bluuebunny/crossref_metadata_2025_split huggingface dataset:
Promoting the play of children with autism spectrum disorders: Contributions of teachers and caregivers
Authors: Gretschel Pam , Munambah Nyaradzai , Campodonico Kayla , Jacobs Marcelle , Mabasa Ntwanano , Masinyana Aphiwe , Nassen Hannah , Nghulele Tinhlalu 
Published: February 2025

Introduction: The play engagement of children with Autism Spectrum Disorder (ASD) can be negatively impacted on by difficulties linked to their diagnosis; however factors present in their contexts can promote their engagement in play. Teachers and caregivers, significant role players in the contexts of children, are well positioned to promote their engagement.in play.
Research design: This paper reports the findings of a qualitative descriptive study which implored semi-structured interviews to explore and describe the ways in which three teachers and two caregivers supported the play engagement of children with ASD.
Findings: The theme Acknowledging, accommodating and adapting describes the multiple ways in which caregivers and teachers supported the play engagement of the children with ASD. The multiple wasy in which they promoted the children's engagement in play are unpacked in the following categories: creating and affording opportunities for the child to direct their own play; recognising, caring for, and making preferred play materials available, and purposeful pairing with specific playmates.
Discussion: Caregivers and teachers of children with ASD have instinctive experiential knowledge of the play interests and the ways in which children with ``````ASD play. `They skilfully draw on this knowledge to implement an array of strategies to promote the play of children with `ASD.
Conclusion: Given their instrumental role in supporting the play of children with `````ASD, occupational therapists should be encouraged to continue to partner with and learn from caregives and teachers of these children. This will align with collaborative practice and enhance the development and implementation of relevant and sustained interventions focused on the occupation of play in children with ASD.
The description of diagnosed cases of oral epithelial dysplasia at the Tygerberg Oral Health Centre
Authors: Nkomo Nocwaka Charlotte , Jeftha Anthea , Kimmie-Dhansay Faheema , Opperman Johan 
Published: February 2025

Oral epithelial dysplasia (OED) is a growth anomaly which occurs due to atypical proliferation, change in the architectural and cytological features of cells of epithelial origin, resulting in the formation of a lesion with disturbed differentiation and maturation. The purpose of this study was to describe the OED cases diagnosed at Tygerberg Hospital in a seven-year period (from 2012 until 2019) and to determine the demographics and clinical location of these cases. The patients’ medical records from the National Health Laboratory Service (NHLS) were reviewed. All diagnosed cases of OED were identified, and the data retrieved for further assessment and comparison.
Evaluation of blood and blood product utilisation practice in obstretics and gynaecology: A prospective study in a tertiary care hospital
Authors: Sarkar Satyam , Singh Iqbal 
Published: February 2025

: The most efficient utilization of blood in contemporary treatments reduces transfusion-related risks and enhances the management of blood inventories. It is essential to examine the present transfusion practices within Obstetrics and Gynaecology to guarantee that blood is utilized appropriately. The aim of this study was to evaluate the appropriateness of the use of blood and blood products in obstetrics and gynaecology at a tertiary care hospital.: Over the course of 1.5 years, the study of obstetrics and gynaecology in-patients who sought blood transfusions was conducted. The information gathered on the clinical and blood transfusion data of the patients was examined for component consumption. Indicators of blood use were calculated and placed up against standard cut-off levels to determine the current transfusion practices. : In a study involving 330 obstetric in-patients for whom crossmatch requests were made, 60.6% (n=200) received blood transfusions with varying combinations of blood components. Anaemia (51.5%) was the most common reason for transfusion. Specifically, 39 units of red cells were used across 86 instances of Caesarean sections, resulting in a crossmatch-to-transfusion ratio of 1.65. The study reported a Single Unit Transfusion Rate of 45%. Other blood components were also transfused, with 222 units of plasma used in 63 cases, 56 units of platelets used in 9 cases, and 3 units of cryoprecipitate used in 2 cases. According to the recommendations of the RCOG, 29% of the patients received units that were deemed unnecessary.: Treatment of anaemia during pregnancy could decrease the frequency of single-unit transfusions. The misuse of blood components could be further minimized by refraining from transfusing patients with a hemoglobin level above 10 gm%. In a developing country like India, where the demand almost always exceeds the supply, the proper use of blood components is mandatory.
Indentification of the causes of first trimester vaginal bleeding and fetomaternal outcomes in cases with threatened abortion
Authors: Sandhu Japji Kaur , Pahwa Sangeeta 
Published: February 2025

