bluuebunny/crossref_metadata_2025_split huggingface dataset:
What have we learned from 8 years of deep brain stimulation of the anterior thalamic nucleus? Experiences and insights of a single center
Authors: Kaufmann Elisabeth , Bötzel Kai , Vollmar Christian , Mehrkens Jan-Hinnerk , Noachtar Soheyl 
Published: October 2020

OBJECTIVE
In the absence of a standard or guideline for the treatment of epilepsy patients with deep brain stimulation (DBS) of the anterior nucleus of the thalamus (ANT), systematic single-center investigations are essential to establish effective approaches. Here, the authors report on the long-term results of one of the largest single-center ANT DBS cohorts.

METHODS
The outcome data of 23 consecutive patients with transventricularly implanted electrodes were retrospectively analyzed with regard to adverse events, lead placement, stimulation-related side effects, and changes in seizure frequency. Depression and quality-of-life scores were collected in a subgroup of 9 patients.

RESULTS
All but 2 patients initially underwent bilateral implantation, and 84.4% of all DBS leads were successfully located within the ANT. The mean follow-up time was 46.57 ± 23.20 months. A seizure reduction > 50% was documented in 73.9% of patients, and 34.6% achieved an Engel class I outcome. In 3 patients, clinical response was achieved by switching the electrode contact or changing from the monopolar to bipolar stimulation mode. Unilateral implantation seemed ineffective, whereas bilateral stimulation with successful ANT implantation only on one side led to a clinical response. Double stimulation with additional vagus nerve stimulation was safe. Changes in cycling mode or stimulation amplitude influenced therapy tolerability and, only to a lesser extent, seizure frequency. Side effects were rare and typically vanished by lowering the stimulation amplitude or changing the active electrode contact. Furthermore, depression and aspects of quality of life significantly improved with ANT DBS treatment.

CONCLUSIONS
The transventricular approach as well as double stimulation proved safe. The anteroventral ANT appeared to be the most efficacious stimulation site. This systematic investigation with reluctant medication changes allowed for the development of a better idea of the association between parameter changes and outcome in ANT DBS patients, but larger samples are still needed to assess the potential of bipolar stimulation and distinct cycling frequencies. Furthermore, more multifaceted and objective assessments of treatment outcome are needed to fully assess the effects of ANT DBS treatment.
Basal encephalocele: surgical strategy and functional outcomes in the Tokyo experience
Authors: Morota Nobuhito , Ihara Satoshi , Ogiwara Hideki , Usami Kenichi , Tamada Ikkei , Kaneko Tsuyoshi 
Published: October 2020

OBJECTIVEThe basal encephalocele (BEC) is the rarest form of encephalocele, with an incidence of about 1/35,000 live births. The incidence of its subtype, sphenoidal BEC, is even lower at about 1/700,000 live births. The aim of this study was to propose the optimal surgical approach to repairing BEC, with special attention to the reconstruction of the skull base bone defect.METHODSFourteen consecutive pediatric patients with BEC who underwent surgical repair between March 2004 and March 2020 (10 boys and 4 girls, age 25 days to 7 years, median age 4 months) were enrolled. The follow-up period of the surviving patients ranged from 53 to192 months (mean 119.8 months). The patient demographics, BEC subtypes, preoperative clinical condition, radiographic findings, surgical procedures, and postoperative course were retrospectively analyzed.RESULTSThere were 4, 8, and 2 cases of sphenoidal BEC, sphenoethmoidal BEC, and ethmoidal BEC, respectively. The size of the bone defect was small in 3 patients, medium in 7, and large in 4 patients. All the patients with sphenoethmoidal and ethmoidal BEC showed associated congenital anomalies other than cleft palate. In total, 25 operations were performed. Two patients underwent multiple operations, whereas the remaining 9 patients received only 1 operation. The transoral transpalatal approach was the initial procedure used in all 14 patients. The transfrontobasal approach was applied as an additional procedure in 2 patients and as part of a 1-stage combined operation in 2 patients. Autograft bone alone was used for skull base reconstruction in 17 early operations. A titanium mesh/plate was used in the remaining 8 operations without any perioperative complications. All BECs were successfully repaired. Three patients died during the clinical course due to causes unrelated to their surgery. All but one of the surviving patients started growth hormone replacement therapy before school age.CONCLUSIONSBased on the authors’ limited experience, the key to successful BEC repair involves circumferential dissection of the BEC and a firm reconstruction of the skull base bone defect with a titanium plate/mesh. The transoral transpalatal approach is a promising, reliable procedure that may be used in the initial operation. When a cleft palate is absent, transnasal endoscopic repair is recommended. The transfrontobasal approach should be reserved for cases with a huge BEC and other anomalies. Long-term prognosis is apparently favorable in survivors.
Assessing changes in cervical epidural pressure during biportal endoscopic lumbar discectomy
Authors: Kang Taewook , Park Si Young , Lee Soon Hyuck , Park Jong Hoon , Suh Seung Woo 
Published: October 2020

