EUTHANASIA - A CHOICE BETWEEN DEATH AND DEATH (THE VIEW OF EUROPE AND RUSSIA)

В современном научном дискурсе появляется много интересных тем, рассматривающих самые острые проблемы социума, и одна из них - табуированная тема - эвтаназия. Эта проблема носит междисциплинарный характер. Философы, в рамках биоэтики, осмысливают нравственные аспекты, психологи «решают» дилемму «хорошо/плохо», «убийство/самоубийство/гуманный акт помощи», юристы прорабатывают нормативно-правовые акты по защите, зачастую трудносовместимых, прав пациентов/врачей/выгодополучателей, медики, сталкиваясь с «невыносимой физической и психологической болью» пациентов и близких родственников, предлагают свои варианты решения проблемы, физики, химики, генетики не остаются в стороне, развивая нейротехнологии, регенеративную медицину, фармакологию, био- и генные технологии. Политики, разворачивая широкие дискуссии о морально-этической стороне этого вопроса, российском традиционализме, либеральных ценностях, устраивая политические дебаты, разрабатывают дивиденды. Социологи, рассматривая эту социальную проблему, замеряют «градус общественного мнения». Общество, как живой сложносоставной организм, опираясь на свои ментальные программы, реагирует по-разному: от полного неприятия («человеческая жизнь - божественный дар») до однозначной легализации процедуры «достойной смерти, качественной смерти». Одна из важных проблем медицинского профессионального сообщества - проблема обеспечения «достойной смерти» неизлечимо больных пациентов и связанная с ней проблема эвтаназии. Мнение полярно. На понимание медиками проблем легализации эвтаназии оказывают влияние разновекторные факторы: во-первых, ценностные установки, во-вторых, опыт и место работы (врачи паллиативных отделений, хосписов, онкологи, имеющие большой стаж работы, более склоны к легализации эвтаназии), в-третьих, техническое, технологическое, фармакологическое обеспечение медицинского учреждения, в-четвертых, нормативно-правовая составляющая. Many interesting topics appear in the modern scientific discourse. They consider the most acute problems of society and one of them is a taboo topic - euthanasia. This problem is of an interdisciplinary nature. Philosophers within the framework of bioethics comprehend the moral aspects. Psychologists "solve" the dilemma of "good/bad", "murder/suicide/humane act of assistance". Lawyers are working on regulatory legal acts to protect the rights of patients/doctors/beneficiaries, which are often difficult to replace. Doctors, facing the "unbearable physical and psychological pain" of patients and close relatives, offer their own solutions to the problem, physicists, chemists, geneticists do not stay away, developing neurotechnologies, regenerative medicine, pharmacology, bio and gene technologies. Politicians also do not stand aside, unfolding broad discussions, arranging political debates, developing dividends. Sociologists considering this social problem measure the "degree of public opinion". Society as a living complex organism relying on its mental programs reacts in different ways: from complete rejection to legalization of this procedure. One of the important problems of the medical professional community is the problem of ensuring a “dignified death” of terminally ill patients and the related problem of euthanasia. The opinion of doctors is polar. Doctor`s understanding of the problems of legalizing euthanasia is influenced by various factors: firstly, values, secondly, experience and place of work (doctors of palliative departments, hospices, oncologists with long work experience are more inclined to legalize euthanasia), thirdly, technical, technological, pharmacological support of a medical institution, and fourthly, the regulatory component

Rationalizing Denominators Using Gröbner Bases

The problem of rationalizing denominators for two types of fractions is discussed in the paper. By using the theory and algorithms of Gröbner bases, we first introduce a method to rationalize the denominators of fractions with square root and cube root, and then, for the denominators with higher radical of the general form, the problem of rationalizing denominators is converted into the related problem of finding the minimal polynomials. Some interesting results and an executable algorithm for rationalizing the denominator of these type fractions are presented. Furthermore, an example is also established to illustrate the effectiveness of the algorithm.

Ephemeral islands, plunging quantum extremal surfaces and BCFT channels

We consider entanglement entropies of finite spatial intervals in Minkowski radiation baths coupled to the eternal black hole in JT gravity, and the related problem involving free fermion BCFT in the thermofield double state. We show that the non-monotonic entropy evolution in the black hole problem precisely matches that of the free fermion theory in a high temperature limit, and the results have the form expected for CFTs with quasiparticle description. Both exhibit rich behaviour that involves at intermediate times, an entropy saddle with an island in the former case, and in the latter a special class of disconnected OPE channels. The quantum extremal surfaces start inside the horizon, but can emerge from and plunge back inside as time evolves, accompanied by a characteristic dip in the entropy also seen in the free fermion BCFT. Finally an entropy equilibrium is reached with a no-island saddle.

Drug Use Evaluation Among Elderly Patients With History of Falling in Geriatric Assessment Clinic, Ramathibodi Hospital

Background: Drug use evaluation as an intervention approach for fall prevention has an effect on most drug-related outcomes. Geriatric assessment clinic provides comprehensive care in elderly patients. All prescribed or non-prescribed medications were evaluated by pharmacists. Objective: To study the drug and drug-related problem among elderly patients with history of falling. Methods: This is a cross-sectional study of elderly patients with history of fallings. Demographic data, health information, history of falls, and drugs use evaluation were obtained from their medical records in year 2010 to 2020. Linear regression model was used to examine the multivariate correlates to number of fallings. Results: A total of 183 patients with history of falling were studied. Of this, 97 had recurrent falls. Most patients (77%) had more than 5 underlying diseases and over half (55%) had dementia. Drug-related problem were found 69.4%, 4 in 5 of patients used 5 types of the medications or more. The diabetes drugs were found to increase risk of recurrent falls significantly (OR [95% CI], 2.11 [1.03 - 4.33]; P < .05). Conclusions: Most elderly patient with history of falling have drug-related problem (69.4%) and multiple morbidities including dementia. The diabetes drugs were 2 times significantly increased risk of recurrent falls. This study highlights the important of drugs management in this vulnerable group of elderly patients.

