bluuebunny/crossref_metadata_2025_split huggingface dataset:
Lumbar Canal Stenosis Decompression Using Bilateral Interlaminar Versus Classic Laminectomy Technique
Authors: Ehtisham Ahmed Khan Afridi  , Gohar Ali  , Mohammad Wasim  , Aqsa Shahzadi  , Sidra Asghar  
Published: January 2023

Objective: The study compared the postoperative back pain VAS score in bilateral interlaminar and classic laminectomy techniques in patients with lumbar canal stenosis.
Material and Methods: This randomized controlled experiment was carried out at Ayub Teaching Hospital's Neurosurgery Department. 30 patients were in the bilateral interlaminar (BIL) group (A) and 30 were in the traditional laminectomy group (B). The bilateral interlaminar decompression technique was carried out utilizing the operating microscope. Both groups employed facet joint undercutting to reduce the 61-facet joint excision. All patients had postoperative CT scans to assess how well the decompression went. Postoperative VAS score was stratified to age, gender, duration of complaints, and duration of the procedure.
Results: In group A, the mean age of patients was 51.10 years while in group B, the mean age was 54.500 years. There was a male dominance of male patients in both groups. The baseline mean VAS score was 7.9 in group A and group B both. The duration of the procedure was 71.2 minutes in group A, and 104.7 minutes in group B. Mean postoperative VAS score was 5.4 in group A and 3.3 in group B. There existed a significant difference in mean postoperative VAS scores between groups concerning gender, the duration of complaints, and procedures.
Conclusion: In patients with lumbar canal stenosis, bilateral interlaminar allows for safe and adequate spinal canal decompression.
Keywords: Lumbar canal stenosis (LCS), Bilateral Interlaminar (BIL), Classic Laminectomy, Visual Analog Scale (VAS).
Assessment of Outcomes of Myelomeningocele Repair and Early Post-Operative Complications
Authors: Aftab Sabika , Akbar Rabail , Rehman Lal , Ahmed Tanweer , Javeed Farrukh , Bokhari Iram 
Published: January 2023

Objective: To explore the result and frequency of different problems that occur in the early post-operative period and the incidence of these complications in our community. It will give insight and drive further development in the care of myelomeningoceles as well as the unique problems that emerge in these patients post-operatively.
Materials and Methods: At the Jinnah Postgraduate Medical Center in Karachi, the Department of Neurosurgery, this prospective, observational study was carried out over 12 months. Patients of both genders from 1 month to 2 years of age, diagnosed with myelomeningocele, and admitted to the ward for surgical repair were included in the study.
Results: Out of 94, there were 58.5% female patients, with the highest percentage of age group i.e. 48.9% in > 3 months to 9 months. Medium size of MMC (71.3%) at the lumbar side location (46.8%) was observed in the highest frequency among the study sample. The overall postoperative complication rate was 19.1%, with CSF leak being the most common (9.6%) followed by wound infection (5.3%). There was no association of the complications with the age, size, and location of MMC.
Conclusion: Myelomeningocele treatment may be delayed as a result of distant homebirths. Neurosurgeons who are trying to give prompt access to medical care for individuals born with MMC face various hurdles, including the family's desire to seek medical attention, their capacity to do so, and the availability of proper medical treatment.
Surgical Modality as a Determinant of Survival and Neurological Outcome Following the Evacuation of Acute Subdural Hematomas
Authors: Imran Altaf  , Muhammad Rizwan Sarwar  
Published: January 2023

