bluuebunny/crossref_metadata_2025 huggingface dataset:
Formative evaluation of an adaptive game for engaging learners of programming concepts in K-12
Authors: Lindberg Renny S. N. , Laine Teemu H.
Published: June 2018

As the global demand for programmers is soaring, several countries have integrated programming into their K-12 curricula. Finding effective ways to engage children in programming education is an important objective. One effective method for this can be presenting learning materials via games, which are known to increase engagement and motivation. Current programming education games often focus on a single genre and offer one-size-fits-all experience to heterogeneous learners. In this study, we presented Minerva, a multi-genre (adventure, action, puzzle) game to engage elementary school students in learning programming concepts. The game content is adapted to play and learning styles of the player to personalize the gameplay. We conducted a formative mixed-method evaluation of Minerva with 32 Korean 6th grade students who played the game and compared their learning outcomes with 32 6th grade students who studied the same concepts using handouts. The results indicated that, in terms of retention, learning was equally effective in both groups. Furthermore, the game was shown to facilitate engagement among the students. These results, together with uncovered issues, will guide Minerva’s further development.
A Reliability Game for Source Factors and Situational Awareness Experimentation
Authors: De Rosa Francesca , Jousselme Anne-Laure , De Gloria Alessandro
Published: June 2018

Systems to support Situational Awareness take increasingly advantage of data and information fusion techniques. Due to the rise in the variety of information sources (e.g., sensors, open-source, intelligence, historical databases) and their possible lack of veracity those techniques should account for source reliability. Although the appropriate mathematical instruments exist, it still needs to be fully understood what are the factors that contribute to source reliability and what is their relative and total impact on Situation Assessment, which is the process that builds up Situational Awareness. In order to characterise source factors impact on human belief assessment the Reliability Game has been developed. This is a data exchange game in which the players are requested to perform Situational Assessment tasks by mentally processing incoming information and meta-information, abstracted and provided through cards. This paper presents the method, the design choices and shows through a qualitative analysis that the proposed approach is indeed able to capture elements of source factors impact on players’ belief changes. Data collected through the game will be further analysed to inform and improve the design of information correction methods in multi-source information fusion systems.
Passive Bilingualism in the Iberian Peninsula
Authors: Mrva Jan
Published: June 2018

The purpose of this article is to describe passive bilingualism and the sociolinguistic situation in the Iberian Peninsula from the current perspective and to analyze the degree of passive bilingualism in this environment. In the first part, we introduce the reader to the problematic of passive bilingualism, and we attempt to define it using the contemporary theories made mainly in the field of Germanic languages. The practical part is dedicated to describing the hypothesis and the methodology that we applied when creating the questionnaire. In this part, we also include the demographic data of the respondents who completed the survey. Next is the analysis of the linguistic material, where we analyze: the number of correct and incorrect answers and the determination of success in different parts of the questionnaire; the possible causes of the wrong answer; the general level ofpassive comprehension in Galician, Catalan, Basque and Portuguese. In the discussion, we summarize, above all, the most important results of the analysis. Finally, we report on the pedagogical possibilities of the used languages.
In-Cell Western™ Assay (COS Cells Phospho-p53 Detection in Response to Hydroxyurea) v1
Authors: Biosciences LI-COR
Published: June 2018

This is an In-Cell Western™ Assay protocol for the detection ofPhospho-p53 in COS cells in response to Hydroxyurea. Developed for: Aerius, Odyssey® Classic, Odyssey CLx, and Odyssey Sa Infrared Imaging Systems Please refer to your manual to confirm that this protocol is appropriate for the applications compatible with your Odyssey Imager model.
Complete Sample Protocol Detailing the Seeding, Stimulation, and Detection of the NIH3T3 Cellular Response to Acidic Fibroblast Growth Factor (aFGF-1) v1
Authors: Biosciences LI-COR
Published: June 2018

Developed for: Aerius, Odyssey® Classic, Odyssey CLx, and Odyssey Sa Imaging Systems
Complete Sample Protocol for PMA-Induced ERK Activation in Suspension Cell Lines v1
Authors: Biosciences LI-COR
Published: June 2018

Developed for: Aerius, Odyssey® Classic, Odyssey CLx, and Odyssey Sa Infrared Imaging Systems
Regional Press of Western Ukraine as a Factor of National Idea Shaping in the Context of Modern State Building Processes
Authors: Greskiv Olga
Published: June 2018

The main objective of this research was to analyze the Western Ukraine regional press as a factor of shaping national idea at the time of gaining and strengthening state independence.

The methodology of research included the content analysis, which involved the systematic reading and observation of the texts. This method let us to identify the following role of the press in the context of state building: firstly, to actualize the sense of national idea and deepen the public interest in its comprehension; secondly, in the process of state development, the new priorities were set and gradually integrated into the hierarchy of national priorities through the public discussion in mass media, particularly in the newspaper publications; thirdly, the public discourse on the national idea had a direct impact on the development of strategies for state development and the formation of socio-cultural basis for the establishment of a modern Ukrainian political nation. The researcher came to the conclusion that the national press actually became the ideological driver for the people’s will.

