bluuebunny/crossref_metadata_2025 huggingface dataset:
ANÁLISE DA GOVERNANÇA DE TI EM UMA ORGANIZAÇÃO DO COMANDO DA AERONÁUTICA
Authors: Maciel Aloisio da Conceição , Bueno Argentino José Braga
Published: March 2019

Este trabalho apresenta uma análise da Governança de Tecnologia da Informação da Subdiretoria de Pagamento de Pessoal (SDPP), Organização Militar do Comando da Aeronáutica (COMAER). Tal abordagem está relacionada à necessidade de se conhecer a situação atual dainstituição no que se refere ao tema, de modo que aspectos que estejam limitando a sua evolução sejam apresentados. O objetivo desta pesquisa é, portanto, identificar os fatores que podem estar comprometendo a Governança de Tecnologia da Informação da instituição de modo a ratificar, ou não, a hipótese proposta de que o principal fator relacionado ao tema a ser aperfeiçoado é o alinhamento entre o Planejamento Estratégico do Negócio e o Planejamento Estratégico de Tecnologia da Informação. Este propósito será conseguido mediante revisão bibliográfica e comparativo entre processos, planejamentos e documentos institucionais da organização sob análise e a teoria acerca do tema. Para isso, também será utilizada uma pesquisa do Tribunal de Contas da União (TCU) que foi elaborada com o intuito de mapear a evolução do nível da Governança de Tecnologia da Informação no âmbito da Administração Pública Federal. O resultado da pesquisa complementou a hipótese proposta. Na realidade, a análise mostrou que, além do alinhamento estratégico entre a Tecnologia da Informação e o negócio, outros aspectos apresentaram níveis de maturidade abaixo da média considerada como parâmetro.
UMA CULTURA DE SEGURANÇA CIBERNÉTICA GLOBAL E MULTINÍVEL
Authors: Silveira Glaucio da Rocha , Bueno Argentino José Braga
Published: March 2019

Este artigo pretende argumentar sobre uma cultura de segurança cibernética global e multinível. Para atingir esse objetivo, o estudo irádefinir segurança cibernética em relação a um conceito mais amplo de segurança. Nesse sentido, é necessário analisar a evolução do conceito,principalmente a partir da Guerra Fria, e sua relação com a definição de segurança nos dias de hoje. Em seguida, com igual necessidade, o presente trabalho irá definir e identificar o objeto referente à segurança, a importância das ameaças cibernéticas e a necessidade de uma gestão de múltiplos níveis no que tange à segurança e às ameaças cibernéticas. Essa administração somente é possível e eficaz através do desenvolvimento de uma cultura de segurança composta de múltiplos níveis de segurança. O presente estudo ainda aborda a ideia de um quadro global de cooperação em múltiplos níveis, baseado em uma estratégia que visa o desenvolvimento de uma cultura de segurança cibernética global. Essa cultura deve ser implementada gradualmente, baseada na cooperação horizontal e vertical, começando com questões de segurança de baixa sensibilidade política. À luz da revisão bibliográfica, observa–se que o Brasil já está no caminho da implementação de uma cultura multinível, através da realização de acordos de cooperação com países amigos, apesar de se tratar de um tema bastante recente na área. Cabe salientar ainda que, apesar do esforço realizado pela APF, um estudo apresentado pelo Tribunal de Contas da União –TCU, através do acórdão 3.117/2014, demonstra a baixa adesão dos órgãos públicos no intuito de implementar a cultura de segurança.
A LOGÍSTICA DE SUPRIMENTOS OPERANTE NA AVIAÇÃO DO EXÉRCITO BRASILEIRO E SUA INFLUÊNCIA NA DISPONIBILIDADE OPERACIONAL DA FROTA DE HELICÓPTEROS
Authors: Castro Leonardo Lescura de Carvalho , Scanfone Leila
Published: March 2019

Este trabalho discorre sobre a logística de suprimentos operante na Aviação do Exército Brasileiro. Tal abordagem se justifica pelo fato da logística ser fundamental não apenas para a criação de vantagem competitiva econômica nas unidades empresariais, mas, sobretudo, para a criação e efetivação do poder militar de uma nação. Diante disso, este trabalho tem o objetivo de analisar a atual sistemática da logística de suprimentos de materiais novos, adotada pela Aviação do Exército Brasileiro, a fim de verificar se ela é capaz de contribuir para o alcance da disponibilidade operacional de sua frota de helicópteros. Para tanto, foi realizada uma pesquisa de caráter qualitativo, do tipo exploratória, baseada na análise bibliográfica dos aspectos doutrinários e operacionais vigentes, além de terem sido realizadas entrevistas não estruturadas, com atores-chave, no processo logístico de suprimentos. As constatações do estudo revelaram que a logística de suprimentos de materiais novos da Aviação do Exército é bem estruturada, em termos de fluxos e soluções postas à sua disposição, contribuindo para o alcance da disponibilidade operacional de sua frota de helicópteros.
RISCOS DECORRENTES DA TERCEIRIZAÇÃO DO APOIO LOGÍSTICO MILITAR BRASILEIRO EM OPERAÇÕES DE GUERRA
Authors: Jorge Ricardo Figueiredo , Bueno Argentino José Braga
Published: March 2019

