bluuebunny/crossref_metadata_2025_split huggingface dataset:
Effect of different intensities of glycemic control on maternal and fetal outcome in women with diabetes in pregnancy
Authors: M Laxmi Devi , Prasad Madhav , Mukhtar Lubna 
Published: May 2022

Aims: To compare the feto-maternal outcomes between patients who have achieved different glucose target values after intervention for hyperglycemia in pregnancy.
Methods: A prospective comparative observational study was conducted in the Obstetrics Department of a Teaching Hospital. The main outcome parameters were the values of the fasting blood sugar (FBS) and the postprandial blood sugars (PPBS) obtained from the self-monitoring tests. The patients were grouped into two groups – the tight control group-I and less tight control group-II. maternal and neonatal parameters are compared. Pearson’s chi-square test was used for proportions and unpaired t-test was used for numbers after checking for normality of distribution and p-value of <0.05 was taken as statistically significant.
Results: Average values of FBS/PPBS values were lesser in group I (84/120) compared to group II (93/142).The proportion of maternal and fetal complications (hypertensive disorders, polyhydramnios, macrosomia, neonatal hypoglycemia, hyperbilirubinemia, NICU admission) were similar between the two groups. The average gestational age at delivery (38.2 weeks vs 37.7 weeks), the proportion of LSCS (50% vs 66.7%) and neonatal birth weight (2.88 kg vs 2.98 kg) were similar in both groups.
Conclusion: There is no difference in feto-maternal outcome in between well controlled lesser control of blood sugar
Gestational Weight Gain among women with different pre-pregnancy BMI and its relation with Birth Weight of Neonates
Authors: Paneru Rupa , Thapa Meena 
Published: May 2022

Aim: To find out the relationship between gestational weight gain among women with different early pregnancy Body Mass Index and birth weight of neonates.
Methods: This is an analytical observational hospital based study. Singleton pregnancy within 10 weeks of gestation were included in the study and they were followed at term. First trimester Body Mass Index was calculated and the women were divided in to underweight, normal weight, overweight and obese according to World Health Organization classification. Total gestational weight gain was calculated and compared according to the American College of Obstetrics guideline. The birth weight of neonate was recorded soon after the delivery and the relation between gestational weight gain and birth weight of the neonate was studied.
Results: Total 228 women were analyzed. Most of the women (69%) had normal Body Mass Index with the mean gestational weight gain of 10.59±4.317 kg and the mean birth weight 3.03±0.487 kg. Underweight and normal weight women had less pregnancy weight gain; overweight women had slightly higher weight gain whereas obese women had weight gain as per the recommendation. The birth weight of neonate was higher in overweight and obese women (p=0.004) but without positive correlation.
Conclusions: The gestational weight gain is not related to the birth weight of neonates but related to the early pregnancy BMI.
Assessment of Chance fracture on Computed Tomography Scan in Tertiary Trauma Care Center of Nepal.
Authors: Bhattarai Mamata , Thapa Bikash Raj , Khadka Sujan , Thapa Govardhan 
Published: May 2022

Introduction:
Chance fracture is a horizontal fracture of the vertebra extending from the posterior element to the vertebral body due to flexion-distraction injury and is potentially unstable. The aim of this study was to evaluate the demography and Computed Tomography scan findings in Chance fracture of the spine.
Method:
A retrospective study was conducted at the National Trauma Center, National Academy of Medical Sciences over a period of one year (December 2019 to December 2020). Demographic data, mechanism of injury, and computed tomographic findings of Chance fracture were recorded.
Result:
Computed tomography scans of 41 patients with Chance fracture were identified. Fall injury (76%) was the most common cause of Chance fracture followed by road traffic accidents. This fracture was most commonly seen in thoracolumbar junction TLJ (D10-L2); with L1 being the most affected vertebra (36.5%). Among posterior elements, facet distraction (84%) was the most common finding followed by lamina fracture (83%), and pedicle fracture (68%). Regarding vertebral body fracture, involvement of both superior and inferior endplates were common than isolated involvement of either one of them. CT revealed that a burst component was a common finding (68%) in Chance fracture.
Conclusion:
Chance fracture was commonly caused by fall injury in our context which is higher in incidence than previously reported. More than half of patients with Chance fracture also had Burst-type components that could influence surgical management. Computed tomography scans is a useful imaging modality for the assessment of Chance fracture and burst component.
A Study on Low Performing Students Perception towards Mathematics: A Case of Secondary Level Community School Students of Nepal
Authors: Kunwar Rajendra 
Published: May 2022

