bluuebunny/crossref_metadata_2025_split huggingface dataset:
Prevalence, causes, and factors associated with obstructed labour among mothers who gave birth at public health facilities in Mojo Town, Central Ethiopia, 2019: A cross-sectional study
Authors: Girma Tarekegn , Gezimu Wubishet , Demeke Ababo 
Published: September 2022

BackgroundObstructed labour is a type of abnormal labour that is one of the causes of obstetric complications such as maternal and fetal mortality and morbidity. Early detection is the key to reducing complications.ObjectiveThis study aimed to assess the prevalence, causes, and factors associated with obstructed labor among mothers who gave birth at public health facilities in Mojo Town, Central Ethiopia.MethodsAn institution-based cross-sectional study was conducted from November 10 to December 30, 2019 among 318 women who gave birth at public health facilities in Mojo Town. Face-to-face interviews and participants’ medical record reviews were utilized to gather data. The collected data were checked, coded, and entered into EpiData version 3.1 and then exported to SPSS version 23 for analysis. A binary logistic regression model was used to test the association between the dependent and independent variables. In bivariate analysis, all variables with a p-value less than 0.25 were included in multivariate analysis. Finally, a significant statistical association was declared at a p-value less than 0.05.ResultsThe prevalence of obstructed labour in this study was 51 (16%), and cephalo-pelvic disproportion (66%), mal-presentation (22%), and mal-position (12%) were reported as causes of obstructed labour. Primgravidity (AOR = 7.74: 95%CI = 2.13, 18.2) and a one-time antenatal care follow-up (AOR = 9.50: 95%CI: 1.91, 33.07) were found to be associated factors with obstructed labour, while labour duration of 12–24 hours (AOR = 0.20: 95%CI = 0.17, 0.87) was identified as a factor decreasing the risk of obstructed labour.ConclusionThe prevalence of obstructed labour in this study was higher than in the majority of previous similar local and global studies. In this study setting, cephalo-pelvic disproportion, mal-presentation, and mal-position were found to be the causes of obstetric labour. Additionally, factors such as gravidity, frequency of antenatal follow-up, and duration of labour were significantly associated with obstructed labour. Therefore, the concerned entities need to work to curb young age pregnancy as well as to strengthen counselling mothers on the importance of subsequent antenatal-follows in the prevention of obstructed labour.
Populism, the Pandemic and the Media-Journalism in the Age of Covid, Trump, Brexit and Johnson, John Mair, Tor Clark, Neil Fowler, Raymond Snoddy and Richard Tait (eds) (2021)
Authors: Browning Gary 
Published: September 2022

Review of: Populism, the Pandemic and the Media-Journalism in the Age of Covid, Trump, Brexit and Johnson, John Mair, Tor Clark, Neil Fowler, Raymond Snoddy and Richard Tait (eds) (2021)
Bury St. Edmunds: Abramis Academic Publishing, 330 pp.,
ISBN 978-1-84549-785-9, p/bk, £19.95
First trimester low maternal serum pregnancy associated plasma protein-A (PAPP-A) as a screening method for adverse pregnancy outcomes
Authors: Kantomaa Tiina , Vääräsmäki Marja , Gissler Mika , Sairanen Mikko , Nevalainen Jaana 
Published: September 2022

Abstract

Objectives
To evaluate different cut-off values of first trimester pregnancy associated plasma protein-A (PAPP-A) in screening for adverse pregnancy outcomes in a retrospective cohort study.

Methods
During the study period of 1.1.2014–31.12.2018, total of 23,482 women with singleton pregnancies participated in first trimester combined screening for chromosomal abnormalities. Maternal serum PAPP-A multiple of medians (MoM) levels were measured, and study population was divided into three study groups of PAPP-A ≤0.40 (n=1,030), ≤0.35 (n=630) and ≤0.30 (n=363) MoM.

