12 research outputs found
THE DEVELOPMENT OF SCHOOLCHILDREN TECHNICAL EDUCATION IN THE TRANSITION TO A NEW TECHNOLOGICAL PARADIGM
Introduction. The transition to a new technological regime leads to social-economic and technological changes that require representation not only in the sphere of professional education but also in general school education. Processes of modernization of the content and curriculum of general education particularly acute become applicable in the subject area “Technology”, which is the basis for formation of technological culture of the graduates and successful development of their professional education. The aim of the publication is to justify the need for changes in the content and means of technological education in connection with the transition of society to a new technological structure, changing nature of work and basic production techniques. Methodology and research methods. The methodological basis of the study was the concept of substitution of technological regime and the concept of change of organizational cultures that determine the regularities of changes in the means and nature of work in society. The research methods involve the analysis of the current state of the system of technological education; problem statement and conceptualization; expert survey, generalization. Results and scientific novelty. The necessity of the content and means of technological education is proved. The mentioned above necessity defines the quality of future vocational training of students according to the changing requirements of labour market, the last achievements in the technical field and technologies; serves as a warranty of maintaining competitiveness of national economy in global scales of social-economic and technological development of world production. The common regularities of changes in technological education under the influence of change of technological regimes (industrial revolutions) are described. The essence of the contents and means of technological education is disclosed. The measures of such training implementation are proposed. Practical significance. The article can be used by researchers of technological education of students; authors of new approaches and modernization concept development of technological education content. Введение. Переход общества к новому технологическому укладу приводит к социально-экономическим и технологическим изменениям, требующим своего отражения в сфере не только профессионального, но и общего школьного образования. Процессы модернизации содержания и технологий обучения особенно остро протекают в предметной области «Технология», которая является основой для формирования технологической культуры выпускников школ и успешного прохождения ими дальнейшей профессиональной подготовки. Цель статьи – обосновать необходимость пересмотра содержания и выбора средств технологического образования в связи с формированием в обществе нового технологического уклада, изменением характера труда и базисных технологий производства. Методология и методики. Методологической основой исследования явились концепции смены технологических укладов и типов организационной культуры, определяющие закономерности разнонаправленных кардинальных перемен в обществе в целом и в жизни отдельно взятого человека. В процессе работы автором применялись такие методы, как анализ существующего состояния системы технологического образования; постановка и концептуализация проблемы модернизации технологического обучения школьников; экспертный опрос; обобщение. Результаты и научная новизна. Обоснованы потребность и неизбежность обновления содержания и средств технологического образования, которое определяет качество будущей профессиональной подготовки обучающихся в соответствии с меняющимися требованиями рынка труда, последними достижениями в области техники и технологий, служит гарантией сохранения конкурентоспособности экономики страны в глобальных масштабах социально-экономического и технологического развития мирового производства. Описаны закономерности изменений технологической подготовки под влиянием смены технологических укладов (промышленных революций). Раскрыта сущность отвечающих вызовам времени содержания и средств технологического обучения. Предложены меры реализации такого обучения. Практическая значимость. Материалы статьи могут быть использованы исследователями технологического образования школьников, авторами и разработчиками новых подходов и концепций модернизации содержания и технологий обучения в предметной области.
