bluuebunny/crossref_metadata_2025_split huggingface dataset:
MATERNAL AND PERINATAL OUTCOMES OF EARLY TRIMESTER BLEEDING
Authors: PERVAIZ KF , QAZI Q , SHAHEER KM , KHAN N , KHAN H , WAHAB S , SHEHBAZ N 
Published: October 2024

Bleeding per vagina is one of the most everyday presentations in the first trimester, with an incidence of 15- 25%. These pregnancies end up in pregnancy loss and multiple poor feto-maternal outcomes requiring early registration and treatment. Objectives: To evaluate for maternal perinatal outcomes in normal intrauterine pregnancies complicated by first-trimester vaginal bleeding Methods: This cohort study was conducted at the Gynecology and Obstetrics department of Lady Reading Hospital Peshawar from January 2024 till the required sample size is obtained in May 2024. Data were collected from 195 pregnant females. Women were divided into two groups. All pregnant women with singleton pregnancy and with or without vaginal bleeding during the first trimester, defined as up to the first 12 weeks of pregnancy, both delivering at our institute, were selected. Results: Miscarriage rates were notably higher in the exposed group (20.4% vs. 10.3%, OR 3.5, p=0.02), as were preterm births (22.4% vs. 15.5%, OR 2.8, p=0.01) and placental complications (12.2% vs. 5.2%, OR 4.2, p=0.03). The exposed group also had higher rates of postpartum hemorrhage (14.3% vs. 10.3%, OR 2.2, p=0.01), though cesarean section rates were similar between groups (30.6% vs. 30.9%, OR 2.0, p=0.15). Conclusion: It is concluded that early trimester bleeding is associated with an increased risk of adverse maternal and perinatal outcomes, including miscarriage, preterm birth, placental complications, and low birth weight.
Analisa Kualitas Pelayanan Terhadap Kepuasan Konsumen Menggunakan Metode Servqual di Restoran Geprek Kak Rose Malang
Authors: Gantur Albertus , Mushollaeni Wahyu , Tantalu Lorine 
Published: October 2024

Restoran adalah usaha bisnis yang menyediakan makanan dan minuman untuk di jual kepada pelanggan. Kata restoran mencakup serangkaian operasi jasa makanan. Istilah ini berasal dari kata perancis" Restauran yang berarti restor of energy" Atau pemulihan tenaga. Kualitas layanan adalah perbedaan keseluruhan antara harapan konsumen dan persepsi konsumen tentang pengalaman pelayanan. Kepuasan konsumen merupakan perasaan senang atau kecewa dari seseorang konsumen yang dihasilkan dari kinerja produk dengan harapan yang diinginkan oleh konsumen. Populasi yang digunakan dalam penelitian ini yaitu semua konsumen yang pernah mengunjungi geprek kak rose.Teknik yang digunakan dalam menentukan sampel yaitu Non Probabilistic Sampling dengan metode Accidental Sampling Responden dianalisis berdasarkan jenis kelamin, pekerjaan, pendapatan, intensitas kedatangan, biaya sekali makan, informasi geprek kak rose dan tujuan berkunjung. Responden dianalisis berdasarkan jenis kelamin, pekerjaan, pendapatan, intensitas kedatangan, biaya sekali makan, informasi geprek kak rose dan tujuan berkunjung.
Feto-Maternal Complications of Anticoagulant Use Before and After Childbirth
Authors: Khan Shafia , Parveen Rabia , Faryal Sheeba , Memon Mubeen Ahmed , Liaquat Farah , Khan Urooj Jahan , Kumar Purneet 
Published: October 2024

