bluuebunny/crossref_metadata_2025_split huggingface dataset:
Endoscopic transorbital and endonasal approach for trigeminal schwannomas: a retrospective multicenter analysis (KOSEN-005)
Authors: Park Hun Ho , Hong Sang Duk , Kim Yong Hwy , Hong Chang-Ki , Woo Kyung In , Yun In-Sik , Kong Doo-Sik 
Published: July 2019

OBJECTIVETrigeminal schwannomas are rare neoplasms with an incidence of less than 1% that require a comprehensive surgical strategy. These tumors can occur anywhere along the path of the trigeminal nerve, capable of extending intradurally into the middle and posterior fossae, and extracranially into the orbital, pterygopalatine, and infratemporal fossa. Recent advancements in endoscopic surgery have suggested a more minimally invasive and direct route for tumors in and around Meckel’s cave, including the endoscopic endonasal approach (EEA) and endoscopic transorbital superior eyelid approach (ETOA). The authors assess the feasibility and outcomes of EEA and ETOA for trigeminal schwannomas.METHODSA retrospective multicenter analysis was performed on 25 patients who underwent endoscopic surgical treatment for trigeminal schwannomas between September 2011 and February 2019. Thirteen patients (52%) underwent EEA and 12 (48%) had ETOA, one of whom underwent a combined approach with retrosigmoid craniotomy. The extent of resection, clinical outcome, and surgical morbidity were analyzed to evaluate the feasibility and selection of surgical approach between EEA and ETOA based on predominant location of trigeminal schwannomas.RESULTSAccording to predominant tumor location, 9 patients (36%) had middle fossa tumors (Samii type A), 8 patients (32%) had dumbbell-shaped tumors located in the middle and posterior cranial fossae (Samii type C), and another 8 patients (32%) had extracranial tumors (Samii type D). Gross-total resection (GTR, n = 12) and near-total resection (NTR, n = 7) were achieved in 19 patients (76%). The GTR/NTR rates were 81.8% for ETOA and 69.2% for EEA. The GTR/NTR rates of ETOA and EEA according to the classifications were 100% and 50% for tumors confined to the middle cranial fossa, 75% and 33% for dumbbell-shaped tumors located in the middle and posterior cranial fossae, and 50% and 100% for extracranial tumors. There were no postoperative CSF leaks. The most common preoperative symptom was trigeminal sensory dysfunction, which improved in 15 of 21 patients (71.4%). Three patients experienced new postoperative complications such as vasospasm (n = 1), wound infection (n = 1), and medial gaze palsy (n = 1).CONCLUSIONSETOA provides adequate access and resectability for trigeminal schwannomas limited in the middle fossa or dumbbell-shaped tumors located in the middle and posterior fossae, as does EEA for extracranial tumors. Tumors predominantly involving the posterior fossa still remain a challenge in endoscopic surgery.
In-hospital mortality and length of hospital stay with craniotomy versus craniectomy for acute subdural hemorrhage: a multicenter, propensity score–matched analysis
Authors: Shibahashi Keita , Sugiyama Kazuhiro , Tomio Jun , Hoda Hidenori , Morita Akio 
Published: July 2019

