bluuebunny/crossref_metadata_2025 huggingface dataset:
Quadratus Femoris Partial Tear Secondary to Occult Ischiofemoral Impingement
Authors: Papavasiliou Kyriakos A. , Stamiris Dimitrios , Stamiris Stavros , Bintoudi Antonia , Tsiridis Eleftherios
Published: November 2021

Introduction: Hip pain in children and adolescents may become a diagnostic challenge. A wide range of causes must be considered in the deferential diagnosis. Ischiofemoral impingement (IFI) is a pathological condition defined by hip pain associated with narrowing of the ischiofemoral (IF) space. We report the case of an adolescent patient with non-traumatic quadratus femoris (QF) tear secondary to an occult IFI syndrome. To the best of our knowledge, this is the first such case reported in the literature.

Case Report: A 15-year-old girl reported persisting hip pain for a month following increased physical activity. The symptoms had started a couple of days following a weekend of increased activity due to her participating in a dancing contest. Physical examination and imaging studies (standard anterior pelvis radiograph and MRI-scan) failed to reveal any pathology apart from an area of diffused edema in the IF space. Standard hematology and biochemistry laboratory tests were all within normal range. Conservative treatment for 6 months with rest and modification of physical activities failed. A new MRI scan showed partial edema resolution and marked reduction in the IF and QF spaces (12 mm and 8 mm, respectively), thus suggesting IFI, which, in turn, led to a partial rupture of the QF. The patient underwent a local infiltration of the QF with betamethasone sodium phosphate and betamethasone acetate (6+6 mg/2 ml) under CT guidance, which led to the complete resolution of all her symptoms. She remains symptoms free for 24 months.

Conclusion: IFI is a rather uncommon condition in the developing skeleton. As in adults, in adolescents as well, MRI is the study of choice in cases of IFI, since it shows QF pathology and allows measurement of the IF and QF spaces, assisting physicians in establishing the right diagnosis. However, the coexistence of a QF hematoma and/or edema, may temper with the initial MRI measurements and render the diagnosis of the primary condition rat
Distal Femur Tumor Megaprosthesis for Non-union of Supracondylar Femur Fracture after Failed Osteosynthesis. An Ingenious Solution.
Authors: Kar Bikram Kesari , Ojha Mukund Madhav , Yadav Sandeep Kumar , Agrawal Alok Chandra , Kowshik Sharath
Published: November 2021

Introduction: Incidence of non-union of fracture involving the supracondylar region of femur in an elderly is increasing due to bone loss from trauma and availability of poor quality bone in geriatric population. Distal femur megaprosthesis can provide a single stage solution for resistant non-union of supracondylar femur.

Case Report: We are reporting two cases of non-union of supracondylar femur with implant failure treated with distal femoral tumor megaprosthesis. We achieved excellent improvement of the Knee Society Score from 15 to 75; Knee Society Function Score from 0 to 60, good range of motion, and pain free ambulation without support at 3 months follow-up.

Conclusion: Management of non-union of supracondylar femur with implant failure is challenging task. Distal femur replacement using tumor megaprosthesis is useful option for such resistant cases in achieving early ambulation and overall good functional outcome.

Keywords: Non-union, distal femur fracture, megaprosthesis, supracondylar femur fracture.
Inversed V-shaped High Tibial Osteotomy for Severe Varus Deformity due to Blount Disease: A Case Report
Authors: Hayashi Seiju , Tsukisaka Kazuhiro , Aoki Tatsunori , Okuhara Atsushi
Published: November 2021

Introduction: Blount disease is a growth disorder of the medial proximal tibial physis causing a multi-planar deformity of the lower limb. Several types of surgical approaches have been described for the correction of angular deformity including external fixation, opened-/closed- wedge high tibial osteotomy (HTO), and tibial condylar valgus osteotomy. However, they are associated with various disadvantages such as limb length discrepancy, risk of infections, and delayed union at the osteotomy site, especially in cases of severe varus deformity.

Case Report: We report a case of a 16-year-old boy with unilateral severe genu varum caused by Blount disease. Considering that the current case, the patient was severely obese and a highly active young boy with severe unilateral genu varum, with the epiphyseal line almost closed, and with no abnormalities with respect to the intra-articular anatomical structures, inverted V-shaped HTO was applied. After the treatment, the boy was not only able to perform his daily activities but was also able to participate in sports quite early. Although the required correction angle was quite large, inverted V-shaped HTO successfully corrects the deformity with minimal disadvantages

Conclusion: Inverted V-shaped HTO would be selected as one of the effective treatments for a severely obese, young, and highly active patient suffering from severe genu varum caused by Blount disease.

Keywords: Blount disease, genu varum, obesity, high tibial osteotomy (HTO), inverted V-shaped high tibial osteotomy (iVHTO).
Brodie’s Abscess of the Proximal Humerus Metaphysis: A Case Report
Authors: Vishwakarma Nilesh , Chauhan Shaival , Binyala Shrey S , Singh Sanjeev K
Published: November 2021

Introduction:Primary subacute pyogenic osteomyelitis, or Brodie’s abscess was initially documented by Sir Benjamin Brodie in 1832. We present a case report with a 6-months follow-up period, demonstrating the successful diagnosis and surgical treatment of a focal lesion of the proximal metaphysis of the right humerus in a 21-years-old female. The pathology of hematologic osteomyelitis and its role in the development of a subacute abscess along with a review of literature and an in detail description of the pathogenesis of Brodie’s abscess is discussed and submitted.

