bluuebunny/crossref_metadata_2025 huggingface dataset:
The Plantation’s role in enhancing hurricane vulnerability in the nineteenth-century British Caribbean
Authors: Webber Oscar
Published: February 2022

Hurricanes are the hazard most synonymous with the Caribbean and have, consequently, received the most attention from historians. Yet, they have tended to be considered exogenous phenomena. There has been little attention paid to the role endogenous factors have played in exacerbating the potential for loss from hurricane impacts. Through a comparison of the impacts of the Barbadian hurricane of 1831 and the Dominican hurricane of 1834 this article seeks to advance the existing literature by examining the role the plantation played in exacerbating hurricane vulnerability. In revealing the significantly contrasting amount of damage these islands sustained, this article shows that, at least in this case, the more expansive plantation agriculture of Barbados exposed its habitants to far greater human, economic and environmental losses.
The Politics of Survival in Puerto Rico: The Balance of Forces in the Wake of Hurricane María
Authors: Tormos Fernando
Published: February 2022

Puerto Rico’s left-wing forces have long tried to unify, a goal that has proven difficult to reach and even harder to sustain. At its strongest, the Left has faced intense repression from both the United States and the island’s colonial government. Yet, activists and left-wing intellectuals agree that deeper differences account for the collective inability to build unity. Historically, left-wing forces in Puerto Rico have split over the national question. Pro-independence groups, arguably the largest sector, have prioritized decolonization while socialists, feminists, and environmentalists have proposed a broader anti-oppressive praxis centered on social and economic issues. Other groups, such as the Movimiento Socialista de Trabajadores, do not see these struggles as mutually exclusive, calling for the formation of a socialist republic in Puerto Rico. Today a new wave of Leftist organizing is emerging, one free from traditional Marxist or nationalist dogmas. This new Puerto Rican Left is organizing for economic justice and against colonialism while putting a greater emphasis on gender, sexuality, and race. It aims to foster young leadership, articulate new solidarities, and revive the practice of community organizing. It is learning from the errors of the past while picking up the sediments of previous struggles. Yet, if the Left wants to remain relevant, it must collaborate with the youth, student, community, feminist, farmer, and environmental justice groups that are bringing new energy to the island. This essay contextualizes the Puerto Rican Left in relation to the island’s political economy, identifies the forces in the Puerto Rican Left, reviews their differences and recent history, and presents a brief analysis of their political influence in Puerto Rican and US politics.
The danger of sighing while looking up
Authors: Ramos Celeste
Published: February 2022

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Héctor Alimonda, the American task of political ecology
Authors: Martín Facundo , Merlinsky Gabriela , Toro Pérez Catalina
Published: February 2022

This text is an introduction of Alternautas’ mini-dossier in tribute to the work of Hector Alimonda (1947-2017). Here, Facundo Martín, Gabriela Merlinsky and Catalina Toro Pérez present Alimonda’s unique contribution to the field of political ecology in Latin America. It is followed by the newly translated “In the key of south: Latin American political ecology and critical thinking”, the introduction of Alimonda’s latest book, Ecología Política Latinoamericana - Volumen 1 (2017), co-edited by Facundo Martín and Catalina Toro Pérez. In the next weeks, we will also publish a translation of “The coloniality of nature”, an article that appeared originally in La naturaleza colonizada (2011).
Social Sciences and Rural Studies in Argentina during the 20th century
Authors: Giarracca Norma , Giraudo María Eugenia
Published: February 2022

This work intends to provide a broad overview of social science contributions in the study of Argentinian agrarian processes and rural contexts. It is intended as a way of organising the literature without too much of a focus on its theoretical or methodological underpinnings. Regardless, the mere fact of selecting some works and not others involves decisions that are not exempt from some kind of academic evaluation. This is evident particularly in the last period in which, surprisingly, I found an abundant and heterogenous production.
An Analysis of Applying Zoom Cloud Meeting Towards EFL Learning in Pandemic Era Covid-19
Authors: Rahmat Agus , Fachrunnisa Nurul
Published: February 2022

The objectives of this research are to find out the students’ perspective, the barriers, the advantages and disadvantages as well as the strategies of applying Zoom Cloud Meeting app towards EFL learning of STMIK Handayani in pandemic era Covid-19. The subjects of this research are five students of Manajemen Informatika (MI) and five students of Technical Information Extensive (TI Ext). The research employed descriptive qualitative design by using self-report questionnaire and interview as the research instruments. The result of research showed that (1) the existence of zoom cloud meeting in EFL learning are very effective to stop the spreading of covid 19 in pandemic era but the learning process cannot be perfect than the conventional learning (2) the main barriers of applying zoom cloud meeting are the bad network and the usage of big quota. (3) The advantages are many kinds of good features and high quality access, more flexible, comfortable, and relaxed and disadvantages are the learning condition cannot be felt, the learning is not perfect, make the students lazier and less of togetherness (4) the effective strategies are the methods must be interactive and the materials have to be delivered directly with audio and visual.
CONDITIONAL SENTENCE LEARNING WITH GAME AS AN INSTRUCTIONAL MEDIUM IN COVID-19 PANDEMIC
Authors: Aftinia Fitria
Published: February 2022