OBJECTIVEThe optimal surgical treatment for acute subdural hemorrhage (ASDH) remains controversial. The purpose of this study was to compare outcomes in patients who underwent craniotomy with those in patients who underwent decompressive craniectomy for the treatment of ASDH.METHODSUsing the Japan Trauma Data Bank, a nationwide trauma registry, the authors identified patients aged ≥ 18 years with ASDH who underwent surgical evacuation after blunt head trauma between 2004 and 2015. Logistic regression analysis was used to estimate a propensity score to predict decompressive craniectomy use. They then used propensity score–matched analysis to compare patients who underwent craniotomy with those who underwent decompressive craniectomy. To identify the potential benefits and disadvantages of decompressive craniectomy among different subgroups, they estimated the interactions between treatment and the subgroups using logistic regression analysis.RESULTSOf 236,698 patients who were registered in the database, 1788 were eligible for propensity score–matched analysis. The final analysis included 514 patients who underwent craniotomy and 514 patients who underwent decompressive craniectomy. The in-hospital mortality did not differ significantly between the groups (41.6% for the craniotomy group vs 39.1% for the decompressive craniectomy group; absolute difference −2.5%; 95% CI −8.5% to 3.5%). The length of hospital stay was significantly longer in patients who underwent decompressive craniectomy (median 23 days [IQR 4–52 days] vs 30 days [IQR 7–60 days], p = 0.005). Subgroup analyses demonstrated qualitative interactions between decompressive craniectomy and the patient subgroups, suggesting that patients who were more severely injured (Glasgow Coma Scale score < 9 and probability of survival < 0.64) and those involved in high-energy injuries may be good candidates for decompressive craniectomy.CONCLUSIONSThe results of this study showed that overall, decompressive craniectomy did not appear to be superior to craniotomy in ASDH treatment in terms of in-hospital mortality. In contrast, there were significant differences in the effectiveness of decompressive craniectomy between the subgroups. Thus, future studies should prioritize the identification of a subset of patients who will possibly benefit from the performance of each of the procedures.
Cerebral Microbleeds Are Associated with Cerebral Hypoperfusion in Patients with Alzheimer’s Disease
Authors: Hatada Yutaka , Hashimoto Mamoru , Shiraishi Shinya , Ishikawa Tomohisa , Fukuhara Ryuji , Yuki Seiji , Tanaka Hibiki , Miyagawa Yusuke , Kitajima Mika , Uetani Hiroyuki , Tsunoda Naoko , Koyama Asuka , Ikeda Manabu 
Published: July 2019

Background: Although cerebral microbleeds (CMBs) are commonly observed in patients with Alzheimer’s disease (AD), their clinical relevance for AD remains unclear. Objective: We investigated the significance of CMBs in AD by examining the relationship between CMBs and cerebral blood flow (CBF) in patients with AD. Methods: Thirty-four patients (aged 77.9±7.6 years; 17 men) with probable AD and multiple (≥8) CMBs were selected from 394 consecutive patients. For each lobe of the brain, the correlation between the number of CMBs observed on susceptibility-weighted images and the decrease in CBF observed on single-photon emission computed tomography was assessed. Results: The number of microbleeds was significantly correlated with the severity of decrease in the occipital lobe (Spearman’s r = 0.531, p < 0.001) and temporal lobe ( r = 0.437, p < 0.001) but not in the frontal lobe ( r = 0.201, p = 0.101) and parietal lobe ( r = 0.178, p = 0.146). These results were unchanged in the partial correlational analysis after controlling the effect of other small vessel disease such as lacunars and white matter hyperintensities. Conclusion: Multiple CMBs are associated with cerebral hypoperfusion in AD. The effects of CMBs on CBF differed according to brain location, possibly reflecting different distributions of the underlying cerebral amyloid angiopathy and AD-related histopathology, such as neurofibrillary tangles.
Classification of Clinically Diagnosed Alzheimer’s Disease Associated with Diabetes Based on Amyloid and Tau PET Results
Authors: Takenoshita Naoto , Shimizu Soichiro , Kanetaka Hidekazu , Sakurai Hirofumi , Suzuki Ryo , Miwa Takashi , Odawara Masato , Ishii Kenji , Shimada Hitoshi , Higuchi Makoto , Suhara Tetsuya , Hanyu Haruo 
Published: July 2019

