Гиперсексуальность женщин с маниакальным синдромом биполярного аффективного растройства

Изучены клинические проявления гиперсексуальности у женщин с маниакальным синдромом биполярного аффективного расстройства и механизмы развития при этой патологии дезадаптации супружеской пары.Clinical manifestations of hypersexuality in women with maniac syndrome of bipolar affective disorder and mechanisms of development of spouse dysadaptation in this pathology were investigated

Challenging the 'new accountability'? Service users' perspectives on performance measurement in family support

After two decades of public management reform, the ‘new accountability’ of performance measurement is a routine feature in the relationships between Australian government agencies and the non-profit organisations they fund to provide child and family services. While performance measurement offers to resolve tensions about how governments manage the quality and productivity of contracted services, the indicators they commonly adopt raise well-documented practical, political and epistemological challenges in social services. Left unresolved, these challenges risk biasing representations of service performance, by emphasising the most tangible dimensions of service activities (such as measures of client throughput) over relationship building and care. Capturing only part of service activity compromises the usefulness of performance data for managing quality and outcomes, and denies policy makers critical information about the value and meaning of care in users’ lives. This thesis identifies and critically explores one set of challenges for performance measurement: the role of service users. Uniquely, I explore how user involvement in social service evaluation can make visible how these services enhance the quality of family and personal life. Using a case study of family support services in New South Wales, the research makes a series of empirical and theoretical contributions to problems of user involvement in social service evaluation. Firstly, the research examines the performance indicators currently used by government to monitor the efficiency and effectiveness of family support services in NSW. This shows that performance indicators in family support capture output more thoroughly than outcome, and confirms the minimal role that service users play in assessing service quality and outcomes. But while service users are largely excluded from participation in performance measurement, theoretical perspectives as diverse as managerialism and feminism treat service users as well placed to capture and report otherwise elusive information about care quality and outcomes. Further, participation in evaluation facilitates the exercise of users’ rights to self-expression and self-determination in the social service delivery and policy process. After identifying the widespread exclusion of service users’ perspectives from performance measurement in NSW family support, the thesis makes its more substantial contribution, in documenting findings from a detailed study involving adult family support service users (parents) and their workers (the ‘Burnside Study’). This qualitative study was conducted in four socio-economically disadvantaged service delivery sites located around New South Wales. Using focus group, interview and observational methods and a modified grounded theory approach, the study contributes exploratory evidence of what these service users think of, and how they think about service quality, outcomes, and evaluation in family support. The parents’ accounts of using family support capture their unfulfilled social ideals and the broader visions of the justice they hoped these social services would help them achieve. Their criteria for measuring service outcomes and service quality, and their views on evaluation methods embody core themes that social theorists have struggled to analyse, about the purpose of social services and the nature of ‘a good life’. The theoretical framework I develop highlights the role of family support in the context of service users’ struggles for social justice, and in particular, their struggles for self-realisation, recognition and respect (Honneth, 1995). The research extends theories of recognition beyond publicly articulated social movements to those struggles in social life and social politics that exist in what Axel Honneth terms the ‘shadows’ of the political-public sphere (2003a: 122). After establishing a conceptual framework that facilitates deeper interpretation of users’ perspectives, I present the findings in three categories: users’ perspectives on service outcomes; users’ perspectives on service quality; and users’ perspectives on evaluation methods. The findings show how service users define ‘service outcomes’ in the context of their struggles for recognition and respect, highlighting the contribution welfare services and welfare professionals make beyond the managerial ‘Three E’s’ of economy, efficiency, and effectiveness. Further, the findings confirm the importance of ‘helping relationships’ to the quality of service delivery in family support, despite the invisibility of service relationships in existing performance indicators. The complexity of worker-client bonds highlights the difficulty of evaluating social services using simple numerical counts of client or service episodes, and plays into broader debates about strategies for revaluing care work, and the role of care recipients. Finally, the findings show the role performance measurement processes and methods might play in facilitating users’ struggles for recognition. Users identified a role for evaluation in making visible the contribution of family support in pursuing their social justice goals, and saw evaluation as an opportunity in itself to facilitate recognition and respect. Overall, the thesis offers concrete evidence about how family support service users experience and define service quality and outcomes, and how they see their own role in evaluating the services they use. The research shows how users’ perspectives both contest and confirm the ‘new accountability’ of performance measurement, pointing to new directions, and further challenges, for conceptualising – and evaluating – social services