Abstract The purpose of this study is to know the effectiveness of using game at the students’ learning outcome for Conditional Sentence material. This study is an experimental study using One-Group Pre-test and Post-test Design. The data are the students’ learning outcomes and responses on the questionnaire. The study was conducted in SMA Muhammadiyah 9 Surabaya. The questionnaire and pre-test were carried out before learning. After online learning using game as an instructional medium, post-test and questionnaire were given to students. The learning outcome scores were analyzed with the help of the SPSS program to determine the increase in learning outcomes and the level of completeness. The conclusion is that learning Conditional Sentences with instructional medium for computer-assisted games on online learning shows effectiveness. The effectiveness of learning is shown by having achieved the completeness of the learning outcomes and students giving good responses to the use of games as an instructional medium during the Covid-19 pandemic.Keywords: covid-19 pandemic, game, online learning
GOOGLE CLASSROOM AS LEARNING PLATFORM IN TEACHING WRITING
Authors: Syafi'i Ahmad
Published: February 2022

Technology today has played a major role in the field of education especially with the adaptation of World-Wide Web and fast internet networking such as 4G and 5G. Since traditional teaching activity is seen not more enough to support the students’ learning of English especially in the EFL context where the English are commonly used at school, university, or college educators have combined face to face interaction with an online course in blended learning. The Google Classroom is a networks platform for interaction among teachers and students, collaborate, share and evaluate homework, grades, class discussions, notices, and evaluations. Its objective is to help educators use social media power to customize the classroom for all students. Awareness of the positive potentials of this learning style will allow Google Classroom to introduce a mixed learning approach in the classroom. The post would discuss how Google Classroom facilitates English classroom teaching and learning writing. The argument continues with Google Classroom presentation and the idea of mixed education using Google Classroom. Then it continues with the application of this platform into actual teaching writing context and its outcome. Furthermore, the researchers will also discuss the current and future challenges of Google Classroom in ELT writing for EFL learners as well as teachers
PERAN BARISTA DALAM PENGEMBANGAN USAHA RESTORAN INFORMAL DI SULAWESI SELATAN (STUDI PADA USAHA RESTORAN INFORMAL DI KOTA PAREPARE PROVINSI SULAWESI SELATAN)
Authors: Winowatan Wim Johannes , Suarta I Putu , Sukarana Murdiani
Published: February 2022

Penelitian ini bertujuan untuk mengetahui peran barista dalam pengembangan usaha restoran informal di sulawesi selatan (studi pada usaha restoran informal di kota parepare provinsi Sulawesi selatan) berdasarkan Persepsi Konsumen terhadap pelayanan Barista, Peran Barista Dalam Pengembangan Usaha Restoran Informal, dan Kepuasan Konsumen Terhadap Pelayanan Barista di kota parepare provinsi Sulawesi selatan. Metode dalam Penelitian ini adalah kualitatif dengan menggunakan pendekatan deskriptif. Metode pengumpulan data dalam penelitian ini dilakukan melalui observasi, wawancara dengan daftar pertanyaan dan dokumentasi. Hasil penelitian menunjukkan bahwa, Persepsi konsumen terhadap pelayanan Barista belum maksimal dipahami secara umum termasuk maksud dan tujuannya. Barista kurang paham pentingnya persepsi kunsumen terhadap pelayanan khususnya pelayanan dalam meracik minuman kopi.  Perlu untuk ditindaklanjuti agar konsumen atau tamu dapat lebih memahami keberadaan dan pelayanan Barista, hal ini disebabkan konsumen atau tamu hanya sebagai peminum kopi bukan penikmat kopi dan hanya memilih jenis kopi yang disediakan, Keberadaa Barista dan pelayanannya yang tersedia pada kafé hanya menyediakan kopi berdasarkan kebutuhan konsumen atau tamu serta masih sekitar kurangnya ketersediaan peralatan yang sangat terbatas dan mahal yang harus dikeluarkan untuk tiap peralatan yang dibutuhkan .
EKSISTENSI DESA WISATA RELIGI BONGO DI MASA PANDEMIC COVID19
Authors: Sunarti Sri , Talib Desrika
Published: February 2022

The purpose of the study was to describe the existence of a Religious Tourism Village during the Covid19 pandemic towards the best national tourist village. The research method used is descriptive qualitative with the main data sources being observation, in-depth interviews, and documentation. From the results of the study, it was found that Bongo Village as a Religious Tourism Village located in Gorontalo Regency has become the best Tourism Village at the National level, this is proof that the management of Bongo Village as a Religious Tourism village continues to be maximized despite experiencing several obstacles due to the impact of the COVID19 pandemic. The strategy taken is to always publish the uniqueness of the attraction and the cooperation between tourism managers and the community as well as government support, both central and local governments.
ANALISA TERHADAP LOYALITAS PELANGGAN PORTABLE GRILL & SHABU TANGERANG
Authors: Rofianingsih Devi , Sarjono Haryadi
Published: February 2022

The purpose of this research is to determine the effect of service quality and price on customer satisfaction and impact on customer loyalty of Portable Grill & Shabu Tangerang. This research using Structural Equation Modeling method with LISREL 8.8 program. The sample of this research is 224 respondent. This result showed that there is an influence of service quality on customer satisfaction with coefficient of 0,78, there isn’t significant influence of price on customer satisfaction with coefficient of 0,099, there isn’t influence of service quality on customer loyalty with coefficient of -0,14, there is an influence of price on customer loyalty with coefficient of 0,44, there isn’t significant influence of sevice quality on customer loyalty by using customer satisfaction with coefficient of 0,0082 and there  is an influence of price on customer loyalty by using customer satisfaction with coefficient of 0,46. Tujuan dari penelitian ini adalah untuk mengetahui pengaruh kualitas pelayanan dan harga terhadap kepuasan konsumen dan berpengaruh terhadap loyalitas konsumen pada Portable Grill & Shabu Tangerang. Penelitian ini menggunakan metode Structural Equation Modeling dengan program LISREL 8.8. Sampel penelitian ini adalah 224 responden. Hasil penelitian ini menunjukkan bahwa terdapat pengaruh kualitas pelayanan terhadap kepuasan konsumen dengan koefisien 0,78, tidak terdapat pengaruh harga yang signifikan terhadap kepuasan konsumen dengan koefisien 0,099, tidak terdapat pengaruh kualitas pelayanan terhadap loyalitas konsumen dengan koefisien sebesar dari -0,14 terdapat pengaruh harga terhadap loyalitas pelanggan dengan koefisien 0,44, tidak terdapat pengaruh yang signifikan kualitas layanan terhadap loyalitas pelanggan dengan menggunakan kepuasan pelanggan dengan koefisien 0,0082 dan terdapat pengaruh antara harga terhadap loyalitas pelanggan dengan menggunakan kepuasan pelanggan dengan koefisien 0,46.
INOVASI HIJAB MENJADI LEBIH TRENDY DAN WUDHU FRIENDLY
Authors: Hastuti Retno , Febriantikaningrum Bella , Nugraheni Septiana Pidya , Amin Erfa Saodah Rizqil , Sarinastiti Nia
Published: February 2022

