bluuebunny/crossref_metadata_2025_split huggingface dataset:
Favorable Outcome of Severe Poisoning by Snake Green Mamba (<i>Dendroaspis viridis</i>) Clinical Case
Authors: Nasibullina A. R. , Lodyagin A. N. , Vdovin V. A. , Filippova N. E. , Batotsyrenov B. V. , Glushkov S. I. 
Published: May 2019

This clinical case of acute poisoning due to bite of snake Dendroaspis viridis seems interesting to share because of its rare incidence inRussiaand management peculiarities: the critical care was conducted without specific antidote therapy due to absence of the antidote.The prevailing clinical presentation included signs of toxic myopathy combined with paresis of skeletal and breathing muscles that led to development of acute respiratory failure and metabolic disorders. The processes described were induced by the action of snake poison dendrotoxins featuring the activities of potassium channel blockers and acetyl cholinesterase inhibitors.The proper critical care included conduct of syndrome therapy aimed at maintaining life support systems adequately to condition (replacement of the breathing and circulation functions), antibiotic therapy and desensitizing treatment and metabolic care by administration of drugs characterized by antihypoxant/antioxidant mechanism of action.The comprehensive therapy applied has resulted in a favorable outcome of acute poisoning by snake green mamba without development of possible complications even when the specific antidote drug has not been included into the treatment protocol.
Etanercept With IVIg for Acute Kawasaki Disease: A Randomized Controlled Trial
Authors: Portman Michael A. , Dahdah Nagib S. , Slee April , Olson Aaron K. , Choueiter Nadine F. , Soriano Brian D. , Buddhe Sujatha , Altman Carolyn A. ,   for the EATAK Investigators
Published: May 2019

OBJECTIVES:
Patients with Kawasaki disease can develop life-altering coronary arterial abnormalities, particularly in those resistant to intravenous immunoglobulin (IVIg) therapy. We tested the tumor necrosis factor α receptor antagonist etanercept for reducing both IVIg resistance and coronary artery (CA) disease progression.

METHODS:
In a double-blind multicenter trial, patients with Kawasaki disease received either etanercept (0.8 mg/kg; n = 100) or placebo (n = 101) subcutaneously starting immediately after IVIg infusion. IVIg resistance was the primary outcome with prespecified subgroup analyses according to age, sex, and race. Secondary outcomes included echocardiographic CA measures within subgroups defined by coronary dilation (z score &gt;2.5) at baseline. We used generalized estimating equations to analyze z score change and a prespecified algorithm for change in absolute diameters.

RESULTS:
IVIg resistance occurred in 22% (placebo) and 13% (etanercept) of patients (P = .10). Etanercept reduced IVIg resistance in patients &gt;1 year of age (P = .03). In the entire population, 46 (23%) had a coronary z score &gt;2.5 at baseline. Etanercept reduced coronary z score change in those with and without baseline dilation (P = .04 and P = .001); no improvement occurred in the analogous placebo groups. Etanercept (n = 22) reduced dilation progression compared with placebo (n = 24) by algorithm in those with baseline dilation (P = .03). No difference in the safety profile occurred between etanercept and placebo.

CONCLUSIONS:
Etanercept showed no significant benefit in IVIg resistance in the entire population. However, preplanned analyses showed benefit in patients &gt;1 year. Importantly, etanercept appeared to ameliorate CA dilation, particularly in patients with baseline abnormalities.
Relación entre los estilos de aprendizaje y el rendimiento académico del estudiantado de la carrera de Ingeniería Agronómica de la Universidad Central del Ecuador
Authors: Vivas Vivas Ramiro José , Cabanilla Vásconez Enrique Armando , Vivas Vivas Walter Hernán 
Published: May 2019

