bluuebunny/crossref_metadata_2025_split huggingface dataset:
Maternal near miss events in India
Authors: Kulkarni Ragini , Kshirsagar Harshal , Begum Shahina , Patil Anushree , Chauhan Sanjay 
Published: June 2022

Background & objectives:
Maternal morbidity is an indicator of the quality of a country’s maternal health services. Maternal near miss (MNM) can provide valuable information in this context and hence these cases need to be reviewed which can indirectly play a major role in reducing maternal mortality ratio in India. The objectives of the present review were to find the prevalence/incidence, criteria used for identification, review the causes of MNM cases and identify the contributory factors responsible for the occurrence of these cases based on three-delay model.

Methods:
Articles were identified from the PubMed, Google Scholar, Scopus and Cochrane Library using search terms such as ‘Maternal Near Miss’,‘maternal morbidity’, ‘India’ among others. All health facility-based observational studies conducted in India published between 2010 to 2019 irrespective of data collection period, and criteria used for identification of MNM cases were included for review. Data were extracted from included studies and summarized in terms of prevalence/incidence, ratio and percentage.

Results:
Out of 25 studies, majority were prospective observational conducted at government health facilities. The incidence of MNM varied widely from 3.9 to 379.5 per 1000 live births and 7.6-60.4 per 1000 deliveries. MNM: Maternal Death varied from 1.7:1 to 21.8:1; studies used different criteria to define MNM cases.

Interpretation & conclusions:
Hypertensive disorders and anaemia were the leading direct and indirect causes of MNM, respectively. There was a lack of uniformity in using the criteria for MNM across studies conducted in India over the last decade. Future studies on MNM in India should follow the uniform criteria mentioned in the MNM-Review guidelines released by the Government of India in 2014 for obtaining systematic data and proper summary estimates.
Survey of autism spectrum disorder in Chandigarh, India
Authors: Arun Priti , Chavan Bir Singh 
Published: June 2022

Background & objectives:
Prevalence of autism spectrum disorder (ASD) has been reportedly on the rise in western literature. However, accurate data from India are not available. The present study was planned to assess the community-based prevalence of ASD in Chandigarh, India.

Methods:
This study was a two-stage survey of representative child population of Chandigarh using stratified random sampling technique, covering 8820 children between the ages 1.5 and 10 yr. Proportionate population from urban (82.3%), rural (4.3%) and slum area (13.4%) were included in the study and screened using Chandigarh autism screening instrument (CASI). Thirty two children scored above cut-off, of whom two had shifted to other places before they could be assessed and 30 were assessed in detail. Detailed assessment was done using Autism Diagnostic Interview–Revised and Childhood Autism Rating Scale-2; diagnosis was made according to the Diagnostic and Statistical Manual-5. Nineteen were diagnosed with ASD.

Results:
Of the 8451 children screened between the age group of one and a half to 10 yr, 19 (10 boys and 9 girls) were diagnosed as ASD, thus the prevalence of ASD was found to be 2.25 per 1000 (0.69-5.19, 95% confidence interval) children in Chandigarh. No child below the cut-off on the screening instrument was diagnosed as ASD.

Interpretation & conclusions:
The results suggest that the prevalence of ASD in Chandigarh was in tandem with other reports from across India and was lower than western countries.
Case Report: Laparoscopic Management of Acute Appendicitis Resulting from Ascaris lumbricoides
Authors: Castañeda Catalina , Valbuena Diego , Salamanca William , Acevedo David , Pedraza Mauricio 
Published: June 2022

ABSTRACT.
Appendicitis is one of the most common conditions that leads to an acute abdomen. Surgical management is the gold standard for therapy. The main cause of appendicitis is an obstruction in the appendicular lumen. Intestinal ascariasis infection is undoubtedly one of the least frequent. We present a female patient with acute appendicitis resulting from Ascaris lumbricoides as an incidental intraoperative diagnosis.
Routine Healthcare Facility– and Antenatal Care–Based Malaria Surveillance: Challenges and Opportunities
Authors: Gutman Julie R. , Thwing Julie , Mwesigwa Julia , McElroy Peter D. , Robertson Molly 
Published: June 2022

