bluuebunny/crossref_metadata_2025 huggingface dataset:
Linguistic triggers as tools of managing consumer behavior
Authors: Melnichuk Marina V. , Belogash Marina A. , Pisonova Maria
Published: November 2020

The paper deals with the issue of manipulative effects of texts advertising financial products. From the interdisciplinary perspective, the authors take a system and complex approach to the phenomenon of manipulative communicative influence on consumers’ behavior. The paper studies the language means of all levels able to qualify for manipulative capacity in complex with linguapragmatic strategies and affect neurophysiological and neuropsychological processes. The authors’ findings provide evidence of the fact that language is a driving force and an instrument of modeling consumers’ decision-making.
Erdélyi magyar fiatalok a társadalmi struktúrában
Authors: Szabó Júlia
Published: November 2020

We investigate changes in the socio-economical, labor market, and educational situation of theHungarian youngsters from Transylvania; the investigation is based on two large-scale (MOZAIK2001 and Youth 2016) surveys. The principal research question is the choice of the paradigmfrom the toolbox of social stratification that can describe the inequalities within this group.Our conclusions state that the influence traditional variables diminished, and that horizontaldifferences must be taken also into consideration to better describe stratification.
RESULTS OF THE DETERMINING THE SEVERITY OF SYMPTOMS OF MUSCULOSKELETAL DYSFUNCTION IN PATIENTS WITH DENTOALVEOLAR ANOMALY USING THE M. HELKIMO METHOD
Authors: Myagkova Natalia , Styazhkin Nikolay , Demina Oksana
Published: November 2020

Subject. Temporomandibular joint dysfunction is a broad term used for a large number of disorders affecting the temporomandibular joint and masseter muscles. Clinical methods for assessing the state of the temporomandibular joint and masticatory muscles are subjective and do not fully assess the degree of impairment. In this regard, M. Helkimo in 1976 proposed an index of dysfunction of the temporomandibular joint to assess the severity of functional disorders, which solves the current problem of determining the degree of dysfunction of the temporomandibular joint.

The aim of the study was to assess the severity of symptoms of musculo-articular dysfunction in patients with dentoalveolar anomaly using the M. Helkimo method.

Methodology. A questionnaire was conducted among patients aged 18―44 years with dentoalveolar anomalies using a questionnaire and a clinical study was carried out according to a single protocol. According to the method, anamnestic, clinical, occlusal indices were determined, and the range of motion of the lower jaw was assessed. When examining the state of the temporomandibular joint and masticatory muscles, the presence of crunching, clicks in the joint, pain on palpation was revealed, the trajectory and range of movements of the lower jaw were determined.

Results. Our own observations and studies in this matter have shown that the most important indicators are the presence of displacement of the mandible from the posterior contact position to the central occlusion and articulation disorders, which, in turn, can serve as early precursors of the onset of temporomandibular joint dysfunction.

Conclusions. The M. Helkimo method allows the dentist to assess the degree of dysfunction of the temporomandibular joint in a patient with a dentoalveolar anomaly without using additional instrumental diagnostic methods.
DIGITALIZATION AS A RESOURCE FOR IMPROVING THE AVAILABILITY AND QUALITY OF MEDICAL CARE ON THE EXAMPLE OF UIA "SP NO. 12"
Authors: Elovicova Tat'yana , Fomin Arkady , Chernavsky Michael , Chernavskiy Aleksandr
Published: November 2020

Subject. Modern medical care is not complete without the use of modern digital technologies — from remote patient registration and appointment, to remote diagnostics and laboratory tests, monitoring the condition of the patient. In most foreign countries and Russian medical institutions, telemedicine and digital technologies are actively used in the provision of dental care. The impact of digitalization of medical organizations as part of the transformation of the technological environment on the effectiveness of the organization of dental care services and patient satisfaction.

The goal is to study the parameters of psychological resources of subjects of the treatment process that affect the development of digitalization. Develop an initiative to increase the benefits of digitalization in dental care.

Methodology. Individual, tutored training in digitalization skills. Group forms of training (seminars, round tables, trainings).

Results. Our research has shown that digitalization should start with the registry. This also implies improving the personal qualities and skills of both health professionals and patients. In addition, digitalization should also contribute to the development of comfort in the provision of dental services and improve the quality and safety of medical services provided.

Conclusions. A resource-based approach in digital dentistry can be a conscious choice that can improve the efficiency of dental procedures and optimize workflows. In dental practice, saving time for performing auxiliary procedures means reducing the duration of appointments, increasing throughput, and increasing patient satisfaction in General and specific cases.
DETERMINATION OF THE RELATIONSHIP BETWEEN THE COURSE OF CHRONIC GENERALIZED CATARRHAL GINGIVITIS AND CHANGES IN THE COMPOSITION OF DENTAL PLAQUE BIOFILM IN CADETS OF THE UFA LAW INSTITUTE OF THE MINISTRY OF INTERNAL AFFAIRS OF THE RUSSIAN FEDERATION UNDER PSYCHOEMOTIONAL STRESS
Authors: Gubina Oksana , Sitdikova Olesya , Kabirova Milyausha
Published: November 2020

Subject. Both local and general factors are important in the development and progression of inflammatory periodontal diseases. Particular attention is paid to professional factors that are closely related to stress, which has a significant impact on the course of the inflammatory process of periodontal tissues. Employees of internal affairs bodies are exposed to professional stress, who are forced to fulfill their official duties in a strictly limited time in the tense socio-economic situation in the country. Of particular interest are cadets of military universities. The stage of entering a higher military educational institution is considered as the entry into an independent life.

