bluuebunny/crossref_metadata_2025 huggingface dataset:
SELECTION OF KRI HARDEPO PRIORITIES USING THE FUZZY MCDM METHODS
Authors: Suharjo Bambang , Astika I Made Jiwa , Setiadji Agus , Purnomo Joko
Published: June 2021

The Unitary State of the Republic of Indonesia (NKRI) is the largest archipelagic country in the world, two thirds of which are is seas, requiring the presence of the KRI in maintaining its sovereignty. Continuity of attendance in carrying out its main duties, the Navy depends on the readiness of the KRI (Indonesian Republic Warship). The Navy's strength development program is bound to the MEF (Minimum Essencial Force), the basic development policy of TNI AL towards minimum principal strength. The main target of MEF is a limited amount but can operate optimally. So we need a program to overcome these problems by maximizing the defense system maintenance program called SPT (Planned Maintenance System). To maximize the planned maintenance system that supports the MEF program requires prioritization in selecting the KRI that will carry out Depo level improvement (Hardepo). The selection of KRI determination that will implement Hardepo has several factors that need to be considered so that it is categorized in a multi-criteria decision environment, then the proposed model becomes an appropriate methodology to accommodate the criteria with the Fuzzy MCDM (Multi Criteria Decision Maker) approach. In this study there are six alternative KRI namely KRI Keris-624, KRI Rimau Island-726, KRI Kerapu-812, KRI Badau-841, KRI Jakarta Bay-541 and KRI Arun-903 where the first priorities obtained are KRI Rimau Island- 726 with a weight value of 0.1778. After the priority is obtained then schedule the duration and availability of Docking at PT PAL Indonesia where all KRI can carry out docking every TW (Tri Wulan) except KRI Arun-903 which cannot carry out docking on TW I 2019.

Keyword : MEF, SPT, Hardepo, Fuzzy MCDM, Docking Scheduling.
DESIGN AND DEVELOPMENT OF TARGET DESIGN WITH BASIC IMAGE PROCESSING ON OTHTT SYSTEM PROTOTYPE (OVER THE HORIZON TARGET TRACKING)
Authors: Purwanto Sigit , Astika I Made Jiwa , Sahiri Erpan , K. Novarendra Ekaris
Published: June 2021

Based on Law No. 34 of 2004, the Indonesian Navy has the main task of maintaining state sovereignty in territorial waters. Various attempts have been made to strengthen the Navy so that it can carry out these basic tasks, one of which is to add defense equipment, namely ships that have the ability to shoot missiles. This missile possession is important because in addition to being a deterence effect, modern naval battles are dominated by long-distance warfare or Over The Horizon. In missile fire, accurate intelligence is needed to determine the position of the target. So far what has been done is sending submarines or reconnaissance aircraft. This is very inefficient because in addition to requiring large resources, the risk of losing personnel and material is also very large. Based on this, the researcher makes a prototype of a vehicle that can identify and determine the position of a target. The vehicle in the form of a UAV is equipped with GPS, altimeter, compass and camera. This equipment will provide data in the form of UAV latitude and longitude position, UAV height, UAV heading and UAV camera angle. From the four data above, the ground station on themissile carrier gets the target's latitude and longitude data based on image processing. While the method used is color thresholding which can distinguish a target based on its color. After several trials, the UAV has been able to carry out the target positioning up to a height of 15.4 meters. At these heights the target latitude can be determined with a system accuracy of 3.3 meters. To be used as a reference for missile firing, it is necessary to increase the capability of the equipment specifications to reach the desired distance.

Keywords: Target, Latitude, Longitude, Image Processing.
QUADCOPTER FLIGHT CONTROLLER DESIGN ON THE OTHTT SYSTEM PROTOTYPE (OVER THE HORIZON TARGET TRACKING)
Authors: Sahiri Erpan , Supartono Supartono , Purwanto Sigit , Senggono Rangga Paksi
Published: June 2021

The development of drone technology at this time is very rapid with a variety of functions and uses, including use in the military sphere. In this study, researchers made a prototype of a drone that can identify the target while determining the latitude and longitude of the target. This research was carried out because the Navy had defense equipment, a ship that had the ability to shoot missiles. This missile possession is important because in addition to being a deterence effect, modern naval battles are dominated by long-distance warfare or Over The Horizon. In missile fire, accurate intelligence is needed to determine the position of the target. So far what has been done is sending submarines or reconnaissance aircraft. This is very inefficient because in addition to requiring large resources, the risk of losing personnel and material is also very large. To realize this, researchers create a system that can overcome existing limitations. The focus of research conducted by researchers at this time is to create a flight controller on the drone. This system uses the Arduino Mega 2560 PRO Embed as a flight controller that is connected to other parts such as batteries, brushless motors, ESC (Electronic Speed Control) and propeller so that it can move the drone according to operating needs. At the time of testing, vertical flight test, horizontal flight test, pitch and roll control test and altitude control test were carried out. Meanwhile, to get stability when flying, then you need the right PID settings on the flight controller. Based on the test results obtained Kp = 7.5, Ki = 0.045 and Kd = 24, so that the drone can fly stably. From the test results it can also be concluded that the drone has been able to carry out its basic functions to fly, approach the target and return to the ground station after carrying out the mission.

