bluuebunny/crossref_metadata_2025 huggingface dataset:
A REESCRITA COMO PROCESSO: AS VANTAGENS DE UMA SEGUNDA VERSÃO TARDIA
Authors: Sartori Adriane Teresinha , Mendes Lucíola Zacarias
Published: December 2016

RESUMO: Este trabalho analisa duas versões de textos produzidos por alunos de Educação de Jovens e Adultos de Ensino Médio de uma escola pública de Belo Horizonte, confirmando a reescrita como etapa fundamental do processo de escrita. A análise, de natureza qualitativa e embasada na concepção de dialogismo bakhtiniano, focaliza aspectos temáticos, direcionados à articulação de vozes realizada pelos autores. Mudanças significativas foram observadas na segunda versão dos textos e, entre outros fatores, o intervalo de tempo entre as duas produções pode ter contribuído de forma decisiva para essas modificações.
The risks and rewards of teaching with humour in Western Sydney: Adapting pedagogy to complex demographics
Authors: Hale Adrian
Published: December 2016

The University of Western Sydney (UWS) services Australia’s most multicultural region, where a large proportion of students are either migrants or the children of migrants, and many are from non-English speaking backgrounds. It is also an area of chronic social disadvantage. Apart from generic literacy issues, there is also what could be termed a deficit in student motivation. Thus, teaching in this context requires a more creative approach to engage and retain students at both the undergraduate and postgraduate levels. Humour, as used in topical content and delivery, has been very successful as a vehicle for these aims. This paper will present a summary of central findings over four years of teaching with humour in two courses. It will be asserted that negotiating students’ literacy levels is best performed through effective use of humour: students are more motivated to learn when they feel that humour use is in their best interests.
Exact correlations in the Lieb-Liniger model and detailed balance out-of-equilibrium
Authors: De Nardis Jacopo , Panfil Milosz
Published: December 2016

We study the density-density correlation function of the 1D
Lieb–Liniger model and obtain an exact expression for the small momentum
limit of the static correlator in the thermodynamic limit. We achieve
this by summing exactly over the relevant form factors of the density
operator in the small momentum limit. The result is valid for any
eigenstate, including thermal and non-thermal states. We also show that
the small momentum limit of the dynamic structure factors obeys a
generalized detailed balance relation valid for any equilibrium
state.
Prospectus disclosure and the stock market performance of initial public offerings (IPOs): the case of Thailand
Authors: Komenkul Kulabutr , Sherif Mohamed , Xu Bing
Published: December 2016

This study examines if the prospectus disclosure of the motives for an initial public offering (IPO) explains the long-run performance of equity issuers using hand-collected data for 245 IPOs from the Stock Exchange of Thailand (SET), and also the Market for Alternative Investments (MAI), in the 12-year period between 2001 and 2012. The stock returns of the IPOs were investigated using cumulative abnormal return (CAR) and buy-and-hold abnormal return (BHAR). The authors find a significant impact for the level of use-of-proceeds disclosure on IPO underpricing, and further that the ex-ante uncertainty and signalling hypotheses explain the IPO underpricing phenomenon in the Thai IPO market. Furthermore, Thai firms citing investment needs show significant positive abnormal returns after the offering, but issuers that state general corporate purposes and debt payments motives underperform. The authors provide evidence that the offering size and bull-market conditions significantly affect the IPO pricing and the strategic disclosure of information in the prospectus. Our results are robust, having been subjected to a wide range of sensitivity checks.
Keywords: Prospectus disclosure, IPO performance, Thailand. JEL Classification: G14, G30, G32
Monetary policy transmission and growth of the manufacturing sector in Algeria
Authors: Omolade Adeleke , Ngalawa Harold
Published: December 2016

The principal objective of this study is to investigate the relationship between monetary policy and growth of the manufacturing sector in Algeria. Using a structural vector autoregressive model and quarterly frequency data for the period 1980Q1 to 2010Q4, the study finds no evidence that money supply responds to fluctuations in manufacturing sector growth or Gross Domestic Product (GDP) growth. Interest rates, however, are seen to explain nearly a third of the variations in manufacturing output growth, suggesting that the manufacturing sector is sensitive to interest rates. The study also reveals that money supply variations are largely explained by changes in interest rates. A peek at the monetary transmission process reveals that Algeria employs monetary aggregates as the primary operating tool of monetary policy. The monetary authorities adjust total money supply in response to any movements in the rate of interest, probably to keep the rate of interest within a certain target given other developments in the fundamentals. The interest rates, in turn, play an important role in determining variations in manufacturing sector growth. In addition, the interest rates significantly affect exchange rates, which are observed to respond to changes in overall GDP growth. It is the overall GDP growth that has the largest influence on manufacturing sector growth, probably due to strong forward and backward linkages between the manufacturing sector and other sectors of the economy.
Keywords: Monetary policy, transmission mechanism, manufacturing output, oil price shocks. JEL Classifications: E23, E31, E52
In Silico Design of New Inhibitors of Guanine Phosphoribosyltransferase (GPRT) from Giardia lamblia as Antiparasitic Drug Candidates
Authors: Neves Gustavo M. das , Kagami Luciano P. , Rodrigues Ricardo P. , da Silva Vinícius B. , Eifler-Lima Vera L. , Kawano Daniel F.
Published: December 2016

Background: Guanine phosphoribosyltransferase (GPRT) is a very attractive
target for the development of new drugs against G. lamblia because of its critical role in
the synthesis of DNA and RNA. Herein we report the use of in silico approaches to
identify potential G. lamblia GPRT inhibitors.

