bluuebunny/crossref_metadata_2025 huggingface dataset:
Hubungan Kadar Troponin-I dengan Selvester QRS Score pada Pasien Infark Miokardium Akut di Rumah Sakit Umum Daerah Kota Mataram
Authors: Cahyani Baiq Nopria Dwi , Ermawan Romi , Rahmadhona Devi
Published: March 2021

Infark miokardium akut merupakan salah satu manifestasi dari penurunan atau penghentian aliran darah menuju jantung sehingga menyebabkan terjadinya nekrosis pada otot jantung. Untuk mendiagnosis infark miokardium akut salah satunya menggunakan biomarker jantung. Biomarker jantung yang digunakan yaitu troponin-I yang merupakan lini pertama untuk mengevaluasi infark miokardium akut. Luas infark pada pasien infark miokardium akut dapat diperkirakan dengan Selvester QRS score yang merupakan metode tidak invasif. Penelitian ini bertujuan untuk mengetahui hubungan kadar troponin-I dengan Selvester QRS score pada pasien infark miokardium akut di Rumah Sakit Umum Daerah Kota Mataram. Penelitian ini merupakan studi cross sectional yang dilakukan di Rumah Sakit Umum Daerah Kota Mataram. Subjek penelitian adalah pasien infark miokardium akut di Rumah Sakit Umum Daerah Kota Mataram yang telah memenuhi kriteria inklusi dan ekslusi. Data sekunder diambil dari rekam medis pasien yaitu nama, usia, jenis kelamin, kadar troponin-I, dan hasil pemeriksaan elektrokardiogram (EKG). Setelah mendapatkan data dari EKG maka akan dihitung luas infark miokardium dengan menggunakanSelvester QRS score. Total subjek penelitian ini 52 pasien, yang terdiri dari 71.2% pasien laki-laki dan 28.8% pasien perempuan. Usia rata-rata pada penelitian ini yaitu 58.06 tahun. Berdasarkan hasil uji korelasi didapatkan tidak ada hubungan yang signifikan antara kadar troponin-I dengan Selvester QRS score (p=0.449). Penelitian ini juga menemukan bahwa tidak terdapat korelasi yang signifikan antara usia dengan Selvester QRS score (p=0.371) dan jenis kelamin dengan Selvester QRS score (p=0.171). Penelitian ini menemukan tidak terdapat hubungan yang signifikan antara kadar troponin-I dengan Selvester QRS score pada pasien infark miokardium akut di Rumah Sakit Umum Daerah Kota Mataram.Kata Kunci: Kadar troponin-I; Selvester QRS score; infark miokardium akut.
Analisis Kondisi Fisik Rumah Dan Karakteristik Responden Terhadap Kejadian Tuberkulosis Di Kecamatan Ciledug Kota Tangerang
Authors: Nugroho Heru Purwanto , Cicih Lilis Heri Mis , Hastono Sutanto Priyo
Published: March 2021

Secara global Tuberkolusis tergolong sebagai global health emergency. Peningkatan kasus TB dari tahun 2015 – 2018. TB paru merupakan salah satu prioritas utama yang harus ditangani untuk mewujudkan Indonesia Sehat (RPJMN 2020 – 2024). Karakterisitik lingkungan merupakan kunci penentu kemungkinan penularan. Umur, jenis kelamin dan status gizi merupakan salah satu faktor yang menyebabkan terjadinya penyakit.Menganalisis hubungan kondisi fisik rumah dan karakteristik responden terhadap kejadian TB. Mengetahui variabel yang berhubungan dan yang paling dominan terhadap kejadian TB.Metode : Jenis penelitian observasional analitik dengan rancangan penelitian case control. Lokasi penelitian dilakukan di Kecamatan Ciledug Kota Tangerang.Hasil penelitian pada kelompok kasus dan kontrol menunjukkan bahwa terdapat perbedaan yang signifikan pada kelembaban dan IMT. Hasil uji chi-square didapatkan p-value sebesar 0,028 dan 0,000 (0,05). Hasil analisis multivariat didapatkan hasil kelembaban dengan p-value  0,003 dengan OR 8,469 dan IMT dengan nilai  p-value  0,000 dengan OR 14,940. IMT merupakan variabel yang paling dominan terhadap kejadian TB. Melakukan kerjasama lintas sektoral antara Puskesmas dengan Kelurahan dalam rangka perbaikan status gizi pada penderita TB. Diharapkan kepada Dinas Kesehatan terkait untuk melakukan program promosi kesehatan tentang pencegahan dan pengendalian TB Paru kepada masyarakat. Kata Kunci : TB paru, Status Gizi, IMT, Kelembaban, Kondisi fisik rumah
Uji Potensi Kelopak Bunga Rosella (Hibiscus sabdariffa L.) Sebagai Kandidat Antiseptik yang Aman Bagi Mikroflora Normal Vagina
Authors: Fauziah Prima Nanda , Masdianto Masdianto
Published: March 2021

