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Abstract: Cultural competence is a complex and contested notion. Yet it remains integral to working with difference in the context of evaluation practice. Given its status in evaluation practice, the field’s commitment to cultural competence prompts the need for further interrogation and reconsideration. Accordingly, this article explores the establishment and conceptualization of cultural competence. Potential challenges to cultural competence are also examined. In consideration of these challenges, an alternative framework is offered based on the philosophy of Emanuel Levinas. This work aims to support the evaluation community’s ability to work with cultural diversity, a vital aspect of evaluation practice.

Journal of occupational medicine and toxicology 16, 39 (2021). doi:10.1186/s12995-021-00330-2, Published by BioMed Central, London

This study aimed to examine the longitudinal relationship between disability and depressive symptoms, by comparing four types of disability in community-dwelling individuals with disabilities in South Korea. A total of 3347 South Koreans with disabilities from the second wave of the Panel Survey of Employment for the Disabled was utilized. Depressive symptomatology was assessed by whether the participant had experienced depressive symptoms for more than two weeks during the past year. A multivariate logistic regression model was used to calculate the odds ratio (OR) for depressive symptoms, and a Cox proportional hazards model to calculate the hazard ratio (HR) for two-year survival analysis. Persons who acquired mental disability from accident or industrial disaster and persons with congenital physical-internal disability were at higher risk for depressive symptoms. Maintaining employment was found to be an effective way to decrease the risk of depressive symptoms in persons with physical-external disability, sensory/speech disability, or mental disability. In contrast, in physical-internal disability, retaining normal ability to work seemed to be the key to reduce the risk of depressive symptoms. Predictors of depressive symptoms were found to differ depending on the type of disability. Such differences should be reflected in clinical and policy-level interventions to address the specific psychiatric needs of persons with different disabilities.

PURPOSE: Residual work capacity (RWC) and inability to work fulltime (IWF) are important outcomes in disability benefit assessments for workers diagnosed with cancer. The aim of this study is to gain insight into the prevalence of both outcomes, the associations of disease-related and socio-demographic factors and if these differ across cancer diagnosis groups.METHODS: A year cohort of anonymized register data of cancer survivors who claim a disability benefit after 2 years of sick leave (n = 3690, age 53.3 ± 8.8, 60.4% female) was used. Having no RWC was defined as having no possibilities to perform any work at all, whereas IWF was defined as being able to work less than 8 h per day.RESULTS: The prevalence of being assessed with no RWC was 42.6%. Of the applicants with RWC (57.4%), 69.8% were assessed with IWF. Cancers of the respiratory organs showed the highest odds for having no RWC, whereas lymphoid and haematopoietic cancers showed the highest odds for IWF. Within specific cancer diagnosis groups, different associations were identified for both outcomes.CONCLUSION: The prevalence of no RWC and IWF in applicants of work disability benefits diagnosed with cancer is high compared to the prevalence in other diagnoses. The odds for no RWC, IWF, and associated factors differ per cancer diagnosis group.IMPLICATIONS FOR CANCER SURVIVORS: Being diagnosed with cancer has an enormous impact on work (dis)ability. Our results show that 2 years after being diagnosed with cancer, the majority of the disability benefit applicants are assessed with RWC; however, only 15% of all applicants with cancer had a normal ability to work fulltime, and therefore, it is of great importance to accompany them in their return to work.

A área conhecida como Controladoria exerce um importante papel para assegurar a saúde econômico-financeira das entidades. Assim, analisar os fenômenos inerentes aos profissionais da área ajuda a compreender como eles podem auxiliar no desempenho das organizações. Nesse contexto, esta pesquisa buscou identificar o perfil comportamental dos controllers atuantes em empresas no Brasil. Para isso, foi realizado um levantamento, por meio de questionário, obtendo 104 respostas válidas de profissionais da Controladoria. O questionário foi aplicado entre agosto de 2019 a julho de 2020. A análise de dados contou com correlações e regressões lineares múltiplas. As evidências indicam que os atuantes da Controladoria de empresas brasileiras apresentam bons níveis de motivação, poder de tomada de decisão, conscienciosidade e capacidade de trabalhar em equipe. Em contrapartida, foi possível identificar a presença de comportamentos geradores de estresse e necessidades de melhorias nas características interpessoais desses profissionais. Como principais variáveis explicativas do perfil comportamental dos indivíduos da amostra, destacam-se a idade, o tempo de experiência e o estado civil. A pesquisa contribui para um melhor entendimento sobre as características presentes em controllers que atuam em empresas no país, auxiliando na evolução da literatura sobre a atuação dos profissionais da Controladoria. Adicionalmente, a investigação contribui para uma reflexão sobre a formação dos controllers no Brasil, levantando características e habilidades importantes para a atuação desses profissionais. O estudo permite, ainda, impulsionar incentivos para o desenvolvimento pessoal e profissional dos atuantes na Controladoria, os quais apresentam papel central no desempenho econômico-financeiro das empresas.

This study aims to identify and describe the constraints faced by librarians of the Hasanuddin University Library when working from home (WFH) during the COVID-19 pandemic. This research is descriptive. Respondents of this study were librarians of the Hasanuddin University Library who carried out official duties in the field of librarianship at home including doing WFH during the COVID-19 pandemic, starting from the Procurement, Processing, Service, and Information and Technology units. There were two librarians representing each unit as informants, so that eight informants were obtained. Data collection was carried out by distributing questionnaires and documentations. Data were analyzed using qualitative analysis. The results of the study illustrate that the constraints faced by librarians of the Hasanuddin University Library when WFH during the COVID-19 pandemic occurred when: the librarian's view of librarian duties was ineffective; the librarian's ability to work from home was not in accordance with the ability to work in an office; there is no motivation to work at home because the librarian work is supposed to be done offline; the need for facilities and infrastructure is inadequate;and there is no leadership support while working from home. In conclusion, the constraints faced by librarians of Hasanuddin University Library when WFH during the COVID-19 pandemic need to be followed up by providing solutions. The solutions can be made in accordance with the obstacles faced, for example the completeness of facilities and infrastructure and avoiding offline work.

