Changes in mental health services in response to the COVID-19 pandemic in high-income countries: a rapid review

\ua9 The Author(s) 2024. Background: Severe deterioration in mental health and disrupted care provision during the COVID-19 increased unmet needs for mental health. This review aimed to identify changes in mental health services for patients in response to the pandemic and understand the impact of the changes on patients and providers. Methods: Following the Cochrane guidance for rapid reviews, Cochrane CENTRAL, MEDLINE, Embase and PsycInfo were searched for empirical studies that investigated models of care, services, initiatives or programmes developed/evolved for patients receiving mental health care during COVID-19, published in English and undertaken in high-income countries. Thematic analysis was conducted to describe the changes and an effect direction plot was used to show impact on outcomes. Results: 33 of 6969 records identified were included reporting on patients’ experiences (n = 24), care providers’ experiences (n = 7) and mixed of both (n = 2). Changes reported included technology-based care delivery, accessibility, flexibility, remote diagnostics and evaluation, privacy, safety and operating hours of service provision. These changes had impacts on: (1) care access; (2) satisfaction with telehealth; (3) comparability of telehealth with face-to-face care; (4) treatment effectiveness; (5) continuity of care; (6) relationships between patients and care providers; (7) remote detection and diagnostics in patients; (8) privacy; (9) treatment length and (10) work-life balance. Conclusions: A shift to telecommunication technologies had a significant impact on patients and care providers’ experiences of mental health care. Improvements to care access, flexibility, remote forms of care delivery and lengths of operating service hours emerged as crucial changes, which supported accessibility to mental health services, increased attendance and reduced dropouts from care. The relationships between patients and care providers were influenced by service changes and were vastly depending on technological literacy and context of patients and availability and care access ranging from regular contact to a loss of in-person contact. The review also identified an increase in care inequality and a feeling of being disconnected among marginalised groups including homeless people, veterans and ethic minority groups. Telehealth in mental care could be a viable alternative to face-to-face service delivery with effective treatment outcomes. Further research is needed to better understand the impact of the changes identified particularly on underserved populations

Секция работ молодых ученых – 2017

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Effect of Thermal Exposure on Structure of the Ultrafine-GrainedZr-1Nb Alloy

Effect of annealing at temperature range of 573–823 K on stability of the ultrafine-grained structure of the Zr-1wt.%Nb alloy was studied by methods of transmission electron microscopy. Growth kinetics of grain–subgrain structure elements of alloy was investigated

To the Problem of Personal Orientation of Pedagogical Education

В статье рассматривается принципиальная возможность ориентации педагогического образования на развитие личности. Она основана на применении акмеологического подхода, акмеологическом понимании педагога как субъекта в процессе образования.The article considers the fundamental possibility of orienting pedagogical education on the development of the individual. It is based on the application of an acmeological approach, an acmeological understanding of the teacher as a subject in the process of education

The Concept of Composition Laws and their Use in the Educational Process

В статье предлагается новый аспект законов визуально-образного продуктивного моделирования, в котором выделяются естественные и предписывающие, а также обозначается ряд понятий, дополняющих известные в теории визуального творчества законы.The article proposes a new aspect of the laws of visual-figurative productive modeling, in which the natural and prescriptive are highlighted, as well as a number of concepts are outlined that complement the laws known in the theory of visual creativity

Cystic Form of Duodenal Dystrophy (Clinical Case)

Aim: the reason for the publication was the rare occurrence, as well as the non-specificity of symptoms of the cystic form of duodenal dystrophy. The listed features of this disease lead to difficulties in its differential diagnosis and the choice of the optimal method of treatment.General statements. The report is devoted to the description of a case of successful treatment of a cystic form of duodenal dystrophy — a chronic inflammation of the pancreatic tissue, ectopic in the wall of the duodenum. A 47-year-old patient was admitted to the clinic with complaints of persistent abdominal pain, periodic vomiting, general weakness, weight loss of 20 kg in three months. With the help of computed tomography, the diagnosis was established, the tumor process was rejected, and chronic pancreatitis was detected in the orthotopic pancreas. Due to the presence of changes in the main pancreas, the patient underwent pancreatoduodenal resection. The features of the operation were pronounced infiltrative changes and pronounced vitreous tissue edema, which made it difficult to mobilize the hepatic flexure of the colon and duodenum.Conclusion. Pancreatoduodenal resection is the optimal surgical intervention for the combination of cystic form of duodenal dystrophy with sub-/decompensated duodenal stenosis

Two-body quantum mechanical problem on spheres

The quantum mechanical two-body problem with a central interaction on the sphere ${\bf S}^{n}$ is considered. Using recent results in representation theory an ordinary differential equation for some energy levels is found. For several interactive potentials these energy levels are calculated in explicit form.Comment: 41 pages, no figures, typos corrected; appendix D was adde