Kesehatan reproduksi dan kebersihan daerah kewanitaan (vagina) bagi perempuan sangat penting karena dapat mencegah dari penyakit serta infeksi menular. Di dalam vagina terdapat bakteri Lactobacillus yaitu bakteri flora normal vagina yang baik yang berfungsi untuk mempertahankan keasaman vagina agar bakteri patogen mati dan untuk menjaga keseimbangan flora normal vagina. Terganggunya keseimbangan flora normal pada vagina dapat menyebabkan bakterial vaginosis (BV). Penggunaaan antiseptik komersil justru mengganggu ekosistem di dalam vagina, terutama pH dan dapat menggangu flora normal vagina, sehingga diperlukan antiseptik yang aman bagi mikroflora normal vagina. Penelitian ini bertujuan untuk mengetahui efek antibakteri dari ekstrak kelopak bunga rosella terhadap pertumbuhan bakteri patogen penyebab BV (Gardnerella vaginalis) dan pertumbuhan mikroflora normal vagina (Lactobacillus sp.). Penelitian ini menggunakan metode modifikasi koefisien fenol. Data dianalisis dengan ANOVA. Hasil penelitian menunjukkan bahwa infusum kelopak bunga rosella Hibiscus sabdarifaL. bersifat antibakteri terhadap Gardnerella vaginalis, namun tidak menyebabkan kematian Lactobacillussp. Hasil analisis menunjukkan berbeda nyata karena nilai p0.05. Simpulan, infusum kelopak bunga rosella diduga dapat dijadikan alternatif sabun pembersih kewanitaan yang aman bagi flora normal vagina. Kata kunci        :Antibakteri, Gardnerella vaginalis, Lactobacillussp., rosella
Health Education: Adult Learning in Weight Management Using Weight Tracking Application
Authors: Che Pa Noraini , Md Yasin Sharifah , Din Muhammad Nizzan Qussyairi , Jusoh Yusmadi Yah
Published: March 2021

The health management is importance to gurantee a human to achievement for a healthy and ability to do their daily task. In view of the health risks of obesity and its prevalance, it is important to provide health education to adults. Weight management knowledge is necessary for any adults in order to control of being overweight or obesity. Obesity increases the risks of developing many types of diseases such as hypertensions, diabetes, heart diseases, gallstones, gout and several types of cancer. The problems faced by some adults is they loved to eat a lot and at the same time they are lacking in doing any exercises. The objectives of this paper are mainly to helps Malaysian citizen to monitor and manage their weight properly through Weight Tracking Application (WTA). This application helps user to check their Body Mass Index (BMI), the ideal calories needed for a daily and the ideal body weight. WTA also provide some exercise recommendations and health tips which helps the user to calculate total calories taken per day and to keep track of their weight changes. WTA is a mobile-based application for iOS and Android that used Hypertext Markup Language (HTML5) and Typescript languages. WTA’s users are adults and middle age groups.
Pengetahuan Teknologi Pedagogi Kandungan di Malaysia: Satu Kajian Meta Analisis
Authors: You Eng Chieng , Choon Keong Tan
Published: March 2021

Dalam beberapa dekad kebelakangan ini, terdapat peningkatan minat penyelidikan tentang kompetensi guru dalam penggunaan teknologi dari aspek amalan pengajaran. Kompetensi ini adalah didasarkan dengan pengetahuan teknologi yang jelas dan pengetahuan pedagogi yang luas serta pengetahuan yang mendalam tentang isi kandungan. Oleh itu, terdapat keperluan untuk menganalis kajian lepas tentang ketiga-tiga aspek ini dengan melaporkan kajian yang telah dijalankan dengan menggunakan kerangka Technological Pedagocigal Content Knowledge (TPACK). Kajian ini telah menganalisis artikel yang berkaitan dengan kerangka ini dari tahun 2014-2018. Penemuan daripada ini telah menunjukkan pendekatan penyelidikan kuantitatif sering digunakan dimana reka bentuk tinjauan adalah pilihan utama penyelidik. Sampel guru di sekolah menengah dan sekolah rendah adalah sama banyak. Penemuan kajian ini boleh digunakan sebagai rujukan untuk para penyelidik dalam bidang pendidikan tempatan yang menjalankan kajian berkaitan dengan menggunakan kerangka TPACK ini. Artikel ini juga memberikan cadangan untuk kajian lanjut yang berkaitan.
Risk Factors for Diabetic Retinopathy
Authors: Harumi Naufallah Dinda , Ramzi Amin
Published: March 2021

Abstract

Introduction.Diabetic retinopathy is a progressive microangiopathy characterized by damage and occlusion of small blood vessels. The earliest pathologic changes are thickening of the capillary endothelial basement membrane and a reduction in the number of pericits. Diabetic retinopathy is the main cause of vision loss in type 1 of DM patients and has various risk factors such as chronic hyperglycemia, hypertension, hypercholesterolemia, and elevated HbA1C levels.

Methods.This research was conducted using a descriptive observational analytic method with a cross sectional approach at The Eye Polyclinic (RSUP) Dr. Mohammad Hoesin Palembang used secondary data on diabetic retinopathy patients. The sample consisted of 64 patients with a total sampling technique, there were 50 patients who met the inclusion criteria.

Results.There was a significant relationship between HbA1C levels (p value = 0.050) with a PR value = 1.463 and total cholesterol (p value = 0.038) with a PR value = 1.667 for diabetic retinopathy.

Conclusion.HbA1C levels and total cholesterol are significant risk factors for diabetic retinopathy.
Controller Design for Descriptor-type Systems with Distributed Timedelay Using Extension
Authors: Iftar Altug
Published: March 2021

Controller design using extension is considered for descriptor-type systems with distributed time-delay. The approach is useful in decentralized controller design using overlapping decompositions. In this approach, a given largescale system is decomposed overlappingly into a number of subsystems and expanded such that the overlapping parts appear as disjoint. Since the subsystems appear as disjoint for the expanded system, it is easier to design a descentralized controller for the expanded system. This controller is then contracted for implementation on the original system. In the present paper, it is shown how to contract such a controller to guarantee stability and desired performance for the original system
ПРО СПІВПРАЦЮ НАЦІОНАЛЬНОЇ АКАДЕМІЇ ПЕДАГОГІЧНИХ НАУК УКРАЇНИ З КОМІТЕТАМИ ВЕРХОВНОЇ РАДИ УКРАЇНИ У 2020 р.
Authors: Луговий Володимир Іларіонович , Регейло Ірина Юріївна , Гудим Ірина Миколаївна
Published: March 2021

