bluuebunny/crossref_metadata_2025 huggingface dataset:
In-service Riser Inspection System IRIS
Authors: Nicolas Yann
Published: March 2018

Flexible risers are fundamental enabling components of nearly all floating production systems and form a key link in the hydrocarbon delivery chain to and from the platform. The integrity of these risers can drive the uptime availability of the entire production system or at least some elements of it. While the historical reliability of flexible risers has been relatively high, operators remain concerned about a lack of integrity condition information available to make key decisions relating to changes in operating conditions, replacement, life extension and general maintenance. The resulting increased confidence in the performance of flexible risers potentially could open the market to greater acceptance of flexible pipes and additional floating systems developments.

A new approach to in-service inspection of flexible pipes is presented in this paper. TechnipFMC develops a versatile subsea inspection tool (IRIS) that can deploy and operate in parallel several Non-Destructive Testing Technologies. This new generation of an in-service subsea inspection system for risers focuses on detection of defects on multi layers products (corrosion, cracks and breaks) and flooding detection. IRIS is remotely controlled and operated in real-time via an umbilical from the control room on a support vessel. Given its architecture, this "Underwater Non-Destructive Testing laboratory" also allows inspecting risers without stopping the production under water, in the splash zone as well as in its aerial part when relevant. Thanks to its in-depth knowledge of flexible pipe and specific Non-Destructive Testing modeling tools, TechnipFMC will propose a dedicated inspection strategy for each flexible pipe.
Hybrid Riser Towers - Not Just for Deepwater
Authors: Lim Frank , Natarajan Shreenaath
Published: March 2018

Most people know the Hybrid Riser Tower solution, combining the use of steel pipes in a freestanding bundle and multiple flexible jumpers for connection to a floating host vessel, from the 3 towers installed in 2001 offshore Angola in 1,350m water depth to the Girassol FPSO.

Little known is the fact that the first bundled riser tower, in a slightly different arrangement preceding Girassol, was actually installed by Placid in Green Canyon (1988), and the same riser tower was later re-deployed by Ensearch in Garden Banks (1994, now decommissioned), both in the Gulf of Mexico in less than 650m water depth to a semi-submersible production platform.

This paper describes the adaptation of the bundled hybrid riser tower concept for subsea connection to a FPSO in Indonesia in only 90m water depth. The ‘mini’ riser tower, comprising 6 risers in the bundle and installed in 2013, made full use locally available materials, fabrication labours, skills and facilities, and installation capabilities in the region. This project, and its successful implementation, paves the way for more SE Asian operators to maximise local contents, optimise costs and exercise better project control for their upcoming developments.

This hybrid riser tower solution can lend itself readily for HPHT field developments, or aggressive production fluids, when conventional riser solutions such as bonded or unbonded flexible pipes, and corrosion resistance alloy (CRA) clad steel catenary risers cannot handle the fluid properties or the shallow water depths, respectively. Work is underway to use high quality thermoplastic composite pipe (TCP) as the jumpers in a hybrid tower to overcome the chemical issues.
Integrated Field Performance Study for Subsea Production Control System
Authors: Hammond Steven , Osman Hazreen , Ismail Izyani
Published: March 2018

The subject of this study is a Subsea Production System comprising of two (2) subsea gas production wells. The gas, condensate and water from the wells are sent to a processing platform via 4.71 km 24" subsea pipeline. The two wells are independently connected to a production manifold with 12" branch lines and 2 off 12" headers, each with its own dedicated HIPPS module (as shown in Figure 1). The manifold-mounted integrated HIPPS units are SIL 3 rated to protect the pipeline system, which also includes a Subsea Automated Pig Launcher (SAPL), from an overpressure condition as the pipeline has lower design pressure than the Subsea System. The two wells are then commingled in the PLET via 2 off 12" headers.

The operation of the subsea facilities is monitored, controlled and operated from a Central Processing Platform (CPP), through electro-hydraulic-chemical umbilical running to the two subsea wells. Utilities for subsea facilities (e.g. electrical power, chemical injection and hydraulic fluid) are also supplied from the CPP.

A Full Field Review (FFR) study has been conducted to identify and implement (as far as possible) opportunities for increasing production and improving recovery factor, maximizing asset value of the subsea field. At time of writing a detailed facility evaluation is being performed as part of the Full Facility Review. The result and findings from the FFR form the basis for future development, identifying potential bottlenecks, key risk or opportunity areas on existing facilities.
Best Practicable Environmental Options Assessment for Drilled Cuttings and Fluids Waste Management Strategy
Authors: Yudistira B.
Published: March 2018

Tangguh Integrated Drilling Project (TIDP) is being rolled out by BP Indonesia as part of long term development plan for Tangguh project in Bintuni Bay, Papua Barat Province. The offshore drilling campaign consists of several development, exploration, and appraisal wells throughout the bay. The complex scope of work for TIDP and regulatory requirement require a systematic holistic approach to come up with appropriate drilling fluids and cuttings waste management strategy.

A multidisciplinary team consists of: Wells Engineering, Operations, Health Safety and Environment, New Wells Delivery, Regulatory Compliance & Environment, Communications & External Affair, Permits, and Central fluids were established to discuss the strategy. Best Practicable Environmental Option (BPEO) tool was decided to be used. The assessment model incorporates weightings for criteria which enables more important criteria to be emphasized and also enables sensitivity checking. BPEO process flow are as follows: define objectives, decision criteria and scoring matrices, weight the decision criteria, identify all possible options, pre-screening, full assessment, review and rank options, and finally identify the BPEO.

