bluuebunny/crossref_metadata_2025_split huggingface dataset:
A Prospective Comparative Study between Day Care Spine Surgery and Conventional Spine Surgery
Authors: Thounaojam Chandra Kumar , Borkar Sachin A. , Sharma Ravi , Phalak Manoj , Sharma Rajeev , Sharad Kale Shashank 
Published: January 2021

Background:
Day care spine surgery though practiced in many centers around the world, is still relatively an unchartered territory here in India, with very few centers performing spine surgeries in a day care setup. Our study was conducted to assess the feasibility of day care spine surgery in our setup.

Materials and Methods:
This is a prospective observational study in which patients who had undergone spinal surgery (lumbar discectomies, intradural-extramedullary lesions [IDEMs] and extradural space-occupying lesions [SOLs] extending up to one and a half vertebral levels, and one or two level anterior cervical discectomy and fusion [ACDF] in a day care setting) in our department from March 2018 to December 2018, were recruited. Of the 68 patients recruited, 33 were in the day care group and 35 were in the routine group. Data was collected on type of pathology, comorbidities, spinal segment involved, type of surgical procedure; visual analog scale (VAS) score in the preoperative period, immediately after surgery, 12h after the discharge, and at suture removal, length of hospital stay, cost, conversion of the day care to a routine admission, and disability/functional outcome.

Results:
We found comparable surgical results and postoperative pain profile in both the groups; median VAS in the immediate post-op period was found to be 5 in the day care and 4 in the routine group, at 12h after discharge, it was found to be 4 in both the groups, and at suture removal, it was found to be 2 in both the groups. There was statistically significant decrease in hospital stay and cost with a P value of 0.001 for both. Mean length of hospital stay was 1.15 ± 0.36 days in the day care and 9.66 ± 4.76 in the routine group. Mean cost was 2142.97 rupees in the day care, whereas it was 17971.94 rupees in the routine group. There were no new onset neurological deficits in the day care group. Five cases were converted from the day care group due to various reasons.

Conclusion:
One and two level lumbar prolapsed intervertebral discs (PIVDs)/canal stenosis, cervical PIVDs, especially single-level PIVD, IDEMs, and extradural SOLs can be performed in a day care setting.
Position-related Neurovascular Injuries Detected by Intraoperative Monitoring
Authors: Gowda Shaila 
Published: January 2021

Background:
Poor patient positioning during surgeries can result in vascular and peripheral nerve injuries. The purpose of this study was to analyze the various etiologic factors related to positioning detected by intraoperative monitoring (IOM) and make recommendations for prevention of comorbidities.

Materials and Methods:
The data for a total of 4450 consecutively monitored patients who underwent orthopedic and neurosurgical procedures were retrospectively reviewed. Patients with signal changes related to positioning detected by IOM were analyzed for position, modalities, timing of interventions, duration of surgery, and etiologic factors. Deficit and non-deficit groups were further compared using Wilcoxon rank sum test.

Results:
Intraoperative evidence of impending neurologic injury was seen 1.1% times, most frequently due to malpositioning of upper extremities (57%) in prone position (55%). Shoulder tape, bootstrap, thigh/hip pads, sitting and lower extremity malpositioning were other etiologic factors. Appropriate intervention was performed within 3min 66% of the time. Four patients developed new postoperative deficits: brachial plexopathy (n = 3) and bilateral sciatic neuropathy (n = 1). The deficit group had longer duration of surgery (P = 0.031), and neurophysiological (NP) signal changes persisted for an increased time interval (P = 0.0084) when compared to the non-deficit group.

Conclusion:
Prolonged duration of surgery and persistence of NP signal changes can increase the risk of potential neurovascular injury. Intraoperative neurovascular injuries due to positioning can occur in various settings. Early recognition of signal changes during monitoring and immediate intervention is likely to prevent neurological deficits.
Intravitreal Bevacizumab (Avastin) as An Adjuvant Therapy for Choroidal Carcinoid Metastasis
Authors: Karimi Saeed , Arabi Amir , Shahraki Toktam 
Published: January 2021

Purpose:
To report a case of choroidal carcinoid metastasis with neovascularization of the optic disc and macular edema that was treated with three sessions of intravitreal anti-vascular endothelial growth factor (anti-VEGF) as an adjuvant therapy with photodynamic therapy (PDT).

