bluuebunny/crossref_metadata_2025_split huggingface dataset:
A novel nomogram based on the prognostic nutritional index for predicting postoperative outcomes in patients with stage I–III gastric cancer undergoing robotic radical gastrectomy
Authors: Shen Danli , Zhou Guowei , Zhao Jian , Wang Gang , Jiang Zhiwei , Liu Jiang , Wang Haifeng , Deng Zhengming , Ma Chaoqun , Li Jieshou 
Published: October 2022

BackgroundThe inflammation and nutrition status are crucial factors influencing the outcome of patients with gastric cancer. This study aims to investigate the prognostic value of the preoperative prognostic nutritional index (PNI) in patients with stage I–III gastric cancer undergoing robotic radical gastrectomy combined with Enhanced Recovery after Surgery (ERAS), and further to create a clinical prognosis prediction model.Study525 patients with stage I–III gastric cancer who underwent ERAS combined with RRG from July 2010 to June 2018 were included in this work, and were divided randomly into training and validating groups in a 7-to-3 ratio. The association between PNI and overall survival (OS) was assessed by Kaplan-Meier analysis and the log-rank test. Independent risk factors impacting postoperative survival were analyzed with the Cox proportional hazards regression model. A nomogram for predicting OS was constructed based on multivariate analysis, and its predictive performance was evaluated using Harrell's concordance index (C-index), calibration plots, ROC curve, decision curve analysis (DCA), and time-dependent ROC curve analysis.ResultsSurvival analyses revealed the presence of a significant correlation between low preoperative PNI and shortened postoperative survival (P = 0.001). According to multivariate analysis, postoperative complications (P &lt; 0.001), pTNM stage (II: P = 0.007; III: P &lt; 0.001), PNI (P = 0.048) and lymph node ratio (LNR) (P = 0.003) were independent prognostic factors in patients undergoing ERAS combined with RRG. The nomogram constructed based on PNI, pTNM stage, complications, and LNR was superior to the pTNM stage model in terms of predictive performance. The C-indexes of the nomogram model were respectively 0.765 and 0.754 in the training and testing set, while AUC values for 1-year, 3-year, and 5-year OS were 0.68, 0.71, and 0.74 in the training set and 0.60, 0.67, and 0.72 in the validation set.ConclusionPreoperative PNI is an independent prognostic factor for patients with stage I–III gastric cancer undergoing ERAS combined with robotic radical gastrectomy. Based on PNI, we constructed a nomogram for predicting postoperative outcomes of gastric cancer patients, which might be utilized clinically.
Hernia mesh infection treatment following the repair of abdominal wall hernias: A single-center experience
Authors: He Linxiang , Wang Xuehu , Fan Gaoxiang , Zhao Yu 
Published: October 2022

IntroductionThe mesh-based repair of abdominal wall hernias is a commonly employed approach as it is easy to implement and associated with low rates of hernia recurrence. However, the occurrence of hernia mesh infections following such repair can be extremely serious, and no clinical consensus regarding the optimal treatment of such infections has been established. This study was thus developed to review the management of hernia mesh infection cases treated at our center, summarizing the demographic and clinical characteristics of affected patients and summarizing our associated therapeutic experiences.MethodsData pertaining to 64 cases of hernia mesh infections treated at our center were retrospectively reviewed. Data were obtained from patient medical records, including general situation, hernia type, prior hernia repair approaches, type of mesh, and postoperative condition. Other reviewed outcomes include bacteriological and imaging findings, as well as treatment outcomes. In cases where conservative management was not successful, the approach to mesh removal (laparoscopic vs. open) was made based on the primary surgical approach and the type of material used for the repair.ResultsIn total, 42 patients underwent primary open inguinal hernioplasty (including plug repair, preperitoneal mesh repair, and Lichtenstein repair), while 11 patients underwent laparoscopic repair (9 transabdominal preperitoneal, TAPP and 2 totally extraperitoneal,TEP), and 11 patients with incisional hernias underwent the intraperitoneal onlay mesh (IPOM) procedure. Six patients exhibited mesh erosion of the internal organs. Of these patients, 38 underwent mesh removal via open debridement, while 9 underwent laparoscopic exploration and open debridement, and 1 underwent laparoscopic mesh removal. No patients exhibited serious postoperative sequelae, serious complications, or mortality after the treatment of mesh infections.One patient experienced postoperative infection recurrence following partial mesh removal, with the appearance of a small fistula. Hernias recurred in 2 patients following mesh removal, and 1 patient underwent repair via laparoscopic IPOM.ConclusionsWhile conservative treatment can cure early mesh infections, there is nonetheless a risk that these infections will recur. In view of the variety of surgical intervention of abdominal wall hernias at present,treatment of mesh infection should be individualized. Our findings suggest that hernias repaired via the placement of mesh in the preperitoneal space can more readily contribute to internal organ erosion and late-onset infections, with open debridement often being unable to completely remove the mesh without causing collateral damage. Laparoscopic exploration is an effective and minimally invasive approach to detecting internal organ involvement and removing the infected hernia mesh from affected patients.
Perfil epidemiológico dos pacientes submetidos a cirurgia bariátrica em hospital de ensino
Authors: José Alvarenga Arantes Antônio , Nogueira Ferreira e Silva Levi , Gomes Batista Wictor , Nepomuceno Gustavo , Couto Mota Matheus , Campanha da Rocha Ribeiro Tarsila , Vitoi Cangussu Igor , Vitoi Cangussu Victor 
Published: October 2022

