bluuebunny/crossref_metadata_2025 huggingface dataset:
Aplicação das ferramentas produção mais limpa e análise de modos de efeitos e falha em abatedouro-frigorífico de suínos
Authors: Fonseca J. M. , Peres A. P.
Published: July 2017

Os Programas Produção mais Limpa (P+L) e Análises de Modos e Efeitos de Falha (FMEA) são ferramentas usadas para melhorar a sustentabilidade de indústrias, garantindo maior rentabilidade, qualidade, confiabilidade e segurança dos seus produtos e serviços. As indústrias de carnes e derivados estão entre as indústrias mais poluidoras, devido ao grande número de resíduos orgânicos gerados durante o processamento da carne. O objetivo deste trabalho foi associar as ferramentas P+L e FMEA e aplicá-las em um abatedouro-frigorífico de suínos, a fim de detectar pontos críticos ao longo da cadeia produtiva, os quais geram grande impacto ambiental e estabelecer ações corretivas e medidas preventivas que possam minimizá-los. Os resultados mostraram que a água é o recurso mais consumido pela indústria e também o maior gerador de resíduos, devido a sua contaminação microbiológica com dejetos e sangue animal e detritos de carne. Todos os impactos se mostraram reais, devido a sua ocorrência diária na indústria, e a severidade, ocorrência, detecção e abrangência dos mesmos foram classificadas em moderada e alta, alta, baixa e moderada, moderada e alta, respectivamente. A aplicação das ferramentas P + L e FMEA mostraram-se eficientes na identificação e avaliação dos impactos ambientais provocados pelo abate e processamento de carcaças de suínos. Os efluentes líquidos do abate e os resíduos sólidos (sangue e ossos) constituem os aspectos ambientais que oferecem maiores riscos para o meio ambiente. A substituição dos produtos químicos da estação de tratamento por micro-organismos decompositores, a compostagem e a produção de farinha e ração animal a partir dos resíduos sólidos são medidas cabíveis que a indústria pode adotar para minimizar a contaminação de mananciais e do solo.
Standard approach to ultrasound investigation of monochorionic twin pregnancy in centers of primary and secondary level of care
Authors: Nekrasova Ekaterina S.
Published: July 2017

Introduction. Management of multiple pregnancy complicated by twin-to-twin transfusion syndrome (TTTS) is one of the most difficult parts of contemporary obstetrics. This syndrome develops only in presence of anastomoses in common placenta of monochorionic twins. Without intrauterine correction of severe TTTS in 80-100% of cases one or both twins die in utero.

The aim of this study is to define the signs that can help in differentiation of monochorionic twins to low or high risk group that needs to be managed in centers of secondary level of care. We investigated 115 monochorionic twin pregnancies at gestational age weeks.

Materials and methods. There was 214 ultrasound and Doppler studies in total.

Results. We measured biometric parameters of both fetuses and PI in umbilical artery, ductus venosus and middle cerebral artery. We demonstrated that monochorionic twins with weight difference less than 15% and normal amniotic fluid can be managed in centers of primary level of care, whereas fetuses with weight difference more than 15% and olygohydramnion/polyhydramnion sequence need to be transfered to the special centers of secondary level of care. Appearance of reversed blood flow in umbilican artery of the donor twin or ductus venosus of the recipient twin is indicative for in utero laser coagulation of placental anastomoses.
Endometrial receptivity in women with disoders in reproductive system
Authors: Aganezov Sergey S. , Aganezova Natalia V. , Morotskaya Anastasia V. , Ponomarenko Kristina Yu.
Published: July 2017

Problems in the realization of childbearing are relevant in the medical, socio-economic and personal-psychological aspects. The endometrial factor occupies a significant place in the polyethiologic syndrome of reproductive losses. The full receptivity of the endometrium at the time of interaction with the blastocyst causes a successful completion of implantation and further progression of pregnancy. The review presents an analysis of current data on the morphological and proteomic (ultrastructural) levels of the receptivity of the endometrium and their role in the genesis of reproductive dysfunctions.
Causes of patients’ obstetric complications after ART
Authors: Arzhanova Olga N. , Paikacheva Yulia M. , Ruleva Anna V. , Kapustin Roman V. , Nichiporuk Natalya G.
Published: July 2017

Chronic placental insufficiency remains a major cause of perinatal morbidity and mortality. In this regard, prediction of this pregnancy complications becomes particularly relevant. Currently, the frequency of pregnancy as result of assisted reproductive technology (ART) increases among the population. Pregnancies after ART administration compare to naturally occurred are accompanied by a higher risk of miscarriage as well as the formation of placental insufficiency. Older women with endocrine and physical disorder participate in the ART programs most frequently.

The aim of our study was to investigate the course of pregnancy, after ART administration, selection groups threatened by the development of placental insufficiency. 261 medical records of women with singleton pregnancies after ART have been studied. It was the main group. 167 women had a chronic placental insufficiency. There were allocated two groups of pregnant women: group I – 86 patients with placental insufficiency and preeclampsia, group II – 81 women with placental insufficiency indeed. The comparison group consisted of 30 women without infertility with a normal singleton pregnancy. The development of placental insufficiency in the main group (after ART) depends on a large causes of somatic pathology due to age of pregnant women as well. Therefore, patients after ART have to allocate in the high risk group of developing preeclampsia and placental insufficiency.
Renal Denervation in CKD Hypertensive Patients: Would it be Possible to Prevent the Development of Risk Factors Responsible for Sudden Cardiac Death in this Population?
Authors: Kiuchi Marcio Galindo , Graciano Miguel Luis , De Queiroz Carreira Maria Angela Magalhães , Kiuchi Tetsuaki , Lugon Jocemir Ronaldo
Published: July 2017

no abstract for letters
A Long-Term Prognosis of Adaptive Servo Ventilation Therapy for Patients with Heart Failure -Consideration in Severity of Sleep-Disordered Breathing-
Authors: Goto Keita , Takama Noriaki , Kurabayashi Masahiko
Published: July 2017

Background: Adaptive servo-ventilation (ASV) is used to treat sleep apnea in heart failure (HF). However, it is unclear whether ASV improves the long-term prognosis for all patients with HF, regardless of the severity of sleep-disordered breathing (SDB). We therefore aimed to estimate the long-term prognosis associated with ASV therapy for patients with HF by the severity of SDB.

