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Background. The relevance of the study is determined by the need to obtain qua-litatively new and diverse knowledge that contributes to the formation of an objective assessment of the activities of health authorities and institutions during the war period. The purpose of the study is to reconstruct the hospital everyday life of Penza region at the final stage of the Great Patriotic War based on the complaints from wounded Red Army soldiers. Materials and methods. The study is based on the analysis of documents from the State Archives of Penza Region, as well as materials from local and central periodicals. The central place is occupied by the complaints of servicemen who were treated in evacua-tion hospitals of the Penza region in 1944–1945. Documents of an earlier period (for 1941–1943) and any statistical data on the number and problems of appeals in the regional archive are not presented. The analysis of the specified corpus of sources makes it possible to reconstruct the daily history of evacuation hospitals in the “dimension” of direct recipi-ents of medical care – wounded soldiers of the Red Army. The description of the adaptation practices of the wounded and sick, presented in the complaints, needs to be correlated with the assessments of employees of hospitals, public organizations and government agencies. Results. Some aspects of the source analysis of the complaints of the wounded and sick Red Army soldiers are studied, their main problems are highlighted. An attempt was made to determine the degree of reliability of perceptions of hospital life reproduced in complaints. Conclusions. The analysis made it possible to identify a wide range of problems faced by the wounded who were treated in local evacuation hospitals: poor-quality nutrition, low level of material and sanitary support, theft of property, shortcomings in the organization of treatment, violations of military and labor discipline. Conducting a comparative analysis of the information obtained from a significant number of complaints with the data of office documentation allows us to judge a fairly adequate reflection of the extreme everyday life of base hospital in the messages of the wounded.

Purpose: Several weeks after COVID-19 infection, some children report the persistence or recurrence of functional complaints. This clinical presentation has been referred as "long COVID" in the adult population, and an [18F]-FDG brain PET hypometabolic pattern has recently been suggested as a biomarker. Herein, we present a retrospective analysis of 7 paediatric patients with suspected long COVID who were explored by [18F]-FDG brain PET exam. Metabolic brain findings were confronted to those obtained in adult patients with long COVID, in comparison to their respective age-matched control groups. Methods: Review of clinical examination and whole-brain voxel-based analysis of [18F]-FDG PET metabolism of the 7 children in comparison to 21 paediatric controls, 35 adult patients with long COVID and 44 healthy adult subjects. Results: Despite lower initial severity at the acute stage of the infection, paediatric patients demonstrated on average 5 months later a similar brain hypometabolic pattern as that found in adult long COVID patients, involving bilateral medial temporal lobes, brainstem and cerebellum (p-voxel < 0.001, p-cluster < 0.05 FWE-corrected), and also the right olfactory gyrus after small volume correction (p-voxel = 0.010 FWE-corrected), with partial PET recovery in two children at follow-up. Conclusion: These results provide arguments in favour of possible long COVID in children, with a similar functional brain involvement to those found in adults, regardless of age and initial severity. [ABSTRACT FROM AUTHOR]

Complaints processes and their governance in UK higher education (HE) have received little critical scrutiny, despite their expanded role under the increasing marketisation of HE. This article draws on interviews with students who attempted to make complaints of staff sexual misconduct to their HE institution. It outlines four groups among the interviewees according to the 'remedy' that they obtained, describing how most interviewees could not access the services of the Office of the Independent Adjudicator for Higher Education in England as they could not complete internal institutional complaints processes. The failure of most complainants to obtain remedy, and the difficult experiences of those who did, reveals the inadequacies of using an individualist, consumer-oriented model for addressing discrimination complaints in HE. The article also contributes to discussions of justice for sexual violence survivors, suggesting that community-oriented remedies are needed alongside formal administrative justice processes to address power-based sexual misconduct in institutions. [ABSTRACT FROM AUTHOR]

Introduction Complaints in the health care system are complaints made by patients or patient's relatives due to various reasons such as poor quality of service or unmeet expectations. There are few studies done measuring the prevalence of hospital's complaints but none being done in Hospital Sultan Ismail Johor Bahru and very limited study looking at factors associated with it and with compensation claims. This study aims to identify complaints at Hospital Sultan Ismail Johor Bahru and factors associated with complaints and with compensated claims. Methods A cross sectional study was done at Hospital Sultan Ismail Johor Bahru using a data from 1st January 2009 until 31st December 2016. All relevant data was taken from the complaint data collected by the hospital Complaints Management Committee. Results The study found a total of 304 complaints data with a prevalence of 0.13 per 1000 patient arrivals. Out of these complaints, 16.7% were compensation claims. 51.5% of complainants were male and 67.4% were Malays. 46.2% of complaints were related to clinical management, 61.4% were made against the doctor. Only 12.1% complaints were related to mortality and 11.4% related to morbidity. This study also found that there was significant relationship between race, type of complaint and disease factor with complaints. Conclusions Compensation claims were highly related to clinical management and disease factors. These complaints should investigate thoroughly to see what can be done or to be improved in the future. [ABSTRACT FROM AUTHOR]

