bluuebunny/crossref_metadata_2025 huggingface dataset:
Spindle cell tumor presenting as RIF mass
Authors: Gowtham Thakut , Murchite Sheetal Ashok , Gaikwad Vaishali Vinayak , Chougale Abhay D. , Ranjan Rakesh Kumar , Thimmegowda Vishwas
Published: July 2019

Spindle cell sarcoma is a rare tumor that arises most commonly from the peripheral and deep soft tissues. It usually occurs in the extremities but rarely present as a large abdominal mass, and in this case it was a recurrent tumor involving whole of rectus muscle on right side. We report the case of a 42 year old male who presented with abdominal swelling and distention. CT scan showed a mass occupying the whole of the abdomen and pelvis. Exploration of abdomen revealed a hard mass about 13×10×11 cm in size. Complete excision was done, the huge defect was closed by transposition of left side rectus abdominus muscle with prolene mesh, which was a challenging task in this case. On histopathology and immunochemistry a high grade spindle cell carcinoma was confirmed.
A comparative study of various techniques of incisional hernia repair in a tertiary care center at Bikaner (North-West Rajasthan)
Authors: Singh Bhal , Jalthania Mahender Kumar , Kumari Santosh
Published: July 2019

Background: Incisional hernia can be defined as an internal abdominal wall defect that develops after a previously closed laparotomy. Aim of present study was to compare open suture repair and mesh repair (onlay and sublay), various factors predisposing to incisional hernia and evaluate complications following surgery for incisional hernias.Methods: A prospective study was conducted in 60 cases of incisional hernia admitted in Department of General Surgery, PBM Hospital Bikaner between October 2017 to September 2018. 20 cases were selected in each group (open anatomical repair, onlay mesh repair and sublay mesh repair). All cases were followed up for 6 months postoperatively.Results: Incisional hernia was found to occur more often in 41-60 years age group (61.67%) and in females. Wound infection (46.67%) after index surgery was most important risk factor followed by obesity. LSCS (30%) was found to be most common index surgery followed by hysterectomy (28.33%). Seroma was most common postoperative complication (5% patient in anatomical repair group, 30% patients in onlay group and 10% patients in sublay group).Only one recurrence (5%) was observed in anatomical repair group over a period of 6 months follow up.Conclusions: Sublay mesh repair is superior to onlay mesh repair and Anatomical suture repair regarding recurrence rate. Local postoperative complications like seroma formation or wound infection were more common in mesh repair surgery than anatomical repair. Among mesh repair these complications were higher in onlay group than sublay repair.
A comparative evaluation of three port versus standard four port laparoscopic cholecystectomy in SGRRIMHS and SMIH Dehradun
Authors: Singhal Pradeep , Aggarwal Amulya , Altamash Syed , Verma Ajay Kumar
Published: July 2019

Background: Cholelithiasis is one of most common condition requiring surgical intervention specially in females in Indo-Gangetic belt. Techniques of cholecystectomy have evolved from open to laparoscopic procedures. Efforts have been made to perform it with lesser ports for better operative outcomes like less complications and better cosmetic appearance. This study aims to compare the postoperative outcomes of 4 port versus 3 port laparoscopic cholecystectomy.Methods: This is a prospective comparative study. 104 patients for 4 port laparoscopic cholecystectomy and 110 patients for 3 port cholecystectomy were allocated randomly. Preoperative assessment was done in both the groups and Informed consent was taken. Intra operative parameters like duration of surgery, blood loss, surgical complications were assessed. Postoperative follow up was done at 1 week, and scar assessment at 2 weeks. Findings were entered in Microsoft Excel and analyzed using SPSS by applying t-test and chi-square test.Results: Female: male ratio was 14:1 and age varied between 32-51 years. The mean operative time was in 3 port was 64.6 min and 56.42 min in 4 port (p<0.05). Complications like conversion to open procedure, bleeding from liver bed, cystic artery bleeding and port site infections were comparable in both groups. Analgesic requirement was significantly less after 24 hours in 3 port (p=0.02).Conclusions: 3 ports cholecystectomy is better in terms of lesser postoperative pain, cosmetic outcome, hospital stay, lesser assistance. The authors recommend 3 ports LC as a routine procedure in gallstone diseases.
Breast tubular adenoma
Authors: Salem Yousif , Farhan Abber , Alshaibani Noof
Published: July 2019

We present a case of a young woman, with no known comorbidities, who presented with bilateral breasts lumps noted 6 months prior to her initial clinic visit. On examination, both breast masses were felt bilaterally. The masses were completely excised, and histopathologic examination confirmed the diagnosis of breast tubular adenoma. This report aimed to present a rare benign breast neoplasm and discuss the challenges in the diagnosis and management of such condition.
Massive splenic infarction in a patient with acute calculous cholecystitis: a case report and literature review
Authors: Sedik Alaa , Fathi Ahmed , Maali Mufid , Elhoushy Salwa , Morsy Shima
Published: July 2019

Massive splenic infarction (MSI) is a rare cause of acute abdominal pain and is attributed to compromised blood flow to more than half of the spleen. It may be due to hematological, non-hematological, or rarely spontaneous. Symptoms and signs are non-specific. Diagnosis is based mainly on radiological investigations. The treatment is splenectomy if complications occur. We reported a case of a 50-year-Saudi lady, who was presented with a picture of acute calculous cholecystitis that was treated conservatively. Then 48 hours later, pain improved significantly, then shortly she suddenly developed a left upper quadrant pain. Computerized tomography of the abdomen diagnosed the situation as MSI. She underwent open cholecystectomy and splenectomy as conservative treatment failed and she developed a splenic abscess. She made uneventful recovery and discharged in a good condition. Hematological, cardiology, and rheumatology services diagnosed the situation as a spontaneous MSI. She was seen in surgery outpatient free of complaints.
Concealed epispadias: a rare anomaly - case report and review
Authors: Sarma Vivek Parameswara
Published: July 2019

