Lack Of Necessary Equipment Research Articles

Mitigation and Preparedness of Pet Owners During Disasters.

There are numerous challenges for pet owners in developing countries before, during, and after disasters, comprising poor communication between pet owners and veterinarians for periodic pet check-ups, lack of necessary equipment, lack of proper disaster evacuation training, and a proper shelter to be considered for pets during periods of disasters. In the present letter, a variety of measures and recommendations have been provided, which can be kept in mind throughout the entire disaster management cycle to prevent pet loss.

Оцінка можливості та перспективності використання гістологічних та морфометричних методів в учнівських іхтіологічних та батрахологічних дослідженнях

Resume. The methods used by the students of the Zoology Section of the Volyn Regional Junior Academy of Sciences in 1996–2023 and 48 participants of the II (regional) stage of the All-Ukrainian competition-defense of research works of students-members of the Junior Academy of Sciences in the study of fish and amphibians were analyzed. It has been established that morphological studies make up a small proportion of the work, which is due to both the lack of necessary equipment in general secondary education institutions and the lack of methodological recommendations that would ensure the successful implementation of scientific work on the available equipment. Promising areas of student research are the study of fish and amphibian blood, amphibian skin, and fish respiratory organs using histological and morphometric methods. It is recommended that morphometric methods be more widely used in ecological and faunal studies. Conducting such research by students with the use of morphometric methods promotes the development of a scientific outlook, clear creative thinking, and facilitates the realization of interdisciplinary connections.

Практикалық денсаулық сақтауда клиникалық хаттамаларды енгізу: Дәрігерлердің көзқарасы

Clinical protocols, developed on the basis of evidence-based medicine, adapted on the basis of international clinical guidelines, determine the optimal options for the diagnosis and treatment of patients. However, the implementation and application of clinical protocols in daily practice often encounters barriers of various kinds, including skepticism on the part of practitioners themselves. The purpose of research: Assess the level of accessibility and effectiveness of application of clinical protocols. Identify barriers to the effective implementation of clinical protocols in practical healthcare. Methods. To assess the effectiveness of the implementation and use of clinical protocols in practical healthcare, in September 2023, we conducted a social survey of doctors working in medical organizations providing inpatient, inpatient replacement and outpatient care at the regional, city and district levels. A total of 2.717 doctors took part in the survey. The study is based on the Order of the Ministry of Healthcare of the Republic of Kazakhstan dated November 12, 2020, No. 189/2020 of the Ministry of Healthcare of the Republic of Kazakhstan on the assessment of the implementation of clinical protocols in medical organizations. The questionnaire included several questions on monitoring the implementation of clinical protocols. The questionnaire also included 16 questions to study the opinion of doctors on the effectiveness of using clinical protocols in daily practice and obstacles to the use of clinical protocols. Results. The survey showed that doctors face a number of barriers that prevent the implementation of the recommendations of clinical protocols in full in practice. The following barriers were noted: insufficient equipment of medical organizations (lack of necessary equipment – 27.63%), problems with procurement and drug provision (lack of necessary medicine – 9.84%), shortage of personnel and other reasons. Conclusions. A significant part of the barriers identified in assessing the level of accessibility and effectiveness of the use of clinical protocols require management decisions from the heads of medical organizations and regional health departments. Specialists responsible for the implementation of clinical protocols should assess available resources, identify obstacles to the implementation of clinical protocols in practice and promptly inform the heads of medical organizations to jointly develop solutions to eliminate obstacles.

