End Of Journey Research Articles

The care pathway experienced by cutaneous melanoma survivors: A qualitative longitudinal study

BackgroundThe optimal management of cutaneous melanoma is based on implementing a multidisciplinary tumour board. No studies report cutaneous melanoma patients’ perspective along the whole care pathway, taking us through their care experience longitudinally. AimsTo explore the patients' perspective on the cutaneous melanoma care journey in a skin cancers’ tertiary referral centre. MethodsA longitudinal qualitative study was designed, using semi-structured interviews. Cutaneous melanoma patients were interviewed three times (T0, after diagnosis; T1, after the first postoperative visit; and T2, at the follow-up). Data were analysed using the inductive framework method. ResultsFifteen patients agreed to participate, and 8 completed all three interviews. We generated three themes describing how patients experienced the care pathway: (i) the evolving need for support during the care pathway, (ii) the development of emotions and expectations for the journey's end, (iii) the changing perceptions of hospital services, the care pathway itself, and the Skin Cancer Unit. We have emphasised the shifts in the experience of receiving assistance from the diagnosis to the follow-up stage. The more the care process progressed, the stronger the need for a relationship with healthcare professionals. The emotional impact of becoming a cancer survivor exacerbated the experience and reflected on patients' perceptions of the care pathway. ConclusionsAdopting a relational approach to reassuring melanoma patients is essential. Our participants expressed needing a medical reference figure as a favourable element. When this is unfeasible, inter-professional training is desirable to help professionals cooperate in a multidisciplinary group and make this collaboration visible to patients.

Choose your own story: creative non-fiction about athletes attempting to qualify for the Olympics

ABSTRACT The Olympics qualification phase is a taxing process for elite athletes, and despite the fact that most do not achieve their goal of qualifying for the Olympics, little is known about how they make meaning from non-qualification. This longitudinal qualitative study describes the stories of athletes preparing for the Tokyo 2020 Olympic Games in the context of the COVID-19 pandemic and interprets the athletes’ meaning-making of their story of non-qualification. We conducted semi-structured interviews with seven elite athletes (a) during the COVID-19 lockdown, (b) after the COVID-19 lockdown, (c) pre-Tokyo, and (d) post-Tokyo. Results of a thematic narrative analysis are presented through creative non-fiction in the format of the ‘Choose your own story’ genre. Two main narratives are presented: a ‘terminal’ narrative, reflecting stories acknowledging the end of an unmade journey with no possibility of a future opportunity, and a ‘maybe next time’ narrative, reflecting stories that acknowledge the lost opportunity while still contemplating the possibility of future qualification. This study extends previous research by providing a deeper understanding of non-event transitions and proposing a review of existing transitional models in sports. We challenge the belief that not reaching a goal constitutes failure and propose alternative narratives. Lastly, we use the innovative ‘Choose your own story’ representation format to increase the impact of our findings on non-academic audiences.

Dashboard Design for New Employee Candidate Program at XYZ Bank Using Tabelau

Bank XYZ is one of the government-owned companies engaged in banking and is one of the largest banks in Indonesia. Bank XYZ has a division called XYZ Corpu which aims to support the company's business operations by developing employee competencies. One of the training programs conducted at XYZ Corpu is the ODP (Officer Development Program). ODP participants are prospective XYZ Bank employees who enter through several selection stages and then carry out training for 12 months which applies a knockout system if the participants are not competent. ODP participants will undergo 12 months of education and training with several stages of the journey. To make it easier to get important information such as the distribution of participants based on the location of the placement division, placement city, distribution of journey end dates, and journey stages. So this research designs a dashboard to make it easier for management to get important information for decision making. This research uses Pentaho tools to perform ETL processes and Tableau tools to create dashboards. Based on the design made, the dashboard user/manager can anticipate or detect early delays in the process of making rundowns for the next journey stage through this dashboard. Based on the OLAP design of this research, the ODP distribution fact table and dimension table consisting of location, journey, city, start date, end date, batch, gender, university and major are formed. Based on the design made, dashboard users/managers can anticipate or detect early delays in the process of making rundowns for the next journey stage through this dashboard. With this dashboard, it can find out the most universities and study programs for more precise decision making. The dashboard created in this study has a data filtering feature that is useful for searching for certain data more quickly.