The aim is to reveal the relationship between the features of the course of chronic generalized catarrhal gingivitis and changes in the composition of the dental plaque biofilm in cadets of the Ufa Law Institute under conditions of psychoemotional stress.

Methodology. 105 cadets aged 18 to 25 with chronic generalized catarrhal gingivitis took part in a clinical study on the basis of the dental office of the medical unit No. 1 of the medical and sanitary unit of the Ministry of Internal Affairs of the Russian Federation (Ufa).

Results. The results of the study showed that patients with chronic generalized catarrhal gingivitis have an unbalanced autonomic nervous system with a predominance of the madrenergic component in the release of catecholamines. As a rule, gingivitis occurs in such patients more often.

Conclusions. The severity of inflammatory periodontal diseases in cadets correlates with the severity of psychoemotional stress, and a mature dental plaque is formed, containing microorganisms of the red and orange complex.
Impacto en el ingreso neto de intereses ante diferentes estructuras de balance
Authors: Palacio-Otálora Diego Andrés
Published: November 2020

Se desarrolla un ejercicio para cuantificar el impacto del riesgo de tasa de in­terés en el libro bancario para dos instituciones financieras colombianas, bajo supuestos en sus estructuras de liquidez y utilizando las medidas basadas en ganancias, que evalúan el aumento o la reducción del ingreso neto de intereses, a lo largo de un periodo de tiempo, a raíz de un choque en las tasas de interés.
Aplicación de la teoría del valor extremo y cópulas multivariadas para la medición del VaR de un portafolio de monedas de países latinoamericanos
Authors: Manosalva-Galvis Beatriz
Published: November 2020

Se aplica la teoría del valor extremo (EVT, por sus siglas en inglés), junto al enfoque de cópulas para la estimación del valor en riesgo (VaR) y el Expected Shortfall (es) de un portafolio de cinco monedas de países latinoamericanos en base dólar (COP, PEN, BRL, MXN y CLP). Se evalúa un portafolio óptimo sin apalancamiento, uno óptimo apalancado y un portafolio con iguales ponderacio­nes para todas las divisas, y se comparan con medidas de riesgo tradicionales, incluido el ajuste de las colas pesadas de la distribución de los rendimientos de cada activo y la estimación de la relación de dependencia de estos mediante el ajuste de las cópulas Gaussiana, t y Clayton. Los resultados sugieren que la cópula de Clayton es la que recurrentemente mejora las estimaciones de riesgo para los portafolios propuestos, y que el ES arroja mejor desempeño según las pruebas de cobertura condicional y no condicional del modelo y según el por­centaje de fallos de cada medición.
THE ISLAMIC DIALEKTICS AND LOCAL CULTURE IN THE PETAWAREN TRADITION IN GAYO COMMUNITY
Authors: Rusdy Marhamah , Fauzi Fauzi
Published: November 2020

This research aims to analyze the rituals or practices as well as traditional objects used in the Petawaren tradition of the Gayo community in Central Aceh District. This research is descriptive research using a qualitative approach. The data needed are the ritual or implementation of Petawaren tradition and the traditional objects used, especially at a wedding or Ngerje ceremony. Primary data are obtained from research informants, namely traditional leaders, cultural figures, and community leaders, while secondary data are obtained from the relevant literature, documents, results of previous studies, and references. The techniques of collecting data are done by interviewing, observing, and documenting. This research also employs a relational dialectical theory. The results conclude that Petawaren tradition is purely Gayo culture, whereas the dialectics of Islam and Petawaren tradition in the Gayo community is more like accommodation of Islamic values. Therefore, the interpretation of the customary symbols, practices, and objects is eventually based on the Islamic teachings which replace the animistic beliefs existing before the arrival of Islam. Penelitian ini bertujuan menganalisis ritual (amalan) serta benda-benda adat yang digunakan dalam pelaksanaan tradisi Petawaren masyarakat Gayo di Kabupaten Aceh Tengah. Penelitian ini merupakan penelitian deskriptif yang menerapkan pendekatan kualitatif. Data yang diperlukan berupa tata cara pelaksanaan serta benda-benda yang digunakan dalam tradisi Petawaren pada upacara perkawinan Ngerje. Data utama bersumber dari informan penelitian, yaitu sesepuh (petue), tokoh adat, dan tokoh masyarakat. Sedangkan data sekunder diperoleh dari literatur, dokumen, hasil penelitian terdahulu, dan referensi yang relevan. Teknik pengumpulan data dilakukan dengan wawancara, pengamatan, dan dokumentasi. Penelitian ini menggunakan pendekatan teori dialektika relasional. Hasil penelitian menyimpulkan bahwa tradisi Petawaren adalah murni budaya Gayo, sedangkan dialektika Islam dan tradisi Petawaren pada masyarakat Gayo lebih kepada akomodasi nilai-nilai Islam. Oleh karena itu, pemaknaan terhadap simbol-simbol, ritual (amalan), dan benda-benda adat pada akhirnya didasarkan pada ajaran Islam, menggantikan kepercayaan animisme yang ada sebelum Islam datang.
El circuito algodonero-textil en Formosa, Argentina 2003-2015
Authors: Sapkus Sergio Omar , Giuliano Ernesto Fabian
Published: November 2020

