bluuebunny/crossref_metadata_2025 huggingface dataset:
TECNOLOGIA RFID
Authors: Dos Santos Luciano Barbosa , Piurcosky Fabrício Pelloso
Published: March 2019

Este trabalho trata sobre a tecnologia de RFID (Radio Frequency Identification –Identificação por Radiofrequência) e sua aplicabilidade na armazenagem de material aeronáutico da Força Aérea Brasileira (FAB). Tal abordagem se justifica devido à necessidadeda manutenção de um alto índice de acuracidade dos estoques imobilizados, maior agilidade nas atividades de inventário de componentes aeronáuticos e de picking, bem como aumento da segurança dos itens no interior dos armazéns. O propósito deste estudo é avaliar no Sistema de Material Aeronáutico (SISMA) a aplicabilidade, vantagens e desvantagens da adoção da tecnologia de RFID na área de armazenagem. Esse propósito será conseguido através de revisão bibliográfica de outros estudos a respeito do tema, bem como estudo de caso com auxílio de Oficiais Especialistas em Suprimento técnico da área de Logística da FAB. A pesquisa evidenciou que os Oficiais da área de logística identificaram nessa tecnologia uma oportunidade para atender necessidades específicas da área de armazenagem como inventários mais rápidos e precisos, aumento da segurança do material estocado e localização de itens tidos como perdidos no interior do armazém, em que pese ocasionar custos com aquisição dos equipamentos e montagem da infraestrutura, manutenção preventiva e corretiva, entre outros.
GESTÃO DA QUALIDADE EM RESTAURANTES
Authors: Fonseca Cinthia Samara Alves , Da Silva Paula Andrade Paz , Silva Thayanne Hellen de Moraes , Padilha Thayze Pinto Cândido
Published: March 2019

aplicação de um sistema de Controle da Qualidade Total em serviços de gastronomia está condicionada ao atendimento de alguns pontos básicos, são esses pontos que determinarão a efetiva oferta de um serviço de qualidade. O segmento da gastronomia é um mercado em expansão, tanto na captação dos clientes, quanto no surgimento de restaurantes, por isso precisam investir para oferecem um serviço que supere a expectativa dos clientes, fidelizando-os, e assim consiga se destacar perante os concorrentes. Sendo assim, a pesquisa buscou evidenciar a qualidade no atendimento como diferencial competitivo, além de uma poderosa ferramenta para fidelizar o cliente, no segmento dos restaurantes, em Garanhuns - PE. Os objetivos específicos foram: apresentar a evolução e aplicação da qualidade em serviços, além de verificar sua importância na influência da decisão de compra do consumidor, demonstrando assim seu impacto na criação de diferencial competitivo. O artigo se enquadra em uma pesquisa do tipo descritiva, utilizando a pesquisa bibliográfica e quantitativa, usando a ferramenta questionário com respostas de múltipla escolha para os empresários e na escala likert com os consumidores. O intuito foi de verificar o que influencia a decisão de compra destes, e quais as ações que os empresários utilizam para garantir o serviço de qualidade. Através da pesquisa constatou-se que os consumidores estão dispostos a pagar mais caro por um atendimento diferenciado e que a maioria dos empresários utilizam poucas ações que assegurem um serviço de qualidade, averiguou-se, também, que a qualidade é uma vantagem competitiva no mercado atual.
IDENTIDADE DE CARREIRA
Authors: Ferreira Jeferson Vinhas , De Oliveira Carla Cristiny Santos , João Belmiro do Nascimento
Published: March 2019

A iniciação profissional e o desenvolvimento de carreira, bem como as transições que ocorrem nesse percurso, podem sofrer influências diretas e indiretas do meio em que o sujeito se encontra e de suas escolhas pessoais. A família, sociedade, a cultura e nichos de convívio, como universidades e grupos onde as pessoas estão inseridas, são relevantes nos movimentos de carreira. O objetivo deste artigo é apresentar uma proposta de como o tema de transição de carreira pode ser trabalhado no nível de graduação em instituições de ensino superior (IES), considerando as novas dinâmicas de carreira para as quais os alunos são (ou deveriam ser) preparados. A ideia é refletir sobre a oportunidade da IES auxiliar os alunos a compreender as dinâmicas do mercado de trabalho, entender de seus potenciais e se projetar em carreiras de sucesso, tendo como pano de fundo teórico a identidade de carreira proposto por Ibarra (2009).
O BANCO DE DESENVOLVIMENTO DE MINAS GERAIS (BDMG) E SUA ATUAÇÃO
Authors: Leão Leonardo Lelis
Published: March 2019

Os bancos podem ser considerados instituições diferenciadas no que se refere à sua criação de valor. Com um banco de desenvolvimento a situação não poderia ser diferente. Esse estudo tem como objetivo discutir o contexto e a função dos bancos e realçar a atuação do Banco de Desenvolvimento de Minas Gerais (BDMG) a partir de seu histórico. O Banco de Desenvolvimento de Minas Gerais – BDMG, objeto do presente estudo foi o primeiro com esse modelo criado no Brasil. Atualmente o BDMG opera varias fontes de recursos com riscos diretos: recursos de repasse do BNDES, recursos captados junto ao mercado domestico e internacional e seus recursos próprios, constituindo-se de um importante mecanismo de fomento para o desenvolvimento regional no Estado de Minas Gerais.
A IMPORTÂNCIA DO PLANO DE RECUPERAÇÃO JUDICIAL PARA EMPRESAS
Authors: Silva Thayná Guimarães Oliveira , Da Fonseca Alan Sales , Terra Gustavo de Souza , Portugal Júnior Pedro dos Santos , Dos Santos Jackson Eduardo
Published: March 2019

