bluuebunny/crossref_metadata_2025 huggingface dataset:
Head and Neck MRI Imaging Performed Safely in a Patient with Sacral Neuromodulation Device: A Case Report
Authors: F. Al-Shaiji Tariq , Al-Rashed Hussain , F. Al-Shaiji Tariq
Published: July 2021

Introduction: Sacral neuromodulation is a well-established treatment option to manage refractory lower
urinary tract and pelvic floor disorders. The technique involves implantation of a lead and an internal pulse
generator that delivers electrical impulses to modulate the sacral area. Many patients worldwide have been
implanted with MRI-non-compatible devices. Currently, MRI head only can be performed safely in these
patients. Therefore, we present a case report of a patient who underwent MRI of the head as well as neck in
the presence of a sacral neuromodulator without serious complications.
Case Report: A 33-year-old lady known to have systemic lupus erythematosus, refractory overactive
bladder, and recurrent urinary tract infection started complaining of right sided neck pain for 3 months in
which she required MRI of the head and neck to further assess the nature of the pain. The patient was already
implanted with sacral neuromodulator with excellent outcome to manage her refractory overactive bladder.
Following careful discussion with the patient and radiologist, MRI study was conducted at 1.5 tesla and
total procedure duration was 8 minutes for T1, T2 sagittal and axial cuts. The patient revealed feeling minimal
tingling of the right lower limb and mild lower back pain during MRI, all of which disappeared once the
study was terminated. Device was functioning well afterwards.
Conclusion: MRI may be feasible for certain sacral neuromodulation patients under certain conditions
without any serious adverse events.
Implementasi Aplikasi Monitoring Nilai dan Kegiatan Siswa Berbasis Android dengan Metode Prototype
Authors: Juniawan Fransiskus Panca , Sylfania Dwi Yuny , Rian Chrisna Putra Rendy , Sulaiman Rahmat
Published: July 2021

The number of smartphone and internet users in Indonesia is currently very large. This is become the basis for the use and development of mobile-based applications for the advantage of education. However, not all High Schools in Indonesia have a mobile-based system. Another problem is that most of them still use conventional methods in implementing teaching and learning activities, and reporting learning outcomes to parents. This is also still the case at SMA Negeri 1 Pangkalanbaru, Bangka Tengah. This problem is what we want to raise and solve by developing applications that can solve these problems. The research was developed using the Prototype method which consists of stages of Data Collection, Rapid Planning, Prototype Design, and Prototype Testing. By using the UML tool, results are obtained in the form of parents who can monitor grades, school information, and school announcements. In addition, students can take attendance online, register for extracurricular activities, and view announcements. From the testing results it is known that the system performance is running well as it should.
Prediksi Perubahan Penggunaan Lahan dan Pola Berdasarkan Citra Landsat Multi Waktu dengan Land Change Modeler (LCM)
Authors: Herlawati Herlawati , Nidaul Khasanah Fata , Dina Atika Prima , Sari Rafika , Handayanto Rahmadya Trias
Published: July 2021

Land use/cover greatly affect the quality of an area. Therefore, many regional planners need assistance byother fields, such as geoinformatics, computer science, environment, and others. Although prediction and forecasting have been widely studied, in regardto real conditions (geospatial)itstill needmoredevelopment, especially thoseinvolving a combination of regional types, such as urban and suburban areas. This study uses a remote sensing base and geographic information system in predicting land in the city and district of Bekasi, West Java, Indonesia. With two scenarios compared (business as usual and vegetation conservation), the model that has been created and validated (with an AUC accuracy result of 0.828) is used to predict land use change until 2030. Scenarios with vegetation conservation are able to keep green areas to switch to land types others, such as buildings and industry
Sentimen Analisis Terhadap Aplikasi pada Google Playstore Menggunakan Algoritma Naïve Bayes dan Algoritma Genetika
Authors: Rahman Arif , Utami Ema , Sudarmawan Sudarmawan
Published: July 2021

Sentiment analysis is a science to extract text to get someone's emotions for that. The benefits of sentiment analysis have many benefits, one of which is to see whether or not customers have a good response to the product and this can be an input for the development of the product's business in the future. The weakness of previous studies in research sentiment analysis is that the authors conduct research to improve the results of previous studies using the naïve Bayes algorithm that is optimized with a genetic algorithm. From the results of the research that has been done, the average value in this study is on average better than previous studies, no applications have been identified as underfitting or overfitting and finally the naïve Bayes algorithm that has been optimized by the genetic algorithm can be a classification solution for sentiment analysis.
Reduced occurrence of primary rod fracture after adult spinal deformity surgery with accessory supplemental rods: retrospective analysis of 114 patients with minimum 2-year follow-up
Authors: Rabinovich Emily P. , Buell Thomas J. , Wang Tony R. , Shaffrey Christopher I. , Smith Justin S.
Published: July 2021

OBJECTIVE

Rod fracture (RF) after adult spinal deformity (ASD) surgery is reported in approximately 6.8%–33% of patients and is associated with loss of deformity correction and higher reoperation rates. The authors’ objective was to determine the effect of accessory supplemental rod (ASR) placement on postoperative occurrence of primary RF after ASD surgery.

