bluuebunny/crossref_metadata_2025_split huggingface dataset:
Association between hospital volume and in-hospital mortality in pediatric severe traumatic brain injury: a nationwide retrospective observational study in Japan
Authors: Utsumi Shu , Ohki Shingo , Ueda Takeshi , Amagasa Shunsuke , Nishikimi Mitsuaki , Shime Nobuaki 
Published: December 2023

OBJECTIVE
The objective of this study was to investigate the association between hospital volume and in-hospital mortality in pediatric patients with severe traumatic brain injury (TBI).

METHODS
This retrospective cohort study used data from the Japan Trauma Data Bank between 2010 and 2018, specifically those of pediatric patients with severe TBI (Glasgow Coma Scale [GCS] score < 9 and head Abbreviated Injury Scale score > 2). Hospital volume was defined as the number of pediatric patients with severe TBI throughout the study period. Hospital volume was categorized as low (reference category: 1–9 patients), middle (10–17 patients), or high (> 18 patients) volume. Multivariate mixed-effects logistic regression analysis was performed to determine the association between hospital volume categories and in-hospital mortality. Subgroup analyses were performed using data on craniotomy and the presence of severe torso injuries. In the sensitivity analyses, patients with a GCS score of 3, interhospital transfer, and major intensive care unit complications were excluded.

RESULTS
A total of 1148 pediatric patients with severe TBI, with a median age of 12 years (IQR 7–16 years), treated at 141 hospitals were included. In total, 236 patients (20.6%) died in the hospital. Multivariate analysis showed no significant association between hospital volume and in-hospital mortality (high volume: OR 1.15, 95% CI 0.80–1.64; middle volume: OR 0.89, 95% CI 0.62–1.26). Subgroup and sensitivity analyses showed similar results.

CONCLUSIONS
Hospital volume may not be associated with in-hospital mortality in pediatric patients with severe TBI.
Women in neurosurgery: a cross-sectional demographic study of female neurosurgery residents in the United States
Authors: El Naamani Kareem , Reyes Maikerly , Jreij Georges , Ghanem Marc , Abbas Rawad , Mounzer Marc , Schunemann Victoria , Theofanis Thana , Smith Michelle , Gooch M. Reid , Rosenwasser Robert H. , Jabbour Pascal M. , Tjoumakaris Stavropoula I. 
Published: December 2023

OBJECTIVE
Over the past several decades, the number of women applying to medical school has increased significantly. However, parallel recruitment and retention of women in the field of neurosurgery continues to lag. The aim of this study was to identify the ratio and trend of female neurosurgery residents to the total number of residents during the past 7 years across all US neurosurgery residency programs.

METHODS
The authors conducted a cross-sectional demographic study investigating the ratio of female neurosurgery residents to the total number of neurosurgery residents across US neurosurgical programs from 2016 to 2022. Using the Fellowship and Residency Electronic Interactive Database, all neurosurgical residency programs in the US were collected. Data were further divided into postgraduate years 1–7 to dissect the data collection per residency year. One hundred fourteen programs were included in the study.

RESULTS
The number of female neurosurgery residents was 71 (29.8%) in 2022, 58 (25.2%) in 2021, 65 (27.9%) in 2020, 62 (27.3%) in 2019, 46 (21.4%) in 2018, 33 (15.2%) in 2017, and 34 (15.9%) in 2016. The trend line showed a significant increase using the Mann-Kendall test (p = 0.035). The total number of international medical graduate (IMG) female neurosurgery residents was 3 (4.2%) in 2022, 4 (6.9%) in 2021, 3 (4.6%) in 2020, 1 (1.6%) in 2019, 1 (2.2%) in 2018, 1 (3%) in 2017, and 2 (5.9%) in 2016.

