Academic literature on the topic 'Schindler´s Ark'

Schindler’s fishes (Schindleria) are extremely paedomorphic and only a few morphological characters are suitable for species delimitation of these tiny fishes. Three of these key morphological characters, the (i) origin of the dorsal fin relative to the anal fin, (ii) number of vertebrae and (iii) coloration, need reinterpretation in a recently described species, Schindleria nigropunctata. To avoid nomenclatorial problems S. nigropunctata is redescribed from the type material. This species is characterized by 16–17 dorsal fin rays, 16 pectoral fin rays, origin of the anal fin ventral to the 8th dorsal fin ray, 37–38 myomeres, a uniform greyish-white colored body (preserved) and a trunk without obvious pigmentation (no black pigment spots). The eyes are dark grey with a silvery cornea. Dorsally on the cornea are blackish melanophores arranged in a sickle-shaped pattern.

Schindleria macrodentata sp. nov., a new species of the paedomorphic gobiid fish genus Schindleria, is described from the Malay Archipelago. The two specimens were collected in 1929 during the “Dana Expedition” in the Molucca Sea between Sulawesi and Halmahera islands (00°29′N, 125°54′E) (Indonesia) and in the Sulu Sea close to Panay Island (11°43’N, 121°43′E) (Philippines). The new species is characterized by a slender body (body depth at pectoral fin base 3.6–3.7 % of SL and at anal fin origin 3.9–4.8 % of SL), a long second dorsal fin (first dorsal fin absent) originating distinctly anterior to the origin of the anal fin (predorsal length 61.8–65.2 % of SL and preanal length 71.7–75.8 % of SL), a short tail (from anus to tip of longest caudal fin ray) (22.1 % of SL), 19–20 dorsal fin rays and 10 anal fin rays, first anal fin ray below 9th dorsal fin ray, few large, widely spaced teeth in the upper and the lower jaws (7 on the premaxilla and 6 on the dentary), an elongated pectoral radial plate (length 3.7–4.5 % of SL) and, in the caudal skeleton, a procurrent ray with an additional spiny process at its base. No distinct urogenital papilla and no pigmentation on body are developed. In this study we present three morphological traits until now not considered as diagnostic characters for Schindleria, the shape of the pectoral radial plate, the shape of the last procurrent caudal spine and the shape of the arch formed by the lower jaw. We also discuss the caudal-fin skeleton of Schindleria, a character developing beyond the larval stages. The record of S. macrodentata is the first of the genus Schindleria for Indonesia and, at more than 100 km distant to the next shore, it is the first offshore record of a Schindler's fish.

Otitis media is an in􀃸ammation of a part or whole of the mucoperiosteal lining of the middle ear cleft which is composed of Eustachian tube, h y p o t y m p a n u m , m e s o t y m p a n u m , epitympanum, aditus and mastoid air cells(1). It is one of the commonest ear disease of all age groups and it is caused by multiple interrelated factors including infections, eustachian tube dysfunction, nasal allergy and trauma. The disease has been classi􀃶ed on the basis of its underlying pathology as active or inactive mucosal, active or inactive squamosal and healed chronic otitis media (2). A number of factors are involved in the outcome of surgery for Chronic suppurative Otitis media and one of them is condition of the mastoid. According to Jackler and Schindler (3) Mastoid factors are extent of pneumatization and presence of in􀃸ammatory disease in mastoid. Holmquist and Bergstorm (4) in 1978 said that well aerated mastoid is a prerequisite for well ventilated middle ear and long lasting success. KEY WORDS: SAFE OTITIS MEDIA, MASTOIDECTOMY, MASTOID ANTRUM.

Background:Sarcoidosis is a multisystemic granulomatous disorder of unknown origin. The central role of macrophages and granuloma formation, the predominant involvement of lung and skin, and certain risk populations (e.g. firefighters1, 2) might be explained by causative airborne antigen(s)3. Whether air pollution is involved in pathogenesis and seasonal clustering of sarcoidosis is uncertain.Objectives:This study has been set to analyze seasonal clustering of acute sarcoidosis and associations to air pollution.Methods:Patients with acute sarcoidosis, defined by bihilar lymphadenopathy, ankle swelling, and/or erythema nodosum plus physician’s diagnosis,were included in this retrospective study. Disease onset (seasonal clustering) and associations to air pollution (particulate matter (PM10) and nitrogen dixoide (NO2)) were analyzed. Google Trends queries were conducted to address seasonal clustering on a global scale.Results:A total of 185 patients with acute sarcoidosis were included; 48.7 % of the enrolled patients were female and Löfgren triad was complete in 73.5 % of patients. Acute sarcoidosis clustered from December to June in West Germany (p<0.005, Kendall τ=-0.68), peaking in January (17.8 % of cases) and in the first third of the year (54.5 %). Mean PM10values clustered from December to April with values between 15 and 40 µg/m3. NO2levels were measured highest from November to March (45 µg/m3) and lowest between April and August (25 µg/m3). Elevated air pollution markers (PM10and NO2) were associated with higher monthly incidence rates of acute sarcoidosis (Cross correlation coefficient ranging between 0.7 -0.8). Google Trends analysis yielded seasonal clustering (p<0.005, Kendall τ = -0.64) in winter and spring months on the northern hemisphere.Conclusion:In Central Europe acute sarcoidosis peaks in winter and spring months (December until March) shortly after PM10and NO2maxima are reached. Whether components of particulate matter might be involved in the pathogenesis of sarcoidosis has to be elucidated by further studies.References:[1] Prezant DJ, Dhala A, Goldstein A, Janus D, Ortiz F, Aldrich TK, et al. The incidence, prevalence, and severity of sarcoidosis in New York City firefighters. Chest. 1999;[2] Webber MP, Yip J, Zeig-Owens R, Moir W, Ungprasert P, Crowson CS, et al. Post-9/11 sarcoidosis in WTC-exposed firefighters and emergency medical service workers. Respir Med [Internet]. 2017;132:232–7.[3] Newman LS, Rose CS, Bresnitz EA, Rossman MD, Barnard J, Frederick M, et al. A case control etiologic study of sarcoidosis: Environmental and occupational risk factors. Am J Respir Crit Care Med. 2004;170(12):1324–30.Disclosure of Interests:Philipp Rustler: None declared, Dirk Schindler: None declared, Reinhard Voll: None declared, Florian Kollert Employee of: Novartis

The challenge for rural communities to provide quality education for early childhood in Indonesia is difficult. National politics, policies, and economic and cultural conditions affect the Early Childhood Education system, and Indonesia is a large multicultural country, so, even the quality of education is difficult. This study aims to look at the quality of children's education in Pandalungan. Using qualitative methods with ethnographic design, data collection techniques using interviews, observation, and documentation. The results showed that educational institutions for children in urban areas can be categorized quite high. However, for early childhood education services in Desa Sukorambi Pandalungan, the quality is quite poor. Research suggestions are the need for follow-up related to social, economic, cultural and environmental factors at the level of Pandalungan community awareness of early childhood education. Keywords: Early Childhood, Learning Quality, Pandalungan Community References: Bernal, R., & Ramírez, S. M. (2019). Improving the quality of early childhood care at scale: The effects of “From Zero to Forever.” World Development, 118, 91–105. https://doi.org/10.1016/j.worlddev.2019.02.012 Bers, M. U., González-González, C., & Armas-Torres, M. B. (2019). Coding as a playground: Promoting positive learning experiences in childhood classrooms. Computers and Education, 138, 130–145. https://doi.org/10.1016/j.compedu.2019.04.013 Biersteker, L., Dawes, A., Hendricks, L., & Tredoux, C. (2016). Center-based early childhood care and education program quality: A South African study. Early Childhood Research Quarterly, 36, 334–344. https://doi.org/10.1016/j.ecresq.2016.01.004 Burchinal, M. (2018). Measuring Early Care and Education Quality. Child Development Perspectives, 12(1), 3–9. https://doi.org/10.1111/cdep.12260 Church, A., & Bateman, A. (2019). Methodology and professional development: Conversation Analytic Role-play Method (CARM) for early childhood education. Journal of Pragmatics, 143(xxxx), 242–254. https://doi.org/10.1016/j.pragma.2019.01.022 Ciolan, L. E. (2013). Play to Learn, Learn to Play. Creating Better Opportunities for Learning in Early Childhood. Procedia - Social and Behavioral Sciences, 76, 186–189. https://doi.org/10.1016/j.sbspro.2013.04.096 Correia, N., Camilo, C., Aguiar, C., & Amaro, F. (2019). Children’s right to participate in early childhood education settings: A systematic review. Children and Youth Services Review, 100, 76–88. https://doi.org/10.1016/j.childyouth.2019.02.031 Cycyk, L. M., & Hammer, C. S. (2018). Beliefs, values, and practices of Mexican immigrant families towards language and learning in toddlerhood: Setting the foundation for early childhood education. Early Childhood Research Quarterly. https://doi.org/10.1016/j.ecresq.2018.09.009 Dick, C. & C. (2009). The Sistematic Design Of Instruction. New Jersey: Upper Saddle River. Grindal, T., Bowne, J. B., Yoshikawa, H., Schindler, H. S., Duncan, G. J., Magnuson, K., & Shonkoff, J. P. (2016). The added impact of parenting education in early childhood education programs: A meta-analysis. Children and Youth Services Review, 70, 238–249. https://doi.org/10.1016/j.childyouth.2016.09.018 Herbers, J. E., Cutuli, J. J., Jacobs, E. L., Tabachnick, A. R., & Kichline, T. (2019). Early childhood risk and later adaptation: A person-centered approach using latent profiles. Journal of Applied Developmental Psychology, 62(January), 66–76. https://doi.org/10.1016/j.appdev.2019.01.003 Hunkin, E. (2018). Whose quality? The (mis)uses of quality reform in early childhood and education policy. Journal of Education Policy, 33(4), 443–456. https://doi.org/10.1080/02680939.2017.1352032 Johson, J. E, & Roopnarine, J. L. (2011). Pendidikan anak usia dini dalam berbagai pendekatan. Jakarta: Kencana Prenada Media Group. Lucas, F. M. M. (2017). The Game as an Early Childhood Learning Resource for Intercultural Education. Procedia - Social and Behavioral Sciences, 237(June 2016), 908–913. https://doi.org/10.1016/j.sbspro.2017.02.127 Atwi Suparman. (2012). Desain Intruksional Modern. Jakarta: Erlangga. Mapiare, A. (2013). Tipe-tipe Metode Riset Kualitatif Untuk Eksplanasi Sosial Budaya Dan Bimbingan Konseling. Malang: Elang Emas & Prodi Bimbingan Dan Konseling Fakultas Ilmu Pendidikan Universitas Negeri Malang. Milner, K. M., Bhopal, S., Black, M., Dua, T., Gladstone, M., Hamadani, J., … Lawn, J. E. (2019). Counting