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This article discusses specific approaches to the diagnosis, treatment, and rehabilitation of children with different neuroorthopedic disorders. Particular attention is paid to the experience of foreign specialists in treating neuromuscular disorders in children, as well as the need for a comprehensive and systematic approach to their rehabilitation. In this manuscript, we provided examples of high-tech surgical and conservative treatment, as well as grafting and orthotic support for children with various congenital and acquired diseases of the musculoskeletal system and the central nervous system in the Russian Federation.

The article is aimed at developing the theoretical and methodical bases for implementing a comprehensive approach to auditing the remuneration of labor. The need for a comprehensive approach to auditing the remuneration of labor is substantiated. The purpose and procedure of comprehensive audit of remuneration of labor are defined. The main objectives of the comprehensive auditing the remuneration of labor are formulated, which include: checking the compliance of the remuneration of labor system with the legislative norms and the provisions of collective agreements; evaluating the competitiveness and wage differentiation, transparency of remuneration; analysis of the wage structure; evaluating the execution of the appropriate functions by remuneration of labor; examining the level of employee satisfaction with the remuneration of labor system. Methods for collecting information for carrying out audits of remuneration of labor are defined. The article contains a list of the legislation acts regulating the issues of remuneration of labor and the internal documents regulating the issues of remuneration of labor at the enterprise that be subject to audit. The components of the audit of wages accounting operations are provided. The article contains the methodical bases for evaluating the competitiveness and wages differentiation; analysis of the wage structure; execution of reproducing and motivational functions by wage; evaluation of transparency of remuneration of labor; timely payment; level of employee satisfaction with the system of remuneration of labor. The formulated methodical bases and the instrumentarium can be used by employers, directors of enterprises, trade union organizations, audit companies performing a comprehensive audit of remuneration of labor. As a result of the comprehensive audit, the enterprise’s management will receive valuable information to make changes to the system of remuneration of labor in order to improve fairness and competitiveness of wages, increase motivation, loyalty of employees towards the enterprise.

International audience; - Research question: This paper aims to evaluate the interest of adopting a comprehensive approach to study sporting event impacts.- Research methods: The study case is the Alltech FEI World Equestrian Games™ 2014 in Normandy. Measurement of the economic impact is based on the Wilson multiplier. The calculation of social benefits relies on a typical cost–benefit analysis, through the Clawson–Knetsch Travel cost and the Contingent valuation methods, completed by a qualitative work. The analysis of the environmental impact and the long-term legacy is more descriptive and relies on miscellaneous indicators.- Results and Findings: The economic impact is significant for the region and reaches 125% of the organizational budget. Social benefits resulting from spectators and local inhabitants exceed the amount invested by the public sector. Negative environmental effects had been partly reduced because of accompanying measures, illustrating their importance. In the long term, an heritage for the equestrian sector, and to a lesser extent for the tourism sector, is underlined.- Implications: This study shows the interest to consider the event impacts globally. To this end, methodologies deeply rooted in the literature can be used for economic and social effects but new approaches and methodologies need to be developed for environmental impacts and legacy.

Представлен комплексный подход к естественно-научным исследованиям керамических артефактов. Сочетание интегральных и локальных методов современного материаловедения позволяет изучать многофазные многокомпонентные керамические материалы с высокой степенью детализации, определяя следующие параметры: катионный состав глиняной основы, количество и элементный состав естественных и искусственных включений, минералогический состав, элементный состав вплоть до следовых примесей образцов в целом. Предложен комплексный набор параметров как прототип атласа-классификатора керамики и, на примере фрагментов античных амфор с клеймами различных производственных центров (Фасос, Синопа, Гераклея), показана возможность выявления характерных особенностей такого рода изделий., An comprehensive approach to the natural science research of ceramic artifacts is presented. The combination of integral and local advanced methods of materials sciences allows us to study multiphase poly-component ceramic materials with various degrees of detail, determining the following parameters: cationic composition of the clay base, amount and elemental composition of natural and artificial inclusions, mineralogical phases and elemental composition up to trace impurities of the samples as a whole. A set of parameters is proposed for a prototype of the atlas-classifier of ceramics. The possibility of identifying the characteristic features of ceramic products is shown on the example of fragments of antique amphoras with marks of the various production centers – Thasos, Sinope, Heraclea.

