bluuebunny/crossref_metadata_2025 huggingface dataset:
TINJAUAN BEBAN KERJA PETUGAS PENYEDIAAN REKAM MEDIS GUNA MENUNJANG KETEPATAN WAKTU PENYEDIAAN REKAM MEDIS RAWAT JALAN DI RUMAH SAKIT X
Authors: Putri Mayangsari  , Yovita Tri Katarina
Published: May 2022

Tujuan penelitian ini adalah mengidentifikasi beban kerja petugas penyediaan rekam medis guna menunjang ketepatan waktu penyediaan rekam medis rawat jalan di Rumah Sakit X. Metode yang digunakan adalah deskriptif kuantitatif dengan teknik pengumpulan data berupa observasi dan wawancara. Populasi dalam penelitian ini adalah petugas pendaftaran dan petugas filing pada shift pagi masing-masing berjumlah 2 petugas dengan teknik sampel jenuh dan rekam medis pasien rawat jalan berjumlah 350 berkas. Berdasarkan hasil penelitian dan perhitungan dengan rumus DepKes dan WISN, didapatkan rata-rata kebutuhan tenaga pada bagian pendaftaran adalah 0,56 tenaga dan pada bagian filing adalah 3,4 tenaga. Rata-rata waktu penyediaan rekam medis adalah 11,6 menit, dengan kegiatan yang memakan waktu cukup banyak yaitu kegiatan pencarian rekam medis dengan waktu 3,0 menit. Dengan jumlah rekam medis yang tepat waktu disediakan berjumlah 178 atau 50,9 % dan jumlah rekam medis yang tidak tepat waktu berjumlah 172 atau 49,1%. Ini dikarenakan terjadinya ketidaksesuaian antara jumlah tenaga yang ada dengan besarnya beban kerja yang ditanggung oleh petugas filing pada shift pagi. Dapat disimpulkan bahwa ada kemungkinan keterkaitan antara beban kerja petugas penyediaan rekam medis dengan waktu penyediaan rekam medis. Oleh sebab itu, peneliti mengusulkan kepada kepala bagian perlu untuk mengalokasian tenaga yang sesuai dengan beban kerja yang ada guna memaksimalkan kinerja staf secara efektif dan efesien, sehingga hasil pekerjaan dapat tercapai dengan baik
PENGETAHUAN TENTANG VAKSIN COVID-19 PASCA SOSIALISASI PADA SISWA SD SWASTA ADVENT PARONGPONG KAB. BANDUNG BARAT
Authors: Rishana Barus  , Monalisa Sitompul
Published: May 2022

Pesatnya peningkatan Covid-19 disebabkan oleh mobilisasi masyarakat yang tinggi dan kepadatan penduduk di Indonesia. WHO merekomendasikan tata laksana pencegahan penyebaran Covid-19 melalui melakukan social distancing, selalu mencuci tangan sebelum dan sesudah menyentuh sesuatu (hand hygiene), memakai masker saat keluar rumah, dan meningkatkan daya tahan tubuh. Pemerintah Republik Indonesia menghimbau masyarakat untuk melakukan vaksinasi Covid-19 sebagai penanggulangan penyakit, pencegahan terinfeksi, dan memutuskan tali rantai virus Covid-19. Tingkat pengetahuan dan pemahaman yang kurang terhadap manfaat dan risiko dari vaksin menjadi salah satu faktor penyebab masyarakat tidak bersedia menerima vaksin. Penelitian ini adalah penelitian deskriptif kuantitatif dengan desain penelitian adalah pre experimental dengan rancangan the one group posttest only. Accidental sampling digunakan untuk menentukan sampel penelitian dimana dalam penelitian. Instrumen penelitian berupa 10 buah pertanyaan benar atau salah yang digunakan untuk mengukur pengetahuan siswa terkait pengetahuan tentang vaksinasi Covid-19. Hasil dari penelitian ini diperoleh nilai mean pada persentasi jawaban yang benar dari lembar pertanyaan yang diberikan subjek penelitian adalah 70, angka ini menunjukkan bahwa pengetahuan pasca sosialisasi vaksinasi Covid-19 siswa SD Advent Parongpong berada pada kategori baik. Kesimpulan yang dapat diambil setelah melakukan penelitian adalah sosialisasi vaksinasi Covid-19 memberikan pengetahuan kepada siswa SD Advent Parongpong.
PENGETAHUAN PENCEGAHAN PENULARAN COVID-19 PASIEN DAN KELUARGA DI KLINIK ANGELINA
Authors: Fanny Tambunan  , Untung Sudharmono
Published: May 2022

World Health Organization menetapkan status Covid-19 secara global menjadi pandemi, sehingga pemerintah Indonesia mengeluarkan upaya untuk meningkatkan kewaspadaan terutama dalam hal penanganan dan pencegahan penyebaran virus Covid-19. Upaya yang ditempuh pemerintah untuk melakukan pencegahan penularan Covid-19 dengan pembentukan Satgas Covid-19 di tingkat pusat sampai ke desa serta pemerintah memberikan sosialisasi kepada masyarakat mengenai cara pencegahan penularan Covid-19 melalui media elektronik seperti tayangan di televisi, radio ataupun media cetak seperti leaflet, spanduk dan lainnya dan melalui media social. Penelitian ini bertujuan untuk mengetahui tingkat pengetahuan pasien dan keluarga mengenai pencegahan penularan Covid-19. Metode penelitian yang digunakan adalah deskriptif kuantitatif dan accidental sampling digunakan untuk pemilihan sampel dimana jumlah subjek dalam penelitian ini adalah 81 orang yang mengembalikan tes pengetahuan selama bulan Mei 2021. Instrumen dalam penelitian ini adalah berupa lembar pertanyaan yang berisi 16 pertanyaan. Hasil penelitian yang didapatkan pengetahuan pasien dan keluarga sangat baik dengan nilai rata-rata pengetahuan 81,6. Kesimpulan dari penelitian ini adalah promosi Kesehatan untuk mencegagah penularan Covid 19 cukup baik dalam meningkatkan pengetahuan masyarakat.. Saran bagi masyarakat adalah menjalankan protocol kesehatan dalam mencegah penularan covid 19.
Analisis Pemanfaatan Facebook Sebagai Media Promosi Produk Perumahan Syariah di PT.Jannata Land
Authors: Tasliman Musyadad , Suryawibawa Dandy Tresna
Published: May 2022

