bluuebunny/crossref_metadata_2025_split huggingface dataset:
A self-study on identification of etiology of Anemia in pregnancy
Authors: Bajaj Archana Dhawan 
Published: November 2022

Anemia in medical literature could be defined as when levels of hemoglobin are below two standard derivation of the mean for age and gender of patients. During pregnancy many women lacks the sufficient amount of iron which is needed for 2 & 3 trimesters due to significant changes in increase in volume of blood to support the growth of baby, person could suffer from anemia. Based on several researches conducted it have been stated that anemia is one of the most common complications which could occur in pregnancy.A systemic self-study was planned to determine and review the possible cause of Anemia during pregnancy. With the application of electronic databases we searched PubMed, Google Scholar, Web of Science, Clinical Trial Gov, Medline Plus, health line, John Hopkins Medicine which were published in English language. This systemic self-study have reviewed the facts which were published earlier to determine the cause of anemia during pregnancy. Vast analysis was made to determine the cause of anemia during pregnancy.We observed and concluded the fact that anemia during pregnancy occurs due to iron and folate deficiency. In more than 50 percent of studies conducted in pregnant women, we observed that one who have less adequate diet and did not received any prenatal iron and folate supplement have the chances to suffer from iron deficiency and folate deficiency anemia.We conclude by delivery of very important message that adequate iron and folate intake is very crucial for both mother and child during pregnancy. Healthcare professionals must provide proper nutritional advice and essential supplementation which is required at their first consultation with mother’s which lowers and minimalizes the risk of anemia related complications in future.
A study on obstetric and perinatal outcome in a pregnancy complicated with oligohydramnios
Authors: Gowda Shashikala H 
Published: November 2022

Oligohydramnios, defined as when the AFI is less than 5. Definition of increased or decreased amniotic fluid volume are based on sonographic criteria. Oligohydramnios complicates approximately 1 to 2% of pregnancies Amniotic fluid provides the cushion effect against the constricting confines of the gravid uterus. It creates space and helps in musculoskeletal development of foetus, helps in normal fetal lung development and prevents compression of umbilical cord, placenta and hence protects the foetus from vascular and nutritional compromises. Oligohydramnios is associated with high risk adverse perinatal outcome like fetal distress, meconium aspiration, low APGAR, joint contracture, pulmonary hypoplasia etc., and associated with maternal morbidity in the form of increased rates of induction and/or operative interference. This study is conducted to find out the effects of oligohydramnios in determining the obstetric and perinatal outcome.To study, 1) Primary outcome- Obstetric outcome in terms of mode of delivery, indication for operative interference. 2) Secondary outcome- Neonatal outcome in terms of birth weight, Apgar score, colour of liquor, admissions to NICU. This is a prospective observational study conducted on 80 patients presenting to Department of Obstetrics and Gynecology at KIMS hospital, Bengaluru from January 2019 to June 2020 who were diagnosed with oligohydramnios with intact membranes with AFI&#60;5cms using sonographic criteria. A total of 80 cases of Isolated Oligohydramnios were assessed. 38.7% cases delivered vaginally, 61.2% of cases underwent Cesarean section, 15% had meconium stained liquor, 15% had APGAR score of &#60;7 at 1 minute, 42.5% had birth weight &#60;2.5kgs and 37.5% of babies required NICU admissions. The present study was conducted to know the fetomaternal outcome in pregnancies with oligohydramnios. The study showed oligohydramnios was associated with higher rates of induction and Cesarean section and associated with Low birth weight babies.
Secondary hypokalemic non-periodic paralysis in a case of intractable hyperemesis gravidarum – A maternal near miss
Authors: Khan Shazia , Matta Madhuri , Maiti G D , Sharma Rajesh 
Published: November 2022

