bluuebunny/crossref_metadata_2025_split huggingface dataset:
Perspectives of women on availing antenatal services in urban poor areas of Rishikesh, Uttarakhand
Authors: SHARMA ANUSHA , KHAPRE MEENAKSHI , KUMAR SANTOSH , KISHORE SUREKHA 
Published: May 2023

Background
Antenatal care (ANC) is the essential regular care of women that prevents potential health problems during pregnancy. In India, the proportion of women who received four or more antenatal visits was only 51% (National Family Health Survey, 2015–2016). An even worse situation prevails in urban areas where women from poor communities face greater health risks. We assessed various barriers women residing in these areas come across in availing ANC services.

Methods
This study is a part of a mixed-methods, community-based study, and we report its qualitative component. We conducted the study at the residence of the study participants in September–October 2019. The study participants were women who had less than four antenatal visits throughout the pregnancy. Twelve in-depth interviews were conducted based on data saturation. Data were transcribed and themes were drawn concerning the gender analysis framework.

Results
Through this study, we found how gender relations affect the utilization of antenatal services concerning access to resources, division of labour, social norms including the belief of husband and other family members towards pregnancy and decision-making power of women.

Conclusion
Our findings underline the importance of making the urban health system gender-sensitive and responsive to the needs of women during pregnancy. There is a need to educate men regarding maternal health so as to allay such social norms that label pregnancy as a woman’s responsibility and encouraging them to accompany their wives during pregnancy visits, thus making men a part of antenatal services.
Accuracy of Xpert® MTB/RIF in diagnosing extrapulmonary tuberculosis in Indian children
Authors: SHAH IRA , BHAMRE RASIKA , SHETTY NAMAN S. 
Published: May 2023

Background
Diagnosing extrapulmonary tuberculosis (EPTB) can be challenging because of a variety of presentations. We assessed the accuracy of the Xpert MTB/RIF assay in diagnosing EPTB in children.

Methods
Of the 255 children diagnosed to have tuberculosis (TB) who underwent testing by the Xpert MTB/ RIF assay at the TB clinic from December 2014 to April 2017, 182 had EPTB and were included in the study. The diagnostic accuracy, specificity and sensitivity of the Xpert assay were calculated with Mycobacterium growth indicator tube (MGIT) as a reference standard.

Results
Lymph node TB was present in 58 (32%) children, 37 (20%) had neurological TB, 36 (20%) had bone TB, 31 (17%) had pleural TB, 15 (8%) had abdominal TB, 2 (1%) had abscess, 2 (1%) had congenital TB and disseminated TB was seen in 1 (0.4%) child. Xpert MTB/RIF assay was positive in 84 (46.2%) patients. The sensitivity and specificity of the Xpert MTB/RIF assay were 72% and 72.04%, respectively. Compared to MGIT, a kappa coefficient of 0.44 shows moderate agreement between the Xpert assay and MGIT. The sensitivity of Xpert MTB/RIF assay in abdominal TB, bone TB, lymph node TB, neurological TB and pleural TB was 50% (15%–85%), 72.7% (15.9%– 86.9%), 80.8% (62.1%–91.5%), 75% (50.5%–90%) and 25% (4.6%–70%), respectively. The specificity of abdominal TB, bone TB, lymph node TB, neurological TB and pleural TB was 83.3% (43.7%–97%), 69.2% (42.4%– 87.3%), 55.2% (37.6%–71.6%), 85% (64%–94.8%) and 82.6% (62.9%–93%), respectively. Forty-seven (26%) patients had drug-resistant TB (DR-TB), of which 15 (8%) were rifampicin-resistant (RR), 2 (1%) were polyresistant, 14 (8%) had multi-DR (MDR), 15 (8%) had pre-extremely DR (XDR) and 1 (1%) had XDR-TB. Of the 15 patients with MDR-TB, Xpert MTB/RIF assay detected only 10 (71%) as RR (p=0.06). Of the 15 pre-XDR cases, Xpert MTB/RIF detected only 8 (53%) as RR (p=0.02).

