WorldWideScience

Sample records for russian surgeon discovered

  1. Russian Thyroid Surgery Origin, Development in XIX - Beginning of XX Century and Present Time

    Directory of Open Access Journals (Sweden)

    A F Romanchishen

    2014-03-01

    Full Text Available Contribution of outstanding Russian surgeons (Pirogov N.I., Inozemcev F.I., Bobrov A.A., Lezhnev N.F., Fyodorov S.P. and their pupils to thyroid surgery is not fully appreciated yet. Dr. N.I. Pirogov (1831 described the major principles of thyroid anatomy, topography, syntopy and surgery. In 1847, he performed the first strumectomy in Russia with a detailed description of the technique and the outcome. It was also the first surgery on the thyroid in the world performed under general anesthesia. In 1904, Russian surgeon N.F. Lezhnev (Moscow reported on 106 thyroid surgeries using visual control of recurrent laryngeal nerves in A.A. Bobrov’s clinic since 1893. V.I. Razumovsky was the first to describe medullary and anaplastic carcinoma of the thyroid in 1904. He also recommended laryngoscopy in all patients prior to the surgery. S.P. Fyodorov - Professor of Imperial Military Medical Academy in Saint-Petersburg, was extremely reputable in Europe, he was also interested in ectopic goiter, and lingual goiter. When W. Mayo saw Dr. Fyodorov’s surgical skills he called him “Master of Surgery” and invited Fyodorov to become Surgeon-in-Chief at the Mayo Clinic. Recent political changes opened new opportunities for a more effective cooperation between surgeons throughout the world.

  2. The Future Russian Navy: Interests of the Military

    Science.gov (United States)

    1993-05-01

    plasma, pulse, membrane, biochemistry , and radiology.’𔃿 Soviet science had to discover and apply "as yet unknown properties of matter, natural laws...agree that large armored forces have become " dinosaurs " in modern warfare.1 Second, all parties agree that the Russian armed forces must be smaller

  3. Russian Journalism Education: Challenging Media Change and Educational Reform

    Science.gov (United States)

    Vartanova, Elena; Lukina, Maria

    2017-01-01

    The article presents a general picture of higher education institutions offering journalism undergraduate, graduate, and doctoral programs located in different parts of the Russian Federation. Monitoring websites of all the universities with journalism education discovered 150 such institutions. They are unevenly dispersed around the country, but…

  4. On Present State of Teaching Russian Language in Russia

    Science.gov (United States)

    Tekucheva, Irina V.; Gromova, Liliya Y.

    2016-01-01

    The article discusses the current state of teaching Russian language, discovers the nature of philological education, outlines the main problems of the implementation of the standard in school practice, analyzes the problems of formation of universal educational actions within the context of the implementation of cognitive-communicative approach,…

  5. RUSSIAN PERIODICALS AT THE TURN OF THE 19TH -20TH CENTURIESON RUSSIAN MIGRANTS’ SOCIOCULTURAL ADAPTATION IN CENTRAL ASIA

    Directory of Open Access Journals (Sweden)

    Р А Арсланов

    2017-12-01

    Full Text Available In the Russian historiography, the views of the publicists of the early 20th century of the Russian colonists’ life in Central Asia aren’t duly highlighted. The novelty and aim of the research consist in revealing the general and particular in the Russian periodicals’ percep-tion of the colonization of Turkestan, in determining their ideological bent. The authors have discovered that all the reviewed periodicals were adherents of Central Asia colonization. They supported the imperial policy of the government with minor reserva-tions. Most publicists noted that the settling of colonists depended on the actions of the central government, which insuffi ciently took into account the local conditions. However, publicists differed in the choice of the main direction and in the assessments of the value of colonists’ adaptation activity; they proposed various ways of developing the intercultural dialogue.The authors come to the conclusions that liberal periodicals paid special attention to the economic activities of Russian immigrants, assessing the degree of their adaptation by the level of well-being achieved. The Narodnik periodicals considered migrants as a part of the peasant world of Russia. They were concerned, above all, about the colonists’ commu-nity, which they considered an effective means of adaptation, preserving the culture and moral qualities of the Russians. Probably, they considered it a pledge of building fair relations with the local population. Conservative and offi cial publicists viewed Russian immigrants primarily as support of the Russian government in Central Asia. That is why they paid special attention to the preservation of assimilation qualities of the Russians, the loss of which could become, in their view, an obstacle to the strengthening of the empire positions in the region.

  6. Russian Golf Profile with the Perspective of Golf Tourism in South East Asia

    OpenAIRE

    Nikiforova, Tatiana

    2010-01-01

    The aim of the study was to formulate Russian golf profile and evaluate it from the perspective of golf tourism in South East Asian countries concentrating on five countries: Indonesia, Malaysia, Thailand, the Philippines and Singapore. The research discovered and analyzed the factors that accelerate and prevent Russian golf players from traveling to South East Asia region with golf and tourism purposes. In the theoretical part of the study the main issue was to describe the current situation...

  7. Energy audit at Russian dairies. Energy guidance

    Energy Technology Data Exchange (ETDEWEB)

    Draborg, S [Dansk Energi Analyse A/S, Vanloese (Denmark); Sheina, L S; Kolesnikov, A I [RDIEE, Moscow (Russian Federation)

    1999-12-31

    The project encompassed following activities: Elaboration of a description of the Russian dairy sector including a mapping of the entire sector in respect of production capacity, actual production, products, production technologies and energy consumption; Energy audits at twelve selected dairies with different typical productions; Elaboration of an `Energy Audit Guidance` which describes how to perform energy audits in dairies and where to expect energy saving possibilities. The energy savings possibilities are often due to the same kind of problems, e.g. low production, inefficient equipment or manually control of the process equipment. The main problems that Russian dairies faces can be divided into the following categories: Old and inefficient technological equipment which is operated at low capacity with very low energy efficiency; Lack of knowledge about new energy efficient technologies; Financial problems which causes low interest and few possibilities for using funds for investment in energy efficient equipment; Energy savings do not lead to personal gains for the persons in the dairy management or other employees which causes low interest in energy savings. At some dairies it seemd to be a problem for the management to adapt to the new and very different conditions for enterprises in Russian today, where sales, production, production capacity and raw milk available are interconnected. With respect to energy matters it was often a wish to replace existing oversized equipment with new equipment of the same size no matter that it is unlikely that the production will increase considerable in the future. The project has discovered that there is a need for demonstrating energy saving measures by implementation because it was in many ways hard for the dairy management`s to believe that, the energy consumption could be reduced dramatically without affecting the production or the processes. Furthermore, the project has discovered a need for transferring to the

  8. Energy audit at Russian dairies. Energy guidance

    Energy Technology Data Exchange (ETDEWEB)

    Draborg, S. [Dansk Energi Analyse A/S, Vanloese (Denmark); Sheina, L.S.; Kolesnikov, A.I. [RDIEE, Moscow (Russian Federation)

    1998-12-31

    The project encompassed following activities: Elaboration of a description of the Russian dairy sector including a mapping of the entire sector in respect of production capacity, actual production, products, production technologies and energy consumption; Energy audits at twelve selected dairies with different typical productions; Elaboration of an `Energy Audit Guidance` which describes how to perform energy audits in dairies and where to expect energy saving possibilities. The energy savings possibilities are often due to the same kind of problems, e.g. low production, inefficient equipment or manually control of the process equipment. The main problems that Russian dairies faces can be divided into the following categories: Old and inefficient technological equipment which is operated at low capacity with very low energy efficiency; Lack of knowledge about new energy efficient technologies; Financial problems which causes low interest and few possibilities for using funds for investment in energy efficient equipment; Energy savings do not lead to personal gains for the persons in the dairy management or other employees which causes low interest in energy savings. At some dairies it seemd to be a problem for the management to adapt to the new and very different conditions for enterprises in Russian today, where sales, production, production capacity and raw milk available are interconnected. With respect to energy matters it was often a wish to replace existing oversized equipment with new equipment of the same size no matter that it is unlikely that the production will increase considerable in the future. The project has discovered that there is a need for demonstrating energy saving measures by implementation because it was in many ways hard for the dairy management`s to believe that, the energy consumption could be reduced dramatically without affecting the production or the processes. Furthermore, the project has discovered a need for transferring to the

  9. Motivational Projections of Russian Spontaneous Speech

    Directory of Open Access Journals (Sweden)

    Galina M. Shipitsina

    2017-06-01

    Full Text Available The article deals with the semantic, pragmatic and structural features of words, phrases, dialogues motivation, in the contemporary Russian popular speech. These structural features are characterized by originality and unconventional use. Language material is the result of authors` direct observation of spontaneous verbal communication between people of different social and age groups. The words and remarks were analyzed in compliance with the communication system of national Russian language and cultural background of popular speech. Studies have discovered that in spoken discourse there are some other ways to increase the expression statement. It is important to note that spontaneous speech identifies lacunae in the nominative language and its vocabulary system. It is proved, prefixation is also effective and regular way of the same action presenting. The most typical forms, ways and means to update language resources as a result of the linguistic creativity of native speakers were identified.

  10. Digital Marketing for Russian Market. Case: Wild Taiga

    OpenAIRE

    Khmelevskoy, Sergey

    2015-01-01

    The thesis is aimed to develop suitable digital marketing strategy for Wild Taiga in order to target the Russian tourists efficiently, using different marketing tools based on integrated marketing communications principle. Effort have been made for practical orientation of this project with a strong theoretical part and analytical thinking. Theoretical framework includes analysis of digital marketing in contexts of tourism as well as Wild Taiga network. In order to discover the efficient ...

  11. [Selected pages of history of vascular surgery in Russia (contribution of Russian surgeons to world vascular surgery)].

    Science.gov (United States)

    Pokrovskiĭ, A V; Gliantsev, S P

    2014-01-01

    The article describes the most significant for Russian surgery personalities, facts, and events of the last 180years. An emphasis is placed upon those works, discoveries or operations made by Russians for the first timein the world's practice. To such we refer N.J. Pirogov's topographical anatomy of vessels (1837), N. V. Ekk's portocaval anastomosis (1877), A.A. Yanovsky's lateral arterial suture (1889), S.S. Bryukhonenko's artificial circulation unit (1923-1924), Yu. Yu. Voronoy's renal replantation onto femoral vessels (1933), V.P. Demikhov'stransplantation of vital organs (1946-1959), V.I. Kolesov's mammary-coronary anastomosis (1964),F.A. Serbinenko's endovascular neurosurgery ( 1979), E. I. Chasov's intracoronary thrombolysis by E.I. Chazov( 1974), endovascular prosthetic repair of the thoracic aorta by N.L. Volodos ( 1985) and a series of other facts.

  12. EDWARD SUESS AND RUSSIAN GEOLOGISTS

    Directory of Open Access Journals (Sweden)

    Boris A. Natal’in

    2011-01-01

    proposed by the Russian geologists. While interpreting the structure of huge territories of Asia that were poorly studied then, he stuck to the orometric geometry principles and thus, unfortunately, missed the Russian conclusions on disagreement between belts and mountain ridges, superimposed folding, mélanges etc., and such features were not incorporated in his concepts.Papers of Edward Suess, including «The Face of the Earth» which was very positively accepted by the geological scientific community, have never been translated into Russian, unlike other foreign publications. In 1930–1940, the name of Edward Suess gradually vanished from references in the Soviet scientific papers. Such a lapse seems to have resulted from the fact that Suess’s papers were misinterpreted and misunderstood by scientists who adhered to the geosyncline theory. Examples of such errors can be easily discovered by reviewing the history of development of concepts of the Siberian and Russian cratons.The truly gentlemanly behavior demonstrated by the key researchers of geology of Asia in the late 19th and the early 20th centuries is highly educative and commendable. It is worth studying the scientific reports of Edward Suess and his Russian colleagues with a more detail and comprehensive approach.

  13. Russian Science and Russian State: Image of a Scientist in Modern Russian Cinema

    Directory of Open Access Journals (Sweden)

    Svetlana M. Medvedeva

    2014-01-01

    Full Text Available The article analyses the image of a scientist represented in recent Russian movies. The article discusses two groups of questions: (1 nature and role of popular science in the life of society; (2 national features of scientific cultures. The article agues that popular science should not be conceived as a week copy of the real science. On the contrary, modern models of science communication assume that popular science have its own value and is able to influence scientific practices. Simultaneously we assume, that since popular science is less integrated with international scientific norms, it can easer reveal national traditions of scientific life. As a result, the analyze of recent Russian movies shows that the tradition established in Peter I times for Russian scientists to work out their self-identity in concern with Russian state still exists (scientist- state supporter/scientist- oppositionist. Actually the modern interpretation of dilemma between state patriotism and liberalism given by modern movies shows that Russian scientist don't have real choice, because they loose anyway whereas the state always wins. So owing to recent movies this representation of hopeless destiny of a scientist is becoming widespread in Russian public culture.

  14. Determination of feasibility and utility of microscope-integrated optical coherence tomography during ophthalmic surgery: the DISCOVER Study RESCAN Results.

    Science.gov (United States)

    Ehlers, Justis P; Goshe, Jeff; Dupps, William J; Kaiser, Peter K; Singh, Rishi P; Gans, Richard; Eisengart, Jonathan; Srivastava, Sunil K

    2015-10-01

    Optical coherence tomography (OCT) has transformed the clinical management of a myriad of ophthalmic conditions. Applying OCT to ophthalmic surgery may have implications for surgical decision making and patient outcomes. To assess the feasibility and effect on surgical decision making of a microscope-integrated intraoperative OCT (iOCT) system. Report highlighting the 1-year results (March 2014-February 2015) of the RESCAN 700 portion of the DISCOVER (Determination of Feasibility of Intraoperative Spectral Domain Microscope Combined/Integrated OCT Visualization During En Face Retinal and Ophthalmic Surgery) study, a single-site, multisurgeon, prospective consecutive case series regarding this investigational device. Participants included patients undergoing ophthalmic surgery. Data on clinical characteristics were collected, and iOCT was performed during surgical milestones, as directed by the operating surgeon. A surgeon questionnaire was issued to each surgeon and was completed after each case to evaluate the role of iOCT during surgery and its particular role in select surgical procedures. Percentage of cases with successful acquisition of iOCT (ie, feasibility). Percentage of cases in which iOCT altered surgical decision making (ie, utility). During year 1 of the DISCOVER study, a total of 227 eyes (91 anterior segment cases and 136 posterior segment cases) underwent imaging with the RESCAN 700 system. Successful imaging (eg, the ability to acquire an OCT image of the tissue of interest) was obtained for 224 of 227 eyes (99% [95% CI, 98%-100%]). During lamellar keratoplasty, the iOCT data provided information that altered the surgeon's decision making in 38% of the cases (eg, complete graft apposition when the surgeon believed there was interface fluid). In membrane peeling procedures, iOCT information was discordant with the surgeon's impression of membrane peel completeness in 19% of cases (eg, lack of residual membrane or presence of occult membrane), thus

  15. Determination of the origin of the medieval glass bracelets discovered in Dubna, Moscow Region, Russia, using the neutron activation analysis

    International Nuclear Information System (INIS)

    Dmitrieva, S.O.; Frontasyeva, M.V.; Dmitriev, A.Yu.; Dmitriev, A.A.

    2017-01-01

    The work is dedicated to the determination of the origin of archaeological finds from medieval glass using the method of neutron activation analysis (NAA). Among such objects we can discover things not only produced in ancient Russian glassmaking workshops but also imported from Byzantium. The authors substantiate the ancient Russian origin of the medieval glass bracelets of pre-Mongol period, found on the ancient Dubna settlement. The conclusions are based on data on the glass chemical composition obtained as a result of NAA of 10 fragments of bracelets at the IBR-2 reactor, FLNP, JINR.

  16. Pancreatic sarcoidosis discovered during Whipple procedure.

    Science.gov (United States)

    Cook, Jonathan; Spees, Tanner; Telefus, Phillip; Ranaudo, Jeffrey M; Carryl, Stephen; Xiao, Philip

    2013-04-04

    Pancreatic sarcoidosis is a rare variant of systemic sarcoidosis, with cases described in literature as recently as January 2010. We present here a case of pancreatic involvement with non-caseating granulomas discovered on laparotomy in a patient with a preoperative diagnosis of pancreatic carcinoma. Computer tomography scan without contrast revealed a well-marginated smooth-shaped tumor in the head of the pancreas morphologically consistent with malignancy. During Whipple procedure, the mass was found to be a large lymph node that contained numerous non-caseating granulomas. Radiologically and clinically, non-caseating granulomas of the pancreas are often misdiagnosed as malignant tumor. Special attention given to this differential diagnosis by surgeons, pathologists and clinicians can avoid misdiagnosis and unnecessary treatment. Published by Oxford University Press and JSCR Publishing Ltd. All rights reserved. © The Author 2013.

  17. Determination of the origin of the medieval glass bracelets discovered in Dubna (Moscow Region, Russia), using the neutron activation analysis

    International Nuclear Information System (INIS)

    Dmitrieva, S.O.; Frontas'eva, M.V.; Dmitriev, A.Yu.; Dmitriev, A.A.

    2016-01-01

    The work is dedicated to the determination of the origin of archaeological finds from medieval glass using the method of neutron activation analysis (NAA). Among such objects we can discover things not only produced in ancient Russian glassmaking workshops but also brought from Byzantium. The authors substantiate the ancient Russian origin of the medieval glass bracelets of pre-Mongol period, found on the ancient Dubna settlement. The conclusions are based on the data about the glass chemical composition obtained as a result of NAA of ten fragments of bracelets at the IBR-2 reactor, FLNP, JINR. [ru

  18. Polish-Bulgarian-Russian, Bulgarian-Polish-Russian or Russian-Bulgarian-Polish dictionary?

    Directory of Open Access Journals (Sweden)

    Violetta Koseska-Toszewa

    2015-11-01

    Full Text Available Polish-Bulgarian-Russian, Bulgarian-Polish-Russian or Russian-Bulgarian-Polish dictionary? The trilingual dictionary (M. Duszkin, V. Koseska, J. Satoła and A. Tzoneva is being elaborated based on a working Polish-Bulgarian-Russian electronic parallel corpus authored by Maksim Duszkin, Violetta Koseska-Toszewa and Joanna Satoła-Staśkowiak, and works by A. Tzoneva. It is the first corpus comparing languages belonging to three different Slavic language groups: western, southern and eastern. Works on the dictionary are based on Gramatyka konfrontatywna bułgarsko-polska (Bulgarian-Polish confrontative grammar and the proposed there semantic-oriented interlanguage. Two types of classifiers have been introduced into the dictionary: classic and semantic. The trilingual dictionary will present a consistent and homogeneous set of facts of grammar and semantics. The Authors point out that in a traditional dictionary it is not clear for example whether aspect should be understood as imperfective / perfective form of a verb or as its meaning. Therefore in the dictionary forms and meaning are separated in a regular way. Imperfective verb form has two meanings: state and configuration of states and events culminating in state. Also perfective verb form has two meanings: event and configuration of states and events culminating in event. These meanings are described by the semantic classifiers, respectively, state and event, state1 and event1. The way of describing language units, mentioned in the article, gives a possibility to present language material (Polish, Bulgarian, Russian in any required order, hence the article’s title.

  19. Women surgeons in the new millennium.

    Science.gov (United States)

    Troppmann, Kathrin M; Palis, Bryan E; Goodnight, James E; Ho, Hung S; Troppmann, Christoph

    2009-07-01

    Women are increasingly entering the surgical profession. To assess professional and personal/family life situations, perceptions, and challenges for women vs men surgeons. National survey of American Board of Surgery-certified surgeons. A questionnaire was mailed to all women and men surgeons who were board certified in 1988, 1992, 1996, 2000, or 2004. Of 3507 surgeons, 895 (25.5%) responded. Among these, 178 (20.3%) were women and 698 (79.7%) were men. Most women and men surgeons would choose their profession again (women, 82.5%; men, 77.5%; P = .15). On multivariate analysis, men surgeons (odds ratio [OR], 2.5) and surgeons of a younger generation (certified in 2000 or 2004; OR, 1.3) were less likely to favor part-time work opportunities for surgeons. Most of the surgeons were married (75.6% of women vs 91.7% of men, P women surgeons (OR, 5.0) and surgeons of a younger generation (OR, 1.9) were less likely to have children. More women than men surgeons had their first child later in life, while already in surgical practice (62.4% vs 32.0%, P women surgeons vs 79.4% of men surgeons (P women surgeons than men surgeons thought that maternity leave was important (67.8% vs 30.8%, P work (86.5% vs 69.7%, P Women considering a surgical career should be aware that most women surgeons would choose their profession again. Strategies to maximize recruitment and retention of women surgeons should include serious consideration of alternative work schedules and optimization of maternity leave and child care opportunities.

  20. [The surgeon and deontology].

    Science.gov (United States)

    Sucila, Antanas

    2002-01-01

    The aim of study is to recall surgeons deontological principles and errors. The article demonstrates some specific deontological errors, performed by surgeon on patients and his colleagues; points out painful sequela of these errors as well. CONCLUSION. The surgeon should take in account deontological principles rigorously in routine daily practice.

  1. The Russian gas industry

    International Nuclear Information System (INIS)

    1997-01-01

    The Russian Federation holds the world's largest proven natural gas reserves, and produces more natural gas than any other nation. Russian exports of gas to Europe and the other nations of the Commonwealth of Independent States (CIS) have a significant impact on natural gas markets throughout Europe and Asia. The aim of this three part study is to inform the international energy and investment community about the current status of the Russian gas industry and the prospects for its future development through 2010. It is also intended to provide an opportunity for the appropriate authorities in the Russian Federation to assess the needs of the industry and to consider areas for possible collaboration with the international investment community and international organizations in a rapidly changing economic and business environment. The study was prepared by the Energy Branch of the United Nations Department for Development Support and Management Services (UN/DDSMS). It was financed by the United Nations Development Programme (UNDP). Part I describes Russian gas reserves and potential resources, and overviews the country's gas producing, pipeline and distribution industries. Additionally, it summarizes the markets for Russian natural gas including domestic and external markets. It discusses the primary economics and potential factors that currently impact the Russian gas industry during the Federation's transition toward a market economy. Part II highlights possible directions for the development of the Russian gas resource base, including upstream gas production and downstream marketing in five-, ten- and fifteen-year time frames. It projects export opportunities for Russian Federation gas and evaluates the options for shaping regional and international markets. Part III addresses the legal and regulatory framework and fiscal regime of the Russian gas industry. It also reviews the major investment requirements and the equipment and training needs of the Russian gas

  2. The Russian oil

    International Nuclear Information System (INIS)

    Rucker, Laurent

    2003-01-01

    This article proposes a brief discussion of various assessments of Russian oil reserves, of the evolutions of Russian oil production (Russia is the second world producer after Saudi Arabia), of the distribution of Russian oil exports among various regions, and of the decrease of Russian oil consumption between 1992 and 2002. It describes the evolution of the actor system as the oil sector has been largely privatised since 1992, and indicates the main companies which should control the Russia market on a medium term. It also discusses the obstacles for the development of Production Sharing Agreements (PSA) between these companies. It addresses the issue of modernisation of the oil transport system as its status and its condition are often an obstacle to oil export for Russian companies. The article finally discusses the price issue, the relationship between Russia and other OPEC countries, and the need for huge investments

  3. A new species of Megaperlodes Yokoyama et al. 1990 (Plecoptera, Perlodidae) from the South of the Russian Far East.

    Science.gov (United States)

    Teslenko, Valentina A

    2015-01-08

    A new species of Plecoptera Megaperlodes tiunovi sp. n., from the South of the Russian Far East is described and illustrated. The relationships with its close relatives are discussed. Newly discovered features are added to the diagnosis of the genus Megaperlodes, especially previously overlooked eversible lobes within the paraprocts, egg structure, and wing venation.

  4. The Surgeons' Leadership Inventory (SLI): a taxonomy and rating system for surgeons' intraoperative leadership skills.

    Science.gov (United States)

    Henrickson Parker, Sarah; Flin, Rhona; McKinley, Aileen; Yule, Steven

    2013-06-01

    Surgeons must demonstrate leadership to optimize performance and maximize patient safety in the operating room, but no behavior rating tool is available to measure leadership. Ten focus groups with members of the operating room team discussed surgeons' intraoperative leadership. Surgeons' leadership behaviors were extracted and used to finalize the Surgeons' Leadership Inventory (SLI), which was checked by surgeons (n = 6) for accuracy and face validity. The SLI was used to code video recordings (n = 5) of operations to test reliability. Eight elements of surgeons' leadership were included in the SLI: (1) maintaining standards, (2) managing resources, (3) making decisions, (4) directing, (5) training, (6) supporting others, (7) communicating, and (8) coping with pressure. Interrater reliability to code videos of surgeons' behaviors while operating using this tool was acceptable (κ = .70). The SLI is empirically grounded in focus group data and both the leadership and surgical literature. The interrater reliability of the system was acceptable. The inventory could be used for rating surgeons' leadership in the operating room for research or as a basis for postoperative feedback on performance. Copyright © 2013 Elsevier Inc. All rights reserved.

  5. Emergence of new Russian and foreign investors in the Russian oil and gas complex

    International Nuclear Information System (INIS)

    Arbatov, A.A.

    1996-01-01

    A critical analysis is presented of the factors influencing foreign investment in Russian oil and gas exploration and production. Greater stability in the Russian economy would help and unfortunately some elements of the Russian bureaucracy hinder quick decision making. Western investors could improve their position by concentrating on developments which are unlikely to be developed by Russian companies in the next decade. (author)

  6. Russian separation program

    International Nuclear Information System (INIS)

    Rea, J.L.

    1993-01-01

    A small contract signed in FY92 with the Khlopin Radium Institute marked the beginning of the Russian Separations program. Under this contract the Khlopin Radium Institute performed laboratory and dynamic hot-cell testing using cobalt dicarbollide technology on simulated radioactive wastes similar to those found at DOE sites in the United States. The current scope of investigation has been extended to identify prospective technologies for application to other United States needs. The Khlopin Radium Institute project served as a model for three other pilot scale technology development projects. The premise of the pilot scale projects is to enable Russian scientists to demonstrate their technology in the context of DOE needs, using Russian technical expertise has proven to be a cost-effective means of screening Russian technologies

  7. Concurrent Surgery and the Role of the Pediatric Attending Surgeon: Comparing Parents' and Surgeons' Expectations.

    Science.gov (United States)

    Choe, Jennie K; Ibarra, Christopher; Feinn, Richard S; Rodriguez-Davalos, Manuel I; Carter, Cordelia W

    2018-06-01

    The common practice of performing concurrent or overlapping operations has been intensely scrutinized by lay media and academic press to investigate its safety and cost-effectiveness. However, there is little information about its use within the pediatric population. Even less is known about parents' expectations about the surgeon's role on the day of operation and how they align with those of pediatric surgeons and surgical trainees, despite the potential for significant discrepancies in expectations to erode trust and damage the physician-family relationship. A 5-point Likert-style survey was designed to characterize expectations about the degree of involvement by pediatric attending surgeons throughout a surgical case (1 = strongly disagree, 3 = neutral, 5 = strongly agree). The survey was administered to parents of pediatric patients undergoing elective operations during a 3-month interval at a single academic institution. The survey was also administered to surgeons and surgical residents at the same institution. Multivariate multiplicity-adjusted t-tests were used to identify significant differences between responders. One hundred and ten parents and 84 pediatric surgeons and trainees completed the survey. Parents' responses to the survey ranged from 4.15 to 4.89, compared with 2.75 to 4.86 from surgeons. The differences achieved statistical significance (p children. There is a significant mismatch between parents' expectations and those of pediatric surgeons about the role of the surgeon on the day of operation, with parents consistently expecting more direct involvement by the attending surgeon. These discrepancies can have implications for both parent/patient satisfaction and medical education. Copyright © 2018 American College of Surgeons. Published by Elsevier Inc. All rights reserved.

  8. Characteristics of uranium districts of the Russian Federation

    International Nuclear Information System (INIS)

    Boitsov, A.V.; Nikolsky, A.L.

    2001-01-01

    Uranium deposits are discovered in 15 ore districts of the Russian Federation. They are subdivided into four groups: Streltsovsky district with existing production centre, Stavropolsky district with depleted deposits, three prospective districts and ten reserve districts. The overview of new data on these districts is presented. Streltsovsky district with Priargunsky Production Centre include 19 molybdenum-uranium deposits of structure-bound volcanic type in caldera. The main activities in Stavropolsky district with two depleted uranium deposits are connected with restoration works and wastes rehabilitation. Except Streltsovsky district there are no more deposits in the Russian Federation prepared for uranium production. At the same time some uranium deposits of Vitimsky, Zauralsky, and West-Siberian districts are prospective for new development of production centres. They belong to the sandstone type, related to paleovalley or basal channel, and are suitable for ISL operation. The deposits of the other districts are considered to be reserve and considered unprofitable for uranium production at present and in the nearest future. The biggest of them is Aldansky district with gold-uranium deposits in potassium metasomatites in areas of Mesozoic activation of Archean cratons. Central Transbaikalsky, Yeniseisky, Yergeninsky, Onezhsky, Ladozhsky, Bureinsky, Khankaisky, Volgo-Uralsky reserve districts include mainly small-size deposits of vein, volcanic, surficial and metasomatite types with low uranium grades. (author)

  9. EXPLORATION OF A RUSSIAN CONSUMER ON AN EXAMPLE OF RUSSIAN TOURISTS IN SPAIN

    OpenAIRE

    Glotova, Elena

    2013-01-01

    This thesis represents an intent to get an insight into the market with one of the biggest potential for today – the Russian market. The purpose of the research was to make a profile of the Russian consumer. The study of a Russian consumer and a Russian tourist should be able to help companies understand better the market, draw attention to the need of giving more importance to creating consumer profiles based not only on demographics but on mentality as well. The case company is a technologi...

  10. Experience of shipping Russian-origin research reactor spent fuel to the Russian Federation

    International Nuclear Information System (INIS)

    2009-11-01

    The primary goal of the Russian Research Reactor Fuel Return (RRRFR) programme is to advance nuclear non-proliferation objectives by eliminating stockpiles of Russian-origin highly enriched uranium (HEU). The RRRFR programme was first conceived during trilateral discussions among the USA, the Russian Federation and the IAEA, initiated in 1999, when participants identified more than 20 research reactors in 17 countries having Russian/Soviet supplied fuel. In 2000, the Director General of the IAEA sent a letter to 15 countries asking for their willingness to return HEU spent fuel to the Russian Federation. Fourteen countries responded positively to the Director General's letter. In 2004, the Russian Federation and the USA signed a Government-to-Government Agreement concerning cooperation to return the Russian produced research reactor nuclear fuel to the Russian Federation. This agreement established the legal framework necessary for the cooperation between the Russian Federation and the USA for the return of Russian supplied research reactor fuel from eligible countries. Under the Bratislava agreements concluded by Presidents George W. Bush and Vladimir Putin in February 2005, both countries committed to completing all shipments of Russian-origin HEU spent fuel currently stored outside research reactors by the end of 2010. Up to the time of writing (May 2009) the programme has completed 19 shipments totalling over 838 kg of Russian-origin HEU spent and fresh fuel which has been returned from Bulgaria, the Czech Republic, Germany, Kazakhstan, Latvia, the Libyan Arab Jamahiriya, Poland, Romania, Serbia, Uzbekistan and Vietnam. During this time, the programme successfully removed all HEU from two countries, Latvia and Bulgaria. HEU spent fuel shipments have been the most complex shipments under the RRRFR programme, which will be the focus of this publication. The first shipment of HEU spent fuel from Uzbekistan was completed in January 2006, followed by HEU spent fuel

  11. Who should lead a trauma team: surgeon or non surgeon? A systematic review and meta-analysis

    Directory of Open Access Journals (Sweden)

    Shahab Hajibandeh

    2017-05-01

    Full Text Available Background: Presence of a trauma team leader (TTL in the trauma team is associated with positive patient outcomes in major trauma. The TTL is traditionally a surgeon who coordinates the resuscitation and ensures adherence to Advanced Trauma Life Support (ATLS guidelines. The necessity of routine surgical leadership in the resuscitative component of trauma care has been questioned by some authors. Therefore, it remains controversial who should lead the trauma team. We aimed to evaluate outcomes associated with surgeon versus non-surgeon TTLs in management of trauma patients. Methods: In accordance with Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA statement standards, we performed a systematic review. Electronic databases MEDLINE, EMBASE, CINAHL and the Cochrane Central Register of Controlled Trials (CENTRAL were searched to identify randomized and non-randomized studies investigating outcomes associated with surgeon versus non-surgeon TTL in management of trauma patients. The Newcastle-Ottawa scale was used to assess the methodological quality and risk of bias of the selected studies. Fixed-effect model was applied to calculate pooled outcome data. Results: Three retrospective cohort studies, enrolling 2,519 adult major trauma patients, were included. Our analysis showed that there was no difference in survival [odds ratio (OR: 0.82, 95% confidence interval (CI 0.61-1.10, P=0.19] and length of stay when trauma team was led by surgeon or non-surgeon TTLs; however, fewer injuries were missed when the trauma team was led by a surgeon (OR: 0.48, 95% CI 0.25-0.92, P=0.03. Conclusions: Despite constant debate, the comparative evidence about outcomes associated with surgeon and non-surgeon trauma team leader is insufficient. The best available evidence suggests that there is no significant difference in outcomes of surgeon or non-surgeon trauma team leaders. High quality randomized controlled trials are required to compare

  12. Comparison of Complications and Surgical Outcomes of Adolescent Idiopathic Scoliosis Between Junior Attending Surgeons and Senior Attending Surgeons.

    Science.gov (United States)

    Qiao, Jun; Xiao, Lingyan; Xu, Leilei; Shi, Benlong; Qian, Bangping; Zhu, Zezhang; Qiu, Yong

    2018-04-24

    To our knowledge, few studies have compared complications and surgical outcomes of adolescent idiopathic scoliosis (AIS) between junior attending surgeons and senior attending surgeons. To compare surgical strategies, complications, and outcomes of posterior corrective surgery for AIS between junior attending surgeons and senior attending surgeons. According to experience level of operation surgeons, the patients were assigned to 2 groups. Group A was the "junior surgeon" group. Group B was the "senior surgeon" group. The following parameters were compared between the 2 groups: age, sex, diagnosis, hospital of record, surgeon experience level, type of instrumentation, type of screws, estimated blood loss, duration of surgery, length of fusion, correction techniques, main curve correction, and thoracic kyphosis correction. A total of 132 patients with AIS were included in group A, whereas 207 were in group B. The translational technique was used more often in group A (P Senior surgeons used more monoaxial screws than junior surgeons (P senior group (P senior group had significant better correction rates of severe main curve (>70°) and thoracic kyphosis than the junior group (P Senior attending surgeons outperformed junior surgeons in blood loss control, thoracic kyphosis correction, and correction of severe curves. Copyright © 2018 Elsevier Inc. All rights reserved.

  13. The Nonwhite Woman Surgeon: A Rare Species.

    Science.gov (United States)

    Frohman, Heather A; Nguyen, Thu-Hoai C; Co, Franka; Rosemurgy, Alexander S; Ross, Sharona B

    2015-01-01

    As of 2012, 39% of medical student graduates were nonwhite, yet very few nonwhite women graduates chose to become surgeons. To better understand issues regarding nonwhite women in surgery, an online survey was sent to surgeons across the United States. Results are based on self-reported data. Mean data are reported. A total of 194 surgeons (42% women) completed the survey; only 12% of responders were nonwhite. Overall, 56% of nonwhite women felt they earned less than what men surgeons earn for equal work. Nonwhite women surgeons earned less than what men surgeons ($224,000 vs. 351,000, p women surgeons ($285,000, p = 0.02) earned. Overall, 96% of nonwhite surgeons believed that racial discrimination currently exists among surgeons. The few nonwhite women surgeons in the United States recognize that they are paid significantly less than what other surgeons are paid. Inequitable remuneration and a discriminatory work environment encountered by nonwhite women surgeons must be addressed. Copyright © 2015 Association of Program Directors in Surgery. Published by Elsevier Inc. All rights reserved.

  14. Exploratory Study Investigating the Opinions of Russian-Speaking Parents on Maintaining their Children's Use of the Russian Language

    Directory of Open Access Journals (Sweden)

    Sue Kraftsoff

    2009-01-01

    Full Text Available This study explored why and how Russian speaking parents in an Irish context maintained the Russian language in their school-age children. Using a self-administered unstandardised questionnaire, the opinions of 16 Russian-speaking parents, reporting on 24 children, were surveyed. Of this sample, five parents were then interviewed using focus group methodology. The main findings revealed that Russian-speaking parents living in Ireland strongly supported Russian language maintenance in their families and wanted their children to be as fluent as possible in the Russian language. The reasons for the support of Russian language were: cultural preservation, general knowledge of languages in addition to English, and communication with the homeland. Methods employed to maintain the Russian language included conversing with children through Russian, reading and watching Russian TV/DVD. Although most parents spoke only Russian to their children, just three children were considered by their parents to have sufficient language skills to interact through Russian in Russian speaking countries. Interestingly, 15 children were thought to have adequate skills in Russian to speak with those outside their immediate family when in Ireland. Congruent with other studies of bilingualism, development of English, or the secondary, majority language, was also important to parents, as they lived in a dominant English-speaking society.

  15. Russian translations for Cochrane.

    Science.gov (United States)

    Yudina, E V; Ziganshina, L E

    2015-01-01

    Cochrane collaboration has made a huge contribution to the development of evidence-based medicine; Cochrane work is the international gold standard of independent, credible and reliable high-quality information in medicine. Over the past 20 years the Cochrane Collaboration helped transforming decision-making in health and reforming it significantly, saving lives and contributing to longevity [1]. Until recently, Cochrane evidence were available only in English, which represents a significant barrier to their wider use in non-English speaking countries. To provide access to evidence, obtained from Cochrane Reviews, for health professionals and general public (from non-English-speaking countries), bypassing language barriers, Cochrane collaboration in 2014 initiated an international project of translating Plain language summaries of Cochrane Reviews into other languages [2, 3]. Russian translations of Plain language summaries were started in May 2014 by the team from Kazan Federal University (Department of Basic and Clinical Pharmacology; 2014-2015 as an Affiliated Centre in Tatarstan of the Nordic Cochrane Centre, since August 2015 as Cochrane Russia, a Russian branch of Cochrane Nordic, Head - Liliya Eugenevna Ziganshina) on a voluntary basis. To assess the quality of Russian translations of Cochrane Plain Language Summaries (PLS) and their potential impact on the Russian speaking community through user feedback with the overarching aim of furthering the translations project. We conducted the continuous online survey via Google Docs. We invited respondents through the electronic Russian language discussion forum on Essential Medicines (E-lek), links to survey on the Russian Cochrane.org website, invitations to Cochrane contributors registered in Archie from potential Russian-speaking countries. We set up the survey in Russian and English. The respondents were asked to respond to the questionnaire regarding the relevance and potential impact of the Cochrane Russian

  16. The Russian Orthodox and Islamic Languages in the Russian Federation

    NARCIS (Netherlands)

    Bustanov, A.K.; Kemper, M.

    2013-01-01

    What happens to the Russian language if it is used by Muslims? Bustanov and Kemper (2012) analyzed the use of Islamic terminology in a variety of texts by contemporary Muslim authors from several regions of the Russian Federation. This led them to the hypothesis that one can speak of a new

  17. Smartphones and the plastic surgeon.

    Science.gov (United States)

    Al-Hadithy, Nada; Ghosh, Sudip

    2013-06-01

    Surgical trainees are facing limited training opportunities since the introduction of the European Working Time Directive. Smartphone sales are increasing and have usurped computer sales for the first time. In this context, smartphones are an important portable reference and educational tool, already in the possession of the majority of surgeons in training. Technology in the palm of our hands has led to a revolution of accessible information for the plastic surgery trainee and surgeon. This article reviews the uses of smartphones and applications for plastic surgeons in education, telemedicine and global health. A comprehensive guide to existing and upcoming learning materials and clinical tools for the plastic surgeon is included. E-books, podcasts, educational videos, guidelines, work-based assessment tools and online logbooks are presented. In the limited resource setting of modern clinical practice, savvy plastic surgeons can select technological tools to democratise access to education and best clinical care. Copyright © 2013 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved.

  18. Thomas Vicary, barber-surgeon.

    Science.gov (United States)

    Thomas, Duncan P

    2006-05-01

    An Act of Parliament in 1540 uniting the barbers and surgeons to form the Barber-Surgeons' Company represented an important foundation stone towards better surgery in England. Thomas Vicary, who played a pivotal role in promoting this union, was a leading surgeon in London in the middle of the 16th century. While Vicary made no direct contribution to surgical knowledge, he should be remembered primarily as one who contributed much towards the early organization and teaching of surgery and to the consequent benefits that flowed from this improvement.

  19. Russian Language Course

    CERN Multimedia

    2009-01-01

    The Russian Cultural Circle is organising a new course of "Russian for Beginners", and is continuing a course for Advanced Students (3rd year). Interested persons are invited to contact: Mrs M. Mikhailova e-mail : mailto:mmmacha@hotmail.com Tel. 022 788 27 53

  20. Russian-Saudian Political Interaction

    Directory of Open Access Journals (Sweden)

    G. G. Kosach

    2017-01-01

    Full Text Available The article analyzes the development of Russian-Saudi political interaction after the restoration (at that time of Soviet-Saudi relations of bilateral relations in September 1990. The article focuses on the role of the Russian Muslim community in shaping the Russian politics towards Riyadh in the 1990-2000s. The authors state there are both periods of “crises” and detente in the development of Russian-Saudi political interaction that were marked by events in Chechnya and former Yugoslavia in 1994-2000, “Arab Spring” 2011, the post-September 2015 era, the Russian anti-terrorist campaign in Syria. The alternation of these periods is the constant of Russian-Saudi political contacts, despite the similarity in the approaches of both sides to the ways and methods of solving crisis situations in the Middle East region, as well as the Saudi’s pro-Russian position regarding the change in the status of the Crimea and the situation in the east of Ukraine. The general attitude of both sides towards ISIS and Jabha al-Nusra as a source of terrorism, regional instability and the challenge of international security does not remove the two main contradictions that divide Moscow and Riyadh – attitude toward the official Syrian regime and the Iran’s regional policy. The study comes to the conclusion that Russia and Saudi Arabia are interested (albeit for various reasons in diversifying their foreign policy and foreign economic relations.

  1. Russian Model Of The Administrative Justice

    Directory of Open Access Journals (Sweden)

    Natalja I. Jaroshenko

    2014-12-01

    Full Text Available On December 25, 2014 it would be twenty-one year since the Constitution of the Russian Federation was adopted on the national referendum on December 12, 1993. During this time, almost all constitutional provisions are implemented. The key point of course was the judicial reform in Russia, launched simultaneously with the adoption of Constitution of the Russian Federation. Adopted the new Civil Procedural Code, Criminal Procedural Code, Arbitration Procedural Code of the Russian Federation, Federal Constitutional Law "On the Constitutional Court of the Russian Federation", Federal Constitutional Law "On the courts of general jurisdiction in Russia", Federal Constitutional Law "On the Supreme Court of the Russian Federation". However, during twenty-one year of Russian Constitution work, the question on establishment of administrative courts in our country has not been resolved. Merger of the Supreme Court and the Supreme Arbitration Court of the Russian Federation, which happened in the year 2014, also shown the need to resolve the status of administrative courts in Russia. Previously submitted to the State Duma of the Federal Assembly of the Russian Federation the draft of the Federal Constitutional Law "On the Federal Administrative Courts in the Russian Federation" and is on the revision, which does not correspond to changes in the judicial system of the Russian Federation. Despite the failure of the Federal Constitutional Law "On the Federal Administrative Courts in the Russian Federation", in the opinion of the author, and it should be called that way, it Russia has already developed an own model of the Russian administrative justice, which is very specific.

  2. Stress in surgeons.

    Science.gov (United States)

    Green, A; Duthie, H L; Young, H L; Peters, T J

    1990-10-01

    A sample of 1000 members of the Association of Surgeons of Great Britain and Ireland was circulated with a postal questionnaire relating to their occupational stressors, their type A coronary-prone behaviour and their mental health. Six hundred and seventy-two (67 per cent) useable forms were returned anonymously. The major individual stressors were: (1) the interference of the job with personal life, (2) general administration, and (3) the number of patients in clinics. Type A behaviour was similar to that of other professional groups. Surgeons showed mean scores significantly higher than the general population on two subscales of the mental health index (free-floating anxiety and hysterical anxiety). The findings for the few female surgeons (2 per cent) were similar to those in men but they did not exhibit raised free-floating anxiety levels.

  3. Russian Orthography and Learning to Read

    Science.gov (United States)

    Kerek, Eugenia; Niemi, Pekka

    2009-01-01

    The unique structure of Russian orthography may influence the organization and acquisition of reading skills in Russian. The present review examines phonemic-graphemic correspondences in Russian orthography and discusses its grain-size units and possible difficulties for beginning readers and writers. Russian orthography is governed by a…

  4. Ethnic Russian Minority in Estonia

    Directory of Open Access Journals (Sweden)

    Włodarska-Frykowska Agata

    2016-12-01

    Full Text Available The article examines the position of Russians in Estonia and their relation with ethnic Estonians. The author analyzes models of the society integration introduced by Tallinn after 1991. The results raise questions regarding language education in Estonia, the proficiency level of Estonian is getting widely known by Russians, but on the other hand, there is still a significant part of the population that cannot communicate in Estonian. Those who have a good command of Estonian tend to be better integrated and to coexist with both Estonians and Russians. Russians living in Estonia are supposed to be equally involved in social and political life of the state. The potential of all residents has to be effectively and considerably used, especially when the number of population is decreasing. The position of Russians in Estonia is a major domestic and bilateral issue in the relations with the Russian Federation.

  5. What Is a Pediatric Heart Surgeon?

    Science.gov (United States)

    ... Text Size Email Print Share What is a Pediatric Heart Surgeon? Page Content Article Body If your ... require heart surgery. What Kind of Training Do Pediatric Heart Surgeons Have? Pediatric heart surgeons are medical ...

  6. The Russian Drive to the East and the Islamic Eurasia

    Directory of Open Access Journals (Sweden)

    Ataullah Bogdan Kopanski

    2002-06-01

    Full Text Available Normal 0 false false false EN-MY X-NONE AR-SA MicrosoftInternetExplorer4 Although the contemporary post-Soviet Russian policy towards the Pacific has changed significantly in the last decade of the 20th century, the Old Orthodox Slavocentric tradition of “mission in the East” remains unchanged. Russia still did not discover that military might gives only an illusion of influence. And the Russian Peril is still real despite the political, economic and cultural decline of the “evil empire.” This historical survey of Russia’s expansionism in the Northeastern Asia Pacific Rim attempts to look at the realm of colliding cultures, ideologies and religions in a larger context of the hegemonic policy of the Tzarist/Soviet/Neo-Russian empire, from an Islamic civilizational perspective. /* Style Definitions */ table.MsoNormalTable {mso-style-name:"Table Normal"; mso-tstyle-rowband-size:0; mso-tstyle-colband-size:0; mso-style-noshow:yes; mso-style-priority:99; mso-style-qformat:yes; mso-style-parent:""; mso-padding-alt:0cm 5.4pt 0cm 5.4pt; mso-para-margin-top:0cm; mso-para-margin-right:0cm; mso-para-margin-bottom:10.0pt; mso-para-margin-left:0cm; line-height:115%; mso-pagination:widow-orphan; font-size:11.0pt; font-family:"Calibri","sans-serif"; mso-ascii-font-family:Calibri; mso-ascii-theme-font:minor-latin; mso-fareast-font-family:"Times New Roman"; mso-fareast-theme-font:minor-fareast; mso-hansi-font-family:Calibri; mso-hansi-theme-font:minor-latin;}

  7. Automatic vowels selection and ranking in Russian enciphered texts

    Directory of Open Access Journals (Sweden)

    Yuri I. Petrenko

    2018-01-01

    , defined as the difference between the conditional probabilities of vowel-consonant and vowelvowel diagram’s types. For an alphabet consisted of N characters the program defines a combination of a given number k of “vowels” by exhaustive search. This combination of k symbols maximizes Markov criterion. The order relation of the new “vowels” for k = 1, 2, 3... characterizes the descending of their “strength” and can be used to separate vowels from consonants. In texts of sufficient volume there are possible approximate ranking of the vowel’s set. A more accurate ranking is possible when as a measure of “symbol power” Markov criterion’s increments are used. The algorithm speed can be greatly accelerated by using some tricks of steepest descent method. The test program discovered the independence of Markov criterion from the text’s author as well as its unimodality for long texts. Using this criterion, the algorithm can separate vowels from consonants for short (up to 100 characters texts as well as the ranking of vowels for texts as small as 250-500 letters. The similarity of Markov criterion’s statistics of letters “ь”, “ъ” and standard vowels is discovered. These two letters are inseparable by Markov criterion method from the standard vowels. The test results showed that Markov criterion method can be used for cryptanalysis of short Russian texts as well as texts of the other consonant languages. 

  8. Russian nuclear industry exports

    International Nuclear Information System (INIS)

    Gorbatchev, A.

    2016-01-01

    Rosatom is the world leader for the export of nuclear technologies. 34 reactors of Russian technology are being built or planned worldwide. Most reactors proposed by Rosatom are third generation VVER-1200 units with an electric power output of 1200 MWe. Although the nuclear island is always built by Rosatom, the remain of the plant can be subcontracted to other enterprises and European companies are sought because they would bring a european quality touch to Russian works. One of the main assets of Rosatom is to propose an integrated offer from supplying nuclear fuel to managing nuclear waste via the turnkey building of nuclear power plants. Another important asset is the financial assistance of the Russian state through state credit or the support from Russian national banks that appears to be a decisive advantage in the international competition to win markets. We have to temper the Russian export perspectives by noting that most projects are set in countries that are prone to instabilities and that the economic crisis affecting Russia has a negative impact on its financial means. (A.C.)

  9. The Plastic Surgeon at Work and Play: Surgeon Health, Practice Stress, and Work-Home Balance.

    Science.gov (United States)

    Bentz, Michael L

    2016-10-01

    Plastic surgeon wellness encompasses physical and mental health, considered in the context of practice stress. In addition, the challenges of work-home balance can lead to substantial negative impact on the surgeon, family, staff, and patients. The data-driven impact of each of these three components with personal vignettes, both individually and collectively, is presented by Michael Bentz, MD as the 2016 presidential address of American Association of Plastic Surgeons.

  10. Reading L2 Russian: The Challenges of the Russian-English Dictionary

    Science.gov (United States)

    Comer, William J.

    2014-01-01

    This descriptive study examines when and how students use Russian-English dictionaries while reading informational texts in Russian and what success they have with word lookup. The study uses introspective verbal protocols (i.e., think-alouds) to follow how readers construct meaning from two texts while reading them for a limited time first…

  11. TEACHING THE GRAMMAR OF RUSSIAN LANGUAGE AS FOREIGN IN RUSSIAN TEXTBOOKS FOR BEGINNERS (OPINION OF THE CHINESE TEACHER)

    OpenAIRE

    Zeng, T.

    2017-01-01

    Increased interest towards studying the Russian language in China evokes the interest of Chinese teachers of the Russian language to educational and methodological materials created by their Russian colleagues. First and foremost, Chinese philologists are interested in nationally oriented textbooks. In this article, we discuss the main features of grammar in Russian textbooks aimed at Chinese students who are just beginning to learn Russian. This paper compares nationally oriented textbooks “...

  12. Burnout and career satisfaction among American surgeons.

    Science.gov (United States)

    Shanafelt, Tait D; Balch, Charles M; Bechamps, Gerald J; Russell, Thomas; Dyrbye, Lotte; Satele, Daniel; Collicott, Paul; Novotny, Paul J; Sloan, Jeff; Freischlag, Julie A

    2009-09-01

    To determine the incidence of burnout among American surgeons and evaluate personal and professional characteristics associated with surgeon burnout. : Burnout is a syndrome of emotional exhaustion and depersonalization that leads to decreased effectiveness at work. A limited amount of information exists about the relationship between specific demographic and practice characteristics with burnout among American surgeons. Members of the American College of Surgeons (ACS) were sent an anonymous, cross-sectional survey in June 2008. The survey evaluated demographic variables, practice characteristics, career satisfaction, burnout, and quality of life (QOL). Burnout and QOL were measured using validated instruments. Of the approximately 24,922 surgeons sampled, 7905 (32%) returned surveys. Responders had been in practice 18 years, worked 60 hours per week, and were on call 2 nights/wk (median values). Overall, 40% of responding surgeons were burned out, 30% screened positive for symptoms of depression, and 28% had a mental QOL score >1/2 standard deviation below the population norm. Factors independently associated with burnout included younger age, having children, area of specialization, number of nights on call per week, hours worked per week, and having compensation determined entirely based on billing. Only 36% of surgeons felt their work schedule left enough time for personal/family life and only 51% would recommend their children pursue a career as a physician/surgeon. Burnout is common among American surgeons and is the single greatest predictor of surgeons' satisfaction with career and specialty choice. Additional research is needed to identify individual, organizational, and societal interventions that preserve and promote the mental health of American surgeons.

  13. The surgeon's perspective: promoting and discouraging factors for choosing a career in surgery as perceived by surgeons.

    Science.gov (United States)

    Seelandt, Julia C; Kaderli, Reto M; Tschan, Franziska; Businger, Adrian P

    2014-01-01

    The aim of this study was to identify the factors perceived by surgeons that promote surgery as an attractive or unattractive career choice for today's graduates. In addition, it examined whether the perspectives of surgeons in different professional situations converges. The content of work, contextual work conditions, and calling to this job are discussed in the context of choosing surgery as a career. Eight hundred sixty-nine surgeons were asked to answer open-ended questions regarding the factors that promote surgery as an attractive or unattractive career choice for today's graduates. Four hundred ninety-two surgeons participated, and 1,525 statements were analyzed using Mayring's content-analyses method. Chi-square tests were used to analyze the differences among hierarchical positions. With respect to the factors that promote surgery as a profession, 40.8% (209/492) of the surgeons stated that surgery is a calling, 29.1% (149/492) of the surgeons provided at least one argument related to the positive task characteristics, and 12.9% (66/492) of the surgeons provided statements related to the positive contextual factors. With respect to the factors that discourage surgery as a profession, 45.7% (234/492) of the surgeons provided at least one argument related to the discouraging work characteristics, and 67.6% (346/492) of the surgeons provided problematic contextual characteristics. This study emphasizes the importance of the calling to surgery as an important factor for choosing surgery as a career. However, the extensive workload, training, and poor work-family balance have been identified as factors that discourage graduates from choosing surgery as a career. The identified positive factors could be used to attract and maintain graduates in surgical disciplines.

  14. 21 CFR 878.4460 - Surgeon's glove.

    Science.gov (United States)

    2010-04-01

    ... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Surgeon's glove. 878.4460 Section 878.4460 Food... DEVICES GENERAL AND PLASTIC SURGERY DEVICES Surgical Devices § 878.4460 Surgeon's glove. (a) Identification. A surgeon's glove is a device made of natural or synthetic rubber intended to be worn by...

  15. Choosing a Surgeon: An Exploratory Study of Factors Influencing Selection of a Gender Affirmation Surgeon.

    Science.gov (United States)

    Ettner, Randi; Ettner, Frederic; White, Tonya

    2016-01-01

    Purpose: Selecting a healthcare provider is often a complicated process. Many factors appear to govern the decision as to how to select the provider in the patient-provider relationship. While the possibility of changing primary care physicians or specialists exists, decisions regarding surgeons are immutable once surgery has been performed. This study is an attempt to assess the importance attached to various factors involved in selecting a surgeon to perform gender affirmation surgery (GAS). It was hypothesized that owing to the intimate nature of the surgery, the expense typically involved, the emotional meaning attached to the surgery, and other variables, decisions regarding choice of surgeon for this procedure would involve factors other than those that inform more typical healthcare provider selection or surgeon selection for other plastic/reconstructive procedures. Methods: Questionnaires were distributed to individuals who had undergone GAS and individuals who had undergone elective plastic surgery to assess decision-making. Results: The results generally confirm previous findings regarding how patients select providers. Conclusion: Choosing a surgeon to perform gender-affirming surgery is a challenging process, but patients are quite rational in their decision-making. Unlike prior studies, we did not find a preference for gender-concordant surgeons, even though the surgery involves the genital area. Providing strategies and resources for surgical selection can improve patient satisfaction.

  16. THE RUSSIAN CONSENSUS ON DIAGNOSIS AND TREATMENT OF CHRONIC PANCREATITIS: POINTS OF DEBATE

    Directory of Open Access Journals (Sweden)

    I. E. Khat'kov

    2016-01-01

    Full Text Available The most controversial provisions of the Russian Consensus on Diagnosis and Treatment of Chronic Pancreatitis (hereinafter, the Consensus are presented. The debate has been initiated by the Russian Pancreatic Club and performed with the use of the Delphi system, based on interdisciplinary approach with participation of leading gastroenterologists, surgeons and pediatricians. This paper is the first in the series of the Consensus-related publications. Here we discuss the most controversial issues of Chapter 5 "Treatment of acute episodes" and Chapter 8 "Strategies of pain syndrome management". While discussing the conventional recommendation of a period of starvation for patients with clinical symptom of exacerbation of chronic pancreatitis, it was noted that for a long time it had been virtually the only way to provide functional rest for the pancreas. However, patients with chronic pancreatitis are frequently in malnutrition, therefore, starving may aggravate nutritional deficit that significantly affects the prognosis; therefore, early nutritional support is indicated. To alleviate functional strain of the pancreas, it is reasonable to use enteral nutrition elemental and semi-elemental formulas. The transition from formulas to conventional nutrition should be accompanied by administration of adequate pancreatin doses. The role of pancreatic enzymes, spasmolytics and proton pump inhibitors in the management of pain syndrome was also controversial.

  17. Russian Capital in Latvia: Trends and Perspectives

    Directory of Open Access Journals (Sweden)

    N A Volgina

    2015-12-01

    Full Text Available The article deals the issue of the positions of Russian capital in Latvian market. The paper aims to estimate the volume and dynamics of Russian capital inflows into Latvia in compliance with Russian economic interests; to identify key sectors of Latvian economy that Russian capital is interested to invest in; to systemize information concerning Russian firms investing in Latvia; to assess the role of Russian capital in Latvian economy in comparison with other foreign investors; to propose author’s view on challenges and perspectives of Latvian-Russian investment cooperation in the situation of economic sanctions and geo-political conflict in east Ukraine. The author underlines that at the end of 2013, investments of Russian business to Latvia constituted about 5.0% of the total FDI stock and by that time Russia was the 7th largest investor with 0.5 bln euro of capital invested. The main sectors of Russian interests in Latvia are - gas supply, transport communications (transit corridors, banking and real estate. The article concludes that though the future of Russian-Latvian economic relations in the short-run is on a substantial pressure of geopolitical factors, the economic interests in mutual investment relations will prevail in the long-run perspectives.

  18. The New Russian Book

    DEFF Research Database (Denmark)

    Pristed, Birgitte Beck

    This book takes up the obtrusive problem of visual representation of fiction in contemporary Russian book design. By analyzing a broad variety of book covers, the study offers an absolutely unique material that illustrates a radically changing notion of literature in the transformation of Soviet ...... the fields of Russian studies, contemporary book and media history, art, design, and visual studies.......This book takes up the obtrusive problem of visual representation of fiction in contemporary Russian book design. By analyzing a broad variety of book covers, the study offers an absolutely unique material that illustrates a radically changing notion of literature in the transformation of Soviet...... print culture to a post-Soviet book market. It delivers a profound and critical exploration of Russian visual imaginary of classic, popular, and contemporary prose. Among all the carelessly bungled covers of mass-published post-Soviet series the study identifies gems from experimental designers...

  19. Surgeons' vision rewarded.

    Science.gov (United States)

    Baillie, Jonathan

    2010-08-01

    Surgeons and clinical staff, theatre circulation and scrub personnel, and anaesthetists, as well as the estates and facilities team at Kent's Maidstone Hospital, have worked with specialist supplier of integrated audio, video, and instrumentation systems for the operating room, Olympus Medical, to develop what is claimed is among the UK's most advanced operating theatres yet built for laparoscopic and endoscopic surgery. HEJ editor Jonathan Baillie discussed the project with Amir Nisar, the surgeon who championed efforts to get the facility built, and Olympus Medical national sales manager, systems integration, James Watts.

  20. Opportunities in Total Knee Arthroplasty: Worldwide Surgeons' Perspective.

    Science.gov (United States)

    Dunbar, Michael; Newman, Jared M; Khlopas, Anton; Chughtai, Morad; Martinez, Nick; Bhowmik-Stoker, Manoshi; Mont, Michael A

    2017-07-25

    This study surveyed a group of US and international orthopaedic surgeons to prioritize areas of improvement in primary total knee arthroplasty (TKA). Specifically, we assessed surgeon responses regarding the top five areas of TKA needing improvement; which were stratified by: a) US surgeons, b) international surgeons, c) US surgeons' implant-brand-loyalty, and d) surgeons' years of experience and case volume. Four hundred and eighteen surgeons who were board-certified, in practice for at least two years, spent 60% of their time in clinical practice, and performed a minimum of 25 lower extremity joint arthroplasties per year were surveyed. They chose the top five areas (among 17) needing improvement for TKA. Results were stratified by surgeons' location (US and international), implant-brand-loyalty, years of experience, and case volume. Functional outcomes was the top identified area for improvement (US 63% and international 71%), followed by brand loyalty (Company I 68%, other brand 59%, and multi-brand/no loyalty 66%), years of experience (early-career 64%, mid-career 63%, and late-career 75%) and case volume (low-volume 69%, mid-volume 60%, and high-volume 71%). Following this was costs for US surgeons (47%) and implant survivorship for international surgeons (57%). While costs were the next highest area for specific Company-loyal surgeons (57%), implant survivorship was the next highest area for the other two cohorts. Implant survivorship was the second most important area of improvement regardless of years of experience and for low- and mid-volume surgeons. Surgeons identified functional outcomes as the most important area needing improvement. Cost of implants was more important for American as compared to international surgeons.

  1. ASPECTS OF COMMODIFICATION OF RUSSIAN IN FINLAND

    Directory of Open Access Journals (Sweden)

    Ханнес Виимаранта

    2017-12-01

    Full Text Available This article examines the commodification of Russian in Finland, where recent decades have seen a sharp rise in the size of the Russian-speaking population and the number of tourists from Russia. We particularly consider the use of Russian in the fields of traditional and medical tourism, education, and culture - all of them areas where Russian tourists show a strong preference for services in their native language. The need to provide a variety of services in Russian means that proficiency in Russian is a sig-nificant asset on the job market, both for immigrants and for the relatively small number of Finns who can speak the language. We also note that there is considerable demand among Russian-speaking parents in Fin-land for educational services to supplement their children’s school education.

  2. The surgeon's perspective: promoting and discouraging factors for choosing a career in surgery as perceived by surgeons.

    Directory of Open Access Journals (Sweden)

    Julia C Seelandt

    Full Text Available BACKGROUND: The aim of this study was to identify the factors perceived by surgeons that promote surgery as an attractive or unattractive career choice for today's graduates. In addition, it examined whether the perspectives of surgeons in different professional situations converges. The content of work, contextual work conditions, and calling to this job are discussed in the context of choosing surgery as a career. METHODS: Eight hundred sixty-nine surgeons were asked to answer open-ended questions regarding the factors that promote surgery as an attractive or unattractive career choice for today's graduates. Four hundred ninety-two surgeons participated, and 1,525 statements were analyzed using Mayring's content-analyses method. Chi-square tests were used to analyze the differences among hierarchical positions. RESULTS: With respect to the factors that promote surgery as a profession, 40.8% (209/492 of the surgeons stated that surgery is a calling, 29.1% (149/492 of the surgeons provided at least one argument related to the positive task characteristics, and 12.9% (66/492 of the surgeons provided statements related to the positive contextual factors. With respect to the factors that discourage surgery as a profession, 45.7% (234/492 of the surgeons provided at least one argument related to the discouraging work characteristics, and 67.6% (346/492 of the surgeons provided problematic contextual characteristics. CONCLUSION: This study emphasizes the importance of the calling to surgery as an important factor for choosing surgery as a career. However, the extensive workload, training, and poor work-family balance have been identified as factors that discourage graduates from choosing surgery as a career. The identified positive factors could be used to attract and maintain graduates in surgical disciplines.

  3. Divergent Accounts of Equivalent Narratives: Russian-Swedish Interdevochka Meets Swedish-Russian Lilya 4-ever

    Directory of Open Access Journals (Sweden)

    Lars Lyngsgaard Fjord Kristensen

    2007-10-01

    Full Text Available In a region that is traditionally considered to be transnational, Nordic cinema has often posed as the prime case for a transnational cinema. The paper contests this notion of Nordic transnationality by analysing two films that depict two Russian women travelling to Sweden. Interdevochka/Intergirl (Todorovski, 1989, USSR and Lilya-4-ever (Moodysson, 2004, Sweden challenge the inclusiveness of the region and make explicit the fact that Russian identities are not part of the homogenous mixture of the region. Instead, Russian identities of cross-border prostitution are cinematically subjected to rejection and victimisation. This paper examines how Lilya-4-ever adheres to a European anxiety narrative by performing a Russian return narrative and how Interdevochka/Intergirl portrays ‘the fallen soviet woman’ by travelling to Sweden. These cinematic representations of the female Russian identity travelling to Sweden differ from each national context, but by probing into a comparative analysis the paper will reveal that both films need the Other to narrate these stories of transnational labour migration.