METHODS

This retrospective analysis examined patients who underwent ASD surgery between 2014 and 2017 by the senior authors. Inclusion criteria were age > 18 years, ≥ 5 instrumented levels including sacropelvic fixation, and diagnosis of ASD, which was defined as the presence of pelvic tilt ≥ 25°, sagittal vertical axis ≥ 5 cm, thoracic kyphosis ≥ 60°, coronal Cobb angle ≥ 20°, or pelvic incidence to lumbar lordosis mismatch ≥ 10°. The primary focus was patients with a minimum 2-year follow-up.

RESULTS

Of 148 patients who otherwise met the inclusion criteria, 114 (77.0%) achieved minimum 2-year follow-up and were included (68.4% were women, mean age 67.9 years, average body mass index 30.4 kg/m2). Sixty-two (54.4%) patients were treated with traditional dual-rod construct (DRC), and 52 (45.6%) were treated with ASR. Overall, the mean number of levels fused was 11.7, 79.8% of patients underwent Smith-Petersen osteotomy (SPO), 19.3% underwent pedicle subtraction osteotomy (PSO), and 66.7% underwent transforaminal lumbar interbody fusion (TLIF). Significantly more patients in the DRC cohort underwent SPO (88.7% of the DRC cohort vs 69.2% of the ASR cohort, p = 0.010) and TLIF (77.4% of the DRC cohort vs 53.8% of the ASR cohort, p = 0.0001). Patients treated with ASR had greater baseline sagittal malalignment (12.0 vs 8.6 cm, p = 0.014) than patients treated with DRC, and more patients in the ASR cohort underwent PSO (40.3% vs 1.6%, p < 0.0001). Among the 114 patients who completed follow-up, postoperative occurrence of RF was reported in 16 (14.0%) patients, with mean ± SD time to RF of 27.5 ± 11.8 months. There was significantly greater occurrence of RF among patients who underwent DRC compared with those who underwent ASR (21.0% vs 5.8%, p = 0.012) at comparable mean follow-up (38.4 vs 34.9 months, p = 0.072). Multivariate analysis demonstrated that ASR had a significant protective effect against RF (OR 0.231, 95% CI 0.051–0.770, p = 0.029).

CONCLUSIONS

This study demonstrated a statistically significant decrease in the occurrence of RF among ASD patients treated with ASR, despite greater baseline deformity and higher rate of PSO. These findings suggest that ASR placement may provide benefit to patients who undergo ASD surgery.
Are spine metastasis survival scoring systems outdated and do they underestimate life expectancy? Caution in surgical recommendation guidance
Authors: Tabourel Gaston , Terrier Louis-Marie , Dubory Arnaud , Cristini Joseph , Nail Louis-Romée Le , Cook Ann-Rose , Buffenoir Kévin , Pascal-Moussellard Hugues , Carpentier Alexandre , Mathon Bertrand , Amelot Aymeric
Published: July 2021

OBJECTIVE

Survival scoring systems for spine metastasis (SPM) were designed to help surgical practice. The authors sought to validate the prognostic accuracy of the main preoperative scoring systems for SPM.

METHODS

It was hypothesized that true patient survival in SPM was better than that predicted using prognosis scores. To investigate this hypothesis, the authors designed a French national retrospective study of a prospectively collected multicenter database involving 739 patients treated for SPM between 2014 and 2017.

RESULTS

In this series, the median survival time for all patients from an SPM diagnosis was 17.03 ± 1.5 months. Sensitivity and specificity were estimated using the area under the curve (AUC). The AUC of Tomita’s prognosis score was the lowest and poorest (0.4 ± 0.023, range 0.35–0.44), whereas the AUC of the Tokuhashi score was the highest (0.825). The Lei score presented an AUC of 0.686 ± 0.022 (range 0.64–0.7), and the Rades score showed a weaker AUC (0.583 ± 0.020, range 0.54–0.63). Differences among AUCs were all statistically significant (p < 0.001). The modified Bauer score and the Rades score had the highest rate of agreement in predicting survival, with a weighted Cohen’s kappa of 0.54 and 0.41, respectively, indicating a moderate agreement. The revised Tokuhashi and Lei scores had a fair rate of agreement (weighted Cohen’s kappa = 0.24 and 0.22, respectively). The van der Linden and Tomita scores demonstrated the worst performance, with only a “slight” rate of agreement (weighted Cohen’s kappa = 0.19 and 0.16, respectively) between what was predicted and the actual survival.

CONCLUSIONS

The use of prognostic scoring systems in the estimation of survival in patients with SPM has become obsolete and therefore underestimates survival. Surgical treatment decisions should no longer be based on survival estimations alone but must also take into account patient symptoms, spinal instability, and quality of life.
Effect of segmental lordosis on early-onset adjacent-segment disease after posterior lumbar interbody fusion
Authors: Okuda Shinya , Nagamoto Yukitaka , Takenaka Shota , Ikuta Masato , Matsumoto Tomiya , Takahashi Yoshifumi , Furuya Masayuki , Iwasaki Motoki
Published: July 2021

OBJECTIVE

Although several reports have described adjacent-segment disease (ASD) after posterior lumbar interbody fusion (PLIF), there have been only a few reports focusing on early-onset ASD occurring within 3 years after primary PLIF. The purpose of this study was to investigate the prevalence and postoperative pathologies of early-onset ASD and its relation with radiological parameters such as segmental lordosis (SL).

