bluuebunny/crossref_metadata_2025_split huggingface dataset:
The Role of 25-Hydroxy Vitamin D and Cartilage Oligomeric Matrix Protein (COMP) Serum in Knee Osteoarthritis
Authors: Putra Khoirun Mukhsinin , Radiyati Umi Partan  , Hermansyah  , Saleh Irsan 
Published: June 2024

Background. Osteoarthritis (OA) is a prevalent disease of the musculoskeletal system that affects over 528 million individuals worldwide, with 73% of those diagnosed being aged 55 or older. The knee joint is most commonly affected, along with the hip and hand joints. Vitamin D is essential for maintaining bone and cartilage metabolism. In chondrocytes, the presence of the vitamin D receptor (VDR) regulates the expression of metalloproteinase. The purpose of this investigation is to examine the correlation between vitamin D (25(OH)D) and cartilage oligomeric matrix protein (COMP) serum in knee osteoarthritis.
Methods. The cross-sectional study was conducted by the Rheumatology Division at RSMH Palembang. Patients diagnosed with knee osteoarthritis based on the 1990 ACR criteria were included. The chemoluminescent immunoassay and the Human Cartilage Oligometric Matrix Protein ELISA Reagent were used to measure the levels of vitamin D (25(OH)D) and COMP serum.
Results. Thirty participants took part in this study from July to December 2022. According to this study, 33% had insufficiency and 67% had a deficiency of vitamin D. Spearman's Rho test shows that there is a strong negative correlation between vitamin D (25(OH)D) and COMP serum.
Conclusion. Vitamin D (25(OH)D) and COMP serum levels were significantly correlated in knee osteoathritis.
Prediction of hepatic artery occlusion after liver transplantation by ultrasound characteristics and clinical risk factors
Authors: Lai Yu-Ting , Chen Yi , Fang Tai-Shi , Li Zhi-Yan , Zhao Ning-Bo 
Published: June 2024

BACKGROUND
Hepatic artery occlusion (HAO) after liver transplantation (LT) is a devastating complication, resulting in early graft loss and reduced overall survival. Ultrasound is an established assessment method for HAO in patients following LT, especially those with complex hepatic artery reconstruction.
AIM
To investigate the ultrasound characteristics and analyze the risk factors associated with HAO in patients after LT.
METHODS
We retrospectively analyzed the ultrasound characteristics and the clinic risk factors associated with HAO in 400 adult LT patients who were enrolled and treated at the Third People's Hospital of Shenzhen between November 2016 and July 2022. Fourteen patients diagnosed with acute HAO (A-HAO) by surgery and fifteen diagnosed with chronic HAO (C-HAO) were included. A control group of 33 patients without HAO complications during the same period were randomly selected using a random number table. All patients underwent an ultrasonography examination. Parameters including resistance index (RI), peak systolic velocity (PSV), and portal vein velocity (PVV) were compared across the groups. Additionally, basic clinical data were collected for all patients, including gender, age, primary diagnosis, D-dimer concentration, total operation time, cold ischemia time, hot ischemia time, intraoperative blood loss and transfusion, intraoperative urine volume, infusion, model for end-stage liver disease (MELD) score, and whether complex hepatic artery reconstructions were performed. Furthermore, risk factors influencing HAO formation after LT were analyzed.
RESULTS
Compared to the non-HAO group, PVV and RI were higher in the A-HAO group, while PSV was lower. Conversely, both PSV and RI were lower in the C-HAO group compared to the non-HAO group. The proportion of patients undergoing complex hepatic artery reconstructions and the gamma-glutamyltransferase (GGT) level before occlusion were significantly higher in the A-HAO group compared to the non-HAO group. However, there were no distinct differences between the two groups in D-dimer, MELD score, pre-occlusion alanine transaminase and aspartate transaminase levels, or intraoperative conditions.
CONCLUSION
Ultrasound features of the hepatic artery before occlusion are significantly associated with postoperative HAO development. Additionally, complex hepatic artery reconstructions, defined as revascularization of the graft requiring additional anastomosis between donor hepatic arteries, constitute a risk factor for A-HAO. Besides, abnormal pre-occlusion GGT elevation is an important biochemical indicator. Therefore, ultrasound examination serves as an important tool for screening HAO, especially in patients with the identified risk factors.
Predicting distant metastasis in nasopharyngeal carcinoma using gradient boosting tree model based on detailed magnetic resonance imaging reports
Authors: Zhu Yu-Liang , Deng Xin-Lei , Zhang Xu-Cheng , Tian Li , Cui Chun-Yan , Lei Feng , Xu Gui-Qiong , Li Hao-Jiang , Liu Li-Zhi , Ma Hua-Li 
Published: June 2024

