bluuebunny/crossref_metadata_2025_split huggingface dataset:
The Incidence of Posttraumatic Stress Symptoms in Children
Authors: May Collin , Miller Patricia E. , Naqvi Manahill , Rademacher Emily , Klajn Justyna , Hedequist Daniel , Shore Benjamin J. 
Published: August 2023

Objective:
To determine the incidence of posttraumatic stress disorder (PTSD) symptoms and risk factors for their development in children and adolescents undergoing orthopaedic surgery for trauma.

Design:
Prospective cohort study.

Setting:
Level-1 trauma center.

Patients:
Children (8 to 18), undergoing surgery for orthopaedic trauma.

Intervention:
Upper and lower extremity surgery for orthopaedic trauma.

Main outcome measurements:
PTSD symptoms at postoperative follow-up as determined by the Child PTSD Symptom Scale (CPSS).

Results:
A total of 176 children with an average age at surgery of 13 years (8 to 18.8 years) participated in the study. Twenty-six subjects had high levels of PTSD symptoms (15%; 95% CI = 10.0 to 21.1%). Univariable and multivariable analyses determined that female sex (OR 2.63, 95% CI = 1.06 to 6.67, P = 0.04), older age at surgery (OR 1.25, 95% CI = 1.04 to 1.51, P = 0.02), and undergoing a previous surgery (OR 2.86, 95% CI = 1.06 to 7.73, P = 0.04) were all associated with increased PTSD risk.

Conclusions:
Children and adolescents experience a high level of PTSD symptoms (15%) after surgery for orthopaedic trauma. Clinicians should be aware of PTSD symptoms in children and adolescents after surgery for orthopaedic injuries and use comprehensive screening to facilitate timely intervention and treatment.

Level of Evidence:
II.
Sistem Penilaian Kinerja Manajerial Departemen Produksi Studi Pada Usaha Snack di Pakis Malang
Authors: Made Iska Aprilita Wardani  , Tasnim Nikmatullah Realita  , Yudhi Anggoro  
Published: August 2023

Performance appraisal is a way of determining the work results of employees and work groups that are useful if used the right methods on target and produce the desired conclusions according to output targets and performance standards. This research method is qualitative, namely observing performance appraisals that are already in effect with a combination of quantitative and qualitative methods. Quantitative by comparing work standards and output targets. Qualitative is assessed from skills (competence, physical abilities, coordination and teamwork); character (discipline, ability to make decisions and speed of response); and accuracy (supervision, control and the presence of work solutions). Assessment data from January to April 2019. The time limit was chosen because the performance appraisal had stopped starting in August 2019, and required a remedial analysis. The results of the study show that performance appraisal provides an efficiency of 14% and makes assessments more noticed by all production employees. Methods collaborate in generating a more complete and mature assessment, as well as other suggestions for improvement. And prove that performance appraisal is useful for efficiency and effectiveness, controlling and monitoring performance, and being able to motivate employees to work even better.
Leadership in the Modern Shīʿī Thought
Authors: Azhar Zahra 
Published: August 2023

The leadership of the Islamic nation is one of the concepts that SHĪʿĪ scholars have seriously theorized about, especially since the Safavid era. In Shia thought, this concept is specifically tied to the concept of occultation, and the leader who is being talked about is considered to be the deputy of the Imam of the time. Imam Khomeini put forward one of the most important and of course the latest theories in this matter. Imam Khomeini's opinion is very important because it was the basis of the opinions after him and it was practically implemented in contemporary Iran.
This article is trying to explain the Imam's theory about the leadership of the society during the time of occultation and examine its features and elements.
Perspectivas Latinoamericanas en Economía, Sociedad y Política 1° Ed
Authors: Grupo Editorial Sapienza 
Published: August 2023

