Specific Programs Research Articles

How Principals Decide Which Students With Disability Sit Standardised Tests and the Implications for School Accountability*

Whether students with disability should be included in standardised testing is a contentious issue. In this study, we provide the first empirical evidence on what happens when principals are given discretion over exempting students with disability. Using population administrative data of children with teacher‐identified low‐moderate disability, we find evidence of widespread exempting in their first national test (at 8–9 years old). Those who receive special education funding, a visible flag of disability, are 30 percentage points less likely to sit, controlling for teacher‐assessed student capabilities. We find no evidence that that the rate of indiscriminate exempting is linked to school competition, but find instead that it is linked to the presence of learning impediments. While not impacting overall school accountability, such behaviour potentially compromises accountability for special education programs and sends a bad signal to students with learning impairments.

Tradition to Concern: Health Risks and Nicotine Dependence of Midwakh Use in Young Males in the UAE

Abstract Background Midwakh smoking, a traditional practice, poses a growing public health concern in the Middle East region. Despite global efforts to curb tobacco use, smoking rates, particularly among young men, remain high. This study explores nicotine dependency, assesses acute health effects, and measures carbon monoxide levels among midwakh smokers. Methods A quasi-experimental before-and-after study involved 103 young male midwakh smokers in the UAE. Data collection included surveys featuring the Hooked-on Nicotine checklist (HONC), clinical measurements, and pre/post-smoking saliva samples. Statistical analyses, including descriptive, paired samples, correlation, and regression, assessed associations between midwakh smoking, dependency, and health outcomes. Results Preliminary findings found that 33% of midwakh smokers were under 21 years, 68% had below undergrad education, and household incomes over 15,000 AED monthly. Smoking initiation was as early as 10 years. Smoking habits revealed 37% exclusive midwakh, 54% midwakh with e-cigarettes, 21% with shisha, and 34% with cigarettes. Post-smoking clinical measurements showed significant increases in blood pressure, heart, pulse and respiratory rates, and carbon monoxide levels (p ≤ 0.05). Significant differences in pre- (134.6 ng/ml) and post-smoking (154.4 ng/ml) saliva cotinine levels (p ≤ 0.05) were observed. Regression analysis identified predictors of nicotine dependency: initiation age (β= -.315; -0.579,0.0512), household income (β = 1.221; 0.297,2.146), multiple tobacco use (β = 0.576; 0.129,1.024), quit attempts (β = 1.555; 0.519,2.590) and smoking risk perception (β = 3.420; 1.950,4.890) Conclusions Midwakh smoking adversely affects clinical measurements, with early start correlating with higher nicotine dependency, worsened by using multiple tobacco products. Urgent action is needed, including tailored prevention campaigns and support systems to aid youth cessation and raise awareness of midwakh smoking’s harmful effects. Key messages • Midwakh smoking is deeply ingrained in UAE tradition but poses significant adverse health outcomes and nicotine dependency. • There is a need to establish specialized cessation programs offering support and resources to midwakh users, addressing both the health consequences and addictive nature of midwakh.

Safety of beta-blocker discontinuation in patients after acute coronary syndromes and preserved left ventricular ejection fraction: long-term clinical outcomes from the SPUM-ACS cohort

