания пациента в отделении реанимации и интенсивной терапии (ОРИТ). Во время периоперационного общения важно не только оценить состояние здоровья пациента и его готовность к оперативному вмешательству, но и заручиться доверием пациента, создать ощущение неусыпного врачебного контроля, максимально снизить уровень тревоги, сформировать партнерские взаимоотношения. Условия ОРИТ специфичны, для анестезиолога сложность общения связана с тяжестью состояния пациентов, наличием у них разного уровня сознания, которое может быть угнетено вследствие основного заболевания или на фоне седативных препаратов. Для пациента пребывание в ОРИТ — источник нравственных страданий и страха, это затрудняет сотрудничество с медицинским персоналом. Отдельно рассмотрены вопросы психологии медицинского персонала, подчеркнута важность профессионального сострадания, проведения манипуляций в оптимально комфортных и безопасных условиях. Работа в условиях постоянного стресса требует от врача-анестезиолога высокого профессионализма, морально-нравственной стойкости, навыков коммуникативной компетентности. Качественное общение с пациентом и его родственниками — значимый компонент многогранной профессии врача-анестезиолога, который позволяет найти правильные грани взаимодействия с коллегами, пациентами и осознать свою роль в сохранении личного и общественного здоровья.

The Irredeemable? How Men Convicted of Sexual Offenses Reflect and Reconcile Redemption and Condemnation Scripts on the Path to Desistance

ABSTRACT Desistance from sexual offending is of great import to scholars, practitioners, and the public. Despite theoretical advances in life course theories generally, the same work is only beginning for subgroups, like individuals convicted of sexual offenses, who may have a different desistance process than other types of offense categories due to the nature of the crime, structural disadvantage, and mandated treatment contexts. The current study considers the applicability of narrative identity theory, particularly the expression of condemnation and redemption scripts, among a sample of men convicted of sexual offenses. Using narrative analysis of in-depth interviews from a longitudinal qualitative dataset, cognitive scripts emerged in ways that uniquely apply to sex offending behavior and the experience of being labeled a ‘sex offender.’ Participants uniformly express condemnation scripts related to the labeling and structural experience of constant supervision by an array of entities, but seek and find redemption through the experiences offered in treatment. Findings from this study contribute to the growing literature on desistance from sexual offending and have implications for new theoretical developments within life course criminology.

Etyka resocjalizacji dziecka w „Konflikcie rodzinnym” Uwineza G. Sabano. Od pilnej potrzeby egzorcyzmów do imperatywu odnowy zachowań

Uwineza G. Sabano in Family Conflict presents scenarios of stormy family relationships between parents and adult children around various issues. How does the adult deploy his or her experiential know-how in order to exorcise the behavioural imposture and, in so doing, bring about an alternative way of life, the main thrust of which is ethics in behaviour? Anne Ubersfeld’s and Patrice Pavis’ theatrical semiotics and semiology guide this reflection, which is divided into three parts. At the end of the analysis, it emerges that in order to better evolve in his or her life, the child needs constant family supervision.

Engineering Master Students’ Perceptions and Attitudes toward Research Methods. The Case Study of Faculty of Sciences and Technologies, Tangier (FSTT)

The central concern of this paper is to investigate students’ perceptions about the Research Methods Course taught in English at the Faculty of Sciences and Technologies, Tangier (FSTT). The study results reveal that students find research methods extremely valuable as there has been a genuine attempt to seriously participate in mini collective research projects under constant supervision by their mentor. Students expressed a predisposition toward research. This is merely indicative of their prior mindfulness of the paramount importance of research not only in their academic trajectory, but also in their professional endeavors. Students’ familiarity with and exposure to research terminologies, such as research proposal, literature review, citing and referencing, research designs, data collection methods, data analysis and discussion, and many more has been fundamentally crucial to preparing them to take part in research activities and practices. The researcher utilizes both quantitative and qualitative research analyses by dint of an online questionnaire and focus group sessions in order to be at a better position to investigate the issue at hand, and simultaneously create an opportunity of growth. Furthermore, it is conspicuous that the findings of the current study indicate more useful implications pertinent to students’ engagement, participation and commitment in the Research Methods Course.

