Longer Work Research Articles

Technical Factors Contributing to Nonunion in Supracondylar Distal Femur Fractures Treated with Lateral Locked Plating: A Risk-Stratified Analysis.

To identify technical factors associated with nonunion after operative treatment with lateral locked plating. Retrospective cohort study. Ten Level 1 trauma centers. Six hundred fifteen adult patients with supracondylar distal femur fractures (OTA/AO Type 33A or C). Lateral locked plating. Surgery for nonunion. We observed nonunion rates of 2% in a low-risk of nonunion group (n = 129), 4% in a medium-risk group (n = 333), and 14% in a high-risk group (n = 153). Varus malreduction with an anatomic lateral distal femoral angle (aLDFA) greater than 84 degrees, was associated with double the odds of nonunion (OR, 2.1; 95% CI, 1.1 to 4.2; P = 0.03). Malreduction by medial translation of the articular block increased the odds of nonunion, with 30% increased odds per 4 mm of medial translation (95% CI, 1.0 to 1.6; P = 0.03). Working length increased the odds of nonunion primarily in the medium risk group, with an 18% increase in nonunion per 10 mm increase in working length (95% CI, 1.0 to 1.4; P = 0.01). Proximal screw density was protective against nonunion (OR, 0.71; 95% CI, 0.53 to 0.92; P = 0.02). Lateral plate length and type of plate material were not associated with nonunion. Malreduction is a surgeon-controlled variable associated with nonunion after lateral locked plating of supracondylar distal femur fractures. Longer working lengths were associated with nonunion, suggesting that simple bridge plating may be less likely to succeed for longer fractures. Therapeutic Level III. See Instructions for Authors for a complete description of levels of evidence.

Longer work experience and age associated with safety attitudes in operating room nurses: an online cross-sectional study

BackgroundPatient safety is fundamental when providing care in the operating room. Still, adverse events and errors are a challenge for patient safety worldwide. To avoid preventable patient harm, organisations need...

Assessment of the impact of working under COVID-19 conditions on the psychophysical state of nurses

Aim: The COVID-19 pandemic caused many unfavorable changes in nurses’ daily work, which affected their health and well-being. The objective of the study was to assess the impact of working under COVID-19 conditions on the psychophysical condition of nurses. Materials and Methods: The study included a group of 100 nurses from the Łodź Voivodeship working under COVID-19 conditions. A survey questionnaire consisting of questions on health status, the occurrence and severity of symptoms resulting from work in covid conditions was used. Results: Statistically significant (p<0.001) increases in physical ailments were found in nurses after a change in working conditions. The largest effect was observed for dyspnoea, headache and lumbar pain. The severity of physical ailments was mainly affected by the age of the respondents and the presence of chronic diseases. There was also a statistically significant (p<0.001) deterioration in the mental state of the respondents, primarily in terms of feelings of mental fatigue, mood decrease and feelings of fear for the health of relatives. An increase in fear for one’s own health was also observed, particularly in nurses with older age, higher BMI, longer work experience and chronic diseases. Conclusions: The change of working conditions during the COVID-19 pandemic adversely affected the psychophysical health of nurses. The respondents showed an increase of the symptoms of chronic diseases, headaches and back pain. Working in difficult conditions and chronic stress resulted in a depressed mood and fear for one’s own life and that of relatives. Thermal treatment may be recommended to improve the psychophysical condition of nurses.

Assessment of parameters reflecting the reactivity of the autonomic nervous system of Polish firefighters on the basis of a test in a smoke chamber.

Measurement and analysis of heart rate variability in a population of professional firefighters based on heart rate (RR) recording. Assessment based on a smoke chamber test in correlation with age, length of service, body mass index. The smoke chamber test for the officers of the State Fire Service (SFS) is aimed at improving the skills and techniques of working in special clothing and in a respiratory protection set (RPS) under high psychophysical burden. The study was divided into 3 stages: 1. measurement of parameters at rest - sitting position for 5 min, 2. measurement of parameters during the firefighter's activity, effort related to the training path and the test in the smoke chamber, indefinite time (different for each firefighter), 3. measurement of parameters at rest after exercise - sitting position for 5 min. Each firefighter included in the study had fitted onto his chest a Polar H10 band with a sensor (size XXL) that measures parameters HR, HRV (sensor connected via Bluetooth to an application on the phone of a person controlling the test). The study involved 96 firefighters aged 19-45 (Mean 27.9; SD 7.4), with 1-19 years of service (Mean 5.2; SD 4.6). The study included 75 firefighters who completed the entire activity and their results were recorded completely in a way that allowed for analysis and interpretation. Results of 17 firefighters were selected (parameters describing HRV changes was carried out, which are important from the authors' experience: RMSSD, HF ms2, DFA α1). The presence of excessive body weight did not affect HR parameters, which may be related to the limited possibilities of using the BMI index among people with high muscle mass. Longer work experience has a health-promoting effect on heart rate values through increased adaptation of the circulatory system to increased effort and stress. HRV parameter and ANS activity have a wide range of clinical applications, in addition to monitoring health status in the course of diseases, ANS activity can be analyzed in correlation with occupational risk factors.

