bluuebunny/crossref_metadata_2025_split huggingface dataset:
Agie ou latente ? Médiation tierce et production de la confiance en entreprise
Authors: Zimmermann Bénédicte 
Published: September 2021

À partir d’une enquête qualitative sur la capacité d’agir des salarié·es en France et en Allemagne, cet article identifie deux modalités de la confiance en entreprise : une confiance agie qui n’est jamais acquise et doit en permanence être confortée dans l’action, une confiance latente qui est là indépendamment de la situation. Il analyse leur production en mobilisant la notion de médiation tierce à travers laquelle Georg Simmel désigne une condition nécessaire de l’expérience sociale. À travers le cas d’une multinationale de l’aéronautique, il montre que la confiance agie est médiée par des dispositifs organisationnels et se forge dans les interactions en situation, alors que la confiance latente prend appui sur des arrangements institutionnels externes à l’entreprise. Complémentaires, ces deux modalités peuvent coexister dans une même organisation, mais sa version latente s’avère introuvable dans la grande entreprise française où domine la confiance agie. C’est l’énigme de cette improbabilité, dont la comparaison franco-allemande se fait le révélateur, que l’article se donne pour objet d’instruire.
Prognostic role of N-terminal prohormone of brain natriuretic peptide for patients in the medical intensive care unit with severe sepsis
Authors: Reshmi KS , Oommen Manju Sara , Belgundi Preeti , Paul Tisa , Mehta Asmita Anilkumar 
Published: September 2021

Background:
Sepsis is an important cause of mortality in intensive care units worldwide. The increased levels of N-terminal prohormone of brain natriuretic peptide (NT-pro BNP) are related with dysfunction of the cardiovascular system and systemic inflammation. It is uncertain whether this increase reflects sepsis-related cardiac dysfunction that translates to poorer outcomes.

Aims and Objectives:
The primary aim of this study was to evaluate the prognostic role of NT-pro BNP on the outcome and duration of hospital stay of patients admitted with sepsis. The secondary objective was to identify other associated risk factors for mortality in sepsis.

Patients and Methods:
The patients who presented to emergency room with diagnosis of suspected sepsis were studied. Risk factors associated with outcome were studied by univariate analysis. The variables having statistical significance were further included in multivariate analysis to identify the independent predictors of mortality.

Results:
A total of 215 patients with sepsis were included in this study. In univariate analyses, NT-pro BNP, procalcitonin, need of mechanical ventilation (MV), blood culture positivity, chronic kidney disease-chronic liver disease CKD-CLD, and diabetes mellitus were predictors of prolonged hospital stay, and it was same for multivariate analysis excluding procalcitonin. In univariate analysis, NT-pro BNP, MV, and DM were risk factors associated with mortality but in multivariate analysis showed significance only with MV and DM.

Conclusion:
There was a statistically significant correlation between NT-pro BNP levels and mortality. The other factors associated with increased mortality were diabetes mellitus and need of MV. In addition to the above factors, the presence of CKD and CLD was associated with increased duration of hospital stay. There was concordance between increased NT-pro BNP and elevated trop I, s creatinine, need of MV, and CKD.
Comparison of endobronchial ultrasound-guided transbronchial needle aspiration cytology versus cell blocks in adults with undiagnosed mediastinal lymphadenopathy
Authors: Rahman K K Mujeeb , Mohapatra Prasanta Raghab , Panigrahi Manoj Kumar , Purkait Suvendu , Bhuniya Sourin 
Published: September 2021

Introduction:
Retrospective studies have shown improved diagnostic yield of combined cytology and cell blocks specimens from endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) with variable additional yields in cell blocks. In this prospective study, we assessed the diagnostic performance of cytology and cell blocks in patients undergoing EBUS-TBNA.

