Registration Form Research Articles

History and architectural characteristics of the iron bandstands in Belém, Pará

From the late 19th to the beginning of the 20th century, Belém underwent a comprehensive urban and architectural renovation in Pará, northern Brazil. The transformations in these Amazonian lands, the rubber cycle’s outcomes, included the construction and renovation of squares which were remarkably equipped with prefabricated iron bandstands imported from diverse European countries. Several buildings have remained in the city’s landscape but have been little researched and documented. Meanwhile, they suffer from weathering (mostly corrosion) and inappropriate anthropic actions allied to the absence of proper maintenance, gradually losing their features and pieces. As these facts are a significant challenge to their conservation, this paper aims to document Belém’s eight remaining iron bandstands by investigating their historical trajectories and architectural characteristics as preservation subsidies. The methodological approach was divided into two phases: 1) historical and iconographic study; 2) architectural documentation and analysis. The research’s products consisted of two-dimensional drawings, registration forms, and a comparative analysis of the buildings assembled within Belém’s historical centre. The process allowed the detailing of their backgrounds, origins, and dating. It produced consistent graphic documentation whose interpretation highlighted various architectural and technical solutions due to the uniqueness of each structure. This data advances the knowledge about this kind of building in heritage conservation and construction history, grounding the conclusion that industrialization processes do not define them as homogenous structures.

Outcomes of transcatheter aortic valve replacement in patients with cardiogenic shock.

The safety and efficacy of transcatheter aortic valve replacement (TAVR) with contemporary balloon expandable transcatheter valves in patients with cardiogenic shock (CS) remain largely unknown. In this study, the TAVRs performed for CS between June 2015 and September 2022 using SAPIEN 3 and SAPIEN 3 Ultra bioprosthesis from the Society of Thoracic Surgeons/American College of Cardiology Transcatheter Valve Therapy Registry were analysed. CS was defined as: (i) coding of CS within 24 h on Transcatheter Valve Therapy Registry form; and/or (ii) pre-procedural use of inotropes or mechanical circulatory support devices and/or (iii) cardiac arrest within 24 h prior to TAVR. The control group was comprised of all the other patients undergoing TAVR. Baseline characteristics, all-cause mortality, and major complications at 30-day and 1-year outcomes were reported. Landmark analysis was performed at 30 days post-TAVR. Cox-proportional multivariable analysis was performed to determine the predictors of all-cause mortality at 1 year. A total of 309 505 patients underwent TAVR with balloon-expandable valves during the study period. Of these, 5006 patients presented with CS prior to TAVR (1.6%). The mean Society of Thoracic Surgeons score was 10.76 ± 10.4. The valve was successfully implanted in 97.9% of patients. Technical success according to Valve Academic Research Consortium-3 criteria was 94.5%. In a propensity-matched analysis, CS was associated with higher in-hospital (9.9% vs. 2.7%), 30-day (12.9% vs. 4.9%), and 1-year (29.7% vs. 22.6%) mortality compared to the patients undergoing TAVR without CS. In the landmark analysis after 30 days, the risk of 1-year mortality was similar between the two groups [hazard ratio (HR) 1.07, 95% confidence interval (CI) 0.95-1.21]. Patients who were alive at 1 year noted significant improvements in functional class (Class I/II 89%) and quality of life (ΔKCCQ score +50). In the multivariable analysis, older age (HR 1.02, 95% CI 1.02-1.03), peripheral artery disease (HR 1.25, 95% CI 1.06-1.47), prior implantation of an implantable cardioverter-defibrillator (HR 1.37, 95% CI 1.07-1.77), patients on dialysis (HR 2.07, 95% CI 1.69-2.53), immunocompromised status (HR 1.33, 95% CI 1.05-1.69), New York Heart Association class III/IV symptoms (HR 1.50, 95% CI 1.06-2.12), lower aortic valve mean gradient, lower albumin levels, lower haemoglobin levels, and lower Kansas City Cardiomyopathy Questionnaire scores were independently associated with 1-year mortality. This large observational real-world study demonstrates that the TAVR is a safe and effective treatment for aortic stenosis patients presenting with CS. Patients who survived the first 30 days after TAVR had similar mortality rates to those who were not in CS.

