bluuebunny/crossref_metadata_2025_split huggingface dataset:
Midbrain volume in brain herniation: A volumetric analysis in operative traumatic brain injury
Authors: Lara-Reyna Jacques , Karabacak Mert , Wedderburn Raymond , Legome Eric , Margetis Konstantinos 
Published: November 2024

Background:
This study primarily aimed to assess the volumetric attributes of the midbrain and perimesencephalic structures preoperatively and following surgical interventions in patients diagnosed with brain herniation secondary to traumatic brain injury (TBI).

Methods:
We evaluated patients based on radiological findings and clinical symptoms indicative of brain herniation. We performed semi-automated segmentation of the intracranial structures most relevant to trauma and of interest for the current study, such as hematoma, ventricles, midbrain, and perimesencephalic cisterns. Using preoperative and postoperative computed tomography scans, we measured and analyzed the volume of these structures. Patients were grouped based on their discharge Glasgow Coma Scale (GCS) scores: GCS 15 and non-GCS 15.

Results:
From May 2018 to February 2020, we included 20 patients in the study. Our volumetric analysis revealed that preoperative midbrain volume (5.84 cc vs. 4.37 cc, P = 0.034) was a significant differentiator between GCS 15 and non-GCS 15 groups. Preoperative midbrain volume remained significant in univariate (odds ratio [OR] = 2.280, 95% confidence interval (CI) = 1.126–5.929, P = 0.04) and multivariate logistic regression analysis (adjusted OR = 3.204, 95% CI = 1.228–12.438, P = 0.038) even after adjusting for age, sex, and admission GCS score. We identified a cut-off point of 4.86 ccs in preoperative midbrain volume, which demonstrated a discriminatory performance of 0.788 area under the receiver operating characteristic curve, 80.0% accuracy, 77.8% sensitivity, and 81.8% specificity between the two groups.

Conclusion:
Our findings suggest that patients presenting with lesser midbrain compression preoperatively tended to have improved clinical outcomes postsurgery. Thus, we propose that this preoperative midbrain volume cut-off point holds predictive value for clinical outcomes within our cohort.
Intratumoral pseudoaneurysm in a carotid body tumor
Authors: Ortega Valeria , Calderon Julio , Ahumada Fernando , Quiroz Alfaro Alejandro José , Diaz Orlando 
Published: November 2024

Background:
The occurrence of secondary vascular pathology in paragangliomas is extremely rare, particularly in carotid body tumors (CBTs).

Case Description:
A 73-year-old female presented with computed tomography angiography revealing a right CBT with a large intratumoral contrast collection. Digital subtraction angiography confirmed a CBT with an internal carotid artery (ICA) intratumoral pseudoaneurysm. Interventional neuroradiology performed coil embolization of the pseudoaneurysm, and a covered stent was placed in the ICA. Surgical intervention was deferred, and the patient was closely monitored with Doppler ultrasound.

Conclusion:
Diagnostic imaging is crucial in the management of CBT, offering detailed assessment of tumor morphology and their anatomical relationships, particularly in identifying coexisting vascular anomalies. Recognition of vascular pathologies, such as intratumoral pseudoaneurysms, is critical, as failure to do so could lead to life-threatening complications, including severe bleeding during surgical resection. In cases where surgical resection is high risk due to tumor classification or patient comorbidities, palliative endovascular treatment presents a viable alternative. This approach not only reduces tumor vascularity and provides symptomatic relief but also minimizes procedural risks. While surgical resection remains the gold standard for complete tumor removal, embolization serves as an option in complex or inoperable cases and may also be used to reduce intraoperative risks when surgery is feasible.
Emergent salvage of the vertebral artery with flow diverter pipeline stent following vessel laceration: Systematic literature review and illustrative case example
Authors: Evans Alexander R. , Stanfield Jack E. , York Abigail , Jen Shyian , Shakir Hakeem J. 
Published: November 2024

Background:
Iatrogenic injury to neck vasculature is a potentially life-threatening complication of spine surgery. We present an illustrative case describing the use of the PipelineTM Embolization Device (PED) in the emergent reconstruction of the vertebral artery (VA) following vessel laceration. In addition, we document a systematic review concerning the use of the PED in acute to chronic iatrogenic injury of the internal carotid or VAs.

