bluuebunny/crossref_metadata_2025_split huggingface dataset:
Preoperative hydronephrosis is an independent protective factor of renal function decline after nephroureterectomy for upper tract urothelial carcinoma
Authors: Cheng Pai-Yu , Lee Hsiang-Ying , Li Wei-Ming , Huang Steven K. , Liu Chien-Liang , Chen I-Hsuan Alan , Lin Jen-Tai , Lo Chi-Wen , Yu Chih-Chin , Wang Shian-Shiang , Chen Chuan-Shu , Tseng Jen-Shu , Lin Wun-Rong , Yeong-Chin Jou , Cheong Ian-Seng , Jiang Yuan-Hong , Lee Yu Khun , Chen Yung-Tai , Chen Shin-Hong , Chiang Bing-Juin , Hsueh Thomas Y. , Huang Chao-Yuan , Wu Chia-Chang , Lin Wei Yu , Tsai Yao-Chou , Yu Kai-Jie , Huang Chi-Ping , Huang Yi-You , Tsai Chung-You 
Published: February 2023

ObjectivesTo evaluate the predictive role of pre-nephroureterectomy (NU) hydronephrosis on post-NU renal function (RF) change and preserved eligibility rate for adjuvant therapy in patients with upper tract urothelial carcinoma (UTUC).Patients and methodsThis retrospective study collected data of 1018 patients from the Taiwan UTUC Collaboration Group registry of 26 institutions. The patients were divided into two groups based on the absence or presence of pre-NU hydronephrosis. Estimated glomerular filtration rate (eGFR) was calculated pre- and post-NU respectively. The one month post-NU RF change, chronic kidney disease (CKD) progression, and the preserved eligibility rate for adjuvant therapy were compared for each CKD stage.Results404 (39.2%) patients without and 614 (60.8%) patients with pre-NU hydronephrosis were enrolled. The median post-NU change in the eGFR was significantly lower in the hydronephrosis group (-3.84 versus -12.88, p&lt;0.001). Pre-NU hydronephrosis was associated with a lower post-NU CKD progression rate (33.1% versus 50.7%, p&lt; 0.001) and was an independent protective factor for RF decline after covariate adjustment (OR=0.46, p&lt;0.001). Patients with pre-NU hydronephrosis had a higher preserved eligibility rate for either adjuvant cisplatin-based chemotherapy (OR=3.09, 95%CI 1.95–4.69) or immune-oncology therapy (OR=2.31, 95%CI 1.23–4.34).ConclusionPre-NU hydronephrosis is an independent protective predictor for post-NU RF decline, CKD progression, and eligibility for adjuvant therapy. With cautious selection for those unfavorably prognostic, non-metastatic UTUC patients with preoperative hydronephrosis, adjuvant rather than neoadjuvant therapy could be considered due to higher chance of preserving eligibility.
Effects of qigong exercise on cardiovascular risk factors in patients with metabolic syndrome: A systematic review and meta-analysis
Authors: Tao Shuoxiu , Li Zaimin 
Published: February 2023

Background: As a traditional Chinese exercise system, Qigong includes many types of exercises, including Baduanjin, Wuqinxi, Yijinjing, and Liuzijue. However, reviews highlighting the effects of a specific type of Qigong exercise in patients with metabolic syndrome or risk factors for metabolic syndrome are limited, and no articles have systematically evaluated the effects of Qigong exercise on cardiovascular risk factors in patients with metabolic syndrome. Therefore, this systematic review aimed to evaluate the effects of Qigong exercise on cardiovascular risk factors in patients with metabolic syndrome.Objective: Relevant randomized controlled trials were identified to conduct a meta-analysis of the effects of Qigong exercise on patients with metabolic syndrome, and to further explore the overall impact, heterogeneity, and publication bias related to the effects of Qigong exercise on metabolic syndrome.Methods: We searched for RCTs of Qigong exercise in patients with metabolic syndrome from the following databases: Pubmed, Web of Science, The Cochrane Library, Scopus, Embase, Physiotherapy Evidenced Database (PEDro), Google Scholar, Chinese Biomedical Literature Database (CBM), Chinese National Knowledge Infrastructure Database (CNKI), Chinese Science, Wanfang Data, and the VIP database. The search duration was set from the establishment of the database to 16 April 2022. We used the “Bias Risk Assessment” tool recommended by Cochrane Manual 5.0 to assess the methodological quality of the included literature and the R (version 3.6.2) package gemtc to analyze the data.Results: A total of seven RCTs with 486 participants were included in the meta-analysis. The results showed that Qigong exercise had significant effects on waist circumference (standardized mean difference [SMD] = −0.67; 95% CI, −1.16 to −0.17), systolic blood pressure (standardized mean difference = −0.53; 95% CI, −0.78 to −0.28) and triglyceride level (SMD = −0.60; 95% CI, −0.79 to −0.41). Subgroup analyses showed that 6-month Qigong exercise significantly improved diastolic blood pressure (SMD = −1.06; 95% CI, −1.57 to −0.56), high-density lipoprotein cholesterol level (SMD = 1.45; 95% CI, 1.06–1.85), total cholesterol level (SMD = −0.65; 95% CI, −1.04 to −0.27), and body mass index (SMD = −0.97; 95% CI, −1.23 to −0.72). For fasting blood glucose (SMD = −1.12; 95% CI, −1.58 to −0.67), the effect of a 3-month intervention seemed more effective than 6 months of Qigong exercise, but the evidence was insufficient. In addition, Qigong exercise had minimal effects on low-density lipoprotein cholesterol levels (SMD = −1.22; 95% CI, −1.95 to −0.50).Conclusion: Qigong may be an alternative exercise mode to improve cardiovascular risk factors in patients with metabolic syndrome. However, the findings are limited by the number and quality of the included studies, and require validation through more high-quality studies.
Comparison and analysis of the biomechanics of the lower limbs of female tennis players of different levels in foot-up serve
Authors: Liang Zhiqiang , Wu Jinan , Yu Jiabin , Ying Shanshan , Liu Zhiyong , Zhang Yu , Gu Yaodong , Li Jianshe 
Published: February 2023

