bluuebunny/crossref_metadata_2025_split huggingface dataset:
A modular wireless tracking system as central service provider in the operating room using ISO IEEE 11073 SDC
Authors: Wickel Noah , Janß Armin , Radermacher Klaus , de la Fuente Matías 
Published: December 2024

In order to improve the usability of surgical navigation systems, this paper presents the design, implementation and testing of a mobile wireless tracking camera cart for intraoperative use. The tracking data, i.e., tool poses, are made available on the operating room (OR) network by means of the manufacturer-independent communication standard ISO IEEE 11073 (“SDC”). In this way, the wireless tracking system (WTS) can act as a modular localization service for various medical devices such as robots and navigation software.The concept and implementation of the battery-powered wireless tracking cart is shown. The paper furthermore evaluates how the use of a new software library improves latency and reliability in contrast to previous implementations.The results indicate that the new software library and the wireless data transfer do indeed meet the required latency of 50 milliseconds for hand-eye coordination tasks with a reliability of 99.395% even when the network is under OR-typical load. However, as the library does not offer any additional safety determinism, increased maximum latency times may occur in individual cases, making the device unsafe for intraoperative use.
Development and evaluation of a shape completion model for corrective osteotomy of distal radius malunion patients
Authors: Smees Camiel , Olde Heuvel Judith , van Uum Esmee , Vochteloo Anne , Tuijthof Gabriëlle 
Published: December 2024

3D planning of a corrective osteotomy of a radius malunion requires a healthy reference which is not always available. A shape completion model could create a reference bone based on the unaffected part of the malunited bone. The aim of this study is to develop and validate a shape completion model for clinical use.A statistical shape model (SSM) was developed based on CT scans of 80 healthy radii. This SSM was expanded into a shape completion model to predict the distal 12% of the radius, based on the proximal 88%. Nine other CT scans were used to validate this model and to set hyper parameters that dictate factors of the available data. Finally, eight more CT scans were used to test the performance of the shape completion model.The average accuracy of the shape completion model, measured through a root mean square difference, was 0.42mm (SD 0.10) and the average Hausdorff distance was 3.57mm (SD 1.09). The predicted radii were comparable to the actual radii, with the differences mainly found at the radial styloid, Lister tubercle and the sigmoid notch. The radiocarpal articular surface was often well predicted.In conclusion, the current shape completion model showed to predict clinically useable models that have error margins that are comparable with previous models described in literature. Future research should compare the use of the shape completion model to the use of the contralateral radius to find what technique works more optimal.
Delphi study and qualitative analysis to establish domains, core competencies, and content in forensic nursing pedagogy
Authors: Speck Patricia M , Mitchell Stacey A. , Patch Michelle , Head Heather J. , Berishaj Kelly , Charles Laurie , Doss Josie , Dowdell Elizabeth B. , St. Germain Deborah , Thimsen Kathleen , Veltman Maximilian 
Published: December 2024

BACKGROUND: The American Nurses Association designated forensic nursing (FN) a specialty in 1995. Nursing schools subsequently adopted Lynch's theoretical framework. Inconsistent sub-specialty-focused graduate education emerged, creating difficult-to-compare early programs of study. AIMS: Update FN domains, descriptions of and context for FN practices, core competencies, and sub-competencies with content for graduate curricula, align FN with new AACN Essentials, and create a certification foundation. METHODS: Methods include the mini-Delphi design (Estimate-Talk-Estimate), with Nominal Group Techniques methods, Cognitive Task Analysis, and NVivo™ qualitative analysis of experts' virtual recordings. The FN sample (N=126) included educators-clinicians, who gathered face-to-face (2002-4, 2014) and virtually (2020-22). RESULTS: The 2002-04 results informed the 2014 meeting, validating major knowledge pillars (legal foundations, forensic science, and nursing science). Analysis of 2020-2022 data named key domains, descriptions of and context for practice, core competencies, sub-competencies, concepts, and content in forensic nurse science and practice. The research included qualitative analysis of participant conversations, naming key content for each pillar. CONCLUSIONS: The 20-year Delphi study transformed knowledge integration for competent future Generalist and Advanced Forensic Nurse education and practice. The study confirmed Lynch’s thesis, three pillars of knowledge, and aligned FN core competencies with AACN Essentials and other national nursing publications, naming common practices, essential for all FNs. The study’s derivation of scientific content, important for certifications, arose from qualitative analysis of expert conversations, implying that as FN science evolves, the diverse practice roles of the FN mature with a common and basic core for application in all FN practices.
Penguatan Literasi Digital Generasi Z dalam Pencegahan Kekerasan Online
Authors: Moulita Moulita , Sitepu Yovita Sabarina , Masril Munzaimah 
Published: December 2024

