scholarly journals Systemic Puppet Therapy in Rehabilitation Practice

2020 ◽  
Vol 99 (5) ◽  
pp. 88-93
Author(s):  
O.A. Lanberg ◽  
L.G. Khayet ◽  
T.V. Kadinskaya
Keyword(s):  
Research Centre ◽  
Face To Face ◽  
National Medical ◽  
Resource Search ◽  
Wide Range ◽  
Analysis And Synthesis ◽  
Scope Of Application ◽  
Puppet Therapy ◽  
Psychological Assistance ◽  
Intellectual Level

The concept of systemic puppet therapy proposed by the authors is described. Therapeutic work with puppets is a promising method of psychological assistance as part of rehabilitation processes. Its insufficient use is due to its low structurality. The phased application of morphological analysis and synthesis made it possible to streamline the known and develop new effective methods of puppet therapy. The proposed systemic puppet therapy is an ordered polymodal set of static (lining on the table or on the floor of a puppet arranged set) and dynamic (presenting history on behalf of the puppet or staging a performance) methods, individual and group methods, face-to-face and remote forms of work, algorithms for their choice.The size, material and design of puppets, quantitative and qualitative composition of their therapeutic set are justified. Methods of puppet therapy of different degree of structuring and depth of exposure for patients with different level of intelligence are described, including category and scope of application of the technique, instructions to the patient, plan of results discussion,transformation procedure providing therapeutic effect. Implementing a polymodal approach, after working with puppets, patients painted, composed and analysed works of literature andart. The field of puppet therapy intersected with the fields of drama-, mask- and art therapy, body-oriented and verbal therapy, psychodrama and system arrangements. Puppet therapy content included work with feelings and emotions, with the process of communication and social roles, with verbal and non-verbal diagnostics and self-diagnostics, with personal features and a system of relationships,with values and needs, with existential problems of patients. Systemic puppet therapy is applicable to a wide range of nosological categories, therapeutic situations, physical condition, intellectual level, gender and age characteristics of patients.The conditions and examples of application of techniques in the National Medical Research Centre of Rehabilitation and Balneology with the tasks of correcting unproductive attitudes and the system of patient relations, correcting perceptions of oneself; capacity-building and resource search; development of a compliance installation and active participation in rehabilitation are given.

scholarly journals Infectious safety during primary specialized accreditation in the COVID-19 pandemic

2021 ◽  
pp. 14-20
Author(s):  
Evgeny Germanovich Ripp ◽  
A. R. Fattakhov ◽  
T. M. Ripp ◽  
R. A. Postanogov ◽  
N. M. Iminov ◽  
...  
Keyword(s):  
Medical Education ◽  
Medical Research ◽  
Research Centre ◽  
Face To Face ◽  
Technological Processes ◽  
Specialized Accreditation ◽  
National Medical ◽  
Technical Personnel ◽  
The Face ◽  
Simulation Center

This article is devoted to the organization of the work of the Accreditation and Simulation Center of the Institute of Medical Education of the Almazov National Medical Research Centre during the primary specialized accreditation in the COVID-19 pandemic. Organizational solutions, technological processes and routing of accredited (308 people), support and technical personnel (98 people) and employees of the Accreditation and Simulation Center (14 people) and members of accreditation commissions (67 people) are presented to ensure infectious safety and the effectiveness of the face-to-face practice-oriented stage of accreditation.

scholarly journals SOCIO-PSYCHOLOGICAL AND BEHAVIORAL CHARACTERISTICS OF PATIENTS WITH CHRONIC HEART FAILURE AWAITING HEART TRANSPLANTATION

2020 ◽  
Vol 12 (4) ◽  
pp. 44-54
Author(s):  
Roman Yurevich Shindrikov ◽  
Olga Yurevna Shchelkova ◽  
Elena Alekseevna Demchenko ◽  
Nadezhda Evgenevna Kruglova
Keyword(s):  
Heart Failure ◽  
Chronic Heart Failure ◽  
Heart Transplantation ◽  
Short Form ◽  
Structured Interview ◽  
Waiting List ◽  
Research Centre ◽  
National Medical ◽  
Wide Range ◽  
Adequate Understanding

