bluuebunny/crossref_metadata_2025_split huggingface dataset:
Megacystis in the first trimester of pregnancy: Prognostic factors and perinatal outcomes
Authors: Lesieur Emmanuelle , Barrois Mathilde , Bourdon Mathilde , Blanc Julie , Loeuillet Laurence , Delteil Clémence , Torrents Julia , Bretelle Florence , Grangé Gilles , Tsatsaris Vassilis , Anselem Olivia 
Published: September 2021

ObjectiveTo determine whether bladder size is associated with an unfavorable neonatal outcome, in the case of first-trimester megacystis.Materials and methodsThis was a retrospective observational study between 2009 and 2019 in two prenatal diagnosis centers. The inclusion criterion was an enlarged bladder (> 7 mm) diagnosed at the first ultrasound exam between 11 and 13+6weeks of gestation. The main study endpoint was neonatal outcome based on bladder size. An adverse outcome was defined by the completion of a medical termination of pregnancy, the occurrence of in utero fetal death, or a neonatal death. Neonatal survival was considered as a favorable outcome and was defined by a live birth, with or without normal renal function, and with a normal karyotype.ResultsAmong 75 cases of first-trimester megacystis referred to prenatal diagnosis centers and included, there were 63 (84%) adverse outcomes and 12 (16%) live births. Fetuses with a bladder diameter of less than 12.5 mm may have a favorable outcome, with or without urological problems, with a high sensitivity (83.3%) and specificity (87.3%), area under the ROC curve = 0.93, 95% CI (0.86–0.99), p< 0.001. Fetal autopsy was performed in 52 (82.5%) cases of adverse outcome. In the 12 cases of favorable outcome, pediatric follow-up was normal and non-pathological in 8 (66.7%).ConclusionBladder diameter appears to be a predictive marker for neonatal outcome. Fetuses with smaller megacystis (7–10 mm) have a significantly higher chance of progressing to a favorable outcome. Urethral stenosis and atresia are the main diagnoses made when first-trimester megacystis is observed. Karyotyping is important regardless of bladder diameter.
Health knowledge, health behaviors and attitudes during pandemic emergencies: A systematic review
Authors: Rincón Uribe Fabio Alexis , Godinho Rejane Célia de Souza , Machado Marcos Antonio Santos , Oliveira Kleber Roberto da Silva Gonçalves , Neira Espejo Cristian Ariel , de Sousa Natalia Carvalho Vianna , de Sousa Leonardo Lucas , Barbalho Marcos Vinicius Monteiro , Piani Pedro Paulo Freire , Pedroso Janari da Silva 
Published: September 2021

Background
People with good health knowledge present a conceptual and objective appropriation of general and specific health topics, increasing their probability to express health protection and prevention measures. The main objective of this study was to conduct a rapid systematic review about the effects of health knowledge on the adoption of health behaviors and attitudes in populations under pandemic emergencies.

Methods
A systematic review was performed according to PRISMA checklist and the Cochrane method for rapid systematic reviews. Studies searches were performed in APA PsycNet, Embase, Cochrane Library and PubMed Central. Studies published between January 2009 and June 2020 and whose primary results reported a measure of interaction between health knowledge, health attitudes and behaviors in population groups during pandemics were included. A review protocol was recorded in PROSPERO (CRD42020183347).

Results
Out of a total of 5791 studies identified in the databases, 13 met the inclusion criteria. The included studies contain a population of 26099 adults, grouped into cohorts of health workers, university students, clinical patients, and the general population. Health knowledge has an important influence on the adoption of health behaviors and attitudes in pandemic contexts.

