bluuebunny/crossref_metadata_2025_split huggingface dataset:
The Pattern of Changes in Body Mass Index before and during Pregnancy: The Maternal and Neonatal Outcome
Authors: Sayed Gamal , Salama Husam , Abdullah Lina , Al-Obaidly Sawsan , Al-Qubaisi Mai , Mansour Ashraf 
Published: April 2023

Background
Obesity compromises the health of a woman's pregnancy and her newborn.
Aim:
To describe weight-gaining changes throughout pregnancy and evaluating outcomes for the mother and the baby.
Methods
A retrospective review of women who delivered singletons using Large Perinatal Registry. According to their BMI, patients were categorized into four categories: underweight, normal, overweight, and obese. Mode of delivery, gestational diabetes, hypertensive diseases, obstetric cholestasis, and postpartum hemorrhage were the main maternal outcome measures. The newborn outcome indicators were birth weight, NICU hospitalization, premature birth, and stillbirth.

Results
The study sample included 2,352 natives (25%) and 7,058 expatriates (75%). The majority of the sample (4726) were aged 20-29 years, 43.6% were aged 30-39 years, and 2.1% and 3.9% were aged 19 years and 40 years respectively. The incidence of hypertension, obstetric cholestasis, diabetes, postpartum hemorrhage, and cesarean section varied among the entire sample. In the underweight group, the incidence of CS was 15.7%, in the normal weight group (24.9%), in the overweight group (31.3%), and in the obese group (41%).
Hypertensive disorders were 3 times more prevalent in obese women than in normal-weight women (2%), and 5.3% of obese women had PPH compared to 5. 6% of women of normal weight. The underweight groups gained the most weight during pregnancy, whereas the obese gained the least.
Conclusions
A significant proportion of pregnant women in our sample will become obese by the time of delivery. Obesity during pregnancy is associated with negative maternal and fetal outcomes.
Pengaruh Supervisi Dan Komitmen Organisasi Terhadap Kualitas Layanan Guru SD Negeri Di Kecamatan Anyar Kabupaten Serang
Authors: Halim Abdul 
Published: April 2023

ABSTRACT
This study aims to determine the direct influence between (1) supervision of teacher service quality, (2) organizational commitment to teacher service quality, (3) and the supervising of the organizational commitment. The research method that has chosen is using a survey method with a correlational approach. This study, there were 115 samples of public elementary school teachers selected based on simple random sampling technique. Based on the description of the hypothesis test above, the research findings are as follows: (1) there is a significant direct influence between supervision and the quality of teacher services, (2) there were directly and significant impact between organizational commitment and teacher service quality, (3) there is a direct significantly influence between supervision and organizational commitment. This research has been implied that the effort to improve the quality of public elementary school teacher services can be complete, by increasing the quality of supervision and the quality of organizational commitment.
Keywords : Supervision, Organizational commitment , The quality of teacher services

ABSTRAK
Penelitian ini bertujuan untuk mengetahui pengaruh langsung antara (1) supervisi terhadap Kualitas layanan guru, (2) komitmen organisasi terhadap kualitas layanan guru, (3) supervisi terhadap komitmen organisasi. Metode penelitian yang dipilih menggunakan metode survei dengan pendekatan korelasional. Dalam penelitian ini terdapat 115 orang sampel guru sekolah dasar negeri yang dipilih berdasarkan teknik simple random sampling. Berdasarkan deskripsi uji hopotesis di atas, diperoleh hasil temuan penelitian sebagai berikut : (1) terdapat pengaruh langsung yang signifikan antara supervisi dengan kualitas layanan guru, (2) terdapat pengaruh langsung dan signifikan antara komitmen organisasi dengan kualitas layanan guru, (3) terdapat pengaruh langsung dan signifikan antara supervisi dengan komiten organisasi. Implikasi yang didapat dari penelitian ini yaitu upaya dalam meningkatkan kualitas layanan guru sekolah dasar negeri dapat dilakukakn dengan peningkatan kualitas supervisi dan kualitas komitmen organisasi.
Kata kunci : Supervisi, Komitmen Organisasi, Kualitas Layanan Guru
ANALISIS KEPEKAAN LINGKUNGAN SISWA SMP PADA PEMBELAJARAN IPA TOPIK PEMANASAN GLOBAL
Authors: Lani Prabawati  
Published: April 2023