Keywords: Drone, Control, Stability.
THE DEVELOPMENT STRATEGY OF FASHARKAN LANTAMAL IX XYZ FROM CLASS C FASHARKAN TYPE TO FASHARKAN CLASS A KOARMADA III WITH DELPHI, TOWS AND ISM APPROACH
Authors: Antariksa R Fajar , Mulyono Udisubakti Cipto , Sutrisno Sutrisno , Nugroho Anton
Published: June 2021

The formation of Koarmada III resulted in a shift and an increase in the number of KRIs in its working area, so that it had to be balanced with the ability of maintenance and repair facilities (fasharkan). Fasharkan XYZ is a fasharkan with class C status so it needs to be upgraded to class A to support KRI improvements. The purpose of this study is to determine an alternative strategy for the development of Fasharkan XYZ with the Delphi approach, TOWS analysis and Interpretative Structural Modeling (ISM). Delphi technique to determine criteria from key factors, TOWS analysis to formulate alternative strategies developed, namely the SO strategy which consists of 7 (seven) strategic steps, the ST strategy consists of 5 (five) strategic steps, the WO strategy consists of 9 (nine) steps strategy and strategy WT consists of 4 (four) strategy steps. From the weighting of the EFE and EFI matrices, the WO strategy is selected. With ISM obtained 5 (five) levels of hierarchical structure from the classification of elements in the WO strategy, namely strategy (WO) 6 at level V. Then sub strategy (WO) 4 is at level IV. At level III it consists of 4 (four) sub strategies, namely (WO) 2; (WO) 3; (WO) 7; (WO) 9. At level II, there are sub strategies (WO) 1 and (WO) 8. At level I sub strategy (WO) 5.

 

Keywords: Fasharkan XYZ, development strategy, Delphi, TOWS, ISM
ANALYSIS OF SELECTION OF ARSENAL WAREHOUSE LOCATIONS TO SUPPORT KRI OPERATIONS IN THE KOARMADA II AREA ANALYSIS OF ARSENAL STORAGE LOCATION SELECTION TO SUPPORT THE OPERATIONS OF INDONESIAN NAVY WARSHIP (KRI) IN THE 2ND NAVAL FLEET TERRITORY
Authors: Arif Muhammad , Wirjodirdjo Budisantoso , Astika I Made Jiwa , Rivai Ayip
Published: June 2021

Uncertain global dynamics is one of the main factors influencing the successful achievement of goals and interests in the field of national defense. This reflects how important it is for stakeholders in the defense sector, to understand the dynamics of the strategic environment which presents a series of opportunities, obstacles to threats to the existence of the Republic of Indonesia, which in the end will obtain strategic steps to overcome them. The Indonesian Navy is strongly influenced by several components, such as the strength structure, the level of readiness, the level of sophistication or technological sophistication and the operational durability of its Alutsista. The synergy of the four components of strength is very much determined by the country's ability to build and maintain the ability of the defense equipment. Currently, Arsenal does not have a regional warehouse and there is only one central warehouse in Surabaya. The wide working area of ​​Koarmada II, of course, requires a large number of KRI elements. Arsenal really need regional warehouses in order to be able to increase KRI's operational support in the Koarmada II working area. This is necessary considering that the operation at sea requires a very high presence of KRI. So that if there is a need for ammunition supplies, the process of supplying them can be carried out quickly. This research uses the Fuzzy Multi Criteria Decision Making (FMCDM) method. Overall, the results obtained from this study, it can be concluded that the best location from the alternative location is in the Koarmada II area, namely Lantamal Manado with the highest value of 0.

 

Keywords: Determination of Location, Fuzzy Multi Criteria Decision Making (FMCDM).
ANALYSIS OF ORGANIZATIONAL PERFORMANCE THROUGH TRANSFORMATIONAL LEADERSHIP AND ORGANIZATIONAL CULTURE
Authors: Nugroho Sukmo Hadi , Pudiastuti Elisabeth Tanti
Published: June 2021

Organizational performance plays an important role as a measure of the success of an organization or company. To achieve this success, organizational performance is influenced by many factors, including transformational leadership and organizational culture itself. The purpose of this study was to determine the effect of these two factors on organizational performance. The population of this research is all employees in a company of 94 people with the sampling technique using the total sample. Based on data processing with the SPSS Version 19.00 statistical program, it proves that partial hypothesis testing for transformational leadership and organizational culture variables is proven to affect organizational performance, this explains that the better the leadership and organizational culture are implemented, the more it can improve organizational performance. independent of organizational performance can be seen in the value of R Square of 33.1% and the rest is influenced by other variables not examined in this study. This shows that leadership and organizational culture have an important role for success in motivating employee work, which ultimately has an impact on organizational performance.

 

Keywords: Organizational Performance, Transformational Leadership, Organizational
APPLICATION OF NETWORK ANALYSIS CRASHING METHOD IN EVALUATING THE SCHEDULE OF NAVAL BASE FACILITY DEVELOPMENT PROJECT
Authors: Novianto Raditya , Suparno Suparno , Sutrisno Sutrisno , Rahman Abdul
Published: June 2021

A project of base facility is a kind of routine developing in Indonesian Naval. In this developmentt is necessary to develop methods in measuring performance and evaluating project time through a more accurate critical path feature. The research problem statement is how to evaluate the project schedule related to the time and cost of the Indonesian Navy's facility construction project by conducting a case study as a study for project scheduling at a later stage. The research objective is to identify the critical path of the project through network analysis, determine the factors that cause delays and how to overcome them, and calculate the time effectiveness and cost-efficiency of the project based on the calculation of scheduling acceleration. In this study, project performance measurement was carried out using the Earned Value Method (EVM) and network analysis using the Precedence Diagram Method (PDM). The solution to overcome delays with the crashing project method. The results of the discussion identified 15 critical path activities. The factor causing the delay is the delay in activities on the critical path due to the low level of productivity of the workforce group. The crashing method through additional 2 hours/day overtime can solve the problem of delays so that project implementation can be accelerated from the implementation of 256 working days to 226 working days (11.72% effectiveness) with the initial project cost of Rp. 74,316,727,585.00 reduced to Rp. 72,152,162,704.00 (2.91% efficiency). It will be measurable and reasonable in responsibility when it was suitable with the target.

