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Background During the last decades, the growing number of shoulder replacement has increased the associated complications. Periprosthetic fractures have a low incidence but can be a severe clinical condition, especially in elderly population. There are still no guidelines to define the best treatment protocol for post-operative periprosthetic humeral fractures. Factors associated to these fractures and consequently the decision-making for the best treatment seem to be patient-related but also correlated with the type of implant. The aim of this study is to analyze the patient’s risk factors, fracture pattern, implant type and treatment, evaluating the outcome with a long-term follow-up. Methods A retrospective study was performed on more than 2700 shoulder prostheses implanted over 10 years in two specialized centers, identifying 19 patients who underwent surgery for post-operative periprosthetic fracture. Gender, age, comorbidities, type of prosthetic implant, type of fracture, and cortical index of each patient were evaluated. All patients underwent surgery and were evaluated with a mean follow-up of 5 years with radiographic controls and functional assessment with the Constant–Murley score. Results Complete healing was achieved in 18 of 19 patients. All patients presented a lower Constant–Murley score than the pre-fracture score, there were no significant differences between prosthetic implants, and the cortical index was lower than the threshold level in more than 60% of cases. Conclusion The results of this study showed that a correct preoperative planning is essential to evaluate the type of implant and possible signs of stem mobilization. With a stable stem, it is preferable to maintain it and proceed to a synthesis. The decision process is more complex in periprosthetic fractures with a reduced cortical index, when some radiolucency lines are present in stems with high primary stability, because it is not always indicative of an unstable stem. Level of Evidence Therapeutic III

IntroductionLiterature shows overlapping alterations in brain structure in Attention-deficit/Hyperactivity Disorder (ADHD) and substance use disorder (SUD), suggesting shared pathophysiological mechanisms. It is unclear to what extent family history (trait) effects and/or substance misuse (state) effects explain the observed overlap.ObjectivesOur aim was to examine the effects of (i) SUD family history (FH) and (ii) substance misuse on brain structure in ADHD.MethodsWe compared structural MRI data (cortical thickness; subcortical volumes) between (i) ADHD subjects and controls with or without FH (ADHD-FH+: n=139; ADHD-FH-: n=86; controls-FH+: n=60; controls-FH-: n=74), and (ii) FH-matched ADHD groups with and without substance misuse and controls (ADHD+SM, ADHD-only and controls, n=68 per group). Furthermore, we explored whether FH effects were more pronounced in subjects with SUD in both parents (n=63) compared to subjects with one SUD parent (n=105) and without FH (n=160).ResultsThere was no main FH effect on brain structure. ADHD+SM showed decreased CT in inferior frontal gyrus (IFG) compared to controls, while no difference was found between ADHD-only and ADHD+SM or controls. Subjects with SUD in both parents showed decreased thickness of IFG and volume of nucleus accumbens (NAcc), compared to those with one SUD parent.ConclusionsSubstance misuse in ADHD might result in smaller IFG, which is in line with findings in SUD-literature. A contribution of premorbid alterations, due to FH, could not be ruled out, particularly for IFG thickness. Future studies should further investigate the potential role of these regions in treatment and prevention strategies.DisclosureNo significant relationships.

