bluuebunny/crossref_metadata_2025_split huggingface dataset:
Tender loving care following recurrent miscarriages: a review of a dedicated antenatal clinic
Authors: Cullen Sarah , Seymour Valerie , Dwyer Isabel , Doyle Sam , Crosby David , Allen Cathy 
Published: May 2023

Background Recurrent miscarriage is defined as three recurrent first trimester pregnancy losses. The Tender Loving Care Clinic is a specialist clinic for women during the first trimester of a pregnancy following recurrent miscarriages. This study's aim was to review cases of those who attended the tender loving care clinic for antenatal care. Methods A retrospective chart review was conducted using anonymous data, collected from the electronic records of women who attended the clinic over a 1-year period. Results A total of 103 women attended the clinic during the study period. The majority (90.3%) were prescribed medication while attending. Pregnancy outcomes for women attending the clinic were good; 69.2% of women went on to have a live birth. Conclusions Pregnancy outcomes following recurrent miscarriages are reassuring with supportive antenatal care. This review highlights the importance of psychological care and reassurance in a pregnancy following recurrent miscarriages.
Does model of care affect women's health and wellbeing in the perinatal period in Sweden?
Authors: Ny Pernilla , Ghani Rania Mahmoud Abdel , Khalaf Atika 
Published: May 2023

Background/Aims Self-rated health before, during and after pregnancy is important for women's quality of life and promotes bonding between mother and child. However, diverse aspects of care models influence women's experiences during pregnancy. This study aimed to investigate low-risk women's self-rated health during the perinatal period in relation to different models of care in Sweden. Methods A retrospective study was conducted of computerised obstetric data from 167 523 women with low-risk pregnancies during 2010–2015. Descriptive analysis was used, as well as group comparisons and ordinal regression analysis, to establish links between self-rated health before, during and after pregnancy and sociodemographic characteristics. Results The majority of women, regardless of model of care, rated their health as very good or good before, during and after pregnancy. During pregnancy, primiparous women, those who attended <7 midwife visits and those followed up by a private centre were more likely to rate their health as good. Women who had more than four midwives, were under the age of 30 years or foreign-born had increased risk of rating their health as bad. Postnatally, women who used private care, primiparous women and those aged 25–29 years were at lower risk of rating their health as bad. Conclusions Women attending private healthcare services tended to rate their health as better. Vulnerable groups of women need special attention from healthcare authorities.
Midwives' and women's understanding of cytomegalovirus infection during pregnancy
Authors: Kerr Ashling , Hughes Clare 
Published: May 2023

Background/Aims Maternal cytomegalovirus infection can result in congenital cytomegalovirus, with neonatal and childhood sequalae including sensorineural deafness, visual impairment, and neurological abnormalities. This study's aim was to explore midwives' and women's level of awareness and knowledge of cytomegalovirus infection, and its impact during pregnancy. Methods A systematic review of the literature was carried out. Seven papers met the criteria for inclusion, and data were analysed for a total of 370 registered midwives and 1717 women. Results Participating midwives and childbearing women experienced significant levels of inadequate knowledge of cytomegalovirus infection. Midwives exhibited restricted recognition of viral transmission, maternal and neonatal symptoms and antenatal prevention, and childbearing women documented limited awareness and understanding of cytomegalovirus infection and congenital cytomegalovirus. Conclusions Pregnant women need to be provided with information about cytomegalovirus, including how it may affect the fetus and how to reduce the risk of exposure during pregnancy. Midwives require additional education to increase their knowledge and understanding of cytomegalovirus.
The opportunities and challenges of politically designed co-creation platforms
Authors: van Elk Sam , Regal Britt 
Published: May 2023