Epispadias with an intact prepuce (Concealed Epispadias) is an uncommon anomaly. The specific clinical signs in this situation are broad, spade-like glans with a dorsally directed preputial opening, gap between the corpora cavernosa may be palpable, dorsal chordee and abnormalities of the penile raphae. We report the case of a 3 year old male child with Concealed Epispadias who underwent a modified Cantwell-Ransley operation with good outcome. The relevant anatomy, embryology and surgical options are reviewed.
A rare case of gas under diaphragm due to spontaneous perforation of uterus due to gas gangrene of uterus with clostridium perfringens infection presenting as intestinal perforation
Authors: Harika D. Navya Sesha , Rao T. Uma Maheswara , Sireesha P. , Jithendra D. , Pandu Satya Sundeep
Published: July 2019

Uterine perforation is an uncommon, perforation due to clostridium perfringens is very rare, but potentially serious complication of uterine gangrene is due to clostridial infection, uterine manipulation, evacuation of retained products, termination of pregnancy, during coil insertion and hysteroscopic procedures. We report a 60 year old female patient presented with abdominal pain, constipation and Fever with features of septic shock. X-ray showed free gas under both domes of diaphragm. CT showed gas under diaphragm and hollow viscus perforation. This report aims to alert surgeons to the possibility that perforation of uterus due to gangrene with clostridium perfringens infection also shows air under diaphragm apart from routine causes. Correct diagnosis and treatment is essential for the survival of the patients with gas under diaphragm due to gas gangrene of uterus.
Young adult with varicosities and recurrent lower gastrointestinal bleeding
Authors: Gandhi Vidhyachandra V. , Gautam Pratik , Pai Nitin V. , Hegde Sujai
Published: July 2019

A 30 years gentleman presented with anaemia since last ten years due to recurrent rectal bleeding. He has had multiple admissions with transfusions in the preceding 10 years without a clear clinical diagnosis. His physical examination revealed gross pallor, prominent veins on the lateral side of the left lower limb with minimal hypertrophy and a hemangiomatous patch over the left buttock. Colonoscopy revealed a few dilated tortuous submucosal vessels in the rectum and sigmoid colon. A MR angiogram showed absent left popliteal vein and angiomatous lesions in the rectum and sigmoid colon. He was diagnosed to have Klippel-Trenaunay syndrome with hemangiomata of the lower gastrointestinal tract causing bleeding. He underwent a low anterior resection with stapled anastomosis, which has effectively controlled his bleeding. Adults with gastrointestinal bleeding due to congenital venous malformations commonly have visible external stigmata, which are often pointers of rare syndromes.
Benign inflammatory myofibroblastic tumour of the nose: a rare case report
Authors: Mahipathy Surya Rao Rao Venkata , Durairaj Alagar Raja , Sundaramurthy Narayanamurthy , Ramachandran Manimaran , Natarajan Praveen Ganesh , Rajamanohar Vimal Chander
Published: July 2019

Inflammatory myofibroblastic tumor (IMT) of the head and neck region are rare and benign and of unknown etiology. They mimic as malignant lesions both clinically and radiologically. It encompasses a spectrum of myofibroblastic proliferation along with varying amount of inflammatory infiltrate. Recently, the concept of this lesion being reactive has been challenged based on the clinical demonstration of recurrences and metastasis and cytogenetic evidence of acquired clonal chromosomal abnormalities. Here we report a case of a 16 year old male who presented with a swelling on the nasal dorsum for 6 months. MRI and FNAC revealed a spindle cell neoplasm. The swelling was resected completely under general anaesthesia. Histopathology with immunohistochemistry proved it to be a benign inflammatory myofibrobalstic tumour.  Complete surgical resection is the best treatment modality for IMT.
El rito para acceder al cargo de Ajpop entre los k’iche’s de Q’umarkaj
Authors: Alatorre Reyes Daniel
Published: July 2019

Este artículo tiene el objetivo de exponer cómo estaba estructurado el rito de ascenso al poder realizado por los gobernantes de Q’umarkaj, en el Altiplano guatemalteco, y ofrecer un estudio interpretativo de dicho ceremonial. Mediante el análisis de las fuentes documentales indígenas y españolas se concluye que el rito pudo haber estado conformado por cinco etapas, durante las cuales se resaltaban dos de las futuras obligaciones de los ajpop: el culto a Tojil y la realización de guerras de conquista, pues recibían emblemas relacionados con el dios y con la guerra. La relevancia del artículo consiste en que trata un aspecto específico sobre los k’iche’s que no ha sido abordado con suficiente detalle, es decir, proponer cómo estaba estructurado el rito y su posible interpretación.
Las cartas de los caciques de Yucatán de 1567: nuevas perspectivas. Aportaciones desde la edición crítica y la traducción
Authors: Raimúndez Ares Zoraida
Published: July 2019

Las cartas de los caciques son una serie de peticiones escritas en maya yucateco y en castellano. Utilizadas como fuente para la historia de Yucatán, éstas han sido estudiadas desde los textos castellanos, obviando el maya. Este artículo pone de manifiesto la importancia de conocer y trabajar con los documentos escritos en lenguas indígenas. Un análisis en profundidad de estas cartas revela que su elaboración se realizó de una forma particular, traducidas de los textos en castellano y no al contrario como se había supuesto hasta el momento. Esto es evidente si se compara con otros documentos del momento como la aquí denominada “Carta 8”.El análisis de la versión de las cartas escritas en maya, permite observar que contienen traducciones literales del texto en castellano y expresiones poco habituales, en contraste con otros documentos originalmente elaborados por los indígenas en sus propias lenguas. La génesis del documento aclaran y explican las razones de creación de estas cartas.
El baile con serpientes entre los mayas
Authors: Romero Sandoval Roberto
Published: July 2019

