bluuebunny/crossref_metadata_2025_split huggingface dataset:
Difficulties in the treatment of recurrent juvenile laryngeal papillomatosis associated with pemphigus vulgaris
Authors: Sarafoleanu Codrut , Lapicus Gheorghe , Lupu Ana Isabela , Budu Vlad 
Published: May 2020

Abstract
Recurrent laryngeal papillomatosis is a disease caused by human papillomaviruses (HPVs), which currently does not benefit from a curative treatment. Due to the fact that HPV has the action of modifying cellular DNA, with changes in the expression of interleukins and interferon, with insufficient maturation of T cells and intracellular overpopulation of immunosuppressive cells, the association of RRP (Recurrent Respiratory Papillomatosis) with an autoimmune disease may cause particular difficulties in the therapeutic management of patients diagnosed with RRP.
Immunosuppressive medication negatively influences the development of papillomatosis, increasing the number of local relapses and, respectively, the need for surgical intervention due to the increased viral multiplication and the proliferation of papillomatous lesions. In order to exemplify the difficulties encountered in treating RRP associated with an autoimmune disorder, the authors present the case of a 21-year-old patient diagnosed with juvenile recurrent laryngeal papillomatosis genotype 6, with multiple antecedent surgeries, who was diagnosed with pemphigus vulgaris at the age of 19. The peculiarity of the case lies in the difficulty of managing the RRP associated with an immunosuppressive disorder whose therapeutic indication is cortisone and immunosuppressive treatment, which led to exacerbation of viral multiplication and proliferation of papillomatous lesions.
Extramedullary plasmacytoma with intranasal localization
Authors: Pirvu Alexandru , Sarafoleanu Codrut , Musat Gabriela 
Published: May 2020

Abstract
Plasmacytoma is a rare, non-epithelial, malignant tumor, affecting soft or bony tissues, which can have a unique location (solitary or extramedullary solitary plasmacytoma), or multiple (multiple myeloma). In the ENT sphere, it is most commonly encountered in its extramedullary form, which develops in the region of the head and neck, at the level of the submucosa. Most commonly, it affects the elderly, who have cardinal symptoms such as unilateral nasal obstruction, nasal or facial swelling, tissue necrosis or mucosal ulcerations, perforation of the nasal septum with dysmorphia of the nasal pyramid, recurrent unilateral epistaxis. Radiotherapy is the treatment of choice for extramedullary plasmacytoma. The prognosis is a reserved one, the risk of recurrence or conversion to multiple myeloma also existing 15 years after treatment.
A shift in the classic management of parotidectomy - the facelift approach
Authors: Ciofu Mihai-Liviu , Cobzeanu Mihail Dan , Boisteanu Otilia , Sulea Daniela , Giuvara Razvan , Carp Alexandra , Popescu Eugenia , Costan Victor-Vlad 
Published: May 2020

Abstract

BACKGROUND. Improving the aesthetic and functional outcomes of parotidectomy is a constant concern of recent studies. We describe our experience on this topic by employing techniques inspired from rhytidectomy.

MATERIAL AND METHODS. We performed a retrospective study including patients that underwent parotidectomy through a facelift approach and we documented the details of the technique and the postoperative care and outcomes.

RESULTS. A total of 247 patients with parotid gland tumors were operated using the facelift approach. A superficial or quasi-total parotidectomy was performed, followed by a superficial musculoaponeurotic system-plasty. The postoperative outcomes were favourable regarding both the appearance and function, with minimal complications. The advantages of the employed technique are discussed.

CONCLUSION. It is possible to decrease the sequelae, simplify the postoperative care and improve the aesthetic outcome of parotidectomy cases by employing the facelift approach and the superficial musculoaponeurotic system (SMAS) reconstruction of the post-parotidectomy defect.
The role of 3D reconstruction in surgical training for the ENT young surgeon
Authors: Passali Francesco Maria , Flora Barbara , Fuccillo Emanuela , Di Girolamo Stefano 
Published: May 2020

Abstract

BACKGROUND. Nose and paranasal sinus surgery requires an accurate anatomical knowledge and a fine systematic learning. Surgical practice on cadaveric specimens is very important for the ENT resident to allow for a step-by-step learning, but it is not easy in all countries to have access to this compound.

MATERIAL AND METHODS. We propose 3D-printed anatomical bone model exercitations as an alternative method for anatomical study, morphological research and surgical learning

RESULTS. We have achieved very satisfactory morphological results both for the colours and shapes.

