bluuebunny/crossref_metadata_2025_split huggingface dataset:
A management algorithm for idiopathic intracranial hypertension in skull base meningoencephaloceles
Authors: Thapliyal Mihika , Murayi Roger , Nowacki Amy S. , Sindwani Raj , Woodard Troy , Soni Pranay , Vorster Sarel , Recinos Pablo F. , Kshettry Varun R. 
Published: September 2024

OBJECTIVE
In this study, the authors assessed an algorithm for the diagnosis and management of idiopathic intracranial hypertension (IIH) in patients who had undergone surgical repair of skull base meningoencephaloceles presenting with spontaneous cerebrospinal fluid (sCSF) leakage.

METHODS
The authors conducted an institutional retrospective review of patients surgically treated for skull base sCSF leaks between 2014 and 2021. Opening pressure (OP) measurements were taken intraoperatively. The algorithm recommended a ventriculoperitoneal shunt (VPS) for high-risk patients (OP ≥ 30 cm H2O), 4 weeks of acetazolamide plus a 2-week washout and repeat lumbar puncture (LP) at 6 weeks for intermediate-risk patients (OP = 20–29 cm H2O), and repeat LP at 4–6 weeks for low-risk patients (OP < 20 cm H2O). Demographics, radiographic characteristics, management adherence, and outcomes were analyzed.

RESULTS
Eighty patients with sCSF leakage were identified. The mean age was 51.9 years, and the mean body mass index was 36.3 kg/m2. The median follow-up was 8.3 months (IQR 3.3–19.7 months). The overall VPS rate was 15.0%. Three patients (3.8%) experienced acute recurrent leakage, and 3 (3.8%) developed remote recurrent leaks (mean time of 48.1 months). For the 50 patients with both intra- and postoperative OPs, the mean OPs were not significantly different (23.3 vs 23.0 cm H2O, respectively, p = 0.82). The mean variability between the two measurements was an absolute difference of 6.6 cm H2O. While 13 patients (26.0%) moved to a higher-risk category based on postoperative OP, 18 patients (36.0%) moved to a lower-risk category.

CONCLUSIONS
Utilizing an algorithm of direct meningoencephalocele repair and selective shunting, acute and remote CSF leak recurrence rates were each 3.8%, and the VPS rate was 15.0%. These data provide further insight into CSF dynamics in this population and argue against the theoretical concern that CSF pressure will increase postrepair. Significant intraindividual variability suggests multiple LPs may be necessary before committing to invasive IIH treatment. Further work is necessary to determine the optimal IIH management strategy.
Stereotactic radiosurgery for anterior cranial fossa dural arteriovenous fistulas
Authors: Peng Tzu-Chiang , Lai I-Chun , Lee Cheng-Chia , Wu Hsiu-Mei , Lin Chung-Jung , Yang Huai-Che 
Published: September 2024

OBJECTIVE
Anterior cranial fossa (ACF) dural arteriovenous fistulas (DAVFs) are notoriously malignant vascular abnormalities, and their drainage into the cortical vein poses a high risk of intracranial hemorrhage (ICH). Stereotactic radiosurgery (SRS) is increasingly seen as an alternative to microsurgery or embolization for the treatment of DAVFs; however, researchers have yet to report on its applicability to ACF DAVFs. This paper summarizes the authors’ experience in the use of SRS for ACF DAVFs. The authors’ objective was to gain a preliminary overview of SRS outcomes in the treatment of ACF DAVFs.

METHODS
This retrospective study examined all patients who underwent SRS for ACF DAVFs at a single academic medical center between November 2000 and November 2023. Demographic data, DAVF characteristics, and clinical outcomes were obtained from medical records.

RESULTS
A total of 12 patients diagnosed with ACF DAVFs were treated using SRS. One patient was lost to follow-up. The mean age was 54.8 years and men comprised 82% of the cohort. The most common presenting symptoms included headache (n = 5), ocular symptoms (n = 3), seizure (n = 2), anosmia (n = 1), and tinnitus (n = 1). Two patients were asymptomatic. Four patients (36%) initially presented with ICH. Nine patients exhibited DAVF Cognard type IV, and 2 patients exhibited Cognard type III. DAVF obliteration in 7 of the 11 patients (64%) was confirmed by brain MR angiography (n = 4) or digital subtraction angiography (n = 3). No post-SRS episodes of ICH were reported. Most of the patients (10 of 11) reported improvements in clinical symptoms.