Conclusions
The consolidation of these preventive measures favors the consolidation of public rapid responses to infection outbreaks. Findings of this review indicate that health knowledge notably favors adoption of health behaviors and practices. Therefore, health knowledge based on clear and objective information would help them understand and adopt rapid responses to face a pandemic.
A multivariate statistical evaluation of actual use of electronic health record systems implementations in Kenya
Authors: Ngugi Philomena , Babic Ankica , Were Martin C. 
Published: September 2021

Background
Health facilities in developing countries are increasingly adopting Electronic Health Records systems (EHRs) to support healthcare processes. However, only limited studies are available that assess the actual use of the EHRs once adopted in these settings. We assessed the state of the 376 KenyaEMR system (national EHRs) implementations in healthcare facilities offering HIV services in Kenya.

Methods
The study focused on seven EHRs use indicators. Six of the seven indicators were programmed and packaged into a query script for execution within each KenyaEMR system (KeEMRs) implementation to collect monthly server-log data for each indicator for the period 2012–2019. The indicators included: Staff system use, observations (clinical data volume), data exchange, standardized terminologies, patient identification, and automatic reports. The seventh indicator (EHR variable Completeness) was derived from routine data quality report within the EHRs. Data were analysed using descriptive statistics, and multiple linear regression analysis was used to examine how individual facility characteristics affected the use of the system.

Results
213 facilities spanning 19 counties participated in the study. The mean number of authorized users who actively used the KeEMRs was 18.1% (SD = 13.1%, p<0.001) across the facilities. On average, the volume of clinical data (observations) captured in the EHRs was 3363 (SD = 4259). Only a few facilities(14.1%) had health data exchange capability. 97.6% of EHRs concept dictionary terms mapped to standardized terminologies such as CIEL. Within the facility EHRs, only 50.5% (SD = 35.4%, p< 0.001) of patients had the nationally-endorsed patient identifier number recorded. Multiple regression analysis indicated the need for improvement on the mode of EHRs use of implementation.

Conclusion
The standard EHRs use indicators can effectively measure EHRs use and consequently determine success of the EHRs implementations. The results suggest that most of the EHRs use areas assessed need improvement, especially in relation to active usage of the system and data exchange readiness.
Under-five mortality and associated factors in southeastern Ethiopia
Authors: Kitila Firaol Lemessa , Petros Rahel Milkias , Jima Gebi Hussein , Desalegn Tewodros , Sorsa Abebe , Massey Isaac Yaw , Zhang Chengcheng , Yang Fei 
Published: September 2021

Background
In the year 2019, around 5 million children under age five died and most of the deaths happened in developing countries. Though large numbers of deaths are reported in such countries, limited availability of data poses a substantial challenge on generating reliable estimates. Hence, this study aims to assess the prevalence and factors associated with under-five mortality in southeastern Ethiopia.

Methods
A register based cross sectional study was conducted from 1st September 2014 to July 2019 in Asella teaching and referral hospital. A total of 4901 under-five age children registered on the admission and discharge book of pediatric ward with complete information were included for the analysis. Data entry and analysis were conducted using Epidata Version 7 and SPSS version 21, respectively. Descriptive statistics were used to explore the characteristics of the study participants and their condition at discharge. Adjusted Odds Ratio (AOR) with its 95% Confidence interval and P-value less than 5% was used to decide the statistically significant association.

Results
The prevalence of under-five mortality among admitted children in Asella Teaching and Referral hospital was 8.7% (95% CI 7.91–9.50%). Post-Neonatal and Child mortality were found to be 9.1% and 8.18%, respectively. Moreover, large numbers of death (45.2%) were seen within the first 2 days of admission. Address (AOR:1.4(1.08–1.81)), HIV status (AOR:4.64 (2.19–9.8)), severe acute malnutrition (AOR:2.82 (2.03–3.91)), hypovolemic shock (AOR:4.32 (2.31–8.1)), type I diabetes with DKA (AOR:3.53(1.34–9.29) and length of stay in the hospital for ≤2 days (AOR: 4.28 (3.09–5.95)) as well as 3–4 days (AOR: 1.48 (1.02–2.15)) were among the identified predictors.