A presente pesquisa tem como objetivo analisar a importância da elaboração e execução do plano de recuperação judicial em empresas que estão nessa situação devido aos mais variados fatores, como crise econômica e má administração. Trata-se de uma pesquisa que destaca essa alternativa para se reerguerem a fim de evitar a falência. A pesquisa foi realizada de forma descritiva e qualitativa, na qual foram realizados estudos de caso e estudos bibliográficos que corroboram que as empresas, cada vez mais, têm recorrido a essa alternativa . Destacam-se também as ferramentas a serem utilizadas pela empresa a fim de se reestruturar, como melhor gestão de caixa e investimentos. A Recuperação Judicial está baseada na lei 11.101/2005, que “Regula a recuperação judicial, a extrajudicial e a falência do empresário e da sociedade empresária.
MARKETING INFANTIL TELEVISIVO
Authors: Mendonça Tamiris Sacho , Caldeira Lúcio Garcia , Silva Sheldon William , Corsini Joel , Moreira Rafael de Almeida
Published: March 2019

As empresas lutam no mercado competitivo e se desdobram na busca de novos consumidores, encontrando nas crianças uma alternativa e a oportunidade torná-los fieis consumidores futuro. O objetivo do presente artigo foi verificar como as marcas voltadas para o publico infantil utilizam a propaganda televisiva para influenciar as crianças e seus pais. Concluiu-se que as propagandas, estruturadas de acordo com a segmentação demográfica por idade, vem se tornando estratégia de marketing, onde os mercados não medem esforços para a conquista e sedução desse novo, e precoce, mercado consumidor. Sob o critério de segmentação demográfica com base na idade, as principais marcas/empresas que se utilizam do marketing infantil publicitário televisivo, principalmente nos canais fechados (Discovery Kids, Nickelodeon, Cartoon Network e Disney Chanel) são: Fisher Price e Cotiplás (0 a 2 anos); Play Doh e Danoninho (2 a 7 anos); PlayKids e Lego (7 a 11 anos) e; Beach Park e Estrela (12 anos).
A IMPORTÂNCIA SOCIOCULTURAL DA “SOCIEDADE MUSICAL LIRA TUBARONENSE” PARA A HISTÓRIA DO POVO TUBARONENSE
Authors: Corrêa Júnior Jurandir de Sousa
Published: March 2019

Este trabalho tem como principal objetivo discutir sobre a importância sociocultural da “Sociedade Musical Lira Tubaronense” para a história do povo tubaronense. Para tanto, procuramos partir de uma investigação histórica, levando em conta contextos de época. A pesquisa foi possível por meio de um levantamento bibliográfico e documental. Os resultados do estudo apontam para a participação efetiva da referida entidade na construção e manutenção das manifestações morais, cívicas e religiosas do município, estas, responsáveis pelo processo de formação do perfil identitário do povo tubaronense. Todavia, a desconexão do povo com suas origens, devido aos “males da pós-modernidade”, revela uma “Lira” caminhando ao esquecimento. Mas que, contudo, ainda é oportuno perpetuá-la na história de nossa gente, mediante aos lampejos da memória coletiva.
Perkembangan Instrumen Pembelajaran Gambar Pembelajaran Berbasis Luar Negeri Untuk Siswa
Authors: Setlight Rebecca Suzie , Kalalo Ventje Noldy , Hulu Liberman , Tanojo Wimpie , Tasim Lily
Published: March 2019

This research purpose to describe factually learning instrument dan characteristics of learning instrument was developed and acquiring products of drawing learning instrument that are valid and effective.The R and D research design used modifications Thiagarajan 3D model consisting of definition phase, design phase and development phase with research subjects are students of fourth grade at Singosari 2 Elementary School were selected by purposive sampling. The results showed are learning instruments in fact still found mismatch content and components. Drawing learning instruments based on outdoor learning that has five syntax, such as: (1) preliminary, (2) exploration, (3) outdoor learning based school environment, (4) elaboration, and (5) presentation. The validation result of learning instruments obtained an average of 3.46, it is include of very valid category. The result of learning instrument trials shows that: (1) measurement creativity is 7.01 an average, (2) percentage student’s activity get 66.87% in active category, (3) percentage student's response of learning implementation get 83,05% in very positive category, and (4) percentage teacher's respons of lesson plan get 85% in very positive category. The final product of the research was in the form of a teacher manual on drawing learning devices based on outdoor learning.
Peningkatan Kemampuan Berkomunikasi Dengan Peserta Didik Melalui Supervisi Klinis Bagi Guru SD Negeri 5 Surabaya Pada Semester I Tahun Ajaran 2016/2017
Authors: Vonette Vera , Indrata Ian , Daya Hasondrorogo , Kristanti Elisabet , Ginting Arlawati
Published: March 2019

The ability of teachers to manage student interactions in learning activities relates to communication between students and other students, students with teachers and vice versa. The purpose of this study was to measure the improvement in the ability of Surabaya Elementary School 5 teachers to communicate with students after clinical supervision. This classroom action research was carried out by taking place at SD Negeri 5 Surabaya. The school's action research was conducted in the first semester of the 2016/2017 school year. The subject of this study was the teacher of SD Negeri 5 Surabaya, amounting to six teachers. The results of this study are the teacher's ability to communicate with students from cycle to cycle has increased, namely from prasiklus 33.86%, the first cycle of 66.08%, and the second cycle of 88.30%, so that the increase during the action is 54, 44%. Increases occur in all aspects. The increase in teachers' abilities was due to clinical supervision activities based on objective assessments that were delivered transparently to teachers, besides the implementation of supervision with a small number of teachers tended to facilitate communication between researchers, principals and teachers. The existence of such supervision increases the teacher's awareness of the importance of the ability to communicate with students, and raises the awareness of teachers that this ability is one aspect of teacher performance assessment.
Pityriasis Versicolor in Kashmir - A Study of 200 Patients
Authors: Manzoor Sheikh , Bhat Yasmeen J
Published: March 2019

Background: Pityriasis versicolor is a mild, superficial chronic infection of the skin characterised by discrete or confluent, scaly discoloured irregular macules on the upper trunk and extremities, caused by a commensal dimorphic fungus Malassezia. It is more common in tropical areas. The aim of present study was to find the epidemiology and clinical pattern of pityriasis versicolor in Kashmir, a temperate area.

