bluuebunny/crossref_metadata_2025_split huggingface dataset:
Detection of Opportunistic Fungus Pneumocystis jirovecii Major Surface Glycoprotein (MSG) gene in HIV-AIDS Patients with Pneumoniae in Jakarta
Authors: Riana Tjampakasari Conny , Yasmon Andi , Sjahrurachman Agus , Djauzi Samsuridjal 
Published: February 2020

Pneumocystis jirovecii is known to cause opportunistic infections in the lower respiratory tract in individuals with low immune systems, especially patient with HIV infection. The prevalence of P. jirovecii pneumonia (PjP) in various countries show varying numbers. In Indonesia, HIV cases continue to rise. However, the data in Indonesia concerning the case of PjP is very limited. Until now the prevalence of PjP in Indonesia is only based on clinical symptoms of the patient. Currently, diagnosis of PjP relies on microscopic examination. The disadvantage of this examination is not easy to do and has a high negative predictive value. Thus, this study was conducted to develop a molecular test to diagnose PjP infection in HIV-AIDS suspected pneumonia. Molecular diagnostic test aimed for Major Surface Glycoprotein (MSG) gene of P. jirovecii detection was done through real-time PCR against 100 sputum samples. Demographic data show that the prevalence of PjP infection in HIV-AIDS suspected pneumonia patients in Jakarta is 20.0%, male 75% within 31-40 y.o (35%), dominant (80%) from patients with CD4+ T-lymphocytes of 200-349 cells/µL. Molecular real-time PCR methods were shown to give five times sensitivity higher than Giemsa stain.

Keywords: P. jirovecii, HIV, real-time PCR
Description of Eat Pattern and Relationship Between Nutrition Status With Basic Consumption levels in Children of School (Study Case Settlement Gundih, District Bubutan, Surabaya City)
Authors: Widiayunita Miranti , Emantoko Dwi Putra Sulistyo 
Published: February 2020

Background, since the 1997 economic crisis the number of poor people in Indonesia has increased. One result of the crisis was the increasing number of street children. Street children are one of the conditions of children in difficult circumstances, their lives are very worrying, especially health and the future. The goal is to know the nutritional status of street children as a scientific basis for further intervention programs. Research Methods, discrete-analytic observational research. Using quota sampling as many as 30 street children in the Gundih settlement of Bubutan District, Surabaya City. Nutritional status was assessed by using anthropometric parameters of height according to age and sex and carried out a 2x24 hour recall to determine diet and consumption levels. Conclusion, (1) 70% of street children have poor nutritional status and only 6.7% have good nutritional status. (2) The most common diet patterns for street children are rice, side dishes, and vegetables. (3) The level of consumption achieved is still below 100% of the AKG and the majority are in the less and moderate category. (4) There is no significant relationship between nutritional status and consumption level (p> 0.05). Suggestions, intervention programs on street children need to be done to prevent further serious nutritional problems.

Keywords: homeless kid, economic crisis, nutritional status
FAKTOR DETERMINAN SOSIAL YANG MEMPENGARUHI KEGAGALAN PEMBERIAN ASI EKSKLUSIF DI SRATUREJO, BAURENO, KOTA BOJONEGORO
Authors: Ramadhani Febriyanti 
Published: February 2020

The breast milk is the best food for babies right for infancy up to 6 months. Breast milk not only benefits the baby, but also brought benefits the mother. Globally, only 38% of infants aged 0 - 6 months are exclusively breastfed. The latest analysis of non-exclusive breastfeeding contributes to 11.6% of deaths in children under 5 years of age. This is equivalent to around 804,000 child deaths in 2011 (WHO, 2012). This research was conducted to analyze the social determinant factors that affect the failure of Exclusive Breast Feeding in Sraturejo, Baureno , Bojonegoro City. This research was an observational analytic study with a quantitative approach. The research was a cross sectional design. The research was conducted in Sraturejo Village, Baureno, Bojonegoro from 3 July to 9 August 2018. The population were 150 mothers who had children aged 0-24 months. The sample is calculated using the simple random sampling formula which resulted to 110 mothers who have babies 0-24 months of age. The data collection technique used primary data, by filling out the questionnaires of knowledges, attitudes, and behaviors. Then the priority of the problem will be determined using the USG matrix, which the proceeded with finding the cause of the problem with the metaplan technique and a fishbone diagram to identify the root causes of a problem. Then the analysis is conducted with the SWOT method. The results showed no corelation between knowledge and behavior, and there was no corelation between attitude and behavior. Other social determinants discovered are information, methods, economics, environment, individuals, and health. The social determinant factors that most affected the failure of exclusive breastfeeding are economic factors, such as working mothers. The conclusion is that working mothers affected the failure of exclusive breastfeeding.
Integrasi Kawasan Industri Millennium Kecamatan Tigaraksa Kabupaten Tangerang dengan Wilayah Sekitar Menuju Kota Industri
Authors: Widyastoro Kokoh , Rahayu Paramita , Rini Erma Fitria 
Published: February 2020

