bluuebunny/crossref_metadata_2025_split huggingface dataset:
Differential effect of body mass index by gender on oncological outcomes in patients with renal cell carcinoma
Authors: Balci Melih , Glaser Zachary A. , Chang Sam S. , Herrell S. Duke , Barocas Daniel A. , Keegan Kirk A. , Moses Kelvin A. , Resnick Matthew J. , Smith Joseph A. , Penson David F. , Scarpato Kristen , Clark Peter E. 
Published: January 2020

Objectives:
To investigate the relationship between gender, body mass index (BMI), and prognosis in renal cell carcinoma (RCC) patients.

Materials and Methods:
We retrospectively reviewed 1353 patients with RCC who underwent a partial or radical nephrectomy between 1988 and 2015. The association among sex, BMI, stage, grade, overall survival (OS), and recurrence-free survival (RFS) was analyzed.

Results:
The median age of the patients was 59.4 ± 11.9 years. Female patients had proportionally lower grade tumors than male patients (Grade I–II in 75.5% vs. 69.3% in women and men, respectively, P = 0.022). There was no relationship between Fuhrman grade and BMI when substratified by gender (p > 0.05). There was a nonsignificant trend toward more localized disease in female patients (p = 0.058). There was no relationship between T stage and BMI when stratified by gender (p > 0.05). Patients with higher BMI had significantly better OS (p = 0.0004 and P = 0.0003) and RFS (P = 0.0209 and P =0.0082) whether broken out by lower 33rd or 25th percentile. Male patients with higher BMI had significantly better OS and RFS rates. However, there was no relationship between BMI and OS or RFS for female patients (P > 0.05). Multivariate analysis of the entire cohort demonstrated that a BMI in the lower quartile independently predicts OS (hazard ratio 1.604 [95% confidence interval: 1.07–2.408], P = 0.022) but not RFS (P > 0.05). When stratified by gender, there was no relationship between BMI and either OS or RFS (P > 0.05).

Conclusions:
Increasing BMI was associated with RCC prognosis. However, the clinical association between BMI and oncologic outcomes may be different between men and women.
La escribanía luso-castellana de Isabel, primogénita de los Reyes Católicos
Authors: ÁVILA-SEOANE Nicolás 
Published: January 2020

Estudio diplomático de los documentos intitulados por la infanta Isabel, hija mayor de los Reyes Católicos, princesa y luego reina de Portugal, conservados en el Arquivo Nacional Torre do Tombo, el Archivo General de Simancas, la Real Academia de la Historia y la Biblioteca Nacional de España; tras revisar el actual estado de las investigaciones sobre Paleografía y Diplomática en la Baja Edad Media portuguesa, se señalan para cada tipología las influencias achacables a una y otra cancillería, dando lugar en ocasiones a modelos híbridos en cuanto a soporte, escritura, lengua, formulario...
Diplomatic study of the documents signed by the infanta Isabel, eldest daughter of the Catholic Monarchs, princess and then queen of Portugal, preserved in the Arquivo Nacional Torre do Tombo, the Archivo General de Simancas, the Real Academia de la Historia and the Biblioteca Nacional de España. After reviewing the current state of research on Paleography and Diplomatics in the Portuguese Late Middle Ages, influences from both chancelleries for each typology are indicated, sometimes resulting in hybrid models with regard to their support, writing, language, form, etc.
Le vesti e la nudità del sovrano che si consegna al sepolcro. La monarchia di Sicilia e le strategie d'approccio alla cesura dell'evento morte
Authors: DI COSMO Antonio Pio 
Published: January 2020

El documento analiza el papel desempeñado por los status symbols en el funeral de los reyes de Sicilia. Esta investigación aplica el conocimiento arqueológico, antropológico y histórico, para contar la acción de la corte siciliana, que resuelve las cuestiones sobre los problemas de representación del funeral real. De esta forma, se evalúan las estrategias de comunicación orientadas al timor reventiae, que configuran las costumbres funerarias de los soberanos de Sicilia. Por lo tanto, se abre un nuevo horizonte de investigación para la fenomenología del dolor.
This contribution analyses the role of status symbols during the burial of the kings of Sicily. This research applies archaeological, anthropological and historical knowledge. Information reported to the work of Sicilian sovereigns’ entourage, which solved those issues related to the problems in representing the royal funeral. In this way, communication strategies of the timor reverentiae, which shaped the funerary customs of Sicilian sovereigns, were studied. Therefore, a new horizon in the research regarding the phenome nology of grief has opened up.
Sancho de Paredes y los libros de la cámara de Isabel I de Castilla: una aproximación
Authors: MARTÍN BARBA José Julio 
Published: January 2020