Materials and Methods:Two hundred patients of pityriasis versicolor who attended the dermatology OPD at SKIMS Medical College were studied after confirming the diagnosis with KOH test. Most of the patients were male with a male-female ratio of 1.7:1, main age group involved was in second decade. Neck, chest and upper back were the main sites involved with patients presenting mainly with hypopigmented macules. The significant associated dermatological diseases were acne and seborrheic dermatitis. No significant association was seen with any systemic disorder.

Conclusion:The overall clinical course of pityriasis versicolor in Kashmir remains same as in tropical areas. J Med Sci.2010;13(1);4-6
Diagnosis Based on Parent and Teacher Rating for Attention Deficit Hyperactivity Disorder
Authors: Rouf Abdul , Rivees Shabnum , Khan A Wahid , Madhosh A G , Zeba Zeba
Published: March 2019

Parents and teachers play a significant role in the diagnosis of ADHD in children in the clinical setting. With the same in consideration a study was conducted to compare the perception between parents and teachers on the rating scales for ADHD children. The study was conducted on a sample of parents and teachers of 100 children diagnosed as having ADHD as per ICD-10 diagnostic criteria. A newly constructed and standardized parent rating scale for parents of ADHD children and attention deficit comprehensive teacher rating scale for teachers was administered on the target sample. Results indicate that there was statistically no significant difference in the rating of perception between parents and teachers on four dimensions, viz (i) attention (ii) hyperactivity (iii) social skills (iv) oppositional behaviour of ADHD children. To verify these findings, positive correlation was found between parents and teachers perception on all the four dimensions.J Med Sci.2010;13(1);11-14
Scar Metastasis
Authors: Bhat Gull Mohd , Imran Rangreze , Ahmad Syed Nissar
Published: March 2019

Scar Metastasis (Oncotaxis) is not infrequent. The following image is of a young patient with adenocarcinoma stomach who developed scar metastasis. He was treated with both chemotherapy and local radiotherapy without significant regression of the lesions. J Med Sci 2010;13(1):33
Awake Coronary Artery Bypass Grafting: Initial Experience in a Rural Cardiac Centre
Authors: Vimesh Puja , Singh Shyam , Verghese Thomas , Srivastava Pankaj , Agarwal Sunil , Cherian Kotterathu M
Published: March 2019

Two patients with significant co-morbidities in the form of bronchial asthma and hypothyroidism underwent “awake coronary artery bypass grafting” under high thoracic epidural anaesthesia. Our experience indicates that high thoracic epidural anaesthesia is beneficial in patients with co-morbid conditions undergoing coronary artery bypass grafting. (JMS 2010;13(2):64-66)
Acute Post Infectious Cerebellitis Presenting as Hydrocephalus: A Rare Presentation
Authors: Asmi Ravouf , Masoodi Zarka Amin , Rangreze Imran , Wani Mushtaq Ahmad , Nawaz Sheikh
Published: March 2019

Acute post infectious cerebellitis, also known as acute cerebellar ataxia, is a rare inflammatory syndrome often characterized by cerebellar dysfunction of rapid onset. Although usually benign and self-limiting, acute cerebellitis may manifest a fulminant course. We describe a patient referred to our center with acute cerebellitis, complicated by hydrocephalus. An 32-year-old female presented with headache, nausea, vomiting, and gait and limbs ataxia 2 weeks after following a respiratory tract infection. CT showed obstructive hydrocephalus. MRI showed bilateral cerebellar swelling with hyperintense signals on T2-weighted imaging. The diagnosis was acute post infectious cerebellitis. Following treatment with corticosteroids, the clinical signs resolved. The patient made an uneventful recovery, with elimination of neurologic deficit.(JMS 2010;13(2):67-69)
Prediabetes
Authors: Bashir Mir Iftikhar , Wani Arshad Iqbal , Masoodi Shariq R
Published: March 2019

Pre-diabetes is a metabolic condition characterized by insulin resistance and primary or secondary beta cell dysfunction which increases the risk of developing type 2 diabetes mellitus. It is used to describe the intermediate state of abnormal glucose metabolism in which blood glucose levels are higher than normal, but not yet in the range necessary for diagnosis of diabetes. The concept of prediabetes arose in 1950’s when high perinatal mortality was reported in pregnancies before diagnosis of diabetes mellitus. Prediabetes was included in the classification of glucose tolerance in the 1965 WHO Expert Committee Report on Diabetes Mellitus...JMS 2011;14(1):4-10.
Comparison of 0.5% Ropivacaine and 0.5% Bupivacaine for Epidural Anaesthesia in Patients undergoing Lower Abdominal and Lower Extremity Surgery
Authors: Ommid Mohamad , Jehan Nusrat , Mohammad Khairat , Qazi Shigufta , Ahmad Mubasher , Raksha Kundal
Published: March 2019

BACKGROUND: Ropivacaine, a derivative of mepivacaine like its older counterpart Bupivacaine, has recently been introduced in Indian pharmacopeia. Ropivacaine is an amide local anaesthetic but less cardiotoxic than bupivacaine.OBJECTIVE: To compare the clinical effectiveness of ropivacaine versus bupivacaine in patients undergoing lower extremity and lower abdominal surgeriesMETHODS: 50 patients were randomized to receive 20ml of 0.5% ropivacaine or 0.5% bupivacaine through epidural catheter. Sensory (pinprick) and motor (bromage) measurements were made while the block was in effect, haemodynamic changes; use of additional analgesics and sedatives was noted.RESULTS: The quality and extent of sensory and motor blockade between the two groups was comparable, although bupivacaine was found to be slightly longer acting. Both had similar motor blocking characteristics, with the exception that bupivacaine had a blockade of slightly longer duration but statistically not significant(p>0.05).CONCLUSION: Ropivacaine being lesser cardio toxic is the preferred agent for clinical epidural anaesthesia. JMS 2011;14(1):15-18
Prevalence of Diarrhoea in Infants and its Relation to Feeding and Weaning Practices
Authors: Chander Ramesh , Vimesh Puja , Singh Shyam
Published: March 2019

Diarrhoea is one of the major causes of morbidity and mortality in infants in developing countries, because of diverse factors associated with it.

