Рациональный компромисс целей субъектов дистанционного образования

На базе системной методологии исследованы механизмы согласования деятельности субъектов в дистанционном образовании для нахождения рационального компромисса целей субъектов обучения, учебных заведений и агентов рынка труда. На схемах взаимосвязей компонентов системы образования в процессе обучения и на схеме взаимодействия учебных заведений проиллюстрированы преимущества такого подхода. Предложена математическая постановка задачи обеспечения рационального компромисса целей. Разработан алгоритм ее решения.На основі системної методології досліджено механізми погодження діяльності суб’єктів у дистанційній освіті з метою знаходження раціонального компромісу цілей суб’єктів навчання, навчальних закладів та агентів ринку праці. На схемах взаємозв’язків компонентів системи освіти у процесі навчання та на схемі взаємодії навчальних закладів проілюстровано переваги такого підходу. Запропоновано математичну модель задачі знаходження раціонального компромісу цілей та наведено алгоритм її розв’язку.Coordination mechanisms for agents purposes in the distance education have been studied on the basis of system methodology. The finding of rational compromise for purposes of learners, educational institutions and labour market agents is proposed. Benefits of the approach are illustrated by the scheme of education system components interconnection during the learning process and the scheme of educational institutions interaction. A mathematical model and an algorithm for finding the rational compromise of purposes are given

Determinants of public trust in complementary and alternative medicine

BACKGROUND: In the Netherlands, public trust in conventional medicine is relatively high. There is reason to believe that public trust in complementary and alternative medicine (CAM) is rated lower. The aim of this study is to gain insight into public trust in CAM and the determinants that lie at the root of it. We hypothesized that public trust in CAM is related to (perceived) institutional guarantees, media information on CAM, information from people's social network, personal experiences, the role of general practitioners (GPs) and trust in conventional medicine. METHODS: A postal questionnaire on public trust in CAM was mailed to 1358 members of the Health Care Consumer Panel. 65% of the questionnaires were returned. Data were analysed using frequencies, ANOVA, post hoc testing and linear regression analyses. RESULTS: In the total sample, the level of public trust in CAM was a 5.05 on average on a scale of 1-10. 40.7% was CAM user (current or past) and displayed significantly higher levels of trust toward CAM than CAM non users. In the total sample, public trust in CAM was related to institutional guarantees, negative media information, positive and negative information reported by their social network and people's personal experiences with CAM. For non users, trust is mostly associated with institutional guarantees. For users, personal experiences are most important. For both users and non users, trust levels in CAM are affected by negative media information. Public trust in CAM is for CAM users related to positive information and for non users to negative information from their network. CONCLUSIONS: In the Netherlands, CAM is trusted less than conventional medicine. The hypotheses on institutional guarantees, media information, information from the network and people's personal experiences are confirmed by our study for the total sample, CAM non users and users. The other hypotheses are rejected

Про що може розповісти стара фотографія?

Автор, зіставлячи написи на світлинах із фондів Ніжинського краєзнавчого музею імені Івана Спаського та біографічну інформацію з архівних й історіографічних джерел, встановлює особи зафіксованих зображень художників Олександра Беклемішева та Якова Голдблата, а також ніжинського професора Івана Турцевича, характеризуючи ступінь та характер їх взаємин.Автор, сопоставляя надписи на фотографиях из фондов Нежинского краеведческого музея имени Ивана Спасского и биографическую информацию из архивных и историографических источников, устанавливает особы зафиксированных изображений художников Александра Беклемишева и Якова Голдблата, а также нежинского профессора Ивана Турцевича, характеризуя степень и характер их взаимоотношений.An author, comparing inscriptions on pictures from the funds of the Nizhyn Regional Museum by Ivan Spas’kiy and biographic information from the archiv and historiography sources, sets person fixed at the pictures as peinterman Alexander Beklemishev, Jacob Goldblat and professor from Nizhyn Ivan Turtsevych, characterizing a degree and character of their mutual relations