BACKGROUND Better understanding of the experience of people living with hidradenitis suppurativa (HS) is essential to identify gaps in current patient care and inform healthcare decision-making. AIM To describe the patient experience of individuals with HS, including their path to diagnosis, symptom control, treatments, healthcare utilization, patient needs and impact on quality of life. METHODS The Hidradenitis Suppurativa Patient Experience survey was created, extensively reviewed and disseminated through engaging HS-related patient organizations, physician groups and social media groups. RESULTS In total, 537 respondents completed the survey; the mean age was 38 years (range 14-73 years) and 95% (510 of 537) were female. The mean number of treatment types per respondent was 15, and included antibacterial soaps (93.3%; 431 of 462), avoidance of tight clothing (90.9%; 419 of 462), use of oral antibiotics (79.7%; 368 of 462), nonprescription drugs (79.7%; 368 of 462) and topical antibiotics (77.1%; 356 of 262). Pain was poorly controlled in 46% of respondents (184 of 401). HS had a negative impact on the ability to work and attend school for 81% of respondents (337 of 415), with 59% (245 of 415) missing at least 2 days of work a month and 16% (66 of 415) missing > 11 days of work. The mean number of misdiagnoses per respondent was three and the median time to diagnosis was 10 years. CONCLUSION Individuals with HS experience a delay in diagnosis and have suboptimal control of the disease. We propose 11 recommendations to improve diagnosis, treatment and quality of life for individuals living with HS.

An Editor-in-Chief leads the editorial team and supervises the daily tasks required to prepare articles for publication while managing the overall content and style of the journal. To become Editor-in-Chief, one must have dedicated work ethic, close attention to detail, passion for the editorial process, and a keen ability to work with and give feedback to section editors and authors. For this article, we interviewed Dr. Steven L. Lewis, Dr. Joseph E. Safdieh, and Dr. S. Andrew Josephson about their collective experience of becoming Editors-in-Chief of Continuum, Neurology Today, and JAMA Neurology, respectively. We have compiled tips for aspiring medical writers and editors, based on their expert advice, to guide trainees in this potential career path.

This article outlines the outcomes of a specialized master’s of social work (MSW) training program on students’ (N=96) ability to work effectively in behavioral health care settings with adolescent...

El objetivo del estudio es conocer la relación entre la estrategia formativa del fichaje de investigación y el desarrollo de competencias investigativas en los estudiantes universitarios. La investigación es cuantitativa no experimental con un diseño correlacional ya que trata de analizar y evaluar la relación entre las variables: estrategia del fichaje de investigación y competencias investigativas. El tipo de muestreo fue por conveniencia y estuvo representado por 58 estudiantes universitarios. Se empleó el instrumento para autoevaluación de competencias investigativas elaborado y validado por Carla Paz et al. (2017). El análisis de los datos se realizó mediante el paquete informático SPSS versión 26, el cual permitió establecer las frecuencias y la descripción de los valores porcentuales. Los resultados muestran que existe correlación alta en las competencias: búsqueda de información, habilidad para desarrollar la metodología de la investigación y habilidad para la comunicación de los resultados; y existe correlación moderada en las competencias: habilidad de utilización de recursos tecnológicos para la investigación y habilidad de trabajar en equipo para la investigación. Las conclusiones confirman la correlación positiva entre la estrategia formativa del fichaje de investigación y el desarrollo de competencias de investigación en los estudiantes universitarios. Palabras clave: Habilidades investigativas; investigación de estudiantes; educación científica; estrategias de enseñanza; estudiantes universitarios.

The background of this study is based on the significance of family counseling to increase family resilience. This counseling is needed to help families in dealing with complex family problems and involves many factors. The purpose of this study is to review the literatures on family counseling approach in increasing family resilience. This study uses a systematic literature review (SLR) approach from various articles that discuss family counseling, family resilience, and household problems. The author used 3 selection criteria for the literature study: periodization, keywords, and limitation. The results show that the family and family resilience must be seen as a system that has various influencing factors. The important role of family counseling is to help families in dealing with crisis situations, find the right solution, bring out the best potential, and develop the ability to work together.

This study aims to determine the benefits of using social media, especially Instagram as a medium for exhibitions of work by ISI Surakarta students during the pandemic. The data collection process was carried out by observing the behavior of the community during the pandemic and also interviewing several art activists who often publish their work on Instagram. The material obtained from observations and interviews was transcribed and analyzed. The results of the analysis raise 3 themes that are discussed here, namely: the use of social media Instagram in everyday life, Utilizing social media Instagram as a place to show off the work of ISI Surakarta students, stages, and parties who have a big influence to participate so that this event takes place. The study of the three themes is very useful to understand how to optimally improve the ability to work and utilize various social media as a forum to publish the results of his works during the pandemic period, where you cannot do real activities, you have to go through virtual ones.

This article outlines a study that explored the factors influencing health visitors' engagement with fathers known to be domestic abuse perpetrators. This qualitative study recruited seven health visitors who participated in semi-structured interviews. Collection of data was between February and March 2018. Findings showed that the health visiting service mainly focused on the mother and children without including fathers who were often ‘invisible’ to services. Other professional groups, alongside the ‘gatekeeping of mothers’, appeared to influence health visitors' perceptions of the perpetrators' ability to be effective fathers. Due to feelings of anxiety and a lack of confidence, health visitors often avoided contact with fathers. This reduced the opportunity for health visitors to promote healthy relationships with fathers and their children.

