Responsible Personnel Research Articles

Securing the future of kidney transplantation by addressing the challenges of transplant nephrology.

Kidney transplant is a life-changing procedure, and transplant nephrologists, as part of a larger transplant team, play an important role in the field by managing the complex medical needs of transplant patients. The subspecialty of transplant nephrology, however, faces structural challenges related to its workforce, reporting structures, compensation, research and innovation, and health care information technology. The position of transplant nephrology at the academic and operational intersection of medicine and surgery may limit its access to critical resources, hinder academic promotion, and contribute to physician burnout. The authors provide an overview of the subspecialty transplant nephrology and propose solutions. Collaborative efforts that fortify the subspecialty of transplant nephrology will ultimately improve the lives of patients suffering from kidney disease.

Design of Organizational Self-Esteem Conceptual Model by Taking Localization Approach’ [Case study: Social Security Organization- Razavi Khorasan Province

Subject and goal: Organizational self-esteem of personnel is one of the foremost subjects which have been proposed in the field of organizational behavior during several recent decades and studied and analyzed for several times. Thus, the characteristics of personnel’s self-esteem have been examined in this study using localization approach. Methodology: Both qualitative and quantitative methods have been adapted in the present research so that the features of personnel’s self-esteem were initially identified by polling of members of expert group and execution of Delphi technique in two phases. Then, research tools were distributed and collected among sampled members and organizational self-esteem conceptual model was eventually finalized by taking localization approach. Findings: The results derived from this section showed that the organizational self-esteem includes 7 attributes (sense of competence, sense of virtue and efficacy, perceived rules in workplace, responsibility, and respect for personnel, sense of working security and sense of potential for promotion). Based on findings resulted from the model, variable of sense of virtue and efficacy (0.93) had the highest importance and variable of sense of potential for promotion had the lowest importance in the model. Conclusion: It necessitates for paying attention to 7 identified attributes, especially sense of virtue and efficacy in order to improve self-esteem in personnel of Social Security Organization in Razavi Khorasan Province.

Eligibility Standards for Recognized Organization Personnel Responsible for Statutory Survey

Eligibility Standards for Recognized Organization Personnel Responsible for Statutory Survey

Personnel Policy Strategy of the National Police of Ukraine in the Context of Updating Administrative and Legal Principles of Protecting Human Rights and Freedoms

The author of the article presents the results of the legal and scientific researches analysis of the personnel policy strategy of the National Police of Ukraine in the context of updating administrative and legal principles of protecting human rights and freedoms.
 The modern challenges and directions of the personnel policy of the National Police of Ukraine in the conditions of social conflicts escalation are determined. It is stated that the improvement of the personnel policy of the National Police in all stages of its hierarchical structure and all its units has recently influenced, first of all, on the administrative and legal status of this state structure, focusing its activities on human rights and freedoms protection as a general state priority.
 The concept of “personnel policy” of the National Police of Ukraine is considered as a multidimensional process. It is focused on the implementation of legislative, organizational, administrative, research and other bases for the implementation of the main developing issue of the National Police and its structures; the regulation of procedures of structural units functioning and the police department competencies; defining the tasks, functions, rights, and responsibilities of personnel, as well as the responsibility level of police officers. It is determined that the personnel policy of the National Police is implemented through the totality of social functions of governmental institutions and determines the ways and means of provided reforms and the professionalism of their implementation. It is an important factor of the state integrity strengthening and the element of state regulation of the population lives and strategically determined by the general mission of the National Police. It involves promoting the implementation of state policy in the field of combating crime and ensuring public order, the realization of human rights and freedoms, interests of society and the state, the maintenance of public safety and the provision of services to persons in need within the limits of legislation.
 It is characterized by the general requirements for the competencies, functions, rights, and responsibilities of the personnel, as well as the responsibility level of police officers. According to the modern legislation, the National Police, as well as its separate units should be transparent in their actions, open enough for external control, including public control, its staff should be able to meet the needs of all segments of the population and structures of society in legal protection and maintaining security.
 It is proved that the ethical principles of the police officers’ activities are determined by the priority in serving the needs of individual citizens and society in the whole, by close cooperation and interaction with the population, territorial communities and public associations based on partnership and aimed at satisfying their needs, following the current legislation of Ukraine.
 It is determined that the perspective direction of the studied issue is the development of innovative methods and forms of training and advanced training of personnel capable to meet the professional requirements and ethical standards of policing.

