bluuebunny/crossref_metadata_2025 huggingface dataset:
Study of reactivity pattern of hormone receptors in patients with breast cancer at a tertiary care hospital, Aurangabad, India
Authors: George Greeshma Ann , Mulay S. S. , Borde Neha , Antony Philips
Published: August 2019

Background: Breast cancer is one of the most common malignancies affecting the female population worldwide. Prognosis and management of breast cancer are influenced by variables such as stage, grade, and hormone receptor status. Tumours that express ER and/or PR have a better prognosis and most of them respond well to hormonal therapy. In addition to hormone receptors, HER2 has emerged in recent years as an important independent predictive marker.Methods: All surgically operated female cases of breast carcinoma which were submitted for immunohistochemistry test for estrogen, progesterone and human epidermal growth factor receptor-2 in the Department of Pathology, MGM Medical College, Aurangabad for the duration of December 2015 to October 2017 were included in this prospective study. A total of 50 patients were taken up for the study.Results: The maximum age of the patients were in the 4th -5th decade and were mostly premenopausal. The tumour was maximum involving the right breast, upper outer quadrant and were BI-RADS 4. Majority were grade 2 and were invasive ductal carcinoma. Hormone receptor status showed ER positivity 48%, PR positivity 46% and HER2 positivity 28%.Conclusions: So, to conclude, immunohistochemical analysis of ER, PR and HER2 receptors is widely available at a reasonable cost and provides valuable prognostic, predictive and therapeutic information. Although we could see different patterns of hormonal receptor status, irrespective of the histological grade, type and lymph node status in our study, HER2 testing along with ER/PR status should be performed routinely in all the patients diagnosed of breast cancer as this will help the clinicians to manage the patients further.
Seroprevalence of Japanese encephalitis amongst cases of acute encephalitis syndrome in a tertiary care centre of north east India: a four year retrospective study
Authors: Mohan Daiji G. , Gogoi Mayuri , Sharma Ajanta
Published: August 2019

Background: The present study was undertaken to investigate the trend of JE and the different parameters associated with it.Methods: It was a hospital-based retrospective study conducted from January 2014 to December 2017. A total of 3531 consecutive non-repetitive patients, satisfying the clinical case definition of AES as per the WHO guidelines, were included in the study. Cerebrospinal fluid (CSF) and serum samples were tested for JEV-specific IgM antibodies by the NIV JE IgM Capture ELISA Kit.Results: Of the 3531 patients admitted, 838(23.7%) cases were positive for JE IgM antibodies. There was a significant reduction in the JE positivity rate from 32.9% in 2014 to 13.3% in 2017. The male-to-female ratio was 1.6:1. JE positivity rate was significantly higher in adults as compared to children. The majority of cases occurred during the monsoon and post-monsoon season. Fever (100%), change in mental status (87.8%), headache (70.5%), neck rigidity (32.4%), unconsciousness (35.4%), seizure (43.9%) and paralysis (5%) were the major clinical symptoms. JE positivity was seen to be higher in the rural areas of Assam.Conclusions: A declining trend of JE was seen in this study, however further research work needs to be done to look for non-JE causes of AES.
Pattern of rheumatic heart disease in Western Rajasthan- an echocardiographic study: a single centre experience
Authors: Mathur Rohit , Yadav Palsingh , Sanghvi Sanjeev , Baroopal Anil , Mahajan Swati
Published: August 2019

Background: Rheumatic heart disease (RHD) is a common form of heart valve disease associated with episodes of rheumatic fever. Despite the developments achieved in the field of cardiology, the consequences of acute rheumatic fever remain significantly high in developing countries like India.  Objectives of current study aims to evaluate the pattern of valvular involvement in patients of RHD in Western Rajasthan assessed by echocardiography.Methods: This is an observational study conducted at the department of Cardiology, Dr. S. N. Medical College, Jodhpur, India between September 2015 and February 2019. The study includes analysis of echocardiograms of RHD patients performed during this period.Results: Total 502 echocardiograms of RHD patients between 4 and 75 years of age with mean age of 35.6 ±11.6 years in which the most common age group was 21-40 years.  There were 191 (38.04%) males, and 311 (61.95%) females. Mitral valve was most commonly involved in which mitral stenosis (MS) was seen in 345 (68.72%) and mitral regurgitation (MR) was seen in 350(69.72%) patients. Aortic stenosis (AS) was seen in 61 (12.15%) and aortic regurgitation (AR) was found in 224 (44.62%) cases. Organic tricuspid valve (TV) disease was seen in 18 (3.58%). In combined valvular involvement MS+MR was seen in 234 (46.61%) cases; followed by MR+AR in 171 (34.06%); MS+AR in 161 (32.07%); AS+AR in 62 (12.35%); MR+AS in 46 (9.16%) and MS+AS in 42 (8.36%) subjects.Conclusion: The echocardiographic pattern of RHD patients of Western Rajasthan   shows a predominant involvement of mitral valve, followed by aortic and tricuspid valves. Further amongst multi-valvular involvement the sequence was predominantly MS+MR followed by MR+AR, MS+AR, AS+AR, MR+AS, and MS+AS.
Pseudoseizures with urinary incontinence in a child with Neuromyelitis optica: a rare association
Authors: A. Chamelee , K. Raman , Nambi Shanthi , Chandraleka G. S.
Published: August 2019

