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Doxa ◽  
2021 ◽  
pp. 32-43
Author(s):  
Roman Galuyko

Vasyl Stafanyk entered into Ukrainian literature XIX – XX century as a master of the short story, where he emotionally passionately violates the existential problems of an individual person, lost in a world indifferent to him, of which he is forced to make certain decisions and take responsibility for his choices. The artist’s special attention is drawn to the loneliness of man, which often causes him despair and confusion. In particular, this is reflected in Stefanyk’s short stories on the lives of rural workers. The writer knew well the Ukrainian village, the problems of the peasants. There was already a gradual departure of the rural community from the collective responsibility for the fate of each of its members, which deepened the alienation, created a sense of abandonment, in his time. For example, the village and the community are calmly watching the decline of Anton’s farm – the hero of Stefanyk’s short story «Blue Book». In this short story, the cry of the soul of a once wealthy owner, who was unlucky, who in despair drinks the whole farm. In his drunken bravado there is sadness, rage and hopelessness, deep despair – Anton feels that everyone is indifferent to his grief, there is no compassion in his home community. Such loneliness, alienation and despair of man, indifference of others permeate the pages and short stories «Paliy». Its protagonist, old Fedor, worked all his life for the rich Andriy Kurochka, lost his strength and health on his farm, and is now forced to beg from strangers. The thought of this hurts Fedor’s aching soul, he goes mad with loneliness, deeply offends his human indifference. In despair, deeply offended, lonely in his grief, Fedor sets fire to the hen’s barn, taking revenge on him for his mutilated life. The lyrical hero of V. Stefanyk’s short story «My Word» chooses a different way of reacting to unfavorable life circumstances from the previous character. It is the confession of a lonely, abandoned man in a world indifferent to the fate of everyone. Detached from his native land, the hero of the novel doesn’t find peace and joy in the new world. His longing comrades, who agreed with this new world, don’t understand him. So, abandoned by them, he builds himself a world of his own imagination, in which he is comfortable and where he truly lives, hoping to find happiness. Accordingly, the author of the short story convinces that everyone is lonely and doomed to fight for their happiness, and therefore responsible for their choices. Very often Vasyl Stefanyk addresses the topic of lonely old age, when adult children become busy with their worries and do not need their parents, as, for example, in the short story «Angel», where old Tymchykha, feeling unnecessary for children, prepares for death as a salvation from loneliness. The writer raises a similar theme of loneliness of old parents with living children in such short stories as, in particular, «Sama samisinka», which depicts a gruesome picture of the death of a helpless mother left to fend for her children who went to work. The other side of lonely old age depicts the image of old Maxim, who can’t forget his dead sons. A lone widower who sent two sons to fight for Ukraine, he complains about his fate, rages in the field at work, shouts at the horses. At the same time, in despair, Maxim doesn’t accept any sympathy from neighbors, proudly carries his loneliness and despair, lamenting the whole world. He is disgusted by everything around him, he lives only by memories of the past, when his sons and wife were alive, when life was raging in his house. Thus, as we can see, many of Vasyl Stefanyk’s short stories are imbued with existential problems of man concerning the negative nature of human existence. Among them the loneliness and despair of the person in difficult life situations are especially penetratingly considered by the writer.


Author(s):  
Arkadiy Chevtayev

The article considers a representation of the soul and its symbolism in the «Black and Blue» (1930), the first book of poems by A. Ladinsky in the aspect of poetic anthropology. As a representative of the Parisian poetic branch of the first emigration wave, A. Ladinsky constructs a unique artistic universe based on the opposition of the earthly and heavenly aspects of human existence. The poet’s work reflects the conceptual understanding of the dichotomy, expressed by the physical-material «bottom» and the divine-spiritual «top», produces the actual- ization of the «soul» microcosm as a value-semantic center of the depicted world. The analysis of A. Ladinsky’s poems, based on the combination of anthro- pological, semiotic, and mythopoetic approaches to the artistic text, shows that in the poetics of the «Black and Blue» the idea of the soul is revealed in a system of interrelated, but not identical to each other personifications and symbolic signs. The article indicates four key parameters of the soul representation: 1) its objec- tification in the mythological images of the Muse and Psyche; 2) actualization of «flight» and «lamentation» motifs symbolizing and universalizing the views of the exiled human fate and the experience of death; 3) the contact of the earthly and heavenly existence dimensions realized through such symbols of the soul as a «butterfly», «breath», «smoke», a «heart»; 4) the endowment of the soul with the status of «eternal femininity» embodying the beloved who is ideal and therefore inaccessible to the male lyric «self». It is concluded that in A. Ladinsky’s mythopoetic universe the soul embod- ies the indelibility of the vital movement of the opposed microcosm and macro- cosm. Therefore, in the conception of the «Black and Blue» the myth of the im- mortal human soul becomes the main line assisting to understand the deep antinomies of the universe.