INFORMATION SYSTEM WEB-BASED ACCEPTANCE OF NEW STUDENTS (CASE STUDY: SMK N KARTOHARJO MAGETAN)

The development of information technology today cannot be separated from all human activities, information technology also affects the field of education. In this case, the Admission of New Students at SMKN Kartoharjo Magetan still applies a manual registration system, namely by coming directly to the school to get a registration form from the school. To solve the problem above, an application was made entitled "Web-Based New Student Admission Information System (Case Study of SMKN Kartoharjo Magetan)". This study uses the waterfall development research method. The modeling used is a Unified Modeling Language with diagrams used use case diagrams, activity diagrams, sequence diagrams. This new admissions information system was built using the PHP programming language and utilizes the MySQL database as a database server. The test results from the New Student Admission Information System get results that are in line with expectations with the Blackbox Testing test. So it can be concluded that the accurate percentage of system success is 100%.

Implementasi Identitas Kependudukan Digital Dalam Upaya Pengamanan Data pribadi

In every public service process, the public is required to fill in personal data in the registration form, both manually and online. Online services provide great benefits because they speed up the service process and can be done anywhere. But on the other hand, providing personal data through online networks is very vulnerable to personal data security. By providing personal data, it is very likely that population data will be misused by irresponsible parties, causing harm to the owner of the personal data. The Department of Population and Civil Registration of Banyumas Regency as a public service agency authorized to issue population documents containing all personal data makes efforts to secure Electronic Identity Card data by implementing an Android-based Digital Population Identity. The purpose of this study was to find out how far the implementation of Digital Population Identity at the Banyumas Regency Population and Registration Office is in an effort to protect people's personal data, the obstacles faced and the benefits to be achieved. This research uses qualitative methods with various relevant sources. The results of the research need for continuous outreach regarding activation procedures and the benefits of applying Digital Citizenship Identity as a substitute for Electronic Identity Cards

Urbanicity and Psychosis: Is there a Connection? A Comparative Study between an Urban and Rural Area in Portugal

Introduction: Studies about urbanicity and psychosis show contradictory results. In northern European countries and China there is a positive relationship; in southern European and underdeveloped countries, a significant difference between rural and urban rates of psychosis has not been found. Methods: We carried out a 5‐year retrospective observational study, with patients admitted to two inpatient units for first‐episode psychosis (FEP), in a rural area (Évora) and an urban area (Lisbon). We excluded affective or organic psychosis. Socio‐demographic and clinical data were extracted and analyzed.Results: The prevalence of FEP was the same for both areas (42/100 000 inhabitants), with a predominance of unemployed (63%) and lonesome individuals (81% in Évora versus 72% in Lisbon). The mean age was similar (Évora 43.4 years old; Lisbon 41.4 years old). Lisbon had a greater diversity of nationalities (16.3% vs 4.6%) and a higher rate of psychotic disturbance due to substance use (26.5% vs 21.6%). The most prevalent diagnosis in the Lisbon was unspecified psychotic disorder (UPD) (34.7%), while in Évora it was delusional disorder (DD) (21.5%) and acute andtransient psychotic disorder (21.5%). DD was a prevalent diagnosis in both areas, affecting mainly women and those with a higher median age. Duration of untreated psychosis (DUP) of less than 1 month was higher in Lisbon (24.5% vs 4.5%), but there was a high prevalence of DUP of more than 2 years in both samples (20.4% vs 23.1%). Discussion: The mean age of FEP was higher than in other studies, which may translate a significant prevalence of DD or reflect a higher DUP. A reduced DUP of less than 1 month in the rural area can be explained by greater isolation of the population, lower health literacy or better integration of patients in the community. The prevalence of UPD was higher in the urban area, possibly due to different forms of registration or a lower DUP. Conclusion: Our results are in line with studies reported in southern European countries, where no association was found between psychosis and urbanicity, and further studies are needed to elucidate this issue.

