bluuebunny/crossref_metadata_2025_split huggingface dataset:
Paul Tillichs Bundesverdienstorden
Authors: Graf Friedrich Wilhelm 
Published: May 2024

Abstract
Kein anderer deutscher Emigrant, der 1933 ins amerikanische Exil gegangen war und nach der Ausbürgerung aus Deutschland und dem Erwerb der amerikanischen Staatsbürgerschaft zum Emigranten wurde, ist nach dem Ende des zweiten Weltkriegs so oft nach Deutschland zurückgekehrt wie Paul Tillich. Auch wenn er die Remigration auf den Frankfurter Lehrstuhl ablehnte und auch Rufen an die Universität Hamburg und die Freie Universität Berlin nicht folgte, lehrte er als Visiting Professor an mehreren deutschen Universitäten. Auch hielt er vor zahlreichen Hörerinnen und Hörern Hunderte von Vorträge in westdeutschen Städten und im Westteil der einstigen deutschen Hauptstadt Berlin. Tillich wurde zu einer Projektionsfigur, zum Idealbild des guten Deutschen. Dies bezeugen auch die zahlreichen Ehrungen und Orden, mit denen er ausgezeichnet wurde. Die folgende Edition dokumentiert die Quellen, die zur Ehrung Tillichs mit dem „Großen Verdienstkreuz (Halskreuz)“ Federal Order of Merit 1956 und fünf Jahre später, zu seinem 75. Geburtstag, mit dem „Großen Verdienstkreuz mit Stern“ führten.
No other German emigrant, who went into exile in America in 1933 and became an emigrant after expatriating from Germany and acquiring American citizenship, returned to Germany as often as Paul Tillich after the end of the Second World War. Even though he refused to remigrate to the Frankfurt chair and did not accept calls to the University of Hamburg and the Free University of Berlin, he taught as a visiting professor at several German universities. He also gave hundreds of lectures to numerous listeners in western German cities and in the western part of the former German capital Berlin. Tillich became a projection figure, the ideal image of the good German. This is also evidenced by the numerous honors and medals with which he was awarded. The following edition documents the sources used to honor Tillich with the „Great Cross of Merit (Neck Cross)“ of the Federal Order of Merit in 1956 and five years later, on his 75th birthday, with the „Großen Verdienstkreuz mit Stern“.
Diagnosis of pneumonia in paediatric age group by comparing two modalities chest x-ray versus ultrasonography at tertiary care hospital
Authors: Chawda Vidit , Tollawala Pinakin , Khasavat Shailendra , Suthar Kriti , Shah Neel , Pandya Rutvi 
Published: May 2024

: Up to 20 million cases of pneumonia in children ages 0 to 5 years require hospitalization each year, from total 150 million cases of pneumonia. The most common cause of death in children worldwide is pneumonia. Due to the general non-specificity of the signs and symptoms, clinical history and physical examination cannot reliably distinguish between the causes of respiratory cases. As a result, accurate diagnosis frequently requires medical imaging, but two-thirds of the world's population lack access to diagnostic imaging, which lead to increasing the consequences of respiratory illnesses. : To know the characteristic of pneumonia in x-ray and ultrasonography. To compare X-ray chest and USG for early diagnosis. : A Prospective observational study was conducted among 100 paediatric patients diagnosed with pneumonia and admitted in paediatric ward, at New Civil Hospital, Surat. : Out of total, 52.7% and 47.3% patients were Males and Females, respectively. 87.2% cases were fully immunized, while remaining were partially immunized. Sensitivity and specificity of chest X-ray is 83.4 % and 86.8 % respectively. Sensitivity and specificity of USG thorax is 96.8 % and 90.5 % respectively. Young children are at least four times more susceptible to radiation damage than adults.: In comparison to chest radiography, lung ultrasound has the potential advantages of being more sensitive and specific, radiation-free, subject to less regulatory constraints, relatively less expensive so it can be used in diagnosis in patients with pneumonia.
Unveiling the spectrum of cardiac disease complicating pregnancy: A comprehensive exploration of maternal and fetal outcomes
Authors: Mathesan Manju , Kirubamani Hephzibah 
Published: May 2024