Results
Small for gestational age (SGA), preterm birth (PTB) and composite outcome (SGA, hypertensive disorder of pregnancy (HDP) and/or PTB) were more frequent in all three PAPP-A MoM study groups and pre-eclampsia in ≤0.40 and ≤0.35 study groups than in their control groups (p < 0.05). The odds ratio (OR) for SGA varied from 3.7 to 5.4 and sensitivity and specificity from 6.9 to 13.8% and from 95.9 to 98.6%, between study groups. Using PAPP-A ≤0.30 MoM as a screening cut-off instead of PAPP-A ≤0.40 MoM, resulted in approximately 50% reduction in screening detection of SGA and PTB.

Conclusions
PAPP-A ≤0.40 MoM should be considered as a primary screening cut-off for adverse pregnancy outcomes as approximately 23% will develop either SGA, HDP or PTB. It seems to be the best cut-off to screen for SGA.
The Effect of Cellulose Nanofibers on Paper Documents Containing Starch and Gelatine Sizing
Authors: Dadmohamadi Kobra , Mohammadi Achachluei Mohsen , Jafari Mohammad Taghi 
Published: September 2022

AbstractThis study aimed to evaluate cellulose nanofibers and their effects on starch and gelatine as the most common surface sizing substances used in historical paper documents. In this study, cellulose nanofibers with a concentration of 1% by weight were prepared as a suspension with ethanol and used for the treatment of unsized samples and samples containing starch and gelatine sizing. The results showed that the application of cellulose nanofiber treatment increased the pH of unsized samples and samples containing starch sizing. After aging, there was a slight decrease in the pH of the samples. Cellulose nanofiber treatment increased the tensile strength of the samples. After accelerated aging, the tensile strength of samples containing starch and gelatine sizing and treated samples increased compared to untreated samples. Samples containing gelatine sizing and samples containing treated starch sizing showed the least amount of colour changes (∆E), respectively, and had the best colorimetry results. The results of the contact angle test of the samples before and after aging showed that cellulose nanofiber treatment did not increase the resistance of the paper to wetting and did not prevent the paper surface from getting wet.
Vorgehensmodell zur Einführung von Pick-by-Scan
Authors: Dreyer Marlen , Feldmann Carsten , Kaupe Victor 
Published: September 2022

Abstract
Flexibilität, Reaktionsgeschwindigkeit und Lieferzuverlässigkeit bestimmen die Wettbewerbsfähigkeit von Unternehmen. Die Kommissionierung von Waren ist eine wichtige Stellschraube, um diese Wettbewerbsvorteile zu realisieren. Im Rahmen der Industrie 4.0 sind die Optimierungsmöglichkeiten der Kommissionierprozesse zwar durch Digitalisierung und Automatisierung gestiegen. Allerdings sind diese insbesondere im Mittelstand durch die Investitionskosten begrenzt. Ein kosteneffizienter Optimierungsansatz ist die Einführung einer Scanner-geführten Kommissionierung, auch bekannt als Pick-by-Scan. Jedoch fehlt in der Literatur ein strukturierter Leitfaden für die Implementierung, um die Nutzenpotenziale von Pick-by-Scan vollständig zu heben. Dieser Beitrag schließt diese Lücke und stellt ein praxiserprobtes Vorgehensmodell für die Einführung von Pick-by-Scan vor.
Digitale Erfassung von Energieverbräuchen in der Produktion
Authors: Frerichs Tobias , Saulich Katja , Strutzberg Lydia 
Published: September 2022

Abstract
Energieeffizienzmaßnahmen in Unternehmen des verarbeitenden Gewerbes sind ein wichtiger Beitrag zur Senkung von Treibhausgasemissionen und dem Verbrauch fossiler Energierohstoffe. Die digitale Erfassung und Analyse von Energieverbräuchen im Herstellungsprozess bietet hierbei die Möglichkeit, Energieeffizienzpotenziale und -maßnahmen effizient und automatisiert zu identifizieren und umzusetzen. Die resultierende Senkung des Energiebedarfs stärkt zudem die wirtschaftliche Situation des Unternehmens und die Wettbewerbsposition.
Industrielles Transferlernen
Authors: Netzer Markus , Alexander Philipp , Gönnheimer Philipp , Fleischer Jürgen 
Published: September 2022

