Level Of Alliance Research Articles

The interplay between product development failures and alliance portfolio properties in the formation of exploration versus exploitation alliances

We investigate the role of product development failure as an important behavioral driver of explorative (vs. exploitative) search in interfirm collaborations. We also suggest that the effect of product development failure on the level of exploration in subsequent alliances hinges on the properties of the firm’s existing alliance portfolio. We suggest and show that the positive association between a firm’s product development failures and the level of exploration alliances is mitigated when the firm faces a high level of relational embeddedness. We also demonstrate that the positive association is amplified when the firm has a low level of technological diversity in its current alliance portfolio. We test our hypotheses using established firms’ alliances in the biopharmaceutical industry and find evidence that supports our arguments.

Feasibility of trauma-focused cognitive behavioural therapy for patients with PTSD and psychosis.

Studies have shown a high prevalence of trauma and PTSD among patients with severe mental illness, but relatively few studies have examined the outcomes of PTSD treatment for this patient group. The aim of this case-series was to assess the feasibility of a Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) intervention for PTSD in people with psychosis. The study examined the possibilities and obstacles when treating this population within clinical settings. Patients were selected from four community mental health centers and were screened for traumatic experiences and symptoms of PTSD. A small group of eligible participants (n=7) received manualized TF-CBT adapted for patients with psychosis. Experienced therapists received training and supervision in the intervention. Symptoms of PTSD and psychosis were assessed at baseline and post-treatment along with quality of life, level of functioning, alliance, life events, engagement, suicidal ideation and adverse events. Treatment fidelity and the different combinations of treatment modules were monitored in regard to implementation. Three cases were selected as illustrative of the different treatment courses when implementing the TF-CBT intervention within this population. Detailed case descriptions were based on quantitative ratings and the therapists' experiences with the therapy. Results from the case series highlighted issues regarding toleration of treatment, large variation in psychopathology and the task of matching treatment needs with appropriate therapeutic techniques. The complexity of the patient group may affect treatment and clinical research studies. Lessons learned from this case series can contribute to the future development implementation and evaluation of trauma treatment for patients with psychosis.

Превращение Индии в одного из ключевых внешнеторговых партнеров России: причины и перспективы

The article examines the evolution of the USSR's/Russia’s foreign economic relations with India from the moment of independence to the present day. The author draws attention to the complex trajectory of the evolution of foreign economic relations between the two countries, which began an upward path of development in the mid-1950s. The geopolitical core has always been present in Soviet-Indian relations. The Soviet Union provided India with large-scale support in the process of industrialization of the " the world’s largest democracy", sustaining and increasing the country's defense capability, developing scientific research and their practical application. After the Treaty of Peace, Friendship and Cooperation of 1971, bilateral relations rose to the level of strategic alliance, which directly affected the intensity of interstate foreign economic relations. After the collapse of the USSR, bilateral relations between India and the "new" Russia entered a period of uncertainty and only since the beginning of this century began a difficult ascent. Events of February 24, 2022 gave a powerful impetus for the intensification of foreign trade relations between the two countries, which require diversification and the real involvement of the regions of both countries in the development of foreign economic activity.

“Caught in an x-rays loop”: An ethnographic exploration of doctor-patient interactions at a tuberculosis clinic

BackgroundOne of the important barriers to tuberculosis treatment is the low level of alliance between doctor and patient. The alliance can be achieved by establishing quality interactions between doctors and patients. There is an abundance of research on patient-doctor interactions. However, scant literature explores communication strategies to improve interactions between doctors and patients with tuberculosis. MethodThis study utilized an ethnographic approach to explore communication strategies that pulmonary resident doctors used when interacting with tuberculosis patients. Observations were made during communication between resident doctors and patients in the examination rooms, followed by separate interviews to record their perceptions of their previous interactions. The data were analyzed using the ‘Greet-Invite-Discuss communication framework’. ResultSome communication strategies may positively affect the interactions between doctor residents and their patients, including motivational interviews and using appropriate non-verbal gestures when providing information. However, other communication strategies may negatively affect the interactions, such as the failures to establish adequate rapport with patients, exploring patients' knowledge using close-ended questions, and doctors' domination in joint decision-making. ConclusionIn sum, the Greet-Invite-Discuss framework may be helpful in analyzing the communication between doctors and patients with Tuberculosis. This study calls for improved communication training for residents in lung and respiratory medicine and further research in educational programs, especially on the quality of interactions between doctors and TB patients.

