bluuebunny/crossref_metadata_2025_split huggingface dataset:
Posterior fossa extradural hematoma - clinical presentation and outcome
Authors: Kaushal Yadav , Govind Lodha Krishna , Gaurav Jaiswal , Kumar Gupta Tarun , Bipinbhai Patel Pratik , Suresh Kumawat 
Published: September 2023

Background: Posterior Fossa Extra Dural Hematoma (PFEDH) is a rare entity but certain crucial structures are supposed to be injured. Because of limited space in the posterior fossa, a clinical small volume of hematoma can deteriorate patients. Therefore timely diagnosis and prompt intervention are required.
Objective: This study is done to analyse factors like demographic profile, mode of injury, clinical features in relation to PFEDH and its management and how they influence the outcome.
Materials & methods: This is a retrospective analysis of patients who presented with PFEDH from July 2016 to July 2021 at RNT Medical College and M.B. group of Hospitals Udaipur, India. Patients were evaluated on the basis of demographic profile, mode of injuries, GCS on admission & discharge, and associated radiological findings.
Result: A total of 25 patients with PFEDH were included in this study. Amongst these, 18 (72%) were males, and10 (40%) were less than 18 years of age. On admission 19 (76%) had GCS 13-15.22 (88%) patients underwent surgery and 3 (12%) were planned for conservative management. At 6-month follow-up, 22 (88%) patients had good outcomes with GOS 3-5 and 1 was lost to follow up while 2 (8%) had poor outcomes with GOS 1-2.
Conclusion: GCS on admission is a good predictor of outcome. The volume of EDH was one of the key factors in deciding the line of management. PFEDH can sometimes be rapidly fatal due to expansion of hematoma and compression of posterior cranial fossa space which leads to brain stem compression therefore time management is the most important factor for a good outcome.
The curious case of commitment to religion and prayer in extreme long term survival anaplastic astrocytoma patient
Authors: Tasić Goran , Nikolić Igor , Rasulić Lukas , Janićijević Aleksandar , Aleksić Vuk 
Published: September 2023

Anaplastic astrocytoma WHO (World Health Organization) grade 3 represents about 7% of all primary brain tumours in the adult population. The standard treatment protocol involves safe surgical resection, chemotherapy and radiotherapy. Advances in therapeutic protocols have been noted over the past few decades, but the prognoses are still poor with a median survival of 31 months.
We present a case of a male patient who is alive 25 years after the initial diagnosis and treatment of anaplastic astrocytoma WHO grade 3. The patient was operated and reoperated two times due to local tumour recurrence in the first two years after the initial diagnosis. After the last operation, the patient abandoned medical therapy and started praying. The patient is still alive without any clinical or radiological signs of tumour recurrence.
Endoscopic endonasal transsphenoidal surgery for pituitary adenomas
Authors: Sertdemir Mahmut , Erdi Mehmet Fatih 
Published: September 2023

Endoscopic endonasal transsphenoidal surgery (EETS) is a widely accepted technique for the surgical resection of pituitary tumours. In this report, we present our single-centre experience with EETS for pituitary adenomas, mainly focusing on its efficacy and postoperative complications. Among 100 patients who underwent EETS, 57 (57%) were female and 43 were (43%) male. The mean age of the patients was 51.55 ± 13.51 years. Nonfunctional adenoma was found in 61 (61%) patients, acromegaly was found in 29 (29%) patients, Cushing’s disease in six (6%), and prolactinoma was found in four (4%) patients. On average, a 75.8% decrease in the postoperative tumour volume was observed in nonfunctional adenomas. Surgical cure was achieved in 51.7% of patients with acromegaly, 50% of those with Cushing’s disease, and 25% of those with prolactinoma. The most common postoperative complication was found to be cerebrospinal fluid fistula.
Penetrating thoracic spine injury causing haemothorax
Authors: Rowndzy Injam Ibrahim S. , Rashid Hoshanc Sdeeq , Ismail Mustafa , Saleh Saleh Abdulkareem , Shaker Noor Mohammed , Muthana Ahmed , Ahmed Mohammed Mohsen , Rahem Najat Hassan , Hoz Samer S. 
Published: September 2023