In the development of the hijab trend model in this modern era there are many different types of hijabs, just aurat, here we innovate the "Hi-Sunny" hijab with advantages not only as a cover for the genitals, in addition the connecting strap is wrapped in a suitable hijab Compilation ablution and re-available on the front of the headscarf that can be created more than 8 models of headscarves and pearl pearl tasel on both ends of the headscarf. In marketing, promotions are carried out online and offline. Online promotion is done using Instagram, Facebook, Whatsapp and other social media offline with ready kiosks. The purpose of this study was to create hijab clothing that was efficient, trendy and simple and added value to the function of the hijab.Dalam perkembangan model tren hijab di era modern ini banyak sekali berbagai model hijab yang bervariasi namun berfungsi sebatas penutup aurat saja, disini kami menginovasikan hijab “Hi-Sunny” dengan kelebihan tidak hanya sebagai penutup aurat saja dengan tambahan tali putus sambung dibagian dalam hijab yang mempermudah ketika berwudhu dan terdapat resleting dibagian depan hijab yang dapat dikreasikan lebih dari 8 model hijab serta terdapat tasel mutiara dikedua ujung hijab. Dalam pemasarannya dilakukan promosi secara online dan offline. Promosi online dilakuakan meggunakan Instagram, Facebook, Whatsapp dan media sosial lainnya sedangakan secara offline dengan membuka lapak. Tujuan penelitian ini adalah untuk menciptakan fashion hijab yang efisien, trendy dan simple serta menambahkan niali tambah dari fungsi hijab.
ANALISA KINERJA PADA PERUSAHAAN SUPLAIR PRODUK KABEL DI INDONESIA
Authors: Sarjono Haryadi , Nabil Ahmad
Published: February 2022

The purpose of this study was to determine the effect of total quality management, quality management information, and competitive advantage affect company performance. The object of research is all employees of PT. Nusa Jayatama Mandiri, data collection techniques by distributing questionnaires to all employees of the company as many as 132 respondents and direct observation to the company. Data analysis method using multiple linear regression analysis with IBM SPSS 22. The results of research total quality management has a positive and significant effect on company performance, quality management information has a positive and significant effect on company performance, competitive advantage has a positive and significant effect on company performance. Total quality management, quality management information, and competitive advantage together affect the company's performance. Tujuan penelitian ini adalah untuk mengetahui pengaruh total quality management, quality management information, dan keunggulan kompetitif berpengaruh terhadap kinerja  perusahaan. Objek penelitian adalah seluruh karyawan PT. Nusa Jayatama Mandiri, teknik pengumpulan data dengan menyebarkan kuisioner kepada seluruh karyawan perusahaan sebanyak 132 responden dan observasi langsung ke perusahaan. Metode analisis data dengan menggunakan analisis regresi linier berganda dengan IBM SPSS 22. Hasil penelitian total quality management berpengaruh positif dan signifikan terhadap kinerja perusahaan, quality management information berpengaruh positif dan signifikan terhadap kinerja perusahaan, keunggulan kompetitif berpengaruh positif dan signifikan terhadap kinerja perusahaan. Total quality management, quality management information, dan keunggulan kompetitif secara bersama-sama berpengaruh terhadap kinerja perusahaan.
PENGARUH PENGUNGKAPAN CORPORATE SOCIAL RESPONSIBILITY DAN LEVERAGE TERHADAP EARNING RESPONSE COEFFICIENT DENGAN GOOD CORPORATE GOVERNANNCE SEBAGAI VARIABEL MEDIASI
Authors: Prihatiningrum Arini , Ayem Sri
Published: February 2022

