Medical Worker Migration and Origin-Country Human Capital: Evidence from U.S. Visa Policy

We exploit changes in U.S. visa policies for nurses to measure the origin-country human capital response to international migration opportunities. Combining data on all migrant departures and postsecondary institutions in the Philippines, we show that nursing enrollment and graduation increased substantially in response to greater U.S. demand for nurses. The supply of nursing programs expanded. Nurse quality, measured by licensure exam pass rates, declined. Despite this, for each nurse migrant, 9 additional nurses were licensed. New nurses switched from other degree types, but graduated at higher rates than they would have otherwise, increasing the human capital stock in the Philippines.

Prediction of Mental Health in Medical Workers During COVID-19 Based on Machine Learning

Mental health prediction is one of the most essential parts of reducing the probability of serious mental illness. Meanwhile, mental health prediction can provide a theoretical basis for public health department to work out psychological intervention plans for medical workers. The purpose of this paper is to predict mental health of medical workers based on machine learning by 32 factors. We collected the 32 factors of 5,108 Chinese medical workers through questionnaire survey, and the results of Self-reporting Inventory was applied to characterize mental health. In this study, we propose a novel prediction model based on optimization algorithm and neural network, which can select and rank the most important factors that affect mental health of medical workers. Besides, we use stepwise logistic regression, binary bat algorithm, hybrid improved dragonfly algorithm and the proposed prediction model to predict mental health of medical workers. The results show that the prediction accuracy of the proposed model is 92.55%, which is better than the existing algorithms. This method can be used to predict mental health of global medical worker. In addition, the method proposed in this paper can also play a role in the appropriate work plan for medical worker.

Hygienic assessment of the influence of working conditions and the psychological situation in the team on the risk of emotional burnout in medical workers

The article presents the results of the risk of developing the burnout syndrome in medical workers, taking into account the influence of hygienic working conditions and the psychological situation in the team. 134 medical workers with working conditions class 2.0, 3.1, and 3.2 were under observation. The ratio of the working conditions of medical workers to the corresponding class was established according to the Manual 2.2006–05 «Hygienic assessment of factors of the working environment and the labor process. Criteria and classification of working conditions». The methodological basis for assessing the level of emotional burnout of a medical worker in a team was a questionnaire developed by V. V. Boyko; the psychological situation in the team was assessed using a questionnaire by A. F. Fiedler. The conducted studies found that with the class of working conditions of doctors at the level of 2.0, the risk of developing emotional burnout after five years of work is 30.7 %. At the level of the class of working conditions 3.2, after five years of work, the burnout among doctors will reach 46.7 %. Against the background of a favorable psychological situation in the team, the probability of developing an emotional burnout syndrome was 20.0 %, with an unfavorable one, it increased to 46.6 %. The results obtained in the course of this study were used as the basis for the development of a method for predicting the risk of developing burnout syndrome in medical professionals in the first five years of work with a sensitivity of 78 % and a specificity of 68 %.

INNOVATIVE CULTURE OF ONCOLOGY SERVICE

The policy of the state, based on innovation and investment, stated in the policy documents of the President and the Government of Russia, should be reflected in the policy of specific organizations. It is necessary to evaluate the innovative culture of the organization before choosing innovative changes. No studies have been conducted on the comprehensive assessment of the state of the innovative culture of medical organizations of the oncology profile. The innovative culture of a medical organization is the level of implementation of the most advanced technological and structural solutions. In the innovative culture of the medical organization, three main components can be identified: personnel, logistical, technological. The aim of the study is to study the state of the innovative culture of the oncology service. The research base is the Ivanov Regional Oncology Dispensary of the Ivanov Region Health Department. The study programme involved the use of sociological, expert, mathematical, statistical and analytical methods. Surveillance units: medical worker (doctor, average medical worker) and logistical resources. The study was conducted in 2020. There has been a decrease in the innovative culture of the medical organization of oncology profile on all its components, including: personnel, logistics, technological. The decline in the innovative culture of medical professionals is due to a low culture of self-development, not the ability to adapt to change. The innovative culture of medical equipment is associated with a decrease in the accumulation rate of fixed assets, as well as its not full use for high-tech assistance. Technological culture has been reduced by disrupting the culture of communication in the process of assistance, ensuring uniqueness and convenience in its provision. Improving the organization's logistics base, as well as increasing the innovative commitment of medical personnel, especially mid-sized health workers, should be a priority in planning activities to enhance the innovative culture of the oncology organization.

Empathy is the ability of a medical worker affecting the level of patient satisfaction with medical care

The aim of the study is to determine the role of empathy of medical workers in medical and surgical departments in patient satisfaction with medical care. Results. Therapists are characterized by emotional empathy and the ability to identify with the patient; surgeons are characterized by a rational component of empathic experience. Conclusion. Patient satisfaction with the provision of medical care reveals a dependence on the level of empathy of medical professionals with a therapeutic profile, but does not depend on the ability to empathize with medical professionals of a surgical profile.

Features of a medical worker as a subject of corruption crimes

The subject of the study is the controversial issues of determining the status of a medical worker in the legal assessment of corruption violations in healthcare. Based on the analysis of criminal cases, an emphasis was placed on the ratio of professional and official functions in the activities of medical workers. The article draws conclusions about the expediency of adjusting certain positions in law enforcement practice in the legal assessment of violations of legislation and ethical standards by medical workers in the course of their work.