outcomes, coverage and quality for early child development programmes. Archives of Disease in Childhood, 104, S3–S12. https://doi.org/10.1136/archdischild-2018-315430 Morrison, G. S. (2012). Dasar-dasar Pendidikan Anak Usia Dini. Jakarta: Indeks. Nutbrown, C. (2011). Key Concepts in Early Childhood Education and Care (2nd ed.). London: SAGE Publication Ltd. Perpres. Pelaksanaan Pencapaian Tujuan Pembangunan Berkelanjutan. , 6 Peraturan Presiden RI § (2017). Puspita, W. A. (2013). Multikulturalisme dalam Pendidikan Anak Usia Dini. Jurnal Ilmiah VISI P2TK PAUDNI, 8(2), 144–152. Raikes, A., Sayre, R., Davis, D., Anderson, K., Hyson, M., Seminario, E., & Burton, A. (2019). The Measuring Early Learning Quality & Outcomes initiative: purpose, process and results. Early Years, 39(4), 360–375. https://doi.org/10.1080/09575146.2019.1669142 Satrio Roefandi, P. (2019). Keluarga Pendalungan, Keluarga Berbasis Budaya Madura Atau Jawa? 10 Th Psychofest Conference, (March), 316–324. https://doi.org/10.31227/osf.io/v8g5b Stokoe, E. (2014). The Conversation Analytic Role-play Method (CARM): a method for training communication skills as an alternative to simulated role-play. Res. Lang. Soc. Interact, 47(3), 255–265. Sutarto, A. (2006). Sekilas Tentang Masyarakat Pandalungan. Jelajah Budaya 2006, 1–7. Suyadi. (2010). Psikologi Pendidikan Anak Usia Dini. Yogyakarta: Pustaka Insan Madani. Tapscott, D. (2011). Grown Up Digital: How the Net Generation Is Changing Your World. Bucharest: Publica. Wijana, W. D. (2014). Konsep-Konsep Dasar Pendidikan Anak Usia Dini. In UT. https://doi.org/10.1101/112268 Yoshikawa, H., Wuermli, A. J., Raikes, A., Kim, S., & Kabay, S. B. (2018). Toward High-Quality Early Childhood Development Programs and Policies at National Scale: Directions for Research in Global Contexts. Social Policy Report,31(1), 1–36. https://doi.org/10.1002/j.2379-3988.2018.tb00091.x

The age period of 0-8 years is the most important moment for every human being to develop all the developmental features supported by parents at home and teachers / tutors at the Early Childhood Education Institute (ECE). In parenting, six main aspects must be known and applied by each parent. Lack of education, nutritional knowledge, care and care, and aspects of clean-living habits in the family can have an impact on children's growth and development processes. This study aims to develop a module 6 aspects of child development for parental guidance. This study uses a research and development approach to test the effectiveness of the posttest design. Respondents in this study are parents who have children up to 5 years and early childhood educators. The findings show that from these six main aspects, it seems that parents and ECE tutors do not yet understand the ECE concept. In another perspective, there is still a lack of knowledge about these 6 main aspects which require training and parenting modules to develop the 6 aspects of child development. Keywords: Early Childhood Education, Child Development Aspect, Parenting Training Module References: Arikunto, S. (2010). Prosedur Penelitian Suatu Pendekatan Praktik. Jakarta: Asdi Mahasatya. Britto, P. R., Lye, S. J., Proulx, K., Yousafzai, A. K., Matthews, S. G., Vaivada, T., … Bhutta, Z. A. (2017). Nurturing care: promoting early childhood development. The Lancet, 389(10064), 91–102. https://doi.org/10.1016/S0140-6736(16)31390-3 Coore Desai, C., Reece, J. A., & Shakespeare-Pellington, S. (2017). The prevention of violence in childhood through parenting programmes: a global review. Psychology, Health and Medicine, 22(February), 166–186. https://doi.org/10.1080/13548506.2016.1271952 Darling-Churchill, K. E., & Lippman, L. (2016). Early childhood social and emotional development: Advancing the field of measurement. Journal of Applied Developmental Psychology, 45, 1–7. https://doi.org/10.1016/j.appdev.2016.02.002 Davis, S., Votruba-Drzal, E., & Silk, J. S. (2015). Trajectories of Internalizing Symptoms From Early Childhood to Adolescence: Associations With Temperament and Parenting. Social Development, 24(3), 501–520. https://doi.org/10.1111/sode.12105 Đorđić, V., Tubić, T., & Jakšić, D. (2016). The Relationship between Physical, Motor, and Intellectual Development of Preschool Children. Procedia - Social and Behavioral Sciences, 233(May), 3–7. https://doi.org/10.1016/j.sbspro.2016.10.114 Eisenberg, N., Taylor, Z. E., Widaman, K. F., & Spinrad, T. L. (2015). Externalizing symptoms, effortful control, and intrusive parenting: A test of bidirectional longitudinal relations during early childhood. Development and Psychopathology, 27(4), 953–968. https://doi.org/10.1017/S0954579415000620 Gall, M. D., Gall, J. P., & Borg, W. R. (2007). Educational Research: An Introduction (4th ed.). New York: Longman Inc. Gardner, F., Montgomery, P., & Knerr, W. (2016). Transporting Evidence-Based Parenting Programs for Child Problem Behavior (Age 3–10) Between Countries: Systematic Review and Meta-Analysis. Journal of Clinical Child and Adolescent Psychology, 45(6), 749–762. https://doi.org/10.1080/15374416.2015.1015134 Gilmer, C., Buchan, J. L., Letourneau, N., Bennett, C. T., Shanker, S. G., Fenwick, A., & Smith-Chant, B. (2016). Parent education interventions designed to support the transition to parenthood: A realist review. International Journal of Nursing Studies, 59, 118–133. https://doi.org/10.1016/j.ijnurstu.2016.03.015 Grindal, T., Bowne, J. B., Yoshikawa, H., Schindler, H. S., Duncan, G. J., Magnuson, K., & Shonkoff, J. P. (2016a). The added impact of parenting education in early childhood education programs: A meta-analysis. Children and Youth Services Review, 70, 238–249. https://doi.org/10.1016/j.childyouth.2016.09.018 Guyer, A. E., Jarcho, J. M., Pérez-Edgar, K., Degnan, K. A., Pine, D. S., Fox, N. A., & Nelson, E. E. (2015). Temperament and Parenting Styles in Early Childhood Differentially Influence Neural Response to Peer Evaluation in Adolescence. Journal of Abnormal Child Psychology, 43(5), 863–874. https://doi.org/10.1007/s10802-015-9973-2 Jones, D. E., Feinberg, M. E., Hostetler, M. L., Roettger, M. E., Paul, I. M., & Ehrenthal, D. B. (2018). Family and Child Outcomes 2 Years After a Transition to Parenthood Intervention. Family Relations, 67(2), 270–286. https://doi.org/10.1111/fare.12309 Jürges, H., Schwarz, A., Cahan, S., & Abdeen, Z. (2019). Child mental health and cognitive development: evidence from the West Bank. Empirica, 46(3), 423–442. https://doi.org/10.1007/s10663-019-09438-5 Kalland, M., Fagerlund, Å., Von Koskull, M., & Pajulo, M. (2016). Families First: The development of a new mentalization-based group intervention for first-Time parents to promote child development and family health. Primary Health Care Research and Development, 17(1), 3–17. https://doi.org/10.1017/S146342361500016X Knauer, H. A., Ozer, E. J., Dow, W. H., & Fernald, L. C. H. (2019). Parenting quality at two developmental periods in early childhood and their association with child development. Early Childhood Research Quarterly, 47, 396–404. https://doi.org/10.1016/j.ecresq.2018.08.009 Kopala-Sibley, D. C., Cyr, M., Finsaas, M. C., Orawe, J., Huang, A., Tottenham, N., & Klein, D. N. (2018). Early Childhood Parenting Predicts Late Childhood Brain Functional Connectivity During Emotion Perception and Reward Processing. Child Development, 00(0), 1–19. https://doi.org/10.1111/cdev.13126 Kurniah, N., Andreswari, D., & Kusumah, R. G. T. (2019). Achievement of Development on Early Childhood Based on National Education Standard. 295(ICETeP 2018), 351–354. https://doi.org/10.2991/icetep-18.2019.82 Leijten, P., Raaijmakers, M. A. J., Orobio de Castro, B., van den Ban, E., & Matthys, W. (2017). Effectiveness of the Incredible Years Parenting Program for Families with Socioeconomically Disadvantaged and Ethnic Minority Backgrounds. Journal of Clinical Child and Adolescent Psychology, 46(1), 59–73. https://doi.org/10.1080/15374416.2015.1038823 Lomanowska, A. M., Boivin, M., Hertzman, C., & Fleming, A. S. (2017). Parenting begets parenting: A neurobiological perspective on early adversity and the transmission of parenting styles across generations. Neuroscience, 342, 120–139. https://doi.org/10.1016/j.neuroscience.2015.09.029 Lucassen, N., Kok, R., Bakermans-Kranenburg, M. J., Van Ijzendoorn, M. H., Jaddoe, V. W. V., Hofman, A., … Tiemeier, H. (2015). Executive functions in early childhood: The role of maternal and paternal parenting practices. British Journal of Developmental Psychology, 33(4), 489–505. https://doi.org/10.1111/bjdp.12112 Molchanov, S. V. (2013). The Moral Development in Childhood. Procedia - Social and Behavioral Sciences, 86, 615–620. https://doi.org/10.1016/j.sbspro.2013.08.623 Morris, A. S., & Williamson, A. C. (2019). Building early social and emotional relationships with infants and toddlers: Integrating research and practice. Building Early Social and Emotional Relationships with Infants and Toddlers: Integrating Research and Practice, 1–351. https://doi.org/10.1007/978-3-030-03110-7 Parhomenko, K. (2014). Diagnostic Methods of Socio – Emotional Competence in Children. Procedia - Social and Behavioral Sciences, 146, 329–333. https://doi.org/10.1016/j.sbspro.2014.08.142 Rutherford, H. J. V., Wallace, N. S., Laurent, H. K., & Mayes, L. C. (2015). Emotion regulation in parenthood. Developmental Review, 36, 1–14. https://doi.org/10.1016/j.dr.2014.12.008 Sheedy, A., & Gambrel, L. E. (2019). Coparenting Negotiation During the Transition to Parenthood: A Qualitative Study of Couples’ Experiences as New Parents. American Journal of Family Therapy, 47(2), 67–86. https://doi.org/10.1080/01926187.2019.1586593 Sitnick, S. L., Shaw, D. S., Gill, A., Dishion, T., Winter, C., Waller, R., … Wilson, M. (2015). Parenting and the Family Check-Up: Changes in Observed Parent-Child Interaction Following Early Childhood Intervention. Journal of Clinical Child and Adolescent Psychology, 44(6), 970–984. https://doi.org/10.1080/15374416.2014.940623 Sulik, M. J., Blair, C., Mills-Koonce, R., Berry, D., & Greenberg, M. (2015). Early Parenting and the Development of Externalizing Behavior Problems: Longitudinal Mediation Through Children’s Executive Function. Child Development, 86(5), 1588–1603. https://doi.org/10.1111/cdev.12386 Theise, R., Huang, K. Y., Kamboukos, D., Doctoroff, G. L., Dawson-McClure, S., Palamar, J. J., & Brotman, L. M. (2014). Moderators of Intervention Effects on Parenting Practices in a Randomized Controlled Trial in Early Childhood. Journal of Clinical Child and Adolescent Psychology, 43(3), 501–509. https://doi.org/10.1080/15374416.2013.833095 UNDP. (2018). Human Development Indices and Indicators. 2018 Statistical Update. United Nations Development Programme, 27(4), 123. Retrieved from http://hdr.undp.org/sites/default/files/2018_human_development_statistical_update.pdf%0Ahttp://www.hdr.undp.org/sites/default/files/2018_human_development_statistical_update.pdf%0Ahttp://hdr.undp.org/en/2018-update

