bluuebunny/crossref_metadata_2025 huggingface dataset:
ПОЛУЧЕНИЕ ИНТЕРМЕТАЛЛИДОВ В СИСТЕМЕ Al–Ti–Zn
Authors: Каминский В. В. , Петрович С. А. , Липин В. А.
Published: October 2018

Двойные интерметаллиды – алюминиды титана (TiAl, Ti3Al), добавленные в сплавы, заметно повышают их прочностные и специальные свойства. Наиболее перспективным направлением получения интерметаллидов являются механохимические технологии, включающие механическое легирование сплавов. Механическое легирование позволяет ввести в металлическую матрицу значительно более мелкие частицы, чем можно добиться с помощью стандартных технологий порошковой металлургии. Помимо механического синтеза, способом получения интерметаллидов на основе алюминия является самораспространяющийся высокотемпературный синтез (СВС) твердых химических соединений. Синтез был осуществлен по многостадийной схеме: приготовление порошка титана и алюминия, их смешивание; синтез интерметаллида Al3Ti методом СВС в вакууме с последующей механической активацией стехиометрических шихт. Целью работы являлось изучение динамики развития нанодисперсных фаз в процессе синтеза при механолегировании. Была рассчитана мощность, поглощаемая единицей массы материала за разное время обработки шихты. При уровне удельной мощности (дозы) механообработки 3,5 кДж/г достигается максимальное содержание интерметаллида в получаемом материале. Благодаря этим расчетам и данным, полученным в ходе рентгенофазового анализа, определена зависимость изменения содержания тройных интерметаллидов в конечном продукте от поглощаемой мощности. В результате выполненных исследований с помощью растровой электронной микроскопии и рентгеновского анализа было установлено, что методом механолегирования порошков в системе Al–Ti–Zn могут быть получены наноструктурированные интерметаллиды Ti4ZnAl11 и Ti25Zn9Al66 с размером нанодисперсных фаз менее 12 нм, причем с увеличением продолжительности в условиях эксперимента доля последнего достигает 74 % от массы образца.
MODERN SPECIFICITY OF CORPORATE RELATIONS ON THE EXAMPLE OF VERTICAL-INTEGRATED COMPANY
Authors: Лапинскас А. А.
Published: October 2018

Рассматриваются особенности современной модели российских корпоративных отношений (КО) на примере вертикально-интегрированной и диверсифицированной компании. На состояние КО до сих пор оказывают влияние последствия процессов приватизации государственных и муниципальных предприятий в 1990-е годы, в результате которых сложилась своеобразная экономическая модель олигархического капитализма и специфическая модель КО. На конкретном примере проанализированы плюсы и минусы данной модели с учетом процессов консолидации предпринимательской деятельности в металлургии и золотодобывающей отрасли. Сделан вывод о преобладании квазикорпоративных отношений, предложены направления совершенствования КО.
Friction and wear of diamond-like carbon thin films deposited via magnetron sputtering under different bias voltages
Authors: Bui Lam Xuan
Published: October 2018

This paper presents studies on the friction and wear of diamond-like carbon thin films deposited on steel substrates via magnetron sputtering. The testing mode is ball-on-disc. The graphitization of diamondlike carbon during the tribotest explains the low coefficients of friction (0,09-0,15) observed. The bias voltage plays an important role on the film’s microstructure thus the friction and wear of the films in tribotests. The results showed great potential for applications of diamond-like carbon thin films in engineering.
Refining of degasifying and removing of non-metallic impurities during aluminium alloy production
Authors: Nguyen Thong Duy , Tran Nga Thi Tuyet , Dinh Hong Thi
Published: October 2018

In melting aluminum and aluminum alloy, molten aluminum reacts readily with oxygen, cacbon monoxide and cacbon dioxide; it also reacts with adsorbed water, water present in hydrated oxide films on metal charges, water vapor in the atmosphere of the furnace to form oxides and hydrogen. As a result, a higher level of hydrogen is retained in the metal. In solid aluminum, hydrogen in excess of the solution limit can precipitate as H2 at grain boundaries. Thus, refining and degasifying can be improved mechanical properties of material.
Authors: Andri Jumiati
Published: October 2018

Penelitian ini merupakan penelitian tindakan kelas yang bertajuk PKn meningkatkan hasil belajar dengan menggunakan model pembelajaran kooperatif permainan tim tournamens (TGT) kelas V SD 24 Negeri Betung. Tujuan penelitian ini adalah untuk meningkatkan hasil belajar siswa kelas V SD Negeri 24 Betung melalui model pembelajaran kooperatif TGT. Subyek penelitian adalah siswa kelas V Betung kelas V negeri yang memiliki 21 siswa, terdiri dari 11 laki-laki dan 10 perempuan. Keberhasilan penelitian dianalisis berdasarkan ketuntasan belajar siswa yang memperoleh nilai siklus. Jika tidak selesai dalam hasil belajar siswa ketika mencapai nilai 65 sedangkan kelas jika terdapar dinyatakan tuntas 75% siswa yang mendapat skor 65 atau lebih. Dapat disimpulkan bahwa hasil belajar PKn menggunakan model pembelajaran kooperatif TGT kelas V SD 24 Betung menyatakan negara meningkat. Oleh karena itu, guru disarankan untuk mengembangkan pembelajaran dengan menggunakan model kooperatif tipe TGT karena dapat meningkatkan hasil belajar siswa.
ÇAĞDAŞ SANATTA ELEŞTİREL BİR DİL OLARAK İRONİ VE SERAMİK SANATINDAKİ YANSIMALARI
Authors: BAŞAR Safiye
Published: October 2018

20. yüzyıl ve günümüz sanatının en güçlü
kavramlarından biri olan ironi, sanatçının dış dünyayı yorumlayışında takındığı
eleştirel bir tavır olarak karşımıza çıkar. Gerçeğin gizlenip tersten
söylendiği bu yaklaşımda esas amaç, söylem ya da eylemdeki çelişik noktalara
dikkat çekmektir.Uzun yıllar, retorik temelli bir kavram olarak
felsefe ve edebiyatın içinde yer alan ironi, geçtiğimiz yüzyıl başında, sanat
alanına sızarak, sanatsal anlamın inşasında bir yöntem ve tavır niteliği
kazanmıştır. Özellikle, Marcel Duchamp’ın çalışmalarıyla başlayan bu eleştirel ironik
dilin, estetik kaygının yıkımında ve sanatın ontolojik yapısının değişiminde
tetikleyici bir unsur olduğu söylenebilir. Günümüzde, resimden heykel ve
seramiğe, performanstan videoya değin pek çok sanat disiplininde ironik dilin
örneklerini görmek mümkündür.20. yüzyılın ikinci yarısında  formalist eğilimlerin hakim olduğu seramik
sanatı içinde eleştirel bir dilin filizlendiğine tanık oluruz. Bu eleştirel
ironik dil, 1960’lı yılların sonlarından itibaren pop ve funk hareketi
içerisinde yer alan sanatçılar tarafından geliştirilmiştir. Hareketin öncüsü
Robert Arneson’un alay ve ironi içeren çalışmalarını Birgit Jurgenssen’in ironi
ve sürrealizmi birleştirdiği işleri izler.

