153 research outputs found
Balint Vaszonyi Collection
No full textBalint Vazsonyi (March 7, 1936-January 2003) was a Hungarian-American pianist, perhaps best known for playing all thirty-two chronological cycles of Beethovens sonatas. Vazsonyi also was an author who wrote extensively on political science in the Washington Times and other media sources. The collection consists of concert programs, reviews, correspondence, newspaper and magazine articles, recordings, lectures, scrapbooks, brochures, manuscripts, books, and videos related to Vazsonyis performing and teaching careers, the ensembles he was involved in, events in his life, his political involvement, and his relationships with several people and organizations, especially his teacher, Ernst von Dohnanyi, and his management, Kazuko Hillyer International, Inc
Balint seminars: The transatlantic experience through videoconference
Get PDFIntroduction: The Balint seminar is used in many family medicine residencies to improve and strengthen the patient-doctor relationship: to make better doctors. Given the lack of Balint leaders in developing countries, the family medicine department at the American University of Beirut (AUB) decided to collaborate with the Medical University of South Carolina (MUSC)-with more than 30 years of experience-to start Balint seminars through videoconferencing. Objective: Evaluate the feasibility and effectiveness of Balint seminars conducted through videoconference. Methods: A qualitative research using focus group and leaders' feedback to evaluate feasibility of delivery of Balint seminars through videoconference. A Polycom videoconference was set up between residents at AUB and two credentialed Balint leaders at MUSC. The videoconference was composed of two parts: (i) MUSC faculty facilitating Balint seminars; and (ii) MUSC and AUB faculty debriefing following each Balint session. Results: Twenty-six videoconferences were conducted from 15 February 2013 to 31 March 2014. Four themes emerged: technology and connectivity issues, administrative issues, coordination among different time zones and cultural/contextual issues. The videoconferencing with family medicine residents at AUB seemed quite natural and very familiar to the Balint leaders at MUSC. The seminars encouraged the residents to see things from the patients' perspective, inspiring new thoughts and ideas on how to deal with troubling patients. Conclusion: Videoconference Balint seminars offer a promising way to extend the activity to health care providers in other disciplines, states and countries. Moreover, this format has the potential to increase the number of trained Balint leaders. © The Author 2014. Published by Oxford University Press. All rights reserved
Balint groups: a doctor-student mutual investment company
Get PDFBalint Groups were traditionally established as reflective groups by psychoanalyst Michael and Enid Balint for general practitioners to reflect on the doctor-patient relationship. Balint described components of this relationship between doctor and patient including the collusion of anonymity, the doctor as a drug and the mutual investment company. This paper discusses 2 case examples from the perspective of a junior doctor facilitating medical student Balint groups and from the junior doctor participating in a peer group. Comparisons between the doctor and student emotional expression, empathic ability and apparent preconceived ideas of the “doctor role” are discussed, with reflection on potential origins and contributing factors to such internalised views and responses. The author explores potential professional benefits of medical student Balint groups facilitated by junior doctors in influencing empathic response and internalised personas, as discussed through the eyes of Balint’s components of the interpersonal doctor-patient relationship
Demystifying Balint culture and its impact: An autoethnographic analysis.
No full textBalint groups are a structured group process designed for physicians and other helping professionals to provide feedback to each other concerning troublesome patient encounters. The process of Balint groups has survived and even thrived for more than a half century since their inception, suggesting their inherent value. However, measuring the impact in order to communicate the nature of that value has been elusive. A recent literature review highlighted the equivocal nature of research results and suggested that well-designed qualitative research may be more effective in selecting target measures which could result in better evidence for this group process. This paper describes such an effort using a qualitative analysis of the author\u27s own reflections about significant moments and learnings while participating in Balint groups
¿Qué fue de los tradicionales grupos Balint? En defensa de la perspectiva Balint y una metodología adaptada en los espacios de coordinación con Atención Primaria
No full textbased on a two-year experience in coordination spaces, in close work with primary care teams, plus comments and ideas collected from several professionals -who already took part into Balint groups-, and a review on related bibliography, the following work attempts to analyze all determining factors that caused the Balint Groups to fall into desuse in Spain. This statement takes into consideration the severe changes happening nowadays, both socialwise and in public health specifically; and about the inner methodology used by these groups in the past as possible factors for such disappearance.