PERANCANGAN SISTEM INFORMASI MANAJEMEN EKSTRAKURIKULER BERBASIS WEB PADA SMA X JAKARTA

Extracurriculars in education are intended to answer the demands of student’s needs. By participating in extracurricular activities, students will be assisted with creative learning patterns that can increase creativity. In fact, in limited school hours there are many activities that cannot always be carried out, so extracurriculars are created where the implementation is carried out outside school hours to accommodate students in meeting their needs, interests and talents. The management of the extracurricular information system at SMA X has problems, where students sometimes do not get information such as schedules, grades, extracurricular activities and extracurricular registration is done by submitting registration forms where this activity results in file accumulation, which is of course very ineffective nowadays.
 
 From the existing problems, the researchers created a web-based extracurricular management information system with HTML, PHP, Bootstrap and database programming languages. This system was tested using the usability testing method which was directly tested on extracurricular members. The method used in the development of the system is the waterfall method. This system is expected to facilitate the extracurricular information management process and can provide extensive information about the extracurricular activities themselves, so that the information provided is not broken down and integrated in one system and can be useful for students, teachers and schools.

A Deterministic Finite-State Morphological Analyzer for Urdu Nominal System

The morphological analyzer is a computational process that combines lemmas with other linguistic features to produce new lexical word forms. This paper investigates the processing of a nominal system in the Urdu language. It focuses on the inflections of noun forms and studies number, gender, person, and case representations, using a Finite State Machine (FSM) to analyze and create all the possible forms of the standardized registers. The application of the analysis using this tool provides and displays all the possible structures and their declensions. This study adds all the necessary features and values to the lexical concatenating nouns according to their patterns. The accuracy score of the output is 92.7, where the actual output depends on the detailed design of the FSM and the specific morphological processes provided to the finite state tools.

THE EUROPEAN UNION FORUM FOR ECONOMIC LOBBYING

In Europe with the exception of Germany, European countries only began experimenting with lobbying tools after 2005, to the effect that currently some form of lobby registration is required in 12 European Union (EU) member states. The current system dubbed symbolically the Transparency Register (TR) that was launched in 2011 through an interinstitutional agreement (IIA) and is jointly managed by the European Commission (EC) and the European Parliament (EP). The TR is the successor of schemes that had previously been run separately by the two institutions, namely the quasi‐accreditation system of the EP, in place since 1996, and the EC's Register of Interest Representatives (ROIR), set up in 2008 as a voluntary database for groups. It is managed by a team of five staff members seconded from both the EC and the EP, who make up the Joint Transparency Register Secretariat (JTRS). Recent research states that between 10,000 and 90,000 lobbyists operate in Bruxelles . Many more lobbyists operate in states and localities throughout the country. The presence of this many lobbyists begs the following question: What kinds of organizations engage in lobbying? The short answer to this question is: all kinds. More specifically, political scientists have found that 12 basic types of organized interests engage in lobbying. What is the time dimension of decision-making? What is decision logic? What are the principles of persuasion? What does mixed lobbying mean?

Data analysis of vehicular noise pollution and its perception in the cities of Juliaca and Puno, Puno region - 2021

Noise pollution generated by vehicular traffic can have a significant impact on the quality of life of residents, affecting their physical and emotional well-being. To determine the relationship between vehicular noise pollution and the perception of the population in the cities of Juliaca and Puno, a descriptive and correlational study was carried out. Data were collected using registration forms and questionnaires, using 10 representative sampling points on the roads with the highest traffic and surveying 584 randomly selected people. The results revealed sound pressure levels that exceed the limits established by regulations in both cities. Minimum values of 67.84 dB in Puno and 68.03 dB in Juliaca, and maximum values of 83.86 dB and 78.83 dB, respectively, were found. In addition, a positive but low correlation (r = 0.142) was identified between noise pollution and population perception. These findings highlight the exposure of the population to vehicular noise pollution levels that exceed the permissible limits, which can have negative consequences for health and well-being. It is necessary to implement effective measures to reduce noise pollution and improve the quality of life of residents in both cities. These results provide valuable information for the development of appropriate mitigation strategies.