Background/Objective: Although type 2 diabetes mellitus (DM) is a risk factor for the development of dementia, the underlying brain pathologies and mechanisms vary among patients. In this study, we classified patients with clinically diagnosed Alzheimer’s disease (AD) associated with DM into subgroups based on their amyloid and tau accumulation patterns on positron emission tomography (PET), and analyzed the differences in clinical features and brain imaging findings between the subgroups. Methods: Sixty-four patients with probable or possible AD associated with DM were classified using PiB (detects amyloid, A) and PBB3 (detects tau, T) PET studies. Patients were classified into the A+/T+ group ( n = 35, AD pathology), the A– /T+ group ( n = 19, tauopathy), and the A– /T– group ( n = 10, non-amyloid/non-tau neuronal damage). Results: Compared with the A+/T+ group, the A– /T+ group showed less-well controlled glycemia, longer duration of diabetes, more glucose variability, higher frequency of insulin therapy and biochemical hypoglycemia, and greater impairment of frontal lobe function, slower progression of cognitive decline, fewer APOE4 carriers, less severe medial temporal lobe atrophy, and lower frequency of posterior cerebral hypoperfusion. This subgroup showed different clinical and radiological features from AD. Conclusion: Among patients with clinically diagnosed AD with DM, there are subgroups with neuronal damage independent of AD pathology. A subgroup of dementia patients suspected of having tauopathy is strongly associated with DM-related metabolic abnormalities. This study highlights the identification of a novel dementia subgroup (diabetes-related dementia), which is important for considering appropriate therapies and care in clinical practice.
DETERMINAN KEJADIAN COMPOSITE INDEX OF ANTHROPOMETRIC FAILURE (CIAF) DI KABUPATEN SIJUNJUNG, PADANG PARIAMAN DAN PASAMAN BARAT
Authors: Fitri Refliny Yulia 
Published: July 2019

<p><em>Composite Index Of Anthropometric (</em><em>CIAF) is a tool to measure nutrition, especially to identify children with several anthropometric failures. </em><em>From WHO data estimates 52 million children under 5 years are thin, 17 million people are very thin and 155 million are short, while 41 million people are obese. About 45% of deaths among children under 5 years of age are related to malnutrition. </em><em>The aim of the study was to determine the incidence of </em><em>Composite Index of Anthropometric (</em><em>CIAF) at the age of 24-59 months in Sijunjung District, Padang Pariaman and West Pasaman.</em><em></em></p><p><em>This type of research is quantitative with Cross Sectional research design conducted in May-August 2018. The research population amounted to 9,164 children from three districts namely Sijunjung District, Padang Pariaman and West Pasaman. Samples in the study of children aged 24-59 months with a total of 267 children. The analysis used is univariate, bivariate and multivariate analysis.</em><em></em></p><p><em>The results of this study using logistic regression for the most dominant factors influencing the CIAF event, namely the family economy with P value 0,000 (OR 10,503).The conclusion of this study is that of the three districts that influence the incidence of CIAF are the maternal education and family economy. Posyandu cadres are expected to better monitor the health of the field so that children can report nutritional problems in more detail.</em><em></em></p><p><em> </em></p>
The Effectiviness Of Kangaroo Mother Care On Body Temperature Stability Of Low Birth Weight Infants At The Perinatology Room Dr. Achmad Mochtar Hospital Bukittinggi
Authors: Hendayani Weni Lidya 
Published: July 2019

<p><em>Low Birth Weight (LBW) is a baby with a birth weight less than 2500 grams regardless of gestation. The one of complication is body temperature instability, and to maintain it, the infants are exposed to the Kangaroo Mother Care (KMC) Method. Data WHO and UNICEF in 2013 with 22 million baby birth in the world, where 16 % birth with low birth weight infants. The purpose of this study was to determine the effect of implementation kangaroo mother care on body temperature stability of low birth weight infants at the perinatology room Dr.Achmad Mochtar Hospital Bukittinggi. This research is a Pre-Eksperimental with one-group pretest-postest design in Agust 2018 as many 15 respondents with accidental sampling technique. The statistical test used is dependent T-test. The result of statistical test show a significant influence between body temperature stability before and after implementation kangaroo mother care with p-value = 0,000 (α ≤ 0.05). So it can be concluded that there is a relationship of The Effectiviness kangaroo mother care on body temperature stability of low birth weight infants. Suggestions to hospital can implementation kangaroo mother care because this method an effective, simple, and cheap method to care low birth weight infant.</em></p><p><strong>Kata Kunci</strong><strong> </strong><strong>: </strong><strong><em>Kangaroo Mother Care, Body Temperature</em></strong></p>
DESKRIPSI PENERAPAN PATIENT SAFETY PADA PASIEN DI BANGSAL BEDAH
Authors: Kartika Imelda R 
Published: July 2019