Conclusions
Though childhood mortality is swiftly decreasing, and access and utilization of health care is improving in Ethiopia, our study found large prevalence of under-five mortality, 8.7% and higher number of deaths in early days of admission. Improving the quality of service has a paramount importance in reducing the mortality and managing associated factors contributing to under-five mortality among admitted children.
Conflict driven displacement and child health: Evidence based on mother’s nationality from Jordan Population and Family Health Survey
Authors: Malik Manzoor Ahmad , Akhtar Saddaf Naaz , Albsoul Rania Ali , Alshyyab Muhammad Ahmed 
Published: September 2021

IntroductionArmed conflicts result in greater vulnerability and socioeconomic inequality of populations besides risking their health and well-being. Conflict intensifies the health needs and risks the life and well-being of individuals at large through displacement. Therefore, our study aims to apprise the interventions to which children under-five living in Jordan are especially at risk for acute respiratory infections, diarrhea, and fever in the conflict circumstances.Materials and methodsSecondary data analysis is used in the present study. We used a weighted sample of around 9650 children from Jordan Population and Family Health Survey (JPFHS), 2017–18. Bivariate analysis including prevalence rates were used to examine the distribution of socio-demographic characteristics of children. The study has also used multinomial logistic regression model, in order to evaluate the variations in the probability of nationality of under-five children living in Jordan.Results“Syrian nationalist” children have a higher relative risk of ARI (RRR = 1.19, [1.08, 1.32]), and “Other-nationalist” children have two times greater risk of ARI compared to “Jordanian children.” The relative risk of diarrhea is lower among “Syrian nationalist” and “Other-nationalist” children compared to “Jordanian children.” Children belong “Other-nationalist” are found to be less relative risk of fever (RRR = 0.9, [0.80, 1.01]) than “Jordanian children.”ConclusionsOur study concludes that conflict-driven displacement has an immediate effect on child health through access, availability, and affordability of health care services, resulting in more significant health care risks. However, sufficient investment is required to address such adversities that affect the health care system due to uneven demand as experienced by the Jordanian health care system. Thus, collaborative efforts through global partners can play a significant role in the countries facing the challenges of managing these health care emergencies.
Arctic Cinemas and the Documentary Ethos, Lilya Kaganovsky, Scott MacKenzie and Anna Westerstahl Stenport (eds) (2019)
Authors: Maclennan Ruth 
Published: September 2021

Review of: Arctic Cinemas and the Documentary Ethos, Lilya Kaganovsky, Scott MacKenzie and Anna Westerstahl Stenport (eds) (2019)
Bloomington, IN: Indiana University Press, 384 pp.,
ISBN 978-0-25304-029-9, h/bk, $85.00
ISBN 978-0-25304-030-5, p/bk, $36.00
Duty cycle and radiation estimates using maximum load transfer point for optimization of a 100KVA photovoltaic system
Authors: Terán Rodríguez Sergio Alejandro , Rojas Caicedo Franklin Jonathan , Inga Ortega Esteban Mauricio 
Published: September 2021

In this document, the variation of temperature and radiation in a 100 kW photovoltaic assembly is connected to a 25 kV network through a DC-DC booster converter and a three-phase three-phase voltage source converter (VSC). Maximum power point tracking (MPPT) is implemented in the elevator converter using a Simulink® model that uses the technique of 'Incremental Conductance + Integral Regulator'.
The switching duty cycle is optimized by an MPPT controller that uses the technique of 'Incremental Conductance + Integral Regulator'. This MPPT system automatically modifies the duty cycle to generate the voltage required to extract the maximum power.
Mobile application for the detection of black Sigatoka
Authors: Tovar-Martínez Yurley Tatiana , Bejarano-Martínez Arley , Calvo-Salcedo Andrés Felipe 
Published: September 2021

