List Of Actions Research Articles

Causes of Perioperative Cardiac Arrest: Mnemonic, Classification, Monitoring, and Actions.

Perioperative cardiac arrest (POCA) is a catastrophic complication that requires immediate recognition and correction of the underlying cause to improve patient outcomes. While the hypoxia, hypovolemia, hydrogen ions (acidosis), hypo-/hyperkalemia, and hypothermia (Hs) and toxins, tamponade (cardiac), tension pneumothorax, thrombosis (pulmonary), and thrombosis (coronary) (Ts) mnemonic is a valuable tool for rapid differential diagnosis, it does not cover all possible causes leading to POCA. To address this limitation, we propose using the preload-contractility-afterload-rate and rhythm (PCARR) construct to categorize POCA, which is comprehensive, systemic, and physiologically logical. We provide evidence for each component in the PCARR construct and emphasize that it complements the Hs and Ts mnemonic rather than replacing it. Furthermore, we discuss the significance of utilizing monitored variables such as electrocardiography, pulse oxygen saturation, end-tidal carbon dioxide, and blood pressure to identify clues to the underlying cause of POCA. To aid in investigating POCA causes, we suggest the Anesthetic care, Surgery, Echocardiography, Relevant Check and History (A-SERCH) list of actions. We recommend combining the Hs and Ts mnemonic, the PCARR construct, monitoring, and the A-SERCH list of actions in a rational manner to investigate POCA causes. These proposals require real-world testing to assess their feasibility.

Improving handoff with the implementation of I-PASS at a tertiary oncology hospital

BackgroundLack of consistent and standardised handoffs is a leading cause of patient harm. With increased census in our hospital medicine (HM) service, failure to handoff using a standardised method has...

The Role of the Notary in the Implementation of the Provisions of the Judicial Statutes of 1864

The judicial statutes of 1864 consolidated the provisions on the reform of not only the court, but also a number of other institutions, then attributed by the legislator to the judicial system. A significant place among them was taken by the notary. The inclusion of the Provision on the Notarial Part in the composition of Judicial Charters, and notaries in the number of judicial officers meant that the latter were endowed with the function of preventive justice. Notaries were considered as persons authorized to prevent disputes by their actions, and sometimes to facilitate their resolution. At the same time, the role of notaries in the implementation of Judicial reform is not sufficiently disclosed by domestic researchers. The author analyzes the activities of notaries in general and a number of individual notarial actions directly aimed at assisting judicial authorities. The article presents a complete list of notarial actions that were consulted by notaries in accordance with the provisions of the Judicial Reform. The author comes to the conclusion about the significant contribution of the notary to the activities of the post-reform court and the formation of the judicial system after 1864, as well as the key role of Judicial reform in the development of the institution of the notary in Russia.

RANKING PARENTS CONCERNS ABOUT ROAD SAFETY AT SCHOOL USING AN ANALYTIC HIERARCHY PROCESS

School road safety concerns include the drop-off location for children at the school entrance, traffic congestion around the school, and road safety amenities. Most research is done by analyzing data with descriptive statistics, but these don't give a clear order of the factors that lead to these incidents. So, the Analytic Hierarchy Process (AHP) has been used to help figure out which ways of intervening are the most effective at cutting down on accidents. The following objectives have been outlined: (i) to identify the most critical factors that contribute to road safety measures in the school area, such as high traffic volume, speeding, or a lack of pedestrian infrastructure, and (ii) to prioritize potential interventions for improving road safety. The study's methods include four main steps: making an instrument, collecting data, analyzing the data with AHP, and coming up with a list of actions to take based on priority. Results show that the most significant outcome was 33% peak hour management, and 33% of the needs of parent car management are equally critical. The other concerns are on the children's path. The outcome presented herein gives an insight into how to prioritize roads for safety mitigation, which is expected to be useful to various decision-makers.