Objective: We designed the present study to compare the clinical outcomes of the craniotomy and the decompressive craniectomy procedures that we had performed in our department for evacuating traumatic acute subdural hematomas.
Material and Methods: We retrospectively analyzed the medical data of all the adult patients in whom a craniotomy or a decompressive craniectomy had been performed for evacuating acute traumatic subdural hematoma. The demographic data, the preoperative Glasgow Coma Scale (GCS), and the clinical outcome were studied.
Results: A craniotomy had been carried out in five patients for traumatic AcSDH evacuation while in twelve patients a decompressive craniectomy had been performed. The mean preoperative GCS was 9 in the patients that underwent a craniotomy, whereas the mean preoperative GCS in the decompressive craniectomy group was 6.8. The overall mortality was 47%. In the craniotomy group, 4 (80%) patients survived and 1 (20%) patient expired. In the decompressive craniectomy group, 5 (41.7%) patients survived and 7 (58.3%) patients expired. The outcome in all the 9 surviving patients was favorable based on the Glasgow Outcome scale and all of them were independent of follow-up.
Conclusion: Better clinical outcome was observed in patients who had undergone a craniotomy compared to those in whom a decompressive craniectomy had been performed. Patients that underwent a craniotomy were also in a better clinical status preoperatively compared to patients who underwent a decompressive craniectomy.
The Outcome of Multidisciplinary Treatment of Spinal Tumors: Institutional Experience of a Tertiary Care Hospital
Authors: Usman Ahmad Kamboh  , Mahwish Manzoor  , Aiqa Gulshan  , Adeel Rauf  
Published: January 2023

Objective: Spinal metastatic tumors are mostly extradural. Intradural extramedullary tumors include neurofibromas and meningiomas while intramedullary tumors are mostly astrocytoma and ependymoma. The purpose of this study was to share the experience of managing these patients as a multidisciplinary team (neurosurgeons, general surgeons, thoracic surgeons, ENT surgeons, plastic surgeons, and oncology) in selected cases where the tumors grow into the surrounding structures.
Material and Methods: This study was conducted at the Neurosurgery Department at Jinnah hospital Lahore from January 2021 to September 2022. 50 patients admitted to the Neurosurgery Department from OPD/emergency with the diagnosis of a spinal tumor confirmed on MRI were included in the study. Those patients who were unfit for surgery were not included in the study. Data was analyzed for gender, region, and location of the tumor, histopathological diagnosis, and multidisciplinary team involvement.
Results: Out of 50 patients, 28 (56%) patients were male and 22 (44%) patients were female while ages ranged from 14 to 63 years. Extradural location was the most frequently encountered location, i.e., 50%. Metastatic tumors were the commonest. A multidisciplinary treatment board was conducted in 31 (62%) patients whereas adjuvant treatment was done in 15 (30%) patients.
Conclusion: Multidisciplinary treatment of spinal tumors should be encouraged at tertiary care hospitals and routine multidisciplinary treatment boards conducted before and after surgical excision.
The Outcome of Laminectomy versus Laminoforaminotomy in Terms of Claudication Distance in Lumbar Spinal Stenosis
Authors: Niaz Ahmed Khan  , Muhammad Assad Javed  , Nafees Ahmed  , Muhammad Anees Awan  , Faisal Sultan  , Daniyal Ahmed  
Published: January 2023

Objectives: The study aimed to compare the surgical outcome of two different procedures for lumbar spinal stenosis. It helped us in the decision-making to go for less invasive procedures, as compared to conventional laminectomy in lumbar spinal stenosis patient patients.
Materials and Methods: An interventional randomized controlled trial was conducted in the department of neurosurgery, Shaheed Zulfiqar Ali Bhutto Medical University, PIMS Islamabad. A total of 158 adult patients aged between 35 to 55 years with an established diagnosis of lumbar stenosis and claudication distance of fewer than 100 meters were enrolled. Patients were randomly included into two equal groups via the computerized method. In Group A laminectomy was done and in Group Blaminoforaminotomy was adopted. The outcome was measured in terms of claudication distance at 4 weeks after the procedure, and compared in both groups.
Results: The mean age of the patients was 44.92 ± 6.28 years. Poor outcome was significantly lower in the Laminoforaminotomy group as compared to the Laminectomy group, at 4 weeks after the procedure. The frequency of claudication distance > 500m (good) at 4 weeks was found to be 62 (78.5%) in the Laminectomy group and it was found in 74 (93.7%) patients in the Laminoforaminotomy group (p = 0.022).
Conclusions: The study concluded that the laminoforaminotomy is superior to laminectomy, in terms of claudication distance at four weeks after the procedure.
Clinical Outcome of Hypoglossal-Facial Nerve Anastomosis in Severe Facial Nerve Paralysis: An Experience from Khyber Pakhtunkhwa
Authors: Arif Hussain  , Ramzan Hussain  , Aleeha Ihsan  , Mumtaz Ali  , Ikram Ullah  , Sajid Khan et al  
Published: January 2023