En la Casa de los reyes de Castilla, el oficio de camarero fue considerado uno de los más eminentes. El camarero tenía a su cargo el cuidado, organización y custodia de la cámara real con todas sus pertenencias. En la segunda parte reinado de Isabel I de Castilla desempeñó este oficio Sancho de Paredes junto a su esposa Isabel Cuello. Ambos realizaron con esmero su trabajo, como comprobamos en los libros de la cámara, su instrumento de trabajo. A la muerte de la reina, después de entregar todos los objetos que tenían a su cargo, recibieron de Juana I, la sucesora en el trono, la carta de finiquito.
Among the Household of the Castilian Kings, the trade of chamberlain was one of the most noted. The chamberlain was in charge of the care, organization and custody of the royal chamber and its belongings. During the reign of Isabel I of Castile, the chamberlain was Sancho de Paredes along with his wife Isabel Cuello. They both put a lot of effort into the job they were performing, as it can be appreciated in the chamber books, which were their work tool. With the death of the Catholic queen, after returning all the objects they were in charge of, the successor of the throne, the queen Juana, gave them the settlement.
Prevention of Delayed Recovery of Right Hemicolectomy in Patients with Ascending Colon Cancer
Authors: Sari Siti Noviana , Dahlia Debie 
Published: January 2020

<p class="AbstractContent"><strong>Objective:</strong> This paper aims to analyze perioperative nursing care given to patients with ascending colon cancer who had right hemicolectomy<strong> </strong></p><p class="AbstractContent"><strong>Methods: </strong>Interventions provided in the form of perioperative education, deep breathing relaxation exercises, effective cough exercises, and early postoperative mobilization</p><p class="AbstractContent"><strong>Results:</strong> The results of the evaluation of the implementation of nursing showed the results of patients able to do post-operative exercises in according to education that has been given, the patient was satisfied, and there was no delay post-surgical recovery.<strong></strong></p><p><strong>Conclusion: </strong>Operative education can be used to improve postoperative recovery in colon cancer patients. Some interventions can be made a protocol and applied to improve patient independence, reduce post-operative care days, and increase satisfaction for patients and families.</p><p><strong> </strong></p><p><strong>Keywords: </strong>Colon cancer; deep breathing; early mobilization; effective coughing; preoperative education</p>
Nursing Process of Enterocutaneous Fistula Patient with Severe Acute Malnutrition in Pediatric Surgical Ward
Authors: Rahmawati Sari , Waluyanti Fajar Tri 
Published: January 2020

<p><strong>Objective: </strong>This case study aims to prove the effectiveness of nursing intervention, particularly management of nutrition, fluid and electrolyte, ostomy care, and risk for infection management, at managing enterocutaneous fistula patient with severe acute malnutrition in pediatric surgical ward.</p><p><strong>Methods: </strong>This case study was performed by giving nursing care of enterocutaneous fistula patient with severe acute malnutrition for about 13 days based on the patient’s length of stay.</p><p><strong>Results: </strong>The target for weight gain in malnourished children was ≥ 50 grams/kg/week. Within thirteen days, weight of the patient rose 450 grams from 4700 grams to 5150 grams. Patient’s weight gain target was 470 grams in 14 days, this condition showed that increase in body weight was quite appropriate. Fistula output was decreased day by day and feces that came out from from anus has better solid consistency than before.</p><p><strong>Conclusion: </strong>Nutrition management aims to increase body weight during the preoperative period of the client. Hospital treatment managed to increase weight, the child did not experience vomiting and diarrhea from the first day of treatment, and appetite continued to increase every day. This is in accordance with the outcome criteria that has been established for the main problem of imbalanced nutrition: less than the body requirement. Furthermore, children are advised to get follow up care with regular weekly control obligations.</p><p> </p><p><strong>Keywords: </strong>child; enterocutaneous; fistula; malnutrition; nursing</p>
Traditional Music Therapy to Decrease Pain Perception on Elderly in Jakarta Elderly Social Institution
Authors: Marsyia Anisa Fitri , Widyatuti Widyatuti 
Published: January 2020

