Commune-level civil servants’ work capability in Vietnam

Commune-level civil servants are those who work at the lowest level of government in the Vietnamese administrative system. They directly deal with the people's requests and protect their legitimate rights and interests prescribed by the law. Civil servants and government agencies' performance depends much on their qualities and capabilities, including work capability, sense of responsibility for work, the attitude of serving the people. In this study, the author focuses on analyzing the commune-level civil servants' work capability under some contents like the ability to operate independently and the ability to operate jointly. He created a survey form and conducted a poll of 300 people on commune-level public employees' work capability at their residence based on the theoretical framework of criteria for commune-level civil servants' work capability. The survey area includes six provinces representing three regions of Vietnam such as Thai Binh, Nam Dinh (Northern); Nghe An, Quang Nam (Central); Binh Duong, and Ca Mau (Southern). The survey is performed carefully, with only those who have transacted with the commune government at least five times in the previous five years interviewed.

Real-World Effectiveness and Safety of Fingolimod in Patients with Multiple Sclerosis in the Czech Republic: Results from Core and Extension Parts of the GOLEMS Study up to 48 Months

Background: Fingolimod, an oral sphingosine 1-phosphate receptor immunomodulator, is approved in Europe for multiple sclerosis (MS) patients with highly active disease despite a full and adequate course of treatment with ≥1 disease-modifying therapy or patients with rapidly evolving severe relapsing–remitting MS. GOLEMS, a 12-month, national, multicenter, non-interventional, single-arm, real-world study showed a favorable benefit–risk profile of fingolimod in patients with MS in the Czech Republic. Here, we evaluated the long-term effectiveness and safety of fingolimod and its impact on disability progression and work capability for up to 48 months in patients with MS.Methods: The endpoints assessed were the incidence and severity of MS relapses in fingolimod-treated patients and the proportion of relapse-free patients up to 48 months of fingolimod treatment, change from baseline in the Expanded Disability Status Scale (EDSS) score, and change from baseline in work capability assessment. Efficacy outcomes were analyzed in the completed and efficacy sets, and safety was evaluated in all the enrolled patients.Results: Of 240 enrolled patients, 237 were included into efficacy set. Patients with a minimum of a 12-month observation period in the core study who continued fingolimod treatment, were eligible to participate in the extension phase. Of 211 patients enrolled in extension study, 155 were evaluated in the completed set. Based on analysis of 48-month period of fingolimod treatment, 95/237 patients (40.1%) in the efficacy set, 54/155 (34.8%) in the completed set were free of relapses. The majority of relapses reported were moderate in intensity. Mean EDSS score remained stable throughout 48-month study period (Baseline, 3.4; Month 48, 3.6). No significant 3 trend was observed in changes in work capability assessment or number of missed days of work. Of 240 enrolled patients, 147 (61.3%) had ≥1 treatment-emergent adverse event (AE) and 20 (8.3%) reported serious AEs. In total, 45 patients (18.8%) permanently discontinued treatment because of AEs related to study drug; two patients reported pregnancy after treatment initiation and subsequently discontinued the treatment; no deaths were reported.Conclusion: GOLEMS study demonstrated the sustained effectiveness and manageable safety profile of fingolimod under real-world conditions over 48 months in patients with MS.Trial registration: Not applicable

Improvement of Work Capacity with Welfare of Apparatus and Work Facilities and Their Impact on Performance

This study's intended objective is to evaluate the effect of the work capability on the welfare of the apparatus and work facilities and its impact on the efficiency of the Mamuju police force in the province of West Sulawesi. This study uses a causal research design that illustrates a causal or causal association in the variables examined and used a quantitative approach. In this report, all the Mamuju Police staff, the West Sulawesi Province, were as many as 95. The sampling technique was a non?probability sampling process of systematic sampling, which implies that the samples were taken according to the order of the counted population members. Data collection was carried out by observation, distribution of questionnaires, interviews, and documentation. This review analyses and processes data with multiple linear regression using SPSS ver. 25. All the hypotheses suggested in this study are acceptable. The variables of the level of welfare and work facilities are critical variables that can influence staff's workability to enhance their performance. The story of welfare is necessary to inspire workers to function more efficiently; the more affluent the team, the more likely they are to increase their efficiency. Work facilities indicate that the types of facilities given by the company have facilitated an improvement in officers' efficiency, that the needs of the apparatus provide an appropriate standard of facilities, not just to facilitate their work, but also to promote satisfaction and ease of work.