OBJECTIVEBiportal endoscopic spinal surgery has been performed for several years, and its effectiveness is well known; however, no studies on its safety, specifically intracranial pressure, have been conducted to date. The authors sought to evaluate the effect of biportal endoscopic lumbar discectomy on intracranial pressure by monitoring cervical epidural pressure (CEP) changes throughout the procedure.METHODSTwenty patients undergoing single-level biportal endoscopic lumbar discectomy were enrolled in this study. CEPs were monitored throughout the procedure, consisting of phase 1, establishing the surgical portal and working space; phase 2, performing decompression and discectomy; and phase 3, turning off the fluid irrigation system. After discectomy was completed, the authors evaluated changes in CEP as the irrigation pressure increased serially by adding phase 4, increasing irrigation pressure with outflow open; and phase 5, increasing irrigation pressure with outflow closed.RESULTSThe mean baseline CEP was measured as 16.65 mm Hg. In phase 1, the mean CEP was 17.3 mm Hg, which was not significantly different from the baseline CEP. In phase 2, the mean CEP abruptly increased up to 35.1 mm Hg when the epidural space was first connected with the working space, followed by stabilization of the CEP at 31.65 mm Hg. In phase 4, the CEP increased as the inflow pressure increased, showing a linear correlation, but not in phase 5. No patients experienced neurological complications.CONCLUSIONSIt is important to ensure that irrigation fluid is not stagnant and is maintained continuously. More attention must be paid to keeping pressures low when opening the epidural space.
Ultra–high-molecular-weight polyethylene sublaminar tape as semirigid fixation or pedicle screw augmentation to prevent failure in long-segment spine surgery: an ex vivo biomechanical study
Authors: Doodkorte Remco J. P. , Belda Ricardo , Roth Alex K. , van Rietbergen Bert , Arts Jacobus J. , Lataster L. M. Arno , van Rhijn Lodewijk W. , Willems Paul C. 
Published: October 2020