The author positions himself on adaptations, suggesting a review of the Balint method itself, yet defending it�s perspective as a basic ingredient on professional training, empathizing
it�s importance on all current meeting points between both Mental Health and Primary Care consultancy.a partir de la experiencia de dos años, en espacios de coordinación, junto a equipos de atención primaria, comentarios e ideas de diferentes profesionales que participaron en grupos balint y una revisión bibliográfica, el autor del presente trabajo trata de analizar los posibles determinantes en la desaparición de los grupos balint en España. Se reflexiona en torno a los graves cambios sanitarios actuales, sociales y a la propia metodología empleada en los grupos de aquel entonces, como posibles factores implicados.
El autor apuesta por adaptaciones, sugiriendo modificaciones de dicha metodología, y defiende la perspectiva balint como ingrediente básico en la formación de los profesionales
y esencia de los actuales espacios de encuentro o consultoría entre atención primaria y salud mental
Doctors at times of national instability: What Balint seminars reveal
Get PDFBackground: It is not known in what ways is the doctor whose practice is secure in a clinic challenged to maintain a therapeutic doctor–patient relationship when confronting a flood of immigrants within a country that is politically volatile, internally fractionalized, and surrounded by sporadic military incursions? Methods: During Balint seminars, a family medicine resident presents a troubling case which all group members reflect upon from the perspective of the doctor, the patient, and their relationship. Balint leaders later debrief and review the work of the group. Lebanon has passed through many political, social, and religious conflicts and was affected by the onset of the Syrian Civil War in 2010. The Balint leaders had begun to see in resident case presentations reflections of war’s disruption of the doctor–patient relationship. Two Balint leaders reviewed a log of all the cases between 2013 and 2016. Results: In our observations, the discussion of the presented cases mirrored the cultural, social, religious, and political context of the country. First, the political situation was reflected in the dynamics of the group: agitation, conflicts, hopelessness, and a search for norms. Second, the residents subconsciously chose words in their discussion that reflect the country’s situation. Third, the presented case was stirred by a tragic war-related event. Conclusions: The social/political/religious context in which the physician is practicing distracts the doctor from fulfilling his/her professional role. Balint seminars are an example of direct, experiential learning that provide an excellent opportunity for the special training of primary care physicians who deal with refugees and citizens to self-reflect on war’s impact on them and their profession. © The Author(s) 2018
Engaging indigenous Maori and inward migrating Asian professionals into a Pakeha (White European)-dominated Balint community in New Zealand
No full text This inquiry began with two questions: How can the established predominately Pakeha/Caucasian (White European) Balint community in New Zealand more successfully engage both indigenous populations of both Maori and Pacifica origin into Balint work? And what is the existing Balint community doing to address the lack of Asian members of the Balint community in New Zealand, at a time when Asian health professionals are being recruited into the health sector at an increasingly high rate in comparison to White European entrants to the profession? These questions, and their preliminary answers presented here, invite the reader to reflect on both the challenges and opportunities in reaching out to groups different from our own. The author hopes readers may begin to see what can be done to allow new entrants to benefit from all that participation in Balint work offers while not losing sight of the uniqueness which each person can bring. It is hoped that sharing such questions and their subsequent explorations will help Balint leaders feel more confident in reaching out to a wider ethic and cultural mix within their local populations and encouraging them to enter the exciting world of the Balint group. </jats:p