Представлено основні напрями співпраці НАПН України з комітетами Верховної Ради України у 2020 р.: участь вчених НАПН України у робочих групах для підготовки проєктів актів Верховної Ради України та подання пропозицій до законодавчих і нормативних документів; підготовка інформаційно-аналітичних матеріалів щодо розв'язання пріоритетних завдань розвитку національної освіти і науки; участь вчених НАПН України у засіданнях та слуханнях комітетів, круглих столах, конференціях, роботі консультативно-дорадчих органів.
PENGARUH PENGGUNAAN MEDIA INSTAGRAM BERMUATAN PROBLEM POSING TERHADAP KEMAMPUAN KOMUNIKASI MATEMATIS SISWA SMA
Authors: Yustina Dea , Prihatin Iwit , Hodiyanto Hodiyanto
Published: March 2021

The purpose of this study was to determine: (1) students' mathematical communication skills before being given learning using Instagram media containing problem posing in the system of linear equations and inequalities; (2) students' mathematical communication skills after being given learning using Instagram media containing problem posing in the material of linear equations and inequality systems; (3) the effect of using Instagram media containing problem posing on students' mathematical communication skills in the material of linear equations and inequality systems in class X SMA Koperasi Pontianak; (4) the magnitude of the influence by using Instagram media with problem posing content on students' mathematical communication skills in the material of linear equations and inequality systems in class X SMA Koperasi Pontianak. This reseach method is to use the Pre Eksperimental Desaign method. Sampling was done by saturated sampling technique. The instrument for collecting data was a test of mathematical communication skills. The data analysis in this study used descriptive data analysis and inferential statistic. The results of the study were that before the learning model was applied with an average student score of 39.97 which was classified as a failure, and after being applied the learning model with an average of 58.07 was sufficient so that there was an increase, from the research results there was also an influence and also the magnitude of the effect. After learning is applied using instructional media that contains problem posing on students' mathematical communication skills.
PENGEMBANGAN LEMBAR KERJA SISWA BERBASIS PENEMUAN TERBIMBING BERBANTUAN GEOGEBRA PADA MATERI BANGUN RUANG SISI DATAR
Authors: Setiawati Eka , Risalah Dewi , Oktaviana Dwi
Published: March 2021

This study aims to produce student worksheets based on geogebra-assisted guided discovery on the material of flat-sided shapes that are valid, practical, and effective. This research is a research on the development of Dick and Carry with 5 stages, namely the stages of Analysis, Design, Development, Implementation, and Evaluation.Valid products are seen from the results of expert validation, practical products are seen from the results of the questionnaire, while effective products are seen from the results of trials. The results of the validation of the experts obtained that the material aspect was declared very valid with a result of 90.59%, while the media aspect was declared very valid with a result of 98.00%. The results of the teacher response questionnaire obtained results of 90.59%, while the results of the student response questionnaires were 93.37% with very practical criteria. The trial results obtained results of 80% with effective criteria where there were 8 students who passed and 2 students who did not complete the minimum passing standard determined by the school was greater than or equal to 70 for mathematics subjects, It can be concluded that geogebra-assisted discovery-based student worksheets are used with very valid criteria, very practical and effective.
DESAIN PEMBELAJARAN TECHNOPRENEURSHIP UNTUK MENINGKATKAN MOTIVASI BERWIRAUSAHA MAHASISWA UNISKA KEDIRI
Authors: Saptaria Lina , Setyawan Wawan Herry
Published: March 2021

During the Covid 19 pandemic, entrepreneurship learning activities in universities were carried out boldly. This is a challenge for lecturers to design technology-based entrepreneurship learning that can increase student motivation in entrepreneurship. The purpose of this study was to produce a technopreneurship learning design model for UNISKA Kediri students with a scientific approach. This type of research is a development research using the 4D model consisting of: define, design, develop, and disseminate. The stages of research activities consist of: 1) problem problems, needs analysis and learning analysis; 2) scientific technopreneurship cooperation approach; 3) scientific technopreneurship business plan design; 4) products (prototypes of goods or services), 5) job evaluation. The results showed that the technopreneurship learning design was very feasible to use. From the measurement results of the three expert validators, the measurement results (p) is greater than or equal to 3.93 and less than 4 with the very valid category. The application of technopreneurship learning received a positive response from students and was able to increase the entrepreneurial motivation of UNISKA Kediri students in 2020. The development of technopreneurship learning designs still needs to be carried out through a process of creativity and innovation supported by the use of learning technology in its application. To produce a technopreneurship learning output product that has high selling value, it is necessary to interact with the university and other stakeholders such as: local government, investors, industry, business organizations, and the technopreneur community.
PENINGKATAN HASIL BELAJAR DENGAN MENERAPKAN PEMBELAJARAN KOOPERATIF TIPE STAD BERBANTUAN MEDIA BONGKAR PASANG MATERI BANGUN DATAR KELAS VII SMP
Authors: Soba Magdalena Florensia Dua , Naja Finsensius Yesekiel , Ningsih Ningsih
Published: March 2021

