bluuebunny/crossref_metadata_2025_split huggingface dataset:
Pediatric neurosurgery through the lens of time-driven activity-based costing: a pilot study
Authors: Prather Kiana Y. , Ozaydin Burak , Peters Mikayla , Tally Emily , Zieles Kristin , Omini Michael E. , Gernsback Joanna E. , Desai Virendra R. , Balsara Karl E. , Jea Andrew 
Published: February 2024

OBJECTIVE
Time-driven activity-based costing (TDABC) is a method used in cost accounting that has gained traction in health economics to identify value optimization initiatives. It measures time, assigns value to time increments spent on a patient, and integrates the cost of material and human resources utilized in each episode of care. In this study, the authors report the first use of TDABC to evaluate costs in a pediatric neurosurgical practice.

METHODS
A clinical pathway was developed with a multifunction team. A time survey among each care team member, including surgeons, medical assistants (MAs), and patient service representatives (PSRs), was carried out prospectively over a 10-week period at a pediatric neurosurgery clinic. Consecutive patient encounters for Chiari malformation (CM), hydrocephalus, or tethered cord syndrome (TCS) were included. Encounters were categorized as new or established. Relative annual personnel costs, using the salary of a PSR as a reference (i.e., 1.0-unit cost), were calculated for all members using departmental financial data after adjustments. The relative capacity cost rates (minute−1) for each personnel, a representation of per capita cost per minute, were then derived, and the relative costs per visit were calculated.

RESULTS
A total of 110 visits (24 new, 86 established) were captured, including 40% CM, 41% hydrocephalus, and 19% TCS encounters. Surgeons had the highest relative capacity cost rate (118.4 × 10−6), more than 10-fold higher than that of an MA or PSR (10.65 × 10−6 and 9.259 × 10−6, respectively). Surgeons also logged more time with patients compared with the rest of the care team in nearly all visits (p ≤ 0.002); consequently, the total visit costs were primarily driven by the surgeon cost (p < 0.0001). Overall, surgeon cost constituted the vast majority of the total visit cost (92%–93%), regardless of whether the visits were new or established. Visit costs did not differ by diagnosis. On average, new visits took longer than established visits (p < 0.001). This difference was largely driven by new CM visits (44.3 ± 13.7 minutes), which were significantly longer than established CM visits (29.8 ± 9.2 minutes; p = 0.001).

CONCLUSIONS
TDABC may reveal opportunities to maximize value by highlighting instances of variability and high cost in each module of care delivery. Physician leaders in pediatric neurosurgery may be able to use this information to allocate costs and streamline value care pathways.
A re-evaluation of the Endoscopic Third Ventriculostomy Success Score: a Hydrocephalus Clinical Research Network study
Authors: Verhey Leonard H. , Kulkarni Abhaya V. , Reeder Ron W. , Riva-Cambrin Jay , Jensen Hailey , Pollack Ian F. , Rocque Brandon G. , Tamber Mandeep S. , McDonald Patrick J. , Krieger Mark D. , Pindrik Jonathan A. , Hauptman Jason S. , Browd Samuel R. , Whitehead William E. , Jackson Eric M. , Wellons John C. , Hankinson Todd C. , Chu Jason , Limbrick David D. , Strahle Jennifer M. , Kestle John R. W. , _ _ 
Published: February 2024

OBJECTIVE
The Hydrocephalus Clinical Research Network (HCRN) conducted a prospective study 1) to determine if a new, better-performing version of the Endoscopic Third Ventriculostomy Success Score (ETVSS) could be developed, 2) to explore the performance characteristics of the original ETVSS in a modern endoscopic third ventriculostomy (ETV) cohort, and 3) to determine if the addition of radiological variables to the ETVSS improved its predictive abilities.

METHODS
From April 2008 to August 2019, children (corrected age ≤ 17.5 years) who underwent a first-time ETV for hydrocephalus were included in a prospective multicenter HCRN study. All children had at least 6 months of clinical follow-up and were followed since the index ETV in the HCRN Core Data Registry. Children who underwent choroid plexus cauterization were excluded. Outcome (ETV success) was defined as the lack of ETV failure within 6 months of the index procedure. Kaplan-Meier curves were constructed to evaluate time-dependent variables. Multivariable binary logistic models were built to evaluate predictors of ETV success. Model performance was evaluated with Hosmer-Lemeshow and Harrell’s C statistics.