CONCLUSIONS
SRS appears to be a viable alternative treatment for ACF DAVFs, particularly for patients who are not suitable candidates for surgery or those with an unfavorable angioarchitecture.
The exponential growth of nonsurgeons performing fusions for low-back pain
Authors: Dada Abraham , Dalle Ore Cecilia , Mummaneni Praveen V. , Patel Arati , Ambati Vardhaan , Orrico Katie O. , Tumialán Luis M. , Cheng Joseph S. , Knightly John J. , DiGiorgio Anthony M. 
Published: September 2024

OBJECTIVE
This study aimed to report changes in utilization and payment trends of low-back pain (LBP) interventions and the impact of nonsurgeon interventionalists on these changes.

METHODS
Medicare Part B national summary data files were used to gather annual utilization and Centers for Medicare and Medicaid Services (CMS) payment data for LBP interventions from 2000 to 2021. Healthcare Common Procedure Coding System (HCPCS) codes were grouped as decompression, spinal fusion, sacroiliac (SI) joint fusion, epidural steroid injections (ESIs), physical therapy (PT), and chiropractic manipulation (Chiro). The total allowed services and payments were collected for each HCPCS group. CMS provider-level files, available from 2013 to 2021, were used to collect neurosurgeon, orthopedic surgeon, and nonsurgeon interventionalist (interventional radiology and pain management) data for each surgical HCPCS code group (decompression, spinal fusion, and SI joint fusion). The United States Consumer Price Index was used to adjust for inflation.

RESULTS
From 2000 to 2021, there were 339,720,725 Medicare-approved interventions and payments of approximately $21 billion for LBP (percentage of cumulative payments: 41.8% Chiro, 16.5% ESI, 14.4% spinal fusion, 14.3% PT, 10.2% decompression, and 0.4% SI joint fusion). In a subgroup analysis, spinal fusions for Medicare patients were performed by orthopedic surgeons (59.2%), neurosurgeons (40.6%), and nonsurgeon interventionalists (< 1%) from 2013 to 2021. From 2013 to 2021, neurosurgeon and orthopedic surgeon fusion utilization each grew by < 3% and associated Medicare payments to each specialty declined by 1% each year. During the same period, nonsurgeon interventionalist utilization grew 26% each year and associated Medicare payments to nonsurgeon interventionalists for spine fusions grew 62% each year. In a subgroup analysis, SI joint fusions for Medicare patients were performed by orthopedic surgeons (50.7%), neurosurgeons (24.8%), and nonsurgeon interventionalists (24.5%) from 2018 to 2021. Neurosurgeon utilization of SI joint fusion declined by 1% each year and associated Medicare payments to this group grew 2% each year. Orthopedic surgeon utilization of SI joint fusion declined 1% and associated Medicare payments to this group grew 4% each year. Nonsurgeon interventionalist use of SI joint fusions grew 415% and payments grew 435% each year.

CONCLUSIONS
The substantial growth in Medicare payments for surgical LBP interventions is disproportionally driven by nonsurgeon interventionalists. The exponential growth of nonsurgeon interventionalists performing spinal fusion surgeries, particularly SI joint fusions, largely accounts for the significant increase in Medicare expenditures.
Unruptured intracranial aneurysms in pediatric sickle cell disease: clinical and MR imaging follow-up of 296 patients
Authors: Khatri Deepak , Zampolin Richard , Fortunel Adisson , Lee Seon-Kyu 
Published: September 2024

OBJECTIVE
Currently available data regarding unruptured intracranial aneurysms (UIAs) in sickle cell disease (SCD) are largely based on adult patients; this has made it challenging to reach a consensus on treatment decisions and follow-up strategies for pediatric SCD patients with UIAs.

METHODS
A retrospective review of 296 SCD patients (aged 18 years or younger) who underwent MRA from January 2008 to September 2022 was performed. The vessel of origin and characteristics of the UIAs, including maximum diameter, laterality, and number, were evaluated. Demographic data, as well as history of vaso-occlusive crisis and moyamoya syndrome, were recorded. Interval change in size or morphology, as well as a new aneurysm development, were reviewed on follow-up MRA.

