bluuebunny/crossref_metadata_2025_split huggingface dataset:
Measurement of in vivo spinal cord displacement and strain fields of healthy and myelopathic cervical spinal cord
Authors: Stoner Kirsten E. , Abode-Iyamah Kingsley O. , Magnotta Vincent A. , Howard Matthew A. , Grosland Nicole M. 
Published: April 2019

OBJECTIVECervical myelopathy (CM) is a common and debilitating form of spinal cord injury caused by chronic compression; however, little is known about the in vivo mechanics of the healthy spinal cord during motion and how these mechanics are altered in CM. The authors sought to measure 3D in vivo spinal cord displacement and strain fields from MR images obtained during physiological motion of healthy individuals and cervical myelopathic patients.METHODSNineteen study participants, 9 healthy controls and 10 CM patients, were enrolled in the study. All study participants had 3T MR images acquired of the cervical spine in neutral, flexed, and extended positions. Displacement and strain fields and corresponding principal strain were obtained from the MR images using image registration.RESULTSThe healthy spinal cord displaces superiorly in flexion and inferiorly in extension. Principal strain is evenly distributed along the spinal cord. The CM spinal cord displaces less than the healthy cord and the magnitude of principal strain is higher, at the midcervical levels.CONCLUSIONSIncreased spinal cord compression during cervical myelopathy limits motion of the spinal cord and increases spinal cord strain during physiological motion. Future studies are needed to investigate how treatment, such as surgical intervention, affects spinal cord mechanics.
An enhanced recovery after surgery pathway: association with rapid discharge and minimal complications after anterior cervical spine surgery
Authors: Soffin Ellen M. , Wetmore Douglas S. , Barber Lauren A. , Vaishnav Avani S. , Beckman James D. , Albert Todd J. , Gang Catherine H. , Qureshi Sheeraz A. 
Published: April 2019

OBJECTIVEEnhanced recovery after surgery (ERAS) pathways are associated with improved outcomes, lower morbidity and complications, and higher patient satisfaction in multiple surgical subspecialties. Despite these gains, there are few data to guide the application of ERAS concepts to spine surgery. The authors report the development and implementation of the first ERAS pathway for patients undergoing anterior cervical discectomy and fusion (ACDF) and cervical disc arthroplasty (CDA).METHODSThis was a retrospective cohort study of prospectively collected data. The authors created a multidisciplinary pathway based on best available evidence for interventions that positively influence outcomes after anterior cervical spine surgery. Patients were followed prospectively up to postoperative day 90. Patient data were collected via electronic medical record review and included demographics, comorbidities, baseline and perioperative opioid use, postoperative complications, and length of hospital stay (LOS). ERAS process measures and compliance with pathway elements were also tracked.RESULTSThirty-three patients were cared for under the pathway (n = 25 ACDF; n = 8 CDA). The median LOS was 416 minutes (interquartile range [IQR] 210–1643 minutes). Eight patients required an extended stay—longer than 23 hours. Reasons for extended admission included pain (n = 4), dyspnea (n = 1), hypoxia (n = 1), hypertension (n = 1), and dysphagia (n = 1). The median LOS for the 8 patients who required extended monitoring prior to discharge was 1585 minutes (IQR 1423–1713 minutes). Overall pathway compliance with included process measures was 85.6%. The median number of ERAS process elements delivered to each patient was 18. There was no strong association between LOS and number of ERAS process elements provided (Pearson’s r = −0.20). Twelve percent of the cohort was opioid tolerant on the day of surgery. There were no significant differences between total intraoperatively or postanesthesia care unit–administered opioid, or LOS, between opioid-tolerant and opioid-naïve patients. There were no complications requiring readmission.CONCLUSIONSAn ERAS pathway for anterior cervical spine surgery facilitates safe, prompt discharge. The ERAS pathway was associated with minimal complications, and no readmissions within 90 days of surgery. Pain and respiratory compromise were both linked with extended LOS in this cohort. Further prospective studies are needed to confirm the potential benefits of ERAS for anterior cervical spine surgery, including longer-term complications, cost, and functional outcomes.
Improving recovery after elective degenerative spine surgery: 5-year experience with an enhanced recovery after surgery (ERAS) protocol
Authors: Staartjes Victor E. , de Wispelaere Marlies P. , Schröder Marc L. 
Published: April 2019