Penelitian ini dilakukan dengan pengukuran sifat fisika dan kimia air di lapangan berupa suhu, daya hantar listrik, pH, dan ion HCO 3 - , serta analisis hidrokimia di laboratorium terhadap contoh air dari sumur bor, mata air, dan sungai bawah tanah. Interpretasi aliran air tanah karst sebagai bentuk interaksi antara air (H 2 O), CO 2 , dan CaCO 3 dilakukan dengan menghitung indeks kejenuhan CaCO 3 dan tekanan parsial CO 2 . Hasil analisis menunjukkan air tanah pada mata air dan sungai bawah tanah memiliki tingkat interaksi air- CaCO 3 lebih singkat dan interaksi air-CO 2 lebih lama dibanding air tanah pada sumur bor. Kondisi tersebut mengindikasikan bahwa sistem akuifer karst pada satuan plato Wonosari memiliki karakter aliran difusi yang bersifat tertutup, sedangkan pada satuan perbukitan karst Gunungsewu menunjukkan adanya perubahan karakter aliran secara difusi pada zona epikarst menjadi aliran konduit. This study was conducted by measuring the physical and chemical properties of water in the field: temperature, electrical conductivity, pH, and HCO 3 - , as well as hydrochemical analysis of major ions in the laboratory against water samples from boreholes, springs, and underground rivers. Groundwater flow system as a result of water-CO 2 -CaCO 3 interaction is interpreted by calculating the saturation index of CaCO 3 and the partial pressure of CO 2 . The results of the analysis show that groundwater in springs and underground rivers have shorter water-rock interaction and longer water-CO 2 interactions than groundwater in boreholes. This condition indicates that the karst aquifer system in the Wonosari plateau unit has a character of diffusion flow (closed system), whereas in the Gunungsewu karst hills shows a change in the character of the flow diffusion in the epikarst zone into a conduit flow.

Objective: Benign Prostatic Hyperplasia (BPH) is a benign tumor located in prostate caused by prostate cell that will continuously grows which covalent with the aging process and the dihidrotestosteron level (DHT) increase. Prostate Hyperplasia can stop the urethra pars prostatics and causesa clogging in the urine’s flow excretes from bladder. Lower Urinary Tract Symptomps (LUTS) is a bladder muscle compensation mechanism to excrete urine. Diabetes Mellitus (DM) is one of the risk factors of BPH. This research aimed to find the differences on the degree of severity and quality of life BPH DM with BPH non-DM. Material & Methods: This research was observational analytic with cross sectional design which done to 32 subjects that consist of 16 BPH-DM subjects and 16 BPH non-DM in Bina Sehat Hospital Jember, Paru Hospital Jember, and Bhayangkara Hospital Bondowoso which meet to the inclusion and exclusion criteria. Data acquired from lead interview result using International Prostate Symptoms Score (IPSS) questionnaire to evaluate the degree of severity and World Health Organization Quality of Life (WHOQOL-BREF) questionnaire to evaluate the quality of life. The data processing using Mann Whitney’s comparative test. Results: IPSS and physic domain, psychology and social had p value in a row 0.001; 0.000; 0.001; and 0.001. Conclusion: It showed that there was a meaningful difference between BPH DM with BPH non-DM. Environment domain had p value of 0.373. It showed the non-meaningful difference between BPH DM with BPH non-DM.

—Eventhough there are a lot of practical money storage media, but there are also people who like to save money in Money Storage Box.. Then it needs to be made a Money Storage Box that is based arduino uno microcontroller. This tool can provide information on the amount of money saved and equipped with a PIN as a security system. In the design Tool will use the sensor TCS3200 as a sensor to read the value of the money entered in accordance with the color, for information of the amount of the money will be used LCD as a view. To lock the money box will be used Selenoid and Relay so that is not easy to open. to enter the pin and set the amount of money, will use Keypad 4x4 Servo SG 90 to open and close the entrance of money. for the time display will be used RTC Ds1307. While to control the entire system used microcontroller.Keywords—Keypad 4x4, LCD 20x4, Money Storage Box, Microcontroller Arduino Uno, Sensor TCS3200. Abstrak—Meski sudah banyak media penyimpanan uang yang praktis, tetapi masih ada yang suka menyimpan uang di Kotak Penyimpanan Uang. Untuk itu dibuatlah kotak penyimpanan uang yang berbasis mikrokontroler arduino uno. Alat ini dapat memberikan informasi jumlah uang yang disimpan serta di lengkapi dengan PIN sebagai Pengaman. Dalam perancangan, menggunakan sensor TCS3200 untuk membaca nilai uang yang dimasukan sesuai dengan warna, untuk informasi jumlah uang, digunakan LCD Sebagai tampilan. Untuk mengunci kotak uang akan digunakan Selenoid dan Relay agar tidak mudah dibuka. untuk memasukan pin dan menset jumlah uang, menggunakan Keypad 4x4. Servo SG 90 untuk membuka dan menutup lubang masuknya uang. untuk tampilan waktu digunakan RTC Ds1307. untuk mengontrol seluruh system digunakan microcontroller.Kata Kunci—Kotak Penyimpanan Uang, Keypad 4x4, LCD 20x4, Microcontroller Arduino Uno, Sensor TCS3200.