Methods:
This was a single-center, cross-sectional study conducted between December 2017 and November 2019 including patients aged ≥18 years with mediastinal lymphadenopathy. EBUS-TBNA was performed under conscious sedation using 22G needles. Both cytology smears and cell blocks by the tissue coagulum clot technique were prepared for each patient without rapid on-site evaluation.

Results:
Data were analyzed for 93 patients (mean age 54.25 ± 13.7 years, 73 males) where both cytology and cell blocks were available. Sample adequacy was 100%. Overall diagnostic yield either by cytology or cell block was 83%. Cytology yield was 79.6%, whereas cell block was diagnostic in 73% of patients (P < 0.001). The overall additional yield of cell blocks was 3.2%. Cell blocks had additional yields of 1.8%, 0%, and 14.3% in malignancy, tuberculosis, and sarcoidosis, respectively. Tumor histology was better identified in 76% of positive cell blocks, and accurate histological subtyping was possible in 32.6% cases. Immunohistochemistry was feasible in 82.5% of all positive cell blocks, and these were judged to be adequate for the mutational analysis.

Conclusions:
Compared to cytology, EBUS-TBNA cell blocks did not significantly increase the overall diagnostic yield in unselected patients. However, cell blocks are beneficial in the characterization of tumor morphology and histological subtyping of lung cancer.
Psychometric and accuracy comparison of three commonly used questionnaires for the diagnosis of neuropathic pain
Authors: Abolkhair Abdullah Bakr , El-Kabbani Ahmed O. , Al-Mulhem Abdulaziz , AlFattani Areej A. , Al-Hammadi Ayman , Alghamdi Hani , Haddarra Mamdouh , Alraffa Abdullah , Kamal Adil S. , Alsaigh Reema N. , Mubarak Mayyan M. , Terkawi Abdullah Sulieman 
Published: September 2021

Objectives:
Diagnosis of neuropathic pain is challenging. Recently, scientists developed multiple questionnaires to expedite this diagnosis including the Self-completed Leeds Assessment of Neuropathic Symptoms and Signs (S-LANSS), Douleur Neuropathique 4 questionnaire (DN4), and Neuropathic Pain Questionnaire–Short Form (NPQ-SF).

Materials and Methods:
We conducted a prospective cohort study to compare the psychometric characteristics and accuracy of the three questionnaires. We assessed reliability with the Cronbach's α reliability coefficient and inter-item correlations, and validity with receiver operating characteristic (ROC) and correlation analyses. We assessed agreement between the diagnosis of the questionnaires and the reference clinical diagnosis using Cohen's kappa coefficient.

Results:
188 patients were analyzed: 141 (75%) had “definite neuropathic” and 47 (25%) had “nonneuropathic” pain. The NPQ-SF and S-LANSS questionnaires demonstrated acceptable reliability with Cronbach's α coefficient values of 0.54 (95% CI: 0.41–0.64) and 0.65, (95%CI: 0.57–0.72), respectively. The DN4 questionnaire demonstrated high reliability with Cronbach's α coefficient of 0.74 (95%CI: 0.68–0.79). The NPQ-SF, DN4, and S-LANSS questionnaires demonstrated “excellent” diagnostic ability with an area under the ROC curve of 0.82 (95% CI: 0.75–0.89), 0.89 (95% CI: 0.83–0.95), and 0.83 (95% CI: 0.75–0.90), respectively. Based on their optimal cutoff values, the DN4 had the highest sensitivity and lowest specificity in discriminating between neuropathic and nonneuropathic patients, while the S-LANSS had the lowest sensitivity and highest specificity.

Conclusion:
Both NPQ-SF and S-LANSS demonstrated acceptable reliability, while DN4 demonstrated high reliability. All three demonstrated excellent diagnostic validities; however, it is important to consider the sensitivity and specificity of each.
The trends of obstetric anesthesia practice
Authors: Alshabibi Mohammed , Madkhali Azza M. , Alkinani Amer A. , Alyami Ali A. , Alatassi Abdulaleem 
Published: September 2021

Introduction:
Obstetric anesthesia provides several methods for the analgesia of labor pain. The neuraxial technique is considered the standard of care for parturient women. The epidural block is widely used in vaginal delivery while the spinal block is the preferred method for cesarean section (C-section). We aim to know the practice of obstetric anesthesia in our center.

