There is ongoing debate about the role of nutrition during critical illness in terms of long-term outcomes. Even taking into account the inability to adequately assess all biological mechanisms associated with nutrition, it should be recognized that the available randomized trials, nutritional support during the early phase of critical illness, when considered in isolation from other treatment, may have very limited long-term functional value. This review focuses on recent clinical studies and evaluating the impact of critical nutrition on long-term physical and functional recovery.
Critical survival is becoming an increasingly important subject of attention. Future research on nutritional support should consider specific factors that can provide measurable benefits in terms of both physical and functional recovery. These factors include the development of strategies to ensure adequate nutritional interventions, the provision of nutrition for a period of time in which biologically it is possible to observe differences in the results assessed, and the selection of appropriate methods of assessing the results recorded at clinically significant time points. One of these results is an assessment of muscle mass and function, as well as quality of life. In addition, selection of patients who are most likely to benefit from nutritional interventions and nutritional research after transfer from ICU deserves special attention.
The article substantiates the appeal of the authors of the special issue of the journal dedicated to the 100th anniversary of the Supreme Court of the Russian Federation to the topic of special legal relations formed under the influence of the implementation of digital technology in all spheres of government. The authors review areas of use by public authorities, including the judiciary, information and digital technologies, national legal acts intended to facilitate the effective development of the digital economy. In connection with the 100th anniversary of the key role of the judicial system of Russia in the protection of constitutional rights and freedoms of the individual, ensuring the realization of state interests, the article defines the stages of development of the Supreme Court of the Russian Federation, and also emphasizes the importance of giving it the status of “the highest judicial body” by the Russian Constitution in its new version. The authors analyze the stages of the ongoing judicial reform, fundamental changes aimed at improving the judicial system and proceedings, including the impact of digital technologies: filing statements and necessary documents online, conducting court sessions using video-conferencing systems, sending electronic notices to participants of judicial proceedings by the courts and much more. All this demonstrates that the Supreme Court of the Russian Federation supports and implements the concept of digitalization of court proceedings, various aspects of which are covered in the publication prepared by the scientists of the Russian State University of Justice.
The article deals with the controversial issues of the reciprocity of the obligation from the employment contract. The author suggests applying approaches to understanding the synallagma in civil law to labor relations. Based on this, the author draws conclusions about the need to maintain a balance of the legal interests of the employer and the employee in determining the salary and severance pay paid to managers.
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