METHODS

The authors reviewed a total of 256 patients who underwent single-segment PLIF at L4–5 for degenerative lumbar spondylolisthesis (DLS) and were followed up for at least 5 years. The definition of ASD was a symptomatic condition requiring an additional operation at the adjacent fusion segment in patients who had undergone PLIF. ASD occurring within 3 years after primary PLIF was categorized as early-onset ASD. As a control group, 54 age- and sex-matched patients who had not suffered from ASD for more than 10 years were selected from this series.

RESULTS

There were 42 patients with ASD at the final follow-up. ASD prevalence rates at 3, 5, and 10 years postoperatively and at the final follow-up were 5.0%, 8.2%, 14.1%, and 16.4%, respectively. With respect to ASD pathologies, lumbar disc herniation (LDH) was significantly more common in early-onset ASD, while lumbar spinal stenosis and DLS occurred more frequently in late-onset ASD. Significant differences were detected in the overall postoperative range of motion (ROM) and in the changes in ROM (ΔROM) at L3–4 (the cranial adjacent fusion segment) and changes in SL (ΔSL) at L4–5 (the fused segment), while there were no significant differences in other pre- and postoperative parameters. In stepwise logistic regression analysis, ΔSL was identified as an independent variable (p = 0.008) that demonstrated significant differences, especially in early-onset ASD (control 1.1° vs overall ASD −2.4°, p = 0.002; control 1.1° vs early-onset ASD −6.6°, p = 0.00004).

CONCLUSIONS

The study results indicated that LDH was significantly more common as a pathology in early-onset ASD and that ΔSL was a major risk factor for ASD, especially early-onset ASD.
Importance of achieving Scoliosis Research Society–22r minimal clinically important difference for improving patient satisfaction after adult spinal deformity surgery
Authors: Arima Hideyuki , Hasegawa Tomohiko , Yamato Yu , Yoshida Go , Banno Tomohiro , Oe Shin , Mihara Yuki , Ushirozako Hiroki , Yamada Tomohiro , Watanabe Yuh , Ide Koichiro , Nakai Keiichi , Kurosu Kenta , Matsuyama Yukihiro
Published: July 2021

OBJECTIVE

Achievement of minimal clinically important differences (MCIDs) in the Scoliosis Research Society–22r (SRS-22r) subdomains represents surgical efficacy. However, whether achievements of MCIDs in SRS-22r domains are associated with long-term satisfaction in patients with adult spinal deformity (ASD) is unclear. This study aimed to elucidate factors affecting patient satisfaction after thoracopelvic corrective fusion surgery in patients with ASD.

METHODS

Data obtained in 187 patients with ASD who underwent extensive corrective fusion surgery from the thoracic spine to the pelvis between 2010 and 2017 and underwent follow-up for 2 years were retrospectively reviewed. The authors investigated the likelihood of achieving MCIDs in the function, pain, self-image, mental health, and subtotal domains 2 years after surgery. The following MCID values were used: function, 0.90; pain, 0.85; self-image, 1.05; mental health, 0.70; and subtotal, 1.05. Multivariate analysis was performed to evaluate factors associated with patient satisfaction 2 years after surgery.

RESULTS

The average satisfaction scores in the group that achieved MCID and the group that did not were as follows: 3.97 and 3.37 for function (p < 0.001), 3.66 and 3.51 for pain (p = 0.221), 3.84 and 3.06 for self-image (p < 0.001), 3.82 and 3.28 for mental health (p < 0.001), and 3.96 and 3.30 for subtotal (p < 0.001), respectively. Except for the pain domain, the group that achieved MCIDs showed greater satisfaction than the group that did not achieve MCIDs. On multivariate analysis, factors related to postoperative satisfaction were achievement of SRS-22r self-image (standardization coefficient 0.322, p < 0.001) and function (standardization coefficient 0.179, p = 0.026) MCIDs. Perioperative complications and revision surgery were not related to patient satisfaction.

CONCLUSIONS

Multivariate analysis demonstrated that achievement of MCIDs in SRS-22r self-image and function domains was significantly associated with postoperative satisfaction. Given that patients with poor preoperative health-related quality of life are more likely to achieve MCIDs in SRS-22r domains, surgeons should carefully consider whether to operate on patients with relatively good baseline health-related quality of life when making surgical decisions.
Facts about adolescents from the Demographic and Health Survey—Statistical tables for program planning: Cameroon 1998
Authors:   Population Council
Published: July 2021

The Population Council initiated its work on adolescents in the mid-1990s. At that time, those advocating greater attention to adolescent issues were concerned about adolescent fertility—particularly outside of marriage—and adolescent “risk-taking” behavior. As an international scientific organization with its mandate centered around the needs of developing countries, the Council sought a more nuanced and context-specific understanding of the problems confronting adolescents in the developing world. In working with colleagues inside and outside the Council, it became clear that information on adolescents, and the way data are organized, were limiting the ability to understand the diversity of their experiences or to develop programs to address that diversity. In the absence of data, many adolescent policies were implicitly based on the premise that the lives of adolescents in developing countries were like those of adolescents in Western countries. In fact, significant numbers of young people in the West do not fit this description, and even larger groups within the developing countries. The Council created tables to more clearly describe the diversity of the adolescent experience by drawing on Cameroon Demographic and Health Survey data. The tables, presented in this report, are intended to be used as a basis for developing programs.
Facts about adolescents from the Demographic and Health Survey—Statistical tables for program planning: Guatemala 1995
Authors:   Population Council
Published: July 2021

