bluuebunny/crossref_metadata_2025_split huggingface dataset:
Территориальная доступность высокотехнологичной онкологической помощи в СЗФО
Authors: Булина Анна , Раскина Юлия , Комаров Юрий , Барчук Антон 
Published: August 2022

Территориальная доступность онкологической высокотехнологичной медицинской помощи (OВМП) играет важную роль в успехе лечения рака. Близость к медицинскому учреждению, где пациент может получить необходимую ему помощь, способствует лучшему исходу лечения – пациенту проще узнать, что те или иные виды медицинской помощи могут быть ему предложены, легче организовать посещение медицинского учреждения и согласовать необходимые для лечения мероприятия, пациент и сопровождающие его лица не несут дополнительной финансовой нагрузки на покупку билетов и размещение в месте прохождения лечения. Комиссия по онкологии журнала Lancet называет ситуацию с централизацией онкологической помощи в России уникальной и указывает территориальное неравенство в качестве одной из основных проблем на пути к эффективному контролю рака в нашей стране. В данной работе мы анализируем неравенство в потенциальной территориальной доступности для жителей Северо-­Западного федерального округа (СЗФО) медицинских учреждений, оказывающих ОВМП, предоставляемую гражданам РФ согласно Программе государственных гарантий бесплатного оказания гражданам медицинской помощи. Территориальная доступность измерена как время в пути пешком или с использованием автомобиля по дорожной сети от центра муниципальных образований до ближайшего медицинского центра, предлагающего OВМП. Мы рассчитываем ряд показателей неравенства для входящих в СЗФО регионов и в СЗФО в целом и оцениваем доли населения, имеющие разные уровни территориальной доступности. Большинство центров ОВМП сконцентрировано на юго-востоке СЗФО. Территориальная доступность для жителей Ненецкого автономного округа, Республики Коми и Республики Карелия, большой части территории Вологодской и Архангельской областей невысока. Неравенства в территориальной доступности существуют не только на уровне СЗФО в целом, но и внутри регионов округа. Наибольшие показатели внутрирегионального неравенства в территориальной доступности наблюдаются в Ленинградской, Псковской и Архангельской областях. Тем не менее пространственное неравенство территориальной доступности ОВМП в большей степени формируется за счет различий в доступности между регионами, чем за счет различий в доступности между муниципалитетами внутри регионов.
«Доверяй, но проверяй»: практики заботы о здоровье в условиях цифровизации здравоохранения
Authors: Богомягкова Елена 
Published: August 2022

В статье представлены результаты эмпирического исследования интеграции цифровых технологий в практики заботы о здоровье жителей крупных городов России. Сегодня тренд цифровизации здравоохранения набирает обороты, проявляясь в организационных трансформациях медицинской сферы и воздействуя на повседневность современного человека. Являясь одним из аспектов перехода к медицине‑4П, цифровое здравоохранение опирается на идею пациента нового типа – ответственного, компетентного, готового самостоятельно принимать решения в отношении собственного благополучия, что должно привести к изменениям и в медицинской коммуникации. Изначально инновации рассматривались как проводники, способные обеспечить более эффективные и доверительные отношения врача и пациента. Однако до сих пор связь между (не)доверием медицинским профессионалам и вовлеченностью в опосредованные технологиями способы заботы о здоровье нечасто выступала предметом исследовательского интереса. В статье исследуется, что происходит с (не)доверием врачу в условиях цифровизации здравоохранения. В результате анализа 90 интервью получены данные об основных способах интеграции инноваций в практики поддержания хорошего самочувствия. Сегодня опыт пациента реализуется в режиме гибридной реальности, представляя собой комбинацию личных ощущений (физиологических, психологических), данных, поставляемых девайсами (выраженных в виде цифр, графиков и диаграмм), информации, получаемой из интернет-­источников и рекомендаций медицинских профессионалов. Место традиционного взаимодействия в паре «врач-пациент» занимает сеть реальных и виртуальных акторов, среди которых блогеры, родственники и знакомые, гаджеты, мобильные приложения, члены сетевых онлайн-­сообществ, чей статус определяется не дистанцией, а доверием, которое сегодня все больше диверсифицируется. Врач выступает лишь одним из звеньев такой сети. Несмотря на обилие источников медицинской информации и помощи, пациент полностью не доверяет никому, кроме самого себя, выступая точкой сборки сети, а доступ к многочисленным ресурсам запускает непрерывный поиск и (пере)проверку релевантной информации, что вносит значительную неопределенность в его опыт.
Выйти из тени: практики преодоления социальной эксклюзии больными эпилепсией
Authors: Касаткина Наталья , Шумкова Наталья , Токарева Наталья 
Published: August 2022

