bluuebunny/crossref_metadata_2025_split huggingface dataset:
THE EFFECT OF USING TIKTOK ON THE SATISFACTION OF LIFE OF LATE ADOLESCENTS
Authors: Reski Reski , Galugu Nur Saqinah , Nurhayati Andi 
Published: June 2024

The development of internet technology is very fast, the types of social media are very diverse, one of which is the Tik tok application. The use of the Tiktok application continues to develop. The tiktok application can provide a sense of satisfaction for application users. Where, users of the Tiktok social media feel satisfied when they are in contact with the Tiktok application. This study aims to determine the effect of using Tiktok on the life satisfaction of late teenagers at the University Palopo, to describe what are the effects of using Tiktok on life satisfaction of late adolescents. This research is entitled The effect of using tick marks on life satisfaction in late teenagers at the University of Palopo in 2023. The research method used for this research is a quantitative method. In this study, data were collected using a questionnaire given to the research sample concerned. before the questionnaire is used, the researcher will first test the measuring instrument by testing the validity and reliability. The results showed that there was an effect of using Tiktok on the life satisfaction of late teenagers, as evidenced by the t count of 57.719> t table; 1,990. In addition, based on the significance value of the coefficients table, the nsig value is obtained. 0.000 <0.05, so it can be concluded that there is an influence that the use of tiktok has a positive effect on the life satisfaction of late teenagers at the University of Palopo in 2023.
The Effect of Internet Celebrity B&B Service Quality on Customers' Behavioral Intention
Authors: Qi Boyang , Qi Xinlin , Pathak Shubham 
Published: June 2024

This paper combines the means-end chain theory with the aim of clarifying the roles of service quality (SQ), perceived value (PV), and customer satisfaction (CS) on behavioral intention (BI). This research follows quantitative methodology, obtained 414, and these data were analyzed and hypotheses tested. SPSS 26.0 and Mplus 8.3 software were used for model fit and structural equation correlation analysis. The results show that SQ has a significant direct positive effect on PV, CS, and BI. PV has a significant direct positive effect on CS and BI. CS has a significant, direct positive effect on BI. In addition, BI is influenced by SQ indirectly through PV or CS. PV and CS act as dual mediator variables in the effect of SQ on BI. This paper is the first attempt to explore the important role of internet celebrity (IC) bed and breakfast (B&B) SQ in influencing BI from the perspective of the IC B&B, and explored the complex relationship between PV, CS as dual mediator variables, provides an in-depth understanding of the key influences on BI for IC B&B customers, and expands the original theoretical framework, filling a gap in the existing literature. Doi: 10.28991/HEF-2024-05-02-03 Full Text: PDF
Mangosteen Yield and Fruit Quality under Regulated Irrigation with Sensors and IoT
Authors: Jaroensutasinee Krisanadej , Jaroensutasinee Mullica , Boonsanong Piyatida , Sparrow Elena 
Published: June 2024

Mangosteen (Garcinia mangostana L.) generates over 88 billion USD in export revenue to Thailand annually but is restrained due to fruit defects. This study aimed to determine whether smart irrigation with sensors, IoT, and real-time data collection for regulating stable soil water content affects mangosteen fruit quantity and quality. Climate, soil, and mangosteen parameters were compared between irrigated and non-irrigated productions. Flowering and fruit yield data were collected from twenty randomly selected mangosteen trees per irrigation treatment. The results showed that air and soil temperatures were lower, but relative humidity and soil moisture on mangosteen production were greater in irrigated trees than in non-irrigated trees. Irrigated and non-irrigated mangosteen trees showed no significant difference in trunk diameter or crown size. Irrigation boosted mangosteen yields with increased flowers, fruits, and weight but thinner peels, fewer pulp segments, and a higher vulnerability to fruit imperfections. The mean fruit circumference did not differ significantly between non-irrigated and irrigated mangosteen production systems. Mangosteen fruits in irrigated production had fewer fruit defects than those in non-irrigated production. Regulated irrigated mangosteen production with stable soil moisture using soil moisture sensors and IoT produced high-quantity and quality mangosteens with fewer fruit defects. Doi: 10.28991/HEF-2024-05-02-05 Full Text: PDF
A prospective study of outcome of CT-Scan-Guided stereotactic biopsy for brain pathology.
Authors: Aurangzeb Kalhoro  , Kashif Ahmed  , Pervaiz Ali  , Abdul Sattar M. Hashim  
Published: June 2024