CONCLUSIONS
The number of women matching into neurosurgery residency programs is modestly increasing, especially for IMG women. Future steps toward fewer gender disparities should focus on career advancement and leadership diversification in organized and academic neurosurgery.
Risk factors for not reaching minimal clinically important difference at 90 days and 1 year after elective lumbar spine surgery: a cohort study
Authors: Hamilton Travis , Lim Seokchun , Telemi Edvin , Yun Ho Jun , Macki Mohamed , Schultz Lonni , Yeh Hsueh-Han , Springer Kylie , Taliaferro Kevin , Perez-Cruet Miguelangelo , Aleem Ilyas , Park Paul , Easton Richard , Nerenz David R. , Schwalb Jason M. , Abdulhak Muwaffak , Chang Victor 
Published: December 2023

OBJECTIVE
Patient-perceived functional improvement is a core metric in lumbar surgery for degenerative disease. It is important to identify both modifiable and nonmodifiable risk factors that can be evaluated and possibly optimized prior to elective surgery. This case-control study was designed to study risk factors for not achieving the minimal clinically important difference (MCID) in Patient-Reported Outcomes Measurement Information System Function 4-item Short Form (PROMIS PF) score.

METHODS
The authors queried the Michigan Spine Surgery Improvement Collaborative database to identify patients who underwent elective lumbar surgical procedures with PROMIS PF scores. Cases were divided into two cohorts based on whether patients achieved MCID at 90 days and 1 year after surgery. Patient characteristics and operative details were analyzed as potential risk factors.

RESULTS
The authors captured 10,922 patients for 90-day follow-up and 4453 patients (40.8%) did not reach MCID. At the 1-year follow-up period, 7780 patients were identified and 2941 patients (37.8%) did not achieve MCID. The significant demographic characteristic–adjusted relative risks (RRs) for both groups (RR 90 day, RR 1 year) included the following: symptom duration > 1 year (1.34, 1.41); previous spine surgery (1.25, 1.30); African American descent (1.25, 1.20); chronic opiate use (1.23, 1.25); and less than high school education (1.20, 1.34). Independent ambulatory status (0.83, 0.88) and private insurance (0.91, 0.85) were associated with higher likelihood of reaching MCID at 90 days and 1 year, respectively.

CONCLUSIONS
Several key unique demographic risk factors were identified in this cohort study that precluded optimal postoperative functional outcomes after elective lumbar spine surgery. With this information, appropriate preoperative counseling can be administered to assist in shaping patient expectations.
Postoperative quality of life in patients with ankylosing spondylitis and thoracolumbar kyphosis: risk factors and personalized sagittal reconstruction strategy
Authors: Lv Xin , Huang Renyuan , Zeng Ziliang , Zhang Di , Li Bo , Lin Yuhong , Zhang Zhilei , Wang Qiwei , Nuertai Yelidana , Huang Zhihao , Wang Zheyu , Yang Canchun , Yan Haolin , Peng Xiaoshuai , Zhao Qiancheng , Li Wenpeng , Jiang Xu , Hu Xumin , Gao Liangbin 
Published: December 2023

OBJECTIVE
The aim of this study was to investigate the factors affecting postoperative quality of life in patients with ankylosing spondylitis (AS) and thoracolumbar kyphosis (TLK), and establish a personalized sagittal reconstruction strategy.

METHODS
Patients with AS and TLK who underwent pedicle subtraction osteotomy (PSO) from February 2009 to May 2019 were retrospectively included. Quality of life and spinal sagittal radiographic parameters were collected before surgery and at the last follow-up. Patients were divided into two groups based on the attainment of minimal clinically important difference (MCID) on the Bath Ankylosing Spondylitis Functional Index and Oswestry Disability Index. Comparisons of radiographic parameters and clinical outcomes were conducted between and within groups. Regression analysis was used to identify the risk factors within the missing MCID cohort. Sagittal reconstruction equations were established using the pelvic incidence (PI) and thoracic inlet angle (TIA) in the reached MCID cohort.

