bluuebunny/crossref_metadata_2025 huggingface dataset:
Analyse narrative et culturelle de Vendredi ou la vie sauvage de Michel Tournier
Authors: Petitjean André
Published: October 2023

L’objet de cet article est de faire une analyse narrative et culturelle du roman de Michel Tournier, Vendredi ou la vie sauvage (1971). Il s’agit d’une une réécriture de Vendredi ou les limbes du Pacifique (1967) qui fait partie des centaines de reprises intertextuelles du roman de Daniel Defoe, Robinson Crusoé (1719). Dans une première partie, j’étudie l’organisation logique de l’intrigue sous la forme d’une combinaison de différentes séquences et d’une organisation chronotopique particulière. Pour ce faire, j’ai recours aux études textuelles, en particulier pour rendre compte de la temporalité et de la spatialité, composants indispensables de toute fiction. Je m’appuie aussi sur les travaux narratologiques pour montrer que M. Tournier respecte les lois du genre caractéristiques des robinsonnades bien qu’il les détourne en se livrant à une réécriture critique du roman originel. Dans les trois parties suivantes, j’adopte un point de vue plus culturel que narratif. C’est ainsi que je montre ensuite que Robinson, pour seul et éloigné qu’il est de son pays d’origine, est profondément civilisé au sens éliasien du terme et se sert de cette acculturation pour affronter la situation nouvelle dans laquelle il se trouve placé. Dans une autre partie, j’analyse les modalités – formes et contenus – de l’antagonisme culturel entre Robinson et Vendredi. Je le fais en m’appuyant en particulier sur la théorisation des rapports entre Nature et Culture que l’on doit à l’anthropologue Philippe Descola. Enfin, dans une dernière partie, je m’interroge sur les enjeux de ce conflit culturel exposé narrativement par M. Tournier. On voit que, tout comme le héros de D. Defoe, Robinson impose son modèle culturel à Vendredi dans un premier temps ; puis, il renonce à son ethnocentrisme culturel et s’assimile à Vendredi dans un second temps.
Quelle place pour le récit dans les pratiques enseignantes de production d’écrit au CP ?
Authors: Leclaire-Halté Anne , Gremmo Marie-José
Published: October 2023

L’objectif de cet article est d’étudier dans quelle mesure le travail de production d’écrit, dans les pratiques des enseignants de CP, est lié au développement de compétences à écrire un récit. Après avoir expliqué la constitution du corpus, constitué de 8 classes issues de la recherche Lire-Écrire CP, nous proposons d’abord une analyse des pratiques d’écriture au CP en en pointant la variété. Dans un deuxième temps, nous regardons plus particulièrement les pratiques liées au récit, en nous concentrant sur les deux classes où de telles pratiques sont clairement attestées, et en relevant leurs points communs et leurs différences. Une troisième partie met en rapport les pratiques effectives de production d’écrit que nous avons relevées et l’épreuve d’évaluation, intitulée « Production de texte », qui a été mise au point dans la recherche LECP pour évaluer le niveau de compétence des élèves à la fin de l’année de CP. Cette troisième partie montre un hiatus entre les pratiques enseignantes et la façon dont les textes d’élèves ont été évalués, ce qui conduit à pointer la complexité d’une telle évaluation et, en général, de l’enseignement d’une compétence écrite de type récit au CP.
Spatial comparison of London’s three waves of Spanish Flu
Authors: Peterson Walter
Published: October 2023

England and Wales experienced three waves of influenza during the 1918/19 Spanish Flu pandemic. A previous analysis showed that these three waves had fundamentally different spatial and temporal characteristics. This present study compares London’s experience of the three waves to discern possible geographic differences on a metropolitan level. Borough mortality data for each wave were normalized and then scaled, with spatial autocorrelation techniques displayed by GIS software and analysed for each wave. Registrar General in England and Wales reporting provided data concerning measures of ‘health’ and ‘wealth’ for each metropolitan borough. Spearman’s rank correlation determined the correlation of each wave’s mortality to each of the other waves including the ‘health,’ ‘wealth’ and population density factors. The comparisons showed that there is a spatial difference among the waves. The first two are spatially similar, with both exhibiting ‘random’ autocorrelation patterns, while the third wave exhibits a ‘clustered’ pattern. The borough mortality of the first two waves strongly correlated with each other, with both having similar ‘health,’ ‘wealth’ and population density factors. However, the third wave’s mortality did not correlate with any of the first two and actually behaved in an opposite manner with regard to the ‘health,’ ‘wealth,’ and population density factors. These results do not appear in the literature and create new opportunities for research to explain London’s mortality during the Spanish Flu pandemic of 1918/19.
Embeddedness of liquid-vapour interfaces in stable equilibrium
Authors: Bellettini Costante
Published: October 2023

We consider a classical (capillary) model for a one-phase liquid in equilibrium. The liquid (e.g., water) is subject to a volume constraint, it does not mix with the surrounding vapour (e.g., air), it may come into contact with solid supports (e.g., a container), and it is subject to the action of an analytic potential field (e.g., gravity). The region occupied by the liquid is described as a set of locally finite perimeter (Caccioppoli set) in

\R^3

; no a priori regularity assumption is made on its boundary. The (twofold) scope in this note is to propose a weakest possible set of mathematical assumptions that sensibly describe a condition of stable equilibrium for the liquid-vapour interface (the capillary surface), and to infer from those that this interface is a smoothly embedded analytic surface. (The liquid-solid-vapour junction, or free boundary, can be present but is not analysed here.) The result relies fundamentally on the recent varifold regularity theory developed by the author and Wickramasekera, and on the identification of a suitable formulation of the stability condition.
Mapping class group representations and Morita classes of algebras
Authors: Romaidis Iordanis , Runkel Ingo
Published: October 2023