This study aims to analyze the disclosure of Corporate Social Responsibility (CSR) and Leverage on the Earnings Response Coefficient (ERC) by considering Good Corporate Governance as a mediating or intervening variable. The data used in this study are secondary data obtained from several sources. The subjects of this research are state-owned companies listed on the Indonesia Stock Exchange in 2016-2019. The sample of this study were 12 companies with a total of 48 data for 4 years from 2016 to 2019 which were selected by purposive sampling method. The analysis tool is the Classical Assumption Test and Path Analysis. This study found only four hypotheses were accepted, the other hypotheses were rejected. This study concludes that disclosure of Corporate Social Responsibility (CSR) has a positive effect on Good Corporate Governance (GCG), Leverage has a positive effect on Good Corporate Governance (GCG), Disclosure of Corporate Social Responsibility (CSR) has a positive effect on Earning Response Coefficient (ERC), Leverage. It has a positive effect on the Earning Response Coefficient (ERC), and Good Corporate Governance (GCG) is accepted to be added to the model as a mediating or intervening variable. Penelitian ini bertujuan untuk menganalisis pengungkapan Corporate Social Responsibility (CSR) dan Leverage terhadap Earnings Response Coefficient (ERC) dengan mempertimbangkan Good Corporate Governance sebagai variabel mediasi atau intervening. Data yang digunakan dalam penelitian ini adalah data sekunder yang diperoleh dari beberapa sumber. Subjek penelitian ini adalah perusahaan BUMN yang terdaftar di Bursa Efek Indonesia tahun 2016-2019. Sampel penelitian ini adalah 12 perusahaan dengan total 48 data selama 4 tahun dari tahun 2016 hingga 2019 yang dipilih dengan purposive sampling method. Alat analisis adalah Uji Asumsi Klasik dan Path Analysis.  Penelitian ini menemukan hanya empat hipotesis yang diterima, hipotesis lainnya ditolak. Penelitian ini menyimpulkan bahwa Pengungkapan Corporate Social Responsibility (CSR) berpengaruh positif terhadap Good Corporate Governance (GCG), Leverage berpengaruh positif terhadap Good Corporate Governance (GCG), Pengungkapan Corporate Social Responsibility (CSR) berpengaruh positif terhadap Earning Response Coefficient (ERC), Leverage berpengaruh positif  terhadap Earning Response Coefficient (ERC), dan Good Corporate Governance (GCG) diterima untuk ditambahkan dalam model sebagai variabel mediasi atau intervening.
PENGARUH KUALITAS PRODUK DAN KUALITAS PELAYANAN TERHADAP MINAT BELI ULANG D’FRESCO DONUT MELALUI KEPUASAN PELANGGAN SEBAGAI VARIABEL PEMEDIASI
Authors: Wijayanti Handayani Tri , Almaidah Siti
Published: February 2022

The culinary business in Solo continues to grow along with the development of Solo City to become one of the tourist destinations in Indonesia. One of the culinary businesses that is growing is typical snacks of Solo City and present cakes. Currently, the most popular cakes include donuts. Changes in consumer tastes and market demands require companies to make innovative and creative efforts towards their products and marketing strategies. This study was intended to examine the effect of product quality and service quality on D'Fresco Donut repurchase interest through customer satisfaction as the mediating variable. The sample in this study amounted to 150 respondents. The sampling procedure uses accidental sampling. The analysis techniques used include: (1) descriptive analysis, (2) testing research instruments,  (3) classical assumption test, and (4) path analysis. The results showed that there was an effect of product quality and service quality on repurchase interest mediated by customer satisfaction. Bisnis kuliner di Kota Solo terus berkembang seiring dengan perkembangan Kota Solo menjadi salah satu tujuan wisata di Indonesia. Salah satu bisnis kuliner yang sedang berkembang adalah jajanan khas Kota Solo dan kue kekinian. Saat ini kue kekinian yang sedang digemari tersebut diantaranya adalah Donat. Perubahan selera konsumen dan permintaan pasar menuntut perusahaan untuk melakukan upaya inovatif dan kreatif terhadap produk dan strategi pemasarannya. Penelitian ini dimaksudkan untuk menguji tentang pengaruh kualitas produk dan kualitas pelayanan terhadap minat beli ulang D’Fresco Donut melalui kepuasan pelanggan sebagai varibel pemediasi. Sampel dalam penelitian ini berjumlah 150 responden. Prosedur pengambilan sampel menggunakan accidental sampling. Teknik analisis yang digunakan diantaranya: (1) analisis deskriptif, (2) pengujian instrumen penelitian, (3) uji asumsi klasik, dan (4) path analysis. Hasil penelitian menunjukkan bahwa terdapat pengaruh kualitas produk dan kualitas pelayanan terhadap minat beli ulang dengan dimediasi kepuasan pelanggan.
PENGARUH MOTIVASI EKONOMI, GENDER, PERSEPSI DAN LINGKUNGAN KELUARGA TERHADAP MINAT MAHASISWA BERKARIR MENJADI AKUNTAN PUBLIK (STUDI EMPIRIS PADA MAHASISWA AKUNTANSI UNIVERSITAS SARJANAWIYATA TAMANSISWA YOGYAKARTA)
Authors: Cahya Yasinta Agatha , Erawati Teguh
Published: February 2022

This study aims to determine the effect of Motivation Economy, Gender, Perception and Family Environment towards students' interest in becoming a Public Accountant. Distributing questionnaires or questionnaires. Research sample This is an Accounting student at the University of Economics Faculty Sarjanawiyata Tamansiswa batch 2016-2018 which amounts to 100 respondents who have gone through audits 1 and 2 and passed. The sampling technique used purposive sampling. Tool analysis used Classical Assumption Test and Multiple Linear Regression Analysis Test. This study concludes that economic motivation is not affect career interest in becoming a public accountant, gender has no effect on career interest in becoming an accountant public, perception has a positive effect on career interest in becoming a public accountant and the family environment has no effect towards a career interest in becoming a public accountant.Penelitian ini bertujuan untuk mengetahui pengaruh Motivasi Ekonomi, Gender, Persepsi dan Lingkungan Keluarga terhadap Minat Mahasiswa menjadi Akuntan Publik. menyebarkan kuesioner atau kuesioner. Sampel penelitian ini adalah mahasiswa Akuntansi Fakultas Ekonomi Universitas Sarjanawiyata Tamansiswa angkatan 2016-2018 yang berjumlah 100 responden yang telah melalui audit 1 dan 2 dan dinyatakan lulus. Teknik pengambilan sampel menggunakan purposive sampling. Alat analisis yang digunakan Uji Asumsi Klasik dan Uji Analisis Regresi Linier Berganda. Penelitian ini menyimpulkan bahwa motivasi ekonomi tidak berpengaruh terhadap minat karir menjadi akuntan publik, jenis kelamin tidak berpengaruh terhadap minat karir menjadi akuntan publik, persepsi berpengaruh positif terhadap minat karir menjadi akuntan publik dan lingkungan keluarga tidak berpengaruh. menuju minat karir untuk menjadi akuntan publik.
Isolation cementing of oil and gas wells of the Сarpathian region
Authors: Tershak В. А. , Kovalchuk M. B. , Stavychnyi Ye. M. , Riznychuk A. I. , Fedyk O. M. , Savchuk N. M.
Published: February 2022