Live Imaging Transverse Sections of Zebrafish Embryo Explants.

Vertebrate embryogenesis is a highly dynamic process involving coordinated cell and tissue movements that generate the final embryonic body plan. Many of these movements are difficult to image at high resolution because they occur deep within the embryo along the midline, causing light scattering and requiring longer working distances. Here, we present an explant-based method to image transverse cross sections of living zebrafish embryos. This method allows for the capture of all cell movements at high-resolution throughout the embryonic trunk, including hard-to-image deep tissues. This technique offers an alternative to expensive or computationally difficult microscopy methods. Key features • Generates intact zebrafish explants with minimal tissue disturbance. • Allows for live imaging of deep tissues normally obscured by common confocal microscopy techniques. • Immobilizes tissues for extended periods required for time-lapse imaging. • Utilizes readily available reagents and tools, which can minimize the time and cost of the procedure.

Organizational Commitment Among Employees: A Case Study of Private Higher Education Administrative Staff

Organizational Commitment is considered as one of the most important factors that emotionally attach employees into organization. Such commitment is needed to reach organizational goals. This study aims at exploring and analyzing the Organizational Commitment among administrative staff at private higher education in Jakarta, one of the biggest cities in Indonesia, that consists of thousands of higher education Institutions. The mothod used in this study is descriptive qualitative. The data was gathered using questionnaire that consist statements represent three types of Organizational Commitment, which are affective, continuance and normative. The results of this research reveal several facts about the organizational commitment of administrative employees. The first fact shows that the organizational commitment of employees who have worked at private higher education for a long time is higher compared to employees who have worked for less. This shows that emotional bonding between employees and the organization are formed over time. This fact is also supported by data that employees who have a longer work period have stronger emotional bonding than employees who have a shorter work period. However, another fact has been revealed is that the work period doesn’t prevent employees to move to other organizations that provide better opportunities and advantages for them.

A MULTI-PERSPECTIVE VIEW ON THE CONCEPT OF SOCIAL PROTECTION AND THE ROLE OF SOCIAL WORK IN (NOT ONLY) WARTIME CONDITIONS

The purpose of this article is to explore the multifaceted dimensions of the concept of social protection and the role of social work in (not only) wartime conditions. This is necessary, because social workers are often acting “helpless” confronted with massive global crises or even wars or war-like conditions. This article tries to sharpen the possible role and position of social work and with this the expectations on the discipline and profession of social work. To reach this, this article wants to shed light on the subject and the understanding of “crisis” and the different perspectives surrounding the interdisciplinary and multi perspective concepts of social protection, social support, and resilience. This perspective allows to a better understanding of the underlying principles, challenges and potential solutions related to social protection in times of crisis. In times of crisis, ensuring social protection and social support becomes an urgent priority for affected populations and even individuals. Social protection encompasses a wide range of measures designed to protect individuals and communities from the adverse effects of crises and to provide them with the necessary resources and assistance to cope with the challenges they face. This article is on the one side a s theoretical examination of the key terms. On the other hand directly affected people have their say: The co-author as a Ukrainian narrates her migration experiences and the results of a student - peer project with affected refugees from Ukraine in Eastern Switzerland are presented. The results are concrete and surprise at some points and sharpen the task and role of social work: First, feeling safe and getting (social) support and psychological assistance in the trauma and war situation is much important even to feel welcome and resurrected. But then mobility, networks, and the change to support their families, relatives and friends at home have a great importance. It is also very important to be able to travel to Ukraine (home) from time to time and to be able to return to the host country. The task of social work is a very special one: It is not primarily the role of the benefactor and care giver, but of the professional who makes things possible and supports and empowers the people who feel it. The article also makes clear, that a one-dimensional and static understanding of crisis, flight, migration and needs no longer works in today's world global situations and crisis. Keywords: Social work, social protection, social support, crises, war in Ukraine, Ukrainian refugees, needs