Kemajuan dari dunia teknologi informasi telah banyak membantu dan mempermudah kehidupan manusia dari berbagai ragam dimensinya.Salah satu produk dari perkembangtan teknologi informasi yang sangat pesat adalah E-commerce. Dalam dunia modern ini, e-commerce (Electronik Commerce) telah memberikan pengaruh yang besar terhadap pertumbuhan tata sosial dan ekonomi masyarakat.Petani adalah orang yang bekerja menanam sesuatu pada suatu lahan pertanian dan mengharapkan penghasilan pada waktu memanen dari apa yang telah dia tanam pada suatu waktu. Untuk dapat meningkatkan keuntungan para petani maka penggunaan dan penguasaan akan teknologi informasi bagi para petani mutlak dibutuhkan.Tujuan dari proram ini yaitu agar petani yang berada pada kelurahan Kakaskasen Lingkungan 6 dapat mencari apa yang mereka perlukan dan mereka butuhkan dalam mengelolah tanah pertanian mereka dengan menggunakan teknologi informasi dan komunikasi yang telah mereka pahami dari sosialisasi yang telah kami laksanakan dalam rangka program IPTEKS Bagi Masyarakat (IbM) dengan mengambil judul yaitu “Pemanfaatan E-Commerce Dalam Memasarkan Hasil-Hasil Pertanian”Kata kunci: e-commerce,web, hasil pertanian

— Design Lock Electronic Door using Bluetooth based on Android. The hardware design of this door lock device is a combination of the android Applications installed on the media instead of the controller, the bluetooth module as the connecting medium and the Arduino Uno as the central controller and data processing which will then give commands to the DC Servo Motor to open and close the door lock. The purpose of this research is to create a key security system by using Bluetooth and applications that have been installed on android smartphone.Keywords: Android, Arduino Uno, Bluetooth, Door Key, Motor DC ServoAbstrak— Rancang Bangun Kunci Pintu Elektronik menggunakan Bluetooth berbasis Android. Desain hardware dari alat kunci pintu ini adalah kombinasi dari Aplikasi android yang terinstal pada smartphone sebagai media pengendali, modul bluetooth sebagai media penghubung dan Arduino Uno sebagai pusat pengendali dan pengolahan data yang nantinya akan memberikan perintah kepada Motor DC Servo untuk membuka dan menutup kunci pintu. Tujuan dari penelitian ini adalah membuat sistem keamanan kunci pintu dengan menggunakan Bluetooth dan aplikasi rancangan sendiri yang telah diinstal pada smartphone android.Kata kunci: Android, Arduino Uno, Bluetooth, Kunci Pintu, Motor DC Servo

confidentiality management of Visum et Repertum (VeR) is compulsory for health service facility as the executor and guarantor for its patient medical confidentiality that, VeR is executed merely by the authorities. Bhayangkara Hospital in Bondowoso is an institution under State Police of The Republic of Indonesia that is responsible for police medical administration including VeR. With regard to this, it is crucial that VeR confidentiality management should meet the regulation concerning victim’s privacy rights as the patient in health facility. Qualitative method was employed with empirical juridical approach obtained from observation and in depth interview with 11 informants determined by purposive sampling. The research findings reveals that the urgent of VeR confidentiality of the victims of decency crime adheres the Law of Witness and Victim Protection, law of child protection and Law of domestic violence. The VeR of the victim of decency crime in Bhayangkara Hospital in Bondowoso has obeyed the law in terms of victim confidentiality, management of execution, report and VeR medical records of decency crime. However, based on Law on Hospital and Ministry of Health’s Regulation on Medical Records, it is mentioned that Medical Records Unit is also supposed to be responsible for the management, reports, and VeR recording in Bhayangkara Hospital Bondowoso.Keywords: Management, confidentiality, decency crime, hospital, VeR

