bluuebunny/crossref_metadata_2025_split huggingface dataset:
Maternal determinants for 4 Ds in children registered under Rashtriya Bal Swasthya Karyakram program at an urban health centre of Ahmedabad
Authors: Dave Roshni , Sharma Rashmi , Bhatt Gneyaa , Bakshi Harsh , Oza Divyang , Pirzada Azbah , Jani Dharti , Bapat Nirav 
Published: January 2023

Background: Maternal determinants influence the outcome of pregnancy and child’s health in early years. Rashtriya Bal Swasthya Karyakram (RBSK) deals with the 4 D (birth defects, chronic diseases, deficiency disorders and developmental delays) among children (from birth till 18th years). Objectives were to determine and document the association between maternal determinants especially antenatal care (ANC) and 4 Ds and suggest preventive measures.
Methods: Out of 302 children with 4 D’s registered during April 2018-March 2020, 102 children were selected using probability proportionate to sample size (PPS) sampling for each category of 4D. Information of socio demographic details and maternal determinants was gathered on a semi structured questionnaire by interviewing mothers/caretaker.
Results: Relevant information could be gathered from 96 mothers. Mean maternal age was 26.4±4.1 years. Congenital defects were significantly associated with higher maternal age (p<0.0001). Out of 102 cases under study, minimum recommended 4 ANC visits were not taken by 17 (17.7%) mothers. Also, 13 (13.5%) did not take IFA supplementation. Poor health status during pregnancy, was significantly associated for deficiency disorders of child in later life (p<0.04).
Conclusions: Maternal age at pregnancy, health status of mother, ANC care (number of ANC visits, IFA supplementation), health seeking behaviour, birth weight and birth order of child were major determinants of 4Ds.
The systemic immune-inflammation index (SII) in predicting postoperative systemic inflammatory response syndrome (SIRS) after ureteroscopy
Authors: YAHŞİ Sedat , CEVİZ Kazım 
Published: January 2023

Objectives: The predictive value of some preoperative inflammatory markers for postoperative infective complications in urinary system stone disease has been demonstrated. We investigated how valuable the systemic immune-inflammation index (SII) is as a marker for the development of postoperative systemic inflammatory response syndrome (SIRS) in patients undergoing ureteroscopy. Methods: The data of 495 patients who met the study criteria were evaluated retrospectively. The patients were divided into groups according to whether they developed SIRS postoperatively or not. The clinical and demographic data of the patient groups as well as blood parameters were evaluated. Results: Postoperative systemic inflammatory response syndrome was detected in 105 (21.2%) of the patients. Age, diabetes, cardiovascular disease, preoperative urinary culture positivity, SII, neutrophil-lymphocyte ratio (NLR), lymphocyte-monocyte ratio (LMR) and platelet-lymphocyte ratio (PLR) were found to be significant for the development of SIRS. When the areas under the curve were measured in the ROC analysis, it was seen that the SII, NLR, LMR and PLR had high predictive values for the development of SIRS (area under the curve values of 0.73, 0.76, 0.72 and 0.67, respectively). In the multivariate logistic regression analysis, among the risk factors, age, cardiovascular disease, preoperative urinary culture positivity and NLR were determined as independent risk factors. Conclusions: Study revealed that only NLR among inflammatory markers is an independent risk factor for the development of SIRS. Although there is a relationship between the preoperative SII and the development of SIRS, it is not an independent risk factor. Along with many other variables, it may contribute to the development of SIRS.
Influence of Poverty Gap and Severity Index on Production among Cassava based Farmers in Southern Nigeria
Authors: Emmanuel E. Agbachom , Maria B. Onabe , Victor Abayan , Regina Anoh , Ikutal Ajigo , Ettah Otu I. , Ubi Godwin M. 
Published: January 2023

