bluuebunny/crossref_metadata_2025_split huggingface dataset:
Using Tantalum Augments for Major Acetabular Bone Defects in Revision Hip Surgery
Authors: Cursaru Adrian , Şerban Bogdan , Lupu Alexandru George , Anghelescu Dan , Iacobescu Gregorian , Popa Mihnea , Cîrstoiu Cătălin 
Published: February 2020

Abstract
Aim. The purpose of the study was to follow up the clinical and functional results of the patients with major acetabular bone defects in revision hip surgery.
Materials and methods. The study was retrospective, over a period of six years (from January 2014 to January 2019), and included all the patients with hip replacement, with major acetabular bone defects, who needed Tantalum blocks substitution.
11 patients were included in the study (8 men and 3 women). The average age was 71 years (between 64 and 78 years old). The average follow up period was 23 months (between 11 and 36 months). Paprosky radiological classification was used for the preoperatory evaluation of the bone defects. In 9 cases, the bone defect was of type 2B Paprosky and in 2 cases, of type 3A. Harris score was determined preoperatory and postoperatory for the appreciation of functional results.
Results. 6 patients were underwent replacement for coxarthrosis secondary to dysplasia, 2 patients for coxarthrosis secondary to aseptic necrosis and 3 patients for primary coxarthrosis.
The average time elapsed from the moment of primary arthroplasty to the need of revision surgery was on average of 13 years (between 7 and 16 years). The postoperatory radiological evaluation showed an improvement of the hip rotation center from an average postoperative vertical position of 3.1 cm (between 1.2 and 4.6 cm) at an average postoperatory position of 1.1 cm (between 0.5 and 2.3). The average result of Harris score postoperatively was 36 (between 39 and 96). During the follow up period, no early loosening, infection or prosthesis dislocation was registered. Conclusions. The Tantalum Augments used in major acetabular bone defects in revision surgery represent a good option, correcting the hip rotation center, thus considerably improving the functional score.
Functional outcome and prognostic implications in patellofemoral instability using Elmslie-Trillat and MPFL reconstruction procedures
Authors: Iacobescu Georgian , Cîrstoiu Cătălin , Cursaru Adrian , Anghelescu Dan , Stănculescu Dumitru 
Published: February 2020

Abstract
Introduction. Patellofemoral instability is a troublesome condition that results in significant morbidity, frequently associated with persistent anterior knee pain, long-term osteoarthritis and reduced quality of life.
Purpose. The purpose of this study was to describe functional outcomes following surgical treatment of patients who underwent Elmslie-Trillat procedure and reconstruction of medial patellofemoral ligament (MPFL) correlated with Elmslie-Trillat in the treatment of recurrent patellar dislocation and subluxation.
Methods. We prospectively followed 23 patients (24 knees) with patellofemoral instability who underwent realignment surgery procedures between 2015 and 2017, 14 knees by the Elmslie-Trillat procedure (Group 1) and 10 knees by Elmslie-Trillat combined with MPFL reconstruction (Group 2). The patients were evaluated pre and postoperatively by clinical examination, knee radiographs, CT scans and functional outcome Kujala score.
Results. At a follow up period of 2 years, the apprehension sign remained positive in 6 knees in Group 1, and only one in Group 2. On the skyline radiographs and axial CT scans, stability was significantly better in group 2 than in group 1. The mean Kujala score was 65.2+/ -9.39 points in group 1, and 87.1+/ -6.43 points in group 2, at 2 years evaluation, significantly higher than before surgery. No patient developed osteoarthritis while being followed up.
Conclusion. Based on these findings, we were able to conclude that the reconstruction of the MPFL combined with the osteotomy of distal tuberosity is a useful treatment of recurrent patellar dislocation and subluxation. However, further studies are needed to assess the impact of the realignment procedures in the prevention of joint degeneration.
The predictive role of Ki-67 protein in determining the aggressiveness of primary malignant bone tumors. A retrospective study
Authors: Japie Ioan-Mihai , Rădulescu Dragoș , Bădilă Adrian , Papuc Alexandru , Ciobanu Traian , Dumitru Adrian , Cîrstoiu Cătălin 
Published: February 2020