Abstract Background While beta-blockers have been shown to improve outcomes after acute coronary syndromes (ACS), most trials predate the advent of reperfusion therapy and modern secondary prevention. Recent trial data in the reperfusion era found no all-cause or cardiovascular mortality benefit in patients with a left ventricular ejection fraction (LVEF) >40%, while myocardial infarction and angina were reduced. We hypothesized that, in patients who receive optimal contemporary treatment following ACS and who have an LVEF >40%, beta-blocker discontinuation within 1 year after ACS is safe and non-inferior to beta-blocker continuation in terms of the 5-year incidence of major adverse cardiovascular events (MACE). Purpose We assessed the safety of beta-blocker discontinuation within 12 months following ACS in patients with an LVEF >40% at discharge, compared to continued long-term beta-blocker therapy, with respect to the 5-year incidence of MACE. Methods Data was derived from the Swiss Special Program University Medicine – Inflammation in ACS (SPUM-ACS) cohort (N=3,762), a multicenter prospective cohort of patients hospitalized for invasive management of ACS between 2009-2017. We included patients with an LVEF >40%, beta-blockers at discharge, and who completed the 5-year follow-up. Patients who continued beta-blockers at one year were compared with those who discontinued beta-blockers at any time throughout the first year after ACS using a target trial emulation design. Adjusted hazard ratios (aHR) were obtained with a Cox model using an inverse probability weighting adjustment for baseline characteristics including demographic parameters, comorbidities, and concomitant medication. The primary endpoint was 5-year MACE (cardiovascular death, myocardial infarction, stroke or transient ischemic attack, unplanned coronary revascularization, and hospitalization for unstable angina). Results Of 2,077 patients with an LVEF >40% and beta-blockers at discharge, 1,758 (85%) continued beta-blockers and 319 (15%) had discontinued beta-blocker therapy at one year. The 5-year risk between the discontinuation and continuation group was similar for the primary endpoint (14.5% vs 14.3%, respectively, aHR 1.00, 95%CI 0.73-1.36, p=0.98). All-cause mortality (aHR 1.08, 95%CI, 0.64-1.81, p=0.79) did not differ between both groups. In a subgroup analysis, there was no effect modification by LVEF, but some evidence for a higher risk of primary endpoint with beta-blocker discontinuation in STEMI (aHR 1.50, 95%CI 1.02-2.21) compared with NSTEMI (aHR 0.69, 95%CI 0.40-1.19, P interaction = 0.022). Conclusion Beta-blocker discontinuation within 12 months following ACS in patients with an LVEF >40% was not associated with an increased risk of MACE at 5 years, compared to long-term continuation of beta-blocker therapy. In the absence of a dedicated randomized controlled trial, beta-blocker discontinuation may be safe, especially after NSTEMI.Kaplan-Meier plot: probability of MACE

Postgraduate medical education in Public Health: the Italian scenario and a call to action

Abstract Introduction Public health training in Italy takes place within postgraduate medical training in Hygiene and Preventive Medicine. With 39 university schools of public health, spread across 17 of Italy’s 20 regions, the landscape is diverse. The government determines the number of available contracts annually. This study aims to provide an up-to-date analysis of the saturation of places in Public Health programmes, as well as an assessment of mobility trends between northern and southern Italy from 2017 to 2023. Methods Data on admissions, withdrawals and resignations were obtained from the Ministries of Universities and Health and from the archives of the ‘Associazione Liberi Specializzandi’ (ALS). Mobility was assessed as moving from the central-northern regions to the southern-islands of Italy, and vice versa, between registration with the Medical Council and specialisation programme enrollment. Results Between 2017 and 2023, a total of 2301 residents enrolled across Italy, out of 2953 available positions nationwide. During this period the number of available national places, increased from 180 to 576, impacting overall seat saturation. In 2017, 98.3% of positions were covered, compared to only 46.5% in 2023. Regarding the mobility trend, southern students attending northern schools increased from 8.3% in 2017 to 22.4% in 2023, while northern students attending southern schools decreased from 17.9% to 1%. However, the number of dropouts and withdrawals was higher in the North. Mobility students scored lower than non-mobility students nationally. Key messages • From 2017 to 2023, the number of residents enrolled increased, while the allocation rate decreased. There was a shift in mobility patterns, with more southern students moving north. • Addressing the identified inequalities and understanding the underlying factors driving mobility patterns is crucial for effective planning and allocation of resources.

UPAYA GURU DALAM MENGATASI KESULITAN MEMBACA SISWA SEKOLAH DASAR

In facing the challenges students face in reading, teachers need to be proactive in providing guidance to help them overcome obstacles that hinder the learning process. This research aims to explain the reading problems faced by students and the teachers' efforts to solve them in class II of SDN 002 Bagan Besar, Dumai City. The method applied in this research is a qualitative approach. Researchers used various data collection techniques including observation, interviews and document analysis involving research subjects consisting of class II B homeroom teachers and class II B students at SDN 002 Bagan Besar, Dumai City. The research results showed that there were class II B students who experienced difficulties in reading, such as lack of reading fluency, frequent mistakes, difficulty in distinguishing similar letters, and errors in pronouncing words or sound symbols. The efforts taken by teachers to overcome the reading difficulties of class II students at SDN 002 Bagan Besar, Dumai City, have been quite effective. Teachers use interesting and interactive learning methods, such as picture letter books, and strengthen students' self-confidence and motivation through praise. In addition, teachers do not blame students and provide special remedial programs to improve their reading skills

