bluuebunny/crossref_metadata_2025 huggingface dataset:
The efficacy and outcomes of stereotactic body radiotherapy in adrenal gland metastases
Authors: Kekilli Esra , Demirkasımoğlu Taciser
Published: April 2023

Aim:

This retrospective study presents our single-institutional experience with stereotactic body radiotherapy for adrenal gland metastases.

Materials and Methods:

We evaluated patients with adrenal metastases treated by stereotactic body radiotherapy (SBRT) from 2014 to 2020. We performed an analysis of 35 patients. The median age of the patients was 62.2. Dosimetric parameters and treatment outcomes were evaluated.

Results:

The primary diagnosis of the majority of patients was non-small cell lung cancer (94.3%). Treatment was performed in a median of 3 fractions, and the median prescribed dose was 24 Gy (range 22,5–27). The median follow-up was 17 months. Treatment response according to Response Evaluation Criteria in Solid Tumours was categorized as complete response in 11 patients, partial response in nine patients, stable disease in 7, and progressive disease in eight patients. Twenty seven patients had oligometastatic disease and treatment response. Patients with oligometastatic disease had a significantly higher rate of complete response and partial response to treatment than patients with common disease (P = 0,011). The 6-month and 1-year local control rates were 68.4% and 43%, respectively. In general, SBRT was well tolerated and no acute toxicities were observed.

Conclusion:

Our retrospective study shows that SBRT can be applied safely in adrenal metastases with good results especially in patients with oligometastatic disease.
Influence of advanced age on the prognosis of triple-negative breast cancer patients: A surveillance, epidemiology, and end results-based study
Authors: Tan Haosheng , Fu Deyuan
Published: April 2023

Introduction:

Age at diagnosis has shown significant effect on the prognosis in breast cancer patients. However, whether age is an independent risk factor remains controversial. Furthermore, population-based estimates of age on the prognosis impact in triple-negative breast cancer are still lacking. The aim of this study was to analyze the influence of age and other factors on the prognosis and survival of triple-negative breast cancer patients.

Materials and Methods:

We used the surveillance, epidemiology, and end results program data from 2011 to 2014. A retrospective cohort study was conducted to investigate prognosis factors in triple-negative breast cancer. Patients were divided into two groups according to age at diagnosis: 75 + years (the elderly patients) and < 75 years (reference group). The clinicopathologic characteristics of different age groups were compared using Chi-square tests. Overall survival (OS) and breast cancer-specific survival were analyzed using the Kaplan–Meier method. Prognostic factors were compared using the Cox proportional hazards model. We also analyzed the difference of distant metastasis at initial diagnosis on every group.

Results:

A total of 21,429 triple-negative breast cancer patients were included in our study. The mean breast cancer-specific survival time of triple-negative breast cancer was 70.5 months for the reference group and 62.4 months for the elderly group. Survival analysis showed that the breast cancer-specific survival rate was 78.9% for the reference group and 67.4% for the elderly group. The mean OS time was 69.0 months for the reference group and 52.3 months for the elderly group. The 5-year OS of triple-negative breast cancer patients was 76.4% for the reference group and 51.3% for the elderly group. The prognosis of elderly patients is much poor than reference group. Univariate Cox regression analysis showed that age, race, marital status, histological grade, stage, T, N, M, surgery, radiotherapy, and chemotherapy were risk factors for triple-negative breast cancer (TNBC) (P < 0.05). Multivariate Cox regression analysis showed that age, race, marital status, histological grade, stage, T, N, M, surgery, radiotherapy, and chemotherapy were independent risk factors for TNBC (P < 0.05).

Conclusions:

Age is an independent risk factor for the prognosis of TNBC patients. Elderly triple-negative breast cancer patients displayed obvious lower 5-year survival rate compared to reference group, even though they have better grade stage, minor tumor, less lymph node metastasis. The lower rate of marital status, radiotherapy, chemotherapy, surgery, and higher rate of metastasis at diagnosis must contribute to their poor outcome.
Case report on treatment of Karuppai Naarthasai Kattigal (uterine fibroids) with Rasagandhi Mezhugu
Authors: Swapna Annie Jasmine , Lekha George Suseela , Rajkumar Shyamala
Published: April 2023

Karuppai Naarthasai Kattigal (uterine fibroids) are benign tumors arising from the smooth muscles of the uterus. This study focuses over a case report of a patient with Karuppai Naarthasai Kattigal (uterine fibroids) treated with a classical Siddha drug, Rasagandhi Mezhugu (RGM) from the literature reference Pulippani Vaithiyam-500, for a period of 90 days, after receiving the informed consent, and the outcome was documented. A 40-year-old woman with a heavy menstrual bleeding, frequent urination, abdominal cramps, and bloating of abdomen often for 6 months and intermenstrual bleeding for 2 years was screened through an ultrasonogram, suspecting uterine fibroids. After Siddha clinical assessment and diagnosis, RGM was administered for a period of 90 days with 15 days drug holiday after 45 days of treatment. Later the treatment outcomes were measured and the patient is followed up for 6 months. This study reveals the outcome of the treatment of Karuppai Naarthasai Kattigal with RGM and the prognosis of the patient is calculated with, symptomatic improvement, reduction in size of fibroid and changes in pictorial blood assessment chart score from baseline visit to final visit and reduction in clinical symptoms of the patient by using uterine fibroid quality-of-life questionnaire, and the data were recorded.
Zootherapeutic documentation from Tiruppur district, Tamil Nadu, India
Authors: Radha Prakasam , Udhayavani Chinniaya , Nagaraj Raju , Sivaranjani Kumarasamy
Published: April 2023

Introduction:

Animals and their parts have been used as an important source in the traditional systems of medicine such as Ayurveda, Siddha, Unani, and folklore. The present study was aimed to document the medicinal uses of animals and animal products used by the inhabitants of Tiruppur District, Tamil Nadu.