Patients from racial/ethnic minority backgrounds can experience racism and race-based discrimination in the health system, enduring unfair and inferior treatment that negatively affects physical and mental health and well-being and may, in some cases, lead to premature and avoidable death. Racism within the health system also acts as a deterrent to health care access because individuals may choose to avoid healthcare settings for fear of repeated exposure to racism. Racism and its impacts in health are well documented and health care-related regulatory organisations and antidiscrimination commissions in Australia are the recipients of racism complaints that occur within the health system. However, the extent and nature of complaints of racism in healthcare settings (i.e. self-reported incidents of racism) and how they are managed by regulatory organisations and antidiscrimination commissions are not well understood. This paper provides a summary of existing approaches to complaints in the Australian health system related to healthcare regulatory organisations and antidiscrimination commissions. We offer recommendations for improvements to data collection and dissemination of racism complaints to better understand the nature and extent of racism and race-based discrimination in the health system, and thus inform changes to process and practices that will reduce the incidence of racism and improve health outcomes. [ABSTRACT FROM AUTHOR]

Objective: It is increasingly recognized that patient safety requires heterogeneous insights from a range of stakeholders, yet incident reporting systems in health care still primarily rely on staff perspectives. This paper examines the potential of combining insights from patient complaints and staff incident reports for a more comprehensive understanding of the causes and severity of harm. Methods: Using five years of patient complaints and staff incident reporting data at a large multi-site hospital in London (in the United Kingdom), this study conducted retrospective patient-level data linkage to identify overlapping reports. Using a combination of quantitative coding and in-depth qualitative analysis, we then compared level of harm reported, identified descriptions of adjacent events missed by the other party and examined combined narratives of mutually identified events. Results: Incidents where complaints and incident reports overlapped (n = 446, reported in 7.6%' of all complaints and 0.6% of all incident reports) represented a small but critical area of investigation, with significantly higher rates of Serious Incidents and severe harm. Linked complaints described greater harm from safety incidents in 60% of cases, reported many surrounding safety events missed by staff (n = 582), and provided contesting stories of why problems occurred in 46% cases, and complementary accounts in 26% cases. Conclusions: This study demonstrates the value of using patient complaints to supplement, test, and challenge staff reports, including to provide greater insight on the many potential factors that may give rise to unsafe care. Accordingly, we propose that a more holistic analysis of critical safety incidents can be achieved through combining heterogeneous data from different viewpoints, such as through the integration of patient complaints and staff incident reporting data. [ABSTRACT FROM AUTHOR]

Whistleblowing can bring suspected wrongdoing to the attention of someone who is in the position to rectify the problem. Whistleblowing research can help improve effectiveness of anti-corruption efforts in the health sector. The objective of this scoping review is to understand the extent and type of evidence on whistleblowing as an anti-corruption strategy in health and pharmaceutical organisations in low- and middle-income countries (LMICs). This scoping review searched the PubMed, Scopus, and EMBASE databases from 2005 to 2020, limited to English language. We also searched websites of multilateral agencies or international non-governmental organisations for policy documents, guidance and reports. Titles and abstracts were screened to remove those where the focus was not on health, pharmaceuticals, whistleblowing, or LMIC context. Articles focused on research misconduct were excluded. Full-text articles were assessed for eligibility on these same criteria. Included sources were analysed thematically, based on five categories including definitions and models; evidence of reporting frequency; factors influencing whistleblowing; cultural context; and outcomes. The review found 22 sources including reports, policies, and guidance documents (12, 55%), news articles (4, 18%), policy analyses/reviews (3, 14%), commentaries (2, 9%), and empirical studies (1, 5%). Most sources described whistleblowing policy and system components such as how whistleblowing is defined, who can report, and how confidentiality is assured. Few articles documented types and frequencies of corruption identified through whistleblowing or factors associated with whistleblowing. Several studies mentioned cultural norms as a potential limitation to whistleblowing effectiveness. About one-third of the sources described fear of retaliation and noted the need to strengthen protection for whistleblowers. Research on whistleblowing is scarce in health and pharmaceutical organisations in LMICs. Documentation of policies, factors associated with whistleblowing, and whistleblowing outcomes is needed and could help countries to mainstream whistleblowing as a sectoral anti-corruption strategy. [ABSTRACT FROM AUTHOR]

The practice of chain remand would cause human rights violations if the application was granted without reasonable cause and reason. This chain remand problem was tried to be addressed in 2007, which was amongst the factors that led to the amendment of the Criminal Procedure Code (CPC) at that time due to the defilement of human liberty. In Malaysia, there are governmental and non-governmental bodies that are active in ensuring that the human rights of the entire community are protected from being violated. The issue of wrongful detention involving chain remand during an investigation is not a new issue. This issue is constantly highlighted and efforts to address it are often raised by the responsible parties. This study aims to analyse the roles of these bodies in dealing with chain remand complaints in Malaysia using a qualitative research approach by way of in-depth interviews, roundtable discussions, and document analysis. The study discovered that these human rights bodies in Malaysia were able to investigate the complaints, but did not have a role to take any actions. Their role is only to provide recommendations to the complainants to take action. Therefore, this study recommended establishing a legal provision with respect to the power to impose prosecution or disciplinary action on the officers involved in illegal detention without due cause. This study also suggests the function should be given to the prosecution department to take action to curb the problem based on solid evidence. [ABSTRACT FROM AUTHOR]

The article reviews aspects of oral health and psychological well-being, analyzes the complaints about oral health, which determine the psychological well-being of a person. Particular attention is paid to persons for whom a representative appearance and smile are important at work. [ABSTRACT FROM AUTHOR]