Psychological, Pain, and Disability Factors Influencing the Perception of Improvement/Recovery from Physiotherapy in Patients with Chronic Musculoskeletal Pain: A Cross-Sectional Study.

The aim of this study was to identify the possible relationships between psychological, pain, and disability variables with respect to the perception of change/recovery from physiotherapy in patients with chronic musculoskeletal pain (CMP). A cross-sectional observational study was performed with 150 patients. All patients completed a series of self-administered questionnaires and a series of self-reports to quantify the perception of change with respect to the physiotherapy they underwent, the level of disability and pain intensity, the level of fear of movement, the level of catastrophism, the degree of self-efficacy, the level of therapeutic alliance and their adherence to the physiotherapy. The strongest correlations were between the subjective perception of change and the number of sessions, treatment beliefs, self-efficacy, pain intensity, collaboration, and bonding. The linear regression model showed that the number of sessions, treatment beliefs, self-efficacy, compliance, pain intensity, and bonding were predictors of subjective perception of improvement, with 50% of the variance. Treatment beliefs, therapeutic alliance, degree of self-efficacy, and pain intensity have been shown to be predictors of a subjective perception of improvement in patients with CMP. In turn, multimodal treatments had the greatest positive impact on the subjective perception of improvement.

Implementing Video Consultations in a Rural Psychiatric Outpatient Clinic: A Feasibility Study

Introduction. Multiple efficacy studies have shown that treatment provided via video consultation (VC) can be equivalent to in-person (IP) consultation for people with psychiatric diagnoses. However, despite the great promise of VC, it has not been widely implemented in psychiatric outpatient services. This study investigated the feasibility aspects of VC in clinical practice and examined a range of factors associated with the implementation of this modality of treatment within psychiatric outpatient services. Methods. This study had a pragmatic design, where 40 consecutive referrals for people with anxiety, personality, or depressive disorders were given the choice to receive eight weekly treatment sessions via VC or IP modality within an outpatient psychiatric setting. Information on demand, acceptance, engagement, implementation, and potential negative effects for treatment conducted via VC were collected to help identify factors that may impact on the uptake of VC within the psychiatric outpatient service. Results. There was a high demand and acceptance for VC, with 44% (n = 15) of the patients choosing to receive eight weekly treatment sessions via VC, and acceptance was rated highly. Engagement with VC modality was good, with only a very small percentage (13%, n = 2) not completing treatment. A good level of working alliance was established and largely maintained throughout treatment for patients and case managers. There were differences in the utilization of VC compared to the IP modality, with the VC modality having a greater focus on supportive counseling and IP modality having a greater focus on psychotherapy. Overall, the duration of treatment conducted via VC was also slightly shorter than that of IP consultations. There were no negative effects registered for consultations via video. Conclusions. Findings suggest a high patient demand and acceptance for VC within psychiatric services, with good levels of engagement and alliance reported. Differences in focus and duration in VC compared to IP may reflect clinicians’ different attitudes and/or approaches to providing treatment, depending on whether it is VC or IP consultations.

Therapist's effect on children's therapeutic alliance: A naturalistic study.