Purpose: The purpose of this study was to examine biomechanical performance of the foot-up serve (FUS) in female tennis players at different skill levels.Methods: FUS analysis was completed in the biomechanical laboratory by 32 female college tennis players at three different levels. During FUS, 3D-biomechanical data from tennis players’ lower limbs were collected. One-way ANOVA was used to examine differences in kinematic and kinetic data between groupsResults: Range of motion (ROM) of bilateral lower-limb joints revealed significant differences in kinematics performance during both the preparation and landing cushion phases (p &lt; 0.05). During preparation, Level 3 was significantly longer than Level 2 (P-a = 0.042, P-b = 0.001, and P-c = 0.006). During the flight phase, significant differences between levels 1 and 3 (P-a:0.002) and levels 1 and 2 (P-c:0.000) were discovered (P-a:0.002 and P-c:0.000). There were significant height differences between levels 1 and 2 as well as between levels 1 and 3. (P-a = 0.001, P-c = 0.000). During serve preparation (P-c = 0.001) and landing, GRF’s peak was significantly higher than level 3. (P-c:0.007). Significant differences were found between groups in the LLS preparation stage, with level 3 significantly higher than levels 1 and 2. (P-a = 0.000, P-b = 0.001, and P-c = 0.000); during landing, level 2 LLS was significantly higher than levels 1 and 3. (P-a = 0.000, P-b = 0.000, and P-c = 0.035).Conclusion: The range of motion of joints and the stiffness of the lower limbs have a significant impact on a tennis player’s FUS performance. A larger of joint mobility and lower-limb stiffness promote better performance during the FUS preparation stage.
Enhancing the accumulation of linoleic acid and α-linolenic acid through the pre-harvest ethylene treatment in Camellia oleifera
Authors: Li Hongbo , Ma Xiaoling , Wang Weiqi , Zhang Jiaxi , Liu Yuanzhe , Yuan Deyi 
Published: February 2023

Camellia oleifera Abel. (C. oleifera) is an important woody edible oil tree species in China. The quality of C. oleifera oil (tea oil) is mainly determined by the contents of linoleic acid (LA) and α-linolenic acid (ALA). However, how to increase the contents of LA and ALA in tea oil and the corresponding regulating mechanism have not been clarified. In the present study, we found that the LA and ALA contents in C. oleifera seeds were significant positively associated with the concentrations of ethephon and were decreased by ethylene inhibitor treatment. Furthermore, 1.5 g L-1 ethephon could receive an optimal LA and ALA contents without adverse effects to the growth of ‘Huashuo’ trees in this study. The ethephon treatment also increased the contents of 1-aminocyclopropane-1-carboxylic acid (ACC), sucrose, soluble sugar and reducing sugar contents in seeds. Transcriptome analysis further suggested that exogenous ethephon application enhanced the accumulation of LA and ALA via regulating genes involved in LA and ALA metabolism, plant hormone signal transduction pathways, and starch and sucrose metabolism. Our findings confirm the role of ethylene in LA and ALA regulation and provide new insights into the potential utilization of ethylene as a LA and ALA inducer in C. oleifera cultivation.
Prediction of patient choice tendency in medical decision-making based on machine learning algorithm
Authors: Lyu Yuwen , Xu Qian , Yang Zhenchao , Liu Junrong 
Published: February 2023

