bluuebunny/crossref_metadata_2025_split huggingface dataset:
DETEKSI FRAUDULENT FINANCIAL STATEMENT: PENGUJIAN DENGAN ANALISIS PROKSI FRAUD TRIANGLE
Authors: Lestari Made Irma , Florensi Vosby 
Published: January 2022

This study is an empirical study that aims to determine the effect of the fraud triangle proxies on the potential on fraudulent financial statements of go-public companies on the Indonesia Stock Exchange. This study uses 22 companies that are members of the LQ-45 company for the 2016-2020 period. The test results with multiple linear regression showed that simultaneously financial targets, financial stability, external pressure, nature of industry, and change in auditors had a significant positive effect on fraudulent financial statements. Partially, the Pressure Factor with the Financial Stability proxy has a significant positive influence on the potential for financial statement fraud. However, the results of the simultaneous test of proxies for pressure factors, namely financial target, financial stability, and external pressure, did not have a significant effect. The partial test results on each variable state that the other hypotheses, namely financial targets, external pressure, nature of industry, and change in auditors, do not have a significant positive effect on potential fraud in financial statements.

Keywords: Fraudulent financial statement, pressure, opportunity, rationalization.
Luis Sandoval: hombre ilustre de un poblado patrimonio cultural de la humanidad
Authors: Sandoval Orihuela Rosalinda 
Published: January 2022

El presente artículo es resultado de pláticas que de manera informal (por eso no se adjuntan los permisos para publicación) se realizaron con amigos y conocidos del personaje en donde se destacan los datos más importantes de su biografía, y por ende de su obra; con el objetivo de demostrar porque es considerado un hombre ilustre de Xochimilco. También incluimos información de conversaciones, que escuchamos desde los años 80 hasta el 2018, y de testimonios que en su momento Luis Sandoval expresó de propia voz. Así se destaca el contexto en que nació, creció, se formó como profesionista y par- ticipó en innumerables trabajos así como en los eventos culturales en favor del pueblo en donde creció y murió. Dicho periodo abarca de 1930 a 2018.
Patient safety culture: a survey of private sector tertiary care hospital of Lahore, Pakistan
Authors: Hameed Sajid , Sheikh Ayesha Humayun , Yaqoob Muhammad , Latif Muhammad Zahid 
Published: January 2022

Patient safety is a critical component to improving healthcare quality. Due to the potential of growing recognition and importance of establishing a patient safety culture within healthcare organizations, assessing existing patient safety culture is a prerequisite. Despite a vital role in delivering quality care, little attention has been given to describe healthcare professionals' perceptions and expectations of the patient safety culture in Pakistan. Objective:The current study aimed to assess the patient safety culture at a private tertiary hospital in Lahore from the perspectives of doctors and nurses. Methods: This cross-sectional study collected data from 120 nurses and doctors of the private hospital using the Hospital Survey of Patient Safety Culture (HSOPSC).The respondent's demographic characteristics and study variables influencing patient safety culture were presented through descriptive statistics, and a chi-square test was applied to identify the variable influencing patient safety.Results: The current study outcomes revealed a positive score for different dimensions ranging from 32.1% to 86.5%. The dimension of organizational learning-continuous improvement (86.5%) and teamwork within units (81.7%) had the highest scores as compared to teamwork across units (74.7%), feedback and communication about the error (73.7%), management support for patient safety (71.6%), supervisor/ manager expectations and actions promoting patient safety (69.8%), communication openness (65.4%), overall perceptions of patient safety (62%), frequency of events reported (53.7%), handoffs and transitions (49.9%), staffing (33.3%) and non-punitive response to errors (32.1%).Conclusion: The current study's findings highlighted a less positive attitude of doctors and nurses towards patient safety culture within their organizations. The outcomes of the present study could be used for designing and establishing interventions to improve patient safety practices in similar tertiary care settings across Pakistan.
ANALISIS PENERAPAN LATIHAN SKIPPING UNTUK MENINGKATKAN KECEPATAN TENDANGAN ATAS PADA ATLET BELADIRI KARATE
Authors: Ahmad Yanuar Syauki  , Bambang Yunanto  , Siti Maesaroh  
Published: January 2022