THE DEVELOPMENT OF SCHOOLCHILDREN TECHNICAL EDUCATION IN THE TRANSITION TO A NEW TECHNOLOGICAL PARADIGM
Introduction. The transition to a new technological regime leads to social-economic and technological changes that require representation not only in the sphere of professional education but also in general school education. Processes of modernization of the content and curriculum of general education particularly acute become applicable in the subject area “Technology”, which is the basis for formation of technological culture of the graduates and successful development of their professional education.The aim of the publication is to justify the need for changes in the content and means of technological education in connection with the transition of society to a new technological structure, changing nature of work and basic production techniques.Methodology and research methods. The methodological basis of the study was the concept of substitution of technological regime and the concept of change of organizational cultures that determine the regularities of changes in the means and nature of work in society. The research methods involve the analysis of the current state of the system of technological education; problem statement and conceptualization; expert survey, generalization.Results and scientific novelty. The necessity of the content and means of technological education is proved. The mentioned above necessity defines the quality of future vocational training of students according to the changing requirements of labour market, the last achievements in the technical field and technologies; serves as a warranty of maintaining competitiveness of national economy in global scales of social-economic and technological development of world production. The common regularities of changes in technological education under the influence of change of technological regimes (industrial revolutions) are described. The essence of the contents and means of technological education is disclosed. The measures of such training implementation are proposed.Practical significance. The article can be used by researchers of technological education of students; authors of new approaches and modernization concept development of technological education content
Preparing teachers for the use of digital technologies in educational activities
Digital technologies have a strong impact on changes in the educational environment and activities. In the context of such changes, aggravated by the spread of coronavirus infection and the transition of schools to distance learning, teachers and students are facing the need to actively master digital tools and educational platforms. The authors aim at analyzing the professional gaps of teachers associated with digital literacy and the ability to effectively use digital technologies in educational activities. The conducted sociological research and the results obtained allow the authors to study the existing internal teachers’ gaps and show the main problems in the organization of educational activities in the context of the transition to distance learning and the existing gaps in the use of digital technologies by school teachers. Based on the results of the study, the authors have identified the key areas of the professional development of teachers. They have developed educational programs aimed at skill development and further training of teachers in the Russian Federation and foreign countries on such topics as the digital educational environment and the use of open educational resources, methods of using digital technologies in the organization of educational activities, methods and techniques of organization feedback, pedagogical communication in the digital environment, and information security and ethics in the digital environment. The authors have determined the conditions for the professional development of teachers in the process of skill development and further training, as well as self-education (including spontaneous training in the workplace).The authors believe that the increase in teachers’ digital literacy, based on filling their professional gaps, will help to improve the quality of general education and create conditions for the elimination of the digital divide of the population
An international assessment of the adoption of enhanced recovery after surgery (ERAS®) principles across colorectal units in 2019–2020
Aim: The Enhanced Recovery After Surgery (ERAS®) Society guidelines aim to standardize perioperative care in colorectal surgery via 25 principles. We aimed to assess the variation in uptake of these principles across an international network of colorectal units. Method: An online survey was circulated amongst European Society of Coloproctology members in 2019–2020. For each ERAS principle, respondents were asked to score how frequently the principle was implemented in their hospital, from 1 (‘rarely’) to 4 (‘always’). Respondents were also asked to recall whether practice had changed since 2017. Subgroup analyses based on hospital characteristics were conducted. Results: Of hospitals approached, 58% responded to the survey (195/335), with 296 individual responses (multiple responses were received from some hospitals). The majority were European (163/195, 83.6%). Overall, respondents indicated they ‘most often’ or ‘always’ adhered to most individual ERAS principles (18/25, 72%). Variability in the uptake of principles was reported, with universal uptake of some principles (e.g., prophylactic antibiotics; early mobilization) and inconsistency from ‘rarely’ to ‘always’ in others (e.g., no nasogastric intubation; no preoperative fasting and carbohydrate drinks). In alignment with 2018 ERAS guideline updates, adherence to principles for prehabilitation, managing anaemia and postoperative nutrition appears to have increased since 2017. Conclusions: Uptake of ERAS principles varied across hospitals, and not all 25 principles were equally adhered to. Whilst some principles exhibited a high level of acceptance, others had a wide variability in uptake indicative of controversy or barriers to uptake. Further research into specific principles is required to improve ERAS implementation
