bluuebunny/crossref_metadata_2025 huggingface dataset:
Upper Gastrointestinal Endoscopy as Diagnostic Test for Detection of Gastric Malignancy in Sanglah Hospital Denpasar
Authors: Koncoro Hendra , Primadharsini Putu Prathiwi , Indrayani Luh Putulin , Nyoman Wibawa I Dewa
Published: April 2017

Background: Gastric malignancy is the third most common cause of cancer-related death in the world. Upper gastrointestinal (UGI) endoscopy for detection of gastric malignancy has been used widely in Indonesia. This study aimed to determine the prevalence of gastric malignancy and diagnostic value of UGI endoscopy in detection of gastric malignancy in Sanglah Hospital, Denpasar.Method: A retrospective study on patients undergoing UGI endoscopy in Endoscopy Unit of Sanglah Hospital Denpasar between January 2012 and December 2014 was conducted. Endoscopical and histological diagnosis were documented. The diagnostic test of endoscopic diagnosis were conducted by showing its sensitivity, specificity, positive predictive value, negative predictive value, and accuracy.Results: One thousand and sixty eight patients with upper gastrointestinal symptoms were subjected to endoscopy between January 2012 and December 2014. Of the 1068 cases, 39 patients were suspected for gastric malignant lesions on UGI endoscopy. During the study period, histopathologically-confirmed gastric malignancy was found in 2.72% patients. The sensitivity, specificity, positive predictive value, negative predictive value, and accuracy of UGI endoscopic diagnosis for these neoplastic lesions were 100%, 99.04%, 74.36%, 100%, and 99.06%, respectively.Conclusion: The prevalence of gastric malignancy was higher compared to western countries. Endoscopy is important as diagnostic tool in patients with suspicion of gastric malignancy. Greater suspicion in clinical judgment and carefulness in excluding malignancy through one histopathology negative findings need to be done to reduce the number of misdiagnoses of gastric malignancy.
The Difference of Gastric pH in Dyspepsia Patients With or Without Type 2 Diabetes Mellitus
Authors: Anam Ilum , Syam Ari Fahrial , Harbuwono Dante Saksono
Published: April 2017

Background: Dyspepsia syndrome often experienced by patients with diabetes mellitus (DM). Gastric acid is one of the aggressive factors of syndrome dyspepsia and peptic ulcers. This study aims to find the difference of gastric pH in dyspepsia patients with DM and without DM, and also to determine whether there is any correlation between gastric pH with proteinuria and hemoglobin A1c (HbA1c).Method: Two groups of patients consisted of 30 patients with DM and 30 patients without DM. Basal gastric pH of each group counted. Basal gastric pH was measured by inserting electrode catheter into the stomach for 30 minutes and then recorded on PH Metri brand Digitrapper pH-Z. Complication of DM was measured by microalbuminuria, while blood sugar control was measured by HbA1c. Chi-square test was done to look for difference of gastric pH between the diabetic patients group and non-diabetic patients group, by first determining the point of intersection with receiver operating characteristic (ROC) analysis. Correlation test between basal gastric pH with microalbuminuria and HbA1c were done.Results: Basal gastric pH in dyspepsia patients with DM vs. dyspepsia patients without DM was 2.30 ± 0.83 vs. 2.19 ± 0.52. With the Chi-square test, there is a significant difference between the diabetic patients group and non-diabetic patients group. With the correlation test between gastric pH and microalbuminuria was found r = 0.47 and p 0.05, whereas the correlation test between gastric pH and HbA1c was found r = 0.59 and p 0.05.Conclusion: There is a significant difference between basal gastric pH in diabetic dyspepsia patients and non-diabetic dyspepsia patients. There is a correlation between basal gastric pH and microalbuminuria, whereas there is no correlation between basal gastric pH and HbA1c.
Palliative Stenting With or Without Radiotherapy for Inoperable Esophageal Carcinoma
Authors: Utami Yaldiera , Fauzi Achmad
Published: April 2017

Aim: to evaluate the comparison of palliative treatment using esophageal stenting alone or in combination with radiotherapy.Method: Patient/problem, intervention, comparison, and outcome (PICO) system were used. We conduct a searching in PubMed site. The next process was selection by reading all articles (10 articles). There were 9 articles excluded from analysis. We finally choose one randomized trial study written by Javed A, Pal S, Dash NR, Ahuja V, Mohanti BK, Vishnubhatla S, et al goes to the critical appraisal step.Results: The result of this study showed that dysphagia scores improved significantly in both groups, in patients with inoperable esophageal cancer treated with esophageal stenting alone (group I) and a combination of esophageal stenting and radiotherapy (group II) following stent insertion. However, dysphagia relief was more sustained in Group II than in Group I (7 vs. 3 months, p = 0.002).Conclusion: In this evidence-based case report (EBCR), we reported a man who suffered from dysphagia caused by inoperable esophageal carcinoma. Based on the critical appraisal of the randomized trial collected previously from PubMed with specific criterias, we conclude that a combination of esophageal stent and radiotherapy effectively prolongs duration of dysphagia relief and improves the overall survival, without increasing the incidence of complications.
Gênero, sexualidade e subjetividade: Algumas questões incômodas para a psicologia
Authors: Dos Anjos Karen Priscila Lima , Lima Maria Lúcia Chaves
Published: April 2017

A sexualidade constitui um dos principais dispositivos de controle e produção de subjetividade na sociedade ocidental. Desse modo, acredita-se que seja fundamental para a psicologia, na atualidade, problematizar alguns de seus conceitos basais que organizam a forma como entendemos a constituição dos sujeitos, muitos explicitamente pautados por uma lógica heteronormativa de gênero e sexualidade. O presente trabalho utiliza ferramentas teóricas apresentadas por Michel Foucault e Judith Butler para apontar incômodos epistemológicos e políticos decorrentes de uma adoção acrítica de noções naturalizantes de gênero, sexualidade e subjetividade por parte da psicologia. Ao final, a título de exemplo, apresentamos algumas notas acerca da produção discursiva da diferença sexual em um manual de desenvolvimento humano utilizado nos cursos de formação em psicologia.
Traços patológicos da personalidade como preditores do Transtorno de Estresse Pós-traumático-TEPT
Authors: Reis Ana Maria , Carvalho Lucas De Francisco
Published: April 2017

