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 The occurrence of stress in the workplace is frequent and present in all areas of work. Population deaf workers are at some risk when it comes to the impact of stress in the workplace. The research aims is to determine factors that directly cause stress in the working environment deaf and hearing workers. The sample consisted of 30 deaf workers and 33 hearing workers. For the needs of the research, the measuring instrument of the International labor organizations was used (2003). Research results show that isolated stressors factors are more common in a subsample of deaf subjects. Fear of losing a job, fatigue and short deadlines, lack of support from colleagues and managers, constant change of obligations, feeling insecurities, fear of position in the firm, and communication difficulties are isolated causes of stress in deaf workers. Workflow errors are associated with a feeling of fear and insecurity, they appear due to their insufficient information due to communication difficulties.

In December of 2019, several cases of unknown atypical respiratory diseases emerged in Wuhan, Hubei Province in China. After preliminary research, it was stated that the disease is transmittable between humans and was named COVID-19. Over the course of next months, it spread all over the world by air and sea transport and caused a global pandemic which affects life of everyone now-a-days. A large number of countries, have since been forced to take precautions such as curfews, lockdowns, wearing facemasks etc. Even with vaccines being produced in mass numbers, lack of targeted therapy continues to be a major problem. According to studies so far it seems that elderly people are more vulnerable to severe symptoms while children tend to by asymptomatic or have milder form the disease. In our review, we focused on gathering data about the virus itself, its characteristics, paths of transmission, and its effect on hormone production and secretion. In such, there is insufficient information in the literature worldwide, especially the ones that focus on the effect of COVID-19 on individual organs systems within the human body. Hence, the present evidence-based study focused on the possible effects of COVID-19 on adrenal gland and gonads i.e. on the process of steroidogenesis and fertility.

Abstract Objective Burdensome transitions are typically defined as having a transition in the last three days or multiple hospitalizations in the last three months of life, which is seldom verified with qualitative accounts from persons concerned. This study analyses types and frequencies of transitions in the last year of life and indicators of burdensome transitions from the perspective of bereaved relatives. Method Cross-sectional explanatory mixed-methods study with 351 surveyed and 41 interviewed bereaved relatives in a German urban area. Frequencies, t-tests, and Spearman correlations were computed for quantitative data. Qualitative data were analyzed using content analysis with provisional and descriptive coding/subcoding. Results Transitions rise sharply during the last year of life. 8.2% of patients experience a transition in the last three days and 7.8% three or more hospitalizations in the last three months of life. An empathetic way of telling patients about the prospect of death is associated with fewer transitions in the last month of life (r = 0.185, p = 0.046). Professionals being aware of the preferred place of death corresponds to fewer hospitalizations in the last three months of life (1.28 vs. 0.97, p = 0.021). Qualitative data do not confirm that burden in transitions is linked to having transitions in the last three days or multiple hospitalizations in the last three months of life. Burden is associated with (1) late and non-empathetic communication about the prospect of death, (2) not coordinating care across settings, and (3) not considering patients’ preferences. Significance of results Time of occurrence and frequency appear to be imperfect proxies for burdensome transitions. The subjective burden seems to be associated rather with insufficient information, preparation, and management of transitions.

Laser-powder bed fusion (LPBF) is one of the preferred techniques for producing Co-Cr metal structures for dental prosthodontic appliances. However, there is generally insufficient information about material properties related to the production process and parameters. This study was conducted on samples produced from three different commercially available Co-Cr dental alloys produced on three different LPBF machines. Identically prepared samples were used for tensile, three-point bending, and toughness tests. Light microscopy (LM), scanning electron microscopy (SEM), and electron backscatter diffraction (EBSD) analyses of microstructure were performed after testing. Differences were observed in microstructures, which reflected statistically significant differences in mechanical properties (one-way analysis of variance (ANOVA) and Scheffé post hoc test (α = 0.05)). The material produced on the 3D Systems DMP Dental 100 had 24 times greater elongation ε than the material produced on the Sysma MySint 100 device and the EOS M100 machine. On the other hand, the material produced on the EOS M100 had significantly higher hardness (HV0.2) than the other two produced materials. However, the microstructure of the Sysma specimens with its morphology deviates considerably from the studied group. LPBF-prepared Co-Cr dental alloys demonstrated significant differences in their microstructures and, consequently, mechanical properties.

Dental and oral disease is one of the diseases that has been felt by most of the people. Insufficient information and the limited level of public awareness of the prevention of dental and oral diseases make the impact quite dangerous if not handled properly. An appropriate information system is needed in overcoming and providing solutions for handling a disease as early as possible. Expert systems can be used as a means of information on the treatment of dental and oral diseases. The manufacture of the expert system in this study initially used the forward chaining method, which is a method that searches based on information that is made into a set of rules so as to get a conclusion. However, after re-analysis, two other methods, namely certainty factor and dempster shafer, were also applied in this study with the aim of overcoming the shortcomings of the forward chaining method, one of which is uncertainty in producing a conclusion or diagnosis of disease. Determining the type of dental and oral disease can be known by looking at the symptoms experienced by the patient. The use of an expert system for diagnosing dental and oral diseases can be used as an initial solution in helping someone to treat the disease. The existence of this expert system can be used as consideration in making decisions to determine the type of dental and oral disease quickly, precisely and accurately.