Penelitian ini bertujuan untuk menganalisis penerapan latihan skipping untuk meningkatkan kecepatan tendangan atas pada atlet beladiri karate, metode yang digunakan pada penelitian ini adalah studi literatur. Studi literatur bisa disebut juga studi pustaka yang sumber-sumbernya diambil dari penelitian terdahulu yang relevan baik secara variabel x, variabel y maupun variabel x dan y. Berdasarkan sumber-sumber relevan yang dianalisis menyimpulkan bahwa penerapan latihan skipping mampu meningkatkan kecepatan tendangan, hal ini dilihat dari pengaruh yang dianaisis dari sumber-sumber yang relevan. Penelitian terdahulu yang relevan dibuktikan dengan uji keabsahan dapat disimpulkan bahwa terjadinya peningkatan kecepatan tendangan atas pada atlet yang menerapkan latihan skipping dalam program latihannya. dapat disimpulkan juga bahwa latihan skipping secara signifikan terhadap keberhasilan mampu meningkatkan kecepatan tendangan.
81 Debriefing the Debriefer; Developing an Inter-Professional Faculty for Emergency Medicine Simulation
Authors: Simpson Eilidh , Moulds Yvonne , Bell Linda 
Published: January 2022

Previous research has described the importance of debriefing in Simulation-Based Medical Education; it is considered the most critical part of the teaching experience The aim of this work was to develop an inter-professional faculty with a variety of backgrounds to assist on an inter-professional nursing-medical simulation course in Emergency Medicine. A further aim was to develop a novel formal debrief for the debriefer to help improve confidence in this skill.A variety of professionals were invited to attend the course as faculty. Following their debrief of the scenario, the debriefer was invited to discuss their opinion on how they managed the debrief, from room set up to structure used. Troubleshooting advice was offered and an action plan was put in place for next steps of development. Faculty members were asked to complete a formal feedback form at the end of the session.Inter-professional faculty members included Emergency Medicine consultants, trainees and clinical fellows, simulation technicians, emergency medicine nursing staff and resuscitation officers. 75% of faculty members had attended <5 simulation courses as faculty prior to this session. 81% of faculty members scored 4 and 5/5 for feeling confident at debriefing as a result of the session. 100% scored 4 and 5/5 for feeling supported during their debrief. 100% felt that the session had improved their debriefing skills. 87.5% felt appropriately challenged as a faculty member. 100% were willing to attend the course again in the future. Free-text comments included the best part of the day was ‘Personally observing and practicing debrief, brief and debrief of my debrief’, ‘Supportive atmosphere for faculty’ and ‘Debrief learning points’.Overall, faculty members from varying clinical and simulation backgrounds were supported throughout the day and as a result were more confident in their debriefing abilities following the session. Future work aims to continue this incremental learning to allow all faculty members to feel confident and able to ‘debrief the debriefer’. This will ensure the quality of the debrief for learners, maximizing the impact of simulation-based medical education.
26 Mixed Realities Chest Drain Workshop: Integrating Hands-On and VR Learning
Authors: Glennie Deborah , Swain Cara 
Published: January 2022

During the pandemic, several wards in our surgical wing became re-purposed for COVID patients. This resulted in patients who would usually be nursed in those wards being placed elsewhere. There were also many nurses and medical staff being redeployed to wards in unfamiliar specialities which required caring for patients outside their usual clinical areas. This resulted in some patients with chest drains being nursed outside the usual areas, and incidents being reported regarding their management.The hour-long workshop was designed to simulate the management and understanding of the terminology around chest drains. The hands-on aspect was achieved by modifying a manikin to be able to demonstrate these actions and troubleshoot when things go wrong.What is meant by a swinging chest drain?How much bubbling is expected?Followed by the procedure of inserting a large-bore chest drain using immersive virtual realityWard nursing staff, operating theatre staff and junior doctors were invited to attend the workshop. Six sessions each with five participants ran over the course of a month. The first part of the workshop was a hands-on session with a modified defunct manikin. We had the locally available kit for people to be able to interact with and understand the mechanics of chest drains Introducing people to the Royal Marsden manual of clinical nursing procedures Questionnaires were completed before and after the workshop for attendees to evaluate their confidence to independently manage a chest drain. Every attendee reported an increase in confidence because of the session (As a result of this session, the ward areas created a ‘chest drain box’ which had everything needed to manage and replace a chest drain included as locating where kit was kept was identified as an issue. This box will be at the side of the patient being managed with the chest drain and will be checked for completeness regularly. This workshop would be useful to repeat because 50% of junior doctors have now rotated placements and many of the ward staff have been re-deployed to other areas.
6 Assessment of The Creation of a New Course
Authors: Mahalingam Jeevahan , Claiandro Francesca 
Published: January 2022

