bluuebunny/crossref_metadata_2025_split huggingface dataset:
ALGORITMA HARMONY SEARCH UNTUK MENYELESAIKAN MASALAH PENJADWALAN KONSTRUKSI REHABILITASI PUSKESMAS BESUKI
Authors: Lutfan Anas Zahir  
Published: February 2022

Abstract Construction schedule is an entire blueprint of how a project will be executed and by when. Aconstruction schedule outlines project timeframes/ milestones and tracks project progress tokeep everything on-time and on-budget. It's the backbone of any thriving project managementfor construction. Solving the scheduling problem can be accommodated using mathematicaloptimization modeling methods. Based on this, the writer aims to solve the schedulingoptimization problem by using the harmony algorithm. The Harmony Search Algorithm is analgorithm inspired by the process of searching for a combination of tones to obtain beautifulmusical harmonies. This is the same as the optimization process which seeks the optimalsolution based on the objective function, namely minimizing the project duration which greatlyaffects project management. The results obtained show that the smaller the number ofharmony memory and the greater the mutation and maxitization, the closer the solution is tothe optimal solution. Based on the results of these calculations, the most optimal solution orthe minimum project completion duration is five weeks. This also affects the number ofiterations and the number of assignments, so the more iterations the results will be closer tothe optimal value.
AbstrakPenjadwalan konstruksi adalah keseluruhan cetak biru tenatang bagaimana dan sampaikapan proyek akan dilaksankan. Penjadwalan menguraikan kerangka waktu/ pencapaianproyek dan melacak kemajuan proyek untuk menjaga ketepatan waktu dan sesuai anggaran,hal ini merupakan landasan setiap manajemen proyek dalam menyelesaikan konstruksinya.Penyelesaian permasalahan penjadwalan tersebbut dapat diakomodir menggunakan metodepemodelan optimasi matematika. Berdasarkan hal tersebut penulis bertujuan untukmenyelesaikan masalah optimasi penjadwalan dengan menggunakan algoritma harmony.Algoritma Harmony Search adalah algoritma yang terinspirasi dari proses pencarianperpaduan nada agar memperoleh harmoni musik yang indah. Ini sama halnya dengan prosesoptimasi yang mencari solusi yang optimal berdasarkan fungsi tujuannya yaitu peminimilandurasi proyek yang sangat berengaruh terhadap manajemen proyek.. hasil yang diperolehmenunjukan bahwa semakin kecil jumlah harmony memory dan semakin besar mutation sertamaxiterasi maka solusi yang didapatkan semaking mendekati solusi yangoptimal.Berdasasrkan hasil perhitungan tersebut didapatkan solusi yang paling optimal ataudurasi penyelesaian proyek paling minimum adalah 5 minggu. Hal ini juga beremngaruhterhadap banyak iterasi dan jumlah penugasan, maka semakin banyak iterasi maka hasil akansemakin mendekati nilai optimal.
El Trabajo En Plataformas Digitales En Ecuador: Un Análisis Para Su Aproximación Jurídica
Authors: Soto Emilio José Almache , Torres María Victoria Molina 
Published: February 2022

La crisis económica antes y durante la pandemia del COVID 19 en Ecuador, ha ocasionado que los empleos formales o adecuados se vean afectados por las terminaciones de las relaciones laborales entre empleadores y trabajadores, lo que ha conllevado a que miles de ecuatorianos recaigan en el desempleo y la informalidad, buscando una fuente de ingresos que les permita subsistir. Es así como, con el desarrollo de nuevas tecnologías de la información y comunicación, han aparecido las plataformas digitales, que brindan varios servicios, entre ellos el de mensajería, derivándose así nuevas formas contractuales cuya calificación legal se desconoce, provocando por ende, la falta de protección a los derechos laborales de estos trabajadores, lo que conlleva a plantear como objetivo general: Argumentar cómo la no configuración legal de la relación laboral de las personas que trabajan a través de plataformas digitales provoca una vulneración a sus derechos como trabajadores. Para lograr dicho objetivo serán empleados los métodos histórico-lógico, analítico- sintético e inductivo.
Pelaksanaan Pembelajaran Jarak Jauh Melalui Internet Pada Guru SD Bina Karya Bekasi
Authors: Muratin  
Published: February 2022