BACKGROUND
Development of distant metastasis (DM) is a major concern during treatment of nasopharyngeal carcinoma (NPC). However, studies have demonstrated improved distant control and survival in patients with advanced NPC with the addition of chemotherapy to concomitant chemoradiotherapy. Therefore, precise prediction of metastasis in patients with NPC is crucial.
AIM
To develop a predictive model for metastasis in NPC using detailed magnetic resonance imaging (MRI) reports.
METHODS
This retrospective study included 792 patients with non-distant metastatic NPC. A total of 469 imaging variables were obtained from detailed MRI reports. Data were stratified and randomly split into training (50%) and testing sets. Gradient boosting tree (GBT) models were built and used to select variables for predicting DM. A full model comprising all variables and a reduced model with the top-five variables were built. Model performance was assessed by area under the curve (AUC).
RESULTS
Among the 792 patients, 94 developed DM during follow-up. The number of metastatic cervical nodes (30.9%), tumor invasion in the posterior half of the nasal cavity (9.7%), two sides of the pharyngeal recess (6.2%), tubal torus (3.3%), and single side of the parapharyngeal space (2.7%) were the top-five contributors for predicting DM, based on their relative importance in GBT models. The testing AUC of the full model was 0.75 (95% confidence interval [CI]: 0.69-0.82). The testing AUC of the reduced model was 0.75 (95%CI: 0.68-0.82). For the whole dataset, the full (AUC = 0.76, 95%CI: 0.72-0.82) and reduced models (AUC = 0.76, 95%CI: 0.71-0.81) outperformed the tumor node-staging system (AUC = 0.67, 95%CI: 0.61-0.73).
CONCLUSION
The GBT model outperformed the tumor node-staging system in predicting metastasis in NPC. The number of metastatic cervical nodes was identified as the principal contributing variable.
Comparison between solid pseudopapillary neoplasms of the pancreas and pancreatic ductal adenocarcinoma with cystic changes using computed tomography
Authors: Ren Shuai , Qian Li-Chao , Lv Xiao-Jing , Cao Ying-Ying , Daniels Marcus J , Wang Zhong-Qiu , Song Li-Na , Tian Ying 
Published: June 2024

BACKGROUND
Solid pseudopapillary neoplasms of the pancreas (SPN) share similar imaging findings with pancreatic ductal adenocarcinoma with cystic changes (PDAC with cystic changes), which may result in unnecessary surgery.
AIM
To investigate the value of computed tomography (CT) in differentiation of SPN from PDAC with cystic changes.
METHODS
This study retrospectively analyzed the clinical and imaging findings of 32 patients diagnosed with SPN and 14 patients diagnosed with PDAC exhibiting cystic changes, confirmed through pathological diagnosis. Quantitative and qualitative analysis was performed, including assessment of age, sex, tumor size, shape, margin, density, enhancement pattern, CT values of tumors, CT contrast enhancement ratios, “floating cloud sign,” calcification, main pancreatic duct dilatation, pancreatic atrophy, and peripancreatic invasion or distal metastasis. Multivariate logistic regression analysis was used to identify relevant features to differentiate between SPN and PDAC with cystic changes, and receiver operating characteristic curves were obtained to evaluate the diagnostic performance of each variable and their combination.
RESULTS
When compared to PDAC with cystic changes, SPN had a lower age (32 years vs 64 years, P < 0.05) and a slightly larger size (5.41 cm vs 3.90 cm, P < 0.05). SPN had a higher frequency of “floating cloud sign” and peripancreatic invasion or distal metastasis than PDAC with cystic changes (both P < 0.05). No significant difference was found with respect to sex, tumor location, shape, margin, density, main pancreatic duct dilatation, calcification, pancreatic atrophy, enhancement pattern, CT values of tumors, or CT contrast enhancement ratios between the two groups (all P > 0.05). The area under the receiver operating characteristic curve of the combination was 0.833 (95% confidence interval: 0.708-0.957) with 78.6% sensitivity, 81.3% specificity, and 80.4% accuracy in differentiation of SPN from PDAC with cystic changes.
CONCLUSION
A larger tumor size, “floating cloud sign,” and peripancreatic invasion or distal metastasis are useful CT imaging features that are more common in SPN and may help discriminate SPN from PDAC with cystic changes.
Renal resistive index measurements by ultrasound in patients with liver cirrhosis: Magnitude and associations with renal dysfunction
Authors: Surya Himanshu , Kumar Ramesh , Priyadarshi Rajeev Nayan , Surya Prakash Sabbu , Kumar Sudhir 
Published: June 2024