  4. Business knowledge in surgeons.

    Science.gov (United States)

    Satiani, Bhagwan

    2004-07-01

    Surgeons and residents in training receive little, if any, formal education in the economic side of clinical practice during medical school or residency. As medical professionals face shrinking reimbursement, loss of control over health care decisions, and limited resources, surgical specialties must reevaluate the need to teach their members business survival skills. Before designing business related-teaching modules, educators must know the exact gaps in knowledge that exist among surgeons. This article reports a survey of 133 surgeons in the Midwest who were asked to rate their knowledge base in 11 business topics relevant to the practice of medicine. The survey showed that the average surgeon perceives himself or herself to be poorly equipped to understand basic financial accounting principles, financial markets, economics of health care, tools for evaluating purchases, marketing, budgets, antitrust and fraud and abuse regulations, and risk and return on investments. Armed with this data, teaching faculty, health care systems, and medical specialty societies should design business education seminars to better position surgical specialists and trainees to communicate with insurers, hospital administrators, health care organizations, and their own personal financial advisors.

  5. What Is a Foot and Ankle Surgeon?

    Science.gov (United States)

    ... A A | Print | Share What is a Foot & Ankle Surgeon? Foot and ankle surgeons are the surgical ... every age. What education has a foot and ankle surgeon received? After completing undergraduate education, the foot ...

  6. Characteristics of Russian Professionals’ Organizational Behavior

    Directory of Open Access Journals (Sweden)

    V V Khurtina

    2013-12-01

    Full Text Available The paper describes organizational behavior of Russian professionals at the individual and organizational levels. The characteristics of Russian professionals’ organizational behavior are examined on the basis of the Russian Longitudinal Monitoring Survey of HSE, depending on the qualification level and age.

  7. Heutiges Russisch (Contemporary Russian)

    Science.gov (United States)

    Russisch, 1976

    1976-01-01

    For the purpose of supplying information on actual contemporary Russian usage, this article excerpts sections on noun usage and variations of the genitive ending in the masculine singular from "Stilistik der russischen Sprache" (Russian Language Style) by D. Rosental and M. Telenkowa. (Text is in German.) (FB)

  8. Ukrainian-Russian Mixed Speech “Suržyk” within the System of Ukrainian and Russian Interaction

    Directory of Open Access Journals (Sweden)

    Salvatore Del Gaudio

    2015-12-01

    Full Text Available The question of different forms of real and/or presumed mixed speech, a consequence of the interaction between Ukrainian and Russian and widely known as “Suržyk,” remains central in much of contemporary Ukrainian and, more widely, East Slavic sociolinguistic and language contact research. This article pursues a twofold aim: first, I intend to reaffirm my personal hypothesis on the formation process of this mixed speech, which has at times been cited without attribution in the scholarly literature. Second, the paper aims to examine the functioning of Ukrainian-Russian Suržyk within a broader sociolinguistic framework that takes into account other forms of language interaction. Ukrainian-Russian mixed speech in fact has to be assessed and separated from other factors, such as the Ukrainian variety of Russian, dialects, etc. This approach has rarely been applied in previous studies on the topic. The role played by current language ideology is a further essential aspect in establishing which language elements should be attributed to Ukrainian-Russian Suržik. This undoubtedly affects the average speaker’s judgment about the degree of authenticity of Ukrainian forms. One can note a tendency to restrict the synonymic potential of Ukrainian in favor of lexemes and constructions that are dissimilar to Russian. This situation tends to alter the language consciousness of younger generations of Ukrainian speakers, who are likely to perceive as Russian (and therefore part of the Ukrainian-Russian mix elements that are in fact authentic Ukrainian speech elements. These and other related aspects will be the object of my discussion.

  9. The Russian nuclear data research programme

    International Nuclear Information System (INIS)

    1995-11-01

    The report contains the Russian programme of nuclear data research, approved by the Russian Nuclear Data Committee on 16 December 1994. It gives surveys on nuclear data needs, on the structure of nuclear data activities, on experimental facilities for nuclear data measurements at five Russian institutes, on theoretical model work, nuclear data evaluation, and nuclear data testing. It describes four Russian nuclear data centers and their relations to the International Nuclear Data Centres Network, and their holdings of nuclear data libraries of Russian and international origin. A summary of nuclear data applications in energy and non-energy fields is given. An appendix contains a detail nuclear data research programme for the years 1995 - 2005. (author). 16 refs, 1 fig., 6 tabs

  10. Russian Sentence Adverbials

    DEFF Research Database (Denmark)

    Lorentzen, Elena; Durst-Andersen, Per

    2015-01-01

    way or the other to take their starting point in the previous discourse. It is, however, stressed that the specificity of the Russian language is found in modal adverbials where a division between external and internal reality exists. We end the examination by discussing the function of word order......Sentence adverbials (SA) in Russian are analyzed in their totality, i.e. from a lexical, syntactic, semantic and pragmatic point of view. They are classified according to Hare’s three utterance components which yields (1) neustic, (2) tropic and (3) phrastic SAs. These components are used...... to represent semantic paraphrases of Russian SAs in utterances from various types of discourse in order to show their exact contribution to the meaning conveyed by the entire utterance. They are further subdivided according to their function: (1) into connectives and non-connectives; (2) into attitudinal...

  11. Russian Language Classes

    CERN Multimedia

    2008-01-01

    The Russian Cultural Circle is organising a new Russian course for beginners and will continue its course for advanced students (3rd year), both from September onwards. Anyone interested in taking part is invited to contact Mrs M. Mikhailova (e-mail: mailto:mmmacha@hotmail.com or tel. 022 788 27 53) or Mrs C. Kukowka (e-mail: mailto:christinekukowka@orange.fror tel. ++ 33 4 50 42 43 22 after 8.00 p.m.).

  12. Russian electrometallurgy: Achievements, problems, prospects

    Science.gov (United States)

    Utochkin, Yu. I.; Semin, A. E.

    2011-12-01

    The changes in the Russian metallurgy, in particular, electric furnace steelmaking, having occurred in the recent years are analyzed. The main increase in the steelmaking output is due to putting into operation of new electric furnaces in new miniworks and enterprises equipped earlier with open-hearth furnaces. Reaching the rated capacity of a furnace in Russia substantially lags behind foreign enterprises. Only 30-35% of the Russian market of corrosion-resistant steel are provided by Russian metal.

  13. Russian natural gas exports-Will Russian gas price reforms improve the European security of supply?

    International Nuclear Information System (INIS)

    Sagen, Eirik Lund; Tsygankova, Marina

    2008-01-01

    In this paper we use both theoretical and numerical tools to study potential effects on Russian gas exports from different Russian domestic gas prices and production capacities in 2015. We also investigate whether a fully competitive European gas market may provide incentives for Gazprom, the dominant Russian gas company, to change its export behaviour. Our main findings suggest that both increased domestic gas prices and sufficient production capacities are vital to maintain Gazprom's market share in Europe over the next decade. In fact, Russia may struggle to carry out its current long-term export commitments if domestic prices are sufficiently low. At the same time, if Russian prices approach European net-back levels, Gazprom may reduce exports in favour of a relatively more profitable domestic market

  14. Retention of Mohs surgeons in academic dermatology.

    Science.gov (United States)

    Zhang, Shali; Mina, Mary Alice; Brown, Marc D; Zwald, Fiona O

    2015-08-01

    Retention of academic Mohs surgeons is important for the growth of this specialty and teaching of residents and students. To examine factors that influence retention of Mohs surgeons in academics and to better understand reasons for their departure. A survey was electronically distributed to academic Mohs surgeons in the American College of Mohs Surgery, asking them to rate the importance of several variables on their decision to remain in academia. Private practice Mohs surgeons who had left academics were also surveyed. Two hundred thirty-six dermatologic surgeons completed the survey. Twenty-nine percent work full time in academics, and approximately 7% work part time. The top reasons for practicing in the academic setting are intellectual stimulation, teaching opportunities, and collaboration with other university physicians and researchers. Seventy-one percent of respondents reported they would stay in academics, 7% indicated they would not, and 22% were unsure. Unfair compensation, inadequate support staff, poor leadership, increased bureaucracy, and decreased autonomy were top reasons that may compel a Mohs surgeon to leave. Opportunities for intellectual stimulation, collaboration, and teaching remain the main draw for academic Mohs surgeons. A supportive environment, strong leadership, and establishing fair compensation are imperative in ensuring their stay.

  15. Russian: An Active Introduction.

    Science.gov (United States)

    De La Cruz, Nina

    The Active Introduction is one of the modules in an array of materials used in Russian training for beginners at the Foreign Service Institute. It is essentially a catalog of sentences relating to typical daily activities which can be combined to form different communication sequences in dialog form. Students learn to speak Russian through…

  16. Solving the surgeon ergonomic crisis with surgical exosuit.

    Science.gov (United States)

    Liu, Shanglei; Hemming, Daniel; Luo, Ran B; Reynolds, Jessica; Delong, Jonathan C; Sandler, Bryan J; Jacobsen, Garth R; Horgan, Santiago

    2018-01-01

    The widespread adoption of laparoscopic surgery has put new physical demands on the surgeon leading to increased musculoskeletal disorders and injuries. Shoulder, back, and neck pains are among the most common complaints experienced by laparoscopic surgeons. Here, we evaluate the feasibility and efficacy of a non-intrusive progressive arm support exosuit worn by surgeons under the sterile gown to reduce pain and fatigue during surgery. This is a prospective randomized crossover study approved by the Internal Review Board (IRB). The study involves three phases of testing. In each phase, general surgery residents or attendings were randomized to wearing the surgical exosuit at the beginning or at the crossover point. The first phase tests for surgeon manual dexterity wearing the device using the Minnesota Dexterity test, the Purdue Pegboard test, and the Fundamentals of Laparoscopic Surgery (FLS) modules. The second phase tests the effect of the device on shoulder pain and fatigue while operating the laparoscopic camera. The third phase rates surgeon experience in the operating room between case-matched operating days. Twenty subjects were recruited for this study. Surgeons had the similar dexterity scores and FLS times whether or not they wore the exosuit (p value ranges 0.15-0.84). All exosuit surgeons completed 15 min of holding laparoscopic camera compared to three non-exosuit surgeons (p Exosuit surgeons experienced significantly less fatigue at all time periods and arm pain (3.11 vs 5.88, p = 0.019) at 10 min. Surgeons wearing the exosuit during an operation experienced significant decrease in shoulder pain and 85% of surgeons reported some form of pain reduction at the end of the operative day. The progressive arm support exosuit can be a minimally intrusive device that laparoscopic surgeons wear to reduce pain and fatigue of surgery without significantly interfering with operative skills or manual dexterity.

  17. Surgeon Participation in Early Accountable Care Organizations.

    Science.gov (United States)

    Resnick, Matthew J; Graves, Amy J; Buntin, Melinda B; Richards, Michael R; Penson, David F

    2018-03-01

    We aimed to characterize the landscape of surgeon participation in early accountable care organizations (ACOs) and to identify specialty-, organization-, and market-specific factors associated with ACO participation. Despite rapid deployment of alternative payment models (APMs), little is known about the prevalence of surgeon participation, and key drivers behind surgeon participation in APMs. Using data from SK&A, a research firm, we evaluated the near universe of US practices to characterize ACO participation among 125,425 US surgeons in 2015. We fit multivariable logistic regression models to characterize key drivers of ACO participation, and more specifically, the interaction between ACO affiliation and organizational structure. Of 125,425 US surgeons, 27,956 (22.3%) participated in at least 1 ACO program in 2015. We observed heterogeneity in participation by subspecialty, with trauma and transplant reporting the highest rate of ACO enrollment (36% for both) and plastic surgeons reporting the lowest (12.9%) followed by ophthalmology (16.0%) and hand (18.6%). Surgeons in group practices and integrated systems were more likely to participate relative to those practicing independently (aOR 1.57, 95% CI 1.50, 1.64; aOR 4.87, 95% CI 4.68, 5.07, respectively). We observed a statistically significant interaction (P organization. Model-derived predicted probabilities revealed that, within each specialty, surgeons in integrated health systems had the highest predicted probabilities of ACO and those practicing independently generally had the lowest. We observed considerable variation in ACO enrollment among US surgeons, mediated at least in part by differences in practice organization. These data underscore the need for development of frameworks to characterize the strategic advantages and disadvantages associated with APM participation.

  18. Surgeon Reliability for the Assessment of Lumbar Spinal Stenosis on MRI: The Impact of Surgeon Experience.

    Science.gov (United States)

    Marawar, Satyajit V; Madom, Ian A; Palumbo, Mark; Tallarico, Richard A; Ordway, Nathaniel R; Metkar, Umesh; Wang, Dongliang; Green, Adam; Lavelle, William F

    2017-01-01

    Treating surgeon's visual assessment of axial MRI images to ascertain the degree of stenosis has a critical impact on surgical decision-making. The purpose of this study was to prospectively analyze the impact of surgeon experience on inter-observer and intra-observer reliability of assessing severity of spinal stenosis on MRIs by spine surgeons directly involved in surgical decision-making. Seven fellowship trained spine surgeons reviewed MRI studies of 30 symptomatic patients with lumbar stenosis and graded the stenosis in the central canal, the lateral recess and the foramen at T12-L1 to L5-S1 as none, mild, moderate or severe. No specific instructions were provided to what constituted mild, moderate, or severe stenosis. Two surgeons were "senior" (>fifteen years of practice experience); two were "intermediate" (>four years of practice experience), and three "junior" (< one year of practice experience). The concordance correlation coefficient (CCC) was calculated to assess inter-observer reliability. Seven MRI studies were duplicated and randomly re-read to evaluate inter-observer reliability. Surgeon experience was found to be a strong predictor of inter-observer reliability. Senior inter-observer reliability was significantly higher assessing central(p<0.001), foraminal p=0.005 and lateral p=0.001 than "junior" group.Senior group also showed significantly higher inter-observer reliability that intermediate group assessing foraminal stenosis (p=0.036). In intra-observer reliability the results were contrary to that found in inter-observer reliability. Inter-observer reliability of assessing stenosis on MRIs increases with surgeon experience. Lower intra-observer reliability values among the senior group, although not clearly explained, may be due to the small number of MRIs evaluated and quality of MRI images.Level of evidence: Level 3.

  19. Surgeons in Difficulty: An Exploration of Differences in Assistance-Seeking Behaviors between Male and Female Surgeons.

    Science.gov (United States)

    Sanfey, Hilary; Fromson, John; Mellinger, John; Rakinic, Jan; Williams, Michael; Williams, Betsy

    2015-08-01

    Physician burnout is associated with diminished ability to practice with requisite skill and safety. Physicians are often reluctant to seek help for an impaired colleague or for impairment that affects their own ability to practice. To better support surgeons in difficulty, we explored sex differences in assistance-seeking behaviors under stress. Surgeons in 3 national societies completed an IRB-approved anonymous multiple-choice and free-text response survey. Responses were explored with the general linear model using item-specific continuous and categorical methods. Two hundred and twelve surgeons (n = 79 [37.3%] male, n = 133 [63%] female) responded. Although men and women worked similar hours (p > 0.05), women worked more clinical (p work-life balance, as identified by aggregate variables related to emotional/decisional partnership, non-work-related chore support, and personal fulfillment (F = 15.29; df 3/16; p < 0.01), but change jobs less frequently (F = 4.23; df 1/201; p < 0.05). Males are more likely to seek help from colleagues (chi-square 107.5; p < 0.01) or friends (chi-square 123.8; p < 0.01) and women are more likely to seek support from professional counselors (chi-square 146.8; p < 0.01). Almost one-third of surgeons would ignore behaviors that adversely impact well being and could result in potential personal or patient safety. The differences between the assistance-seeking and reporting behaviors of male and female surgeons in distress could have implications for identification and treatment of this population. These findings can be used to develop educational activities to teach surgeons how to effectively handle these challenging situations. Copyright © 2015 American College of Surgeons. Published by Elsevier Inc. All rights reserved.

  20. Russian Language Analysis Project

    Science.gov (United States)

    Serianni, Barbara; Rethwisch, Carolyn

    2011-01-01

    This paper is the result of a language analysis research project focused on the Russian Language. The study included a diverse literature review that included published materials as well as online sources in addition to an interview with a native Russian speaker residing in the United States. Areas of study include the origin and history of the…

  1. Educating the surgeon-scientist: A qualitative study evaluating challenges and barriers toward becoming an academically successful surgeon.

    Science.gov (United States)

    Kodadek, Lisa M; Kapadia, Muneera R; Changoor, Navin R; Dunn, Kelli Bullard; Are, Chandrakanth; Greenberg, Jacob A; Minter, Rebecca M; Pawlik, Timothy M; Haider, Adil H

    2016-12-01

    The advancement of surgical science relies on educating new generations of surgeon-scientists. Career development awards (K Awards) from the National Institutes of Health, often considered a marker of early academic success, are one way physician-scientists may foster skills through a mentored research experience. This study aimed to develop a conceptual framework to understand institutional support and other factors leading to a K Award. A national, qualitative study was conducted with academic surgeons. Participants included 15 K Awardees and 12 surgery department Chairs. Purposive sampling ensured a diverse range of experiences. Semistructured, in-depth telephone interviews were conducted. Interviews were audio recorded and transcribed verbatim, and 2 reviewers analyzed the transcripts using Grounded Theory methodology. Participants described individual and institutional factors contributing to success. K Awardees cited personal factors such as perseverance and team leadership skills. Chairs described the K Awardee as an institutional "investment" requiring protected time for research, financial support, and mentorship. Both K Awardees and Chairs identified a number of challenges unique to the surgeon-scientist, including financial strains and competing clinical demands. Institutional support for surgeons pursuing K Awards is a complex investment with significant initial costs to the department. Chairs act as stewards of institutional resources and support those surgeon-scientists most likely to be successful. Although the K Award pathway is one way to develop surgeon-scientists, financial burdens and challenges may limit its usefulness. These findings, however, may better prepare young surgeons to develop career plans and identify new mechanisms for academic productivity. Copyright © 2016 Elsevier Inc. All rights reserved.

  2. Burnout in the Plastic Surgeon: Implications and Interventions.

    Science.gov (United States)

    Prendergast, Christina; Ketteler, Erika; Evans, Gregory

    2017-03-01

    A career as a plastic surgeon is both rewarding and challenging. The road to becoming a surgeon is a long arduous endeavor and can bring significant challenges not only to the surgeon but their family. A study by the American College of Surgeons (ACS) suggested that over 40% of surgeons experience burnout and a recent survey of American Society of Plastic Surgeons (ASPS) showed that more than one-fourth of plastic surgeons have signs of professional burnout. Burnout is a state of physical and mental exhaustion. The three main components of burnout are emotional exhaustion, depersonalization, and reduced personal accomplishment. Exhaustion occurs as a result of emotional demands. Depersonalization refers to a cynical, negative or a detached response to patient care. The reduced accomplishment refers to a belief that one can no longer work effectively. There has been a recent explosion in the literature characterizing burnout within the surgical profession. Reports of burnout, burnout victims, and burnout syndrome are filling the medical literature, books, blogs, and social media across all different specialties. Burnout in a plastic surgeon has negative and potentially fatal repercussions to the surgeon, their family, their patients, their staff, colleagues, coworkers, and their organization. To date, there are a limited number of publications addressing burnout in the plastic surgery community. The goals of this paper are to review the symptoms of burnout, its effect on plastic surgeons, and discuss potential solutions for burnout prevention and physician wellness.

  3. The history of the Russian Orthodox Church in Denmark (1741-2016 seen in a Danish-Russian historical perspective

    Directory of Open Access Journals (Sweden)

    Christensen Carsten Sander

    2017-07-01

    Full Text Available The article deals with the history and the problems of the Russian Orthodox Church in Denmark – and here seen in a Danish-Russian historical perspective, especially, in the last 300 years. The relations between the Danes and the Orthodox Church began, however, around 900 years before, in the Eastern European state of Kievan Rus. The article shows that the history of the church is closely linked to the political development in Russia. In this article, the history of the church and the changing Russian congregations will be illuminated in a historical perspective so that both the church and church buildings will throw a new light on the role of the Russian Church in both Danish and Russian history. In addition, it will be analysed to what extent trade policy, strategy and power policy and family relations have influenced the role and position of the Russian Church in Danish history.

  4. Impact of Different Surgeons on Dental Implant Failure.

    Science.gov (United States)

    Chrcanovic, Bruno Ramos; Kisch, Jenö; Albrektsson, Tomas; Wennerberg, Ann

    To assess the influence of several factors on the prevalence of dental implant failure, with special consideration of the placement of implants by different dental surgeons. This retrospective study is based on 2,670 patients who received 10,096 implants at one specialist clinic. Only the data of patients and implants treated by surgeons who had inserted a minimum of 200 implants at the clinic were included. Kaplan-Meier curves were stratified with respect to the individual surgeon. A generalized estimating equation (GEE) method was used to account for the fact that repeated observations (several implants) were placed in a single patient. The factors bone quantity, bone quality, implant location, implant surface, and implant system were analyzed with descriptive statistics separately for each individual surgeon. A total of 10 surgeons were eligible. The differences between the survival curves of each individual were statistically significant. The multivariate GEE model showed the following variables to be statistically significant: surgeon, bruxism, intake of antidepressants, location, implant length, and implant system. The surgeon with the highest absolute number of failures was also the one who inserted the most implants in sites of poor bone and used turned implants in most cases, whereas the surgeon with the lowest absolute number of failures used mainly modern implants. Separate survival analyses of turned and modern implants stratified for the individual surgeon showed statistically significant differences in cumulative survival. Different levels of failure incidence could be observed between the surgeons, occasionally reaching significant levels. Although a direct causal relationship could not be ascertained, the results of the present study suggest that the surgeons' technique, skills, and/or judgment may negatively influence implant survival rates.

  5. Danish surgeons' views on minimally invasive surgery

    DEFF Research Database (Denmark)

    Edwards, Hellen; Jørgensen, Lars Nannestad

    2014-01-01

    BACKGROUND AND AIM: Advancements in minimally invasive surgery have led to increases in popularity of single-incision laparoscopic surgery (SILS) and natural orifice translumenal surgery (NOTES(®); American Society for Gastrointestinal Endoscopy [Oak Brook, IL] and Society of American...... Gastrointestinal and Endoscopic Surgeons [Los Angeles, CA]) due to their postulated benefits of better cosmesis, less pain, and quicker recovery. This questionnaire-based study investigated Danish surgeons' attitudes toward these new procedures. SUBJECTS AND METHODS: A 26-item questionnaire was developed...... and distributed electronically via e-mail to a total of 1253 members of The Danish Society of Surgeons and The Danish Society of Young Surgeons. RESULTS: In total, 352 (approximately 30%) surgeons completed the questionnaire, 54.4% were over 50 years of age, and 76.6% were men. When choosing surgery, the most...

  6. Kant and the cosmetic surgeon.

    Science.gov (United States)

    Carey, J S

    1989-07-01

    Philosophers know that modern philosophy owes a great debt to the intellectual contributions of the 18th century philosopher Immanuel Kant. This essay attempts to show how cosmetic surgeons, and all surgeons at that, could learn much from his work. Not only did Kant write about the structure of human reasoning and how it relates to appearances but he also wrote about the nature of duties and other obligations. His work has strongly influenced medical ethics. In a more particular way, Kant wrote the most important work on aesthetics. His theory still influences how philosophers understand the meaning of the beautiful and how it pertains to the human figure. This essay presents an exercise in trying to apply Kantian philosophy to aesthetic plastic surgery. Its intention is to show cosmetic surgeons some of the implicit and explicit philosophical principles and potential arguments undergirding their potential surgical evaluations. It is meant to challenge the surgeon to reconsider how decisions are made using philosophical reasoning instead of some of the more usual justifications based on psychology or sociology.

  7. Surgeon General's Family Health History Initiative

    Science.gov (United States)

    ... Source Code The Surgeon General's Family Health History Initiative To help focus attention on the importance of ... health campaign, called the Surgeon General's Family History Initiative, to encourage all American families to learn more ...

  8. Russian geological education in the world market (the case of Russian State Geological Prospecting University

    Directory of Open Access Journals (Sweden)

    Vasily Ivanovich Lisov

    2016-12-01

    Full Text Available Higher geological education in Russia and in MSGPI-RSGPU specific. It - engineering. The mineral deposits determine the development of the global industry and foreign trade. Growing global demand for the profession of geologists and mining engineers. Training of foreign students in Russia has its own geopolitical and economic importance. In Russia a strong resource-based economy. It attracts students from developing countries. MGRI-RSGPU is the leading universities training specialists for mining. The article presents data about the University and types of education. Shown scientific and educational problems in higher education. This article discusses the prospects for the promotion of Russian higher geological education at the world market of educational services. The increasing role of new scientific and technological achievements in mining, enhanced environmental as well as staff requirements is revealed. Given that the leading schools in the mining industry, in addition to Russia, are formed in Canada, Germany, USA, Australia, Great Britain, many developing countries rich in natural resources, have begun to form their own national centers for training in this area. Under such competitive conditions Russian geological education maintains its own niche. Recognition of this is the active participation of Russian universities in the creation and development of the World Forum of sustainable development of mineral universities (WFURS, described in the article. The main factors of competitiveness that led to leading positions of Russian State Geological Prospecting University in system of the Russian geological education are described. Particular attention is paid to the international activities of Russian higher educational institutions including Geological Prospecting University. The basic statistics (both in the context of the country, and in the field of foreign undergraduate and graduate students enrolled at this university is provided. The

  9. Occupational Stress and Burnout among Surgeons in Fiji.

    Science.gov (United States)

    Patel, Rajeev; Huggard, Peter; van Toledo, Annik

    2017-01-01

    This study examined the levels of occupational stress and burnout among surgeons in Fiji. A document set comprising a cover letter; a consent form; a sociodemographic and supplementary information questionnaire; the Maslach Burnout Inventory (MBI); the 12-item General Health Questionnaire (GHQ-12); the Alcohol Use Disorders Identification Test (AUDIT); and the Professional Quality of Life (ProQOL) questionnaires were provided to surgeons from three public divisional hospitals in Fiji. Thirty-six of 43 (83.7%) invited surgeons participated in the study. According to their MBI scores, surgeons suffered from low (10, 27.8%), moderate (23, 63.9%), and high (3, 8.3%) levels of burnout. Comparatively, 23 (63.9%) demonstrated moderate burnout according to their ProQOL scores. Substantial psychiatric morbidity was observed in 16 (44.0%) surgeons per their GHQ-12 scores. Consumption of alcohol was noted in 29 (80.6%) surgeons, and 12 (33.4%) had AUDIT scores characterizing their alcohol use in excess of low-risk guidelines or as harmful or hazardous drinking. Surgeons of Fijian nationality showed higher MBI emotional exhaustion and depersonalization scores compared with surgeons of other nationalities. Surgeons with an awareness of the availability of counseling services at their hospitals showed low AUDIT and ProQOL burnout scores. Smokers, alcohol drinkers, and kava drinkers showed higher AUDIT scores. This study highlights a level of occupational stress and burnout among surgeons in Fiji and a lack of awareness of their mental and physical well-being. The authors recommend that occupational stress and burnout intervention strategies be put in place in hospitals in Fiji.

  10. Russian perspectives: The past shapes the present

    Energy Technology Data Exchange (ETDEWEB)

    Houck, R.P.

    1994-11-01

    This document contains an outline of a speech given to a group of professionals at Pacific Northwest Laboratory which was intended to give an unbiased view of Soviet perceptions. Topics discussed include: The new mission of US and Soviet labs and institutions to develop products and dedicate research to post cold war threat, historical prospectives of Russia, Russian military roles and missions, ideology of Russian politics, evils of capitalism, Russian civil war, communism, world war II, Russian losses during the war, the cold war, reasons why America should care what happens in Russia, the internal threat against a market-based economy, the US should help, and the Russian people and their attitudes.

  11. A Bright Future for Russian Higher Education.

    Science.gov (United States)

    Kishkovsky, Sophia

    2000-01-01

    Russian higher education is reinventing itself, but in distinctly Russian ways. While universities embrace new technology, students are frustrated as new freedoms confront old educational methods (grueling entrance exams, rote learning, dictatorial professors, and minimal participation). Education is still basically Russian, though capitalism is…

  12. The Future Medical Science and Colorectal Surgeons.

    Science.gov (United States)

    Kim, Young Jin

    2017-12-01

    Future medical technology breakthroughs will build from the incredible progress made in computers, biotechnology, and nanotechnology and from the information learned from the human genome. With such technology and information, computer-aided diagnoses, organ replacement, gene therapy, personalized drugs, and even age reversal will become possible. True 3-dimensional system technology will enable surgeons to envision key clinical features and will help them in planning complex surgery. Surgeons will enter surgical instructions in a virtual space from a remote medical center, order a medical robot to perform the operation, and review the operation in real time on a monitor. Surgeons will be better than artificial intelligence or automated robots when surgeons (or we) love patients and ask questions for a better future. The purpose of this paper is looking at the future medical science and the changes of colorectal surgeons.

  13. The Art of Pushkin Interpreted by Russian Religious Philosophers in the Context of the Problematic Interrelation of Philosophy, Literature and Religion in Russian Culture

    Directory of Open Access Journals (Sweden)

    Viktor Gidirinskiy

    2012-12-01

    Full Text Available Serious and profound reflection is needed when probing the problem of the manysided rapport between philosophy and the social-religious culture of Russia. In the first place, this entails an examination of the relationship between religion and literature. In this article, an attempt is made at defining the major methodological principles guiding such research. However, such an analysis demands concrete examples although the study of them may yield differing results. The author is sure of this basic principle having applied himself to the study of Pushkin, who would seem to be one of the best models for this type of research. Finally the author ends with his own question: What is the best method (reception, approach, the mechanics of study for discovering and elucidating the complicated interrelationship linking religion, philosophy, and literature in Russian culture?

  14. Big russian oil round

    International Nuclear Information System (INIS)

    Slovak, K.; Beer, G.

    2006-01-01

    The departure of Mikhail Khodorkovsky has brought an end to the idyllic times of supplies of Russian oil to the MOL-Slovnaft group. The group used to purchase oil directly from Yukos. But now brokers have again entered the Central European oil business. And their aim is to take control over all of the oil business. The Russians demonstrated the changed situation to Slovakia last autumn: you will either accept the new model, or there will be problems with oil deliveries. Consumers got the message. The main brokers of Russian oil in Central Europe are the Swiss companies Glencore and Fisotra. Little information is available regarding these commodity brokers. But the information available is sufficient to indicate that these are not small companies. Glencore undertakes 3% of all international oil trades. With an annual turnover of 72 billions USD, it was the biggest Swiss company by turnover in 2004. Fisotra also has an extensive product portfolio. It offers financial and commercial services and does not hide its good relations with Russian oil companies. Between 1994 and 1998, it managed their financial operations with major western companies such as BP, Cargill, Elf, Exxon, Shell, Total, and Mutsubishi and also with Glencore. Fisotra states that some of its clients achieved an annual turnover of 1.5 billions USD. At present, the Swiss brokers receive a fee of 1 to 1.5 USD per barrel. The Russian political elite must be aware of these brokerage services as the oil transport through the transit system is closely monitored by the state owned company Transneft. (authors)

  15. Countering Russian Active Measures

    Science.gov (United States)

    2018-04-16

    information laundering has proven effective in several occasions.20 In 2016, Russian social media actors circulated a fake news story about the...Soviet Union, individuals in positions of power funneled communist party financial resources to off-shore bank accounts and later used this money to...international offshore banking industry, they [the current oligarchs] stole money that belonged to the Russian state, took it abroad for safety

  16. Mentorship as Experienced by Women Surgeons in Japan.

    Science.gov (United States)

    Yorozuya, Kyoko; Kawase, Kazumi; Akashi-Tanaka, Sadako; Kanbayashi, Chizuko; Nomura, Sachiyo; Tomizawa, Yasuko

    2016-01-01

    Women have accounted for over 30% of new medical students since 1995 in Japan. Establishing support systems for women surgeons to continue their work is a major issue in Japan. Mentorship can be one of the most effective means to help women surgeons to continue their work. The purpose of this study was to clarify the current status of mentorship among Japanese women surgeons and to discuss the role of mentors for women surgeons. Invitation letters were sent to all female members of the Japan Association of Women Surgeons in April 2011. An 84-item questionnaire survey was sent to those who agreed to participate in this study via the internet. Fifty-five surgeons participated in this study, a response rate of 48.7%. Sixty-seven percent of respondents found it difficult to continue in their job; 85% thought mentorship was necessary for women surgeons to progress in their careers; and 84% reported that they already had a mentor. Respondents thought that a mentor helped them to advance their clinical career, to stay in their job, and to provide moral support. However, mentors appeared to be less useful in helping them to advance their research career, to network, to increase their status, and to achieve a work-life balance. This study revealed areas where mentors appeared to be less helpful to women surgeons. The survey gave an indication of how to help improve and develop the career and personal life of women surgeons in Japan.

  17. Multifractal structures for the Russian stock market

    Science.gov (United States)

    Ikeda, Taro

    2018-02-01

    In this paper, we apply the multifractal detrended fluctuation analysis (MFDFA) to the Russian stock price returns. To the best of our knowledge, this paper is the first to reveal the multifractal structures for the Russian stock market by financial crises. The contributions of the paper are twofold. (i) Finding the multifractal structures for the Russian stock market. The generalized Hurst exponents estimated become highly-nonlinear to the order of the fluctuation functions. (ii) Computing the multifractality degree according to Zunino et al. (2008). We find that the multifractality degree of the Russian stock market can be categorized within emerging markets, however, the Russian 1998 crisis and the global financial crisis dampen the degree when we consider the order of the polynomial trends in the MFDFA.

  18. Civil Surgeon Info

    Data.gov (United States)

    Department of Homeland Security — USCIS designates certain doctors (also known as civil surgeons) to perform the medical exam required for most Green Card applicants. This data set represents the...

  19. CENTENARY OF 1917 RUSSIAN REVOLUTION IN THE FOCUS OF ANTI-RUSSIAN HISTORICAL PROPAGANDA

    Directory of Open Access Journals (Sweden)

    Вардан Эрнестович Багдасарян

    2017-12-01

    Full Text Available The article analyzes the anti-Russian historical narrative focused on the 1917 events. The relevance of the theme is determined bythe wide-ranging discussion on the Russian revolution due toits anniversary. The authors solve the problem of the scientific criticism of the anti-Russian myths, focused on the assessments and interpretations of the two Russian revolutions of 1917. In the article there are shown the ideological basis and political context of the coverage of the events of 1917. The authors analyze 5 historical ideologemes, which are disseminated in the public consciousness. They also show the cognitive and political implications of adopting the respective ideology. As a typical liberal myth, the authors regard the interpretation of the October Revolution as “stolen freedom” provided by the February revolution. In the article there is shown that through the myth of “stolen freedom” the whole history of Russia is presented as a reproduction of the “totalitarian regime”. The authors prove the incorrectness of showing Bolsheviks as the initiators of the use of mass terror tactics, to which all major opposing forces resorted. There is considered the connection of the interpretation of the Revolution as the manifestation of the “Russian rebellion” with the Russophobic myth of the Russian barbarism. The authors criticize the idea of the Bolshevik imperialism, which is allegedly based on the ideology of world revolution. The article gives the deconstruction of the myth of the Bolshevik regime illegitimacy and shows the cognitive contradictions of the attempts to counter the concepts of “October Revolution” and “October Coup”. The authors reveal that the thesis of the Constituent Assembly, as an illustration of the Bolshevik illegitimacy, doesn’t correspondent to the historical facts. The authors conclude that the issues of covering the events of both the Revolutionand the Great Patriotic War are linked to the national

  20. An improved Four-Russians method and sparsified Four-Russians algorithm for RNA folding.

    Science.gov (United States)

    Frid, Yelena; Gusfield, Dan

    2016-01-01

    The basic RNA secondary structure prediction problem or single sequence folding problem (SSF) was solved 35 years ago by a now well-known [Formula: see text]-time dynamic programming method. Recently three methodologies-Valiant, Four-Russians, and Sparsification-have been applied to speedup RNA secondary structure prediction. The sparsification method exploits two properties of the input: the number of subsequence Z with the endpoints belonging to the optimal folding set and the maximum number base-pairs L. These sparsity properties satisfy [Formula: see text] and [Formula: see text], and the method reduces the algorithmic running time to O(LZ). While the Four-Russians method utilizes tabling partial results. In this paper, we explore three different algorithmic speedups. We first expand the reformulate the single sequence folding Four-Russians [Formula: see text]-time algorithm, to utilize an on-demand lookup table. Second, we create a framework that combines the fastest Sparsification and new fastest on-demand Four-Russians methods. This combined method has worst-case running time of [Formula: see text], where [Formula: see text] and [Formula: see text]. Third we update the Four-Russians formulation to achieve an on-demand [Formula: see text]-time parallel algorithm. This then leads to an asymptotic speedup of [Formula: see text] where [Formula: see text] and [Formula: see text] the number of subsequence with the endpoint j belonging to the optimal folding set. The on-demand formulation not only removes all extraneous computation and allows us to incorporate more realistic scoring schemes, but leads us to take advantage of the sparsity properties. Through asymptotic analysis and empirical testing on the base-pair maximization variant and a more biologically informative scoring scheme, we show that this Sparse Four-Russians framework is able to achieve a speedup on every problem instance, that is asymptotically never worse, and empirically better than achieved by

  1. Surgeon-patient communication during awake procedures.

    Science.gov (United States)

    Smith, Claire S; Guyton, Kristina; Pariser, Joseph J; Siegler, Mark; Schindler, Nancy; Langerman, Alexander

    2017-06-01

    Surgeons are increasingly performing procedures on awake patients. Communication during such procedures is complex and underexplored in the literature. Surgeons were recruited from the faculty of 2 hospitals to participate in an interview regarding their approaches to communication during awake procedures. Three researchers used the constant comparative method to transcribe, code, and review interviews until saturation was reached. Twenty-three surgeons described the advantages and disadvantages of awake procedures, their communication with the awake patient, their interactions with staff and with trainees, the environment of awake procedures, and how communication in this context is taught and learned. Surgeons recognized communication during awake procedures as important and reported varied strategies for ensuring patient comfort in this context. However, they also acknowledged challenges with multiparty communication during awake procedures, especially in balancing commitments to teaching with their duty to comfort the patient. Copyright © 2016 Elsevier Inc. All rights reserved.

  2. The Internet and the paediatric surgeon.

    Science.gov (United States)

    Srinivas, M; Inumpudi, A; Mitra, D K

    1998-12-01

    The Internet, which has truly united the world, is an extensive network of inter-linked computers storing immense bytes of information that can be accessed by anyone, transcending all barriers. The paediatric surgery Internet consists of exponentially growing material that deals with information specifically for paediatric surgeons and patients of the paediatric age group. We reviewed the methods available to take advantage of this network to enable busy paediatric surgeons to accrue the benefits easily and efficiently rather than be lost in the information ocean by surfing individually. By getting connected to the Internet, the paediatric surgeon gains enormous information that can be useful for patient care. The Internet has revolutionised scientific publications by virtue of its fast and accurate transmission of manuscripts. Paediatric surgeons can send manuscripts by this channel and also access journals, obviating the inherent lag period of communication by post.

  3. Projecting surgeon supply using a dynamic model.

    Science.gov (United States)

    Fraher, Erin P; Knapton, Andy; Sheldon, George F; Meyer, Anthony; Ricketts, Thomas C

    2013-05-01

    To develop a projection model to forecast the head count and full-time equivalent supply of surgeons by age, sex, and specialty in the United States from 2009 to 2028. The search for the optimal number and specialty mix of surgeons to care for the United States population has taken on increased urgency under health care reform. Expanded insurance coverage and an aging population will increase demand for surgical and other medical services. Accurate forecasts of surgical service capacity are crucial to inform the federal government, training institutions, professional associations, and others charged with improving access to health care. The study uses a dynamic stock and flow model that simulates future changes in numbers and specialty type by factoring in changes in surgeon demographics and policy factors. : Forecasts show that overall surgeon supply will decrease 18% during the period form 2009 to 2028 with declines in all specialties except colorectal, pediatric, neurological surgery, and vascular surgery. Model simulations suggest that none of the proposed changes to increase graduate medical education currently under consideration will be sufficient to offset declines. The length of time it takes to train surgeons, the anticipated decrease in hours worked by surgeons in younger generations, and the potential decreases in graduate medical education funding suggest that there may be an insufficient surgeon workforce to meet population needs. Existing maldistribution patterns are likely to be exacerbated, leading to delayed or lost access to time-sensitive surgical procedures, particularly in rural areas.

  4. Risk of ionising radiation to trainee orthopaedic surgeons.

    Science.gov (United States)

    Khan, Ishrat A; Kamalasekaran, Senthil; Fazal, M Ali

    2012-02-01

    We undertook this study to determine the amount of scattered radiation received by the primary surgeon, assistant and patient during dynamic hip screw fixation for proximal femoral fractures. Data was collected from fifty patients. Five registrars were included as operating surgeon and four senior house officers as assistant surgeon. Radiation was monitored by thermo luminescent dosimeters placed on the surgeon and assistant. The approximate distance of surgeon and assistant from the operative site was measured. A dosimeter on the unaffected hip of patients measured the radiation to the patient. The results show that the surgeon's dominant hand receives the highest dose of radiation and radiation exposure is dependent on the experience of the operator. Our study concludes that exposure to radiation during this procedure is well below the toxic levels; however greater awareness is needed for harmful effects of exposure to long term low dose radiation.

  5. Among Musculoskeletal Surgeons, Job Dissatisfaction Is Associated With Burnout.

    Science.gov (United States)

    van Wulfften Palthe, Olivier D R; Neuhaus, Valentin; Janssen, Stein J; Guitton, Thierry G; Ring, David

    2016-08-01

    Burnout is common in professions such as medicine in which employees have frequent and often stressful interpersonal interactions where empathy and emotional control are important. Burnout can lead to decreased effectiveness at work, negative health outcomes, and less job satisfaction. A relationship between burnout and job satisfaction is established for several types of physicians but is less studied among surgeons who treat musculoskeletal conditions. We asked: (1) For surgeons treating musculoskeletal conditions, what risk factors are associated with worse job dissatisfaction? (2) What risk factors are associated with burnout symptoms? Two hundred ten (52% of all active members of the Science of Variation Group [SOVG]) surgeons who treat musculoskeletal conditions (94% orthopaedic surgeons and 6% trauma surgeons; in Europe, general trauma surgeons do most of the fracture surgery) completed the Global Job Satisfaction instrument, Shirom-Malamed Burnout Measure, and provided practice and surgeon characteristics. Most surgeons were male (193 surgeons, 92%) and most were academically employed (186 surgeons, 89%). Factors independently associated with job satisfaction and burnout were identified with multivariable analysis. Greater symptoms of burnout (β, -7.13; standard error [SE], 0.75; 95% CI, -8.60 to -5.66; p job satisfaction. Having children (β, -0.45; SE, 0.0.21; 95% CI, -0.85 to -0.043; p = 0.030; adjusted R(2), 0.046) was the only factor independently associated with fewer symptoms of burnout. Among an active research group of largely academic surgeons treating musculoskeletal conditions, most are satisfied with their job. Efforts to limit burnout and job satisfaction by optimizing engagement in and deriving meaning from the work are effective in other settings and merit attention among surgeons. Level II, prognostic study.

  6. Archetypes of the spiritual movement in Russian historiosophy

    Directory of Open Access Journals (Sweden)

    Sorokina Tatyana Evgenievna

    2016-03-01

    Full Text Available The article considers the main principles of Russian philosophy of history. The most discussed historiosophical idea, going through a variety of transformations, remains Slavyanofil doctrine of special destiny of Russia, its spiritual integrity. The author focuses on the fact that preserving «national archetype» as a key issue, Russian historiosophy offered various options related to the West as a symbol of a different worldview. Mindful of the global fascination with Buddhist understanding of human destiny and history of the world, it must be said that the Russian historiosophy presumed itself in opposition to the Buddhist concept of the historiosophical. Briefly it is explained the reasons for the occurrence of classical Russian literature historiosophical space. 1. The national literature was perceived by Russian thinkers as the «second history». 2. Figures of historical discourse were five Russian classics: Pushkin, Lermontov, Gogol, Dostoevsky, Tolstoy. 3. The fate and the works of Russian writers of the inherent rationale of national historical path in its different variants. 4. The Russian philosophy of history, to show interest in religious issues, examines the life and work of every writer as a definite spiritual model of public importance and is being implemented in the historical world. It is commented on historico-philosophical concept of Leontiev and Fedorov, Rozanov and Solovyov who emphasize that eschatology is the semantic core of Russian philosophy of history.

  7. English/Russian and Russian/English glossary of physical protection terms

    International Nuclear Information System (INIS)

    Soo Hoo, M.S.

    1995-07-01

    This glossary was prepared in fulfillment of the Glossary Preparation Task identified in the Program Plan for providing Assistance to the Russian Federation in Nuclear Material Control and Accounting and Physical Protection. The Program Plan is part of the Cooperative Threat Reduction Program as provided for under House Resolution (H.R.) 3807 (Title II, as referenced under Public Law (P.L.) 102-229. The terms in this glossary were derived from physical protection training material prepared at Sandia. The training material, and thus refinements to the glossary, has undergone years of development in presentation to both domestic and international audiences. Also, Russian Colleagues and interpreters have reviewed the translations for accuracy

  8. English/Russian and Russian/English glossary of physical protection terms

    Energy Technology Data Exchange (ETDEWEB)

    Soo Hoo, M.S. [ed.

    1995-07-01

    This glossary was prepared in fulfillment of the Glossary Preparation Task identified in the Program Plan for providing Assistance to the Russian Federation in Nuclear Material Control and Accounting and Physical Protection. The Program Plan is part of the Cooperative Threat Reduction Program as provided for under House Resolution (H.R.) 3807 (Title II, as referenced under Public Law (P.L.) 102-229. The terms in this glossary were derived from physical protection training material prepared at Sandia. The training material, and thus refinements to the glossary, has undergone years of development in presentation to both domestic and international audiences. Also, Russian Colleagues and interpreters have reviewed the translations for accuracy.

  9. Multimodal shipments under program on Russian-origin research reactor SFA return to Russian Federation

    International Nuclear Information System (INIS)

    Dorofeev, A.N.; Ivashchenko, A.A.; Kanashov, B.A.; Komarov, S.V.; Komarov, S.N.; Barinkov, O.P.

    2010-01-01

    The paper describes experience in preparation and organization of research reactor nuclear material import under the Program on Russian-Origin Highly Enriched Uranium Return to the Russian Federation. It also summarizes evolution of transport equipment, conveyances and routes and describes types of packages, their adaptation and certification, safety issues, peculiarities and prospective use of the packagings and conveyances. (author)

  10. The lesser spotted pregnant surgeon.

    Science.gov (United States)

    Hamilton, L C

    2017-10-19

    With more women entering surgical training, it will become more commonplace to encounter pregnant surgeons. This paper discusses the evidence for work-related risk factors as well as outlining the rights of a pregnant doctor. There are, in fact, very few real risks to pregnancy encountered as a surgeon, with the main risks involving standing or sitting for long periods and fatigue, which can be managed with support from the department. It is important for women in surgery to know that it is possible to continue their training while pregnant so they do not feel pressured into changing to a less demanding specialty or even leaving medicine entirely. It is also important for other professionals to understand the risks and choices faced by pregnant surgeons so that they can better support them in the workplace.

  11. Geologists of Russian origin in the francophone countries

    Energy Technology Data Exchange (ETDEWEB)

    Tchoumatchenco, P.; Durand-Delga, M.; Ricour, J.; Wiazemsky, M.

    2016-10-01

    Many ethnic Russian geologists have lived and worked in Francophone countries. We describe in this paper the life and career of geologists (i.e. all Earth scientists - geologists, mineralogists, tectonicians, geophysicists, geochemists, paleontologists, mining and drilling engineers, hydrogeologists, cosmos - geologists, etc.), regardless of their original nationality (Russians, Ukrainians, Tatars, Germans, etc.) born in the territory of the Russian Empire, the Soviet Union or the Russian Federation. (Author)

  12. Current trends in chaperone use by plastic and reconstructive surgeons.

    Science.gov (United States)

    Choudry, Umar; Barta, Ruth J; Kim, Nicholas

    2013-06-01

    There is a paucity of literature regarding the use of chaperones by surgeons when examining patients. Use of a chaperone not only makes the patient comfortable but also potentially protects the surgeon from perceived misconduct. This is especially true for plastic surgeons who examine sensitive areas commonly. The purpose of this study was to determine the current trends in chaperone use by plastic surgeons when examining patients. A 23-question online survey was sent to all members of the American Society of Plastic Surgeons. Data collected online were analyzed using Student t test and Pearson χ test. A P use by plastic surgeons during all examinations of patients was 30%. This rate increased up to 60% while examining sensitive areas. Male surgeons reported a higher frequency of chaperone use than female surgeons (P use compared to reconstructive surgeons (P = 0.001). Similarly, surgeons who had been in practice for more than 20 years reported a higher rate of chaperone use compared to surgeons in practice for less than 20 years (P = 0.032). Sixty-one (7.6%; 56 male and 5 female) surgeons reported being accused of inappropriate behavior by patients, of whom 49 (80%) did not have a chaperone present. There was no significant difference among male and female surgeons in rates of being accused of inappropriate behavior (7.9% vs 4.2%, P = 0.19). There was a higher rate of chaperone use by male plastic surgeons, surgeons with more than 20 years experience, and cosmetic surgeons. Despite the difference in chaperone use between the sexes, both had similar rates of being accused of inappropriate behavior during examinations by patients, and although these incidents were quite low, most had no chaperone present during those examinations.

  13. IS RUSSIAN DECOMMODIFYING IN CATALONIA?

    Directory of Open Access Journals (Sweden)

    Микел Кабал-Гуарро

    2017-12-01

    Full Text Available The data collected in an ethnographic study conducted between 2014 and 2016 in tourist areas in Catalonia, Spain shows that the mastery of Russian has become a profitable commodity in Spanish tourism industry. The purpose of this paper is to show where and how Russian is used in the service industry and trace the commodification of the language over time. Against the background of fluctuating numbers of Russian-speaking visitors, this analysis will contribute to a better understanding of processes of language commodification and decommodification and the relationship between wider political and economic con-texts and valorisation of particular languages and speakers.

  14. Surgeons' musculoskeletal pain in minimally invasive surgery

    DEFF Research Database (Denmark)

    Dalager, Tina; Søgaard, Karen; Bech (Katrine Tholstrup Pedersen), Katrine Tholstrup

    in surgeons performing MIS is high and derives mainly from static postures. Positioning of monitor, adjustment of table height and instrument design also contribute substantially. Robotic assisted laparoscopy seems less physically demanding for the surgeon compared with conventional laparoscopy. However, some...... put the patients at a higher risk of complications, and on the longer term there is an increasing risk for the surgeon to develop chronic musculoskeletal pain that will disable him/her to perform his/her job. Therefore, surgeons’ musculoskeletal health is of vital importance and must be considered...... alongside patient safety. The present literature study supports the need for a randomized controlled trial evaluating the effect of an individually designed training program for surgeons performing MIS....

  15. Perspectives of South African general surgeons regarding their ...

    African Journals Online (AJOL)

    Objectives. To canvass the perceptions of SA general surgeons regarding certain aspects of their training. Methods. An electronic postal survey was conducted. All general surgeons on the Association of Surgeons of South Africa database were requested to complete a structured questionnaire. Four Likert scale items were ...

  16. Assessing the Impact of Surgeon Experience on Urinary Continence Recovery After Robot-Assisted Radical Prostatectomy: Results of Four High-Volume Surgeons.

    Science.gov (United States)

    Fossati, Nicola; Di Trapani, Ettore; Gandaglia, Giorgio; Dell'Oglio, Paolo; Umari, Paolo; Buffi, Nicolò Maria; Guazzoni, Giorgio; Mottrie, Alexander; Gaboardi, Franco; Montorsi, Francesco; Briganti, Alberto; Suardi, Nazareno

    2017-09-01

    To test the impact of surgeon experience on urinary continence (UC) recovery after robot-assisted radical prostatectomy (RARP). The study included 1477 consecutive patients treated with RARP by four surgeons between 2006 and 2014. UC recovery was defined as being completely dry over a 24-hour period at follow-up. Surgeon experience was coded as the total number of RARP performed by the surgeon before the patient's operation. Multivariable analysis tested the association between surgeon experience and UC recovery. Covariates consisted of patient age, Charlson comorbidity index, preoperative International Index of Erectile Function-Erectile Function domain (IIEF-EF), nerve-sparing surgery (none vs unilateral vs bilateral), and preoperative risk groups (low- vs intermediate- vs high risk). The number of cases performed by each surgeon was 541, 413, 411, and 112, respectively. Median follow-up was 24 months (inter-quartile range: 18, 40). The UC recovery rate at 1 year after surgery was 82%. At multivariable analyses, surgeon experience represented an independent predictor of UC recovery (hazard ratio: 1.02, p < 0.001). The surgical learning curve was similar among surgeons, moving linearly from ∼60% of UC rate at the initial cases to almost 90% after more than 400 procedures. In patients undergoing RARP, surgeon experience is a significant predictor of UC recovery. The surgical learning curve of UC recovery does not reach a plateau even after more than 100 cases, suggesting a continuous improvement of the surgical technique. These findings deserve attention for patient counseling and future comparative studies evaluating functional outcomes after RARP.

  17. Russian Loanword Adaptation in Persian; Optimal Approach

    Science.gov (United States)

    Kambuziya, Aliye Kord Zafaranlu; Hashemi, Eftekhar Sadat

    2011-01-01

    In this paper we analyzed some of the phonological rules of Russian loanword adaptation in Persian, on the view of Optimal Theory (OT) (Prince & Smolensky, 1993/2004). It is the first study of phonological process on Russian loanwords adaptation in Persian. By gathering about 50 current Russian loanwords, we selected some of them to analyze. We…

  18. Genetic stock identification of Russian honey bees.

    Science.gov (United States)

    Bourgeois, Lelania; Sheppard, Walter S; Sylvester, H Allen; Rinderer, Thomas E

    2010-06-01

    A genetic stock certification assay was developed to distinguish Russian honey bees from other European (Apis mellifera L.) stocks that are commercially produced in the United States. In total, 11 microsatellite and five single-nucleotide polymorphism loci were used. Loci were selected for relatively high levels of homogeneity within each group and for differences in allele frequencies between groups. A baseline sample consisted of the 18 lines of Russian honey bees released to the Russian Bee Breeders Association and bees from 34 queen breeders representing commercially produced European honey bee stocks. Suitability tests of the baseline sample pool showed high levels of accuracy. The probability of correct assignment was 94.2% for non-Russian bees and 93.3% for Russian bees. A neighbor-joining phenogram representing genetic distance data showed clear distinction of Russian and non-Russian honey bee stocks. Furthermore, a test of appropriate sample size showed a sample of eight bees per colony maximizes accuracy and consistency of the results. An additional 34 samples were tested as blind samples (origin unknown to those collecting data) to determine accuracy of individual assignment tests. Only one of these samples was incorrectly assigned. The 18 current breeding lines were represented among the 2009 blind sampling, demonstrating temporal stability of the genetic stock identification assay. The certification assay will be used through services provided by a service laboratory, by the Russian Bee Breeders Association to genetically certify their stock. The genetic certification will be used in conjunction with continued selection for favorable traits, such as honey production and varroa and tracheal mite resistance.

  19. The New Russian Nationalism

    OpenAIRE

    Kolstø, Pal; Blakkisrud, Helge

    2016-01-01

    Assessing the transformation of Russian nationalist discourse in the 21st century Russian nationalism, previously dominated by ‘imperial’ tendencies – pride in a large, strong and multi-ethnic state able to project its influence abroad – is increasingly focused on ethnic issues. This new ethno-nationalism has come in various guises, like racism and xenophobia, but also in a new intellectual movement of ‘national democracy’ deliberately seeking to emulate conservative West European nationalism...

  20. Being a surgeon--the myth and the reality: a meta-synthesis of surgeons' perspectives about factors affecting their practice and well-being.

    Science.gov (United States)

    Orri, Massimiliano; Farges, Olivier; Clavien, Pierre-Alain; Barkun, Jeffrey; Revah-Lévy, Anne

    2014-11-01

    Synthesize the findings from individual qualitative studies about surgeons' account of their practice. Social and contextual factors of practice influence doctors' well-being and therapeutic relationships. Little is known about surgery, but it is generally assumed that surgeons are not affected by them. We searched international publications (2000-2012) to identify relevant qualitative research exploring how surgeons talk about their practice. Meta-ethnography (a systematic analysis of qualitative literature that compensates for the potential lack of generalizability of the primary studies and provides new insight by their conjoint interpretation) was used to identify key themes and synthesize them. We identified 51 articles (>1000 surgeons) from different specialties and countries. Two main themes emerged. (i) The patient-surgeon relationship, described surgeons' characterizations of their relationships with patients. We identified factors influencing surgical decision making, communication, and personal involvement in the process of care; these were surgeon-related, patient-related, and contextual. (ii) Group relations and culture described perceived issues related to surgical culture (image and education, teamwork, rules, and guidelines); it highlighted the influence of a social dimension on surgical practice. In both themes, we uncovered an emotional dimension of surgeons' practice. Surgeons' emphasis on technical aspects, individuality, and performance seems to impede a modern patient-centered approach to care and to act as a barrier to well-being. Our findings suggest that taking into account the relational and emotional dimensions of surgical practice (both with patients and within the institution) might improve surgical innovation, surgeons' well-being, and the attractiveness of this specialty.

  1. Gazprom vs. other Russian gas producers: The evolution of the Russian gas sector

    International Nuclear Information System (INIS)

    Lunden, Lars Petter; Fjaertoft, Daniel; Overland, Indra; Prachakova, Alesia

    2013-01-01

    The non-Gazprom gas producers (NGPs) doubled their share of the Russian domestic gas market between 2000 and 2010 and have continued growing since then. For several years especially Novatek expanded. More recently, Rosneft has emerged as a key player, not least through its purchase of TNK-BP. This article begins with an overview of the companies in the Russian gas sector, their resource bases and capacities, and subsequently examines whether differences in field development costs and export market access may make it rational for Gazprom to continue ceding market share to the NGPs. With rising costs of Gazprom's queue of greenfield developments, any delays in Gazprom's investment program may be compensated through increased NGP production. The article argues that the NGPs are ready to fill the gap, may be allowed to do so and are already increasing their market share in an increasingly competitive market. The stage may now be set for a continued gradual transformation of the Russian gas market, in which the interests of Gazprom and the NGPs may be complementary or may be pitted against each other, but those of the Russian Federation are in any case likely to be better fulfilled than in the past. - Highlights: • Other Russian gas producers, especially Novatek and Rosneft, are taking market shares from Gazprom. • Gazprom has a monopoly on exports and has had a de facto monopoly on the domestic pipeline grid through its control over trunk pipelines. • Gazprom's greenfield projects are more expensive than those of other producers. • Gazprom's loss of market shares to other producers in the domestic market may actually be in Gazprom's interest

  2. [Bioethics in Russian neurology and epileptology].

    Science.gov (United States)

    Mikhalkovska-Karlova, E P

    2016-01-01

    Historical roots and further development of bioethics in domestic neurology and epileptology are considered. The main bioethical principles were established during the formation of the Russian clinical school and neurosciences. It is most distinctly seen in the development of bioethics in neurology and epileptology. In the author's opinion, the Russian scientist V.M. Bekhterev had played a prominent role in the field. In the time when the term "bioethics" was not coined and its principles were not formulated, V.M. Bekhterev had created the Russian league against epilepsy and established the foundations of the International League Against Epilepsy (ILAE) as the organizations working on the problems of medical and social care to patients with epilepsy. In Russia, the Russian society of neurologists has been doing a great work in the field.

  3. THE MYTH OF THE RUSSIAN EXISTENTIAL THREAT

    Science.gov (United States)

    2016-04-01

    Putin’s intent. What we can do is learn from his actions, and what we see suggests growing Russian capabilities, significant military modernization...AU/ACSC/POWELL, N/AY16 AIR COMMAND AND STAFF COLLEGE AIR UNIVERSITY THE MYTH OF THE RUSSIAN EXISTENTIAL THREAT...The methodology focuses on Russian capability, capacity, and intention to threaten NATO members’ existence. While Russia does possess nuclear weapons

  4. Lifelong Learning for the Hand Surgeon.

    Science.gov (United States)

    Adkinson, Joshua M; Chung, Kevin C

    2015-09-01

    Hand surgeons are faced with the impossible task of mastering a rapidly expanding pool of knowledge and surgical techniques. Dedication to lifelong learning is, therefore, an essential component of delivering the best, most up-to-date care for patients. Board certification, participation in continuing medical education and maintenance of certification activities, and attendance at national meetings are essential mechanisms by which hand surgeons may foster the acquisition of essential knowledge and clinical skills, This article highlights the history, current status, and emerging needs in continuing medical education for the hand surgeon. Copyright © 2015 American Society for Surgery of the Hand. Published by Elsevier Inc. All rights reserved.

  5. Russian nominal semantics and morphology

    DEFF Research Database (Denmark)

    Nørgård-Sørensen, Jens

    The principal idea behind this book is that lexis and grammar make up a single coherent structure. It is shown that the grammatical patterns of the different classes of Russian nominals are closely interconnected. They can be described as reflecting a limited set of semantic distinctions which ar...... or weaker, of Russian. Students will see a pattern in what is traditionally described as disparate subsystems, and linguists may be inspired to consider the theoretical points concerning language as a coherent system, determining usage.......The principal idea behind this book is that lexis and grammar make up a single coherent structure. It is shown that the grammatical patterns of the different classes of Russian nominals are closely interconnected. They can be described as reflecting a limited set of semantic distinctions which...... are also rooted in the lexical-semantic classification of Russian nouns. The presentation focuses on semantics, both lexical and grammatical, and not least the connection between these two levels of content. The principal theoretical impact is the insight that grammar and lexis should not be seen...

  6. Supervision by a technically qualified surgeon affects the proficiency and safety of laparoscopic colectomy performed by novice surgeons.

    Science.gov (United States)

    Ichikawa, Nobuki; Homma, Shigenori; Yoshida, Tadashi; Ohno, Yosuke; Kawamura, Hideki; Kamiizumi, You; Iijima, Hiroaki; Taketomi, Akinobu

    2018-01-01

    The use of laparoscopic colectomy is becoming widespread and acquisition of its technique is challenging. In this study, we investigated whether supervision by a technically qualified surgeon affects the proficiency and safety of laparoscopic colectomy performed by novice surgeons. The outcomes of 23 right colectomies and 19 high anterior resections for colon cancers performed by five novice surgeons (experience level of <10 cases) between 2014 and 2016 were assessed. A laparoscopic surgeon qualified by the Endoscopic Surgical Skill Qualification System (Japan Society for Endoscopic Surgery) participated in surgeries as the teaching assistant. In the right colectomy group, one patient (4.3%) required conversion to open surgery and postoperative morbidities occurred in two cases (8.6%). The operative time moving average gradually decreased from 216 to 150 min, and the blood loss decreased from 128 to 28 mL. In the CUSUM charts, the values for operative time decreased continuously after the 18th case, as compared to the Japanese standard. The values for blood loss also plateaued after the 18th case. In the high anterior resection group, one patient (5.2%) required conversion to open surgery and no postoperative complication occurred in any patient. The operative time moving average gradually decreased from 258 to 228 min, and the blood loss decreased from 33 to 18 mL. The CUSUM charts showed that the values of operative time plateaued after the 18th case, as compared to the Japanese standard. In the CUSUM chart for blood loss, no distinguishing peak or trend was noted. Supervision by a technically qualified surgeon affects the proficiency and safety of laparoscopic colectomy performed by novice surgeons. The trainee's learning curve in this study represents successful mentoring by the laparoscopic surgeon qualified by the Endoscopic Surgical Skill Qualification System.

  7. HISTORICAL NOTE JOHN HUNTER (SURGEON) John Hunter FRS ...

    African Journals Online (AJOL)

    JOHN HUNTER (SURGEON). John Hunter FRS (13 February 1728-16 October 1793) was a Scottish surgeon, one of the most distinguished scientists and surgeons of his day. He was an early advocate of careful observation and scientific method in medicine. He was the husband of Anne Hunter, a teacher, friend and ...