RESULTS
The study comprised 82 participants. Significant improvements were observed in most radiographic parameters and all quality-of-life indicators during the final follow-up compared with the preoperative measures (p < 0.05). Factors including cervical lordosis (CL) ≥ 18° (OR 9.75, 95% CI 2.26–58.01, p = 0.005), chin-brow vertical angle (CBVA) ≥ 25° (OR 14.7, 95% CI 3.29–91.21, p = 0.001), and pelvic tilt (PT) ≥ 33° (OR 21.77, 95% CI 5.92–103.44, p < 0.001) independently correlated with a failure to attain MCID (p < 0.05). Sagittal realignment targets were constructed as follows: sacral slope (SS) = 0.84 PI − 17.4° (R2 = 0.81, p < 0.001), thoracic kyphosis (TK) = 0.51 PI + 10.8° (R2 = 0.46, p = 0.002), neck tilt (NT) = 0.52 TIA − 5.8° (R2 = 0.49, p < 0.001), and T1 slope (T1S) = 0.48 TIA + 5.8° (R2 = 0.45, p = 0.002).

CONCLUSIONS
PSO proved efficacious in treating AS complicated by TLK, yielding favorable outcomes. CBVA ≥ 25°, CL ≥ 18°, and PT ≥ 33° were the primary factors affecting postoperative quality of life in patients with AS. The personalized sagittal reconstruction strategy in this study focused on the subjective sensations and daily needs of patients with AS, which were delineated by the equations SS = 0.84 PI − 17.4°, TK = 0.51 PI + 10.8°, NT = 0.52 TIA − 5.8°, and T1S = 0.48 TIA + 5.8°.
ANTICHIRST IN BETHLEEM? FROM VAN VEIDEN TO BOSCH
Authors:   institute of World History of the Russian Academy of Sciences, Maizuls Mikhail 
Published: December 2023

In the altarpieces created in the Netherlands in second half of the 15th and in the beginning of the 15th centuries, the Adoration of the Magi often served as the main subject. However, in Hieronymus Bosch's triptych, which is kept in the Prado Museum, it includes many iconographic "anomalies". They arouse the suspicion that there is a "double bottom" hidden in this image. The main clue to its interpretation is the appearance of an ominous character in a red cloak standing at the door of the manger. There are many versions of who this is. The most convincing of them postulates that Bosch introduced into the scene of the Epiphany the figure of the Jewish Messiah — Antichrist himself. He is not to be found in any of the earlier depictions of the Adoration. Nevertheless, we can trace the visual genealogy of this character. This article shows that the group consisting of the Antichrist and of his companions is derived from the group of men standing in the stable doorway in Rogier van der Weyden's Triptych of St. Columba. Bosch introduces the antagonist of the Savior into the joyous scene of the Epiphany and creates one of the most powerful and ominous images of enmity surrounding Jesus. This visual interpretation was unusual, but not unique at the time. In late medieval depictions of the birth and infancy of Christ, we find a certain number of characters that incarnated (Jewish) unbelief. The author analyzes how Bosch constructs his characters and introduces into the image a series of ambivalent details that relate them to each other but make unambiguous identification promblematic if impossible.
Edukasi Kelompok Masyarakat Desa Ujung Rambe Dalam Mengolah Limbah Pertanian Dan Industri Rumah Tangga Menjadi Biobriket Penjernih Air
Authors: Khairiah Khairiah , Nst Lia Afriyanti , Suharianto Joko , Mawaddah Hajar , Yani Farida , Destini Rita , Haryadi Jafri 
Published: December 2023