Case Report:A 21- years -old healthy female with a history of fall sustaining injury to the right shoulder one 1 year back followed by which she presented to the outpatient clinic with a swelling over her right shoulder. The patient was managed conservatively with analgesics and was relieved of pain over a course of one 1 week of medications, the patient now presents with pain and swelling in the right shoulder joint on and off since the episode of fall one 1 year back, which had increased over a period of past one 1 week. A week before the most recent presentation she started experiencing some discomfort and pain in her right shoulder. No recent trauma was reported. A mild swelling appeared over the proximal part of the humerus. There were no constitutional symptoms of fever or any illness reported. On examination, there was noted a painful restriction of ROM at the right shoulder joint with no rotator cuff injury. Laboratory investigations were suggestive of raised inflammatory markers. Radiograph of the right shoulder taken in the true antero-posterior view with the shoulder in the neutral rotation was suggestive of an oval lucency with surrounding sclerosis in the proximal metaphyseal region of the humerus. Magnetic resonance imaging MRI of the right shoulder joint showed features consistent with Brodie’s abscess in the proximal metaphyseal region of the humerus. Surgical debridement of the abscess w
Treatment of Unstable Sacral Fracture with Minimally Invasive Spinopelvic Posterior Fixation and an Internal Anterior Fixator in a 95-Year-Old Patient with Diffuse Idiopathic Skeletal Hyperostosis: A Case Report
Authors: Sasagawa Takeshi
Published: November 2021

Introduction:Spinal fractures related to diffuse idiopathic skeletal hyperostosis (DISH) are almost always caused by a long lever arm, so treatment of the fractures requires stabilization of long segments of the spine. Treatment of unstable sacral fractures in DISH patients with ankylosis of the sacroiliac joints requires a treatment strategy that includes a consideration of the condition of the spine. This article is the first report of an unstable sacral fracture in a patient with DISH.

Case Report:A 95-year-old male fell and presented with severe low back pain. An X-ray and computed tomography showed unstable pelvic fracture (AO type C2) and ankylosis of the lumbar spine due to DISH. We performed minimally invasive spinopelvic posterior fixation and internal anterior fixation (INFIX) for stabilization of the pelvic fracture. Initially, due to the long lever arm created from the lumbar spine to the pelvis, we performed L2-iliac posterior stabilization while the patient was in a prone position. After that, we performed INFIX to stabilize the anterior pelvis while the patient was positioned supine. The postoperative clinical course of the patient was uneventful and bony fusion was achieved as seen on X-ray obtained 1 year postoperatively.

Conclusion:This patient was ankylosed from spine to pelvis due to DISH and sacroiliac joint ankylosis and sustained bilateral sacral fractures which dissociated the sacrum from the rest of the pelvis. Therefore, this fracture required spinopelvic fixation from the ankylosing spine to the pelvis. Because this patient was so elderly and in poor general health, we performed minimally invasive spinopelvic posterior fixation using percutaneous pedicle screws. We considered that many screw insertions that would equivalently stabilize the spine several segments above and below the fracture would be needed to stabilize the sacral fractures in this patient with DISH. In this case, we stabilized the unstable right pelvis, in a patient with
Complex fracture pattern involving ipsilateral intertrochanteric fracture associated with ipsilateral posterior hip dislocation and posterior acetabular wall fracture: A rare combination of injuries
Authors: Alraeh Hind , Sultan Hatem , Maghfori Hassan , Almanea Abdullah
Published: November 2021

Introduction:High-energy trauma has increased the incidence of traumatic hip dislocation. In most cases, dislocation of the hip is associated with fractures of the acetabulum. However, its association with ipsilateral intertrochanteric fracture is very rare.

Case Report:We present a case of a 54-year-old male who had uncommon fracture pattern involving ipsilateral intertrochanteric femur fracture associated with ipsilateral posterior fracture dislocation of hip following a road traffic accident. He underwent closed reduction of the dislocation followed by an open reduction and internal fixation of the fractures. Through Kocher-Langenbeck approach, the intertrochanteric fracture was reduced and fixed with dynamic hip screw and derotation anti-rotation screw. Acetabulum fractures then fixed after reduction with two reconstruction plates.

Conclusion:Early recognition and orthopedic intervention constitute the cornerstones of satisfactory outcomes in cases with such complex injuries.

Keywords:Posterior hip dislocation, acetabular fractures, intertrochanteric fracture.
Catastrophic Coronavirus Disease COVID Infection Leading to Gangrene of Foot in Peripartum Women
Authors: Vincent Chandan Noel , Elango S , Rai Dinakar , Kumar Sujith , Sivakumar Ajay
Published: November 2021

Introduction:Pregnancy is a physiologically hypercoagulable state and a coronavirus disease 2019 (COVID-19) infection adds to this burden by accentuating the coagulopathy. We report two cases of severe peri-partum COVID infection leading to extremity gangrene secondary to a pro-thrombotic coagulopathy.

Case Report:A 37-year-old lady, day-2 postpartum, was brought with severe COVID infection & and respiratory failure. She developed progressive gangrene of the foot. A computed tomography (CT) angiogram confirmed the presence of thrombosis of the left external iliac & and common femoral artery. She was managed with catheter- directed thrombolysis and fasciotomy. The dry gangrene of the foot was managed with a Boyd’s amputation. At 1-year follow-up, she is ambulant with a healthy stump. Case Two: A 34-year-old lady, 36 weeks of gestation, presented with fulminant COVID infection with respiratory failure and pulmonary embolus. The lady developed gangrene of the B/L toes. A CT angiogram revealed thrombosis below the popliteal trifurcation in both limbs along with segmental pulmonary thrombo-embolism involving the right lung and multiple splenic infarcts. She succumbed to the overwhelming infection and sepsis.