Author(s):  
Ben Fluck ◽  
Keefai Yeong ◽  
Radcliffe Lisk ◽  
Hazel Watters ◽  
Jonathan Robin ◽  
...  

AbstractThe Blue Book published by the British Orthopaedic Association and British Geriatrics Society, together with the introduction of National Hip Fracture Database Audit and Best Practice Tariff, have been influential in improving hip fracture care. We examined ten-year (2009–2019) changes in hip fracture outcomes after establishing an orthogeriatric service based on these initiatives, in 1081 men and 2891 women (mean age = 83.5 ± 9.1 years). Temporal trends in the annual percentage change (APC) of outcomes were identified using the Joinpoint Regression Program v4.7.0.0. The proportions of patients operated beyond 36 h of admission fell sharply during the first two years: APC =  − 53.7% (95% CI − 68.3, − 5.2, P = 0.003), followed by a small rise thereafter: APC = 5.8% (95% CI 0.5, 11.3, P = 0.036). Hip surgery increased progressively in patients > 90 years old: APC = 3.3 (95% CI 1.0, 5.8, P = 0.011) and those with American Society of Anaesthesiologists grade ≥ 3: APC = 12.4 (95% CI 8.8, 16.1, P < 0.001). There was a significant decline in pressure ulcers amongst patients < 90 years old: APC =  − 17.9 (95% CI − 32.7, 0.0, P = 0.050) and also a significant decline in mortality amongst those > 90 years old: APC =  − 7.1 (95% CI − 12.6, − 1.3, P = 0.024). Prolonged length of stay (> 23 days) declined from 2013: APC =  − 24.6% (95% CI − 31.2, − 17.4, P < 0.001). New discharge to nursing care declined moderately over 2009–2016 (APC =  − 10.6, 95% CI − 17.2, − 2.7, P = 0.017) and sharply thereafter (APC =  − 47.5%, 95%CI − 71.7, − 2.7, P = 0.043). The rate of patients returning home was decreasing (APC =  − 2.9, 95% CI − 5.1, − 0.7, P = 0.016), whilst new discharge to rehabilitation was increasing (APC = 8.4, 95% CI 4.0, 13.0; P = 0.002). In conclusion, the establishment of an orthogeriatric service was associated with a reduction of elapsed time to hip surgery, a progressive increase in surgery carried out on high-risk adults and a decline in adverse outcomes.


2021 ◽  
Vol 16 (3) ◽  
pp. 184-190
Author(s):  
Ayusheeva Marina V. ◽  

Buddhism occupies an important place in the history of culture of the Mongolian peoples, in particular from the 16th century, which corresponds to the third stage of the spread of the Buddhist religion among the Mongols. Although Buddhist teachings have wide influence on everyday life, the philosophy of Buddhism was understandable to a very small circle of adherents. For the majority of the population, ethical and didactic literature and the authority of teachers were much more important. In this regard, the image of the clergy was to be the standard of Buddhist behavior. There are amounts of non-canonical literature on the rules and instructions for righteous behavior, addressed to both laity and clergy. The article analyzes the ideal image of a monk, according to the requirements of Chakhar-gebshi Lubsantsultim on the basis of two works: “Biography of Chakhar-gebshi”, compiled by his disciple Luvsansamduvnima in 1818, and the work of Chakhar-gebshi entitled as a “Blue Book, History of Erdeni Dushi Monastery”. The biographical method used for characterizing Chakhar-gebshi allowed to show his life and him as a strict monk as a model to be followed. The methods of source study and comparative analysis were used for constructing and estimating of a model of religious behavior. The materials from “The Blue Book” ‒ a work of a monastic charter ‒ are general for monastic education and monastic environment in Mongolian Buddhism. The importance of keeping the teachings and religion of Buddha in purity and maintaining the moral image of his followers as an authority for the laity has been emphasized many times in the works of various authors. In this regard, the definitions of a pious monk written down by Chakhar-gebshi represent a complete system that combines basic Buddhist precepts. Keywords: Chakhar-gebshi, moral prescription, biography, Mongolian Buddhism, monks, charter


