bluuebunny/crossref_metadata_2025_split huggingface dataset:
Perforated Appendicitis Treated By Open Versus Laparoscopic Surgery- A Comparative Study
Authors: Timilsina Bishow Deep , Karki Om , Subedi Babita 
Published: May 2021

Background: Acute appendicitis is the most common surgical emergency of the abdomen. Perforated appendicitis often has higher morbidity and mortality. Laparoscopic Appendectomy (LA) is safe and effective procedure for the simple appendicitis compared to Open Appendectomy (OA) but it is not considered as the first line approach in case of perforated appendicitis and its role is still controversial and is under investigation. Hence this study was carried out to compare the outcomes of LA over OA in proven cases of perforated appendicitis.
Methods: A hospital based comparative study was conducted among 60 patients with the diagnosis of perforated appendicitis who underwent LA and OA, for a duration of 18 months in Manipal Teaching Hospital, Pokhara. Data were collected using semi-structured questionnaire and were analyzed by descriptive and inferential statistics with SPSS version 25.0.
Results: The study showed no significant statistical difference in operative time in LA compared to OA (66±18.11 minutes vs. 66.67±25.269 minutes, p = 0.9). Moreover it shows less post-operative pain (p = 0.003), shorter length of hospital stay (5.3±1.8 days vs. 7.3±3.31 days, p = 0.005), faster return of peristalsis (1.43±0.504 days vs 1.80±0.805 days, p = 0.037) and faster reinstitution of liquid diet(1.43±0.504 days vs 1.80±0.805 days, p = 0.037), less incidence of wound infection (5 in 30 = 16.66% vs. 12 in 30 = 40%, p = 0.042) and faster subjective full recovery(1.9±0.759 weeks vs. 2.9±0.89 weeks, p ˂ 0.0001) of LA patient compared to OA which is statistically significant.
Conclusion: LA is safe and effective procedure than OA for perforated appendicitis.
Kajian Akurasi Pengukuran dan Pemetaan Bidang Tanah Produk Kantor Jasa Surveyor Berlisensi (Studi di Kantor Pertanahan Kabupaten Kediri dan Tulungagung)
Authors: Yulianto Evan Sulton , Farid Abdul Haris 
Published: May 2021

Abstract: The collection of physical data is regulated in JUKNIS PMNA/KBPN Number 3 of 1997. In the technical guidelines, determinate where the results of measuring and mapping land parcels have to accordance with determined tolerances, namely tolerance of distance, area, form and registration map. But in reality, the results of the measurement and mapping of land parcels by KJSKB still do not fulfill the tolerance requirements. This study aims to determine the level of accuracy of the results of measurements and mapping of land parcels conducted by KJSKB. This study uses a descriptive method with a quantitative approach. The comparison of distances in Butuh Village were 42 distances (36.52%) suitable and 73 distances (63.48%) did not, in Jeli Village, there were 74 distances (55.64%) suitable and 59 distances (44.36%) did not. The results of the comparison of area in Butuh Village are 23 land parcels (76.67%) suitable and 7 land parcels (23.33%) did not, in Jeli Village as many as 20 land parcels (66.67%) suitable and 10 land parcels (33.33%) did not. In addition to the form variables and registration maps, some land parcels do not match between the Measuring Image and the field conditions.Keywords: accuracy, measurement, mapping, KJSKB. Intisari: Pelaksanaan pengumpulan data fisik diatur dalam JUKNIS PMNA/KBPN Nomor 3 tahun 1997. Di dalam Juknis tersebut, terdapat ketentuan dimana hasil pengukuran dan pemetaan bidang tanah harus sesuai dengan toleransi yang telah ditetapkan yaitu toleransi jarak, luas, bentuk, dan peta pendaftaran. Namun kenyataannya, hasil pengukuran dan pemetaan bidang tanah oleh KJSKB masih belum memenuhi syarat toleransi. Penelitian ini bertujuan untuk mengetahui tingkat akurasi hasil pengukuran dan pemetaan bidang-bidang tanah yang dilakukan oleh KJSKB. Penelitian ini menggunakan metode deskriptif dengan pendekatan kuantitatif. Hasil perbandingan jarak di Desa Butuh sebanyak 42 jarak (36.52%) Sesuai dan 73 jarak (63.48%) Tidak Sesuai, di Desa Jeli sebanyak 74 jarak (55.64%) Sesuai dan 59 jarak (44.36%) Tidak Sesuai. Hasil perbandingan luas di Desa Butuh sebanyak 23 bidang tanah (76.67%) Sesuai dan 7 bidang tanah (23.33%) Tidak Sesuai, di Desa Jeli sebanyak 20 bidang tanah (66.67%) Sesuai dan 10 bidang tanah (33.33%) Tidak Sesuai. Selain itu pada variabel bentuk dan peta pendaftaran, beberapa bidang tanah tidak sesuai antara Gambar Ukur dan keadaan lapangan.Kata Kunci: akurasi, pengukuran, pemetaan, KJSKB.
Problematika Dan Solusi Pada Pengadaan Tanah Jalur Kereta Api Bandara Yogyakarta Internasional Airport
Authors: Enggartiasto Deo , Setiowati Setiowati , Martanto Rochmat 
Published: May 2021

