Introduction Of New Procedures Research Articles

Bridging Sustainable Development Goals and Land Administration: The Role of the ISO 19152 Land Administration Domain Model in SDG Indicator Formalization

This study illustrates the linkages between the ISO’s Land Administration Domain Model (LADM) and the UN’s sustainable development goals (SDGs), highlighting the role of the LADM in promoting effective land administration suitable for efficient computation of land/water (space)-related SDG indicators. The main contribution of this study is the formalization of SDG indicators by using the ISO standard LADM. This paper proposes several SDG-indicator-related extensions to the multi-part LADM standard that is currently under revision. These extensions encompass the introduction of new procedures for calculating indicators, the integration of blueprints for external classes to fulfil additional information needs and the design of interface classes for presenting indicator values across specific countries and reporting years. In an innovative approach, this paper introduces the Four-Step Method—a powerful framework designed to formalize SDG indicators within the LADM framework. Detailed attention is devoted to specific indicators, including 1.4.2 (secure land rights), 5.a.1 (women’s agricultural land rights), 14.5.1 (protected marine areas) and 11.5.2 (valuation as a basis for direct economic loss). In short, the Four-Step Method is pivotal in eliminating ambiguities, enhancing the efficiency of indicator computation and securing more accurate indicator values that more truly reflect the progress towards SDG realization. This approach is also expected to work with other (ISO) standards for other SDG indicators.

A Process Modelling Morphology to Support Process Analysis and Development in Change Processes

AbstractProcess modelling (PM) is used to support designers by providing guidance on what needs to be done. Change processes in development organizations accompany introduction of new procedures, new methods (also digital form), tools that have to integrated into existing processes. Objective of this paper is to provide guidance to designers in selecting the appropriate PM language to support structured changes in processes. Requirements are derived from frequent change needs in SME and a PM morphology is provided assisting the selection and use of suitable PM languages for change processes.

"All change!": Ten years that change the face of oncoplastic breast surgery

Introduction: The last ten years of oncoplastic breast surgery (OBS) has led to multiple changes to technique and the introduction of new procedures. We aimed to set out the changes and surgical evolution that have occurred in OBS practice in Manchester.

ЦИФРОВОЙ УНИВЕРСИТЕТ - УНИВЕРСИТЕТ 4.0

The article addresses how the education system can be modernized through digital transformation and the construction of a Digital University, also known as a University 4.0. The main challenges of implementing a new educational system are discussed, as well as approaches to solving them.The introduction of new procedures for the design, production, systematization, storage, and transmission of educational content, as well as the modernization of the management and administration of the educational process, are the major tasks in developing a new electronic university. The introduction of e-learning is based on integrated organizational and functional structures, IT architectures with their own rules, responsibilities, people, processes, systems of interaction and relationships, i.e. a new business structure that is built into the university system's overall corporate information system and business architecture.The article describes the university's business processes, services, and IT infrastructure that support the University 4.0's smooth operation.

Application of the single-engine taxi-out procedure for commercial transport, focusing on the Airbus A320 fleet

There is currently a lot of pressure on airlines to reduce emissions, noise and fuel consumption. Another aspect is the drive to reduce operating costs, which leads to investment into the new technologies and also to the introduction of new procedures. One of these procedures is the so-called 'Single-engine Taxi-out', which aims to save fuel during taxiing. Together with this, the costs for the entire flight are reduced. Research at the department of Air Transport at the Faculty of Transportation Sciences of the Czech Technical University in Prague is underway to reduce the financial costs and emissions produced during each flight. One successful solution is to reduce emissions and the associated cost by using single-engine taxi procedures.