Methods:
A retrospective cross-sectional study was conducted at a tertiary center in Riyadh, Saudi Arabia. The data of all delivery cases from 1/7/2019 to 30/9/2019 were reviewed.

Results:
We identified a total of 2,140 cases during the 3 months, vaginal delivery was the most common with 72.4% (1550) while the C-section cases were 27.6% (590). Regarding the type of analgesia/anesthesia for vaginal deliveries, intramuscular analgesia was the commonest group with 34.8% (540), followed by the group of ladies who did not receive any analgesia/anesthesia with 31.9% (495), thirdly was epidural cases with 31.8% (493), and the fourth type was spinal 0.6% (10). Regarding C-section, the emergency cases were 65.4% (386). The types of anesthesia for all C-sections were as follows spinal 63.5% (375), GA 23.8% (141), and epidural 12% (74). Regarding anesthesia for elective cases, spinal was 85% (174), GA 14% (28), and epidural 1% (2). Regarding anesthesia for emergency cases, spinal was 52% (201), GA 29% (113), and epidural 19% (72).

Conclusions:
The use of epidural was low, and the spinal use was relatively on par if we compare with leading western countries. More focused studies and multicenter studies are needed in the country.
Impacto del covid-19 en las exportaciones de banano, camarón y flores durante el 2020
Authors: Veintimilla Pauleth Estefanny Peñaloza , Granda Andrea del Cisne Vega , Montealegre Víctor Javier Garzón , Prado-Carpio Eveligh , Campoverde Jessica Maribel Quezada 
Published: September 2021

Debido a la aparición del nuevo virus llamado covid-19 que se originó en Wuhan-China y que rápidamente se propagó alrededor del mundo, el mismo ocasionó graves problemas en todos los sectores, por lo que los gobiernos decidieron realizar un confinamiento en los primeros meses del 2020, con ello el cierre de los puertos, aeropuertos y fronteras, así como también, la reducción de horas de trabajo, paralización del transporte, entre otros. Las regiones más afectadas por la pandemia fueron América Latina y El Caribe. Los sectores más dinámicos en la economía en Ecuador son: el bananero, camaronero y de las flores, los mismos que en los últimos años han aumentado su contribución al Producto Interno Bruto (PIB). El objetivo del presente artículo es analizar el impacto del covid-19 en las exportaciones de banano, camarón y flores tomando en cuenta los factores preponderantes que han hecho que estos sectores se vean afectados durante el periodo 2020. Se realizó mediante un diseño no experimental, descriptivo, para la sección de resultados se tomó la información de páginas oficiales y seguidamente su análisis de los tres sectores. Se concluye que para el 2020, las exportaciones ecuatorianas fueron positivas, debido a que tuvieron un crecimiento en los productos de banano y camarón; mientras que, las flores fue el sector más perjudicado. Los mercados más importantes para las exportaciones del país son EEUU, la Unión Europea y China.

Due to the appearance of the new virus called covid-19 that originated in Wuhan-China and that quickly spread around the world, it caused serious problems in all sectors, so the governments decided to carry out a lockdown in the first months of 2020, with this the closure of ports, airports and borders, as well as the reduction of working hours, paralysis of transport, among others. The regions most affected by the pandemic were Latin America and the Caribbean. The most dynamic sectors in the economy in Ecuador are: the banana, shrimp and flower sectors, the same ones that in recent years have increased their contribution to the Gross Domestic Product (GDP). The objective of this article is to analyze the impact of covid-19 on banana, shrimp and flower exports, taking into account the preponderant factors that have caused these sectors to be affected during the 2020 period. It was carried out using a non-experimental design, descriptive, for the results section the information from official pages was taken and then its analysis of the three sectors. It is concluded that for 2020, Ecuadorian exports were positive, due to the growth in banana and shrimp products; while flowers were the most affected sector. The most important markets for the country's exports are the US, the European Union and China.
ANÁLISIS DE LAS NUEVAS TECNOLOGÍAS EN EL ÁMBITO EDUCATIVO DE JIPIJAPA
Authors: Castro Castro Robert Javier , Merino Marcillo Ing. Mario Javier , Gorozabel Cantos Layla , Ponce Robles Gabriela Nicole 
Published: September 2021