Telah dilakukan pengabdian masyarakat di Desa Ujung Rambe Kecamatan Bangun Purba Kabupaten Deli Serdang Sumatera Utara. Permasalahan yang terdapat di Desa ini adalah terjadinya krisis air bersih dan banyaknya limbah hasil pertanian dan industri rumah tangga yang mempengaruhi kualitas kesehatan dan estetika lingkungan. Salah satu solusi permasalah tersebut adalah dengan memanfaatkan limbah untuk diolah menjadi biobriket penjernih air ramah lingkungan. Kegiatan ini dilakukan dengan metode pendidikan masyarakat yakni berupa edukasi kepada Pemuda Karang Taruna dengan tujuan mengolah limbah pertanian dan industri rumah tangga menjadi biobriket penjernih air. Efektivitas kegiatan diukur dengan memberikan kuisoner kepada peserta. Hasil yang diperoleh persentase peningkatan pengetahuan dari proses edukasi ini terlihat dari data pengisian kuisioner 97.33% menunjukkan sangat setuju dan 13.33% menunjuk setuju terhadap materi edukasi yang diberikan, hal ini menunjukkan kegiatan ini sangat bermanfaat. Melalui kegiatan edukasi ini Desa Ujung Rambe telah menjadi desa yang mandiri, sehat, bersih dan merdeka dari limbah karena limbah yang awalnya menjadi sumber masalah dapat berubah menjadi produk biobriket penjernih air yang bermanfaat untuk menjernihkan air di desa tersebut.
MEDIA BARU DAN FENOMENA DAKWAH KONTEMPORER DI INDONESIA
Authors: Ikhwan Saipudin 
Published: December 2023

Fenomena dakwah kontemporer di Indonewia menunjukkan perkembagan yang signifikan, khususnya dalam tema dan interaksinya dengan media baru. Zaidul Akbar sebagai seorang dai memilih tema yang belum ada sebelumnya di dakwah Islam di Indonesia. Jurus Sehat Rasulullah adalah sebuah tema dakwah yang mnyarankan manusia untuk hidup sehat seperti Rassulullah. Penelitian ini bertujuan untuk menyelidiki bagaimana Zaidul Akbar menggunakan Media Baru dalam menyebarkan pesan dakwahnya. Metode yang digunakan dalam penelitian ini adalah kualitatif deskriptif. Data dalam penelitian ini didapat melalui penelusuran internet dan beberapa media sosial resmi milik Zaidul Akbar. Hasil penelitian ini menunjukkan bahwa ada hubungan yang saling menguntungkan antara dakwah Islam Kontemporer di Indonesia. Da’i seperti Zaidul Akbar memanfaatkan media baru (media sosial) untuk membantu mereka dalam menjangkau masyarakat lebih luas.
DAMPAK PENGEMBANGAN PARIWISATA TERHADAP PERKEMBANGAN UMKM PADA KAWASAN WISATA PANTAI SEMBILAN SUMENEP
Authors: Amalia Alisa Syahroh , Hanifah Luluk 
Published: December 2023

This study aims to find out how the impact of tourism development of UMKM from the business growth sector. Data analysis used in this research is descriptive analysis method, interviews. based on the results of the descriptive analysis, it is concluded that the development of MSMEs around the nine coast tourism area is able to increase the growth of MSMEs around the nine coast areas, and is able to create opportunities for the community to create new businesses on the premise that the more developed tourism will bring in many tourists and more money spent on the tour. This proves that tourism is able to increase people's opportunities in entrepreneurship and developing their business
Keywords: Tourism, Business, Micro, Small And Medium, Sembilan Beach

ABSTRAK
penelitian ini bertujuan untuk mengetahui bagaimana dampak pengembangan pariwisata terhadap perkembangan UMKM dari sektor pertumbuhan usaha. Analisis data yang digunakan dalam penelitian ini adalah metode deskriptif analisis. Berdasarkan hasil deskriptifdan analisis, maka di peroleh kesimpulan bahwa pengembangan UMKM di sekitar Kawasan wisata pantai Sembilan mamapu meningkatkan pertumbuhan UMKM di sekitar Kawasan wisata pantai Sembilan, dan mampu menciptakan peluang bagi masyarakat untuk membuat usaha baru dengan dasar pemikiran bahwa semakin berkembangnya pariwisata akan mendatangkan banyak wistawan dan semakin banyak uang yang dibelanjakan di tempat wisata tersebut. Hal ini membuktikan bahwa pariwisata mampu meningkatkan kesempatan masyarakat dalam berwirausha dan mengembangkan usahanya..
Kata Kunci: Pariwisata, Usaha Mikro Kecil dan Menengah, pantai Sembilan-
AN ANALYSIS OF STUDENT’S PROBLEMS IN COMPREHENDING DESCRIPTIVE PARAGRAPHS AT SMPN 6 KERINCI THE ACADEMIC YEAR 2017/2018
Authors: Putra Reko Hary 
Published: December 2023

