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Clinical thinking as the important stage of future doctors preparation
Sukhin Yu. V., Pavlychko Yu. Ty., Topor V. P. Clinical thinking as the important stage of future doctors preparation. Journal of Education, Health and Sport. 2016;6(11):816-822. eISSN 2391-8306. DOI http://dx.doi.org/10.5281/zenodo.398869
http://ojs.ukw.edu.pl/index.php/johs/article/view/4333
The journal has had 7 points in Ministry of Science and Higher Education parametric evaluation. Part B item 755 (23.12.2015).
755 Journal of Education, Health and Sport eISSN 2391-8306 7
© The Author (s) 2016;
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This is an open access article licensed under the terms of the Creative Commons Attribution Non Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted, non commercial
use, distribution and reproduction in any medium, provided the work is properly cited.
The authors declare that there is no conflict of interests regarding the publication of this paper.
Received: 02.11.2016. Revised 22.11.2016. Accepted: 30.11.2016.
UDK616-089.23:378.147
CLINICAL THINKING AS THE IMPORTANT STAGE
OF FUTURE DOCTORS PREPARATION
Yu. V. Sukhin, Yu. Ty. Pavlychko, V. P.Topor
Odessa National Medical University, Odessa
Summary
In the article the main stages of the formation of clinical thinking in future doctors from the point of view of industry standards "Educational and professional training program of a specialist" and "Educational and qualifying characteristics of a specialist" are considered.
Key words: clinical thinking, specialist, patient, docto
Tian yu hua: san shi hui. v.1
陶貞懷.綫裝.框14.9x10.3公分, 106行28字. 黑口, 左右雙邊, 單黑魚尾. 版心上鐫回次, 下鐫葉次.書名據內封面 ; 作者據原序.內封面鐫"道光辛丑春鐫, 鑒定秘本, 宏道堂藏板".Tao Zhenhuai.Xian zhuang.Kuang 14.9 x 10.3 gong fen, 10 hang 28 zi. Hei kou, zuo you shuang bian, dan hei yu wei. Ban xin shang juan hui ci, xia juan ye ci.Shu ming ju nei feng mian ; zuo zhe ju yuan xu.Nei feng mian juan "Daoguang xin chou chun juan, jian ding mi ben, Hong dao tang cang ban"
«Time with Dislocated Joints» (on Literary Ideologemes in Yu. Polyakov's Prose)
The principles and means for embodiment the writer's idea to outline ideology of the epoch in the literary text are the subject of research. Recognizing the need to combine the literary and linguistic analysis of the literary prose, the author of article analyzes language forms from the point of view of the peculiarities of conveying the ideological content by them. Ideologemes in the well-known modern writer Yu. Polyakov's prose are considered to be “the minimized meanings”, markers, reference points by which the reader can form an opinion on the “spirit of the age”, described in works, and at the same time understand the writer's sarcastic interpretation of the events of the epoch. The author focuses on the means like the way of semantic actualization, the repetition of negative pronouns and particles, filling the text with abbreviations. It is emphasized that abbreviations in the novels by Yu. Polyakov have not only the nominative function, but expose an essence of dominating ideology, express a condition of inspirituality. According to the author, the abbreviation process is revealed in the novels as a morbid speech mutation caused by the epoch. The peculiarities of Yu. Polyakov's image of the epoch ideological component are compared with typical methods and features of the literary narration which are found in the works by V. Dyogtev, V. Shukshin, M. Saltykov-SchedrinПредметом исследования являются принципы и средства воплощения замысла писателя, поставившего перед собой задачу очертить идеологию эпохи в художественном тексте. Признавая необходимость сопряжения литературоведческого и лингвистического анализа художественной прозы, автор статьи анализирует языковые формы с точки зрения особенностей передачи ими идеологического содержания. Идеологемы в прозе известного современного писателя Ю. Полякова рассматриваются как «свернутые смыслы», указатели, ориентиры, по которым читатель может составить представление о «духе времени», описываемого в произведениях, и одновременно понять саркастическую трактовку событий эпохи писателем. Автор останавливается на таких средствах, как прием семантической актуализации, нагнетание отрицательных местоимений и частиц, насыщенность текста сложносокращенными словами. Подчеркивается, что аббревиатуры в повестях Ю. Полякова не ограничены номинативной функцией, они изобличают суть господствующей идеологии, передают состояние бездуховности. По мнению автора статьи, процесс аббревиации раскрывается в повестях как нездоровая речевая мутация, обусловленная эпохой. Особенности изображения Ю. Поляковым идеологической составляющей времени сопоставляются с характерными приемами и чертами художественного повествования, которые обнаруживаются в произведениях В. Дёгтева, В. Шукшина, М. Салтыкова-Щедрин