Perspectivas Latinoamericanas en Economía, Sociedad y Política es un libro que reúne diversas miradas para entender cómo funcionan las cosas en América Latina. Desde la inclusión de personas con discapacidad en el trabajo hasta cómo los jóvenes piensan en la sociedad y la economía, cada capítulo explora un tema importante. A medida que avanzamos, también vemos cómo las universidades investigan y cómo las empresas mejoran sus procesos. Este libro nos muestra cómo todas estas partes están conectadas y cómo afectan a nuestra región. Al leerlo, obtendremos una imagen más clara de lo que está sucediendo y cómo podemos tomar decisiones más informadas para un futuro mejor en América Latina.
Peran Bagian Hukum Sekretariat Daerah dalam Pembentukan Produk Hukum Daerah pada Pemerintah Kabupaten Boalemo
Authors: Abadi Arter Ridwan , Bunga Marten , Ismail Nurwita 
Published: August 2023

Mandat kepada pemerintah daerah untuk menetapkan peraturan daerah maupun berbagai peraturan lainnya telah di atur dalam Undang-Undang Nomor 23 Tahun 2014 yang telah di ubah menjadi Undang-Undang Nomor 9 Tahun 2015, bahwa dalam rangka melaksanakan otonomi dan tugas yang membantu sesuai dengan aspirasi masyarakat dan kebutuhan daerah. Peran sekretariat hukum daerah, dalam proses pembentukan produk hukum daerah merupakan bagian terpenting dalam pencapaian suatu tujuan pembentukan kawasan hukum, tujuan penelitian ini untuk mengetahui dan menganalisis peran Bagian Hukum Sekretariat Daerah Kabupaten Boalemo dalam pembentukan dan perencanaan produk hukum daerah yang di lahirkan Pemerintah Kabupaten Boalemo. Metode penelitian ini adalah Empiris, dengan pendekatan yuridis normatif atau penelitian hukum doctrinal. Hasil penelitian bahwa Sekretariat Daerah Kabupaten Boalemo mempunyai fungsi, untuk mengkoordinasi, menyusun kebijakan daerah, mengkoordinasi pelaksanaan tugas satuan kerja perangkat daerah, memantau dan mengevaluasi pelaksanaan kebijakan daerah, pelayanan administratif dan pembinaan aparatur sipil negara pada perangkat daerah. Kesimpulannya bahwa produk hukum daerah di Kabupaten Boalemo, dalam kategori umum baik dan perlu dilakukan evaluasi untuk meningkatkan fasilitasi dan koordinasi pembentukan produk hukum daerah lainnya serta RENSTRA Sekretariat Daerah Kabupaten Boalemo Tahun 2019-2024.
Konseling Traumatik Dalam Pendidikan Islam
Authors: Tanjung Ifnaldi 
Published: August 2023

Indonesia merupakan salah satu negara yang sering dilanda bencana alam, dan tidak sedikit dari akibat bencana tersebut menimbulkan banyak korban. Dan korban yang selamat banyak mengalami trauma psikologis. Dalam penelitian ini penulis menggunakan pendekatan kajian pustaka, yakni melakukan pengkajian terhadap literatur yang terkait dengan bimbingan konseling dari berbagai sumber. Konseling traumatik yaitu konseling yang diselenggarakan dalam rangka membantu konseli yang mengalami peristiwa traumatik, agar konseli dapat keluar dari peristiwa traumatik yang pernah dialaminya dan dapat mengambil hikmah dari peristiwa trauma tersebut. Adapun bentuk layanan yang diberikan kepada klien yang mengalami traumatic (1) Layanan informasi, (2) Layanan konseling perorangan, (3) Layanan bimbingan kelompok dan (4) Layanan konseling kelompok.
Saúde mental, prevenção de contágio e percepção de risco de profissionais de saúde do estado de São Paulo durante a pandemia de COVID-19.
Authors: Costa Rosa Tereza Etsuko , Isoyama Venâncio Sonia , Loureiro Escuder Maria Mercedes , Goi Porto Alves Maria Cecília , Vanni Tazio , Precioso Alexander 
Published: August 2023