Hyperemesis Gravidarum is a debilitating early pregnancy complication causing Hypokalemia and associated morbidity if timely recognition and intervention is not initiated. A rare sequelae of intractable hyperemesis is Non periodic Hypokalemic paralysis. A 26 years old primigravida at 13 weeks 6 days of gestation was admitted with hyperemesis gravidarum preceded by nausea and vomiting of 10 days duration. Her sonography showed a single live fetus of corresponding maturity. She was treated with intravenous fluid therapy and parenteral antiemetics. As her hyperemesis continued despite all medications, she was started on steroid therapy, she however developed hypokalaemic paralysis with serum potassium of &#60; 2.3mmEq/L and ECG changes of prolonged QT interval with u waves. Timely detection and potassium supplementation prevented adverse maternal outcome and patient recovered totally within 48 hrs of potassium infusion initiation. Hypokalemia remains a morbid sequelae of hyperemesis gravidarum which can be missed in the early stages as patient may remain asymptomatic. It thus becomes essential to serially monitor such patients with daily serum electrolytes especially when on corticosteroid therapy for intractable Hyperemesis to prevent any maternal near miss condition.
Orbital apex syndrome in rhino-orbito-cerebralmucormycosis (ROCM) – A prospective observational study
Authors: Kumar Niranjan Karthik Senthil , Alagappan Yogeswari , R P Mahalakshmi , Sundaram Gnanaoli Meenakshi 
Published: November 2022

Orbital apex syndrome (OAS) is an uncommon clinical presentation consisting of complete ophthalmoplegia with vision loss, involving cranial nerves II, III, IV, V, and VI. OAS may result from trauma, malignancy, infection, inflammation, or vascular origins. Aims of the study were to analyse the incidence and presentation of orbital apex syndrome in rhino-orbital mucormycosis in a tertiary care hospital. A total of 29 cases (4.1%) out of 696 cases of invasive ROCM with OAS as a presenting feature were documented. Amphotericin B in both retrobulbar and intravenous routes played a crucial role in arresting the spread of the disease allowing only 8 (27%) cases to show disease progression. FESS if done appropriately with efficient debridement of necrotic infective tissue can be a powerful tool in redirecting the course of disease for the better (only 2 of 8 patients with CST at the time of presentation had a history of FESS done prior. ROCM is a severe, emergent and fatal infection requiring multidisciplinary management. It may often present with OAS initially. Mucormycosis must be considered in such patients and timely aggressive management must be initiated to avoid disastrous morbidity and mortality.
To study the significance of various risk factors in development of retinopathy of prematurity at a tertiary care center in Eastern Uttar Pradesh
Authors: Jhunjhunwala Aditi , Yadav Ram Yash Singh , Rai Chiranji , Srivastava Nupur 
Published: November 2022

Retinopathy of prematurity is a multi factorial vaso-proliferative disease that is the most common cause of preventable childhood blindness worldwide.This study aims to determine the frequency, clinical course and risk factors of ROP in premature infants treated in the Neonatal Intensive Care Unit (NNICU) of our hospital. In this retrospective observational study the case records of 243 infants who visited our ROP clinic between January 2020 and august 2021 were reviewed. The mean GA was 33.4 weeks and the mean birth weight was 1.3 kg. A total of 55 (22.82%) patients developed ROP. low birth weight (p value = &#60;0.001), low gestational age (p value = &#60;0.001), multiple pregnancy (p value 0.002), blood transfusion (p value = 0.033), sepsis (p value = 0.009, odds ratio = 2.29 at CI 95%), oxygen supplementation (p value = &#60;0.001 odds ratio= 10.56 at CI 95%) and duration of oxygen (p value = &#60;0.001, odds ratio =1.93 at CI 95%) were significant risk factor for development of ROP. 2 (3.63%) cases were zone I, 8 (14.54%) zone II, and 45 (81.81 %) in zone III. Out of which 8 had plus disease. Analysis of the risk factor for severity of disease was found to be statistically significant with multiple pregnancy (p value = 0.015).Our study shows less gestational age, low birth weight and supplemental oxygen along with sepsis as biggest risk factor for development of ROP in our set –up and multiple pregnancy for severity.
Qualitative OCT biomarkers for visual improvement in treatment of diabetic macular edema
Authors: Radhakrishnan Natasha , Pillai Gopal S , Iyer Aishwarya 
Published: November 2022