The results of the research indicate that the basic semantic accents of the newspaper discourse on the national idea are interconnected with the state development strategy, patriotism, restoration of historical truth, research on people’s traditions, culture, philosophy and etc. The European integration course is considered as an important element of shaping national idea of Ukraine.
Implicaciones hidrodinámicas de una quema prescrita de baja intensidad en condiciones forestales mediterráneas
Authors: Hueso González Paloma , Martínez-Murillo Juan Francisco , Ruiz-Sinoga José Damián
Published: June 2018

Este estudio evalúa las consecuencias hidrodinámicas de una quema prescrita en un área forestal mediterránea seca. La quema fue de baja intensidad y se realizó con el fin de controlar la acumulación de biomasa y reducir el riego de futuros incendios. A corto plazo, la respuesta de escorrentía y erosión en el área quemada presentó una mayor magnitud a la de los suelos no quemados. Esto implicó que, inicialmente, el umbral de precipitación necesario para activar la escorrentía en el conjunto quemado fuese inferior al requerido en la condición natural. Esto se debía a que, en los primeros meses tras la quema, más del 85% del total de la superficie de las parcelas quemadas estaba actuando como área de fuente para la producción de escorrentía. Sin embargo, en el segundo año, el porcentaje disminuyó muy rápidamente, principalmente por el rebrote de plantas anuales y arbustos. Dos años después de la quema, se observó como la superficie con cubierta vegetal en las parcelas quemadas fue un 16,1% mayor que en las parcelas control. Este hecho implicaba que, en el medio-largo plazo, el fuego prescrito no solo conseguía reducir el riesgo de sufrir incendios forestales severos, si no que permitía aumentar la tasa de recubrimiento vegetal frente áreas no quemadas.
STAGED TREATMENT OF BILATERAL AORTOILIAC LESIONS
Authors: Khabazov R I , Amirova A V , Amirov N Sh , Lysenko E R , Azaryan A S , Troitsky A M
Published: June 2018

Background: The aim of the study was to find out optimal treatment of bilateral aortoiliac atherosclerotic lesions. Materials and Methods: From January 2000 to December 2013 38 patients with bilateral aortoiliac lesions underwent surgical repair. One side was treated with linear aortofemoral bypass surgery, another - with endovascular approach and stent placement. Moreover, in 25 cases surgical repair was performed simultaneously in aortoiliac and infrainguinal vascular beds. The results of the interventions were monitored with intraoperative angiography and duplex ultrasound before discharge, at 3, 6 and every next 6 months afterwards. Results: Assisted patency at the 3 year after treatment was 65% for bypass surgery and 100% for stents. This approach demonstrates good results in the treatment of bilateral lesions, combining advantages of open surgical and endovascular treatment strategies. Staged approach allows to repair multisegmentional vascular lesions. Conclusion: Staged treatment of bilateral aortoiliac lesions is a well-established method of surgical repair, allowing to treat high-risk patients, including patients with multisegmentional lesions of peripheral arteries.
EVALUATION OF INFLUENCE OF THE ATYPICAL MICROFLORA ON DEVELOPMENT OF PATHOLOGY OF RESPIRATORY TRACTS IN CHILDREN
Authors: Majorov R V , Ozerova I V , Nezdanova E V
Published: June 2018

The results of original researches executed for revealing the influence of atypical microflora (C. pneumonia, M. pneumoniae, Herpes simplex virus, Cytomegalovirus, Epstein-Barr virus) on allergic and nonallergic respiratory disease at 697 children of school age are presented. The obtained data allow to recommend more active use of drugs influencing on atypical flora for the choice of anti-infectious therapy at children of school age with allergic and frequent infectious diseases.
POPULATION AND CLINICAL ASPECTS OF PARKINSON’S DISEASE AMONG RESIDENTS OF THE ROSTOV REGION
Authors: Andrienko O A , Trinitatsky Yu V
Published: June 2018

The results of a prospective study based on data from a questionnaire and clinical monitoring of 694 patients with Parkinson’s disease living in the Rostov region are presented. The average age of patients was 70.4 ± 9.5 years, the average age of motor debut was 64.1 ± 9.8 years, the age of motor debut up to 45 years was set at 4.0%, the prevalence of Parkinson’s disease was 22, 2 per 100 000, the incidence of Parkinson’s disease - 1.0 per 100 000, the gender composition (men/women) - 38.3% / 61.7%. The age distribution among patients with Parkinson’s disease was as follows: younger than 60 - 15.3%, 61-70 years - 28.7%, 71-80 years - 44.8%, age over 80 years - 11.2%. Gender differences, as well as differences in the side of motor debut among BP patients under 45 years, are not established. The defeat of the right upper limb predominates among patients with motor debut above the age of 45. The early motor debut of Parkinson’s disease is a prognostic adverse factor in achieving a severe stage of Parkinson’s disease in a short time. The duration of the disease after motor debut in patients residing in the Rostov region varies from 1 year to 26 years, the average duration of the disease is 6.3 ± 4.7 years, during this period, the majority steadily lose their ability to work, 52.7% are disabled. The presented data demonstrates the importance of early detection of the unintended symptoms of Parkinson’s disease with the goal of timely diagnosis of motor debut, the appointment of prolonged monotherapy, that can reduce the expenses.
INFLUENCE OF DIABETES MELLITUS ON THE ACTIVITY OF METABOLIC ENZYMES AND SERCA2A EXPRESSION IN CARDIOMIOCYTES AND ITS RELATION WITH INOTROPIC REACTIONS OF THE MYOCARDIUM OF PATIENTS WITH CORONARY HEART DISEASE
Authors: Afanasiev S A , Kondratieva D S , Akhmedov Sh D , Muslimova E F , Budnikova Olesya Viktorovna , Repin A N
Published: June 2018