  8. Young transplant surgeons and NIH funding.

    Science.gov (United States)

    Englesbe, M J; Sung, R S; Segev, D L

    2011-02-01

    Transplant surgeons have historically been instrumental in advancing the science of transplantation. However, research in the current environment inevitably requires external funding, and the classic career development pathway for a junior investigator is the NIH K award. We matched transplant surgeons who completed fellowships between 1998 and 2004 with the NIH funding database, and also queried them regarding research effort and attitudes. Of 373 surgeons who completed a fellowship, only 6 (1.8%) received a K award; of these, 3 subsequently obtained R-level funding. An additional 5 individuals received an R-level grant within their first 5 years as faculty without a K award, 3 of whom had received a prior ASTS-sponsored award. Survey respondents reported extensive research experience during their training (78.8% spent median 24 months), a high proportion of graduate research degrees (36%), and a strong desire for more research time (78%). However, they reported clinical burdens and lack of mentorship as their primary perceived barriers to successful research careers. The very low rate of NIH funding for young transplant surgeons, combined with survey results that indicate their desire to participate in research, suggest institutional barriers to access that may warrant attention by the ASTS and the transplant surgery community. ©2010 The Authors Journal compilation©2010 The American Society of Transplantation and the American Society of Transplant Surgeons.

  9. Term Croatian considered in russian context

    Directory of Open Access Journals (Sweden)

    Željka Čelić

    2008-01-01

    Full Text Available Term Croatian is considered in Russian context, i. e. context of Russian scientific material (which is comparable to the unwritten situation in universities. Russian scientific texts connect term Croatian, almost without an exception, with the term Serbian in words such as Serbo-Croatian. This point of view is politically approved in the period untill 1990’s, but it exists in the 21st century’s scientific material. The nature of the problem lays, at the same time, in politics, language and society; thus, the question is: what is the reason of such a context in which Croatian language is placed now? There are no arguments for it, especially if it is for Slovak language politically based and language approved to be an entity – in comparison to the Czech language; for Ukrainian (once Littlerussian – at least in principle, in comparison to the Russian, or, more convincable, Belorussian to Russian (the standard Belorussian language exists from 1905. The term Croatian is independently, even in new books, connected with terms of soil, state, nation, but not language. And though today, because of political reasons, exists an awareness of Croatian language without its Serbian mirror reflexion, the term Serbo-Croatian stays. Thus, this paper looks through the history concerning Croatian language in 19, 20 and 21st century’s Russian philology, including Juraj Križanić and Vatroslav Jagić – innovators of the Croatian word in Russia.

  10. Canadian cardiac surgeons' perspectives on biomedical innovation.

    Science.gov (United States)

    Snyman, Gretchen; Tucker, Joseph E L; Cimini, Massimo; Narine, Kishan; Fedak, Paul W M

    2012-01-01

    Barriers to successful innovation can be identified and potentially addressed by exploring the perspectives of key stakeholders in the innovation process. Cardiac surgeons in Canada were surveyed for personal perspectives on biomedical innovation. Quantitative data was obtained by questionnaire and qualitative data via interviews with selected survey participants. Surgeons were asked to self-identify into 1 of 3 categories: "innovator," "early adopter," or "late adopter," and data were compared between groups. Most surgeons viewed innovation favourably and this effect was consistent irrespective of perceived level of innovativeness. Key barriers to the innovation pathway were identified: (1) support from colleagues and institutions; (2) Canada's health system; (3) sufficient investment capital; and (4) the culture of innovation within the local environment. Knowledge of the innovation process was perceived differently based on self-reported innovativeness. The majority of surgeons did not perceive themselves as having the necessary knowledge and skills to effectively translate innovative ideas to clinical practice. In general, responses indicate support for implementation of leadership and training programs focusing on the innovation process in an effort to prepare surgeons and enhance their ability to successfully innovate and translate new therapies. The perspectives of cardiac surgeons provide an intriguing portal into the challenges and opportunities for healthcare innovation in Canada. Copyright © 2012 Canadian Cardiovascular Society. Published by Elsevier Inc. All rights reserved.

  11. Russian oil workers seek employment abroad

    International Nuclear Information System (INIS)

    Anon.

    1992-01-01

    This paper reports that American oil workers discouraged by bleak employment opportunities in the U.S. petroleum industry face increasing competition abroad from Russians seeking a living wage. Moscow's Zagrantrud (Foreign Labor) firm believes millions of Russian skilled and unskilled workers in many occupations will try to find jobs in other countries. The Russian enterprise says it is selecting a group of construction workers to build a refinery in Columbia. Kuwait also wants Russian construction personnel. Russia is especially eager to find overseas work for petroleum industry workers who have lost their jobs in Viet Nam and Cuba. The number of specialists from the former U.S.S.R. in Cuba, many of them engaged in oil exploration and production or pipeline and refinery construction, has fallen from several thousand 2 years ago to 250 at present as Moscow's relations with Havana cooled

  12. The philosophical implications of Russian conceptualism

    Directory of Open Access Journals (Sweden)

    Mikhail Epstein

    2010-01-01

    Conceptualism identifies itself as a predominantly Russian-Soviet mode of thinking. In the West, the correlation between ideological signs and observable reality has been persistently validated through scientific and economic practice; while in Russia, traditionally, reality itself has been constructed from ideological signs generated by its ruling minds as a kind of hyper-reality. Thus, Russian Conceptualism sees itself not as a mere replica of Western postmodernism, but as a reflection of the underlying structures of Russian history, where the signs of reality have always been subject to ideological manipulation.

  13. CORPORATIONS IN RUSSIAN ECONOMICS OF TODAY

    Directory of Open Access Journals (Sweden)

    S. A. Shirokovskikh

    2011-01-01

    Full Text Available In Russian economics there are purely Russian private corporations as well as mixed state/private owned and transnational corporations. Specific ways of forming corporations in Russia resulted in corporate management models different from those used abroad (exclusive of largest holdingcompanies with considerable participation of the state. Difference in the corporation forms is determined by relations between owners and top managers. Efficient and sustainable (in the western sense functioning of Russian corporations may become effective only after long timeprovided RF ownership right legislation gets simultaneously improved.

  14. Coverage of Russian psychological contributions in American psychology textbooks.

    Science.gov (United States)

    Aleksandrova-Howell, Maria; Abramson, Charles I; Craig, David Philip Arthur

    2012-01-01

    Internationalizing psychology is an important component of current globalization trends. American textbooks on the history of psychology and introductory psychology were surveyed for the presence of historical and contemporary important Russian psychologists to assess the current status of Russian-American crossfertilization. Of a list of 97 important Russian psychologists, as determined by the editors of the Russian journal Methodology and History in Psychology, less than 22% are mentioned in the reviewed texts. The most common names were Pavlov, Luria, and Vygotsky. As the internet is arguably the single most important factor affecting the increase of international communication and dissemination of knowledge, we also searched for these 97 names on various websites, most notably Wikipedia and Google. Forty-one internet sites contained some amount of biographical information about Russian psychologists. On Wikipedia, 14 Russian psychologists had articles documenting biographical information. We also developed a rubric to determine the amount of information available on the internet for these psychologists and compared Wikipedia's mean score with various other websites. Wikipedia pages on average had a significantly higher score than the rest of the internet. Recommendations to improve Russian coverage in America are provided and include: (1) developing pages on Wikipedia and other virtual venues highlighting Russian contributions, (2) soliciting articles for US journals from Russian psychologists, and (3) incorporating Russian contributions in introductory and historical textbooks. We provide a partial bibliography of Russian contributions that can be used by authors of such textbooks. We would like to thank Dr Viktor Fedorovich Petrenko and Dr Igor Nikolaevich Karitsky from the journal Methodology and History of Psychology for supplying the names of the Russian psychologists. We would also like to express our appreciation to Robert García for reviewing and

  15. Specialization and the Current Practices of General Surgeons

    Science.gov (United States)

    Decker, Marquita R; Dodgion, Christopher M; Kwok, Alvin C; Hu, Yue-Yung; Havlena, Jeff A; Jiang, Wei; Lipsitz, Stuart R; Kent, K Craig; Greenberg, Caprice C

    2014-01-01

    Background The impact of specialization on the practice of general surgery has not been characterized. Our goal was to assess general surgeons’ operative practices to inform surgical education and workforce planning. Study Design We examined the practices of general surgeons identified in the 2008 State Inpatient and Ambulatory Surgery Databases of the Healthcare Cost and Utilization Project (HCUP) for three US states. Operations were identified using ICD-9 and CPT codes linked to encrypted physician identifiers. For each surgeon, total operative volume and the percentage of practice comprised of their most common operation were calculated. Correlation was measured between general surgeons’ case volume and the number of other specialists in a health service area. Results There were 1,075 general surgeons who performed 240,510 operations in 2008. The mean operative volume for each surgeon was 224 annual procedures. General surgeons performed an average of 23 different types of operations. For the majority of general surgeons, their most common procedure comprised no more than 30% of total practice. The most common operations, ranked by the frequency that they appeared as general surgeons’ top procedure, included: cholecystectomy, colonoscopy, endoscopy, and skin excision. The proportion of general surgery practice comprised of endoscopic procedures inversely correlated with the number of gastroenterologists in the health service area (Rho = - 0.50, p = 0.005). Conclusions Despite trends toward specialization, the current practices of general surgeons remain heterogeneous. This indicates a continued demand for broad-based surgical education to allow future surgeons to tailor their practices to their environment. PMID:24210145

  16. Italian and Russian Verse: Two Cultures and Two Mentalities

    Directory of Open Access Journals (Sweden)

    Stefano Garzonio

    2006-12-01

    Full Text Available Italian and Russian Verse: Two Cultures and Two Mentalities The present text was given as a talk at Stanford University in 2003. Here the author presents a comparative analysis of Russian and Italian versification and pays attention to the cultural contacts between these two poetical traditions in an effort to define the role played by Italian patterns in Russian verse. In this perspective the author offers a history of Russian poetical translation of Italian texts pointing out the different opinions of Russian poets about the “musicality” of Italian verse. The combined influence of language and culture in modelling different Russian poetical forms in a chronological perspective is underlined.

  17. EFFECTS OF SECTORAL ANTI-RUSSIAN SANCTIONS ON THE POSSIBILITY OF GEOLOGICAL EXPLORATION DRILLING IN THE ARCTIC SEAS

    Directory of Open Access Journals (Sweden)

    I. O. Sochneva

    2016-01-01

    Full Text Available This paper analyzes the past and current situation of geological exploration drilling on the Arctic region continental shelf. Along with climate conditions, the strategy of drilling is greatly infl uenced by technical accessibility of licensed sites, the latter depending on achieved level of equipment and technologies. Since 2014 the USA, the European Union countries and a number of other states have imposed sanctions against Russia. Sectoral sanctions, prohibiting access to technologies employed in the Arctic region shelf projects, have become an important part of these sanctions. This research is aimed at assessing the infl uence of sectoral anti-Russian sanctions on geological exploration drilling in the Arctic seas. The choice of geological exploration drilling is not accidental as the majority of Russian Arctic projects are at this particular stage now.Over the recent forty years, the country has accumulated considerable practical experience of conducting geological exploration drilling and the Arctic region field development. Our analysis demonstrates that modern Russia has necessary technologies for exploration and field development in the Arctic region. In fact, Russia is the only country, which actually continues its operations in the Arctic region amid a sharp decline of oil prices. Imposing sectoral sanctions related to equipment and technologies of developing the Russian Arctic shelf is inefficient.It is forecasted that in the coming decade, the continuing global warming process will make the majority of regions of the Barents Sea and the Kara Sea – where a number of large and gigantic fields have already been discovered – more accessible for conducting geological exploration drilling. It is possible to use here the traditional types of off shore drilling units with a low ice rate. This will totally eliminate any technical and technological problems of drilling. The USA are expected to enter the market of arctic hydrocarbons from

  18. Solo-Surgeon Retroauricular Approach Endoscopic Thyroidectomy.

    Science.gov (United States)

    Lee, Doh Young; Baek, Seung-Kuk; Jung, Kwang-Yoon

    2017-01-01

    This study aimed to evaluate the feasibility and efficacy of solo-surgeon retroauricular thyroidectomy. For solo-surgery, we used an Endoeye Flex Laparo-Thoraco Videoscope (Olympus America, Inc.). A Vitom Karl Storz holding system (Karl Storz GmbH & Co.) composed of several bars connected by a ball-joint system was used for fixation of endoscope. A snake retractor and a brain-spoon retractor were used on the sternocleidomastoid. Endoscopic thyroidectomy using the solo-surgeon technique was performed in 10 patients having papillary thyroid carcinoma. The mean patient age was 36.0 ± 11.1 years, and all patients were female. There were no postoperative complications such as vocal cord paralysis and hematoma. When compared with the operating times and volume of drainage of a control group of 100 patients who underwent surgery through the conventional retroauricular approach between May 2013 and December 2015, the operating times and volume of drainage were not significantly different (P = .781 and .541, respectively). Solo-surgeon retroauricular thyroidectomy is safe and feasible when performed by a surgeon competent in endoscopic thyroidectomy.

  19. CMS Honours Three Russian and Bielorussian companies

    CERN Multimedia

    2003-01-01

    On 7 March, CMS handed out the three latest Gold Awards under its scheme for honouring its best suppliers suppliers (c.f. Bulletin n°10/2003). Three Russian and Bielorussian firms were honoured, on the occasion of a visit by dignitaries from the two countries. CERN played host to Anatoly Sherbak, Head of the Fundamental Research Department of the Russian Federation Ministry of Industry and Science, Ambassador Sergei Aleinik, Permanent Representative of the Republic of Belarus to the Office of the United Nations at Geneva, Andrei Pirogov, Assistant Permanent Representative of the Russian Federation to the Office of the United Nations, and Alexei Sissakian, Vice Director of the JINR (Joint Institute for Nuclear Research) at Dubna in Russia. The directors of the three Russian and Bielorussian firms have received their awards and are seen with the visiting Russian and Bielorussian dignitaries and the CMS leaders in front of the CMS hadron calorimeter, on the spot where the detector is being assembled.These promi...

  20. Russian factory inspection (1882-1918): cui bono?

    OpenAIRE

    Volodin , Andrei Y.

    2008-01-01

    This study deals with history of important state institution in late Russian Empire - factory inspection. Such aspects of institutional development as evolution of legislative regulations, growth of staff, and complication of functions (and particularly, mediation in labour conflicts) are scrutinized. This paper presents some results on Russian experience of labour law implementation seeking to determine and evaluate the role and efficiency of Russian factory inspectors in conflicting triangl...

  1. Patient Attitudes Toward Orthopedic Surgeon Ownership of Related Ancillary Businesses.

    Science.gov (United States)

    Yi, Paul H; Cross, Michael B; Johnson, Staci R; Rasinski, Kenneth A; Nunley, Ryan M; Della Valle, Craig J

    2016-08-01

    Physician ownership of businesses related to orthopedic surgery, such as surgery centers, has been criticized as potentially leading to misuse of health care resources. The purpose of this study was to determine patients' attitudes toward surgeon ownership of orthopedic-related businesses. We surveyed 280 consecutive patients at 2 centers regarding their attitudes toward surgeon ownership of orthopedic-related businesses using an anonymous questionnaire. Three surgeon ownership scenarios were presented: (1) owning a surgery center, (2) physical therapy (PT), and (3) imaging facilities (eg, Magnetic Resonance Imaging scanner). Two hundred fourteen patients (76%) completed the questionnaire. The majority agreed that it is ethical for a surgeon to own a surgery center (73%), PT practice (77%), or imaging facility (77%). Most (>67%) indicated that their surgeon owning such a business would have no effect on the trust they have in their surgeon. Although >70% agreed that a surgeon in all 3 scenarios would make the same treatment decisions, many agreed that such surgeons might perform more surgery (47%), refer more patients to PT (61%), or order more imaging (58%). Patients favored surgeon autonomy, however, believing that surgeons should be allowed to own such businesses (78%). Eighty-five percent agreed that patients should be informed if their surgeon owns an orthopedic-related business. Although patients express concern over and desire disclosure of surgeon ownership of orthopedic-related businesses, the majority believes that it is an ethical practice and feel comfortable receiving care at such a facility. Copyright © 2016 Elsevier Inc. All rights reserved.

  2. Knowledge and opinions on oncoplastic surgery among breast and plastic surgeons

    DEFF Research Database (Denmark)

    Carstensen, Lena Felicia; Rose, Michael; Bentzon, Niels

    2015-01-01

    surgeons and 22 plastic surgeons; the response rate was 67%. All breast surgery units had an established cooperation with plastic surgeons. Most breast surgeons used unilateral displacement techniques; plastic surgeons also included breast reduction techniques and replacement with local flaps. Almost all...... of implementation of OPS in Denmark. METHODS: An electronic questionnaire was sent to breast and plastic surgeons performing breast cancer treatment. The questionnaire included demographics, education, experience with operative procedures and opinions on OPS. RESULTS: The questionnaire was sent to 50 breast...... symmetrisation procedures were performed by plastic surgeons. Breast surgeons had sought more specific education, both international observerships and specific courses. In both groups of surgeons, the majority expressed that both tumour removal and reconstruction should be performed by doctors of their own...

  3. Do Surgeons Treat Their Patients Like They Would Treat Themselves?

    NARCIS (Netherlands)

    Janssen, Stein J.; Teunis, Teun; Guitton, Thierry G.; Ring, David; Spoor, Andy B.; Chauhan, Aakash; Shafritz, Adam B.; Wasterlain, Amy; Terrono, Andrew L.; Neviaser, Andrew S.; Schmidt, Andrew; Nelson, Andy; Miller, Anna N.; Kristan, Anze; Apard, Thomas; Berner, Arne; Ilyas, Asif; Jubel, Axel; Jost, Bernhard; Babis, George; Watkins, Barry; Kreis, Barbara; Nolan, Betsy M.; Crist, Brett D.; Cross, Brian J.; Wills, Brian P. D.; Barreto, Camilo Jose Romero; Ekholm, Carl; Swigart, Carrie; Spath, Catherine; Zalavras, Charalampos; Cassidy, Charles; Garnavos, Christos; Moreno-Serrano, Constanza L.; Rodner, Craig; Klostermann, Cyrus; Osei, Daniel A.; Rikli, Daniel A.; Haverkamp, Daniel; Polatsch, Daniel; Drosdowech, Darren; Edelstein, David M.; Eygendaal, Denise; Verbeek, Diederik O. F.; Doornberg, Job N.; van den Bekerom, Michel P. J.; Schep, Niels; Kloen, Peter; Haverlag, Robert; Schepers, Tim

    2015-01-01

    There is substantial unexplained geographical and surgeon-to-surgeon variation in rates of surgery. One would expect surgeons to treat patients and themselves similarly based on best evidence and accounting for patient preferences. (1) Are surgeons more likely to recommend surgery when choosing for

  4. Characterizing and fostering charity care in the surgeon workforce.

    Science.gov (United States)

    Wright, D Brad; Scarborough, John E

    2011-07-01

    We sought to determine which demographic and practice characteristics are associated with both a surgeon's willingness to provide any charity care as well as the amount of charity care provided. Although it is known that surgeons tend to provide a greater amount of charity care than other physicians, no studies have attempted to look within the surgeon population to identify which factors lead some surgeons to provide more charity care than others. Using 4 rounds of data from the Community Tracking Study, we employ a 2-part multivariate regression model with fixed effects. A greater amount of charity care is provided by surgeons who are male, practice owners, employed in academic medical centers, or earn a greater proportion of their revenue from Medicaid. Surgeons who work in a group HMO are significantly less likely to provide any charity care. Personal resources (eg, time and money) had a minimal association with charity care provision. Surgeons whose characteristics are associated with a greater propensity for charity care provision as suggested by this study, should be considered as a potential source for building the volunteer workforce.

  5. RUSSIAN REVOLUTION WAS PREPARED ON CAPRI...” MICHAIL PERVUKHIN ABOUT A RUSSIAN COLONY ON CAPRI (BASED ON THE A.M. GORKY ARCHIVE

    Directory of Open Access Journals (Sweden)

    Marina A. Arias-Vikhil

    2017-03-01

    Full Text Available In his essay “The Russians on Capri” (1924, a Russian journalist Mikhail Pervukhin describes the discovery of Capri by Russian artists and writers before the events of 1905 and the development of the Russian colony on the island afterwards. Pervukhin relates the origin and the history of the Russian colony on Capri to the period from 1906 through 1913, when the island became a residence of Russian political immigrants. He sees Gorky’s arrival on Capri as a major catalyzer in the development of the colony due to the defining and formative nature of the political and literary activity of the latter. The Russian revolution of 1905 had radically changed the structure of the Russian population on Capri: since that time it mostly consisted of political refugees. Pervukhin’s evidence is one of the most important documents on Gorky’s reception in Italy. Pervukhin left documentary and artistic evidence of Gorky’s residence on the island written with a special focus on Gorky’s role in the Russian Revolution of 1917 and its critical reconsideration. The author emphasized the political component in the life of the colony. He criticized activities of the Capri school for workers founded by Gorky and Lunacharsky. According to Pervukhin, Russian revolutionaries were indifferent to the beauty of the island and to the “eternal” values swept away by the storm of the October Revolution.

  6. Management of Russian military plutonium

    International Nuclear Information System (INIS)

    Zaleski, C.P.

    1996-01-01

    The objective of this paper is to propose and discuss a solution which enables storing as quickly as possible all weapons-grade plutonium from Russian military program in a way which would prevent diversion. Two main conditions apply to this solution. First, it should be achieved in a manner acceptable to Russian government, notably by preserving plutonium for possible future energy production, and second, the economics of the total system should be good enough to ensure no charge or limited charge for the storage of plutonium. A proposal is made to store plutonium in a specially designed fast reactor or specially designed reactor core. This solution could be favorable in comparison to other solutions applying the above mentioned goal and conditions. Additionally the proposed solution would have the following side advantages: utilizing available personnel and installations of the Russian nuclear complex; providing possible basis for decommissioning of older and less safe Russian reactors; giving experience of construction and operation of a series of sodium-cooled fast reactors. The major problem however is the need for large capital investment with the risk of getting no adequate return on investment due to difficult political and economic situation in Russia

  7. Hand dominance in orthopaedic surgeons.

    LENUS (Irish Health Repository)

    Lui, Darren F

    2012-08-01

    Handedness is perhaps the most studied human asymmetry. Laterality is the preference shown for one side and it has been studied in many aspects of medicine. Studies have shown that some orthopaedic procedures had poorer outcomes and identified laterality as a contributing factor. We developed a questionnaire to assess laterality in orthopaedic surgery and compared this to an established scoring system. Sixty-two orthopaedic surgeons surveyed with the validated Waterloo Handedness Questionnaire (WHQ) were compared with the self developed Orthopaedic Handedness Questionnaire (OHQ). Fifty-eight were found to be right hand dominant (RHD) and 4 left hand dominant (LHD). In RHD surgeons, the average WHQ score was 44.9% and OHQ 15%. For LHD surgeons the WHQ score was 30.2% and OHQ 9.4%. This represents a significant amount of time using the non dominant hand but does not necessarily determine satisfactory or successful dexterity transferable to the operating room. Training may be required for the non dominant side.

  8. Health Care in the Russian Federation.

    Science.gov (United States)

    Younger, David S

    2016-11-01

    The Russian Federation health system has its roots in the country's complex political history. The Ministry of Health and Social Development and its associated federal services are the principal Russian institutions subserving the Russian Federation. Funding for the health system goes through 2 channels: the general revenue budget managed by federal, regional, and local health authorities, and the Mandatory Health Insurance Fund. Although the Soviet Union was the first country in the world to guarantee free medical care as a constitutional right to all its citizens, quality and accessibility are in question. Copyright © 2016 Elsevier Inc. All rights reserved.

  9. Russian- Chinese relations : towards an energy partnership

    OpenAIRE

    Garanina, Olga

    2007-01-01

    18 p.; This paper aims to investigate the Russian-Chinese energy relations in the context of evolution of bilateral strategic relations since 1991.The research is focused on Russia and encompasses three main aspects: strategic approach of Russian-Chinese relations, Russian hydrocarbons production and export potential and prospects for the Eastern Russia. The paper is based on qualitative analysis. It shows that the framework of bilateral relations is globally favourable for creation of costly...

  10. A leadership development program for surgeons: First-year participant evaluation.

    Science.gov (United States)

    Pradarelli, Jason C; Jaffe, Gregory A; Lemak, Christy Harris; Mulholland, Michael W; Dimick, Justin B

    2016-08-01

    In a dynamic health care system, strong leadership has never been more important for surgeons. Little is known about how to design and conduct effectively a leadership program specifically for surgeons. We sought to evaluate critically a Leadership Development Program for practicing surgeons by exploring how the program's strengths and weaknesses affected the surgeons' development as physician-leaders. At a large academic institution, we conducted semistructured interviews with 21 surgical faculty members who applied voluntarily, were selected, and completed a newly created Leadership Development Program in December 2012. Interview transcripts underwent qualitative descriptive analysis with thematic coding based on grounded theory. Themes were extracted regarding surgeons' evaluations of the program on their development as physician-leaders. After completing the program, surgeons reported personal improvements in the following 4 areas: self-empowerment to lead, self-awareness, team-building skills, and knowledge in business and leadership. Surgeons felt "more confident about stepping up as a leader" and more aware of "how others view me and my interactions." They described a stronger grasp on "giving feedback" as well as a better understanding of "business/organizational issues." Overall, surgeon-participants reported positive impacts of the program on their day-to-day work activities and general career perspective as well as on their long-term career development plans. Surgeons also recommended areas where the program could potentially be improved. These interviews detailed self-reported improvements in leadership knowledge and capabilities for practicing surgeons who completed a Leadership Development Program. A curriculum designed specifically for surgeons may enable future programs to equip surgeons better for important leadership roles in a complex health care environment. Copyright © 2016 Elsevier Inc. All rights reserved.

  11. Russian food products marke: New CEFTA export opportunity

    Directory of Open Access Journals (Sweden)

    Stanojević Nataša

    2016-01-01

    Full Text Available This study aims to point out the unexploited export potential of CEFTA economies to the Russian market, using both quantitative and qualitative methods. More precisely, the Russian food market is examined, because of its size, the lack of domestic supply and actual changes of trading partners due to political and security antagonisms. The competitiveness of CEFTA food production on the Russian food market was analyzed by using two classical instruments of competitiveness - coefficient of conformity (CC and real effective exchange rate (RER.CC is applied first to the CEFTA export and Russian import of food in total, and then to the six main Russian import food products. The results indicate the highest degree of matching between Russian import and all CEFTA country export of fruits, vegetable and its processed commodities. RER is calculated to show competitiveness in terms of prices in bilateral trade, and result shows a very favorable ratio of currency, except in the case of Montenegro and Bosnia because their fixation to euro. Due to the small size of CEFTA production and non-proportional large Russian market, the interconnection, e.g. forming the value chain made of CEFTAs agriculture and food industry companies is suggested as the basis of new CEFTA export strategy.

  12. Heutiges Russisch (2) (Contemporary Russian [2])

    Science.gov (United States)

    Russisch, 1976

    1976-01-01

    Considers contemporary Russian usage with regard to variations in the genitive, accusative and nominative inflections and the synonymity of full and shortened adjective forms. Material is excerpted from "Stilistik der russischen Sprache" (Russian Language Style) by D. Rosental and M. Telenkowa. (Text is in German.) (FB)

  13. Electronic Repository of Russian Historical Statistics

    NARCIS (Netherlands)

    Tykhonov, Vyacheslav; Kessler, Gijs; Markevich, Andrei; de Vries, Jerry

    2014-01-01

    The Electronic Repository for Russian Historical Statistics brings together data extracted from various published and unpublished sources in one place. Its principal focus is Russian economic and social history of the last three centuries (18th-21st). The repository caters to the needs of the

  14. Detecting Bots on Russian Political Twitter.

    Science.gov (United States)

    Stukal, Denis; Sanovich, Sergey; Bonneau, Richard; Tucker, Joshua A

    2017-12-01

    Automated and semiautomated Twitter accounts, bots, have recently gained significant public attention due to their potential interference in the political realm. In this study, we develop a methodology for detecting bots on Twitter using an ensemble of classifiers and apply it to study bot activity within political discussions in the Russian Twittersphere. We focus on the interval from February 2014 to December 2015, an especially consequential period in Russian politics. Among accounts actively Tweeting about Russian politics, we find that on the majority of days, the proportion of Tweets produced by bots exceeds 50%. We reveal bot characteristics that distinguish them from humans in this corpus, and find that the software platform used for Tweeting is among the best predictors of bots. Finally, we find suggestive evidence that one prominent activity that bots were involved in on Russian political Twitter is the spread of news stories and promotion of media who produce them.

  15. An online review of plastic surgeons in southern California.

    Science.gov (United States)

    Lewis, Priya; Kobayashi, Emily; Gupta, Subhas

    2015-05-01

    It has become commonplace for patients to access online reviews of physicians when making choices about health care, just as any consumer would in today's computer-dependent world. Previous studies have shown that online reviews of physicians are generally positive. However, 1 negative review has the potential to adversely affect business and reputations. To characterize the online presence of plastic surgeons in Southern California as portrayed by physician rating websites (PRWs). An extensive online database of board-certified plastic surgeons was used to generate a list of surgeons within a 50-mile radius of Pomona, CA. Ratings from the PRWs HealthGrades.com, Vitals.com, and UCompareHealthcare.com were cataloged by number of reviews and ratings. Two hundred sixty-three surgeons were evaluated with the most-represented cities being Beverly Hills (N=47), Los Angeles (N=31), and Newport Beach (N=27). Ninety-seven percent of the surgeons were rated on at least 1 of the 3 PRWs chosen. In general, surgeons were rated highly, with a mean rating of 85%, SD, 14% (Ponline ratings ranged from 0 to 222 per surgeon. The median number of total reviews was 25 and the mean rating for those surgeons above and below the median were equivocal, at 86% and 85%, respectively (P=0.284). In this study, we found that plastic surgeons in Southern California have an online presence that can be influenced by their patients; they should be aware of this and conscious of their online reputations. Overall, the ratings were high, regardless of the number of reviews.

  16. Russian Contract Law for Foreigners

    Directory of Open Access Journals (Sweden)

    Andrey Shirvindt

    2015-01-01

    Full Text Available The book by Maria Efremova, Svetlana Yakovleva and Jane Henderson aims to serve as a short introduction to Russian contract law for a foreign lawyer. Assuming that the target readership are mainly English lawyers the book’s second aim, expressly stated by the authors (pp. i, 1, is to make lawyers from common law countries familiar with codified law, with Russian law being just an example. The book covers most of the general law of obligations as well as some questions of formation and invalidity of contracts that belong to the general part of the Civil Сode, with this preceded by a brief introduction into the Russian law dealing with its history, federal structure and state agencies of Russia, its court system, sources of law and legal profession.

  17. Russian New Art of Hybrid Warfare in Ukraine

    Directory of Open Access Journals (Sweden)

    Rusnáková Soňa

    2017-10-01

    Full Text Available The main aim of this paper is to analyse the annexation of Crimea by the Russian Federation. For the purposes of the paper, the theory of hybrid warfare was chosen as an analytical category. Throughout the paper, the concept of hybrid warfare is examined and applied on case study of Crimean annexation. Hybrid warfare, especially in connection with Russian actions in Crimea has been an intensely debated concept. There is an ongoing debate among scholars concerning the meaning of the concept, its existence and employment by the Russian Federation. This paper showed that the article of Valeriy Gerasimov – the incumbent Chief of the General Staff of the Russian Federation-invoked a new warfare strategy for the Russian Federation which was consequently for the very first time in its full spectre and effectivity employed on case of Crimean annexation in March 2014. Observing the application of the hybrid warfare in practice serves the purposes of countering its further potential application in post-Soviet space and Russian ‘near abroad’.

  18. Contaminant transport modeling studies of Russian sites

    International Nuclear Information System (INIS)

    Tsang, Chin-Fu

    1993-01-01

    Lawrence Berkeley Laboratory (LBL) established mechanisms that promoted cooperation between U.S. and Russian scientists in scientific research as well as environmental technology transfer. Using Russian experience and U.S technology, LBL developed approaches for field investigations, site evaluation, waste disposal, and remediation at Russian contaminated sites. LBL assessed a comprehensive database as well as an actual, large-scale contaminated site to evaluate existing knowledge of and test mathematical models used for the assessment of U.S. contaminated sites

  19. Russian Airpower in the Second Chechen War

    National Research Council Canada - National Science Library

    Evans, Robert

    2001-01-01

    .... In the earlier conflict, Russian Air Force operations concentrated on achieving control of the air, directly supporting Russian ground forces, and attacking rebels in the foothills and mountains of southern Chechnya...

  20. Surgeon-performed ultrasonography

    DEFF Research Database (Denmark)

    Todsen, Tobias

    2017-01-01

    Surgeons are increasingly using ultrasonography (US) in their clinical management of patients. However, US is a very user-dependent imaging modality and proper skills of the US operator are needed to ensure quality in patient care. This thesis explores the validity evidence for assessment...

  1. Musculoskeletal pain among surgeons performing minimally invasive surgery

    DEFF Research Database (Denmark)

    Dalager, Tina; Søgaard, Karen; Bech, Katrine Tholstrup

    2017-01-01

    BACKGROUND: Musculoskeletal pain is the most common occupational disease in Europe. Surgeons with awkward and static working postures are no exception. Robotic-assisted laparoscopy has been postulated to be superior to conventional laparoscopy regarding the ergonomic strain for surgeons. In this ......BACKGROUND: Musculoskeletal pain is the most common occupational disease in Europe. Surgeons with awkward and static working postures are no exception. Robotic-assisted laparoscopy has been postulated to be superior to conventional laparoscopy regarding the ergonomic strain for surgeons......, and comparative data on surgeons' physical workload with robotic-assisted laparoscopy and conventional laparoscopy. Studies only describing a single surgical modality were excluded. We applied the checklist, STrengthening the Reporting of OBservational studies in Epidemiology (STROBE), to assess the quality...... fulfilled the criteria of STROBE, with an average score of 13 (range 10-16) out of 18. DISCUSSION: Results, mainly self-reported measures, suggest that robotic-assisted laparoscopy is less strenuous compared with conventional laparoscopy. However, results are limited by the large methodological...

  2. Heutiges Russisch (Schluss) (Contemporary Russian [Conclusion])

    Science.gov (United States)

    Russisch, 1976

    1976-01-01

    Considers two aspects of contemporary Russian language usage: (1) synonymity of prepositions, and (2) semantic and stylistic differences arising when certain verbs govern nouns in different cases. Material is excerpted from "Stilistik der russischen Sprache" (Russian Language Style) by Rosental and M. Telenkowa. (Text is in German.) (FB)

  3. Musculoskeletal Pain in Gynecologic Surgeons

    Science.gov (United States)

    Adams, Sonia R.; Hacker, Michele R.; McKinney, Jessica L.; Elkadry, Eman A.; Rosenblatt, Peter L.

    2013-01-01

    Objective To describe the prevalence of musculoskeletal pain and symptoms in gynecologic surgeons. Design Prospective cross-sectional survey study (Canadian Task Force classification II-2). Setting Virtual. All study participants were contacted and participated via electronic means. Participants Gynecologic surgeons. Interventions An anonymous, web-based survey was distributed to gynecologic surgeons via electronic newsletters and direct E-mail. Measurements and Main Results There were 495 respondents with complete data. When respondents were queried about their musculoskeletal symptoms in the past 12 months, they reported a high prevalence of lower back (75.6%) and neck (72.9%) pain and a slightly lower prevalence of shoulder (66.6%), upper back (61.6%), and wrist/hand (60.9%) pain. Many respondents believed that performing surgery caused or worsened the pain, ranging from 76.3% to 82.7% in these five anatomic regions. Women are at an approximately twofold risk of pain, with adjusted odds ratios (OR) of 1.88 (95% confidence interval [CI], 1.1–3.2; p 5 .02) in the lower back region, OR 2.6 (95% CI, 1.4–4.8; p 5 .002) in the upper back, and OR 2.9 (95% CI, 1.8–4.6; p 5 .001) in the wrist/hand region. Conclusion Musculoskeletal symptoms are highly prevalent among gynecologic surgeons. Female sex is associated with approximately twofold risk of reported pain in commonly assessed anatomic regions. Journal of Minimally Invasive Gynecology (2013) 20, 656-660 PMID:23796512

  4. Society of Thoracic Surgeons

    Science.gov (United States)

    ... Apply for Membership Membership Directory Pay Your Dues Industry Mailing List License & eBlast Communications Programs Advertise on ... Hotel Discount Copyright © 2017 The Society of Thoracic Surgeons. ...

  5. Language categories in Russian morphology

    OpenAIRE

    زهرایی زهرایی

    2009-01-01

    When studying Russian morphology, one can distinguish two categories. These categories are “grammatical” and “lexico-grammatical”. Grammatical categories can be specified through a series of grammatical features of words. Considering different criteria, Russian grammarians and linguists divide grammatical categories of their language into different types. In determining lexico-grammatical types, in addition to a series of grammatical features, they also consider a series of lexico-semantic fe...

  6. Rare metal granites in the structures of the Russian sector of Pacific ore belt

    Directory of Open Access Journals (Sweden)

    В. И. Алексеев

    2016-08-01

    Full Text Available Data are presented on the geology of areas of rare metal granites proliferation in the Russian sector of the Pacific Ore Belt that make one take a fresh look at the East Asian granitoid area to update its metallogeny. History is reviewed of studying rare metal granites of the Russian Far East. As a rule, these are found in the vicinity of major tungsten-stanniferous ore deposits, except much later than discovering the former, at the stages of their assessment and survey. Rare earth granites are usually missed by the geologists during the early stages of regional geological surveys due to their small size, weak eroding and external similarity with earlier granites. Using the examples of the Central Polousny, Badzhal and Kuyviveem-Pyrekakay regions the structural and geological conditions are characterized of localization of rare metal granites. Comparative analysis of geological situations made it possible to formulate the areal character of manifestation of rare metal granites; their confinedness to late Mesozoic orogenic arched uplifts of bogen structures above deep granitoid batholiths; positioning in the areas where longitudinal and transversal deep laying faults cross; gravitation to the environs of pre-Cambrian median masses. Similarity of structural-geological conditions for manifestation of the well-studied ore-containing granites serves to confirm the hypothesis on the joint stage of late Cretaceous rare metal magmatism in the Russian sector of the Pacific Ore Belt and the existence in the region of a magmatic super-province – the Far East belt of rare metal granites that includes the Novosibirsk-Chukotka, the Yana-Kolyma and the Sikhote-Alin rare metal – granite provinces.

  7. TRANSFORMATION OF FAMILY IN MODERN RUSSIAN SOCIETY

    Directory of Open Access Journals (Sweden)

    Olga Anatolevna Otradnova

    2014-09-01

    Full Text Available The article examines concept of family in Russian society, changes in interpretation of family, connected with modern tendencies and processes in different sociocultural spheres.   The article is structured and has accurate limits of introduction, main part and conclusion. The relevance of the research is caused by present-day crisis tendencies connected with suicide actions, atomization and hedonization of society, value depreciation of family.  The object of the research is to analyze the conception of family and its transformation in condition of modern Russian society. The tasks are to determine the term family, to analyze approaches to understanding of the family and its genesis, detect some peculiarities of modern Russian society, research the transformation of interpretation of family in modern society; the matter of investigation is modern Russian society, the subject is the transformation of family structures; the following methods of research are used: historical and cultural approach, typological method, existential method, common logic procedures. The research contains author’s definition of the term family, historical and cultural analysis and typological explication of the approaches to interpretation of the problem, classification of family structures - which have been formed in Russian society- on the base of statistic and sociological data.   Some interweaving of concept family with the most important existential values (love, freedom, responsibility were investigated and some tendencies for further development of family relationship in Russian society were revealed, its problems and prospect were emphasized. The results of the investigation testify that modern types of matrimonial relationship differ in limitation of functionality, mutual responsibility, thereby it is possible to state that interpretation of family in modern Russian society has transformed.

  8. A Modular Laparoscopic Training Program for Pediatric Surgeons

    Science.gov (United States)

    Wasa, Masafumi; Takiguchi, Shuji; Taniguchi, Eiji; Soh, Hideki; Ohashi, Shuichi; Okada, Akira

    2003-01-01

    Objectives: A structured endoscopic training program for pediatric surgeons has not yet been established. This study was conducted to develop a modular training program (MTP) for pediatric surgeons and to evaluate its effectiveness for surgeons with and without previous experience in laparoscopic surgery. Methods: Nine pediatric surgeons participated in the study. They were divided into 2 groups: group A (n=4), surgeons who had experienced more than 10 cases of laparoscopic surgery prior to MTP; group B (n=5), those who had experienced fewer than 10 cases. They participated in a standardized MTP workshop, which consisted of 2 “see-through” and 3 “laparoscopic” tasks. Each participant's psychomotor skills were evaluated objectively before and after MTP with a computer-generated virtual simulator and were evaluated for precision, efficiency, and speed. Results: In participants, speed was significantly enhanced after MTP. In group A, no differences were observed after MTP, whereas significant improvements were noted in efficiency and speed after MTP in group B. Before MTP, efficiency was significantly higher in group A than in group B; however, no difference remained between the 2 groups after MTP. Conclusions: MTP is effective for nonlaparoscopic pediatric surgeons to become familiar with basic endoscopic skills. PMID:12722996

  9. How surgeons make decisions when the evidence is inconclusive

    NARCIS (Netherlands)

    Hageman, Michiel G. J. S.; Guitton, Thierry G.; Ring, David; Osterman, A. Lee; Spoor, A. B.; van der Zwan, A. L.; Shrivastava, Abhay; Wahegaonkar, Abhijeet L.; Aida, E. Garcia G.; Aita, M. A.; Castillo, Alberto Pérez; Marcus, Alexander; Ladd, Amy; Terrono, Andrew L.; Gutow, Andrew P.; Schmidt, Andrew; Wang, Angela A.; Eschler, Anica; Miller, Anna N.; Wikerøy, Annette K. B.; Barquet, Antonio; Armstrong, April D.; van Vugt, Arie B.; Bedi, Asheesh; Shyam, Ashok K.; Mazzocca, Augustus D.; Jubel, Axel; Babst, Reto H.; Nolan, Betsy M.; Arciero, Bob; Bremer, Vanden; Bamberger, Brent; Peterson, Bret C.; Crist, Brett D.; Cross, Brian J.; Badman, Brian L.; Henley, C. Noel; Ekholm, Carl; Swigart, Carrie; Manke, Chad; Zalavras, Charalampos; Goldfarb, Charles A.; Cassidy, Charles; Cornell, Charles; Getz, Charles L.; Metzger, Charles; Wilson, Chris; Heiss, Christian; Perrotto, Christian J.; Wall, Christopher J.; Walsh, Christopher J.; Garnavos, Christos; Jiang, Chunyan; Lomita, Craig; Torosian, Craig M.; Rikli, Daniel A.; Whelan, Daniel B.; Wascher, Daniel C.; Hernandez, Daniel; Polatsch, Daniel; Beingessner, Daphne; Drosdowech, Darren; Tate, David E.; Hak, David; Rowland, David J.; Kalainov, David M.; Nelson, David; Weiss, David; McKee, Desirae M.; van Deurzen, D. F. G.; Endrizzi, Donald; Erol, Konul; Overbeck, Joachim P.; Baer, Wolfgang; Schwab, Eckart; Maza, Edgardo Ramos; Harvey, Edward; Rodriguez, Edward K.; Preloggler, Elisabeth; Schemitsch, Emil H.; Shin, Eon K.; Hofmeister, Eric P.; Kaplan, Thomas D.; Beeres, F. J. P.; Suarez, Fabio; Fernandes, C. H.; Cayón, Fidel Ernesto Cayón; Dolatowski, Filip Celestyn; Martin, Fischmeister; Sierra, Francisco Javier Aguilar; Lopez-Gonzalez, Francisco; Walter, Frank; Seibert, Franz Josef; Baumgaertel, Fred; Frihagen, Frede; Fuchs, P. C.; Huemer, Georg M.; Kontakis, George; Athwal, George S.; Dyer, George S. M.; Thomas, George; Kohut, Georges; Williams, Gerald; Hernandez, German Ricardo; Caro, Gladys Cecilia Zambrano; Garrigues, Grant; Merrell, Greg; DeSilva, Gregory; Della Rocca, Gregory J.; Regazzi, Gustavo; de Azevedo, Gustavo Borges Laurindo; Ruggiero, Gustavo Mantovani; Helling, H. J.; MccUtchan, Hal; Goost, Hans; Kreder, Hans J.; Hasenboehler, Paula M.; Routman, Howard D.; van der Heide, Huub; Kleinlugtenbelt, I.; McGraw, Iain; Harris, Ian; Ibrahim, Ibrahim Mohammad; Lin, Ines C.; Iossifidis, A.; Andrew, J.; Trenholm, I.; Goslings, J. Carel; Wiater, J. Michael; Choueka, Jack; Ahn, Jaimo; Kellam, James; Biert, Jan; Pomerance, Jay; Johnson, Jeff W.; Greenberg, Jeffrey A.; Yao, Jeffrey; Watson, Jeffry T.; Giuffre, Jennifer L.; Hall, Jeremy; Park, Jin-Young; Fischer, Jochen; Murachovsky, Joel; Howlett, John; McAuliffe, John; Evans, John P.; Taras, John; Braman, Jonathan; Hobby, Jonathan L.; Rosenfeld, Jonathan; Boretto, Jorge; Orbay, Jorge; Rubio, Jorge; Ortiz, Jose A.; Abboud, Joseph; Conflitti, Joseph M.; Vroemen, Joseph P. A. M.; Adams, Julie; Clarke, J. V.; Kabir, K.; Chivers, Karel; Prommersberger, Karl-Josef; Segalman, Keith; Lee, Kendrick; Eng, Kevin; Chhor, Kimberlly S.; Ponsen, K. J.; Jeray, Kyle; Marsh, L.; Poelhekke, L. M. S. J.; Mica, Ladislav; Borris, Lars C.; Halperin, Lawrence; Weiss, Lawrence; Benson, Leon; Elmans, Leon; de Mendonca, Leonardo Alves; Rocha, Leonardo; Katolik, Leonid; Lattanza, Lisa; Taitsman, Lisa; Guenter, Lob; Catalano, Louis; Buendia, Luis Antonio; Austin, Luke S.; Palmer, M. Jason; de Vries, M. R.; Bronkhorst, Maarten W. G. A.; Abdel-Ghany, Mahmoud I.; van de Sande, M. A. J.; Swiontkowski, Marc; Rizzo, Marco; Lehnhardt, Marcus; Pirpiris, Marinis; Baratz, Mark; Lazarus, Mark D.; Boyer, Martin; Richardson, Martin; Kastelec, Matej; Mormino, Matt; Budge, Matthew D.; Turina, Matthias; Wood, Megan M.; Baskies, Michael; Baumgaertner, Michael; Behrman, Michael; Hausman, Michael; Jones, Michael; LeCroy, Michael; Moskal, Michael; Nancollas, Michael; Prayson, Michael; Grafe, Michael W.; Kessler, Michael W.; van den Bekerom, Michel P. J.; Mckee, Mike; Merchant, Milind; Tyllianakis, Minos; Felipe, Naquira Escobar Luis; Chen, Neal C.; Saran, Neil; Wilson, Neil; Shortt, Nicholas L.; Schep, Niels; Rossiter, Nigel; Lasanianos, N. G.; Kanakaris, Nikolaos; Weiss, Noah D.; Harvey, Norah M.; van Eerten, P. V.; Melvanki, Parag; McCulloch, Patrick T.; Martineau, Paul A.; Appleton, Paul; Guidera, Paul; Levin, Paul; Giannoudis, Peter; Evans, Peter J.; Jebson, Peter; Kloen, Peter; Krause, Peter; Brink, Peter R. G.; Peters, J. H.; Blazar, Philip; Streubel, Philipp N.; Inna, Prashanth; Prashanth, S.; Solanki, Punita V.; Wang, Qiugen; Quell, M.; Benafield, R. Bryan; Haverlag, R.; Peters, R. W.; Varma, Rajat; Nyszkiewicz, Ralf; Costanzo, Ralph M.; de Bedout, Ramon; Ranade, Ashish S.; Smith, Raymond Malcolm; Abrams, Reid; Fricker, Renato M.; Omid, Reza; Barth, Richard; Buckley, Richard; Jenkinson, Richard; GIlbert, Richard S.; Page, Richard S.; Wallensten, Richard; Zura, Robert D.; Feibel, Robert J.; Gray, Robert R. L.; Tashijan, Robert; Wagenmakers, Robert; Pesantez, Rodrigo; van Riet, Roger; Norlin, Rolf; Pfeifer, Roman; Liem, Ronald; Kulick, Roy G.; Poolman, Rudolf W.; Shatford, Russell; Klinefelter, Ryan; Calfee, Ryan P.; Moghtaderi, Sam; Sodha, Samir; Sprujt, Sander; Kakar, Sanjeev; Kaplan, Saul; Duncan, Scott; Kluge, Sebastian; Rodriguez-Elizalde, Sebastian; Checchia, Sergio L.; Rowinski, Sergio; Dodds, Seth; Hurwit, Shep; Sprengel, K.; van der Stappen, W. A. H.; Kronlage, Steve; Belded, Steven; Morgan, Steven J.; Rhemrev, Steven J.; Hilliard, Stuart; Gosens, Taco; Sasaki, Takashi; Taleb, C.; Pritsch, Tamir; Tosounidis, Theodoros; Wyrick, Theresa; DeCoster, Thomas; Dienstknecht, Thomas; Stackhouse, Thomas G.; Hughes, Thomas; Wright, Thomas; Ly, Thuan V.; Havenhill, Timothy G.; Omara, Timothy; Siff, Todd; McLaurin, Toni M.; Wanich, Tony; Rueger, Johannes M.; Vallim, Frederico C. M.; Sabesan, Vani J.; Nikolaou, Vasileios S.; Knoll, Victoria D.; Telang, Vidyadhar; Iyer, Vishwanath M.; Jokhi, Vispi; Batson, W. Arnnold; Willems, W. Jaap; Smith, Wade R.; Belangero, William Dias; Wolkenfelt, J.; Weil, Yoram

    2013-01-01

    To address the factors that surgeons use to decide between 2 options for treatment when the evidence is inconclusive. We tested the null hypothesis that the factors surgeons use do not vary by training, demographics, and practice. A total of 337 surgeons rated the importance of 7 factors when

  10. THE THIRD GREAT QUESTION IN RUSSIAN LITERATURE: “WHAT MEN LIVE BY” BY L. N. TOLSTOY

    Directory of Open Access Journals (Sweden)

    Vera Anoshkina-Kasatkina

    2017-03-01

    Full Text Available There are two great questions raised in Russian literature of the 19th century – “Who is to blame?” by A. I. Herzen and “What shall we do?” by N. G. Chernyshevsky. This article for the first time draws attention to the third great spiritual and ethic question of Russian literature – “what men live by?”. It was raised and answered by Leo Tolstoy in his short story “What men live by” (1881. A religious crisis the writer was undergoing while writing the story did not impede his discovering the truth by the fallen angel Michael: “there is love in men”, Man is not able to know his future, “each person lives not by self-concern but by love”. Individual welfare is manifested in global welfare. Analysis of moral and ethic problems of this parabolic story reveals the affirmation of supernatural and consecrated reality in life of the mankind, a chance for salvation by praying. Peculiarities of realism and psychologism, man’s soul dialectics, genre specificity of Tolstoy’s story of his late period are revealed in the article.

  11. Working night shifts affects surgeons' biological rhythm

    DEFF Research Database (Denmark)

    Amirian, Ilda; Andersen, Lærke T; Rosenberg, Jacob

    2015-01-01

    BACKGROUND: Chronic sleep deprivation combined with work during the night is known to affect performance and compromise residents' own safety. The aim of this study was to examine markers of circadian rhythm and the sleep-wake cycle in surgeons working night shifts. METHODS: Surgeons were monitor...

  12. RHEUMATOID ARTHRITIS IN THE RUSSIAN FEDERATION ACCORDING TO RUSSIAN ARTHRITIS REGISTRY DATA (COMMUNICATION I

    Directory of Open Access Journals (Sweden)

    E. L. Nasonov

    2016-01-01

    Full Text Available The paper presents the materials of the Russian Arthritis Registry (OREL that includes 3276 patients from 11 Russian Federation's largest research-and-practical centers situated in Moscow, Saint Petersburg, Novosibirsk, Kazan, Tula, Yaroslavl, Tyumen. It discusses the main goals of setting up registries, compares the results of an analysis of the data available in the Russian Registry OREL and registries of European countries and the USA. The findings suggest that there is non-uniform information on clinical, laboratory, and instrumental parameters in the national registers of a number of European countries and the USA. According to its basic characteristics, the Russian Registry OREL compares favorably with a number of other registries in the completeness of data collection, which allows a general idea of rheumatoidarthritis (RA patients in Russia. For further development of the OREL Registry, it is necessary to concentrate our attention on the following main areas: to improve the quality of filling out documents; to follow-up patients receiving different RA therapy regimens according to the guidelines of the Association of Rheumatologists of Russia for the treatment of RA; to conduct in-depth studies of comorbidity, primarily depressive disorders; to analyze adverse reactions that make RA therapy difficult; to actively use modules for patients' self-rating of their condition; to develop nursing care, etc.

  13. Cardiac Surgeons after Vacation: Refreshed or Rusty?

    Science.gov (United States)

    Welk, Blayne; Winick-Ng, Jennifer; McClure, Andrew; Dubois, Luc; Nagpal, Dave

    2017-10-01

    Many surgeons describe feeling a bit out of practice when they return from a vacation. There have been no studies assessing the impact of surgeon vacation on patient outcomes. We used administrative data from the province of Ontario to identify patients who underwent a coronary artery bypass grafting. Using a propensity score, we matched patients who underwent their procedure immediately after their surgeon returned from vacation of at least 7 days (n = 1,161) to patients who were not operated immediately before or after a vacation period (n = 2,138). There was no significant difference in patient mortality (odds ratio: 1.23, p = 0.52), length of operation (relative risk [RR]: 1.00 p = 0.58), or intensive care unit/ hospital stay (RR: 0.97 p = 0.66/RR: 0.98 p = 0.54, respectively). There was not a significant change in risk of death, operative length, or hospital stay after a surgeon vacation.

  14. Income, productivity, and satisfaction of breast surgeons.

    Science.gov (United States)

    Bendorf, David C; Helmer, Stephen D; Osland, Jacqueline S; Tenofsky, Patty L

    2010-03-01

    The purpose of this study was to assess how the practice patterns of breast surgeons affect their income and job satisfaction. A 19-question survey regarding practice patterns and income and job satisfaction was mailed to all active US members of the American Society of Breast Surgeons. There were 772 responses. An increasing percentage of breast care was associated with lower incomes (P=.0001) and similar income satisfaction (P=.4517) but higher job satisfaction (P=.0001). The increasing proportion of breast care was also associated with fewer hours worked per week (P=.0001). Although incomes were lower in surgeons with a higher proportion of their practice in breast care, income satisfaction was not affected. Although cause and effect relationships between income and breast surgery are difficult to establish, several trends do emerge. Most significantly, we found that dedicated breast surgeons have higher job satisfaction ratings and similar income satisfaction despite lower incomes. Copyright (c) 2010 Elsevier Inc. All rights reserved.

  15. Surgeons' Perspectives on Premium Implants in Total Joint Arthroplasty.

    Science.gov (United States)

    Wasterlain, Amy S; Bello, Ricardo J; Vigdorchik, Jonathan; Schwarzkopf, Ran; Long, William J

    2017-09-01

    Declining total joint arthroplasty reimbursement and rising implant prices have led many hospitals to restrict access to newer, more expensive total joint arthroplasty implants. The authors sought to understand arthroplasty surgeons' perspectives on implants regarding innovation, product launch, costs, and cost-containment strategies including surgeon gain-sharing and patient cost-sharing. Members of the International Congress for Joint Reconstruction were surveyed regarding attitudes about implant technology and costs. Descriptive and univariate analyses were performed. A total of 126 surgeons responded from all 5 regions of the United States. Although 76.9% believed new products advance technology in orthopedics, most (66.7%) supported informing patients that new implants lack long-term clinical data and restricting new implants to a small number of investigators prior to widespread market launch. The survey revealed that 66.7% would forgo gain-sharing incentives in exchange for more freedom to choose implants. Further, 76.9% believed that patients should be allowed to pay incremental costs for "premium" implants. Surgeons who believed that premium products advance orthopedic technology were more willing to forgo gain-sharing (P=.040). Surgeons with higher surgical volume (P=.007), those who believed implant companies should be allowed to charge more for new technology (Pnew implants with patients. Many surgeons support alternative payment models permitting surgeons and patients to retain implant selection autonomy. Most respondents prioritized patient beneficence and surgeon autonomy above personal financial gain. [Orthopedics. 2017; 40(5):e825-e830.]. Copyright 2017, SLACK Incorporated.

  16. (In)Complete Acquisition of Aspect in Second Language and Heritage Russian

    Science.gov (United States)

    Mikhaylova, Anna

    2012-01-01

    This dissertation compares the knowledge of Russian Verbal Aspect in two types of learners enrolled in college level Russian courses: foreign language learners of Russian whose native language is English and heritage language speakers of Russian whose dominant language at the time of study is English. Russian Aspect is known to be problematic both…

  17. Basic guide of modern Russian education

    OpenAIRE

    Ibragimova, Liliya; Rodikov, Alexander

    2014-01-01

    This article is devoted to the study of the problems of modern Russian education in the context of globalization of the world of education. The publication addresses the main guide of the modern Russian education. It presents an analysis of contemporary processes of globalization and their impact on the international scientific community.

  18. [Management abilities of the head surgeon: essential for survival!].

    Science.gov (United States)

    Jähne, J

    2012-04-01

    Due to increased economic challenges in the management of hospitals head surgeons do not only need excellent surgical expertise but also significant management qualities. The personality of head surgeons should include authenticity, sincerity, fairness and the ability to cooperate. Visionary leadership, strategic thinking and strategic management of the personnel are further prerequisites for success. Besides good abilities in communication head surgeons need knowledge of the operating figures for interpretation. To keep up with the own capabilities time and self-management is essential. A survival as head surgeon is likely if these qualities and abilities exist.

  19. Open Access Publishing - A Challenge for Russian Psychology

    Directory of Open Access Journals (Sweden)

    BORIS B. VELICHKOVSKY

    2009-06-01

    Full Text Available Publication practices in Russian psychology have changed a lot since the break-up of the Soviet Union, but still differ substantially from those in the Western countries. In the last decade, an exponen-tial growth of the number of scientific psychological journals was observed, but in general, scientific publishing is not a profitable business in Russia. There is a lot of variability in the accessibility and quality of the journals. In sum, psychological publishing in today’s Russia is not well developed. Open access (OA publishing technologies seem to bring clear benefits to Russian psychology, but there are some problems that prevent their ready acceptance. First, there is a linguistic problem – Russian read-ers and writers have bad command of foreign languages. Second, there is a problem of background – Russian readers and writers are not used to Western-style research papers. Third, there is an economic problem – it is unclear, whether Russian universities and funding agencies will ever be ready to support publications in OA-journals. Thus, self-archiving and no-fee OA seem to be the most obvious ways to introduce OA to Russian psychologists.

  20. Practice patterns and job satisfaction in fellowship-trained endocrine surgeons.

    Science.gov (United States)

    Tsinberg, Michael; Duh, Quan-Yang; Cisco, Robin M; Gosnell, Jessica E; Scholten, Anouk; Clark, Orlo H; Shen, Wen T

    2012-12-01

    Debates about the difficult job market for young endocrine surgeons are ongoing. This study aimed to analyze the practice patterns and work-related satisfaction levels of recently trained endocrine surgeons. An anonymous survey was utilized. Participants were divided into 3 groups: "Young" (5 years). Fifty-six of 78 surgeons (72%) responded to the survey. Time in practice ranged from 1 to 9 years (mean, 3.9 ± 0.28). Forty-five (80%) described their practice as academic. Participants performed 244.1 ± 17.8 operations within the last year; 75.4 ± 3.3% were endocrine cases. More surgeons in the "young" group have academic practices (92%) and joined established endocrine surgery groups (54%) versus older surgeons (67% and 42%; P = .05). Of surgeons in the "young" group, 4% started their own practice versus 33% in the "older" group (P = .04). Level of satisfaction with financial compensation (3.2 on a 4-point scale versus 2.9) and lifestyle (3.6 vs 3.1) was also higher in the younger group (P = .009). Despite widespread speculation about scarcity of academic jobs after fellowship, recently trained endocrine surgeons are more likely to practice in academic settings and join established endocrine surgery practices when compared with older surgeons. Overall satisfaction level is higher among recently trained surgeons. Copyright © 2012 Mosby, Inc. All rights reserved.

  1. [Through the North of France: Laveran's dynasty (from the dentist surgeons to the 1907 Nobel prize of Medicine)].

    Science.gov (United States)

    Boulinier, G

    1997-01-01

    The historians of dentistry met two men named Laveran - both with unknown surnames - among the 18th century Parisian "experts" for teeth. Having discovered some notarial documents concerning them, the author was anxious to know more about them and was driven to investigate their possible relationship with Alphonse Laveran, who was born however more than one century later. A special impulse to this research resulted from the fact - learnt from the Lille archives - that Louis Laveran, the grand-father of Alphonse, was born in the same tiny place as one of the two Parisians mentioned above, and was himself a dentist surgeon. At last, the author could identify the ties existing between these Laverans, and collect a lot of informations about their family, from which a selection is given here. In short, the great-great-grand-father of Alphonse was established as a weaver in a small town of the south-West of France (Montesquieu-Volvestre, Haute-Garonne). Among his sons were the two Laverans mentioned above, who became dentist surgeons in Paris. One of them was Pierre Laveran. He was the specialist who was called to straighten the teeth of the young archduchess Marie-Antoinette, before her wedding with the future Louis XVI, in 1770. Then he was appointed as the dentist surgeon of Their Imperial and Royal Majesties in Vienna. Married with Anna Theresia Peska, he died there in 1796, leaving four children born between 1781 and 1787. ...

  2. The Russian Novel, Literature: 5113.88.

    Science.gov (United States)

    Dade County Public Schools, Miami, FL.

    Developed for a high school quinmester unit on the Russian novel, this guide is designed to give students the opportunity to become familiar with the major works of Leo Tolstoy and Fyodor Dostoevski. Performance objectives for the course include studying the general facets of 19th century Russian culture and history, analyzing the novels of…

  3. Meta-analysis: Problems with Russian Publications.

    Science.gov (United States)

    Verbitskaya, E V

    2015-01-01

    Meta-analysis is a powerful tool to identify Evidence Based medical technologies (interventions) for use in every day practice. Meta-analysis uses statistical approaches to combine results from multiple studies in an effort to increase power (over individual studies), improve estimates of the size of the effect and/or to resolve uncertainty when reports disagree. Meta-analysis is a quantitative, formal study design used to systematically assess previous research studies to derive conclusions from this research. Meta-analysis may provide more precise estimate of the effect of treatment or risk factor for a disease, or other outcomes, than any individual study contributing to the pooled analysis.We have quite a substantial number of Russian medical publications, but not so many Meta-Analyses published in Russian. Russian publications are cited in English language papers not so often. A total of 90% of clinical studies included in published Meta-Analyses incorporate only English language papers. International studies or papers with Russian co-authors are published in English language. The main question is: what is the problem with inclusion of Russian medical publications in Meta-Analysis? The main reasons for this are the following: 1) It is difficult to find Russian papers, difficult to work with them and to work with Russian journals:a. There are single Russian Biomedical Journals, which are translated into English and are included in databases (PubMed, Scopus and other), despite the fact that all of them have English language abstracts.b. The majority the meta-analyses authors use in their work different citation management software such as the Mendeley, Reference Manager, ProCite, EndNote, and others. These citation management systems allow scientists to organize their own literature databases with internet searches and have adds-on for the Office programs what makes process of literature citation very convenient. The Internet sites of the majority of

  4. Russian Language in the Central Asia Region

    Directory of Open Access Journals (Sweden)

    Ksenia Petrovna Borishpolets

    2014-01-01

    Full Text Available He article is devoted to the role of the Russian language in Central Asia and its development perspectives in the context of the Eurasian integration processes. Russian language has a long historical tradition in Central Asia and hasn't lost its importance even at the background of two waves of "derussification" that took place after 1991. Notwithstanding the decrease of the status, it keeps substantial public significance. During last two decades only in Turkmenistan we are witnessing the decrease in spreading of the Russian language among title population of the Central Asia region. Its positions as an active communication channel is secured not only by the social tradition, but also by the competitiveness of the Russian language education, advantages of the bilingual business, requirements of the labor migrants, HR interests and by some other pragmatic thoughts, which role within the context of Eurasian economic integration will increase. Despite the difficulties, it is too early to speak about the decrease of the Russian language in the Central Asia region. It is more likely that the institutes itself that maintain it and promoting it are at the low ebb. New scales and forms of practical work that is interested not only for Russia, but also Central Asia countries are required. Pressure on the resources of the Russian language increases the possibility of ethnic conflicts and strengthens the positions of political radicalism in Central Asia region.

