bluuebunny/crossref_metadata_2025_split huggingface dataset:
Feasibility of robotic posterior fossa skull base surgery
Authors: Lee Min Ho , Xiao Limin , Rychen Jonathan , Rinaldi Mariano P. , Arifianto Muhammad Reza , Vigo Vera , Fernandez-Miranda Juan C. 
Published: December 2024

OBJECTIVE
Despite its potential advantages, robotic surgery has yet to be applied to skull base procedures. Complex anatomy and restricted access have limited the development of robotic skull base surgery. The authors’ aim was to conduct a feasibility study of robotic surgery for posterior fossa skull base lesions.

METHODS
Six silicone-injected postmortem human heads were prepared for the robotic surgery. Because there was no drilling tool with the robot, specimens were dissected in advance using an endoscope and microscope. The following approaches were investigated: 1) supracerebellar-infratentorial; 2) retromastoid; and 3) posterior occipitocervical junction surgeries. For each approach specific anatomical landmarks were identified, and the surgical freedom (vertical distance angle between the tools) was measured.

RESULTS
In the case of the supracerebellar-infratentorial approach, the authors used 3 burrs with 1.5 cm of diameter: 1 paramedian and 2 laterally. The view of the pineal region was visualized, and sufficient surgical freedom of both tools was secured. The median vertical distance was 1.2 cm (range 1.1–1.8 cm), and the median angle between the tools was 105° (range 92°–110°). On the other hand, in the retromastoid approach, with a single burr 2.5 cm in diameter, the root exit zone of the facial nerve was barely visible, and a space for tools to access was not secured. The median vertical distance was 0.8 cm (range 0.6–1.0 cm), and the median angle between the tools was 10° (range 6°–12°). In the case of the posterior occipitocervical junction approach, the authors used the 3 tubular retractors, 1 in the middle and 2 laterally. Even though the space was narrow, the medulla and adjacent nerves could be identified, and a moderate level of surgical freedom could be obtained for tool mobilization. The median vertical distance was 1.6 cm (range 1.2–2.5 cm), and the median angle between the tools was 90° (range 88°–95°).

CONCLUSIONS
Although robotic surgery has yet to be applied to neurosurgery, it is expected to be helpful in posterior fossa skull base surgery if appropriate tools can be developed.
Accuracy and safety evaluation of a novel artificial intelligence–based robotic system for autonomous spinal posterior decompression
Authors: Wang Chengxia , Jiang Shuai , Li Zhuofu , Zhong Woquan , Song Xiongkang , Liu Hongsheng , Hu Lei , Li Weishi 
Published: December 2024

OBJECTIVE
This study aimed to introduce a novel artificial intelligence (AI)–based robotic system for autonomous planning of spinal posterior decompression and verify its accuracy through a cadaveric model.

METHODS
Seventeen vertebrae from 3 cadavers were included in the study. Three thoracic vertebrae (T9–11) and 3 lumbar vertebrae (L3–5) were selected from each cadaver. After obtaining CT data, the robotic system independently planned the laminectomy path based on AI algorithms before the surgical procedure and automatically performed the decompression during the procedure. A postoperative CT scan was performed, and the deviation of each cutting plane from the preoperative plan was quantitatively analyzed to evaluate the accuracy and safety of the cuts. The duration of laminectomy was also recorded.

RESULTS
A total of 285 cuts were made on thoracic and lumbar vertebrae. The average duration for unilateral longitudinal cutting was 16.38 ± 4.76 minutes, while for transverse cutting it was 4.44 ± 1.52 minutes. In terms of accuracy assessment, 3 levels were divided based on the distance between the actual cutting plane and the preplanned plane: 77 (84%) were grade A, 15 (16%) were grade B, and none were grade C. Regarding safety assessment, 74 (80%) were designated safe (grade A), with 18 (20%) classified as uncertain (grade B).

CONCLUSIONS
The results confirm the accuracy and preliminary safety of the robotic system for autonomous planning and cutting of spinal decompression.
Irradiation safety, anesthesia time, surgical complications, and patient-reported outcomes in the robotic Mazor X versus fluoroscopy guided minimally invasive transforaminal lumbar interbody fusion surgery: a comparative cohort study
Authors: Griepp Daniel W. , Caskey Joshua , Bunjaj Armando , Turnbull Jeffrey , Alsalahi Ammar , Alexander Hepzibha , Dragonette James , Sarcar Bryce , Desai Shivum , Tong Doris , Soo Teck M. , Bono Peter , Kelkar Prashant , Houseman Clifford , Claus Chad F. , Richards Boyd F. , Carr Daniel A. 
Published: December 2024

OBJECTIVE
Robot-assisted (RA) technology is becoming more widely integrated and accepted in spine surgery. The authors sought to evaluate operative and patient-reported outcomes (PROs) in RA versus fluoroscopy-assisted (FA) pedicle screw placement during minimally invasive surgery (MIS) transforaminal lumbar interbody fusion (TLIF).