A modular fusion category

\mathcal{C}

allows one to define projective representations of the mapping class groups of closed surfaces of any genus. We show that if all these representations are irreducible, then

\mathcal{C}

has a unique Morita class of simple non-degenerate algebras, namely, that of the tensor unit. This improves on a result by Andersen and Fjelstad, albeit under stronger assumptions. One motivation to look at this problem comes from questions in three-dimensional quantum gravity.
Control Valve Test Procedure
Authors:   CTTC C1, Hydraulic Systems
Published: October 2023

This SAE Standard applies to hydraulic directional control valves as applied to self-propelled work machines referenced in SAE J1116. It describes a laboratory test procedure for evaluating:

a

Flow versus pressure drop

b

Leakage rate

c

Operating effort

d

Metering characteristics versus spool travel, pilot pressure, or electrical current

e

Relief valve characteristics

The document applies to single and multiple section hydraulic directional control valves.

This document illustrates axial, manually operated valves although the test procedure is applicable to other input forms such as rotary actuation, electric current, hydraulic or pneumatic pressure.

Performance characteristics such as metering hysteresis or dynamic response may have a significant effect on some of these tests.
Diagnosis and treatment of subtentorial brain tumors in children
at the beginning of the XXI century
Authors: Ngankam Leon , Dolgopolov Igor S. , Chichanovskaya Lesya V. , Guseva Elizaveta V.
Published: October 2023

Cerebral tumors are among the most menacing pathologies occurring in children. Of all the cerebral tumors, posterior cranial fossa tumors have been most widespread in children. The review of literature provides a detailed description of clinical pattern. The sources related about earlier occurrence of non-focal symptoms, rather than focal signs: lack of energy, nausea, vomiting and headache. The authors provided detailed description of cerebellum damage in case of tumors, and split the symptoms of the hemisphere and vermis injuries as ataxy and typical cerebellar gait are common to spot the malignant process in the vermis, whereas dyssynergia and hypomyotonia occur in case of hemisphere damage. The clinical picture of hydrocephalus in tumor pathology of posterior cranial fossa is discussed: rapidly growing child head circumference, separation of cranial sutures, bulging of fontanelle, child restless behavior, and other signs. The need for CT and MRI was substantiated as the most important diagnostic techniques; the benefits of each were also stated. Discussion was given to the clinical pattern of hydrocephalus in tumor pathology of the posterior cranial fossa, and the authors put special emphasis on the significance of presurgical correction of hydrocephalus. The authors mentioned the use of a neuronavigation system during surgical intervention and characterized the major accesses (access via the median aperture, transvermial, telovelar access) and methods of craniotomy, indications for resection and osteoplastic trepanation. This article discussed the basic principles of radio and chemotherapy used to achieve a sustained remission, approximate treatment patterns for various posterior cranial fossa tumors are described. In addition, the authors mentioned the need for MRI with contrast agent each 3 months, and subsequent visits to the specialist in oncology.
A clinical case of the Wada test in a patient with structural pharmacoresistant epilepsy
Authors: Russkin Vadim O. , Kuznetsova Alexandra A. , Solovyov Vladimir B. , Levov Aleksandr V. , Schederkina Inna O. , Livshits Matvey I.
Published: October 2023

Wada test is an effective diagnostic method for determining the hemispheric localization of speech functions. The vast majority of epileptological centers use this technique in pre-surgical diagnosis in adult patients with medial temporal lobe epilepsy. According to international literature, the use of this test in the pediatric population is extremely rare due to the need for adequate contact with the patient. We present a clinical case of a patient with structural pharmacoresistant epilepsy caused by post-stroke changes in the left middle cerebral artery. Wada test was used as part of a pre-surgical examination to determine the lateralization of the patient’s speech function. The test results allowed determining the right hemisphere to be dominant in speech function. After the surgical intervention — transylviar periinsular functional hemispherectomy — the girl had no deterioration in speech functions, which confirmed the specificity and sensitivity of the Wada test in a child with impaired cognitive development.
Impact Investing and Sustainable Global Value Chains: Enabling Small and Medium Enterprises Sustainability Strategies
Authors: Ferretti Tommaso
Published: October 2023

Improving the sustainability of SMEs in developing and emerging economies, which represent the vast majority of the population of MNCs’ supplier networks, is fundamental to achieving the Sustainable Development Goals. However, SMEs often lack viable financing options to invest in their sustainability. Emergent impact investing seeking social, environmental, and financial returns aims to address this financing gap. How does impact investing influence sustainability in the global value chains of MNCs? Studying the nexus between impact investing and the strategies of SMEs in Latin America’s coffee and forestry sectors, I provide new insights into how the modes of financing suppliers’ production activities improve GVC sustainability.
Deteksi Tepi Plat Nomor Kendaraan Menggunakan Metode Operator Prewitt
Authors: Budiman Muhammad , Sunardi Sunardi
Published: October 2023