The work was performed on the biopsy material of the heart with chronic coronary heart disease (CHD), and patients with CHD combined with type 2 diabetes mellitus. It was shown that the activity of succinate dehydrogenase (LDH) enzymes in the myocardium of patients with CHD was higher than in patients with combined pathology. Both groups had patients with both “high” and “low” SERCA2a protein. In addition, the inotropic myocardial response of patients in each group also divided into 2 subgroups. At the same time, the “high content” of the SERCA2a protein corresponded to the positive dynamics of the force-interval relationship, and the “low content” of the protein studied corresponded to the negative dynamics of the force-interval relationship (mechanical restitution). At the combined development of CHD and diabetes mellitus with a short duration of the disease, the positive dynamics of the force-interval relationship is more pronounced and corresponds to a higher level of SERCA2a expression than in the development of CHD only.
Clinical profile of Dengue patients in a rural tertiary care centre of coastal Kerala
Authors: Poornima H. , John Juby
Published: June 2018

Background: Dengue epidemic is a major health problem in India. According to the directorate of National Vector Borne Disease Control Programme (NVBDCP) over 18,700 cases of dengue have been reported in India in 2017.Kerala has reported the highest number of dengue related deaths in the country. The aim of the present study is to find out the clinical profile of patients admitted with dengue fever during the epidemic in 2017 in a rural tertiary care centre in coastal Kerala.Methods: 341 patients who were admitted in the medicine department of a rural tertiary care centre in Kerala with Dengue were included in the study. W.H.O case definitions were used for the diagnosis. Complete blood counts, RBS, serum creatinine and liver function tests and E.C.G were carried out in all patients. Chest X ray, Echocardiogram, ultrasonogram, MRI and CSF study were done when indicated.Results: Males predominated. 317 were diagnosed as dengue fever, 12 as dengue hemorrhagic fever and 12 had dengue shock syndrome. Only four patients succumbed to death. Aminotransferases were elevated in 74.4%. In all cases AST was more than ALT. Head ache and myalgia were the common symptoms at the time of presentation. 72 patients had abnormal ECG, but all had normal ECG at the time of discharge, indicating a transient change during the episode.Conclusions: Careful monitoring of clinical and biochemical parameters is necessary during dengue epidemics. Atypical manifestations of dengue should also be considered in the differential diagnosis of various diseases in different organ systems.
Occurrence of false positivity in a fourth generation (Ag/Ab) HIV screening assay: horns of a dilemma
Authors: Roy Partha , Kapoor Ruchi , Rawat Priya , Aggarwal Monika , Gaur Ravi , Anand Mrunalini , Saharia Pallav
Published: June 2018

Background: Universal screening for HIV with Ag/Ab combo assays has reduced the window period significantly due to its high sensitivity. However, occurrence of false positives is common and in a country like India, it may lead to social distress and loss of livelihood. We wanted to ascertain the occurrence of false positives in our laboratory.Methods: There were 21817 samples analysed retrospectively from Jan 2015 to Jul 2017 (31 months). Architect HIV Ag/Ab Combo (Abbott Laboratories, Abbott Park, IL) was used as the first test. Repeatedly reactive samples with a signal to cutoff (S/CO) ratio greater than or equal to 1.00 was considered reactive. Strategy III (3 test algorithm) of NACO guidelines was followed uniformly.Results: In this study, 147 samples tested reactive (0.67%) and 40 samples tested false positive (repeatedly reactive; 0.18%). 6 samples were indeterminate (0.027%). Overall, the sensitivity of the Architect HIV Ag/Ab Combo was 100%, the specificity varied between 99.74% and 99.91%. The PPV from June 2016 to July 2017 was 68.63% (32 false positives). The S/CO values of 72.8% (117/147) reactive samples ranged between 201- 800, whereas 72% (29/40) of false positive samples, the S/CO values ranged between 1.0-2.0. The specificity of the test improved to 99.98% when S/CO value was adjusted at 2 and 100% when adjusted at 5. Similarly, the PPV too improved to 93.04% and 98.66% at S/CO values of 2 and 5 respectively.Conclusions: Further studies are needed to ascertain the optimal or ‘grey-zone’ S/CO values for India to minimise the false positive results and avoid further supplemental tests routinely.
Different treatment modalities and their outcomes in spontaneous pneumothorax in adults in sub-Himalayan: a prospective study at tertiary care institute
Authors: Sharma Ajay , Sharma Ashok , Jaret Pramod , Sarkar Malay , Sharma Sanjeev
Published: June 2018

Background: The Spontaneous Pneumothorax has been classified as major cause of morbidity and mortality among respiratory diseases. Objectives of the study were to determine the various modalities of treatment of spontaneous pneumothorax and their outcome in affected patients in our institute.Methods: A hospital based Prospective study was conducted in year 2011-12 in the department of Medicine, IGMC Shimla (H.P.) India. During study period the total admissions were 7335 out of which 30 patients were diagnosed as spontaneous pneumothorax and treated as cases under study. The data was collected on proforma includes demographic profile, probable cause, clinical and treatment modalities and their outcome in Spontaneous Pneumothorax, master chart framed and analysed into frequency percentage.Results: Incidence of spontaneous pneumothorax was found to be 408.99 /yr/100000 admissions in the department of medicine. Incidence of primary spontaneous pneumothorax was 81.79/yr/100000 admissions. Incidence of secondary spontaneous pneumothorax was 327.19/yr/100000 admissions. Various treatment modalities include observation alone, needle aspiration, traditional intercostal tube, pleurodesis and antitubercular treatment.Conclusions: Most common treatment modality was intercostal tube drainage in PSP and antitubecular drugs in SSP.
Acute pulmonary non-cardiogenic edema after extubation with laryngospasm: a case report
Authors: Granados-Romero Juan J. , Valderrama-Treviño Alan I. , Arauz-Peña Gerardo , Alcazar-Castro Javier , Mendoza-Barrera German E. , Banegas-Ruiz Rodrigo , Barrea-Mera Baltazar
Published: June 2018