Social Conditionality of Establishing Criminal Responsibility and Punishment for Military Personnel

Many publications are devoted to the identification of social conditionality of criminal regulations. However, the science of criminal law does not have any comprehensive research on the social conditionality of establishing criminal responsibility and punishment for military personnel. In this regard, its essence, features and criteria for identification remain practically unknown. The paper reveals the problematic aspects of the concept and meaning of social conditionality of establishing criminal responsibility and punishment for military personnel; the author’s definition is given. Based on the widespread opinion in the theory of criminal law that the mechanism for identifying this social condition consists of criteria that are studied by the legislator at the appropriate stages of the processes of criminalization (decriminalization) and penalization (depenalization) of military socially dangerous acts, the author analyses them in detail. The problem of ways of legal regulation of criminal responsibility and punishment of military personnel is touched upon. It is stated that the peculiarity of the definition of this social conditionality is the resolution by the legislator, among other dilemmas, of the question of the need for normative fixing of a special military or ordinary prohibition and (or) fixing of the corresponding special military regulationsin the general part of the Criminal Law.The author concludes that the identification of social conditionality of the criminal-normative prescription on responsibility and punishment of military personnel is one of the important tasks of modern science of criminal law, which necessitates the development of a unified approach to the structure and content of this process. The establishment of the theoretical and legal essence of this conditionality should be considered as the most important step in this direction. The author offers the following definition. It is the compliance of criminal regulations that establish responsibility and punishment for criminal behavior of military personnel, resulting from the demand of society in the objective need for criminal law protection of military law and order and other public relations that are most important for the individual, society and the state.

Educação Superior em tempos de Pandemia Versus a (Des) orientação dos Documentos Oficiais

Desde o início de 2020, o mundo tem passado por grandes desafios devido à pandemia da Covid-19. No Brasil, a doença ocasionou o começo de uma série de mudanças no cenário educacional, a partir de março, quando houve a suspensão das aulas no país. Desde então, houve a publicação de documentos para nortear as redes educacionais de ensino. No entanto, esses apresentam termos genéricos e com poucas recomendações aos dirigentes e ao trabalho pedagógico. Assim, é objetivo deste texto refletir sobre as orientações de duas Universidades públicas federais, frente à pandemia do novo Coronavírus no Brasil. A partir dos encaminhamentos da análise documental, foram analisados os documentos relacionados à educação, emitidos durante a pandemia nas referidas IES. Identificamos duas categorias de análise. A primeira categoria aborda as Tecnologias de Informação e Comunicação, nela retomamos argumentos teóricos, ferramentas caraterísticas e as contribuições e limitações da internet ao contexto educacional. Na segunda categoria discutimos sobre as modalidades de ensino nas instituições de ensino superior. Mediante análise identificamos que em todos os documentos analisados, há desafios quanto às políticas educacionais que visam ações estratégicas para essa situação de pandemia.

ACR-ACNM-ASTRO-SNMMI Practice Parameter for the Performance of Therapy With Radium-223.

