bluuebunny/crossref_metadata_2025_split huggingface dataset:
Comparing neonatal outcomes in women with preeclampsia and those with normal pregnancy
Authors: Yilgwan C.S. , Pam V.C. , Yilgwan G. , Ige O.O. , Golit W.N. , Anzaku S. , Sagay A.S. , Bode-Thomas F. , Laima C. , Simon M. , Zoakah A. 
Published: May 2021

Background: Preeclampsia has remained an important public health problem in the developing world where it is associated with a five-fold increase in perinatal morbidity and mortality.
Objective: We set out to compare neonatal outcomes between women with preeclampsia and those with normal pregnancy. We also sought to evaluate factors associated with poor outcome in the neonates.
Materials and Methods: This was a prospective cohort study that enrolled 90 women (45 with preeclampsia and 45 with normal pregnancy) after 20 weeks gestation. Maternal socio-demographic and clinical information was obtained at enrolment and delivery using questionnaire. Neonatalanthropometric and physiologic data was obtained at delivery and used for classifying the birth weight according to the WHO classification. APGAR score was used to evaluate the presence of birth asphyxia. We defined poor outcome as the presence of at least one of low birth weight, prematurity, birth asphyxia and need for admission. SPSS version 25 was used in all analysis. Significance testing was set at p=0.05.
Results: The women with preeclampsia were significantly heavier at booking (BMI 29.0±6.9 Kg/ m2 vs 25.0±5.2. p=0.005), have higher mean booking systolic blood pressure (122.±22.6 mmHg vs 111.5±12.7mmHg, p=0.003) and diastolic blood pressure ( 7 9 . 8 ± 1 4 . 3mm Hgvs 68.8±9.0mmHg, p<0.001). Neonates of women with preeclampsia were significantly more premature ( meangestational age = 36 . 8 ± 3 . 2 week svs 38.7±2.0weeks, p=0.001) and lighter (mean birth weight =2,529±817.5g vs 3,079.2±527.4g, p<0.001). Overall, 22 (49.4%) of the neonates of women with preeclampsiahad significantly poor outcome compared with 12(27.4%) of the neonates of women with normal pregnancy (p=0.01). Univariate logistic analysis showed only being a male neonate, maternal preeclampsia and admission in index pregnancy were significantly associated with poor outcome. Multivariable logistic regression showed only being a male neonate to be 3 times more likely to have a poor outcome (Wald=5.34. OR=3.2, p=0.02)
Conclusions: Intrauterine exposure to preeclampsia is associated with poor neonatal outcomes especially in males
Key words: infant outcome, preeclampsia, Nigeria
Probable horizontal transmission of SARS-CoV-2 in an asymptomatic neonate: A case report
Authors: Ibhanesebhor S.E. , Manjunatha C.M. 
Published: May 2021

Horizontal transmission of SARS-CoV-2 is the more likely mode of transmission in this neonate rather than vertical transmission. Neonates are more likely to be asymptomatic carriers of SARSCoV- 2 therefore health care workers should observe strict infection control practices, like hand hygiene and use of PPE (including face shield) during all clinical encounters. Parents may not provide a history suggestive of COVID-19 clinical symptoms in the family members, unless specifically asked for. We report a case of SARS-CoV-2 in an asymptomatic neonate who presented to the outpatient clinic of a private multispecialty hospital for routine follow up. The hospital caters for approximately 5000 deliveries per year with pediatric inpatient and outpatient facilities, neonatal intensive care unit with facilities for advanced respiratory support, therapeutic cooling, with supporting radiology and full laboratory services.
Accidental childhood poisoning in Paediatrics department of a tertiary care facility: A retrospective review
Authors: Obu D.C. , Orji M.C. , Muoneke U.V. , Asiegbu U.V. , Ezegbe G.O. 
Published: May 2021