Kekerasan online telah menjadi salah satu konsekuensi negatif dari perkembangan teknologi digital. Bentuk kekerasan online juga semakin beragam mulai dari ujaran kebencian hingga penipuan dan pencurian. Dampak psikologis pada diri korban yang mengalami kekerasan online juga tidak sederhana, seperti tidak percaya diri, depresi, bahkan ada yang merasa ingin bunuh diri. Tim pengabdian kepada masyarakat Program Studi Ilmu Komunikasi Fakultas Ilmu Sosial dan Ilmu Politik Universitas Sumatera Utara telah melaksanakan kegiatan penguatan literasi digital Generasi Z sebagai upaya pencegahan kekerasan online yang bertujuan untuk mengembangkan dan menguatkan kesadaran digital kelompok mitra atau masyarakat sasaran. Peserta kegiatan adalah 60 orang pelajar SMP Harapan 3 Delitua, Kabupaten Deli Serdang yang berlangsung pada tanggal 22 dan 25 Juli 2024. Metode kegiatan dalam bentuk ceramah, diskusi kelompok, serta kampanye melalui lomba video kreatif di media sosial. Peserta mendapatkan materi mengenai jenis-jenis kekerasan online dan dampak psikologis yang dapat muncul pada diri korban. Peserta mengikuti kegiatan dengan antusias dan aktif dalam diskusi serta terlibat dalam pembuatan video kreatif yang dilombakan. Kegiatan pengabdian juga merupakan salah satu bagian dari upaya mewujudkan Sustainable Development Goals (SDGs), terutama di poin ketiga yaitu Kehidupan Sehat dan Sejahtera (Good Health and Well-Being) dan poin keempat yaitu Pendidikan Berkualitas (Quality Education).
Proses Pemahaman Pembuatan Ketupat Pada Pelaksanaan Upacara Agama Hindu Di Sindu Cakranegara Mataram
Authors: Dewi Ni Luh Sinar Ayu Ratna , Patni R Gusti Ayu Santi , Saridewi Desak Putu , Listiawati Ni Putu , Zaenab Siti , Yadnya Made Sutha 
Published: December 2024

Community service activities are carried out in providing simple knowledge and understanding of the concept of local wisdom in the implementation of religious activities. The selection of the venue for the Ida Pedanda Nyoman Sebali Keniten Mangkuh Ceremony will be held on Thursday, September 19, 2024. The main thing that is socialized in this is to use the form of the meaning function of the ketupat, with the existence of the birth ketupat which is identical to the food of local wisdom, from various customs and customs or traditions. The annual tradition carried out by the majority of the population of Indonesia, namely the Eid al-Fitr tradition community, the Eid al-Fitr tradition is one of the traditions that usually occurs in the community, the Muslim community. This is a harmony that needs to be studied and revealed in order to have the right understanding. The result of this service is open insight in religious moderation, tolerance, and harmony in sitting together to make ketupat.
Students' Voices on Effective Teaching Methods for Grammar Learning in Peer Tutoring Program
Authors: Paskarena Maria Indah , Mukti Thomas Wahyu Prabowo 
Published: December 2024

This research investigated students’ perceptions of tutors’ teaching methods applied in one of grammar tutoring classes in an English Education study program at one of the universities in Yogyakarta. The students’ preferences on grammar teaching methods were also discovered. This research employed a quantitative approach. Fifty-seven students participated in this study and filled out the questionnaire. Their activities during tutoring program were observed. Then, the interview was used to gather further information. The result of the questionnaire revealed a mean score of four point twenty-nine. It showed that the participants of this study shared their positive perceptions of tutors’ teaching methods in grammar tutoring classes. They felt that the tutors were able to build a comfortable learning experience and motivate them to have a language exposure. Additionally, the students desired to learn grammar by using the audio-lingual method and communicative language teaching (CLT) method. This study implies the need for a well-prepared peer tutoring program to help students effectively. Additionally, the administrators can address individual learning differences and provide insights for improving grammar instructions.
Kerasnya Hidup Ditengah Keluarga Broken Home Perceraian: Pengaruh Religiositas Terhadap Psychological Distress Pada Remaja
Authors: Pirade Victoria Jeanet , Huwae Arthur 
Published: December 2024

