82 research outputs found
Coordinating care for people with serious mental illness: A qualitative study with service users and professionals
Get PDFBackground
Individuals with serious mental illness (SMI) encounter substantial physical health problems and have an increased risk of illness burden, poor clinical outcomes, higher mortality rates, and shorter life expectancy than the general population. These difficulties are linked to persistent symptoms of mental illness, inadequate treatment for chronic medical conditions, and a lack of coordinated care.
Mental, physical, and social determinants of health influence the prevalence and severity of SMI and the life expectancy of sufferers. Recognizing and addressing these determinants and ensuring coordinated care across settings can help meet the complex health needs of individuals with SMI.
Overall aim and research questions
The overall aim of this thesis was to qualitatively explore and describe how healthcare services are coordinated for individuals with SMI to prevent the deterioration of their health conditions and ensure their health and well-being. It also aimed to describe how insights from professionals and service users could be included in an innovation process to improve care coordination.
Three empirical studies presented as Papers I to III addressed the following research questions: (1) What care coordination measures are taken by professionals in municipal health and care services to meet the healthcare needs of individuals with SMI and address the deterioration of their health conditions? (2) What determinants of health do individuals with SMI perceive as important to their health, well-being, and ability to live a meaningful life? and (3) How can professionals and service users be included in an innovation process to improve the coordination of municipal health and care services for individuals with SMI?
Methods
The thesis employed qualitative methods throughout. Paper I reports an exploratory, descriptive study that presents the perspectives of 27 professionals from one urban and one rural municipality on care coordination and measures to ensure the health of individuals living with SMI. Interview data were analyzed using systematic text condensation.
Paper II reports an exploratory interview study that explored determinants of health using data from 13 individuals with lived experience of SMI. Interview data were analyzed using qualitative content analysis.
Paper III reports a participatory study that involved three café dialogues with 30 professionals and seven service users with SMI from one rural municipality. Qualitative written notes were thematically analyzed to describe an inclusive, responsible innovation process to improve the coordination of municipal health and care services for individuals with SMI.
Results
Paper I identified three categories and seven subcategories. In the first category, participants highlighted the importance of a stable and meaningful home life, which covered proper housing, access to services, and assistance in receiving healthcare. The second category reflected measures initiated by professionals to prevent the deterioration of service users’ health conditions, including symptom monitoring, emergency psychiatric care plans, and emergency room contact. The third category represented inpatient care when facing acute and severe symptoms, covering returning home after inpatient care and the need for shared responsibility for care.
Paper II revealed two themes and eight categories that focused on the experiences of individuals with SMI regarding care coordination and the mental, physical, and social determinants they perceived as influencing their health and well-being. The first theme pertained to mental and physical health management, with categories focused on personalized healthcare, measures to mitigate deterioration, psychotropic medication use, and lifestyle. The second theme highlighted the social determinants of health, with categories covering the importance of family and friends, engaging in meaningful activities, and the influence of employment on mental health.
In Paper III, two themes and five sub-themes emerged. The first theme reflected responsible coordination at the individual level, which focused on personalized healthcare, balancing healthcare provision with allowing service users responsibility for their lives and access to meaningful activities. The second theme addressed responsible coordination at the provider level, covering coordination routines, communication, and mutual familiarity among professionals. These themes and sub-themes provided insights into participants’ inclusion in responsible coordination, their anticipations of efficient care coordination, reflexivity on care coordination challenges, and responsiveness to improvement measures. The fusion of responsible innovation and care coordination in the café dialogues led to the coining of the term “responsible coordination.”
Conclusion
This thesis provides qualitative knowledge from the perspectives of multidisciplinary professionals and service users on coordinating healthcare services for individuals with SMI. It identifies measures to prevent the deterioration of health conditions and ensure the health of these individuals. Additionally, it highlights key determinants important to health and well-being and describes how professionals and service users can be included in an innovation process to improve care coordination.