The goal of therapy with unsealed radiopharmaceutical sources is to provide either cure or significant prolongation of disease-specific survival, and effective reduction and/or prevention of adverse disease-related symptoms or untoward events while minimizing treatment-associated side effects and complications. Radium-223 dichloride (radium-223) is an alpha particle-emitting isotope used for targeted bone therapy. This practice parameter is intended to guide appropriately trained and licensed physicians performing therapy with radium-223. Such therapy requires close cooperation and communication between the physicians who are responsible for the clinical management of the patient and those who administer radiopharmaceutical therapy and manage the attendant side effects. Adherence to this parameter should help to maximize the efficacious use of radium-223, maintain safe conditions, and ensure compliance with applicable regulations. This practice parameter was developed according to the process described on the American College of Radiology (ACR) website ("The Process for Developing ACR Practice Parameters and Technical Standards," www.acr.org/ClinicalResources/Practice-Parameters-and-Technical-Standards) by the Committee on Practice Parameters of the ACR Commission on Radiation Oncology in collaboration with the American College of Nuclear Medicine (ACNM), the American Society for Radiation Oncology (ASTRO), and the Society of Nuclear Medicine and Molecular Imaging (SNMMI). All these societies contributed to the development of the practice parameter and approved the final document. This practice parameter addresses the many factors which contribute to appropriate, safe, and effective clinical use of radium-223. Topics addressed include qualifications and responsibilities of personnel, specifications of patient examination and treatment; documentation, radiation safety, quality control/improvement, infection control, and patient education. This practice parameter is intended as a tool to guide clinical use of radium-223 with the goal of facilitating safe and effective medical care based on current knowledge, available resources and patient needs. The sole purpose of this document is to assist practitioners in achieving this objective.

Considerations for Principals: Service Animals in K-12 Public Schools

Whether principals are required to allow service animals in the public schools is not entirely clear in law, policy, or practice. The matter is further complicated when the alleged harm caused by denying a request for a service animal is not clearly related to the educational program. The purpose of this article is to inform principals about the current laws and regulations that govern student requests regarding service animals, including a description of the rights and responsibilities of both students and school personnel in public schools. Guidance on developing actionable policies consistent with Fry v. Napoleon Community Schools, Americans with Disabilities Act of 2011, Individuals with Disabilities Education Act of 2004, and Section 504 of the Rehabilitation Act, 1973, is provided.

ACR–ASTRO Practice Parameter for the Performance of Stereotactic Body Radiation Therapy

To standardize the practice of stereotactic body radiation therapy (SBRT), the American College of Radiology (ACR) and the American Society for Radiation Oncology (ASTRO) cooperatively developed the practice parameter for SBRT. SBRT is a treatment technique that delivers radiation dose to a well-defined extracranial target in 5 fractions or less and usually employs a higher dose per fraction than used in conventional radiation. The ACR-ASTRO Practice Parameter for the Performance of Stereotactic Body Radiation Therapy was revised according to the process described on the ACR website ("The Process for Developing ACR Practice Parameters and Technical Standards," www.acr.org/ClinicalResources/Practice-Parameters-and-Technical-Standards) by the Committee on Practice Parameters of the ACR Commission on Radiation Oncology in collaboration with the ASTRO. Both societies then reviewed and approved the document. Given the complexities of SBRT, a separate document was created to develop a technical standard for the medical physics of SBRT (ACR-AAPM Technical Standard for Medical Physics Performance Monitoring of Stereotactic Body Radiation Therapy). Workflow, qualifications and responsibilities of personnel, specifications, documentation, quality control/safety/improvement, simulation/treatment, and follow-up were addressed in this practice parameter. This practice parameter assists practitioners in providing safe and appropriate SBRT treatment and care for patients when clinically indicated. As technologies and techniques continue to evolve, this document will be reviewed, revised and renewed accordingly to a 5 year or sooner timeline specified by the ACR.

SOME ASPECTS OF MACROECONOMIC PREPARATION MANAGEMENT STAFF

This article analyzes macroeconomic processes that affect the competitiveness of a professional management system. It is proved that macroeconomic dynamics, which are manifested as a result of development of processes of corporatization of economy and further intellectualization of management activity, influence the nature of management activity. Attention is drawn to the need to take into account the development of macroeconomic processes in the preparation of management personnel. Attention is drawn to the fact that such processes determine the mechanism of corporate control over share capital and the mechanism of corporate self-financing. Characterization of the process of increasing the intelligence of managerial work and the modern formatting of the process of capitalization of intellectual human resources, which leads to the emergence of intellectual and managerial capital, which become the main factors of competitiveness of the organization in the modern market environment. Particular attention is paid to the fact that the processes of capitalization of intellectual human resources become the main processes of management activity, and their quality (efficiency and effectiveness) create the market competitiveness of the organization as a whole. It is necessary to expand the range of management activities to the macro level with the identification of the basic factors of competitiveness of the professional management system and the organization as a whole. The parameters of competitiveness of corporate management and its influence on the development of the process of professionalization of management are determined. Attention is drawn to the need for the formation of integrated thinking and the system of responsibility of management personnel for the decisions made.

