bluuebunny/crossref_metadata_2025 huggingface dataset:
Laparoscopic technique as a method of choice in the treatment of non-parasitic splenic cysts
Authors: Milosavljevic Vladimir , Tadic Boris , Grubor Nikola , Eric Dragan , Matic Slavko
Published: April 2019

Introduction/Objective. Splenic cysts are a rare clinical entity. In their origin, they may be parasitic or non-parasitic. They are classified as either primary (true) or secondary cysts (pseudocysts), depending on the presence or absence of an epithelial lining of the lumen. Methods. Using a retrospective case study, we included 29 patients undergoing laparoscopic surgery due to splenic cysts. The patients were treated within the 2007?2017 period at the Clinic for Digestive Surgery, the Clinical Center of Serbia. We analyzed pre-operative, intra-operative and post-operative characteristics of laparoscopic technique in treating non-parasitic splenic cysts. Results. The group of 29 patients treated with laparoscopic technique surgery due to the previously diagnosed splenic cyst, consisted of 12 (41.4%) men and 17 (58.6%) women. The average age of patients undergoing surgery was 38.86 ? 10.4 years (22?62). Based on the histopathological findings, there were eight epithelial cysts and 21 pseudocysts of the spleen. The maximal diameter of the splenic cyst, measured pre-operatively, was 10.09 ? 2.51 cm on average. The average operative time was 35 minutes, and the intra-operative bleeding amount was 11.48 ? 3.78 ml. None of the intra-operative complications, injury to the spleen or other organs of the abdomen, conversions to open surgery or reintervention were recorded. Conclusion. Laparoscopic fenestration with excision of the part of the spleen cyst wall (marsupialization) represents an effective and definitive treatment for this disease. It is an alternative to splenectomy, along with other well-known benefits ensured by the spleen preservation. Low probability of occurrence of intra-operative and post-operative complications, as well as minimal trauma of tissue, results in a shorter postoperative stay, rapid recovery, and better quality of life.
Second Trimester Uterine Artery Doppler Velocimetry and Serum Lipids for Prediction of Pre-Eclampsia
Authors: V. Saini, , A.  Maitra, , M. Gupta,
Published: April 2019

Background: Reliable markers for prediction and prevention of pre-eclampsia to reduce its associated maternal and perinatal morbidity are lacking. Aim and objectives: To evaluate uterine artery doppler velocimetry and serum lipids in second trimester of pregnancy for prediction of gestational hypertension and pre-eclampsia. Methods: One hundred healthy and normotensive women were enrolled in 2nd trimester of pregnancy. Presence of notching in uterine artery doppler on USG and serum lipid levels were recorded. All women were followed till term/delivery to see development of pre-eclampsia / gestational hypertension later. Results: Absence of diastolic notch in 2nd trimester USG, serum triglycerides levels of <150 mg/dL and serum LDL levels of <100 mg/dL in 2nd trimester of pregnancy were found to have a good negative predictive value of 96.6%, 96.3%, 92.7% for later development of GH/PE. Conclusion: Absent diastolic notch, serum triglycerides <150mg/dL and LDL <100 mg/dL in 2nd trimester of pregnancy can be used to stratify women with low risk pregnancy.
Diálogos entre ciência e religião: a temática sob a ótica de futuros professores
Authors: Riceto Bernardo , Colombo Junior Pedro
Published: April 2019

Ciência e religião adquiriram, ao longo dos séculos, vieses que se cruzam e se afastam em caminhos tortuosos, segundo concepções de natureza filosófica, contextos políticos, sociais e influências econômicas. Esta pesquisa buscou investigar que visão graduandos de diferentes cursos de licenciatura fazem da relação entre ciência e religião e como interpretam essa relação em um contexto de sala de aula. Objetivou-se identificar e analisar visões de alunos, ingressantes e concluintes, de todos os cursos de licenciatura da Universidade Federal do Triângulo Mineiro (UFTM), campus Uberaba, Minas Gerais, Brasil. Também fez parte desta pesquisa o diálogo com os coordenadores de cada curso participante, com o intuito de apresentar os dados analisados e ter um feedback deste trabalho. Foi adotada metodologia de pesquisa qualitativa e quantitativa com aplicação de questionários aos licenciandos e de entrevistas semiestruturadas aos coordenadores. Entre os resultados, destacou-se o de que, em alguns cursos (e áreas), há uma significativa variação na visão dos licenciandos sobre como trabalhar a temática ciência e religião em sala de aula. Ficou evidente também que entre os concluintes há uma maior tendência de diálogo sobre a relação ciência e religião.
A percepção do pedagogo sobre o desenvolvimento psicomotor na educação infantil
Authors: Sacchi Ana , Metzner Andreia
Published: April 2019

Este artigo verifica e discute os conhecimentos dos pedagogos acerca da importância do desenvolvimento psicomotor na educação infantil. Este estudo é de natureza qualitativa, para tanto, foi realizada um estudo empírico. Dez professoras que lecionam na educação infantil participaram da pesquisa. O instrumento definido para a coleta dos dados foi um questionário composto por sete questões. Como resultado, constatou-se que as professoras possuem conhecimentos sobre psicomotricidade e consideram as atividades psicomotoras primordiais para o desenvolvimento das crianças. Entretanto, as atividades ministradas por elas envolvem, basicamente, o equilíbrio e a coordenação motora.
Resultados das políticas de valorização do magistério público em Santa Catarina
Authors: Bassi Marcos , Bollmann Maria
Published: April 2019