Based on the problems above, the study is intended to know about the student's problem in comprehending descriptive paragraphs. In this research, the researcher used a descriptive paragraph. It consisted of 10 multiple-choice questions and 5 essay questions. The purposes of this research were to know the student's problems in comprehending descriptive paragraphs and to know the cause of factors in the student's problems in comprehending descriptive paragraphs. The researcher used qualitative descriptive methods and the technique to collect the data are tests and interviews. The participant of this research is the class IX A students of SMPN Kerinci. The result of this research from 20 that there were 2,91% of students did problems identifying the main idea, 5,83% of students made mistakes identifying function, 8,74% of students did cannot identifying purposes, 37,87% students did cannot identifying specific items in multiple choice questions and 31, 06% the students mistake identifying the specific item in the essay question, and the last problems the students did not identify major tenses used in the paragraph there were 13,59% students. Then the interview results in the research find the cause of factors in students' problems in comprehending paragraphs from 20 students’ there are 80% of students get problems in comprehending descriptive paragraphs caused by some factor. First, the students lack vocabulary by 30%. Second 20 % of the students difficulties translate the paragraph. The third situation in the class influences 15% of students. Fourth 10% of the students’ experience had a low interest in learning. Finally, the students needed media in learning 5%.
A Case of Cutaneous Leishmaniasis Cured by a Combined Treatment of Topical Miltefosine and Injectable Amphotericin B
Authors: Guzman María Laura , Peralta María Florencia , Quipildor Marcelo , Papera Francesca , Mejía Elvia , Lauthier Juan José , Bono Manuela , Barroso Paola Andrea , Olivera María Eugenia , Carrer Dolores Catalina 
Published: December 2023

<img src=” https://s3.amazonaws.com/production.scholastica/article/90983/large/prnano_1012023bg.jpg?1702069910”> A male rural worker with cutaneous leishmaniasis (CL) was initially treated with repeated cycles of Meglumine Antimoniate (Glucantime®) and two cycles of Amphotericin B deoxycholate during a three-year period. However, the patient remained with two active lesions. An experimental topical treatment with liposomal Miltefosine was tested. The efficacy was determined from the MD’s in-spection of the patient and analysis of the lesions’ photographic images, lesions samples culture, and anti-Leishmania antibodies quantification. The parasites from the patient were isolated. The parasites were typified as Leishmania braziliensis, and their susceptibility to Miltefosine, Meglu-mine Antimoniate, and Amphotericin B was measured. The wound healing was initially good with the topical treatment, but the clinical cure was achieved only with a combination of the topical lipo-somal Miltefosine and intravenous Amphotericin B. Of note, the treatment efficacy was strongly correlated with the degree of stress suffered by the patient. To our knowledge, this is the first report on using a topical Miltefosine formulation on a CL patient.
REORGANIZAÇÃO DIDÁTICO-PEDAGÓGICA NO PROCESSO DE FORMAÇÃO INICIAL DE PROFESSORES EM TEMPOS DE PANDEMIA
Authors: Corrêa Shirlei de Souza , Pereira Sabryna , Gripa Sidnei , Silva Edineia Pereira da 
Published: December 2023

Este trabalho tem como objetivo analisar o impacto que esse movimento de enfrentamento ao vírus teve sobre a formação inicial de professores no curso de licenciatura em Pedagogia. Foi desenvolvido com a técnica de grupo focal com sujeitos que são acadêmicos do curso de Pedagogia de uma instituição privada no litoral norte catarinense e posterior análise de conteúdo com base em Bardin (2017), que resultou em duas categorias, a saber: enfrentamento dos dilemas e novas possibilidades e descobertas. Os achados indicam que, embora algumas dificuldades de natureza híbrida tenham feito parte desse processo, como falta de interação pessoal entre os acadêmicos e docente e o excesso de atribuições em diferentes tarefas, a reestruturação curricular colaborou para a manutenção do processo de ensino e aprendizagem, sobretudo com a utilização das TICs, o que garantiu a autonomia dos acadêmicos na organização desse processo. Destaca-se que o período de pandemia não efetivou prejuízos ao processo de formação inicial no curso de Pedagogia.
Palavras-chave: Reorganização Didático-pedagógico. Formação Inicial. Pandemia. Ensino remoto.