Copyright of Estudios sobre el Mensaje Periodistico is the property of Universidad Complutense de Madrid and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Bulletin of the Center Papyrological Studies (BCPS) is the property of Ain Shams University, Faculty of Archaeology and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Increasing transparency and accountability in policing is a top priority for police administrators, community groups, academics, and many others. The internal affairs process is an accountability tool designed to hold officers and agencies accountable to the citizens they serve, yet very little is known about the effect of internal investigative units on such outcomes as subsequent complaints and temporal distances between complaints. This current study examines two critical aspects of the internal affairs process, the likelihood of subsequent complaints and temporal distance between the first and a subsequent complaint of misconduct. Officers' complaint data were collected from the internal affairs unit of a large, metropolitan police agency in the southwestern United States. Results indicate that a longer time to initial complaint and regional patrol assignment were related to a reduced likelihood of receiving future complaints. Moreover, of those officers who received a subsequent complaint after their initial complaint, more than half did so within the first year, and 94% did so within the first three years of receiving their initial complaint. Finally, we discuss the implications of our findings on policy and training opportunities, supervision, mentoring, accountability, and Early Intervention (EI) systems. [ABSTRACT FROM AUTHOR]

This study draws on a database of 200 citizens' telephone calls to a Chinese radio program phone-in helpline and uses conversation analysis as the methodology to examine citizens' requests for assistance, officials' granting responses to citizens' requests, citizens' or the host's resistance to officials' granting responses. It is found that citizens make complaints about their previous failure to solve their problems in a way that is not merely to legitimize their current requests for assistance but also to ask for an account of their previous failure to have matters satisfactorily resolved, since in many cases even when officials grant citizens' requests, the granting is followed by those citizens' pursuit of reasons for or remedy to their previous failed resolution attempts. The study also analyzed how citizens' resistance to officials' responses is handled and how the final agreement is reached. The findings of this study contribute to the study of turn design of requests and preference organization of responses to requests and have implications for responses to requests in service encounters. [ABSTRACT FROM AUTHOR]

One of public service offered by Investment and One Stop Integrated Service Office is a service of getting license of housing and residential area. Some complaints and suggestions are delivered to this office for better service. This study is aimed to measure public perception level towards Investment and One Stop Integrated Service Office on solving complaints and suggestion by giving license of housing and residential area. The method used in this study was survey in reference to the Regulation of the Minister of Administrative Reform and Bureaucratic Reform of the Republic of Indonesia Number 14 of 2017 about guidelines for arranging survey of public perception unit.

Background: The Office of the Ombudsman of the Republic of Bulgaria (ORB) is an independent constitutional body elected by Bul­garian Parliament in 2005. It serves to protect the rights of all citizens, including the rights of patients, children, people with disabilities, minorities, foreigners, etc. Bulgarian healthcare users complain when they feel that the healthcare system (HCS) has failed their needs or they have been recipients of an inappropriate treatment.Aim: The aim of the present study was to analyze the structure and dynamics of all complaints from Bulgarian healthcare users referred to the ORB over a 13-year period (2005 – 2018).Materials and methods: Retrospective documental research was used in the present study. The data included the complaints ob­tained from the official annual reports of the ORB that are available online. Bibliographic and documental searches were also used as sources. The complaints were analyzed by their annual distribution and classified by problem areas in the HCS.Results: Between 2005 and 2018, there were a total of 3288 complaints filed to ORB against HCS. In 2015, 368 complaints were re­ceived by ORB from Bulgarian healthcare users and from various patient organizations concerning problems in the HCS. The filed complaints to ORB increased by 82% in 2016 (n=421). In 2017, the overall number of ORB-referred complaints amounted to 494, and in 2018 their number was as high as 607, which represents an increase by 23% compared to the number of complaints in 2017.Conclusion: The great number of complaints referred to ORB about the HCS over the last four years strongly suggests that the institu­tion of the Ombudsman in Bulgaria enjoys high confidence among Bulgarian healthcare users.

The increase of minimum wage in 2018 in Russia turned out to be the most pronounced in regions of the Far North and similar localities due to the exclusion of regional compensation payments and Northern allowances from the minimum wage. We are interested in both studying the effects of the minimum wage’s increase and assessing its value’s compliance. The article suggests a new approach to achieving these objectives based on the number of workers’ complaints to the State Labour Inspectorate. We developed and applied an econometric model to reveal the connection between the rate of compensation payments in a region and the number of complaints regarding the problem that “the employer pays less than the law requires”. As the study’s information base, we used the data gathered from an online dataset of the Federal Service for Labour and Employment, Federal State Statistics Service, and the professional database “Ruslana”. We discovered that in 2018, the number of complaints on the considered topic in the North regions was 2.5 times higher than in other regions. An increase in the value of regional compensation payments is associated with an increase in the number of complaints. The largest number of complaints came from employees of small enterprises, budgetary institutions, and firms experiencing financial difficulties. The legal authorities may use suggested recommendations regarding the legislation of the status of regional compensation payments and Northern allowances in the process of determining the minimum wage. We recommend the employers to use the checklists that allow minimizing the risks of consequences of labour law’s violations in the Far North and similar localities.