Objectives: Facial nerve injury is one of the most devastating complications occurring as a result of any chemical, mechanical or ischemic insult. This study aimed to determine the surgical outcomes of limited experience in lower motor neuron facial palsy in the last decade.
Materials and Methods: A Prospective case series was done at Neurosurgery Department, Prime Teaching Hospital, MTI Lady Reading Hospital, and Irfan General Hospital Peshawar Khyber Pakhtunkhwa Pakistan. Patients were diagnosed after thorough clinical examination and radiological findings; conduction studies these as severe facial paralysis (House and Brackmann 4 – 6). Surgical treatment is done with end-to-end hypoglossal-facial nerve anastomosis. Outcomes and complications were documented. Entered data into specifically designed proforma.
Results: Out of 13 patients, who underwent a surgical procedure, 8 were male (61.5%) and 5 patients were female (38.5%). The mean age of presentation was 46 years. Patients were labeled on House and Brackmann scale. Improvement was defined as ? 1 grade improvement on the H&B scale, after 1 year of follow-up, 11 patients improved (84.6%) while 2 (15.4%) remained static. The complication was observed as hemiatrophy of the tongue without physiological weakness.
Conclusion: Hypoglossal-Facial nerve anastomosis is recommended treatment for severe facial paralysis, during the first year of insult.
Keywords: Facial Nerve Paralysis, Hypoglossal-facial nerve, House & Brackmann.
A Comparison of the Use of Tranexamic Acid versus Placebo in Patients Undergoing Excision of Intracranial Meningioma
Authors: Adnan Khalid  , Usman Nazir  , Naeem Raza  , Sheraz Aslam  , Muhammad Naveed Majeed  , Muhammad Anwar  
Published: January 2023

Objective: Complete surgical removal of intracranial meningiomas is curative but with significant blood loss. Tranexamic acid has been proven beneficial in reducing blood loss following major surgical procedures. Therefore, the purpose of the study was to evaluate how well tranexamic acid worked to stop blood loss in patients having an intracranial meningioma removed.
Objective: This study compares the effects of tranexamic acid and placebo on intraoperative blood loss, transfusion needs, and the frequency of surgical sites with good hemostatic quality in patients having an intracranial meningioma removed.
Materials & Methods: This clinical trial was carried out in the Department of Neurosurgery, unit II PGMI/ PINS, Lahore over 1 year. Two equal groups of 30 individuals each were formed from a total of 60 patients having an intracranial meningioma diagnosis. Group 1 was given TXA, whereas Group 2 was given a placebo (normal saline). Patients were assessed for intraoperative blood loss, transfusion needs, and a clean surgical area in terms of hemostasis.
Results: Mean blood loss in the TXA group was 803.0 ± 106.53mL while that in the placebo group was 1159.5 ± 101.79 mL which was statistically significant (p = 0.000). TXA also significantly reduced transfusion requirements (p = 0.000) and was associated with better hemostasis of the surgical field (p = 0.000).
Conclusion: This study concluded that TXA can reduce intraoperative blood loss and decrease the transfusion requirements in the postoperative period significantly as compared to placebo in patients experiencing surgical intracranial meningioma excision.
Recepción de la narrativa gráfica contemporánea en el mercado editorial estadounidense
Authors: Porras Sánchez María 
Published: January 2023

Resumen
Este artículo analiza la recepción de la antología Spanish Fever: Stories by the New Spanish Cartoonists (Fantagraphics, 2016) en Estados Unidos a través de las críticas especializadas y de lectores, los premios recibidos y la trayectoria posterior de los treinta autores y autoras españoles que participaron en ella. También se sitúa la obra en el contexto histórico-cultural de intercambios entre creadores, industrias y tradiciones tebeísticas entre Estados Unidos y España, reflexionando sobre el carácter migrante del medio del cómic, potenciado por la globalización.