BACKGROUND
The hemodynamic alterations seen in liver cirrhosis lead to renal vasoconstriction, ultimately causing acute kidney injury (AKI). The renal resistive index (RRI) is the most common Doppler ultrasound variable for measuring intrarenal vascular resistance.
AIM
To evaluate the association of the RRI with AKI in patients with liver cirrhosis and to identify risk factors for high RRI.
METHODS
This was a prospective observational study, where RRI was measured using Doppler ultrasound in 200 consecutive hospitalized patients with cirrhosis. The association of RRI with AKI was studied. The receiver operating characteristic (ROC) curve analysis was utilized to determine discriminatory cut-offs of RRI for various AKI phenotypes. Multivariate analysis was conducted to determine the predictors of high RRI.
RESULTS
The mean patient age was 49.08 ± 11.68 years, with the majority (79.5%) being male; the predominant etiology of cirrhosis was alcohol (39%). The mean RRI for the study cohort was 0.68 ± 0.09, showing a progressive increase with higher Child-Pugh class of cirrhosis. Overall, AKI was present in 129 (64.5%) patients. The mean RRI was significantly higher in patients with AKI compared to those without it (0.72 ± 0.06 vs 0.60 ± 0.08; P < 0.001). A total of 82 patients (41%) had hepatorenal syndrome (HRS)-AKI, 29 (22.4%) had prerenal AKI (PRA), and 18 (13.9%) had acute tubular necrosis (ATN)-AKI. The mean RRI was significantly higher in the ATN-AKI (0.80 ± 0.02) and HRS-AKI (0.73 ± 0.03) groups than in the PRA (0.63 ± 0.07) and non-AKI (0.60 ± 0.07) groups. RRI demonstrated excellent discriminatory ability in distinguishing ATN-AKI from non-ATN-AKI (area under ROC curve: 93.9%). AKI emerged as an independent predictor of high RRI (adjusted odds ratio [OR]: 11.52), and high RRI independently predicted mortality among AKI patients (adjusted OR: 3.18).
CONCLUSION
In cirrhosis patients, RRI exhibited a significant association with AKI, effectively differentiated between AKI phenotypes, and predicted AKI mortality.
VIEWING LIFE THROUGH DEATH'S PERSPECTIVE
Authors: Kurniawan Markus , Prihantoro Yogi 
Published: June 2024

Death is a very close thing in human life, even a certain thing. It is impossible to predict when this death will occur. Therefore, death is also part of a mysterious phenomenon that occurs repeatedly with the same subject, namely people. The saying that the closest friend is dead. Sooner or later, willingly, or not, every human being will experience death that no one can avoid. When it comes to reacting to death, some people are afraid, some are worried, and some sincerely accept it. This article uses descriptive – analysis using Zur Theologie des Todes – ‘On the Theology of Death,’ published in 1958. Karl Rahner developed his theological approach to death. Death, according to Rahner, is an event that affects the whole human being, not just the body, while the immortal soul remains fundamentally intact. According to the Buddhist concept, death is the end of suffering. Birth, dissatisfaction, pain, and dissatisfaction, are suffering in life. So, death is a possible way to reduce pain Death, which is seen as the end of one's life, should be seen as an act in itself. Rahner interprets fulfillment as belonging to death itself. Nonetheless, Rahner's theory, like Augustine's, continues to evolve, and his treatment of the "liberty of the sick," if wrong, offers an important addition to moral meditation on the issue of the end of life.