Acute pulmonary edema post extubation due to negative pressure with laryngospasm in the early postoperative period has been reported and may occur at any time during anesthesia. The usual treatment consists of respiratory support and diuretics. We present the clinical case of a 15-year-old patient who underwent laparoscopic appendectomy, who presented acute non-cardiogenic pulmonary edema in the postoperative period. This complication can be presented in any surgical patient intubated, so it is important to know the pathophysiological basis to be able to diagnose and treat this pathology.
A rare case of fungal meningitis with atypical presentation in immunocompetent patient
Authors: Kumar Rajnish , . Priyanka
Published: June 2018

Fungal meningis is uncommon in general population especially in immunocompetent indivisuals. Meningitis, when caused by the fungal mycoses Cryptococcus neoformans, is normally seen in immunocompromised hosts. However, it is also seen in immunocompetent patients. In patients with an intact immune system, CM usually presents with the typical signs and symptoms of meningitis: fever, stiff neck, dizziness and headache. We report a rare case of fungal meningitis in a immunocompetent patient on antiseizure drugs for last 12 years misdiagnosed as phynetoin toxicity.
Does anti-reflux surgery control Barrett’s oesophagus progression?
Authors: Alghazzawi Ali J. , Khabaza Ali A. , Al-Hijaji Mohammed H.
Published: June 2018

Controversy exists as to whether or not anti-reflux surgery can prevent the potential long-term complications of Barrett's oesophagus, in particular, dysplastic changes. Hence, literature was reviewed to find out effects of anti-reflux surgery on patients with Barrett's oesophagus. Data has been analysed using different electronic database including Ovid Medline, Scopus, Google Scholar and PubMed. Anti-reflux surgery is considered an effective option for rapid and long-term control of reflux symptoms. Most patients who were included in the studies had a satisfactory control of their symptoms after surgery. Successful procedures effectively abolished gastric reflux in the majority of patients. On the other hand, there were different patterns of Barrett's oesophagus segment progression after surgery regardless of the procedure's success. Many patients developed de novo Barrett's oesophagus, at the same time the intestinal metaplasia regressed in other patients, but the Barrett segment has remained unchanged in the majority of patients. Similarly, the pattern of dysplasia progression was different among patients. Surgery was effective in producing dysplasia regression in many patients, but it failed to prevent progression of columnar intestinal metaplasia into dysplasia in other patients.  In conclusion the potential long-term complications of Barrett's oesophagus can develop after anti-reflux surgery. Therefore, long life follow- up, after surgery, is mandatory.
Prospective study on use of antibiotic prophylaxis on operative wound infections in south Indian population
Authors: Reddy Chakarala Obula , Reddy Garisa Chandra Mohana
Published: June 2018

Background: Antibiotic prophylaxis can help to reduce surgical site infections in operative wound infections. Present work was done to study the use of antibiotic prophylaxis on operative wound infection.Methods: A total of 120 patients under went various surgeries in the department of surgery, Fathima Institute of Medical Sciences, Kadapa, Andhra Pradesh utilized for the present study. Out of 120 patients utilized 86 were males and 34 females with elective surgeries and observed from their admission to discharge from the hospital and also followed up all the patients up to fifth week of post-surgery. Surgical wound types were observed and recorded.Results: We have noted clean wound cases were 91, contaminated cases were 5 and clean contaminated were 24 noted. 11 infected cases were observed in clean wound type, 3 infected cases in clean contaminated were observed. 3 patients out of 120 patients had post-operative fever and subsided within 2 days without antibiotics. Out of 91 clean wound cases, 2 patients (2.19%) had post-operative fever, 10 patients (10.9%) developed with serous discharge and purulent discharge was developed in 1 (1.09%) case in present study. Bacteriology revealed 4 cases (4.29%) showed growth of staphylococcus aureus organism, 1 case (1.09%) with pseudomonas organism was noted. 2 cases (8.3%) developed with serous discharge and 1 case (4.16%) with purulent discharge and also growth of E. coli in 1 (4.16%) case was noted in 24 clean contaminated cases in present study.Conclusions: Use of antibiotic prophylaxis has a vital role in pre and post-operative wound infections.
Study of direct cost of care among ENT surgical inpatients at a tertiary teaching hospital
Authors: Agarwal Vinish Kumar , Bist Sampan Singh , Kumar Lovneesh , Mittal Himanshu Kumar , Luthra Mahima
Published: June 2018

