bluuebunny/crossref_metadata_2025_split huggingface dataset:
The Effect Of White Sweet Potato Substitution On The Quality Of Wet Noodles
Authors: Viozani Ramadhanti , Holinesti Rahmi 
Published: November 2023

Penelitian ini bertujuan untuk menganalisis pengaruh substitusi ubi jalar putih sebanyak 30% terhadap kualitas bentuk, warna, aroma, tekstur dan rasa mie basah. Jenis penelitian ini adalah eksperimen menggunakan metode kuantitatif dengan uji organoleptik. Data yang digunakan adalah data primer yang diperoleh langsung dari 3 orang panelis ahli dengan format pengisian uji organoleptik terhadap kualitas mie basah dengan substitusi ubi jalar putih. Data yang diperoleh kemudian ditabulasikan dalam bentuk tabel dan dilakukan uji ketinggian terhadap masing-masing variabel X 1 dan X 2 untuk mengetahui apakah terdapat mean perbandingan pada variabel tersebut menggunakan uji independen semple t-tes. Hasil penelitian ini menunjukkan bahwa terdapat pengaruh substitusi ubi jalar putih sebanyak 30% yang signifikan terhadap kualitas warna, sedangkan untuk kualitas bentuk, aroma, tekstur dan rasa tidak berpengaruh. Hasil analisis data diperoleh skor pencapaian tertinggi secara keseluruhan yaitu bentuk 3,67 (cukup rapi dan seragam), warna 3,89 (cukup kuning), aroma 3,89 (cukup beraroma harum khas mie basah), tekstur kenyal 3,67 (cukup kenyal), tekstur mudah putus 3,11 (cukup mudah putus), rasa 3,67 (cukup rasa gurih) dan rasa khas ubi jalar 2,00 (kurang khas ubi jalar). Hasil uji kualitas mie basah terbaik dengan substitusi ubi jalar pada perlakuan X2 dengan substitusi ubi jalar sebanyak 30%.
Pareto Gains from Limiting Compensation Options
Authors: Pal Debashis , Sappington David E. M. , Topolyan Iryna 
Published: November 2023

Abstract
We examine the effects of a single payment structure policy (SPP) that prevents an employer from offering an employee a choice among compensation structures. An SPP reduces the employer's profit and increases the employee's welfare when the employee's (privately known) ability is exogenous. In contrast, an SPP can increase both the employer's profit and the employee's welfare when the employee's ability is endogenous. An SPP secures these Pareto gains by restricting the employer's ability to limit the rent the employee earns from high ability, thereby inducing the employee to increase his human capital investment.
Marcadores tumorais e risco de recorrência para o câncer diferenciado de tireoide
Authors: Garrett Mairim Ira Silva Brugnoli , Ramos Diana Weil Pessôa 
Published: November 2023

Objetivo: Revisar a literatura acerca dos marcadores tumorais e o risco de recorrência do câncer diferenciado de tireoide em pacientes adultos. Revisão bibliográfica: A dosagem de tireoglobulina (Tg) sérica é um exame com diversas limitações, o que pode determinar resultados falsamente baixos. Apesar disso, é um exame de fácil acesso e a utilização na prática clínica contribui para o rastreio de recorrência ou persistência de CDT precocemente quando ainda não há presença de doença estrutural detectável em métodos de imagem. Após tratamento cirúrgico inicial todos os pacientes devem ser estadiados e estratificados quanto ao risco de recorrência para CDT com avaliações incluindo marcadores tumorais e quando necessário com realização exames de imagem para rastreio de doença residual. Considerações finais: A tireoglobulina e a antitireoglobulina são marcadores tumorais com papel fundamental para seguimento de pacientes após tratamento cirúrgico de câncer de tireoide, entretanto, outras estratégias podem ser utilizadas para melhorar o rastreio de doença estrutural de CDT, utilizando exames de imagem como tomografia computadorizada, ressonância magnética, pesquisa de corpo inteiro com Iodo 313 e Pet Scan.
ISOLATION AND IDENTIFICATION OF SOME BACTERIA FROM COW'S MILK IN NORTHERN IRAQ
Authors: Fattah Omar Abdul-Karim 
Published: November 2023