In the new issue, our scientific journal offers you thirteen scientific articles. As always, we try to offer a wide variety of topics and areas and follow current trends in the history of science and technology. In the article by Olha Chumachenko, оn the basis of a wide base of sources, the article highlights and analyzes the development of research work of aircraft engine companies in Zaporizhzhia during the 1970s. The existence of a single system of functioning of the Zaporizhzhia production association “Motorobudivnyk” (now the Public Joint Stock Company “Motor Sich”) and the Zaporizhzhia Machine-Building Design Bureau “Progress” (now the State Enterprise “Ivchenko – Progress”) has been taken into account. Leonid Griffen and Nadiia Ryzheva present their vision of the essence of technology as a socio-historical phenomenon. The article reveals the authors' vision of the essence of the technology as a sociohistorical phenomenon. It is based on the idea that technology is not only a set of technical devices but a segment of the general system – a society – located between a social medium and its natural surroundings in the form of a peculiar social technosphere, which simultaneously separates and connects them. Definitely the article by Denis Kislov, which examines the period from the end of the XVII century to the beginning of the XIX century, is also of interest, when on the basis of deep philosophical concepts, a new vision of the development of statehood and human values raised. At this time, a certain re-thinking of the management and communication ideas of Antiquity and the Renaissance took place, which outlined the main promising trends in the statehood evolution, which to one degree or another were embodied in practice in the 19th and 20th centuries. A systematic approach and a comparative analysis of the causes and consequences of those years’ achievements for the present and the immediate future of the 21st century served as the methodological basis for a comprehensive review of the studies of that period. The article by Serhii Paliienko is devoted to an exploration of archaeological theory issues at the Institute of archaeology AS UkrSSR in the 1960s. This period is one of the worst studied in the history of Soviet archaeology. But it was the time when in the USSR archaeological researches reached the summit, quantitative methods and methods of natural sciences were applied and interest in theoretical issues had grown in archaeology. Now there are a lot of publications dedicated to theoretical discussions between archaeologists from Leningrad but the same researches about Kyiv scholars are still unknown The legacy of St. Luke in medical science, authors from Greece - this study aims to highlight key elements of the life of Valentyn Feliksovych Voino-Yasenetskyi and his scientific contribution to medicine. Among the scientists of European greatness, who at the turn of the XIX and XX centuries showed interest to the folklore of Galicia (Halychyna) and Galician Ukrainians, contributed to their national and cultural revival, one of the leading places is occupied by the outstanding Ukrainian scientist Ivan Verkhratskyi. He was both naturalist and philologist, as well as folklorist and ethnographer, organizer of scientific work, publisher and popularizer of Ukrainian literature, translator, publicist and famous public figure. I. H. Verkhratskyi was also an outstanding researcher of plants and animals of Eastern Galicia, a connoisseur of insects, especially butterflies, the author of the first school textbooks on natural science written in Ukrainian. A new emerging field that has seen the application of the drone technology is the healthcare sector. Over the years, the health sector has increasingly relied on the device for timely transportation of essential articles across the globe. Since its introduction in health, scholars have attempted to address the impact of drones on healthcare across Africa and the world at large. Among other things, it has been reported by scholars that the device has the ability to overcome the menace of weather constraints, inadequate personnel and inaccessible roads within the healthcare sector. This notwithstanding, data on drones and drone application in Ghana and her healthcare sector in particular appears to be little within the drone literature. Also, little attempt has been made by scholars to highlight the use of drones in African countries. By using a narrative review approach, the current study attempts to address the gap above. By this approach, a thorough literature search was performed to locate and assess scientific materials involving the application of drones in the military field and in the medical systems of Africans and Ghanaians in particular. The paper by Artemii Bernatskyi and Vladyslav Khaskin is devoted to the analysis of the history of the laser creation as one of the greatest technical inventions of the 20th century. This paper focuses on establishing a relation between the periodization of the stages of creation and implementation of certain types of lasers, with their influence on the invention of certain types of equipment and industrial technologies for processing the materials, the development of certain branches of the economy, and scientific-technological progress as a whole. The paper discusses the stages of: invention of the first laser; creation of the first commercial lasers; development of the first applications of lasers in industrial technologies for processing the materials. Special attention is paid to the “patent wars” that accompanied different stages of the creation of lasers. A comparative analysis of the market development for laser technology from the stage of creation to the present has been carried out. Nineteenth-century world exhibitions were platforms to demonstrate technical and technological changes that witnessed the modernization and industrialization of the world. World exhibitions have contributed to the promotion of new inventions and the popularization of already known, as well as the emergence of art objects of world importance. One of the most important world events at the turn of the century was the 1900 World's Fair in Paris. Thus, the author has tried to analyze the participation of representatives of the sugar industry in the World's Fair in 1900 and to define the role of exhibitions as indicators of economic development, to show the importance and influence of private entrepreneurs, especially from Ukraine, on the sugar industry and international contacts. The article by Viktor Verhunov highlights the life and creative path of the outstanding domestic scientist, theorist, methodologist and practitioner of agricultural engineering K. G. Schindler, associated with the formation of agricultural mechanics in Ukraine. The methodological foundation of the research is the principles of historicism, scientific nature and objectivity in reproducing the phenomena of the past based on the complex use of general scientific, special, interdisciplinary methods. For the first time a number of documents from Russian and Ukrainian archives, which reflect some facts of the professional biography of the scientist, were introduced into scientific circulation. The authors from Kremenchuk National University named after Mykhailo Ostrohradskyi presented a fascinating study of a bayonet fragment with severe damages of metal found in the city Kremenchuk (Ukraine) in one of the canals on the outskirts of the city, near the Dnipro River. Theoretical research to study blade weapons of the World War I period and the typology of the bayonets of that period, which made it possible to put forward an assumption about the possible identification of the object as a modified bayonet to the Mauser rifle has been carried out. Metal science expert examination was based on X-ray fluorescence spectrometry to determine the concentration of elements in the sample from the cleaned part of the blade. In the article by Mykola Ruban and Vadym Ponomarenko on the basis of the complex analysis of sources and scientific literature the attempt to investigate historical circumstances of development and construction of shunting electric locomotives at the Dnipropetrovsk electric locomotive plant has been made. The next scientific article continues the series of publications devoted to the assessment of activities of the heads of the Ministry of Railways of the Russian Empire. In this article, the authors have attempted to systematize and analyze historical data on the activities of Klavdii Semyonovych Nemeshaev as the Minister of Railways of the Russian Empire. The article also assesses the development and construction of railway network in the Russian Empire during Nemeshaev's office, in particular, of the Amur Line and Moscow Encircle Railway, as well as the increase in the capacity of the Trans-Siberian Railway. The article discusses K. S. Nemeshaev's contribution to the development of technology and the introduction of a new type of freight steam locomotive for state-owned railways. We hope that everyone will find interesting useful information in the new issue. And, of course, we welcome your new submissions.

Penelitian ini bertujuan untuk mengetahui pengaruh Financial Distress memediasi Good Corporate Governance dan Return saham. Penilaian financial distress menggunakan proksi Altman Z-Score untuk EMS (Emerging Market) yang dirasakan sesuai dengan kondisi pasar modal di Indonesia. Model analisis yang digunakan adalah regresi berganda dan hasil yang ditemukan adanya pengaruh financial distress memediasi kedua variabel penelitian GCG dan return saham. Dari keseluruhan emiten yang tercatat dalam SWA (per 1 November 2018), ditemukan sejumlah 12 emiten yang dapat dijadikan sampel dalam penelitian karena konsistensi keikutsertaan dalam penilaian GCG oleh IICG. Financial Distress ditemukan memediasi Good Corporate Governance terhadap return saham, dimana hal ini sesuai dengan penelitian terdahulu seperti penelitian Jannah & Khoiruddin (2017) yang meneliti mengenai peran financial distress memediasi kepemilikan institusional, kepemilikan manajerial terhadap return saham Keputusan investor untuk berinvestasi perlu mempertimbangkan bahwa ketika investor melakukan investasi perlu menghindari gejala financial distress dan mempertimbangkan keputusan manajerial (GCG) tersebut.Kata Kunci : Financial Distress, Corporate Governance, Altman EMS Z-Score, Return SahamDAFTAR PUSTAKA Ajiwanto, A.W. dan Herawati, J., (2014), Pengaruh Good Corporate Governance Terhadap Return Saham Perusahaan yang Terdaftar di Corporate Governane Perception Index dan Bursa Efek Indonesia Periode 2010 – 2012, Jurnal Ilmiah Mahasiswa FEB, Vol. 2 No. 2.Alexander,J. G., Baptista, A.M., and Shu, Y., (2016), Portfolio selection with mental accounts and estimation risk, Journal of Empirical Finance.Almamy, Jeehan, Aston, John, Leonard Ngwa, N., An Evaluation of Altman’s Z score using Cash flow ratio to Predict Corporate Failure Amid