Priority setting for non-communicable disease prevention – Co-producing a regulatory agenda informing novel codes of practice in Australia

There are a range of priority setting methods for non-communicable disease (NCDs) prevention. However, existing methods are often designed without detailed consideration of local context and political economy– critical success factors for implementation. In Australia, codes of practice under state government Public Health Acts could be used for NCD prevention. To inform the potential development of codes of practice under Public Health Acts, this study aimed to co-create a priority setting framework that accounts for local context and the prevailing regulatory agenda. A priority setting framework was co-produced by a multidisciplinary technical advisory group consisting of government representatives, public health lawyers and academic experts. It incorporated general prioritisation criteria (evidence, cost-effectiveness, equity, burden of disease) and local contextual criteria (legal compatibility, unmet-needs, political acceptability, structural and technical feasibility, community support). The framework was then applied in practice through surveys and policy dialogue workshops to discuss political economy factors. Policies were limited to nutrition, alcohol and physical activity risk factors. Through the prioritisation process, the most impactful, feasible and acceptable policies for NCD prevention via state government codes of practice were: restrictions on in-store placement of unhealthy products, enhancing data systems and capabilities for health surveillance and implementation monitoring, removal of unhealthy foods and drinks sold and supplied in public institutions, prohibition of marketing of unhealthy foods and drinks on assets controlled by government, and implementation of subsidies or grants to increase fruit and vegetable intake. The process illustrated that explicit consideration of local context, legal compatibility and the political economy had a substantial influence on the prioritised list of actions. The proposed priority setting framework is designed to be flexible and adaptable to varying contexts, can be embedded in government processes or utilised by researchers and practitioners to co-produce a regulatory agenda that is locally relevant.

Improving Communication in the Medical Intensive Care Unit Through Standardization of Handoff Format: A Quality Improvement Project

ObjectiveTo decrease interruptions in handoff, increase compliance with a structured verbal handoff format, and increase compliance with handoff template completion in electronic medical records without increasing the length of handoff time. Patients and MethodsThe project timeline was from April 1, 2019, to February 1, 2020. Define phase data were obtained through a survey of stakeholders to identify the gap in needs. The baseline data included components from the illness severity, patient summary, action list, situational awareness and contingency plans, and synthesis by receiver (IPASS) handoff tool because this tool best aligned with information identified in the define phase. Observational data were collected in person and reviewed via audio recording for accuracy. Results were analyzed to determine adherence to the chosen intervention, the IPASS handoff tool, on which the stakeholders were educated and assessed prior to implementation. Five plan-do-study-act cycles were completed over 3 months to optimize the intervention. Final data were collected and analyzed using the same method as baseline data. ResultsAfter implementation of the IPASS handoff tool, there were more care plan components mentioned in the provider handoffs across all unique IPASS components, there were fewer observed distracting events, and there was increased compliance with electronic medical record handoff completion. The time of handover increased by 3 minutes. ConclusionA standardized handoff tool improved communication during provider handoffs by increasing the mention of pertinent details and reducing distracting events during handoff.

Implementing a Virtual Team Model in the Acute Care Setting.

Health care has forever changed in early 2021. Three years after the beginning of the COVID-19 world pandemic, we must seriously look at the role of the nurses and the model we deploy to ensure our health system's viability. In this article, the authors offer insights into the journey of deconstructing the nurses' role and planning for a Co-Caring Model where virtual and bedside nurses practice and unlicensed assisting personnel work as a team to care for those in need of health care. We also provide a list of actions for nurse leaders to consider. Finally, we aim to spark an international conversation on how we can bring back the joy of practice to ensure we create the best possible places to give and get care.