RANCANG BANGUN WEBSITE UKM PANAHAN UNIVERSITAS HASANUDDIN

The development of information technology is currently growing rapidly over time, which provides many conveniences in various aspects of human life. The internet is one of the results of information technology which is an information resource that is able to reach the whole world. The website is a means to get the information we order easily and can be accessed anytime and anywhere, so it's not surprising that nowadays many companies need a website. This web-based Archery UKM application is an application that aims to make it easier for students to know various things about archery both in terms of new members. Prospective members will later fill out the registration form on the website, so that prospective members do not need to take the form directly because they can register online by filling out the form provided on the UKM Archery website easily, so there is no need to pay.

Analisis Kualitas Pelayanan Pembayaran Pajak Kendaraan Bermotor di Kantor Sistem Administrasi Manunggal Satu Atap (Samsat) Kota Lima Puluh Kabupaten Batu Bara Provinsi Sumatera Utara

The purpose of this research is to examine and analyze the quality of vehicle tax payment services and the factors that hinder the services at the Samsat Lima Puluh office in Batu Bara District, North Sumatra Province. The research method used is a qualitative approach with a descriptive design. Data collection techniques used were interviews, observations, and documentation. The research was conducted at the Samsat Lima Puluh office. The data sources used were primary and secondary data. The results of the study show that the quality of vehicle tax payment services at Samsat Lima Puluh is not yet optimal in terms of responsiveness, physical evidence, and empathy aspects. The problems related to vehicle tax payment services are due to the lack of understanding of the community (taxpayers) regarding administrative processes such as incomplete paperwork and inadequate supporting documents. Additionally, the waiting room is uncomfortable due to insufficient air conditioning, inadequate seating arrangements, and insufficient tables for filling out registration forms, resulting in taxpayers having to stand in long queues. Furthermore, the timeliness of service completion is not appropriate due to unresponsive personnel and a lack of personnel at the Samsat Lima Puluh office.

Genetically proxied glucose-lowering drug target perturbation and risk of cancer: a Mendelian randomisation analysis

Aims/hypothesisEpidemiological studies have generated conflicting findings on the relationship between glucose-lowering medication use and cancer risk. Naturally occurring variation in genes encoding glucose-lowering drug targets can be used to investigate the effect of their pharmacological perturbation on cancer risk.MethodsWe developed genetic instruments for three glucose-lowering drug targets (peroxisome proliferator activated receptor γ [PPARG]; sulfonylurea receptor 1 [ATP binding cassette subfamily C member 8 (ABCC8)]; glucagon-like peptide 1 receptor [GLP1R]) using summary genetic association data from a genome-wide association study of type 2 diabetes in 148,726 cases and 965,732 controls in the Million Veteran Program. Genetic instruments were constructed using cis-acting genome-wide significant (p<5×10−8) SNPs permitted to be in weak linkage disequilibrium (r2<0.20). Summary genetic association estimates for these SNPs were obtained from genome-wide association study (GWAS) consortia for the following cancers: breast (122,977 cases, 105,974 controls); colorectal (58,221 cases, 67,694 controls); prostate (79,148 cases, 61,106 controls); and overall (i.e. site-combined) cancer (27,483 cases, 372,016 controls). Inverse-variance weighted random-effects models adjusting for linkage disequilibrium were employed to estimate causal associations between genetically proxied drug target perturbation and cancer risk. Co-localisation analysis was employed to examine robustness of findings to violations of Mendelian randomisation (MR) assumptions. A Bonferroni correction was employed as a heuristic to define associations from MR analyses as ‘strong’ and ‘weak’ evidence.ResultsIn MR analysis, genetically proxied PPARG perturbation was weakly associated with higher risk of prostate cancer (for PPARG perturbation equivalent to a 1 unit decrease in inverse rank normal transformed HbA1c: OR 1.75 [95% CI 1.07, 2.85], p=0.02). In histological subtype-stratified analyses, genetically proxied PPARG perturbation was weakly associated with lower risk of oestrogen receptor-positive breast cancer (OR 0.57 [95% CI 0.38, 0.85], p=6.45×10−3). In co-localisation analysis, however, there was little evidence of shared causal variants for type 2 diabetes liability and cancer endpoints in the PPARG locus, although these analyses were likely underpowered. There was little evidence to support associations between genetically proxied PPARG perturbation and colorectal or overall cancer risk or between genetically proxied ABCC8 or GLP1R perturbation with risk across cancer endpoints.Conclusions/interpretationOur drug target MR analyses did not find consistent evidence to support an association of genetically proxied PPARG, ABCC8 or GLP1R perturbation with breast, colorectal, prostate or overall cancer risk. Further evaluation of these drug targets using alternative molecular epidemiological approaches may help to further corroborate the findings presented in this analysis.Data availabilitySummary genetic association data for select cancer endpoints were obtained from the public domain: breast cancer (https://bcac.ccge.medschl.cam.ac.uk/bcacdata/); and overall prostate cancer (http://practical.icr.ac.uk/blog/). Summary genetic association data for colorectal cancer can be accessed by contacting GECCO (kafdem at fredhutch.org). Summary genetic association data on advanced prostate cancer can be accessed by contacting PRACTICAL (practical at icr.ac.uk). Summary genetic association data on type 2 diabetes from Vujkovic et al (Nat Genet, 2020) can be accessed through dbGAP under accession number phs001672.v3.p1 (pha004945.1 refers to the European-specific summary statistics). UK Biobank data can be accessed by registering with UK Biobank and completing the registration form in the Access Management System (AMS) (https://www.ukbiobank.ac.uk/enable-your-research/apply-for-access).Graphical