Introdução: A obesidade é uma doença crônica de alta prevalência no Brasil associada a alta morbimortalidade, sendo a cirurgia bariátrica uma proposta válida para seu controle e tratamento. Nota-se que há uma escassez na literatura nacional de informações referentes a dados epidemiológicos, bem como das complicações que envolvem a cirurgia bariátrica. Objetivo: Investigar o perfil epidemiológico de indivíduos adultos submetidos a cirurgia bariátrica realizadas em hospital público de ensino no município de Juiz de Fora - MG. Método: Trata-se de um estudo de natureza analítica, observacional, transversal do tipo inquérito por meio do levantamento de prontuários. Resultados: Dos 466 indivíduos que realizaram a cirurgia bariátrica, a média de idade dos indivíduos foi de 40,2 anos e 85,2% eram do sexo feminino. Cerca de 84% dos pacientes classificaram-se com obesidade grau III. A comorbidade que mais prevaleceu no grupo pesquisado foi a hipertensão arterial (89%), a taxa de mortalidade foi de 1,9% e a frequência de complicações foram mais observadas em pacientes com obesidade grau III (68%). Conclusão: O perfil dos pacientes que buscaram abordagem cirúrgica para obesidade foi predominantemente de mulheres na terceira e quartas décadas de vida, brancas, com obesidade mórbida, tendo como comorbidade mais frequente DM e HAS, sendo que a presença de comorbidades não esteve associada ao aumento no risco de intercorrências do procedimento. A taxa geral de complicações foi baixa e o grau de obesidade esteve diretamente associado à sua ocorrência. A cirurgia bariátrica para tratamento da obesidade mostrou-se segura, com baixa taxa de complicações em um centro especializado, caracterizando, até o momento, a maior casuística nacional.
PENGGUNAAN KHAMIR SACCHAROMYCES CEREVISEAE UNTUK MEMERBAIKI KUALITAS NUTRIEN DEDAK PADI (Using yeast saccharomyces cereviseae to improve nutrients quality of rice bran)
Authors: Hilakore Maritje A. , Nenobais Mariana , Dami Dato Twenfosel O. C. 
Published: October 2022

The experiment was conducted to improve the nutrients quality ofrice bran fermented with Saccharomyces cereviseae.A laboratorium experimental method was used andarranging factorially in Completely Randomized Design3 x 4 x 3 namely three inoculant levels of S.cerevisiae 1, 2, and 3 % (w/w) as the first factor and inkubation time: 24, 48 and 72 hours as the second factor. Parameters observed were crude protein, soluble protein,crude fat, and phytic acid.The best result of this study was combination 2% S.cerevisiae inoculant level and 72 hours incubation time was supporting to increasing crude protein (10,88 to 14, 36%), soluble protein content (6.14 to 9.82%), and decreased phytic acid content (5.48 to 2.98%) and crude fat (8,23 to 6,91%).
PENGARUH PENAMBAHAN EKSTRAK BAWANG MERAH (Allium cepa) DALAM PENGENCER TRIS - KUNING TELUR TERHADAP KUALITAS SPERMATOZOA SAPI BALI PADA PENYIMPANAN IN VITRO (The effect of additional onion (Allium cepa) extract in tris - egg yolk extender on the sperm...
Authors: Djita Fian K. , Nalley Wilmientje M. , Hine Thomas M. , Marawali Aloysius 
Published: October 2022