Abstract
Introduction: In order to diagnose and stage malignant bone tumors, the pathologic examination of harvested pieces with immunohistochemistry test is necessary; they also provide information regarding the prognosis on a medium to long term. Among tissular biomarkers with potential predictive value, a raised Ki-67 protein level is used to determine the risk of local recurrence or metastasis.
Material and method: This study was performed on 50 patients with primary malignant bone tumors admitted in the Traumatology and Orthopedy Department of University Emergency Hospital, Bucharest. Patients repartition according to diagnosis was the following: 21 patients with osteosarcoma, 18 patients with chondrosarcoma, 6 patients with Ewing sarcoma, 3 patients with malignant fibrous histiocytoma, and 2 with fibrosarcoma. The follow-up period was between 12 and 72 months with a mean of 26 months.
Results: Patients were aged between 18 and 77 years old, with a mean age of 41,36. There were 22 women and 28 men. No sex or age difference was notable for the tumor outcome. After calculating the Ki-67 LI, 36 patients were included in the high-risk group (Ki-67 LI > 25%), while 14 had a low risk for metastasis and local relapse (Ki-67 < 25%). The low-risk patients had chondrosarcoma (8 patients), osteosarcoma (5 patients), and fibrosarcoma (1 patient). During the follow-up, 8 patients, all belonging to the high risk group, developed metastasis, while 5 patients developed local recurrences; 4 patients who relapsed belonged to the high risk group and 1 to the low risk group. Metastases developed in 3 patients with osteosarcoma, 2 with Ewing sarcoma, 2 with chondrosarcoma and 1 patient with fibrosarcoma. Most metastases occurred within one year after surgery. The other fibrosarcoma patient developed local recurrence after 6 months, while the other local recurrences occurred in osteosarcoma patients (2 cases) and 1 in a Ewing sarcoma patient and chondrosarcoma patient.
Conclusions: Our study concluded that while Ki-67 LI values are useful in determining the aggressivity of primary malignant bone tumors, it should always be used in conjunction with the clinical, imaging and anatomopathological diagnosis methods in order to accurately predict the patients’ outcome.
A contemporary view on plate fixation in thoracic wall trauma
Authors: Tulin Adrian , Slavu Iulian , Braga Vlad , Socea Bogdan , Alecu Lucian 
Published: February 2020

Abstract
Flail chest in a trauma patient presents itself with a number of problems. The mainstay treatment in the past was analgesia with non-operative observation but due to the increased rate of complications, new treatment modalities have been researched. Chest wall plate fixation has emerged as the go-to solution for these patients but consensus lacks regarding when it should be applied, to what category of trauma patients, which technique and which surgical specialty should be the promoter of this technique. All these problems have arisen due to the lack of large prospective studies. A number of these studies are ongoing with results to be published in the near future. Until then, preliminary data have demonstrated the superiority of plate fixation in flail chest in comparison with the non-operative management.
Periprosthetic fractures after total knee arthroplasty: review
Authors: Creţu Bogdan , Şerban Bogdan , Zaharia Marius , Stoican Cosmina 
Published: February 2020

Abstract
This review of literature classifies and describes the most common periprosthetic fractures after total knee arthroplasty. Classification systems are usually considered useful when they describe the condition and offer guidelines for the management of a certain condition and are specific and comprehensive. The Lewis and Rorabeck classification can be used to describe these fractures.
The review not only provides the results of the classic techniques, but also new and combined techniques tried by some of the authors. For this review, only original studies, published between 2013 and 2019, were selected. The articles included in the database were selected from PubMed, ScienceDirect and SpringerLink. The searched keywords used to identify the articles were TKA, periprosthetic fractures and total knee arthroplasty.
The aim of this paper was to review the clinical studies related to periprosthetic fractures after total knee arthroplasty from the last six years, in order to understand current perspectives, epidemiology, treatment, and management.
In conclusion, periprosthetic fractures after total knee arthroplasty represent an important problem in medicine, but due to the low number of cases. Despite the increase in incidence, guidelines are mostly based on retrospective studies, personal observations, and expert opinion. The consensus is that treatment should be assigned depending on the patient’s profile and the fracture’s characteristics. Further studies should be performed in order to guide future practitioners in the treatment of periprosthetic fractures.
Extraperitoneal pelvic packing in trauma of the pelvis: A standard practice? A general review
Authors: Slavu Iulian , Tulin Adrian , Socea Bogdan , Braga Vlad , Alecu Lucian 
Published: February 2020