Tujuan pembuatan proyek akhir ini adalah mampu mendapatkan suatu sistem pengamanan kendaraan bermotor yang mudah digunakan dan dapat dihandalkan. Rancangan alat ini terdiri dari sebuah mikrokontroller sebagai mengolah data, antarmuka Sensor Kompas, Switch Push Button, LCD, Driver alarm dan Catu daya. Sistem ini juga di dukung oleh mikrokontroler ATMega328 yang merupakan komponen utama yang berfungsi sebagai pusat Kendali berbagai macam peripheral yang terhubung dalam sistem ini, yaitu sensor CMPS03, LCD dan Driver alarm. Komponen ini juga berfungsi sebagai tempat pengolahan data yang akan diproses. Sistem yang digunakan menggunakan sensor kompas CMPS-03 sebagai input untuk mendeteksi mendeteksi adanya bahaya dari perubahan arah dan akan memberikan sinyal ke mikrokontroler agar dapat mengaktifkan alarm system yang merupakan output dari sistem ini. Kata kunci : arduino uno R3/Atmega328, cmps03, LCD, mikrokontroler. Abstract The purpose of making this final project was able to get a motor vehicle security system that is easy to use and reliable. The design tool consists of a microcontroller as data processing, compass sensor interface, push button switches, LCD, driver alarm and power supply. The system is also supported by the microcontroller ATmega328 which is the main component that serves as a control center of a wide variety of peripherals that are connected in this system, namely CMPS-03 sensor, LCD and alarm driver. This component also functions as a data processing to be processed. The system used to use a compass sensor CMPS-03 as an input to detect detect any danger of a change of direction and will give a signal to the microcontroller to activate the alarm system is the output from this system. Keywords: arduino uno R3, cmps03, LCD, microcontroller.

Abstrac-, This design is motivated their desire to make digital wind speed gauges. Wind speed measurement system is used based Microcontroller Arduino Uno and connected via wireless, which is a device measuring instrument portable, inexpensive and reliable In this design method used is divided into two: the design of hardware and software design. Hardware design includes the design wind speed gauges that use Arduino Uno microcontroller, sensor optocoupler to detect the number of round bowls and wireless NRF24L01 as a link, while software design using Arduino Uno programming. The results of this design is a wind speed measuring device using optocoupler sensor Arduino Uno microcontroller-based and can be used as a measuring tool that is appropriate if each reading data written calibration factor, and a margin of error of 0.008% to 0.30% of the GM-816 anemometer Benetech. Keywords:Arduino Uno, optocoupler Sensor, wind speed measuring device, Wireless NRF24L01. Abstrak-. Perancangan ini dilatar belakangi adanya keinginan membuat alat pengukur kecepatan angin digital. Sistem pengukuran kecepatan angin yang digunakan berbasis Mikrokontroler Arduino Uno dan terkoneksi melalui wireless, yang merupakan piranti alat ukur portable, murah dan handal Dalam perancangan ini metode yang digunakan dibagi menjadi dua yaitu perancangan perangkat keras dan perancangan perangkat lunak. Perancangan perangkat keras meliputi perancangan alat pengukur kecepatan angin yang menggunakan mikrokontroller Arduino uno, sensor optocoupler untuk mendeteksi jumlah putaran mangkok-mangkok dan wireless NRF24L01 sebagai penghubung, sedangkan untuk perancangan perangkat lunak menggunakan pemrograman Arduino Uno. Hasil dari perancangan ini adalah suatu alat pengukur kecepatan angin menggunakan sensor optocoupler berbasis mikrokontroler Arduino Uno dan dapat dijadikan alat ukur yang tepat jika setiap pembacaan datanya ditambahkan faktor kalibrasi, dengan margin error 0.008% sampai 0.30% terhadap anemometer Benetech GM-816. Kata kunci: Alat pengukur kecepatan angin, Arduino Uno, Sensor optocoupler, Wireless NRF24L01.