Creative Expression and Writing Proficiency of Junior High School Students in Special Program in the Arts Class

This study aimed to determine the relationship between creative expression and writing proficiency. The respondents were grade 9 students enrolled in the Special Program in the Arts (SPA) class. The researcher employed a descriptive correlational design with a test questionnaire consisting. Statistical tools such as frequency count, weighted mean, and Pearson correlation were used to collect and analyze numerical data. Results indicated that respondents had a moderate awareness of their creative expression in terms of writing. Their writing proficiency was rated as good in grammar and syntax, fair in the organization of ideas, and good in content development. The statistical result showed a strong relationship between writing proficiency and creative expression, with significant associations found in grammar and syntax, organization of ideas, and content development. A positive correlation was also observed between writing skills and levels of creative expression, suggesting that enhanced creative expression in writing is linked with improved writing proficiency. The findings underscore the importance of fostering both artistic expression and writing skills. The strong relationships between various writing proficiency criteria and creative expression highlight the interaction between creativity and effective writing. Thus, it is recommended that the pedagogical integration of writing techniques and creative expressions must be implemented in arts class.

New horizons of science popularization in libraries

In the recent decade, the interest in popular science seminars, lectures and master classes has been growing, which is evidenced by the specialists of libraries, museums and educational organizations. The authors argue that the dialogue between science and society should be enhanced, and it is important to attract public attention to the achievements in science and technology and to cultivate learning interest. The authors review the process of science popularization in Russia and the world, as science popularization is seen as the essential part of educating information literacy and engaging wider community in the world of scientific knowledge. The authors discuss various methods and instruments of science and technology popularization. The focus is made on the role of specialized and academic libraries being the hubs of knowledge dissemination and scientific communication, and supporting different user groups. The authors provide several recommendations for the libraries, in particular, on how to organize popular science events and to develop specialized programs for different age user groups. New options for preserving scientific knowledge digital collections, their processing and further utilization, are also proposed.

Gas dynamic optimization of the work process of a single-stage cooled axial turbine with an inside baffle

The article presents the results of optimization of the work process of a single-stage axial turbine in order to increase its efficiency. During optimization, it was necessary to preserve the construction of the original turbine as much as possible. To solve this problem, a parameterization scheme for turbine blades and path contours was developed, taking into account the design and technological limitations. The turbine nozzle blade had an inside baffle. To control the possibility of placing the baffle, a special program was developed that automatically monitors the spatial position of the sections of the blade of the nozzle set. A post-processing program was developed to control the flow parameters at the turbine outlet in height. The efficiency and the vertical deviation of the angle of the outflow from the turbine from the original one were used as optimization criteria. The limitations were the mass flow rate of the working fluid and the total pressure ratio of the turbine. The problem was solved in several stages with different changing variables. As a result of solving the problem, it was possible to increase the turbine efficiency by 0.9%

Cognitive Approach to the Use of Multimedia in Maharoh Kalam Learning

Mastery of speaking skills in learning Arabic often faces challenges related to student engagement and the effectiveness of traditional teaching methods. Conventional teaching methods are usually considered less attractive and unable to meet the learning needs of students effectively. This study aims to explore the use of multimedia based on a cognitive approach to improving students' speaking skills in the Special Arabic Language Learning Program (PKPBA) UIN Malang. Qualitative research methods were used, involving in-depth observations and interviews with students and faculty to collect data on the experience and impact of multimedia use. The results showed that multimedia designed with a cognitive approach significantly improved students' speaking skills, increased motivation, and enriched the learning experience. These findings make an important contribution to cognitive theory by demonstrating the practical application of multimedia in language learning, as well as providing guidance for educators in designing more effective learning materials. This research also emphasizes the need for inclusive technology development, attention to ethics, and the protection of users' data. Keywords: Speaking Skills, Multimedia, Cognitive

The Concept of Flexible Learning for Teaching Art Disciplines in Elementary Schools for National Minorities in modern PR China