El propósito de este trabajo fue determinar la influencia que tienen los estilos de aprendizaje en el rendimiento estudiantil. La investigación fue de tipo descriptivo-correlacional. El instrumento utilizado fue el cuestionario propuesto por Cabrera (2004) en su tesis doctoral, el cual fue aplicado a estudiantes del primer semestre de la carrera de Agronomía. El cálculo de la muestra se determinó con un mínimo del 95% de confianza y un máximo de 5% de margen de error. La población fue de 90 estudiantes, de los cuales 69 contestaron el cuestionario, lo que permitió contar con lo que se requería para la muestra. Para obtener los datos del rendimiento académico, se utilizaron las calificaciones registradas en el sistema académico de la universidad. La relación de las variables se obtuvo mediante la aplicación de la prueba de independencia/contingencia, en función de la prueba Chi Cuadrado. Los resultados de la relación entre las variables indicaron que estas son independientes, sin importar si las asignaturas pertenecen a ciencias exactas. El p, valor obtenido en todos los casos fue mayor de 0,05.
Concepciones sobre el cambio educativo de docentes participantes de un proyecto de desarrollo inclusivo
Authors: Figueroa Céspedes Ignacio , Soto Cárcamo Jorge , Yáñez-Urbina Cristopher 
Published: May 2019

Este artículo analiza las concepciones sobre el cambio educativo de docentes participantes de un proyecto de desarrollo inclusivo, inspirado en los valores propuestos por la Guía para la inclusión educativa (Booth y Ainscow, 2012). Este plan busca propiciar, mediante la participación de la propia comunidad escolar, la creación de estrategias para abordar las barreras detectadas por el colectivo. Se identifican, mediante un estudio de casos y un análisis cualitativo, las concepciones de los participantes a partir de dos ejes centrales Transformación/Transacción e Integralidad/Fragmentación. Emergen a partir de un análisis tipológico, cuatro posiciones dinámicas y articuladas acerca del cambio educativo: Cambio Comunitario, Integracionista, Eficiente y Burocrático. Cada una de estas configuraciones con visiones propias que anticipan trayectorias y desafíos posibles. Los resultados permiten problematizar las condiciones y que tiene la escuela y sus participantes para favorecer un trabajo desde una perspectiva inclusiva, en el contexto de la educación municipal.
Properties of different aluminum oxide powders and ceramics made of them
Authors: Tarasovskii V. P. , Avgustov A. A. , Omarov A. Yu. , Rybalchenko V. V. , Vasin A. A. , Smirnov A. V. , Shlyapin A. D. 
Published: May 2019

Different aluminum oxide powders CL370, CT1200 SG and CT3000SG of Almatis GmbH (Germany) were studied to determine their service ability for obtaining dense-sintered products by hot injection molding. The manufacturing technology parameters for given powders were experimentally determined and properties of ceramic materials thus obtained were investigated. The products manufactured according to the selected technology were transferred to real customers for their further testing. Ill. 3. Ref. 7. Tab. 9.
¿Qué es eso que se llama pedagogía?
Authors: Díaz Villa Mario 
Published: May 2019

Este artículo de investigación desarrolla un enfoque sobre la pedagogía desde una perspectiva sociológica o, preferiblemente, desde una sociología de la pedagogía. Procura, abrir un espacio crítico que poco se ha dado alrededor del substratum de la pedagogía, e intenta responder a la pregunta: ¿qué se entiende por lo que se denomina pedagogía? El artículo también hace un breve análisis de cómo muchos de los discursos producidos a lo largo de la historia tienen que ver con la regulación directa o indirecta de la subjetividad, y se han considerado medios de recontextualización de la razón, la conciencia y el conocimiento. En este sentido, se argumenta que para el discurso pedagógico no hay espacio semántico impenetrable. El discurso pedagógico es un principio intrínseco a toda interacción social y es un medio de reproducción de relaciones de poder y principios de control.
O texto eletrônico e suas particularidades textuais
Authors: Krug Flavia Susana 
Published: May 2019

RESUMO: Criou-se um imenso mundo virtual de informação, a partir do advento da Internet. Neste universo prático da informação, disponível a qualquer instante, somaram-se ambientes tramados para interligar as pessoas. A leitura, especialmente a literária, além da escrita numa velocidade espantosa, modificadas e dispostas nos mais diversos formatos, alteraram-se, consideravelmente, e atualmente ler não é mais como antigamente. Dos rolos impressos às telas digitais, o leitor utiliza artefatos diferenciados para o contato com a leitura. De forma não linear, tem-se, portanto, uma infinidade de opções para se completar o processo de leitura de um texto, agora também disposto no meio eletrônico. Virar a página atualmente corresponde a um diferente formato quando acionada pelo toque na tela ou do mouse. Neste artigo, optou-se por refletir brevemente acerca da leitura nas telas, o formato do texto eletrônico e sua textualidade digital.
PALAVRAS-CHAVE: leitura; textualidade; texto eletrônico; leitor.