METHODS
The authors retrospectively studied elective patients who underwent single- or multilevel MIS TLIF for degenerative indication using FA versus RA pedicle screw placement. Patients were selected from September 2021 to May 2023 at a single institution with multiple surgeons whose practice consists of primarily MIS. Outcomes included fluoroscopy dosage per screw, operative time per screw, anesthesia time per screw, estimated blood loss (EBL), screw revision rate, inpatient surgical complications, and minimal clinically important difference (MCID) of Oswestry Disability Index (ODI) and numeric rating scale (NRS) scores at the 6- and 12-month follow-ups. Comparability of groups was analyzed by univariate analysis. Multivariable analysis modeling fluoroscopy time per screw was performed, adjusting for confounders.

RESULTS
One hundred eighty-three patients (n = 133 in the FA group vs 50 in the RA group) were included. Patients in the RA cohort were significantly younger than those in the FA group (mean age 63.8 ± 11.9 vs 59.8 ± 11.0 years, p = 0.037). A total of 932 pedicle screws were placed (mean 5.1, range 4–8 per patient). The RA cohort demonstrated significantly lower intraoperative fluoroscopy dosage per screw (4.9 ± 7.6 mGy per screw vs 20.3 ± 14.0 mGy per screw, p < 0.001), significantly longer anesthesia time per screw (49.1 ± 12.6 vs 43.6 ± 9.2, p = 0.009), and similar operative time per screw (33.3 vs 30.7 minutes, p = 0.125). The screw revision rate for symptomatic radiculopathy was zero in both groups. Revision surgery requiring screw removal or reposition was performed in 4 total cases (RA group: 1/50 for infection; FA group: 2/133 for infection, 1/133 for foraminotomy). Both groups demonstrated significant improvement in PROs at 6 and 12 months compared with preoperatively. Moreover, both groups achieved MCID at similar rates.

CONCLUSIONS
When implementing RA technology, one can expect similar perioperative outcomes as FA techniques in addition to significantly lower radiation exposure. Moreover, there is no statistically significant difference in postoperative PROs between RA and FA. Longer anesthesia times may also be encountered, as in this study, which is likely a result of more complex robotic setup and workflow.
ВПРОВАДЖЕННЯ СИСТЕМИ ЦИФРОВІЗАЦІЇ БІЗНЕС-ПРОЦЕСІВ – ШЛЯХ ДО ЕФЕКТИВНОГО УПРАВЛІННЯ РЕСУРСАМИ
Authors: ЧУЄНКО ВІТАЛІЙ , ТАЗЕТДІНОВ ВАЛЕРІЙ 
Published: December 2024

Стаття присвячена вивченню питань, що пов’язані з забезпеченням бізнес-процесів виробництва продукції ресурсами та управління цим процесом. Функціонування будь-якого підприємства та його розвиток забезпечується ресурсами – перш за все, їх наявністю та вмінням їх раціонально використовувати. Розглянуто поняття ресурсного забезпечення виробничих та бізнес-процесів підприємств, що є основним для успішної діяльності будь-якого підприємства. Узагальнено погляди науковців щодо поняття «ресурсного забезпечення». Визначено, що для ефективного функціонування бізнес-процесів та підвищення конкурентоспроможності підприємства повинна бути сформована система управління ресурсним забезпеченням діяльності підприємства. Визначені та охарактеризовані основні види ресурсів та сформовано структуру системи ресурсного забезпечення виробництва продукції. Враховуючи, що молочне скотарство є однією із стратегічних галузей тваринництва в Україні та забезпечує продовольчу безпеку держави, розглянуто напрямки управління ресурсами при виробництві молока, адже структура системи ресурсного забезпечення для кожного бізнес-процесу є індивідуальною. Проаналізовано на основі статистичних спостережень динаміку виробництва молока за останні роки. Визначено важливість забезпечення ресурсами на всіх рівнях управління підприємством. Цифровізація бізнес-процесів забезпечує швидкий доступ до баз даних, дозволяє здійснювати контроль та оперативно приймати рішення щодо ефективного використання ресурсів. Основним завданням забезпечення конкурентоспроможності продукції є зниження витрат на її виробництво. З допомогою цифровізації процесів вдасться оптимізувати надходження та витрати на всіх рівнях виробництва, адже зменшення ресурсоспоживання можливе лише при проведенні комплексної оцінки їх витрат та визначення шляхів раціонального використання. Це допоможе підприємству обрати правильний напрямок формування ресурсів та їх використання, а також досягти конкурентних переваг на економічному ринку.
Punishment dalam Konsep Pendidikan Islam (Analisis Hadis-Hadis Tarbawi)
Authors: Shiddiq Fajar , Saefullah Agus Susilo 
Published: December 2024