O presente trabalho trata dos riscos decorrentes da terceirização do apoio logístico militar brasileiro em operações de guerra e uma proposta para minimizá-los. Tal abordagem se faz necessária tendo em vista que o assunto está ligado à soberania e defesa nacional. O objetivo deste trabalho é analisar o tema e concluir sobre a viabilidade ou não de implantação da terceirização da logística militar brasileira, quando do esforço de guerra. Este trabalho foi desenvolvido por meio de um estudo bibliográfico em revistas especializadas e na internet. Inicialmente, apresenta-se um breve histórico da logística e da terceirização, em seguida, são analisadas as influências da logística militar na empresarial e vice-versa, bem como as experiências do Exército Norte Americano quanto à terceirização de bens e serviços em combate. Por fim, foram descritas e analisadas as limitações decorrentes da terceirização do apoio logístico nos EUA e os riscos envolvidos na terceirização da logística militar brasileira, bem como uma forma de minorá-los.A pesquisa evidenciou que a terceirização do apoio logístico das Forças Armadas Brasileiras em operações de guerraé adequada, desde que sejam seguidos os preceitos como maior integração entre o meio militar e empresarial e o gerenciamento dos riscos inerentes à terceirização, evitando, assim, problemas quanto às atividades dos operadores logísticos no campo de batalha.
A UTILIZAÇÃO DO MARKETING VERDE COMO VARIAVÉL COMPETITIVA NO MERCADO ATUAL
Authors: Melo Juliana de Pontes , Lopes Larissa Marcilio , Vilar Junior José Carlos
Published: March 2019

O marketing antecipativo analisa o mercado através de estudos de cenário, projetando futuros quadros de consumo e reconhecendo necessidades latentes ou emergentes. O presente estudo tem como objetivo identificar a importância que o Marketing Verde tem como variável competitiva no mercado atual, satisfazendo as expectativas dos novos consumidores ambientalmente responsáveis. Conclui-se com esta pesquisa que o marketing verde é ferramenta extremamente importante para as empresas, pois ela direciona as estratégias, de acordo com as condições do meio ambiente e das necessidades dos seus clientes, tornando-se um essencial fator competitivo no mercado atual.
AVALIAÇÃO DA GESTÃO DE PORTOS PÚBLICOS
Authors: Fogaça Ramires Gaspar , Dos Santos Ismael Luiz , Vinotti Carlos Antônio
Published: March 2019

Nos portos, a gestão está cada vez mais em ênfase na administração pública. Porém, em função da grande quantidade e da limitação de recursos, os gestores devem definir quais são as práticas mais relevantes, ou seja, aquelas que vão dar mais resultados nos processos de apoio, gestão e principal do negócio. Com a finalidade de propor uma metodologia de avaliação nos portos brasileiros e tornar o segmento cada vez mais competitivo, este trabalho tem como objetivo geral elaborar uma metodologia de gestão para avaliar os portos pautados nos objetivos específicos de estruturar perguntas com critério e requisitos propondo indicadores de desempenho e validar com alguns gestores do segmento portuário. Neste contexto, esta pesquisa tem como grande finalidade analisar a influência da gestão dos portos, focando na eficiência, assim como mapear os métodos atuais utilizados pelos gestores e as lacunas existentes no gerenciamento destes processos. A contribuição teórica desta pesquisa está baseada em alguns modelos já existente na iniciativa privada, um direcionador da pesquisa foi a nova lei dos portos Nº 12.815 onde define no artigo 64 uma cobrança nos portos por resultados. Portanto foi realizado um estudo qualitativo do tipo exploratório, com entrevista aos gestores dos portos de Itajaí–SC, São Francisco do Sul–SC e Porto de Maceió-AL, com resultados servindo de alicerce para a construção de uma metodologia de avaliação das autoridades portuária, possibilitando medir a maturidade da gestão baseado em 9 critérios de gestão e 1 de resultado.
AUTOMAÇÃO E MONITORAMENTO EM AQUÁRIOS UTILIZANDO ARDUÍNO
Authors: De Souza Pedro Henrique Arantes , Da Silva Marlon Hugo Rodrigues , De Mello Ricardo Bernardes , Piurcosky Fabricio Pelloso , Pereira Wariston Fernando
Published: March 2019

O tema abordado neste projeto, consiste na construção de um protótipo que realiza a automação e controle em aquários utilizando a plataforma de prototipagem arduíno e a web. Tal abordagem se faz necessário devido que aquariofilia é um hobby bastante difundido em todo mundo e no mercado não se encontra esse tipo de solução. Por ser um hobby de um custo na maioria das vezes elevado e também para pessoas que não dispõem de muito tempo livre, requer um cuidado maior na questão de controle e monitoramento do ambiente aquático. O controle é feito utilizando sensores (temperatura, ph, nível de água) e acionadores que ativam e desativam (iluminação, filtro de água, injetor de gás carbônico, aquecedor e alimentador) e o monitoramento é exibido no display de LCD, que mostra os valores de retorno dos sensores (valor da temperatura, valor do PH, nível de água) e estados dos acionadores (ligado ou desligado) e para manutenção terá o controle manual dos acionadores utilizando chave de liga e desliga. Este projeto será conseguido através de ação-pesquisa. Durante o seu desenvolvimento foram encontradAs dificuldades com o módulo ethernet, mas o objetivo foi obtido sem o uso de interface web.
NUEVAS GENERACIONES
Authors: Navós Oscar , Rau Gabriela
Published: March 2019

El objetivo del trabajo es identificar la diversidad generacional como uno de los fenómenos de los últimos tiempos que influye sustancialmente en todos los ámbitos de las organizaciones y condiciona a la cultura organizacional de aquellas. Para tal fin, se conceptualiza sobre aspectos de la cultura organizacional que se consideran relevantes y se conforma un breve marco teórico sobre diversidad generacional. Luego se analizan las posibles consecuencias que provocaría dicho fenómeno en las organizaciones, concluyendo con algunos aportes en pos de adaptar la cultura organizacional a los nuevos requerimientos de las distintas generaciones que conviven dentro de las empresas.
Transisi Kepemimpinan Dalam Alkitab
Authors: Octavianus Jonathan
Published: March 2019