Background: Poverty has been a prevailing challenge among individuals and farmers most especially in the Nigerian economy. The study analyzed poverty status of cassava farmers in Agrarian cassava region in Cross River State, Nigeria. Methods: A multistage sampling technique was adopted in selecting 120 respondents using structured questionnaire between 2019 and 2022. Data obtained were analyzed using both descriptive and inferential statistics. Result: Results showed that the poverty line estimated across all gender was N 17,770.80 and 64.15% of the male farmers were non-poor while 35.85% of them were poor. Male recorded the highest poverty head count ratio (P0) of 0.358. The poverty gap (P1) and severity of poverty (P2) among male farmers were 9.8 and 4.8 per cent, respectively. Similarly, poverty head count (P0), poverty gap (P1) and severity of poverty (P2) for female farmers was 32.8%, 9.7% and 4% respectively. Drudgery/ inadequate access to modern equipment (2.74), high cost of labour (2.64), high perishability of cassava (2.60), high cost of transportation (2.55), fluctuation in prices (2.43) and lack of improved variety (2.38) were the serious constraint faced by cassava farmers during their production in the study area. Policies should be directed towards enhancing farmer income and reducing income inequality through access to credit facility for cassava based farmers.
Efisiensi Teknis dan Ekonomis Pada Usahatani Padi di Desa Alang-alang Kecamatan Tragah Kabupaten Bangkalan
Authors: Ahdiningtyas Meliana , Maidatatia Al , Fitri Shelian , Uyun Sofiatul , Alwi Fitriyah 
Published: January 2023

<em>This study aims to analyze the level of technical, allocative and economic efficiency of farmers in Alang-Alang village towards rice farming, and to determine the factors that affect production efficiency. This research was conducted in Alang-Alang Village, Tragah District, Bangkalan Regency, the determination of this location was carried out purposively or intentionally. The number of respondents used in this study were 40 respondents using the Accidental Sampling technique. Analysis of the data used is in the form of an analysis of the stochastic frontier production function which is estimated by the maximum likelihood (MLE) method using the Frontier 4.1 program. Based on the results of the study, it can be shown that the level of technical efficiency of rice commodities in Alang-Alang Village, Tragah District, Bangkalan Regency is 0,73 (efficient enough), economic efficiency is 0,324 (not efficient), and allocative efficiency is 0,46 (not efficient). Factors or variables that significantly influence and have a positive value on rice production are labor. The source of technical inefficiency that has a significant and negative value is age. So that in maximizing rice production, farmers must increase the number of workers in their farming activities.</em><p> </p>
A Novel Surgical Classification for Extremity and Pelvic Hemophilic Pseudotumors
Authors: Li Ziquan , Xiao Ke , Chang Xiao , Zhou Xi , Bian Yanyan , Zhang Baozhong , Liu Yong , Gao Peng , Feng Bin , Weng Xisheng 
Published: January 2023

Background:
A hemophilic pseudotumor (HPT) is a rare and challenging complication of hemophilia for which there is no classification system that provides uniformity of descriptions or that can be used to guide management. We have developed such a classification based on anatomical site, HPT severity, and corresponding surgical treatment.

Methods:
The PUMCH (Peking Union Medical College Hospital) classification was developed on the basis of clinical manifestations and imaging features. Extremity and pelvic HPTs were divided into 4 types and 6 subtypes according to anatomical site and whether or not there was destruction of adjacent bone. Associations between the PUMCH classification and surgical treatment, preoperative comorbidities, operative time, intraoperative bleeding, and postoperative complication rates were analyzed.

Results:
Forty-five patients with 53 HPTs that were treated at PUMCH between December 2005 and October 2021 were included. The mean age at the time of surgery was 35.4 ± 11.9 years, and the median follow-up duration was 60.3 months. Twenty-eight HPTs were classified as type I (13 IA, 7 IB, 8 IC); 3, as type II; 6, as type III; and 16, as type IV. All 20 type-IA and IB HPTs were treated with excision, and the 3 type-II HPTs were treated with curettage and bone grafting. Fourteen type-IV pelvic HPTs underwent excision, 2 of which needed concomitant pelvic reconstruction. Six type-IC HPTs and 1 type-III HPT underwent excision and osseous reconstruction. Amputation was required for 1 type-IC and 3 type-III HPTs. Type-IC HPTs had the longest mean operative time (194.3 ± 28.2 minutes) and the greatest intraoperative bleeding (2,000 mL [interquartile range, 1,100 to 3,000 mL]). Postoperative infection was more common in patients with type-III (50.0%) and type-IC (28.6%) HPTs, but not significantly so.

Conclusions:
The PUMCH classification is based on the anatomic pathology and surgical strategy for HPTs. The classification of HPTs corresponds to surgical outcomes, and may be helpful for decision-making regarding their surgical treatment.