QUANTIFYING CONTRIBUTIONS OF WORK CHARACTERISTICS TO EDUCATIONAL DISPARITIES IN HEALTH-INDUCED WORK LIMITATIONS

Abstract While public policies are incentivizing longer working lives, poor health and inhospitable working conditions pose challenges to working longer, especially for Americans with low educational attainment. This analysis sought to quantify how poor health and inhospitable working conditions each contribute to educational disparities in work disability in mid life and old age. Using the Health and Retirement Study (2006-2016), we showed that educational disparities in reporting “any impairment or health problem that limits the kind or amount of paid work” in ages 51-80 have been profound and persistent over time. Blinder-Oaxaca three-fold decomposition revealed that distributions of income and employer insurance made the largest contribution to explaining different rates of work limitations among respondents with versus without high school degrees, followed by work characteristics (physical job demands, insufficient hours) and health conditions (diabetes, lung disease). Comparing respondents with high school versus college degrees, distributions of health conditions mattered most (high blood pressure, lung disease, heart disease, stroke), followed by health behaviors (smoking, drinking). Health-induced work limitations are often used as a health outcome, but we found that work characteristics explained 57% of the disadvantage of those without a high school degree and 44% of the disadvantage of high school compared to college graduates. Therefore, improving work environments holds promise for reducing educational disparities in mid-to-late-life disability.

"Politicization of Public Administration in Romania and its Consequences for Governance in Turbulent Times"

The article aims to analyze the level of politicization of civil service in Romania, its goals, and consequences. We adopted a rather narrow perspective on politicization and we concentrated mainly on analyzing the recruitment, promotion, and dismissal of civil servants based on political criteria. The research findings were used to discuss the consequences of politicization on the governance of public institutions during turbulent times. In this regard, we conducted an email-based survey of the civil servants. The majority of the sample was composed of graduates of public administration programs at four major universities in Romania, who work in public institutions. We collected the data between May and November 2023 and we obtained 211 valid questionnaires. We found that appointments based on political criteria lower the work motivation of public employees, and increase the level of incompetence and instability of public institutions. The most affected are public employees in management positions, those who have longer work experience in the public sector, and those who work in public institutions that are part of central administration. Therefore, frequent changes based on political criteria lower the capacity of public institutions to respond to disruptive events by generating a loss of expertise, instability, and discontinuity in policy implementation. However, turbulent times require flexibility and adaptation to unexpected and unpredictable events, and political appointees might be more responsive and cooperative.

The Impact Of Drug Abuse On Social And Family Economics In The Perspective Of Sharia Economics (Case Study At The Baitu Syifa Drug Rehabilitation Institution In Medan)

This study aims to determine the impact of drug abuse on social and family economics. To find out the impact of drug abuse on social and family economics in the perspective of sharia economics. The approach in this research is qualitative research. The subjects in this study are drug users and one of the family members of users and also members of the management of the Baitu Syifa Medan Drug Rehabilitation Institute. The data source of this research is an interview conducted to the head of the household or family members who use drugs. The data collection techniques are observation method, interview method, documentation method, triangulation. Data analysis is an effort to find and organize systematically the records of observation, interviews, by means of data reduction, data display (presentation of data), data conclusion and data verification. The impact of drug abuse on social family. The results showed that the impact of drug abuse on social indicators, namely user education and user families, concluded that both informants had completed their college education before falling into using drugs. Or it can be interpreted that they used drugs when they were already in the work environment. From a psychological point of view, this can be seen from the divorce that occurred, while the psychological impact on parents and other families is to feel depressed and frightened due to changes in the behavior of users who are very aggressive and temperamental. The impact of drug abuse on the family economy is that the three informants interviewed are all unproductive and can no longer work properly, especially since all informants have been using drugs for a very long time. HI only works twice a week, AM can no longer work. Informant S, because he owns a dental clinic business inherited from his family, can still be said to be able to work but because he is dependent on consuming 4 times a week, S also has a history of heart disease due to consuming drugs so that it will interfere with his work productivity. In the perspective of Islamic economics, every family must ensure the welfare of its family members by fulfilling their every need both in terms of social, economic, and spiritual aspects. However, a person's involvement in drug abuse will damage their economic security so that they cannot provide welfare to their family members. Users will spend their income to buy drugs so that they cannot fulfill their personal needs, borrow money from parents and relatives, and even have to pawn some of their property because they are very dependent.