Contemporary governments face dwindling resources and populations who feel disconnected from political systems. In response, both governments and scholars increasingly explore more participative governance approaches. Such efforts have coalesced around ‘co-creation’, a way of governing through collaboration between public and private actors, often including citizens. Increasingly, scholars emphasise ‘co-creation platforms’: devices that use reconfigurable structures and resources to facilitate multiple instances of co-creation. By creating platforms, advocates claim, governments can facilitate widespread co-creation without unfeasible costs. Some even encourage governments to adopt platform-creation as their way of governing – so-called ‘generative governance’. Yet, with governments being time- and cash-poor, they cannot participate in every such co-creation initiative themselves. To realise the promise of generative governance, platforms must enable governments to facilitate co-creation initiatives at arm’s length.
While, however, research suggests that governments can be successful platform-users, we know little about how successfully they can forge platforms to encourage co-creation among others. Consequently, we conducted a nested case study of the creation and use of one novel platform: London Borough of Culture. Theorised through literatures on platforms, and co-creation’s drivers and inhibitors, our findings affirm that platforms can facilitate co-creation. However, they also uncover how platforms fashioned by politically-led organisations become entangled in political dynamics that inhibit co-creation. Two contributions follow: first, platforms made by politically-led bodies enable, but simultaneously constrain, others’ co-creation; second, drivers and inhibitors of co-creation can be strategically shaped by interventions (for example, platforms) to maximise the chances of that co-creation succeeding.
Sensing mechanism of an Au-TiO2-Ag nanograting based on Fano resonance effects
Authors: Yang Haima , Huang Hongxin , Liu Xiaolin , Li Zeng , Li Jun , Zhang Dawei , Chen Yuwei , Liu Jin 
Published: May 2023

In recent years, with the development of nano-photonics, Fano resonance has gained increasing attention. Due to its high sensitivity, real-time detection, and label-free properties, the Fano resonance sensor has been widely applied in the fields of biochemistry and environmental detection. To improve the sensing characteristics of Fano resonance, an Au-TiO2-Ag grating structure is proposed in this paper, and the sensing performance is enhanced by a bi-metallic grating and deposited TiO2. The characteristics of both sensing and field distribution of the model are accordingly analyzed using the finite-difference time-domain method. By varying the structural parameters such as grating period, grating height, silver film thickness, and TiO2 layer thickness, the tuning of sensing characteristics can be realized, and afterwards, the sensing performance is improved; consequently, the Fano resonance reflection spectrum with high sensitivity and a high figure of merit (FOM) value is obtained. When the grating period P = 200 nm, grating height T1 = 90 nm, silver film thickness T2 = 20 nm, TiO2 layer thickness T3 = 20 nm, and SiO2 layer thickness T4 = 600 nm, such a structure indicates favorable sensing performance, and sensor detection accuracy can reach 10−3; maximum sensitivity is 1400 nm/RIU, and maximum FOM can reach 4212RIU−1. The results demonstrate that the designed Fano resonance sensing model has good potential for application.
Modelling the impact of non-pharmaceutical interventions on workplace transmission of SARS-CoV-2 in the home-delivery sector
Authors: Whitfield Carl A. , van Tongeren Martie , Han Yang , Wei Hua , Daniels Sarah , Regan Martyn , Denning David W. , Verma Arpana , Pellis Lorenzo , Hall Ian ,   with the University of Manchester COVID-19 Modelling Group
Published: May 2023

Objective
We aimed to use mathematical models of SARS-COV-2 to assess the potential efficacy of non-pharmaceutical interventions on transmission in the parcel delivery and logistics sector.

Methods
We devloped a network-based model of workplace contacts based on data and consultations from companies in the parcel delivery and logistics sectors. We used these in stochastic simulations of disease transmission to predict the probability of workplace outbreaks in this settings. Individuals in the model have different viral load trajectories based on SARS-CoV-2 in-host dynamics, which couple to their infectiousness and test positive probability over time, in order to determine the impact of testing and isolation measures.

Results
The baseline model (without any interventions) showed different workplace infection rates for staff in different job roles. Based on our assumptions of contact patterns in the parcel delivery work setting we found that when a delivery driver was the index case, on average they infect only 0.14 other employees, while for warehouse and office workers this went up to 0.65 and 2.24 respectively. In the LIDD setting this was predicted to be 1.40, 0.98, and 1.34 respectively. Nonetheless, the vast majority of simulations resulted in 0 secondary cases among customers (even without contact-free delivery). Our results showed that a combination of social distancing, office staff working from home, and fixed driver pairings (all interventions carried out by the companies we consulted) reduce the risk of workplace outbreaks by 3-4 times.