K-12 Teacher’s Appropriation of Digital Technologies and Innovative Instruction Across EU: A Scoping Review

The K-12 education has lived an upsetting period where teachers have been forced to incorporate technologies intensively, bringing to light numerous issues and opportunities, whose assessment can result in educational renewal. This scoping review’s objective is to examine the positive impact of the pandemic on digital technologies appropriation and innovative instruction across EU from K-12 teachers’ point of view. Within a total of 77 articles, published between 2020 and 2022, research showed that K-12 teachers perceived the lockdown as an opportunity to increase their competences to teach through digital tools and apply novel instructional strategies. Additionally, they have progressed on digital appropriation for assessing and interacting with students and colleagues. K-12 teachers consider the pandemic as an opportunity for professional development in terms of establishment of new digital skills, despite the lack of necessary equipment and the psychological well-being creating challenges in distance education. In conclusion the Covid-19 pandemic enabled K-12 teachers to expand their professional skills to respond to the needs of future schooling. Keywords: digital technologies, innovative instruction, European Union, K-12 teachers, perceptions

STUDY OF THE EFFECTIVENESS OF TOURISM AND LOCAL LORE ACTIVITIES OF GEOGRAPHY TEACHERS IN KAZAKHSTAN

Tourism and local lore activities in the system of geographical education are the leading direction of learning the history, natural features, ethnography and cultural heritage of the region and shaping the local image of the region. The aim of the research was to determine the effectiveness of organisation and implementation of tourism and local lore activities by geography teachers in the Republic of Kazakhstan. The research started with a review of research and literature of Kazakh and world scientists who studied tourism and local lore, and a questionnaire survey was developed that included 16 questions. The survey was distributed to geography teachers via Facebook and WhatsApp, and responses were received from 73 respondents. The survey responses were analyzed based on the coding of the respondents (P1 to P73). As a result of the survey, it was found that 47.9% of respondents have not organized tourism and local lore activities, lack of necessary equipment, lack of funds from school administration and a big number of commitments to teachers from district education department. The results of this survey will help to effectively plan and organize tourist and local lore activities of geography teachers, to manage, methodologically provide and be competent in this direction.

ENSURING THE EDUCATION QUALITY OF FUTURE SPORTS MANAGERS UNDER MARTIAL LAW

The study considers management decisions that influenced the quality of education in the process of sports managers training under martial law, in particular, the organization of the educational process in a higher education institution and the terms of payment for educational services of students studying under a contract. The study was attended by applicants for the higher education of the first (bachelor’s) and second (master’s) levels of higher education and teaching staff of the Management of Physical Culture Department. The research used the following methods: methods of analysis, synthesis, generalization, comparison and methods of sociological survey. A survey of students was conducted after the resumption of the educational process under martial law. The most significant opportunities for online learning are considered the individualization of training, the flexibility of the training schedule in choosing the most convenient conditions (place and time), and the study of theoretical material on various online platforms. In their opinion, the lack of necessary equipment at home and the lack of constant access to the Internet have a negative impact on the organization of full-fledged distance learning. Monitoring the quality of education was carried out, the result of which showed the average grades of the success of students at the Management of Physical Culture Department. It is important to note that during martial law there was an issue of resolving problems with the payment of students for educational services, it turned out that some students lost the opportunity to pay for tuition for various reasons.

Araştırma İlgi Alanlarını Keşfetmek ve Geliştirmek: Üç Doktora Öğrencisinin Deneyimlerine Yönelik Anlatısal Araştırma

The present study implemented a narrative inquiry approach to gain a deeper understanding of how three doctoral students in Türkiye discovered their research interests. Narrative inquiry involves a careful examination of data and subsequent restorying it into chronologically ordered narratives to create an immersive and detailed representation of the participants’ lived experiences. The researcher was also interested in factors which facilitated and hindered the process of developing and sustaining the participants’ interests. Data gathered through in-depth interviews revealed that doctoral students were aware of their research interests prior to beginning their doctoral studies. Their interests had clear connections with their personal experiences and teaching practice. Demanding coursework, lack of necessary equipment and the pressure to publish research articles were found to be detrimental to the development of research interests forcing the students to conduct studies on topics they were not interested in. Finally, supervisors were found to play an essential role in fostering their students’ research interests on condition that they do not infringe on their supervisees’ autonomy and sense of agency.