Abstract Background Primary rhinoplasty outcomes may not meet individual expectations. Consequently, reoperation may be advocated to improve results. This study examines the prevalence of individuals considering revision rhinoplasty, while identifying the main cosmetic and functional complaints and factors associated. Methodology This is a cross-sectional study conducted in Saudi Arabia using a self-reported online questionnaire distributed through social media channels. The sample included 1370 participants who were all Saudi nationals over the age of 16 who had undergone primary rhinoplasty at least 1 year prior. Results The prevalence of individuals considering revision rhinoplasty was 44.7%. The primary reason for considering it was the desire for further esthetic improvement in an already acceptable result (50.16%). The most common cosmetic complaints subjectively reported were poorly defined nasal tip (32.35%). The most prevalent nasal function symptom was nasal obstruction (56.9%). Significant factors associated with considering revision rhinoplasty included the physician not understanding the patient’s complaints, short consultation time, low monthly income, inadequate information about the expected results, not using computer imaging to predict outcomes, lack of rapport with the surgeon, and inadequate information about the risks and complications. Conclusions A thorough understanding of patient concerns and expectations, as well as thoughtful consideration of risk factors, may help surgeons achieve more successful outcomes and potentially reduce the incidence of revision rhinoplasties. Level of evidence III

The aerial sport has experienced a vast development generated by economic growth, the needs of fast transport, tourism, as well as the involvement of Romania in international freight transport. At the same time, this is added to the specific characteristics of air transport, which, together with the characteristics of other modes of transport, is gaining increasing importance for particular transport objects. Air transport in Romania has reached historic highs in recent years, through the number of domestic and international flights, and the number of passengers exceeded 2 million in 2018.The transport companies that operate in and from Romania aim to attract passengers with increasingly tempting offers and most often at competitive prices with traditional transport. In order to be able to create a strategy that is as competitive as possible for Romanian passengers, the airline companies aim to identify the elements that define the behavior of the Romanian consumers. This article aims to highlight the most important factors that influence the purchase of the air transport service, at the level of Romania, as well as their financial valence.

Introduction. With the increase in cognitive impairment among young people, it is important to timely identify and modify risk factors. The aim of the study was to evaluate early cognitive disorders in relationship with subjective hearing disorders, burnout syndrome, and depression among middle-aged women. Methods. The study involved 310 women aged 26 to 59 years (M=38.6). An online survey was created. Respondents filled in the Cognitive Failures Questionnaire (CFQ), Subjective Cognitive Complaints (SCCs) questionnaire, Shirom-Melamed Burnout Measure (SMBM), and Geriatric Depression Scale (GDS). Sociodemographic factors, addictions, subjectively reported presence of chronic diseases, and subjective hearing disorders were registered by the study questionnaire. Student’s t-test, Chi-square test, Fisher’s exact test, and logistic regression analysis (LRA) were used for data analysis. Results. 34 females (11%) had subjective cognitive failures (CF+ group) and 276 (89%) had not (CF- group). 28.7% of respondents had subjective cognitive complaints (SCC+ group) and 71.3% had not (SCC- group). 23 females (7.4%) had depression and 62 females (20%) were likely to be depressed. 34 (11%) females had significant symptoms of burnout. 30.6% (N=95) self-reported having chronic diseases. 14.84% of females had subjective hearing disorders. The CF+ group had higher GDS scores than the CF- group (M=6.88 vs. M=3.78, p

This study reviewed different country studies and noted that complaints in Brazil are more concentrated in complaints about being attended to and receiving access to services, rather than about clinical quality and safety issues. This paper explores the possible explanations for these differences based on the institutional logics theory and which logics actors privilege, and how they may play out in the healthcare field. To accomplish this undertaking, this study makes use of the healthcare complaint categorization developed by Reader and colleagues, which has been used by various studies. Next, a set of studies about healthcare complaints in different countries was examined to analyze the issues most common in the complaints and compare this information with the Brazilian data. This study identified three explanations why complaints about medical errors seldom occur. One group of studies highlights the hardships of local health systems. Another focuses on patient behavior. Finally, the third kind focuses on the issue of power to determine health orientation. The studies about a lack of resources do not directly explain why fewer complaints about clinical quality occur, thus helping to stress the management issues. Patient behavior studies indicate that patients may be afraid to point out medical errors or may be unaware of the procedures of how to do so, suggesting that family logic is left out of the decisions in the field. The third group of work highlights the prominence of the medical professional logic, both in terms of regulation and medical exercise.

In everyday interaction, subtle manifestations of sexism often pass unacknowledged and become internalised and thus perceived as "natural" conduct. The introduction of new vocabularies for referring to previously unnamed sexist conduct would presumably enable individuals to start problematising hitherto unchallengeable sexism. In this paper, we investigate whether and how these vocabularies empower people to speak out against sexism. We focus on the use of the term "mansplaining" which, although coined over 10 years ago, remains controversial and contested. Using Conversation Analysis and Membership Categorisation Analysis, this paper excavates the interactional methods individuals use to formulate, in vivo, some prior spate of talk as mansplaining. In doing so, speakers necessarily reformulate a co-participant's social action to highlight its sexist nature. Accusations of mansplaining are accomplished by invoking gender (and other) categories and their associated rights to knowledge. In reconstructing another's conduct as mansplaining, speakers display their understanding of what mansplaining is (and could be) for the purpose at hand. Thus, the paper contributes to the well-established body of interactional research on manifestations of sexism by documenting how the normativity of epistemic rights is mobilised as a resource for bringing off accusations of mansplaining. [ABSTRACT FROM AUTHOR]

Joe Blann's (2011) comic 'Things We had' is a complex and nuanced multimodal realisation of a tense interaction between a couple, rendered through the subtle interplay of narration, panel composition and dialogue. The tug of war and blame game the couple engage in are rife with instances of impoliteness. Drawing on Culpeper's (2011a, 2015b) impoliteness framework and an integrative pragmatics approach, this article examines the sophisticated multimodal realisation of impoliteness and power dynamics, with a particular focus on the subtle forms of implicational impoliteness and intricate impoliteness patterning used in the fictional interaction. In doing so, it analyses the interplay between impoliteness and power dynamics in the exchange, highlighting the importance of impoliteness analysis in revealing the fluid relational power dynamics underlying the couple's interaction. This is accompanied by an analysis of the key affective and interactional role of impoliteness in driving the exchange between the couple. Impoliteness, along with the evaluative negative affect it involves, is shown to be instrumental in the couple's struggle for interactional power in the course of the interaction, and also more broadly, in their negotiation of relational power within the relationship. [ABSTRACT FROM AUTHOR]