Methods:
A 16-year-old patient with a diagnosis of lung carcinoid tumor presented to an ophthalmology clinic with a complaint of decreased vision in his right eye. Fundus examination revealed choroidal carcinoid metastasis in addition to neovascularization of the optic disc. Macular optical coherence tomography revealed cystoid macular edema and subretinal fluid. The patient was treated with PDT in addition to three sessions of intravitreal anti-VEGF injections.

Results:
Following the treatment, the new vessels regressed, and visual acuity improved. Furthermore, central retinal thickness reduced significantly. The tumor size reduced significantly over a follow-up period of 6 weeks.

Conclusion:
Choroidal carcinoid metastasis may be complicated by neovascularization of optic disc, which responds favorably to intravitreal injections of bevacizumab.
Relevance of Multicolor Imaging in Type 2 Macular Telangiectasia
Authors: Venkatesh Ramesh , Pereira Arpitha , Bavaharan Bharathi , Jain Kushagra , Aseem Aditya , Sangai Sajjan , Yadav Naresh Kumar 
Published: January 2021

Purpose:
To report the imaging characteristics of various clinical features in idiopathic macular telangiectasia (MacTel 2) on multicolor imaging (MCI) and compare its accuracy vis-à-vis color fundus photograph (CFP) and fluorescein angiography (FA).

Methods:
In this retrospective observational study, 54 eyes of 27 patients with MacTel 2 were included after institutional review board approval. Multimodal imaging with CFP, optical coherence tomography (OCT), MCI, and FA was done. Images were analyzed to identify and describe the clinical findings in MacTel 2. Sensitivity, specificity, and positive and negative predictive values were computed for the various imaging modalities in MacTel 2.

Results:
In this study, the MCI identified all the different clinical features of MacTel 2 in 100% of cases. The confocal blue reflectance (BR) image was more sensitive than CFP (100% vs. 96.3%) in identifying the loss of retinal transparency in MacTel 2. For other clinical features such as right-angled vessels, superficial retinal crystals, and retinal pigment epithelial hyperplasia/plaques, the sensitivity of BR, and green reflectance (GR) image, was comparable to that of CFP. Confocal infrared reflectance (IR) images showed poor sensitivity in identifying the non-proliferative features in MacTel 2 (P < 0.001). Loss of retinal transparency was not picked up on IR image. Other features such as right-angled vessels, superficial retinal crystals, and pigment plaques were seen in 20%, 4.6%, and 26.3% of cases, respectively. However, confocal IR images were superior to FA (100% vs. 47%) and CFP (100% vs. 15%) in identifying the extent and location of subretinal neovascular membrane. The confocal BR and GR images were unable to identify the choroidal neovascular membrane (P < 0.001).

Conclusion:
MCI is a useful and non-invasive imaging modality to identify the clinical features in MacTel 2. MCI can be used as a complementary imaging tool to CFP, FA, and OCT.
Local Taxation of Tourism in the Context of the Collaborative Economy – Case Study from the Czech Republic
Authors: Plzáková Lucie , Studnička Petr 
Published: January 2021

Tourism management has undergone significant changes in recent years under the influence of two factors: the strengthening of the fiscal decentralization approach and the development of a collaborative economy that significantly affects the tourism market, both on the supply and demand side. Tourism taxes are one of the management tools on the local level. The paper focuses on innovation in the act on local charges and fees so that it meets the requirements of the current state and the expected development in the future, laying emphasis on the use of digital platforms in tourism. The proposed and accepted legal regulation will bring the Czech self-government many advantages such as i) extended powers for self-government; ii) increased revenues to the municipalities´ budgets; iii) the update of such groups of tourists that are exempted from local taxation, and iv) the liability to ensure local taxation for all types of objects providing short-term temporary accommodation.
PENGARUH PERTUMBUHAN USAHA MIKRO KECIL MENENGAH (UMKM) TERHADAP TINGKAT PERTUMBUHAN EKONOMI DI KABUPATEN SIDOARJO
Authors: Wijaya Sheylla Akseleria , Pudjowati Juliani , Fattah Abdul 
Published: January 2021