As every epoch there are there a transition time, on Old Testament like Moses with Joshua, Joshua selected by God an supported fully by Moses, Conversely Moses have liberally to be changed. Like Elijah to Elisha too.Pattern on New Testament there are an examples of transition time too, like Jesus Christ to His Disciples, an transition from Paul to his successor Timothy. This is a heart and soul a big leader, and shall all leadership owners shepherd in church, Christian institution, etc.Which most be remembered in transition of leadership, that people of God leadership, about who will lead, who continue leadership, like a principle in biblical, hence a role of God, is determinant an anoint man which be selected the absolute God choice and constitute all other, but a succession router leader is which have been selected His own. An can be anointed in front of believers.
Studi Eksegetis Yohanes 1:1-18 Sebagai Apologetik Terhadap Kristologi Saksi Yehuwa
Authors: Manurung Pangeran
Published: March 2019

Eksegesa John 1 : 1-18 shows that the Jehovah's Witness teachings deviate from the truth of the Bible and dangerous for Christians . The danger Christology of Jehovah's Witnesses should be bringing us to the prudence and discretion to reject it . It can be said that Jehovah's Witnesses do not include Christianity in accordance with the search results against their teachings . first ; they do not recognize the Bible that has been issued by the Indonesian National Bible Institute and consider if the Bible has too much harm to use their own New Translation of the Holy Scriptures that have been proven not a translation , but just a collection of interpretations and teachings of their leader alone . second ; Jehovah's Witnesses do not acknowledge Jesus as Lord and Savior only . They simply believe that salvation is obtained through belief in Jehovah and his kingdom and perform service message and follow the trial associations .

               Before errors interfere Christology Christology of Jehovah's Witnesses Bible , please note that the topic of Christology is the difference between Christianity and other religions . This discussion has also become one of the topics that face many attacks from the outside or from within Christianity , either in the form of religion , philosophy , and ideology . The debate on this topic appeared since the beginning of Christianity , and give rise to a long and complex debate for nearly three centuries ( 300 years ) !! . Such debates will continue to exist throughout the period and just a rehash issues that had once appeared . And Christians should study the various debates and views of the ever emerging that are not easily fooled by the views back to this era .Eksegesa John 1 : 1-18 has been done and produce a biblical Christology and biblical correct . The truth is not in doubt because of the analysis conducted in accordance with the procedures and rules that apply in general . Now if Christology Christology of John compared with Jehovah's Witnesses, it will show a striking difference . Once observed , Christology Witnesses builds upon the interpretation of individuals who previously have had a negative Christological doctrine .

               Conclusion those who think that Jesus is the firstborn of Creation ; Jesus was a human being ; Jesus is God in creating a peer ; Jesus lower than God , Jesus is the Angel Gabriel , and other Christological doctrine which basically degrading nature of Christ is a form of insult to the majesty of Christ . The Bible clearly and emphatically teaches that Christ is God incarnate , private alpha and omega , the creator of all that exists , and the equivalent of God the Father . Summing Christ as superior human or clear eldest creation is false teachings . The followers of Jehovah's Witnesses must repent. Amen
Socio-economic Determinants of Current use of Contraception in a Rural Area of J&K
Authors: Kotwal Amrita , Singh Bhupinder , Singh Singh , M Ganai A
Published: March 2019

Objective: To identify the socio-economic factors which determine contraceptive use among current users of contraception.

Method:Cross-sectional design. Interview schedule of entire eligible couple population of 19 Angwanwari Centres of Block R.S.Pura, Jammu by House to House Survey.

Analysis: Besides test of significance, unadjusted Odd's Ratio, adjusted Odd's Ratio were used using Multiple Logistic Regression Analysis technique by SPSS-WIN Version 7.5 Software.

Results: Contraceptive use increased with age of women and number of conceptions. Compared to illiterate women, formally educated women were 2.2 times more likely to use contraception. Also, lower income, wives of unskilled workers and Scheduled Caste (SC) woman were more likely to be current users of contraception. Husband's age & literacy, religion and type of family did not show significant relationship with current contraceptive use. J Med Sci.2010; 13(1): 30-32
Peripheral Nerve Injuries- An Analysis of 75 Cases
Authors: Habib Owais , Hafeez Adil , Bhat Abdul Rashid
Published: March 2019

Background: Peripheral neural trauma is a common injury seen both in civilian practice and warfare.Majority of such neural damage is caused by glass cut. The agent causes extnesive damage to te underlying structures from an apparantly looking small incised wound.Material and Method: We explored the wonds of 75 patients under anaesthesia to look for injury to the underlying peripheral nerves. Upon identifying the injured nerve, primary repair using epineural microsurgical technique was carried out using very fine sutures and micro- instruments. The patients were followed sequentailly in the post operative period.Conclusion:When such a protocol was adhered to, the results of nerve repair were excellent in majority of the patients. J Med Sci 2010;13(1):7-10
Study of Contraceptive Knowledge and Practice in a Cohort of Kashmiri Women
Authors: Ganai Abdul Majid , Kaul Rauf–ur- Rashid , Sultana Sameena , Pervaiz Tabasum , Nahid Bushra
Published: March 2019

The study highlights a low knowledge/ awareness and usage of various contraceptive methods especially the temporary ones. Among the permanent methods, male sterilization was least practiced. The various reasons for this were illiteracy, ignorance, social taboos and inadequate social provision of accessible health services.  J Med Sci.2010;13(1);20-22
Fatal Upper Gastrointestinal Bleed Following Endoscopic Biopsy of Testicular Germ Cell Tumor Metastasis to Duodenum
Authors: Bhat Gull Mohd , Aziz Shiekh Aejaz , Lone A R , Banday Manzoor Ahmad , Ahmad Syed Nissar
Published: March 2019

A young adult with of GCT of testis developing recurrence in the form of duodenal metastasis is discussed. Till now only a few similar cases are reported in literature. J Med Sci 2010;13(1):23-24
Extensive Tissue Necrosis in Snake Bite
Authors: Koul Ajaz Nabi
Published: March 2019

Middle aged Egyptian worker with no past medical history presented to ER with history of snake bite of two days duration presenting with extensive tissue Necrosis. J Med Sci 2010:13(1):34
Haemodynamic Responses to Insertion of Proseal Laryngeal Mask Airway with Sodium Thiopentone Preceded by Topical Lignocaine: A Comparison with Propofol alone
Authors: Malla Mohammad Sadiq , Kirmani Samina Ashraf , Gurcoo Showkat Ahmad , Bakshi Ifitikhar , Laway Mushtaq A
Published: March 2019

BACKGROUND: Propofol is the most common inducing agent for Laryngeal Mask Airway insertion but it causes haemodynamic instability.