Travellog – A Travel Buddy Finder Website

Travel Log: Redefining Group Travel" introduces a novel approach to exploration centered on socialconnection. Through curated experiences and spontaneous interactions, participants forge lasting friendships whilediscovering new cultures. Travel Log emerges as a platform that not only facilitates exploration but also cultivateslasting relationships beyond the journey's end. Social travel isn’t group travel (i.e. retirees trudging around after a tourguide with a plastic flag). It’s like-minded travellers around the world, getting together, expanding their socialnetworks, sharing experiences, pushing away from their comfort zones and becoming part of a global community.

‶Don’t Say Neigh, Say Yay”

‶Don’t Say Neigh, Say Yay”

Salvage Microsurgery Following Failed Primary Radiosurgery in Sporadic Vestibular Schwannoma

Management of sporadic vestibular schwannoma with radiosurgery is becoming increasingly common globally; however, limited data currently characterize patient outcomes in the setting of microsurgical salvage for radiosurgical failure. To describe the clinical outcomes of salvage microsurgery following failed primary stereotactic radiosurgery (SRS) or fractionated stereotactic radiotherapy (FSRT) among patients with sporadic vestibular schwannoma. This was a cohort study of adults (≥18 years old) with sporadic vestibular schwannoma who underwent salvage microsurgery following failed primary SRS/FSRT in 7 vestibular schwannoma treatment centers across the US and Norway. Data collection was performed between July 2022 and January 2023, with data analysis performed between January and July 2023. Salvage microsurgical tumor resection. Composite outcome of undergoing less than gross total resection (GTR) or experiencing long-term facial paresis. Among 126 patients, the median (IQR) age at time of salvage microsurgery was 62 (53-70) years, 69 (55%) were female, and 113 of 117 (97%) had tumors that extended into the cerebellopontine angle at time of salvage. Of 125 patients, 96 (76%) underwent primary gamma knife SRS, while 24 (19%) underwent linear accelerator-based SRS; the remaining patients underwent FSRT using other modalities. Postoperative cerebrospinal fluid leak was seen in 15 of 126 patients (12%), hydrocephalus in 8 (6%), symptomatic stroke in 7 (6%), and meningitis in 2 (2%). Each 1-mm increase in cerebellopontine angle tumor size was associated with a 13% increased likelihood of foregoing GTR (64 of 102 patients [63%]) or long-term postoperative House-Brackmann grade higher than I (48 of 102 patients [47%]) (odds ratio, 1.13; 95% CI, 1.04-1.23). Following salvage microsurgery, tumor growth-free survival rates at 1, 3, and 5 years were 97% (95% CI, 94%-100%), 93% (95% CI, 87%-99%), and 91% (95% CI, 84%-98%), respectively. In this cohort study, more than half of patients who received salvage microsurgery following primary SRS/FSRT underwent less than GTR or experienced some degree of facial paresis long term. These data suggest that the cumulative risk of developing facial paresis following primary SRS/FSRT by the end of the patient's journey with treatment approximates 2.5% to 7.5% when using published primary SRS/FSRT long-term tumor control rates.

Konsep Ittiḥād dalam Fabel Mantiq at-Ṭair: Pemikiran Tasawuf Falsafi Farīduddīn ‘Aṭār (1145-1221 M)

This article focuses on Farīduddīn ‘Aṭār 's philosophy of Sufism, namely the concept of ittihad. His thoughts on ittihad can be explored through his work in the form of a fable entitled Mantiq at-Ṭair (The Deliberation of Birds). The fable tells the story of birds that gather and deliberate to find their King named Simurgh. Everything contained in the work is a reflection of ‘Aṭār 's own Sufistic experience in seeking God which is retold through fables. In general, the concept of ittihad was initiated by Abu Yazid al-Bustami, ‘Aṭār developed the concept through his work. Regarding the process of ittihad, in his work ‘Aṭār tells the story of the seven valleys that birds must pass through in search of Simurgh; ṭalab (search), ‘isyq (love), ma'rifat (knowledge), istighnā (the absurdity of things around), tawhīd (unity), hīraṭ (confusion), and fana. The valleys are described as challenges that must be overcome by a Sufi who wants to find his God. The journey ends with the transience of the birds (Sufis) towards other than the Simurgh (God) to cause devotion to Him. This research uses descriptive-analytic method with data obtained from relevant literature sources to build structured and systematic findings. The findings in this article show that the concept of ittihad developed by ‘Aṭār emphasizes the aspects of ‘isyq and fana to find God.