Penelitian ini bertujuan mengkaji konsep punishment dalam perspektif hadis tarbawi, khususnya metode penerapan sanksi oleh Rasulullah SAW untuk mendidik sahabat. Menggunakan pendekatan kualitatif dengan kajian pustaka, data primer berupa hadis-hadis tarbawi dan data sekunder dari literatur terkait diolah menggunakan model Miles dan Huberman melalui tahap reduksi, penyajian naratif, dan penarikan kesimpulan. Hasil analisis menunjukkan bahwa Rasulullah SAW menerapkan punishment dengan prinsip kasih sayang dan keadilan, menyesuaikan tingkat sanksi dengan kesalahan yang dilakukan, serta bertujuan mendidik dan membentuk kesadaran moral. Dampak penelitian ini bagi pendidikan modern adalah sebagai inspirasi bagi pendidik dalam menegakkan disiplin yang tetap mengedepankan nilai-nilai pedagogis, sehingga dapat menciptakan individu berakhlak mulia dan disiplin tanpa melanggar prinsip-prinsip kemanusiaan. Kata Kunci: hadis-hadis tarbawi, pendidikan Islam, punishment
Analisis Efektifitas Media Pembelajaran PAI Terhadap Kreativitas Siswa di SMAN 1 Lintau
Authors: Depri Hude , Fitriani Wahidah , Akbar M Ravi 
Published: December 2024

AbstrakTujuan penelitian ini adalah menganalisis efektifitas media pembelajaran terhadap kreativitas siswa dalam proses pembelajaran Pendidikan Agama Islam (PAI) di sekolah menengah (SMA). Media dirancang pada setiap elemen pembelajaran PAI. Namun tidak semua media relevan dengan pembelajaran. Oleh karena itu, guru mesti melakukan analisis kebutuhan dalam memilih dan menggunakan media yang relevan. Meskipun media audio visual melalui cap cut, You Tube dan video animasi terlihat menarik, namun siswa sering tidak dapat menemukan fungsi media terhadap pembelajaran. Hal ini disebabkan karena belum terdapat penugasan yang ideal setelah menggunakan media. Bahkan media hanya sekedar pelengkap saja. Penelitian ini menggunakan metode kuantitatif komparatif dengan sasaran sampel sebanyak 100 siswa di SMAN 1 Lintau. Komparasi dilakukan terhadap media audiovisual yang dirancang pada setiap elemen PAI kelas X. Hasil penelitian menunjukkan bahwa efektifitas media terhadap kreatifitas siswa tertinggi pada media elemen SKI sebesar 45%. Sedangkan media pada elemen Al-Qur’an Hadis hanya meningkatkan 21% kreatifitas siswa. Kata kunci: Kreativitas, Media Pembelajaran
Hubungan Pengetahuan Ibu, Tingkat Pendapatan, Pola Asuh Makan, dan Ketersediaan Pangan dengan Kejadian Balita Underweight Umur 24-59 Bulan
Authors: Siti karimah  , Nurhamidi  , Sajiman  
Published: December 2024