The therapeutic alliance (TA) has been shown to be a predictor of psychotherapy treatment success. In the case of psychotherapy with children, there is a dearth of information on TA's role. The aims of the paper are: (1) To estimate the therapist effects on children TA; (2) to investigate if therapists' TA predicts children's TA; (3) to analyze if children's age and sex predict children's TA; (4) to evaluate if the therapist's characteristics predict children's TA. The sample consisted of 77 children undergoing psychotherapy in Argentina, and the therapists (N = 29) providing services to those children. The assessment tools utilized for the study included the Therapy Alliance Scale for Children and the Personal Style of the Therapist Questionnaire (PST-Q). Findings indicated that 2% of the children's TA was explained by the therapists (ICC = 0.02), while 17% of the therapists' TA was explained by the therapists (ICC = 0.17). Therapists' TA predicted children's TA. Children's age and sex did not have an effect on their own TA. Moreover, therapists with more experience achieved higher scores of children's TA. Finally, the Operative dimension of the PST had a negative effect on children's TA (i.e., therapists who prefer more spontaneous interventions over structured ones may experience higher levels of therapeutic alliance with child patients). We found a positive effect of the therapist's TA on children's TA, especially in the preference for using more spontaneous intervention techniques. We discuss the implications of the findings on the training of psychotherapists who provide services to children.

DYNAMICS OF KINESIOPHOBIA AND PHYSICAL FUNCTIONING PARAMETERS IN THE ELDERLY ADULTS WITH SARCOPENIC OBESITY UNDER THE INFLUENCE OF THE PHYSICAL THERAPY PROGRAM

Aim: to determine the effectiveness of a physical therapy program for the elderly with sarcopenic obesity in terms of the kinesiophobia and physical functioning parameters.
 Materials and methods: We examined 106 elderly people, who were divided into 3 groups. The control group consisted of individuals with normal body weight and they had no sarcopenia. The main group 1 consisted of individuals with sarcopenic obesity and a weak therapeutic alliance; they were given general recommendations for modifying the diet and expanding physical activity. The main group 2 included patients with a strong therapeutic alliance. A one-year physical therapy program with the use of kinesitherapy, massage, dietary intervention, patient education, the elements of cognitive training and occupation therapy was developed for them. The dynamics were assessed by Tampa Kinesiophobia Scale, Fullerton Fitness Test, Edmonton Frail Scale.
 Results: Elderly people with sarcopenic obesity have a high level of kinesiophobia (Tampa Kinesiophobia Scale), their physical status (coordination, balance, strength, flexibility, endurance, agility) significantly lags behind that of their peers (Fullerton Fitness Test), they suffer from the frailty (Edmonton Frail Scale). After applying the developed physical therapy program, it was possible to state that the individuals of the main group 2 showed a statistically significant (p <0.05) improvement in their physical functioning parameters relative to the indicators of their peers and initial parameters, a reduction in the frailty, decreasing in the level of kinesiophobia. The low level of the therapeutic alliance, despite the awareness of the negative consequences for the health, led to unsatisfactory implementation or non-implementation of the recommendations provided for the elderly with sarcopenic obesity and was associated with no improvement in the physical status, signs of frailty, kinesiophobia.
 Conclusions: The developed physical therapy program for elderly patients with sarcopenic obesity against a background of a high level of the therapeutic alliance showed a statistically significant improvement in all studied indicators of kinesiophobia and physical functioning parameters compared to the initial level and the indicators of people with low levels of the therapeutic alliance.

Organizational structures and processes for research ethics and integrity

Aim: To explore the structures and processes for research ethics and integrity among the universities that are a part of the European University of the Seas (SEA-EU) Alliance.Methods: Data from the public websites or experts from the six universities of the European University of the Seas (SEA-EU) Alliance: University of Cádiz (Spain), University of Western Brittany in Brest (France), University of Kiel (Germany), University of Gdańsk (Poland), University of Split (Croatia) and University of Malta (Malta) were collected. We followed the approach of the EC Mutual Learning Exercise on Research Integrity and the country report cards at The Embassy of Good Science.Results: We identified similarities and differences regarding research infrastructure, funding, strategy, research governance, compliance, integrity, regulations, and measures to promote good scientific practices and open science at the country level. The universities that are partners in the SEA-EU Alliance differed in the research capacity, expressed as the number of higher education institutions in the country, number of full-time researchers, gross expenditure on research and development, number of grants as well as in the structures and processes at the institutional and national levels for research ethics and research integrity. The differences in the research ethics and integrity frameworks at individual universities were related to the national legislation but also to the national and institutional incentives to promote responsible research.Conclusions: In collaborative research, it is necessary that partner universities respect the differences between their organizational and national ethical and integrity frameworks, and establish the processes for ethics approval at the level of the Alliance in order to carry out joint research activities in accordance/conformity with ethical standards for scientific research and good scientific and publishing practice. The same is true for the investigation of research misconduct allegations at the Alliance level.