Discussion:The pathogenesis of coagulopathy in pregnant COVID patients is attributed to the hypercoagulable effect, which leads to thrombo-embolisms and limb ischemia following a cytokine storm syndrome in severe infections. To date, this is the first experience detailing distal limb gangrene in fulminant COVID infection in peri-partum women. Although, cases have been reported on distal limb gangrene in severe COVID infection among non-pregnant individuals.

Conclusion:A multidisciplinary team must manage COVID infections in the third trimester. A prompt recognition of any forms of lethal coagulopathy and vigilant treatment will prevent loss of life.

Keywords:Coronavirus diseaseCOVID, foot gangrene, pregnancy, coagulopathy.
Bisphosphonate Therapy in the Management of Symptomatic Melorheostosis of Tibia
Authors: Sathish Muthu , Girinivasan Chellamuthu , Srinivasacholan Chandrasekaran , Gowtham Palani
Published: November 2021

Introduction: Melorheostosis is a rare sclerosing bone disease characterized by linear hyperostotic bone dysplasia with its radiological appearance as melting candle wax dripping by its side. It usually affects long bones, especially the lower limb. The exact cause of the disease has not been clearly explained though many theories are available. It is insidious in onset and symptoms being pain, deformity, and joint stiffness. Although there is no definitive treatment, the administration of bisphosphonates dramatically reduces pain and improves the patient clinically.

Case Report: We described a case of a 28-year-old female who presented with a history of pain and swelling in her left leg for the past 2 years. The onset of complaints was insidious. On physical examination, there was tender swelling over the shaft of the tibia with irregular borders. Knee and ankle range of movements were normal. Radiographs showed hyperostosis of the proximal two-thirds of the tibia of the left leg with a flowing candle wax appearance. The patient was treated with a single dose of intravenous zolendronic acid and physical therapy. The patient had dramatic alleviation of pain without the need for any further treatment till 1 year follow-up.

Conclusion: Although there is no specific treatment available for this disease, the intravenous infusion of zolendronic acid has dramatically improved the patient clinically.

Keywords: Melorheostosis, flowing candle wax, bisphosphonates, zolendronic acid.
Monteggia Fracture-Dislocation with Associated TFCC Injury and DRUJ Subluxation – A Very Rare Case Report
Authors: Jasti Ramprasad , Magadam Sunil , Shukla Sijeel , Rajagopalan Senthilvelan , Selvaraj Ashok , Sridharan Rajsirish Bellal
Published: November 2021

Introduction:Monteggia fracture-dislocation is defined as a proximal third ulna fracture with radiocapitellar joint dislocation. The term “Monteggia equivalent or variant” describes various injuries with similar radiographic patterns and injury biomechanics. Several isolated cases of unusual injuries associated with Monteggia fractures have been reported. However, an associated TFCC injury has not been described in the literature before. We present a rare report of a 24-year-old female with a Monteggia fracture and associated TFCC injury – a crisscross type of injury.

Case Report:A 24-year-old female was involved in a road traffic accident and presented to our level I trauma center with pain and deformity in the left forearm. On evaluation, she was found to have type I Monteggia fracture-dislocation. Intraoperatively, once the proximal ulna was fixed, she had clicking in the wrist during rotations. Fluoroscopic images showed DRUJ subluxation, but it was stable in supination. Hence was splinted in a reduced position. The patient continued to have persistent symptoms in the wrist despite adequate conservative measures. Hence, she underwent arthroscopic TFCC repair and DRUJ pinning. At her last follow-up (3 months), the patient was clinically better with a good range of motion and no pain.

Conclusion:In treating Monteggia fracture-dislocations, high index of suspicion is needed to diagnose radioulnar joint instability. If they are missed, they can result in long-term disability, so appropriate evaluation to diagnose TFCC and DRUJ injuries is required. DRUJ stabilization and TFCC repair can produce consistent results when treated adequately.

Keywords:TFCC, monteggia, wrist, arthroscopy, proximal ulna.
Reescritura del nacimiento del corral de Doña Elvira (Sevilla) y su actividad dramática: una historia más completa
Authors: Bolaños Donoso Piedad
Published: November 2021

La historia del teatro del Siglo de Oro en Andalucía (y, en concreto, la actividad sevillana), no se ha cerrado todavía, pues continúa abierta la posibilidad de seguir aportando nuevos descubrimientos procedentes de los Archivos Históricos Provinciales, en concreto de los Archivos de Protocolos. Este es el caso del corral de Doña Elvira, que, siendo el más longevo y el preferido por los sevillanos, en este trabajo evidenciamos cómo en los primeros años del siglo XVII estuvo ‘techado’, hecho sorprendente y referido por primera vez en su historia. Hasta el presente teníamos que aguardar al año de 1626 para encontrar un corral sevillano cubierto (Corral de la Montería). Desde este momento, en 1602, ya está el de Doña Elvira.
Marcas de actor en manuscritos teatrales autógrafos de comedias del siglo XVII
Authors: Lobato María Luisa
Published: November 2021

Se analizan en este trabajo ejemplos representativos de manuscritos autógrafos de comedias áureas en los que se conservan cambios realizados sobre el autógrafo. Se tienen en cuenta los realizados por el propio dramaturgo sobre su primer texto o, incluso, sobre su autógrafo una vez utilizado y marcado por el responsable de la compañía teatral. Pero, sobre todo, se examinan los vestigios de la intervención de las gentes de teatro sobre el texto que llevaron a escena. Entre ellos se encuentran huellas de sustituciones de un actor por otro, incrementos y eliminaciones de texto en el papel adjudicado a un comediante, simplificación de pasajes, atajos, enmiendas y añadidos varios, tanto de versos como de didascalias. A partir de estos resultados se analizan las razones que pudieron llevar a los dramaturgos a intervenir por segunda vez en su texto y a los comediantes a trabajar con esa libertad sobre el texto autógrafo de dramaturgos consagrados.
Dimensión económica y social del actor español del siglo XXI
Authors: Martín Villarejo Abel
Published: November 2021