OBJECTIVEComplications after adult spinal deformity surgery are common, with implant-related complications occurring in up to 27.8% of cases. Sublaminar wire fixation strength is less affected by decreasing trabecular bone density in comparison to pedicle screw (PS) fixation due to the predominant cortical bone composition of the lamina. Sublaminar fixation may thus aid in decreasing implant-related complications. The goal of this study was to compare fixation characteristics of titanium sublaminar cables (SCs), ultra–high-molecular-weight polyethylene (UHMWPE) tape, PSs, and PSs augmented with UHMWPE tape in an ex vivo flexion–bending setup.METHODSThirty-six human cadaver vertebrae were stratified into 4 different fixation groups: UHMWPE sublaminar tape (ST), PS, metal SC, and PS augmented with ST (PS + ST). Individual vertebrae were embedded in resin, and a flexion–bending moment was applied that closely resembles the in vivo loading pattern at transitional levels of spinal instrumentation.RESULTSThe failure strength of PS + ST (4522 ± 2314 N) was significantly higher compared to the SC (2931 ± 751 N) and PS (2678 ± 827 N) groups, which had p values of 0.028 and 0.015, respectively (all values expressed as the mean ± SD). Construct stiffness was significantly higher for the PS groups compared to the stand-alone sublaminar wiring groups (p = 0.020). In contrast to SC, ST did not show any case of cortical breach.CONCLUSIONSThe higher failure strength of PS + ST compared to PS indicates that PS augmentation with ST may be an effective measure to reduce the incidence of screw pullout, even in osteoporotic vertebrae. Moreover, the lower stiffness of sublaminar fixation techniques and the absence of damage to the cortices in the ST group suggest that ST as a stand-alone fixation technique in adult spinal deformity surgery may also be clinically feasible and offer clinical benefits.
Systematic review of telemedicine in spine surgery
Authors: Kolcun John Paul G. , Ryu Won Hyung A. , Traynelis Vincent C. 
Published: October 2020

OBJECTIVEThe use of telemedicine (TM) has long been available, but recent restrictions to hospitals due to the coronavirus disease 2019 (COVID-19) pandemic have accelerated the global implementation of TM. However, evidence on the effectiveness of this technology for the care of spine surgery patients is limited. In this systematic review the authors aimed to examine the current utilization of TM for spine surgery.METHODSUsing PubMed, Scopus, and the Cochrane Library, the authors performed a systematic review of the literature focused on the themes of telemedicine and spine surgery. Included in the search were randomized controlled trials, cohort studies, and case-controlled studies. Two independent reviewers conducted the study appraisal, data abstraction, and quality assessments of the studies.RESULTSOut of 1463 references from the initial search results, 12 studies met the inclusion criteria. The majority of TM interventions focused on improving perioperative patient communication and patient education by using mobile phone apps, online surveys, or online materials for consent. The studies reported the feasibility of the use of TM for perioperative care and positive user experiences from the patients.CONCLUSIONSThe current increase in TM adoption due to the COVID-19 crisis presents an opportunity to further develop and validate this technology. Early evidence in the literature supports the use of TM as an adjunct to traditional in-person clinical encounters for certain perioperative tasks such as supplemental patient education and postoperative surveys.
ОБСТЕЖЕННЯ ТЕХНІЧНОГО СТАНУ ГРЕБЛІ МИГІЇВСЬКОЇ ГЕС НА Р. ПІВДЕННИЙ БУГ
Authors: Рябенко О А , Сінічук С В , Алексієвець В І , Іванюк А М , Алексієвець І І 
Published: October 2020

Наведені результати обстеження технічного стану греблі Мигіївської ГЕС на р. Південний Буг. Визначені дефекти і пошкодження, які виникли в процесі експлуатації та встановлені причини їх появи.
Urinary tract infections in very low birthweight infants: A two-center analysis of microbiology, imaging and heart rate characteristics
Authors: Aviles-Otero N. , Ransom M. , Weitkamp J. , Charlton J.R. , Sullivan B.A. , Kaufman D.A. , Fairchild K.D. 
Published: October 2020