These findings can inform efforts to improve care coordination, promoting the health and well-being of individuals with SMI. This knowledge is relevant to service users, researchers, practitioners, and policymakers. In the future, care coordination and integration should adopt a holistic approach that focuses on the mental, physical, and social determinants of health at individual, provider, and system levels
Linguistic comedy in one-line poems by Vladimir Vishnevskii
No full textLinguistic comedy is a special case of the implementation of a language game. The aim of the paper is to identify the most frequent, periodic realized linguistic ways of creating a comic effect in V. Vishnevskii’s one-line poems. The study is based on such methods as: the descriptive method, the dictionary definition analysis method and the component analysis method. The results of the research reveal that among the ways of creating the discussed effect used in V. Vishnevskii’s one-line-poems, the following are distinguished: polysemy, antonymy, metonymy, violation of lexical connectivity of words, the author’s neologisms, ellipse, transformation of precedent texts, verbal-graphic representation, and combination of lexical units referring to various aspects of their use, characterized by different
functional and expressive [email protected] Marii Curie-Skłodowskiej, Wydział Filologiczny, Katedra Lingwistyki StosowanejArutûnova N.D., 1981, Faktor adresata, „Izv. AN SSSR. Ser. lit. i âzyka”, T. 40, № 4, s. 356–367. [Арутюнова Н.Д., 1981, Фактор адресата, „Изв. АН СССР. Сер. лит. и языка”, Т. 40, № 4, с. 356–367.]Arutûnova N.D., 1998, Âzyk i mir čeloveka, Moskva. [Арутюнова Н.Д., 1998, Язык и мир человека, Москва.]Bušuev A.B., 2010, Âzykovye sredstva i komizm, „Interpretaciâ teksta: lingvističeskij, literaturovedčeskij i metodičeskij aspekty”, № 1, s. 27–31. [Бушуев А.Б., 2010, Языковые средства и комизм,„Интерпретация текста: лингвистический, литературоведческий и методический аспекты”, № 1, с. 27–31.]Vinokur T.G., 1989, K harakteristike govorâŝego. Intenciâ i reakciâ, „Âzyk i ličnost’”, Moskva. [Винокур Т.Г., 1989, К характеристике говорящего. Интенция и реакция, „Язык и личность”, Москва.]Višnevskij V.P., 2000, Višnevskij v supere, Moskva. [Вишневский В.П., 2000, Вишневский в супере, Москва.]Gridina T.A., 1996, Âzykovaâ igra: stereotip i tvorčestvo, Ekaterinburg. [Гридина Т.А., 1996, Языковая игра: стереотип и творчество, Екатеринбуг.]Zemskaâ E.A., Kitajgorodskaâ M.V., Širâev E.N., 1981, Russkaâ razgovornaâ reč’, Moskva. [Земская Е.А., Китайгородская М.В., Ширяев Е.Н., 1981, Русская разговорная речь, Москва.]Karaulov Û.N., 1987, Russkij âzyk i âzykovaâ ličnost’, Moskva. [Караулов Ю.Н., 1987, Русский язык и языковая личность, Москва.]Kuznecov S.A., 2002, Bol’šoj tolkovyj slovar’ russkogo âzyka, Sankt-Peterburg. [Кузнецов С.А., 2002, Большой толковый словарь русского языка, Санкт-Петербург.]Ovsânnikov V.V., 1980, Indikaciâ komičeskogo èffekta v situativnom kontekste,„Stilistika hudožestvennoj reči”, Mežvuz. sb. nauč. st., № 8, s. 62–67. [Овсянников В.В., 1980, Индикация комического эффекта в ситуативном контексте, „Стилистика художественной речи”, Межвуз. сб. науч. ст., № 8, с. 62–67.]Pohodnaâ S.I., 1989, Âzykovye vidy i sredstva realizacii ironii, Moskva. [Походная С.И., 1989, Языковые виды и средства реализации иронии, Москва.]Sannikov V.Z., 1995, Kalambur kak semantičeskij fenomen, „Voprosy âzykoznaniâ”, № 3, s. 56–69. [Санников В.З., 1995, Каламбур как семантический феномен, „Вопросы языкознания”, № 3, с. 56–69.]Sannikov V.Z., 2002, Russkij âzyk v zerkale âzykovoj igry, Moskva. [Санников В.З., 2002, Русский язык в зеркале языковой игры, Москва.]Safonova E.V., 2013, Formy, sredstva i priemy sozdaniâ komičeskogo v literature, „Molodoj učenyj”, № 5(52), s. 474–478. [Сафонова Е.В., 2013, Формы, средства и приемы создания комического в литературе, „Молодой ученый”, № 5(52), с. 474–478.]Âkovleva E.S., 1994, Fragmenty russkoj âzykovoj kartiny mira, Moskva. [Яковлева Е.С., 1994, Фрагменты русской языковой картины мира, Москва.]2115516
Specific toxic effects of 2,4,6-trinitrotoluene on Bacillus subtilis SK1 | Osobennosti toksicheskogo éffekta 2,4,6-trinitrotoluola v otnoshenii Bacillus subtilis SK1.