Inter-group alliance dynamics in Indo-Pacific bottlenose dolphins (Tursiops aduncus).

The social intelligence hypothesis holds that complex social relationships are the major selective force underlying the evolution of large brain size and intelligence. Complex social relationships are exemplified by coalitions and alliances that are mediated by affiliative behavior, resulting in differentiated but shifting relationships. Male Indo-Pacific bottlenose dolphins in Shark Bay, Australia, form three alliance levels or 'orders', primarily among non-relatives. Strategic alliance formation has been documented within both first- and second-order alliances and between second-order alliances ('third-order alliances'), revealing that the formation of strategic inter-group alliances is not limited to humans. Here we conducted a fine-scale study on 22 adult males over a 6-year period to determine if third-order alliance relationships are differentiated, and mediated by affiliative interactions. We found third-order alliance relationships were strongly differentiated, with key individuals playing a disproportionate role in maintaining alliances. Nonetheless, affiliative interactions occurred broadly between third-order allies, indicating males maintain bonds with third-order allies of varying strength. We also documented a shift in relationships and formation of a new third-order alliance. These findings further our understanding of dolphin alliance dynamics and provide evidence that strategic alliance formation is found in all three alliance levels, a phenomenon with no peer among non-human animals.

Understanding psychoanalytic work online and back to the couch in the wake of the COVID-19 pandemic: an investigation among Italian psychoanalysts.

Worldwide, psychotherapists' clinical experience went through rapid developments with transition to teletherapy during the COVID-19 pandemic. Literature on the use of remote psychoanalysis was not conclusive, leaving the issue of the consequences of the necessary setting alternation open. This study aimed to investigate the psychoanalysts' experiences of shifting to remote work and then returning to in-person setting, considering the effect of the patients' attachment styles and personality configurations. Seventy-one analysts of the Italian Psychoanalytic Society were asked to fill out an online survey about patients who found the transition easier and patients who found it more difficult. General questions on therapeutic work, ISTS (Interpretive and Supportive Technique Scale) for interpretive and supportive aspects of technique, WAI-S-TR (Working Alliance Inventory-Short Revised-Therapist) for therapeutic alliance, RQ (Relationship Questionnaire) for attachment style, and PMAI (Prototype Matching of Anaclitic-Introjective Personality Configuration) for personality configurations were administered. All of the analysts chose to continue the treatment using audio-visual tools. Patients with difficult transitions had a significantly higher frequency of insecure attachment and a higher score on RQ Dismissing scale than patients with easy transitions. No significant differences were found between the two groups in personality configurations, psychotherapeutic alliance, and psychotherapeutic technique. Moreover, a higher level of therapeutic alliance was positively correlated to RQ Secure scale and was negatively correlated to RQ Dismissing scale. Patients with easy transition both to remote work and back to in-person setting had higher scores of therapeutic alliances than those with difficult transition both to remote work and back to in-person setting. Online psychoanalytic therapy was widely used during the COVID-19 pandemic. Patients with insecure attachment styles had greater difficulties in adapting to setting alternations, thus confirming that insecure attachment is a vulnerability factor not only for psychopathological problems but also for a well-functioning therapeutic collaboration. Patient's personality configuration did not influence their adaptation to the setting alternation. The supportive and interpretive styles did not undergo significant changes in the transition from in-person setting to remote setting and vice versa, thus suggesting a continuity in the analysts' "internal setting."

