1,189,112 research outputs found

    Formation of Digital Competence of State Servants in the Conditions of Government Digitalisation: The Problem Statement

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    In the context of public administration digitalization the importance of human resources and their quality increases, which requires state employees to possess new digital competencies (knowledge and skills), and often to master new professional functions that enable them to function effectively in the new digital environment. However, under these conditions, in the process of their professional socialization, a number of problems emerge. The purpose of the research is to determine the conditions and factors affecting the digital competency formation required in the transition to digital public administration of the civil servants digital competencies, as well as to identify contradictions that emerge in their formation process. The study was conducted on the basis of the information society concept, E-Government and the paradigm of the new public administration. The main research methods were documents analysis and statistical data analysis. The study has fixed that one of the factors hindering successful professional socialization in the context of public administration digitalisation is the uncertainty in the content of servants’ digital competencies they need, including taking into account future development prospects. The existing vocational education system cannot form digital competencies at the required level for several reasons (closed access to basic digital services and platforms, a variety of departmental digital services and workflow systems available in only one department, etc.). Civil servants are forced to master digital technology is more on its own. The main contradiction emerges in the process of creating digital competencies is the lack of officially fixed requirements for the availability of state and municipal employees’ digital competencies and the lack of mechanisms for their assessment in the selection or certification process. Moreover, the need to master the relevant digital competencies follows from regulatory documents. Keywords: digital competency of civil servants, digital competencies, digital literacy, professional socialization, digitalisation of public administratio

    LAND AND AGRARIAN REFORM IN THE KYRGYZ REPUBLIC

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    This report presents LTC's findings and recommendations on the land tenure transition. The information contained in this report has been used to prepare a second document, Land and Agrarian Reform in the Kyrgyz Republic: Consolidation Plan, that proposes a set of actions to ensure that the reforms are completed and produce a viable, market-oriented, agricultural sector. Chapter 1 offers baseline geographic information on the KR, an account of the macroeconomic environment in which reforms are taking place, a brief project history, and a description of the research methods. Chapter 2 chronicles the legal and regulatory changes that have driven land and agrarian reform in the KR since 1991 and evaluates this legislation for its legal consistency, underlying economic assumptions, and broad policy implications. Chapter 3 employs national land statistics to describe changes in the agrarian structure that have resulted from the legal and regulatory evolution during 1991-1995, including the number and size of farms, land use, and related indicators of land tenure change and agrarian reform. Chapter 4 reviews the structure, function, and efficacy of administrative bodies that set and enforce land and land reform policy, recommends administrative adjustments, and identifies land administration tasks the state can eliminate-and others it will need to bolster-as the KR completes its transition from command structures to market principles in agriculture. Finally, Chapter 5 uses data obtained in structured surveys and case studies conducted by LTC on a 10 percent sample of former state and collective farms to describe at the farm level the successes and shortcomings of reform measures to date; the chapter also makes recommendations for new or altered land reform policies and procedures.Agrarian structure--Kyrgyzstan, Land administration--Kyrgyzstan, Land reform--Kyrgyzstan, Land tenure--Government policy--Kyrgyzstan, Land tenure--Kyrgyzstan, Land titles--Registration and transfer--Kyrgyzstan, International Development, Land Economics/Use,

    The Critical Role of IL-34 in Osteoclastogenesis

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    It has been widely believed that the cytokines required for osteoclast formation are M-CSF (also known as CSF-1) and RANKL. Recently, a novel cytokine, designated IL-34, has been identified as another ligand of CSF1R. This study was to explore the biological function, specifically osteoclastogenesis and bone metabolism, of the new cytokine. We produced recombinant mouse IL-34 and found that together with RANKL it induces the formation of osteoclasts both from splenocytes as well as dose-dependently from bone marrow cells in mouse and these cells also revealed bone resorption activity. It also promotes osteoclast differentiation from human peripheral blood mononucleated cells. Finally, we show that systemic administration of IL-34 to mice increases the proportion of CD11b+ cells and reduces trabecular bone mass. Our data indicate that IL-34 is another important player in osteoclastogenesis and thus may have a role in bone diseases. Strategies of targeting CSF1/CSF1R have been developed and some of them are already in preclinical and clinical studies for treatment of inflammatory diseases. Our results strongly suggest the need to revisit these strategies as they may provide a new potential pharmaceutical target for the regulation of bone metabolism in addition to their role in the treatment of inflammatory diseases

    The performance of COBRA, a decision rule to predict the need for intensive care interventions in intentional drug overdose

