bluuebunny/crossref_metadata_2025_split huggingface dataset:
Frequency of obesity and in pregnancy and fetal outcome in normal weight, over weight and obese pregnant females
Authors: Wajid Rabia , Fayyaz Saira , Ahsan Amna , Masood Hina 
Published: September 2023

ABSTRACT
Background: Obesity is now a major public health PROBLEM especially among women of reproductive age. This happening has a major impact on pregnancy outcomes, according to latest reports. Especially, during pregnancy and childbirth, obese women are more at risk of fetomaternal complications than women with a normal body mass index (BMI). Objective: To determine the frequency of normal weight, over weight and obese women presenting for antenatal care and to compare the outcome in normal weight, over weight and obese pregnant females. Patients and Methods Descriptive Case series study conducted from 29th October 2022 to 29 April 2022 .200 subjects meeting the inclusion criteria were enrolled in the study after informed consent. BMI was recorded and weight category assigned. All these women were followed-up till 37 weeks of gestation and till delivery. The indications for Caesarian section in any pregnancy were post-dates pregnancy (gestational age at more than 41 weeks), reduced fetal movements, fetal growth restriction, and term pre-labour rupture of membranes more than 24 hours. Main outcome variable: Fetal outcome was accessed using C-section, macrosomia and admission of neonate to NICU. Results: Frequency of weight of the patients was classified as 34%(n=68) were normal, 40.5%(n=81) were over-weight and 25.5%(n=51) were obese, comparison of outcome in normal weight, over weight and obese pregnant females shows that of 8 cases of macrosomia, 1 in normal and overweight while 6 cases in obese, of 61 cases of C-section 13 in normal, 15 in overweight and 33 were obese, NICU admission cases were 27, out of which 7 in normal, 6 in overweight and 14 were in obese group, p value 0.80.Conclusion: We concluded that on comparison for the outcome in normal weight, over weight and obese pregnant females, obese and overweight females are higher at the risk of macrosocia, cesarean birth and NICU admission of the neonate.
Prevalence of COVID-19 in End Stage Renal Disease Patients on Hemodialysis & Dialysis Providers During SARs-Cov-19 spike in Pakistan.
Authors: Cheema Sidra , Habib Hozaifa , Cheema Manal , Gilani Samreen , Saeed Muhammad Asad , Cheema Shafiq 
Published: September 2023

The global pandemic of coronavirus disease 2019 (COVID-19) poses a significant threat to both hemodialysis staff and patients. However, the prevalence of COVID-19 among asymptomatic end-stage renal disease (ESRD) patients on chronic hemodialysis (MHD) and healthcare staff including nurses and technicians in dialysis unit remains uncertain. Given that hemodialysis patients and dialysis nurses are particularly prone in congregate settings, this research aimed to examine the prevalence of COVID-19 in two hemodialysis units at Jinnah Hospital, Lahore, Pakistan. This cross-sectional study involved the participation of 198 maintenance hemodialysis patients with end-stage renal disease (ESRD) and 83 dialysis staff members. These patients or staff members did not have any symptoms at the time of testing. Testing was conducted using qualitative reverse transcription-polymerase chain reaction (RT-PCR) on nasal & pharyngeal swabs collected from June 18th to June 23rd, 2020.
Out of the total participants, 45 out of 198 dialysis patients (22.7%) and 10 out of 83 dialysis staff members (12%) were found to be positive for COVID-19. The overall prevalence of COVID-19, combining patients and staff, was 19.5% (55 out of 281). The mortality rate among the infected patients was 6.6% (3 out of 45). To conclude, the findings of this study demonstrate a significant prevalence of SARS-CoV-2 among hemodialysis staff and patients in Lahore, Pakistan.
Frequency of Inhibitors among known Hemophilia A Patients.
Authors: Iqbal Irem , Abdullah Javeria 
Published: September 2023