The study concludes that for cost effectiveness, practical application, efficiency, HS&E risk mitigation, and reduced (if not elimination of) long term liability, the waste processing and disposal should take place at the rig site. The study further concludes that there is no single best option for all drilling locations due to different constraints. Therefore, the recommendation is to have the combined option of Drilling Cuttings Re-Injection (DCRI) and overboard discharge that can be utilized across all locations in Tangguh. With this study, the team is not only eliminating the environmental and safety risk inherent in offshore drilling, handling and transportation of large amount of drilling cuttings and fluids waste, but it also save costs on constructing several dedicated DCRI wells and reduced 200 drilling days from the jack up rig scope. Another impact is that it reduces the carbon footprint and greenhouse gases coming from the drilling and its supporting activities such as vessel utilization.

The result from this BPEO can support management, engineers, and operations team in the decision-making process to determine the most suitable option among several scenarios or any other complex project. It could also provide a sound justification to the regulators to expedite the permitting process.
Pushing Operational Limits in Challenging Perforating Environments
Authors: Samuel Orient Balbir , Fabian Oka , Rosato Miguel , Khalid Zaidan , Johari Raimi , Jusoh Zulaikar , Idris Faisal Rizal , Hamid Azim , Rosli Faidzal , Salleh Harris
Published: March 2018

The W field located north of the coast of East Malaysia, Malaysia in approximately 100 meters of water. Five dry gas wells, W1 through W5 were drilled and cased between Q1 and Q4 2016. The well depths fell between 3700 meters and 3825 meters measured depth (MDDF), 2with bottom hole temperatures as high as 180 degrees centigrade and formation pressures of 6500 psi. In addition, the wells were expected to be sour with 140ppm H2S and 20% CO2.

Originally the wells were planned to be completed with slotted liners, however this was proving to be problematic as it limited well control options and a safer solution was needed. An alternative un-cemented liner was run and it required to be perforated. TCP (Tubing Conveyed Perforation) and CTCP (Coiled Tubing Conveyed Perforation) were the logical choices, however after some considerable discussion it was agreed that wireline conveyed guns employing friction reducing rollers and tractors had the potential to save considerable rig time while satisfying all safety concerns. Detailed planning and simulation for this complex operation was required, the operator and service provider formed a strong technical alliance to achieve the objectives.

All five (5) wells were successfully perforated with a total of 840 meters of perforations achieved in 40 runs, 11 of them tractor conveyed, the longest gun string was 29 meters long and the total operating time was 783 hours. The campaign was completed with and operational efficiency of 94% and all objectives were meet. This paper describes the operational objectives and how careful planning managed to overcome the challenges encountered in these hostile environment. The case study underlines the efficiency of wireline conveyance in environments previously dominated by Coiled tubing and Tubing conveyance and highlights a new and powerful tool now available to operators.
New Flexible Pipe Cost Effective Solution for Static Application
Authors: Vraniskoski Kristof , Phelut Renaud , Legeay Sebastien , Gros Patrick
Published: March 2018

Flexible pipe is a cost-effective and tailor made pipeline solution. Nevertheless, today's demanding market conditions call for new solutions with further increased cost effectiveness to satisfy demand for a reliable and very economical solution.

The paper will focus on a new qualified solution whereby the interlocked pressure shaped armour wire is replaced by single strip made of carbon steel wound on the pipe with 50% overlapping. A large percentage of the market is dominated by smaller diameter (<12″) pipe for low pressure, static flowline/jumper applications in shallow water, such solution will typically cover such domain range. In this paper will be covered the profile description and associated qualification tests, as well as the cost effectiveness and economic viability.

Currently, flexible pipes are suitable for a wide range of technical specifications, including inner diameters (ID) from 2″ up to 21″ ID, design pressure up 20,000psi, temperature up to 150°C and water depths to 3,000m. Such pipes are made of an interlocked pressure armour wire (shaped wires), resulting in relatively high inertia pipe, with added weight leading to manufacturing challenges and associated cost.

This new pressure armour strip profile was developed and qualified with the following outcomes: Reliable qualification of a technology from 4″ to 12″ ID following API RP 17B process.Significant cost reduction compared to current design in similar cases when this new technology is applied.Simple and cost effective installation feasibility facilitated by weight optimisation and associated top tension reduction (horizontal over boarding of the flexible pipe over a gutter using a tensioner or use of low tension vertical pipelay systems).

The new pressure armour strip profile (profiling of the strip) was engineering detailed, a reliable qualification program was conducted on 6″ flexible pipe following API RP 17B process. Such qualification program implies pipe characterization against: crushing, bending, internal pressure, burst limit, and deviated tension. Finally, cost impact assessment was conducted.

Some additional benefits associated with this innovative design include the elimination of pressure armour unlocking phenomenon during service or installation and reduced gas diffusion into the annulus.
Evaluation of Uintaite and Asphaltic Additives in Synthetic Base Fluids
Authors: Montes Dario , Sotomayor Ghery , Pascarella Natalie
Published: March 2018

Uintaite is a well-known drilling fluid additive that has been used in the oil and gas industry since the 1950's. Known globally as Gilsonite, the oil and gas drilling industry has adopted it as the standard; however, in recent years products have entered the market misconstrued under the same name. Uintaite is a unique naturally occurring asphalt-like rock found exclusively in northeastern Utah, and has been proven effective as an additive in a wide range of applications. Geologically, Uintaite is part of the asphaltite family along with other natural bitumens such as grahamite and glance pitch.