The problem of reliable isolation cementing of oil wells belonging to non-operating stock is considered. It is shown that the oil and gas fields of the Carpathian region are characterized by unique mining, geological and geographical conditions, as well as a large number of old wells of complex design that require unconventional solutions when performing isolation works. The peculiarities of structure formation, technological properties of insu-lating materials based on oil well cement PCT I-100 and composite mixtures CREA, CREA-LF have been studied. It was found that in the first case, the hydration products are represented by ettringite, hexagonal AFm phases, calcium hydroxide and fibrous hydrosilicates. The following phenomena are characteristic for composite materials: a more uniform distribution of hydrates in the gel mass of hydrosilicates, better ordering of the contact zones of accretion, and an increase in the number of intergrown fibers in blocks of hydrosilicates. All of that ensures the formation of a stone of a denser structure, the closure of a larger number of hydrates surface active centers in contact interactions, controlled synthesis, improvement of the strength characteristics and deformation properties of the cement stone. It is shown that the improvement of the quality of composites is facilitated by the use of modern polyfunctional additives-modifiers applying the technology of manufacturing dry building mixtures. It has been found that to increase the efficiency of krents, it is advisable to use complex additives of multifunctional action, which, complementing each other, make it possible to achieve an additive and sometimes synergistic effect. A new generation plasticizer based on polycarbonates, stabilizing additives and micro-reinforcing fibers is used as a modifier of the CREA and CREA-LF composite mixtures. The ability to microplastic deformation of the composite matrix, reinforced by microreinforcement, causes higher energy consumption for the destruction of the stone. An improved technology for performing insulation works is proposed, taking into account the design features and the state of well support elements, which provides for the use of thermographenite and zeolite tuff in addition to the binder material.
Choice of local anesthetic in obstetric anesthesiology: literature review and demonstration of our own experience
Authors: Grizhimalskiy E , Harha A
Published: February 2022

Regional anesthesia is widely used in obstetric practice, and in many cases is the method of choice. It in­cludes neuroaxial anesthesia (spinal, epidural, combined spinal­epidural, epidural with dura mater puncture), region­al blocks (eg, TAP block, QL block, ESP block, pudendal block, etc.), as well as local infiltration anesthesia, which is used for both anesthesia and postoperative analgesia. The correct choice of local anesthetic, its dose and concentration is of fundamental importance in obstetric anesthesiology, as it is necessary to ensure the highest quality blockade with mini­mal side effects on mother and fetus.
La science financière classique en crise(s): Un Prequel pour quel Quiproquo ?
Authors: Crucis Henry Michel
Published: February 2022

Apparue au XIXe siècle, la science financière a presque disparu, résultat peut-être du quiproquo de n’avoir pas choisi entre plusieurs regards portés sur les finances : politique, gestionnaire, économique, juridique, administratif, social.

Pour tenter de revivifier cette science, il faut d’abord, comme un prequel, observer la fabrication du savoir financier par une centaine d’auteurs pendant sa gestation (fin XVIe-fin XIXe siècles).

La seconde partie de l’étude analysera un autre quiproquo plus critique résultant du champ très (trop ?) limité de la Finance et de la science des finances publiques.
Crises économiques et décisions financières et fiscales
Authors: Monnier Jean-Marie
Published: February 2022

Quatre épisodes de crise ont eu un impact particulièrement important sur l’activité économique depuis les années 1980. Trois de ces crises présentent une dimension financière importante, la quatrième est atypique. Elles ont cependant toutes eu un coût budgétaire élevé. L’article se concentre sur la gestion de la contrainte budgétaire et son impact sur la dette publique du fait de ces quatre crises et montre un impact cumulatif.
Les désajustements de l’État social
Authors: Carbonnier Clément , Palier Bruno
Published: February 2022

Plutôt que de crise, il faut parler de désajustements par rapport aux évolutions économiques et sociales les plus récentes (globalisation, évolutions technologiques, vieillissement, transformation de la pauvreté et du marché du travail) pour comprendre les difficultés de notre système de protection sociale, qui, à force de réformes budgétaires et de libéralisation du marché du travail, et faute d’être ajusté aux nouveaux besoins sociaux, laisse se développer des inégalités et des situations de vulnérabilités nouvelles.
Les aides publiques de soutien à l’économie en contexte de crise
Authors: Jouve Denis
Published: February 2022

La crise liée à la pandémie met en lumière et renforce la double fonction des aides publiques au soutien de l’économie. D’une part, la crise rend nécessaire l’octroi massif d’aides au soutien des entreprises afin de surmonter les difficultés et d’éviter un effondrement de l’économie. D’autre part, en vue d’une relance à plus long terme prenant en compte la protection de l’environnement et le développement du numérique, les aides économiques sont un outil d’incitation et d’orientation des politiques publiques.
Le service de gestion comptable : une réponse de l’État aux mutations du secteur public local
Authors: Sachot Nicolas
Published: February 2022