Conclusion
Xpert MTB/RIF assay is useful in the diagnosis of EPTB. It shows good concordance with MGIT. However, it may be negative in patients with DR-TB.
KEKUATAN HUKUM SURAT WAKAF DAN PERALIHAN HAK OLEH AHLI WARIS WAKIF
Authors: Mauliyani Raezyah 
Published: April 2023

Oleh:Raezyah Mauliyani, Dr. H. K.N. Sofyan Hasan, S.H., M.H.,Dr. Suci Flambonita, S.H., M.H ABSTRAKTesis ini mengangkat judul mengenai Kekuatan Hukum Surat Wakaf Dan Peralihan Hak Oleh Ahli Waris Wakif. Sebelum adanya ketentuan yang mengatur tentang perwakafan, masyarakat Indonesia melaksanakan perwakafan dengan sistem yang mengutamakan unsur rasa saling percaya. Konsep saling percaya tersebut, dalam pelaksanaannya ikrar wakaf hanya dilakukan secara lisan di depan ketua adat atau tokoh ulama tanpa harus dicatatkan. Hal ini, berdampak pada permasalahan status hukum terhadap tanah wakaf tersebut dikemudian hari, bahkan mengakibatkan terjadinya sengketa terhadap tanah tersebut karena kebutuhan terhadap tanah di zaman sekarang yang semakin tinggi. Metode yang digunakan dalam tesis ini adalah penilitian hukum normatif dengan pendekatan filosofis, pendekatan Undang-Undang, pendekatan konseptual, dan pendekatan kasus. Hasil penelitian bahwa Pelaksanaan Perwakafan Tanah menurut Undang-Undang Nomor 41 Tahun 2004 tentang Wakaf, dapat ditemukan dalam Pasal 32. Bahwa wakaf dapat dilindungi dengan cara didaftarkannya tanah wakaf sesuai prosedur dalam BAB III tentang Pendaftaran Dan Pengumuman Harta Benda Wakaf Undang-Undang Wakaf,. Selanjutnya Peran serta lembaga yang berwenang terhadap pelaksanaan wakaf dapat ditemukan setelah adanya Undang-Undang No. 5 Tahun 1960 Tentang Peraturan Dasar Pokok Agraria dan PP (Peraturan Pemerintah) No. 28 Tahun 1977 Tentang perwakafan Tanah Milik, Inpres No. 1 Tahun 1991 tentang Kompilasi Hukum Islam dan Undang-Undang No. 41 Tahun 2004 Tentang Wakaf. Wakaf bisa dikatakan sah dan kuat secara hukum bila unsur-unsur rukun-syarat wakaf terpenuhi dan didaftarkan kepada pihak yang berwenang. Kedudukan nadzir dimasa depan agar tidak terjadinya hal yang sama sebagaimana contoh kasus yang peneliti lakukan diharapkan setiap nadzir yang menerima wakaf dari wakif segera mendaftarkan wakaf tersebut agar kedudukan nadzir memiliki kekuatan hukum serta dilindungi oleh Undang-Undang dan bisa dimasukan kedalam hukum positif Indonesia. Dalam hal ini wakaf yang tidak bergerak kepada PPAIW (Pejabat Pembuat Akta Ikrar Wakaf) daerah dan Badan Pertanahan setempat. Kata Kunci: Ikrar, Tanah, Wakaf
PENGATURAN PENGHENTIAN PERJANJIAN KERJA ANTARA PERUSAHAAN DENGAN TENAGA KERJA KARENA PANDEMI COVID-19
Authors: Fuadsyah Muhammad , Emirzon Joni , Utama Meria 
Published: April 2023

Penelitian ini menguraikan pengaturan penghentian perjanjian kerja antara perusahaan dengan tenaga kerja karena pandemi Covid-19. Fokus permasalahan dalam penelitian ini adalah bagaimana pengaturan penghentian perjanjian kerja antara perusahaan dengan tenaga kerja karena pandemi Covid-19, Penulisan menggunakan metode hukum normatif yang mengkaji peraturan perundang-undangan terkait permasalah PHK karena Covid-19. Bahan hukum primer, sekunder dan tersier. Penulisan ini dianalisis dengan analisis kualitatif dan penarikan kesimpulan menggunakan logika berpikir deduktif. Dari hasil penelitian didapatkan bahwa Penghentian perjanjian kerja diatur dalam Undang-Undang Nomor 13 Tahun 2003 tentang Ketenagakerjaan jo. Undang-Undang Nomor 11 Tahun 2020 tentang Cipta Kerja yang telah menambah Pasal 154 A dengan beberapa alasan termasuk keadaan memaksa. Keputusan“Presiden Nomor 12 Tahun 2020 tentang Penetapan pandemi Covid-19. Hak yang wajib diberikan pengusaha kepada pekerja yang di PHK yaitu memberikan uang pesangon, uang penghargaan masa keja dan uang penggantian hak. Pekerja juga memperoleh jaminan sosial diselenggarakan oleh Badan Penyelenggaran Jaminan Sosial Ketenagakerjaan dan Pemerintah.Kata Kunci: Perusahaan; Perjanjian Kerja;Pemutusan Hubungan Kerja (PHK); Force Majeure; Pandemi Covid-19
Towards Sustainable Revitalization: The Public Squares Characteristics - Led the Adaptive Urban Revitalization Mechanisms
Authors: Ibrahim Zakariya Osamaa , Abdullah Sally Fakhri Khalaf 
Published: April 2023