  5. Russian – Chinese Trade and Exchange Rate

    Directory of Open Access Journals (Sweden)

    Dmitry Alexandrovich Izotov

    2012-09-01

    Full Text Available The author assesses the impact of the Yuan exchange rate volatility on the indicators of the Russian-Chinese trade (the analysis is made on the ground of the statistical database CEIC. Quantitative estimates of changes in Russian-Chinese merchandise trade by commodity groups (in the HS classification due to the revaluation of the CNY against the USD were obtained via the regression analysis. In the case of the revaluation of the Yuan to the US dollar the value of Russian exports may increase for such commodity groups as mineral products, chemical industry products, base metals, precious stones and metals, and vehicles. This article shows that the value of Chinese imports will decrease for such merchandise groups as transport vehicles, machinery and equipment, leather industry products, non-precious metals and products from them; in this case, the import of the food industry products, mineral products and optical instruments will decrease insignificantly. The author concludes that the revaluation of the Yuan, contributing to the growth of Russian exports and the reduction in Chinese imports, will not cause a radical change in structure of the Russian-Chinese trade

  6. Report from the Committee for Improving the Work Environment of Japanese Surgeons: survey on effects of the fee revision for medical services provided by surgeons.

    Science.gov (United States)

    Hanazaki, Kazuhiro; Tominaga, Ryuji; Nio, Masaki; Iwanaka, Tadashi; Okoshi, Kae; Kaneko, Koichi; Nagano, Hiroaki; Nishida, Takahiro; Nishida, Hiroshi; Hoshino, Ken; Maehara, Tadaaki; Masuda, Munetaka; Matsufuji, Hiroshi; Yanaga, Katsuhiko; Tabayashi, Koichi; Satomi, Susumu; Kokudo, Norihiro

    2013-11-01

    The aim of this study was to achieve improvements in the work environment of Japanese surgeons and shortage of surgeons. Questionnaires were distributed to selected Japanese surgical Society (JSS) members. Retrospective analysis was conducted comparing the current 2011 survey with previous 2007 survey. To examine the influence of 2010 revision of the fee for medical services performed by surgeons, we distributed a second questionnaire to directors of hospitals and administrators of clerks belonging to official institutes in JSS. Collective data were analyzed retrospectively. The main potential causes for the shortage of surgeons in Japan were long hours (72.8 %), excessive emergency surgeries (69.4 %), and high risk of lawsuit (67.7 %). Mean weekly working hours of surgeons in national or public university hospitals and private university hospitals were 96.2 and 85.6, respectively. Approximately 70 % of surgeons were forced to do hardworking tasks, possibly leading to death from overwork. Of note, approximately 25 % of surgeons had over time of more than 100 h a week, coinciding to the number of hours that might lead to death from fatigue, described in the Japanese labor law. Although the total medical service fee in hospitals, especially in large-scale hospitals with more than 500 beds, increased markedly after 2010 revision of the fee for medical services performed by surgeons, few hospitals gave perquisites and/or incentives to surgeons. To prevent and avoid collapse of the surgical specialty in Japan, an improvement in the work environment of surgeons by initiation of the JSS would be required as soon as possible.

  7. Meta-Analysis of Surgeon Burnout Syndrome and Specialty Differences.

    Science.gov (United States)

    Bartholomew, Alex J; Houk, Anna K; Pulcrano, Marisa; Shara, Nawar M; Kwagyan, John; Jackson, Patrick G; Sosin, Michael

    2018-02-27

    Surgeon burnout compromises the quality of life of physicians and the delivery of care to patients. Burnout rates and interpretation of the Maslach Burnout Inventory (MBI) complicates the interpretation of surgeon burnout. The purpose of this study is to apply a standardized interpretation of severe surgeon burnout termed, "burnout syndrome" to analyze inherent variation within surgical specialties. A systematic literature search was performed using MEDLINE, PsycINFO, and EMBASE to identify studies reporting MBI data by surgical specialty. Data extraction was performed to isolate surgeon specific data. A meta-analysis was performed. A total of 16 cross-sectional studies were included in this meta-analysis, totaling 3581 subjects. A random effects model approximated burnout syndrome at 3.0% (95% CI: 2.0%-5.0%; I 2 = 78.1%). Subscale analysis of emotional exhaustion, depersonalization, and personal accomplishment indicated subscale burnout in 30.0% (CI: 25.0%-36.0%; I 2 = 93.2%), 34.0% (CI: 25.0%-43.0%; I 2 = 96.9%), and 25.0% (CI: 18.0%-32.0%; I 2 = 96.5%) of surgeons, respectively. Significant differences (p burnout termed "burnout syndrome," although surgeon burnout may occur in up to 34% of surgeons, characterized by high burnout in 1 of 3 subscales. Surgical specialties have significantly different rates of burnout subscales. Future burnout studies should target the specialty-specific level to understand inherent differences in an effort to better understand methods of improving surgeon burnout. Copyright © 2018 Association of Program Directors in Surgery. Published by Elsevier Inc. All rights reserved.

  8. The AIDA-MOX 1 program: Results of the French-Russian study on peaceful use of plutonium from dismantled Russian Nuclear weapons

    International Nuclear Information System (INIS)

    Yegorov, N.N.; Kudriavtsev, E.; Poplavsky, V.; Polyakov, A.; Ouin, X.; Camarcat, N.; Sicard, B.; Bernard, H.

    1997-01-01

    The Intergovernmental Agreement signed on November 12, 1992, between the governments of France and the Russian Federation instituted cooperation between the two countries for the safe elimination of the excess Russian nuclear weapons. France has allocated 400 million francs to this program, covering transportation and dismantling of nuclear weapons, interim storage and subsequent commercial use of the nuclear materials from the dismantled weapons, nuclear materials accountancy and safeguards, and scientific research. The concept of loading commercial Russian reactors with fuel fabricated from the plutonium recovered from dismantled nuclear weapons of the former Soviet Union is gaining widespread acceptance, and is at the heart of the French-Russian AIDA/MOX project

  9. Legal Portion in Russian Inheritance Law

    Science.gov (United States)

    Inshina, Roza; Murzalimova, Lyudmila

    2013-01-01

    In this paper the authors describe the right to inherit as one of the basic human rights guaranteed by the Constitution of the Russian Federation. The state has set rules according to which after a person's death, his or her property is inherited by other persons. The Russian civil legislation establishes the institution of legal portions that is…

  10. The Surgeon and Advocacy

    African Journals Online (AJOL)

    and how the hospital administration handles and resolves ... regard to having systems that improve patient care. Surgeons have been ... implementation of the Surgical safety checklist (9). ... aviation industry, has helped to streamline patient.

  11. Account Deletion Prediction on RuNet: A Case Study of Suspicious Twitter Accounts Active During the Russian-Ukrainian Crisis

    Energy Technology Data Exchange (ETDEWEB)

    Volkova, Svitlana; Bell, Eric B.

    2016-06-17

    Social networks are dynamically changing over time e.g., some accounts are being created and some are being deleted or become private. This ephemerality at both an account level and content level results from a combination of privacy concerns, spam, and deceptive behaviors. In this study we analyze a large dataset of 180,340 accounts active during the Russian-Ukrainian crisis to discover a series of predictive features for the removal or shutdown of a suspicious account. We find that unlike previously reported profile and net- work features, lexical features form the basis for highly accurate prediction of the deletion of an account.

  12. Surgeon-reported conflict with intensivists about postoperative goals of care.

    Science.gov (United States)

    Paul Olson, Terrah J; Brasel, Karen J; Redmann, Andrew J; Alexander, G Caleb; Schwarze, Margaret L

    2013-01-01

    To examine surgeons' experiences of conflict with intensivists and nurses about goals of care for their postoperative patients. Cross-sectional incentivized US mail-based survey. Private and academic surgical practices. A total of 2100 vascular, neurologic, and cardiothoracic surgeons. Surgeon-reported rates of conflict with intensivists and nurses about goals of care for patients with poor postsurgical outcomes. The adjusted response rate was 55.6%. Forty-three percent of surgeons reported sometimes or always experiencing conflict about postoperative goals of care with intensivists, and 43% reported conflict with nurses. Younger surgeons reported higher rates of conflict than older surgeons with both intensivists (57% vs 32%; P = .001) and nurses (48% vs 33%; P = .001). Surgeons practicing in closed intensive care units reported more frequent conflict than those practicing in open intensive care units (60% vs 41%; P = .005). On multivariate analysis, the odds of reporting conflict with intensivists were 2.5 times higher for surgeons with fewer years of experience compared with their older colleagues (odds ratio, 2.5; 95% CI, 1.6-3.8) and 70% higher for reporting conflict with nurses (odds ratio, 1.7; 95% CI, 1.1-2.6). The odds of reporting conflict with intensivists about goals of postoperative care were 40% lower for surgeons who primarily managed their intensive care unit patients than for those who worked in a closed unit (odds ratio, 0.60; 95% CI, 0.40-0.96). Surgeons regularly experience conflict with critical care clinicians about goals of care for patients with poor postoperative outcomes. Higher rates of conflict are associated with less experience and working in a closed intensive care unit.

  13. The place of ‘Russian music’ on the multicultural map of Europe

    Directory of Open Access Journals (Sweden)

    Piotrowska Anna G.

    2016-01-01

    Full Text Available Both Russian and non-Russian composers and music critics willingly used the notion of Russian exoticism to differentiate the Russian musical legacy from the (western European tradition, especially in the 19th century. At the same time, various Russian musical practices were considered to be exotic in Russia itself. In this article it is suggested that these two perceptions of Russian music influenced each other, having an impact on the formation of Russian national music. It is further claimed that Russian music served both as an internal and external tool for defining the country’s musical culture on the multicultural map of Europe.

  14. Is the balkanization of the ukrainian-russian conflict probable?

    Directory of Open Access Journals (Sweden)

    Andrey Petrovich Koshkin

    2015-09-01

    Full Text Available Objective to determine the possibility and probability of Balkanization of the UkrainianRussian intersocietal relations. Methods the need to study the main factors affecting the state of the modern RussianUkrainian conflict in its ethnopolitical dimension with the predominat focus on intersocietal relations determined the use of the historicalgenetic comparativehistorical and typological methods of investigation integrated with the systemic approach. Results the main parallels are shown that occur when comparing the ethnopolitical situation in the Balkans and above all the SerbianCroatian relations with the current RussianUkrainian conflict mainly at the level of relations of Russians and Ukrainians as ethnic groups. The ethnosocial and ethnopolitical differences of the genesis and current state of both conflicts do not provide a sufficient basis for specific predictions about the inevitable Balkanization of the RussianUkrainian conflict. Scientific novelty the article proves the inconsistency of unambiguous similes of the RussianUkrainian conflict and interethnic SerbianCroatian conflict at intersocietal and associated levels it shows the significant differences of the conflict situations that do not lead to dogmatic conclusions about the development of the RussianUkrainian relations by the Yugoslavia scenario. Practical significance the main provisions and conclusions of the article can be used in scientific and pedagogical activity in the study of ethnos and ethnicity in the analysis of ethnopolitical processes in modern Ukraine and consideration of the status and prospects of the development of RussianUkrainian relations. nbsp

  15. The Effect of Surgeon Empathy and Emotional Intelligence on Patient Satisfaction

    Science.gov (United States)

    Weng, Hui-Ching; Steed, James F.; Yu, Shang-Won; Liu, Yi-Ten; Hsu, Chia-Chang; Yu, Tsan-Jung; Chen, Wency

    2011-01-01

    We investigated the associations of surgeons' emotional intelligence and surgeons' empathy with patient-surgeon relationships, patient perceptions of their health, and patient satisfaction before and after surgical procedures. We used multi-source approaches to survey 50 surgeons and their 549 outpatients during initial and follow-up visits.…

  16. Comprehensive feedback on trainee surgeons' non-technical skills

    DEFF Research Database (Denmark)

    Spanager, Lene; Dieckmann, Peter; Beier-Holgersen, Randi

    2015-01-01

    OBJECTIVE: This study aimed to explore the content of conversations, feedback style, and perceived usefulness of feedback to trainee surgeons when conversations were stimulated by a tool for assessing surgeons' non-technical skills. METHODS: Trainee surgeons and their supervisors used the Non...... qualitatively analyzed for content and feedback style. Usefulness was investigated using a scale from 1 to 5 and written comments were qualitatively analyzed. RESULTS: Six trainees and six supervisors participated in eight feedback conversations. Eighty questionnaires (response rate 83 percent) were collected...

  17. Russian gas in the west European market

    International Nuclear Information System (INIS)

    Nikitin, B.A.

    1996-01-01

    The paper relates to the Russian supply of natural gas to the west European market. Following themes are discussed: The resource basis of the gas industry; analysis of the European gas market; projects for Russian gas supply to Europe; international co-operation

  18. The nature of surgeon human capital depreciation.

    Science.gov (United States)

    Hockenberry, Jason M; Helmchen, Lorens A

    2014-09-01

    To test how practice interruptions affect worker productivity, we estimate how temporal breaks affect surgeons' performance of coronary artery bypass grafting (CABG). Examining 188 surgeons who performed 56,315 CABG surgeries in Pennsylvania between 2006 and 2010, we find that a surgeon's additional day away from the operating room raised patients' inpatient mortality by up to 0.067 percentage points (2.4% relative effect) but reduced total hospitalization costs by up to 0.59 percentage points. Among emergent patients treated by high-volume providers, where temporal distance is most plausibly exogenous, an additional day away raised mortality risk by 0.398 percentage points (11.4% relative effect) but reduced cost by up to 1.4 percentage points. This is consistent with the hypothesis that as temporal distance increases, surgeons are less likely to recognize and address life-threatening complications. Our estimates imply additional intraprocedural treatment intensity has a cost per life-year preserved of $7871-18,500, well within conventional cost-effectiveness cutoffs. Copyright © 2014 Elsevier B.V. All rights reserved.

  19. RUSSIAN STOCK MARKET INSTITUTIONAL PARTICIPANTS: HABITUS AND PRACTICES

    Directory of Open Access Journals (Sweden)

    Boris Borisovich Podgorny

    2017-11-01

    Full Text Available The global investment experience shows that economic growth is impossible without the creation of an effective national stock market. Also, along with the solution of the funds inflow into the economy, developed stock market contributes the creation of a mass economy owners community. Economic characteristics – economy demand for credit resources (especially in sanction terms, the availability of the savings among the Russian population, rates reduction on bank deposits, – saying that “investment boom” should take place in Russia today, in which a significant part of the population must be taken mass participation in the stock market, including the way through collective investment. However, the current situation does not allow us to talk about the successful development this direction of the Russian stock market. In this article, prepared in the framework of the author’s special sociological theory «The Russian Stock Market as a Social Space» [27], presented the results of Russian stock market institutional investors study including: the statistical indicators characterizing institutional investors on the stock market were analyzed; the practices caused by the existing habitus of Russian stock market institutional investors were classified and studied. It was found that the habitus of most institutional investors participating in the Russian stock market is marked a speculative nature.

  20. Russian spent marine fuel as a global security risk

    International Nuclear Information System (INIS)

    Gussgard, K.; Reistad, O.

    2001-01-01

    Russian marine fuel is a trans-national security concern. This paper focuses on specific technical properties of Russian marine nuclear fuel especially relevant for evaluating different aspects on nuclear proliferation, in addition to risks associated with regional environmental degradation and illegal diversion of radiological substances. Russian fresh fuel for marine reactors has been involved in several significant cases of illicit trafficking of special nuclear materials. The amount and quality of nuclear materials in Russian spent marine fuel give also reason for concern. Not less than 200 marine reactor cores are ready for having their spent fuel unloaded and preliminary stored on shore in the Far East and North West of Russia, and large amounts of spent naval fuel have been stored at Russian military bases for decades. In order to assess the security risks associated with Russian spent marine fuel, this paper discusses the material attractiveness of spent fuel from all types of Russian marine reactors. The calculations are based on a model of a light water moderated Russian icebreaker reactor. The computer tool HELIOS, used for modelling the reactor and the reactor operations, has been extensively qualified by comparisons with experimental data and international benchmark problems for reactor physics codes as well as through feedback from applications. Some of these benchmarks and studies include fuel enrichments up to 90% in Russian marine reactors. Several fuel data cases are discussed in the paper, focusing especially on: 1) early fuel designs with low initial enrichment; 2) more modern fuel designs used in third and fourth generation of Russian submarines probably with intermediate enriched fuel; and 3) marine fuel with initial enrichment levels close to weapons-grade material. In each case the fuel has been burned until k eff has reached below 1. Case 1) has been evaluated, the calculations made as basis for this paper have concentrated on fuel with

  1. Russian Media Education Researches: 1950-2010

    Science.gov (United States)

    Federov, Alexander

    2010-01-01

    This article analyzed the development of Russian media education researches from 1950 to 2010 years. The list of theses of the Russian authors on the subject of Media Education is about 180 titles since 1950. Nearly 70 of them have been defended for the recent 10 years. From 1950 till 1959 six theses were defended, from 1960 till 1969--15; from…

  2. Russian Revolution: triumph or tragedy?

    Directory of Open Access Journals (Sweden)

    Drozdov Sergey Valentinovich

    2017-04-01

    Full Text Available The present paper focuses on the most important events that happened in Petrograd from February to October 1917 and radically changed the whole character of the country. The paper also deals with their participants’ actions which turned out to be critical for Russian history. The research is based on credible sources and literature. The author tries to understand how the mighty Russian Empire collapsed within several days and why the left extremists took over as a result.

  3. Russian Medieval Military Architecture

    Directory of Open Access Journals (Sweden)

    Rappoport, Pavel

    1969-12-01

    Full Text Available In Russia defensive works were not less important than in Western Europe. Russian chronicles are full of reports of the building of towns, of their siege and defence. In Ancient Russian the word town meant not a town in the modern sense, but only a fortified settlement as distinct from an unfortified one. Thus the concept town applied to medieval towns proper and to citadels, feudal castles and even fortified villages. Every population centre with a wall round it was called a town. Moreover, until the 17th century this word was frequently applied to mean the fortifications themselves.

  4. The consequences of political dictatorship for Russian science.

    Science.gov (United States)

    Soyfer, V N

    2001-09-01

    The Soviet communist regime had devastating consequences on the state of Russian twentieth century science. Country Communist leaders promoted Trofim Lysenko--an agronomist and keen supporter of the inheritance of acquired characters--and the Soviet government imposed a complete ban on the practice and teaching of genetics, which it condemned as a "bourgeois perversion". Russian science, which had previously flourished, rapidly declined, and many valuable scientific discoveries made by leading Russian geneticists were forgotten.

  5. Ergonomics in the operating room: protecting the surgeon.

    Science.gov (United States)

    Rosenblatt, Peter L; McKinney, Jessica; Adams, Sonia R

    2013-01-01

    To review elements of an ergonomic operating room environment and describe common ergonomic errors in surgeon posture during laparoscopic and robotic surgery. Descriptive video based on clinical experience and a review of the literature (Canadian Task Force classification III). Community teaching hospital affiliated with a major teaching hospital. Gynecologic surgeons. Demonstration of surgical ergonomic principles and common errors in surgical ergonomics by a physical therapist and surgeon. The physical nature of surgery necessitates awareness of ergonomic principles. The literature has identified ergonomic awareness to be grossly lacking among practicing surgeons, and video has not been documented as a teaching tool for this population. Taking this into account, we created a video that demonstrates proper positioning of monitors and equipment, and incorrect and correct ergonomic positions during surgery. Also presented are 3 common ergonomic errors in surgeon posture: forward head position, improper shoulder elevation, and pelvic girdle asymmetry. Postural reset and motion strategies are demonstrated to help the surgeon learn techniques to counterbalance the sustained and awkward positions common during surgery that lead to muscle fatigue, pain, and degenerative changes. Correct ergonomics is a learned and practiced behavior. We believe that video is a useful way to facilitate improvement in ergonomic behaviors. We suggest that consideration of operating room setup, proper posture, and practice of postural resets are necessary components for a longer, healthier, and pain-free surgical career. Copyright © 2013 AAGL. Published by Elsevier Inc. All rights reserved.

  6. Bell Discourse in Russian Culture

    Directory of Open Access Journals (Sweden)

    Элеонора Р Лассан

    2014-12-01

    Full Text Available The article focuses on the symbolic meaning of Russian ringing of bell in the Russian discourse. According to Lotman’s definition of symbol, it has dual nature: an invariant essence and its modification in relation to the cultural context. The article introduces informative and linguistic modifications of the bell topic in the Russian poetic discourse of the 19th, the 20th and the beginning of the 21st century. The author of the article provides the detailed analysis of such discursive descriptions of bell ringing as the ringing of church bells and alarm . The author arrives at the conlusion that the alarm topic prevails in contemporary poetry and this indicates the state of public dissatisfaction. In the 19th and the 20th centuries lexemes the ringing of church bells and alarm were used literally, but in the 21st century lexeme alarm acquires metaphorical meaning of call for blood.

  7. Russian oil prices: courting the world market

    International Nuclear Information System (INIS)

    Khartukov, E.M.

    1995-01-01

    The export and oil pricing of Russian crude was discussed. Russian crude and oil product exports are not yet wholly competitive with world oil markets. It was suggested that to do so, would be neither desirable nor actually possible at present. The reason for this is related to Russia's export duties regime and Russia's trade with its neighbouring countries which include the former Soviet republics. In the first half of 1995, the average border price of crude destined for those countries was US$75.04/tonne as opposed to US$114.77/tonne for crude exported to 'far-abroad', hard-currency markets. A breakdown of Russia's export duties for liquid fuels and a typical breakdown of export and domestic prices for Russian oil was provided. Russian crude is considerably under-priced mainly because of the poor state of the national refining industry which is in need of radical modernization. It was suggested that instead of globalization, it would be more appropriate to redirect the priorities of Russian energy policy towards defining optimal use of Russia's available energy potential, and rationalizing its domestic price structure first, which is the root cause of the national price problem. 5 refs., 5 tabs., 2 figs

  8. Society of Laparoendoscopic Surgeons

    Science.gov (United States)

    ... the Minimally Invasive Surgery and Therapy World. Nezhat’s History of Endoscopy In 2005 pioneering surgeon Dr. Camran Nezhat was awarded a fellowship by The American College of Obstetrics and Gynecology to research and write this important ...

  9. Radioactive waste in the Russian Federation

    International Nuclear Information System (INIS)

    Grundfelt, B.; Lindbom, B.

    1994-01-01

    The present report has been produced by Kemakta Consultants Co. under contract from the Swedish Radiation Protection Institute (SSI). The purpose of the study is to give a broad overview of the situation in the Russian Federation with regard to the production and management of radioactive waste. The report also presents an outline of possible risks for environmental and societal consequences of the current waste management practices. The study is intended to be used as a basis for discussions regarding possible international cooperative efforts for improving the waste management system in Russia. The report is mainly based on publicly available literature. In addition, information has been obtained during a two-day visit to the Bochvar Institute and the Russian Atomic Power Ministry, MinAtom, in Moscow. Complementary information has been provided by MinAtom in response to a questionnaire that was sent to MinAtom subsequent to the visit to Moscow. Staff at the Russian embassy in Stockholm has assisted in the organisation of contacts as well as with various clarifications and translations. Some of the information in this report has not been officially confirmed by the Russian authorities. 17 refs, 4 figs, 7 tabs

  10. Basic pharmacology of topical imiquimod, 5-fluorouracil, and diclofenac for the dermatologic surgeon.

    Science.gov (United States)

    Desai, Tejas; Chen, Cynthia L; Desai, Alpesh; Kirby, William

    2012-01-01

    Ultraviolet radiation (UVR) contributes to the vast majority of nonmelanoma skin cancer (NMSC). As the incidence of NMSC continues to rise, topical therapies will be used with increasing frequency. Topical therapies may benefit high-risk surgical candidates as an alternative treatment modality and may improve overall cosmesis. The most commonly employed topical therapies are imiquimod, 5-fluorouracil (5-FU), and diclofenac. To review the detailed mechanism of action and side-effect profiles of each topical therapy used to treat NMSC and to explore newly discovered actions. Uncommon adverse events are also presented. An extensive literature search was performed to describe the pharmacologic actions of imiquimod, 5-FU, and diclofenac. A keen understanding of the pharmacologic concepts of these topical therapies may aid the dermatologic surgeon in making sound choices before, during, and after surgery. © 2011 by the American Society for Dermatologic Surgery, Inc. Published by Wiley Periodicals, Inc.

  11. Ethical challenges in surgery as narrated by practicing surgeons

    Directory of Open Access Journals (Sweden)

    Nordam Ann

    2005-02-01

    Full Text Available Abstract Background The aim of this study was to explore the ethical challenges in surgery from the surgeons' point of view and their experience of being in ethically difficult situations. Methods Five male and five female surgeons at a university hospital in Norway were interviewed as part of a comprehensive investigation into the narratives of nurses and physicians about being in such situations. The transcribed interview texts were subjected to a phenomenological-hermeneutic interpretation. Results No differences in ethical reasoning between male and female surgeons were found. They reasoned in both action and relational ethical perspectives. Surgeons focused on their relationships with patients and colleagues and their moral self in descriptions of the ethical challenges in their work. Dialogue and personal involvement were important in their relationships with patients. The surgeons emphasized the importance of open dialogue, professional recognition, and an inclusive and accepting environment between colleagues. Conclusion The surgeons are personally challenged by the existential realities of human life in their relationships with patients. They realized that ethical challenges are an inherent part of performing surgery and of life itself, and say that they have to learn to "live with" these challenges in a way that is confirmed both socially and by their inner moral self. This means accepting their personal and professional limitations, being uncertain, being fallible, and being humble. Living with the ethical challenges of surgery seems to contribute to the surgeons' confidence and vulnerability in their professional identity.

  12. Russian-Indian Workshop "Radio Astronomy And Star Formation"

    Science.gov (United States)

    Zinchenko, Igor; Zemlyanukha, P.

    2017-09-01

    In recent years the Russian Foundation for Basic Research and the Department of Science and Technology of the Government of India supported several joint projects in this field. The aims of the workshop were a discussion of the results of these and other relevant projects and promotion of the further Russian-Indian cooperation in this rapidly developing area of astrophysical research. The participants of the workshop represented several Russian and Indian organizations, which have important results in this field. The scientific program included a wide range of relevant observational and theoretical studies. The organizers of the workshop hope that the vivid discussions and tight communications between the participants will lead to increasing cooperation in this field between Russian and Indian researchers.

  13. RUSSIAN LANGUAGE COURSES

    CERN Document Server

    2000-01-01

    Russian Language Courses will be given at CERN from mid-September. For details, please call the teacher, Mrs Mascha Mikhailova, tel. + 41 22 782 62 29. At CERN, please send an e-mail to esthel.laperriere@cern.ch.

  14. Investment financing in Russian financial-industrial groups

    NARCIS (Netherlands)

    Perotti, E.C.; Gelfer, S.

    1998-01-01

    We study whether Russian Financial-Industrial Groups facilitate access by Russianfirms to investment finance. We compare firms which are members of official FinancialIndustrial Groups and/or are owned by a large Russian bank with a control set of large firmscategorized by dispersed ownership or/and

  15. Regulation of the Debt Sustainability of the Russian Economy

    Science.gov (United States)

    Seleznev, Alexander Z.; Chapluk, Vladimir Z.; Sayrenko, Tatiana N.; Sorokina, Larisa N.; Pertovskaya, Maria V.; Alekseenko, Elena A.

    2016-01-01

    The relevance of the investigating problem is caused by the need to reduce the total aggregated amount of debt in Russian economy in conditions of crisis and the strengthening of external anti-Russian sanctions. In this context, the purpose of this article is to identify measures aimed to regulate debt sustainability of the Russian economy using…

  16. I. Bunin and V. Shukshin: Russian national character problem reflection

    Directory of Open Access Journals (Sweden)

    Alieva Raisa Radzhabovna

    2016-03-01

    Full Text Available The paper attempts, using the comparative method of comparative studies, to show the level of artistic content of people’s life stories of the creative intimacy of the great Russian writers I.A. Bunin and V.M. Shukshin. The article shows the writers-realists who worked in different times, in different conditions, due to a good, thorough value of the way of people’s life, the depth of creative gift, gift of «staring look», the power and the truth of the patriotic feelings were able to objectively and historically true artistic revealing of the essence of the Russian national character in its complexity, multi-unroundness ambivalence. For both writers the Russian people embody Russia, deeply beloved homeland, its powerful, life-giving strength. They expressed their admiration for the moral beauty of the Russian people, Russian nature, Russian art.

  17. Administrative prejudgment in the Russian criminal law

    Directory of Open Access Journals (Sweden)

    Akhat Akhnafovich Yunusov

    2015-03-01

    Full Text Available Objective basing on the research of formation and development of the administrative prejudgment in the Russian criminal law and comparativelegal analysis of this institution as well as the longterm experience in crime investigation to trace the problems and trends of administrative prejudgment and prove the necessity to introduce or to be more precise legalize the administrative prejudgment in the Russian criminal law. Methods the research is based on the general dialectic method of cognition comparative historical formaljuridical methods as well as special and privatelegal methods of research. Results analysis of the main problems and collisions of administrative prejudgment in the Russian criminal law the doctrine and the practice of implementation of this institution can become the basis for legalization of the administrative prejudgment in the Russian criminal law and implementing it for the crimes stipulated in the Special part of the Russian Criminal Code if they are of low or middle gravity and committed intentionally those most often occurred. The article studies the institution of the administrative prejudgment in the Russian criminal law since 1922 until present. Various researchersrsquo opinions are given for and against returning of this institution. Taking into account the criminological indicators the authors express their own opinion on legalization of the administrative prejudgment. Scientific novelty having abandoned the formal approach to the institution of the administrative prejudgment both in the Russian criminal law and in the foreign laws the authors believe that the criminal personality should be the central factor of the administrative prejudgment legalization. In this context the authors state the direct connection between the personal features of a criminal including their inclination to immoral and illegal behavior and the crime committed by them. Practical value the theoretical conclusions formulated in the research

  18. Toward late career transitioning: a proposal for academic surgeons.

    Science.gov (United States)

    Richards, Robin; McLeod, Robin; Latter, David; Keshavjee, Shaf; Rotstein, Ori; Fehlings, Michael G; Ahmed, Najma; Nathens, Avery; Rutka, James

    2017-09-01

    In the absence of a defined retirement age, academic surgeons need to develop plans for transition as they approach the end of their academic surgical careers. The development of a plan for late career transition represents an opportunity for departments of surgery across Canada to initiate a constructive process in cooperation with the key stakeholders in the hospital or institution. The goal of the process is to develop an individual plan for each faculty member that is agreeable to the academic surgeon; informs the surgical leadership; and allows the late career surgeon, the hospital, the division and the department to make plans for the future. In this commentary, the literature on the science of aging is reviewed as it pertains to surgeons, and guidelines for late career transition planning are shared. It is hoped that these guidelines will be of some value to academic programs and surgeons across the country as late career transition models are developed and adopted.

  19. Disclosure of Individual Surgeon's Performance Rates During Informed Consent

    Science.gov (United States)

    Burger, Ingrid; Schill, Kathryn; Goodman, Steven

    2007-01-01

    Objective: The purpose of the paper is to examine the ethical arguments for and against disclosing surgeon-specific performance rates to patients during informed consent, and to examine the challenges that generating and using performance rates entail. Methods: Ethical, legal, and statistical theory is explored to approach the question of whether, when, and how surgeons should disclosure their personal performance rates to patients. The main ethical question addressed is what type of information surgeons owe their patients during informed consent. This question comprises 3 related, ethically relevant considerations that are explored in detail: 1) Does surgeon-specific performance information enhance patient decision-making? 2) Do patients want this type of information? 3) How do the potential benefits of disclosure balance against the risks? Results: Calculating individual performance measures requires tradeoffs and involves inherent uncertainty. There is a lack of evidence regarding whether patients want this information, whether it facilitates their decision-making for surgery, and how it is best communicated to them. Disclosure of personal performance rates during informed consent has the potential benefits of enhancing patient autonomy, improving patient decision-making, and improving quality of care. The major risks of disclosure include inaccurate and misleading performance rates, avoidance of high-risk cases, unjust damage to surgeon's reputations, and jeopardized patient trust. Conclusion: At this time, we think that, for most conditions, surgical procedures, and outcomes, the accuracy of surgeon- and patient-specific performance rates is illusory, obviating the ethical obligation to communicate them as part of the informed consent process. Nonetheless, the surgical profession has the duty to develop information systems that allow for performance to be evaluated to a high degree of accuracy. In the meantime, patients should be informed of the quantity of

  20. Meteorological Data from the Russian Arctic, 1961-2000

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — This data set contains monthly means of meteorological observation data from Russian stations from 1961-2000 (for most stations). The Russian station observations...

  1. Support for Separatism in Ethnic Republics of the Russian Federation

    NARCIS (Netherlands)

    Hagendoorn, Louk; Poppe, Edwin; Minescu, Anca

    2008-01-01

    This study examines popular support for separatism among Russians and non-Russian titular nationalities (titulars) in 10 ethnic republics of the Russian Federation: Karelia, Komi, Tatarstan, Bashkortostan, Udmurtia, Adygea, Dagestan, Kabardino-Balkaria, Sakha-Yakutia and Tuva. A survey was carried

  2. Moscow – Third Rome as Source of Anti-Western Russian Geopolitic

    Directory of Open Access Journals (Sweden)

    Justyna Doroszczyk

    2018-06-01

    Full Text Available Moscow as the Third Rome is the basis of Russian thinking about the state and the Russian nation and also Russian geopolitics. It is a solid foundation of anti-Western tendency in Russian geopolitics. The belief about Russia’s providential mission is a tool of differentiation between the two types of civilizations and cultures – the “rotting” western world and the Russian world, which manifests as a cradle of traditional, conservative values that individualistic, materialistic Western civilisation has rejected.

  3. Description of Mexican Cleft Surgeons' Experience With Foreign Surgical Volunteer Missions in Mexico.

    Science.gov (United States)

    Schoenbrunner, Anna R; Kelley, Kristen D; Buckstaff, Taylor; McIntyre, Joyce K; Sigler, Alicia; Gosman, Amanda A

    2018-05-01

    Mexican cleft surgeons provide multidisciplinary comprehensive cleft lip and palate care to children in Mexico. Many Mexican cleft surgeons have extensive experience with foreign, visiting surgeons. The purpose of this study was to characterize Mexican cleft surgeons' domestic and volunteer practice and to learn more about Mexican cleft surgeons' experience with visiting surgeons. A cross-sectional validated e-mail survey tool was sent to Mexican cleft surgeons through 2 Mexican plastic surgery societies and the Asociación Mexicana de Labio y Paladar Hendido y Anomalías Craneofaciales, the national cleft palate society that includes plastic and maxillofacial surgeons who specialize in cleft surgery. We utilized validated survey methodology, including neutral fact-based questions and repeated e-mails to survey nonresponders to maximize validity of statistical data; response rate was 30.6% (n = 81). Mexican cleft surgeons performed, on average, 37.7 primary palate repairs per year with an overall complication rate of 2.5%; 34.6% (n = 28) of respondents had direct experience with patients operated on by visiting surgeons; 53.6% of these respondents performed corrective surgery because of complications from visiting surgeons. Respondents rated 48% of the functional outcomes of visiting surgeons as "acceptable," whereas 43% rated aesthetic outcomes of visiting surgeons as "poor"; 73.3% of respondents were never paid for the corrective surgeries they performed. Thirty-three percent of Mexican cleft surgeons believe that there is a role for educational collaboration with visiting surgeons. Mexican cleft surgeons have a high volume of primary cleft palate repairs in their domestic practice with good outcomes. Visiting surgeons may play an important role in Mexican cleft care through educational collaborations that complement the strengths of Mexican cleft surgeons.

  4. An Analysis of Ratings of Russian Banks

    NARCIS (Netherlands)

    van Soest, A.H.O.; Peresetsky, A.; Karminsky, A.M.

    2003-01-01

    Since the recent financial crisis, both the Russian business community and foreign investors have started to make more and more use of ratings of the reliability of Russian banks, i.e., their ability to meet interest and repayment commitments to the investors.In response to this, the number of

  5. Brief introduction about radiation hygiene in Russian navy

    International Nuclear Information System (INIS)

    Li Yu; Min Rui; Pan Zhen

    2005-01-01

    During long-time radiation working practice, there have been established comprehensive radiation hygiene system of technique and regulation in Russian navy. Brief introduction about radiation hygiene in Russian navy are as follows. (authors)

  6. Successful linking of the Society of Thoracic Surgeons Database to Social Security data to examine the accuracy of Society of Thoracic Surgeons mortality data.

    Science.gov (United States)

    Jacobs, Jeffrey P; O'Brien, Sean M; Shahian, David M; Edwards, Fred H; Badhwar, Vinay; Dokholyan, Rachel S; Sanchez, Juan A; Morales, David L; Prager, Richard L; Wright, Cameron D; Puskas, John D; Gammie, James S; Haan, Constance K; George, Kristopher M; Sheng, Shubin; Peterson, Eric D; Shewan, Cynthia M; Han, Jane M; Bongiorno, Phillip A; Yohe, Courtney; Williams, William G; Mayer, John E; Grover, Frederick L

    2013-04-01

    The Society of Thoracic Surgeons Adult Cardiac Surgery Database has been linked to the Social Security Death Master File to verify "life status" and evaluate long-term surgical outcomes. The objective of this study is explore practical applications of the linkage of the Society of Thoracic Surgeons Adult Cardiac Surgery Database to Social Securtiy Death Master File, including the use of the Social Securtiy Death Master File to examine the accuracy of the Society of Thoracic Surgeons 30-day mortality data. On January 1, 2008, the Society of Thoracic Surgeons Adult Cardiac Surgery Database began collecting Social Security numbers in its new version 2.61. This study includes all Society of Thoracic Surgeons Adult Cardiac Surgery Database records for operations with nonmissing Social Security numbers between January 1, 2008, and December 31, 2010, inclusive. To match records between the Society of Thoracic Surgeons Adult Cardiac Surgery Database and the Social Security Death Master File, we used a combined probabilistic and deterministic matching rule with reported high sensitivity and nearly perfect specificity. Between January 1, 2008, and December 31, 2010, the Society of Thoracic Surgeons Adult Cardiac Surgery Database collected data for 870,406 operations. Social Security numbers were available for 541,953 operations and unavailable for 328,453 operations. According to the Society of Thoracic Surgeons Adult Cardiac Surgery Database, the 30-day mortality rate was 17,757/541,953 = 3.3%. Linkage to the Social Security Death Master File identified 16,565 cases of suspected 30-day deaths (3.1%). Of these, 14,983 were recorded as 30-day deaths in the Society of Thoracic Surgeons database (relative sensitivity = 90.4%). Relative sensitivity was 98.8% (12,863/13,014) for suspected 30-day deaths occurring before discharge and 59.7% (2120/3551) for suspected 30-day deaths occurring after discharge. Linkage to the Social Security Death Master File confirms the accuracy of

  7. Corporate targeting: Nike on the Russian market

    Directory of Open Access Journals (Sweden)

    Sekulović Ana

    2006-01-01

    Full Text Available Nike Corporation is one of leading global players in sports apparel and footwear market. Strategic development of Nike Co has always been based on superior marketing and engagement of world-class sportspersons in its advertising campaigns. When USSR collapsed, Nike immediately started with penetration on Russian market. By relying on its outstanding innovativeness in product development and marketing, Nike has become one of three biggest players in the market. As its distributor for Russian market, Nike has chosen Serbia-based company, Delta Sport. The strategy of penetration on Russian market is based on four major pillars: sport marketing, public relations retail marketing and advertising. The most relevant competitors on Russian market are Reebok and Adidas. Trying to increase its market share in the Russian Federation, Nike has used following competitive advantages: global brand, retail discounts and cost decrease. Regarding further development of the company's activities on Russian market, long-term objectives are as follows: maintaining the leading position, unfurling production on whole RF and CIS territories, new contracts and improvement of contracts with existing partners, expanding of retail network, establishment of own production on RF and CIS markets, and orientation of marketing department toward "Sport Marketing". Delta Sport, as an agent of Nike Co, has certain freedom in creating business policy but it still has to comply with basic principles adopted for the whole corporation. The most important factors considered when selecting a strategy are: positive sides of firm, its goals and interests top management relationships, financial resources, personnel qualifications influence of external environment, and time factor. Delta Sport has entirely adopted these principles and also developed internal ones, which are complementary with Nike's.

  8. Influence of median surgeon operative duration on adverse outcomes in bariatric surgery.

    Science.gov (United States)

    Reames, Bradley N; Bacal, Daniel; Krell, Robert W; Birkmeyer, John D; Birkmeyer, Nancy J O; Finks, Jonathan F

    2015-01-01

    Evidence suggests that prolonged operative time adversely affects surgical outcomes. However, whether faster surgeons have better outcomes is unclear, as a surgeon׳s speed could reflect skill and efficiency, but may alternatively reflect haste. This study evaluates whether median surgeon operative time is associated with adverse surgical outcomes after laparoscopic Roux-en-Y gastric bypass. We performed a retrospective cohort study using statewide clinical registry data from the years 2006 to 2012. Surgeons were ranked by their median operative time and grouped into terciles. Multivariable logistic regression with robust standard errors was used to evaluate the influence of median surgeon operative time on 30-day surgical outcomes, adjusting for patient and surgeon characteristics, trainee involvement, concurrent procedures, and the complex interaction between these variables. A total of 16,344 patients underwent surgery during the study period. Compared to surgeons in the fastest tercile, slow surgeons required 53 additional minutes to complete a gastric bypass procedure (median [interquartile range] 139 [133-150] versus 86 [69-91], Ppatient characteristic only, slow surgeons had significantly higher adjusted rates of any complication, prolonged length of stay, emergency department visits or readmissions, and venous thromboembolism (VTE). After further adjustment for surgeon characteristics, resident involvement, and the interaction between these variables, slow surgeons had higher rates of any complication (10.5% versus 7.1%, P=.039), prolonged length of stay (14.0% versus 4.4%, P=.002), and VTE (0.39% versus .22%, P<.001). Median surgeon operative duration is independently associated with adjusted rates of certain adverse outcomes after laparoscopic Roux-en-Y gastric bypass. Improving surgeon efficiency while operating may reduce operative time and improve the safety of bariatric surgery. Copyright © 2015 American Society for Bariatric Surgery. Published by

  9. Surgeons' Leadership Styles and Team Behavior in the Operating Room.

    Science.gov (United States)

    Hu, Yue-Yung; Parker, Sarah Henrickson; Lipsitz, Stuart R; Arriaga, Alexander F; Peyre, Sarah E; Corso, Katherine A; Roth, Emilie M; Yule, Steven J; Greenberg, Caprice C

    2016-01-01

    The importance of leadership is recognized in surgery, but the specific impact of leadership style on team behavior is not well understood. In other industries, leadership is a well-characterized construct. One dominant theory proposes that transactional (task-focused) leaders achieve minimum standards and transformational (team-oriented) leaders inspire performance beyond expectations. We videorecorded 5 surgeons performing complex operations. Each surgeon was scored on the Multifactor Leadership Questionnaire, a validated method for scoring transformational and transactional leadership style, by an organizational psychologist and a surgeon researcher. Independent coders assessed surgeons' leadership behaviors according to the Surgical Leadership Inventory and team behaviors (information sharing, cooperative, and voice behaviors). All coders were blinded. Leadership style (Multifactor Leadership Questionnaire) was correlated with surgeon behavior (Surgical Leadership Inventory) and team behavior using Poisson regression, controlling for time and the total number of behaviors, respectively. All surgeons scored similarly on transactional leadership (range 2.38 to 2.69), but varied more widely on transformational leadership (range 1.98 to 3.60). Each 1-point increase in transformational score corresponded to 3 times more information-sharing behaviors (p leadership and its impact on team performance in the operating room. As in other fields, our data suggest that transformational leadership is associated with improved team behavior. Surgeon leadership development, therefore, has the potential to improve the efficiency and safety of operative care. Copyright © 2016 American College of Surgeons. Published by Elsevier Inc. All rights reserved.

  10. Russian energy prices, taxes and costs 1993

    International Nuclear Information System (INIS)

    1994-01-01

    The Russian energy industry may be the country's most promising exporter, but it is struggling to free itself from the heavy regulation and economic distortions inherited from the Soviet era. This analysis examines Russian price and tax policies as well as production costs in 1993, and their effect on supply and demand in the oil, coal, gas and electricity sectors. The study underscores the broad consensus among both Western and Russian experts that primary energy prices should be lifted to world levels. It offers a framework for addressing the great question about how fast this should be done in a country undergoing a tremendous social and political transformation

  11. Liberalization of Russian gas exports: benefits and challenges

    Directory of Open Access Journals (Sweden)

    Yakunina Alla

    2017-01-01

    Full Text Available Russian gas export liberalization has been discussed throughout the post-Soviet period. Recently, the number of Gazprom’s export monopoly advocates has been diminishing as a result of dramatic changes in both European and Russian gas markets, which are: increasing international trade in liquefied natural gas; the EU movement from long-term contracts to the commodity markets and hub pricing; substantially increased share of the non-Gazprom gas suppliers at the Russian domestic market. Although there is a potential risk of price decrease in the EU gas market in the case of the Gazprom export monopoly abolition, the benefits of the Russian gas export liberalization would be greater than losses. The gas resource base and the cost of pipeline gas production would allow Russia to improve its positions in the world market.

  12. RRDF-98. Russian reactor dosimetry file. Summary documentation

    International Nuclear Information System (INIS)

    Pashchenko, A.B.

    1999-01-01

    This document summarizes the contents and documentation of the new version of tile Russian Reactor Dosimetry File (RRDF-98) released in December 1998 by the Russian Center on Nuclear Data (CJD) at the Institute of Physics and Power Engineering, Russian Federation. This file contains the original evaluations of cross section data and covariance matrixes for 22 reactions which are used for neutron flux dosimetry by foil activation. The majority of the evaluations included in previous versions of the Russian Reactor Dosimetry Files (BOSPOR-80, RRGF-94 and RRDF-96) have been superseded by new evaluations. The evaluated cross sections of RRDF-98 averaged over 252-Cf and 235-U fission spectra are compared with relevant integral data. The data file is available from the IAEA Nuclear Data Section on diskette, cost free. (author)

  13. Practice Patterns and Job Satisfaction of Mohs Surgeons.

    Science.gov (United States)

    Kohli, Nita; Golda, Nicholas

    2018-01-01

    There is a paucity of data on Mohs surgery workforce patterns. To identify if gender differences exist in practice patterns of Mohs surgeons, factors that influence these differences, and factors influencing job satisfaction among Mohs surgeons. An electronic survey was distributed to dermatology organizations targeting members of the American College of Mohs Surgery (ACMS), from October 2015 to April 2016. Two hundred twenty-seven ACMS members responded; 37% were women. Twenty-five percent of women and 19% of men work part time. Thirty-seven percent of women practice in academia versus 22% of men. Forty-three percent of women and 23% of men identified children as a factor affecting their ability to work full time. Gender comparisons for current job satisfaction show 57% of men and 35% of women being very satisfied. Supervision/feedback/recognition adds to satisfaction at a higher rate for women (53%) than for men (29%). For both genders combined, work content, patient base, and autonomy had the highest average job satisfaction ratings. Gender differences exist in practice patterns and job satisfaction of Mohs surgeons. This study demonstrates factors that could influence job satisfaction among female Mohs surgeons-knowledge that is important to individuals who lead, mentor, or supervise female Mohs surgeons.

  14. “Frog Story” and “Map Task” in the Russian countryside

    Directory of Open Access Journals (Sweden)

    Margje Post

    2007-01-01

    Full Text Available This article reports on experimental work with speakers of standard Russian and Russian dialects on the Kola peninsula. The proposed methodology, though showing some difficulties when applied in a Russian dialectological fieldwork setting, provides data on various varieties of Russian that can prove to be a rich source for many kinds of comparative linguistic research.

  15. Designing a leadership development program for surgeons.

    Science.gov (United States)

    Jaffe, Gregory A; Pradarelli, Jason C; Lemak, Christy Harris; Mulholland, Michael W; Dimick, Justin B

    2016-01-01

    Although numerous leadership development programs (LDPs) exist in health care, no programs have been specifically designed to meet the needs of surgeons. This study aimed to elicit practicing surgeons' motivations and desired goals for leadership training to design an evidence-based LDP in surgery. At a large academic health center, we conducted semistructured interviews with 24 surgical faculty members who voluntarily applied and were selected for participation in a newly created LDP. Transcriptions of the interviews were analyzed using analyst triangulation and thematic coding to extract major themes regarding surgeons' motivations and perceived needs for leadership knowledge and skills. Themes from interview responses were then used to design the program curriculum specifically to meet the leadership needs of surgical faculty. Three major themes emerged regarding surgeons' motivations for seeking leadership training: (1) Recognizing key gaps in their formal preparation for leadership roles; (2) Exhibiting an appetite for personal self-improvement; and (3) Seeking leadership guidance for career advancement. Participants' interviews revealed four specific domains of knowledge and skills that they indicated as desired takeaways from a LDP: (1) leadership and communication; (2) team building; (3) business acumen/finance; and (4) greater understanding of the health care context. Interviews with surgical faculty members identified gaps in prior leadership training and demonstrated concrete motivations and specific goals for participating in a formal leadership program. A LDP that is specifically tailored to address the needs of surgical faculty may benefit surgeons at a personal and institutional level. Copyright © 2016 Elsevier Inc. All rights reserved.

  16. Patient perceptions of surgeon-industry relations in a military setting.

    Science.gov (United States)

    Ortiz, Dionisio; Jenne, Joel

    2014-12-01

    Investigations into the financial relationships between orthopedic surgeons and device manufacturers have recently been investigated. Despite these investigations, the public appears to maintain trust and confidence that their surgeons are acting in patients' best interest. However, patient perceptions of these relationships have not been investigated in a military treatment setting. We surveyed patients' perception of the surgeon-industry relationship in a single military treatment facility. From March 2012 to March 2013, we surveyed 282 preoperative and postoperative spine and arthroplasty patients in a single military treatment facility. Patients were eligible if they were adult TRICARE beneficiaries being followed in one of those clinics and within the age requirements. Most patients were aware of private industry involvement in the manufacture of orthopedic implants (77%). Most patients thought that it was beneficial for surgeons to serve in an advisory role to device companies (81%) and most (65%) felt that the relationship was appropriate and beneficial for patient care. A minority (29%) felt their surgeon should receive payment for this role. Most patients in the military setting had a positive view of the relationship that their surgeons had with industry, which is reflective of data obtained in the civilian literature. Reprint & Copyright © 2014 Association of Military Surgeons of the U.S.

  17. Importance of the First and the Second Russian Olympic Games for development of sports and Olympic movement in the Russian Empire

    OpenAIRE

    Лях-Породько, Олексій

    2014-01-01

    The article reveals and analyses external and internal (nation-wide and regional) factors which have affected the holding of the First Russian Olympic Games of 1913 in Kiev and the Second Russian Olympic Games of 1914 in Riga are analyzed. It was determined that sports activity in the state was considerably stirred up during 1913–1914 years. It was found that the first Russian Olympic Games directly affected development of governmental-public structure of physical training and sports, creatio...

  18. On Russian/Nordic Investment Competition in the Baltic States

    Directory of Open Access Journals (Sweden)

    Olenchenko Vladimir

    2015-06-01

    Full Text Available The researchers often overlook the relationships between Russian and Nordic investment capital; and even less attention is paid to studying the competition between the two. Yet this subject can be of particular relevance to the areas that are geographically, historically and culturally close to both Russia and the Nordic countries. Thus, the aim of this article is to understand how the competition between Russian and Nordic capital investment is played out in the Baltic States. The study discusses the principles of Russian and Nordic investment in the Baltic, and suggests ways to regulate these relations. To this end, we compare the investment conditions created in the Baltic States for both Russian and Nordic investors. The analysis shows that most of the Baltic market is controlled by the Nordic capital, which blocks the arrival of Russian investment to the Baltic States. With a nod to a number of previous studies, the authors of this article suggest some adjustments to the theory of foreign direct investment. The study will be also of practical interest to those Russian investors who are seeking entry points to the Baltic markets.

  19. Role of Surgeons in Determining Outcome of Histopathology ...

    African Journals Online (AJOL)

    Conclusion: To ensure the quality of histopathological diagnosis with minimal turnaround time, the surgeon plays a vital role by ensuring adequate and prompt fixation of tissue biopsies, put in the right container and accompanied by well labeled request cards. Keywords: Formalin, fixative, outcome, pathologist, surgeon ...

  20. Climate change and zoonotic infections in the Russian Arctic

    Directory of Open Access Journals (Sweden)

    Boris Revich

    2012-07-01

    Full Text Available Climate change in the Russian Arctic is more pronounced than in any other part of the country. Between 1955 and 2000, the annual average air temperature in the Russian North increased by 1.2°C. During the same period, the mean temperature of upper layer of permafrost increased by 3°C. Climate change in Russian Arctic increases the risks of the emergence of zoonotic infectious diseases. This review presents data on morbidity rates among people, domestic animals and wildlife in the Russian Arctic, focusing on the potential climate related emergence of such diseases as tick-borne encephalitis, tularemia, brucellosis, leptospirosis, rabies, and anthrax.

  1. Lexical Inferencing in Reading L2 Russian

    Science.gov (United States)

    Comer, William J.

    2012-01-01

    This study describes how intermediate-level first language English readers of Russian as a second language deploy lexical inferencing and other strategies when reading informational texts. Fifth-semester students of Russian performed think-alouds while reading two texts; one written for the general adult reader, and the other meant for school-age…

  2. Nuclear energy and society: Russian dimension

    International Nuclear Information System (INIS)

    Gagarinski, A.Y.

    2010-01-01

    Nuclear weapons and crisis of confidence resulting from severe accidents have both formed the attitude towards nuclear issues in the Russian minds. The current status of relations between nuclear energy and the public is still close to this politicization of nuclear energy and to the constant irrational fear of radiations. The 3 basic antinuclear arguments usually mentioned are proliferation risk, wastes and accidents. For proliferation risk it is easy to understand that a complete nuclear power phase-out would not prevent the spreading of nuclear weapons because uranium and centrifuges would still exist. For the Russian society, the issue of radioactive wastes is popular these days because the Russian parliament is considering a bill about it. The issue of radioactive wastes seems to be economically and technically solvable. The main problem is nuclear accidents. In Russia this issue is very touchy: we still remember zero-radiation events, which, when happened not very long ago, have aroused panics in whole regions. It is hard to change the idea, well spread in Russian minds that the authorities are always trying to understate the scale of negative events. Nevertheless, some recent polls show that the positive trend in the attitude towards nuclear energy is obvious as it is in most part of the world. (A.C.)

  3. Russian Register of Pregnancy and Epilepsy

    Directory of Open Access Journals (Sweden)

    D. V. Dmitrenko

    2017-01-01

    Full Text Available The use of antiepileptic drugs (AEDs during pregnancy is associated with an increased risk of congenital malformations (CMF. Information on the teratogenicity of AEDs is contradictory. The potential negative effects of new-generation AEDs are less well known. Many physicians and patients face difficulties in establishing a balance between the risk of seizures during pregnancy and that of teratogenicity in the use of AEDs. In most foreign countries, there are national and international pregnancy and epilepsy registries that make possible to centralize and systematize information on the safety of AEDs and to also give a true picture of the state of the problem.The Russian pregnancy and epilepsy register (RPER has been launched since 2017. RPER is a Russian national prospective and retrospective observational study, without interfering with the antiepileptic therapy prescribed by an attending physician to childbearing-aged patients living in the subjects of the Russian Federation. RPER is an independent research initiative and is implemented by neurologists and psychiatrists who provide assistance to women with epilepsy. The main goal of the RPER is to compare the risk of serious CMFs following the maternal intake of various AEDs and their combinations in different regions of the Russian Federation and to develop strategies for preventing CMFs. 

  4. [Improving the surgeon's image: introduction].

    Science.gov (United States)

    Tajima, Tomoo

    2004-05-01

    The number of medical students who aspire to become surgeons has been decreasing in recent years. With a vicious spiral in the decreasing number and the growing deterioration of surgeons' working conditions, there is fear of deterioration of surgical care and subsequent disintegration of overall health care in Japan. The purpose of this issue is to devise a strategy for improving surgeons' image and their working conditions to attract future medical students. However, we cannot expect a quick cure for the problem of the decreasing number of applicants for surgery since this issue is deeply related to many fundamental problems in the health care system in Japan. The challenge for surgical educators in coming years will be to solve the problem of chronic sleep deprivation and overwork of surgery residents and to develop an efficient program to meet the critical educational needs of surgical residents. To solve this problem it is necessary to ensure well-motivated surgical residents and to develop an integrated research program. No discussion of these issues would be complete without attention to the allocation of scarce medical resources, especially in relation to financial incentives for young surgeons. The authors, who are conscientious representatives of this society, would like to highlight these critical problems and issues that are particularly relevant to our modern surgical practice, and it is our sincere hope that all members of this society fully recognize these critical issues in the Japanese health care system to take leadership in improving the system. With the demonstration of withholding unnecessary medical conducts we may be able to initiate a renewal of the system and eventually to fulfill our dreams of Japan becoming a nation that can attract many patients from all over the world. Furthermore, verification of discipline with quality control and effective surgical treatment is needed to avoid criticism by other disciplines for being a self

  5. ECONOMIC ASPECTS OF RUSSIAN-GERMAN RELATIONS IN 2000-2013

    Directory of Open Access Journals (Sweden)

    Юлия Олеговна Пучинская

    2016-12-01

    Full Text Available The effective collaboration between the Russian Federation and Germany at the beginning of the 21st century would be impossible without mutually beneficial economic cooperation of the two countries. The analysis of basic stages in the economic relations, achievements and problems are considered by the author to be important for lining-up an all-round picture of the Russian-German relations in the period under review. The main purpose of this article is the consideration and analysis of the economic aspects in the Russian foreign policy towards Germany. The problem considered in the article is of current importance, because in 2000-2013 the economic collaboration of Russia and the German Federal Republic was brought to a high level, but at the same time some considerable potential of cooperation was not fulfilled. With regard to complementarity of the Russian and German economies and their centuries-old experience of collaboration and mutual financial interest, it is possible to suppose that the economic sphere in particular would be a basis of optimization of the Russian-German relations in the long term. In such a way, this article deals with the basic directions of the Russian-German economic cooperation in 2000-2013.The contractual legal base of financial relations is examined with the purpose to reveal strengths and weaknesses as well as perspective possibilities of the optimization in the Russian-German relations in the future.

  6. The Illusive Nature of ‘Russian International Law

    Directory of Open Access Journals (Sweden)

    Gleb Bogush

    2015-01-01

    Full Text Available The monograph written by Estonian international law scholar Lauri Mälksoo is impressively well-timed. The record of recent international legal developments involving Russia is striking: the annexation of Crimea and the armed conflict in Ukraine, Russia’s ‘sanctions war’ with the United States and the European Union, nonrecognition and non-compliance with the international arbitral award in the Yukos case, and earlier, in 2013, Russia’s boycott of the proceedings at the International Tribunal for the Law of the Sea. Most recently, already subsequent to the publication of Russian Approaches to International Law, in July 2015 the Russian Constitutional Court sent a message of open disregard to Strasbourg by declaring that the judgments of the European Court of Human Rights could not be implemented in Russia if they contradicted the Russian Constitution. In all these instances the Russian government relied on its own reading of international law, which appeared not only to be strikingly different from that of the vast majority of states, but often detrimental to the foundations of the discipline. One might wonder whether these events are just the excesses of authoritarian power-politics, or more fundamentally grounded. Specifically, is there any special Russian international school of legal thought (referred to below as ‘Russian international law’? And if there is, may it serve as a plausible alternative to Western-centric contemporary international law? Lauri Mälksoo’s book is the first genuine response to these questions.

  7. Russian research reactor fuel return program starts shipping fuel to Russia

    International Nuclear Information System (INIS)

    Dedik, T.; Bolshinsky, I.; Krass, A.

    2003-01-01

    For almost four years the United States (U.S), the Russian Federation (R.F.), and the International Atomic Energy Agency (IAEA) have been discussing an initiative to return Soviet/Russian-origin research reactor fuel to the Russian Federation. In a series of bilateral and trilateral meetings in Vienna and Moscow, considerable progress has been made toward defining the Russian Research Reactor Fuel Return Program as well as obtaining the necessary technical data to facilitate the return. More than 20 research reactors in 17 countries that have Soviet- or Russian-supplied fuel have identified. Most of these reactors have stocks of both fresh and irradiated HEU fuel that must be carefully stored and managed for many years to come. On September 21, 2003 the Russian Research Reactor Fuel Return program shipped 14 kg of fresh Russian-origin HEU fuel from Romania to the nuclear fuel fabrication facility in Russia, which represented the beginning of the practical implementation of the program. (author)

  8. Praising the Ruler: Panegyrical Poetry and Russian Absolutism

    Directory of Open Access Journals (Sweden)

    Joachim Klein

    2015-12-01

    Full Text Available It is difficult to overrate the importance of the panegyric tradition for early modern Russian literature. Between the middle of the 17th to the end of the 18th century, it was practiced in many different genres—almost all Russian poets praised the ruler. This poetry deserves our interest as a specific form of political literature. As such it is not only relevant for the cult of the Russian monarchs, but it also sheds some light on the political mentality of their loyal—and literate—subjects in the age of Russian absolutism. Panegyrical poetry is per definitionem a thoroughly affirmative, noncritical form of political literature. But this did not prevent it from offering a certain scope for the expression of diverse and even contradictory political ideals. This can be exemplified by the panegyrical poems written in the early 1760s in the context of the coup d’état staged by Catherine II and against the backdrop of the Russo-Prussian peace treaty initiated by her predecessor, Peter III. In this situation, a fundamental difference of opinion about the tasks of the monarch and the mission of the Russian state emerged.

  9. Astronauts Work in the Russian Zvezda Service Module

    Science.gov (United States)

    2001-01-01

    Astronauts Frank L. Culbertson, Jr. (left), Expedition Three mission commander, and Daniel W. Bursch, Expedition Four flight engineer, work in the Russian Zvezda Service Module on the International Space Station (ISS). Zvezda is linked to the Russian built Functional Cargo Block (FGB), or Zarya, the first component of the ISS. Zarya was launched on a Russian Proton rocket prior to the launch of Unity. The third component of the ISS, Zvezda (Russian word for star), the primary Russian contribution to the ISS, was launched by a three-stage Proton rocket on July 12, 2000. Zvezda serves as the cornerstone for early human habitation of the Station, providing living quarters, a life support system, electrical power distribution, a data processing system, a flight control system, and a propulsion system. It also provides a communications system that includes remote command capabilities from ground flight controllers. The 42,000 pound module measures 43 feet in length and has a wing span of 98 feet. Similar in layout to the core module of Russia's Mir space station, it contains 3 pressurized compartments and 13 windows that allow ultimate viewing of Earth and space.

  10. Work-life balance of female versus male surgeons in Hong Kong based on findings of a questionnaire designed by a Japanese surgeon.

    Science.gov (United States)

    Kwong, Ava; Chau, Wai Wang; Kawase, K

    2014-01-01

    We evaluated the attitudes of female and male surgeons in Hong Kong to work, personal life, and work-life balance, through a questionnaire survey. We sent an online questionnaire survey designed by a female Japanese surgeon to 142 female surgeons practicing in Hong Kong, while its customized version was sent to 953 of their male counterparts. "Home life" and "Work" were the first and second priorities for both the women and the men. More of the female surgeons reported that they could not find enough time to participate in community activities (p = 0.038) or rest (p = 0.024). Both reported moderate satisfaction at work (p = 0.114) and in their life outside work (p = 0.346), as well as equality at home (p = 0.548) and at work (p = 0.177). Of the men, 89 % agreed with the necessity for granting paternity leave and reported that they would like to work part-time during the child-rearing years (p = 0.013). The number of female surgeons involved in key roles is increasing in parallel with the increasing number of female medical students. The introduction of paternity leave for male surgeons is an important concern. The issues of work-life balance may need to be addressed to attract more talent into an important specialty in Hong Kong and this is likely to apply to other parts of Asia as well.

  11. Workload assessment of surgeons: correlation between NASA TLX and blinks.

    Science.gov (United States)

    Zheng, Bin; Jiang, Xianta; Tien, Geoffrey; Meneghetti, Adam; Panton, O Neely M; Atkins, M Stella

    2012-10-01

    Blinks are known as an indicator of visual attention and mental stress. In this study, surgeons' mental workload was evaluated utilizing a paper assessment instrument (National Aeronautics and Space Administration Task Load Index, NASA TLX) and by examining their eye blinks. Correlation between these two assessments was reported. Surgeons' eye motions were video-recorded using a head-mounted eye-tracker while the surgeons performed a laparoscopic procedure on a virtual reality trainer. Blink frequency and duration were computed using computer vision technology. The level of workload experienced during the procedure was reported by surgeons using the NASA TLX. A total of 42 valid videos were recorded from 23 surgeons. After blinks were computed, videos were divided into two groups based on the blink frequency: infrequent group (≤ 6 blinks/min) and frequent group (more than 6 blinks/min). Surgical performance (measured by task time and trajectories of tool tips) was not significantly different between these two groups, but NASA TLX scores were significantly different. Surgeons who blinked infrequently reported a higher level of frustration (46 vs. 34, P = 0.047) and higher overall level of workload (57 vs. 47, P = 0.045) than those who blinked more frequently. The correlation coefficients (Pearson test) between NASA TLX and the blink frequency and duration were -0.17 and 0.446. Reduction of blink frequency and shorter blink duration matched the increasing level of mental workload reported by surgeons. The value of using eye-tracking technology for assessment of surgeon mental workload was shown.