ABSTRACT:
An immense virtual world of information has been created from the advent of the Internet. In this practical universe of information, available at any time, we have added environments designed to interconnect people. Reading, especially literary, as well as writing at an astonishing speed, modified and arranged in the most diverse formats, have changed considerably, and nowadays reading is no longer as it was in the past. From the rolls printed to the digital screens, the reader uses differentiated artifacts for the contact with reading. In a non-linear way, we have, therefore, an infinity of options to complete the process of reading a text, now also available in the electronic medium. Currently turning the purchased page corresponds to a different format when triggered by touching the screen or the mouse. In this article we have chosen to reflect briefly on the reading on the screens, the format of the electronic text and its digital textuality..

KEYWORDS: reading; textuality; electronic text; reader.
A aritmética da “Nova escola para ler, escrever e contar”
Authors: Soares Flávia dos Santos 
Published: May 2019

Poucas são as informações sobre o ensino de Matemática no Brasil do século XVIII. O que se sabe é que a prática do “contar” estava incluída nos saberes da escola elementar, nas aulas de primeiras letras existentes no Brasil, e fazia parte do ensino ministrado pelos jesuítas. Mesmo com a expulsão dos jesuítas do império português em 1759, a influência dos religiosos não se desfez por completo e permaneceram aqui obras destinadas ao ensino elementar escritas por clérigos que mantiveram autorização para continuarem em uso. Uma obra de referência é a “Nova escola para ler, escrever e contar”, publicada em 1722 e possivelmente utilizada no Brasil até o século XIX. O objetivo deste texto é trazer alguns apontamentos com base na leitura da obra e sua proposta para o ensino de “contar”. Além disso, busca-se identificar vestígios de utilização da obra no contexto brasileiro, especialmente como referência na aferição da capacidade de professores para a escola de primeiras letras no início do século XIX.
Pengembangan Keterampilan Sosial Anak Usia Dini Melalui Permainan Tradisional Madura
Authors: Fakhriyani Diana Vidya 
Published: May 2019

<p>A person should have the social skills to be able to interact with his environment. Social skills should be developed at an early age, because at this early age individuals have learned to socialize with other individuals. Therefore, social skills can be developed from an early age, so that children can play a role in socializing with his environment. Development of early child social skills can be done with many things, one of Madurese traditional game. The traditional game of Madura is a game in Madura, which in fact is currently largely abandoned. There are various kinds of Madurese traditional games, where in this article there are games <em>Kocheng-tekos</em> and <em>bhisek</em> as one of the development alternatives that can be applied in order to develop social skills for early childhood.</p>
Pengaruh Media Pembelajaran Berbasis Komputer Aplikasi Paint Terhadap Kemampuan Kognitif Anak Usia 4-5 Tahun di TK Aisyiyah Bustanul Athfal 22 Balongpanggang
Authors: Widiawati Wiwit Widiawati , Karim Muhammad Busyro , Mayangsari Dewi 
Published: May 2019

<em>The purpose of this study is determine the effect of computer based on the learning of media Paint application forward the cognitive abilities of children A2 TK Aisyiyah Bustanul Athfal 22 Balongpanggang Gresik. Media of learning is everything that is used by teacher to simplify the delivery of learning materials. The media is computer-based learning which has paint application that is used to stimulate the cognitive abilities of children, especially in aspects of learning and problem solving, logical thinking, and symbolic thinking. This research uses quantitative approach that is experimental method with Pre-experimental design research design type one-group pre-test post-test. The subject of this study is a group A children in kindergarten AisyiyahBustanulAthfal 22 Balongpanggang Gresik as many as 11 children. Techniques of collecting data of ths research is participant observation and documentation in the form of photos of activities and plans of daily learning. Data processing uses t-test data analysis. The result of data analysis obtained by Tcount value is -5,45 and Ttable value 2,086 then </em> <em> (-2,086&gt; -5,45) and Ha accepted. Based on the data analysis shows there is a significant influence between computer-based learning media paint application to the cognitive abilities of children.</em>
PEMETAAN WILAYAH RAWAN BAHAYA BANJIR DI KABUPATEN PAMEKASAN BERBASIS SISTEM INFORMASI GEOGRAFIS (SIG)
Authors: Anwari Anwari , Makruf Masdukil 
Published: May 2019