CONCLUSION. The use of 3D modelling simulation allows the young surgeon to improve their technical skills and to the expert surgeon to plan the preoperative strategy in complex situations.
Giant schwannoma of the left maxillary sinus - a rare case report
Authors: Musa Muhammad Adzha , Affandi Ahmad Nordin , Narayanan Prepageran , Nee Tan Shi 
Published: May 2020

Abstract

BACKGROUND. Polyps, cysts and mucocele are the commonest sinonasal tumors present unilaterally, as well as invasive tumors, such as inverted papillomas and squamous cell carcinomas. On the contrary, Schwannomas are rare lesions found in this area.

MATERIAL AND METHODS. We present a case of a 48-year-old female who presented with a 2-year progressive history of left nasal obstruction, cranio-facial fullness sensation and pain, with intermittent epistaxis. The CT scan of the nose and paranasal sinuses showed complete opacification of the entire left nasal cavity and maxillary sinus, causing a deviated nasal septum to the right side.

RESULTS. The tumor was completely excised endoscopically without any complication. Histopathology was consistent with that of a schwannoma.

CONCLUSION. The diagnosis of sinonasal Schwannomas remains challenging, as it is a rare tumor and sometimes its clinical behaviour and imaging may be misleading. The treatment of choice for paranasal sinus schwannoma is complete excision of the tumor with good prognosis.
Laolita nTo Pamona (Ceritera Rakyat Orang Pamona)
Authors: Adriani N. 
Published: May 2020

Ceritera Rakyat To Pamona dari Sulawesi Tengah, sebagaimana ditranskripsi oleh N. Adriani (Bare'e Verhalen 1932); dicetak ulang dengan Ejaan Yang Disempurnakan.
Folktales of the To Pamona of Central Sulawesi, as transcribed by N. Adriani (Bare'e Verhalen 1932); reprinted in the new Indonesian orthography (Ejaan Yang Disempurnakan).
IMPLEMENTASI PERPAJAKAN DALAM PENGELOLAAN DANA DESA (STUDI KASUS DI DESA BUNGAEJAYA KECAMATAN PALLANGGA KABUPATEN GOWA)
Authors: Wahyu Sakina Dwi , Burhan Imron , Akrim Djusdil 
Published: May 2020

Penelitian ini bertujuan untuk mengetahui implementasi perpajakan dalam pengelolaan Dana Desa di Desa Bungaejaya Kecamatan Pallangga Kabupaten Gowa. Metode penelitian yang digunakan adalah kualitatif dengan sumber data primer dan sekunder dengan prosedur pengambilan data dalam penelitian ini yaitu wawancara dan dokumentasi. Teknik analisis data adalah deskriptif kualitatif. Hasil penelitian menunjukkan bahwa implementasi perpajakan dalam pengelolaan Dana Desa Tahun 2018 belum sepenuhnya dilaksanakan di Desa Bungaejaya Kecamatan Pallangga Kabupaten Gowa.
CARCINOMA DE CÉLULAS DE MERKEL – NORMAS DE ORIENTAÇÃO CLÍNICA
Authors: Teixeira Vera , Vieira Ricardo , Julião Maria José , Figueiredo Américo 
Published: May 2020

Introdução: O carcinoma de células de Merkel (CCM) é considerado um tumor cutâneo raro, cuja incidência triplicou nos últimos 20 anos, em parte devido a uma maior acuidade diagnóstica. A taxa de mortali- dade ultrapassa a do melanoma, com importante morbilidade associada e metastização loco-regional. Material e métodos: Os autores reviram a literatura disponível com o intuito de fornecer normas de orientação clínica para o diagnóstico e tratamento do CCM. Resultados: Recentemente o American Joint Commitee on Cancer elaborou um sistema de estadiamento (TNM), que divide o CCM em 4 estadios (I-IV) consoante o grau de agressividade da neo- plasia. A cirurgia é a terapêutica de 1a linha na abordagem do CCM, com margens cirúrgicas que variam entre 1-2cm, consoante as características do tumor primário. Actualmente é consensual o benefício da biopsia do gânglio sentinela, sendo o status do gânglio sentinela o factor prognóstico mais importante. A radioterapia adjuvante no leito tumoral e nas cadeias ganglionares regionais assume particular importância associada à linfadenectomia radical. Apesar de se tratar de um tumor quimiossensível, o estadio IV do CCM tem prognóstico reservado, sendo discutível o benefício da quimioterapia. Conclusões: É importante manter um baixo limiar de suspeita para o CCM no sentido de optimizar o tratamento deste tumor agressivo. PALAVRAS-CHAVE – Carcinoma de células de Merkel; Biopsia de gânglio sentinela; Estadiamento; Normas de orientação clínica.
EXPANSÃO TECIDULAR AGUDA PARA RECONSTRUÇÃO DE DEFEITO MAJOR DA REGIÃO FRONTAL
Authors: Pacheco David , Tavares Ermelindo , Rosa de Almeida José 
Published: May 2020