 

Keywords : Network Analysis, Naval Base, and Project Development.
THE IMPLEMENTATION OF MULTI CRITERIA DECISION MAKING IN HANDLING CRIMINAL ACTIONS OF MARINE VIOLATION IN ALKI II AREA
Authors: Cahyadi Petrus Indra , Wirjodirdjo Budisantoso , Suharyo Okol Sri , Bastari Avando
Published: June 2021

One of the Main Duties of the Indonesian Navy (TNI AL) is to enforce the law and maintain security in the marine area of ​​national jurisdiction in accordance with the provisions of national law and international law which are then manifested in Marine Security Operations (Opskamla) The Indonesian Navy Base is one of the Opskamla components. which functions to project the strength of the Indonesian Navy to the area of ​​operation and provide ongoing administrative and logistical support to ensure the operational continuity of the elements of the Navy, carry out capacity building and conduct limited maritime security operations in the context of enforcing sovereignty and law at sea and carrying out coordination, regulation base defense. In the alternative selection of the Indonesian Navy Base in the Koarmada II work area, this study uses a combination of AHP and Topsis methods, the hierarchical structure modeling in the AHP method is influenced by the criteria and sub criteria, while for Topsis it is used as a ranking of the best alternative TNI AL bases as the initial position for Operation activities Marine Security The results obtained from the alternative weighting of the Indonesian Navy bases in sequence are the Banjarmasin Navy Base with a weight value of 0.959 more priority to be selected as a base for handling criminal offenses at sea, then the Nunukan Navy Base weight value 0.643 Palu weight value 0.589, Kendari weight value 0.333 Sangata has a weight value of 0.301, Kota Baru has a weight value of 0.265 and finally Toli-Toli has a weight value of 0.237.

 

Keywords : Opskamla, Naval Base, Selection of bases, Indonesian Archipelago Sea Lanes (ALKI II), Analytical Hierarchy Process (AHP), Topsis.
STRATEGY FOR THE DEVELOPMENT OF PROFESSIONAL ABILITIES FOR AAL OF ENGINEERING CORPS USING IPA, SWOT AND ISM METHODS
Authors: Budianto Juni Hari , Suparno Suparno , Suharyo Okol Sri , Nugroho Anton
Published: June 2021

Mechanical engineering corps of Indonesian Naval Cadets Department in charge of producing professional Engineering Corps Officers with knowledge and skills in the field of Indonesian Navy logistics management and warship engine engineering. There were still some of the obstacles that exist in the Study Program will certainly have an impact on the performance displayed by the graduates in their duties. This study used the IPA (Importance Performance Analysis) method to see the performance of graduates, the SWOT (Strength, Weakness, Opportunities and Threat) method in formulating strategies and the ISM (Interpretative Structural Modeling) approach in determining priorities and strategy mapping with the aim of producing a roadmap of chosen strategy. The results showed that the mapping of the position of the performance attributes of graduates in the Quadrant Analysis and the level of satisfaction at the level was quite satisfied with a satisfaction score of 63.6%. By using ISM method approach, five levels of hierarchical structure are generated to be used as a reference in determining the roadmap for the professional development strategy of the engineering corps of Indonesian Naval Cadets.

 

Keywords: Engineering corps of Indonesian Naval Cadets Department, IPA, SWOT, and ISM
Transient-Based Leak Detection and Monitoring of Water Pipes Using Complementary Ensemble Empirical Mode Decomposition (CEEMD) Method
Authors: Muhammad Aminuddin PiRemli  , Mohd Fairusham Ghazali  , W. H. Azmi  , M. Y. Hanafi
Published: June 2021

Transient signal occurs when there is sudden change of pressure inside the pipeline especially due to pressure surge or opening and closing valve. Decomposition method applied in this study to analyze the transient signal and remove noise that contaminate the signal. In this paper, an adaptive decomposition algorithm that is Complementary Ensemble Empirical Mode Decomposition (CEEMD) proposed in order to overcome the problem occur in Hilbert-Huang Transform (HHT) method. This method takes over the Empirical Mode Decomposition (EMD) method that purpose as pre-processing method in HHT. This improvement made to overcome mode mixing and reconstruction error that lies in EMD method. CEEMD method used to extract the IMF’s component of a contaminated signal to remove undesirable noise signal. Instantaneous analysis using Hilbert Transform (HT) apply for selected IMF to locate the feature’s position along the pipeline. The result prove that proposed decomposition method show success with the percentage of error between measured and analysed distance only below that 4% for all features extracted.
Void Fraction Features Using Image Processing on a Clear Capillary Pipe with a 45° Slope to The Horizontal Line of Two-Phase Air-Liquid Flow with High Viscosity
Authors: Sukamta  , Noviyanto  , Sudarja  , Sri Sundari
Published: June 2021

