The level of medical care to patients and the success of the implementation of the national project "Health" depend on the health status and doctor's professionalism. Modern healthcare reform is being implemented by optimizing costs, merging medical organizations, closing ineffective hospitals, expanding the use of high-tech care and informatization of the doctor's activities. All this makes it necessary to assess the health of doctors. Scientists have studied the quality of life and identified the professional burnout of doctors in children's clinics (...) in different age groups. Primary care pediatricians have a higher quality of life score when compared to the standard [1]. However, all groups have a high level of professional burnout. The pre-retirement group of doctors has more unfavorable profile. They are highly professional specialists but may experience emotional discomfort because the pension system has been reformed. This situation requires the introduction of preventive work with doctors of this age as a group with great potential and capable of professional longevity. (shrink)

Introduction: Schools have become a primary setting for providing mental health care to youths in the U.S. School-based interventions have proliferated, but their effects on mental health and academic outcomes remain understudied. In this study we will implement and evaluate the effects of a flexible multidiagnostic treatment called Modular Approach to Therapy for Children with Anxiety, Depression, Trauma, or Conduct Problems on students' mental health and academic outcomes.Methods and Analysis: This is an assessor-blind randomized controlled effectiveness trial conducted across five (...) school districts. School clinicians are randomized to either MATCH or usual care treatment conditions. The target sample includes 168 youths referred for mental health services and presenting with elevated symptoms of anxiety, depression, trauma, and/or conduct problems. Clinicians randomly assigned to MATCH or UC treat the youths who are assigned to them through normal school referral procedures. The project will evaluate the effectiveness of MATCH compared to UC on youths' mental health and school related outcomes and assess whether changes in school outcomes are mediated by changes in youth mental health.Ethics and Dissemination: This study was approved by the Harvard University Institutional Review Board. We plan to publish the findings in peer-reviewed journals and present them at academic conferences.Clinical Trial Registration:ClinicalTrials.gov ID: NCT02877875. Registered on August 24, 2016. (shrink)

В книге продолжается обсуждение тем, представленных в труде "Психология нравственности", изданном в 2010 году. Авторы обсуждают пути решения проблем и преодоления переживаемого нашим обществом глубокого нравственного кризиса.

Книга предназначена для исследователей, специалистов, преподавателей, аспирантов, студентов, а также всех тех, кто интересуется вопросами философии.

The former part of this paper attempted to show— 1. That in Anaxagoras' scheme of physics the following substances were elements: The animal substances ; The vegetable substances ; The so-called Opposites ; and 2. That there is no evidence that Anaxagoras asserted any substances to be homoeomerous, and that, even if he had done so, the word ‘homoeomerous’ does not bear the meanings often attached to it by those theories which assume he made the assertion. The meaning of is, (...) μοιομερς is, not ‘simple in substance,’ i.e. ‘elementary,’ but ‘simple in formation.’. (shrink)

As we read these lines we are inevitably reminded of the old adage ab love principium, . Horace here conforms to the ancient precept, as many other poets, at least since Pindar, had done before him. But in his works as a whole, and in the first collection of Odes as a whole, he begins not with Jupiter but with his patron Maecenas.3 Perhaps, therefore, Horace's own practice may help to justify the division of this Horatian article into two separate (...) but interdependent parts of which the first takes Maecenas as its starting-point while the second is concerned with Jupiter and with Augustus, his vicegerent on earth. (shrink)

A probabilistic propositional logic, endowed with a constructor for asserting compatibility of diagonalisable and bounded observables, is presented and illustrated for reasoning about the random results of projective measurements made on a given quantum state. Simultaneous measurements are assumed to imply that the underlying observables are compatible. A sound and weakly complete axiomatisation is provided relying on the decidable first-order theory of real closed ordered fields. The proposed logic is proved to be a conservative extension of classical propositional logic.

This paper explores the use of an ethics framework based on the Public Health Code of Ethics to guide rationing decisions during a pandemic flu crisis involving a shortage of ventilators. While the law provides public health officials with authority to act, public health officials, as community leaders and health department managers, must address complex questions about how they should use their legal authority, how they can ethically justify a particular action, how they should engage community stakeholders in decision making, (...) and how the process of public justification should take place. Recognising the need for a tool that could help public health officials manage ethical tensions in practice, such as allocation of scarce resources, the Public Health Leadership Society led efforts to develop a Public Health Code of Ethics. The 12 Principles in the Code were written to express the general norms implicit in the practice of public health professionals. The Code offers no hierarchical weighting of the different principles and anticipates that weights and specification of the principles would take place in the context of each community through a process of engagement between public health officials and community stakeholders about specific cases. We describe how public health officials can use the Code to guide deliberation in helping communities prepare to address the tragic choices when allocating scarce ventilators in an influenza pandemic. (shrink)