The public square is a specifically designed urban space that includes many natural and formative elements that achieve communication among the main axes of the city and facilitate the movement of users through it. The public squares (PSs) in many cities, especially Baghdad, need to be revitalized. The Adaptive Urban Revitalization (AUR) strategy, which focuses on improving the quality of urban spaces for PSs to enhance their location, activity, and purpose, can be used for this revitalization. The result is a new space that is adaptive and convenient with regard to the sustainable revitalization of the contemporary city. The main research problem is how to make PSs attractive places for users. There is an absence of clear knowledge about the mechanisms of the AUR strategy, its relationship to the characteristics of PSs, and its influence on the revitalization process. Considering this problem, the main research goal is to reveal the characteristics of PSs as factors that affect the mechanisms of AUR and the role that these influences have in developing a clear approach to the AUR strategy to make PSs attractive places for users. This can be done by improving their conditions and promoting their use more effectively. To achieve this goal, the research will address improving the quality of urban spaces through the application of the AUR strategy. The focus is on addressing urban problems that have an effect on PSs, obtaining the indicators of AUR, applying them to the selected case studies and testing them mathematically. The results of the research produced a clear approach with regard to utilizing the strategy of AUR in PSs. It examined all mechanisms represented by Urban Response, Urban Accessibility, and Dynamic Activities. The results showed a positive relationship of these mechanisms on the characteristics of PSs. Doi: 10.28991/CEJ-2023-09-04-015 Full Text: PDF
The Positive Effects of Manual Pronation in a United States Community Based Hospital Intensive Care Unit During the COVID-19 Surge Crisis
Authors: Mollie Hoerr  , Mary Heitschmidt  , Hugh Vondracek  
Published: May 2023

Background
Patients in acute respiratory distress syndrome suffer a high mortality rate; however, manual pronation has a survival advantage up to 17% (Gattinoni, 2013). March 2020 marked the initial COVID-19 surge in the US, characterized by government lock-downs, inundation of healthcare systems, and high patient fatality levels. Initially, COVID-19 patients who might benefit from manual pronation were transferred to other local facilities until our interdisciplinary team implemented a manual pronation policy within 27 days of receiving our first COVID-19 positive patient.
Aim
The aim of this study was to describe the impact of a community hospital partaking in manual pronation for the first time, quality care metrics—specifically Central Line-Associated Bloodstream Infections (CLABSIs), Catheter-Associated Urinary Tract Infections (CAUTIs), and Ventilator-Associated Pneumonia/Events (VAP/VAEs)—associated with the COVID-19 surge, and the barriers overcome during this process.
Methods
This retrospective data collection study included hypoxemia, intubation, discharge and quality safety data from March 13 to June 1, 2020 for patients who underwent manual pronation.
Results/Findings
Pronation occurred a total of twenty-seven times in 13 patients (seven (53.8%) survived and six (46.2%) died during hospital admission). Four (57.1%) of the patients who survived were discharged home, two (28.6%) went to a rehabilitation facility, and one (14.3%) was transferred to an outside hospital. Zero CAUTIs (458 catheter days), CLABSIs (371 central line days), and VAEs (384 ventilator days) occurred during the study.
Conclusions
With the newly acquired proning policy in place and creative COVID-19 care, data were consistent with an overall improvement in patient outcomes. Manual pronation was shown to improve P/F ratios. There were no upticks in hospital acquired infections, notably CAUTIs, CLABSIs, and VAP/VAEs at our facility.
Planning Counseling Methods in Supporting Sustainable Forestry Development in Simalungun Regency
Authors: Damanik Sarintan Efratani , Purwoko Agus 
Published: May 2023

