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Master students of the part-time study program in the winter semester 2020/21 Crisis & Emergency Management successfully complete the study module Operational Medicine 18F for the first time. Furthermore, participants from the professional groups of the health service, aid organizations, specialized police forces, the German Armed Forces as well as mission and outreach workers were represented in South Germany.

This letter to the editor highlights other than just medical aspects of ongoing pandemics, just before the third/fourth wave of COVID-19, arriving back to the EU, having destroyed several economic and trade structures in China and Korea in recent months. However, we have some advantages in comparison to December 2019. First, (i) testing is widely available, accessible, cheap and more accurate. Second, vaccines are on the market (ii) and 4.5 billion of the whole population are vaccinated, (iii) Third two molecules of antivirals are registered for clinical use and finally (iv) several judications on both sides of the Atlantic may help to protect the global and local Public Health. In this first letter, we have selected some - according to space - important judgments supporting the protection of health care on one side, and minimizing the side effect of pandemics to human rights, economic bills and legal structure of pandemic response.

Introduction: The social aspect of breast cancer presents a serious problem all the time. Quality of women´s life after surgery must be compared to life before it. Breast cancer treatments today are likely to cause less physical deformity from surgery than two decades ago but are more complex and extend over a longer period of time. Non-palpable breast lesions are findings with non-biologically specified importance, which can be responsible for development of cancer. The authors present the diagnosis and the results of the treatment of patients with non-palpable breast lesions. They were hospitalized at the Department of Surgery in Nitra from Jan uary 2014 untilJuly 2017 and we used the SNOLLmethod or wire guided excision under ultrasound control or digital stereotaxic. Results: From January 2014 until July 2017 there were 122 patients diagnosed with non-palpable breast lesions at the Department of Surgery at our hospital. 76 (62.3%) of these patients were diagnosed with carcinoma. Wire Guided Localization was performed in 99 (81.1%) patients; sentinel node was found in 41 (33.6%) patients using the SNOLL method. From all the patients a reoperation was conducted in 4 cases (3.3%) for close or positive margin status and in 3 cases (2.5%) for false negative perioperative sentinel biopsy.                                                                Conclusion: The technique combining 99mTc-MAA (albuminmacro aggregate marked by 99Technecium) and nanocoloid is a reliable localization method for non-palpable lesions and sentinel nodes. SNOLL is a practical and oncological safe technique of excision of a subclinical lesion in combination with sentinel biopsy. This technique brings new visions for the future, especially for quality of life after surgery, changes in body image and sexuality.

Occupational burnout is a significant global problem that has impacted clinical outcomes, patient safety, and patient-centered care across healthcare settings (World Health Organization) [WHO], 2019. The classic definition of burnout, as defined by Dr. Christina Maslach, is "a psychologic syndrome involving emotional exhaustion, depersonalization, and a diminished sense of personal accomplishment (Maslach & Jackson, 1982). Burnout affects cognitive, behavioral and emotional aspects of human behavior. It also interferes with how individuals process and interact with others at an individual and organizational level. Others have noted that burn-out individuals tend to focus on negative things rather than positive emotions (Bianchi & Laurent, 2015). Nurse and physician burnout was recognized before the COVID-19 pandemic as a growing problem. Evidence now suggests that more than 50% of nurses, physician assistants and physicians report syndromes of burnout. The problem has become even more pronounced when the work environment contributes stressors associated with technological advancements, EMRs, increased patient acuity, and financial cost cutting measures. It is now recognized that individuals and organizations burnout. As a public health issue, burnout and well-being are multifactorial and recognize that individuals and organizations contribute significant factors to the burnout syndrome. It appears that burnout rates are rising across specialties and settings resulting in increase of costs to individuals and organizations (National Academy of Medicine [NAM]), 2018. What is needed is a clear map to make decisions on clinical burnout. Healthcare workers (HCW) need confidential access to wellness activities, support systems and mental health consultation. A new model is needed to further refine the work-life balance and create a caring corporate culture. Healthcare leaders need to rethink how to support employees across disciplines when it comes to burnout and well-being.

This Editorial dispatch focuses on absolute shortage of healthcare workers and their psychical and physical exhaustion with devastation consequences on healthcare providers and management of pandemics and health destruction within ongoing armed conflicts in Europe and Middle East,focusing on non prioritizing HCW versus healthcare infrastructure, vaccines medications, but putting both to the same level of priority.

At present, despite of many prevention programs, the incidence of cancer still increases in Slovakia. Breast cancer is the most frequent cancer diseases. The number of new diagnostic patients has increased tangentially. This is the reason, why we have decided to find out about women with this diagnosis and their psychosocial problems after surgery. General healthcare about women with cancer disease contains therapeutic, preventive, and nursing care. It is necessary to focus our attention also on social relationships and quality of life during and after surgery. In the treatment of these women, it is important to know that their psychical reactions depend on: premorbid personality; level of education; social relationship; value orientation; previous experiences with medical stuff; information about their diseases. Psychological support of women is important in every phases of diseases. Postoperative phase is the most important, because this is the moment when women lost their expression of femininity and the physicians and nurses are the first who can help them. Emphasis put on satisfaction of psychological and social needs help women in their treatment process and aims to mitigate more quickly with this change and fight with disease.

Cholera always accompanies huge displacements due to war conflicts and natural anthropogenic disasters such as volcanic eruptions, earthquakes, tsunamis, etc. The aim of this review is to assess the risk of cholera outbreaks and other waterborne public health related threats due to disrupted water pipelines and supplies due to armed conflicts in Ukraine last spring/summer.