Organization of sorting and surgery of wounds with soft tissue defects during the joint force surgery

Introduction. The experience of providing medical care during the Anti-terrorist operation in eastern Ukraine showed that in the structure of modern combat surgical trauma gunshot wounds with soft tissue defects are between 64.9-68.2%, of which 36.4-37.5% are small and medium, 28.5-30.7% are large and very large defects.Aim: To improve the results of providing surgical care to the wounded with soft tissue defects by introducing a variety of surgical tactics of wound closure to the medical care levels.Material and Methods. The total array of the study was 2537 wounded with shrapnel, bullet and mine injuries from April 2014 to September 2018. The determination of surgical tactics for closing soft tissue defects was performed at the basis of metric classification taking into account the area, volume and anatomical areas of the lesion.Results. The combination of metric characteristics of wound defects by area, volume with localization of wounds in a single classification allowed the offer of a comprehensive approach to sorting the wounded at the level of medical care and to determine further surgical tactics to close soft tissue defects. In accordance with the sorting and evacuation purposes, the wounded with gunshot wounds to the foot and hand (third zone of injury) were treated in specialised centres to the fourth level of medical care. In the case of medium and large wounds of the thigh, leg, shoulder and forearm, medical care was provided at the second and third levels. And in the case of large and very large wounds of the specified localisation was provided in specialised clinics of the fourth level.Conclusions. The introduction of differentiated surgical tactics in the wounded with soft tissue defects at the levels of medical care has improved functional results: increase the proportion of good from 46.9% to 53.7%, reduce the relative number of unsatisfactory from 18.8% to 11, 6%

Conceptual principles of the wounded combatants’ evacuation, suffering military surgical trauma on the medical support levels

Objective. To improve the results of treatment of the wounded persons, suffering a combat surgical trauma, elaborating and introducing of objective scales of the trauma severity estimation into the medical evacuation system while conduction of Antiterroristic operation / Operation of Joint Forces. Materials and metods. Complex medical-statistical investigation was performed, in which 684 wounded persons, suffering a combat surgical trauma were included. Dynamical medical control and determination of the trauma severity degree in accordance to AdTS (Admission trauma Scale) were applied on all levels of medical support. Results. In the beginning of conduction of Antiterroristic operation / Operation of Joint Forces a mortallty have had occurred during transportation of wounded persons in unstable state (more than 9 points) to military-medical clinical centers. The wounded persons in a traumatic shock state were transported on forth level of medical support, what have been considered an organization defect in the help deliver process, which leaded to death of military persons. At the same time an unjustified delay of transportation of servicemen, suffering wounds of the wrist and foot (up to 5 points), on the first and second levels of medical support, leading to development of severe complications, have occurred. Taking into account the above mentioned, the authors have provided a differentiated approach for medical evacuation of wounded persons, suffering a combat surgical trauma, depending on its severity degree. Conclusion. Evacuation of wounded persons, suffering a combat surgical trauma, constitutes an integral part of the medical support system of Antiterroristic operation/Operation of Joint Forces, closely connected with a medical support process during transportation. Medical evacuation of wounded persons with injuries of the vision organ, the wrist and foot must be accomplished urgently to specialized clinic of the fourth level of medical support

Thermospheric heating at high latitudes as observed from intercosmos-Bulgaria-1300 and dynamics explorer-B

This paper reports the results of the first direct comparison of near simultaneous measurements obtained by the INTERCOSMOS-BULGARIA-1300 and the DYNAMICS EXPLORER-B satellites. The ICB-1300 is in a near circular orbit at a mean height of about 850 km. The DE-B satellite in an elliptical orbit is sometimes directly below the ICB-1300 satellite providing an opportunity to investigate the response of the thermosphere to particle fluxes from the magnetosphere. Energy fluxes in the range 0.2-15 keV are obtained from an energetic particle analyzer on board the ICB-1300 satellite. The thermospheric composition and density are obtained by a neutral gas mass spectrometer (NACS) on the DE-B satellite. During the period 20 August-20 November, 1981, observations show tht the times and locations of maxima in magnetospheric energy deposition coincide with regions of maximum thermospheric upwelling characterized by composition changes.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/25883/1/0000446.pd