The students' perception of mathematics is equally important for the parents as well as the teachers to deal with them effectively. Therefore, this study is concerned with the secondary level low-performing students' perception of mathematics and its effects on their achievements. The study is based on the mixed-method survey research design consisting of 312 grade IX and X students, 119 male and 193 female students from the 10 community schools of Province No. 1, Nepal. A Likert-type survey questionnaire, 'Perception Towards Mathematics Inventory (PTMI) was developed and administered by the researchers to the participants. Thus, the collected quantitative data were analyzed by using descriptive statistics. The qualitative data collected through semi-structured interviews were summarized and analyzed categorically in high-performing and low-performing groups. The findings revealed that the perception of the low-performing students towards mathematics was found negative or they did not prefer to learn mathematics. Similarly, the student's perception of mathematics was found to have a greater effect on their achievement. The group of higher achiever students was found more positive and confident towards mathematics and the lower achievers were found negative and anxious. However, most of the students were found aware of the value of mathematics.
Qu’est-ce qu’une Europe juste ? Dialogue avec John Rawls
Authors: Van Parijs Philippe 
Published: May 2022

Comment concevoir la justice au sein de cette entité politique sui generis qu’est l’Union européenne ? John Rawls traite de cette question dans une longue lettre rédigée en 1998. La conception égalitaire qu’il présente dans sa Théorie de la justice ne peut à ses yeux s’appliquer qu’au sein d’un peuple, et l’Union européenne n’en est pas un au sens où il l’entend. Au niveau européen, les obligations de justice distributive se réduisent donc aux obligations entre peuples que Rawls énonce dans The Law of Peoples : un devoir d’aide à certains États membres au cas où ils seraient trop peu développés pour pouvoir se doter d’institutions internes justes et le respect des termes équitables de formes de coopération mutuellement bénéfiques auquel chaque État membre est libre d’adhérer. Mais la notion de « peuple » est-elle suffisamment robuste pour fonder cette conception duale de la justice ? N’est-il pas plus plausible de conditionner la pertinence d’une conception égalitaire de la justice, comme le fait Thomas Nagel, non à l‘existence d’un peuple au sens de Rawls, mais à celle d’une communauté politique de citoyens à la fois auteurs et sujets de règles coercitives – une condition que l’Union européenne satisfait de plus en plus ? Et n’est-il pas plus plausible encore d’admettre que la justice sociale égalitaire aujourd’hui ne peut se penser qu’à l’échelle globale, l’Union européenne constituant alors un effort régional pour construire les institutions que la justice requiert à l’échelle globale ? Dans l’une ou l’autre de ces perspectives, la poursuite de l’intégration politique européenne se justifie. En outre, dès le moment où l’on admet l’irréversibilité du marché unique, n’est-ce pas même dans la perspective duale de Rawls qu’il faut souhaiter la poursuite de cette intégration ? En son absence, en effet, l’Union européenne s’enfoncera dans le piège décrit dès 1939 par Friedrich Hayek : une fédération cumulant les obstacles économiques à la poursuite de la justice au niveau national et les obstacles politiques à sa poursuite au niveau de l’Union. La sévère mise en garde de Rawls contre la transformation de l’Union européenne en un État fédéral ressemblant aux États-Unis ne doit donc pas nous empêcher d’œuvrer au service d’une utopie réaliste libéraleégalitaire très différente de la sienne. Au contraire.
Deteksi Tumor Otak Dengan CNN Resnet-152
Authors: Digdoyo Aji , Surawan Tri , Karno Adhitio Satyo Bayangkari , Irawati Dyah Ruri , Effendi Yasin 
Published: May 2022

Penyakit tumor di Indonesia menduduki tingkat kematian terbesar ke-5 setelah diabetes, stroke, ginjal dan darah tinggi. Kurangnya penanganan dini, jumlah paramedis dan peralatan yang minim adalah penyebab utama tingginya tingkat kematian. Artificial Intelligence (AI) memiliki potensi tinggi untuk berkontribusi membantu pasien dan para medis mendiagnosa tumor secara langsung, cepat dan murah. Salah satu metode AI dipergunakan dalam penelitian ini adalah CNN dengan arsitektur ResNet-152. Dengan melakukan training dan validasi sejumlah 2.870 image menghasilkan nilai akurasi masing-masing 99% dan 81%. Untuk lebih memastikan hasil yang diinginkan, maka model yang diperoleh dari trainning dipergunakan kembali untuk pengujian, dengan hasil nilai akurasi sebesar 96% dan akurasi untuk tiap kelas adalah glioma (97%), meningioma (95%), no_tumor (98%) dan pituaty (96%).
Disinformation regarding COVID-19 in light of the priorities of the European Commission and the legal regulations binding and currently drafted in Poland
Authors: Jaskuła Lidia Katarzyna 
Published: May 2022

