bluuebunny/crossref_metadata_2025 huggingface dataset:
Idejno rešenje konzervacije parnih kotlova u termoelektrani
Authors: Obradović Marko , Radić Dejan , Jovović Aleksandar , Todorović Dušan , Karličić Nikola , Stanojević Miroslav
Published: December 2018

Prilikom stavljanja postojećeg postrojenja u stanje trajne konzervacije sa pogonskom spremnošću za dalji rad (kratak ili dug period zastoja) potrebno je sprovesti posebne mere da bi se termoelektrana zaštitila od korozije u zastoju kao i da bi se izbegla pojava posledičnih oštećenja. Mere zaštite (konzervacije) prvenstveno imaju za cilj da se suprotstave koroziji u zastoju. Glavni i odlučujući aspekt za uspešnu konzervaciju je kompletno razmatranje svih sistema i komponenata kao i interakcija između mera konzervacije određenih sekcija što iziskuje detaljno planiranje i monitoring ovih mera. U radu je dato idejno rešenje konzervacije kotla koje se zasniva na vlažnom postupku konzervacije vodeno – parne strane cevnog sistema pomoću hidrazina i suvom postupku konzervacije sa strane dimnih gasova, uz prethodno hemijsko čišćenje kotla, pasivizaciju razmenjivačkih površina, zatvaranje kotla i dodavanje adsorbenta sa gasne strane kako bi se relativna vlažnost vazduha dovela u prihvatljive granice za konzervaciju.
Control of traffic lights for the fast passage of rescue vehicles in action - the need for changes in traffic control in cities
Authors: Olejnik Krzysztof , Łopuszyński Marcin , Nowacki Gabriel , Zakrzewski Bartosz
Published: December 2018

The article discusses the problem of passing emergency rescue vehicles in action in urban areas with intersections controlled by traffic lights. Fast travel is necessary while striving to minimize the possibility of adverse events. Traffic lights at intersections give the opportunity to use it to pave the free road for the passage of a privileged emergency vehicle. The quick change of control signals at the intersection (paving the way) must take into account the limitations resulting from the long stop (and thus long time) of public transport vehicles in public transport. Properly generated advance information will allow (in a way not threatened with injuries to passengers) to stop before crossing the bus, tram, trolley bus. The existing concepts do not take into account the need to generate advance information in traffic lights controllers resulting from the restrictions on the stop of a public transport vehicle. The article presents the concept of introducing advance information during the creation of a free road for a rescue vehicle.
Via Carpathia – a key element of the development of Eastern Poland
Authors: Zakrzewski Bartosz , Nowacki Gabriel , Kopczewski Rafał
Published: December 2018

The article discusses problems related to road transport infrastructure in the Eastern Poland, including the following provinces: Podlasie, the eastern part of Mazovia, Lublin and Podkarpackie, on the example of the S19 ex-pressway running through these provinces, popularly referred to as the “Via Carpathia” route. The arguments are presented that the road infrastructure built on the S19 route is a key factor in the security and economic devel-opment of Eastern Poland, as well as an important element of economic, social and military security of our entire country.
Chosen threats for shipping from sea wind farms
Authors: Herdzik Jerzy
Published: December 2018

Paper discussed the problem of wind farm localization at sea will cause to the threats for shipping and fishing. The wind farm located at sea forms an area with the necessary protective zone limits the access into the area for recreational tourism and water sports. Providing new, artificial water barrier and past building outside the shipping or fishing routes the wind farm creates many threats. It was distinguished direct and additional threats, showing that collisions between vessels and wind farm infrastructure are possible. It is conducted scientific research for estimating the risk of accidents on chosen sea areas between vessels and artificial water obstacles. It was discussed the risk of accidents during wind farm operation process on the statistical data received in three European countries. It is possible decreasing the risk of dangerous situations arising between those objects or decreasing the ships’ collisions effects and consequences if the farm localization is far from shipping routes and progressively better present vessel technical equipment. Undoubtedly presence of the wind farms at sea worsens the shipping safety, constricts the access to some areas but localization the wind farm at sea is a compromise solution (it makes smaller social resistance) allows for the development of wind farms energy production.
The selection of the tail lift parameters
Authors: Tyszkowski Karol , Kneba Zbigniew
Published: December 2018

The article concerns the discussion of a pneumatic tail lift entirely powered by pneumatic devices powered with compressed air from the brake system of truck. The authors try to set up the drive parameters and the size of the engines. For this purpose, a computer simulation of the platform's motion was made on the basis of which the torques of pneumatic engines were determined and the times of falling and lifting.
Persepsi followers @perpuseru terhadap akun instagram PerpuSeru menggunakan teori decoding-encoding
Authors: Adriyana Lasenta , Darumoyo Kuncoro
Published: December 2018

Libraries have used media development as part of the culture to influence people to use the library. An example of the use of media as a means of mediation is the PerpuSeru program. Previously, this program partnered with 34 libraries, but currently, the PerpuSeru program has partnered with more than 400 libraries and reading parks in Indonesia. One of the media used in transferring information is Instagram; PerpuSeru has an Instagram account namely @perpuseru in which various information about the PerpuSeru program is available and the extent to which the program is running. The purpose of this study was to determine the extent of the followers’ perceptions in receiving information provided on the @ perpuseru Instagram by decoding-encoding theory, to examine the extent this theory developed in a media in the present era, and the role the theory played in the media. This study used the descriptive qualitative research method by interviewing some followers of the @perpuseru account. The result found two different views from followers, namely followers with a hegemonic dominant point of view who accepted all the content of information conveyed, and others with a negative perspective who had other considerations in receiving information on the posts of @perpuseru account. However, there were no followers with optional viewpoints. It can be concluded that the two perspectives of @perpuseru Instagram followers are the hegemonic and negative perspective.
THE PHILOSOPHY OF IQRA` ON ISLAMIC EDUCATION
Authors: Hidayat Ahmad Wahyu
Published: December 2018