Теорія та практика менеджменту безпеки

У збірнику подано тези доповідей та виступів учасників Міжнародної науково-практичної конференції, присвяченої питанням теорії менеджменту безпеки, безпеки особистості, прикладним аспектам забезпечення соціальної, екологічної, економічної безпеки підприємств, питанням механізму забезпечення соціоекологоекономічної безпеки регіону, проблемам забезпечення національної безпеки

Functioning of rural tourism clusters as a tool of development of Ukrainian regions

The article is devoted to the search for effective tools for regional development by studying the processes of formation and development of rural tourism clusters in Ukraine and trends in the tourism industry in general, as well as finding optimal tools for regional development. The purpose of the publication is to study the theoretical and methodological approaches to finding directions for regional development through the formation of rural tourism clusters in Ukraine. The methodological tools of the rese arch methods were the analysis of scientific literature and points of view of foreign and domestic specialists of cluster policy in the tourism industry. The study also used analytical data from the World Travel and Tourism Council and the National Tourism Organization of Ukraine. In the course of organizing and conducting the research, general scientific and special methods such as analysis, synthesis, comparison were used, while identifying destructive factors influencing the state and development of rural tourism. The study empirically confirms and theoretically proves that cluster policy is the most effective and appropriate in the development of rural tourism in the region. With the help of the structurallogical method the vision of introduction of modern tools of development of regions in the conditions of pandemic spread is presented. The content and significance of rural tourism in the development of the regions of Ukraine are considered. The content of the researched definitions is determined, the approaches of the process of formation and development of rural tourism clusters are generalized and formulated. The object of research is the processes of clustering of tourist entities in rural areas. It is determined that the main tool for the development of the regions of Ukraine is the cooperation of rural economic entities. One of such areas of cooperation is the formation and development of tourism clusters. It has been proven that cluster policy is successful and has spread in almost all countries of the world. Today in Ukraine there are no state programs for cluster development, and there is no single representative office - a representative of clusters of Ukraine. The proposed directions of development of Ukraine's regions through the formation and development of rural tourism clusters are the leading tools of regional development, which will quickly overcome the effects of the pandemic, promote socio-economic growth and integration of regional tourism products and services into the global tourism market.Стаття присвячена пошуку ефективних інструментів розвитку регіонів шляхом дослідження процесів формування та розвитку кластерів сільського туризму в Україні та тенденцій розвитку індустрії туризму загалом, а також пошуку оптимальних інструментів розвитку регіонів. Метою публікації є дослідження теоретичних і методичних підходів до пошук напрямів розвитку регіонів шляхом формування кластерів сільського туризму в Україні. Методологічним інструментарієм методів дослідження були аналіз наукової літератури та точок зору зарубіжних та вітчизняних фахівців кластерної політики у індустрії туризму. Також в дослідженні використані аналітичні дані Всесвітньої ради з подорожей і туризму та Національної туристичної організації України. У ході організації та проведення дослідження використано загальнонаукові та спеціальні методи такі як аналіз, синтез, порівняння, при виокремленні деструктивних факторів впливу на стан та розвиток сільського туризму. Дослідження емпірично підтверджує та теоретично доводить, що кластерна політика є найбільш ефективною та доцільною в розвитку сільського туризму в регіоні. За допомогою структурно-логічного методу представлено бачення впровадження сучасних інструментів розвитку регіонів в умовах поширення пандемії. Розглянуто зміст та значення сільського туризму в розвитку регіонів України. Визначено зміст досліджуваних дефініцій, узагальнено та сформульовано підходи процесу формування та розвитку кластерів сільського туризму. Об’єктом дослідження є процеси кластеризації туристичних суб’єктів сільських територій. Визначено, що основним інструментом розвитку регіонів України є кооперація суб’єктів господарювання сільських територій. Одним з таких напрямів кооперації є формування та розвиток туристичних кластерів. Доведено, що кластерна політика є успішною та набула поширення практично в усіх країнах світу. Сьогодні в Україні відсутні державні програми розвитку кластерів, а також немає єдиного представництва – репрезентанта кластерів України. Запропоновані напрями розвитку регіонів України, шляхом формування та розвитку кластерів сільського туризму, є провідними інструментами регіонального розвитку, що дозволить швидко подолати наслідки поширення пандемії, сприятиме соціально-економічному зростанню регіонів та інтеграції регіональних туристичних продуктів та послуг до глобального туристичного ринку