«Се Кяхта с преклоненной выей...»: сибирская судьба поэта и музыканта XVIII в. А. Ф. Протопопова

In the article, for the first time, the biography of the poet and musician of the 18th century is reconstructed. - Andrey Fedotovich Protopopov. An assessment by a contemporary of his literary works is given, the origin, studies at the Tver Seminary and Moscow University, teaching at a noble gymnasium are specified. The details of military and civil service in the Bank office in Nizhny Novgorod, participation in the theft of money in it are covered. The role of Emperor Paul I in his fate, who exiled him to a settlement in Siberia, is clarified. The authorship of the odes composed by A.F. Protpopov dedicated to Alexander I is identified, links with the Decembrist V.I. Steingel, describes the end of life's journey. An assessment of educational activities in Kyakhta is given.

Pillar One, Pillar Two and BEFIT – The End of an Unexpected Journey?

This article addresses the potential consequences of the simultaneous application to multinational enterprises of rules under Pillar One, Pillar Two and BEFIT, analysing possible actions that such enterprises can take to limit their impact on the effective tax rate and stressing the need for coordination to avoid disparities in their implementation.

DEMENTIA CAREGIVER RE-ENTRY INITIATIVE: FINDING NEW DIRECTION AND PURPOSE AFTER CAREGIVING ENDS

Abstract Many former dementia caregivers struggle to find a “new normal” when the long and exhausting caregiving journey ends. Grieving eases, the estate is settled, and now what? Who am I after caregiving ends? Following 12 years of intense care for their parents, two with dementia, Sheryl Fairbanks and Warren Wolfe searched nationally for a program that might help them restart their lives. They found none. In 2016, they launched the Former Dementia Caregiver Re-Entry Initiative, which has served more than sixty people. At a kick-off meeting, former caregivers said their deepest needs were reestablishing relationships with family and friends and finding new life purpose. Typically, six to eight former caregivers meet twice a month – online since the COVID pandemic - and focus on moving forward. They share that these meetings give them a renewed purpose, deeper social connections, increased energy and a new sense of self-esteem. “My kids care. My friends care,” one member explained. “But nobody who hasn’t lived it really knows how hard that time was, and how hard it is to find a new path.” Four similar programs have started in Minnesota, The couple has written a book to encourage more. In 2022, Ms. Fairbanks and Mr. Wolfe became Community Leads in a University of Minnesota research project to see if Black former dementia caregivers have unmet needs and whether this model might help. Preliminary findings will be presented at the Addressing the Needs of African American Bereaved Dementia Caregivers symposium at this GSA annual meeting.

Ring of Hope: A Novice's Experience in a Cancer Centre.

The ringing of a bell has become an honored and cherished tradition in the realm of cancer survivorship care. As a medical student, I was initially unaware of this practice, but I have since gained a profound appreciation for its deep significance and emotional potency. Through the act of ringing the bell, patients who have successfully completed their cancer treatment are able to mark the end of a gruelling journey, while also heralding the start of a new and hopeful chapter in their lives.