OBJECTIVE: To assess haemodynamic responses to insertion of Proseal Laryngeal Mask Airway (pLMA) with sodium thiopentone administration preceded by topical lignocaine and comparing with Propofol.

METHODS: 100 patients of either sex in the age range of 16-60 years belonging to ASAI/II scheduled for open cholycystectomy were selected and allocated into one of the two groups. Group I (Propofol group) received Propofol 2.5mg/kg while as Group II (Thiopentone group) received topical lignocaine and intravenous sodium thiopentone for pLMA insertion. All patients received fentanyl 1μg/kg intravenously 3 minutes before induction. Haemodynamic parameters like pulse rate, mean systolic and diastolic blood pressures between the two groups were compared.

RESULTS: The decrease in pulse rate, systolic and diastolic pressures in propofol group was more as compared to topical lignocaine and sodium thiopentone group while inserting pLMA. Number of attempts of pLMA insertion and oxygen saturation were same between the two groups when pLMA was inserted but the duration of apnoea was more in propofol than in topical lignocaine and sodium thiopentone group. Thus we concluded that sodium thiopentone administration preceded by topical lignocaine. (JMS 2010;13(2):56-59
Cutaneous T cell Lymphoma (Mycosis Fungoides)
Authors: Bhat Gull Mohamad , Mir Hussain , Iqbal Qazi Mohamad
Published: March 2019

An adult male presented with history of long standing scaly cutaneous lesions, progressed to multiple ulceronodular lesions on back of arm, front of thigh as shown in figure. Histopathology of lesion revealed non-Hodgkins lymphoma(CD4 +v)-Mycosis Fungoides His TNM stage was stage III-T3N1M0. Patient needed systemic multiagent chemotherapy to palliate his advanced disease. JMS 2010;13(2):72
Ghrelin, Diabetes and Obesity - Prospects for an Anti-obesity Vaccine
Authors: Masoodi Shariq R
Published: March 2019

The prevalence of diabetes is increasing worldwide and nowadays stands as a major public health problem. Undoubtedly, the 21st century has the most diabetogenic environment in human history. The number of people living with diabetes has soared to 366 million, and the disease kills one person every seven seconds, posing a "massive challenge" to healthcare systems worldwide. Diabetes is a huge and growing problem, and the costs to society are high and escalating, affecting all countries. Over the past 25 years or so, the prevalence of type 2 diabetes in the USA has almost doubled, with three- to five-fold increases in India, Indonesia, China, Korea and Thailand. JMS 2011;14(2):38-39.
Plasma Active Ghrelin Level in Patients with Type 2 Diabetes Mellitus and its Interrelationship with Insulin resistance, Hypertension, Dyslipidemia and Obesity
Authors: Mishra Arvind , Mehrotra Anupam , Tewari Reshu
Published: March 2019

BACKGROUND: Ghrelin is a multi-functional gut-derived peptide hormone. Administered ghrelin has shown an increase in appetite and food intake and also stimulate the secretion of the growth hormone in rodents as well as in humans. Ghrelin is the strongest orexigenic hormone.

OBJECTIVE: The aim of the study was to estimate plasma active Ghrelin levels in type – II diabetes mellitus patients and establish its relation to Insulin Resistance, Hypertension, Dyslipidemia and Obesity.

MATERIALS & METHODS: A total of 81 patients were enrolled in the study out of then 50 were the cases and 31 were controls.

RESULTS: A significant negative correlation was found between Fasting plasma active ghrelin levels and systolic blood pressure (r = -0.71, p <0.02), diastolic blood pressure (r = -0.64, p <0.02) , obesity (r = -0.71, p <0.001), fasting insulin levels (r = -0.40, p <0.01), insulin resistance (r = -0.32, p <0.01).A deeper understanding on this interesting pleiotropic hormone could be anticipated to open new insights into the metabolic pathways causing a predisposition for obesity and its co-morbidities. JMS 2011;14(2):56-60
A Case of Hypertrichosis
Authors: Masoodi Shariq Rashid
Published: March 2019

This 15 year boy with history vesicular skin eruptions on exposed parts for last five years was referred to the Department of Endocrinology for excessive hair on the body.JMS 2011;14(2):74
Goiter Prevalence in School Children in Three Districts of Jammu Region
Authors: Gupta Rajiv Kumar , Verma Aruna Kumari , Jamwal Devinder Singh , Mengi Vijay
Published: March 2019

BACKGROUND: IDD (Iodine Deficiency Disorders) is still a major public health problem in J&K as in other parts of country despite measures taken to combat it. Repeated surveys are only means to monitor the situation.

OBJECTIVE: To study the present prevalence of goiter in various districts of Jammu province.

METHODS: Using EPI 30 cluster methodology, 10800 school children (aged, 6-12 years) were selected from three randomly chosen districts of Jammu province. Subjects were clinically examined and graded for goiter as per joint WHO/UNICEF/ ICCIDD recommendations.