The purpose of this study was to determine the effect of adding onion extract (OE) to Tris-egg yolk (T-EY) diluent on the quality of bali bulls spermatozoa. The semen of three bali bulls aged 3-4 years were collected twice a week using the artificial vaginal method. Semen with good quality, motility 79%, viability 84.63%, abnormality 2.93% diluted with T-EY diluent with the addition of OE: T0: 0%; T1 1%; T2: 2%; T3: 3%; T4: 4%; and T5: 5%. The diluted semen was preserved in a refrigerator at 3-5 °C and evaluated for the quality of the spermatozoa every 24 hours. The results showed that the addition of OE in T-EY diluent had a positive effect on the quality of bali bulls spermatozoa. The addition 3% of OE (T3) in T-EY diluent resulted in higher spermatozoa quality (P <0.05) than the other treatments, namely motility 42.01%, viability 48.74%, and abnormalities 4.13% on the sixth day of preservation. It was concluded that the addition of onion extract in Tris - egg yolk diluents could improve the quality of bali bulls spermatozoa, with the best level of onion extract being 3%.
PENGARUH PERBEDAAN WAKTU EKUILIBRASI TERHADAP KUALITAS SEMEN BEKU BABI LANDRACE DALAM PENGENCER DURASPERM MODIFIKASI DENGAN AIR BUAH LONTAR	(Effect of different equilibration time on the quality of landrace boar frozen semen on modification diluent....
Authors: Mega Maria G. , Nalley Wilmientje M. , Marawali Aloysius , Belli Henederiana L. L. 
Published: October 2022

An experiment was carried out to recognize the effect of long equilibration time on the quality of spermatozoa and to obtain optimal equilibration time in the process cryopreservation of landrace pig semen. Semen was obtained from a landrace boar aged 2-3 years using glove hand method. The semen was than evaluated macroscopically and microscopically, good quality semen was diluted in a basic diluent, than kept for two hours at a temperature of 27-28oC. The semen were then centrifuged at 2000 rpm for 15 minutes, the supernatant was discarced and the pellets was re-diluted into basic diluent with a ratio of 1:1. Then, semen was diluted in treatment diluent with modified durasperm + 6% lactose + 4% glycerol with a concentration of 500 x 106/0.5 mL. Furthermore, the semen was packaged in 0.5 ml straws, then equilibrated at a temperature of 3-5oC appropriate to treatment, with 1 hour equilibration (T1), 2 hours equilibration (T2) and 3 hours equilibration (T3). After equilibration, the straws was frozen horizontally 5 cm above the liquid N2 vapor for 10 minutes at a temperature of ± -110oC and then stored in a liquid N2 container (-196oC). To test frozen semen, it was done by stored frozen semen at 37oC for 30 seconds. The results showed that the highest quality of spermatozoa (P <0.05) was found in T2 and T3 when compared to T1 (P> 0.05), with the motility value was T2: 28.13 ± 2.39%; T3: 25.00 ± 4.08%; and T1 18,15±3,23%. It can be concluded that 2 hours and 3 hours equilibration time was able to maintain the quality of frozen semen landrace boars and the statistically was not significant.
ESTIMASI NILAI REPITABILITAS DAN PERFORMA PRODUKSI UMUR LAHIR DAN SAPIH INDUK BABI PERANAKAN LANDRACE (The estimate of repitability value and performances at birth and weaning age of landrace crossbred)
Authors: Djego Yohanes , Kihe Johny N. , Kune Petrus 
Published: October 2022

The aims of this research were to estimate repitability coefficients of production at birth and weaning characters and to determine the average and standard deviation of landrace crossbreed sows. This research was carried out in two breeding farms namely the Instalation of Pig Breeding, village of Tarus, Kupang Regency and the Manise Pig Farm, Village of Oetete, Kupang City, East Nusa Tenggara. Materials used 15heads landrace crossbreed sows ( 15 heads ) which born and weaned piglets during the study periode. The number of piglets for the first parity was 151heads and for the second parity was 162heads. All sows was mated by artivicial insemination with boars of landrace crossbreed. Variables were liter size, weaning rate, birth weight, weaning weight and weaning rate. Results showed that landrace crossbreed sows had the average and deviation standard for the first and second liter size were 10.00±1.50heads and 10.73±2.40heads, respectively; for the first and second birth weight were 1.37±0.23kg and 1.68±0.34kg, respectively; for the first and second weaning weight were 6.42±0.38kg and 6.72±0.51kg, respectively and for the first and second weaning rate were 8.33±1.28heads and 8.68±1.43 heads; respectively. The average of litter size, birth weight, weaning weight and weaning rate between the first and second parity was no difference (P > 0,05). The value of repeatabitily for characters of liter size, birth weight, weaning weight and weaning rate were 0.32; 0.47; 0.49 and 0,42; respectively. In conclusion, the repeatabily value of litter size, birth weight, weaning weight and weaning rate from landrace crossbred sows were medium value and the performance of those characters between the first and second parity were no difference.
EXTRACTION, PURIFICATION AND CHARACTERIZATION OF LIPASE FROM THE DIGESTIVE DUCT OF COMMON CARP CYPRINUS CARPIO L.
Authors: Ali Hind. K. , Nasser J. M. , Shaker K. A. 
Published: October 2022

