Termination Procedure Research Articles

ДЕЯКІ АСПЕКТИ ПРАВОВОГО РЕГУЛЮВАННЯ АУТСОРСИНГУ В УКРАЇНІ

The article notes that legal regulation of outsourcing in Ukraine is based on several laws and regulations. The author analyses the lack of unity in the use of the conceptual apparatus in the field of accounting outsourcing, which necessitated a study of the historical aspects of the emergence of this concept and the peculiarities of its interpretation in various areas. It is determined that at the legislative level there are no clear requirements for external entities to conduct accounting. Many problems in organizing cooperation between an outsourcer and a customer enterprise arise due to the lack of thoughtfulness of the outsourcing agreement. The author substantiates the issues that should be disclosed in an accounting outsourcing agreement (terms of the agreement, including the list of services provided, the start and end dates of the agreement, the customer's requirements for the qualifications of outsourcers, the procedure for reporting by the outsourcer on the services provided, the liability of the outsourcer and the customer, the procedure for compensation for losses, the procedure for early termination of the agreement). The author proves that when concluding an outsourcing agreement, it is necessary to use the concepts approved by the Tax Code of Ukraine.

Issues of Termination of Work Relations Due to Reaching the Age Limit

A number of changes to current legislation in recent years have been aimed at increasing the length of stay in the service of certain categories of civil servants. At the same time, such changes are associated with a number of problems concerning: a) the validity of the extension of work relations; b) the fate of the labor contract (contract extension or the conclusion of a new one); c) the grounds and procedure for termination of the contract; d) state guarantees upon termination of the contract in connection with reaching the age limit. The situation is aggravated by the lack of uniform regulation of these issues in different types of state and municipal service. The theoretical and methodological development of this topic is quite low. Most of the works related to the change in work relations have the subject of analysis of military service and specific problems related, for example, to gender aspects of securing the age limit. Directly on the grounds and procedure for terminating the labor contract (contract, employment contract) due to reaching the age limit, a small number of publications can be distinguished, which do not take into account later changes in legislation. To achieve the set tasks, both a general scientific dialectical method is used, which allows us to understand the duality of understanding the legal categories under consideration, as well as methods of formal logic, a comparative method, a system-structural method, etc. According to the results of the study, the author comes to the conclusion that it should be unequivocally fixed that the labor contract (contract, employment contract) is imperative terminated when employees reach the age limit. At the same time, it is allowed to extend this period, but not the labor agreement itself, therefore, a new labor contract (employment contract) of an urgent nature can be concluded with such a person. In conclusion, specific proposals are made to improve the current legislation.

CERTAIN ISSUES OF THE STATE REGISTRATION OF A TERMINATION OF RENTAL PROPERTIES

Abstract: one of the conditions of a proper functioning of a registration system, which involves a minimum procedural burden of members of civil relations, is a comprehensive and consistent legal regulation of the State registration of rights on real estate. The article focuses on the issue of a lack of proper regulations for the State registration of termination of lease. Consideration is given to the necessity of the State registration of termination of registered rental agreement and its influence on determination of the moment of termination and the amount of expenses for appeal to the registering body. The article raises the issue of the unsettled State registration procedure for termination of lease. The question of the circle of persons, on whose behalf this kind of State registration is carried out, is analyzed. The need to close identified gaps in legal regulation by making relevant amendments in current legislation is explained.

Dismissal of an employee at the initiative of the employer for a single gross violation of labour duties (clause 7 of Article 42 of the Labour Code of Belarus)

During the third global reform of the Labor Code of the Republic of Belarus, which took place in 2019-2020, Article 42 of the Labor Code was set out in a new edition. In the updated Article 42 of the Labor Code of the Republic of Belarus, five grounds for dismissal at the initiative of the employer for a single gross violation of labor duties were combined into one paragraph 7. In 2021, this paragraph was supplemented with three new grounds. In this paper, for the first time, an attempt is made to comprehensively analyze all eight grounds for dismissal on the initiative of the employer for a single gross violation of labor duties, enshrined in paragraph 7 of Article 42 of the Labor Code of the Republic of Belarus. Within the framework of the scientific and practical analysis of eight disciplinary grounds for dismissal of an employee carried out in the article, the provisions of the Labor Code of the Russian Federation, as well as current Belarusian judicial practice, are taken into account in a comparative aspect. Special attention in the paper is paid by the authors to the procedure for termination of an employment contract for this group of disciplinary grounds, problems that arise in personnel and other law enforcement practice, as well as guarantees that employees can use when dismissed on these grounds. Proposals are made to improve the labor legislation of the Republic of Belarus and law enforcement practice in relation to this group of grounds for dismissal of employees at the initiative of the employer.