Understanding Boko Haram’s Hybrid Operational Methods in Northwestern Nigeria

This paper investigates the hybrid operational character of Boko Haram within the contexts of methods, strategies, and organizational affiliations in the northwestern region. This is due to the continued expansion of Boko Haram into the region since the military reinvigoration in the northeast. The new military operations in the region have caused serious disorientation in the ranks of Boko haram, which necessitated a move to other regions to avoid defeat by the Nigerian military. This study uses qualitative methods to demonstrate the vast range of techniques connected with bandits and other groups in the area based on the operational nexus. The materials used were content analyzed thematically. This study is predicated on Makarenko’s crime-terror nexus model for the analysis. The theory highlighted levels of alliances, convergence, and operational tools armed groups adopt to achieve their goals. The paper finds that Boko haram has developed hybrid operational strategies to expand its operational areas for a continued existence. The hybrid operational character was developed based on alliances and the adoption of operational tools. The study recommends that Nigeria first understand this development as a new hybrid threat to deal with and contain Boko Haram and other groups of similar style in Nigeria.

Combined group and individual therapy for patients with avoidant personality disorder-A pilot study.

Avoidant personality disorder (AvPD) is a common disorder within mental health services, associated with significant psychosocial impairment. The disorder has been neglected in research. There are currently no evidence-based treatments for AvPD, and there is a need for treatment studies focusing particularly on this form of personality pathology. The present study was a pilot study of combined group and individual therapy for patients with AvPD, based on mentalization-based and metacognitive interpersonal therapy. The aim was to investigate the feasibility of the treatment program and the course of symptoms and personality functioning during treatment and 1-year follow-up. The study included 28 patients. Clinical evaluation at baseline comprised structured diagnostic interviews and patients' self-report of symptoms, psychosocial function, interpersonal problems, personality functioning, alexithymia, self-esteem, attachment style, therapeutic alliance, and client satisfaction. Patients' self-report were repeated at the end of treatment and 1-year follow-up. The drop-out rate was 14%. Average treatment length among the 22 treatment completers was 17 months. Mean levels of therapeutic alliance and client satisfaction were satisfactory. Effect sizes were large for global symptom distress, depression, anxiety, and psychosocial adjustment, and in the moderate range for aspects of personality functioning. Yet, the results showed a wide range of outcomes among the patients. This pilot study shows promising results for combined group- and individual therapy for AvPD patients with moderate to severe impairment. Larger scale studies should be conducted to increase empirically based knowledge to guide development of differentiated treatments adapted to patients' various levels of AvPD severity and profiles of personality dysfunction.

Emotional competencies training for tennis players: effectiveness of an online individualised psychological support program

ABSTRACT This study aimed to assess the effectiveness of online emotional competencies (EC) training, and more specifically the relationships between adherence, confidence, and alliance and the effects of mental training on EC. A longitudinal four-wave measurement design (pre-intervention, post-knowledge development, post-abilities development, and post-disposition phase) was used in the present study. An experimental group (n = 20) received a specific EC training intervention, whereas the control group (n = 20) did not receive this intervention program. These two groups completed self-report questionnaires assessing emotional regulation and EC across four measurement times. Participants of the intervention group also completed a questionnaire measuring the adherence, confidence, alliance between practitioner and athlete. Results of repeated measure ANOVAs showed that the level of EC increased significantly in the intervention group but not in the control group. Moreover, correlation analyses highlighted significant relationships between the scores of adherence, confidence, alliance between the practitioner and the tennis player, and the scores difference of EC between before and after intervention. These outcomes suggest the possibility of improving EC with an online intervention. The online device did not affect the quality of the alliance between the practitioner and the intervention participant. Furthermore, the results showed that a high level of alliance, confidence, and adherence was associated with an improvement in emotional intelligence. This online program would serve psychologists and mental trainers to use an intervention to develop EC adapted to the constraints of the localisation of athletes.