In supercomputer equipment, X-rays, satellite cryogenic cooling systems, and others, the two-phase flow phenomenon in mini channels are also used. A significant issue for them is the void fraction function induced by superficial velocity, fluid viscosity, and slope. This analysis's objective was to determine the characteristics of void fraction values on the bubble, plug, slug-annular, annular, churn in horizontal capillary pipes. The research was carried out on a mini-pipe with a diameter of 1.6 mm and a length of 130 mm, mounted at a horizontal angle of 45 degrees. A mixture of 40, 50, 60, and 70 percent air-pure water and glycerin concentrations is the fluid used. The flow pattern video was shot using a Nikon J4 camera with a speed of 1200 fps, gas speed (JG) at 2.5x10-2-66.3 m/s intervals, and fluid velocity (JL) at 3.3x10-2 - 4.935 m/s intervals. A digital image processing technique is used to calculate the value of a void fraction with the MATLAB R2014a and Microsoft Excel application software. This paper's new finding is that the value of the void fraction for bubbly flow indicates conditions that are not so stable and have a low value. The void fraction for plug flow tends to be close to 1 over a certain period; this is induced by the air cavity that almost fills the vessel, as shown by the effects of the image processing and the graphs the time series of voids. The void fraction has a value that fluctuates to a moderate value in the churn flow pattern.
Innovative Hydrocarbon Sensor for Real Drive Emission Testing: Optimization of the Gas Inlet
Authors: Nurain Rozy  , Norazlianie Sazali  , Saiful Anwar Che Ghani  , Maurice Kettner
Published: June 2021

Hydrocarbon emission is very bad for human health. Many efforts were made to reduce the pollution of hydrocarbon sensor especially in vehicle. For that, the development of hydrocarbon sensor for emission testing on the road is one of the great approaches to compare the results from laboratory test and in real driving test. This work focused on numerical investigation and optimization of hydrocarbon sensor prototype that is using glow plug as the heat source. Heat is important in facilitating ionization process for ion current measurement. Therefore, numerical optimization of inlet design and simulation using AVL Fire was done and reported in the following work to obtain the maximized performance of hydrocarbon sensor. We found that the optimum conditions for heating gas inside the chamber is when the inlet create a swirl flow and at low velocity.
Development of An Air-Stage Downdraft Gasifier and Performance Evaluation on Feedstock of Rice Husk
Authors: Anak Agung Putu Susastriawan  , Yuli Purwanto  , Purnomo  , Ahmad Warisman
Published: June 2021

Due to depletion of conventional fuel and increasing global warming, biomass wastes have been explored and investigated by many researchers worldwide. A biomass gasification power plant is a promising conversion technology for energy sustainability. From many existing gasifiers have been developed, mostly they have high technology, large capacity, and very costly, thus unsuitable for remote area di Indonesia. The present work aims to build a simple and low cost double air-stage downdraft gasifier for a small-scale biomass power plant system. The gasifier is tested on rice husk at equivalence ratio of 0.20, 0.30, and 0.40. The parameters evaluated are axial temperature, fuel consumption rate, heating rate, thermal efficiency, and tar content. The results show that the highest gasification temperature, fuel consumption rate, heating rate, and thermal efficiency are occurs at equivalence ratio of 0.4. The values are 904.5°C, 4.14 kg/h, 25.38 kJ/h, and 63.18%, respectively. The significant findings is that the gasifier generates producer gas with low tar content, i.e. 23.9 mg/m3 at equivalence ratio of 0.4 and the producer gas is successfully used to run the 3 kW generator set. For sustainability operation of the power plant, it is important to test the gasifier on various biomass waste feedstocks.
Experimental Modal Analysis and Structural Health Monitoring of the Double Curvature Deriner Arch Dam
Authors: ALTUNIŞIK Ahmet , KALKAN Ebru , OKUR Fatih , GÜNAYDIN Murat , GENÇ Ali Fuat
Published: June 2021

Arch dams have delicate sections thanks to their curvature. The fact that these dams are large, costly and construction takes many years increases the importance of the structure. Mistakes and / or accidents that may occur during the construction of such structures may occur major loss of life and property. Considering the volumes, masses and slenderness of arch dams, they can be significantly affected by dynamic forces such as changing water pressure, temperature, wind and earthquakes. The level of these effects and to what extent they affect the dam can be determined by the analysis to be made to finite element model created by computer. Since Finite Element Analysis is based on certain assumptions, the results obtained should be compared and / or verified with the results obtained by experimental methods. One of the most suitable methods preferred in many engineering structures is the experimental modal analysis method. Within the scope of the study, experimental vibration tests were carried out in order to evaluate and determine the structural behavior of the double curvature Deriner Arch Dam, which has a body height of 249m and a crest length of 720m. Experimental measurements were carried out with accelerometers placed in appropriate places in order to obtain the mode shapes of the dam. The dynamic characteristics of the dam were determined using OMA software. The first seven natural frequencies of the Deriner arch dam were obtained in the range 1.60-4.10Hz. As a result of the negotiations with the DSI 26th Regional Directorate, the acceleration data obtained from the existing accelerometer system of the dam was instantly taken and a continuous monitoring process was initiated. This data was transferred to the web-based monitoring site and a structural condition monitoring platform was created.
An Image Segmentation Method for Wound Healing Assay Images
Authors: ERDEM Yusuf Sait , YALÇIN ÖZUYSAL Özden , PESEN OKVUR Devrim , TÖREYİN Behçet , ÜNAY Devrim
Published: June 2021