To identify baseline qualitatative OCT biomarkers that can predict good visual outcome in diabetic macular edema after treatment. Prospective, observational study in the time period. We included 37 eyes of 37 patients with treatment naïve diabetic macular edema who subsequently underwent treatment with injections of intravitreal Ranibizumab. Inclusion criteria was: Presenting vision &#60; 0.3 logMaR (2) centre involving diabetic macular edema (CMT&#62;250 microns). 3 injections were given monthly irrespective of treatment response followed by PRN dosing. Factors under evaluation were: 1) Submacular detachment (SMD) (2) cystoid changes in the inner and outer nuclear layer (4) Integrity of IS-OS junction. (5) Hyper Reflective Foci(HRF) and location (6) vitreomacular interface (7) Disruption of inner retinal layers(DRIL) We included 37 eyes in our study. For analysis, based on final visual acuity patients were divided in two groups: (1) Group A: Good visual acuity (&#62;10 ETDRS letter gain) and (2) Group B: Poor visual outcome (&#60; 10 letter gain). Presence of SMD was more likely in Group B as compared to Group A. There was no significant difference between two groups for other mentioned parameters. Presence of SMD was found to have most significance in predicting good visual acuity response to anti VEGF.DRIL was found to decrease during the treatment but a predictive role could not be demonstrated.
Butler’s “Future State” & Hume’s “Guide of Life”
Authors: Russell Paul 
Published: November 2022

In this paper I argue that Hume’s famous discussion of probability and induction, as originally presented in the Treatise, is significantly motivated by irreligious objectives. A particular target of Hume’s arguments is Joseph Butler’s Analogy of Religion. In the Analogy Butler intends to persuade his readers of both the credibility and practical importance of the doctrine of a future state of rewards and punishments. The argument that he advances relies on probable reasoning and proceeds on the assumption that our past experience in this life serves as a reliable and effective guide for our expectations concerning a future state. In the relevant sections of the Treatise Hume aims to discredit this religious argument and the practical objectives associated with it.
Perancangan Tourism Display Board untuk Objek Wisata Pasar Terapung Lok Baintan
Authors: Hastuti Karunia Puji , Aristin Nevy Farista , Saputra Aswin Nur , Setiawan Faisal Arif 
Published: November 2022

AbstractLok Baintan Floating Market is a leading tourist attraction on a national scale. Completeness of facilities is the main requirement as a support for tourist attractions. The existence of a tourism display that contains information on tourist destinations is very important for tourists. The purpose of the service activity is to provide knowledge about the management of tourism places through the design of information boards Tourism displays provide the information tourists need in tourist attractions. Tourism displays can be information about tourist attractions, such as geographical conditions, history, prices, prohibitions, and warnings in tourist attractions. The limited availability of tourism displays in tourist attractions is caused by several things such as immature planning of tourist attraction, the results of needs analysis that have not listed them, and minimal knowledge of making information boards. The design of tourist information boards is a solution to introduce the culture of tourism promotion. The results of the service showed that 96% of the community felt very satisfied. The design of information boards can be a mobilizer for local people to increase knowledge related to tourism promotion. Keywords: tourism, tourist attractions, tourism display board AbstrakPasar Terapung Lok Baintan merupakan atraksi wisata unggulan berskala nasional. Kelengkapan fasilitas merupakan syarat utama sebagai pendukung atraksi wisata. Keberadaan tourism display yang berisi informasi destinasi wisata sangatlah penting bagi para wisatawan. Tujuan kegiatan pengabdian adalah memberikan pengetahuan mengenai pengelolaan tempat pariwisata melalui perancangan papan informasi. Tourism display menyediakan informasi yang dibutuhkan wisatawan di tempat wisata. Tourism display dapat berupa informasi tentang tempat wisata, seperti kondisi geografi, sejarah, harga, larangan, dan peringatan di tempat wisata. Terbatasnya ketersediaan tourism display di tempat wisata disebabkan oleh beberapa hal seperti belum matangnya perencanaan ruang tata kelola tempat wisata, hasil analisis kebutuhan yang belum mencantumkannya, dan pengetahuan teknis pembuatan papan informasi yang minim. Perancangan papan informasi wisata merupakan solusi untuk mengenalkan budaya promosi wisata. Hasil pengabdian menunjukkan 96% masyarakat merasa sangat puas. Perancangan papan informasi dapat menjadi penggerak masyarakat lokal untuk menambah pengetahuan terkait promosi wisata. Kata kunci: pariwisata, atraksi wisata, papan informasi wisata
PKM Budidaya Cacing Sutra (Tubifek Sp.) di Lahan Pekarangan Kelurahan Guntung Manggis Kecamatan Landasan Ulin Kota Banjarbaru
Authors: Fatmawati Fatmawati , Bijaksana Untung , Almuhasibi Muhammad Hudan , Qomariah Siti 
Published: November 2022

