Perception of wellbeing programs held at the industrial enterprise by employees: preparatory stage of research

Актуальность данной темы исследования определяется потребностью промышленных предприятий в улучшениях своей деятельности за счет повышения благополучия сотрудников. Цель работы: выявить, какие программы предоставляет предприятие своим сотрудникам для повышения их благополучия, и проанализировать, какие программы востребованы на предприятии. Методы исследования: анализ, синтез, прогнозирование и моделирование. Результаты: проведенное исследование поможет выявить направления, в которых следует работать предприятию для повышения благополучия сотрудников. В работе будет рассмотрена деятельность АО "Сибирская Аграрная Группа".The relevance of the subject of the research is determined by requirement of industrial enterprises for improvements of the activities due to increase in wellbeing of employees. The main aim of the study is to identify the programs provided by the company to its employees to enhance their wellbeing, and to analyze which programs are in demand at the enterprise. Methods: analysis, synthesis, modeling and forecasting. Results. The study will help identify the directions for the company to follow for increasing wellbeing of the employees

Оптимизация системы электроснабжения ФСО предприятия "Эрдэнэт"

В данной диссертации был проведен выбор схемы электроснабжения, класс номинального напряжения для системы электроснабжения предприятия. Выбран вариант системы как наиболее экономичный и предпочтительный в плане надежности и удобства эксплуатации. Выбраны сечения кабельных линий и проводок, а также защитные аппараты. Данные варианты проверены на соответствие условиям: допустимой перегрузки, допустимых потерь напряжения, механической прочности. Проверены режимы напряжения на электроприемниках, обеспечивающие наиболее экономичную их работу.In this thesis, a choice was made of the power supply scheme, the class of nominal voltage for the power supply system of the enterprise. The system variant is chosen as the most economical and preferred in terms of reliability and ease of use.According to the daily schedule of the full capacity of the enterprise, a variant of the capacity of the feeding transformers of the SFD was planned taking into account the systematic and post-emergency overloads.The sections of cable lines and postings, as well as protective apparatuses, have been selected. These options are tested for compliance with the conditions: permissible overload, allowable voltage loss, mechanical strength. The voltage regimes at the electric receivers are checked, which ensure their most economical operation

The association between first-time accreditation and the delivery of recommended care:a before and after study in the Faroe Islands

Abstract Background Significant resources are spent on hospital accreditation worldwide. However, documentation of the effects of accreditation on processes, quality of care and outcomes in healthcare remain scarce. This study aimed to examine changes in the delivery of patient care in accordance with clinical guidelines (recommended care) after first-time accreditation in a care setting not previously exposed to systematic quality improvement initiatives. Methods We conducted a before and after study based on medical record reviews in connection with introducing first-time accreditation. We included patients with stroke/transient ischemic attack, bleeding gastric ulcer, diabetes, chronic obstructive pulmonary disease (COPD), childbirth, heart failure and hip fracture treated at public, non-psychiatric Faroese hospitals during 2012–2013 (before accreditation) or 2017–2018 (after accreditation). The intervention was the implementation of a modified second version of The Danish Healthcare Quality Program (DDKM) from 2014 to 2016 including an on-site accreditation survey in the Faroese hospitals. Recommended care was assessed using 63 disease specific patient level process performance measures in seven clinical conditions. We calculated the fulfillment and changes in the opportunity-based composite score and the all-or-none score. Results We included 867 patient pathways (536 before and 331 after). After accreditation, the total opportunity-based composite score was marginally higher though the change did not reach statistical significance (adjusted percentage point difference (%): 4.4%; 95% CI: − 0.7 to 9.6). At disease level, patients with stroke/transient ischemic attack, bleeding gastric ulcer, COPD and childbirth received a higher proportion of recommended care after accreditation. No difference was found for heart failure and diabetes. Hip fracture received less recommended care after accreditation. The total all-or-none score, which is the probability of a patient receiving all recommended care, was significantly higher after accreditation (adjusted relative risk (RR): 2.32; 95% CI: 2.03 to 2.67). The improvement was particularly strong for patients with COPD (RR: 16.22; 95% CI: 14.54 to 18.10). Conclusion Hospitals were in general more likely to provide recommended care after first-time accreditation

Subcortical brain volume, regional cortical thickness, and cortical surface area across disorders: findings from the ENIGMA ADHD, ASD, and OCD Working Groups

Objective Attention-deficit/hyperactivity disorder (ADHD), autism spectrum disorder (ASD), and obsessive-compulsive disorder (OCD) are common neurodevelopmental disorders that frequently co-occur. We aimed to directly compare all three disorders. The ENIGMA consortium is ideally positioned to investigate structural brain alterations across these disorders. Methods Structural T1-weighted whole-brain MRI of controls (n=5,827) and patients with ADHD (n=2,271), ASD (n=1,777), and OCD (n=2,323) from 151 cohorts worldwide were analyzed using standardized processing protocols. We examined subcortical volume, cortical thickness and surface area differences within a mega-analytical framework, pooling measures extracted from each cohort. Analyses were performed separately for children, adolescents, and adults using linear mixed-effects models adjusting for age, sex and site (and ICV for subcortical and surface area measures). Results We found no shared alterations among all three disorders, while shared alterations between any two disorders did not survive multiple comparisons correction. Children with ADHD compared to those with OCD had smaller hippocampal volumes, possibly influenced by IQ. Children and adolescents with ADHD also had smaller ICV than controls and those with OCD or ASD. Adults with ASD showed thicker frontal cortices compared to adult controls and other clinical groups. No OCD-specific alterations across different age-groups and surface area alterations among all disorders in childhood and adulthood were observed. Conclusion Our findings suggest robust but subtle alterations across different age-groups among ADHD, ASD, and OCD. ADHD-specific ICV and hippocampal alterations in children and adolescents, and ASD-specific cortical thickness alterations in the frontal cortex in adults support previous work emphasizing neurodevelopmental alterations in these disorders

Improving the quality of palliative care for ambulatory patients with lung cancer

Problem Most patients with advanced lung cancer currently receive much of their health care, including chemotherapy, as outpatients. Patients have to deal with the complex and time consuming logistics of ambulatory cancer care. At the same time, members of staff often waste considerable time and energy in organisational aspects of care that could be better used in direct interaction with patients. Design Quality improvement study using direct observation and run and flow charts, and focus group meetings with patients and families regarding perceptions of the clinic and with staff regarding satisfaction with working conditions. Setting Thoracic oncology outpatient clinic at a Norwegian university hospital where patients receive chemotherapy and complementary palliative care. Key measures for improvement Waiting time and time wasted during consultations; calmer working situation at the clinic; satisfaction among patients. Strategies for change Rescheduled patients' appointments, automated retrieval of blood test results, systematic reporting in patients' files, design of an information leaflet, and refurnishing of the waiting area at the clinic. Effects of change Interventions resulted in increased satisfaction for patients and staff, reduced waiting time, and reduced variability of waiting time. Lessons learnt Direct observation, focus groups, questionnaires on patients' satisfaction, and measurement of process time were useful in systematically improving care in this outpatient clinic. The description of this experience can serve as an example for the improvement of a microsystem, particularly in other settings with similar problems