bluuebunny/crossref_metadata_2025_split huggingface dataset:
Teacher Preparedness and Implementation of the Competency Based Curriculum in Public Pre-Primary Schools in Nairobi City County, Kenya
Authors: Isaboke Harriet , Mweru Maureen , Wambiri Gladwell 
Published: September 2021

Globalization and demand for twenty first century skills has led countries to adapt Competency Based Curriculum (CBC). Kenya embarked on curriculum reforms from content based to CBC in 2018. Studies have reported minimal use of CBC teaching-learning approaches in pre-primary schools in Nairobi City County. Teachers are the key implementers of the Curriculum, yet their preparedness to implement the Curriculum in public pre-primary schools remains unknown. Therefore, this study purposed to establish the preparedness of pre-primary school teachers in implementing the CBC in public pre-primary schools in the County. The Concern-Based Adoption Model by Hall, Hord and Rutherford (2006) was used in this study. The study targeted a population of 900 comprising of 450 pre-primary school teachers, 225 ECD Center Managers and 225 head teachers in all the 225 public pre-primary schools in Nairobi City County. Twenty percent of the target population was sampled to participate in the study; therefore the study had a sample size of 180, which comprised of 45 head teachers, 45 center managers and 90 pre-primary school teachers. A Questionnaire, interview schedules, observation checklist and a document analysis guide were used to collect data. Pilot study was conducted in two public pre-primary schools in the County, validity of the research instruments was determined through expert judgment whereas reliability of the questionnaires was determined through split-half method and a Cronbach’s alpha coefficient of 0.799 was obtained. Qualitative data was analyzed thematically whereas quantitative data was summarized using percentages and frequencies and Chi-square test was used to test the hypotheses. This was facilitated by the Statistical Package for Social Sciences Version 21. Findings showed that majority (65.9%) of the teachers had not received any training on CBC, whereas 34.1% of the teachers were trained. The study established a significant relationship between the teachers’ extent of training in CBC and their ability to implement the curriculum with a significance value of p=0.000<0.05. The study concluded that the teachers were not adequately prepared to implement the Curriculum. Thus, recommended that the Ministry of Education in collaboration with the Nairobi City County Government should adequately create a regular in-service training program to equip teachers with necessary knowledge and skills that will help them implement the curriculum effectively.
El mobbing en el sector turístico: ¿realidad o ficción?
Authors: Suárez García Saúl 
Published: September 2021

El objetivo de este trabajo es analizar si en las empresas del sector turístico está presente el mobbing. La revisión de la literatura pone de manifiesto que realmente esta forma de acoso tiene lugar en las compañías de este sector, produciendo daños graves a empleados y a empresas. Por tanto, los directivos tienen una importante tarea por delante para eliminar o al menos minimizar la presencia del acoso psicológico en el lugar de trabajo.
TAREFAS DE VISUALIZAÇÃO EM EXERCÍCIOS DE GEOMETRIA ESPACIAL
Authors: VIEIRA MATHIAS CARMEN , Borges Simas Fabio Luiz 
Published: September 2021

Apresenta-se, neste artigo, uma pesquisa de cunho qualitativo, cujo objetivo é analisar exercícios de livros didáticos de matemática que demandam habilidade de visualização espacial para sua resolução. Para tanto, foram investigadas várias ações (tarefas de visualização) apresentadas em artigos científicos nas áreas de Ensino e de Educação Matemática. Na pesquisa, foi proposta uma classificação das ações e utilizou-se dessa categorização como critérios de análise. Os exercícios de Geometria Espacial analisados são provenientes dos quatro livros didáticos de matemática para o Ensino Médio mais adquiridos pelas escolas públicas no ano de 2018. Os resultados sugerem que os exercícios propostos pelos autores desses livros didáticos não têm como objetivo de aprendizado o desenvolvimento desse tipo de habilidade.
TEORIA QUEER, NÚMEROS BINÁRIOS E EDUCAÇÃO MATEMÁTICA: ESTRANHANDO A MATEMÁTICA EM PROL DE UMA HÉXIS POLÍTICA
Authors: Rosa Maurício 
Published: September 2021