Background: Paroxysmal non epileptic events or pseudoseizures are common seizure mimics in children. But occasionally PNES events can present or coexist along with organic neurological disorders complicating the clinical scenario posing great challenges for diagnostic and therapeutic implications. Unusual symptomatology in PNES like frothing, tongue bite or urinary incontinence can be seen in PNES. Here, we present a rare case of pseudoseizures with urinary incontinence in a child with Neuromyelitis optica which posed a challenge for diagnosis and proper management with a favourable clinical outcome. A 14 years old girl who was known diagnosed case of Neuromyelitis optica on treatment with oral steroids presented with a history of repeated attacks of involuntary movements affecting all four limbs preceded by a feeling of fear and pain and these events were associated with urinary incontinence. Electroencephalogram and magnetic resonance imaging were performed on the patient. Ictal video EEG confirmed the diagnosis of pseudoseizures. Neuropsychological evaluation was performed which revealed multiple psychological stressors. Repeated counseling sessions and psychotherapy provided significant improvement in the form of remission of pseudoseizures.
Pitfall management of dermatofibrosarcoma protuberans on right leg
Authors: Winarta Gede Kesuma , Suryawisesa Ida Bagus Made
Published: August 2019

Dermatofibrosarcoma protuberans (DFSP) is a rare, locally invasive soft tissue sarcoma. The local recurrence rate is high, in some studies upwards of 60%, likely reflecting a failure to remove occult extensions of tumor. Surgical excision has been the treatment of choice for the resection of DFSP. Any pitfall on management therapy of DFSP not only increase the recurrence rate but also add new problems to patients with DFSP. 58-year-old male patient, came with a local recurrent of DFSP on his right leg. Then performed excision with margin one centimetre, and closing defect using pedicle sural flap, durante surgery turned pedicle on the flap is too short and because of poor soft tissue handling pedicle was injured. It consulted into the vascular division for evaluated and treatment pedicle. Postoperative evaluation, the flap experiences bluish due to vascularization compromised. It was decided to expose the flap and the defect was covered with skin graft. 2 months postoperative evaluation found local recurrent on skin graft area. Excision margins between 2 to 5 cm can reduce the recurrence rate. Proper planning in designing flaps to cover defects and the ability of good soft tissue handling is required to avoid new problems on management DFSP.
C-reactive protein levels in acute pancreatitis and its clinical significance
Authors: Deherkar Juthika Abhijit , Pandey Ayush , Deshmukh Shahaji
Published: August 2019

Background: Acute pancreatitis is one of the most common problems faced by surgeon in their practice. Alcohol being one of the most important etiology in country like India. The most common line of management has always been conservative until and unless surgery is indicated for its complications. Till date amylase and lipase have been used as diagnostic tool for it however certain prognostic tools like CRP are still under evaluation. Thus we have made an attempt to evaluate its significance as a prognostic tool in this study.Methods: A hospital based observational comparative prospective study was done with 100 patients to measure C-reactive protein (CRP) levels in patients of acute pancreatitis and evaluate if CRP levels predict the severity of pancreatitis.Results: The mean serum CRP level of patients with Ranson’s score <3 was significantly higher as compared to mean serum CRP level of patients with Ranson’s score ≥3 (10.54±5.00 mg/l vs 7.29±3.94 mg/l). There was significant association of serum CRP and Ranson’s score of patients.Conclusions: The rapid response of CRP to changes in the intensity of the inflammatory stimulus suggests that it might be valuable in the assessment and monitoring of acute pancreatitis. It was observed in our study that measurement of CRP level is a simple method to assess the severity of disease.
Comparison of the outcome of radiofrequency ablation or hepatic resection between solitary hepatocellular carcinoma and oligonodular hepatocellular carcinoma meeting Milan criteria: a systematic review and meta-analysis
Authors: Adhikari Rajeev , Wen Tianfu , Shrestha Parvani , Adhikari Pooja
Published: August 2019

There are more literatures on the comparison of the outcome of small HCC between HR and RFA, but rare is about the comparison of the outcome between small solitary HCC and small oligonodular HCC meeting Milan criteria by HR or by RFA. Thus, the aim of the present study is to evaluate the outcome between small solitary HCC and small oligonodular HCC meeting Milan criteria treated by HR or by RFA. Total eighteen studies including 4,823 patients was included in this study. Among them LR group included 2,564 cases, and RFA group included 2,259 cases. We divided them into small solitary HCC sub-group and small oligonodular HCC sub-group and compared the survival difference between them. In the HR group, 1, 3, and 5 years OS of the small solitary HCC sub-group were 93.9%, 81.3%, and 72.0%, and the small oligonodular HCC sub-group were 83.3%, 70.4%, and 45.4%, respectively. For the DFS in the HR group, 1, 3, and 5 years of the small solitary HCC sub-group were 76.4%, 56.0%, and 44.0%, and 65.9%, 40.7%, and 11.1% of the small oligonodular HCC sub-group, respectively. In the RFA group, 1, 3, and 5 years OS of the small solitary HCC sub-group were 91.2%, 74.1%, and 54.5%, and the small oligonodular HCC sub-group were 82.0%, 55.4%, and 38.2%, respectively. For the DFS in the RFA group, 1, 3, and 5years of the small solitary HCC sub-group were 74.1%, 49.8%, and 22.1%, and 62.6% and 37.3%, 8.2% of the small oligonodular HCC sub-group, respectively.
Prevalence and determinants of smoking among rural young males of Kancheepuram district, Tamil Nadu: a cross sectional study
Authors: M. Arunkumar , S. Gopalakrishnan , R. Umadevi
Published: August 2019