No full textUsing Bacillus subtilis SK1 as an example, it was demonstrated for the first time that 2,4,6-trinitrotoluene (TNT) transformation pathways change with TNT concentration. The growth of cultured B. subtilis SK1, delayed at 20 mg/l TNT (minimum toxic concentration), was resumed following TNT transformation. Aromatic amines were predominant metabolites detected in the culture medium at early stages of TNT transformation. The culture growth was completely inhibited by 200 mg/l TNT. As this took place, nitrites accumulated in the culture medium
Specific toxic effects of 2,4,6-trinitrotoluene on Bacillus subtilis SK1 | Osobennosti toksicheskogo éffekta 2,4,6-trinitrotoluola v otnoshenii Bacillus subtilis SK1.
Get PDFUsing Bacillus subtilis SK1 as an example, it was demonstrated for the first time that 2,4,6-trinitrotoluene (TNT) transformation pathways change with TNT concentration. The growth of cultured B. subtilis SK1, delayed at 20 mg/l TNT (minimum toxic concentration), was resumed following TNT transformation. Aromatic amines were predominant metabolites detected in the culture medium at early stages of TNT transformation. The culture growth was completely inhibited by 200 mg/l TNT. As this took place, nitrites accumulated in the culture medium
Eigenvalue-eigenfunction problem for Steklov's smoothing operator and differential-difference equations of mixed type
No full textIt is shown that any is an infinite multiplicity eigenvalue of the Steklov smoothing operator acting on the space . For the eigenvalue-eigenfunction problem leads to studying a differential-difference equation of mixed type. An existence and uniqueness theorem is proved for this equation. Further a transformation group is defined on a countably normed space of initial functions and the spectrum of the generator of this group is studied. Some possible generalizations are pointed out
Interaction of Verbal and Non-Verbal Elements in Educational Comics
Get PDFhe article describes the mechanisms of interaction between two sign systems – the verbal and non-verbal ones, exemplified by a German-language historical comics which we regard as a type of creolized text. It is revealed that the non-verbal components of the comics that are interacting with the verbal contents are aimed at the transfer of knowledge, thus stimulating the interest of the recipient and permanently fix in his mind the visual image of the events depicted in the comics. The purpose of the research is to study the mutual influence of verbal and non-verbal components which creates the circumstances for visual quickcomprehension by the recipient of the information transmitted. The peculiarities of interconnection between verbal and non-verbal components of a creolized text are considered at semantic, semantic-and-linguistic, and semantic-and-compositional levels. Factual information is noted to be expressed by means of verbal components, while time and place reference is communicated non-verbally. It is established that paragraphemic elements of different types (syngraphemic, supragraphemic, topographemic) perform an essential role in transmitting information. The author analyzes compositional-and-spatial elements of historical comics, such as layout and number of pictures, and identifies their functions of attracting attention to significant events, retarding the tempo of depicted actions. The colour coding in comics is shown to be semantically significant, as it introduces different time periods without additional verbal comments
Просветительские идеи Махмуда Тарзи по «Сейахат-нама»