The Yogyakarta International Airport Railway Project provides easier access for the public. The implementation of land acquisition for the YIA Airport Railroad has experienced obstacles, namely the length of time providing compensation to people who are entitled to LMAN financing. In addition, there is a problem with the proof of the right to compensation for the land parcels of the 2019 PTSL participants whose certificates were issued after the IPL. This study uses a qualitative method with a descriptive approach, data comes from several parties who are considered important and are directly involved in the land acquisition process. The results showed that the process of paying compensation through LMAN was considered quite long by the community. This is due to the existence of a review and verification process according to separate standard operating procedure outside of Law Number 2 of 2012. Regarding these problems, it is important that land acquisition regulations with LMAN funding be issued. In addition, the delivery of information related to land acquisition to the community is the most important part for the community to cooperate. Proyek Jalur Kereta Api Bandara Yogyakarta International Airport memberikan akses yang lebih mudah bagi masyarakat. Pelaksanaan pengadaan tanah Jalur Kereta Api Bandara YIA mengalami kendala yaitu lamanya pemberian uang ganti rugi terhadap masyarakat yang berhak pada pembiayaan LMAN. Selain itu terdapat permasalahan alas bukti hak untuk ganti rugi pada bidang tanah peserta PTSL 2019 yang sertipikatnya keluar setelah IPL. Penelitian ini menggunakan metode kualitatif dengan pendekatan deskriptif, data berasal dari beberapa pihak yang dianggap penting dan terlibat langsung pada proses pengadaan tanah. Hasil penelitian menunjukkan proses pembayaran uang ganti rugi melalui LMAN dianggap cukup lama oleh masyarakat. Hal ini disebabkan adanya proses review dan verifikasi sesuai SOP tersendiri di luar Undang- Undang Nomor 2 Tahun 2012. Terhadap permasalahan tersebut, penting kiranya diterbitkan peraturan pengadaan tanah dengan pendanaan LMAN. Selain itu penyampaian informasi terkait pengadaan tanah kepada masyarakat menjadi bagian terpenting agar masyarakat kooperatif.Kata Kunci: Pengadaan Tanah, LMAN, Review, Verifikasi.
Transhumanistic Aspects of the Artificial Life Mythologeme in the Ancient World
Authors: Gotz L. S. 
Published: May 2021