Methods: Sixty-one consecutive patients with HF (mean age ± standard deviation: 70 ± 10 years) were initiated on ASV therapy for HF treatment after polysomnography. Patients were then classified into the following three groups based on their apnea–hypopnea index (AHI): a severe group with an AHI of ≥40/h (n = 28); a moderate group with an AHI of ≥20/h but <40/h (n = 20); and a mild group with an AHI of <20/h (n = 13). To estimate long-term prognosis, we reviewed the 3-year follow-up data, including that concerning fatal cardiovascular events (death from myocardial infarction, cardioembolic stroke, and fatal cardiac arrhythmias).

Results: No significant differences were observed between the three study groups in the risk of fatal cardiovascular events (p = 0.207).

Conclusions: Our results suggest that ASV therapy is associated with a good prognosis and that ASV therapy is effective, regardless of the severity of SDB.

 
Noninvasive Monitoring of Cardiac Preload and Contractility by Heart Beat-Derived Mechanical Vibration on the Chest Wall in Guinea Pigs
Authors: Adachi Takeshi , Ohba Takayoshi , Fujisawa Susumu , Ono Kyoichi
Published: July 2017

Background: Myocardial motion produces compression waves that are transmitted to the surface of the chest and vibrate the chest wall. Piezoelectric transducers, which detect mechanical vibrations, may be useful for evaluating cardiac and/or breathing movements when the sensor is placed under an animal’s body.

Methods: We assessed heartbeat-related chest vibration signals (CVS) detected with a piezoelectric transducer in anesthetized guinea pigs while simultaneously monitoring the electrocardiogram, heart sounds, aortic pressure, and central venous pressure.

Results: CVS displayed characteristic features as the ventricle and/or atrium contracted and relaxed during cardiac cycles. A transient positive wave, which occurred approximately at the onset of the R wave on the electrocardiogram, was followed by a profound negative wave during systole. The negative wave peaked early in systole and then gradually returned. A small notch was observed at the second heart sound. A dome-shaped positive wave was observed during diastole that connected to the transient positive wave of the next cardiac cycle. In response to phlebotomy (blood volume, 15 ml/kg), the size of the dome-shaped positive wave decreased, whereas saline transfusion (20 ml/kg) increased the positive wave during diastole. Administration of isoproterenol markedly increased the transient positive wave at the onset of systole, whereas phenylephrine affected the transient positive wave only slightly.

Conclusions: Our findings suggest that CVS may be useful to identify cardiac cycles and to evaluate cardiovascular dynamics during changes in blood volume and/or cardiac contractility.
A Welcome to the New Journal, Journal of Advanced Therapies and Medical Innovation Science (j.ATAMIS).
Authors: Coats Andrew , Shewan Louise
Published: July 2017

A new journal has been launched by Barcaray Publishing: Journal of Advanced Therapies and Medical Innovation Sciences (J.ATAMIS, www.j-atamis.org).  This journal fills a crucial gap in the literature – and in the cycle of advances in medical science, therapeutics and devices - covering the pipeline from idea through proof of concept studies and start-up funding to regulatory approval.  It will be multi-disciplinary and unusually we will have significant input from funders - both angel and venture capital-, start-up CEO’s, and regulators as well as medical scientists and triallists.  We have quite frankly a stellar editorial board, with leading lights of biotechnology, medical devices, new and established pharma as well as the “other side”, CEO’s and investors.  
Sub-acute Safety and Efficacy Evaluation of Single versus Double Treatment Cycles of a Monopolar Radiofrequency Catheter-Based Renal Nerve Ablation and its Chronic Evolution in a Large Animal Model
Authors: Hubbard Bradley , Sakaoka Atsushi , Brants Irena , Dillon Krista , Brady Dane , Rousselle Serge , Devireddy Chandan , Mahfoud Felix , Tellez Armando
Published: July 2017

Aims:We aimed to evaluate the transcatheter renal denervation(RDN) effects delivered by a mono-electrode catheter in a large animal model including safety implications of delivery of one cycle versus two cycles of ablations.

Methods and Results:18 animals underwent bilateral RDN; 4 untreated naïve swine were enrolled as controls for norepinephrine levels(NE) only. Animals recieved 120-second (follow up-7,30 and 90 days) or 240-second cycles ablations (follow up-7 days). Norepinephrine evaluation, histology and immunohistochemistry evaluation was performed. No luminal obstruction was observed at follow up. A 70% decrease in NE levels (76.68±57.87ng/g) was observed at 7 days, 81% at 30 days(49.05±45.81ng/g), and 51% at 90 days(12.7±73.2 ng/g) compared to naïve controls(254.1±54.1ng/g;p<0.05). Histologically, the thermal effect extended to a complete circumferential involvement with a depth ~8mm. The primary histological feature at 7 days was nerve necrosis and distal atrophy; at 30 days, necrosis was replaced by healing changes of fibrosis. Neuromatous regeneration was apparent at 30 days at RF treated levels. At 90 days these features progressed to become more conspicuous. There were no appreciable differences in depth and circumferential extent of RF injury between one and two cycle treatment groups.

