bluuebunny/crossref_metadata_2025_split huggingface dataset:
Long-Term Surgical Outcomes of Liver Resection for Hepatocellular Carcinoma in Patients With HBV and HCV Co-Infection: A Multicenter Observational Study
Authors: Jia Hang-Dong , Liang Lei , Li Chao , Wu Han , Wang Hong , Liang Ying-Jian , Zhou Ya-Hao , Gu Wei-Min , Fan Xin-Ping , Zhang Wan-Guang , Chen Ting-Hao , Chen Zhi-Yu , Zhong Jian-Hong , Lau Wan Yee , Pawlik Timothy M. , Diao Yong-Kang , Xu Qiu-Ran , Shen Feng , Zhang Cheng-Wu , Huang Dong-Sheng , Yang Tian 
Published: July 2021

BackgroundHepatocellular carcinoma (HCC) is one of the most serious consequences of chronic hepatitis B virus (HBV) or hepatitis C virus (HCV) infection. This study sought to investigate long-term outcomes after liver resection for HCC among patients with HBV/HCV co-infection (HBV/HCV-HCC) compared with patients with HBV infection (HBV-HCC).MethodsPatients who underwent curative-intent liver resection for HCC were identified from a multicenter Chinese database. Using propensity score matching (PSM), patients with HBV/HCV-HCC were matched one-to-one to patients with HBV-HCC. Overall survival (OS) and recurrence-free survival (RFS) were compared between the two groups before and after PSM.ResultsAmong 2,467 patients identified, 93 (3.8%) and 2,374 (96.2%) patients had HBV/HCV-HCC and HBV-HCC, respectively. Compared with patients with HBV-HCC, patients with HBV/HCV-HCC were older, have poorer liver-related characteristics but better tumor-related characteristics. PSM created 88 pairs of patients with comparable liver- and tumor-related characteristics (all P &gt; 0.2). In the PSM cohort, the 3- and 5-year RFS rates in patients with HBV/HCV-HCC were 48.3% and 38.9%, which were significantly poorer than patients with HBV-HCC (61.8% and 49.2%, P = 0.037). Meanwhile, the 3- and 5-year OS rates in patients with HBV/HCV-HCC were also poorer than patients with HBV-HCC (65.4% and 51.1% vs. 73.7% and 63.0%), with a difference close to be significant between them (P = 0.081).ConclusionComparing to patients with HBV-HCC, liver resection resulted in relatively poorer long-term surgical outcomes in patients with HBV/HCV-HCC.
Meta-Analysis of the Efficacy of Laparoscopic Pyeloplasty for Ureteropelvic Junction Obstruction via Retroperitoneal and Transperitoneal Approaches
Authors: Ji Fengming , Chen Li , Wu Chengchuang , Li Jinrong , Hang Yu , Yan Bing 
Published: July 2021

Objective: This study aimed to evaluate the clinical efficacy of laparoscopic pyeloplasty (LP) for ureteropelvic junction obstruction (UPJO) via retroperitoneal and transperitoneal approaches.Method: A systematic literature search on keywords was undertaken using PubMed, Cochrane Library, Embase, China Nation Knowledge (CNKI), and Wanfang. The eligible literature was screened according to inclusion and exclusion criteria. Meta-analysis was performed by using RevMan 5.0 software.Results: According to the inclusion and exclusion criteria, 12 studies were identified with a total of 777 patients. Four hundred eight patients were treated with retroperitoneal laparoscopic pyeloplasty (RLP), and 368 patients were treated with transperitoneal laparoscopic pyeloplasty (TLP). The meta-analysis results showed that the two approaches were similar in terms of presence of postoperative hospital stay, postoperative complication, the rate of conversion, and recurrence (p &gt; 0.05). The operative time in the TLP group was significantly shorter than the RLP group (MD = 16.6; 95% CI, 3.40–29.80; p = 0.01). The duration of drainage was significantly shorter (MD = −1.06; 95% CI, −1.92 to −0.19; p = 0.02), and the score of postoperative visual analog score (VAS) was significantly lower in the RLP group than in the TLP group (MD = −0.52; 95% CI, −0.96 to −0.08; p = 0.02).Conclusion: Both approaches have good success rates and low postoperative complication rates. RLP provides a shorter duration of drainage and lower VAS score, but it takes more operative time than TLP.
Robust Optical Frequency Comb Generation by Using a Three-Stage Optical Nonlinear Dynamic
Authors: Zhang Yali , Liao Shuxu , Wang Guan , Yang Ke , Zhang Zhiyao , Zhang Shangjian , Liu Yong 
Published: July 2021