Esta pesquisa objetivou investigar a capacidade de traços patológicos da personalidade predizerem sintomas do TEPT. Participaram do estudo 113 sujeitos, com idades entre 19 e 63 anos (M=37,5; DP=12,1) sendo 66 (58,4%) do sexo feminino, que vivenciaram um evento de inundação. Foi utilizado o Inventário Dimensional Clinico da Personalidade, a Escala Davidson de Trauma e o Inventário de Cognições Pós-Traumáticas. Verificou-se uma baixa, porém significativa capacidade preditiva de traços de humor deprimido e irritação na sintomatologia de TEPT e por meio de regressão logística, um baixo incremento da medida de personalidade utilizada frente ao modelo explicativo do TEPT. Tais resultados sugerem que relações entre personalidade e TEPT são complexas, necessitando de uma compreensão para além de modelos lineares de investigação.
Formulation Optimization of Sustained Release Resinate Microcapsules of Tramadol Hydrochloride by Using 3/2 Factorial Design
Authors: Ravindra K. Kamble , Chetan S. Chauhan , Priyadarshani R. Kamble , Pushpendra S. Naruka
Published: April 2017

The main aim of the present work was to develop the microcapsules of tramadol hydrochloride for the oral sustained release drug delivery. Tramadol hydrochloride a BCS class I drug a centrally acting synthetic analgesic was complexed with Indion 254 ion exchange resin. The microcapsules were prepared by encapsulating the prepared resinates by o/o solvent evaporation technique. In the investigation 32 full factorial design was used to investigate the joint influence of two formulation variable amount of eudragit RS 100 and plasticized PEG 400. The results of multiple linear regression analysis indicated that for obtaining a sustained release drug delivery the optimum concentrations of both the plasticizer and coating solution to be used. The factorial models were used to prepare optimized microcapsules and optimized formulations showed sustained release profiles for the extended period of more than 12 hrs. From the present investigations concluded that resinate microcapsules of highly water soluble drug can provide controlled release of drug for extended period.Key Words: Tramadol hydrochloride, ion exchange resinate, microcapsules, sustained release
KELAYAKAN DAN RISIKO USAHATANI JERUK KEPROK MADURA DI KABUPATEN SUMENEP
Authors: Isdiantoni Isdiantoni
Published: April 2017

Menurut Direktorat Budidaya Tanaman Buah Deptan (2009), potensi pengembangan tanaman jeruk keprok Madura di Kabupaten Sumenep, cukup besar yaitu seluas 400 hektar yang tersebar di 3 (tiga) kecamatan, yaitu Kecamatan Dasuk, Kecamatan Ambunten dan Kecamatan Pasongsongan. Salah satu faktor yang dapat menenunjang keberhasilan pengembangan komoditas jeruk ini, adalah kelayakan ekonomis (menguntungkan secara finansial).Dipihak lain, petani sebagai pelaku utama kegiatan pengembangan jeruk keprok Madura dan sebagai produsen, harus mengetahui kemungkinan resiko yang akan diterimanya dan besarnya keuntungan dari usaha ini. Pengetahuan terhadap hubungan antara resiko dan keuntungan ini, akan memberikan dasar pertimbangan yang rasional bagi petani dalam mengembangkan komoditas jeruk keprok Madura. Informasi/data pada penelitian ini, diperoleh dari petani jeruk keprok Madura yang bibitnya berasal dari cangkokan dan mulai dibuahkan pada umur 3 (tiga) tahun.Pengukuran kelayakan finansial usahatani jeruk keprok Madura dilakukan dengan melihat kriteria investasi, dan pengukuran terhadap hubungan antara tingkat resiko dengan keuntungan, diukur secara statistik dengan melihat koefisien variasi (coefficient of variation) dan batas bawah keuntungan. Kriteria investasi pada usahatani jeruk keprok Madura menunjukkan nilai NPV sebesar Rp. 118,342,271 (> 0), Net B/C sebesar 1.38 (> 1) dan IRR sebsar 23,7% (> discount rate), sehingga proyek usahatani jeruk keprok Madura dapat dikatakan go! (layak dilaksanakan).Periode yang diperlukan untuk menutup biaya investasi, yaitu 9 tahun 10 bulan (di bawah dari umur ekonomis proyek), sehingga proyek ini layak diusahakan. Selama periode proyek (15 tahun) nilai koefisien variasi (CV) didapatkan 0.588 (CV > 0.5) dan nilai batas bawah keuntungan (L) didapatkan sebesar Rp. (31,204,042) yang menunjukkan L < 0.  Dengan demikian, pengusahatani jeruk keprok Madura harus berani menanggung resiko (kerugian) sebesar  Rp. 31,204,042,- pada setiap proses produksi. Kata kunci: Usahatani Jeruk Keprok Madura, Kelayakan, dan Resiko Finansial
PERANAN AUDIT INTERNAL DALAM MENDETEKSI DAN MENCEGAH KECURANGAN (FRAUD) (Studi Kasus Pada PNPM Mandiri Perkotaan Kecamatan Kalianget)
Authors: Norsain Norsain
Published: April 2017