Objetivo: avaliar a saúde mental, a adoção de medidas de prevenção de contágio e a percepção de risco de profissionais de saúde que atuavam em hospitais no estado de São Paulo, durante a pandemia COVID-19. Métodos: estudo transversal com amostra de profissionais de 15 hospitais do estado que responderam a um formulário online. Para a avaliação da saúde mental foi aplicado o Questionário de Saúde Geral (QSG-12). O QSG-12 gerou uma escala, variando de 0 a 12 (pior situação). Os resultados acima da mediana foram considerados indicativos de sofrimento psíquico. Utilizou-se modelo de regressão logística multivariada para a identificação de fatores associados ao sofrimento psíquico. Resultados: Participaram do estudo 627 profissionais, a maioria do sexo feminino, entre 40-59 anos, de cor branca; 45% estavam acima da mediana do QSG-12, que foi 6,3. Identificou-se maior chance de sofrimento psíquico entre mulheres; médicos; aqueles que responderam que o hospital não fornece EPI de boa qualidade; os que sentem ter pouco controle sobre se infectar; os que têm medo de não sobreviver à doença; aqueles cujas famílias têm medo de se infectarem através deles. Conclusão: O percentual de sofrimento psíquico na amostra foi expressivo, sendo possível atuar sobre alguns fatores associados para minimizar o problema.
Plano de ação climática do Estado de São Paulo
Authors: Ozório Valentim Luís Sérgio , De Oliveira Ribeiro Filho Vital , Tranquillini Rezende Cristiane Maria , Veiga Denise Piccirillo Barbosa da , Pereira Farida Conceição 
Published: August 2023

Em 2021, o Governo do Estado de São Paulo, por intermédio do Decreto nº 65.881, formalizou sua adesão às campanhas Race to Zero e Race to Resilience, nos termos previstos na Convenção-Quadro das Nações Unidas sobre Mudança do Clima. A partir da iniciativa, o Governo Paulista formulou o Plano de Ação Climática do Estado de São Paulo - NET Zero 2050 - PAC NET Zero 2050 com estratégias para enfrentar a crise climática, tendo por meta, até 2050, a neutralidade no território paulista das emissões de gases de efeito estufa (GEE) reguladas pelo Protocolo de Quioto. A Secretaria de Estado da Saúde acompanha o assunto e incorporou metas para enfrentamento do tema em seu Plano Quadrienal de Saúde 2020/2023, adotando diversas iniciativas voltadas à mitigação e adaptação aos efeitos das mudanças climáticas.
Influência das medidas de isolamento social pela Covid-19 nos criadouros de aedes aegypti em domicílios do Estado de São Paulo
Authors: Barbosa Gerson Laurindo , Marques Cristiano Correa de Azevedo 
Published: August 2023

Introdução: O estudo objetivou analisar a distribuição de criadouros registrados nas atividades de avaliação do Aedes aegypti em alguns anos que antecederam e que se seguiram à pandemia de Covid-19 para verificar se as medidas de isolamento social impostas, que resultou em maior tempo de permanência da população nas residências, influenciou no comportamento dos indivíduos no que diz respeito aos cuidados relacionados a remoção de potenciais criadouros e, portanto, alterado o perfil e a quantidade de tipos de criadouros de Aedes aegypti no ano que se segue à pandemia de Covid-19. Metodo: Utilizou-se dados de criadouros do mosquito no período de 2015 a 2019, antes da pandemia de Covid-19 e o ano de 2021, período da pandemia. Comparou-se a proporção relativa de criadouros por imóvel do Estado de São Paulo em anos que antecederam a pandemia de COVID-19 com o ano de 2021 por região e total do estado. Resultados: Observou-se no estado de São Paulo, uma média de 2,5 criadouros por imóvel de 2015 a 2019 e 3,1 no ano de 2021. Os resultados mostram que não há diferença entre a distribuição dos criadouros nos anos comparados com o ano de 2021. Conclusão: Apesar das medidas restritivas de isolamento social imposta pela pandemia de Covid-19, não houve alteração na distribuição e na quantidade de criadouros por imóvel.
The Role of Ultrasound in Women’s Health
Authors: Jebessa Kumsa Marema , Wubeshet Haile Zegeye 
Published: August 2023