Methods:
This study was a systematic literature review and illustrative case example.

Results:
A 73-year-old woman underwent anterior cervical discectomy and fusion (ACDF) surgery complicated by left VA injury. The incision was promptly packed and pressure held while the vessel was salvaged using a PipelineTM stent. At 6 months follow-up, the patient had no residual symptoms. A systematic review identified 11 publications meeting study criteria, in which 16 patients were reported to have an injury to the internal carotid or VAs. Patients were grouped into acute, subacute, and chronic cohorts. In the acute group, the majority of patients experienced injury during transsphenoidal resection or ACDF procedures. All cases in the acute group received immediate intervention with the deployment of a PED device. One patient experienced continued contrast extravasation, necessitating vessel sacrifice through superficial temporal artery-middle cerebral artery bypass. All patients recovered to their neurologic baseline. In the subacute and chronic groups, two patients experienced complications, with the majority going on to recover to their neurologic baseline.

Conclusion:
PED placement is a viable management strategy for restoring anatomic integrity to head-and-neck vasculature following acute iatrogenic injury.
Short-term recurrence of stroke following misdiagnosis of carotid web masked by thrombus
Authors: Kimura Tatsuki , Yanagawa Taro , Fukumoto Kazuki , Sato Masaya , Ikeda Shunsuke , Yoshikawa Shinichiro , Uesugi Tsuyoshi , Ikeda Toshiki 
Published: November 2024

Background:
Carotid webs are a potential cause of occult cerebral infarction. Although they occur frequently, proper diagnosis and treatment are crucial; surgery has been shown to provide a good outcome. Although thrombus on the carotid web have been reported, digital subtraction angiography (DSA)-confirmed cases of pre-dispersed thrombus are rare. In this study, we report a case in which a thrombus on the carotid web concealed a shelf-like defect, complicating its diagnosis.

Case Description:
A 47-year-old woman without stroke risk factors presented to our hospital with aphasia and right hemiplegia. On arrival, the symptoms had improved. Magnetic resonance (MR) imaging showed left middle cerebral artery stenosis; however, there was no cerebral infarction. DSA was performed post-admission to examine middle cerebral artery stenosis, which showed no middle cerebral artery stenosis but left internal carotid artery (ICA) origin stenosis and contrast pooling. We diagnosed a transient ischemic attack due to artery-to-artery embolism caused by left ICA stenosis and accompanied by a contralateral carotid web. The same symptoms appeared 6 days later. MR imaging showed a new cerebral infarction and the left middle cerebral artery occlusion. A mechanical thrombectomy procedure revealed a change in ICA origin shape compared to the 1st time, with a shelf-like defect within the carotid web. She subsequently underwent carotid artery stenting and was discharged with mild dysesthesia in her right fingers (modified Rankin Scale of 1).

Conclusion:
Thrombus on the carotid web conceals characteristic shelf-like defects and may cause misdiagnosis. However, contrast pooling and contralateral carotid web are important findings for early treatment.
Impacts of type 1 Chiari malformation on elderly
Authors: Badary Amr , Atallah Oday 
Published: November 2024

Background:
This study aims to evaluate the surgical outcomes of elderly patients with Chiari malformation (CM) who underwent suboccipital craniectomy (SC) with duraplasty (DP) or dural splitting (DS). The focus is on symptom relief, changes in syrinx size, hospital admission duration, and postoperative complications.

Methods:
A retrospective study was performed to evaluate the outcomes of elderly CM patients who underwent SC with DP or dural splitting (DS). Patients older than 60 years who underwent posterior fossa decompression (PFD) together with DP or DS who underwent surgery from 1989 to 2022 were included in the study. Patients were divided into two categories based on their surgical approach – SC with DP and SC with dural splitting (DS) surgery. Demographic details, co-morbidities, clinical features, management details, Chicago Chiari Outcome Scale (CCOS), complications, and follow-up details were obtained.

Results:
Of the seven patients, five were females, and two were males. The mean age at the time of the operation is 65.14 years. Among the seven patients, six had syrinx, with a mean diameter of 6.17 mm; one patient had hydrocephalus, and one had scoliosis. All the patients underwent PFD; six patients also underwent DP, and one patient underwent DS. The median CCOS at the time of discharge is 13.