No full textВыпускная квалификационная работа Анастасии Яковлевой посвящена жизни и деятельности известного афганского просветителя, писателя и политического деятеля Махмуда Тарзи(1865-1933 г.), а именно, «Сейа̄хат–на̄ма–йе се кита–йе ру–йе замин дар 29 руз - а̄сиа̄, орупа̄, африка̄ («Дневник путешествия по трем частям света за 29 дней – Азии, Европе, Африке») Автор анализирует основные просветительские идеи, обозначенные М.Тарзи в его ранней работе «Дневник путешествия по трем частям света за 29 дней – Азии, Европе, Африке», которые впоследствии ему удалось развить и частично реализовать. Работа Яковлевой А. основана на прочной теоретической и историографической базе, включающей в себя исторический источник и публикации ведущих российских и зарубежных специалистов на русском, английском и языке дари. Среди них работы М.Тарзи, В.Г.Коргуна, В.А.Ромодина, В. Грегоряна , С. Мирзоева и др.Anastasiia Iakovleva's graduate qualification research work of bachelor deals with the life and work of prominent Afghan intellectual, enlightener, and politician Mahmud Tarzi(1865-1933) ,specifically his work "Siyāḥat-nāma-ye se qeṭʿa-ye ru-ye zamin dar 29 rōz, Āsiā, Orupā, Āfriqā"("Account of a journey in 29 days on three continents, Asia, Europe and Africa". The author analyzes main educational ideas stated by M. Tarzi in his young years in the "Account of a journey in 29 days on three continents, Asia, Europe and Africa", which he later succeeded to implement . A. Iakovleva's qualification research work is based on a solid theoretical and historiographical background covering original historical document and publications of leading Russian and foreign experts edited in Russian, English and Dari . Among them works of M. Tarzi , V. Korgun, V. Romodin, V. Gregorian, M. Schinasi , S. Mirzoev and o
Are you reading what I am reading? The impact of contrasting alphabetic scripts
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142068.pdf (Publisher’s version ) (Open Access
On the problem of differentiated assessment of treatment adherence among patients undergoing coronary artery bypass surgery
No full textLow adherence to treatment of chronic diseases, in particular coronary heart disease, is noted
as a circumstance leading to a negative outcome. The issue of assessing adherence to treatment
remains unsolved, especially due to the necessity of taking into account a whole range of behavioral aspects (control of blood pressure, diet, recommended physical activity, etc.), not just
adherence to pharmacotherapy, which is associated with the characteristics of the treatment
of the disease. The study of patient’s behavior in the therapy process, as well as a differential
assessment of his/her adherence to different kinds of treatment, is a complex task that must
be faced by the multidisciplinary team managing the patient: the physician and the clinical
psychologist. Thus, the aim of the study consisted in developing a specialized questionnaire
for assessing the behavior associated with adherence to treatment among patients with cardiac
pathology in the postoperative period. The questionnaire developed by the authors is provided
in the appendix. A detailed analysis of the data obtained from a group of 103 patients suffering from coronary heart disease and undergoing coronary artery bypass surgery, using the
above-mentioned 8-scale questionnaire, confirmed that all the studied behavioral aspects are
significant for determining adherence to treatment. As a result of the factor analysis of the questionnaire parameters, three main factors were obtained, which can be used for a more differentiated description of patients’ behavior in the therapy process. These factors were labeled
as “medical”, “physical condition”, and “bad habits”. The article illustrates a practical example
of how a patient sample can be divided according to the above factors for further detailed
study of their psychological and clinical characteristics.The reported study was funded by RFBR, project number 18-013-00689а
Influence of Indirect Transitions on Optical Characteristics of A3B5 Heteroepitaxial Layers
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