Проблемы эффективности мер принуждения, применяемых в уголовном судопроизводстве

Relevance of the research topic and problem statement. Section IV of the Code of Criminal Procedure of the Russian Federation is devoted to measures of procedural coercion. However, coercion in criminal proceedings is not limited to these measures. It is also implemented with the help of other measures, among which are those that have a procedural form (regulated by the Code of Criminal Procedure of the Russian Federation), as well as those that are applied under other legal regimes (under the legislation on administrative offenses, operational-search activities). A number of these measures can be applied at the stage of initiating a criminal case, in contrast to the measures of procedural coercion enshrined in Section IV of the Criminal Procedure Code of the Russian Federation, which is relevant in law enforcement. At the same time, questions about the boundaries and types of coercion at the stage of initiating a criminal case, the legality, effectiveness and expediency of applying a number of such measures remain unresolved. In this regard, the research topic seems to be relevant.
 Research objectives. The purpose of this study is to analyze the norms of criminal procedure and other sectoral legislation that regulate the behavior of participants in criminal proceedings, to analyze the
 effectiveness and expediency of coercive measures used in criminal proceedings under various legal regimes.
 Research methods. Using the comparative legal method of research, the author analyzes coercive measures regulated by various branches of domestic and foreign legislation. With the help of the classification method, coercive measures used in criminal proceedings are grouped. In the course of the survey of practitioners, results were obtained regarding the admissibility of using coercion in the production of a procedural seizure before initiating a criminal case.
 Research results and rationale for novelty. The results of the study allowed the author to propose a way to improve the effectiveness of verification activities carried out in accordance with Art. 144, 145 of the Criminal Procedure Code of the Russian Federation: the author proposes to expand the list of investigative actions that directly provide the usage of coercion in the course of their production, including those that require judicial authorization.
 Findings. 1. Coercion is an integral part of all criminal proceedings, therefore, it exists at all its stages, including before the initiation of a criminal case, but it is extremely limited and mostly ineffective. 2. Coercion in domestic criminal proceedings is implemented through a number of non-procedural measures, however, these methods are applied in a heterogeneous manner, and sometimes contrary to the current legislation. 3. The absence of effective coercion at the stage of initiating a criminal case complicates the achievement of the goals of criminal proceedings. 4. The development of effective pre-trial proceedings should follow the path of expanding verification activities at the stage of initiating a criminal case, including those that require judicial authorization.

THE ROLE OF THE ACCOUNTANT IN THE ADAPTATION OF ORGANIC PRODUCTION TO EU REQUIREMENTS

The growth of demand for organic products on the world food markets determines the development of organic production in Ukraine. However, in order to enter international markets, in particular the European one, producers of organic products must comply with a number of requirements regarding their quality and certification. The purpose of the article is to generalize the requirements for organic production in the EU countries and to justify the role of the accountant and accounting policy of the enterprise in the process of adapting the activities of producers of organic products in Ukraine to such requirements. Achieving the planned goal was carried out with the help of analytical, synthetic, tabular, graphic methods, etc. The article summarizes the relevance of the export orientation of domestic production with a statistical selection of the most exported crops of organic plant production. An assessment of the formation of the necessary level of preparation for export trade was carried out, with a list of preparatory actions being highlighted. The main documents regulating the production and export of organic products in the EU countries are indicated. The algorithm of processes during the export of organic products from Ukraine in accordance with the requirements of the European Commission regarding additional official measures to control the import of organic products is summarized. The article proves the important role of the accountant in these processes and proposes a system of registers of accounting and control of the production of organic agricultural products, taking into account the requirements and standards of the EU. The proposed document registration system will contribute to the systematization of information about the quality of organic crop production, and will allow the recording of certification procedures at each stage of production.

Green and blue infrastructure (GBI) and urban nature-based solutions (NbS) contribution to human and ecological well-being and health

Abstract The article explores the contributions of urban green and blue infrastructure (UGBI) and nature-based solutions (NbS) to enhance human and ecological well-being and health in urban areas. It delves into the concepts of UGBI and NbS, highlighting their importance in creating sustainable and liveable cities. We consider UGBI natural elements in the urban environment, grouped into different typologies. NbS are considered solutions, or actions, to promote environmental and human health based on the use of UGBI. The assessment was done under the umbrella of human and ecosystem health, linking well-being dimensions from the Common International Classification of Ecosystem Services—freedom of choice, social relations, mental health, physical health, food security and physical security—with the United Nations’ Sustainable Development Goals, showing a link with 12 of the 15 goals. The article presents non-exhaustive lists of UGBI types and NbS actions linked to well-being dimensions. We assess ecosystem services provided by GBI and NbS and the implications of incorporating these solutions in urban environments for human and ecosystem health and the future of healthy and liveable cities.