ABSTRACT.
Most monitoring and evaluation tools for measuring malaria burden, intervention coverage, and impact of interventions use periodic nationally representative cross-sectional household surveys. These provide advantages in terms of selecting a large, unbiased, population-based sample; however, they are infrequently conducted, are resource-intensive, and do not provide longitudinal data with sufficient granularity. Given the heterogeneity of malaria transmission within most endemic countries, systems with the capacity to provide more granular and frequent data would be more actionable by national malaria control programs and local implementing partners. There is increasing interest in using routine health facility data, usually from outpatient department visits, for monitoring malaria burden. Data from pregnant women attending antenatal care (ANC) could minimize bias related to fever care-seeking among outpatient department visits and provide more granular parasite prevalence data. Most pregnant women attend ANC at least once and are thus highly representative of the overall pregnant population. A growing body of evidence suggests that malaria parasitemia in pregnant women is correlated with parasitemia in children aged < 5 years in moderate to high transmission areas, allowing for monitoring parasitemia in real time. Additional data are needed to assess whether pregnant women are sufficiently representative of the overall population to yield valid malaria prevalence and intervention coverage estimates. Although use of routinely collected ANC data faces many of the same challenges experienced by other routinely collected health facility data, the opportunity to improve parasite prevalence monitoring and the associated health benefits to mothers and infants of early detection of parasitemia make these efforts valuable.
Đặc điểm lâm sàng, cận lâm sàng ở bệnh nhân có kết quả tế bào âm đạo – cổ tử cung LSIL khám tại Bệnh viện Phụ sản Trung ương
Authors: Trần Thị Ly , Trần Thị Thu Hạnh , Nguyễn Mạnh Thắng 
Published: June 2022

Mục tiêu: Mô tả đặc điểm lâm sàng, cận lâm sàng các bệnh nhân có kết quả tế bào âm đạo – cổ tử cung LSIL.
Đối tượng và phương pháp: Tiến cứu mô tả trên 110 bệnh nhân khám sàng lọc ung thư cổ tử cung bằng tế bào âm đạo – cổ tử cung đơn thuần, có kết quả là LSIL từ 01/10/2020 đến 31/03/2021 khám tại Bệnh viện Phụ sản Trung ương.
Kết quả và kết luận: Có 43,6% bệnh nhân có ra khí hư nhiều, 15,5% ra máu bất thường và có tới 22,7% bệnh nhân không có triệu chứng lâm sàng. Soi cổ tử cung có 60,8% có tổn thương nghi ngờ. Khi khám lâm sàng có 12,7% trường hợp có tổn thương nghi ngờ ung thư cổ tử cung. Bệnh nhân LSIL chủ yếu có các tổn thương lành tính, CIN I, CIN II (68,9%) và có kết quả HPV âm tính hoặc dương tính 1/12 type nguy cơ cao. Bệnh nhân LSIL ≥ 40 tuổi có nguy cơ mắc CIN III hoặc ung thư biểu mô vảy cao gấp 1,22 lần so với nhóm dưới 40 tuổi với p < 0,001. Những bệnh nhân này chủ yếu nhiễm HPV typ 16 và/hoặc type 18 (p < 0,05).
Thái độ xử trí thai làm tổ vết mổ cũ dựa trên hình ảnh siêu âm tại Khoa Phụ ngoại Bệnh viện Phụ sản Trung ương từ 01/2021 - 6/2021
Authors: Trương Quốc Việt , Trần Danh Cường , Nguyễn Thị Huyền Trang , Trần Thị Định , Nguyễn Thị Xuân Hảo 
Published: June 2022