ObjectiveMachine learning (ML) algorithms, as an early branch of artificial intelligence technology, can effectively simulate human behavior by training on data from the training set. Machine learning algorithms were used in this study to predict patient choice tendencies in medical decision-making. Its goal was to help physicians understand patient preferences and to serve as a resource for the development of decision-making schemes in clinical treatment. As a result, physicians and patients can have better conversations at lower expenses, leading to better medical decisions.MethodPatient medical decision-making tendencies were predicted by primary survey data obtained from 248 participants at third-level grade-A hospitals in China. Specifically, 12 predictor variables were set according to the literature review, and four types of outcome variables were set based on the optimization principle of clinical diagnosis and treatment. That is, the patient's medical decision-making tendency, which is classified as treatment effect, treatment cost, treatment side effect, and treatment experience. In conjunction with the study's data characteristics, three ML classification algorithms, decision tree (DT), k-nearest neighbor (KNN), and support vector machine (SVM), were used to predict patients' medical decision-making tendency, and the performance of the three types of algorithms was compared.ResultsThe accuracy of the DT algorithm for predicting patients' choice tendency in medical decision making is 80% for treatment effect, 60% for treatment cost, 56% for treatment side effects, and 60% for treatment experience, followed by the KNN algorithm at 78%, 66%, 74%, 84%, and the SVM algorithm at 82%, 76%, 80%, 94%. At the same time, the comprehensive evaluation index F1-score of the DT algorithm are 0.80, 0.61, 0.58, 0.60, the KNN algorithm are 0.75, 0.65, 0.71, 0.84, and the SVM algorithm are 0.81, 0.74, 0.73, 0.94.ConclusionAmong the three ML classification algorithms, SVM has the highest accuracy and the best performance. Therefore, the prediction results have certain reference values and guiding significance for physicians to formulate clinical treatment plans. The research results are helpful to promote the development and application of a patient-centered medical decision assistance system, to resolve the conflict of interests between physicians and patients and assist them to realize scientific decision-making.
Fear and Anxiety in Pregnant Women During the COVID-19 Pandemic: A Systematic Review
Authors: Muñoz-Vela Francisco Javier , Rodríguez-Díaz Luciano , Gómez-Salgado Juan , Fernández-Carrasco Francisco Javier , Allande-Cussó Regina , Vázquez-Lara Juana María , Fagundo-Rivera Javier 
Published: February 2023

Objectives: The aim of this study was to explore the impact of the 2020–2022 pandemic on the levels of fear and anxiety in pregnant women and to identify risk and protective factors.Methods: A systematic review was conducted. Electronic databases were consulted for studies published between January 2020 and August 2022. The methodological quality was assessed using a critical appraisal tool for non-randomised studies.Results: Seventeen studies were included in the review. A high prevalence of levels of fear and anxiety were observed. Risk factors such as unplanned pregnancy, poor support from partners, or intolerance of uncertainty were identified for high levels of fear. Regarding anxiety, risk factors such as maternal age, social support, financial status, or concern about being able to maintain antenatal follow-ups were identified.Conclusion: The COVID-19 pandemic had a significant impact on the mental health of pregnant women through increased levels of fear and anxiety. It has not been possible to establish a relationship between significant factors such as gestational age or health emergency control measures with high levels of fear or anxiety.
ANALISIS BIAYA MANPOWER MENGGUNAKAN METODE CRASHING PADA REPLATING REPARASI KAPAL DI PT. DAYA RADAR UTAMA LAMPUNG
Authors: Rahman Taufik 
Published: February 2023

Kapal laut telah dikenal lama sebagai alat transportasi yang menghubungkan antar pelabuhan. Pada saat ini bagian kapal sebagian besar terbuat dari logam yang disebabkan oleh faktor usian kapal atau akibat benturan menyebabkan korosi dan kerusakan pada bagian kapal. Untuk menjaga agar kapal tetap dapat beroperasi melayani penumpang, barang dan kendaraan maka kapal harus melakukan pemeliharaan dan perawatan.
Kegiatan pemeliharaan dan perawatan salah satunya adalah replating yaitu proses pergantian dan pembaharuan pelat besi maupun plat baja yang baru untuk menggantikan pelat lama уаng telah mengalami penipisan diakibatkan korosi maupun deformasi terhadap air laut atau terkena benturan.
Aktivitas replating ini memerlukan waktu sehingga diperlukan suatu perencanaan kebutuhan manpower untuk reparasi kapal.
Harus dilakukan analisis terhadap banyaknya manpower yang dibutuhkan dan menghitung penambahan biaya dengan digunakannya metode crashing. Dari hasil perhitungan biaya manpower untuk pekerjaan di replating pada proyek reparasi kapal KMP. Jatra III, di dapatkan jumlah manpower saat kondisi normal adalah 10 orang dan setelah menggunakan metode crashing memerlukan manpower 14 orang dengan total selisih biaya pada durasi normal dengan durasi crashing yaitu Rp.480.000,- Dengan demikian presentase kenaikan biaya manpower akibat adanya penambahan tenaga kerja adalah 1,8 % dari biaya normal yang di perlukan.