RESUMEN
El siguiente trabajo presenta una perspectiva de Análisis de las nuevas tecnologías en el ámbito educativo en Jipijapa. La nueva tecnología de la información y comunicación se están convirtiendo en un elemento clave en los sistemas educativos actuales, como consecuencia, las instituciones educativas sienten la presión de invertir en tecnología para unir teoría y práctica en el uso de la misma. Desde la aparición de internet y las nuevas tecnologías se ha dado una verdadera revolución tecnológica en las aulas. Las nuevas tecnologías, entendidas como los dispositivos digitales que se pueden conectar con un ordenador o internet. Aunque la tecnología puede tener un impacto muy positivo si se usa de manera correcta en los centros escolares, la implementación de su uso trae consigo algunos retos a los que tienen que hacer frente. Sin embargo, el campo de la educación ha sido pionero en explotar el potencial de estas herramientas en su actividad docente. El desarrollo tecnológico en el método inductivo es un aspecto evidente en el día a día de cualquier persona es difícil encontrar una profesión o un momento en nuestra vida social donde no exista la tecnología. Dichos indicadores a medir que las nuevas tecnologías han mejorado como la pizarra digital, Ordenador, Libros Online, tecnología móvil, Aprendizaje Digital, Big Data, Servicios Tecnológicos, han hecho que nuestro ambiente educativo mejor en jipijapa y así poder que los estudiantes tengan una mejor enseñanza. Las nuevas tecnologías están produciendo cambios importantes en el mundo social. Y permiten que la educación pueda ajustarse a las necesidades de las tecnologías y nos ayuda a alimentar nuestros conocimientos en el ámbito del aprendizaje de Jipijapa.
SISTEMA DE PLANIFICACIÓN DE RECURSOS EMPRESARIALES UNA ESTRATEGIA QUE OPTIMIZA LOS PROCESOS DE LAS MIPYMES ECUATORIANAS
Authors: Holguín Reyna Jean Pierre , López Cruz Didia Lirolaisa , Muñiz Jaime Laura Patricia 
Published: September 2021

Este estudio expone la problemática que presentan las Mipymes ecuatorianas en relación a los sistemas de planificación de recursos empresariales en la deficiencia e inexistencia de manuales de procesos, carencia de manual de funciones, optimización de recursos. Esta investigación tiene como objetivo determinar los sistemas de planificación de recursos empresariales utilizados por las Mipymes ecuatorianas que optimizan sus procesos de unidades estratégicas corporativas y de negocios. El tipo de Metodología empleada es: investigación descriptiva-documental permitieron comprender la información recopilada por autores. Se sintetiza en el desarrollo y el uso del Sistema de planificación, aplicación y productos en procesamiento de datos en la revisión literaria se demostró que este software de planificación lo utilizan grandes multinacionales del sector industrial. La implantación de este sistema permite la estandarización de procesos, utilización de tecnológica, satisfacción del cliente, incremento de utilidades demostrando una buena oportunidad ante la gran demanda de manejo de información.
MODELO DE INTERVENCIÓN PSICOPEDAGÓGICAPARA El DESARROLLO LOCAL ARTEMISEÑO
Authors: Aguiar Márquez Inés Bárbara , Rodríguez Cabrera Yanay , Vázquez Abella Deila 
Published: September 2021