A expansão tecidular aguda é um procedimento largamente utilizado pela Cirurgia Plástica no encerramento de grandes defeitos cirúrgicos ao nível da cabeça e o pescoço. Apresenta-se o caso de uma doente do sexo feminino de 61 anos de idade, com um Dermatofibrosarcoma protuberans de 45x30mm, localizado na região frontal média, com 20 anos de evolução. O defeito cirúrgico resultante da remoção do tumor é de grandes dimensões, isto acompanhado da localização anatómica, envolve um procedimento reconstrutivo complexo, o qual implicaria a realização de um retalho. Optou-se pela expansão tecidular por ser uma técnica simples, com um bom resultado estético, que se pode efetuar num único tempo cirúrgico, minimizando a dificuldade técnica e as complicações de procedimentos mais invasivos.
DERMATOMIOSITE COEXISTENTE COM STRUMA OVARII - ASSOCIAÇÃO INVULGAR
Authors: Pacheco David , Travassos Ana Rita , Reis Miguel , Filipe Paulo , Palha Ana Maria 
Published: May 2020

A dermatomiosite é uma miosite inflamatória crónica autoimune, com manifestações cutâneas características e cujo diagnóstico em determinadas faixas etárias implica a investigação de determinadas neoplasias. O Struma ovarii é um tumor do ovário raro formado por tecido tiroideu com variantes benignas e malignas.Descreve-se o caso de uma doente caucasiana de 56 anos de idade, referenciada à consulta de Dermatologia por placas eritematosas túmidas localizadas nas coxas e dorso e eritema e edema unilateral da região periorbitária esquerda com vários meses de evolução. As biopsias foram compatíveis com paniculite lobular e a investigação imagiológica subsequente mostrou uma neoformação no ovário esquerdo. Após o procedimento cirúrgico o resultado anatomopatológico revelou uma forma benigna de Struma ovarii . Atualmente a doente está medicada com prednisolona e azatioprina com remissão completa das lesões cutâneas e melhoria do quadro clínico muscular.Este caso salienta a importância do acompanhamento deste tipo de doentes e a investigação de eventuais neoplasias.
Hanseníase tratada como lúpus: relato de caso. A importância do diagnóstico diferencial de hanseníase num país endêmico.
Authors: BALASSIANO LAILA KLOTZ DE ALMEIDA 
Published: May 2020

A hanseníase ainda constitui relevante problema de saúde pública brasileira, apesar da redução drástica no número de casos. O diagnóstico e tratamento tardios dificultam uma ação decisiva sobre a doença.Relatar o caso de uma paciente com diagnóstico e tratamento para lúpus eritematoso discóide (LED), que se tratava de hanseníase. Palavras-chave: hanseníase, lúpus eritematoso discóide, saúde pública.
Perubahan Fonologis Bahasa Gaul dalam Percakapan Whatsapp Kelompok Siswa Kelas 9 MTs Muhammadiyah 05 Kemusu
Authors: Oktavia Wahyu 
Published: May 2020

The study entitled "Phonological Changes in Slang in Conversations Whatsapp Groups of 9th Grade Students Muhammadiyah 05 Kemusu” aims to analyze the field of phonological studies in slang. This study uses a descriptive qualitative method that produces descriptive data in the form of written or oral words from people and observable behavior. The data source of this research is the form of Whatsapp group chat. The object in this study is slang. The subjects chosen are 9th grade students of MTs Muhammadiyah 05 Kemusu. The data analysis technique uses data reduction, data presentation, and verification. The results of the study show that (a) there is a form of slang; (b) there are 50 forms of slang which are transcribed in phonetic and phonemic forms; (c) there are 9 phonological traits in slang which are classified based on changes in consonant phoneme, vocal, mixed, combination of phonemes, anaphylaxis or phoneme addition, contraction or shortening, acronym, metathesis, and diphthongized or semivowel; and (d) the causes of the use of slang language are friendship, prestige, age, gender, and technological development
Myocardial Bridge Anatomical Characteristics Relationship with ECG Changes and Markers
Authors: Nafakhi Hussein , Al-Mosawi Abdulameer A. , Kasim Samet 
Published: May 2020

Abstract
Background
The clinical significance of coronary Myocardial Bridge (MB) anatomical characteristics is controversial in the literature. It is not clear whether MB has a benign or malignant clinical outcome.