On the Development of Working with Personnel in Forensic Organizations under the Requirements of the International Standard ISO/IEC 17025:2017

The purpose of the study is to adapt the requirements of the international standard ISO/IEC 17025: 2017 “General requirements for the competence of testing and calibration laboratories”, defining the functions and responsibilities of laboratory personnel, to the domestic forensic expert activity. The following requirements for personnel are addressed in the article: impartiality, competence, manageability, and performance of operations according to the laboratory’s management system. International standards and comments to them, foreign forensic practice, publications on domestic forensic expert science, and procedural codes of the Russian Federation have been analyzed. The article points out that in forensic organizations, the entire staff divides into two groups: those who perform forensic examinations (research) and those who ensure the functioning of the forensic organizations. Achieving objectivity in laboratory activities during research or testing is strictly applicable and is regulated by documenting the research/ test, validating research/test methods, training and admitting personnel, and maintaining equipment. The combination of these procedures ensures the objectivity of a study. It is shown that the standard extends its provisions to all accredited organizations under the uniform rules, which goes along with the ethical standards of the forensic expert institutions of the Ministry of Justice of the Russian Federation, other departments, as well as commercial organizations.

Developing the roles and responsibilities of ancillary personnel

The role of ancillary personnel is often overlooked in recognising the provision of high-quality care. Adrian Ashurst acknowledges the importance of ancillary staff and their significant role in providing invaluable support to the care team

The idea of promotional compromise in the termination of criminal persecution and exemption from the criminal responsibility of the minor personnel with the application of forcedive measurement measures

The article proposes an original approach explaining the obvious ideological nature of the existence in the Russian criminal process of an evidentiary compromise with a special procedure for stopping criminal prosecution and exempting a minor from criminal liability using coercive educational measures. The author rightly argues that in modern criminal proceedings there has been created a promising, at the same time, conflict-free criminal procedure form of resolving a criminal case on the merits. In particular, the legislator, with strict and strict observance of the principles of the criminal process, formed a special compromise and at the same time evidentiary procedure for the court to make a final decision on the criminal case in the form of termination of criminal prosecution and exemption from criminal liability of a minor with the use of compulsory educational measures.
 The work concludes on the unconditional effectiveness of this compromise order, as well as the need to further improve such alternative evidentiary proceedings in order to promptly resolve the criminal case and implement the purpose of the Criminal Code of the Russian Federation and the Code of Criminal Procedure of the Russian Federation.

A Field Case Study of Managed Pressure Drilling in Offshore Ultra High-Pressure High-Temperature Exploration Well in the South China Sea

Summary The Y basin in the South China Sea has 15 trillion m3 of natural gas and represents typical ultra high-pressure high-temperature (ultra-HPHT) subsurface conditions, with the maximum bottomhole pressure (BHP) of 142 MPa (equivalent density = 2.38 sg), the highest bottomhole temperature (BHT) of 249°C at a depth of 5638 m, and an extremely narrow drilling mud density window. Therefore, there are several kinds of technical challenges during drilling operations. In recent years, managed pressure drilling (MPD) has been successfully applied in the basin with reduction of risks and well cost. Presented research focuses on a successful field case study of MPD in the Y basin. The case study consisted of two parts: MPD operational designs and MPD operational procedures. MPD operational designs included two steps: the precise calculation of drilling fluid equivalent circulating density (ECD) and the optimization of operational parameters. Four models were used in calculating drilling fluid ECD: wellbore heat transfer model, drilling fluid equivalent static density (ESD) model, drilling fluid rheological property model, and incorporating the effects of cuttings in the pressure loss model. The second step included two key operational parameters: mud weight (MW) and surface backpressure (SBP). MPD operational procedures were performed in three steps: roles and responsibilities of key personnel during MPD operations, wellsite training program and emergency procedures. Emergency procedures included unexpected drilling events, downhole equipment failures, and surface equipment failures. Taking X-1 Well as an example from the field case study, the following important observations were made. First, the MPD equipment was installed after remodeling of the drilling platform, installation of the wellhead assembly, and pressure testing of the MPD equipment. Next, the MW was set to 2.15 sg and the SBP was maintained at 525 psi while drilling the 8⅜ in. hole section on the basis of the operational design. In addition, the possible risks and corresponding preventive measures were taken into account and the MPD casedhole fingerprinting exercises were carried out. Finally, the MPD was successfully applied to X gas field featuring offshore ultra-HPHT. In addition, the dynamic formation integrity test (DFIT) and stripping out of hole with SBP were conducted. The well was successfully drilled in the narrow drilling mud density window of 0.05 sg without incidents and a sharp drop in the nonproductive time (NPT) was observed. Also, the casing structure was optimized from 7 to 5 strings with a significant reduction in the well cost and drilling time.