Este artigo analisa os vencimentos do magistério de escolas públicas de educação básica do estado de Santa Catarina e do município de Florianópolis entre 2006 e 2014, no contexto de políticas indutoras de valorização do magistério. Para tanto, são examinados dados sobre os vencimentos, publicados em diários oficiais e sites de órgãos públicos e sindicais, organizados em séries históricas e apresentados em tabelas. Constatou-se a significativa valorização dos vencimentos nas duas redes. Contudo, tal movimento, decorrente da incorporação de componentes da remuneração bruta, põe em questão a efetiva valorização do magistério.
Estudos de aula na formação de professores de matemática do ensino médio
Authors: Richit Adriana , Ponte João , Tomkelski Mauri
Published: April 2019

Apresenta um estudo de aula com um grupo de professores de matemática do ensino médio, de escolas da rede pública estadual do Rio Grande do Sul. Tem como objetivo identificar desafios e adaptações desse processo formativo e de suas potencialidades para promover o desenvolvimento profissional do professor. A análise qualitativa e interpretativa baseou-se nas notas de campo produzidas no decorrer do estudo de aula. Os participantes sentiram que este constitui um processo formativo muito diferente do que estavam habituados. Quanto aos desafios, os resultados evidenciam que a realização do estudo de aula promoveu nos participantes a modificação da prática profissional em aspectos como o planejamento de aula, o trabalho coletivo e a negociação das decisões e atividades. Foram necessárias algumas adaptações na dinâmica usual de desenvolvimento do estudo de aula, sobretudo nas etapas de planejamento e concretização da aula de investigação, pela implementação da docência compartilhada, que oportunizou um nível elevado de colaboração entre formadores e professores. A experiência aponta a possibilidade de favorecer o desenvolvimento profissional docente por lhes promover aprendizagens profissionais e os encorajar a experimentar uma prática profissional diferente durante a aula de investigação.
RANCANG BANGUN SISTEM KONTROL PADA MEJA MESIN PLANER KAYU OTOMATIS DENGAN MENGGUNAKAN MOTOR STEPPER BERBASIS ARDUINO UNO
Authors: Septiawan Muhammad Raffi , Winarso Rochmad , Qomaruddin Qomaruddin
Published: April 2019

Permintaan akan teknologi terutama kebutuhan akan adanya mesin sekala kecil untuk menunjang kebutuhan industri rumahan yang membutuhkan mesin dengan desain simpel dan praktis dalam pengunaan maupun pengoprasian mesin. Dalam pengembangan mesin plener yang telah dibuat sebelumnya di perlukan penambahan sistem kontrol yang digunakan untuk mengatur naik maupun turun pada ketinggian meja mesin planer kayu. Metode yang digunakan meliputi studi literatur, studi lapangan, proses perancangan dan proses perakitan. Pada hasil penelitian telah dibuat sistem kontrol untuk mengontrol naik maupun turun pada ketinggian meja mesin plener dengan pengerak motor stepper yang telah dikontrol mengunakan mikrokontroler berupa arduino uno didapatkan hasil keakuratan untuk naik maupun turun dengan minimal 1mm dan maksimal 10cm didapat nilai error sebesar 0,8% Kata kunci :mesin planer, motor stepper, sistem kontrol, arduino,
RANCANG BANGUN SISTEM PEMADATAN PADA MESIN PRES BATAKO
Authors: Rohim Abdur , Qomaruddin Qomaruddin , Winarso Rochmad
Published: April 2019

Kemajuan teknologi yang mengalami perkembangan yang sangat pesat berimbas pada kehidupan manusia untuk membantu atau mempermudah dalam kehidupan manusia, salah satunya adalah press batako. Tujuan dari rancang bangun pemadat pada mesin press batako 10 biji sekali cetak ini di harapkan dapat memaksimalkan proses pembuatan batako dan mempermudah dalam pemadatan bahan batako. Metode yang digunakan pada proses perancangan ini tinjauan pustaka berupa system pemadatan yang meliputi; perhitungan motor, pergitungan getaran, proses perancangan atau design untuk menentukan dimensi serta matrial yang akan di gunakan. Berikutnya dilakukan proses perakitan, finishing dan uji coba. Hasil akhir dari rancang bangun sistem pemadat ini adalah menggunakan motor listrik 2HP dengan kecepatan 700rpm ditransmisikan menjadi 700rpm menggunakan pulli dengan diameter 3inc dan 3inc vbelt tipe A degan panjang 653cm. Waktu yang dibutuhkan dalam pengerjaan adalah 493 menit, finishing adalah 60 menit dan proses perakitan adalah 210 menit dengan sistem pemadatan ini mampu memadatkan 10 buah batako dalam 1 kali prosesnya.
PERANCANGAN DAN SIMULASI PUNCH MESIN PRES BATAKO
Authors: Munir Muhammad Mishbahul , Qomaruddin Qomaruddin , Winarso Rochmad
Published: April 2019

Batako merupakan salah satu bahan baku bangunan yang paling sering digunakan pada proyek pembangunan properti atau pembuatan rumah biasa, batako biasa digunakan sebagai perkerasan lahan parkir, halaman rumah, dan lain sebagainya, oleh karena itu permintaan pasar akan batako terus bertambah setiap harinya. Dengan metode produksi yang saat ini masih menggunakan cara manual dan proses yang lama mengakibatkan banyak permintaan yang tidak terpenuhi oleh produsen. Oleh Karena itu penulis berupaya membuat mesin pres batako yang hemat dalam proses pembuatan, mudah dioperasikan, dan menghasilkan 10 batako dalam sekali proses. Metode yang digunakan dalam tinjauan pustaka yaitu merancang Punch yang akan digunakan untuk memadatkan 10 adonan batako dalam sekali proses dan menghasilkan gaya 191,1 Nm dalam proses pengepresan.
The Implementation of Public Communication Management Policy at Ministry of Energy and Mineral Resources
Authors: Ramadani Thoriq
Published: April 2019