Objectives
To investigate the possible relationship between MB characteristics (depth, length and volume index) with ECG markers [T Peak-to-End interval (Tp-e), transmural dispersion of repolarization and Index of Cardiac Electrical Balance (iCEB)] and changes (ST-T and S/R ratio changes in V1 and aVL leads).

Patients and Methods
Forty-one patients who were diagnosed as having MB at multi-detector CT exam were enrolled in the study.

Results
MB depth and volume index were associated with notched QRS (p = 0.001 and 0.003 respectively) in the whole sample. The association of notched QRS with MB depth and volume index was more significant in patients with coronary atherosclerosis (p = 0.001 and 0.01 respectively). There was a statistically significant association between MB length (p = 0.006) and volume index (p = 0.001) with an increased S/R ratio in aVL lead in patients free from coronary atherosclerosis. No statistically significant association was observed between MB anatomical characteristics with ECG markers of increased arrhythmia (p > 0.01), including TDR, Tp-e and iCEB.

Conclusion
MB depth and volume index showed a statistically significant association with notched QRS, particularly in patients with coronary atherosclerosis.
AUDIT TATA KELOLA SISTEM INFORMASI PENDAFTARAN SISWA MENGGUNAKAN COBIT 4.1 DI BLK SURAKARTA
Authors: Haqiqi Arif Naofal , Remawati Dwi , Harsadi Paulus 
Published: May 2020

The registration information system at the BLK Surakarta enables data redundancy. It will be analyzed to avoid this. The process of registering student services into the system is limited to the number of prospective students but input data is still unable to implement policies so that when data input still occurs or data from the same data or many data often occur. This study uses Cobit 4.1 to audit the registration information system available at the BLK Surakarta. The selected subdomain is the Delivery Subdomain and Support DS 10 and DS11, the purpose of which is to determine the maturity level value in the IT process that has been applied in the BLK Surakarta and provide recommendations that need to be corrected. Based on the maturity level statement in the Maturity Management Guidelines Control Framework. The resulting output is the study indicate that BLK Surakarta must conduct system performance evaluations that are routinely carried out with those responsible for identifying and tracking problems so that they are aware of the current system conditions. In Domain 10 of Delivery & Support, the results of the Current Maturity Level calculation are 3.27 with conditions Determining the Process. While Domain Deliver & Support 11, the result of calculation of Current Maturity Level is 3.31 with the Requirements for Determining the Process. The new student registration section has implemented a payment data management process but the lack of available tools makes data management less than optimal.Keywords: Student Registration Services, Registration Information System, COBIT 4.1, DS 10 and DS11 Domains, Defined Process
Pelayanan Publik Di Daerah: Menguak Kesenjangan Pelayanan Dasar Di Era Otonomi Daerah Local Public Service: Uncovering Basic Public Service Disparity in Regional Autonomy Era
Authors: Pratama M Rizki , Pramono Teguh 
Published: May 2020

AbstrakOtonomi daerah secara teoritis membuat layanan publik dekat dengan publik. Makalah ini berpendapat bahwa Dalam konteks Indonesia, penyesuaian sentralisasi lebih banyak terjadi sejalan dengan kesenjangan layanan publik yang mendasar. Masalah seperti itu mengarah pada masalah jahat dalam mengatur pelayanan publik. Ini menemukan bahwa ada tren saat ini dalam kesenjangan layanan publik, misalnya, jumlah dokter dan guru medis yang memiliki distribusi yang tidak setara dibandingkan dengan daerah pedesaan dan perkotaan. Paradigma negara kesejahteraan juga harus ditransformasikan menjadi wilayah kesejahteraan. Semua masalah ada di wilayah; negara harus mengakomodasi dan memfasilitasi daerah untuk menangani kesenjangan tersebut tidak hanya bergerak dengan agenda kebijakan sentralisasi. Kata Kunci : Layanan Publik, Disparitas, Otonomi Daerah AbstractRegional autonomy theoretically makes public service close to the public. This paper argues that In Indonesia context, more centralization adjustment happens in line with the fundamental public service disparity. Such problems lead to the wicked problems of governing public service. It finds that there is a current trend in public service disparity, for example, the amount of medical doctor and teacher which has unequal distribution comparing to the rural and urban area. The paradigm of the welfare state should be transformed welfare region as well. All problems are in regional; the state should accommodate and facilitate region to handle such disparity not only move with centralization policy agenda. Keywords:Public Service, Disparity, Regional Autonomy
KETERLAMBATAN PELIMPAHAN PENERIMAAN NEGARA PADA SISTEM TREASURY SINGLE ACCOUNT (TSA): ANALISIS TEKNIS DAN YURIDIS
Authors: Iskandar Iskandar 
Published: May 2020