Background: Tobacco is the leading global cause of preventable death which kills millions of people and causes huge economic damage every year. Smoking form of tobacco is a major modifiable risk factor for number of chronic non-communicable diseases. In spite of various statutory warnings, smoking still remains a major Public health problem especially in young males. In order to reduce the magnitude and for effective control, the risk factors and distribution should be well known. This study was planned with the objective of assessing the prevalence and determinants of smoking among rural young males of Kancheepuram district, Tamil Nadu, India.Methods: This community based cross sectional study was carried out between March and May 2018 among rural young males aged between 18 to 29 years. Sample size of 431 was calculated by using 4PQ/L2 and the respondents were selected from sampled households using systematic random sampling. Data were collected using a pre-tested, structured questionnaire, which were analyzed using SPSS version 16.0 and presented using descriptive and analytical statistics.Results: Among 422 participants interviewed, the prevalence of smoking was 23%. Factors found to be protective against smoking were employment status and sedentary type of jobs. Factors found to be significantly associated with smoking were individuals with smoking friends and family members, habit of alcoholism, employment and low education status.Conclusions: Since smoking is a preventable cause of morbidity and mortality, efforts should be made to control its use by intensive health education, implementing counsellingfacilities and rigorous enforcement of anti-tobacco legislation.
Tongue flap- a good choice for intraoral reconstruction after marginal mandibulectomy: a single institution retrospective study of 27 cases
Authors: Govindhasamy Gopu , Shanmugam Subbiah , Michael Rajiv
Published: August 2019

Background: Marginal mandibulectomy with wide excision of the primary tumour in the treatment of the oral cavity squamous cell cancers preserves the form and function of the mandible, without compromise in obtaining oncologically safe margins. Of the various methods of reconstruction of the composite intraoral tissue defect, tongue flaps offer an easy and effective method of reconstruction.

Methods: We have collected the records of 27 patients who underwent marginal mandibulectomy and tongue flap reconstruction in the last 6 years from the cancer department master case sheets, operative records and follow up records. The information on the immediate and long term complications were obtained from the records and functional outcomes of patients were recorded at the time of last follow up and analysed. All the 27 patients had horizontal marginal mandibulectomy with an anteriorly or posteriorly based tongue flap reconstruction.  

Results: The most common early postoperative complication was infection around the flap site that occurred in 18.5% of patients. The other complications including haemorrhage, flap dehiscence occurred in few patients which were managed effectively. There was no incidence of major flap necrosis. Speech and swallowing difficulty was encountered in 18.5% and 14.8% of patients respectively. The long term complications were managed conservatively with speech and swallowing therapy.
Conclusions:In our experience, tongue is an excellent donor site for intraoral soft tissue reconstruction, providing an analogous tissue for reconstruction. The technique is simple with acceptable rates of immediate and long term complications and with good functional outcomes.
 
Surgical management of advanced oral submucous fibrosis: our experience
Authors: Mishra Girish , Patel Jaykumar , Sharma Yojana
Published: August 2019

Background: Severe oral submucous fibrosis (OSMF) poses problem with maintenance of oral hygiene,detection of malignancies and  maintenance of nutrition. Surgical treatment includes release of fibrous bands with or without reconstruction for the raw area and postoperative physiotherapy.

Methods: All cases with OSMF who underwent surgical management at our institute were included in our study. The demographic data, preoperative interincisor distance, local examination was recorded. All patients underwent contrast enhanced computed tomography scan of head and neck to rule out hidden malignancy. All cases underwent OSMF band release with or without reconstruction. All patients were instructed for vigorous mouth opening exercise. All patients were followed upto 6 months and further divided into two groups depending upon whether they followed physiotherapy advice or not.

Results: 13 patients of age group 18-47 years were included in our study. Male to female ratio was 1.6:1. Pre-operative mean interincisor distance was 7.5 mm whereas post-operative it was 19.5 mm. Patients who had followed mouth opening exercise were having a mean increase of 15 mm more as compared to those who did not.

Conclusions: Even after surgical management of severe OSMF, mouth opening exercise remains the key factor for maintenance of mouth opening.
Merits and demerits of transcanal tympanoplasty: an observational study
Authors: Kumari Jyothy O. , Mahendra Nagendra
Published: August 2019

Background: Chronic suppurative otitis media characterized by ear discharge, membrane perforation and hearing impairment is a major cause of deafness in India. Tympanoplasty with or without mastoidectomy done by postaural, endaural or transcanal approach is the treatment. Each approach has its advantages and limitations. The transcanal approach is becoming more popular today. A detailed study on the merits and demerits of the transcanal approach to tympanoplasty could not be found in the literature. This study compares this with the postaural approach. The study is aimed to evaluate the merits and demerits of transcanal tympanoplasty.

Methods: This study comparing transcanal versus postaural approach in tympanoplasty was carried out between April 2014 and April 2015 for 12 months. A total of 50 patients were divided into two groups (25 each in a group) and compared 11 parameters.

Results: Out of 11 parameters, 5 showed a statistically significant difference between the two, favouring transcanal approach. However, surgical results were similar.