BACKGROUND: Increased understanding of characteristics of urinary tract infection (UTI) among very low birthweight infants (VLBW) might lead to improvement in detection and treatment. Continuous monitoring for abnormal heart rate characteristics (HRC) could provide early warning of UTIs. OBJECTIVE: Describe the characteristics of UTI, including HRC, in VLBW infants. METHODS: We reviewed records of VLBW infants admitted from 2005–2010 at two academic centers participating in a randomized clinical trial of HRC monitoring. Results of all urine cultures, renal ultrasounds (RUS), and voiding cystourethrograms (VCUG) were assessed. Change in the HRC index was analyzed before and after UTI. RESULTS: Of 823 VLBW infants (27.7±2.9 weeks GA, 53% male), 378 had > / = 1 urine culture obtained. A UTI (≥10,000 CFU and >five days of antibiotics) was diagnosed in 80 infants, (10% prevalence, mean GA 25.8±2.0 weeks, 76% male). Prophylactic antibiotics were administered to 29 (36%) infants after UTI, of whom four (14%) had another UTI. Recurrent UTI also occurred in 7/51 (14%) of infants not on uroprophylaxis after their first UTI. RUS was performed after UTI in 78%, and hydronephrosis and other major anomalies were found in 19%. A VCUG was performed in 48% of infants and 18% demonstrated vesicoureteral reflux (VUR). The mean HRC rose and fell significantly in the two days before and after diagnosis of UTI. CONCLUSIONS: UTI was diagnosed in 10% of VLBW infants, and the HRC index increased prior to diagnosis, suggesting that continuous HRC monitoring in the NICU might allow earlier diagnosis and treatment of UTI.
Security systems’ status with the use of technical means of video recording and video surveillance: international experience, perspectives for implementation in the activities of the National police of Ukraine
Authors: Коршенко В. А. , Чумак В. В. , Мордвинцев М. В. , Пашнєв Д. В. 
Published: October 2020

Search for criminals becomes more difficult in modern conditions of continuous growth of the population of big urban centers and more and more frequent use of the latest achievements of science and technology by criminals for the realization of their purposes and for counteraction to law enforcement agencies. To increase the efficiency of the search for offenders it is necessary to introduce the latest technologies. Therefore, the systems of video recording and video surveillance, which currently operate in Ukraine and are one of the areas of using these technologies, have been studied. It has been noted that the installed CCTV cameras mostly work in manual mode. The employee of the information processing center must watch the video in order to gather evidence and search for suspects. It takes a lot of time and requires the involvement of a large number of staff, which makes the search for criminals and obtaining evidence from video surveillance systems ineffective.
Tendencies in the development of intelligent video surveillance systems in developed countries have been analyzed. It has been found out that such countries (EU, USA, China, Russia) install modern “smart” CCTV cameras, the information from which is sent to modern situational centers, where it is processed by using artificial intelligence, neural networks and cloud infrastructure. Certain types of cameras even have the ability to independently process the received information. This makes it possible to perform biometric facial recognition, to detect behavioral abnormalities of suspects who intend to commit offenses; to record the appearance and disappearance of objects, to recognize the state car plates, to recognize their type, brand and color, to record the way of their movement, to carry out the analysis of these factors on the basis of these factors to search for suspects and cars in the city.
Video surveillance centers, in particular within one of the most important areas of public safety – traffic safety – have the ability to recognize prohibited or atypical traffic, to capture the intersection of the restricted area or the intersection of the visual line, to respond to the passage of people in a given direction, to identify traffic conditions, to detect traffic density, congestion and mass congestion of vehicles, to respond to the appearance of people in the surveillance zone, etc.
Based on the review of the experience of introduction and use of video surveillance systems in Ukraine and analysis of their development in developed countries, the authors have suggested the ways to modernize and further develop security systems in Ukraine by using CCTV cameras.
PENDIDIKAN KELUARGA HINDU KONTEMPORER ERA 4.0 DALAM SIAR AGAMA UNTUK MEMBENTUK KARAKTER PADA KELOMPOK SSG PRAYA KABUPATEN LOMBOK TENGAH
Authors: Julianingsih P L. Eka M. Julianingsih P 
Published: October 2020