Lung cancer remains the leading cause of cancer‐related death worldwide. Affected patients frequently experience debilitating disease‐related symptoms, including dyspnea, cough, fatigue, anxiety, depression, insomnia, and pain, despite the progresses achieved in term of treatment efficacy. Physical activity and exercise are nonpharmacological interventions that have been shown to improve fatigue, quality of life, cardiorespiratory fitness, pulmonary function, muscle mass and strength, and psychological status in patients with lung cancer. Moreover, physical fitness levels, especially cardiorespiratory endurance and muscular strength, are demonstrated to be independent predictors of survival. Nevertheless, patients with lung cancer frequently present insufficient levels of physical activity and exercise, and these may contribute to quality of life impairment, reduction in functional capacity with skeletal muscle atrophy or weakness, and worsening of symptoms, particularly dyspnea. The molecular bases underlying the potential impact of exercise on the fitness and treatment outcome of patients with lung cancer are still elusive. Counteracting specific cancer cells’ acquired capabilities (hallmarks of cancer), together with preventing treatment‐induced adverse events, represent main candidate mechanisms. To date, the potential impact of physical activity and exercise in lung cancer remains to be fully appreciated, and no specific exercise guidelines for patients with lung cancer are available. In this article, we perform an in‐depth review of the evidence supporting physical activity and exercise in lung cancer and suggest that integrating this kind of intervention within the framework of a global, multidimensional approach, taking into account also nutritional and psychological aspects, might be the most effective strategy. Implications for Practice Although growing evidence supports the safety and efficacy of exercise in lung cancer, both after surgery and during and after medical treatments, most patients are insufficiently active or sedentary. Engaging in exercise programs is particularly arduous for patients with lung cancer, mainly because of a series of physical and psychosocial disease‐related barriers (including the smoking stigma). A continuous collaboration among oncologists and cancer exercise specialists is urgently needed in order to develop tailored programs based on patients’ needs, preferences, and physical and psychological status. In this regard, benefit of exercise appears to be potentially enhanced when administered as a multidimensional, comprehensive approach to patients’ well‐being., The potential effect of physical activity in lung cancer is not fully understood, and no specific exercise guidelines for lung cancer patients are available. This article reviews the evidence supporting physical activity and exercise in lung cancer and suggests that this type of intervention, along with considerations for the nutritional and psychological aspects of such an intervention, might be the most effective strategy.

The planning of operations is regulated by documents covering the participation of forces in military actions in a national and multinational context. The process of planning the operations has been adapted to conceptual planning progress. The concept of allied effect-based operations, which was an alternative to old national concepts, has undergone transformations, so the process of planning operations at allied level is currently based on the concept of a comprehensive approach, which is a strategic concept, do not give up effects. The term action-based operations has been replaced by the term “thought-based thinking” and belongs to the general concept of comprehensive approach. If the planning process meant the effects, so the main planning objectives were the effects, then the planning was based on concrete objectives, the effects being maintained for the economy of effort and maximizing efficiency, the main purpose of the effects being the evaluation of the operations. From this point of view, we consider that the concept has not been abandoned, what has changed, it was just the working method, the subject being still topical.

When dealing with Atmospheric Boundary Layer (ABL) simulations, commercial computational fluid dynamics (CFD) acquires a strategic resonance. Thanks to its good compromise between accuracy of results and calculation time, RANS still represents a valid alternative to more resource-demanding methods. However, focusing on the models’ performances in urban studies, LES generally outmatches RANS results, even if the former is at least one order of magnitude more expensive. Consequently, the present work aims to propose a variety of approaches meant to solve some of the major problems linked to RANS simulations and to further improve its accuracy in typical urban contexts. All of these models are capable of switching from an undisturbed flux formulation to a disturbed one through a local deviation or a marker function. For undisturbed flows, a comprehensive approach is adopted, solving the issue of the erroneous stream-wise gradients affecting the turbulent profiles. Around obstacles, Non-Linear Eddy-Viscosity closures are adopted, due to their prominent capability in capturing the anisotropy of turbulence. The purpose of this work is then to propose a new Building Influence Area concept and to offer more affordable alternatives to LES simulations without sacrificing a good grade of accuracy., SCOPUS: ar.j, info:eu-repo/semantics/published