Learning outcomes are the abilities possessed by students after they receive the teaching and learning process carried out by educators. Assessment of learning outcomes has the aim of knowing the extent to which the learning process has been running. Learning outcomes can be seen through scores or grades after students take a test or test. Learning outcomes are categorized into three namely cognitive, affective, psychomotor. The learning outcomes of each student are different because they are influenced by many factors, including the school environment and family environment. The aims of this study were to: (1) explain the influence of the school environment on student learning outcomes in Islamic subjects at SD Bina Karya, (2) explain the influence of the family environment on student learning outcomes in Islamic subjects at SD Bina Karya, (3) explain the influence of the school environment and family environment on student learning outcomes in Islamic subjects at SD Bina Karya.
Abstrak
Hasil belajar adalah kemampuan-kemampuan yang dimiliki oleh siswa setelah ia menerima proses belajar mengajar yang dilakukan oleh pendidik. Penilaian hasil belajar memiliki tujuan untuk mengetahui sejauh mana proses pembelajaran yang telah berjalan. Hasil belajar dapat dilihat melalui skor atau nilai setelah siswa mengerjakan suatu tes atau ulangan. Hasil belajar dikategorikan menjadi tiga yaitu kognitif, afektif, psikomotoris. Hasil belajar setiap siswa berbeda karena dipengaruhi oleh banyak faktor yaitu diantaranya lingkungan sekolah dan lingkungan keluarga. Tujuan penelitian ini adalah untuk: (1) Menjelaskan pengaruh lingkungan sekolah terhadap hasil belajar siswa mata pelajaran Agama Islam di SD Bina Karya, (2) Menjelaskan pengaruh lingkungan keluarga terhadap hasil belajar siswa mata pelajaran Agama Islam di SD Bina Karya, (3) Menjelaskan pengaruh lingkugan sekolah dan lingkungan keluarga terhadap hasil belajar siswa mata pelajaran Agama Islam di SD Bina Karya.
Les statuts au défi de la pratique dans la France du bas Moyen Âge
Authors: Rigaudière Albert 
Published: February 2022

Afin de saisir toutes les situations dans lesquelles un statut entre en jeu, j’ai décidé de le suivre tout au long de son existence depuis son édiction jusqu’à sa disparition, qu’elle soit le fait d’une abrogation ou d’une désuétude. Ainsi, s’interroger sur le sort d’un statut une fois rédigé, c’est évoquer les multiples étapes qui jalonnent sa publication puis sa réception (qualifier, diffuser, intégrer). C’est ensuite tenter de décrypter les rudes obstacles qu’il rencontre pour passer de sa réception à la pratique (insertion, conflits, adaptations). C’est enfin démasquer des pratiques parfois déviantes, sources d’interminables contentieux (ordre public, élections, économie). Autant de situations qui permettent de mettre en lumière ce que devient un statut affronté au défi de l’ordre juridique plural qui l’assaille dans la France du bas Moyen Âge. Un droit souple assurément, sans ligne, sinueux, capricieux, incertain. Un droit qui s’éclipse et qui dort tout en s’adaptant en douceur aux mutations de l’ordre urbain. » Flexible droit ! » comme l’a si joliment écrit le doyen Jean Carbonnier.
Une inscription méconnue de Cos/Cosa dans la cité des Cadurques
Authors: Armani Sabine 
Published: February 2022

L’étude se propose de revenir sur une inscription (AE 2016, 1052), gravée sur une plaque de marbre découverte en 2007 sur le site de Cos/Cosa à Lamothe-Capdeville (Tarn-et-Garonne), près de Montauban, mais restée jusqu’ici confidentielle à l’exception d’une présentation succincte dans des catalogues d’exposition locaux. Le document conserve quatre lignes incomplètes du texte originel que l’analyse épigraphique essaie de resituer au sein de ce qui apparaît être la dédicace d’un acte évergétique au bénéfice de la cité des Cadurques dont le lieu de découverte relevait. Le principal enseignement de cette étude est qu’il convient désormais d’abandonner toute lecture fondée sur une interprétation locale du texte pour revenir au formulaire classique d’une dédicace comportant le nom du donateur suivi de son possible cursus et de la nature de l’évergésie.
Incidence of adverse reactions to COVID-19 vaccination
Authors: Wu Xin-Xin , Yao Jin-Jian , Qian Jin , Huang Qi-Feng , Deng Tang , Xu Shuang-Qin , Wang Hang-Fei , Li Qi , Peng Ji-Chao , Yi Yang , Li Nan , Huang Yue , Liu Xiao-Ran 
Published: February 2022

Objective:
To systematically evaluate the incidence of adverse reactions to coronavirus disease 2019 (COVID-19) vaccination.