Penelitian ini bertujuan untuk mengetahui pengaruh religiositas terhadap psychological distress pada remaja keluarga broken home perceraian. Metode yang digunakan dalam penelitian kuantitatif dengan desain analisis regresi. Partisipan dalam penelitian ini sebanyakl 141 remaja broken home yang diambil menggunakan teknik snow ball sampling. Pengukuran menggunakan The Centrality of Religiosity Scale (CRS) (α=0,901) dan Kessler Psychological Distress Scale (α=0,909). Metode yang digunakan dalam analisis data penelitian menggunakan metode statistik regresi linier sederhana. Hasil penelitian menunjukkan bahwa religiositas tidak berpengaruh terhadap psychological distress (t = 1,197 dan sig. = 0,233). Hal ini menunjukkan bahwa terdapat faktor lain yang memengaruhi psychological distress remaja dari keluarga broken home. Implikasi dalam penelitian ini adalah perlu adanya tindakan yang dapat meningkatkan religiositas remaja dari keluarga broken home, supaya remaja broken home memiliki keseimbangan dalam pendidikan dan kehidupannya sehingga dapat menurunkan psychological distress yang dialaminya. Penelitian yang akan datang diharapkan dapat merancang cara menurunkan psychological distress pada remaja broken home dari keluarga yang bercerai.
Kata kunci: religiositas, remaja, broken home, psychological distress, indonesia
Endoscopic pituitary gland transposition techniques to the interpeduncular and prepontine regions: an anatomical study
Authors: Nizzola Mariagrazia , Alam Yasaman , Leonel Luciano C. P. C. , Torregrossa Fabio , Graepel Stephen P. , Shinya Yuki , Pinheiro-Neto Carlos D. , Link Michael J. , Peris-Celda Maria 
Published: December 2024

OBJECTIVE
The floor of the third ventricle and the interpeduncular and prepontine regions represent challenging surgical targets. The expanded endoscopic endonasal approach (EEA) with pituitary gland (PG) transposition has been proposed to provide direct access to these anatomical regions. Through the years, different endoscopic PG transposition techniques have been studied and presented. The goal of this study was to compare the techniques, relevant anatomy, and surgical exposure of extradural, intradural, and interdural PG transposition techniques.

METHODS
Six formalin-fixed, latex-injected cadaveric head specimens were used to perform the EEA with extradural, unilateral interdural, and unilateral intradural PG transpositions. The interpeduncular and prepontine regions and the neurovascular structures located within these cisterns were carefully exposed and analyzed. The maximal cranial, caudal, and lateral accessible points within the surgical field were identified for each approach. Consequently, the relative craniocaudal and horizontal surgical axes were measured to quantify the extent of accessibility of each approach.

RESULTS
The extradural PG transposition technique provided the largest horizontal extensions and bilateral access to structures within the interpeduncular and prepontine regions; the mean horizontal axis was 17.9 (range 13.9–20.4) mm. The unilateral interdural PG transposition provided wider vertical exposure, with a mean craniocaudal axis of 16.2 (range 13.0–20.9) mm. In this approach, the surgical field was extended cranially above the ipsilateral mammillary body (MB). The unilateral intradural PG transposition provided a similar surgical exposure to the interdural approach, with a mean craniocaudal axis of 14.7 (range 12.9–15.8) mm. The approach required significant manipulation of the PG after opening both periosteal and meningeal dura layers.