A pregnancy may end in a live birth, a spontaneous miscarriage (spontaneous abortion), an induced abortion, or a stillbirth. Approximately one-fourth of women will have first-trimester bleeding, and about half of those women will have a spontaneous abortion and approximately 50% will continue with a normally progressing pregnancy. First-trimester bleeding leads to pregnancy loss in over 50% of cases.To identify the various causes of first trimester vaginal bleeding.To determine maternal and fetal outcomes in patients with threatened abortion. : This prospective observational study was carried out on the pregnant females who present to our tertiary care hospital with first trimester vaginal bleeding over a time period of 15 months (January 2023-March 2024) and met the inclusion criteria. Total of 133 females were enrolled in the study out of which 31 lost to follow up. Data of 102 females was collected and results were compiled. Patients of threatened abortion were followed up for maternal and perinatal outcomes.: Majority 41(40.20%) of the cases in the study were of 26 -30 years age group with mean gestational age of 9.52+/- 2.76 weeks. 51.96% cases were threatened abortion followed by 18.62% cases missed abortion, 13.72% cases incomplete abortion, 7.85% ectopic pregnancy, 3.92% complete abortion, 2.51% inevitable abortion and one (0.98%) case of molar pregnancy. Cases of threatened abortion were followed for outcome and preterm labour was seen in 49% cases, PROM in 35.8%, placenta previa in 20.7%, abruptio placenta in 13.2%, PIH in 11.3%, IUFD in 7.574%, second trimester complete abortion in 6.7% and PPH in 3.8%. Out of total 46 live babies 27(58.69%) had low birth weight. 31(67.39%) had APGAR score above seven at 1 min while 15 cases (32.61%) had below seven and also required NICU admission. : Patients presenting with first trimester bleeding should be categorized as high risk patients and be monitored actively during antenatal period with appropriate management strategies in place. In light of various research findings, it is evident that there is merit in conducting further investigations to identify the most reliable predictors of adverse pregnancy outcome in women experiencing first trimester vaginal bleeding.
Uterocervical angle (UCA) to predict preterm labor: What’s the correct angle?
Authors: Nambiar Jayaraman , Narmada Balusu Venkata , Hebbar Shripad 
Published: February 2025

Commonly cervical length is measured as a predictor of preterm labour. Recently UCA has been suggested as a predictor of preterm labour. Recently UCA has been suggested a predictor of preterm labour. The purpose of this study to find out the role of UCA as a predictor of preterm labour. This was a prospective observational study. All women who entered the study had the UCA done in second trimester. They were followed up and incidence of preterm labour noted, A ROC curve was constructed to predict the ability of UCA to predict preterm labbour. Sensitivity and specificity of UCA to predict preterm labour was calculated.A total 699 cases were recruited for the study. However we could analyse only 668 women as rest were lost to follow up. There were a total of 144 preterm deliveries. ROC curve was constructed and at value of 140 degrees the sensitivity to predict preterm labour was 27.8% and specificity was 79.6%. UCA has a high specificity but low sensitivity in predicting preterm labour.
Efficacy and safety of labor induction by oral versus vaginal misoprostol–study of 200 cases in private setup
Authors: Pandya Manish R , Adroja Kishan S , Patel Viashvi C , Pandya Jaini Girishkumar , Modha Lipi Kartik 
Published: February 2025