Materials and Methods:

A medico ethnobotanical survey was conducted from December 2017 to December 2020 in order to collect the information on the animals and their parts used in the treatment of various ailments by both tribal and non-tribal inhabitant of Tiruppur District, Tamil nadu. The documentation was done by conducting face-to-face interview with the informants such as traditional medicinal practitioners, folk healers, and indigenous with their prior consent.

Results:

67 people were interviewed and the therapeutic values of 28 animals and their products used in the treatment of various ailments such as dermatological infection/diseases, hemorrhoides, skeleto-muscular system disorder, respiratory system diseases, genito-urinary ailments, etc. were recorded and documented with their tamil name, zoological name, family, part used, mode of administration, and ailments treated.

Conclusion:

The present study revealed that, though the inhabitants possess the traditional knowledge to use animal products for various diseases, currently very few are in practice for their primary health care needs.
Primary mucinous adenocarcinoma at the end ileostomy site with multiple metachronous colorectal cancers
Authors: Shekhar Himanshu , Raghavendra D , Jayapal Loganathan , Palaniswamy K. R. , Reddy Prasanna Kumar
Published: April 2023

Adenocarcinoma occurring at the end ileostomy site is a rare complication, with 70 cases reported in the literature to date. Most patients with adenocarcinoma occurring at the ileostomy site underwent total proctocolectomy for ulcerative colitis and familial adenomatous polyposis. Here, we present a case of adenocarcinoma arising at the end ileostomy site post total proctocolectomy for colorectal adenocarcinoma.
Rare, benign, giant anal tumor in a healthy woman
Authors: Hoyos-Torres Alejandro , Alvarez-Bautista Francisco Emmanuel , García-Ramoz Emilio Sanchez , Salgado-Nesme Noel
Published: April 2023

Anal neoplasms are frequently associated with human papillomavirus infection. However, the differential diagnosis should consider benign lesions that affect a small proportion of patients. We present the case of a previously healthy 30-year-old woman who presented to our clinic with the complaint of a foreign body sensation in the perianal region and a progressive increase in the volume of a palpable lesion. The patient underwent resection of the lesion and histopathological examination showed a benign giant fibroepithelial polyp.
A brief literature review of catheter-based drainage of perirectal abscesses
Authors: Kovalev Vitaley , Hopkins Benjamin
Published: April 2023

Perirectal abscesses most commonly occur as a result of bacteria entering the anal crypt and invading the anal duct and gland. Multiple complications can occur with perirectal abscesses; the most common complication is the formation of a perirectal fistula. The primary goal of this study is to explore the use of computed tomography- or ultrasound-guided percutaneous catheter-based drainage of perirectal abscesses in comparison to traditional incision and drainage. We conducted a PubMed search for “rectal abscess” and “perianal abscess,” which yielded a total of 908 articles. We included articles in English with no time restrictions. All articles were reviewed for their relevance. The relevant articles were cross-referenced for additional articles. The traditional treatment for perirectal abscesses is adequate surgical drainage with antibiotics as an adjunct. The use of catheter-based percutaneous drainage as an alternative lacks evidence in the current available literature. Ultrasound- and computed tomography-guided percutaneous drainage has been the standard of care for small, radiologically accessible diverticular abscesses. Ultrasound- and computed tomography-guided percutaneous drainage should be considered for the adequate treatment of uncomplicated pelvic and intraabdominal abscesses.
The interplay between leniency programmes and private enforcement: the economist perspective on recent policy proposals
Authors: Alimonti Roberto , Kümmel Sophie , Nau Thomas
Published: April 2023

Leniency policies grant substantial fine reductions to firms that disclose their former participation in a cartel. Such policies may, thereby, destabilize existing cartels and disincentivize the formation of new ones. Alternatively, some argue that they might have the opposite effect of incentivizing collusion by reducing the punishment for former cartel participants, thereby raising the collusive payoff. The overall decline in leniency applications in the European Union since 2014 calls for an analysis of the interplay between the 2006 Leniency Policy and other competition policies, most notably the 2014 Damages Directive. This article discusses the interaction between these two competition policy tools, arguing that the liability of immunity recipients in follow-on damage claims tends to stabilize cartels, and assesses several proposals that aim to ensure that public and private cartel enforcement tools are more in sync.
Socially responsible agencies*
Authors: Tirole Jean
Published: April 2023

Should agencies confine their role to their main duty or should they embrace new and desirable societal objectives? This article first discusses two emblematic examples of mission expansion: socially responsible competition authorities and green central banks. It then sheds light on the ongoing debate using contributions to bureaucratic design in economics and political science. On that basis, it warns against the risks associated with the loss of accountability, institutional conflicts, and the lack of policy coordination.
Francesco Borromini and the Cultural Context of Kepler’s Harmonice Mundi
Authors: Shrimplin Valerie
Published: April 2023

The idea of circular domed architecture as imitative of the flat earth covered by the 'Dome of Heaven' was established from Byzantine times up to its revival during the Renaissance. Yet the cosmological symbolism of the circular dome was replaced in the early seventeenth century when elliptical, oval or other geometrically-inspired domes became a key feature of the Baroque. The move away from circular to oval or elliptical forms by architects such as Borromini coincides with the new cosmology and Kepler's view of elliptical orbits as the basis for the structure of the universe. Building on his Mysterium Cosmographicum (1596) and the view of perfect, regular nested solids as the basis for the organisation of the planets, Kepler focused on the ellipse as underlying the mechanics of the universe. His realisation that the universe was not based on perfect circular motion but on elliptical orbits (with the sun at one of the foci) was developed in Harmonice Mundi, linked to concepts of harmony and proportion. In turn, the work of the architect Borromini (as at S. Carlo alle Quattro Fontane 1638-41 and S. Ivo della Sapienza 1642) involve novel and complex geometric designs that significantly align Kepler's astronomical ideas. Mathematical precision underlies Borromini's seemingly extravagant schemes, in the same way that Kepler's theories sought harmony in the universe. Documentary evidence to substantiate a claim of the influence of Kepler’s theories on Borromini has yet to be found. However, it is significant that Borromini's patron in Rome was Cardinal Barberini (later Pope Urban VIII) who was well-known for his interest in astronomy. Kepler's mathematical methodology and interpretation of the geometrical structure of the universe may have appealed to Borromini and his patrons on many levels. It cannot be mere coincidence that the use of such mathematical forms in ecclesiastical architecture comes in at around the same times as Kepler's writings.
Resonances and Repercussions of Kepler’s Harmony of the World
Authors: Oestmann Gunther
Published: April 2023

