THE PROBLEM OF COMPETENCIES MODELING IN THE SOCIAL-PSYCHOLOGICAL CRISIS CONDITIONS.

This article delves into a profoundly significant subject: competency modeling, now an imperative for maintaining high-quality professional standards in Armenia. The contemporary landscape, shaped by post-pandemic and post-war repercussions, alongside the prominence of online education, necessitates an exploration of new prerequisites for professional expertise. The article introduces a meticulously crafted three-level model (3/2) of professional psychosocial abilities, meticulously curated to guide the trajectory of professional development - from personal growth to a pinnacle of professionalism. This comprehensive model comprises upper, middle, and lower levels: the upper level encompasses general skills, the middle level intricately incorporates the specialist's activities, work orientation, and motivations, while the lower level intricately details the emotional and behavioral voluntary attributes of individuals. Through the nuanced reshaping of professional psychosocial competencies, the article culminates in the presentation of a three-level model tailored for several high-demand professions. This presentation is grounded in a foundation of theoretical studies, empirical research, expert insights, practical recommendations, and a thorough comparative analysis.

[Features of hemorrhagic fever with renal syndrome with diabetes mellitus].

AIM: Diabetes mellitus (DM) is known to be a risk factor in adverse outcomes and complications in many infectious diseases. In the combination of hemorrhagic fever with renal syndrome (HFRS) and DM there are mutually exclusive pathogenetic States - hyperosmolarity, characteristic of DM is layered on the reduction of osmotic blood pressure in HFRS. Under these conditions, the effect of one disease (DM) on the clinical manifestations of another (HFRS) is not obvious. The aim of the work is to find out the clinical features during hfps in patients with DM. MATERIALS AND METHODS: The study is based on the results of the retrospective studies "case - control" - studied the information contained in medical records of patient (form 003/u), who suffered HFRS in 2006-2018. The Selection of cards produced randomly. In the end, there were formed two groups: the first - 981 patient who suffered HFRS and had no signs of diabetes; the second, 33 patients who suffered HFRS on the background of previously existing (28 people), or the first identified (5) diabetes. RESULTS: With a combination of HFRS and DM, a mild course of the disease is 2.5 times more common, there are no severe forms. Among this group of patients, complications are almost 10 times less common, less likely to develop infectious - toxic shock, acute kidney damage (class F by RIFLE), pulmonary edema. The combination of DM and HFRS is manifested by less high and prolonged fever, less high levels of urea and creatinine in the blood. CONCLUSION: HFRS in combination with DM is easier, apparently, high osmolarity of the blood is a stabilizing factor during the disease.

Outcomes of Laparoscopic Gastric Greater Curvature Plication in Morbidly Obese Patients.

BACKGROUND: Laparoscopic gastric greater curvature plication (LGGCP) is a restrictive bariatric procedure without gastrectomy. However, limited literature on effectiveness of gastric plication exists. OBJECTIVES: We assessed LGGCP's efficacy, effects on associated comorbidities, safety and the rate of complications, and patient satisfaction with LGGCP's outcomes among morbidly obese patients. METHOD: Analysis of retrospectively data collected from medical records of 26 patients who had undergone LGGCP at Hamad General Hospital, Qatar, during 2011-2012. RESULTS: Most patients (92%) were Qatari nationals. The sample's mean age was 35.1 years. Mean duration of hospital stay was 3.9 ± 1.2 days. Mean preoperative BMI was 40.7 kg/m2 that decreased at 2 years to 34.6 kg/m2. LGGCP's effects on comorbidities were such that 7.6% of patients experienced resolutions of their comorbidities. There were no mortality or postoperative complications that required reoperation. Six patients (23%) were satisfied with the LGGCP's outcomes while 10 patients (38.5%) underwent sleeve gastrectomy subsequently. CONCLUSION: LGGCP had acceptable short term weight loss results, exhibited almost no postoperative complications, and improved patients' comorbidities. Despite the durability of the gastric fold, some patients regained weight. Future research may assess the possibility of an increase in the gastric pouch size postplication associated with weight regain.