Islam is a religion that gives great attention to science. Attention is evidenced by the revelation of the first al-Alaq 1-5 are five initial sentences that can build Islamic civilization in the world. In a dynamic society, learn to play a role that determines the existence and development of the society, because education is the effort to preserve, and transfer as well as transforming the values of its kind in all its aspects and to future generations. Based on this background, the researchers will explain the meaning of iqra`, Any verses about iqra`, and how philosophy iqra`. Based on the analysis, researchers concluded that iqra` said in al-‘Alaq verses 1-5: (1) repeated twice in this verse. iqra` first can be interpreted or translated more broadly to understand, analyze, examine, delivering, studying, researching, knowing, and so on which is based the name of God the almighty creator, while iqra` which both describes the benefits, give understanding, can seep into the soul as an attempt to explore and examine the science that has been obtained; (2) ‘allama, human teaching with stationery so teach men to things that are not yet known; and (3) qalam, a tool that can produce a work that can be indoctrinated by a man who could only be done using qalam.
THE COOPERATIVE LEARNING CONCEPT ON QUR’AN
Authors: Zahra Dwi Noviatul , Fasa Muhammad Iqbal
Published: December 2018

Humans are social beings, that means beings who can not live without the help of others. Man as a creature of God, nothing is perfect and could not match his creator. No one man can live alone without the help of others, as rich as any property held. Based on this background, the researchers will present the concept definition ta’āwun? How ta’āwun concepts (cooperatif learning) in the Qur’an? Ta’āwun concept (cooperative learning) in the Koran that the researchers found were in al-Mā`idah verse 2, al-Naḥl verse 125, al-Anfāl verse 73, Al-‘Aṣr verses 1-3, and al-Taubah paragraph 71 which in these verses explain the urgency cooperate in goodness, in this case trying to connect with Islamic education. Ta’āwun (cooperative learning) when applied in the classroom will have some benefits, which can make students to be independent, creative, honing his abilities, cultivate social aspects, which in this case there are three aspects of the cognitive, affective and psychomotor.
ECONOMIC INDEPENDENCE OF PESANTREN: THE STUDY AT PEKALONGAN REGION
Authors: Nasrullah M. , Ismanto Kuat , Nalim Nalim
Published: December 2018

Islamic boarding school or pesantren is often only considered as a conservative Islamic educational institution. In fact, Pesantren has the number of interesting aspects to be deeply apart from studying the religion. As an institution, it involves many parties. The study aims to describe the economic map of Pesantren in Pekalongan region. This research is categorized as a field research using survey. The primary data were collected through questionnaires, interviews, and observations of the 25 Pesantren in Pekalongan region. The validation of data is done through triangulation of data and sources. Pesantren which became the object of this research are Pesantren which had established for at least three years and had a business unit. Based on the description of the research's findings and discussion, it was concluded that almost all Pesantren in Pekalongan region have a business unit. The existing business unit, mostly engaged in trade. The businesses itself is oriented to meet the internal needs of religious school, especially students. Pesantren has the role in determining every type of business unit and corporate governance run by the religious schools. The governance/management of the business unit was run in a simple, not follow the rules of modern business management yet. However, Pesantren have involved students in business management. The operations results of this business unit at least have contributed in boarding operations.
HALAL TOURS AS THE FORM OF ISLAMIC CIVILIZATION PROGRESS (SPECIAL ECONOMIC ZONE MANDALIKA) LOMBOK
Authors: Maulidi Mohammad Jeffry
Published: December 2018

This research found that implementation of da’wah in Halal tourism in Special Economic Zones (KEK) in multicultural on the application of Islamic cultural values through social construction and approach of education Sunnah can improve progress and contribution to society and quality of facilitation of educational development to increase understanding source of human power. This research is a field research with qualitative method used with history and sociological approach. Data collection techniques are done by interviews, observations, and documents. A source of data in this study is the community of tourism actors in the Special Economic Zone of Lombok. This research produces and enhances the application of Islamic cultural values to the improvement of Human Resources and preservation of existing local wisdom, in the Special Economic Zones (KEK) is a pro-business policy from the government in order to accelerate the achievement of national economic development, which aims to accelerate regional development.
DEBT POLICY ANALYSIS AS A MEDIATION OF FINANCIAL DISTRESS PREDICTIONS FOR COMPANIES REGISTERED AT THE JAKARTA ISLAMIC INDEX (JII) IN 2013-2016
Authors: Maudy Witri Aulia , Tanjung Hendri
Published: December 2018

This study aims to determine the effect of Debt Policy (DER) on Financial distress (Altman Z-score Modification) and the influence of Managerial Ownership (MOWN), Dividend Policy (DPR), Profitability (ROA), Liquidity (CR), Company Size (SIZE), to the Debt and Financial distress Policy.  This paper also looks the indirect effect of Debt to Financial distress Policy. The data is analyzed by using path analysis.  Based on the Lisrel output results, the covariance matrix of path model estimation is not statistically different from the sample data covariance matrix. The population in this research is companies, which are registered in JII period 2013-2016.  By judgment sampling technique, only 20 companies are obtained.  Total data of this research is 80 company data. This study finds that debt policy is negatively significant to Financial distress. Managerial ownership and liquidity do not significantly affect debt policy.  Dividend policy, profitability, and company size have no effect on debt policy. On the other hand, Managerial Ownership, Dividend Policy, Profitability and Company Size as a whole affects the Financial distress.  However, simultaneously Managerial Ownership, Dividend Policy, and Company Size are negatively insignificant, while Profitability and Liquidity have a positive effect although not significant to Financial distress company. From the calculation of direct and indirect influence, it is known that the indirect influence is bigger than direct influence.
Analisis Peran Pendampingan Pihak Eksternal Menuju Pengelolaan Hutan Rakyat (Hak) Lestari di Indonesia
Authors: Utami Inggita
Published: December 2018