In 1619 the Harmonices mundi libri V was published, which Kepler considered his greatest work. It is well-known and famous for containing the Third Law of Planetary Motion, but book IV deals with his attempt to reform astrology within a Pythagorean-Platonic framework, and here he presented a new understanding of the mechanism of the aspects. Kepler’s “astrology of resonance” had repercussions among contemporary astrologers in the 17th century, such as Christopher Heydon, Abdias Trew and Peter Crüger. His ideas of a physical basis for celestial motions and were viewed critically however, and in the perspective of the Age of Enlightenment Kepler’s speculative approaches, as well as his metaphysical and religious arguments met with skepticism and disapproval. The tide turned in the Romantic Era, when just these aspects came to the fore and paved the way to an edition of Kepler’s works. The German philosophers F. W. J. Schelling (1775–1854), E. F. Apelt (1812–1859) and the astronomer J. W. A. Pfaff (1774–1835) played a crucial role in the rediscovery and reappraisal of Kepler. Pfaff worked on a German translation of the Harmonices mundi, and the teacher of mathematics Christian Frisch (1807–1881), who had studied under Pfaff in Erlangen, published the first critical edition of Kepler’s works from 1858 to 1871.
Annual Effective Dose and Excess Lifetime Cancer Risk due to Ingestion and Inhalation of Radon in Groundwater of Bosso Community Minna, North-Central Nigeria
Authors: Kolo Matthew Tikpangi , Olarinoye Oyeleke , Salihu Simon Olonkwoh , Ugwuanyi Hyginus Anayo , Onuche Paul , Falade Opeyemi , Chibueze Nwachukwu
Published: April 2023

Radon in potable water has become an issue of public health concern, especially when consumed or used directly from source for domestic purposes without any pre-treatment. In this study, 222Rn concentration in 22 water samples collected from 2 groundwater sources (open wells, 12 samples and boreholes, 10 samples) in Bosso town, North central Nigeria were measured using Durridge RAD-7 radon detector with RAD-H2O accessories. 222Rn concentrations in open wells varied from 2.1±0.7 to 27.9±2.5 Bq L-1 with a mean of 10.2±1.5 Bq L-1, while that in boreholes ranged from 2.8±1.1 to 39.2±1.5 Bq L-1 with a mean value of 14.3±1.7 Bq L-1. These values are lower than the 100 Bq L-1 upper limit proposed by the European Union Commission, above which any practical intervention may be necessary. Mean annual committed effective dose to adults, children and infants from ingestion of water were 74.64, 71.58 and 53.17 \muSv y-1 respectively for the open wells and 104.24, 99.96 and 74.26 \muSv y-1 respectively for borehole water samples. Mean whole body dose due to ingestion and inhalation of waterborne radon from open wells and boreholes are 27.56 and 38.48 \muSv y-1 respectively, which are below the reference level of 0.1 mSv y-1 for potable water recommended by the World Health Organization for public safety. The excess lifetime cancer risk were 0.10 × 10-3 for the open wells and 0.13 × 10-3 for the boreholes, which are lower than the world safety limit 0.29 × 10-3. Water from the two groundwater sources investigated is therefore fit for consumption and other domestic usage from the point of view of radiation protection.
"So muss ich fortan das Band als gelöst ansehen.": Ernst Cassirers Hamburger Jahre 1919 bis 1933
Authors: Wittek Susanne
Published: April 2023

Ein Porträt Ernst Cassirers als akademischer Lehrer und Rektor der Hamburgischen Universität und als engagierter liberaler Demokrat. Von 1919 bis 1933 gehörte der Philosoph Ernst Cassirer zu den prägenden Persönlichkeiten an der gerade gegründeten Hamburgischen Universität und im Kulturleben der Hansestadt. Hier schuf er einige seiner wichtigsten philosophischen Werke. Zugleich gab er in diesen Jahren der jungen deutschen Demokratie Flankenschutz. Davon legen insbesondere seine berühmten Reden zur Feier der Weimarer Verfassung, in denen er den politischen Diskurs geistesgeschichtlich zu fundieren suchte, eindrücklich Zeugnis ab. Doch jenseits seiner Äußerungen mischte er sich auch in tagesaktuelle politische Geschehnisse und gesellschaftspolitische Kontroversen ein. Angesichts antisemitischer Ausgrenzung verließ er im März 1933 gemeinsam mit seiner Frau das nationalsozialistische Deutschland. Wenig später bat er die Hamburger Hochschulbehörde um Enthebung von seinen akademischen Ämtern und ging ins Exil, das ihn über Großbritannien und Schweden bis in die USA führte.
File Encryption and Decryption Software
Authors: Rathi Amit , Saini Raj , Mishra Abhinav , Sharma Vivek Kumar , Singh Jagbeer
Published: April 2023