<p align="justify"><em>Kabupaten Pamekasan merupakan salah satu kabupaten Propinsi Jawa Timur. Terletak di</em><em> </em><em>Pulau Madura, Kabupaten Pamekasan termasuk daerah yang sering dilanda banjir. menyebabkan kawasan selatan perkotaan Pamekasan dilanda banjir dengan ketinggian genangan air di rumah-rumah warga antara 1</em><em>m</em><em> hingga 3</em><em>m</em><em>, bahkan ada sebagian wilayah yang mencapai lima meter. Salah satu cara peneliti untuk dapat mengelola wilayah rawan bahaya banjir adalah mengabungkan beberapa variabel diantaranya peta ketinggian wilayah (DEM), kelerengan, jenis tanah, penggunaan lahan, curah hujan. Menggunakan metode skoring, dan menghasilkan data spasial berupa daerah Potensi bahaya banjir.</em><em> </em><em>Dari hasil analisa didapat bahwa daerah Rawan Bajir dengan tingkat potensi tinggi berada pada daerah yang relatif datar dengan kemiringan 0 – 4% dan potensi daerah Rawan Banjir berada pada lahan dengan penggunaan yang paling banyak permukiman mencapai 341240,721(Ha). Selain itu curah hujan tahun 2013, curah hujan Pamekasan, dengan akumulasi rata-rata ,421 mm/tahun. Daerah Rawan Banjir tingkat tinggi sebagian besar ketinggian 8 – 44,5 meter dan Jenis tanah juga merupakan penentu daerah Rawan Banjir, daerah Rawan Banjir tinggi didominasi jenis tanah Alluvial Hidromorf. Daerah Rawan Banjir berada pada Kecamatan Pamekasan, Pademawu, Galis. Penelitian Menunjukkan Ketinggian Banjir, Tinggi 6,75 – 9 sedang 6,75 – 4,5 rendah 4,5 – 2,25 tidak rawan 2,25.</em><em></em></p><p><strong><em>Kata Kunci :</em></strong><strong><em> Wilayah Rawan Bahaya Banjir</em></strong><strong><em>, DEM, TRMM, SIG</em></strong></p>
ANALISIS SISTEM INFORMASI PENJADWALAN UNIVERSITAS ‘AISYIYAH YOGYAKARTA
Authors: Tyas Zahra Arwananing 
Published: May 2019

<p align="justify"><em>Universitas ‘Aisyiyah (UNISA) Yogyakarta sebelumnya merupakan STIKES ‘Aisyiyah Yogyakarta, kini memiliki 2 fakultas baru selain fakultas ilmu kesehatan (FIKes) yaitu fakultas sains dan teknologi (FST) dan fakultas ekonomi, ilmu sosial dan humaniora (FEISHum). Bertambahnya fakultas dan program studi juga mengakibatkan bertambah pula jadwal perkuliahan dan jumlah mahasiswa. Perkuliahan yang berjalan di UNISA memiliki 2 jenis kurikulum, berbasis Blok dan Semester. Sistem penjadwalan yang ada di UNISA sudah dapat menangani masalah sistem blok maupun semester, hanya saja masih dilakukan dengan cara manual dengan ms. Excel pada bagian akademik sehingga dibutuhkan sistem penjadwalan otomatis yang bisa melakukan penjadwalan sesuai dengan kriteria, bobot dan syarat yang ada. Sebelum dilakukan penjadwalan otomatis, dibutuhkan analisis mendalam terhadap sistem yang sudah berjalan terhadap sistem informasi penjadwalan yang sudah ada. Metode analisis yang digunakan adalah Object Oriented Analysis and Desaign (OOAD) dengan beberapa diagram seperti usecase diagram, class diagram, squance diagram dan Entity Relational Diagram (ERD). Hasil dari Analisis sistem informasi penjadwalan ini akan terdokumentasi yang nantinya akan digunakan sebagai pedoman untuk tahap selanjutnya. </em><em></em></p><p><strong><em>Kata kunci:</em></strong><strong> </strong><strong><em>Sistem Informasi Penjadwalan, Analisis Sistem, Object Oriented Analysis and Desaign (OOAD)</em></strong></p>
Ideias sobre a questão do financiamento de pesquisa em Letras
Authors: Akcelrud Durão Fabio 
Published: May 2019