Application of IoT in Different Aspects of Child Care: Literature Review and Classification

Child care is one of the most responsible and rewarding jobs of all, but due to several other obligations of parents it is becoming increasingly stressful to ensure their wellbeing and safety throughout the day. Recently adoption of IoT in different folds of child care has been welcomed with open arms. Some of the most addressed areas of applications in child care involve monitoring infants, tracking a school going child, tracking nutrition intake, constant supervision of their health, providing an interactive play mate to the child in the form of toys equipped with Internet of Toys (IoToys) technology etc. Despite all the glorious advantages, there is a tremendous risk factor involved as children are the most vulnerable section of society. In this paper a systematic literature review is conducted and an attempt is made to critically analyse the dual effect of IoT in complementing the traditional process of child care. However IoT healthcare applications for children have not been explored in this paper as a substantial amount of survey literature already exists. The contribution of this paper is to provide an overall insight to the potential researchers about the issues that needed immediate attention and also intended to benefit the decision making of IoT consumers.

GEOLOGICAL NARRATIVE OF HISTORICAL GALICIAN CEMETERIES IN TERMS OF RESTORATION

The historic cemetery is an integral part of the architectural landscape of each city, the confirmation of ideology, the spiritual and economic life of its time. Cemeteries dating back to the second half of the 18th century have been preserved in many cities of Galicia. Now we call them historical cemeteries. Most of them are no longer in use and are filled not only with historical but also artistic monuments made mainly of stone. Such cemeteries require constant care and uninterrupted supervision. Preserving the physical substance of these cemeteries is a great challenge and a difficult task. To do this, it is necessary to conduct mineralogical and petrographic studies of the stone material of the historic cemeteries of Galicia. The state of preservation of natural stone, which is most common in the historical cemeteries of Galicia, was analyzed, the types of this stone damage were investigated. Also, preventive measures to preserve the stone material of the historic cemeteries of Galicia are proposed.

Identification of strategies over tools for static code analysis

Static code analysis tools are being increasingly used to improve code quality. The source code’s quality is a key factor in any software product and requires constant inspection and supervision. Static code analysis is a valid way to infer the behavior of a program without executing it. Many tools allow static analysis in different frameworks, different programming languages, and detecting different defects in the source code. Different strategies of using static code analysis tools are often used, and these strategies are not classified. In this paper, an experiment was conducted on different tools and their use in relation to the standard code review cycle. The identified strategies for using static code analysis tools and the steps required to implement them are presented. When using the tool, users should choose one of the identified strategies to implement following the defined steps for successful implementation.

Overview of the factors affecting the gas odorization

Due to rapid advancement in technology, the odorization process in Poland seems to be increasingly stabilized in practice and conducted at a sufficiently high level. International standards are adopted in this regard. One of the most important requirements for the natural gases quality delivered to customers from a distribution network, guaranteeing their safe use is ensuring an appropriate odorization level, allowing to detect the uncontrolled gas leakages from the distribution network, installation and gas appliances. The odorant concentration in its dosing point should ensure the intensity of the gas odor at the “clearly perceptible” level at the network end point. The odorant concentration variability in the gas network is a dynamic value, constantly accompanying the odorizing process. In consequence constant metrological supervision over the process is needed (what might be done by measuring the odorant concentration and gas odor intensity). Also, verification of undergoing periodic changes in the value of the minimum concentration of odorant in the gas for the respective groups of natural gases and various gas pipelines based on operational experience and field measurements is required. Such verification allows to determine the optimal concentration of odorant for each group of natural gases and furthermore allows to optimize the cost of gas odorization process while ensuring its legally required quality described as odor intensity. This article presents the problem of the dependence of the network gas odorization effectiveness on various factors, especially network parameters or even the gas composition itself. Their identification allows to better plan the process and ensure its effective implementation, which ultimately ensures safety for gas users.