<p align="left"><strong>Objective: </strong>Pain is a health problem that often occurs in the elderly with various precipitation factors. This study aims to analyze nursing care on elderly with acute pain through traditional music therapy at Jakarta Elderly Social Institution</p><p align="left"><strong>Methods: </strong>Three older adults were given traditional music therapy intervention about twenty minutes each day within five weeks.</p><p align="left"><strong>Results:</strong> The result of this study showed that the pain perception of clients decreased after intervention. It was showed by pain scale (Numerical Rating Scale), blood pressure and pulse decreasing.</p><p align="left"> </p><p align="left"><strong>Conclusion: </strong>Elderly Social Institution as a health service provider can apply traditional music therapy as a program in reducing acute pain on elderly.</p><p align="left"> </p><p align="left"><strong>Keywords</strong><em>: </em>acute pain; elderly; traditional music therapy</p>
The Relationship between Comfort with the Quality of Life of Cancer Patients
Authors: Widyastuti Diah , Nuraini Tuti 
Published: January 2020

<p><strong>Objectives:</strong> This study aimed to identify the correlation between comfort and quality of life in cancer patients.</p><p> </p><p><strong>Methods</strong>: The study was conducted on 95 respondents with consecutive sampling technique in cross sectional method. The data analysis used on this study is univariate and bivariate analysis that is test of correlation and mean differences.</p><p> </p><p><strong>Results</strong>: This study showed there was a significant correlation between all aspects of comfort and the quality of life in cancer patients (p &lt; 0.05; α = 0.05), higher discomfort in physical, psychospiritual, socio-cultural, financial, and environmental aspects cause worse quality of life. Stage of cancer is also known to be associated with quality of life (p = .002; α = 0.05), with the higher level stage showed the low quality of life.</p><p> </p><p><strong>Conclusion</strong>: The results are expected to be the evidence-based practice to improve nurse skill to provide comfort to cancer patients. Because the higher stage of cancer makes the quality of life lower, nurses need to optimize all aspects that can still be improved for a better quality of life of patients.</p><p> </p><p><strong>Key words:</strong></p><p>Cancer patients, comfort, quality of life</p>
Tracking coefficients of a nonstationary system, followed by static nonlinearity jointly with the time delay
Authors: Pupeikis Rimantas 
Published: January 2020

SummaryThis paper considers a block‐oriented nonlinear Wiener system that consists of a linear block with real time‐varying unknown coefficients and pure time delay followed by a static invertible nonlinearity. Consideration is concentrated on the joint linear block coefficients and time delay tracking by processing observation samples. Two problems are analyzed. The first one is the avoidance of mean‐squares prediction error function multiextremality for time delay while seeking the global minimum. The other problem consists of the applicability of unified adaptive algorithms, based on the schema with corrective operators for the Wiener system. An approach used to transform the multiextremal criterion into a unimodal function for a nonstationary linear system, in respect of the time delay, is developed and analyzed for a block‐oriented nonlinear Wiener system with time‐varying coefficients and a time delay. The recursive parametric identification approach, based on the method of corrective operators, is developed for the nonstationary dynamic Wiener system. Applicability of algorithms is supported by various simulation tests solved by a computer.
Flexible Multi‐Material Fibers for Distributed Pressure and Temperature Sensing
Authors: Yu Li , Parker Steven , Xuan Haifeng , Zhang Yujing , Jiang Shan , Tousi Maryam , Manteghi Majid , Wang Anbo , Jia Xiaoting 
Published: January 2020

AbstractWith the recent development of wearable electronics and smart textiles, flexible sensor technology is gaining increasing attention. Compared to flexible film‐based sensors, multimaterial fiber‐based technology offers unique advantages due to the breathability, durability, wear resistance, and stretchability in fabric structures. Despite the significant progress made in the fabrication and application of fiber‐based sensors, none of the existing fiber technologies allow for fully distributed pressure or temperature sensing. Herein, the design and fabrication of thermally drawn multi‐material fibers that offer distributed temperature and pressure measurement capability is reported. Thermoplastic materials, thermoplastic elastomers, and metal electrodes are successfully co‐drawn in one fiber. The embedded electrodes inside the fibers form a parallel wire transmission line, and the local characteristic impedance is designed to change with the temperature or pressure. The electrical frequency domain reflectometry is used to interrogate the impedance change along the fiber and provides information with high spatial resolution. The two types of fibers reported in this manuscript have a pressure sensitivity of 4 kPa and a temperature sensitivity of 2 °C, respectively. This work can pave the road for development of functional fibers and textiles for pressure and temperature mapping.
Formation of a kind of heavy‐precipitation‐producing mesoscale vortex around the Sichuan Basin: An along‐track vorticity budget analysis
Authors: Feng Shuang‐Lei , Jin Shuang‐Long , Fu Shen‐Ming , Sun Jian‐Hua , Zhang Yuan‐Chun 
Published: January 2020