This study aims to determine: (1) student activities in cooperative learning type STAD with the assistance of unloading rectangular material in class VII SMPK Alvarez Paga;(2) student learning outcomes on rectangular material in class VII SMPK Alvarez Paga through the application of the STAD type cooperative learning model assisted by the loading and unloading media. The type of research used is Classroom Action Research (PTK) which is conducted in two cycles. Each cycle has four stages of activity, namely: planning, implementing, observing, and reflecting. Data collection techniques used in this study were observation, tests, and documentation. The subjects in this study were students of class VII SMPK Alvarez Paga with 18 students consisting of 8 boys and 10 girls. Data analysis using observational data analysis techniques and data analysis techniques learning outcomes. The results of this study indicate the cooperative learning model type STAD with the assistance of unloading learning media can increase learning activities and learning outcomes of class VII students of SMPK Alvarez Paga.
ANALISIS PENGARUH SIKAP PERCAYA DIRI SISWA DALAM PEMBELAJARAN MATEMATIKA MENGGUNAKAN MODEL PBL BERBANTUAN BAHAN MANIPULATIF
Authors: Wondo Maria Trisna Sero , Meke Konstantinus Denny Pareira
Published: March 2021

This study aims to analyze self-confidence using the PBL model assisted by manipulatif materials. Sample in this study were students of class VIII SMPK Maria Goretti Ende in the 2019/2020 school year totaling 30 people. This research uses survey and correlational methods. The research instrument was a non-test instrument, namely a questionnaire composed of 20 items based on indicators of self-confidence, namely: 1) self-confidence, 2) assertiveness, 3) responsibility, 4) positive thinking. The results showed that learning mathematics using the PBL model assisted by manipulatif materials in class VIII students of SMPK Maria Goretti Ende in the 2019/2020 school year received a positive response where the average student had a high self-confidence indicator of 65.1%.
Introducción
Authors: Lanz Juan José , Vara Ferrero Natalia
Published: March 2021

Introducción al dossier monográfico.
La ciudad de la memoria. En torno a "Praga" de Manuel Vázquez Montalbán
Authors: Ferrari Marta Beatriz
Published: March 2021

En el presente artículo se propone un abordaje del libro de poemas Praga (1982) del escritor español Manuel Vázquez Montalbán, a partir de las reflexiones que desde el campo historiográfico francés (Pierre Nora) y norteamericano (Dominick LaCapra) se han venido desarrollando en torno a las nociones de “memoria histórica” y “sitios de memoria”.  Se intenta demostrar cómo la evocación poética trasciende el episodio histórico concreto (la invasión soviética a Checoslovaquia en 1968 tras la denominada “Primavera de Praga”), de modo tal que la ciudad de la que se habla y la historia que se refiere no tienen un significado unívoco, es Praga y a la vez es Barcelona, es el judío perseguido por los nazis y es el sujeto hablante con su pertenencia marginal a su entorno catalán por su carácter de mestizo cultural, es la historia de Europa y la de España.
La subversión de la novela criminal como propuesta ideológica alternativa. La reconversión del subgénero negro en "Black, black, black" (2010) y "Un buen detective no se casa jamás" (2012), de Marta Sanz
Authors: Álamo Felices Francisco
Published: March 2021

Este trabajo es un análisis del sintomático tratamiento (subversión de los rasgos referenciales de la novela negra) del género policíaco que realiza Marta Sanz acorde con su proyecto de desenmascarar a la actual literatura dominante y convertirla en un discurso crítico y social.
Metabiografía ficcional y motivos biográficos en la novela gráfica "Las meninas"
Authors: Corti Agustín
Published: March 2021

En el presente artículo se analiza el género de la novela gráfica Las meninas (García y Olivares 2014) y el uso de ciertos motivos tradicionales de la biografía de artistas en la misma. Defiendo que la obra es una metabiografía ficcional que construye al protagonista en los márgenes entre el discurso factual de la biografía y el ficcional, integrando una estructura discursiva que se pregunta por los límites de la construcción biográfica desde la narración gráfica de ficción. Sin embargo, la obra no deja de lado el modelo heredado de la tradición biográfica referencial relacionada con los artistas, sino que utiliza algunos motivos de la misma y los explota a nivel metanarrativo a fin de plantear cuestiones sobre el estatus de la obra artística y las posibilidades narrativas de la novela gráfica como medio.
PEDAGOGICAL QUALITIES OF THE SPECIALIST
Authors:   3-course Student of the Darius-English group, Tashkent State University of Oriental Studies, Saydullaeva Dilorom
Published: March 2021

This article describes the teachers 'professional-theoretical, methodological and social characteristics of human nature, based on the analysis of the structure of the future teachers should be based on a system of positive qualities, improve teachers' professional, cultural and human
EXPERIENCE OF STUDYING THE FINNISH EDUCATION SYSTEM THROUGH THE EYES OF UZBEKISTAN
Authors:   3-course Student of the Darius-English group, Tashkent State University of Oriental Studies, V.G. Abdusamatova
Published: March 2021

The article highlights the in-depth study of the Finnish education system, which has long been a world leader in the provision of quality and effective education, as well as education and training in Uzbekistan. In the process, a number of issues were covered, such as the effective use of modern educational technologies and the creation of a quality and effective education system, the appropriateness and usefulness of using world educational standards as an experiment.
HISTORICAL AND PHILOSOPHICAL ROOTS OF THE DEVELOPMENT OF TRADITIONAL VALUES
Authors:   Independent researcher, Kokand State Pedagogical Institute, Oripov Elyor Shavkatovich
Published: March 2021

This article analyzes the historical and philosophical roots of the development of traditional values that contribute to the spiritual and moral environment of Eastern people.
SOME QUESTIONS OF INCREASE OF EFFICIENCY IN ACTIVITY ENTERPRISE SUBJECTS
Authors:   Candidate of Economic Sciences, Associate Professor, Department of Management, Namangan Institute of engineering and technology, Kazakov Olim Sabirovich , Kamoliddinov Ilhom Mahamadjanovich ,   Senior Lecturer, Department of Management, Namangan Institute of Engineering and Technology
Published: March 2021