Background: Cost of care in hospital includes direct cost and indirect cost. Direct cost is a price that patient pays to hospital in form of expenditure. Ever-growing health cost is concern for both health care provider and health care seeker.Methods: Non-sponsored self-paying inpatients of ENT department were included in this prospective study. Structured proforma was used to extract information regarding surgery cost, investigation cost, pharmacy cost, patient care charges and hospital staying charges.Results: Out of 33 patients 49% were admit for >6 days, 39% were admitted up to 3 days, while 12% patients stayed for 4-6 days. Average surgery fees charges were 37% and pharmacy charges and investigation charges were about 25%. 82% patients were operated under general anaesthesia while 18% patients were operated under local anaesthesia.Conclusions: Major surgery under general anaesthesia force patients longer stay in hospital and increases cost of care by increasing pharmacy and investigation bill. So, we should focus on anaesthesia time, anaesthesia type and judicious use of investigations for reducing overall health cost care to make it affordable to all.
Use of fibrin sealant and tunica vaginalis flap in the repair of urethro-cutaneous fistulas: experience in a tertiary care centre
Authors: Kulkarni Apoorva , Dikshit Vishesh , Gupta Abhaya , Kothari Paras , Jayaswal Shalika , Kekre Geeta
Published: June 2018

Background: Urethro-cutaneous (UC) fistulas are one of the most common complications after hypospadias surgery. To repair a UC fistula, an experienced surgeon with vast knowledge in the field of hypospadias is essential. Various techniques of UC fistula repair have been described. We share our experience in the use of fibrin sealant and tunica vaginalis flap as intermediate cover in UC fistula repairs.Methods: Our objective was to evaluate the efficacy of fibrin sealant and tunica vaginalis flap in urethro-cutaneous fistula repair in those patients where dartos flap is not available. Total 40 patients were retrospectively evaluated and segregated into the fibrin sealant group and the tunica vaginalis flap group. All repairs had been done by the same surgeon with 6-0 polyglactin suture at least 6 months from the primary repair. The re-fistulation rate was noted in both the groups.Results: Re-fistulation rate was 20% for tunica vaginalis flap and 70% for fibrin sealant. The general re-fistulation rate with the use of dartos flap is 20-30% at our institute.Conclusions: We concluded that tunica vaginalis flap as intermediate cover gives good results in urethro-cutaneous fistula repair.
Harmonic scalpel versus bipolar diathermy in Milligan-Morgan haemorrhoidectomy: a randomized controlled study
Authors: Sarkar Arnab , Choksi Dilip B. , Sutaria Akshay , Sindhal Minesh
Published: June 2018

Background: Post-operative pain and bleeding are two major dilemmas associated with haemorrhoidectomy. Recent advances in energy sources have provided an alternative in reducing both the issues. This study was conducted with an aim to compare use of ultrasonic scalpel (Harmonic Scalpel) and bipolar diathermy in reducing post-operative pain and bleeding in Milligan-Morgan haemorrhoidectomy (MMH).Methods: Sixty patients with grade III and IV haemorrhoids underwent MMH, after being randomized into two groups, one half of them using Harmonic Scalpel and other group, using Bipolar diathermy scissors over a period of one year at Department of General Surgery at Sir Sayajirao Gaekwad (SSG) Hospital, Baroda. Operative data were recorded, and the patients were followed-up accordingly. Independent assessors were assigned to obtain blood loss, post-operative pain scores, analgesic requirements and other secondary outcomes.Results: Intra-operative bleeding, post-operative pain scores and duration of hospital stay were significantly lower with Harmonic scalpel as compared to bipolar diathermy scissors. However, there was no significant difference in both the groups with respect to first bowel movement and early or late complications.Conclusions: Harmonic scalpel can be used as an alternative to bipolar diathermy, in view of its good haemostatic capability, reduced post-operative pain and analgesic requirements.
Sherren`s triangle hyperaesthesia a tool to rule out complicated appendicitis
Authors: Lamture Yashwant R. , Ramteke Harshal , Gajbhiye Varsha
Published: June 2018

Background: Acute appendicitis is the most common surgical emergency. In spite of sophisticated new investigations mainstay of diagnosis depends on clinical sign and symptoms, Sherren`s triangle hyperaesthesia is very important sign with controversial efficacy about it in available literature. Hence this study was undertaken to prove its efficacy of it.Methods: This study was conducted in 418 patients with 186 females and 251 males. Patients were of acute appendicitis operated for appendicectomy included in the study. Data analysis was done by data statistic software.Results: Sensitivity and specificity of hyperaesthesia in Sherren’s triangle were 47.7% and 42.9% respectively with positive and negative predictive values were 92.1% and 5.56%.Conclusions: Hence it indicates that hyperaesthesia in Sherren’s triangle is important sign to suspect to support diagnosis of acute appendicitis. It has minimal significance to rule out it.  This sign plays very important role in a diagnosis of complicated appendicitis like obstructive appendicitis.
A retrospective comparative study of laparoscopic appendectomy and open appendectomy
Authors: Bhosle R. V. , Degloorker Ganesh Ganpatrao
Published: June 2018

Background: Appendectomy is the most common surgical procedure performed in emergency surgery. Appendectomy is the treatment of choice, which can be done either by open or laparoscopic approach. Controversies till exist as to which is the better choice among the two surgical procedures for treating appendicitis. In this retrospective analysis, we aimed to compare outcomes of laparoscopic appendectomy with open appendectomy.Methods: Total 120 appendectomy cases were analyzed retrospectively in a period of 2 years. The study was conducted in the department of surgery and Institutional ethical committee approval was obtained. Patient demographic data, intraoperative findings and postoperative clinical outcomes were collected standard data sheet. Biopsy specimens were sent to pathology department for histopathological evaluation to confirm the appendicitis.Results: There was no statistical difference found in demographic data of patient’s undergone appendectomy in both (OA and LA) procedures. The overall incidences of postoperative complications were significantly lower (P=.005) in laparoscopic appendectomy. The length of hospital stay was much shorter in laparoscopic appendectomy (3.5 days) when compared with open appendectomy (6.2 days).Conclusions: The laparoscopic appendectomy was better than open or conventional appendectomy with respect to less pain, shorter hospitalization period, minimal postoperative complications and early return to normal activity.
Active versus passive drainage after modified radical mastectomy in breast cancer
Authors: Oommen Alex , Augustine Thara , Gopi E. V.
Published: June 2018