AbstractSilkworm (Tubifex sp). is a good natural food for ornamental fish. Silkworms contain about 57% protein and 13% fat. Silkworms are natural food for fish seeds that are highly nutritious. The problem is not knowing how to cultivate silkworms and the available land has not been utilized. The solutions offered are the use of yards for silkworm cultivation, methods of counseling activities and demonstration of silkworm cultivation, evaluation of knowledge and skills before and after the activity is carried out. The results of the evaluation were analyzed by means of a two-party t-test according to Sudjana (1992). The results of the analysis show that the average value of the knowledge and skill of the target audience for all questions asked before the activity and after the activity is carried out is significantly different. The average value of the knowledge level of the target audience for all questions asked before the activity was 7.3 and increased to 34.7 after the activity was carried out. Average value of the skill, the target audience for all questions asked before the activity was 7.1 and increased to 35.1 after the activity was carried out. The pilot activity has installed as many as two silkworm racks, so that partners can optimize their yards into productive land. Key word : silkworm; counselling; knowledge; skill
Risk stratification, Knowledge and Awareness of Obstructive sleep apnea among Egyptians attending outpatient clinics; A cross-sectional study
Authors: Adwi Mohamed , Elmoushy Mohamed , Bassiony Mahmoud , Madkour Mahmoud , Mustafa Hassan , Rabie Moustafa M , Alboraie Mohamed 
Published: November 2022

Abstract
Introduction:
Obstructive sleep apnea (OSA) is a common sleep disorder that causes upper airway collapse, leading to sleep apnea or hypopnea, and is associated with serious health conditions. Despite its prevalence, it is an underdiagnosed and undertreated disease. We aimed to measure the prevalence of OSA risk and detect the level of knowledge of OSA among Egyptians attending outpatient clinics.
Methods:
A cross-sectional study was conducted at two university hospitals in Cairo using the Berlin Questionnaire and OSA Knowledge and Attitude Questionnaire (OSAKA). The participants were recruited from the outpatient clinics of Al-Hussein University Hospital and Al-Sayed Galal University Hospital. We used a validated Arabic translated version of the Berlin Questionnaire. Ten questions across three domains were tested: the presence and severity of snoring, frequency of daytime sleepiness, and presence of obesity or hypertension. A translation of five questions from (OSAKA) deemed suitable for the general population, was also used.
Results:
Out of 395 participants, 345 (87%) completed the questionnaire. The participants’ ages ranged from 18 to 82 years old (40.9 ± 15.5 SD). Approximately 52% of the participants were female (n = 179) and 48% were male (n = 166). The prevalence of high risk OSA among the studied population was 17.4% (n = 60). Older age and obesity were found to be significantly associated with OSA risk. In terms of OSA awareness, 90.1% (n = 311) of the participants did not have previous knowledge of OSA, and there was no significant association between the participants’ knowledge and risk of OSA.
Conclusion:
OSA was associated with older age and obesit. Knowledge level was far from needed among the studied group. This lack of knowledge needs to be addressed to reduce the underdiagnosis and undertreatment of OSA.
Smartphone usage before and after Covid-19: a comparative study based on objective recording of usage data
Authors: Chemnad Khansa , Alshakhsi Sameha , Almourad Mohamed Basel , Altuwairiqi Majid , Phalp Keith , Ali Raian 
Published: November 2022