OBJECTIVE: To study the relationship of diarrhoea with feeding and weaning practices.

METHODS: In this Cross-sectional epidemiological study, 704 infants and their mothers were studied for feeding and weaning practices using semi-structured closed ended questionnaire.

RESULTS: Prevalence of diarrhea was observed lowest among exclusive breast fed (3.9%) and highest among mixed fed including supplementary feeding (15.2%). Artificial feeding was prevalent in 9.2%. Consumption of leftover food was accompanied by double the prevalence (21.89%) as compared to those who did not consume such food (10.1%). CONCLUSIONS: Education and awareness of mothers regarding breast feeding, can help decrease the prevalence of diarroea in infants and associated morbidity and mortality. JMS 2011;14(1):19-21
Anti-convulsant Hypersensitivity Syndrome with Predominant Liver Involvement
Authors: Javid Gul , Saif Syed Mushtaq , Shoukat Abid , Saif Riyaz U , Rasool Mohsin Ul , Ahmad Khursheed , Mujoo M Yasin , Parveen Shaheen , Iqbal Asif
Published: March 2019

Anticonvulsant hypersensitivity syndrome (AHS) is a rare but potentially life threatening syndrome that develops in genetically susceptible individuals following exposure to aromatic antiepileptic drugs (AED’s) like phenytoin. It is characterized by fever, rash and internal organ involvement. AHS should be recognized at the earliest because continuation of the culprit drug can lead to fatal outcome. We present severe phenytoin hypersensitivity syndrome with predominant hepatic involvement that improved with drug withdrawal and other supportive treatment. JMS 2011;14(1):22-24
Coexistence of Growth Hormone-Secreting Pituitary Adenoma and Intracranial Meningioma
Authors: Mir Shahnaz Ahmad , Farooqi Khalid J , Bhat Manzoor Ahmad , Koutwal Souman , Masoodi Shariq Rashid
Published: March 2019

A 60-year-old woman was referred to our centre for evaluation of Acromegaly. Serum GH level was 60 ng/ml and remained unchanged after OGTT (75 g). Thyroid functions revealed normal TSH and T4 cortisol dynamics showed stimu-lated cortisol of 11 g/dl. MRI revealed pituitary macroadenoma associated with a frontal men ingioma ,JMS 2011;14(2):75
Comparative Evaluation of Tramadol Wound Infiltration over Bupivacaine for Postoperative Analgesia in Children Undergoing Inguinal Herniotomy and Orchidopexy
Authors: Lone Abdul Qayoom , Nazir Nazia , Gilani Shehnaz , Ommid Mohammad , Nengroo Showkat H , Naqib Akhtar , Naqash Imtiyaz
Published: March 2019

BACKGROUND: Recent clinical studies have demonstrated that children experience a similar severity of post operative pain as adults and that even preterm infants demonstrate alterations in heart rate, blood pressure and oxygen saturation in response to pain.

OBJECTIVE: To study the advantage of tramadol wound infiltration over bupivacaine on post operative pain relief in children following inguinal herniotomy and orchiodopexy

METHODS: In this prospective single blinded randomized controlled study, 705 children aged between 1–7 years undergoing elective repair of unilateral inguinal hernia and orchiodopexy were randomly divided into 3 groups of 25 each. Group A (Tramadol) à wound infiltration with 2mg/Kg Tramadol in 0.2ml/Kg saline, Group B (Bupivacaine) à wound infiltration with 0.2ml/Kg of 0.25% of Bupivacaine and Group C (Tramadol i/m) à 2mg/Kg tramadol intra muscularly 20 minutes before the end of surgery. Children were assessed post-anesthesia for pain score and discharged from Post Anesthesia Care Unit when they achieved a score of 10.

RESULTS: Group A had lower pain scores than group B and C for the first 24 hours in the postoperative period. The other two parameters pulse rate and respiratory rate were also lower in group A. Moreover use of rescue analgesia was significantly lower in group A.

CONCLUSION: Wound infiltration with tramadol is a good choice for post operative analgesia in children undergoing inguinal herniotomy and orchidopexy. JMS 2011;14(2):52-55
Ewing’s Sarcoma of the Mandible-A Rare Case Report
Authors: Hassan Shahid , Rao BH Sripathi , Rai Gunachandra
Published: March 2019

Ewing’s sarcoma is a malignant tumor of bones that primarily affects children and young adults. The true origin of this small round cell lesion still remains controversial.It was originally described by James Ewing in 1921 as arising from undifferentiated osseous mesenchymal cells, however, recent studies suggests that Ewing’s tumor might be neuroectodermally derived from various degrees of differentiation of the primitive neural tissues. This paper reports a rare case of ES of the mandible in a 11-year-old girl, which had been previously misdiagnosed and treated as a dental abscess. In the clinical examination, a hard immobile expansive mass of 2cm diameter was observed on the left side of the mandible. Radiographic examination revealed a diffuse radiolucent lesion with ill-defined borders and wide vestibular bone plate destruction. Microscopically, the tumor was composed by monotonous small round cells that exhibited immunoreactivity for CD99, vimentin and desmin. Surgical resection of mandible followed by mandibular reconstruction was adopted. The patient was subjected to multiagent chemotherapy with Vincristine [VC],Dactinomycin [AC],Cyclophosphamide [CP] and Doxorubicin [AD]). JMS 2011;14(2):68-70
Average length of stay in Level III and IV Care of Accident and Emergency Department of Tertiary care Hospital
Authors: Rangrez Reyaz A , Mushtaq Sheikh , Deva Shafa , Rather Tanveer A , Mufti Sameena , Ganai Abdul Majid , Jalali Suzan
Published: March 2019