Pemanasan global merupakan salah satu indikator kerusakan lingkungan yang disebabkan oleh ulah manusia. Kepekaan lingkungan bukan sepenuhnya talenta atau naluri bawaan, melainkan hasil dari suatu proses pendidikan. Pendidikan merupakan sarana dalam upaya menyadarkan masyarakat menghentikan atau meminimalisir dampak kerusakan lingkungan akibat aktivitas manusia yang bersifat program jangka panjang. Oleh karena itu, penanaman sikap berwawasan lingkungan kepada siswa merupakan salah satu bentuk proses pembentukan sikap positif generasi muda melalui jalur Pendidikan formal. Guru berperan penting dalam menyampaikan ilmu ini kepada siswa, karena siswa adalah generasi penerus yang bertugas menjaga lingkungan. Desain penelitian yang digunakan dalam penelitian ini adalah deskriptif dengan pendekatan kualitatif. Sampel diambil menggunakan teknik Simple Random Sampling. Penelitian ini bertujuan menyelidiki tingkat kepekaan lingkungan dengan tema pemanasan global pada siswa SMP, yang diharapkan dapat dijadikan salah satu dasar pembuatan model maupun media pembelajaran ke depannya untuk dapat menanamkan rasa peduli lingkugan pada siswa.
Resiliensi Akademik Mahasiswa Terhadap Kepuasan Pembelajaran Daring Pada Masa Pandemi Covid-19
Authors: Annisa Retno  
Published: April 2023

Resiliensi menjadi sangat penting untuk mahasiswa agar mampu bertahan dan mampu mengatasi masalah khususnya pada masa pembelajaran daring, selain itu kepuasan pembelajaran menjadi hal yang penting melakukan evaluasi selama pembelajaran daring. Penelitian ini bertujuan untuk mengetahui hubungan antara kepuasan pembelajaran daring dengan resilinesi akademik mahasiswa pada masa pendemi covid-19. Populasi pada penelitian ini sebanyak 150 mahasiswa, sedangkan pengambilan sampel dengan accidental sampling. Pengambilan data dilakukan pada bulan Mei – Agustus 2021. Pada kepuasan belajar daring (X) mengukur 15 item pernyataan dan resiliensi akademik (Y) mengukur 24 item pernyataan. Dari hasil penelitian data thitung = 10,587, dengan persamaan regresi Y = 52,06 + 0,75X dengan nilai rxy = 0, 93 yang menunjukan terdapat hubungan antara kepuasan pembelajaran daring dengan resiliensi akademik yang mana berhubungan positif. Dengan besarnya kontribusi variable X terhadap Y yaitu r2 = 93% dengan artinya semakin tinggi kepuasan pembelajaran daring, maka semakin tinggi resiliensi akademik mahasiswa.
Predicting the risk of heatstroke: Development of a highly accurate model
Authors: Nemoto Mio , Hirabayashi Satoshi , Sato Seisho , Fujii Akihiro , Nojiri Hidetoshi , Ihara Tomohiko 
Published: April 2023