En el presente trabajo se analiza la política pública subnacional en Argentina. Concretamente, se estudian las actividades de las instituciones de Gobierno en Formosa, provincia de la periferia rezagada del país, diferenciada por su escaso dinamismo económico e históricamente marginalizada en la configuración socioespacial nacional. Se pretende mostrar que pese al giro “posneoliberal” del Estado argentino en el período considerado, las políticas regionales/locales implementadas en este nivel distrital siguen un curso neoliberalizador. Empíricamente, ponemos el foco en la intervención sectorial/territorial alrededor de algunos eslabones de la cadena algodonera-textil afincada en la provincia entre 2003 y 2015. Concluimos que, amoldada a las ideas de la nueva ortodoxia regionalista, la política pública comarcana se orienta a imponer la disciplina de mercado por vías estatales, manteniendo subordinadas las agendas políticas y sociales a la prioridad de mantener la confianza de los inversores y el buen clima de negocios, la competitividad territorial y un mercado de trabajo flexibilizado.
Los efectos tributarios en los sectores de la economía colombiana
Authors: Flórez Bolaños Jaime
Published: November 2020

El objetivo del presente trabajo es identificar el efecto de los impuestos (directos e indirectos) sobre los sectores de la economía de Colombia. Para esto se siguió la línea de trabajo de Dietzenbacher & Romero (2007), la cual permite rastrear los efectos de un sector sobre otros a partir del cálculo de la longitud media de propagación (Average Propagation Length [APL]) la cual utiliza como insumo de la matriz insumo-producto (MIP-simétrica, producto a producto, precios básicos, año 2010). La conclusión principal es que hay una alta asimetría de la transmisión del efecto tributario entre los sectores.
El impuesto sobre la renta empresarial en Colombia: su tasa efectiva y su relación con la inversión
Authors: Castañeda Rodríguez Víctor Mauricio , Villabona-Robayo Jairo Orlando
Published: November 2020

En Colombia es tradicional que cuando se trata de emprender reformas tributarias, se indique también la necesidad de promover la inversión y el crecimiento económico, de modo que se recurre a fórmulas como la reducción de las alícuotas del impuesto sobre la renta empresarial (ISRE) y la creación de beneficios tributarios. Este trabajo revisa los postulados tras la reforma tributaria de 2018 en Colombia, conocida como Ley de Financiamiento, para mostrar, primero, que la tasa efectiva asociada al ISRE no es muy alta, para lo cual se consideran los datos agregados de las declaraciones tributarias de la Dirección de Impuestos y Aduanas Nacionales para el año 2016. En segundo lugar, y a través de un ejercicio econométrico basado en un panel de datos que incluye observaciones para 109 países (dada la insuficiencia de datos para considerar solo a Colombia) durante el periodo 2006-2015, se establece que estadísticamente no hay evidencia de una relación entre impuestos corporativos e inversión.
Estructura del capital: un estudio empírico de las principales aerolíneas colombianas
Authors: Vergara-Garavito Judith Cecilia , Durán-Parra Heyber Daney , Figueroa-López Greyz Andrea
Published: November 2020

La competitividad del mercado ha hecho replantear a las distintas aerolíneas su estructura de capital para lograr una combinación entre deuda y patrimonio que les permita obtener una mayor rentabilidad. Esta investigación tiene como objetivo identificar cuáles son los determinantes de la estructura de capital y qué teoría explica mejor las decisiones de financiación en las seis principales aerolíneas colombianas que transportan pasajeros. Para ello, se llevó a cabo una regresión de datos de panel, junto con un modelo de efectos fijos con la información semestral recopilada entre 2012 y 2017. Los resultados demuestran que la rentabilidad operacional, el crecimiento, la estructura de los activos y el tamaño de la empresa son los principales determinantes de la estructura de capital en las principales aerolíneas colombianas, alineándose esto con lo planteado por la teoría del equilibrio estático y la teoría de la jerarquía de preferencias.
Efecto derrame del mercado internacional en las economías latinoamericanas: los casos de Chile, Brasil, Colombia y México
Authors: Candelo-Viafara Juan Manuel , Oviedo-Gómez Andrés Felipe
Published: November 2020

En esta investigación se evalúan los efectos del desbordamiento y la volatilidad generados por los precios del petróleo, el gas y el carbón sobre la actividad industrial de  las economías de Chile, Brasil, Colombia y México, usando la metodología propuesta por Diebold y Yilmaz (2012), que se caracteriza por el uso de vectores autorregresivos generalizados, donde la descomposición de la varianza no varía según el orden de las variables, midiendo así los efectos de contagio de la volatilidad total y direccional. Los resultados muestran que estas industrias reciben el derrame financiero de los mercados de materias primas, ocasionado por las fluctuaciones de los precios del petróleo y carbón y, además, se comportan como transmisoras del derrame que producen las oscilaciones de los precios del gas. Por otro lado, se halló que meses previos a la crisis económica del 2008, las cuatro industrias y dichos productos aumentaron el efecto derrame y la volatilidad.
Effect of violet led associated with low-concentration hydrogen peroxide on enamel surface roughness
Authors: Eugenio Nathalia , Scandiffio Innocenzo , Tanaka Marcia Hiromi , Oliveira Ana Luisa Botta Martins de , Siqueira Scatolin Renata
Published: November 2020