The Population Council initiated its work on adolescents in the mid-1990s. At that time, those advocating greater attention to adolescent issues were concerned about adolescent fertility—particularly outside of marriage—and adolescent “risk-taking” behavior. As an international scientific organization with its mandate centered around the needs of developing countries, the Council sought a more nuanced and context-specific understanding of the problems confronting adolescents in the developing world. In working with colleagues inside and outside the Council, it became clear that information on adolescents, and the way data are organized, were limiting the ability to understand the diversity of their experiences or to develop programs to address that diversity. In the absence of data, many adolescent policies were implicitly based on the premise that the lives of adolescents in developing countries were like those of adolescents in Western countries. In fact, significant numbers of young people in the West do not fit this description, and even larger groups within the developing countries. The Council created tables to more clearly describe the diversity of the adolescent experience by drawing on Guatemala Demographic and Health Survey data. The tables, presented in this report, are intended to be used as a basis for developing programs.
Facts about adolescents from the Demographic and Health Survey—Statistical tables for program planning: Haiti 1994
Authors:   Population Council
Published: July 2021

The Population Council initiated its work on adolescents in the mid-1990s. At that time, those advocating greater attention to adolescent issues were concerned about adolescent fertility—particularly outside of marriage—and adolescent “risk-taking” behavior. As an international scientific organization with its mandate centered around the needs of developing countries, the Council sought a more nuanced and context-specific understanding of the problems confronting adolescents in the developing world. In working with colleagues inside and outside the Council, it became clear that information on adolescents, and the way data are organized, were limiting the ability to understand the diversity of their experiences or to develop programs to address that diversity. In the absence of data, many adolescent policies were implicitly based on the premise that the lives of adolescents in developing countries were like those of adolescents in Western countries. In fact, significant numbers of young people in the West do not fit this description, and even larger groups within the developing countries. The Council created tables to more clearly describe the diversity of the adolescent experience by drawing on Haiti Demographic and Health Survey data. The tables, presented in this report, are intended to be used as a basis for developing programs.
Facts about adolescents from the Demographic and Health Survey—Statistical tables for program planning: Kyrgystan 1997
Authors:   Population Council
Published: July 2021

The Population Council initiated its work on adolescents in the mid-1990s. At that time, those advocating greater attention to adolescent issues were concerned about adolescent fertility—particularly outside of marriage—and adolescent “risk-taking” behavior. As an international scientific organization with its mandate centered around the needs of developing countries, the Council sought a more nuanced and context-specific understanding of the problems confronting adolescents in the developing world. In working with colleagues inside and outside the Council, it became clear that information on adolescents, and the way data are organized, were limiting the ability to understand the diversity of their experiences or to develop programs to address that diversity. In the absence of data, many adolescent policies were implicitly based on the premise that the lives of adolescents in developing countries were like those of adolescents in Western countries. In fact, significant numbers of young people in the West do not fit this description, and even larger groups within the developing countries. The Council created tables to more clearly describe the diversity of the adolescent experience by drawing on Kyrgystan Demographic and Health Survey data. The tables, presented in this report, are intended to be used as a basis for developing programs.
Imaji Kebutuhan Konsumsi Melalui Akun Media Sosial
Authors: Angelia Chininta Rizka
Published: July 2021

Penelitian ini dilatarbelakangi oleh persaingan kompetitif antar produsen yang mendorong produsen untuk menyusun strategi pemasaran demi terserapnya kelimpahruahan produksi. Produsen berupaya menciptakan imaji kebutuhan melalui sistem tanda pada media sosial dengan konsep endorsement. Penelitian ini bertujuan untuk membongkar pemanfaatan sistem tanda pada media sosial yang dilakukan produsen untuk membangkitkan konsumsi. Berbasis teori Masyarakat Konsumsi dari Jean Baudrillard, penelitian ini menggunakan paradigma kritis dan metode analisis semiotika Roland Barthes. Hasil penelitian menunjukkan bahwa produsen menyelipkan aktivitas pemasaran melalui sistem tanda pada foto endorser di Instagram. Temuan lain dalam penelitian ini adalah terdapat relasi saling memasarkan antara produsen dan endorser.