En el arte maya del periodo Clásico Tardío encontramos una representación muy singular, hombres danzando con serpientes. Si bien su significado no resulta del todo claro, es posible conjeturar, dado el simbolismo del ofidio, que representa el control del hombre sobre la naturaleza y el dominio de la fertilidad que surge del interior de la tierra. En este sentido, el presente trabajo tiene como objetivo desentrañar el complejo significado del baile con serpientes a partir de diversas fuentes históricas y etográficas. Además, desde el punto de vista metodológico, se pretende analizar estas danzas como parte de un proceso histórico de larga duración dado que en la actualidad, en los poblados de Momostenango y San Bartolo Aguas Calientes, Guatemala, todavía se continúa efectuando un “baile de la culebra”, que se ofrece a la Madre Tierra por los beneficios que ésta otorga; asimismo, para tales grupos contemporáneos la sierpe simboliza la sabiduría.
El lenguaje ritual del fuego en los mayas del periodo Clásico: un acercamiento
Authors: Nájera Coronado Martha Ilia
Published: July 2019

El valor simbólico del fuego es polisémico, aunque principalmente es un marcador temporal y por tanto se enciende en momentos liminares, como puede ser el ascenso de un gobernante, la inauguración de un espacio o de un objeto para convertirlos en sagrados, en momentos de comunicación con los antiguos gobernantes, en la fundación de una ciudad. De hecho, lo que se buscaba era la recreación de un mito cosmogónico para regenerar el mundo.Este artículo tiene como objetivo mostrar, desde la historia comparada de las religiones, algunos de los principales rituales de fuego desarrollados durante el periodo Clásico en diferentes sitios del área maya. Asimismo, pretende, mediante un análisis comparativo, encontrar modelos que nos permitan acercarnos a su sentido, teniendo en cuenta similitudes y diferencias. Estos rituales se llevaban a cabo por la nobleza y se han conservado en distintas imágenes e inscripciones en numerosos sitios del área maya. Si bien existen muchas investigaciones que mencionan los rituales de fuego, los datos se encuentran dispersos y pueden perder su verdadero sentido. Por ello, en este primer acercamiento, se busca conjuntar e integrar algunos datos sobre la pirolatría practicada por los mayas; de aquí que sólo se aproximará a temas específicos como los mitos del fuego, las ceremonias para taladrarlo o encenderlo, rituales de fuego en las cuevas, la introducción del fuego en diferentes espacios, edificios, tumbas y sus posibles valencias simbólicas.
Tatuaje: ficción interactiva de una pesquisa hipermedial
Authors: Medina Téllez Girón Andrea
Published: July 2019

Las nuevas apuestas en la narrativa electrónica se estructuran bajo trayectos hipertextuales que vinculan una gran variedad de recursos, una imagen estática, un video, un audio, en los que se organiza la trama. Tal es el caso de la ficción electrónica Tatuaje (2015) de Rodolfo Jiménez Morales. La narración tiene una estructura policiaca, lo que permite el diseño hipertextual para que el lector-usuario siga desde la perspectiva del investigador, Rolo Martínez, su experiencia en la solución del suceso. Si bien el detective no está obligado a resolver ni a conocer el caso al modo de Holmes, sí debe comprender las pistas de las que éste se compone. Estas piezas son los diferentes recursos presentados en la narrativa a manera de indicios: audios, correos electrónicos, llamadas telefónicas y mensajes de texto. Este ensayo tiene el objetivo de mostrar desde el marco de interactividad el nivel de exposición e involucramiento del detective-lector con sus pistas en relación con su proceso de codificación-decodificación del caso-mundo. El propio usuario atestigua, a manera de reto, su habilidad en dar respuesta al caso, estructurar la secuencia de los eventos y poder explicarse a sí mismo su rol en un mundo hipertextual. Para ello es necesario revisar primero los conceptos de hipertexto, hipermedia e hipervínculo; segundo, los niveles de interactividad y tercero el análisis de la ficción electrónica.
O Shozoku e a corporeidade do ator Kyogen
Authors: Yagyu Alice Kiyomi
Published: July 2019

Este artigo vem expor a particularidade do Shozoku, designação para os figurinos de Kyogen - comédia clássica japonesa - que, ao manter as características de vestimentas da era Muromachi (séculos XIV a XVI) na cena, traz desafios ao corpo do ator ocidental no presente.
Figurino
Authors: Della Costa Rossana Perdomini , Rossini Élcio Gimenez
Published: July 2019

Este texto apresenta uma proposta metodológica para o trabalho com figurinos. Considera o figurino como um objeto mobilizador do processo criativo no teatro. A relação entre o corpo e o material são abordados em seis etapas: figuras e fantasmas, movimento com papel craft, invólucro de papel craft; criação de silhuetas com volumes; caracterização de figuras e caracterização de uma personagem de um texto dramático.
O espaço vazio em Sonho de uma Noite de Verão (1970)
Authors: Ortiz Sergio Ricardo Lessa
Published: July 2019

Este artigo aborda questões sobre o processo de concepção dos cenários e trajes de cena para o espetáculo Sonho de uma Noite de Verão, de William Shakespeare, sob direção de Peter Brook. Apresenta de forma breve os princípios que conduziram a concepção do espetáculo teatral e consequentemente os desenhos e propostas dos elementos cênicos.
A cenografia para a comemoração do casamento de Dom João VI e Dona Carlota Joaquina em 1786 no Rio de Janeiro
Authors: Viana Fausto , Italiano Isabel Cristina
Published: July 2019

Este artigo apresenta a cenografia empregada na festa de celebração do casamento de D. João VI e Da. Carlota Joaquina, em 1786, no Rio de Janeiro. A celebração, descrita no livreto Relação dos Magníficos carros, que se fizeram de arquitetura, perspectiva e fogos, tem destacada importância, por ser um dos mais importantes, e talvez o mais antigo, conjunto de desenhos produzidos no Brasil até 1786, como documento de festa popular, repleta de teatralidade.
Ixiptla
Authors: Pestana Sandra Regina Facioli , Viana Fausto
Published: July 2019