To the discussion of the problem of errors in neurosurgery. Literature review

Among all adverse perioperative events, medical error is one of the most serious, associated with possible complications for the patient, severe psychological trauma for the surgeon, and often with the involvement of the Investigative Committee in assessing the results of treatment. At the same time, among the researchers of this issue there is still no consensus on what exactly is meant by «medical error». In modern legal scientific publications, they often call for abandoning this term and using the concept of «negligence» for lawyers. It is all the more important in the professional community to define the concept of «medical error» and distinguish it from other undesirable events associated with the treatment of the patient. This review presents different approaches to the definition of the concepts of «medical error» and «surgical error», what is their main difference from iatrogenic, medical negligence, complications of surgery. Some classifications of errors in surgery are presented. The most common factors of surgical errors are identified, such as lack of competence and experience of the doctor, impaired interaction and communication of staff, excessive workload and fatigue, emergency operations, unusual patient anatomy, lack of necessary equipment and instruments. Using the example of neurosurgical practice, such errors as performing a craniotomy on the wrong side, surgery on the spine at the wrong level, leaving foreign bodies in the wound, and others are considered. In conclusion, the main measures for the prevention of errors in surgery in general and in neurosurgery in particular are described.

МОДЕЛЬ ЭФФЕКТИВНОГО ФУНКЦИОНИРОВАНИЯ ПРЕДПРИЯТИЯ НА ОСНОВЕ ТЕХНОЛОГИЧЕСКОГО БЕНЧМАРКИНГА

The development of domestic enterprises is significantly affected by the constantly im-posed sanctions by Western countries, which leads to changes in logistics flows, the need to promptly search for new suppliers and markets, the comprehension of lagging behind in a number of industries due to the lack of components, spare parts, equipment, etc. Another major problem of low functioning efficiency of domestic industrial enterprises is the wear and tear and the lack of necessary equipment. Limited technological resources act as a significant constraint to the effective innovative development of enterprises. The solution to the problem can be the application of the best available technologies, covering all aspects of enterprise activity such as production, technological, economic, environmental, social and in-novative ones. This requires combining the best available technologies for the enterprise into a single interrelated set of technologies, taking into account the enterprise mission, its strategic goals, the inter-dependence of the all business process components, the presence of limitations and forecasts for over-coming them. A conceptual effective functioning model of the domestic enterprise is presented in the article based on implementation of the best available technologies through technological benchmarking, which involves the application of the program-target and system-synergetic approaches principles. The combi-nation of program-target and system-synergetic approaches to the industrial enterprise effective func-tioning allows to specify its components, which are formed in relation to a set of objectives that ensure effective functioning when calculating composite indices of all the most significant components. The implementation of the best available technologies comprehensively influences the enterprise's capabilities components, directing the enterprise to the effective functioning trajectory. Technological benchmarking makes it possible to establish the most accurate areas of limited resources application in order to achieve peak effect and allows for a systematic approach to identifying key benchmarks for en-terprise development.

Ukrainian business in the conditions of war: assessment of the state of companies and industries which suffered the greatest losses and ways to restore their activities

The article examines issues related to the assessment of the state of Ukrainian enterprises and industries that have suffered the greatest losses, and issues related to the ability of business to recover quickly. It has been established that military actions in Ukraine have caused huge losses to entrepreneurs, as evidenced by statistics. Despite the fact that domestic enterprises have suffered significant losses, they continue to stay afloat, and Ukraine's economy has automatically entered a state of war with its specific requirements and characteristics. The fact that business has experienced significant problems in such areas as: agriculture, energy, metallurgy and logistics is emphasized. It was emphasized that human capital remains the main problem. According to the UN, almost 3 million citizens have left Ukraine by March 15, 2022. A little less than half of them are people of working age. It was emphasized that the state promotes the restoration and relocation of businesses from the war zones and occupation in this difficult time. The changes have also begun to take place from the state in the direction of creating and implementing new state programs, introducing appropriate changes in legislation to support the economic sphere. At the same time, there are certain obstacles that prevent enterprises from restoring and developing business, namely: lack of a sufficient number of solvent enterprises in the domestic market, unpredictability of the situation in Ukraine and the domestic market, lack of sufficient capital, lack of necessary equipment, outdated business model of enterprises. Consequently, due to the full-scale war on the part of russia, Ukraine is currently in a difficult economic situation. Therefore, the state should interact with domestic business in the direction of creating programs to support small and medium-sized businesses, implementing tender offers, providing micro-grants for business, filling the budget, assisting in the relocation of enterprises, forming the optimal model of the taxation system, solving problems with logistics to overcome crisis phenomena.