Author(s):  
Jasna Metovic ◽  
Marco Barella ◽  
Giuseppe Pelosi

Summary Purpose Neuroendocrine tumors and neuroendocrine carcinomas in the lung are distinct and separate entities featuring neuroendocrine differentiation, for which an accurate classification is clinically warranted. Materials and methods Three perspectives were addressed: (i) diagnostic tools, with the terminology to be used in either resection specimen or small-sized material; (ii) the so-called carcinoid tumors with elevated proliferation rates (mitotic and/or Ki-67 activity); (iii) predictive biomarkers based on immunohistochemical characterization. Results We herein provide a pathology update on lung neuroendocrine neoplasm classification that will appear in the forthcoming 5th edition of the WHO Blue Book, including a short discussion about biomarkers, which are presently given full consideration in clinical practice. Conclusion The WHO classification on lung neuroendocrine neoplasms is the cornerstone to provide the best clinical management of patients and is the starting point for any investigative insight.


2021 ◽  
Vol 5 (1) ◽  
pp. 16-24
Author(s):  
Irina Kichigina

China's activities relating to the proclaimed One Belt, One Road Initiative continue, and today China is doing a lot to develop the Northern direction of this main transport route. Traditionally, the development of the Northern Sea Route has always been in the hands of Russia, but today, China is investing colossal resources in the implementation of the idea it suggested. Getting transport priorities right will not only help shorten the distance and time of cargos delivery but is also an opportunity for China to reinforce its positions in science, research and technology. Moreover, China is taking efforts to search for areas of reasonable investment, which will allow it to optimize the North-East transport direction as part of the "Ice Silk Road" in the future. In 2018, the "White Book", "China's Arctic Policy" based on China's participation in the development of the Arctic and then the "Blue Book" were published, as the result of its scientific research in the North and the Arctic. In these books, China’s strategy and position as of a new “Northern” power is described. On the basis of the approved priority directions of its development, China sets specific tasks and completes them in the shortest possible time, which creates additional risks for Russia as the time frame of implementing projects as well as the multilateral agreements of China do not fully conform to Russia's position. Thus, since 2013, new vessels suitable for operation in the difficult conditions of the North have been built and launched together with the COSCO Shipping Group. As a result of the intensified activities of China in the North, the transport load has increased both on the Russian shipping companies of the Northern Sea Route and on the infrastructure of the ports, whereas investment implementation rate of the projects of their reconstruction remains low. As a consequence, China offers to participate in the modernization of a number of ports on the Ice Silk Road as well as in the collaborative exploration of the North.


2021 ◽  
Vol 108 (Supplement_2) ◽  
Author(s):  
Y Cheung ◽  
O Carmody ◽  
K Synnott

Abstract Introduction Blue Book Guidelines recommend admitting hip fracture patients to an orthopaedic ward within 4 hours of presentation. BOAST guidelines advise early multidisciplinary team management. Since 2018, our Institution has utilised an integrated, multidisciplinary model for referrals of trauma patients in the Emergency Department. We hypothesised that this significantly reduces time to admission. Method We retrospectively reviewed data on all trauma cases admitted over a two-month period in 2017 and 2019 (before and after development of our Integrated Pathway). Our Integrated Pathway is facilitated by a mobile application which is accessed by all ED and Orthopaedic medical staff, including Consultants, allowing instantaneous communication. Results Sixty-six trauma patients were admitted to our Institution between December 2017 and January 2018. Average time taken from triage in ED to admission by the Orthopaedic team was 7hrs 10mins. Sixty-three patients were admitted over the same period in December 2019 and January 2020. Average time taken from triage in ED to admission by the Orthopaedic team was 4hrs 59mins. Conclusions Our Integrated Multidisciplinary mobile application system resulted in a 30.5% decrease in time to admission, which is a significant improvement. We would recommend the introduction of similar systems in other hospitals as part of their Model of Care Pathway.


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