the recent Financial Crisis: Evidence from the UK, Journal of Corporate Finance (2015), doi: 10.1016/j.jcorpfin.2015.12.009Almilia, L.S., (2004), Analisis Faktor-faktor yang Mempengaruhi Kondisi Finansial Distress suatu Perusahaan yang Terdaftar di Bursa Efek Jakarta, Jurnal Riset Akuntansi Indonesia, Vol. 7 No. 1 pp. 1-22.Al-Tamimi, H.A.H., (2012), The effects of corporate governance on performance and financial distress; The experience of UAE national banks, Journal of Financial Regulation and Compliance, Vol. 20 No. 2 pp. 169-181.Altman, E.I., (1968), Financial Ratios, Discriminant Analysis and The Prediction of Corporate Bankruptcy, The Journal of Finance, Vol. XXIII No. 4 pp. 589-609.Altman, E.I., (2000), Predicting Financial Distress of Companies: Revisiting The Z-Score and Zeta ® Models, Stern School of Business, New York University, pp. 9-12.Altman, E.I., Iwanicz-Drozdowska, M., and Laitinen, E.K., (2016), Financial Distress Prediction in an International Context: A Review and Empirical Analysis of Altman’s Z-Score Model, Journal of International Financial Management & Accounting, 28 (2), 131-171. http://dx.doi.org/10.1111/jifm.12053Ben-Nasr, Hamdi, State and foreign ownership and the value of working capital management, Journal of Corporate Finance (2016), https://doi:10.1016/j.jcorpfin.2016.09.002Bhattacharya, H., (2007), Total Management by Ratios: An Analytic Approach to Management Control and Stock Market Valuations Second Edition, Sage Publications India Pvt Ltd, New Delhi.Brigham & Houston, (2001), Manajemen Keuangan Buku 2 Edisi 2, Penerbit Erlangga, Jakarta.Budiharjo, R., (2016), Pengaruh Good Corporate Governance Terhadap Return Saham dengan Profitabilitas sebagai Variabel Intervening dan Moderating, Jurnal TEKUN, Vol. VII No. 01, pp. 80 – 98.Caesario, E.B., (2018), Kiwoom Sekuritas: Perang Dagang Jadi Sentimen Negatif IHSG, diakses dari http://market.bisnis.com/read/20180824/189/831066/kiwoom-sekuritas-perang-dagang-jadi-sentimen-negatif-ihsg.Campbell, John Y., Jens Dietrich Hilscher, and Jan Szilagyi. 2011. Predicting financial distress and the performance of distressed stocks. Journal of Investment Management 9(2): 14-34.Chiang, I.E., (2015), Modern portfolio management with conditioning information, Journal of Empirical Finance, Vol. 33 pp. 114-134.Cooper, D.R. & Schindler, P.S., (2008), Business Research Methods, McGraw-Hill International Edition, Singapore.Dastgir, M. & Honarmand, M., (2014), The Effect of ownership structure on efficiency of working capital management, Journal of Management Accounting, Vol. 7 No. 22 pp. 69-88.Fahmi, I., (2014), Manajemen Keuangan Perusahaan dan Pasar Modal, Penerbit Mitra Wacana Media, Jakarta.Fathonah, A.N., (2016), Pengaruh Penerapan Good Corporate Governance terhadap Financial Distress, Jurnal Ilmiah Akuntansi, Vol. 1 No. 2, pp. 133-150.Ferdinan, A., (2007), Metode Penelitian Manajemen: Pedoman Penelitin Untuk Penulisan Skripsi, Tesis, dan Disertasi Ilmu Manajemen, Badan Penerbit Universitas Diponegoro, Semarang.Filbeck, G., Ricciardi, V., Evensky, H.R., Fan, S.Z., Holzhauer, H.M., dan Spieler, A., (2017), “Behavioral finance: A panel discussion”, Journal of Behavioral and Experimental Finance, Vol. 15 pp. 52-58.Ghozali, H.I., (2011), Aplikasi Analisis Multivariate dengan IBM SPSS, Badan Penerbit Universitas Diponegoro, Semarang.Gitman, L.J., (2004), Principles of Managerial Finance, Harper and Row Publishers, New York, pp. 601.Griffin, J.M. dan Lemmon, M.L., (2002), Book-to-Market Equity, Distress Risk, and Stock Returns, The Jorunal of Finance, Vol. LVII No. 5 pp. 2317-2336.Harjito, A. & Martono, (2010), Manajemen Keuangan, Ekonosia, Yogyakarta.Husein, F., (2015), Analisis Pengaruh Distress Risk, Firm Size, Book to Market Ration, Return on Assets, Debt to Equity Ratio Terhadap Return Saham (Skripsi yang tidak dipublikasikan), Universitas Diponegoro Semarang, Indonesia.IDX, (2017), IDX Fact Book 2017 Research and Development Division Indonesia Stock Exchange, PT Bursa Efek Indonesia, Jakarta.Issabella, M., (2013), Pengaruh Economic Value Added, Risiko Sistematis, dan Prediksi Kebangkrutan dengan Model Altman Z-Score Terhadap Return Saham, Skripsi, Universitas Negeri Padang.Jannah, I.R. dan Khoiruddin, M., (2017), Peran Financial Distress memediasi Kepemilikan Institusional, Kepemilikan Manajerial terhadap Return Saham, Management Analysis Journal, Vol. 6 No. 3.Jędrzejczak-Gas, J., (2017), Net Working Capital Management Strategies in the Construction Enterprises Listed on the NewConnect Market, Procedia Engineering, Vol. 182 pp. 306 – 313.Jensen M.C. & Meckling W.H., (1976), Theory of the Firm: Managerial Behavior, Agency Costs and Ownership Structure, Journal of Financial Economics, Vol. 3 No. 4, pp. 305-360.Jogiyanto, H.M., (2003), Teori Portofolio dan Analisis Investasi Edisi Ketiga, BPFE UGM, Yogyakarta.Kartikasari, D. & Amdani, M., (2013), Implementasi Altman Z-Score Untuk Memprediksi Kebangkrutan Perusahaan Privat di Batam, Politeknik Negeri Batam.KNKG, (2006), Pedoman Umum Good Corporate Governance Indonesia, Jakarta.Lukason, O. & Laitinen, E. K., (2016), Failure processes of old manufacturing firms in different European countries, Investment Management and Financial Innovations, Vol. 13 No. 2pp. 310-321.Lukason, O., Journal of Business Research (2018), https://doi.org/10.1016/j.jbusres.2018.06.025Malik, U.S., Aftab, M., dan Noreen, U., (2013), Distress Risk and Stock Return in An Emerging Market, Research Journal of Finance and Accounting, Vol. 4 No. 17 pp. 81-85.Manzaneque, M., Priego, A.M., dan Merino, E., (2015), Corporate governance effect on financial distress likelihood: Evidence from Spain. Revista de Contabilidad – Spanish Accounting Review (2015). http://dx.doi.org/10.1016/j.rcsar.2015.04.001Mason R.D. & Lind D.A. (1996), Teknik Statistika untuk Bisnis & Ekonomi Edisi Kesembilan Jilid 1, Penerbit Erlangga, Jakarta.Maulana, H., (2018), Begini biasanya reaksi IHSG terhadap pengumuman bunga FOMC The Fed, diakses dari https://investasi.kontan.co.id/news/begini-biasanya-reaksi-ihsg-terhadap-pengumuman-bunga-fomc-the-fed.Naniati, (2012), Analisis Prediksi Financial Distress Dan Pengaruhnya Terhadap Return (Imbal Hasil) Saham Pada Perusahaan Real Estate dan Properti Yang Terdaftar Di BEI, Skripsi, Universitas Mercu Buana Jakarta.Nkeki, C.I., (2018), Optimal investment risks debt management with backup security in a financial crisis, Journal of Computational and Applied Mathematics, https://doi.org/10.1016/j.cam.2018.01.03 2Owala, A.C., (2010), Corporate Governance and Stock Returns: Evidence From The S&P 500, Master’s Thesis in Accounting and Finance, University of VAASA Finland.Palepu, K. G., Healy, P.M., Wright, S., Bradbury, M., dan Lee, Philip, (2000), Business Analysis & Valuation Using Financial Statements: Second Edition, South-Western College Publishing, United States of America.Paolone, F. & Rangone, A., (2015), The Application of Emerging Market Score Model in China During the Global Crisis Period: A Countertrend, Chinese Business Review, Vol. 14 No. 10 pp. 484 498 doi: 10.17265/1537-1506/2015.10.003.Paramasivan, C. & Subramanian, T., (2009), Financial Management, New Age International Limited Publishers, New Delhi.Pedoman Umum Good Corporate Governance Indonesia, 2006), On the Efficiency of internal and External Corporate Control Mechanisms, Academy of Management Review, Vol. 15 No. 1.Platt, H.E. & Platt, M.B., (1991), Industry-Relative Ratios Revisited: The Case of Financial Distress, Journal of Business and Accounting, Vol. 17 pp. 31-51.Pratiwi, Susilawati, R.A.E., dan Purwanto, N., (2016), Analisis Mekanisme Good Corporate Governance Terhadap Manajemen Laba pada Perusahaan Manufaktur yang Terdaftar di BEI, Journal Riset Mahasiswa Akuntansi, Vol. xx No. xx pp. 1-5.Putri, L.S.K., (2017), Analisis Pengaruh Good Corporate Governance dan Financial Ratio Terhadap Return Saham pada Perusahaan yang Terdaftar di Jakarta Islamic Index, Undergraduate Thesis, STIE PERBANAS Surabaya.Qayyum, A. & Idrees, S., (2018), The Impact of Financial Distress Risk on Equity Returns: A Case Study of Non-Financial Firms of Pakistan Stock Exchange, Munich Personal RePEc Archive, pp. 1- 22.Safura, A.N., (2015), Implementasi Atlman’s Z-Score Model Untuk Memprediksi Kebangkrutan Perusahaan Multinasional (Studi Pada Perusahaan Multinasional Sub Sektor Tekstil dan Garmen yang Terdaftar di Bursa Efek Indonesia Periode 2011-2014), Jurnal Administrasi Bisnis, Vol. 27 No. 1 pp. 1-10.Santoso, G.A.P., Yulianeu, dan Fathoni, A., (2018), Analysis of Effect of Good Corporate Governance, Financial Performance and Firm Size on Financial Distress in Property and Real Estate Company Listed BEI 2012-2016, Journal of Management Universitas Pandanaran, Vol. 4 No. 4Sari, R.S., (2017), Pengaruh Analisis Kebangkrutan Terhadap Return Saham Pada Perusahaan Textile dan Garment Listing di Bursa Efek Indonesia (Menggunakan Diskriminan Altman dan Springate). Skripsi, Universitas Mercu Buana Yogyakarta.Sarwono, J., (2011), Mengenal Path Analysis: Sejarah, Pengertian dan Aplikasi, Jurnal Ilmiah Manajemen Bisnis, Vol. 11 No.2 pp. 285-296.Setyardiani, D.W. & Fuadati, S.R., (2017), Pengaruh DER, Profitabilitas dan Perputaran Modal Kerja Terhadap Harga Saham, Jurnal Ilmu dan Riset Manajemen, Vol. 6 No. 7 pp. 1 – 17.Sharma, A.K., (2015), Working Capital Management Efficiency: A study on some selected Proprietary Tea Estates in Jorhat District of Assam, XVI Annual Conference Priceedings, pp. 426 – 443.Siegel, J.G. & Shim, J.K., (1999), Kamus Istilah Akuntansi, Elex Media Komputindo, Jakarta.Singh, S. & Kaur, H. V., (2013), Managing Efficiency and Profitability Through Working Capital: an Empirical Analysis of BSE 200 Companies, Asian Journal of Business Management, Vol. 5 No. 2 pp. 197-207.Skousen, R., Stice, E.K., & Stice J.D., (2001), Akuntansi Keuangan Menengah, Salemba Empat, Jakarta.Stifvani, A. & Rahayu, Y., (2017), Pengaruh Tingkat Perputaran Modal Kerja dan Struktur Modal Terhadap Profitabilitas, Jurnal Ilmu dan Riset Akuntansi, Vol. 6 No. 1 pp. 237 – 254.Sudaryono, (2011), Aplikasi Analisis (Path Analysis) Berdasarkan Urutan Penempatan Variabel dalam Penelitian, Jurnal Pendidikan dan Kebudayaan, Vol. 17 No. 4 pp. 391-403.Sugiarto, (2017), Metodologi Penelitian Bisnis, Penerbit ANDI, Yogyakarta.Supatmi, (2007), Corporate Governance dan Kinerja Keuangan, Jurnal Bisnis dan Ekonomi, Vol. 14 pp. 183-191.Wahidahwati, (2002), Pengarh Kepemilikan Manajerial dan Kepemilikan Institusional pada Kebijakan Hutang Perusahaan: Sebuah Perspektif Theory Agency, The Indonesian Journal of Accounting Research, Vol. 5 No. 1Wardhana, R., Tjahjadi, B., & Permatasari, Y., (2017), The mediating role of growth opportunity in good corporate governance-stock return relationship, Investment Management and Financial Innovations, Vol. 14 No. 3 pp. 313 – 321.Wardhani, R., (2007), Mekanisme Corporate Governance dalam Perusahan yang Mengalami Permasalahan Keuangan, Jurnal Akuntansi dan Keuangan Indonesia, Vol. 4 No. 1 pp. 95-114.