Mass Vaccination for All: Increasing Inclusivity of Point of Dispensing Plans in New Orleans.

Introduction:In January 2021, the State of Louisiana approved COVID-19 vaccine distribution to elderly and immunocompromised persons. From annual hurricane planning assessments, the city of New Orleans recognized medical and transportation barriers would prevent some eligible residents from accessing vaccines at public point of dispensing (POD) sites. A new vaccine distribution system was needed for homebound individuals and their caregivers. By February, the city developed and implemented a homebound vaccination plan under the direction of New Orleans Emergency Medical Services (NOEMS) and the New Orleans Health Department. This presentation will review this vaccine distribution model and the opportunities and challenges identified in maintaining this model for future medical POD interventions.Method:The City of New Orleans, along with news outlets and service providers, instructed homebound residents and caregivers to self-identify their need for a homebound vaccine by calling 311 and adding their name to a centralized waitlist. NOEMS/NOHD staff would schedule appointments based on resident and provider availability and geography of their home residence. Two 2-person teams were deployed simultaneously to provide ten doses within a five-hour time frame to minimize waste. Each deployment team included one city employee with an EMS certification and one volunteer, along with a cooler, ancillary supplies, registration form, and educational sheet to complete the appointment.Results:350 homebound residents and caregivers were vaccinated with the COVID-19 vaccine from February 2021 to January 2022. Vaccine doses were rarely wasted due to the availability of a centralized city-wide vaccine request list.Conclusion:The COVID-19 pandemic exposed gaps in mass dispensing plans and procedures. This local plan, created in haste to meet community need, became a model practice for other Parishes within the State of Louisiana and nationwide. This distribution modality needs to be maintained and tested, in addition to traditional POD sites, to be utilized in future dispensing events.

Levels and trends of maternal death in Baoan district, Shenzhen, China, 1999–2022

China had achieved impressive success in improving maternal health, while the progress of reducing maternal mortality ratio (MMR) varied across regions. Some studies had reported maternal mortality from national or provincial perspective, but researches of the MMR on long-term period at the city or county level rare been reported. Shenzhen has experienced significant socioeconomic and health changes, reflecting the typical development of China's coastal city. This study mainly introduced the levels and trends of maternal death in Baoan district, Shenzhen from 1999 to 2022. Maternal mortality data were extracted from registration forms and the Shenzhen Maternal and Child Health Management System. Linear-by-Linear Association tests were used to evaluate the trends of MMR among different groups. The study periods were divided into three stages by 8-year interval and χ2 test or Fisher's test was used to test the difference in maternal deaths of different periods. During 1999-2022, a total of 137 maternal deaths occurred in Baoan, the overall MMR was 15.91 per 100,000 live births, declined by 89.31% with an annualized rate of 9.26%. The MMR declined by 68.15% in migrant population, with an annualized rate of 5.07%, faster than that in permanent population (48.73%, 2.86%). The MMR due to direct and indirect obstetric causes shown a downward trend (P<0.001) and the gap between them narrowed to 14.29% during 2015-2022. The major causes of maternal deaths were obstetric hemorrhage (4.41 per 100,000 live births), amniotic fluid embolism (3.37 per 100,000 live births), medical complications (2.44 per 100,000 live births) and pregnancy-induced hypertension (1.97 per 100,000 live births), the MMR due to the above causes all shown decreasing trends (P < 0.01), pregnancy-induced hypertension became the leading cause of deaths during 2015-2022. The constituent ratio of maternal deaths with advanced age significantly increased by 57.78% in 2015-2022 compared with in 1999-2006. Baoan district had made encouraging progress in improving maternal survival, especially in migrant population. To further reduce the MMR, strengthening professional training to improve the capacity of obstetricians and physicians, increasing the awareness and ability of self-help health care among elderly pregnant women were in urgent need.