A preceding study discussed Uintaite performance in synthetic based systems including its ability to comply with the United States Environmental Protection Agency (EPA) standards for discharge. This paper follows the natural progression from that study, comparing Uintaite's performance in synthetic base drilling fluids against other asphaltites and asphaltic products, commonly referred to as ‘black powders'. A comprehensive evaluation was performed to understand the effectiveness of each filtration control additive on the base synthetic drilling fluids properties; while at the same time evaluating their potential impact in the original fluid formulation to comply with environmental regulation, providing rigorous technical data to assist the drilling industry in better understanding this key drilling fluids additive. This paper is intended to describe the differences between authentic Uintaite and other asphaltic products.
Corrosion Resistance Alloy Lined Pipe Seal Weld Assessment Using Finite Element Analysis and Full Scale Qualification Testing for High Pressure and High Temperature Pipeline Application
Authors: Putra I. W. Eka , Fuaddin N. A. H. , Mazli A. M. , Rosli F. , Badaruddin M. F. , Napiah M. N. M. Ali
Published: March 2018

Corrosion resistance alloy (CRA) lined pipe is one of the alternative materials for corrosion management in oil and gas application. It is generally more economical compared to CRA clad pipe. However, limited references are currently available regarding performance of CRA lined pipe for high pressure and high temperature (HPHT) pipeline. This paper presents PETRONAS qualification on the suitability of CRA lined pipe for one of its HPHT field. The work focused on the liner and seal weld failure mode due to wrinkling, bending and fatigue cracking during pipeline coating process, offshore installation and operation lifetime. The first stage assessment was conducted using finite element analysis (FEA). Various cases as an effect of pipeline global buckling were considered, including combined pressure, temperature, bending, axial load, cycled between shutdown to normal operating conditions, and effect of griping forces with or without the presence of imperfection. Full scale testing was then performed sequentially simulating full cycle of the pipeline loading, started by thermal loading (coating process), followed by full size four-point bending test (installation case), and lastly full cyclic bending up to maximum lateral buckling strain at design temperature (operation case). Liner gripping force test was then conducted following the full cyclic bending test. Fatigue performance of the seal weld under cyclic loading was also assessed through small-scale low cycle fatigue tests. Both FEA and full scale testing showed that liner pipe was not susceptible to wrinkling at the maximum global buckling loading, even without pressure. There is also indication of residual gripping force even the pipe has gone through full cycle of operation stage. The low cycles fatigue tests also shows high safety factor for the fatigue life. Hence, acceptability of the CRA under actual operating conditions will be higher since bending moments due to buckling occurs while the line is pressurized.
Improved Pre-Drill Pore Pressure Prediction for HPHT Exploration Well Using 3D Basin Modeling Approach, A Case Study Offshore Vietnam
Authors: Nguyen Son T. , Hoang Son K. , Khuc Giang H.
Published: March 2018

In this study, pore pressure prediction for a HPHT exploration well was conducted using both convention 1D modeling method and 3D basin modeling approach. Due to the considerable challenges encountered in three nearby fields (narrow mud weight windows, over pressure up to 17.0-17.8 ppg, and temperature as high as 185 °C at projected well TD), 3D basin modeling was considered as an alternative approach to help reduce the uncertainty due to lack of constraining data for conventional 1D modeling.

Both Eaton and Bowers methods were used to generate 1D models of the pore pressure profile from seismic interval velocity. Calibration of the models was based on offset wells of the three nearby fields. On the other hand, 3D basin modeling approach was used to model all three fields together. Detailed lithology was defined for each layer of the basin. By carefully calibrating the relationship of porosity-effective stress, porosity-permeability, and varying sealing capacities of the faults, a good match was obtained between the 3D basin pore pressure distribution and pressure data measurements from offset wells of all three nearby fields. After the calibration process, pore pressure profile of the HPHT exploration well was extracted along the proposed drilling well path.

Modeling a basin consists of reconstructing the deposition history of the entire sedimentary sequences from geological, geophysical, and geochemical data. It allows establishment of paleo water depths and heat flows in burial sediments to understand the hydrocarbon generation, migration, and accumulation processes during the geological history of a basin. The accurate definition for porosity-effective stress and porosity-permeability relationship of layers of source rock, reservoir, and seal will generate reliable pressure regimes in the basin. Extraction of 1D pore pressure profiles showed an excellent match with measured pressure in offset wells.

In addition to providing pore pressure prediction to optimize drilling plans, 3D basin modeling could deliver rock properties data for further wellbore stability studies in exploration areas. This is valuable for HPHT offshore drilling to help reduce the possibility and severity of drilling issues such as kicks, losses, and wellbore collapse.
The deformity correction and fixator-assisted treatment using Ilizarov versus Taylor spatial frame in the foot and ankle
Authors: Manggala Yudha , Angthong Chayanin , Primadhi Andri , Kungwan Supoj
Published: March 2018