Sejak 2012, Hutan rakyat di Indonesia dihadapkan pada kebijakan Sistem Verifikasi Legalitas Kayu (SVLK) yang harus diikuti secara wajib. Walaupun hutan rakyat memiliki potensi memasok kayu nasional sebanyak 35%, tetapi secara kelembagaan para kelompok hutan rakyat masih kesulitan dalam mendata seluruh aset yang diperlukan sebagai prasyarat pengajuan sertifikasi. Penelitian ini bertujuan untuk menganalisis pendampingan pihak eksternal dalam sistem sertifikasi dan pengaruhnya terhadap pengelolaan hutan rakyat di Indonesia. Pengumpulan data dilakukan melalui pendekatan kualitatif dan kuantitatif terhadap kelompok tani hutan rakyat dan beberapa stakeholder, seperti pemerintah, penyuluh kehutanan, akademisi, LSM (Lembaga Swadaya Masyarakat), dan industri. Hasil dari penelitian ini adalah LSM merupakan pihak eksternal yang melakukan pendampingan sejak pra hingga paska proses sertifikasi pada 21 responden kelompok tani hutan rakyat yang tersertifikasi. Prioritas utama pendampingan LSM adalah menginventarisasi aset kelompok tani dalam bentuk dokumen sebagai prasyarat pengajuan sertifikasi, menyampaikan informasi terkait seluruh teknis dalam sistem sertifikasi, meningkatkan pengetahuan dan teknis pengelolaan hutan yang lestari, dan menjembatani akses penjualan kayu ke pasar lokal maupun internasional.
EkoSonic Endovascular System for patients with acute pulmonary embolism and contraindication to systemic fibrinolysis
Authors: Visco Emanuele , Adamo Marianna , Locantore Elisa , Fiorina Claudia , Chizzola Giuliano , Branca Luca , Abbenante Alessandro , Castiello Assunta , Metra Marco , Curello Salvatore , Ettori Federica
Published: December 2018

Aims

The aim of this study was to evaluate the safety and efficacy of the EkoSonic Endovascular System (EKOS) in patients with acute pulmonary embolism (APE) at high or intermediate-high risk and contraindication to systemic fibrinolysis.

Methods

This is a retrospective study including consecutive patients admitted due to high-risk or intermediate-high-risk APE and treated by EKOS because of an absolute or relative contraindication to systemic fibrinolysis. The primary efficacy end-point was the change from baseline to 72 h in right to left ventricular dimension ratio [right ventricular/left ventricular (RV/LV) ratio]; pulmonary embolic burden using the Qanadli Index; and systolic pulmonary arterial pressure (SPAP). The primary safety end-point was the occurrence of bleeding (GUSTO classification) within 72 h.

Results

Eighteen patients (5 men, 13 women; mean age 74 ± 12.7 years) affected by high-risk APE (n = 5; 27.8%) or intermediate-high-risk APE (n = 13; 72.2%) were included. A significant reduction of mean RV/LV ratio (1.38 ± 0.3 vs. 0.97 ± 0.16; P < 0.0005); Qanadli Index [27.06 ± 2.6 vs. 18.8 ± 7.8 (P < 0.001) and SPAP (71.1 ± 12 vs. 45.2 ± 16 mmHg; P < 0.001)] was observed within 72 h after EKOS. Five bleeding events occurred: one fatal and four moderates; three out of them led to the access site hematoma, two due to pre-existing active bleeding.

Conclusion

EKOS is an effective tool to treat patients with APE at high or intermediate-high risk and contraindication to fibrinolysis. It is a relatively safe therapy considering the critical conditions and high bleeding risk of the receiving population.
Strategy-specific durability of mitral valve repair through the video-assisted right minithoracotomy approach
Authors: Agnino Alfonso , Antonazzo Andrea , Albano Giovanni , Panisi Paolo , Gerometta Piersilvio , Piti Antonino , Anselmi Amedeo
Published: December 2018

Aims

We sought to analyze the early and follow-up results of minimally invasive video-assisted mitral valve repair. With particular focus on degenerative disease, results were stratified according to type of lesion, strategy of repair and surgical technique.

Methods

We retrospectively built a database over 241 patients who received mitral repair for severe regurgitation through right minithoracotomy in the 2009–17 period. Cause was degenerative in 92.1%, restrictive in 5.8% and mixed in the remainders. Clinical and echocardiographic follow-up (98.7% complete, average duration 2.9 years ± 1.4) was obtained through contact of in-house and territorial cardiologists. Recurrent mitral regurgitation at follow-up was defined as being at least mild-to-moderate (2+).

Results

Operative mortality was 1.7%, and related to the technique in one case. Five-year actuarial survival was 95% ± 2; there was no valve-related death and one reoperation. At follow-up, we observed eight cases of 2+ regurgitation and one instance of 4+ regurgitation (4-year actuarial freedom: 92% ± 4). Freedom from recurrent regurgitation was significantly lower in the ‘restrictive’ subgroup vs. the ‘degenerative’ subgroup (P = 0.02); no statistically significant difference in freedom from recurrence was observed among patients who received mitral repair using a ‘resect’ vs. ‘nonresection’ strategy (P = 0.46), and in those who received the Totally Endoscopic technique (endoaortic balloon occlusion, no costal spreading) vs. controls (external aortic clamp, costal spreading) (P = 0.98).

