Journal articles: 'Midwifery not elsewhere classified'

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Huschke, Susann. "Decision-making in the birth space." British Journal of Midwifery 29, no. 5 (May 2, 2021): 294–97. http://dx.doi.org/10.12968/bjom.2021.29.5.294.

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Susann Huschke discusses how communicating with birthing people in the current technocratic maternity systems in Ireland and elsewhere can inhibit the birthing person's meaningful involvement in decision-making

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Brown, Tiffany A., Pamela K. Keel, and Ruth H. Striegel. "Feeding and Eating Conditions Not Elsewhere Classified (NEC) inDSM-5." Psychiatric Annals 42, no. 11 (November 1, 2012): 421–25. http://dx.doi.org/10.3928/00485713-20121105-08.

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&NA;. "MCN CLASSIFIED ADS." MCN, The American Journal of Maternal/Child Nursing 20, no. 5 (September 1995): 289. http://dx.doi.org/10.1097/00005721-199509000-00019.

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Louis, David N., Pieter Wesseling, Werner Paulus, Caterina Giannini, Tracy T. Batchelor, J. Gregory Cairncross, David Capper, et al. "cIMPACT-NOW update 1: Not Otherwise Specified (NOS) and Not Elsewhere Classified (NEC)." Acta Neuropathologica 135, no. 3 (January 25, 2018): 481–84. http://dx.doi.org/10.1007/s00401-018-1808-0.

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Dakskobler, Igor, Andrej Martinčič, and Daniel Rojšek. "Phytosociological Analysis Of Communities With Adiantum Capillusveneris In The Foothills Of The Julian Alps (Western Slovenia)." Hacquetia 13, no. 2 (December 1, 2014): 235–58. http://dx.doi.org/10.2478/hacq-2014-0016.

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Abstract We conducted a phytosociological study of the communities hosting the rare and endangered fern Adiantum capillus-veneris in the foothills of the Julian Alps, in Karst and in Istria. Based on a comparison with similar communities elsewhere in the southern Alps (northern Italy) we classified most of the recorded stands into the syntaxa Eucladio-Adiantetum eucladietosum and -cratoneuretosum commutati. Releves from the southern Julian Alps, located in comparatively slightly colder and moister local climate and the dolomite bedrock are classified into the new subassociation -hymenostylietosum recurvirostri subass. nova. Stands with the abundant occurrence of the liverwort Conocephalum conicum, are classified in to the new subassociation -conocephaletosum conici subass. nova. Stands in conglomerate rock shelters along the Soča at Solkan are classified into the new association Phyteumato columnae-Adiantetum ass. nova, a community of transitional character between the classes Adiantetea capilli-veneris and Asplenietea trichomanis.

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2015 Program Committee, BRASS. "From Committees of RUSA: BRASS Program: Not Elsewhere Classified: Researching New and Niche Industries." Reference & User Services Quarterly 55, no. 2 (December 16, 2015): 156. http://dx.doi.org/10.5860/rusq.55n2.156.

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The Business Research and Services Section (BRASS) 2015 program was directed to business research professionals who may be stymied by researcher requests related to newer or niche industries. In a stimulating ninety-minute session, two top research professionals informed, confronted and engaged their American Library Association (ALA) audience with their well-paced array of smart search strategies and sources designed to meet industry challenges. The presentation was effective in identifying research workaround strategies and tying real industry problems with practical, on-the-job solutions.The material provided here and the bibliography of sources may serve as additional resources for emerging industry queries of library users. The BRASS program presentation is available via this ALA conference website (http://alaac15.ala.org/node/28603).

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Burford, C., R. Laxton, Z. Sidhu, M. Aizpurua, A. King, I. Bodi, K. Ashkan, and S. Al-Sarraj. "ATRX immunohistochemistry can help refine ‘not elsewhere classified’ categorisation for grade II/III gliomas." British Journal of Neurosurgery 33, no. 5 (April 24, 2019): 536–40. http://dx.doi.org/10.1080/02688697.2019.1600657.

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Garanča, Biruta. "THE STRUCTURE OF MACHINERY BUILDING IN LATGALE AND PERSPECTIVES OF ITS DEVELOPMENT." Latgale National Economy Research 1, no. 1 (June 30, 2009): 53. http://dx.doi.org/10.17770/lner2009vol1.1.1761.

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The financial facility of development of machinery building in Latgale is expected in manufacturing of electrical and optical equipment and in production of metal and metal ware. At present the proportion of production of leading machinery and equipment non-classified elsewhere, as well as of production of transport means has a tendency to reduce and also they have lesser probability to manage the financial crisis.

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Goldberg, David. "Should our major classifications of mental disorders be revised?" British Journal of Psychiatry 196, no. 4 (April 2010): 255–56. http://dx.doi.org/10.1192/bjp.bp.109.072405.

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SummaryOur major classification systems (DSM and ICD) face three main problems: the high rates of ‘comorbidity’ that are produced by our present diagnostic rules, the increasing use of ‘not elsewhere classified’ (NEC) by practising clinicians, and the fact that each new edition is longer and more complex than the one preceding it. A major simplification of the chapter structure used by each classification might pave the way to address these problems.

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Gangadhar, K., and D. Santhosh. "Primary Skull Osteosarcoma: MDCT Evaluation and Histopathological Correlation in Two Cases." Neuroradiology Journal 25, no. 2 (April 2012): 188–92. http://dx.doi.org/10.1177/197140091202500206.

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Osteosarcomas are typically long bone tumors and rarely affect the skull, with most articles reporting single cases. As elsewhere in the body, these lesions may be classified as primary or secondary, chiefly post-Paget and post-radiation therapy. We describe two cases of primary osteosarcoma of skull one presenting with cerebellar symptoms and another with giant skull swelling. Complete evaluation with 64 slice CT and histopathological correlation was carried out.

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MONNIOT, FRANÇOISE, and SUSANNA LÓPEZ-LEGENTIL. "Deep-sea ascidians from Papua New Guinea." Zootaxa 4276, no. 4 (June 14, 2017): 529. http://dx.doi.org/10.11646/zootaxa.4276.4.5.

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Four deep-sea ascidian species collected during the KAVIENG 2014 expedition in Papua New Guinea are described, including additional characteristics not reported previously. Fimbrora calsubia is classified within the family Ascidiidae, Dicopia fimbriata and Octacnemus bythius within Octacnemidae, and Culeolus recumbens within Pyuridae. Anatomical observations confirmed previous descriptions for these four species collected elsewhere. Here, we describe additional morphological features for these species and provide the first barcode DNA sequences (based on a fragment of the mitochondrial gene Cytochrome Oxidase I) for D. fimbriata and C. recumbens.

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Feeley, Claire. "Freebirthing: a case for using interpretative hermeneutic phenomenology in midwifery research for knowledge generation, dissemination and impact." Journal of Research in Nursing 24, no. 1-2 (March 2019): 9–19. http://dx.doi.org/10.1177/1744987118809450.