This study was to report the comparison of outcomes between Ilizarov ring fixator (IRF) and Taylor Spatial Frame® (Smith & Nephew, Memphis, Tenn.; TSF) in terms of the effectiveness of ankle-foot deformities correction, follow-up results, and complications. Fourteen patients with ankle-foot deformities were corrected using circular external fixation (IRF group = 7 patients; TSF group = 7 patients) and related procedures. Baseline data and treatment variables were recorded. The patients’ mean age was 42.9 years. Mean follow-up time was 6.5 months. Most common cause of deformity/traumatic condition was posttraumatic equinus. There were successful results in 8 patients (57.1%), partial successful results in 5 patients (35.7%), and revision-needed in 1 patient (7.1%). TSF group demonstrated significantly higher rate of successful results than IRF group (P=0.033). A trend of lower complication rate was found in TSF group (P=0.286). Deformity corrections using TSF provided significantly better clinical scores and higher rate of successful outcome than conventional IRF.
Model simulations with COSMO-SPECS: impact of heterogeneous freezing modes and ice nucleating particle types on ice formation and precipitation in a deep convective cloud
Authors: Diehl Karoline , Grützun Verena
Published: March 2018

Abstract. In deep convective clouds, heavy rain is often formed involving the ice
phase. Simulations were performed using the 3-D cloud resolving model
COSMO-SPECS with detailed spectral microphysics including parameterizations of
homogeneous and three heterogeneous freezing modes. The initial conditions
were selected to result in a deep convective cloud reaching 14 km of altitude
with strong updrafts up to 40 m s−1. At such altitudes with corresponding
temperatures below −40 ∘C the major fraction of liquid drops
freezes homogeneously. The goal of the present model simulations was to
investigate how additional heterogeneous freezing will affect ice formation
and precipitation although its contribution to total ice formation may be
rather low. In such a situation small perturbations that do not show
significant effects at first sight may trigger cloud microphysical responses.
Effects of the following small perturbations were studied: (1) additional ice formation via immersion, contact, and deposition modes in
comparison to solely homogeneous freezing, (2) contact and deposition
freezing in comparison to immersion freezing, and (3) small fractions of
biological ice nucleating particles (INPs) in comparison to higher fractions
of mineral dust INP. The results indicate that the modification of
precipitation proceeds via the formation of larger ice particles, which may be
supported by direct freezing of larger drops, the growth of pristine ice
particles by riming, and by nucleation of larger drops by collisions with
pristine ice particles. In comparison to the reference case with homogeneous
freezing only, such small perturbations due to additional heterogeneous
freezing rather affect the total precipitation amount. It is more likely that the
temporal development and the local distribution of precipitation are affected
by such perturbations. This results in a gradual increase in precipitation
at early cloud stages instead of a strong increase at later cloud
stages coupled with approximately 50 % more precipitation in the cloud
center. The modifications depend on the active freezing modes, the fractions
of active INP, and the composition of the internal mixtures in the drops.
Theoretical analysis of mixing in liquid clouds – Part IV: DSD evolution and mixing diagrams
Authors: Pinsky Mark , Khain Alexander
Published: March 2018

Abstract. Evolution of droplet size distribution (DSD) due to mixing between cloudy and
dry volumes is investigated for different values of the cloud fraction and
for different initial DSD shapes. The analysis is performed using
a diffusion–evaporation model which describes time-dependent processes of
turbulent diffusion and droplet evaporation within a mixing volume. Time
evolution of the DSD characteristics such as droplet concentration, LWC and
mean volume radii is analyzed. The mixing diagrams are plotted for the final
mixing stages. It is shown that the difference between the mixing diagrams
for homogeneous and inhomogeneous mixing is insignificant and decreases with
an increase in the DSD width. The dependencies of the normalized cube of the mean
volume radius on the cloud fraction were compared with those on normalized
droplet concentration and found to be quite different. If the normalized
droplet concentration is used, mixing diagrams do not show any significant
dependence on relative humidity in the dry volume. The main conclusion of the study is that traditional mixing diagrams cannot
serve as a reliable tool for analysis of mixing type.
Confusion Points in Principles of Financial Accounting and Clinical Approaches to Clearing Them
Authors: Kim Seung Hwan
Published: March 2018

‘Principles of financial accounting’ is generally the first accounting class that is required of all business majors, not to mention accounting majors. However, often found is that significant percentage of those who passed the class still don’t have clear knowledge of even the basics of the class. This has become a more serious issue for accounting majors, because some accounting majors graduated without having clear knowledge of the basics of accounting that they should have learned from this class and faced the consequences of it after graduation. From the teaching experiences of the author, this study found the most common confusion points in the class, which have caused the issue, and presented clinical approaches to the confusion points that have been proven significantly effective clearing them.
Ciudades sustentables. De la gestión a la valoración institucional de las áreas verdes y el arbolado: conurbación Temuco-Padre las Casas
Authors: Pastene Reyes Tomás , Puppo Stuardo Alfonsina
Published: March 2018

Este artículo es parte de una investigación que analiza los vínculos y operaciones de las instituciones encargadas de la gestión de la vegetación urbana en las ciudades: Temuco y Padre Las Casas. Para

ello, se trabaja en base a la construcción de un modelo de análisis que permite identificar las tensiones y los nodos problemáticos de ambas ciudades, a partir de los conceptos de: planificación, integración,

adaptación y legitimación. Se utiliza el concepto de servicios ecosistémicos a un nivel operativo, ya que permite asimilar el modo en que las instituciones locales pueden comprender los beneficios directos o indirectos que provee el ecosistema urbano al bienestar humano y a las condiciones socioambientales del territorio. Los municipios cuentan con una naturaleza jurídica dual: son organismos de administración del Estado, con capacidades autónomas de gestión. Esta doble capacidad se convierte en un mecanismo que entorpece las dinámicas territoriales y urbanas para un adecuado manejo de la vegetación en ambas comunas.
Comparison of the usefulness of selected formulas for GFR estimation in patients with diagnosed chronic kidney disease
Authors: Wróbel Paweł , Januszek Rafał , Sułowicz Władysław
Published: March 2018