Background: Workplace bullying is common problem that threatens nursing profession, nurse's health and ability to work safely. Aim: to assess workplace bullying among nurses in primary health care centers in Port Said governorate.Setting: Study was conducted in seven primary health care centers representing districts of Port Said governorate.Sample: composed of 61 staff nurses working at health clinics in the randomly selected primary health care centers. Tools of data collection: Data were obtained through Negative Acts Questionnaire-Revised (NAQ-R).Results: Majority of staff nurses (86.9%) had secondary nursing education and 82% were married. More than half of the studied nurses (54.1%) were victims of workplace bullying, two third of nurses (60.6%) had bullied by patients and patient relatives and more than one third (33.3%) bullied by supervisor and manager. Conclusion: It was concluded from this study, more than half of nurses were victims of workplace bullying. There was no statistical significant relation between workplace bullying and socio-demographic data.Recommendation: Counseling sessions about consequences of workplace bullying should be held on regular base in health care centers.

The article considers the use of educational games in the right direction, taking into account the peculiarities of the psychological development of preschoolers. On the basis of the research works conducted by psychologists and teachers, the importance of the game in the child's life was shown. In the educational game, such qualities as independence, initiative, organization are formed, creative abilities are developed, and the ability to work in a team. All this is necessary for a future first-grader.

Introduction. The article discusses the issue of poverty eradication based on the dual nature of people's economic abilities: labor and entrepreneurship, ways to increase the welfare of citizens through commercialization. Research methods. The article analyzes the term "poverty" in a monographic way, using the content analysis method to determine the implementation of poverty at the level of "7-M", the qualitative levels of human economic development as a result of systematic analysis, quantitative assessment of human economic development using logical analysis, A comparative analysis of people's living standards was conducted using the Ability \ Income Proportionality Matrix method. Results and discussion. "Mono-economic poverty" refers to people who are able to work, have low habits and skills, earn little money due to lack of permanent employment, or have no income at all due to unemployment and cannot meet their basic needs at their own expense. model is recommended.

Background Health-related quality of life (HrQoL) and workability are related parameters to measure success of therapy. Both have been insufficiently explored in patients after liver transplantation (LT). Particularly little is known about patients’ attitude to return to work, employment status before LT, and how frequently there is any employment at any time after LT. Methods This is a single-center retrospective cohort study including 150 adult outpatients after LT. Liver transplantations had been performed between 1993 and 2018. The study was carried out from February to July 2018. The exclusion criteria were combined transplantations, positive screening for current alcohol abuse, and anxiety or depression. To evaluate HrQoL and fitness to work, the patients were tested using the Short Form 36, the Chronic Liver Disease Questionnaire, and the Work Ability Index. Key results The return rate of sufficiently filled-in questionnaires was 46.8% (66 patients). The mean age of patients was 59.9 years (SD=10.8), ranging from 25 to 78 years old. HrQoL was partly comparable to the normal population. Workability sum scores with a mean value of 31.61 (SD 9.79) suggested moderate workability at present. While only 28.8% of respondents were ever employed after LT, 45.5% currently wished to work or would have wished to work. Conclusions HRQL seems to be partly similar to population data, and subjective workability seems to be moderate in patients after LT. Despite a positive attitude to return to work in almost half of respondents, a lower rate of actual return to work was found in this study.

The study of science is one of the important learning that activates and improves student competence, such as higher-order thinking and communication competency. The development of the ability to work scientifically and pursue the student to communicate investigation result are the main goal of science learning. Based on the previous study, the understanding of concept and student communication skills remains low at science learning. The learning strategy “writing to learn” is predicted to raise the low understanding concept ability and communication skill, especially in solar system learning material. The study aims to know the enhancement and get the prediction between the understanding of concept and communication skills after applying the strategy writing to learn in solar system material. The research used a quasi-experiment method with pre-experimental with one group pretest-posttest design. The study conducted in one of the junior high schools in Bandung, West Java. The instrument used is to measure the understanding of the concept by using multiple-choice questions, on the other hand, to measure the communication skill, the author use journal writing assignment. The analysis result showed that the implementation of writing to learn strategy improve the understanding of concept and communication skill even though it classified as a medium category. The enhancement happened toward the average communication skill in each meeting. Nonetheless, the low relation and influence are shown after correlation analysis happened between the understanding of concept and communication skills Keywords : Writing to Learn, Mastery of Concept, Communication Skills, Solar System Learning Material Tujuan dari penelitian ini adalah untuk mengetahui peningkatan serta mendapatkan gambaran hubungan antara kemampuan penguasaan konsep dan keterampilan komunikasi setelah diterapkannya strategi pembelajaran writing to learn, khususnya pada materi tata surya. Penelitian ini menggunakan metode quasi experiment dengan pre-experimental with one group pretest-posttest design dan dilaksanakan pada salah satu SMP di Kota Bandung, Jawa Barat. Instrumen yang digunakan untuk mengukur penguasaan konsep menggunakan soal tes pilihan ganda dan untuk mengukur keterampilan komunikasi menggunakan tugas menulis jurnal. Hasil analisis menunjukkan bahwa penerapan strategi writing to learn meningkatkan penguasaan konsep dan keterampilan komunikasi walaupun tergolong kategori sedang. Peningkatan pun terjadi terhadap rata-rata keterampilan komunikasi pada setiap pertemuannya. Walaupun demikian, hubungan dan pengaruh yang lemah ditunjukkan setelah analisis korelasi dilakukan antara penguasaan konsep dengan keterampilan komunikasi. Kata kunci: Writing to Learn, Penguasaan Konsep, Keterampilan Komunikasi, Tata surya