<p><em>The </em><em>Government of Tangerang Regency</em><em> </em><em>has a </em><em>plan to develop an industrial city</em><em> </em><em>in Tangerang Regency. An industrial city is an integrated city that combines industrial estates, residential areas, and commercial areas with a high concentration of population activities. </em><em>The </em><em>development </em><em>of industrial city </em><em>has several elements that need to be integrated including the separation of industrial land use, land-use connectivity, accessibility, infrastructure and settlements</em><em> in the surrounding industrial estate</em><em>. The Millennium industrial estate is the largest industrial estate which develops in central area of </em><em></em><em>Tangerang Regency. The purpose of this study is to</em><em> what</em><em> extent the Millennium industrial</em><em> Estate</em><em> is integrated with surrounding areas</em><em> towards fulfilling the concept of industrial city</em><em>. This research uses quantitative methods using descriptive analysis with Guttman </em><em>S</em><em>cale. The analyzes </em><em>are performed </em><em>on each sub-variable supported by space syntax analysis, GIS and VCR analysis</em><em> to confirm the value into Guttman Scale</em><em>. The results of the analysis showed that the Millennium industrial estate has been integrated in terms of land use planning, accessibility, availability of public green space, and industrial infrastructure</em><em>s</em><em>. While the elements of availability of industrial separation zones, connectivity and location of settlements are still not integrated Based on the theory, issues and analysis, the results obtained that the integration of the Millennium industrial Estate with the surrounding area</em><em>s</em><em> has fulfilled 50% </em><em>of requirements to develop an integrated industrial city.</em></p>
Low Preoperative Albumin Levels Predict Adverse Outcomes After Total Joint Arthroplasty
Authors: Kishawi Deena , Schwarzman Garrett , Mejia Alfonso , Hussain Awais K. , Gonzalez Mark H. 
Published: February 2020

Background:
Low albumin levels have previously been shown to be a risk factor for increased complications in the 30-day postoperative period after total hip or knee arthroplasty. In this study, we examined the effect that albumin levels have on complications in all total joint primary arthroplasties or revisions (shoulder, elbow, wrist, hip, knee, ankle, and fingers).

Methods:
Patients who underwent a primary total joint arthroplasty or revision from 2005 to 2015 and who had preoperative serum albumin concentration levels recorded were identified from the U.S. National Surgical Quality Improvement Program (NSQIP) database. Patients were grouped into those with normal serum albumin concentrations (≥3.5 g/dL) and those who were hypoalbuminemic (<3.5 g/dL); hypoalbuminemia was subdivided into quartiles for statistical analysis. Univariate analyses were conducted with use of the Student t test for categorical outcomes and the chi-square test for continuous variables. Following univariate analysis, all significant comorbidity variables for both the primary and revision arthroplasty groups were used in a multivariate regression analysis to determine independent association of hypoalbuminemia and postoperative outcomes.

Results:
Using available data from 2005 to 2015, 135,008 patients fit the eligibility criteria, including those who had undergone primary arthroplasty (n = 125,162) and those who had undergone revision arthroplasty (n = 9,846). The revision arthroplasties included the shoulder (2%), hip (46%), and knee (52%), and the primary arthroplasties included the shoulder (3%), hip (39%), knee (57%), and other (1%). We found that patients who had lower albumin levels had a greater rate of postoperative complications including cardiac arrest, myocardial infarction, cerebrovascular accident, organ or space surgical site infection, sepsis, septic shock, pneumonia, renal insufficiency in general, unplanned intubation, return to the operating room within 30 days, urinary tract infection, and wound infection (all p < 0.005).

Conclusions:
There was a significant difference in 30-day postoperative complications between patients with normal preoperative albumin levels and those with low albumin levels after all primary total joint arthroplasties or revisions. Patients with low albumin levels were at significantly increased risk for infection, pneumonia, sepsis, myocardial infarction, and other adverse outcomes. Further research is needed to develop interventions to improve serum albumin concentrations preoperatively to mitigate adverse outcomes.