Although commonly used in the clinical environment, insertion of peripherally inserted central catheters (PICC) is not routinely taught to clinical staff. As the procedure requires knowledge in relevant anatomy, sonography skills, and understanding of complications management, it requires dedicated time for teaching. In 2018 no PICC line insertion courses were found in London County.The Harefield educational team has therefore created a PICC line insertion course delivered by a multi-disciplinary faculty. This course aimed to increase understanding and confidence of PICC insertion.Using Miller’s pyramid of clinical competence, the course was structured to provide learners with the knowledge and understanding of the procedure through interactive lectures and demonstrations, before progressing to hands-on practise in the workshops using high-fidelity models to increase dexterity and confidence The results have shown the achievement of all the course objectives such as increased understanding of indications, relevant anatomy, equipment uses, complications and their management relating to the procedure. With increased confidence in the theoretical and practical aspects of PICC insertions, we hope the course attendees will have better performances in practicing the procedure, thus reaching the highest level of clinical competence on Miller’s pyramid.As soon as face-to-face teaching will be allowed again, the PICC insertion course will be resumed as proven well-received and effective.
100 ACUTE MEDICINE MEETS ‘KNIGHTMARE’: ‘CHOOSE YOUR OWN ADVENTURE’ FORMAT FOR REGISTRAR COURSE DELIVERY
Authors: Hayes Thomas , Chan Lai Man (Lilian) , Stock Nadia 
Published: January 2022

Ongoing social distancing restrictions have greatly limited opportunities for registrars to attend regional acute medicine teaching. Basing the project on previous work within the trust running simulation via Microsoft Teams (using a one-to-one method of delivery) this project set about opening this up to a much larger group using a ‘choose your own adventure’ (‘CYOA’) format depicted in the children’s television show ‘Knightmare’.The aim of the study was to deliver a simulation-based training course for a large number of participants simultaneously using an online platform.Scenarios were as follows:
Patient with an exacerbation of COPDPatient with a life-threatening overdosePatient presenting with undifferentiated unconsciousnessThe clinical room featured an audio-visual set-up for debrief with three cameras and patient observations from Laerdal Learning Application (LLEAP) combined with an audio mix shared via video-stream to VLC media player; then from the host laptop via Teams. Teams used audio mixer input from room via USB. This included phone audio allowing calls to relatives, other specialists, etc. to be heard. Teams accessed from the following locations:
Host (control room)Faculty (control room)Faculty (clinical room)Faculty (debrief room)Participants (remote) × 14Teams host laptop was pre-loaded with all scenario information which allowed ECGs, CTs, Toxicology reports to be shared as requested throughout the scenarios. The multi-screen set-up allowed for monitoring of chat from a control room and clinical space meaning all users could access key information shared on screen. Faculty had radio communication to control room for prompts and questions. Scenarios would be led by a member of faculty playing the role of a clinician in the scenario. The scenario would progress with input from the participants via that Teams chat. At key points, the scenario would pause and a question would be put to the group and an option would be voted on to continue. After each scenario, using Teams break-out rooms for debrief allowed the large group of participants to have a more focussed debrief session led by one of the medical faculty.Using the structure of ‘CYOA’ encouraged users to take part in key interventions, whilst chat function within teams allowed for continuous dialogue. Participant feedback stated that the discussion format and expertise within the group was very useful in their training and would have a positive impact on working practice. Faculty found virtual simulation more demanding to facilitate than face-to-face simulation, but feasible to run the session annually.
25 Unmuting Regional Paediatric Simulation Training Throughout the COVID-19 Pandemic
Authors: Nahabedian Lucine , Copeman Annabel , Holt Ashley , Patel Ashish , Hamilton Stuart , Hamilton Elaine , Belfitt Alison 
Published: January 2022

The National Health Service endured significant strains during the COVID-19 pandemic to the point where all face-to-face training had to be paused. Our team delivers simulation-based training face to face and offers support for those returning to work, stepping up to senior roles and addressing important aspects of general paediatric care such as acute mental health crises and end of life care.The aim of the study was to deliver our courses virtually without compromising the quality of content.Initially, we reviewed all scenarios to appraise whether they could be delivered online. Scenarios that involved acute clinical decisions were recorded with the faculty acting as the candidates. This also allowed scripting to ensure that key discussion points could be raised within the debrief. Scenarios mainly involving communication skills with standardized patient role player were retained, and briefs were adapted so that the candidates were aware that the scenarios began when the actor appeared on screen.Participants were recruited using newsletters and subsequently directed to a website to collate email addresses where invites to the virtual meeting space and pre-course material were sent. The scenarios were combined with contracting rules and links to interactive polls to form a presentation that could be shared on the screen throughout the day. Links to post-course feedback surveys were also included to evaluate participant satisfaction of the course design. From October 2020 to May 2021, we delivered eight virtual teaching sessions to a total of 67 multi-professional candidates ranging from nursing staff, police officers and doctors. Candidates were asked whether the course addressed their learning objectives or whether the course had increased their knowledge and 53 (79%) candidates ‘strongly agreed’ with these statements. Including those who ‘agreed’ with these statements, 66 out of 67 (98%) of the candidates perceived this course addressed their learning outcomes or improved their knowledge. The results from the evaluation of these courses indicate that the adaptation of our face-to-face courses have not impaired the quality of the content and have been beneficial to the targeted audience. Despite the challenges that online teaching can pose, we have overcome these by ensuring that we contract behaviour to ensure psychological safety, included interactive aspects such as live word clouds and polls and used a modality of learning such as the use of role players and modified scenarios to guide debriefs and learning.
43 Learning from COVID-19 and Supporting Staff Using Human Factors and Simulation
Authors: Scaffardi Suzanne , Wiltshire Michaella , Shah Maria 
Published: January 2022