Management of public communication plays significant role in a government. The implementation of well-made management of public communication can be a means to deliver government policies both as programs and achievements broadcasted to public. The purpose of this study was to determine the implementation of communication policy management at the Ministry of Energy and Mineral Resources (ESDM). The method used was a case study at the ESDM with analysis implementation by using used Edwards III model. Based on the analysis, it was found that the implementation of the public communication management policy at the Ministry of Energy and Mineral Resources was already underway, such as the availability of a planned public communication strategy, and indicators of success in the mass media which were not only numerous but also positive and neutral quality, so that negative coverage could be minimized. Besides, the support of Officials and Implementers, Standard Operating Procedures (SOP), and creative content through hashtags related to the Energy and Mineral Resources sector could also increase the social media followers.

Keywords: Policy, Implementation, Communication Management, Public Communications

 

Abstrak

Pengelolaan komunikasi publik merupakan hal penting dalam sebuah pemerintahan. Implementasi kebijakan tentang pengelolaan komunikasi publik yang telah dibuat, sebagaimana pengelolaan komunikasi publik menjadi sarana penyampaian kebijakan Pemerintah, baik itu program maupun capaian yang disampaikan kepada masyarakat. Tujuan dari penelitian ini adalah untuk mengetahui implementasi kebijakan pengelolaan komunikasi publik di Kementerian Energi dan Sumber Daya Mineral (ESDM). Metode yang digunakan adalah studi kasus pada Kementerian ESDM dengan analisis implementasi kebijakan pengelolaan komunikasi publik dengan model Edwards III. Berdasarkan hasil analisa ditemukan bahwa implementasi kebijakan pengelolaan komunikasi publik di Kementerian ESDM sudah berjalan, seperti adanya strategi komunikasi publik yang terencana, indikator keberhasilan berupa pemberitaan di media massa yang tidak hanya banyak tapi juga kualitasnya yang positif dan netral, sehingga pemberitaan negatif dapat diminimalisir. Selain itu, dukungan Pejabat dan Pelaksana, Standard Operating Procedure (SOP), dan konten-konten kreatif melalui tanda pagar (tagar) yang terkait sektor ESDM dapat meningkatkan jumlah pengikut media sosial.

Kata Kunci: Implementasi; Kebijakan; Pengelolaan Komunikasi; Komunikasi Publik
New Modalities in Knee Osteoarthritis Treatment Using Autologous Bone Marrow-Derived Mononuclear Cells
Authors: Gončars Valdis , Kalnbērzs Konstantīns , Jākobsons Ēriks , Briede Ieva , Blūms Kristaps , Ērglis Kristaps , Ērglis Mārtiņš , Patetko Liene , Muižnieks Indriķis , Ērglis Andrejs
Published: April 2019

The clinical effects on knee osteoarthritis (OA) symptoms and tissue structure were evaluated after bone marrow-derived mononuclear cell intraarticular injection. A group of 32 patients with 34 knee joints in stage II–III osteoarthritis were treated by intraarticular injection of mononuclear cell suspension. Clinical results were obtained by KOOS (Knee Osteoarthritis Outcome Score) and KSS (Knee Society Score) scores during a 12 months follow-up period. Radiological evaluation was performed using magnetic resonance imaging. A comparison with a control group of 28 patients treated with routinely used three hyaluronic acid intra-articular injections was made. No adverse effects were observed after the bone marrow derived mononuclear cells (BM-MNC) injection. At the end point of the follow up all score results had improved, compared to those at to the starting point. 65% of patients maintained minimal perceptible clinical improvement of the score results. The Whole Organ Magnetic Resonance Imaging Score showed improvement from 44.31 to 42.93 points (p < 0.05) during a 6–7 month period. Comparing score results to the control group, a statistically significant (p < 0.05) improvement in the KOOS pain subscale score at the 6 and 12 months was observed in the mononuclear cell group. BM-MNC injection leads to a decrease of knee OA symptoms and slows changes in structure of the degenerative joint tissue.
Hypodontia and WNT10A mutation: a case report
Authors: Sandić Marija Živković , Stefanović Neda , Popović Branka , Glišić Branislav
Published: April 2019

Tooth agenesis is common dentofacial malformation in humans. Its etiology is still not clear. Hypodontia has been regarded as a multifactorial condition influenced by gene function, environmental interaction and developmental timing. More than 300 genes have been related with patterning, morphogenesis and cell differentiation in teeth. According to data WNT10A gene is considered to have an important role in odontogonesis. The aim of this study was to show mutation status in WNT10A gene in a family with two members with diagnosis of hypodontia/oligodontia. In the reported family (father, mother, son, daughter) children were diagnosed with congenital tooth agenesis (son-2 teeth, daughter-11 teeth), while parents negated congenital absence of teeth. We identified a heterozygous missense mutation, c.682T>A (p.Phe228Ile) within the exon 3 of WNT10A in mother and father and the same homozygous mutation was detected in the same region of WNT10A gene in daughter and son. Observed differences in our study, from no symptoms to mild/severe hypodontia, could be the consequence of genetic influence of c.682T>A(p.Phe228Ile) mutation, but also the contribution of many environmental factors during odontogenesis.
Deformation of Nickel-Titanium (NiTi) rotary instruments in cyclic loading – in vitro study
Authors: Nešković Isidora , Stojanac Igor , Vujkov Sanja , Terzija Jovan Laban , Maletin Aleksandra
Published: April 2019

Introduction Separation of instruments in the root canal is one of the challenges in endodontic treatment. More specifically, nickel-titanium (NiTi) rotary instruments usually separate without previous deformation. The aim of this pilot study was to assess the effect of torsional stress on endodontic NiTi rotary instruments separation in simulated clinical conditions.

