bluuebunny/crossref_metadata_2025_split huggingface dataset:
Indocyanine green fluorescence navigation in laparoscopic hepatectomy: a retrospective single-center study of 120 cases
Authors: Lu Hao , Gu Jian , Qian Xiao-feng , Dai Xin-zheng 
Published: October 2020

Abstract
Purpose
To explore the role of indocyanine green (ICG) fluorescence navigation in laparoscopic hepatectomy and investigate if the timing of its administration influences the intraoperative observation.

Methods
The subjects of this retrospective study were 120 patients who underwent laparoscopic hepatectomy; divided into an ICG-FN group (n = 57) and a non-ICG-FN group (n = 63). We analyzed the baseline data and operative data.

Results
There were no remarkable differences in baseline data such as demographic characteristics, lesion-related characteristics, and liver function parameters between the groups. Operative time and intraoperative blood loss were significantly lower in the ICG-FN group. The rate of R0 resection of malignant tumors was comparable in the ICG-FN and non-ICG-FN groups, but the wide surgical margin rate was significantly higher in the ICG-FN group. The administration of ICG 0–3 or 4–7 days preoperatively did not affect the intraoperative fluorescence imaging. Operative time, intraoperative blood loss, and a wide surgical margin correlated with ICG fluorescence navigation. ICG fluorescence navigation helped to minimize intraoperative blood loss and achieve a wide surgical margin.

Conclusion
ICG fluorescence navigation is safe and efficient in laparoscopic hepatectomy. It helps to achieve a wide surgical margin, which could result in a better prognosis. The administration of ICG 0–3 days preoperatively is acceptable.
Standard versus eversion-modified double-staple technique for low colorectal anastomoses after resection of rectal cancer
Authors: Illuminati Giulio , Pasqua Rocco , Perotti Bruno , Urciuoli Paolo , Nardi Priscilla , Fratini Chiara , Carboni Fabio , Valle Mario 
Published: October 2020

Abstract
Purpose
The double-staple technique, performed as either the standard procedure or after eversion of the rectal stump, is a well-established method of performing low colorectal anastomoses following the resection of rectal cancer. Eversion of the tumor-bearing ano-rectal stump was proposed to allow the linear stapler to be fired at a safe distance of clearance from the tumor. We conducted this study to compare the results of the standard versus the eversion-modified double-staple technique.

Methods
The subjects of this retrospective study were 753 consecutive patients who underwent low stapled colorectal anastomosis after resection of rectal cancer. The patients were divided into two groups according to the method of anastomosis used: Group A comprised 165 patients (22%) treated with the modified eversion technique and group B comprised 588 patients (78%) treated with the standard technique. The primary endpoints of the study were postoperative mortality, surgery-related morbidity, the number of sampled lymph nodes in the mesorectum, and late disease-related survival.

Results
Postoperative mortality was 1.2% in group A and 1.7% in group B (p = 0.66). Postoperative morbidity was 12% in group A and 11% in group B (p = 0.75). The mean number of sampled lymph nodes in the mesorectum was 23 (range 17–27) in group A and 24 (range 19–29) in group B (p = 0.06). The 5-year disease-related survival was 73% in group A and 74% in group B (p = 0.75).

Conclusion
The standard and eversion-modified double-staple techniques yield comparable results.
Revision and complication rates in adult shunt surgery: a single-institution study
Authors: Mansoor Nadia , Solheim Ole , Fredriksli Oddrun A. , Gulati Sasha 
Published: October 2020

Abstract
Background
CSF diversion with shunt placement is frequently associated with need for later revisions as well as surgical complications. We sought to review revision and complication rates following ventriculoperitoneal, ventriculoatrial and cystoperitoneal shunt placement in adult patients, and to identify potential risk factors for revision surgery and postoperative complications.

Method
Included patients were adults (≥ 18 years) who underwent primary shunt insertion at St. Olavs Hospital in Trondheim, Norway, from 2008 through 2017. The electronic medical records and diagnostic imaging from all hospitals in our catchment area were retrospectively reviewed. Follow-up ranged from 1 to 11 years. Complications were graded according to the Landriel Ibañez classification system.

Results
Of the 227 patients included, 47 patients (20.7%) required revision surgery during the follow-up. In total, 90 revision surgeries were performed during follow-up. The most common cause for the first revision was infection (5.7%) and for all revisions proximal occlusion (30.0%). A total of 103 patients (45.4%) experienced ≥ 1 complication(s). Mild to moderate complications (grade I and II) were detected in 35.0% of all procedures. Severe or fatal complications (grade III and IV) were observed in 8.2% of all procedures. Urinary tract infections and pneumonia were common postoperatively (13.9% and 7.3%, respectively), and the most common IIb complication was shunt misplacement (proximally or distally). Two out of fourteen deaths within 30 days were directly associated with surgery. We did not find that aetiology/indication, age or gender influenced the occurrence of revision surgery or a grade III or IV complication.