The aim of the paper is to study mythological transhumanism in the context of the problem of artificial life in the ancient world.
The relevance of this study is determined by the significant growth of the role of the posthumanism research in the context of the rapid development of modern high technologies. The study of the features of the mythological transhumanism representation in the ancient world reveals the archetypic patterns of ideas about the essence of human and the limits of humanity — both in traditional and in modern culture, and it provides an insight of the prospects of human existence. Still, there are few studies that reveal the presence or absence of ancient transhumanistic intentions in culture and analyze the ideals associated therewith.
Novelty. This is the first attempt of analyzing the issue of mythological transhumanism in the culture of the ancient world.
Research methodology. The author used comparative mythology, historical­genetic, structural analysis, semiotic, hermeneutic and axiological analyses within the framework of cultural studies.
Results. The phenomenon of mythological transhumanism and the problem of artificial life in the ancient world were studied. In contrast to the common scientific ideas implying that transhumanistic intentions of humanity and reflections on the creation of artificial life are a late cultural phenomenon, the research allows us to claim that mythological transhumanism is already represented in the archaic and ancient world culture. This suggests that transhumanistic thinking is universal in culture. It was found out that the archaic consciousness does not see fundamental difference between the subjects, which create artificial life. In archaic myths, it can be either a person or a demiurge — an ancestor or a deity. The binary opposition “man — god” and “alive — dead” is blurred in archaic thinking. Along with the clarification of hierarchical power structures in the worldview, the mythologeme of the divine creation of artificial life begins to dominate. In the mythology of the ancient world, the anthropogony of the demiurge is often regarded as unsuccessful: the demiurge is like a person and his actions are imperfect. The archetypic image of the “unfinished man”, widespread in ancient myths, represents the ideas of modern posthumanists that human evolution should continue through the enhancement of “human nature” with high technologies.
The practical significance. The information of this article may be useful for the scholars, researchers of culture and for teaching various educational courses.
Sonatas № 2 end № 9 as Milestones in the Evolution of the Piano Style of A. Scriabin
Authors: Lebedeva N. S. 
Published: May 2021

The article is devoted to the consideration of two piano sonatas by A. Scriabin, representing in a complex the peculiarities of his piano style as an integral phenomenon. The two-part sonata No. 2, classified as a musical landscape, is considered in comparison with the performing versions proposed by S. Richter and V. Ashkenazy. The one-part Sonata No. 9, called “Black Mass”, is considered in comparison with the performing interpretations of V. Sofronitsky and V. Horowitz.
It is noted that the Scriabin’s piano style is inherently mixed, compositional and performing, and its grandiose macrocycle of 10 sonatas appears as a compendium of the principles of piano thinking for the post-romantic era. The universalism of Scriabin’s writing is confirmed using the comparative method of analysis, for the first time proposed in this article in relation to the works under consideration.
It was revealed that the style in music appears as “a system of stable features of musical phenomena, a way of their differentiation and integration at various levels” (S. Tyshko). The style is distinguished by a tendency to identify the individual, unique, “humanistic” in the broad sense of the word and has a hierarchical structure, within which there is a level characterized as “the style of any kind of music” (V. Kholopova), among which the piano style stands out.
Scriabin’s piano sonatas combine the categories of “instrument style”, “author’s style” and “performer’s style” at the style level.
It was revealed that the figurative and artistic duality of the Second sonata is reflected in the interpretations presented by S. Richter (the “classical” version, focused on the exact observance of the author’s text remarques, sounding in some places even like in Beethoven’s works), and V. Ashkenazy (the “romantic” version containing a whole complex of articulatory means added by the performer, most of all close to Chopin’s “sonic placers”).
The main factor that determines the peculiarities of the performance of the Ninth sonata is the transfer of the playing of harmonic timbre-colors, in which the melodic horizontal turns out to be inert in itself and manifests itself only in harmonic lighting in combination with articulatory attributes. It is noted that A. Scriabin creates in the Ninth sonata actually a special type of texture, accentuating the parameter of depth, based on the stereophonic effect “further — closer”.
In the conclusions on the article, it is noted that the stylistic “arch” of two Scriabin’s sonatas highlighted in it helps to comprehend the holistic character and contextual connections of the sonata-piano style of the great Russian composer-innovator, to find “keys” to actual interpretations of his other piano sonatas, an example of which is analyzed interpretation samples of such masters as V. Sofronitsky and V. Horowitz (Ninth sonata) and S. Richter and V. Ashkenazy (Second sonata).
Disparities in outcomes after spine surgery: a Michigan Spine Surgery Improvement Collaborative study
Authors: Macki Mohamed , Hamilton Travis , Lim Seokchun , Telemi Edvin , Bazydlo Michael , Nerenz David R. , Zakaria Hesham Mostafa , Schultz Lonni , Khalil Jad G. , Perez-Cruet Miguelangelo J. , Aleem Ilyas S. , Park Paul , Schwalb Jason M. , Abdulhak Muwaffak M. , Chang Victor 
Published: May 2021