Tujuan dari penelitian ini adalah untuk mengembangkan dan berfokus pada satu metode deteksi tepi operator prewitt, yang diterapkan pada pelat kendaraan. Fungsi dari deteksi tepi adalah melakukan identifikasi pada garis batas suatu objek. Penggunaan teknologi pengenalan pelat nomor sebagai input sistem parkir yang sebelumnya dilakukan dengan cara manual, kini dapat dilakukan dengan menggunakan gambar sebagai alat input. Salah satu penggunaan teknologi dalam pengenalan plat nomor kendaraan yaitu dengan pengolahan citra karena sebagai salah satu bidang ilmu yang bertujuan untuk membantu analisis citra manusia dengan menggunakan komputer. Algoritma dapat digunakan menjadi penentu dalam menghasilkan baik atau tidaknya suatu hasil pengolahan citra. Operator prewitt dapat menghitung gradien dari suatu gambar di setiap titik. Pada setiap titik gambar, vektor gradien memberikan peningkatan yang paling besar sehingga membuktikan bahwa hasil dari deteksi tepi operator prewitt memiliki daerah yaitu vektor nol atau memiliki nilai daerah intensitas gambar yang konstan. Pada titik bagian titik tepi juga ada vektor yang terlihat melintasi tepi, dari nilai yang lebih gelap ke nilai yang lebih terang. Metode operator prewitt menjadi salah satu solusi untuk mendeteksi pelat kendaraan, dengan perantara fitur aplikasi Matlab yaitu Graphical User Interface (GUI). Pada fitur GUI Matlab terdapat kontrol titik dan klik aplikasi. Oleh karena itu setelah membangun sistemnya dalam waktu yang singkat selama 2 detik dapat menampilkan hasil deteksi tepi operator prewitt.
COMMUNITY PARTICIPATION IN FLOOD DISASTER MITIGATION IN THE CAPITAL OF NORTH ACEH DISTRICT
Authors:   Universitas Pendidikan Indonesia, Selviana Yohana , Ningrum Epon , Putri Hafiziani Eka , Sitepu Surianto ,   Universitas Methodist Indonesia
Published: October 2023

Floods are one of the most frequent disasters that hit Indonesia, especially North Aceh District. Flood is a disaster that causes a lot of loss in the form of property and lives, disrupting the activities of the population. Therefore, flood disaster mitigation is important to be carried out by the government by involving the community to reduce the impact of flood disasters that occur so that this can reduce the number of flood risks. One of the efforts made by the government is a cooperative relationship between the government and the community to obtain optimal results. In reviewing flood mitigation efforts, a qualitative approach was carried out with research procedures that produced descriptive data. This descriptive data can be sourced from the local community and observable community behavior. Data collection was carried out by means of in-depth interviews. The results of the analysis show that there has been a flood mitigation effort from the government in the Krueng Keureuto area in the form of the current dam construction and cooperation with the community which is called community participation. This is done by inviting the community to be able to carry out flood disaster mitigation plans. Mitigation planning activities involving the community are carried out by studying and discussing things that might happen before the flood occurs, emergency response during the flood and post-flood recovery. Therefore, disaster mitigation is needed both structurally and non-structurally.
EVALUASI STATUS KESUBURAN TANAH DI DESA PARBALOHAN KECAMATAN SIMANINDO KABUPATEN SAMOSIR
Authors:   Universitas Methodist Indonesia, Sianipar Ebsan Marihot , Sihombing Parsaoran , Hulu Ferdianus
Published: October 2023

Soil fertility is a determining factor for plant growth and production. For this reason, it is important to evaluate the status of soil fertility as a basis for soil management. This study aims to determine the status of soil fertility by analyzing the nutrient content found in the soil in Parbalohan Village, Simanindo District, Samosir Regency. Survey and soil analysis methods are used to evaluate soil fertility status. Soil sampling is carried out for each land map unit (SPL) that has been determined from the mapping results. Principal component analysis to identify soil fertility consists of five main components including cation exchange capacity (CEC), base saturation (KB), C-organic content, P-total and K-total based on the criteria of the Bogor Soil Research Center (PPT) 1995. Results research shows that the status of soil fertility in Parbalohan Village, Simanindo District, Samosir Regency is low soil fertility. Limiting factors include soil reactions, acid pH and low KB can be corrected by adding calcite or dolomite lime. Soils with limiting factors for C-organic content and CEC can be improved by adding soil organic matter, manure and compost.
SISTEM INFORMASI SIMPAN PINJAM CU. HARMONI MEDAN
Authors:   Universitas Methodist Indonesia, Hutagalung Johanna Kezia , Hutapea Marlyna Infryanty , Purba Dimita H. P.
Published: October 2023

CU. Harmoni is engaged in capital formation business through deposits or savings from members. Benefits of the establishment of CU. Harmony is to help members based on the principle of kinship. Number of CU members. Harmoni as a shareholder is 805 people and for education savings members is 227 people. With the number of existing members, the cooperative management still conducts savings and loans transactions using manual systems such as recording into books and using Microsoft Excel. This can be seen from the cooperative management carrying out data processing services for member transactions, deposits, loans, installments, and as well as preparing reports.A lot of data will be processed, so there will be errors in recording and calculations resulting in errors in compiling a report. The author proposes a problem-solving system in the form of building a computerized storage system for member savings and loans and installment payment collection data stored in a database. The system to be built is a data input system for borrowing and paying members using a VB NET 2010-based application program with a MYSQL database The system to be built can help CU administrators.
MEMPREDIKSI TINGKAT KEPUASAN PELANGGAN TERHADAP KUALITAS SUATU TOKO MENGGUNAKAN METODE NAÏVE BAYES
Authors:   Institut Teknologi Telkom Purwokerto, Prasetya Rizki Delaga , Pasya Raihan Iqbal , Bagaskoro Rafi Awang
Published: October 2023