Background: Accidental childhood poisoning is a recognized preventable cause of morbidity and mortality among children worldwide. This studywas aimed at determining the prevalence, pattern, and outcome of childhood poisoning among children in Abakaliki, Ebonyi State.
Material and Methods: Medical records of all cases of accidental childhood poisoning admitted into Children’s emergency room (CHER) of the health facility of study between January 2014 and December 2018 were retrospectively identified and relevant data extracted and analyzed usingSPSS version 22.
Results: Out of the 7,700 children that presented to CHER over a 5- year period, 42 were cases of poisoning, giving prevalence rate of 0.5%. Of the 42 cases, only 20 case notes were retrieved. The male to female ratio was 2.3:1 while the ages ranged between 6months and 14 years with the mean age of 3.06±2.88. Kerosene poisoning had the highest proportion of 50.0% (10/20) with the overall mortality rate of 5.0% (1/20).The relationship between age, place of residence and outcome in poisoned children was statistically significant (p = 0.038, 0.045 respectively).
Conclusion: Accidental childhood poisoning is common in Abakaliki. Kerosene still remained the major agent while male toddlers were most vulnerable. There is need to intensify enlightenment campaigns and education of the public about the hazard of improper storage of kerosene and other implicated substances at home.
Keywords: Accidental poisoning, Childhood, Kerosene
Paediatricians and trainee paediatricians perspectives on industrial action by medical doctors in Nigeria
Authors: Okechukwu C. , Briggs D.C. 
Published: May 2021

Background: Industrial actions have become a common means by which medical doctors attempt to communicate their grievances to the government. Paediatricians are frequently caught between a desire to support the course of their professional association and caring for their patients. The purpose of this study was to assess the opinion of paediatricians and trainee paediatricians regarding strike actions, the likely cause(s) and their reasons for and against industrial actions as a means for communicating grievances to the government.Methods: A cross-sectional descriptive study was conducted using self-administered questionnaires randomly distributed to consenting participants at the 48thAnnual Scientific Conference of the Paediatric Association of Nigeria. Data were analysed using SPSS version 20.Results: A total of 102 respondents from the 6 geopolitical zones in Nigeria returned appropriately filled forms. Fifty-seven (55.9%) were females, 91 (81.2%) were married, 72 (70.6%) were Christians and 49 (48%) were Consultant paediatricians. Poor remuneration (36%), poor working conditions(24.3%) and failure of the government to keep promises to doctors (19.9%) were the top three reasons given for the incessant industrial actions in the recent past. Forty-nine percent of respondents did not support industrial actions, 65% responded that strikes affect the quality of training and practice and (84.3%) volunteer their services during a strike.Conclusions: Industrial actions are not the paediatricians’ preferred means of communicating grievances. Other methods should, therefore, be explored to limit the deleterious effects of industrial actions.
Keywords: Paediatrician, Nigeria, industrial action, strike, medical doctors, trainee
Identification of sequence polymorphisms in the mitochondrial deoxyribonucleic acid displacement-loop region as risk factors for systemic lupus erythematosus
Authors: Lai Ruixue , Zhang Xiaoyun , Qiao Kuangyuan , Gao Xueqing , Li Shang , Zhang Ruixing , Qi Yixin , Peng Chenxing 
Published: May 2021