Pertumbuhan Ekonomi merupakan bagian penting yang harus dimiliki oleh suatu daerah, di mana pertumbuhan ekonomi yang stabil maka akan menimbulkan suatu kesejahteraan pada suatu daerah. Pertumbuhan Ekonomi dikatakan stabil dapat dilihat bagaimana peran masyarakat dalam memanfaatkan Lingkungan sekitar yang ada di daerah itu sendiri. Beberapa faktor juga dapat menunjang adanya pertumbuhan ekonomi, salah satu faktor yang mempengaruhi pertumbuhan ekonomi Kabupaten Sidoarjo adalah pertumbuhan UMKM. Banyaknya jumlah UMKM akan memberi efek baik, karena UMKM adalah sektor perekonomian yang potensial dan memberikan banyak manfaat kepada masyarakat, khususnya masyarakat golongan menengah ke bawah, dikarenakan UMKM juga dapat membuka lapangan pekerjaan bagi masyarakat. Pertumbuhan UMKM di Kabupaten Sidoarjo akan saling berkaitan dengan pertumbuhan ekonomi Kabupaten Sidoarjo, untuk mengetahui tingkat signifikansi pertumbuhan ekonomi di kabupaten sidoarjo maka dilakukan pengujian parsial dengan menggunakan variabel jumlah UMKM, Nilai Produksi, Modal Usaha, Nilai Investasi dan Pertumbuhan Ekonomi dan dari hasil penelitian terdapat variabel yang berpengaruh positif terhadap tingkat pertumbuhan Ekonomi, sedangkan untuk variabel jumlah UMKM, Nilai Produksi , Modal Usaha dan Nilai Investasi berpengaruh signifikan terhadap tingkat pertumbuhan ekonomi di Kabupaten Sidoarjo.
Rancang Bangun Sistem Informasi Eksekutif Pada Pemerintah Kecamatan Belida Darat Kabupaten Muara Enim
Authors: Larassati Nurhera , Hadinata Novri , Sauda Siti 
Published: January 2021

Kecamatan Belida Darat merupakan lembaga pemerintah yang berada di wilayah kabupaten Muara Enim. Kecamatan Belida Darat diresmikan oleh Bupati Muara Enim Ir. H Muzakir Sai Sohar pada tanggal 8 Oktober 2012, merupakan tindak lanjut dari Perda Kabupaten Muara Enim No.1 Tahun 2012 tanggal 20 Juli 2012 merupakan pemekaran dari Kecamatan Lembak. Karena merupakan kecamatan baru, kecamatan ini masih memerlukan banyak sistem yang berguna untuk mempermudah urusan yang ada di kecamatan. Tujuan melakukan penulisan skripsi ini adalah untuk merancang dan membangun suatu sistem informasi eksekutif pada kecamatan Belida Darat dengan berfokus pada laporan monografi. Metode yang digunakan dalam pembuatan sistem ini adalah metode Waterfall. Metode ini merupakan salah satu metode yang banyak digunakan dalam pengembangan perangkat lunak. Hasil implementasi sistem diharapkan dapat mengatasi permasalahan-permasalahan yang dihadapi oleh kecamatan Belida Darat dalam menyajikan laporan untuk eksekutif.
Determinants Influencing the Performance of Child Welfare Protection Project: A Case of Charitable Children Institutions in Kilifi County, Kenya
Authors: Apeli Aleo Nipher , Kisimbii Dr. Johnbosco M. 
Published: January 2021

