137 research outputs found

    Russian Architecture Between Anorexia and Bulimia

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    The Russian visual sensibilities (if there is such thing) are formed by two contrasting influences. On the one hand, there is a natural attraction to decorative surfaces, to richness of colors and shapes. Historians tell us that in the 10 th century Prince Vladimir decided to convert to Christianity mainly because of the visual experience his emissaries had had in Constantinople: “The Greeks led us to the building where they worship their God,” they wrote to the Prince, “and we knew not whether we were in heaven or on earth. For on earth there is no such splendor or such beauty, and we are at a loss to describe it.

    Electronic health records in outpatient clinics: Perspectives of third year medical students

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    Abstract Background United States academic medical centers are increasingly incorporating electronic health records (EHR) into teaching settings. We report third year medical students' attitudes towards clinical learning using the electronic health record in ambulatory primary care clinics. Methods In academic year 2005–06, 60 third year students were invited to complete a questionnaire after finishing the required Ambulatory Medicine/Family Medicine clerkship. The authors elicited themes for the questionnaire by asking a focus group of third year students how using the EHR had impacted their learning. Five themes emerged: organization of information, access to online resources, prompts from the EHR, personal performance (charting and presenting), and communication with patients and preceptors. The authors added a sixth theme: impact on student and patient follow-up. The authors created a 21-item questionnaire, based on these themes that used a 5-point Likert scale from "Strongly Agree" to "Strongly Disagree". The authors emailed an electronic survey link to each consenting student immediately following their clerkship experience in Ambulatory Medicine/Family Medicine. Results 33 of 53 consenting students (62%) returned completed questionnaires. Most students liked the EHR's ability to organize information, with 70% of students responding that essential information was easier to find electronically. Only 36% and 33% of students reported accessing online patient information or clinical guidelines more often when using the EHR than when using paper charts. Most students (72%) reported asking more history questions due to EHR prompts, and 39% ordered more clinical preventive services. Most students (69%) reported that the EHR improved their documentation. 39% of students responded that they received more feedback on their EHR notes compared to paper chart notes. Only 64% of students were satisfied with the doctor-patient communication with the EHR, and 48% stated they spent less time looking at the patient. Conclusion Third year medical students reported generally positive attitudes towards using the EHR in the ambulatory setting. They reported receiving more feedback on their electronic charts than on paper charts. However, students reported significant concerns about the potential impact of the EHR on their ability to conduct the doctor-patient encounter.Peer Reviewe

    Handheld computers for self-administered sensitive data collection: A comparative study in Peru

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    <p>Abstract</p> <p>Background</p> <p>Low-cost handheld computers (PDA) potentially represent an efficient tool for collecting sensitive data in surveys. The goal of this study is to evaluate the quality of sexual behavior data collected with handheld computers in comparison with paper-based questionnaires.</p> <p>Methods</p> <p>A PDA-based program for data collection was developed using Open-Source tools. In two cross-sectional studies, we compared data concerning sexual behavior collected with paper forms to data collected with PDA-based forms in Ancon (Lima).</p> <p>Results</p> <p>The first study enrolled 200 participants (18–29 years). General agreement between data collected with paper format and handheld computers was 86%. Categorical variables agreement was between 70.5% and 98.5% (Kappa: 0.43–0.86) while numeric variables agreement was between 57.1% and 79.8% (Spearman: 0.76–0.95). Agreement and correlation were higher in those who had completed at least high school than those with less education. The second study enrolled 198 participants. Rates of responses to sensitive questions were similar between both kinds of questionnaires. However, the number of inconsistencies (p = 0.0001) and missing values (p = 0.001) were significantly higher in paper questionnaires.</p> <p>Conclusion</p> <p>This study showed the value of the use of handheld computers for collecting sensitive data, since a high level of agreement between paper and PDA responses was reached. In addition, a lower number of inconsistencies and missing values were found with the PDA-based system. This study has demonstrated that it is feasible to develop a low-cost application for handheld computers, and that PDAs are feasible alternatives for collecting field data in a developing country.</p