Disinformation regarding the COVID-19 pandemic is a global phenomenon. It constitutes a threat to the values protected under the law, health in particular. The primary issue tackled in “Disinformation regarding COVID-19 in the light of priorities of the European Commission and the legal regulations binding and currently drafted in Poland” paper is an attempt at answering the following question: Is eliminating COVID-19 disinformation from public space possible in light of the priorities of the European Commission and the legal regulations already effective and currently being drafted in Poland? The analyses conducted under the paper lead to the conclusions that the provisions currently regulating freedom of expression theoretically constitute a basis for eliminating disinformation from public space but are, in practice, not very effective. This leads to the need for searching for other, more effective legal instruments in this field, both on the level of European Union law making and domestic legislation. Although we may speak of a consensus concerning assessment of the very phenomenon of disinformation the legislative and practical actions taken, both on the domestic level and the European Union level, enable us to indicate substantial and frequently disturbing differences regarding shifting the aspects emphasized by legislation. As compared to the proposed solutions drafted by the European Commission and the drafts of domestic acts, the vastly different approach to the idea of controlling disinformation is clearly visible. Therefore, it must be stated that such circumstances will lead to development of varied legal effects of the drafted regulations that will decide, among other issues, the practical effectiveness or lack thereof in the case of the drafted solutions. In the course of the analysis of the issue constituting the subject of this paper we should concurrently bear in mind that freedom of expression is one of the principles in a democratic state governed by the rule of law.
The Relationship Of Islamic Spiritual Mental Development Towards Marriage Age Resistance And The Rate Of Divorce Soldiers
Authors: Bullah Hasbullah Has 
Published: May 2022

The problem in this research are motivated by importance of the Mental Development which is interpreted as an activity to form, maintain, improve and strengthen the mentality of soldiers and civil servants of the Army and their families based on religion, Pancasila, Saptamarga, Soldier Oath, 8 mandatory TNI and Panca Prasetya Korpri and values the nation's struggle through spiritual mental development, mental ideology and mental struggle so as to have a strong mentality in every task implementation. This research is classified as field research, using quantitative methods. The population in this study were Indonesian Army Soldiers in the Infenteri Battalion 131/Brs, Payakumbuh as many as 84 people. Data collection techniques used are questionnaires and documentation. While the data analysis technique used is the Unvariate and Bivariate uni test. The results showed that (1) the results of statistical tests obtained P value (0.023), because P value (0.023) < (0.05), it means that there is a relationship between Islamic Spiritual Mental Development and Marriage Age Resilience in the Infantry Battalion 131/ Brs, Payakumbuh, Result OR = 1.125. Therefore, the implementation of Islamic Spiritual Mental Development in the 131st Infantry Battalion/Brs Payakumbuh is good so that the level of resilience at the age of marriage is also good. (2) The results of statistical tests did not get P value = 0.000, because P value = 0.000 < (0.05), then there is a relationship between Islamic Spiritual Mental Development and the divorce rate in the Infantry Battalion 131/Brs, Payakumbuh and the results OR = 0.800. Therefore, Islamic Spiritual Mental Development in the 131st Infantry Battalion/Brs Payakumbuh is good so that the divorce rate is low. (3) The statistical test results obtained P value (0.018), because P value (0.018) < (0.05), meaning there is The relationship between Islamic Spiritual Mental Development and Concurrent Levels (Marriage Age Resilience and Divorce Rate) in the Infantry Battalion 131/Brs, Payakumbuh and the results of OR = 0.875. Because of that, Islamic Spiritual Mental Development in the Infantry Battalion 131/ Brs, Payakumbuh is good so that the Joint Level (Marriage Age Resilience and Divorce Rate) is also good.
The relationship between white coat hypertension and the index of cardiac electrophysiological balance (ICEB)
Authors: KARAMANLIOĞLU Murat , ŞAHAN Ekrem 
Published: May 2022