The concept of flexible learning is increasingly important in contemporary education systems, particularly for teaching art and aesthetic disciplines. In China, this approach is especially relevant in schools serving national minorities, where diverse cultural and linguistic backgrounds necessitate a more adaptable and inclusive educational framework. This article aims to explore the implementation of flexible learning for teaching art and aesthetic disciplines in modern elementary schools in China, focusing on the experiences and strategies used to organise the educational process for representatives of national minorities. When writing the article, the methods typical for researching papers in the field of general education and pedagogical comparative studies were used, in particular: literature review, case studies, document analysis, comparative analysis, observation. The article results. Flexible learning refers to educational approaches that provide students with choices regarding how, what, when, and where they learn. It emphasises adaptability to individual learning needs, preferences, and cultural contexts. Implementing flexible learning in art and aesthetic disciplines involves several strategies to accommodate the unique needs of national minority students (such as cultural and artistic integration, use of technology, community involvement and flexible learning environments) and is widely used in PR China in regions with significant populations of national minorities, providing valuable results. However, implementing flexible learning for art and aesthetic disciplines in schools for national minorities comes with challenges, including resource limitations and the need for special programs of teacher training activities including cultural sensitivity, which are the point of constant attention of the Chinese government. The study concludes that the implementation of flexible learning for teaching art and aesthetic disciplines in modern elementary schools in China, particularly for national minorities, demonstrates a commitment to inclusivity and adaptability in education. By integrating bilingual education, technology, community involvement, and flexible learning environments, these schools can provide a more personalised and culturally relevant education for their students. Despite the challenges, the benefits of this approach are significant and include promoting cultural preservation, artistic expression, and social cohesion.

Energy Transition Policy of the Mexican Electricity Sector: A Representation in Terms of the Theory of Change

Energy transition in the electricity sector is central to limiting global warming to 1.5 °C. Countries around the world rely on official planning documents, such as strategies, special programs, and action plans, to guide these efforts. However, there are few systematic approaches and tools that can help policy makers determine comprehensiveness, coherence, consistency, and coordination when designing these planning documents. This represents a risk to meet energy transition and climate change goals if the relationships of policies and actions included in these documents are not addressed properly. To this end, this paper proposes an approach to model hierarchical relationships using the theory of change, while causal relationships are allocated using policy makers’ experience (yet can also be exogenously allocated using other models). As a case study, this work investigates Mexico’s energy transition policy of the electricity sector over the 2013–2018 period. The results show that Mexico’s official planning documents lack a good design since most policies and actions are not articulated in the right sequence and privilege clean centralized and distributed generation and energy efficiency, while others related to the modernization of electrical grids and climate and environmental policies are barely included.

Exploring the influence of a massive open online course (MOOC) for preparing rehabilitation professionals to meet the needs of forcibly displaced persons

BackgroundTo assist in the global training of rehabilitation professionals to address the unique needs of forcibly displaced persons, a free massive open online course (MOOC) was developed. This study aimed to explore self-perceived knowledge following completion of courses within the MOOC, ability to implement changes in practice, and participant engagement with the MOOC content.MethodsThe Kirkpatrick Model was used to assess the effectiveness of the course with a focus on reaction, learning, and behavior. Participant interaction with the course content was explored using thematic analysis of the MOOC’s discussion forum content. Participants in the MOOC were asked to complete pre and post-surveys of self-perceived knowledge regarding the rehabilitation of displaced persons. Mean within-subject pre and post-MOOC data were compared using the Mann U Whitney test. Knowledge implementation after six months was assessed with a follow-up survey.ResultsSelf-reported knowledge following completion of the MOOC improved significantly on individual survey questions (p≤.004) as well as composite score (p < .001). Six months following completion of the course, participants noted the ability to implement multiple strategies into practice. Three themes emerged from the discussion forum postings: (1) Understanding the persons lived experience to provide effective, holistic, patient-centered care, (2) Communication to develop a sense of connection and facilitate the provision of quality care, and (3) The importance of culturally responsive practice.ConclusionThe MOOC effectively delivered the fundamental knowledge to address the complex needs of displaced individuals among a diverse group of practicing rehabilitation professionals and can play a role in preparing the rehabilitation workforce for increased population displacement, alongside specialist programs in related themes.

