bluuebunny/crossref_metadata_2025_split huggingface dataset:
ВІДЛУННЯ СОЦІАЛЬНОГО ЕКСПЕРИМЕНТУ ДМИТРА СТОЛИПІНА В АГРАРНІЙ РЕФОРМІ 1906– 1917 рр.
Authors: ПРИЙМАК Олег , ПРИЙМАК Юлія 
Published: August 2021

Мета статті – крізь ретроспективу родинного бачення сутності селянського питання в Російській імперії другої половини ХІХ – початку ХХ ст. дослідити відлуння соціального експерименту Дмитра Столипіна в аграрній реформі 1906–1917 рр. Методологія дослідження. Ключ до розуміння сутності предмета публікації лежить у площині методології постмодерну. Досягнення мети стало можливим завдяки використанню принципів об’єктивності, багатофакторності, історизму, а також історико-генетичного, проблемно-хронологічного, історико-біографічного, ретроспективного, просопографічного методів та контент-аналізу. Наукова новизна. Експеримент Д. А. Столипіна розглянуто не лише як один з паростків вітчизняної соціологічної науки, а й родинну практику, що вплинула на формування світогляду П. А. Столипіна, як мікросоціальний процес з кроків “постановки проблеми” й “революції в свідомості”, що передували аграрній реформі 1906–1917 рр. Висновки. Соціальний експеримент проходив у 1874–1893 рр. поблизу с. Мордвинівка Бердянського повіту Таврійської губернії та охопив 214 осіб. Мета його полягала у створені орендних хуторів задля підвищення рентабельності маєтності Д. А. Столипіна та популяризації серед місцевого селянства провідних на той час інтенсивних форм ділянкового господарювання.
Для Д. А. Столипіна, як учня та послідовника О. Конта, експеримент був емпіричним доказом правдивості поглядів щодо сутності селянського питання. Він став основою проголошеної у березні 1882 р. доповіді в Московському Імператорському товаристві сільського господарства. Остання містила пропозиції щодо послаблення і подальшого скасування для селян викупних платежів, запровадження приватної власності на общинні землі, проведення землевпорядних робіт, стимулювання зростання селянського землеволодіння. Порівняння їх з аграрним законодавством 190–1911 рр. дало змогу виявити низку схожих рис.
КУЛЬТУРНО-ОСВІТНЯ ПАРАДИГМА НАЦІОНАЛЬНОГО УНІВЕРСИТЕТУ “ОСТРОЗЬКА АКАДЕМІЯ” Pецензія на: Острозька академія: історія та сучасність культурно-освітнього осередку / ред. І. Пасічника, П. Кралюка, Д. Шевчука та ін. Вид. 3-тє. Острог: ВНУ“Острозька академія”, 2019. 720 c
Authors: CОЛАНСЬКИЙ Степан , ЛАСТОВЕЦЬКА-CОЛАНСЬКА Зоряна 
Published: August 2021

Pецензія на: Острозька академія: історія та сучасність культурно-освітнього осередку / ред. І. Пасічника, П. Кралюка, Д. Шевчука та ін.
Вид. 3-тє. Острог: Видавництво Національного університету “Острозька академія”, 2019. 720 c.
Quality of Life of Head and Neck Cancer Patients: Psychosocial Perspective using Mixed Method Approach
Authors: Bhardwaj Tushti 
Published: August 2021

Objectives:Head and neck cancers are one of the most visible cancers permanently damaging appearances and affecting some of the very basic life functions of the patients. With advances in medical care and multidisciplinary team interventions, such changes can be managed and patient’s quality of life (QOL) be improved. Thus, it is important to understand the QOL concerns of the patients. The objective of the study was to examine QOL concerns of the patients with head and neck cancer.Materials and Methods:A sample of 100 adult cancer patients was selected from NCT of Delhi using non-probability sampling design. Data were collected through European Organization for Research and Treatment of Cancer QOL Questionnaires 30 (EORTC QLQ30) and EORTC QLQ Head and Neck specific 35 inventories which was supplemented with qualitative data obtained through semi-structured interviews. Interdependence of the variables and their impact on QOL of patients was studied using co-relational analyses.Results:Patients with head and neck cancer experienced major changes in their speech, appearances, eating pattern, daily routine, and work efficiency. Emotional functioning of the patients was poorest, followed by social functioning, role functioning, physical functioning, and cognitive functioning. Education had significant positive correlation with global QOL (0.382**,P< 0.01).Conclusion:QOL of head and neck cancer patients was poor. Emotional functioning of the patients was worst affected as patients had high emotional concerns. The study recommends psycho-educational intervention programs to help patients cope up better with the disease and improve their QOL. Patients’ support group and peer counseling would give emotional strength to the patients as few patients derived positive experience out of the disease episode.
“Post-COVID-19 syndrome:” The New Pandemic Affecting Healthcare Workers and How the Frontline Warriors Are Battling it
Authors: Rao Shwethapriya , Amara Vedaghosh , Chaudhuri Souvik , Rao Bhamini Krishna , Todur Pratibha 
Published: August 2021