Aim: The index of cardiac electrophysiological balance (ICEB) is a new marker that can show the potential for ventricular arrhythmia and indicate the balancebetween ventricular depolarization and repolarization. A tendency toward ventricular arrhythmia has been shown innon-dipper hypertension and prehypertensive patients in various studies. White coat hypertension (WCH) has been shown to be associated with target organ damage and the actual development of hypertension. In this study, we aimed to evaluate the effect of dipper and non-dipper patterns on the ICEB in patients diagnosed with WCH.
Material and Method: A total of 108 patients were included in this study. Patients were divided into two groups as dipper and non-dipper patterns according to ABPM. QT/QRS (ICEB) and cQT/QRS (ICEBc) were recorded with computerized interpretation of the electrocardiogram.
Results: While electrocardiographic parameters including heart rate, PR interval, QT interval, cQT interval, and ICEB were similar in both groups (p>.05), in the non-dipper group, QRS duration was lower (p=.017) and ICEBc was higher (p=.001).
Conclusion: ICEBc may predict asusceptibility to ventricular arrhythmias in WCH patients. Therefore, non-dipper WCH patients with a high ICEBc should be followed for arrhythmia outcomes in addition to hypertensive outcomes.
Mediastinal lymphnode positivity clinical scoring system for lung adenocarsinoma-mediastinal lymph node evaluation and staging
Authors: AĞABABAOĞLU İsmail , YİLDİZ Ozgur Omer , YAPAR Dilek , ERSÖZ Hasan , HAZER Seray , HELVACI Özant , GÜLHAN Selim Şakir Erkmen , KARAOGLANOGLU Nurettin 
Published: May 2022

Aim: The study-cohort aims to assess PET-CT's correlation with adenocarcinomas' subtypes and propose a scoring system for mediastinal lymph nodes staging.
Material and Method: The patient cohort is a multicenter, retrospective analysis of 268 patient that underwent surgery for NSCLC adenocarcinoma. Preoperative PET-CT results for mediastinal lymph node staging was pathologically confirmed on tissue specimens obtained at anatomical resection. Statistical evaluation of PET CT, radiological and pathological outcomes were performed on all subgroups.
Results: The low FDG affinity in the lepidic pattern was statistically significant in the study (p
The comparison of treatment with orlistat and orlistat plus metformin in relation to insulin resistance and weight loss
Authors: KALAN SARI Işılay , CEYLAN Serkan 
Published: May 2022

Introduction: Obesity is a growing health problem. Many drugs have been developed to treat obesity. Orlistat is a widely used drug to treat this disease. Metformin is an antidiabetic drug. Clinicians often prescribe it to treat insulin resistance and achieve weight loss. Our research aims to compare the effects of orlistat alone and its combination with metformin on weight loss and insulin resistance.
Material and Method: This retrospective study was conducted by scanning the data of patients who presented to Antalya Training and Research Hospital Endocrinology, and General Surgery Clinics between 2016 and 2021. 42 morbidly obese patients who met inclusion and exclusion criteria and were prescribed orlistat plus metformin (group 1, n: 28) or orlistat alone (group 2, n: 14) along with a low-calorie diet for three months and were taking it regularly were included. Subsequently, weight, body mass index, fasting blood glucose, fasting insulin, and HOMA-IR (homeostasis model assessment for insulin resistance) were recorded and analyzed at baseline and after three months of taking the medications.
Results: After 3 months of treatment, significant weight loss was achieved in both groups compared to baseline weight (p=0.001 group 1, p=0.003 group 2). HOMA-IR values decreased significantly in both groups (p=0.001 group 1, p=0.01 group 2). Both groups lost the same amount of weight after three months (p=0.06).
Conclusion: In morbidly obese patients without prediabetes or diabetes, the addition of metformin to orlistat therapy did not add benefits in terms of weight loss or insulin resistance.
Predictors and outcome of hyponatremia in patients with COVID 19: a single-center experience
Authors: TÜRKMEN Ercan , ALTINDAL Mahmut , TARAN Ferah , KURUOĞLU Tuba , DEVECİ Aydın , AKPUNAR Melih , AÇIKGÖZ Seyyid Bilal , KÖKSAL Nurhan 
Published: May 2022