BACKGROUND: The scope of Accident and Emergency (A&E) Department is gradually broadening and in fact these are now becoming“mini hospitals within hospitals”.OBJECTIVE:To determine the average length of stay (LOS) in level III and level IV care and factors leading to prolonged length of stay.METHODS:A Hospital based study with follow up of patients received in level III and level IV of A&E Department and the patients were followed till transfer out to respective specialty wards,discharge or death.RESULTS: Emergency beds occupied 9.3% of the total hospital bed strength. Of the total emergency admissions studied, 71.1 % comprised of neurosurgical admissions followed by CVTS (21.4%), neurological (6.8%) and other admissions(1.2%). The average Length of Stay was greatest in CVTS followed by General Surgery i.e. 5.4 days and 4.6 days respectively. The time gap between investigations ordered and reports received was 1.04 days. 67% of the patients who attended A&E Department were of rural background and out of it 54% have read upto high school.CONCLUSIONS: Average Length of stay is 4.3 days which needs to be brought down to 24 hours as per international norms to provide equitable emergency care to wider population. Co-ordination between administration and cliniciansis needed to expedite theproblem.JMS2011;14(2):61-62
Large Vulvar Lipoma in an Adolescent
Authors: Maurya R K , Singh Pawan Kumar , Singh Sandeep
Published: March 2019

Lipomas of vulva have been reported only rarely. Benign tumors of the vulva are normally classified according to their origin as epithelial cell tumors (e.g., keratinocytic, adnexal and ectopic tumors), or mesenchymal cell tumors (e.g., vascular, fibrous, muscular, neural, adipose and melanocytic tumors). Vulvar lipomas need to be differentiated from liposarcomas, which are rare but are very similar to lipomas clinically. Here we present clinical images (Figures 1 & 2) of a rare case of large vulvar lipoma in an adolescent girl that was published in an earlier issue of JMS. JMS 2012;15(1):82

[Images shown here, actually belong to a case report by Mauryia, et al, published in an earlier issue of JMS (http://www.jmsskims.org/Contents/71-8.%20MAURYA.pdf) where the images got missed; the slip-up is regretted by the editors.]
Steroid Induced Bilateral Femoral Head Avascular Necrosis in a Patient of Minimal Change Glomerulonephritis: Detection by Radionuclide Bone Scan
Authors: Khan Shoukat Hussain , Rather Tanveer A , Singh Manjit
Published: March 2019

One of the commonest causes of avascular necrosis of bones in patients with renal transplants are glucocorticoids. Early detection and management of this complication is crucial to the progression and prevention of collapse of femoral heads. In the early diagnosis of avascular necrosis radionuclide bone scintigraphy provides an useful information on the aetiology of the painful hip before changes appear on X ray examination. We present a case of proved glomerulonephritis taking glucocorticoids with difficulty in walking and pain around hip joints. A planar whole body and a SPECT Technetium 99-m (Tc99-m) bone scans were done which revealed avascular necrosis of both femoral heads. JMS 2012;15(1):61-64.
The Prevalence of Pseudoexfoliation Syndrome and Pseudoexfoliation Glaucoma in South Kashmir
Authors: Vakil Asif Amin , Sajad Sheikh
Published: March 2019

BACKGROUND: Pseudoexfoliation syndrome (PXS) is the most common identifiable cause of secondary glaucoma with a considerable variability in its prevalence among different ethnicities.

OBJECTIVE: To study the Prevalence of Pseudoexfoliation Glaucoma and PXS in South Kashmir.

METHODS: In this Hospital-based study, all consenting patients, 45 years or older, presenting to out-patient ophthalmology department of a sub-district hospital in South Kashmir from August 2011 to May 2012 were enrolled. All subjects underwent a complete ophthalmological evaluation as per a standard protocol.

RESULTS: The prevalence of PEXS was found to be 7.10 % and PEX glaucoma to be 3.10 %. PXS was bilateral in 84.5% of the cases. There was age-related increase in prevalence of PEX from prevalence of 2.80% in less than 50 years to prevalence of 10.80% in above 70 years. 48.35 % of the case of PEXS had glaucoma.

CONCLUSIONS: PXS and PEX glaucoma is quite common in middle-aged and older subjects of South Kashmir. Early detection of such cases can prevent loss of vision due to glaucoma in affected subjects. JMS 2012;15(1):51-53.
Activation of RAS Genes by Specific Point Mutations in Transitional Cell Carcinoma of Urinary Bladder in Kashmiri Population
Authors: Shah Zafar A , Pandith Arshad A , Rasool Roohi , Afroze Dil , Khan Nighat P , Wani M Saleem , Sidique Mushtaq A
Published: March 2019

Urinary bladder cancer is a common malignancy in the west and ranks 7th most cancer in this region. The primary aim of the study was to evaluate the incidence of specific RAS gene point mutations among a group of Kashmiri patients diagnosed with bladder cancer. We also explored the correlation of clinic-pathological status of the illness with these mutations.The paired tumor and adjacent normal tissue specimens of 65 consecutive patients were examined in Kashmiri population,India. The DNA preparations were evaluated for the occurrence of RAS gene mutations by PCR-SCCP and DNA sequencing.Overall somatic point mutations of all the forms of RAS genes aggregated to 21.5% . In total there were nine mutations in HRAS (three in codon 12, six in codon 61), five in NRAS (two in codon 12 and three in codon 61) and no mutation was found in KRAS gene. Overall RAS genes showed no association with any clinic-pathological parameters but when stratified alone the pattern ofHRAS mutation in this study showed a significant association with smoking in bladder tumors (p <0.05).Activation of RAS gene mutation plays a less frequent role than other genetic events in the development of the most transitional cell tumors of the bladder but contribute equally well to the development of both major tumor groups. JMS 2012;15(1):15-21
Gadolinium Induced Acute Kidney Injury and Nephrogenic Systemic Fibrosis
Authors: Banday Khurshid A , Robbani Irfan , Choh Nasir A , Siraj Farhana , Haque Fayaz Ul , Wani Imtiaz A , Wani Muzafar Masood
Published: March 2019