Simalungun Regency is an agricultural area and the main occupation of the community is agriculture. To support development in agriculture, especially in the field of community forestry, it is very necessary to be accompanied by extension workers. Forestry extension workers provide guidance and assist farmers either in the form of demonstrations or examples of work in farming to solve all the problems faced. The existence of community forestry extension workers in Simalungun Regency, the socio-economic life and knowledge of the community have changed for the better. Seeing the difficult challenges that will be faced by extension workers, it is necessary to have an accurate method in delivering the material so that farmers are willing to adopt the material from the extension worker. The data analysis technique using Process Hierarchy Analysis (AHP) is to solve problems by breaking down into groups then arranged into a form of hierarchy with a decision support system for selecting a health counseling method by determining the top priority of several criteria and existing alternatives to make decisions in the selection of counseling method planning. The weight of the value of each alternative based on the evaluation of the weighting that has been carried out with a higher weight indicates its level of importance. So the alternative development of the independence of farmer groups selected as a sustainable forestry development strategy is in accordance with the planning of forestry extension methods
Design of Retarding Basin as an Effort to Reduce Flood
Authors: Siregar Syafiatun , Sitompul Harun , Wijaya Kinanti , Solahuddin Ahmad Andi , Nurmaidah Nurmaidah 
Published: May 2023

The retarding basin functions as a body of water that is useful for temporarily storing water, namely by giving the opportunity for rainwater to seep into the ground. The concept of the retarding basin is to accommodate the volume of rainwater when the maximum discharge occurs. Medan Johor sub-district is part of 21 sub-districts in Medan City, which is located in the south of the city. Topographically, Medan Johor District has several basin areas that cause the water flow to be concentrated. Another problem is that the drainage channel in the Medan Johor Subdistrict is not functioning properly due to sedimentation from the garbage. When the rainy season arrives, Medan Johor District often experiences flooding. The impact of floods resulted in damage to public facilities and infrastructure, disruption of public services, and the emergence of social impacts in the community. The purpose of this study was to design a retarding basin that serves to hold stagnant water temporarily. The water reservoir will then be channeled to the nearest sewer or river. Based on theoretical studies and analysis based on primary and secondary data, it is necessary to design a retarding basin in the Medan Johor District area to reduce flooding. From the results of the research conducted, it is necessary to design 3 (three) retarding basins in the Medan Johor area.
Survival Outcomes in High-Risk, Resected Colorectal Cancer with and without Maintenance Therapy
Authors: Auber Miklos L. , Wen Sijin , Farran Francesca , Higa Gerald M. 
Published: May 2023

Introduction: Deaths due to colorectal cancer are disproportionately higher than either breast or prostate cancers even though the majority of new cases are potentially curable at diagnoses. If only half of the losses is due to metastatic disease at diagnosis, then a share of the remaining deaths must be attributable to tumor recurrence after presumptively curative therapy of early-stage disease. If so, current management of the latter group is suboptimal for a considerable number of subjects, a perception which argues for an assessment of maintenance therapy. Moreover, most recurrences occur within 24 months after standard surgical and (neo)adjuvant therapies.
Objective: To assess relapse-free and overall survival among patients with high-risk, resected tumors who did and did not receive maintenance therapy following completion of treatment according to accepted guidelines.
Methods: Pertinent clinical details were collected on 85 subjects, 37 who were, and 48 who were not, treated with maintenance therapy. Descriptive statistical analyses related to survival outcomes were performed on accumulated data. Wilcoxon rank test and Fisher’s exact test were used to examine the continuous and categorical variables, respectively. Kaplan-Meier method and log-rank test were used to analyze between-group relapse-free and overall survival.
Results: Of the entire cohort, 63 of 85 (74.1%) subjects have no evidence of disease, a median of 5 years from the end of adjuvant therapy. Kaplan-Meier analyses indicated statistically, but not necessarily clinically, non-significant differences in median 5-year relapse-free survival, 79.8% vs 69.2%, and overall survival, 87.8% vs 81.7% in the treated and untreated groups of patients, respectively. A total of 21 subjects died; three of seven (treated group) and all 14 (untreated group) due to cancer.
Conclusion: Obscured is the hint that maintenance therapy is clinically more effective than what the p-value intimates. The results of this retrospective data collection and analyses suggest that some patients with early-stage, high-risk disease, will derive survival benefits with maintenance therapy.
O Empreendedorismo e suas principais vertentes teóricas: uma visão crítica
Authors: Cordeiro de Souza Hígor 
Published: May 2023

