bluuebunny/crossref_metadata_2025 huggingface dataset:
Preventive health screening utilization in older Mexicans before and after healthcare reform
Authors: Salinas Jennifer J.
Published: January 2017

Objective. To assess changes in preventive screening utilization in older Mexicans, pre- and post-Seguro Popular. Materials and methods. Data from the Mexican Health and Aging Study (MHAS/Enasem) 2001 and 2012 were used. Logistic and ordinary least squares regression adjusted models were used to predict preventive care in 2012 by insurance status categories in 2001-2012, as the focus explanatory variable. Results. Participants who were uninsured in 2001 and had Seguro Popular in 2012 were significantly more likely to be tested for diabetes, high blood pressure and receive a tetanus shot than the continually uninsured. Conclusions. While disparities in preventive screening between the insured and uninsured continue to exist in Mexico, Seguro Popular seems to have provided better access to health services to prevent chronic and infectious diseases for the otherwise uninsured population.
Progression of aging in Mexico: the Mexican Health and Aging Study (MHAS) 2012
Authors: Wong Rebeca , Michaels-Obregón Alejandra , Palloni Alberto , Gutiérrez-Robledo Luis Miguel , González-González César , López-Ortega Mariana , Téllez-Rojo Martha María , Mendoza-Alvarado Laura Rosario
Published: January 2017

Objective. To describe the third wave of the Mexican Health and Aging Study (MHAS), completed in 2012, and present preliminary results. Materials and methods. Descriptive analyses by gender and age group of demographic and socioeconomic characteristics, health conditions and health behaviors, as well as social support and life satisfaction measures are presented. In addition, external validations are presented by comparing MHAS 2012 indicators with other National data sources. Results. For the panel of older adults in the sample, the rate of health care insurance coverage increased greatly between 2001 and 2012, a significantly higher change in rural compared to urban areas. The results for 2012 are consistent with the previous two waves for the main indicators of health and physical disability prevalence, risk factors, and behaviors. Conclusions. The MHAS offers a unique opportunity to study aging in Mexico, as well as to complete cross-national comparisons. The cumulative number of deaths in the cohort should support the study of mortality and its association with health outcomes and behaviors over the life cycle. In addition, the sub-samples of objective markers will enable methodological research on self-reports and associations of biomarkers in old age with similar health outcomes and behaviors.
“Dame una pastilla”: los significados del VIH/sida en la práctica del bareback en la ciudad de México e implicaciones para la prevención
Authors: Infante César , Cuadra-Hernández Silvia Magali , Baruch-Domínguez Ricardo , Granados-Cosme José Arturo
Published: January 2017

Objetivo. Analizar los significados que, sobre el sexo bareback, tienen hombres gay en la ciudad de México. Material y métodos. Investigación cualitativa basada en la teoría fundamentada que utilizó entrevistas semiestructuradas a barebackeros reclutados a través de páginas web. También se realizó un análisis documental sobre el tema. Resultados. Los entrevistados reportaron tener sexo desprotegido. La argumentación al respecto indicó que el acceso al tratamiento antirretroviral modifica la percepción del riesgo de infección. La confianza en torno a los beneficios de este tratamiento y la disminución de las campañas de prevención se identificaron como nociones que guían esta práctica. Conclusiones. Los hombres gay de la ciudad de México con ingresos económicos medios y altos y acceso a antirretrovirales han variado su percepción respecto al VIH. Esto hace necesaria una revisión de los programas de prevención, reducción de riesgos, diagnósticos tempranos y un análisis de nuevas formas de estigmatización y discriminación que podrían causar las campañas que desconozcan estos nuevos significados.
Inicio tardío de terapia antirretroviral en México
Authors: Villafuerte García Adriana , Magis-Rodríguez Carlos Leonardo , Cruz-Flores Raúl Adrián , Uribe-Zúñiga Patricia
Published: January 2017

Objetivo. Estimar la prevalencia de inicio tardío (IT) de terapia antirretroviral (TAR) de personas con VIH atendidas en la Secretaría de Salud (SS) en México y describir su comportamiento en el tiempo (2008-2013) así como las diferencias que presenta por sexo y grupo etario. Material y métodos. Estudio descriptivo transversal de personas que ingresaron a TAR en el periodo 2008-2013 en la SS. Se estimó la prevalencia de IT de TAR (CD4+ <200 células/ml) y se analizaron diferencias de acuerdo con sexo y edad. Resultados. La prevalencia de IT de TAR fue de 49% y se observó disminución de 10% en el periodo. En hombres fue de 4.8% y en mujeres de 24.5% (p<0.01). El grupo etario de 15 a 29 años también mostró disminución. Conclusiones. A pesar de la disminución de la prevalencia de IT de TAR, continúa siendo elevada. Es necesario generar estrategias de detección integrales con participación multisectorial.
Antiretroviral purchasing and prescription practices in Mexico: constraints, challenges and opportunities
Authors: Véronique Chaumont Claire Gabrielle , Bautista-Arredondo Sergio , Calva Juan José , Bahena-González Roberto Isaac , Sánchez-Juárez Gerda Hitz , González de Araujo-Muriel Arturo , Magis-Rodríguez Carlos , Hernández-Ávila Mauricio
Published: January 2017