Mục tiêu: Đánh giá thái độ xử trí thai làm tổ vết mổ cũ dựa trên hình ảnh siêu âm.
Đối tượng và phương pháp nghiên cứu: Nghiên cứu mô tả trên 67 trường hợp bệnh nhân được chẩn đoán thai làm tổ vết mổ cũ tại Khoa Phụ Ngoại.
Kết quả: Trong số 67 trường hợp thai làm tổ vết mổ cũ, số bệnh nhân đã mổ lấy thai 1 lần: 15/67 (22,4%) và ≥ 2 lần: 52/67 (77,6%). Xử trí ban đầu là: hút thai đơn thuần: 29,9%, hút thai kết hợp bóng chèn: 43,3% và 19,4% chỉ định phẫu thuật. Tỷ lệ thành công của nhóm hút đơn thuần là 100%, và của hút thai phối hợp đặt bóng chèn là 82,8%, có 5 trường hợp thất bại chuyển phẫu thuật. Tỷ lệ thành công của các trường hợp phẫu thuật đạt 100%, không có trường hợp nào phải cắt tử cung.
Kết luận: Xử trí sớm các trường hợp thai ở sẹo mổ cũ lấy thai khi chẩn đoán được. Kết hợp nhiều phương pháp trong điều trị dựa vào hình ảnh siêu âm để đạt hiệu quả cao nhất. Siêu âm đường bụng nhịn tiểu là phương pháp giúp chẩn đoán thai làm tổ vết mổ cũ hiệu quả.
Pengaruh Literasi Keuangan, Inklusi Keuangan dan Akses Permodalan Terhadap Keberlanjutan UMKM Pada Bidang Fashion Di Kota Denpasar
Authors: Nugraha Sugita I Kadek Diki , Seri Ekayani Ni Nengah 
Published: June 2022

Keberadaan UMKM memiliki peran penting pembangunan ekonomi suatu negara dalam mendorong pertumbuhan perekonomian Indonesia. Hal ini menimbulkan ketertarikan untuk menganalisis faktor-faktor dari keberlanjutan UMKM. Penelitian ini bertujuan menganalisis pengaruh literasi keuangan, inklusi keuangan dan akses permodalan terhadap keberlanjutan UMKM di Kota Denpasar khususnya pada bidang fashion. Populasi penelitian ini adalah para UMKM di bidang fashion yang terdaftar di Dinas Koperasi UMKM di Kota Denpasar. Sampel yang digunakan adalah sebesar 99 responden. Metode pengumpulan data adalah metode survey dengan kuesioner. Teknik analisis regresi linier berganda digunakan untuk menguji pengaruh variabel bebas terhadap variabel terikat. Hasil penelitian menemukan bahwa literasi keuangan, inklusi keuangan dan akses permodalan berpengaruh positif terhadap keberlanjutan UMKM di Kota Denpasar khususnya pada bidang fashion. Untuk meningkatkan literasi keuangan, UMKM di Kota Denpasar khususnya pada bidang fashion perlu meningkatkan pengetahuan akuntansi dasar, memahami manfaat pengelolaan keuangan, memahami pengelolaan keuangan yang efektif, mengetahui syarat agar mendapatkan pinjaman bank, mengetahui manfaat fasilitas bank, meningkatkan analisis kinerja secara berkala, membuat pembukuan kas per-hari, aktif melakukan bimbingan dan pembinaan, melakukan bugeting, menyusun anggaran belanja per-bulan, tetap berhati-hati dalam melakukan kredit ataupun pinjaman, berani mengambil resiko, dapat mengatur strategi resiko keuangan dan menetapkan planning kedepan. Untuk meningkatkan inklusi keuangan, UMKM perlu mengetahui Lembaga keuangan yang berlokasi strategis, mengetahui layanan yang diberikan bank, mampu menggunakan fasilitas Lembaga keuangan untuk mengelola keuangan, meningkatkan penggunaan internet dalam mengakses layanan keuangan, Lembaga keuanggan perlu membuat panduan tata cara dalam mengakses layanan, layanan jasa keuangan sangat membantu para UMKM, mengoptimalkan biaya pemeliharaan serta Lembaga keuangan menyediakan produk dan layanan untuk meningkatkan pendapatan. Aspek-aspek yang perlu diperhatikan untuk meningkatkan akses permodalan adalah memudahkan memperoleh informasi terkait pinjaman dari berbagai pihak, mampu mendapat tawaran dari Lembaga keuangan untuk meningkatkan usaha, mengantisipasi hambatan dalam mengakses modal eksternal, dan tidak mempersulit pinjaman kerdit usaha rakyat.
How CAAHP Cultivates Excellence in Health Professions Advising from the Heartland
Authors: Bennett Valerie A. , Kolberg Kathleen , Mecozzi Mariella , Southerland Joseph 
Published: June 2022