An international assessment of the adoption of enhanced recovery after surgery (ERAS®) principles across colorectal units in 2019–2020
AimThe Enhanced Recovery After Surgery (ERAS®) Society guidelines aim to standardize perioperative care in colorectal surgery via 25 principles. We aimed to assess the variation in uptake of these principles across an international network of colorectal units.MethodAn online survey was circulated amongst European Society of Coloproctology members in 2019–2020. For each ERAS principle, respondents were asked to score how frequently the principle was implemented in their hospital, from 1 (‘rarely’) to 4 (‘always’). Respondents were also asked to recall whether practice had changed since 2017. Subgroup analyses based on hospital characteristics were conducted.ResultsOf hospitals approached, 58% responded to the survey (195/335), with 296 individual responses (multiple responses were received from some hospitals). The majority were European (163/195, 83.6%). Overall, respondents indicated they ‘most often’ or ‘always’ adhered to most individual ERAS principles (18/25, 72%). Variability in the uptake of principles was reported, with universal uptake of some principles (e.g., prophylactic antibiotics; early mobilization) and inconsistency from ‘rarely’ to ‘always’ in others (e.g., no nasogastric intubation; no preoperative fasting and carbohydrate drinks). In alignment with 2018 ERAS guideline updates, adherence to principles for prehabilitation, managing anaemia and postoperative nutrition appears to have increased since 2017.ConclusionsUptake of ERAS principles varied across hospitals, and not all 25 principles were equally adhered to. Whilst some principles exhibited a high level of acceptance, others had a wide variability in uptake indicative of controversy or barriers to uptake. Further research into specific principles is required to improve ERAS implementation.AimThe Enhanced Recovery After Surgery (ERAS®) Society guidelines aim to standardize perioperative care in colorectal surgery via 25 principles. We aimed to assess the variation in uptake of these principles across an international network of colorectal units.MethodAn online survey was circulated amongst European Society of Coloproctology members in 2019–2020. For each ERAS principle, respondents were asked to score how frequently the principle was implemented in their hospital, from 1 (‘rarely’) to 4 (‘always’). Respondents were also asked to recall whether practice had changed since 2017. Subgroup analyses based on hospital characteristics were conducted.ResultsOf hospitals approached, 58% responded to the survey (195/335), with 296 individual responses (multiple responses were received from some hospitals). The majority were European (163/195, 83.6%). Overall, respondents indicated they ‘most often’ or ‘always’ adhered to most individual ERAS principles (18/25, 72%). Variability in the uptake of principles was reported, with universal uptake of some principles (e.g., prophylactic antibiotics; early mobilization) and inconsistency from ‘rarely’ to ‘always’ in others (e.g., no nasogastric intubation; no preoperative fasting and carbohydrate drinks). In alignment with 2018 ERAS guideline updates, adherence to principles for prehabilitation, managing anaemia and postoperative nutrition appears to have increased since 2017.ConclusionsUptake of ERAS principles varied across hospitals, and not all 25 principles were equally adhered to. Whilst some principles exhibited a high level of acceptance, others had a wide variability in uptake indicative of controversy or barriers to uptake. Further research into specific principles is required to improve ERAS implementation.A
An international assessment of the adoption of enhanced recovery after surgery (ERAS®) principles across colorectal units in 2019–2020
Aim: The Enhanced Recovery After Surgery (ERAS®) Society guidelines aim to standardize perioperative care in colorectal surgery via 25 principles. We aimed to assess the variation in uptake of these principles across an international network of colorectal units. Method: An online survey was circulated amongst European Society of Coloproctology members in 2019–2020. For each ERAS principle, respondents were asked to score how frequently the principle was implemented in their hospital, from 1 (‘rarely’) to 4 (‘always’). Respondents were also asked to recall whether practice had changed since 2017. Subgroup analyses based on hospital characteristics were conducted. Results: Of hospitals approached, 58% responded to the survey (195/335), with 296 individual responses (multiple responses were received from some hospitals). The majority were European (163/195, 83.6%). Overall, respondents indicated they ‘most often’ or ‘always’ adhered to most individual ERAS principles (18/25, 72%). Variability in the uptake of principles was reported, with universal uptake of some principles (e.g., prophylactic antibiotics; early mobilization) and inconsistency from ‘rarely’ to ‘always’ in others (e.g., no nasogastric intubation; no preoperative fasting and carbohydrate drinks). In alignment with 2018 ERAS guideline updates, adherence to principles for prehabilitation, managing anaemia and postoperative nutrition appears to have increased since 2017. Conclusions: Uptake of ERAS principles varied across hospitals, and not all 25 principles were equally adhered to. Whilst some principles exhibited a high level of acceptance, others had a wide variability in uptake indicative of controversy or barriers to uptake. Further research into specific principles is required to improve ERAS implementation
Association of mechanical bowel preparation with oral antibiotics and anastomotic leak following left sided colorectal resection: an international, multi-centre, prospective audit.