Anticoagulants prevent blood clotting, but their use in pregnancy poses challenges due to bleeding risks, particularly during delivery and postpartum. Objectives: To evaluate the maternal and fetal complications associated with anticoagulant use before and after childbirth, considering the safety and effectiveness of low molecular weight heparin and Warfarin. Methods: A cohort study was conducted at the Tertiary Care Hospital of Sindh, from August 2022 to July 2023. 266 pregnant women were chosen via consecutive sampling. Pregnant women with a gestational age of > 12 weeks, aged 18-35 years probably taking anti-coagulation therapy during pregnancy and puerperium were included in the study. While women suffering from any major systemic illness and women taking any other potential teratogenic drugs were excluded. Results: Maternal complications occurred in 53% of participants, with postpartum hemorrhage being the most frequent (19.9%), significantly higher in the low molecular weight heparin group (p<0.05). Pre-eclampsia affected 10.5% of participants, predominantly in low molecular weight heparin users (p=0.028). Fetal complications were reported in 59.3% of cases, with intrauterine growth restriction (13.5%) and premature birth (18.0%) being the most common. Stillbirths were more frequent among Warfarin users. Neonatal intensive care admission was required for 11.3% of infants, with low molecular weight heparin exposure showing the highest incidence. Conclusions: It was concluded that low molecular weight heparin was with poor maternal outcomes such as postpartum hemorrhage, wound hematoma, deep vein thrombosis, and pre-eclampsia, while fetal complications included intrauterine growth restriction, stillbirth, premature birth and low birth weight.
Study of germination of collection samples of wild flora of Astana botanical garden
Authors: Baibossynova S. M. , Mukhtubayeva S. K. , Khalymbetova A. E. , Zhumagul M. Zh. 
Published: October 2024

The present study is devoted to the main tasks of seed bank laboratories, among which the formation, study and conservation of seed collections of both natural and introduced flora of Central and Northern Kazakhstan are emphasized. This work emphasizes the importance of maintaining optimal conditions for seed collection in these regions, which is a key aspect for successful seed management, conservation and restoration of plant communities. Expedition trips, conducted annually between July and September, are synchronized with the growing seasons of the plants and take into account weather conditions that directly affect the efficiency of seed collection.During such visits, 56 forms of wild flora were collected, mainly on the territory of the Kokchetavskaya Upland, Central-Kazakhstan shallow meadow and Akmola region, including Shortanda district, as well as in the unique ecosystems of SNPP “Burabai” and the vicinity of Makinki village. The collected genetic material plays a key role in biodiversity conservation and can be used for further scientific research as well as for practical needs related to ecosystem restoration.As part of this work, a laboratory study was also conducted to investigate the viability of the selected seeds. The results of the study will help to further understand the characteristics and factors that determine the viability of seeds of different forms, which is crucial for their subsequent use in botanical collections. This study emphasizes the relevance of the selected topic, as well as the importance of conservation and management of seed resources in conditions of ecological vulnerability, which is of significant importance for sustainable environmental protection and conservation of plant diversity in Central and Northern Kazakhstan.
EDUCAÇÃO EM ÁREAS DE ASSENTAMENTOS MST/ES: DESAFIOS À EDUCAÇÃO ESPECIAL
Authors: Silva Gildete Rosa da , Nunes Isabel Matos 
Published: October 2024

Objetiva compreender a educação especial na interface com a educação do campo, buscando identificar os desafios e as possibilidades para a garantia do acesso e continuidade da escolarização dos educandos e educandas públicos da Educação Especial que residem nos assentamentos de Reforma agrária MST-ES. A partir de contribuições do Movimento Sem Terra e de pesquisas no ambito da educação enquanto direito articulada com a educação especial, buscamos evidenciar as pesquisas realizadas no estado do ES que discutem a educação no/do MST na perspectiva da garantia do direito, tendo em vista a luta pela terra, a Reforma Agrária e a transformação social. Nesse contexto destacamos documentos que serão analisados, tais como: Politica Nacional de Educação Especial na perspectiva da educação inclusiva (Brasil, 2008), Diretrizes da Educação do Campo (Brasil, 2002), Diretrizes Estaduais de Educação e Orientações da SEDU para a Educação Especial e produções do MST; estabelecendo interlocuções com o pensamento de Freire, Ponzo, Caldart e França. Diante do conjunto das produções estudadas identificamos como principal desafio a garantia de políticas vigentes da educação especial em sua totalidade. Ainda assim, percebe-se que após muitas mobilizações ao longo dos 38 anos da educação do MST/ES as escolas de Assentamentos tem sinalizado, ainda que de forma gradativa, a possibilidade de forjar o acesso a essas políticas públicas tendo como pano de fundo a Educação Especial.
EDUCAÇÃO PATRIMONIAL E ENSINO DE HISTÓRIA: REGISTRANDO SABERES E PRÁTICAS NA EDUCAÇÃO BÁSICA.
Authors: Muniz Pontes Barbara Maria , Lapsky Igor 
Published: October 2024

