1,720,958 research outputs found
CASE MANAGEMENT OF ANTERIOR TOOTH INTRUSION DUE TO TRAUMA
Get PDFIntroduction: Dental trauma is damage that affects the hard tissue of the teeth and/or periodontal due to mechanical causes. One of the effects of trauma to the teeth is intrusive luxation, namely the movement of teeth into the alveolar bone, which can cause damage or fracture of the alveolar socket. Intrusive luxation causes the tooth crown to appear shorter.
Case: An 11 year old male patient who was involved in a traffic accident came to the emergency department with complaints of being unable to walk, swollen lips and broken teeth.
Case Management: The patient experienced intrusive luxation on tooth 21 and subluxation on teeth 11 and 22. The treatment carried out in this case was repositioning of tooth 21. Then splinting was carried out using wire on teeth 12, 11, 21, 22 for 1 month.
Discussion: Immediate repositioning of luxated teeth is very important to accelerate tissue healing. Treatment in acute cases can be supplemented with acute management, namely administering antibiotics. In this case, antibiotics, anti-inflammatories and calcium are given to speed up tissue healing and reduce the risk of complications in the tissue.
Conclusions and Suggestions: immediate repositioning, accompanied by wire splints and administration of antibiotics provide good results in the treatment of cases of intrusive luxation due to accidental trauma
COST BENEFIT ANALYSIS OF OPENING DENTAL POLY SERVICES OR CHILDREN'S PHYSIOTHERAPY POLY SERVICES AT SAFAKILLAH CLINIC
Get PDFIntroduction: Cost Benefit Analysis is an economic analysis used to evaluate the use of economic resources so that scarce economic resources can be used efficiently. In 2023, SK Clinic proposes opening a new poly clinic which aims to improve the health services provided by SK Clinic. Not all of these proposals can be proposed in their entirety, due to the limited funds that the SK clinic has. The aim of this research is to calculate the Cost Benefit Analysis between the proposal to open a Dental Clinic or Children's Physiotherapy Clinic.
Material and Methods: This research used a quantitative descriptive type of research by comparing the costs and benefits between opening a Dental Clinic or Pediatric Physiotherapy Clinic at the SK clinic in Sidoarjo as the unit of analysis in this research. Cost analysis methods used Cost Benefit Analysis (CBA) and Benefit Cost Ratio (BCR) were also carried out to determine alternative actions to be taken.
Results and Discussions: Based on the calculation results of each step of the Cost Benefit Analysis, it was found that each proposal had a different Benefit Cost Ratio (BCR) value, where the BCR value of the proposal to open a dental clinic was 1,48 smaller than the BCR value of the proposal to open a Children's Physiotherapy Clinic, which was equal to 1,97.
Conclusion: Based on the BCR value, the proposal that was prioritized first was the proposal to open a Children's Physiotherapy Clinic so that this proposal will bring greater benefits to the SK Clinic for children
Tanggung Jawab Rumah Sakit Terhadap Hukum Pengelolaan Limbah Bahan Berbahaya Dan Beracun
Get PDFRumah sakit merupakan sumber limbah B3 yang harus mendapat perhatian. Limbah B3 yang dikeluarkan dari rumah sakit meliputi limbah infeksius, sisa operasi, sisa suntikan, obat kadaluarsa, virus, bakteri, limbah padat dan lain-lain. Hampir semua limbah yang dihasilkan oleh rumah sakit masuk dalam kategori limbah B3. Rumah sakit memiliki kewajiban untuk melakukan pengelolaan limbah B3 sesuai dengan peraturan yang berlaku. Masih adanya rumah sakit yang tidak mengelola limbah B3 dengan baik mengakibatkan masalah pada kesehatan lingkungan, sehingga rumah sakit memiliki tanggung jawab ada pengelolaan limbah B3. Tujuan penelitian ini adalah untuk membahas tanggung jawab dari rumah sakit pada pengelolaan limbah B3. Metode penelitian yang digunakan dalam penelitian ini adalah metode yuridis normatif yang diarahkan pada upaya melihat permasalahan dengan sifat hukum normatif, misalnya asas-asas hukum, sistematika hukum, sinkronisasi/ penyesuaian hukum, perbandingan hukum dan sejarah hukum. Rumah sakit memiliki tanggung jawab administrative, perdata dan pidana dalam hal pengelolaan limbah B3. Rumah sakit dapat mendapatkan sanksi seperti memperbaiki kerusakan lingkungan , perubahan pada izin rumah sakit, hingga sanksi denda hingga milyaran rupiah. Rumah sakit bertanggung jawab sepenuhnya dalam mereduksi dan melakukan pengelolaan limbah bahan berbahaya dan beracun sesuai dengan peraturan perundang-undangan, bila rumah sakit tidak memiliki izin pengelolaan limbah dari Kementerian Negara Lingkungan hidup maka berdasarkan pasal 102 UUPPLH rumah sakit dinyatakan melakukan tindak pidana korporasi lingkungan dalam hal ini rumah sakit dikenakan beban pertanggungjawaban.