Aim: The present study aimed to assess in vitro the effect ofviolet LED in tooth bleaching techniques associated or not withlow-concentration hydrogen peroxide gel on enamel surfaceroughness. Methods: Fifty-two enamel fragments of bovineteeth were flattened and polished (4x4x3 mm) and dividedinto four groups according to bleaching treatment: VL- VioletLED; HP- 7.5% hydrogen peroxide; HP+VL- 7.5% hydrogenperoxide + violet LED; C- No bleaching (control). Before thetreatments, all specimens were immersed in 20 mL of blacktea for six days, changing solutions every 24 h to simulatethe staining of specimens. Forty fragments were used toanalyze surface roughness (n=10) and 12 fragments wereused for the morphological analysis (SEM) (n=3). Results:The data were submitted to one-way ANOVA and a post-hocTukey test. The lower roughness values was observed for thegroup that did not receive bleaching treatment (C), differingsignificantly only from the group bleached with 7.5% hydrogenperoxide + violet LED (HP+VL) (p=0.0077). The remaininggroups did not show significant differences in roughnessvalues (p>0.05). The scanning electron microscopy analysisshowed irregularities on the enamel surface regardless ofthe treatment received. Conclusion: The results showedthat bleaching treatments with violet LED associated withlow-concentration hydrogen peroxide gels (7.5%) increasethe surface roughness of tooth enamel.
Qual a contribuição da Agricultura Familiar na qualidade dos cardápios da alimentação escolar?
Authors: Amorim Ana Laura Benevenuto de , Domene Semiramis Martins Álvares , Bandoni Daniel Henrique
Published: November 2020

Objetivo: Avaliar a qualidade do cardápio do Programa Nacional de Alimentação Escolar de municípios do estado de São Paulo, segundo o percentual de aquisição de produtos da Agricultura Familiar. Método: Os municípios foram classificados, de acordo com o percentual de aquisição de gêneros alimentícios oriundos da Agricultura Familiar (AF). Trata-se de um estudo transversal, em que a partir de questionário com descrição do cardápio de uma semana, teve-se a avaliação pelo Indicador de Qualidade de Cardápios da Alimentação Escolar, frequência de ocorrência de grupos de alimentos e valor energético e de macro e micronutrientes. Todas as variáveis foram avaliadas segundo o percentual de aquisição da AF. Os dados foram expressos em mediana, valor mínimo e máximo e para verificar a diferença entre os grupos foi utilizado o teste Kruskal-Wallis e o Qui-Quadrado (para ambos foi considerada p<0,05). Resultados: Foram avaliados os cardápios de 52 municípios. Encontrou-se diferença significativa apenas para carboidrato. Com relação aos grupos de alimentos, não foi identificada diferença estatiscamente significativa. Encontrou-se elevada presença de alimentos processados e ultraprocessados nos cardápios. Conclusão: Não foi possível identificar diferenças entre a frequência de oferta dos grupos de alimentos segundo o percentual de aquisição de AF, assim como, quanto as características quantitativas da maioria dos nutrientes. No entanto, os dados mostram haver tendência a menor oferta de frutas nos municípios que estão comprando menos da AF. De modo geral, foram encontrados cardápios em desacordo com a base legal do PNAE.
The pattern of upbringing of middle to lower economic families in urban communities
Authors: Oktaviana Diva
Published: November 2020

The purpose of writing this article is to examine the way parenting can influence the growth of attitudes and character in children from families in lower middle economic classes. By studying the parenting, the most appropriate parenting for children’s growth and development. The study was conducted on the social figures around children, especially parents and teachers who can understand every pattern of development that occurs in children in a city. This research utilized in-depth interviews and observation methods in order to identify the  meeting point that the best parenting pattern is democratic parenting. Therefore, the inculcation of attitudes towards children from an early age must indeed be carried out to support the implementation of democratic parenting. Family and school are the social institutions that are interlocking and have a reciprocal relationship since both hold an important role for the growth and development of children. Having a synergistic relationship and becoming the social control for children are the essential key in improving the children’s quality in the future. Economic limitations are not an obstacle to the fulfillment of the social role held by parents and schools. Precisely with this awareness, it is expected that families can become more aware of the impacts resulting from parenting mistakes. Children who will become the future of the family will be saved. Social mobility is also highly likely to occur when parenting is properly implemented.
Penyelesaian Sengketa Pajak Daerah Atas Bea Perolehan Hak Atas Tanah dan Bangunan di Kabupaten Sidoarjo
Authors: Adhi M Dhimas
Published: November 2020

Artikel ini berjudul “Kepastian Hukum Dalam Penyelesaian Sengketa Pajak Daerah Atas BPHTB” yang dalam penulisannya menggunakan metode Penelitian doktrinal dengan pendekatan perundang-undangan dan pendekatan konseptual. Bea Perolehan Hak Atas Tanah dan Bangunan merupakan salah satu penyumbang terbesar dalam Pendapatan Asli Daerah. Bea Perolehan Hak Atas Tanah dan Bangunan ini diatur dalam Undang-Undang Nomor 28 tahun 2009 tentang Pajak Daerah dan Retribusi Daerah jo Peraturan Daerah Nomor 5 tahun 2010 tentang Bea Perolehan Hak Atas Tanah dan Bangunan. Dalam Pelaksanaan penentuan penetapan besaran BPHTB tersebut terdapat permasalahan yang timbul dikarenakan sesuai perundang-undangan adalah transaksi namun oleh petugas pemungutan BPHTB ditentukan mengunakan harga pasar, zonasi atau lainnya sesuai dengan subyektifitas petugas pemungut, sehingga memunculkan ketidakpastian hukum. Permasalahan tersebut dapat diselesaikan dengan cara negosiasi antara wajib pajak dengan petugas pajak, Khususnya di daerah Sidoarjo belum pernah terjadi permasalahan BPHTB tersebut menjadi sengketa di pengadilan pajak karena seluruh permasalahan tersebut dapat diselesaikan pada saat adanya pemeriksaan pajak.
Pemutusan Hubungan Kerja Dengan Alasan Indisipliner Melalui Aplikasi Whatsapp Messenger
Authors: Afif Muhammad Ammar
Published: November 2020