Subjects of small-scale business and business takes a leading place in development of a national economy in the conditions of globalization. In article some problems in the field of development of small-scale business are defined and business in the conditions of economy globalization, also are considered the major questions of the further development of enterprise activity. The analysis is carried out questions of use of economic resources in increase of efficiency of enterprise activity. The effective utilization economic resources in the conditions of market economy by all means raises efficiency of activity, gives the chance to operate effectively in a competition in the market. In article, questions connected with these questions are studied and conclusions and offers on the further perfection are developed.
THE PLACE OF THE VERB IN THE SENTENCE 주다[ CHUDA] IN THE KOREAN LANGUAGE
Authors:   Master Student, Department of Korean Philology, Tashkent State University of Oriental Studies, Nosirkhonov Nozimkhon Nodirjon ugli , Yunusova Gulshoda Dilshadovna ,   PhD in Philology, Senior Lecturer, Department of Korean Philology, Tashkent State University of Oriental Studies
Published: March 2021

This article is devoted to the verb very [chuda], which is used in a number of functions in speech. The article discusses the role of the verb in communication, cases of use, forms of respect, specific aspects of the expression of the request.
Incontinencia urinaria: causas y cuidados de enfermería. Una revisión bibliográfica
Authors: Campillo-Cañete Mª Nazaret , González-Tamajón Rosa María , Berlango-Jiménez José , Crespo-Montero Rodolfo
Published: March 2021

frecuencia en el sexo femenino y conforme aumenta la edad, provocando una disminución de la calidad de vida.Objetivo: Sintetizar la evidencia científica relacionada con las causas, tratamiento y cuidados de enfermería en la incontinencia urinaria.Metodología: Se ha realizado una revisión bibliográfica sistematizada en las bases de datos Proquest, Pubmed, Google Académico y Scielo, utilizando como términos "incontinencia urinaria" (urinary incontinence), "factoresde riesgo" (risk factor), "intervenciones de enfermería"(nursing intervention) y "procedimientos terapeúticos"(therapeutics), con una limitación de 5 años en la búsqueda. Se incluyeron estudios experimentales y de revisión.Resultados: Se incluyeron 26 artículos: 5 estudios experimentales,18 revisiones sistemáticas y 3 metaanálisis.La incontinencia urinaria está relacionada con la edad, sexo y factores de riesgo, dependiendo del tipo e intensidad de la incontinencia, y características propias del paciente. El abordaje es interdisciplinar, con técnicasmenos invasivas al principio, entre las que destacan la terapia conductual y los ejercicios del suelo pélvico; necesitándose cirugía en algunos casos, según las circunstanciasindividuales de los pacientes y/o la no existenciade mejoría con las técnicas menos invasivas.Conclusiones: La incontinencia urinaria se encuentra estrechamente relacionada con la edad y el sexo; sin embargo, la existencia de factores de riesgo y algunas causas pueden contribuir a aumentar las probabilidadesde su establecimiento. La labor enfermera resulta prometedora en el establecimiento de una detección y actuación precoz ante el problema, teniendo como base siempre para el tratamiento el menor grado de invasión.
Caracterización sociodemográfica y clínica de pacientes con enfermedad renal crónica en condición de pluripatología y sus cuidadores
Authors: Hernandez-Zambrano Sandra Milena , Carrillo-Algarra Ana Julia , Linares-Rodríguez Leidy Viviana , Martínez-Ruiz Angie Lorena , Nuñez-Yaguna María Fernanda
Published: March 2021

Introducción: Los pacientes con Enfermedad Renal Crónica en condición de pluripatología presentan deterioro funcional progresivo, vulnerabilidad clínica, polifarmacia, disminución de calidad de vida, impacto psicosocial y alto costo para la persona y  familia. Enfermería debe conocer las características clínicas y sociodemográficas para identificar las necesidades. Objetivo: Establecer a través de una valoración multidimensional las condiciones sociodemográficas y clínicas de pacientes pluripatológicos con enfermedad renal crónica y sus cuidadores familiares. Material y Método: Estudio descriptivo de corte transversal, participaron 97 personas con enfermead renal crónica en situación de pluripatología y sus cuidadores familiares, afiliados a dos aseguradoras de Bogotá, Colombia. Se realizó valoración multidimensional al paciente y cuidador con instrumentos validados. Análisis descriptivo, se utilizó STATA versión 13.  Resultados: El 52,6% fueron mujeres mayores de 80 años, 48% estaban casados, todos cursaron primaria completa. Adicional a enfermedad renal, el 43,3%.  presenta tres enfermedades asociadas. El 36,08% reportó independencia total en Actividades Básicas de la Vida Diaria. El 38% presenta riesgo social medio y problemático, y mayor alteración de calidad de vida. Los principales cuidadores son hijos, seguidos de cónyuges. Conclusión: La mayoría de pacientes con ERC en condición de pluripatología presentan tres enfermedades crónicas asociadas, EPOC, cardiopatías y enfermedades mentales. Los resultados reflejan complejidad clínica y psicosocial asociada especialmente a niveles de dependencia funcional y riesgo social. Las dimensiones de calidad de vida más afectadas son función física y rol físico. Los cuidadores familiares principalmente son los hijos, la sobrecarga intensa es baja y la adopción del rol cuidador es adecuada.
Long-Term Follow-Up of Atrial Septal Defect Closure after Percutaneous Balloon Mitral Valvuloplasty by Transesphageal Echocardiography?
Authors: Rafla Samir , Bishay Tarek
Published: March 2021