Levensfilosofie en zorggebruik in Nederland

Article in Dutch. English summary: Philosophies of life and Health Care Utilization in the Netherlands This study investigates to what extent people’s religious denomination relates to health care utilization. Religious denomination is seen as an indicator of a philosophy of life. We distinguish between Christian and Islamic religious and post-modern philosophies of life. Given that modern medical science and ensuing health care interventions are widely accepted, we do not expect a relationship between philosophies of life and the utilization of regular sources of modern health care. However, we do expect differences in areas where more controversy is possible, especially complementary and alternative medicine, but also preventive medicine. As expected, our results show philosophy of life differences in utilization for complementary and alternative medicine

Exploring the causes of adverse events in hospitals and potential prevention strategies

Objectives To examine the causes of adverse events (AEs) and potential prevention strategies to minimise the occurrence of AEs in hospitalised patients. Methods For the 744 AEs identified in the patient record review study in 21 Dutch hospitals, trained reviewers were asked to select all causal factors that contributed to the AE. The results were analysed together with data on preventability and consequences of AEs. In addition, the reviewers selected one or more prevention strategies for each preventable AE. The recommended prevention strategies were analysed together with four general causal categories: technical, human, organisational and patient-related factors. Results Human causes were predominantly involved in the causation of AEs (in 61% of the AEs), 61% of those being preventable and 13% leading to permanent disability. In 39% of the AEs, patient-related factors were involved, in 14% organisational factors and in 4% technical factors. Organisational causes contributed relatively often to preventable AEs (93%) and AEs resulting in permanent disability (20%). Recommended strategies to prevent AEs were quality assurance/peer review, evaluation of safety behaviour, training and procedures. For the AEs with human and patient-related causes, reviewers predominantly recommended quality assurance/peer review. AEs caused by organisational factors were considered preventable by improving procedures. Discussion Healthcare interventions directed at human causes are recommended because these play a large role in AE causation. In addition, it seems worthwhile to direct interventions on organisational causes because the AEs they cause are nearly always believed to be preventable. Organisational factors are thus relatively easy to tackle. Future research designs should allow researchers to interview healthcare providers that were involved in the event, as an additional source of information on contributing factors.

Способ профилактики и лечения послеоперационного гипотиреоза путем аутотрансплантации ткани щитовидной железы

Мета роботи - розробка ефективного способу хірургічного лікування й профілактики післяопераційного гіпотиреозу. Запропоновано спосіб профілактики та лікування післяопераційного гіпотиреозу методом аутотрансплантації щитоподібної залози. Наведені результати демонструють простоту, доступність і безпеку цього методу. Результати та обговорення. Ступінь гормональної компенсації після тиреоїдєктомії з аутотрансплантацією тиреоїдної тканини залежить від загальної маси аутографа, ваги пацієнта. Лікування післяопераційного гіпотиреозу методом аутотрансплантації оксігенованої тиреоїдної тканини щитоподібної залози є ефективним, простим, легким у виконанні, економічно доступним та доцільним.The aim - is to develop an affective method of surgical treatment of a postoperation hypothyroidism. Material and methods. The method of prophylaxis and treatment of a hypothyroidism by autotransplantation of a thyroid tissue worked out. For correction of postsurgical hypothyroidism the autotransplantation of oxygenated thyroid gland was performed with the following clinical-laboratory dynamics. Good results after autotransplantation of a thyroid tissue demonstrate the the simplicity,availability,safety and cheapness of this method of prophylaxis and treatment of a postoperation hypothyroidism. Completeness of hormonal compensation after thyroidectomy with autotransplantation of a thyroid tissue depends on weight of autografts, body weight of patient. Treatment of postoperation hypothyroidism by autotransplantation of a thyroid tissue is effective, simple, easy implemented and cost effective

Мотив протиставлення міста селу в українській літературі

У статті розглянуто мотив протиставлення міста селу в творах української літератури. Дослідження присвячено аналізу опозиції образів міста і села в творчості письменників. Простежено семантику лексем, їх стилістичне використання. Ключові слова: протиставлення образів, стилістика та семантика лексем.В статье рассматривается мотив противопоставления образа города и села в украинской литературе. В работе анализируется опозиция город – село в произведениях. Прослеживается семантика лексем, их стилистика. Ключевые слова: противопоставление образов, стилистика и семантика лексем.In the article reason of contrasting of city to the village is considered in works of Ukrainian literature. Research is devoted to the analysis of opposition of appearances of city and village in creation of writers. Semantics of lexemes is traced, them the stylistic use. Keywords: contrasting of appearances, stilistika and semantics of lexemes