An important aspect of the treatment of patients with psoriasis and psoriatic arthritis is the cost of the applied methods of therapy, the costs of the healthcare system associated with the treatment of such patients, and the effect of the disease on the ability to work. The costs of the health care system are the most important component of assessing the use of various methods of therapy and are characterized not only by the financial side, but also by the assessment of the workload of medical organizations and the health care system in general.Research results.During this program, it was found that the use of GIBP is associated with a decrease in the average duration of one hospitalization case: this indicator was 2.07 days, while in patients on other types of therapy it reached an average of 10.01 days. In patients receiving other types of therapy, the average number of hospitalizations in a round-the-clock hospital was significantly higher and amounted to 0.53 compared with the GAI — the indicator corresponded to 0.10. In addition, patients on the BAU were less likely to seek outpatient care and received fewer sick leaves, which were characterized by a shorter duration.Conclusions.The use of GIBP reduces the burden on the dermatological and rheumatological service, reduces the duration of hospitalizations, and significantly improves the socio-economic situation of patients due to a more significant preservation of their ability to work.

The reality in the field shows that the students' ability to work together is still low and more individualistic and shows a low level of concern among them. One of the reasons is the application of learning methods by teachers which tend to be monotonous. Therefore, the purpose of this study was to obtain an overview of the application of the jigsaw learning model to students, the ability to cooperate with students, and the effect of the application of the jigsaw learning model on the ability to cooperate with students of SD Negeri 222 Manajeng, Sibulue District, Bone Regency. This research includes quantitative research by measuring the variables of the application of the jigsaw learning model and the variables of students' cooperation abilities. The instrument used in this study was a non-test instrument in the form of an observation sheet for jigsaw learning and the ability to work together given to the experimental class and the control class. The research subjects were students of class V SD Negeri 222 Manajeng, Sibulue District, Bone Regency. This research was conducted from April to May 2019. The data obtained in this study were quantitative data and were processed by descriptive analysis and inferential analysis in the form of normality test, homogeneity test, and T test. The results of this study indicate that the application of the jigsaw learning model to the participants students of SD Negeri 222 Manajeng, Sibulue District, Bone Regency, which consisted of the grouping stage, the formation of expert groups, the reciprocal teaching stage, and exhibiting works generally carried out well. The ability to cooperate with students of SD Negeri 222 Manajeng, Sibulue District, Bone Regency before the application of the jigsaw learning method was generally in the sufficient category, while after being given treatment, the application of the jigsaw learning model was in the good category. And there is an effect of the application of the jigsaw learning model on the ability to cooperate with students of SD Negeri 222 Manajeng, Sibulue District, Bone Regency

The paper considers columns-based intelligent systems that work under conditions of incomplete information, that is, input patterns are represented by their sub-patterns. The definition of direct and inverse problems under incomplete information is given. The solution of these problems is shown using the method of element-wise comparison of patterns and the intersection method. A relation between system’s ability to work under incomplete information and prediction is shown.

Bones and joints, among other extrapulmonary organs, are most often affected by tuberculosis. The clinical picture is often «hidden», the diagnosis of the disease is delayed for a long time with all the negative consequences. Objective — to study the trend in the incidence of tuberculosis of the bone and joint localization of the Sumy region residents in recent years and draw the attention of general practitioners to the urgent problem of today. Materials and methods. We analyzed the incidence of tuberculosis of bones and joints of the Sumy region residents during 2007—2019. During this period, 200 patients with osteoarticular tuberculosis registered in the region. Results and discussion. Over the past 13 years, the number of patients with tuberculosis of the bone and joint localization averaged 2.5 % of all newly detected processes. Tuberculosis of the spine (spondylitis) occurred in 119 (59.5 %) patients, specific inflammation of the hip joint in 49 (24.5 %), knee — in 11 (5.5 %), ankle — in 6 (3.0 %). Tuberculosis of other bones and joints was found in 15 (7.5 %) patients, 60 (50.4 %) patients with tuberculous spondylitis were recognized as disabled for the first time. Of these, the group I was found in 19 (31.7 %), II — in 25 (41.7 %), III — in 16 (26.6 %). Conclusions. In recent years, there has been an increase in the proportion of patients with CST among all newly diagnosed patients in the Sumy region. The spine is most often affected by tuberculosis of the bones and joints (59.5 %). At the same time, a significant lesion (3—4 vertebrae) was recorded in 23 (19.3 %) persons, five and more vertebrae — in 19 (16.0 %) patients. Patients with tuberculous spondylitis in 50.4 % of cases permanently lost their ability to work. Most patients of groups I and II of disability and a significant number of patients of group III require surgical intervention; without its implementation, there are irreversible changes in the vertebrae, which lead to increased medical, biological, and social disability.

Thousands of healthcare and social workers (HCSW) died or lost their ability to work in their field after Covid pandemics in all three waves, and thousands left their profession due to burnout syndrome. Despite development of vaccines took 6- 18 months and refreshment of old molecules for treatment weeks, many countries paid a very high price for this pandemics not due to lack of medications or ventilator assistance devices but due to the increasing lack of trained HCSW.

We report a case of venous leg ulceration in a reconstructive oral and maxillofacial surgeon. An online survey was created by the British Association of Oral and Maxillofacial Surgeons (BAOMS) Reconstruction Surgical Subspecialty Interest Group (SSIG), primarily to target head and neck surgeons, to investigate the perceived risk and occurrence of venous leg disease. Two respondents had received treatment for lower limb venous disease thus compromising their ability to work, while 13 had symptoms of early venous disease. Our study shows an interesting area of concern for occupational health in surgeons, particularly in those carrying out long operations, as will be the case for members of the Reconstruction SSIG.