More than 110 years has passed since the first publications on Chagas disease, and it still urges the necessity of understanding it as a complex socioenvironmental issue in which components of diverse nature converge and interact beyond the biomedical and epidemiological aspects. The current scenarios of the issue, both rural and Latin American as urban and global, demand that the education on Chagas disease include all possible contexts: where there are insect vectors and where there are not; inside and outside Latin America; in rural, periurban, and urban areas; in formal and non-formal educational environments. We consider essential the requirement of bothan integral approach that overcomes the biomedical aspect to include the multidimensionality of the issue and a dialogical educational perspective that allows individuals and communities to analyze, decide, and lead contextualized prevention and promotion actions regarding their health. In this study, we surveyed, described, and critically analyzed studies approaching the link education-Chagas disease in scientific publications from the last 15 years. We aimed at contributing methodological-theoretical elements to (re)think the development of educational research and experiences that truly help facing this issue. From the electronic search of scientific literaturein 6 databases, we found 426 articles, out of which we selected 25. We incorporated 10 articles from other sources to this initial corpus and performed both qualitative and quantitative analyses over the total number [35] to characterize the studied works in general, focusing on the conceptions on the Chagas disease issue and the underlying health education approaches., Instituto de Física de Líquidos y Sistemas Biológicos

На фоне усложняющихся социально-экономических процессов и стремительных перемен современные города как сложные системы не смогут устоять перед многочисленными вызовами, не обладая моделью управления, способной гибко адаптироваться к изменчивым внешним условиям. В связи с этим возникает запрос на управленческие инновационные механизмы, синтезирующие решения из разных сфер. Концепция «умного города» (smart city) - одна из наиболее востребованных моделей. В статье анализируются ее преимущества, необходимые условия для реализации и препятствующие этому факторы. Рассматриваются вызовы, связанные с переходом на модель «умного города», подходы к ее воплощению, оцениваются перспективы развития рынка соответствующих технологий, а также текущая готовность российских городов к принятию этой модели. Проведенный анализ позволил заключить, что стратегии «умного» развития по-прежнему опираются преимущественно на узкий, «технологический» подход, предполагающий, что наличие «умной» инфраструктуры само по себе способно решить многие городские проблемы и повысить качество жизни в городе. Однако в отличие от расширенного, комплексного подхода, при этом не учитываются многие социально-экономические факторы, реальные потребности населения, из-за чего обозначенные цели чаще всего оказываются недостигнутыми. Реализация комплексного подхода подразумевает ряд условий, таких как умение интегрировать управленческие решения, принимаемые на различных уровнях, предвидеть, как изменения в одной системе повлияют на другие; ориентация на междисциплинарное взаимодействие; навыки работы с фактором сопротивления переменам и др.Для оценки перспектив распространения концепции «умного города» в России Институтом региональных исследований и городского планирования НИУ ВШЭ в 2015 г. был проведен специальный опрос. Его результаты показали, что городские команды в России позитивно воспринимают саму идею «умного города» как основу для стратегий городского развития, однако возможность ее практического применения связывают преимущественно со средне- или долгосрочной перспективой.

Exposing sound structure of a subgingivally fractured tooth using orthodontic extrusion is considered to be a conservative way to re-establish biologic width without sacrificing esthetics or jeopardizing periodontal support of neighboring teeth. When a misaligned tooth is traumatically involved, a more comprehensive approach combining tooth extrusion and re-alignment may be necessary for a successful restorative outcome. This case report describes a successful esthetic management of a patient with complicated crown-root fracture on the maxillary right central incisor and pre-existing malocclusion in the maxillary anterior region. Forced eruption along with re-alignment of teeth by orthodontic movement seems to allow re-positioning of the fracture line to a favorable position and correction of crowding, providing a better esthetic result.

[EN] Pedagogical tradition regarding musical education in Russia is one of the country culture achievements. Arrangement of quality musical pedagogy has been a matter of special importance within half a century history of music education system forming. Training of music teachers is particularly important in the field of music theory, as the comprehensive musician training is specific for Russian music education, where beside playing a music instrument he must possess knowledge from the music theory field, make sense of music pieces, understand and analyze them. The conservatism in teaching traditions preservation began interfering with changing priorities of education. As a result, stagnation in the field of musical pedagogy outlined in the early XXI century. This has affected teaching music and theoretical subjects, which became heavy, boring, unpopular due to conservatism in teaching methods and focus on students motivation. As professional regards, there has been an imbalance in the ability to play the instrument, and the inability to navigate in the music literature. Implementation of innovative approaches to teaching issues and appropriate teachers training became necessary solution to the problem. The report considers innovations in teachers training traditions on example of the leading musical institution Moscow Tchaikovsky Conservatory.