Materials and methods Research was conducted on a sample of 20 human teeth in laboratory conditions. Experimental procedure consisted of determining canal curvatures for each root on digital radiographs and root canal treatment using endodontic NiTi rotary instruments. Out of 20 teeth (60 canals), two groups were formed with similar root canal curvatures (10 pairs of teeth) and instrumented using NiTi rotary instrument with or without torque control.

Results Wilcoxon matched pair test showed no statistically significant difference in average number of instruments use with or without torque control (p>0.05).

Conclusion Even though there is no statistical significance in instrument separation when instruments were used with or without torque, there is tendency to experience sudden fracture of instruments after work without torsional control even after only few uses in clinical work.
Photogrammetry based space analysis measurements in orthodontic diagnosis
Authors: Arapović-Savić Marijana , Savić Mihajlo , Umićević-Davidović Mirjana , Arbutina Adriana , Nedeljković Nenad , Glišić Branislav
Published: April 2019

Introduction Lundstrom segmental analysis is often used analysis in orthodontic diagnosis. It includes measurements of available and needed space in the arch in order to determine whether there is a lack or excess of space for proper teeth alignment. Measurements are traditionally performed on plaster study models, but with recent developments of computer-based systems, there is an increase in use of digital models in measuring process. The aim of this study was to present a photogrammetry based measurement approach that requires no specialized and expensive hardware and compare results with ones obtained on 3D scanned models.

Material and method On 50 plaster study models measurements of 24 teeth, widths of 12 segments and Lundstrom segmental analysis were performed. 3D scanned study models were analyzed in the photogrammetry software Ortho-Photo4D on the set of four photographs of the study model in custom made measurement apparatus. The software corrects for finite distance of the camera and corrects errors due to perspective distortion.

Results Statistical analysis performed on obtained measurements provided Bland-Altman plots that strongly suggested high degree of correspondence between the two measurements methods. Discrepancies for maxilla for individual segments were under 0.25 mm with standard deviation of up to 0.16 mm, and less than 1 mm and deviation of up to 0.4 mm for complete arch. For mandible the differences were up to 0.27 mm for segments with 0.15 mm deviation and 0.6 mm for complete arch with up to 0.24 mm deviation. Correlation coefficient was over 0.985 in all cases.

Conclusions Both analyzed methods can be equally used in clinical practice.
Traumatic extraction of upper central incisors
Authors: Janković Svjetlana , Žuža Aleksandra , Davidović Bojana , Simić Ivana , Davidović Lado
Published: April 2019

Introduction Tooth and other oral tissue damage can occur at any time of life. Traumatic extraction is a complex traumatic injury characterized by complete dislodgement of the tooth from its alveolus. The diagnosis of traumatically injured teeth includes X-rays and a detailed clinical examination.

Case report A twelve-year-old boy reported at the dental clinic of the Faculty of Medicine due to the injury in the anterior maxillary region. It was a sport injury. The time elapsed since the accident was 2 hours and 20 minutes. According to the clinical examination and X-rays the diagnosis was: The teeth 11 and 21 – Complete traumatic dental avulsion and fracture; 22-Hypodontia and chin contusion and laceration. The teeth were brought in physiological solution. After applying local anesthetic, soft tissue was cleaned, the teeth positioned back in their alveoli and an immobilizing splint of fiberglass fibers placed. The patient was administered antibiotics and recommended tetanus prophylaxis. Seven days after the injury, teeth were treated endodontically. After one month, the immobilizing splint was removed. The tooth 21 was definitely obturated and composite buildups were done on both teeth. Calcium hydroxide dressing was left in the canal of the tooth 11. One month and 3 weeks after the injury, a fistula appeared above the tooth 11, and the treatment was finally completed after seven months.

Conclusion Traumatic tooth injuries, of any kind, require urgent treatment as time loss usually reduces chances for successful treatment. One year after the injury, the patient had no symptoms and the result was functional and aesthetically acceptable.
Unilateral complex partial denture performance evaluation: 5 years follow up clinical study
Authors: Radović Katarina , Živković Rade , Pficer Jovana Kuzmanovic , Šojić Ljiljana Tihaček , Lemić Aleksandra Milić
Published: April 2019

Introduction Removable partial denture (RPD) is common treatment option for unilateral partially edentulous patients not indicated for implant therapy. Unilateral complex partial denture (UCPD) could be an alternative approach to RPD treatment, but there is lack of evidence about UCPD treatment outcomes during the long-term clinical performance. The aim of this this study was to use periodontal, prosthodontic and participant satisfaction measures to evaluate the long-term clinical performance of UCPD.

Material and methods This 5 year follow-up clinical study evaluated pocket probing depth (PPD) and vertical clinical attachment loss (CAL-V) of direct abutment (DA), indirect abutment (IA) and control teeth (CT). Also complications and failures of UCPD were analysed using questionnaire of participant satisfaction with UCPD (stability, comfort and manipulation).