Since the advent of information technology (the internet) a few decades ago, there have been many changes made to the way information is shared and moved between people, between nations, and throughout the whole world. Information security experts are growing worried about how to solve the issue of information "theft," which has been for a long. Today, it is clear that information security is the solution due to the present spread of several recently developed cryptanalysis techniques. To create a file that can be hashed and firmly decrypted by reliable file storage software, our technique in this work is to use the encryption methods of AES and MD5 after a few steps in the encryption process. The key feature of our programme is the addition of those components throughout the encryption process to create a hashed result that is intertwined and immune to eavesdroppers' nasty techniques. Since any form of a file, including binary, text, and other types, may be effectively encrypted, the encryption results have demonstrated that the programme can provide a broad range of file encryption.
Wind Load Analysis of RC Structure Resting On Sloping Ground By Using Etabs
Authors: Rashmin Aysha , Devan Priyanka
Published: April 2023

Wind load is regarded as one of the crucial design loads that a structure must withstand throughout its lifetime. The impact of wind speed on the building frame has been investigated in this research. Due to a lack of available land, buildings lying on slopes were taken into consideration for the study. The 40-story, three-dimensional building frame is modelled and examined for wind zones of 33 m/s and 39 m/s, respectively. It rests on slopes of 5°, 10°, and 15°. ETABS software is used to perform the modelling and analysis as necessary. The maximum storey displacement and maximum storey drift are the factors taken into account for the post-analysis. For ground slopes and wind speeds, all the parameters have been compared, and the findings have been compiled and graphically shown.
AI Based Solar Panel Cleaning Robot
Authors: Jothi Venkatesh K  , SankaraNarayanan S  , Arjun P  , Kannan K
Published: April 2023

Among the various renewable energies, Solar energy is one of the most important sources. Solar panel is used to collect the solar energy and convert it into useful electrical energy. The dust accumulated on the solar panel reduce its efficiency to a certain degree. To overcome this problem, efficient techniques to clean the solar panel must be implemented. The proposed model is to clean the dust and bird droppings that has accumulated on the solar panel. An AI-based solar panel cleaning robot is designed which performs dry or wet cleaning based on the dirt or bird droppings, thus reducing water usage. The robot utilizes a Convolutional Neural Network model based on the Visual Geometry Group 16 architecture to detect dirt and bird droppings on solar panels. The robot is designed to perform dry cleaning using a brush and wet cleaning using a water pump, depending on the type of dirt detected. The experimental readings show that the power output of the solar panel increases significantly after cleaning, and the prototype model demonstrates the effectiveness of the robot in detecting and cleaning dirt and bird droppings. The development of such a robot has the potential to improve the efficiency of solar panels and reduce water usage in the cleaning process, making it a more sustainable and eco-friendly solution for maintaining solar panels.
Methodological Guidelines for Focus Groups with Children from Developing Regions
Authors: Peñaherrera-Vélez María José , Ochoa-Avilés Angélica , Arpi Becerra Nancy , Rodas Elisabeth , Zúñiga Gabriela , Jerves Elena
Published: April 2023

Qualitative research with children has gained recognition in recent years. Nevertheless, special considerations should be analyzed before conducting focus groups with children from developing countries where methodological guidelines are scarce. This article provides methodological guidelines for conducting focus groups with children from developing countries based on an extensive literature review and our experience in urban and rural areas in Ecuador. Peculiarities of urban and rural contexts are highlighted, and child-friendly strategies are proposed. We conclude that focus groups can be conducted successfully with urban and rural children from low-and-middle-income countries if their specific circumstances, such as language and cultural diversity, are contemplated and all the materials are tested beforehand.
Reflecting on Students’ Reflections: Exploring Students’ Experiences in Order to Enhance Course Delivery
Authors: Ferguson Therese
Published: April 2023

Learning qualitative research skills can be a daunting process for students given characteristics such as its subjective and time-consuming nature. I therefore wanted to understand in detail my students’ course experiences by exploring the (i) literal and metaphorical language that they utilized to describe their experiences with qualitative research; (ii) challenges they faced in undertaking qualitative research; and (iii) personal and course triumphs shared by students. Using a generic qualitative research design, I undertook document analysis of a sample of written coursework reflections from 17 of my master’s level students. Findings showed that students had an emotional experience of lows and highs as they engaged with the qualitative research process, that they embraced the opportunity to engage with practical and experiential learning activities, that their appreciation for qualitative research grew, and that peer support was an important element in motivating them throughout the course. Thus, I recommend the integration of opportunities for more practical, experiential learning activities and peer work for those delivering qualitative research courses.
Na planície do conhecimento, escolhemos melhor onde queremos prospectar
Authors: Consolaro Alberto
Published: April 2023

Editorial
Estudo comparativo entre técnicas de moldagem de transferência utilizadas em próteses sobre implantes
Authors: Rezende Karla Tatiana Henrique Melo , Garcia Maria do Socorro Gonçalves Braz , Cordeiro Marina Macedo , Souza Sarah Cristina de , Ramos Valdilene Sinésio , Suassuna Tulio Fernandes , Rodrigues Rodrigo Araújo
Published: April 2023

As próteses odontológicas têm apresentado grande progresso e evolução nos últimos anos, dando origem a inúmeros estudos que propõem e analisam técnicas e materiais. Entre as várias alternativas disponíveis no mercado atualmente estão as próteses sobre implantes, e uma das etapas determinantes para o sucesso de tal reabilitação oral é a moldagem. O objetivo desta pesquisa consiste em analisar duas diferentes técnicas de moldagem de transferência empregadas em próteses sobre implantes, modificando os métodos de união dos componentes de moldagem. Através da avaliação de mensurações horizontais em modelos de gesso Pasom Dental Mix IV (Gold Star Brasil; Mairiporá - SP) com auxílio de um paquímetro Vernier Caliper 150 x 0.05 mm, foram analisados os três grupos. O primeiro composto por transferentes de moldagem quadrados (DSP Biomedical, Campo Largo - PR) unidos com fio dental e resina acrílica Dencrilay (Dencril, Pirassununga - SP) e moldeira individual aberta. O segundo transferentes de moldagem quadrados (DSP Biomedical, Campo Largo - PR) unidos com fio dental e resina Master Flow (Biodinâmica) e moldeira individual aberta. E finalmente o terceiro composto por transferentes de moldagem cônicos (DSP Biomedical, Campo Largo - PR) sem união entre eles e moldeira individual fechada. Para todos os grupos foi utilizado poliéter Impregum Soft (3M - Germany) como material de moldagem. Não houve alterações estatisticamente significantes entre os três grupos. Ambas as técnicas de moldagem de transferência assim como as formas de união dos transferentes testadas apresentam resultados com médias semelhantes e variabilidades também semelhantes.
Tratamento de maxila atrófica - revisão de literatura
Authors: Restelato Larissa Fochesatto
Published: April 2023