Kata Kunci : manpower, crashing, replating, kapal.
Standard Operating Procedures of antenatal care and its relation with pregnant women's satisfaction during pregnancy examination: Results of a survey at Gamping I Public Health Center, Yogyakarta, Indonesia
Authors: Triana Hilma , Sulistyaningsih Sulistyaningsih , Jumpanata Jumpanata , Yamani Yogi 
Published: February 2023

Background: The achievement parameter for maternal health services program is the access of pregnant health services, as indicated by measuring the coverage of antenatal care services. In Indonesia, examination of pregnant women according to antenatal standards is regulated by Ministry of Health Indonesia Number 21 of 2021, where pregnancy checks must fulfill the standard 10 T criteria.
Aims: This study aimed to identify the Standard Operating Procedures of antenatal care in Gamping I Public Health Center, Yogyakarta, Indonesia, and determine its relation with pregnant women's satisfaction during pregnancy examination.
Methods: Of 70 TM III pregnant women, who routinely visit for antenatal care service at the Public Health Center Gamping I, a total of 40 pregnant women were selected using consecutive sampling with 10% margin of error. A set of questionnaires was distributed to the respondents to asses: (1) The implementation of the antenatal care service standard (20 questions, and weighted using a dichotomy scale) and (2) The pregnant women satisfaction (22 questions, and weighted using the Likert scale. The data obtained from respondents were then tabulated and processed using Microsoft Office Excel 2010 and then analyzed using the SPSS Statistics 16.0 program (Pearson Product Moment formula with an error rate of 5%).
Results: There are 10 pregnancy tests (10T) received by the pregnant women at the health center including the measurement of Height, Weight, Blood pressure, upper arm circumference, Uterine fundus height, Presentation & Fetal heart rate, Provision of 90 Fe Tablets, Laboratory examinations, Case handling, TT Immunization Screening, and Counseling & mental health assessment. According to the findings of the research conducted by the researchers, antenatal examinations were not carried out in a comprehensive and thorough manner in instances. This article provides the women satisfaction to the antennal care on different dimensions of satisfaction including Physical Proof, Reliability, Responsiveness, Guarantee, and Empathy. Even though the analysis shows that the respondents was satisfied with the antennal care services; however, the relation is not statistically significant (p-value of 0.652).
Conclusion : One's satisfaction is very difficult to measure and someone's satisfaction is different from the satisfaction of someone else. According to the findings of the study, every time a midwife performed an antenatal checkup, she had never provided complete 10T-based antenatal care. In addition, this research has been carried out through direct observation of prenatal care, where pregnant women and midwives' perceptions of antenatal care examinations do not differ.
Educação para a Competência em Informação e a Formação de Multiplicadores no contexto da Educação Profissional e Tecnológica
Authors: Silva Carlos Robson Souza da , Cavalcante Luciane de Fátima Beckman , Alcará Adriana Rosecler 
Published: February 2023