Abstract
High temperatures in urban areas, caused by global climate change and urban heat island intensification, have led to an increase in the number of people experiencing heat-related illnesses, the most serious of which is heatstroke. To help prevent heatstroke, an accurate model that predicts dangerous conditions should be developed to take preventive action. This study aimed to compare three methods for predicting heatstroke risk: multiple regression analysis, a generalized additive model, and time-stratified case-crossover analysis (TC). Susceptibility to heatstroke is likely to depend on year-wise trends and sensitivity to training data; however, most previous models have only tested a limited amount of training data. In this study, we investigated the optimal number of years to use as training data. The error-influencing factors in the training data were identified by comparing the errors of each method. The TC errors were the smallest (p <0.01) and were much less sensitive to the training data than the others. All three methods tended to decrease in accuracy when data from three to four years after the most recent were included. As a result, a highly accurate risk model, robust to training data, was developed using the odds ratios produced by TC with low sensitivity to training data, which was impossible with previous models. This modeling approach is universally applicable and can be used to make urban areas safer in the future.
Evaluation of the recovery rate and prevention of hospitalization among covid-19 outpatients: a randomized clinical trial comparing N-acetylcysteine with Bromhexine
Authors: Ghayour Anahita Eslami , Nazari Sasan , Keramat Fariba , Shahbazi Fatemeh 
Published: April 2023

Abstract
Objectives: Due to the referral of COVID-19 patients to outpatient centers in the early stages, the aim of the present study is to compare the effect of N-acetylcysteine and Bromhexine on the recovery rate and prevention of hospitalization in outpatients with COVID-19
Methodology: This study was conducted from April 2022 to September 2022. First, PCR-confirmed COVID-19 patients were divided into tree groups, one of these groups received N-acetylcysteine while the other received bromhexine and One of these groups did not receive any medication. The patients were followed up on the seventh and fourteenth days of the disease in terms of the duration of changes in oxygen saturation and recovery. The hospitalization and death of the patients were also evaluated after one month.
Results: Out of 225 studied patients, oxygen saturation was increased by 1.33% in the third visit of the patients who received N-acetylcysteine compared to their first visit. This percentage was 1.19% in the patients who received bromhexine.29.77% of the patients were admitted to the hospital and 70.23% of them had no history of hospitalization within 14 day and their mortality rate was 9.33% in control group and it was zero in both groups of patients who received drug.
Conclusions: The results of this study showed that early initiation of Bromhexine and N-acetylcysteine can effectively reduce the hospitalization rate and mortality and shorten the duration of hospitalization.
Clinical trial code: IRCT20220302054167N1 and ethics code: IR.UMSHA.REC.1400.957
Effects of program enrollment in a digital multiple health behavior change intervention on clinical outcomes
Authors: Dzubur Eldin , Yu Jessica Samantha , Hoffman Julia E , Painter Stefanie , Dama Sravanthi , James Roberta , Liu Hau 
Published: April 2023

Abstract
Background:
Multiple health behavior change interventions (MHBCIs) are successful for changing maladaptive behaviors related to individual chronic conditions (CC), but less is known about MHBCIs in the context of managing multiple CC. This study examined effects of enrollment on clinical outcomes in multiple remote monitoring programs, including diabetes (DM), hypertension (HTN), and weight loss (WL).
Methods:
Participants were adults enrolled in at least one of three programs for DM, HTN, and WL with an optional mental health (MH) component; identified as “at-risk” at baseline ((A1c ≥7%, HTN ≥130/80, or BMI≥30 kg/m2); with ≥ 1 month of data available over a 12-month evaluation period. Outcomes consisted of mean blood glucose (BG), systolic blood pressure (SBP), and percent WL. Data were aggregated to the month level and mixed-effects models tested the effects of multiple program enrollment and the supplemental effect of MH enrollment on outcomes. All models controlled for demographics, time on program, baseline disease status, and engagement. 2,818 adults (55% female) were included, with mean age of 53 years (SD=10.0).
Results:
A significant interaction was shown between time on program and multiple program enrollment for DM (B=-0.48, SE=0.29) and HTN (B=-0.42, SE=0.12) (z=-3.57, z=-3.89; ps<0.001, respectively). Each program enrollment in addition to DM was associated with a 5.8 mg/dL reduction in BG, and each program enrollment in addition to HTN was associated with a 4.8 mmHg reduction in SBP. Significant interactions were found for time on program and MH enrollment for DM (B=-1.25, SE=0.29), HTN (B=-0.81, SE=0.19), and WL (B=-0.15, SE=0.03) (z=-4.36, z=-4.25, and z=-5.27; ps<0.001, respectively). Additional enrollment in MH was associated with a reduction of 15 mg/dL in blood glucose, of 9.6 mmHg in SBP, and 1.8% WL.
Conclusions:
Findings support the success of MHBCIs in management of CC and emphasize the supplemental effect a MH program has on improving outcomes.
Deep Learning Model for Inverse Design of Semiconductor Heterostructures with Desired Electronic Band Structures
Authors: Pimachev Artem , Neogi Sanghamitra 
Published: April 2023