Black Sigatoka is one of the main problems that affect the quality and production of the banana crop, it´s because of this, the development of systems to detect diseases, generate an important tool for the monitoring and control carried out by the farmer. The proposed system leverages hardware on mobile devices to implement computer vision techniques to determine the percentage of affected area of the plant.
The smartphone is used to acquire data and capture the disease through images. The detection of diseased pixels is then performed through a segmentation algorithm with histogram analysis. A model for the calculation of the affected area is then computed. Finally, the information is presented through the user interface.
To validate the proposed method, a database is created with images taken by the application to compare it´s efficiency through the RMS error between manual segmentation and the result of the algorithm. Finally, usability and response time tests are performed.
Topography, the primary basis of the reconstruction of a traffic accident
Authors: Rodríguez Ortega Fabio Nelson 
Published: September 2021

The following document applied to the investigation and reconstruction of traffic accidents, seeks to conceptualize the serious errors that exist in many public and private institutions when considering that the reconstruction of a traffic accident is to determine the vehicle speed, with one or more physical equations or in the worst case, a 2D or 3D animation of an alleged traffic accident dynamics, as well as explain confused concepts and procedures in the field of criminal investigation, specifically in the reconstruction of traffic accidents. Starting from the premise that the reconstruction of a violent in traffic death essentially seeks the identification and clearancing of variables in the investigation, also exposing not very clear concepts regarding the topic of interest; from the above, important errors are determined in the concepts that we have of what is a forensic reconstruction, the hypotheses that are used in the sketch of traffic accidents in Colombia and the great errors that exist in the matter of fixing physical evidence (EF).
Assessing the Role of Sentiment in the Propagation of Fiscal Stimulus
Authors: Jia Bijie , Kim Hyeongwoo , Zhang Shuwei 
Published: September 2021

Abstract
This paper studies the dynamic effects of the fiscal policy shock on private activity using an array of vector autoregressive models for the post-war U.S. data. We are particularly interested in the role of consumer sentiment in the transmission of fiscal stimulus. Our major findings are as follows. Private spending fails to rise persistently in response to government spending shocks, while they exhibit persistent and significant increases when the sentiment shock occurs. Employing not only linear but also nonlinear state-dependent VAR model estimations, we show that the government spending shock generates consumer pessimism in all phases of business cycle resulting in subsequent decreases in private activity, which ultimately weakens the effectiveness of the fiscal policy. Our counterfactual simulation exercises confirm the important role of sentiment in propagating fiscal stimulus to private spending.
DesPat: Smartphone-Based Object Detection for Citizen Science and Urban Surveys
Authors: Getschmann Christopher , Echtler Florian 
Published: September 2021

Abstract
Data acquisition is a central task in research and one of the largest opportunities for citizen science. Especially in urban surveys investigating traffic and people flows, extensive manual labor is required, occasionally augmented by smartphones. We present DesPat, an app designed to turn a wide range of low-cost Android phones into a privacy-respecting camera-based pedestrian tracking tool to automatize data collection. This data can then be used to analyze pedestrian traffic patterns in general, and identify crowd hotspots and bottlenecks, which are particularly relevant in light of the recent COVID-19 pandemic. All image analysis is done locally on the device through a convolutional neural network, thereby avoiding any privacy concerns or legal issues regarding video surveillance. We show example heatmap visualizations from deployments of our prototype in urban areas and compare performance data for a variety of phones to discuss suitability of on-device object detection for our usecase of pedestrian data collection.
Citizen Needs – To Be Considered
Authors: Maas Franzisca , Wolf Sara , Hohm Anna , Hurtienne Jörn 
Published: September 2021

Abstract
In this paper, we argue for and present an empirical study of putting citizens into focus during the early stages of designing tools for civic participation in a mid-sized German town. Drawing on Contextual and Participatory Design, we involved 105 participants by conducting interviews, using Photovoice and participating in a local neighbourhood meeting. Together with citizens, we built an Affinity Diagram, consolidated the data and identified key insights. As a result, we present and discuss different participation identities such as Motivated Activists, Convenience Participants or Companions and a collection of citizen needs for local civic participation, e. g., personal contact is irreplaceable for motivation, trust and mutual understanding, and some citizens preferred to “stumble across” information rather than actively searching for it. We use existing participation tools to demonstrate how individual needs could be addressed. Finally, we apply our insights to an example in our local context. We conclude that if we want to build digital tools that go beyond tokenistic, top-down ways of civic participation and that treat citizens as one homogeneous group, citizens need to be part of the design process right from the start. Supplemental material can be retrieved from https://osf.io/rxd7h/.
Towards Resilient Critical Infrastructures – Motivating Users to Contribute to Smart Grid Resilience
Authors: Egert Rolf , Gerber Nina , Haunschild Jasmin , Kuehn Philipp , Zimmermann Verena 
Published: September 2021