Alasan Pemutusan Hubungan Kerja oleh pengusaha terhadap buruh/pekerja sering kali menimbulkan perselisihan antara pengusaha dengan pihak buruh. Banyak faktor yang memperngaruhi perselisihan tersebut, salah satunya adalah tindakan indisipliner oleh buruh/pekerja yang digunakan sebagai alasan pemutusan hubungan kerja oleh pengusaha. Tindakan indisipliner sendiri dapat terjadi karena beberapa hal seperti buruh/pekerja salah tafsir atas perjanjian kerja, peraturan perusahaan maupun perjanjian kerja bersama, dan dapat juga karena buruh/pekerja sengaja melakukan pelanggaran atas ketentuan tersebut yang telah disepakati oleh para pihak. Terdapat beberapa hal yang harus diperhatikan pengusaha dalam melakukan pemutusan hubungan kerja terhadap buruh karena tindakan indisipliner, seperti prosedur atau ketentuan yang terdapat pada Undang-Undang Ketenagakerjaan. Secara tersirat indisipliner diatur pada pasal 161 Undang-Undang Ketenagakerjan seperti adanya surat peringatan secara berturut turut misalnya. Kemudian dalam hal sarana pemberitahuan pemutusan hubungan kerja, seiring berkembangnya tekhnologi aplikasi pesan singkat WhatsApp Messenger tidak hanya sebagai alat pengirim pesan singkat saja namun dapat dijadikan sarana untuk pemberitahuan PHK oleh pengusaha. Tentu dalam hal ini pengusaha tetap harus mengikuti prosedur pemutusan hubungan kerja dalam tindakannya sesuai Undang-Undang Ketenagakerjaan.
Pengaturan Pemungutan Pajak Penghasilan Bagi Kegiatan Jasa Titip Barang Impor
Authors: Indriyanti Novita Wahyu
Published: November 2020

Kegiatan Jasa Titip barang impor merupakan sebuah layanan jasa dimana individu yang berlaku sebagai penyedia jasa bepergian ke suatu negara tertentu untuk membelikan barang-barang yang telah dipercayakan oleh pelanggan untuk dibelikan oleh penyedia jasa dan barang-barang tersebut akan dibawa kembali ke Indonesia untuk kemudian diserahkan kepada pelanggan tersebut dengan melakukan sejumlah pembayaran (fee) untuk penyedia jasa. Kegiatan meningkatkan minat daya beli masyarakat untuk jasa titip menjadi konsumtif terhadap barang impor. Kegiatan jasa titip barang impor merupakan kegiatan usaha baru yang belum memiliki peraturan perundangan – undangan yang mengatur sehingga banyak pelaku kegiatan jasa titip yang menggunakan berbagai cara untuk lolos dari beban perpajakan, salah satunya pajak penghasilan. Dalam pengenaan pajak penghasilan terdapat dua pengenaan yang berbeda terhadap pelaku kegiatan jasa titip yaitu pelaku kegiatan jasa titip yang memiliki NPWP dan non NPWP. Terkait belum adanya peraturan perundang -undangan yang mengatur, diperlukan adanya penghalusan hukum atas peraturan perundang-undangan yang sudah ada sebagai suatu upaya penegakan hukum bagi tindakan pelaku kegiatan jasa titip yang melanggar norma hukum.
Information Privacy Concerns Among Instagram Users: The Case of Indonesian College Students
Authors: Darmaningrat Eko Wahyu Tyas , Astuti Hanim Maria , Alfi Fadhila
Published: November 2020

Background: Teenagers in Indonesia have an open nature and satisfy their desire to exist by uploading photos or videos and writing posts on Instagram. The habit of uploading photos, videos, or writings containing their personal information can be dangerous and potentially cause user privacy problems. Several criminal cases caused by information misuse have occurred in Indonesia.Objective: This paper investigates information privacy concerns among Instagram users in Indonesia, more specifically amongst college students, the largest user group of Instagram in Indonesia.Methods: This study referred to the Internet Users' Information Privacy Concerns (IUIPC) method by collecting data through the distribution of online questionnaires and analyzed the data by using Structural Equation Modelling (SEM).Results: The research finding showed that even though students are mindful of the potential danger of information misuse in Instagram, it does not affect their intention to use Instagram. Other factors that influence Indonesian college students' trust are Instagram's reputation, the number of users who use Instagram, the ease of using Instagram, the skills and knowledge of Indonesian students about Instagram, and the privacy settings that Instagram has.Conclusion: The awareness and concern of Indonesian college students for information privacy will significantly influence the increased risk awareness of information privacy. However, the increase in risk awareness does not directly affect Indonesian college students' behavior to post their private information on Instagram.
ADOLESCENCE TIBIAL TUBERCLE AVULSION FRACTURE: OPTION OF SURGICAL TREATMENT IN WORSENING CONDITION OF PRE-EXISTING OSGOOD-SCHLATTER DISEASE (OSD)
Authors: Soraya Fira , Affan Ritzky Pratomo , Hariyanto Bagus Danu
Published: November 2020