El objetivo principal de este trabajo es poner de manifiesto aspectos que afectan a los ámbitos menos conocidos del actor contemporáneo, como son sus circunstancias sociales, laborales y económicas. Lo intentaremos hacer desde diferentes perspectivas y aflorando, cuando sea posible, datos y análisis colectivos e institucionales, habida cuenta la escasez de fuentes documentales y estadísticas públicas o específicas del colectivo del actores y bailarines, ya que ambos colectivos integran AISGE y su Fundación AISGE, y conviene analizarlos conjuntamente aun a sabiendas de que el colectivo actoral –incluido doblaje– representa el 93% del colectivo artístico escénico y audiovisual. De hecho, para poner en valor el análisis que pretende abordar este trabajo, en España actualmente hay en torno a 20.784 artistas profesionales del audiovisual y de las artes escénicas, de los cuales un 78% son actores de imagen –audiovisual y teatro–, un 15% actores de voz o doblaje y un 7% bailarines.
Cantantes y bailarines a examen: los inicios de la crítica musical a finales del siglo XVIII
Authors: Roldán Fidalgo Cristina
Published: November 2021

Este artículo pretende estudiar el modo en que las principales publicaciones periódicas editadas en Madrid a finales del siglo XVIII (1780-1800), contribuyeron a la construcción de un discurso sobre las cualidades de un buen cantante y un buen bailarín. En esta época la escritura acerca del teatro musical comienza a abrirse paso en los diarios, gracias a que los primeros «críticos» buscan las palabras adecuadas para describir las aptitudes de sus intérpretes, y los criterios correctos para enjuiciarlas con imparcialidad. Se asiste, en definitiva, a los inicios de la crítica musical, que en estas décadas solo atenderá a la música cuando esté al servicio de un texto literario. Para la realización de este trabajo, se propone una lectura y análisis de algunas de las fuentes hemerográficas más significativas al respecto.
El aforismo en la literatura española, entre tradición y modernidad
Authors: Mombelli Davide
Published: November 2021

Reseña de: Demetrio Fernández Muñoz, La lógica del fósforo. Claves de la aforística española, Sevilla, Apeadero de Aforistas / Thémata Editorial, 2020, 978-84-1223-006-2, 360 págs.
Durán López, Fernando y Eva María Flores Ruiz (eds.). Renglones de otro mundo. Nigromancia, espiritismo y manejos de ultratumba en las letras españolas (siglos XVIII-XX). Zaragoza: Prensas de la Universidad de Zaragoza, 2020, ISBN 978-84-1340-108-9, 290 páginas
Authors: Cobacho Márquez Ismael
Published: November 2021

Reseña de: Durán López, Fernando y Eva María Flores Ruiz (eds.). Renglones de otro mundo. Nigromancia, espiritismo y manejos de ultratumba en las letras españolas (siglos XVIII-XX). Zaragoza: Prensas de la Universidad de Zaragoza, 2020, ISBN 978-84-1340-108-9, 290 páginas.
Gómez García, Alba. Vivir del teatro. Los exilios de Josita Hernán. Madrid: Bala Perdida, 2021, ISBN: 978-84-123610-4-9, 84, 265 pp.
Authors: Amestoy Ignacio
Published: November 2021

Resumen de: Gómez García, Alba. Vivir del teatro. Los exilios de Josita Hernán. Madrid: Bala Perdida, 2021, ISBN: 978-84-123610-4-9, 84, 265 pp.
Cuarteto Artemis o de una historia sobre resiliencia colectiva
Authors: Bottasso Oscar
Published: November 2021

El artículo hace una reseña acerca del célebre Cuarteto Artemis en sus 3 décadas de recorrido, y gran capacidad para adaptarse a las peripecias experimentadas a lo largo de este período, preservando la calidad interpretativa como objetivo primordial. El conjunto había sufrido el tropiezo ocasionado por la partida de Friedemann Weigle quien aquejado de un trastorno bipolar y cuadro depresivo mayor pone fin a su vida el 6 de julio de 2015. Las vivencias de la agrupación aparecen bien reflejadas en el documental Artemis, The Neverending Quartet estrenado el año 2019 en Hamburgo, y posteriormente nominado al Golden Calf Film Award en la categoría de «Mejor Cortometraje Documental 2020». En sus 53 minutos la directora Hester Overmars nos brinda una pincelada a grandes rasgos de la agrupación, quien gracias a la posibilidad de asistir a los ensayos consigue registrar las experiencias detrás de bambalinas, a la par de permitirnos entrever aquellos esfuerzos reparadores, cual suerte de firme resiliencia colectiva. Teniendo a la música como principal protagonista, la película trasluce los avatares derivados de la dolorosa pérdida de un compañero de tantos años, y el empeño para no quedar atrapados en la encerrona de la desesperanza.
Vida para Ruth (1962) de Basil Dearden y el veredicto (2017) de Richard Eyre. Los testigos de Jehová y las transfusiones de sangre: dos visiones cinematográficas del mismo dilema
Authors: Abad Vila Miguel
Published: November 2021

El rechazo de las transfusiones de sangre por parte de los Testigos de Jehová representa un ejemplo clásico en el ámbito de la Bioética y la relación médico-paciente, cuando entran en colisión las intenciones y actuaciones de los médicos y las instituciones sanitarias, que tratan de salvaguardar la salud del paciente, con el necesario respeto de las decisiones personales del mismo respecto a las medidas terapéuticas que pudiera necesitar. Conceptos como la debida información, la confidencialidad, la libertad y la ausencia de toda coacción cobran entonces una especial importancia.