Diversos materiais e técnicas têm sido utilizados para o tratamento de maxila atrófica e para uma reabilitação com próteses implantossuportadas é necessário a realização de procedimentos para criar volume ósseo, necessário para a instalação dos implantes ou, desviar desta técnica, utilizando outras táticas, onde não á necessidade de criar este volume ósseo, para a instalação dos implantes. Este estudo tem como objetivo, fazer uma revisão de literatura sobre os principais tipos de tratamento para maxila atrófica, incluindo a técnica All-on-Four, implantes zigomáticos e a necessidades enxertos e/ou biomateriais para a instalação dos implantes, assim discutir seus propósitos e comparando suas técnicas para a escolha do tratamento. Assim a escolha da técnica deve ser orientada por diversos critérios que associados a uma boa análise crítica da literatura disponível devem direcionar o clínico a resultados satisfatórios.
Comparação das técnicas de levantamento de seio maxilar por instrumentos rotatórios convencionais e piezoelétricos: revisão de literatura
Authors: Ribeiro Eduardo Dias , Freire Julliana Cariry Palhano , Barreto Jaqueline Oliveira , Bastos Camilla Freire de Brito , Lima Saulo Anderson Neves de , Formiga Filho Amaro Lafayette Nobre
Published: April 2023

Em reabilitações orais utilizando próteses sobre implantes em regiões posteriores da maxila, necessita muitas vezes de uma cirurgia de levantamento de seio maxilar devido à pneumatizacão que ocorre no processo de remodelação óssea após exodontias. Uma das principais complicações desse procedimento é a perfuração da membrana dessa estrutura. Nessa perspectiva, esse estudo teve como objetivo comparar as técnicas convencionais com instrumentos rotatórios e de piezocirurgia para realização de levantamento do seio maxilar através de uma revisão de literatura. Para isso, através da base de dados PubMed foi utilizado os termos de busca piezosurgery (AND), piezoelectric (AND/OR), sinus floor augmentation (AND/OR), sinus lift (AND/OR), (conventional) (AND), para busca de estudos de ensaio clinico controlados com pacientes, no idioma inglês e publicados entre 2010 a 2020. Um total de 13 artigos foram selecionados, porém após a leitura do resumo e texto completo, apenas 5 foram incluídos. Destes, apenas 2 estudos não observaram significância estatística em relação a perfuração da membrana do seio maxilar com instrumentos rotatórios convencionais e dispositivos piezoletricos, embora um destes ainda verificaram que a piezocirurgia causa menos dor e edema no pos operatório que pela técnica convencional. Conclui-se que a escolha por dispositivos piezoelétricos em relação aos instrumentos rotatórios convencionais é mais vantajosa por reduzir o risco de perfuração de membrana em cirurgias de levantamento de seio.
Tratamento ortodôntico pré-protético
Authors: Barbosa Adrielly Oliveira , Oliveira Ana Paula Lemos Costa de , Melo Eduardo Henriques de
Published: April 2023

A estética do sorriso está sujeita a diversos fatores, dentre eles, sobressai cor, textura e forma dos dentes, acrescentam-se a arquitetura e coloração do tecido gengival aparente. Deste modo a importância da idealização e a previsão de todos os fatores cirúrgicos e protéticos envolvidos no tratamento ortodôntico são de grande importância, buscando à supressão de problemas que possam causar dano a saúde como também comprometer a estética dental O objetivo do trabalho é: descrever  a importância do planejamento para  adequação do espaço protético no tratamento ortodôntico, descrever os fundamentos biológicos que justificam a utilização do tratamento ortodôntico pré-protético, caracterizar algumas etapas clínicas na adequação do espaço no tratamento ortodôntico, com base em evidências científicas e nos princípios da odontologia. A técnica de pesquisa utilizada foi baseada em livros, artigos científicos, teses e dissertações de mestrado e doutorado, com foco na área Ortodontia e Prótese Dentária. Nos consultórios de ortodontia é cada vez maior o número de pacientes adultos, que apresentam múltiplas percas dentárias, Além de proporcionar um problema estético para o paciente, esta ausência dentária impede a reabilitação protética dos dentes perdidos, pois o espaço interoclusal para a reconstrução da coroa se torna insuficiente, necessitando de uma adequação do espaço protético prévio ao tratamento reabilitador, com isso conseguimos uma melhora tanto na estética, como na função e consequentemente na longevidade de todo o tratamento reabilitador.
Verticalização e mesialização de molares com uso de ancoragem esquelética: relato de caso clínico
Authors: Gouveia Luizianny
Published: April 2023

A busca de pacientes adultos com perda dentária por tratamento ortodôntico tem aumentado e isso tem levado os ortodontistas à procura de tratamentos conservadores. Diante disto, a mesialização e verticalização de dentes tornou-se uma opção para tratamentos de fechamento de espaços devolvendo saúde e estética ao paciente. O mau posicionamento dental pela perda dentária gera muitos efeitos danosos à saúde bucal do paciente. Existem técnicas simples para verticalização e mesialização dos molares, mas com o surgimento dos mini-implantes surgiram vantagens associadas a custo e tempo de tratamento. Esse trabalho tem por objetivo apresentar um relato de caso clínico utilizando mini-implantes ortodônticos como alternativa de ancoragem para verticalização e mesialização de molares.
Correção do sorriso gengival: relato de caso
Authors: Mozzi Kassya Kananda dos Santos
Published: April 2023