Methods:
We systematically searched PubMed, Embase, The Cochrane Library, Web of Science, CNKI, WanFang Data, and VIP Database from the inception of each database to August 31, 2021. Randomized controlled clinical trials (RCTs) on the safety of different types of COVID-19 vaccines were retrieved and analyzed. A random or fixed-effects model was used with an odds ratio as the effect size. The quality of each reference was evaluated. The incidence of the adverse reactions of the placebo group and the vaccination group was compared. Heterogeneity and publication bias were taken care of by meta-regression and sub-group analyses.

Results:
A total of 13 articles were included, with 81 287 subjects. Compared with the placebo group, the vaccination group showed a higher combined risk ratio (RR) of total adverse reactions (RR=1.67, 95% CI: 1.46-1.91, P<0.01), local adverse reactions (RR=2.86, 95% CI: 2.11-3.87, P<0.01), systemic adverse reactions (RR=1.25, 95% CI: 0.92-1.72, P=0.16), pain (RR=2.55, 95% CI: 1.75-3.70, P<0.01), swelling (RR=4.16, 95% CI: 1.71-10.17, P=0.002, fever (RR=2.34, 95% CI: 1.84-2.97, P<0.01), fatigue (RR=1.36, 95% CI: 1.32-1.41, P<0.01) and headache (RR=1.22, 95% CI: 1.18-1.26, P<0.01). The subgroup analysis showed the incidence of adverse reactions of the vaccination group after injection of the three COVID-19 vaccines (inactivated viral vaccines, mRNA vaccines and adenovirus vector vaccines) was higher than that of the placebo group, and the difference between the placebo group and the vaccination group in the mRNA vaccine subgroup and the adenovirus vector vaccine subgroup was statistically significant (P<0.01). The incidence of adverse reactions after injection of COVID-19 vaccine in subgroups of different ages was significantly higher than that in the placebo group (P<0.01).

Conclusions:
COVID-19 vaccines have a good safety, among which adenovirus vector vaccine has the highest incidence of adverse reactions. Both adolescents and adults vaccinated with novel coronavirus vaccine have a certain proportion of adverse reactions, but the symptoms are mild and can be relieved by themselves. Our meta-analysis can help boost global awareness of vaccine safety, promote mass vaccination, help build regional and global immune barriers and effectively curb the recurrency of COVID-19.
Influential factors of healthcare provider resilience in disasters
Authors: Sheikhrabori Akbar , Peyrovi Hamid , Khankeh Hamidreza , Kolivand Pirhossein 
Published: February 2022

Objective:
To identify the influential factors of healthcare staff resilience in disasters.

Methods:
In this qualitative study, the influential factors of healthcare staff resilience in disasters were investigated through interviewing 20 experts. The interviews were conducted face-to-face, and MAXQDA software version 10 was used to organize the data and thematic analysis.

Results:
The participants included 5 medical emergency technicians, 5 physicians, 2 Red Crescent technicians, and 8 nurses. The main influential factors of healthcare providers’ resilience were limited relief infrastructure, supportive empowerment, organizational capitals, and contradictory consequences. Other important factors were resource limitation, confusion and uncertainty, empowerment training, comprehensive support, human and value capital, social capital, physical capital, suffering, disability, calm, and excellence.

Conclusion:
Improving healthcare providers’ resilience can be achieved by reducing uncertainty, providing the physical, economic, and human resources, strengthening motivation and comprehensive supports. It is suggested that disaster managers consider all identified dimensions to improve the resilience of healthcare providers to serve better in disasters. Moreover, researchers should study each dimension to provide profound knowledge regarding resilience in disasters.
Knowledge, attitude and practice towards pharmacovigilance among ayurveda physicians and teachers of Gujarat State: A cross sectional study
Authors: Acharya Rabinarayan , Naik Raghavendra , Rang Sourav , Jani Chitrangad A. , Galib R. 
Published: February 2022

Aim:
The aim of this study was to assess the knowledge, attitude, and practice towards pharmacovigilance for Ayurveda among the teachers and practitioners working in Ayurveda colleges of Gujarat State.