Naïve Bayes merupakan metode klasifikasi probabilitas untuk memprediksi peluang yang akan terjadi berdasarkan pengalaman di masa lalu yang sudah terjadi. Penelitian ini bertujuan untuk memprediksi tingkat kepuasan pelanggan terhadap kualitas suatu toko berdasarkan beberapa komponen seperti Harga, Keamanan, Lokasi, Fasilitas, Service, dan Kelengkapan Barang menggunakan metode Naïve Bayes. Sampel yang digunakan pada penelitian ini diambil sebesar 30 data yang diperoleh dari wawancara kepada beberapa teman-teman dan pendapat dari penulis sendiri terhadap beberapa toko yang pernah dikunjungi. Pada penelitian ini, penulis menggunakan metode Naïve Bayes dikarenakan metode ini tidak membutuhkan jumlah data yang banyak untuk bisa melakukan prediksi, dan Naïve Bayes juga dikenal memiliki tingkat akurasi bagus. Pengujian dilakukan dengan cara manual menggunakan rumus Bayes yang dipopulerkan oleh Paul Graham dan yang kedua menggunakan program AI (Artificial Intelligence) yang menerapkan metode Gaussian. Hasil dari penelitian menunjukan bahwa prediksi menggunakan metode Naïve Bayes memiliki tingkat akurasi yang bagus, itu dibuktikan dengan hasil akurasi prediksi mencapai 80%, dihitung menggunakan perhitungan manual maupun menggunakan Program Machine Learning.
RANCANG BANGUN KALIBRATOR PORTABLE PENAKAR HUJAN TIPPING BUCKET
Authors:   Sekolah Tinggi Meteorologi Klimatologi dan Geofisika, Toruan Kanton Lumban , Barus Exelvia Intania Caroline , Sinambela Marzuki
Published: October 2023

Kalibrasi merupakan kegiatan yang menjamin nilai pengukuran dari alat ukur akurat, terpercaya, dan dapat dipertanggungjawabkan. Kalibrasi yang dilakukan oleh Badan Meteorologi Klimatologi dan Geofisika (BMKG) terdiri dari dua macam metode yaitu kalibrasi pada laboratorium kalibrasi dan kalibrasi lapang, kalibrasi lapang yaitu kalibrasi yang dilakukan oleh teknisi di lapangan dengan alat kalibrator portable. Penelitian ini bertujuan membuat kalibrator penakar hujan tipping bucket untuk kalibrasi lapang yang dirancang dengan aplikasi Visual Studio untuk perhitungan nilai koreksi dan ketidakpastian. Komponen yang dipakai adalah solenoid valve untuk mengalirkan air dari tabung ke tipping bucket, sensor capacitive proximity sebagai pendeteksi air di dalam tabung, sensor DHT22 sebagai sensor suhu dan kelembapan, RTC DS3231 sebagai sistem pewaktuan, NodeMCU ESP8266 sebagai pengirim data ke aplikasi, serta SD card dan database sebagai penyimpanan data. Data yang tersimpan pada aplikasi dapat diexport dalam bentuk excel. Hasil uji coba kalibrator penakar hujan tipping bucket memberikan nilai nozzle rate yang baik yaitu 156.6 mm/jam dengan error 1.2% untuk 1 valve, 2 dan 3 valve yang menghasilkan nozzle rate 354.5 mm/jam dengan error 1.9% dan nozzle rate 444.4 mm/jam dengan error 4.9%.
Technical and Economic Review of Biogas Utilization from Traditional Market Organic Waste
Authors:   Renewable Energy Engineering Technology, Gorontalo State University, Jl. Jend. Sudirman No.06, Kelurahan Wumialo, Kecamatan Kota Tengah, Kota Gorontalo Provinsi Gorontalo, 96128, Harun Ervan Hasan , Ilham Jumiati ,   Renewable Energy Engineering Technology, Gorontalo State University, Jl. Jend. Sudirman No.06, Kelurahan Wumialo, Kecamatan Kota Tengah, Kota Gorontalo Provinsi Gorontalo, 96128
Published: October 2023

This research is a continuation of previous research, namely the Study of the Potential of Gorontalo City Central Market Organic Waste as Raw Material for Biogas Reactors which was completed in 2023 and has produced characteristics of organic waste generation at the Central Market of Gorontalo City. As a continuation of previous research, this research will try to design a Biogas Reactor by utilizing organic waste at the Central Market of Gorontalo City as a traditional market which produces waste every day and is a problem for the city government. The materials used in writing this article are based on the results of research carried out by the author in 2023 from other selected articles related to the use of organic waste as an energy source through the fermentation process in a biogas reactor (digester). From the technical aspect, the research has succeeded in designing a fixed dome type biogas reactor, reactor volume 15.3 m3 with reinforced concrete construction complete with a cost budget and detailed drawings for its construction. Meanwhile, from an economic aspect, an economic analysis has been carried out and it can be concluded that investment with initial capital of Rp. 78,793,000, economically feasible as indicated by the parameters NPV > 0, IRR (22.22%) > MARR (10.07%), B/C Ratio 2.0 times, and Payment Period 12 years 0 months.
Assessment of National Population and Family Planning Agency Employees as Part of the Implementation of Bureaucratic Reform
Authors:   Student Administrative Masters Program University of Krisnadwipayana, Indonesia, Hartini Hartini , Zainal Veithzal Rivai ,   Professor Master of Administrative Sciences University of Krisnadwipayana, Indonesia, Hakim Azis ,   Lecturer Master of Administrative Sciences University of Krisnadwipayana, Indonesia
Published: October 2023

The formulation of the problem in the research is how to assess the performance of BKKBN employees in implementing bureaucratic reform and the obstacles faced in assessing the performance of BKKBN employees in implementing bureaucratic reform. The aim to be achieved in this research is to determine the employee performance assessment carried out at BKKBN regarding the implementation of bureaucratic reform in achieving the program for structuring the apparatus' HR management system. The research approach used is a qualitative approach with a case study method. In this case, the researcher wants to see employee performance assessments carried out by the BKKBN in the context of implementing bureaucratic reform as outlined in the BKKBN bureaucratic reform roadmap Based on the results of the research that has been carried out, it can be concluded that the results of the discussion and research, namely: 1. In general, the implementation of bureaucratic reform has gone well, starting with the formation of a Bureaucratic Reform Team consisting of 9 Working Groups, a Road Map for Bureaucratic Reform, and an Independent Assessment of the Implementation of Bureaucratic Reform (PMPRB) carried out by the Inspectorate. 2. In general, employee performance assessment has gone well, starting with various employee performance assessment systems, namely the Balance Scorecard method, employee work performance assessment, and employee discipline and work behavior assessment, in which there is the latest performance assessment application with the Multi-Rater Feedback application. 3. Obstacles in assessing employee performance at BKKBN, namely: a. The application of the performance assessment system with the Balance Scorecard and Multi-Rater Feedback system is still not optimal b. There are still leaders who are less objective in providing assessments. c. There are limitations to the performance assessment system used, such as the BSC method which is only synchronous for Echelon IV while it cannot be done at the staff level. d. Appraisers lack the skills needed to carry out Performance Appraisals effectively.
Simposio 1: Nuevos sistemas de aplicación de insulina
Authors: Grosembacher Luis
Published: October 2023