OBJECTIVEEnhanced recovery after surgery (ERAS) has led to a paradigm shift in various surgical specialties. Its application can result in substantial benefits in perioperative healthcare utilization through preoperative physical and mental patient optimization and modulation of the recovery process. Still, ERAS remains relatively new to spine surgery. The authors report their 5-year experience, focusing on ERAS application to a broad population of patients with degenerative spine conditions undergoing elective surgical procedures, including anterior lumbar interbody fusion (ALIF).METHODSA multimodal ERAS protocol was applied between November 2013 and October 2018. The authors analyze hospital stay, perioperative outcomes, readmissions, and adverse events obtained from a prospective institutional registry. Elective tubular microdiscectomy and mini-open decompression as well as minimally invasive (MI) anterior or posterior fusion cases were included. Their institutional ERAS protocol contains 22 pre-, intra-, and postoperative elements, including preoperative patient counseling, MI techniques, early mobilization and oral intake, minimal postoperative restrictions, and regular audits.RESULTSA total of 2592 consecutive patients were included, with 199 (8%) undergoing fusion. The mean hospital stay was 1.1 ± 1.2 days, with 20 (0.8%) 30-day and 36 (1.4%) 60-day readmissions. Ninety-four percent of patients were discharged after a maximum 1-night hospital stay. Over the 5-year period, a clear trend toward a higher proportion of patients discharged home after a 1-night stay was observed (p < 0.001), with a concomitant decrease in adverse events in the overall cohort (p = 0.025) and without increase in readmissions. For fusion procedures, the rate of 1-night hospital stays increased from 26% to 85% (p < 0.001). Similarly, the average length of hospital stay decreased steadily from 2.4 ± 1.2 days to 1.5 ± 0.3 days (p < 0.001), with a notable concomitant decrease in variance, resulting in an estimated reduction in nursing costs of 46.8%.CONCLUSIONSApplication of an ERAS protocol over 5 years to a diverse population of patients undergoing surgical procedures, including ALIF, for treatment of degenerative spine conditions was safe and effective, without increase in readmissions. The data from this large case series stress the importance of the multidisciplinary, iterative improvement process to overcome the learning curve associated with ERAS implementation, and the importance of a dedicated perioperative care team. Prospective trials are needed to evaluate spinal ERAS on a higher level of evidence.
Clinical results of percutaneous biportal endoscopic lumbar interbody fusion with application of enhanced recovery after surgery
Authors: Heo Dong Hwa , Park Choon Keun 
Published: April 2019

OBJECTIVEThe aims of enhanced recovery after surgery (ERAS) are to improve surgical outcomes, shorten hospital stays, and reduce complications. The objective of this study was to introduce ERAS with biportal endoscopic transforaminal lumbar interbody fusion (TLIF) and to investigate the clinical results.METHODSPatients were divided into two groups based on the fusion procedures. Patients who received microscopic TLIF without ERAS were classified as the non-ERAS group, whereas those who received percutaneous biportal endoscopic TLIF with ERAS were classified as the ERAS group. The mean Oswestry Disability Index (ODI) and visual analog scale (VAS) scores were compared between the two groups. In addition, demographic characteristics, diagnosis, mean operative time, estimated blood loss (EBL), fusion rate, readmissions, and complications were investigated and compared.RESULTSForty-six patients were grouped into the non-ERAS group (microscopic TLIF without ERAS) and 23 patients into the ERAS group (biportal endoscopic TLIF with ERAS). The VAS score for preoperative back pain on days 1 and 2 was significantly higher in the non-ERAS group than in the ERAS group (p < 0.05). The mean operative duration was significantly higher in the ERAS group than in the non-ERAS group, while the mean EBL was significantly lower in the ERAS group than in the non-ERAS group (p < 0.05). There was no significant difference in fusion rate between the two groups (p > 0.05). Readmission was required in 2 patients who were from the non-ERAS group. Postoperative complications occurred in 6 cases in the non-ERAS group and in 2 cases in the ERAS group.CONCLUSIONSPercutaneous biportal endoscopic TLIF with an ERAS pathway may have good aspects in reducing bleeding and postoperative pain. Endoscopic fusion surgery along with the ERAS concept may help to accelerate recovery after surgery.
Intracranial subdural empyemas and epidural abscesses in children
Authors: Lundy Paige , Kaufman Christian , Garcia David , Partington Michael D. , Grabb Paul A. 
Published: April 2019