Abstract
Die wesentliche Herausforderung bei der Übertragung von Verfahren des maschinellen Lernens beruht auf dem hohen Aufwand für das erneute Antrainieren auf Zielmaschinen. Maschinengebundene Hyperparameter sowie gelabelte Daten lassen sich durch den Einsatz von Transferlernen übertragen und effizient an ausgewählten Zielmaschinen adaptieren. Nachfolgend werden Herausforderungen des Transferlernens vorgestellt sowie ein Vorgehensmodell eingeführt mithilfe dessen die Übertragung erleichtert wird.
Effiziente Druckluftnutzung in der automatisierten Produktion
Authors: Gockner Cornelia , Rosemann Bernd , Hansen Barbara , Kukla Cornelia 
Published: September 2022

Abstract
Die Nutzung von Druckluft in der Automatisierungstechnik bietet eine Reihe von Vorteilen. Druckluft ist vielseitig nutzbar, sauber und speicherbar. Außerdem bewegt sie große Lasten und hilft präzise zu positionieren. Dennoch gibt es einen Nachteil: Die Drucklufterzeugung ist energie- und kostenintensiv. Lediglich circa sieben Prozent der eingesetzten elektrischen Energie sind als mechanische Expansionsarbeit nutzbar. Anwender sind daher gut beraten, Druckluftverluste zu vermeiden und sich auf die Suche nach autonomen und prozesssicheren Überwachungslösungen zu machen. Der Beitrag beschreibt die Entwicklung und Anwendung einer kennzahlbasierten Analyse zur Erfassung, Auswertung und Überwachung von Druckluftverlusten am Beispiel automatisierter Produktionsprozesse im Karosseriebau.
Ökonomische Bewertung nachhaltiger Wärmeerzeuger
Authors: Mages Alexander , Sauer Alexander 
Published: September 2022

Abstract
Wichtige Bausteine zur Erreichung der Emissionsziele im Wärmesektor sind die Einführung eines CO2-Preises und die Substitution fossiler Wärmeerzeuger mit nachhaltigen Technologien. Daher wird in diesem Beitrag die Integration nachhaltiger Wärmeerzeuger (Wärmepumpe, Solarthermieanlage und Biomasseheizkessel) in die bestehende Wärmeversorgungstruktur eines Industrieunternehmens untersucht. Mit steigendem CO2-Preis können Amortisationszeiten von unter fünf Jahren für Wärmepumpen und Biomasseheizkessel im Vergleich zur bisherigen Betriebsweise mit einem erdgasbetriebenen Dampfkessel realisiert werden.
Research Directions for Merging Geospatial Technologies with Smart Manufacturing Systems
Authors: Scholz Johannes , Bernstein William Z. , Radkowski Rafael 
Published: September 2022