Conclusion

Durability of minimally invasive mitral repair is optimal. Nonresection repair techniques are at least noninferior to previous approaches based on leaflet resection.
Left-Sided Portal Hypertension: A Case Series
Authors: Darmawan Guntur , Andini Dinda , Agustanty Nenny
Published: December 2018

Left-sided portal hypertension is rarely found, but this condition may cause gastrointestinal tract bleeding and can be life-threatening. The exact incidence of left-sided portal hypertension is unknown as it is rarely found, approximately 1-5%, and most cases were misdiagnosed. We reported 3 cases of left-sided portal hypertension in male patient aged 34 years old, female patient aged 29 years old, and  female patient aged 35 years old. Most diagnosis was made based on the clinical findings by excluding the diagnosis of cirrhotic portal hypertension. Splenic vein angiography remains the gold standard in diagnosing left sided portal hypertension. Left-sided portal hypertension is difficult to differentiate from cirrhotic portal hypertension because in these both abnormalities, varices can be present. Left-sided portal hypertension can be considered as a diagnosis in patient with upper gastrointestinal tract bleeding due to oesophageal varices, gastric varices, or portal hypertension gastropathy, accompanied with hypersplenism without the presence of hepatic abnormality or cirrhosis.
Perendoscopic Placement of Palliative Stent for Obstructive Jaundice Caused by Head of Pancreas Malignancy in Dr Moewardi General Hospital-Surakarta
Authors: Darmayani Aritantri , Pramana Triyanta Yuli , Kusnanto Paulus
Published: December 2018

Pancreatic cancer is difficult to diagnose in early stage. Malignant bile duct obstruction is a severe complication of pancreatic cancer, which can lead to poor outcomes including cholangitis, delayed treatment, reduced quality of life, and increased mortality. Perendoscopic placement of stents is a method widely used in the management of various malignant and benign pancreatico-biliary abnormalities. A 70-year-old woman came to Dr Moewardi General Hospital in Surakarta with the chief complaint of yellowish skin and eyes since one month before hospital admission. Patient was diagnosed with obstructive jaundice due to suspected of advanced stage pancreatic cancer. Subsequently, patient underwent endoscopic retrograde cholangiopancreatography (ERCP) which revealed an intrahepatic and extrahepatic bile ducts dilatation due to pancreatic tumor which infiltrated common bile duct, thus self expandable metallic stent (SEMS) placement was performed. Furthermore, patients received palliative therapy due to inadequate chemotherapy requirement.
Signet-Ring Cell Carcinoma of the Ampulla of Vater
Authors: Siregar Lianda , Loho Imelda M , Waspodo Agus Sudiro , Rejeki Dwi Sri , Firsyada Fajar , Swadari Rahmanandika , Nandika Getty Inash , Siregar Muhammad Iqbal
Published: December 2018

Signet-ring cell carcinoma (SRCC) of the ampulla of Vater is a very rare case and only 28 cases have beed reported in the English literature. Herein, we report a 59-year-old woman with SRCC of the ampulla of Vater. She developed symptoms of obstructive jaundice at early stage of disease and underwent pylorus-preserving Whipple procedure as definitive treatment. Histopathology examination showed numerous tumor cells with intracytoplasmic mucin and eccentric nuclei. Her tumor has already invaded the serosa of duodenum, but no infiltration to the stomach, pancreas, and lymphovascular structure. Her surgical margins and regional lymph nodes were free of tumor. She was diagnosed with T2N0M0 (stage IB) SRCC of the ampulla of Vater. No adjuvant treatment was given and she has been doing well for five months after surgery.
First Year Gastrointestinal Endoscopy Profile in Singkawang West Borneo 2017 – 2018
Authors: Frandy Frandy , Mondrowinduro Prionggo
Published: December 2018

Background: Gastrointestinal endoscopic examination which is included in the referral system of the Badan Penyelenggara Jaminan Sosial (BPJS) has been available at St Vincentius Hospital Singkawang and already been conducted by internist since March 2017 to diagnose upper and lower gastrointestinal diseases. The gastrointestinal endoscopic examination unit serves referrals from Singkawang and its 3 surrounding districts (Sambas, Bengkayang, and Mempawah) that close to the Malaysian border. The purpose of this study is to determine the patients’ profile from Singkawang, Sambas, Bengkayang, and Mempawah Districs who underwent gastrointestinal endoscopic examination at St Vincentius Hospital from March 2017 to April 2018.Method: This is a retrospective descriptive study by using secondary data of patient’s  medical records at St Vincentius Hospital Singkawang in March 2017 - April 2018. Every patient is included as a sample (total sampling). Total numbers are consisted of 308 patients including 230 esophagogastroduodenoscopies and 78 colonoscopies.Result: The results of this study showed that majority of patients were more likely to undergo esophagogastroduodenoscopy (EGD) (75%) than colonoscopy (25%). Males, age group of 51-70 years old and Malay ethnic are the groups of patients who have the most upper and lower gastrointestinal disorders. The prominent finding of esophagogastroduodenoscopy was erosive gastritis (64%), whereas internal hemorrhoids was the most common finding in colonoscopy (67%); if internal hemorrhoids was excluded, colon mass became the most common finding disorder.Conclusion: Patient were mostly male, age group between 51 – 70 years old and Malay. The most common finding in colonoscopy (67%); if internal hemorrhoids was excluded, colon mass shifted forward  as the top finding disorder.
Sedation in Gastrointestinal Endoscopy
Authors: Axel Benvenuto , Simadibrata Marcellus
Published: December 2018

Sedation helps patients to tolerate uncomfortable gastrointestinal endoscopy procedures by relieving anxiety and pain. It also decreases a patient’s risk of physical injury during gastrointestinal endoscopy procedures while providing the endoscopist with a good environment for an optimum examination. Not all sedation in gastrointestinal endoscopy is managed by an anesthesiologist. Using sedation has increases risk of cardiopulmonary complications. Therefore, sedation is an important part in gastrointestinal endoscopy to learn. This review will focus on basic pharmacology of sedatives and analgesic, common used drugs in sedation (Propofol, Midazolam, Fentanyl), and their use in gastrointestinal endoscopy.
Colorectal Cancer: Epidemiological Trends, Screening, and Inheritability
Authors: Paramita Isabela Andhika , Maulahela Hasan , Winston Kevin
Published: December 2018