Abstract
Both CAAHP and NAAHP have deep roots in the Midwest. The Heartland is known as the breadbasket that feeds our nation. Big 10 schools and big ideas take root in our Central region as well as initiatives that feed and nourish our health professions advisor members. In CAAHP’s 50+-year history, several of those ideas, such as mentoring and providing research grants, have also become the seeds that have grown into national efforts to nourish our fellow advisors across the country. Here we have harvested a cornucopia of those initiatives of which we are most proud, and which reflect the values of CAAHP and the value we place on our members. We provide some history and discuss our current status and future directions based on our recent CAAHP strategic plan.
Peranan Ulama Kharismatik Memotivasi Prilaku Agamis Masyarakat Kota Palembang
Authors: Yuanita Yuanita Sari 
Published: June 2022

This thesis is entitled "The Role of Charismatic Ulama Motivating the Religious Behavior of Palembang City Community". The Role of Charismatic Ulama in Motivating the Religious Behavior of the Palembang City Community. ”The research method used was qualitative, with a descriptive approach. The research focus on the great Ulama of South Sumatra Province K.H. Muhammad Zen Syukri, research subjects consisted of 4 people, namely 1 Member of the DPRD of South Sumatra Province Alfarenzi Panggarbesi, who was also assisted by Hj. Wanny Rivai as a student and adopted child of the late K.H. Zen Syukri, then Selamet, the administrator of Nurul Hidayah Mosque, and Siti who is the treasurer and administrator of the Muqimus Sunnah Islamic Boarding School which was founded by KH Zen Syukri. Data collection techniques are obtained through interview data, observation data, data documentation and literature study. Data analysis techniques, namely data reduction, display data, and conclusion verification. Based on the results of this study, it shows that the role of charismatic clerics in motivating the religious behavior of the people of Palembang City or in this case raised about the late K. H Zen Syukri as an object of research has been achieved in view of the four charismatic research indicators marked with. 1). Having great communication skills, especially in influencing the thoughts, feelings and behavior of others, thereby arousing a sense of admiration from the community towards him and easy to socialize so that other people feel sympathetic towards him. 2.) Having a calm attitude in facing everything in the face of all obstacles that occur even though you take personal risks. 3). Having a high self-confidence in doing good things.
Hội chứng huyết tán ure máu cao ở trẻ em
Authors: Long Trần Đình , Hương Nguyễn Thu 
Published: June 2022

Hội chứng huyết tán ure máu cao được định nghĩa bởi sự xuất hiện đồng thời thiếu máu tan máu vi mạch, giảm tiểu cầu, suy giảm chức năng thận
HUS là một trong các nguyên nhân chính gây tổn thương thận cấp ở trẻ em. Mặc dù hầu hết các trường hợp HUS ở trẻ em đều biểu hiện đầy đủ tam chứng theo định nghĩa kinh điển của HUS, nhưng vẫn còn rất nhiều nguyên nhân gây ra HUS dẫn đến có các biểu hiện lâm sàng, phương pháp điều trị và tiên lượng khác nhau. Bài này chúng tôi sẽ trình bày tổng quan về các căn nguyên, chẩn đoán, điều trị ban đầu của HUS
Vai trò của tương hợp HLA trong ghép thận trẻ em
Authors: Thúy Hoàng Thị Diễm , Long Trần Đình 
Published: June 2022

Ghép thận là phương pháp điều trị tối ưu trong suy thận giai đoạn cuối cho cả người lớn và trẻ em. Đối với trẻ em, do kỳ vọng sống (expected longevity) sau ghép còn dài, nên việc quy định tiêu chuẩn cặp cho - nhận cần phải chặt chẽ hơn, nhằm đảm bảo tuổi thọ tối ưu cho thận ghép. Việc tuân thủ tương hợp 100% HLA nhóm II giúp kéo dài tuổi thọ mãnh ghép và giảm nguy cơ bệnh tăng sinh lympho sau ghép ở trẻ em. Ngoài ra các yếu tố nguy cơ khác liên quan đến sống còn thận ghép bao gồm: không tuân thủ điều trị, mức sống, giới nữ, bệnh cầu thận, tuổi người cho, cân nặng và tuổi người nhận.
Chủng ngừa trong ghép tạng đặc
Authors: Thúy Hoàng Thị Diễm 
Published: June 2022