ABSTRACT
Introduction: Inhibitors are IgG alloantibodies which are directed against exogenous clotting factor VIII that neutralize the function of infused clotting factor concentrate used for the treatment. The prevalence of inhibitors in Hemophilia A is around 30% worldwide. Inhibitors occurs as a result of natural immune process of the body as factor concentrates used for treatment are foreign to the body and patient’s own body either produces no factor or produces structurally abnormal protein.
Objectives: To determine the frequency of inhibitors among known hemophilia A patients.
Methods: Cross-sectional survey done including 100 male patients of hemophilia A and on treatment for more than 1 year, from 2 to 60 years of age, were included. All the patients were undergone aPTT based screening for inhibitor, both immediately and two hours after mixing the patients plasma with the normal plasma.
Results: Age range in this study was from 2 to 60 years with mean age of 37.21 ± 14.73 years. Frequency of inhibitors among known hemophilia A patients was seen in 18 (18.0%) of cases.
Conclusion: This study concluded that frequency of inhibitors among known hemophilia A patients is quite high.
Keywords: Hemophilia A, inhibitors, severity.
Analisis Strategi Penyaluran Dana Zis Dalam Peningkatan Ekonomi Mitra Umkm
Authors: Lestari Nur Hidayati Dwi , Abdurahim Ahim 
Published: September 2023

Latar Belakang: Kemiskinan yang ada di Indonesia saat ini tidak bisa terlepas dari rendahnya tingkat pendapatan ekonomi masyarakat. Salah satu penyebab terjadinya kemiskinan adalah masyarakat yang kesulitan meningkatkan modal. Dana ZIS (Zakat, Infaq, dan Shadaqah) dapat diandalkan sebagai mekanisme untuk mengatasi permasalahan yang terjadi di masyarakat.
Tujuan: Tujuan dari penelitian ini untuk mengetahui strategi penyaluran dana ZIS dalam meningkatkan ekonomi mitra UMKM di LAZISMU Bantul Kota.
Metode Penelitian: Jenis penelitian ini adalah penelitian kualitatif deskriptif yang dimana penelitian ini menggunakan informasi yang ada di lapangan dengan cara wawancara, dokumentasi, dan observasi.
Hasil Penelitian: Optimalisasi strategi penyaluran dana ZIS dalam meningkatkan ekonomi mitra UMKM di LAZISMU Bantul Kota belum optimal. Hal ini dikarenakan pada tahap pembekalan dan monitoring belum terlaksana secara tepat dan benar. LAZISMU Bantul Kota selanjutnya untuk lebih mengoptimalkan tahap pembekalan dan monitoring kepada para mitra UMKM, dan disarankan juga mitra UMKM yang berhasil dijadikan model untuk para mitra UMKM yang belum berhasil.
Keaslian/Kebaruan Penelitian: Penelitian ini memberikan gambaran lebih detil mengenai strategi penyaluran dana ZIS dalam peningkatan ekonomi mitra UMKM.
Using Whatsapp in Teaching Vocabulary: A Case Study from Palestine
Authors: Ahmed Raba  , Sameer Qadous  , Mahmoud Itmeizeh  
Published: September 2023

essaging applications have become well-known among 21st-century students worldwide and in Palestine in particular. These applications are useful in teaching and learning all disciplines and English in particular. This study has sought to find out the effect of using the WhatsApp application in enriching primary school students’ vocabulary. To this end, a 20 sixth-grade students (10 males and 10 females) from Al-Omariya Private Schools, Nablus were selected as a study sample. Since the research adopted one-group design method, a pre-test was administered to assess the student's level in vocabulary knowledge and to ensure their homogeneity. After that, the students in the experimental group received vocabulary instructions and a teacher's pedagogy through WhatsApp messages, which included pictures, texts and videos, three days a week for two months. A post-test was administered to the experimental group to measure the effect of using WhatsApp instructions on their vocabulary knowledge and gender as well. The results revealed that using WhatsApp had a significant effect on the improvement of the student's vocabulary knowledge. They also showed that there were differences in the effect of using WhatsApp in teaching vocabulary between males and females in favor of males. In light of these findings, the researchers suggest using WhatsApp messaging in other private and government schools.
This study contributed to raising the awareness of students, teachers and curriculum designers of the importance of utilizing WhatsApp in teaching and learning. It also contributed to introducing students to new strategies and techniques for learning English vocabulary in a new environment that promotes students’ motivation and enhances autonomous learning whenever and wherever they want according to their pace. The study may also participate in introducing foreign researchers to the reality and capacities of the Palestinian educational context that may lead to mutual collaboration in future.
Implementasi Kurikulum Pondok Pesantren di MTS Sa’adatuddaraein Suhada Kecamatan Enok Kabupaten Indragiri Hilir
Authors: Oftania Maria , Nurmadiah  , Asmariani  
Published: September 2023