Conclusion:RDN performed with a mono-electrode catheter (Iberis) appears to be safe following single or double-cycle RF ablation.NE decrease following RDN was demonstrated at 7, 30, and 90 days compared to naïve controls, suggesting efficient nerve ablation with the device as intended for human use.
Short Term Failure after Residual Intra Mitraclips Regurgitation Treated with Transcatheter Implantation of an Amplatzer Ventricular Septal Defect Device
Authors: Biasco Luigi , Moccetti Marco , Petracca Francesco , Pasotti Elena , Surder Daniel , Moccetti Tiziano , Giovanni Pedrazzini
Published: July 2017

We here report the case of a patient with significant recurrent “intraclip” mitral regurgitation following the implant two Mitraclips for a functional mitral incontinence. An AMPLATZER Vascular Plug II deployed between the two clips with acute procedural success with post-procedural trans-esophageal echocardiography (TEE) showing a mild residual mitral regurgitation with trivial trans-valvuar gradients. Few months after the procedure, the patient was newly admitted for acute heart failure due to recurrent MR with a partial detachment of both clips and of the vascular plug forcing a surgical solution for the case.
Venous Baffle Thrombosis and Pulmonary Haemorrhage Following Atrial Septal Defect Repair Diagnosed Utilising a Novel Imaging Technique of Dynamic Pulmonary Perfusion Computed Tomography
Authors: Nogic Jason , Wong Dennis , Crosset Marcus , Troupis John
Published: July 2017

Perfusion Computer Tomography is becoming a more utilised technology in the diagnosis of vascular abnormailities in medicine. We report a case of pulmonary haemorrhage and baffle thrombosis post sinus venosus atrial septal defect (SV-ASD) repair in a 56 year old patient diagnosed utilising a novel imaging protocol of contrast enhanced dynamic Pulmonary Computed Tomography Perfusion (PCT-P) scan. This novel protocol facilitated the diagnosis and subsequent surgical thrombectomy and conduit repair, leading to full recovery of the patient where traditional computer tomography pulmonary angiography, bronchoscopy and surgical exploration did not reveal a diagnosis. 
Pharmacological Use of NLRP3 Inflammasome Inhibitors: Novel Intervention Strategies in Diabetes-Associated Vascular Complications
Authors: Liu Mi-Hua , Lin Xiao-Long
Published: July 2017

NLRP3 inﬂammasome has emerged as a key regulator of glucose and insulin homeostasis. Several studies have shown that activation of the NLRP3 inﬂammasome contributes to obesity-induced inflammation and insulin resistance . Increased oxidative stress may also contribute to NLRP3 inﬂammasome activation during diabetes and its complications . Therefore, selective inhibition of NLRP3 inflammasome is a promising target to prevent diabetes and slow down the progression of its complications.
Ethical guidelines for publishing in the journal of cachexia, sarcopenia and muscle clinical reports
Authors: von Haehling Stephan , Ebner Nicole , Morley John E. , Coats Andrew J.S. , Anker Stefan D.
Published: July 2017

This article details the principles of ethical authorship and publishing in the Journal of Cachexia, Sarcopenia and Muscle Clinical Reports (JCSM Clinical Reports). At the time of submission to JCSM Clinical Reports, the corresponding author, on behalf of all co‐authors, needs to certify adherence to these principles. The principles are obtained below:

All authors listed on a manuscript considered for publication have approved its submission and (if accepted) publication as provided to JCSM Clinical Reports;

No person having a right to be recognized as author has been omitted from the list of authors on the submitted manuscript;

The submitted work is original and is neither under consideration elsewhere nor has it been published previously in whole or in part other than in abstract form;

All authors certify that the work is original and does not contain excessive overlap with prior or contemporaneous publication elsewhere, and where the publication reports on cohorts, trials, or data that have been reported on before these other publications must be referenced;

All original research work are approved by the relevant bodies such as institutional review boards or ethics committees;

All conflicts of interest, financial or otherwise, that may affect the authors' ability to present data objectively, and relevant sources of funding have been duly declared in the manuscript;

The manuscript in its published form will be maintained on the servers of JCSM Clinical Reports as a valid publication only as long as all statements in the guidelines on ethical publishing remain true; and

If any of the aforementioned statements ceases to be true, the authors have a duty to notify the Editors of JCSM Clinical Reports as soon as possible so that the available information regarding the published article can be updated and/or the manuscript can be withdrawn.
Pattern of firearm injuries managed at rural tertiary centre in Western Uttar Pradesh, North India
Authors: Singh Shailendra Pal , Singh Pradeep Kumar , Prakash Manas , Singh Praveen , Chaudhary Gyanendra
Published: July 2017