Tujuan_1).Mengetahui Alasan PT.Jannata Land menggunakan Facebook sebagai mediapromosi. 2).Mengetahui kendala saat melakukan promosi di Facebook. 3).Dampak yangterjadi setelah melakukan promosi di Facebook. Desain/Metode_ Metode penelitian yang digunakan adalah metode Kualitatif denganobjek peneltian facebook dan media promosi dengan unit analisis PT.Jannata Land danInforman Advertiser PT.Jannata Land, sumber data yang didapat adalah data primerdengan teknik pengumpulan data dari hasil wawancara. Temuan_ Kesimpulan dari penelitian ini adalah alasan PT.Jannati Land memanfaatkanfacebook sebebagai media promosi produk perumahan syariah karena perkembanganDigital yang sangat mendominasi kehidupan manusia khususnya facebook menjadi salahsatu social media dengan pengguna terbanyak yaitu 9 juta orang muslim aktif setiapbulannya yang menjadi pasar sasaran PT.Jannati Land untuk mempromosikan produkperumahan syariah. Namun dalam proses promosi melalu facebook tentunya tidaksedikit kendala yang dialami, mulai dari biaya untuk proses split test saja, konten iklanyang original, proses moderasi konten iklan, algoritma facebook yang berubah sangatcepat dan juga AME (Ads Manager Error). Selain itu adapun dampak positif yangdirasakan PT.Jannati Land dalam beriklan di facebook yaitu kemudahan yang diberikanfacebook untuk mendapatkan hasil yang spesifik, report kinerja iklan disertai data-datakhusus yang dapat di olah untuk kegitan promosi berikutnya, bicara dampak positif pastada pula dampak negatifnya yaitu harus mempunyai kemampuan analisa yang sangatbaik, jika tidak, maka kemungkinan akan “boncos” atau rugi serta profil bisnis yangterkena AME semua data hasil report akan hilang dan proses promosi harus dimulai darNol. Implikasi_ Saran bagi PT.Jannata Land guna meng-efektifkan proses Digital Marketingatau Pemasaran secara online untuk lebih bisa mendesain konten yang menarik yangtidak melanggar kebijakan dan algortima facebook, sehingga konten tersebut dapatmelalui proses moderasi dengan cepat dan tidak mudah terkena AME. Selain ituPT.Jannata Land agar lebih memanfaatkan media lainnya, karena tak hanya sociamedia saja yang mampu mendongkrak proses promosi, namun masih banyak platformlain yang tersedia, salah satunya google dengan fitur google Adword-nya, serta kinsemakin banyak penyedia layanan marketplace khusus property seperti rumah.com,Lamudi, OLX, Dll yang dapat dimanfaatkan melalu fitur berbayarnya sehingga dapatdimanfaatkan guna meningkatkan bisnisnya. Originalitas_Ini pertama kalinya penelitian yang dilakukan di PT.Jannata Land Tipe Penelitian_Studi Empiris
Pengaruh Sistem Pembayaran Non Tunai Dalam Era Digital Terhadap Tingkat Pertumbuhan Ekonomi Indonesia
Authors: Febriaty Hastina
Published: May 2022

Tujuan_mengetahui pengaruh sistem pembayaran non tunai e-money, kartu debet/ATM dan kartu kredit terhadap tingkat pertumbuhan ekonomi Indonesia.

Desain/Metode_Menggunakan metode regresi data time series dengan mengestimasi model regresi linear berganda, Uji asumsi klasik, Uji t dan Uji F

Temuan_Sistem pembayaran non tunai APMK yang terdiri dari nilai transaksi e-money dan nilai transaksi kartu kredit memiliki pengaruh yang positif dan signifikan terhadap tingkat pertumbuhan ekonomi, sedangkan untuk nilai transaksi kartu debet/ATM berpengaruh negatif dan signifikan terhadap tingkat pertumbuhan ekonomi.

Implikasi_ Secara praktik, Bank Indonesia memberikan promosi penggunaan kartu ATM sebaiknya lebih mengarahkan pengguna memanfaatkan fasilitas transfer dan transaksi secara non tunai serta mengurangi nilai penarikan transaksi tunai. Dengan demikian hal ini akan meningkatkan nilai transaksi APMK (Alat Pembayaran Menggunakan Kartu, yang dalam jangka panjang terbukti memiliki kontribusi dalam pensubstitusian transaksi tunai dan pada akhirnya dapat meningkatkan pertumbuhan ekonomi. Secara teoritis, perlu dilakukan penelitian selanjutnya untuk mendapatkan hasil yang lebih akurat dengan metode regresi data time series.

Originalitas_Penelitian ini fokus kepada faktor-faktor yang mempengaruhi pertumbuhan ekonomi dalam sistem pembayaran non tunai dengan menggunakan regresi data time series.