Comparison of the clinical efficacy of surgical versus medical method for first trimester pregnancy termination in Iran: A quasi-experimental research.

The surgical and medical options for management of pregnancy termination procedures are acceptable in practice but differ in clinical efficacy, costs, and patient experiences, and deciding what the best method is not clear always. This study aimed to compare clinical efficacy, outcomes, and patient acceptance of dilatation and curettage (D and C) versus medical abortion using misoprostol for first trimester of gestation in Iranian context. A prospective, multicenter, quasi-experimental research conducted from July 2021 to January 2022. The primary outcomes were the rate of composite complications or complete abortion. Data were analyzed with SPSS 18 using descriptive statistics, independent t-test, analysis of variance and non-parametric tests. Secondary outcomes were quality of life using EQ5D questionnaire, estimated blood loss, pelvic infection, pain level, hospital stay, and acceptability of intervention and relative risk as the effect size. Finally, 168 patients were included in this study. The composite complication rate among medical abortion patients is significantly more than that of surgical abortion patients (39.3% vs. 4.76%). The relative risk calculated 8.25 (3.05-22.26 CI). Medical abortion patients have experienced higher levels of ongoing bleeding, pain, and symptoms of pelvic infection. The higher level of acceptance has been reported by surgical group patients in comparison to the medical group patients (85.7% vs. 59.5%). Quality of life scores for surgical and medical group estimated 0.6605 and 0.5419, respectively. Surgical method of abortion using D and C is a very safe and highly successful option in comparison to the medical method using misoprostol alone and is associated with better clinical outcomes, acceptance, and quality of life in first trimester of pregnancy among Iranian women.

Mesh Refinement with Early Termination for Dynamic Feasibility Problems

We propose a novel early-terminating mesh refinement strategy using an integrated residual method to solve dynamic feasibility problems. As a generalization of direct collocation, the integrated residual method is used to approximate an infinite-dimensional problem into a sequence of finite-dimensional optimization subproblems. Each subproblem in the sequence is a finer approximation of the previous. It is shown that these subproblems need not be solved to a high precision; instead, an early termination procedure can determine when mesh refinement should be performed. The new refinement strategy, applied to an inverted pendulum swing-up problem, outperforms a conventional refinement method by up to a factor of three in function evaluations.

Lattice-tip catheter for single-shot pulmonary vein isolation with pulsed field ablation.

A compressible lattice-tip catheter designed for focal ablation using radiofrequency or pulsed-field energies has been recently described. The objective of this study is to describe a new lattice catheter designed for single-shot pulmonary vein isolation (PVI). This 8F catheter consists of a compressible lattice tip that is delivered over the wire and is expandable up to 34mm (SpherePVI™, Affera Inc.). Pulsed field ablation (PFA) was applied from 6 elements using a biphasic waveform of microsecond scale (± 1.3-2.0kV, 5s per application). In 12 swine, the superior vena cava (SVC) and right superior pulmonary vein (RSPV) were targeted for isolation. Animals were survived for 12-24h (n = 6) or 3weeks (n = 6) for evaluation of short and long-term safety and efficacy parameters. PVI was evaluated immediately after ablation and at the terminal procedure. Ablation-related microbubbles were examined using intracardiac echocardiography and phrenic nerve function by pacing. The tissue was examined by histopathology. In all 12 animals, PFA resulted in successful acute isolation of the SVC and RSPV using 2.8 ± 1.1 and 3.2 ± 1.2 applications per vein, respectively. After a survival period of 23 ± 5.9days, all targeted veins remained isolated, and the level of isolation persisted without significant regression or expansion. In one animal, SVC isolation at the level of the right atrial appendage resulted in sinus node arrest. PFA did not affect phrenic nerve function, and it was associated with a few isolated bubbles formation. In this pre-clinical study, a new expandable lattice catheter designed for single-shot PVI was able to achieve rapid and durable isolation.