Level of Evidence:
Prognostic Level IV. See Instructions for Authors for a complete description of levels of evidence.
Osseoscopy-Assisted Femoral Head Restoration and Vascularized Graft for Slipped Capital Femoral Epiphysis
Authors: Shams Kameron , Li Ying , Ozer Kagan 
Published: January 2023

Case:
A 13-year-old obese adolescent boy with hypothyroidism developed left femoral head avascular necrosis with collapse after slipped capital femoral epiphysis. We restored the femoral head congruity with the aid of osseoscopy and vascularized free fibular graft (VFFG). Four years after surgery, the patient had painless hip range of motion and femoral head contour was maintained.

Conclusion:
This case highlights a novel use of an arthroscopic camera inside the femoral head to visualize and debride the area of collapse, fill the cavity with cancellous bone graft, and use a VFFG to restore articular support preventing further deterioration of the hip joint.
Analisis Penerapan Therapeutic Architecture pada Rumah Sakit Saint Vincentius A Paulo Surabaya
Authors: Maheswari Arum , Susanti Wiwik Dwi 
Published: January 2023

Era pasca pandemi COVID-19 menyebabkan perubahan yang besar dalam pelayanan rumah sakit. Ketakutan masyarakat untuk mendatangi fasilitas kesehatan semakin tinggi. Permasalahan baru yang muncul yaitu bagaimana fasilitas kesehatan dapat menciptakan lingkungan yang positif dan nyaman bagi pasien. Fasilitas pelayanan kesehatan tidak hanya harus menyediakan dokter, perawat, terapis sebagai ujung tombak perawatan medis serta alat-alat kedokteran yang menjadi fasilitator, melainkan juga lingkungan yang mendukung proses kesembuhan pasien dan mendukung kegiatan pelayanan kepada pasien. Namun desain dan arsitektur dapat dilibatkan secara langsung untuk mendukung proses tersebut menggunakan pendekatan therapeutic architecture. Penerapan konsep seperti penataan massa, penciptaan ruang interaksi sosial, penciptaan ruang hijau seperti therapeutic garden dan holticultural theraphy dapat menunjang proses pemulihan dengan memberikan pengaruh aspek psikologis dan aspek fisik penghuni. Penelitian ini bertujuan untuk menganalisis dan mengetahui aspek-aspek therapeutic architecture beserta penerapannya pada Rumah Sakit Katolik Saint Vincentius a Paulo (RKZ) Surabaya. Penelitian ini menggunakan metode deskriptif kualitatif serta menggunakan pengumpulan data sekunder dari beberapa teori dan studi literatur yang terkait dengan penelitian. Analisis dilakukan dengan menggunakan pendekatan prinsip desain healing therapeutic (Chrysikou) dan prinsip desain therapeutic media (Holowitz), menghasilkan kajian bahwa Rumah Sakit Katolik Saint Vincentius a Paulo (RKZ) Surabaya menerapkan konsep healing therapeutic dan memenuhi kriteria care in community, design for domesticity, social valorization, integrated with nature, dan therapeutic media.
Efektivitas Penghawaan Alami dalam Kenyamanan Termal: Intervensi Fasad dan Teknologi Eco-Cooler pada Ruang Aula
Authors: Hadi Dwiwangga Sang Nalendra , Supriyanta Supriyanta , Wibowo Muhammad Fahd Reyhan 
Published: January 2023

Penghawaan alami menjadi solusi dalam upaya pendinginan pasif yang hemat energi. Beberapa desain dilakukan untuk menciptakan aliran udara yang memiliki kecepatan ideal agar mampu memberikan efek penyegaran yang nyaman. Asas kontinuitas fluida secara konsep memberikan efek dalam peningkatan kecepatan udara pada ujung yang lebih kecil. Teknologi eco-cooler dan intervensi fasad yang menggunakan asas kontinuitas ditinjau keefektivitasannya dalam peningkatan kecepatan angin dengan tujuan untuk memberikan rekomendasi bukaan guna penghawaan alami pada iklim tropis cenderung panas. Selain itu, penelitian juga bertujuan untuk memberikan rekomendasi sistem penghawaan alami yang mampu memberikan kenyamanan termal pada bangunan. Penelitian menggunakan metode simulasi komputerisasi dengan autodesk CFD agar didapat nilai kecepatan udara secara kuantitatif. Hasil penelitian menunjukkan asas kontinuitas berperan dalam meningkatkan kecepatan udara pada teknologi yang diusulkan. Efektivitas sistem penghawaan alami dengan asas kontinuitas terdapat pada prototipe intervensi fasad yang juga mampu memberikan kenyamanan termal pada ruang aula yang menjadi studi kasus.
Kesetempatan dan Kesemestaan di Arsitektur Nusantara
Authors: Ramadhan Evandry , Prihatmaji Yulianto P. 
Published: January 2023