El sistema de insulinoterapia ideal o más apropiado es aquel que logre o se aproxime a mantener la glucemia en los rangos fisiológicos normales. Alcanzar este objetivo es el desafío actual en la biotecnología aplicada a la diabetes mellitus (DM). Los desarrollos de insulinas análogas rápidas, sensores continuos de glucosa (continuous glucose monitoring, CGM) e infusores subcutáneos de insulina (continuous subcutaneous insulin infusion, CSII) fueron y van aportando en forma simultánea y progresiva las herramientas necesarias para aproximarse al tan ansiado propósito. No obstante, el paradigma para hacer esto posible se gestó a partir de los sistemas de administración automatizada de insulina (automated insulin delivery, AID) o páncreas artificial (artificial pancreas, AP), en los que la ingeniería sumó a los avances en CSII y CGM, un tercer integrante llamado “algoritmo de control” que regula la administración de insulina por el infusor según el valor de glucosa intersticial transmitido por el CGM.
Simposio 4: Embarazo en adolescente y diabetes mellitus
Authors: Basualdo Natalia
Published: October 2023

La adolescencia es un período complejo de interacción entre la pubertad, la madurez neurocognitiva y la transición del rol social de una persona. Según la Dirección de Estadísticas e Información en Salud (DEIS), en Argentina durante 2019, 69.803 adolescentes de entre 15 y 19 años y 1.938 niñas menores de 15 años tuvieron un bebé, lo cual representa el 11,5% de los nacimientos anuales en Argentina. Por su parte, el Sistema Informático Perinatal (SIP) indica que el 29% de las adolescentes tuvo un hijo/a por segunda o tercera vez antes de los 20 años. UNICEF revela que el 70% de estos embarazos es no intencional. Si se suma que la diabetes mellitus (DM) es la patología crónica de mayor prevalencia en el embarazo, el aumento del riesgo perinatal es exponencial.

En DM pregestacional es importante destacar que todas las mujeres en edad fértil deben tener un método anticonceptivo de larga duración, a excepción de quienes están con glucemias en objetivo, se les suspendieron las drogas de riesgo y desean embarazarse.
Simposio 5: Manejo de la infección
Authors: Querci Marcia
Published: October 2023

Las infecciones del pie diabético (IPD) se asocian con diferentes morbilidades, requieren visitas médicas frecuentes, cuidado diario de las heridas, terapia antimicrobiana, cirugía u otros procedimientos, con altos costos de atención médica. Los factores predisponentes son: neuropatía, vasculopatía, inmunopatía y biomecánica del pie.

Alrededor del 20% de las IPD leves y hasta el 60% de los casos graves se asocian con compromiso óseo. El International Working Group on the Diabetic Foot (IWGDF) desarrolló un sistema para clasificar las heridas en el pie diabético usando el acrónimo PEDIS: perfusión, extensión, profundidad, infección y sensación (neuropatía) para evaluar la severidad de la infección.
La diabetes: magnitud del problema, fisiopatología, diagnóstico y tratamiento
Authors: Gagliardino Juan José
Published: October 2023

Según la International Diabetes Federation (IDF), la diabetes mellitus (DM) afectó mundialmente a 537 millones de adultos y la prediabetes (riesgo de desarrollar DM2) a otros 541 millones en 2021, causando la muerte de 6,7 millones de personas. En ese lapso consumió alrededor de USD 966 billones de dólares en gastos de control y tratamiento, monto incrementado alrededor del 316% en los últimos 15 años (IDF Diabetes Atlas 2021). Su magnitud da razón a la certera premonición de la Organización Mundial de la Salud (OMS) que la DM2 y su antecesor frecuente, la obesidad, serían la pandemia del siglo XXI.

Su diagnóstico tardío -frecuente en nuestra comunidad- facilita el desarrollo y progresión de sus complicaciones crónicas micro y macroangiopáticas que disminuyen marcadamente la calidad y cantidad de vida de quienes las padecen, y aumentan significativamente su costo de atención. Costo al que contribuye el acúmulo de gastos asociados a la producción/atención de eventos cardiovasculares consecutivos al diagnóstico tardío de la DM, especialmente su tipo 2. Igualmente la baja calidad de atención en la que no es ajena la prescripción tardía e inapropiada de la insulina por acuerdo tácito de la dupla médico-paciente.
Situación de la obesidad y la diabetes mellitus en Paraguay
Authors: Castillo Ruiz Atilio
Published: October 2023

La Encuesta Nacional de Factores de Riesgo de Enfermedades No Trasmisibles de 2011 arrojó los siguientes datos: 9,7% de la población adulta con diabetes mellitus (DM), 22,3% con obesidad y el conjunto obesidad-sobrepeso, 57,6%. En los pueblos originarios fue de 39,9%.

