Elisabeth Ngestirosa Endang Woro Kasih

Diabetis mellitus is still a health problem in the world. It is a condition of hyperglycemia which is at risk of causing macrovascular and microvaskular complications. The prevalence of diabetes mellitus continues to increase throughout the world, including in Indonesia. One of diabetes complications is diabetic ulcer or gangrene. Diabetic ulcer or gangrene is common complication of diabetes mellitus wich can be caused by uncontrolled blood glucose levels. The aim of this study was to find the profile of insulin use in patiens with type 2 diabetes mellitus with ulcer or gangren in RSUD Kabupaten Sidoarjo. It was an observational-descriptive study. Data were collected retrospective using purposive sampling method in the period of January 2017 to December 2017 at RSUD Kabupaten Sidoarjo. The results of observational study on 19 patients showed the insulin therapy used in this study, where 42% of patients used single insulin therapy and 58% of patiens used combination insulin therapy. ...

Chicano literature emerged as a part U.S. literature, an example of a minority literature or an immigration literature. This literature has been a vehicle for Chicanos to express their voices relating to crossing the border and the differences they found on the other side, including their experiences with prejudice from the native-born. This article aims to examine Reyna Grande’s The Distance Between Us with the goal of offering a new perspective on the border in Chicano literature and from this perspective to suggest a remedy for collective justice in the twenty-first century. David José Saldívar (1997) and Ramon Saldívar (1979) discuss the arrival of Chicano literature as a new form within U.S. letters. Grande’s memoir tells the story of an immigrant’s life on the U.S.-Mexico border with the dialectics of difference a fundamental truth in her life. Her experience with the border gives Grande the chance to give voice to life changes for Chicanos living in the U.S. This article proposes that the dialectics of difference generates significant individual change, starting first as dreams and then leading to individual fulfillment and integration into the host country.

Western fiction as one of the popular novels has some common conventions such as the setting of life in frontier filled with natural ferocity and uncivilized people. This type of fiction also has a hero who is usually a ranger or cowboy. This study aims to find a Western fiction formula and look for new things that may appear in the novel Touch of Texas as a Western novel. Taking the original convention of Cooper's Leatherstocking Tales, this study also looks for the invention and convention of Touch of Texas by using Cawelti's formula theory. The study finds that Garrett's Touch of Texas not only features a natural malignancy against civilization, a ranger as a single hero, and a love story, but also shows an element of revenge and the other side of a neglected minority life. A hero or ranger in this story comes from a minority group, a mixture of white blood and Indians. The romance story also shows a different side. The woman in the novel is not the only one to be saved, but a Ranger is too, especially from the wounds and ridicule of the population as a ranger of mixed blood. The story ends with a romantic tale between Jake and Rachel. Further research can be done to find the development of western genre with other genres such as detective and mystery.