A total of 190 bacterial strains were isolated from both apparently healthy cows and those suffering from mastitis. The isolates were identified and classified according to their cultural, morphological, and biochemical characteristics. Staph. aureus was dominant bacterium (44.2%), being followed by E.coli (21%), P. aeruginosa (11.5%), and Strept.agalactiae (7.4)%. The Staph. aureus strains were studied most intensively, during the course of the investigation. The toxic properties of the strains were compared with other physiological properties and with their susceptibility to antibiotics. Resistance to antibiotics was slightly more widespread among the toxigenic than the nontoxigenic strains as indicated by the in vitro sensitivity test.
Simultaneous versus staged bilateral carpal tunnel release via open and endoscopic surgeries: a retrospective propensity score–matched patient comorbidity analysis
Authors: Bhanja Debarati , Freedman Zachary , Daggubati Lekhaj , Moeckel Camille , Rizk Elias 
Published: November 2023

OBJECTIVE
Carpal tunnel syndrome (CTS) presents bilaterally in nearly 60%–70% of affected patients. Bilateral carpal tunnel release (CTR) can be performed in a staged or simultaneous fashion. There remains a limited understanding of the optimal preoperative factors to use for patient selection when determining simultaneous versus staged bilateral CTR. Moreover, it is unclear how these factors influence postoperative outcomes. In this study, the authors aimed to identify and compare preoperative comorbidities and postoperative outcomes in patients who had undergone simultaneous versus staged open and endoscopic bilateral CTR.

METHODS
The authors performed a retrospective analysis of data collected from the TriNetX database. Patients with bilateral CTS who had been treated from February 1, 2002, to February 1, 2022, were dichotomized by their bilateral release approach: simultaneous or staged within 3 months. The resulting groups were analyzed separately by open versus endoscopic techniques. Next, cohorts were analyzed for preoperative comorbidities to identify possible factors for surgical determination. Then, they were propensity score matched on demographics and comorbidities. Postoperative outcomes within 6 months of surgery were measured with and without matching.

RESULTS
After matching, 9286 and 3709 patients remained in the open and endoscopic groups, respectively. Those who had undergone staged surgeries via an open or endoscopic approach had more preoperative comorbidities. After matching, staged open release was associated with significantly higher rates of postprocedural care, hand/joint pain, limb pain, trigger finger, and upper respiratory tract infections. Simultaneous open release was associated with higher rates of emergency room visits. Staged endoscopic release was associated with significantly higher rates of postprocedural care, limb pain, and trigger finger. No significant outcomes were favored in the simultaneous endoscopic group.

CONCLUSIONS
Before matching, patients who had undergone staged CTR had significantly higher rates of preoperative medical comorbidities compared with patients in the simultaneous CTR group. Moreover, staged CTR was significantly associated with higher rates of postoperative complications. After matching on demographics and comorbidities, staged CTR was still associated with higher rates of postoperative complications, suggesting that preoperative comorbidities do not influence postoperative outcome. Further prospective studies could be used to validate these results and provide new findings for the management and treatment of these groups.
What factors influence surgical decision-making in anterior versus posterior surgery for cervical myelopathy? A QOD analysis
Authors: Park Christine , Shaffrey Christopher I. , Than Khoi D. , Michalopoulos Giorgos D. , El Sammak Sally , Chan Andrew K. , Bisson Erica F. , Sherrod Brandon A. , Asher Anthony L. , Coric Domagoj , Potts Eric A. , Foley Kevin T. , Wang Michael Y. , Fu Kai-Ming , Virk Michael S. , Knightly John J. , Meyer Scott , Park Paul , Upadhyaya Cheerag , Shaffrey Mark E. , Buchholz Avery L. , Tumialán Luis M. , Turner Jay , Agarwal Nitin , Chou Dean , Chaudhry Nauman S. , Haid Regis W. , Mummaneni Praveen V. , Bydon Mohamad , Gottfried Oren N. 
Published: November 2023

OBJECTIVE
The aim of this study was to explore the preoperative patient characteristics that affect surgical decision-making when selecting an anterior or posterior operative approach in patients diagnosed with cervical spondylotic myelopathy (CSM).

METHODS
This was a multi-institutional, retrospective study of the prospective Quality Outcomes Database (QOD) Cervical Spondylotic Myelopathy module. Patients aged 18 years or older diagnosed with primary CSM who underwent multilevel (≥ 2-level) elective surgery were included. Demographics and baseline clinical characteristics were collected.