Conclusion
This work suggests that, without interventions, significant transmission could have occured in these workplaces, but that these posed minimal risk to customers. We found that identifying and isolating regular close-contacts of infectious individuals (i.e. house-share, carpools, or delivery pairs) is an efficient measure for stopping workplace outbreaks. Regular testing can make these isolation measures even more effective but also increases the number of staff isolating at one time. It is therefore more efficient to use these isolation measures in addition to social distancing and contact reduction interventions, rather than instead of, as these reduce both transmission and the number of people needing to isolate at one time.
Zuzendariaren oharra: Azken orenek dute GOGOA kolpatu
Authors: Korta Kepa 
Published: May 2023

2021eko martxoko data darama eskuetan duzun ale honen aurreko aleak, hogeita bigarrenak. Bien bitartean, aurrena online joan dira argitaratzen hemen bildu ditugun testuak. Baina ez guztiak. Bi urteotan GOGOAren muina kolpatu dute bi GOGOAkide finen heriotzek: Jesus Mari Larrazabal Antia. Zumaia, 1948-12-25 / Donostia, 2021-06-29 Pello Huizi Petrikorena. Arano, 1942-11-27 / Bermeo, 2023-03-30 Biak oroitzeko eta egindako guztia eskertzeko idatziak dira irakurtzen ari zaren lerro hauek.
RETALIASI AMERIKA SERIKAT TERHADAP INDONESIA DALAM KAITANNYA DENGAN SENGKETA IMPOR PRODUK HORTIKULTURA, HEWAN DAN PRODUK HEWAN
Authors: Erviana Yeni , Priyono FX. Joko , Trihastuti Nanik 
Published: May 2023

Pada tahun 2014, Kebijakan impor produk hortikultura, hewan, dan produk hewan yang diterapkan Indonesia digugat Amerika Serikat (AS) di Panel WTO karena memberlakukan hambatan perdagangan yang dilarang GATT. Laporan Panel dikuatkan badan banding menyatakan kebijakan impor produk tersebut bertentangan dengan Pasal 11 GATT. Selanjutnya, AS mengajukan permohonan retaliasi terhadap Indonesia karena dianggap belum mematuhi rekomendasi DSB. Indonesia keberatan dengan permohonan retaliasi AS karena, telah mematuhi rekomendasi DSB dengan melakukan penyesuaian kebijakan impor sebelum jangka waktu berakhir. Penelitian ini bertujuan untuk mengetahui kesesuaian permohonan retaliasi yang diajukan oleh AS dengan mekanisme penyelesaian sengketa WTO dan untuk mengetahui kesesuaian peraturan yang telah dilakukan Indonesia dengan rekomendasi DSB. Metode penelitian yang digunakan adalah metode pendekatan yuridis normatif. Berdasarkan penelitian yang dilakukan permohonan retaliasi yang diajukan oleh AS tidak sesuai dengan mekanisme penyelesaian sengketa WTO karena bertentangan dengan Pasal 23 DSU. Penyesuaian peraturan importasi yang dilakukan oleh Indonesia telah sesuai dengan rekomendasi DSB.
Pemberian Komunikasi, Informasi dan Edukasi sebagai Upaya Peningkatan Keselamatan dan Kesehatan Kerja pada Pekerja Tahu
Authors: Ekawati Ekawati , Wahyuni Ida , Setyaningsih Yuliani , Kurniawan Bina , Jayanti Siswi 
Published: May 2023