Objective: To assess the effectiveness of stereotactic biopsy in individuals with brain lesions and describe the surgical procedure utilized during this to analyze the features of pathologies linked to the application of this surgical approach. Study Design: Descriptive study. Setting: Neurospinal Cancer Care Institute in Karachi. Period: January 2019 and June 2022. Methods: This study had approval from the ethics committee and patients provided written informed permission Under general anaesthesia the biopsy was performed. The definitive diagnosis based on histopathological report were considered positive. Results: We had of 61 patients, gender wise males were 37 (55.73%) and females were 24(39.34%), with calculated mean age was 41.01years (range between 15–67 years). Majority of patients were between the age of 33 and 66 years (67.21%). Pre and post procedure, patients had to go brain MRI brain or CT scan brain for helping in localization. The lesion was supratentorial as observed in 56 patients (91.80%) and 5(8.19%) were infratentorial. The post contrast enhancements were observed in 35 patients (57.37%). Conclusion: The study presented compelling evidence supporting the ease and accuracy of the stereotactic procedure in targeting the lesion, Stereotactic intervention for lesions has been shown to be both effective and safe.
Correlation of Hepatic steatosis, Fibrosis and Body anthropometry.
Authors: Punhal Khan  , Shahid Karim  , Rajesh Kumar  , Vishal Kumar  , Afsheen Faryal  
Published: June 2024

Objective: To determine the correlation of hepatic steatosis and fibrosis with body anthropometry among Non-alcoholic fatty liver disease (NAFLD) patients presenting in outpatients Gastroenterology clinics in a tertiary care hospital in Karachi, Pakistan. Study Design: Cross-sectional study. Setting: Department of Gastroenterology, Liaquat National Hospital, Karachi, Pakistan. Period: October 2022 to March 2023. Methods: Body anthropometric measures and demographic data of patients were recorded when presenting to outpatient clinics with NAFLD. The controlled attenuation parameter (CAP) was obtained by FibroScan using an M or XL probe considering CAP value ≥ 248 dB/m as hepatic steatosis. Liver fibrosis was defined as a liver stiffness (LS) value ≥8 kPa. Results: In a total of 300 patients, the mean age was 51.4±8.4 years. The median CAP was 251 (IQR=219-342). Steatosis was present among 233 (77.7%) patients. Fibrosis was present among 229 (76.3%) patients. Steatosis was found to have significant correlation with age, waist circumference, neck circumference, hip circumference, triglycerides, creatinine, low density lipoprotein, alinine transaminase, aspartate aminotransferase, alkaline phosphatase, gamma-glutamyl transferase, srum cholesterol and, high density lipoprotein. Fibrosis was significantly correlated with age, waist circumference, neck circumference, hip circumference, triglycerides, low density lipoprotein, total bilirubin, alanine tansaminase, alkaline phosphatase, gamma-glutamyl transferase, serum cholesterol, high density lipoprotein. Conclusion: Considerable interplay of metabolic factors, and anthropometric measures exist with NAFLD. It is important to monitor visceral fat measurements among NAFLD patients with anthropometric and biochemical abnormalities.
Tingkat Pengetahuan dan Kesadaran Masyarakat Akan Deteksi Kanker Serviks di Lingkungan RW 12 Pondok Wage Indah 2 Sidoarjo
Authors: Hernanda Pratika , Wardhani Mira Kusuma , Rahmawati Febtarini , Agusaputra Harman 
Published: June 2024

Pendahuluan: Kanker serviks adalah tumor ganas yang menyerang lapisan permukaan serviks, yang disebut sel epitel skuamosa, yang terletak di antara rahim dan vagina. Penting bagi wanita untuk mengetahui faktor-faktor apa saja yang dapat menyebabkan terjadinya kanker serviks dan memiliki pengetahuan tentang pencegahan kanker serviks karena tingginya angka kejadian kanker serviks di Indonesia, dan masih banyak wanita yang kurang memiliki pengetahuan. Metode: Desain penelitian deskriptif dengan jumlah sampel 33 orang. Teknik pengambilan sampel menggunakan total sampling responden yang melakukan pemeriksaan pap smear dalam acara Deteksi Dini Kanker Serviks di lingkungan RW 12 Pondok Wage Indah 2 Sidoarjo. Data akan dianalisis dengan uji kuantitas menggunakan software SPSS. Hasil: Penelitian ini menunjukkan bahwa rata-rata usia responden adalah 48 tahun, sebanyak 47,2% responden berpendidikan tingggi (minimal D3), Sebagian besar adalah ibu rumah tangga (IRT) sebanyak 25 orang (69,4%), dan sebagian besar memiliki pengetahuan faktor risiko kanker serviks yang baik sebanyak 23 orang (63,9%), memiliki tingkat pengetahuan cukup/sedang sebanyak 9 orang (25%) dan memiliki tingkat pengetahuan kurang sebanyak 1 orang (2.8%).
Kesimpulan: Responden yang melakukan pemeriksaan pap smear sebagian besar memiliki tingkat pengetahuan yang baik terhadap kanker serviks.