Level of Evidence:
Prognostic Level IV. See Instructions for Authors for a complete description of levels of evidence.
Weight-Bearing CT Scan After Tibial Pilon Fracture Demonstrates Significant Early Joint-Space Narrowing
Authors: Willey Michael C. , Compton Jocelyn T. , Marsh J. Lawrence , Kleweno Conor P. , Agel Julie , Scott Elizabeth J. , Bui Gabrielle , Davison John , Anderson Donald D. 
Published: February 2020

Background:
Posttraumatic osteoarthritis (PTOA) is a common and early sequela of tibial pilon fractures resulting in substantial long-term disability. New approaches are needed to objectively and reliably quantify early disease progression in order to critically assess the impact of interventions aimed at preventing or mitigating PTOA. Weight-bearing computed tomography (WBCT) scans provide a means for measuring joint space while the ankle is in a loaded, functional position. We assessed the interrater and intrarater reliability of a standardized, regional method to quantify joint-space loss following tibial pilon fracture compared with the uninjured contralateral ankle.

Methods:
We prospectively enrolled 20 patients with intra-articular tibial pilon fractures that were surgically treated at 1 of 2 level-I trauma centers. Six months after injury, bilateral ankle WBCT scans were obtained. Joint space was measured by 4 reviewers at 9 discrete regions of the tibiotalar articulation on sagittal images. Measurements were repeated by reviewers 2 weeks later. To characterize the measurement method, interrater correlation coefficient estimates and test-retest reproducibility were calculated.

Results:
The mean tibiotalar joint space was 21% less in the injured ankles compared with the contralateral uninjured ankles (p < 0.0001). The middle-lateral and middle-central regions of the joint demonstrated the greatest decrease in joint space between injured and uninured ankles. The interrater correlation coefficient of the measurement technique was 0.88, and the test-retest reproducibility was 0.80, indicating good reliability and reproducibility of the method.

Conclusions:
We developed a simple, standardized, and reliable technique to quantify tibiotalar joint space following tibial pilon fracture on WBCT. Significant loss of joint space is seen 6 months after the injury. This tool can be used to longitudinally quantify loss of joint space following pilon fracture and assess the impact of interventions to reduce PTOA.
Compensatory Motion of the Subtalar Joint Following Tibiotalar Arthrodesis
Authors: Lenz Amy L. , Nichols Jennifer A. , Roach Koren E. , Foreman K. Bo , Barg Alexej , Saltzman Charles L. , Anderson Andrew E. 
Published: February 2020

Background:
Tibiotalar arthrodesis is a common treatment for end-stage tibiotalar osteoarthritis, and is associated with a long-term risk of concomitant subtalar osteoarthritis. It has been clinically hypothesized that subtalar osteoarthritis following tibiotalar arthrodesis is the product of compensatory subtalar joint hypermobility. However, in vivo measurements of subtalar joint motion following tibiotalar arthrodesis have not been quantified. Using dual-fluoroscopy motion capture, we tested the hypothesis that the subtalar joint of the limb with a tibiotalar arthrodesis would demonstrate differences in kinematics and increased range of motion compared with the subtalar joint of the contralateral, asymptomatic, untreated ankle.

Methods:
Ten asymptomatic patients who had undergone unilateral tibiotalar arthrodesis at a mean (and standard deviation) of 4.0 ± 1.8 years previously were evaluated during overground walking and a double heel-rise task. The evaluation involved markerless tracking with use of dual fluoroscopy integrated with 3-dimensional computed tomography, which allowed for dynamic measurements of subtalar and tibiotalar dorsiflexion-plantar flexion, inversion-eversion, and internal-external rotation. Range of motion, stance time, swing time, step length, and step width were also measured.

Results:
During the early stance phase of walking, the subtalar joint of the limb that had been treated with arthrodesis was plantar flexed (−4.7° ± 3.3°), whereas the subtalar joint of the untreated limb was dorsiflexed (4.6° ± 2.2°). Also, during the early stance phase of walking, eversion of the subtalar joint of the surgically treated limb (0.2° ± 2.3°) was less than that of the untreated limb (4.5° ± 3.2°). During double heel-rise, the treated limb exhibited increased peak subtalar plantar flexion (−7.1° ± 4.1°) compared with the untreated limb (0.2° ± 1.8°).