Methods: Analyses of the binding site of the enzyme accomplished through the use of
several methods allowed the construction of a pharmacophore model, which was screened
against a database of commercial substances. The resulting retrieved compounds were
then screened against GPRT by consensus docking with two different methods, and the
top 10% scored compounds had their poses visually inspected. Root Mean Square
Deviation (RMSD) values ≤ 2.0 Å were used to define a consensual pose while RMSD
values between 2 and 3 Å defined a partial consensus. Main toxicity endpoints were
predicted through substructural analyses.

Results: From the 1,230 compounds retrieved in the pharmacophore-based screening,
eleven had their binding modes consensually ascribed by the docking methods, suggesting
a better selectivity for the parasite enzyme in comparison to the human counterpart by
avoiding steric bumps with a flexible loop in the human enzyme binding site. One
compound, ZINC38139588, was predicted to be totally devoid of toxicity, being perhaps
the most promising of this series.

Conclusion: Through rigorously validated docking protocols, we predicted the binding
mode of these compounds in the GPRT binding site. The use of a consensus docking
strategy yielded more reliable predictions of the binding modes to guide the future
biological assays.
Study of the Critical Collapse Cave Span for Fracture-cavity Oil Storage Karst Caves
Authors: Wang Chao , Zhang Qiangyong , Zhang Yue
Published: December 2016

As the major field in petroleum reserve growth, fractured-vuggy reservoir is the key research in the future. However, in the development of fracture-cavity reservoir, collapse may occur in karst cave which greatly affects the oil well output. In order to forecast the cave collapse before drilling, this work adopts the method of span dichotomy reduction to determine the critical karst collapse of the fracture-cavity reservoir cave on the background of Tahe Oilfield’s fractured-vuggy reservoir. Different factors which influence on the tunnel span of karst collapse and the failure modes of collapsed cave are obtained by great amounts of numerical calculation and analysis on working conditions. Research results in this work provide significant theoretical evidence to the oil exploration in Tahe Oilfield’s fracture-cavity reservoir.
Paleogene-Neogene Cap Rocks and its Relationship with Hydrocarbon Accumulation in the Zhanhua Sag
Authors: Wu Chunyan , Zhang Jingong , Xiong Wei , Li Bo , Wang Yijun , Zhang Jinning , Cui Qiang
Published: December 2016

To analyse the Zhanhua Paleogene–Neogene cap rocks and its relationship with hydrocarbon accumulation, the seal lithology, the relationship between compaction of argillite rock and its sealing capacity, and its destruction by faults and fractures were studied. The results indicate that there are four types of cap rocks: argillite rock and silty mudstone, microcrystalline carbonate, dense cemented sandstone and dense cemented carbonate. Among these cap rocks, argillite rock is the main type in the Zhanhua Sag. According to the evolutionary characteristics of the argillite rock and its destruction by fractures and faults, the argillite cap can be classified into three categories: porosity cap, fracture transformation cap and the fault transformation cap. Among their sealing capacities, the porosity cap is the best, followed by the fracture transformation cap, and the fault transformation cap is the worst. Through the analysis of the relationship between existing oil & gas reservoirs and the distribution characteristics of the Paleogene–Neogene cap rocks in the Zhanhua Sag, it was found that the cap combination which was below or above the reservoir together controlled the hydrocarbon accumulation and preservation. It means that the destruction of the cap below or down-dip the reservoir is a necessary condition for hydrocarbon accumulation, and only when the sealing capacity of the cap rock above or up-dip the reservoir is better than that of below or down-dip the reservoir, hydrocarbon could be efficiently stored in reservoirs, thus could be effectively enriched.
Water Soluble Chitosan Mediated Voriconazole Microemulsion as Sustained Carrier for Ophthalmic Application: In vitro/Ex vivo/In vivo Evaluations
Authors: Bhosale Rohit , Bhandwalkar Omkar , Duduskar Anita , Jadhav Rahul , Pawar Pravin
Published: December 2016

Background:

Voriconazole (VCZ) is a lipophilic candidate, effective against fungal infections like ocular keratitis and endopthalmitis.

Objective:

The purpose to develop, optimize and characterize voriconazole microemulsion as sustained medication for ophthalmic application.

Methods:

The pseudo-ternary phase diagrams were developed using oleic acid, isopropyl myristate and isopropyl palmitate (oil phases), tween 80 (surfactant), propylene glycol (co-surfactant), distilled water (aqueous phase) and modified chitosan (Mod.CH) as mucoadhesive polymer. The optimum composition of oil, Smix and water was selected on the basis of phase diagrams and as mucoadhesive polymer Mod.CH was used in the formulations. All the formulations were evaluated for thermodynamic stability/dispersibility, physicochemical parameters (droplet size, polydispersity index, zeta potential, drug content, viscosity, pH and conductivity), in vitro, ex vivo and in vivo studies.