Использование цифровых технологий в практике преподавания русского языка как иностранного на подготовительном факультете в российском вузе

The article examines the specificities of teaching Russian as a foreign language to pre-graduate and pre-doctoral students in the field of nuclear physics and technologies using digital tools and methods. The work considers the benefits of teaching language for specific purposes with the application of digital tools. The research aims to determine how using digital tools can enhance the effectiveness of teaching Russian as a foreign language for specific purposes in groups of pre-graduate and pre-doctoral students. The research is novel in that it is the first one to formulate the differences between the educational process for students in graduate programs and programs for training scientific and pedagogical personnel in postgraduate studies, compared to undergraduate and specialist programs. In addition, an experiment is conducted to confirm the effectiveness of using digital tools when teaching these student cohorts. The article provides a detailed description of the system of tools used in classes at the National Research Nuclear University “MEPhI” in groups of pre-graduate and pre-doctoral students. As a result of the research, it has been revealed that in the case of a systemic and methodologically justified use of digital tools in Russian as a foreign language classes, the effectiveness of the learning process increases, interest in learning Russian and nuclear physics is stimulated through practical assignments and research activities, and student motivation is also enhanced.

Анализ взаимосвязи между частотой возникновения падений пациентов и уровнем культуры безопасности в медицинской организации

The problem of patient falls in healthcare organizations is a pressing concern for modern healthcare. Falls can lead to serious consequences, including significant limitations in physical activity, the development of anxiety disorders, and depression. Additionally, fall-related injuries are associated with high costs for treatment and rehabilitation. Special comprehensive programs are implemented in healthcare organizations to prevent falls, but the success of their implementation largely depends on the level of safety culture among healthcare personnel. The aim of this study is to investigate the relationship between the level of safety culture among healthcare personnel and the frequency of patient falls. Methods. The study was conducted in the multidisciplinary clinic JSC «Medicina» in Moscow from 2014 to 2020. The safety culture was assessed using the SOPS Hospital Survey 1.0 (HSPSC). The frequency of falls was evaluated based on online forms filled out by staff. Results. The study assessed the dynamics of the fall frequency per 1,000 bed-days in the hospital. Falls were categorized according to the severity of associated injuries. A correlation was found between the fall frequency and safety culture composites, such as «teamwork» –0.826 (p=0.022), «learning from errors» –0.747 (p=0.049), «executive actions in support of patient safety» –0.760 (p=0.047), «overall impression on patient safety» –0.821 (p=0.024), «frequency of reported incidents» 0.782 (p=0.038), «openness of communication» –0.846 (p=0.017), «unit collaboration» –0.867 (p=0.012), «shift handoffs and patient transfers» –0.791 (p=0.034), «non-punitive response to errors» 0.838 (p=0.019), and «average level of safety culture across all composites» –0.809 (p=0.027) (table 1). Conclusion. The study confirms the importance of assessing safety culture as part of a comprehensive approach to prevent patient falls in hospitals. The level of safety culture among healthcare personnel is inversely correlated with the frequency of patient falls. An increase in the level of safety culture is associated with a decrease in fall frequency and a reduction in the number of associated injuries. Additionally, the level of safety culture may potentially serve as an integral indicator of the effectiveness of programs aimed at preventing adverse events related to medical care. The study’s findings are relevant for a wide range of readers interested in issues related to healthcare safety.

Visual Status in Children with Dyslexia at the Integrated Special Education Program in Selangor, Malaysia

Objective: Dyslexia is a learning disorder, characterized by difficulties in recognizing, decoding, and spelling words. Studies on visual status of individuals with dyslexia have yielded mixed findings. This study aimed to assess visual acuity and refractive errors in dyslexic children in Selangor, Malaysia.Material and Methods: A cross-sectional study was conducted in the integrated special education program (PPKI) for secondary schools across three randomly selected districts in Selangor. Children with dyslexia from 15 schools were enrolled. Distance and near visual acuity were measured, and non-cycloplegic refraction was performed to identify refractive errors. Descriptive analysis was used to describe the distribution of visual acuity and refractive errors. The Wilcoxon Signed-Rank test was used to compare habitual and corrected visual acuity (VA).Results: 137 dyslexic children, aged 13 to 19 years, participated in the study. 60% of the participants had good habitual distance VA. Meanwhile, the percentage of good habitual near VA were higher than distance VA. The Wilcoxon Signed-Rank test showed that corrected VA was significantly better than habitual VA. The most common ametropias observed were myopia and astigmatism.Conclusion: Dyslexic children in the PPKI program generally have good visual acuity and are emmetropic. However, uncorrected refractive error and suboptimal optical refraction were the primary causes of unsatisfactory habitual vision in some children. Findings highlight the need to screen for refractive errors and provide appropriate optical correction to this population to prevent further hindrance to their reading ability.