Kata Kunci : Faktor Risiko Kanker Serviks, Pengetahuan, Pencegahan Kanker Serviks.
Stratified assessment of treatment approach for craniocervical junction arteriovenous fistulas: a multicenter cohort study and literature review
Authors: Li Zongze , Zhao Yang , Liu Peixi , Shi Yuan , Quan Kai , Zhang Hongfei , Liu Mingjian , Liu Yingjun , Tian Yanlong , Li Peiliang , Zhao Yuanli , Zhu Wei 
Published: June 2024

OBJECTIVE
Craniocervical junction arteriovenous fistulas (CCJ-AVFs) are complex vascular shunts that present a challenge for treatment. The aim of this study was to compare the clinical outcomes of microsurgery and endovascular embolization for CCJ-AVFs and to determine whether the treatment approach affected the obliteration rate and neurological improvement.

METHODS
The authors conducted a retrospective analysis of 64 patients who had undergone microsurgery or endovascular embolization for CCJ-AVF at one of two neurosurgical centers from January 2014 to February 2022. Additionally, a pooled analysis of 68 patients from 38 studies was performed. Baseline characteristics, angioarchitectural features, and clinical outcomes were compared between two treatment groups. A subgroup analysis of CCJ-AVFs with carotid artery (CA) feeders was also performed.

RESULTS
In the multicenter cohort, the complete obliteration rate was 95.1% with microsurgery, 81.8% with embolization via the CA, and 50.0% with embolization via the vertebral artery (VA). After adjusting for baseline and confounding features, the occlusion rate was significantly lower in the VA embolization group (adjusted OR 41.06, 95% CI 2.37–711.9, p = 0.01). No new-onset infarctions occurred in the microsurgical group, whereas 1 patient each in the CA and VA embolization groups experienced posttreatment infarction. Microsurgery demonstrated a neurological improvement rate similar to that in the CA embolization group (65.9% vs 63.6%, respectively). In the subgroup analysis of CCJ-AVF with CA feeders in the multicenter cohort, the occlusion rate and neurological improvement in the CA embolization group were comparable to those in the microsurgery group. The subgroup analysis in the pooled analysis revealed complete obliteration rates of 100.0% in the microsurgical group, 88.9% in the CA embolization group, and 66.7% in the VA embolization group.

CONCLUSIONS
This study supports microsurgery as the best treatment modality for CCJ-AVFs, exhibiting the highest rates of complete obliteration. Conversely, embolization via the VA can result in a lower occlusion rate and less neurological improvement. In CCJ-AVFs with CA feeders, embolization via the CA can be a safe and effective alternative to microsurgery.
Tethered cord syndrome from pediatric and adult perspectives: a comprehensive systematic review of 6135 cases
Authors: He Kun , Wang Kai , Liu Zhenlei , Zhang Lei , Liu Shaocheng , Zhang Xiangyu , Wang Yutian , Zhang Weikang , Zhang Li , Yu Yanbing , Wu Hao 
Published: June 2024

OBJECTIVE
This study aimed to investigate the differences in clinical features, diagnostic examination, treatment, and pathological results between adult-onset and pediatric-onset tethered cord syndrome (TCS).

METHODS
The authors searched the PubMed, Embase, and Cochrane Library databases through January 2023 for reports on TCS, extracting information on clinical features, imaging data, treatment modalities, prognosis, and pathological research results. A total of 6135 cases from 246 articles were included in the analysis. This review was conducted in accordance with the 2020 PRISMA guidelines and registered on PROSPERO.

RESULTS
The most common adult clinical manifestations were pain, urinary symptoms, and numbness; in children, they were urinary symptoms, skin lesions, bowel symptoms, and unspecific motor deficits. Surgical treatment was the primary approach for both adults and children, with a higher clinical improvement rate observed in adults. However, adults also had a higher rate of surgical complications than children. TCS pathological studies have not yet identified the differences between adults and children, and the pathogenesis of adult-onset TCS requires further investigation.