O presente artigo busca por meio de pesquisa bibliográfica fazer os resgate teórico dos conceitos e principais abordagens do o empreendedorismo privilegiando a abordagem crítica sobre o tema. Ao longo do texto trato das seguintes abordagens empreendedoras: econômica, comportamental, de processo, da prática e por fim a abordagem crítica. Neste artigo adoto perspectiva teórica alinhada aos Critical Management Studies (CMS) e aos Critical Entrepreneurship Studies (CES) como pano de fundo norteador das discussões, por isso apresento as origens históricas, conceituações e principais abordagens do empreendedorismo não para fazer meramente um relato descritivo e funcional, mas sobretudo para trazer à reflexão seu caráter etnocentrico, classista e excludente, como também seu perfil ideológico, político, discursivo e formador de subjetividades.
Strategi Komunikasi Dinas Pariwisata Dalam Mempromosikan Danau Laut Tawar Kota Takengon
Authors: Sahrin Alfi 
Published: April 2023

<p><strong>Abstrak</strong></p><p>Promosi pariwisata merupakan hal yang urgen dalam pembangunan wisata daerah khususnya kaitannya dengan peningkatan jumlah pengunjung baik domestik maupun mancanegara yang secara linier akan meningkatkan devisa, perluasan kesempatan kerja, hingga kelestarian budaya dan kepribadian lokal yang tercantum dalam semangat kepariwisataan yang tercantum dalam UU Nomor 10 Tahun 2009 tentang Kepariwisataan. Maka dari itu dibutuhkan langkah dan kebijakan yang terintegrasi dalam hal ini strategi komunikasi pariwisata. Tulisan ini hendak mengulas strategi komunikasi pariwisata Danau Laut Tawar Kota Takengon, baik model maupun tantangannya dalam mempromosikan kawasan wisata tersebut. Penelitian ini menggunakan metode deskriptif dengan pendekatan kualitatif, sumber data diperoleh dengan melakukan wawancara mendalam kepada <em>key informan </em>yaitu 3 orang pegawai Dinas Pariwisata Kabupaten Aceh Tengah, 2 orang dari pengelola wisata, 2 orang pedagang di sekitar kawasan wisata, dan 1 tokoh masyarakat di kawasan tersebut. Teknik pengumpulan data juga dengan melakukan observasi atau pengamatan langsung. Analisis data dimulai dengan melakukan reduksi data, kemudian data dikalsifikasikandan dilakukan penarikan kesimpulan. Hasil temuan diperoleh bahwa strategi komunikasi Dinas Pariwisata dalam mempromosikan Danau Laut Tawar Kota Takengon adalah dengan orinetasi promosi melalui <em>mass media</em> (media massa) baik elektronik, cetak, maupun digital via media sosial.</p><p> </p><p><em><strong>Abstract</strong></em></p><em>Tourism promotion is an urgent matter in regional tourism development, especially in relation to increasing the number of visitors, both domestic and foreign, which will linearly increase the country's foreign exchange, expand employment, and preserve local culture and personality as stated in the spirit of tourism as contained in the UU Nomor 10 Tahun 2009 tentang Kepariwisataan.. Therefore, integrated steps and policies are needed in this case the tourism communication strategy. This paper wants to review the tourism communication strategy of Lake Laut Tawar, Takengon City, both the model and the challenges in promoting the tourist area. This study uses a descriptive method with a qualitative approach, the source of the data is obtained by conducting in-depth interviews with key informants, namely 3 employees of the Tourism Office of Central Aceh Regency, 2 people from tourism managers, 2 traders around the tourist area, and 1 community leader in the area. Data collection techniques are also by making observations or direct observations. Data analysis begins with data reduction, then the data is classified and conclusions are drawn. The results of the study indicate that the communication strategy of the Tourism Office in promoting Lake Laut Tawar City of Takengon is with promotion orientation through mass media, either electronically, in print, or digitally through social media</em>