Conclusions
Shunt surgery continues to be a challenge both in terms of revision rates and procedure-related complications. However, the prediction of patients at risk remains difficult. A multidimensional focus is probably needed to reduce risks.
Numerical modelling of land subsidence related to groundwater withdrawal in the Firenze-Prato-Pistoia basin (central Italy)
Authors: Ceccatelli Mattia , Del Soldato Matteo , Solari Lorenzo , Fanti Riccardo , Mannori Gaddo , Castelli Fabio 
Published: October 2020

AbstractThe Tuscany region of Italy is widely affected by subsidence, landslides and floods, which severely impact buildings and infrastructure. In particular, Firenze-Prato-Pistoia basin has a long experience of ground deformation related to groundwater withdrawal. European remote-sensing satellite (ERS) data collected since 1992 have revealed the presence of several subsiding areas in the basin such as the south-eastern portion of the city of Pistoia. Sentinel-1 persistent scatterer interferometry (PSI) measurements for 2015–2018 confirmed the long-term subsidence of this area, associated with intense horticulture (plant nurseries). At the same time, Sentinel-1 data revealed the unexpected movement of Pistoia historic center, which has always been considered stable in the past. To identify the complex relationship between aquifer conditions and ground displacement, a hydrogeologic model of the Pistoia aquifers was developed, applying an integrated modelling procedure. Hydrodynamic-parameter distributions, calibrated and validated by means of Sentinel-1 PSI measurements, suggest that subsidence in Pistoia area is probably related with the combined impacts of groundwater extraction and highly compressible aquitards. To evaluate the potential evolution of ground displacement, numerical simulations were extended until 2050, using regional and global climate model data, analyzing three different pumping-rate scenarios. This led to the development of several subsidence hazard maps of the city of Pistoia that display the influence of groundwater extraction in controlling land subsidence in the area. This study emphasizes the importance of developing proper groundwater management policies, especially in alluvial aquifers made of fine compressible sediments, in order to sustainably utilize underground freshwater resources and to avoid related side effects.
Mechanical Properties of Long Leaves: Experiment and Theory
Authors: Jakubska-Busse A. , Janowicz M. W. , Ochnio L. , Jackowska-Zduniak B. , Ashbourn J. M. A. 
Published: October 2020

AbstractThe static properties of leaves with parallel venation from terrestrial orchids of the genus Epipactis were modelled as coupled elastic rods using the geometrically exact Cosserat theory and the resulting boundary-value problem was solved numerically using a method from Shampine, Muir and Xu. The response of the leaf structure to the applied force was obtained from preliminary measurements. These measurements allowed the Young’s modulus of the Epipactis leaves to be determined. The appearance of wrinkles and undulation characteristics for some leaves has been attributed to the small torsional stiffness of the leaf edges.
Gamification of health professions education: a systematic review
Authors: van Gaalen A. E. J. , Brouwer J. , Schönrock-Adema J. , Bouwkamp-Timmer T. , Jaarsma A. D. C. , Georgiadis J. R. 
Published: October 2020

AbstractGamification refers to using game attributes in a non-gaming context. Health professions educators increasingly turn to gamification to optimize students’ learning outcomes. However, little is known about the concept of gamification and its possible working mechanisms. This review focused on empirical evidence for the effectiveness of gamification approaches and theoretical rationales for applying the chosen game attributes. We systematically searched multiple databases, and included all empirical studies evaluating the use of game attributes in health professions education. Of 5044 articles initially identified, 44 met the inclusion criteria. Negative outcomes for using gamification were not reported. Almost all studies included assessment attributes (n = 40), mostly in combination with conflict/challenge attributes (n = 27). Eight studies revealed that this specific combination had increased the use of the learning material, sometimes leading to improved learning outcomes. A relatively small number of studies was performed to explain mechanisms underlying the use of game attributes (n = 7). Our findings suggest that it is possible to improve learning outcomes in health professions education by using gamification, especially when employing game attributes that improve learning behaviours and attitudes towards learning. However, most studies lacked well-defined control groups and did not apply and/or report theory to understand underlying processes. Future research should clarify mechanisms underlying gamified educational interventions and explore theories that could explain the effects of these interventions on learning outcomes, using well-defined control groups, in a longitudinal way. In doing so, we can build on existing theories and gain a practical and comprehensive understanding of how to select the right game elements for the right educational context and the right type of student.
Strategies to Cope with Phases of Spiritual Dryness in Seventh-Day Adventists
Authors: Büssing Arndt , Starck Lorethy , van Treeck Klaus 
Published: October 2020