AbstractThis study investigates the formation of a type of mesoscale vortex around the Sichuan Basin (i.e., the southwest vortex [SWV]) that usually induces heavy precipitation, based on a semi‐idealized simulation of eight similar SWV‐formation events. After producing a reasonable SWV that shares salient features with the events used in composite, a trajectory analysis is conducted and an along‐track vorticity budget is constructed. The results show that approximately 64.7% of the air particles related to SWV formation originate from four source regions outside the vortex. The largest contribution of cyclonic vorticity associated with the SWV formation (approximately 67.7%) comes from the lower levels southwest of the vortex and is due mainly to tilting. The second‐largest contribution (approximately 19.4%) is made by air particles that originate from the upper levels south of the SWV and is also due mainly to tilting. By contrast, for the other two sources (the upper levels west and southwest of the vortex), the convergence‐related horizontal shrinking generally dominates their cyclonic‐vorticity production. Overall, along the tracks of the air particles, vertical motions and water‐vapor phase transitions affect the vorticity variation significantly via modulating divergence‐related vorticity production/dissipation (i.e., the stretching effect), and this is vital for the SWV formation.
Redox‐modulated colorimetric detection of ascorbic acid and alkaline phosphatase activity with gold nanoparticles
Authors: Lin Liping , Luo Yaxin , Chen Qiushuang , Lai Qingjiao , Zheng Qiaoling 
Published: January 2020

AbstractGold nanoparticles (AuNPs) exhibit characteristic absorption peaks in the ultraviolet visible region due to their special surface plasmon resonance effect. This characteristic absorption peak would change with the relative colour varying from wine red to orange‐yellow upon sequential addition of ascorbic acid (AA) into the mixture of AuNPs and Ag(I). Similar observations also could be found when the hydrolysis product of sodium l‐ascorbyl‐2‐phosphate with alkaline phosphatase (ALP) was used as an alternative to AA. Results of structure characterization confirmed that the phenomena were due to the reduction of Ag(I) to Ag(0) on the surface of AuNPs and the formation of core‐shell AuNPs@Ag. Therefore, a colorimetric assay for rapid visual detection of AA and ALP based on redox‐modulated silver deposition on AuNPs has been proposed. Under the optimal experimental conditions, the absorbance variation ΔA522 nm/A370 nm of AuNPs was proportional to the concentration of AA (5–60 μmol/L) and ALP (3–18 U/L) with the corresponding detection limit of 2.44 μmol/L for AA and 0.52 U/L for ALP. The assay showed excellent selectivity towards AA and ALP. Moreover, the assay has been applied to detect AA and ALP activity in real samples with satisfying results.
Central nesfatin‐1 activates lipid mobilization in adipose tissue and fatty acid oxidation in muscle via the sympathetic nervous system
Authors: Liu Yuan , Chen Xi , Qu Yan , Song Limin , Lin Qian , Li Manwen , Su Kaizhen , Li Yanrun , Dong Jing 
Published: January 2020

AbstractLittle is known about the influence of central nesfatin‐1 on lipid metabolism under diabetic conditions. The main objective of this study was to characterize the mechanisms by which central nesfatin‐1 regulates lipid metabolism in streptozotocin (STZ)‐induced type 2 diabetes mellitus (T2DM) and whether the sympathetic nervous system is involved. Male Kunming mice were fed high‐fat diets (HFDs) and were treated twice with low‐dose STZ (100 mg/kg, intraperitoneal [IP]) to generate the T2DM model. Pharmacological adrenergic blockage (phentolamine 10 mg/kg, propranolol 0.017 mmol) and surgical denervation of sympathetic nervous system of the hindlimb and inguinal fat were used to block nerve conduction to determine whether the effect of central nesfatin‐1 required the hypothalamic‐sympathetic nervous system axis. Plasma free fatty acid (FFA) and insulin levels were measured. AMP‐activated protein kinase (AMPK) levels in skeletal muscle and hormone‐sensitive lipase and adipose triglycerides lipase (HSL/ATGL) levels in white adipose tissue (WAT) were measured using western blot. mRNA expression of AMPK was measured. We found that there were significantly fewer NUCB2/nesfatin‐1 immunoreactive neurons in the paraventricular nucleus (PVN) and supraoptic nucleus (SON) in T2DM mice. Central nesfatin‐1 administration decreased levels of plasma FFA significantly and activated AMPK to enhance fatty‐acid oxidation in skeletal muscle in T2DM mice. In addition, HSL and ATGL were significantly activated during triglyceride mobilization in WAT triggered by central nesfatin‐1 administration. Adrenergic blockade and morphological denervation of the sciatic and femoral nerves reduced these changes. Taken together, these data suggest that central nesfatin‐1 regulates peripheral lipid metabolism in type 2 diabetes via the sympathetic nervous system.
Identifying business opportunities for sustainable development: Longitudinal and experimental evidence contributing to the field of sustainable entrepreneurship
Authors: Eller Fokko J. , Gielnik Michael M. , Wimmer Hendrik , Thölke Corinna , Holzapfel Sara , Tegtmeier Silke , Halberstadt Jantje 
Published: January 2020