RESULTS
Of the 841 patients with CSM in the database, 492 (58.5%) underwent multilevel anterior surgery and 349 (41.5%) underwent multilevel posterior surgery. Surgeons more often performed a posterior surgical approach in older patients (mean 64.8 ± 10.6 vs 58.5 ± 11.1 years, p < 0.001) and those with a higher American Society of Anesthesiologists class (class III or IV: 52.4% vs 46.3%, p = 0.003), a higher rate of motor deficit (67.0% vs 58.7%, p = 0.014), worse myelopathy (mean modified Japanese Orthopaedic Association score 11.4 ± 3.1 vs 12.4 ± 2.6, p < 0.001), and more levels treated (4.3 ± 1.3 vs 2.4 ± 0.6, p < 0.001). On the other hand, surgeons more frequently performed an anterior surgical approach when patients were employed (47.2% vs 23.2%, p < 0.001) and had intervertebral disc herniation as an underlying pathology (30.7% vs 9.2%, p < 0.001).

CONCLUSIONS
The selection of approach for patients with CSM depends on patient demographics and symptomology. Posterior surgery was performed in patients who were older and had worse systemic disease, increased myelopathy, and greater levels of stenosis. Anterior surgery was more often performed in patients who were employed and had intervertebral disc herniation.
Risk factor analysis of refracture in the same cemented vertebra after percutaneous kyphoplasty for Kümmell’s disease
Authors: Chen Tangyiheng , Chu Genglei , Qu Yimeng , Wang Yujie , Lin Cheng , Hu Nan , Yang Huilin , Li Xuefeng , Jiang Weimin , Liu Yijie 
Published: November 2023

OBJECTIVE
The objective of this study was to evaluate the factors that affect refracture in the same cemented vertebra after percutaneous kyphoplasty (PKP) for Kümmell’s disease (KD) and establish a risk prediction score.

METHODS
A total of 2932 patients who were treated with PKP for KD between January 2019 and December 2021 were retrospectively reviewed. After inclusion and exclusion criteria were applied, 191 patients were included in the study. According to the criteria for refracture, there were 50 patients in the refracture group and 141 patients in the no-refracture group. Twenty-five factors were analyzed. Patient demographics, medical history, imaging data, surgical data, and postoperative management were reviewed. Multivariate logistic regression modeling was used to identify the independent risk factors for refracture. Receiver operating characteristic (ROC) curve analysis was used to assess and establish a risk score system and further predict the risk of refracture.

RESULTS
In this study, 50 (26.2%) patients developed a refracture. Through univariate analysis, bone mineral density (BMD) (p < 0.001), compression rate (p = 0.007), classification (i.e., the stages determined by the compression ratios) (p < 0.001), bone cement volume (p < 0.001), volume fraction (p < 0.001), distribution pattern (p = 0.007), non-PMMA endplate contact (p < 0.001), and anti-osteoporosis therapy (p < 0.001) were found to be significant factors for post-cement vertebral refracture after PKP in patients with KD. Three independent risk factors were found to be significant for refracture: small volume fraction, low BMD, and no anti-osteoporosis therapy. One point was assigned for each factor. The incidence rates of refracture in patients with scores of 0, 1, 2, and 3 were 3.7%, 4.4%, 42.0%, and 100%, respectively. The area under the ROC curve for this risk prediction score was 0.888 (p < 0.001), indicating moderate accuracy.

CONCLUSIONS
Volume fraction, BMD, and osteoporosis therapy are the main factors influencing the refracture of the same cemented vertebra in KD. On the basis of these factors, the risk prediction score developed in this paper can be used to forecast the incidence of refracture.
Efficacy of intraoperative visual evoked potential amplitude reduction in predicting visual outcome after extended endoscopic endonasal resection of craniopharyngiomas
Authors: Tao Xiaorong , Fan Xing , Gui Songbai , Liu Jiajia , Yang Xiaocui , Li Ke , Yang Jun , Li Chuzhong , Qiao Hui 
Published: November 2023

OBJECTIVE
Postoperative visual outcome is a major concern of neurosurgeons for patients with craniopharyngiomas. The current study aimed to investigate the value of visual evoked potential (VEP) amplitude reduction (N75-P100 and P100-N145) for predicting postoperative visual dysfunction (POVD) and refining current warning criteria for VEP monitoring.

METHODS
Data from 96 patients who underwent the extended endoscopic endonasal approach for craniopharyngiomas between October 2020 and November 2021 were retrospectively reviewed. VEP amplitude reduction ratios were calculated and compared between patients with POVD and those without. Subsequently, the critical threshold values of VEP amplitude reduction ratios for predicting POVD were obtained through receiver operating characteristic curve analysis. Finally, multivariate binary logistic regression analysis was applied to evaluate the effect of potential factors on the probability of experiencing POVD.