77 METHODS FOR IDENTIFYING FILIPINO GENDER MINORITIES AND MENTAL HEALTH RISKS IN ELECTRONIC HEALTH RECORDS

OBJECTIVES/GOALS: Aim 1: To explore methodologies to identify gender minorities, and Filipinos, separately, in an electronic health record system. Aim 2: To characterize the similarities and differences in demographic, socioeconomic, and mental health of Filipinos gender minorities compared to Native Hawaiian Pacific Islanders, and White/ European Americans. METHODS/STUDY POPULATION: This study was approved by the University of Hawaii Institutional Review Board. Cross-sectional retrospective data were obtained from a collaborative community clinic’s electronic health record system. Patients were age 18 and older with a clinical diagnosis for gender dysphoria and from Native Hawaiian Pacific Islander, White/ European American, and Filipino backgrounds. RESULTS/ANTICIPATED RESULTS: Preliminary data revealed that 11% of the clinical population were diagnosed with gender dysphoria (N=373) with 57.6% (n=215) who met the inclusion criteria with complete health registration forms. Patients were from Filipino (21.8%), Native Hawaiian Pacific Islander (23.3%), White/ European American (31.6%), and multiethnic (23.3%) backgrounds. Most patients reported mental health (e.g., depression) conditions (50.6%-64.7%). Further statistical analyses will reveal if Filipinos have higher or lower levels of anxiety, depression, and suicide risks than Native Hawaiian Pacific Islander, and White/ European American gender minority individuals. DISCUSSION/SIGNIFICANCE: In Hawaii, one person dies by suicide every two days; suicide is the lead cause of fatal injuries. Study findings can inform future methodology studies to identify gender minorities and develop culturally relevant gender affirming mental health programs for gender minorities.

The Meaning of Register in Yoga from a Sociolinguistic Perspective

This study describes the form and meaning of registers in yoga in Kediri and explores the influence on yoga practitioners (yogis). The data sources for this research consisted of informants, including Acarya (instructors) and Yogis, while the data was in the form of lexicons uttered by Yogis and Acarya. Data were collected by observing techniques with advanced techniques; listening, engaging, and talking. The data analysis technique uses the theory of register forms resulting from a combination adapted to the register forms in yoga. This study found that there were 53 registers in yoga exercises consisting of two forms, namely, single and complex. There are 29 singular forms and 24 complex forms. The yoga register also strongly influences Yogis (doers), including spirituality, attitudes, and relationships with others. Also, it overcomes health problems faced daily which focus on meditation activities. Meanwhile, the meaning of register in the choice of speech style is intended by Acharya to inspire enthusiasm and freshness in communicating; besides that, it also marks a communication function that has the uniqueness of being a registered marker that has a specific meaning based on context.

Developing self-report disability questions for a voluntary patient registration form for general practice in Australia

ObjectiveThis article reports on research undertaken to develop self-report disability questions for a patient registration form that may be implemented in general practices across Australia as part of a voluntary patient registration program. MethodsThere were four research components: rapid review of approaches for capturing disability information; expert informant interviews (n=19); stakeholder consultation via virtual focus groups (n=65); and online survey (n=35). Findings from each component informed development of materials for subsequent components in an iterative research process. ResultsThree disability questions were developed: two alternative questions for identifying disability, conceptually aligned with the operational definition of disability in Australia’s national disability survey; one question to determine the patient’s disability group/s. ConclusionsKnowledge and perspectives from a variety of sources informed the development of self-report questions to identify patients with disability. Implementing these questions represents an opportunity to test new ways of capturing disability information suited to mainstream service provision contexts. It will be essential to evaluate the quality of the data produced during the initial period of implementation. Implications for Public HealthThe collection of self-report patient disability information within general practice, using standard and conceptually-sound questions, has the potential to support improved provision of health care to patients with disability.