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Aim This study explored women's reasons for and their experiences of decision making that related to the phenomenon of freebirthing within the United Kingdom. Freebirthing is the active choice to birth without a health professional present, even where there is access to maternity care. Methods In total, 10 women were recruited to participate in an interpretative hermeneutic phenomenological study. Data were collected via written narratives and follow-up interviews. Findings The findings revealed direct implications for midwifery practice, namely that the complex and nuanced reasons to freebirth were often related to a previous birth trauma or negative interactions with maternity professionals. Additional findings revealed that women faced distressing opposition and conflict from midwives in relation to their decision to freebirth, despite its current legality in the United Kingdom. These findings have been published elsewhere. However, the purpose of this paper is twofold: first, using my research into freebirthing as a case study, I will demonstrate the use and benefits of interpretative hermeneutic phenomenology to midwifery and nursing research in order to generate knowledge for the benefit of service users, healthcare professionals, researchers and policy makers; second, I will discuss the activities I carried out to enhance dissemination and impact for the benefit of service users and clinicians.

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Leach, Stephen. "History, Ethics and Philosophy: Bernard Williams’ Appraisal of R. G. Collingwood." Journal of the Philosophy of History 5, no. 1 (2011): 36–53. http://dx.doi.org/10.1163/187226311x555446.

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AbstractThe author examines Williams’ appraisal of Collingwood both in his eponymous essay on Collingwood, in the posthumously published Sense of the Past (2006), and elsewhere in his work. The similarities and differences between their philosophies are explored: in particular, with regard to the relationship between philosophy and history and the relationship between the study of history and our present-day moral attitudes. It is argued that, despite Williams usually being classified as an analytic philosopher and Collingwood being classified as an idealist, there is substantial common ground between them. Williams was aware of this and made clear his sympathy for Collingwood; but, nonetheless, the relationship between Williams and Collingwood has not previously been explored in any detail. After establishing the common ground between these philosophers, and the areas of disagreement, the author suggests that both may have something to gain from the other.

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Wisudayanti, Kadek Heni Oktarina. "An ESP Learning Materials for Students of Midwifery." EDUVELOP 4, no. 1 (October 12, 2020): 17–22. http://dx.doi.org/10.31605/eduvelop.v4i1.795.

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As an international language, English plays an important role as a means of communication. English as a tool and as an opportunity to support the future development. Therefore, English as a crucial subject in almost all education levels. One of term that concern with this condition is English for Spesific Purposes (ESP). This research aimed at developing an ESP learning material for students of Midwifery. This study used Research and Development combine the design by R & D design by Dick and Carey model (2005) and Borg and Gall (2003). The result showed that the learning English could be classified as English for Specific Purpose (ESP). English for Specific Purpose (ESP) is in line with the curricular objectives, which is modelled in terms of standard competency, basic competency and learning indicators. Following the competencies and learning indicators. Therefore, the detailed learning materials would be described in terms of (1) language function, (2) language features, and (3) text structures. Moreover, the result of questionnaire showed the students’ positive responses toward the learning materials. The learning materials were also proven effectively improve students’ speaking abilities after the implementation of the learning materials. The developed learning materials is good for English learning for students of Midwifery because it accomodates the needs of the students in their students teaching and learning process of ESP lesson. Keywords: English for Specific Purposes (ESP); ESP Material: Material Development

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H. Molnár, Anikó, Ibolya Lipienné Krémer, and János Rigó. "Liptay Imréné - egy 20. századi magyar szülésznő története." Kaleidoscope history 11, no. 22 (2021): 123–37. http://dx.doi.org/10.17107/kh.2021.22.123-137.

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Nowadays, in Hungary, midwives are classified as skilled health workers, and according to their qualifications and professionalism, they are important health care providers. Midwifery, as an ancient profession based on traditions and rituals, was gradually transformed into an in-patient nursing of the 20th-century health care facilities. This study was written on the basis of a diploma work “The Life and Working of Hungarian Midwives in the 20th Century” defended at the Faculty of Health Sciences of Semmelweis University in 2020, inspired by a memorial plaque in honour of the former midwife of Gyömrő. This review presents the professional career and life of the town midwife Liptay, born Ilona Hebrancz (1903-1990). It is based on her records and oral history of her descendants and acquaintances while focusing especially on changes of the traditional midwifery in Hungary.

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WALTON, JOHN K., and DAVID TIDSWELL. "‘Classified at random by veritable illiterates’: the taking of the Spanish census of 1920 in Guipúzcoa province." Continuity and Change 20, no. 2 (August 2005): 287–313. http://dx.doi.org/10.1017/s0268416005005503.

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This article offers an approach through administrative and cultural history to the problems associated with gathering and processing data for the Spanish national census of 1920, and by implication for earlier Spanish censuses. It focuses on the Basque province of Guipúzcoa, making use of correspondence between the central statistical office in Madrid, the provincial jefe de estadística and the localities, and of reports on three problematic towns within the province. The issues that emerge regarding ‘undercounting’, the definition of administrative boundaries and the classification of demographic characteristics are set in the wider context of census-taking practices and problems elsewhere in Spain and in other cultures.

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Pridmore, Saxby, Helen Hornsby, David Hay, and Ivor Jones. "Survival Analysis and Readmission in Mood Disorder." British Journal of Psychiatry 165, no. 6 (December 1994): 824–27. http://dx.doi.org/10.1192/bjp.165.6.824.

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BackgroundThis is an exploratory study of readmission in mood disorder.MethodThe study is naturalistic and employs survival analysis. We identified 821 individuals with ICD–9 diagnoses, drawn from the Tasmanian Mental Health Register.ResultsNo demographic variables influence the time to readmission. Two groups emerge: those with affective psychoses, and those with neurotic depression, brief depressive reaction and depressive disorders not elsewhere classified. The former group demonstrated shorter times to readmission than the latter. There was no support for a unipolar–bipolar distinction.ConclusionsAffective psychoses have a less favourable outcome than expected. There was support for an endogenous-neurotic distinction.

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Sarmiento, Iván, Germán Zuluaga, Sergio Paredes-Solís, Anne Marie Chomat, David Loutfi, Anne Cockcroft, and Neil Andersson. "Bridging Western and Indigenous knowledge through intercultural dialogue: lessons from participatory research in Mexico." BMJ Global Health 5, no. 9 (September 2020): e002488. http://dx.doi.org/10.1136/bmjgh-2020-002488.