Kematian adalah hal yang sangat dekat dalam kehidupan manusia, bahkan hal yang pasti. Mustahil untuk memprediksi kapan kematian ini akan terjadi. Oleh karena itu, kematian juga merupakan bagian dari fenomena misterius yang terjadi berulang kali dengan subjek yang sama, yaitu orang. Ungkapan yang mengatakan bahwa sahabat terdekat adalah kematian. Cepat atau lambat, rela atau tidak, setiap manusia akan mengalami kematian yang tidak dapat dihindari oleh siapa pun. Ketika datang untuk bereaksi terhadap kematian, beberapa orang takut, beberapa khawatir, dan beberapa dengan tulus menerimanya. Dalam Zur Theologie des Todes – On the Theology of Death, diterbitkan pada tahun 1958, Karl Rahner mengembangkan pendekatan teologisnya sendiri terhadap kematian. Kematian, menurut Rahner, adalah suatu peristiwa yang mempengaruhi seluruh manusia, bukan hanya tubuh, sementara jiwa yang tak berkematian secara fundamental tetap utuh. Menurut konsep agama Buddha, kematian adalah akhir dari penderitaan. Kelahiran, ketidakpuasan, rasa sakit, ketidakpuasan, adalah penderitaan dalam hidup. Jadi kematian adalah cara yang mungkin untuk mengurangi rasa sakit. Kematian yang dipandang sebagai akhir dari kehidupan seseorang, harus dilihat sebagai tindakan itu sendiri. Rahner menafsirkan pemenuhan sebagai milik kematian itu sendiri. Meskipun demikian, teori Rahner, seperti teori Agustinus, terus berkembang, dan perlakuannya terhadap "kebebasan orang sakit", jika salah, menawarkan tambahan penting bagi meditasi moral tentang masalah akhir hayat.
INFLUÊNCIA DE Azospirillum brasilense NAS INTERAÇÕES ENTRE MILHO E PLANTAS DANINHAS
Authors: Matos Christiano , Medeiros Victor Cintra , Silva Letícia Alves , Oliveira Filho Marcos Aluisio 
Published: June 2024

A maioria dos estudos que envolvem microrganismos capazes de promover o crescimento vegetal (MPCV) tem focado em melhorar o rendimento das lavouras, a exemplo do uso de Azospirillum brasilense em lavouras de milho, trigo e arroz. No entanto, poucas pesquisas têm sido realizadas para elucidar se MPCV influenciam as interações entre cultura e plantas daninhas. Entender se o uso MPCV afeta a habilidade competitiva de plantas daninhas e culturas pode auxiliar no desenvolvimento de abordagens biológicas em um sistema de manejo integrado de plantas daninhas. Dessa forma, objetivo desse trabalho foi avaliar se a inoculação de sementes de milho com A. brasilense influência nas interações entre a cultura e as plantas daninhas. O experimento foi realizado em casa de vegetação onde o milho (Zea mays L.) e as plantas daninhas corda-de-viola [Ipomoea nil (L). Roth] e tiririca (Cyperus rotundus L.) foram cultivadas em vasos. Foi adotado o esquema fatorial com duas condições de inoculação (sementes de milho inoculadas com A. brasilense e sementes sem inoculação) e três formas de plantio do milho (monocultivo, convivência com a corda-de-viola ou com a tiririca), em delineamento inteiramente casualizado com quatro repetições. O crescimento do milho e das plantas daninhas foram avaliados por meio de avalições de altura, diâmetro do caule e produção de matéria seca da parte aérea e raiz. De maneira geral, a inoculação com A. brasilense e a convivência com as plantas daninhas não influenciaram a altura e o diâmetro do colmo do milho durante o período de cultivo. Por outro lado, comparando a mesma condição de cultivo, o milho em convivência com tiririca produziu menor matéria seca da parte aérea quando inoculado com A. brasilense. A competição com as plantas daninhas corda-de-viola e tiririca reduziu a matéria seca da parte área do milho inoculado com essa bactéria. Independente da inoculação, a corda-de-viola foi mais competitiva com o milho que a tiririca. Por outro lado, independente da forma de cultivo, o milho inoculado com A. brasilense foi mais prejudicado pela competição com as plantas daninhas que o não inoculado. A corda-de-viola apresentou maior produção de matéria seca total quando em convivência com plantas de milho inoculado com A. brasilense, enquanto que para a tiririca o efeito foi contrário. Conclui-se que a inoculação com A. brasilense não melhora a capacidade do milho em competir com as plantas daninhas corda-de-viola e tiririca.
ANALISIS PERENCANAAN PENGEMBANGAN PERPUSTAKAAN DIGITAL DI SMA NEGERI 1 CIMALAKA
Authors: Haria Saputry Wahyuni  , Diah Sri Rejeki  , Merryam Agustine  
Published: June 2024