RESULTS: The goitre prevalence in three districts was observed to be 19.84% with a highest prevalence of 26.75% in Samba district (p = 0.0001). Understandably the prevalence of goitre in age group of 6-9 years was lower than that in 9-12 age group. ( (p=0.005)

CONCLUSIONS: Total goiter prevalence rate remains to be at an unacceptable high rate. Preventive public health measures need to be augmented in area along with strengthening of monitoring and surveillance of IDD. JMS 2012;15(1):28-31.
Multi-detector Row Computed Tomography (MDCT) versus Endorectal Coil Magnetic Resonance Imaging (ECMRI) in Staging of Carcinoma Rectum
Authors: Chowdri Nisar A , Dar Rayees Ahmad , Parray Fazl Qadir , Shaheen Feroze , Wani Sabiya Hamid , Mushtaque Majid , Wani Rouf A
Published: March 2019

BACKGROUND: Rectal cancer is one of the most common tumors in industrialized countries and one of the most common malignant tumors of the gastrointestinal tract.

OBJECTIVE: To compare the diagnostic accuracy of MDCT and ECMRI in preoperative staging of rectal cancers and correlation with intraoperative and histo-pathologic staging of resected specimen with respect to depth of tumor invasion (T-staging), lymph node metastasis (N- staging), and extra rectal spread (M-staging).

METHODS: The study was a prospective one and consisted of 68 patients with biopsy proved rectal carcinoma. Patients were randomly selected for either of these two staging modalities (i.e., MDCT or ECMRI) using a random number table. MDCT and ECMRI findings were compared with intraoperative and histopathologic (reference standard) findings. Sensitivity, specificity, positive predictive value, negative predictive value, and accuracy of each diagnostic modality were assessed.

RESULTS: The diagnostic accuracies of MDCT and ECMRI for T1/T2 lesions were 75% and 87.5%, respectively, the difference being significant. For T3 lesions, the diagnostic accuracies of MDCT and ECMRI were 85.2% and 100%, respectively. The diagnostic accuracy of both for T4 lesions was found to be 100%. Both ECMRI and MDCT were found to be almost equally accurate and specific in detecting perirectal lymph node involvement.

CONCLUSION: Endorectal coil MRI is superior to MDCT in local (T) staging of tumor and has overall more diagnostic accuracy, sensitivity and specificity than MDCT. ECMRI has a less tendency to under-stage the disease. However, both ECMRI and MDCT are almost equally accurate and specific in detecting perirectal lymph node involvement. JMS 2012;15(1):32-38.
Cost of Hemodialysis in a Tertiary Care Hospital in North India
Authors: Ahmad Mushtaq , Mustafa Ajaz , Najar M Saleem , Jan Farooq Ahmad , Manhas Anil , Hakim Abdul , Wani M Ashraf , Jalali Suzan
Published: March 2019

BACKGROUND: Chronic kidney disease (CKD) is a worldwide public health problem with significant health consequences and involvement of high cost on treatment worldwide. Although renal transplant is a cost effective treatment option for ESRD, use of hemodialysis in patients with ESRD patients remains one of the most resource intensive and expensive therapeutic intervention.

OBJECTIVE: To estimate cost of hemodialysis treatment for patients with ESRD that would help in making policy decisions and enable cost efficient utilization of ESRD programme and hemodialysis.

METHODS: 58 patients with ESRD on chronic hemodialysis were incorporated in the present study at a tertiary care teaching hospital between January 2010 to December 2010. Patients who survived less than 3 months after commencement of treatment were excluded.

RESULTS: Mean age of the study patients was 46.4±8 in yrs. Among the 54 patients studied 51 % were male. 86% of patients received three sessions of hemodialysis weekly, with duration per session varying between 2 - 4 hours. Average cost was Rs. 2001.84 per session. Estimated total annual burden was Rs. 209449.10 per patient. Average cost borne by hospital was Rs. 951.84 per session/patient (47.55 % of cost bone by the patient); cost born by hospital per patient per year was Rs. 123647.70. Principal expenses (% wise) were: staff salary cost 20.84 %, instrument cost (purchased locally from market) 32.50%, salary cost 20.84%, and rental cost 18.20 %.

CONCLUSION: The costs estimated in this study comparable with national average cost of hemodialysis in India but lower as compared to that in other SARC countries; approaches to reduce cost further are needed. JMS 2012;15(1):47-50.
Castleman's Disease - Unicentric Plasma Cell Variant - A Case Report with Review of Literature
Authors: Lone Abdul Rashid , Aziz Sheikh Aejaz , Ahmad Syed Nisar , Hussain Mir Mohammad , Ara Ulfat , Lone Mohammad Iqbal
Published: March 2019

Castleman's disease (CD) is a rare disease with two identified forms. The localized form, often pauci symptomatic is characterized by enlargement of an isolated single lymphnode or lymphnode chain. Multicenteric form frequently presents with general signs. We report a patient who presented with cough and hemoptysis with imaging revealing right hilar lymphadenopathy. After thoracotomy, lymph node excision biopsy was done, histopathological examination revealed plasma cell - variant (PCV) of CD, a rare location for unicentric PCV of CD. JMS 2012;15(1):57-60.
Duodenal Metastasis from Renal Cell Carcinoma presenting as Gastrointestinal Bleed
Authors: Teli Mohammad Ashraf , Shah Omar J , Jan Aleem M , Khan Nazir Ahmad
Published: March 2019

