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Patients with advanced heart failure or lung failure often experience significant changes in psychosocial needs, which may affect their quality of life, emotional wellbeing, and daily functioning. Although nurses are well-positioned to address these needs, there is limited understanding of their perspective on these conversations. Therefore, this study aimed to explore how nurses approach and experience addressing changes in psychosocial needs of patients with advanced heart failure (NYHA stage III or IV) or lung failure (GOLD 3 or 4). A qualitative study consisting of semi-structured interviews with hospital and home care nurses. Data were collected from February to April 2025. Based on a case presented by participating nurses and on the Spider Web model for Positive Health, we inquired about perceptions, approaches and challenges to discussing psychosocial needs with patients. Interviews were recorded, transcribed, and analyzed inductively following the principles of thematic analysis. We interviewed six hospital and six home care nurses (total n = 12). Nurses generally experienced conversations about psychosocial needs as meaningful and part of their professional role. They used an intuitive and organic style, attuning to the needs and boundaries of patients. In practice, their approach was challenged by competing priorities and a lack of time, especially in hospital settings. Nurses found conversations about psychosocial needs easier when they had a click and trusting relationship with patients. Some were hesitant to address sensitive topics such as sexuality and financial concerns due to discomfort, perceiving it as a lower priority, or as outside their responsibility. We identified a discrepancy between nurses' perceived importance of discussing psychosocial issues, and the extent and thoroughness with which they do this in practice. Approaches were shaped by nurses' professional intuition and attunement to patients' needs and boundaries. Topics that nurses considered sensitive, such as sexuality and financial concerns, emerged as challenging.

This study investigates the role of Technical and Vocational Education and Training (TVET) in fostering green skills for sustainable economic growth in Ghana. The study adopts a quantitative cross-sectional design involving 139 respondents drawn from TVET institutions, industry partners, and government agencies. Findings indicate that government policy support, trainer competence, institutional infrastructure, and industry collaboration significantly predict the integration of green skills (R² = 0.58) and collectively enhance employability and economic growth (R² = 0.49). Although policy awareness and institutional readiness are commendable, persistent barriers such as inadequate funding, gender disparities, and weak industry engagement continue to constrain systemic transformation. This study significantly contributes to the global Sustainable Development Goals (SDGs) 4 (Quality Education), 8 (Decent Work and Economic Growth), and 9 (Industry, Innovation, and Infrastructure). The study underscores the necessity of cross-sector partnerships and sustained capacity-building to ensure an inclusive green transition. It concludes that aligning TVET curricula with sustainable industry needs and strengthening trainer development are essential to achieving Ghana's green economy aspirations. The study recommends targeted investments, policy coherence, and international collaboration to institutionalize sustainability within TVET systems and promote gender equity across technical fields.

В статье рассматриваются ключевые этапы взаимодействия консультантов и заказчиков с выделением особенностей, учёт которых позволяет успешно реализовать консалтинговый проект для обеих сторон

Abstract Indonesia is the country with the highest dengue burden in Southeast Asia, with 488 of 514 districts reporting dengue cases annually across its 17,000-island archipelago. Despite the substantial dengue burden, spatiotemporal transmission patterns remain poorly characterised across this geographically diverse nation. We analysed province-level dengue surveillance data (2016-2024) from Indonesia’s Ministry of Health alongside climate and urbanisation variables. We examined spatiotemporal heterogeneity using phase lag analysis, bivariate mapping, and correlation analysis between dengue incidence, and climate and urbanisation variables, adjusting for surveillance capacity differences. A clear west-to-east progression of the dengue wave was found, with provinces in Sumatra and Kalimantan experiencing the earliest peaks, aligning with Australian-Asian monsoon patterns. Multi-annual outbreaks (2016, 2019, 2024) were correlated with El Niño phases. Precipitation and relative humidity showed predominantly positive correlations with dengue incidence, whereas temperature correlations were largely negative, reflecting complex relationships between climate variables and annual dengue transmission. After adjusting for surveillance, urban population density was positively correlated with dengue incidence (r = 0.490), while simple urbanisation showed a negative correlation (r = −0.310). Indonesia exhibits spatiotemporal heterogeneity in dengue transmission, with peak timing differences of up to 3-4 months between provinces, driven by monsoon seasonality. Province-specific intervention timing based on local transmission seasons, rather than uniform national scheduling, could improve control effectiveness. El Niño monitoring provides opportunities for multi-annual outbreak preparedness. Surveillance capacity adjustments indicate that urban density, rather than simple urbanisation, may drive transmission intensity. Climate-integrated surveillance and region-specific interventions are essential for effective dengue control across Indonesia’s diverse epidemiological landscapes.