Introduction: The diagnosis and classification of chronic kidney disease (CKD) are based on the glomerular filtration rate value. The simplest way to evaluate glomerular filtration rate is to estimate it based on serum creatinine concentration using one of many specific mathematical formulas. None of the formulas created for this purpose are perfect. Differences in eGFR values are frequently observed in specific stages of chronic kidney disease by KDIGO classification based on different formulas.
Aim: The aim of the study is to compare the eGFR value in patients previously diagnosed with CKD treated in the Outpatient Nephrology Unit of the University Hospital in Krakow using the selected formulas.
Material/Methods: The study was performed in a group of 882 patients (392 women, 490 men) aged 65.0 ± 14.8 years. GFR values were estimated using Bjornsson, the abbreviated MDRD, and CKD-EPI formulas. These values were then compared according to chronic kidney disease stage and age groups: above and below 60 years.
Results: The mean eGFR value was for Bjornsson formula- 47.2 ± 21.1 ml/min/1.73m2, abbreviated MDRD formula- 38.8 ± 15.2 ml/min/1.73m2, and CKD-EPI formula- 37.7 ± 15.9 ml/min/1.73m2. There was a large concordance in eGFR values obtained using the CKD-EPI and abbreviated MDRD formulas in every stage of chronic kidney disease and in both age groups. The Bjornsson formula significantly increased the number of patients in early stages of CKD, G1 - 33 vs 2 (abbreviated MDRD) and 6 (CKD-EPI), G2- 186 vs 70 (abbreviated MDRD) and 69 (CKD-EPI).
Conclusions: CKD-EPI and abbreviated MDRD formulas have a similar usefulness in GFR value estimation in patients with diagnosed chronic kidney disease. Lower eGFR values achieved using abbreviated MDRD formula and CKD-EPI equation in comparison with Bjornsson’s formula may result in an increased number of patients diagnosed with CKD.
Combinação do toque e atividades lúdicas aumenta o bem-estar e fortalece o vínculo entre avós e netos
Authors: Pellegrino Cláudia , Tobo Patricia , Kamei Helder
Published: March 2018

A pesquisa científica objetivou verificar se a combinação da massagem e atividades lúdicas (gestual) entre avós e netos promove o aumento do bem-estar e o fortalecimento do vínculo, do diálogo e da relação entre eles. A pesquisa foi dividida em duas etapas e apoiada por consultores de diversas áreas do conhecimento (antroposofia, psicanálise, psicologia positiva, linguística e estatística). Através da análise dos resultados, foi comprovado que o gestual é um mobilizador para o aumento do bem-estar subjetivo dos netos e, para os avós, favoreceu o resgate da infância e um despertar para missão de vida. Proporcionou a ampliação de consciência relacionada ao vínculo entre os mesmos, já que os participantes passaram a expressar mais sentimentos alocêntricos do que autocêntricos, isto é, voltados mais para os outros do que para si mesmos. Esse é o primeiro estudo científico a mostrar que a combinação da massagem e atividades lúdicas tem potencial para reduzir a distância geracional entre avós e netos.
Integrative Medicine Program- MD Anderson Cancer Center
Authors: Lee Richard T
Published: March 2018

The Integrative Medicine Program at MD Anderson Cancer Center was first established in 1998.  Our mission is to empower patients with cancer and their families to become active partners in their own physical, psycho-spiritual, and social health through personalized education and evidenced-based clinical care to optimize health, quality of life, and clinical outcomes across the cancer continuum.  The program consists of three main components: clinical care, research, and education.  The Integrative Medicine Center provides clinical services to patients through individual and group programs.  The clinical philosophy of the center is to work collaboratively with the oncology teams to build comprehensive and integrative care plans that are personalized, evidence-based, and safe with the goal of improving clinical outcomes.  The individual services comprise of integrative oncology consultation, acupuncture, meditation, music therapy, nutrition, and oncology massage.  The center also provides a variety of group programs including meditation, yoga, tai chi, cooking classes and others.  Over the past 13 years, over 70,000 patients and families have participated in services and programs offered by the center.  The research portfolio focuses on three main areas: mind-body interventions, acupuncture, and meditation.  This lecture will focus on providing an overview of the Integrative Medicine Program at MD Anderson with a focus on the clinical services provided.  Participants will learn about the integrative clinical model and how this is applied to the care of cancer patients at MD Anderson Cancer Center.  Current and future research topics will be discussed as well as patient cases.
Efeito do Diodo Emissor de Luz (LED) em pontos de acupuntura sobre a força de preensão palmar
Authors: Sapienza Sergio Antonio , EloinLiebano Richard
Published: March 2018