Industri tahu memiliki berbagai macam potensi bahaya. Bila tidak dikelola dengan baik, potensi bahaya dapat mengganggu keselamatan dan kesehatan pekerja. Pekerja harus mengetahui bagaimana cara mengelola potensi bahaya tersebut dengan tepat. Tujuan kegiatan pengabdian ini adalah untuk meningkatkan keselamatan dan kesehatan pekerja tahu agar keselamatan dan kesehatan mereka senantiasa terjaga. Pengabdian ini menggunakan metode participatory community service. Sebanyak 40 pekerja berpartisipasi dalam pengabdian ini. Hasil kegiatan pengabdian menunjukkan bahwa pekerja sangat antusias dalam mendiskusikan potensi bahaya pekerjaan di industri tahu. Pekerja dapat mengidentifikasi potensi bahaya dengan tepat. Pekerja juga antusias dalam mendiskusikan cara mengelola potensi bahaya tersebut. Dapat disimpulkan bahwa penyuluhan dapat meningkatkan awareness pekerja terhadap bahaya. Dan pekerja juga dapat menjelaskan bagaimana pengendalian bahaya di industri tahu tersebut. ABSTRACTThe tofu industry has various potential hazards. If not managed properly, potential hazards can interfere with the safety and health of workers. Workers must know how to properly manage these potential hazards. The purpose of this service activity is to improve the safety and health of tofu workers so that their safety and health are always maintained. This service uses a participatory community service method. A total of 40 workers participated in this service. The results of the service activities showed that workers were very enthusiastic in discussing the potential hazards of work in the tofu industry. Workers can identify potential hazards appropriately. Workers are also enthusiastic in discussing how to manage these potential hazards. It can be concluded that counseling can increase workers' awareness of hazards. And workers can also explain how to control the hazards in the tofu industry
Pemberdayaan Kader Remaja SANTUN (Sehat Anti Stunting) di Kecamatan Guntur Kabupaten Demak
Authors: Handayani Novia , Indraswari Ratih , Shaluhiyah Zahroh , Kusumawati Aditya 
Published: May 2023

Prevalensi stunting pada kelompok baduta dan balita di Kabupaten Demak cukup besar. Rendahnya pengetahuan masyarakat terhadap faktor penyebab stunting dan pencegahannya sejak dini mengakibatkan masyarakat menjadi rentan untuk memiliki generasi stunted. Pegabdian ini bertujuan untuk memberdayakan remaja di Kecamatan Guntur Demak menjadi remaja SANTUN (Sehat Anti Stunting) sehingga dapat memutus mata rantai kejadian stunting. Pengabdian ini menggunakan metode participatory community service dan diikuti oleh 40 remaja perwakilan dari 10 desa di wilayah kerja Puskesmas Guntur II Demak. Hasil pengabdian menunjukkan bahwa remaja sangat antusias dalam mengikuti setiap materi pembahasan. Remaja menjadi paham dengan arti stunting, bahayanya dan bagaimana cara mencegahnya. Diharapkan para remaja ini dapat menyebarluaskan pengetahuan tentang pencegahan stunting di lingkungan sekitarnya. ABSTRACTThe prevalence of stunting in the children-under 5 and under 2 groups in Demak Regency is quite large. The low level of knowledge about the causes of stunting and early prevention caused the community to be vulnerable to have a stunted generation. This Community Service aims to empower youth in Guntur Demak District to become SANTUN (Healthy Anti Stunting) youth so they can prevent stunting cases as early as possible. This service uses a participatory community service method and is attended by 40 youth representatives from 10 villages in the working area of the Guntur II Health Center Demak. The results of the service show that adolescents are very enthusiastic about participating in each discussion material. Adolescents become aware of the meaning of stunting, its dangers, and how to prevent it. It is expected that they can disseminate knowledge about stunting prevention in their surrounding environment.
Implementasi Sosialisasi Vaksinasi COVID-19 bagi Ibu Hamil di Puskesmas Tlogosari Kulon Kota Semarang
Authors: Kusumastuti Wulan , Wigati Putri Asmita , Sriatmi Ayun , Suryoputro Antono , Suryawati Chriswardani 
Published: May 2023