    Dissipation of energy and transfer processes in turbulent plasma structures

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    The objective of the work is to construct and investigate the mathematical models of the processes taking place in heterostructures and to develop a complex of procedures for identification of geometrical and electrophysical parameters on the basis thereof; to investigate the distribution of disbalanced electrons at induced optical transitions. The author has obtained the analytical expression for the function of generation of electron-hole pairs in A_3B_5 compounds. The author has developed the procedure for identification of geometric and electrophysical parameters of submicrometric heterostructures. The models and programs are used for automation of the experiment on identification of the parameters of heterostructures. The results of convergence of iteration processes for parabolic systems are used for construction of numeric procedures and evaluation of the speed of their convergence. The following subjects have been introduced: the procedure for identification of diffusion wave in homogeneous materials and heterostructures; the procedure for identification of surface and interface recombination in heterostructures; the procedure for identification of carrier longevityAvailable from VNTIC / VNTIC - Scientific & Technical Information Centre of RussiaSIGLERURussian Federatio

    Adoption and attachment: a study of attachment in young adult adoptees

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    Bibliography: p. 87-97Extrapolating from the central tenets of attachment theory and research, the present study investigated the implications for the adoption experience on the developing security and pattern of attachment relationships. Differences between adoptee and non-adoptee attachment classifications were explored, and classification differences were analyzed based on their relationship with demographic and theoretically relevant variables. A sample of 34 late adolescent to young-adult adoptee volunteers (20 females, 14 males), ranging from 17 to 32 years of age, were recruited. They were administered the Adult Attachment Interview, the Adult Attachment Projective, and asked questions relating to their adoptions. The sample's distribution of Adult Attachment Projective classifications was compared to norms of community and clinical samples. Consistent with the implications from attachment theory and research, the adoptee distribution differed significantly from that expected for a non-adopted, non-clinical sample (p:S.0001). Furthermore, several features of the distribution pattern were also consistent with projections from attachment theory and research. First, the rate of secure or Autonomous attachment is significantly lower than expected (E) (15%, E = 52%). Second, Dismissing attachment, the most common form of insecurity in normative samples, is nearly absent in this sample (6%, E = 18%). Third, both the Preoccupied (47%, E = 11 %) and the atypical Unresolved/Disorganized (32%, E = 19%) attachment classifications are overrepresented in this sample relative to the comparison norms. These adoptees resembled a clinical sample in their distribution of attachment patterns. Between classification group differences were analyzed by examining their relationship with the following variables: age, gender, age at adoption, professional status, relationship status, parenting status, search for birth family/outcome, counseling experience, and subsequent threats to attachm~nt (loss, trauma, abuse, rejection, and separation). None of these analyses supported an association between any of the independent variables and classification group differences. The findings from this study support the theory that adoptees are at greater risk for insecure attachments than their non-adopted counterparts. It is recommended that future studies make further attempts to identify the source/s of these differences

    A 100 J 1 ns Nd:glass Laser for Optical Parametric Chirped Pulse Amplifiers Pumping

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    Messages of Peace. Images of War: Architecture at Great Exhibitions 1937-1959

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    The book is a collection of nine essays analyzing major European international and national expositions, such as the International Exposition in Paris, 1937; the VSKhV (the All-Union Agriculture Exposition) in Moscow, 1937; the EUR exhibition in Rome, 1942; the London South Bank Exposition, 1951; and Expo 58 in Brussels. The book emphasizes architecture and exhibition planning as a form of diplomacy. With its focus on the years between 1937 and 1959, the diplomacy discussed in this book was inextricably connected to the Second World War and to the beginning of the Cold War, the creation of the European Union and the Soviet Bloc. The choice to focus on the European expositions is dictated by an intention to investigate the effects of war tensions on the planning of the events and on its representation in the architecture of individual pavilions. The book contributes to the history of World’s Fairs and of exhibition design, a field of research that has proved to sustain a high level of interest among architectural historians, scholars from other academic disciplines, and a larger audience beyond academia. It also re-investigates the history and historiography of twentieth-century architecture in general. The complex relationship between architecture and war is a major theme that spans the entire book (preface, introduction, 9 chapters and epilogue). This theme is related to another theoretical issue: representation and representativeness in architecture, planning, and design. While focusing on exhibition architecture, these two themes allow for a new perspective on the evolution of modern architecture, its oft-mentioned transitioning from the radical and contested stand of interwar Europe to the so called “permissiveness” and “omnipresence” of the 1950s.0info:eu-repo/semantics/published
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