Percutaneous Balloon Mitral Valvuloplasty (PBMV) involves atrial septostomy during the procedure. One of the consequences of transseptal puncture is the creation of an Atrial Septal Defect (ASD). Transesophageal Echocardiography (TEE) can detect Left to Right (L-R) shunts too small to be detected by other methods. The aim of this study was to evaluate the 3 years follow-up of ASD closure after PBMV by TEE. 200 consecutive patients with rheumatic Mitral Stenosis (MS) who underwent successful PBMV by using the Inoue balloon catheter were studied prospectively. ASD with small L-R atrial shunting occurred in all the patients (100%) immediately after PBMV. Total study 200 patients. All the ASDs were small in size (≤ 5 mm). The puncture site (ASD site) occurred in the fossa ovalis (Fo.Ov) in 120 patients (60%), while it occurred outside the Fo.Ov (either in the superior limbus or in the inferior limbus of the Interatrial Septum (IAS)) in the other 80 patients (40%). 180 patients presented at 6 month follow-up. ASD was closed in 117 patients (65%), while it was persisted in 63 patients (35%). 95 patients presented at 3 years follow-up. ASD was closed in 76 patients (80%) (Group I), while it was persisted in 19 patients (20%) (Group II). All the 74 patients who had ASD immediately after PBMV in the Fo.Ov, presented with ASD closure at 3 years follow-up. Only 2 patients who had ASD immediately after PBMV outside the Fo.Ov, presented with ASD closure at 3 years follow-up. All the 19 patients who presented at 3 years follow-up with ASD persistence had ASD immediately after PBMV outside the Fo.Ov (14 in the superior limbus and 5 in the inferior limbus). No patient presented at 3 years follow-up with ASD persistence, had ASD immediately after PBMV in the Fo.Ov Large LAD, high total Echocardiographic (echo) score of the Mitral Valve (MV), thick Fo.Ov, thick superior limbus, thick inferior limbus and ASD site immediately after PBMV outside the Fo.Ov were significant predictors of ASD persistence at 3 years follow-up. In conclusion, ASD with L-R atrial shunting occurs in all the patients after PBMV by using the Inoue balloon catheter. ASD after PBMV persists in 20% of the patients at 3 years follow-up. Predictors of ASD persistence at 3 years follow-up are: large LAD, high total echo score of the MV, thick Fo.Ov, thick superior limbus, thick inferior limbus and ASD site immediately after PBMV outside the Fo.Ov. ASD closes at 3 years follow-up in all the patients who had ASD in the Fo.Ov immediately after PBMV. All the patients with ASD persistence at 3 years follow-up had ASD outside the Fo.Ov after PBMV. It is recommended that operators doing transseptal puncture during PBMV by using the Inoue balloon catheter should aim to do it in the Fo.Ov.
Stellar Evolution in AGN Disks
Authors: Cantiello Matteo , Jermyn Adam S. , Lin Douglas N. C.
Published: March 2021

Active galactic nuclei (AGNs) are powered by geometrically thin accretion disks surrounding a central supermassive black hole. Here we explore the evolution of stars embedded in these extreme astrophysical environments (AGN stars). Because AGN disks are much hotter and denser than most components of the interstellar medium, AGN stars are subject to very different boundary conditions than normal stars. They are also strongly affected by both mass accretion, which can run away given the vast mass of the disk, and mass loss due to super-Eddington winds. Moreover, chemical mixing plays a critical role in the evolution of these stars by allowing fresh hydrogen accreted from the disk to mix into their cores. We find that, depending on the local AGN density and sound speed and the duration of the AGN phase, AGN stars can rapidly become very massive (M > 100 M
⊙). These stars undergo core collapse, leave behind compact remnants, and contribute to polluting the disk with heavy elements. We show that the evolution of AGN stars can have a profound impact on the evolution of AGN metallicities, as well as the production of gravitational wave sources observed by LIGO-Virgo. We point to our Galactic Center as a region well suited to testing some of our predictions for this exotic stellar evolutionary channel.
The Subterahertz Solar Cycle: Polar and Equatorial Radii Derived from SST and ALMA
Authors: Menezes Fabian , Selhorst Caius L. , Giménez de Castro Carlos Guillermo , Valio Adriana
Published: March 2021

At subterahertz frequencies—i.e., millimeter and submillimeter wavelengths—there is a gap in measurements of the solar radius, as well as other parameters of the solar atmosphere. As the observational wavelength changes, the radius varies because the altitude of the dominant electromagnetic radiation is produced at different heights in the solar atmosphere. Moreover, radius variations throughout long time series are indicative of changes in the solar atmosphere that may be related to the solar cycle. Therefore, the solar radius is an important parameter for the calibration of solar atmospheric models enabling a better understanding of the atmospheric structure. In this work, we use data from the Solar Submillimeter-wave Telescope (SST) and the Atacama Large Millimeter/submillimeter Array (ALMA) at frequencies of 100, 212, 230, and 405 GHz to measure the equatorial and polar radii of the Sun. The radii measured with extensive data from the SST agree with the radius-versus-frequency trend present in the literature. The radii derived from ALMA maps at 230 GHz also agree with the radius-versus-frequency trend, whereas the 100 GHz radii are slightly above the values reported by other authors. In addition, we analyze the equatorial and polar radius behavior over the years by determining the correlation coefficient between solar activity and subterahertz radius time series at 212 and 405 GHz (SST). The variations of the SST-derived radii over 13 yr are correlated to the solar activity when considering equatorial regions of the solar atmosphere and anticorrelated when considering polar regions. The ALMA-derived radius time series for 100 and 230 GHz show very similar behaviors with those of SST.
A Swift Fix for Nuclear Outbursts
Authors: Hinkle Jason T. , Holoien Thomas W.-S. , Shappee Benjamin. J. , Auchettl Katie
Published: March 2021