Kurikulum pondok pesantren memiliki perbedaan dengan sekolah umum, dan bahkan terdapat perbedaan antara satu pondok pesantren dengan pesantren lain. Tujuan penelitian ini untuk mengetahui implementasi kurikulum pondok pesantren dan untuk mengetahui apa faktor penghambat dan faktor pendukung dalam implementasi kurikulum pondok pesantren. Penelitian ini menggunakan pendekatan kualitatif deskriftif, Informan kunci dalam penelitian ini adalah kepala sekolah, sedangkan guru dan siswa dijadikan sebagai informan tambahan. Teknik pengumpulan data penelitian ini adalah observasi, wawancara, dan dokumentasi. Teknik analisis data menggunakan reduksi data, penyajian data dan penarikan kesimpulan. Hasil penelitian ini ditemukan bahwa: pertama, pola I: materi agama yang diajarkan berasal dari kitab-kitab klasik (kitab kuning) dan metode pembelajarannya menggunakan wetonan dan sorogan. pola II: pendekatan pembelajaran dilaksanakan secara klasikal dan non-klasikal. pola III: kurikulum telah ditambahi dengan mata pelajaran umum dan aneka kegiatan ketrampilan, kesenian, organisasi. pola IV: menitik beratkan pembelajaran ketrampilan disamping agama. pola V: pengajaran kitab klasik menjadi bagian penting dari pembelajaran di MTs Saadatudarein. a) Pesantren mengadopsi model madrasah. b) Kurikulum pesantren di bagi menjadi dua bagian, yaitu kurikulum pesantren dan kurikulum pemerintah dengan modifikasi materi agama. c) Ada juga pesantren menyelenggarakan sekolah umum dengan kurikulum yang mengikuti kementerian pendidikan dan kebudayaan. d) ada pesantren yang menyusun kurikulum pendidikan agama mereka sendiri. Kedua: faktor pedukungnya adalah dukungan dari pihak masyarakat, terpenuhinya kebutuhan pangan santri, kualitas guru dan staf memadai, komitmen kuat dari pengelola, partisipasi aktif santri. Sedangkan faktor penghambatnya adalah, kurangnya dukungan dari Orang Tua/Wali Murid, perubahan regulasi pendidikan, tantangan teknis, teknis ini dapat mempengaruhi kelancaran pelaksanaan kurikulum. Perbedaan pandangan dan opini, resistensi terhadap perubahan, kurangnya pelatihan dan pembekalan, tantangan pengukuran dan evaluasi
Pengaruh Disiplin Kerja Dan Stres Kerja Terhadap Kinerja Pegawai UPTD Puskesmas Sambi Kab. Kediri
Authors: Erika Priya Ningtias  , Ahmad Jauhari  , Nur Hidayati  
Published: September 2023

This research is motivated that in institutions engaged in the health sector, in this organization human resources are very important in achieving the goals and success of the agency. This study aims to determine the influence of work discipline and work stress on employee performance. This study used quantitative methods. The sampling technique uses Nonprobability Sampling with a saturated sampling method of 47 employees. Testing in this study using SPSS software program version 25.0. The analysis techniques used are validity test, reliability test, classical assumption test, multiple linear regression analysis, t test, F test and determination coefficient test. The results of this study show that partially the variable of work discipline has a positive and significant effect on employee performance with a calculated tvalue of 3.059>ttable 2.01537 with a signification value of 0.004<0.05 and partially the variable of work stress has a positive and significant effect with a calculated tvalue of 2.468>ttable 2.01537 with a signification value of 0.018<0.05, simultaneously the variables of work discipline and work stress have a positive and significant effect on employee performance with a calculated Fvalue of 8.265>Ftable 3.21 with a signification value of 0.001<0.05.
III Congreso de internacionalización de la Educación Superior
Authors: Passarini José 
Published: September 2023