Conclusions: Transcanal approach has more merits and fewer demerits than others for tympanoplasty, with equal hearing results.
Actinomycosis of maxillary antrum presenting as nasal polypi: a rare case
Authors: Prasad K. C. , N. Harshitha , S. M. Azeem Mohiyuddin , T. R. Harshita , Varsha Indu , Pondala Vswashanthi
Published: August 2019

Actinomycosis is a rare anaerobic bacterial infection that presents in the form of cervicofacial, pulmonary, thoracic and abdominopelvic infections. It is usually caused by Actinomyces israelii which are a part of normal flora of aerodigestive tracts. They are opportunistic pathogens and cause infections which have odontogenic origin in oral cavity. Cervicofacial actinomycosis accounts for more than half of the cases and commonly affects the mandible. We are reporting a case of actinomycosis of left maxillary antrum presenting as a nasal polypi in a young man. He had presented with nasal discharge and yellowish crusts from left nasal cavity. Diagnostic nasal endoscopy revealed yellowish polypoidal mass arising from the left middle meatus. CT PNS showed soft tissue density mass measuring 3.7×4.3×4.1 cms in left maxillary antrum extending through and obliterating osteomeatal complex extending into left ethmoidal sinus. Patient underwent Functional endoscopic sinus surgery. The yellowish polypoidal mass in left nasal cavity was attached to the floor of the maxillary antrum by a thin stalk and had filled up the antrum. Histopathology of the specimen revealed inflammatory polyp with actinomycosis. Patient had an uneventful recovery and was put on long term antibiotics and regular follow up.
Kimura disease of the supraauricular region: a rare presentation
Authors: Zulkifli Firamir Bin , Azman Mawaddah Binti , Ping Loong Siow
Published: August 2019

Kimura disease is an idiopathic chronic inflammatory disorder involving the subcutaneous tissue. It favors the head and neck region, although presentation over atypical sites has been reported. This disease occurs spontaneously, has a characteristic indolent growth pattern but has a high tendency to recur locally after treatment. Due to its benign nature, there is still no clear consensus on the optimal management of this rare disorder. Various treatment options are available which include systemic steroids, antihistamines, immunosuppressant, chemotherapy, radiotherapy, and surgical excision. Presently, the disease remains a therapeutic enigma as the pathogenesis is still a mystery and its tendency to recur following treatment proves to be discouraging. Herein we report a rare case of Kimura disease involving the supra-auricular region who underwent surgical excision.
Updated systematic review: ossifying fibromas of the nose and paranasal sinuses
Authors: Al-Jazeeri Isra A. , Al-Momen Ali A. , Al-Jazeeri Hassan A.
Published: August 2019

Ossifying fibroma is one of the benign fibro-osseous lesions (BFOL), which is a relatively rare group of diseases of the bone with diverse pathologies and involving different parts of the body and mostly craniofacial bones. BFOLs share a common histopathologic feature of replacing the normal bony tissue structure with a distorted fibrous and mal-arranged bony structure. Although, ossifying fibroma is pathologically benign, but it’s presentation can vary from an incidental radiologic finding to a devastating facial mass with cosmetic and functional disabilities. And the management is according to the site involved and the symptomatology. The purpose of this systematic review is to collect the available recent data regarding ossifying fibromas involving nose and paranasal sinuses, to have a better understanding of the disease, and its management. This review was performed according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement and PRISMA checklist. The U.S. National Library of Medicine (Pubmed) database was searched. Abstracts were screened by two authors and the ones that met the inclusion and exclusion criteria were included. Additional articles were retrieved from the citations in the previously found articles. A total of 156 distinct cases were found. Demographic data, clinical presentation, radiological and pathological findings and the management approaches were reviewed. Review of the recent data highlighted new diagnostic, imaging and management strategies that should be considers in the approach to patients with ossifying fibroma.
A violência obstétrica e os desafios de se promover políticas públicas de saúde efetivas
Authors: Moreira Sérgio Adriany Santos , Partichelli Patrícia Peterli , Bazani Adriana Aparecida Oliveira
Published: August 2019

Com o objetivo de analisar a apropriação do parto pelo poder médico e sua relação com a prática da Violência Obstétrica em hospitais e maternidades, foi realizado um estudo de natureza qualitativa que procurou discutir como o tema da Violência Obstétrica vem sendo abordado por diversos autores na literatura, bem como sua exposição em documentos oficiais do Sistema Único de Saúde (SUS) brasileiro e relatos de mulheres violentadas. Foi abordada a figura da mulher como mãe, as relações de poder entre equipes médicas e parturientes, a Violência Obstétrica praticada no âmbito de hospitais e maternidades e as políticas públicas de saúde para um parto humanizado. Fazem-se necessários estudos complementares que objetivem criar metodologias para a construção de políticas públicas focadas na gestão em saúde, com intuito de promover uma reflexão a respeito da universalização do atendimento.
O ideal de ciência na modernidade: Bacon e Descartes
Authors: Santos Mariana Dias Pinheiro
Published: August 2019