Shashi Deshpande is one of India's most distinguished authors, and the winner of prestigious Sakithya academy award and Padmasri award. In her novels Shashi Deshpande tries to provide the reader with the 'quintessential' woman. She closely analyses the woman's psychological, emotional, and intellectual needs as well as their aspirations, cravings, desires conflicts and catastrophes that they inevitably bring in their work. This paper aims at depicting the intricacies in the mother daughter relationship through the multi-dimensional narrative, 'The binding vine'. [ABSTRACT FROM AUTHOR]

The article analyses the practical functioning of a complaint against excessive length of proceedings before the Polish Supreme Administrative Court. The author analysed the case law of the Supreme Administrative Court in this regard in 2015-2019 as well as statistics relating to complaints and the duration of proceedings before the Court. This analysis leads to the conclusion that such complaints are an ineffective means of protecting the infringed right to be heard within a reasonable time, which is provided for in Article 6 of the European Convention on Human Rights. The problem of long-lasting proceedings before the Supreme Administrative Court is of a systemic and structural nature, and is primarily related to the insufficient number of judges and clerks at the Supreme Administrative Court. The argumentation presented in the stabilized jurisprudence of the Supreme Administrative Court - which dismisses complaints and refers both to the fact that a given case is awaiting examination in the order of the receipt of cases by the Supreme Administrative Court and to the large number of cassation complaints submitted to this court - is not justified in the light of the standards resulting from the jurisprudence of the ECtHR. This is because such arguments lead to the consequences of the organizational and financial shortcomings of the judiciary being transferred to the individual. [ABSTRACT FROM AUTHOR]

Environmental justice (EJ) is an integral part of the mission of the US Environmental Protection Agency (EPA) working together with states, tribes, and affected communities to ensure equitable environmental and public health protection. Executive order (EO) 12898 was signed February 11, 1994 by the President requiring Federal Agencies to incorporate EJ practices into their operations. EO 12898 defines EJ as "the fair treatment and meaningful involvement of all people regardless of race, color, national origin, or income with respect to the development, implementation, and enforcement of environmental laws and policies." In this paper we will describe how EJ is defined, how EPA identifies issues concerning over-burdened and vulnerable populations, EPA's mapping tool called EJSCREEN, other science-based resources, and provide examples of success stories impacting vulnerable populations. Examples include the agency's first "EPA-led" Health Impact Assessment (HIA) demonstration project in the Proctor Creek Community of Atlanta and a community-led Mold and Mildew project (Eco-Action Inc) also in Atlanta. EJ is about promoting a healthy and sustainable community for everyone, including minority, low-income, and tribal populations and building capacity with our external stakeholders to better understand and address issues that concern overburdened communities. The objective of this paper is to provide a greater understanding of the EPA's EJ work and accomplishments in partnership with other federal partners, state/local government, non-governmental organizations (NGO's), and community organizations. Moreover, it is anticipated that the outcomes would be a catalyst for participants to further incorporate EJ considerations into their programs, policies, practices and activities. [ABSTRACT FROM AUTHOR]

This study investigates the use of verbally incomplete utterances in French-language complaints about third parties or situations. In these cases, a speaker initiates a turn with verbal means but stops talking before reaching lexico-syntactic completion. The utterance becomes recognizable as an expression of negative stance or as a precise negative assessment by virtue of the linguistic formatting of the turn-initiation, its position within the larger interactional context, and the speaker's accompanying bodily-visual displays and vocalizations. Data consist of video-recorded coffee-break conversations among first and second language speakers of French. Using multimodal Conversation Analysis, the analysis documents recurrent linguistic formats of the verbally incomplete utterances and examines the interactional deployment of the utterances in two distinct sequential contexts: (1) in the initiation of complaints, and (2) at the end of complaint tellings or reports. In the first of these, the action of leaving a turn verbally incomplete and expressing stance with bodily-visual means allows the speaker to prepare the grounds for the complaint by foreshadowing the negative valence of the upcoming talk. In the latter case, the verbally incomplete utterance and accompanying vocal and/or embodied conduct are deployed as a summary assessment or upshot of the complaint which shows, rather than merely describes, the complaint-worthiness of the situation. In both cases, the utterances work to enhance the chances for the speaker to obtain affiliative responses from coparticipants. While prior studies on verbally incomplete utterances have suggested that such utterances may be specifically suitable for subtly dealing with delicate actions, in this study the utterances are sometimes produced as part of multimodal 'extreme-case expressions' that convey negative stance in a high-grade manner. The findings contribute to a better understanding of interactional uses of verbally incomplete utterances and of the multimodal nature of negative assessments. The study thereby furthers our understanding of how grammar and the body interface as resources for the accomplishment of context-specific actions and the organization of social interaction. [ABSTRACT FROM AUTHOR]

This qualitative study explored the lived experiences of 13 licensed independent social workers who participated in licensing investigations and received sanctions by a state licensing board for violations of laws, rules, or ethical standards. The researchers used an interpretive approach to analyze the interviews and identify common themes in their experiences. Participants identified 5 key aspects of the investigation process: due process, respect, investigator neutrality, investigator qualifications, and contextual factors. They also described their views on the value of having effective legal representation. This article concludes with recommendations for improving licensing board investigation processes. [ABSTRACT FROM AUTHOR]