Background. Penetrating spine injuries can cause catastrophic complications to the patient, and it demands immense medical care to minimize the insult. Mainly, it occurs in the military field; however, it has become more prevalent among civilians due to gun availability. The thoracic spine is the most affected part, followed by the cervical and lumbar spine.
Case report. A 15-year-old teenage boy had a penetrating injury to the thoracic (T10) vertebrae due to a missile bullet that resulted in bilateral lower limb weakness and required him to undergo decompressive laminectomy. During surgery, a missed hemothorax was discovered incidentally.
Conclusion. To the best of the author's knowledge, this case of penetrating thoracic spine injury due to a missile bullet associated with missed hemothorax has not been previously reported. This paper discusses the importance of early detection and treatment of injuries associated with penetrating spine trauma to improve patient survival and disability.
Management of brain aneurysm neck-avulsion during clipping surgery
Authors: Al-Ageely Teeba A. , Ismail Mustafa , Alsaadi Salima B. , Salim Fatima F. , Kareem Zahraa M. , Talib Sura H. , Jaafer Huda , Hoz Samer S. 
Published: September 2023

Background. Intra-operative rupture (IOR) of intracranial aneurysms is a critical event affecting the operation course and the patient’s outcome. However, A rupture induced by an avulsion in the aneurysmal neck is exceedingly challenging, as sealing the neck tear by clip application might result in ischemic injury due to parent vessel occlusion. Here we reviewed the literature regarding the intraoperative avulsion of the aneurysmal neck with an illustrative case to provide explanations of its surgical management intricacies.
Methods. A Midline PubMed literature review was performed using the following keywords; (Aneurysm) AND (neck) AND (surgery or clipping) AND (tear OR avulsion). Fifty-three results were found initially. After excluding non-human subject studies, and non-English studies, two independent researchers examined the title and the abstract for the cases of neck tear or avulsion with its management.
Results. Fourteen articles were found to be included in this study. The average age of the cases is around 57 years. The percentages of females in the review were 62% (8/13), and among the males, 38% (5/13). Regarding the locations, PcomA and AcomA were both 23% (3/13) of the cases; other locations include ACA, 15%, and MCA, 15%. The surgical techniques that opted from the literature include the cotton clip method, clip wrapping, parallel clipping and micro-suturing
Conclusion. IOR due to aneurysmal neck avulsion is a devastating surgical complication, and its management may differ according to the extent of the rupture. Choosing the most convenient technique depends on the surgeon’s knowledge and experience.
West syndrome and multiple sclerosis association
Authors: Si Ahmed Hakim , Lilia Megherbi , Smail Daoudi 
Published: September 2023

Introduction. West syndrome is a rare and severe infantile epileptic encephalopathy, beginning around the age of six months, characterized by a classic electro-clinical triad. This is a pathology totally different from multiple sclerosis (MS) which is a demyelinating disease of the central nervous system caused, affecting young adults, especially females. The association of these two pathologies has never been described.
Observation. We report here an exceptional presentation of MS in a 14-year-old girl with a history of West syndrome. She had normal development until the age of six months, when she began to have flexion spasms. The diagnosis of West syndrome was made with a normal MRI. The infantile spasms disappeared after treatment with vigabatrin and adrenocorticotropic hormone (ACTH). It had generally progressed to Lennox Gastaut encephalopathy, with delayed psychomotor development and epileptic sequelae. At 14, she presented with left hemiparesis within a few days. A cerebral MRI showed multiple nodular hyperintensities of the supra and infratentorial white matter, with the presence of an active lesion, fulfilling the diagnostic criteria for multiple sclerosis. CSF analysis was normal. Anti-AQP4, anti-MOG, anti-NMDA and anti-GABA (AB) antibodies were absent in the blood. Antibodies against HIV and viral hepatitis were. Biotinidase activity and autoimmunity tests were correct. The patient received high doses of methylprednisolone IV (1g/day) for three days with remarkable clinical improvement after 15 days.
Discussion. MS is a complex and heterogeneous central nervous system (CNS) demyelinating disease. It is not uncommon for epilepsy to be the first symptom of multiple sclerosis. Seizures, on the other hand, are more common after disease progression. Although the disease is characterized by inflammatory lesions of the white matter, various neuropathological and radiological studies have shown that the disease also affects the grey matter. Several studies have shown that seizures are three to six times more common in MS patients than in the general population. Even though MS can start with epilepsy and a seizure may be the only symptom of a relapse of MS, it is still not known whether the two diseases coexist or whether MS predisposes to seizures.
Conclusion. The association of these two totally different pathologies can lead us to say that the mechanism of multiple sclerosis may begin in childhood and that the clinical signs appear in adulthood.
Prospective study of selective intra-arterial cerebral infusion and intra-operative local application of carboplatin for recurrent glioblastoma multiformis
Authors: Hamid Tareq Abdul Ghani , Mahmoud Ibrahim Abdul Wahab , Awad Ibrahim Ali , Youssef Amer Talal Ahmed , Zakaria Wael K. 
Published: September 2023