RESULTS
Forty-nine aneurysms were identified in 32/296 (10.81%) patients, and they all had saccular morphology. In total, 30/49 (61.22%) aneurysms were in the anterior circulation. The ophthalmic segment of the internal carotid artery and the posterior cerebral artery were the most common locations (n = 12 [24.49%] each). Multiple aneurysms were seen in 11/32 patients (34.37%). Most of the African American patients had multiple aneurysms (n = 25/28 [89.3%]). Most aneurysms (n = 43 [87.75%]) were 3 mm or less in diameter. No significant difference in aneurysm size was noticed between aneurysms located in anterior or posterior circulation (p = 0.22). Similarly, age, sex, ethnicity, genotype, or aneurysm multiplicity were not associated with size. Follow-up MRA was available for 24/32 patients (75%). All except 2 aneurysms (n = 2/38 [5.3%]) were stable in size and morphology on follow-up. Interval progression in aneurysm size was noticed in 2 patients with multiple intracranial aneurysms (n = 2/11 [18.2%]).

CONCLUSIONS
In pediatric SCD patients, the incidence of UIAs was higher than previously reported. Those aneurysms demonstrated a tendency for multiplicity, an atypical anatomical distribution compared with that of adult brain aneurysms, bilateral involvement, and higher prevalence in African Americans. Although most of the aneurysms were stable, some showed interval growth in size.
Analisis Pengaruh Solvabilitas dan Derajat Desentralisasi Terhadap Financial Distress Provinsi Di Indonesia
Authors: Eliza Intan , Masnila Nelly , Dwitayanti Yevi 
Published: October 2024

ABSTRACT
Financial distress is a condition in which the government is deemed incapable of providing optimal infrastructure services to the public. This study aims to determine the effect of solvency and the degree of decentralization on the financial distress of provinces in Indonesia. The panel data for this study were obtained from the audited financial reports of the BPK RI for 34 provinces from 2018 to 2022. The testing was conducted using the Eviews 12 program. The results concluded that solvency has no effect, while the degree of decentralization has a positive effect on financial distress.
Keywords: Financial Distress, Solvency Rasio, Degree Of Decentralization.

ABSTRAK
Financial distress adalah kondisi saat pemerintah dinilai tidak mampu melakukan pelayanan infrstruktur yang optimal kepada masyarakat. Penelitian ini ditujukan mengetahui pengaruh solvabilitas dan derajat desentralisasi terhadap financial distress provinsi di Indonesia. Data panel pada penelitian ini didapatkan dari laporan keuangan BPK RI audited 34 provinsi di Indonesia tahun 2018 – 2022. Pengujian dengan menggunakan bantuan program Eviews 12. Hasil pengujian memperoleh kesimpulan bahwa solvabilitas tidak berpengaruh, sedangkan derajat desentralisasi memiliki pengaruh positif terhadap financial distress.
Kata kunci: Financial Distress, Solvabilitas, Derajat Desentralisasi.
Pengaruh Profitabilitas Dan Likuiditas Terhadap Nilai Perusahaan Pada Perusahaan Sub Sektor Makanan Dan Minuman Yang Terdaftar Di Bursa Efek Indonesia
Authors: Harlina Oktarin , Sudiyanto Totok , Emilda Emilda 
Published: October 2024

ABSTRACT
Food and beverage subsector companies in Indonesia operate in a very dynamic and competitive environment, which requires efficient financial management to maintain and increase company value. The aim of this research is to find out the influence of profitability and liquidity on company value in food and beverage subsector companies listed on the Indonesia Stock Exchange. The research method used is the Quantitative Descriptive method, the technique used to determine the sample is the Purposive Sampling technique. The data collection technique used for secondary data was taken from the annual financial reports of Food and Beverage Subsector companies as well as through the official website (www.idx.co.id). The research results show that: The results of the t test (partial) show that profitability has a significant effect on company value and liquidity is not significant on company value. The results of the F Test (simultaneous) show that profitability and liquidity have a significant effect on company value.
Keywords: Profitability, Liquidity, Company Value.

ABSTRAK
Perusahaan subsektor makanan dan minuman di Indonesia beroperasi dalam lingkungan yang sangat dinamis dan kompetitif, yang memerlukan manajemen finansial yang efesien untuk mempertahankan dan meningkatkan nilai perusahaan. Tujuan penelitian ini untuk mengetahui tentang Pengaruh Profitabilitas dan Likuiditas terhadap Nilai Perusahaan pada perusahaan Subsektor Makanan dan Minuman yang terdaftar di Bursa Efek Indonesia. Metode penelitian yang digunakan metode Deskriptif Kuantitatif, Teknik yang digunakan untuk menentuan sampel teknik Purposive Sampling. Teknik pengumpulan data yang digunakan untuk data sekunder diambil dari laporan keuangan tahunan perusahaan Subsektor Makanan dan Minuman serta melalui website resmi (www.idx.co.id). Hasil penelitian menunjukan bahwa: Hasil uji t (parsial) menunjukan bahwa profitabilitas berpengaruh signifikan terhadap nilai perusahaan dan likuiditas tidak signifikan terhadap nilai perusahaan. Hasil Uji F (simultan) menunjukan bahwa profitabilitas dan likuiditas berpengaruh signifikan terhadap nilai perusahaan.
Kata kunci: Profitabilitas, Likuiditas, Nilai Perusahaan.
МАТЕМАТИЧЕСКИЕ МОДЕЛИ ВРЕМЕН РЕЛАКСАЦИИ НЕОДНОРОДНЫХ ЖИДКОСТЕЙ ВДОЛЬ КРИТИЧЕСКИХ НАПРАВЛЕНИЙ
Authors: Абдикаримов Б. , Сейтмуратов А. , Ергалауова З. , Гусейнов Г.И. 
Published: September 2024