Cardiac diseases pose a significant non-obstetrical threat to maternal well-being during pregnancy, contributing to nearly 10% of maternal mortality. The intersection of pregnancy and cardiac disease presents a complex scenario, affecting approximately 1-3% of pregnancies. Rheumatic heart disease (RHD) remains a prevalent issue in developing countries, while advancements in pediatric cardiology have increased survival rates for congenital heart disease. This exploration aims to comprehensively understand the impact of cardiac diseases on maternal and fetal outcomes during pregnancy.A prospective observational study conducted over 1 year and 6 months included 40 pregnant women with cardiovascular disease. Antenatal investigations, electrocardiogram, and echocardiography were performed. Maternal and fetal outcomes were assessed, and data were presented as descriptive statistics. The study revealed a 2.07% prevalence of cardiac disease in 1926 deliveries, with a mean age of 24±4 years. Cesarean section was the predominant mode of delivery (70%). Most cases had NYHA grade I disease (80%). Maternal outcomes were uneventful in 88%, and only 12% had ICU admission. Complications due to cardiac disease were observed in 17.5% of participants. Neonatal outcomes included NICU admission (25%), low birth weight (22.5%), and preterm birth (20%).Cardiovascular complications in pregnancy affect up to 4% of cases. The prevalence in this study aligns with existing literature. Rheumatic heart disease and congenital heart disease were predominant, consistent with global trends. Maternal and perinatal outcomes were favorable in NYHA grades I and II, emphasizing the importance of early intervention and healthcare accessibility.Cardiac disease is a substantial risk factor for maternal mortality during pregnancy. The study highlights the dual risk of balancing maternal well-being and fetal development. Prevalence, complications, and outcomes underscore the significance of pre-pregnancy counseling, early detection, and multidisciplinary management for optimal pregnancy outcomes.
Assessment of iron, folic acid, and vitamin B12 deficiencies and their association with red cell indices in anemic and non-anemic women
Authors: Kumar Anil , Sharma Mimoh , Frayez Mohammad , Rahman Asna 
Published: May 2024

During pregnancy anemia is a common health issue with various factors influencing its occurrence. It is a major public health problem in India. It is believed that 2.36 billion individuals are affected globally, and it is also an endemic problem in India. Iron deficiency often leads to iron deficiency anemia (IDA), significantly influencing maternal and fetal health.This study aims to investigate the complete blood count and nutritional parameters including Iron profile, vitamin B12, and Folic acid in anemic and non-anemic participants.The study involved 458 women of which 300 were anemic women and 158 were non-anemic women, predominantly from rural areas. The severity of anemia was classified as per WHO guidelines. The CBC was estimated by a 3-part hematology analyzer Medonic M-series, while the iron profile, vitamin B12, and folic acid were measured by using an automated analyzer Abbott Architect 1000 SR.The severity of anemia among the anemic women, classified according to WHO guidelines, revealed that 38.7% had mild anemia, 32.7% had moderate anemia, and 28.6% had severe anemia. 39.3% women exhibited microcytic hypochromic cells, 38% had normocytic normochromic cells, and 22.7% exhibited macrocytic cells. 56.6% had iron deficiency, 10% had folate deficiency, 16.7% had vitamin B12 deficiency, 6.7% had iron+vitamin B12+folic acid deficiency and 10% had vitamin B12+folic acid deficiency. Based on the severity only vitamin B12 was significantly reduced in severe (145.65±58.43) than moderate (177.06±66.24) and mild group (174.43±68.43), p=0.042. Hemoglobin showed a positive correlation with iron level (r=0.523, p&#60;0.0001), and a negative correlation with ferritin (r=-0.355, p&#60;0.0001).: These findings provide valuable insights into the nutritional status of the anemic women and highlights the need for targeted interventions to address micronutrient deficiencies during pregnancy.
Effectiveness of video-assisted teaching programme and mobile application on knowledge, attitude, and practices regarding management of common minor discomforts of pregnancy among primigravida mothers– A pilot study from South India
Authors: Srinivasan P , Punitha M , Joseph Zeanath Cariena 
Published: May 2024