RESULTS
Seven hundred sixty-one children underwent a first-time ETV. The rate of 6-month ETV success was 76%. The Hosmer-Lemeshow and Harrell’s C statistics of the logistic model containing more granular age and etiology categorizations did not differ significantly from a model containing the ETVSS categories. In children ≥ 12 months of age with ETVSSs of 50 or 60, the original ETVSS underestimated success, but this analysis was limited by a small sample size. Fronto-occipital horn ratio (p = 0.37), maximum width of the third ventricle (p = 0.39), and downward concavity of the floor of the third ventricle (p = 0.63) did not predict ETV success. A possible association between the degree of prepontine adhesions on preoperative MRI and ETV success was detected, but this did not reach statistical significance.

CONCLUSIONS
This modern, multicenter study of ETV success shows that the original ETVSS continues to demonstrate good predictive ability, which was not substantially improved with a new success score. There might be an association between preoperative prepontine adhesions and ETV success, and this needs to be evaluated in a future large prospective study.
Risk factors of adjacent-segment disease after short-segment fusion in patients with de novo degenerative lumbar scoliosis
Authors: Kim Hyun-Jun , Park Se-Jun , Park Jin-Sung , Jung Choong-Won , Lee Jong-Shin , Yang Han-Seok , Lee Chong-Suh 
Published: February 2024

OBJECTIVE
Short-segment fusion (SSF) is an effective surgical option for appropriately selected patients with de novo degenerative lumbar scoliosis (DNDLS). Considering that DNDLS is frequently accompanied by multisegment degeneration and potential instability across the entire lumbar segments, it is inevitable that unhealthy segments remain after SSF, thereby increasing the potential risk of adjacent-segment disease (ASD) occurrence. Therefore, the authors aimed to identify the risk factors for ASD in patients with DNDLS who underwent SSF.

METHODS
This retrospective study included 80 patients with DNDLS (Cobb angle > 10°) who underwent SSF (1 or 2 levels) between December 2010 and July 2018 with a minimum follow-up duration of 5 years. The participants were divided into two groups: ASD and non-ASD. ASD was defined as clinical ASD rather than radiographic ASD. Various patient and operative variables were compared between the groups. Global and regional radiographic parameters (preoperatively and postoperatively) were also compared between the two groups using plain radiography and MRI. Consequently, univariate and multivariate analyses were conducted to identify the risk factors for ASD occurrence. The receiver operating characteristic (ROC) curve was used to calculate the cutoff values.

RESULTS
The mean ± SD age was 67.7 ± 7.2 years at the time of SSF, and there were 62 women (77.5%) enrolled in the study. Thirty patients (37.5%) were in the ASD group and 50 patients (62.5%) were in the non-ASD group. The mean time from the surgery to ASD diagnosis was 34.9 ± 28.2 months in ASD group. Thirteen patients required revision surgery at a mean time of 8.8 ± 7.0 months after ASD occurrence. Multivariate logistic regression analysis demonstrated that preoperative disc wedging angle (OR 1.806, 95% CI 1.255–2.598, p = 0.001), presence of facet tropism (defined as ≥ 10° difference between the facet joint angles of the right and left sides) (OR 5.534, 95% CI 1.528–20.040, p = 0.009), and foraminal stenosis ≥ grade 2 (OR 5.935, 95% CI 1.253–28.117, p = 0.025) were significant risk factors for ASD development. The cutoff value of the preoperative disc wedging angle was calculated to be 2.5° using the ROC curve.

CONCLUSIONS
Preoperative disc wedging angle ≥ 2.5°, presence of facet tropism, and foraminal stenosis ≥ grade 2 were identified as significant risk factors for ASD development after SSF in patients with DNDLS.
The Meaning of the Metaphor «and your bones shall flourish» (Is 66:14; Sir 46:14; 49:12) in a Biblical Context: Ecclesiastical Tradition and Modern Biblical Scholarship
Authors: Скобелев Михаил Анатольевич 
Published: February 2024