RESULTS
Both N75-P100 and P100-N145 amplitude reduction ratios were significantly higher in patients with POVD (p < 0.001 for both). The threshold value of the N75-P100 amplitude reduction ratio for predicting POVD was 51.76% with an area under the curve (AUC) of 0.816 (p < 0.001), while the threshold value of the P100-N145 amplitude reduction ratio was 38.80% with an AUC of 0.738 (p < 0.001). Both N75-P100 and P100-N145 amplitude reduction ratios were identified as independent predictors for POVD via multivariate analysis (p < 0.001 and p = 0.018, respectively).

CONCLUSIONS
Both N75-P100 and P100-N145 amplitude reduction ratios showed great potential to be indicators for POVD in patients with craniopharyngiomas. Regarding warning criteria for VEP monitoring, the authors recommend that both N75-P100 and P100-N145 amplitude reduction should be considered, with early warning criteria of a 50% reduction for N75-P100 amplitude and/or a 40% reduction for P100-N145 amplitude.
Long-term outcomes of deep pediatric arteriovenous malformations
Authors: Agarwal Prateek , Sharma Nikhil , Nayar Gautam , Jacobs Rachel C. , Al-Bayati Alhamza , Lunsford L. Dade , McDowell Michael M. , Greene Stephanie 
Published: November 2023

OBJECTIVE
Multimodality treatment has been shown to be the optimal management strategy for pediatric arteriovenous malformations (AVMs). Deep AVMs represent a subset of AVMs for which optimal management may be achieved with a combination of radiosurgery and highly selective embolization, in the absence of compelling features requiring operative intervention. The objective of this study was to identify predictors of good functional outcomes in pediatric patients with deep AVMs.

METHODS
A retrospective cohort study of the outcomes of 79 patients with deep AVMs from January 1988 through December 2021 was performed. Deep AVMs were defined as those with the majority of the nidus centered in the basal ganglia, thalamus, or brainstem. Collected data included patient demographics and presenting symptoms, presenting modified Rankin Scale (mRS) score, radiographic findings and outcomes, management strategy, complications, and clinical outcomes as indicated by follow-up mRS score. A good outcome was defined as a follow-up mRS score ≤ 2, while a poor outcome was defined as a follow-up mRS score ≥ 3. Statistical analysis was performed to identify factors associated with functional outcomes.

RESULTS
With a mean follow-up duration of 85.6 months, there was a 72.2% angiographic obliteration rate, with 75.9% of patients having a good clinical outcome (mRS score ≤ 2). Presenting symptoms and radiographic characteristics were not significantly associated with long-term functional outcomes. There was a significantly higher rate of posttreatment hemorrhage in patients with a poor versus good outcome (11.8% vs 0%, p = 0.010). On multivariate logistic regression analysis, poor long-term functional outcome was only associated with poor presenting mRS score (p = 0.002).

CONCLUSIONS
Satisfactory angiographic obliteration rates and good long-term functional outcomes can be achieved for deep AVMs, with stereotactic radiosurgery as the cornerstone of multimodality treatment.
Reducing the rate of surgical site infection using iodophor-impregnated adhesive incision draping in spine surgery compared with standard adhesive incision draping: a study in 2279 patients
Authors: Gencer Aylin , Schichor Christian , Tonn Joerg-Christian , Siller Sebastian 
Published: November 2023

OBJECTIVE
While adhesive incision drapes are widely used for reducing surgical site infection (SSI), evidence remains scarce on whether impregnated adhesive incision draping can further reduce the rate of SSI in spine surgery.

METHODS
All patients treated surgically in the authors’ high-volume university spine center from January 2018 to December 2021 were retrospectively evaluated and divided into cohorts treated before (the control cohort) and after (the study cohort) introduction of an iodophor-impregnated adhesive incision drape (instead of a standard nonimpregnated adhesive incision drape) at their institute. Epidemiological aspects, baseline characteristics, operative records, and rate and characteristics of postoperative SSI were analyzed and compared between cohorts.

RESULTS
Two thousand two hundred seventy-nine consecutively treated patients were included, with an overall SSI rate of 0.5%. Baseline patient findings and surgical characteristics (including indication, localization, procedure, and duration of surgery) did not significantly differ between the 1125 patients in the control cohort and the 1154 patients in the study cohort. Uni- and multivariate analyses showed that use of an iodophor-impregnated adhesive incision drape was the only factor significantly associated with a lower risk of SSI. The SSI rate was significantly lower in the study cohort (0.2% vs 0.8%, p = 0.036). While germs of the skin microbiome such as Staphylococcus epidermidis and S. aureus were predominantly prevalent in both cohorts, fecal germs such as Enterococcus/Enterobacter species were found only in the control cohort and not in the study cohort.