OBJECTIVE
Most studies on racial disparities in spine surgery lack data granularity to control for both comorbidities and self-assessment metrics. Analyses from large, multicenter surgical registries can provide an enhanced platform for understanding different factors that influence outcome. In this study, the authors aimed to determine the effects of race on outcomes after lumbar surgery, using patient-reported outcomes (PROs) in 3 areas: the North American Spine Society patient satisfaction index, the minimal clinically important difference (MCID) on the Oswestry Disability Index (ODI) for low-back pain, and return to work.

METHODS
The Michigan Spine Surgery Improvement Collaborative was queried for all elective lumbar operations. Patient race/ethnicity was categorized as Caucasian, African American, and “other.” Measures of association between race and PROs were calculated with generalized estimating equations (GEEs) to report adjusted risk ratios.

RESULTS
The African American cohort consisted of a greater proportion of women with the highest comorbidity burden. Among the 7980 and 4222 patients followed up at 1 and 2 years postoperatively, respectively, African American patients experienced the lowest rates of satisfaction, MCID on ODI, and return to work. Following a GEE, African American race decreased the probability of satisfaction at both 1 and 2 years postoperatively. Race did not affect return to work or achieving MCID on the ODI. The variable of greatest association with all 3 PROs at both follow-up times was postoperative depression.

CONCLUSIONS
While a complex myriad of socioeconomic factors interplay between race and surgical success, the authors identified modifiable risk factors, specifically depression, that may improve PROs among African American patients after elective lumbar spine surgery.
Clinical photographs in the assessment of adult spinal deformity: a comparison to radiographic parameters
Authors: Ryan Devon J. , Stekas Nicholas D. , Ayres Ethan W. , Moawad Mohamed A. , Balouch Eaman , Vasquez-Montes Dennis , Fischer Charla R. , Buckland Aaron J. , Errico Thomas J. , Protopsaltis Themistocles S. 
Published: May 2021

OBJECTIVE
The goal of this study was to reliably predict sagittal and coronal spinal alignment with clinical photographs by using markers placed at easily localized anatomical landmarks.

METHODS
A consecutive series of patients with adult spinal deformity were enrolled from a single center. Full-length standing radiographs were obtained at the baseline visit. Clinical photographs were taken with reflective markers placed overlying C2, S1, the greater trochanter, and each posterior-superior iliac spine. Sagittal radiographic parameters were C2 pelvic angle (CPA), T1 pelvic angle (TPA), and pelvic tilt. Coronal radiographic parameters were pelvic obliquity and T1 coronal tilt. Linear regressions were performed to evaluate the relationship between radiographic parameters and their photographic “equivalents.” The data were reanalyzed after stratifying the cohort into low–body mass index (BMI) (< 30) and high-BMI (≥ 30) groups. Interobserver and intraobserver reliability was assessed for clinical measures via intraclass correlation coefficients (ICCs).

RESULTS
A total of 38 patients were enrolled (mean age 61 years, mean BMI 27.4 kg/m2, 63% female). All regression models were significant, but sagittal parameters were more closely correlated to photographic parameters than coronal measurements. TPA and CPA had the strongest associations with their photographic equivalents (both r2 = 0.59, p < 0.001). Radiographic and clinical parameters tended to be more strongly correlated in the low-BMI group. Clinical measures of TPA and CPA had high intraobserver reliability (all ICC > 0.99, p < 0.001) and interobserver reliability (both ICC > 0.99, p < 0.001).

CONCLUSIONS
The photographic measures of spinal deformity developed in this study were highly correlated with their radiographic counterparts and had high inter- and intraobserver reliability. Clinical photography can not only reduce radiation exposure in patients with adult spinal deformity, but also be used to assess deformity when full-spine radiographs are unavailable.
Relationship of brainstem infarction to rupture of nonsaccular vertebrobasilar aneurysms
Authors: Rinaldo Lorenzo , Nasr Deena M. , Flemming Kelly D. , Lanzino Giuseppe , Brinjikji Waleed 
Published: May 2021

OBJECTIVE
Symptomatic nonsaccular vertebrobasilar aneurysms (NSVBAs) are associated with high rates of aneurysm-related death. Anecdotal evidence suggests that brainstem infarction may be a harbinger of aneurysm rupture. The authors aimed to investigate the association between brainstem infarction and subsequent NSVBA rupture.