Danièle Dehouve, no estudo El papel de la vestimenta en los rituales mexicas de ‘personificación’, propõe que a palavra náhuatl ixiptla seja traduzida como “cobrir-se com os ornamentos de um deus e ver, ouvir e falar com ele”. Deste modo, a partir de análises de performances recentes do coletivo La Pocha Nostra o artigo propõe uma reflexão sobre os limites entre corpo e traje de cena (figurino) em rituais performáticos, e sugere que o termo ixipitla possa ser aplicado como conceito para análise de trajes de cena de performances rituais similares às estudadas.
Quem quiser que conte outra
Authors: Vasconcelos Tainá Macêdo , Viana Fausto
Published: July 2019

Quem quiser que conte outra (2003) é um dos espetáculos da Cia Oxente que dialoga com a cultura popular nordestina de maneira significativa. Com este estudo procura-se destacar o entrelaçamento entre os trajes dos folguedos populares e os figurinos desse espetáculo, a partir dos conceitos de teatro popular (BOAL, 1979; BRITO, 2009; VIEIRA, 2000) e entrevistas realizadas com integrantes da companhia.
Diálogos cênicos
Authors: Monteiro Argus Cecil Nery
Published: July 2019

Neste artigo, analisaremos os métodos de trabalho e os espetáculos selecionados do diretor polonês Tadeusz Kantor e do diretor brasileiro Antunes Filho. Após a análise dos métodos de trabalho e dos espetáculos de cada diretor, faremos possíveis comparações entre um e outro, na conclusão deste trabalho.
Inovação na governança da água
Authors: Paiva Sobrinho Ranulfo , Garcia Junior Ruiz , Maia Alexandre Gori , Romeiro Ademar Ribeiro
Published: July 2019

A crise hídrica está entre os cinco principais riscos globais apontados pelo Fórum Econômico Mundial. A governança é importante porque os múltiplos e competitivos usos da água se acentuam, colocando pressões adicionais sobre a sua oferta em várias regiões. Apesar da evolução na governança da água, infelizmente se observa globalmente uma deterioração dos recursos hídricos. Dentre as principais limitações da governança da água estão o aspecto financeiro e a confiança. Nesse contexto, o objetivo do presente trabalho é discutir como a tecnologia blockchain pode auxiliar na melhoria da governança da água, tais como no aumento da transparência, no financiamento e na confiança. Esse aprimoramento poderia ser alcançado, por exemplo, com a criação de criptomoedas para incentivar a adoção de ações voltadas para conservação dos recursos hídricos e adoção de smart contracts.
Captação de doadores de sangue
Authors: Dupilar Thaynara Cristine , Fonseca Sara Locatelli , Costa Daiane Cobianchi da , Bueno Ednéia Casagranda , Geraldo Alexandre
Published: July 2019

O Brasil é referência de captação de sangue, mas apenas 1,9% da população é doadora de sangue, enquanto o recomendável é de 3 a 5%. O objetivo desta pesquisa bibliográfica foi sistematizar as informações referentes ao desenvolvimento da captação de doadores de sangue ao longo dos últimos anos da hemoterapia. A revisão bibliográfica foi obtida através do levantamento bibliográfico realizado pela busca de artigos em bases de dados contendo periódicos nacionais e internacionais. Assim como, foi realizada a pesquisa do tema em ferramentas de busca, banco de dados regulatórios sanitários e hemoterápicos brasileiros. A busca de aplicativos de celulares foi realizada a partir de sites nas plataformas Google Play® e AppStore®. Foi observado que, atualmente, cartas, rádio, telefone e televisão ainda são meios eficazes de captação de doadores de sangue. Os dados da literatura também evidenciaram o aumento da segurança para o doador e receptor de sangue devido às alterações nas legislações brasileiras relacionadas à hemoterapia. A evolução tecnológica possibilitou o desenvolvimento de novas ferramentas que atualmente são utilizadas na captação de doadores de sangue, por meio do uso de aplicativos para celulares. Foram identificados 27 aplicativos nacionais e gratuitos para celulares, utilizados para fornecer informações gerais sobre os critérios de aptidão para a doação de sangue e promover a manutenção do estoque de hemocomponentes nas instituições hemoterápicas. No entanto, o uso destes aplicativos ainda é restrito, sendo necessário tanto uma maior divulgação dos mesmos bem como a atualização dos softwares viando a melhor aplicabilidade no cotidiano dos doadores.
Alta hospitalar responsável sob a ótica do cuidado em rede
Authors: Fagundes Priscilla Fernandes , Scandol Estela Márcia Rondina
Published: July 2019

O presente artigo tem como objetivo discutir o processo de alta hospitalar a partir da fala dos usuários e familiares egressos de uma unidade de Cuidados Continuados Integrados (CCI) sob a ótica do cuidado em rede no Sistema Único de Saúde (SUS). A alta responsável se configura como um processo no qual os usuários saem de um ponto da rede de atenção à saúde, no caso o hospital e são recebidos na atenção básica. Foi utilizada a metodologia qualitativa por meio de entrevista com questões abertas, com a participação de dezesseis (16) usuários, que receberam alta entre abril de 2016 a abril de 2017. Após a organização dos dados foram encontrados três (3) blocos de ideias que permitiram a análise, sendo: a) Leitura e compreensão do Relatório de Alta; b) Relacionamento com a rede de atenção à saúde; c) Melhorias possíveis. Assim, verifica-se a necessidade de aprofundar a discussão a respeito da alta responsável e sobre o papel do hospital como integrante de uma rede que se propõe ser horizontal e compartilhada em responsabilidades com os usuários do SUS.
Medical Image Processing Detection of Cancer Brain
Authors:   Asst. Prof., PG Dept. of Computer.Science.,Sengunthar Arts and Science College,Tiruchengode, Namakkal Dt., Ms R.Harini , sekar C. Chandra ,   Prof. and Reader, Dept. of Computer. Science, Periyar University,Salem
Published: July 2019