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    BACKGROUND: COBRA was developed as a decision rule to predict which patients visiting the emergency department (ED) following intentional drug overdose will not require intensive care unit (ICU) interventions. COBRA uses parameters from five vital systems (cardiac conduction, oxygenation, blood pressure, respiration, and awareness) that are readily available in the ED. COBRA recommends against ICU admission when all these parameters are normal. OBJECTIVE: The primary aim of this study was to determine the negative predictive value (NPV) of COBRA in predicting ICU interventions. Secondary outcomes were the sensitivity, specificity and positive predictive value (PPV), and the observation time required for a reliable prediction. DESIGN: Observational cohort study. SETTINGS AND PARTICIPANTS: Patients with a reported intentional overdose with drugs having potential acute effects on neurological, circulatory or ventilatory function were included, and data necessary to complete the decision rule was collected. The attending physician in the ED made the actual admission decision, on the basis of clinical judgement. COBRA was measured 0, 3 and 6 h after arrival at the ED. OUTCOME MEASURES: Need for ICU interventions (treatment of convulsion; defibrillation; mechanical or noninvasive ventilation; intravenous administration of vasopressive agents, antiarrhythmics, atropine, calcium, magnesium or sedation; continuous hemofiltration or administration of antagonist/antidote and fluid resuscitation). MAIN RESULTS: Of 230 new cases (144 unique patients), 59 were immediately referred to the psychiatric services and/or sent home by the attending physician, 27 went to a regular ward, and 144 were admitted to the ICU. Of these 144 cases, 40 required one or more ICU interventions. By the time the first parameters were collected, the NPV of COBRA was 95.6%. After 3 h of observation, NPV was 100%, while sensitivity, specificity and PPV were 100, 61.1 and 35.1%, respectively. None of these values improved by prolonging the observation time to 6 h. CONCLUSION: In patients with a reported intentional overdose with drugs having potential acute effects on neurological, circulatory or ventilatory function, the COBRA decision rule showed good performances in predicting the need for intensive care interventions, with a NPV of 100% after 3 h of observation

    GABA-ergic Dynamics in Human Frontotemporal Networks Confirmed by Pharmaco-Magnetoencephalography.

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    To bridge the gap between preclinical cellular models of disease and in vivo imaging of human cognitive network dynamics, there is a pressing need for informative biophysical models. Here we assess dynamic causal models (DCM) of cortical network responses, as generative models of magnetoencephalographic observations during an auditory oddball roving paradigm in healthy adults. This paradigm induces robust perturbations that permeate frontotemporal networks, including an evoked 'mismatch negativity' response and transiently induced oscillations. Here, we probe GABAergic influences in the networks using double-blind placebo-controlled randomized-crossover administration of the GABA reuptake inhibitor, tiagabine (oral, 10 mg) in healthy older adults. We demonstrate the facility of conductance-based neural mass mean-field models, incorporating local synaptic connectivity, to investigate laminar-specific and GABAergic mechanisms of the auditory response. The neuronal model accurately recapitulated the observed magnetoencephalographic data. Using parametric empirical Bayes for optimal model inversion across both drug sessions, we identify the effect of tiagabine on GABAergic modulation of deep pyramidal and interneuronal cell populations. We found a transition of the main GABAergic drug effects from auditory cortex in standard trials to prefrontal cortex in deviant trials. The successful integration of pharmaco- magnetoencephalography with dynamic causal models of frontotemporal networks provides a potential platform on which to evaluate the effects of disease and pharmacological interventions.SIGNIFICANCE STATEMENT Understanding human brain function and developing new treatments require good models of brain function. We tested a detailed generative model of cortical microcircuits that accurately reproduced human magnetoencephalography, to quantify network dynamics and connectivity in frontotemporal cortex. This approach identified the effect of a test drug (GABA-reuptake inhibitor, tiagabine) on neuronal function (GABA-ergic dynamics), opening the way for psychopharmacological studies in health and disease with the mechanistic precision afforded by generative models of the brain