Bệnh nhân ghép tạng luôn đối diện với các nguy cơ lây nhiễm và truyền nhiễm, trong đó có nhiều bệnh có thể được phòng ngừa an toàn và hiệu quả bằng vắc xin. Cơ địa bệnh nhân ghép tạng sẽ có các đáp ứng sinh miễn dịch với vắc xin không tối ưu, làm giảm hiệu qủa của vắc xin, bên cạnh đó, có các vắc xin không được sử dụng cho những bệnh nhân này. Bài tổng quan nhắc lại cơ chế sinh lý bệnh về đáp ứng miễn dịch với vắc xin ở bệnh nhân ghép tạng, đồng thời đưa ra các khuyến cáo mới nhất về chủng ngừa.
PEMBUATAN TEH CELUP HERBAL YANG MENGANDUNG DAUN MURBEI (Morus alba L Folium) UNTUK PEMELIHARAAN GULA DARAH DENGAN PENAMBAHAN RIMPANG KENCUR (Kaempferia Galanga L Rhizoma) SEBAGAI PENAMBAH AROMA
Authors: Fatimah Risma Nur , Andriani Susi , Ratnasari Dewi 
Published: June 2022

Latar Belakang: Penyakit Diabetes Melitus merupakan suatu penyakit kronis, yang dapat menimbulkan berbagai perubahan gangguan baik fisik maupun psikologis. Dampak penyakit DM secara fisik diantaranya seperti pasien akan mudah kelelahan, dampak psikologis yang ditimbulkan pasien akan mengalami gelisah, stres bahkan depresi.
Tujuan Penelitian: Penelitian ini bertujuan untuk membuat teh celup herbal yang mengandung daun murbei (Morus alba L Folium) untuk pemeliharaan gula darah dan rimpang kencur (Kaempferia galanga L Rhizoma) sebagai penambah aroma yang mudah dan praktis untuk dikonsumsi oleh masyarakat.
Metode: Metode penelitian yang digunakan ialah penelitian tindakan (Action Research). Menggunakan instrument penelitian berupa uji organoleptik dan uji derajat keasaman (pH). Sediaan dibuat dengan perbandingan komposisi daun murbei pada masing-masing sediaan sebanyak 3,045 gr, sedangkan variasi rimpang kencur sebanyak 1,76 gr pada formula 1, 1,52 gr pada formula 2, dan 3,045 gr pada formula 3.
Hasil: Hasil penelitian menunjukan hasil susut pengeringan serbuk daun murbei sebanyak 2,4 % dan rimpang kencur sebanyak 5,4 %. Formula terbaik adalah formula 2 dengan komposisi daun murbei sebanyak 3,045 gr dan rimpang kencur sebanyak 1,52 gr. Formula tersebut menunjukan aroma khas kencur tidak terlalu pekat dan rasa teh sedikit asam dan ketika diseduh tidak menghasilkan endapan.
Simpulan: Kesimpulan dari penelitian ini menunjukan bahwa Formula yang stabil juga ditunjukan oleh formula 2 dengan pH sediaan stabil pada hari ke 9 dan hari ke 21 ketika proses uji derajat keasaman (pH) dengan pH sebesar 6,5
A Study on the Effect of Macroeconomic Variables on Indian Mutual Funds
Authors: Mihir Dash  , Rita Samikannu  
Published: June 2022

Indian financial markets have witnessed very high levels of volatility in recent months, with a sharp decline in the BSE-SENSEX from a peak of around 21,000 points to a nadir below 11,000 points, with as much as a 700-point fall on one single day. Indian economic conditions have also seemed to stagnate, with an overall slow-down in economic growth, along with the pressures of increasing crude oil prices and increasing inflation. In fact, the overall global scenario has also been quite bleak, especially with the onset of recession in the US. Mutual fund investments, which are generally considered to be less risky than other financial instruments such as shares and debentures, have also suffered in the general atmosphere of volatility.