В работе проведены экспериментальные исследования кинетики установления равновесия в неоднородном растворе метанол-гексан в гравитационном поле вблизи критической температуры расслоения. Эти исследования впервые показали, что максимальные значения времен релаксации неоднородного по высоте вещества наблюдаются не на уровне критической изохоры (z = 0), а соответствуют высотам (z ¹ 0) с некритическими значениями концентрации и плотности. В рамках параметрического уравнения состояния вещества рассчитаны параметры это­­го уравнения, которые соответствуют линии экстремумов времен релаксации не­од­но­­род­ной жидкости в гравитационном поле. Показано, что вдоль этой линии не­од­но­род­ные жидкости одновременно обладают свойствами систем вдоль трех критических направлений: критической изохоры, критической изотермы, границы раздела фаз. Методика проведения эксперимента состоит в следующем. Первоначально двойной раствор метанол-гексан более суток термостатировался при критической температуре раствора до тех пор, пока в оптической камере не устанавливалось равновесное распределение. Затем вещество за малый интервал времени нагревалось до некоторой температуры, которая поддерживалась постоянной продолжительное время. При быстром нагреве неоднородной системы от критической температуры начальное высотное распределение вещества становится неравновесным. Вследствие этого неоднородная система начинает переходить к новому высотному равновесному распределению. При подходе системы к состоянию равновесия в течение определенного интервала времени на разных высотах концентрации и градиент концентрации вещества непрерывно изменяются до тех пор, пока в системе снова не реализуется новое равновесное высотное распределение, которое соответствует температуре.
Burden, Anxiety, and Depression Among Caregivers of Parkinson’s Disease Patients
Authors: Alshimemeri Sohaila , AlSudais Hamood , Alamri Nada K. , Alshoumar Abdulaziz M. , Bin Dher Shatha K. , Maashi Mohammed Hassan 
Published: October 2024

Background: Parkinson’s disease (PD) is a disabling neurodegenerative movement disorder. Most PD patients are looked after by caregivers who are close to them regardless of their relationship. Caregivers may experience a notable impact on their mental health as they dedicate a significant amount of time to the patient while observing the progression of the disease. Objective: The aim of this study was to evaluate the level of burden, depression, anxiety, and stress among caregivers of PD patients. Methods: We conducted a cross-sectional analysis between July and September 2023 among caregivers of PD patients following in the Movement Disorders Clinic at King Khalid University Hospital in Riyadh, Saudi Arabia, and through the Saudi Parkinson’s Society. The data collection was done anonymously through an electronic self-administered questionnaire. Caregiver burden was assessed by using the validated Arabic version of the Zarit Burden Interview (ZBI) scale, and the Depression Anxiety Stress Scale (DASS) was used to assess the presence and level of anxiety and depression. Results: There were 118 caregivers (53.39% female, 33.9% aged between 35– 45 years, and 73.73% were sons/daughters) caring for 118 patients (57.63%, male, 38.98% aged between 66– 76). The ZBI score was highest among sibling caregivers. Moreover, burden scores were higher among those who provided care more frequently than others. Conclusions: Our study revealed that PD caregivers face a high risk of care burden, especially those who are siblings and spend longer periods in patient care. Additionally, female caregivers reported higher rates of depression, anxiety, and stress.
Penerapan Konsep Blue Economy Pada Budidaya Udang Vaname Melalui Pemetaan Stakeholder Di Kecamatan Rawajitu Timur Kabupaten Tulang Bawang
Authors: Ristiawati Risa , Damai Abdullah Aman , Rochana Erna , Febryano Indra Gumay , Riantini Maya , Tresiana Novita 
Published: September 2024