Dye-sensitized solar cells (DSSCs) are promising alternatives to silicon-based solar cells due to their compatibility with flexible substrates and their ability to work under low-light conditions. The performance of these solar cells mainly depends on the sensitizer structure. Sensitizers based on synthetic dyes typically exhibit the best conversion efficiency; however, they have many problems such as scarcity of metals, lengthy purification steps, high synthesis costs, and high environmental impact. Natural dyes extracted from plants have been proposed as alternatives due to their nontoxicity, facile preparation, and low production cost, although they have lower efficiencies. This study used a life cycle assessment (LCA) metohodology to investigate the environmental performances of DSSCs based on natural sensitizers. We fabricated three DSSCs based on natural dyes, obtained from the juice, pomace, and leaves of black chokeberries, and another with synthetic N719 sensitizer. The results showed that the photovoltaic module containing synthetic N719 dye had the lowest environmental impact among all analyzed impact categories. Among the modules containing natural dyes, cells with chokeberry juice dyes had the highest environmental performance.

Robot soccer is a combination of sports, robotics technology, and multi agent system, to achieve goals. Besides requiring individual intelligence, it also requires the ability to work together between individuals. The main problem in robot soccer is detecting objects in the form of balls. These problems include varying lighting that produces shadows from the ball, there are objects similar to balls, as well as real-time detection. Ease and lightweight program implementation are also needed in detecting the ball so that it is easy to implement on embedded systems. Computer vision technology helps robot soccer in detecting balls.Therefore, an alternative process is proposed to detect the ball using a combination of color filters and the shape or contour of the object. The results obtained from the experiments showed relatively effective in object detection, with a recall value of 90,69%.

A mixed cabin solar dryer was designed and tested in Brazil in the spring equinox, for the drying of corn grains. The key advantage of the current design is its ability to work even in locations with no electricity because a photovoltaic module is used to power an electrical heater and fans. The analysis of the drying process was performed based on the first and second laws of thermodynamics. For average solar radiation and ambient temperature of 710 W/m2 and 30 °C, respectively, the average thermal efficiency obtained was 21% and the exergy efficiency ranged between 10% and 66%, with an average value of 23%. It was observed that the corn grains reached the desired moisture content of 13% in 8.5 h, while a similar sample subjected to natural sun drying failed to reach this moisture content in 24 h. The PV module was also used to preheat the drying air, allowing an average increase in the airflow temperature of 14 °C, reaching a maximum of 27 °C.

In this article we propose to consider the questionnaire of assessment of the moral and psychological condition of the servicemen of the National Guard of Ukraine of the escorting convicts. With the help of a questionnaire, the moral and psychological condition of a serviceman is assessed, and an expert assessment of the moral and psychological condition of servicemen is carried out with the help of certain factors. Formulation of the problem: conditions for combat missions by servicemen of National Guard of Ukraine of escorting convicts units are characterized by a negative impact on the human psyche. Adverse conditions, discomfort and threatening factors create a high level of occupational stress. The servicemen of the National Guard of Ukraine who perform a combat mission is exposed not only to physical threat (life and health) but also a significant risk of stress, neuropsychiatric disorders and mental maladaptation. They often cause disruptions in professional activities, loss or reduction of ability to work, interpersonal conflicts, violations of discipline, alcohol use and other negative phenomena. The purpose of the article is to develop a questionnaire to assess the moral and psychological condition of the personnel of the National Guard of Ukraine escorting convicts units. Analysis of recent research and publications. Today there are several methods, the main of which is the assessment of the situation during the battle with the determination of the level of readiness of servicemen for combat operations; assessment of the moral and psychological condition of the personnel of the unit in peacetime and wartime; assessment of the moral and psychological condition of the personnel of the troops on the basis of quantitative determination of its main indicators; assessment and prediction of moral and psychological condition. None of them is officially defined as normative, but mandatory for use in the military sphere.

Every relationship begins with a conversation. Past research suggests that after initial conversations, there exists a liking gap: people underestimate how much their partners like them. We extend this finding by providing evidence that it arises in conversations among small groups (Study 1), continues to exist in engineering teams working on a project together (Study 2), and is linked to important consequences for teams’ ability to work together in a sample of working adults (Study 3). Additional evidence suggests that the liking gap is largest for peer relationships and that it is determined in part by the extent to which people focus on negative aspects of the impressions they make on others. Group conversations and team interactions often leave people feeling uncertain about where they stand with others, but our studies suggest that people are liked more than they know.

Clean and ample supplies of water for better health, society, economy, and environment are crucial. Industrial revolutions have substantially polluted the environment and we are facing intimidating challenges in meeting rising demands of potable and safe water for society and the environment. One of the stern causes for pollution of water bodies is the dumping of industrial effluents without proper treatment in water reservoirs and has become a concern for the whole world and international bodies. Amid, the dumping of effluent containing different dyes by textile, dyeing, printing, and paper industries are threatening. Nanotechnology plays a crucial role in using its remarkable applications to keep the environment safe and clean by eradicating venomous and unsafe materials from nature. Nanotechnology is an excellent tool to degrade the unwanted and harmful materials extant in essential water sources used by humans and animals. There are various kinds of nanomaterials explored for the successful removal of pollutant from water very effectively due to their unique properties like greater surface area, shapes, and ability to work at low concentrations, etc. The nanostructured catalytic membranes, nanosorbents and nanophotocatalyst based approaches to remove pollutants from wastewater are eco-friendly and efficient. In this review article, attempt was made to congregate the various reports on green synthesis of Au nanoparticles (Au NPs) using extract of various parts of plant, their characterizations using different spectroscopic, microscopic techniques and applications for removal of methylene blue (MB) dye from the solution.