Trata-se de analisar em que medida convergem os autores Bacon e Descartes no que diz respeito ao progresso das ciências, e como constituem um ideal de ciência na modernidade. O cenário que se constituía na Europa em meados do século XVII era de reconfiguração, de redescoberta e de inventos. Apesar de as artes mecânicas, as artes marítimas e as artes eruditas receberem, em alguma medida, um impulso para o novo, a ciência era ainda influenciada pela escolástica. A ela se oporiam, de maneiras diferentes, Bacon e Descartes, com a finalidade de viabilizar o progresso das ciências. É evidente que se encontra, nos autores propostas dissemelhantes para que o progresso das ciências ocorra: para um o experimento é imprescindível e para o outro o uso da razão é fundamental. Neste artigo, entretanto, será investigado como posicionam-se Bacon e Descartes em três partes: 1- As preocupações para o avanço do conhecimento, 2-Os novos métodos e suas consequências, e, por fim, 3- Da finalidade do avanço das ciências. Ficará evidente, em cada parte, que, apesar das dissonâncias entre suas filosofias, há vários pontos em que convergem no que diz respeito ao progresso das ciências, como é o caso, por exemplo, do uso da natureza, da técnica, da importância de Deus e das escrituras para enfatizar como a possibilidade do progresso estava em consonância com o que o Criador permitia ao homem. Ficará evidente, também, como, a partir dos pontos aos quais convergem Bacon e Descartes, pode-se observar o estabelecimento de certo ideal de ciência na modernidade.
O mais originário do Dasein: o lidar prático no mundo
Authors: Almeida Rafael Ribeiro
Published: August 2019

Na década de 20 do século passado, época do aparecimento de Ser e tempo, Heidegger posiciona-se veementemente contra o modelo teórico-cognitivo de sujeito-objeto, problematizando, assim, a hegemonia da teoria do conhecimento na filosofia.Contra este paradigma, o filósofo alemão traz à tona um modo original de abordar a lida mais primária do Dasein no mundo, cuja primazia recai em um sentido prático, por assim dizer.Neste sentido, nosso objetivo reside em explicitar, a partir do pensamento heideggeriano, a relação mais primária que o Dasein estabelece com o mundo, a saber: uma relação de familiaridade prático-originária.Para tanto, investiga-se o pensamento de Martin Heidegger em sua primeira fase, notadamente a sua obra-mestra: Ser e tempo, de 1927.Na obra, o filósofo alemão explicita que o mundo que preliminarmente se apresenta ao Dasein e com o qual ele se relaciona não é de ordem teórica, no sentido de relação cognoscitiva, mas, isto sim: é o da práxis cotidiana, da postura prática, isto é, o mundo circundante, no qual o Dasein, enquanto ser-no-mundo de compreensão pré-teórica, dispensa a postura temática explícita como secundária – isto é, derivada, portanto, não fundamental da constituição humana.Neste sentido, nota-se que o ser-no-mundo, conforme indica Ser e tempo, consiste em um empenho prático, por isso mais originário, guiado por uma visão circundante que contempla a articulação de entes intramundanos os quais formam, no limite, um contexto no qual o mundo circundante se anuncia.
Analysis of Self-protecting Equipment (APD) Effectiveness for Ship Crews at Work on Board
Authors: . .
Published: August 2019

Ships have proven to be effective mode for 80% of global commodity trade transported by sea. Working at ships poses a high risk. According to Heinrich, 88% of accidents at work can be prevented. It means that improving behaviors of the sailors can prevent the accidents up to 88%. This research was done on the sailors to find out their behaviors in applying the self-protecting equipment (APD) to prevent the accidents. The research population consisted of 150 1st to 4th grade student-officers attending nautical and engineering departments. The research used is a quantitative methodology with questioner dissemination. The result shows that knowledge and understanding about APD and the risk of not using the APD were high. However, the percentage of the APD application and maintenance were still low. Therefore, the effectiveness of its use was not optimal. The research recommended a good APD maintenance by the ship management on a regular basis and scrutiny towards the APD availability on the ship.
The Optimization of Dynamic Positioning Equipment in Operating Remotely Operated Vehicle (ROV) To Eliminate Hazardous Risks in Motor Vessel of SMS Supporter
Authors: Aziz Rohman Moh.
Published: August 2019

SMS Supporter is an Anchor Handling Towing Ship (AHTS) DP 2 vessel that is operated to serve offshore works and designed for underwater surveillance activities. Over time, currently underwater surveyors have been developed into various types, one of which is Remotely Operated Vehicle (ROV). The main objective of this research is specifically observing ROV operations using Dynamic Position (DP) equipment on board. The surveillance activity using ROV is fundamentally different from other surveillances in general. The objectives in this study are focused on the reason behind the necessary option to Optimize Dynamic Positioning Equipment in Operation Ship with Remotely Operated Vehicle (ROV) works and how the officers / Dynamic Position Operators (DPOs) together with crews are working while implementing international regulations and safety company management system when ROV operations are taking place to run optimally while avoid any hazardous risk. In ROV operations, the caterer will prepare all ROV operational equipment. Officers / SDPO will analyze the various hazards that may occur during ROV operations using DP equipment. The analysis was carried out based on the provisions of the International Marine Contractor Association (IMCA). After corrected completely, the officer / SDPO conduct a Risk Assessment of all activities that will be carried out on board of the vessel while staying mobile, launching and recovering the ROV also when the ROV operation is running. After that, the optimization process in ROV activities using DP equipment on board is done by internal strategic factors analysis summary (IFAS), external strategic factors analysis summary (EFAS), and strength-weakness-opportunities-threat (SWOT) analysis. The strengths and opportunities which they have are used to overcoming weaknesses and threats. SWOT analysis will produce some strategy in Optimalization Dynamic Positioning Equipment In Remotely Operated Vehicle (ROV) Work Operation To Eliminate Risk of Danger at Motor vessel SMS Supporter.
Cadets’ Perceptions on the Teaching Methods and Their Influence on Cadets’ Language Learning Process: A Study on the Co-curricular English Class of PIP Semarang
Authors: Ika Sari Latifa , Hermina Sari Ria
Published: August 2019