Background. High-grade glioma is the commonest primary malignant brain tumour in adults. Intra-arterially selectively infused chemotherapeutic agents into the tumour bulk is being widely trialled recently with promising results.
Methods. This is a prospective study designed between November 2015 and November 2019. Thirty patients were diagnosed with recurrent histo-pathologically proven GBM after one surgery at least and followed by standard radiotherapy and temodal. Patients aged between 37-76 years, 18 males and 12 females were subdivided into group A of 21 patients who underwent intra-arterial delivery of carboplatinand group B of 9 patients who underwent re-surgical resection and local application of carboplatin.
Results. The mean age of the included cases was 55.4 years (range, 37-76 years). Selective intra-arterial injection was performed in 21 cases (70%), while the remaining 9 cases (30%) had local application of carboplatin in the tumour bed. Post-treatment vomiting was reported in 7 cases (23.3%). Significant and partial responses were achieved in 2 cases for each (6.7%). Time to tumour progression had a mean of 19.03 weeks (range, 3 – 30 weeks). After receiving carboplatin, the study cases had a mean survival of 26.5 weeks (range, 6 – 70 weeks). Intra-arterial injection had significantly better results compared to local tumour bed infiltration (p = 0.01).
Conclusion. Although recurrent glioblastoma multiformis has poor survival, intra-arterial delivery of carboplatin may have a slight positive impact on patient survival. The procedure however is relatively safe with manageable complications.
Mourad Farag and His Book, The Karaites and the Rabbanites
Authors: Nemoy Leon 
Published: September 2023

The modern history of Karaism and Karaites is one of the most neglected corners in the whole field of Jewish and Near Eastern studies. Particularly in the 20th century, unrecorded history is bound to become permanently lost history, an eventuality surely to be regretted.
The present paper attempts to rescue from oblivion a recent member of the Cairene Karaite community. Mourad Farag (1867-1955), born in a family of goldsmiths, became a successful attorney at law, but devoted much of his leisure to Jewish studies and became a self-taught scholar in this field. He published a long series of works in Hebrew grammar, comparative Hebrew and Arabic philol¬ ogy, Karaite law, Biblical exegesis, and kindred subjects, as well as copious Arabic and Hebrew poetry. The paper examines in particular detail his work entitled The Karaites and the Rabbanites, in which he goes into great detail in examining the differences between the two camps, as well as the history of the Karaites and their literary activity. His intention throughout is to avoid intolerance and recriminations and to promote mutual understanding, and he is equally opposed to extremism on either the Karaite or the Rabbanite side. If occasionally he bases his conclusions on insufficient evi¬ dence, this is probably due to his lack of access to, or inability to read fluently, the pertinent Rabbanite sources in the original. On the other hand, in some aspects, for example in his concern for the rights of women, he is clearly under the influence of modern Western thought. An important product of modern Karaite literature ; neither work nor author should be permitted to lapse into oblivion.
Long-term stability of low-temperature deposited Cat-CVD SiN
x
thin film against damp-heat stress
Authors: Thi Cam Tu Huynh , Ohdaira Keisuke 
Published: September 2023

Abstract
In this paper, we systematically investigated the damp heat (DH) stability of silicon nitride (SiN
x
) films formed by catalytic CVD (Cat-CVD) at low substrate temperatures (T
sub) of 100 °C–137 °C, aiming at application as a gas barrier and antireflection layer of perovskite/silicon tandem solar cells. We have found that the optical properties of the SiN
x
films, such as refractive index and reflection of the films, were changed only slightly for <2% after DH testing for >500 days. The Fourier transform IR spectroscopy studies demonstrated that the SiN
x
films were hardly oxidized under the DH test for the sample formed at high T
sub. A slight oxidization occurs only in the SiN
x
film formed at a low T
sub of 100 °C after DH testing for 274 days. These results indicate the high stability of the Cat-CVD SiN
x
films and their feasibility for application in the surface coating of solar cells.
On the BER Analysis of NOMA Systems
Authors: Al-Dweik Arafat , Bedoui Abla , Iraqi Youssef 
Published: September 2023