Study on Ability of Ulstrasonic in Determining Joints in Dimension Stone Blocks

Ulstrasonic has been popularly applied in more practical sectors, contributing to assess any issues, such as non-homogeneous, defects, without direct measures. One of these applications is for solid materials, such as rock. With the characteristics and abilities of ulstrasonic, as well as dimension stone characteristics, the author studied the applied ability of this wave in dimension stone quarrying. Particularly, this is determining joints in stone blocks before delivering to the processing plant. Basing on researching the character, size, rock mechanics of stone bocks and ulstrasonic features, its work capability, principle of None-Destructive Testing device (NDT), the paper shows that measure method by ulstrasonic could exactly and reliably estimate joints in stone block. From ulstrasonic feature of transfering around avoid instead of not transfering through it, the method is released to navigate position, size and shape of joints in stone blocks.

When benefit eligibility and patient-led care intersect. Living in the UK with chronic illness: Experiences of the work capability assessment

Individuals living with chronic physical health conditions are more likely to be out-of-work than other groups. Often framed as a ‘response’ to these statistics, many countries have introduced policy instruments for promoting the employment of individuals with chronic conditions. This qualitative study sought to explore the impact of welfare reforms on UK individuals. Employing a phenomenological approach, semi-structured interviews were conducted with five participants living with chronic conditions. Three themes were generated using Interpretative Phenomenological Analysis: ‘intersubjective sense making of the condition’; ‘battles for control’ and ‘the fluidity and strengthening of identity’. Implications for further, holistic, policy reform are explored.

PENGARUH PENDIDIKAN DAN PELATIHAN TERHADAP PENINGKATAN KINERJA PEGAWAI PADA DINAS PENDIDIKAN KOTA PAREPARE

This Article was based on the research findings that attempted to describe the influence of education and training towards the improvement of the employee’s work capability at Parepare City Department Of Education. There were two types of data that had been used in this study, i.e quantitative and qualitative. The data analysis was done through descriptive and comparative methods. The findings indicated that education and training had greater influence towards the employee’s work capability at Parepare City Department Of Education, so that a greater number of education and training programs had beeb conducted. It was concluded that education and training programs for employee were very contributive for their work capability.

Effects of a High-Intensity Interval Training Program on the Fitness and Performance of Firefighters

The purpose of this study was to investigate the effectiveness of a Tabata exercise program as an alternative for firefighters whose working environment makes it difficult to manage physical fitness. The Tabata exercise program, in which 16 people participated, led to increased muscle mass and reduced weight and body fat, which not only improved the health of the firefighters but also improved their cardiopulmonary endurance, muscle endurance, and muscle strength, which are essential elements during firefighting emergency relief activities. On the basis of these results, it is believed that developing and providing guidelines for scientific and systematic exercise programs to firefighters will lead to better work capability during fire and disaster situations.

A case of envenomation by the false fer-de-lance snake Leptodeira annulata (Linnaeus, 1758) in the department of La Guajira, Colombia

Envenomations by colubrid snakes in Colombia are poorly known, consequently, the clinical relevance of these species in snakebite accidents has been historically underestimated. Herein, we report the first case of envenomation by opisthoglyphous snakes in Colombia occurred under fieldwork conditions at the municipality of Distracción, in the department of La Guajira. A female biologist was bitten on the index finger knuckle of her right hand when she tried to handle a false fer-de-lance snake (Leptodeira annulata). Ten minutes after the snakebite, the patient started to have symptoms of mild local envenomation such as edema, itching, and pain in the wound. After 40 minutes, the edema reached its maximum extension covering the dorsal surface of the right hand and causing complete loss of mobility. The clinical treatment focused on pain and swelling control. No laboratory tests were performed. The patient showed good progress with the total regression of the edema 120 hours after the snake-bite accident and complete recovery of the movement of the limb in one week. Venomous bites of “non-venomous snakes” (opisthoglyphous colubrid snakes) must be considered as a significant public health problem because patients lose their work capability during hours or even days and they are forced to seek medical assistance to treat the envenomation manifestations.

The silent expansion of welfare to work policies: how policies are enhanced through the use of categorizations, evidence-based knowledge and self-governance

The chapter explores how Danish WTW policies have recently been implemented and extended while to a large degree avoiding the hazards of public justification. The chapter investigates three cases, which exemplify three different ways to expand the scope of WTW polices, without them having to be publicly justified. The first case digs into classification processes where the work capability of Danish social assistance claimants is assessed. It shows how incremental changes of such processes have formed a system where more and more claimants are deemed capable of working – and therefore legitimate targets of harsher demands and sanctions. The second case explores how the political quest for evidence-based employment policies comes with an inherent bias: ‘Evidence’ is constructed in ways that clearly favour work first policies. The third case investigates how the municipal welfare offices’ autonomy to try out new and innovative activation programs, is currently being restructured by subtle changes that increase the incentives to take up activations programs that support WTW strategies.