Use of contrast agents like gadolinium in MR imaging studies has considerably increased. Although safe in patients with normal kidney function, administration of these agents in people with renal dysfunction can result in many clinical problems that the nephrologists should be familiar with. This brief review discusses these iatrogenic problems that can be induced by contrast agents like gadolinium. JMS 2012;15(2):166-69
Interpreting eGFR
Authors: Wani Muzafar Maqsood , Wani Imtiaz A
Published: March 2019

Clinical assessment of kidney function is essential for assessing overall health, interpreting signs and symptoms, selecting the correct dosage for renally excreted drugs, preparing for invasive diagnostic or therapeutic procedures, and detecting/ evaluating/ monitoring acute and chronic kidney diseases. The glomerular filtration rate (GFR) provides a window on renal excretory function....JMS 2012;15(2):191-92.
Radiation Protection in Cardiac Catheterization Laboratory
Authors: Bhat Rehana Kousar
Published: March 2019

Radiation is a part of X ray energy which is an essential pre requisite of imaging. This is an integral part of the cardiac catheterization laboratories. In spite of advances in reducing the doses of radiation in the new generation machines, its effects on the human system cannot be eliminated. The cath lab is a closed atmosphere where the working staff (i.e., cardiologists, cardiac technicians, radiographers, nurses and trainees) is at a potential risk to radiation exposure almost on a ,daily basis. ... JMS 2012;15(2):188-90
Temporal Trends of Peptic Ulcer Disease in Kashmir, India
Authors: Gulzar G M , Zargar Showkat A , Nazir Muzaffar , Javid Gul , Khan Bashir A , Yattoo G N , Shah Altaf H , Sodi Jaswinder S , Khan Mushtaq A
Published: March 2019

BACKGROUND: Since late 1960s, the prevalence of peptic ulcer disease and its complications has been steadily decreasing.

OBJECTIVE: To ascertain the changing trends in the prevalence and complications of peptic ulcer in Kashmir.

METHODS: A cohort of 10474 people aged 15-60 years in district Baramulla of Kashmir was interviewed about symptoms, complications, and surgery related to peptic ulcer. People were enquired about smoking, use of NSAIDs, H2 Receptor antagonists, proton pump inhibitors and endoscopies. All symptomatic and randomly selected group of asymptomatic people underwent esophago-gastro-cluodenoscopy.

RESULTS: In symptomatic group, 286 (41.45%) people hod peptic ulcer and in asymptomatic group 24 (5.35%) had peptic ulcer. There were 71 already diagnosed cases of peptic ulcer; totaling 381. Thirty three people had surgery for peptic ulcer. The point prevalence of peptic ulcer was 3.54% and lifetime prevalence 8.96%. The highest prevalence was in 4th decade. Bleeding was seen in 23.63%, gastric outlet obstruction 4.20%, ulcer perforation 0.52%. 9.39% of peptic ulcer patients had undergone surgery. When compared to previous study in 1985 in Kashmir, there was decrease in point prevalence of 25%, in life-time prevalence of 20.14%, Gastric outlet obstruction by 51.7%, ulcer perforation by 87%, surgery rate by 60% and bleeding by a marginal 2%.

CONCLUSION: Prevalence of peptic ulcerand its complications (except bleeding) are showing downward trend in Kashmir over the last 20 years. JMS 2012;15(2):136-40
Emergency Obstetric Hysterectomy 10-Year Review at SKIIMS Srinagar, Kashmir
Authors: Thaker Rita , Khurshid Rabia , Ahmad Abida
Published: March 2019

BACKGROUND: Obstetric hysterectomy is removal of uterus during pregnancy, labour and puerpeurium. It is life saving procedure done to save the mother's life when she is having severe post-partum haemorrhage (PPH), rupture uterus or morbid adherent placenta and trauma.

OBJECTIVES: To review the incidence, maternal profile, indication of emergency obstetric hysterectomy, the maternal morbidity and mortality and perinatal mortality following this procedure.

METHODS: A retrospective analysis of emergency obstetric hysterectomy performed over a period of 10 years from 1997 to 2006 in the Obstetric and Gynaecology Department of Sher-i-Kashmir Institute of Medical Sciences (SKIMS), Srinagar was done.

RESULTS: During this period 22045 deliveries were conducted and amongst them 33 emergency hysterectomies were performed giving an incidence of 0.14%. It was most common in the age group of 30-35 years and in multiparous women (84.84%). The most common indication for obstetric hysterectomy was PPH (60.6%) followed by rupture uterus(24.24%). The maternal mortality was 12.1% and perinatal mortalitywas 20.60%.

CONCLUSION: Emergency obstetric hysterectomy is a life saving procedure in cases of intractable PPH and rupture uterus. Augmentation of healthcare facilities, the identification of high risk cases, early referral, timely performance of surgery and resort to procedures like internal artery ligation can reduce the incidence of obstetric hysterectomy. JMS 2012;15(2):149-52
Effect of Examination Stress On Haematological And Haemodynamic Parameters In Students
Authors: Sharma Neena , Gupta Vijay
Published: March 2019

BACKGROUND: Stress can reduce the efficiency of healthy individuals as has been shown in most of the physiological studies.

OBJECTIVES: To assess the effect of examination stress on haematological and haemodynamic parameters in higher secondary school students.