The primary notion relying in image processing is image segmentation and classification. The intention behind the processing is to originate the image into regions. Variation formulations that effect in valuable algorithms comprise the essential attributes of its region and boundaries. Works have been carried out both in continuous and discrete formulations, though discrete version of image segmentation does not approximate continuous formulation. An existing work presented unsupervised graph cut method for image processing which leads to segmentation inaccuracy and less flexibility. To enhance the process, our first work describes the process of formation of kernel for the medical images by performing the deviation of mapped image data within the scope of each region. But the segmentation of image is not so effective based on the regions present in the given medical image. To overcome the issue, we implement a Bayesian classifier as our second work to classify the image effectively. The segmented image classification is done based on its classes and processes using Bayesian classifiers. With the classified image, it is necessary to identify the objects present in the image. For that, in this work, we exploit the use of sequential pattern matching algorithm to identify the feature space of the objects in the classified image that are highly of important that improves the speed and accuracy rate in a significant manner. An experimental evaluation is carried out to estimate the performance of the proposed efficient sequential pattern matching [ESPM] algorithm for classified brain image system in terms of estimation of object position, efficiency and compared the results with an existing multiregion classifier method.
Allocation of Energy Saving Target for Provinces Based on Cluster Analysis in Vietnam
Authors: Dinh Van Chau
Published: July 2019

In order to meet the national energy saving goals set in the Vietnam National Energy Efficiency Program in the period of 2019 – 2030 (VNEEP), the Vietnamese government has adopted a series solutions and policies to improve energy efficiency. The Vietnam’s 63 provinces will be as main actor for the national achievement in energy efficiency. Thus, understanding the province’s potentiality of energy efficiency is useful for the harmonious and sustainable development between the economy and energy systems. In this study, provincial and national data from General Statistic Office are analyzed in terms of the energy efficiency levels. With the trends of economic development and energy consumption in both national and regional levels, the Lorenz curve between Vietnamese energy consumption and GDP is investigated. The Lorenz coefficient shows the energy allocation is nether reasonable nor balanced. By using clustering method, the 63 provinces of Vietnam clustered into 7 groups that the provinces in the cluster has the similar indexes of energy efficiency i.e. ability, responsibility, potential and difficulty. The energy consumption and GDP are predicted in the period of 2019 – 2025. Based on the difference of GDP development and energy consumption levels, the target of energy efficiency for each province through clustering is set. The results show that 33 provinces included in the cluster 1, 2, 3, 4 and 6 are heavy contribution. Among them, the provinces in the cluster 2 and 3 need to focus on the industry sector in their energy saving policy. The cluster 7 included the under-developed provinces can learn development’s experiences of the provinces in the cluster 1, 2, 3 and 4 to find the best way of their future development.
KESESUAIAN SISTEM TRANSPORTASI UMUM DI KOTA SURAKARTA TERHADAP KONSEP TRANSPORTATION FOR LIVABLE CITY
Authors: Nurdiani Dini , Astuti Winny , Rini Erma Fitria
Published: July 2019

Kota Surakarta meraih peringkat ke-2 Kota Layak Huni di Indonesia dengan nilai rata-rata 69,38% dari nilai rata-rata nasional berdasarkan survey Ikatan Ahli Perencanaan (IAP) pada tahun 2014 melalui Most Index Livable City. Salah satu aspek yang dinilai adalah aspek transportasi. Kota Surakarta memiliki letak strategis yang menghubungakan kota-kota besar di Pulau Jawa sehingga kondisi tersebut mempengaruhi pertumbuhan ekonomi di Surakarta yang berdampak pada sistem dan pola transportasi. Tujuan dari penelitian ini yaitu, untuk mengetahui kesesuaian sistem transportasi umum di Kota Surakarta terhadap konsep Transportation for Livable City. Penelitian ini menggunakan metode kuantitatif dengan analisis skoring skala Guttman. Analisis skoring dilakukan pada tiap parameter. Dari hasil analisis menunjukkan bahwa sistem transportasi di Kota Surakarta termasuk ke dalam kategori mendekati tidak sesuai. Hal ini diketahui dari adanya beberapa variabel yang tidak sesuai dengan kriteria konsep transportation for livable city, yaitu jalur sepeda, jalur pedestrian, titik transit, dan jalur angkutan umum. Hasil akhir yang diperoleh menyatakan bahwa varibel-variabel tersebut mengalami penurunan kualitas yang menyebabkan variabel tersebut tidak sesuai dengan konsep transportation for livable city.
KESIAPAN ASPEK SPASIAL PADA PENGEMBANGAN KAWASAN PARIWISATA BERBASIS INDUSTRI KREATIF KERAJINAN SANGKAR BURUNG DI KELURAHAN MOJOSONGO, KOTA SURAKARTA
Authors: Sadana Dewa Putu Aris , Miladan Nur , Mukaromah Hakimatul
Published: July 2019