    Keeping Kids In School and Out of Court

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    As the education of our children -- our nation's future -- and the school-justice connection has increasingly captured public attention, the sunshine of increased graduation rates has brought into sharp focus the shadow of the so-called school-to-prison pipeline -- the thousands of students who are suspended, arrested, put at greater risk for dropping out, court involvement and incarceration. They are the subject of this Report.In school year 2011-2012 (SY2012), the number of suspensions in New York City public schools was 40 percent greater than during SY2006 (69,643 vs. 49,588, respectively), despite a five percent decrease in suspensions since SY2011. In addition, there were 882 school-related arrests (more than four per school day on average) and another 1,666 summonses issued during the SY2012 (more than seven per school day on average), also demonstrating an over-representation of students of color. These numbers might suggest New York City has a growing problem with violence and disruption in school but the opposite is true. Over the last several years, as reported by the Department of Education in November 2012, violence in schools has dropped dramatically, down 37 percent between 2001 and 2012. Indeed, violence Citywide has dropped dramatically.Emerging facts suggest that the surge in suspensions is not a function of serious misbehavior. New York City has the advantage of newly available public data that makes it possible for the first time to see patterns and trends with respect to suspensions by school and to see aggregate data on school-related summonses and arrests. The data shows that the overwhelming majority of school-related suspensions, summonses and arrests are for minor misbehavior, behavior that occurs on a daily basis in most schools. An important finding is that most schools in New York City handle that misbehavior without resorting to suspensions, summonses or arrests much if at all. Instead, it is a small percentage of schools that are struggling, generating the largest number of suspensions, summonses and arrests, impacting the lives of thousands of students. This newly available data echoes findings from other jurisdictions indicating that suspension and school arrest patterns are less a function of student misbehavior than a function of the adult response. Given the same behavior, some choose to utilize guidance and positive discipline options such as peer mediation; others utilize more punitive alternatives.The choice is not inconsequential. Recent research, including groundbreaking studies in Texas, Cincinnati and Chicago, underscore the important connections between academic outcomes and suspensions. Students who are suspended are more likely to be retained a grade, more likely to drop out, less likely to graduate and more likely to face involvement in the juvenile or criminal justice systems, thereby placing them at higher risk for poor life outcomes. Suspensions and school-related court involvement also generate significant and lifetime costs -- for extra years of schooling, for justice system involvement, and for families and all society. Notably, high rates of suspension do not yield correspondingly significant benefits, as research shows that high rates of suspensions in a school make students and teachers feel less, not more, safe.Most worrisome are patterns of suspensions for students with disabilities and students of color in New York City and across the nation. In New York City alone during SY2012, students receiving special education services were almost four times more likely to be suspended compared to their peers not receiving special education services; Black students were four times more likely and Hispanic students were almost twice as likely to be suspended compared to White students. New York City Black students were also 14 times more likely, and Hispanic students were five times more likely, to be arrested for school-based incidents compared to White students.Studies have shown that it is not the violent and egregious misbehavior that drives the disparities. For example, the Texas study showed that Black students had a lower rate of mandatory suspensions (suspensions for violence, weapons and other equally serious offenses) than White students. Black students exceeded White students only in the rates of suspensions for discretionary offenses.Innovative school districts throughout the country, encouraged by the federal government, are increasingly moving away from suspensions, summonses and arrests in favor of positive approaches to discipline that work. In New York City, a range of schools similarly have adopted constructive discipline with good results. In short, we have examples of what to do. The challenge is to take that learning system-wide and transform the small group of schools that over-rely on suspensions, summonses and arrests. Change in these schools could have a significant impact on student outcomes, re-engaging thousands of students so that they stay in school and out of courts. But research and experience tell us these schools cannot make this change by themselves. They need help and support. Change will require strong leadership and committed partnerships.New York City has a proud tradition of turning conventional wisdom on its head and achieving remarkable results. A recent example underscores this point. In the United States, conventional wisdom is and has been that mass incarceration is the cost of keeping communities safe. But New York City has proved otherwise. Even as the incarceration rate in New York City declined significantly, with a drop in the prison population of 17 percent between 2001 and 2009 and in the jail population by 40 percent from 1991 to 2009, the number of felonies reported by New York City to the Federal Bureau of Investigation also declined, down 72 percent. New York City proved conventional wisdom wrong with the result that thousands fewer people have been incarcerated -- saving the City and State taxpayers two billion dollars a year.Similarly, New York City can refute the conventional wisdom of critics who think that sacrificing a few students -- although the thousands of students who were suspended, arrested or issued summonses each year is not a "few" -- can be justified on the theory it protects the many by improving safety and academic outcomes. There is no research that supports this belief and a growing body of research that suggests the opposite. Students in schools with lower suspension rates have better academic outcomes than students in schools with high suspension rates, irrespective of student characteristics. Students and teachers in schools with lower rates of suspension and arrest also feel safer than students and teachers at schools with high rates. Students who feel safe can learn, and teachers who feel safe can teach.The students interviewed by Task Force members during their school visits echoed what the research also says: the best approach to keeping schools safe and improving academic outcomes is to support a positive school climate where students and teachers feel respected and valued. Evidence-based interventions like restorative justice, positive behavioral supports, and social-emotional learning are giving teachers and school leadership the tools they need to deal with school misbehavior and help build that positive school climate while keeping students safe and learning.In 2011, Judge Judith Kaye, with the support of The Atlantic Philanthropies, convened the New York City School-Justice Partnership Task Force to bring together City leaders to address the question of how best to keep more students in school and out of courts. She invited a group of stakeholders who do not often come together -- judges and educators, researchers and advocates, prosecutors and defense counsel -- to learn more about how the systems they serve impact each other and how they might partner together to achieve better outcomes. The Task Force heard from experts from around the City and country on promising practices. It examined data to improve understanding of the challenges and look for bright spots, schools that were succeeding even in the face of a wide array of challenges. Task Force members visited local schools and heard from principals and students about what they need. Members learned from each other and debated what avenues would be best.The work of the Task Force leads us to conclude that New York City can safely reduce the number of school-related incidents that can ultimately lead to court involvement. Indeed, the City already has models of promising practice -- schools that have high needs populations with low rates of suspensions and arrests. Learning from these schools and other reform-minded districts across the nation can guide leadership across systems to further safely reduce court involvement, arrests and suspensions while improving academic outcomes.We recognize that progress toward this objective will require a laser-like focus on shared outcomes and an unprecedented level of partnership among city agencies, and collaboration with the courts, and it must include parents, students, teachers, principals, researchers and advocates. Leadership and partnership at the top is the key. It will make possible the adoption of shared goals to improve outcomes for New York City's children across agencies so that schools do not have to go it alone. It will make possible the ability to divert summonses and arrests unnecessarily referred to the courts. It will make possible the ability to direct services where those services are needed and stop the flow of students with disabilities and youth of color into the suspension system and the courts. It will make possible the ability to raise up our support, expectations and standards for educational achievement and outcomes for students who do become court involved.In 2014, a new Mayor will assume office. It is already clear that school reform will be a high priority, as it has been for the Bloomberg administration. Over the past decade and more, we have learned a great deal about what works and what does not work, even as we recognize there is more to be learned. Now we have an opportunity to build on what has worked well.Reducing unnecessary suspensions, summonses and arrests is a challenge we can tackle and we must if our students are to succeed. In the end, many more young people can grow into successful and productive adults -- and it is our duty as adults to find the supports necessary to make that happen. Frederick Douglass was right on target in his observation that it is better to build strong children than repair broken men and women. This Report summarizes almost two years of learning, and it advances recommendations to make that happen.As the next New York City Mayor sets the course for education reform, these recommendations offer a roadmap of next steps for a Citywide effort to take advantage of emerging approaches to school and justice system leadership that are effective and fair as a means to improve outcomes for all of our children -- to keep our students in school and out of court