  12. Surgeons' Emotional Experience of Their Everyday Practice - A Qualitative Study.

    Directory of Open Access Journals (Sweden)

    Massimiliano Orri

    Full Text Available Physicians' emotions affect both patient care and personal well-being. Surgeons appear at particularly high risk, as evidenced by the high rate of burnout and the alarming consequences in both their personal lives and professional behavior. The aim of this qualitative study is to explore the emotional experiences of surgeons and their impact on their surgical practice.27 purposively selected liver and pancreatic surgeons from 10 teaching hospitals (23 men, 4 women participated. Inclusion took place until data saturation was reached. Data were collected through individual interviews and thematically analyzed independently by 3 researchers (a psychologist, a psychiatrist, and a surgeon. 7 themes emerged from the analysis, categorized in 3 main or superordinate themes, which described surgeons' emotional experience before, during, and after surgery. Burdensome emotions are present throughout all 3 periods (and invade life outside the hospital-surgeons' own emotions, their perception of patients' emotions, and their entwinement. The interviewees described the range of emotional situations they face (with patients, families, colleagues, the influence of the institutional framework (time pressure and fatigue, cultural pressure to satisfy the ideal image of a surgeon, as well as the emotions they feel (including especially anxiety, fear, distress, guilt, and accountability.Emotions are ubiquitous in surgeons' experience, and their exposure to stress is chronic rather than acute. Considering emotions only in terms of their relations to operative errors (as previous studies have done is limiting. Although complications are quite rare events, the concern for possible complications is an oppressive experience, regardless of whether or not they actually occur.

  13. Surgeon-nurse anesthetist collaboration advanced surgery between 1889 and 1950.

    Science.gov (United States)

    Koch, Bruce Evan

    2015-03-01

    To meet the need for qualified anesthetists, American surgeons recruited nurses to practice anesthesia during the Civil War and in the latter half of the 19th century. The success of this decision led them to collaborate with nurses more formally at the Mayo Clinic in Minnesota. During the 1890s, Alice Magaw refined the safe administration of ether. Florence Henderson continued her work improving the safety of ether administration during the first decade of the 20th century. Safe anesthesia enabled the Mayo surgeons to turn the St. Mary's Hospital into a surgical powerhouse. The prominent surgeon George Crile collaborated with Agatha Hodgins at the Lakeside Hospital in Cleveland to introduce nitrous oxide/oxygen anesthesia. Nitrous oxide/oxygen caused less cardiovascular depression than ether and thus saved the lives of countless trauma victims during World War I. Crile devised "anoci-association," an outgrowth of nitrous oxide/oxygen anesthesia. Hodgins' use of anoci-association made Crile's thyroid operations safer. Pioneering East Coast surgeons followed the lead of the surgeons at Mayo. William Halsted worked closely with Margaret Boise, and Harvey Cushing worked closely with Gertrude Gerard. As medicine became more complex, collaboration between surgeons and nurse anesthetists became routine and necessary. Teams of surgeons and nurse anesthetists advanced thoracic, cardiovascular, and pediatric surgery. The team of Evarts Graham and Helen Lamb performed the world's first pneumonectomy. Surgeon-nurse anesthetist collaboration seems to have been a uniquely American phenomenon. This collaboration facilitated both the "Golden Age of Surgery" and the profession we know today as nurse anesthesia.

  14. RRDF-98. Russian reactor dosimetry file. Summary documentation

    Energy Technology Data Exchange (ETDEWEB)

    Pashchenko, A B

    1999-03-01

    This document summarizes the contents and documentation of the new version of tile Russian Reactor Dosimetry File (RRDF-98) released in December 1998 by the Russian Center on Nuclear Data (CJD) at the Institute of Physics and Power Engineering, Russian Federation. This file contains the original evaluations of cross section data and covariance matrixes for 22 reactions which are used for neutron flux dosimetry by foil activation. The majority of the evaluations included in previous versions of the Russian Reactor Dosimetry Files (BOSPOR-80, RRGF-94 and RRDF-96) have been superseded by new evaluations. The evaluated cross sections of RRDF-98 averaged over 252-Cf and 235-U fission spectra are compared with relevant integral data. The data file is available from the IAEA Nuclear Data Section on diskette, cost free. (author) 9 refs, 22 figs, 2 tabs

  15. Ethnic Motives in Russian Mass Consciousness

    Directory of Open Access Journals (Sweden)

    Natalija Pliskevič

    2000-12-01

    Full Text Available The author examines certain finding on ethnic aspects of mass consciousness in the Russian Federation, as presented in the journal Monitoring public opinion: economic and social changes (rus. Мониторинг общественного мнения: экономические и социальные перемены, published by the All-Russian Centre for the Study of Public Opinion. The problems of national identity and ethnic tension in Russia increased after the collapse of the Soviet empire. Ethnic phobias, complexes and ambitions reached a peak in the period 1993–1995. However, by 1999–2000, according to the surveys, they returned to the 1989–1990 level. The increase until 1995 occurred during the break-down of former Soviet political and administrative relations. By 1994 negative attitudes, apart from a traditional aversion to immigrants from the Caucasus, were directed to peoples of the newly independent former Soviet republics (especially to those from the Baltic states, and to ethnic groups such as the Vietnamese, Gypsies, etc. On the other hand, the subsequent decrease in negative attitudes to other ethnic groups was not so much the result of greater tolerance or the development of civil society, but rather due to an imperial tradition of indifference to ethnic problems. According to L. Gudkov, ethnic views in 1994–1995 showed traces inherited from the Stalinist period. Gudkov found that passivity and a “victim“ complex had assumed a central position in the self-image of Russians. Such a complex serves to exonerate the subject from any feeling of personal blame or deficiency, but also leads to a nostalgic idealisation of the past and a negation of the present. The result is a social syndrome that denies action and an ethnosocial self-awareness that prevents universalisation and the development of a national identity based on the principles of civil society. The “victim“ complex fosters a feeling of threat to the

  16. Implant vendors and hospitals: competing influences over product choice by orthopedic surgeons.

    Science.gov (United States)

    Burns, Lawton R; Housman, Michael G; Booth, Robert E; Koenig, Aaron

    2009-01-01

    Vendors of hip and knee implants court orthopedic surgeons to adopt their products. Hospitals, which have to pay for these products, now court the same surgeons to help reduce the number of vendors and contain implant costs. This study measures the surgeon's perceived alignment of interests with both vendors and hospitals and gauges surgeons' exposure and receptivity to hospital cost-containment efforts. We surveyed all practicing orthopedists performing 12 or more implant procedures annually in Pennsylvania. The survey identified the surgeon's preferred vendor, tenure with that vendor, use of the vendor during residency training, receipt of financial payments from the vendor, alignment of interests with both vendor and hospital stakeholders, and exposure and receptivity to hospital cost-containment efforts. Surgeons have long-standing relationships with implant vendors, but only a small proportion receive financial payments. Surgeons align most closely with the vendor's sales representative and least closely with the hospital's purchasing manager. Paradoxically, surgeons support hospital efforts to limit the number of vendors but report that their own choice of vendor is not constrained. The major drivers of surgeons' alignment and stance toward cost containment are their tenure with and receipt of financial payments from the vendor. Hospitals face a competitive disadvantage in capturing the attention of orthopedists, compared with implant vendors. The vendors' advantage stems from historical, financial, and service benefits offered to surgeons. Hospital executives now seek to offer comparable benefits to surgeons.

  17. Excerpt from Transnational Russian-American Travel Writing

    Directory of Open Access Journals (Sweden)

    Margarita D. Marinova

    2012-06-01

    Full Text Available Margarita Marinova’s text is excerpted from her new work Transnational Russian-American Travel Writing. The work’s purpose is to examine “the diverse practices of crossing boundaries, tactics of translation, and experiences of double and multiple political and national attachments” found in a group of writings about encounters between Russians and Americans between 1865 and the Russian Revolution of 1905. (These encounters provide a prelude to the more famous American travelogue of 1930s Soviet satirical writers Ilya Ilf and Evgeny Petrov, Odnoetazhnaia Amerika [Single-Storied America]. Contrasting viewpoints on race and ethnicity form an important element of Marinova’s corpus, and one fine example is the extract shown here, which treats the encounter of Russian-Jewish revolutionary Vladimir Bogoraz (Tan with a Black American student working as a Pullman porter, and the Russian’s unwittingly humorous incapacity to view him outside of stereotypes (in a fashion that anticipates the character of the mother in Shirley Jackson’s mordant short story “After You, My Dear Alphonse”.

  18. Surveyed opinion of American trauma surgeons in management of colon injuries.

    Science.gov (United States)

    Eshraghi, N; Mullins, R J; Mayberry, J C; Brand, D M; Crass, R A; Trunkey, D D

    1998-01-01

    Primary repair or resection and anastomosis of colon wounds have been advocated in many recent studies, but the proportion of trauma surgeons accepting these recommendations is unknown. To determine the current preferences of American trauma surgeons for colon injury management. Four hundred forty-nine members of the American Association for the Surgery of Trauma were surveyed regarding their preferred management of eight types of colon wounds among three options: diverting colostomy (DC), primary repair (PR), or resection and anastomosis (RA). The influence of selected patient factors and surgeons' characteristics on the choice of management was also surveyed. Seventy-three percent of surgeons completed the survey. Ninety-eight percent chose PR for at least one type of injury. Thirty percent never selected DC. High-velocity gunshot wound was the only injury for which the majority (54%) would perform DC. More than 55% of the surgeons favored RA when the isolated colon injury was a contusion with possible devascularization, laceration greater than 50% of the diameter, or transection. Surgeons who managed five or fewer colon wounds per year chose DC more frequently (p colon wounds per year. The prevailing opinion of trauma surgeons favors primary repair or resection of colon injuries, including anastomosis of unprepared bowel. Surgeons who manage fewer colon wounds prefer colostomy more frequently.

  19. ORIGINAL ARTICLES Surgeons and HIV: South African attitudes

    African Journals Online (AJOL)

    2009-02-01

    Feb 1, 2009 ... Local policies and those from developed countries may not .... National Health Act 61 of 2003, such information (surgeon HIV ... specialist surgeon trainees established that 91% did not think .... 2008 Report on the Global AIDS ... Schulman KA, McDonald RC, Lynn LA, Frank I, Christakis NA, Schwartz JS.

  20. Russian Initiatives in Internet Governance

    Directory of Open Access Journals (Sweden)

    Sergey Sergeevich Shirin

    2014-01-01

    Full Text Available The article is devoted to the research of Russian initiatives concerning its participation in international system of Internet governance. In the research, conceptual and theoretic basis for participation of state governments in Internet governance is given, academic discourse of this issue is assessed, the review of main Russian initiatives made from 2005 (since the second stage of the World Summit on Information Society till the present day is carried out. The conclusion is made that the most successful Internet governance initiative of Russia is the implementation of cyrillic top level domains. Much less successful are Russian attempts to reconstruct existing organizational structure of Internet governance. Russian policy is assessed as a policy of preferring loud statements and PR rather than real influence on development of Internet technologies. Russia consideres Internet as political resource and tries to increase its influence on decision making process on a political, not operational level of Internet governance. The author states that federal government of the United States of America has fully lost the control on the domain name systems. These functions are going to be given to the private sector, while ICANN, which was established according to the Memorandum of Understanding/Joint Project Agreement with U.S. Department of Commerce, is becoming a truly independent international organization. Considering this, the author comes to the conclusion that political transformations for the sake of Russia are already made. He also forecast that next initiatives of Russia will be directed to the segmentation of the Internet.

  1. Communicative, Educational, Pedagogical Objectives and Planning in Russian Language Teaching

    Science.gov (United States)

    Evtyugina, Alla A.; Hasanova, Irina I.; Kotova, Svetlana S.; Sokolova, Anastasia N.; Svetkina, Irina A.

    2016-01-01

    The relevance of the problem stems from the necessity to distinctly plan educational process and set the goals for successful mastering of Russian language by foreign students in Russian higher educational institutions. The article is aimed at defining the foreign students' objectives for Russian language training, allowing them to get involved…

  2. Debts, subsidies and performance of Russian agricultural enterprises

    NARCIS (Netherlands)

    Bezlepkina, I.; Oude Lansink, A.G.J.M.

    2003-01-01

    This study evaluates the impact of capital structure and subsidizing program on technical efficiency of agricultural production on Russian farms. The agency cost, free cash flow, and credit evaluation concepts of finance theory complemented with features of Russian farming provide alternative

  3. Surgeons' Leadership Styles and Team Behavior in the Operating Room

    Science.gov (United States)

    Hu, Yue-Yung; Parker, Sarah Henrickson; Lipsitz, Stuart R; Arriaga, Alexander F; Peyre, Sarah E; Corso, Katherine A; Roth, Emilie M; Yule, Steven J; Greenberg, Caprice C

    2016-01-01

    Background The importance of leadership is recognized in surgery, but the specific impact of leadership style on team behavior is not well understood. In other industries, leadership is a well-characterized construct. One dominant theory proposes that transactional (task-focused) leaders achieve minimum standards, whereas transformational (team-oriented) leaders inspire performance beyond expectations. Study Design We video-recorded 5 surgeons performing complex operations. Each surgeon was scored on the Multifactor Leadership Questionnaire, a validated method for scoring transformational and transactional leadership style, by an organizational psychologist and a surgeon-researcher. Independent coders assessed surgeons' leadership behaviors according to the Surgical Leadership Inventory and team behaviors (information-sharing, cooperative, and voice behaviors). All coders were blinded. Leadership style (MLQ) was correlated with surgeon behavior (SLI) and team behavior using Poisson regression, controlling for time and the total number of behaviors, respectively. Results All surgeons scored similarly on transactional leadership (2.38-2.69), but varied more widely on transformational leadership (1.98-3.60). Each 1-point increase in transformational score corresponded to 3× more information-sharing behaviors (psupportive behaviors (pleadership and its impact on team performance in the OR. As in other fields, our data suggest that transformational leadership is associated with improved team behavior. Surgeon leadership development therefore has the potential to improve the efficiency and safety of operative care. PMID:26481409

  4. Productivity change of surgeons in an academic year.

    Science.gov (United States)

    Nakata, Yoshinori; Watanabe, Yuichi; Otake, Hiroshi; Nakamura, Toshihito; Oiso, Giichiro; Sawa, Tomohiro

    2015-01-01

    The goal of this study was to calculate total factor productivity of surgeons in an academic year and to evaluate the effect of surgical trainees on their productivity. We analyzed all the surgical procedures performed from April 1 through September 30, 2013 in the Teikyo University Hospital. The nonradial and nonoriented Malmquist model under the variable returns-to-scale assumptions was employed. A decision-making unit is defined as a surgeon with the highest academic rank in the surgery. Inputs were defined as the number of physicians who assisted in surgery, and the time of surgical operation from skin incision to skin closure. The output was defined as the surgical fee for each surgery. April is the beginning month of a new academic year in Japan, and we divided the study period into April to June and July to September 2013. We computed each surgeon's Malmquist index, efficiency change, and technical change. We analyzed 2789 surgical procedures that were performed by 105 surgeons. The Malmquist index of all surgeons was significantly greater than 1 (p = 0.0033). The technical change was significantly greater than 1 (p productive in the beginning months of a new academic year. The main factor of this productivity loss is considered to be surgical training. Copyright © 2014 Association of Program Directors in Surgery. Published by Elsevier Inc. All rights reserved.

  5. Study of the relationship between the development level and degree of income inequality in the Russian regions

    Directory of Open Access Journals (Sweden)

    Marina Yuryevna Malkina

    2014-06-01

    Full Text Available The subject of this article is the types of relationship between economic development and degree of income inequality in the regions of the Russian Federation. Research methods: testing the modified Kuznets hypothesis; relative deflating of regional parameters; calculating the differentiation and localization coefficients; constructing the Lorentz curves; correlation and regression analysis. Obtained results: 1 for Russian regions author discovered significant direct statistical relationship between the Gini and funds coefficients and the level of real per capita income with increasing returns, as well as less strong direct relationship between coefficients of differentiation mentioned above and the real GDP per capita with diminishing returns; 2 the “social wellbeing” coefficient is proposed and calculated for the regions, which based on localization index of real per capita income relative to the differentiation coefficient, and 3 the degree of interregional disparities in the Russian Federation is evaluated on the basis of the Gini coefficient, coefficient of variation and relative entropy for the nominal and real income and GRP per capita, and Lorenz curves for them are constructed. In this paper, author concluded: 1 presently the level of economic development of the Russian Federation regions negatively affects their income equality due to most of them are on the ascending branch of the S. Kuznets curve, 2 “social welfare” coefficient changes the positions of the middle-income regions more, than that of other regions, and 3 two factors have a positive impact on reducing the regional disparities: more ratio of total personal income to GRP in poor regions relative to rich ones (i.e. greater “social orientation” of poor regions, and positive correlation between income and the cost of living in the regions. The obtained results can be used by researchers in further testing the modified Kuznets hypothesis, as well as by local

  6. Progress of the Russian RERTR program: Development of new-type fuel elements for Russian-built research reactors

    International Nuclear Information System (INIS)

    Vatulin, A. V.; Stetskiy, Y.A.; Mishunin, V.A.; Suprun, V.B.; Dobrikova, I.V.

    2002-01-01

    The new design of pin-type fuel elements and fuel assembly on their basis for Russian research reactors has been developed. The number of following activities has been performed: computational and experimental substantiation of fuel element design; development of fabrication process of fuel elements; manufacturing of experimental assembly for lifetime in-pile tests. The relevant fuel assemblies are considered to be perspective for usage as low-enriched fuel for Russian research reactors. (author)

  7. The Glass Houses of Attending Surgeons: An Assessment of Unprofessional Behavior on Facebook Among Practicing Surgeons.

    Science.gov (United States)

    Langenfeld, Sean J; Sudbeck, Craig; Luers, Thomas; Adamson, Peter; Cook, Gates; Schenarts, Paul J

    2015-01-01

    Our recent publication demonstrated that unprofessional behavior on Facebook is common among surgical residents. In the formulation of standards and curricula to address this issue, it is important that surgical faculty lead by example. Our current study refocuses on the Facebook profiles of faculty surgeons involved in the education of general surgery residents. The American College of Surgeons (ACS) web site was used to identify general surgery residencies located in the Midwest. Departmental web sites were then searched to identify teaching faculty for the general surgery residency. Facebook was then searched to determine which faculty had profiles available for viewing by the general public. Profiles were then placed in 1 of the 3 following categories: professional, potentially unprofessional, or clearly unprofessional. A chi-square test was used to determine significance. In all, 57 residency programs were identified on the ACS web site, 100% of which provided an institutional web site listing the surgical faculty. A total of 758 general surgery faculty were identified (133 women and 625 men), of which 195 (25.7%) had identifiable Facebook accounts. In all, 165 faculty (84.6%) had no unprofessional content, 20 (10.3%) had potentially unprofessional content, and 10 (5.1%) had clearly unprofessional content. Inter-rater reliability was good (88.9% agreement, κ = 0.784). Clearly unprofessional behavior was found only in male surgeons. For male surgeons, clearly unprofessional behavior was more common among those in practice for less than 5 years (p = 0.031). Alcohol and politics were the most commonly found variables in the potentially unprofessional group. Inappropriate language and sexually suggestive material were the most commonly found variables in the clearly unprofessional group. Unprofessional behavior on Facebook is less common among surgical faculty compared with surgical residents. However, the rates remain unacceptably high, especially among men and

  8. OVERVIEW OF RUSSIAN CIVIL JUSTICE

    Directory of Open Access Journals (Sweden)

    D. Maleshin

    2016-01-01

    Full Text Available Contemporary Russian civil procedure is not a pure Continental model because it also has procedural features of the common law system, as well as some other original and exceptional features. This article examines the main aspects of Russian civil justice: its main principles; judicial organization, including the structure of the courts and the division between courts of general jurisdiction and arbitrazh (commercial courts, and the Intellectual Property Court; sources of procedural law; bar organization; the jurisdiction of the courts; actions and proceedings; legal costs; evidence; administrative procedure; class actions; enforcement proceedings; and arbitration and mediation.

  9. Assessing grooming behavior of Russian honey bees toward Varroa destructor.

    Science.gov (United States)

    The grooming behavior of Russian bees was compared to Italian bees. Overall, Russian bees had significantly lower numbers of mites than the Italian bees with a mean of 1,937 ± 366 and 5,088 ± 733 mites, respectively. This low mite population in the Russian colonies was probably due to the increased ...

  10. TRADITIONS OF RUSSIAN BUSINESS AND CORPORATE PATRIOTISM

    Directory of Open Access Journals (Sweden)

    E. A. Sverdlikova

    2017-01-01

    Full Text Available A study of employees’ loyalty to organization is usually associated with the analysis of the organizational culture, its norms, values, rules, which create a peculiar relationships the staff and the organization. In modern Russia there is an interesting symbiosis of the different epochs cultures, determining the personnel loyalty to organizations. The article represents the results of the researches received in the last decade by well-known Western and Russian sociological centers, as well as by some separate Russian sociologists. A significant feature of these studies is that they were conducted solely with the use of quantitative methods and in the format of Western corporate values and Western evaluation tools. The author research demonstrates that the corporate culture of Russian organizations, as well as the personnel loyalty, does not meet many inherent in international practice, evaluation criteria. Russian business culture is usually regarded as being in the process of becoming, to some extent, “underdeveloped” in comparison with the culture that exists in countries with strong capitalist traditions. This is not true. Over 25 years in Russia of market economy development have formed a certain system of values, incorporating values of pre-revolutionary business, ideological orientations of the Soviet era and the values that have been formed in recent years. Low degree of personnel’s loyalty towards the organizations, in this respect, is not a symptom of the cultural underdevelopment, it is a specific cultural trait of the domestic business, which has a quite rational basis and is not a subject to exclusively negative interpretation. This conclusion is based on the results of qualitative and quantitative research, conducted using methods of biographical analysis and content analysis of contemporary business periodicals. These qualitative and quantitative research methods in the analysis of the Russian corporate values determine a

  11. Best Practices During Hip Arthroscopy: Aggregate Recommendations of High-Volume Surgeons.

    Science.gov (United States)

    Gupta, Asheesh; Suarez-Ahedo, Carlos; Redmond, John M; Gerhardt, Michael B; Hanypsiak, Bryan; Stake, Christine E; Finch, Nathan A; Domb, Benjamin G

    2015-09-01

    To survey surgeons who perform a high volume of hip arthroscopy procedures regarding their operative technique, type of procedure, and postoperative management. We conducted a cross-sectional survey of 27 high-volume orthopaedic surgeons specializing in hip arthroscopy to report their preferences and practices related to their operative practice and postoperative rehabilitation protocol. All participants completed the survey in person in an anonymous fashion during a meeting of the American Hip Institute. All surgeons perform hip arthroscopy with the patient in the supine position, accessing the central compartment of the hip initially, using intraoperative fluoroscopy. All surgeons perform labral repair (100%), with the majority performing labral reconstructions (77.8%) and gluteus medius repairs (81.5%). There is variability in the type of anchors used during labral repair. Most surgeons perform capsular closure in most cases (88.9%), inject either intra-articular cortisone or platelet-rich plasma at the conclusion of the procedure (59%), and prescribe a postoperative hip brace for some or all patients (59%). There is considerable variability in rehabilitation protocols. All surgeons routinely prescribe postoperative heterotopic ossification prophylaxis to their patients, with most surgeons (88.9%) prescribing a nonsteroidal anti-inflammatory medication for 3 weeks. Forty percent of the respondents use the modified Harris Hip Score as the most important outcome measure. Consistent practices such as use of intraoperative fluoroscopy, heterotopic ossification prophylaxis, and labral repair skills were identified by surveying 27 hip arthroscopy surgeons at high-volume centers. Most of the surgeons performed routine capsular closure unless underlying conditions precluded capsular release or plication. The survey identified higher variability between surgeons regarding postoperative rehabilitation protocols and use of intra-articular pharmacologic injections at the

  12. Russian Gas Market: Entering New Era

    International Nuclear Information System (INIS)

    Mitrova, Tatiana; Molnar, Gergely

    2015-04-01

    After a period of extensive growth in the 2000's, the Russian gas industry is now facing numerous challenges. Mounting competition by independent producers and the development of new production by Gazprom, combined with stagnating domestic demand and weakening export markets, have created a situation of overproduction, made worse by western sanctions and low oil and gas prices. Expansion to the East thanks to the recent China deal is not expected to provide much relief before 2024. The coming decade will be critical for the industry and its outcome will largely depend on the government's pricing and institutional policies but the role of the state should remain essential. This document presents the key findings of the New CEDIGAZ report 'Russian Gas Market: Entering New Era'. The report analyses the ongoing changes in the Russian industry and the challenges to be met

  13. High occupational stress and low career satisfaction of Korean surgeons.

    Science.gov (United States)

    Kang, Sang Hee; Boo, Yoon Jung; Lee, Ji Sung; Han, Hyung Joon; Jung, Cheol Woong; Kim, Chong Suk

    2015-02-01

    Surgery is a demanding and stressful field in Korea. Occupational stress can adversely affect the quality of care, decrease job satisfaction, and potentially increase medical errors. The aim of this study was to investigate the occupational stress and career satisfaction of Korean surgeons. We have conducted an electronic survey of 621 Korean surgeons for the occupational stress. Sixty-five questions were used to assess practical and personal characteristics and occupational stress using the Korean occupational stress scale (KOSS). The mean KOSS score was 49.31, which was higher than the average of Korean occupational stress (45.86) or that of other specialized professions (46.03). Young age, female gender, long working hours, and frequent night duties were significantly related to the higher KOSS score. Having spouse, having hobby and regular exercise decreased the KOSS score. Multiple linear regression analysis showed that long working hours and regular exercise were the independent factors associated with the KOSS score. Less than 50% of surgeons answered that they would become a surgeon again. Most surgeons (82.5%) did not want to recommend their child follow their career. Korean Surgeons have high occupational stress and low level of career satisfaction.

  14. Can Surgeon Demographic Factors Predict Postoperative Complication Rates After Elective Spinal Fusion?

    Science.gov (United States)

    Chun, Danielle S; Cook, Ralph W; Weiner, Joseph A; Schallmo, Michael S; Barth, Kathryn A; Singh, Sameer K; Freshman, Ryan D; Patel, Alpesh A; Hsu, Wellington K

    2018-03-01

    Retrospective cohort. Determine whether surgeon demographic factors influence postoperative complication rates after elective spine fusion procedures. Surgeon demographic factors have been shown to impact decision making in the management of degenerative disease of the lumbar spine. Complication rates are frequently reported outcome measurements used to evaluate surgical treatments, quality-of-care, and determine health care reimbursements. However, there are few studies investigating the association between surgeon demographic factors and complication outcomes after elective spine fusions. A database of US spine surgeons with corresponding postoperative complications data after elective spine fusions was compiled utilizing public data provided by the Centers for Medicare and Medicaid Services (2011-2013) and ProPublica Surgeon Scorecard (2009-2013). Demographic data for each surgeon was collected and consisted of: surgical specialty (orthopedic vs. neurosurgery), years in practice, practice setting (private vs. academic), type of medical degree (MD vs. DO), medical school location (United States vs. foreign), sex, and geographic region of practice. General linear mixed models using a Beta distribution with a logit link and pairwise comparison with post hoc Tukey-Kramer were used to assess the relationship between surgeon demographics and complication rates. 2110 US-practicing spine surgeons who performed spine fusions on 125,787 Medicare patients from 2011 to 2013 met inclusion criteria for this study. None of the surgeon demographic factors analyzed were found to significantly affect overall complication rates in lumbar (posterior approach) or cervical spine fusion. Publicly available complication rates for individual spine surgeons are being utilized by hospital systems and patients to assess aptitude and gauge expectations. The increasing demand for transparency will likely lead to emphasis of these statistics to improve outcomes. We conclude that none of the

  15. Ultrasound of the acute abdomen performed by surgeons in training

    DEFF Research Database (Denmark)

    Eiberg, J.P.; Grantcharov, T.P.; Eriksen, J.R.

    2008-01-01

    , specificity and kappa-agreement of the surgeon performed ultrasound examination was 1.00 (0.77-1.00), 0.96 (0.79-0.99), 0.94 (0.3-1.00) and 0.40 (0.12-0.77), 0.97 (0.83-0.99), 0.44 (0.00-0.96); respectively. Visualization of the common bile duct was poor having 73% non-diagnostic surgeon-performed ultrasound...... perform valid abdominal ultrasound examinations of patients referred with acute abdominal pain. METHODS: Patients referred with acute abdominal pain had an ultrasound examination by a surgeon in training as well as by an experienced consultant radiologist whose results served as the gold standard. All...... participating surgeons were without any pre-existing ultrasound experience and received one hour of introduction to abdominal ultrasound. RESULTS: Thirty patients underwent 40 surgeon performed and 30 radiologist performed ultrasound examinations. Regarding gallstone and cholecholecystitis the sensitivity...

  16. Surgeon distress as calibrated by hours worked and nights on call.

    Science.gov (United States)

    Balch, Charles M; Shanafelt, Tait D; Dyrbye, Lotte; Sloan, Jeffrey A; Russell, Thomas R; Bechamps, Gerald J; Freischlag, Julie A

    2010-11-01

    The relationships of working hours and nights on call per week with various parameters of distress among practicing surgeons have not been previously examined in detail. More than 7,900 members of the American College of Surgeons responded to an anonymous, cross-sectional survey. The survey included self-assessment of their practice setting, a validated depression screening tool, and standardized assessments of burnout and quality of life. There was a clear gradient between hours and burnout, with the prevalence of burnout ranging from 30% for surgeons working hours/week, 44% for 60 to 80 hours/week, and 50% for those working >80 hours/week (p hours and nights on call (both p worked >80 hours/week reported a higher rate of medical errors compared with those who worked hours/week (10.7% versus 6.9%; p work and home conflicts were higher among surgeons who worked longer hours or had ≥2 nights on call. A significantly higher proportion of surgeons who worked >80 hours/week or had >2 nights on call/week would not become a surgeon again (p hours worked and nights on call per week appear to have a substantial impact on surgeons, both professionally and personally. These factors are strongly related to burnout, depression, career satisfaction, and work and home conflicts. Copyright © 2010 American College of Surgeons. Published by Elsevier Inc. All rights reserved.

  17. Body dysmorphia, self-mutilation and the reconstructive surgeon.

    Science.gov (United States)

    Chan, James Kwok-Kwan; Jones, Sophie M; Heywood, Anthony J

    2011-01-01

    Body dysmorphic disorder (BDD) is a disabling preoccupation with a slight or an imagined defect in appearance. It is recognised in some patients who present to the plastic surgeon requesting multiple cosmetic procedures. Very rarely, BDD patients may wish for amputation of a healthy limb and may even mutilate themselves deliberately in order to necessitate amputation. These patients pose a diagnostic challenge as BDD is uncommon and they are often uncooperative whilst appearing mentally sound. Furthermore, they raise difficult ethical and legal issues for the surgeon. Although there is some guidance for the management of BDD patients seeking elective amputation, there is currently none for the management of those who present in the emergency setting. Illustrated by the case of a man who, having failed to find a complicit surgeon, attempted self-amputation of the hand, we review the relevant ethical, legal and management issues with advice by the British Medical Association and General Medical Council. Copyright © 2010 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved.

  18. Researching Informal Labour Migration: Russian Realities

    Directory of Open Access Journals (Sweden)

    Lev Perepelkin

    2006-09-01

    Full Text Available Modern Russian society is affected by “non-resident informal employment”: a regular productive activity that is not firmly and officially registered in accordance with Russian foreign labour regulations. A specific characteristic of this phenomenon in Russia is that the multimillion flow of CIS working age citizens enters Russia absolutely legally, but with the intention of working in the so-called shadow or semi-legal economy. The authors’ main aim is to present a complex and balanced evaluation of the situation. On one hand they argue that this labour migration was of some use to Russia, i.e. in the early 1990’s large groups of “informal” foreign workers filled an economic niche, unpopular among local labour force (construction and repair, small sized retail trade etc. and thus enabled to solve the deficit in many services and satisfy needs for basic products. On the other hand, a negative reflection of such shadow employment exceeded all of its conjuncture benefits from post-soviet “gastarbeiter” labour.. The permanency of these migration contingents undermines the Russian labour market, not only from the point of wages and working conditions. It provides and maintains not only unfair labour practices, but also the deterioration of common morals and ethics: the devaluation of positive values, the predominance of cynic pragmatism in Russian people and legislative nihilism.

  19. The paediatric surgeon and his working conditions in Francophone sub-Saharan Africa

    Directory of Open Access Journals (Sweden)

    K Gnassingbé

    2011-01-01

    Full Text Available Background: This study described the current conditions of work of paediatric surgeons in Francophone sub-Saharan Africa (FSSA and set the debate at the level of the humanist thinking in medicine. Patients and Methods: This was a multicentre study from 1 st May to 30 th October 2008. The African Society of paediatric surgeons′ directory was used to identify paediatric surgeons in the Francophone′s countries in Sub Saharan Africa. The parameters studied were number of surgeons per country, means of training, working conditions, remunerations, needs for continuous training and the research. Results: A total of 41 paediatric surgeons (68.33% responded. The average number of paediatric surgeons per country was 5. The means of training included government scholarships among 7 paediatric surgeons (17.07%, scholarship from a non-governmental organisations in 14 (34.15% and self-sponsorships in 20 (48.78%. The average salary was 450 Euros (€ (range: 120-1 400 Euros. Most of the paediatric surgeons (68.29% had internet services for continuous update courses and research. Thirty six paediatric surgeons (87.80% had no subscription to specialised scientific journals. Conclusion: The paediatric surgeon in FSSA faces many problems related to his working and living conditions that may have a negative impact on their competences.

  20. Projections of Demand for Cardiovascular Surgery and Supply of Surgeons.

    Science.gov (United States)

    Lee, Jung Jeung; Park, Nam Hee; Lee, Kun Sei; Chee, Hyun Keun; Sim, Sung Bo; Kim, Myo Jeong; Choi, Ji Suk; Kim, Myunghwa; Park, Choon Seon

    2016-12-01

    While demand for cardiovascular surgery is expected to increase gradually along with the rapid increase in cardiovascular diseases with respect to the aging population, the supply of thoracic and cardiovascular surgeons has been continuously decreasing over the past 10 years. Consequently, this study aims to achieve guidance in establishing health care policy by analyzing the supply and demand for cardiovascular surgeries in the medical service area of Korea. After investigating the actual number of cardiovascular surgeries performed using the National Health Insurance claim data of the Health Insurance Review and Assessment Service, as well as drawing from national statistics concerning the elderly population aged 65 and over, this study estimated the number of future cardiovascular surgeries by using a cell-based model. To be able to analyze the supply and demand of surgeons, the recent status of new surgeons specializing in thoracic and cardiovascular surgeries and the ratio of their subspecialties in cardiovascular surgeries were investigated. Then, while taking three different scenarios into account, the number of cardiovascular surgeons expected be working in 5-year periods was projected. The number of cardiovascular surgeries, which was recorded at 10,581 cases in 2014, is predicted to increase consistently to reach a demand of 15,501 cases in 2040-an increase of 46.5%. There was a total of 245 cardiovascular surgeons at work in 2014. Looking at 5 year spans in the future, the number of surgeons expected to be supplied in 2040 is 184, to retire is 249, and expected to be working is 309-an increase of -24.9%, 1.6%, and 26.1%, respectively compared to those in 2014. This forecasts a demand-supply imbalance in every scenario. Cardiovascular surgeons are the most central resource in the medical service of highly specialized cardiovascular surgeries, and fostering the surgeons requires much time, effort, and resources; therefore, by analyzing the various factors

  1. New ventures shape up for Russian projects

    International Nuclear Information System (INIS)

    Anon.

    1991-01-01

    This paper reports that the foreign presence in the Soviet oil industry is destined to grow as a result of ventures by Canadian, British, and French companies. Gulf Canada Resources Ltd., Calgary, last week disclosed the government of the Russian republic has granted approvals necessary to enable Gulf Canada and British Gas plc's KomiArctic Oil joint venture to begin production operations immediately. The approvals follow the registration of Komi Arctic Oil by the Minister of Finance of the Russian Federation in November, at which time it became a legally constituted independent company in Russia. Canadian Fracmaster Ltd., also of Calgary, disclosed it plans to spend $75-100 million on three new joint venture production deals in the Russian republic in 1992

  2. The Western Balkans Geopolitics and Russian Energy Politics

    Directory of Open Access Journals (Sweden)

    Muhidin Mulalic

    2014-12-01

    Full Text Available The Energy politics is today at the center of the Russian and the Western Balkans relations. It is widely known that Russia has been playing significant role in world energy supply. Therefore, Russian energy companies have taken a leading role in the promotion of their businesses in the Western Balkans. The Western Balkans region has become geostrategic partner as a transit route for the integration of Russia into the global energy world market. With regards to the transportation of gas Western Balkans as a transit route is determined to fully realize South Stream project. In contrast to “a buffer zone” role, in the past few decades the Western Balkans gained an attention from Russia and became an important geopolitical bridge towards Western Europe. Such geopolitical and geostrategic planning of Russia is apparent with regards to gas and oil. Due to Russian South Stream gas pipeline project the Western Balkans became an important European energy transforming center. These new geostrategic games over the pipeline have also revived the Russian historical interests in the Balkans. This paper aims to analyze Russian-Western Balkans relations with special emphasis on energy politics and geopolitical and geostrategic interdependence of Russia and the Western Balkans.

  3. "Signs of honor" among Russian inmates in Israel's prisons.

    Science.gov (United States)

    Shoham, Efrat

    2010-12-01

    The unique nature of Israeli society as an immigrant society has also affected the prison population in Israel. This article focuses on a social and cultural phenomenon that particularly characterizes the prisoners of Russian origin, the phenomenon of tattoos. Using postmodernist theories, the article examines the function of the tattoo among Russian prisoners and the role it plays in constructing the criminal self-identity of these inmates in Israeli prisons. The tattoos observed during 2005-2006 among the Russian prisoners in four major Israeli prisons reflect the values of the Russian criminal subculture from which they evolved and were imported. This subculture is characterized by a hierarchical class structure and manifestations of machismo, domination, defiance, rebellion, and open antagonism against the Establishment and its representatives.

  4. Discrepancies in the female pelvic medicine and reconstructive surgeon workforce.

    Science.gov (United States)

    Muffly, Tyler M; Weterings, Robbie; Barber, Mathew D; Steinberg, Adam C

    2015-01-01

    It is unclear whether the current distribution of surgeons practicing female pelvic medicine and reconstructive surgery in the United States is adequate to meet the needs of a growing and aging population. We assessed the geographic distribution of female pelvic surgeons as represented by members of the American Urogynecologic Society (AUGS) throughout the United States at the county, state, and American Congress of Obstetricians and Gynecologists district levels. County-level data from the AUGS, American Congress of Obstetricians and Gynecologists, and the United States Census were analyzed in this observational study. State and national patterns of female pelvic surgeon density were mapped graphically using ArcGIS software and 2010 US Census demographic data. In 2013, the 1058 AUGS practicing physicians represented 0.13% of the total physician workforce. There were 6.7 AUGS members available for every 1 million women and 20 AUGS members for every 1 million postreproductive-aged women in the United States. The density of female pelvic surgeons was highest in metropolitan areas. Overall, 88% of the counties in the United States lacked female pelvic surgeons. Nationwide, there was a mean of 1 AUGS member for every 31 practicing general obstetrician-gynecologists. These findings have implications for training, recruiting, and retaining female pelvic surgeons. The uneven distribution of female pelvic surgeons throughout the United States is likely to worsen as graduating female pelvic medicine and reconstructive surgery fellows continue to cluster in urban areas.

  5. Proceedings of the 5. joint Russian-American computational mathematics conference

    International Nuclear Information System (INIS)

    1997-01-01

    These proceedings contain a record of the talks presented and papers submitted by participants. The conference participants represented three institutions from the United States, Sandia National Laboratories (SNL), Los Alamos National Laboratory (LANL), Lawrence Livermore National Laboratory (LLNL), and two from Russia, Russian Federal Nuclear Center--All Russian Research Institute of Experimental Physics (RFNC-VNIIEF/Arzamas-16), and Russian Federal Nuclear Center--All Russian Research Institute of Technical Physics (RFNC-VNIITF/Chelyabinsk-70). The presentations and papers cover a wide range of applications from radiation transport to materials. Selected papers have been indexed separately for inclusion in the Energy Science and Technology Database

  6. Proceedings of the 5. joint Russian-American computational mathematics conference

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1997-12-31

    These proceedings contain a record of the talks presented and papers submitted by participants. The conference participants represented three institutions from the United States, Sandia National Laboratories (SNL), Los Alamos National Laboratory (LANL), Lawrence Livermore National Laboratory (LLNL), and two from Russia, Russian Federal Nuclear Center--All Russian Research Institute of Experimental Physics (RFNC-VNIIEF/Arzamas-16), and Russian Federal Nuclear Center--All Russian Research Institute of Technical Physics (RFNC-VNIITF/Chelyabinsk-70). The presentations and papers cover a wide range of applications from radiation transport to materials. Selected papers have been indexed separately for inclusion in the Energy Science and Technology Database.

  7. The effect of surgeon experience on outcomes of surgery for adolescent idiopathic scoliosis.

    Science.gov (United States)

    Cahill, Patrick J; Pahys, Joshua M; Asghar, Jahangir; Yaszay, Burt; Marks, Michelle C; Bastrom, Tracey P; Lonner, Baron S; Shah, Suken A; Shufflebarger, Harry L; Newton, Peter O; Betz, Randal R; Samdani, Amer F

    2014-08-20

    Single-surgeon series investigating the learning curve involved in surgery for spinal deformity may be confounded by changes in technology and techniques. Our objective with this multicenter, prospective study was to present a cross-sectional analysis of the impact of surgeon experience on surgery for adolescent idiopathic scoliosis. All posterior-only surgical procedures for adolescent idiopathic scoliosis performed in the 2007 to 2008 academic year, with a minimum of two years of patient follow-up, were included. Two groups were created on the basis of surgeon experience: a young surgeons' group, which included patients of surgeons with less than five years of experience, and an experienced surgeons' group, which included patients of surgeons with five or more years of experience. Nine surgeons (four young and five experienced) operated on a total of one hundred and sixty-five patients with adolescent idiopathic scoliosis. The surgeons' experience ranged from less than one year to thirty-six years in practice. The two groups had similar preoperative curve-magnitude measurements, SRS-22 (Scoliosis Research Society-22) scores, and distribution by Lenke curve type. There were significant operative and postoperative differences. The young surgeons fused an average of 1.2 levels more than the experienced surgeons (p = 0.045). The mean intraoperative estimated blood loss (EBL) of the young surgeons' group was more than twice that of the experienced surgeons' group (2042 mL compared with 1013 mL; p self-image (p = 0.008), and function (p adolescent idiopathic scoliosis were significantly and positively correlated with surgeon experience. Therapeutic Level III. See Instructions for Authors for a complete description of levels of evidence. Copyright © 2014 by The Journal of Bone and Joint Surgery, Incorporated.

  8. The birth of contemporary Russia out of the spirit of Russian music

    Directory of Open Access Journals (Sweden)

    Taraskin Ričard

    2006-01-01

    Full Text Available In this article, the author observes and discusses the effects of Russian history on Russian music in the second half of the XXth century. Forming part of author’s long-range persistent polemics against Russian exceptionalism and against the kind of romantic overvaluation of art, the article expresses sharp and provocative views of the main stylistic tendencies in Soviet and Russian music during and after the epoch of the Cold War, as well as after the Second Russian Revolution in 1991. Special attention is paid to the activity and works of the most prominent Russian composers of their time Andrey Volkonsky, Edison Denisov, Nikolai Keretnikov, Arvo Pärt, Elena Frisova, Sofia Gubaidulina and Alfred Schnittke.

  9. Estimation of skill of Russian mutual fund managers

    OpenAIRE

    Parshakov, Petr

    2015-01-01

    Our work is focused on Russian mutual funds managers’ skills versus luck estimating. Using bootstrap procedure we build Jensen’s alpha density for each fund. We find that only 5% of Russian equity mutual funds do have skills (in contrast to luck) to outperform the benchmark.

  10. Ironic imperialism : how Russian patriots are reclaiming postmodernism

    NARCIS (Netherlands)

    Noordenbos, Boris

    This essay analyzes the recent appearance in Russian letters of ultra-nationalist fantasies about the restoration of Russia's imperial or totalitarian status. This new trend has its roots not only in the increasingly patriotic tone of Russian society and politics, but also in the dynamics of the

  11. Disparities between resident and attending surgeon perceptions of intraoperative teaching.

    Science.gov (United States)

    Butvidas, Lynn D; Anderson, Cheryl I; Balogh, Daniel; Basson, Marc D

    2011-03-01

    This study aimed to assess attending surgeon and resident recall of good and poor intraoperative teaching experiences and how often these experiences occur at present. By web-based survey, we asked US surgeons and residents to describe their best and worst intraoperative teaching experiences during training and how often 26 common intraoperative teaching behaviors occur in their current environment. A total of 346 residents and 196 surgeons responded (51 programs; 26 states). Surgeons and residents consistently identified trainee autonomy, teacher confidence, and communication as positive, while recalling negatively contemptuous, arrogant, accusatory, or uncommunicative teachers. Residents described intraoperative teaching behaviors by faculty as substantially less frequent than faculty self-reports. Neither sex nor seniority explained these results, although women reported communicative behaviors more frequently than men. Although veteran surgeons and current trainees agree on what constitutes effective and ineffective teaching in the operating room, they disagree on how often these behaviors occur, leaving substantial room for improvement. Published by Elsevier Inc.

  12. Russian-Chinese Humanitarian Cooperation in 1990-s

    Directory of Open Access Journals (Sweden)

    E I Ganshina

    2015-12-01

    Full Text Available The article is devoted to Russian-Chinese humanitarian cooperation in the 90-ies of XX century. The author emphasizes the special importance of humanitarian cooperation between Russia and China for the promotion of national interests and the expansion of Russia's presence in China after the collapse of the USSR, as well as creating a positive image of the Russian state in China by applying the mechanism of “soft power”. The author notes that the 90-ies of XX century were the starting point of cooperation between Russia and China in the humanitarian sphere, it laid the legal foundation of Russian-Chinese humanitarian cooperation, moreover, the main directions and priorities of cooperation between the two countries in the humanitarian field have been identified. However, the author stresses that the practical realization of the objectives of the signed intergovernmental documents was carried out in an insufficiently wide format. And the main reason is the deep socio-economic crisis, which Russia had faced after the collapse of the Soviet Union, and, as a consequence, the lack of funding for joint Russian-Chinese projects in the humanitarian field.

  13. Health Information in Russian (Русский)

    Science.gov (United States)

    ... Supplements Videos & Tools You Are Here: Home → Multiple Languages → Russian (Русский) URL of this page: https://medlineplus.gov/languages/russian.html Health Information in Russian (Русский) To use ...

  14. Knowledge and opinions on oncoplastic surgery among breast and plastic surgeons

    DEFF Research Database (Denmark)

    Carstensen, Lena; Rose, Michael; Bentzon, Niels

    2015-01-01

    symmetrisation procedures were performed by plastic surgeons. Breast surgeons had sought more specific education, both international observerships and specific courses. In both groups of surgeons, the majority expressed that both tumour removal and reconstruction should be performed by doctors of their own...... of implementation of OPS in Denmark. METHODS: An electronic questionnaire was sent to breast and plastic surgeons performing breast cancer treatment. The questionnaire included demographics, education, experience with operative procedures and opinions on OPS. RESULTS: The questionnaire was sent to 50 breast...

  15. Businessmen v. Investigators: who is responsible for the Poor Russian Investment Climate?

    Directory of Open Access Journals (Sweden)

    Dmitry Gololobov

    2014-01-01

    Full Text Available This article aims to examine the extent to which Russian investigations into economic and financial crimes are influenced by such factors as systemic problems with Russian gatekeepers, the absence of a formal corporate whistle-blowing mechanism and the continuous abuse of the law by the Russian business community. The traditional critical approach to the quality and effectiveness of Russian economic and financial investigations does not produce positive results and needs to be reformulated by considering the opinions of entrepreneurs. The author considers that forcing Russian entrepreneurs, regardless of the size of their business, to comply with Russian laws and regulations may be a more efficient way to develop the business environment than attempting to gradually improve the Russian judicial system. It is also hardly possible to expect the Russian investigatory bodies to investigate what are effectively complex economic and financial crimes in the almost complete absence of a developed whistle-blowing culture. Such a culture has greatly contributed to the success of widely-publicised corporate and financial investigations in the United States and Europe. The poor development of the culture of Russian gatekeepers and the corresponding regulatory environment is one more significant factor that permanently undermines the effectiveness of economic investigations and damages the investment climate.

  16. SEARCH OF NATIONAL STYLE IN RUSSIAN ARCHITECTURE IN XIX - EARLY XX CENTURIES

    Directory of Open Access Journals (Sweden)

    Татьяна Сергеевна Семичевская

    2016-12-01

    Full Text Available This article deals with the process of establishment and development the Russian revival style in Russian Empire’s architecture of the 19th - early 20th centuries. During this period Russian society experienced intense changes that included innovations in technology, engineering and the art of building. Taking its origin from “Russian-byzantine” style in orthodox church building, the Russian revival style developed as a mixture of tradition and innovation. This eclectic style was inspired by the romantic revival movement of Western Europe and based on the interest in the historic monuments of the nation, especially in examples of pre-Peterine Russian architecture of the 17th century. The historicism of Russian Revival style resonated with the popular nationalism and pan-Slavism of the period. New style became a manifestation of the Russian national idea depicting in stone the specialty and uniqueness of our history and culture. Today the increasing interest to national cultural heritage actualizes the investigations of this extraordinary period of creativity represented by works of such famous architects as V. Stasov, K. Thon, V. Sherwood, I. Ropet and others. The appealing to “Russian-byzantine” style in modern church construction shows the power and vitality of its creative impulse.

  17. Adaptation of Russian Christian Names into the Mari Language

    Directory of Open Access Journals (Sweden)

    Alexander L. Pustyakov

    2017-11-01

    Full Text Available This article analyses the phonetic and morphological adaptation of Christian personal names in the Mari language. The work examines personal names recorded in different regions among the Mari. The composition of the presented data is not exhaustive; it does, however, allow one to observe some general patterns of the adaptation process. The main part of the article is preceded by a brief overview of the Christianization of the Mari region and the contacts between the Mari and the Russian-speaking population; the features of the local dialects of the Russian language are briefly stated. The Mari language incorporated a significant number of Russian names. The source of loans included, besides the standard church name forms, also the numerous varieties found in the Russian dialects. As part of the study, phonetic, structural changes of Christian names in the Mari language are revealed and the reasons for the majority of these transformations are identified. The author also pays attention to the intermediary role of the neighbouring Turkic languages in the penetration of Russian names into the Mari language. Changes in borrowed names were induced by internal Mari linguistic rules, as well as dialectal features of the local Russian dialects. The identification of systematic phonetic and structural transformations helps to determine the origin of obscure anthroponyms.

  18. THE ROLE OF THE RUSSIANS OF TAJIKISTAN IN TRANSFORMING TAJIK SOCIETY

    Directory of Open Access Journals (Sweden)

    L. Yu. Nikolaeva

    2015-01-01

    Full Text Available The Russian population of Tajikistan has traditionally played a prominent role in political, economic, cultural and scientifi c development of the country despite the fact that Russian diaspora has always lacked consolidation. However the collapse of the USSR was followed by increasing deprivation of the Russians insofar as they adapt slowly to a new political and socio-economic system of Tajikistan, feel discriminated, are classifi ed as “poor” and tend to migrate to Russia. According to the author, the problem of the Russians in Tajikistan is a part of a broader “Russian problem of the XXIth century” and stresses the necessity to develop a national policy strategy of Russia.

  19. Emergent management of postpartum hemorrhage for the general and acute care surgeon

    Directory of Open Access Journals (Sweden)

    Blankenship Charles L

    2009-11-01

    Full Text Available Abstract Background Postpartum hemorrhage is one of the rare occasions when a general or acute care surgeon may be emergently called to labor and delivery, a situation in which time is limited and the stakes high. Unfortunately, there is generally a paucity of exposure and information available to surgeons regarding this topic: obstetric training is rarely found in contemporary surgical residency curricula and is omitted nearly completely from general and acute care surgery literature and continuing medical education. Methods The purpose of this manuscript is to serve as a topic specific review for surgeons and to present a surgeon oriented management algorithm. Medline and Ovid databases were utilized in a comprehensive literature review regarding the management of postpartum hemorrhage and a management algorithm for surgeons developed based upon a collaborative panel of general, acute care, trauma and obstetrical surgeons' review of the literature and expert opinion. Results A stepwise approach for surgeons of the medical and surgical interventions utilized to manage and treat postpartum hemorrhage is presented and organized into a basic algorithm. Conclusion The manuscript should promote and facilitate a more educated, systematic and effective surgeon response and participation in the management of postpartum hemorrhage.

  20. A Worldwide Survey on Peyronie's Disease Surgical Practice Patterns Among Surgeons.

    Science.gov (United States)

    Chung, Eric; Wang, Run; Ralph, David; Levine, Laurence; Brock, Gerald

    2018-04-01

    Despite published guidelines on Peyronie's disease (PD), there are limited data on actual surgical practice among surgeons. To evaluate the surgical practice patterns in PD among surgeons from different continents and members of various sexual medicine societies. An anonymous survey on various pre-, intra-, and postoperative aspects of PD surgical care was distributed in printed format during International Society of Sexual Medicine meetings and as an online survey to International Society of Sexual Medicine members. 390 surgeons responded to the survey, with great variations in pre-, intra-, and postoperative strategies in PD surgical care. Most surgeons performed fewer than 10 penile plications and 10 graft surgeries per year. Modified Nesbit plication was the preferred option by most surgeons. Surgeons who received fellowship training were more likely to perform autologous than allograft surgery (odds ratio = 1.79, 95% CI = 1.13-2.82, P = .01). The use of penile color duplex ultrasound was inconsistently performed, with higher-volume surgeons (ie, >20 cases operated a year) more likely to use this diagnostic modality (odds ratio = 70.18, 95% CI = 20.99-234.6, P worldwide survey study has the potential to assist in the formation of a new practice guideline and serve as the basis for future prospective multinational studies. This is one of the largest surveys on PD practice and, to our knowledge, the only survey conducted across various sexual medicine societies, with the inclusion of many high-volume and experienced PD surgeons. This also is the 1st study to comprehensively evaluate many key aspects in surgical practice patterns for PD. However, the categorization on the questionnaire used in this survey was not designed to allow for direct comparison given the possibility of some surgeons with dual society memberships, reporting biases, large CIs in outcomes, different patient demographics, and cultural acceptance. There is great variation in surgical

  1. [How much business management does a surgeon need?].

    Science.gov (United States)

    Bork, U; Koch, M; Büchler, M W; Weitz, J

    2010-08-01

    The present day healthcare system in Germany is rapidly changing, even more so after the introduction of diagnosis-related groups. The basic requirements for every surgeon remain manual skills, a profound clinical knowledge and the ability for clinical decision-making even in difficult situations. However, these key elements of surgical education no longer fulfill the requirements for today's leaders in surgery. New requirements, consisting of administrative duties, strategic decision-making and department management are too complex to be made only intuitively. Nowadays surgeons also need a profound education in management skills and knowledge of economic mechanisms in order to run an efficient, profitable, patient-oriented surgical department. Every surgeon who aims at obtaining a leadership position should acquire the necessary knowledge and skills.

  2. Meeting up-to-date safety requirements in the Russian NPP projects

    International Nuclear Information System (INIS)

    Tepkyan, G. O.; Yashkin, A. V.

    2014-01-01

    Safety features in Russian NPP designs are implemented by the combination of active and passive safety systems • Russian NPP designs are in compliance with up-to-date international and European safety requirements and refer to Generation III+ • Russian state-of-the-art designs have already implemented some design solutions, which take into account “post-Fukushima” requirements. Russian NPP design principles have been approved during the European discussions in spring 2012, including the IAEA extraordinary session addressed to Fukushima NPP accident

  3. Putin’s Russia: Russian Mentality and Sophisticated Imperialism in Military Policies

    OpenAIRE

    Szénási, Lieutenant-Colonel Endre

    2016-01-01

    According to my experiences, the Western world hopelessly fails to understand Russian mentality, or misinterprets it. During my analysis of the Russian way of thinking I devoted special attention to the examination of military mentality. I have connected the issue of the Russian way of thinking to the contemporary imperial policies of Putin’s Russia.  I have also attempted to prove the level of sophistication of both. I hope that a better understanding of both the Russian mentality and imperi...

  4. Patient Satisfaction and its Relation to Perceived Visit Duration With a Hand Surgeon.

    Science.gov (United States)

    Parrish, Raymond C; Menendez, Mariano E; Mudgal, Chaitanya S; Jupiter, Jesse B; Chen, Neal C; Ring, David

    2016-02-01

    To determine whether patient perception of time spent with a hand surgeon relates to patient satisfaction after a single new-patient office visit. Prior to each visit, 112 consecutive new patients predicted how much time they expected to spend with the surgeon. Following the visit, patients were asked to estimate the time spent with the surgeon, indicate whether the surgeon appeared rushed, and rate their overall satisfaction with the surgeon. Wait time and actual visit duration were measured. Patients also completed a sociodemographic survey, the Consultation and Relational Empathy Measure, the Newest Vital Sign Health Literacy test, and 3 Patient-Reported Outcomes Measurement Information System-based questionnaires: Upper Extremity Function, Pain Interference, and Depression. Multivariable logistic and linear regression models were used to determine predictors of patient satisfaction, patient-perceived surgeon rush, and high previsit expectations of visit duration. Patient satisfaction was not associated with perceived visit duration but did correlate strongly with patient-rated surgeon empathy and symptoms of depression. Neither visit duration nor previsit expectations of visit length were determinants of patient-perceived surgeon rush. Only surgeon empathy was associated. Less-educated patients anticipated needing more time with the surgeon. Patient satisfaction with the surgeon and with the time spent during the office visit was primarily linked to surgeon empathy rather than to visit duration or previsit expectation of visit length. Efforts to make hand surgery office visits more patient-centered should focus on improving dialogue quality, and not necessarily on making visits longer. Copyright © 2016 American Society for Surgery of the Hand. Published by Elsevier Inc. All rights reserved.

  5. The new start for Russian-African relations

    Directory of Open Access Journals (Sweden)

    Evgeniy Nikolaevich Korendyasov

    2016-12-01

    Full Text Available Russia's return to Africa is widely discussed in the Russian and foreign scientific and expert circles, on the pages of newspapers and magazines. This covers a broad range of problems of country, regional and global scale, put forward and voiced conflicting estimates and judgments. Abroad, actively promoted the interpretation of the “return” of Russia to the continent as a new direction of neo-imperial ambitions of the new Russia and its aspirations to weaken the position of the West, “golden” its image in the developing countries, in the eyes of Africans. Author analyzes the impact of the emerging political, economic and social realities of the XXI century on the development prospects of the African continent in general, and on the Russian-African relations in particular. The author concludes that the increase in the weight and role of the continent in world politics and economy today requires a rethinking of the Russian approaches to the problems of scale Russian-African partnership and the formation of its long-term vision, building on the existing political, diplomatic and investment and the country's financial resources. The new dynamics of Russian-African relations is connected, first of all, with the development of partnerships in those areas where Russia has competitive potential, production capacities, high competence and experience. Including the development of natural resources, nuclear power and hydropower, military-technical cooperation, the establishment of satellite information and communication systems, cooperation in the sphere of education, health, the fight against epidemics, natural catastrophes. Russia is confident enough to overcome the deep recession of relations with Africa, recorded in the late 80's and 90-ies of XX century. However, it would be premature to claim that full-blooded “return” of Russia to the continent has already taken place. Scaling up comprehensive cooperation will depend, first, on the

  6. Dissecting Attending Surgeons' Operating Room Guidance: Factors That Affect Guidance Decision Making.

    Science.gov (United States)

    Chen, Xiaodong Phoenix; Williams, Reed G; Smink, Douglas S

    2015-01-01

    The amount of guidance provided by the attending surgeon in the operating room (OR) is a key element in developing residents' autonomy. The purpose of this study is to explore factors that affect attending surgeons' decision making regarding OR guidance provided to the resident. We used video-stimulated recall interviews (VSRI) throughout this 2-phase study. In Phase 1, 3 attending surgeons were invited to review separately 30 to 45 minute video segments of their prerecorded surgical operations to explore factors that influenced their OR guidance decision making. In Phase 2, 3 attending surgeons were observed and documented in the OR (4 operations, 341min). Each operating surgeon reviewed their videotaped surgical performance within 5 days of the operation to reflect on factors that affected their decision making during the targeted guidance events. All VSRI were recorded. Thematic analysis and manual coding were used to synthesize and analyze data from VSRI transcripts, OR observation documents, and field notes. A total of 255 minutes of VSRI involving 6 surgeons and 7 surgical operations from 5 different procedures were conducted. A total of 13 guidance decision-making influence factors from 4 categories were identified (Cohen's κ = 0.674): Setting (case schedule and patient morbidity), content (procedure attributes and case progress), resident (current competency level, trustworthiness, self-confidence, and personal traits), and attending surgeon (level of experience, level of comfort, preferred surgical technique, OR training philosophy, and responsibility as surgeon). A total of 5 factors (case schedule, patient morbidity, procedure attributes, resident current competency level, and trustworthiness) influenced attending surgeons' pre-OR guidance plans. "OR training philosophy" and "responsibility as surgeon" were anchor factors that affected attending surgeons' OR guidance decision-making patterns. Surgeons' OR guidance decision making is a dynamic process

  7. Comparing industry compensation of cardiothoracic surgeons and interventional cardiologists.

    Science.gov (United States)

    Parreco, Joshua; Donath, Elie; Kozol, Robert; Faber, Cristiano

    2017-02-01

    The purpose of this study was to compare payment trends between cardiothoracic surgeons and interventional cardiologists using the Open Payments website made available for the public by the Center for Medicare and Medicaid Services. Data were extracted from the second release of the Open Payments database, which includes payments made between August 1, 2013 and December 31, 2014. Total payments to individual physicians were aggregated based on specialty, region of the country, and payment type. The Gini index was calculated for each specialty to measure income disparity. A Gini index of 1 indicates all the payments went to one individual, whereas a Gini index of 0 indicates all individuals received equal payments. During the study period of interest, data were made available for 3587 (80%) cardiothoracic surgeons compared with 2957 (99%) interventional cardiologists. Mean total payments to cardiothoracic surgeons were $7770 (standard deviation, $52,608) compared with a mean of $15,221 (standard deviation, $98,828) for interventional cardiologists. The median total payments to cardiothoracic surgeons was $1050 (interquartile range, $233-$3612) compared with $1851 (interquartile range, $607-$5462) for interventional cardiologists. The overall Gini index was 0.932, whereas the Gini index was 0.862 for interventional cardiologists and 0.860 for cardiothoracic surgeons. The vast majority of interventional cardiologists and cardiothoracic surgeons received payments from drug and device manufacturers. The mean total payments to interventional cardiologists were higher than any other specialty. However, like cardiothoracic surgery, they were among the most equitably distributed compared with other specialties. Copyright © 2016 Elsevier Inc. All rights reserved.

  8. Surgeon specialization and use of sentinel lymph node biopsy for breast cancer

    Science.gov (United States)

    Yen, Tina W.F.; Laud, Purushuttom W.; Sparapani, Rodney A.; Nattinger, Ann B.