METHODS: The present study was carried out at Government Higher Secondary School, Jammu. Fifty healthy students between the age group of 16 to 19 years were selected for the study. Haemodynamic parameters recorded were pulse and blood pressure. Haematological parameters estimated were RBC, WBC, neutrophil, eosinophil, platelet, monocyte, lymphocyte and basophil count. The first sample of blood was collected under aseptic conditions between 8 a.m. to 8.30 a.m., three months prior to the final academic examination and the second sample was collected from the same subjects on the day of practical and oral part of examination.

RESULTS: Pre-examination CBC showed WBC, Neutrophil, Eosinophil and monocyte of 8221.9 ± 416.69, 5140.7 ± 471.34, 185.46 ± 58.18, 273784 ± 36034.23, 244.7 ± 82.90, 2657.78 ± 212.92 and 21.1 ± 5.14 per mm3 respectively. Whileas during examination counts were 8191.86 ± 417.45, 5229.48 ± 478.07, 161.46 ± 68.05, 285567.26 ± 33641.45, 228.32 ± 90.85, 2562.9 ± 220.00 and 13.78 ± 5.58 per mm3 respectively. Compared with pre-examination results, the blood samples taken during exams showed a significant decrease in eosinophil, basophil, lymphocyte and monocyte count. An increase in platelet and neutrophil count was also observed. No significant changes were observed in RBC count.

CONCLUSION: It is concluded that academic examinations in secondary school are stressful enough to produce changes in blood cell parameters. JMS 2012;15(2):153-56
AMBIGUITY OF GENDER IDENTITY IN SHAKESPEARE’S TWELFTH NIGHT
Authors: Daulay Resneri
Published: March 2019

Gender is often identified with sex and gender, even though they have different concepts. It is associated with men and women who are socially and culturally formed. Understanding about masculine and feminine discourses are formed to identify gender identity which men must behave masculine and women must behave feminine. Taking William Shakespeare’s Twelfth Night play as its object, this study aims to see how gender identity displayed and describe the ambiguity of gender identity that is acted by character in the play. The data which were taken from the play were analyzed by relating them to the secondary data taken from references discussing the gender identity depicted in the play. The study concluded that sex, gender and sexual orientation are something that is fluid, not natural and changing and constructed by social conditions. Changes of the identity can be said changing with the form performativity shown, namely by disguise.
EFEKTIVITAS DIRECT METHOD DALAM PENINGKATAN KEMAMPUAN BERBICARA BAHASA INGGRIS MAHASISWA
Authors: Hulu Fasaaro , Ambalegin Ambalegin
Published: March 2019

The purpose of this research is to find out how the ability of students to speak English before and after the experiment of the direct method and whether the students’ speaking ability improve by approaching the direct method directly through mastering grammar, vocabulary and pronunciation by, (Villalobos, 2010). And the experimental research model used is one group of pre-test and post-test experimental design (Cohen, Manion & Morrison, 2007), experimental (O1 X O2) Methods of data collection are consist of observation, interview and recording. Data analysis through grouping and comparison by category; unsatisfied category (US), fair category (F), good category (G), very good category (V) and excellent category (E). The results of the research base on the pre-test were included in the US category = 10 students, F = 26 students, G = 15 students, VG = 2 students and E = 0, no result found and post-test student learning outcomes US = 0, no result found, F = 7 students, G = 22 students, VG = 20 students and E = 4 students. Then the positive effect of using the direct method results is the students' ability in speaking English increased higher, refers to the pre-test results the student ability category found in US categories and no found the same category in the post-test results, the students ability category no result found in category E and the US category.
THE SIMPLE PAST TENSE UNDERSTANDING IN SMA MAITREYAWIRA BATAM
Authors: Polim Hidayat , Silitonga Frangky , Zakrimal Mamal
Published: March 2019

Penelitian ini membahas tentang pengaruh pemahaman aspek tata bahasa (grammar) terhadap keterampilan menulis (writing skills) oleh Siswa Kelas 11 SMA Maitreyawira Batam Tahun Akademik 2012/2013. Peneliti membatasi permasalahan penelitian pada pemahaman simple past tense meliputi kata kerja beraturan (regular verb) dan tidak beraturan (irregular verb) terhadap keterampilan menulis teks narasi (narrative writing skills).Tujuan penelitian ini adalah untuk menemukan pengaruh pemahaman simple past tense terhadap keterampilan menulis dalam teks narasi. Peneliti menggunakan data kuantitatif dalam desain penelitian cross-sectional (satu waktu). Instrumen utama untuk memperoleh data ialah kuisioner tata bahasa dan keterampilan menulis yang diproses melalui aplikasi SPSS®. Hasil penelitian menunjukkan koefisien F-Hitung (124.312) bernilai lebih besar dari F-Tabel (4.043). Hal ini membuktikan bahwa terdapat pengaruh pemahaman simple past tense terhadap keterampilan dalam menulis teks narasi. Lebih lanjut, hasil pengolahan data menunjukkan nilai R-square yaitu 84.1%. Nilai ini menggambarkan bahwa pengaruh pemahaman simple past tense terhadap keterampilan menulis teks narasi adalah dominan.
CHILD LITERATURE GENRE FORMULATION IN WALT DISNEY ANIMATION MOVIE
Authors: Linda Lisma , Arianto Tomi
Published: March 2019

This study examined the formulation of the child literature genre with data sources in the form of Walt Disney Animation Movie sellection. Tangled (2010), Brave (2012) and Frozen (2013) were the 3 films chosen as data in this paper. The approach used by researchers in this study is a popular literary approach to the genre of children's literature based on Cawelty theory and other supporting theories. Child literature was generally a work created for children in which the language and story were simpler and easier to understand with the aim of entertaining and educating children at their age; help children in developing imagination, able to understand the meaning of life, and able to distinguish human characters. But more than it, children literature also displayed something that was unrealistic but could be accepted by the child as something that was reasonable and acceptance in a film. It was due to the intelligence of the producers in determining the direction of production so that the people really feel satisfied. In this study, researchers found that although plot in popular works was presented with various kinds of innovations and creativity of producers, there were formulas that became conventions so that children's literature could be accepted as reasonableness so as to obscure the boundaries of reality and reality in literary works.
STANDARISASI PELAYANAN KEDOKTERAN SEBAGAI UPAYA PREVENTIF MALPRAKTEK KEDOKTERAN DALAM PERSPEKTIF HUKUM
Authors: Setyawan Alfis
Published: March 2019