AbstractIn Adventists (n = 603) 45% were less effective and 55% more effective in coping with phases of spiritual dryness, particularly those with leading roles in the church. Strategies such as devotion/trust in God, private prayer/meditation/scripture reading, openness, talks with close others, and self-care were most often utilized. Their ability to cope was predicted best by low Acedia, Living from the Faith, low emotional exhaustion, well-being and having a duty in the church (R2 = .24). When these phases were overcome, several perceived spiritual depth and were able to help others all the more. Helpful strategies should be made available to support persons struggling with spiritual dryness.
Autonomous demand, multiple equilibria and unemployment dynamics
Authors: Ferri Piero , Tramontana Fabio 
Published: October 2020

AbstractThe paper presents a medium-run growth model driven by autonomous demand, where aggregate demand and supply interact and unemployment is present and plays different roles. In particular, it generates a feedback from supply to aggregate demand rooted in the presence of heterogeneous consumers and an uncertain environment. Two are the main consequences of this approach. The first is that multiple equilibria can be generated. The second is that equilibria may have different stability properties. In this perspective, growth becomes a dynamic process where initial conditions matter and history plays an important role.
Public Health Messaging and Strategies to Promote “SWIFT” Lung Cancer Detection: a Qualitative Study Among High-Risk Individuals
Authors: Saab Mohamad M. , Kilty Caroline , Noonan Brendan , FitzGerald Serena , Collins Abigail , Lyng Áine , Kennedy Una , Hegarty Josephine 
Published: October 2020

AbstractLung cancer (LC) is the most common cancer and the leading cause of cancer mortality globally. A positive association between LC incidence and socioeconomic deprivation exists. High-risk individuals are less likely to be aware of LC and to correctly appraise LC symptoms and seek medical help accordingly. This qualitative study explored strategies to promote early detection of LC among at-risk individuals living in high-incidence areas in Ireland. Five semi-structured focus groups were conducted with 46 individuals. Data were collected face-to-face in community centres and organisations in high-incidence areas in two Irish counties and analysed using inductive qualitative content analysis. Participants believed that there was insufficient information regarding LC and recommended promoting LC awareness at a young rather than old age. They favoured public health messages that are Simple, clear, and honest; Worded positively; Incorporating a shock element; Featuring a celebrity, healthcare professional, or survivor; and Targeted (SWIFT). Most participants reported becoming immune to messages on cigarette packaging and recommended using a combination of broadcast and print media within national government-run campaigns to promote LC awareness and early detection. Study findings suggest that promoting LC awareness, help-seeking, early presentation, and diagnosis can be achieved by developing and testing targeted interventions. Promoting LC awareness requires a multi-sectoral policy network, or a whole systems approach. Such approaches ought to consider the multifactorial drivers of LC risk behaviours; involve coordinated, collective actions across various stakeholders; operate across multiple agencies; and take a life course perspective.
Time-lapse electrical resistivity investigation of seawater intrusion in coastal aquifer of Ibeno, Southeastern Nigeria
Authors: Inim Iniemem J. , Udosen Ndifreke I. , Tijani Moshood N. , Affiah Uduak E. , George Nyakno J. 
Published: October 2020

Abstract
Saltwater intrusion, erosion, and periodic flooding during severe storms are some of the critical problems bedeviling the precarious coastal environment of Nigeria. A time-lapse study aimed at monitoring the dynamics of saltwater intrusion within the coastland surrounding Ibeno, southeastern Nigeria is presented. Three (3) vertical electrical soundings (VES) and four time-lapse electrical resistivity tomography (ERT) profiles with minimum and maximum electrode spacing of 5 m and 40 m and profile lengths of 120 m and 150 m respectively were acquired in 2016 and 2017 using the Wenner and Schlumberger arrays. Data acquired from the field surveys were modeled with WINRESIST and RES2DINV software to generate 1D and 2D resistivity images of the subsurface. The VES results with a maximum survey length of AB = 300 m revealed a four-layer KH curve. The 2D geo-electrical sections delineated contrast between the high resistivity values obtained for the saturated freshwater zones and the low resistivity values obtained for the saturated saltwater zone. Expectedly, the intrusion was dominant nearer the coastline than inland. The salinity changes are believed to have been caused by both incremental tides passing through highly porous materials in the active-salinity change area and over-pumping of groundwater. The time-lapse resistivity measurements showed significant, active lateral salinity changes rapidly intruding the freshwater aquifers. The study demonstrates the application of time-lapse 2D ERT and vertical electrical sounding in identifying the spatial and temporal changes of saltwater intrusion in the coastal aquifer.
Further phenotypic delineation of the auriculocondylar syndrome type 2 with literature review
Authors: Bukowska-Olech Ewelina , Sowińska-Seidler Anna , Łojek Filip , Popiel Delfina , Walczak-Sztulpa Joanna , Jamsheer Aleksander 
Published: October 2020