Penelitian ini dilakukan untuk mengetahui bagaimana peranan audit internal di PNPM Mandiri Perkotaan dalam deteksi dan pencegahan kecurangan (fraud). Penelitian ini menggunakan metode penelitian studi kasus dengan menggunakan data primer dan sekunder sebagai sumber datanya. Objek dari penelitian ini adalah PNPM Mandiri Perkotaan di Kecamatan Kalianget. Penelitian ini dilakukan dengan metode deskriptif kualitatif dengan cara mengumpulkan data untuk kemudian diproses dan dianalisis lebih lanjut serta diambil suatu kesimpulan. Hasil penelitian ini menunjukkan bahwa internal audit yang dilaksanakan pada PNPM Mandiri Perkotaan di Kecamatan Kalianget sudah cukup memadai dalam deteksi dan pencegahan kecurangan (fraud) dengan struktur pengendalian intern yang baik sebagai anti-fraud controls dan deteksi kecurangan dilakukan melalui prosedur-prosedur audit namun disarankan agar internal auditor PNPM Mandiri Perkotaan di masing-masing desa di Kecamatan Kalianget tidak hanya melakukan pemeriksaan pada Unit Pengelola Keuangan saja namun juga memberikan pemeriksaan pada unit-unit yang lain secara umum yang di kelola oleh BKM masing-masing. Kata kunci : PNPM MP, Audit Internal, Deteksi dan Pencegahan, Kecurangan  (Fraud).
PENGARUH BELANJA PEMERINTAH DAN MASYARAKAT TERHADAP PERTUMBUHAN EKONOMI KABUPATEN SUMENEP
Authors: Alwiyah Alwiyah
Published: April 2017

Penelitian ini adalah untuk menganalisis pengaruh belanja pemerintah terhadap pertumbuhan ekonomi Sumenep. Pembangunan sesungguhnya adalah suatu proses perubahan sosial ekonomi masyarakat menuju ke arah yang lebih baik. Salah satunya adalah pembangunan perekonomian daerah. Perekonomian daerah dapat dilihat dari gambaran Produk Domestik Regional Bruto baik berdasarkan harga konstan maupun harga berlaku. Selain itu perekonomian daerah dapat dilihat dari tingkat inflasi, investasi, pajak dan retribusi, pinjaman daerah, dana perimbangan, atau sumber penerimaan daerah lainnya. Data perekonomian daerah dapat menjadi sumber untuk mengetahui seberapa besar pertumbuhan ekonominya. Pertumbuhan ekonomi diartikan sebagai kenaikan GDP (Gross Domestic Product) tanpa memandang bahwa kenaikan itu lebih besar atau lebih kecil dari pertumbuhan penduduk dan tanpa memandang apakah ada perubahan dalam struktur ekonominya. Pertumbuhan ekonomi menunjukkan adanya perluasan atau peningkatan dari Gross Domestic Product potensial/output dari suatu negara. Jenis penelitian ini adalah penelitian bersifat kuantitatif, karena penelitian ini bertujuan untuk menganalisis seberapa besar pengaruh dan hubungan kausalitas antara variabel melalui pengujian hipotesis.  Jenis sumber data yang digunakan sebagai bahan analisis dalam penelitian ini adalah data sekunder, yaitu data dari BPS Sumenep dan data dari Pemerintah Kabupaten Sumenep. hasil analisis data tentang pengaruh Belanja Pemerintah terhadap Pertumbuhan Ekonomi Kabupaten Sumenep, dihasilkan adanya  hubungan yang sangat  kuat antara variabel belanja pemerintah dan pertumbuhan ekonomi Kabupaten Sumenep, Belanja Pemerintah signifikan  berpengaruh terhadap pertumbuhan ekonomi Kabupaten Sumenep. Kata Kunci : Belanja Pemerintah, Masyarakat, dan Pertumbuhan Ekonomi.
PENGARUH FAKTOR PERSONAL, CULTURE AND PSHYCOLOGICALTERHADAP PEMILIHAN JURUSAN AKUNTANSI FAKULTAS EKONOMI UNIVERSITAS WIRARAJA
Authors: Andini Isnani Yuli
Published: April 2017

Pemilihan Jurusan Akuntansi Fakultas Ekonomi Universitas Wiraraja Sumenep dipengaruhi beberapa faktor, antara lainPersonal, Culture and Pshycological.Populasi dalam penelitian ini adalah seluruh mahasiswa Jurusan Akuntansi Fakultas Ekonomi Universitas Wiraraja Sumenep. Sampel dalam penelitian ini sebanyak 109 dengan menggunakan purposive sampling. Penelitian ini merupakan penelitian kuantitatif. Data dalam penelitian ini adalah data primer yang diperoleh melalui survey dengan menyebarkan kuesioner.Uji kualitas data menggunakan uji validitas dan reliabilitas. Uji asumsi klasik menggunakan Autokorelasi Durbin-Watson test, Uji Multicolinieritas dengan VIF (Variance Factor Infalaction) < 10,  uji Heteroskedastisitas dengan grafik scatterplot, uji normalitas dengan P-P Plot of Regression Standardized, uji model regresidengan uji F dan uji t, dan interpretasi juga menggunakan SPSS 16. Hasil Uji F bahwa Personal (X1), Culture (X2) dan Pshycological (X3) secara simultan berpengaruh signifikan terhadap Pemilihan Jurusan Akuntansi Fakultas Ekonomi (Y), sedangkan dari Uji t Personal (X1), Culture (X2) dan Pshycological (X3) secara parsial berpengaruh signifikan terhadap Y (Pemilihan Jurusan Akuntansi Fakultas Ekonomi). Kata Kunci: Personal, Culture, Pshycological, Pemilihan Jurusan
“PEMBERDAYAAN PRODUK LOKAL MELALUI PENDEKATAN OVOP (ONE VILLAGE, ONE PRODUCT) DALAM MENINGKATKAN DAYA SAING SEKTOR USAHA KECIL MENENGAH ( STUDY KASUS PADA USAHA KECIL MENENGAH BATIK TULIS DESA KLAMPAR KEC.PROPPO PAMEKASAN)”
Authors: Sakdiyah Halimatus
Published: April 2017