Tipe Penelitian_Studi Literatur
Model Produktivitas Dan Penyerapan Tenaga Kerja Perikanan Tangkap Di Pantai Utara Jawa Barat
Authors: Nugraha Heri
Published: May 2022

Penelitian ini dilakukan untuk menentukan sebuah strategi pengembangan sektor perikanan tangkap dengan menggunakan modelEkonometrika. Tujuan  dari penelitian ini adalah merumuskan  Model Produktivitas dan Penyerapan Tenaga Kerja Perikanan Tangkap.Metode yang digunakan dalam penelitian ini adalah metode survey melalui pendekatan  deskriptif    dan verifikatif.    Analisis dilakukan dengananalisis persamaan simultan Harga dan Upah untuk melihat peningkatan Produktivitas dengan adanya transfer teknologi.             Hasil Analisis menunjukkan bahwa telah terjadi transfer teknologi di sektor perikanan yang menyebabkan peningkatan produktivitas dan penyerapan tenaga kerja, atas dasar hal tersebut maka dirumuskan strategi pengembangan sektor Perikanan.Kata Kunci : Model, Produktivitas, Perikanan, Harga, Upah
Pengaruh Tipe Kepribadian Terhadap Stress Karyawan
Authors: Djatmiko H.M. Budi , Prayudha Agus Hidayat
Published: May 2022

Tujuan dari peneltian ini adalah untu mengetahui kondisi dan pengaruh dari tipe kepribadian terhadap Stress Karyawan CV Multi Prima Kabupaten CirebonTipe Kepribadian Merupakan suatu pengorganisasian yang dinamis di dalam diri seorang individu, dari sistem psiko-isiknya yang menentukan suatu tanggapan yang bersifat unik terhadap lingkungannya. (Robbins : 2007:126) sedangkan Stres Karyawan Merupakan suatu kondisi dinamik yang didalamnya seorang individu dikonfrontasikan dengan suatu peluang, kendala, atau tuntutan, yang dikaitkan dengan apa yang sangat diinginkannya dan hasilnya dipersepsikan sebagai tidak pasti tapi penting schuler dalam (Robbins : 2007:577Metode penelitian ini mengguankan metode deskriptif dan veriikatif dengan pendekatan Kuantitatif dan alat analisis yang digunakan adalah simple regresi Analysis.hasil dari penelitian ini adalah Pada umumnya kondisi Tipe Kepribadian karyawan CV. Multi Prima Kabupaten Cirebon adalah tinggi dan Stres tinggi. Terdapat pengaruh yang positif dan signiikan antara Tipe Kepribadian terhadap terhadap Stress kerja karyawan CV. Multi Prima Kabupaten Cirebon

Kata Kunci : Tipe Kepribadian, Stress Kerja
Pengaruh Pengembangan Karir dan Motivasi Terhadap Kepuasan Kerja Karyawan pada Pengadilan Negeri Bale Bandung
Authors: Dewi Lies Anggi Puspita , Senubekti Mamok Andri
Published: May 2022

Tujuan_ Tujuan dilakukannya penelitian dalam thesis ini adalah untuk mengetahui seberapa besar pengaruh pengembangan karir dan motivasi terhadap kepuasan kerja karyawan .

Desain/Metode_ Penelitian ini dilakukan dengan menganalisis kuesioner dari ke tiga variable tersebut. Data penelitian dianalisis dengan teknik statistik  melalui uji validitas, uji reliabilitas, uji asumsi klasik dan uji hipotesis menggunakan teknik regresi linear berganda dengan memakai program (Software SPSS V.21).

Temuan_ Hasil olah data dapat disimpulkan bahwa pengembangan karir dan motivasi memberikan pengaruh yang signifikan terhadap kepuasan kerja.

Implikasi_ Pengembangan karier sangat penting untuk suatu organisasi, karena karier merupakan kebutuhan yang harus terus dikembangkan oleh pegawai itu sendiri, dapat mengembangkan, menciptakan kondisi dan kesempatan pengembangan karier serta melakukan penyesuaian antara keduanya. Pengembangan karier juga sangat membantu pegawai dalam menganalisis kemauan dan minat mereka untuk tumbuh lebih dapat disesuaikan dengan kebutuhan sumber daya manusia sejalan dengan pertumbuhan dan perkembangan organisasi.

Originalitas_ Analisa yang digunakan adalah regresi linear berganda yaitu untuk menentukan hubungan antara pengembangan karir dan motivasi terhadap kepuasan kerja karyawan. Penelitian ini menggunakan variabel pengembangan karir dan motivasi terhadap kepuasan kerja karyawan

Tipe Penelitian_ Penelitian ini dilakukan dengan Studi Empiris menganalisis kuesioner dari ke tiga variable tersebut.
Rapid and Accurate Detection of Building Damage Investigation Using Automatic Method to Calculate Roof Damage Rate
Authors: Fujita Shono , Hatayama Michinori
Published: May 2022

In the event of a natural disaster, local Japanese governments investigate the level of damage of the buildings and issue damage certificates to the victims. The damage certificate is used to determine the content of the support provided to the victims; hence, they must be issued rapidly and accurately. However, in the past, the investigation of damage was time-consuming, thus delaying the support provided to the victims. Additionally, while investigating the roof of the damaged building, it was difficult for the investigators to look at the entire roof and calculate the damage rate accurately. Therefore, we have developed an automatic method to calculate the damage rate of a roof using image recognition from aerial photos so that building damage investigation can be more accurate and rapid. We requested the staff in the disaster management division to evaluate the estimation results of this model and confirm its effectiveness. As a result, 80 % of the roof data obtained from this method was equal to or more accurate than the investigator checking from the ground. Additionally, we have developed an efficient flow for building damage investigation using the proposed system. In the future, we aim to investigate the system usage to ensure responsibility in data estimation.
Carta Editorial 15
Authors:   Universidad de Quintana Roo, Cabrera Castellanos Luis Fernando
Published: May 2022