Pregnancy might lead to various physiological changes that may end up in a diversity of symptoms and frequently to gastrointestinal complaints, such as heartburn, nausea, vomiting, or constipation. With adequate information and timely care, the majority of mild problems that arise during pregnancy can be reduced.The main aim is to to evaluate the efficacy of video-assisted teaching programme and mobile applicationin improving primigravida women' knowledge, attitudes, and practices about how to handle common pregnancy discomforts.A quantitative research approach with the one group pre-test and post-test design was adopted to conduct this pilot study among a total of 20 primigravida mothers attending the PHC Centre by purposive sampling technique who were administered with video-assisted teaching having the contents on knowledge, attitude, and practice aspects regarding management of various minor discomforts of pregnancy. Knowledge, attitude, and practice were measured using structured tools at the baseline (day 1) and after the administration of video-assisted teaching with mobile app-based follow-up education on day 15. We analysed the data with descriptive to describe the variables, paired t-test to test the effectiveness, Karl Pearson’s correlation for the relationship, and Chi-square to find the association. Knowledge, attitude, and practice all showed statistically significant improvements following the implementation of the video-assisted teaching program and mobile application.The research findings indicated that video-assisted teaching along with a mobile app in their own language was found useful method of educating primigravida mothers to increase their knowledge and to generate favorable attitudes regarding the management of minor discomforts during pregnancy.
Construction and validation of self-reporting menstrual disorder screening questionnaire for Indian population
Authors: Sharma K N Srihari , Umarji Shilpa , Visarapu Sai Bhavani 
Published: May 2024

Dysmenorrhea is defined as difficulty in menstrual flow and refers to painful cramps during menstruation. There are 2 types of dysmenorrhea, primary and secondary dysmenorrhea respectively. Early diagnosis of these conditions which may be responsible for dysmenorrhea is necessary to curb the rising prevalence of infertility. There are no adequate screening questionnaires available for Indian population which can screen dysmenorrhea and differentiate primary and secondary dysmenorrhea.: The objective of phase-1 of this study comprised of constructing menstrual disorder screening questionnaire and content validating the questionnaire and the objective of phase-2 was to administer the developed questionnaire on the targeted population. This was a cross-sectional study in which a questionnaire was developed and content validated by experts. The expert panel was asked to validate each question on a four-point Likert scale for relevance, clarity, ease of comprehension and the question was represented in participants correct section. A pilot study was carried out on 31 participants. A total of 142 participants were participated in the study.Dysmenorrhea was reported by a total of 129 participants i.e. 90.85% whereas only 9.15% reported of having no pain during menstruation. Dysmenorrhea symptoms experienced only sometimes by 56 participants, but 73 participants reported to experience them with each cycle. The questionnaire developed, and content validated in this study can be used as a self-reporting screening tool to detect menstrual abnormalities in the Indian population
Prevalence and distribution of HPV 16 and 18 with its epidemiological profile among cervical cancer patients: A prospective study from regional cancer centre of Gujarat, Western India
Authors: Parekh Chetana Deepal , Patel Bijal M , Dave Pariseema S , Patel Prabhudas , Arora Ruchi S 
Published: May 2024

Cervical cancer (CC) is the leading cause of morbidity and mortality due to cancer among women in Indian. This study was conducted to determine the prevalence and distribution of HPV16/ 18 and epidemiological profile of CC patients from, Gujarat Western India.CC biopsy specimens of 400 patients were analyzed for HPV16 and 18 by type-specific PCR. In our study 74% of CC cases were positive for HPV, 67% had HPV16, 14.8% had HPV18 and 7.7% had both HPV16/18. The median age of the women with CC was 50 years and peak incidence (31.8%) was between 40 to 50 years. Majorities (68.5%) were postmenopausal. The median age of marriage was 20years. Squamos cell carcinoma (SCC) was found in 91% and adenocarcinoma (ADC) in 7.3% of the patients. As per study 7.8%, 16.3%, 58% and 2.5% of CC patients presented in FIGO stage I, II, III, and IV respectively. HPV16 was exhibited in, 68.8% and 66.4%, HPV18 in 14.9% and 15.9% of pre and postmenopausal patients respectively. HPV16 and HPV 18 positivity was 68.7% and 51.7% and 13.2% and 31% in SCC and in ADC respectively. HPV16 infection was higher in stage I and HPV18 in stage IV malignancy.There were two peaks of HPV16, first between 21 to 30 and second between 51 to 60 years among CC patients. HPV 16 is highly prevalent among all groups. In patients with adenocarcinoma, Stage IV malignancy & who had marriage before 18years, incidence of HPV18 was relatively high.
Estimation of fetal weight at term by clinical and sonographic assessment and its correlation with the birth weight – A prospective cohort study in a tertiary care hospital
Authors: Veena S R  , Palo Lal Bahadur , Kandasamy Ravichandran 
Published: May 2024