Objectives:
“Post-COVID-19 syndrome,” which may be the new pandemic, has affected various domains of quality of life; even among those who have recovered from mild COVID-19 disease. The aim of our study was to explore the health, social and psychological impact on healthcare workers (HCWs) who have recovered from active COVID-19 illness and highlight their needs post-recovery.

Materials and Methods:
It was a web-based survey study. A total of 163 eligible consenting HCWs participated in this survey. The Institutional Ethical Committee approval was obtained before study recruitment and the study was registered with the Clinical Trial Registry of India. Each participant responded to 25 questions.

Results:
Among those participated, 51% were doctors, 32% were nurses and others were allied health professionals and students. About 82% had mild COVID-19 illness and 40% required hospitalisation for COVID-19 treatment. In the post-recovery period, 66% experienced health issues and fatigue on mild exertion was the most common symptom (42.94%). It was followed by anosmia and ageusia (21.47%), headache and myalgia (15.34%) and breathlessness (8.59%). About 82% HCW felt the need for a post-COVID-19 recovery health care unit. Potential risk of infecting family members was the most common concern (53.46%) followed by the fear of contracting the virus again (46.54%). About 35% of HCW experienced the fear of developing post-COVID-19 complications. About 78% of HCW did not report any psychological concerns, but one-third were stressed due to the financial impact.

Conclusion:
Post-COVID-19 syndrome impacts all domains of quality of life. Fatigue, loss of taste and smell, headache, myalgia and breathlessness continue to persist beyond recovery of active illness. Most of the HCWs emphasised the need to set up post-COVID-19 care units. The fear of contracting the virus again and financial drain due to hospital expenses continued to distress HCWs.
Attitudes, Aptitudes, Barriers and Knowledge of Pain Physicians towards Palliative Care Practice – A National Survey, India
Authors: Pai Renuka Shantharam , Monteiro Geraldine , Tarey Subash D. 
Published: August 2021

Objectives:The bio-psycho-socio-spiritual model is a common management approach in palliative care (PC) and chronic pain medicine (CPM), adopted by PC Physicians and Pain Physicians (PPs), respectively. There is a dearth of services and personnel of PC in India. As PPs are familiar with pain management and the bio-psycho-socio-spiritual model, we hypothesised that they would be willing to incorporate PC in their practice and therefore, sought to understand their attitudes/aptitudes/barriers/knowledge towards it.Materials and Methods:We did a cross-sectional cohort study through a national survey of Indian PPs. The ten- item validated, survey questionnaire was mailed to 1300 PPs having E mail and registered with Indian Society for Study of Pain.Results:We received responses from 6.6% of the PPs. About 10.39% did not want to practice PC; the rest were either practicing or wanted to, or were unable to. 81.8% had <10 years CPM experience while the rest had 10–15 years. About 53.3% PPs had <10 years’ experience in PC; 10.4% had > 10 years and the rest had not practiced. About 70% were motivated by human suffering or had “personal reasons.” About 40.26% had no barriers; the rest cited stress or lack of infrastructure/knowledge/skills/time/financial compensation. The majority chose institutional courses for training and the popular choice of duration of the course was 3 months. The opinion on financial viability/non-viability of PC was equally divided among the respondents. About 62.3% had “knowledge” but half of them lacked “skills;” 27.6% lacked both; the rest had no inclination towards PC. About a third felt multi-disciplinary care was feasible while half felt that it was partially feasible.Conclusion:Policy-makers, at regional to global levels are strategizing options for popularizing PC since it supports the dualistic model of cure and care, most essential for both, chronic-debilitating or life-limiting illnesses. The poor response to our survey was a major limiting factor. However, among the respondents, the majority showed both aptitude and a favourable attitude for PC practice. The inability to identify major barriers for not choosing PC did not support our hypothesis. However, we feel that PPs are a cohort who can be motivated/ encouraged to take up some form of brief, comprehensive courses in PC so that they can be conversant with the specific knowledge and skills needed to practice the multi-dimensional aspects of PC in their own settings.
Validation of Complete Hindi Version of Douleur Neuropathique 4 Questionnaire for Assessment of Neuropathic Pain
Authors: Saxena Ashok K , Khrolia Dipanshu , Chilkoti Geetanjali T , Malhotra R Kumar 
Published: August 2021

