363 research outputs found

    An empirical evaluation of recovery transformation at a large community behavioral healthcare organization

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    In recent decades, the concept of “recovery” from severe mental illness (SMI) has gained increased prominence among organizations providing behavioral health services. Organizations in many states are currently developing plans to transform their mental health systems in accordance with recovery-oriented care. Even though efforts to bring the principles of recovery to mental health agencies have been well documented in the United States and abroad, there is little empirical evidence to suggest that recovery-oriented services are advantageous. The purpose of this longitudinal study was to evaluate the effectiveness of a recovery-oriented transformation carried out by a large private not-for-profit behavioral healthcare organization serving individuals with SMI. This transformation targeted the philosophy, and specific procedures involved in the provision of care to consumers within the organization. The outcome variables selected to evaluate the impact of the transformation were grouped into the following categories: 1) organizational performance indicators; 2) consumer recovery indicators; 3) staff competencies; and 4) processes that promote recovery. Six hundred and twenty seven consumers and 490 staff participated in the evaluation. The findings suggest that recovery-oriented services had a positive impact on rates of overnight hospitalization, consumers’ ability to function in the community, professional competencies of direct care employees, and working alliance between direct care providers and consumers. This indicates that comprehensive and well structured recovery-oriented behavioral healthcare may offer a cost-efficient and effective alternative to the deficit approach in mental health.Psy.DIncludes bibliographical referencesby Igor Malinovsk

    "Supranational" historian of a multinational space in the era of nation-building: Onikii Malinovsky

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    Reikšminiai žodžiai: Imperija; Istoriografija; Joanikijus Malinovskis; Lietuvos Didžioji Kunigaikštystė (LDK; Grand Duchy of Lithuania; GDL); Lietuvos Didžioji Kunigaikštystė (LDK; Grand Duchy of Lithuania; GDL); Malinovskis, Onikijus; Nacija; Teisės istorija; Ukraina (Ukraine); Empire; Historiography; History of law; Malinovskii Ioanikii Aleksieevich; Malinovsky, Onikii; Nation; Rusija (Russia)The article attempts to explain the causes and manifestations of the transformations of historical thinking of the researcher of the history of law of the Grand Duchy of Lithuania, Onikii Malinovsky (1868–1932). The author came to the conclusion about the gradual «migration» of a scientist from the space of «supranational» Russian imperial historiographical culture to the national Ukrainian. The reasons for such changes are seen in the integration of the scientist in the context of the scientific and social life of Soviet Ukraine during the Bolshevik Ukrainization period, the probable strengthening of his Ukrainian ethnic loyalty. National reform in Ukraine led to a national-cultural upsurge (the «Red Renaissance») and the spread of national consciousness in the intellectuals' circles. These general processes «hurt» and O. Malinovsky

    Cyber technology: the origin and development of scientific research in Ukraine (to the 100th anniversary of Corresponding Member of NAS of Ukraine B.M. Malinovsky)

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    Автори статті ставлять за мету нагадати про героїчні події 60-річної давнини, пов’язані зі створенням і організацією серійного виробництва керуючої машини широкого призначення «Дніпро-1», яка була першою в Європі напівпровідниковою машиною другого покоління, а також про її головного конструктора, відомого вченого в галузі кібернетики й обчислювальної техніки члена-кореспондента НАН України Бориса Миколайовича Малиновського, 100-річчя від дня народження якого нещодавно широко відзначила наукова громадськість. Закладені в ті роки основи нового наукового напряму — кібернетичної техніки — сьогодні активно продовжують розвивати численні учні та послідовники Б.М. Малиновського.The authors of the article aim to recall the heroic events of 60 years ago, related to the creation and organization of mass production of the general purpose control machine “Dnipro-1”, which was the first second-generation semiconductor machine in Europe, as well as to commemorate its chief designer, Boris M. Malinovsky, a well-known scientist in the field of cybernetics and computer technology, Corresponding Member of the NAS of Ukraine, whose 100th birthday was recently widely celebrated by the scientific community. Many students and followers of Boris M. Malinovsky, who laid in those years the foundations of a new scientific field, cybernetics, continue to develop it today

    Morpho-physiological characteristics and classification of the Chievitz' juxtaoral organ.

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    The authors suppose that thè parenchymal cells of thè Ist type of thè Chievitz' Juxtaoral organ may be paraneurons with respect to their secretory function which may modulate thè afferent dendritic zones of different kinds of sensory nerve fonnations — SNF (endings). In this respect thè parenchymal cells of thè Ist type may have thè same functions as glomus cells in thè glomus caroticum or Merkel cells in thè epidermis. As to thè function of thè Juxtaoral organ thè authors presume its multimodal mechanosensory function, as it contains 4 to 5 kinds of SNF (intraepithelial nerve fibers, simple arborizations, maybe Ruffini SNF, glomerular SNF, and simple sensory corpuscles) with 2 basic different modes of adaptation: simple SNF. and Ruffini SNF adapt slowly, some intraepithelial nerve fibers, glomerular SNF and lamellar corpuscles adapt rapidly. The existence of this organ already in newbom indicates its important mechanosensory function connected with nutrition reflexes and orai cavity walls tonus regulation, later on, connected with mastication and speech, too. As to thè classification, thè Juxtaoral organ belongs to complex SNF with a Constant accumulation of different kinds of SNF

    Evidence of a kallikrein inhibitor in human kidney. A new ring of the kallikrein-renin-angiotensin-aldosterone chain

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    By means of immunohistochemical reactions, the authors proved the inhibitor II-related immunoreactivity in distal convoluted tubules of human kidney. A sharp inhibitor II-related immunoreactivity was also present in the blood vessels' wall. On the contrary, in the wall of proximal tubules and glomeruli only low reactivity was found. The demonstration of an inhibitor II-related immunoreactivity in the distal convoluted tubules and vessels of human kidney represents a strong evidence that an inhibitor of kallikrein exists and acts also in humans as an important key in the kallikrein-renin-angiotensin aldosterone chain and hitherto confirms the experimental data of the literature. The proved inhibitor in the human kidney may intervene in the modulation of the kallikrein-kinin system and thus represents a key role in the intrarenal mechanisms related to the blood flow and arterial pressure regulation

    Venous wall ultrastructure in generalized venomegaly.

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    The ultrastructure of thè v. colica sinistra in a case of generalized vasomegaìy in man was examined. Elastic material was found in three forms: as a lightly osmiophii amorphous material bordering on myocytes, as a highly osmiophii elastic membrana, and as highly osmiophii slim elastic fibres of different orientation in thè tunica media and adventitia. The slightly osmiophii elastic material is assumed to be newly formed. by pinocytotic activity of thè myocytes. The highly osmiophii elastic material indicatss its impairment. No typical atherosclerotic changes were found in thè examined vein. Based on a comparison with previous findings in thè case of vasomegaìy of thè a. mesenterica inferior, thè authors conclude that thè venomegaly phenomenon is connected with degenerative changes in thè elastic material of thè vessel wall
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