Keywords : Rumah Sakit, Limbah B3, Hukum Lingkungan
Correspondence : [email protected]
A Case Report on Internal Bleacing of a Discolored Central Incisor Using 35% Hydrogen Peroxide
No full textA patient presented with tooth discoloration due to trauma, which had caused a tooth to become non-vital. Such trauma can damage the pulp tissue, eventually leading to necrosis and discoloration over time. In cases like this, internal bleaching is a treatment procedure aimed at improving the color of non-vital teeth. Discoloration of teeth after endodontic treatment often raises concerns for both patients and dentists. Whitening the tooth after root canal treatment is important to restore its original color before a permanent restoration is placed. The objective of this report is to present the successfull outcome of internal bleaching in patient who had undergone root canal treatment en years earlier. A 39-year-old male presented with a complaint of discoloration in the right maxillary central incisor. The patient had a history of root canal treatment on the tooth performed ten years prior. Radiographic examination confirmed that tooth 11 had undergone root canal treatment. Internal bleaching was performed on tooth 11, which appeared darker than the adjacent teeth. Whitening was carried out using 35% hydrogen peroxide. By the fourth visit (one week after the third application), the tooth color had changed to shade D3, which matched the desired color. This indicated a significant improvement in shade. Internal bleaching using 35% hydrogen peroxide resulted in color enhancement consistent with patients expectations. The treatment proved effective in restoring the esthetics of a non-vital tooth discolored due to trauma
Going Beyond Counting First Authors in Author Co-citation Analysis
Get PDFThe present study examines one of the fundamental aspects of author co-citation analysis (ACA) - the way co-citation
counts are defined. Co-citation counting provides the data on which all subsequent statistical analyses and mappings
are based, and we compare ACA results based on two different types of co-citation counting - the traditional type that
only counts the first one among a cited work's authors on the one hand and a non-traditional type that takes into
account the first 5 authors of a cited work on the other hand. Results indicate that the picture produced through this non-traditional author co-citation counting contains more coherent author groups and is therefore considerably clearer. However, this picture represents fewer specialties in the research field being studied than that produced through the traditional first-author co-citation counting when the same number of top-ranked authors is selected and analyzed. Reasons for these effects are discussed
Variations on the Author
Get PDF“Variations on the Author” discusses two of Eduardo Coutinho’s recent films (Um Dia na Vida, from 2010, and Últimas Conversas, posthumously released in 2015) and their contribution to the general question of documentary authorship. The director’s filmography is characterized by a consistent yet self-effacing form of authorial self-inscription: Coutinho often features as an interviewer that rather than express opinions propels discourses; an interviewer that is good at listening. This mode of self-inscription characterizes him as an author who is not expressive but who is nonetheless markedly present on the screen. In Um Dia na Vida, however, Coutinho is completely absent form the image, while Últimas Conversas, on the contrary, includes a confessional prologue that moves the director from the margins to the center of his films. This article examines the ways in which these works stand out in the filmography of a director who offers new insights into the notion of cinematic authorship
Appropriate Similarity Measures for Author Cocitation Analysis
Get PDFWe provide a number of new insights into the methodological discussion about author cocitation analysis. We first argue that the use of the Pearson correlation for measuring the similarity between authors’ cocitation profiles is not very satisfactory. We then discuss what kind of similarity measures may be used as an alternative to the Pearson correlation. We consider three similarity measures in particular. One is the well-known cosine. The other two similarity measures have not been used before in the bibliometric literature. Finally, we show by means of an example that our findings have a high practical relevance.information science;Pearson correlation;cosine;similarity measure;author cocitation analysis
Peran Etika dan Hukum dalam Melindungi Pasien dari Malpraktik Gigi
Get PDFProfesi dokter gigi memiliki tanggung jawab besar terhadap keselamatan dan kesejahteraan pasien, sehingga penerapan prinsip etik dan moral menjadi aspek fundamental dalam setiap tindakan medis. Prinsip-prinsip seperti beneficence, non- maleficence, autonomy, justice, dan kerahasiaan pasien berfungsi sebagai pedoman dalam menjaga profesionalisme dan integritas dokter gigi. Penelitian ini menggunakan metode literatur review dengan menelaah berbagai sumber ilmiah terkait penerapan etik, moral, dan implikasi hukum pidana dalam praktik kedokteran gigi. Hasil kajian menunjukkan bahwa pelanggaran etik dan moral, seperti tindakan tanpa informed consent, overtreatment, kelalaian prosedur, atau praktik oleh tenaga tidak kompeten menimbulkan berbagai dampak yang tidak hanya merugikan pasien, tetapi juga dapat berimplikasi pada pertanggungjawaban pidana berdasarkan KUHP, Undang-Undang Praktik Kedokteran, serta regulasi kesehatan lainnya. Hubungan antara etik, moral, dan hukum pidana bersifat saling terkait, di mana etik dan moral berperan sebagai pencegah pelanggaran, sementara hukum pidana menjadi instrumen perlindungan masyarakat terhadap tindakan medis yang berisiko dan tidak profesional
Dispelling the Myths Behind First-author Citation Counts
Get PDFWe conducted a full-scale evaluative citation analysis study of scholars in the XML research field to explore just how different from each other author rankings resulting from different citation counting methods actually are, and to demonstrate the capability of emerging data and tools on the Web in supporting more realistic citation counting methods. Our results contest some common arguments for the continued
use of first-author citation counts in the evaluation of scholars, such as high correlations between author rankings by first-author citation counts and other citation
counting methods, and high costs of using more realistic citation counting methods that are not well-supported by the ISI databases. It is argued that increasingly available digital full text research papers make it possible for citation analysis studies to go beyond what the ISI databases have directly supported and to employ more
sophisticated methods
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