<p>The bit error rate (BER) analysis of non-orthogonal multiple access (NOMA) has been widely considered in the literature with the assumptions of perfect and imperfect successive interference cancellation (SIC). For both cases, exact closed-form formulas were derived under various channel models, number of users, and modulation orders. However, all the analysis reported overlooked the transformations that affect the additive white Gaussian noise (AWGN) probability density function (PDF) after the SIC process. Therefore, the signal model after the SIC process is generally inaccurate, which makes the analysis just approximations rather than exact. The same discussion applies to the analysis with perfect SIC assumption because the noise after successful SIC is not Gaussian anymore. Therefore, this letter derives the exact noise PDF after the SIC process and evaluates its impact on the BER analysis. The analytical results obtained show that the noise PDF after SIC should be modeled as a truncated Gaussian mixture. Moreover, the PDF after successful and unsuccessful SIC should be modeled differently. Comparing the BER of the legacy perfect SIC formula and the exact one shows that the BER using the exact PDF is generally less than the Gaussian case, particularly for low signal-to-noise ratios (SNRs)and low far-user power allocation. </p>
Poza narracją i fabułą – „Visitors” Godfreya Reggio jako przykład niefikcyjnego kina „avant-doc”. Typologie filmu dokumentalnego
Authors: Zawojski Piotr 
Published: September 2023

W Visitors (2013) Godfrey Reggio korzysta z podstawowych zabiegów formalnych charakterystycznych dla swej autorskiej stylistyki: alternacji zdjęć zwolnionych i poklatkowych oraz synergicznego związku obrazów z muzyką Philipa Glassa, która stanowi rodzaj rytmicznej partytury, determinującej ostateczną wersję montażową. Choć film można traktować jako kolejną części trylogii Qatsi, czyniącą z niej tetralogię, należy zarazem zachować świadomość, że różni się on znacząco od wcześniejszych realizacji twórcy. Autor rozpatruje Visitors jako przykład nienarratywnej formuły avant-doc, łączącej tradycje kina awangardowego i dokumentalnego. Lektura filmu Reggio skłania go do przemyślenia nienarratywnych form sztuki ruchomych obrazów oraz pozycji widza – nie jako odbiorcy, ale kogoś, kto jest głównym producentem znaczeń i w istocie sam staje się storytellerem.
MALIN KUNDANG: THE ANOTHER STORY - PENGEMBANGAN GAME EDUKASI ANDROID DENGAN CERITA INTERAKTIF
Authors: Krisnah Sholikhan Arief , Ronny Makhfuddin Akbar  , Ardiantoro Luki 
Published: September 2023

Seiring berkembangnya zaman, dan perangkat gadget menjadi populer seperti saat ini, budaya dongeng Malin Kundang menjadi ketinggalan zaman dan membutuhkan inovasi namun tetap membawa nilai ajaran luhurnya, lalu menurut data UNESCO menyebutkan minat baca masyarakat Indonesia hanya 0,001%, yang berarti buku edukasi kurang diminati sehingga membutuhkan alternatif selain dari buku misalnya memanfaatkan gadget, untuk menginovasi dongeng Malin Kundang juga membuat alternatif belajar selain dari buku maka dibuatlah penelitian pembuatan permainan Malin Kundang : The Another Story berbasis android, metode penelitian yang digunakan yaitu Multimedia Development Lite Cycle. Permainan ini akan dibuat di Unity menjadi genre RPG dan diinstal diAndroid lalu diujikan ke 30 responden mendapatkan hasil 92,7% menjalankan permainannya dengan lancar, 94% tertarik dengan inovasi dongeng Malin Kundang dalam permainannya, 92,7% setuju permainannya membawakan pelajaran didalamnya, 90% berpendapat alur cerita dalam permainannya menyenangkan untuk dibaca dan dimainkan, 94,7% merasa permainannya mudah untuk dimainkan, secara keseluruhan mendapatkan hasil yang sangat baik.
SIMULASI DETEKSI DAN HITUNG JUMLAH KENDARAAN MENGGUNAKAN YOLOV4 PADA CCTV PERSIMPANGAN JALAN RAYA
Authors: Muhammad Rosyan Amanullah  , Akbar Ronny Makhfuddin , Rosita Yesy Diah 
Published: September 2023