Интертекстуальная основа петербургской темы в новеллах А.И. Куприна

В статье проанализированы новеллы А. И. Куприна «Безумие» (1894), «Белые ночи» (1904), «Черный туман» (1905) как составляющие Петербургского текста русской литературы. Показано, что новеллы Куприна (даже если они опираются на биографический и эмпирический опыт) интертекстуально включают в себя литературу о Петербурге 19 века и в целом вписываются в контекст Петербургского текста Серебряного века.У статті проаналізовано новели О. І. Купріна «Безумие» (1894), «Белые ночи» (1904), «Черный туман» (1905) як складові Петербурзького тексту російської літератури. Показано, що новели Купріна (навіть якщо вони спираються на біографічний та емпіричний досвід) інтертекстуально включають у себе літературу про Петербург 19 століття та в цілому вписуються у контекст Петербурзького тексту Срібного віку.There are Kuprin's short stories «Безумие» (1894), «Белые ночи» (1904), «Черный туман» (1905) analysed in the hereby article as Russian literature Petrsburg text components. We can see that Kuprin's short stories even being based on the biographic and empiric experience − comprise intertextually the literature about 19 century Peterburg and fit in the context of the Silver Century Petersburg text

Погода і економіка

In this study, we present a new light absorption enhancement method for p-i-n thin film silicon solar cells using pyramidal surface structures, larger than the wavelength of visible light. Calculations show a maximum possible current enhancement of 45% compared with cells on a flat substrate. We deposited amorphous silicon (a-Si) thin film solar cells directly onto periodically pyramidal-structured polycarbonate (PC) substrates, which show a significant increase (30%) in short-circuit current over reference cells deposited on flat glass substrates. The current of the cells on our pyramidal structures on PC is only slightly lower than that of cells on Asahi U-type TCO glass (Asahi Glass Co., Tokyo, Japan), but suffer from a somewhat lower open circuit voltage and fill factor. Because the used substrates have a locally flat surface area due to the fabrication process, we believe that the current enhancement in the cells on structured PC can be increased using larger or more closely spaced pyramids, which can have a smaller flat surface area

Effective DBHF Method for Asymmetric Nuclear Matter and Finite Nuclei

A new decomposition of the Dirac structure of nucleon self-energies in the Dirac Brueckner-Hartree-Fock (DBHF) approach is adopted to investigate the equation of state for asymmetric nuclear matter. The effective coupling constants of $\sigma$, $\omega$, $\delta$ and $\rho$ mesons with a density dependence in the relativistic mean field approach are deduced by reproducing the nucleon self-energy resulting from the DBHF at each density for symmetric and asymmetric nuclear matter. With these couplings the properties of finite nuclei are investigated. The agreement of charge radii and binding energies of finite nuclei with the experimental data are improved simultaneously in comparison with the projection method. It seems that the properties of finite nuclei are sensitive to the scheme used for the DBHF self-energy extraction. We may conclude that the properties of the asymmetric nuclear matter and finite nuclei could be well described by the new decomposition approach of the G matrix.Comment: 16 pages, 5 figure

Quality of life and voice outcome of patients treated with transoral CO2 laser microsurgery for early glottic carcinoma (T1-T2): a 2-year follow-up study

Purpose Longitudinal studies in laryngeal cancer can provide clinicians information about short-term and long-term functional outcomes, like quality of life (QoL) and voice outco