OBJECTIVEThe authors conducted a retrospective analysis of a consecutive series of children with intracranial subdural empyemas (SEs) and epidural abscesses (EAs) to highlight the important clinical difference between these two entities. They describe the delays and pitfalls in achieving accurate diagnoses and make treatment recommendations based on clinical and imaging findings.METHODSThey reviewed their experience with children who had presented with intracranial SE and/or EA in the period from January 2013 to May 2018. They recorded presenting complaint, date of presentation, age, neurological examination findings, time from presentation to diagnosis, any errors in initial image interpretation, timing from diagnosis to surgical intervention, type of surgical intervention, neurological outcome, and microbiology data. They aimed to assess possible causes of any delay in diagnosis or surgical intervention.RESULTSSixteen children with SE and/or EA had undergone evaluation by the authors’ neurosurgical service since 2013. Children with SE (n = 14) presented with unmistakable evidence of CNS involvement with only one exception. Children with EA alone (n = 2) had no evidence of CNS dysfunction. All children older than 1 year of age had sinusitis.The time from initial presentation to a physician to diagnosis ranged from 0 to 21 days with a mean and median of 4.5 and 6 days, respectively. The time from diagnosis to neurosurgical intervention ranged from 0 to 14 days with a mean and median of 3 and 1 day, respectively. Delay in treatment was due to misinterpretation of images, a failure to perform timely imaging, progression on imaging as an indication for surgical intervention, or the managing clinician’s preference. Among the 14 cases with SE, initial imaging studies in 6 were not interpreted as showing SE. Four SE collections were dictated as epidural even on MRI. The only fatality was associated with no surgical intervention. Endoscopic sinus surgery was not associated with reducing the need for repeat craniotomy.CONCLUSIONSRegardless of the initial imaging interpretation, any child presenting with focal neurological deficit or seizures and sinusitis should be assumed to have an SE or meningitis, and a careful review of high-resolution imaging, ideally MRI with contrast, should be performed. If an extraaxial collection is identified, surgical drainage should be performed expeditiously. Neurosurgical involvement and evaluation are imperative to achieve timely diagnoses and to guide management in these critically ill children.
Results of more than 20 years of follow-up in pediatric patients with moyamoya disease undergoing pial synangiosis
Authors: Riordan Coleman P. , Storey Armide , Cote David J. , Smith Edward R. , Scott R. Michael 
Published: April 2019

OBJECTIVEThere are limited data on the long-term outcomes for children undergoing surgical revascularization for moyamoya disease (MMD) in North America. The authors present a series of pediatric MMD patients who underwent a standard revascularization procedure, pial synangiosis, more than 20 years previously at a single institution by a single surgical team.METHODSThis study is a retrospective review of all patients aged 21 years or younger treated for MMD at Boston Children’s Hospital who were operated on more than 20 years previously by the senior author (R.M.S.). Radiographic and operative reports, outpatient clinical records, and communications with patients and families were reviewed to document current clinical status, ability to perform daily activities, and concurrent or new medical conditions.RESULTSA total of 59 patients (38 female [64.4%], 21 male [35.6%]; median age at surgery 6.2 years [IQR 0.5–21 years]) were identified who were diagnosed with MMD and underwent surgical revascularization procedures more than 20 years previously. Clinically, all but 2 patients (96.6%) presented with the following symptoms alone or in combination: 43 (73%) presented with stroke, 22 (37%) with transient ischemic attack, 12 (20%) with seizures, 7 (12%) with headache, 3 (5%) with choreiform movements, and 2 (3%) with hemorrhage; MMD was incidentally detected in 2 patients (3%). Five patients had unilateral MMD at presentation, but 3 of these ultimately progressed to develop bilateral MMD after an average of 16 months; therefore, pial synangiosis was ultimately performed in a total of 116 hemispheres during the study period. Clinical follow-up was available at a median interval of 20.6 years (IQR 16.1–23.2 years). Modified Rankin Scale scores were stable or improved in 43 of 50 patients with evaluable data; 45 of 55 are currently independent. There were 6 patient deaths (10.2%; 3 due to intracranial hemorrhage, 2 due to tumor-related complications, and 1 due to pulmonary artery stenosis), 4 of whom had a history of previous cranial radiation. One patient (1.7%) experienced a late stroke. Synangiosis vessels remained patent on all available late MRI and MRA studies. Four patients reported uneventful pregnancies and vaginal deliveries years following their revascularization procedures.CONCLUSIONSRevascularization for MMD by pial synangiosis appears to confer protection from stroke for pediatric patients over long-term follow-up. A history of cranial radiation was present in 4 of the 6 patients who died and in the lone patient with late stroke. Most patients can expect productive, independent lives following revascularization surgery in the absence of significant preoperative neurological deficits and comorbidities.
Transarterial and transvenous approaches for embolization of tentorial dural arteriovenous fistula
Authors: Beer-Furlan André , Dasenbrock Hormuzdiyar H. , Joshi Krishna C. , Chen Michael 
Published: April 2019