Kendaraan merupakan sarana yang memungkinkan manusia untuk melakukan perjalanan atau berpindah dari satu tempat ke tempat lain, baik dalam jarak dekat maupun jarak jauh. Berbagai jenis kendaraan digunakan oleh orang, seperti sepeda motor, mobil empat roda, truk, dan bus. Deteksi kendaraan merupakan salah satu tugas untuk merekam aktifitas kendaraan pada jalan raya. Saat ini, penggunaan algoritma pembelajaran mendalam dengan jaringan saraf konvolusi (Convolutional Neural Network/CNN) memiliki dampak yang signifikan dalam kinerja deteksi objek. Sistem deteksi objek YOLO (You Only Look Once) merupakan salah satu yang terbaik saat ini dalam mendeteksi objek secara real-time dibandingkan dengan sistem lainnya. Salah satu tantangan utama dalam deteksi objek real-time adalah mencapai kecepatan tinggi tanpa mengorbankan akurasi. Untuk meningkatkan kecepatan, biasanya dilakukan pengurangan resolusi input ke model, namun hal ini dapat mengurangi akurasi karena beberapa fitur objek dapat hilang. Model yang digunakan dalam deteksi objek ini adalah versi keempat dari YOLO, yang dilatih menggunakan dataset yang disusun secara khusus, sehingga menghasilkan performa deteksi dengan tingkat keakuratan yang tinggi dan dapat berjalan secara real-time dalam mendeteksi kendaraan.Hasil tingkat akurasinya adalah 94,3% untuk video siang, 53,3% untuk video malam,hasil dari perhitungan confusion matrix 100% untuk video siang,video malam 93,7%.
SISTEM INFORMASI LEMBAGA KURSUS BRAND BRILLIANT COLLEGE (BBC) DI KABUPATEN MOJOKERTO BERBASIS DESKTOP
Authors: Junior Billy Coster , Mimin Fatchiyatur Rohmah  , Luki Ardiantoro  
Published: September 2023

Perkembangan sistem informasi juga berperan penting dalam transformasi ini. Sistem informasi mengacu pada penggunaan teknologi komputer untuk mengumpulkan, menyimpan, memproses, dan mendistribusikan informasi yang diperlukan untuk operasi bisnis dan pengambilan keputusan. Sistem informasi komputerisasi menggantikan metode manual kertas yang sebelumnya digunakan. Saat ini sistem di Lembaga Kursus dan Pelatihan Brand Brilliant College Mojokerto dalam pelayanan administrasi dan akademik adalah manual, dimana berdampak lamanya proses pencarian dan pengolahan data juga informasi yang dibutuhkan. Maka dari itu metode dalam penelitian ini adalah waterfall dan program yang dibuat menggunakan Microsoft Access dengan fitur yang dibuat sesuai dengan kebutuhan BBC Mojokerto seperti mengelola data siswa, tentor, absensi, nilai, jadwal dan keuangan baik SPP maupun dana lembaga. nilai tertinggi adalah 82,22% dan nilai terendah adalah 74,44% jika dilihat dari persentase tiap perhitungan kuisioner Dengan ini fitur untuk kebutuhan yang diperlukan akan segera digunakan dengan baik dan sesuai harapan BBC Mojokerto mulai dari menyimpan data, membuat laporan sampai mencetak data yang tersimpan nanti di database yang terelasi dari tabel satu ke tabel lainnya.
PENERAPAN SET COVERING PROBLEM PADA JARINGAN RANTAI PASOK
Authors: Kholili Muhammad Soni 
Published: September 2023

Jaringan rantai pasok merupakan sebuah aliran baik barang maupun jasa dari hulu sampai ke hilir. Dalam permasalahan ini kurangnya sebuah responsifitas dan konfigurasi yang terjadi pada toko kelontong membuat aliran produk menjadi kurang maksimal, sehingga dibuatlah sebuah jaringan rantai pasok baru yang dapat meningkatkan hal tersebut demi kepentingan perkembangan selanjutnya. Dengan perubahan zaman seperti ini konsumen selalu menginginkan sebuah kemudahan dalam mendapatkan suatu barang yang diinginkan oleh karena itu konfigurasi yang terpusat diharapkan dapat memaksimalkan aliran sehingga kecepatan dalam order untuk persediaan tercukupi.Metode analisis dan perancangan digunakan hasilnya menunjukkan bahwa dengan meletakkan beberapa toko kelontong diwilayah pemasaran, responsifitas terhadap pelanggan menjadi signifikan. Sehingga dapat meningkatkan sebuah persaingan dengan toko konvensional.