La Revolución Cubana desde sus inicios ha situado a la educación como tarea primordial, por ello se hace necesario trabajar eficazmente en la integralidad del futuro profesional; desarrollarlo en todas sus capacidades intelectuales, físicas y espirituales. Nuestra sociedad aspira a formar individuos capaces de enfrentar las exigencias del nuevo milenio. Por tales razones el Departamento de Formación Pedagógica General posee el proyecto "Modelo de intervención psicopedagógica para el desarrollo local artemiseño", donde se manifiesta lo expresado, desde la formación del psicopedagogo en la Universidad de Artemisa; se combina la educación con la economía. Los implicados en este proyecto contribuyen a la ejecución de acciones necesarias para un mejor aprendizaje, ya que el psicopedagogo a diferencia del resto de los estudiantes de otras Facultades, tiene otras misiones; por esta causa, deben formarse integralmente con los conocimientos de asesoría, cosultoría y tutoría como categorías básicasde gran utilidad diaria, en la orientación a las escuelas, otras instituciones y empresas de producción y servicios. Debido a ello, en este trabajo se distingue la asesoría como un servicio de ayuda con caràcter diferenciado que puede contribuir a mejorar el rendimiento laboral y orientación profesional, por lo que facilita la preparación cultural de todos los implicados. Ademàs se logra con cada una de las acciones de este proyecto, que el psicopedagogo sea capaz de intervenir en los contextos educativos(familia, escuela, comunidad y empresas) destacándose por su sentido de pertenencia, por su formación ideo_ política y de valores.
Penggunaan Laboratorium untuk Meningkatkan Keterampilan Proses Siswa di MIN Yogyakarta 2
Authors: Shulkhah Shulkhah 
Published: September 2021

This study aims to see the improvement of students' process skills in MIN Yogyakarta 2 using laboratories. This research is a classroom action research (CAR) consisting of three cycles. The subjects of this study were 39 students in class IV. The data collection technique used was observation while the instrument used was a process skills observation sheet, a student's scientific attitude observation sheet, and a student's performance observation sheet. The collected data were analyzed with qualitative and quantitative techniques. The results showed that the use of laboratories can improve: (1) students' scientific process skills, (2) student performance, (3) scientific attitude. Improved process skills can be seen in the average score of science process skills in students in the first cycle is 13.96 in the low category. In the second cycle increased to 21.84 in the high category. In the third cycle it increased to 26.35 in the very high category. The average performance score of students in the first cycle was 5.167 (very low), the second cycle was 6.872 (moderate) and the third cycle was 9.336 (high). The average scientific attitude of students in the first cycle was 10.256 (low), the second cycle was 14.923 (high) and in the third cycle it increased to 18.128 (very high). Thus it can be concluded that there is an increase in students' process skills through the use of laboratories.
Keywords: laboratory; improvement; process skills.
Abstrak
Penelitian ini bertujuan untuk melihat peningkatan keterampilan proses siswa di MIN Yogyakarta 2 menggunakan laboratorium. Penelitian ini merupakan penelitian tindakan kelas ( PTK) yang terdiri dari tiga siklus. Subyek penelitian ini adalah sejumlah 39 siswa kelas IV. Teknik pengumpulan data yang digunakan adalah observasi sedangkan instrument yang digunakan adalah lembar observasi keterampilan proses, lembar observasi sikap ilmiah siswa, dan lembar observasi unjuk kerja siswa. Data yang terkumpul dianalisis dengan teknik kualitatif dan kuantitatif. Hasil penelitian menunjukkan bahwa penggunakan laboratorium dapat meningkatkan: (1) Keterampilan proses sains siswa, (2) Unjuk kerja siswa, (3) Sikap Ilmiah. Peningkatan keterampilan proses dapat dilihat pada rata-rata skor keterampilan proses sains pada siswa pada siklus pertama adalah 13,96 dalam kategori rendah. Pada siklus kedua meningkat menjadi 21,84 dalam kategori tinggi. Pada siklus ketiga meningkat menjadi 26,35 dalam kategori sangat tinggi. Rata-rata skor unjuk kerja siswa pada siklus pertama 5,167 (sangat rendah), siklus kedua 6,872 (sedang) dan siklus ketiga 9,367 ( tinggi). Rata-rata sikap ilmiah siswa pada siklus pertama adalah 10,256 ( rendah), siklus kedua 14,923 (tinggi) dan pada siklus ketiga meningkat menjadi 18,128 (sangat tinggi). Dengan demikian dapat disimpulkan bahwa ada peningkatan keterampilan proses siswa melalui penggunaan laboratorium.
Kata Kunci: laboratorium; peningkata; keterampilan proses.
Efektifitas Pembelajaran Contextual Teaching And Learning dalam Meningkatkan Hasil Belajar Siswa Pada Mata Pelajaran Matematika Kelas III di SD Islam Ar-Rahmat Weragati Majalengka
Authors: Ihsani Iis , Prayitno Agus 
Published: September 2021