Tentorial dural arteriovenous fistulas (DAVFs) are uncommon, complex fistulas located between the leaves of the tentorium cerebelli with a specific anatomic and clinical presentation characterized by high hemorrhagic risk. They have an extensive arterial supply and complex venous drainages, making them difficult to treat. There is recent literature favoring treatment through an endovascular transarterial route. The authors present an uncommon tentorial/ambient cistern region DAVF with feeders arising from the external and internal carotid arteries. The patient underwent a combined transarterial and transvenous approach with successful obliteration of the DAVF. The authors discuss the management challenges faced in this case.The video can be found here: https://youtu.be/VXDD8zUvsSQ.
Pengaruh Implementasi Sistem Informasi Manajemen Daerah Terhadap Kualitas Laporan Keuangan pada Satuan Kerja Pemerintah Daerah Kabupaten Nias Selatan
Authors: Diana Patricia , Eforis Chermian , Osesoga Maria Stefani 
Published: April 2019

The purpose of this study was to examine the impact of the implementation of Sistem Informasi Manajemen Daerah (SIMDA) toward financial report quality of local government in Nias Selatan. The Indonesian government has encouraged each region to implement Sistem Informasi Manajemen Daerah (SIMDA). SIMDA is an e-government system developed by the Deputi Pengawasan Bidang Penyelenggaraan Keuangan Daerah in order to improve internal control in regional reporting, including local government financial reports.
The study was conducted using a survey method to provide the questionnaries to Kepala Sub Bagian Keuangan, Kepala Sub Bagian Program, and Bendahara in 63 Satuan Kerja Perangkat Daerah (SKPD) Nias Selatan. The data used in this study was primary data. There were 154 questionnaries distributed for this research, but only 140 questionnaries returned and used in this research. Data processing using SPSS 24 application with simple regression method.
The result of this study was implementation of Sistem Informasi Manajemen Daerah (SIMDA) has significant impact toward financial report quality of local government in Nias Selatan.

Keywords : financial report quality, local government financial statements, SIMDA
Development and Evaluation of Digital ID card as a Portfolio Portal
Authors: Darmawan Erico , Santoso Sulaeman 
Published: April 2019

Physical ID card has been use throughout history and are still widely use today. However, suchphysical characteristic leads to three drawbacks. First, it is not environmentally friendly due to printed materials. Second, Physical ID card requires the need for management and physical storage, prone to damage and lost. Third, information inside a physical ID card limited and cannot be updated. This paper proposes the use of digital ID card in the form of a mobile application as a substitute to physical ID card. A survey is conducted to evaluate the use of these digital ID card. It is then concluded that digital ID card can counter the downside of physical ID card and even provides features to enhance its role such as being a portal for information.
Keywords—Digital ID, Information Portal, Mobile Application, Android.
Knowledge Management System pada PT. TASPEN KCU Bandung
Authors: Pratiwi Anggun , Hansugian Leonardi Paris 
Published: April 2019

Knowledge Management System (KMS) merupakan salah satu cara menumbuhkan budaya knowledge sharing yang bertujuan meningkatkan kualitas SDM dalam suatu organisasi melalui komunikasi yang baik antar karyawan serta pendokumentasian pengetahuan. PT. TASPEN KCU Bandung adalah salah satu perusahaan yang menyadari pentingnya pendokumentasian dari data dan informasi bagi keberlangsungan kegiatan perusahaan khususnya bagian SDM. Saat ini pendokumentasian pengetahuan mengenai bagian SDM di PT. TASPEN KCU Bandung belum terstruktur sehingga berdampak pada kegiatan pelayanan yang terasa tidak efektif. Berdasarkan hasil analisa, terdapat banyak knowledge penting dibagian SDM yang fungsinya untuk menunjang kegiatan pelayanan karyawan perusahaan. Metodologi dalam penelitian ini menggunakan metode pendekatan OOP dengan alat bantu UML, dan menggunakan sistem prototype. Hasil akhir pengembangan sistem ini adalah sebuah aplikasi berbasis web dengan menerapkan SECI Model untuk dapat digunakan sesuai dengan kebutuhan PT. TASPEN KCU Bandung. Dengan dibangunnya KMS ini, karyawan dan seksi SDM dapat berbagi informasi dan pengetahuan kapan dan dimanapun.
Analisis Pola Radiasi Antena Dipole pada aplikasi Wireless Sensor Networks di Industrial Site
Authors: Shabrina Nabila Husna , Samuel Samuel 
Published: April 2019