Wound healing assays are important for molecular biologists to understand the

mechanisms of cell migration. For the analysis of wound healing assays, accurate

segmentation of the wound front is a necessity. Manual annotation of the wound front is

inconvenient since it is time-consuming and annotator-dependent. Thus automated, fast,

and robust solutions are required. There are several image processing techniques

proposed to fulfill this need. However, requirement for specification of optimal

parameters, the need for human intervention, and the lack of high accuracy emerge as

the downfalls for most of them. In this study we have proposed a novel method to

overcome these difficulties.
Serum Asprosin Levels in Women with Polycystic Ovary Syndrome in Duhok City, Kurdistan Region of Iraq
Authors: Ameen Mohammed , Sulaiman Dhia , Khalida
Published: June 2021

Asprosin is a novel peptide hormone produced and secreted by white adipose tissues. Asprosin associated with insulin resistance and promotes hepatic glucose production. Previous studies showed that serum asprosin was raised in the general population with polycystic ovary syndrome (PCOS). However, there were studies supporting the opposite. Also, there were studies that showed the highest levels of asprosin was due to insulin resistance, as well as in type 2 diabetes patients. PCOS is one of the metabolic disorders related to insulin resistance. Therefore, the current study aims to evaluate the levels of asprosin in the blood serum of women with PCOS compared to the healthy women who resident in Duhok in the Kurdistan Region of Iraq. A cross-sectional study was conducted from 20th of June, 2020 to 11th of January, 2021 at Obstetrics and Gynecology Hospital and Mazi medical clinics. Serum asprosin level was determined in 75 women with PCOS (18-44 years) and 96 healthy women. SPSS software was utilized for analyzing the study data. The (means ± SD) of demographic parameters (body mass index (BMI) and waist circumference (WC)) in women with PCOS were significantly highest in comparison to healthy women. The biochemical parameters (serum asprosin, fasting blood sugar (FBS), fasting insulin (FI), total cholesterol (TC), and triglyceride (TG)) in women with PCOS also were remarkably higher compared to healthy women with the exception of high-density lipoprotein- cholesterol (HDL-C). The current data show that serum asprosin variance significantly between WC, BMI, FBS, FI, TC, TG and HDL-C. The study confirms that serum asprosin in women with PCOS was higher than in the healthy women. In addition in women with PCOS it was found that serum asprosin was positively correlated with BMI, WC, FBS, FI, HOMA-IR, TC and TG (P<0.05). Except, HDL-C was negatively correlated with serum asprosin (P<0.01).
Investigating and analyzing the most important delay causes in Kurdistan Building Construction Projects
Authors: Neamat Sevar
Published: June 2021

The most controversial trouble that happened in the construction projects is Delay. So, the specified research took part to investigate the basic causes in delaying the Kurdistan Region of Iraq. The study gathered information from the insight of contractors, consultants, and owners. A wide literature review has been discussed. The delay causes are recognized built on the identified literature review. These features are characterized into owner-related, consultant-related, contractor-related, material-related, labour and equipment-related, and external-related groups. Twenty- six experienced persons participated in doing the questionnaire surveys to control the relative importance of every cause. The work discovered that the highest five reasons for postponement in building projects are financial difficulties by contractors, variation in prices, postponement in making and appreciative shop diagrams, lack of labour, and mistakes in soil study. Lastly, the probable approaches of dropping plan postponements are suggested. This work helps as a helpful tool for construction experts and academics to prevent reasons for postponement in constructing schemes in Kurdistan.
Salivary Alpha Amylase Enzyme and Salivary Cortisol Level in Depression after Treatment with Fluoxetine
Authors: Tanra Andi Jayalangkara , Madeali Hawaidah , Sanusi Mayamariska , Syamsuddin Saidah , Lisal Sonny Teddy
Published: June 2021

BACKGROUND: Hypothalamic-pituitary-adrenal axis and its end product cortisol have been extensively investigated in patients with depressive disorders for many years. Recently, salivary alpha-amylase (sAA) had emerged as a new biomarker with non-invasive and more convenience protocol for measuring sympathetic activity which were also associated with depression. Selective Serotonin Reuptake Inhibitor is antidepressant drug extensively used to treat depression.
AIM: The aim of this study was to determine whether decrease of sAA and salivary cortisol levels could be observed in subjects with depression who were treated by fluoxetine.
METHODS: The total subjects were 25 depressed subjects and ten healthy controls. sAA was examined before therapy, and after 2, 4, and 6 weeks of fluoxetine administration using a portable cocorometer. Salivary cortisol was examined before therapy, after 4 and 6 weeks of fluoxetine administration with Elisa method. The therapeutic effect was assessed with Hamilton Depression Rating Scale (HDRS).
RESULTS: sAA and cortisol levels were significantly decreased after fluoxetine administration (p < 0.001), followed by at least 50% reduction of HDRS scores after 6 weeks of fluoxetine administration. Levels of sAA and cortisol were higher in the depression group than in the healthy control.
CONCLUSIONS: Measurement of sAA levels can be used as a potential biomarker of therapeutic response in depressed patients in addition to salivary cortisol.
Introversions
Authors: Beldent Véronique
Published: June 2021

Les expériences d’introversion sont plurielles. Parfois régressives, parfois compensation de l’unilatéralité de l’extraversion et indifférenciées, quelquefois heureuses, elles ne sont aucunement synonymes de repli sur soi ou d’enfermement. Elles conduisent à la mise en place d’un rythme dans l’opposition introversion-extraversion qui seule permet l’émergence d’une fonction créatrice, fantaisie créatrice, fonction transcendante. L’imagination poétique ou créatrice, par ses possibilités de mise en résonance en est une forme singulière.
Bir Başkadir ou la naissance d’un espace intime
Authors: Halbout Reine-Marie
Published: June 2021