Results:

All formulations showed droplet size below 250 nm, positive zeta potential and polydispersity index below 0.5. The in vitro drug release study performed on selected formulations showed maximum sustained release than marketed formulation. The in vitro transcorneal permeation experiment of formulations suggests that optimized formulations showed better permeation. The selected formulation of voriconazole microemulsion was able to produce maximum antifungal activity against Candida albicans when compared to marketed formulation. In vivo study performed on rabbit eyes, found more drug concentration in aqueous humor of optimized formulation; the AUC0→t of IPMVM-11 was approximately 6.84-fold higher than VOZOLE and efficiently enhanced the corneal bioavailability.

Conclusion:

The modified chitosan based on voriconazole loaded microemulsion was promising novel carrier for sustained action in ophthalmic medication.
HOW DOES CONGESTION MATTER FOR JAKARTA’S CITIZENS?
Authors: Harmadi Sonny Harry Budiutomo
Published: December 2016

Jakarta, as the biggest city in Indonesia, faces many problems, one of which is congestion, that produces a high cost economy. It is predicted that if the government does not take immediate action to solve this problem, there will be a potential loss of IDR65 trillion by 2020 (Bappenas, 2007). This consists of IDR28.1 trillion in operational costs and IDR36.9 trillion in opportunity costs from time lost. This study is aimed at estimating how much Jakarta citizens’ are willing to pay to overcome the congestion problem. By using the stated preference method, the estimation result shows that the annual cost of congestion in Jakarta is estimated at IDR50.2 trillion a year. Furthermore, this result can be used as a baseline for a cost-benefit analysis by the government to generate a better public transportation policy in Jakarta.Keywords: willingness to pay, congestion, stated preference method, conditional logit
ROAD INFRASTRUCTURE AND SPATIAL ECONOMIC DEPENDENCE IN THE WESTERN REGION OF JAVA
Authors: Rochana Siti Herni , Kombaitan B. , Purwanda Eka
Published: December 2016

The western region of the island of Java consists of three provinces, namely: West Java, Banten, and Jakarta, is a region that contributes significantly to the GDP of Indonesia. In 2010 the contribu-tion of the three provinces was 33.94% of the total GDP, and the remaining 66.06% came from the other 30 provinces. In spite of its high contribution, in terms of the value added by the western region of Java, there are inequalities between the regions. In the year 2010, Jakarta’s per capita income was ten times, or more, than that of Lebak. The existence of this problem in the income disparity between the regions in western Java raises questions relating to the spatial economic dependence of the west-ern region of Java. The unit analysis of the research is all the districts/cities in West Java, Banten, and Jakarta. The measurement used for the spatial economic dependence is Moran’s Index. Spatial varia-bles were comprised in the spatial weight matrix (matrix-W), which was formed using three approach-es: based on the distance, the neighbourhood, and the road transportation network. The economic variables in this study are the level of income per capita and economic growth. The results showed spatial economic dependence, based on distance and neighbourhood, tended to be low. Whereas, the spatial economic dependence based on road connectivity, especially freeways, showed a moderate correlation.Keywords: road infrastructure, spatial economic dependence, Moran’s Index, western region of Java.
FINANCIAL LITERACY AMONG UNIVERSITY STUDENTS: EMPIRICAL EVIDENCE FROM INDONESIA
Authors: Lantara I Wayan Nuka , Kartini Ni Ketut Rai
Published: December 2016

This study investigates the level of financial literacy among undergraduate and graduate students. The study also examines the association between the students’ demographic factors and their financial literacy rate. Data were collected by distributing 800 questionnaires to undergraduate and graduate students of Gadjah Mada University, Indonesia, covering cross educational majors, ages, gender, education levels, marital status, income, and work experience. Out of the sample, a total of 348 respondents returned completed questionnaires, which gave a response rate of 43.5 percent. The findings show that on average 45.39 percent of the respondents answered the questions correctly, which is relatively low compared to what other studies found in other countries, such as Chen and Volpe (1998) in the US (52.87 percent), or Beal and Delpachitra (2003) in Australia (53 percent). It also seems that male students, students with economics and business majors, those with higher incomes, and more work experience have a higher financial literacy rate. Using probit and tobit regression tests, the study revealed that education levels and academic disciplines are positively associated with the financial literacy rate.Keywords: financial information, literacy rate, education, finance, Indonesia
HOUSEHOLD EXPENDITURE IN RESPONSE TO NATURAL DISASTERS
Authors: Sulistyaningrum Eny
Published: December 2016

Natural disasters have increased in their frequency, and the intensity of their destruction over the last ten years in Indonesia. Households usually respond to these difficulties by cutting their consump-tion, especially for non-essential goods. Arguably natural disasters are exogenous events, so this paper uses the exogenous variation from natural disasters as a natural experiment design to estimate the effect of disasters on household expenditure. When a certain group is exposed to the causal variable of interest, such as a disaster, and other groups are not, the Difference In Difference model (DID) can be used for estimation. Using a micro level survey data set from the Indonesian Family Life Survey (IFLS) which covers approximately 83 percent of the Indonesian population within the survey area, this paper examines the effects of natural disasters on household expenditure. This paper also examines whether there are any different impacts from different types of disasters. The finding is there are no significant effects of disasters on total household expenditure for households living in disaster regions, whether they are affected directly or not by the disaster.Keywords: natural disasters, household expenditure, DID, natural experiment
THE BUSINESS SOLUTION TO POVERTY: DESIGNING PRODUCTS & SERVICES FOR THREE BILLION NEW CUSTOMERS
Authors: Lanovara Rika Fatimah Panjaitan
Published: December 2016