Operational vibration of a waterjet focuser as means for monitoring its wear progression

Abrasive waterjet cutting is a competitive manufacturing technology in the aerospace, defense, and automotive industries. End-user requirements are currently pushing machine builders to improve the automation of their processes, in an effort to reduce costs and downtimes, as well as increase robustness and stability. On this regard, the waterjet focuser is a critical component, as its fast wear progression requires constant human supervision, for promptly detecting detrimental effects on the cutting performance. This paper describes an innovative approach for in-line monitoring the wear progression of a waterjet focuser, by means of an accelerometer installed on its tip. This result is allowed by two separate studies of the focuser, of which the first investigates the sensitivity of its first mode frequency to the wear progression, while the second demonstrates the possibility of tracking said frequency from the in-line vibration signal delivered by the accelerometer, during operation. The presented setup makes use of low-cost sensing hardware that can be easily retrofitted into the design of waterjet focusers. The information delivered is expected to tackle end-user requirements for improved process automation.

Epidemiology of pediatric trauma in the Kingdom of Bahrain: a national pediatric trauma registry pilot study

BackgroundA pediatric trauma registry for the Kingdom of Bahrain would be a novel public health tool for the Bahraini health system. The aim of this study was to explore the epidemiology of pediatric trauma at the national level by describing the distribution of pediatric injury in the Kingdom, and quantifying the burden of injury shouldered by the study population.MethodsThis multicenter observational cross-sectional study was conducted in Bahrain using data from the Pediatric Trauma Registry (PTR), which was a short-term paper-based prospective trauma registry that collected data over a three-month period in 2018. PTR was based in the pediatric emergency departments (ED) of the three national referral hospitals in the Kingdom. By simultaneously collecting data from all three trauma hospitals in the country, it was assumed that during the data collection period all major pediatric trauma patients in the country would be captured by the study, and that the data collected would provide national estimates of trauma. Inclusion criteria for the study was any individual under the age of 14, that arrived at the ED seeking care for intentional and unintentional injuries.ResultsA total of 1328 patients were included in the study. Sixty-nine percent of patients were treated and discharged from the ED, 30.5% were admitted to the hospital, admitted for surgery, or seen by a specialist, and 0.5% were declared deceased. The percentage of patients documented as unrestrained during Motor Vehicle Collisions (MVC) was 92.3%, and amongst those involved in MVC, 12% were ejected from the cabin of the vehicle.ConclusionsThere are significant implications that this study holds for policy implementation and practice surrounding injury prevention in the Kingdom of Bahrain. Low seatbelt utilization and the high proportion of ejection amongst MVC victims warrant immediate public health policy implementation, including enforcement of seat belt laws, strengthening of the traffic court system, and awareness campaigns for MVC prevention. Additionally, pediatric drowning prevention programs centered on constant adult supervision, pool isolation fencing, personal flotation devices, and swimming education should be created to address the mortality attributable to drowning in this study.

Design of Intelligent Control and Monitoring System for Agriculture Based on Renewable Energy and IoT

As the population rises, agriculture is becoming a big growth field worldwide. Improving production and farm efficiency without constant manual supervision to satisfy the rising demand for food is a major challenge in agriculture. Climate change is also a significant issue for the agriculture industry, aside from the growing population. The research aims to provide the Internet of Things (IoT) with an intelligent agriculture system. Intelligent farming that provides high precision crop management, helpful data collection and automatic farming techniques can be used. This work provides an intelligent framework to track ground moisture and temperature in agriculture. Without human interference, appropriate action is taken after analyzing sensed data dependent on these principles. Temperature & relative humidity are assessed and processed for further data analyses in the Thing Speak Database.

Political corruption as a threat to ukrainian national security. The article examines political corruption as one of the biggest threats to Ukraine's national security