Ultrasound has developed into a vital medical diagnostic tool during the past 60 years. Theodore Dussik and his brother Friederich were the first to utilize ultrasound in the 1930s and 1940s to identify a brain tumor. Ultrasonography is now used for many different situations, such as disease detection, assisting with biopsy taking, monitoring previously diagnosed abnormalities, and assessing pregnancy. Unfortunately, the general public is unaware of the role of ultrasound in women’s health for purposes other than pregnancy assessment. This chapter’s major goal is to give a comprehensive overview of the various roles that ultrasound plays in women’s health. Furthermore, this chapter aims to make the general public more aware of the importance that ultrasound plays in women’s health. The authors used a wide range of sources for this work, such as books and peer-reviewed publications. The key roles of ultrasound examination in women’s health include: assessment of female reproductive organs, determination of causes of infertility, assessment of pregnancy and related problems, and assessment of the breast and abdomen. The general public should be made aware of the importance of ultrasound in women’s health.
Post-Viral Aspergillosis
Authors: Salehi Mohammadreza , Zamani Fariba , Khodavaisy Sadegh 
Published: August 2023

Post-viral aspergillosis (PVA) is a clinical form of Aspergillus infection that occurs after some viral infections. Aspergillus is the most common respiratory fungal co-pathogen in patients with viral infections. Most cases of PVA have been reported as invasive pulmonary aspergillosis (IPA) after influenza, COVID-19, and the cytomegalovirus infection. PVA is more commonly reported in critically ill patients with viral pneumonia. Suggested risk factors for PVA include cellular immune deficiency, ARDS, pulmonary tracts and parenchyma damage, and corticosteroid therapy. New pulmonary nodules such as dense, well-circumscribed lesions with or without a halo sign, air crescent sign, or cavity, or wedge-shaped and segmental or lobar consolidation on the chest CT scan can suggest PVA. As in the treatment of invasive aspergillosis in other settings, triazoles, such as voriconazole or isavuconazole, have been suggested as the first-line treatment for PVA. It seems that the presence of PVA has significantly decreased the survival rate in patients with viral infections.
Teaching with What you Are: The Importance of Teachers’ Positive Resources and of the Neuropsychopedagogical Training Envisioning the Future on Adolescents’ Well-Being. A Correlational and Analysis of Variance Study
Authors: Perasso Giulia , Serantoni Grazia , Lillo Carmela , Maculan Alessandro , Vianello Francesca , Di Giuseppe Tania 
Published: August 2023

The literature shows that teachers’ psychological characteristics can influence adolescents’ mental health. Additionally, neuropsychopedagogical interventions, like the Envisioning the Future (EF) training, can positively impact wellbeing. The study aims at: (i) exploring the relationships between teachers’ and students’ characteristics and (ii) investigating the impact of EF on students’ wellbeing. The sample consists of N = 113 Italian adolescents, whose data were matched with their teachers’ (N = 12). Participants completed validated self-report questionnaires on self-compassion, emotion regulation, resilience, and an ad-hoc scale of frequency of bullying episodes. Correlational analyses highlight that: teachers’ avoidance, social isolation, and self-judgment negatively correlate with the frequency with which students perceive bullying episodes; teachers’ self-kindness, optimism, and self-efficacy in regulating emotions positively correlate with the frequency with which the students’ perceive bullying; teachers’ cognitive focus positively correlates with students’ self-determination toward future decisions; students’ self-judgment negatively correlates with teachers’ resilience and self-efficacy in managing positive emotions, while it positively correlates with teachers’ avoidance. In addition, after EF training, students had improved in negative emotion regulation, frequency of perceiving bullying, common humanity, and self-determination. The study underscores the importance of the relationship between teachers’ and students’ resources and the impact of EF training on adolescents’ wellbeing.
New Results on Single User Massive MIMO
Authors: Vasudevan Kasturi , Kota Surendra , Kumar Lov , Bhusan Mishra Himanshu 
Published: August 2023