Objective. This study examines the antiretroviral (ARV) market characteristics for drugs procured and prescribed to Mexico’s Social Protection System in Health beneficiaries between 2008 and 2013, and compares them with international data. Materials and methods. Procurement information from the National Center for the Prevention and the Control of HIV/AIDS was analyzed to estimate volumes and prices of key ARV. Annual costs were compared with data from the World Health Organization’s Global Price Reporting Mechanism for similar countries. Finally, regimens reported in the ARV Drug Management, Logistics and Surveillance System database were reviewed to identify prescription trends and model ARV expenditures until 2018. Results. Results show that the first-line ARV market is concentrated among a small number of patented treatments, in which prescription is clinically adequate, but which prices are higher than those paid by similar countries. The current set of legal and structural options available to policy makers to bring prices down is extremely limited. Conclusions. Different negotiation policies were not successful to decrease ARV high prices in the public health market. The closed list approach had a good impact on prescription quality but was ineffective in reducing prices. The Coordinating Commission for Negotiating the Price of Medicines and other Health Supplies also failed to obtain adequate prices. To maximize purchase efficiency, policy makers should focus on finding long-term legal and political safeguards to counter the high prices imposed by pharmaceutical companies.
Mapeo político de la discriminación y homofobia asociadas con la epidemia de VIH en México
Authors: Alcalde Rabanal Jacqueline Elizabeth , Orozco-Núñez Emanuel , Ruiz-Larios José Arturo , Sucilla-Pérez Héctor , García-Cerde Rodrigo
Published: January 2017

Objetivo. Presentar un mapeo político sobre discriminación y homofobia asociadas con la epidemia del virus de la inmunodeficiencia humana (VIH) en entornos institucionales públicos. Material y métodos. Se realizó un mapeo político con actores clave en seis estados de México, a quienes se les aplicó una entrevista semiestructurada para explorar la discriminación y homofobia asociadas con el VIH. La información se sistematizó mediante matrices de contenido por categorías y el software PolicyMaker. Resultados. Se documentaron prácticas discriminatorias y homofóbicas lesivas a la integridad como la denostación, la burla y los crímenes de odio. La mayoría de actores se manifestaron en contra de la discriminación y la homofobia; algunos de ellos influyeron de manera importante en la formulación de políticas para prevenir la discriminación y la homofobia. Sin embargo, los marcos normativos estatales fueron poco específicos. Conclusiones. Son persistentes las prácticas discriminatorias y la homofobia asociadas con el VIH, por lo cual se requiere mayor atención en los estados y es necesario impulsar políticas para prevenirlas, así como la observancia del cumplimiento de las leyes estatales.
Propiedad intelectual y acceso a medicamentos:el caso de lopinavir/ritonavir en Guatemala
Authors: Méndez-Alburez Luis Pablo , Cerón Alejandro
Published: January 2017

El impacto de la protección de la propiedad intelectual de los productos farmacéuticos en el acceso a medicamentos en los países de ingreso bajo y medio ha sido motivo de debate a nivel mundial desde finales del siglo XX...
Propuestas para reducir el contagio de tuberculosis en el transporte público
Authors: Hervias-Marquina Sergio , Taype-Rondán Álvaro
Published: January 2017

La tuberculosis es una en­fermedad de reconocida importancia en el mundo. Perú posee la incidencia más alta de la región andina con 38 000 casos nuevos durante 2013.1 El 57% de casos se ubica en Lima y Callao…
El impacto del envejecimiento sobre el sistema de salud colombiano
Authors: Rosselli Diego , Hernández-Galvis Juanita
Published: January 2017

Como circuló ampliamente en las redes sociales, la directo­ra del Fondo Monetario Internacional, Christine Lagarde, dijo hace unos me­ses: “los ancianos viven demasiado y eso es un riesgo para la economía global”. Aunque las palabras de esta abogada y política francesa no hayan sido bien recibidas, en el fondo tienen mucho de verdad…
Desigualdad en indicadores de resultados y acceso a la salud para niños en México: análisis de tres encuestas de salud
Authors: Gutiérrez Juan Pablo , García-Saisó Sebastián , Espinosa-de la Peña Rodrigo , Balandrán Dulce Alejandra
Published: January 2017

Objetivo. Analizar las desigualdades en indicadores de atención a niños de 0 a 9 años en México, documentando los cambios en las brechas y gradientes. Material y mé­todos. Análisis de encuestas nacionales de salud estimando las brechas absoluta y relativa así como el gradiente de des­igualdad para cuatro indicadores seleccionados (cobertura de vacunación, atención a infecciones respiratorias agudas (IRA), prácticas saludables en enfermedad diarreica aguda (EDA) y atención por accidentes). Resultados. El análisis documenta el logro de la equidad inmunológica en México y la eliminación de la brecha por condiciones socioeconómicas relacionadas con la atención a accidentes, en tanto que per­siste la relacionada con la atención a IRA, misma que también persistente por ámbito de residencia y para la población indígena. Conclusión. En México han disminuido las brechas en los indicadores de salud en niños. Si bien persisten en particular para intervenciones que requieren la participación de los establecimientos de salud, es necesario dirigir acciones específicas para asegurar el acceso homogéneo en todo el país a los servicios e intervenciones.
El diagnóstico molecular en la praxis de la oncología en el Sector Salud. El laboratorio de oncología molecular como herramienta
Authors: Valdespino-Gómez Víctor Manuel , Balbín-Felechosa Milagros
Published: January 2017

Las enfermedades on­cológicas son la tercera causa de morbimortalidad en México y afectan predominantemente al grupo de po­blación adulta. El cáncer corresponde a un proceso patológico individua­lizado de gran complejidad que se desarrolla en un microambiente ce­lular…
Conformación del Observatorio de Inequidades en Salud en México
Authors: Meljem-Moctezuma José
Published: January 2017

La construcción del sistema universal de salud al que se ha orientado el Gobierno de la República requiere avanzar en una oferta de servicios de forma homogénea en relación con las necesidades específicas de la población del país, para dar así un contenido claro y firme al derecho a la protección de la salud que ha establecido la Carta Magna...
Pet Incentiva
Authors: Corrêa Aline Carvalho , Almeida Ana Carolina Carmargo , Paes Enayle Maryane Teixeira , Oliveira José Augusto , Rosa Isabela Castro , Martins Natália Antunes
Published: January 2017