En Paraguay, la Ley Nº 5372/14 de Prevención y atención integral a la diabetes, incluye desde la educación en las escuelas hasta la cobertura del tratamiento integral del paciente con DM, y junto con la Ley Nº 4959/13 de Prevención y tratamiento de trastornos de la alimentación y sus efectos dañinos a la salud son elementos clave para las políticas en DM y obesidad.
¿Tiene mi paciente insuficiencia cardíaca?
Authors: Buso Carlos
Published: October 2023

La insuficiencia cardíaca (IC) es una entidad frecuente en el mundo con una prevalencia global del 1-2% de la población general que aumenta cuanto mayor es la edad cronológica y la presencia de factores de riesgo clásicos (hipertensión arterial, dislipemia, enfermedad cardiovascular, obesidad, arritmias, etc.) y factores de riesgo específicos para las mujeres (eclampsia, ovario poliquístico, patrón de lesión microvascular, etc.). La diabetes mellitus (DM) es una enfermedad en expansión y juega un rol temprano en la patogenia de la aterogénesis y de los cambios estructurales cardíacos que determinan una prevalencia dos veces y media mayor de IC, y una señal aumentada de mortalidad temprana por mecanismos directos asociados al daño estructural cardíaco (miocardiocito-intersticio-soporte colágeno) o bien a las alteraciones vasculares, multivaso, multiestadio y multiórgano.

Con todo ello la definición per se de la IC es difícil porque conlleva criterios clínicos (signos y síntomas), imagenológicos (ecocardiograma compatible) y enzimáticos (péptidos natriuréticos, ProBNP-BNP) no siempre disponibles en todas las latitudes. No obstante, podría tomarse como definición de trabajo el síndrome causado por anormalidades cardíacas estructurales y/o funcionales que generan una reducción/ineficiencia del gasto cardíaco resultando en un inadecuado aporte de oxígeno a los tejidos. En esta definición se pueden englobar las subclasificaciones de origen: izquierda-derecha, diastólica-sistólica o las definiciones actuales de IC con fracción de eyección del ventrículo izquierdo conservada (Fey >50% disminuida, Fey <40% o moderadamente disminuida o recuperada con los valores de corte intermedios de Fey >40<50%).
Microbiota en el paciente con obesidad y riesgo cardiovascular
Authors: Ramos Silvina
Published: October 2023

La obesidad es una enfermedad de etiología compleja y multifactorial con una incidencia en aumento permanente, tanto en niños como en adultos, que se asocia con enfermedades como la diabetes mellitus (DM) tipo 2 y la cardiovascular, entre otras.

La relación causal que representan los microorganismos que integran la microbiota con la obesidad es uno de los hallazgos más asombrosos de las últimas décadas2.
¿Cómo mejorar los resultados?
Authors: Rodríguez María Elena , Basualdo Natalia
Published: October 2023

Existe un gran volumen de evidencia que avala la importancia del tratamiento de la diabetes mellitus gestacional (DMG) para la disminución del riesgo de complicaciones perinatales, como distress respiratorio, hipoglucemia, hiperbilirrubinemia, etc. Si bien se pone el foco en la macrosomía fetal y en el condicionamiento futuro para la aparición de enfermedades crónicas no transmisibles, sabemos que el efecto puede modificarse por hábitos familiares saludables y un control metabólico óptimo.

En las gestantes con DMG es básica la programación del embarazo para evitar los riesgos de malformaciones congénitas e hipoglucemia del primer trimestre, insistiendo en la importancia del control metabólico adecuado previo a la gesta. Con optimización metabólica y uso de fármacos adecuados es posible lograr un crecimiento fetal acorde y minimizar la ocurrencia de eventos adversos.
Antiagregación plaquetaria: ¿qué aprendimos de las evidencias?
Authors: Lavalle Cobo Augusto
Published: October 2023

La hiperglucemia y la insulinorresistencia, características de los pacientes con diabetes mellitus tipo 2 (DM2), producen alteraciones plaquetarias y endoteliales incrementando el riesgo de eventos trombóticos1. En pacientes con enfermedad cardiovascular aterosclerótica, la eficacia y beneficio de la terapia antiagregante está bien establecida. En la etapa aguda de los eventos cardiovasculares, la doble antiagregación con bajas dosis de ácido acetil salicílico (AAS) asociada a un inhibidor del receptor P2Y12 es poco discutida. La evidencia actual busca responder la pregunta de cuánto tiempo debe mantenerse este doble esquema, principalmente en los pacientes con alto riesgo de sangrado. Se propone mantener la doble antiagregación al menos 1 año después de un evento agudo pudiendo acortarse este tiempo en pacientes con alto riesgo de sangrado y extenderse por un período más prolongado en aquellos de alto riesgo trombótico2. En este escenario, la dosis de 2,5 mg c/12 horas de rivaroxabán, un inhibidor del factor Xa, es una alternativa que puede considerarse.
IMPROVING CRITICAL THINKING SKILLS IN A THREE-VARIABLE LINEAR EQUATION SYSTEM THROUGH A PROBLEM BASED LEARNING MODEL IN CLASS X MA NURUL ULUM
Authors: Hamidah Nuria Fitrian , Rizki Pradita Diyah Ayu , Asy’ari Dian Noer
Published: October 2023

The critical thinking ability of students who are classified as low is a trigger for teachers to be required to be smart in choosing the learning model to be used. Problem Based Learning is a learning model that is able to develop students' critical thinking skills using problems as their starting point. The purpose of this study was to determine the effect of using the Problem Based Learning model on increasing students' critical thinking skills in solving SPLTV questions. This research used the Quasi Experimental design experimental research method and was carried out in May 2022, class X MA Nurul Ulum, Mertak Tombok, NTB. Data collection techniques used are observation, documentation, interviews, and tests. Data analysis used the Normality Test, Homogeneity Test and Hypothesis Test which were calculated using SPSS 16 for Windows. The results showed that learning with the Problem Based Learning model experienced an increase in critical thinking skills with an average value of 31,87 to 76,25 with the results of the hypothesis test showing the results of 7,401 > 2,021 or which means that the Problem Based learning model Learning can improve students' critical thinking skills.
Pengaruh Pemberdayaan Usaha Kecil dan Menengah terhadap Pembangunan Ekonomi Masyarakat Kabupaten Karo
Authors: Br. Surbakti Serli Handayani , Perkasa Ripho Delzy
Published: October 2023