Günümüzde, Ai Weiwei, Keiko Fukazawa, Frenk
Flemening, Penny Byrne gibi seramik malzemenin olanaklarını kullanan
sanatçıların eleştirel ironik dili, yapıtın içeriğini güçlendiren  bir tavır olarak karşımıza çıkmaya devam
etmektedir.
HAMLET’İN GÖRSEL ÇEVİRİSİ: YERKO’NUN “HAMLET” İLLÜSTRASYONLARI
Authors: KAYABEKİR Tülay
Published: October 2018

Tiyatro ve
illüstrasyon tek bir hikayeyi iki farklı dilde anlatan temsil sanatıdır. Bir
araya güçlü bir şekilde geldiklerinde büyülü bir atmosfer yaratmak için eşsiz
imkanlar sunar. Bu araştırma bu atmosferi yaratan Vladislav Yerko’nun Hamlet
illüstrasyonları üzerinedir. İllüstrasyonların kaynağı “Hamlet” tir. Şimdiki zamanda tesadüfi
olmayan bu karşılaşma, hem Shakespeare’in yarattığı karakterler ve olayların Vladislav
Yerko tarafından görsel olarak nasıl yorumlandığı hem de anlamı sanatsal bağlamda
şimdiye nasıl aktardığı ile ilişkilidir. Bu anlamda çalışmada, hem eserin geçmişi, hem
eserin günümüze kadar içinde kaldığı zaman geçmişi hem de görsel çeviri süreci ele alınarak bu sanatsal
bağlama ilişkin geçmişin izleri ele alınacaktır. Hamlet’in
metaforik yapısına vurgu
yapan bu resimlemeler alegorik ve içgözleme dayalı görselleştirmelerdir. Bir metnin
görselleştirilmesi söz konusu olduğu için, daha çok metindeki anlamsal gerçekliğin nasıl
aktarıldığıyla ilişkilendirilecek olan bu illüstrasyonlar sanat
eleştirisi kuramına dayalı bir yaklaşımla ele alınmaya çalışılırken azda olsa
Hamlet’i başka bir evrende ve dilde yeniden izlemenin duygusal yolculuğunu da içermektedir.
ORTA VE DOĞU KARADENİZ BÖLGESİ 19. YÜZYIL RUM KİLİSELERİNDE ÇAN KULELERİ
Authors: OKUYUCU YILMAZ Demet
Published: October 2018

Osmanlı
İmparatorluğu’nda, Islahat Fermanına kadar olan dönem boyunca çan çalınması
yasak olduğundan kiliselerde bu döneme kadar çan kulesi inşa edilememiştir. 19.
yüzyılın ortalarında, Tanzimat ve Islahat Fermanları’nın sağladığı koşulların
sonucunda kiliselerde çan çalınması serbest bırakılmış, bu dönemden itibaren
bazı kiliselerde ek yapı olarak çan kuleleri inşa edilmiştir.Orta
ve Doğu Karadeniz Bölgesi 19. Yüzyıl Rum Kiliselerinde çan kuleleri bağımsız
veya kiliselere bitişik olarak inşa edilmişlerdir.Dönemin
başkentinde yer alan 19. yüzyıl Rum Ortodoks kiliselerinde görülen ve sonradan
inşa edilen ek yapılar şeklindeki çan kuleleri de yapıdan bağımsız veya
kiliseye bitişiktir.

Günümüze
tamamıyla veya kısmen ulaşabilen ve kalıntılardan hareketle var oldukları
düşünülen bu çan kuleleri başkent ve eyaletlerdeki diğer kuleler ile
karşılaştırılıp bir değerlendirmeye tabi tutulacaktır.
KLASİK ANIT HEYKEL MANTIĞININ DANİ KARAVAN EKSENİNDE PLASTİK MEKÂNA DÖNÜŞÜMÜ
Authors: ŞENGÜNALP Caner
Published: October 2018

Tarihsel süreçte yaşanan önemli
olayların ya da iz bırakmış karakterlerin kentsel mekânda görünür kılınmalarına,
hatırlanmalarına ve geleceğe aktarılmalarında görsel bir araç olarak kullanılan
anıt heykeller, sanatın değişken ve devrimci yapısına uygun biçimde kendi
dinamiklerini yenileme ihtiyacı duymaktadır. Toplumsal ve sosyo kültürel
yapıların zamanla evrilmesi, bakış açılarının, düşünsel boyutun, ontolojik
sorgulama düzeyinin de değişimini tetiklemiştir. Yaşanan değişimleri kendi
sanat pratiğine entegre edebilen ve bu yeni gereksinimleri anıt heykel
düzleminde uygulayabilen sanatçılardan biri olan Dani Karavan, kendine özgü bir
anıt dili geliştirmiştir. Bunu yaparken doğayı, insanı, toplumsal değerleri,
belleği ve mekânsal verileri yapıtlarının tasarım süreçlerinde uyum içinde
kullanmıştır. Anıtın hikâyesini ya da karakterlerini klasik mantıkla değil,
deneyimlenen ve içine dâhil eden bir anlayışla aktaran Karavan, insan-yapıt
arasındaki dokunsal ve duygusal sınırları genişletmiş, kompozisyonu mekânla
bütünleştirerek, yapıtlarını o yere özgü üretmiştir. Bu yaklaşımlar onun yeni
bir anıt metodolojisi geliştirmesine olanak tanımıştır. Sanatçının ütopyasının
bir parçası olan, bağlamın, belleğin, kentsel çevrenin, doğanın ve toplumsal
dinamiklerin yapıta dâhil edilerek üretilen anıtlar, ortak hafızayı çağırıcı,
bireyin duygu ve düşünce dünyasına sızan, mekânla uyumlu, yaşamı üstüne çeken,
ayrıştırıcı ve ötekileştirici unsurları geri plana  iten, aktif katılıma davet eden plastik bir
deneyim ve paylaşım alanına dönüşmektedir.
2006 İLKÖĞRETİM MÜZİK DERSİ ÖĞRETİM PROGRAMI İLE 2018 İLKOKUL VE ORTAOKUL MÜZİK DERSİ ÖĞRETİM PROGRAMININ KARŞILAŞTIRILMALI KURAMSAL ÇERÇEVE ANALİZİ
Authors: ALBUZ Aytekin , DEMİRCİ Barış
Published: October 2018