Abstract
First-principles modeling techniques have shown remarkable success in predicting electronic band structures of materials. However, the computational costs make it challenging to use them for predicting band structures of semiconductor heterostructures, that show high variability of atomic structures. We propose a machine learning-assisted first-principles framework that bypasses expensive computations and predicts band structures from the knowledge of atomic structural features. Additionally, the framework directly connects modeling results and experimental data. For example, it accepts images obtained with angle-resolved photoemission spectroscopy as input and predicts the corresponding atomic structures. The framework leverages the physical relationship between atomic environments and bands. We demonstrate the framework using silicon/germanium based superlattices and heterostructures. Once trained on silicon-based systems, the framework can even predict band structures of gallium arsenide thin films. The physics-informed framework establishes an approach to expedite the design and discovery of complex materials with desired band structures, going beyond combinatorial approaches.
Maternal BMI Changes from the Prepregnancy to Postpartum Period are Associated with Postpartum Cardiometabolic Risk Factors: A Longitudinal Study
Authors: Zhang Huafan , Niu Jianmin , Wu Linlin , Wu Xiaoxia , Chen Yixuan , Tian Fu-Ying , Yin Aiqi , Hu Fengqiao , Tong Jianing , Huang Xuna , Wan Yanmei Wan 
Published: April 2023

Abstract
Purpose
To investigate the associations between the total body mass index(BMI) change at 3 or 4 years postpartum compared to the prepregnancy and cardiometabolic risk factors.
Methods
This longitudinal study included 1305 participants. Based on the total postpartum BMI changes, they were divided into < 0 units, 0-1.7 units, and > 1.7 units groups using the interquartile range. Multiple linear regression models were used to analyze the associations.
Results
Compared to the reference group, there was a progressive increase in the βcoefficient (βcoef) of homeostasis model assessment of insulin resistance (HOMA-IR) of cardiometabolic risk in the following groups: the ‘0-1.7 units’ group with the ‘high prepregnancy BMI + high gestational weight gain (GWG) trajectory’ [βcoef 0.33; 95% confidence intervals (CI): 0.22, 0.44)] or the ‘very high prepregnancy BMI + very high GWG trajectory’ [0.66; (0.45, 0.88)] and the ‘>1.7 units’ group with the ‘normal prepregnancy BMI + normal GWG trajectory’ [0.33; (0.22, 0.44)], the ‘high prepregnancy BMI + high GWG trajectory’ [0.54; (0.41, 0.67)] or the ‘very high prepregnancy BMI + very high GWG trajectory’ [0.97; (0.79, 1.15)]. However, the ‘<0 units’ group with the ‘low prepregnancy BMI + low GWG trajectory’ [0.13; (0.06, 0.21)] and the ‘0-1.7 units’ group with the ‘low prepregnancy BMI + low GWG trajectory’ [0.08; (0.03, 0.13)] had higher high-density lipoprotein cholesterol (HDL-C) level than the reference group.
Conclusion
Women with a postpartum weight gain > 1.7 units are positively associated with cardiometabolic risk factors, especially those with a high prepregnancy BMI and high GWG. Conversely, women with a postpartum weight loss > 0 units have negative association with cardiometabolic risk factors.
Utilization of low glycemic index foods and associated factors among diabetes mellitus patients in Debre Markos referral and Finote Selam hospitals, Northwest Ethiopia, 2019
Authors: Dessie Zelalem , Temesgen Habtamu , Zeleke Haymanot , Andualem Habtamu 
Published: April 2023