En déployant progressivement la carte de son Nouveau réseau de proximité (NRP), la direction générale des finances publiques (DGFiP) investit à nouveaux frais la relation qui l’unit aux collectivités locales et à leurs établissements, mais aussi à leurs usagers. La démarche, inédite dans sa méthode et son ampleur, combine modernisation, amélioration du service rendu et de la qualité de gestion, et attention portée à la robustesse des structures. Elle intervient dans un contexte de bouleversements nombreux dans la gestion publique, dont la rénovation du lien ordonnateur-comptable est un des avatars. Le service de gestion comptable (SGC) constitue, aux côtés des conseillers aux décideurs locaux (CDL), une réponse stratégique de l’État à ces défis nouveaux, en ligne avec la rénovation du régime de responsabilité des gestionnaires publics.
External validation of the updated Brain Injury Guidelines for complicated mild traumatic brain injuries: a retrospective cohort study
Authors: Tourigny Jean-Nicolas , Boucher Valérie , Paquet Véronique , Fortier Émile , Malo Christian , Mercier Éric , Chauny Jean-Marc , Clark Gregory , Blanchard Pierre-Gilles , Carmichael Pierre-Hugues , Gariépy Jean-Luc , D’Astous Myreille , Émond Marcel
Published: February 2022

OBJECTIVE

Approximately 10% of patients with mild traumatic brain injury (mTBI) have intracranial bleeding (complicated mTBI) and 3.5% eventually require neurosurgical intervention, which is mostly available at centers with a higher level of trauma care designation and often requires interhospital transfer. In 2018, the Brain Injury Guidelines (BIG) were updated in the United States to guide emergency department care and patient disposition for complicated mild to moderate TBI. The aim of this study was to validate the sensitivity and specificity of the updated BIG (uBIG) for predicting the need for interhospital transfer in Canadian patients with complicated mTBI.

METHODS

This study took place at three level I trauma centers. Consecutive medical records of patients with complicated mTBI (Glasgow Coma Scale score 13–15) who were aged ≥ 16 years and presented between September 2016 and December 2017 were retrospectively reviewed. Patients with a penetrating trauma and those who had a documented cerebral tumor or aneurysm were excluded. The primary outcome was a combination of neurosurgical intervention and/or mTBI-related death. Sensitivity and specificity analyses were performed.

RESULTS

A total of 477 patients were included, of whom 8.4% received neurosurgical intervention and 3% died as a result of their mTBI. Forty patients (8%) were classified as uBIG-1, 168 (35%) as uBIG-2, and 269 (56%) as uBIG-3. No patients in uBIG-1 underwent neurosurgical intervention or died as a result of their injury. This translates into a sensitivity for predicting the need for a transfer of 100% (95% CI 93.2%–100%) and a specificity of 9.4% (95% CI 6.8%–12.6%). Using the uBIG could potentially reduce the number of transfers by 6% to 25%.

CONCLUSIONS

The patients in uBIG-1 could be safely managed at their initial center without the need for transfer to a center with a higher level of neurotrauma care. Although the uBIG could decrease the number of transfers, further refinement of the criteria could improve its specificity.
Simulated bundled payments for four common surgical approaches to treat degenerative cervical myelopathy: a consideration to break the clinical equipoise
Authors: Jain Nikhil , Sharma Mayur , Wang Dengzhi , Ugiliweneza Beatrice , Drazin Doniel , Boakye Maxwell
Published: February 2022

OBJECTIVE

In degenerative cervical myelopathy (DCM) pathologies in which there exists a clinical equipoise in approach selection, a randomized controlled trial found that an anterior approach did not significantly improve patient-reported outcomes compared with posterior approaches. In this era of value and bundled payment initiatives, the cost profiles of various surgical approaches will form an important consideration in decision-making. The objective of this study was to compare 90-day and 2-year reimbursements for ≥ 2-level (multilevel) anterior cervical discectomy and fusion (mACDF), anterior cervical corpectomy and fusion (ACCF), posterior cervical laminectomy and fusion (LF), and cervical laminoplasty (LP) performed for DCM.

METHODS

The IBM MarketScan research database (2005–2018) was used to study beneficiaries 30–75 years old who underwent surgery using four approaches (mACDF, ACCF, LF, or LP) for DCM. Demographics, index surgery length of stay (LOS), complications, and discharge disposition were compared. Index admission (surgeon, hospital services, operating room) and postdischarge inpatient (readmission, revision surgery, inpatient rehabilitation), outpatient (imaging, emergency department, office visits, physical therapy), and medication-related payments were described. Ninety-day and 2-year bundled payment amounts were simulated for each procedure. All payments are reported as medians and interquartile ranges (IQRs; Q1–Q3) and were adjusted to 2018 US dollars.

RESULTS

A total of 10,834 patients, with a median age of 54 years, were included. The median 90-day payment was $46,094 (IQR $34,243–$65,841) for all procedures, with LF being the highest ($64,542) and LP the lowest ($37,867). Index hospital payment was 62.4% (surgery/operating room 46.6%) and surgeon payments were 17.5% of the average 90-day bundle. There were significant differences in the index, 90-day, and 2-year reimbursements and their distribution among procedures.