Abstract 14040: Mechanical Aortic Strain Promotes Expression of Proteolytic Matrix Markers in Abdominal Aortic Aneurysm

Introduction: Serum biomarkers for abdominal aortic aneurysms (AAA) have been identified, but the prognostic relevance has remained unclear. Mechanical activation of aortic VSMCs can elicit production of interleukin-6 (IL-6), a cytokine consistently elevated in AAA. Expecting that stressed native aortic cells may drive degenerative remodeling, we hypothesize that biomarkers focused on matrix proteolysis may be elaborated directly from the aortic wall and assessed as an indicator of aortic strain. Methods: AAA was induced in C57Bl/6 mice with peri-adventitial CaCl 2 (n=5). Terminal procedure at 21 days quantified aortic diameter (AoD) by digital microscopy, obtained blood sampling, and collected aortic tissue. Aortic ultrasound (Vevo3100 with VevoVasc Software) was conducted on Days 0 and 21 to assess AoD and aortic strain parameters. Tissue and serum were analyzed to quantify IL-6 and the proteolytic matrix markers: matrix metalloproteinase-9 (MMP-9), Cathepsin S (CtsS), Cystatin C (CysC), and osteoprotegerin (OPG). Aortic VSMCs underwent mechanical stimulation with 12% Stretch and subsequent QPCR for expression of proteolytic matrix markers (n=4). Groups were analyzed by T-test and ANOVA. Results: At 21 days, all mice in AAA group developed true aneurysms by digital microscopy (>50% dilation compared to internal baseline), and this correlated to measurements from transabdominal ultrasound. Aortic strain assessment indicated increased stiffness parameters in AAA (elevated Pulse Wave Velocity, decreased Distensibility, and decreased Global Radial Strain). The AAA group also had significantly elevated levels of IL-6, MMP-9, and OPG (p<0.05 versus Control for each), with a trend toward increased CtsS and CysC. Alternatively, Stretch VSMCs demonstrated upregulated expression of IL-6, CysC, and OPG (p<0.05 vs Static), while the proteases MMP-9 and CtsS remained unchanged. Conclusion: Mechanical activation of aortic VSMCs can stimulate expression of biomarker proteins associated with AAA, but protease production may rely on the inflammatory infiltrate to promote degenerative matrix remodeling. Further investigation into the source of common AAA biomarkers will provide insight for effective integration into patient care.

Problems of Criminal Liability for Illegal Termination of Pregnancy

The article presents a comprehensive criminal law analysis of the illegal artificial termination of pregnancy on the basis of current Russian legislation, including criminal law. Currently, the legislation of the Russian Federation recognizes the right of a woman to an artificial termination of pregnancy within statutory period and manner prescribed by law. Termination of pregnancy should be carried out only by qualified specialists. Illegal conduct of this procedure entails criminal liability (Article 123 of the Criminal Code of the Russian Federation). In the theory of criminal law, there has long been an opinion about the imperfection of the norms of this article, which complicates its enforcement, as well as the validity and fairness of penalties. It is noted that the criminal legislation of the Russian Federation regulating the illegal procedure of artificial termination of pregnancy is one of the most liberal in the world and does not take into account the provisions of regulatory acts of a medical nature that determine the procedure for artificial termination of pregnancy. The article analyzes scientists' opinions on problematic issues of the application of art. 123 of the Criminal Code of the Russian Federation, official statistics on the number of abortions in Russia by year and age categories are given. The author conducts a comparative legal study of Russian and foreign legislation and, based on the analysis carried out, makes suggestions for its improvement by integrating certain provisions of the legislative experience of foreign countries into national legislation. Finally, the author makes the conclusion that it is necessary to amend the definition of the subject and crime objective elements provided for by art. 123 of the Criminal Code of the Russian Federation, since they are formulated narrowly, without taking into account the requirements of regulatory acts of a medical nature in order to ensure adequate protection of reproductive rights and interests.

Machine learned clusters explain heterogeneity in outcomes from map-guided ablation of Atrial Fibrillation results from the large PROspective STanford AF Registry (ProSTAR)