Background: Firearm injuries are associated with substantial emotional, physical and financial burden on community and hospital resources leads to profound morbidity. It is a global public health problem and pose therapeutic challenges to surgeons. Proper management of firearm wounds requires a working knowledge of physical factors involved in the creation of such injuries. Regional variations of the parameters of medico legal aspects of firearm injuries are still lacking. Objective is to analyse pattern of firearm injuries managed at rural tertiary hospital.Methods: All firearm injury cases brought to the emergency department of Hospital, from January 2016 to December 2016 were included in the study.Results: In this study 108 (83.7%) victims were males and 21 (16.3%) were female. Most common age group victimized was 20-29 year (33.3%). Most cases occurred in winter season.113 cases (87.3%) victim were unemployed.81 cases (62.8%) had below intermediate education. 110 (85.3%) cases were of homicidal motive. Shotgun/ ‘kattas’ outnumbered the rifled firearm injuries (109) cases (84.5%). Trunk was involved in 45 cases (34.8%) and lower extremity in (32.6%) 42 cases,) Exit wound found in 93(72.2%) cases only. The fatality rate was 3.9% (5 cases). . Wound debridement was performed for 48 cases (37.2%) of patients, while emergency exploration was done for 30 cases (23.3%). The hospital stay of 49 cases (37.9%) of patients was more than one week. 111 cases (86.1%) were discharged.Conclusions: Addressing the root causes of violence such as poverty, unemployment, substance abuse will reduce the incidence of firearm injuries in our environment. Establishment of efficient emergency health care services for pre-hospital care and effective ambulance system for rapid transport of injured victims to hospital will reduce morbidity and mortality. Management requires knowledge ATLS protocols, mode, presentation and ballistic of firearm. Authorities issuing license for possession of firearms need to be more strict and vigilant.
Clinical study and management of peritonitis secondary to perforated peptic ulcer
Authors: Rohit Dushyant Kumar , Verma R. S. , Pandey Grishmraj
Published: July 2017

Background: Perforated peptic ulcer is the most common cause among all causes of gastrointestinal tract perforation which is an emergency condition of the abdomen that requires early recognition and timely surgical management. Peptic ulcer perforation is associated significant morbidity and mortality. The aim of study is to evaluate the incidence, clinical presentation, management and outcomes of the patient with peptic ulcer perforation undergoing emergency laparotomy.Methods: This retrospective study includes 45 patients who were operated for perforated peptic ulcer peritonitis at Bundelkhand Medical College and Associated Hospital, Sagar from March 2015 to April 2017. Paediatric patients of age less than 14 years, patients presenting as recurrent perforation were excluded from the study. A detailed history, clinical presentation and routine investigations were done in all cases.Results: In the present study, most of the patients were male. Most of these patients presents with clinical signs of peritonitis between 24-48 hours after onset of the pain. Among the patients of peptic ulcer perforation, duodenal perforation (93.3%) is more common and which is the most common cause of perforation peritonitis. The diagnosis is made clinically and confirmed by presence of gas under diaphragm on radiograph. Exploratory laparotomy with simple closure of perforation with omental patch was done in all cases. The most common post-operative complication was wound infection (57.5%). The overall mortality was 11.1%.Conclusions: Late presentation of peptic ulcer perforation is common with high morbidity and mortality. Surgical intervention with Graham’s omentopexy with broad spectrum antibiotics is still commonly practiced.
BLEED: a classification tool to predict outcomes in patients with upper and lower gastrointestinal hemorrhage
Authors: Huchchannavar Suresh , Puttannavar Girish , Hebsur Narayanchandra I.
Published: July 2017

Background: Acute gastrointestinal (GI) haemorrhage is a common clinical problem with diverse manifestations. Such bleeding may range from trivial to massive and can originate from virtually any region of the GI tract, including the pancreas, liver, and biliary tree. Several risk scoring systems have also been proposed to classify patients into high and low risk groups for complications, like re-bleeding or mortality, based on multivariate analyses. Kollef and colleagues identified the BLEED criteria: (a) ongoing Bleeding, (b) Low systolic blood pressure (BP), (c) Elevated prothrombin time (PT), (d) Erratic mental status, and (e) unstable comorbid Disease as risk factors for complication of GIH at any time during hospitalization after an initial 24 hours of stabilization. The objective of this study was to predict outcome according to a risk stratification BLEED criterion, independent of endoscopic findings.Methods: We studied all patients who presented with acute gastrointestinal bleeding to emergency department. patients with epistaxis, paranasal sinuses bleed, upper GI bleed secondary to endoscopic procedure, patients with chronic Anemia and those patients which admitted with Primary diagnosis other than UGIB were excluded. Patients meeting the BLEED criteria at their initial assessment were classified as high risk (66) and all others were categorized as low-risk (10). In-hospital complications were defined as recurrent UGIB, surgery to control the source of hemorrhage, hospital mortality, length of hospital stay and units of blood transfused.Results: There were 76 patients, with mean age of 46.37 years, 56 patients (73.3%) were case of Upper gastrointestinal bleeding, 20 patients (26.7%) were case of lower gastrointestinal bleeding. 66 (86.84%) of patients were categorized as high-risk patients and 10(13.2%) of patients were categorized as low risk patients. 14(21.1%) of patients were admitted in ICU ,13 Patients had undergone surgery (17.10%), 1 (1.5%) of patient had Re bleeding, nine (13%) had died. Stastical analysis showed significant association between components like low SBP (P=0.008), elevated prothrombin time (P=0.04), erratic mental status(P=0.001) and in hospital complications. All nine deaths were found in high risk group.Conclusions: BLEED criteria can be used as triage tool for stratifying the patients of acute gastrointestinal haemorrhage into high risk and low risk category without endoscopic findings and useful in predicting outcome in such patients and plan the treatment accordingly.
An observational study of benign oral lesions in central India
Authors: Keche Prashant N. , Gadpayle Nishikant P. , Gawarle Surendra H. , Chamania Gaurav A.
Published: July 2017

Background: The oral mucosa serves as a protective barrier against trauma, pathogens and carcinogenic agents. It can be affected by a wide variety of lesions and conditions, some of which are harmless while others may have serious complications. The appearance of benign oral soft tissue masses can occasionally resemble malignant tumors.