Люди с эпилепсией часто становятся заложниками стигмы, опосредующей барьеры доступа к основным механизмам социальной интеграции и провоцирующей сокрытие болезни, самостигматизацию и развитие тревожных и депрессивных расстройств. В сложной ситуации самоопределения оказываются больные с легкой формой заболевания. Особенности переживания и преодоления ими опыта эксклюзии заслуживают особого внимания, поскольку раскрывают факторы успешной социальной интеграции. Статья посвящена изучению условий и причин социальной эксклюзии людей с эпилепсией, а также ресурсов и факторов ее преодоления. Эмпирической базой исследования являются данные десяти биографических интервью с больными эпилепсией, проведенных в 2021 г. Согласно анализу, значительное влияние на жизненную биографию людей с эпилепсией оказывают предрассудки, негативные социальные установки и стереотипы. Наиболее укорененными являются представления, о том, что эпилепсия – это психическое заболевание, несет риск смерти и передается по наследству. Искаженное восприятие становится следствием недостаточных знаний о сути заболевания не только у окружающих и самих больных, но и людей, имеющих медицинское образование. Стереотипы и ярлыки в отношении людей, страдающих эпилепсией, создают ограничения для их самореализации во всех сферах, определяющих социальную мобильность и благополучие. Наиболее выраженная эксклюзия наблюдается в сфере труда. Шансы на трудоустройство во многом зависят от наличия неформальных связей и правил, когда социальные взаимодействия по поводу устройства на работу осуществляются между знакомыми людьми и имеют персонализированный характер. При этом занятость людей с эпилепсией часто имеет прекарные черты. Социальной адаптации людей с эпилепсией способствуют внутренние факторы самоопределения. Внешние факторы, такие как общественная стигма, барьеры на рынке труда, оказываются преодолимыми при условии активизации личностных ресурсов. Достижительная мотивация, вера в собственную эффективность и высокий уровень притязаний стимулируют накопление культурного и социального капиталов как ресурса социальной инклюзии. Выход из тени эпилепсии обеспечивается благодаря деятельностно-­активистскому ресурсу самого больного и поддержке ближнего окружения.
Emotional Management of Healthcare Professionals in Palliative Care Settings
Authors: Угарова Анастасия 
Published: August 2022

Palliative care has developed in Russia since the 1990s as an adopted Western institutional form within the ideological framework of a 'good death,' which suggests a holistic approach to patient suffering. The development of palliative care was not linear and has received systematic governmental support only over the last ten years. Psychological care and quality of life were only legally included in palliative care in 2019. As a consequence of the existing structural constraints in most organizations, all of the emotional labour is done by medical professionals often lacking training in the management of emotions. In this case, a key role is played by the leaders of the organization. The main objective of this work is to demonstrate how the management of emotions at the level of personal interactions is connected with the management of emotions at the organizational level. Emotion management in palliative care settings is analysed based on empirical evidence collected during the periods 2018–2019 and 2020–2021. During the research thirty-four interviews with specialists in the field of palliative care were collected. Materials are analysed through dramatic and cultural theories of emotions and theories of rituals. Key emotion management mechanisms in palliative care settings at the organizational level include team building and coordination; maintenance of collective emotions and collective solidarity; and the management of the space of the organization. At the individual level, emotional labour is carried out in accordance with the ideological framework of a 'good death.' Emotional labour is most often done through deep performance and is aimed at overcoming negative emotions such as anger, fear, or disgust. Management of emotions at the organizational level allows, first, to overcome the existing structural limitations; second, to adjust the volume and content of the emotional labour of employees.
Care for the Dying in the Late USSR (1970–80s)
Authors: Мохов Сергей 
Published: August 2022