Fluorescent angiography in colorectal surgery, the influence of augmented reality in the operating room on the anastomotic leakage after low rectal resection

Near-infrared (NIR) fluorescence angiography (FA) is an augmented reality (AR) technique. When used in the operating room, it allows colorectal surgeons to visualize and evaluate intestinal blood flow in real time, identify lymph nodes, ureters, or peritoneal metastases. Evaluation of perfusion with FA in augmented reality mode has an impact on reducing the ALR (anastomotic leakage rate) in rectal resections. Data analysis of patients after minimally invasive surgery (MIS) for middle and lower rectal adenocarcinoma with total mesorectal excision (TME) using fluorescent angiography (FA) with indocyanine green (ICG) (100 patients, 20152019) were subsequently compared with a historical control group (100 patients) operated on for the same diagnosis before the introduction of the FA-ICG method (20122015) using minimally invasive approach (MIS). The patients were operated on consequently at one workplace. In fifteen patients (15%), the resection line was shifted due to insufficient perfusion detected by FA-ICG. The incidence of AL was lower in the group with FA compared to the group without FA (9% vs. 19%, p=0.042, χ test). A retrospective analysis of the group revealed a significant risk factor (RF) for the anastomotic leak, namely diabetes (p=0.036) and, among others, a protective factor, application of the transanal drain (NoCoil) (p=0.032). The introduction of new procedures and the use of new technologies, such as the use of the FA method in the AR mode in resections of the rectum with TME for cancer can lead to a reduction in the incidence of anastomotic leakage.

ФОРМЫ ВНЕСУДЕБНОГО УРЕГУЛИРОВАНИЯ НАЛОГОВЫХ СПОРОВ: ПРАВОВАЯ ПОЛИТИКА СОВЕРШЕНСТВОВАНИЯ

Every citizen of the Russian Federation in everyday life directly or indirectly becomes a participant in tax relations, which are regulated by the Tax code. Since legal acts and laws are quite ambiguous, and the activities of the state are associated with the seizure of property from individuals and legal entities, the emergence of tax conflicts is inevitable. Compromise forms of pre-trial settlement of conflicts are particularly relevant in modern tax relations. They contribute to the emergence and development of trust and fruitful relations between citizens and representatives of tax authorities on the basis of cooperation. The introduction of such procedures as direct negotiations between the parties, mediation and arbitration allow not only to resolve tax disputes promptly, minimize the costs of the parties, reduce the periods of consideration, but also contributes to the unloading of arbitration courts. This article discusses all forms of pre-trial settlement of tax disputes, examines their strengths and weaknesses, the synergetic effect of these forms with preventive and Advisory methods, as well as the introduction of new procedures for the settlement of tax disputes.

THE MAIN TRENDS IN THE DEVELOPMENT OF STATE LAND SUPERVISION ON THE EXAMPLE OF THE NOVOSIBIRSK REGION

The article deals with the main trends in the development of state land supervision (GZN), identified according to the analysis of the results of the implementation of GZN in the Novosibirsk region for the period from 2014 to 2018: changes in legal acts regulating the organization and implementation of GZN; the introduction of new procedures for control and supervision; the use of a risk- oriented approach in the implementation of GZN; the introduction of a system for assessing the effectiveness and efficiency of control and supervision; tightening responsibility for violation of land legislation.

The System of Procedural Groundings to Stay Criminal Procedure in Legislation of the Russian Federation

The optimization of individual institutes of criminal procedure legislation contributes to the improvement of domestic criminal proceedings as a whole. One of the most important activities of the legislative bodies in this area is the further rationalization of the criminal case at each stage of the criminal process in accordance with the Russian legislation on the appointment of criminal proceedings. To date, this kind of optimization is impossible without an analysis of established practice and the development on its basis of proposals to improve the institution of suspension of criminal proceedings. In turn, the key place in this legal institution is occupied by the system of procedural grounds for the suspension of criminal proceedings. A balanced, well-thought-out and scientifically justified activity of legislative bodies in this area predetermines the reduction of the risks of reducing the level of protection of the rights and legitimate interests of participants in criminal proceedings. In addition, qualitatively new approaches to solving this problem, improvement of existing and introduction of new procedures in the mechanism of implementation of the Institute of suspension of criminal proceedings can change in a positive way the investigative and judicial practice, minimizing the possibility of artificial (unreasonable) delay of criminal proceedings and adoption of a final decision on it.