Conclusion:
In elderly CM patients, surgery improved symptoms for most but led to reoperations in two cases. Despite a slight increase in syrinx diameter and a drop in the CCOS score, better outcomes were associated with smaller syrinxes. Further research is needed to optimize treatment strategies for this population.
Advanced fluorescence techniques in white matter fiber visualization for neurosurgical training
Authors: Biondi-Soares Luis Gustavo , Andreão Filipi Fim , Jiménez Luis Ángel Canache , Pereira Felipe Salvagni , Palavani Lucca Biolcati , Apaza-Tintaya René Alejandro , Korotkov Dmitriy , Filho José Maria de Campos , Wuo-Silva Raphael , Chaddad-Neto Feres 
Published: November 2024

Background:
Neurosurgical training requires a deep understanding of brain anatomy, especially white matter fiber pathways, to enhance surgical precision. Traditional dissection techniques, such as Klingler’s white matter dissection, are essential, but newer methods can provide additional clarity. This study explores the application of a fluorescent-assisted technique to improve the visualization and understanding of white matter fibers during neurosurgical training.

Methods:
Twelve human brains were dissected following Klingler’s protocol, with a focus white matter fiber pathway. Fluorescent alcoholic and oily solutions were applied to highlight the fibers. Ultraviolet (UV) blacklight and yellow monochromatic filters were used to enhance visualization. Dissections were documented through photography, and the effectiveness of the fluorescent techniques was analyzed.

Results:
The application of UV light and fluorescent solutions enhanced the visualization of fiber pathways, particularly in regions with irregular fibers, such as the sagittal stratum. The alcoholic solution flowed along the anatomical paths of the fibers, aiding in their differentiation. The oily solution proved effective in specific areas, such as the internal capsule. The use of fluorescent techniques allowed for improved identification and anatomical detailing of major white matter tracts.

Conclusion:
The fluorescent-assisted dissection technique significantly enhances the visualization of white matter fibers, offering a valuable tool for neurosurgical training. This method deepens anatomical understanding, provides a three-dimensional perspective of brain structures, and can improve surgical outcomes. The study suggests potential applications in other fields, such as glioma simulation and bypass patency testing.
Шутейные причитания Пензенской области
Authors: И.А. Матвеева 
Published: December 2024

Русская причетная традиция вызывает неизменный интерес представителей различных научных школ. При этом их основное внимание направлено на изучение свадебных причитаний отдельных регионов России. Плачевые традиции Пензенской области довольно скромно отражены в публикациях, а шутейные причитания и связанные сними ритуалы и игры и вовсе до настоящего времени не изучались. В связи с этим, предметом нашего исследования являются шутейные причитания в контексте порождающей их обрядовой или игровой ситуации. Основу исследования составили экспедиционные (полевые) материалы из разных районов Пензенской области, которые позволили выявить систему календарных проводов-«похорон» различных персонажей. Кроме этого, элементы похоронной обрядности настолько значимы для местной пензенской традиции, что обнаруживаются и в традиционной свадьбе. Причитания, звучащие в различных ситуациях, проявляют на разных уровнях организации различные свойства. Так, тексты шутейных голошений представляют собой свободную импровизацию, касающуюся внешнего вида и здоровья персонажа и содержащую имитацию физиологического плача. Напевы шутейных причетов близки по ладовой и звуковысотной организации похоронным плачам: устойчивая ладовая конструкция с опорой на большую терцию, несмотря на нестабильную звуковысотность, является определяющим признаком жанра. Кроме этого, впервые зафиксирована групповая форма шутейных плачей, что корректирует сложившееся представление о пензенской причетной традиции.
The Russian lamentation tradition enjoys constant interest from representatives of various scientific schools. At the same time, their main attention is directed to the study of wedding lamentations of individual regions of Russia. The mournful traditions of the Penza region are rather modestly reflected in publications, and humorous lamentations and related humorous lamentations in the context of the ritual or game situation that generates them. The study is based on expeditionary (field) materials from different areas of the Penza region, which made it possible to identify a system of calendar farewells-“funerals” of various characters. In addition, elements of funeral rites are so significant for the local Penza tradition that they are also found in a traditional wedding. Lamentations sounding in various situations exhibit different properties at different levels of organization. Thus, the texts of humorous lamentations represent a free improvisation concerning the appearance of the character, his health and containing an imitation of physiological crying. The tunes of the humorous laments are close to funeral laments in their modal and pitch organization: a stable modal structure based on a major third despite unstable pitch is a defining feature of the genre. In addition, a group form of humorous laments has been recorded for the first time, which corrects the established idea of the Penza lament tradition.
Are Socially Responsible Banks More Risk Averse and Dividends Providers? Empirical Evidence from a Developing Economy
Authors: Md. Al Amin , Rana Sikder , Tanvir Rahman Sohan 
Published: November 2024

