bluuebunny/crossref_metadata_2025_split huggingface dataset:
Historical, patriotic and regional education and intercultural tolerance in Stanisław Jędryka’s film "Zielone lata"
Authors: Uljasz Adrian 
Published: October 2024

Tematem artykułu jest wartość filmu Stanisława Jędryki Zielone lata z punktu widzenia nauki tolerancji międzykulturowej oraz edukacji historyczno-kulturalnej i regionalnej. Wydarzenia filmowe rozgrywają się w rodzinnym mieście reżysera – Sosnowcu w Zagłębiu Dąbrowskim krótko przed wybuchem II wojny światowej i w czasie niemieckiej okupacji. Autor artykułu uzasadnia tezę o dużej, ponadczasowej wartości filmu Zielone lata z punktu widzenia edukacji historyczno-patriotycznej i regionalnej oraz nauki tolerancji międzykulturowej.
Zielone lata to adaptacja powieści Jerzego Przeździeckiego Troje znad czarnej rzeki (pierwodruk - Warszawa 1975). Twórca pierwowzoru książkowego jest autorem scenariusza filmu.
Jędryka ukazał przyjaźń między trójką dzieci: Polakiem Wojtkiem Lewińskim, Żydem Abramkiem Rotbaumem i Niemką Erną König, Przekaz wychowawczy dotyczy potrzeby wzajemnej tolerancji etnicznej. W czasie okupacji Wojtek i Erna ratują Abramka przed Zagładą.
Autor artykułu zwraca uwagę na stałą aktualność dzieła Jędryki i Przeździeckiego oraz jego wartości kształcące i wychowawcze na podstawie własnej analizy filmu, studiów nad wypowiedziami prasowymi, literaturą naukową i popularyzatorską, a także odbiorem Zielonych lat wśród widzów. Wysoka wartość artystyczna oraz ideowa filmu i jego dobry odbiór przez publiczność są potwierdzeniem słuszności wstępnej tezy badawczej. W pracy nad artykułem zostały zastosowane metoda biograficzna, analiza treści filmu i jego formy artystycznej, przeprowadzono badania medioznawcze – nad publikacjami prasowymi oraz wypowiedziami i ocenami internetowymi o Zielonych latach.
Stanisława de Karłowska and Katherine Mansfield – an (un)obvious connection
Authors: Kwiatkowska Anna 
Published: October 2024

The article focuses on the links between the life and work of a Polish emigree artist, Stanisława de Karłowska (1876–1952) and the New Zealand modernist writer, Katherine Mansfield (1888–1923). Both women, despite their unquestionable artistic merits, have stayed at the margins of critical attention for quite some time. Nevertheless, while Mansfield has been finally recognized as an innovator and one of the greatest short story writers, Karłowska is still relatively unknown, especially in Poland where her paintings can be found merely in private collections. Therefore, the main aim of this article is to bring the work of Karłowska to the attention of the reader. By presenting her paintings against and in relation to the work of the New Zealand Modernist writer, I want, among others, to demonstrate how much the two women share in terms of their engagement and presence in Modernist artistic life, which in itself is an indicator of their importance and recognition, as well as to point out that the voice of the painter in relation to social criticism was as important as the voice of the writer. In the article, two of Karłowska’s paintings are discussed against the social background and a selection of Mansfield’s short stories.
Oral and general health quality of life following a subtemporal preauricular infratemporal approach with condylar fossa osteotomy in surgical skull base tumor resection
Authors: Taniguchi Seika , Kam Jeremy , Castle-Kirszbaum Mendel , Akagami Ryojo 
Published: October 2024

OBJECTIVE
With the capacity to provide maximal lesion exposure, the subtemporal preauricular infratemporal (SPI) approach with condylar fossa osteotomy is highly utilized in radical resection of skull base tumors. While this approach requires disruption of the temporomandibular joint (TMJ) for access, the effects of this maneuver are poorly appreciated in neurosurgery. The aim of this study was to assess the morbidity of condylar fossa osteotomies by comparing oral health quality of life (OHQOL) and general health quality of life (GHQOL) outcomes after TMJ-involving and TMJ-sparing skull base approaches.