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Indigenous communities in Latin America and elsewhere have complex bodies of knowledge, but Western health services generally approach them as vulnerable people in need of external solutions. Intercultural dialogue recognises the validity and value of Indigenous standpoints, and participatory research promotes reciprocal respect for stakeholder input in knowledge creation.As part of their decades-long community-based work in Mexico’s Guerrero State, researchers at the Centro de Investigación de Enfermedades Tropicales responded to the request from Indigenous communities to help them address poor maternal health. We present the experience from this participatory research in which both parties contributed to finding solutions for a shared concern. The aim was to open an intercultural dialogue by respecting Indigenous skills and customs, recognising the needs of health service stakeholders for scientific evidence.Three steps summarise the opening of intercultural dialogue. Trust building and partnership based on mutual respect and principles of cultural safety. This focused on understanding traditional midwifery and the cultural conflicts in healthcare for Indigenous women. A pilot randomised controlled trial was an opportunity to listen and to adjust the lexicon identifying and testing culturally coherent responses for maternal health led by traditional midwives. Codesign, evaluation and discussion happened during a full cluster randomised trial to identify benefits of supporting traditional midwifery on maternal outcomes. A narrative mid-term evaluation and cognitive mapping of traditional knowledge offered additional evidence to discuss with other stakeholders the benefits of intercultural dialogue. These steps are not mechanistic or invariable. Other contexts might require additional steps. In Guerrero, intercultural dialogue included recovering traditional midwifery and producing high-level epidemiological evidence of the value of traditional midwives, allowing service providers to draw on the strengths of different cultures.

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Koretzky, Martin B., and Alexis S. V. Rosenoer. "MMPI Assessment of Posttraumatic Stress Disorder among Alcoholic Vietnam Veterans." Psychological Reports 60, no. 2 (April 1987): 359–65. http://dx.doi.org/10.2466/pr0.1987.60.2.359.

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One hundred Vietnam-era male veterans in a Veterans Administration. 28-day inpatient alcohol treatment program were classified into combat and noncombat groups according to whether they served in Vietnam or elsewhere during the Vietnam conflict. The MMPI scores of the two groups were compared according to a diagnostic decision-rule developed by Keane, Malloy, and Fairbank in 1984 for posttraumatic stress disorder. Chi-squared analysis showed that the combat group passed the decision-rule in significantly higher numbers than the noncombat group. The results provide evidence that the F-2-8 decision-rule to determine this diagnosis applies to alcoholic as well as nonalcoholic populations.

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Fountoulakis, Konstantinos N. "The Contemporary Face of Bipolar Illness: Complex Diagnostic and Therapeutic Challenges." CNS Spectrums 13, no. 9 (September 2008): 763–79. http://dx.doi.org/10.1017/s1092852900013894.

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AbstractManic depression, or bipolar disorder, is a multifaceted illness with an inevitably complex treatment. The current article summarizes the current status of our knowledge and practice concerning its diagnosis and treatment. While the prototypic clinical picture concerns the “classic” bipolar disorder, today mixed episodes with incomplete recovery and significant psychosocial impairment are more frequent. The clinical picture of these mixed episodes is variable, eludes contemporary classification systems, and possibly includes a constellation of mental syndromes currently classified elsewhere. Treatment includes the careful combination of lithium, antiepileptics, atypical antipsychotics, and antidepressants, but not all of the agents in these broad categories are effective for the treatment of bipolar disorder.

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Kopacz, Marek S., Cathleen P. Kane, Brady Stephens, and Wilfred R. Pigeon. "Use ofICD-9-CMDiagnosis Code V62.89 (Other Psychological or Physical Stress, Not Elsewhere Classified) Following a Suicide Attempt." Psychiatric Services 67, no. 7 (July 2016): 807–10. http://dx.doi.org/10.1176/appi.ps.201500302.

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Makino, Yasuhide, Takeshi Kawauchi, Yoshiki Arakawa, Tomoko Shofuda, Ema Yoshioka, Masahiro Tanji, Yohei Mineharu, Yonehiro Kanemura, and Susumu Miyamoto. "LGG-38. GENETIC ANALYSIS OF NEUROEPITHELIAL TUMORS IN THE PEDIATRIC AND ADOLESCENT AND YOUNG ADULT AGE IN A SINGLE INSTITUTE." Neuro-Oncology 22, Supplement_3 (December 1, 2020): iii373—iii374. http://dx.doi.org/10.1093/neuonc/noaa222.419.

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Abstract Molecular diagnosis in brain tumors has been widely spread after the publication of WHO 2016 classification. But it become a major problem that there are some tumors not to be classified on its criteria, especially in pediatric neuroepithelial tumors. To clarify the characteristics of gliomas in pediatric and adolescent and young adult age (AYA), we picked up 131 neuroepithelial tumors under 30-year-old at Kyoto University and analyze their molecular profiles. Hot spot mutations in IDH1/2, H3F3A, HIST1H3B, TERT promoter, and BRAF were analyzed by Sanger sequencing, and 1p/19q codeletion was examined by FISH or MLPA. With the pathohistological diagnosis and genetic information, all tumors were classified based on WHO 2016 classification. The terms “not otherwise specified” (NOS) and “not elsewhere classified” (NEC) were used based on cIMPACT-NOW. There were 25 glioblastomas and 34 pilocytic astrocytomas, which accounted for a larger percentage than in adult tumors. IDH-wild type gliomas accounted for 55% in diffuse astrocytomas and 69% in anaplastic astrocytomas. The percentages of gliomas with NEC were 50% of oligodendrogliomas and 20% in anaplastic oligodendrogliomas, respectively. Most pilocytic astrocytomas were under 20-year-old (27 patients) and located in infratentorial area (21 patients). Based on WHO 2016 classification, not a few neuroepithelial tumors in pediatric and AYA ages could be classified clearly. These tumors had more different genetic abnormalities than those in adult. Therefore, it may be important to evaluate these tumors with comprehensive genetic analysis.

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Haldane, John. "Incarnational Anthropology." Royal Institute of Philosophy Supplement 29 (March 1991): 191–211. http://dx.doi.org/10.1017/s1358246100007542.

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The renaissance of philosophy of mind within the analytical tradition owes a great deal to the intellectual midwifery of Ryle and Wittgenstein. It is ironic, therefore, that the current state of the subject should be one in which scientific and Cartesian models of mentality are so widely entertained. Clearly few if any of those who find depth, and truth, in the Wittgensteinian approach are likely to be sympathetic to much of what is most favoured in contemporary analytic philosophical psychology. Finding themselves in a minority, they might well look elsewhere for support, hoping to establish the idea that opposition to scientific and Cartesian ways of thinking is by no means philosophically eccentric. Perhaps this partly explains the increasing British and North American interest in ‘continental’ thought, particularly as it bears (as most of it does) on the nature of human beings. Husserl, Heidegger, Merleau-Ponty and Sartre are obvious enough subjects for such attention.

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Lingzhi, Zhang. "Analysis on Trade Competitiveness and Trade Complementarity between Uzbekistan and the Member States of Eurasian Economic Union." International Journal of Innovation and Economic Development 7, no. 2 (2021): 7–19. http://dx.doi.org/10.18775/ijied.1849-7551-7020.2015.72.2001.