CONCLUSIONS
The extradural PG transposition is indicated for lesions of the upper clivus region that extend bilaterally and do not have a cranial extension beyond the MBs. The inter- and intradural PG transpositions are beneficial for unilateral lesions that extend cranially to the MBs. Both techniques require coagulation of the ipsilateral inferior hypophyseal artery. The intradural technique requires more manipulation of the PG, while the interdural technique requires opening and access to the cavernous sinus. If needed, the intra- and interdural techniques can also be performed bilaterally.
Opioid prescribing guidelines for spine surgery patients: a multisite analysis of guideline implementation and monitoring with an automated text messaging platform
Authors: Tudor Thilan , Agarwal Anish K. , Delgado M. Kit , Lee Daniel J. , Nguyen Jessica T. , Xiong Ruiying , Ozturk Ali K. , Yoon Jang W. , Welch William C. , Ali Zarina S. 
Published: December 2024

OBJECTIVE
The aim of this study was to describe the effect of opioid prescribing guideline implementation for elective spine surgery cases on prescribing and consumption behaviors in a multisite academic hospital system. The effectiveness of an automated text messaging system as a tool to monitor postoperative opioid use and pain outcomes and inform guideline development and deployment is also evaluated.

METHODS
The authors conducted a prospective study of postoperative opioid use behaviors and patient-reported outcomes for 2101 elective spine surgery cases between December 2018 and March 2022, prior to and following the implementation of opioid-prescribing guidelines in February 2021 at three urban hospital sites within a large academic health system. Opioid-prescribing guideline development was based on patient-reported opioid consumption behaviors monitored using a two-way text messaging platform in the perioperative and postoperative settings; its implementation involved standardized indication-specific discharge pain medication dosing. Opioid prescription and consumption trends were compared between pre–guideline and post–guideline implementation cases.

RESULTS
The overall response rate to the automated text messaging system was 50.2% when evaluating all elective spine surgery cases. There were significant reductions in the mean postsurgical opioid prescription for thoracolumbar laminectomies and fusions (p < 0.001) after guideline implementation. There was no difference in mean cumulative postsurgical opioid consumption by operative procedure after guideline implementation. Prior opioid use (OR 1.81, 95% CI 1.05–3.03; p < 0.05) and the aggregate 12-week mean pain score (OR 1.20, 95% CI 1.07–1.35; p < 0.05) were significant predictors of elevated opioid use.

CONCLUSIONS
Opioid-prescribing guideline development for elective spine surgery cases that is informed by patient-reported opioid behaviors using a text messaging platform might reduce opioid volume prescribed by the operative procedure.
False alarms and the burden of shunt failure in pediatric patients with hydrocephalus: a longitudinal study
Authors: Kim Sang Ho , Heppner Peter , Kim Yu Jin , Guild Sarah-Jane , Windsor John , Malpas Simon 
Published: December 2024

OBJECTIVE
This study aimed to investigate the burden of CSF shunt failure and false alarms on pediatric patients with hydrocephalus, their caregivers, and the healthcare system.

METHODS
This retrospective longitudinal study examined pediatric patients who underwent CSF shunt procedures at Auckland City Hospital from January 2014 to December 2019. The study included patients aged 18 years or younger living within the hospital’s catchment area. Clinical encounters were recorded from the date of their first shunt insertion until November 1, 2023. Data collected included patient demographics, hospital admissions, acute and elective shunt-related imaging, clinic visits, surgery times, and symptom characteristics. Shunt-related admissions were categorized as either shunt failures or false alarms.

RESULTS
The cohort comprised 73 patients with follow-up periods ranging from 4 to 18 years. By the 1st year, 71% had been rehospitalized for shunt-related concerns, with 59% experiencing at least 1 false alarm and 38% experiencing at least 1 shunt failure. By the 4th year, 88% of patients had been rehospitalized for shunt-related concerns, 42% had experienced at least 3 false alarms, 60% had at least 1 shunt failure, and 25% had at least 3 shunt failures. The average accumulated hospital stay was 1 month for shunt failures and 2 weeks for false alarms, compared with 22 days for all other admissions. Frequent clinic interactions from multiple specialties highlighted the complex care needs of these patients. The timing of shunt failure or false alarm, but not symptom duration, significantly predicted their overall frequency.

CONCLUSIONS
This study details the chronic burden and complex care requirements for pediatric patients with CSF shunts. Shunt-related concerns significantly and disproportionately contribute to the patients’ total hospital interactions. The findings highlight the immediate clinical need for novel technologies to enable long-term and accurate detection of shunt failure to optimize patient care. Future efforts should focus on improving shunt systems to lower failure rates.
The epidemiology and management of spontaneous spinal epidural abscesses in children: a single-center experience
Authors: Joerger Torsten A. , Wang Clara Xi , Kumar Nankee K. , Flanders Tracy M. , Lang Shih-Shan 
Published: December 2024

OBJECTIVE
Spinal epidural abscesses (SEAs) are rare infections in children but can lead to significant neurological sequelae. The authors sought to describe the presentation, management, and outcomes of children with these infections at their institution.

