There were hardly any differences between female and male participants and between surgical and non-surgical participants. However, there were significant correlations between the assessment of the leader and the effects of group work. Discussion The predominantly positive assessment of Balint’s work is surprising, both in terms of cognitive and emotional learning goals. In addition to the group atmosphere, the motivation and competence of the group leader, perceived by the participants, are closely related to the learning effects achieved. The survey shows that Balint work can achieve positive results even with less motivated participants on a compulsory course. Balint work should therefore remain an integral part of the qualification in psychosomatic basic care. Sound training and supervision of Balint group leaders are necessary.The relationship between trauma, consequences of trauma and personality structure A mediation analysisBackground This study deals with the hitherto scarcely explored relationship between the extent of traumatization, psychopathological consequences and personality structure. It is examined whether the structural integrity of the personality has a mediating influence on the relationship between trauma and symptoms of post-traumatic stress disorder (PTSD) and mental pain after traumatization. Methods The investigated community sample consisted of 381 adults (89 % female) who reported at least one lifetime traumatic experience. The path analysis technique was applied to estimate associations between the degree of traumatization, PTSD symptoms, mental pain and the integrity of personality structure. selleck kinase inhibitor Results The extent of experienced traumatization is significantly associated with increased impairment of personality structure (β = .40; p less then .001), severity of the mental pain (β = .21; p less then .001) and PTSD symptoms (β = .14; p less then .01). Deficits in the personality structure were associated with increased mental pain (β = .67; p less then .001) and PTSD symptoms (β = .73; p less then .001). The mediation analysis showed an indirect effect of traumatization on mental pain (β = .27; p less then .001) and PTSD symptoms (β = .29; p less then .001), which is partially mediated by personality structure level. A detailed analysis showed that this mediation relationship can be attributed in particular to deficits in the ability to observe oneself. Discussion The results of this study emphasize the significance of personality structure in the development of psychological consequences of traumatization. Regarding therapeutic practice, especially the ability to observe oneself seems to offer an important starting point for the treatment of mental pain and PTSD symptoms.This study aimed to explore the evolution tracks of occupational low back pain (OLBP) studies during 2000 ∼ 2020 through strict and systematic bibliometric analysis. The analysis began with data retrieval in Web of Science using defined search terms associated with OLBP. Bibliometric tools, including BibExcel and CiteSpace, were employed to conduct performance analysis and co-citation network analysis. Totally, 4,127 documents were identified from 2000 to 2020. The United States contributed the most publications. The leading journals mainly focused on medicine and ergonomics. The co-citation analysis illuminated the development of OLBP studies and the top three published keywords were musculoskeletal disorder, risk factors, and fear avoidance. This paper can help researchers have a broader and deeper understanding of OLBP studies, provide a general insight into aggregate performance in the OLBP field, and find further research directions.Answering the Call, the Australian National Police and Emergency Services Mental Health and Wellbeing Study, surveyed 14,868 Australian ambulance, fire and rescue, police, and state emergency service employees. Emergency services personnel had lower rates of mental wellbeing and higher rates of psychological distress and probable PTSD than the general adult population. Overall 30% had low wellbeing, 21% had high and 9% had very high psychological distress, and 10% had probable PTSD. An estimated 5% had suicidal ideation and 2% had a suicide plan in the past 12 months, while 16% binge drink at least weekly. Only one in five of those with very high psychological distress or probable PTSD felt they received adequate support for their condition. These findings highlight the risk of mental health conditions associated with work in the emergency services sector.The way workers perceive noise exposure can play an important role in the adoption of safety behaviors. Therefore, the determination of the relationship among risk awareness, behavior, and exposure can be an extremely important issue in controlling noise exposure. The aim of this study was to investigate the association between risk perception and practice of workers. Workers from 16 printing houses in Tehran province participated in present study. A questionnaire was used for determining the level of risk perception and practice about hearing conservation. The results revealed a significant relationship between risk perception and safety behavior adoption (P  less then  0.001). A positive and significant correlation was found between these two variables (P  less then  0.001; rs = 0.912). Also, the results showed that workers with hearing impairment had a better practice. In addition, attention should be paid to preventive principles and encouragement of hearing protection devices usage among employees.In heart failure, fluid overload is a major pathological mechanism leading to vascular congestion, pulmonary congestion and elevated jugular venous pressures. Diuretics play a significant role in the management of patients with congestive heart failure. It is used to relieve the congestive symptoms of heart failure. However, the appropriate use of diuretics remains challenging due to various complications like electrolyte abnormalities, worsening renal function and diuretic resistance. This has prompted towards the search of safer and effective alternatives. This review evaluates the use of diuretics in congestive heart failure and discusses the complications of different types of diuretics, which is essential for successful management of congestion in patients with heart failure and hence to optimise the outcome for the patients.