Este artigo objetiva debater como a educação matemática pode ajudar a sustentar a luta da população LGBTQIA+[1] em termos de resistência e sobrevivência enquanto forma de se educar pela matemática para a compreensão/constituição da héxis política, frente ao respeito, à manifestação e à emersão das subjetividades de gênero. Assim, neste artigo teórico, explanamos o conceito de héxis política em conexão com a Teoria Queer, discutimos o sistema sexo-gênero sob um viés crítico e propomos uma reflexão didático-pedagógica sobre números binários (possível de ser efetivada em uma aula de matemática), a fim de suscitar a compreensão da ampliação das tipologias de gênero no mundo, em consonância com o respeito às diferenças. Concluímos que se propusermos, cada vez mais, atividades-matemáticas que sejam libertadoras e que considerem a própria matemática como campo de estudo que se dedica a educar para a cidadania e democracia, provavelmente teremos uma sociedade mais humanitária.

[1] [...] L = Lésbicas - São mulheres que sentem atração afetiva/sexual pelo mesmo gênero, ou seja, outras mulheres. G = Gays - São homens que sentem atração afetiva/sexual pelo mesmo gênero, ou seja, outros homens. B = Bissexuais - Diz respeito aos homens e mulheres que sentem atração afetivo/sexual pelos gêneros masculino e feminino. T = Transexuais - A transexualidade não se relaciona com a orientação sexual, mas se refere à identidade de gênero. Dessa forma, corresponde às pessoas que não se identificam com o gênero atribuído em seu nascimento. As travestis também são incluídas neste grupo. Porém, apesar de se identificarem com a identidade feminina constituem um terceiro gênero. Q = Queer -Pessoas com o gênero 'Queer' são aquelas que transitam entre as noções de gênero, como é o caso das drag queens. A teoria queer defende que a orientação sexual e identidade de gênero não são resultado da funcionalidade biológica, mas de uma construção social. I = Intersexo - A pessoa intersexo está entre o feminino e o masculino. As suas combinações biológicas e desenvolvimento corporal - cromossomos, genitais, hormônios etc. - não se enquadram na norma binária (masculino ou feminino). Assexual- Assexuais não sentem atração sexual por outras pessoas, independente do gênero. Existem diferentes níveis de assexualidade e é comum que estas pessoas não veem as relações sexuais humanas como prioridade. +, O + é utilizado para incluir outros grupos e variações de sexualidade e gênero. Aqui são incluídos os pansexuais, por exemplo, que sentem atração por outras pessoas, independente do gênero. (SILVA, 2020).
Antoni iussu colonia Victrix Philippensium : réflexions sur la première fondation coloniale de Philippes (Macédoine orientale, Grèce)
Authors: Tirologos Georges 
Published: September 2021

Il y a environ un siècle, dans sa considérable monographie consacrée à Philippes, Paul Collart concluait son chapitre sur la fameuse bataille de 42/41 avant notre ère qui s’est déroulée aux pieds des remparts de la cité, en écrivant : « une petite partie des soldats qui furent licenciés en grand nombre aussitôt après la bataille furent installés, sur l’ordre d’Antoine, à Philippes même ; ils y formèrent le premier noyau de la colonie […] ». Cette affirmation de l’archéologue suisse, séduisante puisqu’elle permet d’associer le processus de la colonisation romaine de Philippes à un événement militaire déterminant pour l’évolution historique non seulement de cette cité mais du monde romain dans son ensemble, a toujours été considérée comme un acquis irréfutable de l’historiographie philipienne. Toutefois la formule « immédiatement après la bataille », souvent employée par les historiens pour dater la fondation de la colonie antonienne de Philippes, est particulièrement vague pour pouvoir associer cet événement à un contexte politique précis. En tenant compte de la situation politique et sociale à Rome et en Italie au cours des mois qui ont suivi la bataille et en reconsidérant les données relatives à cette période de la cité, le but de notre étude est d’inscrire l’entreprise coloniale engagée par Antoine à Philippes dans un cadre historique plus large que celui du seul contexte local afin de mettre l’accent sur les difficultés qui demeurent pour concilier une telle opération avec les conditions politiques et institutionnelles de cette époque.
Les salariés « âgés » d’EDF-GDF : histoire d’une génération en fin de carrière
Authors: Nowik Laurent 
Published: September 2021