En este aspecto, presentamos dos visiones cinematográficas sobre el mismo dilema: qué hacer cuando un Testigo de Jehová rechaza una transfusión sanguínea, poniendo en serio peligro su propia vida. La primera de ellas es Vida para Ruth (1962) de Basil Dearden, una película realizada apenas un par de décadas después de que las máximas instituciones de los Testigos de Jehová adoptaran la firme decisión de rechazar este tratamiento. La segunda ella, tras el adecuado sosiego dogmático, nos la proporciona El veredicto (2017) de Richard Eyre, donde una juez especializada en asuntos familiares debe sentenciar respecto a unos padres, Testigos de Jehová, que deniegan una transfusión de sangre a su propio hijo, menor de edad y gravemente enfermo.
Similitudes y diferencias entre el Diario del año de la peste y la enfermedad por COVID-19
Authors: De Arriba Iglesias Sara , Hidalgo Balsera Agustín
Published: November 2021

La literatura sobre enfermedad –particularmente, sobre epidemias- cuenta con numerosos recursos a la hora de permitirnos profundizar en el conocimiento de la noxa desde un punto de vista no sólo nosológico, sino también sociológico. El presente trabajo analiza éstos y otros aspectos relevantes que se pueden extraer de la lectura de «El Diario del año de la peste», en contraposición a la situación derivada de la pandemia por el Sars-Cov-2. Se han encontrado similitudes significativas entre ambos procesos, sobre todo en lo relativo a las medidas públicas adoptadas y la respuesta social, así como diferencias sustanciales que pueden tener su base en el desarrollo científico-tecnológico que ha culminado en la obtención de las vacunas frente a la Covid 19 en un tiempo récord. Si bien cada epidemia es única, su estudio comparado puede aportar una visión global que sirva de aprendizaje y guía para afrontar posibles crisis sanitarias futuras.
In vitro cytotoxicity and virucidal efficacy of potassium hydrogen peroxymonosulfate compared to quaternary ammonium compound under various concentrations, exposure times and temperatures against African swine fever virus
Authors: Sovijit Watcharee , Taesuji Machimaporn , Rattanamas Khate , Punyadarsaniya Darsaniya , Mamom Thanongsak , Nguyen Hoa Thi , Ruenphet Sakchai
Published: November 2021

Background and Aim: The selection and proper application of disinfectants are crucial to the prevention of many diseases, so disinfectants must be evaluated before being used for the prevention of African swine fever (ASF). Three disinfectant products belonging to the group of potassium hydrogen peroxymonosulfates, product A and product B, and a quaternary ammonium compound called product C, were examined in vitro for host cell cytotoxicity and the efficacy of ASF virus inactivation. The study parameters included various concentrations, exposure times, temperatures, and degrees of cytotoxicity.

Materials and Methods: Three disinfectant products were evaluated for cytotoxicity using primary porcine alveolar macrophage (PAM) cells at dilutions from 1:200 to 1:51,200. Disinfectants in concentrations of 1:200, 1:400, and 1:800 were prepared, the pH and the virucidal activity were tested. An equal volume of each dilution was mixed with the ASF virus and incubated at room temperature (20°C) or on ice (4°C) for 1 min, 5 min, or 30 min. Hemadsorption (HAD) or rosette formation was observed using an inverted microscope for 5 days after inoculation, and the virus titer was calculated as HAD50/mL. Each treatment and virus control were tested in triplicate, and the titers were reported as means and standard deviations. The reduction factor was used to measure inactivation.

Results: Products A, B, and C at 1:400, 1:800, and 1:25,600 of dilution, respectively, did not show significant cytotoxic effects on PAM cells. Products A and B could inactivate ASF virus at 1:200 dilution within 5 min after exposure at 4°C. However, at 20°C, the exposure time had to be extended to 30 min to inactivate the virus. Product C could inactivate the virus at 1:400 dilution within 5 min under both temperature conditions, whereas at 1:800 dilution, the exposure time had to be extended to 30 min to completely inactivate the virus at 20°C.

Conclusion: All disinfectants could inactivate ASF virus in various concentrations, under appropriate exposure times and reaction temperatures, and there was no evidence of host cell cytotoxicity. For the control of ASF in pig farms, the appropriate concentration, ambient temperature, and contact time of these disinfectants should be taken into account.
Preliminary study of coronavirus disease 2019 on pets in pandemic in Denpasar, Bali, Indonesia
Authors: Suharsono Hamong , Mukti Ali Ghufron , Suryana Ketut , Tenaya I. Wayan Masa , Pradana Dilasdita Kartika , Daly Guy , Pujasakti Mochamad Panji
Published: November 2021

Background and Aim: Coronavirus disease 2019 (COVID-19) is an acute infectious respiratory disease caused by severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) and has spread rapidly globally, resulting in a pandemic. In humans, the main routes of transmission are respiratory droplets and close contact with infected individuals or through contact with an object infected with the virus, followed by touching mouth, nose, or eyes. It is assumed that SARS-CoV-2 was originated in wild animals and was then transmitted to humans. Although some wildlife and domestic animals can be naturally or experimentally infected with the virus, the intermediate hosts that transmitted it to humans are still unknown. Understanding the dynamics of SARS-CoV-2 associated with possible zoonotic transmission of intermediate hosts is considered critical. Reportedly, cats or dogs living with COVID-19-positive humans tested positive for the disease, suggesting that the virus was transmitted to the animals from humans. Information regarding the epidemiological investigation and comprehensive studies is limited. Therefore, it is still unclear how high is the correlation of infection in humans and pet animals, especially those living together. The aim of this study was to investigate the possibility of SARS-CoV-2 infection in the pets of patients with COVID-19 who were hospitalized at the Wangaya hospital, Denpasar, Bali, Indonesia.