O propósito deste artigo é apresentar possibilidades da Educação para o patrimônio no Ensino de História, por meio de práticas pedagógicas, tendo como objeto de pesquisa o Centro Histórico de Olinda/PE. Para isso, serão abordados os conceitos de Patrimônio, Educação Patrimonial e sua relação com o Ensino de História. A proposta versa sobre as potencialidades educacionais que se instauram com o estudo dos patrimônios culturais através da educação patrimonial. O artigo está estruturado em seções: na primeira procura-se dialogar brevemente sobre os fundamentos do Patrimônio e da Educação Patrimonial. Na segunda seção, discutem-se as possibilidades metodológicas desses temas nas aulas de História dos anos finais do Ensino Fundamental. Por fim, serão apresentados relatos de duas práticas didático-históricas, desenvolvidas com enfoque na aprendizagem. As atividades realizadas foram atreladas às concepções da história local, dialogando sobre os bens culturais da cidade.
Monitoring and assessing of sustainable development in the urban area of Ouagadougou based on SDG 11.3.1 indicator and the city biodiversity index
Authors: Combary Youmanli Enok Ferdinand , Zemo Marie Anita Temgoua , Hemchi Hassane Mahamat , Atchrimi Bernard Tossou 
Published: October 2024

Urban growth can induce changes in the use and transformation of urban land. In the context of rapid urbanization, monitoring key indicators of sustainable development is essential. The aim of this study was to monitor and assess the level of sustainable development in the city of Ouagadougou between 2002 and 2022, based on global indicators such as Sustainable Development Goal 11.3.1 indicator and the Singapore City Biodiversity Index. A remote sensing and Geographic Information System approach was used to acquire and analyze open-source geospatial data. The results show an increasing inefficiency in land use, with excessive consumption to population growth until 2013. Between 2013 and 2022, this trend declined, but urban biodiversity nevertheless decreased significantly, with a 40% loss of natural areas between 2002 and 2022. Fragmentation of natural areas, due to infrastructure development, has amplified this degradation, posing ecological risks to the city. This study underlines the importance of strengthening the ecological connectivity of urban spaces to improve their sustainability and resilience. It also recommends reorienting urban strategies by integrating nature-based solutions and placing biodiversity preservation at the heart of sustainable urban development policies.
Integração currículo e tecnologias e a produção de narrativas digitais
Authors: Fim Luciana Carvalho dos Reis , Souza Carlos Antonio de , Araújo Cristiane de Oliveira , Silva Lílian Cristina Azevedo dos Santos , Matavelli Vanessa Ferreira Seabra 
Published: October 2024

Este estudo investigou como a integração curricular das tecnologias, com foco na produção de narrativas digitais, impactou o processo de ensino-aprendizagem. O objetivo geral foi analisar a contribuição das narrativas digitais para a inovação das práticas pedagógicas e para o desenvolvimento de competências essenciais nos estudantes. A metodologia utilizada foi uma revisão bibliográfica, com análise de artigos científicos, livros e publicações especializadas que argumentam a integração de tecnologias no currículo escolar. Os resultados indicaram que a utilização de narrativas digitais contribuiu para o desenvolvimento de competências digitais, pensamento crítico, criatividade e maior engajamento dos alunos. No entanto, foram identificados desafios significativos, como a resistência dos professores e a falta de infraestrutura adequada nas escolas. As considerações finais sugeriram que, apesar do potencial das narrativas digitais, a sua implementação eficaz depende de um planejamento, investimento na formação docente e melhorias na infraestrutura tecnológica das escolas. O estudo concluiu que as tecnologias e as narrativas digitais podem transformar a prática pedagógica, mas é necessário superar os desafios existentes para maximizar os benefícios dessas ferramentas educacionais.
Proposal of Competencies in Telehealth: A Mixed-Methods Study in the Biobío Region, Chile
Authors: Hechenleitner-Carvallo Marcela , Ibarra-Peso Jacqueline , Zúñiga-San Martín Carlos , Avendaño-Veloso Angélica , Sepúlveda-Valenzuela Eileen 
Published: October 2024

