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Navigating Wartime Realities: Adaptation and Resilience in Ukrainian Social Work Education
No full textThis paper explores how Ukraine’s Higher Education Institutions (HEIs) in social work have demonstrated resilience amidst the ongoing armed conflict. The war has significantly impacted the educational landscape, posing challenges to institutional operations, teaching methodologies, and the preparation of future social workers. The objective of this study is to explore the key factors contributing to both organizational and academic adaptability, thus ensuring that social work education remains relevant and effective in addressing the evolving needs of a wartime society.
A mixed-methods approach was employed, combining a desk review with 12 semi-structured interviews with academic staff from departments and institutes offering programs in ‘Social Work’ and ‘Social Pedagogy’. The study examines how universities have adapted their curricula, teaching strategies, and assessment methods, while also highlighting the role of international cooperation and community-based initiatives.
The results reveal that Ukrainian HEIs have demonstrated significant resilience, utilizing cognitive and behavioral strategies to adapt to the war’s challenges. This includes the shift to online and hybrid learning, the use of makeshift classrooms, and the integration of new community-focused missions. Despite these adaptive efforts, the findings also highlight concerns about the long-term sustainability of these changes, particularly in maintaining educational quality and meeting the needs of vulnerable populations. International partnerships have been crucial in supporting these efforts, although disparities between institutions in accessing such resources remain.
This study underscores the importance of resilience in educational systems during crises and offers valuable insights for other higher education institutions facing similar challenges. It calls for a holistic approach to education, one that balances immediate adaptations with long-term strategic planning so that to ensure the continued relevance and quality of social work education in times of conflict
Socialinis atsparumas per žaidimų terapiją: transformuojančios socialinės praktikos link
No full textIn social work, play therapy is applied as a sociocultural service for organizing children’s employment, but also as a social action that transforms social reality. Play therapy is aimed at getting to know the child, identifying children’s problems, and enabling the child to develop social skills and resistance to negative social influence through participation in the construction of social reality. According to research data, children feel happier, more relaxed, and surrounded by better emotions while playing, but, at the same time, a reality is constructed that allows us to move from a ‘culture of silence’ to a ‘culture of voice’. Therefore, play therapy is applied in order to raise children’s emotional well-being, to recognize the lack of social skills, contributing to children’s better self-esteem, self-confidence and more successful critical involvement of children in the social reality around them.
After studying the context of application of the play therapy method as a sociocultural service, while recognizing the lack of social skills of clients, it became clear that play therapy helps to recognize the lack of social skills. The results of the study showed that day center visitors often lack communication and conflict resolution skills. The lack of these abilities robs individuals of the tools they can use critically to develop resilience against the dominant or surrounding social environment. The application of game therapy promotes the reflection of the participants about their social situation and promotes the reflection of social reality through the processes of participation in it.Socialiniame darbe žaidimų terapija taikoma kaip sociokultūrinė paslauga vaikų užimtumui organizuoti, tačiau ir kaip socialinę realybę transformuojantis socialinis veiksmas. Žaidimų terapija skirta vaiko pažinimui, identifikuojant vaikų problemas, įgalinant vaiką per dalyvavimą socialinės realybės konstravime, ugdytis socialinius įgūdžius bei socialinį atsparumą neigiamai socialinei įtakai. Remiantis tyrimų duomenimis, žaisdami vaikai jaučiasi laimingesni, labiau atsipalaidavę, juos supa geresnės emocijos, tačiau tuo pačiu konstruojama realybė, leidžianti pereiti nuo „tylos kultūros“ prie „balso kultūros“. Todėl žaidimų terapija yra taikoma siekiant kelti vaikų emocinę savijautą, atpažinti socialinių įgūdžių stoką, prisidedant prie vaikų geresnio savęs vertinimo, pasitikėjimo savimi bei sėkmingesnio vaikų kritinio įsitraukimo į juos supančią socialinę realybę