ABSTRACT
this work aims to analyze the impact that this movement to combat the virus had on the initial training of teachers in the pedagogy course. It was developed using the focus group technique with academics on the Pedagogy course at a private institution on the north coast of Santa Catarina and subsequent content analysis based on Bardin (2017), which resulted in two categories: facing dilemmas and new possibilities and discoveries. The findings indicate that, although some difficulties of a hybrid nature were part of this process, such as the lack of personal interaction between academics and teachers and the excess of assignments in different tasks, the curricular restructuring helped to maintain the teaching and learning process, especially with the use of ICTs, which guaranteed the autonomy of academics in organizing this process. It is noteworthy that the pandemic did not affect the initial training process in the Pedagogy course.
Keywords: Initial Training. Pandemic. Remote Teaching.
PROBLEMATIKA EXECUTIVE PREVIEW TERHADAP PEMBENTUKAN PERATURAN DAERAH KABUPATEN/KOTA DI SUMATERA BARAT
Authors: Liany Lusy 
Published: December 2023

Pada Tahun 2016 setidaknya terdapat 3.041 peraturan daerah yang dibatalkan oleh presiden melalui Kemendagri. Rinciannya sebanyak 1.765 Perda/Perkada kabupaten/kota dicabut atau direvisi oleh Kemendagri. Kemudian, sebanyak 1.267 Perda/Perkada kabupaten/kota yang direvisi oleh Gubernur. Fenomena “Perda bermasalah” ini patut mendapat perhatian serius Pemerintah Daerah. Kualitas Perda yang buruk tentunya menimbulkan ekonomi biaya tinggi bagi pemenuhan kebutuhan masyarakat. Berdasarkan latar belakang diatas diperlukan mengkaji bagaimana pelaksanaan dan problematika Executive Preview pada proses pembentukan Peraturan Daerah Kabupaten/Kota di Sumatera Barat. Metode Penelitian yang penulis gunakan adalah metode empiris dengan mengumpulkan data primer dan didukung dengan data sekunder yang terdiri dari bahan hukum primer, sekunder dan tersier. Hasil penelitian ini menyimpulkan bahwa berbagai macam hasil dari proses Executive Preview Gubernur terhadap Rancangan Peraturan Daerah di sejumlah Kabupaten/Kota di Provinsi Sumatera Barat terdiri dari: disempurnakan/direvisi, ditolak, ditunda, belum dapat dilakukan pembahasan lebih lanjut, sudah dapat ditetapkan/disahkan. Adapun kendala tahapan fasilitasi dan evaluasi perda Kabupaten/Kota di Sumatera Barat: keterbatasan waktu 15 (lima belas), keterbatasan dan kurangnya kemampuan tenaga ahli perancang undang-undang, ketidakpahaman proses tahapan fasilitasi dan evaluasi, koordinasi yang kurang efektif antara kabupaten/kota dengan provinsi. Kedepan executive preview yang diakukan pemerintah perlu lebih memperhatikan aspek materil (substansi) dari peraturan daerah dengan tidak mengenyampingkan aspek formil. Terkait pengaturan Executive Preview yang ideal pada masa yang akan datang disarankan DPR bersama Pemerintah, merevisi Undang-Undang 15 Tahun 2019 tentang Pembentukan Peraturan Perundang-undangan, Undang-Undang Nomor 23 Tahun 2014 tentang Pemerintah Daerah dan Permendagri Nomor 120 Tahun 2018 Tentang Pembentukan Produk Hukum Daerah.