Indonesia merupakan negara kepulauan yang memiliki keragaman pada arsitektur nusantara. Kesetempatan dan kesemestaan adalah salah satu ciri khas pada arsitektur nusantara. Kesetempatan dan kesemestaan juga merupakan salah satu dari filosofi yang ada pada bangunan nusantara. Kesetempatan dan kesemestaan merupakan salah satu cara manusia untuk lebih dekat terhadap sang pencipta dan juga alam. Metode yang digunakan adalah systematic literature review, untuk mencari pustaka perlu melihat judul serta membaca abstrak sebagai penarik kesimpulan dalam sebuah pustaka. Pencaharian ini bertujuan untuk mengetahui, memahami, serta menemukan kesetempatan dan kesemestaan pada arsitektur nusantara berdasarkan paradigma, konsep, model, dan teknologi. Setelah melakukan analisis berdasarkan data, didapat bahwa kesetempatan dan kesemestaan memiliki beberapa cakupan pembahasan seperti paradigma, konsep, model, dan teknologi. Hasil analisis menjelaskan kesemestaan dan kesetempatan di arsitektur nusantara memiliki 2 fokus besar yang berkaitan dengan regionalisme dan unsur kepercayaan. Regionalisme yang berfokus pada kesetempatan memiliki arti sebagai identitas. Sedangkan unsur kepercayaan berfokus pada kesemestaan. Kesemestaan memiliki cakupan yang berhubungan dengan alam, manusia, dan semesta. Sehingga kesetempatan dan kesemestaan pada arsitektur nusantara membahas terkait identitas serta cara kita menghargai alam dan sang pencipta-Nya.
Influence of Untreated Abaca Fibre on Mechanical Properties of Lightweight Foamed Concrete
Authors: Othuman Mydin Md Azree 
Published: January 2023

Abstract
Presently, the expenditure on construction materials grows dramatically along with the enduring effect on the ecosystem, and it has led the academics to the recognition of natural plant fibres such as abaca fibre (AF) for enhancing the mechanical properties of concrete. AF is plentifully obtainable making it fairly relevant to be employed as a strengthening material in lightweight foamed concrete (LFC). Moreover, natural plant fibre-reinforced concrete has been progressively utilized in construction for several decades to decrease crack growth under the static load. This paper anticipates examining the effectiveness of the addition of AF in LFC to enhance its mechanical properties. LFC specimens of 550 kg/m3 density were reinforced with AF at weight fractions of 0.00%, 0.15%, 0.30%, 0.45% and 0.60%. Three parameters have been assessed which were flexural strength, compressive strength and tensile strength. The results revealed that adding 0.45% AF into LFC enables optimal compressive, flexural and splitting tensile strengths. The presence of AF augments material strength by filling spaces, micro-cracks, and gaps inside the LFC structure. Additionally, AF helped reduce crack spreading when the plastic state of the LFC cementitious matrix was loaded. Though, further, than the optimum level of AF addition, accumulation and the non-uniform distribution of AF were identified, which triggers the lowering of the LFC strength properties substantially. The output of this preliminary investigation would give a better understanding of the potential utilization of plant fibre in LFC. It is of great importance to drive the sustainable development and application of LFC material and infrastructures.
A Short Review on Feedstock Characteristics in Methane Production from Municipal Solid Waste
Authors: Sendilvadivelu Arunthathi , Dhandapani Balaji , Vijayasimhan Sivapriya 
Published: January 2023

Abstract
The increase in population and industrialization leads to an increase in the solid waste year by year. The limited availability, increasing cost and adverse effect of climate change on fossil fuel leads to encouraging the research in the field of finding alternatives for energy sources. The organic fraction of municipal solid waste (OFMSW) can be utilized as a bio-energy source, which reduces the environmental impact and the requirement of landfill areas to dispose of municipal solid waste. Anaerobic digestion is the widely used sustainable approach to treat OFMSW. In recent years, the generation of methane from municipal solid waste has received increasing attention in research. This paper reviews literature published in recent years considering various characteristics of input feedstock parameters like pH, total solids, volatile solids, and water content which affect the digestion quality of the OFMSW and increase the production of methane. A regression model is developed to identify the relationship between methane production and various feedstock parameters. When the chemical compositions of feedstock were used as independent variables, the percentage variation accounted for by the model is low (r2 = 0.63) and also the important observation from the analysis is that the pH of the feedstock influences majorly methane production.
The Interconnectedness of the Level of Education and Gender Equality in Selected Countries
Authors: Górska Rumiana 
Published: January 2023