Este projeto abrange palestras ministradas pelos membros do Grupo PET Ciência para os alunosde ensino médio de escolas públicas. As apresentações são explicativas e motivacionais, abordando temasrelacionados às universidades, áreas do conhecimento e formas de acesso e permanência. Há uma troca mútuade conhecimentos e experiências, contribuindo para o desenvolvimento e habilidades dos petianos e,principalmente, estimulando os alunos de Ensino Médio a se interessem pelos estudos e ingressarem naUniversidade.
Educação sexual na promoção do respeito à diversidade sexual e de gênero
Authors: Brancaleoni Ana Paula Leivar , De Oliveira Rosemary Rodrigues
Published: January 2017

O presente trabalho analisa a trajetória de um Projeto de Extensão que tem por objetivo desenvolverações de educação sexual promotoras do respeito à diversidade sexual e de gênero. Este estudo está alicerçadoem metodologias participativas, que assumem os sujeitos para os quais se direcionam as intervenções, comoconstrutores do processo. São realizadas oficinas com adolescentes, oficinas e assessorias com educadores jáinseridos na rede pública e espaços de formação para futuros educadores. Para tanto, adotou-se uma abordagemqualitativa, tendo como objetos de análise os registros dos trabalhos realizados com grupos de alunos e professorese registros de supervisão. Constatou-se que o trabalho com oficinas favorece a clarificação e subjetivação devalores e informações sobre sexualidade e gênero, tanto por parte de adolescentes, quanto por parte deeducadores. Entende-se também que o projeto desempenha uma importante função na formação inicial deeducadores tornando-os mais capazes para lidar com os temas.
Tradições populares nos costumes e práticas de cura com plantas medicinais na contemporaneidade - Viçosa, MG
Authors: Lana Vanessa , Lobato Paloma Gabriele Fernandes
Published: January 2017

A proposta deste artigo é discutir os resultados da pesquisa "Tradições populares nos costumes epráticas de cura com plantas medicinais em Viçosa e região", realizada por meio do Programa Institucional deBolsas de Cultura e Arte Universitária - PROCULTURA, da Universidade Federal de Viçosa. O projeto deextensão teve como objetivo refletir sobre os usos e costumes das tradições populares a partir das práticas decura com plantas medicinais. O trabalho de campo foi desenvolvido na comunidade de Cachoeira de SantaCruz (Cachoeirinha) e apontou para permanências culturais nos usos das plantas e aspectos singulares dessesusos na cultura local. Como resultado do projeto foram realizadas duas oficinas na localidade, dentro daproposta de interação Universidade / Comunidade.
Outras janelas para o mundo – A leitura e a escrita como arte e como prática libertadora
Authors: De Lima e Silva Negrão Patrícia Muratori , Dos Santos Maria De Fátima
Published: January 2017

Este trabalho é fruto de uma atividade de Extensão (PIBEX) da Universidade Federal de Viçosa (UFV) e teve como meta promover nas crianças e adolescentes o desenvolvimento do hábito da leitura, despertar o interesse para as produções artísticas, a criatividade e o interesse pela produção de texto oral e escrito com atividades voltadas ao incentivo tanto à leitura quanto à escrita como forma de estimular a reflexão, a capacidade criadora e transformadora da sociedade. Também buscou-se estudar a realidade de vida desses jovens, a influência prejudicial que ela pudesse exercer no interesse, na capacidade e na habilidade de leitura e da escrita e, a partir disso, intervir, buscando minimizar esses efeitos negativos por meio da troca de saberes sistematizados, acadêmicos e populares, da prestação de serviços e da difusão cultural, a fim de sensibilizar crianças e jovens de seus papéis como cidadãos para que possam atuar na sociedade na condição de protagonistas.
Automating drainage direction and physiographic inputs to the CEQUEAU hydrological model: sensitivity testing on the lower Saint John River watershed, Canada
Authors: Dugdale Stephen J. , St-Hilaire André , Allen Curry R.
Published: January 2017

CEQUEAU is a process-based hydrological model capable of simulating river flows and temperatures. Despite an active user base, no facility yet exists for the automatic assembly and input of watershed data required for flow simulations. CEQUEAU can therefore be time-consuming to implement, particularly on large (≥104 km2) watersheds. We detail a new MATLAB toolbox designed to remove this key limitation by automatically computing CEQUEAU's key drainage direction and physiographic inputs from geographic information system (GIS) data. With the toolbox, model implementation can now be achieved extremely quickly (<1.5 hr) given suitable inputs. This time saving enabled us to assess CEQUEAU's sensitivity to changes in grid size by implementing the model on a large (14,990 km2) watershed at successively decreasing resolution (2.5 km to 112 km), using a fixed calibration parameter set. Results of this analysis showed that despite some model strength fluctuations linked to variability in computed basin size/land-use, only a minor decrease in model strength (mean Nash–Sutcliffe efficiency (NSE) reduction = 0.03) was observed at relatively fine resolutions (2.5 km to 20 km). Although results might change if the model was recalibrated at each resolution step, findings indicate that CEQUEAU is able to provide realistic flow simulations at a wide range of resolutions.
Adaptation to climate change impacts on crop water requirements in Kikafu catchment, Tanzania
Authors: Rotich Stella C. , Mulungu Deogratias M. M.
Published: January 2017