<p>Rumah sakit merupakan salah satu sarana pelayanan kesehatan yang bertujuan untuk pemulihan dan pemeliharaan kesehatan yang lebih baik. <em>Patient safety</em> merupakan prioritas utama untuk dilaksanakan di Rumah Sakit dan hal itu terkait dengan isu mutu dan citra Rumah Sakit. Penelitian ini bertujuan untuk mengetahui penerapan <em>patient safety</em> di bangsal bedah RSUD DR. Achmad Mochtar Bukittinggi. Penelitian ini menggunakan desain penelitian kuantitatif dengan pendekatan deskriptif analitik dengan tujuan menganalisa hasil persepsi pasien tentang manajemen penerapan <em>patient safety</em> oleh perawat. Sampel sebesar 167 orang diambil menggunakan <em>accidental sampling</em>, dengan kriteria inklusi adalah pasien yang telah dirawat minimal 3 hari di ruangan agar terlihat bagaimana perawat menerapkan <em>patient safety</em>. Analisis data yang digunakan adalah analisis univariat dan analisis bivariate menggunakan uji chi-square. Hasil penelitian didapatkan 104 responden (62%) mengatakan dengan manajemen <em>patient safety </em>tinggi. Berdasarkan hasil penelitian dapat disimpulkan bahwa penerapan <em>patient safety </em>oleh perawat di ruang bedah yang paling baik dilakukan adalah dalam hal memberikan lembar persetujuan sebelum melakukan tindakan operasi dengan mean 3,90 (<em>range</em> 4), dimana hal ini penting dilakukan sebagai bentuk <em>inform concent</em> bagi pasien. Diharapkan rumah sakit dapat mempertimbangkan manajemen penerapan <em>patient safety</em> sebagai rujukan sehingga perawat dapat bekerja secara optimal.</p><p> </p><p><strong><br /></strong></p><p> </p>
Effect of Social Responsibility on Management by Value
Authors: Mohammad Majeed Mohsen , Al-shmary May Hmmodi 
Published: July 2019

The research aim is to know the effect of social responsibility on the value university's leadership in light of research's problem ,which representative presented in management risk when there isn't social responsibility, this was presented in following question:
What is the extent of the effect of social responsibility by its two dimensions(economic and discretionary) on the Management by value in collage's Depts. ?
The research 's hypotheses' explained there was significant existing effect of social responsibility on the Management by values
Depending on (SPSS 20) program to measure the effect of social responsibility through its dimensions : discretionary ,ethical ,legal, economic , on the Management by value through its dimensions(survival, Ethical, wellbeing),the research achieved to existing of significant effect of social responsible by its two dimensions(economic and discretionary) on the management by variables and recommended to promote the values of the three dimensions and Devoting the concept of social responsibility through the quality units in collages by adopt seasonal evaluation of extent of social responsibility of departments synchronize with studies periods and establishing social responsibility prize to create competition .
The Impact Of Senior Management In The Application Of Quality Management
Authors: Ibrahim Khaled Abdullah 
Published: July 2019

Since the emergence of the world in the era of the first industrial revolution, and since the human relations took the nature of dealing between companies of different nationality from the countries of the world, and with the intensity of dealing with various facilities and technologies, and the resulting enormity of the quality and quality of different products, and with the intensification of competition between companies and countries, And the growing desire to dominate the local and global markets, which increased its motto, the world witnessed the economic crises and the repercussions of some advanced industrial countries, and the emergence of new centers of gravity of the industrial technology countries were Japan, Korea and Southeast Asian countries and other countries that have added an element For innovation in industrial technology to the global competition circuit.
Hence, the factors and conditions of quality were reviewed and accelerated in accordance with the tastes of customers and the economic price, which imposed its importance based on many data. And the emergence of the comprehensive quality control system or the so-called international standards ISO 9000, all aimed at the liberalization of trade and the development of specific standards for trade, service and commodity.
Taking into consideration all of the above, as well as the growing interest in industry in developing countries, including the Arab countries, and their attempts to innovate in industrial catching up, the international standards have become very important in all developing countries.
Therefore, quality management in educational institutions has been addressed in some of its systems in order to shed light on this issue and to link it with the role of senior management. The concept of TQM has become an effective administrative approach adopted by most organizations. Since TQM in its essence and philosophy, Of its main and important tools and because it is the cornerstone in the management of the quality of the educational service, in which the service was received and developed following scientific methods based on the objective basis for both continuous improvement and quality management service.
Adapting The Outputs Of Education And Training To The Actual Needs Of Reality And Aspirations
Authors: Mohammed Al-Saadi Mohammed Jassim , Abdel Sayed Abdel Fattah Hassan 
Published: July 2019