Berat badan kurang (Underweight) merupakan permasalahan gizi yang diidentifikasi dengan menggunakan indikator berat badan menurut umur (BB/U). Tercatat angka kasus underweight di wilayah kerja Puskesmas Cempaka sebanyak 22,73 %. Tujuan penelitian yaitu untuk mengetahui hubungan pengetahuan ibu, tingkat pendapatan, pola asuh makan, dan ketersediaan pangan dengan kejadian balita underweight umur 24-59 bulan di wilayah kerja Puskesmas Cempaka Kota Banjarbaru. Jenis penelitian ini adalah observasional analitik dengan rancangan cross sectional. Populasi penelitian ini adalah seluruh balita umur 24-59 bulan yang ada di wilayah kerja Puskesmas Cempaka yaitu 953 balita dan sampel 91 balita yang diambil menggunkan teknik systematic random sampling. Variabel dalam penelitian ini adalah kejadian underweight, pengetahuan gizi ibu, tingkat pendapatan keluarga, pola asuh makan, dan ketersediaan pangan keluarga. Dengan cara penimbangan berat badan secara langsung menggunakan alat ukur timbangan digital, wawancara dan pencatatan menggunakan kuesioner. Analisis data menggunakan analisis univariat dan analisis bivariat menggunakan uji korelasi Rank Spearman dengan tingkat kepercayaan 95% (α = 0,05). Hasil penelitian menunjukkan bahwa 23,1% balita underweight, 57,1% pengetahuan gizi ibu sedang, 86,8% tingkat pendapatan rendah, 54,9 % pola asuh makan cukup, 70,3% ketersediaan pangan sumber energi kurang, dan 65,9% ketersediaan pangan sumber protein kurang. Berdasarkan hasil penelitoan ditemukan bahwa ada hubungan antara pengetahuan gizi ibu (ρ = 0,028) dan pola asuh makan balita (ρ = 0,003) dengan kejadian balita underweight umur 24-59 bulan.
Factors Influencing Willingness to Participate in a Micro Health Insurance Program: A Study in Urban Karachi
Authors: Billoo Farhan Usman , Aleem Abdul Rehman 
Published: December 2024

Background: In low- and middle-income countries, weak public health infrastructure and limited healthcare funding often lead to inadequate healthcare services. Private providers bridge this gap, resulting in high out-of-pocket expenses. Micro health insurance programs can enhance access to healthcare and offer financial protection to low-income populations. This study aimed to identify factors influencing the willingness to participate in micro health insurance programs and determine the optimal premium amount.
Methodology: A cross-sectional analytical study was conducted in Karachi with 245 participants, using a validated questionnaire. Multiple linear regression was applied to predict willingness to purchase healthcare insurance based on factors such as age, income, education, discretionary income, family employment, and existing health insurance coverage. The contingent valuation method was used to estimate willingness to pay and the premium amount. Data were analyzed using SPSS version 20.
Results: Willingness to purchase health insurance was significantly influenced by income, household expenses, education, discretionary income, and health service preferences. Among participants, 36.3% expressed willingness to participate in a micro health insurance program, while 63.7% were unwilling.
Conclusion: Willingness to participate in micro health insurance is strongly associated with economic and educational factors, discretionary income, and household expenses. These findings highlight the need for targeted interventions to improve participation in micro health insurance programs, particularly among low-income groups.
Protective Effects of Silymarin Co-Administered with CCl4 on Hepatotoxicity and Its Impact on Liver enzymes and Lipid Profile
Authors: Yasir Jasim Nisreen , Ghadhban Rashad Fadhil 
Published: December 2024

This study explained the protective effects of silymarin against liver toxicity induced by carbon tetrachloride (CCl4) in female rats. Silymarin, a natural herbal compound extracted from the Milk thistle (Silybum marianum) plant, possesses well-documented antioxidant, anti-inflammatory, and anti-fibrotic properties. In the conducted experiment, rats that received silymarin alongside CCl4 exhibited significant improvements in liver enzyme (ALT, AST, ALP, and GGT) levels and lipid profiles (Total Cholesterol (TC), Triglycerides (TG), Low-Density Lipoprotein (LDL), High-Density Lipoprotein (HDL), and Very Low-Density Lipoprotein (VLDL) compared to those treated only with CCl4. These findings indicate that silymarin may serve as a potential preventive option for reducing liver damage caused by CCl4. Additional research is needed to comprehensively understand silymarin's impact on lipid metabolism and liver injury.
THE MOTIVATIONAL EFFICACY OF SELF-REGULATED ICT RESOURCES ON INTEREST IN BIOLOGY AMONG HIGH, MEDIUM, AND LOW ACHIEVING SECONDARY SCHOOL STUDENTS
Authors: Dada Fehintoluwa E. , Paramole Oyeronke C. , Fakokunde Jubril , Adewale Peter , Yusuf Florence A. , Abimbola Isaac O. 
Published: December 2024