METHODS
This was a retrospective study of pediatric patients admitted with SEA to a quaternary children’s hospital between 2013 and 2023. Clinical characteristics including laboratory, surgical, and antimicrobial data were collected and analyzed.

RESULTS
Fourteen patients (median age 3.7 years) had SEAs. Thirteen (93%) patients developed the infection in the outpatient setting, and of these 10 (77%) were evaluated by a medical provider prior to the encounter when the diagnosis was made. The most common causative pathogen was Staphylococcus aureus. Thirteen (93%) of 14 patients underwent a surgical procedure, and patients were treated with antibiotics for a median of 38 days. Eleven (79%) of 14 patients received enteral antibiotics for part of their treatment course. All patients recovered with no neurological sequelae.

CONCLUSIONS
SEAs are rare infections, but good outcomes can be obtained with prompt antimicrobial and surgical management. Enteral antibiotics should be considered as part of therapy. Larger multicenter studies are needed to determine the optimal antibiotic duration and route, and which patients should undergo neurosurgical intervention versus interventional radiology drainage or medical management alone.
PENGARUH DISIPLIN BELAJAR, LINGKUNGAN BELAJAR DAN VARIASI MENGAJAR GURU TERHADAP PRESTASI BELAJAR
Authors: Wahyuningsih Roy 
Published: December 2024

This research aims to determine (1) the influence of learning discipline on economics learning achievement among PGRI Peterongan High School students. (2) The Influence of the Learning Environment on Economics Learning Achievement of PGRI Peterongan High School Students. (3) The Effect of Teacher Teaching Variations on Economics Learning Achievement of PGRI Peterongan High School Students. (4) The Influence of Learning Discipline, Learning Environment and Teacher Teaching Variations on Economics Learning Achievement of PGRI Peterongan High School Students. This research is quantitative research. The population in this study were all PGRI Peterongan High School students, namely 104 students. The sample in this study used a saturated sample, which used the entire number of students at SMA PGRI Peterongan. The results of the research show that: (1) There is a positive but not significant influence of learning discipline on economics learning achievement of PGRI Peterongan High School students. This is shown by the hypothesis test of the learning discipline variable of 0.865, sig 0.389>0.05. (2) There is a negative and insignificant influence of the learning environment on the economics learning achievement of PGRI Peterongan High School students. This is shown by the hypothesis test for the learning environment variable of -0.094, sig 0.270<0.05. (3) There is an influence on teacher teaching variations on economic learning achievement among PGRI Peterpongan High School students. This is shown by the hypothesis test for the teacher teaching variation variable of 0.009, sig 0.924 <0.05.
THE INFLUENCE OF MICRO FINANCING AND BUSINESS ASSISTANCE ON THE DEVELOPMENT OF CLIENTS' BUSINESSES AT PT MITRA BISNIS KELUARGA VENTURA, TANAH TINGGI BRANCH, TANGERANG CITY
Authors: Diansyah Diansyah , Aslawiyah Siti Rabiaatul 
Published: December 2024

PT MBKV (Mitra Bisnis Keluarga Ventura) is a non-bank private financial institution that engages in microfinance activities. This study aims to ascertain whether microfinance and business assistance exert a combined and partial influence on the business development of customers of PT Mitra Bisnis Keluarga Ventura Tanah Tinggi Branch in Tangerang City. The population comprised 203 customers, while the sample size was limited to 135. The data collection process involved the use of observation, questionnaires, and interviews. The data analysis technique employs instrument testing and hypothesis testing. The independent variable comprises microfinance and business assistance, while the dependent variable is business development. A multiple linear regression analysis was conducted to test the effect of each independent variable on the dependent variable. The results of data processing through SPSS 27 indicate that microfinance and business assistance exert a significant influence on the business development of customers of PT Mitra Bisnis Keluarga Ventura Tanah Tinggi Branch in Tangerang City. The influence of microfinance and business assistance on business development is significant, with a magnitude of 47.3%. Furthermore, the provision of microfinance and effective business assistance can facilitate continuous business development, thereby achieving optimal results.