Knowledge Attitude and Practices of Biomedical Waste Management among Dental Practioners in Karad City Maharashtra, India

Introduction: Biomedical waste is generated routinely in high amounts in the dental office, the correct disposal of which bears importance to the dentist, staff and healthcare workers. This is the first of its kind study in the city of Karad which will provide an important insight into the proper method and knowledge of disposal of health care waste by the dental practitioners. The application of this study will be in accessing the legal necessity and social responsibility of the healthcare personnel’s in the effective management of biomedical waste. Materials and Method: The study population included 100 private practitioners in Karad City, Maharashtra. A self-administered questionnaire was distributed to assess the knowledge, attitude and practices regarding dental waste management. Descriptive statistics was used to summarize the results. Results: of 100 study participants, 73 (73%) were males and 27 (27%) were females. The maximum number of participants belonged to the age group of 34-38 years (29%). Undergraduate qualification was more (80%) and 43% participants had an experience of 0-5 years. Chi-square analysis showed a highly significant association between participant who attended continuing dental education (CDE) program and their practice ofdental waste management. Conclusion: Lack of knowledge and professional training in disposal of biomedical waste becomes a direct threat to the humans as well as the environment. CDE programs would help bring about a change in the management of healthcare waste.

Perception of a first aid workshop conducted for training lay responders in two professional colleges in North India

Introduction: Road traffic accidents (RTA's) are a leading cause of mortality in India. Emergency medical services are few and far between especially in rural areas of the country. The transport of victims is often the responsibility of passers-by, relatives or police personnel, most of whom are untrained in delivery of basic life-saving first aid. Lay first responders can fill the gap and provide first aid during the crucial ‘golden hour’, thus saving precious lives. Aim: To collect feedback from and assess the perception of participants of a First Aid Workshop conducted for Lay Responders Methodology: 2 faculty members from our college conducted a Hands-On First Aid Training Workshop at 2 institutions. Common emergency situations were discussed and the students were shown how to respond to each situation. The correct method of performing cardio-pulmonary resuscitation was demonstrated on a mannequin. An Automated External Defibrillator was used to teach bystander defibrillation. All the students and faculty members were then invited for a hands-on training of CPR. Results: All the students in both the institutions agreed that they were able to learn the basics of First-Aid by attending the workshop. 98.8% students in Institution A and 100% students in Institution B expressed confidence that they would be able to provide first-aid/CPR in an emergency situation. Keywords: First Aid, Emergency Medical Services, Accidents, Traffic.

A summary of the investigation report on the Tianjiayi explosion incident (21 March 2019)

AbstractA severe explosion occurred on 21 March 2019 at Tianjiayi Chemical Co., Ltd, located in the Xiangshui Eco‐chemical Industrial Park, Jiangsu Province, China, which resulted in 78 deaths, 76 serious injuries, and 640 minor injuries. The explosion caused direct economic losses of RMB 1.98 billion yuan. A summary of the incident investigation report is presented. One direct outcome of the accident was the accumulation of heat in solid waste, which resulted in a temperature increase beyond autoignition temperature, while the indirect root‐causes included deficient safety management, inadequate supervision, lack of safety awareness and other factors. In addition, the administrative and criminal liabilities of responsible personnel and inadequacy of prevention measures is summarized.