Abstract
As industrial Internet of Things concepts and technologies continue to be retrofitted onto existing manufacturing infrastructure, geospatial considerations, such as asset localization, registration, and tracking, become more critical to ensure better flexibility, capability understanding, and agility. In response, there have been efforts to merge state-of-the-art Geographical Information Systems and Smart Manufacturing Systems in production environments. However, these solutions are often product- or platform-centric and proprietary, such as (i) computer vision technologies embedded on an automatic guided vehicle and (ii) point cloud translation after 3-D scan within a Product Lifecycle Management solution. Standards exist for various steps and functions within these computer-supported pipelines, but little work exists that tests their scalability and robustness. This paper aims to critically evaluate the current state of the integration of Smart Manufacturing Systems and Geographic Information Science and Technology and identifies the potential overlap between the two fields and lists opportunities for further collaboration. The methodological approach of this paper is two-fold: we utilize (a) a survey with experts in both fields and (b) an algorithmic literature meta-analysis. The results reveal that both fields have concepts that could mutually support each other and that smart manufacturing could benefit from Geographic Information technologies—especially from a standardized representation of indoor environments. The results show a great number of potential overlaps and thus present a preliminary roadmap to foster the integration.
The influence of nodule size on clinical efficacy of ethanol ablation and microwave ablation on cystic or predominantly cystic thyroid nodules
Authors: Zhang Ya , Chu Xiaoqiu , Liu Yuling , Zhao Yueting , Han Xue , Hu Xin , Xiang Pingping , Chen Guofang , Liu Chao , Xu Shuhang 
Published: September 2022

Objective
To compare the efficacy and safety of ethanol ablation (EA) and microwave ablation (MWA) in the treatment of cystic or predominantly cystic thyroid nodules.

Methods
Patients with cystic or predominantly cystic thyroid nodules intervened with EA or MWA were retrospectively enrolled and divided into EA group (n  = 30) and MWA group (n  = 31). The volume and volume reduction rate (VRR) of thyroid nodules before ablation, and at 3 and 12 months after ablation were compared between the two groups. The effective rate (ER) and incidence of adverse events in both groups were recorded.

Results
The median VRR and ER at 3 months after ablation were significantly higher in EA group than in MWA group (81.30% vs 75.76%, P = 0.011; 76.67% (23/30) vs 51.61% (16/31), P = 0.040), while no significant difference was detected at 12 months (93.39% vs 88.78%, P = 0.141; 86.67% (26/30) vs 87.10% (27/31), P = 0.960). The median VRR of small nodules in EA group was significantly higher than that in MWA group (81.30% vs 71.18%, P = 0.006; 93.40% vs 83.14%, P = 0.032). There was no significant difference of median VRR in medium nodules at final follow-up between MWA and EA group (93.01% vs 89.68%, P = 0.482). Serious adverse events were not reported in both groups.

Conclusion
EA and MWA are both effective and safe in the treatment of cystic or predominantly cystic thyroid nodules. EA is more cost-effective and effective than MWA for small nodules, but it requires more cycles of treatment and may pose a higher risk of postoperative pain compared with MWA.
Hypercalcemia in the setting of HTLV-1 infection and a normal PTHrP level
Authors: Haridas Keerthana 
Published: September 2022

Summary
Human T-cell lymphotropic virus-1 (HTLV-1) causes adult T-cell leukemia and lymphoma (ATLL) and is a rare but important cause of hypercalcemia. A 53-year-old male with HTLV-1-associated myelopathy presented with acute on chronic bilateral lower extremity weakness and numbness. Initial blood work revealed hypercalcemia with corrected calcium of 16.2 mg/dL (8.5–11.5) with normal levels of phosphorus and alkaline phosphatase. Workup for hypercalcemia revealed parathyroid hormone (PTH) of 14 pg/mL (10–65), 25 hydroxy vitamin D at 19.6 ng/mL (30–100), 1,25 dihydroxy vitamin D at 6.7 pg/mL (19.9–79.3), thyroid-stimulating hormone of 1.265 μIU/mL (0.5–5), undetectable PTH-related protein (PTHrP) and lactate dehydrogenase of 433 U/L (100–220). The urine calcium creatinine ratio was 0.388. Reverse transcriptase PCR was positive for HTLV-1 and negative for HTLV-2. Peripheral blood flow cytometry and lymph node biopsy confirmed ATLL. He received treatment with fluids, calcitonin and denosumab after which serum calcium levels fell (nadir: 7.7 mg/dL) and then normalized. Humoral hypercalcemia in this setting is mediated by receptor activator of nuclear factor-kappa B ligand (RANKL), PTHrP and other cytokines. PTHrP levels depend on levels of the TAX gene product, cell type and lymphocyte-specific factors. Thus, a low level, like in our patient, does not rule out HTLV-1 infection/ATLL as the cause of hypercalcemia. Hypercalcemia is known to be responsive to monoclonal antibodies against RANKL given the compound’s role in mediating hypercalcemia in these cases.