    2014-01-01

    IMPORTANCE Sentinel lymph node biopsy (SLNB) is the standard of care for axillary staging in clinically node-negative breast cancer patients. It is not known whether SLNB rates differ by surgeon expertise. If surgeons with less breast cancer expertise are less likely to offer SLNB to clinically node-negative patients, this practice pattern could lead to unnecessary axillary lymph node dissections (ALND) and lymphedema. OBJECTIVE To explore potential measures of surgical expertise (including a novel objective specialization measure – percentage of a surgeon’s operations devoted to breast cancer determined from claims) on the use of SLNB for invasive breast cancer. DESIGN Population-based prospective cohort study. Patient, tumor, treatment and surgeon characteristics were examined. SETTING California, Florida, Illinois PARTICIPANTS Elderly (65+ years) women identified from Medicare claims as having had incident invasive breast cancer surgery in 2003. MAIN OUTCOME MEASURES Type of axillary surgery performed. RESULTS Of the 1,703 women treated by 863 different surgeons, 56% underwent an initial SLNB, 37% initial ALND and 6% no axillary surgery. The median annual surgeon Medicare volume of breast cancer cases was 6 (range: 1.5–57); the median surgeon percentage of breast cancer cases was 4.6% (range: 0.7%–100%). After multivariable adjustment of patient and surgeon factors, women operated on by surgeons with higher volumes and percentages of breast cancer cases had a higher likelihood of undergoing SLNB. Specifically, women were most likely to undergo SLNB if operated on by high volume surgeons (regardless of percentage) or by lower volume surgeons with a high percentage of cases devoted to breast cancer. In addition, membership in the American Society of Breast Surgeons (OR 1.98, CI 1.51–2.60) and Society of Surgical Oncology (OR 1.59, CI 1.09–2.30) were independent predictors of women undergoing an initial SLNB. CONCLUSIONS AND RELEVANCE Patients treated

  9. Diffusion of laparoscopic cholecystectomy among general surgeons in the United States.

    Science.gov (United States)

    Escarce, J J; Bloom, B S; Hillman, A L; Shea, J A; Schwartz, J S

    1995-03-01

    Introduced in 1989, laparoscopic cholecystectomy has rapidly become the treatment of choice for symptomatic gallstones. This study describes the diffusion of laparoscopic cholecystectomy among general surgeons; assesses the importance of various reasons for surgeons adopting the procedure; and examine the influence of surgeon, practice, and health care market characteristics on the timing of adoption. The data were obtained from a survey of a national sample of surgeons. Most surgeons (81%) adopted laparoscopic cholecystectomy by early 1992. More than three fourths of adopters identified the desire to keep up with the state-of-the-art and improved patient outcomes as very or extremely important reasons for adoption. Results of proportional hazards regression analysis indicate that individual surgeons' adoption behavior generally was consistent with expected utility maximization in an uncertain new technological environment. Of particular interest, fee-for-service payment and more competitive practice settings and markets were associated with earlier adoption. These findings suggest that the "technological imperative" and surgeons' perception of the relative clinical and financial advantages of laparoscopic cholecystectomy were important reasons for the rapid diffusion of laparoscopic cholecystectomy. Policies that accelerate current trends toward payment of physicians based on salary or capitation and promote the growth of multispecialty group practice could slow the diffusion of new physician-based product innovations in health care.

  10. Trial by Jury in Russian Military Courts

    Directory of Open Access Journals (Sweden)

    Nikolai P. Kovalev

    2008-07-01

    Full Text Available One of peculiar features of the military criminal justice system in Russia is that in some cases military defendants may apply for trial by jury. Unlike the existing U.S. court-martial jury and the Russian military jury of the early 1900s (World War I period which were comprised of the members of the armed forces, in modern Russia jurors trying military defendants are civilians. This article aims to provide a brief history of military jury in Russia and identify issues of independence and impartiality in Russian military courts with participation of lay decision-makers. In particular, the article will analyze two high-profile cases which resulted in acquittals of Russian officers accused of killing several Chechen civilians during counter-terrorist operations in Chechnya.

  11. Astrophysical Russian Dolls

    OpenAIRE

    Loeb, Abraham; Imara, Nia

    2017-01-01

    Are there examples of "astrophysical Russian dolls," and what could we learn from their similarities? In this article, we list a few such examples, including disks, filaments, and clusters. We suggest that forging connections across disciplinary borders enhances our perception of beauty, while simultaneously leading to a more comprehensive understanding of the Universe.

  12. Benchmarking surgeon satisfaction at academic health centers: a nationwide comparative survey.

    Science.gov (United States)

    Drachman, D A

    1996-01-01

    Forty-six academic health centers (AHCs) belonging to the University HealthSystem consortium joined forces to compare the efficiency of their surgical services and to identify best practices. In addition to measures of operational performance, surgeon satisfaction with the surgical services provided was measured by using a standardized questionnaire. From hospital records, indicators of the efficiency of surgical services were collected in three main areas: scheduling, preoperative testing and assessment, and the intraoperative process. Responding to a mail questionnaire, a sample of surgeons rated their satisfaction with key aspects of surgical services including scheduling, operating room staff, and equipment/supplies. On the basis of a review of the operational measures and the survey results, high performers were identified. Site visits were made to several of these high performers to uncover the critical factors responsible for their success. The survey revealed distinct variations in surgeon satisfaction across the participating institutions. Numerical benchmarks were obtained for surgeon satisfaction with each key component of surgical services. Scheduling was the most important component of overall surgeon satisfaction, explaining 71% of the variance in the rating of overall satisfaction with surgical services. High operational efficiency and high surgeon satisfaction were not incompatible. Several of the participating institutions were able to achieve both. These results were disseminated to all of the participants at a national meeting as well as in written form. The surgeon satisfaction survey allowed the participants to establish benchmarks for surgeon satisfaction for each key component of the surgical services they receive. The site visits revealed several common characteristics of highly efficient surgical services. Taken by themselves, the participating institutions might have been reluctant to consider adopting these best practices for fear of

  13. THE HISTORICAL DEVELOPMENT OF TEACHING RUSSIAN LANGUAGE AS A FOREIGN LANGUAGE

    Directory of Open Access Journals (Sweden)

    Zulfiya SAHIN

    2014-05-01

    Full Text Available The purpose of this research is to explicate teaching of Russian as a foreign language throughout history: to identify the main achievements of the field, to determine methods and materials used in this area, to trace the developing process from the very begging till present days, when teaching Russian language as a foreign language became a separate specific discipline. To achieve the set purposes mentioned above the known nowadays studies on the field of teaching and learning Russian as a foreign language were investigated. Basing on obtained sources, the history of teaching Russian language as a foreign language was divided into two periods: before and after becoming separate discipline. In the article not only the main features, such as theories, methods, sources of each period were studied, but also history of teaching Russian language as a foreign language was evaluated as a unified process. Keywords: Teaching-Learning activities, Russian as a Foreign Language, Historical linguistic process

  14. Palatalization and Intrinsic Prosodic Vowel Features in Russian

    Science.gov (United States)

    Ordin, Mikhail

    2011-01-01

    The presented study is aimed at investigating the interaction of palatalization and intrinsic prosodic features of the vowel in CVC (consonant+vowel+consonant) syllables in Russian. The universal nature of intrinsic prosodic vowel features was confirmed with the data from the Russian language. It was found that palatalization of the consonants…

  15. BUCHAREST AS A CITY BRAND: HOW TO ATTRACT RUSSIAN TOURISTS

    Directory of Open Access Journals (Sweden)

    Marina OCHKOVSKAYA

    2016-05-01

    Full Text Available The aim of this paper is to investigate the attractiveness of Bucharest and its perception by Russian tourists as well as to examine the strengths and weaknesses of the city and define the idea for positioning statement for this place. Bucharest has a deep history and cultural heritage that are highly appreciated by tourists seeking cultural tourism. Moreover, Bucharest had the nickname of "Little Paris" which implied the beauty of the city. Our study focuses mainly on the target audience of Russian people who appreciate cultural heritage. According to the Russian Federal State Statistics Service (Rosstat, the number of Russians who visited Romania as tourists increased by 73% in the first quarter of 2015 (http://russtd.com/destinations/eastern-europe-loses-almost-half-russian-tourists-year. This increase is a positive sign as it means that Romania and Bucharest are becoming more and more attractive for Russian tourists. Tourists can bring many benefits to the place, both economic and social. In turn, new places with heritage can enrich tourists with new knowledge and broaden their erudition. The study allows us to understand the perception of Bucharest by Russian tourists and single out the key elements of the city of Bucharest. The key elements of the city of Bucharest are rooted in cultural heritage and authenticity, including different styles of architecture, Orthodox churches, classical and folk music, outstanding musicians and food. Bucharest might thus be offered the positioning as a mysterious authentic city revealing the coexistence of different times.To some extent this paper contributes to the understanding of the image of Bucharest in Russian tourists’ eyes, their associations and fears. It gives some insights into factors that make Russians choose touristic destinations. In addition, some ideas for the city positioning, logos and slogans can derive from this paper. The study can be useful for touristic agencies or for the Ministry

  16. Chronic stress and coping among cardiac surgeons: a single center study

    Directory of Open Access Journals (Sweden)

    Kyriakos Spiliopoulos

    2014-09-01

    Full Text Available Introduction: Cardiac surgeons stress may impair their quality of life and professional practice. Objective: To assess perceived chronic stress and coping strategies among cardiac surgeons. Methods: Twenty-two cardiac surgeons answered two self-assessment questionnaires, the Trier Inventory for Chronic Stress and the German SGV for coping strategies. Results: Participants mean age was 40±14.1 years and 13 were male; eight were senior physicians and 14 were residents. Mean values for the Trier Inventory for Chronic Stress were within the normal range. Unexperienced physicians had significantly higher levels of dissatisfaction at work, lack of social recognition, and isolation (P<0.05. Coping strategies such as play down, distraction from situation, and substitutional satisfaction were also significantly more frequent among unexperienced surgeons. "Negative" stress-coping strategies occur more often in experienced than in younger colleagues (P=0.029. Female surgeons felt more exposed to overwork (P=0.04 and social stress (P=0.03. Conclusion: Cardiac surgeons show a tendency to high perception of chronic stress phenomena and vulnerability for negative coping strategies.

  17. Projections of Demand for Cardiovascular Surgery and Supply of Surgeons

    Directory of Open Access Journals (Sweden)

    Jung Jeung Lee

    2016-12-01

    Full Text Available Background: While demand for cardiovascular surgery is expected to increase gradually along with the rapid increase in cardiovascular diseases with respect to the aging population, the supply of thoracic and cardiovascular surgeons has been continuously decreasing over the past 10 years. Consequently, this study aims to achieve guidance in establishing health care policy by analyzing the supply and demand for cardiovascular surgeries in the medical service area of Korea. Methods: After investigating the actual number of cardiovascular surgeries performed using the National Health Insurance claim data of the Health Insurance Review and Assessment Service, as well as drawing from national statistics concerning the elderly population aged 65 and over, this study estimated the number of future cardiovascular surgeries by using a cell-based model. To be able to analyze the supply and demand of surgeons, the recent status of new surgeons specializing in thoracic and cardiovascular surgeries and the ratio of their subspecialties in cardiovascular surgeries were investigated. Then, while taking three different scenarios into account, the number of cardiovascular surgeons expected be working in 5-year periods was projected. Results: The number of cardiovascular surgeries, which was recorded at 10,581 cases in 2014, is predicted to increase consistently to reach a demand of 15,501 cases in 2040—an increase of 46.5%. There was a total of 245 cardiovascular surgeons at work in 2014. Looking at 5 year spans in the future, the number of surgeons expected to be supplied in 2040 is 184, to retire is 249, and expected to be working is 309—an increase of -24.9%, 1.6%, and 26.1%, respectively compared to those in 2014. This forecasts a demand-supply imbalance in every scenario. Conclusion: Cardiovascular surgeons are the most central resource in the medical service of highly specialized cardiovascular surgeries, and fostering the surgeons requires much time

  18. MODERN TAXATION SYSTEM FORMATION IN RUSSIAN FEDERATION

    Directory of Open Access Journals (Sweden)

    Viktoria Aleksandrovna Tsokova

    2013-11-01

    Full Text Available The Russian taxation system was formed in the beginning of 90-s and experienced the evolution and sometimes revolution transformations. The state taxation system was created on the basis of the foreign countries’ experience nowever the research testifies the trends of the progressive development of the Russian taxation system elements including the national peculiarities.DOI: http://dx.doi.org/10.12731/2218-7405-2013-7-63

  19. Russian Strategic Communications and Implications for NATO

    Science.gov (United States)

    2017-04-06

    such as the electromagnetic spectrum, digital networks, and radio waves.”8 This quote is especially appropriate given that the Russians recently... citizenship may be Latvian or Estonian, their nationality is Russian. This line of thinking by the Kremlin is contrary to the “classical...But it cannot legitimately claim to protect its ethnic conationals who live in another state and hold citizenship of that state.”17 Instances like

  20. Russian Folklore as a Reflection of National Character in the Work of Boris Vysheslavtzev

    Directory of Open Access Journals (Sweden)

    Alex L. Nalepin

    2016-09-01

    Full Text Available The essay is focused on the spiritual crisis of Russian culture at the beginning of the 20th Century and on the search of philosophical alternatives to overcome the crisis within the framework of Russian philosophical thought. In particular, it highlights the work of Boris P. Vysheslavtzev, a major thinker among Russian immigrants and his studies in Russian folklore seen as reflection of Russian national character. The essay for the first time introduces new data concerning the specificity of the choice that was highly important for Russian literature and culture as it was for Russian folklore studies.

  1. What the Russian School Ought to Be Like.

    Science.gov (United States)

    Goncharov, I.

    1995-01-01

    Asserts that Russian society and Russian schools are going through a profound crisis. Maintains that the best approach to solving social and educational problems is to restore and develop national principles and group cohesion. Criticizes the United States and Japanese educational systems and calls for Russia to follow its own path. (CFR)

  2. Grammatical realization of Russian etiquette speech genres: The ...

    African Journals Online (AJOL)

    The article is devoted to the issue of grammatical approach application during the teaching of Russian etiquette speech for foreigners. In the practice of teaching Russian as a foreign language, the issues related to the development of etiquette speech genres arise at all stages of language learning, beginning with the first ...

  3. English law for the surgeon II: clinical negligence.

    Science.gov (United States)

    Jerjes, Waseem; Mahil, Jaspal; Upile, Tahwinder

    2011-12-21

    Traditionally, in the United Kingdom and Europe, the surgeon was generally not troubled by litigation from patients presenting as elective as well as emergency cases, but this aspect of custom has changed. Litigation by patients now significantly affects surgical practice and vicarious liability often affects hospitals. We discuss some fundamental legal definitions, a must to know for a surgeon, and highlight some interesting cases.

  4. Psychomotor skills assessment in practicing surgeons experienced in performing advanced laparoscopic procedures.

    Science.gov (United States)

    Gallagher, Anthony G; Smith, C Daniel; Bowers, Steven P; Seymour, Neal E; Pearson, Adam; McNatt, Steven; Hananel, David; Satava, Richard M

    2003-09-01

    Minimally invasive surgery (MIS) has introduced a new and unique set of psychomotor skills for a surgeon to acquire and master. Although assessment technologies have been proposed, precise and objective psychomotor skills assessment of surgeons performing laparoscopic procedures has not been detailed. Two hundred ten surgeons attending the 2001 annual meeting of the American College of Surgeons in New Orleans who reported having completed more than 50 laparoscopic procedures participated. Subjects were required to complete one box-trainer laparoscopic cutting task and a similar virtual reality task. These tasks were specifically designed to test only psychomotor and not cognitive skills. Both tasks were completed twice. Performance of tasks was assessed and analyzed. Demographic and laparoscopic experience data were also collected. Complete data were available on 195 surgeons. In this group, surgeons performed the box-trainer task better with their dominant hand (p psychomotor skills is now possible. Surgeons who had performed more than 50 laparoscopic procedures showed considerable variability in their performance on a simple laparoscopic and virtual reality task. Approximately 10% of surgeons tested performed the task significantly worse than the group's average performance. Studies such as this may form the methodology for establishing criteria levels and performance objectives in objective assessment of the technical skills component of determining surgical competence.

  5. Not Russian Enough: The Negotiation of Nationalism in Nineteenth-Century Russian Opera

    NARCIS (Netherlands)

    Helmers, R.M.

    2012-01-01

    Nineteenth-century Russian music has often been considered something ‘special’. This is a conviction widespread among audiences, musicians, critics and scholars alike; a belief eagerly stimulated and exploited in the marketing of this music outside Russia, and that continues to contribute to its

  6. Russian Media Educators: Case Studies Portraits

    Directory of Open Access Journals (Sweden)

    Alexander Fedorov

    2013-01-01

    Full Text Available This article is devoted to case studies of the media education works of some well knowns Russian media educators. The analysis of media educational work of the famous Russian media educators leads us to the conclusion that media education in Russia is developing, building on the synthesis of the aesthetic, socio-cultural, and practical concepts, with a focus on the development of media competence of the audience, mainly school and youth. The enthusiasts of media education, even devoid of substantial public support for its innovative projects, achieve significant and meaningful results.

  7. Crimea and the Russian-Ukrainian Conflict

    Directory of Open Access Journals (Sweden)

    Anton Bebler

    2015-03-01

    Full Text Available The recent Russian-Ukrainian dispute over Crimea attracted wide international attention. The purpose of this paper is to explain its historic, demographic, legal, political and military strategic background, its similarities with and differences from other “frozen” conflicts on the periphery of the former Soviet Union, the roles of three main parties directly involved in the Crimean conflict, its linkage with secessionist attempts in Eastern and Southern Ukraine, wider international ramifications of the conflict and the ensuing deterioration of the West’s relations with the Russian Federation.

  8. Russian blues reveal effects of language on color discrimination.

    Science.gov (United States)

    Winawer, Jonathan; Witthoft, Nathan; Frank, Michael C; Wu, Lisa; Wade, Alex R; Boroditsky, Lera

    2007-05-08

    English and Russian color terms divide the color spectrum differently. Unlike English, Russian makes an obligatory distinction between lighter blues ("goluboy") and darker blues ("siniy"). We investigated whether this linguistic difference leads to differences in color discrimination. We tested English and Russian speakers in a speeded color discrimination task using blue stimuli that spanned the siniy/goluboy border. We found that Russian speakers were faster to discriminate two colors when they fell into different linguistic categories in Russian (one siniy and the other goluboy) than when they were from the same linguistic category (both siniy or both goluboy). Moreover, this category advantage was eliminated by a verbal, but not a spatial, dual task. These effects were stronger for difficult discriminations (i.e., when the colors were perceptually close) than for easy discriminations (i.e., when the colors were further apart). English speakers tested on the identical stimuli did not show a category advantage in any of the conditions. These results demonstrate that (i) categories in language affect performance on simple perceptual color tasks and (ii) the effect of language is online (and can be disrupted by verbal interference).

  9. RUSSIAN FOREIGN POLICY AND CONGRESSES OF TROPPAU AND LAIBACH

    Directory of Open Access Journals (Sweden)

    Александр Владимирович Чернов

    2014-12-01

    Full Text Available The article describes the process of preparation and holding of congresses in Troppau and Laibach. At the beginning of 1820 there was a revolution of Spain. The Russian diplomats headed by Emperor Alexander I and J. Capodistria offered to convene the congress to develop the measures to combat the Spanish revolution. But the British and Austrians opposed that. However when Naples revolution started, Metternich requested permission for the suppression of the rebellion from Alexander I, but Russians insisted on the convocation of the conference. On the congress of Troppau the Russian delegation insisted on the development of the universal measures to the struggle against revolutions that had to be hold in a peaceful manner. The Austrians, who sought to the carrying out of one-sided armed intervention in Naples, were forced to agree with the Russian project. The Preliminary protocol was based on this project. On the congress J. Capodistria offered the new version of his project of the “universal union”. When the king of Neapolitan Ferdinand IV arrived to Laibach he immediately demanded the intervention in Naples. The Russian plan failed. Alexander I was forced to agree to the armed intervention.

  10. Strategies of Yota (Scartel - 4G Operator in Russian Federation

    Directory of Open Access Journals (Sweden)

    Netra Pal Singh

    2013-12-01

    Full Text Available Russian Federation is one of the high growth markets for telecom services which are expected to reach $48.5 billion by 2013.  With the granting of 4G LTE licenses, it is expected that 4G market in Russian Federation will be dominated by four cellular operators, i.e., MTS, Beeline, and MegaFon, Rostelecom along with two new startups, i.e., Osnova Telecom and Red Telecom (Iladi (2010. In addition, other companies such as Yota, Synterra, COMSTAR, Freshtel etc. are also operating in Russian WiMax & LTE telecom market to provide similar services. This paper is an attempt to analyze some of the parameters of LTE turn Yota WiMax Telecom Operator in Russian Federation. The paper covers current achievements of Yota, its reach in Russian Federation, its network size & technology, its services, expansion plans for future, strategies for survival (in question in a highly competitive market of big companies, and its ultimate fate.

  11. Russian Minatom nuclear safety research strategic plan. An international review

    International Nuclear Information System (INIS)

    Royen, J.

    1999-01-01

    An NEA study on safety research needs of Russian-designed reactors, carried out in 1996, strongly recommended that a strategic plan for safety research be developed with respect to Russian nuclear power plants. Such a plan was developed at the Russian International Nuclear Safety Centre (RINSC) of the Russian Ministry of Atomic Energy (Minatom). The Strategic Plan is designed to address high-priority safety-research needs, through a combination of domestic research, the application of appropriate foreign knowledge, and collaboration. It represents major progress toward developing a comprehensive and coherent safety-research programme for Russian nuclear power plants (NPPs). The NEA undertook its review of the Strategic Plan with the objective of providing independent verification on the scope, priority, and content of the research described in the Plan based upon the experience of the international group of experts. The principal conclusions of the review and the general comments of the NEA group are presented. (K.A.)

  12. Russian autonomous labor colony in the People’s Republic of Tuva as a unique case of Russian regionalism

    Directory of Open Access Journals (Sweden)

    Vladimir G. Dazishen

    2016-09-01

    Full Text Available The article examines the experience of Russian regionalism in mid-19th – early 20th century Tuva, which took shape of setting up a colony of Russian subjects and became one of the most powerful factors behind the declaration of the People’s Republic of Tuva. Russian Autonomous Labor Colony (RALC was established in early 1920s and lasted for 10 years as a unique political entity in the history of Russia. RALC was fully controlled by official representatives of the Soviet state. Its stable population of over 10000 was mainly involved in cattle breeding, agriculture, crafts and even trade. RALC had its own legislation which even provided for certain elements of statehood. It was allowed to create its own flag and emblem, control its budget, and had its own military unit. The land under use by the colonists was on official lease from the government of the People’s Republic of Tuva (PRT. Ethnic Russians with Soviet citizenship complied with the legislation of the RSFSR. RALC had its own court, with convicted criminals serving their sentence in the PRT. Both RALC and PRT passed through several stages of increasingly radical left-wing reforms, which gave Moscow a firm grip over the local political establishment. In the second half of the decade the sociopolitical structure that included the RALC started to crumble away. On May 24, 1932, the autonomy was abolished by the new USSR-PRT agreement that oversaw the transformation of the colony’s remnants into Committees of Soviet Citizens. The article introduces a number of unpublished or little-known documents from the state archives of Krasnoyarsk, Novosibirsk, Irkutsk and other cities of the Russian Federation.

  13. RUSSIAN-VIETNAMESE MILITARY-TECHNICAL COOPERATION: CHALLENGES AND OPPORTUNITIES FOR RUSSIA

    Directory of Open Access Journals (Sweden)

    Н В Федоров

    2017-12-01

    Full Text Available Vietnam plays important role in Russian policy in the Asia-Pacific region. Military-technical cooperation holds special position in Russian-Vietnamese relations. The aim of the article is the detection of the special features of military-technical cooperation between Russia and Vietnam, and also challenges and opportunities it provides for Russian policy. After the collapse of the USSR defense interaction between Russia and Vietnam was determined by commercial foundations. Vietnam needed new Russian weapons to protect its interests, first of all, in the South China Sea. For Moscow military-technical cooperation with Vietnam got economic significance. But later there was a rise of political dimension of cooperation in this sphere, influenced by some external factors. The period of the 2000-2010s was marked by growth of arms sales from Russia to Vietnam. It was mostly caused by the escalation of the South China Sea conflict, for which US-Chinese contradictions began to play an increasing role. Military-technical coopera-tion with Vietnam influenced some aspects of policy of Russia in the region. There was an increase of indi-rect involvement of Russia into the South China Sea conflict. Russian arms sales for Vietnam became one of problems in Russian-Chinese relations. But Russia and China could cope with these disputes, partly because of enlargement of their interaction in international relations, including the demonstration of similar position for some aspects of the South China Sea conflict. In the framework of development of defense cooperation with Vietnam, Russia could get special conditions of access to facilities of Cam Ranh Bay that strengthened its strategic positions in the region. Russian cooperation with Hanoi in military-technical field and general reinforcement of Russian positions in Vietnam might be also a reason for contradictions with the US.

  14. Interactive Russian Grammar: The Case System

    Directory of Open Access Journals (Sweden)

    Rimma Gam

    2009-01-01

    Full Text Available My paper addresses a problem many of us in North American college language programs confront regularly, the solution to which regularly and frustratingly remains just out of our reach. I refer to the teaching of the most basic and most crucial element of Russian grammar, namely, its case system, and teaching it to our students whose native language, English, does not have such a system. As I teach the Russian cases, I see vividly the disconnect between grammar presented for students (simplified, episodic, based on the "pick it up along the way" principle and the learned papers on Russian grammar by linguists, which are barely comprehensible to a non-linguist. Materials in the middle are lacking-materials to help a literature professor acting as a "de facto" language instructor understand and address the needs of students as they learn this crucial segment of basic Russian grammar. This core element of Russian grammar is presented to students in the first year of college language study, is revisited in the second year, and very often by the third year students either manage to completely block it out from their memory (as if it were some traumatic experience that happened "a long time ago"-that is, before .summer break-but most importantly due to the lack of practice or demonstrate a partial or even complete lack of understanding or misunderstanding of this system forcing us to deal with it again in the third year. Not only is it frustrating for both the students and the language instructor; but from the point of view of their overall proficiency, the lack of control of the case system holds our students back. There can be no talk of advanced language proficiency without a complete and automatic mastery of this basic system. Unfortunately, regardless of the specific textbooks used, the students very often manage not to have a general idea and mastery of this system even by the third year of study.

  15. Was the real Sherlock Holmes a pediatric surgeon?

    Science.gov (United States)

    Raffensperger, John

    2010-07-01

    This article reviews the pioneering efforts of Joseph Bell, the model for Sherlock Holmes, in the surgical care of children during the antiseptic era. I reviewed biographies of Sir Arthur Conan Doyle; the biography of Joseph Bell; his surgical textbook, Edinburgh Medical Journals; and the history of the Royal Edinburgh Hospital for Sick Children. Dr Bell was a colleague of Joseph Lister and one of the first surgeons to apply antiseptic methods to operations involving children. He was the surgeon appointed to the first surgical ward of the Royal Edinburgh Hospital for Sick Children; in that role, he cared for many children with surgical diseases. Dr Joseph Bell, by his compassion for children and his surgical skill, was indeed a pioneer pediatric surgeon. Copyright 2010 Elsevier Inc. All rights reserved.

  16. The anatomy lessons of the Amsterdam Guild of Surgeons

    NARCIS (Netherlands)

    IJpma, F.F.A.

    2014-01-01

    Mandatory lessons in anatomy, taught by the praelector anatomiae (lecturer in anatomy) of the Amsterdam Guild of Surgeons, were an important part of the surgical training starting in the 16th century. We describe how surgeons were trained approximately 350 years ago at the Surgeons’ Guild. The role

  17. Review of CD Rom: The Virtual Surgeon: ACL Reconstruction ...

    African Journals Online (AJOL)

    THE VIRTUAL SURGEON: ACL RECONSTRUCTION Professor George Bentley ChM FRCS, Russell E LVindsor MD, Mr Andrew Williams FRCS(0rth); 4150 + VAT(UK) The Virtual Surgeon - 3D Anatomy of the Knee 469 + VAT(UK). TVF Multimedia Ltd, 375 City Road, London, EClV lNB, UK ...

  18. Non-technical skills of surgical trainees and experienced surgeons.

    Science.gov (United States)

    Gostlow, H; Marlow, N; Thomas, M J W; Hewett, P J; Kiermeier, A; Babidge, W; Altree, M; Pena, G; Maddern, G

    2017-05-01

    In addition to technical expertise, surgical competence requires effective non-technical skills to ensure patient safety and maintenance of standards. Recently the Royal Australasian College of Surgeons implemented a new Surgical Education and Training (SET) curriculum that incorporated non-technical skills considered essential for a competent surgeon. This study sought to compare the non-technical skills of experienced surgeons who completed their training before the introduction of SET with the non-technical skills of more recent trainees. Surgical trainees and experienced surgeons undertook a simulated scenario designed to challenge their non-technical skills. Scenarios were video recorded and participants were assessed using the Non-Technical Skills for Surgeons (NOTSS) scoring system. Participants were divided into subgroups according to years of experience and their NOTSS scores were compared. For most NOTSS elements, mean scores increased initially, peaking around the time of Fellowship, before decreasing roughly linearly over time. There was a significant downward trend in score with increasing years since being awarded Fellowship for six of the 12 NOTSS elements: considering options (score -0·015 units per year), implementing and reviewing decisions (-0·020 per year), establishing a shared understanding (-0·014 per year), setting and maintaining standards (-0·024 per year), supporting others (-0·031 per year) and coping with pressure (-0·015 per year). The drop in NOTSS score was unexpected and highlights that even experienced surgeons are not immune to deficiencies in non-technical skills. Consideration should be given to continuing professional development programmes focusing on non-technical skills, regardless of the level of professional experience. © 2017 BJS Society Ltd Published by John Wiley & Sons Ltd.

  19. Problems forming innovative-technological image of russian regions

    Directory of Open Access Journals (Sweden)

    Irina Markovna Golova

    2012-06-01

    Full Text Available In this paper, actual problems of innovative-technological image as a key element of the mechanism of the healing sources of socioeconomic development of the Russian regionsare considered. The author gives an assessment of the level of differentiation of subjects of the Russian Federation on the potential for innovative development. Trends in spatial transformations of thescientific and technical and innovation capacities of the country are analyzedand reasons of low innovational activity of Russian enterprises are disclosed. Basic conditions for the success of actions to create an attractive image of innovative-technological territory are formulated. Special attention is paid to the position of regions as participants in the innovational processes, creating preconditions for creativity, harmonization of spatial priorities of innovation, technological and socio-economic development, support for the development of new high-tech industries, improvement of inter-budgetary relations. There are proved priority areas of state policy to reduce barriers to the realization of an innovative paradigm for development of Russian society and effective inclusion of local communities in the implementation of innovative changes.

  20. Russian RBMK reactor design information

    International Nuclear Information System (INIS)

    1993-11-01

    This document concerns the systems, design, and operations of the graphite-moderated, boiling, water-cooled, channel-type (RBMK) reactors located in the former Soviet Union (FSU). The Russian Academy of Sciences Nuclear Safety Institute (NSI) in Moscow, Russia, researched specific technical questions that were formulated by the Pacific Northwest Laboratory (PNL) and provided detailed technical answers to those questions. The Russian response was prepared in English by NSI in a question-and-answer format. This report presents the results of that technical exchange in the context they were received from the NSI organization. Pacific Northwest Laboratory is generating this document to support the US Department of Energy (DOE) community in responding to requests from FSU states, which are seeking Western technological and financial assistance to improve the safety systems of the Russian-designed reactors. This report expands upon information that was previously available to the United States through bilateral information exchanges, international nuclear society meetings, International Atomic Energy Agency (IAEA) reactor safety programs, and Research and Development Institute of Power Engineering (RDIPE) reports. The response to the PNL questions have not been edited or reviewed for technical consistency or accuracy by PNL staff or other US organizations, but are provided for use by the DOE community in the form they were received

  1. Corporate targeting: Nike on the Russian market

    OpenAIRE

    Sekulović Ana

    2006-01-01

    Nike Corporation is one of leading global players in sports apparel and footwear market. Strategic development of Nike Co has always been based on superior marketing and engagement of world-class sportspersons in its advertising campaigns. When USSR collapsed, Nike immediately started with penetration on Russian market. By relying on its outstanding innovativeness in product development and marketing, Nike has become one of three biggest players in the market. As its distributor for Russian m...

  2. Corporate governance and control in Russian banks

    OpenAIRE

    Vernikov, Andrei

    2007-01-01

    The Working Paper examines peculiarities of the Russian model of corporate governance and control in the banking sector. The study relies upon theoretical as well as applied research of corporate governance in Russian commercial banks featuring different forms of ownership. We focus on real interests of all stakeholders, namely bank and stock market regulators, bank owners, investors, top managers and other insiders. The Anglo-American concept of corporate governance, based on agency theor...

  3. Patient-specific hip prostheses designed by surgeons

    Directory of Open Access Journals (Sweden)

    Coigny Florian

    2016-09-01

    Full Text Available Patient-specific bone and joint replacement implants lead to better functional and aesthetic results than conventional methods [1], [2], [3]. But extracting 3D shape information from CT Data and designing individual implants is demanding and requires multiple surgeon-to-engineer interactions. For manufacturing purposes, Additive Manufacturing offers various advantages, especially for low volume manufacturing parts, such as patient specific implants. To ease these new approaches and to avoid surgeon-to-engineer interactions a new design software approach is needed which offers highly automated and user friendly planning steps.

  4. Orthopaedic traumatology: fundamental principles and current controversies for the acute care surgeon.

    Science.gov (United States)

    Pharaon, Shad K; Schoch, Shawn; Marchand, Lucas; Mirza, Amer; Mayberry, John

    2018-01-01

    Multiply injured patients with fractures are co-managed by acute care surgeons and orthopaedic surgeons. In most centers, orthopaedic surgeons definitively manage fractures, but preliminary management, including washouts, splinting, reductions, and external fixations, may be performed by selected acute care surgeons. The acute care surgeon should have a working knowledge of orthopaedic terminology to communicate with colleagues effectively. They should have an understanding of the composition of bone, periosteum, and cartilage, and their reaction when there is an injury. Fractures are usually fixed urgently, but some multiply injured patients are better served with a damage control strategy. Extremity compartment syndrome should be suspected in all critically injured patients with or without fractures and a low threshold for compartment pressure measurements or empiric fasciotomy maintained. Acute care surgeons performing rib fracture fixation and other chest wall injury reconstructions should follow the principles of open fracture reduction and stabilization.

  5. Orthopaedic traumatology: fundamental principles and current controversies for the acute care surgeon

    Science.gov (United States)

    Pharaon, Shad K; Schoch, Shawn; Marchand, Lucas; Mirza, Amer

    2018-01-01

    Multiply injured patients with fractures are co-managed by acute care surgeons and orthopaedic surgeons. In most centers, orthopaedic surgeons definitively manage fractures, but preliminary management, including washouts, splinting, reductions, and external fixations, may be performed by selected acute care surgeons. The acute care surgeon should have a working knowledge of orthopaedic terminology to communicate with colleagues effectively. They should have an understanding of the composition of bone, periosteum, and cartilage, and their reaction when there is an injury. Fractures are usually fixed urgently, but some multiply injured patients are better served with a damage control strategy. Extremity compartment syndrome should be suspected in all critically injured patients with or without fractures and a low threshold for compartment pressure measurements or empiric fasciotomy maintained. Acute care surgeons performing rib fracture fixation and other chest wall injury reconstructions should follow the principles of open fracture reduction and stabilization. PMID:29766123

  6. The Effect of Price on Surgeons' Choice of Implants: A Randomized Controlled Survey.

    Science.gov (United States)

    Wasterlain, Amy S; Melamed, Eitan; Bello, Ricardo; Karia, Raj; Capo, John T

    2017-08-01

    Surgical costs are under scrutiny and surgeons are being held increasingly responsible for cost containment. In some instances, implants are the largest component of total procedure cost, yet previous studies reveal that surgeons' knowledge of implant prices is poor. Our study aims to (1) understand drivers behind implant selection and (2) assess whether educating surgeons about implant costs affects implant selection. We surveyed 226 orthopedic surgeons across 6 continents. The survey presented 8 clinical cases of upper extremity fractures with history, radiographs, and implant options. Surgeons were randomized to receive either a version with each implant's average selling price ("price-aware" group), or a version without prices ("price-naïve" group). Surgeons selected a surgical implant and ranked factors affecting implant choice. Descriptive statistics and univariate, multivariable, and subgroup analyses were performed. For cases offering implants within the same class (eg, volar locking plates), price-awareness reduced implant cost by 9% to 11%. When offered different models of distal radius volar locking plates, 25% of price-naïve surgeons selected the most expensive plate compared with only 7% of price-aware surgeons. For cases offering different classes of implants (eg, plate vs external fixator), there was no difference in implant choice between price-aware and price-naïve surgeons. Familiarity with the implant was the most common reason for choosing an implant in both groups (35% vs 46%). Price-aware surgeons were more likely to rank cost as a factor (29% vs 21%). Price awareness significantly influences surgeons' choice of a specific model within the same implant class. Merely including prices with a list of implants leads surgeons to select less expensive implants. This implies that an untapped opportunity exists to reduce surgical expenditures simply by enhancing surgeons' cost awareness. Economic/Decision Analyses I. Copyright © 2017 American

  7. Contemporary use of social media by consultant colorectal surgeons.

    Science.gov (United States)

    McDonald, J J; Bisset, C; Coleman, M G; Speake, D; Brady, R R W

    2015-02-01

    There is evidence of significant growth in the engagement of UK health-care professionals with 'open' social media platforms, such as Twitter and LinkedIn. Social media communication provides many opportunities and benefits for medical education and interaction with patients and colleagues. This study was undertaken to evaluate the uptake of public social media membership and the characteristics of use of such media channels amongst contemporary UK consultant colorectal surgeons. Colorectal surgeons were identified from the Association of Coloproctology of Great Britain and Ireland (ACPGBI) national registry of colorectal mortality outcomes and were cross-referenced with the General Medical Council (GMC) register. Individuals were identified by manual searching on a number of social media platforms. Matching accounts were then examined to confirm ownership and to evaluate key markers of use. Six-hundred and eighteen individual consultant colorectal surgeons from 142 health authorities were studied (79.5% were ACPGBI members and 90.8% were male). Two-hundred and twenty-nine (37.1%) had LinkedIn profiles (37.7% male surgeons, 29.8% female surgeons; P = 0.2530). LinkedIn membership was significantly higher in ACPGBI members (P social media than reported studies from other health-care professional groups. Further education and appropriate guidance on usage may encourage uptake and confidence, particularly in younger consultants. Colorectal Disease © 2014 The Association of Coloproctology of Great Britain and Ireland.

  8. Effect of Thoracic Surgeons on Lung Cancer Patients’ Survival

    Directory of Open Access Journals (Sweden)

    Ning LI

    2018-02-01

    Full Text Available Background and objective Surgeons are the direct decision-makers and performers in the surgical treatment of patients with lung cancer. Whether the differences among doctors affect the survival of patients is unclear. This study analyzed the five-year survival rates of different thoracic surgeries in patients undergoing surgery to assess the physician's impact and impact. Methods A retrospective analysis of five years between 2002-2007 in the Department of Thoracic Surgery, Cancer Hospital, Chinese Academy of Medical Sciences, for surgical treatment of lung cancer patients. According to different surgeons grouping doctors to compare the basic information of patients, surgical methods, short-term results and long-term survival differences. Results A total of 712 patients treated by 11 experienced thoracic surgeons were included in this study. The patients have nosignificant difference with gender, age, smoking, pathological type between groups. There were significant differences in clinical staging, surgery type, operation time, blood transfusion rate, number of lymph node dissection, palliative resection rate, postoperative complications and perioperative mortality. There was a significant difference in five-year survival rates among patients treated by different doctors. This difference can be seen in all clinical stage analyzes with consistency. In the multivariate analysis, it was suggested that surgeon was an independent factor influencing the prognosis of patients. Conclusion Thoracic surgeon has a significant effect on the therapeutic effect of lung cancer patients.

  9. Outlier experienced surgeon's performances impact on benchmark for technical surgical skills training.

    Science.gov (United States)

    Gallagher, Anthony G; Henn, Patrick J; Neary, Paul C; Senagore, Anthony J; Marcello, Peter W; Bunting, Brendan P; Seymour, Neal E; Satava, Richard M

    2018-03-23

    Training in medicine must move to an outcome-based approach. A proficiency-based progression outcome approach to training relies on a quantitative estimation of experienced operator performance. We aimed to develop a method for dealing with atypical expert performances in the quantitative definition of surgical proficiency. In study one, 100 experienced laparoscopic surgeons' performances on virtual reality and box-trainer simulators were assessed for two similar laparoscopic tasks. In study two, 15 experienced surgeons and 16 trainee colorectal surgeons performed one simulated hand-assisted laparoscopic colorectal procedure. Performance scores of experienced surgeons in both studies were standardized (i.e. Z-scores) using the mean and standard deviations (SDs). Performances >1.96 SDs from the mean were excluded in proficiency definitions. In study one, 1-5% of surgeons' performances were excluded having performed significantly below their colleagues. Excluded surgeons made significantly fewer correct incisions (mean = 7 (SD = 2) versus 19.42 (SD = 4.6), P 4 SDs for time to complete the procedure and >6 SDs for path length. After their exclusions, experienced surgeons' performances were significantly better than trainees for path length: P = 0.031 and for time: P = 0.002. Objectively assessed atypical expert performances were few. Z-score standardization identified them and produced a more robust quantitative definition of proficiency. © 2018 Royal Australasian College of Surgeons.

  10. Using Texting for Clinical Communication in Surgery: A Survey of Academic Staff Surgeons.

    Science.gov (United States)

    Firdouse, Mohammed; Devon, Karen; Kayssi, Ahmed; Goldfarb, Jeremy; Rossos, Peter; Cil, Tulin D

    2018-03-01

    Text messaging has become ubiquitous and is being increasingly used within the health care system. The purpose of this study was to understand texting practices for clinical communication among staff surgeons at a large academic institution. Staff surgeons in 4 subspecialties (vascular, plastics, urology, and general surgery) were surveyed electronically. A total of 62 surgeons from general surgery (n = 33), vascular surgery (n = 6), plastic surgery (n = 13), and urology (n = 10) completed the study (response rate 30%). When conveying urgent patient-related information, staff surgeons preferred directly calling other staff surgeons (61.5%) and trainees (58.8%). When discussing routine patient information, staff surgeons used email to reach other staff surgeons (54.9%) but preferred texting (62.7%) for trainees. The majority of participants used texting because it is fast (65.4%), convenient (69.2%) and allows transmitting information to multiple recipients simultaneously (63.5%). Most felt that texting enhances patient care (71.5%); however, only half believed that it enhanced trainees' educational experiences. The majority believed that texting identifiable patient information breaches patient confidentiality. Our data showed high adoption of text messaging for clinical communication among surgeons, particularly with trainees. The majority of surgeons acknowledge security concerns inherent in texting for patient care. Existing mobile communication platforms fail to meet the needs of academic surgeons. Further research should include guidelines related to texting in clinical practice, educational implications of texting, and technologies to better meet the needs of clinicians working in an academic surgical settings.

  11. Russian refining shows signs of revival, needs investment

    International Nuclear Information System (INIS)

    Plotnikov, V.S.; Avgerinos, G.F.; Dvorets, N.L.; Tyukov, V.M.

    1996-01-01

    The Russian refining industry appears ready for a comeback but needs investment from abroad. After 7 years of annual decline, output of petroleum products in the former Soviet Union (FSU), most of it from Russian refineries, is estimated to have dropped marginally last year. And an increase is possible this year. In 1994, Russia's refineries, which account for two thirds of total FSU distillation capacity, yielded 176.2 million metric tons of oil products, compared with 214.1 million tons in 1993. Despite the precipitous decline in refinery production, net FSU exports oil refined products were down only 5% in 1994 at about 51.3 million tons. This occurred despite the decline in refinery production because of sizable contraction in oil consumption in Russian and the other republics. Russia, like the rest of the FSU, needs more than loans to produce oil or restore wells. According to the Ministries of Economics and Fuels and Energy, 90% of Russian enterprises need foreign capital. Investments to rebuild refining, gas processing, and petrochemicals are necessary, as are funds for modern technologies and equipment. Capital also is needed for extraction of resources that are remotely located or difficult to produce. In addition to providing a legal structure that provides a solid basis for investment, Russian must promote competition, change its tax system to raise revenue but allow companies to retain profits, and remove disincentives to investment for domestic and foreign enterprises

  12. Decreased heart rate variability in surgeons during night shifts

    DEFF Research Database (Denmark)

    Amirian, Ilda; Toftegård Andersen, Lærke; Rosenberg, Jacob

    2014-01-01

    BACKGROUND: Heart rate variability (HRV) has been used as a measure of stress and mental strain in surgeons. Low HRV has been associated with death and increased risk of cardiac events in the general population. The aim of this study was to clarify the effect of a 17-hour night shift on surgeons'...

  13. Russian-Friendly: How Russian Became a Commodity in Europe and Beyond

    Science.gov (United States)

    Pavlenko, Aneta

    2017-01-01

    The purpose of this paper is to examine how Russian became a commodity in the global service industry in the decade between 2004 and 2014 and, in some places, much earlier. I will begin with a discussion of sociolinguistic theory of "commodification of language", focusing on aspects critical for this case study. Then, I will trace the…

  14. Surgeon Experience and Complications of Transvaginal Prolapse Mesh.

    Science.gov (United States)

    Kelly, Erin C; Winick-Ng, Jennifer; Welk, Blayne

    2016-07-01

    To measure the proportion of women with transvaginal prolapse mesh complications and their association with surgeon volume. We conducted a retrospective, population-based cohort study of all women who underwent a mesh-based prolapse procedure using administrative data (hospital procedure and physician billing records) between 2002 and 2013 in Ontario, Canada. The primary outcome was surgical revision of the mesh. Primary exposure was surgeon volume: high (greater than the 75th percentile, requiring a median of five [interquartile range 5-6] procedures per year) and very high (greater than the 90th percentile, requiring a median of 13 [interquartile range 11-14] procedures per year) volume mesh implanters were identified each year. Primary analysis was an adjusted Cox proportional hazards model. A total of 5,488 women underwent mesh implantation by 1 of 368 unique surgeons. Median follow-up time was 5.4 (interquartile range 3.0-8.0) years. We found that 218 women (4.0%) underwent mesh reoperation a median of 1.17 (interquartile range 0.58-2.90) years after implantation. The hazard of reoperation for complications was only lower for patients of very high-volume surgeons (3.0% [145/3,001] compared with 4.8% [73/2,447], adjusted hazards ratio 0.59, 95% confidence interval 0.40-0.86). In multivariable modeling, younger age, concomitant hysterectomy, blood transfusion, and increased medical comorbidity were all associated with vaginal mesh reoperation. Approximately 5% of women who underwent mesh-based prolapse surgery required reoperation for a mesh complication within 10 years. The risk of reoperation was lowest for surgeons performing 14 or more procedures per year.

  15. Antimicrobial Stewardship: A Call to Action for Surgeons

    Science.gov (United States)

    Duane, Therese M.; Catena, Fausto; Tessier, Jeffrey M.; Coccolini, Federico; Kao, Lillian S.; De Simone, Belinda; Labricciosa, Francesco M.; May, Addison K.; Ansaloni, Luca; Mazuski, John E.

    2016-01-01

    Abstract Despite current antimicrobial stewardship programs (ASPs) being advocated by infectious disease specialists and discussed by national and international policy makers, ASPs coverage remains limited to only certain hospitals as well as specific service lines within hospitals. The ASPs incorporate a variety of strategies to optimize antimicrobial agent use in the hospital, yet the exact set of interventions essential to ASP success remains unknown. Promotion of ASPs across clinical practice is crucial to their success to ensure standardization of antimicrobial agent use within an institution. To effectively accomplish this standardization, providers who actively engage in antimicrobial agent prescribing should participate in the establishment and support of these programs. Hence, surgeons need to play a major role in these collaborations. Surgeons must be aware that judicious antibiotic utilization is an integral part of any stewardship program and necessary to maximize clinical cure and minimize emergence of antimicrobial resistance. The battle against antibiotic resistance should be fought by all healthcare professionals. If surgeons around the world participate in this global fight and demonstrate awareness of the major problem of antimicrobial resistance, they will be pivotal leaders. If surgeons fail to actively engage and use antibiotics judiciously, they will find themselves deprived of the autonomy to treat their patients. PMID:27828764

  16. Serbian Volunteers And Russian Revolution Of 1917

    Directory of Open Access Journals (Sweden)

    Ia. V. Vishniakov

    2017-01-01

    Full Text Available Using original documents from the Russian State Military Historical Archive, many of which are introduced for the first time, the author reveals details of creation and activities of the Serbian Volunteer Corps formed from captured soldiers and officers of the Austro-Hungarian army inOdessain the Summer 1916. The same autumn it received a baptism of fire in Dobruja fighting in the separate corps of the Russian army under the command of General Zayonchkovsky. The research interest in studying the activities of “national” and "international" military units within the Russian army is connected with the question of expediency and effectiveness of using such forces against those for whom they have not so long ago shed blood. The author, contrary to the popular opinion of Serbian historians, shows that the call to join the First Serbian division did not arouse mass enthusiasm among the prisoners of war both Serbs and representatives of other Yugoslav nations because of well-founded fears for their close relatives living in the Dual Monarchy and a fairly comfortable stay in the Russian captivity. At the same time, the author emphasizes that this military unit, commanded by officers of the Serbian regular army, was considered by the political leadership ofSerbiaas the basis of the future armed forces of the new state ofYugoslavia. The article shows that the events of the Russian Revolution of 1917 influenced the future fate of this military formation. Many of its soldiers later found themselves on different sides of the front in the Russian civil war. A special attention is payed to the interethnic conflict erupted in the corps between the Serbs on the one side and the Croats and Slovenes on the other. The author introduces a significant body of primary documents showing the nuances of relations in the corps between representatives of various Yugoslav nations. The article emphasizes that the relationship of the Serbs, Croats and Slovenes within the

  17. Russian Federation

    International Nuclear Information System (INIS)

    2001-01-01

    In the Russian Federation (RF), management of radioactive wastes will be carried out within the framework of the Federal Target Program for management of radioactive wastes and used nuclear materials for the period 1996-2005. The agency within the RF responsible for this program is the Ministry of Russian Federation on Atomic Energy. Current radioactive waste disposal activities are focused on creating regional repositories for wastes generated by radiochemical production, nuclear reactors, science centers, and from other sources outside of the nuclear-fuel cycle (the latter wastes are managed by Scientific and Industrial Association, 'RADON'). Wastes of these types are in temporary storage, with the exception of non-fuel cycle wastes which are in long term storage managed by SAI 'RADON'. The criteria for segregating between underground or near-surface disposal of radioactive waste are based on the radiation fields and radionuclide composition of the wastes. The most progress in creating regional repositories has been made in the Northwest region of Russia. However, development of a detailed design has begun for a test facility in the Northeast for disposal of radioactive wastes generated in Murmansk and Arkhangelsk provinces. The feasibility study for construction of this facility is being evaluated by state monitoring organizations, the heads of administrations of the Arkhangelsk and Murmansk provinces, and Minatom of Russia

  18. Dynamics of Russian business culture values in the reflection of mass media

    Directory of Open Access Journals (Sweden)

    E. A. Sverdlikova

    2016-01-01

    Full Text Available The article analyses practices of “Traditions and values of Russian business culture” course teaching at Lomonosov Moscow State University’s Faculty of Sociology. The experience allows drawing methodological and theoretical conclusions on the values of business culture which underlie models of the modern business behavior. The first part of the publication concerns analysis of tradition of studying Russian culture values, in the paradigm of which the Russian business culture exists. According to the findings, traditions are enrooted in the Orthodoxy and are determined by patrimonial memories and contradictions of the Russian people’s character, ideals and spiritual framework. A system of Russian business values is developed based on the traditions as well as literary heritage, biographies of famous Russian and Soviet economists and set of rules of ethics code of the pre-revolutionary Russian business class. The main elements of the system include the following values: faith, family, commitment to business, patriotism, natural ingenuity, ability to set and solve atask of extra complexity, original forms of labor organization, and prevalence of moral motivation forms over material ones. The second part of the article deals with succession of the above-mentioned values in the modern Russian business environment. The content analysis is applied to examine the continuity. The object of the research is the text corpus of the Russian business press. The findings of the research show dynamics of the Russian mass media attention to the business culture values for the period from 2010 to 2014. The mass media interest to the issue coverage has been on the constant rise: from 37,2% of the aggregate amount of information on the Russian business in 2012 to 39,8% in 2014. There have also been examined dynamics of mass media attention to certain business culture values. The mass media assignedtop priority in 2012, 2013 and 2014 to the following values

  19. Psychophysical workload in the operating room: primary surgeon versus assistant.

    Science.gov (United States)

    Rieger, Annika; Fenger, Sebastian; Neubert, Sebastian; Weippert, Matthias; Kreuzfeld, Steffi; Stoll, Regina

    2015-07-01

    Working in the operating room is characterized by high demands and overall workload of the surgical team. Surgeons often report that they feel more stressed when operating as a primary surgeon than in the function as an assistant which has been confirmed in recent studies. In this study, intra-individual workload was assessed in both intraoperative functions using a multidimensional approach that combined objective and subjective measures in a realistic work setting. Surgeons' intraoperative psychophysiologic workload was assessed through a mobile health system. 25 surgeons agreed to take part in the 24-hour monitoring by giving their written informed consent. The mobile health system contained a sensor electronic module integrated in a chest belt and measuring physiological parameters such as heart rate (HR), breathing rate (BR), and skin temperature. Subjective workload was assessed pre- and postoperatively using an electronic version of the NASA-TLX on a smartphone. The smartphone served as a communication unit and transferred objective and subjective measures to a communication server where data were stored and analyzed. Working as a primary surgeon did not result in higher workload. Neither NASA-TLX ratings nor physiological workload indicators were related to intraoperative function. In contrast, length of surgeries had a significant impact on intraoperative physical demands (p NASA-TLX sum score (p < 0.01; η(2) = 0.287). Intra-individual workload differences do not relate to intraoperative role of surgeons when length of surgery is considered as covariate. An intelligent operating management that considers the length of surgeries by implementing short breaks could contribute to the optimization of intraoperative workload and the preservation of surgeons' health, respectively. The value of mobile health systems for continuous psychophysiologic workload assessment was shown.

  20. Accompanying role of hepato-biliary-pancreas surgeon in urological surgery

    Directory of Open Access Journals (Sweden)

    Atsushi Nanashima

    Full Text Available Introduction: The present case reports demonstrated the accompanying surgical support from hepato-biliary-pancreas (HBP surgeons for urological surgery to secure operative safety because HBP surgeons are well experienced in dissecting techniques for mobilization of the liver or pancreas. We experienced 9 consecutive patients who underwent nephrectomy, adrenectomy or resection of retroperitoneal tumors by urological surgeons. Cardiovascular intervention was also required in cases of long tumor thrombus into the vena cava. Cases: All patients had no severe co-existing diseases except the main tumor. Reverse T-shape incision was performed in 7 cases and thoracolaparotomy in two. Dissection and mobilization at the site of severe compression by the urinary tumors were performed in three cases. Partial liver resection was performed for testicular liver metastases in two, and right hepatectomy for right renal cancer was performed in one. Encircling the vena cava and preparation of transection for tumor thrombi were performed in three, and among these, cardiovascular intervention was necessary in two because of extension into the right atrium. During admission, all patient outcomes were uneventful without severe complications. We herein showed the representative two cases of combined surgery. Discussion: and conclusion The point of this case report is the coordination between each surgeon and anesthesiologist under precise perioperative planning or management. The role of HBP surgeons is to provide information as a specialist on the operative field for urological or cardiovascular surgery to achieve operative safety. Keywords: Hepato-biliary-pancreas surgeon, Joint surgery, Urology

  1. Action ethical dilemmas in surgery: an interview study of practicing surgeons

    Directory of Open Access Journals (Sweden)

    Nordam Ann

    2005-07-01

    Full Text Available Abstract Background The aim of this study was to describe the kinds of ethical dilemmas surgeons face during practice. Methods Five male and five female surgeons at a University hospital in Norway were interviewed as part of a comprehensive investigation into the narratives of physicians and nurses about ethically difficult situations in surgical units. The transcribed interview texts were subjected to a phenomenological-hermeneutic interpretation. Results No gender differences were found in the kinds of ethical dilemmas identified among male and female surgeons. The main finding was that surgeons experienced ethical dilemmas in deciding the right treatment in different situations. The dilemmas included starting or withholding treatment, continuing or withdrawing treatment, overtreatment, respecting the patients and meeting patients' expectations. The main focus in the narratives was on ethical dilemmas concerning the patients' well-being, treatment and care. The surgeons narrated about whether they should act according to their own convictions or according to the opinions of principal colleagues or colleagues from other departments. Handling incompetent colleagues was also seen as an ethical dilemma. Prioritization of limited resources and following social laws and regulations represented ethical dilemmas when they contradicted what the surgeons considered was in the patients' best interests. Conclusion The surgeons seemed confident in their professional role although the many ethical dilemmas they experienced in trying to meet the expectations of patients, colleagues and society also made them professionally and personally vulnerable.

  2. Best media for advertising local tourism among the Russian tourists

    OpenAIRE

    Yapparova, Natalia

    2013-01-01

    The thesis determined the prospects for using media channels in attracting Russian tourists. This research was meant to find advertising channels among the Russian tourists (targeting North-West region of Russia). The results of this research can be used to promote local tourism services for customers from Russian westbound. This thesis was commissioned by the Savonlinna Travel Agency, which is the majour tour agency in the region. The idea for the thesis project rests on the fact that c...

  3. Preserving Russian Cultural Identity of Learners in Multicultural Learning Environment

    OpenAIRE

    Vasilyeva, Tatyana; Uskova, Olga; Kosheleva, Elena Yurievna; Dong Thi Lin Jang

    2015-01-01

    The purpose of this article is to move readers toward a deeper understanding of and wider respect for the issues of the modern system of bilingual education based on the principles of multiculturalism. Different conditions of learning are taken into account: the Russian language in restricted linguistic medium as well as Russian as a foreign language. The principles of multiculturalism determine the educational concepts used in teaching Russian to diverse categories of learners. The authors d...

  4. Rosoboroneksport: Arms Sales and the Structure of Russian Defense Industry

    National Research Council Canada - National Science Library

    Blank, Stephen J

    2007-01-01

    .... Although Russian observers believe that Washington did so because of these firms arms sales to Venezuela, these sales to such dangerous states oblige us to analyze the Russian defense export program...

  5. Public information - Northwest region of Russian Federation

    International Nuclear Information System (INIS)

    Saiapina, A.

    2001-01-01

    Regional Center of Public Information in Northwest region of Russian Federation is a part of the State Regional Educational Center of Ministry of the Russian Federation for atomic energy in St.-Petersburg, Russia (http://graph.runnet.ru/). This Center of Public Information (CPI) provides a wide range of information dealing with the nuclear power. The objectives of the CPI are: to conduct informational and educational activities so as to form a positive attitude toward atomic energy and nuclear technologies; to provide the population with a means reliable information about objects of potential risk; to organize an active exchange of the information with enterprises using nuclear technologies in the region. The main topics of informational support are these: electricity production, the ground of nuclear power, new Russian nuclear reactors, nuclear safety, nuclear power and environment, radioactivity, Leningrad nuclear power plant, responsibilities in nuclear engineering. (author)

  6. Reviss to market Russian isotopes worldwide

    International Nuclear Information System (INIS)

    Latham, I.A.

    1992-01-01

    The culmination of two years of detailed negotiations saw the formation of Reviss Services in April 1992. This joint venture company is a collaboration between Amersham International (Health Science Group), the Mayak Production Association (manufacturer of radioisotopes) and AO Techsnabexport (the Russian export agency). It is set up to enable a variety of Russian-manufactured radioisotopes to be marketed worldwide. Formation of the joint venture company was made possible by the recent political changes in the former Soviet Union, allowing the three parties to extend their long-standing commercial trading relationship into a full working partnership. (Author)

  7. Evidence for weight effects in Russian

    DEFF Research Database (Denmark)

    Kizach, Johannes

    2012-01-01

    It is well-known that factors such as weight, pronominality, animacy and newness influence word order in several languages, but whereas newness repeatedly has been argued to be a relevant factor for Russian, little or no attention has been paid to weight. In this paper, which is based on evidence...... from corpus data, weight is demonstrated to have a very significant influence on word order in Russian. Specifically, four constructions are tested: Postverbal PPs, the double object construction, adversity impersonals and the order of S, V and O. In all cases the same pattern emerges: The heavier...

  8. Establishment of the Russian Safeguards Methodology and Training Centre

    International Nuclear Information System (INIS)

    Guardini, S.; Cuypers, M.; Frigola, P.; Gubanov, V.; Ryazanov, B.; Volodin, Y.

    1995-01-01

    The Russian Federation has recently decided to transform and reinforce its State System of Accountancy and Control (SSAC) of nuclear materials. At the basis of the new system, consistent with the example of other national or regional systems, a laboratory framework giving reference and traceability to international standards, methodological support and training is planned. This last point includes the establishment of laboratories and facilities designed for the development, calibration, evaluation of the performances and training in the proper use of measurement methods and containment and surveillance measures, which are the basis for the implementation of an objective and sound nuclear material accountancy and control system. These projects will have to be tailored to the requirements of the nuclear fuel cycle in the Russian Federation and may eventually also be of interest for other countries in the CIS. The European Commission, in the framework of the collaboration with the Russian Federation, has proposed and initiated projects oriented to supporting the above plans. One of these projects concerns the establishment of the Russian Methodological and Training Centre RMTC at the Institute of Physics and Power Engineering (IPPE) of OBNINSK, Kaluga Region, in the Russian Federation. This paper describes the main features of the RMTC project

  9. Role of the plastic surgeon in a cancer hospital

    International Nuclear Information System (INIS)

    Sinclair, M.H.

    1979-01-01

    This paper discusses and illustrates the complicated problems faced by the plastic surgeon in a cancer hospital. His patients are often weakened, both physically and psychologically, not only by the cancer itself, but also by extensive ablative surgery. The goal of the plastic surgeon is rehabilitation of the patient after he is cured of cancer. Good planning with the cancer surgeon before the ablative operation is very important, as is immediate repair, whenever possible. The simplest procedure with the fewest stages that can accomplish satisfactory repair in the shortest time should be chosen, as we can never, even after the most extensive cancer operation, be sure that no recurrence will appear. Partial surgical repair and the use of a prosthesis should be considered for complicated defects in old and weak patients. Postoperative radiation therapy, if indicated, can be given after the flap has healed into the defect but before the pedicle is separated. The plastic surgeon should always be aware that his most important goal is speedy and satisfactory rehabilitation of the patient

  10. Discovering Hands - México

    OpenAIRE

    Salamanca Cárdenas, Daniela; Castelblanco Domínguez, Junio Andrés; Aguilar Ardila, Laura Andrea

    2016-01-01

    El modelo de Discovering Hands ha sido reconocido internacionalmente como un proyecto innovador que se ha expandido por diferentes países del mundo, como Austria, y se ha empezado a estudiar la propuesta en países como República Checa, India y Colombia. (Discovering Hands, 2016). Esto se debe a que no solo mejora el tratamiento de cáncer de mama, sino que también reduce los costos totales de tratamiento de la enfermedad y aumenta la fuerza laborar de los países donde esté presente. Al represe...

  11. Cosmonaut Yury I. Onufrienko in the Russian Zvezda Service Module

    Science.gov (United States)

    2002-01-01

    Cosmonaut Yury I. Onufrienko, Expedition Four mission commander, uses a communication system in the Russian Zvezda Service Module on the International Space Station (ISS). The Zvezda is linked to the Russian-built Functional Cargo Block (FGB) or Zarya, the first component of the ISS. Zarya was launched on a Russian Proton rocket prior to the launch of Unity. The third component of the ISS, Zvezda (Russian word for star), the primary Russian contribution to the ISS, was launched by a three-stage Proton rocket on July 12, 2000. Zvezda serves as the cornerstone for early human habitation of the station, providing living quarters, a life support system, electrical power distribution, a data processing system, flight control system, and propulsion system. It also provides a communications system that includes remote command capabilities from ground flight controllers. The 42,000-pound module measures 43 feet in length and has a wing span of 98 feet. Similar in layout to the core module of Russia's Mir space station, it contains 3 pressurized compartments and 13 windows that allow ultimate viewing of Earth and space.

  12. Syntactic Variation in Diminutive Suffixes: Russian, Kolyma Yukaghir, and Itelmen

    Directory of Open Access Journals (Sweden)

    Olga Steriopolo

    2017-11-01

    Full Text Available This article presents a syntactic analysis and comparison of diminutive suffixes in Russian, Kolyma Yukaghir, and Itelmen, three genetically unrelated languages of the Russian Federation. Kolyma Yukaghir and Itelmen are on the verge of extinction. This article investigates how contact with Russian (specifically the syntax of Russian diminutives has influenced the syntax of diminutives in Kolyma Yukaghir and Itlemen. Adopting the framework of Distributed Morphology, a syntactic analysis of diminutives across the three languages reveals that they share the same manner of syntactic attachment, but differ in regards to the site or place of attachment. Specifically, it is proposed that diminutives in all three languages are syntactic modifiers; however, in relation to the place of attachment, in Russian, diminutives attach below the functional category of Number, while diminutives in Kolyma Yukaghir and Itelmen attach above the Number category. This article contributes to our understanding of variation in universal grammar and linguistic outcomes of the syntactic feature ‘diminutive’ in a multilingual situation where a majority language is in contact with two genetically unrelated endangered languages.

  13. [Women pioneers: first female cardiothoracic surgeons in the USA and in Israel].

    Science.gov (United States)

    Fertouk, Michal; Bekerman, Ziv; Kremer, Ran; Adler, Zvi; Bolotin, Gil

    2014-08-01

    At the beginning of the 1960's, three female doctors managed to break the glass ceiling and become the first female cardiothoracic surgeons in the USA. Since then, the number of certified female cardiothoracic surgeons has steadily increased. Nevertheless, females stilt only account for a minority of cardiothoracic surgeons in the USA. In Israel, three women have become specialists in cardiothoracic surgery over the last two decades, aLthough these surgeons are working as general thoracic surgery consultants, without any representative females in cardiac surgery.