Are NICE processes fit for the evaluation of new interventional procedures?

The recent changes in the guidance issued by the National Institute for Health and Care Excellence (NICE) regarding the use of endovascular aneurysm repair highlight many of the difficulties faced in the evaluation and introduction of new interventional procedures. This paper questions whether the current processes for evaluation, largely based upon cost-utility analysis, are adequate to address the issues raised by such technologies. In particular, it considers the implications of rapidly evolving technologies, time preferences and process utilities for the evaluation and introduction of new procedures and devices.

Introduction and adoption of innovative invasive procedures and devices in the NHS: an in-depth analysis of written policies and qualitative interviews (the INTRODUCE study protocol)

IntroductionInnovation is key to improving outcomes in healthcare. Innovative pharmaceutical products undergo rigorous phased research evaluation before they are introduced into practice. The introduction of innovative invasive procedures and devices...

Contextual determinants of CHILDREN\u2019S health care and policy in Europe

BackgroundThe main objective of this study was to explore the contextual determinants of child health policies.MethodsThe Horizon 2020 Models of Child Health Appraised (MOCHA) project has one Country Agent (CA) in all 30 EU and EEA countries. A questionnaire designed by MOCHA researchers as a semi-structured survey instrument asked CAs to identify and report the predominating public and professional discussions related to child health services within the last 5 years in their country and the various factors which may have influenced these. The survey was issued to CAs following validation by an independent Expert Advisory Board. The data were collected between July and December 2016.The data was qualitatively analysed using software Nvivo11 for data coding and categorization and constructing the scheme for identified processes or elements.ResultsContextual determinants of children’s health care and policy were grouped into four categories. 1) Socio-cultural determinants: societal activation, awareness, communication, trust, freedom, contextual change, lifestyle, tolerance and religion, and history. 2) Structural determinants which were divided into: a) external determinants related to elements indirectly correlated with health care and b) internal determinants comprising interdependent health care and policy processes. 3) International determinants such as cross-nationality of child health policy issues. 4) The specific situational determinants: events which contributed to intensification of debates which were reflected by behavioural, procedural, institutional and global factors.ConclusionsThe influence of context across European countries, in the process of children’s health policy development is clearly evident from our research. A number of key categories of determinants which influence child health policy have been identified and can be used to describe this context. Child health policy is often initiated in reaction to public discontentment. The multiple voices of society resulted, amongst others, in the introduction of new procedures, action plans and guidelines; raising levels of awareness, intensifying public scrutiny, increasing access and availability of services and provoking introduction of structural changes or withdrawing unfavourable changes.

MP09: Critical care skills training day for emergency medicine residents: A curriculum in evolution

Introduction: Emergency medicine (EM) residents are expected become proficient in a number of rarely performed, high risk procedures. We developed Critical Care Skills Training Day for senior FRCP and CCFP EM residents at a single university program to fill a gap in resident confidence with these procedures. The day applies principles of deliberate practice with focused feedback using simulation-based training for several rarely performed procedures including thoracotomy, fibre-optic intubation, pericardiocentesis, resuscitative hysterotomy and central line insertion. The objectives of this work was to improve the residents’ scores of self-perceived comfort independently performing these procedures by completion of the training day. Methods: Clinician educators, residency program directors and simulation specialists designed and taught the curriculum. We used pre- and post-training day surveys blending Likert, multiple choice and free text comments to measure comfort performing each procedure, overall satisfaction and usefulness of this training. Descriptive statistics were used to analyze results. Pre-post differences were assessed using paired sample T-tests. Comments and themes from course evaluations were used to make yearly iterative changes. Results: A total of 95 residents completed the curriculum between 2016-2018. 89 completed evaluations (93%). Residents reported significant (p < 0.05) improvement in comfort independently performing fibre optic intubation, thoracotomy and central line insertion. The day was rated very highly, 9.4/10 (SD, 0.72), over 3 years. Feedback was positive with participants identifying opportunities for repeated practice, feedback from instructors and practical tips to improve performance as valuable aspects. Iterative changes were made yearly in response to resident feedback including introduction of new procedures, incorporating skills into sim-based cases, and different training models for skill training. Conclusion: Critical Care Skills Training Day for EM residents was created using the principle of deliberate practice to fill a perceived gap in resident training. Residents who completed the annual curriculum showed a marked increase in comfort independently performing several of the procedures. Ongoing challenges include the length of the day, economies of scale, and training models available for the rare procedures. Future directions include the integration of longitudinal objective performance evaluations to align with the competency by design curriculum.