Introduction/Aim: Hyponatremia (serum sodium 0.001) were the independent predictors of hyponatremia at the time of admission. The median length of hospital stay (LOS) was longer in patients with hyponatremia than patients with normonatremia (10 days vs. 8 days, p < 0.001). In multivariate analysis, hyponatremia was significantly associated with ICU admission or the need for mechanical ventilation (adjusted OR, 1.72; 95% confidence interval [95% CI], 1.03 to 2.85; p = 0.036). The severity of pneumonia, hemoglobin and lactate dehydrogenase levels, neutrophil-to-lymphocyte ratio (NLR), and body temperature were also associated with ICU admission or the need for mechanical ventilation. The oxygen saturation, male sex, serum albumin, NLR, and the ICU admission but not the hyponatremia on admission were significantly related to mortality.
Conclusion: Hyponatremia on admission, even when mild, predicts a worse outcome in COVID-19 patients, and it should be considered in risk stratification.
Fear of COVID-19: reflections on disease severity, sleep and anxiety in fibromyalgia patients
Authors: ÇİFTÇİ Betül , ÖKE Deniz 
Published: May 2022

Aim: This study aimed to assess the effects of COVID- 19 fear and anxiety on disease severity, pain, sleep quality and health-related quality of life in fibromyalgia patients.
Material and Method: Sixty-four patients with diagnosis fibromyalgia and sixty-five healthy volunteers over 18 years of age were enrolled in the study. Sociodemographic features were evaluated. Fibromyalgia Impact Questionnaire (FIQ), Short Form 36 (SF-36), Coronavirus Anxiety Scale (CAS), Obsession with COVID-19 Scale(OCS), and Pittsburgh Sleep Quality Index (PSQI) were administered to all participants.
Results: The mean values of CAS, FIQ, PSQI, and BDI were found to be higher in the fibromyalgia group than the control group (p
Investigation of the CHOKAI score used to predict ureteral stones in patients presenting to the emergency department with renal colic
Authors: EMEM Mehmet Kemal , HOKENEK Nihat Mujdat , KILIÇ Mazlum 
Published: May 2022

Aim: To investigate the adequacy of the CHOKAI score in the prediction of ureteral stones in patients presenting to the emergency department with renal colic.
Material and Method: The data of all patients aged over 18 years, who presented to the emergency department with the complaint of renal colic and were diagnosed with ureteral stones during the study period were retrospectively analyzed using the electronic-based hospital information system. The area under the receiver operating characteristic curve and the area under the curve were used to assess for each patient to determine the cut-off value of the CHOKAI score in the prediction of ureteral stones.
Results: The study was completed with 219 patients, of whom 146 were men, and the mean age was 39.4±16.1 years. When the cut-off value of the CHOKAI score was >6, its sensitivity was 84.1%, specificity was 96.7%, positive likelihood ratio was 25.2, negative likelihood ratio was 0.2, positive predictive value was 99.4%, and negative predictive value was 49.2%.
Conclusion: In this study, it was concluded that the CHOKAI score had high accuracy in terms of diagnostic power in detecting ureteral stones. However, further studies are needed to demonstrate the broader applicability of the score.
KEBIJAKAN PENGEMBANGAN KETAHANAN PANGAN LOKAL
Authors: Partini  , Sari Intan 
Published: May 2022

Ketahanan pangan merupakan kondisi terpenuhinya pangan dari aspek ketersediaan, keterjangkaun, kualitas dan keamanan serta keberlanjutan. Penulisan artikel ini dilakukan dengan melaukan studi literatur. Pangan lokal merupakan solusi terhadap permasalahan pangan karena (a) dari sisi produksi, bahan pangan lokal tumbuh tersebar dan cukup melimpah di seluruh wilayah Indonesia sehingga dapat menjamin ketersediaannya, (b) sistem pangan lokal memiliki keterjangkauan yang lebih mudah karena sistem distribusi yang pendek, (3) dari sisi kualitas terbukti bahwa bahan-bahan pangan lokal memiliki kandungan gizi tidak kalah dengan beras atau gandum, (d) pangan lokal tumbuh sesuai dengan agro ekologi setempat sehingga lebih menjamin keberlanjutan. Beberapa pangan lokal yang berpotensi untuk dikembangkan antara lain sagu, jagu dan singkong.
Food security is a condition of fulfilling food in terms of availability, affordability, quality and safety and sustainability. The method research was Literature Review study. Local food is solution for food security problem because (a) in terms of production, local food ingredients grow scattered and quite abundant throughout Indonesia so as to ensure their availability, (b) the local food system has easier affordability due to a better distribution system. short, (3) in terms of quality it is proven that local food ingredients have nutritional content not inferior to rice or wheat, (d) local food grows in accordance with local agro-ecology so as to ensure sustainability. Some local foods that have the potential to be developed include sago, jagu and cassava.