Tujuan : penelitian ini bertujuan untuk menganalisis faktor yang berhubungan dengan keberhasilan pengobatan TB Paru di Puskesmas Bangkala Kota Makassar. Metodologi : desain penelitian ini adalah analisis korelasional dengan pendekatan cross sectional. Penelitian ini dilaksanakan pada tanggal 25 Mei – 20 Juli 2024 dengan jumlah sampel sebanyak 41 responden dengan menggunakan purposive sampling. Instrumen yang digunakan adalah kuesioner. Hasil Penelitian : Hasil Uji Chi-Square menunjukkan bahwa ada hubungan faktor kepatuhan minum obat dengan keberhasilan pengobatan TB Paru dengan p-value 0,000. Tidak Ada hubungan faktor PMO dengan keberhasilan pengobatan TB Paru dengan p-value 0,708. Tidak Ada hubungan faktor ketersediaan obat dengan keberhasilan pengobatan TB Paru dengan p-value 0,708.

Nordlands Beskrivelse av Petter Dass (også kjend som Nordlands Trompet, skriven mellom 1670 og 1700, utgjeven i 1739) vart oppfatta både som poesi og naturhistorie av dei fyrste lesarane av boka. Men i norsk litteraturhistorie har den naturhistoriske komponenten vorte underkommunisert. Korleis skjedde det? I denne artikkelen peikar eg på to grunnar: J.S. Welhavens definering av verket som folkedikting og måten termen «barokk» har vorte bruka på i norsk litteraturhistoriografi. I denne samanhengen undersøkjer eg resepsjonen av Nordlands Beskrivelse i litteraturhistorier frå dei siste hundre åra. Til slutt vil eg prøve å nærme meg den historiske kommunikasjonssituasjonen for Nordlands Beskrivelse. Her viser eg òg korleis Dass brukar det poetiske språket til å uttrykkje naturhistorisk kunnskap.

Dieser Erfahrungsbericht handelt von einem Projekt im Deutschunterricht für das Niveau A1.2 bis A2. Die Teilnehmer*innen, die an einer japanischen Musikhochschule studieren, stellen Musik aus Japan in einem Video-Brief an eine Person in einem DACH-Land kreativ und performativ vor, indem sie die Musikstücke sowohl mündlich auf Deutsch als auch musikalisch durch eine eigene Aufführung präsentieren. Während die Auswahl des Stückes die Teilnehmer*innen anregt, sich mit ihrem kulturellen Hintergrund reflexiv und kritisch auseinanderzusetzen, dient die Reaktion des Empfängers 1 einem ästhetischen Lernziel, weil die Lernenden abschließend die Verbindung von Musik und Deutschlernen nicht nur aus eigener Sicht, sondern auch aus der der Rezipient*innen reflektieren können. Unser didaktisches Interesse liegt darin, Musik als Fachstudium und Fremdsprachenunterricht zu verbinden. Gerade in der fächerübergreifenden Praxis sehen wir Möglichkeiten in Hinsicht auf performative Formen des ästhetischen Lernens. In diesem Beitrag wird unser Projekt an einer japanischen Musikhochschule vorgestellt und als Lehransatz für kulturreflexives und ästhetisch-kreatives Lernen dargelegt. Zunächst wird skizziert, wie japanische Musikstudierende am Projekt des virtuellen Austauschs mittels Videobriefen arbeiten und was an den Ergebnissen einer Umfrage zum 10. Jubiläum des Projekts besonders auffallend war. Das handlungsorientierte Projekt findet seit 2010 jedes Jahr im Wintersemester in einem fakultativen Deutschkurs als Abschlussaufgabe statt 2 . Das Sprachniveau der Kursteilnehmer*innen liegt etwa zwischen A1.2 und A2. Die Teilneh-