Kata Kunci: masyarakat konsumsi,  endorsement, media sosial, Instagram, semiotika, roland barthes
Partisan Selective Exposure in COVID-19 News
Authors: Widiastuti Anindita , Wibowo Kunto Adi , Pratamawaty Benazir Bona
Published: July 2021

Partisan selective exposure to online COVID-19 news articles is hypothesized to increase one’s exposure time to politically opinion-reinforcing news when exposed to a more opinion-reinforcing news environment and to increase one’s exposure time to politically opinion-challenging news when exposed to a more opinion-challenging news environment. This blocked 2x3 within-subjects experimental study crossed partisan stance (Pro Jokowi vs. Pro Anies) as the blocking factor with news conditions as the experimental factors (Pro vs. Contra vs. Control). The study randomly assigned 216 participants living in the Jakarta metropolitan area during the COVID-19 pandemic to two experimental and one control group for each stance (Pro Stance, Contra Stance, Control). Data shows how participants significantly spent more time on politically opinion-reinforcing news when in the Pro Stance condition, compared to when in the Contra Stance condition, and compared to when in the Control condition. Participants only significantly spent more time on politically opinion-challenging news when in the Contra Stance condition as compared to when in the Pro Stance condition, but not significantly as when compared to in the Control condition. The study took a look at how partisan selective exposure may play out in a certain news environment and found how a polarized news environment would lead to a more polarized exposure, which could get disastrous as it may play a role in people’s behavior towards the COVID-19 pandemic. Hence, getting ourselves accustomed to perspectives from an equal news environment could lead us to be less polarized, and therefore be wiser at determining our standpoints towards the COVID-19 pandemic.
ANALISIS ASUPAN ZAT GIZI BATITA BERDASARKAN TINGKAT PENDIDIKAN, STATUS BEKERJA DAN PENGETAHUAN IBU
Authors: Chabibah Nur , Khanifah Milatun , Kristiyanti Rini
Published: July 2021

Background: Acute malnutrition could increase mortality and morbidity indirectly in infants and toddlers. The family socio-economic characteristics including the maternal education, nutritional knowledge, and family income, are related to the incidence of stunting.Objective: To determine the relationship between maternal education, working status and knowledge on dietary intake among toddlers under 3 years old.Methods: A correlative analytic study with cross-sectional design. The populations were mothers with toddlers under 3 years old. Sample size were 70 mothers which obtained with the cluster random sampling technique. Data collection were used questionnaire and calculated with 2005 Nutria survey and 14 levels.Results: There were no significant relationship between education level and working status on dietary intake of children under 3 years old (OR: 0,88; ᵖ-value: 0,855; CI: 0,136-4,136) and (OR: 1,29 ᵖ-value: 0,674; CI: 0.298-4.987). However, there were significant relationship between maternal knowledge and dietary intake of children under 3 years, especially related with energy and protein intake (OR: 2,14 ᵖ-value: 0,043; CI: 1,043-17,045). Conclusions: Maternal knowledge level are related to dietary intake among children under 3 years old, relared with energy and protein intake.
CERMIN EDUKASI MENINGKATKAN PENGETAHUAN DAN SIKAP HIGIENE PERSONAL PENJAMAH MAKANAN
Authors: Ronitawati Putri , Karima Nadina , Melani Vitria , Sa'pang Mertien , Nuzrina Rachmanida
Published: July 2021

Background: Personal hygiene is the basic principle of foodservice. Poor personal hygiene practices can lead to increase risk of microbial contamination in food. The personal hygiene of Islamic boarding schools’ food handlers are still low related to lack of knowledge. It caused by various factors, such as knowledge, attitudes, education, length of work, and habits on processing foodObjective: To examine the effect of mirroring education on the personal hygiene’s knowledge and attitudes of Islamic boarding school food handlers’ in Jombang.Methods: A pre-experimental study with a pretest-posttest group design. Total sampling were 41 food handlers in Islamic boarding school in Jombang. Data were analyzed by Paired Sample T-test and Wilcoxon test.Results: The age distribution of the respondents were 2,4% as the oldest age (58 years old) and 7,3% as the youngest age (17 years old), 26 respondents (63,4%) had working period 4 years and 22 people (53,7%) with low education. Knowledge and attitude about personal hygiene before and after education were significantly different (p=0, 01), also There were differences in knowledge and attitude about personal hygiene before and one week after education (p=0,01).Conclusion: Mirroring education can improve personal hygiene’s knowledge and attitudes of food handlers.
GAMBARAN ASUPAN PROTEIN, ZAT BESI DAN KADAR HEMOGLOBIN PADA REMAJA PUTRI VEGETARIAN VEGAN DI INDONESIA VEGETARIAN SOCIETY (IVS)
Authors: Fitriani Fitriani , Marlina Yessi , Roziana Roziana , Rahmadini Dilla
Published: July 2021

Background: A vegan vegetarian is one of type indigenous vegetarians who only consume plant-based foods and its processed food products. Vegetarians tend to consume protein and iron less than RDA. Inadequate protein and iron consumption will lead to anemia. Women tend to have the highest risk for anemia, especially female adolescents.Subject: To describe protein and iron intake with HB levels in vegan vegetarian female adolescents of Indonesian Vegetarian Society (IVS) Pekanbaru.Methods: A descriptive study with cross-sectional design. The research was conducted from November 2018 to June 2019 at the secretariat of the Indonesian Vegetarian Society (IVS) Pekanbaru. The subjetcs were 22 female adolescents who were obtained by total sampling method. Hemoglobin levels were measured using easy touch GCU, dietary intake were obtained by food recall and calculated with the Nutrisurvey 2007.Result: The results showed the inadequate protein intake were 54.5%, inadequate iron intake were 68.2% and hemoglobin levels which classified as anemia were 63.63%.Conclusin: About 62.11% roespondents tend t have inadequate protein and iron intake and classified as anemia.
HUBUNGAN SIKAP DAN PENGETAHUAN SISWI TERHADAP KEPATUHAN KONSUMSI TABLET TAMBAH DARAH
Authors: Murnariswari Kirana , Nuzrina Rachmanida , Dewanti Lintang P , Nadiyah Nadiyah
Published: July 2021