The full impact of working in the COVID-19 pandemic surge on NHS staff is yet to be understood. Simulations were run to explore the staff experience following the second COVID surge. From these, it was clear that the staff had powerful stories to tell. A series of further simulation sessions were then delivered, designed to allow staff to explore their experiences and assist with organizational learning within the trust debrief strategy.Firstly, to use simulation to recreate working with uncertainty and unfamiliar staff as a platform within the debrief to explore their experiences of working during the pandemic surges. Secondly, to employ a human factors framework, SEIPS model Simulation sessions, open to all staff, were advertised throughout the organization. In total, 8 sessions were delivered for 38 staff. Multi-disciplinary attendance was encouraged, and a wide range of staff groups participated. During the session, staff were given a brief presentation on human factors, a simulation pre-brief and a pre- and post-simulation questionnaire. A simple patient deterioration scenario unrelated to COVID-19 was used to maintain psychological safety. A system-focussed debrief using the PEARLS model took place after the scenario. Insights shared by candidates were captured by a facilitator and anonymously grouped into the six SEIPS themes.Pre- and post-questionnaires show a general theme of improved confidence post-simulation. Findings were reviewed and the impact on care processes and staff, patient and organizational outcomes were summarized. Information captured within the SEIPS framework showed recurring themes that were condensed into four main categories: psychological trauma and burnout, communication, re-deployment and training, and infection control and PPE.It was clear from facilitating sessions that staff were concerned about patient experience but were also suffering their own trauma from working through the surge. Feedback from participants was positive, emphasizing their sense of validation in sharing their experiences and of feeling part of the hospital community. Staff also had experiences to share about what had helped them and where things could be improved. These insights were synthesized into practical recommendations for managing future pandemic surges that were fed back to the wider organization.
27 Use of Live Patient Simulation to Train Providers on Sexual Assault Response
Authors: Polonko Isle 
Published: January 2022

Sexual assault is a worldwide epidemic. According to the World Health Organization (WHO), 35% of women worldwide have experienced sexual violence The aim of the work being conducted in the field was to develop an effective protocol for training sexual assault responders that supports goals of trauma-informed care and provides a standardized protocol to obtain certification through simulation.SANE/SAFE training requires an initial 40-hour didactic with anatomy skills training specific to trauma care. Trainees subsequently practice the sexual assault forensic evidence collection kit on simulated patients. They practice communication skills designed to build rapport with trauma survivors, the specialized urogenital examination techniques involved in sexual assault care and have opportunities for speculum insertions to competency. Additionally, they practice documentation/chain of custody procedures critical to the admissibility of evidence in court. Stations are developed to provide practical experience with the kit and with providing specialized care to patients in a variety of demographics; age, gender (or transgender), socio-economic backgrounds, etc.This work is based on findings of previous studies that highlight the efficacy of live patient simulation in SANE training to implement safe, effective methods of trauma response via collaboration between SANE/SAFE directors and GTA programming.GTA methodology is proved to be an effective method for training the well-patient gynaecologic examination. One of the identified benefits is a reduction in learner anxiety. Because GTAs act as both instructor and patient, they can teach trauma examination skills and provide a unique opportunity for feedback from a simulated sexual assault victim’s perspective. Developing protocol in the field is crucial as more programmes utilize simulation to train new SANEs. It is critical to meet standards of best practices and to maintain safety and reduce risk.This protocol has influenced the way SANEs and SAFEs learn trauma-informed care. The benefits to trauma patients are numerous. The methodology, utilized across the USA, was recently brought to Brazil to train new SANEs. More work must be done internationally to bring this method to areas of the world where no standardized method of sexual assault response exists. Additionally, safety measures and better collaboration are paramount to the continued success of this method.