Aim. The article presents the results of psychological investigations of patients in the terminal stage of chronic heart failure (n = 105, average age 51.9 ± 0.9 years, males – 86.7 %) undergoing medical treatment at the Almazov National Medical Research Centre (St. Petersburg). The investigations were carried out before the medical commission for inclusion of patients into the waiting list for heart transplantation (HTWL). Materials and methods. After 6 months of treatment in a cardiology hospital, the patients were divided into 2 groups – the patients included in and retained their positions in the HTWL (n = 55) and the patients not included in or excluded from the HTWL (n = 55). That was done in order to identify the prognostically significant psychosocial characteristics of patients. Clinical, psychological and psychometric methods were used such as a structured interview, expert questionnaire for doctors, the Alcohol Use Disorders Identification Test (AUDIT), the Short Form-36 (SF-36). Results. Comparative analysis reveals a wide range of psychological characteristics, among which the indicators of adherence for treatment and willingness to change lifestyle have the greatest importance. Emotional support and relationships outside the family, an adequate understanding of the disease, an optimistic assessment of the outcome of surgery treatment, etc., as well as the presence of one's own family and minor children are essential in the structure of the psychosocial potential of patients during preparation for HT. Conclusion. Using the obtained results will improve the methodology and procedure for a comprehensive clinical assessment of patients with chronic heart failure before inclusion into the waiting list for heart transplantation, which is extremely important for advanced surgical technologies.

Reading Beyond the Code

2018 ◽  
Keyword(s):  
Relevance Theory ◽  
Literary Studies ◽  
The Novel ◽  
Human Communication ◽  
Communicative Acts ◽  
Face To Face ◽  
Code Model ◽  
Wide Range ◽  
Central Claim

This book explores the value for literary studies of relevance theory, an inferential approach to communication in which the expression and recognition of intentions plays a major role. Drawing on a wide range of examples from lyric poetry and the novel, nine of the ten chapters are written by literary specialists and use relevance theory both as an overall framework and as a resource for detailed analysis. The final chapter, written by the co-founder of relevance theory, reviews the issues addressed by the volume and explores their implications for cognitive theories of how communicative acts are interpreted in context. Originally designed to explain how people understand each other in everyday face-to-face exchanges, relevance theory—described in an early review by a literary scholar as ‘the makings of a radically new theory of communication, the first since Aristotle’s’—sheds light on the whole spectrum of human modes of communication, including literature in the broadest sense. Reading Beyond the Code is unique in using relevance theory as a prime resource for literary study, and is also the first to apply the model to a range of phenomena widely seen as supporting an ‘embodied’ conception of cognition and language where sensorimotor processes play a key role. This broadened perspective serves to enhance the value for literary studies of the central claim of relevance theory: that the ‘code model’ is fundamentally inadequate to account for human communication, and in particular for the modes of communication that are proper to literature.

scholarly journals Effects of self-management education programmes on self-efficacy for osteoarthritis of the knee: a systematic review of randomised controlled trials

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Daisuke Uritani ◽  
Hitoshi Koda ◽  
Sho Sugita
Keyword(s):  
Health Professionals ◽  
Self Efficacy ◽  
Randomised Controlled Trials ◽  
Management Education ◽  
Self Management ◽  
Controlled Trials ◽  
Face To Face ◽  
Knee Oa ◽  
Wide Range ◽  
Randomised Controlled