: Labour induction is an important obstetric procedure aimed at achieving vaginal delivery when pregnancy extends beyond term or the cervix is unfavorable. Misoprostol, a prostaglandin E1 analogue, is commonly used due to its effectiveness, low cost, and ease of storage. It can be administered orally or vaginally, with varying efficacy. This study compares the safety and efficacy of both routes for cervical ripening and labour induction. To evaluate the efficacy and safety of vaginal versus oral misoprostol for third-trimester cervical ripening and labour induction in 200 patients at Mahavir Hospital, Surendranagar, Gujarat. This prospective study enrolled 200 pregnant women requiring labour induction with misoprostol between October 2023 and September 2024. Participants were assigned to either vaginal or oral misoprostol (25 micrograms). Labour progress was monitored using WHO partographs. Primary outcomes included induction-to-delivery interval and mode of delivery, while secondary outcomes included maternal and neonatal outcomes and complications.: Vaginal misoprostol was more effective for cervical ripening and reduced caesarean section rates compared to oral misoprostol. Of the 200 women, 100 received vaginal misoprostol, and 100 received oral misoprostol. Spontaneous vaginal delivery rates were similar (67% for oral, 68% for vaginal), and both routes showed higher spontaneous vaginal delivery rates (68%) compared to caesarean sections (12%). The vaginal group had a shorter induction-to-delivery interval. Additionally, more oral misoprostol patients (42) required multiple doses than vaginal misoprostol patients (55). Minimal side effects were reported.: Misoprostol, especially when administered vaginally, is a safe and effective method for labour induction. Vaginal misoprostol showed slightly better efficacy, reduced caesarean section rates, and shorter induction times compared to oral misoprostol. Ongoing monitoring is essential to ensure safety and improve outcomes for both mothers and babies.
Case report: Sclerosing stromal tumor in a young female: Clinical presentation and management
Authors: Madhuri Tiruvaipati Siri , Sharma Nidhi 
Published: February 2025

Sclerosing stromal tumors (SSTs) are rare ovarian neoplasms predominantly affecting young females during their second or third decade of life. This case report presents a comprehensive analysis of a young female patient diagnosed with an ovarian SST, highlighting its clinical presentation, histopathological characteristics, and management. The emergence of SSTs poses diagnostic challenges due to their rarity and varied clinical manifestations, often mimicking other ovarian neoplasms. Patients typically present with nonspecific symptoms such as abdominal pain, bloating, and irregular menstrual cycles. Imaging studies and histopathological examination are essential for accurate diagnosis. Histologically, SSTs are characterized by a proliferation of fibrous stromal cells interspersed with varying degrees of collagen deposition and hyalinization, posing a diagnostic challenge. Immunohistochemical analysis plays a pivotal role in confirming the diagnosis.Surgical resection remains the cornerstone of management, with the aim of complete excision while preserving ovarian function whenever possible. Frozen section analysis during surgery aids in intraoperative decision-making. Adjuvant therapy is generally not indicated due to the benign nature of SSTs. A multidisciplinary approach involving gynecologists, pathologists, and radiologists is crucial for accurate diagnosis and optimal management of SSTs, ensuring favorable outcomes for affected patients. Continued research efforts are warranted to further elucidate the underlying pathogenesis of SSTs and refine treatment algorithms for these rare entities.
Wonder of the wandering dermoid cyst
Authors: Mathew Reshma Ann , Navada Mahesha H 
Published: February 2025

Germ cell tumours (GCT) account for 15-20% of all ovarian tumours in children and the young female population. Mature cystic teratoma, commonly known as dermoid cyst, is the most common type of GCT. In this report, we are presenting a rare case of a totally detached mature cystic teratoma located in the pouch of Douglas, which posed a diagnostic challenge and was a wonder intraoperatively. A 41 year old woman, P2L2, came with a one year history of pain in the lower abdomen and distension of abdomen. Her initial ultrasound at an outside hospital showed uterine fibroids and features suggestive of bilateral endometrioma and underwent conservative management. However, her symptoms continued and she came to our hospital for further evaluation after 9 months. Repeat ultrasound showed multiple uterine fibroids and left endometriotic cyst, whereas CECT showed multiple fibroids and left dermoid cyst. She underwent laparotomy. Intraoperatively, the uterus showed serosal fibroids and a detached grape-like cystic mass approximately measuring 9 x 4 x 2cm lying in the pouch of Douglas and thus underwent total abdominal hysterectomy and bilateral salpingectomy along with en bloc removal of the cystic mass. Histopathology of the mass was suggestive of dermoid cyst. In our present case, a diagnostic dilemma arose as the ultrasound imaging was reported as ovarian endometriosis, but she did not have symptoms suggestive of it. There are fewer reports regarding the detachment of the ovarian dermoid and its positioning in the pouch of Douglas. Thus, the explanatory theory behind it is an enigma. Increased awareness among gynaecologists regarding such masses, coupled with thorough preoperative evaluation and intraoperative decisions, would provide proper justification for the patient’s management.
Assessing the Impact of flooding from 1994 to 2024 on Catchment Areas in South Eastern Part of Bangladesh Using Geospatial Techniques Inciting Knowledge from Recent Flood of August 2024
Authors: rahman Md. Mostafizur 
Published: February 2025