As a component of economic growth, small and medium enterprises (SMEs) are in a strategic position to accelerate structural change and improve people's livelihoods, especially in the Kabanjahe region of the Karo region. This study uses descriptive research with a qualitative approach. To accomplish this, the researchers went directly to the scene and interviewed one of his staff members working at his UKM in Kabanjahe district of Karorigency. In its role, SMEs can increase their own employment and become a source of sustainable business development and smooth income growth. This motivated researchers to explore approaches that would lead to success in the Kabanjahe area of ​​the Karo region. The purpose of this study was to investigate the extent to which the strengthening of SMEs affects the economic development of municipalities.
Efficacy of Bio-Agents and Varietal Screening for Resistance to Alternaria Altarnata Inciting Leaf Blight on Chrysanthemum
Authors: Kharbadkar Vaishnavi , Kadam J J , Pawar H D , Rathod R R , Raut R A , Joshi M S
Published: October 2023

In the present investigation, Trichoderma harzianum, T. koningii, T. longibrachiatum, Bacillus subtilis and three strains of Pseudomonas fluorescens were tested in vitro for their efficacy against the chrysanthemum leaf blight causing Alternaria alternata. A screening study was also conducted to identify resistant chrysanthemum sources against the leaf blight disease caused by A. alternata. Amongst the bio-agents investigated, Trichoderma koningii, T. harzianum and T. longibrachiatum completely inhibited the mycelium of A. alternata. P. fluorescens strain- 2 (45.33) and Bacillus subtilis (43.71%) showed the least inhibition. Only one (cv. Red Star) of the ten chrysanthemum varieties tested in vivo for resistance to Alternaria alternata (Red Star) demonstrated a resistant reaction with a disease incidence of 4.90%. Yellow, Multiflora, and Manga red were moderately resistant, with disease incidence ranging from 17.03 to 19.20%. Oliveria white and Charlie were very susceptible to the disease, with disease incidence rates of 55.20 and 76.70 percent, respectively.
Morphological, Physiological and Biohchemical Identification of Nitrogen Fixing Mesorhizobium in Chickpea
Authors: Borkar R D , Gade R M , Choudhari R J , Chinche A V , Gurav N V
Published: October 2023

Chickpea is the world’s second most important legume, and it can be nodulated with a variety of rhizobial species to generate root nodules. The current study investigated the isolation, cultural, and biochemical characterization of several strains of root nodulating bacteria from different locations of Yavatmal districts. The serial dilution approach was used for isolation. Bacterium Mesorhizobium is a gram- negative, aerobic, non-spore producing, motile rods with circular, convex, whitish pink, and glistering colonies with an entire edge. The biochemical characterization of five different strains of bacteria revealed that the catalase, methyl red, urease, and triple sugar iron and citrate utilization test yielded positive results. Based on morphological, biochemical, and physiological characters most of the characteristics were found like the Mesorhizobium spp. The physical and biochemical properties of five different isolates of bacteria were analyzed to determine their taxonomic position, and the authentication test revealed that the strain of rhizobium bacteria is Mesorhizobium spp.
Musical Intimacy
Authors: Stiegler Zack , Campbell Todd
Published: October 2023

Discourse on popular music frequently describes artists’ recordings and performances as “intimate.” Yet that discourse often stops short of elucidating how a mass-produced commodity such as popular music is able to elicit feelings of intimacy with and among its audience. Through detailed analysis of popular music’s composition, performance, production, and promotion, Musical Intimacy examines how intimacy is constructed and perceived in popular music via its affective and technological affordances. From the recording studio to the concert stage, from collective experience to individual listening and perception, this book presents a working understanding of what musical intimacy.
Fixing the Food System
Authors: Clapp Steve
Published: October 2023

America's broken food system has provoked an outcry from consumer advocates seeking to align food policies with public health objectives. This book examines both sides of the conflict for solutions.

Many believe that America's food system is in dire need of reform, with concerns ranging from the obesity epidemic to exploitative labor practices and negative environmental impact. This eye-opening book answers provocative questions about what changes are needed, who is advocating the changes, what parties are opposing these changes (and why), and what a new food system would look like. Organized into three sections, the work identifies the problems with the current system, reviews the changing landscape of food policy, and suggests workable solutions for progress.

Washington insider Steve Clapp takes a comprehensive look at the struggle over the future of food. He examines the vision for a reformed national food policy that includes calculating the true cost of food, providing universal access to healthful food, adopting farm policies supporting public health and environmental objectives, improving food safety, paying fair wages to food employees, treating food animals with compassion, and reducing the food system's carbon footprint. The book explores the ways in which these issues can be resolved, drawing upon lessons learned from the early food advocates of the 1960s and 1970s.
Fiat G.91
Authors: Landewers Arno
Published: October 2023

The Fiat G.91 was an Italian jet fighter aircraft. It was the winner of the NATO competition in 1953 for a light fighter as standard equipment for Allied air forces. It entered in operational service with the Italian Air Force in 1961, with the West German Luftwaffe in 1962, and later with the Portuguese Air Force.

