592 research outputs found

    Justifying medication decisions in mental health care: psychiatrists’ accounts for treatment recommendations

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    Psychiatric practitioners are currently encouraged to adopt a patient centered approach that emphasizes the sharing of decisions with their clients, yet recent research suggests that fully collaborative decision making is rarely actualized in practice. This paper uses the methodology of Conversation Analysis to examine how psychiatrists justify their psychiatric treatment recommendations to clients. The analysis is based on audio-recordings of interactions between clients with severe mental illnesses (such as, schizophrenia, bipolar disorders, etc.) in a long-term, outpatient intensive community treatment program and their psychiatrist. Our focus is on how practitioners design their accounts (or rationales) for recommending for or against changes in medication type and dosage and the interactional deployment of these accounts. We find that psychiatrists use two different types of accounts: they tailor their recommendations to the clients' concerns and needs (client-attentive accounts) and ground their recommendations in their professional expertise (authority-based accounts). Even though psychiatrists have the institutional mandate to prescribe medications, we show how the use of accounts displays psychiatrists' orientation to building consensus with clients in achieving medical decisions by balancing medical authority with the sensitivity to the treatment relationship.Peer reviewedAvailable online 29 April 2015 and published in the August 2015 issue, according to the publisher's website.Author's Manuscript is available open access in PubMed Central: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4595152/pdf/nihms720125.pdf

    Problems of choosing optimal solutions for systems with random and non-random perturbations

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    The problem of choosing an optimal solution in stochastic optimization problem containing both random perturbations with given distributions and nonrandom perturbations about which only the regions of their possible values are known. As a criterion of optimality, the quantile criterion is used, i.e. The objective function value guaranteed with some given probability is optimised. This problem is closely connected with the problem of the construction confidence estimates for a statistically uncertain random vector that is a random vector with an incompletely known distribution. A concept of the generalized confidence set is used for statistically uncertain vector, and its properties are studied. The quantile stochastic optimization problem under incomplete information is solved by means of an optimal choice of the generalized confidence region. © 2017 Author(s)

    To the memory of Galina Lazorenko (08.03.1942–14.02.2018)

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    February 14, 2018 famous scientist, radioecologist, D. Sc. (Biol.), leading researcher of Radiation and Chemical Biology Department of IMBR RAS Galina Lazorenko passed away. She was the author of 236 publications, including 11 collective monographs and 162 articles. On the scientific internship at Risø DTU National Laboratory in Denmark, Galina Lazorenko mastered new radiochemical methods for determining Chernobyl radionuclides of cesium, transuranium elements and a natural radionuclide 210Po and received an official IAEA certificate in the direction “Marine Biobiology” for the application of these methods.14 февраля 2018 г. безвременно ушла из жизни известный учёный-радиоэколог, талантливый педагог, доктор биологических наук, ведущий научный сотрудник отдела радиационной и химической биологии Института морских биологических исследований имени А. О. Ковалевского РАН Галина Евдокимовна Лазоренко

    Grasse Diary by Galina Kuznetsova — the self-portrait of the author

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    Grasse Diary (Грасский дневник, 1967), the most famous work by Galina Kuznetsova, for years has been treated mostly as the book about Ivan Bunin. It contains her account of fifteen years spent with Bunin in Grasse and Paris, wherefore it has been attracted particular interest of Bunin’s researchers. Bunin is the central figure of Grasse Diary, yet Kuznetsova, according to Lejeune’s „autobiographical pact”, remains the author, the narrator of her story and character who is being talked about. Discrete entries include her experiences, thoughts, feelings, comment on current events. Kuznetsova creates the self-portrait, presents a deeply subjective vision of the world. Some equal strategies can be found in her narration: an observer strategy, participant strategy and introspection strategy. The aim of this paper is to analyse them and to interpretate Kuznetsova’s image given in her daily entries

    To the memory of Boris Alexandrov and Galina Ivanovich

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    On December 4, 2019, teams of Institute of Marine Biology of the National Academy of Sciences of Ukraine (Odessa) and A. O. Kovalevsky Institute of Biology of the Southern Seas of Russian Academy of Sciences (Sevastopol) suffered a painful and irreparable double loss: Director of IMB D. Sc., Prof. Boris Alexandrov and senior scientist, PhD Galina Ivanovich tragically perished in a terrible fire in the building of Odessa IMB. Boris Alexandrov was a talented scientist in marine ecology, widely-known expert in international hydrobiological community, as well as an outstanding teacher and respectful leader of a large Institute’s staff. Boris Alexandrov lived a remarkable and active life of only 61 years. List of his scientific merits and achievements is impressive: Doctor of Biological Sciences, Professor, Corresponding Member of NAS of Ukraine, laureate of the State Prize for Science and Technology of Ukraine, Honoured Worker of Science and Techniques of Ukraine, author of the more than 200 scientific papers and monographs. For more than 10 years, Boris Alexandrov was the Head of the Biodiversity Conservation Expert Group in the Black Sea Commission for protection of the marine ecosystems against pollution. Galina Ivanovich was expert in physiology of marine organisms. Since the beginning of her research career (1985), she worked at Odessa IMB, and published more than 50 scientific articles. The blessed memory of Boris Alexandrov and Galina Ivanovich will forever remain in our hearts

    "'Semejnoe sshchast'e' L'va Tolstogo v ital'janskom perevode Clemente Rebora"

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    The author analyzes Clemente Rebora’s Italian translation (1920) of the short novel "Semejnoe sčast’e" (Family Happiness) by Lev N. Tolstoy (1859); special attention is paid to the differences from the original text that signal the translator’s interpretive reading

    Evaluation of origin-destination matrices based on analysis of data on transport passenger flows

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    The problem of reconstructing the origin-destination matrix for transport following fixed routes is studied. Estimates are based on statistics on passengers entering and leaving at each stop. Various models for estimating of origin-destination matrices are analyzed, including the entropy model and the generalized gravitational model. The properties of correspondences of duplicating and complementary routes are taken into account for comparing the models. © 2021 Author(s)
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