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Based on the 2010-2019 United Nations commodity trade data, this paper has calculated the regional revealed comparative advantage index, export similarity index, trade complementarity index and intra-industry trade index of trade between Uzbekistan and the member states of the Eurasian Economic Union. This paper analyses the competitiveness and complementarity of trade between Uzbekistan and the member states of the Eurasian Economic Union. Uzbekistan and the Eurasian Economic Union member countries have a high degree of similarity in the export of commodities. There is a certain degree of competitiveness in commodities exported to the same market. However, there are differences in the structure of commodity trade among member states. Uzbekistan’s trade complementarity with the member states of the Eurasian Economic Union is distributed in food and live animals (SITC0), mineral fuels, lubricants and related materials (SITC3), manufactured goods classified chiefly by material (SITC6), commodities and transactions not classified elsewhere in the SITC (SITC9). Uzbekistan has strong trade complementarity with Armenia, Belarus and Kyrgyzstan, but weak trade complementarity with Russia and Kazakhstan.

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Sweeney, Vincent P., Adele D. Sadovnick, and Vilma Brandejs. "Prevalence of Multiple Sclerosis in British Columbia." Canadian Journal of Neurological Sciences / Journal Canadien des Sciences Neurologiques 13, no. 1 (February 1986): 47–51. http://dx.doi.org/10.1017/s0317167100035782.

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ABSTRACT:A province wide prevalence study on multiple sclerosis (MS) was conducted in British Columbia (B.C.). The prevalence date was July 1, 1982. The major portion of this study was a review of all the files of neurologists practicing in B.C. as this was judged to be the most accurate source for identifying MS patients. 239,412 neurologists' files were hand searched by one researcher using modified Schumacher criteria for classification. Other sources used during the study for identifying MS patients were the MS Clinic, general practitioners, ophthalmologists, urologists, specialized facilities such as long term care facilities and rehabilitation centres, and patient self-referrals.A total of 4,620 non-duplicated cases were identified and classified. 4,112 of these (89%) were classified according to information contained in neurologists' records.The prevalence estimate for definite/probable MS in B.C. was 93.3/100,000 population. This increased to 130.5/100,000 population if possible MS and optic neuritis were also included. These rates are among the highest reported in Canada or elsewhere. The cooperation of B.C. neurologists made this study unique in its scope and accuracy of diagnosis.

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Cimino, J. J. "Desiderata for Controlled Medical Vocabularies in the Twenty-First Century." Methods of Information in Medicine 37, no. 04/05 (October 1998): 394–403. http://dx.doi.org/10.1055/s-0038-1634558.

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AbstractBuilders of medical informatics applications need controlled medical vocabularies to support their applications and it is to their advantage to use available standards. In order to do so, however, these standards need to address the requirements of their intended users. Overthe past decade, medical informatics researchers have begun to articulate some of these requirements. This paper brings together some of the common themes which have been described, including: vocabulary content, concept orientation, concept permanence, nonsemantic concept identifiers, polyhierarchy, formal definitions, rejection of “not elsewhere classified” terms, multiple granularities, mUltiple consistent views, context representation, graceful evolution, and recognized redundancy. Standards developers are beginning to recognize and address these desiderata and adapt their offerings to meet them.

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McCourt, Christine, Juliet Rayment, Susanna Rance, and Jane Sandall. "Place of Birth and Concepts of Wellbeing." Anthropology in Action 23, no. 3 (December 1, 2016): 17–29. http://dx.doi.org/10.3167/aia.2016.230303.

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AbstractThis article is based on analysis of a series of ethnographic case studies of midwifery units in England. Midwifery units1 are spaces that were developed to provide more home-like and less medically oriented care for birth that would support physiological processes of labour, women’s comfort and a positive experience of birth for women and their families. They are run by midwives, either on a hospital site alongside an obstetric unit (Alongside Midwifery Unit – AMU) or a freestanding unit away from an obstetric unit (Freestanding Midwifery Unit – FMU). Midwifery units have been designed and intended specifically as locations of wellbeing and although the meaning of the term is used very loosely in public discourse, this claim is supported by a large epidemiological study, which found that they provide safe care for babies while reducing use of medical interventions and with better health outcomes for the women. Our research indicated that midwifery units function as a protected space, one which uses domestic features as metaphors of home in order to promote a sense of wellbeing and to re-normalise concepts of birth, which had become inhabited by medical models and a preoccupation with risk. However, we argue that this protected space has a function for midwives as well as for birthing women. Midwifery units are intended to support midwives’ wellbeing following decades of professional struggles to maintain autonomy, midwife-led care2 and a professional identity founded on supporting normal, healthy birth. This development, which is focused on place of birth rather than other aspects of maternity care such as continuity, shows potential for restoring wellbeing on individual, professional and community levels, through improving rates of normal physiological birth and improving experiences of providing and receiving care. Nevertheless, this very focus also poses challenges for health service providers attempting to provide a ‘social model of care’ within an institutional context.1The term midwifery unit was adopted by the Birthplace research programme in place of the more popular term ‘birth centre’ to avoid ambiguity. In a midwifery unit care is not only provided by mid-wives but is also managed by midwives and does not normally include use of obstetric instruments or interventions. If a woman planning birth in a mid-wifery unit develops obstetric complications, or decides she wishes to have a medical intervention such as epidural pain relief, she is transferred for care to an obstetric unit. Some units called birth centres are not managed by midwives in this way.2Midwife-led care refers to care where the midwife, rather than an obstetrician or other professional is the lead professional, who takes responsibility for a woman’s maternity care through from pregnancy to postnatal. Following the Changing Childbirth report in 1993, this was re-established as the usual model for women classified as at low risk of pregnancy and birth complications.

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MacGibbon, Kimber W., Sarah Kim, Patrick M. Mullin, and Marlena S. Fejzo. "HyperEmesis Level Prediction (HELP Score) Identifies Patients with Indicators of Severe Disease: a Validation Study." Geburtshilfe und Frauenheilkunde 81, no. 01 (January 2021): 90–98. http://dx.doi.org/10.1055/a-1309-1997.

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Abstract Objective Hyperemesis gravidarum (HG) severity can be underestimated resulting in undertreatment and adverse outcomes. This study was conducted to validate a tool (HELP Score) designed to score HG severity. Materials and Methods A survey link which included PUQE and HELP Score (HELP) tool questions was posted on websites related to HG. HELP scores were compared to PUQE scores for indicators of severe disease. Results HELP classified 92% of women reporting “nothing goes or stays down” as severe, compared to 58% using PUQE. Women self-categorizing symptoms as severe were more likely categorized as severe using HELP. Women hospitalized for HG were more likely classified as severe using HELP. HELP performs better than PUQE in identifying patients with severe symptoms requiring intervention. Conclusion This study provides a novel tool that should be implemented to determine the need for intervention for NVP that may be overlooked using PUQE or empirical assessment.

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Rathbone, Amy Leigh, Julie Prescott, and Duncan Cross. "Pregnancy in a pandemic: generalised anxiety disorder and health anxiety prevalence." British Journal of Midwifery 29, no. 8 (August 2, 2021): 440–46. http://dx.doi.org/10.12968/bjom.2021.29.8.440.