Research on Evolutionary Game of Low-carbon Knowledge Sharing in Enterprise Strategic Alliance Considering Multiple Factors

Knowledge sharing is an important way for enterprise strategic alliance to participate in enterprise learning and dissemination of low-carbon knowledge. According to the different enterprise size and knowledge level of strategic alliance participating enterprises, considering all kinds of influencing factors of knowledge sharing willingness of participating enterprises, this paper constructs enterprise strategic alliance knowledge sharing evolutionary game payment matrix and obtains evolutionary equilibrium solution. In view of the different values of the absorption and transformation ability coefficient of knowledge, the degree of complementarity of knowledge, and the degree of knowledge sharing, the influence of simulation on the knowledge sharing intention of enterprises is simulated. The research shows that the coefficient of knowledge absorption and transformation ability and the degree of knowledge complementarity have a great influence on the willingness of participating enterprises to knowledge sharing. The knowledge sharing willingness of enterprise strategic alliance participating enterprises is sensitive to the knowledge sharing degree of the two enterprises, and the sharing degree of enterprises with different knowledge levels has different effects on the knowledge sharing willingness of the two enterprises.

Classification of Wetland Forests and Scrub in the Western Balkans

Wetland forests and scrub (WFS) are conditioned by the strong impact of water. They consist of various vegetation types, depending on many factors such as type and duration of flooding, water table level and its fluctuation, river current strength, substrate ability to retain water, etc. WFS vegetation has been insufficiently studied in the Balkan Peninsula, especially in Bosnia and Herzegovina. By means of numerical classification, we aimed to classify Western Balkans WFS at the alliance level, and to identify the main underlying ecological gradients driving the variation in species composition. The dataset containing all published and available unpublished relevés from Slovenia, Croatia and Bosnia and Herzegovina was first classified using the EuroVegChecklist Expert System in Juice software in order to assign the corresponding class to each of the relevés. Relevés were subsequently analyzed within each of the four WFS classes (Alno glutinosae-Populetea albae, Salicetea purpureae, Alnetea glutinosae and Franguletea). Cluster analysis resulted in eight alliances, Salicion albae, Salicion triandrae, Salicion eleagno-daphnoidis, Alno-Quercion, Alnion incanae, Alnion glutinosae, Betulion pubescentis and Salicion cinereae, while one cluster could not be assigned with certainty. Edafic factors were found to be the most important factors determining the floristic composition and syntaxa differentiation of WFS in the study area.

A multimodal case study utilizing physiological synchrony as indicator of context in which motion synchrony is associated with the working alliance.

Interest in the association between patient and therapist's motion synchrony and the working alliance has been growing in recent years. This interest is part of a larger effort in psychotherapy research to study how the working alliance, being central to the therapeutic process, develops over the course of therapy. However, while previous studies suggest that such an association between motion synchrony and the working alliance exists, there are mixed results regarding the direction of it. The present single-case study seeks to shed light on these mixed results with a multimodal perspective of nonverbal synchrony. That is, through an exploration of a single case, the present study explores physiological synchrony as an indicator of context in which motion synchrony is associated with the working alliance. For this aim, a single case was chosen from a randomized control trial investigating short-term psychodynamic treatment for major depressive disorder. Statistical analysis identified an interaction between physiological synchrony and motion synchrony in predicting working alliance levels. Findings show that in the context of an antiphase pattern of physiological synchrony (negative association between physiological measures of the two participants), there was a positive association between motion synchrony and the working alliance. This study emphasizes the potential of a multimodal approach, while suggesting a possible explanation for mixed results in current literature that focuses on the association between motion synchrony and the working alliance. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

Environmental agenda and priorities for integration cooperation in the development of financial technologies at the global and national levels

The active application of financial technologies in the processes of international financial integration actualises the search for the formation of national models of financial technology development, ensuring sovereignty with effective international cooperation. Considering the forms and directions of relations coordination at the level of emerging alliances of national models of fintech development, the article analyses the directions and forms of coordination in the sphere of financial technology development at the level of interstate unions, alliances and coalitions, and systematises the priorities of integration cooperation in the sphere of fintech. Based on the ways of participation in the processes of global financial integration, the study establishes strategic alternatives for the formation and development of national models, conditioned by approaches to the management of fintech development at the national level, on the basis of which the prospective priorities of the Russian segment of the development of financial technology are presented at the intersectoral and international levels.