This study was aimed to use digestive duct of common carp Cyprinus Carpio L. as economic source for fish lipase extraction . The enzyme was extracted using potassium phosphate buffer (pH 7 , 0.2 M ). The crude extract then precipitated at the saturation range between 40 – 80 % and dialyzed . Further purified carried out through ion exchange chromatography using DEAE-Cellulose column (2.5 × 30 cm) and gel filtration chromatography by Sephadex G-100 column (1.5 x 60 cm). The purified lipase had a molecular weight of 37.150KDa ,and optimum pH and temperature for enzyme activity about 45◦C and 6.5 using olive oil as substrate .The specific activity, number of purification folds and yield of purified Lipase were 146.48U/mg, 9.76 and 40.50% respectively.
CHARACTERIZATION PHENOTYPE AND GENETIC DISTANCE SOME OF THE NATIVE CHICKEN STRAINS IN JAMBI PROVINCE INDONESIA
Authors: Depison  , Gushairiyanto  , Irmaya Dika 
Published: October 2022

Characterization is used to determine genetic quality which is used as a basis for consideration in selection and crossing. The research materials were Super Chicken, Bangkok, KUB, Sentul, Kampung and Merawang. Data including qualitative and quantitative. Descriptive and quantitative qualitative data used t-test, T2-Hotelling test and principal component analysis. Data processing using Minitab and MEGA-X program. The results showed that body weight, weight gain and body size of Super chickens were significantly different (P<0.05) higher than the other chickens. The closest genetic distance between the lines is Kampung dan Sentul chicken, then between Bangkok and Super chicken. Sentul and Kampung chicken have a close relationship with KUB, compared to Bangkok, Super and Merawang. Conclusion: Qualitative criteria for Super, Bangkok, KUB, Sentul, and Kampung are still very diverse, while Merawang chickens are more uniform. The highest body weight up to the age of 4 months is Super chicken, followed by Bangkok, KUB, Sentul, Kampung and Merawang. The increase in the body weight of chickens is achieved at the age of 2-3 months.
The Factors That Influence The Use Of Maternal And Child Health Books In Mothers
Authors: Amalia Riski Candra , Fajriah Asruria Sani , Putri Santy Irene 
Published: October 2022

Background: The MCH Book is a tool for the early detection of any disturbances or health problems for mothers and children. This book is important, but its use is not optimal. The purpose of this study was to determine and analyze the factors that influence the use of maternal and child health books by mothers.
Methods: This study uses an analytic observational design with a cross-sectional approach with a sampling technique using an accidental sampling technique with a sample of 78 people. Respondents were selected who met the age of 22–40 years, could read and write, and were willing to be respondents. This study used a research instrument in the form of a questionnaire and was measured using a scale. The data was analyzed by multiple linear regression tests using SPSS for Windows version 22.
Results: Variable knowledge and attitudes together (simultaneously) have a significant effect on the utilization of MCH books. The results of the statistical test obtained p value = 0.021 on the knowledge variable, p = 0.000 on the attitude variable, where p < (0.05).
Conclusion: There is a relationship between knowledge and attitudes of the millennial generation of pregnant women towards the use of MCH books at the Pacar Keling Health Center. It is hoped that millennial-generation pregnant women will not only seek information about health through social media/the internet but also by reading and understanding the contents of the MCH book.
Peningkatan Keterampilan Deteksi Dini Dan Manajemen Awal Kegawatdaruratan Ibu Hamil
Authors: Wahyuni Alfaina , Nurul Makiyah Sri Nabawiyati , Sumaryani Sri 
Published: October 2022