Abstract
Most studies that claimed changes in smartphone usage during COVID-19 were based on self-reported usage data, e.g. collected through a questionnaire. These studies were also limited to reporting the overall smartphone usage, with no detailed investigation of distinct types of apps. The current study investigates smartphone usage before and after COVID-19. Our study uses a dataset from a smartphone app that objectively logs users' activities, including apps accessed and each app session's start and end time. These were collected during two periods: pre-COVID-19 (161 individuals with 77 females) and during COVID-19 (251 individuals with 159 females). We report on the top 15 apps used in both periods. Mann-Whitney U test was used for the inferential analysis. The results revealed that time spent on the smartphone has increased since COVID-19. Emerging adults were found to spend more time on the smartphone compared to adults during both periods. The time spent on social media apps has increased since COVID-19. Females were found to spend more time on social media than males. Females were also found to be more likely to launch social media apps than males. There has been an increase in the number of people who use gaming apps since the pandemic. Value: The use of objectively collected data is a methodological strength of our study. We draw parallels on the usage of smartphone with contexts similar to COVID-19 period, especially concerning limitation on social gathering, including working from home for extended periods. Our dataset is made available to other researchers for benchmarking and future comparisons.
Analytical Modification of EDFM for Transient Flow in Tight Rocks
Authors: Olorode Olufemi , Rashid Harun 
Published: November 2022

Abstract
The commercial development of unconventional resources with multiply fractured horizontal wells has been in the spotlight over the last ten years because of the significant contribution of unconventional oil and gas (UOG) reservoirs to the total US oil and gas production. UOG reservoirs contain multiscale fractures with heterogeneous properties, so the focus has been on efficient and accurate models that can account for these fractures individually. One of such models is the embedded discrete fracture model (EDFM), which has been applied to various types of fractured reservoirs. This work shows that the application of EDFM in fractured tight rocks yields significant errors because it cannot account for the expected transient flow between the matrix and fractures.
To address the limitation when EDFM is used in tight rocks with structured Cartesian grids, we modify the matrix/fracture non-neighboring connection (NNC) flux by multiplying it with a transient factor. We obtain this factor as in the transient matrix/fracture transfer term for dual-continuum models. We simulate a single vertical fracture in the middle of a tight reservoir with and without this EDFM modification and show the importance of the proposed modification. We also simulate cyclic gas enhanced oil recovery (CGEOR) in a fractured Bakken shale oil well and analyze the model results using standard rate-transient analysis plots to evaluate the significance of the proposed modification. The results show that the standard EDFM underestimates oil and gas production by up to 73% at early times.
This work presents the first analytical modification of EDFM to account for the nonlinear pressure drop expected near fracture surfaces. Comparing the modified and standard EDFM model results to a reference solution shows that the modified EDFM matches it. In contrast, the standard EDFM cannot match the reference solution when we use structured Cartesian grids with linear spacing. Additionally, by timing the simulation of a representative Bakken shale oil reservoir with 256 fractures, we show that the analytical modification proposed is only 1.5% slower than the standard EDFM.
Assessment of Disabilities: after all, who is the person with disabilities in Brazil’s legislations?
Authors: Morais Indyara de Araujo , Pereira Everton Luís , Merchan-Hamann Edgar 
Published: November 2022

Abstract
The objective is to identify the concept of person with disabilities in Brazil legislations and relate with the main theoretical models of disability. These definitions have evolved as compromise formations, all shaping the current scenario of assessing a person with disabilities to qualify for benefits under specific social policies. The research was conducted using document analysis of the laws based on the question " who are the persons with disabilities in Brazil’s legislations?" between 1988 and 2022. We identified 17 laws with the concept of persons with disabilities in Brazil over this period. However, the latest one was provided by the Brazilian Law of Inclusion, in 2015, based on the UN Convention on the Rights of Persons with Disabilities. The Brazilian perspective is evolving; we argue that it needs to focus on the biopsychosocial view. But the evaluation of disability for most Brazilian policies is still based on the medical model, focusing on long-term impairments conducted exclusively by physicians. The Brazilian Law of Inclusion proposes to change these assessments to be multi-professional and interdisciplinary, incorporating the biopsychosocial perspective. By changing how assessments of disability are conducted, we change the provision of benefits under multiple public policies for persons with disability in the country. By examining these technical laws, definitions, and evaluations, we reveal the necessity of large-scale financial and bureaucratic changes in Brazil, commitments the government is not yet ready to make.