Malignant causes account for 1–4% of upper gastrointestinal bleeding (GI-bleed). In absence of widespread nodal and visceral metastatic disease, isolated duodenal metastasis from renal cell carcinoma (RCC) is very rare. Consequently, gastrointestinal bleeding from renal cell carcinoma metastases is an infrequent and often un-recognized manifestation of this disease. Here, we describe case of a 52 year-old man in whom metastasis arising from renal cell carcinoma developed in the duodenum 8 years after nephrectomy as the first relapse. The patient presented with severe anemia due to occult GI bleed. The diagnosis was confirmed by endoscopic biopsy and immuno-histochemistry (IHC).Palliative local resection of the tumor was attempted, however, patient had progression of the disease and developed liver metastasis with pleural effusion and succumbed to his disease. Since, late recurrence/metastasis is characteristic of renal cell carcinoma, careful long-term follow-up is needed to pick up an early relapse. To our knowledge, this is the 20th case of duodenal metastasis from RCC and the first case from Kashmir valley of Indian sub-continent reported in literature. JMS 2012;15(1):65-68.
Acral Persistent Papular Mucinosis associated with Multiple Myeloma - Unknown Presentation
Authors: Ahmad Mushtaq , Siraj Farhana , Ahmad Mubashir , Ahmad Shabir
Published: March 2019

The cutaneous mucinosis are a heterogenous group of disorders in which mucin accumulates in the skin. A 66 years old man presented with asymptomatic flesh coloured papules on the extremities without any truncal involvement of 3 months duration. Histopathological examination of a lesional biopsy revealed unremarkable epidermis with dermis showing pallor and loosening of collagen bundles in mucin like deposition suggestive of cutaneous mucinosis. Patient was put on steroids and hydroxycholoroquinine. Three months later he presented with encephalopathy. Investigation revealed hypercalcaemia, reversal of albumin globulin ratio, azotemia. X-ray skull revealed lytic lesions. Bone marrow aspiration and bone marrow biopsy was suggestive of multiple myeloma. This is an unknown presentation, as localized cutaneous mucinosis is not associated with systemic disease. Patient was started on chemotherapy for multiple myeloma. JMS 2012;15(1):74-75.
Minimal Access Surgery – the Mile Stones
Authors: Parray Fazl Q , Mir Suhail Farooq , Naqash Sameer A , Wani Khursheed Alam
Published: March 2019

Surgery has come a long way from the crude methods of the past to the refined techniques of the present. Improvements in techniques and tools have made minimal-access procedures increasingly available. Growing popularity of laproscopy has resulted in greater numbers of patients available for outcomes analysis. In future remote handling technology will overcome the manipulative restriction in the current instruments. Robotic arms with multiple degress of freedom let a surgeon achieve a degree of dexterity which is amiss in rigid laparoscopic instruments. The future is knocking on the door and banging hard, but, as with all forms of technology, it depends upon how good the training is, and how much the learning curve can be shortended. JMS 2012;15(2):91-100.
A Prospective Study of Physical Therapy in Facial Nerve Paralysis: Experience at a Multispeciality Hospital of Kashmir
Authors: Ahmad Sheikh Javeed , Rather Abdul Hamid
Published: March 2019

BACKGROUND: Bell's palsy is an acute weakness of seventh cranial nerve leading to loss of movement on one side of the face. It usually recovers of its own without treatment in most of the patients but not all. Physical therapy in the form of electrotherapy, massage and facial exercises is used as adjuvant to hasten recovery.

OBJECTIVES: To analyze the role of physiotherapy in the form of electrotherapy in patients with peripheral facial paralysis attending multispecialty hospital in Kashmir.

METHODS: A prospective study was carried out on 50 patients of facial nerve paralysis attending OPD between Jan 2009 and Jan 2010. All of the patients were subjected to medical treatment. The patients were put to Physical Therapy in the form of electrotherapy followed by facial exercises. All patients received electrotherapy to the paralyzed facial muscles for a period of 2 weeks but some were given extended doses for 4 weeks. 20 patients presented for the treatment in the first week, 12 in second week and 18 presented after three weeks or later.

RESULTS: Fifty patients (30 female, 20 male) of facial nerve paralysis were included. Time span between medical diagnosis and physical therapy was from 1 week to 4 weeks. Patients were assessed at 4 weeks, 2 months and 6 months after the treatment. Out of 20 patients who presented in 1st week and received steroids and electrotherapy 19(95%) had fully recovered except for one case that was irregular for treatment. Out of 12 Patients who presented in 2nd week of illness, 8(66.6%) patients had full recovery and partial recovery in rest of 4 (33.4%) patients. Eighteen patients (100%) who presented in third week onwards of illness had partial recovery.

CONCLUSION: Physiotherapy in the form of electrotherapy and facial exercises has a effective role in the early management of peripheral facial palarlysis. JMS 2012;15(2):145-48
Cholesteatoma Masquerading as Fungal Mastioditis
Authors: Latoo Manzoor , Jallu Aleena , Pampori Rafiq
Published: March 2019

A 35 year old female, presented with a history of left side ear discharge that was scanty and foul smelling. Examination revealed subtle facial weakness on the left side and whitish flakes in middle ear and attic (s/o cholesteatoma).... JMS 2012;15(2):187.
Study of Knowledge and Practices of Self-Medication among Medical Students at Jammu
Authors: Kumari Rashmi , Kiran Kiran , Kumar Dinesh , Bahl Rakesh , Gupta Rajiv
Published: March 2019

BACKGROUND: Self-medication is the treatment of common health problems with medicines that are taken an patient's own initiative or on advice of a pharmacist, without professional supervision. It is now becoming a common practice in many countries mainly due to lack of access to health care, easy availability of OTC drugs in market and poor drug regulatory practices.

OBJECTIVE: To assess the knowledge and practices of self-medication among medical students.

METHODS: A cross-sectional study was carried out among the students of GMC Jammu in August 2011, after faking approval from IEC. A 16-item, open-ended, pretested questionnaire was administered to students. Data was then analysed using SPSS version 12 and results expressed as counts and percentages.

RESULTS: A total of 282 students participated in the study, among which 96 were from 1st semester, 88 from 3rd and 98 from 6th semester. Knowledge of self-medication was adequate in 68% of 1st semester, 81 % of 3rd and 87% of 6th semester students.85% of respondents from 1st semester, 79% from 3rd and 78% from 6th practised self-medication.