Results Evaluation of data showed that CAL-V and PPD significantly increased over time for DA, IA and CT (p<0.0001), but the tooth function (DA, IA and CT) did not significantly influence changes in PPD and CAL-V. The fracture of one abutment tooth and increase of the number of artificial teeth deformations (p=0.039) were observed after 5 years. Participant satisfaction with denture after 1 year and 5 years vs. 7 days was significantly improved.

Conclusion Despite limitations of this clinical study and assuming regular oral maintenance with proper indication, UCPD might be considered as good treatment option for Kennedy II rehabilitation in patients not indicated for implant therapy or who cannot tolerate extensive RPD design.
Refeeding syndrome after small bowel obstruction - a case report
Authors: Reed Ashley
Published: April 2019

Background:

Refeeding Syndrome (RS) is an under-recognized pathophysiological process that can result in arrhythmias, coma, and death if not identified and managed appropriately.

Case Presentation:

This case report discusses RS in a 77-year-old female who presented with 6 days of total anorexia secondary to abdominal pain and vomiting. The patient was identified to have an ischaemic closed loop obstruction of the small bowel in a right femoral hernia with associated proximal small bowel obstruction. Following a small bowel resection, nutrition was reintroduced where on day 3 the patient developed hypophosphataemia, the hallmark of RS.

Conclusion:

This case highlights the importance of considering RS in patients with a seemingly short duration of starvation due to acute intercurrent illness such as in this case a small bowel obstruction.
FREQUÊNCIA DE MICRONÚCLEOS EM ETILISTAS
Authors: DICKEMANN Marlon Caetano Musscopp , PEGORARO Jéssica , MARTINS Iuri Salvador , KIRSCH Laura , ECKER Ana Carolina Locatelli , WIETHÖLTER Paula , MOZZINI Carolina Barreto
Published: April 2019

O álcool etílico é um dos principais agentes químicos relacionados ao desenvolvimento de neoplasias malignas bucais. O uso do etanol tem aumentado em diversas populações e a faixa etária dos indivíduos que o consomem tem ficado cada vez mais baixa. O teste de micronúcleos é apontado como uma ferramenta importante na ação preventiva de carcinogênese e a quantificação da sua frequência representa um instrumento útil no monitoramento de indivíduos expostos a agentes genotóxicos de natureza ocupacional ou ambiental. Sendo assim, o objetivo deste estudo foi identificar a associação entre o consumo de álcool e a presença de micronúcleos na mucosa oral. Para tanto, foram coletadas células esfoliadas da mucosa oral de 120 sujeitos, com idade variando entre 18 e 54 anos para análise microscópica das células da mucosa oral, juntamente com a aplicação de um questionário de dados pessoais e de hábitos de consumo. Os resultados mostraram que não foram encontradas associações estatisticamente significativas entre o grupo que consome álcool, em comparação ao grupo que não o consome. Portanto, a exposição periódica ao álcool não apresenta risco para o desenvolvimento de micronúcleos na mucosa oral da população estudada.
Enhancement of growth and increased productivity of fresh herb and aromatic oil in basil plant by foliar application with stigmasterol
Authors: El-Tantawy Ahmed A. , Azoz Samah N.
Published: April 2019

The present study was conducted through the two growing seasons of 2017 and 2018 to disclose the impact of foliar application with different concentrations of stigmasterol (0, 25, 50, 75 and 100 ppm) on vegetative growth characters, yield of fresh herb/plant, anatomical structures of vegetative organs (main stem and leaves) and percentage and constituents of aromatic oil of basil plant. The obtained results indicated that stigmasterol application had a enhancing effect on growth and productivity as well as on the percentage and composition of volatile oil of basil plant and the maximum promotion was detected at 100 ppm stigmasterol. Such treatment induced favorable changes in the anatomical structures of vegetative organs.
Left adrenal hepatocellular carcinoma recurrence in liver transplanted patient
Authors: Parente Alessandro
Published: April 2019

Hepatocellular carcinoma (HCC) recurrence after liver transplantation (LT) has been reported in less than 20% of patients fulfilling Milan Criteria. Mostly, it occurs within the liver, lungs, lymph nodes, bones and brain. A 45 years old Caucasian man affected by HCV-related liver cirrhosis with HCC, who underwent several multi-modal treatments, including hepatic resection, liver transplantation and loco regional treatment presented in our Department with an unusual mass within the left adrenal gland. No clinical signs were associated. However, considering his blood test and the high risk of HCC recurrence, a mini-invasive left surrenalectomy was performed showing HCC metastases in the left adrenal gland.

This case shows that even extremely rare sites of HCC metastases have to be investigated, especially if, despite all available treatments, still persist a clinical or laboratory suspect.
An Uncommon An Uncommon Cause of Acute Abdomen in Underprivileged Communities
Authors: Muchuweti David , Mungani Hopewell , Mungani Hopewell , Mahomva Farai , Muguti Edwin Gamba , Muguti Edwin Gamba
Published: April 2019

Oftentimes general surgeons working in poorly resourced communities carry out emergency abdominal surgery in patients with acute abdomen with no definitive preoperative diagnosis. The definitive diagnosis is made at laparotomy. Perforated small bowel obstruction secondary to heavy Infestation with Ascaris Lumbricoides brings a number of intraoperative challenges requiring correct intraoperative surgical management decisions. We present a case of a 17 year-old patient who was admitted with a diagnosis of small bowel obstruction who at laparotomy was found to have perforated gangrenous small bowel volvulus with heavy worm load visible through the bowel wall. Because of faecal peritoneal contamination and haemodynamic instability she underwent a two staged procedure with good outcome.
Correction of severe facial asymmetry: A case with fractured condyle
Authors: Agrawal Ramesh , P. Patel Dolly , B. Desai Bhagyashree
Published: April 2019