Objectives:The Douleur Neuropathique 4 (DN4) questionnaire is a widely used tool for the diagnosis of neuropathic pain (NP). The aim was to validate the Complete Hindi version of DN4 (CH-DN4) questionnaire.Materials and Methods:A systematic translation process was used to translate the original English DN4 into Hindi. The Hindi version was validated among patients appearing in the pain clinic of a tertiary hospital in the capital of Delhi by two different raters. We assessed the internal consistency, test–retest reliability, and inter-rater agreement, validity, sensitivity, specificity, positive and negative predictive values, and area under the curve (AUC).Results:A total of 285 participants, out of which 153 had NP and 132 had non NP (NNP) were included in the study. The results showed our CH-DN4 to have good diagnostic accuracy, a score of ≥ 3.5 was found to be the best cut–off for the diagnosis of NP, with a sensitivity of 0.78, specificity of 0.76, a positive predictive value of 78.5%, and a negative predictive value of 74.5%. Cronbach’s α was 0.82 (95% confidence interval: 0.80–0.84), and interclass correlation coefficients was 0.95. The AUC was >0.8 indicating excellent discrimination between NP and NNP.Conclusion:The CH-DN4 questionnaire has been found to be a reliable and valid screening tool with an excellent power to discriminate between NP and NNP.
Opioid Use Disorders among Patients on Long-Term Morphine for Management of Chronic Cancer Pain: A Pilot Study from a Tertiary Palliative Care Facility
Authors: Choudhary Nandan , Singh Shalini , Rathore Puneet , Ambekar Atul , Bhatnagar Sushma 
Published: August 2021

Objectives:
Long-term opioid use can be associated with misuse and addiction. In the backdrop of increasing burden of cancer patients in India, it is important to assess the rate of opioid use disorders among those with chronic cancer pain. The objectives were to measure the rate of opioid use disorder in chronic cancer pain patients being managed with morphine and to assess its association with demographic and clinical characteristics.

Materials and Methods:
A cross-sectional study was conducted on chronic cancer pain patients who were prescribed morphine for ≥12 months, dosage of ≥60 mg/day. They were assessed using MINI version 7.0.0, WHO-ASSIST Hindi questionnaire, Addiction Behavior Checklist, and DSM-5 for opioid use disorder.

Results:
Forty patients who were treated with morphine for a total of 1479 months participated. The average morphine consumption was 159.50 ± 327.90 mg/day. Six (15%) showed possible inappropriate opioid analgesic use and none of the patients had opioid use disorder.

Conclusion:
This study reports the absence of opioid use disorder due to vigilant use of morphine in chronic cancer patients.
Impact of a Longitudinal Intervention to Improve Care Coordination between a Hospital and a Hospice: A Quality Improvement Project
Authors: Rayala Spandana , Palat Gayatri , Mathews Jean Jacob 
Published: August 2021

Objectives:
When patients with advanced cancer transition from systemic cancer treatments at MNJ Institute of Oncology to palliative and end-of-life care at a separate stand-alone non-governmental organisation-run hospice facility, there is insufficient transfer of health information, including details of cancer diagnosis and staging, past treatments, imaging reports and goals for future care. Without this information, the hospice care team is not adequately prepared to receive and deliver high-quality palliative care for these patients. This project aims to improve the care coordination between the hospital and hospice.

Materials and Methods:
The measures used are the self-reported confidence score on a scale of 0 to 10 related to knowledge about plan of care among staff who receives patients at hospice at baseline and during and after interventions. Interventions included recognizing the workplace culture and promoting ownership of the tasks, enhancing communication by creating user-friendly transfer forms and on-going assessment of the process.

Results:
Improvement in the care coordination in terms of communication of patient goals of care, from hospital to hospice.