PSYCHOLOGICAL HEALTH OF A DOCTOR's PERSONALITY IN THE CONTEXT OF THE COVID-19 PANDEMIC

The impact of the pandemic on public health has caused numerous negative consequences. In this regard, the study of the state of psychological health of the personality of a medical worker becomes very relevant. The aim of the study is to investigate the manifestations of the psychological health of a doctor's personality in the conditions of epidemiological uncertainty and to suggest ways to strengthen it. Research hypothesis: doctors who do not systematically engage in moderate physical activity have a lower psychological health status of their personality, compared to those groups where more doctors regularly use physical activity. The study involved 294 doctors in 16 specialties: obstetrics and gynecology, anesthesiology and resuscitation, cardiology, neurology, psychiatry, therapy, pediatrics, dermatovenerology, otorhinolaryngology, ophthalmology, radiology, surgery, oncology, traumatology and orthopedics, dentistry, pharmacy management and economics. For the diagnosis, the questionnaire of pronounced psychopathological symptoms SCL-90 was used, which allows to identify dysfunctional changes in the psyche and the degree of manifestation of the qualities and states of psychological health of the individual. Quantitative data were statistically processed using the IBM SPSS computer program. It is shown that depression, anxiety and hostility are less pronounced in doctors who regularly engage in physical activity, compared with doctors who do not find time for systematic exercise. As a result, the components of psychological health of the personality are better in the first group of doctors. Thus, the systematic use of moderate physical activity can be proposed as one of the ways to preserve and strengthen the psychological health of an individual in conditions of uncertainty.

Peter Chew Formular for calculate Covid-19 Vaccine efficiency

Background: The World Health Organization (WHO) said the situation in India was a "devastating reminder" of what the coronavirus could do. India shifts from mass vaccine exporter to importer, worrying the world. Every country needs to vaccinate its citizens faster, vaccination can reduce viral load. This results in vaccination that can reduce transmission, preventing serious illness and death'. Therefore, Countries with higher levels of vaccination can prevent them from becoming "Second India".Preprint study, Vaccination Education App (1). [Peter Chew, 2021] shows that most people do not take the covid-19 vaccine because they question the safety and effectiveness of the vaccine. Therefore, it is important to create a simple formula for calculate the efficiency of the covid-19 vaccine. The purpose of creating this calculation formula is to allow the public to calculate the efficiency of the covid-19 vaccine by themselves, so that they can understand the effectiveness of the vaccine and decide to take the vaccine. This helps to get a high response to COVID vaccinationMethods: Use the Data publish at The New England JOURNAL of MEDICINE, Safety and Efficacy of the BNT162b2 mRNA Covid-19 Vaccine [Fernando P. Polack et all , 2020]. Calculate of Pfizer BioNTech’s COVID-19 vaccine efficiency by using normal formular and Peter Chew Formular , show that the same result are obtain, which is 95.0599 %. In addition, By using public news information, the public can use the Peter Chew formula to easily calculate Covid-19 vaccine efficacy. This is to ensure public can do the calculation themselves. A calculation of relative risk is also provided to provide more information to persuade the public to take the vaccine.Results: The efficiency of Pfizer BioNTech's COVID-19 vaccine for Malaysian medical worker calculated by using the Peter Chew formula is 95.0599 %. In addition, the calculation of Peter Chew's formula also shows that before the vaccination, about 12 medical staff were infected every day, but after the full vaccination, only about one medical worker was infected every two days. The calculation of relative risk can also make it easier for the public to know that people who are not vaccinated with Pfizer BioNTech's COVID-19 vaccine are 22 times more likely to be infected than people who are fully vaccinated. The above results can convince those who easily question the effectiveness of vaccination.Conclusions: Peter Chew Formular easy to calculate, and the data required for the Peter Chew Formular calculation easy to obtain from public news. This is to ensure that the public can calculate the efficacy of the vaccine by themselves. The information on the calculation can let public compare the average target group get infected every day before and after fully vaccination is also an advantage to let public know the effectiveness of vaccination. One of the advantage of Peter Chew formulator is that we can assume a high target population of vaccination with k = 100, such as the medical worker group When k = 100, the Peter Chew formular calculation becomes very simple. The Proof of Peter Chew Formular must also be shown.

On the issue of the criminalization of the obstruction of medical care committed against a health worker

The article justifies the need for the recent criminalization of obstruction of medical assistance in the Russian Federation. A study of these innovations is necessary because of their lack of theoretical and practical study. The preconditions for the criminalization of the offence was studied, the medical profession was assessed from the point of its victimization, the definition of the concept of «obstruction» was investigated, the contradiction between the name of the new article and the range of medical care providers was indicated. Removing the reference to medical worker as the only subject of medical assistance from the article 124.1 of the Criminal Code of the Russian Federation was proposed.

Some aspects of radiation protection in radionuclide therapy departments

The paper presents the data that allow calculate the attenuation factors in lead, tungsten and concrete of various thicknesses or the thickness of shielding made of these materials for a given attenuation factor for the spectra of gamma radiation of 131I and 177Lu radionuclides. Using these data the effectiveness of the protection of supporting equipment (portable containers, shielded syringes, etc.) and the possible doses of external radiation of medical personnel in the radionuclide therapy department were calculated. It is shown that there are short-term operations in the production process when a radiation source (container with a capsule with activity, syringe with activity), being near the body of a medical worker, creates a significant dose rate. For this reason the annual individual dose of external exposure of a medical worker can approach or exceed 1/3 of the dose limit. Calculation of the attenuation of 131I gamma radiation by stationary shield showed that the thickness of walls and floors made of concrete 200 – 400 mm will ensure that the permissible values of the dose rates of gamma radiation in the air do not exceed at annual turnover of activity in the radionuclide therapy department of ~ 3.3 · 1012 Bq.