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Anxieties can be typical to pregnancy. At the beginning of the COVID-19 outbreak, pregnant women were classified as at risk and advised to shield. This may have caused increased generalised anxiety disorder and health anxiety across the demographic. This study aimed to explore current, actual and perceived levels of generalised anxiety disorder and health anxiety in pregnant women during the COVID-19 outbreak. A sample of 674 participants completed an online questionnaire consisting of demographic and pregnancy related questions, the GAD-7 and HAI. The COVID-19 outbreak has increased self-reported levels of general anxiety and health anxiety in pregnant women. Of the sample, 633 (94%) agreed that the outbreak had increased their general anxiety; 607 (90.1%) also reported increased health anxiety. Due to the negative effects that anxieties may cause during pregnancy, it is recommended that reintroducing normality to pre- and postnatal healthcare, where safe to do so, will be beneficial.

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Isangula, Kahabi, Grace Edwards, Tumbwene Mwansisya, Columba Mbekenga, Eunice Pallangyo, Ahmed Sarki, and Eunice Ndirangu-Mugo. "Open and Distance Learning Programs for Nursing and Midwifery Education in East Africa: Protocol for a Scoping Review." JMIR Research Protocols 10, no. 1 (January 11, 2021): e17765. http://dx.doi.org/10.2196/17765.

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Background In the face of growing modernity and the coronavirus disease 2019 (COVID-19) pandemic, open and distance learning (ODL) is considered to play an important role in increasing access to education worldwide. There is a robust evidence base demonstrating its cost effectiveness in comparison with conventional class-based teaching; however, the transition to this new paradigm of learning for nursing and midwifery courses has been difficult in low-income countries. While there are notable efforts to increase internet and education access to health care professionals, not much is known about ODL for nurses and midwives in East African countries. Objective The objective of this scoping review is to understand whether ODL programs for nursing and midwifery education exist, the drivers of their adoption, their implementation, the topics/courses covered, their acceptability, and their impacts in East African countries. Methods The scoping review methodology employs the framework developed by Arksey and O’Malley. Using an exploratory approach, a two-stage screening process consisting of a title and abstract scan and a full-text review will be used to determine the eligibility of articles. To be included, articles must report on an existing ODL initiative for nurses and midwives in Uganda, Tanzania, and Kenya. All articles will be independently assessed for eligibility by pairs of reviewers, and all eligible articles will be abstracted and charted in duplicate using a standardized form. Results Details of ODL for nursing and midwifery education initiatives and study outcomes will be summarized in a table. The extracted data will undergo exploratory descriptive analysis, and the results will be classified into learner and clinical outcomes. Conclusions Evidence on ODL for nursing and midwifery education will inform the ongoing development and restructuring of health care professional education in East Africa amidst the COVID-19 pandemic. International Registered Report Identifier (IRRID) PRR1-10.2196/17765

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Utami, Surti Nur, and Rina Wahyuni. "HOW DOES GROUP DISCUSSION MINIMIZE ON TASK BEHAVIOR." UAD TEFL International Conference 1 (November 20, 2017): 485. http://dx.doi.org/10.12928/utic.v1.204.2017.

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This research investigated the students learning behavior during the Reading class. The aimed of this study was improving students’ on-task behavior using group discussion. Furthermore, this study reveals the students’ attitudes who mostly were not directing their eyes gaze at the teacher and the instructional activity. For instance, the students did not pay attention toward appropriate instructional material and they were looking elsewhere. Thus, that behave was classified as off-task. While On-task behavior was defined as activity that complied with instructions given by the teacher for that lesson. Based on the previous matter, the use of group discussion during the classroom activities is definitely a fascinating phenomenon that can improve their on-task behavior during the learning activities in the class, especially reading.

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Andon, N'guessan Simon, Kouadio Augustin Alla, and Kouacou Jean-Marie Atta. "Participation in the Management of a Peri-Urban Protected Forest in Northern Côte d'Ivoire: Case of the Mount Korhogo Classified Forest." European Journal of Social Sciences 1, no. 3 (November 29, 2018): 21. http://dx.doi.org/10.26417/ejss.v1i3.p21-33.

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The evolution of tropical forest deforestation in Côte d'Ivoire is very alarming. From 16 million hectares in 1900, the area increased to 9 million hectares in 1965 to less than 2.5 million hectares in 2016. Even forests protected by the State of Côte d'Ivoire are not spared while peri-urban protected forests are the most exposed. The finding reveals many shortcomings in the state monopoly of protected area management. Yet, elsewhere in Africa, many experiences of participatory management have shown significant advances in protection and their introduction in Côte d'Ivoire from 1990. To understand the effectiveness of this new consultation framework adopted as a management tool, national policies and locally adopted strategies on the Mount Korhogo classified forest in northern Côte d'Ivoire have been analyzed. Results show a failure of participation at the national level since 1996 and a lack of participation at the local level. Despite the establishment of a local committee for forest defense and fight against bush fires, the lack of consultation undermines the proper functioning of this organization, thus leading to the exacerbation of deforestation. Mount Korhogo Classified Forest.Keywords: participatory management, consultation framework, protected forest, urbanization, deforestation

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Clemmensen, L. B., and H. F. Jepsen. "Lithostratigraphy and geological setting of Upper Proterozoic shoreline-shelf deposits, Hagen Fjord Group, eastern North Greenland." Rapport Grønlands Geologiske Undersøgelse 157 (January 1, 1992): 1–27. http://dx.doi.org/10.34194/rapggu.v157.8195.

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During the Late Proterozoic a more than 1000 m thick succession of sediments was deposited on the shelf fringing the north-eastern corner of the Greenland craton. These sediments were classified together with an underlying turbidite sequence in the Hagen Fjord Group (Haller, 1961), which is here redefined to contain only Upper Proterozoic, mainly shallow marine shelf deposits outcropping between Independence Fjord and Kronprins Christian Land in eastern North Greenland. Both siliciclastic and carbonate sedimentation occurred during the Late Proterozoic, and the changing tectonic environment along the northern and eastern shelf-margin of Greenland at that time is well recorded within the sediment sequence. Correlation of the Hagen Fjord Group with similar shelf deposits elsewhere along the eastern and northern margin of the Canadian-Greenlandian Shield is discussed.

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Matthews, Peter C. "Pathological Habit Disorder?" Canadian Journal of Psychiatry 33, no. 9 (December 1988): 826–29. http://dx.doi.org/10.1177/070674378803300908.

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This paper outlines a diagnostic entity called ‘Pathological Habit Disorder’ which is suggested for inclusion in the DSM as an Axis II option. Specific areas of concern, either mental (Axis I) or physical (Axis III), would delineate the syndrome. Pathological Habit Disorder (PHD) points to treatment options where the syndrome is wholly or partly habit-driven. Whether the syndrome is habit-driven or not will remain a clinical judgement even though many conditions, previously thought immutable except by medication, are proving accessible to behavioural engineering. In the ICD system, PHD seems to fit in “Special Symptoms or Syndromes not elsewhere Classified”. It is demonstrably useful to have a diagnosis such as PHD and to incorporate it into the body of medical classification, recognizing current practices for dealing with unwelcome or damaging habits.