Methods: Present study is an observational and cross sectional study under taken in the Department of ENT in Shri Vasant Rao Naik Government Medical College, Yavatmal. All cases of benign oral lesions were included in the study and following cases were excluded: malignant oral lesions, immunocompromised state and benign Oral lesions due to systemic diseases.  

Results: Present study included 235 lesions of oral cavity which were clinically or histo-pathologically found to be benign in nature. Benign oral lesions were more commonly found in males with (70.2%) than females (29.8%), and M:F ratio was 2.3:1. most common benign oral lesions were found to be Oral Sub Mucus Fibrosis (26.8%) followed by Apthous ulcers (20.4%), Leukoplakia (18.3%) and Mucocele (17.1%). Least common benign oral lesions were found to be Minor Salivary Gland Tumor (MSGT) (1.7%) followed by Squamous Papilloma (2.1%), Ranula (2.1%) and Hemangioma (2.1). There was a male predominance in oral sub mucus fibrosis with M:F ratio of 9.5:1 followed by Leukoplakia with M:F ratio of 4.4:1. OSMF was found most commonly in 21-30 years age group with (57.1%). Followed by 11-20 years with (20.6%). No cases were found in ≤10 years, 51-60 and >60 years age group.

Conclusions: Most of the benign oral lesions have a predilection to transform into malignant lesions therefore imperative to diagnose the pre malignant lesions of oral cavity in an early stage where appropriate treatment can be given.
Миграция и внутренний рынок труда: анализ и меры по регулированию (на примере Ульяновской области)
Authors: Кочеткова Рузалия Маратовна , Рыбкина Мария Васильевна , Денисова Елена Геннадьевна , Денисова Евгения Олеговна
Published: July 2017

В данной статье проводиться анализ миграционных процессов и внутреннего рынка труда в Ульяновской области. Миграционная политика раскрывается как фактор развития региона, а миграция населения рассматривается как инструмент регулирования рынка труда. Проведен анализ влияния миграции на развитие рынка труда, а также разработан комплекс рекомендательных мер, которые могут способствовать снижению миграции.
Анализ существующих подходов к оценке эффективности управления государственным имуществом: преимущества, недостатки, направления совершенствования
Authors: Пивоварова Ольга Владимировна
Published: July 2017

Статья посвящена анализу существующих в зарубежной и отечественной практике подходов к оценке эффективности государственного управления в целом и показателей результативности, используемых в отношении государственного имущества, выделены их преимущества и недостатки. Определена их основная проблема – отделение системы государственного управления от государственного имущества. Обоснована необходимость разработки синтетического подхода к оценке эффективности управления государственным имуществом, включающего как рыночные, так и классические методы оценки и управления, с учетом многоаспектности категории «эффективность». Предложены общие критерии эффективности в сфере управления государственным имуществом, на основе которых должна быть организована система оценки: общеэкономический, управленческий, ситуационный, системно-функциональный, институциональный, социальный.
Направления совершенствования водоснабжения орошаемых земель (на примере Самур-Апшеронского канала Азербайджанской Республики)
Authors: Азизова Кямаля Вагиф кызы
Published: July 2017

В целях повышения урожайности существующих отраслей сельского хозяйство необходимо улучшение орошаемых земельных участков. Требуется последовательная работа в этом направлении, расширение орошаемых земельных участков, улучшения обеспечения земель водными ресурсами. Для расширения орошаемых земельных участков и улучшения обеспечения земель водными ресурсами необходимы соответствующие водохранилища и каналы для орошения. В этом смысле особо следует отметить роль Самур - Апшеронского канала. В статье отражены проблемы, связанные с использованием орошаемых земель и направлениями устранения этих проблем. Определены основные направления повышения эффективности функционирования водохозяйственного комплекса республики путем совершенствования организационно-экономического механизма хозяйствования орошаемого земледелия, оптимизации различных факто¬ров интенсификации. В статье отражается анализ современного состояния использования производственных ресурсов орошаемого земледелия.
CAMEL RATIO ON PROFITABILITY BANKING PERFORMANCE (MALAYSIA VERSUS INDONESIA)
Authors: Badrul Munir Maryam binti , Ahmad Bustamam Ummi Salwa
Published: July 2017

Purpose: This research analyzed about profitability banks performance based on the CAMEL (Capital Adequacy, Asset Quality, Management, Earnings and Liquidity) on the Bank's profitability. Capital adequacy measured by debt equity ratio (DER) and non-performing loans (NPL), asset quality measured by return on assets (ROA), management will be measured by cost per income, earnings measured by return on equity (ROE) and liquidity measured by interest expense and deposit. Methodology: The samples were 114 samples (from 10 bank in Malaysia and 9 bank in Indonesia) since 2010-2015. This analysis used descriptive method and multiple regression analysis, the result of this research indicated that banking profitability have a good performance based on CAMEL analysis. Findings: From the results of regression, the CAMEL analysis has a significant relationship to the bank profitability Practical Implications: The study demonstrated the use of CAMEL analysis to measure bank profitability. If bank performance declining through the CAMEL analysis so the Bank should make a decision to make a better performance changes of banking. Social Implications: This study was about the importance of camel analysis measuring the performance banking. CAMEL analysis detected the decrease in performance in any business sector. Originality/Value: This analysis adapted and adopted the study conducted by Sahut and Mili(2011), but this study focusedonly on the comparative performance between conventional and Islamic banking between Malaysia and Indonesia. Research Limitations/Implications: Comparison of CAMEL analysis focused on two countries between Malaysia and Indonesia (it also involves the comparative analysis of conventional and Islamic bank) to gain the profitabilityof banking, ROI with short period since 2010 until 2015
ENSAIO ETNOGRÁFICO: EXPRESSÕES E ESCRITAS CAMPONESAS COMO LUGAR DA MEMÓRIA NAS BARRAGENS DE TUCURUÍ E BELO MONTE
Authors: Benassuly Matheus , Simões Aquiles , Magalhães Sônia
Published: July 2017