Achieving high bit rates is the main goal of wireless technologies like 5G and beyond. This translates to obtaining high spectral efficiencies using large number of antennas at the transmitter and receiver (single user massive multiple input multiple output or SU-MMIMO). It is possible to have a large number of antennas in the mobile handset at mm-wave frequencies in the range 30–300 GHz due to the small antenna size. In this work, we investigate the bit-error-rate (BER) performance of SU-MMIMO in two scenarios (a) using serially concatenated turbo code (SCTC) in uncorrelated channel and (b) parallel concatenated turbo code (PCTC) in correlated channel. Computer simulation results indicate that the BER is quite insensitive to re-transmissions and wide variations in the number of transmit and receive antennas. Moreover, we have obtained a BER of 10−5 at an average signal-to-interference plus noise ratio (SINR) per bit of just 1.25 dB with 512 transmit and receive antennas (512 × 512 SU-MMIMO system) with a spectral efficiency of 256 bits/transmission or 256 bits/sec/Hz in an uncorrelated channel. Similar BER results have been obtained for SU-MMIMO using PCTC in correlated channel. A semi-analytic approach to estimating the BER of a turbo code has been derived.
ADVERSE EVENTS FOLLOWING VACCINATION WITH A VIRAL VECTOR-BASED VACCINE - A CROSS-SECTIONAL STUDY
Authors: Rangelova Vanya , Getsova Zhivka 
Published: August 2023

Background: The effectiveness and safety of recently implemented COVID-19 vaccine platforms are often compared since the launch of the mass vaccination campaign worldwide. The aim of the present study is to assess the prevalence of adverse events (AEs) occurring after vaccination with the two viral vector-based vaccines authorized in the European Union to prevent COVID-19.
Materials and methods: A survey was carried out among adults who have completed vaccination with either of the viral vector-based vaccine approved for use in Bulgaria ChAdOx1-S nCoV-19 vaccine (commonly known as Astra Zeneca or Vaxzevria) or Ad26.COV2S vaccine (commonly known as Janssen or JCOVDEN). For the data analysis, standard descriptive statistics was used. Quantitative variables are presented by the mean and standard deviation (mean ± SD) or median (25th percentile; 75th percentile). Qualitative variables are presented as numbers absolute/relative frequencies totals and percentages. The Kolmogorov-Smirnov test was used to obtain information regarding the distribution of the sampled patients. The chi-square test for independence was used to determine whether differences between observed and theoretical distributions existed.
Results: In total 314 respondents took part in the study. Of them, 273 (86.9%) reported at least one local AE after the first dose of a vaccine, and the prevalence among the ChAdOx1-S vaccine group was significantly higher (88.5%) than in the Ad26.COV2.S vaccine group (59.2%) (Pearson χ2 test=19.942, p=0.000). The most common systemic AEs after administration of a viral vector-based vaccine were chills (77.3% for ChAdOx1-S and 25.9% for Ad26. COV2.S.) fatigue (76.3% for ChAdOx1-S and 25.9% for Ad26.COV2.S.), and headache (62.3% for ChAdOx1-S and 25.9% for Ad26.COV2.S.). Those adverse events appeared significantly more often in participants vaccinated with the ChAdOx1-S vaccine.
Conclusion: The analysis of the collected data proves that although common, AEs following vaccination with vector-based products are classified as mild and usually resolve within 48 hours of dose administration.
DEVELOPMENT AND PILOT VALIDATION OF A NOVEL PCR-BASED REPLICON TYPING SCHEME FOR PLASMID FAMILIES ASSOCIATED WITH ANTIBIOTIC RESISTANCE IN PSEUDOMONAS SPP.
Authors: Stoikov Ivan , Ivanov Ivan , Dobreva Elina , Donchev Deyan , Sabtcheva Stefana , Hristova Rumyana 
Published: August 2023