Materials and Methods: A total of seven clinically asymptomatic pets (six dogs of different races and sexes and a cat [age, 360-2920 days]) were included in this study. These animals belonged to patients with confirmed SARS-CoV-2 infection from August to November 2020. Nasal swab and nasopharyngeal samples were collected from the pets individually under anesthetic condition and were collected 6-12 days after confirmed SARS-CoV-2 infection in owners and hospitalization at the Wangaya Hospital. The swab samples were then processed for RNA isolation and tested using reverse transcription-polymerase chain reaction (RT-PCR) for SARS-CoV-2, in accordance with the World Health Organization manual 2020.

Results: RT-PCR results for all seven RNA samples, prepared from the swab samples, were negative. For the samples, all PCR products were below the threshold limit, suggesting no genetic material belonging to the samples tested.

Conclusion: This was the first preliminary study of COVID-19 on pets in pandemic using RT-PCR. The study tested a very limited quantity of samples, and all of them were negative. However, the way in which the samples were prepared was considered appropriate. Therefore, in further studies, testing of more samples of pets of more individuals with confirmed SARS-CoV-2 infection is required.
The Use of Hyperbaric Oxygen Therapy for Ear Reconstruction: A Case Series
Authors: Tulong Marcella Tirza , Oley Mendy Hatibie , Oley Maximillian Christian , Sundoro Ali , Faruk Muhammad
Published: November 2021

Introduction: The unique anatomy of the ear makes the reconstruction more challenging. Microtia and auricula hematomas are deformities or defects that can occur in the ear. Treating traumatic injury and congenital malformations of the ears needs some technique and expertise. Hyperbaric Oxygen Therapy is an additional therapy that makes a significant contribution and is effective in wound healing.
Case Series: In our first case, a 52-year-old man presented with a traumatic right cauliflower ear due to a traffic accident two weeks before hospital admission. The second case involves a boy 14-year-old who has a Microtia in the right ear with total ear construction performed using autologous costochondral cartilage techniques in a two-stage.
Results: Both cases following hyperbaric oxygen therapy, yield good results with good scars, no sign of infection nor tissue necrosis
Summary: The combination therapy of reconstructive surgery and administration of oxygen therapy gave satisfactory results in both cases. Five sessions of hyperbaric treatment showed promising results. There is no infection, rapid wound healing, and cessation of flap compromise.
Dietary Soluble Fiber Improved Fecal Consistency in Burned Patients with Diarrhea
Authors: Setiawan Evania , Wardhana Aditya , Sinaga Wina , Sari Ayu Diandra , Satyani Metta , Octovia Lily Indriani
Published: November 2021

Backgrounds: Diarrhea frequently occurs in severely burned patients attributable to impaired intestinal integrity and dysbiosis. Soluble fiber may improve intestinal barrier function, avoid bacterial translocation, then subsequently prevent and treat diarrhea. Soluble fiber is rapidly fermented by commensal bacteria and produces short-chain fatty acids (SCFA).
Case Reports: A 51-year-old male with severe burn injury involving 53,5% total body surface area (TBSA) and diarrhea were given soluble fiber as part of his diet.
Results: Administration of 6–10 g/d soluble fiber clinically improves stool consistency, assessed by Bristol Stool Scale, in the severely burned patient. The patient was discharged after 19 days of hospitalization with improvement in clinical condition.
Summary: SCFA maintains intestinal integrity, supports the growth of commensal bacteria, and inhibits pathogens. There is no specific recommendation regarding fiber intake in burned patients
Bifid Tongue and Cleft Palate: A Rare Congenital Malformation
Authors: Purwanthi I Gusti Ayu Putri , Agus Roy Rusly Hariantana Hamid  , I Gusti Putu Hendra Sanjaya  , I Made Suka Adnyana  , Gede Wara Samsarga  , Nyoman Siska Ananda
Published: November 2021

Background: Congenital bifid tongue without other craniofacial abnormalities is a very rare malformation. Here, we discuss a case of the bifid tongue with cleft palate, reported in a 7-month-old girl with no other syndromes or craniofacial abnormalities.
Case Reports: This case report described a 7-month-old girl with an anterior bifid tongue, separated medially by a soft, solitary sublingual mass measuring 3 cm x 2 cm in size. There was also an associated incomplete cleft palate. A soft solitary mass measuring 2 cm x 2 cm in size was also seen within the cleft palate.
Results: Computed facial tomography (CT) revealed a midline hard palate defect with an intact alveolar process of the maxilla. Pedunculated cystic lesion suspected with epulis was noted to arise on premaxillary alveolar mucosa. Excision of the tongue and hard palate mass and repair of the bifid tongue were done.
Summary: Congenital bifid tongue with a cleft is a very rare malformation with different variations. Early surgical intervention is critical to prevent speech impairment and swallowing disorders. A multidisciplinary approach, including well-planned staged operations and rehabilitation, is important to achieve favorable outcomes.
Improving Urban Land Cover Mapping with the Fusion of Optical and SAR Data Based on Feature Selection Strategy
Authors: Ding Qing , Shao Zhenfeng , Huang Xiao , Altan Orhan , Fan Yewen
Published: November 2021