Objectives: This study aims to evaluate the relationship between sequence polymorphisms (SNPs) in the displacement-loop (D-loop) region of mitochondrial deoxyribonucleic acid (mtDNA) and systemic lupus erythematosus (SLE) in Chinese female patients.
Patients and methods: This cross-sectional study was conducted between May 2017 and October 2017. The mtDNA was extracted from the peripheral blood of 97 female SLE patients (mean age 40.8 years; range, 20 to 79 years) and 108 age-matched healthy controls (mean age 48.7 years; range, 22 to 78 years). The SNPs of mtDNA D-loop were verified by polymerase chain reaction amplification and sequence analysis. The allele frequencies of D-loop region were compared by the Chi-square test between SLE and control groups.
Results: The SNP accumulation in SLE patients was significantly higher than that in the controls (p=0.027, 95% confidence interval [CI]: 0.075, 1.210). The frequencies of the major alleles of the nucleotides 73G/A (p<0.001, odds ratio [OR]=1.241) and 195T/C (p=0.047, OR=4.318) as well as the minor allele of nucleotide 199T/C (p=0.048, OR=0.279) were significantly higher in the SLE patients than in the controls, which indicated that 73G, 195T and 199C allele in the D-loop of mtDNA were associated with the risk of SLE. Further analysis indicated that the reactive oxygen species level in the SLE patients was significantly higher than that of controls (mean fluorescence intensity ± standard deviation: 3054.333±256.099 vs. 2099.167±599.662, p=0.009, 95% CI: 321.243, 1589.091).
Conclusion: This study indicated the SNPs in the mtDNA may associated with the risk of SLE. Analysis of SNPs in the mitochondrial D-loop may help identify individuals who are at high risk of developing SLE.
The mitral valve prolapse frequency in healthy females with generalized joint hypermobility: A case-control study
Authors: Özdemir Hande , Tuna Filiz , Aktoz Meryem , Taştekin Nurettin , Demirbağ Kabayel Derya 
Published: May 2021

Objectives: The aim of this study was to investigate the frequency of mitral valve prolapse between healthy females with generalized joint hypermobility and healthy controls.
Patients and methods: This observational, cross-sectional, controlled study included female individuals with generalized joint hypermobility (n=39, mean age: 20.5±1.1 years; range, 19 to 23 years) and healthy controls (n=42, mean age: 20.6±1.2 years; range, 18 to 23 years) between July 2017 and November 2017. The generalized joint hypermobility consisted of women with a Beighton score of ≥4, while the control group consisted of women with a Beighton score of ≤3. Echocardiography was performed to all participants. Mitral valve prolapse was defined as having single or bileaflet prolapse of at least 2 mm beyond the long-axis annular plane with or without mitral leaflet thickening.
Results: No significant difference was found in the age, height, body weight, and body mass index between the groups (p>0.05). The median Beighton score was 5 in the generalized joint hypermobility group and 2 in the control group. No mitral valve prolapse was detected in those with generalized joint hypermobility, while non-classical mitral valve prolapse was observed in one participant in the control group, indicating no statistically significant difference between the two groups (p>0.05).
Conclusion: Our study results suggest that the frequency of mitral valve prolapse is comparable between the women with generalized joint hypermobility and healthy controls. Based on these results, routine assessment of mitral valve prolapse is not recommended in this population.
Polysomnography findings and risk factors for sleep-disordered breathing in patients with systemic sclerosis
Authors: Çakır Edis Ebru , Mutlucan Eraslan Renginar , Hatipoğlu Osman 
Published: May 2021

Objectives: This study aims to evaluate polysomnography findings and risk factors for sleep-disordered breathing in patients with systemic sclerosis (SSc).
Patients and methods: Thirty-nine patients (2 males, 37 females; mean age: 51.1±12.5 years; range, 21 to 76 years) who attended to the Rheumatology Clinic of Trakya University Medical Faculty between March 2014 and May 2014 were included in the study. Thoracic computed tomography, pulmonary function tests, carbon monoxide diffusion tests, echocardiography, and all-night polysomnography in a sleep laboratory were performed in all patients. Demographic and clinical characteristics of the patients were recorded. The Apnea-Hypopnea Index (AHI) scores were calculated. Disease activity was examined using the Medsger Disease Severity Scale (MDSS). Possible risk factors for sleep-disordered breathing were evaluated.
Results: Using the AHI of ≥5 for obstructive sleep apnea (OSA), 21 (53.8%) of the patients were classified as having OSA. There were no significant differences between the groups with and without OSA in terms of steroid use (p=0.4), CT involvement (p=0.3), and Warrick (p=0.6) and MDSS scores (p=0.5). Age, body mass index (BMI), and mean oxygen desaturation index were found to be significant in the univariate analysis (p<0.1); however, the multivariate analysis revealed only BMI as significant risk factor of OSA (p=0.028). In the multivariate analysis, the mean saturation was found to be significant risk factor for high pulmonary artery pressure (p<0.001).
Conclusion: Although OSA is common in SSc, only increased BMI is a significant risk factor of OSA, but not lung involvement, Warrick scores, or MDSS scores.
The Effect of Turbo Cyclone Installation on 4 Stroke Motor Cycle on Fuel Consumption and Exhaust Emissions
Authors: Huda Syahrul , Purwanto Wawan , Wisesa Budi Utomo 
Published: May 2021