Kiriman Uang Pelimpahan Penerimaan Negara dari Rekening Penerimaan pada Bank Persepsi ke Subrekening Kas Umum Negara pada Bank Indonesia (Sub RKUN BI) merupakan salah satu aktivitas dalam penerapan Treasury Single Account (TSA) dalam bidang penerimaan negara. Keterlambatan pelimpahan, termasuk transaksi outstanding yang berakibat pada denda keterlambatan menjadi issue yang dipermasalahkan Bank/Pos Persepsi kepada otoritas pengelola penerimaan negara dan kas negara. Paper ini menganalisis keterlambatan pelimpahan penerimaan negara ke Sub RKUN BI melalui BI-RTGS tersebut, baik dari aspek teknis maupun yuridis. Dari sisi teknis, analisis dilakukan terhadap proses pelimpahan melalui Bank Indonesia – Real Time Gross Settlement (BI-RTGS) dan permasalahan teknis yang terkait. Dari aspek yuridis, dianalisis perlakuan hukum terhadap keterlambatan pelimpahan negara dalam rangka TSA bidang penerimaan negara
PEMANFAATAN BUSINESS INTELLIGENCE SIMPONI DALAM MEMONITOR REALISASI PENERIMAAN NEGARA BUKAN PAJAK
Authors: Ernanto Frenda 
Published: May 2020

Business Intelligence development based on Sistem Informasi PNBP Online (SIMPONI) database offers several advantages, especially in fast and easy monitoring of Non-Tax Revenue realization. This study aims to elaborate the importance of Business Intelligence and its data accuracy compared to Ministry/Agency report of Non-Tax Revenue. The result finds that Business Intelligence is a powerfull tool in presenting Non-Tax Revenue data. However, if there are some corrections in the revenue data, the Business Intelligence data must be adjusted to maintain its accuracy. Pengembangan Business Intelligence yang bersumber dari data Sistem Informasi PNBP Online (SIMPONI) menawarkan beberapa keunggulan, terutama dalam memonitor realisasi Penerimaan Negara Bukan Pajak secara cepat dan mudah. Penelitian ini bertujuan untuk mengelaborasi pemanfaatan Business Intelligence dan tingkat akurasinya dalam menyajikan data PNBP dibandingkan dengan laporan yang disampaikan Kementerian/Lembaga. Hasil penelitian menunjukkan Businness Intelligence merupakan tools yang sangat berguna dalam menyajikan data realisasi PNBP. Namun demikian, dalam hal terdapat koreksi data, perlu dilakukan penyesuaian pada data Business Intelligence
PRAKTIK SISTEM PENGANGGARAN MELALUI PENATAAN ARSITEKTUR DAN INFORMASI KINERJA
Authors: Biswan Ali Tafriji 
Published: May 2020

This study is discussing about the structure of performance information owned by Centre for Climate Finance and Multilateral Policy, Fiscal Policy Agency, Ministry of Finance for fiscal year 2014 and 2015 before implementing ADIK and 2017 after implementing ADIK fully. In 2017, based on review conducted by Budgeting System Division, Directorate General of Budget, Center for Climate Finance and Multilateral Policy has fulfill the criteria in implementing ADIK. ADIK is one of many strategies to improve the quality of budgeting process which lead to a better implementation of performance based budgeting. With the approach of logic model concept in the making of ADIK, each element (input-activities-output-outcome and the performance indicators) are expected to have inter-linkage and bolster the accomplishment of output and outcome. Studi ini membahas struktur informasi kinerja yang dimiliki Pusat Kebijakan Pembiayaan Perubahan Iklim dan Multilateral (PKPPIM), Badan Kebijakan Fiskal, Kementerian Keuangan sebelum implementasi ADIK, yaitu tahun 2014, 2015 dan setelah implementasi ADIK tahun 2017. Pada tahun 2017, struktur informasi kinerja sudah disusun berdasarkan ADIK dan memenuhi kriteria yang dipersyaratkan dalam penyusunan ADIK berdasarkan hasil penelaahan Direktorat Sistem Penganggaran, Direktorat Jenderal Anggaran. ADIK merupakan salah satu strategi perbaikan kualitas penyusunan anggaran dan penyempurnaan implementasi performance-based budgeting. Dengan adanya konsep logic model yang diterapkan dalam penyusunan ADIK, setiap elemen (input-aktivitas-output-outcome beserta indikatornya) harus saling terkait, anggaran dan kegiatan diharapkan dapat disusun dengan lebih konkret, mendukung pencapaian output, hingga akhirnya mampu menghasilkan outcome yang diinginkan.