Probably the most (in)famous Australian teenager of recent times, now-17-year-old Kim Duthie—better known as the “St Kilda Schoolgirl”—first came to public attention when she posted naked pictures of two prominent St Kilda Australian Football League (AFL) players on Facebook. She claimed to be seeking revenge on the players’ teammate for getting her pregnant. This turned out to be a lie. Duthie also claimed that 47-year-old football manager Ricky Nixon gave her drugs and had sex with her. She then said this was a lie, then that she lied about lying. That she lied at least twice is clear, and in doing so, she arguably reinforced the pervasive myth that women are prone to lie about rape and sexual abuse. Precisely what occurred, and why Duthie posted the naked photographs will probably never be known. However, it seems clear that Duthie felt herself wronged. Can she therefore be held entirely to blame for the way she went about seeking redress from a group of men with infinitely more power than she—socially, financially and (in terms of the priority given to elite football in Australian society) culturally? The many judgements passed on Duthie’s behaviour in the media highlight the crucial, seldom-discussed issue of how problematic behaviour on the part of women might reinforce patriarchal norms. This is a particularly sensitive issue in the context of a spate of alleged sexual assaults committed by elite Australian footballers over the past decade. Given that representations of alleged rape cases in the media and elsewhere so often position women as blameworthy for their own mistreatment and abuse, the question of whether or not women can and should be held accountable in certain situations is particularly fraught. By exploring media representations of one of these complex scenarios, we consider how the issue of “complicity” might be understood in a rape culture. In doing so, we employ Auschwitz survivor Primo Levi’s highly influential concept of the “grey zone,” which signifies a complex and ambiguous realm that challenges both judgement and representation. Primo Levi’s “Grey Zone,” Patriarchy and the Problem of Judgement In his essay titled “The Grey Zone” (published in 1986), Levi is chiefly concerned with Jewish prisoners in the Nazi-controlled camps and ghettos who obtained “privileged” positions in order to prolong their survival. Reflecting on the inherently complex power relations in such extreme settings, Levi positions the “grey zone” as a metaphor for moral ambiguity: a realm with “ill-defined outlines which both separate and join the two camps of masters and servants. [The ‘grey zone’] possesses an incredibly complicated internal structure, and contains within itself enough to confuse our need to judge” (27). According to Levi, an examination of the scenarios and experiences that gave rise to the “grey zone” requires a rejection of the black-and-white binary opposition(s) of “friend” and “enemy,” “good” and “evil.” While Levi unequivocally holds the perpetrators of the Holocaust responsible for their actions, he warns that one should suspend judgement of victims who were entrapped in situations of moral ambiguity and “compromise.” However, recent scholarship on the representation of “privileged” Jews in Levi’s writings and elsewhere has identified a “paradox of judgement”: namely, that even if moral judgements of victims in extreme situations should be suspended, such judgements are inherent in the act of representation, and are therefore inevitable (see Brown). While the historical specificity of Levi’s reflections must be kept in mind, the corruptive influences of power at the core of the “grey zone”—along with the associated problems of judgement and representation—are clearly far more prevalent in human nature and experience than the Holocaust alone. Levi’s “grey zone” has been appropriated by scholars in the fields of Holocaust studies (Petropoulos and Roth xv-xviii), philosophy (Todorov 262), law (Luban 161–76), history (Cole 248–49), theology (Roth 53–54), and popular culture (Cheyette 226–38). Significantly, Claudia Card (The Atrocity Paradigm, “Groping through Gray Zones” 3–26) has recently applied Levi’s concept to the field of feminist philosophy. Indeed, Levi’s questioning of whether or not one can—or should—pass judgement on the behaviour of Holocaust victims has considerable relevance to the divisive issue of how women’s involvement in/with patriarchy is represented in the media. Expanding or intentionally departing from Levi’s ideas, many recent interpretations of the “grey zone” often misunderstand the historical specificity of Levi’s reflections. For instance, while applying Levi’s concept to the effects of patriarchy and domestic violence on women, Lynne Arnault makes the problematic statement that “in order to establish the cruelty and seriousness of male violence against women as women, feminists must demonstrate that the experiences of victims of incest, rape, and battering are comparable to those of war veterans, prisoners of war, political prisoners, and concentration camp inmates” (183, n.9). It is important to stress here that it is not our intention to make direct parallels between the Holocaust and patriarchy, or between “privileged” Jews and women (potentially) implicated in a rape culture, but to explore the complexity of power relations in society, what behaviour eventuates from these, and—most crucial to our discussion here—how such behaviour is handled in the mass media. Aware of the problem of making controversial (and unnecessary) comparisons, Card (“Women, Evil, and Gray Zones” 515) rightly stresses that her aim is “not to compare suffering or even degrees of evil but to note patterns in the moral complexity of choices and judgments of responsibility.” Card uses the notion of the “Stockholm Syndrome,” citing numerous examples of women identifying with their torturers after having been abused or held hostage over a prolonged period of time—most (in)famously, Patricia Hearst. While the medical establishment has responded to cases of women “suffering” from “Stockholm Syndrome” by absolving them from any moral responsibility, Card writes that “we may have a morally gray area in some cases, where there is real danger of becoming complicit in evildoing and where the captive’s responsibility is better described as problematic than as nonexistent” (“Women, Evil, and Gray Zones” 511). Like Levi, Card emphasises that issues of individual agency and moral responsibility are far from clear-cut. At the same time, a full awareness of the oppressive environment—in the context that this paper is concerned with, a patriarchal social system—must be accounted for. Importantly, the examples Card uses differ significantly from the issue of whether or not some women can be considered “complicit” in a rape culture; nevertheless, similar obstacles to understanding problematic situations exist here, too. In the context of a rape culture, can women become, to use Card’s phrase, “instruments of oppression”? And if so, how is their controversial behaviour to be understood and represented? Crucially, Levi’s reflections on the “grey zone” were primarily motivated by his concern that most historical and filmic representations “trivialised” the complexity of victim experiences by passing simplistic judgements. Likewise, the representation of sexual assault cases in the Australian mass media has often left much to be desired. Representing Sexual Assault: Australian Football and the Media A growing literature has critiqued the sexual culture of elite football in Australia—one in which women are reportedly treated with disdain, positioned as objects to be used and discarded. At least 20 distinct cases, involving more than 55 players and staff, have been reported in the media, with the majority of these incidents involving multiple players. Reports indicate that such group sexual encounters are commonplace for footballers, and the women who participate in sexual practices are commonly judged, even in the sports scholarship, as “groupies” and “sluts” who are therefore responsible for anything that happens to them, including rape (Waterhouse-Watson, “Playing Defence” 114–15; “(Un)reasonable Doubt”). When the issue of footballers and sexual assault was first debated in the Australian media in 2004, football insiders from both Australian rules and rugby league told the media of a culture of group sex and sexual behaviour that is degrading to women, even when consensual (Barry; Khadem and Nancarrow 4; Smith 1; Weidler 4). The sexual “culture” is marked by a discourse of abuse and objectification, in which women are cast as “meat” or a “bun.” Group sex is also increasingly referred to as “chop up,” which codes the practice itself as an act of violence. It has been argued elsewhere that footballers treating women as sexual objects is effectively condoned through the mass media (Waterhouse-Watson, “All Women Are Sluts” passim). The “Code of Silence” episode of ABC television program Four Corners, which reignited the debate in 2009, was even more explicit in portraying footballers’ sexual practices as abusive, presenting rape testimony from three women, including “Clare,” who remains traumatised following a “group sex” incident with rugby league players in 2002. Clare testifies that she went to a hotel room with prominent National Rugby League (NRL) players Matthew Johns and Brett Firman. She says that she had sex with Johns and Firman, although the experience was unpleasant and they treated her “like a piece of meat.” Subsequently, a dozen players and staff members from the team then entered the room, uninvited, some through the bathroom window, expecting sex with Clare. Neither Johns nor Firman has denied that this was the case. Clare went to the police five days later, saying that professional rugby players had raped her, although no charges were ever laid. The program further includes psychiatrists’ reports, and statements from the police officer in charge of the case, detailing the severe trauma that Clare suffered as a result of what the footballers called “sex.” If, as “Code of Silence” suggests, footballers’ practices of group sex are abusive, whether the woman consents or not, then it follows that such a “gang-bang culture” may in turn foster a rape culture, in which rape is more likely than in other contexts. And yet, many women insist that they enjoy group sex with footballers (Barry; Drill 86), complicating issues of consent and the degradation of women. Feminist rape scholarship documents the repetitive way in which complainants are deemed to have “invited” or “caused” the rape through their behaviour towards the accused or the way they were dressed: defence lawyers, judges (Larcombe 100; Lees 85; Young 442–65) and even talk show hosts, ostensibly aiming to expose the problem of rape (Alcoff and Gray 261–64), employ these tactics to undermine a victim’s credibility and excuse the accused perpetrator. Nevertheless, although no woman can be in any way held responsible for any man committing sexual assault, or other abuse, it must be acknowledged that women who become in some way implicated in a rape culture also assist in maintaining that culture, highlighting a “grey zone” of moral ambiguity. How, then, should these women, who in some cases even actively promote behaviour that is intrinsic to this culture, be perceived and represented? Charmyne Palavi, who appeared on “Code of Silence,” is a prime example of such a “grey zone” figure. While she stated that she was raped by a prominent footballer, Palavi also described her continuing practice of setting up footballers and women for casual sex through her Facebook page, and pursuing such encounters herself. This raises several problems of judgement and representation, and the issue of women’s sexual freedom. On the one hand, Palavi (and all other women) should be entitled to engage in any consensual (legal) sexual behaviour that they choose. But on the other, when footballers’ frequent casual sex is part of a culture of sexual abuse, there is a danger of them becoming complicit in, to use Card’s term, “evildoing.” Further, when telling her story on “Code of Silence,” Palavi hints that there is an element of increased risk in these situations. When describing her sexual encounters with footballers, which she states are “on her terms,” she begins, “It’s consensual for a start. I’m not drunk or on drugs and it’s in, [it] has an element of class to it. Do you know what I mean?” (emphasis added). If it is necessary to define sex “on her terms” as consensual, this implies that sometimes casual “sex” with footballers is not consensual, or that there is an increased likelihood of rape. She also claims to have heard about several incidents in which footballers she knows sexually abused and denigrated, if not actually raped, other women. Such an awareness of what may happen clearly does not make Palavi a perpetrator of abuse, but neither can her actions (such as “setting up” women with footballers using Facebook) be considered entirely separate. While one may argue, following Levi’s reflections, that judgement of a “grey zone” figure such as Palavi should be suspended, it is significant that Four Corners’s representation of Palavi makes implicit and simplistic moral judgements. The introduction to Palavi follows the story of “Caroline,” who states that first-grade rugby player Dane Tilse broke into her university dormitory room and sexually assaulted her while she slept. Caroline indicates that Tilse left when he “picked up that [she] was really stressed.” Following this story, the program’s reporter and narrator Sarah Ferguson introduces Palavi with, “If some young footballers mistakenly think all women want to have sex with them, Charmyne Palavi is one who doesn’t necessarily discourage the idea.” As has been argued elsewhere (Waterhouse-Watson, “Framing the Victim”), this implies that Palavi is partly responsible for players holding this mistaken view. By implication, she therefore encouraged Tilse to assume that Caroline would want to have sex with him. Footage is then shown of Palavi and her friends “applying the finishing touches”—bronzing their legs—before going to meet footballers at a local hotel. The lighting is dim and the hand-held camerawork rough. These techniques portray the women as artificial and “cheap,” techniques that are also employed in a remarkably similar fashion in the documentary Footy Chicks (Barry), which follows three women who seek out sex with footballers. In response to Ferguson’s question, “What’s the appeal of those boys though?” Palavi repeats several times that she likes footballers mainly because of their bodies. This, along with the program’s focus on the women as instigators of sex, positions Palavi as something of a predator (she was widely referred to as a “cougar” following the program). In judging her “promiscuity” as immoral, the program implies she is partly responsible for her own rape, as well as acts of what can be termed, at the very least, sexual abuse of other women. The problematic representation of Palavi raises the complex question of how her “grey zone” behaviour should be depicted without passing trivialising judgements. This issue is particularly fraught when Four Corners follows the representation of Palavi’s “nightlife” with her accounts of footballers’ acts of sexual assault and abuse, including testimony that a well-known player raped Palavi herself. While Ferguson does not explicitly question the veracity of Palavi’s claim of rape, her portrayal is nevertheless largely unsympathetic, and the way the segment is edited appears to imply that she is blameworthy. Ferguson recounts that Palavi “says she was able to put [being raped] out of her mind, and it certainly didn’t stop her pursuing other football players.” This might be interpreted a positive statement about Palavi’s ability to move on from a rape; however, the tone of Ferguson’s authoritative