В статье рассматривается смысл метафоры «и кости ваши расцветут, как молодая зелень» в Книге пророка Исаии (Ис. 66, 14) и немного в ином варианте «да процветут кости их от места своего» в Книге Премудрости Иисуса, сына Сирахова (Сир. 46, 14; 49, 12). Очевидна взаимосвязь между указанными библейскими цитатами. Если в Книге Исаии это пророчество о праведниках (рабах Господа), то в Книге Иисуса, сына Сирахова это пожелание самого автора, которое он адресовал судьям Израиля (Сир. 46, 14) и малым пророкам (Сир. 49, 12). Как показывает проведённое исследование, метафора «кости ваши процветут» в библейском контексте указывает на божественное покровительство. Но каким образом будет проявлено это покровительство? В истории библейской экзегезы на поставленный вопрос даются существенно разные ответы. В статье приводится понимание указанной метафоры традиционными церковными экзегетами и современными библеистами критического направления, анализируется контекст указанных библейских фрагментов, лексика, переводы.
The article studies the meaning of the metaphor «and your bones shall flourish like young herbs» in the book of the prophet Isaiah (66, 14) and in a slightly different wording «May their bones flourish from their place» in the Wisdom of Ben Sira (46, 14; 49, 12). The relationship between the biblical quotations is obvious. If in the book of Isaiah, we read a prophecy about the righteous (servants of the Lord), in the Wisdom of Ben Sira we deal with a wish of the author himself, which he addressed to the judges of Israel (Sir. 46, 14) and minor prophets (Sir. 49, 12). As the research demonstrates, the idiom «flourishing bones» in the biblical context indicates divine patronage. However, how exactly will this patronage be manifested? The answer to this question varies considerably in the history of biblical exegesis. The article presents the understanding of the stated metaphor by both traditional Church exegetes and modern critical biblical scholars, analyses the context of the biblical fragments mentioned, terms, translations.
The Church Policy of Emperor Anastasios I and the Theological Content of the «Typos» Part 3
Authors: Кожухов Сергий 
Published: February 2024

Данная публикация является третьей частью исследования касательно церковной политики императоров Восточной Римской империи: Василиска, Зинона и Анастасия I, в царствование которых были выпущены соответственно указы: «Энциклика», «Энотикон», «Типос», касающиеся религиозной церковной жизни. Главный вопрос, который в них решался, это отношение к Халкидонскому Собору, который утвердил учение о двух природах и одной ипостаси во Христе. Автор рассматривает исторический фон, в котором начиналось правление императора Анастасия I, его отношение с последователями Халкидона, а также его противниками Севиром Антиохийским и Филоксеном Маббугским и условия появления «Типоса». В статье приводятся мнения современных исследователей относительно авторства и времени появления «Типоса», дан его перевод на русский язык, анализируется богословское содержания «Типоса».
This paper is the third part of a study on the ecclesiastical policy of the emperors of the Eastern Roman Empire: Basilisk, Zeno and Anastasios I, during whose reign decrees were issued respectively: «Encyclical», «Enoticon», «Typos» concerning religious church life. The main issue they addressed was the relationship to the Council of Chalcedon, which approved the doctrine of two natures and one hypostasis in Christ. The author examines the historical background in which the reign of Emperor Anastasius I began, his relationship with the followers of Chalcedon, as well as his opponents Severus of Antioch and Philoxenus of Mabbug, and the conditions for the appearance of the «Typos». The article presents the opinions of modern researchers regarding the authorship and time of the appearance of the «Typos», its translation into Russian is given, and the theological content of the «Typos» is analyzed.
Lesninsky Holy Theotokos Convent in the Conditions of Interfaith Confrontation in Yugoslavia During the Nazi Occupation
Authors: Азарова Светлана Николаевна 
Published: February 2024

В статье рассматривается один из важных периодов в истории Леснинского Свято-Богородицкого монастыря, одной из крупнейших женских обителей Российской империи, после революции оказавшегося в эмиграции. На его примере исследуется малоизученная, имеющая противоречивые оценки, тема церковной жизни русского зарубежья на территориях, оккупированных фашистской Германией, в частности, в Сербии, где с 1921 г. находилось Высшее Церковное Управление Заграницей (РПЦЗ), выявляются особенности религиозной политики нацистского государства на сербских территориях, где власть перешла в руки усташей — фашистской ультраправой национальной клерикальной организации. Эта задача решается с учётом опубликованных документов нацистов, связанных с проводимой ими религиозной политикой. Для раскрытия темы кратко изложена история Леснинского монастыря, а также история политических событий в Сербии, процесс формирования в стране обстановки межконфессионального противостояния. Положение монастыря в оккупации сопоставлено с современной ситуацией на Украине, где Православная Церковь испытывает открытые гонения со стороны украинского неонацистского режима.
The article examines one of the important periods in the history of the Lesninsky Holy Theotokos Convent, one of the largest women's monasteries of the Russian Empire, which found itself in exile after the revolution. Using his example, the little-studied, contradictory assessments of the topic of church life of the Russian diaspora in the territories occupied by Nazi Germany, in particular, in Serbia, where since 1921 The Supreme Church Administration Abroad (the Russian Orthodox Church Abroad, ROCA) was located, the peculiarities of the religious policy of the Nazi state in the Serbian territories are revealed, where power passed into the hands of the Ustashi — the fascist ultra-right national clerical organization. This task is solved taking into account the published documents of the Nazis related to their religious policy. To reveal the topic, the history of the Lesninsky Monastery is briefly described, as well as the history of political events in Serbia, the process of forming an environment of inter-confessional confrontation in the country. The situation of the convent under occupation is compared with the current situation in Ukraine, where the Orthodox Church is experiencing open persecution by the Ukrainian neo-Nazi regime.
Pilgrimage and Spiritual Journey. To the Problem Statement
Authors: Ростовцева Юлия Александровна 
Published: February 2024