Materials and Methods:
A survey questionnaire with 29 questions covering points like participants’ knowledge, attitude and practice towards pharmacovigilance, adverse drug reaction reporting, and misleading advertisements related Ayurveda drugs was developed in Google form format. The study was carried out during December 2020 and January 2021. Question-wise analysis was made and their percentage value was calculated with the help of a Microsoft Excel spreadsheet in MS Office 2010. The result was presented using simple frequencies with percentages in appropriate tables.

Results:
Results from this study show that majority of the respondents were having a good knowledge regarding the concept of pharmacovigilance and ADRs in terms of their definitions and purposes. But, a complete knowledge regarding the structure of present national and international pharmacovigilance programme, reporting the ADR and its format were still lacking among majority of the participants. An encouraging attitude towards reporting of adverse drug reaction of ASU&H drugs and teaching of Pharmacovigilance for all the healthcare professionals by majority of the participants was observed. Further maximum participants opine a mandatory rule for reporting of ADR by Physicians, Pharmacist and Nursing staff. A major part of respondents (78.03%) opine that poor quality of drug, medication errors, prescription errors, dispensing errors are part of Pharmacovigilance under drug-related problems. The observed positive attitude is not being reflected in term of practice i.e., reporting of ADR related to Ayurveda drugs. One-third of the participants reported their experience about adverse drug reactions during their professional practice, out of which very few have reported ADRs. Difficulty in deciding or identifying the ADR and lack of time to report ADR is one of the major factor discouraging the participants from reporting ADRs. A large number of respondents were also not familiar with reporting misleading advertisements.

Conclusion:
Findings of this study reflects a good knowledge of the participants about the concept of Pharmacovigilance but unfamiliarity about the programme. The positive attitude towards practice of Pharmacovigilance and ADR reporting can be converted to foster pharmacovigilance practice through series of awareness programmes.
Domestic violence and its associated factors among married women in urban Chennai: A cross-sectional study
Authors: Subhashchandra Kalal , Selvaraj Varsha , Jain Timsi , Dutta Ruma 
Published: February 2022

Context:
Domestic violence against married women is a sensitive issue, which is prevalent in many societies and countries across the world. One in every three women experiences it in some form across the world, with prevalence ranging from 10 to 69% across various settings.

Aims:
To find the extent of domestic violence in Urban Chennai, Tamil Nadu and to find the factors associated with it.

Settings and Design:
A cross-sectional study is done in the urban field practice area of Saveetha medical college and hospital, Thirumazhisai area in Chennai, Tamil Nadu.

Methods and Material:
The participants who matched our inclusion criteria and who were residing in the area were included in the study. Convenient sampling method was used to collect data. A semi-structured questionnaire was used.

Statistical Analysis Used:
Data was analyzed by calculating Percentages and Proportions and was presented in suitable tabular. Statistical test like Odds ratio and Chi-Square was used for finding the factors associated with the study variables. Bivariate and multivariate analysis was conducted to identify factors associated with domestic violence.

Results:
The overall prevalence of domestic violence was 38.2%, with physical, sexual, psychological, and emotional violence comprising of 28.7%, 9.1%, 12.6%, and 15.4%, respectively. Multivariate analysis found that the involvement of women in decision-making at their home, alcohol abuse among husbands, religion and husband’s education (P < 0.0001) were significantly associated with domestic violence.

Conclusions:
The prevalence of domestic violence recorded was high. Moral support and necessary measures needs to be taken to empower women against it.
Clinical use of multiplex-PCR for the diagnosis of acute bacterial meningitis
Authors: Sharma Nupur , Gautam Hitender , Tyagi Sonu , Raza Shahid , Mohapatra Sarita , Sood Seema , Dhawan Benu , Kapil Arti , Das Bimal K. 
Published: February 2022

Background and Objectives:
Prompt and accurate diagnosis of acute bacterial meningitis (ABM) is critical for patient management. We designed and evaluated two sets of multiplex-PCR assays for the simultaneous detection of six major etiologies of ABM i.e., Streptococcus pneumoniae, Haemophilus influenzae type b, and Neisseria meningitidis in one set and Listeria monocytogenes, Streptococcus agalactiae, and Escherichia coli in another set of multiplex-PCR in CSF of patients with suspected ABM.

Methods:
A total of 113 CSF specimens from patients of all ages having clinical features suggestive of meningitis were tested for bacteriological evidence by Gram’s smear, culture, and our designed multiplex-PCR.