Introduction: Telehealth has become essential in the delivery of healthcare services, especially during the COVID-19 pandemic. Objective: This study aims to identify the specific competencies needed for the effective implementation of telehealth in Biobío, Chile.Methods: A qualitative and quantitative validation of competencies was conducted. The qualitative phase included a focus group with professionals from various health areas to discuss and refine the competencies. The quantitative phase used the Telehealth Competency and Preparedness Perception Scale (EPPCT), employing a non-probabilistic convenience sampling (n=48) among health professionals in the Biobío region, Chile.Results: The qualitative validation highlighted the importance of system efficiency and waitlist management, confidence, and education in the use of technologies, and continuous training. The quantitative validation identified two main dimensions: "Professional Excellence" and "Remote Clinical Approach," encompassing communication, ethical, legal, and technological aspects.Conclusions: The proposed competencies are suitable for telehealth, emphasizing the need for continuous evaluation and training. An additional quantitative study is recommended to confirm and adjust the model, ensuring that healthcare professionals are prepared to face the challenges of remote care
A Conceptual Framework for the Adoption of Cloud Computing in a Higher Education Institutions
Authors: Alqatan Saleh , Alshirah Mohammad , Bany Baker Mohammad , Khafajeh Hayel , Abuowaida Suhaila 
Published: October 2024

Today, with significant improvements of computing capacities, the world is witnessing significant technological advancements. Cloud computing especially, is increasingly becoming an advantageous tool, in developed countries especially, and these countries have invested substantially in cloud computing systems to enable the implementation of hi-tech advancements in many of their industries. On the other hand, in developing and underdeveloped countries, the adoption of cloud computing is still in the early stages; as can be observed, there has been some form of digital transformation of data systems in these countries. In Jordan, The factors affecting cloud computing adoption among higher education institutions were still underexplored, especially on the issues pertaining to cloud computing adoption. Therefore. Major factors with potential impact on user adoption of cloud computing were hence reviewed in this study. A conceptual framework of cloud computing adoption based on Extended Technology-Organizational-Environmental (TOE) framework by Tornatzky and Fleischer was proposed. The framework includes individual factors as the theoretical base for cloud computing adoption, to provide an inclusive comprehension on the factors that could affect behavioral intention and use of cloud computing.
Efficacy and safety of laparoscopic urethral anastomosis in the repair of congenital urethral stricture in children: a systematic review
Authors: Pilco Pilco Rocio Matilde , Escobar Montezuma Gabriela , Bravo Montes Angelitte Arlette , Chafla Romero María Augusta , Martino Hidalgo Peralvo Sebastián , Ibarra Pesantes Loren Haziel 
Published: October 2024

Introduction: Congenital urethral strictures are rare but significant defects in pediatric urology, causing urinary system abnormalities. These defects are difficult to manage in children due to differences in anatomy and physiology. Laparoscopic urethral anastomosis, a minimally invasive surgery, has become a popular option in pediatric urology.Objective: The research paper was aimed to assess the outcomes of laparoscopic urethral anastomosis in the pediatric patients with congenital urethral strictureMethods: This review article focuses on the effectiveness and safety of laparoscopic urethral anastomosis in pediatric patients. It includes studies focusing on pediatric patients, surgical outcomes, and published in peer-reviewed journals. Exclusions include adult populations, non-academic studies, non-academic methods, lack of adequate outcome data, and non-academic studies. Data integration and statistical evaluation are performed using a systematic review approach.Result: The studies were selected for the analysis, and the results showed that laparoscopic urethral repair is a secure method with positive postoperative results. The subcuticular uninterrupted suturing method exhibited a reduced complication rate compared to full-thickness interrupted stitches in distal hypospadias treatment. Various suturing methods such as close and open reported various complications. Interrupted suturing in the urological surgical procedure showed a tendency for reduced incidence of urethrocutaneous fistula development. The review indicated that urethral surgical intervention showed significant positive consequences.Conclusion: It was concluded that both interrupted and continuous suturing techniques were effective in treating pediatric patients with congenital urethral strictures. However interrupted suturing showed a potential benefit. The study highlighted the need for more large-scale, randomized controlled trials to validate these findings and improve surgical methodologies and postoperative outcomes
Impact of student funds and fellowships on climate change research and human well-being
Authors: Farmani Sophie 
Published: October 2024