OBJECTIVE The aim: The paper is aimed at creation of the procedure and criteria for determining a health disorder associated with permanent disability as a sign of serious bodily harm. PATIENTS AND METHODS Materials and methods: To identify the problems faced by forensic medical and judicial practice in determining a health disorder associated with permanent disability, we studied more than 100 criminal proceedings from 2007 to the present time. RESULTS Results: Ways to further improvement of the procedure for conducting expert studies on health disorders, associated with persistent loss of general ability to work as a characteristic feature of the bodily harm have been found to avoid errors in forensic medical and judicial practice. The issues of conducting forensic medical examinations to determine the degree of loss of general ability to work remain unresolved. The lack of joint research projects conducted by both medical and legal scientists leads to the polysemy and different approaches in the stating of certain concepts that are the subject of study of both medical and law sciences. Currently, the definition of the offence against health is debatable and the issues of criteria for determining such damage are not completely settled to date. CONCLUSION Conclusions: We consider the development of the Procedure and Criteria for determining the degree (in percentage) of the permanent loss of general ability to work of victims of criminal offences, established by forensic medical experts, is crucial.

Project work is one of the main methods of increasing motivation in task-based language teaching and learning. When organizing project activities of students by a teacher, learning outcomes are improved due to interactivity. In the process of this activity, the teacher with the students finds difficult moments in learning, poses a problem that is relevant for students, thinks about connections with other objects and phenomena, and also develops a vision of the practical application of the knowledge gained, as a result of which the motivation for learning activities increases. Each task, stage of the lesson should contain a problem that students independently notice, determine, develop possible solutions to the problem, give them an assessment. Working with a project implies the ability to work with information, actively show oneself in a team, and try to become a leader. Students’ confidence in their own abilities will increase (especially among weak students), attitudes towards better study. Learning quality is enhanced when students, while working on a project, take responsibility for their own learning. In this article, we will discuss the effects of project work on the development of student motivation for further learning English, on the acquisition of universal educational actions in the process of preparing a project.

COVID-19 pandemic is one of the biggest crises faced by health-care systems in the recent times. The aim of this study was to assess the impact of the COVID-19 pandemic on radiology workflow, working pattern, training and continuing professional development (CPD) activities, as well as personal well-being of the radiologists during the pandemic. Material and Methods: Questionnaire designed to gather the opinions regarding the impact of the COVID-19 pandemic was distributed to radiologists throughout the world in electronic format. Anonymized responses were obtained and analyzed. Two hundred radiologists, working in 17 different countries, responded to our questionnaire. Majority of the respondents were from India (72.8%) and 70% of the them were in the age group of 25–45 years. About 80% of respondents felt that they were well protected or moderately well protected in terms of the personal protective equipment (PPE), however, most of them felt that the use of PPE had affected their ability to work. Similar number of radiologists felt that there was significant reduction in the radiology workload. More than half of the respondents felt that their working patterns were altered by the pandemic with drastic impact on teaching, CPD activities, and personal well-being. COVID-19 pandemic has had profound impact on the radiologists all over the world. Learning from the experiences of the first wave should be used to provide innovative solutions to some of the challenges posed to provide better radiology services, training, and improve the well-being of radiologists if we encounter a similar situation in the future. COVID-19 pandemic had significant impact on radiologists. Radiologists felt that they were well or moderately well protected with PPEs; however, PPEs affected their ability to work. Radiology workflow was significantly reduced in the pandemic with more radiologists working from home. COVID-19 pandemic had deleterious effect on radiologist’s well-being, education, and CPD activities.

The Lymphatic Filariasis (LF) Non-governmental Development Organization (NGDO) Network was established to engage in supporting both international and national LF elimination agendas covering areas such as assisting ministries of health as an on-the-ground link between communities and programmes, which additionally gives the Network members an important voice from the field at international meetings; playing key roles in programme evolution (especially helping to both scale up and scale down mass drug administration [MDA] as elimination thresholds are met); having a role in operational research and developing new programme delivery models that can be taken to scale (such as linkages with other disease programmes and approaches to morbidity management and disability prevention); developing advocacy and policy approaches with other partners; convening other important stakeholders (academic, technical, programmatic and funding); mobilizing financial and technical resources to support programmes; supporting national human resource capacity building to catalyse national ownership of LF programmes; providing leadership in LF governance structures and working in areas of conflict to ensure that everybody in LF-endemic areas enjoys treatment services. Three case studies will illustrate the roles identified for NGDOs in LF programmes covering development of operational research, policy and advocacy linkage between LF and malaria programmes; launching LF morbidity management projects and NGDO's ability to work and deliver LF services in areas of conflict. In addition, the case studies will show the role of NGDOs in mobilising financial and technical resources that support national human resources, leading to national ownership of programmes. Conclusions will be drawn on the role of NGDOs in the Global Alliance for LF elimination and the need for continued partnerships to reach programme goals.