Results:
Multiplex-PCR assay performed excellently by increasing the overall detection rate by 6% when compared to culture as of total 113 samples tested, 17 (15%) were positive by multiplex-PCR whereas only 9% (10/113) were positive by culture. It detected the DNA in eight culture negative samples revealing the presence of S. pneumoniae in three and other possible bacterial pathogens in five of them. Our assay showed a DNA detection limit of 1 pg/μL. Compared to CSF culture, the sensitivity and specificity of the multiplex-PCR were 90% and 92.2%, respectively.

Conclusion:
This study accentuates the importance of multiplex-PCR assay that is efficiently fast and reliable for the diagnosis of acute bacterial meningitis that can substantially improve the diagnosis in culture negative cases, especially in patients who were previously started on antimicrobial therapy.
Study of effect of gluten-free diet on vitamin D levels and bone mineral density in celiac disease patients
Authors: Verma Anjali , Lata Kusum , Khanna Alok , Singh Raj , Sachdeva Ashuma , Jindal Prateek , Yadav Swati 
Published: February 2022

Objective:
Celiac disease (CD) is a multifactorial immune-mediated enteropathy caused by a response to ingested gluten. The current available treatment for CD is lifelong gluten-free diet (GFD). This study was done to see the effect of GFD on Vitamin D levels and bone mass density in celiac patients.

Methods:
A prospective interventional study on newly diagnosed celiac patients was conducted in the Pediatrics department of a tertiary care teaching institute in 2 stages viz. on presentation and after 6 months of GFD. Anthropometric measurements, biochemical investigations, Vitamin D levels, and DEXA scan was done at recruitment and after 6 months of GFD and was analyzed.

Results:
In newly diagnosed 60 pediatric celiac patients, positive effect of GFD on anthropometry, hemoglobin, Vitamin D levels, DEXA scan parameters was observed. Significant difference was found in Vitamin D levels which increased from baseline 14.85 ± 5.39 to 18.22 ± 5.67 ng/ml after 6 months of GFD (P < 0.05). Significant difference was found in BMD (mean Z-score) which increased from -0.941 ± 0.738 to -0.640 ± 0.60 after 6 months of GFD (P < 0.001).

Conclusion:
Our study concluded that there is significant increase in vitamin D levels as well as Z-score, bone mass density (BMD) and bone Mass Content (BMC) after 6 months of GFD.
Feasibility of safe laparoscopic surgery performed by junior residents without exposure of open appendectomy: A retrospective study
Authors: Meena Satya Prakash , Badkur Mayank , Rodha Mahaveer S. , Lodha Mahendra , Puranik Ashok , Premi Krashan Kant 
Published: February 2022

Context:
Appendectomy is the most commonly performed surgery in the emergency department. It is very difficult to determine the minimal duration of the learning curve for junior residents to perform safe laparoscopic surgeries.

Aim:
This study aimed to determine the feasibility of a safe laparoscopic appendectomy performed by junior residents.

Settings and Design:
A retrospective study was conducted at a tertiary healthcare center from May 2018 to May 2020.

Methods and Material:
This study reviewed all the data of laparoscopic appendectomy performed by junior and senior residents. Both groups were compared for the patient outcome in terms of complications, conversion to open, intraoperative findings, operative time, postoperative progress, and hospital stay.

Statistical Analysis:
The data were formulated in an excel sheet and analyzed with SPSS. Mean, median, range, standard deviation, percentages, univariate analysis with χ test and t-test were used.

Results:
No significant difference was found in operative time (mean [SD], 84.87 [24.73] vs. 86.95 [24.93], P = 0.679), intraoperative complication (9.2% vs. 7.8%, P = 0.769), postoperative complications (34.2% vs. 34.4%, P = 0.984), conversion to open (6.6% vs. 4.7%, P = 0.633), length of postoperative hospital stay (Mean [SD], 2.3 [2] vs. 2.2 [1], P = 0.739), and readmission (4% vs. 3%, P = 0.794). No major intraoperative complications and mortality were found in both groups.

Conclusions:
Junior residents may be allowed for safe laparoscopic appendectomy under supervision without experience of open appendectomy. The patient’s outcomes may be comparable with surgery performed by well-experienced surgeons. They can improve the basic healthcare system in the future with feasible basic laparoscopic surgery for common diseases.