The present study investigates the effect of macroeconomic variables on mutual fund schemes, in terms of returns and volatility. The study uses the Granger causality test to analyze these effects. The results of these causality tests would identify the specific macroeconomic factors which affect the returns and volatility of particular mutual fund schemes, which, on the one hand, would enable fund managers to manage the risk profiles of their portfolios more effectively; and, on the other hand, would enable investors to understand the specific risk factors affecting their investments, so that they can take more informed investment decisions pertaining to mutual funds.

The data to be used in the study were the weekly returns and volatilities of different macroeconomic variables, such as market returns (calculated from the BSE-SENSEX), USD/INR and EURO/INR exchange rates, interest rates (Mumbai Inter-Bank Offer rates), inflation rates, and crude oil prices, over the period October ‘06 - June ‘08. The weekly returns and volatilities of a sample of major mutual fund schemes over the same period would be considered for the analysis.
PAPSMEAR IMAGE SEGMENTATION WITH CONTRASTIVE LEARNING BASED GENERATIVE ADVERASRİAL NETWORKS
Authors: ALTUN Sara , TALU Muhammed Fatih 
Published: June 2022

PapSmear görsellerinin otomatik olarak rahim ağzı kanser varlığının tespit edilmesi aktif bir
çalışma alanıdır. PapSmear görüntülerinde nesnelerin dağılımı sürekli yer değiştirmektedir. Bu
çalışmada, Çekişmeli Üretken Ağlar (ÇÜA) ve karşılaştırmalı öğrenme tekniklerinden parça tabanlı
yöntemler kullanılarak PapSmear görüntü bölütlemesi yapılmıştır. Kıyaslanan yöntemler CycleGAN,
CUT, FastCUT, DCLGAN ve SimDCL yöntemidir. Tüm yöntemler eşlenmemiş görüntüler üzerinde
çalışmaktadır. Bu yöntemler bir birlerini temel alarak geliştirilmişlerdir. DCLGAN ve SimDCL yöntemi
CUT ve CycleGAN yönteminin birleşimidir. Bu yöntemlerde maliyet fonksiyonları, ağ sayıları
değişkenlik göstermektedir. Bu çalışmada yöntemler ayrıntılı bir şekilde incelenmiştir. Yöntemlerin
birbirine benzerlik ve farklılıkları gözlemlenmiştir. Bölütleme yapıldıktan sonra hem görsel hem de
ölçüm metrikleri kullanılarak bulunan sonuçlara yer verilmiştir. Ölçüm metriği olarak FID, KID, PSNR
ve LPIPS yöntemleri kullanılmıştır. Yapılan deneysel çalışmalar, DCLGAN ve SimDCL yönteminin
PapSmear bölümletlemede kıyaslanan yöntemler arasında daha iyi oldukları olduğu gözlemlenmiştir.
CycleGAN yönteminin ise diğer yöntemlerden daha başarısız olduğu gözlemlenmiştir.
Iraqi senior medical students’ attitude toward the effect of COVID-19 on clinical sessions and e-learning
Authors: Al Shawi Ameel F. , Hamad Mohammed H. , Hameed Aseel K. , Kareem Hadeer Q. , Khalil Russel N. , Hamad Hajer W. 
Published: June 2022

Background: During the pandemic of COVID 19, several colleges throughout the world either delayed or canceled their activities to minimize the risk of virus transmission. However, these measures had high medical and social impacts on both undergraduate and postgraduate students. The aim of the current study was to measure the attitude of medical students at 5th and 6th study levels for e-learning and clinical training during the pandemic. Methods: A cross-sectional study was done from May to June 2021. A multistage sampling technique was used to collect the sample. A self-administered questionnaire was developed through reviewing the literature and was modified to be useful for the local culture. Results: The total number of participants was 417 from different Iraqi universities, females consisted 56.6% of them, and the mean age was 23.94 ± 1.06. The results revealed that 55% of the participants generally agreed with the opinion that combined learning was a collaborative system, which provided a facility of learning through communication skills. About half of the Iraqi medical students stated that “their medical education and training had been significantly disrupted during the pandemic”; 39% of them approved the statement “in comparison to period prior COVID-19 pandemic, my medical performance in final clinical exam was decline”. Conclusion: The pandemic status had a considerable negative effect on medical training, motivation, and intellectual abilities of Iraqi medical students at final study levels. However, online teaching provided a new opportunity of learning for medical students.