AbstractSmart cities aim at improving efficiency while providing safety and security by merging conventional infrastructures with information and communication technology. One strategy for mitigating hazardous situations and improving the overall resilience of the system is to involve citizens. For instance, smart grids involveprosumers—capable of producing and consuming electricity—who can adjust their electricity profile dynamically (i. e., decrease or increase electricity consumption), or use their local production to supply electricity to the grid. This mitigates the impact of peak consumption periods on the grid and makes it easier for operators to control the grid. This involvement of prosumers is accompanied by numerous socio-technical challenges, including motivating citizens to contribute by adjusting their electricity consumption to the requirements of the energy grid. Towards this end, this work investigates motivational strategies and tools, including nudging, persuasive technologies, and incentives, that can be leveraged to increase the motivation of citizens. We discuss long-term and side effects and ethical and privacy considerations, before portraying bug bounty programs, gamification and apps as technologies and strategies to communicate the motivational strategies to citizens.
Non-canonical word order as a measure of syntactic complexity in advanced L2 German
Authors: Lecouvet Mathieu 
Published: September 2021

AbstractA major issue in SLA research concerns the operationalization of syntactic complexity, in particular the need for fine-grained measures that go beyond the traditional focus on syntactic elaboration. Following recent findings that have demonstrated the potential of syntactic diversity for providing a more detailed picture of how complexity develops across languages and proficiency levels, the present study argues for the use of two types of non-canonical structures, passives and argument inversions, as indices of syntactic complexification in advanced L2 German writing. Based on 75 argumentative texts written by experienced L2 learners of German (B2 to C2 CEFR levels), we addressed the question to what extent learners’ use of non-canonical word order is a hallmark of advanced proficiency compared to measures of syntactic elaboration. The results revealed a considerable increase in the frequency of argument inversions from B2 to C1 and highlighted the interrelationship between diversity and elaboration in learner compositions.
Le cas Napoléon
Authors: Bilate Danilo 
Published: September 2021

Abstract
Napoleon Bonaparte is a veritable “case” for Nietzsche: he does not reduce Napoleon to a single image, but he rather builds up an ambiguous image of Napoleon for years without trying to define a final result. This ongoing construction is due to Nietzsche’s deep admiration for Napoleon that, however great it may be, does not avoid a certain distancing. Defined as the synthesis of Unmensch and Ubermensch, Nietzsche regards Napoleon as an extraordinary human being because of his immorality when he exercised power. It is precisely this extraordinary nature that makes Napoleon a model for understanding the concept of the Ubermensch.
Utopien des Übergangs. Don Quixote und Zarathustra
Authors: Kerger Henry 
Published: September 2021

Abstract
The subject of this article points beyond a purely literary or literary-historical approach. The question is, whether and how a human being is able to change the (social) conditions of their life by changing himself through transition into another form of existence. In order to overcome established (social) conditions and one’s self, it is necessary to begin with a vision, a utopian dream. Those who pursue the utopian dream of overcoming their current (social) conditions must acknowledge their own good and evil, that is, their position vis-a-vis equality and justice, law and morality. The person itself, and its personality, is revealed in the relation between the utopia of changing its current way of life and its social reality. The ultimate question is: what is the essence of humanity, the ecce homo? Both the transition into a new form of being and the utopian dream differ decisively in Don Quixote and Zarathustra. It is not my concern to compare them as literary figures.