The investigation of complaints against the police is important to law, order and justice. The public expects high ethical standards from its police service and when breaches occur, complaints often follow. How the police respond to complaints can influence the trust and confidence that underpins the civilian-police relationship. This paper examines some of the key issues faced by police services in the management of complaints and reviews the effectiveness of mediation as a measure to rebuild relations. The Los Angeles and New York City Police Departments were selected for the study because there are very few civilian-police complaints mediation programs in operation and these sites had reports on the public record that indicated some success. A qualitative case study approach was used, incorporating public source material and interviews with key informants. The findings show that the inclusion of external mediation in police complaints systems offers complainants a transparent, impartial and often restorative mechanism to resolve complaints. However, any perceived conflict surrounding the independence and equity of the mediation vendor can engender police and complainant mistrust in the process. As such, ongoing public and police education on the aims, process and benefits of mediation is required to sustain its use. [ABSTRACT FROM AUTHOR]

Many studies of complaints‐in‐interaction have examined long sequences. This paper, by contrast, scrutinises a series of complaints produced within the same participation framework across four successive encounters. The data comprise audio‐recorded talk between an older woman (the complainant) and her stylist in a hair salon. Drawing on conversation analysis and membership categorisation analysis, I show how the complainant recurrently, but implicitly, implicates her near‐co‐resident adult daughter as a culpable figure in her complaints. I argue that it is the longitudinal nature of the data that enables this identification of the daughter as the recurrent underlying target. The paper thereby contributes to studies of complaining‐in‐interaction. It also shows how we might address some of the methodological issues associated with implicitly designed complaints. Furthermore, I argue that through the detail of the way she designs her articulation of her troubles—as complaints, but with the culpability of her daughter often very implicit—the complainant discursively constructs the complexity of her familial relations and living situation. This paper thereby also contributes to sociolinguistic studies of social ageing by offering insights into some of the lived ambivalence of co‐residence arrangements in later life. [ABSTRACT FROM AUTHOR]

Copyright of Turkish Journal of Marketing is the property of Turkish Journal of Marketing and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

This study investigates the use of verbally incomplete utterances in French-language complaints about third parties or situations. In these cases, a speaker initiates a turn with verbal means but stops talking before reaching lexico-syntactic completion. The utterance becomes recognizable as an expression of negative stance or as a precise negative assessment by virtue of the linguistic formatting of the turn-initiation, its position within the larger interactional context, and the speaker’s accompanying bodily-visual displays and vocalizations. Data consist of video-recorded coffee-break conversations among first and second language speakers of French. Using multimodal Conversation Analysis, the analysis documents recurrent linguistic formats of the verbally incomplete utterances and examines the interactional deployment of the utterances in two distinct sequential contexts: (1) in the initiation of complaints, and (2) at the end of complaint tellings or reports. In the first of these, the action of leaving a turn verbally incomplete and expressing stance with bodily-visual means allows the speaker to prepare the grounds for the complaint by foreshadowing the negative valence of the upcoming talk. In the latter case, the verbally incomplete utterance and accompanying vocal and/or embodied conduct are deployed as a summary assessment or upshot of the complaint which shows, rather than merely describes, the complaint-worthiness of the situation. In both cases, the utterances work to enhance the chances for the speaker to obtain affiliative responses from coparticipants. While prior studies on verbally incomplete utterances have suggested that such utterances may be specifically suitable for subtly dealing with delicate actions, in this study the utterances are sometimes produced as part of multimodal ‘extreme-case expressions’ that convey negative stance in a high-grade manner. The findings contribute to a better understanding of interactional uses of verbally incomplete utterances and of the multimodal nature of negative assessments. The study thereby furthers our understanding of how grammar and the body interface as resources for the accomplishment of context-specific actions and the organization of social interaction.

Purpose: In the context of the worldwide outbreak of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), some patients report functional complaints after apparent recovery from COVID-19. This clinical presentation has been referred as "long COVID." We here present a retrospective analysis of 18F-FDG brain PET of long COVID patients from the same center with a biologically confirmed diagnosis of SARS-CoV-2 infection and persistent functional complaints at least 3 weeks after the initial infection. Methods: PET scans of 35 patients with long COVID were compared using whole-brain voxel-based analysis to a local database of 44 healthy subjects controlled for age and sex to characterize cerebral hypometabolism. The individual relevance of this metabolic profile was evaluated to classify patients and healthy subjects. Finally, the PET abnormalities were exploratory compared with the patients' characteristics and functional complaints. Results: In comparison to healthy subjects, patients with long COVID exhibited bilateral hypometabolism in the bilateral rectal/orbital gyrus, including the olfactory gyrus; the right temporal lobe, including the amygdala and the hippocampus, extending to the right thalamus; the bilateral pons/medulla brainstem; the bilateral cerebellum (p-voxel < 0.001 uncorrected, p-cluster < 0.05 FWE-corrected). These metabolic clusters were highly discriminant to distinguish patients and healthy subjects (100% correct classification). These clusters of hypometabolism were significantly associated with more numerous functional complaints (brainstem and cerebellar clusters), and all associated with the occurrence of certain symptoms (hyposmia/anosmia, memory/cognitive impairment, pain and insomnia) (p < 0.05). In a more preliminary analysis, the metabolism of the frontal cluster which included the olfactory gyrus was worse in the 7 patients treated by ACE drugs for high blood pressure (p = 0.032), and better in the 3 patients that had used nasal decongestant spray at the infectious stage (p < 0.001). Conclusion: This study demonstrates a profile of brain PET hypometabolism in long COVID patients with biologically confirmed SARS-CoV-2 and persistent functional complaints more than 3 weeks after the initial infection symptoms, involving the olfactory gyrus and connected limbic/paralimbic regions, extended to the brainstem and the cerebellum. These hypometabolisms are associated with patients' symptoms, with a biomarker value to identify and potentially follow these patients. The hypometabolism of the frontal cluster, which included the olfactory gyrus, seems to be linked to ACE drugs in patients with high blood pressure, with also a better metabolism of this olfactory region in patients using nasal decongestant spray, suggesting a possible role of ACE receptors as an olfactory gateway for this neurotropism. [ABSTRACT FROM AUTHOR]