Abstract Background Several mapping systems are being introduced to guide atrial fibrillation (AF) ablation to patient-specific regions of interest. However, results have been extremely heterogeneous between studies, ranging from very poor to very promising. It is unknown if this reflects specific patient characteristics or procedural factors because most prior series were middle sized (N∼30–100 patients). Purpose To study 1 year and 3 year very long-term outcomes from map guided AF-driver ablation in a large patient registry with multiple operators, to identify clinical and procedural features influencing outcomes. In real-world AF patients with diverse comorbidities, we applied a consistent patient-tailored AF mapping and ablation strategy, monitored outcomes carefully and applied statistical and unsupervised machine learning approaches to identify features of success and failure. Method We studied 632 consecutive patients (65±10 y, 178 F) undergoing ablation for drug-refractory AF. 59.7% had persistent AF, and 29.9% had prior unsuccessful ablation (median 1 procedure). All patients underwent pulmonary vein isolation (PVI), followed by ablation of AF regions of interest mapped from 64 pole baskets (RhythmView, Abbott, IL), by 11 operators. Patients were followed using ambulatory ECG monitors quarterly for one year, and at the time of symptoms for 3 years. Results Fig. 1A shows overall freedom from AF at 1-year of 77.5% (95% CI: 74.2%, 80.9%) and at 3 years of 55.5% (95% CI: 51.2%, 60.1%). Freedom from AF/AT at 1-year was 70.1% (95% CI: 66.5%, 73.8%), and at 3 years was 48.6% (95% CI: 44.3%, 53.3%). Success was higher in patients with procedural termination, first ablation versus prior unsuccessful procedures, for paroxysmal AF than non-paroxysmal AF (1 year: AT/AF freedom 74.9% versus 66.7%, p=0.006), and smaller left atrium. Three clusters (Fig 1B) were identified comprising CHA2DS2VASc score, enlarged LA, prior failed case, presenting rhythm and termination during the procedure (Table 2). At 1 year, freedom from AT/AF was 77.8% (95% CI: 72.2%, 82.1%) for cluster 3 and 56.2% (95% CI: 48.3%, 65.4%) for cluster 1 (Fig. 1B). Conclusion In our large registry of N=632 patients undergoing AF-map guided ablations, machine learned clusters identified cohorts with success of 56.2 to 77.8% at 1 year. Future studies should identify if lower success represents technical challenges, such as difficulties in mapping very large atria, or more difficult to treat mechanisms. These results may inform patient inclusion and ablation strategy in upcoming AF treatment trials. Funding Acknowledgement Type of funding sources: Public grant(s) – National budget only. Main funding source(s): National budget only - NIH, R01 HL149134, R01HL83359

Experimental studies of electron affinity and work function from titanium on oxidised diamond (100) surfaces

Sub-monolayers of titanium were deposited onto oxidised (100) single-crystal diamond surfaces and annealed in vacuo at temperatures up to 1000 °C to find a temperature-stable termination procedure that produces a surface with Negative Electron Affinity (NEA). The samples were analysed by X-ray Photoelectron Spectroscopy, Ultraviolet Photoelectron Spectroscopy and Energy-Filtered Photoemission Electron Microscopy to determine their electron affinity and work function values. NEA values were observed on samples following annealing above 400 °C, with the largest NEA value being –0.9 eV for a sample coated with a half-monolayer of Ti annealed at 400 °C. Work function values were ∼4.5 eV for all samples annealed at temperatures between 400 and 600 °C, then rose at higher temperatures due to the loss of substantial amounts of O from the surface. Work-function maps indicated that the surface was uniform over areas 5700 μm2, suggesting that the deposition and annealing steps used are reliable methods to produce films with homogeneous surface properties.

Establishing custody of the property of a missing person in special circumstances: theoretical and practical aspects

The scientific article emphasizes the special relevance of the study of ensuring the rights and legitimate interests of a person who has disappeared in special circumstances, in the context of establishing custody of property. Urgent resolution of the issue of the legal status of persons missing in special circumstances has led to a number of inaccuracies, inconsistencies and omissions, which can be traced in the provisions of the Law of Ukraine "On Legal Status of Persons Missing in Special Circumstances" of July 12, 2018 № 2505-VIII. The mechanism of protection of the rights and interests of persons missing in special circumstances is significantly complicated by the delay in approving the Regulations on the Unified Register of Persons Missing in Special Circumstances. Legislative editing of the unified concept of "missing person in special circumstances" is positively assessed. An important guarantee is that the acquisition of legal status from the moment of entering information about a person in the Unified Register of Missing Persons in special circumstances does not deprive interested parties of the right to apply to the court to declare a missing person, which allows to sell a number of other personal property. and non-property rights in relation to this category of persons. It was stated that the guardian should manage the property not on behalf of, but in the interests of the missing person. The possibility provided by law to apply to a notary for the establishment of guardianship over the property of such persons, determines the feasibility of establishing a separate special procedure for this notarial act. The use of this procedure, which is used to take measures to protect inherited property, violates the principle of legal certainty and can lead to numerous violations of the rights of missing persons in special circumstances. Emphasis is placed on the absence of a legally prescribed procedure for termination of custody of property in the event of the appearance of a missing person in special circumstances. It is argued that it is expedient to develop a form of a guardian's certificate on the property of a person who has disappeared under special conditions.