Conclusions:
A significant increase in subtalar joint plantar flexion was found to be a primary compensation during overground walking and a double heel-rise activity following tibiotalar arthrodesis.

Clinical Relevance:
Significant subtalar joint plantar flexion compensations appear to occur following tibiotalar arthrodesis. We found an increase in subtalar plantar flexion and considered the potential relationship of this finding with the increased rate of subtalar osteoarthritis that occurs following ankle arthrodesis.
Anterior Spinal Growth Modulation in Skeletally Immature Patients with Idiopathic Scoliosis
Authors: Newton Peter O. , Bartley Carrie E. , Bastrom Tracey P. , Kluck Dylan G. , Saito Wataru , Yaszay Burt 
Published: February 2020

Background:Anterior vertebral body tethering (AVBT) has been introduced as a means of correcting scoliosis without fusion. The purpose of this study was to compare outcomes for patients with thoracic idiopathic scoliosis between a group of patients who underwent AVBT and a matched cohort of patients treated with posterior spinal fusion and instrumentation (PSF).Methods:A retrospective study of patients who underwent AVBT and PSF for idiopathic scoliosis was conducted. The inclusion criteria were determined on the basis of the AVBT cohort: primary thoracic idiopathic scoliosis with a curve magnitude between 40° and 67°, Risser stage of ≤1, age of 9 to 15 years, no prior spine surgery, index surgery between 2011 and 2016, and minimum follow-up of 2 years. Demographic, radiographic, clinical, and patient-reported outcomes and revisions were compared between groups.Results:There were 23 patients in the AVBT cohort and 26 patients in the PSF cohort. The mean follow-up (and standard deviation) was similar between groups: 3.4 ± 1.1 years for the AVBT group and 3.6 ± 1.6 years for the PSF group (p = 0.6). Preoperatively, the groups were similar in all measurements of radiographic and clinical deformity, with mean main thoracic curves of 53° ± 8° for the AVBT group and 54° ± 7° for the PSF group (p = 0.4). At the time of final follow-up, the AVBT cohort had significantly more residual deformity, with a mean thoracic curve of 33° ± 18° compared with 16° ± 6° for the PSF group (p < 0.001). There were 9 revision procedures in the AVBT cohort (with 3 conversions to PSF and 3 more pending) and none in the PSF cohort. Revisions occurred at a mean postoperative time of 2.3 years (range, 1.2 to 3.7 years). Twelve patients (52%) had evidence of broken tethers; of these patients, 4 underwent revision. The post-intervention patient-reported outcomes were similar.Conclusions:Both AVBT and PSF resulted in postoperative correction; however, 2-year correction was better maintained in the PSF group. There were no differences in post-intervention patient-reported outcomes. AVBT resulted in less deformity correction and more revision procedures than PSF, but resulted in the delay or prevention of PSF in the majority of patients.Level of Evidence:TherapeuticLevel III. See Instructions for Authors for a complete description of levels of evidence.
Proximal Femur Chondrosarcoma Misdiagnosed as Hip Arthritis
Authors: Soares do Brito Joaquim , Spranger André , Almeida Paulo , Presa Dolores , Fernandes Isabel , Portela José 
Published: February 2020

Update
This article was updated on September 1, 2020, because of a previous error.
An erratum (JBJS Case Connect. 2020;10[3]:e19.00324ER) has been published for this article.

Case:
A 60-year-old man presented with left hip pain, and a radiograph showed reduced joint space. During the surgical procedure for a total hip replacement, a proximal femur mass was identified and biopsy was subsequently interpreted as grade 2 chondrosarcoma. A wide resection was needed, but he developed local recurrence after 2 years and was treated with an external hemipelvectomy.

Conclusions:
Chondrosarcoma does not always present with a classical clinical picture or imaging, and it can be misdiagnosed. Practitioners should be highly suspicious of malignant disease as a cause for hip pain even if there is no direct indication of a neoplasm such as chondrosarcoma.
SISTEM PEMBIAYAAN MUSYARAKAH DI BMT-UGT SIDOGIRI CAPEM BANYUPUTIH SITUBONDO
Authors: Alsyaf Ahmadi 
Published: February 2020