Интеллектуальная составляющая русской и балтийской языковой модели человека (на материале фразеологизмов русского, латышского и литовского языков)
No full textThe article considers the intellectual component of the Russian and Baltic human language model (HLM) based on the material of phraseologisms. The intellectual component is characterized by somatic phraseological units (PhU) with key components correlated in Russian and Baltic languages: Rus. голова, мозг (мозги), ум, разум, рассудок / Latv. galva, smadzenes, prāts, saprāts / Lithuan. galva, smegenys, protas, omuo. In the semantics of the analyzed PhU, the following aspects of human intellectual activity are updated: normal / abnormal intellectual state; judiciousness, common sense / imprudence; good / poor mental capacity; a “container” of thoughts and quantitative indicators of mind and knowledge; memory abilities, normal thought activity / mental disorders. A comparative analysis of the semantics of Russian and Baltic PhU revealed common typological features of the compared HLM. Interlanguage Russian and Baltic correspondences in most cases are full equivalents, that is, identical in structure, composition of components and figurative bases, less often they are partial, that is, such in which there is a variation in components and grammatical structure. The identity of figurative foundations is a demonstration of the commonality of cultural connotations which, in turn, testifies to the commonality of many cultural attitudes of Russians and Balts. Apparently, interlanguage Russian, Latvian and Lithuanian equivalents go back to identical prototypes that developed into corresponding PhU under the combined action of universal (for all three ethnic groups) linguistic and extralinguistic factors, and this confirms the hypothesis of interlanguage phraseological parallelism, especially in the case of somatic phraseologisms.В статье рассматривается интеллектуальная составляющая русской и балтийской языковой модели человека (ЯМЧ) на материале фразеологизмов. Интеллектуальная составляющая характеризуется соматическими фразеологизмами (ФЕ) c соотносимыми ключевыми компонентами: рус. голова, мозг (мозги), ум, разум, рассудок / лтш. galva, smadzenes, prāts, saprāts / лит. galva, smegenys, protas, omuo. Сопоставительный анализ семантики русских и балтийских ФЕ выявил общие типологические особенности сравниваемых ЯМЧ. Межъязыковые соответствия в большинстве случаев являются полными эквивалентами, реже – частичными, с варьированием компонентов и грамматической структуры. Тождество образных оснований свидетельствует об общности культурных коннотаций, и, следовательно, ценностных установок русского и балтийских этносов. По-видимому, межъязыковые русские, латышские и литовские эквиваленты восходят к тождественным прототипам, развившимся в соответствующие ФЕ в силу универсальных для трех этносов лингвистических и экстралингвистических факторов, что подтверждает гипотезу межъязыкового фразеологического параллелизма, особенно в случае соматических ФЕ
Simeono Metafrasto „Charitono Išpažinėjo gyvenimas“ (rugsėjo 28 d.) kaip Grigaliaus Camblako rašyto „Jono Naujojo iš Sučavos gyvenimo“ (birželio 2 d.) šaltinis
No full textThe article demonstrates that while writing the Life of the martyr John the New of Suceava, the first national Moldavian saint, the internationally known prolific Bulgarian author Gregory Tsam- blak must have used one of several existing Church Slavonic versions of the Byzantine Life of the venerable Chariton the Confessor, written by Simeon the Metaphrast, which is quite different it its plot. It is manifested in a quite extensive verbatim quotation of its incipit in the opening sentence of the text. Tsamblak must have consulted the Byzantine Life in its East Slavonic version, as the collation pre- sented in the article evidently shows, since only a weak connection with the South Slavonic version can be traced. The fact that Tsamblak used Symeon’s hagiography in the Church Slavonic translation and not in the Greek original excludes the theoretical possibility that the Life of John the New was origi- nally written in Greek by a different (anonymous) author, as it is sometimes assumed. It is explained by Gregory Tsamblak’s appreciation of the Jerusalem Typikon, quite new in the early 15th-century Moldova, while creating the new national Moldavian church cult of John the New of Suceava, since the ecclesiastic tradition features Chariton the Confessor as the earliest “creator” of the Jerusalem Typikon. Straipsnyje parodoma, kad, rašydamas