This research examines the effect of installing a Turbo Cyclone on a 4 stroke gasoline engine on fuel consumption and exhaust emissions. This research is a quantitative study using experimental research methods. The 4 stroke petrol engine used is the Yamaha Jupiter MX 135 cc. The data were processed in several stages of analysis using the mean formula, fuel consumption, the percentage formula, and comparing the results of data analysis from each treatment. From the results of data analysis, it was found that the installation of the Turbo Cyclone had an effect on fuel consumption and exhaust emissions from the 4 stroke engine. The best effect is obtained from the installation of the Turbo Cyclone after the carburetor, fuel consumption shows a decrease of up to 8%, exhaust emissions show a decrease in HC levels by 9% and an increase in CO2 levels by 1%.
Penelitian ini mambahas pengaruh pemasangan Turbo Cyclone pada mesin bensin 4 Tak terhadap konsumsi bahan bakar dan emisi gas buang. Penelitian ini merupakan penelitian kuantitatif dengan metode penelitian eksperimen. Mesin bensin 4 Tak yang digunakan adalah Yamaha Jupiter MX 135 cc. Data diolah dengan beberapa tahapan analisis menggunakan rumus mean, konsumsi bahan bakar, rumus persentase, dan membandingkan hasil analisis data dari masing-masing perlakuan. Dari hasil analisis data didapatkan adanya pengaruh dari pemasangan Turbo Cyclone terhadap konsumsi bahan bakar dan emisi gas buang dari mesin 4 Tak tersebut. Pengaruh yang paling baik didapat dari pemasangan Turbo Cyclone setelah karburator, konsumsi bahan bakar menunjukkan penurunan mencapai 8%, emisi gas buang menunjukkan penurunaan kadar HC sebesar 9% dan peningkatan kadar CO2 sebesar 1%.
Data Acquisition of PV Mini-Grid Voltage and Current using Arduino and PLX-DAQ
Authors: Murfianah Anggi , Krismadinata Krismadinata , Elviralita Yoan 
Published: May 2021

Solar panels are the main equipment for a solar power generation system that functions to convert sunlight energy directly into electrical energy. The solar panel performance monitoring system is designed to be equipped with current and voltage measuring sensors that have been integrated into an Excel Spreadsheet using the PLX-DAQ application program. Arduino Nano based system design and connected to a computer via USB. The advantage of this monitoring system is that measurement results from sensors can be processed directly and displayed in the form of data and graphics in real time conditions. This makes it easy for data processing.
Panel surya adalah peralatan utama sistem pembangkit listrik tenaga surya yang berfungsi untuk mengkonversikan energi cahaya matahari menjadi energi listrik secara langsung. Untuk memenuhi keperluan pemantauan output panel surya, sistem pemantauan (monitoring) kinerja panel surya dirancang dilengkapi dengan sensor pengukur arus dan tegangan yang diintegrasikan ke Spreadsheet Excel menggunakan program aplikasi PLX-DAQ. Perancangan sistem berbasis Arduino nano dan dihubungkan ke komputer melalui USB. Kelebihan dari sistem pemantauan ini adalah hasil pengukuran dari sensor dapat diproses secara langsung dan ditampilkan dalam bentuk data dan grafik pada kondisi real time. Hal ini memberikan kemudahan untuk pengolahan data.
O comportamento do recém-nascido internado na uti neonatal quando exposto aos sons intrauterinos
Authors: Cachambú Paula G. , Denti Irany Achiles , Ferrão Luana , Manfredini Cibele Sandri 
Published: May 2021