Introdução: A preensão palmar pode ser considerada como um dos parâmetros do estado de força geral dos indivíduos. A terapia a diodos emissores de luz (LED) induz um aumento da enzima mitocondrial citocromo c oxidase nas fibras musculares que altera o conteúdo de adenosina trifosfato (ATP). A acupuntura libera grandes quantidades de ATP. A luz incoerente produz resultados clínicos eficazes e pode ser conduzida pelos meridianos de acupuntura. Objetivo: O objetivo deste estudo é avaliar o efeito do LED em pontos de acupuntura, sobre a força de preensão palmar em indivíduos saudáveis. Métodos: O estudo foi realizado com 45 indivíduos de ambos os sexos, 13 homens e 32 mulheres que possuíam idade média de 36 ± 15 anos, divididos randomicamente em três grupos de 15 pessoas cada. O grupo estudo G1 teve a força de preensão palmar medida e após foi submetido à aplicação do LED, sendo posteriormente avaliada a força de preensão. O G2 foi o grupo placebo que inicialmente teve a força de preensão palmar medida e posteriormente, foi supostamente aplicado o LED, porém, sem o aparelho estar ligado, e novamente foi avaliada a força. O G3 foi o grupo de controleque foi somente submetido à mensuração da força de preensão palmar por duas vezes, com um intervalo de seis minutos entre ambas, sem qualquer outra intervenção. Os indivíduos dos grupos G1 e G2 foram avaliados com os olhos vendados de forma a não saberem a qual grupo pertenciam. Foi utilizado um dinamômetro Jamar® na mensuração da força de preensão palmar e um aparelho emissor de LED vermelho com quatro saídas, com comprimento de onda de 625nm, diâmetro de 3mm, densidade de força de 0,242W/cm2 e energia de 1,026J/ponto. Os LED´s foram aplicados simultaneamente por um minuto sobre os pontos de canais de acupuntura do Pulmão (pontos P11 - Shaoshang e P9 - Taiyuan), do Pericárdio (ponto PC9 – Zhongchong) e do Coração (ponto C9 - Shaochong). A força de preensão palmar foi medida após 5 minutos da irradiação com os LED´s considerando a média de três medições, seguindo as recomendações da Sociedade Americana de Terapeutas de Mão (SATM). Resultados: A variação percentual entre a medição inicial e final foi de 2,8% ± 10,7% para o grupo G1, 2,2% ± 8,9% para o grupo G2 e -1,7% ± 8,1% para o grupo G3, com significância p=0,395. Conclusão: Conclui-se que não existe efeito do LED, aplicado em pontos de acupuntura, sobre a força de preensão palmar em indivíduos saudáveis.
Efeitos da meditação em profissionais da Atenção Primária à Saúde: uma revisão da literatura
Authors: Leonelli Luiz Bernardo , Atanes Ana Cristina Melo , Kozasa Elisa Harumi , Andreoni Solange , Demarzo Marcelo Marcos Piva
Published: March 2018

Introdução: O Ministério da Saúde entende a Estratégia Saúde da Família (ESF) como principal reorganizadora da Atenção Primária à Saúde (APS) no Sistema Único de Saúde (SUS). A ESF está entre as maiores coberturas de APS no mundo. Na medida em que delega múltiplas e complexas atribuições às suas equipes, com elevado grau de responsabilidade sanitária nos territórios atendidos, é esperado um risco psicossocial e de estresse ocupacional aumentado entre os profissionais da ESF. Objetivos: Avaliar os efeitos da meditação em profissionais da APS, mediante revisão da literatura sobre o tema. Método: Revisão narrativa da literatura, nas bases de dados Bireme, Scielo e Medline, com utilização dos seguintes descritores em português e inglês: meditação; profissionais; saúde; atenção primária. Resultados: Foram encontrados 54 artigos, dos quais foram selecionados 18, sendo excluídos os artigos cuja temática não atendia ao objetivo desse estudo. A maioria dos estudos constatou efeitos significativos da meditação em profissionais da APS, relativos à redução do estresse, ansiedade, depressão, entre outras, até vários meses após a aplicação da mesma, com melhora na qualidade de vida e dos serviços prestados à população usuária, que a meditação pode ser um expediente tanto terapêutico como preventivo para estes profissionais (FRANCO, 2010); com destaque para a diminuição de sentimentos negativos e ruminação mental ou intelectual (MARTIN-ASUERO;GARCIA-BANDA, 2010); melhora significativa no bem estar, atenção, empatia e maior de qualidade no atendimento prestado por estes profissionais (KRASNER ET AL, 2009); nesta mesma direção também concordam Irving, Dobkin, Park (2009); Oman et al (2008) e Praisman (2008), em seus respectivos estudos. Conclusão: Frente à literatura revisada, pode-se concluir que os efeitos da meditação são significativos, com número cada vez maior de publicações no mundo, mas não foram encontradas pesquisas desta natureza em profissionais da APS no Brasil, indica-se a necessidade de estudos sobre a aplicação desta promissora prática, com o propósito de avaliar seus efeitos na saúde, qualidade de vida no trabalho prestado por estes profissionais, em âmbito da produção científica nacional.
Efeitos de um programa de Ioga na saúde do trabalhador
Authors: Dos Santos Kleber Luís Silva , Guimarães Maria do Perpetuo Socorro Avelar , Da Costa Paula Hentschel Lobo
Published: March 2018