Peculiar Woods: The Ancient Underwater City by Andrés J. Colmenares

Reviewed by: Peculiar Woods: The Ancient Underwater City by Andrés J. Colmenares Danica Ronquillo Colmenares, Andrés J. Peculiar Woods: The Ancient Underwater City; written and illus. by Andrés J. Colmenares. Andrews McMeel, 2023 [160p] Trade ed. ISBN 9781524884918 $21.99 Paper ed. ISBN 9781524879297 $12.99 Reviewed from digital galleys R Gr. 4-6 Nine-year-old Iggie is anxious about making new friends and bonding with a mother he barely knows as he moves into a new town called Peculiar Woods. The place certainly lives up to its odd name, especially when Iggie is met with the strange surprise that he can now speak with inanimate objects. He finds unlikely companions in Boris, an enthusiastic yoga chair, and in a sentimental baby blue blanket named Faye. After a rough first day of school, Iggie accidentally interrupts a chess king's ritual, and the game piece demands Iggie join him to find an ancient underwater city in an abandoned flooded town, a journey that gives Iggie an opportunity to courageously help those in need. Cartoonish illustrations just this side of absurd and a balance of witty and meaningful dialogue clearly distinguish the inanimate objects' characteristics and personalities, while the breezy panels expertly pace the heroes' quest, which includes racing with horses, escaping beavers, and facing a washing machine, to get closer to solving the town's mysteries. Thoughtful conversations about confronting challenges outside of one's perceived ability are cleverly represented with text stretching across the page, and Iggie soon learns to communicate his thoughts better, strengthening his friendship with a classmate and his bond with his mother. A surprising twist toward the end of Iggie's journey will remind readers that "Maybe home is not a place. It's something you always carry with you. No matter how lost you feel." [End Page 287] Copyright © 2023 The Board of Trustees of the University of Illinois

Editorial: The function of stories in hostile asylum regimes

In this fictional story, a traveller from a distant land is welcomed at the end of a long journey. As part of his integration into his new home, he learns about the global project of the Population Redistribution Network. The story draws upon the tradition of utopian fiction in order to offer a glimpse of an alternative culture of immigration - one which works beyond borders and outside systems of immigration detention and deportation.

Evil Flowers: Stories by Gunnhild Øyehaug

Reviewed by: Evil Flowers: Stories by Gunnhild Øyehaug Lanie Tankard GUNNHILD ØYEHAUG Evil Flowers: Stories Trans. Kari Dickson. New York. Farrar, Straus and Giroux. 2023. 128 pages. NORWEGIAN WRITER Gunnhild Øyehaug plumbs her psyche in a newly translated work, putting a twenty-first-century spin on nineteenth-century French poet Charles Baudelaire's Les Fleurs du mal. The compelling result teems with candor, wit, anxious obsession, and the merest touch of schadenfreude—or what Baudelaire might have termed joie malicieuse. As in her earlier collection of stories, Wait, Blink (see WLT, July 2018), Øyehaug again explores inner life. The opening presentation, "Birds," doesn't waste any time. In the very first sentence, a large chunk of an ornithologist's brain falls into the toilet as she's preparing to defend her PhD thesis. Oh, her mind still works, except she's forgotten everything about birds—can't even recognize one. Seeking refuge at her parents' house, memories emerge, coalescing into twenty-four short tales. Øyehaug shakes crumbs out of the pockets of her mind, wringing them for all they're worth to repel their power over her. Pieces range from one to eleven pages, plus two of notes. A wordless one-pager, "A Bit Like This," is a sole black-and-white photo—that of Baudelaire glaring at the preceding title story, "Evil Flowers." Øyehaug stares him down in the succeeding "Protest" by calling on American writer Richard Brautigan. She says Baudelaire's greatest poem is "The Swan" (Le Cygne), whose lines perhaps echo her own theme here: "dear memories … heavier than rocks" by "those who've lost what they cannot recover." Her narrations delve into the loss of a mother as well as past loves. Whereas Baudelaire engaged with Victor Hugo in "Le Cygne" or Henry Wadsworth Longfellow in "Le Calumet de Paix," Øyehaug nods to, say, Virginia Woolf or Henrik Ibsen. In one plot, she sets up an imaginative excursion to Monk's House, the Woolf cottage in East Sussex, without ever actually venturing there. "The Nordics Seen from the Outside" ponders the cold blue hues typically used to depict Nordic and Scandinavian countries on maps. The essay becomes a thought-provoking rumination on how those populations see themselves as well as how the rest of the world might view them, based on pictorial color selection alone. Hmm, what if they were portrayed in a warmer pink, she wonders, examining herself in the context of her society. When contemplations occasionally float off-course in various streams of consciousness, she steadfastly recenters her craft, murmuring, "I'll soon get to the point" or "but back to the subject." She's reminiscent there of others who don't always follow a pattern: Polish Nobelist Olga Tokarczuk talking to herself (as in Flights) or Croatian author Daša Drndić (as in Belladonna). In one account, Øyehaug notices a growing tendency to disguise guns as "cell pistols." Such smartphone protection cases appear harmless yet can actually perform as guns. Then she digresses charmingly into ornamental grass, hosta plants, and bocce balls. An older woman in "The Thread" dreams from her hospital bed about her daughter in Denmark, recalling how she took umbrage at her name as a child and its connection to "wicked Queen Gunnhild," lamenting she wasn't named after "a good queen." Gunnhild Øyehaug expects readers to defamiliarize themselves with traditional literary shapes and risk charting new territory with her in Evil Flowers. As Baudelaire wrote in "I" at his journey's end: "We've been around the world; and this is our report." [End Page 75] Lanie Tankard Austin, Texas Copyright © 2023 World Literature Today and the Board of Regents of the University of Oklahoma