For several years, the Internet as an advertising platform, leading in growth compared with any other media. This article examines key indicators of the effectiveness of advertising campaigns on the Internet. The study proposes a number of measures aimed at a more complete and accurate assessment of the effectiveness of online advertising in modern conditions of the global computer network.

International audience; This paper addresses the efforts of NATO, EU and other regional initiatives to support education and training for better understanding the Crisis and Disasters Management processes (CDMP) and Climate Change Implications (CCI) on Military activities. The article tackles the question of applying Modeling and Simulation systems, tools, software and practises as a complex combination of live, virtual, and constructive environment not only to predict the trends, but to identify the source in a particular situation. Currently in NATO (according the Action plan on M&S in support of military training) there is a significant gap in estimation, forecast, and response plan generation capabilities related to crisis and disaster management and climate change implication. The development of a specific technical platform for CDMP & CCI will provide NATO & EU with a unique comprehensive training and analytical capability. This platform is expected to enable the support of large scale crisis management and disaster response distributed exercises and analysis with specific tools and simulations for different types of Crisis and Disasters situations. This would enhance the quality of training of the militaries and will provide a critical new capability for Allies.

The risk management function development in banks, along with the development of tools that banks can use throughout this process, has had the strong support in international standards, not only in the recommended approaches for calculating economic capital requirements, but also in the qualitatively new treatment of risk exposure mitigation instruments (Basel Accord II). The array of eligible instruments for exposure mitigation under the recommended approaches for their treatment becomes the essential element of economic capital requirements calculation, both in relation to certain types of risk, and in relation to aggregate exposure.

The article familiarizes readers with author´s perspective on status of the operational Art in the Armed Forces of the Czech Republic (AF CR). He argues that the AF CR community of military "thinkers" has for a long time fallen behind of conceptual developments and discussion regarding operational art that have occurred in other NATO member´s countries. Although the "tactical experience" is vital, there exists "operational inexperience". A recovery of Czech operational art is necessary because if the AF CR is faced by a parallel requirement to be a global 'security contributor' and a possible regional 'security leader'. Future operational art must seek to reflect a conceptual framework and to integrate both emerging functions. With the view of developing a appropriate construct of 21st century operational art, the AF CR must take a number of reforms. Such reforms include adopting a functional approach to operational concept development, improving doctrines, developing comprehensive operation planning and establishing significant reforms into the professional military education system.

Research purpose: The aim of the paper is to analyse the logistic aspects of the military comprehensive approach to the conduct of operations. First of all, the assumptions of the NATO comprehensive approach are studied. Secondly, the role of military logistics in the comprehensive approach is discussed. Thirdly, the requirements of effective management and coordination between military logistics and civilian organisations during stability operations are identified. Methodology/approach: The research methods include the analysis of literature and official military publications such as: doctrines, handbooks and NATO summits declarations. The study encompasses military publications issued by NATO, the United States and the United Kingdom. Findings: The idea of the comprehensive approach is to combine and coordinate the efforts of military and civilian organisations within the area of the crisis management operation for the success of this operation. There are three possible roles played by military logistics within the frame of the comprehensive approach: (1) military resources and capabilities may be applied to support civilians during stability operations, (2) through contracting military logistics may contribute to the restoration of the local economy, (3) sharing their knowledge, lessons and best practices military logisticians enable international and non-governmental organisations to improve the efficiency and effectiveness of their logistics operations. Comprehensive approach operations should be led by civilians but due to the engagement of the resources and capabilities of military logistics close cooperation and coordination as well as coordinating mechanisms between military logistics and civilian partners are required to be established. Limitations/implications: Official military publications such as: doctrines, handbooks and NATO summits declarations are the manifestations of lessons from operations identified and learned by the military. Nevertheless, the lack of the empirical data collected directly from comprehensive approach operations should be considered as an limitation of the study to be improved in further research. Originality/value: So far, not enough research attention has been given to the issue of the military logistics engagement in the comprehensive approach. Therefore, through exploration of the role of military logistics within the context of the comprehensive approach to operation and the study of its relationships with humanitarian logistics the paper contributes to filling the knowledge gap.