Background: Active drains are routinely used after Modified Radical Mastectomy (MRM) and is an important factor contributing to increased hospital stay as the patients are often discharged only after their removal. Amongst various factors that influence the amount of post operative drainage, the negative suction pressure applied to the drain has been reported to be of great significance. Against this background a study was conducted to compare the amount and duration of drainage between suction and dependent drainage in patients following Modified Radical Mastectomy.Methods: Patients were randomised using randomly ordered sealed envelopes, which were opened immediately before the closure of the wound, to decide on whether suction or dependent drain was to be given. Drains were removed when output was less than 30 ml per day. Patients were followed up from the day of surgery till the day of drain removal. Statistical analysis was performed with SPSS.Results: There is significant increase in the drain per day in post MRM patients with active suction drain. But, there is no relation between the type of drain and either total drain output or the total number of days of drain. The study also revealed that there is no significant difference in the number of days of hospital stay in both groups of patients.Conclusions: Suction drains do not have any significant advantage over dependent drains after Modified Radical Mastectomy in breast cancer patients.
Benign proliferative pilomatricoma over sternum: a rare case
Authors: Harsha Muvva Sri , E. Rajesh Goud , Jakkula Srikanth
Published: June 2018

Pilomatricoma is a benign, uncommon, subcutaneous tumor arising from the outer root sheath cell or hair matrix cells. Pilomatrixoma, benign calcifying epithelioma of Malherbe, trichomatricoma are synonyms for pilomatricoma. They occur mostly on head, neck and upper limb extremities. Histologically they classically consist of peripheral basiloid cells and central enucleated ghost or shadow cells. Malignant changes are rare in pilomatricomas. However, the proliferative variety is aggressive and considered to be precursor of malignancy. Here we present a case of benign proliferative pilomatricoma over sternum for which the patient underwent wide local excision, diagnosis was later confirmed by histopathological examination. We have not come across any cases of pilomatricoma occurring over sternum in literature.
Biliary complications: the Achilles’ heel of ALPPS
Authors: Muthukrishnan Srinivasan , Amudhan Anbalagan , Rajendran Shanmugasundaram
Published: June 2018

ALPPS (associated liver partition and portal vein ligation for staged hepatectomy) is a novel procedure enabling rapid hypertrophy of the future liver remnant (FLR) in less than a week. However, it is associated with a high morbidity of 33 - 64% mostly biliary. We report a 37-year-old female with sigmoid colon cancer and synchronous liver metastasis occupying the right liver including segment 4 managed by colonic resection with ALPPS enabling an extended right hepatectomy. Postoperatively the patient had a gradual rise in bilirubin and MRCP revealed biliary stricture which was managed by PTBD followed by internalization. Biliary complications seem to be a major determinant of perioperative outcomes and success of ALPPS. Important preventive measures include accurate preoperative imaging, careful dissection of porta, use of vessel loops and transcystic stents during ALPPS-1. Treatment of biliary complications mainly centres around appropriate use of endoscopic and interventional radiological procedures.
Tail in the duodenum
Authors: Ranganathan Sruthi , Mohanapriya T. , Singh K. Balaji
Published: June 2018

Inflammatory myofibroblastic tumour, commonly called as pseudotumor is a soft tissue tumour, commonly occurring in children and young adults and very rarely in elderly. Lungs are the most commonly affected site but sometimes it can occur in retroperitoneum and abdominal cavity. It contains spindle cells, myofibroblasts, lymphoctyes, plasma cells, and histiocytes. It is a non-encapsulated lesion. The pathogenesis of IMT remains unclear, although various allergic, immunogenic infectious mechanisms have been postulated. They are locally recurrent (15-37%) and rarely metastasize (<5%).  IMT features mimcs malignancy on UGIscopy and radiological imaging and hence surgical exploration and complete resection is required for diagnosis and treatment. The worldwide incidence of IMT is 0.04- 0.7%. Here is a case of inflammatory myofibroblastic tumour in duodenum presented with complaints of vomiting and melena.
La Corte Constitucional, el derecho a la igualdad y las categorías sospechosas
Authors: Ortiz Custodio José David
Published: June 2018

El presente artículo contiene un comentario a la jurisprudencia desarrollada por la Corte Constitucional del Ecuador sobre el derecho a la igualdad. En vista de que la Corte Constitucional se refiere a los estándares desarrollados por la jurisprudencia de la Corte Suprema de los Estados Unidos para analizar si un trato diferenciado es discriminatorio o no, analizaré brevemente el tratamiento del derecho a la igualdad en la jurisprudencia estadounidense y los factores necesarios para considerar a un criterio de diferenciación como una “categoría sospechosa”. Finalmente, el artículo demostrará que la jurisprudencia desarrollada por la Corte Constitucional sobre “categorías sospechosas” y el “sistema de escrutinios” debe ser rectificada, toda vez que ocasionará problemas a los jueces que deban aplicarla en la resolución de casos concretos.
ESTUDO DOS PARÂMETROS HIDRODINÂMICOS OBTIDOS EM ENSAIOS DE CAMPO EM ITABIRITOS BRANDOS DA PORÇÃO SUDOESTE DO QUADRILÁTERO FERRÍFERO, MG
Authors: Mesquita Daniele Costa de , Dantas Júlia Cotta Maciel , Paula Rodrigo Sérgio de , Guerra Kênia Janete
Published: June 2018