Tujuan penelitian ini untuk memetakan stakeholder yang terlibat dalam upaya penerapan konsep blue economy pada budidaya udang vaname di Kecamatan Rawajitu Timur, Kabupaten Tulang Bawang. Pengumpulan data dilakukan menggunakan pendekatan kualitatif melalui wawancara mendalam dan studi dokumentasi. Analisis data dilakukan secara deskriptif untuk memetakan stakeholder yang terlibat berdasarkan kepentingan dan pengaruhnya. Hasil penelitian menunjukkan bahwa terdapat 21 stakeholder yang berperan terdiri dari pemerintah swasta, masyarakat dan akademisi. Stakeholder yang berperan sebagai players adalah Pemerintah Provinsi Lampung, Dinas Kelautan dan Perikanan, Pemerintah Kabupaten Tulang Bawang, Dinas Perikanan Kabupaten Tulang Bawang, yang memiliki kepentingan dan pengaruh yang sangat kuat. Stakeholder yang berperan sebagai context setter yaitu Kementerian Kelautan Perikanan, Kementerian Lingkungan Hidup dan Kehutanan, Komisi IV DPR RI, Balai Besar Perikanan Budidaya Laut Lampung, Balai Besar Wilayah Sungai Mesuji Sekampung, Balai Karantina Ikan Pengendalian Mutu dan Keamanan Hasil Perikanan, Lembaga Sertifkasi INDOGAP, Supplier Benur, Buyer Udang, Perusahaan Pakan dan Obat-obatan, P3UWL, KPBD, Yagasu, PPNI, LPMUKP, Perguruan Tinggi memiliki pengaruh yang besar tetapi kepentingan yang rendah. Peran stakeholder dengan kategori subject dalah pembudidaya udang yang memiliki kepentingan yang tinggi, tetapi tidak memiliki pengaruh yang kuat. Stakeholder crowd terdiri dari Pemerintah Kecamatan Rawajitu Timur. Kerjasama lintas sektoral harus dilakukan, agar harapan dari pemerintah terhadap penerapan konsep blue economy atau budidaya udang berkelanjutan dapat diterapkan dalam menjaga lingkungan dengan tetap meningkatkan pertumbuhan ekonomi. Selain itu, pemberdayaan masyarakat dapat dilakukan melalui pelatihan cara-cara pengolahan limbah sisa hasil budidaya yang dapat dimanfaatkan sebagai pupuk organik, sehingga kegiatan budidaya udang vaname dapat zero waste.
Evaluación de la eficacia de las escalas de comportamiento en odontopediatría: Revisión de la Literatura
Authors: Orellana Calderón María Belén , Cedillo Armijos María de Lourdes 
Published: September 2024

Introducción. Las escalas de comportamiento son herramientas fundamentales en odontopediatría para evaluar y gestionar la ansiedad y el comportamiento de los niños durante el tratamiento dental. La identificación y manejo adecuado de estos factores es crucial para el éxito del tratamiento y la satisfacción del paciente. Objetivo. Evaluar la eficacia de diversas escalas de comportamiento utilizadas en odontopediatría. Metodología. Se revisaron y analizaron 50 estudios que refieren el uso de diferentes escalas de comportamiento en niños durante procedimientos dentales. Entre las escalas evaluadas se encuentran la Frankl Behavior Rating Scale, la Children’s Fear Survey Schedule-Dental Subscale (CFSS-DS) y la Venham Anxiety and Behavioral Rating Scale. Los estudios fueron seleccionados con base en su uso de estas herramientas para medir ansiedad y comportamiento, así como su reporte de fiabilidad y validez. Resultados. Las escalas de comportamiento como la de Frankl y la CFSS-DS demostraron alta fiabilidad y eficacia en la evaluación de la ansiedad y el comportamiento dental en niños. La aplicación de técnicas adicionales, como la sedación intranasal y la musicoterapia, también mostró una mejora significativa en la cooperación y reducción de la ansiedad, respaldadas por estas escalas. Los estudios indicaron que la edad, las experiencias previas y el estilo de crianza influyen en los niveles de ansiedad y comportamiento durante los tratamientos dentales. Conclusión. Las escalas de comportamiento son herramientas efectivas para evaluar y gestionar la ansiedad y el comportamiento en odontopediatría. Su uso permite personalizar las intervenciones y mejorar los resultados del tratamiento dental en niños. Área de estudio general: Odontología. Área de estudio específica: Odontopediatría. Tipo de estudio: Revisión bibliográfica.