Colorectal cancer is one of the most common cancer worldwide. The incidence and mortality trend in different areas of the world varies. Colorectal cancer incidence and mortality are increasing in some countries. There are also epidemiological shift towards younger age  (below 40). Most common non-invasive screening tests are fecal immunochemistry test (FIT) and fecal occult blood test (FOBT). Both have good sensitivity. The best invasive method for colorectal screening is still colonoscopy. Hereditary colorectal cancer is an important factor in younger age colorectal cancer. Familial adenomatous polyposis and Lynch syndrome are most common hereditary CRC. In familial or hereditary CRC, the chance of developing the cancerous form of the disease is nearly inevitable. Genetic testing may benefit the patients and their future progenies.
Acute Cholangitis: An Update in Management Based on Severity Assessment
Authors: Christeven Robert , Frandy Frandy , Andersen Andersen
Published: December 2018

Acute cholangitis (AC) is a biliary tract emergency which causes significant morbidity and mortality. The direct cause of death in AC is sepsis that leads to irreversible shock and multiple organ failure. The most common predisposition are bile duct stones and previous invasive manipulation of the biliary tree. Biliary infection and biliary obstruction are the two main factors in pathophysiology of AC. Gram-negative bacteria are isolated frequently from bile and blood culture in cholangitis. The most common cause of biliary obstruction is gallstone.The Charcot’s triad which commonly has been used to diagnose AC is severely limited and the clinical presentation of the disease has wide spectrum ranging from mild symptoms to severe life-threatening disease. Thus, the use of the most updated Tokyo Guidelines (TG18) is imperative to diagnose the disease and to assess the severity. The TG18 diagnostic criteria is based on the presence of systemic inflammmation, cholestasis, and evidence on imaging studies of biliary tract. The prompt treatment is tailored according to severity assessed by TG18. Initial treatment includes sufficient fluid replacement, hemodynamic control, electrolyte compensation, intravenous antibiotic administration, and intravenous analgesic administration.  The definitive treatment which related to the pathophysiology of the disease are biliary drainage and antibiotic administration.
Nutritional Support in Critically Ill Patients
Authors: Selfie Selfie , Simadibrata Marcellus
Published: December 2018

Critically ill patient is at risk of malnutrition. The aim of nutritional support is to prevent malnutrition and its complication, and also fulfill macro- and micronutrient, reduce nitrogen deficit, and improve inflammaroty response. In critica patient with stable hemodynamic, enteral nutrition should be started early at 24-48 hours while patient not in ebb/resuscitation phase. Parenteral nutrition is not recommended in the first 24 hours of ICU care if enteral feeding is feasible. Parenteral nutrition is considered after 5-7 days, except poor enteral condition. Delay of parenteral nutrition for 7 days reduce risk of infection, increase recovery time, and reduce cost. On the first day, calorie should reach one third of actual need, increased to half to two third on second day, and full calorie on the third day. Total calorie need is 25-35 kcal/ideal bodyweight. Source of calorie is 60-70% carbohydrate and 30-40% lipid. Daily fluid need is 30-40 mL/kgBW/day or 1.0 – 1.5 mL/kcal calorie intake. Several important micronutrients to fulfill is sodium, potassium, calcium, phosphate, and magnesium. Three main consideration of nutritional support is route, type of formula, and when to start nutritional support.
Case Report: A 31-year-old Post Cesarean Section Women with Intrahepatic Cholestasis of Pregnancy and Post Partum Bell’s Palsy
Authors: Mustika Syifa , Tarigan RC
Published: December 2018

Intrahepatic cholestasis of pregnancy (ICP) is cholestasis condition characterized by pruritus, elevated serum aminotransferase and bile acid levels with onset in the second or third trimester of pregnancy. Estimated of ICP prevalence only 0.001% to 0.3%. Bell's Palsy is a neurological disorder that causes facial muscles on one side of the face to suddenly weaken or become paralyzed. Bell's Palsy is more common in young adults, older people, diabetics and pregnant women. A 31-year-old women with major complaint is yellow eyes. She got itching  in all over the body. Patient was in second pregnancy with gestational age was 39-40 weeks. She suffered from unable to close her eyelid or blink. Patient was diagnosed with cholestasis intrahepatal in pregnancy and Bell’s palsy post partum. Diagnosis was established concluded from anamnesis, physical examination and hepar biopsy. The result of a liver biopsy showed intrahepatic cholestasis. From Fibroscan examination was visible with F2 category or Moderate Fibrosis. The main management of this patient is cesarean section with UDCA and corticosteroid therapy. Patient was administrated with antiviral therapy for her Bell’s Palsy condition. After 1 week hospitalization, patient was discharged with improvement of her major complaint.
Firat Üniversitesi Çalişanlarinin Süt ve Süt Ürünleri Satin Alma Tercihleri
Authors: GÖKHAN Emin Ertan , ARIKAN Mehmet Saltuk
Published: December 2018

Bu çalışmada Fırat Üniversitesi çalışanlarının
süt ve süt ürünleri tüketim yapısının ve bu ürünleri satın almada tercihlerinin
belirlenmesi amaçlanmıştır. Çalışma materyalini 2015-2016 eğitim-öğretim
yılında Fırat Üniversitesi’nde görev yapan ve araştırmaya katılmayı kabul eden
128 akademik ve personelle yüz yüze yapılan anket uygulamasından elde edilen
veriler oluşturmuştur. Gruplar arasında yapılan istatistiksel
karşılaştırmalarda tek yönlü varyans analizi ve gruplar arası farkın önem
kontrolünde post hoc test olarak Scheffe testinden yararlanılmıştır. Çalışmaya
katılanların %56.25’i haftada bir kez süt ve süt ürünleri satın aldığı, %60.94’ü
sütü üreticiden satın aldığı tespit edilmiştir. Süt ve süt ürünlerini satın
almada; güvenirlik, katkısız olması, ambalaj ve üretim yerinin bilinmesi
kriterleri ile eğitim düzeyi arasında ve süt ve süt ürünleri satın almada göz
önünde bulundurulan tüm kriterler ile aylık gelir düzeyi arasında istatistiksel
farklılık olduğu belirlenmiştir (P<0.05). Sonuç olarak katılımcıların işlenmiş
ambalajlı markalı süt ve süt ürünlerini, günlük açık süt ve süt ürünlerine göre
daha cazip bulduğu diğer taraftan süt ve süt ürünleri tüketim tercihlerinde
üniversite çalışanlarında eğitim ve gelir düzeyinin etkili olduğu tespit
edilmiştir.
Otitis Eksternali Köpeklerden İzole Edilen Fungal Etkenler
Authors: ŞAHAN YAPICIER Özlem , ŞABABOĞLU Ezgi , KAYA Mehmet , ÖZTÜRK Dilek , PEHLİVANOĞLU Faruk , TÜRÜTOĞLU Hülya
Published: December 2018