Abstract
Introduction: Pelvis fractures that associate bleeding with hemodynamic instability warrant immediate treatment. The therapeutic options in these cases vary from angioembolization to extraperitoneal pelvic packing.
Material and method: The P.I.C.O.S guidelines were used to structure the questions and the research topic as to attain clinical validity. The results of the research were filtered in accordance with the PRISMA checklist.
Results: 38 papers were identified. After screening, 27 papers were used to complete the analysis.
Discussion: Frequently, bleeding has a venous source in the pelvis. In the case of pelvic fractures with hemodynamic instability, extraperitoneal pelvic packing is one of the core treatments but not a stand-alone treatment, as it needs to be coupled with a pro-efficient trauma resuscitation protocol. Its intended use is as a bridge therapy until conclusive investigations regarding the place of bleeding can be obtained. Angiography is recommended if hemodynamic instability exists after pelvic packing and effective hemodynamic resuscitation.
Conclusion: Even with all these recent efforts, the wide-use of this therapy is precluded due to the absence of a standardized evaluation of these patients and large multicentric studies.
Review of current hallux valgus management options
Authors: Nica Mihai , Creţu Bogdan , Ene Răzvan , Şerban Bogdan , Cîrstoiu Cătălin 
Published: February 2020

Abstract
Hallux valgus is one of the most common forefoot pathologies, with a multifactorial etiology that causes important functional impairment and metatarsalgia. The characteristic deformity originates from a biomechanical imbalance induced by the disruption of first metatarsophalangeal joint alignment and manifests as an abnormal weight transfer on the first ray during walking. Conservative treatment is unable to correct the deformity or stop the evolution of the disease but can distinctly control the symptoms. With time, a myriad of surgical correction techniques have been developed but no definitive surgical treatment algorithm has been generally accepted. Nonetheless, the decision process for choosing the suitable technique must be completed on an individual basis after considering the deformity severity stratification, status of the metatarsophalangeal and tarsometatarsal joints, bone anatomy, and associated comorbidities. In spite of a large variety of surgical options, there are a few main strategies that incorporate these variations: metatarsophalangeal and/or tarsometatarsal joint fusion, metatarsal osteotomies and soft tissue procedures. Nowadays, the surgical management of hallux valgus is dominated by first metatarsal osteotomies performed through open surgery or minimally invasive techniques. Hallux valgus angle has been found to be the single most important parameter for surgical outcome prognostic.
Trends in systemic therapy for malignant peripheral nerve sheath tumors
Authors: Alecu Lucian , Orlov-Slavu Cristina , Tulin Adrian , Niţipir Cornelia 
Published: February 2020

Abstract
Malignant peripheral nerve sheath tumors are a type of soft tissue sarcoma deriving from Schwann cells that usually appear in type 1 neurofibromatosis patients but also sporadically. Tumors frequently interest the nerves in the limbs. They represent a therapeutical challenge due to difficulty of resection and relative radio-resistance and chemo-resistance. The paper aims to describe targeted therapy used in this setting and news concerning the molecular changes that lead to carcinogenesis initiation and promotion. A short selection of literature data was made using PRISMA criteria on this topic. However, due to the rarity and heterogeneity of these tumors, personalized treatment is necessary.
IDENTIFIKASI DEGRADASI MUTU BETON PADA STRUKTUR BANGUNAN GEDUNG DI JAKARTA
Authors: Wiyanto Henny 
Published: February 2020