Estimation of fetal weight is necessary to decide on the time and route of delivery. Different clinical and ultrasound methods for estimating fetal weight are followed by different institutions. Antenatal assessment of fetal weight is necessary to achieve better feto-maternal outcomes. The objectives of this study were: (a) fetal weight estimation by ultrasound (Hadlock’s formula) and clinical methods (Johnson’s formula and Dare’s formula) and (b) to compare them with the actual weight of the baby after birth. A prospective cohort study was conducted in a tertiary care centre at Puducherry, India including all singleton, term pregnant women with vertex presentation, normal AFI and BMI &#60;35 kg/m who delivered within the next 48 hours of assessment. The agreement between the different methods of fetal weight estimation and actual birth weight were calculated using intraclass correlation coefficient. Bland and Altman plot was done to identify the intervals of agreements. A total of 400 term antenatal women with age range of 17 to 44 years participated in the study. Intraclass correlation coefficient for Johnson’s formula was 0.816, Dare’s formula was 0.672 and Hadlock’s formula was 0.912. All the three methods had statistically significant correlation with the actual birth weight. Ultrasound estimation of fetal weight is the best out of the three methods and it correlated well with the actual birth weight. Johnson’s formula also gave results close to actual birth weight. With a correlation coefficient comparable to that of ultrasound estimation, Johnson’s formula can be used in low resource settings where ultrasound facilities are not available.
Understanding the burden of teenage pregnancy: A five-year analysis at a tertiary care center of northern Karnataka in India
Authors: Raju S Ashiwini , Karelal Saraswathi , Makam Suvarna , Huchchannavar Raghavendra R 
Published: May 2024

: The present study was planned to comprehensively investigate the epidemiological aspects and clinical feto-maternal outcomes associated with teenage pregnancy, to provide a holistic understanding of teenage pregnancy and the possible solutions. : This is retrospective record-based research conducted over a five-year period, spanning from January 2018 to December 2022, in the department of Obstetrics and Gynaecology of a tertiary care centre in northern part of Karnataka, India. The teenage pregnancy was considered as all pregnancies that occurred in women aged between 13 to 19 years who visited the institute for delivery during the study period. A comprehensive analysis was conducted, encompassing various facets of their antenatal experiences, delivery methods, postpartum complications, as well as the well-being of the new-borns. : A total of deliveries 52,715 deliveries had been recorded in our institute during the study period. Among these deliveries, 1,754 were among teenagers, resulting in a prevalence rate of 3.33%. Nearly one-fifth (19.16%) of teenage mothers were short stature whereas only 7.02% of adult mothers were short stature. The relatively higher proportion of teenage mothers were underweight. Maternal and fetal complication were comparatively higher among teenage mothers whereas caesarean sections were relatively more among adult mothers. : The present study emphasizes the importance of targeted healthcare interventions, including improved prenatal care, nutritional support, and education for teenage mothers, to mitigate these risks and improve the overall health and well-being of both mothers and their infants.
A Grounded Theory Study of Couple Caregiving: A Qualitative Study
Authors: Forouzanfar Azadeh , Fatehizade Maryam , Farahbakhsh Kiumarth 
Published: May 2024

Aim: Caregiving is fundamental to human relationships and plays a crucial role in the quality and stability of marital relationships. The present study aimed to explain the concept of couple caregiving. Methods: This qualitative research was conducted in 2021, adopting a grounded theory approach. For this purpose, ten couples residing in city of Aligudarz (Iran) were selected based on inclusion criteria and purposive sampling. The sampling continued until data saturation was reached. These individuals were examined through semi-structured, in-depth interviews. Data were analyzed using Strauss and Corbin’s (2014) method and the MAXQDA20 software. Findings: The data analysis led to the identification of 78 open codes and 13 axial codes in the form of causal conditions: life history, conscious marriage; contextual conditions: individual and couple contexts; efficient couple relationship; Intervening conditions: behavioral and cognitive facilitating factors; obstacles: personal and environmental stressors; Strategies for sustaining and improving care, and persona; outcomes for the caregiver and care recipient and couple outcomes and the central theme of “reciprocal couple caregiving” was chosen. Conclusions: The findings indicated that factors influencing couple caregiving extend to the time before marriage. Couple caregiving involves conscious marriage and proactive and constructive actions of the couple. It is an interactive and reciprocal process that enhances the insight and awareness of the couple, and the use of care-seeking and caregiving receptivity strategies significantly contributes to its continuity.
COVID-19 VACCINE UPTAKE AMONG OPULENT VS SLUMS OF URBAN SETTING IN KARACHI, PAKISTAN
Authors: Seemi Tooba , Sharif Hina , Sheikh Sana Sharif , Hashmi Muzna , Naeem Hira 
Published: May 2024