O presente texto discute a questão do financiamento da pesquisa na Área de Letraslevando em consideração os seguintes pontos: 1. sua relação com políticas científicas determinadas, 2. a necessidade de legitimação das humanidades como ciência, 3. o risco de trazer uma visão heterônoma à área, 4. a necessidade de conceber o financiamento como subordinado à prática da pesquisa, e não o contrário.
Bayesian Modeling of Spatiotemporal patterns of TB-HIV co-infection risk in Kenya
Authors: Otiende Verrah A , Achia Thomas N O , Mwambi Henry G 
Published: May 2019

Abstract
Background

TB and HIV diseases are globally acknowledged as a public health challenge that exhibits adverse bidirectional relations due to the co-epidemic overlap. To understand the co-infection burden we use the case notification data to generate spatiotemporal maps that describe new distribution and exposure hypotheses for further epidemiologic investigations in areas with unusual case notification levels. These model maps are important in deciding relevant geographically targeting interventions and resource allocation for suppressing co-infection

Methods

We did an extensive analysis of the TB and TB-HIV case notification data from the Kenya national TB control program. We analyzed the case notification data aggregated for forty-seven counties over a seven-year period (2012 – 2018). We assessed the geographic patterns by mapping the cumulative co-infection incidence rate in each county. We performed the chi-square tests to determine the association between HIV status and risk factors; TB-type, age, gender, and patient type. We stratified the data by HIV status. Using the Integrated Nested Laplace Approach (INLA), we modeled the risk of TB-HIV co-infection

Results

Of the total 608312 TB case notifications, 194129 were HIV co-infected. Over the period, the co-infection temporal risk trend was consistently higher in women as compared to men with patients aged below 25 years and above 54 years registering a considerably lower risk trend of TB-HIV co-infection. The spatial pattern of co-infection risk was widespread in males compared to the female. The counties with high co-infection burden for both male and female were Homabay, Siaya, Kisumu, Migori and Busia counties

Conclusions

TB-HIV co-epidemic in Kenya is at a critical point portending a dual endemic challenge for many years to come. The government of Kenya needs to combine surveillance systems for the TB and HIV National programs to optimize the TB-HIV coinfection case notification processes at all levels. Integration of care for both TB and HIV using a single facility and single health provider will enable proper monitoring of the co-infection trends, which will ensure adequate resource allocation to cause a significant impact in the reduction of HIV burden amongst TB patients and TB burden amongst HIV patients
Effectiveness of the addition of rhythmic or discrete aiming movements training of the upper limbs on motor function and participation after stroke: protocol of a randomized controlled trial
Authors: Banjai Renata Morales , Costa Leonardo Oliveira Pena , Freitas Sandra Maria Sbeghen , Giangiardi Vivian Farahte , Silva Maria Liliane da , Alouche Sandra Regina 
Published: May 2019

Abstract
Background

Upper limb disabilities after a stroke compromise the activities of daily living. Several approaches to improve motor control and reduce disability are proposed, including specific unilateral training of the contralesional limb or bilateral training with appropriate equipment and/or robotic assistance. These approaches can be used with rhythmic or discrete movements along with usual therapy, but the most effective approach has never been determined. The objective of this study will be to verify the effect of training with rhythmic or discrete movements in conjunction with the usual therapy on motor function and participation regarding the patients’ upper limbs after chronic stroke.

Methods/Design

This is a 3-arm, assessor-blinded, randomized controlled trial. Seventy-five patients with chronic stroke (> 6 months) and upper limb paresis will be included. Participants will be randomly allocated into 3 groups: 1) discrete movement training and usual therapy (n = 25), 2) rhythmic movement training and usual therapy (n = 25) and 3) a control group, (n = 25) which will only receive the usual therapy. A five-week intervention period (10 sessions) with two sessions per week will be carried out. Outcome measures include participation, activity and motor function measured by the Stroke Impact Scale (SIS), Motor Activity Log (MAL) and Fugl-Meyer Scale, respectively; other measures are aiming movement performance, grip strength and spasticity, which will be obtained at follow-up assessments 5 weeks and 3 months after randomization.

Discussion

The results of this trial can support allied health professionals’ decision-making processes in the treatment of motor impairment and disability after chronic stroke and reduce this condition’s health-related costs.