Disclosure of the diagnosis is a structural element of modern hospice ideology: the patient must be aware of the diagnosis in order to manage their dying and allow care instead of treatment. Care in hospices makes the last period of one’s life comfortable and maintains the habitual way of life of the dying person. Disclosure of diagnosis, awareness of death, and normalization of dying are thus three interrelated elements of modern hospice infrastructure. However, the case of the late USSR does not completely fit into this rule. On the one hand, there were no hospices in the Soviet Union because any formal disclosure of a diagnosis was banned. On the other hand, based on the study of archival and personal sources, I conclude that despite the concealment of the diagnosis, almost all dying people were aware of their impending death; in the absence of hospices, the dying received homecare; the patients also continued to lead their usual way of life. Hence, concealment of the diagnosis did not lead to unawareness of impending death and a lack of care infrastructure. To explain this paradox, I apply theoretical frameworks developed by Oleg Kharkhordin and Alexei Yurchak who argue that Soviet society had a binary structure consisting of a public ritual part and a private natural life. The nondisclosure of the diagnosis in the USSR was of a ritual form with a reversible function – hiding the diagnosis meant indeed disclosing it. This explains the structure of the Soviet model of care for the dying. The state did not officially deal with the dying and discharged them to their homes, providing them with some support. When the Soviet health care system sent a person home to die, it essentially segregated the private and the public, making it possible for care and dying to happen at home.
SCDC-Net: Skin Cancer Detection and Classification using Deep Q Neural Network with Hybrid Features
Authors: V Nyemeesha 
Published: August 2022

Skin cancer is one of the most severe malignancies that may affect individuals of all ages. It can affect people of all races and ethnicities. Thus, early detection and treatment of skin cancer have the potential to save millions of lives. Because of the high degree of similarity between skin lesions, conventional machine learning approaches failed to provide the highest possible detection and classification accuracy in the skin cancer detection and classification (SCDC) system. To achieve the robust performance, this work is presented a SCDC-Net by employing deep learning, transfer learning models with hybrid features. Initially, UG-Net based transfer learning model is developed by combining generative adversarial networks (GAN) and U-Net. Here, UG-Net is used to remove hair from skin lesions and also preprocess enhances lesion. In addition, Hybrid U-Net (HU-Net) is used to localize the disease effected area of skin cancer. Further, various hybrid features are extracted from the segmented output by employing the gray-level cooccurrence matrix (GLCM) based texture characteristics, the discrete wavelet transform (DWT)-based low-level features, and the computation of image statistics for the texture, low-level, and colour features, respectively. In order to ensure the highest possible performance of the system, a deep q neural network (DQNN) was constructed for the classification of skin cancer using GLCM, DWT, and statistical colour features. The simulation results shows that the proposed method resulted in superior subjective and objective performance as compared to state of art approaches on ISIC-2019 public challenge dataset.
Behavioral Determinants of Obesity among Adolescents: A Qualitative Study
Authors: Chaleshgar- Kordasiabi Mosharafeh , Ramezani Atena , Naghibi Seyed Abolhasan , Yazdani Cherati Jamshid , Khazai-Pool Maryam , Abbasi-Shavazi Masoumeh 
Published: August 2022

Background: Overweight and obesity are the most serious public health challenges of developed and developing countries. The prevalence of childhood obesity has increased worldwide. This study aims to identify the behavioral determinants of overweight and obesity among adolescents.
Methods: This is a qualitative study with directed approach to content analysis of in-depth semi-structured interviews. A total of 27 obese and overweight students (11girls, 16 boys) were recruited in this study based on the PRECEDE model (predisposing factor). The participants were recruited using a purposive sampling method to reach the maximum variation sampling. This sampling took over 6 months in 2018 at the Ghaemshahr middle school. Content analysis approach (directed) was used to analyze the interview.
Results: Five main themes and 20 sub-themes of behavioral determinant were emerged from the interview. The main themes included perceived benefit, perceived threaten, self-efficacy, cues to action, and locus of control. The subthemes included self-empowerment, motivation and diligence role, enough information and parent pressure, long term benefits, physical health, doing favorite sports, perceived susceptibility and perceived severity, and internal and external locus of control.
Conclusion: Self-efficacy and perceived benefit are the most significant determinants of preventive behavior in obese and overweight students; therefore, considering these variables in students can be applied in designing an interventional program that affect obesity preventive behaviors, increase parents’ awareness and school authorities.
Globalization and Postmodern Ecology: A Study of the Anthropocene in Contemporary Climate Fictions
Authors: Narasimham G. Lakshmi , Dash Bibhudatta 
Published: August 2022