Pendekatan OVOP ini adalah suatu gerakan masyarakat yang secara integratif berupaya meningkatkan kesadaran masyarakat terhadap potensi dan kekayaan daerah, meningkatkan pendapatan para pelaku usaha dan masyarakat sekaligus meningkatkan rasa percaya diri dan kebanggaan terhadap kemampuan yang dimiliki masyarakat dan daerahnya. Penelitian ini bertujuan  memberikan kontribusi tentang pemberdayaan produk  lokal batik tulis desa Klampar Kecamatan Proppo Kabupaten Pamekasan dengan pendekatan OVOP . Disamping itu nantinya penelitian ini berguna sebagai acuan pengembangan usaha antar daerah dalam program-program pemerataan pendapatan masyarakat.Penelitian ini termasuk penelitian kualitatif  dengan mengekplorasi data baik data primer maupun data sekunder. Dalam penelitian ini peneliti melakukan wawancara langsung dengan pelaku usaha batik tulis desa Klampar Kecamatan Proppo Pamekasan mengenai produk dari sumber dasar materiil sampai dengan pemasaran merujuk pada buku petunjuk teknis penilaian, klasifikasi dan pembinaan produk OVOPDirektorat Jenderal Industri Kecil dan Menengah Kementerian Perindustrian 2012.Hasil penelitian dapat disimpulkan bahwa : Pendekatan OVOP belum mencapai seratus persen berhasil dilakukan karena dari kriteria penilaian belum terpenuhi, produksi batik tulis Desa Klampar Kecamatan Proppo  Pamekasan menunjukkan desain-desain batik tulis Madura, sebagian masih menggunakan pola lama seperti carsena, sisik malaya dan sebagainya dan tetap patuh kepada aturan atau pakem walaupun sebagian besar mulai mengembangkan motif gambar dengan kreasi-kreasi baru, sejalan dengan permintaan pasar yang dinamis, upaya pengembangan produk OVOP belum dilakukan secara maksimal seperti pelatihan, pendampingan oleh tenaga ahli, promosi dan pameran, fasilitas HKI dan sebagainya dan Lemahnya kinerja pemasaran diakibatkan karena belum maksimalnya para pengrajin batik dalam menciptakan nilai pelanggan.Kata Kunci : Batik Tulis, One Village One Product (OVOP)
PENTINGNYA KUALITAS PELAYANAN TERHADAP KEPUASAN DAN LOYALITAS PENGUNJUNG PERPUSTAKAAN DAERAH KABUPATEN SUMENEP
Authors: , Sayyida , Hermanto Bambang , Sugianto Edy
Published: April 2017

Salah satu fungsi utama dari perpustakaan adalah pengemasan dan penyebaran informasi, bukanlah penciptaan informasi. Sehingga perpustakaan dituntut untuk memberikan layanan informasi yang lebih baik dan tepat guna. Tujuan dari penelitian ini adalah untuk mengetahui pengaruh kualitas pelayanan terhadap kepuasan dan loyalitas serta pengaruh dari kepuasan terhadap loyalitas pengunjung di perpustakaan Daerah Kabupaten Sumenep. Sampel yang diteliti sebanyak 200 orang yang terdiri dari Siswa, Mahasiswa dan Umum. Data dianalisis dengan menggunakan analisis structural equation modelling (SEM). Berdasarkan hasil analisis dapat disimpulkan bahwa semakin baik kualitas pelayanan, maka semakin meningkat kepuasan pengunjung serta pengunjung akan semakin royal terhadap perpustakaan Daerah Kabupaten Sumenep. Key Word :      Perpustakaan, Structural Equation Modelling (SEM), Kualitas Pelayanan, Kepuasan Dan Loyalitas
PENGARUH KNOWLEDGE MANAGEMENT, KOMPETENSI, MOTIVASI TERHADAP KINERJA KARYAWAN
Authors: Arifin Miftahol
Published: April 2017

The purpose of this research is to analyze the influence of knowledge management on employee performance, analyze the effect of competence on employee performance, analyze the influence of motivation on employee performance). In this study, samples taken are structural employees PT.centris Kingdom Taxi Yogyakarta. The analysis tool in this study using multiple linear regression with Ordinary Least Square method (OLS). The conclusion of this study showed that the variables of knowledge management has a significant influence on employee performance, competence variables have an influence on employee performance, motivation variables have an influence on employee performance, The analysis showed that the variables of knowledge management, competence, motivation on employee performance.Keywords: knowledge management, competence, motivation, employee performance.
INTERNALISASI PENGELOLAAN KEUANGAN DESA PASCA IMPLEMENTASI UNDANG UNDANG NOMOR 6 TAHUN 2014 TENTANG DESA
Authors: Fathoni Amirul
Published: April 2017

Pengelolaan keuangan desa merupakan upaya  untuk mendukung penyelenggaraan pemerintahan desa dimana pengelolaan keuangan merupakan suatu siklus yang dinamis terdiri dari proses perencanaan, penganggaran, pelaksanaan, penatausahaan, pelaporan, pertanggung jawaban, pembinaan dan pengawasan, pelaporan serta pemantauan dan evaluasi.Implementasi Undang Undang Nomor 6 Tahun 2014 Tentang Desa, menyiapkan desa menjadi subyek pengelolaan keuangan yang berpegang pada tata pemerintahan yang baik yaitu partisipasi, akuntabilitas, transparansi dan keadilan dengan mengupayakan peningkatan kemampuan dan kapasitas aparaturnya dalam konstruksi self governing community dan local self government. Kekuatan SDM di desa yang belum secara signifikan melakukan pengelolaan keuangan desanya secara mandiri menjadikan permasalahan klasik tersendiri disaat implementasi UU No 6 Tahun 2014 mengalokasikan kepada desa melalui dana stimulan baik dari pemerintah pusat dan daerah dalam bentuk dana transfer dan dana perimbangan. Permasalahan yang akan diajukan adalah untuk mengidentifikasi kekuatan SDM dalam pengelolaan keuangan desa dengan berbagai permasalahan lainnya.Key words : UU No 6/2014, self governing community,local self government, human resources empowering, and construction of pembinaan pengelola keuangan
Redes de políticas públicas y promoción de la sociedad de la información. Una comparación entre Cataluña y Euskadi
Authors: Ramilo Araujo M. Carmen
Published: April 2017