Palabras clave: recepción de cómics, traducción de cómics, migración, globalización, cómics transnacionales, cómics transculturales

Abstract
This article analyzes the reception of the anthology Spanish Fever: Stories by the New Spanish Cartoonists (Fantagraphics, 2016) in United States by focusing on reviews made by comics specialists and readers, awards received and the ulterior career of the thirty Spanish authors included in the volume. It also situates the anthology in a historic and cultural context marked by exchanges between creators, industries and comics traditions between United States and Spain, and reflects about the migrant character of the medium, fostered by globalization.

Key words: reception of comics, comics translation, migration, globalization, transnational comics, transcultural comics
INFLUENCE OF ENVIRONMENTAL QUALITY FOR SUSTAINABLE DEVELOPMENT IN INDONESIA
Authors: Rahayu Heffi Christya , Handri Handri 
Published: January 2023

Global warming and environmental damage are important issues today. Sustainable development must pay attention to the impact of social and economic actions on the environment. To find out the quality of the environment is influenced by what factors in Indonesia. It is necessary to conduct research using model regression analysis of panel data with variables of GRDP, poverty, energy consumption, and HDI against IKLH there are 33 provinces in Indonesia. The results of the model selected and will be used in this study is the Fixed Effect Model. From the results of the partial analysis, it is known that poverty and HDI have a significant influence on environmental quality, where both variables have a positive effect on IKLH. Meanwhile, GRDP and Energy Consumption do not have a significant influence on IKLH. Simultaneously, the four independent variables affect IKLH as a dependent variable. The magnitude of the influence of the four independent variables (HDI, Poverty, GRDP, and Energy Consumption) on IKLH is 80.95%, and the remaining 19.05% is a variable that is not used in the study
Analisis Peraturan Bupati Banyuwangi Nomor 59 Tahun 2017 Tentang Penyelenggaraan Mal Pelayanan Publik
Authors: Dimas Dimas Imaniar 
Published: January 2023

Tujuan dari penelitian ini adalah untuk mengetahui bagaimana pelaksanaan penyelenggaraan inovasi pelayanan publik pada mal pelayanan publik Pemerintah Daerah Kabupaten Banyuwangi. Pada penelitian ini dipergunakan adalah metode penelitian paradigma kualitatif, analisa data menggunakan redukdi data, penyajian data, dan penarikan kesimpulan. Hasil penelitian menunjukan Aspek komunikasi: Transmisi, kejelasan kebijakan maupun konsistensi kebijakan dalam inovasi mal pelayanan publik di Kabupaten Banyuwangi sudah efektif; Aspek sumberdaya: Sumber daya manusia, informasi dan wewenang dalam inovasi mal pelayanan publik di Kabupaten Banyuwangi sudah efektif, namun sumber daya anggaran dalam inovasi mal pelayanan publik di Kabupaten Banyuwangi masih belum mencukupi untuk menjangkau seluruh kebutuhan masyarakat di Kabupaten Banyuwangi. Aspek disposisi: sikap pelaksana dalam inovasi mal pelayanan publik di Kabupaten Banyuwangi dapat bekerjasama dengan baik dengan melaksanakan tugas dan wewenangnya masing-masing, namun terdapat kecenderungan perilaku negatif dari implementasi mal pelayanan publik di Kabupaten Banyuwangi. Aspek birokrasi pada inovasi mal pelayanan publik di Kabupaten Banyuwangi sudah efektif karena sudah melaksanakan masing-masing tugasnya dan sudah menjalankan tugasnya sesuai dengan prosedur yang sudah ditetapkan pada Perbup No 59 tahun 2017 tentang Penyelenggaraan Mal Pelayanan Publik. Hasil penelitian ini menunjukkan, bahwa (1) Bentuk pelaksanaan implementasi mal pelayanan publik di Kabupaten Banyuwangi. (2) implementasi mal pelayanan publik sebagai paradigma baru untuk mengantisipasi problem Pelayanan di Kabupaten Banyuwngi (3) Makna dan fungsi dari implementasi mal pelayanan publik di Kabupaten Banyuwangi.
Resiliensi Umkm Manahan Surakarta, Upaya Siapa?
Authors: Winduro Wirid , Suhita Damayanti , Yudistira Febri 
Published: January 2023