This is the peer reviewed version of the following article: , (2018), Association of mechanical bowel preparation with oral antibiotics and anastomotic leak following left sided colorectal resection: an international, multi‐centre, prospective audit. Colorectal Dis, 20: 15-32. doi:10.1111/codi.14362, which has been published in final form at https://doi.org/10.1111/codi.14362. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived VersionsINTRODUCTION: The optimal bowel preparation strategy to minimise the risk of anastomotic leak is yet to be determined. This study aimed to determine whether oral antibiotics combined with mechanical bowel preparation (MBP+Abx) was associated with a reduced risk of anastomotic leak when compared to mechanical bowel preparation alone (MBP) or no bowel preparation (NBP). METHODS: A pre-planned analysis of the European Society of Coloproctology (ESCP) 2017 Left Sided Colorectal Resection audit was performed. Patients undergoing elective left sided colonic or rectal resection with primary anastomosis between 1 January 2017 and 15 March 2017 by any operative approach were included. The primary outcome measure was anastomotic leak. RESULTS: Of 3676 patients across 343 centres in 47 countries, 618 (16.8%) received MBP+ABx, 1945 MBP (52.9%) and 1099 patients NBP (29.9%). Patients undergoing MBP+ABx had the lowest overall rate of anastomotic leak (6.1%, 9.2%, 8.7% respectively) in unadjusted analysis. After case-mix adjustment using a mixed-effects multivariable regression model, MBP+Abx was associated with a lower risk of anastomotic leak (OR 0.52, 0.30-0.92, P = 0.02) but MBP was not (OR 0.92, 0.63-1.36, P = 0.69) compared to NBP. CONCLUSION: This non-randomised study adds 'real-world', contemporaneous, and prospective evidence of the beneficial effects of combined mechanical bowel preparation and oral antibiotics in the prevention of anastomotic leak following left sided colorectal resection across diverse settings. We have also demonstrated limited uptake of this strategy in current international colorectal practice
An international assessment of the adoption of enhanced recovery after surgery (ERAS®) principles across colorectal units in 2019–2020
Aim: The Enhanced Recovery After Surgery (ERAS®) Society guidelines aim to standardize perioperative care in colorectal surgery via 25 principles. We aimed to assess the variation in uptake of these principles across an international network of colorectal units. Method: An online survey was circulated amongst European Society of Coloproctology members in 2019–2020. For each ERAS principle, respondents were asked to score how frequently the principle was implemented in their hospital, from 1 (‘rarely’) to 4 (‘always’). Respondents were also asked to recall whether practice had changed since 2017. Subgroup analyses based on hospital characteristics were conducted. Results: Of hospitals approached, 58% responded to the survey (195/335), with 296 individual responses (multiple responses were received from some hospitals). The majority were European (163/195, 83.6%). Overall, respondents indicated they ‘most often’ or ‘always’ adhered to most individual ERAS principles (18/25, 72%). Variability in the uptake of principles was reported, with universal uptake of some principles (e.g., prophylactic antibiotics; early mobilization) and inconsistency from ‘rarely’ to ‘always’ in others (e.g., no nasogastric intubation; no preoperative fasting and carbohydrate drinks). In alignment with 2018 ERAS guideline updates, adherence to principles for prehabilitation, managing anaemia and postoperative nutrition appears to have increased since 2017. Conclusions: Uptake of ERAS principles varied across hospitals, and not all 25 principles were equally adhered to. Whilst some principles exhibited a high level of acceptance, others had a wide variability in uptake indicative of controversy or barriers to uptake. Further research into specific principles is required to improve ERAS implementation
The impact of conversion on the risk of major complication following laparoscopic colonic surgery: an international, multicentre prospective audit.