pirmojo Moldavijos nacionalinio šventojo – kan- kinio Jono Naujojo iš Sučavos – gyvenimo aprašymą, Grigalius Camblakas panaudojo Simeono Me- tafrasto sukurto šventojo vienuolio Charitono Išpažinėjo bizantinio gyvenimo aprašymo vieną iš kelių egzistavusių kirilinių versijų bažnytine slavų kalba. Tai matyti iš pažodinės jo incipito citatos pačioje teksto pradžioje. Šis intertekstinis ryšys leidžia atmesti galimybę, kad Jono Naujojo gyvenimo aprašy- mas rašytas graikų kalba kito (anoniminio) autoriaus, kaip kartais manoma. Šis citavimas aiškinamas Grigaliaus Camblako aukštu 15 a. pradžios Moldovoje gana naujo Jeruzalės tipikono įvertinimu, nes pagal bažnytinę tradiciją Charitonas Išpažinėjas laikomas šio tipikono pirminiu įkūrėju
Neįprasta kraujavimo virškinimo trakte priežastis: Grönblado ir Strandbergo sindromas
No full textGrönblad-Strandberg syndrome (also referred as pseudoxanthoma elasticum) is a rare genetic metabolic disease, causing ectopic calcification of organism elastic fibers. This leads to vascular complications including bleeding. Hemorrhages from various organs and tissues are reported, but gastrointestinal bleeding is particularly common. We managed a 55-year-old man rich in comorbidities with acute severe gastrointestinal bleeding in the stomach. Despite the unclear cause of the bleeding at the time emergency endoscopy was made, during which the bleeding was completely stopped and patient’s hemodynamics was stabilized. To prevent recurrent bleeding in the future transcatheter vascular embolization was performed. The clip placed during endoscopy helped the interventional radiologist select the correct vessels for embolization. Only after detailed and strict anamnesis later the diagnosis was established. After 5 years period the patient is still alive and active despise wide and severe adjacent pathology without episodes of recurrent bleeding. Clinicians must keep in mind rare genetic disorders that may cause the gastrointestinal bleeding and evolve diagnostic and management complex to achieve clinical success.Grönblado ir Strandbergo sindromas (dar žinomas kaip elastinė pseudoksantoma) yra reta genetinė medžiagų apykaitos liga, sukelianti organizmo elastinių skaidulų ektopinę kalcifikaciją. Tai lemia kraujagyslių pažeidimus, kurie sąlygoja kraujavimą. Mokslinėje literatūroje aprašomas įvairių organų ir audinių kraujavimas, tačiau itin dažnai kraujuojama virškinimo trakte. Straipsnyje aptariamas 55 m. vyro, turinčio daug gretutinių ligų, atvejis. Pacientas gydytas dėl ūmaus intensyvaus kraujavimo virškinimo trakte – skrandyje. Iš pradžių kraujavimo priežastis nenustatyta. Atlikta skubi endoskopija, jos metu sustabdytas kraujavimas, ligonio hemodinamika stabilizuota. Siekiant išvengti kraujavimo pasikartojimo, atlikta transkateterinė kraujagyslių embolizacija. Endoskopijos metu uždėtas klipsas leido intervenciniam radiologui rasti kraujagysles, kurias reikėjo embolizuoti. Paciento diagnozė nustatyta vėliau, surinkus tikslią, išsamią anamnezę. Praėjus 5 metams pacientas, nepaisant sunkios gretutinės patologijos, tebėra gyvas ir aktyvus. Kraujavimas virškinimo trakte nesikartojo. Praktikuojantiems gydytojams, siekiantiems klinikinės sėkmės, svarbu turėti omenyje retas genetines ligas, galinčias sukelti kraujavimą virškinimo trakte, ir plėtoti glaudžiai susijusias diagnostikos ir gydymo metodikas
Aesthetic Correction of Gynecomastia with Liposuction and Limited Access Breast Excision – an Experience
No full textBackground. Gynecomastia is the most common breast disorder in males and is characterized by benign enlargement of glandular tissue. Surgical management options are adopted if it fails to resolve spontaneously or if conservative measures are ineffective in alleviating symptoms. Liposuction with limited access mammary gland excision is one such option. Aim of the study. This study was undertaken to study the outcomes of gynecomastia treated with liposuction and limited access mammary gland excision. Methods. The data related to the patients was analysed retrospectively and multiple variables were studied which included the demographics, grading, complications, and patient satisfaction. Results. 85.4% of patients were highly satisfied or satisfied with the outcomes, and 78.9% witnessed significant improvement in psychosocial distress. Minor complications were recorded in 35.4% of cases, and histopathological analysis of retrieved breast tissue specimens revealed benign features in all the patients. Conclusions. There are several surgical treatments for managing gynecomastia that either fails to resolve spontaneously or causes distressing symptoms. Liposuction with limited access mammary gland excision is one such option and is highly successful