Abstract Background Enhancing self-efficacy to manage symptoms and functions is an important aspect of self-management for patients with knee osteoarthritis (OA). Many reports have investigated the effects of self-management education programmes for arthritis patients. However, a study that exclusively focuses on patients with OA in the same joints is required to clarify the effects of self-management programmes because individuals with knee OA experience physical and psychological difficulties different from those experienced by individuals with other arthritis diseases. Furthermore, previous studies have reported a wide range of delivery styles of self-management education programmes. This systematic review aimed to evaluate the effects of group-based and face-to-face self-management education programmes conducted by health professionals targeting self-efficacy for knee OA exclusively. Methods The MEDLINE, CENTRAL, EMBASE, CINAHL, Web of Science, and PEDro databases were searched to identify quantitative measures used in randomised controlled trials (RCTs) to assess the effects of self-management education programmes targeting self-efficacy in patients with knee OA. We included studies in which medical professional-delivered self-management education programmes were conducted in a group-based and face-to-face manner in community or outpatient settings. Results Seven RCTs from five countries were included in this review. Our retrieved studies included various types of self-management education programmes such as cognitive behavioural counselling, pain management education, physical education, weight management education, and arthritis self-efficacy management education, and control arms. They assessed various aspects of self-efficacy, including pain, physical function, arthritis symptoms excluding pain, weight management, mobility, and self-regulation. The total score of the Arthritis Self-Efficacy Scale was also measured. Some studies have reported beneficial effects of group-based and face-to-face self-management education programmes on self-efficacy for management of pain and other symptoms and for self-regulatory, knee OA. However, the results of the included studies were varied and inconsistent. Conclusions The current review only included seven studies, and there was a wide range of clinical heterogeneity among these studies. Thus, the effects of group-based and face-to-face self-management education programmes conducted by health professionals on self-efficacy for knee OA exclusively are inconclusive to date. Therefore, high-quality studies are required to provide significant information on clinicians, patients, and healthcare professionals in the future.

Dynamic Characteristics of a Piezoelectric Transducer with Structural Damping

2013 ◽  
Vol 198 ◽  
pp. 633-638 ◽  
Author(s):  
Marek Płaczek
Keyword(s):  
Piezoelectric Transducer ◽  
Piezoelectric Materials ◽  
Research Centre ◽  
Structural Damping ◽  
Mechatronic Systems ◽  
Mathematical Algorithm ◽  
Analysis And Synthesis ◽  
The Matrix ◽  
Piezoelectric Stacks ◽  
Future Work

Work presents a proposal of an analysis method of the piezoelectric transducer. The considered system is a longitudinally vibrating single PZT plate. The main aim of this work is to designate characteristics of the considered PZT plate. Using constitutive equations of piezoelectric materials and an equation of the plates motion a matrix of characteristics of the system was obtained. Relations between mechanical and electrical parameters (forces, displacements, electric current and voltage) that describe behaviour of the system are included in the matrix of characteristics. A dynamic flexibility relation between the plates deformation and a force applied to the system is considered. A structural damping of the plates material was being taken into consideration and its influence on the plates dynamic flexibility is analysed. This work is an introduction to a task of analysis of complex systems. In future work the developed model and proposed mathematical algorithm will be used to analyse piezoelectric stacks. Non-classical methods will be used. It is a part of research works of Gliwice research centre related with an analysis and synthesis of mechanical and mechatronic systems [4-7,9,10,16-18]. Passive and active mechanical and mechatronic systems with piezoelectric transducers were analysed [1-3]. Works were also supported by computer-aided methods [8]. Both classical and non-classical methods were being considered. The discussed subject is important due to increasing number of applications of both simple and reverse piezoelectric phenomena in various modern technical devices.

Interaction Online

2017 ◽  
Author(s):  
Lindsay Clandfield ◽  
Jill Hadfield
Keyword(s):  
Language Teaching ◽  
Online Interaction ◽  
Discussion Forums ◽  
Valuable Resource ◽  
Instant Message ◽  
Face To Face ◽  
Learning Contexts ◽  
Teaching Interaction ◽  
Wide Range

This book is for teachers interested in incorporating interaction online into their teaching. Interaction Online is a valuable resource for anyone who wants to incorporate an aspect of online interaction in their language teaching. It is relevant for use with online, blended or face-to-face courses and appropriate for a wide range of teachers and learning contexts. This handbook contains over 75 tried and tested activities, the majority of which can be carried out either synchronously or asynchronously. Activities are purposeful and foster interaction between and among learners and instructors, rather than between learner and machine, and make use of generic tools and applications, such as discussion forums, instant message services and Facebook.

Therapeutic communities and the local community: isolation or integration?

