Analysis of the competitive advantages of the hospitality industry in the western regions of Ukraine

The article examines the regional foundations for the development of the hospitality industry in the regions of Ukraine. The analysis of trends in the development of structural elements of the hospitality industry. For the study, the western part of Ukraine (North-West and Carpathian regions) was selected, namely: Volyn, Rivne, Lvov, Ivano-Frankivsk, Transcarpathian and Chernivtsi regions. The competitive advantages of the hospitality industry in the studied regions have been determined, and their analysis has been carried out. The main destructive factors in the development of the tourism sector have been identified, which include: economic and political crises, quarantine restrictions, lack of systemic state support for the development of tourism entities in modern conditions; a significant level of shadowing of the tourism sector, inappropriate use of funds from tourist tax on the ground, unsatisfactory condition of tourist facilities, worn-out infrastructure in most regions, etc. The analysis of the place of each western region among the regions of Ukraine is carried out according to the main factors of influence on the competitiveness of the hospitality industry. The directions of development of the competitive advantages of the hospitality industry are proposed. For example, in the regions under study, it is advisable to develop regional programs for the formation and promotion of local products and services. In view of modern destructive factors of influence, it is proposed to develop and implement regional standards of hospitality, taking into account the specifics of the tourist attractiveness of the regions. Such a documentary regulation of the development of the hospitality industry will help to increase the competitive advantages of regional tourism products, create conditions for increasing regional income by increasing tourist flows, increase the tourist competitiveness of the regions, reduce the unemployment rate and stimulate the socio-economic development of the regions.В статье исследованы региональные основы развития индустрии гостеприимства в регионах Украины. Проведен анализ тенденций развития структурных элементов индустрии гостеприимства. Для исследования выбрана западная часть Украины (Северо-Западный и Карпатский регионы), а именно: Волынская, Ровенская, Львовская, Ивано-Франковская, Закарпатская и Черновицкая области. Определены конкурентные преимущества индустрии гостеприимства в исследованных регионах, проведен их анализ. Определены основные деструктивные факторы развития туристической сферы, к которым относятся экономические и политические кризисы, карантинные ограничения, отсутствие системной государственной поддержки развития субъектов туризма в современных условиях, значительный уровень тенизации туристической сферы, нецелевое использование средств от туристического сбора на местах, неудовлетворительное состояние туристических объектов, изношенная инфраструктура большинства регионов и т.д. Проведен анализ места каждого западного региона среди регионов Украины по основным факторам влияния на конкурентоспособность индустрии гостеприимства. Анализ указанных показателей засвидетельствовал достаточный уровень конкурентных преимуществ развития индустрии гостеприимства в западных регионах страны. Предложены направления развития конкурентных преимуществ индустрии гостеприимства. Например, в исследуемых регионах целесообразно разрабатывать региональные программы формирования и продвижения местных продуктов и услуг. Ввиду современных деструктивных факторов влияния предложено разрабатывать и внедрять региональные стандарты гостеприимства, учитывая специфику туристической привлекательности регионов. Такое документальное урегулирование развития индустрии гостеприимства будет способствовать повышению конкурентных преимуществ региональных туристических продуктов, созданию условий для увеличения доходов регионов путем увеличения туристических потоков, повысит туристическую конкурентоспособность регионов, уменьшит уровень безработицы и будет стимулировать социально-экономическое развитие регионов

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%

Surgical tactics of treatment of the wounded persons with the gun-shot injuries of the hip on all levels of medical support

Objective. To substantiate the introduction of differentiated surgical tactics, taking into account the trauma severity for improvement of the treatment results in the wounded persons, suffering the gun-shot injuries of the hip (GSIH). Маterials and methods. Differentiated surgical tactics was substantiated by the authors, using as a measure for trauma severity estimation the AdTS (Admission trauma Scare) on different levels of medical support, and introduced in 57 wounded persons, suffering the GSIH. Medical efficacy of the tactics and treatment elaborated for the wounded persons was compared in accordance to conventional methods without application of the AdTS scale. Results. There was reduced the mortality from 7.3 tо 1.8%, the extremities amputation performance rate - from 24.4 tо 8.8%, the local complications quantity, calculated for one wounded person, - from 1.07 tо 0.58 (рα < 0.05), relative quantity of poor functional results - from 34.1 tо 19.3% (рα < 0.05), while the specific weight of good functional results increased - from 29.3 to 47.4 due to introduction of differentiated surgical tactics, taking into account the trauma severity on various levels of medical support. Conclusions. In the wounded persons, suffering nonsevere trauma (lesser, than 5 points) it is necessary to perform a complete volume of surgical aid; while in severe one (5 - 9 points) and in extremely high (more than 9 points) trauma the help must be delivered in a shortened volume, using the damage control principle

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