Exploring Factors Affecting Breastfeeding: Insights From Hispanic and Black Mothers and Healthcare Providers in El Paso, Texas

Objective:Breastfeeding has been shown to have many health benefits to both the infant and the mother. However, there are racial and ethnic disparities in breastfeeding rates across all U.S. states and territories. This study sought to understand the support needed to improve breastfeeding rates and address disparities in El Paso County, Texas using the socioecological model framework for analysis.Methods:We conducted focus groups involving 16 Hispanic and Black mothers. During these sessions, we asked them about the environmental and social factors that influenced their decisions to either start or stop breastfeeding. Additionally, we interviewed six health professionals to gain insights into the support activities they provide to breastfeeding women and identify potential gaps in care.Results:The study found several themes that align with prior research on breastfeeding support: (a) Breastfeeding is recognized as being healthy, but misconceptions exist about formula. (b) Some mothers find public breastfeeding or pumping inappropriate, but opinions vary. (c) Family members significantly influence the decision to breastfeed; their support varies. (d) Although aid from healthcare professionals (HCPs) in breastfeeding is appreciated and valued, it is not always available. (e) HCPs are not uniformly perceived as knowledgeable or helpful, occasionally providing conflicting information. (f) Prenatal classes featuring breastfeeding are appreciated, but the depth of information provided varies. (g) Women seek increased postdischarge support from hospitals. (h) The transition back to work introduces various challenges. (i) Community norms and attitudes toward breastfeeding can be unsupportive. (j) Demand exists for updated, accessible local breastfeeding resources. (k) The Special Supplemental Nutrition Program for Women, Infants, and Children is valued, but there is confusion about services and eligibility requirements. (l) Undocumented immigrants might hesitate to access public services due to concerns about their status.Conclusions:Breastfeeding support programs should take into account the cultural context, the influence of healthcare providers, and the availability of community support. Addressing these aspects can be key to promoting breastfeeding and reducing disparities in breastfeeding rates.

Innovative methods of teaching the discipline "Gymnastics with teaching methods"

Gymnastics as a discipline in a modern higher education institution plays an important role in the physical and comprehensive development of students. It covers not only physical exercises, but also has pedagogical, social and educational value. Gymnastics contributes to the education of students in a conscious attitude to their health, physical activity and a healthy lifestyle. It also forms habits of regular physical exercises, which is an important factor in the prevention of various diseases. Innovative technologies can be introduced into the process of teaching gymnastics to improve the quality of teaching. This includes the use of video analysis, digital tools for monitoring physical fitness, and special programs for correcting exercise technique. Different forms of gymnastics can be taught at universities: sports, artistic, recreational, acrobatic. This gives students the opportunity to choose a direction according to their interests and level of training. Thus, gymnastics in a modern higher education institution is an integral part of the physical, professional and personal development of students, helping them not only to strengthen their health, but also to acquire important skills for later life.