Este número está conformado por diez trabajos, en los cuales persiste un efecto positivo acerca de la conservación y restauración del patrimonio y de la arquitectura maya. En el primer trabajo que parte de lo mencionado anteriormente, se realizan investigaciones sobre la grave situación de riesgo otras haber permanecido sepultada cientos de años la arquitectura del área maya. A pesar de que ha sido reconocida como patrimonio de la humanidad, el proceso histórico de abandono y recuperación mediante la investigación arqueológica, nos llevan a reflexionar sobre los métodos y los criterios que se deben emplear para poder garantizar que, una vez excavada, esta arquitectura pueda conservarse con todos sus valores.
La conservación y restauración del patrimonio arquitectónico maya
Authors:   Universidad Politécnica de valencia, Muñoz Cosme Gaspar
Published: May 2022

Desde las primeras investigaciones y excavaciones que se realizaron en el área maya, surgió el debate sobre la conservación de su arquitectura, que generalmente había aflorado tras su excavación, y que se encontraba en una grave situación de riesgo de conservación tras haber permanecido sepultada cientos de años. Estos notables edificios monumentales, construidos por una antigua sociedad hace más de mil años, constituyen un patrimonio cultural que debe ser investigado y conservado por sus valores arqueológicos, arquitectónicos, culturales y sociales. La singularidad de la arquitectura monumental maya, que ha sido reconocida como patrimonio de la humanidad, y su proceso histórico de abandono y posterior recuperación mediante la investigación arqueológica, nos lleva a reflexionar sobre los métodos y los criterios que se deben emplear para poder garantizar que, una vez excavada, esta arquitectura pueda conservarse con todos sus valores, y de este modo pueda ser contemplada por las sociedades actuales y venideras como uno de los legados más notorios de esta antigua civilización. La experiencia de más de treinta años de excavaciones y restauraciones en el área maya, permite una visión crítica sobre los métodos y resultados, examinando algunos casos concretos y reflexionando sobre cuáles deberían ser los criterios de conservación más adecuados a la luz de los nuevos instrumentos de investigación, documentación y análisis de esta arquitectura.
La estructura urbana de las ciudades mayas del periodo clásico
Authors:   Universidad Politécnica de valencia, Gilabert Sansalvador Laura
Published: May 2022

El período Clásico de la civilización maya es el momento de mayor auge de las construcciones y los conjuntos urbanos a gran escala, pero ¿existía una planificación urbana en las ciudades mayas? El trabajo de investigación de Andrea Peiró Vitoria se aborda desde diferentes perspectivas, prestando especial atención a los aspectos compositivos, y partiendo del análisis de la cartografía existente. En primer lugar, crea una base de datos cartográfica homogénea para poder llevar a cabo estudios comparativos entre diferentes sitios. Partiendo de esta nueva base de datos, se realiza una selección de ciudades que constituye una muestra variada y comparable.
Excitotoxicity (Immunoexcitotoxicity) as a Critical Component of the Cytokine Storm Reaction in Pulmonary Viral Infections, Including SARS-Cov-2
Authors: Blaylock Russell L.
Published: May 2022

A hyperimmune state secondary to dysregulation of the immune system during lower pulmonary viral infections, sepsis and in some cases non-infectious disorders, is now considered to be the principle event leading to clinical deterioration and eventual death in these patients. While most studies have attributed the pathological damage to the lung to be primarily due to high levels of cytokines and chemokines along with massive infiltration of principally neutrophils and macrophages, there is compelling evidence that overactivation of glutamate receptors is also playing a significant, if not critical role in this process. Functional glutamate receptors, along with two important glutamate transport systems, have now been described in epithelial and endothelial cells in the pulmonary airways as well as all involved immune cells. Experimental studies using cytokine models have shown considerable protection against pathological damage to pulmonary tissues by reducing the activation of these glutamate receptors.
Weaponized Pathogens and the SARS-CoV-2 Pandemic
Authors: Oller, Jr. John W.
Published: May 2022

This review zeros in on the aspect of vaccine theory, practice, and research that is the most dangerous, the most controversial, and that is at the epicenter of the alleged SARS-CoV-2 “pandemic”. Regardless whether the “pandemic” itself is real or an illusion manufactured out of fear by vested interests, it is central to ethics and policy discussions seeking to understand bioweapons research in general. The official involvement of the USA in civilian bioweapons research dates at least from World War II under President Franklin Delano Roosevelt. The historical records, cloaked in secrecy until after the Anthrax mailing of 2001, reveal an intimate connection to vaccine research and development, its governmental protection from public scrutiny, and from citizen initiated lawsuits. It is an industry that has released dangerous weaponized pathogens by accident and by sinister designs supposedly compensated in the peace-loving nations by unrealistic hopes in non-existent counter-measures for outbreaks, including epidemiological tracking after the fact, vaccines being researched to counter the weaponization of pathogens being studied, immunity enhancing drugs, and downstream hoped for blood sera containing antibodies. Critical questions concern the ratio of real-risks to hoped-for-benefits, the “mitigating” measures “governments” (especially in the USA) have supposedly established to prevent pandemic outbreaks from bioweapons research, and how all that has played out in the instance of SARS-CoV-2.
Messianic Mad Men, Medicine, and the Media War on Empirical Reality
Authors: Broudy Daniel , Hoop Darwin
Published: May 2022