CONCLUSION: Since seniors hod better knowledge of drugs , self medication was practised less as compared tb juniors. There is a need to review educational programs especially clinical pharmacology, focusing on rational use of drugs. JMS 2012;15(2):141-44
KESANTUNAN BERBAHASA PADA PEMBELAJARAN MAHASISWA UNIVERSITAS PUTERA BATAM
Authors: Afriana Afriana , Mandala Robby Satria
Published: March 2019

The purpose of this study was to describe the attitude of the language towards the politeness of the language of the students of Putera Batam University. This study used a survey method. The sample in this study were 43 students of English Literature. Data obtained from observation sheets and questionnaires. Assessment is done using a Likert scale. The data analysis technique used descriptive statistics using technical regression analysis. The results of the study showed that language attitudes had a positive effect on student politeness. This finding recommends that the development of language attitudes will improve student language politeness. This study aims to analyze the language attitude of students of the English Literature study program at Putera University, then analyze the politeness of the students of the English Literature Study Program at the Putera Batam University. And the influence of language attitudes on the politeness of the language of students of English Literature Study Program, Putera Batam University.
ANALISIS KEABSAHAN PENDIRIAN AKTA PT (PERSEROAN TERBATAS) TERHADAP STEMPEL KEMENTRIAN HUKUM DAN HAM YANG MELALUI SISTEM ELEKTRONIK YANG DIPRINT OLEH NOTARIS
Authors: Svinarky Irene
Published: March 2019

Pendirian badan usaha yang berbadan hukum seperti PT, haruslah mempunyai sk dari kementrian hukum dan ham. SK tersebut diajukan oleh notaris ke kementrian hukum dan ham melalui ahu online, dimana dulunya dikenal dengan nama sismimbakum. selama ini yang kita ketahui bahwasannya stempel yang ada di dalam SK Pengesahan pendirian pt memang langsung dari kementerian hukum dan ham, tetapi pada dasarnya stempelnya berasal dari cetakan sistem elektronik. adanya sistem elektronik yang mengesahkan sebuah stempel tersebut, membuat saya tertarik mengambil judul analisis keabsahan pendirian akta PT terhadap stempel kementrian hukum dan HAM yang melalui sistem elektronik yang diprint oleh notaris. Adapun metode penelitian yang saya gunakan adalah metode kualitatif, dengan jenis penelitian yuridis normatif, dengan menggunakan sumber data sekunder sebagai referensinya.
PENATAAN KEWENANGAN DEWAN PERWAKILAN DAERAH REPUBLIK INDONESIA MENUJU STRONG BICAMERALISM
Authors: Riyanto Agus
Published: March 2019

Dewan Perwakilan Daerah (DPD) merupakan lembaga baru hasil amandemen UUD 1945. DPD dilahirkankarena mempunyai gambaran kedepannya untuk checks and balances antar lembaga-lembaga negara. Hal inibertujuan agar lembaga-lembaga negara lebih efektif dibandingkan pada masa Orde Baru. Di Indonesia,Dewan Perwakilan Rakyat biasanya disingkat dengan (DPR) dan Dewan Perwakilan Daerah yang sering disingkat dengan (DPD) merupakan representasi rakyat Indonesia yang memiliki fungsi legislatif, anggarandan pengawasan, agar terwujudnya negara Indonesia yang demokratis dan sejahtera. Dalamimplementasinya, meskipun merupakan lembaga perwakilan rakyat yang dipilih melalui Pemilu, namunfungsi dan kewenangan DPD masih lemah dari pada DPR (vide Pasal 22D UUD 1945). Realitaskonstitusional seperti ini memerlukan pemikiran lebih lanjut terkait bagaimana dua lembaga ini dapatberfungsi lebih ideal dan saling melengkapi.
MENGINTEGRASIKAN NILAI MORAL DALAM PROSES LEGISLASI YANG DEMOKRATIS
Authors: Bangun Dwi Resti
Published: March 2019

Hukum menetapkan kode moral yang lazim atau dilakukan dalam berbagai hubungan sosial dan fungsi sosialmanusia atau suatu moralitas hukum yang spesifik. Hukum juga merupakan keseluruhan dapat dilihatsebagai penggabungan moralitas/keadilan sosial, terhadap mana individu-individu, kelompok-kelompok atauorganisasi pemerintah harus senantiasa mengorientasikan tingkah lakunya. Penelitian ini menggunakanmetode penelitian kuantitatif, dimana jenis penelitian yang digunakannya adalah normatif.
Peningkatan Kapasitas Usaha Industri Rumah Tangga Keripik dan Kue Bawang Bengkong Palapa
Authors: Fajrah Nofriani
Published: March 2019

Setiap keluarga di Perumahan Bengkong Palapa bergantung kepada perolehan pendapatan dari gaji bulanan kepala keluarga yang bekerja sehingga ibu-ibu rumah tangga di Perumahan Bengkong Palapa untuk membantu perekonomian keluarga dengan inovasi membangun usaha rumah tangga di Perumahan Bengkong Palapa. Tujuan kegiatan pengabdian ini adalah meningkatkan kapasitas produksi yaitu dengan membina merencanakan produksi dengan membuat peramalan permintaan produk sehingga dapat dibuat rencana produksi. Metode pengabdian dibagi menjadi dua yaitu metode pelaksanaan kegiatan (penyampaian materi, praktek langsung (learning by doing) dan pendampingan) dan metode topik pengabdian (metode peramalan permintaan produk dan perencanaan produksi). Berdasarkan hasil kegiatan pengabdian ini, diperoleh bahwa Mitra Keripik dan Mitra Kue Bawang masih menggunakan metode perkiraan dan pengalaman hasil penjualan dalam menentukan rencana jumlah produksi. Selain itu, mitra keripik dan mitra kue bawang sudah mulai mencoba menerapkan perencanaan produksi dengan konsep peramalan. Berdasarkan hasil implementasi tersebut, mitra keripik dan mitra kue bawang dapat meminimasi pemborosan overproduction dan menjadwalkan produksi secara efektif dan efisien.
Bioactive compounds and biological activity of ginger
Authors: Mele Mahmuda Akter
Published: March 2019