Introdução: A prática da Ioga com suas técnicas de Asanas, Pranayamas e meditação estimula o bom funcionamento dos órgãos vitais e pode contribuir para a saúde de trabalhadores. Objetivo: O objetivo deste estudo foi identificar os efeitos da prática regular da Hatha Ioga em um grupo de trabalhadores saudáveis. Métodos: Os benefícios orgânicos da prática da Ioga foram avaliados através do questionário "Musculoesquelético Nórdico"; aspectos psicossociais e de envolvimento com o trabalho foram avaliados com o "Questionário do Bem Estar e Trabalho”. Trinta voluntários saudáveis (ambos os sexos, média de idade de 41,4 ± 9,1 anos), sedentários e de uma mesma empresa, por sorteio, compuseram dois grupos de 15 indivíduos: grupo experimental e grupo controle. A intervenção foi elaborada com aulas de Hatha Ioga realizadas dentro da empresa, durante o horário de trabalho, com duração de 60 minutos, por um período de oito semanas, duas vezes por semana. Esta foi desenvolvida por um único professor de Ioga, experiente e independente do estudo. Os trabalhadores tiveram autorização para se ausentar de seus postos de trabalho durante o período das aulas. O estudo foi aprovado pelo Comitê de Ética em Pesquisa com Seres Humanos da universidade (424/2011). Resultados: Foi observada uma diminuição significativa nas queixas musculoesqueléticas após o período da intervenção apenas no grupo experimental. Quanto às medidas de bem estar e satisfação com o trabalho, apenas o grupo experimental apresentou uma tendência de aumento no grau de satisfação em seu ambiente de trabalho. Esses resultados sugerem que a prática da Hatha Ioga produziu redução das queixas musculoesqueléticas e, esse fato pode estar correlacionado ao maior nível de satisfação e envolvimento do trabalhador em seu ambiente ocupacional. Conclusões: Nossos resultados são evidências de que a intervenção de oito semanas com Hatha Ioga dentro da empresa produziu benefícios musculoesqueléticos e um maior bem estar no ambiente de trabalho de indivíduos saudáveis. Assim podemos recomendar a prática regular da Hatha Ioga para a promoção da Saúde do Trabalhador.
Influência da pratica regular de yoga para a manutenção do equilíbrio e mobilidade em idosos
Authors: Cardoso Vera Lúcia , Oliveira Rafaela Sanches de
Published: March 2018

Introdução: O envelhecimento populacional aumenta a procura por serviços de saúde.  Entre as grandes síndromes geriátricas está a queda. O envelhecimento fisiológico associado a doenças freqüentes nos idosos aumenta o risco de quedas e a perda da mobilidade. Faz-se necessária uma intervenção preventiva nesta população. Estudos com praticantes de Yoga têm mostrado maior flexibilidade, reforço muscular, aumento da vitalidade e qualidade de vida, redução do estresse psicológico e redução das doenças cardiovasculares. Objetivo: Comparar o equilíbrio e mobilidade funcional de idosos praticante de Yoga com os idosos da comunidade. Método: Trata-se de um estudo transversal descritivo no qual 20 idosos praticantes de Hatha Yoga por 2 vezes semanais há mais de 3 meses em uma academia da Cidade de São Paulo (Grupo E)  e 20 idosos freqüentadores de um parque público da mesma cidade (Grupo C). Os voluntários foram avaliados através da Escala de Berg, o Teste Time upandGo (TUGT) e a Escala de Avaliação do Desempenho de Membros Inferiores (EADMI), além de responder a um inventário de quedas elaborado pelas autoras. Resultados: No Grupo E a média de idade foi de 72,5 anos (60-75), 85% eram mulheres, e praticavam Hatha Yoga há 2,8 anos. No grupo C a média idade foi de 67,5 anos (60-70), 75% eram mulheres, e nenhum idoso realizava atividade física regular. Em relação à presença de diagnósticos os Grupo E e C apresentaram diagnósticos muscular esqueléticos (E=0% e C=5%) , cardiovascular (E=25% e C=60%), metabólico (E=10%e C=15%), gastrointestinal (E=0% e C=5%) e respiratório (E=10% e C=0%). A Escala de Berg mostrou uma pontuação superior no Grupo E (E= 53,5, C= 43,5), O TUGT não mostrou diferença significante (E=11s, C=12s), e a EADMI foi maior no Grupo E (E= 11,20 C= 9,75). O número de quedas nos últimos 6 meses foi superior no Grupo C (E= 10% e C=45%). Dos idosos que apresentaram quedas, 66% do Grupo E necessitaram de auxilio para levantar enquanto no Grupo C 80%. Todos os entrevistados relataram medo de quedas. Conclusão: Os resultados indicam um melhor equilíbrio e mobilidade funcional no grupo de idosos praticantes de Hatha Yoga. Sugerimos a realização de ensaios clínicos com um maior número amostral.
O impacto da medicina tradicional: Brasil como potência verde mundial
Authors: Thompsom John B , Pascalicchio Áurea Aparecida Eleuterio
Published: March 2018