A exigência clínica e o padrão de beleza vêm sendo procurado cada vez mais pelos pacientes na área da odontologia estética, incluindo aqueles que tratam da remoção e remodelação do tecido gengival excessivo, devido relatos de desarmonia entre dentes, gengiva e boca, denominado, assim, como sorriso gengival. Um sorriso harmônico é construído baseado por um conjunto de fatores como a anatomia dentária, a gengival, facial e a estrutura corpórea do paciente. Muitos dos pacientes com sorriso gengival, que é considerada a condição onde mais de 3 mm de gengiva seja exposta em um sorriso moderado, e confirmado pelo sorriso forçado, onde temos maior exposição gengival. O propósito deste trabalho foi relatar o caso de um paciente que relatou e apresentou relação desarmônica com o sorriso gengival e o comprimento curto das coroas clínicas. Foi realizado o procedimento de gengivectomia, em busca de harmonia entre a estética dentária e gengival. A cirurgia busca uma adequação gengival em relação à estética dentária, melhorando a estética do sorriso.
TÜRKİYE SAĞLIK SİSTEMİNİN DÖNÜŞÜMÜ (2003-13): TIBBİ TEKNOLOJİNİN YAYILIMI
Authors: BOYACI İsrafil
Published: April 2023

Amaç: Bu makale, sağlık hizmetlerinin sunumunda Türkiye sağlık sisteminin kapasitesinin bütünüyle arttığı Sağlıkta Dönüşüm Programı (2003-2013) boyunca ve takip eden yıllarda, hastanelerin teknolojik donanımının nasıl değiştiğini açıklığa kavuşturmayı amaçlamaktadır.

Yöntem: Makalede, hastanelerdeki başlıca tanıya yardımcı tıbbi görüntüleme teknolojilerinin (MR, BT, Ultrason, Doppler Ultrason, EKO) 2002-2020 yılları içerisindeki yayılımları ve sektörlere dağılımlarının seyri betimlenerek, bu tıbbi cihazların ülkedeki toplam sayılarındaki değişimler yeniliklerin yayılımının incelenmesinde yaygın olarak kullanılan S eğrisi biçimindeki büyüme evreleri çerçevesinde ele alındılar.

Bulgular: Dönüşüm Programı boyunca ve sonrasında ülkedeki hastanelerin tıbbi cihaz kapasitesinde hızlı büyüme kaydedildiği açıkça görülmüştür. MR ve BT cihazlarının yayılım evrelerini geçirerek piyasanın taşıma kapasitesine yakınsama eğilimde olduğu, Ultrason cihazı sayısının yavaşlayan büyüme evresinde bulunduğu, Doppler Ultrason ve EKO cihazlarının ise hızlı büyüme evrelerini tamamlamak ve yavaşlayan büyüme evresine henüz geçmek üzere oldukları değerlendirilmiştir. 2014’lü yıllardan sonra MR, BT, Doppler Ultrason ve EKO cihazlarının özel hastanelerdeki büyüme hızları azalmış, fakat kamu hastanelerinde istikrarlı veya hızlanarak büyümeleri devam etmiştir.

Özgünlük: Böylece, Türkiye’de sağlık sisteminin geçirdiği güncel dönüşüm 'teknolojinin yayılımı' çerçevesinde incelenerek Türkiye sağlık sisteminin teknoloji kapsamı ve ülke sağlık sisteminin teknoloji yoğunluğunda kamu ve özel kesimlerinin katkıları aydınlatılmıştır.
TINDAK PIDANA PENGANCAMAN DALAM PENANGANAN KASUS PINJAMAN ONLINE (Studi Kasus Putusan PN Jakarta Utara Nomor 438/PID.SUS/2020/PN Jkt. Utr)
Authors: Widoyanto Hendy , Ratna Dewic
Published: April 2023

Perkembangan teknologi memberikan banyak kemudahan, terutama dalam seseorang beraktivitas, kondisi ini dimanfaatkan pemberi pinjaman online ilegal (pinjol) yang menawarkan pinajaman online kepada masyarakat dengan tingkat literasi keuangan yang rendah, sehingga sulit untuk membedakan yang legal dan yang tidak. Hubungan antara kreditur (pinjaman online) dan debitur (nasabah) merupakan konsep hukum privat yang lebih dikenal dengan istilah wanprestasi. Akibat wanprestasi, kreditur memaksa kreditur melakukan tindakan memaksa debitur mengancam, memanggil kolektor ke rumah, dan memfitnah debitur. Permasalahan dalam penelitian ini adalah 1). Bagaimana karakteristik pinjaman online yang berimplikasi tindak pidana? 2). Bagaimana penerapan Tindak Pidana Pengancaman Dalam Penanganan Kasus Pinjaman Online? Dengan metode penelitian normatif dengan pendekatan perundanga-undangan dan pendekatan kasus diketahui bahwa a. Karakteristik pinjaman online yang berimplikasi tindak pidana yaitu melanggar UU ITE Pasal 29 UU ITE yang mengatur perbuatan berupa ancaman kekerasan atau menakut-nakuti secara pribadi dengan mengirimkan informasi dan atau dokumen elektronik. b. Penerapan Tindak Pidana Pengancaman Dalam Penanganan Kasus Pinjaman Online hakim dalam putusannya bernomor 438/Pid.Sus/2020/PN Jkt.Utr. Atas nama terdakwa Dede Supardi Bin H. Supriadi Hakim memutus dakwaan alternative kedua, Pasal 45 ayat (4) Jo. Pasal 27 ayat (4) Undang-undang Republik Indonesai Nomor 19 Tahun 2016 tentang Perubahan Undang-Undang Nomor 11 Tahun 2008 tentang Informasi dan Transaksi Elektronik, dan Undang-Undang Nomor 8 tahun 1981 tentang Hukum Acara Pidana.
IMPLIKASI PROSES HUKUM YANG ADIL TERHADAP KELOMPOK KRIMINAL BERSENJATA DAN REKOMENDASI KESEJAHTERAAN SOSIAL DI PAPUA
Authors: Yusuf Achmad , Khair Otti Ilham , Kusuma Gede Wijaya , Nasruddin Muhammad
Published: April 2023