Semua manusia tidak akan perna terlepas dari ber-muamalat, salah satu bentuk muamalat, adalah syirkah. Syirkah adalah akad kerjasama antara dua orang atau lebih yang dima masing-masing menyertakan mudal untuk modal syirkah, syirkah merupakan yang banyak diperaktekkan dalam kehidupan sehari-hari, baik secara individu maupun secara kolektif. Yang mana hal ini mempunyai banyak manfaat dari praktek tersebut, salah satunya adalah dapat menciptakan silaturrahmi di antara sesama manusia, baik sesame muslim maupun non muslim. Peneliti memberikan fokus penelitian yang pertama bagaimana praktik pembiayaan musyarakah di koperasi BMT Sidogiri banyuputih. Kedua, bagaimana hukum pembiayaan musyarakah yang diterapkan di BMT Sidogiri Banyuputih. Sedangkan di dalam penelitian ini peneliti akan terjun langsung ke lapangan dan peneliti sendiri yang akan menyusun instrument, mengumpulkan data, serta melakukan analisis data. Jadi peneliti menjadi instrumen inti dalam penelitian.
Pengaruh Media Pembelajaran Berbasis Komputer Aplikasi Paint Terhadap Kemampuan Kognitif Anak Usia 4-5 Tahun di TK Aisyiyah Bustanul Athfal 22 Balongpanggang
Authors: Widiawati Wiwit Widiawati , Karim Muhammad Busyro , Mayangsari Dewi 
Published: February 2020

The purpose of this study is determine the effect of computer based on the learning of media Paint application forward the cognitive abilities of children A2 TK Aisyiyah Bustanul Athfal 22 Balongpanggang Gresik. Media of learning is everything that is used by teacher to simplify the delivery of learning materials. The media is computer-based learning which has paint application that is used to stimulate the cognitive abilities of children, especially in aspects of learning and problem solving, logical thinking, and symbolic thinking. This research uses quantitative approach that is experimental method with Pre-experimental design research design type one-group pre-test post-test. The subject of this study is a group A children in kindergarten AisyiyahBustanulAthfal 22 Balongpanggang Gresik as many as 11 children. Techniques of collecting data of ths research is participant observation and documentation in the form of photos of activities and plans of daily learning. Data processing uses t-test data analysis. The result of data analysis obtained by Tcount value is -5,45 and Ttable value 2,086 then (-2,086 -5,45) and Ha accepted. Based on the data analysis shows there is a significant influence between computer-based learning media paint application to the cognitive abilities of children.
Pengaruh Model Pembelajaran Sentra Peran Terhadap Kemampuan Berbicara Anak Usia 5-6 Tahun di TK Islam Al-Khalifa Solerejo Mojowarno Jombang
Authors: Farikha Lailina , Karim Muhammad Busyro , Fajar Yulias Wulani , Puspitasari Ratna Nila 
Published: February 2020

The purpose of this study was to determine the effect of learning models of role Centers on speech capabilities of child aged 5-6 years old at Al-Khalifa Islamic Kindergarten Ngepung backwoods, Solorejo Village, District Mojowarno, Jombang Regency. This research uses quantitative approach by using Experimental method with design pre-experimental research design(nondesigns) Type of one-grouppre-testpost-test.The subject of this study is a child aged 5-6 years old in Islamic Kindergarten Al-Khalifa Jombang as many as 17children’s which is representative from the whole number of research. Data collecting technique through the observation and documentation. By using t data experiment analysis (T-Test). The result of data analysis is obtained r = 0,55 and t-test obtained grade t-count Amount -0,88 and t-table 2,178. Then t-table is bigger than t-count(-2,178 -0,88), if t-table t-count H is accepted on standard of significanse 5% which means there is significant influence between learning model of role center to child's speaking ability.
Pengaruh Metode Bercerita Terhadap Kemampuan Mengungkapkan Bahasa Anak Usia 5-6 Tahun di TK Pertiwi 1 Banjarsari
Authors: Hadi Gana Kartinika 
Published: February 2020

The purpose of this study is to reveal the influence of storytelling method toward the ability of revealed language the of Child Aged 5-6 Years Old at Pertiwi 1 Banjarsari. This research uses quantitative approach by using experiment method; the research design uses Pre-Experimental design (nondesign) which includes pre-test and pos-test. Subject of this research is a child aged 5-6 years old in Pertiwi 1 Banjarsari Kindergarten about 19 students. Data collecting technique through the observation and documentation. Data analysis technique the inferensial statistics by using t data experiment analysis (T-Test). The result of data analysis is acquired value r = 0,68, wich are -2,450 -11,66, thus is accepted wich means there is significanct influence between Sorytelling Method to child’s revealed language ability.