Desde una perspectiva cuantitativa este artículo analiza las redes de políticas públicas para la promoción de la Sociedad de la información en Cataluña y Euskadi. De esta forma se intenta conocer qué actores son percibidos como influyentes, qué actores se relacionan con quiénes y qué intereses prevalecen. Con toda esta información se examinará si existen diferencias o similitudes entre Cataluña y Euskadi, y ello permitirá discutir en qué medida las políticas públicas orientadas a la promoción de la Sociedad de la Información en ambas regiones están (o no) condicionadas por las formas y estructuras de las redes de políticas públicas.
Dissection of descending aorta treated by stent-graft implantation in a patient with Marfan syndrome
Authors: Aripov Marat , Abdyldaev Ildar , Сhevgun Semen , Daniyarov Bektur , Toktosunova Dinara , Sarbaev Azamat
Published: April 2017

This report describes a 32 years old patient with Marfan syndrome and hypertension. David`s procedure was performed to the patient three months before due to dissection of the ascending thoracic aorta. Computer tomography scan showed DeBakey type III dissection of aorta beginning from left subclavian artery with transition to the ostium of the celiac trunk and proximal part of the left common iliac artery. Stent-grafts in the descending thoracic aorta with overlapping of left subclavian artery were implanted to the patient with Marfan syndrome. Patient was discharged and no complications recorded at 6th month follow-up.
Prevalence, Awareness and Control of Hypertension in a Well-Educated Professional Group in Nepal
Authors: Gautam Mani Prasad , Ghimire Usha , Shrestha Krishna Maya , Paudel Bijaya , Khatiwada Prakash , Adhikari Bhojraj
Published: April 2017

Background and Aims: Hypertension continues to be the major modifiable risk factor leading to premature death due to cardiovascular diseases. Therefore awareness, timely diagnosis, treatment and control of hypertension in primary care are crucial for reducing disease burden. In this respect, authentic data on these issues are paramount of importance. The aim of this study was to address this gap in a well-educated group of Nepalese subjects.Methods: A cross-sectional study in the delegates of the national level meeting of a professional group - lawyers was conducted in 2015 February. Standard criteria were used to define hypertension and blood pressure goal. Awareness and treatment were based on self-report.Results: A total of 249 subjects were included in the study. The prevalence of hypertension was 18.88%. Among hypertensive, 70% subjects were newly detected and they were unaware of their blood pressure status before. Remaining 30% were known cases of hypertension and among them only 64% were on medicine and 36% were not despite awareness of hypertension. Only 55.5% of them on medicine had achieved blood pressure goal.Conclusion: The scenario of hypertension in Nepal even in educated group is very alarming with majority of them being unaware of the hypertension status, more than one third not taking medicine and nearly half on medicine not achieving desired blood pressure goal. From this, the situation obviously seems more warning in general population and needs well-designed assessment.Nepalese Heart Journal 2017; 14(1): 21-24
Cor Triatriatum in an Adult
Authors: Hirachan Anish , Prajapati Dipanker , Roka Madhu , Dhungana Murari , Sharma Deewakar
Published: April 2017

A 29 year old female patient presented to the cardiology OPD with history of progressive breathlessness of NYHA class II and palpitation of 1 year duration. Under evaluation, she underwent 2D transthoracic echocardiography that revealed an extra septum that subdivided the left atrium into proximal and distal chambers. The diagnosis of cor triatriatum was hence made and was referred to surgical team for corrective surgery. The communication between proximal and distal chamber was provided by large fenestration in the fibromuscular membrane.Nepalese Heart Journal 2017; 14(1): 33-34
Book Reviews
Authors: Grant Barbara , Welch Penny
Published: April 2017

Gritt B. Nielsen (2015) Figuration work: Student Participation, Democracy and University Reform in a Global Knowledge Economy
Review by Barbara Grant

Mats Alvesson (2013) The Triumph of Emptiness: Consumption, Higher Education, and Work Organisation
Review by Penny Welch
Considerations in the management of congenital cranial dermoid cysts
Authors: Khalid Syed , Ruge John
Published: April 2017

OBJECTIVE

Congenital dermoid cysts (CDCs) develop from the entrapment of the surface ectoderm along the lines of embryonic fusion and have a capacity to grow. Given this capacity for continual expansion, the timing of removal and anticipation of possible epidural extension is important.

METHODS

The authors retrospectively reviewed records of patients with the diagnosis of dermoid cyst presenting over a period of 10 years. Baseline characteristics, histological reports, and surgical records were collected and analyzed. Only those patients with histological confirmation of dermoid cyst were included in the study.

RESULTS

One hundred fifty-nine (64 male and 95 female) patients were studied. The average age at the time of surgery ranged from 1 month to 63 years (mean 3.55 ± 9.58 years, median 11 months). Eighteen (11.3%) CDCs were in the midline anterior fontanelle, 52 (32.7%) were frontozygomatic, 14 (8.8%) occurred along the coronal sutures, and 75 (47.2%) occurred along the lambdoid sutures. In 74 (46.5%) cases the cysts were found to insignificantly erode the cranium, 30 (18.9%) eroded through a partial thickness of the cranium, 47 (29.6%) eroded through the full thickness of the cranium, and 8 (5.0%) eroded through the full thickness of the cranium and demonstrated epidural extension. The study population showed female predominance (n = 95, 59.7%). Although cyst location and patient sex were not found to vary significantly with cranial involvement (p = 0.196 and p = 0.066, respectively), delay in time to surgery did vary significantly (p < 0.00001).