Purpose: The purpose of the study was to examine the key determinants influencing the performance of child welfare protection project in Kilifi county, Kenya. The study aimed to achieve the following objectives: to examine the extent to which training of workers influences performance of child welfare protection project, to determine the extent to which stakeholder engagement influences performance of child welfare protection project, to establish the extent to which availability of financial resources influences performance of child welfare protection project and to assess how monitoring and evaluation approaches influences the performance of child welfare protection project.Methodology: The study adopted the descriptive research design. The target population was 20 directors and 110 project workers which summed to 130 persons. The study sampled 101 respondents which included (15) directors and (86) project workers in the social department of 15 child charitable institutions. Purposive sampling and proportionate sampling were utilized respectively. Primary data was collected by use of close ended questionnaire and the return rate was 70%. Quantitative data was analyzed using descriptive statistics with the aid of Statistical Package for Social Sciences (SPSS version) latest version. The study results were presented through frequency tables and narratives analysis.Results: The findings clearly depict that all determiners: training of workers, stakeholder engagement, availability of financial resources and monitoring and evaluation approaches were present in child welfare projects constituting of the composite mean of 3.9468, 2.988, 3.6798 and 3,9434 respectively while the dependent variable had a composite mean of 4.34. Hypothesis was tested on each alternative as per the objective using the simple Chi square test determined that training of workers had no significant influence on the performance of child welfare protection projects while stakeholder engagement, availability of financial resources and monitoring and evaluation had a significant influence on the performance of child welfare protection projects.Unique contribution to theory, policy and practice: The study recommends that further research be conducted on training to provide more insight of this variable. The study recommends training of workers through university-agency partnerships be fortified to bring about new ideas and skills among project workers in addition, firms should ensure child welfare practitioners are endowed with valuable M&E skills and suitable approaches to meet the set target and objectives.
Role of Hysterolaparoscopy in Infertility
Authors: Sambashivaiah Jayashree , Ajjammanavar Virupakshi , Hiremath Nayana D 
Published: January 2021

ABSTRACTIntroductionHysterolaparoscopy often brings to light the hitherto unexpected pathology. The objective of this study was to evaluate various etiological factors in infertility by hysterolaparoscopy and to evaluate therapeutic interventions done during hysterolaparoscopy.Materials and methodsWomen posted for hysterolaparoscopy for infertility workup in JSS hospital during the period from November 01, 2014, to October 31, 2016, were included in the study. First hysteroscopy was performed. In hysteroscopy, endocervical canal was visualized for any growth or polyps. Diagnostic laparoscopy was performed using a 30-degree deflection angle telescope powered with a fiber-optic cable for light source.ResultsOn hysteroscopy, out of 90 cases, 68 (75.6%) had normal findings, 10 (11.1%) had endometrial polyps, 5 (5.6%) had septate uterus, 3 (3.3%) had hyperplastic endometrium, and there was 1 case each of submucous fibroid, atrophic endometrium, intrauterine adhesions, and hypoplastic uterus. Laparoscopic interventions were performed in the form of ovarian cystectomy in 17 (18.8%), paraovarian cystectomy in 3 (3.3%), adhesiolysis in 2 (2.2%) cases, drilling of polycystic ovaries in 26 (28.8%) cases, fulguration or excision of endometriosis nodules in 4 (4.4%), myomectomy in 7 (7.7%) cases), fimbrial cystectomy in 2 (2.22%), and unilateral salpingectomy done in 2 (2.22%).ConclusionHysterolaparoscopy is an effective and safe tool in comprehensive evaluation of infertility to diagnose and treat the various pathological conditions in a single sitting.How to cite this articleAjjammanavar V, Hiremath ND, Jayashree S. Role of Hysterolaparoscopy in Infertility. Int J Infertil Fetal Med 2020;11(1):5–10.
Fetal Magnetic Resonance Imaging of Choledochal Cyst
Authors: Wirasasmita Dewi A , Abdurrazak Gatot , Yani Ahmad 
Published: January 2021

ABSTRACTCholedochal cysts (CCs) are rare congenital anomaly with characterized dilatation of intra- or extrahepatic biliary duct or both. Prenatal diagnosis is increasing due to high resolution of ultrasound (US) and ultrafast sequences of magnetic resonance imaging (MRI) showing better delineation of the cyst to the adjacent structure. Considering the additional value of the fetal MRI report is still infrequent to confirm the CC case, we therefore report the type I of CC, which was previously diagnosed as a cystic biliary atresia (CBA) from US result. Postnatal MRI and histopathology prove it.How to cite this article:Wirasasmita DA, Abdurrazak G, Yani A. Fetal Magnetic Resonance Imaging of Choledochal Cyst. Int J Infertil Fetal Med 2020;11(1):27–29.
Lessons from Umbilical Vein Varix
Authors: Sharma K Aparna , Rana Anubhuti , Isher Harpreet Kour , Dadhwal Vatsala , Kumar Abhijeet 
Published: January 2021