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Kulkarni, Sudhir A., and Shridhar R. Gadre. "On the Topography of Electron Momentum Densities of Linear Molecules." Zeitschrift für Naturforschung A 48, no. 1-2 (February 1, 1993): 145–50. http://dx.doi.org/10.1515/zna-1993-1-233.

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Abstract A topographical study of the electron momentum density (EMD) of some linear molecules is presented with special emphasis on the bond-directionality principle. A new approach to the bond-directionality (BD) principle has been proposed. This is based on the analysis of curvatures of critical points at p = 0 and elsewhere on the bonding axis. The linear molecules are classified into three broad categories: those which fully obey or disobey the BD principle as well as those which satisfy it only partly. The Laplacian of the EMD at p = 0 has been associated with the quality of the wavefunction via the electron density in the tail region. Also, the similarity in the critical structure of both the EMD and the spherically averaged EMD at the origin is brought out.

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el-Yazigi, A., K. Chaleby, and C. R. Martin. "A simplified and rapid test for acetylator phenotyping by use of the peak height ratio of two urinary caffeine metabolites." Clinical Chemistry 35, no. 5 (May 1, 1989): 848–51. http://dx.doi.org/10.1093/clinchem/35.5.848.

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Abstract We describe a simplified liquid-chromatographic test in which acetylator phenotype is determined by measuring the peak height ratio of two urinary caffeine metabolites, 5-acetylamino-6-formylamino-3-methyluracil and 1-methylxanthine. We applied this test to determine the acetylator phenotypes of 52 subjects who regularly drink coffee, tea, or caffeinated beverages. Also, we determined the acetylator phenotypes of these subjects according to a well-established sulfasalazine test, which yielded identical results. We established the reproducibility of the described test by determining the acetylator phenotypes of 10 additional subjects on two different days separated by a period of two to five weeks. Of the 52 subjects examined by both tests, 40 (76.9%) were classified as slow acetylators, which agrees well with the percentage reported elsewhere for 297 similar subjects from the Saudi population.

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Masaki, Motofumi, and Akira Koizumi. "Demographic characteristics and their genetic implications in a small island." Journal of Biosocial Science 20, no. 2 (April 1988): 225–34. http://dx.doi.org/10.1017/s0021932000017454.

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SummaryThe family registration records from a village population in a small island of Japan are used to assess the effect of demographic differentiation within a population on genetic measures. When the couples studied are classified by birth cohorts and origins, wives of the couples where one spouse came from elsewhere were older at marriage and had a shorter duration of marriage or registration than wives where both spouses were natives of the village. The mean number of offspring is statistically smaller in the former except for the latest cohort, due mainly to out-migration during the reproductive ages which also resulted in low rates of marriage among the offspring within the village. This leads to a small effective population size and an increased likelihood of genetic drift in the overall population.

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Rivera, Paola A., Akash Gupta, and Ninani Kombo. "Treatment of non-infectious retinal vasculitis." Therapeutic Advances in Ophthalmology 15 (January 2023): 251584142311527. http://dx.doi.org/10.1177/25158414231152761.

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Retinal vasculitis (RV) refers to an entity in which the retinal vasculature is inflamed, frequently with indications of inflammation elsewhere in the eye. Non-infectious RV can be idiopathic or associated with systemic disease, ocular conditions, and malignancy. It can also be classified based on the vessel affected: artery, vein, or both. Due to the lack of strong evidence-based treatment trials and algorithms for RV, physicians must often rely on their experience, which creates great variability in treating this entity. This article provides an overview of various treatment modalities used in the management of non-infectious RV, with a focus on immunomodulatory therapies. We outline a potential stepwise approach of starting with steroids to control the acute inflammation and subsequently changing to immunomodulatory therapy (IMT) for long-term treatment.

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Nagy, Barnabás. "A Mecsek Orthoptera faunájának jellegzetes vonásai." Natura Somogyiensis, no. 9 (2006): 153–66. http://dx.doi.org/10.24394/natsom.2006.9.153.

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The Mecsek Mts and the Villány Hills represent the most southern (low)mountain region of Hungary. Here 63 grasshopper species were detected (=51,6% of the total Hungarian Orthoptera fauna), however, several in Hungary elsewhere common species were not found. High percentage of some Mediterranean, Balkan and other, elsewhere in Hungary rare or missing Orthoptera species (as e.g. Poecilimon fussi, Poecilimon intermedius, Isophya costata, I. modestior, I. modesta, I. camptoxypha, Sagapedo, Odontopodisma decipiens, O. schmidtii, Aiolopus strepens, Acrotylus insubricus, etc.), are characteristic to this fauna and to these grasshopper assemblages. The joint and frequent occurrence of bigger, mostly predaceous decticines (3 Pholidoptera spp., Pachytrachis gracilis, Pterolepis germanica) is also remarkable. Species being under legislative nature protection in Hungary amounted to 10 taxons (=15,9 %) in the Mecsek, - among them with two sub-endemics for the Carpathian Basin: Isophya costata and /. camptoxypha. However, during the last decades some flightless phaneropterids (/. modesta, I. camptoxypha, I. modestior) seem to have suffered local extiction around settlements due to the urbanization pressure. Species occurring in the Mecsek Mts were classified according to their phenology. The northernmost sites of the area of Aiolopus strepens - the adults overwinter - were detected in the Mecsek. Places of occurrence of rare and protected species {Isophya spp., Poecilimon intermedius, Aiolopus strepens) are endangered by habitat destruction, especially around the city Pécs, that is extending to parts of the southern slopes of the Misina Mt (535 m).

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Paltridge, Rachel. "The diets of cats, foxes and dingoes in relation to prey availability in the Tanami Desert, Northern Territory." Wildlife Research 29, no. 4 (2002): 389. http://dx.doi.org/10.1071/wr00010.

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In most areas of Australia, mammals constitute the staple diets of cats, foxes and dingoes. In central Australia the abundance of mammals is often too low to meet the dietary requirements of these carnivores and yet populations of cats, foxes and dingoes persist. To investigate alternative feeding strategies of cats, foxes and dingoes in arid environments, their diets were monitored in relation to prey availability in two areas of the Tanami Desert where rabbits do not occur. Dietary information was obtained by analysing predator scats collected between 1995 and 1997. Prey availability was monitored by track counts, pitfall trapping, Elliott trapping, and bird counts along walked transects. In contrast to dietary studies elsewhere in Australia, it was found that reptiles were an important component of the diets of predators in the Tanami Desert, and should be classified as seasonal staples. Birds increased in importance in the diets of cats and foxes during the winter, when reptiles were less active. There was considerable overlap between the diets of all three predators, although dingoes ate more large prey items (e.g.�macropods) than the other two predators. Results highlight the opportunistic feeding habits of cats, foxes and dingoes and show that, although mammalian prey are less important in central Australia than has been found elsewhere, species that are vulnerable to extinction, such as the bilby (Macrotis lagotis), mulgara (Dasycercus cristicauda) and marsupial mole (Notoryctes typhlops), are also consumed by these predators.