Cadets’ perception is very important in teaching and learning process. Cadets who perceive the teaching methods used by their teachers positively are more likely to achieve better results. This study aims to investigate cadets’ perceptions on teaching methods used by English teachers in the Co-curricular English class and how they influence cadets’ language learning process especially on the aspect of language improvement, motivation, self-confidence and attitude. As many as 200 questionnaires were distributed randomly to the first-year cadets of PIP Semarang and 10 of the cadets were involved for the interview. The study found that 79.2% cadets have positive perception towards the teaching methods used by English teachers, while the rest (20,8%) have negative perception. This study also revealed that cadets perceive their class more positively if the teachers use interesting method such as games and challenge. It is expected that the result of this study can become an evaluation to improve teaching and learning process ahead.
EDC Machine Implementation Model in Traditional Market As Shopping Tourism Icon in Yogyakarta
Authors: Irdana Nuryuda , Widodo Tri , Kuntoro Priyambodo Tri , Achjari Didi
Published: August 2019

Nowadays, in the technology and global era, people need easiness and simplicity in all things, including in financial transaction. One of the facilities which support financial transaction is banking EDC machine. Many banking companies are already deploying EDC machines in traditional market merchants. There is a traditional market that relatively big and already known as shopping tourism icon in Yogyakarta, that is Beringharjo. The number of transactions and sales volume that occur in this market is estimated reach out until billion rupiahs. However, there are some merchants that still enjoy doing transaction by cash and reluctant to use the EDC machine because of the same reasons. The aims of this research are 1) To find out the criteria that prioritized by merchants as considerations to use EDC machine 2)To construct the EDC machine implementation model at Yogyakarta shopping tourism traditional market. The model used in this research is the AHP (Analytical Hierarchy Process) model. The result of this research shows us that the order of criteria or factors that influence the traditional merchants’ acceptance of the use of EDC (Electronic Data Capture) machines in traditional shopping tourism icons in Yogyakarta are security, usability, and convenience where the security factor has the greatest weight. The analysis shows that overall, the merchant will consider the security, usability and convenience criteria based on the sub-criteria with the following weighting order; Turnover, Age, Features and shape of the machine, Technical training on machine use, Personal attitude/opinion, Socialization from related institutions, Influence of others.
The Effects of Using Automated Rubber Tyred Gantry (ARTG) Towards Crane Operator in Semarang Container Terminal
Authors: . Winarno , Purwantini Sri , Indrastuti Anindya
Published: August 2019

As the high technology is applied in port industry, several changes may occur resulting to a reduction of the number of labors. The focus of this research includes: 1) What qualifications are needed as an operator of Automated Rubber Tyred Gantry (ARTG)?; 2) What factors do affect the labor absorption for ARTG operators?; 3) What efforts do the management of Semarang Container Terminal need to perform in order to overcome the problems related to ARTG? Based on the analysis, several findings were found: 1) a qualification for the crane operator was urgently needed especially for the position of the crane operator of Automated Rubber Tyred Gantry Crane (ARTG) in Semarang Container Terminal. 2) the factor which probably affected the labor absorption for crane operators was technology procifiency and English proficiency; and 3) what the management need to do was the employment expansion opportunities by transferring the crane operators to other ports whose cranes are not equipped with the new system. Moreover, the influence of ARTG reduced the absorption of RTG operators. Based on the findings, it is suggested that the management of Semarang Container Terminal needs to be careful in establishing any policies to overcome the problems. Thus there would not be any violation regarding any laws and regulations.
Optimization of reserve production from water oil zones of D3ps horizon of Shkapovsky oil field by means of horizontal wells
Authors: Yakupov Rustem F. , Mukhametshin Vyacheslav Sh. , Khakimzyanov Ilgizar N. , Trofimov Viktor E.
Published: August 2019

An analysis was made of the development of sections of the D3ps formation of the Devonian terrigenous sequence of the Shkapovsky field, with a share of contact zones of more than 78%, which showed that the exploitation of deposits by vertical and deviated wells is unprofitable. Studies show that the development of reserves at the facility occurs along highly permeable interlayers located in the plantar. The construction of sectoral geological and hydrodynamic models showed a detailed distribution of residual oil reserves by area and section in areas with low production values.
When analyzing the parameters of the operation of wells with horizontal completion, it was found that the selection of mobile oil reserves localized in a volume limited by the plane of the initial oil-water contact and the surface formed by the rise of the oil-water contact when pulling the water cone to the wells with horizontal completion is comparable with the period of reaching a water cut of 95%. The volumetric method was used to calculate the moving oil reserves in the area of ​​water cone formation. It is recommended to drill wells with horizontal completion as an effective method of additional production of residual oil reserves in fields with similar geological and physical conditions.
Study of corrosion stability of a cement stone in magnesia aggressive environment
Authors: Agzamov Farit A. , Makhmutov Almaz N. , Tokunova Elvira F.
Published: August 2019