The current paper depicts the challenges faced during the treatment of a complicated case of mandibular condylar head fracture, facial asymmetry, and centric relation-centric occlusion (CR-CO) discrepancy along with Class III malocclusion. A 20-year-old female reported with the chief complaint of difficulty in chewing and concern with her appearance due to deviated jaw and had a history of trauma over chin region. The clinical and radiographic examination revealed significant facial asymmetry with long face, right-sided deviation of the mandible, fractured condyle, CR-CO discrepancy, cross- bite with Class III malocclusion, and a missing mandibular single incisor along with non-vital 21 and 22. She was treated with 0.022 MBT appliance along with guiding plane for CR-CO correction followed by asymmetric bilateral sagittal split osteotomy and differential set back on the right and left sides and finally rigid fixation. A good facial profile and functional occlusion were achieved and non-vital 21 and 22 were esthetically rehabilitated with PFM crowns. The stability of surgical as well as orthodontic corrections was excellent and appreciable in the records obtained 2-year post-treatment. When faced with mutilated malocclusion, with multiple problems, sequential correction of functional malocclusion with dental decompensation followed by skeletal correction with surgical approach has yielded a appreciable facial correction with good stability showing 2-year post-treatment follow-up.
Relationship between age at menarche, body mass index percentile, and skeletal maturity stages in Indian female orthodontic patients
Authors: Sheikh Shahin , Nene Salil , J. Kalia Ajit , Gautam Rajaganesh , Hegde Ashwith , P. Thakur Pooja
Published: April 2019

Introduction

Skeletal maturity is of paramount importance for the diagnosis and prognosis of orthodontic treatment undertaken in adolescents. This can be assessed by different methods. The study here aims at evaluation of the effect of the onset of menarche and body mass index (BMI) percentile, i.e., overall body growth, on the skeletal maturation of adolescent females and, to find the relationship between age at menarche, cervical maturation stages, and BMI percentile in female orthodontic patients of Indian origin.

Materials and Methods

Adolescent females were asked to fill a questionnaire to extract the history of their menarche and chronological age and those within 3 months of menarche were selected. Their height and weight were measured under standard conditions and BMI was calculated. Lateral cephalograms obtained for them were scaled for cervical vertebrae maturation stages according to Hassel and Farman’s method. These parameters were then statistically correlated.

Results

The results showed that the girls with higher BMI percentile attained menarche early than their healthier counterparts, whereas attaining menarche did not correlate with any specific stage of skeletal maturity.

Conclusion

Young girls coming for orthodontic treatment should be carefully assessed for skeletal maturity, as variable amount of skeletal growth may be left even after attaining menarche.
Long-term stability of early anterior open bite treatment by magnetic and spring-loaded bite blocks
Authors: H. Doshi Umal , A. Bhad Wasundhara
Published: April 2019

Introduction

The purpose of the present study was to evaluate the long-term stability of open bite correction with spring-loaded and magnetic bite blocks.

Materials and Methods

A total of 14 patients out of the original sample of 20 were evaluated clinically and cephalometrically at post-treatment, post-retention, and 4.2 years after retention. Of 14 patients, eight were from spring-loaded bite block group, while remaining six were from magnetic bite block group. Normality of data was checked with Shapiro–Wilk test and one-way repeated measures analysis of variance was used to compare the values at different time intervals. Pearson correlation analysis was used to examine the correlations between various cephalometric variables.

Results

Clinically, decrease in overjet and increase in overbite were evident in 12 patients, while two patients showed non- significant decrease in overbite. Skeletal changes in the form of the closure of mandibular plane angle, clockwise rotation of palatal plane, and significant increase in posterior face height were seen. Molar intrusion relapsed in the follow-up period but was compensated by the incisor extrusion. Overall, the success rate of 85.8% was seen.

Conclusion

Stability of early treatment with active bite blocks is comparable to any other treatment modality for correction of mild-to-moderate skeletal open bite cases. Importance of retention using the passive bite blocks needs further evaluation.
A simplified method for measurement of palatal bone thickness to select the optimum length of orthodontic mini-implant
Authors: J. Patni Vivek , R. Kate Swapnagandha , S. Potnis Sheetal , E. Kolge Neeraj
Published: April 2019

Introduction

The palatal bone is a suitable site for mini-implant placement due to it being a “rootless area” with dense bone. This application has increased with mini-implant-assisted rapid palatal expansion becoming the preferred method of expansion. It is necessary to measure the vertical bone height with a reasonable accuracy, at the implant insertion site, to utilize the maximum available bone support, and to avoid the risk of perforations. As an accepted method, full-volume cone-beam computed tomography (CBCT) scan is advised for the same. This requires an additional procedure, further, radiation exposure, and cost to the patient. The aim of the study was to establish the utility of lateral cephalogram as a simple and reliable method to measure palatal bone thickness for placement of mini-implants in the 1st premolar and 1st molar region, which are the most common sites of mini-implant placement.

Materials and Methods

A total of 30 CBCT scans and digital lateral cephalograms of patients were selected and analyzed at the 1st premolar and molar region and were statistically evaluated using Student’s t-test and Wilcoxon rank-sum test.

Results

The results obtained indicated a highly significant correlation between the measurements obtained on lateral cephalograms at both the 1st premolar and 1st molar areas, P < 0.001.