Purpose of the study: Globalization has become a primary source for implementing capitalistic life. The advancement in human development has led to the Anthropocene. This paper focuses on how globalization impacts global climate change and the loss of identity and home due to humans' exploratory attitude toward the environment and its effect on surroundings. Issues in the study are addressed from a postmodern ecological perspective.
Methodology: The researcher has taken ecocriticism as the analyzing theory to expose the ideology of anthropocentrism, which keeps humans at the centre of the earth and nature at its periphery. Apocalypticism is chosen theoretical tool of ecocritical analysis. Environmental ethics and justice is used to analyze ecocentric issues. Intertextuality and comparative study of novels are taken as the primary methods.
Main Findings: Globalization is responsible for urban areas' rapid development, and anthropocentric variants are responsible for ecological disasters or climate change. This study demonstrates that human beings' perception of nature as a commodity/object to satisfy humans' unlimited desire has endangered nature. It is time to critically question the human interference in nature and create hope for rebuilding a new ecocentric mindset.
The Application of the study: Eco literature deals with ecocentric issues through literary genres. The present paper studies the human-nature relationship and analysis how contemporary ecocentric novels deconstruct the culture-nature binary and anthropocentric hegemony. Hence, it is interdisciplinary. The above concerns are addressed from the perspective of climate fiction- The Hungry Tide and MaddAddam. The study's findings are not just restricted to the academic domain; instead, it appeals to all humans to change their notion of nature and aim for a sustainable environment.
Novelty/Originality: In general, environmental and ecological studies scholars have resolved the ecocentric issue. In contrast to the above, the issue has been discussed from the lens of eco literature. Besides theorizing this academic discourse, the everyday human-nonhuman relationship is also portrayed through climate fiction.
Muted but not silent: Factors influencing sexual abuse disclosure among adolescents in Gutu district, Zimbabwe
Authors: Gondo Mellisa Tafadzwa , Mtemeri Jeofrey 
Published: August 2022

This study aimed to establish factors that inhibit sexual abuse disclosure among adolescents: to identify factors that promote sexual abuse disclosure among adolescents and to develop strategies that can promote early sexual abuse disclosure. Adolescents aged between 10 and 17 years (n = 12), who experienced sexual abuse and disclosed immediately or after sometime, were purposively selected. A qualitative research approach which made use of the phenomenological research design was used to collect data. Thematic analysis was employed to analyse the data. The results of the study revealed that the inhibiting factors of sexual abuse disclosure included fear of perpetrator, fear of parent’s reaction, non-comprehension of sexual abuse, positive relationship with abuser and uncertainty as to how and to whom to disclose to. Shock and disbelief, beatings and threats and negative effects of sexual abuse also facilitate disclosure of sexual abuse among adolescent survivors of sexual abuse.

Keywords: Child sexual abuse, adolescents, sexual abuse disclosure, Gutu;
Suicide ideation: Prevalence and determinants among high school students
Authors: Nguyen Quynh-Anh Ngoc , Tran Thach , Tran Tu-Anh , Fisher Jane 
Published: August 2022

This study aims to investigate the prevalence of suicidal ideation and its determinants among adolescents in Vietnam. This is a cross-sectional school-based self-report survey conducted on the attending high school students. The anonymous questionnaire included questions about suicidal ideation from the Youth Risk Health Survey, emotional intelligence (EI), mental health problems, parenting styles, school connectedness, cyber bullying, conflicts with teachers and peers and social isolation. Findings from 1,593 students showed a high prevalence of lifetime suicidal thought and plan (31.58% and 12.6%) as well as 12-month suicidal thoughts (24.55%). Protective factors to lifetime suicidal thoughts included high EI and having a caring mother. Risk factors were being female, living in urban areas, having depression or anxiety, and conflict with teachers. This study provided evidence for future studies in intervention programmes to prevent suicidal thoughts in Vietnamese adolescents.