Pelaku UMKM, mengalami keterpurukan akibat Pandemi Covid 19, pemerintah wajib membangkitkan kembali UMKM. Penelitian ini bertujuan untuk mengidentifikasi upaya resiliensi UMKM di Manahan pada masa pandemi dan keterlibatan Dinas Koperasi dan UKM Kota Surakarta. Penelitian dilaksanakan di Dinas Koperasi dan UKM Kota Surakarta dan Kalurahan Manahan, Surakarta. Responden dipilih secara purposif pada Pegawai Dinas Koperasi dan UKM dan pelaku UMKM di Kelurahan Manahan. Penelitian ini merupakan penelitian kualitatif diskriptif dengan tujuan mendeskripsikan upaya resiliensi UMKM dan upaya pemerintah melalui Dinas Koperasi dan UKM Kota Surakarta dalam permberdayaan tersebut. Data sekunder dan primer didapatkan di Kantor Dinas Koperasi dan UKM Kota Surakarta dan Kalurahan Manahan Surakarta. Hasil penelitian menunjukkan pelaku UMKM di Manahan cukup resilien. Tidak semua pelaku UMKM tersentuh pemberdayaan dari Dinas Koperasi UKM Kota Surakarta. Umumnya pelaku UMKM di Manahan menyatakan tidak mendapatkan akses permodalan dari Dinas, tidak mendapatkan pelatihan ketrampilan yang dibutuhkan, tidak memiliki perijinan usaha, dan akses jejaring yang terbatas. Meskipun demikian para pelaku UMKM berharap bila ada bantuan pemerintah melaui Dinas Koperasi UKM dapat berupa akses modal, akses pasar dan pendampingan usaha. UMKM di Manahan berupaya bangkit secara mandiri selama dan pasca pandemi. Dinas Koperasi dan UKM Kota Surakarta dalam menjalankan tugas dan fungsinya menyesuaikan dengan kebijakan pemerintah yang lebih luas. Sumberdaya pemerintah Kota Surakarta teralihkan untuk penanganan Covid19 demikian juga anggaran untuk Dinas Koperasi dan UKM. Segala kegiatan yang berkaitan dengan pemberdayaan UMKM tidak dapat dilaksanakan. Upaya pertolongan pada UMKM sebatas menyalurkan bantuan dari Kementerian Koperasi dan UKM berupa bahan pokok kepada pelaku UKM. Kegiatan pemberdayaan UMKM baru mulai kembali setelah Pandemi mereda pada skala yang terbatas.
Program Rehabilitasi Sosial Rumah Tidak Layak Huni (Rs-Rtlh) Di Kecamatan Ngampilan
Authors: Purwanti Oke Dwi , Syakdiah Syakdiah , Mali Matheus Gratiano 
Published: January 2023