AbstractWhich factors facilitate the identification of business opportunities for sustainable development? To answer this question, we develop a process model of sustainable opportunity identification. We argue that sustainable opportunity identification is a process with transitions from problem to solution identification and from solution to sustainable opportunity identification. Moreover, the transitions are facilitated by two factors—awareness of adverse consequences and entrepreneurial attitude—providing motivation and direction in the process. We tested our model in a field study (N = 107) and two experiments (N = 53 andN = 69). Our findings show that awareness of adverse consequences and entrepreneurial attitude influence the process of sustainable opportunity identification, explaining under which conditions people are more likely to identify business opportunities for sustainable development. Our study thus contributes to the field of sustainable entrepreneurship.
Tuning the Facet Proportion of Co2C Nanoprisms for Fischer‐Tropsch Synthesis to Olefins
Authors: An Yunlei , Lin Tiejun , Gong Kun , Wang Xinxing , Zhong Liangshu , Wang Hui , Sun Yuhan 
Published: January 2020

AbstractCobalt carbide (Co2C) exhibits strong facet effect for Fischer‐Tropsch to olefins (FTO) reaction. Herein, we report that the facet proportion of Co2C nanostructures can be tuned effectively by incorporating and altering the Mn content in the CoMn composite oxide as catalyst precursor. With the addition of Mn promoter, the Co2C nanoprisms with exposed (020) and (101) facets are generated under reaction conditions. In addition, the facet proportion of Co2C(020) facet can be effectively improved by enhancing the Mn/Co ratio. With the increase of facet proportion of Co2C(020)/Co2C(101) ratio, the as‐obtained Co2C nanoprisms exhibit higher intrinsic activity and lower methane selectivity during the syngas conversion process. Kinetic experiments also demonstrate that the apparent activation energy (Ea) for CO conversion is significantly reduced as increasing the facet proportion of Co2C(020). This work provides a simple and feasible way to tune the exposed facet proportion for the rational design of Co2C nanocatalyst for FTO reaction.
Effect of Experimental Operations on the Limiting Current Density of Oxygen Reduction Reaction Evaluated by Rotating‐Disk Electrode
Authors: Zhong Guoyu , Xu Shurui , Liu Lei , Zheng Cheng Zhi , Dou Jingjing , Wang Fengye , Fu Xiaobo , Liao Wenbo , Wang Hongjuan 
Published: January 2020

AbstractThe universal linear scan voltammogram measurement on the rotating disk electrode (RDE) has been identified as a simple method to investigate the oxygen reduction activity of electrocatalysts. The steady‐state limiting current density Ilim indicates the maximum diffusion current density in the oxygen reduction reaction (ORR) during RDE measurement, which should be a fixed value in theory for a 4e ORR in a particular concentration solution and at a certain rotate speed. However, in experiments, Ilim is always variable and smaller than theoretical value even though with the same the catalyst, electrode, and rotator. So the impact of various experimental operating parameters on Ilim is highly necessary to be investigated. In this paper, factors, such as catalyst loading, O2 inlet condition, O2 flow rate, gas tightness, solution concentration, and purity, have been investigated for their effects on the Ilim of ORR on three typical catalysts (20 % commercial Pt/C, Iron/Nitrogen/Carbon‐catalyst and N‐doped carbon nanotubes). The results indicate that the catalyst loading and O2 inlet condition are the key factors influencing the Ilim of ORR. While, the O2 flow rate, gas tightness, solution concentration, and purity have little influence on the Ilim of ORR. The correct Ilim could be obtained under the optimized catalyst loading and the O2 inlet with an extended sand core tube.