Agricultural activities are the main livelihood for about 70% of Tanzania's population, with women being the main players. Crops need water (crop water requirements, CWRs) for their growth and production, which can either be rain-fed or irrigation sourced. However, climate change has affected the hydrological cycle, particularly water available for agricultural crops. Since impacts and consequently adaptation are site-specific, an assessment of the effects of climate change on maize water requirements in Kikafu sub-catchment was conducted using a crop simulation model, CROPWAT. Accordingly, climate scenarios were obtained from A2 emission scenario using three general circulation models (GCMs). These scenarios were downscaled at two site locations using the Long Ashton Research Station Weather Generator (LARS-WG) model. The baseline period for the change analysis was 1971–2000. The CWRs are projected to increase by 3.8% in the 2020s and 7.1% in the 2050s at the Moshi Airport and 19.9 and 22.4% at Lyamungu station, respectively. More impact is projected to be during 70–80 days of the development stage and the entire mid-season (81–140 days) whereby the temperature will be high but with low precipitation. With the increasing CWRs, better adaptation measures are increase crop diversification, restore soil organic matter and change cropping systems as established through the multi-criteria analysis.
Nerve Palsy after Total Hip Arthroplasty without Subtrochanteric Femoral Shortening Osteotomy for a Completely Dislocated Hip Joint
Authors: Sonohata Motoki , Kitajima Masaru , Kawano Shunsuke , Mawatari Masaaki
Published: January 2017

Background:

Neurological injuries are a rare but devastating complication after total hip arthroplasty (THA). The purpose of this study was to retrospectively determine the frequency of nerve palsy after THA without subtrochanteric femoral shortening osteotomy in patients with a completely dislocated hip joint without pseudo-articulation between the femoral head and iliac bone.

Methods:

Between October 1999 and September 2001, nine primary THAs were performed for patients with a completely dislocated hip joint. The limb lengths, neurological abnormalities, and the extent of their neurological recovery were evaluated. Three THAs were combined with subtrochanteric femoral shortening osteotomy, and six THAs were combined without subtrochanteric femoral shortening osteotomy.

Results:

The mean length of the operation was 4.8 cm (range, 3.0-6.5 cm). Sciatic nerve palsy developed in four of the nine patients after THA. None of the cases with sciatic nerve palsy were combined with subtrochanteric femoral shortening osteotomy. Three of four patients did not completely recover from sciatic nerve palsy.

Conclusions:

THA for patients with a completely dislocated hip was associated with a high risk of nerve palsy due to excessive limb lengthening; the potential for recovery from nerve palsy was observed to be poor. Subtrochanteric femoral shortening osteotomy should be used in combination with THA in patients with a completely dislocated hip.
Pemodelan pada Pengeringan Pneumatik Mekanis Tepung Kasava: Hubungan Koefisien Pindah Panas dengan Variabel Pengeringan (Modelling on Mechanical Cassava Flour Pneumatic Drying: Correlation of Heat Transfer Coefficient and Drying Variables)
Authors: Witdarko Yus , Bintoro Nursigit , Suratmo Bandul , Rahardjo Budi
Published: January 2017

In the cassava flour pneumatic drying process, mostly heat transfer occurred in convective mode. One of variables which could be used to evaluate the effectiveness of drying processperformance is heat transfer coefficient (h) during drying. The objectives of the research was to formulate a mathematical relationship between h and various pneumatic drying process variables of cassava flour by applying dimensional analysis. In the following research it had been constructed a pneumatic drying machine which was able to be according to the needed data that will be collected. Several parameters related to physical and thermal properties as well as operation of the drying machine were measured and used as the analysis variables was solved using dimensional analysis. Based on the result of the data, it was obtained that the relationship between h and the drying process variables could be expressed as follows  This equation had quite high coefficient of determination, so that it could be used to predict the heat transfer coefficient in pneumatic drying process. Sensitivity analysis indicated that the dimensionless product which had the largest effect on h was   .ABSTRAKPada proses pengeringan tepung kasava secara pneumatik, perpindahan panas terjadi terutama secara konveksi. Salah satu parameter yang digunakan untuk mengevaluasi efektivitas kinerja proses pengeringan tersebut adalah koefisien perpindahan panas (h) yang terjadi selama pengeringan. Tujuan dari penelitian ini adalah untuk menghubungkan secara matematis antara nilai h dengan beberapa variabel proses pengeringan pneumatik tepung kasava dengan menggunakan metode analisis dimensi. Pada penelitian ini telah dikonstruksi suatu mesin pengering pneumatik yang dirancang untuk dapat dilakukan pengaturan-pengaturan sesuai dengan kebutuhan data penelitian yang akan dikumpulkan. Beberapa parameter yang terkait dengan sifat fisik dan sifat thermis bahan serta operasional mesin pengering diukur dan digunakan sebagai variabel-variabel analisis yang diselesaikan dengan metode analisis dimensi. Berdasarkan hasil analisis data diperoleh hubungan antara nilai h dengan variabel-variabel proses pengeringan sebagai berikut    Persamaan tersebut mempunyai nilai koefisien determinasi yang cukup besar, sehingga dapat digunakan untuk memprediksi koefisien perpindahan panas pada pengeringan pneumatic. Hasil uji sensitivitas menunjukkan bahwa dimensionless product yang paling berpengaruh terhadap nilai h adalah    .Kata kunci: Tepung kasava; analisis dimensi; koefisisen perpindahan panas; pneumatic drying
Indeks Penulis
Authors: Penulis Indeks
Published: January 2017

AA. Haris Budi Widodo 32 - 37Adi Subekti Putra 223 - 227Adiastuti Endah P. 12 - 20Al Munawir 161 - 166Alexander Patera Nugraha 12 - 20Ambar Puspitasari 156 - 160Ame Suciati 21 - 26Ananto Ali Alhasyimi 94 - 101Annisa Septalita 201 - 207Antinah Latif 130 - 135Aqilla Tiara Kartikaningtyas 86 - 93Asikin Nur 136 - 141
Pemakain Lip Bumper pada Anak Cerebral Palsi dengan Kasus Drooling, Inkompetensi Bibir dan Kebiasaan Menggigit-gigit Bibir Bawah
Authors: Subekti Ani , Titien Indah
Published: January 2017