Kelurahan Mojosongo, Kecamatan Jebres, Kota Surakarta, memiliki potensi industri kerajinan sangkar burung berdasarkan RTRW Kota Surakarta tahun 2011-2031 dan diarahkan sebagai pengembangan kawasan pariwisata berbasis industri kerajinan sangkar burung oleh RIPKA Kota Surakarta. Artikel ini membahas tentang kesiapan aspek spasial pada pengembangan kawasan di wilayah penelitian. Komponen dari kesiapan aspek spasial pada pengembangan kawasan meliputi infrastruktur penunjang, akaksesibilitas, ketersediaan lahan, dan pola persebaran industri kerajinan sangkar burung. Penelitian pada artikel ini dilakukan dengan teknik pengumpulan data berupa kuisioner, observasi lapangan, survei data sekunder, dan wawancara. Adapun teknik analisis pada penelitian ini, yaitu AHP dan skoring. Pada wilayah penelitian infrastruktur penunjang dibagi menjadi sarana penunjang dan prasarana penunjang. Sarana penunjang pada kawasan berupa showroom tidak tersedia pada kawasan. Prasarana pada kawasan meliputi prasarana persampahan, air bersih, listrik, dan telekomunikasi sudah memadai. Selanjutnya, aksesibilitas kawasan sudah siap untuk menunjang mobilisasi bagi pengunjung, karena sudah tersedianya akses jaringan jalan yang baik pada kawasan dan sudah tersedia rute angkutan umum yang melalui kawasan. Ketersediaan lahan dilihat dari ketersediaan lahan untuk showroom dan prasarana persampahan sudah tersedia, namun ketersediaan lahan untuk showroom masih kurang dibandingkan kebutuhan lahannya. Terakhir, pola persebaran industri kerajinan sangkar burung pada wilayah penelitian memiliki pola persebaran klaster, sehingga dapat menunjang terwujudnya lingkungan kreatif dan efisiensi dalam pengelolaan kawasannya. Jadi, berdasarkan hal-hal di atas, maka kesiapan aspek spasial pada pengembangan kawasan pariwisata berbasis industri kerajinan sangkar burung di Kelurahan Mojosongo masuk kedalam kategori tingkat kesiapan tinggi.
KESESUAIAN ELEMEN RANCANG KAWASAN PENDIDIKAN KOTA BARAT DALAM MENDUKUNG KOTA SURAKARTA SEBAGAI KOTA RAMAH ANAK
Authors: Faizal Muhammad Yudha , Yudana Galing , Rahayu Paramita
Published: July 2019

Tingginya daya tarik sekolah pada pusat perkotaan menjadikan jumlah anak – anak yang beraktivitas pada kawasan tersebut cukup tinggi. Konsep kawasan ramah anak pada kawasan pendidikan diperlukan untuk mengakomodasi pemenuhan hak anak pada setiap aktivitas anak – anak di perkotaan. Penelitian ini bertujuan untuk melihat kesesuain elemen rancang menggunakan indikator kawasan ramah anak. Penelitian mengambil studi kasus pada kawasan Kota Barat Surakarta sebagai kawasan dengan dominasi aktivitas pendidikan. Kawasan ini dipilih karena mampu menggambarkan aktivitas tertinggi anak – anak di Kota Surakarta, dimana Surakarta merupakan salah satu kota percontohan program Kota Layak Anak di Indonesia. Metode pengumpulan data yang digunakan dalam penelitian ini adalah observasi dan wawancara. Data yang didapatkan kemudian dianalisis menggunakan teknik analisis skoring dan statistik deskriptif. Hasil penelitian ini menunjukkan tingkat kesesuaian elemen rancang pada kawasan sebesar 54%. Elemen rancang kawasan Kota Barat yang sudah termasuk dalam kategori sesuai >50% adalah tata bangunan dan ruang terbuka, elemen rancang yang memiliki tingkat kesesuaian sebesar 50% adalah tata guna lahan, sirkulasi, kualitas lingkungan, dan signage, sedangkan yang tergolong tidak sesuai adalah pedestrian. Ditinjau dari aspek kawasan ramah anak, aspek keamanan menjadi aspek yang paling tidak terpenuhi. Berdasarkan analisis lebih lanjut, ditemukan bahwa kawasan kota barat belum menjadi kawasan khusus yang diatur untuk mengakomodasi aktivitas pendidikan anak – anak.
FAKTOR-FAKTOR YANG MEMPENGARUHI PREFERENSI MASYARAKAT TERHADAP RUSUNAWA BRUJUL
Authors: Kusumaningsih Suci , Astuti Winny , Fitria Rini Erma
Published: July 2019

Pembangunan daerah saat ini sedang dilakukan oleh pemerintah daerah di Indonesia. Salah satu dampak dari pembangunan daerah adalah timbulnya urbanisasi. Urbanisasi tidak selamanya membawa dampak baik. Salah satu dampak buruk dari urbanisasi adalah munculnya rumah tidak layak huni. Salah satu program yang dilakukan oleh Pemerintah Kabupaten Karanganyar adalah dengan membangun rumah susun sederhana sewa sebagai alternatif hunian bagi masyarakat berpenghasilan rendah. Rusunawa yang dibangun oleh Pemerintah Kabupaten Karanganyar adalah Rusunawa Brujul yang terletak di Kecamatan Jaten. Akan tetapi dalam realisasinya, Rusunawa Brujul tidak diminati oleh masyarakat. Dari 192 unit yang disediakan, terdapat 90 unit yang tidak berpenghuni. Beberapa faktor yang menyebabkan kurang diminatinya rusun adalah tingkat kenyamanan yang rendah, kualitas bangunan yang hampir sama dengan rumah kumuh serta harga yang sulit dijangkau. Tujuan dari penelitian ini untuk mengetahui faktor dominan yang mempengaruhi rendahnya preferensi masyarakat terhadap Rusunawa Brujul. Penelitian ini menggunakan metode kuantitatif dengan analisis faktor. Hasil penelitian ini menunjukkan bahwa terdapat tiga faktor dominan yang mempengaruhi rendahnya preferensi masyarakat terhadap Rusunawa Brujul. Ketiga faktor tersebut adalah (1) faktor keadaan rusun (71,89%), (2) faktor keterjangkauan terhadap fasilitas (5,49%), dan (3) faktor sosial ekonomi (4,78%). Berdasarkan penelitian ini disarankan agar Pemerintah Kabupaten Karanganyar lebih berperan aktif dalam pemeliharaan kualitas dari rusun supaya minat masyarakat terhadap Rusunawa Brujul meningkat.
PENGARUH PERKEMBANGAN INDUSTRI PENGECORAN LOGAM SKALA BESAR DAN SEDANG YANG TERAGLOMERASI TERHADAP PERUBAHAN GUNA LAHAN DI KECAMATAN CEPER KABUPATEN KLATEN
Authors: Tantowi Nur Lutfi Rizky , Soedwiwahjono Soedwiwahjono , Hardiana Ana
Published: July 2019