Learning points

Human T-cell lymphotropic virus-1 infection and adult T-cell leukemia and lymphoma are associated with high rates of hypercalcemia and hypercalcemic crises.

Hypercalcemia in these cases is mediated by osteoclastic bone resorption carried out by several agents including receptor activator of nuclear factor-kappa B ligand, parathyroid hormone-related protein (PTHrP), macrophage inflammatory protein 1 alpha, interleukins, etc. A normal PTHRrP does not rule out humoral hypercalcemia of malignancy in this setting, as indicated by this case.

Hypercalcemia in such settings is highly responsive to monoclonal antibodies against RANKL given the role the ligand plays in resorptive hypercalcemia.
PERLINDUNGAN ANAK ATAS TRAUMA PSIKOLOGIS PASCA PERCERAIAN ORANG TUA
Authors: Khotijah Yayuk Siti , Daud Fathonah K. 
Published: September 2022

Abstract: This research elaborates the effects of parental divorce on the children psychological condition and are looking for a satisfactory solution to protect them from its negative-psychological effects through Islamic laws approach. This research applied descriptive qualitative method, with data collection conducted through observation, interviews, and documentation. The object of this research is the students of Al-Muhibbin Modern Islamic Boarding School Jatirogo Tuban with divorced parent. The results of this study indicate that the impact of parental divorce on the psychological conditions is shown on the student’s behavior, i.e. feeling inferior to others, become stubborn, rude, and naughty. Therefore, to minimize these negative impacts, one of the efforts that can be used is through Islamic counseling using the forgiveness method which is considered quite effective so the children with this condition can live and participate properly in their community as mandated by the child protection law in Indonesia. Abstrak: Penelitian ini mengkaji tentang perlindungan bagi anak dari pengaruh perceraian orang tua terhadap kondisi psikologis anak. Tujuan dari penelitian ini adalah untuk mengetahui solusi atas permasalahan akibat perceraian orang tua. Penelitian ini bersifat deskriptif kualitatif, dengan metode pengumpulan data yang dilakukan dengan cara observasi, wawancara, dan dokumentasi. Obyek dalam penelitian ini adalah santri PPM Al-Muhibbin Jatirogo Tuban yang menjadi korban perceraian orang tua mereka. Hasil penelitian menunjukkan bahwa dampak perceraian orang tua terhadap kondisi psikologis yang terjadi pada diri santri di antaranya muncul sifat rendah diri terhadap teman-temannya yang lain, menjadi lebih bandel dan nakal, serta bersikap kasar dengan teman-temannya. Untuk mengatasi perubahan terhadap kondisi psikologis anak yang berdampak negatif tersebut, salah satu upaya yang dapat digunakan adalah melalui bimbingan penyuluhan Islam dengan menggunakan metode pemaafan yang dinilai cukup efektif dan sesuai dengan tuntunan ajaran Islam. Hal tersebut dilakukan agar ia dapat hidup, tumbuh, berkembang dan berpartisipasi secara wajar, selaras dengan yang diamanatkan oleh ketentuan tentang perlindungan anak di Indonesia.
ARGUMEN FATWA MUI TENTANG PLURALISME AGAMA DALAM PERSPEKTIF HAK ASASI MANUSIA
Authors: Mun'im Zainul 
Published: September 2022