Latar Belakang. Anak yang menderita cerebral palsi pada umumnya mempunyai keluhan ketidakmampuan dalam pengontrolan saliva dalam rongga mulutnya. Pada kondisi tersebut penderita mengalami ketidaknormalan dalam koordinasi neuromuscular pada lidah, bibir dan pipinya, sehingga hal tersebut dapat menyebabkan drooling. Kebiasaan buruk menggigit-gigit bibir bawah yang terjadi pada anak ini menimbulkan problem inkompetensi bibir. Pendekatan perawatan myofungsional dapat meningkatkan torus otot bibir dan lidah, dan sebisa mungkin menahan posisi lidah tetap di dalam mulut dengan suatu hal yang dinamakan lip bumper. Tujuan laporan kasus ini adalah untuk melaporkan bahwa pemakaian alat lip bumper dapat mengurangi drooling, inkompetensi bibir dan kebiasaan menggigit-gigit bibir bawah pada anak cerebral palsi. Kasus. Seorang anak laki-laki siswa SLB 1 Bantul dengan kelainan cerebral palsi dilakukan pemeriksaan rutin kesehatan gigi. Tampak gigi protusif dengan bibir inkompetensi. Setelah wawancara dengan pengasuh, anak tersebut mempunyai drooling yang berlebihan dan sering menggigit-gigit bibir bawah. Perawatan yang dipilih adalah menggunakan alat removabel lip bumper. Lip bumper dipakai pada siang hari selama 2 jam dan malam hari pada waktu tidur. Kesimpulan. Setelah 3 bulan terjadi pengurangan drooling, kebiasaan menggigit-gigit bibirnya hilang dan inkompetensi bibir berkurang. Background. Children with cerebral palsy generally have a complaint inability to control saliva in the oral cavity. In these conditions the patient has an abnormality in neuromuscular coordination of the tongue, lips and cheeks, where it can cause drooling. Myofungsional treatment approaches can improve muscle tone lips and tongue, and as much as possible to hold the position of the tongue remains in the mouth with a tool called a lip bumper. Purpose. The purpose of this case report is to report that the use of lip bumper can reduce drooling, incompetency lips and biting his lower lip in child’s cerebral palsy. Case. A young male student SLB 1 Bantul with abnormalities of cerebral palsy do routine dental examination. He has lip incompetence and protusif. After the interview with the caregiver, the child has excessive drooling and often lower lip biting. The selected treatment is to use a lip bumper. Lip bumper used during the day for 2 hours and at night at bedtime. Conclusion. After 3 months of a reduction of drooling, lip biting missing and reduce of incompetency lips.
Seleksi Kasus dan Perawatan Ortodontik pada Gigi Kaninus Maksila Impaksi
Authors: Setiawan Handoko , I P
Published: January 2017

Latar belakang: Seleksi kasus merupakan hal utama sebelum melakukan perawatan ortodontik terhadap gigi kaninus maksila impaksi. Hanya gigi kaninus maksila impaksi yang erupsi ke bidang oklusal dan berada di ruangnya yang dapat dilakukan perawatan ortodontik. Konsultasi kepada Ahli Bedah Mulut mengenai teknik surgical exposure akan memberikan manfaat bagi Ortodontis dalam melakukan perawatan ortodontik. Teknik pembedahan yang tepat akan membuat proses perawatan ortodontik lebih singkat dengan hasil memuaskan. Teknik Begg merupakan salah satu teknik ortodontik yang dapat digunakan untuk merawat gigi kaninus impaksi. Tujuan: Memaparkan teknik perawatan ortodontik dengan alat cekat teknik Begg pada gigi kaninus maksila impaksi yang erupsi ke bidang oklusal. Kasus: Perempuan 18 tahun disertai gigi kaninus maksila kanan impaksi. Perawatan: 1. Perawtan ortodontik dengan teknik Begg tahap pertama. 2. Surgical exposure oleh Ahli Bedah Mulut. 3. Perawatan ortodontik teknik Begg tahap kedua dan ketiga. Kesimpulan: Perawatan ortodontik dengan teknik Begg mampu menempatkan gigi kaninus impaksi pada lengkung gigi yang baik. Background: case selection is the important thing before orthodontically impacted maxillary canine treated. Certain impacted maxillary canine that erupts to occlusal plane could be orthodontically treated. Consultation to Oral Surgeon to have a proper surgical exposure technique would be benefit to speed up the treatment with a succesful outcome. Begg Technique is a choice of orthodontic treatments that could treat impacted maxillary canine. Purpose: To describe of Begg technique for treating of impacted maxillary canine that erupts to occlusal plane. Case: A 18 years old female patient with impacted of a right maxillary canine. Management: 1. First step of Begg technic. 2. Surgical exposure by Oral Surgeon. 3. Second and third steps of Begg technic. Conclusion: Begg technique could treat impacted maxillary canine in to the proper maxillary arch jaw.
Perawatan Maloklusi Pseudo Kelas III dengan Alat Ortodontik Cekat Teknik Begg
Authors: Meidiyanto Robertus , Ardhana Wayan
Published: January 2017