Background: Anemia is one of the global public health problems which affect 1.62 billion world population. One of the government's programs to prevent and combat anemia on female adolescents are PPAGB programs with administration of one Fe tablet consumption once a week for a year. But not all female adolescents adhere to consume Fe Tablets which given from the program.Objective: To determine the correlation between female students' knowledge and attitude related with anemia on Fe-tablets compliance on PPAGB Programs in 26's National Junior High School (SMPN 26) Bekasi City, West Java.    Method: A research survey with cross-sectional design. Sampling technique with systematic random sampling to obtain 100 respondents. Data were analyzed with Chi-Square test.                                        Result: The results showed that attitudes and knowledge related to anemia were correlated with Fe-tablets consumption and compliance. The Chi-Square test showed the relationship between attitude and Fe-tablets compliance with p-value 0.000; 0.005, also relationship between knowledge related to anemia and Fe-tablets consumption with p-value 0.002; 0.005Conclusion: There are a relationship between female students' attitude and knowledge related to anemia on Fe-tablet compliance on PPAGB Program at 26's National Junior High School (SMPN 26) Bekasi City, West Java.
MEDIA “FRIDGE MAGNET SERIES” MENINGKATKAN PENGETAHUAN DAN SIKAP HIGIENE SANITASI IBU RUMAH TANGGA
Authors: Mustoviani Gita , Nuzrina Rachmanida
Published: July 2021

Background: Most of housewives do not understand food sanitation hygiene yet. It caused by lack of education on households food sanitation hygiene. The importance of food sanitation hygiene education to prevent foodborne diseases. One of the educational media which can used is the educational fridge magnet series media.Objective: To assess the impacts of educational fridge magnet series media towards knowledge and attitude improvement related with housewives' hygiene food sanitation.Methods: A quasi-experimental study with a non-equivalent control group pretest-posttest design. Subjects were devided into two gropus, 31 subjects from the intervention group and 30 subjects in control group. In the intervention group, subjects were given educational fridge magnet series media and lecturing session, while the control group were given lecturing-session only. Data analysis were used Paired Sample T-test, Wilcoxon, Independent Sample T-test, and Mann-Whitney.Results: There were significant differences on housewives' knowledge before and after education in the intervention group (p=0,000) and control (p=0,015). There were differences on attitudes before and after education in the intervention (p=0,000) and control (p=0,022). Knowledge score were increased by 20,00 and attitude score by 9,59 in the intervention group after education with fridge magnet series media. In the control group, the knowledge score after education were increased from 3,66 only. Meanwhile, the attitude score showed decrease by 1,98. After education, there were differences in knowledge (p=0.000) and attitudes (p= 0,000) between the two groups.Conclusion: Educational fridge magnet series media has impacts on increasing housewives' knowledge and attitudes related food sanitation hygiene. Interventions with educational media more effective than lecturing-session.
Rumah sebagai Helioterapi di Masa Pandemi Covid-19
Authors: Pratami Ariessa Khalista , Rahmi Dwita Hadi
Published: July 2021

Wabah Covid-19 mengubah dunia dari berbagai lini, penelitian ini berangkat dari lini spasial terkecil yaitu rumah. Rumah semakin krusial, dituntut semakin efisien, kompak, multifungsi, dan cepat beradaptasi. Tidak sekedar menjadi rumah sehat di masa pandemi Covid-19, namun mampu meningkatkan imunitas tubuh bagi penghuni yang karantina / isolasi mandiri di rumahnya masing-masing maupun penghuni yang rentan terhadap penyakit seperti lansia dan bayi. Disinilah helioterapi didialogkan dengan konteks rumah dimana sebagai terapi yang dapat meningkatkan imunitas penghuni. Lingkup penelitian ini berfokus terhadap bagaimana konsep helioterapi dapat diterapkan ke dalam rumah di masa pandemi Covid-19 ini. Tujuan dari penelitian ini adalah sebagai eksplorasi pemikiran kritis, pengetahuan dan fakta dari data-data terkait. Hal tersebut didialogkan bersama sehingga dapat ditarik kesimpulan berupa sumbangan pemikiran di lingkup keilmuan arsitektur. Helioterapi dapat diterapkan ke hunian dengan prinsip rumah aman selama pandemi dengan rekayasa bukaan pintu jendela. Dengan adanya pandemi ini, merupakan pemantik awal titik renungan kita semua sebagai arsitek untuk mampu mengembalikan kemurnian tujuan profesi arsitek yang sebenarnya.