Abstract

This study aims to implicate a fair legal process against armed criminal groups and social welfare recommendations in Papua. In order to carry out a better, systematic and directed study in accordance with the expected goals, this writing is based on the results of research or legal studies. The results of this study are in the form of an acronym for the Armed Criminal Group, which is a group that often spreads terror against both civilians and the TNI and Polri in the Papua region. The aim of the KKB Papua is to break away from the Unitary State of the Republic of Indonesia (NKRI). Therefore, the Papuan KKB can be called a separatist movement, whose movements often result in fatalities. Before being born as KKB, this group was formerly known as the Free Papua Organization (OPM) and a fair trial or fair trial is a principle which is an indicator of the development of a just society and legal system. Without the application of fair trial principles, many innocent people will enter the criminal justice system and will most likely end up in jail. Without the application of fair trial principles, law and public trust in law and the justice system will collapse.
PENERAPAN ALAT BUKTI PETUNJUK OLEH HAKIM DALAM MENJATUHKAN PUTUSAN TINDAK PIDANA PEMBUNUHAN
Authors: Manik Firman Juah Martua , Sinaga Indra Suyugi , Marbun Jaminuddin , Hamonagan Alusianto
Published: April 2023

Dalam kasus pembunuhan, alat bukti merupakan suatu alat yang sangat penting untuk menyelidiki penyebab pembunuhan sampai pada tahap persidangan. alat bukti yang dikumpulkan memiliki fungsi tersendiri untuk menjatuhkan tersangka dalam melakukan kasus pembunuhan.alat bukti dipergunakan hakim sebagai alat bukti di persaingan. penelitian ini memiliki tujuan untuk mengetahui seberapa besar pentingnya alat bukti dalam kasus pembunuhan. penelitian ini merupakan penelitian hukum empiris dengan menggunakan sumber data primer yaitu data yang diproleh dengan wawancara dam observasi.hasil dari penelitian ini menunjukkan bahwa dlama menjatuhkan tindak pidana seseorang memerlukan dua alat bukti yang sah sesuai dengan peraturan undang-undang pasal 183 dan Hakim mempunyai keyakinan bahwa tindak pidana benar-benar terjadi dan pelaku yang menjadi tersangka adalah pelaku dari pembuhunan,dalam penerapan alat bukti petunjuk dapat diperoleh memalui surat keterangan para saksi dan tersangka sesuai dengan pasal 188 ayat 1 kitab UU Hukum Acara Pidana.dalam penelitian ini alat bukti sangat penting untuk memutuskan keputusan hakim
KAJIAN HUKUM PUTUSAN LEPAS DARI SEGALA TUNTUTAN HUKUM DALAM TINDAK PIDANA PEMALSUAN SURAT (Studi Putusan Pengadilan Negeri Padang Nomor 341/Pid.B/2017/PN Pdg)
Authors: Hutahaean Roland Aldini , M Dani Dizky , Hamonangan Alusianto , Simbolon Nanci Yosepin
Published: April 2023

Dalam suatu badan peradilan hakim memiliki peran penting karena hakimlah yang berhak memutus suatu perkara yang terjadi di dalam persidangan. hakim selalu berpegang pada prinsip-prinsip peradilan yang bebas atau tidak memihak. Sebagai salah satu dari pelaksana hukum yaitu hakim diberi wewenang oleh Undang-Undang untuk menerima, memeriksa serta memutus suatu perkara pidana. Pertimbangan putusan terdiri dari dua bagian, yaitu pertimbangan tentang fakta hukum dan pertimbangan hukumnya. Pertimbangan tentang fakta diperoleh dengan cara memeriksa alat bukti seecara empiris dalam persidangan. Fakta-fakta yang terungkap di persidangan selanjutnya diuji menggunkan teori kebenaran koresponden untuk memperoleh fakta hukum dan petunjuk. Putusan yang melepaskan terdakwa (onslag van alle rechtvervolging) menurut KUHAP diatur dalam Pasal 191 ayat (2) yang menyatakan, bahwa: “Jika pengadilan berpendapat jika perbuatan yang didakwakan kepada terdakwa terbukti, tetapi perbuatan itu tidak merupakan suatu tindak pidana, maka terdakwa diputus lepas dari segala tuntutan hukum Penelitian ini menggunakan metode normatif yuridis, yaitu segala sumber di ambil dari kepustakaan, undang-undang, putusan dan media lainnya.Adapun rumusan masalah dalam penelitian ini adalah pertama, bagaimana pengaturan tindak pidana pemalsuan surat, Kedua, bagaimana penerapan penjatuhan putusan lepas dari segala tuntutan hukum oleh hakim? (Studi Putusan Pengadilan Padang Nomor 341/Pid.B/2017/PN Pdg) dan ketiga bagaimana pertimbangan hukum dalam menjatuhkan putusan. Pengaturan tindak pidana pemalsuan surat dalam hukum pidana bahwa pemalsuan surat diuraikan dalam Pasal 263 sampai dengan Pasal 276 KUHP. Pada tiap pasal yang bersangkutan terdapat unsur yang terkandung didalamnya. Penerapan pertanggungjawaban pidana terhadap pelaku tindak pidana pemalsuan surat dalam putusan Nomor 341/2017/PN Pdg) telah terbukti melakukan perbuatan, namun perbuatan tersebut bukan merupakan suatu tindak pidana. Dan pertimbangan hukum oleh hakim kemudian hakim memutuskan melepaskan Terdakwa oleh karena itu dari segala tuntutan hukum (Onslag van alle recht vervolging). Pertimbangan hukum dalam menjatuhkan putusan dapat dilakukan dengan dua cara, yaitu pertimbangan hukum hakim secara yuridis dan non-yuridis. Secara yuridis dengan melihat fakta-fakta yang terungkap dalam persidangan, sedangkan nonyuridis dengan melihat latar belakang dari terdakwa.
PERLINDUNGAN HUKUM TERHADAP PELAPOR TINDAK PIDANA NARKOTIKA
Authors: Hutasoit Pebri Hansen , Sofyan Tatang , Hamonangan Alusianto , Silaban Rudolf
Published: April 2023