In this article, we propose and investigate a novel scheme to generate optical frequency combs (OFCs) by using a three-stage generator, which is based on optical injection–induced dynamics cascaded by subharmonic electro-optic modulation and the four-wave mixing (FWM) effect. A primary seed OFC is rooted from the nonlinear dynamics in the optically injected semiconductor laser, and its performance is improved using a two-stage booster based on subharmonic electro-optic modulation and the FWM effect. The comb spacing can be easily tuned by adjusting that of the primary seed OFC or through electro-optic modulation by the use of subharmonics with different orders. Moreover, it becomes stabilized because the phase relationship between the comb teeth can be fixed in the process of subharmonic electro-optic modulation. Its optical spectrum continues to be broadened in the following FWM process. Finally, robust OFCs with a comb spacing of 4 GHz and a comb teeth number of 23 and a comb spacing of 5 GHz and a comb teeth number of 21 are experimentally demonstrated.
Beam Splitters Fabricated by Nonlinear Focusing of Femtosecond Laser Writing in Pure YAG Crystal
Authors: Wu Pengfei , Yang Senchi , Ren Yingying , Liu Hongliang 
Published: July 2021

We report on the fabrication of waveguides and beam splitters in pure YAG crystals by femtosecond laser direct writing (FLDW). During the femtosecond laser writing process, a positive refractive index is induced through the nonlinear focusing above the focus position, resulting in an unusual guiding cross-sectional configuration. The supported guiding modes at 632.8 nm are measured and analyzed using the end–face coupling system. The propagation loss can be as low as 1.9 dB/cm for the single-line waveguide. Different from the geometry of the traditional fs-laser modified area, this novel structure might offer a new approach in the quest toward integrated photonics.
Insights Into Excess Mortality During the First Months of the COVID-19 Pandemic From a Rural, Demographic Surveillance Site in Bangladesh
Authors: Hanifi Syed Manzoor Ahmed , Alam Sayed Saidul , Shuma Sanjida Siddiqua , Reidpath Daniel D. 
Published: July 2021

Background: Coronavirus disease 2019 (COVID-19) has spread globally, and the government of each affected country is publishing the number of deaths every day. This official figure is an underestimate as it excludes anybody who did not die in a hospital, who did not test positive, who had a false result, or those who recovered on their own without a test.Objective: This study aimed to measure the community level excess mortality using health and demographic surveillance in a rural area of Bangladesh.Method: The study was conducted in Matlab, in a rural area of Bangladesh, with a Health and Demographic Surveillance System (HDSS) covering a population of 239,030 individuals living in 54,823 households in 142 villages. We examined the mortality in January-April from 2015 to 2020 and compared the mortality in 2020 with the historical trend of 2015–2019. Between 2015 and 2020, we followed 276,868 people until migration or death, whichever occurred first. We analyzed mortality using crude mortality rate ratio (MRR) and adjusted MRR (aMRR) from a Cox proportional hazard model. Mortality was analyzed according to age, sex, and period.Results: During follow-up, 3,197 people died. The mortality rate per 1,000 person-years increased from 10 in 2019 to 12 in 2020. Excess mortality was observed among the elderly population (aged 65 years and above). The elderly mortality rate per 1,000 person-years increased from 80 in 2019 to 110 in 2020, and the aMRR was 1.40 (95% CI: 1.19–1.64). Although an increasing tendency in mortality was observed between 2015 and 2019, it was statistically insignificant.Conclusions: The study reported a 28% increase in excess deaths among the elderly population during the first months of the pandemic. This all-cause mortality estimation at the community level will urge policymakers, public health professionals, and researchers to further investigate the causes of death and the underlying reasons for excess deaths in the older age-group.
Opportunities for Capacity Building to Create Healthy School Communities in the Netherlands: Focus Group Discussions With Dutch Pupils
Authors: van Dongen Bonnie Maria , de Vries Inge Maria , Ridder Monica Antonia Maria , Renders Carry Mira , Steenhuis Ingrid Hendrika Margaretha 
Published: July 2021