METHODS
The clinical records and radiographic imaging studies of patients presenting to the authors’ institution between 1996 and 2019 for evaluation and management of an NSVBA were retrospectively reviewed to determine the effect of perforating artery infarction on the natural history of NSVBAs. Kaplan-Meier curves for patients with and patients without perforator infarction were constructed, and predictors of aneurysm rupture were identified using a multivariate Cox proportional hazards model.

RESULTS
There were 98 patients with 591.3 person-years of follow-up who met the inclusion criteria for analysis. There were 20 patients who experienced perforator infarction during follow-up. Ten patients (10.2%) experienced aneurysm rupture during follow-up and 26 patients (26.5%) died due to aneurysm-related complications, with annual rates of rupture and aneurysm-related death of 1.7% and 4.4%, respectively. Five patients with a perforator infarction later experienced aneurysm rupture, with a median time between infarction and rupture of 3 months (range 0–35 months). On multivariate analysis, the presence of intraaneurysmal thrombus (risk ratio [RR] 4.01, 95% confidence interval [CI] 1.12–14.44, p = 0.033) and perforator infarction (RR 6.37, 95% CI 1.07–37.95, p = 0.042) were independently associated with risk of aneurysm rupture.

CONCLUSIONS
NSVBAs continue to be extremely challenging clinical entities with a poor prognosis. These results suggest that brainstem infarction due to perforating artery occlusion may be a harbinger of near-term aneurysm rupture.
ХУДОЖНЬО-ІНСТИТУЦІОНАЛЬНІ Й ОСОБИСТІСНО-СМИСЛОВІ ЧИННИКИ ОПЕРНОЇ ВОКАЛЬНОЇ ІНТЕРПРЕТАЦІЇ
Authors: Лю Шитін 
Published: May 2021

Мета роботи – розкрити взаємодію особистісних смислів виконав- ця та художніх інституціональних настанов оперного твору як засад- ничу інтерпретативну рису оперного жанру й вокально-виконавського оперного стилю; з’ясувати, чому до оперних співаків ставляться як до головних виконавців оперного твору, які мають право не лише відтво- рювати композиторський задум, а й утілювати своє «бачення», влас- не розуміння й розуміння оперного образу та ідеї людини, тобто ан- тропологічного підґрунтя оперної композиції Методологія дослідження зумовлюється поєднанням історіографічного й текстологічного підхо- дів, передбачає включення психологічного ракурсу оцінювання художніх явищ і розширення семантичного методу оперознавства. Запропоноване поняття синергії розглядається в річищі семіологічного музикознавчого підходу. Наукова новизна полягає у виокремленні суттєвих зв’язків між синтетичною природою оперного жанру, багатоскладовістю й динаміч- ністю оперної форми та системною рухливою побудовою людської сві- домості, що набуває холістичності лише на смислових творчих засадах. Доводиться, що явище художньої форми, зокрема оперної, і свідомості, зокрема особистісної, поєднані динамічною природою, призначенням для руху – множини різнорівневих і різноспрямованих рухів. Висновки дають змогу засвідчувати особливу місію оперного театру як функціонального поєднання різних способів і форм художнього діяння на основі музичного мистецтва з виявленням нових мовних можливостей музичного звучан- ня при входженні його до театральної системи персонажно-особистіс- них характеристик. Як важливий факт сучасної оперної практики ви- значається досягнення такого рівня розуміння оперного образу, смислу сценічного буття оперного персонажа, який дає змогу виявляти цілісну історичну траєкторію його мистецького існування, причому ця історія не прописується, але відтворюється в ускладненні почуттєво-мислен- нєвого змісту «долі» персонажа в ході цієї інтерпретації. Тому зростає обсяг «внутрішньої людини», який формується синтетичним художнім шляхом, але найбільше визначається музичними висловленнями, музич- ними характеристиками дійової особи.