In November 2020, the Swift team announced an update to the UltraViolet and Optical Telescope calibration to correct for the loss of sensitivity over time. This correction affects observations in the three near-ultraviolet (UV) filters, by up to 0.3 mag in some cases. As UV photometry is critical to characterizing tidal disruption events (TDEs) and other peculiar nuclear outbursts, we recomputed published Swift data for TDEs and other singular nuclear outbursts with Swift photometry in 2015 or later as a service to the community. Using archival UV, optical, and infrared photometry, we ran host SED fits for each host galaxy. From these, we computed synthetic host magnitudes and host-galaxy properties. We calculated host-subtracted magnitudes for each transient and computed blackbody fits. In addition to the nuclear outbursts, we include the ambiguous transient ATLAS18qqn (AT2018cow), which has been classified as a potential TDE on an intermediate-mass black hole. Finally, with updated bolometric light curves, we recover the relationship of Hinkle et al., where more-luminous TDEs decay more slowly than less-luminous TDEs, with decreased scatter compared to the original relationship.
La coopération universitaire et scientifique française au Maroc : d’une diplomatie d’influence à l’autre
Authors: Jedidi Sonia
Published: March 2021

Le Maroc, indépendant depuis soixante ans, a conservé un système de formation supérieure à la française, tout en conservant son identité et en développant des relations vers l’Afrique francophone. La langue française demeure le trait d’union principal entre les deux pays. La France entretient avec le Maroc une coopération universitaire et scientifique d’exception fondée sur le développement de partenariats entre les établissements d’enseignement supérieur et les organismes de recherche, ainsi que sur l’accompagnement de la mobilité étudiante. Celle-ci conforte son soft power et les ambitions marocaines de puissance régionale. Fort d’une attractivité universitaire croissante, le Royaume chérifien ambitionne de devenir un pôle émergent de l’enseignement supérieur francophone en Afrique. Pour la France, l’enjeu consiste à conserver ses positions, en favorisant la mobilité des étudiants marocains, mais également au niveau académique et scientifique. De surcroît, à travers la préservation de l’attractivité du système universitaire français, l’avenir du modèle européen est en jeu face au modèle américain qui séduit un nombre croissant de pays africains.
Tunisie : un processus démocratique sur le fil du rasoir
Authors: Jendoubi Kamel , Giblin Béatrice
Published: March 2021

La Tunisie commémore en 2021 les dix ans d’un processus démocratique ayant nourri de grands espoirs. Le lieu pour Kamel Jendoubi, ex-président de l’instance électorale ayant organisé les premières élections libres et démocratiques en octobre 2011, de s’interroger sur les blocages institutionnels et politiques menaçant aujourd’hui ce processus. Une enceinte parlementaire, otage d’affrontements entre extrêmes, l’obstination d’Ennahda à demeurer maîtresse du jeu en dépit d’une nette désaffection de son électorat et un environnement régional instable, sinon hostile concourent à un détricotage insidieux des acquis de l’après-2011. L’imprévisibilité d’un chef de l’État peu sensible à l’équilibre des pouvoirs finit de compromettre une dynamique restée à mi-chemin. Le dégoût des citoyens pour la chose publique, harassés par les difficultés du quotidien et les inégalités croissantes, les expose d’autant aux dérives populistes de tous bords voire, pour certains jeunes privés d’avenir, aux appels au djihad. La forte implication des femmes – notamment pour une égalité dans l’héritage toujours refusée –, une liberté d’expression indéniable et la sauvegarde de l’État de droit viennent nuancer une situation bel et bien alarmante.
Le Maghreb assiégé par la crise du coronavirus
Authors: Vermeren Pierre
Published: March 2021

Le Maghreb est entré dans la crise de la Covid-19 en état de faiblesse politique et économique ; le Hirak algérien était encore en cours. À la mi-mars 2020, le Maghreb s’est coupé du monde. Le virus a tardé à se diffuser au Maghreb pour demeurer à un très faible niveau jusqu’à l’été ; pourtant, la gestion sécuritaire de la crise a été si musclée qu’elle a contribué à étouffer les débats politiques, Tunisie exceptée. Un à un, les moteurs de la croissance économique se sont arrêtés. En 2020, le Maghreb central traverse une crise économique inédite, car la crise pétrolière, la sécheresse, la fermeture des frontières et l’arrêt ou la réduction drastique des flux commerciaux, humains et financiers se cumulent. Alors que le Maghreb redémarrait, la crise a rebondi de manière un peu plus forte à la rentrée, intensifiant le contrôle sanitaire et politique. Or, ces États n’ont pas les moyens de protéger sanitairement leur population, ni d’affronter seuls la crise qui vient. Plus que jamais, un nouveau partenariat de reconstruction économique avec l’Europe paraît devoir s’imposer.
Vers l’interdiction des sacs plastique en Afrique atlantique : une analyse numérique en droit de l'environnement
Authors: Billant Odeline , Bonnin Marie
Published: March 2021

Le plastique a révolutionné l’industrie et les comportements des consommateurs ces dernières décennies. Or, les caractéristiques qui ont fait sa force se révèlent aujourd’hui constituer une menace pour les écosystèmes. L’analyse interroge les effets des textes juridiques adoptés en Afrique atlantique sur la quantité et la nocivité des sacs plastique disponibles. Cette méthode est novatrice en droit de l’environnement en développant une approche numérique. L’analyse des mesures restreignant l’usage des sacs plastique montre que les États africains de cette étude se sont attaqués à cette pollution. Le défi complexe de l’interdiction du plastique reste prégnant en Afrique atlantique. Classification JEL : K32, C80
Les fragilités en Afrique : une explication par les investissements directs étrangers ?
Authors: Ongo Nkoa Bruno Emmanuel , Song Jacques Simon
Published: March 2021