Transcultural issues in the dynamics of a Balint clinical reflection group for community mental health workers
No full textThe author presents transcultural issues in the content, process, and group dynamics of consecutive meetings of a Balint clinical reflection group for community mental health workers at Inala, Australia. Balint work and the context and evolution of the group process are briefly described, as is the consultative research methodology. The process of a Balint group meeting is reported in detail, following the author’s consultation with group members. The collaborative work of a culturally diverse team of mental health professionals is examined in the context of discussion of a practitioner–patient relationship in which transcultural, gender, and family conflicts were the focus of affective and cognitive dissonance. For mental health workers engaging with communities of cultural diversity, Balint reflection groups can facilitate insight into cultural countertransferences that adversely affect clinical work. The group served to support the caseworkers’ engagement with patients of different cultures, and provided a safe environment for the creative consideration and exploration in fantasy of the emotional pressures and complex ethical dilemmas related to boundaries in transcultural client–practitioner relationships, including those in which open discussion would otherwise be avoided
Mechanische Eigenschaften und thermische Stabilität nicht-reaktiv gesputterter Ti-Al-N Schichten
Get PDFNicht-reaktives Magnetronsputtern von Titanaluminiumnitrid (Ti-Al-N) wurde trotz einiger Vorteile gegenüber der reaktiven Variante bisher nur wenig untersucht. So tritt beispielsweise der sogenannte "poisoning"-Effekt nicht auf, der den Sputter- und Abscheidungsprozess in manchen Fällen stark beeinträchtigen kann. Diese Arbeit geht daher der Frage nach, welche Auswirkungen das nicht-reaktive Sputtern auf die Eigenschaften von Ti-Al-N-Schichten hat. Zu diesem Zweck wurden drei verschiedene Targets mit den folgenden Zusammensetzungen ausgewählt: Ti0.5Al0.5N (50/50), Ti0.33Al0.67N (33/67) und Ti0.2Al0.8N (20/80). Bei verschiedenen Substrattemperaturen (ohne zusätzliche Heizung, 200 °C, 300 °C, 450 °C und 600 °C) wurde die Abscheidung mit Gleichstrom oder bipolar gepulstem Gleichstrom (50 kHz und 250 kHz) durchgeführt.Es hat sich gezeigt, dass der Gleichstrommodus für die Beschichtung mit dem 50/50-Target vorteilhaft ist. Mit zunehmendem Aluminium-Gehalt im Target sind jedoch die bipolar gepulsten Gleichstromverfahren, insbesondere mit 250 kHz, besser geeignet. Wird eine einphasige Dünnschicht erzeugt, bilden sich eher Säulen aus, als wenn mehrerer Phasen vorliegen. Letzteres führt zu einer feineren Struktur. Die chemische Zusammensetzung der Schichten hängt in erster Linie vom Sputtermodus ab. Sowohl der Gleichstrommodus als auch der bipolar gepulste 50-kHz-Gleichstrommodus ergaben eine Überstöchiometrie von Aluminium im Vergleich zu den Target-Konzentrationen, während die mit dem bipolar gepulsten 250-kHz-Gleichstrommodus hergestellten dünnen Schichten überstöchiometrisch in Titan sind. Stickstoff hingegen ist immer unterstöchiometrisch und der Gehalt hängt stark vom Titan-Gehalt ab, sodass das 50/50-Target beispielsweise zu den höchsten Stickstoff-Konzentrationen führt. In allen Dünnschichten vom 50/50-Target ist die Hauptphase ein kubischer Mischkristall. Dies wurde bei nur einer weiteren Probe vom 33/67-Target beobachtet. Alle anderen Schichten bildeten entweder eine hexagonale Mischkristallphase oder eine hexagonale Hauptphase aus. Das 33/67- und das 20/80-Target führten auch zur Bildung von röntgenamorphen Dünnschichten bei Substrattemperaturen von unter 200 °C. Die höchste Härte (38,21 GPa) konnte in der Probe erreicht werden, die mit dem 50/50-Target unter Verwendung des bipolar gepulsten 50-kHz-Gleichstrommodus bei 600 °C hergestellt wurde. Der höchste Härtewert der 33/67- und 20/80-Targets, die im Allgemeinen ähnliche Werte aufwiesen, beträgt 29,91 GPa. Weiters hat sich ergeben, dass die Härte hauptsächlich von der Kristallstruktur und nicht von der chemischen Zusammensetzung abhängt. Nach Glühexperimenten zeigten einige Schichten mehrfach Risse oder Abplatzungen. Je