This article critically examines the emerging global war on pathogens mimicking the Global War on Terror (GWOT). We draw upon the history of recent wars and the fear-driven narratives aimed at nudging the public toward uncritical acceptance of the new emerging social and economic global order. We adopt Edward Herman and Noam Chomsky’s ‘Propaganda Model’ to describe how mainstream media perform in manufacturing consent to policies that tighten control over populations and degrade rights, agency, and sovereignty. Here we consider the efforts of globalist political actors who seek to co-opt or influence political institutions around the world and position themselves as unelected rulers of an emerging authoritarian order. We argue that agenda-setting media are predisposed to serve elite interests that shape news coverage, bound public debate, and obscure new forms of warfare behind the smokescreen of a manufactured Global War on Pathogens (GWOP). We introduce critical analysis and alternative perspectives, largely marginalized by the mainstream, on the hidden conflicts of interest involved in the demands for full social compliance.
Foreign Materials in Blood Samples of Recipients of COVID-19 Vaccines
Authors: Lee Young Mi , Park Sunyoung , Jeon Ki-Yeob
Published: May 2022

The Korea Veritas Doctors (KoVeDocs) for COVID-19 previously found certain foreign materials and moving parasite-like entities in the Pfizer and Moderna mRNA COVID-19 vaccines as those vaccines were warmed to near room temperature (Jeon, 2022). Here we report on similar foreign materials found in samples of centrifuged blood from 8 COVID-19 vaccine recipients as contrasted with 2 individuals who did not receive any COVID-19 vaccine and who had none of the foreign materials in their blood plasma. The preponderance of evidence suggests that the foreign materials found in the COVID-19 vaccine recipients in the study reported here were injected into their bodies when they received one or more doses of the COVID-19 vaccines. Blood samples were prepared and observed under a stereomicroscope after being centrifuged at 2,200 rpm for 30 minutes. From the 8 COVID-19 vaccine recipients: 6 plasma samples contained a multilayered disc of unidentified composition; 3 samples contained beaded coil-like materials; 1 plasma sample contained a fibrous bundle of similar appearing beaded foreign material; and a different group of 3 samples had crystal-like formations of foreign material. The various shapes and sizes of foreign materials in the centrifuged plasmas of COVID-19 vaccinated individuals closely resembled the shapes and sizes of foreign materials previously observed directly in the vaccines themselves. These findings are the basis for our recommendation that (a) a collaborative worldwide evaluation of COVID-19 vaccine contents, and of the blood and plasma samples of COVID-19 vaccinated individuals, be undertaken immediately with all due diligence; (b) that there should be an immediate cessation of COVID-19 vaccinations worldwide and the abandonment of any COVID-19 “Vaccine Pass Policy” and any other form of mandate for COVID-19 vaccinations; and, (c) that emergency collaborative studies of detoxification protocols for COVID-19 vaccine sequelae be undertaken.
Dispelling the Myth of a Pandemic of the Unvaccinated
Authors: McLeod Deanna , Martins Ilidio , Pelech Stephen , Beck Ceilidh , Shaw Christopher A
Published: May 2022

We have reanalyzed the Ontario Science Table data on hospitalizations for COVID-19 in COVID-19 vaccinated versus unvaccinated patients admitted to hospital during various waves of the pandemic. In spite of the Ontario Science Table and the mass media claims that the unvaccinated were the dominant population being hospitalized, a more rigorous evaluation of the existing data shows that this narrative is not correct for the latter waves of COVID-19.  We identify a series of methodological issues that may have led to their conclusions and why such issues may have resulted in policies that have been largely ineffective.
Maternal Gestational Tdap Vaccination and Autism: A Critique of Becerra-Culqui et al. (2018)
Authors: Lyons-Weiler James , Fujito Alison , Pajer Bernadette
Published: May 2022

We report flaws and inconsistencies in a critically important study of autism risk following maternal Tdap vaccination. The authors of the 2018 study, Prenatal Tetanus, Diphtheria, Acellular Pertussis Vaccination and Autism Spectrum Disorder (BC18), concluded that Tdap gestational vaccination is not associated with increased autism risk and claimed to provide “evidence supporting the ACIP’s recommendation to vaccinate pregnant women”. Our observations, based on information from the study itself, challenge these conclusions. We find evidence of a peculiar study design and approach to data analysis forcing outcomes by arbitrary data adjustments, overlooked variables of importance such as Bordetella pertussis infection prevalence and vaccine injury rates, insufficient consideration of likely interactions between multiple historical medical challenges by vaccines and other interventions on their participants, exclusion from the study individuals likely at risk of vaccine intolerance due to genetics, and indications that the study samples were not representative of the general population. Their first-year data show a concerning spike in ASD rates, and their findings and conclusions did not hold up to real-world data, which currently reports 3.8% ASD rate in California. Our observations, based on information from the study itself, challenge the conclusions of Becerra-Culqui et al, 2018.
Trauma-informed Care Interventions in Emergency Medicine:
A Systematic Review
Authors: Brown Taylor , Ashworth Henry , Bass Michelle , Rittenberg Eve , Levy-Carrick Nomi , Grossman Samara , Lewis-O'Connor Annie , Stoklosa Hanni
Published: May 2022

Introduction: Trauma exposure is a highly prevalent experience for patients and clinicians in emergency medicine (EM). Trauma-informed care (TIC) is an effective framework to mitigate the negative health impacts of trauma. This systematic review synthesizes the range of TIC interventions in EM, with a focus on patient and clinician outcomes, and identifies gaps in the current research on implementing TIC.