ГНОСЕОЛОГІЯ УПРАВЛІННЯ ТРУДОВИМ ПОТЕНЦІАЛОМ ПІДПРИЄМСТВ В УМОВАХ НЕВИЗНАЧЕНОСТІ

The existence of conditions of uncertainty in the process of managing the labor potential of enterprises gives rise to the need to find optimal management methods and tools for ensuring and combining the available human resources, their knowledge, experience and qualifications with the main components of the enterprise's potential, he strategy and goals of its development, ensuring the company's need for employees with the necessary qualifications and effective use of the labor potential of both individual employees and the team as a whole. A research aim is to learn the process of managing the labor potential, based on the current conditions of uncertainty in the development of enterprises. The object of the research is the process of managing the labor potential of enterprises in different economic conditions. The method of the research are modern methods and technologies of scientific knowledge, methods and techniques of conducting scientific research, tools of systemic, complex, economic analysis, principles of management of enterprises and their labor resources, which allow to review the existing approaches to the management of labor potential and identify directions stabilization of enterprises in modern economic conditions. The hypothesis of the research was an assumption about the possibility to determine the logic of learning the process of managing the labor potential of enterprises in modern conditions of uncertainty. The statement of basic materials. It is proved that epistemology is applied in the research in a purposeful way, as it is a tool of knowledge and a philosophy of managing the labor potential of enterprises in conditions of uncertainty. It has been confirmed that the management of labor potential is a component of the general process of managing the production potential of the enterprise, which means that it makes a direct contribution to the results of operations, the volume and output of products, the creation of certain benefits not only by the economic entity itself, but also contributes to the national income of the country. A certain philosophy of labor potential management is proposed, aimed at developing a special toolkit and acquiring new knowledge that can be used in labor potential management programs in wartime and postwar times. The originality and practical significance of the research is confirmed by the above philosophy of managing the labor potential of enterprises in modern conditions of uncertainty. Conclusions and perspectives of further research. The implemented epistemology of labor potential management made it possible to state that labor potential is a complex system with certain properties that requires the formation of additional requirements both for the assessment of labor potential and for its management. Therefore, the formation of an effective philosophy of labor potential management requires the constant development of personnel, the development of special programs for the management of labor potential based on the existing conditions of uncertainty of enterprises, including war and post-war times. Further research will be aimed at the development of special labor potential management programs, based on the sphere of activity of enterprises and their regional location

Pay Attention to Hypertension (PAtH): Findings from a cardiovascular health promotion intervention for adults with intellectual disabilities participating in Special Olympics programming.

Cardiovascular disease (CVD) affects adults globally. People with intellectual disabilities (PWID) may be at higher risk of CVD and associated risk factors (e.g. obesity, hypertension, and diabetes). We developed Pay Attention to Hypertension (PAtH), a cardiovascular health promotion intervention, and tested its impact on changes in blood pressure (BP), lifestyle behaviours and health-related empowerment among PWID. PAtH was developed with a Special Olympics community organisation that supports PWID in developing self-confidence and social skills through participation in sports. The 6-month intervention consisted of 1-h individualised virtual sessions delivered monthly by nursing students/novice nurses. Sessions covered specific themes, including monitoring BP, adopting healthy lifestyles and managing stress, and were individually tailored to the capacities and needs of participants. A single group pre-post-intervention design was used to assess the intervention's effects among participants who completed the intervention and data collection. Data included baseline and follow-up BP measurements from 7-day logbooks and questionnaires assessing lifestyle behaviours [physical activity (PA), screen time and diet], and health-related empowerment. Seventy-four participants were included in the analyses. Between baseline and follow-up, there were no changes in systolic and diastolic BP, PA or leisure screen time. The proportion of participants who reported adding salt when cooking decreased from baseline to follow-up (19.7% vs. 12.7%, P=0.034), and we found improvements for several items measuring health-related empowerment (P≤0.003). Improvements in health-related empowerment were found following PAtH. More intensive interventions may be needed to result in changes in lifestyle behaviours and BP. The integration of adapted cardiovascular health promotion initiatives within well-established community organisations such as Special Olympics is a promising avenue to contribute to cardiovascular health promotion among PWID.

СЕМАНТИЧЕСКАЯ БЛИЗОСТЬ АСТРОНОМИЧЕСКИХ ПОНЯТИЙ, ОБОЗНАЧАЮЩИХ НЕБЕСНЫЕ ТЕЛА

The problem of determining the semantic similarity of astronomical terms denoting celestial objects in a school astronomy course is considered. A distributive method is used, which consists in comparing the distributions of concepts in the astronomy textbook. With the help of special computer programs, punctuation marks and stop words are removed from the text, the number of mentions of various terms is deter-mined, the cosine measure of proximity and the semantic distance between concepts are calculated. This allows: 1) to reveal frequently used astronomical concepts denoting celestial bodies; 2) to obtain matrices of proximity and semantic distances between the concepts of "galaxy", "star", "Sun", "planet", "black hole", "white dwarf", etc.; 3) to create a mental map of the celestial bodies that make up the Solar system, taking into account the distances between the terms designating them 4) to build clouds of concepts "types of stars", "Earth – star – Universe". To model the semantic space of the textbook, the Graf.pas computer program is used, which randomly moves vertices in 2D or 3D space, each time calculating the potential energy W of the elastic rods connecting them and choosing such an arrangement of vertices that W is minimal. It is believed that the closely located vertices are connected by rigid rods, and the far removed ones are connected by elastic rubber threads.