Keywords: Adolescents, emotional intelligence, low- and middle-income, suicide, students;
The role of training courses in the professional development of teachers from public school principals’ viewpoints
Authors: Hamadat Mohammad Hassan , Al-Momani Mohammad Omar 
Published: August 2022

The study aimed to identify the role of training courses in the professional development of teachers from secondary school principals’ viewpoints in Jordan. The researchers used a descriptive–analytical approach. The study population comprised all the principals of public, private and United Nations Relief and Works Agency schools in Jordan. The researchers selected a random sample of 743 principals, including 333 males and 410 females. The researchers used a questionnaire as an instrument for data collection. The questionnaire comprised 28 items and 3 domains in which validity and reliability were confirmed. The study results showed that the role of training courses in developing teachers professionally in Jordan got an average degree. Also, they showed that there were no statistically significant differences at the significance level (α ≥ 0.05) in the estimates of the study respondents.

Keywords: Professional development for teachers, school principals, training courses;
Generational attitudes towards homosexuality across Europe: Why individual and country-related factors matter?
Authors: Jarasiunaite-Fedosejeva Gabija 
Published: August 2022

Only a few studies have examined generational differences in attitudes towards homosexuality across Europe. Also, little is known about the explanatory factors for these attitudes. This study aimed at exploring the differences between generations in attitudes towards homosexuality across Europe and examining the importance of the individual (gender, education, religiosity, political views and parenthood) and country-related (communist history, laws and policies guaranteeing LGBT rights) factors in explaining such attitudes of different generations. European Social Survey Round 9 data with 47,086 respondents from 27 European countries were analysed. The results showed that each younger generation was more accepting of homosexuality than the previous one. While gender, religiosity and communist history of the country were important predictors of attitudes towards homosexuality in all generations, the importance of education, political views, parenthood as well as laws and policies guaranteeing LGBT rights differed. This study extends the understanding of attitudinal changes and generational differences in attitudes towards homosexuality.

Keywords: Homosexuality, generations, LGBT, rights;
THE DEVELOPMENT OF TEACHING MATERIALS ON TOIEC READING FOR IMPROVING A MINIMUM SCORE STANDARD THROUGH THE ANALYTICAL SKILL ON QUESTION ITEMS
Authors: Maisaroh Siti , Sutarman Sutarman , Nurmaesah Nunung 
Published: August 2022

Students at STMIK Bina Sarana Global is given TOEIC as one of compulsory subjects. However, after four years since TOIEC was taught, students had not significantly improved both their analytical skill of the question items as expected and in the targeted minimum score as to be achieved. The teaching materials have undergone changes for three times. Nevertheless, students still find the textbooks hard to understand, resulting in the low score students gained, particularly in the Reading section. This research is aimed at designing teaching materials to assist students in developing their analytical skill, with ADDIE as its research Method. ADDIE which encompasses five phases -- Analysis, Design, Development, Implementation, and Evaluation became the basis analytical skill from which this in-depth research was conducted. The TOEIC Reading Skills textbook provides the content of units, which commences from the warm up activity, followed by topic explanation, to practice tests and word lists. Twenty students as the subjects of this research and a group of 6 lecturers served as evaluators whom were involved for the purpose of giving more thorough analyses towards the book content. Implementing mixed-method research in the data collections and analyses, the development of the teaching materials has been proven to be valid, effective, and practical. Students felt at ease comprehending the explanation, grew their interest in relation to the teaching materials and performance well on the practice test. As a result, they have shown significant improvement in sharpening their analytical skill towards the Reading question items and in obtaining a higher score. These were proven from the Post-Test, class discussions, interview, and questionnaire results.