Abstract: The authority to issue fatwa in Indonesia sometimes puts Indonesia Ulema Council (MUI) under the microscope, where society criticize some of MUI’s fatwas. One of fatwas that raise pros and cons in society is religious freedom matters. Their fatwas on deviant groups and sects are widely regarded as a threat to religious freedom in Indonesia. Based on this explanation, this study aims to discuss the suitability of the legal reasoning in the MUI fatwa regarding the digression of religious pluralism with human rights instruments. This MUI fatwa will be studied using the theory of religious freedom instruments of David Llewellyn, which human rights enforcement agencies have widely used. This study has two conclusions. Firstly, most of the MUI legal reasoning are based on the classic books of Quranic and hadith interpretation. Secondly, the MUI fatwa on religious pluralism is intended to maintain public order, which is one of permissible restriction on degradable-human rights.Abstrak: Sepak terjang Majelis Ulama Indonesia (MUI) menjadi suatu yang menarik untuk dikaji, khususnya terkait argumen dan peran fatwa-fatwanya dalam dinamika hukum di Indonesia. Hal ini penting untuk dikaji karena MUI telah menjadi lembaga yang dianggap paling otoritatif dalam menerbitkan sebuah fatwa di Indonesia. Meski demikian, fatwa-fatwa MUI sering menimbulkan pro dan kontra di tengah masyarakat, khususnya dalam persoalan kebebasan beragama. Fatwa-fatwanya tentang kelompok dan aliran menyimpang banyak dianggap sebagai ancaman atas kebebasan beragama di Indonesia. Atas dasar penjelasan di atas, penelitian ini bertujuan untuk membahas kesesuaian argumen dalam fatwa MUI tentang kesesatan paham pluralisme agama dengan instrumen-instrumen hak asasi manusia. Fatwa MUI tersebut akan dikaji menggunakan teori instrumen kebebasan beragama David Llewellyn yang telah banyak digunakan oleh lembaga-lembaga penegak HAM. Penelitian ini menggunakan pendekatan kualitatif dengan dua hasil penelitian. hasil penelitian pertama menunjukkan mayoritas argumen MUI dalam fatwanya tentang pluralisme agama bersifat normatif, yakni berupa ayat-ayat al-Quran dan hadis dengan berlandaskan kepada penafsiran-penafsiran para ulama klasik. Kedua menunjukkan bahwa fatwa MUI tentang pluralisme agama ini juga menggunakan argumen hak asasi manusia. Argumen tersebut dapat dipahami dari alasan menjaga ketertiban umum yang menjadi dasar keputusan fatwa MUI tentang kesesatan pluralisme agama.
Awareness of order of blood draw among nurses in tertiary care hospital
Authors: Mahato Ramesh K. , Shanthaveeranna Girish K. , Devanath Anitha 
Published: September 2022

Background: Phlebotomy or drawing of blood sample is one of the initial steps in processing of samples for various investigations of the patients in clinical laboratory. The sample for various investigation has to follow certain protocol or order of blood draw into different vacutainers by phlebotomist or the clinical person drawing the blood to avoid errors in test results. Hence awareness of order of blood draw among them is very essential.Methods: It is a cross sectional and observational study. Based on CLSI H3-A6 (clinical and laboratory standards institute) guidelines, a questionnaire consisting of 13 multiple choice questions was prepared after validation and distributed amongst the nurses, who were on duty during the study. The answers to the questionnaire were analysed using SPSS version 23. Descriptive statistics was done for all the data collected.Results: Total 120 nurses participated in this study in a tertiary care hospital. Nurses who were able to identify Color of the vacutainer with respective to additives (90%), correct order of draw (52%), volume of blood sample collected in vacutainer (62.9%), sample collected directly into vacutainer with vacuum suction (61.7%) was incomplete. Nurses also had wrong practices, where sample was transferred from one vacutainer to other (3.3%), collected the blood sample from the arm which had IV line (28%).Conclusions: In this study, it was found that awareness on the level of order of blood draw among nurses was found unsatisfactory. Frequent training and monitoring of work practices should be developed for nurses to reduce the errors in sample collection.