Abstract
Background
Entire populations are at risk of diseases such as diabetes. There is also limiting resources in Ethiopia to control hyperglycemia because of limited catastrophic expenditure for chronic diseases. Due to the importance of balancing blood glucose level in diabetes, low/ few glycemic foods are important to moderate blood glucose in diabetes patients.
Objectives
To assess the utilization of low glycemic index foods and associated factors among diabetes mellitus patients at Debre Markos referral and Finote Selam hospitals, Northwest Ethiopia, 2019.
Methods
Institution based cross-sectional study design was conducted. A systematic random sampling technique was used to select study participants. The data was coded and entered to Epi Data version 3.1 and exported to statistical package for social science (SPSS) version 25 for analysis. Binary logistic regression model was used for analysis. The adequacy of the final model was checked using Hosmer and Lemeshow goodness of fit test and an assumption of Binary Logistic Regression such as no multi-co linearity was checked. Both bivariable and multivariable analysis were conducted. Those variables that showed significant association at P < 0.25 were included to multivariable analysis. Variables that showed significant association at P < 0.05 with 95% CI was declared statistically significant factors of utilization of low glycemic index foods.
Results
A total of 416 diabetic patients were participated in this study with response rate of 98.5%. Among the study participants, 8.9% (95%CI: 6.3, 11.5) of the participants had good utilization of low glycemic index foods. In this study ≤ 3 Km distance from market [AOR: 3.851(95%CI: 1.262, 11.745)], informal education [AOR: 2.509 (95%CI: 1.178, 5.344)], alcohol consumption [AOR, 3.911(1.599, 9.567)], and good knowledge on low glycemic index foods [AOR: 3.354(1.091, 10.309)] were factors associated with utilization of low glycemic index foods.
Conclusion and Recommendations:
The magnitude of utilization of low glycemic index foods among diabetes mellitus patients attending follow up care service at Debre Markos referral and Finote Selam hospitals was found to be low. Distance to the market, educational status, practice of alcohol consumption, and knowledge on low glycemic index foods were found to be statistically significant with utilization level of low glycemic index foods.
Percutaneous Kyphoplasty for Osteoporotic Vertebral Compression Fractures With or Without Trauma
Authors: Wang Huazheng , Zhang Linlin , Liu Peng , Jing Chengnan , Yang Peng , Yang Shaofeng , Gan Minfeng 
Published: April 2023

Abstract
(1) Background: The study aims to compare the efficacy of percutaneous kyphoplasty (PKP) in the treatment of osteoporotic vertebral compression fractures (OVCFs) with or without trauma.
(2) Methods: Patients with OVCFs who have been treated with PKP from January 2020 to September 2020 were retrospectively analyzed and divided into trauma and non-trauma groups according to whether they had a clear history of trauma before onset. Before and after surgery, the two groups' oswestry dysfunction index (ODI), visual pain simulation score (VAS), vertebral kyphosis angle (Cobb angle), anterior height of damaged vertebrae, middle height of damaged vertebra, the rate of restoration of the damaged vertebra's anterior height, the rate of restoration of the damaged vertebra's middle height, and bone cement leakage rate were compared.
(3) Results: There were several significant differences in VAS or ODI scores between the two groups before , immediately after, and one year after surgery (p> 0.05). The Cobb angle and the rate of bone cement leakage were significantly lower in the non-trauma group compared to the trauma group (p< 0.05).
(4) Conclusion: Compared to patients with OVCF without trauma, patients with OVCF with trauma undergoing PKP surgery have a relatively high bone cement leakage rate, and the degree of Cobb angle recovery and the correction degree of vertebral kyphosis deformity are relatively good.
Identification of the LNC02362–EFNA5 axis as a Potential Prognosis Biomarker in Hepatocellular Carcinoma via Comprehensive Bioinformatics Analysis
Authors: Liu Yuan , Li Xiang , Li Si-Rou , Shi Jian-Hong , Shen Zhou , Liu Li-Na , Wu Fei-Xiang , Liu Ke-Liang , Ni Yan-Xing , Yang Chao-Ran , Hou Zhi-Yuan , Yang Ji-Hong , Cheng Shu-Jie , Qin Yan , Li Jinghua 
Published: April 2023