Background: To sustainably implement a healthy school community in which stakeholders, including pupils, feel ownership over health-promotion activities, building community capacity is important. Pupils have experiential knowledge that is complementary to professional knowledge, but their perspectives on capacity-building processes are underexposed. This study aims to explore secondary-school pupils' perceptions about key influencers on physical activity and dietary choices and starting points for building community capacity.Methods: Seven focus groups with forty one pupils were held in four secondary schools engaged in a capacity-building intervention. Transcripts were analysed thematically regarding key influencers about choices in the home and school setting and capacity-building strategies (leadership, participation, tailored health-promotion activities and local networks).Results: Parents remained important influencers for making healthy choices, but snacking choices were increasingly made independently from parents based on attractiveness, availability and cost. Choices to engage in physical activity depended on social aspects and opportunities in the physical environment. Pupils considered their influence over the healthy school community limited, desired more involvement, but require this to be facilitated. They identified leaders mainly within formal structures, for example, student councils. They believed health-promotion activities related to the physical environment and project-based activities within the curriculum have the maximum potential to stimulate healthy behaviours in school communities.Conclusion: This study shows that pupils can reflect critically on their physical activity and dietary choices, and on how this can contribute to processes in creating a healthy school community. In order to take an active role, they need to be considered as full partners and leadership roles should be facilitated in existing structures.
Proctored Step by Step Training Program for GreenLight Laser Anatomic Photovaporization of the Prostate: A Single Surgeon's Experience
Authors: Sessa Francesco , Campi Riccardo , Granieri Stefano , Tuccio Agostino , Polverino Paolo , Spatafora Pietro , Sebastianelli Arcangelo , Cocci Andrea , Rivetti Anna , Gacci Mauro , Carini Marco , Serni Sergio , Oriti Rino , Minervini Andrea 
Published: July 2021

Objectives: To evaluate the feasibility and safety of a proctored step-by-step training program for GreenLight laser anatomic photovaporization (aPVP) of the prostate.Methods: Data from patients undergoing aPVP between January 2019 and December 2020 operated by a single surgeon following a dedicated step-by-step proctored program were prospectively collected. The procedure was divided into five modular steps of increasing complexity. Preoperative patients' data as well as total operative time, energy delivered on the prostate and postoperative data, were recorded. Then, we assessed how the overall amount of energy delivered and the operative times varied during the training program. Surgical steps were analyzed by cumulative summation. Univariable and multivariable regression models were built to assess the predictors of the amount of energy delivered on the prostate.Results: Sixty consecutive patients were included in the analysis. Median prostate volume was 56.5 mL. The training program was succesfully completed with no intraoperative or meaningful post-operative complications. The energy delivered reached the plateau after the 40th case. At multivariable analysis, increasing surgeon experience was associated with lower amounts of energy delivered as well as lower operative times.Conclusions: A step-by-step aPVP training program can be safely performed by surgeons with prior endoscopic experience if mentored by a skilled proctor. Considering the energy delivered as an efficacy surrogate metrics (given its potential impact on persistent postoperative LUTS), 40 cases are needed to reach a plateau for aPVP proficiency. Further studies are needed to assess the safety of our step-by-step training modular program in other clinical contexts.
COMO SE MOVER PELO DESERTO SEM UMA BÚSSOLA – POR UMA LEITURA SELVAGEM NO TERRITÓRIO ROBERTO BOLAÑO
Authors: Araujo Lima Natalie 
Published: July 2021