Methods: The study was registered with PROSPERO (CRD42020205182). We systematically searched peer-reviewed journals and abstracts in the PubMed, EMBASE (Elsevier), PsycINFO (EBSCO), Social Services Abstract (ProQuest), and CINAHL (EBSCO) databases from 1990 onward on August 12, 2020. We analyzed studies describing explicit TIC interventions in the ED setting using inductive qualitative content analysis to identify recurrent themes and identify unique trauma-informed interventions in each study. Studies not explicitly citing TIC were excluded. Studies were assessed for bias using the Newcastle-Ottawa criteria and Critical Appraisal Skills Programme (CASP) Checklist.

Results: We identified a total of 1,372 studies and abstracts, with 10 meeting inclusion criteria for final analysis. Themes within TIC interventions that emerged included educational interventions, collaborations with allied health professionals and community organizations, and patient and clinician safety interventions. Educational interventions included lectures, online modules, and standardized patient exercises. Collaborations with community organizations focused on addressing social determinants of health. All interventions suggested a positive impact from TIC on either clinicians or patients, but outcomes data remain limited.

Conclusion: Trauma-informed care is a nascent field in EM with limited operationalization of TIC approaches. Future studies with patient and clinician outcomes analyzing universal TIC precautions and systems-level interventions are needed.
Holistic Review, Mitigating Bias, and Other Strategies in Residency Recruitment for Diversity, Equity, and Inclusion: An Evidence-based Guide to Best Practices from the Council of Residency Directors in Emergency Medicine
Authors: Gallegos Moises , Landry Adaira , Alvarez Al'ai , Davenport Dayle , Caldwell Martina , Parsons Melissa , Gottlieb Michael , Natesan Sreeja
Published: May 2022

Advancement of diversity, equity, and inclusion (DEI) in emergency medicine can only occur with intentional recruitment of residency applicants underrepresented in medicine (UIM). Shared experiences from undergraduate and graduate medical education highlight considerations and practices that can contribute to improved diversity in the resident pool, such as holistic review and mitigating bias in the recruitment process. This review, written by members of the Council of Residency Directors in Emergency Medicine (CORD) Best Practices Subcommittee, offers best practice recommendations for the recruitment of UIM applicants. Recommendations address pre-interview readiness, interview approach, and post-interview strategies that residency leadership may use to implement holistic review and mitigate bias for recruitment of a diverse class.
A Neglected Challenge in the Analysis of Active Pharmaceutical Substances with Aldehyde Functional Group in Aqueous Matrices
Authors: Nasiri Azadeh , Mokhtari Shaya , Daraei Bahram , Yazdanpanah Hassan , Faizi Mehrdad , Kobarfard Farzad
Published: May 2022

: Aldehydes are compounds that are widely used and popular in organic synthesis due to their high reactivity. This advantage is a disadvantage in medicinal chemistry. Due to the ability of aldehydes to participate in nucleophilic reactions (especially in aqueous biological media) and access to nucleophiles such as amino acids and nucleic acids, drugs with aldehyde functional groups are always used with caution and carefully quantified in biological fluids. Our experience in working on biologically active aldehydes indicates the transformation of these groups of compounds in aqueous or alcoholic solution and thus the failure of analytical methods for their accurate monitoring in such media. Both mass spectrometry and Proton nuclear magnetic resonance spectroscopic findings indicate the reaction of spiramycin with water molecules in an aqueous solution, resulting in the conversion of spiramycin to a new molecule with 18 mass unit difference and thus, the residue amount which is measured and reported based on a mass spectrometries method does not show the correct amount of spiramycin in these samples.
Correlations Between Gonadotropin Hormones and the Manifestations of Polycystic Ovary Syndrome
Authors: Fazli Davoud , Moghaddasi Seyed Peyman
Published: May 2022

Background: Polycystic ovary syndrome (PCOS) is the most common disease associated with chronic anovulation that affects 4 - 6% of women of reproductive age. Objectives: This study aimed to assess the correlation of luteinizing hormone (LH)/follicle-stimulating hormone (FSH) ratio with body mass index (BMI), hirsutism, age, and main clinical symptoms of PCOS in women. Methods: We compared hirsutism, irregular menses, menstrual pain, LH, FSH, and LH/FSH between 400 women diagnosed with PCOS based on Rotterdam Criteria and 500 healthy controls. Moreover, the relationships between all these variables were investigated. The data were evaluated by the Mann-Whitney test, chi-square test, and correlation coefficient. Results: In this study, mean weight and BMI, as well as the percentage of clinical factors, namely hirsutism, irregular menstruation, and menstrual pain in the PCOS group, were significantly higher than in the control group (P ≤ 0.001). In addition, the mean of LH, FSH, and LH/FSH in women with PCOS was significantly higher than the control group (P≤0.001). Our results showed a significant negative relationship between age and LH/FSH in the PCOS group (r = -0.106, P = 0.034). Conclusions: According to the findings of this study, LH/FSH ratio had a significant negative correlation with age. However, no relationship was observed between LH/FSH ratio and BMI.
Diagnosis and treatment of COVID-19 in primary healthcare
Authors: Punoševac Darinka , Vesić-Veškovac Sandra
Published: May 2022