Оценка жителями Российской Федерации своего здоровья и условий получения медицинской помощи

In the context of higher interest of healthcare executives in patient-centeredness, development of value-based healthcare and increasing public satisfaction with medical care, it is very important to have access to detailed information about how people evaluate the care provided, as well as to specify problems associated with receiving care. Such detailed information can provide directions for further development of organizational technologies and serve basis for developing management decisions. T h e p u r p o s e of the study is to analyze results of sociological surveys of the Russian population on self-assessment of health and conditions for receiving medical care. M a t e r i a l a n d m e t h o d s . The study used data available from the Rosstat (Federal State Statistics Service) official website – “Comprehensive monitoring over living conditions of the Russian population” (conducted in 2014, 2016, 2018 and 2020) in terms of questions related to receiving medical care by the survey respondents, based on a sample survey of representatives of various groups and population strata covering 10 thousand households. Analysis of the presented data was carried out using descriptive statistics methods by the following sections: respondents’ self-assessment of health, smoking and alcohol consumption, receiving outpatient care, receiving dental care, seeking emergency medical care, receiving inpatient care, non-care seeking if medical care is needed. R e s u l t s . The share of those who rated their health as “excellent” and “good” has increased. It should be noted here that males were more optimistic in assessing their health status than females. The share of the respondents reporting a chronic disease diagnosed by a doctor decreased from 30.2% in 2014 to 27.2% in 2020. There is no significant difference between urban and rural population. The share of non-smokers and those who have never smoked decreased from 63.5% in 2014 to 62.1% in 2020. The share of male alcohol consumers remained stable adding up to 70%, while the female share tended to increase from 49.5% in 2014 to 52.1% in 2020. Assessment of an average time spent on making an appointment with a doctor in outpatient settings has not changed in dynamics and equaled to about 18 minutes. The share of those receiving timely medical care out of those applied for care increased from 92.6% in 2016 to 95.1% in 2020. The share of those calling an ambulance tended to decrease: from 10.8% in 2014 to 10.1% in 2020. According to the surveys’ results, every year some 7–8% of the population receive specialized medical care in inpatient settings. The analysis of cases of non–care seeking if medical assistance is needed showed a decreased share of such respondents: 33.6% in 2014, 33.0% in 2016, 34.5% in 2018, and 29.2% in 2020. The share of those failing to get to or experiencing difficulty getting to a health care facility equaled to 3.3%, 2.5%, 2.8% and 1.9%, respectively. 7.2% of the respondents had “no time” for care seeking in 2014, 8.2% in 2016 and 2018, and 4.7% in 2020. A significant decrease in this indicator is rather logical and unsurprising in the context of the pandemic caused by a new coronavirus infection. C o n c l u s i o n s . From 2014–2020, self-assessment of health has improved; in general, males rate their health higher compared to females. Men smoke 5 times more often than women. Generally, they start smoking during the teen years. As a positive trend, we can point out an increasing share of people who quit smoking. Men drink alcohol 9 times more often than women. The share of the female alcohol consumers tends to increase. Negative trends in care delivery are as follows: increased waiting time for emergency medical care; increased average number of days waiting for hospital admission; decreased share of those admitted to the hospital on the day of the visit. Positive trends in care delivery include the following: decreased denials of outpatient care due to lack of necessary equipment or medicines, shorter lines in waiting premises to see a doctor; decreased offers of payed services; decreased waiting time for a doctor’s appointment; increased share of those receiving timely dental care. A tendency among the respondents towards self-medication and not seeking medical care due to lack of time has decreased.