Eğitimde önem kazanan yapılandırmacı öğrenme yaklaşımının, etkili ve kalıcı bir öğrenme sağladığı birçok eğitimci tarafından kabul edilmiştir. Bu bağlamda İlköğretim müzik dersi öğretim programı (1-8. sınıflar) yeniden yapılandırılmış, öğrenci merkezli öğrenmeyi dikkate alan yapılandırmacı öğrenme yaklaşımı ve çoklu zeka kuramı, 2006 ilköğretim müzik dersi öğretim programına kaynaklık eden kuramlar olmuşlardır.Yapılandırmacı öğrenme yaklaşımı ve bazı kuramlara dayandırılarak hazırlanan 2006 ilköğretim müzik dersi öğretim programının uygulanabilirliği ve kalıcı öğrenmeye etkileri, araştırmacılar tarafından ele alınmış, bir çok, fikir ve düşünce dile getirilmiştir. On iki yıl süre ile yürürlükte kalan 2006 ilköğretim müzik dersi öğretim programında Milli Eğitim Bakanlığı tarafından alınan bir karar doğrultusunda güncellenmeye gidilmiştir. Oluşturulan komisyon tarafından programın güncelleme çalışmaları tamamlanmış ve 2018 ilkokul ve ortaokul müzik dersi öğretim programı (1-8 sınıf) olarak  yürürlüğe girmiştir. Araştırma bu iki program ekseninde birçok açıdan ele alınarak karşılaştırılmış, kuramsal açıdan analiz edilerek değerlendirmeleri yapılmış ve tartışılmıştır. Sonuç olarak, temelde 2006 ilköğretim müzik dersi öğretim programına kaynaklık eden öğrenme yaklaşımları ve kuramları üzerine inşa edilen 2018 ilkokul ve ortaokul müzik dersi öğretim programının; öğrenme alanları, kazanımlar ve açıklamalar ekseninde yeniden ele alınıp güncellendiği, yeni kazanımlar eklendiği, bazı kazanımların değiştirildiği, bazı kazanımların programdan kaldırıldığı, kazanımlara ilişkin etkinlik örneklerine yer verilmediği, “Dinleme-söyleme-çalma” öğrenme alanının; “dinleme-söyleme” olarak değiştirildiği görülmüştür.
GÜZEL SANATLAR EĞİTİMİ BÖLÜMÜ ÖĞRENCİLERİNİN İLLEGAL KOPYALAMA VE TELİF HAKLARINA YÖNELİK GÖRÜŞLERİ
Authors: ARICI İsmet
Published: October 2018

İnsanların
yaratıcı fikirleri ile oluşturdukları eserler toplumun gelişim sürecinde önemli
rol oynarlar. Bu eserlerin gelişmesi ve çoğalması için eser sahiplerinin
haklarının korunması ve emeklerinin karşılıklarını alabilmelerinin sağlanması
büyük bir önem taşır.Matbaanın
bulunduğu 15,yüzyıldan sonra günümüze dek gelinen süreçte eser sahiplerinin
hakları gündeme gelmiş ve belirli dönemlerde eser sahiplerinin haklarının
korunması adına antlaşmalar imzalanmış ve kanunlar çıkarılmıştır. Gelişen
teknoloji ile başlayan dijital dönemde kopyalama yöntemleri çoğalmış, bunlara
karşın alınan önlemler tamamı ile izinsiz kopyalamayı engelleyememiştir.Araştırmada Marmara Üniversitesi
Güzel Sanatlar Bölümünden 53 kişi müzik öğretmenliği, 72 kişi müzik
öğretmenliğinden olmak üzere toplam125 kişiye anket uygulanmıştır. Uygulanan
ankette öğrencilerin izinsiz kopyalamaya yönelik görüşleri alınmış ve sonuçları
analiz edilmiştir.

Araştırmanın sonucunda,
katılımcıların büyük bir çoğunlukla izinsiz eser kopyalamanın suç olduğu, bu
konunun ahlaki bir sorun olduğu konusunda hem fikir oldukları
görülmektedir.  Ancak özellikle sanat
alanında öğretmen ve sanatçı adayı olmalarına rağmen izinsiz kopyalama
yaptıkları da sonuçlara yansımıştır. Bu suçun denetimi ve cezai sorumlulukları
konusunda yeterince bilgi sahibi olmadıkları da verilen cevaplardan
anlaşılmaktadır.
TÜRK MÜZİĞİ VİYOLONSEL EĞİTİMİNE YÖNELİK BİR DEĞERLENDİRME
Authors: KILIÇ Adem , SÜMBÜLLÜ Hasan Tahsin
Published: October 2018

Araştırmanın amacı, viyolonsel sanatçı ve
eğitimcilerinden görüşler alınarak Türk müziği (TM) viyolonsel eğitimine
yönelik değerlendirmelerde bulunmaktır.

Araştırma, betimsel bir çalışma olup anket tekniği
kullanılmıştır.

Araştırma kapsamında 20 ileri düzey TM viyolonsel
icracısı tespit edilmiştir. Viyolonsel sanatçı ve eğitimcilerinden oluşan
örneklemden veriler elde edilmek üzere bir anket oluşturulmuştur.