CONCLUSIONS

Congenital cranial dermoid cysts found in infants and children are best removed early.
Editorial Vol.6(1)
Authors: Talukder Md Humayun Kabir , Lasker Shamima Parvin
Published: April 2017

Abstract not availableBangladesh Journal of Medical Education Vol.6(1) 2015: 1
Teachers' Opinion Regarding Teacher Evaluation in Undergraduate Medical Education
Authors: Shahana Nahid , Ara Iffat , Talukder Humayun Kabir , Hussain Farhana , Moony Farhana Alamgir , Ara Polly Zinnat
Published: April 2017

This descriptive type of cross-sectional study was conducted to find out the teachers' opinion about teacher evaluation in undergraduate medical education at two government and three non-government medical colleges in Dhaka city by convenience sampling. 30 teachers were participated and they were from Assistant Professor to Professor Level. Teachers gave their opinion about potential use, facilities, barriers and factors affecting the implementation of teacher evaluation through in-depth interview. Majority of teachers opined that a well developed teacher evaluation system is a must in undergraduate medical education. It is strongly felt by the participant teachers that teacher evaluation has presently become very much essential against the backdrop of continuous changing of curriculum, technology, teaching styles, pattern of society, disease demography etc. Teachers agreed that it can improve teaching ability and protect students from incompetent teachers. Most of the teachers agreed about the necessity of student involvement in the teacher evaluation programme. Problem if arise can be resolved by implementing teacher evaluation with the help of a precise or proper guideline from policy level. Study recommended that teacher evaluation should start from undergraduate medical college. Study also mentioned that teachers' classroom performance and relationship with students should be used as parameters of teacher evaluation. In conclusion it can be said that without teacher evaluation there is no way for quality improvement of teacher and undergraduate medical education.Bangladesh Journal of Medical Education Vol.6(1) 2015: 12-18
Roles performed by clinical teachers in undergraduate medical education of Bangladesh
Authors: Shamsuddin AKM , Talukder Humayun Kabir , Nargis Tahmina , Alam Khairul , Sultana Nasrin
Published: April 2017

A clinical teacher has dual roles to perform in undergraduate medical education along with a major role as patient management. But these roles are not clearly recognized by them. That's why views of clinical teachers and students about roles performed by clinical teachers in undergraduate medical education were studied in eight different government and private medical colleges within and outside Dhaka city. Two sets of questionnaires were developed for teachers and students to explore their views on roles performed by teachers. Total 671 clinical students and 88 clinical teachers having at least two years teaching experience were included. Convenient sampling techniques were used. Seven major roles of clinical teachers were taken into consideration against which teachers and students were expressed their views. Roles were 1. Information provider in the class 2. Role model for the students 3. Students facilitator 4. Curriculum executor. 5. Instructional material creator 6.Student's assessor and 7. Role of teachers on research activities. In this study 52.27% teachers had experience on workshop and training on teaching methodology and 38.82 % had no experience on teaching and learning. Teachers expressed their views against their performances of all the roles for more than two third classes. While students viewed against teachers performances in less than a half of the classes. Teachers mentioned that excess clinical load, administrative work and bad political environment hampered their teaching roles. They also suggested that different courses on teaching and learning, teacher's evaluation system and regular faculty development programme would help to improve in clinical teaching.Bangladesh Journal of Medical Education Vol.6(1) 2015: 19-23
Randomized, Open-Label, Two-Way Crossover Study To Compare The Bioequivalence Of Two Formulations Of Esomeprazole In Healthy Male Volunteers
Authors: Sarker Uttam Kumar , Misbahuddin Mir , Ripon Md Shariful Hasan , Islam Md Rabiul
Published: April 2017

A crossover-randomized bioequivalence study of two oral formulations of esomeprazole (40 mg) capsules were carried out in 16 healthy male Bangladeshi volunteers. The test and reference formulations were PRONEX (Drug International Ltd, Bangladesh) and NEXIUM (AstraZeneca AB, Sweden), respectively. Each tablet was administered with 150 mL of water to subjects after overnight fasting on 2 treatment days separated by 1 week washout period. After dosing, serial blood samples were collected for a period of 24 hours. The plasma concentrations of esomeprazole were estimated using a validated HPLC method. The pharmacokinetic parameters Cmax, Tmax, AUC0g24h, t1/2, and Kel were determined. The mean (± SD) AUC0g24h for esomeprazole of test drug PRONEXTM for 16 volunteers was 1509 (± 546) ng.hr/mL whereas it was 1622 (± 589) ng.hr/mL for esomeprazole of NEXIUMTM. The relative bioavailability (PRONEXTM/NEXIUMTM ratio) was 93%. The Cmax, tmax, half-life of elimination (t1/2) and the rate of elimination (Kel) of esomeprazole of test drug were 1653 (± 706) ng/mL, 2.13 (± 0.81) hours, 2.00 (± 0.61) hour and 0.3465 respectively. The Cmax, tmax, half-life of elimination (t1/2) and the rate of elimination (Kel) of esomeprazole of reference drug were 1820 (± 877) ng/mL, 2.80 (± 0.67) hours, 2.14 (± 0.55) hour and 0.3238 respectively. The 90% CI for the test and reference drugs were found within the acceptance range of 80-125%. In conclusion, PRONEX is bioequivalent to NEXIUM  in terms of absorption.KYAMC Journal Vol. 4, No.-1, July 2013, Page 326-330
Evaluation Of Pulmonary Functions Of Off-Pump Coronary Artery Bypass Graft Patients
Authors: Chowdhury Md Masumul Gani , Zakaria Md , Ahsan NAK
Published: April 2017

Background: Cardiopulmonary bypass has been implicated in causing poor pulmonary gas exchange postoperatively in patients undergoing coronary artery bypass graft (CABG). This nonrandomized prospective study was conducted to determine whether patients undergoing off-pump CABG and thereby avoiding cardiopulmonary bypass will have improved pulmonary functions postoperatively.Method: Sixty patients undergoing elective CABG in the National Institute of Cardiovascular Diseases (NICVD), Dhaka between July 2005 and June 2006 were consecutively selected in the study. Sample was divided into two groups: Group A- off-pump CABG and Group-B on-pump CABG. The test statistics used to analyze the data were descriptive statistics as Chi-square (×2) and Student's t-test.Results: Preoperative arterial blood gas (ABG) analysis showed no significant difference. ABG immediately at ICU on FiO2 1 revealed significantly better gas exchange in off-pump group (PaO2: 296.5±32.4 torr vs 234.8±10.7 torr, p<0.001; D(A-a)O2: 378.5±27.3 torr vs 439.2±10.3 torr, p<0.001; PaCO2: 38.5±3.8 torr vs 40.1±1.8 torr, p=0.045). ABG on 3rd postoperative day revealed no significant difference between the two groups. Ventilation time in off-pump group was significantly less than in on-pump group (10.5±2.8 hours vs 14.8±3.7 hours, p<0.001). For ICU stay, there was no significant difference. Postoperative spirometry at 3 month and pulmonary complications within 3 months were not different between groups.Conclusion: off-pump CABG group yielded better gas exchange and earlier extubation than on-pump CABG group.KYAMC Journal Vol. 4, No.-1, July 2013, Page 341-347
Obesity in the Pathogenesis of type 2 Diabetes
Authors: Mahmuda Farzana , Akhter Marufa , Nath Ronjon Kumer
Published: April 2017