  14. Nuclear knowledge management: Russian lessons

    International Nuclear Information System (INIS)

    Gagarinski, A.; Yakovlev, N.

    2004-01-01

    The paper describes the Soviet experience preserved in Russia and related to the strategy of nuclear knowledge preservation in period of fast nuclear energy deployment. It's also discusses the problems of 80-90ies: 'gap' between generations, loss of the experimental base, ageing of scientific teams, weakened governmental support, etc. Obviously resumed positive development of the Russian nuclear energy in the last years, as well as expectation of the 'Second Nuclear Era' of large-scale nuclear energy use in the country, has made the elimination of NKM defects and the development of human resources one of the most important and vital prerequisites of the further nuclear development. The paper considers the measures taken in this regard by the Russian nuclear industry, including international cooperation

  15. U.S.-Russian Cooperation in the War Against International Terrorism

    National Research Council Canada - National Science Library

    Petruncio, Emil T

    2002-01-01

    The September 11 attacks on the Pentagon and the twin towers of the World Trade Center elicited an unprecedented outpouring of Russian sympathy and expressions of Russian solidarity with the United States...

  16. Clinical decision making: how surgeons do it.

    Science.gov (United States)

    Crebbin, Wendy; Beasley, Spencer W; Watters, David A K

    2013-06-01

    Clinical decision making is a core competency of surgical practice. It involves two distinct types of mental process best considered as the ends of a continuum, ranging from intuitive and subconscious to analytical and conscious. In practice, individual decisions are usually reached by a combination of each, according to the complexity of the situation and the experience/expertise of the surgeon. An expert moves effortlessly along this continuum, according to need, able to apply learned rules or algorithms to specific presentations, choosing these as a result of either pattern recognition or analytical thinking. The expert recognizes and responds quickly to any mismatch between what is observed and what was expected, coping with gaps in information and making decisions even where critical data may be uncertain or unknown. Even for experts, the cognitive processes involved are difficult to articulate as they tend to be very complex. However, if surgeons are to assist trainees in developing their decision-making skills, the processes need to be identified and defined, and the competency needs to be measurable. This paper examines the processes of clinical decision making in three contexts: making a decision about how to manage a patient; preparing for an operative procedure; and reviewing progress during an operative procedure. The models represented here are an exploration of the complexity of the processes, designed to assist surgeons understand how expert clinical decision making occurs and to highlight the challenge of teaching these skills to surgical trainees. © 2013 The Authors. ANZ Journal of Surgery © 2013 Royal Australasian College of Surgeons.

  17. Antimasonian activity of Russian monarchical emigration of «first wave» (1917–1940

    Directory of Open Access Journals (Sweden)

    Ermakov V.A.

    2018-03-01

    Full Text Available summary: The work shows that in the modern domestic liberal historiography of Russian emigration, there is a tendency to conceal and hide political problems raised by Russian monarchists. And, on the contrary, in the works of representatives of the patriotic direction, a wide range of views of Russian monarchists, centered around the Masonic problem and the struggle against Bolshevism, are being explored. The system of estimations by Russian right-wing representatives of the «philosophical steamer» as «apologists of Freemasonry» and the bearers of the ideas of «Masonic democracy» and also as «reformers of Orthodoxy» was reconstructed. The specifics of the struggle of Russian patriotic circles of white emigration with the Russian Masonic lodges restored abroad are shown. The anti-Masonic activities of the Russian Church abroad are considered. As the highest achievement of anti-Masonic publicism is considered the religious and political philosophy of the history of Russian monarchists. The author believe that the main historiographic criterion for distinguishing the political activity of Russian emigration should be recognized as its pro-Masonic or anti-Masonic orientation. As a result of the research, the author come to the conclusion that the anti-Masonic activities of the Russian right largely objectively reflected the main contradiction of the Russian history of «post-October abroad» as the struggle of Russian patriotic monarchists and the Orthodox Church abroad with the Russophobic forces of the West, whose concentrated expression was Freemasonry.

  18. Book of abstracts Chemical Engineering: IV All-Russian Conference on chemical engineering, All-Russian Youth Conference on chemical engineering, All-Russian school on chemical engineering for young scientists and specialists. Plenary reports. Engineering of inorganic substances and materials

    International Nuclear Information System (INIS)

    Zakhodyaeva, Yu.A.; Belova, V.V.

    2012-01-01

    In the given volume of abstracts of the IV All-Russian Conference on chemical engineering, All-Russian Youth Conference on chemical engineering, All-Russian school on chemical engineering for young scientists and specialists (Moscow, March 18-23, 2012) there are the abstracts of the reports concerning chemical engineering of inorganic substances and materials. The abstracts deal with state-of-the-art and future development of theoretical and experimental investigations as well as with experience in practical realization of development works in the field of chemical engineering and relative areas [ru

  19. The impact of sleep deprivation on surgeons' performance during night shifts.

    Science.gov (United States)

    Amirian, Ilda

    2014-09-01

    The median incidence of adverse events that may result in patient injury is a total of 9% of all in-hospital admissions. In order to reduce this high incidence initiatives are continuously worked on that can reduce the risk of patient harm during admission by strengthening hospital systems. However, the influence of physicians' shift work on the risk on adverse events in patients remains controversial. In the studies included in this PhD thesis we wished to examine the impact of sleep deprivation and circadian rhythm disturbances on surgeons' during night shifts. Further we wished to examine the impact sleep deprivation had on surgeons' performance as a measure of how patient safety would be affected. We found that sleep deprivation subjectively had an impact on the surgeons and that they were aware of the effect fatigue had on their work performance. As a result they applied different mechanisms to cope with fatigue. Attending surgeons felt that they had a better overview now, due to more experience and better skills, than when they were residents, despite the fatigue on night shifts. We monitored surgeons' performance during night shifts by laparoscopic simulation and cognitive tests in order to assess their performance; no deterioration was found when pre call values were compared to on call values. The surgeons were monitored prospectively for 4 days across a night shift in order to assess the circadian rhythm and sleep. We found that surgeons' circadian rhythm was affected by working night shifts and their sleep pattern altered, resembling that of shift workers on the post call day. We assessed the quality of admission in medical records as a measure of surgeons' performance, during day, evening and night hours and found no deterioration in the quality of night time medical records. However, consistent high errors were found in several categories. These findings should be followed up in the future with respect of clarifying mechanism and consequences for

  20. Does surgeon volume matter in the outcome of endoscopic inguinal hernia repair?

    Science.gov (United States)

    Köckerling, F; Bittner, R; Kraft, B; Hukauf, M; Kuthe, A; Schug-Pass, C

    2017-02-01

    For open and endoscopic inguinal hernia surgery, it has been demonstrated that low-volume surgeons with fewer than 25 and 30 procedures, respectively, per year are associated with significantly more recurrences than high-volume surgeons with 25 and 30 or more procedures, respectively, per year. This paper now explores the relationship between the caseload and the outcome based on the data from the Herniamed Registry. The prospective data of patients in the Herniamed Registry were analyzed using the inclusion criteria minimum age of 16 years, male patient, primary unilateral inguinal hernia, TEP or TAPP techniques and availability of data on 1-year follow-up. In total, 16,290 patients were enrolled between September 1, 2009, and February 1, 2014. Of the participating surgeons, 466 (87.6 %) had carried out fewer than 25 endoscopic/laparoscopic operations (low-volume surgeons) and 66 (12.4 %) surgeons 25 or more operations (high-volume surgeons) per year. Univariable (1.03 vs. 0.73 %; p = 0.047) and multivariable analysis [OR 1.494 (1.065-2.115); p = 0.023] revealed that low-volume surgeons had a significantly higher recurrence rate compared with the high-volume surgeons, although that difference was small. Multivariable analysis also showed that pain on exertion was negatively affected by a lower caseload <25 [OR 1.191 (1.062-1.337); p = 0.003]. While here, too, the difference was small, the fact that in that group there was a greater proportion of patients with small hernia defect sizes may have also played a role since the risk in that group was higher. In this analysis, no evidence was found that pain at rest [OR 1.052 (0.903-1.226); p = 0.516] or chronic pain requiring treatment [OR 1.108 (0.903-1.361); p = 0.326] were influenced by the surgeon volume. As confirmed by previously published studies, the data in the Herniamed Registry also demonstrated that the endoscopic/laparoscopic inguinal hernia surgery caseload impacted the outcome. However

  1. The Emergence of Public Relations in the Russian Federation.

    Science.gov (United States)

    Guth, David W.

    2000-01-01

    Describes the emergence of public relations in the Russian Federation over the past 7 years. Concludes that Russia is developing its own vision of public relations, similar in many aspects to that found in the West but also adapted to the harsh realities of Russian life. (NH)

  2. Assessment, surgeon, and society.

    Science.gov (United States)

    Norcini, John; Talati, Jamsheer

    2009-08-01

    An increasing public demand to monitor and assure the quality of care provided by physicians and surgeons has been accompanied by a deepening appreciation within the profession of the demands of self-regulation and the need for accountability. To respond to these developments, the public and the profession have turned increasingly to assessment, both to establish initial competence and to ensure that it is maintained throughout a career. Fortunately, this comes at a time when there have been significant advances in the breadth and quality of the assessment tools available. This article provides an overview of the drivers of change in assessment which includes the educational outcomes movement, the development of technology, and advances in assessment. It then outlines the factors that are important in selecting assessment devices as well as a system for classifying the methods that are available. Finally, the drivers of change have spawned a number of trends in the assessment of competence as a surgeon. Three of them are of particular note, simulation, workplace-based assessment, and the assessment of new competences, and each is reviewed with a focus on its potential.

  3. Planning for success: desired characteristics of special operations surgeons, a pilot study.

    Science.gov (United States)

    Campbell, Barrett H; Alderman, Shawn M

    2012-01-01

    Selection criteria for Special Operations Forces (SOF) physicians are often unclear to potential candidates without prior SOF experience. To date, no published career resource exists to guide the careers of physicians interested in becoming a SOF surgeon. Using a survey tool, desirable characteristics and personal attributes were identified that can be used to inform candidate career decisions and better prepare them for a future position in Special Operations. A descriptive, cross-sectional survey instrument was developed and distributed to current Army SOF Command Surgeons for further distribution to subordinate surgeons. RESULTS were analyzed as a cohort and by subordinate command. Respondents consisted of current SOF Surgeons. Uniformly, the individual characteristics most strongly desired are professionalism, being a team player, and leadership. Possessing or obtaining Airborne and Flight Surgeon qualifications prior to consideration for a surgeon position was highly desired. Residency training within Family Medicine or Emergency Medicine constituted the vast majority of specialty preference. Understanding which characteristics and attributes are desirable to current surgeons and commanders can aid physicians interested in SOF surgeon positions. Using this study and future studies can guide career planning and foster the selection of ideally trained physicians who will operate at the tip of the spear. The views expressed are those of the author(s) and do not reflect the official policy of the Department of the Army, the Department of Defense or the U.S. Government. 2012.

  4. Quality assurance of lower limb venous duplex scans performed by vascular surgeons.

    Science.gov (United States)

    Kordowicz, A; Ferguson, G; Salaman, R; Onwudike, M

    2015-02-01

    Duplex scanning is the gold standard for investigating venous reflux; increasingly surgeons perform these scans themselves. There has been no data published analysing the accuracy of Duplex scans performed by vascular surgeons. We aimed to evaluate an objective method of comparing the results of lower limb Duplex scans performed by one consultant vascular surgeon with those performed by a vascular technologist. We assessed 100 legs with symptomatic varicose veins. Each patient underwent two lower limb venous Duplex scans; one performed by a consultant vascular surgeon and one by a vascular technologist. Scan results were randomised and sent to two consultant vascular surgeons blinded to the identity and experience of the sonographer. They were asked to recommend treatment. A k score was calculated in each case to assess the level of agreement between the scans performed by the consultant and the technologist. Eighty-one patients were studied (53 females). The kappa score for assessor 1 was 0.60 (95%CI:0.44-0.75) and for assessor 2 was 0.62 (95%CI:0.48-0.75). k scores >0.60 represent a substantial strength of agreement. Duplex scans performed by this surgeon were comparable to those performed by a vascular technologist. It is possible to quality-assure duplex performed by vascular surgeons without directly observing the scanning process or reviewing digitally recorded images. We propose standardisation of training, assessment and quality assurance for vascular surgeons wishing to perform ultrasound scans.

  5. Approaches of Russian oil companies to optimal capital structure

    Science.gov (United States)

    Ishuk, T.; Ulyanova, O.; Savchitz, V.

    2015-11-01

    Oil companies play a vital role in Russian economy. Demand for hydrocarbon products will be increasing for the nearest decades simultaneously with the population growth and social needs. Change of raw-material orientation of Russian economy and the transition to the innovative way of the development do not exclude the development of oil industry in future. Moreover, society believes that this sector must bring the Russian economy on to the road of innovative development due to neo-industrialization. To achieve this, the government power as well as capital management of companies are required. To make their optimal capital structure, it is necessary to minimize the capital cost, decrease definite risks under existing limits, and maximize profitability. The capital structure analysis of Russian and foreign oil companies shows different approaches, reasons, as well as conditions and, consequently, equity capital and debt capital relationship and their cost, which demands the effective capital management strategy.

  6. Russian and American students' images of their future presidents.

    Directory of Open Access Journals (Sweden)

    Strokanov A.A.

    2014-12-01

    Full Text Available The structure of their future presidents’ images among Russian and American students was studied. The general tendencies and specific features of the perception of a future president among Russian and American students were revealed. For respondents of both groups, the significant factors influencing their choice of whom to vote for were the program of the candidate, his strategic thinking, the reliability of his team, a high degree of professionalism and competence, leadership skills, the ability to speak and convince, and personal qualities. In regard to specific features, Russian students paid more attention to the business qualities of a future president than did American students; Russian students were optimistic and considered elections capable of effecting changes in the country. American students showed less interest in political events, along with the professional qualities of the leader; they paid attention to his appearance and believed that elections can affect the private life of people.

  7. Russian-American Experience in Science Education and Volcanological Research

    Science.gov (United States)

    Eichelberger, J. C.; Gordeev, E. I.; Vesna, E. B.

    2007-12-01

    After five years experience in bringing American students to meet and learn with Russian students in Kamchatka and bringing Russian students to meet and learn with American students in Alaska, it is possible to make some generalizations about the problems and benefits this growing program. Some 200 students, including many from other countries besides the United States and Russian Federation, have now had this experience. The context of their collaboration is the International Volcanological Field School, sponsored by the University of Alaska Fairbanks, Kamchatka State University, and the Institute of Volcanology and Seismology, and also a comparison of Mount St Helens, Bezymianny, and Shiveluch volcanoes under the National Science Foundation's Partnerships in International Research in Education, with important support from the Russian Academy of Sciences, Far East Division. Elements of these two projects are adaptation to unfamiliar, harsh, and remote environments; intensive courses in Russian language, history, geography, and culture; and sharing of research and education experiences among students. The challenges faced by the program are: · Slow and complex visa processes. · Demise of a direct airline connection, necessitating round-the-world travel to go 3000 km. · Adequately communicating to students beforehand the need for physical fitness, mental fortitude in uncomfortable conditions, and patience when bad weather limits mobility. Benefits of the projects have been: · Experiences that students report to be career- and life-changing. · Much more positive perceptions of Russia and Russian people by American students and of America and Americans by Russian students. · Introduction to the "expedition style" volcanology necessary in challenging environments. · Development of long-lasting collaborations and friendships in the context of international science. Students often comment that hearing about what their peers have done or are doing in research at

  8. Indissoluble Connection of Russian MC and A System Sustainability with that of the Russian Methodological and Training Center

    International Nuclear Information System (INIS)

    Ryazanov, Boris G.; Goryunov, Victor; Pshakin, Gennady M.; Shapsha, V.; Crawford, Cary E.; Dickman, Deborah A.

    2005-01-01

    During the past 10 years of collaboration under the U.S.-Russian Materials Protection, Control and Accounting (MPC and A) Program great efforts were made to transform and upgrade the Russian Federal Nuclear Materials Control and Accounting (MC and A) System. The efforts were focused not only on MC and A systems for nuclear facilities but also on creating and developing the system infrastructure, including legislation, state inspection and agency monitoring, training of operators and inspectors, instrument and methodological support, and the Federal Information System (FIS). At present the most important and urgent goal is to provide sustainability of MC and A systems at the existing level or at the level that will be achieved in 2007-2008. Since the very beginning of the program, the Russian Methodological and Training Center (RMTC) activities have been focused on intensive training of the personnel as well as the methodological support necessary for transformation and development of the entire system and its elements located at nuclear facilities. Sustainability of the federal MC and A system is impossible without advanced training of personnel and methodological support for upgrading of system elements at nuclear facilities. That is why the RMTC sustainability is one of the key conditions required for the system sustainability as a whole. The paper presents the results of analysis of the conditions for the Russian MC and A system sustainable development in conjunction with the RMTC sustainability

  9. Contradictions and conflicts of the contemporary Russian education

    Directory of Open Access Journals (Sweden)

    M M Akulich

    2016-12-01

    Full Text Available The article considers the contradictions and conflicts of the contemporary Russian education focusing on the opportunities for conflict management. The research is based on the institutional and system approaches, in particular on the sociological conceptions of social conflict and social cohesion. The author conducted a historical and sociological analysis of social conflicts and social cohesion in the educational sphere, and such conflicts seem to be the result of the contradictions inherent in this social institution. The article identifies basic types of conflicts in the Russian education, and the ways of resolving them by the subjects of the educational system for such conflicts are manageable, especially within the interaction of educational system and society. To verify the proposed typology of conflicts in the contemporary Russian education the author conducted an empirical study to develop a system of practical measures that will help to improve the quality of learning of pupils and students, and will have a positive impact on the functioning and development of the contemporary Russian society. Thus, the article may be useful to sociologists, teachers, educational managers and readers interested in the specifics of social conflicts and the ways for resolving conflict situations.

  10. Russian neo-revisionist strategy and the Eurasian Project

    Directory of Open Access Journals (Sweden)

    Ruslan Dzarasov

    2017-03-01

    Full Text Available The article is focused on the real meaning of the Eurasian Integration Project for East–West relations. The author departs from Sakwa’s treatment of Russian strategy as neo-revisionist. It does not aspire to change the current world order while trying to make the West observe its national interests within the existing framework. This perspective is treated in the article from the standpoint of world-systems analysis. The Eurasian Project is understood as a reaction of the Russian state to the failure of the neoliberal attempt to integrate into the world economy and the international security system. The two great trade mega-unions—the Trans-Pacific Partnership (TPP and the Trans-Atlantic Partnership—are seen as geoeconomic bolt clamps, which put Russia under enormous pressure. The Russian strategy in the Ukrainian and Syrian crises is designed to find the way out of strategic isolation. The Eurasian Union is expected by the Russian ruling elite to be an important tool to forestall the isolation of the country and secure her economic, military and international security.

  11. The role of SNM portal monitoring in the Russian MPC ampersand A program

    International Nuclear Information System (INIS)

    York, R.L.

    1997-01-01

    Controlling the movement of nuclear materials is still the most effective nonproliferation measure. Pedestrian and vehicle portal monitors have been an established tool for preventing the unauthorized movement of SNM across US nuclear facility boundaries for 15 years. Because the portals are reliable and easy to install, they are an efficient first step to improve the security at Russian nuclear facilities. The portals were first furnished to Russian facilities for testing and evaluation. After Russian technical experts gained experience with the operating parameters, the instruments were implemented at appropriate locations at each facility. This process has been executed at IPPE, VNIEF, VNIITF, RCC KI, and SKhK. The transfer of the portal monitoring technology to Russian institutes to promote the manufacture of Russian instruments is also an important goal of the program. The process was started with two portal monitor workshops attended by representatives of Russian facilities at ORNL and followed by technical collaborations at the individual Russian facilities. The success of this effort is illustrated by the recent workshop hosted by VNIIA at the SCI in Obninsk where specialists from thirty-two Russian nuclear facilities met to discuss their experience in portal monitoring. Twelve institutes and firms reported on the status of Russian designed and manufactured instruments. Details of this program will be presented in this paper

  12. Russian Subjects on the Territory of the Grand Duchy of Finland (according to the Russian and Finnish Population Statistics of the late 19th century

    Directory of Open Access Journals (Sweden)

    Sergey G. Kashchenko

    2017-03-01

    Full Text Available Historical demographic research plays an important role in multi-disciplinary projects in historical, social and political sciences at the moment. It is of great importance for migration and social policy studies and also concerns economics, material and intellectual culture and inter-ethnic and inter-faith relations. The border regions with high population mobility are of particular interest. The search in the Russian State Historical Archive uncovered a complex of primary census material concerning the Russian population in the Grand Duchy of Finland. Thus it became possible to introduce previously unstudied documents, containing data on the Russian subjects, mainly military men, stationed at Helsinki, Sveaborg, Tavastgus, Torneo and a number of other garrisons into scientific use. Russian military men in those towns comprised quite a noticeable element in the composition of the population. It is no doubt that Russian officers and their family members were part of the town elite according to their social status, life experience, and level of education. Consequently the primary documents of the 1897 census give us a unique opportunity to see the demographic situation of the Russian garrisons accommodated in the Vyborg Governorate in the end of the 19th century from the inside, and add living colors related to biographies of certain people to the dry statistical picture which describes the population of the town.

  13. Certification of U.S. instrumentation in Russian nuclear processing facilities

    International Nuclear Information System (INIS)

    Powell, D.H.; Sumner, J.N.

    2000-01-01

    Agreements between the United States (U.S.) and the Russian Federation (R.F.) require the down-blending of highly enriched uranium (HEU) from dismantled Russian Federation nuclear weapons. The Blend Down Monitoring System (BDMS) was jointly developed by the Los Alamos National Laboratory (LANL) and the Oak Ridge National Laboratory (ORNL) to continuously monitor the enrichments and flow rates in the HEU blending operations at the R.F. facilities. A significant requirement of the implementation of the BDMS equipment in R.F. facilities concerned the certification of the BDMS equipment for use in a Russian nuclear facility. This paper discusses the certification of the BDMS for installation in R.F. facilities, and summarizes the lessons learned from the process that can be applied to the installation of other U.S. equipment in Russian nuclear facilities

  14. RUSSIAN LANGUAGE IN NORTHERN NORWAY: HISTORICAL, ECONOMIC AND CULTURAL TIES

    Directory of Open Access Journals (Sweden)

    Маргарита Ольнова

    2017-12-01

    Full Text Available This article addresses the topic “Commodification of the Russian language”. The author examines the process of commodification in the Norwegian city of Kirkenes and connects this phenomenon with the rise of the new economy and the current cooperation between Russia and Norway. The paper pre-sents an analysis of the linguistic landscape of Kirkenes, newspaper publications devoted to the “Russian Kirkenes” and interviews with Russian tourists and residents of the city. According to the author, the situation in Kirkenes illustrates the transition of the old economy into a new one: the former mining city turned into a tourist Mecca of the North, a center of cooperation of the Nordic countries. In such conditions, know-ledge of the Russian language becomes beneficial for the city's residents.

  15. Do Surgeons React?: A Retrospective Analysis of Surgeons' Response to Harassment of a Colleague During Simulated Operating Theatre Scenarios.

    Science.gov (United States)

    Gostlow, Hannah; Vega, Camila Vega; Marlow, Nicholas; Babidge, Wendy; Maddern, Guy

    2017-07-24

    To assess and report on surgeons' ability to identify and manage incidences of harassment. The Royal Australasian College of Surgeons is committed to driving out discrimination, bullying, harassment, and sexual harassment from surgical training and practice, through changing the culture of the workplace. To eradicate these behaviors, it is first critical to understand how the current workforce responds to these actions. A retrospective analysis of video data of an operating theatre simulation was conducted to identify how surgeons, from a range of experience levels, react to instances of harassment. Thematic analysis was used to categorize types of harassment and participant response characteristics. The frequency of these responses was assessed and reported. The type of participant response depended on the nature of harassment being perpetuated and the seniority of the participant. In the 50 instances of scripted harassment, active responses were enacted 52% of the time, acknowledgment responses 16%, and no response enacted in 30%. One senior surgeon also perpetuated the harassment (2%). Trainees were more likely to respond actively compared with consultants. It is apparent that trainees are more aware of instances of harassment, and were more likely to intervene during the simulated scenario. However, a large proportion of harassment was unchallenged. The hierarchical nature of surgical education and the surgical workforce in general needs to enable a culture in which the responsibility to intervene is allowed and respected. Simulation-based education programs could be developed to train in the recognition and intervention of discrimination, bullying, harassment and sexual harassment.

  16. Unknown Russian giant

    International Nuclear Information System (INIS)

    Ross, Priscilla.

    1996-01-01

    The present position and future potential of the Russian oil company Tatneft are assessed. Tatneft, the eighteenth largest oil company in the world, has 85 oil fields and over 20,700 production wells. In 1995, it increased its production by 6% to 504,000bpd and its crude oil exports outside Russia were 213,000bpd. The company forms the basis of the oil industry in the semi-autonomous republic of Tatarstan. Tafneft became a joint stock company in May 1994 with the government of Tatarstan as the largest shareholder with a 46% stake. Although Tafneft produces far more crude than Conoco or YPF, its market capitalisation per barrel of production is only 5% of these companies. Its long-term future lies in successfully increasing production and enhancing financial performance. The former is being addressed through enhanced oil recovery methods and various joint ventures are being entered into with western partners in order to tap foreign expertise and to finance modern equipment. The achievement of the latter requires an improvement towards world prices of the price for Russian domestic crude and a reduction in the tax burden away from revenue towards a profits basis. (UK)

  17. RUSSIAN CORPORATIONS: THE PROBLEM OF INTRACORPORATE RELATIONS AND INTERESTS

    Directory of Open Access Journals (Sweden)

    Olga Brizhak

    2015-09-01

    Full Text Available The article actualizes the problem of the study of intra-corporate relations and economic interests of the various economic actors involved in the corporate environment of the Russian economy. The author considers the specific conditions of socio-economic and innovative development of Russian big business.

  18. Invisibility and Ownership of Language: Problems of Representation in Russian Language Textbooks

    Science.gov (United States)

    Azimova, Nigora; Johnston, Bill

    2012-01-01

    Using the 2 theoretical lenses of representation (Barthes, 1977) and ownership of language (Higgins, 2003), this article offers a critical analysis of representations of Russian speakers in 9 widely used Russian language textbooks aimed at university-level learners. Particular attention is paid to representations of Russian speakers other than…

  19. Do Russians Need Cliotherapia?

    Directory of Open Access Journals (Sweden)

    Boris N. Mironov

    2016-10-01

    Full Text Available The author gives detailed answers to the comments made by all eighteen round table participants in the course of the discussions that unfolded around his book “The Russian Empire: From Tradition to Modernity”. A fundamental debate on many of the issues raised in the book is conducted in the article. Among them: methodology and technique, in particular, the use of a variety of research strategies, the application of comparative historical approach, interdisciplinarity, macro- and micro-analysis, the search for patterns, the role of concepts, and the relationship between empirical and analytical aspects in the study. Much attention is paid to the controversial aspects of ethnoconfessional policies, mentalité and historical psychology, the unresolved issues of serfdom and colonization, cultural capital and educational policies, as well as self-government and civil society. The discussion concerning the specifics of Russian modernization and the issue of myth making occupies an important place in the article, as does historical optimism and cliotherapy.

  20. RUSSIAN INDUSTRY INVESTMENT SITUATION

    Directory of Open Access Journals (Sweden)

    O. V. Pochukaeva

    2011-01-01

    Full Text Available The actual deficiency of investment into Russian industry innovative development increases its technological drag from industries of countries with developed markets. Although the rate of investment into real sectors of Russian economics mid 2000 was higher compared to the previous period, annual investment amounts were much lower than in 1990. At present, highest investment amounts are directed to industry extractive branches and to the commerce. Amounts invested to various economy branches do not correspond to their contribution to the country’sGross Added Product; particularly underinvested are manufacturing industry branches. At present, foreign share in the country economy total investment makes 15–18%. Recently, most interesting for foreigners was investment to machine-building branches with overwhelming part (for example, 90% in 2007–2008 of foreign investment into the machine-building industry being directed to creation of new automobile plants. Today, first place in the list of foreign investors’ preferences in Russia is taken by the machine-tool construction sector.

  1. Patient views on financial relationships between surgeons and surgical device manufacturers.

    Science.gov (United States)

    Camp, Mark W; Gross, Allan E; McKneally, Martin F

    2015-10-01

    Over the past decade, revelations of inappropriate financial relationships between surgeons and surgical device manufacturers have challenged the presumption that surgeons can collaborate with surgical device manufacturers without damaging public trust in the surgical profession. We explored postoperative Canadian patients' knowledge and opinions about financial relationships between surgeons and surgical device manufacturers. This complex issue was explored using qualitative methods. We conducted semistructured face-to-face interviews with postoperative patients in follow-up arthroplasty clinics at an academic hospital in Toronto, Canada. Interviews were audiotaped, transcribed and analyzed. Patient-derived concepts and themes were uncovered. We interviewed 33 patients. Five major themes emerged: 1) many patients are unaware of the existence of financial relationships between surgeons and surgical device manufacturers; 2) patients approve of financial relationships that support innovation and research but are opposed to relationships that involve financial incentives that benefit only the surgeon and the manufacturer; 3) patients do not support disclosure of financial relationships during the consent process as it may shift focus away from the more important risks; 4) patients support oversight at the professional level but reject the idea of government involvement in oversight; and 5) patients entrust their surgeons to make appropriate patient-centred choices. This qualitative study deepens our understanding of financial relationships between surgeons and industry. Patients support relationships with industry that provide potential benefit to current or future patients. They trust our ability to self-regulate. Disclosure combined with appropriate oversight will strengthen public trust in professional collaboration with industry.

  2. The restructuring of the Russian oil industry

    International Nuclear Information System (INIS)

    Price, J.

    1994-01-01

    The Russian Oil and Gas Corporation, Rosneftegas, was set up in October 1990 to be the central coordinating body of the Russian oil industry. Rosneftegas decided to seek expert advice from international advisers on the restructuring of the industry in the transition to a market economy. The advisers put forward a framework for change based on eight internal and external factors. On the internal, industry, side they are: private ownership, market structures, competition and demarcation of responsibilities. On the external, policy side they are: oil and gas legislation; taxation; contracts; and pricing. A list of investment policy and industry structure objectives was defined on the basis of the framework. Much progress has been made and many of the detailed conclusions of the advisers' report have been implemented. Many difficult issues remain to be dealt with, however. These include considerable tension between the Russian Federal government and the regional governments, between production associations and their local governments, and over the domestic price of oil and oil products. (UK)

  3. THE GREAT RUSSIAN SCIENTIST M.V. LOMONOSOV

    Directory of Open Access Journals (Sweden)

    G.L. Mikirtichan

    2011-01-01

    Full Text Available This article presents reflections on the contribution of the great Russian scientist, one of the most prominent world science stars Mikhail Lomonosov (8/19.11.1711–4/15.04.1765 in connection with the 300th anniversary of his birth celebrated in 2011. Particular attention is paid to his role as an advocate for the development of domestic education and science, and his views on medicine. In the same year we are celebrating the 250 years anniversary since M. Lomonosov’s writing the letter to I.I. Shuvalov, «On the saving and reproduction of the Russian People» (1761, which contained an extensive program of increasing the country's population,  which included a range of legal, social and medical measures to help increase fertility and reduce child mortality. Key words: M. V. Lomonosov, I. I. Shuvalov, Moscow University, «On the saving and reproduction of the Russian people». (Pediatric pharmacology. — 2011; 8 (6: 136–140.

  4. Russian oil policy under Putin in perspective

    International Nuclear Information System (INIS)

    Rossiaud, S.

    2009-01-01

    This article intends to explain and evaluate the interactions between the three developments which have structured the Russian oil industry since the beginning of V. Putin's second presidential term of office: the slowing down in production growth as well as the absolute decline of the latter observed in 2008, the reorganization of this industry marked by the increasing role of public oil companies and, finally, the adjustments made to the contractual arrangements surrounding the activities of the upstream oil sector. It has shown, on one hand, that the decline in current production is the result of the exhaustion of short term strategies by private Russian companies, and on the other hand, that the contract adjustments are insufficient to allow the Russian companies to adjust to more long term strategies. From this perspective, the increased role played by public oil companies can be analysed as an organisational response to this institutional dead-end. (author)

  5. Price and Income Elasticities of Russian Exports

    Directory of Open Access Journals (Sweden)

    Bernardina Algieri

    2004-12-01

    Full Text Available The paper gauges export demand elasticities for Russia using an Error Correction technique within a cointegration framework. An extended version of the Imperfect Substitutes Model has been implemented to estimate the sensitivity of Russian exports without oil components to price and to Russian and world income. Our results suggest a robust and negative long run cointegration relationship between the real effective exchange rate, defined as the weighted average of the rouble’s exchange rates versus a basket of the three currencies with the largest share in the trade turnover adjusted to incorporate inflation rate differences (the ratio of the domestic price indices to the foreign price indices, and Russian exports. An increase in exports by 24% is caused by a real depreciation by 10%. Furthermore, a 10% growth in world income leads to a 33% rise in exports. Finally, exports drop by 14% whenever a 10% increase in domestic income occurs

  6. Surgeon Involvement in Pre-Clinical Medical Education: Attitudes of Directors of Education

    Directory of Open Access Journals (Sweden)

    Simon Turner

    2012-04-01

    Full Text Available Background: Application rates to surgical residencies have shown a downward trend recently. Introducing students to surgeons early in medical school can increase interest in surgery as a career and enhance the instruction of important surgical topics. Directors of undergraduate medical education have unique insight and influence regarding the participation of surgeons in pre-clinical education. Methods: To understand the attitudes of these educators towards surgeons as teachers in pre-clinical programs, a survey was administered to the directors of undergraduate medical education at each of the English-language medical schools in Canada. Results: Educators estimate the participation of surgeons in all categories of pre-clinical education to be low, despite being valuable, and think that it should be increased. The most significant barrier to participation identified was a lack of surgeons’ time. Conclusions: Despite the value of surgeons participating in pre-clinical education, their rate of participation is low. Steps should be taken to facilitate the involvement of surgeons in this phase of education, which may lead to improved education for students and increased student interest in surgery residencies.

  7. Teaching Russian Literature in Italian Universities: Problems and Possible Solutions

    Directory of Open Access Journals (Sweden)

    Irina Marchesini

    2013-12-01

    Full Text Available Vladimir Vladimirovič Nabokov is undoubtedly a key figure of world literature. Nonetheless, together with his legacy as a writer, his activity as a University teacher should be considered. This aspect, often marginalized by Nabokov criticism, deserves greater recognition. Indeed, it could stimulate interesting theoretical reflections on how to teach literature, especially Russian. In this perspective, this paper discusses some of the most common problems in teaching Russian literature in Italian universities, suggesting possible solutions inferred from Nabokov’s Lectures on Russian Literature (1981.

  8. Russian nuclear survey

    International Nuclear Information System (INIS)

    2002-07-01

    This document gives a broad overview of the organization of nuclear activities in the Russian federation: Minatom activities, nuclear park and availability (reactors, performances, export activity), perspectives of development (improvement of safety, age of reactors, new realizations); fuel cycle (uranium production, conversion and enrichment, fuel fabrication, spent fuel reprocessing); wastes management (storage and disposal sites); R and D activities (organizations) and nuclear safety authority. (J.S.)

  9. Cognitive Predictors of Generalization of Russian Grammatical Gender Categories

    Science.gov (United States)

    Kempe, Vera; Brooks, Patricia J.; Kharkhurin, Anatoliy

    2010-01-01

    This study explores how learners generalize grammatical categories such as noun gender. Adult native English speakers with no prior knowledge of Russian (N = 47, ages 17-55 years) were trained to categorize Russian masculine and feminine diminutive nouns according to gender. The training set was morphophonologically homogeneous due to similarities…

  10. Social Mechanisms in Elaborating Russian Educational Policy: Legal Monitoring

    Science.gov (United States)

    Gostev, Aleksandr N.; Turko, Tamara I.; Shchepanskiy, Sergey B.

    2016-01-01

    The article presents the results of legal monitoring and those of a sociological research on the efficiency of social mechanisms in Russian Federation education policy. The data obtained substantiates: the need for systematic improvement of Russian legislation in the education sector; revised notions and content of social mechanisms in Russian…

  11. Cost analysis when open surgeons perform minimally invasive hysterectomy.

    Science.gov (United States)

    Shepherd, Jonathan P; Kantartzis, Kelly L; Ahn, Ki Hoon; Bonidie, Michael J; Lee, Ted

    2014-01-01

    The costs to perform a hysterectomy are widely variable. Our objective was to determine hysterectomy costs by route and whether traditionally open surgeons lower costs when performing laparoscopy versus robotics. Hysterectomy costs including subcategories were collected from 2011 to 2013. Costs were skewed, so 2 statistical transformations were performed. Costs were compared by surgeon classification (open, laparoscopic, or robotic) and surgery route. A total of 4,871 hysterectomies were performed: 34.2% open, 50.7% laparoscopic, and 15.1% robotic. Laparoscopic hysterectomy had the lowest total costs (P depreciation included (P < .001) but similar costs if these variables were excluded. Although laparoscopic hysterectomy had lowest costs overall, robotics may be no more costly than laparoscopic hysterectomy when performed by surgeons who predominantly perform open hysterectomy.

  12. The Janus Faces of IHRM in Russian MNEs

    DEFF Research Database (Denmark)

    Andreeva, Tatiana; Festing, Marion; Minbaeva, Dana

    2014-01-01

    MNEs actively promote a mix of global best practices and local HRM practices. We do not find any instances of the reverse transfer of management practices from subsidiaries in developed countries to the MNEs' headquarters or any examples of cross-pollination among subsidiaries.......This article analyzes variations in the international human resource management ( IHRM) approaches of Russian multinational enterprises ( MNEs) in the contexts of developed and developing countries. The data were gathered through interviews conducted at the headquarters of Russian MNEs...... and at their subsidiaries in developed and developing countries. The results indicate that Russian MNEs adopt HRM practices of Western origin. However, these MNEs differ radically in their choices of IHRM approaches. Many of these differences depend on the countries these MNEs target in their international expansion...

  13. Russian science readings (chemistry, physics, biology)

    CERN Document Server

    Light, L

    1949-01-01

    Some years' experience in teaching Russian to working scientists who had already acquired the rudiments of the grammar convinced me of the need for a reader of the present type that would smooth the path of those wishing to study Russian scientific literature in the original. Although the subject matter comprises what I have described for convenience as chemistry, physics and biology, it could be read with equal profit by those engaged in any branch of pure or applied science. All the passages are taken from school textbooks, and acknowledgements are due to the authors of the works listed at the foot of the contents page.

  14. Electronic Cigarette Use Among Adolescents in the Russian Federation.

    Science.gov (United States)

    Kong, Grace; Idrisov, Bulat; Galimov, Artur; Masagutov, Radik; Sussman, Steve

    2017-02-23

    Information on e-cigarettes among youth in the Russian Federation is lacking. We examined prevalence of and factors associated with youth e-cigarette use in the Russian Federation. A cross-sectional, anonymous survey, conducted among 716 (females 51.5%) high school students in three cities (i.e., Ufa, Sterlitamak, Karagaevo) within the Republic of Bashkortostan, Russian Federation in 2015, assessed e-cigarette use and its correlates (i.e., sex, age, ethnicity, family structure, parents' highest degrees, antisocial behaviors, stress coping strategies, lifetime cigarette, hookah, alcohol, and marijuana use). Lifetime use of e-cigarettes was 28.6% and past-30-day use was 2.2%. Multilevel modeling showed that belonging to Tatar/Bashkir ethnicity relative to Russian ethnicity (OR = 1.60) and lifetime use of cigarettes (OR = 21.64), hookah (OR = 4.21), and alcohol (OR = 1.90) was associated with greater odds of lifetime use of e-cigarettes. Furthermore, use of social support coping strategies (i.e., utilizing parents for support) were associated with lower odds of lifetime use of e-cigarettes (OR = 0.94). Despite high lifetime e-cigarette use, past-30-day use was low. Greater knowledge of the reasons for e-cigarette discontinuation through continued surveillance is needed in the Russian Federation. Social coping strategies involving parents may inform e-cigarette use prevention.

  15. Global climate change adaptation: examples from Russian boreal forests

    International Nuclear Information System (INIS)

    Krankina, O.N.; Dixon, R.K.; Kirilenko, A.P.; Kobak, K.I.

    1997-01-01

    The Russian Federation contains approximately 20% of the world's timber resources and more than half of all boreal forests. These forests play a prominent role in environmental protection and economic development at global, national, and local levels, as well as, provide commodities for indigenous people and habitat for a variety of plant and animal species. The response and feedbacks of Russian boreal forests to projected global climate change are expected to be profound. Current understanding of the vulnerability of Russian forest resources to projected climate change is discussed and examples of possible adaptation measures for Russian forests are presented including: (1) artificial forestation techniques that can be applied with the advent of failed natural regeneration and to facilitate forest migration northward; (2) silvicultural measures that can influence the species mix to maintain productivity under future climates; (3) identifying forests at risk and developing special management adaption measures for them: (4) alternative processing and uses of wood and non-wood products from future forests; and (5) potential future infrastructure and transport systems that can be employed as boreal forests shift northward into melting permafrost zones. Current infrastructure and technology can be employed to help Russian boreal forests adapt to projected global environmental change, however many current forest management practices may have to be modified. Application of this technical knowledge can help policymakers identify priorities for climate change adaptation

  16. Current Russian patriotism: matter, features, main directions

    Directory of Open Access Journals (Sweden)

    Lutovinov Vladimir Ilich

    2013-11-01

    Full Text Available The article considers understanding and the main point of patriotism as one of high cultural values. The main approaches that reveal different sides of this phenomenon, its role and importance in a history of Russia in the 21st century are inferred from the analysis of viewpoints of Russian thinkers and contemporary researchers. The patriotism formation problems in Russian society and their condition are defined, the need of patriotic level rise as one of the conditions for great Russia rebirth is substantiated.

  17. Organizational Development of Russian SMEs: Current trends

    Directory of Open Access Journals (Sweden)

    Emil Velinov

    2016-12-01

    Full Text Available The research paper sheds a light on Russian SMEs transition and specifically on their current development and evolution. The paper attempts to explain what are the main drivers and antecedents on SMEs during the period 2010-2015. Along with it, it is applied detailed analysis of Russian SMEs in terms of key performance indicators, turnover and volume of sales. Further, are given potential developments and trends within SMEs in Russia. The paper draws attention to socio-economic and political factors influencing SMEs development.

  18. Disrupt, Coerce, Legitimize, Attract: The Four Dimensions of Russian Smart Power

    Science.gov (United States)

    2017-03-31

    baby food , sleeping bags and generators”29 coincided with the appearance of large formations of well-armed, highly organized but anonymous “little...effective in maintaining a semi-permeable echo-chamber of Russian public support by limiting the cross- contamination of deliberately contradictory...completes the application of Russian Smart Power. The reaction to the downing of Malaysia Airlines flight 17 on 17 July, 2014 by a Russian BUK SA

  19. A Bear At My Door: How To Stop Future Russian Aggression

    Science.gov (United States)

    2016-02-16

    Sunni controlled Organization of Petroleum Exporting Countries’ (OPEC) saturation of the oil market has had a major impact on the Russian economy ...Shirtless horse rides with media coverage, military incursion into Crimea days after the closing ceremony of the Olympics , or having his Russian...Russian incursion and once this occurs what will be the impact ? Is the occupied nation militarily capable of a quick ten day victory as in Slovenia or

  20. The Development of Russian-Chinese Expert Contacts on International Relations

    Directory of Open Access Journals (Sweden)

    Ivan A. Safranchuk

    2015-01-01

    Full Text Available Abstract: This article is devoted to the contacts of Russian and Chinese experts on international relations and to the visit of MGIMO-University delegation to Beijing in June 2015. The article studies the major tracks of expert dialogue between Russian and Chinese experts on contemporary international affairs: the situation in the Near and Middle East, the developments in Eurasia, the major regional conflicts. The particular attention in the Russian-Chinese expert debates is devoted to the topic of Eurasia and the perspective for agreed implementation of Russia-sponsored Eurasian Economic Union and China-sponsored Economic belt of Silk Road. The article dwells upon the key issues in the Russian-Chinese dialogue on the Eurasian affairs. Additionally the article unveils the proposals by the US experts, concerning the development of Russian-Chinese dialogue on these matters. In 2015 the US experts developed new ideas on the regional issues in Eurasia, they offer to coordinate the Chinese project Economic belt of Silk Road and the US project of New Silk Road. In 2015 the historical topic gained momentum in the Russian-Chinese expert debates. Now Russia and China jointly oppose the attempts of some countries to revisit the results of World War II. However while Russia and China are both committed to the traditional interpretations of World war II and resist any revisionism of those results, still the Chinese experts argue in favor of greater appreciation of the role and contribution by China to the victory over fascism and militarism in World war II. The article also overviews interesting discussions between Russian and Chinese experts on the reform of global governance and the formation of the new world order.

  1. Subjects of the State within the Russian Federation: Constitutional and Legal Framework

    Science.gov (United States)

    Tumanov, Dmitriy Yu.; Sakhapov, Rinat R.

    2016-01-01

    The purpose of this study is to analyze the modern problems of federalism in the Russian Federation. In particular, the article examines the main provisions of the Constitution of the Russian Federation, which regulate the legal status of subjects in the Russian Federation, their rights and responsibilities, limits of autonomy and differentiation…

  2. Effect of Individual Surgeons and Anesthesiologists on Operating Room Time

    NARCIS (Netherlands)

    van Eijk, Ruben P A; van Veen-Berkx, Elizabeth; Kazemier, Geert; Eijkemans, Marinus J C

    BACKGROUND:: Variability in operating room (OR) time causes overutilization and underutilization of the available ORs. There is evidence that for a given type of procedure, the surgeon is the major source of variability in OR time. The primary aim was to quantify the variability between surgeons and

  3. Quantifiers in Russian Sign Language

    NARCIS (Netherlands)

    Kimmelman, V.; Paperno, D.; Keenan, E.L.

    2017-01-01

    After presenting some basic genetic, historical and typological information about Russian Sign Language, this chapter outlines the quantification patterns it expresses. It illustrates various semantic types of quantifiers, such as generalized existential, generalized universal, proportional,

  4. On the centenary of the Nobel Prize: Russian laureates in physics

    International Nuclear Information System (INIS)

    Mukhin, Konstantin N; Sustavov, Aleksandr F; Tikhonov, Viktor N

    2003-01-01

    The history and development of the branches of physics which profited significantly from the work of Russian Nobel laureates (P A Cherenkov, I E Tamm, I M Frank, L D Landau, N G Basov, A M Prokhorov, P L Kapitza, and Zh I Alferov) are reviewed in popular form to mark the recent Nobel Foundation centenary. Apart from the Russian prize winners' achievements, the major contributions of their colleagues - Russian and foreign, predecessors and successors - are briefly discussed. The current state of the branches of physics advanced with the participation of Russian laureates is reviewed, and the practical implications of their work for science, technology, and everyday life are discussed. (from the history of physics)

  5. On the centenary of the Nobel Prize: Russian laureates in physics

    Energy Technology Data Exchange (ETDEWEB)

    Mukhin, Konstantin N; Sustavov, Aleksandr F; Tikhonov, Viktor N [Institute of General and Nuclear Physics, Russian Research Centre ' Kurchatov Institute' , Moscow (Russian Federation)

    2003-05-31

    The history and development of the branches of physics which profited significantly from the work of Russian Nobel laureates (P A Cherenkov, I E Tamm, I M Frank, L D Landau, N G Basov, A M Prokhorov, P L Kapitza, and Zh I Alferov) are reviewed in popular form to mark the recent Nobel Foundation centenary. Apart from the Russian prize winners' achievements, the major contributions of their colleagues - Russian and foreign, predecessors and successors - are briefly discussed. The current state of the branches of physics advanced with the participation of Russian laureates is reviewed, and the practical implications of their work for science, technology, and everyday life are discussed. (from the history of physics)

  6. Meeting Increasing Demands for Rural General Surgeons.

    Science.gov (United States)

    Mccarthy, Mary C; Bowers, Howard E; Campbell, Damon M; Parikh, Priti P; Woods, Randy J

    2015-12-01

    Dynamic assessment of the effective surgical workforce recommends 27,300 general surgeons in 2030; 2,525 more than are presently being trained. Rural shortages are already critical and there has been insufficient preparation for this need. A literature review of the factors influencing the choice of rural practice was performed. A systematic search was conducted of PubMed and the Web of Science to identify applicable studies in rural practice, surgical training, and rural general surgery. These articles were reviewed to identify the pertinent reports. The articles chosen for review are directed to four main objectives: 1) description of the challenges of rural practice, 2) factors associated with the choice of rural practice, 3) interventions to increase interest and preparation for rural practice, and 4) present successful rural surgical practice models. There is limited research on the factors influencing surgeons in the selection of rural surgery. The family practice literature suggests that physicians are primed for rural living through early experience, with reinforcement during medical school and residency, and retained through community involvement, and personal and professional satisfaction. However, more research into the factors drawing surgeons specifically to rural surgery, and keeping them in the community, is needed.

  7. Risk adjustment for case mix and the effect of surgeon volume on morbidity.

    Science.gov (United States)

    Maas, Matthew B; Jaff, Michael R; Rordorf, Guy A

    2013-06-01

    Retrospective studies of large administrative databases have shown higher mortality for procedures performed by low-volume surgeons, but the adequacy of risk adjustment in those studies is in doubt. To determine whether the relationship between surgeon volume and outcomes is an artifact of case mix using a prospective sample of carotid endarterectomy cases. Observational cohort study from January 1, 2008, through December 31, 2010, with preoperative, immediate postoperative, and 30-day postoperative assessments acquired by independent monitors. Urban, tertiary academic medical center. All 841 patients who underwent carotid endarterectomy performed by a vascular surgeon or cerebrovascular neurosurgeon at the institution. Carotid endarterectomy without another concurrent surgery. Stroke, death, and other surgical complications occurring within 30 days of surgery along with other case data. A low-volume surgeon performed 40 or fewer cases per year. Variables used in a comparison administrative database study, as well as variables identified by our univariate analysis, were used for adjusted analyses to assess for an association between low-volume surgeons and the rate of stroke and death as well as other complications. RESULTS The rate of stroke and death was 6.9% for low-volume surgeons and 2.0% for high-volume surgeons (P = .001). Complications were similarly higher (13.4% vs 7.2%, P = .008). Low-volume surgeons performed more nonelective cases. Low-volume surgeons were significantly associated with stroke and death in the unadjusted analysis as well as after adjustment with variables used in the administrative database study (odds ratio, 3.61; 95% CI, 1.70-7.67, and odds ratio, 3.68; 95% CI, 1.72-7.89, respectively). However, adjusting for the significant disparity of American Society of Anesthesiologists Physical Status classification in case mix eliminated the effect of surgeon volume on the rate of stroke and death (odds ratio, 1.65; 95% CI, 0.59-4.64) and other

  8. Russian Pre-Service and Young In-Service Teachers’ Views on Cultural Dimensions of Russian Education: Power Distance

    Directory of Open Access Journals (Sweden)

    Victoria Pogosian

    2016-10-01

    Full Text Available The article discusses Power Distance as one of the cultural dimensions of Russian education based on the perceptions and views of Russian pre-service and young in-service teachers. These views were elicited in the context of a 2 ECTS master’s degree course, “Cultural Dimensions of Education,” offered at Herzen State Pedagogical University of Russia. The course includes Hofstede’s framework of cultural dimensions and the manifestation of these dimensions in educational settings, Hall’s cultural-factors theory (particularly high- and low- context cultures and monochronic versus polychronic cultures, but the research focuses on only one of the cultural dimensions, Hofstede’s Power Distance. The students’ reflections on their own experiences presented in writing as case studies and discussed with their peer students have been analyzed. Evidence has been gained that large Power Distance is a typical feature of Russian educational settings’ attitudes and relationships among all the actors—school administration, teachers, pupils, and their parents. The article discusses some of the cases presented and analyzed by the students and their arguments supporting their points of view. 

  9. Practice patterns and career satisfaction of Canadian female general surgeons.

    Science.gov (United States)

    Hebbard, Pamela C; Wirtzfeld, Debrah A

    2009-06-01

    We wanted to study how female general surgeons in Canada manage lifestyle and career demands. All female Canadian general surgeons registered with the Royal College of Physicians and Surgeons of Canada were asked to complete a survey evaluating their practice patterns, personal lives, and levels of satisfaction related to these factors. Eighty-five surveys (66%) were returned. Most respondents work in full-time clinical practices. While it was rare to find women in part-time or shared practices, 35% of women reported interest in these alternative models. Respondents described the necessary factors for a transition into alternative models. Job satisfaction was high (3.8 out of 5), with personal and parenting satisfaction being less highly rated (3.3 and 3.2, respectively). Canadian female general surgeons have active and satisfying careers, although many would like to work in alternative practice models that better conform to their lifestyle demands. This pressure will have a significant impact on the future surgical workforce.

  10. Social media and your practice: navigating the surgeon-patient relationship.

    Science.gov (United States)

    McLawhorn, Alexander S; De Martino, Ivan; Fehring, Keith A; Sculco, Peter K

    2016-12-01

    Utilization of social media both in the private and professional arenas has grown rapidly in the last decade. The rise of social media use within health care can be viewed as the Internet-based corollary of the patient-centered care movement, in which patient perspectives and values are central to the delivery of quality care. For orthopedic surgeons and their practices, general-purpose online social networks, such as Facebook and Twitter, are convenient platforms for marketing, providing patient education and generating referrals. Virtual health communities are used less frequently by orthopedic surgeons but provide forums for patient engagement and active surgeon-to-patient communication via blogs and ask-the-doctor platforms. This commentary reviews the current state of social media use in orthopedic practice, with particular emphasis on managing the extension of the surgeon-patient relationship online, including the unique practice risks social media poses, such as privacy concerns, potential liability, and time consumption.

  11. Influence of economic sanctions on the development of Russian tourism

    Directory of Open Access Journals (Sweden)

    Irek Ilgizarovich Ziganshin

    2015-03-01

    Full Text Available Objective to estimate the influence of economic sanctions on the current state of the Russian tourist market. Methods analysis and synthesis historicallogical and economicstatistical methods. Results the presanction condition of the tourist market is compared with its current condition. The problem aspects of the Russian tourist sector are shown. The complex estimation is given to the tense situation in the Russian tourist market. Practical value the main provisions and conclusions of the article can be used for tourism arrangement and predicting the entrance and exit tourist flow. nbsp

  12. Orthopedic surgeons' knowledge regarding risk of radiation exposition: a survey analysis.

    Science.gov (United States)

    Tunçer, Nejat; Kuyucu, Ersin; Sayar, Şafak; Polat, Gökhan; Erdil, İrem; Tuncay, İbrahim

    2017-01-01

    The purpose of this study is to evaluate the knowledge levels of orthopedic surgeons working in Turkey about the uses and possible risks of fluoroscopy and assess methods for preventing radiation damage. A questionnaire with a total of 12 questions was sent to 1121 orthopedic surgeons working in Turkey. The questionnaire evaluated participants' knowledge about the uses and risks of fluoroscopy and methods for preventing damage. One thousand and twenty-four orthopedic surgeons were found to be suitable for inclusion in the study. The effects of fluoroscopy on patients were not assessed in our study. The data obtained were statistically evaluated. Of the surveyed surgeons, 313 (30%) had used fluoroscopy in over 50% of their operations. The average number of fluoroscopy shots per case was 54.5. A lead apron was the most commonly used (88%) protection from the harmful effects of radiation. Fluoroscopy shots were performed with the help of operating room personnel (86%). A dosimeter was used 5% of the time. According to the survey results, the need for fluoroscopy was very high in orthopedic surgery. However, orthopedic surgeons have inadequate knowledge about the uses and risks of fluoroscopy and methods for preventing damage. Therefore, we believe that training on this topic should be provided to all orthopedic surgeons. © The Authors, published by EDP Sciences, 2017.

  13. How often do surgeons obtain the critical view of safety during laparoscopic cholecystectomy?

    Science.gov (United States)

    Stefanidis, Dimitrios; Chintalapudi, Nikita; Anderson-Montoya, Brittany; Oommen, Bindhu; Tobben, Daniel; Pimentel, Manuel

    2017-01-01

    The reported incidence (0.16-1.5 %) of bile duct injury (BDI) during laparoscopic cholecystectomy (LC) is higher than during open cholecystectomy and has not decreased over time despite increasing experience with the procedure. The "critical view of safety" (CVS) technique may help to prevent BDI when certain criteria are met prior to division of any structures. This study aimed to evaluate the adherence of practicing surgeons to the CVS criteria during LC and the impact of a training intervention on CVS identification. LC procedures of general surgeons were video-recorded. De-identified recordings were reviewed by a blinded observer and rated on a 6-point scale using the previously published CVS criteria. A coaching program was conducted, and participating surgeons were re-assessed in the same manner. The observer assessed ten LC videos, each involving a different surgeon. The CVS was adequately achieved by two surgeons (20 %). The remaining eight surgeons (80 %) did not obtain adequate CVS prior to division of any structures, despite two surgeons dictating that they did; the mean score of this group was 1.75. After training, five participating surgeons (50 %) scored > 4, and the mean increased from 1.75 (baseline) to 3.75 (p < 0.05). The CVS criteria were not routinely used by the majority of participating surgeons. Further, one-fourth of those who claimed to obtain the CVS did so inadequately. All surgeons who participated in training showed improvement during their post-assessment. Our findings suggest that education of practicing surgeons in the application of the CVS during LC can result in increased implementation and quality of the CVS. Pending studies with larger samples, our findings may partly explain the sustained BDI incidence despite increased experience with LC. Our study also supports the value of direct observation of surgical practices and subsequent training for quality improvement.

  14. LEARNING AND TEACHING RUSSIAN LANGUAGE IN CHINA AND TAIWAN: PAST AND PRESENT

    Directory of Open Access Journals (Sweden)

    Lidiya Z. Tenchurina

    2016-01-01

    Full Text Available The paper presents the main study results on the analysis of processes of establishing and development of Russian language studies and Russian language training practices in mainland China and Taiwan since the early XVIII century until now. Basing on the postulates of the social-and-cultural, systemic and historical, historiographical and axiological approaches, the authors attempt to describe the development of the theory and practice of teaching and studying Russian as a foreign language (RFL with a view to form a complete picture of the past and present of the Russian language in China and Taiwan, to evaluate the role and importance of the Russian language, primarily, in the socialand-cultural, as well as in the social-and-political and even economic aspects, not only from historic perspectives but also in terms of the future development – basing on evolving cooperation between Russia, on the one hand, and China and Taiwan – on the other. Methods. The main applied research methods are the comparative-historical and historical-and-logical analysis, historical reconstruction methods, systematization, theoretical generalizations and, partly, prediction. Scientific novelty. The novelty of the study lies in the fact that for the first time in the broader period (1700–2000 s it offers a generalized description of the establishment and development of Russian studies and practice of teaching the Russian language in China and Taiwan. Practical significance. The implementation of the research outcomes can be useful due to a possibility of carrying on its basis of new studies on the problems of Russian philology and teaching Russian as a foreign language, the history of pedagogy and education, and comparative pedagogy (comparative linguistics.

  15. Economic impact of a head and neck oncologic surgeon: the case mix index.

    Science.gov (United States)

    Jalisi, Scharukh; Sanan, Akshay; Mcdonough, Katie; Hussein, Khalil; Platt, Michael; Truong, Minh Tam; Couch, Marion; Burkey, Brian B

    2014-10-01

    Head and neck oncologic surgery is a time-consuming specialty that requires extensive resources and manpower. Case mix index (CMI) is used in evaluating the complexity and economic impact of surgeons. Head and neck oncologic surgeons generate significant revenue for hospitals, yet compensation is relatively low. Retrospective review of a tertiary hospital's case mix data for 605 otolaryngology admissions from 2009 to 2011 was performed. CMI comparison for head and neck oncologic surgeons versus general otolaryngology was performed. In an otolaryngology department of 9 surgeons; there was a significant difference (p 1) favoring head and neck oncologic surgeons. Head and neck oncologic surgeons increase the CMI for hospitals and ultimately influence the hospital's reimbursement. There is a need for increased collaboration between hospitals and departments in fostering and furthering their head and neck surgical oncology programs by taking CMI into consideration. © 2013 Wiley Periodicals, Inc.

  16. Cardiac surgeons and the quality movement: the Michigan experience.

    Science.gov (United States)

    Prager, Richard L; Armenti, Frederick R; Bassett, Joseph S; Bell, Gail F; Drake, Daniel; Hanson, Eric C; Heiser, John C; Johnson, Scott H; Plasman, F B; Shannon, Francis L; Share, David; Theurer, Patty; Williams, Jaelene

    2009-01-01

    The Michigan Society of Thoracic and Cardiovascular Surgeons created a voluntary quality collaborative with all the cardiac surgeons in the state and all hospitals doing adult cardiac surgery. Utilizing this collaborative over the last 3 years and creating a unique relationship with a payor, an approach to processes and outcomes has produced improvements in the quality of care for cardiac patients in the state of Michigan.

  17. Gender differences in the professional and private lives of plastic surgeons.

    Science.gov (United States)

    Halperin, Terri J; Werler, Martha M; Mulliken, John B

    2010-06-01

    There are over 700 female members in the American Society of Plastic Surgeons. The purpose of this study was to assess possible differences between female and male plastic surgeons with respect to their practice characteristics, duration of practice, and some aspects of their private lives. We designed a 41 question survey to compare the practice features and personal demographics of female and male members of the American Society of Plastic Surgeons. A total of 1498 questionnaires were sent via e-mail to all female members (n = 687) and a random cohort of male members (n = 811). The respondents were age stratified by decade and their responses were compared by gender using chi tests. The overall response rate was 36.3%: 337 females (49%) and 207 males (25.5%) (P women had no children, as compared to 11.5% of men (P Men also tended to have more children than their female counterparts, across all age groups. The majority of women (58.8%) delayed child-rearing until after residency, as compared to only 25.7% of men (P earn an income greater than $400,000 per year (P < 0.001). Of 39 respondents who stated that they were no longer practicing, 21 (54%) were male and 18 (46%) were female (P = NS). Female plastic surgeons are significantly more likely to be unmarried, to postpone having children or be childless, as compared to their male counterparts. Furthermore, female plastic surgeons have a lower income than their male colleagues despite similar hours and practice profile. Nevertheless, female plastic surgeons appear to have similar career satisfaction and are no more likely to retire earlier or more frequently than male plastic surgeons.

  18. A Systematic Review of the Factors that Patients Use to Choose their Surgeon.

    Science.gov (United States)

    Yahanda, Alexander T; Lafaro, Kelly J; Spolverato, Gaya; Pawlik, Timothy M

    2016-01-01

    Given surgery's inherent risks, a patient should be able to make the most informed decisions possible in selecting surgical treatment. However, there is little information on what factors patients deem important when choosing a surgeon. We performed a systematic review of the literature focused on how patients select surgical care, focusing on identification of factors that influence patient choice as well as important sources of information used by patients. A search of all available literature on factors associated with choice of surgeon/surgical care, as well as sources of information used by patients before undergoing surgery, was conducted using the MEDLINE/PubMed electronic database. Of the 2315 publications identified, 86 studies met inclusion criteria. Overall, patients draw upon a wide range of factors when choosing surgical care. Surgeon reputation and competency stood out as the most valued professional attributes. Patients also often selected surgeons based on their interpersonal skills. Many patients chose surgical care using hospital, rather than surgeon, characteristics. For these patients, hospital reputation and hospital distance were factors of primary importance. Importantly, most patients relied on word-of-mouth and physician referrals when choosing a surgeon. Patients also expressed interest in quality information on surgeons, indicating that these data would be useful in decision-making. Patients draw upon a myriad of factors when choosing a surgeon and the circumstances surrounding patients' decisions maybe differ based on sociodemographic, cultural, as well as other factors. Additional information on how patients choose surgeons or hospitals will help providers assist patients in finding their preferred caregivers.

  19. Russian muscles

    International Nuclear Information System (INIS)

    Soerheim, Paul

    2004-01-01

    A tightening of the electric power balance in the Nordic countries and increased focus on the supply reliability have made the power import from Russia increasingly more important. The two most important players in the Russian power market are the state-owned companies RAO UES and RosEnergoAtom. RAO UES has already begun to strengthen its presence in the Nordic market. There are indications that there are limits to the growth of power import from Russia, and the Nordic power market cannot be based on it in the future

  20. Teaching Russian Via Distance Learning, the EdNet Experience.

    Science.gov (United States)

    Zsiray, Stephen W., Jr.; And Others

    In Utah, the statewide distance education network (EdNet) enables students from five rural and suburban high schools to learn Russian and earn college credits. Courses in Russian are offered through a partnership involving the Cache County School District, Utah State University, and the Utah State Office of Education. Classes are taught on one…

  1. Analysis of the Russian Market for Building Energy Efficiency

    Energy Technology Data Exchange (ETDEWEB)

    Lychuk, Taras; Evans, Meredydd; Halverson, Mark A.; Roshchanka, Volha

    2012-12-01

    This report provides analysis of the Russian energy efficiency market for the building sector from the perspective of U.S. businesses interested in exporting relevant technologies, products and experience to Russia. We aim to help U.S. energy efficiency and environmental technologies businesses to better understand the Russian building market to plan their market strategy.