Ginger has an abundant amount of biological compounds. Both fresh and dried gingers have a beneficial effect. It has popularity as spices all over the world. However, for the last century, ginger and ginger extracts have been interested in their medicinal properties. Ginger is being used for medical care and avoidance of diseases in the past. Now it is considered a medicinal plant. Ginger has been showing to contribute as anti-carcinogenic, anti-diabetic, anti-tumor activity. It is also effective against pregnancy-induced nausea and vomiting and has proved to treat motion sickness and arthritis. Numerous studies have taken place by an animal model for confirmation of ginger pharmacological activity. In this review, we focused on ginger and its constituents and the therapeutic activity of ginger extracts.
La BIBLIOFAM: programa psicoeducativo familiar para el tratamiento del adulto mayor con diabetes tipo 2
Authors: Pérez Sanchez Lucía
Published: March 2019

Resumen
El siguiente trabajo tuvo como objetivos implementar un programa psicoeducativo familiar en el tratamiento del adulto mayor (AM) con diabetes tipo 2 (DM2), a través de un diseño metodológico de caso clínico con réplica, con pre y post test, se aplicó a 5 familias, los resultados muestran que hubo modificaciones en los indicadores metabólicos, calidad de vida, autoeficacia -con relación a la línea base inicial- pero no así en la variable de la mejor configuración familiar y desgaste del cuidador, que repercutiera en un cuidado más adecuado del AM, por lo que se requiere que en futuras aplicaciones observar su impacto otorgándole un rango de tiempo más extenso en el seguimiento, para la verificación de su eficacia así como para garantizar la consecución del proceso cognitivo en el cual se basa la teoría del aprendizaje significativo de Ausubel.
Viability of an Electrically Driven Pump-Fed Hybrid Rocket for Small Launcher Upper Stages
Authors: Casalino Lorenzo , Masseni Filippo , Pastrone Dario
Published: March 2019

An electrically driven pump-fed cycle for a hybrid rocket engine is proposed and compared to a simpler gas-pressurized feed system. A liquid-oxygen/paraffin-based fuel hybrid rocket engine which powers the third stage of a Vega-like launcher is considered. Third-stage ignition conditions are assigned, and engine design and payload mass are defined by a proper set of parameters. Uncertainties in the classical regression rate correlation coefficients are taken into account and robust design optimization is carried out with an approach based on an epsilon-constrained evolutionary algorithm. A mission-specific objective function, which takes into account both the payload mass and the ability of the rocket to reach the required final orbit despite uncertainties, is determined by an indirect trajectory optimization approach. The target orbit is a 700 km altitude polar orbit. Results show that electrically driven pump-fed cycle is a viable option for the replacement of the conventional gas-pressurized feed system. Robustness in the design is granted and a remarkable payload gain is achieved, using both present and advanced technologies for electrical systems.
A Novel Interactive Fusion Method with Images and Point Clouds for 3D Object Detection
Authors: Xu Kai , Yang Zhile , Xu Yangjie , Feng Liangbing
Published: March 2019

This paper aims at tackling the task of fusion feature from images and their corresponding point clouds for 3D object detection in autonomous driving scenarios based on AVOD, an Aggregate View Object Detection network. The proposed fusion algorithms fuse features targeted from Bird’s Eye View (BEV) LIDAR point clouds and their corresponding RGB images. Differing in existing fusion methods, which are simply the adoption of the concatenation module, the element-wise sum module or the element-wise mean module, our proposed fusion algorithms enhance the interaction between BEV feature maps and their corresponding image feature maps by designing a novel structure, where single level feature maps and utilize multilevel feature maps. Experiments show that our proposed fusion algorithm produces better results on 3D mAP and AHS with less speed loss compared to the existing fusion method used on the KITTI 3D object detection benchmark.
In-Line Dimensional Inspection of Warm-Die Forged Revolution Workpieces Using 3D Mesh Reconstruction
Authors: Mejia-Parra Daniel , Sánchez Jairo R. , Ruiz-Salguero Oscar , Alonso Marcos , Izaguirre Alberto , Gil Erik , Palomar Jorge , Posada Jorge
Published: March 2019

Industrial dimensional assessment presents instances in which early control is exerted among “warm” (approx. 600 ∘C) pieces. Early control saves resources, as defective processes are timely stopped and corrected. Existing literature is devoid of dimensional assessment on warm workpieces. In response to this absence, this manuscript presents the implementation and results of an optical system which performs in-line dimensional inspection of revolution warm workpieces singled out from the (forming) process. Our system can automatically measure, in less than 60 s, the circular runout of warm revolution workpieces. Such a delay would be 20 times longer if cool-downs were required. Off-line comparison of the runout of T-temperature workpieces (27 ∘C ≤ T ≤ 560 ∘C) shows a maximum difference of 0.1 mm with respect to standard CMM (Coordinate Measurement Machine) runout of cold workpieces (27 ∘C), for workpieces as long as 160 mm. Such a difference is acceptable for the forging process in which the system is deployed. The test results show no correlation between the temperature and the runout of the workpiece at such level of uncertainty. A prior-to-operation Analysis of Variance (ANOVA) test validates the repeatability and reproducibility (R&R) of our measurement system. In-line assessment of warm workpieces fills a gap in manufacturing processes where early detection of dimensional misfits compensates for the precision loss of the vision system. The integrated in-line system reduces the number of defective workpieces by 95 % .