Pandemi COVID-19 yang telah bermula dari Desember 2019 hingga kini belum juga berakhir karena selalu munculnya varian baru.Salah satu permasalahan yang sedang dihadapi pada masa pandemi iniadalah terkait kasus COVID-19 pada ibu hamil. Kelompok rentan seperti ibu hamil, memiliki resiko yang sama besar untuk terpapar COVID-19, bahkan dengan gejala yang lebih berat dari orang yang tidak hamil.Vaksinasi COVID-19 bertujuan untuk melindungi ibu hamil agar memiliki kekebalan tubuh yang lebih kuat dalam menghadapi penyakit COVID-19 serta untuk menciptakan kekebalan kelompok (herd immunity). Akan tetapi target vaksinasi terhadap sasaran ibu hamil di Kota Semarang hingga saat ini masih rendah. Alternatif solusi untuk permasalahan ini yang dapat dilakukan yaitu dengan diseminasi informasi kepada ibu hamil mengenai pentingnya vaksinasi COVID-19 dalam mendukung program vaksinasi COVID-19.Kegiatan pengabdian telah dilakukan selama 6 bulan meliputi pengajuan izin dan koordinasi, penyusunan materi, pelaksanaan penyuluhan, kuesioner pre test dan post test,monitoring dan evaluasi, serta penyusunan laporan. Penyuluhan dilakukan kepada ibu hamil di Puskesmas Tlogosari Kulon dengan jumlah peserta 22 orang. Hasil pengabdian menunjukkan bahwa telah terjadi peningkatan pengetahuan dan perubahan sikap pada ibu hamil antara sebelum dan sesudah kegiatan pengabdian.
ESTIMASI SERAPAN CO2 BERDASARKAN SIMPANAN KARBON PADA HUTAN MANGROVE DESA TAMBAKBULUSAN DEMAK JAWA TENGAH
Authors: Susilowati Mega Wahyu , Purnomo Pujiono Wahyu , Solichin Anhar 
Published: May 2023

Produksi karbondioksida yang semakin meningkat, sedangkan hutan mangrove sebagai penyerap karbondioksida yang semakin menurun jumlahnya, menyebabkan jumlah karbondioksida di atmosfer tidak terkendali. Hal tersebut menyebabkan cahaya matahari terperangkap di atmosfer, sehingga suhu di bumi semakin meningkat. Solusi untuk meminimalisasi dampak dari pemanasan global dapat memanfaatkan keberadaan hutan mangrove. Hutan mangrove dapat menyerap karbondioksida dan menyimpannya dalam bentuk biomassa dan sedimen. Tujuan dari penelitian ini untuk menghitung simpanan karbon pada batang mangrove, serasah dan sedimen serta mengestimasi serapan CO2. Simpanan karbon pada batang mangrove menggunakan metode non-destructive sampling dengan persamaan alometrik untuk jenis atau tipe ekosistem mangrove yang sudah tersedia, sedangkan simpanan karbon serasah dan sedimen menggunakan metode destructive sampling dengan mengambil sub contoh di lapangan. Hasil simpanan karbon pada batang mangrove yaitu sebesar 125,39 ton/ha setara dengan serapan CO2 460,21 ton/ha, simpanan karbon pada serasah sebesar 0,54 ton/ha setara dengan serapan CO2 1,97 ton/ha dan simpanan karbon pada sedimen yaitu sebesar 57,74 ton/ha setara dengan serapan CO2 211,89 ton/ha. Estimasi serapan CO2 pada hutan mangrove Desa Tambakbulusan berdasarkan ketiga sumber karbon yaitu 674,07 ton/ha dengan persentase serapan CO2 batang sebesar 68,27%, serasah sebesar 0,29% dan sedimen sebesar 31,44%. Penyimpanan karbon terbesar berada di batang mangrove dan terkecil pada serasah.
PENGARUH BERBAGAI TEMPERATUR TERHADAP PELEPASAN DENSITAS ZOOXANTHELLAE PADA KARANG Acropora sp. DALAM SKALA LABORATORIUM
Authors: Mulyani Maya Sri , Purnomo Pujiono Wahyu , Supriharyono Supriharyono 
Published: May 2023