Araştırma sonucunda ileri düzey TM viyolonsel
icracılarından demografik bilgiler ve viyolonsel eğitimleri ile viyolonsel
öğretimine yönelik çeşitli değişkenler açısından sonuçlara ulaşılmıştır.
Supernumerary Ovary: A Case Report
Authors: Yogini D. Kavitha , Balasubramaniam Devi , Ezhil Malathi , Periyasamy Kodeeswari , Palanivelu Chinnusamy
Published: October 2018

Supernumerary Ovary is a rare incidental diagnosis, which is on the rise due to modern imaging modalities and advent of laparoscopy in Gynecology. It has various clinical implications. It can present like Endometrioma, Fibroma or as papillary serous cystadenocarcinoma. Removal of this additional ovary tends to stay in dilemma, because its follicles can be used in the treatment of infertility and it has malignant potential. Hence, correct diagnosis and prompt decision making is necessary based on the patient age and parity. As in our case, a nulligravida presented with torsion of the ovarian cyst. During Laparoscopic procedure, we noticed that this pathology was from the third ovary as in this case Supernumerary ovary. The removal of the ovary was not done as this patient was undergoing treatment for infertility. Weighing the benefits over risks, patient was counselled for proper follow-up and removal of this Supernumerary ovary following completion of family. All gynecologists should be aware of this rare condition due to its clinical implications and its appropriate management. Keywords: Supernumerary Ovary, Ovarian Torsion, Malignant potential, Fertility, Incidental diagnosis
V. Tairov (1859-1938) scientific and organizational activity as a member of Viticultural Committee and in the frame of viticulturists and wine-makers congresses
Authors: Burlak G.
Published: October 2018

Scientific and organizational activity of Professor V. Tairov at the end of ХІХ – beginning of ХХ centuries has been highlighted. Out-of-the-way items of pages on V. Tairov’s life and activity as a member of the Viticulture Committee have been considered. The practical activities of the scientist, his cooperation with the Odesa Viticulture Committee, participation in the congresses organized by the Committee, and in the international congresses have been characterized. The significance of the scientist’s ideas for the viticulture has been demonstrated.
Historical retrospective for development of agricultural administration in Ukraine (1995 – 2015)
Authors: Belova O.
Published: October 2018

The reforms in the agriculture of independent Ukraine have generated a large number of new private landowners and users. A significant part of them - farmers, owners of private peasant farms - have an inadequate level of agricultural knowledge, in particular, with regard to the use of the latest technologies in crop and livestock production. Therefore, they need professional assistance, advice and raising the level of agricultural knowledge. Such services are elements of agricultural advisory services as a separate activity in agriculture. The author analyzes the stages of develop-ment of agricultural advisory activity in Ukraine and proposes directions for its improvement.
The contribution of functional morphologists to the development of medicine (the end of the XIX – the beginning of the XX centuries)
Authors: Deforzh H.
Published: October 2018

Historical and scientific analysis of evolutionary morphology is extremely important for modern problems understanding of its development. The study of the morphology of animals is one of the bases of all studies of macroevolution and phylogeny, and consequently of general constructions in evolutionary theory as a whole. Thus, the study of the history of evolutionary morphology should be an essential element of the general history of evolutionary theory and an important point in covering general evolutionary problems. Evolutionary morphology has been experiencing its revival in recent decades. It is associated with the growing interest of biologists and physicians in the evolution of morphogenesis, structural transformations in the course of phylogenesis of various groups of organisms (especially humans) and their species-specificity.
EL RÉGIMEN JURÍDICO DE LA INSPECCIÓN ADMINISTRATIVA Y LOS DERECHOS SOCIALES EN CUBA. APUNTES PARA UNA REFORMA
Authors: Sánchez Alcides Francisco Antúnez
Published: October 2018

La actividad inspectiva, se revela en la actividad administrativa cubana como un elemento indispensable dentro del control de la Administración Pública. Sin embargo, a pesar de resultar una de las técnicas más tradicionales de control administrativo, entre nosotros no ha contado con un desarrollo teórico suficiente, y de su régimen jurídico se evidencias profundas asimetrías, incluso contradictorias con el régimen general de inspección. Alejada del pensamiento de los cultores del Derecho Administrativo patrio, o tratada de forma insuficiente, resulta una verdadera “cenicienta” dentro de las técnicas de intervención administrativa en contradicción, con su uso cada vez más generalizado en todos los sectores yniveles de organización administrativa. Las presentes líneas tienen como objetivo fundamentar que los elementos teóricos esenciales que configuran necesarios para el perfeccionamiento su régimen jurídico en Cuba resulta: su concepción trípode como potestad, actividad y función.
APROXIMACIÓN A LA NECESIDAD SOCIAL DE LA SUPERACIÓN PROFESIONAL DEL JUEZ EN LA SOLUCIÓN DE CONFLICTOS SOCIALES. CIENCIA-TECNOLOGÍA
Authors: Paneque Olivia Virgen Figueredo
Published: October 2018

El presente trabajo constituye el complemento del tema de Doctorado aprobado en virtud de la innovación docente articulando dos ciencias que armonizan la toma de decisiones con sus aportes en la actuación del jurista, (Ciencias Pedagógicas y Ciencias Jurídicas). Los objetivos del mismo están encaminados a exponer los referentes teóricoprácticos que entrañan: la filosofía, sociología, psicología y pedagogía por las que ha de transitar la innovación docente y jurídica específicamente para robustecer el posgrado.
O RESGATE DA COR SOB AS MALHAS DA ESCRAVIDÃO BRASILEIRA: NOTAS A RESPEITO DA ADOÇÃO DE COTAS RACIAIS NO ÂMBITO DO ENSINO SUPERIOR NO BRASIL
Authors: Cabrera Michelle Gironda
Published: October 2018

O presente trabalho, tomando por objeto a retomada da experiência vivida sob as malhas da escravidão brasileira, busca empreender uma análise a respeito da necessidade (desde sempre atual) de erradicação de todas as formas de preconceito e estigmatização racial que, por si só, colocam em xeque a implementação democrática do direito à igualdade e à identidade cultural, para, após, estabelecer os alicerces da necessidade de adoção de cotas raciais no âmbito do ensino superior do país.
O MÉTODO CIENTÍFICO DE PIERRE BOURDIEU E SUA APLICAÇÃO NO CONTRATO DE SEGURO
Authors: Poletto Gladimir Adriani , Gonçalves Oksandro Osdival
Published: October 2018

O trabalho analisa a metodologia científica de Pierre Bourdieu, mediante a interpretação dos seus principais conceitos, seu método, para então identificar o campo e os microcosmos que estão inseridos num macrocosmo social no que pertine ao contrato de seguro, as relações entre os cosmos e internamente entre os seus agentes, vinculados com a estrutura tradicional do objeto e seus efeitos políticos, econômicos e sociais.
O possível efeito liberatório do pagamento feito ao representante comercial – estudo de caso
Authors: Dusek Patricia Maria
Published: October 2018

O texto tem por objetivo o estudo de um caso concreto, examinado à luz do direito civil/empresarial, acerca do efeito liberatório do pagamento feito por devedor ao representante comercial que não tem poderes de representação para receber quantia em nome do fornecedor, que o contratou para promover suas vendas em determinada região
Serum Vascular Endothelial Growth Factor (VEGF) in DMPA Acceptors: Influence on Bleeding Occurrence
Authors: Pratiwi Ratih , Amran Rizani , Said Usman , Saleh Irsan
Published: October 2018

Objective: To analyze the relationship between levels of serum vascular

endothelial growth factor (VEGF) and bleeding occurrence in

depo medroxyprogesterone acetate (DMPA) acceptors.