Dewasa ini kemajuan ilmu pengetahuan dan teknologi memicu pertumbuhan yang pesat pada segala aspek kehidupan salah satu adalah aspek industri. Industri skala besar dan sedang setiap tahunnya mengalami perkembangan, hal tersebut juga terjadi pada industri pengecoran logam skala besar dan sedang yang berada di Kecamatan Ceper Kabupaten Klaten selama kurun waktu tahun 2006 hingga tahun 2016. Industri-industri pengecoran logam tersebut memiliki lokasi yang berdekatan sebagai salah satu bentuk untuk mendapatkan keuntungan aglomerasi. Akan tetapi, industri yang mengalami peningkatan tersebut berpengaruh terhadap sekitarnya, salah satu pengaruh yang ditimbulkan adalah terhadap guna lahan di sekitarnya yang mengalami perubahan. Berdasarkan permasalahan tersebut maka tujuan penelitian ini adalah mengetahui pengaruh perkembangan industri pengecoran logam skala besar dan sedang yang teraglomerasi terhadap perubahan guna lahan. Metode penelitian yang digunakan adalah deskriptif kuantitatif. Sementara jenis penelitian ini adalah penelitian deduktif. Metode analisis yang digunakan adalah analisis skoring dengan membandingkan kondisi awal penelitian dengan kondisi akhir penelitian. Berdasarkan data yang diperoleh didapatkan bahwa industri pengecoran logam skala besar dan sedang yang teraglomerasi mengalami perkembangan, sementara guna lahan di wilayah tersebut juga ikut mengalami perubahan. Karena sama-sama mengalami perkembangan/perubahan maka hubungan antara perkembangan industri dan perubahan guna lahan dapat disebut sebagai hubungan yang lurus, hal tersebut dapat diketahui dari perkembangan industri pengecoran logam skala besar dan sedang yang teraglomerasi yang berpengaruh tinggi terhadap perubahan guna lahan.
Optimal Decision-Making of Low-Carbon Supply Chain Incorporating Fairness Concerns
Authors: Wei Guangxing , Yao Yanling , Qin Yanhong
Published: July 2019

The optimal decision-making of the low-carbon supply chain incorporating fairness concerns, such as the effort of reducing carbon emissions, the whole sale price and retail price, is analyzed by taking the Nash bargaining solution as the fairness reference point. The following conclusions are found. Firstly, the wholesale price is strongly influenced by the fairness concern of the manufacturer but weakly influenced by that of the retailer, although both statistically significantly. Secondly, both the manufacturer’s and retailer’s fairness concerns reduce carbon emissions dramatically to nearly the same extent. Thirdly, the effect of the manufacturer’s fairness concern on the retail price is so tiny that it can almost be ignored, while the retailer’s fairness concern changes the retail price remarkably.
Parallels between Poor Internet Accessibility of LARC Information and West Virginia Teen Pregnancy
Authors: Durr Andrya J. , Devlin Kelly M. , Critch Elizabeth A. , Fitzgerald M. Paula , Renzelli-Cain Roberta I
Published: July 2019

Background

The purpose of this study was to investigate the availability of Long Acting Reversible Contraception (LARC) education on the websites of each of the West Virginia county health departments, and to determine if lack of readily accessible LARC information coincides with higher teenage pregnancy rates.

Methods

The West Virginia University National Center for Excellence in Women’s Health investigated how many county health department websites had easily accessible references on their websites about birth control and specific information about LARC. Pearson correlation analysis was used to determine relationships between fixed broadband internet access and the teenage pregnancy and birth rates for females.

Results

These data demonstrate a significant correlation between increased percentages of the population without fixed broadband internet access, and the birth and pregnancy rates of females age 10 to 19, and show that only 12 of 55 counties provided accessible information on LARC, the most effective method of contraception.

Conclusions

In summary, we believe West Virginia should facilitate sustained internet access to its citizens. In order to help overcome communication and access barriers the state should provide consistent education on all health department websites regarding birth control options and how to use them.
Adductor Canal Blocks: An Observational Ultrasound Study in Volunteers to Identify the Relationship of the True Adductor Canal to Commonly Described Block Approaches and a Review of the Literature
Authors: Ranganath Yatish S. , Yap Amanda , Wong Cynthia A. , Ravindranath Sapna , Marian Anil Alexander
Published: July 2019

Background

There is controversy over the site at which the ultrasound-guided adductor canal blocks (ACB) should be performed, and the anatomic relationship of these sites to the true adductor canal (AC). Most studies describe performing the ACB at the anatomical mid-point of the thigh (mid-thigh ACB, mtACB), or 2-3 cm above the inferior border of AC (distal ACB, dACB). The aim of the study was to determine the relationship of these approaches to the true anatomical AC in volunteers.

Methods

Using ultrasonography and surface landmarks, we characterized the AC anatomy of both lower limbs in 60 adult volunteers (30 males, 30 females). The primary outcome variable was the distance from the mid-thigh approach to the superior border of AC. Calculated secondary measurements were the distance between the 2 approaches and the length of AC.