Changing Roles of Social Work Educators in Schools for Students with Special Needs in Osun State, Nigeria

School social workers are trained health professionals who provide important services directly to students and sometimes to teachers in their institutions. They act as the connection for schools, homes and community services to help students’ educational, emotional, and developmental needs. Many of them practice in private and public schools. Not many school social educators could discharge their duties to their maximum capacity, their roles are changing in schools due to lack of necessary equipment for learners, as a result of changes in economic situation in Nigeria. The study investigated the extent the required equipment for the teaching of learners with special needs are available in their schools; the changing roles of social workers in schools; and the effects of the changing roles of social work educators on students with special needs and members of the society. The study was carried out using qualitative research approach. Structured questionnaire guided the focus group discussion. Interaction was done with social work educators in their randomly selected schools for students with special needs in Osun State, Nigeria. Findings revealed that social workers trained people with special needs to make good use of their skills to prepare materials and goods for self-development; schools used different methods to communicate and sensitise parents, and the entire community to take their children to these schools. Also, the roles of social work educators are changing as they have to source for ways of getting equipment for learners, by pleading to philanthropists or religious bodies for the provision of these equipment, as the learners’ needs could not be met either by the government or their parents. This study is contributing to the knowledge of everyone that teaching people with special needs cannot be effective without the use of instructional materials. Observations revealed apart from lack of equipment, educators’ services also faced suspicion, criticisms and neglect by some members of the society. Based on these findings, it was recommended that social work educators be not discouraged due to lack of instructional materials or equipment for the use of their students with special needs, or comments from members of the society, but take the work as a call to serve humanities in their society.

The Problems of the COVID-19 Pandemic in Higher Education

Since the outbreak of the pandemic COVID-19, many studies have been conducted to examine how education has responded to the challenges of a completely new situation that has led to the spread of distance education as the only form of instruction. In this study, data were collected and analyzed to understand the difficulties of distance education that higher education students faced during the pandemic. Our goal was to present the results of a socio-psychological study of accessibility, educational resources, applications, and distance learning technologies. A total of 160 students from different Moscow universities participated in the study. A qualitative research method was used for the study. For this purpose, mainly in-depth interviews were conducted to find out the participants’ views on distance education. The data obtained were analyzed by the researchers using qualitative analysis methods. The results showed that all students faced technical difficulties during distance learning, such as poor internet connection, lack of access to online platforms due to the high number of users, lack of necessary equipment, and individual space for online learning. The results also showed low technical readiness for distance education and low quality of online resources, as well as cyber threats during online courses. In addition, the results showed that most students indicated that they would prefer a hybrid form of instruction that combines distance and face-to-face instruction. Implications for further studies are drawn in the conclusion.

Physical culture and sports in the life of the Russian population

Involvement of the population in physical training and sports determines the level of public health. The Russian government today has taken a firm course to involve Russians of all ages in physical culture and sports activities. However, the widespread introduction of physical culture and sports practices into the daily life of Russians requires a clear understanding of the motives and incentives of the population for systematical physical training and sports, as well as identification of the barriers to physical culture and sports activity. The article presents the results of a sociological study, the purpose of which was to identify the motives and incentives of the Russian population for systematic physical training and sports, as well as factors that hinder physical education. The analysis of the social situation in the field of physical culture and sports is based on the results of 16 focus groups conducted with various categories of population ranging from parents of children aged 3-5 to people over 60 living in various cities of Russia. It is shown that the vast majority of parents of children, adolescents, youth, people of middle and older ages have formed sufficiently stable attitudes for regular physical education. However, they are not always implemented due to a number of barriers. Among them are: high cost of sports sections, subscriptions to fitness and gyms, payment for a personal trainer; lack of specialized sports organizations, lack of necessary equipment in them; high engagement of the population in labor, educational and household activities; fears for the life and health of children, fear of great physical strain and chronic diseases; psychological barriers and stereotypes: adolescents experience embarrassment associated with the presence of unfamiliar spectators; middle-aged and older people are afraid of being judged by other people, they are afraid to look ridiculous. The results of the study can become the basis for development of measures to motivate the Russian population to systematic physical training and sports, as well as measures to overcome the barriers hindering physical culture and sports activity of Russians.