ABSTRACTUmbilical vein varix is an uncommon vascular anomaly. The varix may be the initial presentation of an underlying congenital portosystemic shunt adversely affecting the fetus as we demonstrate in this case. To be able to label a varix as an isolated finding necessitates a thorough evaluation of the fetal venous system as well. Serial ultrasound of the fetus can help in detecting changes in the varix, thrombosis, growth restriction, as well as heart failure if there is another underlying venous anomaly. Early postnatal imaging is essential to exclude other associations to optimize the neonatal outcome. The prognosis is good if it is an isolated finding.How to cite this article:Sharma KA, Kour Isher H, Dadhwal V,et al. Lessons from Umbilical Vein Varix. Int J Infertil Fetal Med 2020;11(1):30–32.
PENERAPAN PRINSIP GOOD GOVERNANCE DALAM PENYELENGGARAAN PEMERINTAHAN DI DAERAH KABUPATEN TORAJA UTARA
Authors: Yeheschiel B. Marewa , Marcel Tanan  
Published: January 2021

Penyelenggaraan pemerintahan yang baik adalah landasan bagi penyusunan dan penerapan kebijakan negara yang demokratis dalam era globalisasi yang dapat dijadikan sebagai pedoman untuk menghindari praktik tercela seperti korupsi, kolusi, dan nepotisme. Masalah utama adalah bagaimanakah mekanisme pemerintah dalam menerapkan prinsip pemerintahan yang baik.penelitian ini berlokasi di Daerah Kabupaten Toraja Utara menggunakan metode analisa kualitatif normatif. Analisa kualitatif normatif ini dilakukan secara deskriptif dan preskriptif, karena dalam penelitian ini bermaksud untuk melukiskan data dan realita terkait dengan masalah pelaksanaan prinsip-prinsip kebijakan daerah dalam rangka penyelenggaraan pemerintah yang baik bersih dari korupsi, kolusi serta nepotisme. Tata kelola pemerintahan yang baik tertuju pada penyelenggaraan Penerapan Prinsip Pemerintahan di daerah kabupaten Toraja Utara, prinsip-prinsip yang di implementasikan dimaksudkan agar ada upaya untuk meningkatkan sinergi bersama dengan semua badan yang ada dikabupaten Toraja Utara, serta melibatkan peran serta masyarakat dalam mengawasi jalannya penyelenggaraan tugas dan tanggungjawab pemerintah sehingga diharapkan penyelenggaraan seluruh kegiatan pemerintah daerah kabupaten Toraja Utara bebas dari praktik Korupsi, Kolusi, dan Nepotisme.
PERSIDANGAN ELEKTRONIK (E-LITIGASI) PADA PERADILAN TATA USAHA NEGARA
Authors: Agus Salim  , Elfran Bima Muttaqin  
Published: January 2021

The State Administrative Judicial as the executor of judicial power has a duty and authority to examine, decide, and resolve State Administrative disputes. Along with tecnological development, judicial practices within the scope of the Indonesian Supreme Court hal implemented the ecourt application. The aims of this study is to analyze policies regarding the implementation of Electronic Litigation in the State Administrative Judicial, as well as to find the obstacles encountered. This study uses a normative method with a statute approach, that is Act 5 in 1986 concerning State Administrative Judicial and its amendment, and Supreme Court Regulation Number 1 of 2019 concerning Administration of Cases and Trials in Court Electonically. The result of the study show that the application of Electronic Litigation at State Administrative Judicial is carried out comprehensively, that is from the registration stage until reading of judicial decisions. The obstacles that still being faced are related to the stage of evidence which in practice still requires a conventional trial, and the limited access to the internet network in several regions in Indonesia.
Revista de Enfermería Neurológica: nuevos retos
Authors: Ortiz López Gloria 
Published: January 2021