Статья посвящена актуальной проблеме гуманитарных наук — разграничению географического и духовного странничества. На основании анализа исследований последних десятилетий автор приходит к выводу о контаминации двух понятий в работах по филологии, философии и искусствоведению. В статье озвучивается тезис о необходимости выделения нескольких типов странничества, обоснованием чему служат примеры из истории культуры. В статье предлагается собственная типология, согласно которой выделяются такие типы, как молитвенное уединение, послушничество, юродство и собственно странничество. Правомерность вычленения указанных типов демонстрируется на основании множества примеров из христианской аскетической и классической литератур.
The article is devoted to the actual problem of the humanities-the distinction between actual and spiritual journey. Based on the analysis of research in recent decades, the author comes to the conclusion about the contamination of two concepts in works on philology, philosophy and art history. The article expresses the thesis about the need to distinguish several types of journey, which is justified by examples from the history of culture. According to the author, spiritual and actual journey can overlap one another, a representative example of which is the «Frank Stories of a Wanderer to his Spiritual Father». Turning to the typology of spiritual pilgrimage, the author of the article notes that the existing conclusions of E. V. Falenkova need a serious correction. It is noted that monasticism and hermithood are difficult to distinguish, and a layman can be both a fool and a wanderer. As a result, the article offers its own typology, according to which such types as prayerful solitude, novitiate, foolishness and actual pilgrimage are distinguished. The validity of the separation of these types is demonstrated on the basis of many examples from Christian, ascetic and classical literature. As a conclusion, the author of the article expresses the hope that the proposed attempt to explicate the types of spiritual pilgrimage will help in solving the current humanitarian problem.
Analisis Perbandingan Struktur Baja Menara Masjid Dengan Metode Ultimit dan Tegangan Ijin
Authors: Ratih Silvia Yulita , Setyawan Agus , Nur Hakim Alvio 
Published: February 2024

Pada suatu perencanaan proyek konstruksi terdapat berbagai metode perhitungan yang dapat digunakan sesuai dengan pengaplikasian metode masing-masing untuk dapat memperoleh hasil yang paling efisien dalam berbagai hal dan memenuhi standar keamanaan suatu bangunan. Dalam perencanaan suatu bangunan terdapat berbagai metode perhitungan, dintaranya yaitu metode ultimit atau Load and Resistance Factor Design (LRFD) dan metode tegangan ijin atau Allowable Stress Design (ASD). Dalam penelitian ini kedua metode perhitungan tersebut digunakan untuk menghitung demand/capacity ratio dan berat bangunan. Metode pada penelitian ini menggunakan metode kuantitatif. Penelitian ini bertujuan untuk mengetahui perbandingan nilai berat struktur baja dan demand/capacity ratio pada struktur baja menggunakan software ETABS 2019 dengan metode tegangan ijin dan metode ultimit. Berdasarkan hasil penelitian, diperoleh nilai rerata demand / capacity ratio balok pada seluruh story dengan menggunakan metode ultimit sebesar 0,6631 dan pada metode tegangan ijin sebesar 0,7520. Nilai rerata demand / capacity ratio kolom pada seluruh story menggunakan metode ultimit sebesar 0,4477 dan tegangan ijin 0,5783. Berat bangunan dengan metode ultimit 858684 kg dan berat bangunan dengan metode tegangan ijin sebesar 861326,5 kg. Berdasar hasil perbandingan demand/capacity ratio pada kolom, balok dan berat bangunan antar metode diperoleh kenaikan demand/capacity ratio sebesar 29% pada kolom, 13,4% pada balok dan kenaikan berat 0,3% atau 2642,56 kg ketika menggunakan metode tegangan ijin
Faktor-Faktor Yang Mempengaruhi Rendahnya Pelaksanaan Stimulasi Deteksi Intervensi Dini Tumbuh Kembang di Puskesmas Kota Bengkulu
Authors: Masril Anissa Aprilianthy , Mariati  , Wahyuni Elly 
Published: February 2024