In industry 4.0, a complex system was needed to automatically control and communicate between devices. One component that often used in industrial automation is Wireless Sensor Networks (WSN), which is worked by transmitting the data needed through electromagnetic waves. The electromagnetic propagation in industrial process encounter challenges which caused by reflection or scattering from the object inside the industrial site. Therefore, in this research, the author will conduct a simulation to determine the characteristic of electromagnetic propagation in industrial site. The simulation was done by simulating antenna dipole with frequency 2.4 GHz in the simple 3D industrial site consist of some component. The result shows that simulating antena dipole in industrial site will affect the characteristic of the antena such as gain, directivity, and S parameter.
Komodifikasi Budaya Pria Jawa di Iklan Djarum 76 Versi “Om Jin Buat Zaskia Gotik Jatuh Cinta”
Authors: Fernando Joshua , Marta Rustono Farady 
Published: April 2019

Djarum 76 merupakan salah satu brand rokok ternama di Indonesia dan selalu aktif menggunakan iklan sebagai sarana promosi produk kepada khalayak. Konten iklan yang sering digunakan oleh Djarum 76 adalah sosok Jin lampu yang bernama “Om Jin” yang berciri khas menggunakan pakaian adat Jawa. Peneliti dalam hal ini bertujuan untuk mengetahui komodifikasi dalam sosok pria Jawa dalam keluarga Jawa yang terdapat dalam sosok “Om Jin” dalam iklan Djarum 76 versi “Om Jin Buat Zaskia Gotik Jatuh Cinta - Kilau Raya MNCTV 25”. Penelitian ini akan melihat bagaimana konstruksi makna yang terjadi dengan menggunakan metode analisis Semiotika Roland Barthes dan Teori Dimensi Kultural Prof. Geert Hofstede. Penelitian ini juga menggunakan paradigma komunikasi lintas kultural yaitu dialektika di mana ada integrasi antara paradigma interpretif dan kritis dengan pendekatan kualitatif bersifat deskriptif. Hasil penelitian ini menunjukkan adanya komodifikasi budaya di mana karakter pria Jawa dalam iklan mengalami pergeseran makna.
Kata Kunci: Iklan, budaya, semiotika, pria Jawa, komodifikasi
Kualifikasi Kompetensi Calon Wartawan Era Digital di Indonesia
Authors: Mardjianto F.X. Lilik Dwi 
Published: April 2019

Perkembangan dunia jurnalistik semakin pesat, terutama ketika memasuki era multimedia. Bersamaan dengan perkembangan teknologi digital dan multimedia, juga terjadi perubahan kualifikasi kompetensi wartawan. Penelitian ini berusaha menjawab pertanyaan tentang kualifikasi kompetensi apa saja yang harus dimiliki oleh calon wartawan di era digital. Peneliti menggunakan metode studi kasus dengan cara pencarian data dalam bentuk Focus Group Discussion (FGD). Informan yang mengikuti FGD ini dipilih dengan purposive sampling (pertimbangan khusus), yaitu mereka yang menjalani pekerjaan jurnalistik di berbagai sektor atau wilayah kerja yang berbeda. Hal itu dilakukan untuk mendapatkan gambaran yang lebih menyeluruh tentang kompetensi wartawan di berbagai wilayah kerja. Oleh karena itu, peneliti memilih informan yang aktif sebagai wartawan, wartawan lepas, dan wirausaha media. Peneliti menemukan bahwa telah terjadi penambahan kualifikasi kompetensi calon wartawan era digital. Wartawan di era digital tidak hanya dituntut mampu melakukan kegiatan jurnalistik dasar, namun juga melakukan berbagai aktivitas distribusi konten serta berjiwa wirausaha.
Kata kunci: kompetensi, wartawan, digital, jurnalistik