voiceover is disapproving, which instead implies negative judgement. As the program makes clear, Palavi continues to organise sexual encounters between women and players, despite her knowledge of the “dangers,” both to herself and other women. Palavi’s awareness of the prevalence of incidents of sexual assault or abuse makes her position a problematic one. Yet her controversial role within the sexual culture of elite Australian football is complicated even further by the fact that she herself is disempowered (and her own allegation of being raped delegitimised) by the simplistic ideas about “assault” and “consent” that dominate social discourse. Despite this ambiguity, Four Corners constructs Palavi as more of a perpetrator of abuse than a victim—not even a victim who is “morally compromised.” Although we argue that careful consideration must be given to the issue of whether moral judgements should be applied to “grey zone” figures like Palavi, the “solution” is far from simple. No language (or image) is neutral or value-free, and judgements are inevitable in any act of representation. In his essay on the “grey zone,” Levi raises the crucial point that the many (mis)understandings of figures of moral ambiguity and “compromise” partly arise from the fact that the testimony and perspectives of these figures themselves is often the last to be heard—if at all (50). Nevertheless, an article Palavi published in Sydney tabloid The Daily Telegraph (19) demonstrates that such testimony can also be problematic and only complicate matters further. Palavi’s account begins: If you believed Four Corners, I’m supposed to be the NRL’s biggest groupie, a wannabe WAG who dresses up, heads out to clubs and hunts down players to have sex with… what annoys me about these tags and the way I was portrayed on that show is the idea I prey on them like some of the starstruck women I’ve seen out there. (emphasis added) Palavi clearly rejects the way Four Corners constructed her as a predator; however, rather than rejecting this stereotype outright, she reinscribes it, projecting it onto other “starstruck” women. Throughout her article, Palavi reiterates (other) women’s allegedly predatory behaviour, continually portraying the footballers as passive and the women as active. For example, she claims that players “like being contacted by girls,” whereas “the girls use the information the players put on their [social media profiles] to track them down.” Palavi’s narrative confirms this construction of men as victims of women’s predatory actions, lamenting the sacking of Johns following “Code of Silence” as “disgusting.” In the context of alleged sexual assault, the “predatory woman” stereotype is used in place of the raped woman in order to imply that sexual assault did not occur; hence Palavi’s problematic discourse arguably reinforces sexist attitudes. But can Palavi be considered complicit in validating this damaging stereotype? Can she be blamed for working within patriarchal systems of representation, of which she has also been a victim? The preceding analysis shows judgement to be inherent in the act of representation. The paucity of language is particularly acute when dealing with such extreme situations. Indeed, the language used to explore this issue in the present article cannot escape terminology that is loaded with meaning(s), which quotation marks can perhaps only qualify so far. Conclusion This paper does not claim to provide definitive answers to such complex dilemmas, but rather to highlight problems in addressing the sensitive issues of ambiguity and “complicity” in women’s interactions with patriarchal systems, and how these are represented in the mass media. Like the controversial behaviour of teenager Kim Duthie described earlier, Palavi’s position throws the problems of judgement and representation into disarray. There is no simple solution to these problems, though we do propose that these “grey zone” figures be represented in a self-reflexive, nuanced manner by explicitly articulating questions of responsibility rather than making simplistic judgements that implicitly lessen perpetrators’ culpability. Levi’s concept of the “grey zone” helps elucidate the fraught issue of women’s potential complicity in a rape culture, a subject that challenges both understanding and representation. Despite participating in a culture that promotes the abuse, denigration, and humiliation of women, the roles of women like Palavi cannot in any way be conflated with the roles of the perpetrators of sexual assault. These and other “grey zones” need to be constantly rethought and renegotiated in order to develop a fuller understanding of human behaviour. References Alcoff, Linda Martin, and Laura Gray. “Survivor Discourse: Transgression or Recuperation.” Signs 18.2 (1993): 260–90. Arnault, Lynne S. “Cruelty, Horror, and the Will to Redemption.” Hypatia 18.2 (2003): 155–88. Barry, Rebecca. Footy Chicks. Dir. Rebecca Barry. Australia: SBS Television, off-air recording, 2006. Benedict, Jeff. Public Heroes, Private Felons: Athletes and Crimes against Women. Boston: Northeastern UP, 1997. Benedict, Jeff. Athletes and Acquaintance Rape. Thousand Oaks: SAGE Publications, 1998. Brison, Susan J. Aftermath: Violence and the Remaking of a Self. Princeton: Princeton UP, 2002. Brown, Adam. “Beyond ‘Good’ and ‘Evil’: Breaking Down Binary Oppositions in Holocaust Representations of ‘Privileged’ Jews.” History Compass 8.5 (2010): 407–18. ———. “Confronting ‘Choiceless Choices’ in Holocaust Videotestimonies: Judgement, ‘Privileged’ Jews, and the Role of the Interviewer.” Continuum: Journal of Media and Communication Studies, Special Issue: Interrogating Trauma: Arts & Media Responses to Collective Suffering 24.1 (2010): 79–90. ———. “Marginalising the Marginal in Holocaust Films: Fictional Representations of Jewish Policemen.” Limina: A Journal of Historical and Cultural Studies 15 (2009). 14 Oct. 2011 ‹http://www.limina.arts.uwa.edu.au/previous/vol11to15/vol15/ibpcommended?f=252874›. ———. “‘Privileged’ Jews, Holocaust Representation and the ‘Limits’ of Judgement: The Case of Raul Hilberg.” Ed. Evan Smith. Europe’s Expansions and Contractions: Proceedings of the XVIIth Biennial Conference of the Australasian Association of European Historians (Adelaide, July 2009). Unley: Australian Humanities Press, 2010: 63–86. ———. “The Trauma of ‘Choiceless Choices’: The Paradox of Judgement in Primo Levi’s ‘Grey Zone.’” Trauma, Historicity, Philosophy. Ed. Matthew Sharpe. Newcastle upon Tyne: Cambridge Scholars, 2007: 121–40. ———. “Traumatic Memory and Holocaust Testimony: Passing Judgement in Representations of Chaim Rumkowski.” Colloquy: Text, Theory, Critique, 15 (2008): 128–44. Card, Claudia. The Atrocity Paradigm: A Theory of Evil. New York: Oxford UP, 2002. ———. “Groping through Gray Zones.” On Feminist Ethics and Politics. Ed. Claudia Card. Lawrence: University Press of Kansas, 1999: 3–26. ———. “Women, Evil, and Gray Zones.” Metaphilosophy 31.5 (2000): 509–28. Cheyette, Bryan. “The Uncertain Certainty of Schindler’s List.” Spielberg’s Holocaust: Critical Perspectives on Schindler’s List. Ed. Yosefa Loshitzky. Bloomington: Indiana UP, 1997: 226–38. “Code of Silence.” Four Corners. Australian Broadcasting Corporation (ABC). Australia, 2009. Cole, Tim. Holocaust City: The Making of a Jewish Ghetto. New York: Routledge, 2003. Drill, Stephen. “Footy Groupie: I Am Not Ashamed.” Sunday Herald Sun, 24 May 2009: 86. Gavey, Nicola. Just Sex? The Cultural Scaffolding of Rape. East Sussex: Routledge, 2005. Khadem, Nassim, and Kate Nancarrow. “Doing It for the Sake of Your Mates.” Sunday Age, 21 Mar. 2004: 4. Larcombe, Wendy. Compelling Engagements: Feminism, Rape Law and Romance Fiction. Sydney: Federation Press, 2005. Lees, Sue. Ruling Passions. Buckingham: Open UP, 1997. Levi, Primo. The Drowned and the Saved. Translated by Raymond Rosenthal. London: Michael Joseph, 1986. Luban, David. “A Man Lost in the Gray Zone.” Law and History Review 19.1 (2001): 161–76. Masters, Roy. Bad Boys: AFL, Rugby League, Rugby Union and Soccer. Sydney: Random House Australia, 2006. Palavi, Charmyne. “True Confessions of a Rugby League Groupie.” Daily Telegraph 19 May 2009: 19. Petropoulos, Jonathan, and John K. Roth, eds. Gray Zones: Ambiguity and Compromise in the Holocaust and Its Aftermath. New York: Berghahn, 2005. Roth, John K. “In Response to Hannah Holtschneider.” Fire in the Ashes: God, Evil, and the Holocaust. Eds. David Patterson and John K. Roth. Seattle: U of Washington P, 2005: 50–54. Smith, Wayne. “Gang-Bang Culture Part of Game.” The Australian 6 Mar. 2004: 1. Todorov, Tzvetan. Facing the Extreme: Moral Life in the Concentration Camps. Translated by Arthur Denner and Abigail Pollack. London: Weidenfeld and Nicolson, 1991. Waterhouse-Watson, Deb. “All Women Are Sluts: Australian Rules Football and Representations of the Feminine.” Australian Feminist Law Journal 27 (2007): 155–62. ———. “Framing the Victim: Sexual Assault and Australian Footballers on Television.” Australian Feminist Studies (2011, in press). ———. “Playing Defence in a Sexual Assault ‘Trial by Media’: The Male Footballer’s Imaginary Body.” Australian Feminist Law Journal 30 (2009): 109–29. ———. “(Un)reasonable Doubt: Narrative Immunity for Footballers against Allegations of Sexual Assault.” M/C Journal 14.1 (2011). Weidler, Danny. “Players Reveal Their Side of the Story.” Sun Herald 29 Feb. 2004: 4. Young, Alison. “The Waste Land of the Law, the Wordless Song of the Rape Victim.” Melbourne University Law Review 2 (1998): 442–65.

Morning report (MR) is a valued educational experience in internal medicine training programs. Many senior residents and faculty have not received formal training in how to effectively facilitate MR. Faculty at the University of Toronto were surveyed to provide insights into what they felt were key elements for the successful facilitation of MR. These insights fell within 5 major categories: planning and preparation, the case, running the show, wrapping up and closing the loop.Résumé Le rapport du matin (RM) est un outil pédagogique précieux dans les programmes de formation en médecine interne. Nombre de résidents séniors et de membres du corps enseignant n’ont toutefois jamais reçu de formation officielle sur la façon de faciliter l’élaboration du RM. Nous avons sondé les membres du corps enseignant de l’université de Toronto pour avoir un aperçu de ce qu’ils percevaient comme étant des éléments-clés susceptibles d’améliorer grandement l’élaboration du RM. Les réponses reçues se répartissent en cinq principales catégories: la planification et la préparation du RM, les caractéristiques du cas évalué, l’importance et la façon de prendre en main le processus, le résumé des informations et l’art de « boucler la boucle». Morning report (MR) has long been an integral and valued part of Internal Medicine training programs in North America.1,2 Some residents recognize MR as the most important educational activity during their training.3 Medical students, residents and faculty typically attend MR. Although the structure and function of MR can vary across institutions, it usually involves a case-based discussion facilitated by a faculty member, chief medical resident (CMR), or other senior resident. The facilitator discusses pertinent aspects of one or more clinical cases to teach medical knowledge, clinical reasoning and other important aspects of physician competencies, such as communication and collaboration skills. 4 Residents have expressed a preference for an interactive teaching session led by an individual with extensive medical knowledge and excellent clinical acumen.5Despite trainees’ perceptions about the core educational function of MR and their preference for skilled facilitators, most residents and many faculty have never received any formal training on how to conduct an effective MR. This, coupled with a lack of resources in the literature, may contribute to feelings of trepidation about assuming the role of facilitator.6 Based on this need, we were invited by the organizing group of residents at the 2015 Canadian CMR Conference, held in Toronto, Canada, to lead a seminar to introduce CMRs to the principles of effective MR facilitation. The conference was attended by over 70 current and future CMRs. In preparation for this seminar, we reviewed available literature and found that practical guidelines on how to facilitate a successful MR were generally lacking. To help us to provide guidance and to capture broad opinions and experiences, we recruited a sample of 24 faculty at the University of Toronto, including many award-winning teachers whose experience in leading MR ranges from 3 to over 30 years. We asked them to provide insights into what they felt were key elements of facilitating a successful MR. While not a systematic collection of data, their insights taken together represent a broad experience base. Given the relative lack of evidence-based literature describing how to facilitate MR, we decided to disseminate a refined summary of the shared wisdom we uncovered in hopes that it would benefit other CMRs and junior faculty as they take on this challenging role.The insights provided fall within 5 main themes (Table 1) which are discussed below, followed by a brief discussion about future directions for MR:1) Planning and preparation2) The case3) Running the show4) Wrapping up5) Closing the LoopTable 1. Experience-Based Tips to Running an Effective Morning ReportPLANNING AND PREPARATION:1) Ensure audiovisual aids are present and working before starting. 2) Start and end on time. 3) Encourage all faculty to attend and participate. 4) Know the audience (including names).THE CASE:5) The case can be undifferentiated or one for which the diagnosis and even response to treatment is known. 6) There are pros and cons to the facilitator knowing details of the case in advance. 7) If details of the case are not known to the facilitator, determine with the person presenting if the discussion should be focused on diagnosis, management or other pertinent issues. 8) Cases need not be limited to inpatients and can include ambulatory cases and case simulations.RUNNING THE SHOW:9) Establish a respectful learning climate. 10) Personal anecdotes and reflections on past cases can engage the audience. 11) Ensure time is spent discuss learning issues valuable to all present. 12) Facilitate and engage in discussion rather than deliver a lecture. 13) Use a mix of pattern recognition (heuristics) and analytical reasoning strategies. 14) Start with a question that has an obvious answer if dealing with a quiet audience. 15) Promote volunteerism for answers as much as possible, but direct a question to a specific person if no one volunteers. 16) Begin by engaging the most junior learners and advance to involve senior learners. 17) Encourage resource stewardship and evidence-based medicine. 18) Acknowledge areas of uncertainty and don’t be afraid to say “I don’t know”. 19) Teaching “scripts” or the use of a systematic approach to developing a differential diagnosis can be used when discussing less familiar topics. 20) Highlight the variability in clinical approach amongst "the experts" in the room.WRAPPING-UP:21) Ensure there is time to summarize “take home points”. 22) Provide learners with the opportunity to summarize what they have learned.CLOSING THE LOOP23) Reinforcement of learning can include a distribution of a relevant paper or providing a summary of learning points via email or blog. 24) Maintain a case log to ensure a balanced curriculum. 