Teniendo en cuenta la aproximación hecha por RicardoPiglia entre el crítico literario y el detective, se presenta el acto delectura en Roberto Bolaño desdel a comparación del tipo del de te ctive lector en dos de sus novelas yen “La muerte y la brújula”, de Jorge Luis Borges: en el cuento borgiano, el racionalismo hacefrente a l instinto que hay en Los detectives salvaj es que por su partec uestiona la crítica europea en2666 . El desierto mexicano, el topos de las dos ficciones de Bolaño, impele hacia una lecturaerrante dentro de la narrativa, pero también afuera de ella, en la recepción crítica de su obra.
Fishing Tourism Business Planning Strategy To Increase People's Income in Lancang Island, Kepulauan Seribu
Authors: Prawira Mega Fitriani Adiwarna , Budisetyorini Beta 
Published: July 2021

Lancang Island is one of the islands in the Kepulauan Seribu Regency with the potential for tourism and fishing activities. Some residents of Lancang Island took advantage of the opportunity by establishing a fishing charter business. This study aims to provide a proper planning strategy for the tourist business unit to increase public income on Lancang Island. The fishing tourism business in Lancang Island includes four units such as Fishing Charter, Boat Rentals, Catering, and Accommodation. The data used are primary and secondary, and the research method is qualitative and presented descriptively. According to research using the BCG Matrix, the entire fishing charter units on Lancang Island are in the Cash Cow quadrant, so concentric diversification is a viable planning strategy. The planning strategies consist of product planning, market and marketing planning, and technology planning tailored to each business unit.
DAMPAK PEMIJATAN MANUAL DAN ELEKTRIK TERHADAP KEMAMPUAN HANDSTAND PADA ATLET SENAM ARTISTIK
Authors: Yuhantini Eva Ferdita 
Published: July 2021

Penelitian yang dilakukan bertujuan untuk mengetahui dampak pemijatan manual dan elektrik terhadap peningkatan kemampuan handstand. Penelitian ini merupakan penelitian quasi experimental dengan rancangan time series experiment. Sampel pada penelitian ini yaitu atlet cabang olahraga senam nomor artistik putra pada klub senam Petrokimia Gresik. Berdasarkan hasil penelitian, menunjukkan efek terhadap pemijatan manual (p=0,000) dan pemijatan elektrik (p=0,011) terdapat perbedaan signifikan terhadap kemampuan handstand dibandingkan tanpa pemijatan. Efek pemijatan manual terdapat perbedaan signifikan terhadap kemampuan handstand dibandingkan pemijatan elektrik (p= 0,015). Dengan demikian dapat disimpulkan bahwa: (1) pemijatan manual sebelum olahraga meningkatkan kemampuan handstand. (2) Pemijatan elektrik sebelum olahraga meningkatkan kemampuan handstand. (3) Efek pemijatan manual lebih baik daripada pemijatan elektrik terhadap kemampuan handstand.
EVALUASI PENERAPAN KESELAMATAN DAN KESEHATAN KERJA (K3) PADA PEKERJAAN FINISHING BANGUNAN DI PROYEK PEMBANGUNAN PENYEDIAAN AIR BAKU SEMARANG BARAT
Authors: Wiguna Andi , Permata Putri Anggi , Ariawan Donny 
Published: July 2021