Classification of European oak–hornbeam forests and related vegetation types

AbstractAimsOak–hornbeam forests and related vegetation types (phytosociological order Carpinetalia betuli) are widespread in temperate western Eurasia. However, their national classification systems are poorly compatible, and a broad‐scale classification based on numerical analyses is lacking. Therefore, we aimed to establish a unified formalized classification system based on a large data set of vegetation plots covering the entire range of these forests.LocationEurope, Anatolia, Caucasus and northern Iran.MethodsWe compiled a data set of 15,817 vegetation plots from the European Vegetation Archive and the Hyrcanian Forest Vegetation Database, using the formal definition of the EUNIS habitat type T1E Carpinus and Quercus mesic deciduous forest. We classified the data set using TWINSPAN. Biogeographically and ecologically similar plot clusters were merged into oak–hornbeam forest types, which were interpreted as alliances. We also developed expert systems for automatically classifying vegetation at the alliance level for both the EuroVegChecklist (EVC) system and the revised classification. In addition, we calculated ordinations to show the major gradients in the species composition of the data set.ResultsWe present a revised classification system of the order Carpinetalia betuli with nine alliances, including basic descriptions of their species composition, distribution, ecology and syntaxonomy. The analyses largely supported the biogeographic concept of classification, analogous to EVC. Compared to EVC, we recognized an additional alliance Physospermo verticillati‐Quercion cerridis (southern Italy) but found no support for the alliances Astrantio‐Carpinion, Erythronio‐Carpinion and Scillo‐Quercion. The greatest difference in species composition was found between the southern and northern‐northeastern Carpinetalia types. Expert systems for the revised classification system (~89% of plots classified) and the EVC system (~72%) are also included.ConclusionsWe provide the first comprehensive overview of alliances of the order Carpinetalia betuli across its whole distribution range. The associated expert systems allow consistent application of the classification of these forests in nature conservation, habitat monitoring, and biodiversity and ecological research.

Роль пропріоцептивної нейром’язової фасилітації у фізичній терапії пацієнтів з адгезивним капсулітом плечового суглобу

The purpose of the study was to perform an analysis of the results of studies devoted to the study of the effectiveness of proprioceptive neuromuscular facilitation in patients with adhesive capsulitis of the shoulder joint. Materials and methods. This work is the result of an analysis of studies devoted to the study of the effect of proprioceptive neuromuscular facilitation as monotherapy and as a part of a complex physical therapy or rehabilitation program on the range of motion in the shoulder joint, pain on the visual analog scale, and the shoulder pain and disability index. During the search in scientific databases, the data of 11 studies, which are devoted to the specified issues, were selected. Results and discussion. Studies examining the immediate effects of interventions have found both benefits and no benefits on amplitude measures in groups of patients who received proprioceptive neuromuscular facilitation in addition to physical therapy or as a component of adjunctive therapy. Thus, it is not possible to draw unequivocal conclusions in the question of advantages regarding the immediate effect. Analysis of the effectiveness of programs and courses of treatment for adhesive capsulitis of the shoulder joint established that in the vast majority of studies, the results in the proprioceptive neuromuscular facilitation groups were better at the end of the treatment (3-4 weeks). At the same time, in most studies, scientists noted a significant improvement in pain, amplitude, and functioning indicators in control groups, that is, without the use of proprioceptive neuromuscular facilitation. All of the reviewed papers that analyzed the effectiveness of adding only proprioceptive neuromuscular facilitation to physical therapy programs or adding proprioceptive neuromuscular facilitation as a part of adjunctive therapy found advantages in such groups in terms of pain improvement on a visual analog scale or a pain subscale in questionnaires. Only one such study did not indicate a benefit of proprioceptive neuromuscular facilitation in external rotation. In addition, in most cases, proprioceptive neuromuscular facilitation or combined therapy with proprioceptive neuromuscular facilitation had a better effect on the amplitude of abduction and flexion at the shoulder joint. Conclusion. The developed Ukrainian versions of the questionnaires can be used to assess the level of therapeutic alliance and patient satisfaction in the field of physical therapy and occupational therapy