Introdução: A Política Nacional da Medicina Natural e Práticas Complementares (PNPIC) coloca o Brasil em destaque nos sistemas nacionais de saúde. Esta política corresponde à vontade da população expressa nas Conferências de Saúde. Experiências brasileiras são citadas pela OMS apoiando políticas semelhantes, pois 80% da população de países em desenvolvimento dependem de medicina tradicional. Cerca de 1/3 dos medicamentos prescritos foram desenvolvidos a partir de produtos naturais. Foi pesquisada apenas 10% de toda biodiversidade e da qual o Brasil detém 20%.A pesquisa brasileira tem destaque internacional na área.As pessoas estão mais atentas à sociedade de risco e globalizada.O uso da Medicina Tradicional e a busca por alternativas sustentáveis aumentam. O estudo observa projetos e pesquisas inovadores com integralidade e acesso em saúde associados com uso sustentável do capital natural. O Brasil é hoje reconhecido como liderança global. Objetivos: observar a visibilidade mundial dos medicamentos naturais e a contribuição brasileira neste cenário. Método: Revisão bibliográfica em literatura cientifica (MEDLINE, COCHRANE, LILACS, NDLTD) .Estudos de caso e entrevistas com atores proeminentes,programas governamentais e pesquisas formam banco de dados qualificado e sistematizado.Seleção de amostra intencional de casos para analise qualitativa no contexto da teoria social dos meios de comunicação. Resultados: A busca da saúde, longevidade, beleza e sua representação simbolizada pelos medicamentos naturais são contextualizadas no mercado farmacêutico mundial ebiotecnológico, relacionados ao processo de desenvolvimento sustentável. O interesse mundial no mercado de produtos naturais esta vinculado aos fatores comportamentais, políticos, econômicos, biológicos, químicos e biotecnológicos. As estratégias corporativastem se voltado para o “greenmarket”. Brasil tem se destacado no cenário mundial da Biodiversidade. LOHAS (Lifestyleof Health andSustainability) é um movimento interessado em ecologia, planeta, justiça social, relacionamento, paz. Nos EUA representa cerca de 30% dos adultos ou 63 milhões de consumidores com mercado estimado em 300 bilhões de dólares. O movimento esta identificado em outros países e detectam mudanças comportamentais aumentando frente a crise ambiental. No Brasil empresas e universidades com projetos inovadores tem este perfil. Na Amazônia projetos extrativistas com população indígena e ribeirinhos. Parceria publico/privadas também foram identificadas como o caso do PROBEM ou Cognis. Conclusão: A mudança no comportamento humano é estratégica na sustentabilidade do planeta. A utilização de medicamentos naturais cresce contribuindo para transformações de atitude e de consumo. O Brasil tem experiências de sucesso.
La distinction des normes juridiques et des normes morales : un point de vue constructiviste
Authors: Rouvière Frédéric
Published: March 2018

Selon l’opinion dominante, il existerait des normes juridiques et d’autres qui seraient morales. Le but de l’auteur est de renverser le point de vue habituel en soutenant que c’est la façon de construire le sens des normes qui permet de les qualifier de juridiques ou de morales. Autrement dit, la méthode ne vient pas s’appliquer à un objet déjà reconnu ; bien au contraire, c’est la méthode qui construit l’objet. Ainsi, alors que l’interprétation morale tend à mettre au point des normes comme dirigeant des comportements par des prescriptions qui agissent telles des causes finales, l’analyse juridique représente les normes comme une façon de trancher des litiges à partir de cas qualifiés logiquement par des règles indicatives et selon une approche formaliste.
АНАЛИЗА КЛИНИЧКИХ СЛУЧАЈЕВА БАБЕЗИОЗЕ ПАСА
Authors: Параш Г. , Параш С. , Вујиновић О. , Витковић О. , Лукач Б. , Чегар И. , Баника М. , Комленић И.
Published: March 2018

Бабезиоза паса је обољење проузроковано протозоом и
КВАЛИТЕТ БИЈЕЛОГ ОВЧИЈЕГ СИРА СА СТАРЕ ПЛАНИНЕ
Authors: Голић Б. , Недић Д. , Пећанац Б. , Дојчиновић С. , Стојиљковић М. , Недић С.
Published: March 2018

...
PREGLED BAKTERIJSKIH I VIRUSNIH OBOLJENJA SVINJA U EKSTENZIVNOM I INTENZIVNOM NAČINU DRŽANJA
Authors: Bojkovski J. , Maletić M. , Zdravković N. , Nedić S. , Pavlović I.
Published: March 2018

U ovom radu je dat pregled oboljenja svinja bakterijske i virusne etiologije kojamogu da budu prisutna u ekstenzivnom i intenzivnom načinu držanja. Dobrozdravlje svinja je uslov dobre reprodukcije, odnosno rentabilne proizvodnje. Zdravljezavisi od uslova držanja, nege, ishrane, kontrole i zdravstvene zaštite. Veliki brojbolesti koje su prisutne na farmama svinja industrijskog tipa, moguće je primenomprofilaktičkih i terapeutskih mera, kao i pojačanom kontrolom stručnih službi držatipod kontrolom. Odgovarajućom saradnjom vlasnika farmi sa stručnim službama, uzpoštovanje i sprovođenje stručnih saznanja, te primenom niza biotehničkih mera istavljanjem akcenta na preveniranje bolesti svinja, a u cilju promocije dobrog zdravljasvinja, moguće je unaprediti proizvodnju. U ovom preglednom radu dali smo presekoboljenja bakterijske i virusne etilogije koje se srecu na komercijalnim farmama i uekstenzivnom načinu držanja.
Trends in the abundance of picophytoplankton due to changes in boundary currents and by marine heat waves in Australian coastal waters from IMOS National Reference Stations
Authors: THOMSON PAUL G , PATTIARATCHI CHARITHA B
Published: March 2018

The picophytoplankton, Prochlorococcus and Synechococcus, are small photosynthetic cells (< 3µm diameter) important in the world’s tropical oceans. With a large surface area to volume ratio these cells are very responsive to their environment, and their distribution and abundance make them good indicators of variability in our coastal oceans. To understand change in Australian waters, we used flow cytometry to analyse monthly samples of picophytoplankton (2009 – 2017) from 2 Integrated Marine Observing System (IMOS) National Reference Stations (NRS) in southern Australia. We found clear seasonal patterns in abundance from Rottnest Island (Western Australia) and Maria Island (Tasmania) due to seasonality in flows of the Leeuwin and East Australian Currents. However, our data also shows that the abundance of the tropical picophytoplankton in southern Australian waters is increasing due to strengthening boundary currents and more intense eddies on the east coast and through the effects of marine heat waves on the west coast. This is significant as it points to fundamental changes in the size and community composition of phytoplankton at the base of the marine food chain. Our data also highlight how sustained ocean biodiversity observations help us understand our changing oceans.