A partir del proyecto “Movilidad de estudiantes y graduados: Reconocimiento de títulos y el ejercicio profesional en el MERCOSUR”, financiado por el Núcleo de Estudios e Investigaciones en Educación Superior (NEIES) del MERCOSUR, surgió la propuesta de realizar un evento científico y periódico que aborde desde una perspectiva amplia la internacionalización como objeto de estudio. Este proyecto fue llevado adelante por equipos de investigadores de cuatro Universidades: Universidad de la República (Udelar-Uruguay), la Universidad Federal de Integración Latinoamericana (UNILA-Brasil), la Universidad Nacional del Litoral (UNL-Argentina) y la Universidad Nacional de Asunción (UNA-Paraguay). Con este marco, surge el Primer Congreso de Internacionalización de la Educación Superior (CIES 2019), realizado los días 4, 5 y 6 de septiembre de 2019, en Foz de Iguazú, organizado principalmente por la UNILA con el apoyo de las otras tres universidades que eran parte del Proyecto NEIES.
Trender i pasientlogistikk i akuttmottakene ved et norsk universitetssykehus etter innføring av akuttleger
Authors: Bjørnsen Lars Petter , Næss-Pleym Lars Eide , Skaar Torkild , Laugsand Lars Erik 
Published: September 2023

Bakgrunn
Økning av pasienter til akuttmottak er en global utfordring. I norske akuttmottakene innførte man en ny spesialitet i akutt- og mottaksmedisin som tiltak for å håndtere økt press på logistikk og ressursutnyttelse. Denne studien så på trender i pasientlogistikken i akuttmottakene ved St. Olavs hospital i lys av innføring av akuttleger.

Materiale og metode
Data fra alle pasienter i akuttmottakene ved St. Olavs hospital i perioden fra 1. januar 2012 til 31. desember 2021 ble inkludert. Rådata ble eksportert og logistiske data om blant annet pasientantall, oppholdstider og behandlingsnivå ble bearbeidet og analysert.

Resultater
Akutten i Trondheim har hatt en økt pasienttilstrømming tilsvarende 51% fra 2012 til 2021. Andelen pasienter som hjemsendes etter ferdighåndtering akuttmottaket økte i samme periode fra 11% til 35%, mens antallet innleggelser var relativt stabilt. Oppholdstidene i akuttmottaket i Trondheim økte med 57% til 3 timer 38 minutter.

Fortolkning
Det blir økende press på akuttmottakene i framtiden på grunn av økt pasienttilstrømming. Innføring av akuttleger har en rolle for optimalisering av pasientlogistikken og bidrar til økt andel ferdighåndterte pasienter, og følgelig muligheter for mer utredende og behandlende akuttmottak.
Fluid administration in adult emergency department patients with sepsis
Authors: Jessen Marie 
Published: September 2023

Baggrund
Væskebehandling betragtes som en vigtig del af behandlingen af sepsis (akut infektion, i folkemunde kaldet blodforgiftning). Guidelines giver anbefalinger til behandling af septisk shock men ikke til patienter med sepsis uden shock. Vores formål var at undersøge den nuværende væskebehandling af patienter med mistænkt infektion, at undersøge klinikernes beslutningstagning omkring væskebehandling, og slutteligt undersøge om en væskeprotokol, som begrænsede væskebehandlingen til sepsis-patienter, var gennemførlig.