Este ensaio etnográfico faz do uso da fotografia e da escrita de si (FOUCAULT, 1992a)os seus principais instrumentos à compreensão da realidade vivida pelos camponesessubmetidos a uma situação de injustiça socioambiental provocada pela construção das barragens de Tucuruí e Belo Monte, remarcando o lugar da memória (NORA, 1993) e da resistência frente a tal situação, vivida em momentos e em contextos distintos. As expressões da vida camponesa à jusante da Hidrelétrica de Tucuruí são evidenciadas nas imagens dosribeirinhos da comunidade Açaizal enquanto que as fotos dos escritos nos cadernos de LucimarBarros da Silva, ou simplesmente Lúcio, encarnam e anunciam a dor e o lamento deum camponês que vê seu modo de vida ameaçado pelo deslocamento compulsório  incitado pela construção de Belo Monte, exatamente na área alagada pela barragem.
Controle da natalidade de famílias camponesas e estabilização das fronteiras pioneiras na Amazônia Oriental brasileira
Authors: Sartre Xavier Arnauld de , Guétat-Bernard Hélène , Guerra Gutemberg Armando Diniz
Published: July 2017

Combinando trabalhos de campo realizados em dois momentos e espaços diferentes, mas no mesmo contexto, no Sudeste do Pará e Transamazônica paraense, na primeira década deste milênio, constataram-se alterações significativas nos padrões estruturais de famílias camponesas que merecem aferição e análise. Migração de outras regiões do país para a Amazônia, estabilização da frente pioneira, estratégias diferenciadas da relação com o espaço vivido campo-cidade, relação escolaridade e controle da natalidade, recorrente gravidez precoce, diminuição do número da prole, transformações no uso da maõ-de-obra e divisão sexual do trabalho são alguns dos elementos que ressaltam-se do estudo e merecem atenção neste artigo.
Agricultura familiar e estratégias de (des)envolvimento local: o caso de Espera Feliz-MG
Authors: Dias Marcelo Miná , Silva Márcio Gomes da
Published: July 2017

Este estudo apresenta os resultados de uma pesquisa realizada no município de Espera Feliz-MG ao longo de 2007. Seu objetivo foi elaborar uma análise sobre os fundamentos, as dinâmicas e condicionamentos históricos que envolvem a participação social dos agricultores, e ainda, sua constituição como atores políticos no Sindicato de Trabalhadores Rurais (STR), do município de Espera Feliz, Minas Gerais. Trata-se de uma primeira abordagem aproximativa que terá sequência em uma pesquisa a ser desenvolvida no Curso de Mestrado em Extensão Rural. A pesquisa utilizou como instrumentos a realização de entrevistas, a análise de documentos e a participação e observação de atividades do STR. Os resultados obtidos permitem apontar as características do atual processo de envolvimento dos agricultores familiares de Espera Feliz com o STR. Também foi possível compreender que as relações de envolvimento constituem para a ação do sindicato a favor do desenvolvimento local, orientado por princípios da agroecologia e da economia solidária. Por meio de suas ações indentificadas ao longo de estudo, pode-se inferir que a forma de desenvolvimento promovida pelo sindicato fundamenta-se em uma concepção de  sustentabilidade por preconizar uma matriz tecnológica na qual o conhecimento, a cultura e os recursos locais são valorizados em detrimento da racionalidade econômica estrita e reducionista. Assim, as formas de promoção do desenvolvimento local no município de Espera Feliz, por meio do STR, se configuram a apartir de uma construção coletiva de estratégias, o que colabora para a  consolidação de bases de cooperação nas quais se apóiam e interagem diversas organizações e atores sociais.
Indicadores de sustentabilidade na compreensão de processo de adaptação de agroecossistemas familiares
Authors: Carvalho João Paulo Leão de , Silva Luís Mauro Santos
Published: July 2017

Utilizando o Marco de Avaliação de Sistemas de Manejo de Recursos Naturais IncorporandoIndicadores de Sustentabilidade (MESMIS), uma ferramenta para avaliação de sustentabilidade em agroecossistemas familiares baseado nos pressupostos da abordagem sistêmica, este trabalho buscou compreender como os agroecossistemas familiares se adaptam às mudanças no contexto socioeconômico no município de Curralinho, Marajó, Pará. Foram adaptados ao contexto estudado dez indicadores para avaliação da sustentabilidade de dezenove agroecossistemas familiares escolhidos de forma intencional. Após uma caracterização dos agroecossistemas familiares foi possível identificar duas distintas lógicas familiares: (i) uma lógica agroextrativista que mantém forte elemento extrativista, mais dependente do natural; e, (ii) outra lógica agroextrativista com maior inserção no mercado, apresentando maior intensificação de elementos técnicos produtivos. As diferentes lógicas são reflexos da adaptação dos agroecossistemas familiares ao atual contexto socioeconômico da região.
Árvore dos saberes: experiências compartilhadas em direitos humanos e educação
Authors: Oliveira Assis Da Costa , Pinho Vilma Aparecida de , Barreto Andréia Macedo
Published: July 2017

