bluuebunny/crossref_metadata_2025_split huggingface dataset:
SISTEM PENDUKUNG KEPUTUSAN PEMILIHAN SAUS TERBAIK DENGAN METODE SIMPLE ADDITIVE WEIGHTING (SAW)
Authors: Wisetyo Gugun , Sagita Sri Melati 
Published: February 2024

Gerai Kapten Sosis bergerak dibidang kuliner yang menyediakan berbagai macam pilihan topping/saus. Banyaknya pilihan ini membuat pelanggan sulit menentukan pilihan sehingga pegawai harus menjelaskan berbagai kelebihan dan kekurangan secara verbal serta memberikan semacam printouts berisi penjelasan singkat tentang produk saus yang ditawarkan, hal ini mengakibatkan panjangnya antrian pelanggan karena proses ini terjadi di loket kasir. Penulis menjadikan hal ini sebagai tujuan dari penelitian dalam membuat sistem pendukung keputusan pemilihan saus terbaik pada gerai kapten sosis dengan metode simple additive weighting berbasis java. Dengan menggunakan metode simple additive weighting hasil perhitungan akan lebih akurat karena didasarkan pada nilai kriteria dan bobot yang sudah ditentukan. Hasil penelitian ini menyatakan bahwa dari 7 sampel saus, didapat nilai tertinggi adalah V3 dengan nilai 0,832, yang artinya saus tersebut merupakan saus terbaik kapten sosis. Penulis akan memisahkan loket pemesanan dengan loket pembayaran, di loket pemesanan akan terdapat device yang sudah terpasang aplikasi pemilihan saus terbaik sehingga dapat menciptakan pelayanan pembelian yang efektif dan efesien.
SISTEM PENDUKUNG KEPUTUSAN SISWA TERBAIK DI SMK MAHADHIKA 4 MENGGUNAKAN METODE SAW
Authors: Azizah Vivi , Lestari Mei , Dwitiyanti Nurfidah 
Published: February 2024

Pemilihan siswa terbaik dilakukan oleh sekolah sebagai hasil evaluasi belajar dalam saat menjelang kenaikan kelas. Hal ini dilakukan dengan harapan sekolah dapat menghargai prestasi yang diperoleh oleh siswa/i di sekolah, sehingga akan berdampak pada semangat siswa/i untuk meningkatkan prestasi dan peningkatan nama baik sekolah. Pemilihan siswa terbaik juga dilakukan oleh SMK Mahadhika 4 pada menjelang kenaikan kelas, namun terdapat beberapa masalah yang dihadapi SMK Mahadhika 4 dalam pemilihan siswa terbaik, dimana dalam membuat keputusan siswa terbaik masih menggunakan klasifikasi manual, sehingga menjadi sebuah kendala bagi pihak sekolah dalam mengambil keputusan, dikarenakan banyak kriteria yang perlu dipakai dalam pemilihan. Pemilihan kriteria yang tidak tepat dapat memberikan penilaian yang kurang objektif bagi calon siswa terbaik yang akan dipilih, maka diperlukan suatu Sistem Pendukung Keputusan (SPK) yang dapat membantu para pengambil keputusan. Tujuan penelitian ini adalah membuat SPK agar pemilihan menjadi lebih objektif berdasarkan kriteria penilaian baru yang relevan dan perhitungan bobot yang diberikan dalam sistem. Metode yang digunakan adalah Metode Simple Additive Weighting (SAW), dengan menyediakan kriteria-kriteria tertentu dimana memiliki rata-rata bobot nilai akhir terbesar akan menjadi keputusan akhir untuk kelayakan memilih siswa/i terbaik. Hasil penelitian ini berupa SPK menggunakan metode SAW untuk menentukan siswa terbaik, sehingga hasil pemilihan menjadi lebih objektif.
Spearman Correlation Analysis in Determining the Relationship of Dissolved Oxygen pH and Temperature to Total Phosphate in Lake Maninjau Sediments
Authors: Roselyn indah kurniati  
Published: February 2024