Dans les prochaines années, le poids des salariés de plus de 45 ans dans les entreprises va augmenter. Inévitablement, les responsables des entreprises devront compter sur une main-d’œuvre relativement plus âgée. À ce jour, peu d’expériences témoignent d’une prise en compte de cet aspect dans les organisations. Cet article montre, à partir d’une étude de cas réalisée à EDF-GDF, que l’évolution du rapport au travail durant le parcours professionnel n’est pas seulement déterminée par l’âge ou le cycle de vie, mais aussi par l’appartenance à une génération. Ce constat permet d’envisager le futur de façon différente : le rapport au travail en fin de carrière tel qu’il a été observé au début des années quatre-vingt-dix à EDF-GDF a de forte chance de se concevoir autrement à l’avenir. Cette approche enrichit la réflexion prospective sur l’augmentation prévue du nombre des salariés les plus âgés dans une entreprise qui assure la garantie de l’emploi. Par extension, la réflexion est intéressante pour les sociétés qui déclarent vouloir rompre avec les politiques d’exclusion de l’activité des salariés les plus âgés en arrêtant les préretraites.
La morale militaire : une question de regards ?
Authors: Fœssel Michaël 
Published: September 2021

Pourquoi l’action morale est-elle si souvent représentée comme un combat intérieur ? Il existe entre la guerre et la vertu un lien : se conduire moralement, c’est mener une lutte contre ses pulsions qui réclame du courage. Plus qu’un autre, le soldat n’agit pourtant pas sous son seul regard. Celui de ses frères d’armes, et parfois même celui de ses ennemis, lui rappelle que la guerre n’est pas seulement un combat à mort, mais aussi un partage d’humanité.
Les français, les valeurs et les vertus militaires : le grand malentendu
Authors: Chéron Bénédicte 
Published: September 2021

Depuis une vingtaine d’années, le mot et la notion de « valeurs » ont acquis en France une place remarquable tant dans les discours publics que dans les conversations privées. Cet enthousiasme pour le mot n’épargne pas les armées. Au fil des décennies, les fameuses « valeurs militaires » ont remporté un succès croissant au point d’envahir le débat public. Brandie comme un étendard ou comme une solution à tous les dysfonctionnements de la société, l’expression appelle pourtant un examen critique : alors que la société française se perçoit comme une société en crise aiguë de cohésion et que les armées occupent une place renouvelée en son sein, il semble bien que ce succès repose sur un malentendu tenace dont le corollaire est l’absence dans ces mêmes débats du mot de vertu.
Opération Serval
Authors: Gout Frédéric 
Published: September 2021

En janvier 2013, le président malien demande à la France d’intervenir pour protéger son pays d’une attaque djihadiste qui menace Bamako. Les forces spéciales puis une brigade sont engagées. Le 5 e rhc en sera la composante aérocombat. Mais qui sont ces ennemis ? Au nom de quelles valeurs combattent-ils ? Avec quelles vertus ? En quoi sont-elles différentes de celles qui animent et sont mises en œuvre par les soldats français ? Témoignage.
L’univers sonore des combattants de la grande guerre
Authors: Tahon Benoit 
Published: September 2021

Placer l’ouïe au centre des sens mobilisés dans le combat moderne, c’est affirmer que le champ de bataille est d’abord un champ sonore qui influe sur le corps des combattants et engage, avant toute autre mobilisation sensorielle, la sensibilité auditive. Il convient alors de s’interroger sur l’importance des perceptions sonores dans la « physicalité » du fait guerrier.
Éthique et soin
Authors: Philippe Aloïse 
Published: September 2021

Dire « c’est inhumain » ferait appel à la notion de rassemblement autour d’une commune condition humaine et le rejet de ce qui s’en éloigne. Dire « c’est inhumain » animerait aussi la perception de ce qui divise au sein même de l’expérience humaine. Autrement dit, il est humain d’aborder l’inhumain avec un mouvement de rejet. Or, ce que désigne l’inhumain reste opaque.
An economic model to assess the value of triclosan-coated sutures in reducing the risk of surgical site infection in a mastectomy in India
Authors: Mahajan Nilesh S , Pillai Reshmi , Chopra Hitesh , Grover Ajay , Kohli Ashish 
Published: September 2021

Background:
The comparison of triclosan-coated sutures (TCS) was made with conventional nonantimicrobial-coated sutures (NCS) to reduce surgical site infection (SSI). This study demonstrates the efficacy and economic outcome of TCS versus NCS for SSIs in mastectomy in India.