Abstrak
Tujuan dilakukan penelitian ini adalah untuk mengetahui antecedents (input), transcription (proses), dan output (hasil) dari penerapan Keselamatan dan Kesehatan Kerja (K3) pada pekerjaan finishing bangunan di Proyek Pembangunan Penyedian Air Baku Semarang Barat. Metode evaluasi yang digunakan adalah Countenance Stake dengan 3 tahapan meliputi antecedents (input), transcription (proses), dan output. Subyek penelitian adalah pekerja di Proyek Pembangunan Penyediaan Air Baku Semarang Barat. Obyek penelitian adalah penerapan Keselamatan dan Kesehatan Kerja (K3). Sumber data yaitu pekerja di Proyek Pembangunan Penyediaan Air Baku Semarang Barat yang berjumlah 30 pekerja dan 3 safety officer. Data dikumpulkan melalui kuesioner, pengamatan, dan dokumentasi. Data dianalisis secara deskriptif. Hasil penelitian ini adalah : (1) antecedent (input) penerapan K3 pada pekerjaan finishing bangunan diproyek kostruksi ditinjau dari penetapan dasar hukum K3 dan pelaksanaan K3 sudah terlaksana sangat baik dilihat dari nilai rata-rata 28.33 yang sudah diterapkan dilapangan. (2) transcription (proses) penerapan K3 pada pekerjaan finishing bangunan diproyek konstruksi ditinjau dari perencanaa K3 dan Penerapan K3 sudah terlaksana dengan baik dilihat dari nilai rata-rata 24.67 yang sudah diterapkan dilapangan. (3) Output penerapan K3 pada pekerjaan finishing bangunan diproyek konstruksi ditinjau dari pemantauan K3 dan evaluasi kinerja K3 sudah terlaksana dengan baik dilihat dari nilai rata-rata 13.33 yang sudah diterapkan dilapangan.

Kata kunci: evaluasi, finishing bangunan, penerapan K3.
Pembuatan Pakan Komplit Silfer dan Pupuk Organik sebagai Alternatif Penyedia Pakan dan Pupuk Bagi Petanipada Masa Pandemi COVID-19
Authors: Bahri Syamsul , Nurmi Nurmi 
Published: July 2021

Upaya peningkatan produksi pertanian untuk memenuhi kebutuhan pangan menghadapi tantangan besar terutama dalam hal penyediaan pakan berkualitas tinggi dan penyediaan pupuk yang ramah lingkungan. Kegiatan ini bertujuan untuk memberikan penyuluhan tentang manajemen pemeliharaan sapi potong, kesehatan ternak, seleksi dan perkawinan ternak dan pelatihan teknologi pembuatan pakan ternak sapi potong (pakan komplit silfer), memberikan penyuluhan tentang budidaya tanaman pangandan pelatihan tentang teknologi pembuatan pupuk tanaman pangan (pupuk organik), memberikan sosialisasi pencegahan wabah penyakit covid-19, dan membantu program-program Kecamatan terutama yang berkaitan dengan disiplin ilmu setiap mahasiswa peserta Proyek di Desa “Kampus Merdeka”. Metode pelaksanaan kegiatan meliputi: persiapan, pembekalan, dan pelatihan. Pelaksanaan pelatihan pembuatan pakan komplit silfer dan pembuatan pupuk organik dilakukan oleh mahasiswa didampingi oleh dosen pembimbing lapangan.Pembuatan pakan komplit silfer yaitu dengan melayukan bahan-bahan berupa tanaman yang baru dipanen selama 3-12 jam untuk mengurangi kandungan airnya, mencacah tanaman dengan ukuran 1-5 cm, mencampur bahan yang sudah dicacah dengan bahan konsentrat lainnya lalu dimasukkan kedalam silo atau kantung plastik lalu dipadatkan dan ditutup rapat. Proses fermentasi berlangsung selama 21 hari.Metode pembuatan pupuk organik padat menggunakan metode fermentasi dengan bahan baku limbah ternak dan limbah tanaman. Pembuatan pupuk organik dilakukan dengan cara semua bahan dicampurkan secara merata dan dimasukkan kedalam wadah kompos. Pemeraman berlangsung dalam waktu 21 hari, dimana setiap minggu dilakukan pembalikan hingga proses pengomposan dapat berlansung secara baik. Adapun pembuatan pupuk organik cair menggunakan bahan dasar air kelapa yang difermentase dengan bantuan mikroba.Hasil pengabdian berupa pakan komplit silfer dan pupuk organik yang siap digunakan oleh mitra.Berdasarkan hasil yang diperoleh dapat disimpulkan bahwapembuatan pakan komplit silfer dan pupuk organik di Kecamatn Tilongkabila dapat menjadi alternatif penyedia pakan ternak dan pupuk bagi petani
Meningkatkan Ketersediaan Air Masa Pandemi COVID 19 di Kecamatan Anggrek Gorontalo Utara
Authors: Husnan Rawiyah , Desei Frice 
Published: July 2021