Purpose: This study examines whether socially responsible firms are uninterested in risk-taking and whether socially responsible banks are more dividend providers than socially irresponsible ones. We conducted the analysis using the least-squares method for 290-panel data observations of 32 commercial banks operating in Bangladesh from 2008 to 2018. Methodology: We employed Ordinary Least Squares Regression for 290-panel data observations of 32 commercial banks operating in Bangladesh from 2008 to 2018 using EViews software version- 8. Moreover, we conducted descriptive analysis and correlations using SPSS software. We considered CSRI and CSRPI as the indicators of corporate social responsibility, dividend per share and stock dividend as a proxy of dividend policy, LEV (leverage), and non-performing loan to total loan as the indicators of financial risk, and lastly, Z score as the indicator of financial stability.Findings: Studies have shown that banks prioritizing social responsibility tend to pay dividends to their shareholders more frequently and consistently than banks that do not. In particular, banks that invest heavily in corporate social responsibility (CSR) tend to maintain a stable dividend payout, which can help address agency problems that arise from overinvestment in the CSR sector. Additionally, we found that banks that make huge expenditures on CSR also seem to have a low eagerness for risk-taking. Again, we found that the financial stability of a socially responsible bank is high and stable enough, which will help efficiently handle the bank’s financial risks, reduce price fluctuations, and increase financial assets that generally influence a bank’s monetary stability.Implications: Banks implementing fruitful CSR strategies can produce substantial shareholder advantages through high dividend payout levels. An expansion in CSR-related expenditure does not prompt a cut-down or reduce the portion of income paid out as dividends to shareholders. Therefore, the Output of our study will help provide critical information and a thorough understanding of corporate social responsibility and its association with the dividend policy, risk, and financial stability in the banking sector. This will also be useful to the researcher, students, and corporate policymakers while making a critical decision about whether a firm should make expenditures on CSR purposes, how it impacts a firm's dividend decision, and its connection with its overall risk and financial stability. According to the study, corporate social responsibility should be integrated into a firm's mission and strategy rather than appearing to be a mere act of generosity.Originality/ Value: This study uniquely considers CSR, dividend policy, risk, and financial stability simultaneously in a developing country. Besides, the three-dimensional measures of CSR used in the research focused on developing the economy are a precious contribution.
Nutrition Information and Health Message on Sugar, Salt, and Fat Content on Ready-to-Serve Food Products in Indonesia: An Examination of Consumer and Producer Perspectives
Authors: Nasution Zuraidah , Rimbawan Rimbawan , Fajriaty Deannisa , Nasir Syifa Qolbiyah , Sutrisna Aang , Sari Eny Kurnia 
Published: November 2024

The popularity of ready-to-serve foods has increased in Indonesia, particularly among busy consumers with limited time for cooking at home. However, the consumption of ready-to-serve foods high in sugar, salt, and fat (SSF) has prompted concerns regarding their potential adverse health impacts when consumed excessively. The present study aimed to investigate consumers’ behavior and perception regarding the purchase of ready-to-serve foods and the practice of food producers in providing these products. The study employed a structured questionnaire involving 100 consumers selected based on purposive sampling. Additionally, focus group discussions were conducted with 80 ready-to-serve food producers across five Indonesian cities using a cross-sectional research design. The data analysis, conducted using binary logistics, yielded significant findings regarding the relationship between consumers’ income and their purchase decisions regarding ready-to-serve food. This study revealed that price (42%), taste (31%), and accessibility (23%) were the primary factors influencing consumers’ food choices. However, it also indicated that nutrition and health aspects received inadequate attention from consumers, which is a cause for concern. Concurrently, the producers who participated in this study indicated that they prioritize sanitation and hygiene (53.8%) in their food production, citing regulatory requirements as the primary driver of this practice. It is regrettable that the majority of the producers (92.5%) lacked information regarding the nutrition content of their products. Moreover, they did not actively contribute (2%-11%) to controlling SSF levels except to respond to consumers’ demands. These findings underscore the necessity for enhanced awareness campaigns and implementation strategies involving all stakeholders to promote healthier, ready-to-serve foods. The implications of these findings for future policy and practice are significant, highlighting the need for a more comprehensive approach to nutrition education and labeling in the ready-to-serve food industry in Indonesia.
Promovendo a cidadania digital na educação profissional e tecnológica: integrando conceitos essenciais
Authors: Vitor de Oliveira João , Freitas Duarte Filho Nemésio 
Published: December 2024