25) Provide feedback to the case presenter and facilitator.Planning and Preparation It is important for the organizer and facilitator (these may or may not be the same person) to be diligent when preparing for MR. The person in charge of organizing MR should ensure that all necessary audiovisual equipment is in working order, which may be as simple as ensuring there is a whiteboard and working marker. To optimize housestaff attendance, the sessions and facilitators should be scheduled in a regular and predictable way. The lure of a light breakfast should not be underestimated and may add to the social aspect of this event. Sessions should begin and finish on time (or even slightly early). Ideally, deferring pages for all but critical clinical issues should occur. Having faculty regularly attend MR as audience participants, and not just as facilitators, improves the attendance of learners who see through role-modelling the importance of continuing medical education and lifelong learning. Faculty presence also raises the level of discussion around grey areas of diagnosis and management, providing trainees with a spectrum of opinions and approaches to clinical medicine, specifically role-modelling how faculty approach clinical uncertainty. The organizer must also ensure that someone, usually a trainee, is responsible for bringing the details of one or more clinical cases to be discussed.The facilitator should ensure they know the names and year of training of the housestaff in attendance. It is helpful if the organizer can provide a list (ideally with pictures) of those who will be in attendance for the facilitator to reference. Over time, this helps to develop a sense of community within the group. It also allows the facilitator to engage all participants and with the goals of first posing level-specific questions to the more junior learners and ending with the most senior learners.The Case The selected clinical case can be either a new patient seen in consultation in the past 24 hours or a patient that has been in hospital for some time and for whom results of investigations and response to treatment are known. Ideally, the majority of the cases selected should not involve particularly rare medical issues and should mirror the clinical case mix of patients being cared for by the trainees. Trainees will benefit more from discussions about common clinical problems rather. However, to highlight issues of diagnostic reasoning, it can be beneficial to occasionally discussing uncommon case including typical presentations of rare diseases or unusual presentations of common problems.The faculty surveyed expressed differing opinions when asked if they thought the details of the case should be known to the facilitator in advance. Knowing the details of the case in advance can ensure the facilitator is comfortable with the content area and allows them to focus on aspects of the case that they think will have the highest learning impact for trainees. However, when the case is not known to the facilitator, the audience will be more likely to garner insight into the clinical reasoning process of the facilitator. The opportunity to learn about the cognitive process that an “expert” uses when generating a differential diagnosis and formulating plans for investigation and management is potentially much more valuable than the discussion of content that could be read in a textbook or electronically. When the details of a case are not known, the discussion is more spontaneous and the lines of discussion are more reflective of the thoughts of the trainees, rather than the facilitator. The discussion can be guided by the case itself and the trainees’ questions and answers. A mixed approach to case discussion will provide the variety that the participants value.Although traditionally MR has focused on the diagnosis or management of one or more clinical cases from the inpatient service, its format is flexible enough to provide opportunity for discussion or for other important aspects of patient care. MR can also address ambulatory cases,7 include the presence of a real patient for the purposes of highlighting history-taking and clinical findings and also incorporate discussion of simulated cases, such as code blue scenarios. The discussion can also be enriched by the health professionals from other disciplines including, pharmacists, physical therapists, occupational therapists, nurses, and social workers. The case can also be selected to allow the discussion to be focused on other specific elements of management, such as resource utilization and “choosing wisely,”8 quality and safety, bioethics, and evidence-based medicine.9Running the Show In developing their skills in facilitation, many of the faculty surveyed discussed that they continuously build on the facilitation skills that they have learned over time, the basic principles of which are described elsewhere.10,11 Through feedback and reflection, they adapt to a style that reflects how they believe the MR should be conducted.The facilitator must establish a respectful climate at MR that is conducive to learning. He or she must ensure that the session is collegial and enforce that the goal of the session is learning, rather than showmanship. The environment should encourage interaction and permit people to ask questions. Trainees should feel comfortable enough to answer questions and test hypotheses, even if answers are incorrect. However, the facilitator must ensure that the correct information is conveyed to the group and that incorrect answers are explored as key teaching points. Humour can put people at ease. Self-deprecating humour can be non-threatening and freely employed if it is within the facilitator’s comfort zone. However, humour should never come at the expense of a trainee. Personal anecdotes and reflections on past cases can engage the audience, relax the atmosphere and vividly impart key facts and clinical wisdom.It is important for the facilitator to be respectful of time. Trainees often report that too much time is spent on reviewing the history and physical examination and on the development of an exhaustive differential diagnosis while less time is spent on investigation and management issues, which senior trainees find most valuable. There need not be a fixed formula related to how much time to spend on specific components of the case. A skilled facilitator will expand and abbreviate aspects of the case discussion based on the specific case presented. Some cases represent excellent opportunities to review evidence-based physical examination, some may highlight issues of resource stewardship related to investigation and some are particularly well-suited to discussion of evidence-based management.The facilitator should facilitate a clinical discussion, rather than deliver a didactic talk. He or she should coach the audience to identify key historical facts or findings on physical examination to allow everyone to fully participate in the case formulation and clinical reasoning that will follow. Demonstrating a mix of pattern recognition and heuristics (e.g., “Quick – what do you think the diagnosis is?”) and analytical reasoning strategies will help trainees learn to employ and recognize the strengths and limitations of each.In the face of a quiet audience, questions that have obvious answers should be posed first. The facilitator should promote volunteerism as much as possible; however, addressing specific members of the audience prevents silence and can help ensure everyone is engaged in the discussion. Sensitivity to the level of trainee is important. A facilitator should avoid potential embarrassment of a trainee by allowing a more junior learner to come up with the answer to a question that the more senior trainee could not answer. In other words, there should be an inviolate sequence wherein, for any given topic, the facilitator starts with trainees at an appropriate level for the questions and moves upward sequentially by level of training. This allows participants to relax and set their focus on learning, rather than avoiding eye contact and fearing embarrassment.A skilled facilitator should not allow any one person to dominate the discussion and should also refrain from asking multiple questions to the same participant. However, it can be valuable to challenge a respondent or the group to elaborate on their answers, as this can uncover gaps in knowledge and understanding and provide additional opportunities for learning.It is important to ensure that the discussion is of interest to trainees at all levels. If faculty are present, their opinions should be sought throughout the case. It is helpful to highlight the variability in approach amongst “the experts” in the room. Judicious use and justification of investigations should be encouraged to promote learning about resource stewardship and evidence-based medicine principles should be incorporated, when relevant.Many facilitators are anxious about how to handle situations where they don’t know the answer to a particular clinical problem. In these cases, a demonstration of the clinical reasoning process and a focus on an approach to clinical problems can be helpful. Some of the most useful discussions centre on how to deal with uncertainty and on how to find answers to clinical questions in real-time using available resources. The facilitator should not hesitate to say “I don’t know,” as this demonstrates that nobody has infinite knowledge and role-models the necessity of recognizing one’s limitations. Teaching scripts relating to specific topics or the use of an etiologic or body systems-based approach to developing a differential diagnosis are helpful teaching approaches6.Wrapping Up Sufficient time should be dedicated to recapitulation and repetition of one to 3 key take home messages. This serves to reinforce the important points that were discussed and to ensure that participants walk away with key messages to facilitate learning. Having a few members of the audience identify what they have learned is often beneficial as the facilitator may not identify the same issues as the trainees.Closing the Loop Further reinforcement can occur if a summary of the take home points, or a relevant paper, is circulated by email or posted to a blog.12 This must be done in a manner that protects patient confidentiality. Updates on previously presented diagnostic dilemmas will enhance learning. Finally, the organizer of MR can keep a log of cases that have been presented to avoid excessive repetition of topics and ensure a balanced curriculum.A process for the person presenting the case to be provided with feedback about their presentation skills by the facilitator or peers should be implemented. It is also important for the facilitator to receive feedback about their teaching and the session overall. Feedback will help faculty refine their facilitation skills, especially if coupled with faculty development initiatives to improve teaching skills.13 It may also be important for novice clinician teachers who need to build a teaching portfolio as part of their academic review and promotion process. 14 If it is clear the faculty utilize the feedback, it serves to role-model self-reflection and promote a culture of frequent formative feedback.The Future of MR MR has a long tradition and can be an evolving teaching format capable of meeting current educational needs. For example, with the implementation of competency-based medical education (CBME) into residency training programs, the competencies being developed for Internal Medicine trainees can provide a framework to organize aspects of learning experiences, including MR. 15 Issues of advocacy and stewardship may be highlighted as explicit learning points of cases, as MR allows for discussion of authentic core clinical tasks and problems, avoiding the reduction of competencies to endless lists taught without the necessary context needed for deeper learning.16 There are also challenges to implementing and sustaining a successful MR in today's current training climate. Issues such as duty-hour restrictions, increased volume and acuity of patients, and pressure to discharge patients early in the day17–19 have prompted some to modify the traditional MR. An “afternoon report” allows for attention to clinical duties early in the day and preserves teaching for later in the day. MR should continue to evolve to meet current education and healthcare delivery needs, and these innovations should be described in the literature and studied.Although these tips have been generated from shared experiences at a single centre, we believe they will be useful to facilitators in many other settings, as they represent the experiences of many facilitators with many cumulative years of experience. This article is intended to stimulate others to reflect upon and discuss what they have found to be the key elements to facilitating a successful MR.Acknowledgements We would like to thank our colleagues who contributed tips and whose teaching has influenced the careers of countless trainees: Dr. Ahmed Bayoumi, Dr. Isaac Bogoch, Dr. Mark Cheung, Dr. Allan Detsky, Dr. Irfan Dhalla, Dr. Vera Dounaevskaia, Dr. Trevor Jamieson, Dr. Lauren Lapointe Shaw, Dr. Jerome A. Leis, Dr. Don Livingstone, Dr. Julia Lowe, Dr. Ophyr Mourad, Dr. Valerie Palda, Dr. Joel Ray, Dr. Donald Redelmeier, Dr. Steve Shadowitz, Dr. Rob Sargeant.References1. Parrino TA, Villanueva AG. The principles and practice of MR. JAMA 1986;256(6):730–33.2. Amin Z, Guajardo J, Wisniewski W, Bordage G, Tekian A, Niederman LG. MR: focus and methods over the past three decades. Acad Med 2000;75(10):S1–S5.3. Gross CP, Donnelly GB, Reisman AB, Sepkowitz KA, Callahan MA. Resident expectations of MR: a multi-institutional study. Arch Int Med 1999;159(16):1910–14.4. McNeill M, Ali SK, Banks DE, Mansi IA. MR: can an established medical education tradition be validated? J Grad Med Educ 2013;5(3):374–84.5. Ways M, Kroenke K, Umali J, Buchwald D. MR: A survey of resident attitudes. Arch Int Med 1995;155(13):1433–37.6. Sacher AG, Detsky AS. Taking the stress out of MR: an analytic approach to the differential diagnosis. J Gen Intern Med 2009;24(6):747–51.7. Wenderoth S, Pelzman F, Demopoulos B. Ambulatory MR. J Grad Med Educ 2002;17(3):207–209.8. Kane GC, Holumzer C, Sorokin R. Utilization management MR: Purpose, planning and early experience in a university hospital residency program. Sem Med Pract 2001;4(1):27–36.9. Banks DE, Runhua Shi M. Decreased hospital length of stay associated with presentation of cases at MR with librarian support. J Med Libr Assoc 2007;95(4):381–87.10. Azer SA. Challenges facing PBL tutors: 12 tips for successful group facilitation. Med Teach 2005;27(8):676–81.11. Skeff KM. Enhancing teaching effectiveness and vitality in the ambulatory setting. J Gen Intern Med 1988;3(1):S26–S33.12. Bogoch II, Frost DW, Bridge S, Lee TC, Gold WL, Pansiko DM, Cavalcanti R. MR blog: a web-based tool to enhance case-based learning. Teach Learn Med 2012;24(3):238–41.13. Boerboom TB, Stalmeijer RE, Dolmans DH, Jaarsma DA. How feedback can foster professional growth of teachers in the clinical workplace: A review of the literature. Stud Educ Eval 2015;46:47–52.14. Fleming VM, Schindler N, Martin GJ, DaRosa DA. Separate and equitable promotion tracks for clinician-educators. JAMA 2005;294(9):1101–1104.15. Frank JR, Snell LS, Ten Cate O, Holmboe ES, Carraccio C, Swing SR, Harris, KA. Competency-based medical education: theory to practice. Med Teach, 2010;32(8):638–45.16. Hawkins RE, Welcher CM, Holmboe ES, Kirk LM, Norcini JJ, Simons KB, Skochelak SE. Implementation of competency‐based medical education: are we addressing the concerns and challenges? Med Educ. 2015;49(11):1086–1102.17. Arora VM, Georgitis E, Siddique J, Vekhter B, Woodruff JN, Humphrey HJ, Meltzer DO. Association of workload of on-call medical interns with on-call sleep duration, shift duration, and participation in educational activities. JAMA 2008;300(10):1146–53.18. Horwitz LI, Krumholz HM, Huot SJ, Green ML. Internal medicine residents' clinical and didactic experiences after work hour regulation: a survey of chief residents. J Gen Int Med 2006;21(9):961–65.19. Khanna S, Sier D, Boyle J, Zeitz K. Discharge timeliness and its impact on hospital crowding and emergency department flow performance. Emerg Med Aus 2016;28(2):164–70.