Conclusion

The data presented show that lateral cephalometry provides a reliable assessment of the quantity of vertical bone for paramedian insertion of a palatal implant.
Surface texture of S 718 after electrical discharge machining assisted with ultrasonic vibration of a tool electrode
Authors: Nowicki Rafał , Świercz Rafał , Kopytowski Adrian , Vagaská Alena
Published: April 2019

Inconel 718 is one of the modern materials widely used in the aviation and space industry, due to their excellent mechanical and chemical properties at elevated temperatures. These parts work in difficult conditions and they are required to be characterized by good accuracy and high quality surface finish to ensure greater durabili-ty and fatigue strength. Conventional machining of these materials is difficult and ineffective due to low thermal conductivity of the alloy. Electrical discharge machining (EDM) is often used to machine materials regardless of their mechanical and physical properties. In this process material is removed from the workpiece through series of electric discharges occurring in the sparking gap between a tool electrode and the workpiece. The physics of removing material from the workpiece is completely different from other traditional machining methods, and its effects determine the functional properties of the surface layer. The purpose of the experimental research was to investigate the influence of machining parameters on surface texture of Inconel 718 after electrical discharge machining assisted with ultrasonic vibration of the tool electrode (EDM+US). The study was carried out with a design experimental methodology. Input parameters were discharged current I and pulse duration ton.Roughness parameters Sa, St, Sz were designated for each machined surface.
Main drivers of the evolution of grazing in the alpine area of Valli del Leno (Trentino, Northern Italy) during the last two centuries: natural resources, labour and investment.
Authors: Avanzini Marco , Bonoldi Andrea , Gios Geremia , Salvador Isabella
Published: April 2019

In the Alps as in many mountain areas, livestock farming has constituted an important source of income, especially since the Middle Ages. The importance of livestock farming within the Alpine economy has changed over time due to the dynamics of supply and demand combined with evolving environmental, technological and institutional constraints.

This paper focuses on the latter aspect and attempts to reconstruct how the relative importance of the production factors of land, labour and capital changed throughout the nineteenth and twentieth centuries in a mountainous area of eastern Trentino.

The underlying objective of the investigation is to provide a micro-level empirical basis for hypotheses advanced in the literature regarding the evolution of a crucial sector in the Alpine economy, drawing attention to the long-term role of exogenous and endogenous factors as well as elements of continuity and change. The work is grounded in multiple sources drawn from local archives and official statistics. It demonstrates the flexibility of local communities in managing to sustainably utilize local resources over several periods.
Iberians against locusts: fighting cross-border bio-invaders (1898-1947)
Authors: Gomes Inés , Queiroz Ana Isabel , Alves Daniel
Published: April 2019

Insects that are potentially harmful to agriculture have shaped agricultural practices and policy-making worldwide. For some species and geographies, historical research still needs to be done. This is not only crucial to understanding the past, but also the present and future of pest surges. An overview of Iberian history in relation to the Moroccan locust (Dociostaurus maroccanus) between 1898 and 1947 reveals a) the historical distribution of locust invasions, showing that they were much larger than previously suggested; b) how outbreaks triggered local, regional and national responses, including mandatory regulations, in the last two centuries at least; c) differences and similarities, between countries, and over time, in the control measures applied, which reflect perceptions about the role of authorities and the efficacy of those measures. This paper also adds clarity to the discussion about the factors involved in the decline of outbreaks in recent years and provides a crucial context for future Orthoptera management programmes.
Multimodal Neural Machine Translation Using CNN and Transformer Encoder
Authors: Takushima Hiroki , Tamura Akihiro , Ninomiya Takashi , Nakayama Hideki
Published: April 2019

Multimodal machine translation uses images related to source language sentences as inputs to improve translation quality. Previous multimodal Neural Machine Translation (NMT) models, which incorporate visual features of each image region into an encoder for source language sentences or an attention mechanism between an encoder and a decoder, cannot catch the relation between visual features from each image region. This paper proposes a new multimodal NMT model, which encodes an input image using a Convolutional Neural Network (CNN) and a Transformer encoder. In particular, the proposed image encoder first extracts visual features from each image region using a CNN, and then encodes an input image on the basis of the extracted visual features using a Transformer encoder, where the relation between visual features from each image region are captured by a self-attention mechanism of the Transformer encoder. The experiments on the English-German translation task using the Multi30k data set show that the proposed model achieves 0.96 BLEU points improvement against a baseline Transformer NMT model without image inputs and 0.47 BLEU points improvement against a baseline multimodal Transformer NMT model without a Transformer encoder for images.
DAYA DUKUNG OPTIMUM BERBASIS POLA TATA GUNA LAHAN PESISIR DI MUARA GEMBONG KABUPATEN BEKASI
Authors: Oktaviani Shabrina , Yonvitner . , Imran Zulhamsyah
Published: April 2019