«Time with Dislocated Joints» (on Literary Ideologemes in Yu. Polyakov's Prose)
The principles and means for embodiment the writer's idea to outline ideology of the epoch in the literary text are the subject of research. Recognizing the need to combine the literary and linguistic analysis of the literary prose, the author of article analyzes language forms from the point of view of the peculiarities of conveying the ideological content by them. Ideologemes in the well-known modern writer Yu. Polyakov's prose are considered to be “the minimized meanings”, markers, reference points by which the reader can form an opinion on the “spirit of the age”, described in works, and at the same time understand the writer's sarcastic interpretation of the events of the epoch. The author focuses on the means like the way of semantic actualization, the repetition of negative pronouns and particles, filling the text with abbreviations. It is emphasized that abbreviations in the novels by Yu. Polyakov have not only the nominative function, but expose an essence of dominating ideology, express a condition of inspirituality. According to the author, the abbreviation process is revealed in the novels as a morbid speech mutation caused by the epoch. The peculiarities of Yu. Polyakov's image of the epoch ideological component are compared with typical methods and features of the literary narration which are found in the works by V. Dyogtev, V. Shukshin, M. Saltykov-SchedrinПредметом исследования являются принципы и средства воплощения замысла писателя, поставившего перед собой задачу очертить идеологию эпохи в художественном тексте. Признавая необходимость сопряжения литературоведческого и лингвистического анализа художественной прозы, автор статьи анализирует языковые формы с точки зрения особенностей передачи ими идеологического содержания. Идеологемы в прозе известного современного писателя Ю. Полякова рассматриваются как «свернутые смыслы», указатели, ориентиры, по которым читатель может составить представление о «духе времени», описываемого в произведениях, и одновременно понять саркастическую трактовку событий эпохи писателем. Автор останавливается на таких средствах, как прием семантической актуализации, нагнетание отрицательных местоимений и частиц, насыщенность текста сложносокращенными словами. Подчеркивается, что аббревиатуры в повестях Ю. Полякова не ограничены номинативной функцией, они изобличают суть господствующей идеологии, передают состояние бездуховности. По мнению автора статьи, процесс аббревиации раскрывается в повестях как нездоровая речевая мутация, обусловленная эпохой. Особенности изображения Ю. Поляковым идеологической составляющей времени сопоставляются с характерными приемами и чертами художественного повествования, которые обнаруживаются в произведениях В. Дёгтева, В. Шукшина, М. Салтыкова-Щедрин
Yu. M. Lotman and the Problems of Theoretical Literary Criticism
В статье рассматривается вклад Ю. М. Лотмана в развитие основных положений теории литературы, которые сыграли исключительно важную роль в филологической науке.In the article, the author tries to assess the contribution of Yu. M. Lotman to the development of basic concepts of literary theory, which, along with the study of the problems of culture studies and the history of Russian literature, played an extremely important role in philological science
A bibliometric analysis as a basis to evaluate research of «Library methodological activities» topic
The article gives the document flow characteristics on the problem of libraries methodical activity for 2008-2013 based on the documents bibliometric analysis, as well as on generalization, comparison, and a typological method. The author gets a representation on the microflow quantitative changes, its thematic, specific, geographical and publishing structures, and printing activity of certain researchers. Microflows of non-periodical editions (books and brochures) and articles from periodicals are considered separately from each other. Articles prevail in the flow. The volume of books and brochures microflow makes the tenth part of the total number of documents selected for research. The identical highly productive directions in thematic structure of two