Background: COVID-19 vaccine effectiveness and acceptability are critical for a number of important outcomes, including symptomatic COVID-19, severe illnesses, and COVID-19-related mortality.
Aim: To assess the immunization status regarding age, gender, and living standards and the reason for non-compliance to the Covid-19 vaccine among people of urban opulent and slums areas of a single city, i.e., Karachi, Pakistan.
Method: This cross-sectional study was conducted from December 2022 to January 2023 in Karachi, Pakistan. Data were collected through social media websites, including WhatsApp and Facebook, telephonic interviews from opulent urban areas, and direct contact during the visit to primary health care clinics in urban slum areas. STATA software was used for data analysis.
Result: Of 1265 respondents from slums and opulent areas, 15.8% were non-vaccinated slums, whereas 14.16% belonged to opulent areas needing vaccination with adjusted OR 95% is 0.74(0.41-0.95). Of 1265 respondents, 825(65%) were females, and 440 (34.7%) were male. The vaccine compliance among females was 49%, and 32% among male respondents with adjusted OR 95% 1.84(1.12-3.03). Only 6% of the slums area were vaccinated with the required shots of vaccine (2 doses and one booster) compared to opulent areas, i.e., 20%.
Conclusion: Our research at the population level adds to the knowledge we now have from patient data and demonstrates how aggregated data from fully functioning epidemic surveillance and monitoring may provide information about the possible effects of extended COVID on national and international public health.
Diving into Math Success for Discipline and Interest Propel Sixth-Graders
Authors: Arisandi Desi , Wardana Mahardika Darmawan Kusuma 
Published: May 2024

This study examines the relationship between learning discipline, interest in learning, and Mathematics learning outcomes among sixth-grade students at SDN Bulang, using a quantitative correlational approach. Data collected from 35 students through questionnaires and report card assessments were analyzed using SPSS v25. Results indicate a significant correlation between learning discipline, interest in learning, and Mathematics learning outcomes, with correlation coefficients of 0.747 (p=0.003) and 0.909 (p=0.001), respectively. These findings highlight the importance of cultivating both learning discipline and interest in learning to improve Mathematics performance among sixth-grade students, suggesting implications for educational practice and policy.

Highlight:

Correlation: Learning discipline, interest impact Mathematics outcomes.
Quantitative study: 35 sixth graders' data analyzed using SPSS.
Emphasizes fostering discipline, interest to enhance Mathematics performance.

Keyword: Learning discipline, Interest in learning, Mathematics learning outcomes, Sixth-grade students, Quantitative correlational study
Mosaic Mastery Elevates Global Early Childhood Motor Skills
Authors: Al Aliya Isna Syaiyada , IFFATUR ROCMAH LULUK 
Published: May 2024

This class action research investigates the efficacy of mosaic activities with loose parts materials in enhancing fine motor skills among 5-6-year-old children at TK Dharma Wanita Persatuan Anggaswangi. Utilizing observation, interviews, and documentation, the study conducted three cycles of research, observing a significant improvement from 52.8% to 82.4% in children's fine motor skills. These findings highlight the effectiveness of incorporating mosaic activities with loose parts materials in early childhood education, offering insights for educators and curriculum developers aiming to enrich motor skills development in young learners.
Highlight:

Novel Method: Enhancing fine motor skills through engaging mosaic activities.
Substantial Growth: Children exhibit significant improvement in fine motor skills.
Educational Relevance: Insights for integrating effective motor skill activities in curricula.

Keywoard: Fine Motor Skills, Mosaic Activities, Loose Parts Materials, Early Childhood Education, Class Action Research.