Terumbu karang adalah ekosistem yang struktur utamanya berupa karang keras, tersusun oleh polip-polip karang yang bersimbiosis dengan alga zooxanthellae. Keberadaan zooxanthellae di dalam polip karang dipengaruhi oleh temperature. Pada temperatur perairan yang tinggi menyebabkan kematian karang akibat lepasnya zooxanthellae dari jaringannya; dan sebaliknya pada temperatur rendah dapat mendukung pertumbuhan dan perkembangan karang melalui peran zooxanthellae. Tujuan penelitian ini adalah untuk mengetahui pengaruh berbagai tingkat temperatur terhadap pelepasan zooxanthellae dan kemampuan recovery karang setelah diberi tekanan temperatur. Penelitian ini dilaksanakan pada bulan Desember 2018 sampai januari 2019 di Laboratorium Histopatologi BBPBAP Jepara. Untuk mengetahui pengaruh berbagai temperatur terhadap densitas zooxanthellae pada karang acropora sp. maka dilakukan dengan faktor temperatur 3 level (28 ºC, 32 ºC, 36 ºC) yang diulang tiga kali. Peubah yang diamati adalah densitas zooxanthellae dan variable kualitas air DO, pH, salinitas pada hari ke 0, 1, 3, 5 10 dan 15. Hasil penelitian menunjukkan bahwa pemberian tekanan temperatur tinggi sangat berpengaruh pada densitas zooxantellae. Karang mengalami bleaching sempurna pada hari ke-6 pada perlakuan treatment temperatur 36 ºC. Karang mampu beradaptasi dan pulih kembali pada temperatur normal 28 ºC dan temperatur 32 ºC dan tidak dapat recovery pada temperatur 36 ºC.
Analisis Tingkat Kelelahan Berdasarkan Beban Kerja Fisik Perawat Di Ruang Isolasi Rumah Sakit X Saat Pandemi Corona Virus (Covid – 19)
Authors: Pujiastuti Ajeng Tri , Lestantyo Daru , Wahyuni Ida , Jayanti Siswi 
Published: May 2023

Rumah Sakit merupakan salah satu sektor kesehatan yang saat ini menjadi perhatian dengan adanya wabah Covid – 19. Perawat merupakan salah satu pekerjaan yang berperan penting pada masa pandemi ini. Hal ini disebabkan asuhan keperawatan yang dilakukan 24 jam setiap hari. Tuntutan pekerjaan yang tinggi dapat menyebabkan kelelahan. Kelelahan merupakan keadaan pelemahan kegiatan, motivasi, dan aktivitas fisik. Apabila tidak segera ditangani, kelelahan akan terakumulasi dan mempengaruhi derajat kesehatan perawat. Tujuan penelitian untuk menganalisis tingkat kelelahan berdasarkan beban kerja fisik.pada perawat di ruang isolasi Rumah Sakit X saat pandemi Corona Virus (Covid – 19). Desain penelitian ini adalah kualitatif dengan analisis deskriptif. Subjek penelitian 13 orang perawat sebagai informan utama dengan menggunakan wawancara mendalam, lembar observasi SNI Beban Kerja Berdasarkan Tingkat Kebutuhan Kalori Menurut Pengeluaran Energi, dan kuisioner IFRC dan 1 informan triangulasi dengan wawancara mendalam.Terdapat 10 perawat dengan beban kerja fisik sedang dan 3 perawat dengan beban kerja fisik ringan. Terdapat 7 perawat mengalami kelelahan tingkat sedang dan 6 perawat mengalami kelelahan tingkat ringan. Perbedaan beban kerja dan tingkat kelelahan disebabkan aktivitas perawat yang beragam dan jumlah pasien yang diberi asuhan keperawatan berbeda antar perawat. Selain itu disebabkan oleh penggunaan APD berupa hazmat dan masker N95 yang menyebabkan sulit bernafas sehingga perawat menjadi cepat lelah meskipun beban kerja ringan. Peregangan tubuh ketika istirahat, pemberian makanan dan minuman yang cukup dan pengaturan ulang jam kerja diperlukan. Hasil penelitian menunjukkan bahwa sebagian besar perawat memiliki beban kerja fisik sedang dan kelelahan tingkat sedang.Kata Kunci : Perawat , Beban Kerja Fisik, Tingkat Kelelahan