Agama Hindu adalah peradaban yang sangat kuno yang masih hidup hingga saat ini, di zaman modern, dengan perkembangan peradaban yang lebih maju yang meningkatkan pemikiran dan sikap manusia dalam kehidupan sehari-hari, terutama di kota-kota besar dimana masyarakat tidak berada dalam industri. . Tentu hal ini menjadi tantangan bagi umat Hindu yang mengamalkan akhlak sesuai dengan ajaran Dharma. Berangkat dari hal tersebut penelitian ini membedah tiga permasalahan, yaitu (1) Bagaimana struktur pendidikan yang dilakukan oleh kelompok SSG dalam pendidikan keluarga? (2) Bagaimana pola yang diterapkan kelompok SSG dalam pendidikan keluarga? Penelitian ini merupakan penelitian kualitatif dengan penelitian yang membuktikan bahwa (1) struktur pendidikan yang dilaksanakan oleh kelompok SSG dalam pendidikan keluarga dilaksanakan dengan memberikan ajaran dharma yang menantang, yaitu: Dharma gita, Dharma Wacana, Dharma tula, Dharma Sadhana, Dharma Yatra, Dharma Santi untuk membentuk karakter. (2) Pola yang diterapkan: kedekatan hubungan antara orang tua dan anak, tanggung jawab orang tua terhadap anak, lingkungan rumah yang nyaman dan prestasi anak yang baik.
Rekonstruksi Seni Lukis Wayang Kopang Berbasis Seni Rupa Hindu
Authors: Adnyana I Nyoman Putra , Sumadiyasa I Kadek , Suwidiarta I Ketut 
Published: October 2020

seni lukis Wayang Kopang di sanggar Kopang Desa Kerambitan Kabupaten tabanan merupakan salah satu wujud karya pendidikan seni rupa dan ornamen hindu yang sangat unik yang diwarisi secara turun temurun. Dalam perkembangannya seni lukis ini mengalami keterpurukan, sehingga ada upaya untuk membangkitkannya. Artikel ini akan membahas tentang dekonstruksi seni lukis wayang kopang dan bentuk-bentuk dekonstruksinya. Penelitian ini bertujuan untuk pengembangan keilmuan, desiminasi hasil penelitian kekayaan intelektual serta membangun tradisi ilmiah akademik. Metode penelitian bersifat kualitatif, data dikumpulkan melalui observasi dan wawancara. Berdasarkan pengumpulan data dan analisis, didapatkan hasil yakni rekonstruksi seni lukis wayang kopang didasari atas beberapa alasan yakni pendidikan, ekonomi, identitas, pelestarian dan estetika. Bentuk rekonstruksinya yakni mengikuti perkembangan zaman, menyesuaikan dengan desa budaya dan menggunakan seni lukis wayang kopang sebagai media memperkuat sradha dan bhakti.
EKSISTENSI TARI REJANG SALIMPET DI BANJAR SAWANGAN, KELURAHAN BENOA, KECAMATAN KUTA SELATAN, KABUPATEN BADUNG
Authors: Winarti Ni Putu 
Published: October 2020

tulisan ini membahas tentang rekonstruksi tari rejang salimpet di Banjar sawangan Kelurahan Benoa Kuta selatan. rekonstruksi ini dilandasi oleh beberapa alasan yakni (1) tradisionalisme yakni adanya upaya mempertahankan tradisi—yakni warisan turun temurun yang sudah berlangsung sejak lama yang berhubungan dengan tari rejang salimpet. salah satu warisan yang berlangsung secara turun temurun yakni tari rejang salimpet. hal inilah yang mendasari tarian ini kembali direkonstruksi. (2) Mitologi, adanya kepercayaan terhadap mitos yang berhubungan dengan rejang salimpet. secara mitologis tari rejang salimpet merupakan selir ida Bhatara, dan seperti apa yang dijelaskan sebelumnya tentang tarian ini, bahwa kesakralan tari rejang salimpet terletak pada “Busana Salimpet-nya” yang merupakan anugrah dari Pura Dalem Ped, yang merupakan EKSISTENSI TARI REJANG SALIMPET DI BANJAR SAWANGAN, KELURAHAN BENOA, KECAMATAN KUTA SELATAN, KABUPATEN BADUNGOleh:Ni Putu Winartiwinarti@gmail.comUniversitas hindu Indonesia DenpasarPage 91-100 linggih (stana) “ratu Mas Meketel” yang terdapat di Pura Karang Boma Kabupaten Badung. (3) Proses rekonstruksi yang terdiri dari penggalian narasi tarian, gerak, komposisi dan gamelan pengiring tarian ini.
BENTUK PENYUCIAN DIRI DALAM LONTAR TiNGKAHiNG BRATA
Authors: Arniati Ida Ayu Komang 
Published: October 2020