METHODS
A retrospective review of the medical records of patients who underwent surgery with the SPI approach (TMJ-involving approach) for skull base chondrosarcoma (CS) by a single senior surgeon at Vancouver General Hospital between 2002 and 2022 was performed. Patients undergoing TMJ-sparing anterolateral approaches for trigeminal schwannoma (TS) during the same study period by the same surgeon were included as controls. GHQOL was evaluated using the 36-item Short Form Health Survey from preoperative and postoperative periods. Postoperative OHQOL was evaluated using the Diagnostic Criteria for Temporomandibular Disorders (DC/TMD) Axis I/II screening instrument.

RESULTS
Data regarding quality of life were available for 13 of 19 CS patients and 12 of 15 TS patients surgically managed between 2002 and 2022. CS patients demonstrated less jaw dysfunction in all parameters of the DC/TMD Axis I/II components when specifically assessing OHQOL. CS patients had a lower likelihood of temporomandibular disorder (TMD) presence on the TMD pain screener than TS patients (25% vs 45%, p = 0.40). Chronic pain scores were higher in the TS group, with significantly more patients with grade 2 or higher pain (36.4% vs 0%, p = 0.01). The mean Jaw Functional Limitation Scale (JFLS) scores were lower in CS patients than in TS patients. Both CS and TS patients demonstrated lower mean JLFS scores (0.50 and 0.81, respectively) than patients with chronic TMD (1.76), but higher mean JLFS scores than patients without TMD (0.16).

CONCLUSIONS
The authors report novel findings regarding the impact of the SPI approach with a condylar fossa osteotomy on OHQOL and GHQOL among skull base tumor patients. Anatomical disruption of the TMJ was not associated with significant clinical TMJ dysfunction. Compared with TS patients, CS patients had even lower mean scores in TMJ-related morbidity, and both groups had lower TMJ morbidity than patients diagnosed with chronic TMJ dysfunction. Condylar fossa osteotomies can therefore be considered without concern of significant additional morbidity.
Natural history and management outcomes of patients with ruptured Spetzler-Martin grade IV and V brain arteriovenous malformations
Authors: Sattari Shahab Aldin , Yang Wuyang , Feghali James , Antar Albert , Hung Alice , Xu Risheng , Tamargo Rafael J. , Huang Judy 
Published: October 2024

OBJECTIVE
The natural history of ruptured high Spetzler-Martin grade IV and V brain arteriovenous malformations (bAVMs) is underreported given the scarcity of this pathology, and decision-making for patients with bAVMs remains unclarified. In this study, the authors sought to shed light on this topic.

METHODS
Patients harboring ruptured high-grade bAVMs were identified from an institutional database spanning from 1990 to 2020. The authors examined outcomes of annual hemorrhagic risk in natural history and after treatment, follow-up hemorrhage rate, bAVM obliteration, follow-up modified Rankin Scale (mRS) score > 2, worsened mRS score, and mortality.

RESULTS
After reviewing the charts of 1066 patients without hereditary hemorrhagic telangiectasia, 84 patients with ruptured high-grade bAVMs were included in the study for analysis. For cortical bAVMs, the annual risk of hemorrhage during natural history was 2.68%. Surgery decreased the risk to 0.74%, while radiosurgery increased the risk to 5.35%, and embolization only increased the risk to 16.96%. For deep-seated high-grade bAVMs, the annual risk of hemorrhage during natural history was 8.37%. Radiosurgery decreased the risk to 3.11%, surgery decreased the risk to 5.25%, and embolization only increased the risk to 22.33%. Poisson regression analysis demonstrated that embolization only increased the risk of hemorrhage in cortical bAVMs (rate ratio 4.745, 95% CI 1.365–12.819; p = 0.005) and deep-seated bAVMs (rate ratio 6.290, 95% CI 0.997–21.932; p = 0.013). Logistic regression analysis showed that surgery (OR 52.000, 95% CI 8.083–1046.127; p = 0.004) and radiosurgery (OR 11.142, 95% CI 1.804–217.650; p = 0.029) were predictors of obliteration in cortical and deep-seated bAVMs, respectively. The proportions of patients experiencing a worsened mRS score, a follow-up mRS score > 2, and mortality were similar between conservative and treatment groups.