Tingginya angka peredaran narkotika di Indonesia tidak bisa di pungkiri, karena minim nya bantuan atau laporan dari masyarakat terkait adanya tindak pidana narkotika yang ada di sekitar mereka. Padahal Tindak Pidana Narkotika, kerap terjadi di sekitar lingkungan masyarakat itu sendiri. Untuk menekan angka peredaran narkotika yang terjadi di Indonesia, sangat dibutuhkan peran serta dari masyarakat, untuk membantu kinerja Kepolisian dan BNN untuk mengungkap dan menekan angka pedaran narkotika. Oleh karena itu Masyarakat harus diberikan sosialisasi dan edukasi, bahwa setiap orang yang mengetahui dan melaporkan adanya penyalahgunaan narkotika, akan di beri perlindungan kepada dirinya oleh Undang-undang, melalui Kepolisian, BNN dan LPSK. Dengan adanya edukasi dan sosialisasi kepada masyarakat, diharapkan dapat menekan dan membantu angka peredaran narkotika di Indonesia, Sehingga pemilihan Judul Artikel Ilmiah saya ini adalah “Perlindungan Hukum Terhadap Pelapor Tindak Pidana Narkotika” untuk menjelaskan secara rinci tentang Undang-Undang Yang Mengatur perlindungan Hukum bagi Masyarakat yang melapor tindak pidana narkotika.
STUDY OF ANALYSIS OF CHILD VICTIMS OF CRIME PROTECTION IN A VICTIMOLOGICAL PERSPECTIVE
Authors: Marzuki Marzuki
Published: April 2023

This research aims to improve the protection of children of crime victims, which often occurs when the provision of services to children who are temporary or permanent victims of psychological, physical and social suffering is neglected. It is a study to analyze from the viewpoint of victimology.The specification or type of research in this research is descriptive in nature and uses prescriptive legal research methods through several approaches.The statutory regulatory approach (statutory approach) and the conceptual approach (conceptual approach).Investigations have shown that various laws have been adopted as legal policies to implement the constitutional provisions of the 1945 Constitution of the Republic of Indonesia, including Presidential Decree No. 36 of 1990 on ratification, in order to protect children in conflict with the law. It is shown that the regime has emerged. Convention on the Rights of the Child (Convention on the Rights of the Child), Law No. 4 of 1979 on Child Welfare, Law No. 8 of 1981 on Criminal Procedure Code, Law No. 39 of 1997 on Juvenile Courts, Law No. 39 of 1999 on Human Rights, Law No. 23 of 2014 on Amending Law No. 23 of 2002 on Child Protection and Law No. 35 of 2014 on Juvenile Criminal Justice System Law No. 11 Including children in conflict with the law to provide legal protection as both perpetrators and victims. In light of these various legal systems, the police, prosecutors, and judges in the law enforcement agency (prosecutor's office) always strive to provide children with the best progressive laws for children in line with the concept of juvenile justice for children. It must be the embodiment of teaching, nurturing and protection of Prioritize the application of restorative justice and diversion to ensure that victims' rights are not ignored, and protect child victims of crime from a victimological perspective.In summary, the legal protection of children of crime victims in Indonesia entitles them to various rights, including: B. Losses such as the right to compensation, the right to treatment, the right to be intimidated by the perpetrator, the right to counseling and rehabilitation, especially the perpetrator's inability to pay compensation to the victim due to the existence of the Victim Compensation Office. case .
PERMOHONAN PERWALIAN YANG DILAKUKAN IBU KANDUNG GUNA MENGELOLA DAN IZIN JUAL HARTA WARISAN ANAKNYA YANG MASIH DIBAWAH UMUR (Studi Putusan No:118/Pdt.P/2022/Pn Tjk)
Authors: Rusli Tami , Ainita Okta , Rachman Arif Nur
Published: April 2023

Abstract

 

The constitution of the Republic of Indonesia Article 1 paragraph (three) Indonesia is a constitutional nation, anyone is no exception due to the fact that delivery is a prison difficulty. based totally on the effects of the studies and dialogue, the techniques for filing programs for guardianship and dealing with the belongings of minors at the Tanjung Karang District court docket (selection observe wide No:118/Pdt.P/2022/Pn Tjk). ought to whole several administrative requirements, the party submits 6 copies of the application, the Officer receives and checks the completeness of the utility, the Officer enters the identity of the birthday party/parties, posita, petitum software inside the SIPP application, assesses and makes the SKUM down payment for the case fee, offers commands to the Petitioner/candidates to deposit the quantity of case expenses indexed inside the SKUM through the precise financial institution. The utility will be finished in less than 1 month from the registration of the case. due to the law, after the guardian is appointed via the Tanjung Karang District court docket choose (choice study No:118/Pdt.P/2022/Pn Tjk), the applicant can take prison action on behalf of his infant who's nonetheless underage to emerge as a dad or mum and this electricity of sale is for looking after the sale/switch of asset rights from the applicant's husband. The father or mother appointed by the courtroom ought to additionally be accountable for all of the moves of the kid under his guardianship and the parent need to additionally represent him in all civil moves.