A Systematic Review of Stakeholder Perspectives of Dignity and Assisted Dying.

The debate on assisted dying and its components, euthanasia and physician-assisted suicide has evolved with the emergence of the right to dignity and the wish to hasten death (WTHD). Whilst shaped by local legal and sociocultural considerations, appreciation of how patients, healthcare professionals and lawmakers relate notions of dignity to self-concepts of personhood and the desire for assisted dying will better inform and direct support of patients. Guided by the Systematic Evidence Based Approach, a systematic scoping review (SSR in SEBA) on perspectives of dignity, WTHD and personhood featured in PubMed, Embase, PsycINFO, Cochrane Database of Systematic Reviews, CINAHL, Scopus databases and four key Palliative Care journals was conducted. The review hinged on the following questions: "what is the relationship between dignity and the wish to hasten death (WTHD) in the assisted dying debate?", "how is dignity conceptualised by patients with WTHD?" and "what are prevailing perspectives on the role of assisted dying in maintaining a dying patient's dignity?" 6947 abstracts were identified, 663 full text articles reviewed, and 88 articles included. The four domains identified include 1) concepts of dignity through the lens of the Ring Theory of Personhood (RToP) including their various definitions and descriptions; 2) the relationship between dignity, WTHD and assisted dying with loss of dignity and autonomy foregrounded; 3) stakeholder perspectives for and against assisted dying including those of patient, healthcare provider and lawmaker; and 4) other dignity-conserving measures as alternatives to assisted dying. Concepts of dignity constantly evolve throughout the patient's end of life journey. Understanding when and how these concepts of personhood change and trigger the fear of a loss of dignity or intractable suffering could direct timely, individualised and appropriate person-centred dignity conserving measures. We believe an RToP-based tool could fulfil this role and further study into the design of this tool is planned.

La prostituée orientale : du discours social à l’enquête « sociologique ». Étude d’une figure marginale dans les récits de voyage en Égypte du premier xixe siècle

Writings of travellers to Egypt in the first half of the 19th century are full of figures of prostitutes, encountered on the corner of an alleyway or at the end of a winding journey to the secluded lairs of these clandestine enchantresses. Kuchiuk-Hanem is one of the most famed, her splendour overshadowing the myriad of prostitutes that other less well-known travellers have figured in their writings. Although very often rejected, these oriental prostitutes are the object of fascination, which sometimes gives way to sincere interest and a form of cultural curiosity. This marginal figure therefore comes to occupy a central role in these writings, that it is important to study.