One of the main tasks in the construction of oil and gas wells is to ensure the high quality of well casing. It is especially difficult to get it in wells, in sections of which there are salt-bearing strata. From the salts, the most dangerous are magnesia salts, which can lead to the destruction of the stone based on portland cement within a few months. The report presents the results of experimental studies on the corrosion of cement stone in aggressive magnesia media.The quantitative indicators reflecting the degree of damage to the stone are taken as the thickness of the damaged layer and the coefficient of stone resistance, characterized by the ratio of the ultimate strength of stone samples for compression or bending stored in an aggressive environment to the strength of control samples at the same time of hardening. In the course of the research, the corrosion resistance of the cement stone to the magnesian corrosive environment was assessed, after 8 weeks in a medium with a constant concentration of MgCl2. In addition, the effect of MgCl2 concentration on the cement stone corrosion mechanism was investigated. The use of the palygorskit additive and the reduction of water cement ratio to reduce the porosity of the cement stone and reduce the rate of corrosion damage are proposed. The kinetics and the main factors affecting the corrosion process are considered, and the x-ray structural analysis of corrosion products and unaffected cement stone is carried out.
Utilization of Life-Saving Skills Among Nurses and Midwives at Murtala Muhammad Specialist Hospital, Kano
Authors: Suleiman Rajah Amina , Adamu Dalhatu , Mahfuz Muhammad Haddad , Jumoke Rahmat Bashir , Abdullahi Aisha Suleiman
Published: August 2019

Maternal morbidity and mortality associated with pregnancy and childbirth have a significant impact on women, their families, and communities in low-income countries. This study aimed at exploring the level of awareness on Life-Saving Skills (LSS), LSS practices employed, barriers to implementation, and strategies to promote effectiveness of LSS practice. The study utilized a cross-sectional research design and a pre-tested structured interviewer-administered questionnaire to survey 154 nurses and midwives in a hospital in Nigeria with 150 maternity beds, about their “awareness” of LSS, LSS practices, and what they consider barriers to implementation and strategies to promote effectiveness of LSS practice. Results demonstrated that while 87.0% of the respondents were aware of LSS, the majority reported numerous challenges in implementing LSS. These challenges included: a shortage of skilled birth attendants (93.5%); negative attitudes of healthcare providers (79.2%); inadequate equipment and supplies (81.8%); and inadequate training for midwives (77.9%). Respondents also recommended some strategies to promote effectiveness of LSS, including provision of life-saving skills equipment (84.4%); training and retraining of personnel in LSS (88.3%); and increasing accessibility of LSS services for childbearing women (97.4%). The study concluded that although there is a high level of awareness of LSS, the midwives and nurses faced many challenges that hindered the utilization of LSS. It is recommended that multilateral collaboration be used in the study setting to overcome the limitations to utilize LSS.
AGAMA SEBAGAI MEDIA DAN MEDIA SEBAGAI AGAMA
Authors: Wahyuni Dwi
Published: August 2019

Agama dapat menjadi suatu media integrasi sekaligus juga sebagai media yang dapat menimbulkan disintegrasi ditengah-tengah masyarakat. Karena itu, dalam tulisan ini akan mengkaji bagaimana formulasi agama sebaiknya dipahami sebagai kerangka nilai, sehingga yang terpenting ialah mengimplementasikan nilai-nilai yang dikandung agama itu sendiri, bukan menjadi narasi teks atau simbol-simbol formal yang kaku. Dan akhirnya kehadiraan agama mampu membantu manusia dalam pembentukan moral dan psikologis yang baik. Pada sisi lain juga, kehadiran media pada masyarakat modern, khususnya televisi dan internet yang begitu mempengaruhi perbuatan-perbuatan manusia modern. Fenomena ini menjadikan media sebagai “agama baru” masyarakat modern. Penelitian ini dilakukan dengan pendekatan analisis deskriptif, untuk menggambarkan fenomena entitas agama dan media, dengan variabel pengamatan kepada hal-hal yang telah ditentukan secara spesifik. Data yang terkumpul kemudian dianalisis dan diinterpretasikan dengan menggunakan teknik analisis deskriptif-kualitatif.
Pengarusutamaan Islam: Studi Atas Upaya Jamaah Jam’iyyatul Islamiyah Menangkal Isu Penyesatan dan Memperoleh Penerimaan Publik di Palembang
Authors: Herwansyah Herwansyah
Published: August 2019

In its development, Jam'iyyatul Islamiyah was full of controversy. Despite its further development, the movement is often considered as having teachings that are not in accordance with Islamic views. Deviance of this movement can be seen from documents published by the West Sumatra High Prosecutor's Office, West Sumatra MUI and Jambi MUI. There are three reasons why Jam'iyyatul Islamiyah can survive. First, the movement chose to cooperate with the Indonesian Religious Councel (MUI) by adhering to recommendations so that its teachings were revised. Second, the movement is inclusive, and finally the movement seeks to approach the elite in its various activities is characterized by the seminars it holds.
El léxico zoológico para referirse a los amantes en las Coplas del amor feliz del Cancionero Folklórico de México
Authors: Padrón Martínez Alfonso
Published: August 2019

Este trabajo analiza el léxico con referentes zoológicos (mamíferos, aves, animales marinos e insectos) utilizado para referir a la amada en 1,995 coplas del Cancionero Folklórico de México. Se asume que los hablantes dan cuenta del contexto situacional y cultural en el que se encuentran a partir del uso de cierto léxico durante el proceso de creación de las coplas. A la luz de los datos analizados, se encontró que dentro de la poética de la lírica popular mexicana se dan procesos de metaforización, con el objetivo de referir a la amada de manera directa o bien indirecta, otorgándole cualidades zoológicas a partir de uno de sus rasgos humanos (boca, brazos, voz y cuerpo/apariencia).
As políticas climáticas e seus desafios em megacidades
Authors: Urbinatti Alberto Matenhauer , Ferreira Leila da Costa
Published: August 2019