Historical materials about the life and work of G.V. Khlopin, an outstanding scientist and hygienist, who created his own large scientific school. The main activity of which was the development of prevention and public hygiene. Biographical data are given, and scientific activity in the pre-revolutionary and Soviet periods is analyzed. The main directions of research work in the field of General hygiene, water supply hygiene, food hygiene, school hygiene, work in the field of anti-epidemic and anti-chemical protection are presented. The role of G.V. Khlopin in the formation and development of experimental hygiene is emphasized. The article describes his many-sided activities as a Professor of the Department of hygiene at the Military medical Academy, as well as his organizational and pedagogical activities, which laid the foundations for teaching hygiene at the higher medical school based on numerous textbooks and manuals published by him. The author notes the encyclopedic nature of knowledge, the great erudition of the scientist in all matters of hygiene, his unflagging ability to work, which made it possible to create capital guidelines on hygiene based on the works of domestic researchers. Attention is drawn to the activities of G.V. Khlopin in the creation of the Institute of preventive Sciences named after Z.P. Solovyov, organized with the aim of improving the educational process and research activities, as well as his work as a consultant to the Main military sanitary Department of the Workers and peasants red Army. A high assessment of the work of G.V. Khlopin, who holds the rank of full state Councilor, for the benefit of Russia, is the award of the order of St. Nicholas. Vladimir and SV. Stanislav, and in the years of Soviet power conferring the honorary title of honored scientist.

До сих пор образование школьников не решило ряд проблем, поставленных федеральным государственным образовательным стандартом. Одной из таких проблем является неумение многих современных молодых людей работать с информацией. С целью решить эту проблему стандартом предусмотрено обучение школьников смысловому чтению (СЧ) и работе с текстом. Для того чтобы ученики научились самостоятельно учиться и организовывать свою жизнь, необходимо умение пользоваться информацией, которое развивается через СЧ. В настоящее время этому обучают на предметах гуманитарного цикла, в основном на литературе. Не все учителя представляют смысл СЧ, важность развития действия СЧ. Многим не хватает приемов, чтобы вызвать мотивацию для его успешного освоения. Авторами анализируется понятие «смысловое чтение». Предлагается организовать проблемную познавательную деятельность при подготовке к СЧ учащихся начальной школы через умение задавать вопросы, затем использовать это умение в проблемной организации деятельности с учащимися основной школы при обучении работе с текстом, подробно – структурированию текста, а далее применять в старшей школе при использовании рефлексивного чтения. Представленные способы организации работы с учащимися по постепенному освоению СЧ дают успешные результаты. At present, the education of schoolchildren has not solved a number of problems posed by the federal state educational standard. One of these problems is the inability of many young people today to work with information. To solve this problem, the standard provides for teaching of schoolchildren to semantic reading and work with text. In order for students to learn how to study independently and organize their lives, it is necessary to use information, which develops through semantic reading (SC). Currently, this is taught in the subjects of the humanities cycle, mainly in literature. Not all teachers understand the meaning of the midrange, the importance of developing the action of the midrange. Many people lack techniques to motivate them to master it successfully. The author analyzes the meaning of the concept of sematic reading, it is proposed to organize problem cognitive activity in preparation for semantic reading of elementary school students through the ability to ask questions. Then use this skill in the problematic organization of activities with students of the basic school when teaching how to work with text, in detail – text structuring, and then apply it in high school when using reflective reading. The proposed methods of organizing work with students on the gradual mastering of semantic reading give successful results.

Norio Sugawara,1,* Norio Yasui-Furukori,1,* Toshinaga Tsuji,2 Shinji Hayashi,2 Yoshikazu Ajisawa,3 Toshimitsu Ochiai,3 Hideyuki Imagawa,4 Kazutaka Shimoda1 1Department of Psychiatry, Dokkyo Medical University School of Medicine, Tochigi, Japan; 2Medical Affairs Department, Shionogi & Co., Ltd., Osaka, Japan; 3Biostatistics Center, Shionogi & Co., Ltd., Osaka, Japan; 4Medicines Development Unit Japan, Eli Lilly Japan K.K., Kobe, Japan*These authors contributed equally to this workCorrespondence: Norio SugawaraDepartment of Psychiatry, Dokkyo Medical University School of Medicine, 880 Kitakobayashi, Mibu, Shimotsugagun, Tochigi 321-0293, JapanTel +81-28-287-2153Fax +81-28-286-5187Email nsuga3@dokkyomed.ac.jpPurpose: The objective of this post hoc analysis was to explore the relationship, including changes over time, between baseline clinical symptom characteristics and working ability, judged by investigators, after 12 weeks of antidepressant monotherapy in Japanese patients with major depressive disorder (MDD) and painful physical symptoms (PPS) in a real-world clinical setting.Patients and Methods: This prospective, observational study in patients treated with duloxetine or selective serotonin reuptake inhibitors was conducted from 2014 to 2016. Both treatment groups were pooled and divided into 2 groups, “working ability recovered” or “working ability not recovered,” based on working ability at the end of the study. Patients were also divided into 4 subgroups by the presence or absence of previous depressive episodes and working ability. Main outcome measures included baseline demographics and clinical characteristics, and the 17-item Hamilton Rating Scale for Depression (HAM-D17).Results: Comparison between “working ability recovered” (n=122) and “working ability not recovered” (n=91) showed that the percentage of patients with complications and psychotherapy at baseline, and baseline HAM-D17 total, insomnia, somatic, and anxiety scores, were significantly different. The results of subgroup analyses were mostly the same as the results analyzed by working ability alone. Although statistical differences were observed for some outcome measures, the differences at baseline, except use of psychotherapy, may not be applicable clinically, and there were no specific trends observed that could predict working ability.Conclusion: This post hoc analysis suggested that most baseline clinical characteristics, including the presence or absence of previous depressive episodes, were not predictive of working ability recovery. However, the use of psychotherapy in parallel with antidepressant monotherapy may be positively associated with working ability recovery. All outcome measures improved over time, reinforcing the importance of continuous treatment and observation to improve and accurately judge working ability in patients with MDD and PPS.Keywords: ability to work, antidepressants, depressive disorder, major, observational study, painful physical symptoms

Eine Osteogenesis imperfecta („Glasknochenkrankheit“) ist eine genetisch determinierte Erkrankung des Kollagenstoffwechsels, die zu Frakturen fuhrt. Das klinische Spektrum ist sehr breit. Typisch sind blaue Skleren, Kleinwuchs, knocherne Deformitaten, Skoliose, muskulare Schwache, Hypakusis und Hypermobilitat von Gelenken. Die meisten Patienten weisen durch die Erkrankung starke Funktionseinschrankungen auf, durch die sie in ihrer Erwerbsfahigkeit und der Fahigkeit, am sozialen Leben teilzunehmen, stark eingeschrankt sind. Die Therapie beruht auf den 3 Saulen medikamentose Therapie, Operationen und Rehabilitation. In diesem Beitrag wird ein Uberblick gegeben uber den aktuellen Stand der Rehabilitation von Patienten im Erwachsenenalter.