COVID-19 pandemic is caused by the SARS-Cov-2 virus and it was first isolated in Wuhan, China, in December 2019. In Primary Healthcare Center (PHC), Krusevac, the outpatient clinic for respiratory infections was formed on March 24th, 2020. Nearly 100.000 medical exams were performed there, up till now. The virus transmission is carried out by airborne droplets, or rarely using contaminated hands. The entrance site of the infection is nose, mouth, or eye mucose. The infection develops in two stages. The first happens in the upper respiratory tract (URT) and lasts 5-7 days, and the second, when the virus descends to the lungs, and from there causes systemic inflammation, primarily of the blood vessels. The diagnosis is based on the personal history, clinical presentation, physical exam, specific viral tests, lab analysis, and eventually, chest X-ray. Therapy is mainly symptomatic, and since March 2021 we got antiviral favipiravir, and in January 2022 another antiviral, molnupiravir, became available. Oral corticosteroids showed promising results in patients with viral pneumonia. Primary healthcare was a dam against the secondary and tertiary healthcare this time, too. As our colleagues worldwide, we were learning in stride, and the process is ongoing. The more people get exposed to the virus, either naturally or by vaccination, the sooner the pandemic will end but not entirely and probably stay with us as a seasonal infection with easier clinical presentation.
Comparison of some functional and anthropometric parameters as risk factors for gender fragility in the elderly people
Authors: Hadživuković Natalija , Pavlović Jelena , Račić Maja , Ivković Nedeljka , Kalajdžić Olivera , Perućica Ranka , Živanović Srđan , Kucurski Ljubiša
Published: May 2022

Introduction. A specific characteristic of the elderly is brittleness or fragility, and due to its prevalence, fragility needs to be understood as a public health priority. The aim of the study was to examine the association of functional and anthropometric parameters with fragility in persons over 65 years of age. Method. The study was designed as a cross-sectional study and included 446 elderly people. As research instruments, a general questionnaire was used to assess the functional status of the Tinetti test and, of anthropometric parameters, the circumference of the upper arm and the circumference of the middle part of the lower leg. We used the ch2 test and Pearson's correlation analysis as statistical tests. Results. Females had poorer functional status, walking, and balance compared to males (ch2 = 4.125; p <0.127). It was observed males subjects had higher values of upper arm circumference (26.96 ± 3.44) compared to females, while females had higher values of the middle circumference of the lower leg (32.66 ± 6.29). Analyzing the correlation of anthropometric measurements with the total score of the Tinetti test and in relation to subjects' gender, it was noticed there is a correlation analysis between the parameters. Conclusion. A high percentage of people over the age of 65 have poor functional status, as well as lower values of anthropometric markers, suggesting that they may be potential risk factors for the fragility in the elderly.
Implementation of the European Arrest Warrant
Authors: Čvorović Dragana , Filipović Hrvoje
Published: May 2022

The paper analyses the European Arrest Warrant which is based on the principle of mutual recognition and the principle of effective cooperation, which represent the foundations of judicial cooperation in criminal legal matters. The authors analyse whether there are obstacles to mutual recognition of decisions and how effective cooperation is when it comes to the European Arrest Warrant. The paper includes the conducted research regarding appeals against the European Arrest Warrant addressed to the Supreme Court and the High Criminal Court of the Republic of Croatia. The aim is to use a random sample to determine which criminal offenses are most often the subject of the European Arrest Warrant, as well as the number of rejections or acceptance of appeals against the European Arrest Warrant. In particular, by using the case study method, cases were analysed in which the appeal was accepted, i.e., to determine the shortcomings of the first instance courts in making decisions. According to the available data, an analysis was performed on the number of issued and executed warrants for individual countries from 2014 to 2018, which shows the functionality of the implementation.
The Digital Markets acts: Between market regulation, competition rules and unfair trade practices rules
Authors: Ondrej Blažo
Published: May 2022

In 2020 the European Commission presented its legislative package aimed to deal with new challenges for the internal market stemming from development on digital markets and alleged abuses and anticompetitive practices therein, including the Digital Markets Act (DMA). The aim of this paper is not to evaluate content of the DMA itself, but to evaluate the position of the DMA in the context of other market sector-oriented regulations , rules on unfair trade practices, competition rules as well as fitness of legal basis and observance of rule of law safeguards. As the DMA proposal departed from competition law legal basis enshrined in Art. 101 et seq. of the Treaty on the Functioning of the European Union, it paved the way for the possibility to impose sanction under both regimes. This possibility of double sanctions and necessity for check of proportionality in all actions of the Commission as well as in imposition of fines constitute one of the most relevant shortcomings from the "constitutional" point of view of position of the DMA in the EU legal framework. As it is argued in this paper, without more synchronization with competition regulatory regimes, the DMA proposal contains elements that can, at the end of the day, diminish its legal effectiveness via subsequent judicial battles.
VIRTUAL REALITY: SUSTAINABLE TECHNOLOGIES
Authors: VERGARA RODRIGUEZ DIEGO , Fernández Arias Pablo , DE SANTOS DE LA IGLESIA CARLOS , ANTON SANCHO ALVARO
Published: May 2022

The development of virtual reality (VR) technologies offers high expectations for growth in the coming years. The massive increase in the use of virtual environments will lead to a high consumption of resources, making it necessary to ensure their sustainability. Taking this scenario into account, this paper focuses on analyzing and comparing the sustainability of the two variants of VR, immersive virtual reality (IVR) and non-immersive virtual reality (NIVR).
To achieve this goal, the different areas of sustainable development that are influenced by these technologies have been identified (economy, society and environment). From the results obtained, it can be stated that VR technology is advantageous for all three areas of sustainable development analyzed from three main points of view: (i) as an emerging technology that allows energy costs to be reduced and encourage economic activity with low environmental impact; and (ii) as a teaching resource in higher education, such as engineering, because it allows the design of dynamic and interactive learning environments, which facilitate the understanding of certain concepts.
In the case of economic and social areas, especially those related to education, it is the areas of sustainable development in which these differences are most noticeable. In this research, an experience is carried out with engineering students where it is shown that students perceive the RVI as more interactive than the RVNI, but that this perception does not lead to an increase in the academic performance of the students. On the contrary, in the professors' opinion, the impression caused by the IVR on the students could lead them to divert their attention to certain recreational or interactive aspects of the activity that do not have an impact on their learning.