Concrete quality degradation is a concrete quality downgrade from the perspective of concrete tension. Concrete quality degradation on concrete structure can happen either on new buildings (buildings that are still being constructed/in construction phase) or existing buildings (buildings that are already operational/in operational phase). The possible causes of concrete quality degradation on new buildings are, among others: incorrect implementation process such as readymix concrete quality that isn’t according to plan, lack of compacting, inadequate maintenance. Concrete quality degradation examination is done by examining concrete tension. On new buildings, one of the ways concrete tension can be identified is through test object examination. Concrete is a construction material that has a unique tension trait, where if it’s examined with a number of test objects, the value will spread around one particular average value. The value number depends on the field implementation perfection level. If the concrete tension of test object isn’t according to plan, installed concrete assessment with destructive and non destructive method can be performed. This research is done to identify the amount of concrete quality degradation on building structure based on tension value of concrete test object at the construction phase. Analysis results show the occurrence of a large concrete quality degradation, necessitating the determination of characteristics and categories until the worst possible concrete condition for concrete condition assessment needs. AbstrakDegradasi mutu beton adalah penurunan kualitas beton dilihat dari kuat tekan beton. Degradasi mutu beton pada struktur beton dapat terjadi baik pada bangunan baru (bangunan yang sedang dibangun/tahap konstruksi) maupun bangunan existing (bangunan yang sudah beroperasi/tahap operasional). Penyebab degradasi mutu beton pada bangunan baru diantaranya ada bagian pada proses pelaksanaan yang kurang tepat seperti mutu beton readymix tidak sesuai rencana, kurangnya pemadatan, perawatan beton kurang baik. Pemeriksaan degradasi mutu beton dilakukan dengan memeriksa kuat tekan beton. Pada bangunan baru, kuat tekan beton dapat diketahui salah satunya melalui pengujian benda uji. Beton adalah suatu bahan konstruksi yang mempunyai sifat kekuatan tekan yang khas, yaitu apabila diperiksa dengan sejumlah besar benda uji, nilainya akan menyebar sekitar suatu nilai rata-rata tertentu. Besar atau kecil nilai bergantung pada tingkat kesempurnaan pelaksanaan di lapangan. Apabila kuat tekan beton dari benda uji tidak sesuai rencana maka dapat dilakukan pengujian beton terpasang dengan metode non destruktif dan destruktif. Penelitian ini dilakukan untuk mengetahui besarnya degradasi mutu beton pada struktur bangunan gedung bertingkat berdasarkan nilai kekuatan tekan benda uji beton pada tahap konstruksi. Hasil analisis menunjukkan terjadi degradasi mutu beton yang besar, sehingga perlu ditetapkan karakteristik dan kategori sampai kondisi beton terburuk untuk kebutuhan penilaian kondisi beton.
Intra Analisis Gangguan Tiga Fasa Seimbang Menggunakan Pendekatan Metode Radial Equivalent Independent DIMO Pada Sistem Interkoneksi Sulbagsel
Authors: Karim Andi Nurtrimarini 
Published: February 2020

Makalah ini menyajikan analisis gangguan transient tiga fasa seimbang pada system interkoneksi Sulawesi Bagian Selatan (Sulbagsel). Sistem interkoneksi Sulbagsel yang multi mesin dan sangat kompleks tentu sangat berpengaruh pada perubahan-perubahan kondisi pada sistem, baik itu saat terjadinya hubung singkat maupun perubahan beban yang tiba-tiba pada system. Melalui pendekatan Metode Radial Equivalent Independent Dimo (REI-Dimo) maka akan dilakukan studi analisis system interkoneksi Sulbagsel yang terdiri dari 44 bus, 15 generator, 47 line, dan 34 beban yang selanjutnya akan di reduksi untuk mendapatkan bus generator terlemah serta arus gangguan terbesar pada bus. Hasil analisis diperoleh bahwa saat dilakukan simulasi hubung singkat didapatkan bus terlemah berada pada bus generator 2 (Pinrang) dengan nilai tegangan rata-rata selama gangguan sebesar 0.6492 pu. Sementara untuk arus gangguan terbesar terjadi pada bus 12 (Sengkang) yakni sebesar 29.9189 pu.
Kata Kunci : Transient Stability, REI-Dimo, Hubung Singkat, Sulbagsel.
POVERTY ALLEVIATION BASED ON PARTICIPANT NEEDS AND LOCAL RESOURCES: THE CASE OF PALEMBANG CITY AND OGAN KOMERING ILIR REGENCY
Authors: Novriadhy Dian , Rahayu Niken Probowati Nur 
Published: February 2020

Abstract
The research aimed to test the 2015 Integrated Data Base (IDB) reliability as a source in selecting poverty alleviation program’s target and to develop community's empowerment model. The research conducted in 12 Kelurahan in Palembang City and 2 villages in Ogan-Komering-Ilir Regency from February 2017 to November 2018. Two-hundred-and-fifty-six participants were systematically selected from the 2015 IDB list. The data collected through FGD, interviews and participatory observation. The data analyzed and interpreted based on the input-process-output approach. The research used three stages i.e. problem formulation, system’s components identification, and empowerment model development. The research showed the use of the 2015 IDB resulted in 44.53% right-on-target within range 14.29 to 73.68% per kelurahan/village. The replacement of the targeted participant tended not in the 2015 IDB list. The unfamiliarity of Head of RT to the 2015 IDB suspected as the cause. The replacement was caused by: had moved to another location (91.74%), already work (4.13%), impaired health (3.30%) and died (1%). The participant with different education level had an equal chance to accept empowerment program. The influence of the community’s leader was an important factor in the empowerment program. The reliability of the 2015 IDB depended on the ability of program manager in diminishing of identity politics at the location. To increase the responsiveness, the community's assets also need to be developed alongside individual assets. The empowerment program is indeed an iterative process rather than linear, the program manager should aware of the constant changing of the participant needs.