Abstract
Background and objectives:
Hepatocellular carcinoma (HCC) is one of the most common malignant tumors with a poor prognosis. Long noncoding RNAs (lncRNAs) are now considered as key gene expression regulators and play important roles in different types of cancer. This study aimed to identify potential lncRNAs and uncover vital molecular mechanisms guiding clinical therapy for HCC.
Methods
Based on four microarray datasets (GSE112613, GSE84004, GSE67260, and GSE101728) from the National Center for Biotechnology Information Gene Expression Omnibus (GEO) database of lncRNAs expression in patients with HCC, quantitative real-time PCR (qRT-PCR), cell transfection, cell proliferation assay, scratch wound healing, transcriptome sequencing, and immunofluorescence assays were used to analyze the clinical value and molecular mechanism of LINC02362 in HCC.
Results
High LINC02362 expression was positively correlated with longer overall survival (OS) and exhibited excellent diagnostic accuracy, suggesting that LINC02362 may inhibit HCC progression. Increased LINC02362 expression in HCC cell lines (Hep 3B and Huh 7) after lentiviral infection, overexpression of LINC02362 inhibits hepatocellular carcinoma cell proliferation, migration and invasion and then transcriptome sequencing was performed. Potential molecular LINC02362 pathways in HCC were determined using ClusterProfiler R package in enrichment analyses. Protein–protein interaction networks (PPI) were used to screen hub genes. PPI networks and OS data confirmed that EFNA5 was a downstream target positively regulated by LINC02362.
Conclusions
The LINC02362–EFNA5 axis appears to inhibit HCC progression; thus, it can be used to diagnose, prognose, and treat HCC.
Anatomy of the Fetal Membranes: Insights from Spinning Disk Confocal Microscopy
Authors: Eichholz Hannah Marie , Cornelis Alissa , Wolf Benjamin , Grubitzsch Hanna , Friedrich Philip , Makky Ahmad , Aktas Bahriye , Käs Josef A. , Stepan Holger 
Published: April 2023

Abstract
Purpose
The fetal membrane is essential for the maintenance of pregnancy, and its integrity until parturition is critical for both fetal and maternal health. Preterm premature rupture of the membranes (pPROM) is known to be an indicator of preterm birth, but the underlying architectural and mechanical changes that lead to fetal membrane failure are not yet fully understood. The aim of this study was to gain new insights into the anatomy of the fetal membrane and to establish a tissue processing and staining protocol suitable for future prospective cohort studies.
Methods
In this proof of principle study, fetal membranes were collected from both vaginal delivery and cesarean section. Small membrane sections were then fixed, fluorescently stained for nucleic acids, actin, and collagen, and subsequently imaged in three dimensions using a spinning disk confocal microscope.
Results
Four fetal membranes of different types were successfully processed and imaged after establishing a suitable protocol. Cellular and nuclear outlines are clearly visible in all cases, especially in the uppermost membrane layer. Focal membrane (micro)fractures could be identified in several samples.
Conclusion
The presented method proves to be well suited to determine whether and how the occurrence of membrane (micro)fractures and cellular jamming correlates with the timing of membrane rupture and the mode of delivery. In future measurements, this method could possibly be combined with mechanical probing techniques to compare optical and mechanical sample information.