Development and application of a specification-compliant highway tunnel facility management system based on BIM

Recent decades have seen a dramatically increasing pace of highway tunnel construction in China. The continuous growth of highway tunnels creates a challenge to facility management (FM) to ensure a safe and reliable operation of the tunnels. The FM is complicated by the poor operation environment, long design life, and long geographical distribution of the tunnels. This study aims to develop a specification-compliant FM system based on Building Information Modeling (BIM) using the Lingxia tunnel in Wenzhou, China as a testbed. The critical FM information capture, category, integration and transmission methods are discussed. The data structure of the responsible personnel, process and product for each FM task is developed. The system framework is designed to consist of five modules including project documentation, personnel and contactors, FM plan and execution, technical performance evaluation, and safety and emergency management. The Chinese industry specifications for highway tunnels are implemented and interpreted with a computer-processable format into the system. This research contributes to the body of knowledge by describing one of the first few pilot applications of the BIM-based tunnel FM and identifying the challenges encountered. The application of the system in the mountainous tunnels in China demonstrates the feasibility and benefits of the BIM-based FM related to productivity improvement.

826 Examining Structural Heart Disease Care Management: An Exploratory Study of the Co-ordinator Role

Minimally invasive treatment options for structural heart disease have rapidly expanded over the last decade. Yet despite national and clinical program recognition of the need for structural heart co-ordinators, limited information is available to describe this role in the Australian context. National exploratory survey across Australian public hospitals (n=18 accredited sites) to identify and describe the current SH co-ordination environment, role and responsibilities of personnel. An online survey consisting of 50 questions and was distributed by the Cardiac Society of Australia and New Zealand (CSANZ). 10 of 18 (56%) sites responded, most prevalent title held was Structural Heart (SH) Co-ordinator (40%). Respondents were predominantly registered nurses, with an average 17 years nursing experience and commonly graded as clinical nurse consultants (50%). Average duration in position was 3years, 44% held post graduate certificate and 22% master’s degree. 60% of respondents co-ordinated care for four or more procedures including TAVI, TMVr MitraClip, ASD/PFO and LAA, with 40% overseeing research procedures and 30% managing national clinical registries. Only 20% said they had cover for planned leave. Common responsibilities were co-ordinating patient clinical assessment for treatment consideration and waitlist management, followed by SH meeting preparation and patient follow-up. Respondents identified key barriers as unrealistic workload and time expectations, poorly defined role and lack of professional support. This study provides an overview of the current SH co-ordination landscape across public hospitals in Australia. This data can be used to further inform development and standardisation of a national position description for coordinators.

Knowledge, Attitude and Practices of Biomedical Waste Management among Dental Practioners in Karad City, Maharashtra, India

Introduction: Biomedical waste is generated routinely in high amounts in the dental office, the correct disposal of which bears importance to the dentist, staff and healthcare workers. This is the first of its kind study in the city of Karad which will provide an important insight into the proper method and knowledge of disposal of health care waste by the dental practitioners. The application of this study will be in accessing the legal necessity and social responsibility of the healthcare personnel’s in the effective management of biomedical waste. Materials and Method: The study population included 100 private practitioners in Karad City, Maharashtra. A self-administered questionnaire was distributed to assess the knowledge, attitude and practices regarding dental waste management. Descriptive statistics was used to summarize the results. Results: of 100 study participants, 73 (73%) were males and 27 (27%) were females. The maximum number of participants belonged to the age group of 34-38 years (29%). Undergraduate qualification was more (80%) and 43% participants had an experience of 0-5 years. Chi-square analysis showed a highly significant association between participant who attended continuing dental education (CDE) program and their practice ofdental waste management. Conclusion: Lack of knowledge and professional training in disposal of biomedical waste becomes a direct threat to the humans as well as the environment. CDE programs would help bring about a change in the management of healthcare waste.