Sedimentasi menjadi masalah di banyak negara saat ini. Parameter-parameter lingkungan yang mempengaruhi proses sedimentasi salah satunya adalah konsentrasi Dissolved Oxygen (DO), pH dan suhu. Salah satu pencemar yang tinggi di sedimen yaitu Total Fosfat (TP). Tujuan penelitian ini adalah untuk melihat hubungan antara DO, pH dan suhu di perairan terhadap TP di sedimen. Lokasi penelitian berjumlah 9 yang terdiri dari inlet danau, outlet danau, dan pemanfaatan danau. Hasil analisis DO, pH dan suhu dibandingkan dengan PP No 22 Tahun 2021 baku mutu air kelas II sedangkan hubungan DO, pH dan suhu terhadap TP menggunakan spearman. Hasil DO, pH dan suhu masih belum melebihi baku mutu air kelas II, namun trend konsentrasi pH menuju basa. TP di sedimen tertinggi berasal dari lokasi Keramba Jaring Apung (KJA) diikuti oleh aktivitas pertanian dengan penggunaan pupuk dan pepstisida. Feses ikan dan sisa pakan diduga menjadi penyebab tingginya TP di sedimen. Hubungan DO terhadap TP negatif sedangkan suhu dan pH memiliki hubungan yang positif.
Kata Kunci : Dissolved Oxygen, Danau Maninjau, pH, Sedimen, Suhu, TP
Sport-related concussion in 8- to 12-year-olds: an understudied population
Authors: Zargari Michael , Jo Jacob , Williams Kristen , Yengo-Kahn Aaron M. , Vance E. Haley , Bonfield Christopher M. , Terry Douglas P. , Zuckerman Scott L. 
Published: February 2024

OBJECTIVE
Most studies regarding sport-related concussion (SRC) focus on high school and collegiate athletes; however, little has been published on children younger than 12 years of age. In a cohort of children aged 8–12 years with SRC, the authors sought to describe demographics, initial presentation, and recovery in this understudied population.

METHODS
A retrospective cohort study of children aged 8–12 years who sustained an SRC between November 2017 and April 2022 and were treated at a regional sports concussion center was conducted. Demographic information, injury characteristics, traditional Sport Concussion Assessment Tool 5 (SCAT5) and Child/Parent SCAT5 scores, and outcomes, defined as days to return to learn (RTL), symptom resolution, and return to play (RTP), were reported. Outcomes in boys and girls were compared using effect size analyses given sample size constraints.

RESULTS
Forty-seven athletes were included. The mean age was 11.0 ± 0.8 years, and the majority were male (34, 72.3%). A sizable proportion of patients visited an emergency department (19, 40.4%), and many received head imaging (16, 34.0%), mostly via CT (n = 13). The most common sport for boys was football (15, 44.1%), and the most common sports for girls were soccer (4, 30.8%) and cheerleading (4, 30.8%). These athletes reported a variety of symptoms on presentation. It took a mean of 8.8 ± 10.8 days to RTL, 27.3 ± 38.3 days to reach symptom resolution, and 35.4 ± 41.9 days to RTP. When comparing boys versus girls, there appeared to be moderate differences in symptom severity scores (Cohen’s d = 0.44 for SCAT5, 0.13 for Child SCAT5, and 0.38 for Parent SCAT5) and minimal differences in recovery (Cohen’s d = 0.11 for RTL, n = 35; 0.22 for symptom resolution, n = 22; and 0.12 for RTP, n = 21).

CONCLUSIONS
In this cohort of concussed athletes aged 8–12 years, a little less than half of the athletes initially presented to the emergency department, and approximately one-third received acute head imaging. Across all athletes, the mean RTL was slightly more than a week and the mean symptom resolution and RTP were both approximately 1 month; however, much of the cohort is missing recovery outcome measures. This study demonstrated a strong positive correlation between Child SCAT5 and Parent SCAT5 symptom reporting. Future efforts are needed to evaluate differences in clinical presentation and outcomes following SRC between children and older populations.
Gender parity in neurosurgery residencies: an analysis
Authors: Kabangu Jean-Luc , Lei Catherine , Yekzaman Bailey , Minchew Heather , Birney Jalee , Heskett Cody , Lundy Paige , Miller Christopher 
Published: February 2024

OBJECTIVE
The number of women graduating from United States medical schools has reached parity with that of men. However, persistent inequalities and barriers have slowed the pace toward equity in application and representation in neurosurgery residency despite initiatives to increase female representation. The objective of the present study was to assess the advancement of gender parity within neurosurgery residency programs. Additionally, the study aimed to analyze the pipeline dynamics by investigating the effects of attrition on women in neurosurgery, as well as exploring the patterns of female applications to neurosurgery residency programs versus other surgical specialties.