Strategies to Reduce Carbon Footprint in Port and Terminal Operations: Evidence from a Developing Country

The purpose of the study was to identify some practical approaches to help developing nations for leasing their carbon footprint that is left behind as a result of operations at ports and terminals. In this sense, the Bangladeshi seaport of Chattogram serves as a case study that is monitored and analyzed. Investigation on port and terminal procedures and CO2 emissions is the focus of this study. Conversations with port stakeholders are the main source of data. When it comes to secondary data, it's drawn primarily from past studies and newspaper articles. Approximately 65.8% of the total carbon emissions at Chattogram's port and terminal are attributed to ships anchoring at the port. Other options include port boats with 19%, freight handling equipment with 10% and vehicles with 4.5%. In order to reduce these emissions, the port of Chattogram has determined that cold ironing is the best alternative, and contemporary cargo handling equipment is both cheaper and uses less energy. In order to ensure that port and terminal activities have a minimal impact on the surrounding ecosystem, it is imperative to update outdated pieces of equipment and extend existing terminal facilities. Nevertheless, utilizing renewable fuels (30% biofuels with currently used diesel) can be an effective solution for lowering the carbon footprint of other types of machinery such as forklifts and harbor craft. Furthermore, developing countries may join and coordinate with the LEARN (Logistics Emission Account and Reduction Network) project to enhance and globalize their efforts to reduce their carbon footprint through emission measurements, reporting, and verification (MRV).

Carboxytherapy affecting tissue healing in the experimental burns model

Objective: The following study highlights the experimental assessment of carboxy therapy affecting tissue regeneration with the standard IIIB degree burns among rats. All procedures were approved by the bioethics committee. Terminal procedures were conducted in accordance with EU directive on the protection of laboratory animals.Methods: The present study included 48 female Wistar rats (180-220g, 6-8 weeks old). Animals were obtained from Rappolovo nursery for laboratory animals. Rats were held under normal conditions of light, room temperature and humidity in laboratory vivarium. The animals were divided into two groups control and experimental (n=24). Each group underwent standard burns infliction. Experimental burn was modeled in each group according to standardized research method of the dermatotropic influence of medicines. Experimental group was treated with subcutaneous administration of 0.5 ml medical CО2 3 times in intact area approx. 0.5 cm from the edge of the lesion. In control group burns healed spontaneously. The fixation of the material and the production of micropreparations was carried out using standard histological techniques. Microscopic diagnostics included a semi-quantitative assessment of the tinctorial properties of collagen fibers, measurement of their linear parameters, as well as calculation of the specific area of the microvasculature in the subepidermal area of the regenerate.Results: After terminal procedures, tissue samples were collected and processed with standard histological protocol. The analysis included tinctorial assessment of the maturity rate of collagen fibers, their linear dimensions as well as assessment of area taken by capillaries in subepidermal region.Conclusions: Present study showed increased area taken by capillaries in the subepidermal part of the wound in carboxytreated rats compared to spontaneous healing. Collagen fibers reached intact-like structure by 14 days in experimental group, whereas spontaneous heling revealed mature collagen fibers by the day 21. Thus, carboxytherapy demonstrated a potential positive effect on the wound healing through the stimulation of microvasculature in regeneration area.

Resolution of disputes on termination of the employment contract by agreement of the parties