  2. The Uses of Sovereignty in Twenty First Century Russian Foreign Policy

    OpenAIRE

    Deyermond, Ruth Margaret

    2016-01-01

    Contemporary Russian foreign policy demonstrates a dual approach to state sovereignty, using a Westphalian model of sovereignty outside the former Soviet region and a post-Soviet model inside it. This approach performs three functions in contemporary Russian foreign policy: securing Russian national interests at domestic, regional, and international levels; balancing against the United States; and acting as a marker of ‘non-Western’ power identity in an emergent multipolar order. The conflict...

  3. Does sleep deprivation impair orthopaedic surgeons' cognitive and psychomotor performance?

    Science.gov (United States)

    O'Brien, Michael J; O'Toole, Robert V; Newell, Mary Zadnik; Lydecker, Alison D; Nascone, Jason; Sciadini, Marcus; Pollak, Andrew; Turen, Clifford; Eglseder, W Andrew

    2012-11-07

    Sleep deprivation may slow reaction time, cloud judgment, and impair the ability to think. Our purpose was to study the cognitive and psychomotor performances of orthopaedic trauma surgeons on the basis of the amount of sleep that they obtained. We prospectively studied the performances of thirty-two orthopaedic trauma surgeons (residents, fellows, and attending surgeons) over two four-week periods at an urban academic trauma center. Testing sessions used handheld computers to administer validated cognitive and psychomotor function tests. We conducted a multivariate analysis to examine the independent association between test performance and multiple covariates, including the amount of sleep the night before testing. Our analysis demonstrated that orthopaedic surgeons who had slept four hours or less the night before the test had 1.43 times the odds (95% confidence interval, 1.04 to 1.95; p = 0.03) of committing at least one error on an individual test compared with orthopaedic surgeons who had slept more than four hours the previous night. The Running Memory test, which assesses sustained attention, concentration, and working memory, was most sensitive to deterioration in performance in participants who had had four hours of sleep or less; when controlling for other covariates, the test demonstrated a 72% increase in the odds of making at least one error (odds ratio, 1.72 [95% confidence interval, 1.02 to 2.90]; p = 0.04). No significant decrease in performance with sleep deprivation was shown with the other three tests. Orthopaedic trauma surgeons showed deterioration in performance on a validated cognitive task when they had slept four hours or less the previous night. It is unknown how performance on this test relates to surgical performance.

  4. Validation of a Russian Language Oswestry Disability Index Questionnaire.

    Science.gov (United States)

    Yu, Elizabeth M; Nosova, Emily V; Falkenstein, Yuri; Prasad, Priya; Leasure, Jeremi M; Kondrashov, Dimitriy G

    2016-11-01

    Study Design  Retrospective reliability and validity study. Objective  To validate a recently translated Russian language version of the Oswestry Disability Index (R-ODI) using standardized methods detailed from previous validations in other languages. Methods  We included all subjects who were seen in our spine surgery clinic, over the age of 18, and fluent in the Russian language. R-ODI was translated by six bilingual people and combined into a consensus version. R-ODI and visual analog scale (VAS) questionnaires for leg and back pain were distributed to subjects during both their initial and follow-up visits. Test validity, stability, and internal consistency were measured using standardized psychometric methods. Results Ninety-seven subjects participated in the study. No change in the meaning of the questions on R-ODI was noted with translation from English to Russian. There was a significant positive correlation between R-ODI and VAS scores for both the leg and back during both the initial and follow-up visits ( p  Russian-speaking population in the United States.

  5. Automated radiological monitoring at a Russian Ministry of Defence Naval Site

    International Nuclear Information System (INIS)

    Moskowitz, P.D.; Pomerville, J.; Gavrilov, S.; Kisselev, V.; Daniylan, V.; Belikov, A.; Egorkin, A.; Sokolovski, Y.; Endregard, M.; Krosshavn, M.; Sundling, C.V.; Yokstad, H.

    2001-01-01

    The Arctic Military Environmental Cooperation (AMEC) Program is a cooperative effort between the military establishments of the Kingdom of Norway, the Russian Federation, and the US. This paper discusses joint activities conducted over the past year among Norwegian, Russian, and US technical experts on a project to develop, demonstrate and implement automated radiological monitoring at Russian Navy facilities engaged in the dismantlement of nuclear-powered strategic ballistic missile launching submarines. Radiological monitoring is needed at these facilities to help protect workers engaged in the dismantlement program and the public living within the footprint of routine and accidental radiation exposure areas. By providing remote stand-alone monitoring, the Russian Navy will achieve added protection due to the defense-in-depth strategy afforded by local (at the site), regional (Kola) and national-level (Moscow) oversight. The system being implemented at the Polyaminsky Russian Naval Shipyard was developed from a working model tested at the Russian Institute for Nuclear Safety, Moscow, Russia. It includes Russian manufactured terrestrial and underwater gamma detectors, smart controllers for graded sampling, radio-modems for offsite transmission of the data, and a data fusion/display system: The data fusion/display system is derived from the Norwegian Picasso AMEC Environmental Monitoring software package. This computer package allows monitoring personnel to review the real-time and historical status of monitoring at specific sites and objects and to establish new monitoring protocols as required, for example, in an off-normal accident situation. Plans are being developed to implement the use of this system at most RF Naval sites handling spent nuclear fuel

  6. FOOD SECURITY PROBLEMS OF THE RUSSIAN FEDERATION

    Directory of Open Access Journals (Sweden)

    Natalia Polyanskaya

    2015-09-01

    Full Text Available The article describes the concepts and factors of food security and food sovereignty of the Russian Federation. The composition of the consumer basket, the most significant of its components, and based on threshold values of self-sufficiency is calculated in the dynamics of the prevalence of food independence. The groups of products, which are in the country to be at a level below the thresholds, regulated by the food security doctrine of the Russian Federation. Identified the possible General trend of development of agricultural production in the country.

  7. New Russian law

    International Nuclear Information System (INIS)

    Anon.

    1996-01-01

    The information about the Russian Federation law dealing with population radiation safety signed by the President in January 1996 is given. The law is based on a new strategy of radiation protection including the mean efficient dose from all ionizing radiation sources as the main factor for evaluation of the safe level for the population. The norms stated in the law will become valid from January 1, 2000

  8. Surgeons' preferences and practice patterns regarding intraoperative frozen section during partial nephrectomy.

    Science.gov (United States)

    Sidana, Abhinav; Donovan, James F; Gaitonde, Krishnanath

    2014-08-01

    Intraoperative frozen section (FS) evaluation for tumor margin during partial nephrectomy (PN) is a matter of controversy in urologic oncology. We evaluated the preferences and practice patterns of urologists regarding intraoperative FS during PN. A 17-item questionnaire was designed to collect information on surgeons' preferences and practice patterns regarding FS during PN. The survey was sent to the members of the Society of Urologic Oncology and Endourological Society. A total of 197 responses were received. Overall, 69% and 58% of respondents chose to obtain FS (always or sometimes) during open PN (OPN) and laparoscopic PN (LPN), respectively. There was a strong correlation between the surgeons' preferences during OPN and LPN. Younger surgeons are less likely to obtain FS during OPN. For surgeons who did not routinely obtain FS, "confidence about complete resection" was the most common reason (79%), followed by "no change in management with positive margins" (35%). Most surgeons (75%) believed the margins to be negative, if surgical margin was free of tumor microscopically by a single cell layer. Older surgeons considered negative margins to be free of tumor microscopically by ≥5 mm. Overall, 54% and 42% of respondents would repeat FS for positive microscopic margins during OPN and LPN, respectively. Of the respondents, 95% would not recommend additional treatment for positive margins on final pathology. Despite recent literature pointing to low clinical utility of FS, most surgeons still obtain FS during PN. Older surgeons tend to obtain FS more often. Fellowship training and practice type do not appear to influence preferences and practice patterns in regard to FS. Copyright © 2014 Elsevier Inc. All rights reserved.

  9. Avoiding burnout: the personal health habits and wellness practices of US surgeons.

    Science.gov (United States)

    Shanafelt, Tait D; Oreskovich, Michael R; Dyrbye, Lotte N; Satele, Daniel V; Hanks, John B; Sloan, Jeff A; Balch, Charles M

    2012-04-01

    To evaluate the health habits, routine medical care practices, and personal wellness strategies of American surgeons and explore associations with burnout and quality of life (QOL). Burnout and low mental QOL are common among US surgeons and seem to adversely affect quality of care, job satisfaction, career longevity, and risk of suicide. The self-care strategies and personal wellness promotion practices used by surgeons to deal with the stress of practice are not well explored. Members of the American College of Surgeons were sent an anonymous, cross-sectional survey in October 2010. The survey included self-assessment of health habits, routine medical care practices, and personal wellness strategies and standardized assessments of burnout and QOL. Of 7197 participating surgeons, 3911 (55.0%) participated in aerobic exercise and 2611 (36.3%) in muscle strengthening activities, in a pattern consistent with the Centers for Disease Control and Prevention recommendations. The overall and physical QOL scores were superior for surgeons' following the Centers for Disease Control and Prevention recommendations (all P work, focusing on what is important in life, maintaining a positive outlook, and embracing a philosophy that stresses work/life balance were less likely to be burned out (all P < 0.0001). Although many factors associated with lower risk of burnout were also associated with achieving a high overall QOL, notable differences were observed, indicating surgeons' need to employ a broader repertoire of wellness promotion practices if they desire to move beyond neutral and achieve high well-being. This study identifies specific measures surgeons can take to decrease burnout and improve their personal and professional QOL.

  10. Did the ancient egyptians discover Algol?

    Science.gov (United States)

    Jetsu, L.; Porceddu, S.; Porceddu, S.; Lyytinen, J.; Kajatkari, P.; Markkanen, T.; Toivari-Viitala, J.

    2013-02-01

    Fabritius discovered the first variable star, Mira, in 1596. Holwarda determined the 11 months period of Mira in 1638. Montanari discovered the next variable star, Algol, in 1669. Its period, 2.867 days, was determined by Goodricke (178). Algol was associated with demon-like creatures, "Gorgon" in ancient Greek and "ghoul" in ancient Arab mythology. This indicates that its variability was discovered much before 1669 (Wilk 1996), but this mythological evidence is ambiguous (Davis 1975). For thousands of years, the Ancient Egyptian Scribes (AES) observed stars for timekeeping in a region, where there are nearly 300 clear nights a year. We discovered a significant periodicity of 2.850 days in their calendar for lucky and unlucky days dated to 1224 BC, "the Cairo Calendar". Several astrophysical and astronomical tests supported our conclusion that this was the period of Algol three millennia ago. The "ghoulish habits" of Algol could explain this 0.017 days period increase (Battersby 2012).

  11. Book of abstracts Chemical Engineering: IV All-Russian Conference on chemical engineering, All-Russian Youth Conference on chemical engineering, All-Russian school on chemical engineering for young scientists and specialists. Engineering of polymers and composite materials. Catalysis in chemical engineering

    International Nuclear Information System (INIS)

    Zakhodyaeva, Yu.A.; Belova, V.V.

    2012-01-01

    In the given volume of abstracts of the IV All-Russian Conference on chemical engineering, All-Russian Youth Conference on chemical engineering, All-Russian school on chemical engineering for young scientists and specialists (Moscow, March 18-23, 2012) there are the abstracts of the reports concerning polymer and composite materials technology as well as catalysis in chemical engineering. The abstracts deal with state-of-the-art and future development of theoretical and experimental investigations as well as with experience in practical realization of development works in the field of chemical engineering and relative areas [ru

  12. Text collections for evaluation of Russian morphological taggers

    Directory of Open Access Journals (Sweden)

    Lyashevskaya Olga

    2017-12-01

    Full Text Available The paper describes the preparation and development of the text collections within the framework of MorphoRuEval-2017 shared task, an evaluation campaign designed to stimulate development of the automatic morphological processing technologies for Russian. The main challenge for the organizers was to standardize all available Russian corpora with the manually verified high-quality tagging to a single format (Universal Dependencies CONLL-U. The sources of the data were the disambiguated subcorpus of the Russian National Corpus, SynTagRus, OpenCorpora.org data and GICR corpus with the resolved homonymy, all exhibiting different tagsets, rules for lemmatization, pipeline architecture, technical solutions and error systematicity. The collections includes both normative texts (the news and modern literature and more informal discourse (social media and spoken data, the texts are available under CC BY-NC-SA 3.0 license.

  13. Proceedings -- US Russian workshop on fuel cell technologies

    Energy Technology Data Exchange (ETDEWEB)

    Baker, B.; Sylwester, A. [comps.

    1996-04-01

    On September 26--28, 1995, Sandia National Laboratories sponsored the first Joint US/Russian Workshop on Fuel Cell Technology at the Marriott Hotel in Albuquerque, New Mexico. This workshop brought together the US and Russian fuel cell communities as represented by users, producers, R and D establishments and government agencies. Customer needs and potential markets in both countries were discussed to establish a customer focus for the workshop. Parallel technical sessions defined research needs and opportunities for collaboration to advance fuel cell technology. A desired outcome of the workshop was the formation of a Russian/American Fuel Cell Consortium to advance fuel cell technology for application in emerging markets in both countries. This consortium is envisioned to involve industry and national labs in both countries. Selected papers are indexed separately for inclusion in the Energy Science and Technology Database.

  14. RETOUR - AN INNOVATIVE RUSSIAN LANGUAGE TRAINING RESOURSE FOR TOURISM WORKERS IN THE EU

    Directory of Open Access Journals (Sweden)

    Антония Пенчева

    2017-12-01

    Full Text Available This article investigates the role of the Russian language in the tourism sector. In particular it discusses learning materials for the self-study of Russian for tourism workers initiated by the European Union. The author shows the advantages of the online course Retur, which combines traditional methods with modern interactive multimedia teaching aids: video, audio and written teaching materials. In the article methods of selection of lexical and grammatical material, choice of thematic blocks and thematic units are discussed. The author comes to the conclusion that the tourism sector in a number of European countries is interested in training tourism workers in Russian in tourist services. Here, Russian as a foreign language becomes a demanded “commodity” that provides added value, and the teaching of Russian should serve as the formation of a communicative competence in Russian for future and current employees in tourism.

  15. Parkinson's disease: the reliability of morbidity and mortality statistics in the Russian Federation

    Directory of Open Access Journals (Sweden)

    Krivonos O.V.

    2013-12-01

    Full Text Available The aim of the research was to study the significance of morbidity of Parkinson's disease (PD and mortality in Russian Federation in international comparisons. Material and Methods: In accordance with the purpose of the study the morbidity and mortality were analyzed in the Russian Federation on the basis of volumes "Morbidity in Russia" of the Ministry of Health of the Russian Federation in 2009-2012, "Human resources for health care institutions" of the Ministry of Health of the Russian Federation in 2012, tables С 51 about the mortality of subjects of the Russian Federation in 2012, data of mortality from Parkinson's disease in different countries in 2011, published by WHO. Results. The analysis of data on the morbidity patterns showed that in the Russian Federation in 2009-2012 there was an increase in general morbidity of adult patients with PD from 75.1 to 87.7 per thousand of populations. The data of primary morbidity in the adult population of the Russian Federation from PD also tend to increase from 8.0 to 8.5 per thousand of populations. The sharp fluctuations of mortality's data were revealed in subject of Russian Federation that was related of unreliable data. Mortality from PD in Russian Federation in 2012 was 0.31 per thousand of populations. Conclusion. The values in the study of general and primary PD's morbidity in the Russian Federation were lower than performance in international comparisons. PD's mortality in Russia was also lower than in other developed countries. Abidance by rules of selecting the primary cause of death (PCOD, confirmed by an automated system, where one of the causes is PD will make mortality statistics of PD reliable and internationally comparable.

  16. A.A. BRUSILOV - FULL GENERAL OF RUSSIAN ARMY AND LAST COMMANDER OF RUSSIAN TSAR

    Directory of Open Access Journals (Sweden)

    Сергей Сергеевич Синютин

    2014-12-01

    Full Text Available The article analyzes the biography of Russian full general A.A. Brusilov − the hero of World War I, whose name is associated with the term “Brusilov Offensive”. The author exa-mines his views on the new situation which developed in Russia during the two revolutions of 1917, and then in the Soviet period. The author highly appreciates the theoretical preparation level of A.A. Brusilov, who got full military education in tsarist Russia; reveals the pre-sence of numerous analogous episodes in the biographies of A.A. Brusilov and A.V. Suvorov. He focuses on the similar origin of two Russian heroes, whose families belonged to the military dynasties of imperial Russia. The author concludes that the continuity of generations is very important in the issue of effective army’s functioning. This tradition was preserved in the new Soviet state.

  17. Russian Political, Economic, and Security Issues and U.S. Interests

    Science.gov (United States)

    2007-01-18

    polonium 210 from Moscow, through Germany, to London, apparently carried by one of the Russians Litvinenko met November 1. Russian authorities deny...Russia’s needs — food and food processing, oil and gas extraction technology, computers, communications, transportation, and investment capital — are

  18. ABOUT EDUCATION IN RUSSIAN SUNDAY SCHOOLS

    Directory of Open Access Journals (Sweden)

    Tatiana S. Komashinskaia

    2016-01-01

    Full Text Available Аbstract. The aim of the publication is to show the importance of the system of religious education of the Russian Orthodox Church formed in Russia as the system that forms an outlook of the specific person and society in general. The relevance of the problem discussed in the article is caused by the fact that the ideas, moral ideals and values which are founded by an education system now in several years will be realized in specific affairs and acts.Methods. The methods involve theoretical analysis of scientific literature on the considered problem, system analysis, generalization, modeling, survey.Results and scientific novelty. The history of origin, development, decline and the subsequent revival of Sunday schools in Russia is described. Their positive role in the modern Russian system of religious education is noted; firstly, the forming of spiritual and moral values among younger generation, distribution and strengthening in society of moral standards.The main directions of teaching and educational activities in modern Sunday schools and requirements to personal and subject results of training of pupils of schools are stated. These requirements are established by the standard approved by the Sacred Synod of the Russian Orthodox Church in the territory of the Russian Federation.The history of spread of Orthodoxy in the Far East and development of the Vladivostok eparchy is briefly presented. The features of the organization of modern religious education and orthodox education of children are considered on the example of Sunday school of the parish of Temple of St. Seraphim of Sarov of the Vladivostok eparchy.Practical significance. Activities of Sunday school are shown as the most available and mass form of studying and preserving orthodox traditions and cultural wealth. 

  19. Russian desman (Desmana moschata: Talpidae at the edge of disappearance

    Directory of Open Access Journals (Sweden)

    Marina V. Rutovskaya

    2017-05-01

    Full Text Available The population of the Russian desman in all historical areas is currently no more than 8000–10,000 individuals. The estimated population size of the Russian desman is based on direct surveys during 2010–2016. We observed over 266 km of the coastline in eight regions where the desman lives. Since the early 20th century the number of specimens has been steadily declining. In addition to the previously described factors that determine the reduction of the population size, such as land reclamation, the construction of hydroelectric stations and the flourishing of poaching at the end of the last century, the status of the Russian desman population is adversely affected by periodic droughts and the absence of floods. Currently Protected Areas remain as the only passive measure to protect the Russian desman in the absence of a programme to species protection nor state support.

  20. Offer and acceptance under the Russian Civil Code

    OpenAIRE

    Musin, Valery

    2013-01-01

    The article deals with a procedure of entering into a contract under Russian civil law both at the domestic and foreign markets. An offer and an acceptance are considered in the light or relevant provisions of the Russian Civil Codes of 1922, 1964 and that currently effective as compared with rules of the UN Convention on Contracts for the International Sale of Goods 1980 and INIDROIT Principles of International Commercial Contracts 2010.

  1. Offer and Acceptance under the Russian Civil Code

    Directory of Open Access Journals (Sweden)

    Valery Musin

    2013-01-01

    Full Text Available The article deals with a procedure of entering into a contract under Russian civil law both at the domestic and foreign markets. An offer and an acceptance are considered in the light or relevant provisions of the Russian Civil Codes of 1922, 1964 and that currently effective as compared with rules of the UN Convention on Contracts for the International Sale of Goods 1980 and INIDROIT Principles of International Commercial Contracts 2010.

  2. Surgeon and nonsurgeon personalities at different career points.

    Science.gov (United States)

    Drosdeck, Joseph M; Osayi, Sylvester N; Peterson, Laura A; Yu, Lianbo; Ellison, Edwin Christopher; Muscarella, Peter

    2015-06-01

    Previous studies have demonstrated correlations between personality traits and job performance and satisfaction. Evidence suggests that personality differences exist between surgeons and nonsurgeons, some of which may develop during medical training. Understanding these personality differences may help optimize job performance and satisfaction among surgical trainees and be used to identify individuals at risk of burnout. This study aims to identify personality traits of surgeons and nonsurgeons at different career points. We used The Big Five Inventory, a 44-item measure of the five factor model. Personality data and demographics were collected from responses to an electronic survey sent to all faculty and house staff in the Departments of Surgery, Medicine, and Family Medicine at The Ohio State University College of Medicine. Data were analyzed to identify differences in personality traits between surgical and nonsurgical specialties according to level of training and to compare surgeons to the general population. One hundred ninety-two house staff and faculty in surgery and medicine completed the survey. Surgeons scored significantly higher on conscientiousness and extraversion but lower on agreeableness compared to nonsurgeons (all P personality differences between surgical and nonsurgical specialties. The use of personality testing may be a useful adjunct in the residency selection process for applicants deciding between surgical and nonsurgical specialties. It may also facilitate early intervention for individuals at high risk for burnout and job dissatisfaction. Copyright © 2015 Elsevier Inc. All rights reserved.

  3. Byzantine history and the discourse of the Russian political/intellectual underground

    Directory of Open Access Journals (Sweden)

    Dmitry Shlapentokh

    2012-01-01

    In the view of the producer, the Byzantine Empire was strong when it followed its autocratic tradition and was attached to Orthodoxy. The movie generated extensive discussions, including among those who belong to Russia's political and intellectual fringe. Quite a few of them were neo-pagans; for them, Christianity, including Orthodox Christianity, was Russia's curse. For them, it was an Asian creed foreign to Aryan Russians. The fact that it was accepted by Russians implied that Russians had been subjugated by an alien, Asiatic, force. Many of these neo-pagans were quite pessimistic in regard to the country's future; and, indeed, their response indicates the deep alienation of quite a few Russians, which hardly bodes well for the country's future.

  4. European influence on Russian neurology in the eighteenth and nineteenth centuries.

    Science.gov (United States)

    Shterenshis, Michael; Vaiman, Michael

    2007-01-01

    In this study we consider the development of clinical neurology in the eighteenth and the nineteenth centuries focusing on European influence on Russian medicine. Russian physicians readily accepted newly described clinical signs, theories, and classification of nervous diseases designed in Europe. This influence initiated neurology's separation from general medicine and its transformation into a new clinical discipline. In Russia this happened already in the 1860s, decades before the similar trend in Europe. The Russian example is nearly unknown in the general history of neurology. It illustrates the relationships between physiology and practical neurology at the moment of establishment of the new discipline. It also shows that the Russian physicians of the time readily accepted European medical knowledge putting it immediately into medical practice and education.

  5. Burnout syndrome in oral and maxillofacial surgeons: a critical analysis.

    Science.gov (United States)

    Porto, G G; Carneiro, S C; Vasconcelos, B C; Nascimento, M M; Leal, J L F

    2014-07-01

    The aim of this study was to determine the prevalence of burnout syndrome among Brazilian oral and maxillofacial surgeons and its relationship with socio-demographic, clinical, and habit variables. The sample of this study comprised 116 surgeons. The syndrome was quantified using the Maslach Burnout Inventory (General Survey), which defines burnout as the triad of high emotional exhaustion, high depersonalization, and low personal accomplishment. The criteria of Grunfeld et al. were used to evaluate the presence of the syndrome (17.2%). No significant differences between the surgeons diagnosed with and without the syndrome were observed according to age (P=0.804), sex (P=0.197), marital status (P=0.238), number of children (P=0.336), years of professional experience (P=0.102), patients attended per day (P=0.735), hours worked per week (P=0.350), use of alcohol (P=0.148), sports practice (P=0.243), hobbies (P=0.161), or vacation period per year (P=0.215). Significant differences occurred in the variables sex in the emotional exhaustion subscale (P=0.002) and use or not of alcohol in the personal accomplishment subscale (P=0.035). Burnout syndrome among Brazilian surgeons is average, showing a low personal accomplishment. Copyright © 2014 International Association of Oral and Maxillofacial Surgeons. Published by Elsevier Ltd. All rights reserved.

  6. Lithuania’s Images in Russian Mass Media after the Annexation of Crimea

    Directory of Open Access Journals (Sweden)

    Pugačiauskas Virgilijus

    2017-12-01

    Full Text Available One of the distinctive features of Russia’s confrontation with the West over the 2014-2016 period is the intensification of Russian propaganda both in foreign countries and within the state. Lithuania, whose relations with a major neighbour were not normalized, and which openly supported Ukraine’s position, attracted the additional attention of Russian mass media in which an incitement to anti- Lithuanian moods was bolstered. In this case, it is endeavoured to generally describe how the mass media (television and newspapers played a role in contriving a social construct and ascertain the Lithuanian quantitative characteristics which are presented in Russian mass media. Referring to the analysis, one can distinguish three prevailing negative images of Lithuania - that is, Russophobic and anti-Russian; a falsifier of history; and a failing and non-influential state. These images, being consistently and purposefully exploited in Russian information space, almost with no alternative sources, turned into undeniable truth for the majority of Russian citizens. This provides the Kremlin with vast possibilities of manipulation in constructing the tactics and strategy of geopolitical instability. On the other hand, one should not forget that such a negative picture of Lithuania serves as a way in which Russian society justifies Putin’s political system and demonstrates its superiority over the values of the Western world.

  7. High incidence of hemiarthroplasty for shoulder osteoarthritis among recently graduated orthopaedic surgeons.

    Science.gov (United States)

    Mann, Tobias; Baumhauer, Judith F; O'Keefe, Regis J; Harrast, John; Hurwitz, Shepard R; Voloshin, Ilya

    2014-11-01

    Primary glenohumeral osteoarthritis is a common indication for shoulder arthroplasty. Historically, both total shoulder arthroplasty (TSA) and hemi-shoulder arthroplasty (HSA) have been used to treat primary glenohumeral osteoarthritis. The choice between procedures is a topic of debate, with HSA proponents arguing that it is less invasive, faster, less expensive, and technically less demanding, with quality of life outcomes equivalent to those of TSA. More recent evidence suggests TSA is superior in terms of pain relief, function, ROM, strength, and patient satisfaction. We therefore investigated the practice of recently graduated orthopaedic surgeons pertaining to the surgical treatment of this disease. We hypothesized that (1) recently graduated, board eligible, orthopaedic surgeons with fellowship training in shoulder surgery are more likely to perform TSA than surgeons without this training; (2) younger patients are more likely to receive HSA than TSA; (3) patient sex affects the choice of surgery; (4) US geographic region affects practice patterns; and (5) complication rates for HSA and TSA are not different. We queried the American Board of Orthopaedic Surgery's database to identify practice patterns of orthopaedic surgeons taking their board examination. We identified 771 patients with primary glenohumeral osteoarthritis treated with TSA or HSA from 2006 to 2011. The rates of TSA and HSA were compared based on the treating surgeon's fellowship training, patient age and sex, US geographic region, and reported surgical complications. Surgeons with fellowship training in shoulder surgery were more likely (86% versus 72%; OR 2.32; 95% CI, 1.56-3.45, pguidelines for the treatment of glenohumeral osteoarthritis published by the American Academy of Orthopaedic Surgeons. These guidelines favor using TSA over HSA in the treatment of shoulder arthritis. Further investigation is needed to clarify if these practice patterns are isolated to recently graduated board

  8. COMPARATIVE STUDY OF PHRASEOLOGY AS A PRINCIPLE OF NATIONALLY-ORIENTED TEACHING RUSSIAN TO CHINESE STUDENTS

    Directory of Open Access Journals (Sweden)

    Anna Novikova

    2012-01-01

    Full Text Available The article characterizes national - orientation principle in teaching Chinese students Russian phraseology. Basing on the observations of Russian linguists and methodists, and on her own experience of teaching Chinese students, the author pays attention to the following aspects of the problem: the main differences between Russian and Chinese phraseological systems; difficulties in comparing Russian and Chinese phraseological units; the most common mistakes made by Chinese students while using Russian phraseological units. According to the author, describing and considering the above-mentioned problems helps to make the process of teaching Chinese students Russian phraseological units more effective.

  9. Slovakian-Russian partnership as a part of the supply chain for nuclear power plants and advanced Russian technology for nuclear power plants

    International Nuclear Information System (INIS)

    Ivanov, T.; Chernyakhovskaya, Y.

    2009-01-01

    The first nuclear power project in the Slovak Republic was launched in 1958 through close cooperation with the Russian nuclear industry. Since then the Slovak and Russian nuclear branches were never separated. Technical and economic performances of the NPP units constructed with participation of Russian specialists were and continue being one of the best globally. The culture of business and competence of ASE is based on about 40 years of experience in construction of 29 NPP power units abroad with 20 GW total capacity. ASE strives to present to the Customers line of NPP designs ready for implementation and well-developed network of the multi-functional alliances and JVs. Currently, large-scale NPP projects involve public-private partnership (PPP) more and more. ASE development vision is to flexibly conform to Customers' requirements and needs and to diversify in related segments of EPC-business, namely designing, manufacturing, electric power trade, etc. Systematical approach to the fostering of mutual relations under the new economic conditions and nuclear renaissance, the Slovak-Russian cooperation in NPP engineering, manufacturing and construction are once again promising and long-term oriented. (authors)

  10. Inequalities in perceived health in the Russian Federation, 1994-2012.

    Science.gov (United States)

    Paul, Pavitra; Valtonen, Hannu

    2016-02-17

    Individual characteristics and socioeconomic strata (SES) are important determinants of health differences. We examine health inequalities in Russia and estimate the association of demography (gender and age) and SES (working status, income, geography of residence, living standard, wealth possession, and durable asset-holding) with perceived health over the period 1994-2012. This study uses nationally representative datasets from the Russian Longitudinal Monitoring Survey (RLMS: 1994-2012). We apply a random effect GLS model to examine the association of individual characteristics and individual heterogeneity in explaining self-perceived health status. In addition, we estimate a regression-based concentration index, which we decompose into the determinants of health inequalities. The self-perceived health differences between the better-off and the worse-off is reduced over the 18 year period (1994 - 2012). The individual variances in self-perceived health status are higher compared to the variances between the individuals over the period. The measure of health inequality index (concentration index) indicates a change for better health for the better-off Russians. Being employed matters in perceiving a better health status for the Russians in 2012. Self-perceived health differences in the Russian Federation has changed over time. Such differences in changes are attributable to both changes in the distribution of the determinants of health as well as changes in the association between the determinants of health with the self-perceived health status. Though this study identifies the determinants of health inequalities for the Russians, the future research is to examine the in-country distribution of these determinants that produce health differences within the Russian Federation.

  11. The Role of Social Media in Russian Tourists' Search for Information

    OpenAIRE

    Kähkönen, Liisa

    2011-01-01

    This thesis discusses the consumer behaviour of tourist and the use of social media in Russian tourists’ search for information. The focus group of the study was Russian tourists visiting North Karelia as a travel destination. The study investigated the specific features of the consumer behaviour of Russian tourists: how the tourists find information about the North Karelia region and more specifically how largely social media is used as the source for this information. The study also investi...

  12. A Russian Man on Horseback: The Rise of General Alexander Lebed

    National Research Council Canada - National Science Library

    O'Malley, Kevin

    1997-01-01

    General Alexander Lebed burst upon the Russian political scene like a man on horseback, promising to restore order out of chaos, crack down on crime and corruption, and resurrect Russian nationalism...

  13. Institutional Analysis of Bounded Rationality of the Contemporary Russians

    Directory of Open Access Journals (Sweden)

    Ivan V. Rozmainsky

    2017-12-01

    Full Text Available The paper argues that behavior of present-day Russians is inconsistent with standard Neoclassical economics and can be better explained by the synthesis of various branches of Institutionalism and Post Keynesianism. Authors try to show that the present-day Russians are characterized by bounded rationality when they invest in health and financial assets, by fits and starts spend their incomes and cannot predict future levels of these incomes. Sometimes such bounded rationality manifests itself as investor myopia – a phenomenon that describes a situation when people exclude future variables from consideration starting from some threshold point of time. Investor myopia can lead to negative investment in health via smoking and heavy drinking, and also generate non-rational saving behavior. Furthermore, the contemporary Russians behave in the opportunistic manner. In particular, in the course of important examination writing the majority of people prefer to cheat off. Finally, the social pressure modifies the consumptive choice of the present-day Russians; in other words, this choice is not intrinsic. These statements are verified on the base of opinion poll findings by authors in 2016 and 2017. Sample included 521 persons, mainly young people. These data are analyzed by means of econometric – binomial and multinomial logit-models. The results of these studies show that the contemporary Russians are really characterized by bounded rather than perfect rationality. One of the conclusions is that fee-paying educated students are significantly less rational in their saving choice.

  14. The Empire Strikes Back. Russian National Cinema After 2005

    Directory of Open Access Journals (Sweden)

    Tomasz Rawski

    2017-11-01

    Full Text Available The Empire Strikes Back. Russian National Cinema After 2005 The paper provides critical analysis of the latest wave of Russian national cinema (2005-2013, considered one of key instruments of Vladimir Putin’s nation-building cultural policy. The analysis, focused mostly on historical film and war film, reveals the concept of an ‘imperial nation’ as the main concept underlying this policy. The new Russian nation-concept is calculated to binding elements from two former Russian imperial traditions: tradition of the Russian Empire and the Soviet tradition, thus trying to overcome the identity crisis in contemporary Russia.   Imperium kontratakuje. Rosyjskie kino narodowe po 2005 roku Artykuł zajmuje się krytyczną analizą filmów najnowszej fali rosyjskiego kina narodowego (2005-2013, uważanej tu za jedno z kluczowych narzędzi polityki kulturalnej Władimira Putina obliczonej na budowanie narodu. Autorzy artykułu skupiają się przede wszystkim na filmie historycznym i wojennym, odsłaniając pojęcie „imperialnego narodu” jako konceptu stojącego u podstaw oficjalnej polityki. Nowe rosyjskie pojęcie narodu łączy w sobie dwie tradycje rosyjskie: tradycję Imperium Rosyjskiego oraz tradycję Związku Radzieckiego, próbując w ten sposób przezwyciężyć kryzys tożsamościowy współczesnej Rosji.

  15. FAMILY THOUGHT IN THE RUSSIAN LANGUAGE MODEL OF THE WORLD: HISTORY OF THE VALUABLE RELATION TO A FAMILY ACCORDING TO RUSSIAN

    Directory of Open Access Journals (Sweden)

    G. S. Samoylova

    2016-01-01

    Full Text Available The article consider the structure of a word meaning a family in diachronic aspect. The valuable attitude towards concept «family» is characteristic of the entire periods in the history of Russian, and transformation of semantics of the word concept is insignificant. The central idea in definition of a family in modern Russian is the idea of spiritual proximity of people, the close emotional relations. The word is actively used in figurative sense for expression of estimated meanings. In a different way there is a history of values of the terms of relationship entering a theme group «family». In modern Russian these words cease to express a positive emotional assessment at the use in relation to not relatives. According to authors, it demonstrates change of valuable reference points in a modern language picture of the world.

  16. Preoperative and Postoperative Nomograms Incorporating Surgeon Experience for Clinically Localized Prostate Cancer

    Science.gov (United States)

    Kattan, Michael W.; Vickers, Andrew J.; Yu, Changhong; Bianco, Fernando J.; Cronin, Angel M.; Eastham, James A.; Klein, Eric A.; Reuther, Alwyn M.; Pontes, Jose Edson; Scardino, Peter T.

    2012-01-01

    BACKGROUND Accurate preoperative and postoperative risk assessment has been critical for counseling patients regarding radical prostatectomy for clinically localized prostate cancer. In addition to other treatment modalities, neoadjuvant or adjuvant therapies have been considered. The growing literature suggested that the experience of the surgeon may affect the risk of prostate cancer recurrence. The purpose of this study was to develop and internally validate nomograms to predict the probability of recurrence, both preoperatively and postoperatively, with adjustment for standard parameters plus surgeon experience. METHODS The study cohort included 7724 eligible prostate cancer patients treated with radical prostatectomy by 1 of 72 surgeons. For each patient, surgeon experience was coded as the total number of cases conducted by the surgeon before the patient’s operation. Multivariable Cox proportional hazards regression models were developed to predict recurrence. Discrimination and calibration of the models was assessed following bootstrapping methods, and the models were presented as nomograms. RESULTS In this combined series, the 10-year probability of recurrence was 23.9%. The nomograms were quite discriminating (preoperative concordance index, 0.767; postoperative concordance index, 0.812). Calibration appeared to be very good for each. Surgeon experience seemed to have a quite modest effect, especially postoperatively. CONCLUSIONS Nomograms have been developed that consider the surgeon’s experience as a predictor. The tools appeared to predict reasonably well but were somewhat little improved with the addition of surgeon experience as a predictor variable. PMID:19156928

  17. Bile duct reconstruction by a young surgeon in living donor liver transplantation using right liver graft.

    Science.gov (United States)

    Kim, Jong Man; Cho, Wontae; Kwon, Choon Hyuck David; Joh, Jae-Won; Park, Jae Berm; Ko, Justin Sangwook; Gwak, Mi Sook; Kim, Gaab Soo; Kim, Sung Joo; Lee, Suk-Koo

    2014-09-01

    Biliary strictures and bile leaks account for the majority of biliary complications after living donor liver transplantation (LDLT). The aim of this study was to examine differences in biliary complications after adult LDLTs were performed by an experienced senior surgeon and an inexperienced junior surgeon. Surgeries included bile duct reconstruction after adult LDLT using a right liver graft, and risk factors for biliary stricture were identified. We retrospectively reviewed the medical records of 136 patients who underwent LDLT in order to identify patients who developed biliary complications. The senior surgeon performed 102 surgeries and the junior surgeon performed 34 surgeries. The proportion of patients with biliary stricture was similar between the senior and the junior surgeons (27.5% vs 26.5%; P = 0.911). However, the incidence of biliary leakage was higher in patients of the junior surgeon than in those of the senior surgeon (23.5% vs 2.9%; P = 0.001). The frequency of percutaneous drainage was also higher for the junior surgeon than the senior surgeon because of the junior surgeon's high leakage rate of the drainage. When the junior surgeon performed bile duct anastomosis, biliary leakage occurred in 7 patients between the 11th and 20th cases. However, biliary leakage occurred in only 1 case thereafter. Bile duct reconstruction performed by beginner surgeons in LDLT using right lobe grafts should be cautiously monitored and observed by a senior surgeon until an inexperienced junior surgeon has performed at least 20 cases, because of the high incidence of biliary leakage related to surgeon's inexperience in bile duct reconstructions in LDLT.

  18. Conflict resolution: practical principles for surgeons.

    Science.gov (United States)

    Lee, Liz; Berger, David H; Awad, Samir S; Brandt, Mary L; Martinez, George; Brunicardi, F Charles

    2008-11-01

    Historically, surgeons have had little formal training in conflict resolution; however, there has been an increasing body of evidence that poor conflict resolution skills may have an adverse impact on patient outcomes and career advancement. Furthermore, the Accreditation Council for Graduate Medical Education has recognized the importance of conflict resolution skills in resident training by mandating the training of communication skills and professionalism. These skills have often been taught in other professions, and surgeons may need to acquaint themselves with the literature from those fields. Conflict resolution techniques such as the 7-step model or principle-based conflict resolution can be applied to conflict in the operating room, wards, and among colleagues. We propose a model for conflict resolution by using the basic tools of the history and physical exam, a process well known to all physicians.

  19. Use of Computer Imaging in Rhinoplasty: A Survey of the Practices of Facial Plastic Surgeons.

    Science.gov (United States)

    Singh, Prabhjyot; Pearlman, Steven

    2017-08-01

    The objective of this study was to quantify the use of computer imaging by facial plastic surgeons. AAFPRS Facial plastic surgeons were surveyed about their use of computer imaging during rhinoplasty consultations. The survey collected information about surgeon demographics, practice settings, practice patterns, and rates of computer imaging (CI) for primary and revision rhinoplasty. For those surgeons who used CI, additional information was also collected, which included who performed the imaging and whether the patient was given the morphed images after the consultation. A total of 238 out of 1200 (19.8%) facial plastic surgeons responded to the survey. Out of those who responded, 195 surgeons (83%) were board certified by the American Board of Facial Plastic and Reconstructive Surgeons (ABFPRS). The majority of respondents (150 surgeons, 63%) used CI during rhinoplasty consultation. Of the surgeons who use CI, 92% performed the image morphing themselves. Approximately two-thirds of surgeons who use CI gave their patient a printout of the morphed images after the consultation. Computer imaging (CI) is a frequently utilized tool for facial plastic surgeons during cosmetic consultations with patients. Based on these results of this study, it can be suggested that the majority of facial plastic surgeons who use CI do so for both primary and revision rhinoplasty. As more sophisticated systems become available, it is possible that utilization of CI modalities will increase. This provides the surgeon with further tools to use at his or her disposal during discussion of aesthetic surgery. This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .

  20. Can virtual reality simulators be a certification tool for bariatric surgeons?

    Science.gov (United States)

    Giannotti, Domenico; Patrizi, Gregorio; Casella, Giovanni; Di Rocco, Giorgio; Marchetti, Massimiliano; Frezzotti, Francesca; Bernieri, Maria Giulia; Vestri, Anna Rita; Redler, Adriano

    2014-01-01

    Construct validity of virtual laparoscopic simulators for basic laparoscopic skills has been proposed; however, it is not yet clear whether the simulators can identify the actual experience of surgeons in more complex procedures such as laparoscopic Roux-en-Y gastric bypass. This study tested the ability of the Lap Mentor simulator to recognize the experience in advanced laparoscopic procedures and to assess its role in the certification of bariatric surgeons. Twenty surgeons were divided into two groups according to their experience in laparoscopic and bariatric surgery. The general group included 10 general surgeons performing between 75 and 100 nonbariatric laparoscopic procedures. The bariatric group included 10 bariatric surgeons performing between 50 and 100 laparoscopic bariatric procedures. Participants were tested on the simulator in one basic task (task 1: eye-hand coordination) and in two tasks of the gastric bypass module (task 2: creation of the gastric pouch; task 3: gastrojejunal anastomosis). Comparing the groups, no significant differences were found in task 1. Analyzing the results from the gastric bypass module (bariatric vs. general), in task 2, significant differences (p < 0.05) were found in the median volume of the gastric pouch (21 vs. 48 cm(3)), in the percentage of fundus included in the pouch (8.4 vs. 29.4 %), in the complete dissection at the angle of His (10 vs. 3), and in safety parameters. In task 3, significant differences were found in the size and position of enterotomies. The Lap Mentor may be proposed as a certification tool for bariatric surgeons because it also recognizes their specific skills in the technical details of the procedure that affect long-term results. Furthermore, the possibility of analyzing the performance in detail can help define areas where the surgeon is lacking. These findings indicate a potential role of the Lap Mentor in tailoring the training to maximize improvement.

  1. LITURGICAL TEXT IN RUSSIAN LITERATURE. PROBLEM STATEMENT

    Directory of Open Access Journals (Sweden)

    Avetis Serezhaevich Seropyan

    2012-11-01

    Full Text Available The article analyses artistic expressions of liturgical language in the literary text and its interaction of the Holy Tradition. Many Russian authors knew the liturgical text well. Studying it reveals the crucial meaning of the Gospel and liturgical texts (as part of the Holy Tradition for Russian literature. Authors saw the essence of every phenomenon in the word for it, and the nature of God in His name. Some ideas and sayings of the authors and their characters find their sources in liturgical texts. The article focuses on liturgical sources of some characters' commemorations and invocations, as well as poetical topics of the symbolists, Dostoevsky's famous dictum on beauty which will save the world (The Idiot, etc. De-cyphering this liturgical code will help us learn and comprehend the hidden endless meaning of a literary text. The specific feature of Russian literature is its pursuit of the spiritual liturgical exploration of the world, an exploration when truth takes shape and thus becomes real in both literary text and history.

  2. Trauma surgeon personality and job satisfaction: results from a national survey.

    Science.gov (United States)

    Foulkrod, Kelli H; Field, Craig; Brown, Carlos V R

    2010-04-01

    Personality is correlated with job satisfaction, whereas job satisfaction is linked to performance. This study examines personality of practicing trauma surgeons in relation to their job satisfaction. The dominant theory in personality research is the five-factor model, which includes: extraversion, agreeableness, conscientiousness, emotional stability, and openness. The sample was identified from American Association for Surgery of Trauma, Eastern Association for Surgery of Trauma, and Western Trauma Association membership. A web-based survey of demographics and empirically supported measures was created. Four hundred and twelve trauma surgeons (49 +/- 14-years-old, 85% male) completed the survey. When comparing satisfied to unsatisfied trauma surgeons on personality variables, extraversion (5.0 +/- 1.6 vs 4.4 +/- 1.6, P = 0.014) and emotional stability (5.8 +/- 1.1 vs 5.4 +/- 1.2, P = 0.007) were significantly higher in satisfied surgeons. Moderate correlations were found for job satisfaction with emotional stability (r = 0.20, P personality variables highlighted the significance of emotional stability and extraversion in prediction of job satisfaction. Extraversion and emotional stability are the most significant personality factors to job satisfaction of trauma surgeons. These findings may have important implications for surgical resident recruitment, job performance, and retention.

  3. Western values and the Russian energy weapon

    Science.gov (United States)

    Domingues, Bennett K.

    This thesis explores the competition between Russia and the West for the oil and gas resources of the Caspian Sea region, an area where far more is at stake than simply acquisition of new energy supplies. Ultimately, the "winner" of the competition for Caspian Sea energy resources will determine whether Russia will become the primary energy supplier for Europe in the future, or whether there will be alternative, non-Russian energy routes from East to West. The thesis uses a qualitative approach, drawing on scholarly books and articles, current affairs publications, energy firm websites, and other sources to compare the ethical aspects of the strategies used by Russia and the West, to determine whose strategy has been more successful, and to analyze what this means for the political, economic, and security future of Europe. As this thesis demonstrates, Russia recognizes the importance of energy as both an economic and foreign policy tool. To secure access to the resources of the Caspian Sea region, Russia has used bribery and strongman tactics to secure arrangements and contracts favorable to Russian interests. When a country does not capitulate to these tactics, Russia applies other measures to influence these countries' policies. This thesis draws on two recent examples, Ukraine and Georgia, to demonstrate how Russia has used its position as a supplier of energy resources to influence countries to adopt policies complementary to Russian interests, or to punish them for failing to do so. The effectiveness of these Russian tactics is an important precedent for the countries of the Caspian Sea region to keep in mind as they make decisions that will determine their economic and political future for decades to come. In contrast, the western strategy of promoting quality products and services, while ensuring safety and conducting business according to western ethical norms, has been less successful than western firms originally envisioned. Undoubtedly western firms have

  4. ABOUT TRANSITION ALTITUDE IN RUSSIAN FEDERATION

    Directory of Open Access Journals (Sweden)

    2016-01-01

    Full Text Available This article is about establishing a common transition altitude over all territory of Russian Federation. The main objective is to prove the necessity of a common transition altitude in Russian airspace and to define, which variant of tran- sition altitude (low, medium, high is the most suitable to be implemented in Russia. ICAO and IFALPA points of view, data and experience from different states and regions all over the world were examined in order to show all the advantages and disadvantages of different approaches towards common transition altitude. The research showed that the most appro- priate common transition altitude in Russia will be 10000 feet (3050 meters, it will cover almost all the international aero- dromes and regions in the country. Only several exceptions are needed in mountainous areas. This article can be used to further study of the possibility of implementation of common transition altitude, because it can’t take into consideration all the local features of all the FIRs (Flight Information Regions in Russia. The conclusion is establishing a common transi- tion altitude over such a big part of the world as Russian Federation will lead to improvement of the flight safety, harmoni- zation with ICAO and IFALPA policies and flexibility in airspace design.

  5. Surgeons' work engagement: influencing factors and relations to job and life satisfaction.

    Science.gov (United States)

    Mache, Stefanie; Vitzthum, Karin; Klapp, Burghard F; Danzer, Gerhard

    2014-08-01

    Work engagement has become a topic of great interest in recent years. However, clinicians' work engagement has rarely been studied and relatively little is known about its predictors and consequences. Therefore the objective of this cross-sectional questionnaire study was to test a model of possible institutional and personal predictors and significant relations to job and life satisfaction. 123 clinicians specializing in Surgery Medicine participated in the study. Self-administered questionnaires, including the Copenhagen Psychosocial Questionnaire, the Utrecht Work Engagement Scale, the Brief Resilient Coping Scale and the Questionnaire for Self-efficacy, Optimism and Pessimism, were administered. Bivariate analyses and a stepwise regression analysis were performed. The whole sample of surgeons rated work engagement with a high mean of M = 4.38; SD = .91. Job satisfaction and perceived quality of life have been rated with moderate scores. The results show that job resources have a greater impact on surgeons' work engagement than their job demands. Significant correlations between surgeons' work engagement, their job satisfaction and quality of life were found. Moreover, work engagement mediated the relation between institutional factors and surgeons' job satisfaction. Our research suggests that strengthening surgeons' work engagement will contribute to a more sustainable workplace, in terms of both individual and hospital performance. Therefore, increasing work engagement among surgeons should be of concern for supervisors and hospital managers. Future research should focus on further predictors that may have an influence on health professionals' work engagement. Another field for future research is to study potential effects of interventions on work engagement. Copyright © 2013 Royal College of Surgeons of Edinburgh (Scottish charity number SC005317) and Royal College of Surgeons in Ireland. Published by Elsevier Ltd. All rights reserved.

  6. Role of the battalion surgeon in the Iraq and Afghanistan War.

    Science.gov (United States)

    Moawad, Fouad J; Wilson, Ramey; Kunar, Mathew T; Hartzell, Joshua D

    2012-04-01

    The battalion surgeon is an invaluable asset to a deploying unit. The primary role of a battalion surgeon is to provide basic primary care medicine and combat resuscitation. Other expectations include health care screening, vaccinations, supervision of medics, and being a medical advisor to the unit's commander. As many physicians who fill this role previously worked at medical treatment facilities or medical centers without prior deployment experience, the objective of this article is to highlight some of the challenges a battalion surgeon may encounter before, during, and following deployment.

  7. Russian JV workovers proliferating

    Energy Technology Data Exchange (ETDEWEB)

    1992-11-09

    Well remediation is gathering momentum in Russia as more companies apply western technology to idle wells. Western petroleum technology is being widely hailed as the best way to halt the decline in crude oil production in Russia and other members of the former Soviet Union. More than 20,000 Russian wells are estimated idle, many of which observers say could be returned to service with western know-how. Progress has been outlined on two significant projects in the Komi and Chechen autonomous republics of Russia: KomiQuest Ltd., a joint venture of an international group of companies and Komi republic agencies, has used a Russian rig and crew to work over four wells and started producing oil in one of four Vozey area oil fields in the Komi republic. A Chechen republic delegation led by President Dzhahar Jusyavitch Dudaev last month in Houston let a 2 year contract worth about $100 million to Enforce Energy Corp., San Antonio, covering workover, drilling, and other services in two oil fields north of the Chechen capital of Grozny.

  8. Surgeon Scientists Are Disproportionately Affected by Declining NIH Funding Rates.

    Science.gov (United States)

    Narahari, Adishesh K; Mehaffey, J Hunter; Hawkins, Robert B; Charles, Eric J; Baderdinni, Pranav K; Chandrabhatla, Anirudha S; Kocan, Joseph W; Jones, R Scott; Upchurch, Gilbert R; Kron, Irving L; Kern, John A; Ailawadi, Gorav

    2018-04-01

    Obtaining National Institutes of Health (NIH) funding over the last 10 years has become increasingly difficult due to a decrease in the number of research grants funded and an increase in the number of NIH applications. National Institutes of Health funding amounts and success rates were compared for all disciplines using data from NIH, Federation of American Societies for Experimental Biology (FASEB), and Blue Ridge Medical Institute. Next, all NIH grants (2006 to 2016) with surgeons as principal investigators were identified using the National Institutes of Health Research Portfolio Online Reporting Tools Expenditures and Results (NIH RePORTER), and a grant impact score was calculated for each grant based on the publication's impact factor per funding amount. Linear regression and one-way ANOVA were used for analysis. The number of NIH grant applications has increased by 18.7% (p = 0.0009), while the numbers of funded grants (p rate of funded grants with surgeons as principal investigators (16.4%) has been significantly lower than the mean NIH funding rate (19.2%) (p = 0.011). Despite receiving only 831 R01s during this time period, surgeon scientists were highly productive, with an average grant impact score of 4.9 per $100,000, which increased over the last 10 years (0.15 ± 0.05/year, p = 0.02). Additionally, the rate of conversion of surgeon scientist-mentored K awards to R01s from 2007 to 2012 was 46%. Despite declining funding over the last 10 years, surgeon scientists have demonstrated increasing productivity as measured by impactful publications and higher success rates in converting early investigator awards to R01s. Copyright © 2018 American College of Surgeons. Published by Elsevier Inc. All rights reserved.

  9. Theory of International Relations In The Mirror of Contemporary Russian International Studies

    Directory of Open Access Journals (Sweden)

    Marina M. Lebedeva

    2016-01-01

    Full Text Available The article deals with the evolution of Western theories of international relations in the postSoviet Russia, it analyzes the world view of Russian international scholars, as well as their reflection on the epistemological foundations of the probable Russian IR school. It states that pluralization of theoretical approaches continues in Russia, while liberalism is gradually givingup to realism on the way to the dominant theory. Constructivism is gaining popularity and postmodernism remains without followers. Russian international studies are structured by a long-standing debate about the identity of Russia. "Westerners" continue to argue with "Slavophiles."Sometimes these arguments translate into a cry for building independent national school of international relations, thereby exacerbating the problem of epistemological relativism. The bases for the school may be found in Russian spiritual philosophy, the Tartu-Moscow school of semiotics, Russian cultural studies, postcolonial tradition of national historical science.

  10. The Russian Orthodox Church and atheism

    Directory of Open Access Journals (Sweden)

    Teuvo Laitila

    2012-06-01

    Full Text Available After the collapse of the Soviet Union in 1991, the religious tide in Russia has been quick to rise. During the Soviet era, religion – particularly Orthodox Christianity and Islam – was considered to be one of the ‘enemies of the people’. Since the late 1990s however, Russian politicians at all levels of the power structure have associated themselves either with the Orthodox, or on some occasions with the Muslim, clergy. The present state of affairs in the relations between religion and the state are well illustrated by the cordial liaison of the late Patriarch Aleksii II with President Vladimir Putin and the equally warm involvement of President Dmitry Medvedev, and his wife Svetlana Medvedeva, with the new Patriarch Kirill, who was elected in January 2009. Some have even argued that ‘today’ (in 2004 the Church and state are so extensively intertwined that one can no longer consider Russia to be a secular state. Polls seem to support the claim. While in 1990 only 24 per cent of Russians identified themselves as Orthodox, in the sense that they felt themselves to be Russians as well, in 2008 the number was 73 per cent. However, less than 10 per cent, and in Moscow perhaps only 2 per cent do actually live out their religiosity.Why did Russia turn towards religion? Is religion chosen in an attempt to legitimise power, or in order to consolidate political rule after atheist-communist failure? My guess is that the answer to both is affirmative. Moreover, whatever the personal convictions of individual Russians, including politicians, religious, mainly Orthodox Christian, rhetoric and rituals are used to make a definitive break with the communist past and to create, or re-create, a Greater Russia (see Simons 2009. In such an ideological climate, atheism has little chance of thriving, whereas there is a sort of ‘social demand’ for its critique.I therefore focus on what the Russian Orthodox Church (ROC has had to say about atheism and

  11. Russian language for Persian learners A research on the difficulties of learning motion verbs of

    OpenAIRE

    ایزانلو ایزانلو

    2009-01-01

    Since motion verbs of Russian language is one of those complex issues in Russian language syntax, Iranian students who are learning Russian language face problems when learning this grammatical category. These problems in learning appear in two stages. a)The stage of learning and understanding the meaning of these verbs in the Russian language itself; b) The stage of transition of these verbs from Russian language into Persian language when translating texts into Persian. It seems that the di...

  12. Russian delegation visits NIH and NCI to discuss research collaboration

    Science.gov (United States)

    The NCI Center for Global Health hosted a delegation from the Russian Foundation for Basic Research to discuss ongoing and future collaborations in cancer research. The delegation was accompanied by representatives from the US Embassy in Moscow and the Embassy of the Russian Federation in Washington DC.

  13. The near future prospects of Russian oil industry

    International Nuclear Information System (INIS)

    Lehtimaeki, H.

    1995-01-01

    The central role of oil, natural gas and coal production in Russian national economy, and the active role of the country in international trade of fuels are well-known facts, the development of which has also remarkable effect on the western industrialised countries - especially due to the disintegration of the former Soviet Union followed by the economical reconstruction. This review deals with the structure of the Russian oil industry and the future prospects of it. (3 tabs.)

  14. GOSPEL TEXT IN RUSSIAN CULTURE AND MODERN SCIENCE

    Directory of Open Access Journals (Sweden)

    Esaulov I. A.

    2011-11-01

    Full Text Available The article demonstrates the difference between the process of investigation and understanding in the modern humanities. The analysis of a literary text in terms of Christian tradition is an important goal of historical poetics of Russian literature. New categories of literature studies, aimed at focusing on Christian legendry in literary works, are presented in the article. Christian traditions experienced transformations, metamorphoses and pseudomorphoses that cannot be ignored while building up a new history of Russian literature.

  15. Surgeon Influence on Variation in Receipt of Contralateral Prophylactic Mastectomy for Women With Breast Cancer.

    Science.gov (United States)

    Katz, Steven J; Hawley, Sarah T; Hamilton, Ann S; Ward, Kevin C; Morrow, Monica; Jagsi, Reshma; Hofer, Timothy P

    2018-01-01

    Rates of contralateral prophylactic mastectomy (CPM) have markedly increased but we know little about the influence of surgeons on variability of the procedure in the community. To quantify the influence of the attending surgeon on rates of CPM and clinician attitudes that explained it. In this population-based survey study, we identified 7810 women with stages 0 to II breast cancer treated in 2013 to 2015 through the Surveillance, Epidemiology, and End Results registries of Georgia and Los Angeles County. Surveys were sent approximately 2 months after surgery. Surveys were also sent to 488 attending surgeons identified by the patients. We conducted multilevel analyses to examine the impact of surgeon influence on variations in patient receipt of CPM using information from patient and surgeon surveys merged to Surveillance, Epidemiology, and End Results data. A total of 5080 women responded to the survey (70% response rate), and 377 surgeons responded (77% response rate). The mean (SD) age of responding women was 61.9 (11) years; 28% had an increased risk of second primary cancer, and 16% received CPM. Half of surgeons (52%) practiced for more than 20 years and 30% treated more than 50 new patients with breast cancer annually. Attending surgeon explained a large amount (20%) of the variation in CPM, controlling for patient factors. The odds of a patient receiving CPM increased almost 3-fold (odds ratio, 2.8; 95% CI, 2.1-3.4) if she saw a surgeon with a practice approach 1 SD above a surgeon with the mean CPM rate (independent of age, diagnosis date, BRCA status, and risk of second primary). One-quarter (25%) of the surgeon influence was explained by attending attitudes about initial recommendations for surgery and responses to patient requests for CPM. The estimated rate of CPM was 34% for surgeons who least favored initial breast conservation and were least reluctant to perform CPM vs 4% for surgeons who most favored initial breast conservation and were most

  16. Sowing the seeds of skepticism: Russian state news and anti-GMO sentiment.

    Science.gov (United States)

    Dorius, Shawn F; Lawrence-Dill, Carolyn J

    2018-03-21

    Biotech news coverage in English-language Russian media fits the profile of the Russian information warfare strategy described in recent military reports. This raises the question of whether Russia views the dissemination of anti-GMO information as just one of many divisive issues it can exploit as part of its information war, or if GMOs serve more expansive disruptive purposes. Distinctive patterns in Russian news provide evidence of a coordinated information campaign that could turn public opinion against genetic engineering. The recent branding of Russian agriculture as the ecologically clean alternative to genetically engineered foods is suggestive of an economic motive behind the information campaign against western biotechnologies.

  17. Richard III in Russian Theatre at the Twilight of the "Thaw"

    OpenAIRE

    Sokolyansky, Mark

    2007-01-01

    Richard III was very rarely staged in Russian theatre in tsarist and Stalin’s times, because the story of inhuman tyranny provoked associations with Russian political reality. In the period of the so-called “Thaw” (1954ß1964) the play became very popular in the USSR and several scenic productions of it were real events in Russian (and Soviet) theatrical life. In the essay three most original and successful performances (in Kujbyshev, Gorkij and Erevan) are discussed and compare...

  18. THE HISTORICAL DEVELOPMENT OF TEACHING RUSSIAN LANGUAGE AS A FOREIGN LANGUAGE

    OpenAIRE

    Zulfiya SAHIN

    2014-01-01

    The purpose of this research is to explicate teaching of Russian as a foreign language throughout history: to identify the main achievements of the field, to determine methods and materials used in this area, to trace the developing process from the very begging till present days, when teaching Russian language as a foreign language became a separate specific discipline. To achieve the set purposes mentioned above the known nowadays studies on the field of teaching and learning Russian as a f...

  19. Discovering the Solar System

    Science.gov (United States)

    Jones, Barrie W.

    1999-04-01

    Discovering the Solar System Barrie W. Jones The Open University, Milton Keynes, UK Discovering the Solar System is a comprehensive, up-to-date account of the Solar System and of the ways in which the various bodies have been investigated and modelled. The approach is thematic, with sequences of chapters on the interiors of planetary bodies, on their surfaces, and on their atmospheres. Within each sequence there is a chapter on general principles and processes followed by one or two chapters on specific bodies. There is also an introductory chapter, a chapter on the origin of the Solar System, and a chapter on asteroids, comets and meteorites. Liberally illustrated with diagrams, black and white photographs and colour plates, Discovering the Solar System also features: * tables of essential data * question and answers within the text * end of section review questions with answers and comments Discovering the Solar System is essential reading for all undergraduate students for whom astronomy or planetary science are components of their degrees, and for those at a more advanced level approaching the subject for the first time. It will also be of great interest to non-specialists with a keen interest in astronomy. A small amount of scientific knowledge is assumed plus familiarity with basic algebra and graphs. There is no calculus. Praise for this book includes: ".certainly qualifies as an authoritative text. The author clearly has an encyclopedic knowledge of the subject." Meteorics and Planetary Science ".liberally doused with relevant graphs, tables, and black and white figures of good quality." EOS, Transactions of the American Geophysical Union ".one of the best books on the Solar System I have seen. The general accuracy and quality of the content is excellent." Journal of the British Astronomical Association

  20. Current practice patterns and knowledge among gynecologic surgeons of InterStim® programming after implantation.

    Science.gov (United States)

    Hobson, Deslyn T G; Gaskins, Jeremy T; Frazier, LaTisha; Francis, Sean L; Kinman, Casey L; Meriwether, Kate V

    2017-10-03

    The objective of this study was to describe surgeons' current practices in InterStim® programming after initial implantation and their knowledge of programming parameters. We hypothesized that surgeons performing their own reprogramming would have increased knowledge. We administered a written survey to attendees at the Society of Gynecologic Surgeons Scientific Meeting and analyzed those on which surgeons indicated they offer InterStim® care. The survey queried surgeon characteristics, experience with InterStim® implantation and programming, and clinical opinions regarding reprogramming and tested six knowledge-based questions about programming parameters. Correct response to all six questions was the primary outcome. One hundred and thirty-five of 407 (33%) attendees returned the survey, of which 99 met inclusion criteria. Most respondents (88 of 99; 89%) were between 36 and 60 years, 27 (73%) were women, 76 (77%) practiced in a university setting, and 76 (77%) were trained in Female Pelvic Medicine and Reconstructive Surgery (FPMRS). Surgeons who had InterStim® programming training were more likely to perform their own programming [15/46 (32%) vs 6/47 (13%), p = 0.03]. Most answered all knowledge-based questions correctly (62/90, 69%); no surgeon characteristics were significantly associated with this outcome. Most surgeons cited patient comfort (71/80, 89%) and symptom relief (64/80, 80%) as important factors when reprogramming, but no prevalent themes emerged on how and why surgeons change certain programming parameters. Surgeons who had formal InterStim® programming training are more likely to perform programming themselves. No surgeon characteristic was associated with improved programming knowledge. We found that surgeons prioritize patient comfort and symptoms when deciding to reprogram.