O útero materno permite ao feto repouso e sono profundo, sendo que imerso nesta estrutura, o feto já registra algumas experiências, as quais permitem que tenham lembranças deste período após o nascimento. O objetivo do estudo foi descrever o comportamento do recém-nascido, internado Unidade de Terapia Intensiva Neonatal (UTIN), quando exposto ao som uterino. Trata-se de um estudo quase-experimental, com 7 Recém-Nascidos (RNs) de 29 a 38 semanas, internados nesta unidade, no período de setembro a outubro de 2019. Os participantes foram expostos ao som uterino por 15 minutos ininterruptos dentro da incubadora, com Leq abaixo de 60,0 dBA. Como elementos do estudo foram avaliadas a Frequência Respiratória, Frequência Cardíaca, Saturação de Oxigênio. Também foi utilizado a escala da dor no recém-nascido e no lactente - Neonatal Infant Pain Scale (NIPS), além da avaliação dos estados de sono e vigília adaptada de Brazelton, antes e após a exposição do som uterino. Resultados: Identificou-se que após a exposição ao som uterino os RNs apresentaram redução da Frequência Respiratória (FR) e Frequência Cardíaca (FC). A escala da dor apresentou significância estatística p<0,05 e a avaliação dos estados de sono e vigília apresentou significância estatística de p<0,01 a p<0,05 após a exposição do som uterino. Conclusão: a exposição do som uterino mostrou eficácia para mitigar o controle da dor e melhorou os períodos da vigília e do sono dos RNs.
Le consistoire et les femmes, les femmes et le consistoire
Authors: Krumenacker Yves , Recous Noémie 
Published: May 2021

Les études historiques sur les consistoires ont été nombreuses, surtout depuis les années 1980 ; leur rôle dans le contrôle social, leur fonctionnement ont été au cœur des recherches. La question du rapport entre les femmes et le protestantisme a également été beaucoup travaillée, sans que l’alternative entre émancipation des femmes ou renforcement du patriarcat à la suite de la Réforme ait vraiment été tranchée ; mais ces études portent peu sur la France, et elles négligent les femmes d’humble condition. Mais le croisement entre ces deux historiographies est plus récent et est encore assez peu pratiqué en dehors du monde anglo-saxon, alors qu’étudier les consistoires dans une perspective de genre permet à la fois de mieux en comprendre le fonctionnement et d’étudier la place des femmes dans les communautés réformées. C’est ce que cet article veut montrer à partir de l’exemple des consistoires de Bourgogne. On voit que les femmes, au cœur d’une entreprise réformatrice de régulation des mœurs, savent quelquefois jouer des exigences morales pour faire condamner des hommes ou imposer un certain type de comportement.
ÖZGÜL ÖĞRENME GÜÇLÜĞÜ OLAN ÖĞRENCİLERİN GÖZÜYLE SOSYAL BİLGİLER DERSİ VE SOSYAL BİLGİLER ÖĞRETMENİ: KÖY OKULU ETNOGRAFİSİ
Authors: TAVACI Fitnat 
Published: May 2021