Tem como objetivos discutir o conceito de Competência em Informação na Educação Profissional e Tecnológica, refletir sobre o papel educativo dos multiplicadores de Competência em Informação e apontar para a possibilidade de uma formação de multiplicadores pensada a partir de um modelo de Competência em Informação na Educação Profissional e Tecnológica. Trata-se de revisão de literatura, da qual foram selecionados autores que oferecessem argumentos teóricos para alcançar os objetivos propostos. Conceitua Competência em Informação na Educação Profissional e Tecnológica e Multiplicadores de Competência em Informação. Apresenta o Modelo de Competência em Informação na Educação Profissional e Tecnológica de Silva (2021) e discute a possibilidade de seu uso na formação de multiplicadores. Encerra apontando para o fato de que o processo de formação continuada facilita aos profissionais da informação a implementação de ações de Competência em Informação ao mesmo tempo em que compreendem e apreendem a história, a filosofia e as dinâmicas próprias da Educação Profissional.
Tem como objetivos discutir o conceito de Competência em Informação na Educação Profissional e Tecnológica, refletir sobre o papel educativo dos multiplicadores de Competência em Informação e apontar para a possibilidade de uma formação de multiplicadores pensada a partir de um modelo de Competência em Informação na Educação Profissional e Tecnológica. Trata-se de revisão de literatura, da qual foram selecionados autores que oferecessem argumentos teóricos para alcançar os objetivos propostos. Conceitua Competência em Informação na Educação Profissional e Tecnológica e Multiplicadores de Competência em Informação. Apresenta o Modelo de Competência em Informação na Educação Profissional e Tecnológica de Silva (2021) e discute a possibilidade de seu uso na formação de multiplicadores. Encerra apontando para o fato de que o processo de formação continuada facilita aos profissionais da informação a implementação de ações de Competência em Informação ao mesmo tempo em que compreendem e apreendem a história, a filosofia e as dinâmicas próprias da Educação Profissional.
Productivity and penalty in sugarcane from three meteorological databases in Jataí-GO
Authors: Dos Anjos João Carlos Rocha , Casaroli Derblai , Alves Júnior José , Paixão Jéssica Sousa , Silva Gustavo Cassiano da , Moraes Jaurene Moura Fé , Anjos Neto José Gil dos , Medrado Lucas de Castro , Almeida Fillipe de Paula , Santos Djavan Pinheiro 
Published: February 2023

The agroecological zone model proposed by FAO (ZAE/FAO) is an important tool in agricultural planning and can be used in Jataí, which has been gaining space in the production of sugarcane. The objective of this study was to compare the observed meteorological databases (BDMEP) with the estimated ones (Xavier and NASA POWER), in the estimation of potential productivity (PP) and attainable (PA) of sugarcane and its penalties for management (PMJ) and water deficit (PDF), using the ZAE/FAO model in the municipality of Jataí - GO. To this end, the BDMEP, Xavier and NASA POWER database, 33 years old (1984-2017), were used. Using BDMEP, Xavier and NASA POWER as input in the ZAE model, we observed an average PP of 259±11, 275±10 and 267±11 Mg ha-1 as, respectively. PA reaches 200 Mg ha-1 when using BDMEP in ZAE, with 50% of the crop year with PA above 180 Mg ha-1. There was an average penalty of 114.01±6.9 for management and 85.67±4.08 Mg ha-1 in stem yield. The meteorological variables of Xavier's database can be used in the ZAE model in the prediction of productivity penalty for water deficit and sugarcane management, with 63% and 88% adjustment to BDMEP, respectively. NASA POWER can be used in the simulation of penalty for failures in sugarcane management, with up to 87% approximation of those observed. Both sources when used in the prediction model assist in agricultural planning.
Peningkatan Kemampuan Menganalisis dan Hasil Belajar Matematika Materi Bangun Ruang Menggunakan Pendidikan Matematika Realistik Indonesia (PMRI) Untuk Siswa Kelas V SDN Pungsari 2 Tahun Pelajaran 2020/2021
Authors: Palupi Maria Sekar , Krisandi Apri Damai Sagita , Sarwi Marciana 
Published: February 2023

Penelitian ini bertujuan untuk meningkatkan kemampuan menganalisis dan hasil belajar matematika materi bangun ruang menggunakan pendekatan PMRI untuk siswa kelas V SDN Pungsari 2 Tahun Pelajaran 2020/2021. Metode penelitian ini adalah penelitian tindakan kelas dilakukan dengan dua siklus tindakan yang masing-masing siklus meliputi (1) perencanaan, (2) pelaksanaan, (3) observasi, dan (4) refleksi. Subjek penelitian ini adalah siswa kelas V tahun pelajaran 2020/2021 berjumlah 18 siswa. Metode pengumpulan data menggunakan lembar observasi, pedoman wawancara, tes dan dokumentasi. Berdasarkan hasil penelitian tindakan kelas ini dapat disimpulkan bahwa pembelajaran matematika materi bangun ruang menggunakan pendekatan PMRI dapat meningkatkan kemampuan menganalisis dan hasil belajar siswa. Hal ini terbukti dari meningkatkannya kemampuan menganalisis prasiklus dengan nilai rata-rata 54 (sangat rendah) menjadi 71 (tinggi) pada siklus pertama dan 83 (sangat tinggi) pada siklus kedua. Sedangkan hasil belajar siswa prasiklus memperoleh nilai rata-rata 50 mengalami peningkatan menjadi 62 pada siklus pertama dan 76 pada siklus kedua serta ≥80% siswa telah mencapai KKM.