The current state of corruption in our country in accordance with the statistical indicators of international independent organizations has been studied. The determinants of political corruption have been identified, in particular: direct political, legal and managerial. Regulations in the field of preventing and combating corruption in Ukraine are analyzed. The subjects of anti-corruption in our state have been identified. Based on the analysis, it is proposed to add civil society institutions to the list of authorized entities to increase public confidence in public authorities, as well as for constant control and supervision. It is determined that the level and scale of corruption in Ukraine, the effectiveness of combating corruption processes largely depend on the integrity of elected officials, the democracy of the political system in general and the electoral process in particular. Recent election campaigns in Ukraine show that gross violations of democratic principles of expression of will (government interference in the election process, voter bribery, illegal court decisions) have led to the fact that most elected positions are held by persons who do not meet integrity standards. It is stated that the main content of political corruption is corrupt forms of dynamic policy implementation, abuse of power, lobbying for political and economic decisions beneficial for corporate groups, political patronage, bribery, etc. The content is also a set of different in content and degree of public danger of illegal acts committed to achieve political goals, significantly affect the formation and functioning of government and administration, their adoption and implementation of political decisions, distorting the political and economic course of the state. It is concluded that political upheavals, deepening the gap in the social stratification of society, criminalization of all spheres of public life, manifestations of regional separatism, confessional and other confrontation - this is not a complete list of consequences of political corruption in Ukraine. The presence of the above negative phenomena indicates the low efficiency of legal regulation of social relations, internal threats to both man (citizen), society and the state, and the threat of degradation of the legal system of the state. This is a consequence of the existing political corruption in Ukraine, a manifestation of the fact that the legal system of Ukraine does not meet the new requirements of society.

Does Local Coherence Lead to Targeted Regressions and Illusions of Grammaticality?

Local coherence effects arise when the human sentence processor is temporarily misled by a locally grammatical but globally ungrammatical analysis (The coach smiled at the player tossed a frisbee by the opposing team). It has been suggested that such effects occur either because sentence processing occurs in a bottom-up, self-organized manner rather than under constant grammatical supervision, or because local coherence can disrupt processing due to readers maintaining uncertainty about previous input. We report the results of an eye-tracking study in which subjects read German grammatical and ungrammatical sentences that either contained a locally coherent substring or not and gave binary grammaticality judgments. In our data, local coherence affected on-line processing immediately at the point of the manipulation. There was, however, no indication that local coherence led to illusions of grammaticality (a prediction of self-organization), and only weak, inconclusive support for local coherence leading to targeted regressions to critical context words (a prediction of the uncertain-input approach). We discuss implications for self-organized and noisy-channel models of local coherence.

Historical analysis of the development of powerlifting. Powerlifting. Stages of the learning process. Competition texchniques

At the present stage of the study, powerlifting is one of the priority sports in Ukraine among various segments of the population. This is a fairly new and modern sport with a huge history, which has played an important role in the formation and implementation of sports activities.
 The popularity of powerlifting is due to its simplicity, accessibility for a large number of categories of the population, fast results with the right technique and strong-willed qualities of character, it is also important to have a positive impact on the athlete's health. and the psychological state of man.
 Powerlifting classes increase muscle strength, strengthen ligaments and joints, help to develop endurance, flexibility and other physical qualities, cultivate willpower, self-confidence, increase the efficiency of the whole organism.
 Strength sports have always been popular among athletes and people who strive to lead a healthy lifestyle. Recently, this area of sport is developing particularly rapidly, such relatively new types as bodybuilding, powerlifting, bench press, arm wrestling, armlifting, workout have become widespread. The main problem faced by athletes and coaches is the almost complete lack of competent training systems for these power sports, as well as in the process of competitive training: the requirements and features of competitive activities. The reason is clear and quite objective - the relative novelty and lack of theoretical basis. Now the only possible way to create a training technique is mechanical borrowing from other sports, mainly from weightlifting.
 Powerlifting (from English. Powerlifting, power - strength, lifting - lifting) - power triathlon, includes three competitive exercises with a barbell: squats, bench press and traction.
 Powerlifting sports training is a process aimed at comprehensive and systematic improvement of all physical and moral qualities that are leading in this sport. Sports training in powerlifting includes training in the technique of competitive exercises (squats, bench press, traction position) and the development of physical qualities with special auxiliary exercises with a barbell and other types of weights.
 Despite the fact that powerlifting does not require special technical skills. The three movements of the competition look simple and, it would seem, with some physical strength you can show significant results. However, as in any other sport, powerlifting has many nuances and factors, despite which it is impossible to talk about any results. First of all, these are the general basics of technique, as well as individually selected techniques and training methods that take into account age, anatomical, biomechanical, psychological characteristics of the athlete, his physical fitness. Since all three movements in powerlifting are associated with a heavy load on the joint and musculoskeletal system, any serious powerlifting is impossible without constant medical supervision (at least once a month). Not the last role is played by the training and competitive equipment meeting the requirements of the international standards and the equipment of the athlete.