CONCLUSIONS

In a national cohort of patients undergoing surgery for DCM, LP had the lowest complication rate and simulated bundled reimbursements at 90 days and 2 years postoperatively. The lowest quartile 90-day payment for LF was more expensive than median amounts for mACDF, ACCF, and LP. If surgeons encounter scenarios of clinical equipoise in practice, LP is likely to result in maximum value because it is 70% less expensive on average than LF over 90 days.
Identifying the relationship between lumbar sacralization and adjacent ligamentous anatomy in patients with Bertolotti syndrome and healthy controls
Authors: McGrath Kyle A. , Lee Jonathan , Thompson Nicolas R. , Kanasz Joseph , Steinmetz Michael P.
Published: February 2022

OBJECTIVE

Bertolotti syndrome is a diagnosis given to patients experiencing low-back pain due to a lumbosacral transitional vertebra (LSTV). LSTVs cause altered biomechanics at the lumbosacral junction, predisposing these patients to degenerative disease. It has been proposed that these patients have additional non-osseous variation such as ligamentous differences in the lumbar spine. The iliolumbar ligament, which attaches from the iliac crest to the transverse process of L4 and L5, plays a significant role in reducing lumbar motion in all six degrees of freedom; therefore, altered ligament anatomy can have a significant impact on stability. The purpose of this study was to examine the iliolumbar ligament complex in patients with Bertolotti syndrome and anatomically normal controls to determine if underdevelopment of the iliolumbar ligament complex is seen in Bertolotti syndrome.

METHODS

This is a retrospective analysis of patients with Bertolotti syndrome and anatomically normal controls who received care at the authors’ institution between 2010 and 2020. Axial thickness of the iliolumbar ligament at the L5 vertebral level was assessed via MRI. Results were compared between the defective and normal side within unilaterally affected (Castellvi types IIa and IIIa) Bertolotti syndrome patients, between defective sides in bilaterally affected Bertolotti syndrome patients (Castellvi types IIb, IIIb, and IV), and between the affected side in Bertolotti syndrome patients and the corresponding location in normal controls.

RESULTS

A total of 173 patients were included in the study, 102 with Bertolotti syndrome and 71 controls. Among the Bertolotti patients, 49 had left LSTVs, 29 had right LSTVs, and 24 had bilateral LSTVs. For patients with unilateral defects, defective side ligaments were thinner than ligaments on the normal side (p < 0.05). For bilateral LSTVs, ligament thickness on each side was considered statistically equivalent (p < 0.05) and not significantly different from that in controls.

CONCLUSIONS

Bertolotti syndrome correlates to significant underdevelopment of the iliolumbar ligament corresponding to the side of the LSTV as compared to the ligament on the contralateral side. In patients with bilateral LSTVs, no difference in the iliolumbar ligament compared to that in controls was seen. Developmental changes in the iliolumbar ligament may further exacerbate the altered lumbosacral biomechanics seen in patients with unilateral LSTV, whereas bilateral LSTVs may still allow normal development of the ligament complex. Further research should be done to examine the discrepancies seen in this study.
Fifty years later: the "rule of Spence" is finally ready for retirement
Authors: Kopparapu Srujan , Mao Gordon , Judy Brendan F. , Theodore Nicholas
Published: February 2022

Determination of the optimal approach to traumatic atlas fractures with or without transverse atlantal ligament (TAL) injury requires a nuanced understanding of the biomechanics of the atlantoaxial complex. The "rule of Spence" (ROS) was created in 1970 in a landmark effort to streamline management of burst-type atlas fractures. The ROS states that radiographic evidence of lateral mass displacement (LMD) (i.e., the distance that the C1 lateral masses extend beyond the C2 superior articular processes) greater than 6.9 mm may indicate both a torn TAL and need for surgical management. Since then, the ROS has become ubiquitous in the spine literature about atlas injuries. However, in the decades since the original paper by Spence et al., modern research efforts and imaging advancements have revealed that the ROS is inaccurate on both fronts: it neither accurately predicts a TAL injury nor does it inform surgical decision-making. The purpose of this review was to delineate the history of the ROS, demonstrate its limitations, present findings in the existing literature on ROS and LMD thresholds, and discuss the current landscape of management techniques for TAL injuries, including parameters such as the atlantodental interval and type of injury according to the Dickman classification system and AO Spine upper cervical injury classification system. The ROS was revolutionary for initially investigating and later propelling the biomechanical and clinical understanding of atlas fractures and TAL injuries; however, it is time to retire its legacy as a rule.
Case of a surgical rehabilitation of a patient with an abnormal tooth structure
Authors:   Kazan State Medical Academy — Branch Campus of the FSBEI FPE RMACPE MOH Russia, ILYINA R. Yu. , URAKOVА E. V. ,   Kazan State Medical Academy — Branch Campus of the FSBEI FPE RMACPE MOH Russia, LEKSIN R. V. ,   Republic Clinical Hospital
Published: February 2022

The article presents the results of a clinical observation of patient M. with an abnormal tooth structure and shape in the frontal maxilla. Teething was accompanied by an atypical suppurative process similar to a follicular cyst. Congenital pathologies of the maxillofacial area often include abnormalities in the shape and number of teeth. The main types of abnormal tooth shape are: spiky teeth, the crowns of which are tenon-shaped or conical in shape; Fournier teeth, when the permanent teeth, namely the lower and upper molars, have the shape of a cone; Pfluger teeth — underdeveloped teeth, the size of the neck of which is larger than the size of the gums. Taurodontism («bovine» teeth) is a violation of the teeth shape, which is more often observed in permanent molars, when the tooth body and pulp cavity increase vertically at the expense of the roots. As a result, the pulp cavity and the furcation of the tooth move apically down the root. Patient M. underwent surgical tooth extraction with further replacement of a bone defect with a PRP technique. A differentiated approach is recommended in the treatment of anomalies of difficult teething, taking into account the further restoration of defects by orthopedic methods.
Treatment of funnel breast in children and adolescents
Authors:   Republic Clinical Hospital, ANDREYEV P. S. , SKVORTSOV A. P. ,   Republic Clinical Hospital, TSOY I. V. ,   Republic Clinical Hospital, KHASANOV R. F. ,   Republic Clinical Hospital, YASHINA I. V. ,   Republic Clinical Hospital, SALAKHOV I. R. ,   Republic Clinical Hospital, AKHMETOV R. R. ,   Republic Clinical Hospital of the Republic of Tatarstan, KHABIBYANOV R. YA. ,   Republic Clinical Hospital
Published: February 2022

