Autonomy and gender: Some questions for therapists.

Discusses the nature of autonomy and explores how autonomy as a therapeutic goal relates to clinical practice and the conduct of psychotherapy. Autonomy has been defined as the power to determine one's own best interests, and it has been criticized for promoting selfishness and reflecting upper-class values and gender bias. It is suggested that issues of autonomy are involved in the process of psychotherapy as well as its aim. In therapy, there is a dynamic tension between the principle of autonomy, the right of clients to determine their own interests, and the principle of beneficence, the therapist's obligation to protect the client's welfare. Whether autonomy is an appropriate ideal in psychotherapy for women or for men is considered. Feminist theorists have criticized aspects of masculine autonomy, contrasting it with feminine relatedness; however, the idealization of relatedness is questioned. It is concluded that the present conceptualizations of autonomy do not fully encompass the complexity of human interaction. It is argued that (a) autonomy and relatedness are not essential aspects of male and female nature but depend on power and status and (b) without social change, autonomy may not be a realistic goal of therapy for women. (46 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Comprehensive Design of a Three-Phase Three-Switch Buck-Type PWM Rectifier

A three-phase three-switch buck-type pulsewidth modulation rectifier is designed for telecom applications in this paper. The rectifier features a constant 400-V output voltage and 5-kW output power at the three-phase 400-V mains. The principle of operation and the calculation of the relative on-times of the power transistors are described. Based on analytical relationships the stresses of the active and passive components are determined and the accuracy of the given calculations is verified by digital simulations. Exemplarily, a 5-kW power converter is then designed based on the analytical expressions and on switching loss measurements from a hardware prototype constructed with insulated gate bipolar transistor/diode power modules. The loss distribution of the components, the total efficiency, and the junction temperatures of the semiconductors are then evaluated in dependency on the operating point. Finally, the trade-off between the selected switching frequency and the admissible power range for the realized design is shown and a total efficiency of 95.0% is measured on the hardware prototype, where an excellent agreement with the theoretically evaluated efficiency is shown     

A study of the phase composition of iron-ore briquets to assess their behavior in a blast furnace

We study a mechanism for maintaining the strength of cement-bonded iron-oxide-bearing briquets when heated under reducing conditions. These briquets retain their strength when heated in a reducing atmosphere: up to 700–750°C, strength retention is due to the cement stone; strength retention under further heating is due to the continuous metal shell formed on the surface of the briquet as the iron oxide in the surface layer of the briquet is reduced to iron. Fabrication and usage of briquets of iron-ore concentrate can be recommended as a wash material for blast furnaces. Disperse materials containing SiO₂ and MgO should be added to the charge during fabrication of the briquets in order to improve the washing properties of briquet slag.     

Discrete geometry methods in processing complicated graphical information

The development of efficient techniques for converting information obtained from complicated graphical documents into a digital form is considered. It is shown that the use of discrete geometry methods make it possible to improve the efficiency of many technological stages. The work was supported by the Russian Foundation for Basic Research, project no. 00-15-96018 and by the Integration Foundation, project no. K-03392.     

A self-aligned gate III-V heterostructure FET process forultrahigh-speed digital and mixed analog/digital LSI/VLSI circuits

A planar ion-implanted self-aligned gate process for the fabrication of high-speed digital and mixed analog/digital LSI/VLSI integrated circuits is reported. A 4-b analog-to-digital converter, a 2500-gate 8×8 multiplier/accumulator, and a 4500-gate 16×16 complex multiplier have been demonstrated using enhancement-mode n⁺ -(Al,Ga)As/MODFETs, superlattice MODFETs, and doped channel heterostructure field-effect transistors (FETs) whose epitaxial layers were grown by molecular-beam epitaxy. With nominal 1-μm gate-length devices, direct-coupled FET logic ring oscillators with realistic circuit structures have propagation delays of 30 ps/stage at a power dissipation of 1.2 mW/stage. In LSI circuit operation, these gates have delays of 89 ps/gate at a power dissipation of 1.38 mW/gate when loaded with an average fan-out of 2.5 gates and about 1000 μm of high-density interconnects. High-performance voltage comparator circuits operated at sampling rates greater than 2.5 GHz at Nyquist analog input rates and with static hysteresis of less than 1 mV at room temperature. Fully functional 4-b analog-to-digital circuits operating at frequencies up to 2 GHz were obtained     

Heat transfer enhancement by oscillatory perturbation of a stable separated flow

Numerical and experimental results for laminar flow and forced convection in a grooved channel indicate that significant heat transfer enhancement is possible by appropriately-tuned modulation of a steady, separated flow. The frequency r response of the enhancement is strongly peaked around the frequency of the least stable (decaying) mode of the unmodulated flow, suggesting that a simple resonance phenomenon is responsible for the transport augmentation.     

Treatment algorithm use to optimize management of symptomatic patients with a history of mania

BACKGROUND: While monotherapy has significant limitations in bipolar disorder, few published data addressing alternatives exist. Treatment algorithms have been proposed, but none have undergone empirical evaluation. This study provides a systematic prospective, open evaluation of the effectiveness and tolerability of a treatment algorithm for patients with histories of mania. METHOD: Twenty-eight symptomatic outpatients from a public mental health facility who were diagnosed as having either bipolar I or schizoaffective illness, bipolar type, entered the study. Minimum blood levels of lithium and divalproex sodium were defined. Medications were pushed to predetermined levels (as tolerated) before proceeding to the next algorithm step. Clinical symptoms were assessed monthly using the Brief Psychiatric Rating Scale (BPRS, 27 item) and Clinical Global Impressions scale. RESULTS: Pretreatment and posttreatment clinical symptoms were compared. Over 50% of patients attained 30% improvement from baseline BPRS after 4 months. Thirty-six percent of patients (N = 10) became mood stable, 46% (N = 13) remained mood unstable, and 18% (N = 5) dropped out before completing the algorithm. Although patients who finished the algorithm were taking more medication, either dosage and/or drugs, somatic complaints did not increase. CONCLUSION: The potential benefit of a defined treatment algorithm was demonstrated for these complex and persistently ill patients. Despite long treatment histories, patients improved with more frequent visits and addition of medication(s). A randomized controlled trial comparing a similar treatment algorithm with treatment-as-usual is warranted.     

The influence of selenium and neuroleptics on the rat brain nuclear regulatory mechanism in carcinogenesis

alpha-Crystallins possess molecular chaperone properties and are one of the most abundant of the lenticular proteins. Posttranslational modifications of these proteins have been implicated as a possible etiology of human cataracts. This article will review current knowledge concerning the effects of known posttranslational modifications upon the molecular chaperone properties and aggregation behavior of alpha-A and alpha-B crystallin. Based upon these effects, experimental approaches will be discussed that may be useful in the development of reagents that may selectively inhibit the cataractogenic process in the aging human lens.