Background: Osgood-Schlatter disease (OSD) is the most frequent cause of chronic knee pain in adolescents. Tibial tubercle avulsion fractures are an infrequent injury, approximately between 0.4-2.7% of all epiphyseal injury. Even though the relation between OSD and tibial tubercle avulsion fracture is still controversial, there are cases previously reported with this presentation.Case Report: A 16-years-old boy complained of pain on his left knee, significantly below the patella with ambulation limitation. He had a two-months history of knee pain in the same location and prominence on the area below the patella that was getting more significant over time. The patient was actively involved in volleyball in his school. The radiographic findings show fragmented tubercle fractures on the left tibial, soft tissue swelling in the tubercle's anterior side, and increased density of the infrapatellar fat pad. The patient underwent ORIF with screws. After a one-month post-surgery, the patient felt minimal pain when bending his left knee.Discussion: Male adolescents (12-15 years) and repetitive sprinting and jumping sports are the risk factors for OSD. About 90% of cases show a complete resolution, but some conditions make the OSD worse, such as low compliance at exercise avoidance. Surgery is rarely indicated for OSD, but in the condition of, even though very uncommon, tibial tubercle avulsion fracture, surgery gives a better outcome and resolution.Conclusion: All Osgood-Schlatter disease' patients should temporarily restrict sports activities to prevent tibial tubercle avulsion fractures.
UNSTABLE LUMBAR FRACTURE-DISLOCATION TREATED BY LONG SEGMENT POSTERIOR PEDICLE SCREW INSTRUMENTATION
Authors: Danang Ferdiansyah , Airlangga Primadenny Ariesa
Published: November 2020

Background: Among all the thoracolumbar fractures, 50-60% affects the thoracolumbar transitional zone, and 51% AO Type C Fractures has a neurological deficit. We experienced treating a case of unstable lumbar fracture-dislocation treated with long segment pedicle screw instrumentation.Case: A 26-year-old man came to the ER after his back hit by a canopy while working 2 hours before admission. The motoric function was diminished from the L2-S1 level and hypoesthesia at the T12 level. Plain X-Ray showed Fracture-Dislocation Lumbar Vertebral 1-2 Denis Classification Flexion Rotation (AO Type C) ASIA A. The patient underwent reduction, decompression, and long-segment posterior pedicle screw instrumentation.Discussion: The surgery’s primary purpose is to restore alignment and stability to improve the patient’s quality of life by enabling daily activity in a wheelchair without significant pain. Short segment or long segment pedicle screw instrumentation remains a debate. In this case report, we apply long segment pedicle screw instrumentation for lumbar vertebral fracture-dislocation.Conclusion: Thoracolumbar fracture and dislocation fixation aim to restore alignment and stability, to reduce kyphotic deformity, and to decompress the spinal canal. The long segment pedicle screw instrumentation can resist the deforming force of thoracolumbar fractures and dislocations that will inevitably collapse into further kyphosis, resulting in a better outcome.
Peripartum cardiomyopathy and its relationship with preeclampsia
Authors: Susanto Christina Meilani , Gumilar Khanisyah Erza
Published: November 2020

Objectives: To know the characteristic of PPCM in RSUD Dr. Soetomo Hospital Surabaya and to know the relationship between PPCM and PE.Materials and Methods: This was a case control study. Data was obtained from medical record of 2843 patients within 2014-2015, divided into 2 groups, 19 patients with PPCM in a case group, and 2824 patients in control group. The statistical analysis used was Fisher exact test.Results: Peripartum cardiomyopathy patients were older compared to control group (32.21 ± 6.83 y.o vs 29.26 ± 6.45 y.o). The incidence of PPCM in our study was about 1 per 149 live births. Most cases were diagnosed antepartum (52.63%), and about 84.2% PPCM cases were also complicating with preeclampsia. The statistical analysis revealed that there was increase risk of PPCM if the pregnant women complicates PE during pregnancy, with Odds Ratio (OR) 20.679, p<0.05. The most common perinatal outcomes was Small for Gestational Age (SGA) babies (81.8%), whereas case fatality rate (CFR) in maternal was 15.7%.Conclusion: Although diagnosis of PPCM is still an exclusion diagnosis, we have to pay more attention to pregnant women complicating with preeclampsia, since preeclampsia can increase the risk of PPCM.
Characteristics of abortus patients in Dr. Soetomo Hospital, Surabaya, Indonesia
Authors: Damayanti Kadek Novita , Yusuf Muhammad , Sudarno Sudarno
Published: November 2020

Objective: The purpose is to uncover the characteristics of abortion patients in Dr. Soetomo general hospital in 2014.Materials and Methods: This study has analized with descriptive observational method using data from medic records on patient that fulfilled inclusion criterias in Dr. Soetomo general hospital during the periods of January 1st - December 31st 2014. Researcher used various variables such as patient’s age, gestational age, parity, previous history of abortion, previous history of contraception and type of abortion. From 40 patients, only 31 patients that fulfilled those inclusion criteria.Results: This study found that from 31 patients of abortion, the age group is dominated by more than 35 years old (52%). Most gestational age of abortion’s patients comes before 20 weeks (68%). Parity occurance is dominated by multiparity (39%). Most of them have no previous history of abortion (55%). Most of them also have no previous history of contraception (65%). And the type of abortion is dominated by Threatened Abortion (61%).Conclusion: Characteristics of abortion patients based on age are dominated by age over 35 years (52%). Based on gestational age are dominated by gestational age less than 12 weeks (1st trimester) (68%). Based on the parity dominated by multiparous groups (39%). Based on previous history of abortion are dominated by patients who have never experienced abortion before (55%). And based on the type of abortion are dominated by patients who experience Imminent Abortion (61%).
Prenatal diagnostic and management of megacystis microcolon intestinal hypoperistalsis syndrome: A report on a rare case in Cipto Mangunkusumo Hospital, Jakarta, Indonesia
Authors: Maulina Fita , Purwosunu Yuditiya
Published: November 2020