Abstract

Flooding is a recurrent and significant natural disaster in Bangladesh, particularly affecting the Chattogram Division, which is vulnerable due to its geographical features and seasonal monsoon rainfall. This study assesses the impacts of flooding on catchment areas in the Chattogram Division from 1994 to 2024, utilizing advanced Geographic Information System (GIS) techniques and remote sensing data. The analysis reveals a troubling trend, with flood-affected areas increasing substantially from 40% in 1994 to 64% in 2024, driven by factors such as extreme rainfall, upstream water management from the Dumboor Dam, and changes in local land use due to urbanization and deforestation. While previous research has addressed the broader implications of flooding in South Asia, there remains a notable gap in localized studies that focus specifically on the dynamics of flooding in the Chattogram Division. By integrating rainfall data with satellite imagery, this study provides novel insights into the relationship between hydrological changes and flood risk, employing a linear regression model that demonstrates a strong correlation between rainfalls and flooding. The findings highlight significant socio-economic repercussions, including disruptions to agriculture, infrastructure, and livelihoods, particularly in vulnerable districts like Noakhali, Feni, and Comilla. This research underscores the urgent need for effective flood management strategies and contributes valuable information to inform future policies aimed at enhancing resilience in flood-prone areas.
Enhancing Customer Satisfaction at PT Bank Rakyat Indonesia (Persero) Tbk: The Impact of Service Quality
Authors: Pratiwi Wanda Diah , Budiandru Budiandru 
Published: February 2025

The focus of this research aimed to ascertain how customer satisfaction at the Kramat Jati Branch of PT Bank Rakyat Indonesia (Persero) is affected by service quality. This study involved 100 respondents who were bank customers, with the sample size calculated using the Slovin formula and selected through accidental sampling techniques. At the Kramat Jati Branch of PT Bank Rakyat Indonesia (Persero) Tbk, customers were asked to fill out questionnaires to provide primary data. The analysis showed that the estimated t-value (6.393) was higher than the t-table value (1.984), and the significance coefficient was 0.000, which is less than the standard threshold of 0.05. These results indicate that service quality significantly influences customer satisfaction. Analysis with SPSS shows that service quality contributes 29.4% to customer satisfaction, and the correlation test shows that the relationship between service quality and customer satisfaction is in the medium category with a coefficient value of 0.542.
Pengaruh Marketing Mix Terhadap Keputusan Pembelian KPR Subsidi Yang Dimoderasi Oleh Kualitas Pelayanan
Authors: Dalimunthe Selli Askia , Rino Rino 
Published: February 2025

The research aims to evaluate the impact of the marketing mix on the decision to purchase subsidized mortogages (KPR) at PT. Mandiri Adna Properti, with service quality as a moderating variable. The study is causal in nature and involves customers of PT. Mandiri Adna Properti . A simple random sampling method was used, with a total population of 86 customers. From this population, a sample of 71 customers was selected. The criteria for inclusion were customers who had made a purchase decision at the company. Both primary and secondary data were used. Primary data was obtained through questionnaires distributed to buyers at PT. Mandiri Adna Properti, while secondary data was obtained from reference books and websites. SmartPLS 4.0 software was used to conduct SEM analysis. The results showed that (1) Product has a significant influence on purchase decisions; (2) Price also has a significant influence on purchase decisions; (3) Location has a significant influence on purchase decisions; (4) Promotion does not influence purchase decisions; (5) Product has a significant impact on purchase decisions when moderated by service quality; (6) Price, when moderated by service quality, has a significant impact on purchase decisions; (7) Location, when moderated by service quality, has a significant impact on purchase decisions; and (8) Promotion, when moderated by service quality, does not significantly influence purchase decisions.
Pengaruh Persepsi Kemudahan Penggunaan dan Persepsi Kegunaan Terhadap Keputusan Nasabah Menggunakan QRIS Bank BRI Dengan Kepercayaan Sebagai Variabel Intervening
Authors: Adrianto Yuda , Rahmidani Rose 
Published: February 2025