The formulation and management of coaches' dissent with referees in a setting where complaints may be sanctioned presents an empirical test for the "dilemma of stake." This article analyzes how ice hockey coaches raise complaints against referees in postgame press conferences (PGPCs). Based on the conversation analytic study of video recordings from Finnish and Swedish men's (semi)professional ice hockey leagues, this article posits that complaints are formulated within assessment sequences and are made hearable as complaints through implicit and explicit verbal and bodily cues. This article also suggests that while referees are the non-present third party in the PGPC, the design of the complaints provides opportunities and places obligations on the participants present in the PGPC (media representatives, game officials, and the opposing coach) to (dis)align with the complainer. Finally, this article reveals a tension between the normative expectations of the coaches to stand by their team, which may include criticizing referees, while respecting referees as guardians of sporting ethics and acknowledging the increased demands for media attention. [ABSTRACT FROM AUTHOR]

Background: Unsolicited patient complaints (UPCs) about physician practices are nonrandomly associated with malpractice claims and clinical quality. The authors evaluated the distributions and types of UPCs associated with oncologists by specialty and assessed oncologist characteristics associated with UPCs.Methods: This retrospective study reviewed UPCs associated with US radiation oncologists (ROs), medical oncologists (MOs), and surgical oncologists (SOs) from 35 health care systems from 2015 to 2018. Average total UPCs were compared by specialty in addition to sex, medical school graduation year, degree, medical school location, residency location, practice setting, and practice region. For continuous variables, linear regression was used to test for an association with total complaints.Results: The study included 1576 physicians: 318 ROs, 1020 MOs, and 238 SOs. The average number of UPCs per physician was different and depended on the oncologic specialty: ROs had significantly fewer complaints (1.28; 95% confidence interval [CI], 1.02-1.54) than MOs (3.81; 95% CI, 3.52-4.10) and SOs (6.89; 95% CI, 5.99-7.79; P < .0001). In a multivariable analysis, oncologic specialty, recency of graduation, and academic practice were predictive of higher total UPCs (P < .05). UPCs described concerns with care and treatment (42.8%), communication (26.4%), accessibility (17.5%), concern for patient (10.3%), and billing (2.9%).Conclusions: ROs had significantly fewer complaints than MOs and SOs and may have a lower risk of malpractice claims as a group. In addition to oncologic specialty, a more recent year of medical school graduation and working at an academic center were independent risk factors for UPCs. Further research is needed to clarify the reasons underlying these associations and to identify interventions that decrease UPCs and associated risks.Lay Summary: This study of 1576 oncologists found that radiation oncologists had significantly fewer complaints than medical oncologists, who in turn had significantly fewer complaints than surgical oncologists. Other characteristics associated with more patient complaints included recency of medical school graduation and practice in an academic setting. Oncologists' patient complaints provide information that may have practical applications for patient safety and risk management. Understanding and addressing the characteristics that increase the risk for complaints could improve patients' experiences and outcomes. [ABSTRACT FROM AUTHOR]

This study examined how characteristics of patrol officers and complaint cases influenced the timeliness of completing police misconduct investigations. Further, it analyzed how the timeliness of the investigation influenced the disposition and discipline of complaint investigations while controlling for relevant variables. Data were collected from a Midwestern municipal police agency for all formal complaints filed against patrol officers from 2006 to 2017. The analyses demonstrated that the nature of the complaint and number of police officers present on scene were two predictors of the timeliness of complaint investigations. This study also found that police officer and complaint characteristics were relevant predictors of the disposition and discipline outcomes of complaint investigations. Limitations and policy implications are discussed. This study contributes to the existing body of literature on complaints of police misconduct by introducing a new variable: timeliness of investigations. [ABSTRACT FROM AUTHOR]

Introduction. With the increase in cognitive impairment among young people, it is important to timely identify and modify risk factors. The aim of the study was to evaluate early cognitive disorders in relationship with subjective hearing disorders, burnout syndrome, and depression among middle-aged women. Methods. The study involved 310 women aged 26 to 59 years (M=38.6). An online survey was created. Respondents filled in the Cognitive Failures Questionnaire (CFQ), Subjective Cognitive Complaints (SCCs) questionnaire, Shirom-Melamed Burnout Measure (SMBM), and Geriatric Depression Scale (GDS). Sociodemographic factors, addictions, subjectively reported presence of chronic diseases, and subjective hearing disorders were registered by the study questionnaire. Student’s t-test, Chi-square test, Fisher’s exact test, and logistic regression analysis (LRA) were used for data analysis. Results. 34 females (11%) had subjective cognitive failures (CF+ group) and 276 (89%) had not (CF- group). 28.7% of respondents had subjective cognitive complaints (SCC+ group) and 71.3% had not (SCC- group). 23 females (7.4%) had depression and 62 females (20%) were likely to be depressed. 34 (11%) females had significant symptoms of burnout. 30.6% (N=95) self-reported having chronic diseases. 14.84% of females had subjective hearing disorders. The CF+ group had higher GDS scores than the CF- group (M=6.88 vs. M=3.78, p<0.001). Hypothyroidism was the only disease in which differences between the SCC+ and the SCC- groups were found (12.4% vs. 4.5%, p=0.022). Respondents in the CF+ group more often had subjective hearing disorders compared to the CF- group (35.3% vs. 12.3%, p=0.001). The CF+ and the CF-, also the SCC+ and the SCC- groups did not differ by comparing alcohol and drug consumption habits. Conclusions. Depression, burnout syndrome, and subjective hearing disorders are related to subjective experienced cognitive dysfunction, and cognitive complaints are related to hypothyroidism in middle-aged women. [ABSTRACT FROM AUTHOR]