ABSTRAKPerubahan penggunaan lahan yang terjadi di Pesisir Kecamatan Muara Gembong telah mempengaruhi daya dukung lahan bagi penduduk setempat. Tujuan dari penelitian ini adalah untuk mengidentifikasi pola perubahan tata guna lahan saat ini di Kecamatan Muara Gembong, menganalisis tapak ekologi (ecological footprint) pemanfaatan ruang bagi masyarakat pesisir berdasarkan pola penggunaan lahan yang dikembangkan di Kecamatan Muara Gembong, serta menghitung daya dukung optimal pemanfaatan lahan wilayah pesisir kecamatan Muara Gembong. Analisis interpretasi citra digunakan untuk mengidentifikasi pola penggunaan lahan, sedangkan daya dukung dikaji melalui pendekatan Analisis Ecological Footprint (EF). Hasilnya menunjukkan bahwa penggunaan lahan di Muara Gembong didominasi oleh penggunaan lahan tambak (7.344 ha), sedangkan kategori penggunaan lahan yang paling sedikit di Muara Gembong adalah lahan mangrove (379 ha) dan ladang (372 ha). Nilai ecological footprint  yang paling tinggi adalah perairan pesisir (2,95 ha/kapita), sedangkan EF terendah adalah lahan mangrove (10,09 x 10-4 ha/kapita). Hal ini menjadikan daya dukung lahan mangrove menjadi yang paling tinggi, sebaliknya daya dukung lahan yang paling rendah adalah daya dukung perairan pesisir. ABSTRACTLand use change which occurred at coastal of Muara Gembong has been affected land carrying capacity for the population. Aims of this study are identifying the current pattern of land use change in Muara Gembong, analyzing the ecological footprint of space utilization for coastal communities based on land use patterns developed in Muara Gembong and, calculate the optimal land used carrying capacity in the coastal of Muara Gembong. Analysis of image interpretation was used to identify land use pattern, while the carrying capacity was assessed through ecological footprint analysis approach. The results were shown that land use in Muara Gembong was dominated by fish pond (7,344 ha) while the least land use category was mangrove (379 ha) and farm (372 ha). Coastal waters was the highest ecological footprint (EF) value (2.95 ha cap-1) while the lowest EF was mangrove (0.001009 ha cap-1). This makes the carrying capacity of mangrove to be the highest otherwise the lowest carrying capacity was the carrying capacity of coastal waters.
STUDI KELAYAKAN BUDIDAYA TAMBAK DI LAHAN PESISIR KABUPATEN PURWOREJO
Authors: Choeronawati Anggih Isti , Prayitno Slamet Budi , Haeruddin .
Published: April 2019

ABSTRAKUdang vaname di Kabupaten Purworejo khususnya Kecamatan Grabag memiliki prospek pasar bagus, hal ini menjadikan budidaya tambak udang vaname menjadi peluang yang sangat besar. Seiring berjalannya kegiatan budidaya udang vaname, perlu diperhatikan aspek kelayakan lahan.  Penelitian dilakukan dengan tujuan menganalisa kelayakan lahan budidaya tambak udang vaname (Litopenaeus vannamei) di lahan pesisir Kabupaten Purworejo. Penelitian ini difokuskan pada dua lokasi yaitu tambak pesisir desa Ketawangrejo dan Harjobinangun, Kecamatan Grabag Kabupaten Purworejo menggunakan analisis kelayakan lahan dengan metode scoring.  Hasil penelitian menunjukkan bahwa kelangsungan hidup dan produksi tergolong cukup tinggi yaitu 90,16% dan 950 kg/0,10 ha untuk tambak pesisir desa Ketawangrejo, dan 81,00% dan 2.825 kg/0,21 ha untuk tambak pesisir desa Harjobinangun.  Tingginya nilai kelangsungan hidup dan produksi yang diperoleh berkaitan dengan aspek bioteknis seperti lokasi dan konstruksi tambak, sarana dan prasarana serta sistem budidaya yang termasuk dalam kategori cukup sesuai (S2) baik. ABSTRACTShrimp vaname in Purworejo Regency, especially Grabag Subdistrict, has good market prospects, this makes the cultivation of vaname shrimp ponds an enormous opportunity. Along with the passage of vaname shrimp farming activities, it is necessary to pay attention to feasibility aspects. The study was conducted with the aim of analyzing the feasibility of vaname shrimp farms (Litopenaeus vannamei) on coastal land in Purworejo District.  This study focused on two locations namely coastal ponds Ketawangrejo village and Harjobinangun, Grabag District Purworejo Regency using land feasibility analysis using the scoring method.  The results showed that survival and production were quite high, namely 90,16% and 950 kg / 0,10 ha for coastal ponds in Ketawangrejo village, and 81,00% and 2.825 kg / 0,21 ha for coastal ponds in the village of Harjobinangun. The high value of survival and production obtained relates to biotechnical aspects such as the location and construction of ponds, facilities and infrastructure as well as cultivation systems which are included in the category of good enough (S2).
THE HANDLING OF ROUND SCAD ON MINI PURSE SEINE BOATS, REGENCY OF REMBANG REVIEWED BASED ON THE DECREE OF MINISTER OF MARINE AFFAIRS AND FISHERIES NUMBER 52A/KEPMEN-KP/2013
Authors: Puji Rejeki Sri Untari , Darmanto Y. S. , Dewi Eko Nurcahya
Published: April 2019

The round scad produced will have the best quality if the catching and handling method onboard and at the port is carried out quickly, precisely and carefully. The entire handling activity has been regulated in the Decree of the Minister of Marine Affairs and Fisheries (KEPMEN KP) number 52A/KEPMEN-KP/2013. This research aimed to determine the level of conformity between the handling carried out onboard with the standard handling regulated in the KEPMEN KP number 52A/KEPMEN-KP/2013. The analysis results will be used as the basis for developing alternative strategies for the standard implementation of Round scad on the mini purse seine boats in the Regency of Rembang. The data collecting was carried out by observation and interviews with respondents. Data were analyzed using gap analysis, which is looking for the difference between standard handling and the handling carried out during the research. The elements analyzed were boat facilities, onboard hygiene, human resources, tools and equipment for handling fish, as well as fishing technique and catching unit. The research results showed that the average score of the conformity of handling on the five elements are 69.52%, which means that the round scad handling on mini purse seine boat in the Regency of Rembang is not reaching the standards regulated in the KEPMEN KP number 52A/KEPMEN-KP/2013. This is caused by the low level of conformity in the element of human resources of 38.56%.