Method: We employed a cross‐sectional study on 70 DMPA acceptors

with DMPA use of 3 to 6 months who presented for midwifery

service in Palembang. Blood samples were obtained in order

to assess levels of serum VEGF using ELISA (enzyme‐linked immunoabsorbent

assay) method. Laboratory assessments were carried

out in PRODIA laboratory in Jakarta.

Result: We recruited 70 subjects into our study. After 3 to 6 months

of using DMPA, as much as 26 subjects (37.1%) reported complaints

of bleeding and 44 subjects (62.9%) reported no bleeding. The mean

level of serum VEGF in DMPA acceptors with bleeding was 355 K

170 pg/ml, and 323 K 202 pg/ml in acceptors with no bleeding. We

identified a significant association between duration of use and

bleeding occurrence (p0.05).

Conclusion: In our sample, we found an association between duration

of DMPA use and presence of bleeding but VEGF levels was not

found to be different in women experiencing abnormal uterine

bleeding and those who did not.

Keywords: bleeding, DMPA acceptor, serum VEGF
C-Telopeptide in Relation with Osteoporosis Risk Classification Using Osteoporosis Self Assessment Tools for Asian (OSTA) in Postmenopausal Women
Authors: Pangestu Willy , Loho Maria , Wagey Freddy
Published: October 2018

Objective: To determine the correlation between C‐telopeptide with

osteoporosis risk by using Osteoporosis Self Assessment Tools for

Asian (OSTA) in postmenopausal women.

Method: An analytic cross‐sectional study of 31 postmenopausal

women in Prof. Dr. RD Kandou Hospital, Manado. Samples were collected

through consecutive sampling. Data was analyzed using Pearson

test with significance level of p>0.05.

Result: Our sample consisted of 31 postmenopausal women. Mean

OSTA score is ‐1.02K2.54. Sixteen women (51.61%) were deemed to

have low risk, 8 women (25.81%) deemed to have moderate risk

and 7 women (22.58%) deemed high risk based on the OSTA score.

The mean C‐telopeptide plasma level of our sample is 0.52K0.25

􀁏g/l. We found plasma C‐telopeptide level and OSTA score were normally

distributed. Correlation analysis using Pearson test identified

a significant negative correlation between plasma C‐telopeptide level

and OSTA score (r=‐0.768; p=0.001).

Conclusion: There is a significant negative correlation between

plasma C‐telopeptide level with risk of osteoporosis based on OSTA

score in postmenopausal women.

Keywords: OSTA score, plasma C‐telopeptide, postmenopausal women
Laceration Extension in Median and Mediolateral Episiotomy
Authors: Utama Bobby I , Junizaf Junizaf , Santoso Budi I , Ermawati Ermawati , Hakim Surahman
Published: October 2018

Objective: To compare the laceration extension between median

and mediolateral episiotomy in women with perineal body sized

more than 2.5 cm.

Method: A single‐blind RCT study was conducted on 104 women receiving

median episiotomy and 104 women receiving mediolateral

episiotomy at Dr. M. Djamil Hospital Padang and Reksodiwiryo Military

Hospital Padang.

Result: There was no difference in laceration extension in both

groups, but pain in the first 24 hours and pain after day 14 was

higher on mediolateral group than the median group (p=0.005 and

p=0.008, respectively).

Conclusion: There is no difference in terms of laceration extension

between median and mediolateral episiotomy, but the pain is higher

in the mediolateral group.

[Indones J Obstet Gynecol 2015; 1: 38‐43]

Keywords: laceration extension, median episiotomy, mediolateral

episiotomy
Postoperative Urinary Retention in Total Vaginal and Abdominal Hysterectomy in Benign Gynecological Disorders
Authors: Triarani Hertia , Priyatini Tyas
Published: October 2018

Objective: To assess and compare the incidence of urinary retention

in patients post‐vaginal and abdominal total hysterectomy for benign

gynecological disorders.

Method: This is a comparative analytical study with prospective and

retrospective cohort design, which was conducted in Dr. Cipto Mangunkusumo

Hospital and Persahabatan Hospital from June 2012 to

February 2014.

Result: We recruited thirty‐eight research subjects who underwent

abdominal hysterectomy, and 18 subjects who underwent vaginal

hysterectomy. The majority of cases underwent the procedure for

abnormal uterine myoma (55.5%) and adenomyosis (28.9%). Incidence

of urinary retention post‐hysterectomy was 33.3% for vaginal

hysterectomy, and 31.6% for abdominal hysterectomy. The comparison

of the incidence of urinary retention showed no difference

between vaginal and abdominal hysterectomies (RR=1.056).

Conclusion: Vaginal hysterectomy does not increase the incidence

of postoperative urinary retention. However, this study suggests the

need for further research with a larger sample size, employing prospective

cohort design, with preoperative measurement of postvoiding

urine volume (PVR).

Keywords: abdominal hysterectomy, urinary retention, vaginal hysterectomy
Preterm Delivery and the Psychological Burden on Parents
Authors: Sungkar Ali
Published: October 2018

N/A
A Red Card for Plagiarism
Authors: Gunardi Eka R
Published: October 2018

N/A
Difference of Vertical Transmission in HIV-Infected Women with Complete and Incomplete PMTCT
Authors: Fausihar Sitti , Saroyo Yudianto B
Published: October 2018

Objective: To analyze any differences on vertical transmission in

groups with complete and incomplete program as well as the factors

influencing completion.

Method: This was a retrospective cohort study performed by data

collection from medical records and/or interviews from January

2010 to February 2012. The variables analyzed subject characteristics,

applied PMTCT program and risk factors affecting transmission.