Permensos No. 20 Tahun 2017 tentang Rehabilitasi Sosial Rumah Tidak Layak Huni dan Sarana Prasarana Lingkungan bertujuan meningkatkan kualitas tempat tinggal fakir miskin melalui perbaikan atau rehabilitas. Penelitian ini menggunakan metode pendekatan kualitatif. Untuk mendapatkan informan yang tepat dan sesuai tujuan digunakan teknik purposive sampling. Validitas data dilakukan dengan triangulasi sumber dan pengumpulan data dilakukan dengan teknik wawancara, dokumentasi dan observasi. Dari hasil penelitian menunjukan bahwa pada program Implementasi Rehabilitas Sosial Rumah Tidak Layak Huni (RS-RTLH) di Kecamatan Ngampilan belum berjalan dengan optimal, keterlibatan dari pihak pemerintah pembuat program kebijakan hingga ke pelaksana dan sosialisasi yang disampaikan kepada masyarakat belum berjalan dengan baik, kendala dalam pelaksanaan perehabilitasian rumah tidak layak huni dari segi komunikasi dan sumber daya yang masih kurang. Pemerintah harus bertindak dalam penanganan rumah atau tanah ngindung sehingga dalam proses pemberian bantuan terhadap masyarakat lebih mudah untuk direalisasikan.
Semantic-Based K-Means Clustering for IMDB Top 100 Movies
Authors: Salih Niyaz 
Published: January 2023

Textual documents are growing rapidly through the internet in today’s modern technology era. Electronic structured databases archive offline and online documents, e-mails, webpages, blog and social network posts. Without appropriate ranking and demand clustering when there is classification without any specifics, it is quite difficult to retain and access these documents. K-means is one of the methods that is frequently used for clustering. In terms of determining the proximity of meaning or semantics between data, the distance-based K-means method still has flaws. To get around this issue, semantic similarity can be estimated by measuring the level of similarity between objects in a cluster. This research provides a method for clustering documents based on semantic similarity. The approach is carried out by defining document synopses from the IMDB and Wikipedia databases using the NLTK dictionary, and we provide a semantic-based K-means clustering approach that assesses not only the similarity of the data represented as a vector space model with TFIDF, but also the semantic similarity of the data Precision, recall, and F-measure, we demonstrate how well the semantic-based K-means clustering technique works using experimental findings from the IMDB and Wikipedia top 100 movies datasets.
Diagnosis and Progression of Rectal Signet Ring Cell Carcinoma in a 15 Year Old Lebanese Boy: A Case Report
Authors: Farhat Mohammad , Abtar Houssam , Shibli Abbass , Dika Zakaria , Diab Moustafa , Taha Alaa , Hijazi Mariam , Moussawi Zahraa 
Published: January 2023

Introduction: Colorectal cancer (CRC) is a rare entity in children and adolescents compared to adults. In the young, it is mostly detected in the right and transverse parts of the colon. Among the variants of CRC are the uncommon Signet Ring Cell Carcinoma (SRCC) which has a late presentation and pessimistic prognosis. Patients are asymptomatic for a long time and suddenly develop changes in bowel habits or obstruction.
Case Report: A 15-year-old boy with no known health issues presented with recent rectorrhagia and weight loss. He was stable but pale with abdominal tenderness and no rectal mass on digital rectal examination (DRE). Colonoscopy unveiled a 13 centimeters segment of circumferential ulcerated blackish mucosa extending from the upper rectum to the rectosigmoid junction. Pathology studies revealed SRCC of the rectum and sigmoid. Metastatic workup showed rectosigmoid wall thickening and denoted the tumor a stage IV with ascites and intraperitoneal implants. Palliative treatment with chemotherapy was initiated, and a follow-up CT was done later to assess disease progression and response to treatment. The disease had worsened and the patient deteriorated.
Conclusion: In children, colorectal SRCC is scarce and usually presents at a late stage due to the lack of characteristic symptoms and findings. It is then usually missed by physicians and not considered in the differential thus delaying the diagnosis and rendering the prognosis poorer. To improve the outcome, pediatricians ought to keep CRC in mind when facing obstructive symptoms or refractory abdominal pain.