The Covid-19 outbreak changed the world from various sides, this research departs from the smallest spatial side, house. Houses are increasingly crucial, they are demanded to be more efficient, compact, multifunctional, and rapid to adapt. Not only being a healthy home during the outbreak, but being able to increase immunity for residents who are independent quarantine / isolation in their homes as well as residents who are vulnerable to diseases such as elderly and babies. House that integrated with heliotherapy can increase the immunity of the occupants. The scope of this research focuses on how the concept of heliotherapy can be applied to homes during the Covid-19 pandemic. The purpose of this research is to explore critical thinking, knowledge and facts from related data. This is being discussed together so that conclusions can be drawn in the form of contributions of thought in the scope of architectural scholarship. Heliotherapy can be applied to shelter based on the principle of safe housing during a pandemi with handling window openings. With this pandemi, it is the starting point of reflection for all of us as architects to be able to restore the purity of the true goals of the architectural profession.
Green synthesis and antibiofilm potential of Silver Nanoparticles loaded with Narcissus tazetta L. Extract
Authors: Ikram Isra , Barkatullah  , Khalid Shah , Shumail Hoor , Khan Haroon , Humayoun Farah , Ghaffar Nasreen , Ahmad Izhar , Khan Wisal Muhammad , Alqahtani Ali M.
Published: July 2021

Bacterial infections are the leading cause of mortality, due to the paucity of effective drugs. This study aimed to synthesize AgNPs loaded with fresh leaves & bulbs extracts of Narcissus tazetta and evaluate antimicrobial and antibiofilm potential against selected bacterial and fungal isolates using standard microbiological protocols. Different techniques like FTIR spectroscopy, GC-MS, electron microscopy and HPLC were used to characterize the AgNPs. The AgNPs synthesized from crude extract of leaves and bulb were checked and were found effective against all the bacterial isolates except E. coli however, strong biofilm inhibition potential was observed in case of E.coli. The synthesized AgNPs showed dose dependent zone of inhibition higher for methanol and lower for n-Hexane against both Gram + ve and Gram -ve bacterial strains, exhibiting the anti-microbial potential. Biofilm inhibition was recorded at sub-MIC values against Gram + ve and Gram -ve bacterial strains.

Antifungal activity of AgNPs was observed only at a higher concentration against Aspergillus niger, Fusarium oxysporum and Alternaria alternata while Aspergillus terreus was resistant even at higher concentrations. In conclusion, we can say that the plant possesses pronounced antimicrobial potential with a wide range of the bioactive compounds, which can be explored for pharmaceutical purposes.
The effect of patient-specific factors on responsiveness to robot-assisted gait training in patients with bilateral spastic cerebral palsy
Authors: Klobucká Stanislava , Klobucký Robert , Kollár Branislav
Published: July 2021

BACKGROUND: No general recommendations are yet available for the application of robot-assisted treadmill therapy for children with cerebral palsy regarding the length and intensity of the intervention. OBJECTIVE: The aim of the study was to evaluate patient-specific determinants of responsiveness to robot-assisted gait training (RAGT) in patients with bilateral spastic cerebral palsy. METHOD: During 12 months, the patients underwent 1–4 blocks of RAGT, representing 16–82 TUs. The following parameters were evaluated before (V0) and after each therapeutic block (V1–V4): dimension A (lying and rolling), B (sitting), C (crawling and kneeling), D (standing), E (walking, running and jumping) of the Gross Motor Function Measure (GMFM-88). We evaluated the change in motor functions in relation to the severity of disability, age, gender and number of therapeutic units. RESULTS: Ninety-seven patients aged between 3.7 and 27 years (mean age 10.02 years (SD±5.29); Gross Motor Function Classification System level I [n = 5], II [n = 25], III [n = 48], IV [n = 19]) underwent 16–82 TUs (overall average number 34.06 TUs, SD±16.41) of RAGT. In the patient group, we recorded clinically meaningful improvement and statistically significant improvement (p < 0.001) in gross motor functions with gradual increase in the effect size after each therapeutic block. Using correlation and regression analysis, we found a statistically significant associations between the number of therapeutic units, severity of disability, and improvement in motor functions after RAGT. CONCLUSION: We have identified two determinants –the severity of disability and the number of therapeutic units –which could have a decisive and predictive character in setting rehabilitation/designing programmes. The duration of the applied RAGT period, frequency and intensity could be a crucial factor for the potential of improvement in children with BS-CP.
The effect of commercial health insurance and health policy incentives on health risk assessment of residents
Authors: Yan Chen
Published: July 2021

BACKGROUND: Due to the limitations of social medical insurance, commercial medical insurance is necessary. OBJECTIVE: The study aims to analyze the practical effects of commercial health insurance and health policy incentives. METHODS: The health risk assessment is performed referring to data released by China Health and Retirement Longitudinal Study (CHARLS). RESULTS: The effect coefficient of commercial health insurance for residents’ four-week prevalence is 0.067, with that for residents’ self-evaluation health being –0.032, and that for residents’ rate of medical treatment being 0.094, which is significant at the 0.01 level. Commercial health insurance has different effects on residents’ mental health. The residents who purchase commercial health insurance have 8.2%higher anxiety degree and 7.3%higher depression degree; however, their sleep condition index increases by 5.7%. CONCLUSIONS: Commercial health insurance can’t improve the four-week prevalence or self-evaluation health significantly. Nevertheless, it can improve the medical treatment rate. Commercial health insurance exhibits complicated results in terms of residents’ mental health levels. Although it has definitely improved the quality of sleep and well-being of residents and reduced loneliness, it can negatively affect mental health indexes such as anxiety and depression.
The outbreak of lung injuries often known as "EVALI" was nothing to do with nicotine vaping
Authors: Bates Clive
Published: July 2021