AbstractAuriculocondylar syndrome (ACS) is an ultra-rare disorder that arises from developmental defects of the first and second pharyngeal arches. Three subtypes of ACS have been described so far, i.e., ACS1 (MIM: 602483), ACS2 (MIM: 600810), and ACS3 (MIM: 131240). The majority of patients, however, are affected by ACS2, which results from the mutations in the PLCB4 gene. Herein, we have described an 8-year-old male patient presenting with ACS2 and summarized the molecular and phenotypic spectrum of the syndrome. We have also compared the clinical features of our case to three other previously described cases (one sporadic and two familial) harboring the same heterozygous missense variant c.1862G>A, p.Arg621His in the PLCB4 gene. The mutation was detected using whole-exome sequencing (WES). Due to low coverage of WES and suspicion of somatic mosaicism, the variant was additionally reassessed by deep targeted next-generation sequencing panel of genes related to the craniofacial disorders, and next confirmed by Sanger sequencing. ACS2 presents high intra- and interfamilial phenotypic heterogeneity that impedes reaching an exact clinical and molecular diagnosis. Thus, describing additional cases, carrying even the known mutation, but resulting in variable phenotypes, is essential for better understanding of such orphan Mendelian diseases.
Analysis and Prioritization the Effective Factors on Increasing Farmers Resilience Under Climate Change and Drought
Authors: Javadinejad Safieh , Dara Rebwar , Jafary Forough 
Published: October 2020

AbstractCalifornia is severely exposed to drought and damage due to the climate change and drought belt, which has a major impact on agriculture. So, after the drought crisis, there are various reactions from farmers. The extent of the damage caused by the socioeconomic, environment and the extent of the resistance of farmers to this crisis is manifested in a variety of ways. Recognizing the population’s resilience and the involved human groups is a tool for preventing a catastrophe-based increase in life-threatening areas in high-risk areas. Sometimes the inability to manage this phenomenon (especially under the climate change) leads to farmers’ desertification and agricultural land release, which itself indicates a low level of resilience and resilience to the crisis. The recent drought under the climate change condition in California and the severity of the damage sustained by farmers continue to be vulnerable. The present study seeks to prioritize and prioritize resilience of farmers to the crisis under the climate change. This study simulated drought condition with using PDSI value for current and future time period. In order to calculate PDSI values, the climatic parameters extracted from CMIP5 models and downscaled under the scenario of RCP 8.5. Also in order to understand the resilience of the agriculture activities under the climate change, this study was performed using statistical tests and data from the questionnaire completed in the statistical population of 320 farmers in the Tulare region in California. The findings of the research by t test showed that the average level of effective factors in increasing the resilience of farmers in the region is low. This is particularly significant in relation to the factors affecting government policies and support. So that only the mean of five variables is higher than the numerical desirability of the test and the other 15 variables do not have a suitable status for increasing the resilience of the farmers. Also, the results of the Vikor model showed that most of the impact on their resilience to drought and climate change was the development of agricultural insurance, the second important impact belongs to drought monitoring system, climate change and damage assessment, and variable of attention to knowledge is in third place of the important factor.
Wave-induced loads on a lock gate provided with an opening through the ballast tank
Authors: Cavallaro Luca , Iuppa Claudio , Scandura Pietro , Foti Enrico 
Published: November 2020

AbstractThe wave loads on a navigation lock gate provided with an opening in the ballast tank are analyzed using a mathematical model based on the linear wave theory. The analysis focuses on the influence of the wave number and the geometrical characteristics of the structure on the applied load. It is shown that the maximum value of the vertical force mainly depends on the height of the ballast tank and on the width of the opening. The wave number for which the maximum load occurs significantly depends on the geometric characteristics of the structure except for the water depth above the ballast tank which has a negligible effect. An increase in the height of the ballast tank causes an increase in the wave load while an increase in the width of the opening causes a decrease in the wave load. Based on the results of the mathematical model an easy to use regression model has been developed which can be employed to evaluate the wave load.
Economic fish production inventory model for perishable fish items with the detoriation rate and the added value under pentagonal fuzzy number
Authors: Kuppulakshmi V. , Sugapriya C. , Nagarajan D. 
Published: October 2020

AbstractIn marine fishing, a considerable planning is required for developing socio-economic value of fishermen. This research explores the discussion in optimal fish manufacturing quantity for perishable fish items in the vessel during yachting. The rate of deterioration is treated as a Pentagonal Fuzzy Number (PFN) to obtain the optimal total cost. The convexity of the model is proved by satisfying the constraint equation in a fuzzy environment. An efficient procedure is applied to find the annual fish production quantity and the production in a single period to avoid the faulty measurement in the demand for fish items and the supply to the retailers. In addition, a few sensitivity analyses are carried out for the repair cost and the added value cost to indicate the existence of the total cost in the least possible range. Some managerial discrimination is also included.