ABOUT SOME PROBLEMS OF ONLINE CHEMISTRY TEACHING IN HIGH SCHOOL

A number of topical problems of higher education caused by the processes of its digitalization are discussed, including the problems of university online teaching of chemistry and other chemical disciplines. The problem of incorrect use of educational information by students from the Internet is due to the excessive dependence of students on digital technologies and their insufficiently critical attitude to online educational information. The related problem of replacing systematic knowledge with superficial and incomplete information from sources of digital communication requires an immediate solution. The specifics of online teaching also cause special psychological problems of the relationship between the teacher and students. The problem of incomplete adequacy of electronic media used in the educational process and the related problem of insufficient technical support of online technologies are also serious. Possible ways and means of solving these problems are considered.

Age and Ageism in the COVID-19 Pandemic: What Does the Data Show?

Gerontologists were quick to call out the resurgence of ageism that was reflected in the paternalistic, overgeneralized, and deficit views of aging that dominated discussions about age-associated risks of the disease and its consequences. One manifestation of the blunt and potentially ageism-promoting use of age in data about the virus is the failure to routinely distinguish the independent role of age alone, separate from its association with comorbidities. A related problem is the use of broad age categories, which can also mask the role of specific comorbidities. To address that gap, this study uses data from Centers for Disease Control and Prevention, as of Feb 21, 2021 to calculate age-specific COVID-19 death rates (ASDR) and compare the extent to which comorbid conditions potentially associated with COVID-19 deaths were listed on death certificates. Findings showed that the ASDR was significantly higher for those 85 years and over (2249.96 per 100,000); the rate was 802.66 for 75-84 and 312.78 per 100,000 for 65-74. Death certificate information revealed that influenza and pneumonia was the major contributing comorbidity to COVID-19 deaths across all three age groups; (listed on 49% of the death certificates for those 65-74 who died with COVID-19, 46% of those 75-84, and 38% of those 85 and over). Future studies should be more precise about the use of age/age groups, about the rationale for those designations, and about the impact of age separate from comorbidities. Broad use of an arbitrary age as a proxy for frailty and illness contributes to ageism.

Rigorous Bounds on Transmission, Reflection, and Bogoliubov Coefficients

<p>This thesis describes the development of some basic mathematical tools of wide relevance to mathematical physics. Transmission and reflection coefficients are associated with quantum tunneling phenomena, while Bogoliubov coefficients are associated with the mathematically related problem of excitations of a parametric oscillator. While many approximation techniques for these quantities are known, very little is known about rigorous upper and lower bounds. In this thesis four separate problems relating to rigorous bounds on transmission, reflection and Bogoliubov coefficients are considered, divided into four separate themes: Bounding the Bogoliubov coefficients; Bounding the greybody factors for Schwarzschild black holes; Transformation probabilities and the Miller-Good transformation; Analytic bounds on transmission probabilities.</p>

Rigorous Bounds on Transmission, Reflection, and Bogoliubov Coefficients

<p>This thesis describes the development of some basic mathematical tools of wide relevance to mathematical physics. Transmission and reflection coefficients are associated with quantum tunneling phenomena, while Bogoliubov coefficients are associated with the mathematically related problem of excitations of a parametric oscillator. While many approximation techniques for these quantities are known, very little is known about rigorous upper and lower bounds. In this thesis four separate problems relating to rigorous bounds on transmission, reflection and Bogoliubov coefficients are considered, divided into four separate themes: Bounding the Bogoliubov coefficients; Bounding the greybody factors for Schwarzschild black holes; Transformation probabilities and the Miller-Good transformation; Analytic bounds on transmission probabilities.</p>

Benefits and Costs of Happy Entrepreneurs: The Dual Effect of Entrepreneurial Identity on Entrepreneurs' Subjective Well-Being

Entrepreneurship research generally focuses more on the entrepreneurial outcomes of entrepreneurs and less on their entrepreneurial process. To a certain extent, well-being reflects how tired entrepreneurs are during entrepreneurship. Based on conservation of resources theory, this study proposes a double-edged sword model of the effect of entrepreneurial identity on subjective well-being, using the two-dimensional structure of work rumination as a mediator. This study also concentrates on the moderating role of entrepreneurial mindfulness. Multiple hierarchical regression methods are used to analyze and test 882 valid samples. Results suggest that the effect of entrepreneurial identity produces distinctly different outcomes. On the one hand, entrepreneurial identity induces entrepreneurs' work-related affective rumination to reduce their subjective well-being through the path of resource depletion. On the other hand, entrepreneurial identity stimulates entrepreneurs' contemplation on work-related problem-solving pondering to enhance their subjective well-being through the path of resource acquisition. In the path of resource depletion, work-related affective rumination produces a “suppressing effect” between an entrepreneur's identity and entrepreneurial subjective well-being. In addition, entrepreneurial mindfulness weakens the resource depletion path. Entrepreneurial mindfulness negatively moderates the relationship between entrepreneurial identity and work-related affective rumination. Entrepreneurial mindfulness also does not strengthen the resource acquisition path. Mindfulness does not positively moderate the relationship between entrepreneurial identity and work-related problem-solving pondering. The findings further extend the research on the influence of entrepreneurial identity on subjective well-being. They also reveal the mechanisms and boundary conditions of the effect of entrepreneurial identity on subjective well-being.