Bu makalede, 2014-2018 yılları arasında Mehmet Akif Ersoy Üniversitesi Veteriner Fakültesi Mikrobiyoloji Laboratuvarına otitis eksterna şüpheli köpeklerden alınarak gönderilen 205 kulak sıvabı örneğinin mikolojik kültür sonuçları değerlendirildi. İncelenen 205 kulak sıvabından 42 (% 20,48)Candida sp., 27 (%13,17) Malassezia sp., 2 (% 0,98) Microsporum sp., 2 (% 0,98)Aspergillus sp. ve 2 (% 0,98)Mucor sp. izole edildi.Örneklerin 21 (% 10,24)’inden Candida sp.ve 14 (% 6,83) ’ünden Malassezia sp. saf kültür halinde izole edilirken, 21 (% 10,24) örnekte Candida sp. 13 (% 6,34) örnekte Malassezia sp. başta koagülaz pozitif stafilokok (Staphylococcus aureusve Staphylococcus intermedius) olmak üzere Pseudomonas sp., Proteus sp., Streptococcus sp.,Corynebacterium sp. ve koagülaz negatif stafilokok gibi bakteriler ile birlikte izole edildi.Sonuç olarak, köpeklerde otitis eksternaya yol açan en yaygın fungal etkenlerin Candida sp. ile Malesseziasp. olduğu ve tedavi öncesi dış kulak kanalından alınan sıvap örneklerinin mikolojik muayenesinin faydalı olacağı kanısına varıldı.
Meningkatkan Motivasi dan Hasil Belajar Mata Pelajaran Fisika Materi Suhu dan Kalor Melalui Pembelajaran Kooperatif Tipe Jigsaw
Authors: Pamungkas Sigit
Published: December 2018

Tujuan penelitian ini adalah meningkatkan motivasi dan hasil belajar fisika materi suhu dan kalor melalui proses pembelajaran kooperatif tipe jigsaw pada siswa kelas XI TITL 3 SMK N 1 Warureja. Penelitian ini termasuk penelitian tindakan kelas yang terdiri dari dua siklus. Pengumpulan data menggunakan teknik tes dan nontes. Teknik tes digunakan untuk mengetahui hasil serapan pengetahuan setelah tindakan. Sedangkan teknik nontes digunakan untuk mengumpulkan data perubahan minat dan aktivitas siswa. Hasil penelitian menunjukkan adanya peningkatan kualitas dalam proses pembelajaran. Peningkatan kualitas tersebut dibuktikan dengan proses pembelajaran yang makin lancar pada siklus II dan suasana kelas yang makin kondusif.. Disiklus I tingkat aktifitas kelas dari 63,33 % meningkat menjadi 93,33 % pada siklus II.  Dari hasil angket menyatakan tujuh siswa (23%) setuju disiklus I dan meningkat menjadi 27 (90%) siswa menyatakan setuju disiklus II. Di siklus I tingkatan ketuntasan belajar sebesar 43,33 %  menigkat menjadi 80 % di siklus II.
The Application of Utility in Indonesia Based on the Principles of Utilitarianism
Authors: Agustina Arlene , Clarista Livia
Published: December 2018

Utilitarianism is a principle claiming that the greatest amount of happiness is an end that should exclusively guide all actions of both government and individuals. The fact that people value happiness is considered to be morally right. This principle is pursued by Jeremy Bentham, who believes that the two sovereigns in life are pleasure and pain. It holds an important aspect in law enforcement since it sees what will benefit people the most as the main discussion. Even though there is still some party that opposes or overlooks this view, especially in Indonesia, writers believe that utility is the powerful principle that cannot be set aside. It is needed to be seen as an important aspect on law enforcement so that it can bring happiness and satisfaction to the society.   Keywords: Utility, Happiness, Moral, Utilitarianism, Society.
La importancia de otros elementos de la didáctica de la música
Authors: Muñoz Juan Rafael Muñoz
Published: December 2018

La realidad educativa actual está haciendo que la Didáctica de la Música no deba ocuparse solamente de cómo enseñar capacidades y contenidos musicales, sino que, además, reflexione sobre todos y cada uno de los aspectos que habitualmente inciden en los procesos de enseñanza y aprendizaje de esta materia en el aula. Junto al cuidado de una adecuada selección de las actividades y la gestión de los aspectos organizativos que son necesarios para su desarrollo, cada vez es más importante considerar las relaciones humanas entre el alumnado, y entre el alumnado y el docente. Dentro de ese ámbito, también se debe contemplar el tratamiento de los valores y las emociones presentes en la actividad musical. En todo ello, adquiere una especial relevancia la figura de una maestra o un maestro con una completa formación musical y didáctica, pero al mismo tiempo con una mayor capacidad creativa y un mejor gestor de la dimensión humana de la enseñanza.
A produção da mulher ideal no filme Ela: Questões sobre gênero e performatividade no cinema
Authors: Darsie Camilo , Hillesheim Betina , Weber Douglas Luís , Rosa Rita de Cássia Quadros da
Published: December 2018