Dewasa ini kita melihat iklan ada dimana-mana disajikan dalam berbagai media dan dengan kreasi yang menarik perhatian publik. Setiap iklan memiliki daya tariknya tersendiri, efisiensi dan efektivitas iklan dalam menarik perhatian publik tidak lepas dari media yang digunakan. Iklan yang disajikan dalam media cetak tentu memiki daya tarik yang tidak sama dengan iklan yang dimuat dalam media elektronik. Oleh karena itu dalam tugas akhir ini dirancang sebuah alat berupa display moving sign yang dapat menampilkan berbagai teks dan karakter lainya, yang dimanfaatkan sebagai papan iklan elektronik dengan harga terjangkau. Proses kerja alat ini yaitu dengan menggunakan sebuah mikrokontroler ATMega328 yang terintegrasi pada sebuah modul Arduino UNO328 sebagai pusat kendali system. Driver display menggunakan 14 buah shift register untuk menambah ekspansi port input/output, menerima data serial dan merubah data tersebut menjadi data pararel untukj mengaktifkan led dotmatriks pada display. Teks atau karakter pada display di update menggunakan sebuah smartphone melalui komunikasi bluetooth. Untuk dapat berkomunikasi dengan smartphone tersebut alat ini menggunakan modul HC-06 sebagai Bluetooth transceivernya yang akan menerima data dari smartphone dan mengirimnya ke modul Arduino. Data teks dan karakter ditampilkan pada display yang tersusun dari led Dotmatriks berukuran 96 kolom dan 16 baris dengan konfigurasi komon katoda. Kata Kunci : Arduino UNO328, Dotmatriks, HC-06, Shift Register Abstract - In this day we have seen many kind of advertisement served in a variety of media and with creations that attract public attention. Each of the advertisement have it own appeal, efficiency and advertising effectiveness in attracting public attention can’t be separated from the media used. Ads served in the print media would have an appeal that is not the same as the ad published in the electronic media. Therefore in this final project designed a tool in the form of moving sign display that can display a variety of text and other characters, which is used as electronic billboards at an affordable price. The working process of this tool is to use an ATmega328 microcontroller integrated in a module Arduino UNO328 as the central control system. Driver display using 14 pieces of shift registers to increase the expansion of input / output ports, receive serial data and transform that data into data parallel dotmatriks led employs to activate the display. Text or character on the display is updated using a smartphone via Bluetooth communication. To be able to communicate with the smartphone device using HC-06 module as a Bluetooth transceiver that will receive data from the smartphone and sending it to the Arduino module. Text data and the characters are displayed on a display composed of 96 led Dotmatriks sized columns and 16 rows with Komon cathode configuration. Keywords : Arduino UNO328, Dotmatrix, HC-06, Shift Register

Introduction: Most published floating clavicle report a dislocation or fracture of one or both ends of the clavicle. Case Presentation: We reported a new framework of this injury in a young triathlon athlete; medial-end displaced fracture with co-existent double disruption of the superior shoulder suspensory complex (SSSC) with the anterior shoulder arch wholly disconnected from the nearby structure. Conclusion: The management of these complex fractures remains an open debate. The infrequent publications and the rarity of this type of injuries don’t support the surgeon about the choice of the best possible treatment. However, if they are involved Patients with high functional demands, the Authors suggest the surgical management of medial-end clavicle fractures followed by restoration of SSSC complex if damaged on more than two locations.