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Bisio, G. "Exergy Analysis of Thermal Energy Storage With Specific Remarks on the Variation of the Environmental Temperature." Journal of Solar Energy Engineering 118, no. 2 (May 1, 1996): 81–88. http://dx.doi.org/10.1115/1.2848020.

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Energy storage is a key technology for many purposes and in particular for air conditioning plants and a successful exploitation of solar energy. Thermal storage devices are usually classified as either variable temperature (“sensible heat”) or constant temperature (“latent heat”) devices. For both models a basic question is to determine the efficiency suitably: Only exergy efficiency appears a proper way. The aim of this paper is to examine exergy efficiency in both variable and constant temperature systems. From a general statement of exergy efficiency by the present author, two types of actual definitions are proposed, depending on the fact that the exergy of the fluid leaving the thermal storage during the charge phase can be either totally lost or utilized elsewhere. In addition, specific remarks are made about the exergy of a system in a periodically varying temperature environment.

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Wang, Hongren, Zhiguo Yuan, Eleanor Barnes, Manqiong Yuan, Chunhua Li, Yongshui Fu, Xueshan Xia, et al. "Eight novel hepatitis C virus genomes reveal the changing taxonomic structure of genotype 6." Journal of General Virology 94, no. 1 (January 1, 2013): 76–80. http://dx.doi.org/10.1099/vir.0.047506-0.

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Analysis of partial hepatitis C virus sequences has revealed many novel genotype 6 variants that cannot be unambiguously classified, which obscure the distinctiveness of pre-existing subtypes. To explore this uncertainty, we obtained genomes of 98.0–98.8 % full-length for eight such variants (KM35, QC273, TV257, TV476, TV533, L349, QC271 and DH027) and characterized them using phylogenetic analyses and per cent nucleotide similarities. The former four are closely related phylogenetically to subtype 6k, TV533 and L349 to subtype 6l, QC271 to subtypes 6i and 6j, and DH027 to subtypes 6m and 6n. The former six defined a high-level grouping that comprised subtypes 6k and 6l, plus related strains. The threshold between intra- and inter-subtype diversity in this group was indistinct. We propose that similar results would be seen elsewhere if more intermediate variants like QC271 and DH027 were sampled.

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Pérez Tadeo, María, Martin Gammell, and Joanne O'Brien. "First Steps towards the Automated Detection of Underwater Vocalisations of Grey Seals (Halichoerus grypus) in the Blasket Islands, Southwest Ireland." Journal of Marine Science and Engineering 11, no. 2 (February 4, 2023): 351. http://dx.doi.org/10.3390/jmse11020351.

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Underwater vocalisations of grey seals (Halichoerus grypus) were recorded by static acoustic monitoring (SM2M, Wildlife Acoustics) in the vicinity of a colony located at White Strand beach on Great Blasket Island, southwest Ireland during the pre-breeding and breeding seasons. Grey seal vocalisations were first classified across nine different categories based on aural and visual characteristics of the spectrograms, providing an acoustic repertoire for grey seals. This classification was further investigated by applying a classification tree analysis, resulting in five of the initial nine groups being selected. Furthermore, a comparison of two common approaches for the detection and extraction of vocalisations from acoustic files was done using the software Raven Pro and PAMGuard. The outputs of this study will present an essential first step towards the development of a protocol for underwater acoustic monitoring of grey seals in Irish waters and elsewhere.

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Nunu, Nursyahraeni madika rahman, Sutina Made, and Nilawati Usman. "MODEL PEMBELAJARAN HYBRID LEARNING TERHADAP KEMANDIRIAN BELAJAR PEMBUATAN ASKEB KB MAHASISWI KEBIDANAN." Jurnal Suara Kesehatan 9, no. 1 (February 23, 2023): 23–28. http://dx.doi.org/10.56836/journaliskb.v9i1.68.

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As a result of government regulations regarding the learning process using the hybrid learning method, which originally only used online learning methods in tertiary institutions. The purpose of this study was to find out the implementation of the hybrid learning model for midwifery student learning independence at AKBID Tahirah Al Baeti Bulukumba. This study uses a descriptive quantitative approach by using percentages for data analysis, the sampling technique is purposive sampling with a total of 45 respondents. The data collection used was a questionnaire in the form of questions using a Likert scale. The research results of the hybrid learning model are classified as very good, as evidenced by the results of the questionnaire distributed to 45 respondents at intervals of 75% - 100%, namely 85%.

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Gomm, Susanne Ingrid Marianne, Florian K. Ebner, Stefan Lukac, Ziad El Taie, Wolfgang Janni, Uta Schmidt-Straßburger, Barbara Stoinschek, and Davut Dayan. "Mobile Applications Available in Germany Supporting Breast Cancer Patients During Treatment and Aftercare: a Systematic Review." Geburtshilfe und Frauenheilkunde 82, no. 09 (September 2022): 941–54. http://dx.doi.org/10.1055/a-1909-8736.

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Abstract Purpose Systematic evaluation of health apps designed to support and aid remote monitoring of patients during breast cancer treatment and aftercare. Method A systematic search and assessment of apps was conducted using search terms: breast cancer; breast cancer therapy; and breast cancer aftercare. Evaluation criteria were user assessments, scientifically published benefits, user-friendliness, data protection, app individualization, motivation, and financial aspects. Up to two points (P) could be awarded per criterion. The lowest possible score was 0P and the maximum was 28P. Three examiners from different institutions independently assessed the apps according to the specified criteria. Reference value was defined as the average value given by the examiners. Apps with > 18P were classified as “recommended”; ≥ 11–≤ 18P as “partially recommended” and ≤ 10P as “not recommended”. Results A total of 776 apps (n = 24 from the Apple App Store, n = 752 from the Google Play Store) were identified via search query. After applying exclusion criteria, 36 apps (n = 1 from the Apple App Store; n = 35 from the Google Play Store) were evaluated. Using the mean point values of the examiners, 20 apps were classified as not recommended and 12 as partially recommended (≥ 11–≤ 18P). Four apps were rated partially recommended by two examiners and recommended by one examiner. Three apps were rated as recommended by all examiners. Conclusion Only a small minority of available apps meet recommendation criteria. Use of these apps may benefit breast cancer patients.

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E.O., Ewunonu. "Incidence of brachycephalization among Nigerians." Journal of Scientific and Innovative Research 5, no. 2 (April 25, 2016): 43–45. http://dx.doi.org/10.31254/jsir.2016.5203.