METHODS
Data on the number of active female neurosurgery residents and female applicants to neurosurgery were collected from the Accreditation Council for Graduate Medical Education Data Resource Book from 2007 to 2021 and Electronic Residency Application Service from 2014 to 2022. Linear regression analysis was used to predict the percent of active female residents based on academic year (AY). A Pearson chi-square test was used to determine the odds of a female applying to neurosurgery.

RESULTS
The percent of active female residents in neurosurgery increased from 11.0% in 2007 to 21.8% in 2021. Bivariate linear regression analysis using AY as a predictor of the percent of active females showed a statistically significant correlation. On average, the percent of active female residents increased by 0.65% per year. If trends persist, parity for females in neurosurgery will not be reached until 2069. Linear regression analysis of the overall rate of attrition in neurosurgery as a predictor of the percent of active female residents revealed that for every 1% increase in the rate of attrition, the percent of active female residents decreased by 2.91% (p = 0.001). The percent of female applicants to neurosurgery increased from 19.6% in 2014 to 29.8% in 2022 (p = 0.009), yet the odds of a female applying to neurosurgery remain low.

CONCLUSIONS
Neurosurgery continues to struggle with the recruitment of female medical students even as parity has been reached for female medical school matriculants. Greater effort is needed to recruit and retain female applicants to neurosurgery, including increased transparency in match and attrition metrics.
Safety of the immediate use of nonsteroidal anti-inflammatory drugs after adult craniotomy for tumor
Authors: Perez Jennifer L. , Naylor Ryan M. , Bauman Megan M. J. , Harrison Daniel Jeremiah , Knowles Kyelin , Burns Terry C. , Lanzino Giuseppe , Link Michael J. , Peris Celda Maria , Meyer Fredric B. , Van Gompel Jamie , Parney Ian F. 
Published: February 2024

OBJECTIVE
Poor pain control has a negative impact on postoperative recovery and patient satisfaction. However, overzealous pain management, particularly with opioids, can confound serial neurological assessments, increase morbidity, and predispose patients to long-term dependence. Nonsteroidal anti-inflammatory drugs (NSAIDs) are effective in treating postoperative pain and can limit opioid intake, but their use has been limited in patients undergoing craniotomy for brain tumor resection due to concerns of an increased hemorrhage risk. Herein, the authors aim to 1) address the safety of NSAID use in the immediate postoperative setting and 2) determine whether NSAID administration decreases opioid use following craniotomy for tumor resection in adult patients.

METHODS
The authors conducted a retrospective cohort study of patients 18 years and older with an estimated glomerular filtration rate ≥ 60 ml/min/body surface area who had undergone craniotomy for tumor resection at their institution between 2019 and 2021. NSAID use in the first 48 hours following surgery was recorded. Primary outcomes were postoperative hemorrhage requiring a return to the operating room before hospital discharge and within 30 days of surgery. Secondary outcomes were more-than-minimal hemorrhage that did not require reoperation, acute kidney injury, and total opioid use within 48 hours after craniotomy.

RESULTS
Among 1765 reviewed patient records, 1182 were eligible for inclusion in this analysis. Amid these records were 114 patients (9.6%) who had received at least one dose of an NSAID within 48 hours of their craniotomy. Four (0.3%) patients experienced bleeding requiring a return to operating room, one of whom was from the NSAID-treated group (RR 3.12, 95% CI 0.33–29.77, p = 0.30). No significant difference in nonoperative intracranial hemorrhage (RR 1.34, 95% CI 0.54–3.35, p = 0.53), postoperative acute kidney injury, or clinically significant extracranial bleeding was found between the NSAID and no-NSAID groups. Patients in the NSAID group had significantly higher oral morphine equivalent use (median 68 vs 30, p < 0.001).

