Postgraduate palliative care education and curricular issues in Central Asia, Eastern and South-Eastern Europe: Results from a quantitative study

Introduction. The WHO Europe Office, together with the European Association for Palliative Care, issupporting the development of an interdisciplinary core curriculum for health care professionals in theEuropean Region, which is to be given to the countries as a recommendation.Material and methods. Between April and September 2018, a research journey to Central Asia, Easternand South-Eastern Europe took place. It covered two main tasks: collecting quantitative data using a surveyand collecting qualitative data by conducting on-site interviews. This article contains the quantitativepart. Experts in palliative care education in 23 countries were invited to fill out a questionnaire. The datareceived from 23 questions were statistically evaluated by IBM SPSS Statistics 25.Results. 27 surveys received from 21 countries were evaluated. In one-third of the surveyed countries, thereis still no postgraduate training in palliative care. The main barriers to the development of educational workare limited political interest, followed by limited educational structures, missing curricula, lack of trainersand the limited healthcare system. For 92.6% of all respondents, a WHO-recommended interdisciplinarypostgraduate core curriculum would help promote palliative care in their country.Conclusion. There is a high need for postgraduate education in general and the intended core curriculumin particular. The results of the survey, along with those from the interviews in a later second part of thepublication, are essential for the development of a core curriculum

Выбор материала фильтра на основе СВС-механокомпозитов для рафинирования кремния

Работа посвящена подбору материала фильтра, получаемого с применением технологий механической активации и самораспространяющегося высокотемпературного синтеза (СВС), а также установлению возможности протекания реакции в режиме СВС между выбранными компонентами.The work is devoted to the selection of the filter material obtained with the use of the technologies of mechanical activation and self-propagating high-temperature synthesis (SHS), as well as the establishment of the possibility of the reaction in the SHS mode between the selected components

Инновационные технологии и системы для защиты окружающей среды от воздействия энергетики

В статье исследованы способы снижения негативного воздействия энергетики на окружающую природную среду с использованием инновационных технологий и систем. Рассмотрены разработанные инновационные технологии мира, представленные на "EXPO-2017 Future Energy".The article explores ways to reduce the negative impact of energy on the environment using innovative technologies and systems. Developed innovative technologies of the world presented at "EXPO-2017 Future Energy" are considered

Расчетная оценка дозовых характеристик в системе хранения ОЯТ

Объектом исследования является отработавшее ядерное топливо реактора РБМК третьего поколения с глубиной выгорания 35 ГВт·сут/(тU). Цель работы – определение радиационной безопасности при хранении в ТУК-109 отработавшего ядерного топлива третьего поколения, а также получение информации о составе и характеристиках наведенной и накопленной в ТУК радиоактивности за период эксплуатации. В результате исследования были получены значения нейтронного потока во всём объеме ТУК при загрузке в него ОЯТ с глубиной выгорания 35 ГВт·сут/(тU), а также получена мощность экспозиционной дозы, формируемая источниками фотонного излучения в различных зонах конструкции контейнера через 2 и 10 лет после снятия его с эксплуатации хранения ОЯТ.The object of study is spent nuclear reactor fuel is a third-generation RBMK with burnup of 35 GW · d / (tU). Objective - definition of radiation safety during storage of spent nuclear fuel of the third generation of TUK-109, as well as obtain information about the composition and characteristics of the induced and accumulated in TUK radioactivity during the operation period. As a result of the study were obtained values ​​of the neutron flux in the entire volume of the TUK when loading it SNF burnup of 35 GW · d / (tU), and the obtained exposure dose rate generated by the source of photon radiation in different regions of the container structure after 2 and 10 years after its removal from the spent nuclear fuel storage operation

Автоматический Bluetooth-выключатель

Разрабатываемое устройство позволит управлять мощной нагрузкой переменного тока, а также защитить бытовую аппаратуру от повышений и спадов напряжения в электросетях.The device under development will allow you to control a powerful AC load, as well as protect household equipment from voltage rises and falls in the power grid

Exploring the status of and demand for palliative day-care clinics and day hospices in Germany: a protocol for a mixed-methods study

Background: To date, the establishment and development of palliative day-care clinics and day hospices in Germany have been completely unsystematic. Research is needed to gain insight into these services and to ensure their accessibility and quality. Accordingly, the ABPATITE research project aims at: (1) identifying the characteristics of palliative day-care clinics and day hospices in Germany, (2) determining demand and preferences for these services, and (3) proposing recommendations (with expert agreement) for the needs-based establishment and development of these services. Methods: The research is a multi-perspective, prospective, observational study following a mixed-methods approach across three study phases. In phase 1a, qualitative expert interviews will be conducted to capture the facility-related characteristics of palliative day-care clinics and day hospices in Germany; the results will feed into a questionnaire sent to all such institutions identified nationwide. In phase 1b, a questionnaire will be sent to local statutory health insurance providers, to gain insight into their contracts and accounting and remuneration models. In phase 2a, a service preference survey will be conducted with patients and family caregivers. In phase 2b, semi-structured interviews with management staff will explore the factors that promote and hinder the provision of service. In phase 2c, the external perspective will be surveyed via focus groups with local actors involved in hospice and palliative care. In phase 3a, focus groups with representatives from relevant areas will be conducted to develop recommendations. Finally, in phase 3b, recommendations will be agreed upon through a Delphi survey. Discussion: The empirically developed recommendations should enable the establishment and development of day hospices and palliative day-care clinics in Germany to be better managed, more oriented to actual demand, and more effectively integrated into wider health care services. Importantly, the findings are expected to optimize the overall development of hospice and palliative care services. Trial registratio