Program Sarjana Terapan Kebidanan, Program Studi Kebidanan Poltekkes Kemenkes Bengkulu
Skripsi, Agustus 2022
Anissa Aprilianthy
FAKTOR-FAKTOR YANG MEMPENGARUHI RENDAHNYA PELAKSANAAN STIMULASI DETEKSI INTERVENSI DINI TUMBUH KEMBANG (SDIDTK) DI PUSKESMAS KOTA BENGKULU
XVII+57 Halaman, 8 Tabel, 17 lampiran
ABSTRAK
Program stimulasi deteksi intervensi dini tumbuh kembang (SDIDTK) merupakan program pembinaan tumbuh kembang anak secara komprehensif dan berkualitas. Indicator keberhasilan SDIDTK di kota Bengkulu masih 70,07% belum mencukupi pencapaian indikator keberhasilan yang diterapkan kementrian kesehatan Indonesia yaitu 90% dari total populasi. Penelitian ini bertujuan untuk mengetahui faktor-faktor yang mempengaruhi rendahnya pelaksanaan SDIDTK di puskesmas kota Bengkulu.
Penelitian ini menggunakan Metode penelitian kualitatif dengan wawancara mendalam. Informan kepala puskesmas, bikor, dan bidan pemegang program sdidtk di puskesmas penurunan, puskesmas anggut atas, puskesmas lingkar barat.
Hasil penelitian ini ditemukan jumlah tenaga kesehatan di 1 puskesmas kurang, pemegang program SDIDTK di 2 Puskesmas belum mendapatkan pelatihan, pada ditahun 2020 2 puskesmas tidak menjalankan posyandu dan SDIDTK dikarenakan covid-19. Ketersedian sarana dan prasarana sudah cukup bagus hanya saja belum digunakan secara optimal oleh tenaga kesehatan. Dana sudah ada anggaran dari BOK hanya untuk transportasi tenaga kesehatan saat turun kelapangan.
Saran bagi puskesmas Diharapkan dapat memberikan kesempatan kepada petugas kesehatan terutama bidan untuk mendapatkan pelatihan khususnya dalam pelaksanaan SDIDTK

Kata Kunci : faktor-faktor, Pelaksanaan, Stimulasi Deteksi Intervensi Dini Tumbuh Kembang (SDIDTK)
24 Daftar Pustaka : 2012-2020
KOMPETISI PRODUK PERKEBUNAN KELAPA SAWIT INDONESIA DENGAN NEGARA PESAING DI PASAR INTERNASIONAL
Authors: Nurjanah Danik 
Published: February 2024

ABSTRAKPenelitian ini bertujuan untuk mengetahui tingkat kompetisi dan kemiripan struktur ekspor produk kelapa sawit Indonesia dengan negara pesaing di pasar internasional sebelum dan saat pandemic COVID 19â€. Data sekunder digunakan dalam penelitian ini yang mencakup data ekspor negara Indonesia dan negara pesaingnya yaitu Malaysia, Thailand, Kamboja dan Kolombia tahun 2014-2020 bersumber dari UN Comtrade. Metode Analisis untuk mengukur tingkat kompetisi perdagangan produk kelapa sawit Indonesia di pasar internasional menggunakan Index Export Overlapping (IEO) dan Export Similiarity Index (ESI) digunakan untuk mengukur seberapa besar tingkat kemiripan komposisi ekspor produk kelapa sawit Indonesia di pasar internasional. Hasil penelitian menunjukkan bahwa Perdagangan produk kelapa sawit sebelum dan saat pandemic covid-19 memiliki nilai tingkat kemiripan ekspor dari negara Colombia, Thailand, Malaysia, Kamboja memiliki perubahan yang meningkat signifikan. Tingkat kompetisi ekspor produk kelapa sawit Indonesia tertinggi yaitu antara Indonesia dan Malaysia.Â Kata Kunci : Kelapa sawit, Kemiripan dan Kompetisi.Â