Conclusion:
QI project and the steps involved helped the team to work towards solutions objectively. Seemingly excellent ideas may not be the most impactful and data collection demonstrates this and helps identify the most successful interventions.
“Relax City Homecare team; protocols are ready for you” – A Quality Improvement Project Conducted on Behalf of the City Homecare Unit Team at the Trivandrum Institute of Palliative Sciences
Authors: Sunilkumar M. M. , Thampi Amirtha , Lekshmi S. , Harman Stephanie M. , Vallath Nandini 
Published: August 2021

Context:
The city homecare unit (CHU) of the Trivandrum Institute of Palliative Sciences was dissatisfied with the quality of care provided to their patient population.

Aims:
This study aims to improve the average satisfaction score of CHU during their daily homecare services.

Settings and Design:
The improvement project for the CHU activities was conducted with a prospective plan-do-study-act design, with stepwise application of improvement tools.

Materials and Methods:
The A3 quality improvement (QI) methodology, which uses tools for (i) analysing contributors (process mapping, cause-effect diagram); (ii) to derive key drivers (Pareto chart) and (iii) for measuring impact of interventions and sustainability (annotated run chart) was applied. The project was conducted as a mentored activity of the PC-PAICE program. The team’s weekly average satisfaction score was recorded prospectively as the outcome parameter, with 0 representing total dissatisfaction and 10 representing total satisfaction. Accuracy of triaging and appropriateness of registration process were the process parameters selected. These were recorded as run charts across the project period of 9 months.

Analysis and Results:
The cause-effect tool and the impact effort tool were used to analyse the mapped CHU processes. Even though we identified 22 contributors to the problem, eight of them were found to be significant. Key drivers were determined based on these eight and applied to the CHU processes. Over the project period, the satisfaction scores of the CHU improved significantly from 5.82 to 7.6 that is, satisfaction levels were high on most days. The triaging and registration goals were achieved. The team also built its own capacity for QI.

Conclusion:
The application of the A3 methodology simplified and streamlined efforts and achieved the quality goal for the CHU team.
Telemedicine as an Acceptable Model of Care in Advanced stage Cancer Patients in the Era of Coronavirus Disease 2019 – An Observational Study in a Tertiary Care Centre
Authors: Adhikari Shreya Das , Biswas Swagata , Mishra Seema , Kumar Vinod , Bharti Sachidanand Jee , Gupta Nishkarsh , Garg Rakesh , Bhatnagar Sushma 
Published: August 2021

Objectives:The availability of routine care for patients with cancer during the coronavirus disease 2019 (COVID-19) pandemic has become challenging, and the use of telemedicine can be promising in this area. The objective of the study is to evaluate the feasibility of telemedicine-based palliative interventions in cancer patients.Materials and Methods:This retrospective study was conducted in a tertiary care centre with 547 follow-up patients who used palliative medicine teleconsultation services. The following data were retrieved from the records: Patient’s reason for the call, the main barriers to a hospital visit, the assistance given to them by the physician on the call and the patients’ satisfaction with the service on a 4-point scale. The data were analysed using percentages for categorical variables and mean/standard deviation for quantitative variables.Results:Out of the 547 patients, 462 (84.46%) utilised voice calling service, and the major reason for not visiting the hospital were cited to be fear of contracting COVID-19 (37.3%), inability to attend due to health constraints (7.13%) and issues with transportation (48.8%). The majority of the calls (63.62%) calls were regarding uncontrolled symptoms of the primary diseases. A total of 402 (73.49%) patients were very satisfied, and a total of 399 (72.94%) decided to continue to use this medium in the future as well.Conclusion:Telemedicine is a good modality for the assessment of chronic pain and providing symptomatic supportive care in patients with cancer in the COIVD-19 pandemic.
Prevalence and predictors of pulmonary fungal infections in patients with acute leukemia and aggressive lymphomas: Implications for cancer care in developing countries
Authors: Ayuk Adaeze Chikaodinaka , Ekop Eno , Ozoya Oluwatobi , Lawal Odunayo , Emole Josephine 
Published: August 2021