Impact of student funds and fellowships on climate change research and human well-being
Sophie Farmani, Assistant Professor, Arts, Communications and Social Sciences Department, at the University Canada West, charts the positive impact of student funds and fellowships on climate change research and human well-being in the Canadian context. With the rising complexity and prevalence of global challenges and their impact on society, it is more crucial than ever for social sciences, alongside technological advancements, to actively get involved in improving human well-being. Among the countries with a focus on research and innovation, Canada’s dedication and contributions to research surrounding climate change are noteworthy.
Identifying potential exercise mimetics that deliver the benefits of exercise
Authors: Wessells Robert 
Published: October 2024

Identifying potential exercise mimetics that deliver the benefits of exercise
Robert Wessells, Associate Professor at Wayne State University, discusses his research on identifying potential exercise mediators or mimetics to deliver the benefits of exercise to less mobile individuals and help reduce the global disease burden. Exercise is an indispensable part of our daily life to maintain a healthy body and brain across ages. Regular exercise has been shown to reduce the incidence of many age-related diseases and preserve healthy function during normal aging, improving quality of life and independence. However, regular exercise remains inaccessible to portions of the population due to injury, illness, advanced age, or job-enforced sedentary periods. Therefore, identifying potential exercise mediators or mimetics that can deliver the benefits of exercise to sedentary people would be potentially transformative in reducing disease burden worldwide.
Breast cancer prevention: Precision medicine and health
Authors: Kristensen Vessela 
Published: October 2024

Breast cancer prevention: Precision medicine and health
Biobank Norway Project experts chart the journey from precision medicine to precision health when it comes to breast cancer prevention. Breast cancer stands as the second most frequently diagnosed cancer worldwide, with a staggering 2.3 million new cases and 685,000 deaths in 2020. (1) It is well established that cancer is a genetic disease occurring as a result of somatic accumulation of mutations in tissues with time and exposure. It is also known that 5-10% of breast cancer cases are caused by germline genetic susceptibility. (2) How these two worlds are interconnected is less studied and understood.
Protecting cancer survivors across Europe from financial discrimination: The right to be forgotten
Authors: Lawler Mark , Meunier Francoise 
Published: October 2024

Protecting cancer survivors across Europe from financial discrimination: The right to be forgotten
Mark Lawler and Françoise Meunier highlight the financial discrimination that many cancer survivors face despite being cured of their disease and propose a data-informed legal solution so that cancer patients are not punished for a previous cancer diagnosis. Imagine the scenario – the doctor says you have cancer. You face one of the biggest challenges of your life. But you are one of the lucky ones. Your cancer responds to the treatment. Five years post-treatment, the doctor says that you are cured. You have beaten cancer. But there is a sting in the tail: When you go to get a mortgage for that little cottage by the sea that you always wanted, you find that you have to reveal your previous cancer diagnosis (even though you are now cured) and that this will have a negative impact on you getting a mortgage, securing house and life insurance.
Asbestos disease pathogenesis: The long and short of it
Authors: Pfau Jean C , Serve Kinta 
Published: October 2024

Asbestos disease pathogenesis: The long and short of it
Jean Pfau and Kinta Serve explore a critical and novel hypothesis concerning the size of fibers in asbestos disease pathogenesis. A mineral fiber is defined as having an aspect ratio (length/width) that is greater than three, but the mineral is only considered asbestos if it also has certain commercially-valuable qualities like durability and tensile strength. Only six silicate-based commercial minerals are officially called ‘asbestos’. However, currently, to be counted as asbestos, a fiber also must be long enough to be seen with light microscopy. Why?
Engineering interkingdom communication for next-generation therapeutic approaches
Authors: Contag Christopher H 
Published: October 2024

Engineering interkingdom communication for next-generation therapeutic approaches
Brian Snyder and Christopher H. Contag, from Michigan State University, discuss engineering interkingdom communication, which is not for palace intrigue, but for next-generation therapeutic approaches they argue. Our gut microbiota, once seen as ‘harmless passengers’, is now redefined as a vital symbiotic organ integral to sustaining human life. This microbiome consists of an estimated 1x1014 microbial symbionts. With an approximate 1:1 ratio of human to bacterial cells, it is the largest “organ” in the human body by cell count. Facilitating digestion, nutrient absorption, immune responses, and metabolic function, microbial symbionts are crucial for maintaining human health. Even minor changes in the composition of our microbiome have been implicated in a myriad of diseases, including cancers, metabolic diseases, autoimmune disorders, and neurological conditions (Clemente, Ursell, et al. 2012; Gomaa 2020).