Neste artigo, compartilhamos a experiência de prática docente realizada na disciplina “DireitosHumanos e Educação” ministrada no Curso de Etnodesenvolvimento da Universidade Federal doPará, que tem discentes oriundos de povos e comunidades tradicionais. Com base na pedagogia da alternância, estruturamos os conteúdos a serem ensinados nas aulas e construímos a árvore da educação, onde as raízes representaram os problemas; o tronco, os meios de superação; e a copa, as condições ideais ou soluções da educação escolar. As análises finais realizadas pelos discentes e docentes centraramse no currículo escolar, merenda/transporte escolar e políticas públicas direcionadas para as coletividades de pertença dos discentes.
The method of differential diagnosis of the main forms of primary hyperaldosteronism by high performance liquid chromatography
Authors: Rebrova D. V. , Vorokhobina N. V. , Baranov V. L. , Velikanova L. I.
Published: July 2017

Objective.To provide a method of differential diagnosis of the main forms of primary hyperaldosteronism (PHA) based on the high effective liquid chromatography (HELC).Design and methods.We evaluated 98 patients with PHA and with essential hypertension (EHTN). Aldosterone and plasma renin activity were measured by radioimmunoassay, renin levels by immunoassay. The blood levels of cortisol (F), cortisone (E), corticosterone (B), 11‑deoxycorticosterone (DOC), 11‑dehydrocortitocosterone (A), 11‑deoxycortisol (S), 18‑hydroxycorticosterone (18‑OH-B), the urinary excretion of free cortisol (UFF), free cortisone (UFE), 18‑hydroxycorticosterone (U18‑OH-B) were measured by HELC. Dexamethasone test, saline infusion test, postural test, computed tomography of adrenal glands were performed. All PHA patients underwent adrenal vein sampling (AVS).Results.PHA patients had higher blood levels of B, DOC, 18‑OH-B and urinary excretion of U18‑OH-B than EHTN patients. Moreover, patients with aldosteroma had combined excess of blood B, DOC, 18‑OH-B and urinary excretion of U18‑OH-B, patients with idiopathic hyperaldosteronism (IHA) showed a reduction of F/E and B/А blood ratios and UFF/UFE urine ratio. The blood levels of B, DOC, 18‑OH-B and urinary excretion of U18‑OH-B showed the highest sensitivity and specificity for the diagnosis of PHA. Patients with aldosteroma showed higher levels of B and 18‑OH-B, higher ratios B/А, B/F and 18‑OHB/F in the adrenal vein blood at the tumor side as compared with those in patients with IHA.Conclusions.B, DOC, 18‑OH-B blood levels and U18‑OH-B urinary excretion determined by HELC are informative and reliable indicators for early diagnosis of PHA. The use of HELC method in a complex examination of PHA patients is necessary in case of aldosterone-renin ratio between 30 and 50 ng/dl per ng/(ml per hour) and in case of borderline values of lateralization coefficient at AVS.
Adesão ao tratamento: construção permanente em busca da autonomia do usuário do sistema único de saúde
Authors: Colombrini Maria Rosa Ceccato , Tozzi Cíntia Soares , Silva Rosana Fins Ramos da , Costa Sandra Mara Queiróz , Higa Roseli , Guimarães Marcos Roberto , Rodrigues Marta Diafrais Santos Borges , Silva Priscila Moreira da , Iaderozza Antonio Sundfeld , Mendes Maria de Fátima Peli
Published: July 2017

A adesão ao tratamento de doenças como a aids é um desafio permanente para os profissionais de saúde pelas implicações que extrapolam o indivíduo doente e atingem não só a família como a comunidade. Aprimorar a adesão à terapia antirretroviral de pessoas que vivem com HIV/aids. O trabalho iniciou em 2012 no Hospital Dia do Hospital de Clínicas da Universidade Estadual de Campinas. A população constitui-se por pessoas que vivem com HIV/aids e outras doenças infecciosas. Em 2012 coletou-se dados de uma amostra aleatória de 141 usuários com aids dos 945 adscritos para avaliar a adesão, considerando-se aderente aquele que ingeriu 95% ou mais dos medicamentos prescritos nos três últimos dias anteriores à entrevista. Dos 141 usuários com adesão analisada em 2012, verificou-se a taxa de adesão de 81,6% sendo maior que a encontrada em 2003, que foi de 73,3%. De março a junho de 2016, faltaram e foram convocados para consultas 268 pacientes e 163 (61%) compareceram às convocações para consulta médica com seguimento do enfermeiro. Realizou-se três pesquisas de satisfação no período. As não conformidades estruturais e de processos foram corrigidas após análise de um check-list com 1479 itens. A clientela adscrita em 2015 foi de 2350 pacientes. O absenteísmo teve redução com a confirmação da consulta médica por telefone. O processo de enfermagem e a confecção da “vitrine da TARV" foram algumas das medidas de segurança. Os pacientes apresentam complexidade social, clínica e terapêutica que podem limitar a elevação dos índices de adesão.
Programa cuide da sua dor
Authors: Nieri Tâmara Maria
Published: July 2017