Tiesiosios žarnos adenokarcinomos ir vulvos ragėjančios plokščialąstelinės karcinomos pasireiškimas kartu: klinikinio atvejo analizė ir literatūros apžvalga
No full textIntroduction. Vulvar carcinoma is a rare malignancy, whereas rectal cancer is a more common oncological condition. However, the simultaneous occurrence of these two diseases is exceptionally rare. Case presentation. A 76-year-old woman presented with rectal bleeding and was previously diagnosed with keratinizing squamous cell carcinoma G1 of the vulva, unrelated to HPV. Imaging revealed tumor-like masses in the vulva and rectum, with pathological lymph nodes. Biopsy confirmed rectal adenocarcinoma in situ. She underwent obstructive rectal resection, colostomy formation, vulvar resection, and lymphadenectomy. Postoperative antibiotic therapy was administered and discontinued after seven days due to stable inflammatory markers. The patient was discharged in good condition, with planned rehabilitation in a sanatorium. Conclusion. Rectal adenocarcinoma and vulvar keratinizing squamous cell carcinoma concurrent occurrence is very rare. The risk factors for vulvar cancer (HPV, smoking, immunosuppression, lichen sclerosus) and rectal cancer (genetic predispositions, lifestyle factors (e.g., smoking, alcohol consumption), inflammatory bowel diseases) differ. However, genetic syndromes and certain interactions between lifestyle factors may lead to the concurrent occurrence of these two tumors. Given the complexity of managing two primary tumors, a multidisciplinary surgical approach was essential in our case. Further research is needed to explore possible biological links and optimize diagnostic and treatment strategies for such rare oncological presentations.Įvadas. Vulvos karcinoma – retas piktybinis navikas. Tiesiosios žarnos vėžys – dažnesnis onkologinis susirgimas. Abi šios ligos kartu pasireiškia itin retai. Klinikinis atvejis. 76 m. moteris kreipėsi dėl kraujavimo iš tiesiosios žarnos. Prieš tai pacientei ambulatoriškai diagnozuota vulvos ragėjanti plokščialąstelinė karcinoma (G1), nesusijusi su žmogaus papilomos virusu (ŽPV). Vaizdiniai tyrimai atskleidė esant navikines mases vulvoje ir tiesiojoje žarnoje bei patologinius limfmazgius. Atlikus biopsiją, patvirtinta tiesiosios žarnos naviko adenokarcinoma in situ. Pacientei atlikta obstrukcinė tiesiosios žarnos rezekcija, suformuojant kolostomą, vulvos rezekcija ir limfadenektomija. Pooperaciniu laikotarpiu taikyta antibiotikoterapija. Ji nutraukta po septynių dienų dėl stabilių uždegiminių rodiklių. Pacientė išleista iš ligoninės geros būklės, jai suplanuota reabilitacija sanatorijoje ir adjuvantinė terapija. Išvada. Tiesiosios žarnos adenokarcinoma ir vulvos ragėjanti plokščialąstelinė karcinoma kartu pasireiškia itin retai. Vulvos vėžio rizikos veiksniai (ŽPV, rūkymas, imunosupresija, lichen sclerosus) ir tiesiosios žarnos vėžio rizikos veiksniai (genetinė predispozicija, gyvenimo būdo veiksniai, tokie kaip rūkymas, alkoholio vartojimas, uždegiminės žarnyno ligos) skiriasi. Vis dėlto tam tikri genetiniai sindromai ir gyvenimo būdo veiksnių sąveikos gali lemti šių dviejų atskirų navikų išsivystymą. Kalbamuoju atveju, atsižvelgus į dviejų pirminių navikų gydymo sudėtingumą, galima teigti, kad itin svarbus multidisciplininis chirurginis gydymas. Būtini tolesni tyrimai, siekiant nustatyti galimus biologinius ryšius ir optimizuoti tokių retų onkologinių atvejų diagnostikos ir gydymo strategijas
Jaunų žmonių kolorektalinis vėžys
No full textEarly onset colorectal cancer - colorectal cacner, appearing in a patient population below 50 years of age. Disease is more aggressive, and diagnosis is more likely in an advanced stage. The increase in the incidence of this form of disease globally requires more mature prevention and treatment options.Jaunų žmonių kolorektalinis vėžys – kolorektalinio vėžio forma, kuri pasireiškia jaunesniems negu 50 m. asmenims. Liga išsiskiria agresyviomis savybėmis, diagnozuojama esant vėlesnėms stadijoms. Globaliai didėjantis susirgimų atvejų skaičius reikalauja tobulesnių prevencijos ir gydymo būdų
Intrathoracic Sewing Needle in an Infant: An Unusual Case of Foreign Body Migration
No full textForeign body incidents are common in children, primarily involving ingestion or inhalation. However, transcutaneous migration of sharp objects like sewing needles into the thoracic cavity is exceptionally rare and potentially dangerous. We report a unique case of an intrathoracic sewing needle in a six-month-old infant, highlighting the diagnostic challenges, imaging findings, surgical approach, and the clinical outcome