CONCLUSIONS
The use of iodophor-impregnated adhesive incision drapes in spine surgery can help to lower the rate of postoperative SSI and aid in reducing the risk of fecal germ infections.
The Protection of The Rights of Musyarakah Guarantee Owner Through Judge's Decision
Authors: Sholeh Abdul Halim Muhamad 
Published: November 2023

<table width="574" border="0" cellspacing="0" cellpadding="0"><tbody><tr><td valign="top" width="366"><p>In this context, sometimes there is a disparity in decisions between those who ratify the execution of guarantees and auctions only based on the fact that the customer has defaulted by not paying the installments, and there are judges who consider the negligence factor whether it was intentional by the customer or beyond the ability of the customer, so it is the same case namely the existence of a default, but the decision is different due to different interpretations of the concept of negligence in the Indonesian bank regulations or the DSN MUI fatwa. This research is to answer three questions in the study, namely: (1) What is the basis for consideration and legal reasoning by the judges in resolving cases of disputes over the execution of guarantees in <em>musyarakah</em> financing? (2) Why does the decision disparity occur in handling disputes over the execution of guarantees in <em>musyarakah</em> financing? (3) Has the construction of the judge's decision provided protection for the rights of the owner of the guarantee in <em>musyarakah</em> financing? This type of research includes a variety of legal research with a normative juridical study pattern. To answer the problems in the research, the author examines, analyzes and strengthens the argument by using the theory of legal discovery and the theory of justice. The approach used in this research, namely the case approach is used to examine, explore, and examine judge decisions and the philosophical approach is used to explore in depth legal issues regarding the execution of Musyarakah guarantees from various aspects to explain in depth the concept of negligence so as to protect the rights of customers as guarantee owners. The results of this study indicate, firstly, in providing legal considerations and reasoning in the decision on the execution of musyarakah guarantees, the judge based on two different tendencies. Some judges apply legal norms as they are without interpreting and others carry out interdisciplinary interpretations. Second, disparities in decisions arise due to (i) differences in interpreting statutory provisions which give rise to different methods of legal discovery and interpretation (ii) differences in assessing evidence and (iii) differences in the dynamics of thinking due to differences in understanding the meaning of law. Third, the protection of the rights of the guarantee owner in the construction of judge's decisions is still diverse.</p><p> </p><p><em> </em></p></td></tr></tbody></table>
Digitalization of Electronic Public Service Systems in Village Government: State Administration Law Perspective
Authors: Fasyehhudin Mohamadfasyehhudin 
Published: November 2023

<span lang="IN">Tujuan penelitian ini adalah untuk menganalisis bagaimana efektifitas sistem pelayanan dan informasi berbasis digital terhadap layanan administrasi pemerintahan desa sebagai layanan yang efektif dan efisien dan menganalisis faktor-faktor kelemahan sebagai penghambat sistem layanan dan informasi publik berbesis digital (elektronik) di Pemerintahan Desa</span><span lang="EN-US">. </span><span lang="IN">Penelitian ini menggunakan metode penelitian hukum normatif</span><span lang="EN-US">.</span><span lang="IN">Hasil penelitian ini adalah Komitmen Pemerintah Kabupaten Serang yang menjadi prioritas dari seluruh jumlah desa di Kabupaten Serang, sebanyak 326 Desa, yang sudah terpasang wifi sebagai sinyal internet, 151 Desa, yang sudah aktif melakukan pelayanan digital sebanyak 47 desa, yang menjadi Pilot Projek terdiri dari <span>enam (6) desa. </span>Implementasinya belum berjalan efektif sebagaimana komintmen pemerintah Kabupaten Serang. Faktor kelemahan yang menghambat efektifitas penggunaan sistem layanan dan informasi berbasis digital (elektronika) , adalah : a. Tekanan dari dalam dan luar pemerintah diperlukan integritas untuk membangunan sistem layanan dan informasi yang efektif dan efisen di desa, b. Kurangnya interaksi yang melayani dan yang dilayani antara pemerintahan desa dan masyarakat belum berjalan secara sinergi c. Sistem layanan dan informasi berbasis digital masih belum dikuasai baik teknis maupun non teknis di internal pemerintahan desa dan masyarakat belum menguasai berbagai aplikasi yg tersedia di desa</span>