The human element is the main pillar in the implementation of economic development programs, and therefore the countries have been keen to take care of its rehabilitation within the human resources development progress programs focused mainly on educational curricula.
Education and training has become an effective and influential tool in the science of development, since the human element is the means and purpose of the movement of progress and development. Countries are comparing and measuring their progress not with their natural resources and wealth in the ground or outside, but measured by their ability to exploit these resources to meet the requirements Its population. As an example, a country like Japan does not possess natural resources such as oil, gas or gold, and it does not have important agricultural resources, but possesses the educated and qualified human element that enabled it to be one of the most advanced countries. Despite its natural wealth, its human wealth and quality have been at the core of its growth and progress. Our country is characterized by a wealth of human resources and, in particular, a high proportion of young people compared to direct countries, It puts pressure on resources to productive energy by developing their productive capacities and competencies and providing them with the skills, expertise and renewable knowledge through continuous training.
The lack of coordination between the quality of the outputs of education and vocational and technical training and the skilled requirements of the labor market, and the lack of attention and awareness among graduates towards self-employment through the establishment of small enterprises due to the lack of guidance and guidance, the low levels of skills and lack of funding, And to activate and activate the role of the private sector in terms of effective partnership in the effective governance of the system of vocational and technical education and training or in the management of the vocational training system.
Today, we face a great challenge to adapt ourselves in the face of the urgent and imminent economic changes represented by the fall of customs barriers, borders and the ease of labor mobility. Recent global developments, developments in the economic arena, and the global markets have caused serious disruptions and severe recession, Change the economic outlook and keen attention to local economic conditions and self-reliance to the maximum degree to get out of the cycle of loss between the welfare of the major countries.
It has been proven from the practical reality that relying solely on education is not enough for the graduates to meet the requirements of the jobs and professions that the labor market needs. This requires training as a means to meet the skills required to practice professions and jobs, especially if it is planned and designed by closely linking to the reality of the market the work .
The Impact of Islamic Finance in Promoting Education for Sustainable Development
Authors: Hamoudi Haidar , Hadi Zainab , Abdul Rahman Salam 
Published: July 2019

The world is witnessing major changes in the vision and approach of higher education and its educational and research orientations. These changes have been in response to global developments and developments that have changed many concepts and attitudes towards higher education. According to this vision, the current research aims to identify the possibility of abandoning the civil education in Iraq from the traditional perspective aimed at education and scientific research and turning to the modern perspective which works to build an integrated system to reach the approach of sustainable development in education by focusing on the environmental,
The transformation of education from a traditional perspective to a modern perspective based on sustainable development requires an increase in its capabilities and capabilities. Therefore, educational institutions need to increase their sources of funding and resort to Islamic finance as one of the main sources of funding.
In order to achieve the objectives of the research, a questionnaire was designed to show the extent to which Islamic banks have access to the funding structure of the faculties of Islamic studies (Islamic University, Al-Sheikh Al-Tusi College, Al-Kafeel College). The questionnaire was distributed in full, (Spss, v.15), where the results showed a relationship of correlation and effect between the variables of the study. The study also examined the size of the financial qualifications for the Islamic banking sector to enter the field of financing private education. The financial analysis was conducted for a sample of banks which reached (6) banks and over a period of time (2013-2016). The study reached a number of conclusions, the most important of which is that the Islamic banks sample study has the qualifications, capabilities and sufficient resources to enter as a partner or lender to the sector of civil education.