Kelahiran sebagai manusia sungguhlah mulia sebab dilengkapi dengan kemampuan untuk berfikir (idep). Manusia dianggap memiliki kecerdasan dibandingkan dengan mahluk yang lain. Kitab suci Agama hindu juga memuat hal tersbut bahwasanya hanya terlahir sebagai manusialah mampu membebaskan hidup ini dari samsara. Namun demikian dalam perjalanan kehidupan seringkali apa yang manusia lakukan bertolak belakang dengan hasil yang didapatkan, hal ini tidak terlepas dengan karma phala yang diperbuat dan juga pergolakan dalam diri manusia. oleh karenanya perlu dilakukan sebuah penyucian. salah satu bentuk penyucian diri termuat dalam lontar tingkahing Brata. Akan tetapi sangat minim sekali pengetahuan umat terkait dengan bentuk penyucian diri yang dimuat dalam lontar Tingkahing Brata ini. oleh karenanya dalam penelitian ini mengkaji terkait dengan alasan pentingnya pemahaman terhadap lontar Tingkahing Brata dan juga bentuk penyucian diri dalam lontar Tingkahing Brata. Harapan dari hasil penelitian ini adalah pertama pentingnya memahami lontar Tingkahing Brata secara religius, secara social, dan tradisi keagamaan.
Hacia nuevos horizontes del estudio del currículo
Authors: Roacho Payán Gerardo , Herrera Ramos Laura Verónica 
Published: October 2020

Este estudio tiene como propósito, un acercamiento crítico al programa Maestría en Educación Media Superior (MEMS, 2014), emanado de la Universidad Pedagógica Nacional del Estado de Chihuahua (UPNECH), Campus Parral; que a la luz de la teoría del currículo y de la formación de profesores, pretende develar lasujeción que la política educativa ejerce sobre los procesos universitarios en la construcción del currículo, reduciendo cada vez más los espacios de crítica y autonomía académica, lo cual impide mantener el enfoque ideológico-político de la universidaden los programas. Convoca al lector a considerar perspectivas curriculares emergentes y afirmar el papel crucial de la universidad en la protección de una educación con valores sociales democráticos. Es una investigación concluida, deenfoque cualitativo y un método hermenéutico crítico que considera los sesgos y limitantes de las fuerzas sociales, económicas y políticas que actúan sobre el investigador (Alvarez y Gayou, 2005) y la hermenéutica profunda de Ricoeur (Thompson, 1993), que emplea métodos tanto interpretativos como explicativos en un círculo hermenéutico, con técnicas de observación, entrevista y análisis de documentos, vistos a la luz de la teoría del currículo.
Proceso de formación profesional y consumo musical
Authors: Loya Chávez Hermila , Tenorio Urbina Juan , Ávila Quevedo José Antonio 
Published: October 2020

Constituye un reporte parcial de una investigación de enfoque fenomenológico y de tipo descriptiva cuyo propósito es identificar y analizar el consumo musical de los estudiantes universitarios del área de educación, como un referente de su realidad sociocultural y transformación educativa en el contexto de una universidad pública. El reporte presenta los contenidos generales de las letras de las canciones que escuchan con más frecuencia, la forma en que lo hacen y sus razones, todo ello en la temporalidad de la investigación que es el año 2017. Así mismo se encontraron relaciones con el desarrollo de la formación profesional en el área de educación. Para la obtención de datos se generó y aplicó una encuesta y se realizaron indagaciones en grupos focales integrados por los estudiantes de la carrera de licenciatura en intervención educativa. En relación al contenido y su análisis se encontró que existe una disonancia cultural entre los mensajes de estas canciones y los ideales que se marcan desde la visión humanista de la sociedad que fundamenta su carrera profesional.