CONCLUSIONS
The natural history of cortical ruptured high-grade bAVMs bears a risk similar to that of incidental bAVMs, whereas deep-seated ruptured high-grade bAVMs have an increased risk of hemorrhage. With extremely prudent patient selection, surgery might be a viable option for cortical bAVMs to obliterate the bAVM and reduce hemorrhagic risk, while preserving functional status. Radiosurgery might be beneficial to lower hemorrhagic risk in deep-seated bAVMs. Embolization as a single modality should be avoided as it provides no benefit to reduce hemorrhagic risk.
Defining pediatric neurosurgery in low-income countries: a cross-sectional study in Ethiopia
Authors: Asfaw Zerubabbel K. , Abdi Hodan , Moges Kaleab Tesfaye , Akililu Yemisirach B. , Barthélemy Ernest J. , Laeke Tsegazeab , Germano Isabelle M. , Tirsit Abenezer 
Published: October 2024

OBJECTIVE
Pediatric neurosurgical practice is prevalent in most low- and lower-middle-income countries but lacks comprehensive documentation of practice patterns, demographics, and case variety. This study aimed to present the current state of pediatric neurosurgery in Ethiopia, including workforce characterization, case variety, and relevant procedures.

METHODS
A survey was developed and distributed to all Ethiopian fully trained neurosurgeons (n = 50). Survey questions assessed sociodemographic variables, level of training, case variety, and neurosurgical practice. Statistical analysis was conducted to describe the current practice of pediatric neurosurgery.

RESULTS
A total of 45 neurosurgeons responded (90%). Three respondents (7%) were women. There was only 1 fellowship-trained pediatric neurosurgeon, while most neurosurgeons were general neurosurgeons who served a pediatric patient population. Most neurosurgeons (56%) worked in the capital city, Addis Ababa, while another 13% worked in other urban settings. The top three indications for a pediatric neurosurgical procedure were neural tube defects (NTDs) (96%), hydrocephalus (93%), and trauma (60%). NTD-associated hydrocephalus was the most common hydrocephalus type seen (71%). The most common procedure for hydrocephalus was shunt insertion (96%). A prenatal diagnosis of NTD was made in < 10% of cases, as reported by 84% of respondents.

CONCLUSIONS
The study highlights Ethiopia’s need for more pediatric neurosurgeons. Suggested strategies to facilitate subspecialty training include the establishment of a fellowship program facilitated by the implementation of a nationwide pediatric neurosurgery registry. Promoting efforts for early diagnosis and treatment of pediatric conditions coupled with NTD prevention initiatives could improve pediatric neurosurgical care in Ethiopia.
The impact of smoking on patient-reported outcomes following lumbar decompression: an analysis of the Quality Outcomes Database
Authors: Djurasovic Mladen , Owens R. Kirk , Carreon Leah Y. , Gum Jeffrey L. , Bisson Erica F. , Bydon Mohamad , Glassman Steven D. 
Published: October 2024

OBJECTIVE
Smoking has been shown to negatively impact spinal health, as well as the outcomes of spinal fusion. Published reports show conflicting data regarding whether smoking negatively impacts patient outcomes following lumbar decompression. The objective of this study was to investigate whether smoking affects the outcomes of patients undergoing lumbar decompression for spinal stenosis or herniated disc.

METHODS
The Quality Outcomes Database was queried for patients with spinal stenosis or lumbar disc herniation who underwent one- or two-level lumbar decompression without fusion. All patients had preoperative and 12-month outcome measures and were divided into groups of nonsmokers and current smokers. Outcomes were compared between the two groups, as well as the percentage of patients reaching the minimal clinically important difference (MCID) threshold for numeric rating scale (NRS) back and leg pain scores and the Oswestry Disability Index (ODI).

RESULTS
Of 17,271 patients, 14,233 were nonsmokers and 3038 were current smokers. Smokers had worse baseline NRS back and leg pain, ODI, and EQ-5D scores and experienced slightly less improvement in all measures following lumbar decompression (p ≤ 0.009), although changes were largely similar, and a high percentage of patients achieved the MCID thresholds for NRS back pain (78% nonsmokers vs 75% smokers), NRS leg pain (79% nonsmokers vs 73% smokers), and ODI (74% nonsmokers vs 68% smokers). Comparison of propensity-matched cohorts did not identify any difference in outcomes in smokers versus nonsmokers.