The article reviews the relationship between type 2 diabetes and obesity. This also includes types of obesity and it's genetic predisposition. The modern generalization of sedentary life style and caloric abundance has created new physiological conditions capable of changing the level of expression of a number of genes involved in fuel metabolism and body weight regulation. In this article, we underscore the importance of obesity in relation to disorders of diverse etiologies characterized by disturbances of free fatty acids, visceral adiposity and insulin resistance. Further, we have investigated the role of selecting the traits to be subjected to quantitative genetic analysis in the occurrence of obesity.KYAMC Journal Vol. 4, No.-1, July 2013, Page 357-361
‘There Is No Alternative’: Scotland's Curriculum for Excellence and its Relationship with High Culture
Authors: Convery Alan
Published: April 2017

This article uses the concept of high culture to assess the underlying assumptions and philosophy of Scotland's Curriculum for Excellence (CfE). For the most part, these remain vague and unarticulated. This has two consequences. First, a consensus forms easily around CfE because it means different things to different stakeholders and is presented to teachers as a depoliticised and technocratic policy response. Second, because its core tenets are so hazy, it is extremely difficult to argue against. Although CfE is widely regarded to have at its heart some form of constructivism, the justification for such an approach is never articulated. By assessing CfE's relationship with high culture, this article attempts to flush out its implicit core assumptions. Its central argument is that CfE cannot simultaneously please everyone. Perfectly justifiable alternative curricular paths have been abandoned. Far from being a technocratic and depoliticised policy response, CfE is in fact a much more controversial and ideological shift than the level of scrutiny it has thus far received would suggest.
The Effect of Temperature Field on Low Amplitude Oscillatory Flow within a Parallel-Plate Heat Exchanger in a Standing Wave Thermoacoustic System
Authors: Mohd Saat Fatimah , Jaworski Artur
Published: April 2017

Thermoacoustic technologies rely on a direct power conversion between acoustic and thermal energies using well known thermoacoustic effects. The presence of the acoustic field leads to oscillatory heat transfer and fluid flow processes within the components of thermoacoustic devices, notably heat exchangers. This paper outlines a two-dimensional ANSYS FLUENT CFD (computational fluid dynamics) model of flow across a pair of hot and cold heat exchangers that aims to explain the physics of phenomena observed in earlier experimental work. Firstly, the governing equations, boundary conditions and preliminary model validation are explained in detail. The numerical results show that the velocity profiles within heat exchanger plates become distorted in the presence of temperature gradients, which indicates interesting changes in the flow structure. The fluid temperature profiles from the computational model have a similar trend with the experimental results, but with differences in magnitude particularly noticeable in the hot region. Possible reasons for the differences are discussed. Accordingly, the space averaged wall heat flux is discussed for different phases and locations across both the cold and hot heat exchangers. In addition, the effects of gravity and device orientation on the flow and heat transfer are also presented. Viscous dissipation was found to be the highest when the device was set at a horizontal position; its magnitude increases with the increase of temperature differentials. These indicate that possible losses of energy may depend on the device orientation and applied temperature field.
Nuclear Power Plant Prestressed Concrete Containment Vessel Structure Monitoring during Integrated Leakage Rate Testing Using Fiber Bragg Grating Sensors
Authors: Li Jinke , Liao Kaixing , Kong Xianglong , Li Shengyuan , Zhang Xinwang , Zhao Xuefeng , Sun Changsen
Published: April 2017

As the last barrier of nuclear reactor, prestressed concrete containment vessels (PCCVs) play an important role in nuclear power plants (NPPs). To test the mechanical property of PCCV during the integrated leakage rate testing (ILRT), a fiber Bragg grating (FBG) sensor was used to monitor concrete strain. In addition, a finite element method (FEM) model was built to simulate the progress of the ILRT. The results showed that the strain monitored by FBG had the same trend compared to the inner pressure variation. The calculation results showed a similar trend compared with the monitoring results and provided much information about the locations in which the strain sensors should be installed. Therefore, it is confirmed that FBG sensors and FEM simulation are very useful in PCCV structure monitoring.
A Short-Term Photovoltaic Power Prediction Model Based on an FOS-ELM Algorithm
Authors: Wang Jidong , Ran Ran , Zhou Yue
Published: April 2017

With the increasing proportion of photovoltaic (PV) power in power systems, the problem of its fluctuation and intermittency has become more prominent. To reduce the negative influence of the use of PV power, we propose a short-term PV power prediction model based on the online sequential extreme learning machine with forgetting mechanism (FOS-ELM), which can constantly replace outdated data with new data. We use historical weather data and historical PV power data to predict the PV power in the next period of time. The simulation result shows that this model has the advantages of a short training time and high accuracy. This model can help the power dispatch department schedule generation plans as well as support spatial and temporal compensation and coordinated power control, which is important for the security and stability as well as the optimal operation of power systems.
Euclidean Algorithm for Extension of Symmetric Laurent Polynomial Matrix and Its Application in Construction of Multiband Symmetric Perfect Reconstruction Filter Bank
Authors: Wang Jianzhong
Published: April 2017