La série turque Bir Başkadir nous propose de découvrir une ronde de personnages tous reliés à une jeune femme musulmane pratiquante, Meryem, qui s’engage dans une thérapie. Dès le début de sa rencontre avec Peri, sa thérapeute, s’engage un mouvement de transformation profond pour elle, avec l’émergence d’un espace intime, et pour celles et ceux qui l’entourent.
En Thérapie : une fiction, évidemment, mais tellement vraie
Authors: Martin-Vallas François
Published: June 2021

Une lecture de la position du psychanalyste dans la série télévisée « En Thérapie  ».
Péril en la demeure
Authors: Bruley Françoise
Published: June 2021

À partir de l’approche de la psychanalyste Irène Diamantis de la phobie, l’auteure explore ce qu’il en est du sujet phobique en confinement. La phobie serait, quel que soit l’objet phobogène, du côté de l’effondrement du sujet. Alors que le sujet se construit en se séparant de sa mère, la phobie le ramène à un état fusionnel, incestuel, hors du temps, envahi de suppositions où tout devient possible et qui lui interdit de penser. L’expression « péril en la demeure » témoigne du danger qui guette le sujet phobique s’il ne se met pas en mouvement vers son autonomie. S’inspirant de l’archétype Cronos et de son enfermement dans le Tartare, l’auteure revisite le confinement actuel et l’impact qu’il peut avoir sur certains sujets phobiques.
Ce qui semblait mièvre – mis au rancart Sans intérêt ?
Authors: Guilbault Dominique
Published: June 2021

Déambulation en cette période de confinement, en l’absence cruelle de la présence charnelle des patients, à la lecture de L’Amour peintre. L’imagerie érotique en France au xviii e siècle, de Guillaume Faroult.
Le vocabulaire de la diaconie : quoi de neuf ?
Authors: Grieu Étienne
Published: June 2021

Qu’apporte l’emploi du terme « diaconie » récemment mobilisé en France pour parler des engagements sociaux des chrétiens ? L’auteur montre qu’il permet de lui reconnaître sa valeur théologale. Il renvoie en effet directement à celui qui s’est présenté comme « diakonos », le Christ. Voilà de quoi donc aider les Églises à situer ces engagements non en périphérie de la vie chrétienne, mais en son cœur. L’auteur signale également qu’à l’occasion de « Diaconia 2013 », le terme a été mis en avant conjointement avec celui de fraternité – lui aussi très chargé théologiquement – et avec une manière de décliner « l’option pour les pauvres » en affinité avec les perspectives ouvertes par Joseph Wresinski.
Une approche comparée des langages et des pratiques de la charité en mondes germaniques
Authors: Feix Marc
Published: June 2021

Contrairement aux pays francophones, le concept de charité n’est pas connoté négativement dans les pays germanophones. Le débat entre charité et solidarité en France et en Allemagne, marqué par la sécularisation, n’a pas trouvé la même issue. Depuis la fin de la deuxième guerre mondiale, les évolutions des structures de charité de part et d’autre de la frontière franco-allemande sont marquées progressivement et de manière caricaturale par la professionnalisation d’un côté et le bénévolat de l’autre. Mais en Allemagne apparaissent deux courants : l’un dans la ligne de la doctrine sociale de l’Église et l’autre par le développement de la théologie-caritas ( Caritas-theologie en allemand ou Caritas-Theology en anglais), articulant théorie et pratique et s’appuyant sur des références magistérielles distinctes et complémentaires.
Fratelli tutti  : proposition de lecture théologique d’une encyclique sociale
Authors: Catta Grégoire
Published: June 2021

Encyclique sociale centrée sur la fraternité universelle comme projet de société, Fratelli tutti peut être lue théologiquement comme donnant à approfondir le mystère d’un Dieu Trinité. Le chemin de la fraternité tracé par l’encyclique ouvre des pistes théologiques : la révélation d’un Dieu Père qui répand un amour aux résonances sociales, fonde le dialogue et la rencontre et promeut la dignité humaine ; l’invitation à une vie au goût de l’Évangile à la suite du Christ qui est transformation culturelle et amitié avec les plus pauvres ; l’écoute de l’Esprit qui est ferment d’unité dans la diversité, moteur d’un discernement pour l’action et capacité de rêver et d’espérer.
L’évolution des pratiques funéraires religieuses des Parisiens
Authors: Abadie Isabelle
Published: June 2021

En 2015, un secteur du cimetière de l’hôpital parisien de la Trinité a fait l’objet d’une fouille archéologique en amont de travaux menés boulevard Sébastopol. Plus de 300 individus répartis dans 8 fosses communes ont été découverts. Ces fosses sont attribuées à des périodes chronologiques diverses allant du milieu du xiv e siècle à la fin du xvii e siècle. L’hôpital de la Trinité et son cimetière sont mentionnés et représentés dans les sources textuelles et cartographiques. L’établissement a été fondé au xii e siècle et détruit à la Révolution. Bien que l’étude des squelettes soit en cours, ce site offre d’ores et déjà l’opportunité d’une approche interdisciplinaire où données archéo-anthropologiques, paléopathologiques et archivistiques se complètent. Elles apportent un regard inédit sur les pratiques funéraires religieuses des parisiens en contexte hospitalier urbain médiéval et moderne.
Identifying the role of apolipoprotein A-I in prostate cancer
Authors: Wang Jing , Xu Ling-Fan , Liu Cheng , Huang Tao , Liang Chao-Zhao , Fan Yi-Dong
Published: June 2021