The research aims to analyze the influence of perceived ease of use and perceived usefulness on customer decisions using BRI QRIS with trust as an intervening variable. The number of samples used is 170 samples using the Hair et al. formula.This research uses a purposive sampling technique. The data used is primary data with criteria that have been maintained. The analysis method used is SEM using Smart PLS 4.0. The research results show that although Perceived Ease of Use and Perceived Usefulness have a positive influence on usage decisions, this relationship is not statistically strong. In contrast, the positive impact of both constructs on trust is significant. Specifically, trust functions as a mediator, significantly influencing the relationship between Perceived Ease of Use, Perceived Usefulness, and usage decisions.
Overview of the use of exogenous enzymes in aquaculture: The functionality of exogenous enzymes in aquaculture
Authors: Ahmed Sherine R. , Doan Hien Van , Davies Simon , Goda Ashraf M.A. , El-Haroun Ehab 
Published: February 2025

Abstract
Aquaculture is playing a pivotal role in meeting the growing global request for seafood products. One of the important aspects of aquaculture management is using of high-quality ingredients to improve the performance of fish and crustaceans. One of the main priorities of nutrition scientists over the past decades is to partially or totally replace fish meal (FM) with different plant protein ingredients. Furthermore, plant proteins contain anti-nutritional components, which poses a drawback for their use in fish feed. Therefore, to effectively utilize plant components in feeds, it is necessary to reduce anti-nutritional factors. Recently, exogenous enzymes as feed additives are gaining interest in the aquafeed industry to increase the nutritive values of plant protein as a reasonable solution for FM substitution, leading to enhanced nutrient retention, growth performance and profits for the aquaculture stakeholders. The present review will discuss the potential of various exogenous enzymes to increase the quality of various plant proteins in feed for more sustainable aquaculture practices
PAHs Content in Polish Smoked Meat Prepared with Traditional Method
Authors: Kowalczyk Karolina , Tereszkiewicz Krzysztof , Antos Piotr 
Published: February 2025

Abstract
Meat smoking is an old and efficient method of meat treatment, resulting in the preparation of meat with specific properties, improved taste, and modified the physical and chemical properties of treated meats. The aim of this study was to analyse the level of polycyclic aromatic hydrocarbons (PAHs) generated during meat smoking using traditional Polish methods. In particular, various meat products such as: Kornetka from Górno, Country sausage from Górno, Dry pork from Górno, Homemade ham, Steamed bacon, Pork kabanos were prepared. Within the treated meats, the following PAH compounds were determined: benzo(a)pyrene - BaP, chrysene - CHR, benzo(a)anthracene - BaA, benzo(b)fluoranthene - BbF, 5-methylchrysene - 5-MeCHR, benzo(c)fluorene - BcF, benzo(g, h,i)perylene - BghiP, benzo(j)fluoranthene - BjF, benzo(k)fluoranthene - BkF, dibenzo(a,e)pyrene - dBaeP, dibenzo(a,h)anthracene - dBahA, dibenzo(a,h) pyrene - dBahP, dibenzo(a,i)pyrene - dBaiP, dibenzo(a,l)pyrene - dBalP, indeno(c,d)pyrene - IcdP. After the smoking process, cold cuts samples were taken for chemical analysis to determine the presence of PAHs. Samples were taken 7 times, at 2-week intervals, in an amount of approximately 1.5 kg, immediately after heat treatment, cooling and packaging. The amount of polycyclic aromatic hydrocarbons was determined by liquid chromatography (HPLC). Research carried out shows that the lowest average PAH content was found in dry sausage and was 5.87µg/kg. In three of the meats tested, the total PAHs content assessed ranged from 10.78 to 16.62µg/kg The results of this study provide information on PAH levels in traditionally smoked meats and assess compliance of these levels with current health and safety regulations. This research is crucial to understand the possible health risks factors that could be associated with the consumption of traditionally smoked meat and to guide the development of safer smoking practices.