O artigo consiste na caracterização dos parâmetros hidrodinâmicos de condutividade hidráulica (K), transmissividade (T) e coeficiente de armazenamento (S) para itabiritos brandos na porção sudoeste do Quadrilátero Ferrífero (QF), MG. O estudo de tais parâmetros é essencial para o conhecimento dos aquíferos, tanto com relação à sua localização como também em termos de qualidade e quantidade das águas. O K foi obtido matematicamente por meio da equação de HVORSLEV (1951) e pela análise gráfica, também pelo método de Hvorslev, no programa AquiferTest, a partir de dados do slug testes em piezômetros. T e S foram obtidos por ajustes gráficos no mesmo programa pelos métodos de Neuman e Boulton, e com base em testes de bombeamento em poços tubulares profundos. Nas análises de condutividade hidráulica, o método gráfico se mostrou mais eficiente e os valores obtidos são coerentes com os resultados de MOURÃO (2007) - indicando uma uniformidade desta característica do aquífero Cauê, em toda porção oeste do QF. Já os valores de T e S obtidos refletem a heterogeneidade e anisotropia do sistema aquífero, possivelmente relacionadas às regiões de confinamento e uma permeabilidade secundária, provavelmente associada ao controle estrutural do fluxo.Palavras Chave: Parâmetros hidrodinâmicos, Slug teste, teste de bombeamento, itabirito brandoAbstract:STUDY OF THE HYDRODYNAMIC PARAMETERS OF SOFT ITABIRITOS IN THE SOUTH-WEST PORTION OF QUADRILATERO FERRIFERO OBTAINED BY FIELDWORK SIMULATIONS. This paper is based on the characterization of the hydrodynamic parameters hydraulic conductivity (K), transmissivity (T) and storage (S) in soft itabiritos of the southwest portion of the Quadrilatero Ferrifero (QF), MG. The study of these parameters is essential to the knowledge about aquifers, in terms of localization, quantity and quality of the water. The K was calculated using Hvorslev’s method and obtained by slug tests data for piezometers in the AquiferTest software. On the other hand, T and S had their results achieved using Neuman and Bouton methods also through the AquiferTest. The results were acquired by slope adjusts in graphs and the basis for these adjustments were pumping tests in deep tube wells. Considering the hydraulic conductivity, the graphic analyses were more effective and the results show a uniformity of this feature over the west QF, being consistent with MOURÃO (2007) studies. T and S, in turn, display the heterogeneity and anisotropy of the Caue iron formation probably caused by confined areas and secondary porosity due to the local structural complexity. Keywords: Hydrodynamic parameters, Slug test, pumping test, soft itabirito.
The Influence of Transformational Leadership, Work Environment, and Religiosity toward Employee Loyalty of IAIN Salatiga
Authors: Fitriyani Endah Nur
Published: June 2018

AbstractThis study aims at determining the effect of transformational leadership, work environment and religiosity toward employee loyalty. The type of research used is survey research with quantitative approach. Population and sample in this research are civil servant employees of IAIN Salatiga amounting to 54 people. Methods of data collection in this study using questionnaires. The results from multiple regression analysis obtained results for transformational leadership variable does not have a significant impact on employee loyalty; work environment variable has no significant effect on employee loyalty; religiosity variable has a positive influence on employee loyalty; and transformational leadership, work environment, and religiosity simultaneously have a significant effect on employee loyalty. The value of Adjusted R Square is 0.922 which means that 92.2% variance of loyalty can be explained by the variance of the three independent variables: transformational leadership, work environment, and religiosity.AbstrakPenelitian ini bertujuan untuk mengetahui pengaruh kepemimpinan transformasional, lingkungan kerja  dan religiusitas terhadap loyalitas karyawan. Jenis penelitian yang digunakan adalah penelitian survey dengan pendekatan kuantitatif. Populasi dan sampel dalam penelitian ini adalah karyawan PNS IAIN Salatiga yang berjumlah 54 orang. Metode pengumpulan data dalam penelitian ini menggunakan kuesioner. Dari hasil analisis regresi berganda diperoleh hasil untuk variabel kepemimpinan transformasional tidak berpengauh secara signifikan terhadap loyalitas karyawan; variabel lingkungan kerja tidak berpengaruh secara signifikan terhadap loyalitas karyawan; variabel religiusitas memiliki pengaruh positif terhadap loyalitas karyawan; dan kepemimpinan transformasional, lingkungan kerja dan religiusitas secara simultan berpengaruh signifikan terhadap loyalitas karyawan. Besarnya nilai Adjusted R Square adalah 0,922 yang berarti bahwa 92,2% varians loyalitas dapat dijelaskan varians dari ketiga variabel independen: kepemimpinan transformasional, lingkungan kerja, dan religiusitas
Local Wisdom of Kasepuhan Ciptagelar: The Development of Social Solidarity in The Era of Globalization
Authors: Ramadhan Ilham Rohman , Djono Djono , Suryani Nunuk
Published: June 2018