Evaluation of Sharps Injuries of Health Professionals Working in a Tertiary Care Hospital During Five Years

Objective: This study aims to evaluate occupational injuries in healthcare professionals exposed to the blood and body fluids of patients in our hospital for five years. Methods: A retrospective analysis of applications of healthcare professionals to the Infection Control Committee (ICC) between 2013-2017 was conducted based on the “registry and follow-up form for exposure to body fluids.” Results:175 personnel applied to the ICC, and the average age of applicants was 31.5±8. 58.5% of the cases were male, and 41.5% were female. Nurses constituted the majority of applicants at 37.7%, followed by caregivers at 21.7% and interns at 17.1%. Most injuries were inflicted in operating rooms 22.3%, emergency services 18.8%, intensive care units 18.3% and surgical clinics 12.6%. 62.5% of the cases were needlestick injuries, 24.0% were due to sharps, and 13.5% were due to mucosal exposure. The source patient was identified in 144 cases (82%), whereas in 31 cases (%18), the source patient could not be identified. Sixteen of the source patients were HBsAg positive, five were anti-HCV positive, and one was anti-HIV positive. None of the personnel was infected due to the injuries. Conclusion: The number of sharp injuries can be reduced by employing more personnel, reducing work hours, and encouraging the use of personal protective equipment. In addition to providing fundamental medical knowledge, training programs should also encourage a positive attitude toward HIV / AIDS.

Disparities among Japanese municipalities in recommendations for routine and catch-up HPV vaccinations.

In November 2021, the government of Japan announced a reversal of its decision in 2013 to suspend the previous proactive recommendation for HPV vaccination. However, the program for young girls to receive routine and catch-up vaccinations has not necessarily developed as expected. We conducted a nationwide questionnaire survey by mail in September 2022. The survey was mailed to 133 municipalities consisting of all cities/wards of the Tokyo and Osaka Prefectures and all other prefectural capital cities. Responses were received from 82 municipalities (62.7%). Notification of routine HPV vaccinations had already been sent to 76 (92.7%) of the municipalities; 70 (85.4%) had been encouraged to promote catch-up vaccinations. The questionnaire forms for registration and pre-vaccination screening for routine immunization had been sent to 74.1% (60/81) of the municipalities and 68.8% (55/80) for catch-up immunizations. For catch-up vaccination, only 54 municipalities (65.9%) had detailed vaccination records for those eligible. In total, 10 municipalities (12.2%) had virtually no vaccination records because these had already been discarded. In addition, 61 municipalities (74.4%) had notified only women and girls eligible for a catch-up vaccination based on their vaccination record, whereas 25.6% (21/82) of the municipalities reported that they had sent, or would send, the notification to all women and girls within the targeted grades, including those who had already been vaccinated with three injections. The survey revealed disparities among the municipalities in their HPV vaccine notification processes. Future research on monitoring HPV vaccination rates and incidence rates of cervical cancer and precancerous lesions in each municipality will be desirable.

ADVANCED EXPERIENCES OF SOCIAL ENTREPRENEURSHIP IN DEVELOPED COUNTRIES

This article theoretically studies the state of development of social entrepreneurship and its importance in the national economy. Furthermore, quantitative analyzes of the state of development of this sphere in the world, forms of state registration of social entrepreneurship in foreign countries, including Italy, France, Germany, and Great Britain, sources of income, and directions of activity are demonstrated. Having studied the tested and advanced practices of developed countries, we can be sure that even their social policy programs are unable to solve social issues such as improving the activities of the third sector and increasing social services and social responsibility in the field of entrepreneurship. In that case, social entrepreneurship emerges as an auxiliary force of the country’s social policy.