Design, Control, Modeling, and Simulation of Mechanical Ventilator for Respiratory Support

In the early stage of the 21st century, humankind is facing high medical risks. To the best of our knowledge, there is currently no efficient way to stop chains of infections, and hence citizens suffer significantly increasing numbers of diseases. The most important factor in this scenario is the lack of necessary equipment to cure disease and maintain our living. Once breath cannot be guaranteed, humans find themselves in a dangerous state. This study aimed to design, control, model, and simulate mechanical ventilator that is open-source structure, lightweight, and portable, which is proper for patients to cure themselves at home. In the scope of this research, the hardware platform for the mechanical design, implementation of control rules, and some trials of both simulations and experiments are presented as our methodology. The proposed design of ventilator newly features the bioinspired mechanism, finger-like actuator, and flow rate-based control. Firstly, the approximate evaluation of the lung model is presented with some physiological characteristics. Owing to this investigation, the control scheme was established to adapt to the biological body. Moreover, it is essential for the model to be integrated to determine the appropriate performance of the closed-loop system. Derived from these theoretical computations, the innovative concept of mechanical design was demonstrated using the open-source approach, and the real-world model was constructed. In order to estimate the driving torque, the hardware modeling was conducted using mathematical expressions. To validate the proposed approach, the overall system was evaluated using Matlab/Simulink, and experiments with the proposed platform were conducted in two situations: 20 lpm as a reference flow rate for 4 seconds and 45 lpm for 2.5 seconds, corresponding to normal breath and urgent breath. From the results of this study, it can be clearly observed that the system’s performance ensures that accurate airflow is provided, although the desired airflow fluctuates. Based on the test scenario in hardware, the RMS (root-mean-square) values of tracking errors in airflow for both cases were 1.542 and 1.767. The proposed design could deal with changes in airflow, and this machine could play a role as a proper, feasible, and robust solution to support human living.

A CHALLENGE IN PEDIATRIC ACUTE LEUKEMIA TREATMENT: UNEXPECTED, PROLONGED CYTOPENIA. IS IT BE CALLLED ‘INCOMPLETE HLH’?

The diagnostic criteria set for HLH may look like symptoms of cancer or a severe bacterial infection common occurring when patients are immunosuppressed due to ongoing chemotherapy. Features similar to immune dysregulation in HLH also occur during pediatric acute leukemias. This immune dysregulation results unexpected cytopenias, fever, and splenomegaly in children with acute leukemia. We aim to analysis the pediatric acute leukemia pateints who had unexpected, prolonged cytopenias, and did not full-fill the HLH-2004 criteria set and received pulse methylprednisolone therapy up to three days Data was analyzed retrospectively. The diagnosis of HLH was defined according to the HLH-2004 criteria set but two criterias (NK cell activity and sCD25 level) of HLH diagnosis were not studied due to lack of necessary equipment. Treatment response was defined as increasing neutrophil count above 500/mm3 in patients within the first seven days. 12 patients received steroid for unexpected, prolonged cytopenias. Five or six of six criteria was not found. Four criteria in four, three criteria in five and two criteria in three patients was determined. All patients had cytopenia at least two of three lineages in peripheral blood, one of which was neutropenia. Hemophagocytosis in bone marrow sample was detected in eight patients. Ten patients (87%) recovered within the first seven days. Seven of nine thrombocytopenic patients recovered. In this report, the efficiency of short-term steroid treatment was demostrated in patients with unusual cytopenias who did not full-fill HLH criteria.