Results

The (median [IQR]) needle entry point for mtACB was above the superior border of the AC in both males (5.5 cm [4.6-7.0]) and females (6.6 cm [5.8-7.3]) (P = 0.045 [95% CI of the difference in medians, -1.63 to 0.00 cm]). The median distance between the needle entry points of mtACB and dACB in males vs females were not different (median difference: 0.63 cm; 95% CI, -0.25 to 1.50). The length of the adductor canal was 1.5 cm longer in males compared to females (95% CI, 1.00 to 2.25 cm)

Conclusions

AC blocks performed at mid-thigh or more proximal are outside the anatomical adductor canal. A review of recent literature shows 3 different sites where AC blocks are performed; the majority of the blocks are performed in the mid-thigh region and hence outside of the true adductor canal.
Factors determining premarital sexual practice of school students, institutional based cross sectional study in northern Ethiopia
Authors: Girmay Alem , Marye Tekleweyni , Gerensea Hadgu
Published: July 2019

Objective

Reports indicating that adolescents Sexual activities have been increasing worldwide, and the issue is most of the Sexual activities are happening before marriage, which makes vulnerable for multi-sexual behaviors, but there is limited data in this title in the region. So this study intended to identify the status and determinants of premarital sexual practice.

Result

Among the students 292(52.1%) were females, most of the students found in the age interval of 13 up to 23 (121(21.6%), the prevalence of premarital sexual practice was 21.5%. Residence, discussion on reproductive health issues with family members, monthly pocket money, peer pressure, seen pornography had significant association with the dependent variable.
MiR-146b protects against pediatric pneumonia progression through MyD88/NF-κB signaling pathway
Authors: Zhang Lei , Dong Lili , Tang Yu , Li Min , Zhang Mingming
Published: July 2019

Background

Pneumonia is a common respiratory disease worldwide that can be prevented and treated. However, it is considered to be the leading cause of children death. The present study was aimed to explore the role of miR-146b and its underlying mechanism in lipopolysaccharide (LPS)-induced inflammation injury in pediatric pneumonia.

Methods

Human fibroblasts WI-38 cells treated with LPS were subjected to construct cell model with inflammation injury. QRT-PCR or Western blot was applied to detect miR-146b and MyD88 expression. ELISA kit was used to analyze the production of pro-inflammatory factors. Cell viability was evaluated by CCK-8 assay. The apoptosis proteins and the downstream genes of NF-κB pathway were detected by Western blot.

Results

We displayed that miR-146b was downregulated, whereas MyD88 was upregulated in children with pneumonia and in WI-38 cells treated with LPS. Moreover, re-expression of miR-146b suppressed the production of inflammatory factors in the serum of pneumonia patients and WI-38 cells. Also, elevating miR-146b expression increased cell viability and reduced cell apoptosis. However, MyD88 overturned the protective effect of miR-146b on inflammation injury in pediatric pneumonia. Moreover, miR-146b overexpression inhibited the activation of NF-κB signaling pathway by suppressing MyD88.

Conclusions

These findings revealed that miR-146b attenuated the inflammation injury in pediatric pneumonia through inhibiting MyD88/NF-κB signaling pathway.
Regulation of photosynthetic function in maize plants under spatially heterogeneous light environment at reproductive stage
Authors: Wu Han-Yu , Qiao Mei-Yu , Zhang Wang-Feng , Wang Ke-Ru , Li Shao-Kun , Jiang Chuang-Dao
Published: July 2019

Background: To copy with spatially heterogeneous light environment, photosynthesis of plants can be regulated systemically. Till present, most of these studies were carried out with various plants in the vegetative growth period. Yet the regulation of photosynthesis at reproductive stage has remained elusive under spatially heterogeneous light environment in the field.
Methods: Therefore, the changes of light intensity within canopy, chlorophyll content, gas exchange and chlorophyll a fluorescence transient were carefully investigated at heading and grain-filling stages of maize under various planting densities.
Results: In this study, high planting density of maize induced significantly spatial heterogeneity of light environment within canopy. Chlorophyll content, photosynthetic capacity and photosystem II performance in the ear leaf and the fourth leaf below the ear were reduced apparently with the increase of plant density. Moreover, these differences between the both leaves were enlarged with increasing plant density. After the tassel and top leaves of the maize plants were removed (RTL), the spatial heterogeneity of the light environment decreased. The photosynthetic capacity and photosystem II performance in the ear leaf decreased slightly after RTL, while these parameters in the fourth leaf below the ear were improved considerably. Obviously, the removal of the tassel and top leaves reduced the spatial heterogeneity of photosynthetic function of maize plants.
Conclusions: Taken together, these results demonstrate that maize plants could enhance the spatial heterogeneity of their photosynthetic function to adapt heterogeneous light environment at the reproductive stage; the systemic regulation of photosynthesis under spatially heterogeneous light environment could be weakened by reproductive growth.
TRAFFIC LIGHT CONTROL USING FUZZY LOGIC MAMDANI METHOD
Authors: Juniana Paula , Hakim Lukman
Published: July 2019

Traffic congestion is a common occurrence in Indonesia. Traffic congestion is increasing from year to year, causing many things to happen, such as longer travel time, increased transportation costs, serious disruptions to transporting products, decreasing levels of work productivity, and wasteful use of labor energy. Congestion is also caused by a traffic light control system that is made with a fixed time so it can not detect the density of certain paths. Traffic lights in Indonesia, frequent damage that makes the density and the flow of his road vehicles can not be controlled. From these problems, conducted research to reduce the density of vehicles using infrared sensors and see the waiting time of the vehicle when the red light. The traffic light control system will use Fuzzy Logic Mamdani method. In Mamdani method by applying fuzzy into each variable and will be done matching between rule with condition which fulfilled to determine contents of output to be executed by prototype. This congestion detection will help the system in controlling the green light time by looking at stable, medium, and traffic jams. When the bottleneck starts to detect, the prototype will add a green light time according to the condition that is 0 seconds, 5 seconds, 10 seconds, and 15 seconds. However, when the streets are not detected by traffic jams, the green light will be back to normal at 15 seconds without additional time