Pelaksanaan kegiatan pengabdian pada masyarakat dalam bentuk Kuliah Kerja Nyata (KKN) – Kampus Merdeka ini bertujuan untuk membantu masyarakat dan menumbuh kembangkan partisipasi dan kemandirian masyarakat dalam meningkatkan ketersediaan air terutama dimasa pandemi Covid 19. Kegiatan ini dilakukan dalam bentuk Pendampingan Penyediaan Fasilitas untuk meningkatkan ketersediaan air dan upaya-upaya konservasi air untuk mendukung pemenuhan air bersih dalam masa Pandemi Covid 19 serta pelestarian lingkungan di Kecamatan Anggrek Kabupaten Gorontalo Utara. Target yang diharapkan tercapai melalui kegiatan ini adalah meningkatnya ketersediaan air melalui pemanenan air hujan, serta upaya konservasi air melalui pembuatan sumur resapan serta biopori. Metode yang digunakan dalam pengabdian ini adalah sosialisasi dan pendampingan. Hasil kegiatan ini adalah tersedianya Sistem Pemanenan Air Hujan (PAH) di Desa Iloheluma, Sistem resapan biopori di Desa Tolango serta adanya Sumur Resapan di Desa Tolongio. Disamping itu dengan selesainya kegitan ini diharapkan dapat meningkatkan pemahaman dan pengetahuan masyarakat serta masyarakat termotivasi untuk melakukan upaya-upaya meningkatkan ketersediaan dan konservasi air secara mandiri untuk memenuhi kebutuhan air bersih untuk peningkatan kesehatan masyarakat pelestarian lingkungan terutama kekestarian sumber daya air di Kecamatan Anggrek Kabupaten Gorontalo Utara.
Pemberdayaan Dan Pemanfaatan Tanaman Toga untuk Produk Minuman Immunostimulan di Masa Pandemi Covid 19
Authors: Tuloli Teti S , Taupik Muhammad 
Published: July 2021

Kondisi di lapangan menunjukkan bahwa selama ini pemanfaatan dan pengelolaan sumberdaya perdesaan sebagian besar dilakukan oleh laki-laki, mulai dari kegiatan di bidang pertanian, peternakan, industri kecil dan menengah, koperasi, dan kegiatan lain yang sifatnya kegiatan ekonomi. Padahal perempuan sebagai anggota masyarakat juga mempunyai hak untuk ikut serta dalam pemanfaatan dan pengelolaan sumberdaya perdesaan, meskipun kemungkinan peran perempuan tidak sebesar peran laki-laki. Oleh karena itu diperlukan adanya berbagai program yang dapat dilakukan perempuan dalam rangka peningkatan kesejahteraan keluarga dengan memanfaatkan dan mengelola lingkungan sekitarnya. Salah satu program yang dapat dilaksanakan oleh perempuan dalam upaya peningkatan kesejahteraan industri rumah tangga, khususnya di bidang pangan adalah program penanaman dan pemanfaatan Tanaman Obat Keluarga (TOGA).Tujuan dari pengabdian ini adalah meningkatkan pendapatan masyarakat dimasa pandemi covid 19 sekaligus menyediakan obat yang lebih murah dan efek samping yang lebih ringan. Metode yang digunakan adalah ceramah dan praktik atau demonstrasi. Sehingga masyarakat dapat mempraktikkan secara langsung dan menerapkan dalam rumah tangga. Dalam pelaksanaannya disampaikan metode pengolahan tanaman TOGA sehingga menjadi minuman immunostimulan yang menyehatkan maupun bagaimana cara menanamnya. Disamping itu juga bagaimana cara mengelola keuangan hasil penjualan hasil pengelohan tanaman TOGA tersebut. Bagaimana strategi pemasarannya kepada masyarakat atau konsumen yang membutuhkan sehingga bisa menghasilkan keuntungan.