This study examined the impact of technological software on learning from an interactive hypermedia. It explores participants’ learning interest and engagement, analyzing variations based on their score levels. The mixed method study adopted a pretest, posttest, quasi-experimental design using 3x2x3 factorial matrix, a Semi-Structured interview guide, and a Students’ interest inventory, entitled Questionnaire on the effect of ICT Resources on the Interest of Students in Biology (QEIISB) utilized to elicit responses on students’ interest. Post-hoc analysis was used to determine the direction of difference and findings revealed were discussed in the context of perfect understanding across achievement levels, because participants showed better interest and engagement more in the group of medium Scorers. The medium score level students showed significant interest and benefitted most from the software. By evaluating the efficiency of Information and Communication Technological (ICT) tools, influence students with varying performance or achievement levels, the study aims to provide insights into the effective these resources influence achievement and foster better interest in teaching and learning.
Conceptual Framework of Environmental, Social, and Governance (ESG) Research
Authors: Ali Basah Mohamad Yazis , Marzuki Ainulashikin , Ramli Nur Ainna , Mat Nor Fauzias , Ab. Aziz Muhammad Ridhwan , Shahwan Syahidawati , Sabri Hisham 
Published: December 2024

This paper aims to assessing the growth and publication patterns in environmental, social and governance (ESG) research, identifying the main issues discussed among influential publications and authors that have shaped the discourse, and exploring the intersection of ESG with other emerging fields or trends. Data from the SCOPUS database were used in this study. The ‘biblioshiny’ R package, also known as ‘bibliometrix 3.0’, was employed to conduct bibliometric analysis, utilising mapping and clustering techniques on 1736 articles, in order to distil the comprehensive knowledge and identify emerging trends in ESG topics. The thematic Map classifies the ESG themes into niche themes (e.g., ESG investing, socially responsible investment, and ESG rating); emerging/declining themes (e.g., Sustainable development, corporate sustainability, and responsible investment); and basic/transversal themes (e.g., ESG, sustainability and CSR). Environmental, social, and governance imply a position between niche themes and motor themes, while the corporate social responsibility, corporate governance, and ESG performance implies a position between motor themes and basic themes. This study sheds light on the nature and patterns of ESG research. Citation rates are estimated by analysis, and journal impact factors are quantifiable and objective measures directly related to published research.
Nietzsche's Pale Criminal Identified
Authors: Jovanovski Thomas 
Published: December 2024

As he does in most of his books, in Thus Spoke Zarathustra Nietzsche is unfolding his dedicated resistance to established social standards and moral tenets, though in some sections therein in somewhat less than a clearly developed thematic progression. Thus, early in Part I of Zarathustra, we come across a speech by the eponymous character, titled “On the Pale Criminal,” whose place and relevance to the rest of the text seem to have perplexed every generation of students of Nietzsche’s oeuvre since its initial appearance in print (in 1883).
A closer reading of the speech, however, should reveal that the speech’s main character, an (unidentified male) pale-complected criminal who is about to be condemned to death for the capital crime of murder, is not as incongruous as he might seem at first blush — to the rest of the book or to the world of characters we meet later in Zarathustra or in any of Nietzsche’s other texts. Once we correctly identify the reason for his pale complexion, we might more easily determine his motives as well as the identity of his victim. Once, in turn, we grasp these elements, we notice that the criminal is really a personification of Nietzsche’s two other killers of God, namely, the madman we meet in the Gay Science (Sect. 125), and the inexpressible one, the ugliest man he describes in Part IV of Zarathustra.
Trends in Academic Library Publications for the 2014-2023 Period in Scopus Database
Authors: Khaerani Intan , Rahmi Haifa Zulfani 
Published: December 2024

Background:Every university has a library to support the academic community. The academic library does not only function to meet the informational needs of the academic community, but also plays crucial roles in education, research, information, recreation, and preservation. The importance of the academic libraries has led to numerous studies being conducted in this field. However, research developments in the field of academic libraries are not yet comprehensive due to the limited number of studies focused on its development. Purpose: The purpose of this research is to identify publication trends in the field of academic libraries within the Scopus database from 2014 to 2023 and to provide recommendations for research novelty in this field. Method: The research method used in this study is bibliometric analysis. The bibliometric method employed is co-word analysis (keywords) using VOSviewer software. Result: The trending keywords in publications on academic libraries from 2014 to 2023 included Academic libraries, Libraries, Information literacy, Library, Academic library, Human, Collection development, University libraries, Assessment, Higher education, Covid-19, Digital libraries, and Collaboration. Conclusion: The trending keywords in the field of academic libraries are related to the process of library’s adaptation to technological advancements, user needs, and the global impact of the pandemic. In addition to trending keywords, numerous less frequent keywords have emerged, including bibliometric analysis, digital skills, information literacy skills, digital collection, digital reference, digital repositories, technology transfer, technology adoption, remote access, information systems, library design, and academic library websites. These keywords offer valuable insights for future research in the field of academic libraries, particularly in the development of information technology in academic libraries so that libraries can continuously adapt to technological developments.