Mohammed A Omair,1 Alper Erdogan,2 Nicole Tietz,3 Rieke Alten4 1Division of Rheumatology, Department of Medicine, College of Medicine, King Saud University, Riyadh, Saudi Arabia; 2Medical Affairs Department, Eli Lilly and Company, Riyadh, Saudi Arabia; 3Eli Lilly and Company, Indianapolis, IN, USA; 4Schlosspark-Klinik University Medicine, Berlin, GermanyCorrespondence: Rieke AltenSchlosspark-Klinik University Medicine, Heubnerweg 2, Berlin 14059, GermanyTel +49 30 3264-1325Fax +49 30 3264-1324Email rieke.alten@schlosspark-klinik.dePurpose: The aim of this study was to better understand the physical and emotional impacts of rheumatoid arthritis (RA) on the lives of patients in Saudi Arabia, and to determine whether there are any discrepancies between how healthcare providers (HCPs) perceive the feelings of patients with RA and how patients actually feel.Patients and Methods: An online survey of adults with RA and HCPs was conducted in Saudi Arabia between January and June 2018. The survey used closed-ended questions with nominal and interval scales to cover relationships with others, ability to work and career progression, ability to perform normal activities, and aspirations for the future.Results: In total, 85 patients and 24 HCPs were surveyed. Patients were more likely than HCPs to feel that the people around them understood the emotional and physical impacts of RA (emotional impact understood: 67% of patients vs 42% of HCPs; physical impact understood: 61% vs 38%, respectively). Additionally, a larger proportion of younger (aged < 40 years) than older patients (aged 40– 59 and ≥ 60 years) felt that these impacts were not understood by others. For patients, the greatest barrier to working was difficulty using hands (52% vs 41% of HCPs), whereas HCPs considered pain the greatest barrier (50% vs 38% of patients). Both patients (59%) and HCPs (81%) considered pain to be a common barrier to undertaking everyday activities. Regarding future aspirations, 40% of patients wished to accept their RA despite the barriers it caused.Conclusion: Discrepancies between how HCPs perceived the feelings of patients with RA and how patients actually felt suggest that HCP–patient communication could be improved. This is the first study of its kind in Saudi Arabia and should help increase awareness of the difficulties and concerns of patients with RA in the Arabic world.Keywords: burden of illness, surveys, rheumatologists, health personnel, patients, quality of life

Background: Employment rates among people with spinal cord injury or spinal cord disease (SCI/D) show considerable variation across countries. One factor to explain this variation is differences in vocational rehabilitation (VR) systems. International comparative studies on VR however are nonexistent. Objectives: To describe and compare VR systems and practices and barriers for return to work in the rehabilitation of persons with SCI/D in multiple countries. Methods: A survey including clinical case examples was developed and completed by medical and VR experts from SCI/D rehabilitation centers in seven countries between April and August 2017. Results: Location (rehabilitation center vs community), timing (around admission, toward discharge, or after discharge from clinical rehabilitation), and funding (eg, insurance, rehabilitation center, employer, or community) of VR practices differ. Social security services vary greatly. The age and preinjury occupation of the patient influences the content of VR in some countries. Barriers encountered during VR were similar. No participant mentioned lack of interest in VR among team members as a barrier, but all mentioned lack of education of the team on VR as a barrier. Other frequently mentioned barriers were fatigue of the patient (86%), lack of confidence of the patient in his/her ability to work (86%), a gap in the team's knowledge of business/legal aspects (86%), and inadequate transportation/accessibility (86%). Conclusion: VR systems and practices, but not barriers, differ among centers. The variability in VR systems and social security services should be considered when comparing VR study results.

All creative people, whose names we remember, are united by such a character trait as passion. And the field of creativity is not so important here — both in art, and in technical sciences, and in medicine, to achieve a result, complete immersion in research, some kind of obsession is necessary. Robert Koch (1843-1910) — a great researcher, a German physician, microbiologist and hygienist, proved by his own example that a clear goal, fortitude and efficiency overcome all unfavorable circumstances. This work examined the life and work of Robert Koch over a significant period of time — from graduation to the discovery of tuberculin, its announcement as a treatment for tuberculosis and the recognition of the fallacy of this statement. From the point of view of the authors of the work, this period of time is of great interest. We see Robert Koch — a scientist with extraordinary abilities and a unique combination of character traits. Diligence and the highest ability to work, exactingness towards himself, a clear organization of work, the ability not to stop in the face of difficulties — predetermined the success of his research.

Palmoplantar psoriasis (PPP) remains a difficult dermatologic disorder to treat, even in the age of biologics. This condition causes significant morbidity in that it can interfere with a patient's ability to work as well as walk. We present a patient who has had an excellent response using a combination of 40% trichloroacetic acid (TCA) peels and gentian violet. This provides proof of principle that this technique can be used more widely to treat palmoplantar psoriasis.