Abstract
The Sustainable Development Goals (SDGs) cover different human and planet well-being areas, and their achievement is interdependent. Which of the goals are crucial and leading in this process is a question that often arises. Quality education is considered a cornerstone for all the SDGs. On the other hand, gender equality is very connected with other goals, as most of them have gender-specific indicators. Quality education and gender equality are two of the SDGs in the social dimension that can reinforce the achievement of all other SDGs. However, quantitative research on the relationship between these two phenomena, taking into account other factors, is rarely taken in the literature. This article aims to fill this gap and investigate the nature of the interconnectedness of quality education and gender inequality in selected countries. We also examined other factors (i.e., economic, political, and cultural) that may influence the education level, gender equality problems, and the relationship between them. The methodology used in the research is the propensity score method, and the data cover 153 countries in the world. The results confirm the undisputable relationship between the level of education and gender equality but also identify other factors influencing the variables of interest. These are GDP per capita, level of democracy, and major religion, to name a few. The influence of these factors differs in strength and direction.
An Optimal Security Framework Based on Driver Authentication for Intelligent Transportation Systems
Authors: Yadav Shalini , Rishi Rahul 
Published: January 2023

Abstract
Security and safety have been a critical issue in the field of Intelligent Transportation Systems. Security of both people and vehicles is a matter of concern. In this paper, an authentication-based security framework is designed to serve the purpose. Only authorized users are provided access to the vehicle. The drivers are first registered for driving the vehicle from an authorized and valid source. The next step is the authentication check before one can be given access to the vehicle. There are two alternative methods provided for the authentication check in the solution depending upon the situation the vehicle is in. The solution is an optimally viable solution from the security perspective of the real-time Intelligent Transportation System environment. The results have shown that the security solution fits into the domain very well and performs as per expectations. The solution has been tested on a Vehicle Tracking Device connected to a vehicle. The same solution can be extended to a fleet of vehicles.
Application possibilities of scanning acoustic microscopy in the assessment of explosive welding
Authors: Korzeniowski Marcin , Białobrzeska Beata , Lewandowska Anna 
Published: January 2023

Abstract
The last two decades have brought stable and impressive development accompanied by the industry acceptance of the use of high energy techniques based on energy obtained from explosive detonation energy. Such manufacturing processes are not only commercially viable, but also allow complex product shapes and unique combinations of metal sheets in terms of materials to be obtained; they enable the creation of composites which cannot be obtained by other conventional methods. Plated sheets are composed of a base material and a thinner plating material layer. An essential aspect in the validation of explosive welding is the quality control of joints made using this technology. The basic control methods are destructive tests – mainly metallographic, which reveal the microstructure at the connection boundary. Non-destructive tests, used in industrial practice, are classical, normalised ultrasonic tests of welding joints, conducted in accordance with ISO 17640:2017 and ISO 11666:2018 standards. Due to the relatively low thickness of the explosion-tested layers (2 mm and 3 mm single layers), which is the object of this study, assessing them using widely available ultrasonic techniques is limited. According to current scientific studies, the application of the scanning acoustic microscopy (SAM) is a prospective non-destructive method allowing for the qualitative and quantitative assessment of the continuity of the metallic connection on the contact surface of two materials. This paper presents the results of research on the quality of clads, welded explosively using a non-destructive research technique, namely SAM, verified with metallographic tests.
A Novel Feedback Linearisation Control of Flyback Converter
Authors: Csizmadia Miklos , Kuczmann Miklos 
Published: January 2023

Abstract
This paper presents a novel approach for feedback linearisation in a continuous conduction mode (CCM) of the flyback converter. Due to the unstable zero dynamics, a flyback converter has highly non-linear behaviour. Flyback converters mostly use the indirect (current) control mechanism. In contrast, this paper shows a direct control of the output voltage of a flyback converter with feedback linearisation (a non-linear control method). In the designed controller, an error integrator is applied to improve the dynamic and steady-state behaviour of the controller. To design the feedback linearisation method, the state-space averaged model is determined. The converter and the proposed control are tested in a MatLab/Simulink environment, and the results are compared with other optimal controller methods. The results provide feedback about the efficiency and practical implementation of the proposed method.