Although localized prostate cancer (PCa) can be cured by prostatectomy and radiotherapy, the development of effective therapeutic approaches for advanced prostate cancer, including castration-resistant PCa (CRPC) and neuroendocrine PCa (NEPC), is lagging far behind. Identifying a novel prognostic and diagnostic biomarker for early diagnosis and intervention is an urgent clinical need. Here, we report that apolipoprotein A-I (ApoA-I), the major component of high-density lipoprotein (HDL), is upregulated in PCa based on both bioinformatics and experimental evidence. The fact that advanced PCa shows strong ApoA-I expression reflects its potential role in driving therapeutic resistance and disease progression by reprogramming the lipid metabolic network of tumor cells. Molecularly, ApoA-I is regulated by MYC, a frequently amplified oncogene in late-stage PCa. Altogether, our findings have revealed a novel indicator to predict prognosis and recurrence, which would benefit patients who are prone to progress to metastasis or even NEPC, which is the lethal subtype of PCa.
Neoadjuvant hormone therapy for patients with high-risk prostate cancer
Authors: Liu Wen , Yao Yu , Liu Xue , Liu Yong , Zhang Gui-Ming
Published: June 2021

This study aimed to identify the pathological outcomes and survival benefits of neoadjuvant hormone therapy (NHT) combined with radical prostatectomy (RP) and radiotherapy (RT) administered to patients with high-risk prostate cancer (HRPCa). We searched PubMed, Embase, and the Cochrane Library for studies comparing NHT plus RP or RT with RP or RT alone, administered to patients with HRPCa. We used a random-effects model to compute risk estimates with 95% confidence intervals (CIs) and quantified heterogeneity using the I2
statistic. Subgroup and sensitivity analyses were performed to identify potential sources of heterogeneity. We selected 16 studies. NHT before RP significantly decreased lymph node involvement (risk ratio [RR] = 0.69, 95% CI: 0.56–0.87) and increased the rates of pathological downstaging (RR = 2.62, 95% CI: 1.22–5.61) and organ-confinement (RR = 2.24, 95% CI: 1.54–3.25), but did not improve overall survival and biochemical progression-free survival (bPFS). The administration of NHT before RT to patients with HRPCa was associated with significant benefits for cancer-specific survival (hazard ratio [HR] = 0.51, 95% CI: 0.39–0.68), disease-free survival (HR = 0.51, 95% CI: 0.44–0.60), and bPFS (HR = 0.54, 95% CI: 0.46–0.64). Short-term NHT combined with RT administered to patients with HRPCa conferred significant improvements. Although the advantage of local control was observed when NHT was administered before RP, there was no significant survival benefit associated with HRPCa. Therefore, short-term NHT combined with RT is recommended for implementation in standard clinical practice but not for patients who undergo RP.
Comparative Evaluation of High-Resolution Ultrasonography and Magnetic Resonance Imaging in Painful Wrist Joint
Authors: Singh Abhishek Kumar , Rastogi Rajul , Neha  , Khare Vaibhav , Pratap Vijai , Huda Najmul
Published: June 2021

Introduction:

Wrist joint is a commonly used joint in day-to-day activities and hence is not only susceptible to various pathologies but is also the cause of significant morbidity in cases of painful wrist. Although magnetic resonance imaging (MRI) is the usual imaging investigation preferred for the evaluation of painful wrist joint, its inherent limitations in form of high cost, limited availability, higher scan time, and lack of comparison with contralateral side have prompted us to design a study comparing the role of high-resolution ultrasonography (HRUS) with MRI in such cases.

Materials and Methods:

Forty patients of painful wrist joint were evaluated with HRUS and MRI following approval of IEC and after informed consent. The two imaging modalities were compared not only in the detection of various findings related to painful wrist joint as joint effusion, synovitis, synovial hypertrophy, tenosynovitis, rice bodies, bone erosions, etc., but also in diagnosing the final group of disease. Appropriate statistical tests were then used to analyze the results.

Results:

Our study revealed that HRUS is similar to MRI in the detection of joint effusion, synovitis, synovial hypertrophy, tenosynovitis, rice bodies, etc., but is very poor in the detection of bony pathologies, especially marrow edema or chronic fractures. In our study, HRUS was equivalent to MRI in the final diagnosis in 67.5% cases, was inferior to MRI in 30% cases and was superior to MRI in 2.5%.

Conclusions:

Since HRUS has a high accuracy in detecting the pathologies in cases of painful wrist joint, it should be used as the first imaging modality. Patients with equivocal diagnosis or requiring surgical planning may, however, be subjected to MRI.
General Health Status and Functional Independence of Rural and Urban Elderly Population of Sub-Himalayas Region, India
Authors: Paliwal Payal , Kalyani C. Vasantha , Sharma Maneesh , Rohilla Kusum K.
Published: June 2021

Introduction:

Preserving independence in tasks and continuing an active life are the most significant features in improving elderly's health care. The aim of the present study was to identify and compare elderly general health status and functional independence among rural and urban areas of the Sub-Himalayas region, India.

Materials and Methods:

The study was nonexperimental comparative design, in which multistage sampling techniques were used. 200 elderly participants were selected, i.e., 100 elderly from rural and urban areas, respectively.

Results:

Majority elderly of rural and urban areas belong to 61–70 years, male, Hindu, married, living with their children, receiving government pension, taking three times meals/day and have a previous history of medical illness. The general health status of the rural elderly is good (P = 0.000 [3.45, 5.16]) as compared to the urban elderly. Rural elderly were functional independent (P = 0.009 [0.37, 1.38]) than urban elderly.