Keterbatasan luas ruangan perpustakaan dalam menunjang ketersediaan koleksi dan juga waktu pelayanan terkadang menjadi salah satu kendala dalam proses pengembangan perpustakaan yang didambakan oleh siswa dengan kebutuhan informasi yang semakin beraneka ragam dalam memenuhi kebutuhan informasi pembelajaran. Demi bisa menunjang kegiatan sekolah secara onlie ke depannya, mau tidak mau sekolah perlu untuk melakukan pengembangan perpustakaan kearah digital agar seluruh koleksi yang merupakan sumber belajar siswa dapat diakses dimanapun kapanpun tanpa terbatas oleh jarak dan waktu yang selama ini menjadi kendala. Hal ini dilakukan agar siswa dapat memanfaatkan secara maksimal seluruh sumber belajar yang disediakan sesuai dengan kebutuhannya. Penelitian ini bertujuan untuk mengetahui perkembangan perpustakaan digital SMA Negeri 1 Cimalaka. Metode yang digunakan dalam penelitian ini adalah kualitatif deskriptif dengan melakukan triangulasi data. Hasil dari penelitian ini adalah perpustakaan baru memiliki aplikasi otomasi perpustakaan, dengan kata lain belum tersedianya perpustakaan digital dan juga web sekolah sehingga pengaksesan sumber belajar dan pemanfaatkan koleksi belum dapat dimanfaatkan secara maksimal oleh seluruh siswa, guru dan juga tenaga kependidikan di SMAN 1 Cimalaka. Pengembangan perpustakaan digital di SMAN 1 Cimalaka diharapkan dapat meningkatkan penggunaan fasilitas perpustakaan dan sumber belajar dengan sangat maksimal tanpa terbatas ruang, jarak dan waktu serta dapat mempermudah pengelolaan perpustakaan menjadi efisien dan lebih modern.
Implementasi Standar Keselamatan dan Kesehatan Kerja Perkantoran di Gedung Pemerintahan
Authors: Cahyandari Safira , Lestari Fatma 
Published: June 2024

Perkantoran mempunyai faktor risiko bahaya Keselamatan dan Kesehatan Kerja (K3) yang dapat mengancam jiwa. Perilaku buruk pekerja kantor termasuk gaya hidup Sedentary Lifestyle yang tidak bergerak atau kurang bergerak, dapat menimbulkan masalah kesehatan dan cidera bagi pekerja. Tujuan penelitian ini adalah mengetahui implementasi K3 di kantor pemerintahan Direktorat Kesehatan Usia Produktif dan Lanjut Usia Kementerian Kesehatan Republik Indonesia. Metode penelitian berupa analisis deskriptif, pengumpulan data dari instrument penilaian K3 Perkantoran dan observasi kemudian dianalisis sesuai peraturan tentang Standar K3 Perkantoran. Hasil penilaian implementasi dari intrumen standar K3 Perkantoran yaitu termasuk dalam kriteria sangat baik (85,75%). Terdapat beberapa indikator yang belum tercapai yaitu pada aspek dokumen kebijakan dan organisasi yaitu dokumen belum dikembangkan menjadi dokumen Sistem Manajemen K3. Pada penilaian aspek keselamatan kerja pada jaringan instalasi dan peralatan listrik, ditemukan kabel listrik sebagian tidak terisolasi dan tidak tersusun rapi. Penilaian aspek kesehatan kerja, pekerja yang mengikuti pemeriksaan deteksi dini penyakit tidak menular belum 100% keseluruhan pekerja. Pada penilaian aspek ergonomi, ruang cukup untuk kaki baru sekitar 51%-75%. Pada aspek kesehatan lingkungan kerja perkantoran, belum melakukan pengukuran kualitas lingkungan kerja perkantoran. Perlu dukungan dari segala pihak yang berkepentingan mulai dari pimpinan hingga seluruh pekerja agar pelaksanaan K3 Perkantoran berjalan dengan baik.
Nghiên cứu tiền đái tháo đường trên đối tượng cán bộ chiến sỹ
Authors: Trương Xuân Hùng 
Published: June 2024