АНАЛИЗ РЕЗУЛЬТАТОВ СОЦИОЛОГИЧЕСКИХ ИССЛЕДОВАНИЙ КАЧЕСТВА И ДОСТУПНОСТИ МЕДИЦИНСКОГО ОБСЛУЖИВАНИЯ

Sociological research is an important tool for assessing the social effectiveness of medical care, it allows you to analyze the quality of the organization of medical care and social satisfaction of consumers. This study is an analysis of the results of "Selective observation of the quality and availability of services in education, health and social services, employment promotion." This statistical observation has several advantages: complex procedure for forming a sample, coverage of the population in all constituent entities of the Russian Federation, including urban and rural population, ensure that the data is representative, and allow for complex analysis in the dynamics. As a result of sociological surveys of the population of the Russian Federation in 2015, 2017, 2019, it was determined that the share of respondents satisfied with the work of health center and diagnostic services remains low (less than half of the respondents). When interviewing respondents, the reasons for dissatisfaction with the work of the health center were highlighted, the “leader” among which is “the length of waiting in queues”. Moreover, the share of respondents who choose “the work of medical specialist” and “the lack of necessary equipment and drugs” as negative aspects in the provision of medical care on an outpatient basis is increasing. About half of the respondents are satisfied with the comfort of their stay, the availability of drugs and modern equipment in the hospital. Analysis of the main negative phenomena observed in the provision of medical care to the population made it possible to determine the leading trends, which remain the high cost of drugs and an increase in the volume of paid medical care. More than half of respondents noted a decline in the quality of medical services, insufficient equipment of health center and hospitals.

P215 Contrasting patient and paediatric cystic fibrosis team perception of telemedicine consultations

Objectives: The COVID-19 outbreak has accelerated the use of telemedicine consultations in place of all but essential face-to-face (FTF) cystic fibrosis (CF) appointments. We aimed to compare patient/carer and CF multidisciplinary team (MDT) experiences of virtual consultations. Methods: A questionnaire survey was distributed to most families in the King's College Hospital regional paediatric CF network and all MDT members in July 2020, 4 months after the move to telemedicine consultations. Consultations were done by both telephone and video-link. Results: 40/165 (24%) questionnaires were returned from patients/carers. Median age of responders was 8.5 years (9 months–17 years). 32% (13) of responders preferred FTF consultations, 28% (11) preferred virtual, 35% (14) had no preference and 5% (2) did not answer this question. The majority (82%) were satisfied with the assessment and treatment, and would consider telemedicine consultations in the future. One family reported a lack of necessary equipment. 17/20 (85%) MDT members responded and all 17 preferred FTF appointments. The majority favoured using telemedicine appointments for stable patients in between face-to-face appointments. Conclusion: Although MDT members expressed a clear preference for FTF appointments, patient preference was evenly split between virtual or FTF consultations. This single centre survey highlights the challenge for CF professionals to adapt standard practices to changing patient/carer choice and expectation without any loss of effectiveness, also preventing a digital divide.

The development of physical preparedness of student young people

In the modern world there are a number of unsolved problems concerning the physical development of youth. At the present time this problem is actual. There is an active regression in the physical development of incoming entrants. This problem starts in early adolescence, from the school bench. At the moment of building the foundation in the physical development of schoolchildren is reducing the level of physical fitness. The gap in physical development at an early stage will be reflected in the future. Therefore, it is very important to pay due attention to active physical development. Due to lack of time, lack of necessary equipment, weak material and technical base of the educational institution, physical education is conducted in a simplified form and does not allow teachers to achieve the necessary pedagogical effect. In order to raise the importance of physical education and sport among school-age students, it is recommended that a number of measures be taken to promote it through the mass media, sporting events and competitions.

Remote automated medical examinations system before admission to work: the experience of Air Liquide

To identify the influence of various factors on the body of drivers, a regular medical examination is carried out before the trip. Meanwhile, during its conduct, there are problems that consist in significant time costs, lack of necessary equipment, difficulties in conducting examinations at night and on weekends, etc. According to the author, many of these can be solved by creating special remote automated medical examination systems. The article offers solutions implemented by Air Liquide, as well as the results of the analysis of the obtained statistics.