Methods:
In this retrospective analysis, 100 patients were included for both conditions—TCS and NCS—from a private and public hospital in India. A systematic literature search of available evidence for both SSI incidences and TCS efficacy data in India were gathered. We collected cost data from a private and public hospital, respectively, for mastectomy in India. The cost-effectiveness of TCS in comparison with the conventional NCS was calculated using a decision-tree deterministic model. We performed a one-way sensitivity analysis to compare TCS with NCS.

Results:
Cost savings with the use of TCS increased with an increase in SSI incidence and an increase in efficacy for mastectomies in both public and private hospitals. We found a base cost saving of Indian rupees (INR) 27,299 at a private hospital and INR 2,958 at a public hospital for mastectomies. The incremental cost of TCS suture was 0.01% in a private hospital whereas 0.17% in a public hospital.

Conclusion:
The use of TCS resulted in reduced SSI incidence and cost savings for mastectomy in India.
The role of MRI and 18F-FDG PET/CT with respect to evaluation of pathological response in the rectal cancer patients after neoadjuvant chemoradiotherapy
Authors: Avcı Gulhan Guler , Aral Ipek Pinar 
Published: September 2021

Background:
We aimed to evaluate the role of magnetic resonance imaging (MRI) and 18F-fluorodeoxyglucose (FDG) positron emission tomography–computed tomography (PET-CT) in determining the correct stage and predicting the pathological response.

Methods:
Seventy one patients with pathologic proven rectal adenocarcinoma, clinical stage IIA-IVA, and neoadjuvant chemoradiotherapy (CRT) were evaluated retrospectively. Radiotherapy was delivered 45–50 Gy in 25 fractions with concomitant oral capecitabine. Pelvic MRI, colonoscopy, and 18F-FDG PET-CT were performed before the neoadjuvant treatment (NAT). After NAT, MRI and PET-CT were performed for re-evaluation.

Results:
The median follow-up time was 25 months (range: 3–57 months). Of the 71 patients who underwent NAT, 57 patients underwent surgery. Downstaging was recorded in 48 (84.2%) of 57 patients who underwent surgery. There was no statistically significant difference between both MRI and PET-CT with pathology results in terms of response evaluation. As a result of the comparison of MRI and PET-CT with pathological results; sensitivity and specificity were 91.6% (44/48) and 22.2% (2/9) for MRI, and 100% (47/47) and 12.5% (1/8) for PET-CT, respectively.

Conclusion:
PET-CT and MRI are effective in predicting response to NAT and predictive for the pathological response. A more accurate response can be judged when both PET-CT and MRI are executed together in restaging after NAT.
Screening practices for breast and cervical cancer and associated factors, among rural women in Vellore, Tamil Nadu
Authors: Saha Shubhashis , Priya S Mohana , Surender Anu , Jacob Rohan Chacko , George Michael Philip , Varghese Namitha Mary , Kumar Nishant , Eappen Noel , Kumar Prabhas Ranjan , Raymond Riya , Phillips Ashna Christine , Mathew Reuben Thomas , Vijayan Miji M , Sukhadhan Christina , Thomas Bincy Mary , Marconi Sam David , Sindhu Kulandaipalayam Natarajan , Oommen Anu Mary , John Sushil Mathew 
Published: September 2021

Background:
Population-based screening coverage for breast and cervical cancer screening in the community is inadequately reported in India. This study assessed screening rates, awareness, and other factors affecting screening, among rural women aged 25–60 years in Vellore, Tamil Nadu.

Methods:
Women aged 25–60 years, from five randomly selected villages of a rural block were included in this cross-sectional study in Vellore, Tamil Nadu. Households were selected by systematic random sampling, followed by simple random sampling of eligible women in the house. A semi-structured questionnaire was used to assess screening practices, awareness, and other factors related to cervical and breast cancer.

Results:
Although 43.8% and 57.9% were aware of the availability of screening for cervical and breast cancer respectively, screening rates were only 23.4% (95% confidence interval [CI]: 18.4-28.4%) and 16.2% (95% CI: 11.9-20.5%), respectively. Adequate knowledge (score of ≥50%) on breast cancer was only 5.9%, with 27.2% for cervical cancer. Only 16.6% of women had ever attended any health education program on cancer. Exposure to health education (breast screening odds ratio [OR]: 6.89, 95% CI: 3.34-14.21; cervical screening OR: 6.92, 95% CI: 3.42-14.00); and adequate knowledge (breast OR: 4.69, 95% CI: 1.55-14.22; cervix OR: 3.01, 95% CI: 1.59-5.68) were independently associated with cancer screening.