The regulations of agreement between defense and prosecution in criminal procedure: State and development perspectives

The problem of current criminal procedural legislation improvement still retains a high degree of urgency. And one of the promising trends of such a development is the clarification of contractual regulation place and content in the field of criminal justice and, accordingly, the optimization of its parameters, which acquires a special significance in the context of a number of negative criminal trends development in Russian Federation, forming the prerequisites for their localization and overcoming. The specificity of a current criminal situation and the alarming forecasts of its development predetermine the activity of society and the state in search of optimal ways to increase the efficiency of criminal proceedings, also by improving the norms that support the existence and the actual content of contractual relations in criminal proceedings. Negative trends in crime and the declining of clear-up rate reveal that traditional, established legal institutions aimed at the elimination of the criminal-legal conflict between the state and the person who committed the crime, as well as its causes, can not always be applied effectively and require qualitatively different approaches to solve this problem, the introduction of new procedures to stop the expansion of crime

South Africa’s Proposed Exit from the Rome Statute: Alternative Perspectives

AbstractIn the aftermath of the Omar al Bashir case, South Africa’s engagement with the International Criminal Court (hereafter the ICC) is at an anti-climax. Conventional perspectives from the decisions of the ICC assert the sanctity of treaty obligations. However, alternative perspectives can be explored. There is a need to address continuing dissatisfaction with and limitations of the Rome Statute. Dissent by States parties may signal need for review of the treaty and introduction of new procedures for conducting consultations with States to improve compliance. The Rome Statute does not deal with resolving on-going armed conflicts and should be complemented by alternative processes for addressing such threats to peace and security. Withdrawal from treaties is a normal fact of life in the international legal system. States exit from treaties when changed circumstances, shifting domestic priorities, or dissatisfaction with treaty-based institutions create tensions between national interests and international commitments. This would not necessarily be regarded as retrogressive. Exit by a significant number of important states may be the catalyst required for reform of contentious aspects of the treaty system. Therefore, South Africa’s proposed exit from the Rome Statute can be a potentially positive development.

P198] Cone beam CT as a clinical QA tool for prostate MRI-only workflows

Purpose Magnetic resonance imaging (MRI) only radiotherapy has in recent years been introduced as a clinical workflow for prostate cancer patients. MRI only radiotherapy is performed without computed tomography (CT) and instead, a synthetic CT (sCT) is used for treatment planning. With the introduction of new procedures for treatment planning, development of quality assurance (QA) tools must be considered. Today, no such tool has yet been presented. The aim of this study was to develop a clinically feasible QA procedure for sCT using the kV-cone beam CT (CBCT), in an MRI-only workflow for prostate cancer patients. Methods Three criteria were addressed; 1. Stability in Hounsfield Units (HUs), 2. Deviations in HUs between the CT and CBCT and 3. Validation of the QA procedure. For the two first criteria, phantom measurements were performed. For the third criteria, sCT, CT and CBCT for ten patients were used. Treatment plans were created based on the sCT (MriPlannerTM). CT and CBCT images were registered to the sCT. The treatment plan was recalculated on the CT and CBCT. Dose-volume histogram (DVH) metrics were used to evaluate dosimetric differences between the sCT plan and the recalculated CT and CBCT plans. Well defined errors were artificially introduced in the sCT for one patient to evaluate efficacy of the QA procedure. Results The kV-CBCT system was stable in HU over time (SD Conclusions The results in this study indicates that CBCT can be used as a clinically feasible QA tool for MRI-only radiotherapy of prostate cancer patients. The proposed method could easily be integrated in any modern image guided radiotherapy workflow without extensive work.