Autonomous robotic rock breaking using a real‐time 3D visual perception system

AbstractCrushing of blasted ore is an essential phase in extraction of valuable minerals in mining industry. It is typically performed in multiple stages with each stage producing finer fragmentation. Performance and throughput of the first stage of crushing is highly dependent on the size distribution of the blasted ore. In the crushing plant, a metal grate prevents oversized boulders from getting into the crusher jaws, and a human‐controlled hydraulic manipulator equipped with a rock hammer is required to break oversized boulders and ensure continuous material flow. This secondary breaking task is event‐based in the sense that ore trucks deliver boulders at irregular intervals, thus requiring constant human supervision to ensure continuous material flow and prevent blockages. To automatize such breaking tasks, an intelligent robotic control system along with a visual perception system (VPS) is essential. In this manuscript, we propose an autonomous breaker system that includes a VPS capable of detecting multiple irregularly shaped rocks, a robotic control system featuring a decision‐making mechanism for determining the breaking order when dealing with multiple rocks, and a comprehensive manipulator control system. We present a proof of concept for an autonomous robotic boulder breaking system, which consists of a stereo‐camera‐based VPS and an industrial rock‐breaking manipulator robotized with our retrofitted system design. The experiments in this study were conducted in a real‐world setup, and the results were evaluated based on the success rates of breaking. The experiments yielded an average success rate of 34% and a break pace of 3.3 attempts per minute.

Propaganda de Medicamentos no Brasil: o que mudou?

A indústria farmacêutica utiliza a propaganda de medicamentos como principal instrumento para influenciar prescritores e promover a venda. A fim de orientar este mercado, a Regulação Sanitária brasileira iniciou-se em 1976 com a criação da Lei de Vigilância Sanitária nº 6.360. Os critérios éticos para a propaganda de medicamentos no Brasil estão orientados por normas definidas pela Organização Mundial de Saúde (OMS), em 1988, sendo a base para a elaboração da Resolução da Diretoria Colegiada 96/2008 atualmente vigente. Para entender a atual conjuntura, o presente estudo verificou a legitimidade do conteúdo das peças publicitárias de medicamentos direcionadas ao público usando como norte regulatório as exigências da Agência Nacional de Vigilância Sanitária. Dentre as não conformidades nas propagandas, pode-se destacar que 65% das peças não possuíam a frase preconizada ‘Se persistirem os sintomas, o médico deverá ser consultado’. Os resultados obtidos reiteram a necessidade de constante fiscalização das peças publicitárias, a fim de que os danos à saúde da população sejam mínimos.

ANALISIS KEPERCAYAAN DIRI ANAK USIA DINI DALAM KAJIAN STUDI SOSIAL

Experts reveal that the socio-emotional development of children aims to find out how children are responsible for themselves and others in the social sphere. The environment around children has a role in influencing children's emotional development and can be a source of problems for children if they get inappropriate behavior, such as being selfish, not confident, and so on. Therefore, teachers or parents must create a peaceful environment so that there are no problems in children's emotions. This study aims to describe how children's self-confidence is seen from social studies studies. There are several solutions that parents can take in this case: (1) Spending quality time with their children; (2) Provide opportunities for children to mingle with the surrounding environment under constant supervision, (3) Enough in giving praise, flattery, gifts so that children are not accustomed to doing something in return, (4) Always teach and instill in children the meaning of the proverb "there is a sky above". Langit", (5) Not prioritizing physical punishment (pinch, hitting, etc.) when a child makes a mistake, but warns with words first, and (6) Provides opportunities for children to show or do things they like.

The Impact of Reduced Training Activity of Elite Kickboxers on Physical Fitness, Body Build, and Performance during Competitions.