Background. Pseudomonas species are ubiquitous environmental Gram-negative bacteria increasingly associated with difficult to treat healthcare-associated infections. Along with their substantial intrinsic antimicrobial resistance, the ability to acquire additional resistance and pathogenicity determinants contributes to increased morbidity and mortality. Plasmids represent the major vehicles of gene transfer among hospital strains. Accumulation and dissemination of resistance genes through horizontal gene transfer is exceptionally problematic since it leads to the emergence of multi-resistant and stable phenotypes highlighting the importance of novel tools for studying plasmid epidemiology.
Materials and Methods. In this study we introduce a novel PCR-based replicon typing (PBRT) scheme for differentiation of various Pseudomonas spp. plasmid families requiring only two multiplex PCR (mPCR) assays. mPCR 1 is composed of previously published primer sets for IncP-1, IncP-7, IncP-9, IncQ, A/C, N, W, IncU. Primers for multiplex PCR 2 were designed after an in-depth in-silico bioinformatic analysis of the repA gene of more than 50 reference IncP-2, IncP-6, IncP-10, pKLC102-like and pMOS94-like plasmids some of which studied for the first time as a group.
Results. The scheme was tested on a set of 90 previously genotyped multi-resistant clinical Pseudomonas spp. isolates. The detection rate of the target plasmid families was low in our strain collection. Replicons were registered in only 3/90 isolates from the IncP-7 (n=1), IncP-10 (n=1), and pMOS94-like (n=1) families. This pilot study demonstrates a novel PBRT scheme applicable to Pseudomonas spp. targeting plasmids of incompatibility groups known to harbour genes associated with antibiotic resistance.
HEALTHCARE WORKERS IN BULGARIA - ARE THEY PROTECTED FROM VACCINE-PREVENTABLE INFECTIONS?
Authors: Stefanova Radostina , Genova-Kalou Petia , Andonova Ivona , Pishmisheva-Peleva Maria , Krumova Stefka 
Published: August 2023

Background: Healthcare workers (HCWs) are at increased risk of exposure to many viral infections, including vaccine preventable diseases (VPDs) such as measles, mumps and rubella (MMR) as compared to non-HCWs. Immunity of HCWs against these viruses is mandatory in a healthcare setting due to possible exposure from patients or colleagues.
Aim: To provide an assessment of anti-measles, mumps and rubella IgG seropositivity among Bulgarian HCWs employed in hospitals and regional health inspectorates (RHI), as an indicator of protective immunity against MMR in this risk group.
Materials and Methods: In the current study, 181 HCWs from Infectious Units in regional hospitals in the country, and HCWs from the RHI, involved in the monitoring and surveillance of MMR cases in Bulgaria were screened. Serum specimens from all participants were tested by a commercial indirect enzyme-linked immunosorbent assay (Anti-Measles, Anti-Mumps, Anti-Rubella IgG EIA-Euroimmun®, Germany) for presence of IgG antibodies against measles, mumps and rubella, as an indicator of protective immunity.
Results: The study included 181 HCWs, 25 male and 156 female, aged 22 to 66 years. The average protective seroprevalence for measles, mumps and rubella was 82.9%, 76.2% and 92.3% percent, respectively. The highest share of negative results were obtained for mumps-specific IgG – 23.2% (42/181), followed by measles 16.6% (60/181) and rubella-specific IgG 7.7% (19/181). Regarding the age distribution, the highest number of HCWs non-immune to measles and mumps was found among the 31- 40-year olds, and against mumps – among the 41-50-year-olds.
Conclusion: HCWs are at greater risk of contracting infections than the general population because of contact with sick patients or infectious material. Infected healthcare workers can spread nosocomial diseases to vulnerable patients with more severe illness, leading to complications and even death. Therefore, the vaccination status of HCWs must be strictly monitored.