This is the peer reviewed version of the following article: The and E. S. o. C. c. groups (2018). "The impact of conversion on the risk of major complication following laparoscopic colonic surgery: an international, multicentre prospective audit." Colorectal Disease 20(S6): 69-89., which has been published in final form at https://doi.org/10.1111/codi.14371. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions.BACKGROUND: Laparoscopy has now been implemented as a standard of care for elective colonic resection around the world. During the adoption period, studies showed that conversion may be detrimental to patients, with poorer outcomes than both laparoscopic completed or planned open surgery. The primary aim of this study was to determine whether laparoscopic conversion was associated with a higher major complication rate than planned open surgery in contemporary, international practice. METHODS: Combined analysis of the European Society of Coloproctology 2017 and 2015 audits. Patients were included if they underwent elective resection of a colonic segment from the caecum to the rectosigmoid junction with primary anastomosis. The primary outcome measure was the 30-day major complication rate, defined as Clavien-Dindo grade III-V. RESULTS: Of 3980 patients, 64% (2561/3980) underwent laparoscopic surgery and a laparoscopic conversion rate of 14% (359/2561). The major complication rate was highest after open surgery (laparoscopic 7.4%, converted 9.7%, open 11.6%, P < 0.001). After case mix adjustment in a multilevel model, only planned open (and not laparoscopic converted) surgery was associated with increased major complications in comparison to laparoscopic surgery (OR 1.64, 1.27-2.11, P < 0.001). CONCLUSIONS: Appropriate laparoscopic conversion should not be considered a treatment failure in modern practice. Conversion does not appear to place patients at increased risk of complications vs planned open surgery, supporting broadening of selection criteria for attempted laparoscopy in elective colonic resection
Safety of primary anastomosis following emergency left sided colorectal resection: an international, multi-centre prospective audit.
This is the peer reviewed version of the following article: group, T. E. S. o. C. c. (2018). "Safety of primary anastomosis following emergency left sided colorectal resection: an international, multi-centre prospective audit." Colorectal Disease 20(S6): 47-57., which has been published in final form at https://doi.org/10.1111/codi.1437. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived VersionsINTRODUCTION: Some evidence suggests that primary anastomosis following left sided colorectal resection in the emergency setting may be safe in selected patients, and confer favourable outcomes to permanent enterostomy. The aim of this study was to compare the major postoperative complication rate in patients undergoing end stoma vs primary anastomosis following emergency left sided colorectal resection. METHODS: A pre-planned analysis of the European Society of Coloproctology 2017 audit. Adult patients (> 16 years) who underwent emergency (unplanned, within 24 h of hospital admission) left sided colonic or rectal resection were included. The primary endpoint was the 30-day major complication rate (Clavien-Dindo grade 3 to 5). RESULTS: From 591 patients, 455 (77%) received an end stoma, 103 a primary anastomosis (17%) and 33 primary anastomosis with defunctioning stoma (6%). In multivariable models, anastomosis was associated with a similar major complication rate to end stoma (adjusted odds ratio for end stoma 1.52, 95%CI 0.83-2.79, P = 0.173). Although a defunctioning stoma was not associated with reduced anastomotic leak (12% defunctioned [4/33] vs 13% not defunctioned [13/97], adjusted odds ratio 2.19, 95%CI 0.43-11.02, P = 0.343), it was associated with less severe complications (75% [3/4] with defunctioning stoma, 86.7% anastomosis only [13/15]), a lower mortality rate (0% [0/4] vs 20% [3/15]), and fewer reoperations (50% [2/4] vs 73% [11/15]) when a leak did occur. CONCLUSIONS: Primary anastomosis in selected patients appears safe after left sided emergency colorectal resection. A defunctioning stoma might mitigate against risk of subsequent complications