Result: Seventy-five pregnant women who were HIV-positive were

initially recruited, but 21 subjects were excluded due to incomplete

medical records. In the first group (n=27) who received complete

PMTCT, no vertical transmission was identified, while in the second

group (n=27) with incomplete PMTCT, seven children were found to

be HIV-positive. Rupture of membrane for more than 4 hours was

the only significant risk factor for vertical transmission (p=0.001,

RR=64.5, 95% CI=6.14-677.6).

Conclusion: There was a significant difference in the occurrence of

vertical transmission between complete and incomplete PMTCT

program. Complete PMTCT program may provide protective effect

against the occurrence of vertical transmission by 25.9%.

Keywords: HIV, PMTCT, vertical transmission
User Profile and Factors Correlating to Duration of Intrauterine Device Use
Authors: Gunardi Eka R , Fadli Fadli
Published: October 2018

Objective: To determine the demographic and clinical profile of intrauterine

device (IUD) users and factors correlating to duration of

IUD use.

Method: We conducted a prospective observational study of 867 patients

who underwent IUD insertion in Raden Saleh Outpatient Clinic

during the period of January - December 2011. All patients were followed

for 1 year to ascertain any complaint of discharge after insertion.

Spearman correlation test was conducted to inves- tigate the

strength of correlation and significance between age, parity, and discharge,

with duration of IUD use.

Result: During year 2011, 867 patients (median of age=34

[range=14-49]; median parity=2 [range=0-7]) underwent IUD

insertion in Raden Saleh Clinic. The majority of subjects were aged

between 31-35 years old and were willing to use IUD for 4 years.

Bivariate analysis revealed a significant correlation between age,

parity, and vaginal discharge with duration of IUD use. The strongest

correlation was identified between age and duration of use (r=0.25,

p0.002 for parity and

duration of use; r=0.05 p=0.045 for discharge and duration of use).

Conclusion: Most IUD users were aged 31-35 years, who were

willing to use IUD for 4 years. Factors that correlated with duration

of IUD use were age, parity, and vaginal discharge.

Keywords: contraceptive, duration of use, family planning, intrauterine

device
Factors Affecting Selection of Contraceptive Methods and Its Length of Use
Authors: Astato Erdiyan , Djajadilaga Djajadilaga
Published: October 2018

Objective: To evaluate the factors related to the selection of contraceptive

methods and length of use on acceptors in Raden Saleh Clinic

and Fatmawati General Hospital.

Method: The study was a prospective observational study designs.

The factors that we observed include the family planning factor (wife

age, number of desired children and infertility), subjective factors

(side effect experience of contraception, support from the husband/

family, and religion), objective factors (medical disorders, person

helping to select contraception, family planning service centre

and availability of contraceptives) and the level of motivation (level

of education). All the clients who will receive contraception and meet

the criteria for the research were interviewed and given questionnaires

until the desired sample size is achieved. The study was conducted

at the Raden Saleh Clinic and Fatmawati General Hospital. We

then conducted follow-up at 3 and 6 months after the use of the contraceptive

methods to assess the length of use.

Result: The total number of subjects was 151 people. The average

age of respondents was 31 years old, with the contraception options

being IUD (67.1%), implants (17.8%), sterilization (7.2%), injectable

contraception (3.9%), and oral contraception (3.9%). From all

the factors studied, only the number of desired children were found

to affect the selection of contraceptive methods significantly

(p=0.008) in Fatmawati General Hospital, while in Raden Saleh Clinic

all of the factors did not affect the selection of contraceptive method

(p>0.05). We also found that all of these factors do not have a significant

relationship to the length of contraceptive use (p>0.05). There

were 6.6% of subjects (n=10) who switched the type of contraception.

From all of them, there was a trend of switching from oral contraceptive

to injectable method (33.3%) and from IUD to injectable

method (66.7%).

Conclusion: Only the number of desired children has an effect on the

selection of contraceptive methods in Fatmawati General Hospital,

while in Raden Saleh Clinic all of the factors studied do not affect in

selection of contraceptive methods. Family planning factors, subjective

factors, objective factors and motivation levels have no effect on

the length of contraceptive use by clients at Raden Saleh Clinic and

Fatmawati General Hospital.

Keywords: contraception methods, factors, length of use, selection
A Real-time Optoelectronic Device in Screening of Precancerous Cervical Lesion
Authors: Rahmadhany Rizky , Indarti Junita
Published: October 2018

Objective: To obtain the diagnostic values of optoelectronic device

for screening of precancerous cervical lesions.

Method: We performed a diagnostic study with cross sectional design.

Subjects were recruited from Dr. Cipto Mangunkusumo Hospital,

from February until December 2013. Subjects were enrolled

based on consecutive sampling until the minimum sample was

achieved (60 samples).

Result: During the study period, 60 patients were enrolled. Sensitivity,

specificity, positive predictive value, and negative predictive

value of the optoelectronic device were 76%, 95%, 96%, and 64%,

respectively. We also investigated diagnostic values of other screening

methods, namely citology and colposcopy. Sensitivity and specificity

of liquid based cytology were 83% and 63% respectively. The

combination of optoelectronic device and liquid based cytology increased

the sensitivity to 92.8%. Meanwhile, sensitivity and specificity

of colposcopy were 88% and 58%, respectively. Based on Altman

criteria, kappa value for optoelectronic device with cytology was

0.35 (fair) and optoelectronic device with colposcopy was 0.45

(moderate).

Conclusion: A real-time optoelectronic device might be used as an

alternative method in early detection of precancerous cervical lesions,

either as a single method or combined with liquid based cytology.

Keywords: diagnostic values, optoelectronic device, precancerous

cervical lesions
Female Sexual Function at Three Months Post-delivery in Spontaneous Labor and Cesarean Section
Authors: Suntoro Suntoro , Kayika I Putu G
Published: October 2018

Objective: To study the comparison of encouragement, stimuli, orgasm,

pain and satisfaction of female sexual function at 3 months

postpartum between spontaneous delivery and cesarean section in Dr.

Cipto Mangunkusumo Hospital in Jakarta.

Method: This was an observational research, sexual function was

measured at three months post-delivery with Female Sexual Function

Index (FSFI) questionnaire. The study design used was cross sectional

with consecutive sampling. Analysis for comparative nonpaired

categorical variables was done using Chi square or Fisher analysis.