Fatigue life analysis of spinning bearings for roller-guided bushing special machines considering creep-slip characteristic

In order to ensure the longer working life of rolling guide bushing, this work proposed a fatigue life prediction model of spinning bearings based on the Hertzian contact distribution and creep-slip characteristic. The influence of different parameters on the fatigue life of spinning bearings was analyzed according to the damage parameter theory of the critical plane method and the L-P theory. Finally, the fatigue life prediction model of spinning bearings was verified through the finite element simulation combined with the experiments. The reliability results show that creep-slip characteristic and deformation lead to the contact zone stress of the spinning bearing firstly increases, decreases subsequently to zero and then increases to the peak value. The increase of rotational speed will make the fatigue life of the spinning bearing firstly increases and then decreases. With the increase of friction coefficient, its fatigue life will become smaller and smaller, and the increase of the external load will decrease its fatigue life. Meanwhile, the prediction error rate of the fatigue life prediction model proposed in this study is 4.60%, which is within the error tolerance. This study provides certain methods and ideas for fatigue life prediction of spinning bearings, and lays a theoretical foundation for the design of highly reliable spinning bearings.

Quo Vadis Aceh is A Special Autonomous Region in The State of The Republic of Indonesia

Objective: This study aims to re-actualize Pancasila as a state ideology, especially the 3rd principle, namely Indonesian Unity. The meaning of unity is considered to be fading given the existence of Aceh, which in the past eighteen years has seen its status degraded, both explicitly and implicitly, especially about Aceh's authority as a special autonomous region. Theoretical framework: this study compares constitutional theory through the text and context of Article 18B paragraph (1) of the 1945 Constitution and the Amendment Results. Next is the concept of asymmetric decentralization through Law Number 11 of 2006 concerning the Aceh Government (UUPA). Method: The study used normative legal studies, where data collection is carried out using library research with a focus on the application of norms in the UUPA. Presented in a descriptive-analytical manner, by examining the implementation of UUPA based on juridical, historical, political, and social aspects, to find the concrete reality of the implementation of special autonomy in Aceh currently, and its projections in the future. Results and Conclusions: The study shows that in the early days of Aceh's special autonomy, relations with the Central Government were constructive. Aceh has become the center of national mainstreaming. However, recently, conditions no longer work that way. The existence of the UUPA as a document for Aceh's development after the earthquake-tsunami and armed conflict is no longer a special concern for Jakarta, and this threatens the sense of unity of this country.

The Limits of the Present: Hugh of Saint-Victor's 'Pictura' of Noah's Ark and Augustine's 'Distentio Animi'

Imagining the universe from the perspective of providence, the size and complexity of Hugh of Saint-Victor's pictura of Noah's Ark, described in De Pictura Arche (c. 1125–31), has long confused scholars. Many have suggested the text describes a now-lost, real, physical painting; for others it reads as an exclusively verbal picture, an ekphrasis, in the tradition of monastic memory practice. Proponents of the former interpretation argue the density of description defies memory and imagination. But, this paper argues, the pressure the pictura exerts on memory and imagination, as an ekphrasis, might also be seen as central to its rhetorical-spiritual efficacy. In his longer works on the Ark, De Arche Noe Morali and De Vanitate Mundi, Hugh envisages ascent in Augustinian terms, as a stretching of the soul's (or memory's) attention to hold passing times 'as present,' that simulates God's 'eternal present.' Hugh intends, I propose, in keeping with Augustine's distentio animi, that we achieve the pictura's eternal view in the distension of our awareness, our struggle to hold as pictorially 'present' what is described in the time of narrative. As a reworking of the classical, simultaneous 'view from above' along Augustinian lines – as an inner labour, and time-bound exercise – the pictura may also be situated in a new historical-intellectual context: not just as an astonishing example of monastic map-making or mnemotechnical practice, but as part of a later-medieval shift towards thinking about ascent as a coming to terms with time, and eternity as discoverable in the here and now, in the 'limits of the present.'