Keywords:
PERAN KELOMPOK TANI TERHADAP PENDAPATAN PETANI PADI SAWAH DI KELURAHAN KAUMAN KIDUL KECAMATAN SIDOREJO KOTA SALATIGA
Authors: Pramono Lolita Geofanny , Yuliawati Yuliawati Yuliawati 
Published: February 2020

Peranan kelompok tani merupakan serangkaian perilaku kelompok petani yang saling berhubungan dalam pengadaan sarana produksi pertanian, kerjasama antar kelompok maupun luar kelompok serta mengembangkan unit usaha secara bersama yang akan berdampak pada pendapatan. Penelitian ini bertujuan mengetahui peran kelompok tani terhadap pendapatan petani padi sawah di Kelurahan Kauman Kidul. Peran kelompok tani diukur dari empat variabel independen yaitu peran sebagai kelas belajar, peran dalam kerjasama, peran sebagai penyedia unit produksi, peran dalam penerapan teknologi dan informasi. Teknik pengambilan sampel yang digunakan adalah proportional random sampling dan ditetapkan sebanyak 67 orang sebagai responden penelitian. Pengambilan data responden dilakukan dengan wawancara menggunakan kuisioner. Teknik analisis data menggunakan regresi linear berganda diolah dengan software EViews 8.0. Hasil yang diperoleh menunjukkan peran kelompok tani sebagai kelas belajar, peran kelompok tani dalam kerjasama dan peran kelompok tani sebagai penyedia unit produksi berpengaruh positif dan signifikan terhadap pendapatan, sedangkan peran kelompok tani dalam penerapan teknologi dan informasi tidak berpengaruh nyata terhadap pendapatan anggota kelompok tani di Kelurahan Kauman Kidul, Kecamatan Sidorejo, Kota Salatiga.
RETRACTED: Peningkatan Sumber Daya Masyarakat Desa Melalui Binaan Pusat Kegiatan Belajar Masyarakat
Authors: Octaviani Vethy , Narti Sri , Nurwita Syisva 
Published: February 2020

Berdasarkan hasil penyelidikan secara teliti dan hati-hati terhadap artikel "Peningkatan Sumber Daya Masyarakat Desa dalam Binaan Pusat Kegiatan Belajar Masyarakat (PKBM)" yang terbit pada JPPM Vol 3 No. 1 Maret 2019.Artikel ini ditemukan melanggar etika publikasi JPPMArtikel ini mengandung isi yang sama pada artikel di Jurnal Pengabdian Pada Masyarakat UNMA Vol 3 No. 2 th 2018 dengan link: http://ppm.ejournal.id/index.php/pengabdian/article/view/62Dokumen dan isinya telah dihapus dari JPPM, dan upaya yang wajar harus dilakukan untuk menghapus semua referensi ke artikel ini.
Pendampingan Usaha Keripik Tortilla Jagung Pada Kelompok Wanita Tani
Authors: Nurdjanah Siti , Setyani Sri , Satyajaya Wisnu , Hasanudin Udin 
Published: February 2020

Tujuan dari kegiatan ini adalah membantu meningkatkan kapasitas produksi, kualitas dan jangkauan pemasaran produk keripik tortilla jagung khas Lampung Selatanagar beromsetinggi dan memberikan lapangan kerja yang lebih banyak. Metode yang digunakan adalah ceramah dan praktek pelatihan tentang pascapanen, pengolahan serta pengemasan yang sesuai dengan persyaratan Good Manufacturing Practice, serta pengawasan mutu produk dan pembukuan.Hasilyang dicapai oleh Unit Usaha Kelompok Wanita Tani Kemuning II Lampung Selatan antara lain telah mengalami peningkatan aset sebesar 10%, peningkatan omset menjadi dua kali, kualitas produk tortilla lebih renyah dan ditambah variasi rasa berbagai rasa dan peningkatan jangkauan pemasaran sampai ke Bandar Lampung.