Analysis for confounding variables was carried out using multivariate

logistic regression.

Result: From 150 respondents, 43.3% had sexual dysfunction, with

52% of the spontaneous labor group and 34% of the cesarean section

group. Bivariate analysis showed that occurrence of sexual dysfunction

at three months post-spontaneous labor was 1.5 times higher

(95% CI 1.02-3.19) compared with cesarean section. Sexual encouragement

shows a two-fold difference (95% CI 1.17-3.40) compared

to cesarean section. However, orgasm disturbance was 8 times higher

(95% CI 1.90-3.58) in the spontaneous labor group, with confounding

variable of perineal rupture. Disturbance of sexual stimuli, satisfaction,

and pain were not significantly different between spontaneous

labor and cesarean section. Multivariate analysis found that spontaneous

labor was statistically significant for sexual dysfunction at

three months post-delivery in patients with sexual encouragement

(RR=2.716, p=0.008) and orgasm accession dysfunction (RR=

6.952, p=0.031). However, the more than 30 years old of age variable

was statistically significant in sexual dysfunction variable with RR=

2.60 and p=0.021.

Conclusion: Spontaneous labor is statistically significant for sexual

dysfunction at three months post-delivery, especially for sexual encouragement

and orgasm accession. Meanwhile, the variables with the

age of 30 years old or older of age were influential on sexual dysfunction,

especially to the sexual stimuli variable.

Keywords: labor method, sexual dysfunction, three months postdelivery
Endometrial Histology in Abnormal Uterine Bleeding with Risk Factors
Authors: Hasan Rudy , Suparman Eddy , Lengkong Rudy A
Published: October 2018

Objective: To determine the endometrial histology in abnormal

uterine bleeding (AUB) patients with risk factors.

Method: This study involved 30 patients with complaints of AUB,

aged over 35 years with associated risk factors of parity, obesity and

fasting blood glucose in the outpatient clinic at Prof. Dr. R. D. Kandou

General Hospital Manado, from July 2013 until October 2013.

Patients who agreed to be involved in this study, underwent dilatation

and curettage (D&C) to assess the endometrial histology that was

grouped as the hyperplasia and non-hyperplasia groups.

Result: From the results of the study, 7 patients were in the 35-40

years age group (23.3%) and in the 41-50 years age group were 23 patients

(76.7%). Based on parity, 11 patients (36.7%) were nulliparous

and 19 patients (63.3%) were multiparous. Based on the BMI, 16 patients

(53.5%) were obese and 14 patients (46.7%) were non-obese.

And based on the results of fasting blood sugar, similar results was

obtained in normal and abnormal fasting blood glucose with the results

of 15 patients in each groups (50%). And from all of patients

who underwent D&C, endometrial hyperplasia was shown in 21 patients

(70%) and non-hyperplasia endometrium in 9 patients (30%).

From the results of Fischer exact test, a significantly high association

was obtained between BMI and fasting blood glucose with the occurrence

of endometrial hyperplasia.

Conclusion: There is a significant relationship between BMI and high

fasting blood glucose with endometrial hyperplasia.

[Indones J Obstet Gynecol 2015; 3: 146-150]

Keywords: age, AUB, BMI, endometrial hyperplasia, fasting blood

sugar, parity
p53 Gene Codon 72 Polymorphisms among Cervical Carcinoma Patients
Authors: Basyar Rustham , Saleh Agustria Z , Sastradinata Irawan , Yuwono Yuwono
Published: October 2018

Objective: To identify the association between p53 gene codon 72

polymorphism and cervical carcinoma.

Method: An analytic observational study with case-control design,

from November 2013 until March 2014 in the Department of Obstetrics

and Gynecology and Microbiology Laboratory Faculty of Medicine,

Sriwijaya University, Dr. Moh. Hoesin Hospital Palembang.

Result: In total there are 100 samples analyzed consisting of 50 subjects

and 50 control groups. Genotype distribution in subject group

are 54% Arg/Arg, 42% Pro/Arg and 4% Pro/Pro, and in control

group are 36% Arg/Arg, 46% Pro/Arg and 18% Pro/Pro. Arg/Arg

genotype is at risk of cervical carcinoma 6.7 times higher compared

with Pro/Pro genotype (p=0.013; OR 6.75; 95% CI 1.34-34.94). Arg

allele in the p53 gene codon 72 increase the risk of cervical carcinoma

2.6 times more than Pro allele.

Conclusion: Proline mutation to Arginine in gene p53 P72R is one of

the risk factor for cervical carcinoma.

Keywords: arginine, cervical carcinoma, gene p53 codon 72, polymorphism,

proline
PPARy Expression in Eutopic and Ectopic Endometrium of Reproductive Age Women with Endometriosis
Authors: Dilmy Adya F , Natadisastra Muharam , Sumapradja Kanadi
Published: October 2018

Objective: To evaluate the expression of PPARy receptor and to

compare its expression in eutopic and ectopic endometrium in

women with endometriosis.

Method: This is a cross sectional study. Ten female subjects with endometriosis

that underwent laparoscopy or laparotomy who fulfilled

the inclusion criteria were recruited by consecutive sampling.

Two samples were taken, eutopic endometrium and ectopic endometrium

from endometriosis cyst wall during surgery of each

subject. PPARy expression was examined by two-step RT-qPCR. Our

data was statistically examined using the paired t-test and Pearson’s

correlation test.

Result: PPARy was found to be expressed in eutopic and ectopic endometrium

of women with endometriosis using the RT-qPCR method.

The expression of PPARy was not statistically different in

eutopic and ectopic endometrium (1.16 relative fold vs 1.25 relative

fold; p=0.26). By Pearson’s correlation there was a weak positive

correlation between PPARy expression of eutopic and ectopic endometrium

(r=0.16).

Conclusion: PPARy was detected by two-step RT-qPCR in eutopic

and ectopic endometrium of women with endometriosis. Semiquantification

of PPARy expression showed that there was no significant

difference between PPARy expression in eutopic and ectopic endometrium

of women with endometriosis. There was a weak positive

correlation between PPARy expression in eutopic and ectopic endometrium

of women with endometriosis.