CONCLUSIONS
In patients undergoing lumbar decompression for spinal stenosis or herniated disc, smokers demonstrated slightly less improvement in outcomes compared with nonsmokers, and a high proportion of both groups achieved meaningful improvement with surgery. While smoking cessation should be strongly encouraged in all patients, lumbar decompression procedures for spinal stenosis and herniated disc should not be denied to smokers.
Posterior aggressive debulking versus minimal decompression surgery in patients with metastatic spinal cord compression: propensity-score–matching analysis from a multicenter study cohort
Authors: Park Se-Jun , Park Jin-Sung , Kang Dong-Ho , Lee Chong-Suh , Chang Bong-Soon , Kim Hyoungmin , Chang Sam Yeol , Lee Jiyong 
Published: October 2024

OBJECTIVE
The goal of this study was to evaluate the comparative outcomes of aggressive debulking (AD) and minimal decompression (MD) surgeries for metastatic spinal cord compression based on surgical burden, functional improvement, and symptomatic local recurrence (SLR).

METHODS
In this retrospective analysis from 2 tertiary hospitals, the authors assessed patients with metastatic spinal cord compression treated via AD and MD surgeries between 2010 and 2022. The evaluation included patient demographics, Eastern Cooperative Oncology Group performance status (ECOG-PS), primary tumor type, modified Tokuhashi scores, surgical burden, and SLR. Propensity-score matching (1:1 ratio) was conducted based on oncological status for intergroup comparisons. Survival analysis and logistic regression analyses were conducted.

RESULTS
A total of 264 patients were included in the study. After 1:1 propensity-score matching, a total of 156 matched patients were analyzed (78 patients each in the AD and MD groups). Operation time, estimated blood loss, transfused red blood cell units, and inpatient medical complications were significantly higher in the AD group compared to the MD group (p = 0.001, p = 0.002, p = 0.006, and p = 0.035, respectively). There was no significant difference in distribution of postoperative ECOG-PS between the AD and MD groups (OR 1.461, 95% CI 0.821–2.599, p = 0.197). In initially nonambulatory patients (ECOG-PS of grade 3 or 4), the AD group showed a higher proportion of patients regaining ambulatory function compared to the MD group (56.5% vs 36.2%; OR 2.294, p = 0.049). In cases with a preoperative ECOG-PS of grade 3, the difference in ambulation recovery between AD and MD was not statistically significant (60.0% vs 53.3%, p = 0.577). However, for severely impaired patients (ECOG-PS of grade 4), the AD group showed a higher proportion of patients regaining ambulatory function compared to the MD group (33.3% vs 5.9%, p = 0.086). Symptomatic SLR-free survival showed no significant differences at final follow-up (p = 0.095). Multivariate analysis identified the modified Tokuhashi score as the sole predictor of SLR (OR 1.871, p = 0.001).

CONCLUSIONS
This study found that MD surgery significantly reduced surgical burden compared to AD. AD surgery led to slightly better functional recovery showing greater rescue ratios, especially in patients with a preoperative ECOG-PS of grade 4. However, no difference in rescue ratio was observed in patients with a preoperative ECOG-PS of grade 3. There was no significant difference in SLR rates between the AD and MD groups.
Arteriovenous malformation–associated aneurysms in the pediatric population: the University of Pittsburgh Medical Center experience
Authors: Jacobs Rachel C. , Chilukuri Akanksha , Abou-Al-Shaar Hussam , Garcia Joseph H. , Agarwal Prateek , McDowell Michael M. , Al-Bayati Alhamza R. , Greene Stephanie 
Published: October 2024

OBJECTIVE
Arteriovenous malformations (AVMs) are the most common cause of spontaneous intracranial hemorrhage (ICH) in children, often leading to devastating complications. The current literature from the adult AVM population suggests that both younger age and associated aneurysms carry an increased risk of hemorrhagic presentation. However, detailed analysis of pediatric AVM-associated aneurysms and their link to ICH is relatively unknown, with the literature largely consisting of case reports. This study aimed to determine whether AVM-associated aneurysms predispose pediatric patients to ICH.