O objetivo do presente estudo é problematizar os discursos relacionados ao perfil da “mulher ideal” no filme Ela (Her). A produçãoapresenta o drama vivido por Theodore, um homem cuja rotina se divide entre trabalho, lembranças de seu casamento, incursões na internet e encontros com seus poucos amigos. Theodore adquire em seus computadores um Sistema Operacional de Inteligência Artificial, que é capaz de interagir com o usuário por meio da fala e da compreensãode sentimentos diversos. Assim, ele conhece Samantha, ou seja, uma voz feminina capaz de interagir com o usuário. Partindo disto, no texto é problematizada a produção e reprodução de discursos relacionados ao perfil da “mulher ideal”,  tomando como pressupostos teóricos os estudos de gênero na perspectiva pós-estruturalista e suas ressonâncias no campo da Educação.Para a problematização dos discursos a respeito da mulher ideal representado apresentada na figura de Samantha, foram utilizadas as ferramentas foucaultianas de análise discursiva. Destaca-se que, apesar de o filme nos mostrar promessas relacionadas ao uso da tecnologia, como forma de contornar a solidão é na significação de uma postura de mulher atenciosa e compreensiva que a trama educasobre a “melhor” maneira de ser mulher. A relevância do tema centra-se na necessidade de colocar em discussão as características fixas, inferiorizantes e excludentes que delineiam a feminilidade ideal, sobretudo em um contexto social e político no qual estas discussões correm o risco de serem silenciadas.
Sequências didáticas, tecnologias e aprendizagem de língua portuguesa na escola de ensino médio
Authors: Ferreira Edna Maria de Oliveira , Muniz Dinéa Maria Sobral , Oliveira Júnior Osvaldo Barreto
Published: December 2018

Este trabalho resulta de experiência em que, a partir da leitura do conto Felicidade Clandestina, de Clarice Lispector, na educação profissionalizante integrada ao ensino médio,buscou-se viabilizar a enunciação de discursos e potencializar outros usos sociais da linguagem, ampliando os espaços de aprendizagem. Para tanto, elegeu-se a Sequência Didática (SD), conforme propõem Dolz e Schneuwly (2004) para debater sobre o enredo do conto, a narrativa, impressões pessoais e valores morais, como forma de colaborar na formação humanística de cada discente, e como mote para a produção do gênero textual resenha crítica. Os alunos dos primeiros anos do ensino médio tiveram acesso ao texto e iniciaram um debate que se seguiu com mais intensidade via grupo de leitura, criado no Facebook para essa finalidade. Observou-seintensa participação e envolvimento dos alunos nesse tipo de atividade, uma vez que ela assegura espaços de participação ativa, dando voz aos alunos, além de oportunizar, posteriormente, discussões coletivas em sala de aula.
Liberdade, igualdade e democracia: o ideário republicano e a educação das mulheres no início do século XX no Brasil
Authors: Oliveira Loraine Lopes de , Martiniak Vera Lúcia
Published: December 2018

O presente artigo tem como objetivo apresentar uma reflexão acerca da influência dos ideais liberais na educação das mulheres no contexto da Primeira República brasileira (1889-1930). A pesquisa, de caráter bibliográfica, fundamenta-se em livros, artigos e publicações científicas que apresentam reflexões diante do tema proposto neste estudo. A discussão aqui apresentada prioriza a relação da educação com os fatores econômicos, políticos e sociais, já que se compreende que o objeto de pesquisa não pode ser entendido como uma situação isolada. Constatou-se que os ideais liberais influenciaram o discurso de que a educação seria para todos, entretanto, a entrada das mulheres nesse campo, se deu de forma lenta e distinta. A República não visava a emancipação econômica, política e nem o pleno desenvolvimento feminino.
Flying Height Optimization for Unmanned Aerial Vehicles in Cellular - Flying Adhoc Network
Authors: Ngo Quynh , Dang Duc Ngoc Minh , Tran Khoa Anh
Published: December 2018

In Flying Adhoc NETwork (FANET), the communications between Unmanned Aerial Vehicles (UAV), UAVs to infrastructure, and UAVs to wireless sensors are crucial design factors. With strict energy constrain during flying operation, the allocation of power and resources, the flying strategy, and the medium access mechanism shall be effectively used. When employing cellular network as backhaul for UAVs, the flying height of UAVs not only affects the communication between UAVs and end users on the ground, but also determines the reception between infrastructure (base stations from the cellular network) to UAVs. In this paper, we optimize the flying height of UAVs for better reception from the cellular network by using stochastic geometry analysis to model the aggregated interference at the UAV side. The network system performance is also examined under the effect of fading-less channel and Rayleigh fading channel.This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium provided the original work is properly cited.
EVALUASI PENANGGULANGAN KICK MENGGUNAKAN METODE DRILLER, WAIT & WEIGHT, DAN CONCURRENT PADA SUMUR X LAPANGAN Y
Authors: Hamid Abdul
Published: December 2018

Dalam operasi pemboran sering dijumpai adanya problem atau masalah yang menghambat jalannya operasi pemboran sumur tersebut.Salah satu hambatan yang terjadi pada operasi pemboran sumur X di lapangan Y adalah adanya influx berupa gas yang menyebabkan terjadinya kick. Usaha menanggulangi kejadian kick tersebut memerlukan biaya, waktu, dan tenaga serta akan menghambat penyelesaian sumur, yang dapat meningkatkan biaya pemboran dari yang telah direncanakan.Pada proses pengeboran sumur X yang terletak di lapangan Y mengalami beberapa masalah yang diantaranya adalah terjadinya kick pada kedalaman 5138 ft. Hal tersebut terindikasi dari adanya gas influx yang tercatat oleh mud logger di permukaan, dengan total gas influx yang tercatat sebesar 770 unit. Selain tercatatnya gas influx, di mud pit juga tercatat adanya pertambahan lumpur sebanyak 23 bbl. Kejadian tersebut terjadi pada saat menembus lapisan Formasi Upper Ujoh Bilang. Setelah diketahui secara pasti kondisi ini, maka secepatnya harus ditanggulangi agar tidak terjadi blow out. Pada penulisan tugas akhir ini, metode penanggulangan kick yang akan dibandingkan pada sumur X adalah metode driller, metode wait & weight, dan metode concurrent.Setelah dilakukannya analisa dan perhitungan dari data dilapangan ditemukan hasil dengan menggunakan metode driller membutuhkan waktu yang paling lama sedangkan dengan menggunakan metode wait & weight dan metode concurrent membutuhkan waktu yang lebih cepat. Akan tetapi dari hasil analisa kelebihan dan kekurangan ditetapkan bahwa metode concurrent lebih efektif dan efisien dibanding kedua metode yang lainnya.
Evaluasi Kegiatan Pengasaman Matriks Pada Sumur A Di Lapangan Panas Bumi SG
Authors: Kustono Bambang , Yanti Widya
Published: December 2018