CONCLUSIONS
Postoperative NSAID use following craniotomy for tumor resection was not associated with an increased risk of hemorrhage requiring a return to the operating room. The authors noted higher opioid use in the patients treated with NSAIDs, which may reflect underlying reasons for the decision to treat patients with NSAIDs in the immediate postoperative period. These data warrant further investigation of NSAIDs as a safe, opioid-sparing postoperative pain management strategy in patients with normal kidney function who are undergoing intracranial tumor resection.
Risk factors for postoperative urinary retention after deep brain stimulation surgery: the role of the subthalamic nucleus
Authors: Porche Ken , Peart Rodeania , Silva Victor , Mampre David , Chandra Vyshak , Zakare-Fagbamila Rasheedat , Foote Kelly , Hilliard Justin D. , Robicsek Steven 
Published: February 2024

OBJECTIVE
Deep brain stimulation (DBS) is a common procedure in neurosurgery used for the treatment of Parkinson’s disease (PD) and essential tremor (ET) among other disorders. Lower urinary tract dysfunction is a common complication in PD, and this study aimed to evaluate the risk factors of postoperative urinary retention (POUR) after DBS surgery in patients with PD compared with patients with ET. Understanding the risk factors associated with this complication may help in the development of strategies to minimize its occurrence and improve patient outcomes.

METHODS
The study was a retrospective analysis of patients who underwent DBS surgery for PD and ET at the University of Florida between 2010 and 2021. The surgical technique used has been described in previous articles and included a two-stage procedure, with stage 1 involving burr hole placement, microelectrode recording, and electrode implantation and stage 2 involving the placement of an implantable pulse generator (IPG). Data were collected on patient characteristics and surgical details and analyzed using univariate and mixed-linear models. Post hoc propensity score matching was used to confirm the association between subthalamic nucleus (STN)–DBS and POUR.

RESULTS
The study included 350 patients (153 with PD and 197 with ET) who underwent 1086 DBS surgeries (lead implantations, IPG placement, and IPG replacements). The POUR rates were 16.6% (79/477), 5.2% (19/363), and 0.4% (1/246) for stage 1, stage 2, and IPG replacement procedures, respectively. Optimal mixed-effects logistic modeling revealed history of urinary retention (OR 9.3, p = 0.004), male sex (OR 2.7, p = 0.011), having an electrode placed or connected for the first time (OR 2.2, p = 0.014), anesthesia time (OR 1.5 for each 30-minute increase, p < 0.0001), preoperative opioid use (OR 1.4 for each additional 10 morphine milligram equivalents, p = 0.032), and Charlson Comorbidity Index (OR 1.4 per comorbidity, p = 0.017) to be significant risk factors for POUR. Having an electrode in the STN was found to be protective of POUR (propensity score–matched analysis: OR 0.2, p = 0.010).

CONCLUSIONS
Most risk factors found to increase the risk of POUR in DBS are not modifiable but are still important to consider in preoperative planning. Opioid use reduction and shorter anesthesia time may be modifiable risk factors to weigh against their alternative. Targeting the STN during DBS may result in decreased rates of POUR. This highlights the potential for STN-targeted DBS in reducing POUR risk in PD and ET patients.
Effectiveness and safety of MR-guided focused ultrasound thalamotomy in patients with essential tremor and low skull density ratio: a study of 101 cases
Authors: Hino Sakae , Maki Futaba , Yamaguchi Toshio , Kaburagi Mayumi , Nakano Masayuki , Iwamuro Hirokazu , Takasaki Masahito , Iijima Ken , Kanouchi Masashi , Sasanuma Jinichi , Watanabe Kazuo , Hasegawa Yasuhiro , Yamano Yoshihisa 
Published: February 2024

OBJECTIVE
The objective was to investigate the effectiveness and safety of MR-guided focused ultrasound (MRgFUS) treatment in patients with essential tremor, particularly those with low skull density ratio (SDR) and including those with very low SDR, and to identify the factors influencing treatment effectiveness and to provide insights into therapeutic approaches for patients with lower SDR.

METHODS
Real-world data from 101 patients who underwent MRgFUS between July 2019 and March 2022 at a single institution were analyzed. Tremor severity was assessed using the Fahn-Tolosa-Marin Clinical Rating Scale for Tremor (CRST). The patients were categorized into quartile groups based on their mean SDR, and the characteristics, treatment effectiveness, treatment parameters, and adverse events were evaluated among these subgroups.

RESULTS
Patients were classified into 4 quartiles based on the mean SDR: quartile 1 (Q1) (SDR 0.26–0.37), Q2 (SDR 0.38–0.42), Q3 (SDR 0.43–0.49), and Q4 (SDR 0.50–0.75). MRgFUS significantly improved total CRST and tremor score across all SDR subgroups. Additionally, there were no significant differences in the improvement rates among the 4 subgroups. Analysis of the treatment parameters revealed that lower mean SDR was associated with lower target maximum temperature and smaller coagulation volume after focused ultrasound (FUS). Regarding adverse events, headache and nausea during FUS and facial and head edema on the day after surgery were more frequent in the Q1 subgroup (very low-SDR group). In contrast, numbness was more common in the Q4 subgroup. However, all these adverse events had resolved by the 3-month follow-up except numbness.