The article is devoted to the outline of those issues that reveal the peculiarities of termination of employment by agreement of the parties. The authors draw attention to certain problems in determining the procedure for termination of the employment contract on this basis. In addition, the authors focus on the study of the characteristics of the application of the ground “by agreement of the parties.” The analysis of scientific researches of outstanding modern experts of science of labor law is carried out, their most important remarks and considerations are resulted. The latest legal opinions of the Supreme Court of Ukraine on dismissal on this ground are considered and analyzed.
 Today, considerable attention should be paid to the rules for the protection of employees’ interests in the termination of employment, as Ukrainian lawyers point out that the labor law has significantly reduced the rules aimed at protecting the interests of employees.
 The current legislation of Ukraine does not contain a legally defined relevant procedure and terms of termination of the employment contract by agreement of the parties. Lack of documentation of the agreement of the parties may have adverse consequences for the parties to the employment contract, as well as complicate the consideration and resolution of individual labor disputes. It is these circumstances that require the definition in the labor legislation of Ukraine of the procedure for reaching and drawing up an agreement between the parties to terminate the employment contract.
 The real possibility of protecting the rights of employees upon termination of an employment contract on this basis depends on the effectiveness of the mechanism of judicial and state control over the employer’s compliance with the procedure for dismissal by agreement of the parties.
 Judicial practice at the Supreme Court level provides answers to questions that are not clearly regulated by law, allowing employers and employees to make informed and lawful decisions in this area. It should be noted that today the normative regulation of the provisions on the procedure for terminating an employment contract by agreement of the parties and bringing them into line with law enforcement practice needs to be improved.

Оut-of-court settlement of disputes in accordance with European copyright and related rights in the Digital Single Market

Keywords: copyright, providers, rightsholders, users, content, downloads, interactiveaccess, out-of-court settlement of disputes.
 The article is devoted to the study of the norms of Directive 2019/790 of the European Parliament and of the Council on copyright and related rights in the Digital Single Market, and Guidance on Article 17 of Directive 2019/790 on Copyright in the Digital Single Market.The purpose of this article is to conduct a legal analysis of the EU Directive and Guidance, and determine the features of protection of copyright and related rights through out-of-court settlement of disputes, in the new realities of digital market development, and the feasibility of considering the relevant norms in the legislation of Ukraine.Article 17 of this EU Directive and the provisions of the reference are analysed in details.
 Rights and obligations of all participants in legal relations arising in the digital environment are considered: rightholders, users, online content-sharing service providers (hereinafter — providers).The definition of the new term «online content-sharing service providers», proposed in the EU Directive, has been explored. It is stated that providers have the right to provide access to legal content, uploaded by users. At the same time, they are obliged to act based on the permission received from the rightholders, do not affect on users who are using the online content-sharing services in order to legal upload and access to information, to prevent the availability of unauthorized content, uploaded by users.In the article explores the norms about out-of-court mechanisms of compensation for damage and the settlement of disputes. Its advantages are defined. The disadvantages that may arise in the practical application of the norms are indicated.
 In particular, in the Article 17 of the EU Directive and the Guidance do not provide a clear answer to certain questions, such as the status of the person who will have the authority to resolve the relevant disputes; what will be the decisions made by such a person; the procedure, amount and terms of compensation for damages; cross-border application of decisions.A comparison is made between the norms of the legislation of Ukraine on copyright and related rights and the relevant norms of European legislation. It is noted that in the Law of Ukraine «On Copyright and Related Rights» there is a procedure for termination of infringements of copyright and related rights on the Internet by providers. Out-ofcourtsettlement of disputes is not provided for, but it is not prohibited. The provider restores access to the object if the right holder has not provided him with confirmation of the opening of legal proceedings to protect his rights to the object of copyright and (or) related rights, in respect of which the application for termination of the violation was filed.Unlike the provisions of the Law, according to Art. 17 (9) of the EU Directive and the Guidance, the user can appeal the decision of the provider to block, delete content. Access to content can be restored based on out-of-court settlement of the dispute, i.e., without going to court.It is concluded that these European standards are noteworthy and need further study in the context of the application of out-of-court mechanisms of the settlement of disputes that arise between rightsholders, users and providers in the digital environment.

Diversity and persistence of MRSA and VRE in nursing homes: Environmental screening and whole-genome sequencing