CONCLUSIONS
Adult-onset and pediatric-onset TCS exhibit certain differences in clinical characteristics, diagnostic examinations, and treatments. However, significant differences have not been found in current pathological studies between adults and children.
Systematic review registration no.: CRD42023479450 (www.crd.york.ac.uk/prospero)
Outcomes, complications, and dosing of intrathecal baclofen in the treatment of multiple sclerosis: a systematic review
Authors: Cozzi Francesca M. , Zuckerman David , Sacknovitz Ariel , Gozum Nimrod , Syal Arjun , Danisi Fabio , Sukul Vishad 
Published: June 2024

OBJECTIVE
The purpose of this systematic review was to evaluate empirical outcomes of studies in the literature that investigated effectiveness of intrathecal baclofen (ITB) in the treatment of multiple sclerosis (MS)–related spasticity (MSRS) based on various metrics. Since the first description of this route of baclofen delivery for MS patients by Penn and Kroin in 1984, numerous studies have contributed to the medical community’s knowledge of this treatment modality. The authors sought to add to the literature a systematic review of studies over the last 2 decades that elucidates the clinical impact of ITB in treating MSRS with the following endpoints: impact on patient-centered outcomes, such as spasticity reduction (primary), complications (secondary), and dosing (secondary).

METHODS
The authors queried three databases (PubMed, Scopus, and Cochrane Library) using the following search terms: (intrathecal baclofen) AND (multiple sclerosis). The set inclusion criteria were as follows: 1) original, full-text article; 2) written in the English language; 3) published between and including the years 2000 and 2023; 4) discussion of pre- and post-ITB pump implantation outcomes (e.g., reduction in spasticity and improved comfort) in MSRS patients with long-term ITB treatment; and 5) contained a minimum of 5 MS patients. Data on study type, patient demographics, follow-up periods, primary outcomes, and secondary outcomes were extracted from the included studies.

RESULTS
The authors’ search yielded 465 studies, of which 17 met inclusion criteria. Overall, they found evidence for the effectiveness of ITB in treating MSRS patients whose condition was refractory to oral medications, with significant reported changes in spasm frequency from pre- to postimplantation. They also found evidence supporting the positive impact of ITB on MSRS patients’ quality of life. Moreover, the authors found that most complications were surgical rather than pharmacological. In addition, the average 1-year dose of ITB (reported in 7 of the included studies) was 191.93 μg/day, which is substantially lower than ITB doses reported in the literature for patients with central (non-MS) or spinal origins of spasticity at 1-year follow-up.

CONCLUSIONS
The evidence supports ITB as a clinically effective treatment for MSRS, particularly in patients in whom oral antispasmodics and physiotherapy have failed. This systematic review contributes a comprehensive synthesis of clinical benefits, complications, and dosing of ITB reported over the past 2 decades, which furthers an understanding of ITB’s clinical utility in practice.
Case-based explanation of standard work tools for selective dorsal rhizotomy for cerebral palsy
Authors: Shlobin Nathan A. , Jimenez Med Jimson D. , Shahin Maryam N. , Hofflander Lindsey , Trierweiler Robin , Misasi Jennifer , Rosenow Joshua M. , Rojas Ana-Marie , Raskin Jeffrey S. 
Published: June 2024

OBJECTIVE
Spasticity is a challenging feature of cerebral palsy (CP) that may be managed with selective dorsal rhizotomy (SDR). Although standard work tools (SWTs) have recently been utilized to inform a standard of care for neurosurgical procedures, no SWTs for SDR have been previously described. The authors present the multidisciplinary approach SWTs for SDR used at their institutions to promote consistency in the field and minimize complication rates.

METHODS
A multidisciplinary approach was used to define all steps in the SDR pathway. Preoperative, intraoperative, and postoperative workflows were synthesized, with specific efforts to improve mobility through inpatient rehabilitation and minimize infection.

RESULTS
The SWTs have been implemented at two institutions for 7 years. An illustrative case of a patient aged 3 years 10 months with a history of premature birth at 29 weeks, spastic-diplegic CP, right-sided periventricular leukomalacia, and developmental delay who underwent L2–S1 SDR is presented.

CONCLUSIONS
The authors detail SWTs for SDR developed by a multidisciplinary team with specific steps at all points in the patient pathway. The illustrative case emphasizes that SWTs may help ensure the safety of SDR while maximizing its long-term efficacy for individuals with CP.
Safety and efficacy of continuous intrathecal baclofen via cervical catheter tip: a retrospective case series
Authors: Mossner James , Abdelmageed Sunny , Votoupal Megan , Misasi Jennifer , Saleh Nour , Dziugan Klaudia , Krater Timothy , Raskin Jeffrey S. 
Published: June 2024

OBJECTIVE
Intrathecal baclofen (ITB) is an effective treatment for hypertonia in children involving the implantation of a pump and catheter system. The highest concentration of ITB is at the catheter tip. The catheter tip location is most commonly within the lumbar or thoracic spine. The cervical tip location has traditionally been avoided because of concerns of hypoventilation and pneumonia; however, these complications in cervical compared with thoracic or lumbar placement have not been reliably proven. Some studies have suggested that cervical ITB location better treats upper-extremity hypertonia. There are limited data describing the safety and efficacy of cervical ITB on hypertonia. The authors present a single-institution retrospective case series highlighting the safety and efficacy of using cervical ITB location for the treatment of hypertonia.