microflows are found: experience of introducing information-communication technologies and techniques to perform library-bibliographic processes. The perspective directions of researches are revealed: libraries analytical activity, library innovatics theory, library innovations legal regulation and economy. In 2013 the positive tendency on the volume of documents release was outlined in both microflows. In the books-brochures flow it was detected types of editions which aren't defined in the state standard specification: methodical, scientific-practical, scientific-methodical manuals and methodic recommendations. The main circle of magazines and conference proceedings publishing researches on libraries methodical work is defined. E. N. Guseva, T. V. Dergileva, V. G. Sviryukova, Yu. B. Avrayeva, I. Yu. Krasilnikova, N. V. Peregoyedova and N. S. Redkina are noted with the greatest printing activity. The author concludes that studying documentary support of this library activity direction is a basis for its further planning and is necessary under conditions of continuously changing information and social environment
Yu. M. Lotman and the Problems of Theoretical Literary Criticism
В статье рассматривается вклад Ю. М. Лотмана в развитие основных положений теории литературы, которые сыграли исключительно важную роль в филологической науке.In the article, the author tries to assess the contribution of Yu. M. Lotman to the development of basic concepts of literary theory, which, along with the study of the problems of culture studies and the history of Russian literature, played an extremely important role in philological science
An Archaeologist Celebrates his Jubilee: Yu. A. Zeleneev is 60
The article is devoted to the 60th birth anniversary of Yuri Anatolyevich Zeleneyev, Candidate of Historical Sciences, and Associate Professor of Mari State University. The principal spheres of his scientific interests and research activities include the archaeology of the Golden Horde period and medieval history of the peoples inhabiting the Volga region. Yu. A. Zeleneyev has coordinated research on many medieval sites, and his role in the study of the Golden Horde capital cities in the Lower Volga area should be particularly noted. Being among its founders, he headed the Center for archeological and ethnological research with Mari State University and organized rescue and salvage excavations in the Mari El Republic and adjacent territories. Yu. A. Zeleneyev is the author and coauthor of over 160 scientific and methodical works, editor of 9 collections of research papers, and deputy editor of the “Povolzhskaya Arkheologia” ("The Volga Region Archaeology") journal
Uporabe "Balkana": rock in nacionalizem v Sloveniji v devetdesetih letih
Članek poskuša izpostaviti nekatere ključne politične dimenzije yu-rock glasbe in kulture predvsem v navezavi na fenomen nacionalizma. Avtor ugotavlja,da je yu-rock v pomembni meri prispeval k ohlajevanju razgretih nacionalističnih strasti v času vojn v bivši Jugoslaviji, iz česar izpelje zaključek, da bi ga bilo iz tega zornega kota mogoče razumeti kot politično progresiven pojav. V nadaljevanju je podrobneje predstavljeno dogajanje v Sloveniji, kjer je v prvi polovici devetdesetih let v okviru tako imenovane "Balkan-scene" prišlo do evforičnega obujanja zanimanja za yu-rock in posnemanja domnevnega "tipičnega" "balkanskega" življenjskega stila. Tu avtor ugotavlja, da je imela v tem konkretnem slovenskem primeru uporaba yu-rocka bistveno bolj ambivalentne učinke: ne-esencialistična nastavitev teoretske prizme vodi k spoznanju, da je kljub najboljšim namenom in navidezni politični progresivnosti, "Balkan-scena" v mnogočem zgolj reproducirala številne stereotipe o "Balkanu", s tem pa nehote pripomogla k reprodukciji natanko tistega nacionalističnega diskurza, ki ga je želela postaviti pod vprašaj.The article raises questions regarding the relations between rock music and nationalism in former Yugoslavia. The author argues that Yu-rock music and culture have with their universal allegiances helped to preserve a degree of sane distance from the feverish outbursts of nationalisms among the significant part of the country\u27s youth during the years of nationalist wars between its former federal republics. As a consequence, it is possible to understand it as a positive movement in a political sense. A special case of Slovenian "Balkan-scene", however, shows that various appropriations of Yu-rock music, which have happened after the dissolution of the former Yugoslavia, do not necessarily