Kasepuhan Ciptagelar is one of the Sundanese traditional village based on agricultural culture in West Java Province, Indonesia. Kasepuhan Ciptagelar people still hold and apply their ancestral cultural values in their daily life. The purpose of this study is to (1) know the existence of local wisdom values that exist in Kasepuhan Ciptagelar society; (2) to know the form of social solidarity values that exist in Kasepuhan Ciptagelar community and (3) Integration of local wisdom value for social solidarity development in globalization era. This research is a descriptive qualitative research, with ethnography approach. The results show that (1) Kasepuhan Ciptagelar community has some local wisdom, they are social solidarity, environment awareness, democratic, honest, responsibility and creative. The values of existing local wisdom still exist and are proven to survive in the era of globalization; (2) social solidarity in Kasepuhan Ciptagelar reflected from social interaction, trust and social awareness that exist in society; and (3) Development of social solidarity in the era of globalization can be done through the integration of local wisdom into education in School.
Participatory Communication in Corporate Social Responsibility (CSR) Practices: Evaluation Process in Cross-Sector Partnership for Sustainable Development
Authors: Hendrayani Yani , Hashim Nor Hazlina
Published: June 2018

Participatory communication in the effort to reach sustainable development goals can create a relationship among all the stakeholders to develop understanding in the context of language usage, channels, and space to ensure the successful implementation of group discussion between the government, companies, and society in CSR program. This study aims to analyze the participatory communication in the practice of CSR in the form of CSR forum case study. This study uses qualitative approach, which is an in-depth interview with the company and government and conducts focus group discussion by involving communities, program beneficiaries, which consists of the opinion leaders and nongovernmental organization (NGOs). From the result of the analysis in the communication component, there are nine significant basic components to evaluate the success of three sector partnership in achieving sustainable development. This study shows that the communication relationship in the practice of ideal CSR is in line with sustainable development goals.
Determinants of Household Food Insecurity in Kemisse Special Zone: Case Study at Dawachefa Wereda, Ethiopia
Authors: Endris Fentaw Seid , Nura Kaso Teha
Published: June 2018

This study was conducted to explore the determinants of household food insecurity in Dawachefa wereda. To achieve the intended objectives of the study descriptive case study was used by the researchers. The necessary data for this study was collected from primary and secondary sources. In this case, primary data were collected from respondents through interview, focus group discussion and personal observation. On the other hand, secondary sources were collected from books, articles and other literatures. In addition, to select the study areas and resourceful persons the researchers used purposive (judgmental) sampling technique. Accordingly, two kebeles, namely Woledi and Tucha were selected. Consequently, the data gained from respondents through primary and secondary sources was analyzed qualitatively in words (through descriptive manner via triangulations). Furthermore, the finding of this study shows that the natural factors like, environmental crisis, unpredictability of rainfall, soil erosion and socio-economic factors such as traditional practices and farming system, population pressure, poor infrastructure were identified as the determinants of household food insecurity in the study area. The study also found some limitations with regard to lack of good governance issues, incapacity to implementing poverty-focused growth policies in the area. Finally, the study explored some survival strategies used by households to mitigate the impacts of food insecurity.
External Conjunction on the Moses Story in Al-Qu’ran Surah Thaha English Translation
Authors: Kurniawan Dian Cahyo , Nababan M R , Santosa Riyadi
Published: June 2018

This study aims to describe the role of external conjunction on Al-Qu’ran Surah Thaha translated by Marmaduke Pickthall, a British Muslim and Koranic translator in early 19th century. The objective study is the conjunction on the Moses story in Al-Qur’an Surah Thaha. The data source from Al-Qur’an website www.altafsir.com, Jordania. These research method is descriptive qualitative with content analysis. There are 120 data identified as external conjunctions, namely: and (82 data), so (11 data), but (8), then (19 data). All the conjunction are classified based on external conjunctions by Martin and Rose (2003). The findings are: and as adding information or connecting argument; so, but as logical consequences, then as temporal consequences. The results, conjunctions represent a process of adding, comparing, sequencing, explaining the causes between figures, event, idea and things with logical connections. Finally, conjunctions link the ideation in the text as semantic system in discourse and creates cohesion of the story.
A Call for Barriers in Implementation of Education Regulation: The Latest English Textbook as Main Instructional Media in Schools in Indonesia
Authors: Muslaini Fadel , Kristina Diah , Ngadiso Ngadiso
Published: June 2018

Education in Indonesia is much influenced by the implementation of the latest curriculum namely 2013 curriculum with integrated skills approach. The implementation condition must be overseen through time to measure how effective the progress and the result are. To find out the condition, this study involved the teacher and students in the implementation of this issue to find out their perspective and their experience in the real condition of learning process. This paper explores the significant impact of implementation policy in the textbook in Indonesia as the main instructional media applied in the entire country. This study on the other hand tried to reveal the authentic condition in the process of learning and teaching by focusing on English materials. Both quantitative and qualitative methods were used in the process of data collection. This research found many barriers faced by the teacher and students in the policy implementation of textbook in the school as the national sample. The special purposes and the local situation influenced a lot the impact of this country-scale regulation. This study result is expected to provide additional information and evidence to fulfill the aim of the learning process effectively in the future that will be beneficial for authority of education policy, teachers, students, organization, and etc.