Cet article apprécie les effets des investissements directs étrangers (IDE) sur les fragilités observées en Afrique. Cinq dimensions de fragilités sont considérées : économique, politique, sociale, sécuritaire et environnementale. À partir d’un échantillon de 51 pays, nous estimons un modèle en données de panel par la méthode des moments généralisés en système dont la robustesse est éprouvée par les moindres carrés ordinaires sur la période 1995-2016. Nous obtenons deux principaux résultats : (i) les IDE accroissent la fragilité globale en Afrique et (ii) ils augmentent les fragilités économique, politique, sociale, sécuritaire et environnementale. Un renforcement de la réglementation sur les IDE par l’instauration d’un système de traçabilité importe au soutien de la consommation des ménages, de l’investissement privé et de l’activité transactionnelle. Classification JEL : D63, F22, F24, F35, R21
Le transfert de politiques publiques : le cas de la coopération entre l’Union européenne et la Chine dans la réforme de l’administration publique
Authors: Zhang Yanzhe , Yu Xiao
Published: March 2021

Le présent article traite du processus accéléré de réforme administrative du gouvernement chinois et plus particulièrement des efforts déployés depuis dix ans par la Chine pour développer des politiques de transfert avec certains pays européens. La volonté d’offrir des services publics plus efficaces et de mettre en place une capacité stratégique étendue face à des enjeux internes et externes croissants a incité le gouvernement chinois à s’engager activement dans cet apprentissage et ce transfert de capacités axés sur les politiques. De nouveaux systèmes de gouvernance basés sur des programmes de coopération internationale ont été étudiés et de nouvelles initiatives ont été adoptées. Nous présentons ici une étude de cas sur le programme d’administration publique Chine-Europe, qui a servi de source d’information privilégiée pour la réforme des départements ministériels en Chine. Le programme d’administration publique Chine-Europe est un programme stratégique qui propose divers exemples de transfert de politiques en matière de gestion publique depuis l’Union européenne vers la Chine. Dans cet article, nous présentons le modèle de réseau de transfert volontaire de politiques comme une approche heuristique permettant de comprendre le processus de réforme de l’administration, en particulier en ce qui concerne le développement du secteur du personnel en Chine, et suggérons que le transfert de politiques est un cadre analytique rationnel pour étudier la réforme administrative progressiste dans les États en transition. Nous observons par ailleurs que les programmes politiques, comme le programme d’administration publique Chine-Europe, sont devenus des outils clés pour l’internationalisation des réformes néolibérales du secteur public. Notre article contribue ainsi à la littérature florissante sur le transfert des politiques, qui n’a jusqu’à présent accordé que peu d’attention à la situation en Chine. Remarques à l’intention des praticiens Le transfert de politiques est un outil rationnel dans le cadre de l’élaboration des politiques et de l’innovation en la matière. Dans le présent article, nous étudions le rôle du programme d’administration publique Chine-Europe en tant qu’instrument d’apprentissage en matière de politiques dans la réforme de l’administration publique, en particulier dans le domaine du développement des ressources humaines. Ici, l’approche fondée sur le réseau de transfert de politiques s’avère être un dispositif heuristique intéressant pour organiser l’étude de cas, ainsi que pour étudier les processus de transfert de politiques.
Qui se ressemble s’assemble : l’influence des désaccords entre le manager et son subalterne quant à la clarté des objectifs sur la congruence des valeurs et l’engagement organisationnel
Authors: Stazyk Edmund C. , Davis Randall S.
Published: March 2021

Nombreuses sont les recherches qui soulignent l’importance de la congruence entre les valeurs du personnel et celles de l’organisation. Pourtant, malgré les preuves que la congruence des valeurs influence bel et bien les principaux résultats individuels et organisationnels, plusieurs failles énormes subsistent dans la recherche. Nous tentons ici d’enrichir les connaissances existantes dans le domaine de la gestion publique par divers moyens : (1) en examinant si et comment la congruence des valeurs influence l’engagement affectif du personnel à l’égard de l’organisation et (2) en répondant aux récents appels lancés aux chercheurs pour qu’ils expliquent les processus par lesquels la congruence des valeurs façonne les opinions et le comportement du personnel. Nos résultats, qui s’appuient sur des données dyadiques compilées sur un échantillon de cadres supérieurs dans des gouvernements locaux américains, indiquent que la congruence des valeurs est associée à des niveaux plus élevés d’engagement affectif à l’égard des organisations. En outre, la congruence des valeurs est encore plus importante dans les cas où il existe des niveaux plus élevés d’ambiguïté des objectifs. Remarques à l’intention des praticiens Les conclusions de l’étude ont plusieurs implications pratiques pour les gestionnaires publics. Premièrement, les résultats indiquent que les gestionnaires doivent reconnaître et prendre en compte les perceptions du personnel quant à l’ambiguïté des objectifs organisationnels s’ils espèrent le retenir. À cette fin, les gestionnaires feraient bien de concevoir les objectifs de concert avec leur personnel ; le processus de cocréation des objectifs peut contribuer à limiter l’ambiguïté. Deuxièmement, les gestionnaires doivent créer des systèmes de communication solides qui acceptent les désaccords et reconnaissent l’importance d’un dialogue efficace sur la nature des objectifs. Enfin, les gestionnaires doivent fournir un retour d’information sur les objectifs à intervalles réguliers afin d’aider le personnel à comprendre les attentes.