Taking the Futian District as the research area, this study proposed an effective urban land cover mapping framework fusing optical and SAR data. To simplify the model complexity and improve the mapping results, various feature selection methods were compared and evaluated. The results
showed that feature selection can eliminate irrelevant features, increase the mean correlation between features slightly, and improve the classification accuracy and computational efficiency significantly. The recursive feature elimination-support vector machine (RFE-SVM) model obtained the
best results, with an overall accuracy of 89.17% and a kappa coefficient of 0.8695, respectively. In addition, this study proved that the fusion of optical and SAR data can effectively improve mapping and reduce the confusion between different land covers. The novelty of this study is with
the insight into the merits of multi-source data fusion and feature selection in the land cover mapping process over complex urban environments, and to evaluate the performance differences between different feature selection methods.
Rotação do plano oclusal superior com miniplacas, nas más oclusões com mordida aberta e sobremordida aumentada: relato de dois casos
Authors: Farret Marcel Marchiori , Balbinot Carlos Eduardo , Trindade Felipe Foschiera
Published: November 2021

INTRODUÇÃO: Pacientes com mordida aberta e sobre-mordida aumentada geralmente têm os planos oclusais superior e inferior girados no sentido horário ou anti-horário. Nesses casos, o plano oclusal superior pode ser modificado, por meio da intrusão posterior ou anterior, para se obter um bom resultado funcional e estético. MÉTODOS: A rotação efetiva do plano oclusal superior sempre foi um dos principais desafios dos tratamentos ortodônticos, sendo difícil obter-se uma mudança considerável sem efeitos colaterais ou sem uma colaboração extrema dos pacientes. A ancoragem esquelética trouxe novas possibilidades para esses casos, aumentando a quantidade de movimentação ortodôntica, reduzindo ou eliminando efeitos colaterais e, às vezes, até eliminando a necessidade de cirurgia ortognática. RESULTADOS: O presente artigo relata dois casos de pacientes com mordida aberta e sobremordida aumentada, tratados com miniplacas na região posterior da maxila, para rotação do plano oclusal superior. Os resultados demonstraram uma significativa rotação do plano oclusal superior em ambos os casos, com bons resultados estéticos e funcionais ao fim do tratamento.
Reabilitação estética do sorriso: diagnóstico e planejamento biomecânico na busca do sorriso jovem e belo
Authors: Curado Marcelo de Morais , Souza Daniele Cristina de , Guimarães Maurício Augusto Chaves , Gomes Marcelo Souza , Minervino Bruno Lima
Published: November 2021

INTRODUÇÃO: A busca por um sorriso esteticamente agradável é frequente nos consultórios odontológicos, já que esse não somente é fundamental na percepção da influência da face, mas também está relacionado com diversas características psicológicas dos indivíduos. Com o aumento da exigência por resultados melhores no tratamento ortodôntico, torna-se relevante diagnosticar, planejar e reabilitar um sorriso esteticamente comprometido. OBJETIVOS: O presente artigo descreve, de forma simples e didática, o diagnóstico e planejamento ortodôntico de um caso clínico, visando a reabilitação estética do sorriso. CONCLUSÃO: A abordagem se mostrou eficiente, uma vez que o sorriso comprometido foi reabilitado apenas com Ortodontia, tornando-se belo e com aparência mais jovem.
Retratamento de má oclusão de Classe I associada a protrusão severa dos incisivos inferiores e mordida cruzada anterior: relato de caso
Authors: Machado Ricardo
Published: November 2021

OBJETIVO: O objetivo deste artigo é relatar o trata- mento de uma paciente com má oclusão de Classe I associada a severa protrusão dos incisivos inferiores e mordida cruzada anterior, causada por tratamento ortodôntico prévio inadequado. A paciente havia sido submetida a exodontias assimétricas de primeiros pré-molares inferiores e segundos pré-molares superiores. Foi utilizada ancoragem esquelética com mini-implantes, para realização da retração anterior. CONCLUSÃO: Foram estabelecidas, ao fim do tratamento, corretas inclinações de incisivos superiores e inferiores e guias de desoclusão adequadas, com melhora no perfil facial e corretas relações oclusais.
Fechamento de diastemas com controle de sobremordida e inclinação
Authors: Maltagliati Liliana Ávila
Published: November 2021

INTRODUÇÃO: A má oclusão caracterizada por diastemas generalizados consiste em grande desafio para os ortodontistas, uma vez que é frequentemente combinada com sobremordidas normais ou profundas e arcadas largas, e a mecânica necessária para fechar os espaços leva, normalmente, ao agravamento do trespasse vertical, pela movimentação lingual dos incisivos, com abaixamento da borda incisal e redução do perímetro da arcada, resultando em grande instabilidade pós-tratamento. OBJETIVOS: O principal objetivo desse artigo é propor e descrever, passo a passo, um método simples e prático para fechar os espaços de diastema, com alterações mínimas na inclinação dos incisivos, sobremordida e largura da arcada, utilizando braquetes autoligados ou convencionais, reduzindo os espaços anteriores no início do tratamento, com rápida melhora estética. CONCLUSÃO: Por meio da apresentação de um caso clínico, mostrou-se que os espaços podem ser fechados com alterações mínimas na inclinação dos dentes anteriores e sobremordida, ao mesmo tempo que a principal deficiência estética que mais incomoda os pacientes pode ser resolvida precocemente no tratamento.
Investigation of the effect of sports on media, marketing, consumption and popular culture
Authors: Arıkan İbrahim İhsan , Ekici Summani , Tutal Varol
Published: November 2021