Keywords: immersion, virtual reality, development, sustainable technologies, virtual environments.
Devenir adulte dans la société chinoise postsocialiste. Une quête de sens au prisme des parcours de vie de jeunes adultes résidant à Beijing
Authors: Constantin Sandra V.
Published: May 2022

This article explores the meaning of the transition to adulthood in post-socialist China. Based on a mixed methods survey conducted in Beijing between 2012 and 2014, it examines how the transition to adulthood has changed during the Chinese transition to market economy. Qualitative data, 45 in-depth interviews (F=25 and M=20), shed light on how young adults (aged 19-36 years) view adulthood. Quantitative analyses (N= 915) inform on cross cohort variations in the timing of the pathway to adulthood. The transition to adulthood of 615 people born between 1980 and 1985 (F=290 and H=325), and 300 people born between 1950 and 1959 (F=151 and H=149) was reconstructed by the means of a life course matrix.

The first part of the article opens with a conceptual discussion and a comparative overview of changes in the transition to adulthood since the 1980s. After having introduced the Chinese context, the second part outlines the methodological design developed to collect the qualitative and quantitative data. The third
part of the article highlights a postponement in the timing of the transition to adulthood. The last part of the article reveals that, contrary to Western countries in which individualistic criteria such as financial independence, independent decision-making and a sense of responsibility are ranked first in the meaning given by young people to the transition to adulthood, Chinese young adults give a pivotal importance to family roles and responsibilities. It also uncovers that these roles and responsibilities imply different consequences for men and women’s paths to adulthood.
L’identité narrative dans la prise en charge psychologique des jeunes issus de la conception médicalisée
Authors: Rambeaud-Collin Delphine , Zoldan Yann
Published: May 2022

The story of becoming a parent is often couched in the language of desire built on fantasies. And although such idyllic accounts tend to conceal much more difficult stories about becoming parents, nevertheless assisted reproductive technology has given new hope to many couples experiencing infertility. In the course of our work as professional psychologists, we recorded the reflections of young women between the ages of 15 and 25 who were conceived using assisted reproductive technology. To understand how the circumstances of their conception impacted their narrative identity, we adopted a clinical approach that involved having these young women share their life narratives, starting with their conception stories.
Based on our clinical observations, the article explores a five-stage method for facilitating narrativity, consisting of the interview process, projective mechanisms, the creation of an autobiographical timeline, and, finally, the act of writing a life story. This multifaceted approach makes it possible to address the impact of conception stories on narrative identity from both a diachronic and synchronic perspective. Finally, we conduct a theoretical and clinical assessment of this promising methodology, which primarily aims to give young people the tools and support they need to share their life narratives in the context of therapy sessions—a process likely to promote better mental health through more harmonious identity development.
Indépendance ou employabilité : comment le genre influence-t-il les motivations des jeunes à entreprendre une mobilité temporaire ?
Authors: Haldimann Lucas
Published: May 2022

Although educational temporary mobility, such as language stays or student exchanges, are increasingly popular among young adults, participation rates remain uneven. But whereas previous academic studies have identified gender as an important factor—young women participate more than young men—little
has been written on the mechanisms behind this disparity. This article uses a mixed-method triangulation approach to analyze the impact of gender on motivational factors influencing the participation of young adults in travel programs. Using a large-scale survey of young Swiss adults (ch-x survey), we validate a set of hypotheses based on fourteen interviews conducted with male and female students attending the University of Lausanne. We begin by comparing the motivational factors influencing female and male students. Then, we consider the motivating factors influencing young adults with different educational backgrounds. The results highlight two critical dimensions of how gender affects the decision-making process: first, the acquisition of mobility capital in support of employability and, second, the increased independence gained through temporary mobility.
Memories of a Theoretical Physicist
Authors: Polchinski Joseph
Published: May 2022

A groundbreaking theoretical physicist traces his career, reflecting on the successes and failures, triumphs and insecurities of a life cut short by cancer.

The groundbreaking theoretical physicist Joseph Polchinski explained the genesis of his memoir this way: “Having only two bodies of knowledge, myself and physics, I decided to write an autobiography about my development as a theoretical physicist.” In this posthumously published account of his life and work, Polchinski (1954–2018) describes successes and failures, triumphs and insecurities, and the sheer persistence that led to his greatest discoveries. Writing engagingly and accessibly, with the wry humor for which he was known, Polchinski gives theoretical physics a very human face.

Polchinski, famous for his contributions to string theory, may have changed the course of modern theoretical physics, but he was a late bloomer—doing most of his important work after the age of forty. His death from brain cancer at sixty-three cut short a career at its peak. Working on the memoir after his diagnosis, using a text-to-speech algorithm because he could no longer read words on a page, he was able to recapitulate his entire career, down to the details of problems he had worked on. For Polchinski, physics went deeper than words.

This edition includes photographs from Polchinski's professional and family life, as well as physics explainer boxes, other technical edits, and bibliographic notes by his former student Ahmed Almheiri, a foreword by Andrew Strominger, and an afterword by his wife Dorothy Chun and sons Steven and Daniel.