This is a book review on the business solution to poverty by designing products and services for three billion new customers.
INFLUENCE OF WORK-FAMILY CONFLICT AND FAMILY-WORK CONFLICT ON EMPLOYEES’ TURNOVER INTENTIONS WITH GENDER, SOCIAL SUPPORT AND INDIVIDUAL VALUE AS MODERATING EFFECTS
Authors: Yunita Putu Irma , Kismono Gugup
Published: December 2016

work interfering with family-WIF and family interfering with work-FIW) and its influences onturnover intention. This research also examined the moderating effect of gender, social supportand individual values on the relationship between the work-family conflict and turnoverintentions. The participants of this study were 210 low and middle managers of four and fivestar hotels in Bali. This sample consisted of 126 males and 84 females. Multiple regression andhierarchical methods were used to test the proposed hypotheses. The result showed that WIFpositively and significantly influences the turnover intention but FIW did not. It was also foundthat social support significantly moderates the relationships between variables studied, butgender and individual value had no impact on it.Keywords: turnover intention, work interfering with family, family interfering with work,gender, social support, individual value.
CHALLENGE-STRESS AND HINDRANCE-STRESS IN THE SOUTHEAST ASIAN HOTEL SECTOR
Authors: Abu Kamaazura Abu , Mohd Salleh Ahmad Munir , Muda Mohd Shaladdin , Ahmad Azlinzuraini , Manshor Ruzita
Published: December 2016

The hospitality industry is an entity that is continuously determined by varying new demands and the needs of its customers. This ever-changing and complex working environment has caused and become a source of stress for the hospitality industries’ workforce. Workplace stress is increasing from year to year and has become a focus of research interest in recent years.Responding to the demands of management who require a more precise understanding of the issues of workplace stress, researchers have conducted studies on a total of 115 respondents from a 3 star-hotel and a 4 star-hotel. The personnel involved came from the food and beverage departments, room services and the front offices, whose daily routines involved direct face toface serving activities and fulfilling their customers’ demands. Using the Statistical Package for Social Science (SPSS) version 19.0 and AMOS version 18.0, the results of Exploratory Data Analysis (EFA) and Confirmatory Data Analysis (CFA) have confirmed that there are two stress factors, namely challenge stress and hindrance stress. Both of these stress factors have asignificantly negative relation to one another. Understanding these dimensions in detail can help the hospitality organizations to be well prepared for the task of motivating their employees.Keywords: challenge-stress, hindrance-stress, service, Southeast Asia, hotel
FINANCIAL DEPTH AND FINANCIAL ACCESS IN INDONESIA
Authors: Setiawan Sigit
Published: December 2016

This study is intended to analyse the current levels of financial depth and financial access in Indonesia and to analyse the factors affecting them. The analysis method used was a combination of descriptive quantitative, benchmarking, and literature reviews. The conclusion is that the financial depth in Indonesia has not shown a satisfactory level since it was the lowest, or the second lowest ranked country among the sampled countries. Meanwhile, the financial access in Indonesia is relatively better than its financial depth, especially for financial markets, in which Indonesia ranks in the lower average group. From literature reviews, it can be inferred that the main factor driving the poor financial depth in Indonesia is non-competitiveness of the institutions; whereas the driving force of poor financial access in Indonesia are geographical constraints, poverty, a high income gap, and a less than effective national financial development policy.Keywords: financial sector, banking, capital markets, economic planningJEL Codes : E60, F36, F63, G28, O16
GREASE OR SAND THE WHEEL? THE EFFECT OF INDIVIDUAL BRIBES ON THE DRIVERS OF AGGREGATE PRODUCTIVITY GROWTH
Authors: Hanoteau Julien , Vial Virginie
Published: December 2016

The Asian paradox suggests a net grease-the-wheel effect of corruption. Under the assump-tion of diminishing returns to bribes, going beyond the single-representative-firm assumption,we argue that the grease and sand-the-wheel effects are likely to co-exist among a large numberof firms, and that the industrial effect of corruption depends on the productivity drivers that fuelfirm’s dynamics. We decompose Indonesian manufacturing labor productivity growth whilecontrasting and comparing the contributions of no-, low- and high-bribing firms over the period1975-94. We confirm the coexistence of grease and sand-the-wheel effects. Industrial produc-tivity gains stem first from the net entry of non-corrupted firms, evidencing a sand-the-wheeleffect. Market share reallocation from low to high productivity growth incumbents paying lowbribes is the second source of productivity growth, pointing at a grease-the-wheel effect. Intra-plant productivity growth is overall negative and largely attributable to high-corruption plants,suggesting a sand-the-wheel effect.Keywords: corruption, bribery, productivity
PRICE STABILIZATION AND IPO UNDERPRICING: AN EMPIRICAL STUDY IN THE INDONESIAN STOCK EXCHANGE
Authors: Husnan Suad , Hanafi Mamduh M. , Munandar Muhammad
Published: December 2016

We attempt to investigate IPO underpricing and stabilization activities. We find IPOunderpricing of around 25% in the Indonesia market. Return distribution for the first 30-tradingdays shows a positive skew, the distribution becomes closer to normality as the periodlengthens. We then develop and test five algorithms to detect IPO intervention. An importantgoal of this paper is to develop an algorithm that will be able to detect IPO intervention usingpublic data. We find that the number of closing prices that are equal to the offer prices and theskewness of the IPO return in the first 30-trading days are the ‘best’ stabilization measures.Having found “the best measures”, then we investigate under what conditions IPO interventionis more intensive. We find that underwriters tend to stabilize more on more expensive IPOs.Keywords: IPO, Indonesia, underpricing, stabilization
MONETARY AND FISCAL POLICY ANALYSIS: WHICH IS MORE EFFECTIVE?
Authors: Yunanto Muhamad , Medyawati Henny
Published: December 2016