Latar Belakang: Maloklusi Pseudo kelas III ditandai dengan hubungan yang tidak harmonis antara relasi anteroposterior rahang dan posisi mandibula terhadap maksila. Ketidakharmonisan tersebut dapat disebabkan karena mandibula yang normal dengan maksila retrusif. Maloklusi pseudo kelas III mempunyai perhitungan yang menunjukkan bentuk antara klas I dan skeletal klas III. Perbedaanya hanya pada sudut gonial dimana pada skeletal klas III sudutnya lebih tumpul, sedangkan pada sampel pseudo klas III, sudut gonial lebih mirip dengan klas I. Perawatan ortodontik dengan alat cekat teknik Begg dapat juga untuk merawat maloklusi Angle kelas III, termasuk maloklusi skeletal yang menyertainya. Tujuan: memaparkan perubahan dental dan skeletal setelah perawatan dengan alat cekat teknik Begg. Kasus: perempuan 20 tahun mengeluhkan gigi-gigi rahang atas ada yang tumbuh di belakang dan rahang bawah nyakil sehingga menganggu penampilan dan mengurangi rasa percaya diri. Diagnosis: Maloklusi Angle Klas III subdivisi serta hubungan skeletal klas III dengan maksila retrusif dan mandibula protusif disertai Crossbite: 12, 11, 21, 22 terhadap 34, 32,31, 41, 42, 43. Perawatan: menggunakan alat cekat teknik Begg tanpa pencabutan. Kesimpulan: Hasil menunjukkan crowded terkoreksi, overjet dan overbite terkoreksi, relasi molar menjadi klas I. Background: Pseudo class III malocclusion characterized by disharmony between anteroposterior relationship of jaw and mandibulae position toward maxilla. This disharmony cause by normally shaped mandibles and underveloped maxillae. Pseudo clas III malocclusion is an intermediate form between class I and skeletal clas III malocclusion. The only exception was the gonial angle, which was generally more obtuse in the skeletal class III sample. Measurement of gonial angle in the pseudo class III sample was found to be rather similar to class I sample. Fixed Begg orthodontic appliance can be used to treat Angle’s class III malocclusion accompany with skeletal problem. Purpose: to describe dental and skeletal changes after begg fixed orthodontic. Case: 20 year old woman complained of crowded maxilla front teeth and mandible protrusion. Diagnosis: malocclusion Angle class III subdivision, skeletal class III with maxilla retruded and mandibular pronation along with anterior crossbite: 12, 11, 21, 22, to 34, 32, 31, 41, 42, 43. Treatment: using the Begg fixed appliance techniques without extraction. Conclusion: The result showed that crowded, overjet and overbite corrected, and molar relation become class I.
Kandidiasis Pseudomembran pada Lidah Akibat Pemakaian Obat Kumur Heksetidin serta Penatalaksanaannya
Authors: Hadiati Sri
Published: January 2017

Latar Belakang: Candida albicans merupakan flora normal mulut yang paling sering menyebabkan penyakit infeksi. Jika flora normal rongga mulut terganggu keseimbangannya, misalnya karena terapi antibiotik, penyakit yang menyebabkan penurunan daya tahan tubuh (misalnya AIDS), kondisi lokal yang jelek, akan menyebabkan mikroorganisme oportunis bermultiplikasi dan menyebabkan terjadinya suatu infeksi. Tujuan: Melaporkan kasus kandidiasis pseudomembran pada lidah akibat pemakaian obat kumur serta penatalaksanaannya. Kasus dan penatalaksanaannya: Kasus kandidiasis pada lidah sebagai akibat pemakaian obat kumur yang mengandung heksetidin 0,1% dalam jangka waktu lama yaitu sekitar satu bulan. Penatalaksanaan dengan pemberian suspensi nistatin 100.000 UI topikal selama satu minggu cukup efektif mengatasi infeksi, medikasi diteruskan sampai dua minggu setelah gejala hilang. Kesimpulan: Pemakaian obat kumur dalam jangka waktu lama dapat menyebabkan infeksi oportunistik yaitu kandidiasis pseudomembran. Medikasi dengan nistatin topikasl cukup efektif untuk mengatasi infeksi ini. Background: Candida albicans is the most infectious oral normal flora. If oral normal flora disturbed such as excessive antibiotic therapy, immunodeficiency disease (AIDS), bad local condition will cause opportunistic microorganism proliferation leading to infectious condition. Objective: to report lingual pseudomembraneous candidosis case caused by mouth rinse and its management. Case and Management: lingual pseudomembraneous candidosis case caused by 0,1% hexitidine mouth rinse used for a long period about one month, was managed effectively by topical nystatin 100.000 IU for one week, and medication must be continued for two week after clinical improvement. Conclusion: Long term usage of mouth rinse causes oppotunistic infection of pseudomembaneous candidosis. Medication with topical nystatin effectively treat this infection.
Incision Below The Clamp sebagai Modifikasi Teknik Insisi pada Frenektomi untuk Minimalisasi Perdarahan
Authors: Suryono S.
Published: January 2017