Background: Kickboxing is a combat sport where athletes require constant supervision of a coach. The outbreak of the pandemic caused by SARS-CoV-2 has led to a crisis in many sectors, including sport. Global efforts to limit the spread of the pathogen resulted in temporary lockdowns that limited sporting activity, thus deteriorating athletes’ physical fitness. Methods: The participants included 20 kickboxers competing at the international level. Their physical fitness was evaluated based on the test developed by the International Committee on the Standardization of Physical Fitness Test (ICSPFT) and their body build was assessed using Tanita BC601 body composition monitor and a body height meter. Differences between physical fitness before the COVID-19 outbreak and during the pandemic after re-opening sports facilities were evaluated. Results: Temporary closing of sports clubs has led to the increase in body mass of the participants by 2.65 kg on average and significantly deteriorated physical fitness. Conclusions: Temporary closing of sports clubs and restrictions on physical activity aimed at containing the spread of COVID-19 caused a significant reduction in physical fitness and increased body mass of the participants. This is likely to cause worse performance in the nearest competitions and have a negative impact on the athletes’ health status and immunity to diseases.

Toxocarosis in the guise of tuberculosis

The variety of clinical manifestations and the absence of strictly specific features make tuberculosis and toxocariasis difficult to diagnose and treat. Doctors of various specialties are engaged in the diagnosis of toxocariasis, depending on which organ system is affected in a person and with whatsymptoms he turned to a medical institution.Purpose: to describe the case of detecting toxocariasis in a child who was treated in a tuberculosis hospital from a bacillary family contact with pronounced indicators of immunological tests and revealed changes during CT scan of the chest organs.A complex differential diagnostic path and constant medical supervision made it possible to establish a rather rare disease - toxocariasis in a child from family contact with a patient with tuberculosis.Conclusion. In the differential diagnostic series in patients withtuberculosis, the presence of parasitic diseases with a similar clinical and radiological picture cannot be excluded.

Urban Mental Health Initiative: Developing Interdisciplinary Collaboration, the Role of the Family Physician in Management of Severe Mentally Ill Patients

Introduction: Mental health in Iran was approved in 1988. However, and then this program was integrated into the primary care system in our country and was implemented within the villagers' family physician program with great success. In urban areas, there is no structured health network. However, regarding the demographic changes in the country's population, huge sprawling of cities, and the changes in urban-rural population proportion, demands for a coherent plan to provide mental health services to the urban population are felt more than ever. This study aimed to investigate the feasibility and establishment of a model of urban mental health network for severe psychiatric patients. Methods: This plan is based on resource reviews, Use the experiences of other countries, Model World Health Organization, The services available in the country currently run by the beneficiary organizations, Description of the responsibilities of the responsible organizations, Collaboration between the Ministry of Health and various organizations responsible for mental health, Having the views of national expert and international constant in this field from other countries cooperated with the aim of examining how to compile a coherent and integrated urban health service plan. This model is estimated by community-based services for 100,000 people. Results: The proposed model for providing immediate psychiatric services with greater cohesion and increasing training and skills capacity among staff 110, 115, 1480, and 123 services, as well as a space for hospitalization of 3 to 5 emergency patients next to the public hospital, is recommended. Depending on the number of patients in a population of 100,000, we will need community-based services, including 2 to 3 home visit teams to cover 80 patients per team, and 3 daily centers to provide services to 40 patients. If community-based services are provided, we will need 12 acute psychiatric beds and 5 beds for mid-term rehabilitation to provide inpatient services. In terms of employment and accommodation, 50 patients will need supported employment, respectively, and two apartments with an area of about 60 meters will be needed to accommodate about eight people. The provision of the above services requires the equal participation of the interested organizations. The family physician will play an essential role in continuing medical care for severe and mild psychiatric patients under the constant supervision of specialists Discussion and Conclusion: To achieve a better model of mental health services in cities that can cover a wide range of people in urban areas and at various levels from prevention and care to treatment and rehabilitation, we need the coordination between the organizations providing these services for the accurate planning of the interests of each organization, elimination of duplicate services, and saving human capital and resources of the country.