Abstract Human’s motion and its mechanisms had become interesting in the last years, where the medecine’s field search for rehabilitation methods for handicapped persons. Other fields, like sport sciences, professional or military world, search to distinguish profiles and ways to train them with specific purposes. Besides, recent findings in neuroscience try to describe these mechanisms from an organic point of view. Until now, different researchs had given a model about control motor that describes how the union between the senses’s information allows adaptable movements. One of this sense is the proprioception, the sense which has a quite big factor in the orientation and position of the body, its members and joints. For this reason, research for new strategies to explore proprioception and improve the theories of human motion could be done by three different vias. At first, the sense is analysed in a case-study where three groups of persons are compared in a controlled enviroment with three experimental tasks. The subjects belong to each group by the kind of sport they do: sedentary, normal sportsmen (e.g. athletics, swimming) and martial sportmen (e.g. karate, judo). They are compared thinking about the following hypothesis: “Martial Sportmen have a better proprioception than of the other groups’s subjects: It could be due to the type of exercises they do in their sports as empirically, a contact sportsman shows significantly superior motor skills to the members of the other two groups. The second via are records from encephalogram (EEG) while the experimental tasks are doing. These records are analised a posteriori with a set of processing algorithms to extract characteristics about brain’s activity of the proprioception and motion control. Finally , the study tries to integrate graphic tools to make easy to understand final scientific results which allow us to explore the brain activity of the subjects through easy interfaces (e.g. space-time events, activity intensity, connectivity, specific neural netwoks or anormal activity). In the future, this application could be a complement to assist doctors, researchers, sports center specialists and anyone who must improve the health and movements of handicapped persons. Keywords: proprioception, EEG, assesment, rehabilitation.References: Röijezon, U., Clark, N.C., Treleaven, J. (2015). Proprioception in musculoskeletal rehabilitation. Part 1: Basic science and principles of assessment and clinical interventions. ManualTher.10.1016/j.math.2015.01.008. Röijezon, U., Clark, N.C., Treleaven, J. (2015). Proprioception in musculoskeletal rehabilitation. Part 2: Clinical assessment and intervention. Manual Ther.10.1016/j.math.2015.01.009. Roren, A., Mayoux-Benhamou, M.A., Fayad, F., Poiraudeau, S., Lantz, D., Revel, M. (2008). Comparison of visual and ultrasound based techniques to measure head repositioning in healthy and neck-pain subjects. Manual Ther. 10.1016/j.math.2008.03.002. Hillier, S., Immink, M., Thewlis, D. (2015). Assessing Proprioception: A Systematic Review of Possibilities. Neurorehab. Neural Repair. 29(10) 933–949. Hooper, T.L., James, C.R., Brismée, J.M., Rogers, T.J., Gilbert, K.K., Browne, K.L, Sizer, P.S. (2016). Dynamic Balance as Measured by the Y-Balance Test Is Reduced in Individuals with low Back Pain: A Cross-Sectional Comparative Study. Phys. Ther. Sport,10.1016/j.ptsp.2016.04.006. Zemková, G., Stefániková, G., Muyor, J.M. (2016). Load release balance test under unstable conditions effectivelydiscriminates between physically active and sedentary young adults. Glave, A.P., Didier, J.J., Weatherwax, J., Browning, S.J., Fiaud, Vanessa. (2014). Testing Postural Stability: Are the Star Excursion Balance Test and Biodex Balance System Limits of Stability Tests Consistent? Gait Posture. 43(2016) 225-227. Han, Jian., Waddington, G., Adams, R., Anson, J., Liu, Y. (2014). Assessing proprioception: A critical review of methods. J. Sport Health Sci.10.1016/j.jshs.2014.10.004. Hosp, S., Bottoni, G., Heinrich, D., Kofler, P., Hasler, M., Nachbauer, W. (2014). A pilot study of the effect of Kinesiology tape on knee proprioception after physical activity in healthy women. J. Sci. Med. Sport. 18 (2015) 709-713. Mima, T., Terada, K., Ikeda, A., Fukuyama, H., Takigawa, T., Kimura, J., Shibasaki, H. (1996). Afferent mechanism of cortical myoclonus studied by proprioception-related SEPs. Clin. Neurophysiol. 104 (1997) 51-59. Myers, J.B., Lephart, S.M. (2000). The Role of the Sensorimotor System in the Athletic Shoulder. J. Athl.Training.35 (3) 351-363. Rossi, S., della Volpe, R., Ginannesch, F., Ulivelli, M., Bartalini, S., Spidalieri, R., Rossi, A. (2003). Early somatosensory processing during tonic muscle pain in humans: relation to loss of proprioception and motor 'defensive' strategies. Clin. Neurophysiol. 10.1016/S1388-2457(03)00073-7. Chaudhary, U., Birbaumer, N., Curado, M.R. (2014). Brain-Machine Interface (BMI) in paralysis. Ann. Phys. Rehabil. Med.10.1016/j.rehab.2014.11.002. Delorme, A., Makeig, S. (2003). EEGLAB: an open source toolbox for analysis of single-trial EEG dynamics including independent component analysis. J. Neurosci. Meth.10.1016/j.jneumeth.2003.10.009. Morup, M., Hansen, L.K., Arnfred, S.M. (2006). ERPWAVELAB: A toolbox for multi-channel analysis of time-frequency transformed event related potentials. J. Neurosci. Meth.10.1016/j.jneumeth.2003.11.008. Kaminski, M., Blinowska, K., Szelenberger, W. (1996). Topographic analysis of coherence and propagation of EEG activity during sleep and wakefulness. Clin. Neurophysiol. 102 (1997) 216-227. Korzeniewska, A., Manczak, M., Kaminski, M., Blinowska, K.J., Kasicki, S. (2003). Determination of information flow direction among brain structures by a modified directed transfer function (dDTF) method. J. Neurosci. Meth.10.1016/S0165-0270(03)00052-9. Morup, M., Hansen, L.K., Parnas, J., Arnfred, S.M. (2005). Parallel Factor Analysis as an exploratory tool for wavelet transformed event-related EEG. Neuroimage. 10.1016/j.neuroimage.2005.08.005. Barwick, F., Arnett, P., Slobounov, S. (2011). EEG correlates of fatigue during administration of a neuropsychological test battery. Clin. Neurophysiol. 10.1016/j.clinph.2011.06.027. Osuagwu, B.A., Vuckovic, A. (2014). Similarities between explicit and implicit motor imagery in mental rotation of hands: An EEG study. Neuropsycholgia. Buzsáki, G. (2006). Rhythms of the brain. Ed. Oxford. USA. Trappenberg, T.P. (2010). Fundamentals of Computational Neuroscience. Ed. Oxford. UK. Koessler, L., Maillard, L., Benhadid, A., Vignal, J.P., Felblinger, J., Vespignani, H., Braun, M. (2009). Automated cortical projection of EEG: Anatomical correlation via the international 10-10 system. Neuroimage. 10.1016/j.neuroimage.2009.02.006. Jurcak, V., Tsuzuki, Daisuke., Dan, I. (2007). 10/20, 10/10, and 10/5 systems revisited: Their validity as relativehead-surface-based positioning systems. Neuroimage. 10.1016/j.neuroimage.2006.09.024. Chuang, L.Y., Huang, C.J., Hung, T.M. (2013). The differences in frontal midline theta power between successful and unsuccessful basketball free throws of elite basketball players. Int. J. Psychophysiology.10.1016/j.ijpsycho.2013.10.002. Wang, C.H., Tsai, C.L., Tu, K.C., Muggleton, N.G., Juan, C.H., Liang, W.K. (2014). Modulation of brain oscillations during fundamental visuo-spatialprocessing: A comparison between female collegiate badmintonplayers and sedentary controls. Psychol. Sport Exerc. 10.1016/j.psychsport.2014.10.003. Proverbio, A.L., Crotti, N., Manfredi, Mirella., Adomi, R., Zani, A. (2012). Who needs a referee? How incorrect basketball actions are automatically detected by basketball players’ brain. Sci Rep-UK. 10.1038/srep00883. Cheng, M.Y., Hung, C.L., Huang, C.J., Chang, Y.K., Lo, L.C., Shen, C., Hung, T.M. (2015). Expert-novice differences in SMR activity during dart throwing. Biol. Psychol.10.1016/j.biopsycho.2015.08.003. Ring, C., Cooke, A., Kavussanu, M., McIntyre, D., Masters, R. (2014). Investigating the efficacy of neurofeedback training for expeditingexpertise and excellence in sport. Psychol. SportExerc. 10.1016/j.psychsport.2014.08.005. Park, J.L., Fairweather, M.M., Donaldson, D.I. (2015). Making the case for mobile cognition: EEG and sports performance. Neurosci. Biobehav. R. 10.1016/j.neubiorev.2015.02.014. Babiloni, C., Marzano, N., Infarinato, F., Iacoboni, M., Rizza, G. (2009). Neural efficency of experts’ brain during judgement of actions: A high -resolution EEG study in elite and amateur karate athletes. Behav. Brain. Res. 10.1016/j.bbr.2009.10.034. Jain, S., Gourab, K., Schindler-Ivens, S., Schmit, B.D. (2012). EEG during peddling: Evidence for cortical control of locomotor tasks. Clin. Neurophysiol.10.1016/j.clinph.2012.08.021. Behmer Jr., L.P., Fournier, L.R. (2013). Working memory modulates neural efficiency over motor components during a novel action planning task: An EEG study. Behav. Brain. Res. 10.1016/j.bbr.2013.11.031.