CONCLUSIONS
This study suggested that MRgFUS is effective and safe for patients with medication-resistant essential tremor, including those with very low mean SDR. However, the very low-SDR group had insufficient temperature elevation at the target site compared with the high-SDR group, suggesting the need for a different strategy. Notably, with careful adjustments and considerations, positive outcomes can still be achieved in patients with very low SDR. Therefore, very low SDR should not be considered an absolute exclusion criterion because it is expected to increase the number of patients who benefit from MRgFUS.
The Lenticular
Authors: Ganz Jeremy C. 
Published: February 2024

OBJECTIVE
The lenticular was an instrument introduced by Galen to facilitate cutting the bone of the cranium. Illustrations of the instrument first appeared in the 16th century during the Renaissance. These illustrations have been widely used, but the instrument’s shape seems ill-adapted to its function. Archaeological research in Rimini, Italy, unearthed a similar instrument with a shape that seems more suitable for the function of cutting cranial bone. The object of this study was to evaluate the efficacy of these two instruments for cutting the bone of the cranium.

METHODS
Replicas of the two instruments were obtained. Trepanation was performed in the left parietal region of a sheep’s head. In addition, the application of the instruments in the literature was analyzed.

RESULTS
The Roman lenticular cut the cranium with ease. The Renaissance instrument failed to cut the bone and only separated the dura mater from the bone. The lenticular had been used to cut bone up to the 13th century. In contrast, the Renaissance instrument was not used to cut bone but to smooth roughened bony surfaces and to remove spicules of bone that were in contact with the dura.

CONCLUSIONS
Analysis of illustrations in medical publications should be undertaken with the same rigor as applied to analysis of text.
Intraoperative neuromonitoring potentials and evidence of preserved neuronal circuitry below the anatomical and functional level in patients with complex spinal dysraphism undergoing detethering reoperations
Authors: McGrath Margaret , Sivakanthan Sananthan , Durfy Sharon , Lee Amy , Browd Samuel , Hauptman Jason S. , Ellenbogen Richard G. , Kinney Gregory A. , Ojemann Jeffrey G. , Goldstein Hannah E. 
Published: February 2024

OBJECTIVE
Spina bifida represents one of the most common birth defects, occurring in approximately 1–2 children per 1000 live births worldwide. The functional level of patients with spina bifida is highly variable and believed to be correlated with the anatomical level of the lesion. The variable clinical picture is well established, but the correlation with anatomical level and intraoperative neuromonitoring (IONM) data has not been investigated. Furthermore, the potential for preserving function beyond the apparent clinical level has also not been investigated. The objective of this research was to determine the presence and level of intraoperative transcranial motor evoked potential (tcMEP) and triggered electromyography (tEMG) responses, and the association of these responses with preoperative clinical function and radiographic data in pediatric cases of complex tethered cord release reoperations.

METHODS
A single-center retrospective review of pediatric patients with complex spinal dysraphism undergoing detethering reoperations was conducted. Preoperative demographic and clinical data, including the radiographic and clinical level of dysraphism, were collected. IONM, including tcMEPs and tEMG responses, were obtained and compared with preoperative clinical data. Descriptive analysis was performed, by patient for demographics and by case for surgeries performed.

RESULTS
In 100% of 21 cases of complex detethering reoperations, representing 20 patients, intraoperative tcMEPs could be generated at (4.8%) or below (95.2%) the level of clinical function. Compared with the preoperative clinical examination, 5 cases (23.8%) demonstrated tcMEP responses that were 1 level below the clinical function level, 11 cases (52.4%) were 2 levels below, and 4 cases (19.0%) were 3 levels below. Overall, 18 of 21 cases showed tEMG responses at or below the level of clinical function; of these, 7 cases (33%) were 1 level below and 3 (14%) were ≥ 2 levels below the clinical function level.

CONCLUSIONS
The presence of positive stimulation potentials below the level of clinical function in patients with complex spinal dysraphism undergoing detethering reoperations indicates a degree of preserved neuronal connectivity. These findings suggest novel future treatment approaches for these patients, including using devices targeted to stimulation of these neurological pathways.