Reasearch problem/aim: In this study, it was aimed to evaluate them under the titles of the sports sector (media,   consumption, marketing) by mentioning primarily popular culture and sports issues.  Method: In this study, a descriptive research model, which is used to investigate the events as they are, trying to determine the situation that happened, investigating the events and situations discussed in detail and examining their relationship. Findings: The notion that sports is one of the building blocks of popular culture, and as a result of its action, the media sheds considerable light on consumption and marketing. The popular culture field, which started to develop as a field of study on its own, has become important by societies in the world and scientific studies on this subject have increased rapidly. Especially the innovations brought by popular culture in the world and the rapidly increasing interest in sports, media, marketing and consumer products have made this issue more up-to-date. Today, most of the sources explain that popular culture is under the influence of the media and that sports, marketing and consumption provide access to more people. Especially, social media, which enters our homes and becomes the most important part of our daily life, is extremely important in creating and conveying these topics (sports, marketing, consumption). In this context, the relationship between popular culture, media, consumption and marketing in sports and their roles among each other was discussed as a result of the extensive literature review. Conclusion: it is seen that sports have an effect on popular culture products on media, marketing and consumption.
Optimasi Sosial-Ekonomi pada Pemanfaatan PLTS PV untuk Energi Berkelanjutan di Indonesia
Authors: Kadang Jon Marjuni , Windarta Jaka
Published: November 2021

Teknologi Photovoltaic (PV) memberikan peluang menjanjikan pada energi terbarukan dan berkelanjutan dimana bersumber dari matahari yang tidak terbatas dibandingkan sumber energi fosil. Letak Indonesia sepanjang jalur khatulistiwa memberikan sumber energi matahari yang besar dengan intensitas rata-rata hingga 2.000 jam per tahun. Total intensitas penyinaran per hari dapat mencapai 4500 Watt hour/m2. Namun, pengembangan dan pemanfaatan PLTS PV belum optimal dan mengalami berbagai kendala. Pada kajian ini dibahas tentang PLTS PV terkait potensi pengembangan PLTS PV sebagai energi terbarukan serta optimasi pemanfaatan PLTS PV pada aspek sosial-ekonomi. Dan juga dilakukan evaluasi kendala serta mitigasi solusi yang dibutuhkan untuk peningkatan pemanfaatan PLTS PV terutama keekonomian PLTS PV yang mendukung upaya peningkatan rasio elektrifikasi khususnya pada daerah 3T (Terdepan, Terpencil, dan Tertinggal) di Indonesia. Dari kajian diperoleh bahwa biaya investasi dan LCOE PLTS PV mengalami tren penurunan sehingga pengembangan PLTS PV menjadi semakin menarik secara keekonomian dan menguntungkan secara sosial pada daerah 3T sebagai solusi energi berkelanjutan di Indonesia.
Mengenal Enhanced Oil Recovery (EOR) Sebagai Solusi Meningkatkan Produksi Minyak Indonesia
Authors: Putra Bayu Prasetya , Kiono Berkah Fajar Tamtomo
Published: November 2021

Produksi minyak dari sebuah reservoir secara alami pasti akan mengalami penurunan atau bahkan tidak dapat menghasilkan sama sekali. Kondisi tersebut tidak serta merta menggambarkan bahwa cadangan minyak dalam reservoir sudah habis. Jika hanya mengandalkan metode produksi primer (primery recovery) kemungkinan besar masih sangat banyak minyak yang tersisa di reservoir, untuk itu diperlukan metode produksi lanjutan untuk bisa menguras minyak yang masih banyak tersisa di reservoir. Metode Enhanced Oil Recovery (EOR) akan memberikan solusi pengurasan terhadap minyak yang masih ada didalam reservoir yang tidak dapat diambil dengan produksi primer. Namun untuk menerapkan metode EOR diperlukan pemilihan yang tepat sehingga didapatkan hasil yang optimum sesuai dengan biaya yang dikeluarkan
Dari Energi Fosil Menuju Energi Terbarukan: Potret Kondisi Minyak dan Gas Bumi Indonesia Tahun 2020 – 2050
Authors: Setyono Agus Eko , Kiono Berkah Fajar Tamtomo
Published: November 2021

Arah kebijakan pengelolaan energi kedepan berpedoman pada paradigma baru untuk menciptakan lingkungan yang sehat melalui program energi bersih. Sejalan dengan hal tersebut, Indonesia dalam kebijakannya yang tertuang dalam Peraturan Pemerintah No. 79 tahun 2014 tentang Kebijakan Energi Nasional (KEN) memiliki target pertumbuhan pangsa EBT yang cukup besar. Besaran pangsa EBT pada tahun 2025 dan 2050 masing masing sebesar 23% dan 31% dari total kebutuhan energi nasional. Akan tetapi sampai tahun 2020 realisasi pangsa EBT baru mencapai 11,31%. Dengan kebutuhan energi yang semakin meningkat dan pertumbuhan EBT yang masih lamban, membuat ketergantungan kepada enegi fosil khususnya minyak dan gas bumi kemungkinan besar masih terus berlanjut. Selain itu jika dilihat dari proyeksi bauran energi Indonesia kedepan, energi migas akan tetap menjadi tumpuan utama baik berdasarkan skenario Business as Usual (BaU) maupun Current Policy (CP). Kebutuhan yang semakin meningkat berbanding terbalik dengan cadangan dan produksi nasional yang semakin berkurang. Untuk mencapai ketahanan dan kemandirian energi migas kedepan banyak tantangan yang membutuhkan kebijakan dan strategi yang tepat, diantaranya yaitu bagaimana mengatasi semakin menurunnya produksi, yang disebabkan penurunan alamiah dari sumur-sumur tua dan rendahnya tingkat keberhasilan eksplorasi migas. Kemudian masalah infrastruktur migas yang belum terintegrasi sehingga membuat disparitas harga migas antar wilayah. Serta faktor ekonomi meliputi inflasi dan nilai tukar rupiah.