nachdem, welche Phasen und Kristallstrukturen zu Beginn vorhanden waren, entwickelten sich die Dünnschichten sehr unterschiedlich in Bezug auf die Bildung weiterer Phasen oder Entmischung. Durch die entstandenen Oberflächenschäden ist die Härte sehr stark gesunken, während sie durch die Bildung weiterer Phasen gestiegen ist.Non-reactive magnetron sputtering of titanium aluminum nitride Ti-Al-N has been little studied despite some advantages over the reactive variant. For example, the so-called "poisoning" effect does not occur, which can sometimes severely hinder the sputtering and deposition process. This thesis addresses the question of the effects of non-reactive sputtering on the properties of Ti-Al-N coatings. For this purpose, three different targets with the following compositions were selected: Ti0.5Al0.5N (50/50), Ti0.33Al0.67N (33/67) and Ti0.2Al0.8N (20/80). At different substrate temperatures (no additional heating, 200 °C, 300 °C, 450 °C and 600 °C), the depositions were performed with direct current or bipolar pulsed direct current (50 kHz and 250 kHz) sputtering.The direct current mode has been shown to be favorable for the depositions of the 50/50 target. However, with increasing aluminum content in the target, the bipolar pulsed direct current modes, especially with 250 kHz, are more suitable. If a single-phase coating is produced, the structure is more columnar than if multiple phases are formed. The latter is characterized by a more globular structure. The chemical composition of the coatings depends primarily on the sputter mode. Both the direct current mode and the 50 kHz bipolar pulsed direct current mode resulted in overstoichiometry of aluminum compared to the target concentrations, while the thin films produced with the 250 kHz bipolar pulsed direct current mode are overstoichiometric in titanium. Nitrogen, on the other hand, is always understoichiometric and its content depends strongly on the titanium content, so that the 50/50 target leads to the highest nitrogen concentrations. In all coatings from the 50/50 target, the main phase is a cubic solid solution. This was observed in only one other sample from the 33/67 target, while all other coatings formed either a pure hexagonal solid solution phase or a hexagonal main phase. The 33/67 and the 20/80 target led also to the formation of X-ray amorphous thin films at substrate temperatures below 200 °C. The highest hardness (38.21 GPa) could be achieved with the sample produced with the 50/50 target using the 50 kHz bipolar pulsed direct current mode at 600 °C. The highest hardness value of the 33/67 and 20/80 targets, which showed similar values in general, is 29.91 GPa. It has also been found that the hardness depends mainly on the crystal structure and not on the chemical composition. After annealing experiments, some coatings cracked multiple times or showed spalling. Depending on which phases and crystal structures were present at the beginning, the coatings developed very differently with regard to the formation of further phases or decomposition. Due to the resulting surface damage, the hardness has dropped very sharply, whereas it shows an increase when further phases have formed
Archaeology of the Early medieval Nomads in Italy: the Horse-Burials from South-Central Italy
No full textThe author in this volume edited by C. Balint and hosting the acts of a Symposium held in the Accademia d'Ungheria in November 1993 in Rome entitled Kontakte between Iran, Bysanz und der Steppe im 6.-7. Jahrhundert, is dealing with a special type of burials of the early middle age: the horse graves. Taking the occasion of the symposium the author is dealing with a short history of the main important of such finds in east Europe and in Asia from VII century AD, including the sensational discovery in Italy, in Molise of the first horse graves in Vicenne in a Lombard age cemetery. This find is particularly important because, both for the uniqueness of this type, and basically for the presence of cast iron stirrups of Avarian Age and datable to the 7th century. This date is much earlier than the usual dating of other finding of such objects in Europe, before considered datable back only to the Charles the Great period
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