A dor é o dilema mais complexo da saúde humana. Ela envolve fatores nociceptivos, ansiedade, desorganização social, distúrbio do sono, depressão, frustração e conflito com o cuidado oferecido pelos profissionais de saúde. A dor crônica afeta aproximadamente 20% da população dos países desenvolvidos, atingindo, o individuo, a economia e a sociedade em geral. Sua prevalência aumenta com a idade, acometendo, em indivíduos acima de 70 anos, 79% das mulheres e 53% dos homens. O tratamento, ao contrário do realizado para a dor aguda, não tem como objetivo remover a causa para obter a regressão total do sintoma, pois o que caracteriza a dor crônica é a persistência da dor após o tratamento da causa. A terapêutica deve focar a melhora da funcionalidade do individuo, controlando a intensidade e a frequência da dor. Nossa proposta foi criar e implantar um modelo de atenção multidisciplinar e multimodal, para o tratamento de pacientes com quadros de dor crônica musculoesquelética, integrando os diversos serviços do Cecom, proporcionando a atenção integral aos portadores desta afecção, visando a melhoria da qualidade de vida.  Em outubro de 2015 iniciamos o programa CUIDE DE SUA DOR, com a implantação de um fluxo de atendimento específico para os pacientes portadores de dor crônica musculoesquelética, que prevê avaliação/acompanhamento do fisioterapeuta, consulta médica, terapia medicamentosa segundo protocolo específico e grupos de terapias complementares e auto cuidado. A avaliação preliminar apresenta resultados positivos, com melhora objetiva e subjetiva dos pacientes em acompanhamento, mostrando a efetividade terapêutica do método.
Impact of Treated Domestic Sewage Irrigation on Crop Yield, Plant Uptake and Soil Properties in Central India
Authors: Mhaske A.R. , Nikam P. J.
Published: July 2017

The rising population has not only increased the fresh water demand but also increased the volume of wastewater generated. Increasing need for water has resulted in the emergence of domestic wastewater application for agriculture and its relative use. In the present study a field experiment was conducted during 2012-13 and 2013-14 in which spinach (Spinacia oleracia) were irrigated with well water (WW) and domestic treated sewage water (DTSW). The use of the DTSW has shown improvement in the physicochemical properties of the soil, yield along with the nutrient status as compared to the application of WW. Post harvest pH of the soil in DTSW was in the range 7.85 whereas it was 7.93 in WW. EC and OC were found 0.43dS m-1 and 5.41 g kg-1 respectively in DTSW whereas it was 0.31 dS m-1 and 5.27 g kg-1 respectively in WW. NPK were found 279.6, 17.22 and 435.70 kg ha-1 respectively in DTSW whereas it was found, 266.8, 16.44 to 428.1 kg ha-1 respectively in WW. The physical properties of the soil like BD and HC observed 1.32 Mg m-3and 1.50 cm hr-1 respectively in DTSW and it was found 1.42 Mg m-3 and 1.54 cm hr-1 respectively in WW. The content of micronutrients and heavy metals in soil and plant due to irrigation of DTSW were well below the phytotoxicity limits in both soil and plant. The findings give applicable advice to commercial farmers and agricultural researchers for proper management and use of treated domestic wastewater for agricultural purpose.
Performance Evaluation of watermarking Schemes to Decide Meaningful Number of Shares
Authors: Saturwar Jitendra , Chaudhari D.N.
Published: July 2017

With the growth in digital world, it is becoming more important to find a method to
protect the security of digital media. An image watermarking model based on visual secret
sharing (VSS) is proposed for protection of ownership. In the embedding phase, the
watermark is first divided by VSS into two parts, a hiding watermark and a secret watermark.
Then only the hiding watermark is embedded into the original image and the secret
watermark is reserved for watermark extracting by the owner. In the extracting phase, the
hiding watermark is extracted from the watermarked image first and then directly
superimposed on the secret watermark to recover the watermark information. Digital
watermarking has been proposed as a possible brick of such protection systems. However,
application of watermarking for multimedia content protection in realistic scenarios poses
several security issues.
A digital watermarking technique is used to generate meaningful shares. The secret image
shares are watermarked with different cover images and are transmitted. At the receiving side,
the cover images are extracted from the shares and stacked one by one which reveals the secret
image progressively. Digital watermarking using visual cryptography provides improved security
for encrypting secret images.
Experimental Investigation of Heat Transfer Rate Using Twisted Tape with Elliptical Holes
Authors: Gawande K. R. , Deshmukh A. V.
Published: July 2017

An experimental investigation was carried for measuring tube-side heat transfer coefficient, friction factor, heat transfer enhancement efficiency of water for turbulent flow in a circular tube fitted with rectangular-cut twisted tape insert. A copper tube of 26.6 mm internal diameter and 30 mm outer diameter and 900 mm test length was used. A stainless steel rectangular-cut twisted tape insert of 5.25 twist ratio was inserted into the smooth tube. The rectangular cut had 8 mm depth and 14 mm width. A uniform heat flux condition was created by wrapping nichrome wire around the test section and fiber glass over the wire. Outer surface temperatures of the tube were measured at 5 different points of the test section by T-type thermocouples. Two thermometers were used for measuring the bulk temperatures. At the outlet section the thermometer was placed in a mixing box. The Reynolds numbers were varied in the range 10000-19000 with heat flux variation 14 to 22 kW/m2 for smooth tube, and 23 to 40 kW/m2 for tube with insert. Nusselt numbers obtained from smooth tube were compared with Gnielinski correlation and errors were found to be in the range of -6% to -25% with r.m.s. value of 20%. At comparable Reynolds number, Nusselt numbers in tube with rectangular-cut twisted tape insert were enhanced by 2.3 to 2.9 times at the cost of increase of friction factors by 1.4 to 1.8 times compared to that of smooth tube. Heat transfer enhancement efficiencies were found to be in the range of 1.9 to 2.3 and increased with the increase of Reynolds number.