INVOLVEMENT OF POPULATION INTO PHYSICAL MOTOR ACTIVITY THROUGH SPORT-MASS EVENTS

Socially important and relevant today is the development of an effective system of involving the population in systematic physical activity. Subject of study: system of involving the population in physical activity through sports events. Topic: formation of the strategy of activity of institutions of the sphere of physical culture and sports on involvement of the population in improving motor activity through sports and mass actions. Methods: theoretical analysis and generalization of data of scientific and methodical literature; documentary method; system and SWOT-analysis; poll; expert evaluation; methods of mathematical statistics. Results. Sports and mass events as a form of involving the population in health and recreational physical activity are considered. The list of actions of institutions which need to be carried out is offered to involve the population in sports and mass events and further participation in regular physical activity. An algorithm for involving the population in physical activity through sports and mass events has been formed. Conclusions. It is established that an important factor in involving the population in systematic physical activity can be sports and mass events, if at all stages of their preparation and implementation the purpose of such involvement will be pursued and educational and advocacy work will be carried out. SWOT-analysis of the activities of the regional center of physical health "Sports for All", Public Association "Samopomich", institutions of children's and youth clubs (UDUMK) allowed to offer a list of actions to involve the population in sports events, as well as involvement in regular physical activity. An algorithm for involving the population in recreational physical activity through sports and mass events has been formed, which is based on three stages of sports and mass events and has received a high expert assessment of project effectiveness.

Risks of using gaseous chlorine on water treatment stations during military actions

Disinfection of water in the process of its preparation for drinking purposes is a key component of ensuring the health and sanitary well-being of the population. Chlorination still remains the most affordable, economical and effective method compared to any other known means. During hostilities, new risks arise due to the increased danger of emergency situations, leakage and spread of gaseous chlorine. Plans for liquidation of emergency situations, although they contain a list of actions in case of accidents, are based on their man-made nature. At the same time, the "war scenario" does not exclude the simultaneous damage of all chlorine containers in the warehouse, for example, due to the impact of a rocket, projectile, their fragments, etc. During wartime, the delivery of chlorine also becomes more difficult, and the risks of disabling automated safety devices due to power outages and other unforeseen situations increase. It is obvious that in wartime, and especially during regional active hostilities, the use of gaseous chlorine should be abandoned, but not the disinfection of drinking water. The authors considered the possibilities of using alternative methods of disinfection of drinking water, their advantages and disadvantages, as well as the possibility of quick re-equipment of disinfection stations. It was noted that solving the issue of replacing gaseous chlorine with safer disinfection reagents should become an integral part of plans to ensure a stable water supply of the settlement during emergency situations and military actions. The optimal solution is to switch to the use of chlorine dioxide with diesel generators. The use of this reagent, in addition to the high reliability and safety of water disinfection, simultaneously prevents the formation of trihalomethanes. In the short term, it is recommended to replace chlorine gas with calcium hypochlorite, which can be stored for a long time. Although the reagent is more expensive compared to other chlorine-containing reagents, its use is intended only in dangerous periods, so the cost should not be considered critical.

Topical issues of criminal offenses against sexual freedom and sexual inviolability of the person

Purpose. The aim of the work is to study topical problems of criminal offenses against sexual freedom and sexual inviolability of a person; to outline positive changes and shortcomings of innovations; to formulate offers for the improvement of existing criminal-law norms in this area. Methodology. The methodology includes a comprehensive analysis and generalization of available scientific-theoretical, legislative material and the formulation of relevant conclusions. During the research, the following methods of scientific knowledge were used: comparative-legal, logical-grammatical, systemic-structural, modeling ones. Results. In the research process, it was recognized that the current criminal legislation of Ukraine lacks a unified approach to the definition of the criminal offenses against sexual freedom and sexual immunity of a person. It became especially noticeable after the changes made to the Criminal Code of Ukraine in recent years, as a result of which the traditional approach to the concept of rape was changed, the list of actions of sexual nature with a young person and coercion to enter into sexual intercourse (sexual abuse) a minor was expanded, responsibility for sexual violence and child molestation was established. In this regard, there was a necessity for a more detailed analysis of legislative initiatives regarding the formation of a perfect model of criminal-law norms in Chapter IV of the Special Part of the Criminal Code of Ukraine with the aim of effective countering the commission of criminal offenses against the sexual freedom and sexual inviolability of a person. Scientific novelty. In the process of research, a number of both progressive and not entirely successful provisions in the current criminal legislation regarding actions related to violations of sexual freedom and sexual inviolability of a person have been identified; they can be taken into account in the future for legislative initiatives regarding criminal liability for criminal offenses in this sphere. Practical significance. The results of the research could be used in law-making activities in the further improvement of national criminal legislation regarding criminal offenses against sexual freedom and sexual immunity of a person, as well as in the educational process during the teaching and learning of the academic disciplines “Topical issues of criminal law and process” and “Criminal law of Ukraine. A special part”.