Better adherence to guidelines among psychiatrists providing pharmacological therapy is associated with longer work hours in patients with schizophrenia

Schizophrenia is a psychiatric disorder that is associated with various social dysfunctions, including shorter work hours. To measure the degree to which psychiatrists adhere to guidelines for pharmacological therapy of schizophrenia, we recently developed the individual fitness score (IFS) for adherence among psychiatrists in each patient. However, it remains unclear whether better adherence among psychiatrists is associated with higher patients’ social functional outcomes, such as work hours. In this study, we examined the relationship between adherence to guidelines among psychiatrists and work hours in patients with schizophrenia. To evaluate the association between adherence to guidelines for pharmacological therapy among psychiatrists for treating schizophrenia and work hours, we used the IFS and social activity assessment, respectively, in 286 patients with schizophrenia. The correlation between IFS values and work hours was investigated in the patients. The adherence among psychiatrists to guidelines was significantly and positively correlated with work hours in patients with schizophrenia (rho = 0.18, p = 2.15 × 10−3). When we divided the patients into treatment-resistant schizophrenia (TRS) and nontreatment-resistant schizophrenia (non-TRS) groups, most patients with TRS (n = 40) had shorter work hours (0–15 h/week). Even after excluding patients with TRS, the positive correlation between adherence to guidelines among psychiatrists and work hours in patients with non-TRS (n = 246) was still significant (rho = 0.19, p = 3.32 × 10−3). We found that work hours were longer in patients who received the guideline-recommended pharmacotherapy. Our findings suggest that widespread education and training for psychiatrists may be necessary to improve functional outcomes in patients with schizophrenia.

When we were young: how labour market attachment during mid-life affects labour market exit

PurposeIn this paper, the authors attempt to understand how labour market attachment during the ages of 30–59 influences individuals' transition out of the labour market.Design/methodology/approachUsing high-quality Swedish register data, the authors follow individuals born in 1950 and observe their labour market attachment during mid-life and their exit from the labour market.FindingsThe authors find evidence that labour market attachment in different stages of the career is differently related to exit from the labour market. At the age of 30, as well as between the ages 50–59, low attachment is related with earlier exit from the labour market. On the contrary, low labour market attachment during the ages 40–49 is related with later exit from the labour market. However, regardless of age, lower labour market attachment increases the risk of work-related benefit receipt in the exit year. The authors also find evidence that gender, migration status and childhood socioeconomic disadvantages may represent obstacles to longer working lives, while high education is a consistent factor in avoiding early exit from the labour market.Originality/valueThis study provides insights on the link between labour market attachment in different stages of the career and the exit from the labour market as well as work-related benefits dependency in the year of exit.

Risk factors for neck pain-induced disability among primary healthcare workers: A pilot study.

Neck pain (NP) is associated with high disability rates among healthcare workers. To determine the potential risk factors associated with disability due to NP among healthcare staff working in primary care settings. This 30-day prospective cross-sectional study involved a survey of 63 healthcare personnel (55 women and 8 men aged 45.30±12.34 years) of two primary healthcare centers in Serbia, who completed a general questionnaire developed for this purpose along with the Neck Disability Index (NDI), whereby the potential predictors of NP-related disability were assessed using the statistical package SPSS ver. 24. Female healthcare workers achieved a higher score on the NDI scale (Me = 8.00, p < 0.05), as did older respondents (r = 0.260, p < 0.05), those with longer work experience (r = 0.323, p < 0.05), and those that wear prescription glasses (Me = 9.00, p < 0.01). Higher NDI scores were also achieved by respondents that suffered from neck pain at the time of the study (Me = 12.50, p < 0.001), especially if they relied on pain medication (Me = 13.00, p < 0.05), and topical analgesic creams (Me = 12.50, p < 0.05) for treating neck pain. Female sex, older age, greater work experience, current neck pain, use of pain-relieving medications and creams, and need for prescription glasses to correct vision increase the risk of disability due to pain in the cervical spine among healthcare workers.

Changes in economic activity and mental distress among young adults during the COVID-19 pandemic: Differences between the first and second infection waves in the UK.