2014 ◽  
Vol 35 (4) ◽  
pp. 150-158 ◽  
Author(s):  
David William Best ◽  
Gerard Byrne ◽  
David Pullen ◽  
Jacqui Kelly ◽  
Karen Elliot ◽  
...  
Keyword(s):  
Community Development ◽  
Community Engagement ◽  
Local Community ◽  
Local Communities ◽  
Salvation Army ◽  
Research Centre ◽  
Mutual Aid ◽  
Action Research Project ◽  
Content Type ◽  
Wide Range

Purpose – The purpose of this paper is to test the feasibility of utilising an Asset-Based Community Development (ABCD) model in the context of an Alcohol and Other Drug Therapeutic Community, and to use this as a way of assessing how TCs can contribute to the local communities in which they are sited. Design/methodology/approach – This is a qualitative action research project, based on an evolving model in which key stakeholders from participating sites were instrumental in shaping processes and activities, that is a partnership between a research centre, Turning Point in Melbourne, Australia and two Recovery Services operated by the Salvation Army Australia Eastern Territory (TSA). One of these is the Dooralong Transformation Centre on the Central Coast of New South Wales and the other, Fairhaven, is in the Gold Coast hinterland of Queensland, Australia. The project was designed to create “rehabilitation without walls” by building bridges between the treatment centres and the communities they are based in, and improving participation in local community life. This was done through a series of structured workshops that mapped community asset networks and planned further community engagement activities. Findings – Both of the TCs already had strong connections in their local areas including but not restricted to involvement with the mutual aid fellowships. Staff, residents and ex-residents still in contact with the service were strongly committed to community engagement and were able to identify a wide range of connections in the community and to build these around existing Salvation Army connections and networks. Research limitations/implications – This is a pilot study with limited research findings and no assessment of the generalisability of this method to other settings or TCs. Practical implications – Both TCs are able to act as “community resources” through which residents and ex-residents are able to give back to their local communities and develop the social and community capital that can prepare them for reintegration and can positively contribute to the experience of living in the local community. Social implications – This paper has significant ramifications for how TCs engage with their local communities both as a mechanism for supporting resident re-entry and also to challenge stigma and discrimination. Originality/value – The paper and project extend the idea of ABCD to a Reciprocal Community Development model in which TCs can act as active participants in their lived communities and by doing so can create a “therapeutic landscape for recovery”.

scholarly journals Microstructure representation of snow in coupled snowpack and microwave emission models

2016 ◽  
Author(s):  
Melody Sandells ◽  
Richard Essery ◽  
Nick Rutter ◽  
Leanne Wake ◽  
Leena Leppänen ◽  
...  
Keyword(s):  
Brightness Temperature ◽  
Microstructure Evolution ◽  
Microwave Emission ◽  
Model Systems ◽  
Research Centre ◽  
Emission Model ◽  
Mean Error ◽  
Scale Factors ◽  
Wide Range ◽  
Emission Models

Abstract. This is the first study to encompass a wide range of coupled snow evolution and microwave emission models in a common modelling framework in order to generalise the link between snowpack microstructure predicted by the snow evolution models and microstructure required to reproduce observations of brightness temperature as simulated by snow emission models. Brightness temperatures at 18.7 and 36.5 GHz were simulated by 1323 ensemble members, formed from 63 Jules Investigation Model snowpack simulations, three microstructure evolution functions and seven microwave emission model configurations. Two years of meteorological data from the Sodankylä Arctic Research Centre, Finland were used to drive the model over the 2011–2012 and 2012–2013 winter periods. Comparisons between simulated snow grain diameters and field measurements with an IceCube instrument showed that the evolution functions from SNTHERM simulated snow grain diameters that were too large (mean error 0.12 to 0.16 mm), whereas MOSES and SNICAR microstructure evolution functions simulated grain diameters that were too small (mean error −0.16 to −0.24 mm for MOSES, and −0.14 to −0.18 mm for SNICAR). No model (HUT, MEMLS or DMRT-ML) provided a consistently good fit across all frequencies and polarizations. The smallest absolute values of mean bias in brightness temperature over a season for a particular frequency and polarization ranged from 0.9 to 7.2 K. Optimal scaling factors for the snow microstructure were presented to compare compatibility between snowpack model microstructure and emission model microstructure. Scale factors ranged between 0.3 for the SNTHERM-Empirical MEMLS model combination (2011–2012), and 5.0 or greater when considering non-sticky particles in DMRT-ML in conjunction with MOSES or SNICAR microstructure (2012–2013). Differences in scale factors between microstructure models were generally greater than the differences between microwave emission models, suggesting that more accurate simulations in coupled snowpack-microwave model systems will be achieved primarily through improvements in the snowpack microstructure representation, followed by improvements in the emission models. Other snowpack parameterisations in the snowpack model, mainly densification, led to a mean brightness temperature difference of 11 K when the JIM ensemble was applied to the MOSES microstructure and empirical MEMLS emission model for the 2011–2012 season. Consistency between snowpack microstructure and microwave emission models, and the choice of snowpack densification algorithms should be considered in the design of snow mass retrieval systems and microwave data assimilation systems.