Sustainability, the Circular Economy and Digitalisation in the German Textile and Clothing Industry

The textile and clothing (T&C) industry is not usually viewed as an exemplar of sustainable development and the circular economy (CE), as the industry has hitherto developed its products in a linear fashion, with relatively little recycling of the finished goods. This article examines the industry’s approach to the core sustainability concept and the CE in particular through a review of the available academic literature, evidence from corporate sustainability reports and websites, and feedback from an online survey of industry professionals. More specifically, the article investigates how German T&C companies are addressing sustainability in their corporate strategies and what activities relating to the CE are being pursued in the industry. The role of digital technologies in the transition to sustainability and the CE in the German T&C industry is also explored. The study finds that whilst sustainability is now firmly embedded at the strategic level in the vast majority of the companies studied, attitudes towards the CE are mixed. The use of digital technologies in support of sustainability objectives is also limited at present, but the need to meet compliance requirements and new customer perceptions of sustainability will speed the transition to CE activities, which will be facilitated by the greater exploitation of these technologies. An operational framework for initiating such a transition is developed, and action lists in the key areas of change organization, products, and processes are presented. These may be used as a guideline for practitioners, and the findings also make a small contribution to the scarcity of literature in this field of research.

The Development of Recommendations for Healthcare Providers to Support Patients Experiencing Medication Self-Management Problems.

Medication self-management problems such as the inability to correctly obtain, understand, organize, administer or monitor medication can result in negative patient outcomes. However, supportive tools for healthcare providers to assist patients with medication self-management problems are lacking. This study aimed to develop recommendations for healthcare providers to support patients with polypharmacy who experience medication self-management problems. A three-phase study was conducted starting with (1) the mapping of medication self-management problems, followed by (2) a scoping review providing a list of relevant interventions and actions for each respective problem and (3) a three-round modified e-Delphi study with experts to reach consensus on the relevance and clarity of the recommended interventions and actions. The cut-off for consensus on the relevance and clarity of the recommendations was set at 80% expert agreement. Experts could propose additional recommendations based on their professional experience and expertise. The experts (n = 23) involved were healthcare professionals (i.e., nurses, pharmacists, and physicians) with specific expertise in medication management of patients with polypharmacy. Simultaneous with the second e-Delphi round, a panel of patients with polypharmacy (n = 8) evaluated the usefulness of recommendations. Results obtained from the patient panel were fed back to the panel of healthcare providers in the third e-Delphi round. Descriptive statistics were used for data analysis. Twenty medication self-management problems were identified. Based on the scoping review, a list of 66 recommendations for healthcare providers to support patients with the identified medication self-management problems was composed. At the end of the three-round e-Delphi study, the expert panel reached consensus on the relevance and clarity of 67 recommendations, clustered according to the six phases of the medication self-management model by Bailey et al. In conclusion, this study resulted in a guidance document including recommendations that can serve as a resource for healthcare providers to support patients with polypharmacy in case of medication self-management problems. Future research should focus on the evaluation of the feasibility and user-friendliness of the guide with recommendations in clinical practice.

Implementation of ED I-PASS as a Standardized Handoff Tool in the Pediatric Emergency Department.

Communication, failures during patient handoffs are a significant cause of medical error. There is a paucity of data on standardized handoff tools for intershift transitions of care in pediatric emergency medicine (PEM). The purpose of this quality improvement (QI) initiative was to improve handoffs between PEM attending physicians (i.e., supervising physicians ultimately responsible for patient care) through the implementation of a modified I-PASS tool (ED I-PASS). Our aims were to: (1) increase the proportion of physicians using ED I-PASS by two-thirds and (2) decrease the proportion reporting information loss during shift change by one-third, over a 6-month period. After literature and stakeholder review, Expected Disposition, Illness Severity, Patient Summary, Action List, Situational Awareness, Synthesis by Receiver (ED I-PASS) was implemented using iterative Plan-Do-Study-Act cycles, incorporating: trained "super-users"; print and electronic cognitive support tools; direct observation; and general and targeted feedback. Implementation occurred from September to April of 2021, during the height of the COVID-19 pandemic, when patient volumes were significantly lower than prepandemic levels. Data from observed handoffs were collected for process outcomes. Surveys regarding handoff practices were distributed before and after ED I-PASS implementation. 82.8% of participants completed follow-up surveys, and 69.6% of PEM physicians were observed performing a handoff. Use of ED I-PASS increased from 7.1% to 87.5% ( p < .001) and the reported perceived loss of important patient information during transitions of care decreased 50%, from 75.0% to 37.5% ( p = .02). Most (76.0%) participants reported satisfaction with ED I-PASS, despite half citing a perceived increase in handoff length. 54.2% reported a concurrent increase in written handoff documentation during the intervention. ED I-PASS can be successfully implemented among attending physicians in the pediatric emergency department setting. Its use resulted in significant decreases in reported perceived loss of patient information during intershift handoffs.