Metode
Vi gennemførte et prospektivt, deskriptivt studie, hvor patienter med mistænkt infektion fik registreret intravenøse væsker og drikke i 24 timer. Vi undersøgte væske-voluminer og kliniske variables indflydelse på disse voluminer.
Vi udviklede og gennemførte en spørgeskemaundersøgelse om faktorer, der udløser væskebehandling, samt udfordringer til vurdering af dette. Vi inkluderede fire kliniske scenarier.
Vi gennemførte et klinisk, multicenter, pilotforsøg, hvor vi randomiserede patienter til enten 24 timers restriktiv eller standard væskebehandling. Det primære effektmål var forskel i 24 timers intravenøs væske imellem de to grupper.

Resultater
Vi inkluderede 734 patienter som havde 24-t væske registreret. Væske-voluminer varierede mellem 200-15870 ml. Patienter med simpel infektion fik i gennemsnit 3656 ml (standard deviation (SD): 1675), og patienter med sepsis 3762 ml (SD: 1839), samlet intravenøst og peroral væske. Sepsis-patienter fik mindre peroral men mere intravenøs væske end patienter med simpel infektion. Kliniske variable forklarede 37% af variansen i væskemængder.
I spørgeskemastudiet fandt vi, at væskebehandling er udfordrende, og de fleste beslutninger bygger på klinisk vurdering. Blodtryk var den hyppigst brugte trigger til at starte intravenøs væskebehandling.
Vi randomiserede 124 sepsis-patienter. På 24 timer fik patienter i den restriktive gruppe 562 ml (SD: 1076) intravenøst krystalloid vs. 1370 ml (SD: 1438) i standard-gruppen (forskel: -801 ml (95% CI: -1257 to -345), p = 0.001). Der var ingen forskelle i bivirkninger eller andre kliniske endemål.

Konklusion
Nuværende væskebehandling varierer meget. Væskebehandling er udfordrende og ofte guidet af blodtryk. Vi opnåede separation i væskevoluminer uden tegn til flere bivirkninger ved 24-t restriktiv vs. standard væskebehandling af sepsispatienter i akutafdelingen. Et fremtidigt studie synes gennemførligt.
L’action communautaire, l’État et la collaboration partenariale au Québec
Authors: González Castillo Eduardo 
Published: September 2023

Dans cet article, nous abordons les conséquences de la transformation néolibérale de l’État-providence pour les pratiques de collaboration dans l’action et l’intervention communautaire au Québec. Plus particulièrement, nous nous attardons aux obstacles qui se dégagent de l’approche néolibérale de la collaboration pour les pratiques d’organismes communautaires qui s’intéressent aux jeunes qui ont des difficultés de nature judiciaire. L’étude de cette question est réalisée à partir de l’approche gramscienne de l’hégémonie. Trois types d’obstacles sont décelés dans cet article : les obstacles concernent l’efficacité des pratiques d’intervention, ceux reliés au soutien économique de l’action communautaire et ceux relevant de la dimension déontologique. Dans les conclusions, nous soulignons l’importance de situer cette problématique dans le cadre du rapport Société civile-État.
Soutenir une personne aînée composant avec une problématique d’accumulation compulsive : regard sur les réalités vécues par les personnes proches aidantes
Authors: Moreau Annik , Dallaire Bernadette 
Published: September 2023

La prévalence de la syllogomanie (ou trouble d’accumulation compulsive) est plus importante chez les personnes âgées de 55 ans et plus. Les proches qui soutiennent ces aînés exercent l’aidance dans un contexte où le vieillissement et le trouble mental sont en interaction. Peu d’études se sont intéressées à ce contexte spécifique de la proche aidance. Cette recherche visait à connaître les enjeux personnels et sociaux rencontrés par les personnes proches aidantes (PPA) des personnes accumulatrices. Nous avons fait appel à un devis qualitatif et recueilli les témoignages de 11 PPA de personnes aînées composant avec une problématique d’accumulation et de 8 intervenantes sociales au cours d’entretiens individuels. Les résultats indiquent que l’interaction du vieillissement et de ce trouble mental amène une charge importante pour les PPA et des inquiétudes spécifiques, ainsi que le développement de stratégies visant à préserver le « soi » dans leur cheminement et à travers l’aidance. Les travailleurs sociaux peuvent jouer un rôle clé pour favoriser le bien-être des PPA. Plus largement, il importe d’instaurer concrètement une « culture de la bientraitance » à l’égard des PPA dans nos sociétés.
Inclusion of up to 20% Black Soldier Fly larvae meal in broiler chicken diet has a minor effect on caecal microbiota
Authors: de Souza Vilela Jessica , Kheravii Sarbast K. , Sharma Bajagai Yadav , Kolakshyapati Manisha , Zimazile Sibanda Terence , Wu Shu-Biao , Andrew Nigel R. , Ruhnke Isabelle 
Published: September 2023