have the same positive impact. Although it is true that listening to the Yu-rock music and appropriation of what was perceived as typical Balkan life-style by Slovenian alternative youth meant important symbolic challenge to Slovenian official nationalist discourse, this opposition did little to abolish the stereotyped understanding of the \u27Balkan\u27 as such. Just as in the official discourse, there was no recognition among the Slovenian alternative rockers of the fact that \u27Balkans\u27 is actually a set of rather different ethnicities, cultures, histories, religions, folkways etc., which means that this affirmative appropriation of the concept of \u27Balkan\u27 basically only reproduced the existing understanding of the nations in the region as a fascinating and also sometimes dangerous Otherness
The etiology of esophageal cancer in high- and low- risk areas of Jiangsu province, China
[Background]Esophageal cancer (EC) remains one of the most common and fatal malignancies worldwide. The geographic variation in EC occurrence is striking, and China is an area with one of the highest incidences of EC. A number of epidemiological studies have been conducted toward EC in the past decades, results suggested that tobacco smoking, alcohol drinking, unhealthy dietary factors and chronic injuries of the esophageal mucosa are important in the development of this disease. Genetic polymorphisms in enzymes involved in metabolism of carcinogens may also influence individual susceptibility. However, the effects of major lifestyle and hereditary risk factors on the development of EC remain poorly understood in China. Moreover, little attention has been paid to the etiological heterogeneity between similar areas with great risk gradient. [Methods]From 2003 to 2007, a large population-based case-control study of EC has been conducted in a selected high-risk area and a selected low-risk area of Jiangsu Province, one of the highest cancer incidence areas in China. In total, 1,520 cases and 3,879 controls were recruited. In this thesis, we evaluated the role of major lifestyle factors such as tobacco smoking, alcohol drinking and dietary factors, as well as inherited determinants including family history of cancer and genetic polymorphisms of alcohol-metabolizing related genes on the risk of EC. In addition, we investigated how much of the risk gradient between two areas could be explained by variation in the distributions of major risk factors. [Results] Tobacco smoking and alcohol drinking moderately increased the risk of EC, while the positive associations were only found among men but not among women. Dietary factors were observed to play important roles in the development of EC. Specific dietary habits i.e., fast eating speed, and hot eating and/or drinking substantially elevated EC risk and could explain more than 20% of EC cases each. High intake of salty foods and fried foods, low consumption of raw garlic were also observed to increase the risk of EC. In addition to environmental and lifestyle factors, we confirmed that a positive family history can significantly increase EC risk, and found the inheritance may modify the effect of some unhealthy lifestyles. Moreover, we further explored the relationship between EC and single nucleotide polymorphismsof ADH1B, ADH1C and ALDH2 genes. Results showed that the slow metabolizing ADH1B G allele, ADH1C G allele and ALDH2 A allele significantly increased EC risk among moderate-to-heavy alcohol drinkers, and a significant interaction was observed between ALDH2 gene and alcohol consumption. Lastly, we found that more than 60% of EC cases could be attributable to major lifestyle risk factors in the study population; furthermore, dissimilar distribution of several lifestyle factors, together with variations of hereditary factors may be largely responsible for the incidence difference between two study areas. [Conclusion]The findings in this thesis confirm that unhealthy lifestyles including smoking, alcohol drinking and some dietary factors are the predominant risk factors of EC in China, and a large proportion of incidence difference between regions at varying risk could be attributed to the different prevalence of lifestyle factors. As most of the identified risk factors are modifiable, these could be translated into risk reduction prevention programs in China, and a substantial proportion of new EC cases are expected to be prevented by eliminating or avoiding these risk factors in the population. </p
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