Pada lapangan panas bumi, terutama yang berjenis dominasi air, salah satu permasalahan yang cukup sering dihadapi adalah berkurangnya produktivitas sumur akibat terjadinya scaling atau jenis kerusakan formasi lainnya. Untuk mengatasi permasalahan kerusakan formasi, umumnya dilakukan metode-metode stimulasi reservoir pada lapangan. Salah satu metode stimulasi reservoir yang cukup sering digunakan pada lapangan panas bumi untuk memperbaiki produktivitas sumur adalah pengasaman matriks.Pengasaman matriks dilakukan pada sumur “A” dikarenakan nilai II (Injectivity Index) sumur yang jauh lebih rendah daripada II sumur-sumur di sekitarnya. Kondisi ini menunjukkan keberadaan konten penyebab kerusakan formasi pada lubang sumur. Berdasarkan hasil analisa profil tekanan dan temperatur, diputuskan untuk melakukan pengasaman matriks pada dua buah feedzone di sumur “A”.Evaluasi kinerja pengasaman matriks dilakukan menggunakan analisa deliverability curve untuk menghitung nilai perolehan uap serta MDP sumur. Program asam yang paling layak untuk dilakukan berdasarkan analisa deliverability curve adalah program asam 120 gal/ft (9% HF). Program asam ini dapat meghasilkan perolehan uap sebesar 92 kph dan nilai MDP sebesar 147.2 psi. Berdasarkan evaluasi keekonomian, program asam ini juga menghasilkan nilai ekonomis yang paling baik sehingga dipilih sebagai program asam yang paling tepat untuk digunakan.
PERHITUNGAN PENURUNAN TEKANAN FLUIDA MULTIFASA PADA TUBING PRODUKSI DAN OPTIMASI PRODUKSI DENGAN PEMASANGAN POMPA ESP
Authors: Tamsil Mukmin
Published: December 2018

Masalah penurunan tekanan pada tubing produksi dengan elevasi tertentu menjadi topik yang perlu diketahui dalam teknik perminyakan. Pada penelitian ini akan membahas korelasi multifasa yang sesuai untuk menentukan besarnya penurunan tekanan pada tubing produksi, sehingga dapat digunakan untuk optimasi produksi di masa yang akan datang.Optimasi produksi dilakukan dengan tujuan memperoleh laju alir yang lebih besar dibandingkan laju alir saat ini.Optimasi tersebut dilakukan dengan pemasangan pompa ESP pada sumur yang dilakukan pengujian.Untuk menentukan korelasi multifasa yang sesuai dalam penentuan besarnya penurunan tekanan yang terjadi dilakukan dengan membandingkan keadaan aktual dengan hasil perhitungan korelasi fluida multifasa secara simulasi.Hasil korelasi tersebut hanya sebagai pembanding dengan keadaan aktual.Dalam penelitian ini korelasi yang digunakan yaitu korelasi Beggs and Brill, Murkejee and Brill, Hagedorn and Brown, serta Korelasi Duns and Ros.Melalui hasil yang diperoleh dari perhitungan korelasi fluida multifasa, maka selanjutnya digunakan untuk perhitungan pemasangan pompa ESP pada sumur yang dilakukan pengujian. Perhitungan aliran fluida multifasa sangat dipengaruhi oleh sifat-sifat fisik fluida yang berhubungan dengan tekanan dan temperatur, sehingga diperlukan perhitungan dengan
PERENCANAAN CASING PADA SUMUR NANO-27 LAPANGAN CLEO SERAM
Authors: Aboekasan Widrajat , Thouriq Ziad
Published: December 2018

Perencanaan casing dalam suatu kegiatan pemboran merupakan salah satu aspek yang penting.Hal ini disebabkan casing yang dipasang harus selalu berada pada tempat kedudukannya, baik selama kegiatan pemboran berlangsung maupun pada saat masa produksi.Tujuan dari perencanaan casing adalah untuk mendapatkan ukuran casing yang tepat, dimana secara teknis cukup kuat untuk menahan gaya-gaya yang terdapat di dalam lubang bor.Perencanaan casing pada sumur Nano-27 lapangan Cleo menggunakan metode korelasi dan evaluasi dari sumur di sekitarnya (offset well) dengan ketentuan, formasi yang ditembus sama. Dengan penembusan formasi yang sama, maka diprediksikan akan terjadi masalah yang sama. Pada perencanaan casing sumur ini juga memperhitungkan tekanancollapse, burst, dan tension dengan menggunakan metode maximum load.Tekanan tersebut akan mempengaruhi kekuatan casing pada saat pemasangan dan selama proses produksi berlangsung.Rangkaian casing yang didapat untuk sumur Nano-27 lapangan Cleo terdiri dari, conductor casing pada kedalaman 400 ft, surface casing pada kedalaman 1800 ft, intermediate casing pada kedalaman 5400 ft, production casing pada kedalaman 6280 ft, dan production liner diset pada kedalaman 7000 ft dengan top of liner 6080 ft.