Background: The mortality rate in Indonesia, particularly in Bantul, remains quite high. Recognizing signs and symptoms of emergency cases in pregnant women and their families and midwives' preparedness as the community's spearhead of health services is essential in dealing with emergency cases of pregnant women. Methods: The lecture method, question and answer, and practical skills for midwives are used. The achievement of the activity is evaluated by analyzing the knowledge of pregnant women and midwives both before and after the activity. The T-test was used to analyze the data. Results: The results obtained are quite satisfactory. It was demonstrated by the high level of interest displayed by the participants during the question and answer session. Quantitative results from statistical tests revealed a significant increase in knowledge in pregnant women (53.90 21.97 vs. 89.47 9.7; P 0.000) and local health centre midwives (72.60 7.04 vs. 79.46 7.21; P 0.001). Conclusion: There was an increase in pregnant women's knowledge of recognizing the signs and dangers of pregnancy and midwives' knowledge and skills in terms of early detection and emergency treatment of pregnant women at community health centres.
Peningkatan Dukungan Kesehatan Jiwa Psikososial Covid-19 Melalui Teknik Relaksasi Lima Jari
Authors: Dwi Jayanti Desak Made Ari , Nopitawati Ni Made , Thrisnadewi Ni Luh Putu , Lestari Ni Kadek Yuni , Sudarma I Nyoman 
Published: October 2022

Background: The COVID-19 pandemic has raised psychosocial problems such as anxiety. Anxiety is a physiological response that arises due to the stressor experienced. Efforts to overcome these psychosocial problems are to provide Covid 19 Psychosocial Mental Health Support (DKJPS Covid 19), one of which is in the form of five-finger relaxation. This community service aims to provide psychosocial mental health support by increasing the participant's ability to perform five-finger relaxation. Methods: The method provides online training (in the network). Partners in this activity are residents of Gang Gelatik Batuyang Batubulan. The stages of implementing activities include pre-activities, activities and evaluations. Results: The results of this activity show that the participants' psychosocial mental health conditions are in good condition, service participants can do five-finger relaxation and are enthusiastic about participating in activities to provide support for mental health and psychosocial Covid 19. Conclusion: Five-finger relaxation can be applied daily as psychosocial mental health support Covid 19.
Pelatihan Birth Ball Pada Ibu Hamil Dalam Upaya Menurunkan Nyeri Persalinan
Authors: Sulistianingsih Apri , Istikomah Istikomah 
Published: October 2022

Background: Birth balls are common among mothers giving birth, but mothers who know them for the first time are generally afraid to use them. Training for pregnant women can increase their knowledge about the use of birth balls, and the mothers are skilled at the delivery time. This community service aims to train pregnant women to use birth balls to reduce labor pain. Methods: The form of activity is birth ball training for pregnant women to reduce labor pain in Sumberrejo Pringsewu Village. The activity is carried out in January 2022 every Tuesday, and we are at 09.00 WIB until it is finished. The target of this community service is 30 pregnant women. The service team and the Village Midwife work together to arrange the activities schedule and the birth ball training implementation. Results: pregnant women's skills in using birth balls before service was 52.19 (6.33), then increased after service to 84.4 (2.71). Statistical tests show that community service activities for pregnant women effectively improve mothers' skills using birth balls in pain management. Conclusion: This skill improvement is important for pregnant women so that pregnant women are accustomed to using a birth ball during delivery. Mothers are also proficient in doing movements using a birth ball which helps reduce pain, and the duration of labor becomes faster.
Des images claires dans des pièces obscures. Les représentations de la Jātakamālā au Tibet oriental (1450-1550)
Authors: Georges-Picot Jean-Baptiste 
Published: October 2022

À partir de l’exemple de la Jātakamālā (« Guirlande des renaissances ») et d’approches théoriques forgées dans le champ de l’histoire de l’art occidental, cet article examine les politiques de mise en images et de mise en espace de récits dans le monde tibétain. Malgré l’absence de prescription iconographique et en dépit de patronages privés et d’exécutions parfois malhabiles, les quelques exemples étudiés témoignent du soin accordé à des représentations qui précisent et complètent le texte de la Jātakamālā. Cette minutie est d’autant plus remarquable que ces images, reléguées au bas des murs de chapelles plongées dans l’obscurité, n’étaient vraisemblablement pas destinées à être contemplées. La conclusion propose quelques hypothèses pour rendre compte de ce paradoxe apparent.