Megacystis Microcolon Intestinal Hypoperistalsis Syndrome (MMIHS) is a rare and the most severe form of functional intestinal obstruction in the newborn. The characteristic features of this congenital and fatal disease are abdominal distension, absent or decreased bowel peristalsis. Abdominal distension is a consequence of the distended, unobstructed urinary bladder with or without hydro nephrosis. Some previous reports have revealed that the typical antenatal sonographic findings are as follows: a greatly distended bladder, bilateral hydro nephrosis, and a normal amount of amniotic fluid; however, the antenatal diagnosis of this syndrome is occasionally difficult.
Quantitative Epigenetics: A New Avenue for Crop Improvement
Authors: Gahlaut Vijay , Zinta Gaurav , Jaiswal Vandana , Kumar Sanjay
Published: November 2020

Plant breeding conventionally depends on genetic variability available in a species to improve a particular trait in the crop. However, epigenetic diversity may provide an additional tier of variation. The recent advent of epigenome technologies has elucidated the role of epigenetic variation in shaping phenotype. Further, the development of epigenetic recombinant inbred lines (epi-RILs) in the model species such as Arabidopsis has enabled accurate genetic analysis of epigenetic variation. Subsequently, mapping of epigenetic quantitative trait loci (epiQTL) allowed association between epialleles and phenotypic traits. Thus, quantitative epigenetics provides ample opportunities to dissect the role of epigenetic variation in trait regulation, which can be eventually utilized in crop improvement programs. Moreover, locus-specific manipulation of DNA methylation by epigenome-editing tools such as clustered regularly interspaced short palindromic repeats/CRISPR-associated protein 9 (CRISPR/Cas9) can facilitate epigenetic based molecular breeding of important crop plants.
Thrombolytic Therapy in Normotensive Patients with Pulmonary Embolism (Data from the Retrospective Study)
Authors: Сherepanova N. A. , Mullova I. S. , Kiselev A. R. , Pavlova T. V. , Khokhlunov S. M. , Duplyakov D. V.
Published: November 2020

Background. The thrombolytic therapy is absolutely recommended for patients in shock or hypotension because the benefits are clearly outweighing the risks. However, in hemodynamically stable patients, including those with acute right ventricular dysfunction and/or myocardial damage, thrombolysis has a significantly lower evidence level.

Aim. To study the criteria based on which doctors decide to conduct thrombolytic therapy in normotensive patients in real clinical practice according to the retrospective data.

Material and methods. A single-center retrospective cohort study analyzed medical records of patients hospitalized in 2006-2017 with a verified diagnosis of pulmonary embolism (PE) and who had a systolic blood pressure >90 mm Hg at the time of admission.

Results. The present study population included 299 patients with a verified diagnosis of PE from 2006 to 2017 years. Patients were divided into two groups: with thrombolysis (group 1) and without thrombolysis (group 2). Logistic regression analysis showed that age younger than 60 years, the presence of varicose veins of the lower extremities, skin cyanosis, syncope in the debut of PE were independent clinical factors that significantly influence the doctor's decision to perform thrombolysis. Increased troponin I, right ventricular dysfunction, and the severity of PE according to the PESI score showed no significant impact on this decision. In-hospital mortality in the group 2 was 1.9% (5 patients), while there were no deaths in the group 1. But the analysis of the association of thrombolysis with survival was difficult to perform due to the low incidence of deaths and the small number of patients in the group with thrombolysis (odds ratio 0.34; 95% confidence interval 0.03-8.18; р=0.856). No major bleeding was registered in any group.

Conclusion. We were not able to clearly identify independent clinical or instrumental factors that influence the decision to perform thrombolysis in patients with PE outside the framework of evidence-based medicine. Further research is needed.
Pharmacoeconomic Analysis of Therapy with Generic Statin Drugs in Patients with High and Very High Cardiovascular Risk (According to the Study PRIORITY)
Authors: Martsevich S. Yu. , Lukina Yu. V. , Kutishenko N. P.
Published: November 2020

Aim. To perform a pharmacoeconomical assessment of the use of generic statin drugs in patients with high and very high cardiovascular risk (CVR) in real clinical practice based on the data of the study PRIORITY.

Material and methods. The PRIORITY study included 298 patients with high (29; 9.7%) and very high (269, 90.3%) CVR. All patients were recommended to take the reproduced drugs of atorvastatin and rosuvastatin in an individually prescribed dose. After 1 month (B1), if the target level of lowdensity lipoprotein cholesterol (LDL-C) was not reached, the statin dose was titrated. After 3 months of follow-up (B3), the hypolipidemic effect of statin therapy was evaluated. 295 people completed the study, 285 patients had the results of the lipid profile. To perform a pharmacoeconomic analysis and evaluate the “cost/effectiveness” ratio, we used the prices of generic statins in one of the online pharmacies. The effectiveness of statins was determined by the LDL-C reduction, as well as by the percentage of achieving the target LDL-C level.