Many commentators, activists, academics and public health agencies continue to assert or imply that an outbreak of severe and fatal lung injuries that occurred primarily in the United States between mid-2019 and early 2020 may have been caused in part by nicotine vaping. This condition is often known as “EVALI” (E-cigarette, or Vaping, product use-Associated Lung Injury), a term coined by the US Centers For Disease Control and Prevention (CDC). However, an examination of the evidence shows that _EVALI cannot have been caused by nicotine vaping_. The characteristics of the lung injury outbreak are consistent with localised supply chain contamination. The contaminant has been identified and is known to be Vitamin E Acetate.  This had been used as a thickener or cutting agent in illicit Tetrahydrocannabinol (THC) cannabis vape pens. This agent cannot be added to nicotine vaping liquids and would serve no useful purpose if it could be. No other or cause or causal agent has been identified that would implicate nicotine liquids and that would be consistent with the geographical and temporal pattern of this lung injury outbreak. There is a vanishing small chance that a second cause would be found in nicotine liquids, coinciding with the same geography, timing and symptoms as Vitamin E Acetate contamination of THC oils. Further, it is highly unlikely that this hypothetical and currently unidentified cause would disappear in early 2020 without some identifiable remedial action in nicotine vaping products.  But there has been no identifiable remedial action - nicotine vaping products have not changed, but EVALI has largely gone. The attribution of EVALI to nicotine vaping should stop, the term EVALI should be retired and replaced, risk communicators should shoulder their responsibility to correct residual false risk perceptions, and serious consideration should be given to the advantages of legalising and regulating cannabis products.
Street Food Vending as a Public Health Intervention
Authors: Francis Kaniyaa , Brinkley Catherine
Published: July 2021

The research aims to inform broader policies about healthy food access by focusing on the overlooked potential of street food vending. To reveal the spatiality and contents of street food vending regulations across Californian cities and counties, we reviewed municipal codes for all 58 counties and 213 cities in California. Recent legislation (SB 946, 2018) mandates that ordinances cannot regulate street food vendors for reasons beyond public health concerns. We found that the majority of California cities and counties are out of compliance and will need to update regulations. The majority of California cities (85% of those reviewed) and counties (75%) include street food vending regulations that go beyond public health rationale and include labor laws and restrictions on time and hours of operation. Previous studies have noted that such restrictions negatively impact the health of street food vendors while also potentially jeopardizing the health vending customers. This research highlights the need for policy change, and notes that broader legalization of street food vending offers a unique opportunity to reassess the associated health benefits reviewed in prior literature.
Postpartum Weight-Loss Tracker to Guide Low-Income Postpartum Women on their Weight-Loss Journey
Authors: Koleilat Maria , Radcliffe Sarah , Kim Laura , Frost Erin , Inventado Paul S.
Published: July 2021

Studies have shown that postpartum weight retention is a key contributor to obesity among women. Studies have also shown that resources dedicated to postpartum weight loss are scarce. Weight tracking has been found to help with weight management during pregnancy. However, a postpartum weight-loss tracker (PPWLT) was yet to exist. This article describes the creation and initial impressions of a PPWLT that were collected via focus groups (FG) discussions with WIC participants. Methods: Two FG discussions (English and Spanish) were conducted at a WIC clinic in Southern California. All discussions were audio-recorded for transcription. Transcripts were analyzed using the scissor –and-sort technique. The sample consisted of ten Latina women, with a mean age of 28.7 ± 5.06 years and a mean current Body Mass Index (BMI) of 32.8 ± 7.8. Results: Participants in both FGs expressed a strong interest in the PPWLT and reported a willingness to use the tracker if provided by WIC. The Spanish-speaking group had several specific suggestions to make the instructions easier to understand. Conclusion: We believe that this new innovative tool has the potential to impact a mother’s well-being and give her an opportunity to optimize her health before a subsequent pregnancy.
Leadership in Public Health: Provider Perspectives
Authors: Wagner Allison F. , Galvez Danilyn , Nigg Claudio R.
Published: July 2021

The role of public health leaders in shaping decision- and policymaking remains a critical task that encompasses many qualities. The current report attempts to capture the perspectives about this task from those working in the community in Hawai‘i. Methods: This is a qualitative descriptive study design. Participants (n=115; 84.3% female; mean age=42.3 [SD = 12.3] years) generated lists of qualities they identified as critical for leadership and developed definitions of a public health leader. Data were coded thematically. Rating differences were subsequently discussed and converged to 100% interrater reliability in thematic ratings. Results: The most often cited theme in the leadership qualities highlighted a more general skill set, including organizational ability, being reliable, and being consistent (N=29, 25.44%). The most cited theme amongst the definitions was the ability to work with others and bring a team together (N=37, 31.09%). Of note are several differences from the literature, including having a community orientation, impact, integrity, and being a strategic thinker. Conclusion: The awareness of these perspectives and ability to integrate this information into one’s personal leadership style may help shape those individuals hoping to lead the field in the future.