It was in production for nineteen years. 756 aircraft were completed, including the prototypes and pre-production models. The assembly lines were finally closed in 1977. The Fiat G.91 enjoyed a long service life that extended over 35 years. It was widely used by Portugal in the Portuguese Colonial War in Africa.
Cruiser HNLMS Tromp
Authors: Mulder Jantinus
Published: October 2023

Trapped in the Far East by the over-run of the Netherlands and by the occupancy of the Netherlands East Indies, Tromp's destiny lay in the Indian Ocean and Pacific onslaughts. The ship became one of the highest decorated Dutch warships of World War II. Often referred to as 'The Ghost Ship', the crew preferred to call her 'The Lucky Ship', since she was no less than five times claimed to be sunk.
KEANEKARAGAMAN HAYATI ZOOPLANKTON DI PULAU PELAPIS, KABUPATEN KAYONG UTARA
Authors: Sari Dahlia Wulan , Achis Martua Siregar
Published: October 2023

Zooplankton merupakan plankton hewani yang menghubungkan produsen dan konsumen sekunder pada ekosistem perairan. Karena peran penting zooplankton tersebut, maka perlu dilakukan penelitian mengenai struktur komunitas yang mencakup komposisi spesies, kelimpahan, kelimpahan relatif dan indeks komunitas. Data tersebut diperoleh dengan melakukan penelitian pada 10 stasiun pengamatan di perairan Pulau Pelapis. Planktonet digunakan untuk menyaring 100 L air laut dan 60 mL, sampel yang tersaring difiksasi dengan larutan Lugol Iodine. Zooplankton merupakan pakan alami untuk larva ikan, ikan kecil serta bivalvia. Spesies zooplankton yang ditemukan berjumlah 9 spesies, dan 4 spesies diantaranya merupakan sub-filum Crustacea dengan kelimpahan relatif 44,05%. Kelimpahan tertinggi diperoleh di Stasiun 6 yaitu, 122 ind/L. Indeks keanekaragaman, keseragaman dan dominansi zooplankton masing-masing berkisar antara 0,22-1,75, 0,31-1.00 dan 0,19-0,80. Stasiun 8 dan 10 memiliki nilai indeks keanekaragaman dan keseragaman yang rendah serta indeks dominansi yang tinggi. Penentuan lokasi marikultur sebaiknya menghindari area dengan indeks keanekaragaman dan keseragaman yang rendah serta dominasi yang tinggi.
FENOMENA GAME ONLINE DALAM KEHIDUPAN SOSIAL KAUM MUDA DALAM PERSPEKTIF HERBERT BLUMER
Authors: Rengat Irenius Selsus , Paulinus Sarif  , Andi Prayoga
Published: October 2023

Game online merupakan salah satu permainan yang sangat tidak asing lagi bagi kaum muda di zaman sekarang. Ini dibuktikan dari banyaknya kaum muda yang menghabiskan waktunya hanya demi bermain game online, sehingga berpengaruh pada kehidupan sosialnya. Dapat dilihat tingkah laku anak zaman sekarang yang tidak mementingkan lingkungannya, hanya fokus pada media sosial maupun game online. Kajian ini berkenaan dengan pengaruh game online terhadap interaksi sosial di kalangan kaum muda yang ditinjau dari perspektif interaksionisme simbolik menurut Hebert Blumer. Penelitian ini menggunakan metode penelitian kualitatif dengan menggunakan teknik pengumpulan data yaitu, wawancara (interview) terhadap 4 orang subjek dan studi literatur. Penelitian ini menemukan bahwa responden tidak kecanduan bermain game online; mereka hanya bermain online games sebagai pengisi waktu luang. Mereka bermain online games masih dalam batas normal. Oleh karena itu, interaksi sosial mereka dengan sesama masih terjalin dengan baik. Interaksi sosial adalah hal penting bagi setiap manusia,. Ini yang menjadi syarat dalam interkasionime simbolik menurut Hebert Blumer yaitu, ada hubungan antara individu dengan masyarakatnya.
POTENSI PARIWISATA RIAM SEBULUH DI KOTA BENGKAYANG DALAM MENINGKATKAN EKONOMI MASYARAKAT
Authors: Beni Sabinus , Blasius Manggu  , Yeremia Niaga Atlantika  , Usman
Published: October 2023

Tujuan penelitian adalah untuk menginvestigasi kegiatan penataan yang sudah direncanakan dan dilakukan oleh pemerintah setempat maupun pemilik lahan dalam memaksimalkan potensi pariwisata di Pusat Kota Bengkayang, Kabupaten Bengkayang. Penelitian ini dilakukan di Objek Wisata Air Terjun Riam Sebuluh, Kelurahan Sebalo, Kecamatan Bengkayang. Metode yang digunakan adalah kualitatif deskriptif yaitu, dengan melakukan kunjungan langsung ke lapangan, dan wawancara mendalam terhadap narasumber kunci, baik pemilik lahan, masyarakat sekitar, maupun pemerintah daerah. Hasil penelitian menunjukkan bahwa belum ada kegiatan dan rencana penataan lokasi di sekitar Riam Sebuluh sebagai kawasan pengembangan pariwisata baik oleh pemilik lahan maupun pemerintah daerah. Intervensi pemerintah daerah juga belum terlihat sebagai upaya pelestarian lingkungan hidup Riam Sebuluh yang berada di Pusat Kota Bengkayang. Belum adanya kepedulian pemerintah daerah akan pentingnya penataan lingkungan hidup akan berdampak kepada pencemaran Sungai Sebalo di Kelurahan Bumi Emas, Kecamatan Bengkayang. Dahulu air sungai ini jernih dan merupakan kebanggaan masyarakat Bengkayang; namun, sekarang air sungai ini telah berubah menjadi sangat kotor. Kondisi ini perlu mendapat perhatian semua pihak, terutama pemerintah daerah melalui intervensi kebijakan agar masyarakat tetap dan patuh dalam memelihara lingkungan hidup dengan tidak mencemari daerah aliran sungai baik melalui pembuangan limbah maupun penambangan emas tanpa izin.