scholarly journals REVIEW: INTEGRATIVE COORDINATION ABILITIES OF COACHES IN WELLNESS TYPES OF GYMNASTICS

2015 ◽  
Vol 4 (99) ◽  
pp. 2-7
Author(s):  
Olga Aftimichuk
Keyword(s):  
Professional Training ◽  
Theoretical Research ◽  
Professional Activity ◽  
Human Organism ◽  
Wide Range ◽  
Different Types ◽  
Analysis And Synthesis ◽  
And Behavior ◽  
Coordination Development ◽  
Complex Coordination

Background. The coordination development level influences the execution of any human activity, which is very important for the general perception of this activity and behavior in general. It is especially relevant for to coaches in wellness and sports gymnastics. The aim of the present study was the identification of the coordination skills of coaches of different types of gymnastics, which would improve the process of their professional training. Material and Methods. This review presents a synthesis of research conducted by the author. The following methods of theoretical research were used: abstract and axiomatic methods, analysis and synthesis, induction and deduction, idealization, comparison and generalization, and projecting. Results. The coaches’ training in different types of gymnastics includes the development of a wide range of professional skills: the tandem of communicative and motor skills that determine one type of complex coordination. The realization of complex coordination presupposes the participation of sensor systems (analyzer systems), which are visual, auditory, tactile, vestibular, and motor systems. The basic speech component of complex coordination in coaches’ activity/behavior determines his/her communicative orientation in the process of teaching. It is explained by the connection between the cultivation of complex coordination skills with the congenital and genetic, anatomical and physiological particularities of the human organism. We determined the coordination abilities, the formation of which contributes to the development of complex coordination skills. Conclusion. Development of integrative coordination abilities is an important part of professional activity of coaches of gymnastics, which requires such preparation.

scholarly journals Transsphenoidal endoscopic appro ach in the treat ment of spontaneous cerebrospinal fluid (CSF) leak

2019 ◽  
Vol 178 (2) ◽  
pp. 10-14
Author(s):  
V. Y. Cherebillo ◽  
S. A. Karpischenko ◽  
N. S. Puzakov ◽  
O. A. Stancheva
Keyword(s):  
Cerebrospinal Fluid ◽  
Nasal Cavity ◽  
Pathological Condition ◽  
Research Centre ◽  
Csf Leak ◽  
Medical Institute ◽  
Large Defect ◽  
Endoscopic Endonasal ◽  
National Medical ◽  
Treat Ment

Introduction. Spontaneous nasal liquorrhea is a pathological condition associated with defect between nasal cavity and intracranial structures that lead to the expiration of the CSF from the nasal cavity.The objective is to evaluate the effectiveness of endoscopic endonasal approach in the CSF leak treatment.Material and methods. For the period from 2008 to 2018, 38 patients with spontaneous nasal liquorrhea were examined and treated in Pavlov First Saint Petersburg State Medical University, the clinic of neurosurgery of Kirov Medical Institute and Almazov National Medical Research Centre. All patients underwent plastic surgery of the CSF fistula by endoscopic endonasal aproach.Results. Only in 4 cases, there was a large defect, the failure of the closure of which required repeated surgical intervention in 1–2 weeks after the initial operation.Conclusion. The use of autologous tissues (muscle or fat autograft) is the method of choice for repeated surgical plastics of the cerebrospinal fluid fistula or in a large size defect (more than 5 mm).

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