The authors carried out an analysis of treatment of 105 patients with funnel breast in children and adolescents of 6–17 y. o. 13 patients underwent thoracoplasty by Nuss D, 87 patients underwent operative treatment with the method proposed by the authors. The proposed algorithm of funnel breast treatment is low-traumatic and allows reducing the rehabilitation period and restoring the shape of costal carcass within the shortest period.
Biological therapy of severe bronchial asthma: organizational and clinical aspects, experience of organizing a specialized center
Authors:   Kazan State Medical University of the Ministry of Health of the Russian Federation, SKOROKHODKINA O. V. , SHAGVALIEVA R. A. ,   Ministry of Health of the Republic of Tatarstan, DEMYANOVA E. V. ,   Republic Clinical Hospital of the Ministry of Health of the Republic of Tatarstan, BAGAUTDINOV A. V. ,   Republic Clinical Hospital of the Ministry of Health of the Republic of Tatarstan, LUNTSOV A. V. ,   Republic Clinical Hospital of the Ministry of Health of the Republic of Tatarstan, DYAKOVA E. V. ,   Republic Clinical Hospital of the Ministry of Health of the Republic of Tatarstan
Published: February 2022

Severe bronchial asthma is a serious medical and social problem of modern healthcare. It is characterized by a significant decrease in the quality of life of patients, high disability rate, potential mortality, and existing difficulties in organizing medical care. In turn, biological therapy of severe bronchial asthma is a highly effective method of treatment that can qualitatively change the disease prognosis. Currently, the Republic of Tatarstan is implementing a model of providing specialized medical care for severe bronchial asthma by organizing a regional Center for biological therapy of severe bronchial asthma at the multidisciplinary medical institution «Republic Clinical Hospital of the Ministry of Health of the Republic of Tatarstan». The article provides data on the principles of the Center functioning and presents the results of the authors’ clinical experience in biological therapy of severe bronchial asthma.
Limb prosthetics
Authors:   KSMA — Branch Campus of the FSBEIFPE RMACPE MOH Russia, BILGILDEEV M. G. , OSMONALIEV I. ZH. ,   Kazan State Medical University, BAIKEEV R. F. ,   Kazan State Medical University
Published: February 2022

Limb loss is a growing medical-social problem. By 2050, the number of people suffering from this nosology (IDC 10 Z89.3-6) is expected to double. In addition to prostheses, microsurgery development has created a possibility of the limb surgical transplantation, however in 17% of cases it is necessary to carry out recurrent amputation. Limb prosthetics is highly-technological process which follows the achievements of physics, chemistry and mathematics. Today, the most perspective types of limbs prostheses are bionic myoelectric ones. The future of prosthetics looks as follows: invasive electrodes for control, sensitization of limb prosthesis, occurrence of new degrees of freedom, neuronal interfaces. Among the medical problems which expect resolution not as the cases of art of a particular doctor-surgeon, but as a developed technology, one should mention target reversal reinnervation of the injured contact of the afferent nerve, motoric neuron and muscles, fixing of prosthesis to the limb stump, installation of electrodes into the limb, training process of the patients adapting to the limb prosthesis, restoration of proprioceptive sensitivity, elucidation of phantom pain. The details of prosthetics process stated in the present review are encouraging and promise occurrence of even more perfect orthopedic products.
Plastic of the nasal septum defect
Authors:   Kazan State Medical University, ISMAGILOV SH. M. , GILYALOV M. N. ,   Republic Clinical Hospital, SALIMOV L. I. ,   Kazan State Medical University, NURSAITOVA R. M. ,   Kazan State Medical University
Published: February 2022

Perforation of the nasal septum (PNS) is a voluminous defect consisting of the total absence of all layers of its tissues. The nasal septum is a plate of cartilaginous, bone and connective tissue with varied physical characteristics; they differ in elasticity, resistance, and restoration after traumas. The article presents the results of the transnasal endoscopic method of plastic repair of nasal septum perforations.
Use of vascularized skin grafting with an inguinal flap in a combined hand injury (clinical case)
Authors:   Republic Clinical Hospital, MULLIN R. I. , GAIZATULLIN R. R. ,   Republic Clinical Hospital, DAUTOV T. R. ,   Republic Clinical Hospital
Published: February 2022

The soft tissues of a hand have a unique construction which provides a tactile connection with the environment and protection against external factors. To date, 1/3 of all injuries are hand injuries, which often leads to restrictions on daily and professional activities. Other parts of the body have enough skin, fat and muscle tissue, allowing primary or secondary closure of the wound. However, the neurovascular and muscle-tendon structures of hand are located directly below the skin, so the loss of soft tissue of a hand requires a thoughtful approach to simultaneously restore the aesthetic appearance and function of the hand. The article presents a clinical case of the use of a non-free inguinal flap in the reconstruction of a combined hand injury together with an external fixation device (EFD) and demonstrates the results of treatment for a period of 2 years since the first surgical intervention. The features of the anatomical structure of the inguinal flap, the positive and negative aspects of this type of skin grafting are shown. Also, the most relevant method of flap training by D. Furnas (1985) is described.