Las revistas científicas conforman desde el siglo XIX, el principal medio de divulgación del conocimiento, son la herramienta más utilizada por la comunidad científica para divulgar el producto de sus investigaciones, son fuentes de consumo y apropiación del conocimiento; por ende, de su situación y características depende el éxito de la comunidad científica de las diferentes disciplinas, es decir la producción científica, habla del desarrollo de una profesión. La Investigación y publicación en enfermería es un ejemplo de este desarrollo, siendo cada vez más el número de revistas científicas de Enfermería en las diferentes bases de datos.
Hiệu quả của tưới tiết kiệm nước trong trồng rau an toàn
Authors: Nguyễn Thị Minh Huệ , Đoàn Thị Phương Lý 
Published: January 2021

Đề tài “Ứng dụng công nghệ tưới tiết kiệm nước trong sản xuất rau an toàn” được thực hiện tại Trung tâm Thực nghiệm, thực hành và Chuyển giao Khoa học công nghệ, trường Đại học Tân Trào, tỉnh Tuyên Quang. Kết quả bước đầu cho thấy việc áp dụng công nghệ tưới nước tiết kiệm cho cây rau, tiếp kiệm được thời gian, giảm chi phí công lao động, tăng năng suất cây trồng . Cụ thể: Năng suất rau bắp cải tăng 2,12 tấn/ha, năng suất rau su hào tăng 1,93 tấn/ha so với trồng rau bằng phương pháp tưới nước truyền thống. Hiệu quả kinh tế của bắp cải cao hơn so với tưới nước truyền thống 19.860.000 đồng/ha, hiệu quả kinh tế của su hào cao hơn so với tưới nước truyền thống 14.555.000 đồng/ha.
Phát triển bền vững văn hóa dân tộc Sán Dìu ở khu vực miền núi phía Bắc
Authors: Nguyễn Thị Quế Loan , Lê Thị Thu Hương 
Published: January 2021

Khu vực miền núi phía Bắc Việt Nam hiện có khoảng 31 dân tộc sinh sống. Do xen cư trong một vùng văn hoá - lịch sử nên giữa các dân tộc có sự giao tiếp về kinh tế, xã hội, chính trị, văn hoá... Sau Đổi mới (năm 1986), sự hội nhập của các dân tộc diễn ra mạnh mẽ góp phần thúc đẩy quá trình hoà hợp, mặt khác làm biến đổi văn hoá truyền thống khiến nhiều giá trị văn hoá bị mai một. Trong mấy thập niên qua, Đảng và Nhà nước đã có những chủ trương, chính sách, các cuộc vận động, dự án nhằm bảo tồn và phát huy bản sắc văn hoá dân tộc. Để tham góp cùng các biện pháp đã được thực hiện, chúng tôi tiến hành nghiên cứu ở một dân tộc cụ thể đang chịu ảnh hưởng rõ rệt của quá trình công nghiệp hóa, hiện đại hóa, từ đó, đề ra những giải pháp phù hợp nhằm giữ gìn và phát triển văn hoá bền vững.
TRI THỨC DÂN GIAN TRONG LAO ĐỘNG SẢN XUẤT ĐƯỢC PHẢN ÁNH QUA TỤC NGỮ TÀY
Authors: Hà Thị Chuyên 
Published: January 2021

Khảo sát tri thức dân gian nhằm giới thiệu, bảo tồn, phát huy những kinh nghiệm quý báu của đồng bào dân tộc Tày đang là một nhu cầu cấp bách. Bởi ngôn ngữ và văn hóa của các dân tộc thiểu số nói chung và dân tộc Tày nói riêng đang đứng trước nguy cơ mang tính toàn cầu đó sự mai một và tiêu vong. Khảo sát tri thức dân gian về lao động, sản xuất trong tục ngữ Tày thông qua các ấn phẩm đã được xuất bản cho thấy đồng bào thường quan tâm đến những kinh nghiệm về dự báo thời tiết, mùa vụ, trồng trọt, chăn nuôi,… Những tri thức dân gian này cần được lựa chọn để truyền dạy cho con em đồng bào dân tộc Tày nói riêng và cộng đồng nói chung.