Mục tiêu: Khảo sát 1250 cán bộ chiến sỹ chiến sỹ khu vực miền trung – Tây nguyên bằng xét nghiệm đường huyết lúc đói, nghiệm pháp tăng đường huyết đường uống và HbA1c nhằm mục tiêu: xác định tỷ lệ tiền đái tháo đường và một số yếu tố nguy cơ, mối liên quan giữa một số yếu tố nguy cơ với Glucose máu và HbA1c. Kết quả: Tỷ lệ tiền đái tháo đường chiếm 16,9%. Tỷ lệ tiền đái tháo đường ở nhóm BMI ≥ 23 chiếm 35,8% , nam chiếm 19% và ở nữ chiếm 14,5%. Tỷ lệ tiền đái tháo đường ở nhóm tăng tỷ số VB/VM cao hơn nhóm không tăng VB/VM. Tỷ lệ tiền đái tháo đường ở nhóm tuổi ≥ 40 chiếm 24,7 % cao hơn nhóm tuổi < 40 chiếm 16,1%. Nhóm tăng huyết áp chiếm 67,8%, cao hơn nhóm không tăng huyết áp chiếm 15,9% . Rối loạn bilan lipid ở nhóm tiền đái tháo đường chiếm 32,7% so với nhóm còn lại có rối loạn bilan lipid là 12,8%. - Có mối tương quan thuận mức độ vừa giữa HbA1c, G2 với, HA, bilan lipid, BMI, tuổi. - Các yếu tố nguy cơ: BMI trên 23 kg/m2, rối loạn loạn lipid máu, tăng chỉ số VB/VM, THA, tiền sử gia đình ĐTĐ là các yếu tố độc lập liên quan đến nguy cơ mắc tiền đái tháo đường ở nhóm nghiên cứu. Trong đó, tăng huyết áp là yếu tố nguy cơ cao nhất.
Đái tháo đường thai kỳ: nghiên cứu những yếu tố ảnh hưởng và kết quả thai kỳ
Authors: Lê Lam Hương , Hoàng Trọng Nam , Ngô Thị Minh Thảo , Võ Hoàng Lâm 
Published: June 2024

Đặt vấn đề: Bệnh rối loạn chuyển hoá thường gặp nhiều trong khi mang thai và được ghi nhận có xu hướng ngày càng tăng trên thế giới trong đó có Việt Nam. Mục tiêu: Nghiên cứu những yếu tố ảnh hưởng liên quan đến đái tháo đường thai kỳ và kết quả thai kỳ. Kết quả: Nhóm thai phụ đái tháo đường thai kỳ tuổi trung bình là 29,2± 6,6 nhỏ nhất 16 tuổi, lớn nhất là 46 tuổi. Tỷ lệ ĐTĐTK trong nhóm thai phụ có tiền sử đẻ con to (≥ 4000g) là 20,4%. Đa thai chiếm tỷ lệ 3,1%, đa ối 7,4%. Tiền sản giật chiếm 16,6%. Tuổi mẹ >35 có nguy cơ đái tháo đường thai kỳ cao gấp 5,6 lần 95%CI (1,4-21,5). BMI ≥23 tăng nguy cơ 3,4 lần 95%CI (1,1-10,3). Tiền sử thai chết lưu, sẩy thai nguy cơ đái tháo đường thai kỳ tăng 8,2 lần 95%CI (1,7-38,6). Tiền sử sinh non, dọa sinh non nguy cơ đái tháo đường thai kỳ tăng 5,2 lần 95%CI (1,7-38,6). Gia đình có người bệnh ĐTĐ tăng lên cao gấp 8,8(1,06-73,6), p<0,05. Thai phụ sinh con >4000gr nguy cơ lên 4,9 lần 95%CI (1,1-23,9). Yếu tố nguy cơ của ĐTĐTK gồm: tiền sử gia đình đái tháo đường, tiền sử đẻ con to ≥ 4000g; tiền sử thai lưu sẩy thai; tuổi mẹ ≥ 35, chỉ số BMI trước khi mang thai ≥ 23 là các biến độc lập với đái tháo đường thai kỳ. Tỷ lệ mổ đẻ sản phụ ĐTĐTK là 48,1%. Tỷ lệ đờ tử cung 9,2% ở nhóm đái tháo đường thai kỳ. Chấn thương sinh dục chiếm 5,5%. Chấn thương trẻ, đẻ mắc vai chiếm tỷ lệ 1,8. Kết luận: Cần tầm soát ĐTĐTK thường quy ở tất cả thai phụ khám thai, nhất là thai phụ BMI ≥ 23, có tiền sử sinh con thai chết lưu, sinh con >4000gr.