Fiscal policy is an adjustment in the income and expenditure of government as stipulated inthe state budget in order to achieve better economic stability and pace of development. Themain objective of this study was to measure and analyze Fiscal and Monetary Policy of theGross Domestic Product (GDP). Fiscal Policy Multiplier (FPM) and Monetary PolicyMultiplier (MPM) are used to answer the debate where more effective between fiscal policy andmonetary policy. Short-term models derived through error correction model (ECM), which alsoforms the derivative equation. A system of simultaneous equations two stage least squares(TSLS), is used to describe the sensitivity analysis (response) of shocks to the policy change ofimportant macroeconomic indicators. The results showed that during the study period,Indonesia's monetary policy more effective than fiscal policy.Keywords: monetary policy, fiscal policy, Mundell-Flemming Model
Penatalaksanaan Kista Dentigerus Terinfeksi dengan Fistel Ekstra Oral pada Pipi Kanan
Authors: Widhianingrum Rita Koen , Goreti Maria , Prihartiningsih Prihartiningsih
Published: December 2016

Kista dentigerus merupakan kista yang berhubungan dengan gigi yang tidak erupsi berasal dari sisa epitelial organ pembentuk gigi. Gejala klinis menunjukkan pembengkakan yang tumbuh lambat dan tidak sakit pada rahang. Gambaran radiografis memperlihatkan area radiolusen uniokular yang mengelilingi mahkota gigi yang tidak erupsi. Proses infeksi kronis pada kista dentigerus dapat menyebar lambat membentuk abses subperiosteal dan melewati barrier kulit membentuk fistel ekstra oral. Studi kasus ini laporkan seorang wanita 56 tahun yang datang ke poli Bedah Mulut dan Maksilofasial RSUP Dr Sardjito dengan kasus kista dentigerus pada regio angulus mandibula kanan dengan fistel ekstra oral pada pipi kanan. Penatalaksanaan kasus adalah pemberian antibiotik, enukleasi kista, pengambilan gigi 45, 47 dan 48 yang impaksi sertafistulektomi dengan pendekatan ekstra oral dan sinus shoe polishing technique di bawah bius umum. Evaluasi 3 minggu pasca operasi menunjukkan penyembuhan ekstra oral dan intra oral sempurna serta tidak terbentuk jaringan parut. ABSTRACT: Management of Infected Dentigerous Cyst with Extra Oral Fistulae on Right Cheek. Dentigerous cyst is an odontogenic cyst associated with unerupted teeth from epithelial remnant teeth organ. The clinical appearance shows slow-growing painless swelling lesion in jaw. The radiografics reveals uniocular radiolucency surrounding unerupted teeth. The chronic infection proccess in dentigerous cyst could spread slowly forming subperiosteal abcess and, through cutaneous barrier, it forms extra oral fistulae. We reported a 56 year old woman who came to RSUP Dr Sardjito with dentigerous cyst in mandible angulus with extra oral fistulae in the right cheek. The treatment consisted of antibiotic medication; cyst enucleation; removal of unerupted third molar, second premolar, second molar; and fistulectomy with extra oral approach and sinus shoe polishing technique under general anesthetic. Three week evaluation post surgery shows succesful extra oral and intra oral healing without scarring.
Penatalaksanaan Impaksi Kaninus Kiri Atas dengan Posisi Horisontal pada Anak
Authors: Iswanto Heri , Titien S Indah , Rahardjo Rahardjo
Published: December 2016

Impaksi kaninus memiliki prevalensi tinggi setelah impaksi molar ketiga. Impaksi kaninus atas terjadi 2 kali lebih banyak pada anak perempuan daripada laki-laki. Inklinasi letak gigi terhadap garis median wajah lebih dari 450 memiliki prognosis jelek untuk erupsi. Tujuan laporan kasus ini adalah memberikan informasi penatalaksanaan impaksi kaninus kiri atas pada anak dengan pembedahan. Kasus ini dilaporkan pada anak perempuan usia 12,5 tahun yang datang di klinik Kedokteran Gigi Anak RSGM Prof Soedomo dengan keluhan utama seringkali sakit kepala sisi kiri serta gigi 23 belum erupsi. Berdasarkan anamnesis, pemeriksaan klinis dan radiologis tampak gigi 23 posisinya horisontal, perlu dilakukan odontectomy dengan metode in toto. Gigi 63 dipertahankan karena tidak ada luksasi. Traksi secara ortodontik pada pasien ini tidak dilakukan karena letak gigi 23 dalam dan posisinya horisontal. Kesimpulan laporan kasus ini adalah impaksi gigi 23 dengan posisi horizontal kemungkinan dapat menimbulkan sakit kepala. Odontectomy gigi 23 berhasil dengan baik melalui pembuatan flap envelope dan penjahitan interrupted. Kontrol pada hari ke-7 dan setelah 1 bulan, pasien tidak mengeluhkan sakit kepala sisi kiri. ABSTRACT: Management of Horizontally Impacted Maxillary Left Canines in Children. Impacted canines have a high prevalence after impacted third molar. Impacted maxillary canines occur twice more often in female children than male ones. The location of the tooth inclination towards the midline of the face which is more than 450 has a poor prognosis for eruption. The purpose of this case report is to provide information of surgical management of impacted maxillary left canines in children with local anesthetic. This case was reported in 12.5 year old girl who came to the Pediatric Dentistry Clinic of the Dental Hospital of Prof Soedomo with the chief complaint of left-sided headache as well as unerupted tooth 23. Based on the history, clinical and radiologic examination, it appeared that tooth 23 was in horizontal position, and it needed to be treated with odontectomy with in toto method. In the checkup on the 7th day, an ulcer on injury appeared. Tooth 63 was maintained because there was no shakiness (only one third root resorbtion). Orthodontic traction in this patient was not performed because the location of tooth 23 was deep and the position was horizontal. The conclusion of this case report is that horizontally impacted 23 can possibly cause headache. Tooth 23 odontectomy was done successfully through envelope flap creation and ended with interrupted suture. On the checkup on the 7th day and after the 1st month, the patient did not complain of headache anymore.
Perawatan Kamuflase Maloklusi Klas III Dentoskeletal menggunakan Teknik Begg pada Pasien Dewasa
Authors: Agustina Dwi , Hardjono Soekarsono , Suparwitri Sri
Published: December 2016