While infection rates, lockdown policies, and labor market conditions substantially varied across COVID-19 waves, the majority of evidence on young adults' mental health remains focused on initial responses in early 2020. The variability of the relationship between economic activity and mental health over time therefore remains poorly understood in this age group. Using linear mixed models, we investigated the relationship between current activity and changes in activity and mental distress (GHQ-12) among 1,390 young adults aged 16-34 via the UK Household Longitudinal Study COVID-19 survey. The association was explored in the first (from April to July 2020) and second (from September 2020 to March 2021) infection waves. Current activity was defined as "not working", "working <17.5 hours/week", "17.5-35 hours/week", and "> = 35 hours/week". Changes in activity were derived from current and pre-pandemic working hours and divided into four categories: "working with no reduced hours", "working fewer hours", "no longer working", and "did not work before the pandemic". During the first wave, no association reached statistical significance. During the second wave: 1) compared to "currently not working", working 35 or more hours was associated with decreased distress (b = -1.54; 95%CI -2.39, -0.69) and working less than 17.5 hours was not (b = -0.62; 95%CI -1.66, 0.41); 2) compared to "working with no reduced hours compared with before the outbreak", no longer working was associated with increased distress (b = 1.58, 95%CI 0.61, 2.55) and working with reduced hours was not (b = 0.47, 95%CI -0.24, 1.17). Above the mental health inequalities experienced at the start of the pandemic, full-time work-even with variation in work hours-continued to be a protective factor against mental distress among young adults during the second wave in the UK. Stable, full-time work can better support this age group's mental well-being over time.

Reforming China’s healthcare management in the wake of COVID-19: A psychological well-being perspective

The COVID-19 pandemic has led to a reevaluation of global health capabilities, highlighting the importance of prioritizing the welfare of frontline healthcare workers. These individuals encountered difficult circumstances on a global scale, including longer work hours, heightened risk of virus exposure, and substantial strain on their mental and physical well-being. Healthcare professionals in China faced similar challenges. This article discusses systemic issues that have been exacerbated by the pandemic and argues for a sustained emphasis on the well-being of healthcare workers, rather than solely addressing it as a crisis response. Given the increasing likelihood of future global pandemics, it is crucial to emphasize the establishment of a durable support system that can enhance resilience and crisis management capabilities. This study examines the systemic challenges of the Chinese healthcare system, with a particular focus on the difficulties encountered during the pandemic. We advocate for a paradigm shift that acknowledges healthcare workers as essential stakeholders within healthcare systems. The objective is to encourage a worldwide conversation for implementing initiatives that transcend national boundaries, with the goal of consistently incorporating a culture of compassion and assistance into healthcare systems. We propose the implementation of a comprehensive support system that encompasses all facets of healthcare, going beyond the mere management of crises. Our vision is for health systems to prioritize the well-being of healthcare workers and the communities they serve, with a focus on resilience.

Nurse educator competence in four European countries-A comparative cross-sectional study.

The aim of this article is to describe and compare the nurse educator competences in four European countries using three different evaluators: nurse educators (n = 329), heads of a nursing subject (n = 60) and student nurses (n = 1058). The study was conducted as a comparative cross-sectional survey in Finland, Malta, Slovakia and Spain between May 2021 and February 2022. The data were collected with an online survey. The instrument used was a 20-item Tool for Evaluation of Requirements of Nurse Teachers, utilizing a 5-point Likert-type scale. The data were analysed statistically and reported according to STROBE guidelines. Nurse educators' competence evaluated positively in all the groups of evaluators, with a mean of >3.5. The self-evaluation of nurse educators' competence was higher than the other evaluators' evaluations. Having a degree in nursing, having completed some pedagogical studies and longer work experience as a nurse educator had a positive association with higher self-evaluated competence among nurse educators. Nurse educator competence is at a good level in the selected European countries, but further studies are required to find the reasons behind the differences in evaluations. Each participating educational institution named a contact person who distributed the surveys to the participants and returned the study's metadata to the researchers.

NEW ECONOMIC POLICY IN RUSSIA – A RESPONSE TO CHALLENGES: PROBLEMS, REALITY, PERSPECTIVE

In the article, the author conducts a new theoretical analysis of the Russian Federation’s new economic policy launch. The study is based on the growing discussions about resolving the issue of changing the monetary policy in the Russian Federation. According to the leader of our state V.V. Putin, in the next decade, the fate of the whole world will be decided, connected with the transition from a unipolar world order to a multipolar one, with the movement of economic centres from the West to the East and Asia. Over the past year and this year, at many international forums and conferences, the thesis has repeatedly expressed that the Western capitalist model has reached an impasse and no longer works properly. And as First Deputy Prime Minister A. Belousov said today that the world economy is in a perfect storm, and no one knows when it will end. At present, we already see all this not only in theory but also in practice. As the leader of our country stated, openness, ensuring technological sovereignty, reliance on entrepreneurial freedoms, a balanced macroeconomic policy and social justice should become the principles of Russia’s new economic policy. The critical problem of interest to us is the obstacles, difficulties, and myths that await our state’s leadership in the course of the implementation of this project.