Conclusions:

It is important to monitor the general health status and functional independence of the elderly. The status of daily living activity always has a great impact on the level of happiness, well-being, and quality of life of the elderly.
Epidemiological Determinants of Depression and its Associated Coping Mechanisms among College Students Confined during COVID-19 Lockdown
Authors: Garg Sunny , Chauhan Alka , Verma Dinesh , Chaudhary Karishma , Singh Sanjeet , Bansal Kirti
Published: June 2021

Introduction:

During COVID-19 pandemic lockdown, mental health of students was highly pregnable to the loss of social connectedness, disarray of normal pattern of activities as well as academic issues. Adopted coping mechanisms may have played a significant role in surmounting the challenges related to the pandemic. The main aim of the survey is to evaluate the prevalence of depression, its determinants, and association with coping mechanisms among college students during COVID-19 lockdown.

Materials and Methods:

College students were invited during lockdown to participate in a nationwide cross-sectional e-survey using Snowball sampling technique (dated October 6th–30th, 2020). A total sample size of 920 was calculated. A self-administered questionnaire regarding sociodemographic characteristics, COVID-19 related experiences along with two scales (Patient Health Questionnaire-9 [PHQ-9], and Carver Brief-Coping Orientation to the Problem Experienced -28) for assessment of depression and adopted coping mechanisms was applied to participants. Chi-square test, independent t-test, Pearson's correlation, and hierarchical multiple regression analysis were used to investigate the determinants of depression and its association with coping mechanisms in college students.

Results:

On analysis of 884 qualified participants, it was revealed that 402 (45.5%) participants have depressive symptoms ranging from moderate to severe level. The mean score of PHQ-9 was 9.82 ± 6.61. Nearly 85% students were lagging behind in studies. Around 5%–10% of students initiated/increased the consumption of substances. The main determinants of depression in this study were age group of 21–24 years, thought of lagging behind in studies and family members/friends/relatives diagnosed with COVID-19. Adaptive coping mechanisms (emotional support, religion, and humor) were significantly associated with lower depressive symptoms and maladaptive coping mechanisms (self-distraction, denial, behavioral disengagement, and venting) were significantly associated with higher depressive symptoms among students.

Conclusions:

This survey revealed multiple determinants of depression, mainly including academic worries among college students. The college staff should provide a well-structured pedagogical framework to encourage them and alleviate the unpleasant psychological effects of pandemic on students.
Pre-COVID Conventional Offline Teaching v/s Intra-COVID Online Teaching
Authors: Bhardwaj Rashmi , Hathila Shital , Joshi Himanshu R. , Vaniya V. H.
Published: June 2021

Introduction:

Medical education today is equipped with an armamentarium of newer online-based methods of correspondence courses, computerized virtual patient simulation, many open online courses in medical sciences, and tele-learning. The sudden, unplanned change from conventional teaching to online teaching during COVID-19 poses unique challenges and opportunities for teachers and learners, both. Many themes and principles have emerged for good online teaching learning and assessment practices (GOTLAP).

Materials and Methods:

The present study, involving 392 MBBS first year students from two universities, was conducted with an aim of comparing students' perception regarding online and offline teaching methodology, and online v/s offline method of assessment and to recommend the principles of GOTLAP. Data collected were analyzed by Strength, Weakness, Opportunity, and Threat (SWOT) analysis to provide a focused measure on how students perceive the program of online teaching and assessment.

Results:

In the present study, majority of the students (approximately 49.6%) have shown preference for offline teaching methodology, 22.9% has shown similar preference for both methods, while 27.5% has shown preference for the offline teaching method. SWOT analysis applied on qualitative data is a useful tool for assessing our present status in online learning and laying a ground work for formulating GOTLAP and a plan of future strategy.

Conclusions:

The GOTLAP principles can effectively pave way for the incorporation of blended learning (currently underutilized) in undergraduate medical education.
Acceptance and Knowledge of COVID-19 Vaccine among Health-Care Professionals in Western Uttar Pradesh, India
Authors: Patrick Shilpa , Singh Preeti , Choudhary Ruchi , Matreja Prithpal Singh
Published: June 2021

Introduction:

Knowledge and acceptance of COVID-19 vaccine among health-care professionals (HCPs) are an important aspect in the success of the vaccination drive in India, as HCPs are the first group to receive the vaccine. Various factors affecting the attitude of getting COVID-19 vaccine and to better address those factors will help in widespread acceptance among the general public.

Materials and Methods:

This was a cross-sectional study which was conducted among HCPs by circulating Google form. The form was distributed among the medical students and physicians through social networking sites such as E-mail and WhatsApp. The questionnaire consisted of 18 questions focusing on the assessment of knowledge and acceptance about COVID-19 vaccine. It was a self-administered and pilot-validated questionnaire.

Results:

Out of total participants, 473 (78%) were willing to take vaccination and were in the opinion that getting vaccination is a good idea. Eighty-eight percent of the participants were worried about the effectiveness of the COVID-19 vaccine. Fifty-five percent of the participants were anxious regarding getting vaccine and its efficacy.

Conclusion:

Knowledge and acceptance were moderate, but overall attitude of getting vaccination was positive. Majority of the HCPs are still anxious about the long-term efficacy; therefore, appropriate steps need to be taken to address the factors contributing to the low acceptance of the COVID-19 vaccine.