Maloklusi kelas III dapat didefinisikan sebagai kelainan wajah skeletal dengan karakteristik posisi mandibula lebih maju terhadap dasar cranium dan atau terhadap maksila. Ada tiga pilihan perawatan untuk maloklusi kelas III dentoskeletal yaitu; modifikasi pertumbuhan, kamuflase dan bedah orthognatik. Artikel ini mempresentasikan kasus seorang pasien dewasa dengan maloklusi kelas III dentoskeletal yang dirawat dengan ortodontik kamuflase menggunakan teknik Begg. Seorang pasien laki-laki, berusia 16 tahun, didiagnosa maloklusi kelas III Angle dengan hubungan skeletal kelas III dan gigi depan maksila dan mandibula berjejal. Perawatan menggunakan alat cekat teknik Begg dengan pencabutan premolar kedua maksila dan premolar pertama mandibula serta elastis intermaxillar kelas III. Kesimpulan hasil perawatan selama 10 bulan menunjukkan bahwa kamuflase ortodontik dapat dianggap sebagai terapi yang efektif untuk koreksi maloklusi kelas III dentoskeletal.   ABSTRACT: A Camouflage Treatment Of Dentoskeletal Class III Malocclusion In Adult Using Begg Technique B. Class III malocclusion can be defined as a skeletal facial deformity characterized by a forward mandibular position with respect  to the cranial base and or the maxilla. There are three main treatment options for dentoskeletal class III malocclusion: growth modification, orthodontic camouflage and orthognatic surgery. The article presented a case of an adult patient with dentoskeletal class III malocclusion treated with orthodontic camouflage treatment with Begg technique. A male patient, 16 years old, diagnosis malocclusion Angle class III, skeletal class III with crowding anterior teeth maxilla and mandibular. Using the fixed appliance, Begg technique, with the extraction of second premolars maxilla and first premolars mandibular. The appliance is completed with intermaxillary class III elastics. The results for 10 months of this treatment indicated that orthodontic camouflage can be considered an effective therapy for corection of dentoskeletal class III malocclusion.
Patterns and Predictors of Screening for Breast and Cervical Cancer in Women with CKD
Authors: Wong Germaine , Hayward Jade S. , McArthur Eric , Craig Jonathan C. , Nash Danielle M. , Dixon Stephanie N. , Zimmerman Deborah , Kitchlu Abhijat , Garg Amit X.
Published: December 2016

Background and objectives

Breast and cervical cancers are prevalent in women with CKD, but it is uncertain how often screening for these cancers should be undertaken given concerns that the benefits of screening may be fewer and the harms greater in women with CKD than in the general population. We examined patterns of breast and cervical cancer screening in women on the basis of CKD stage and age and assessed predictors of screening.

Design, setting, participants, & measurements

We conducted two population–based cohort studies (breast and cervical cancer screening) from 2002 to 2013 using linked administrative health care data from Ontario, Canada. A total of 141,326 and 324,548 women were included in the breast and cervical cancer screening cohorts, respectively.

Results

The 2-year cumulative incidences were 61% among women without CKD, 54% for those with CKD stages 3a and 3b, 37% for those with CKD stages 4 and 5, and 26% for women on dialysis. Similar patterns were observed for the 3-year cumulative incidences of cervical cancer screening. The associations of breast and cervical cancer screening with CKD were modified by age and CKD stage, where lower incidence of screening in women with advanced CKD compared with no CKD was most pronounced in older age groups (P<0.001). Older age, higher comorbidity burden, and lower-income groups were associated with a lower rate of screening.