Conclusion:
Awareness and screening rates for breast and cervical cancer are low among rural women in Tamil Nadu, a south Indian state with comparatively good health indices, with health education being an important factor associated with screening practices.
Acute kidney injury in ventilated patients with coronavirus disease-2019 pneumonia
Authors: Elkholi Mohamed Hamed , Alrais Zeyad Faoor , Algouhary Abdallah Reda , Al-Taie Muthana Salim , Sawwan Amr Abass , Khalafalla Abdelnasser Ahmed , Beniamein Maged Mohsen , Alkhouly Adel Elsaid , Shoaib Mohamed Ibrahim , Alkholy Hesham Elsaid , Abdel Hadi Ammar Mohamed , Abu Alkhair Ahmed Tarek 
Published: September 2021

Background:
Acute kidney injury (AKI) is repeatedly observed in ventilated critically ill patients with coronavirus disease-2019 (COVID-19) pneumonia. This study aimed to determine the incidence, risk factors, and consequences of AKI in the ventilated critically ill adult patients with COVID-19 pneumonia.

Methods:
This retrospective study included all the ventilated critically ill adult patients with COVID-19 pneumonia from March 1, 2020, to June 1, 2020. Data were collected from the electronic medical system. AKI was diagnosed using the Kidney Disease: Improving Global Outcomes 2012 Clinical Practice definition. Patients were followed 90 days from the intensive care unit (ICU) admission time or to the date when they were discharged from the hospital.

Results:
AKI occurred in 65.1% of patients, with 26.6% of these started on continuous renal replacement therapy (CRRT). Patients with AKI had higher comorbidity and illness severity scores (P < 0.001). Age and the vasopressor requirements were predictors of AKI (P= 0.016 and P = 0.041) and hypertension predicted AKI (P = 0.099) and its progression (P = 0.05). The renal recovery rate was 86.7% and was associated with the mean arterial pressure on ICU admission in the no-CRRT group (P = 0.014) and the hypoxic index in the CRRT group (P = 0.019). AKI was associated with higher mortality (P = 0.017) and significantly longer ICU length-of-stay (P = 0.001). Additionally, AKI patients were more often discharged to a long-term skilled nursing facility (P = 0.005).

Conclusion:
COVID-19-associated AKI was common and associated with poor outcome, with the specific mechanisms being the main driving factors.
The effect of a tiered provider staffing model on patient outcomes during the coronavirus disease 2019 pandemic
Authors: Dargin James , Stempek Susan , Lei Yuxiu , Gray Anthony , Liesching Timothy 
Published: September 2021

Background:
During the coronavirus disease 2019 (COVID-19) pandemic, our hospital experienced a large influx of critically ill patients with acute respiratory failure. In order to increase intensive care unit (ICU) surge capacity, we adopted a “tiered model” for ICU provider staffing where multiple ICUs were staffed by noncritical care providers under the direction of an intensivist. We hypothesized that ICUs staffed with a tiered model would result in similar patient outcomes as ICU staffed with a traditional intensivist model.

Methods:
We performed a single-center, observational study in seven ICUs at a tertiary care center. We included consecutive adults admitted to the ICU with acute respiratory distress syndrome (ARDS) due to COVID-19 infection. We collected baseline demographics, treatments, and outcomes of interest in traditionally staffed ICUs versus ICUs staffed with a tiered model. The primary outcome was inpatient mortality. All outcomes were censored at day 28.

Results:
We included a total of 138 patients in our study: 66 patients were admitted to traditionally staffed ICUs and 52 were admitted to tiered staffing ICUs. Baseline characteristics were similar between groups. ARDS treatments were similar in traditionally staffed ICUs versus tiered staffing model ICUs, including daily mean tidal volume (6.2 mL/kg vs. 6.2 mL/kg, P = 0.95), median daily fluid balance (159 mL vs. 92 mL, P = 0.54), and use of prone ventilation (58% vs. 65%, P = 0.45). There was no difference in inpatient mortality between groups (50% vs. 42%, P = 0.46). We also found no difference in ventilator-free, ICU-free, vasopressor-free, and dialysis-free days between groups.

Conclusions:
Our results suggest that patient outcomes are similar in ICUs with traditional staffing models when compared to ICUs with a tiered staffing mode during a pandemic.