Results. At the first stage of the pharmacoeconomic analysis, the criterion for the effectiveness of 3-month lipid-lowering therapy was a decrease in LDL-C level by 1 mmol/l. The median and interquartile range of the ratio “cost/effectiveness” indicator for atorvastatin was 658.2 (431.5; 1257.1) RUB/mmol/l, and for rosuvastatin – 621.0 (390.7; 940.6) RUB/mmol/l (p=0.45). The results of a comparative assessment of the “cost/effectiveness” ratio (with the abovementioned effectiveness indicator) in subgroups of patients with high and very high CVR, with the achievement and nonachievement of the target level of LDL-C, adherent and non-adherent to statins, revealed the economic advantage of statins in groups of adherent patients (p=0.35), high-risk patients (p<0.0001) and individuals who reached the target level of LDL-C (p=0.002) when compared with the corresponding comparison groups. Despite the revealed high effectiveness of rosuvastatin at doses of 20-40 mg/day (assessed by the cost/effectiveness of achieving the target values of LDL-C for specific doses of statins), calculation of the “cost/effectiveness” ratio for each reproduced statin, in general, showed a higher economic effectiveness of atorvastatin.

Conclusion. Pharmacoeconomic analysis of therapy with generic statin drugs, performed according to the data of the non-randomized uncontrolled study, allows to justify the economic efficiency and advantages of these drugs in various subgroups of patients who need statin therapy.
Clinical and Pharmacological Approaches to the Prescription of Centrally Acting Antihypertensive Drugs for Uncontrolled Arterial Hypertension
Authors: Strygin A. V. , Tolkachev B. E. , Strygina A. O. , Dotsenko A. M.
Published: November 2020

Episodes of rapid increase in blood pressure due to uncontrolled arterial hypertension, previously known as a hypertensive urgency, is common clinical condition which many of practicing physicians are encountered daily. As a rule, these conditions are not life-threatening, however they could lead to target-organs damage if not promptly relieved. Therefore, clear evidence-based recommendations of optimal antihypertensive drug administration in these situations would provide more safe and effective therapy. Despite that, definite expert consensus regarding optimal choice of antihypertensive drugs to manage these patients have not been reached so far. The aim of the current review was to assess the results obtained from clinical trials regarding the safety and efficacy of moxonidine for urgent hypertensive therapy in patients with uncontrolled arterial hypertension admitted to emergency healthcare units as well as in those at the prehospital stage. Performed literature-based analysis revealed enough evidences proving that moxonidine can be administered in a single dose of 0.4 mg as a drug of choice in situations where prompt and stable hypotensive effect is desired. Results of comparative studies designed to closely match real clinical settings indicate that more adequate and sustainable therapeutic effect is achieved after moxonidine administration in comparison to other frequently used antihypertensive drugs.
Iklan Satā’ir Panasonic al-Hawā’īyah Koran Al-Ahrām, Mesir: Analisis Semiotik Peirce
Authors: Darajah Ulyah
Published: November 2020

Advertising is text in the form of images or writing to promote an item, service, job opening, and others. Print advertisements (newspapers) are useful for all people who read them. The purpose of this paper is to describe the advertisement about “Satā’ir Panasonic al-Hawā’iyah” (AC cover) contained in Egypt’s Al-Ahrām newspaper. The method used in this paper is a qualitative method with descriptive analysis. The theory used in this research is Charles Sanders Peirce’s Semiotic theory; representamen, object, and interpretant. The results in this study indicates that  (1) in terms of representamen, pink flowers in the advertisement show that what is seen is something that smells nice, soft, and comfortable; (2) the object in the advertisement is all the images and writing contained in the ad; (3) while the interpretant of the advertisement shows that the Panasonic brand AC cover product is fragrant, soft, clean, fresh, and comfortable to use.
Electric Shock-Induced Vertebral Fracture
Authors: Arora Sumit , Khan Yasim , Suri Tarun , Gupta Swati
Published: November 2020

Case:

A 35-year-old man suffered electric injury with 220 V alternating current when he was connecting electric wires at approximately 5 feet height and accidentally touched a live wire. He was diagnosed to have fracture involving superior and inferior endplates of L2 vertebral body without involvement of posterior elements. He, subsequently, underwent spinal stabilization with percutaneous pedicle screws fixation.

Conclusion:

Electric shock can cause vertebral fractures even at a low voltage. These fractures tend to have coronal plane involvement and involve both superior and inferior end plates.
Cape-like Anomalous Confluence of the Long Head of the Biceps and Rotator Cuff in the Presence of a SLAP Tear
Authors: Parisien Robert L. , Griffis Martin , Jo Stephanie Y. , Kelly John D. , Sennett Brian J.
Published: November 2020

Case:

A 25-year-old woman sustained an acute tear of her superior anterior-posterior labrum with arthroscopic identification of an anomalous origin of the long head of the biceps arising exclusively from the supraspinatus tendon with no attachment to the supraglenoid tubercle or superior labrum.

Conclusion:

This is the first report of a symptomatic superior labrum anterior-posterior tear in a patient with a rare anatomic confluence of the long head of the biceps to the supraspinatus. We recommend addressing the labral pathology with utilization of a standard technique because satisfactory results can be realized with isolated labral fixation to the glenoid, despite the absence of an attached biceps tendon.
Radial Nerve Palsy After Intercondylar Distal Humerus Fracture
Authors: Veeresh Vivek , Bansal Hemant , Dhiman Ankur , Trikha Vivek
Published: November 2020

Case:

A 30-year-old man sustained an injury to the right elbow after a fall from a bike. On clinical examination, he had preoperative radial nerve palsy with radiological diagnosis of the intercondylar distal humerus fracture. Intraoperatively, the patient had the radial nerve entrapped between the proximal metaphyseal fragment and distal lateral condyle of the humerus.

Conclusion:

Preoperative radial nerve palsy associated with the intercondylar distal humerus fracture is very rare. Fractures with the significant anterolateral displacement of the proximal metaphyseal fracture segment may entrap the course of the radial nerve in the anterior compartment of the distal humerus and thus manifest as radial nerve palsy.