Latar Belakang. Perlekatan frenulum tinggi berdampak merugikan bagi jaringan periodontal maupun fungsi estetik. Perlekatan tinggi yang terjadi pada labialis superior, menimbulkan gingivitis dan sentral diastema yang menjadikan indikasi untuk dilakukan frenektomi. Frenektomi dengan teknik melakukan insisi di atas dan di bawah clamp berakibat lebarnya luka karena tarikan otot bibir, yang berdampak terjadi banyak perdarahan. Tujuan. Melakukan evaluasi terhadap modifikasi teknik insisi yang diharapkan dapat mengurangi perdarahan. Kasus dan Penanganan. Laporan kasus ini memaparkan penanganan kasus pada perlekatan frenulum tinggi yang diikuti adanya sentral diastema. Pasien dengan diagnosa frenulum tinggi dan indikasi frenektomi dilakukan tindakan preoperasi. Tindakan operasi dilakukan dengan menggunakan pisau bedah, modifikasi insisi (Insision below the Clamp) dilakukan dengan cara menempatkan clamp frenulum pada posisi yang berdekatan dan sejajar dengan bibir, tindakan insisi dilakukan di bawah clamp, disusul dengan penjahitan pada area mucolabial fold. Selama operasi dilakukan terlihat luka tidak melebar, tidak banyak darah yang keluar, pasien dan dokter merasa nyaman. Kesimpulan. Insision below the Clamp merupakan modifikasi teknik insisi pada frenektomi yang bisa dilakukan oleh para praktisi untuk meminimalisir perdarahan yang terjadi selama proses pengambilan frenulum dengan menggunakan pisau bedah. Background. Attachment of high frenulum has negative impact on periodontal tissues as well as an aesthetic function. High attachment of frenulum that occurs in labialis superior, causing gingivitis and central diastema that are indications to do Frenectomy. Conventional techniques of Frenectomy performed with insisions above and below the clamp resulted in wide injury due to muscle contraction, which affects a lot of bleeding. Objective. To evaluate modification insision technique which hopefully can minimize the bleeding. Case and Treatment. This case report describes the handling of cases at high frenulum attachment that followed the central diastema. Patients with a diagnosis of high frenulum attachment and frenectomy indications be taken preoperatively, Surgery performed by using a scalpel, modification insision (Insision below the Clamp/IBC) is done by placing the clamp frenulum in a position adjacent and parallel to the lip, the insision carried out under the clamp, followed by suturing at the mucolabial fold. During the operation carried no visible wound widened, little of bleeding, patients and physicians are comfortable. Conclusion. IBC is a modification on frenectomy insision technique that can be done by general practitioners to minimize bleeding that occurs during frenectomy by using a scalpel.
Perawatan Crossbite Posterior pada Maloklusi Angle Klas III dengan Alat Ortodontik Cekat Teknik Begg
Authors: Wijayanto Trio , Heryumani JCP
Published: January 2017

Latar Belakang: Crossbite posterior merupakan hubungan abnormal dari gigi-gigi posterior secara bukolingual pada rahang atas atau bawah pada saat kedua lengkung gigi berada dalam oklusi sentrik yang dapat terjadi pada satu atau kedua sisi rahang. Posterior crossbite adalah maloklusi yang paling sering muncul pada masa gigi susu dan awal gigi bercampur. Tujuan Perawatan: mengoreksi crossbite posterior dan mengembalikan fungsi pengunyahan yang baik. Kasus: Perempuan 20 tahun dengan maloklusi Angle klas III disertai crossbite posterior kanan, crowding rahang atas dan bawah. Penanganan: menggunakan alat cekat teknik Begg dengan pencabutan gigi premolar I rahang atas kiri, kedua premolar I rahang bawah, cross elastik, toe-in, dan toe out digunakan untuk koreksi crossbite. Kesimpulan: Perawatan crossbite posterior dengan teknik Begg menunjukkan hasil yang cukup memuaskan. Prognatik mandibula berkurang, crossbite terkoreksi, overjet normal, overbite normal, dan fungsi pengunyahan menjadi lebih baik. Background: Posterior crossbite is defined as any abnormal bucal-lingual relations between posterior teeth of upper and lower jaw in centric occlusion which can occur in one side only or both. Posterior crossbite is one of the most prevalent malocclusion in primary and early mixed dentition. Purpose: to correct posterior and restore normal mastication. Case: 20 years old woman with Angle’s class II accompanied by posterior crossbite on the right side and crowding in anterior segment of upper and lower jaw. Management: using the Begg fixed appliance techniques with the extraction of upper left, and two lower first premolars. Cross elastic along with toe in and toe out on the main wire was used to correct posterior crossbite. Conclusion: Posterior crossbite treatment with Begg technique showed satisfactory results. Prognatism mandibula had reduced, regained normal overjet and overbite, and restored good mastication.
Perawatan Gigitan Silang Gigi Depan pada Gigi Susu dengan Dataran Gigitan Miring Akrilik Cekat
Authors: Ardhana Wayan
Published: January 2017

Latar Belakang: Gigitan silang gigi depan jika dibiarkan berkembang akan dapat mengakibatkan terhambatnya pertumbuhan maksila dan tidak terkontrolnya pertumbuhan mandibula ke depan sehingga dapat menjadi maloklusi skeletal kelas III yang sangat merusak penampilan wajah. Perawatan sangat perlu dilakukan pada usia dini sejak periode gigi susu. Tujuan: Membahas perawatan gigitan silang gihi depan pada gigi susu menggunakan dataran gigitan miring dari resin akrilik yang dipasang secara cekat pada rahang bawah. Kasus: Dua kasus maloklusi pseuid kelas III dengan gigitan silang gigi depan pada periode gigi susu. Dirawat menggunakan dataran gigitan miring akrilik yang dipasang secara cekat pada gigi depan bawah. Kesimpulan: maloklusi dapat terkoreksi dalam waktu 2 bulan, oklusi dapat dikembalikan ke relasi normalnya dan tetap dalam keadaan normal saat dilakukan observasi ketika semua gigi depan permanen telah erupsi. Background: Untreated anterior crossbite will be able to inhibit the maxillary growth and subsquent uncontrolled forward growth of the mandible can lead to class III skeletal malocclusion and therefore an unattractive appearance. Care needs to be done at a very early age and can be started during primary dentition period. Objectives: Discussing the treatment anterior crossbite of primary dentition using fixed acrylic mandibulary inclined bite plane. Cases: Two cases of pesudo class III malocclusion with anterior crossbite of primary dentition have been treated using fixed acrylic bite plane mounted on the lower front teeth. Conclusion: Malocclusion can be corrected in 2 months, and normal occlusion can be restored and remained stable when all the permanent anterior teeth had been erupted.
Peran Bahan Disinfeksi pada Perawatan Saluran Akar
Authors: Mulyawati Ema
Published: January 2017