The rapid progress of the school in this modern era, so every school always innovates learning so that students do not feel bored and fed up in class, so that student learning outcomes are low. This study aims to find out how much the difference in student learning outcomes by using CTL Learning and those who do not use Contextual Teaching and Learning (CTL) learning in mathematics class III at SD Islam Ar-Rahmat Weragati. This research is a type of quantitative research using experimental methods. Data collection techniques using observation and tests to get the difference between those using and not learning CTL. This study is a population research study, because it took all students in class III at SDI Ar-Rahmat as a sample with 33 subjects. The research data collected were analyzed using the normality test, homogeneity test and t-test. The application of Contextual Teaching and Learning (CTL) learning is expected to provide added value for students in school. The results of this study indicate that there are significant differences between student learning outcomes by using Contextual Teaching and Learning (CTL) learning compared to student learning outcomes using the Group Investigation learning model in grade III Islamic Ar-Rahmat Majalengka Elementary School.
Keywords: Effectiveness; Contextual Teaching and Learning (CTL); Learning Outcomes.
Abstrak
Pesatnya kemajuan sekolah di era modern ini, maka setiap sekolah selalu melakukan inovasi pembelajaran sehingga siswa tidak merasa bosan dan jenuh dalam kelas, sehingga hasil belajar siswa rendah. Penelitian ini bertujuan untuk mengetahui mengetahui seberapa besar perbedaan hasil belajar siswa dengan mengunakan Pembelajaran CTL dan yang tidak mengunakan Pembelajaran Contextual Teaching and Learning (CTL) dalam mata pelajaran matematika kelas III di SD Islam Ar-Rahmat Weragati. Penelitian ini merupakan jenis penelitian kuantitatif dengan menggunakan metode eksperimen. Teknik pengumpulan data dengan menggunakan observasi dan tes untuk mendapatkan perbedaan antara yang menggunakan dengan yang tidak pembelajaran CTL. Penelitian ini merupakan penelitian penelitian populasi, karena mengambil seluruh siswa kelas III di SDI Ar-Rahmat sebagai sampel dengan jumlah subyek 33 orang. Data penelitian yang terkumpul dianalisis dengan menggunakan uji normalitas, uji homogenitas dan uji t-test. Penerapan pembelajaran Contextual Teaching and Learning (CTL) diharapkan dapat memberikan nilai tambah bagi siswa di sekolah. Hasil penelitian ini menunjukan bahwa terdapat perbedaan yang signifikan antara hasil belajar siswa dengan menggunakan pembelajaran Contextual Teaching and Learning (CTL) dibandingkan dengan hasil belajar siswa yang menggunakan model pembelajaran Group Investigation di kelas III SD Islam Ar-Rahmat Majalengka.
Kata Kunci: Efektivitas; Contextual Teaching and Learning (CTL); Hasil Belajar.