Background
The Black Soldier Fly larvae (BSFL) are a source of nutrients and bioactive compounds in broiler diets. Some components of the BSFL may serve as a prebiotic or may impact the intestinal microbiota of the broilers by other modes of action, which in turn can affect the health and performance of broilers. Here, we investigate the impact of up to 20% BSFL in broiler diets on the diversity and composition of the broiler’s microbiota.

Methods
Four hundred broilers were fed five iso-nutritious experimental diets with increasing levels of BSFL meal reaching 0%, 5%, 10%, 15%, 20% in the finisher diets. Eight caecal content samples coming from each of the eight replicates per treatment were collected at two time points (day 21 and day 42) for DNA extraction and sequencing of the V3–V4 regions using Illumina MiSeq 2 × 300 bp pair-end sequencing with 341f and 805r primers. Analysis of variance and Spearman’s correlation were performed, while QIIME2, DADA2, and Calypso were used for data analysis.

Results
When broilers were 21 days of age, the abundance of two groups of sequence variants representing Enterococcus and unclassified Christensenellaceae was significantly lower (p-value = 0.048 and p-value = 0.025, respectively) in the 20% BSFL group compared to the 0% BSFL group. There was no relevant alteration in the microbiota diversity at that stage. On day 42, the Spearman correlation analysis demonstrated that the sequence variants representing the genus Coprococcus showed a negative relationship with the BSFL inclusion levels (p-value = 0.043). The sequence variants representing the genus Roseburia and Dehalobacterium demonstrated a positive relationship with the BSFL dietary inclusion (p-value = 0.0069 and p-value = 0.0034, respectively). There was a reduction in the dissimilarity index (ANOSIM) caused by the 20% BSFL dietary inclusion.

Conclusion
The addition of up to 20% BSFL in broiler diets did not affect the overall caeca microbiota diversity or composition at day 21. On day 42, there was a reduction in the beta diversity caused by the 20% BSFL dietary inclusion. The abundance of the bacterial group Roseburia was increased by the BSFL dietary inclusion, and it may be beneficial to broiler immunity and performance.
Effect of ZnO Nanoparticles on the Kinetics and Photo-degradation of Certain Textile Effluent Dyes
Authors: Effiong J. F.  , Boekom E. J.  , Simon N.  , Nyong A. E.  
Published: September 2023

Untreated effluents especially in discharges from textiles and fabric industries, usually contain dyes. Synthetic dyes have adverse effects on all forms of life when discharged directly into the environment. This paper investigates the photo-degradation of a mixture of direct orange 39, chlorantine fast red 5B, Viscose Black B and direct sky blue K, all present in a real textile effluent based on the influence of ZnO photocatalyst dose and irradiation time at a specific UV power source. The photo-degradation experiments were conducted in a batch stirred photoreactor equipped with UV lamp of rated at 30 W, a magnetic stirring system and a thermometer. The photocatalyst used was zinc oxide nanopowder (ZnO) The results showed that changes in these parameters influenced the efficiency of the photo-degradation. The kinetic studies showed that the dyes degradation followed the Langmuir-Hinshelwood model that has been modified to accommodate reactions occurring at the solid-liquid interphase. At the catalyst dose of 0.5 g/l, the apparent first order rate constant, was 0.00411 ; but at 2.5 g/l, this reduced to . The best degradation was at the catalyst dose of 2.0 g/l with rate constant of .