The analysis of the number of suicides, factors and conditions of its cause is complex and subjective, as it is associated with insufficient information about the causes of suicide. In this regard, it becomes especially important to search for markers that allow to identify persons prone to suicidal states, to carry out preventive measures with him in order to prevent suicides. The aim of this work was to study the latest publications on the study of genetic and phenotypic traits inherent in persons prone to suicidal acts. It has been established that to date there are no scientific studies that would reflect the relationship of phenotypic manifestations in suicides, in particular, anthroscopic, anthropometric and dermatoglyphic features of all phalanges of fingers and palms.

Deaf people who use American Sign Language (ASL) are more likely to use the emergency department (ED) than their hearing English-speaking counterparts and are also at higher risk of receiving inaccessible communication. The purpose of this study is to explore the ED communication experience of Deaf patients. A descriptive qualitative study was performed by interviewing 11 Deaf people who had used the ED in the past 2 years. Applying a descriptive thematic analysis, we developed five themes: (1) requesting communication access can be stressful, frustrating, and time-consuming; (2) perspectives and experiences with Video Remote Interpreting (VRI); (3) expectations, benefits, and drawbacks of using on-site ASL interpreters; (4) written and oral communication provides insufficient information to Deaf patients; and (5) ED staff and providers lack cultural sensitivity and awareness towards Deaf patients. Findings are discussed with respect to medical and interpreting ethics to improve ED communication for Deaf patients.

Background: SARS-CoV-2 has significantly transformed the healthcare environment, and it has triggered the development of electronic health and artificial intelligence mechanisms, for instance. In this overview, we concentrated on enhancing the two concepts in surgery after the pandemic, and we examined the factors on a global scale. Objective: The primary goal of this scoping review is to elaborate on how surgeons have used eHealth and AI before; during; and after the current global pandemic. More specifically, this review focuses on the empowerment of the concepts of electronic health and artificial intelligence after the pandemic; which mainly depend on the efforts of countries to advance the notions of surgery. Design: The use of an online search engine was the most applied method. The publication years of all the studies included in the study ranged from 2013 to 2021. Out of the reviewed studies; forty-four qualified for inclusion in the review. Discussion: We evaluated the prevalence of the concepts in different continents such as the United States; Europe; Asia; the Middle East; and Africa. Our research reveals that the success of eHealth and artificial intelligence adoption primarily depends on the efforts of countries to advance the notions in surgery. Conclusions: The study’s primary limitation is insufficient information on eHealth and artificial intelligence concepts; particularly in developing nations. Future research should focus on establishing methods of handling eHealth and AI challenges around confidentiality and data security.

BACKGROUND:Foreign bodies introduced by patients into the bladder and urethra are relatively rare in clinical practice. As a result, there is insufficient information in the scientific literature regarding methods of extracting foreign bodies from the urinary tract. AIM:determination of the optimal methods for extracting foreign bodies from the urethra and bladder. MATERIALS AND METHODS:Foreign bodies of the lower urinary tract were removed in 21 patients: 15 (71.4%) men and 6 (28.6%) women. Foreign bodies were found in the urethra in 7 (33.3%) patients and in the bladder in 14 (66.7%) patients. Removal of foreign bodies from the urethra and bladder was performed endoscopically or during open surgery. RESULTS:Removal of stabbing, cutting and glass objects from the urinary tract in 9 patients was performed during open surgery. Foreign bodies with even smooth edges were removed in 12 patients under urethrocystoscopic control. At the same time, in two patients, coagulated suppositories were first fragmented in the bladder cavity, and then removed in parts. Cystolithotripsy was performed in one patient with a suppository inlaid with calculus before fragmentation. CONCLUSIONS:Foreign bodies with sharp edges or made of glass are safer to be removed from the lower urinary tract during open surgery. Foreign bodies with a smooth and even surface are optimally removed endoscopically. Long and bulky foreign objects that can be fragmented in the bladder cavity are best removed in parts. When foreign bodies are encrusted with large calculi, cystolithotripsy should be performed before their endoscopic extraction.

Deaf people who use American Sign Language (ASL) are more likely to use the emergency department (ED) than their hearing English-speaking counterparts, and are also at higher risk of receiving inaccessible communication. The purpose of this study is to explore the ED communication experience of Deaf patients. A descriptive qualitative study was performed by interviewing 11 Deaf people who had used the ED in the past two years. Applying a descriptive thematic analysis, we developed five themes: (1) requesting communication access can be stressful, frustrating, and time-consuming; (2) perspectives and experiences with Video Remote Interpreting (VRI); (3) expectations, benefits, and drawbacks of using on-site ASL interpreters; (4) written and oral communication provides insufficient information to Deaf patients; and, (5) ED staff and providers lack cultural sensitivity and awareness towards Deaf patients. Findings are discussed with respect to medical and interpreting ethics to improve ED communication for Deaf patients.