[Indones J Obstet Gynecol 2015; 3-4: 200-205]

Keywords: endometriosis, PPARy, two-step RT-qPCR
A Case of Prenatal Diagnosis of Trisomy 18 with Ultrasound
Authors: Yusrawati Yusrawati , Kartika Yudha M
Published: October 2018

Objective: To report a case of trisomy 18 diagnosed in prenatal care. Methods: Case report. Case: A 24 years old primigravida woman was diagnosed with term pregnancy (37-38 weeks) with an intrauterine singleton live fetus with Edwards syndrome. In 15-16 weeks of pregnancy the omphalocele was discovered using ultrasound. Subsequently, amniocentesis was performed and the chromosome analysis result showed Edwards syndrome (47, XX +18). The patient chose to continue the pregnancy until term. In this patient, elective CS was performed at term pregnancy, involving teamwork between obstetrics and perinatology. A female baby was born weighing 1720 grams, 40 cm body length, and APGAR score of 5/7. The congenital anomalies discovered include umbilical hernia, rocker bottom feet, clenched hands, low set malformed ears, and a single umbilical artery. The baby was born with asphyxia, improved after resuscitation, and required treatment in the NICU. Pediatric surgeons planned umbilical hernia repair. Furthermore, because of the presence of suspected esophageal atresia, the baby was planned for gastrotomy, which was delayed because the baby was experiencing desaturation. Because of the unstable condition of the baby, echocardiography and gastrotomy were not done until the 18th day of treatment. At the 18th day, the baby’s condition deteriorated and the baby died with metabolic acidosis. Conclusion: Edwards syndrome can be diagnosed in the prenatal period by risk factors consideration, maternal serum markers, and ultrasonographic identification of organ abnormalities. [Indones J Obstet Gynecol 2015; 3-4: 234-238] Keywords: Edwards syndrome, prenatal diagnosis, trisomy 18, ultrasound
Necessidade de leitos hospitalares para o SUS no estado do Paraná
Authors: Correa Barbosa Thamyres , Patricia Raksa Vivian , Letícia Unicki Ribeiro Annanda
Published: October 2018

Este estudo tem como objetivo avaliar se a quantidade de leitos hospitalares SUS existentes no estado do Paraná está adequada à legislação vigente, assim como apresentar as alterações propostas pela Portaria GM/MS n°1631/15 em relação à anterior, Portaria GM/MS n.º 1.101/02, no que tange a programação de leitos hospitalares. O método utilizado foi pesquisa quanti-qualitativa com objetivos exploratórios e descritivos, que utilizou pesquisa biblio­gráfica e documental como procedimento de coleta de dados e o método comparativo para tratamento e análise dos dados. Destaca-se que a Portaria vigente considera a população de referência para cada leito-especialidade e pondera a redução da taxa de natalidade e ampliação proporcional da faixa etária de idosos para o cálculo da necessidade de leitos hospitalares. Conclui-se que o estado do Paraná atende ao quantitativo de leitos SUS estabelecido com base no cenário mínimo recomendado pela legislação vigente.
Avaliação do uso de tecnologias no atendimento domiciliar de crianças e adolescentes na cidade de Curitiba
Authors: Maria Cavalcante Alencar Andrea , Losso Elenize , Turatti do Carvalhal Talita , Ketlyn Martello Suzane
Published: October 2018

Tendo em vista o crescente número de pacientes complexos atendidos em domicílio, o objetivo deste estudo foi avaliar a eficácia do uso de tecnologia em saúde, em pacientes de 0-17 anos,11 meses e 29 dias, atendidos pelo serviço público de atenção domiciliar, Programa Melhor em Casa, da cidade de Curitiba - Paraná. Os seguintes dados foram coletados de planilhas e prontuários: uso e identificação de recurso tecnológico, tempo de permanência no programa, re-hospitalizações e dados clínicos e funcionais. A análise dos dados resultou em 40 participantes, predomínio do sexo masculino, idade média de 7 (± 6) anos, e diagnósticos clínicos variados. A incidência de alteração de mecânica ventilatória foi de 50% e o tempo de permanência no programa foi 82,5% superior em pacientes com uso de tecnologia respiratória. A baixa incidência de re-hospitalizações pode indicar a efetividade do atendimento domiciliar possibilitando o uso consciente e seguro de tecnologia em domicílio.
Uma proposta de renovação da seleção de medicamentos no SUS: a regionalização como estratégia e experiência para superação de desafios
Authors: Assan Remondi Felipe
Published: October 2018

A escolha e oferta de medicamentos no SUS caracteriza-se como uma importante etapa da Assistência Farmacêutica, com elevado impacto na resolutividade e eficiência da assistência à Saúde. No formato proposto, esta etapa encontra limitações, principalmente em sua operacionalização, que minimizam seus potenciais benefícios. O presente artigo tem por objetivo relatar e discutir uma experiência desenvolvida no âmbito de uma região de saúde para renovar a proposta de seleção de medicamentos com a introdução de ferramentas da Gestão de Tecnologias em Saúde, do conceito de regionalização e de Redes de Atenção. Para tanto, foram desenvolvidas ações em âmbito regional para normatização da prescrição de medicamentos, definição de um modelo e construção das Relações Municipais de Medicamentos, criação de uma Comissão de Farmácia e Terapêutica Regionalizada e mapeamento de necessidades relacionadas a protocolos clínicos. Constitui-se em experiência com resultados concretos e potencial de aplicabilidade em diferentes contextos de organização do SUS.
O tratamento da dispesia funcional na atenção primária à saúde
Authors: Kawana Ferreira Isis , Ricardo de Brito Bello Sergio , Sant'Ana Gonzales Gomes Karyne
Published: October 2018

O objetivo deste trabalho foi verificar através de estudos recentes se o uso de fitoterápicos no tratamento da dispepsia funcional (DF) pode ser indicado na Atenção Primária à Saúde (APS) e se pode ser uma alternativa ao uso dos inibidores da bomba de prótons (IBP). A fitoterapia faz parte da Política de Práticas Integrativas e Complementares e pode ser incluída no tratamento dos usuários na APS. Foram encontrados estudos recentes para quatro plantas medicinais: Achillea millefolium, Curcuma longa, Pimpinella anisum e Zingiber officinalle. Os estudos mostraram que o uso dessas plantas melhora os sintomas dispépticos, assim como os IBP, porém essa classe pode causar efeitos tanto colaterais e adversos, quanto aumentar, desnecessariamente, os custos de saúde pública com medicamentos. Sendo assim, a fitoterapia pode ser uma alternativa no tratamento da DF, evitando o uso contínuo e indiscriminado de IBP.