Undang-Undang No. 36 Tahun 2009 Tentang Kesehatan dan Undang-Undang No. 29 Tahun 2004 tentangPraktik Kedokteran, tidak cukup mengatur tentang standar pelayanan kedokteran. Standarisasi PelayananKedokteran sebagai standar minimum yang berlaku secara nasional sangatlah diperlukan. Standarisasi PelayananKedokteran harus berbentuk aturan hukum sehingganya mengikat dan memiliki daya paksa secara hukum,sekaligus akan dapat menjadi upaya preventif terjadinya malpraktek kedokteran, karena dokter mempunyaikewajiban hukum berpraktek berdasarkan standarisasi pelayanan kedokteran. Jenis penelitian yuridis normatifyaitu jenis penelitian yang lebih menekankan kepada penelitian kepustakaan, dimana bahan-bahan yang digunakanakan didapatkan dari undang-undang, peraturan pemerintahan, literatur-literatur, putusan-putusan pengadilan yangberhubungan dengan bahan penulisan, selain dari data yang diperoleh dari kepustakaan, akan turut disertakan data dari hasilpenelitian di masyarakat yang dilakukan dalam bentuk wawancara, dari penelitian ini diharapkan diperoleh hasilpenelitian yang bersifat deskriptif kualitatif.
ANALISA YURIDIS DAMPAK LAYANAN PEMERINTAHAN TERHADAP KONSISTENSI PELAKSANAAN PERATURAN PEMERINTAH NOMOR 41 TAHUN 2007 TENTANG ORGANISASI PERANGKAT DAERAH DI LINGGA
Authors: Pery Rehendra Sucipta Wishnu Kurniawan Broto Widya Hartanto
Published: March 2019

Otonomi Daerah di Indonesia lahir sejak Orde Baru telah mencurah dan memanggil untukadanya perubahan aturan. Didasari semangat dengan otonomi regional itu berada di dalamdiamanatkan di Konstitusi Indonesia. Pemerintah regional mempunyai otoritas untukmengatur dan mengembangkan potensial dari masing-masing daerah – untuk menjangkauGolongan masyarakat yang ada di Indonesia yang berada dimasing-masing daerah. Otonomidaerah sebagai perwujudan semangat dari komunitas yang mempunyai upaya memakmurkandan tidak dirusakkan oleh satu kemerosotan pada taraf dari penyajian yang menjadi daya tarikdari masyarakat oleh administrasi regional. Kabupaten Lingga adalah suatu format dari upayapembangunan dan peningkat kesejahteraan dari komunitas lokal melalui “ pemekaran ”.Kabupaten Lingga pada awalnya merupakan satu area kediaman Pulau Riau, yang dimatahukum mendirikan Undang Undang Nomor 31 Tahun 2003 tentang Penetapan dari KabupatenLingga di Pulau Propinsi Riau. Formasi dari area merupakan aparatur pada pertolongan dariPeraturan Pemerintah Nomor 41 Tahun 2007 tentang Organisasi Perangkat Daerah. Peraturanitu diharapkan agar mampu memberikan bantuan administrasi oleh tempat tinggal yangdibutuhkan untuk mempercepat pembangunan dari pemerintah dan area pembangunanregional. Berlandaskan fakta di atas, berfungsi untuk mengidentifikasi konsistensi dariPemerintah daerah untuk menerapkan pemerintah peraturan oleh pemda yang manamenghubungkan dengan taraf dari jabatan dalam pemerintahan oleh pemda. Di dalampenelitian digunakan metode Yuridis Empiris/Sosiologis, sehingga dibutuhkan pengumpulanData Primer dan Data Sekunder untuk menunjang mendapatkan data penelitian.
TINJAUAN YURIDIS PENGGUNAAN SURAT KUASA JUAL TERHADAP PENJUALAN OBJEK HAK TANGGUNGAN DALAM PENYELESAIAN KREDIT MACET
Authors: Setyawan1 Alfis
Published: March 2019

Penggunaan surat kuasa jual yang diberikan dari debitur kepada kreditur untuk penjualan objekhipotek , hal ini tidak sesuai dengan ketetapan dari Undang-Undang Nomor 4 Tahun 1996 tentangHipotek. Apabila penulis merujuk kepada Undang-Undang Nomor 4 Tahun 1996 Pasal 15 ayat (1)berbunyi: Surat Kuasa Membebankan Hak Tanggungan wajib dibuat dengan akta notaris atau aktaPPAT dan memenuhi persyaratan sebagai berikut: a. tidak memuat kuasa untuk melakukan perbuatanhukum lain dari pada membebankan Hak Tanggungan; b. tidak memuat kuasa substitusi; c.mencantumkan secara jelas obyek Hak Tanggungan, jumlah utangdan nama serta identitas kreditornya,nama dan identitas debitor apabila debitor bukan pemberi Hak Tanggungan. Pemberi kredit dan bebanhipotik objek pembeli tidak memperoleh perlindungan sah, persetujuan membeli tidak menjumpaikebutuhan dari kebutuhan kebenaran kesepakatan seperti ditetapkan di Artikel 1320 Kitab Undang-Undang Hukum Perdata. Seharusnya dalam praktek pengikatan kredit oleh bank dengan nasabahdebitur, bank tidak lagi mempersiapkan surat kuasa jual, karena telah ada lembaga Hak Tanggungan,akan tetapi surat kuasa jual tetap ada disetiap pengikatan kredit, dengan alasan bank sangatmembutuhkan surat kuasa jual tersebut.