From ‘Anti-Suit Injunction’ to ‘Anti-Anti-Suit Injunction’, Where would this Journey End? Part -II

While courts have traditionally been mindful of the territorial nature of patent rights and thus reluctant to exceed the scope of their jurisdiction, this second installment of the yearlong series, inter alia will try to examine certain global scenarios and conditions that courts consider while granting ASI and A2SI and their application in disputes concerning SEPs, further certain measures would be suggested which the authorsthink might come handy to stop this global race for jurisdiction and how inculcating the same in practice would give the due respect to the national courts of concerned jurisdiction along with incentivizing the parties to focus on key concern issues behind every SEP dispute i.e. the suitable FRAND licensing terms.  The present research will also try to convince that such ‘Anti-Anti-Anti-Anti……….Suits Injunction’ saga benefits none, as the same incentivizes a global race to find a court in favorable jurisdiction rather than focusing over the Licensing Negotiations.&nbsp

From ‘Anti Suit Injunction’ to ‘Anti Anti Suit Injunction’, Where would this Journey End? Part-I

From ‘Anti Suit Injunction’ to ‘Anti Anti Suit Injunction’, Where would this Journey End? Part-I

STYLISTIC ORGANIZATION OF THE LEXICAL AND SYNTACTIC SPACEOF THE POETIC WORKS BY ANATOLIY PERERVA

The author of the proposed material emphasizes that the linguistic and stylistic organization of the artistic text has been of interest to linguists for a long time. However, the peculiarities of a poetic narrative expressive means functioning have not been deeply investigated so far. Therefore, the study of language units that testify to the stylistic potential in the poetic scope of Anatoliy Pererva is relevant since the writer’s linguistic world was not an object of a separate scientific analysis. The purpose of the investigation is to characterize the peculiarities of the representation of stylistic means of lexical and syntactic nature in the poetic works by Anatoliy Pererva based on the material of his collection “Nebesna yasnist”. The realization of the defined goal involves the analysis of lexical and grammatical means of organizing the writer’s poetic narrative, the consideration of syntactic methods of his poetic language expressiveness, and the clarification of the stylistic potential of the revealed artistic and expressive means in the formation of the linguistic fabric of the poetic text. Therefore, the object of research is the language of Anatoliy Pererva's poetic collection “Nebesna yasnist”. The subject of the study is linguistic and artistic expressive and pictorial means of organizing the language fabric of a poetic work, which have a lexical and syntactic origin. The researcher states that stylistic component of a lexical and grammatical and syntactic nature are an organic part of the writer's poetic language space. And in particular, those based on the repetition of components (polyptoton, adnomination, prosapodosis, antanaclasis, homeoteleuton, anaphora, epiphora,), opposition (antithesis, oxymoron), and accumulation (gradation). The scientist concludes that the mentioned figurative and expressive means have a powerful stylistic potential and contribute to the reproduction of the main motives of the considered collection (the rapidity of life, thoughts about the end of the earthly journey, love for mother and faith in God).

Role of Ninth Month Garbhini Paricharya as Partus Preparatory for easy and safe Delivery: A Critical Review

Pregnancy is women’s crowning creative experience of lifetime. Giving birth is an ecstatic, jubilant adventurous experience which brings a new life to the world. Pregnancy and labor have been an essential part of human existence for millennia but unfortunately the experience has not been so easy for all women. Every new mother aspires that end of this beautiful journey should be safe, smooth and comfortable with minimum pain, agony and aids. The well established Bishop’s score (BS) is most important criteria for assessment of cervix with a BS of 6 or less indicating an unfavorable cervix and a score of 8 or more a favorable one. On screening the Garbhini paricharya regimen specially month wise regimen mentioned in Ayurveda classics, it was found that, this regimen is highly scientific in terms of modern medical science for birth preparedness or to achieve Sukhprasava. From ninth month onwards, Acharya has mentioned to give Anuvasan basti i.e., medicated enema of oil medicated with Madhura skandha drugs along with Yoni Pichu (vaginal tamponing) of same oil. Therapies advised in the form of Anuvasana basti and Yoni pichu have potential of inducing effective cervical ripening (favorable Bishop’s score), efficient myometrial activation required for the onset of labour by virtue of its essential fatty acids, phytoestrogens and flavanoid content. So, it is high time to pave way towards Ayurveda and adopt holistic safe birth preparedness procedures for easy parturition and healthy obstetric outcome.