Bu çalışma köy ortaokulunda okuyan ve özgül öğrenme güçlüğü olan öğrencilerin Sosyal Bilgiler dersine ve öğretmenine yönelik görüşlerini incelemeyi amaç edinmektedir. Araştırmada nitel araştırma yöntemlerinden etnografi deseni kullanılmıştır. Çalışma grubunu 2020-2021 eğitim-öğretim yılında Nevşehir ili Acıgöl ilçesine bağlı köyde bulunan bir devlet ortaokulunda öğrenim gören 8 ortaokul öğrencisi oluşturmaktadır. Örneklem seçiminde maksimum çeşitlilik örneklemesi kullanılmıştır. Ortaokulda farklı sınıf seviyelerinden özgül öğrenme güçlüğü yaşayan 4 kız ve 4 erkek öğrenci belirlenmiştir. Veriler odak grup görüşmesi tekniği ile toplanmıştır. Odak grup görüşmesi sırasında öğrencilere önceden belirlenen 6 açık uçlu soru sorulmuştur. Araştırmanın verileri nitel veri analiz yaklaşımlarından içerik analizi yaklaşımına göre analiz edilmiştir. Doğrudan alıntılara da sık sık yer verilmiştir. Araştırmanın sonucunda öğrencilerin Sosyal Bilgiler dersini tarih ve hayata dair bilgilerin verildiği bir ders olarak gördükleri, en fazla ilgi duydukları konuların vatandaşlık bilgileri ve tarih konuları olduğu, Sosyal Bilgiler öğretmenlerinin kendisiyle barışık olması, çevresine örnek olması gibi mesleki becerilerden çok kişilik özelliklerine değer verildiği sonuçlarına ulaşılmıştır. Araştırmanın sonuçları, öğretmenlerin uygulamalarının öğrencilerin müfredata ilişkin algılarında belirleyici faktör haline geldiğini göstermektedir.
Modelo ARIMA sobre el consumo de agua de uso poblacional en la ciudad de Tacna.
Authors: Limache Sandoval Elmer Marcial 
Published: May 2021

El objetivo fue construir un modelo de pronóstico de series de tiempo en base a patrones y variables endógenas del consumo del agua potable y adicionalmente determinar la tendencia, estacionalidad, los patrones cíclicos y las características del agua que se consume en la ciudad de Tacna para la obtención de pronósticos.
La investigación fue no experimental, correlacional y longitudinal, con información de periodicidad mensual entre enero de 2006 hasta marzo de 2018 registrada mediante análisis documental. La unidad de análisis fueron las unidades económicas de la ciudad de Tacna con servicio de agua potable conectado a la red pública y consumo mensual como variable de interés. La población corresponde a una serie finita de datos mensuales de tamaño N=383 meses. La muestra estuvo constituida por 139 observaciones entre enero 2006-julio 2017 con los que se ha construido el modelo ARIMA en base a la metodología Box-Jenkins y extendida hasta marzo de 2018, para la validación del modelo.
La conclusión principal es la obtención del modelo de pronóstico para el consumo de agua de uso poblacional en la ciudad de Tacna ARIMA (0,1,1)(0,1,1)12 con intercepto y cuya formulación matemática empírica es:
(LnX) ̂_t=0,000415+0,590a_(t-1)+0,899a_(t-12)
con patrones de tendencia y estacionalidad.
Para hoy y para el futuro: el proyecto yo también estuve. Cuando la memoria se hace presente.
Authors: Orellana Román Ximena Andrea , Rivera Moreno Mirtha Andrea , Aranda Pericó Marcel Lorenzo , Lizama Muñoz Marilyn Alejandra 
Published: May 2021

En el presente artículo se sistematiza el ejercicio de construcción de memoria del presente, como una práctica de subjetivación exitosa impulsada por el proyecto “Yo también estuve”, que se centra – desde noviembre de 2019- en la recopilación, registro, resguardo y divulgación de relatos de la rebelión que se inicia en Chile en octubre de 2019. Dicha experiencia se promueve a la luz del deseo de reconocer la diversidad de voces de actores participantes en acciones de manifestación y protesta que traspasan las fronteras del ámbito privado para ocupar el espacio público. El ejercicio analítico que se consigna tiene como propósito dar cuenta del proceso realizado, los mecanismos de funcionamiento y colaboración incentivados por el proyecto; los métodos de análisis diseñados para la sistematización de la información y, asimismo, proponer algunos puntos de debate en torno a los procesos de subjetivación individual y colectivos, con el fin de dejar un rastro en la memoria y en la historia de estas vivencias de lucha