Developing a Self-Instruction Tool for Respectful Care in Healthcare: Design and Validation Process

Respectful care is a relationship between professionals and patients based on deep respect and assessment of the person's dignity. Describe the design and validation process of the auto-instruction tool for Respectful Care in healthcare. A mixed methods study based on the content analysis proposed by Kyngäs was conducted with a sample of clinical teachers and undergraduate students, a systematic review ofscientific literature, and the consensus and opinion of national experts in health education. The data were obtained through focus groups and surveys. A Respectful Care self-instruction tool was built by three instruments: a) assessment guideline; b) a List of actions related to the dimensions of respectful care and health care, and c) a Modelfor elaborating a personal improvement and monitoring plan. The results of this study show that Respectful care requires professionals responsible for their work who have achieved competencies to provide respectful health care. In that sense, HBT can be understood as a proposalfor continuous improvement in the clinical training of students and health professionals.

IQTISODIYOT ASOSLARIGA QARSHI JINOYATLARNING TURI SIFATIDA BOJXONA TOʻGʻRISIDAGI QONUNCHILIKNI BUZISHNING OBYEKTIV BELGILARI TAHLILI

This article analyzes the objective signs of violation of customs legislation as a type of crime against the fundamentals of economy. The object of this crime is analyzed in the article and classified into general, special, similar, directly main and directly additional objects. Also, clarifying the scope of the objects of the crime, taking into account the latest innovations in the legislation, the need to exclude from the scope of the analyzed crime, including hazardous waste and items prohibited to be imported into our country by legal documents are also analyzed in the article. In addition, in this research, issues such as the object of violation of the customs legislation, its main and optional signs, and their influence on the qualification of the act are analyzed in detail. In particular, the list of actions constituting the objective aspect of this crime and the list established in the criminal legislation of foreign countries are comparatively analyzed. Reasonable conclusions and proposals of the author have been developed for each case analyzed in the work. As a result of the study, concrete suggestions were made regarding the improvement of the national criminal legislation, which determines responsibility for the violation of the customs legislation.

Ensuring circular strategy implementation: The development of circular economy indicators for ports

Port clusters are expected to play a significant role in the transition towards a circular economy, both at the level of facilitating regional and global transport within circular production chains, as well as hosting circular activities in port areas. There is strong evidence that significant investments in the circular economy (CE) are being made in port areas, albeit without much knowledge on their impacts. To ensure an efficient use of port resources in view of this transition, these impacts should be adequately monitored. Research on circular economy indicators for ports is still in an exploratory stage, characterized by an absence of in-depth research on the development of port-related circular economy indicators. This paper focuses on the development of a comprehensive set of relevant and feasible CE indicators, which aim to support port managing bodies (PMBs) as well as port stakeholders to monitor the CE transition taking place. Through multimethod qualitative research, including content analysis, focus groups, a gap analysis and a qualitative survey, an actionable list of CE 12 indicators for ports was developed. Seven of which are highly feasible and five of which have medium feasibility in terms of stakeholder relevance and ease of implementation. Findings related to (1) the overall limited CE ambition levels of PMBs and (2) the difference in the values of some indicators for different port typologies are also discussed. The value of this study for practitioners lies in providing them with an actionable set of KPIs which can support their efforts and communication related to their CE transition.

Addiction, Waste(d) Labor, and the Debate of the Carpenter's Tools

Addiction, Waste(d) Labor, and the <i>Debate of the Carpenter's Tools</i>