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Background- The study of head dimension is of considerable anthropological interest especially in the study of the growth in shape of the head. The incidence of brachycephalization in Nigeria was established by carrying out an analysis of the craniometric study of the three major tribes in Nigeria. Similar reports have been made elsewhere within and outside Africa. Materials and Method- A cross sectional measurement of the head length and head breadth was carried out on regional basis on 500 subjects each from Hausa, Ibo and Yoruba tribes of Nigeria. The Cephalic Index was calculated accordingly and classified. Result- The Mean Cephalic Index of the Hausa subjects was 80.20 ± 2.66 while the mean values for Ibo and Yoruba subjects were 82.40 ± 2.91 and 82.20 ± 3.09 respectively. Conclusion- The present report shows that Cephalic Index of Nigerians appreciated from the mesocephalic values reported by earlier researchers to brachycephalization.

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Ross, PM. "Differences in morphology and reproduction of the barnacles Elminius covertus and Hexaminius spp. from mangrove forests in the Sydney region of New South Wales." Marine and Freshwater Research 47, no. 5 (1996): 715. http://dx.doi.org/10.1071/mf9960715.

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E. covertus is found on bark and leaves of the grey mangrove Avicennia marina, H. foliorum is found on leaves and H. popeiana is found on bark. 7655 barnacles were collected from two sites at Woolooware Bay from winter 1987 to summer 1989. Reproductive and external features in E. covertus differed depending on the substratum on which it lived; reproductive output was greater on leaves than on bark. The genus Hexaminius has been classified elsewhere as two species on the basis of external features and reproductive differences of adults, larval development and larval setation; however, the adults were living on different substrata. A detailed study of larval and juvenile stages of Hexaminius in the field showed no differences in external features until juveniles were one month old and no differences in the time taken to rear cyprid larvae. This suggests that Hexaminius should not continue to be divided into two species.

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Abdul-Mumin, Alhassan, Lauren N. Rotkis, Solomon Gumanga, Emily E. Fay, and Donna M. Denno. "Could ultrasound midwifery training increase antenatal detection of congenital anomalies in Ghana?" PLOS ONE 17, no. 8 (August 1, 2022): e0272250. http://dx.doi.org/10.1371/journal.pone.0272250.

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Background As part of World Health Organization (WHO) 2016 updated antenatal care (ANC) guidelines routine ultrasonography is recommended, including to detect congenital anomalies. The Ghana Health Service (GHS) developed an in-service midwifery ultrasound training course in 2017, which includes fetal anomaly detection. Training rollout has been very limited. We sought to determine proportions of anomalies among neonates presenting to Tamale Teaching Hospital (TTH) that should be prenatally detectable by course-trained midwives in order to determine training program potential utility. Methods We analyzed data from a registry of neonates admitted to TTH with congenital anomaly diagnoses in 2016. We classified ultrasonographic detectability of anomalies at ≤13 and 14–23 weeks gestation, based on GHS course content and literature review. Secondary analysis included 2011–2015 retrospective chart review data. Results Eighty-five neonates with congenital anomalies were admitted to TTH in 2016. Seventy-three (86%) mothers received ≥1 ANC visit; 47 (55%) had at least one prenatal ultrasound, but only three (6%) were interpreted as abnormal. Sixteen (19%) and 26 (31%) of the anomalies should be readily detectable by course-trained midwives at ≤13 and 14–23 weeks gestation, respectively. When the 161 anomalies from 2011–2015 were also analyzed, 52 (21%) and 105 (43%) should be readily detectable at ≤13 and 14–23 weeks gestation, respectively. “Optimal conditions” (state-of-the-art equipment by ultrasonography-trained physicians) should readily identify 53 (22%) and 115 (47%) of the anomalies at ≤13 and 14–23 weeks gestation, respectively. Conclusion Training Ghanaian midwives could substantially increase second trimester anomaly detection, potentially at proportions nearing highly resourced settings. Our data also highlight the need for refinement of the WHO antenatal ultrasonography recommendation for a scan before 24 weeks gestation for multiple purposes. Gestational dating accuracy requires first trimester scanning while fetal anomaly detection is more accurate during second trimester. Further specification will enhance guideline utility.

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Feng, Shuxian, and Toshiya Yamamoto. "Preliminary research on sponge city concept for urban flood reduction: a case study on ten sponge city pilot projects in Shanghai, China." Disaster Prevention and Management: An International Journal 29, no. 6 (November 9, 2020): 961–85. http://dx.doi.org/10.1108/dpm-01-2020-0019.

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PurposeThis research aimed to determine the differences and similarities in each pilot project to understand the primary design forms and concepts of sponge city concept (SCC) projects in China. It also aimed to examine ten pilot projects in Shanghai to extrapolate their main characteristics and the processes necessary for implementing SCC projects effectively.Design/methodology/approachA literature review and field survey case study were employed. Data were mostly collected through a field survey in Shanghai, focusing on both the projects and the surrounding environment. Based on these projects' examination, a comparative method was used to determine the characteristics of the ten pilot SCC projects and programs in Shanghai.FindingsSix main types of SCC projects among 30 pilot cities were classified in this research to find differences and similarities among the pilot cities. Four sponge design methods were classified into ten pilot projects. After comparing each project size using the same geographical size, three geometrical types were categorized into both existing and new city areas. SCC project characteristics could be identified by combining four methods and three geometrical types and those of the SCC programs by comparing the change in land-use and the surrounding environment in ten pilot projects.Originality/valueThe results are valuable for implementing SCC projects in China and elsewhere and future research on the impact of SCC projects.

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Setyani, Rizka Ayu, and Sumardiyono Sumardiyono. "Implementation of e-SEKOCI (The Online Class of Sekolah Komplementer Cinta Ibu) in counselling midwives and pregnant women during COVID-19 pandemic." Journal of Community Empowerment for Health 4, no. 1 (April 16, 2021): 16. http://dx.doi.org/10.22146/jcoemph.61647.

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Pregnancy classes are vital for successful communication, information, and health education in maternity services. However, their implementation should be postponed during the COVID-19 pandemic to prevent COVID-19 transmission in pregnant women who are classified as a vulnerable group, especially if they had a history of pregnancy with non-communicable diseases. Therefore, we implemented e-SEKOCI (The Online Class of Sekolah Komplementer Cinta Ibu) which aimed to provide counselling and mentoring of pregnant women using social media WhatsApp group, Zoom Cloud meeting, Instagram, or YouTube. The implementation of e-SEKOCI began in March 2020 with 150 pregnant women in Indonesia. We also worked with teaching volunteers consisting of midwives and midwifery lecturers. In e-SEKOCI classes, expectant mothers were taught complementary midwifery care, such as mom and baby massage, prenatal and postnatal yoga, and self-hypnosis. Besides, pregnant women could also conduct online consultations with midwives about their pregnancies. Most of the participants said they were satisfied with e-SEKOCI, which included 80% in the health education program and 94% in the pregnancy consultation program. As many as 70% of participants prefer the WhatsApp group as a means of implementing e-SEKOCI. In conclusion, e-SEKOCI was effective as a media of midwife counselling for pregnant women, especially during the COVID-19 pandemic. The use of WhatsApp group media was recommended because it was easier to use and cost-effective.

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Journal articles on the topic 'Midwifery not elsewhere classified'

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