Grandes espaços urbanos, como são as megacidades, têm lidado com inúmeros problemas ambientais, que poderão ser acentuados ainda mais com o avanço da mudança no clima. Na década de 2000, Pequim e São Paulo aprovaram suas políticas climáticas em contextos bastante específicos. Isto é, o caminho até a aprovação e os avanços e barreiras posteriores reuniram diferentes motivações, ordens, focos e atores envolvidos. A aprovação de uma política climática é um momento específico de um longo processo. Desse modo, a capacidade de governança urbana para o enfrentamento das mudanças climáticas é uma das principais alternativas a serem negociadas em meio ao constante conflito de interesses. Este artigo visa abordar esses desafios para a efetividade, a partir de um aprofundamento nos padrões de governança dos dois casos, sugerindo algumas possibilidades e procurando responder à pergunta: o que garante a continuidade de uma política pública para o clima?
Educação e modernização: a UFMG na trajetória de um projeto modernizante (1968-1974)
Authors: Oliveira João Victor Da Fonseca , Faria Filho Luciano Mendes de
Published: August 2019

O discurso oficial, hoje, apresenta a Educação como a grande responsável pela modernização de nossas sociedades, por suas maiores ou menores possibilidades de integrarem-se ao mundo globalizado e à sociedade do conhecimento. Como esforço investigativo, problematizamos a relação entre Educação e Modernização na segunda metade do século XX, tensionada nas proposições reformistas que conduziram, na década de 1960, a reestruturação das universidades brasileiras. Tomamos como objeto de estudo o processo de criação e institucionalização dos programas de pós-graduação, ocorrido na Universidade Federal de Minas Gerais, por sintetizar duas grandes matrizes que marcaram o debate intelectual e acadêmico brasileiro nos anos de 1960: a da modernização e a do desenvolvimentismo.
Estratificação horizontal nas licenciaturas das instituições federais brasileiras
Authors: Honorato Gabriela , Zuccarelli Carolina , Vieira André
Published: August 2019

A ampliação das matrículas em cursos da área de Educação foi um dos principais vetores da expansãorecente do ensino superior brasileiro. O objetivo do artigo é analisar até que ponto essa expansãosignifica, de fato, democratização de oportunidades de formação em distintas carreiras docentes. Osresultados obtidos, a partir de exercícios realizados com os microdados do Exame Nacional de Desempenhode Estudantes 2014, revelam que as subáreas de Educação estão distintamente caracterizadasde acordo com a origem socioeconômica e marcas sociais dos/das estudantes. As evidências são discutidasa partir de bibliografia que trata da “democratização segregativa” do ensino superior e de sua“estratificação horizontal”.
Why is Higher Institution Students Un-banked in Duhok City? Evidence from a Survey Analysis.
Authors: Ibrahim Sardar Shaker , Olarewaju Odunayo Magret
Published: August 2019

This paper attempts to find out why higher institution students in Duhok are not opening or having bank accounts. With the use of interview process and questionnaire, 100 students were selected from Newroz University, Dohok Polytechnic University and Dohok private technical institute in Duhok city.  It was found from this study that most of these students’ approximately 90 students of them have no bank accounts while only 10 of them have bank accounts. Moreover, this research found that trust on banks, security, bad banks infrastructure, lack of money, costs of opening bank accounts, access to bank accounts and unemployment are the main reasons for low banking interest among students in Duhok city. However, the highest reason is lack of trust on Duhok banks and lack of money due to high unemployment rate. It is suggested that banks in Duhok city should encourage students to open bank accounts by advertising the importance of banking services and offer student loans. Also, Duhok government should award scholarship to student to ease the pressure from the unemployment menace in the country.
Keywords: Un-bank, Bank trust, Poverty, Banking access
PERCEPÇÕES SOBRE SUSTENTABILIDADE NA EDUCAÇÃO AMBIENTAL
Authors: Vieira Fábio Pessoa , SANTOS MARIA ARLENE DA ROCHA
Published: August 2019

O presente artigo busca apresentar as percepções de extrativistas, da reserva extrativista do Extremo Norte do Tocantins, e com estas percepções auxiliar outras concepções sobre o que vem a ser a sustentabilidade. Para tanto, é fundamental conhecermos e compreendermos a relação dos extrativistas com o seu lugar. A metodologia é norteada pelo método fenomenológico. Com este, visamos nos abster dos conhecimentos prévios sobre o fenômeno a ser estudado (a sustentabilidade), e buscamos compreender as suas essências a partir das experiências vividas. Visitas de campo e as narrativas foram os procedimentos e técnicas utilizadas na pesquisa. A pesquisa nos direcionou para um caminho no qual na RESEX Extremo Norte, em uma relação de envolvimento dos seres humanos para com seus pares e com o ambiente, a sustentabilidade se realiza tendo como alicerce o pertencimento dos sujeitos com o lugar. Por fim, compreendemos que a Educação Ambiental pode ser constituída como ressonâncias dos sentidos, experiências vividas, e pertencimento presentes nos extrativistas que habitam a RESEX Extremo Norte.

Palavras-chave: Sustentabilidade, Educação Ambiental, Reserva Extrativista.