The following study focuses on strategies of denial and evasion of company responsibility used in responding to complaints, negative and critical comments posted by consumers on English and Polish brand profiles on Twitter. The analysis shows that despite the face-threat these acts may pose to the consumer and, consequently, to the company's image, the companies do not refrain from using strategies denying the complainable and disagreeing with the customer. The study shows that companies resort to a range of sub-strategies of evasion and denial of blame, such as referral to external circumstances and regulations, thanks, blaming a third party, statements of unawareness of the complainable, simple denial of the complainable, expression of personal opinion or criticism of the consumer, among others. The study indicated differences between the English and Polish profiles as to the range and frequency of use of the strategies of rejecting consumers' complaints. The Polish corpus offers a greater occurrence and a wider range of evasion and denial strategies used in reaction to consumers' negative or critical opinions and complaints. [ABSTRACT FROM AUTHOR]

Background: Occupational skin illnesses are the second most common occupational health hazard following musculoskeletal disorders. Tannery workers have frequent and prolonged exposure to skin irritants and allergens and may have a higher risk of developing occupational dermatitis. Aims and Objectives: The aim of this study is to examine the extent of skin problems and their determinants among male tannery workers. Materials and Methods: The data for the present research was drawn from a cross-sectional household study of tannery and nontannery workers in the Jajmau area of Kanpur, Uttar Pradesh. A total of 284 tannery and 289 nontannery workers were interviewed using purposive sampling technique. Descriptive statistics and multivariate techniques have been used. Results: Tannery workers experienced itching hands or fingers with fissures (21%), scaling of hands or fingers with fissures (18%), red and swollen hands or fingers (11%), and vesicles on the hands or between the fingers (11%). The workers who had moderate/high dermal exposure to chemicals were 35(P < 0.001), and they were 31 (P < 0.001) times more likely to experience vesicles on scaling hands or fingers with fissures, and itching hands or fingers with fissures. The tannery workers engaged in wet finishing work were significantly 3.9 (P < 0.1) times more likely to experienced scaling on hands or fingers with fissures. Conclusion: The study acclaims the mechanization of tannery activities at workplaces, so that risk of skin complaints can be minimized among tannery workers. As the risk of skin complaints is very high with the dermal exposure to chemicals, personal protective equipment must be provided and their use should be included in the curriculum of the ternary workers. [ABSTRACT FROM AUTHOR]

This study investigates to what extent Turkish formal complaint letters followed the 'Problem-Solution Pattern' (Hoey 1983), and on how the writers expressed their wishes when they explained their problem and asked the authorities to amend a mistake. The study is based on a corpus of 134 Turkish complaint letters. It draws upon Flowerdew's (2008, 2012) approach to the problem-solution pattern and the role of clause relations in this text pattern. Results showed that age-old Turkish rhetorical norms led writers' choice of lexico-grammatical patterns in reflecting politeness in order to maintain their own and the recipients' faces. The speech acts (complaint and request) in the 'Problem and Solution' parts below were hedged and impersonalized. The Turkish traditional rhetorical formula that was used in the request does not explicitly ask the reader to do something; in this way, the writers attempt to protect both their own face and that of the reader. [ABSTRACT FROM AUTHOR]

Police body-worn cameras (BWCs) can help improve transparency, accountability, and policing behaviors. This study extends prior BWC research by using a panel analysis design with a measure of treatment duration to examine how the effects of BWCs change over time. Using data from the Milwaukee Police Department (N = 1,009), we propose and test two competing hypotheses: The program maturity hypothesis suggests that BWCs will be more effective at reducing use of force and complaints over time, whereas the program fatigue hypothesis expects BWCs to be less effective the longer officers wear BWCs. We find that BWCs reduced complaints overall and that, over time, each additional month with a camera resulted in 6% fewer complaints. There was no overall relationship between BWCs and use of force, but our treatment duration model suggests that there was an immediate decrease in use of force incidents, followed by a gradual increase in subsequent months. [ABSTRACT FROM AUTHOR]

Consumers play a key role in the U.S. nursing home (NH) oversight through a federally established complaint process. However, past variation by state in complaint numbers and rates raised questions about the uniformity of the process. We examined state variation in numbers of complaints at intake and substantiated complaints, percentages of NHs with at least one complaint and one substantiated complaint, number of allegations per complaint, and complaint substantiation rates. We found state variation most prominently at the intake level, ranging from 0.4 to 30.4 complaints per NH. The investigation process appears to reduce this variation: however, variation remains among states in frequency and prevalence of substantiated complaints. Further work is needed to ensure federal standards concerning the handling of consumer complaints are applied equally across the states. This includes policies affecting how complaints are initially filed, in addition to how complaints are investigated. [ABSTRACT FROM AUTHOR]