Resumo: Este artigo destaca a crescente importância da cultura digital na sociedade contemporânea e a necessidade de uma formação politécnica que incorpore habilidades digitais. Ao analisar a Lei Geral de Proteção de Dados (LGPD) de 2018 como uma oportunidade educacional, busca-se integrar conceitos de privacidade e responsabilidade digital na formação de cidadãos digitais conscientes. A abordagem marxista destaca a relação entre trabalho e educação, enfatizando a formação integral diante das mudanças na educação tecnológica. O estudo utiliza a Aprendizagem Baseada em Problemas (PBL) para desenvolver estratégias teórico-práticas, promovendo a interconexão entre a Educação Profissional e Tecnológica (EPT) brasileira e a cidadania digital. O foco nas práticas digitais nas instituições escolares destaca a importância de temas como segurança digital e letramento digital na formação de uma sociedade informada. O artigo propõe a construção de microcasos para docentes interessados em abordar a proteção da privacidade e a conscientização digital por meio da PBL, visando formar cidadãos digitais críticos e preparados para desafios contemporâneos.
Palavras-chave: Cultura digital. Cidadania digital. Educação Profissional e Tecnológica. Formação integral. Lei Geral de Proteção de Dados.
TRAINING AND ASSISTANCE IN FINANCIAL MANAGEMENT FOR SMALL AND MEDIUM ENTERPRISES IN BYPASS TELAGA WARU ENVIRONMENTS TO SUPPORT INCOME INCREASE
Authors: Endar pituringsih Endar , Susanto Hery , Tri Yunarni Baiq Reinelda 
Published: November 2024

Kegiatan Pelatihan Pengeloaan Keuangan pada Usaha kecil Menengah (UKM) bertujuan untuk Memberikan pengetahuan bagi Usaha kecil Menengah (UKM) di lingkungan bypass Telaga Waru Kabupaten Lombok Barat mengenai pedoman Pengelolaan keuangan, memberikan pengetahuan yang memadai mengenai bagaimana cara menyusun laporan keuangan dan memberikan pelatihan untuk membuat laporan keuangan bagi pelaku Usaha kecil Menengah (UKM) yang akan menunjang peningkatan pendapatan khususnya bagi Usaha kecil Menengah (UKM) yang berada di daerah sekitaran bypass Telaga Waru Kabupaten Lombok Barat. Sebagaimana disebutkan dalam Peraturan Daerah Kabupaten Lombok Barat Nomor 11 Tahun 2017 tentang Pedagang Kaki Lima Pasal 1 Ayat 8, disebutkan bahwa pemberdayaan PKL adalah upaya yang dilakukan oleh Pemerintah Daerah, dunia usaha dan masyarakat secara sinergis dalam bentuk penumbuhan iklim usaha dan pengembangan usaha terhadap PKL sehingga mampu tumbuh dan berkembang baik kualitas maupun kuantitas usahanya. Pelaksanaan kegiatan dilakukan dengan metode ceramah, metode tutorial dan metode diskusi. Hasil kegiatan pelatihan pengelolaan keuangan ini adalah pedagang kaki lima dapat meningkatkan pendapatan karena mereka sudah dapat mengklasifikasikan penerimaan dan pengeluaran usaha dengan teratur dan tepat. Dan kedepannya diharapkan agar kegiatan pelatihan pengelolaan keuangan ini dapat terus belanjut untuk dapat membantu memberikan pemahaman yang baik kepada pedagang kaki lima.