Conclusions

Most women with advanced CKD do not receive breast or cervical cancer screening. A better understanding of patient and health professional preferences toward cancer screening in CKD is needed along with the outcomes of such screening.
Step towards Formulating a Maximum Surgical Blood Ordering Schedule in Obstetrics and Gynecology
Authors: Aryal Shreyashi , Shrestha Deepak , Bharadwaj Brijbala , Kaur Narinder
Published: December 2016

Introduction: Blood transfusion is an essential part of perioperative care in surgeries in obstetrics and gynecology. A tendency of over ordering of blood imposes additional workload to the blood bank and extra cost to the laboratory and patients. Maximum surgical blood ordering schedule (MSBOS) is a guide which helps in the decision of ordering and transfusing blood which reduces blood wastage. This study was done with the aim of evaluating the blood ordering and utilization patterns in obstetric and gynecologic surgeries and formulation of MSBOS for these procedures for the institute.

 

Methods: This is a cross-sectional, hospital based study conducted for the duration of three months. All patients undergoing major and minor surgeries at the department were included. Crossmatch to transfusion ratio (C/T), transfusion probability (%T), transfusion index (TI) and MSBOS were calculated for each procedure.

 

Results: Total 309 surgeries were performed in the department during the study period of three months. Most common surgery was emergency cesarean section (n=164, 53.1%) followed by abdominal hysterectomy (n=43, 13.9%). Utilization of crossmatched blood was 22.51%. Overall transfusion rate for all surgeries was 3.88%. Overall C/T ratio, %T, and TI were 4.44, 9.83 and 0.27 respectively which elicited indiscriminate ordering of blood.

 

Conclusion: Over ordering and under utilization of blood were seen in this audit. Blood ordering patterns need to change in order to minimize over ordering of blood which may prevent abuse of the system. MSBOS maybe an useful tool in this institute as it allows optimum blood usage for surgeries.
A Segmental Fracture of Humerus with Ipsilateral Forearm Fracture
Authors: Joshi Ruban Raj
Published: December 2016

Introduction: Simultaneous segmental humerus fracture with ipsilateral forearm is an uncommon injury and scarcely mentioned in the literature.

 

Case report: We present a case report on such a complex injury in a 9-year old child after falling down from the first floor of his house while playing. The injury pattern consist of ipsilateral supracondylar fracture humerus with distal humerus  and ipsilateral distal forearm fracture. Open reduction and pinning of the both injuries was obtained.

 

Conclusion: Ipsilateral multiple fractures in children often result from high energy trauma and are associated with complications. Immediate reduction and fixation is required. If satisfactory reduction cannot be achieved by closed technique, open reduction should be considered to avert additional soft tissue injury and forthcoming complications.
Clinico-radiological Profile of Stroke in Western Nepal
Authors: Acharya Sumnima , Tiwari Awadesh , Shakya Raju Prasad
Published: December 2016

Introduction: Stroke is a major public health burden worldwide and is responsible for a large proportion of disability. It ranks third in the causation of morbidity and mortality. This study was carried out to establish the pattern of various types of cerebrovascular accident (CVA) in western Nepal, to correlate the clinical data and radiological findings in cases of stroke, and to identify the common risk factors associated with stroke.

 

Methods: A total of 200 patients presented at the department of Radiodiagnosis from emergency or ward within six months of study period from 18th of September 2015 to 17th of March 2016 with clinical diagnosis of stroke. Brain CT scan was done within 14 days of onset.

 

Results: There were 200 patients with stroke (124 males and 76 females), aged 19 to 92 years in which infarction was more common than hemorrhage (57% Vs 41.5%) clinically. Hypertension was the commonest risk factor noted in 59% cases followed by Diabetes Mellitus in 39%. Middle cerebral artery (MCA) territory infarction was the most common site of infarction. Clinical and CT localization of hemorrhage and infarct was correct in 153 cases (75%) which was statistically significant.

 

Conclusion: Infarction is more common than hemorrhage as the type of stroke. Hypertension is the commonest risk factor followed by diabetes mellitus.
Histopathological Study of Endometrial Biopsy Specimens for Abnormal Uterine Bleeding
Authors: Tiwari Archana , Kaur Narinder , Jain Sushila , Rai Ramji , Jain Surendra Kumar
Published: December 2016

Introduction: Endometrial specimen for abnormal uterine bleeding (AUB) is the one of the commonest specimens received in histopathology laboratory. Histopathological characteristics of endometrial tissues, as assessed by light microscopy, remains the diagnostic standard for the management of AUB. The objective of study is to find out the histopathological pattern of endometrium in AUB in the light of clinical details.

 

Methods: This was a prospective observational study carried out in the department of Pathology, Lumbini Medical College Teaching Hospital for a period of two years from June 2014 to May 2016. Formalin fixed endometrial specimens were processed, paraffin embedded, sectioned at 3-4 µm, stained with hematoxylin and eosin, and studied under light microscopy along with their demographics. Data were collected, entered and analyzed using SPSS version 20.

 

Results: The study included 100 cases of endometrial biopsy specimens with clinical diagnosis of AUB. Menstrual disturbances was found in wide age range between 17-75 years with the mean age of 45 (SD=13.36) years. Menorrhagia was the commonest (n=60, 60%) clinical presentation. Most (n=85; 85 %) endometrium had non-neoplastic lesions. Among them, normal endometrial patterns were commonest (n=50, 50 %). Neoplastic lesions (n=15, 15%) were distributed in all menstruation status with majority in postmenopause (n=7, 7%) and included malignant cases (n=5, 5%) among others.