METHODS
A retrospective cohort study of 238 pediatric patients with AVMs who presented to the Children’s Hospital of Pittsburgh from 1988 to 2023 was performed. Hospital records, patient charts, and radiographic imaging studies were reviewed for patient demographic characteristics, presentation status, and AVM architecture.

RESULTS
Of the 238 total patients, 44 (18.5%) children with AVM had associated aneurysms. There were 19 (38.8%) feeding artery aneurysms, 8 (16.3%) intranidal aneurysms, 21 (42.9%) postnidal aneurysms, and 1 (2.0%) unrelated aneurysm of 49 aneurysms. Five patients had venous varices. One hundred forty (58.8%) children presented with hemorrhage. Twenty-one of 44 (47.7%) patients with an AVM-associated aneurysm presented with hemorrhage, whereas 119 of 194 (61.3%) with a solitary AVM presented with hemorrhage (p = 0.10). On multivariate analysis, postnidal aneurysm (OR 0.36, p = 0.037) and an increased number of draining veins (OR 0.66, p = 0.049) were significantly associated with a decreased likelihood of hemorrhagic presentation. Deep venous drainage was associated with an increase in hemorrhagic presentation (OR 2.25, p = 0.0045) on multivariate analysis.

CONCLUSIONS
Approximately one-fifth of children with AVMs in this study had accompanying aneurysms, and in this patient population, those with postnidal aneurysms and increased number of draining veins had a decreased incidence of hemorrhage on presentation. Feeding artery and intranidal aneurysms were not associated with an elevated risk of hemorrhagic presentation.
A two-institution pilot study on the psychological burden and distress of parents caring for children with shunted hydrocephalus
Authors: Knerlich-Lukoschus Friederike , Cohrs Gesa , Mehdorn H. Maximilian , Synowitz Michael , Messing-Jünger Martina , Goebel Simone 
Published: October 2024

OBJECTIVE
Little is known about the emotional health of parents caring for children with shunted hydrocephalus. The aim of this pilot study was to find out whether parents caring for shunt-treated hydrocephalic children experience serious psychological problems and psychosocial distress and whether these problems are related to the sociodemographic background of the caregivers, the clinical characteristics of their children, and parents’ illness-related concerns and perceived burden of their children’s illness.

METHODS
This pilot study was performed in an outpatient setting at two German hospitals. The following questionnaires were handed out to parents of children with shunted hydrocephalus (< 21 years of age): the Patient Health Questionnaire (PHQ-9) for depression, the Generalized Anxiety Disorder Scale (GAD-7) for anxiety, the Distress Thermometer (DT) for psychosocial distress, the Hydrocephalus Concerns Questionnaire (HCQ) for assessment of parents’ illness-related concerns, and the Hydrocephalus Outcome Questionnaire (HOQ) for assessment of perceived children’s disease burden. Clinical data of the respective children were collected from electronic charts. Parents’ demographic data were evaluated via questionnaires. Parents’ psychological variables were correlated with demographic and clinical data and HCQ and HOQ scores. Regression analyses of HCQ and HOQ scores with psychological items were performed.

RESULTS
Sixty-three parents were included in this study. Of these, 60% reported clinically relevant levels of either depression (11%), anxiety (10%), and/or psychosocial distress (57%). There were no associations between parental sociodemographic or children’s clinical characteristics with parents’ psychosocial well-being or psychosocial distress. Depression, anxiety, and DT scores were highly intercorrelated and significantly correlated with HCQ scores (r = 0.508, r = 0.516, r = 0.442; p < 0.01). Thereby, worries about shunt-related complications were the most reported concern in the HCQ. Depression and anxiety correlated with the scores of some HOQ subcategories. In preliminary regression analyses, higher illness-related concerns predicted occurrence of parents’ anxiety.

CONCLUSIONS
The authors’ results support the notion that there is a need for psychosocial support for a proportion of parents who care for shunted hydrocephalic children. Perceived child symptom burden and parental illness concerns were identified as relevant correlates of parental psychological well-being. Thus, concerns specific to shunt-related problems could be a first starting point for the development of individual support measures.