METHODS
Retrospective data analysis was performed for children who underwent continuous dosing cervical ITB between April 2022 and October 2023. Nonmodifiable risk factors, clinical variables, operative characteristics, and adverse outcomes were collected.

RESULTS
This study included 25 patients (8 female). The mean age at implantation was 12.4 years, and the mean operative duration was 90 minutes. The mean Barry-Albright Dystonia Scale score decreased by 9.5 points (p = 0.01). The mean aggregated modified Ashworth scale score in the upper extremities decreased by 2.14 points (p = 0.04), and that in the lower extremities decreased by 4.98 points (p < 0.01). One patient each (4%) had infection and baclofen toxicity. Two patients (8%) had respiratory depression requiring continuous positive airway pressure. There was no incidence of pneumonia or wound dehiscence.

CONCLUSIONS
The cervical catheter tip location for ITB is safe, is effective to control tone, and should be considered for the treatment of hypertonia. Larger studies with longer follow-up are necessary to further determine upper-limit dosing safety along with long-term functional benefits in these patients.
Visualization of the nervus intermedius during microvascular decompression in hemifacial spasm: anatomical study
Authors: Valluzzi Adelaide , El Refaee Ehab , Lehmann Sebastian , Schroeder Henry W. S. 
Published: June 2024

OBJECTIVE
The surgical anatomy of the nervus intermedius (NI) is highly variable. The aim of this study was to describe the anatomy of the NI during endoscope-assisted microvascular decompression (MVD) in hemifacial spasm (HFS), and the involvement of the nerve in the vascular conflict.

METHODS
The authors reviewed a prospectively maintained database for MVDs performed between 2002 and 2022 and extracted clinical data including patient demographics, symptoms, and offending vessel(s). Operative videos and photographs were analyzed retrospectively in an attempt to identify the NI.

RESULTS
Endoscopic identification of the NI was possible in 139 of 435 MVDs. The anatomy is very variable. In 79 (56.8%) patients, a single-bundle pattern was detected, whereas a multiple-bundle pattern was identified in 60 (43.2%) patients. Overall the most common pattern was a single-bundle type A (49.7%). In 20.1%, a multiple-bundles type A was identified. In 4.3%, a single-bundle type B was detected. In 2.9% a single-bundle type C was found, and in just 0.7% a multiple-bundles type C was detected. A multiple-origin pattern (type D) was found in 31 patients (22.3%). The NI was frequently involved in the neurovascular conflict (approximately 85%). The type of NI or vascular compression pattern did not affect the results regarding the outcome or recurrence of HFS.

CONCLUSIONS
The anatomy of the NI is for the first time evaluated endoscopically in MVD for HFS. The nerve had various anatomical patterns that were clearly identified. Further studies to evaluate the compression patterns in relation to NI neuralgia are warranted.
РОЗРАХУНКОВО-ТЕОРЕТИЧНИЙ АНАЛІЗ РОБОТИ АРКОВОЇ МОСТОВОЇ СПОРУДИ З МЕТАЛЕВИХ ГОФРОВАНИХ КОНСТРУКЦІЙ
Authors: Абрамов В. М. 
Published: June 2024

Розглянуто питання особливостей роботи аркової мостової споруди з гофрованого металу під навантаженням від маси ґрунту дорожнього насипу і тимчасового рухомого навантаження з урахуванням пружної і пружно-пластичної стадії. За даними розрахунково-теоретичного аналізу показано, як змінюється напружено-деформованій стан аркової споруди з появою і збільшенням пластичних деформацій та з виникненням пластичних шарнірів. Показано також характер і ступінь залежності прогину арки від вертикального навантаження в умовах її роботи поза ґрунтом насипу, тобто як вільно деформованої. На конкретному чисельному прикладі доведено, за якою схемою формується граничний стан аркової споруди з міцності і несучої здатності без урахування бічного пружного опору ґрунту насипу деформаціямарки і з його урахуванням. Запропоновано основні положення методики попередніх приблизних практичних розрахунків мостової споруди у вигляді півколової арки з металевих гофрованих конструкцій на підставі деформаційного критерію оцінки несучої здатності і експлуатаційної придатності аркової мостової споруди, як системи «конструкція-ґрунт».