BACKGROUND/OBJECTIVES: Nursing homes become important locations for palliative care. By means of comprehensive geriatric assessments (CGAs), an evaluation can be made of the different palliative care needs of nursing home residents. This review aims to identify all CGAs that can be used to assess palliative care needs in long-term care settings and that have been validated for nursing home residents receiving palliative care. The CGAs are evaluated in terms of psychometric properties and content comprehensiveness. DESIGN: A systematic literature search in electronic databases MEDLINE, Web of Science, EMBASE, Cochrane, CINAHL, and PsycInfo was conducted for the years 1990 to 2012. SETTING: Nursing homes. PARTICIPANTS: Nursing home residents with palliative care needs. MEASUREMENTS: Psychometric data on validity and reliability were extracted from the articles. The content comprehensiveness of the identified CGAs was analyzed, using the 13 domains for a palliative approach in residential aged care of the Australian Government Department of Health and Aging. RESULTS: A total of 1368 articles were identified. Seven studies met our inclusion criteria, describing 5 different CGAs that have been validated for nursing home residents with palliative care needs. All CGAs demonstrate moderate to high psychometric properties. The interRAI Palliative Care instrument (interRAI PC) covers all domains for a palliative approach in residential aged care of the Australian Government Department of Health and Aging. The McMaster Quality of Life Scale covers nine domains. All other CGAs cover seven domains or fewer. CONCLUSIONS: The interRAI PC and the McMaster Quality of Life Scale are considered to be the most comprehensive CGAs to evaluate the needs and preferences of nursing home residents receiving palliative care. Future research should aim to examine the effectiveness of the identified CGAs and to further validate the CGAs for nursing home residents with palliative care needs. publisher: Elsevier articletitle: A Comparative Analysis of Comprehensive Geriatric Assessments for Nursing Home Residents Receiving Palliative Care: A Systematic Review journaltitle: Journal of the American Medical Directors Association articlelink: http://dx.doi.org/10.1016/j.jamda.2014.01.002 content_type: article copyright: Copyright © 2014 AMDA – The Society for Post-Acute and Long-Term Care Medicine. Published by Elsevier Inc. All rights reserved. ispartof: JOURNAL OF THE AMERICAN MEDICAL DIRECTORS ASSOCIATION vol:15 issue:7 pages:467-476 ispartof: location:United States status: published

A critical assessment of the existing views on the world energy development prospects is an integral part of independent policy elaboration in this field for any state. Consideration of prospective power industry development options is a determinative factor in electric machine-building progress as a generation system production industry., Критическая оценка существующих взглядов на перспективы развития мировой энергетики является неотъемлемой частью выработки самостоятельной позиции любого государства по этому вопросу. Рассмотрение перспективных путей развития электроэнергетики является определяющим фактором развития электромашиностроения, как отрасли, создающей генерирующие системы., Критична оцінка існуючих поглядів на перспективи розвитку світової енергетики є невід'ємною частиною вироблення самостійної позиції будь-якої держави з цього питання. Розгляд перспективних шляхів розвитку електроенергетики є визначальним чинником розвитку електромашинобудування, як галузі, що створює генеруючи системи.

Contains fulltext : 152989.pdf (Publisher’s version ) (Open Access) BACKGROUND: Anemia in pregnancy remains a major problem in Indonesia over the past decade. Early detection of anaemia in pregnancy is one of the components which is unsuccessfully implemented by nurse-midwives. This study aims to explore nurse-midwives' experiences in managing pregnant women with anaemia in Public Health Centres. METHODS: We conducted a qualitative study with semi-structured face to face interviews from November 2011 to February 2012 with 23 nurse-midwives in five districts in Yogyakarta Special Province. Data analysis was thematic, using the constant comparison method, making comparison between participants and supported by ATLAS.ti software. RESULTS: Twelve nurse-midwives included in the interviews had less than or equal to 10 years' working experience (junior nurse-midwives) and 11 nurse-midwives had more than 10 years' working experience (senior nurse-midwives) in Public Health Centres. The senior nurse-midwives mostly worked as coordinators in Public Health Centres. Three main themes emerged: 1) the lack of competence and clinical skill; 2) cultural beliefs and low participation of family in antenatal care programme; 3) insufficient facilities and skilled support staff in Public Health Centres. The nurse-midwives realized that they need to improve their communication and clinical skills to manage pregnant women with anaemia. The husband and family involvement in antenatal care was constrained by the strength of cultural beliefs and lack of health information. Moreover, unfavourable work environment of the Public Health Centres made it difficult to apply antenatal care the pregnant womens' need. CONCLUSIONS: The availability of facilities and skilled staffs in Public Health Centre as well as pregnant women's husbands or family members contribute to the success of managing anaemia in pregnancy. Nurse-midwives and pregnant women need to be empowered to achieve the optimum result of anaemia management. We recommend a more comprehensive approach in managing pregnant women with anaemia, which synergizes the available resources and empowers nurse-midwives and pregnant women.