Objectives:Among patients receiving cancer therapy, pulmonary fungal infections (PFIs) are an important cause of morbidity and mortality. Identifying predictors of PFI can direct targeted prophylaxis to improve outcomes, especially in low- and middle-income countries (LMIC) with limited resources. The objectives of the study were to evaluate the predictors of PFI in hospitalized patients with hematological malignancies in the United States and implications for prioritizing anti-fungal care in LMIC.Materials and Methods:Using the 2018 National Inpatient Sample, we conducted a retrospective study of patients ≥18 years, with acute leukemia or aggressive lymphoma. Demographics and outcomes were compared between patients with and without PFI. Predictors of PFI were evaluated by regression analysis.Results:PFI was diagnosed in 1635 (0.8%) of 205,525 eligible hospitalizations and aspergillosis was noted in 1315 (80.4%) of PFI cases. Patients with acute myeloid leukemia (AML) accounted for 64.2% of cases of PFI. Patients with PFI, when compared with those without PFI, were younger, had higher Charlson comorbidity index, were more likely to be non-Caucasian, and to have AML. Patients with PFI had higher odds of respiratory failure, sepsis, and in-hospital mortality. Variables associated with PFI were Hispanic or native American origin (OR = 1.71; 95% CI: 1.21–2.42), Charlson comorbidity index ≥3 (OR = 1.52; 95% CI: 1.16–2.00), neutropenia (OR = 1.97; 95% CI: 1.58–2.46), malnutrition (OR = 2.30; 95% CI: 1.75–3.01), bone marrow transplant status (OR = 2.28, 95% CI: 1.53–3.39), and AML diagnosis (OR = 3.12; 95% CI: 2.40–4.05).Conclusions:This study identified variables associated with PFI in patients diagnosed with acute leukemia and aggressive lymphomas. In LMIC, where resources are scarce, patients with cancer who have the identified high-risk characteristics should be given priority for antifungal prophylaxis.
CASE-STUDY FOR GEOGRAPHY RESEARCHERS: BARCELONA
Authors: Соколов Никита Дмитриевич , Яковлева Светлана Ивановна 
Published: August 2021

Предложена авторская разработка кейса для изучения городских агломераций в курсе «Пространственное планирование» - для магистров-географов. Городские агломерации как основные формы современного городского пространства - это один из типов районов территориального планирования (районной планировки) во всех странах мира. В России для городских агломераций разрабатываются Схемы территориального планирования. В географии - это популярная тема исследований. Опыт профессиональной оценки трансформации планировочной структуры городских агломераций - важная компетенция географов-исследователей. Кейс разработан для Барселоны (Испания).
The author developed a case study for the study of urban agglomerations in the course «Spatial Planning» for geographers. City agglomerations as the main forms of modern urban space - this is one of the types of areas of territorial planning (district planning) in all countries of the world. In Russia, for urban agglomeration, Territorial planning schemes are being developed. In geography, this is a popular research topic. The experience of professional assessment of the transformation of the planning structure of urban agglomerations is an important competence of geography researchers. The case was developed for Greater Damascus (Syria).
Interdisciplinaridade, criatividade e inovação: um caminho potencializado pelas novas tecnologias digitais
Authors: Chiattone Corvello Patricia , Eloi de Almeida Veronica , Jatobá Alessandro , Rodrigues de Carvalho Paulo Victor 
Published: August 2021

A sociedade atual, complexa e dinâmica, está organizada a partir de sofisticadas tecnologias que integram simultaneamente espaços e tempos. Entretanto, encontramos a escola no formato padronizado e endurecido, com alunos pouco motivados. Assim, surgiu a necessidade de desenvolver uma metodologia interdisciplinar a partir das aulas de artes, visando a aprendizagem significativa, onde o aluno utilizasse as tecnologias digitais juntamente com a criatividade e a colaboração, para que estivesse preparado para a resolução dos desafios do cotidiano. Para tal, o presente estudo optou pela pesquisa-ação e teve como participantes alunos do ensino fundamental II, do Rio de Janeiro. A abordagem de natureza qualitativa contou com pesquisa bibliográfica, exploratória preliminar e o desenvolvimento, aplicação e avaliação de uma sequência didática voltada para a interdisciplinaridade. As tecnologias digitais facilitaram a comunicação que viabilizou o projeto ocorrido integralmente de forma virtual durante a Pandemia do COVID-19. Já o trabalho colaborativo ampliou a ação dos participantes e possibilitou o desenvolvimento da criatividade, que foi fundamental na organização do processo, criando soluções para a integração entre as disciplinas. Ao final do estudo, percebeu-se que os estudantes se mostravam mais confiantes e motivados, assumindo a responsabilidade por seus estudos e servindo de inspiração uns para os outros.