THE ROLE OF NAVIGATIONAL AIDS IN FLIGHT SAFETY MANAGEMENT WITHIN ICAO GLOBAL AIR NAVIGATION PLAN

The development of the global civil aviation is provided on the basis of the ICAO Communication and Surveillance/Air Traffic Management Concept, which has determined the basic strategy for further commercial flight management effectiveness improvement. On the basis of this concept a Global Air Navigation Plan has been developed by ICAO recently. The core strategies of CNS/ATM concept were specified and combined into so-called blocks. Thus the term Global Aviation System block upgrade has been introduced. At the same time, GANP states that the introduction of new procedures and flight management systems will inevitably affect flight safety. Accordingly, there is a task of flight safety management level maintaining, or even increasing within the Global Air Navigation Plan implementation. Various air navigational aids play a significant role in the process as they are directly associated with the new systems and structures introduction. This breeds the new global challenge of flight safety management level change assessment during the introduction of new procedures and systems connected with the use of both navigational aids and instruments. Some aspects of this problem solution are covered in the article.

Ongoing evolution of practice gaps in gastrointestinal and endoscopic surgery: 2014 report from the Society of American Gastrointestinal and Endoscopic Surgeons (SAGES) Continuing Education Committee.

In an effort to fulfill the charge to develop and maintain a comprehensive educational program to serve the members of the Society of American Gastrointestinal and Endoscopic Surgeons (SAGES), the SAGES Continuing Education Committee reports a summary of findings related to the evaluation of the 2014 SAGES annual meeting. All attendees to the 2014 annual meeting had the opportunity to complete an immediate post-meeting questionnaire as part of their continuing medical education (CME) certification, and identify up to two learning themes, answer questions related to potential practice change items based on these learning themes, and complete a needs assessment for relevant learning topics for future meetings. In addition, participants in the postgraduate and hands-on courses were asked to complete questions about case volume and comfort level related to procedures/topics in those courses. All respondents to this initial survey were sent a 3-month follow-up questionnaire in which they were asked how successful they had been in the implementation of the targeted practice changes and what, if any, barriers were encountered. Descriptive statistical analysis of de-identified data was undertaken. SAGES University attendees respond to a post-test and post-activity evaluation. Response rates were 43 and 31% for CME-eligible attendees/respondents for the immediate post-meeting and 3-month follow-up questionnaires, respectively. Top learning themes for respondents were foregut, hernia, bariatric, and colorectal. Improving minimally invasive surgical (MIS) technique and managing complications related to MIS procedures were top intended practice changes. Partial implementation was common with top barriers including lack of resources and lack of time. Desired topics for future meetings included management of complications, enhanced recovery after surgery, introduction of new procedures into clinical practice, and re-operative surgery. The SAGES 2014 annual meeting analysis provides insight into the educational needs among respondents, which is meaningful information for planning future meeting educational content.

Validation of a Modified OncoScan Protocol for Use in a Clinical Laboratory

Validation of a Modified OncoScan Protocol for Use in a Clinical Laboratory

Implementation and Routine Clinical Use of the TruSight Myeloid Sequencing Panel in Patients with Myeloid Malignancies

Implementation and Routine Clinical Use of the TruSight Myeloid Sequencing Panel in Patients with Myeloid Malignancies