Latar Belakang: Ada bermacam sebab kegagalan perawatan saluran akar, antara lain preparasi saluran akar yang kurang, obturasi saluran akar yang tidak adekuat dan mikoorganisme. Di antara faktor-faktor tersbeut, mikroorganisme baik yang tersisa setelah perawatan saluran akar atau yang timbul setelah obturasi saluran akar merupakan faktor utama penyebab kegagalan perawatan saluran akar. Tujuan utama perawatan saluran akar adalah mendisinfeksi saluran akar, peran dan mencegah terjadinya reinfeksi. Tujuan penulisan ini adalah untuk membahas bermacam-macam bahan disinfeksi saluran akar, peran dan manajemennya pada prosedur perawatan saluran akar. Ringkasan Pembahasan: Bahan irigasi yang ideal adalah bahan yang mempunyai sifat antimikroba, mampu melarutkan jaringan lunak atau organik, mampu melarutkan smear-layer, tegangan permukaan rendah, toksisitasnya rendah. Kesimpulan: Pemilihan dan penggunaan bahan disinfektan yang tepat mempengaruhi keberhasilan perawatan saluran akar. Sodium hipoklorit merupakan bahan disinfektan saluran akar yang utama dan tidak dapat digantikan bahan lain. Untuk mendapatkan hasil terbaik dalam perawatan saluran akar kita memerlukan empat jenis bahan disinfeksi yaitu sodium hipoklorit, EDTA, Ca(OH)2 dan chlorhexidine. Background: many factors causes root cana treatment failure, such as the lack of root canal preparation, in adequate root canal obturation and miccroorganism. Of these factors, microorganism, either remaining in the root canal space after treatment or recoloring in the obturated canal system, are arguably the main cause of root canal treatment failure. The primary goals of root canal treatment are root canal disinfection and re-infectuion prevention. Purpose: The aim of this study was to discuss the various, the role and the management of root canal disinfectans on root canal treatmnet procedure. Summary of Discussion: The ideal irrigation are materials that have anti microbial properties, capable of dissolving the soft tissue or organic, capable of dissabling the smear-layer, low surface tentio, and low toxicity. Conclusion: The proper disifectant will influence the succesfull of root canal treatment. Sodium hypochlorite is the main root canal disinfectants that cannot replace with others. For the best result on root canal treatment we use four kinds of root canal disinfectans namely sodium hypochlorite, EDTA, Ca(OH)2 and chlorhexidine.
Hemimandibulektomi dengan Rekonstruksi Mandibula dan Fiksasi Intermaksila sebagai Penatalaksanaan Ameloblastoma Mandibula Sinistra
Authors: Nehriasari Indria , Widiastuti Maria G
Published: January 2017

Latar belakang. Ameloblastoma adalah tumor odontogenik yang jarang terjadi. Walaupun jinak tetapi bersifat merusak dan mempunyai tingkat kekambuhan yang tinggi. Hemimandibulektomy adalah salah satu tindakan yang dipilih jika lesi patologis telah melibatkan processus coronoideus dan condyle walaupun efek dari tindakan tersebut adalah terjadinya defek wajah dan deviasi mandibula. Tujuan. Melaporkan tindakan hemimandibulektomy dengan rekonstruksi bridging plate dan traksi intermaksila pada ameloblastoma mandibula sebelah kiri yang dilakukan untuk mengurangi deviasi dan defek wajah. Kasus dan perawatan. Laki-laki umur 46 tahun datang ke klinik bedah mulut dan maksilofacial RS Dr Sardjito Yogyakarta dengan keluhan utama adanya pembengkakan pada sisi kiri rahang bawah di area pipi. Keadaan tersebut dirasakan sejak 4 tahun yang lalu, tidak sakit, keras, warna sesuai dengan jaringan sekitar. Diagnosa yang ditegakkan Ameloblastoma mandibula. Perawatan dari kasus ini adalah hemimandibulektomy dengan rekonstruksi bridging plate dengan anestesi umum. Enam minggu dengan kawat dan 3 bulan dengan traksi elastic digunakan untuk mengurangi deviasi mandibula setelah tulang rahang direseksi. Kesimpulan. Hemimandibulektomi dilakukan untuk mengambil lesi patologi secara radikal untuk mencegah rekurensi. Bridging plate digunakan sebagai tindakan rekontruksi mandibula. Traksi intermaksila merupakan salah satu cara yang bisa digunakan untuk mengurangi deviasi mandibula setelah hemimandibulektomy. Background. Ameloblastoma is an odontogenic tumor which rarely happened. Although it is benign, it can be destructive and has a high recurrency rate. Hemimandibulectomy is one kind of treatments which can be choosed if pathologic fracture has involved coronoid processus and condyle, eventhough its effect can cause mandible deviation and facial defect. Purpose. Reported a hemimandibulectomy with bridging plate reconstruction and intermaxillary function on the left mandible ameloblastoma intended to reduced the deviation of the mandible. Case and threatment. Fourty-six years old man came to the oral and maxillofacial surgery clinic at Dr. Sardjito Hospital Yogyakarta, with a main sign of swelling at the left side of lower jaw on buccal region, it was emerged approximately 4 years ago, painless, hard on palpation, colour as normal. Treatment of this case was hemimandibulectomy and reconstruction with bridging plate under general anaesthesia. Six weeks wiring and 3 months elastic traction was used to decrease mandible deviation as an intermaxillary fixation. Partial removable denture used to complete the treatment. Conclusion. Treatment at this case is aimed to eliminate all tumor with hemimandibulectomy and bridging plate is placed to reconstruct the mandible. The use of the intermaxillary elastic traction as an intermaxillary fixation until get the normal occlusion could be one alternative treatment to reduced mandible deviation after hemimandibulectomy.