The recently published ‘ Research Agenda for General Practice/Family Medicine and Primary Health Care in Europe ’ summarizes the evidence relating to the core competencies and characteristics of the Wonca Europe defi nition of GP/ FM, and its implications for general practitioners/family doctors, researchers and policy makers. The European Journal of General Practice publishes a series of articles based on this document. In a fi rst article, background, objectives, and methodology were discussed. In a second article, the results for the two core competencies ‘ primary care management ’ and ‘ community orientation ’were presented. This article refl ects on the three core competencies, which deal with person related aspects of GP/FM, i.e. ‘ person centred care ’ , ‘ comprehensive approach ’and ‘ holistic approach ’ . Though there is an important body of opinion papers and (non-systematic) reviews, all person related aspects remain poorly defi ned and researched. Validated instruments to measure these competencies are lacking. Concerning patient-centredness, most research examined patient and doctor preferences and experiences. Studies on comprehensiveness mostly focus on prevention/care of specific diseases. For all domains, there has been limited research conducted on its implications or outcomes., peer-reviewed

This paper describes the strategic efforts of six National Centers of Excellence in Youth Violence Prevention (YVPC), funded by the U.S. Centers for Disease Control and Prevention, to work in partnership with local communities to create comprehensive evidence-based program packages to prevent youth violence. Key components of a comprehensive evidence-based approach are defined and examples are provided from a variety of community settings (rural and urban) across the nation that illustrate attempts to respond to the unique needs of the communities while maintaining a focus on evidence-based programming and practices. At each YVPC site, the process of selecting prevention and intervention programs addressed the following factors: (1) community capacity, (2) researcher and community roles in selecting programs, (3) use of data in decision-making related to program selection, and (4) reach, resources, and dosage. We describe systemic barriers to these efforts, lessons learned, and opportunities for policy and practice. Although adopting an evidence-based comprehensive approach requires significant upfront resources and investment, it offers great potential for preventing youth violence and promoting the successful development of children, families and communities.

ResumenPara que atención primaria pueda responder a las necesidades de salud en su comunidad, es imprescindible la participación de diversos profesionales. En el centro de salud deben integrarse sus diferentes enfoques y funciones, poniéndolos al servicio de los resultados. Esta orientación exige compartir en el equipo elementos esenciales, como son la historia electrónica, la organización de la atención a diferentes grupos poblacionales, los sistemas de calidad o las interconsultas entre profesionales del mismo centro. Ejemplos de interrelaciones pueden ser una mujer captada en la consulta de embarazo atendida en odontología preventiva, un adulto con hábito tabáquico remitido de odontología al médico de familia o la enfermera, o una paciente con lumbalgia derivada a la consulta de anticoncepción. A continuación se analizan las actuaciones y las perspectivas de diferentes profesiones en la atención a la salud bucodental, la atención a la salud sexual/reproductiva y la atención de fisioterapia.AbstractFor primary health care to have an impact on health in the community, the involvement of multiple professionals is essential. The health team should include the knowledge and experience of distinct professional disciplines, with a results-oriented approach. This new approach requires the team to share key elements, such as the electronic record, the organization of care for different population groups, quality systems, and consultations among professionals in the same center. Examples of these interrelations are a woman attending an prenatal visit being referred to preventive dentistry, a smoking adult referred from dentistry to the family doctor or nurse, and a patient with low back pain referred from physiotherapy to a consultation on contraception. The present article analyzes the actions and perspectives of different disciplines in oral health care, sexual health / reproductive care and physiotherapy.