For a given pair of s-dimensional real Laurent polynomials ( a → ( z ) , b → ( z ) ) , which has a certain type of symmetry and satisfies the dual condition b → ( z ) T a → ( z ) = 1 , an s × s Laurent polynomial matrix A ( z ) (together with its inverse A - 1 ( z ) ) is called a symmetric Laurent polynomial matrix extension of the dual pair ( a → ( z ) , b → ( z ) ) if A ( z ) has similar symmetry, the inverse A - 1 ( Z ) also is a Laurent polynomial matrix, the first column of A ( z ) is a → ( z ) and the first row of A - 1 ( z ) is ( b → ( z ) ) T . In this paper, we introduce the Euclidean symmetric division and the symmetric elementary matrices in the Laurent polynomial ring and reveal their relation. Based on the Euclidean symmetric division algorithm in the Laurent polynomial ring, we develop a novel and effective algorithm for symmetric Laurent polynomial matrix extension. We also apply the algorithm in the construction of multi-band symmetric perfect reconstruction filter banks.
Induced Pluripotent Stem Cell Modeling of Gaucher’s Disease: What Have We Learned?
Authors: Santos Dino , Tiscornia Gustavo
Published: April 2017

Gaucher’s disease (GD) is the most frequently inherited lysosomal storage disease, presenting both visceral and neurologic symptoms. Mutations in acid β-glucocerebrosidase disrupt the sphingolipid catabolic pathway promoting glucosylceramide (GlcCer) accumulation in lysosomes. Current treatment options are enzyme replacement therapy (ERT) and substrate reduction therapy (SRT). However, neither of these approaches is effective in treating the neurological aspect of the disease. The use of small pharmacological compounds that act as molecular chaperones is a promising approach that is still experimental. In recent years, an association between GD and Parkinson like synucleinopathies has been discovered. Since 1992, a number of mouse models of GD have been the developed and partially reproduce phenotype of the disease. More recently, the discovery of direct reprograming has allowed the derivation of induced pluripotent stem cells (iPSc) from fibroblasts obtained from GD patients. iPSc can be expanded indefinitely in vitro and differentiated to macrophages and neurons, the main relevant cell types involved in GD. In this work, we review iPSc models of GD and summarize what we have learned from this system.
Correction: Loeber, Gerard. ISNS 9th International Symposium, The Hague, The Netherlands, September 11–14, 2016. Int. J. Neonatal Screen. 2016, 2, 5
Authors: Loeber Gerard
Published: April 2017

n/a
Pulsed Current Electrodeposition of Silicon Thin Films Anodes for Lithium Ion Battery Applications
Authors: Gattu Bharat , Epur Rigved , Shanti Pavithra , Jampani Prashanth , Kuruba Ramalinga , Datta Moni , Manivannan Ayyakkannu , Kumta Prashant
Published: April 2017

Electrodeposition of amorphous silicon thin films on Cu substrate from organic ionic electrolyte using pulsed electrodeposition conditions has been studied. Scanning electron microscopy analysis shows a drastic change in the morphology of these electrodeposited silicon thin films at different frequencies of 0, 500, 1000, and 5000 Hz studied due to the change in nucleation and the growth mechanisms. These electrodeposited films, when tested in a lithium ion battery configuration, showed improvement in stability and performance with an increase in pulse current frequency during deposition. XPS analysis showed variation in the content of Si and oxygen with the change in frequency of deposition and with the change in depth of these thin films. The presence of oxygen largely due to electrolyte decomposition during Si electrodeposition and the structural instability of these films during the first discharge–charge cycle are the primary reasons contributing to the first cycle irreversible (FIR) loss observed in the pulse electrodeposited Si–O–C thin films. Nevertheless, the silicon thin films electrodeposited at a pulse current frequency of 5000 Hz show a stable capacity of ~805 mAh·g−1 with a fade in capacity of ~0.056% capacity loss per cycle (a total loss of capacity ~246 mAh·g−1) at the end of 500 cycles.
Alkali and Alkaline Earth Metal Complexes Ligated by an Ethynyl Substituted Cyclopentadienyl Ligand
Authors: Seifert Tim , Roesky Peter
Published: April 2017

Sodium, potassium, and calcium compounds of trimethyl((2,3,4,5-tetramethylcyclopentadien-1-yl)ethynyl)silane (CpMe4(C≡CSiMe3)) were synthesized and characterized by X-ray diffraction and standard analytical methods. The sodium derivative was obtained by deprotonation of CpMe4(C≡CSiMe3)H with Na{N(SiMe3)2} to give a monomeric complex [NaCpMe4(C≡CSiMe3)(THF)3]. In a similar reaction, starting from K{N(SiMe3)2} the corresponding potassium compound [KCpMe4(C≡CSiMe3)(THF)2]n, which forms a polymeric super sandwich structure in the solid state, was obtained. Subsequently, salt metathesis reactions were conducted in order to investigate the versatility of the CpMe4(C≡CSiMe3)− ligand in alkaline earth chemistry. The reaction of [KCpMe4(C≡CSiMe3)(THF)2]n with CaI2 afforded the dimeric complex [CaCpMe4(C≡CSiMe3)I(THF)2]2, in which both CpMe4(C≡CSiMe3)Ca units are bridged by iodide in a μ2 fashion. In-depth NMR investigation indicates that [CaCpMe4(C≡CSiMe3)I(THF)2]2 is in a Schlenk equilibrium with [{CpMe4(C≡CSiMe3)}2Ca(THF)x] and CaI2(THF)2, as is already known for [CaCp*I(THF)2].
Kohonen Neural Network Classification for Failure Process of Metallic Organic Coating in Corrosion Environment
Authors: Xu Yuanming , Ran Junshuang , Chen Hao
Published: April 2017

A deeper insight into the changing states of corrosion during certain exposure circumstances has been investigated by applying Kohonen networks. The Kohonen network has been trained by four sets of samples and tested using another sample. All the sample data were collected during accelerated corrosion experiments and the network took the changing rate of impedance of each cycle as an input. Compared with traditional classification, the Kohonen artificial network method classifies corrosion process into five sub-processes which is a refinement of three typical corrosion processes. The two newly defined sub-processes of corrosion—namely, pre-middle stage and post-middle stage—were introduced. The EIS data and macro-morphology for both sub-processes were analyzed through accelerated experiments. The classification results of the Kohonen artificial network are highly consistent with the predictions based on impedance magnitude at low frequency, which illustrates that the Kohonen network classification is an effective method for predicting the failure cycles of polymer coatings.