    Primary Care Family Nurse Practitioners’ Practices O F Assessment For The State O F Thriving Among Community-Based Elders

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    The increasing life span of people within the developed world may produce major health problems for the elder. These health problems lead to premature declines in function and cognition. Many healthcare professionals do not recognize these declines until the need for institutionalized care is urgent. Research has demonstrated that healthcare professionals either fail to recognize or address these declines, contributing to poor outcomes for the elder and the exponential rise in healthcare expenses o f the Medicare and Medicaid funds. This exploratory, descriptive study was designed to examine the level of assessment by primary care family nurse practitioners (FNPs) for the state of thriving among community-based elders. The theoretical framework for this research was based on the Thriving Model: A Life Span theory developed by nurse researchers out of the University o f North Carolina at Greensboro (Haight et al., 2002). The research question that guided this study was as follows: To what level do primary care family nurse practitioners assess for the state of thriving among community-based elders? The setting for this study was a southeastern state. A sample o f 150 family nurse practitioners were surveyed using a researcher-designed tool, titled the LaBonte Questionnaire. The surveyed FNPs adequately assessed for routine primary care assessment such as laboratory data and review of immunizations. However, the data analysis revealed that the majority of primary care FNPs failed to adequately assess community-based elders 111 for the state of thriving as it related to activities o f daily living and at-risk assessments, such as depression screening. Numerous implications for nursing practice, education, research, and administration were created by this study. Further research utilizing this new theory of thriving was recommended to further develop and define the critical concepts o f thriving as it relates to the community-based elder

    Human Resource Management in New Jersey State Government

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    In 2005, the State of New Jersey Department of Personnel commissioned the Heldrich Center to study the critical human resource management issues confronting New Jersey state government. This report highlights the study's findings including: the human resource management function must be elevated to a position of primacy in state government, the state must reengineer the Department of Personnel into an effective human resource management agency with a broader mission than overseeing transactions and compliance with statutes and regulations, and the state must support its human resource function with adequate staff resources
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