Background: Transmission of methicillin-resistant Staphylococcus aureus (MRSA) and vancomycin-resistant Enterococcus (VRE) is of special concern among frail patients in nursing homes. To understand environmental contamination patterns in this setting, we screened a suitable section of a nursing home over time and assessed MRSA and VRE prevalence in patients and their rooms. We were especially interested in assessing whether MRSA and VRE strains persist in rooms during changes of occupancy after patient discharge. Methods: We conducted a prospective cohort study of MRSA and VRE colonization and contamination among successive patients in a cluster of 9 single-occupancy rooms. Using flocked swabs, 5 high-touch surfaces were screened 3 times a week for 34 weeks. Patients were also screened (ie, nares, groin, and hands), if they agreed to participate. Whole-genome sequencing was performed on 67 nonredundant MRSA and VRE strains. Single-nucleotide polymorphism heatmaps and similarity trees were generated to evaluate strain diversity and persistence the facility. Results: Overall, 146 distinct occupancy events were captured during the study (16.5 average per room; range, 11–22), with 387 study visits and 4,670 total swabs collected. All rooms were contaminated with VRE, and 8 of 9 were contaminated with MRSA at least once during the study period. New contamination of a room with MRSA or VRE was observed in 43 (23%) of 185 opportunities, with potential persistence during occupancy changes in 25 (32.9%) of 76 opportunities. Sequencing of 67 nonredundant isolates identified at least 6 enterococcal clades and 10 MRSA clades (6 USA100 and 4 USA300), indicating a high degree of diversity and probably multiple introductions in the facility during the study time. In 3 separate cases, whole-genome sequencing confirmed persistence of a specific MRSA strain during a change of room occupancy, including 1 case of a MRSA strain persisting in a clean room before admission of the next patient. For VRE, 2 cases of persistence during room occupancy changes were confirmed, along with 6 cases of possible persistence (contamination across noncontiguous room occupancy events). Conclusions: Active surveillance screening and a recurring evaluation of terminal cleaning procedures should be considered due to high levels of circulation and persistence of MRSA and VRE in the nursing home setting.Funding: NoneDisclosures: None

Pregnancy Remembrance Options and Patient-Perceived Impact on Coping Ability after Abortion [A67

INTRODUCTION: At our institution, we previously offered pregnancy remembrance options only to patients undergoing termination procedures for fetal anomalies, demise, or pregnancy complications, including footprints, ultrasound pictures, and religious blessings if desired. We sought to identify if all abortion patients desired similar options and the impact of offering the options on their abortion experience. METHODS: We created a questionnaire for patients to indicate their preferences for available pregnancy remembrance options. We included questions assessing their feelings about being offered these options and their perceived coping effect afterwards. We performed an institutional review board--exempt chart review February-July 2021 to evaluate responses. We compared these by indication using the Fisher exact test. RESULTS: Of 393 procedures performed during the 6-month study period, 244 (84%) patients completed the questionnaire, of which 58 (24%) terminated for fetal anomalies, demise, or pregnancy complications and 186 (76%) for other reasons. Most patients desired at least one remembrance option (41 [71%] and 134 [72%], respectively, P=1.0). About half in both groups (32 [55%] and 93 [50%], respectively, P=1.0) felt these options would provide a positive coping effect. The proportion of patients feeling upset about the questionnaire was low in both groups and not significantly different (12 of 58 [21%] vs 23 of 186 [12%], P=.13). CONCLUSION: Most patients, regardless of termination indication, desire a pregnancy remembrance option. Relatively few had negative feelings about being asked, with no significant differences by termination indication. Our findings support that providers should consider offering these options to all patients terminating their pregnancy, regardless of indication.

VOlUME 05 ISSUE 04 APRIL 2022 Juridical Review of Unilateral Termination of Employment by PT Indosat TBK during the Covid-19 Pandemic

This research examined from a legal perspective regarding the unilateral termination of employment by PT Indosat Tbk, during the Covid-19 Pandemic. Two main issues were discussed in this study, the first was the chronology of unilateral termination carried out by PT Indosat Tbk to its employees during the Covid-19 pandemic, and analyzing the legal termination procedural during the Covid-19 Pandemic. This study used a normative juridical research method using secondary legal data. Based on the results of the study, it was known that the chronology of layoffs was carried out by PT. Indosat, Tbk to its workers during the Covid-19 pandemic was unilateral. Meanwhile, the legal termination procedure during the Covid-19 pandemic must go through the stages of negotiations between the employers, in this case, PT. Indosat, Tbk with employees represented by existing labor associations. In its implementation carried out, PT. Indosat, Tbk did not carry out negotiations before carrying out simultaneous termination. In connection with the above, the employer should negotiate first before implementing efficiency by doing the termination of employment (PHK).

История развития института прекращения государственной службы в пенитенциарных учреждениях России (административно-правовой аспект)

The article is devoted to the history of the development of the institution of termination of public service in the penal system of Russia. A retrospective analysis of the formation and development of the regulatory framework regulating the procedure for termination of service in penitentiary institutions of Russia is carried out. Based on the analysis of historical and scientific literature concerning the problem under consideration, legislative and departmental normative legal acts, the author examines the historical milestones in the development of the institution of termination of public service in penitentiary institutions of Russia and identifies five chronological stages of the formation of the institution in question.