 

Conclusion: Post-menopausal bleeding was common presentation among women with malignant and premalignant disease which was present in 15% of the cases together. Timely evaluation of AUB  by histopathology can be life saving with early tissue diagnosis and management.
Incidence of Carcinoma Prostate in Transurethral Resection Specimen in a Teaching Hospital of Nepal
Authors: Thapa Neeraj , Shris Sachin , Pokharel Nabin , Tambay Yashwant Gajanan , Kher Yeshwant Ramakrishan , Acharya Sumnima
Published: December 2016

Introduction: As suggested through several autopsy studies there is a high prevalence of latent prostate  cancer in the population. A much smaller proportion of prostate  cancer is detected because of clinical symptoms. This study was done to identify the rates of incidentally detected prostate cancer in patients undergoing surgical management of Benign Prostatic Hyperplasia (BPH) in our centre.

 

Methods: A retrospective review was done on all transurethral resections of the prostate (TURP)  cases from May 2014 to May 2015 at a single tertiary care institution. One hundred and three men, aged 40 to 88 year, underwent TURP and their specimens were sent for the  histopathological analysis.

 

Results: Five (4.85%) patients were diagnosed with the prostate  cancer. All the five patients had Gleason score of seven or more. Two patients had moderately differentiated adenocarcinoma  with Gleason score of seven. Three patients had poorly differentiated adenocarcinoma with Gleason score of eight or above. The Prostate cancer was seen only  in the age group above 65 years but it was not statistically significant.

 

Conclusion: Our series demonstrated that 4.85% of patients had latent prostate  cancer. It occurs mainly in men above 65 years of age though this was not statistically significant.
Characterization of the Karst water regime in the Danube catchment area (Bulgaria)
Authors: Damyanova Evelina , Benderev Aleksey
Published: December 2016

The purpose of study is to estimate the role of karst springs in the
formation of the flow of the Bulgarian rivers that are right tributaries of
the Danube River. The study area includes the region from the Danube River to
the main ridge of the Balkan (Stara Planina), representing a major water
divide that separates the Black Sea catchment area from the Aegean one. The
eastern border represents the watershed between the Danube and the Black Sea
hydrological zones. From a geological point of view, the northern part of the
area is located on the Moesian platform and the southern part belongs to the
Fore Balkan and Balkan areas where various types of rocks of different
geologic age outcrop. In some of them, there are conditions for the formation
of karst water. In the northern part of the area they form distinct aquifers
that gradually sink to the north; this is so called "platform" type of karst.
In the southern mountainous part there are numerous karst basins. The most
significant of karst springs are included in the national groundwater
monitoring network. The hydrographs of karst springs are analyzed in view of
the specific features of karstification. To classify the studied springs with
respect to their regime, several indicators are used. Furthermore, the role
of karst waters in the river runoff of the Bulgarian tributaries of the
Danube River is assessed.
Contemporary world migration - towards new terminology, patterns and policies
Authors: Santic Danica , Spasovski Milena
Published: December 2016

In the last decades, after the Cold War and the fall of the Berlin wall, the
strengthening of overall population mobility is evident on local, regional,
national and global scale. In addition, there are changes in the scope and
direction of migration, their structural characteristics and increasing in
the number of determining factors and consequences, which affects the
complexity of this phenomenon. It is important to point out the emergence of
new forms of migration as a result of intensifying pace of globalization,
which is an integral part of the migration. The total number of migrants in
the world (internal and external) in the first decade of the XXI century
reached the highest value in history and is around one billion, with small,
but continuous increase in share of total population. This means that one in
every seven person in the world has changed place of residence, either
within their own country (about 700 million of internal migrants) or moved
to another country (244 million international migrants). Therefore some
authors points out that all of us are becoming migrants. Also, the number of
irregular migrants recently has reached its highest amount, which implies an
intensification of government actions to regulate migration through the
creation of effective policies, spatial mobility and intensification of
bilateral, regional and international negotiations in this domain. Estimates
show that the number of migrants will continue to grow, especially the
number of climate migrants, persons who left their homes due to changes in
the environment. That is why it is of crucial importance in a first place to
understand migrations properly and then to create the steps towards the best
solutions in solving the problems caused by population movement in space and
create proper migration policies.
How can the Serbian diaspora contribute much more to the development at home country?
Authors: Grecic Vladimir
Published: December 2016

This article analyzes the existing contribution of the Serbian diaspora to
the development at home country, and features of its major effects as a
partner in the process of economic development. No doubt, the spiritus
movens of the contemporary and future economic and social progress is and
will be the economy of ideas and creativity. The key factors of this new
economy are education, research and innovation. To achieve competitiveness
in an increasingly global economic environment it is necessary: the adequate
supply and quality of the workforce in the field of research and
development. In the last two and a half decades, Serbia's brain drain was
quite massive. Thus in the Serbian diaspora there are reputable scientists
and successful managers in all fields. Diaspora, the people link between
countries, can be the source of cooperation. Consequently, the most
important is the question of whether and under what conditions Serbia?s
brain drain can be reversed to brain gain. The author argue that the
diasporas and migrants could play a crucial role in the development of home
country, by presentation of their different experiences. Engaging the
Diaspora in the development of home country largely depends on the home
country. Talents remain an important component of countries? and businesses?
long-term competitiveness. In support of this thesis, the author presents
the most significant and most successful examples of good practice, arguing
that this experience can be used in Serbia, of course, taking into account
some of its specificities. The question: how they develop, retain and
attract talent should therefore remain high on the agenda of policymakers
and business leaders for the foreseeable future of Serbia.