ORGANIZING ICT-SUPPORTED WORKSHOPS AT UNIVERSITIES

The article systematizes theoretical and practical experience of organizing classes in the format of dynamic training using the technology of the workshop in higher educational institutions. The emphasis is placed on the peculiarities of the use of integrated workshops with technical (computer) support during classes, as well as remote workshops for the organization of students’ independent work. The practical experience of organizing dynamic training in the form of the workshop for students of Journalism with the use of both an integrated «training workshop» and the possibilities of a free training platform «Prometheus» is presented. Based on the questionnaire of the participants in the training group, the advantages of using the technology of the workshop in the educational process are determined

Overview of the ISS radiation environment observed during the ESA EXPOSE-R2 mission in 2014-2016

The radiation risk radiometer-dosimeter (R3D)-R2 solid-state detector performed radiation measurements at the European Space Agency EXPOSE-R2 platform outside of the Russian “Zvezda” module at the International Space Station (ISS) from 24 October 2014-11 January 2016. The ISS orbital parameters were: average altitude of 415 km and 51.6° inclination. We developed special software and used experimentally-obtained formulas to determine the radiation flux-to-dose ratio from the R3DR2 Liulin-type deposited-energy spectrometer. We provide for the first time simultaneous, long-term estimates of radiation dose external to the ISS for four source categories: (i) galactic cosmic ray particles and their secondary products; (ii) protons in the South Atlantic Anomaly region of the inner radiation belt (IRB); (iii) relativistic electrons and/or bremsstrahlung in the outer radiation belt (ORB); and (iv) solar energetic particle (SEP) events. The latter category is new in this study. Additionally, in this study, secondary particles (SP) resulting from energetic particle interaction with the detector and nearby materials are identified. These are observed continuously at high latitudes. The detected SPs are identified using the same sorting requirements as SEP protons. The IRB protons provide the highest consistent hourly dose, while the ORB electrons and SEPs provide the most extreme hourly doses. SEPs were observed 11 times during the study interval. The R3DR2 data support calculation of average equivalent doses. The 30-day and 1-year average equivalent doses are much smaller than the skin and eyes doses recommendations by the National Council on Radiation Protection (Report 132), which provides radiation protection guidance for Low Earth Orbit

Проведення воркшопів з ІКТ-підтримкою в університетах

The article systematizes theoretical and practical experience of organizing classes in the format of dynamic training using the technology of the workshop in higher educational institutions. The emphasis is placed on the peculiarities of the use of integrated workshops with technical (computer) support during classes, as well as remote workshops for the organization of students’ independent work. The practical experience of organizing dynamic training in the form of the workshop for students of Journalism with the use of both an integrated «training workshop» and the possibilities of a free training platform «Prometheus» is presented. Based on the questionnaire of the participants in the training group, the advantages of using the technology of the workshop in the educational process are determined.У статті систематизовано теоретичний і практичний досвід організації заняття у форматі динамічного навчання з використанням технології воркшопу у ВНЗ. Акцентовано увагу на особливостях застосування інтегрованих воркшопів з технічним (комп’ютерним) супроводом під час проведення занять, а також дистанційних воркшопів для організації самостійної роботи студентів. Представлено власний практичний досвід організації динамічного навчання у форматі воркшопу для студентів журналістських спеціальностей із застосуванням як інтегрованої «навчальної майстерні», так і можливостей безкоштовної навчальної платформи «Prometheus». На основі анкетування учасників навчальної групи визначено переваги використання технології воркшопу у навчальному процесі