3 research outputs found
Burnout among surgeons before and during the SARS-CoV-2 pandemic: an international survey
Background: SARS-CoV-2 pandemic has had many significant impacts within the surgical realm, and surgeons have been obligated to reconsider almost every aspect of daily clinical practice. Methods: This is a cross-sectional study reported in compliance with the CHERRIES guidelines and conducted through an online platform from June 14th to July 15th, 2020. The primary outcome was the burden of burnout during the pandemic indicated by the validated Shirom-Melamed Burnout Measure. Results: Nine hundred fifty-four surgeons completed the survey. The median length of practice was 10 years; 78.2% included were male with a median age of 37 years old, 39.5% were consultants, 68.9% were general surgeons, and 55.7% were affiliated with an academic institution. Overall, there was a significant increase in the mean burnout score during the pandemic; longer years of practice and older age were significantly associated with less burnout. There were significant reductions in the median number of outpatient visits, operated cases, on-call hours, emergency visits, and research work, so, 48.2% of respondents felt that the training resources were insufficient. The majority (81.3%) of respondents reported that their hospitals were included in the management of COVID-19, 66.5% felt their roles had been minimized; 41% were asked to assist in non-surgical medical practices, and 37.6% of respondents were included in COVID-19 management. Conclusions: There was a significant burnout among trainees. Almost all aspects of clinical and research activities were affected with a significant reduction in the volume of research, outpatient clinic visits, surgical procedures, on-call hours, and emergency cases hindering the training. Trial registration: The study was registered on clicaltrials.gov "NCT04433286" on 16/06/2020
Sustainable housing in the Russian regions
Social living conditions and related problems are one of the key indicators of the level and rate of socio-economic development of modern society. The housing problem is characterized by several indicators: the housing deficit (quantitative indicator); high cost of housing (financial indicator); the incompatibility of the structure of the housing stock to the demographic structure of families (structural indicator); the incompatibility of existing housing stock requirements to consumer housing quality (quality indicator); the incompatibility of the requirements to maintenance condition of the housing stock (operational indicator); location of housing (infrastructure, environmental and logistics indicators). The purpose of this study is to analyze and highlight the degree of influence of the main factors on the quantitative indicators of the housing problem based on statistical data over the past few years. A statistical analysis of the impact of various factors on the price of housing in three regions of the Russian Federation is conducted. It is established that the main factor influencing the price of housing is the average per capita income of the population
Environmental problems of sustainable development of oil-producing regions of the North
There is a relationship between the economic requirements for the development of oil and gas facilities in the oil-producing regions of the North and the environmental problems of sustainable development. One of the ways to solve this problem is the wider use of underground gas storage facilities both for reducing peak loads in the Unified Gas Supply System by collecting and storing previously flared associated petroleum gas, and for burying a large volume of industrial emissions that are harmful to the environment. We have considered a mathematical model of an automated control system for the creation and operation of underground gas storage in the horizons of a depleted oil and gas condensate field with its subsequent use for disposal of industrial emissions. To ensure the stability of the functioning of objects of accumulation and consumption, it is necessary to calculate the depth of feedback for each component of the component: proportional, integral, differential