bluuebunny/crossref_metadata_2025_split huggingface dataset:
Juegos tradicionales para el aprendizaje de Matemática en niños de Educación Intercultural Bilingüe
Authors: Tenesaca-Simancas Miriam Cecilia , Auccahuallpa-Fernández Roxana , Ávila-Mediavilla Carlos Marcelo 
Published: October 2022

El trabajo investigativo tiene como objetivo ejecutar juegos tradiciones para el aprendizaje de Matemática en niños de 9 a 12 años en Educación Intercultural Bilingüe de la Unidad Educativa Comunitaria Intercultural Bilingüe Mushuk Rimak de la parroquia San lucas del cantón Loja con la finalidad de dar posibles soluciones que disminuya los problemas en el aprendizaje; La investigación es de carácter descriptiva, aplicadas a los estudiantes de 5to, 6to y 7mo año por medio de una encuesta de 12 preguntas en la escala de Likert los mismos que manifestaron en un 92,2% que les gusta aprender y jugar las Matemáticas; el 100% considera que el docente debe aplicar estos juegos dentro del salón de clases. Se realiza la propuesta sobre el juego tradicional y la enseñanza de la Matemática se fusionan para lograr el desarrollo del pensamiento lógico.
Herramientas tecnológicas de simulación y su ausencia en el proceso de enseñanza - aprendizaje
Authors: Torres-Gaona Magi Leonela , Flores-Almeida Karina Marlene , Rodríguez-Quiñónez Víctor Manuel 
Published: October 2022

La investigación tuvo como objetivo describir cómo las herramientas tecnológicas de simulación y su ausencia en el proceso de Enseñanza Aprendizaje, afectan la integración de contenidos para el desarrollo de competencias y habilidades de desempeño del tercer año de Bachillerato, de la Unidad Educativa “Alfredo Pérez Guerrero”, durante el período académico 2021 – 2022. Se trabajó con un enfoque mixto y se empleó la encuesta como técnica. La población estuvo representada por estudiantes del tercer año de bachillerato, paralelos: A, B, C, D, E y el técnico de la especialidad de sistemas. En el estudio, se evidenció que la institución cuenta con recursos tecnológicos, pero no se logran las metas planteadas en su totalidad, por ende, se hace necesario implementar la metodología activa de simulación para mejorar esta realidad. Como conclusión, se destacó que al relacionar lo teórico-práctico, el aprendizaje se hace receptivo y promueve el desarrollo integral del individuo.
Índice de masa corporal del personal de servicio de bomberos
Authors: Narváez-Mora Wilson Eduardo , Torres-Palchisaca Zoila Guillermina , Romero-Frómeta Edgardo 
Published: October 2022

Objetivo: Analizar el índice de masa corporal del personal de servicio de bomberos del cantón Cañar – Ecuador. Método: Se tomó una muestra no probabilística de 24 personas que laboran en esta entidad clasificadas en menores y mayores de 40 años, valorados en su IMC, Test de Cooper, y Test de Wells y Dillon, en un estudio descriptivo, transversal. Resultados: No varían ampliamente en los grupos de edades menores y mayores a cuarenta años, y, contrario a lo que se podría pensar, la flexibilidad fue mejor en el grupo de mayores a 40 años. Conclusión: La condición física del cuerpo de bomberos de esta entidad no es favorable en relación con las exigencias de su oficio, por lo que es necesario aplicar programas de entrenamiento, seguimiento nutricional y médico, con objeto de alcanzar la condición necesaria para afrontar las exigencias de la atención en emergencias.
Uso racional de antibióticos en pacientes de terapia intensiva desde la administración pública
Authors: Viloria-Alvarado Daisy Verónica , Mesa-Lugo Erika Cecilia 
Published: October 2022

Objetivo: Analizar el uso racional de antibióticos en pacientes de terapia intensiva desde la administración pública. Metodología: Se empleó el paradigma positivista desde la perspectiva cuantitativa, con un diseño no experimental, tipo de investigación de campo y nivel descriptivo y la aplicación del método fue deductivo. La población de estudio estuvo constituida por 40 trabajadores del Hospital General de Manta, específicamente de la unidad de cuidados intensivos. Se aplicó un cuestionario. Se empleó la estadística descriptiva para el procesamiento de los datos. Resultados: El 100% de los pacientes y familiares no compran antibióticos para el tratamiento en el momento de estar recluidos en la institución. En conclusión: El uso racional de antibióticos en pacientes de terapia intensiva desde la administración pública, reflejó un adecuado manejo por parte de los responsables de la parte administrativa y financiera que ejecutan el presupuesto del gobierno central, los aportes patronales y de los afiliados.
Pengaruh Bakteri Asam Laktat terhadap Daya Awet dan Uji Organoleptik Ikan Bandeng (Chanos Chanos) Asin
Authors: Sulfika Sulfika , Sahabuddin Sahabuddin , Indahyani Fitri 
Published: October 2022

Tujuan dalam penelitian ini adalah untuk menganalisis pengaruh bakteri asam laktat terhadap daya awet dan organoleptik Ikan Bandeng (Chanos chanos), penelitian ini dilaksanakan selama 33 hari terhitung mulai 22 juni 2021 sampai 24 juli 2021 di kelurahan mangkoso, kecamatan soppeng riaja, kabupaten Barru. Bahan uji yang digunakan ikan bandeng (chanos chanos) dan Bakteri asam laktat. Alat yang digunakan waring kegunaan untuk penjemuran ikan, pisau/gunting kegunaan untuk menyiangi ikan, keranjang kegunaan menyimpan ikan, kamera kegunaan untuk dokumentasi, timbangan kegunaan untuk menentukan berat ikan, dan gelas ukur kegunaan untuk menentukan dosis Bakteri yang digunakan. Sedangkan Bahan yang digunakan ikan bandeng sebagai bahan uji dan Bakteri asam laktat dan Garam sebagai bahan campuran. Dosis bakteri yang di uji coba, 0 (kontrol). 100 ml, 150 ml, dan 200 ml. Parameter yang diamati kenampakan, rasa, aroma, dan tekstur. Dari hasil uji organoleptik terdapat pengaruh bakteri asam laktat dosis 200ml. Untuk mengetahui data yang diperoleh dalam penelitian ini ditampilkan dalam bentuk grafik dan tabulasi untuk melihat pengaruh perlakuan dianalisis menggunakan sidik ragam (ANOVA) dan uji lanjut turkey guna untuk mengetahui perbedaan pengaruh antara perlakuan, sedangkan alat bantu yang digunakan Spss versi.17.0 for windows, untuk penyajian grafik dan tabulasi data menggunakan microsoft excel 2010.
Effect of Adding Different Concentrations of Cowpea Vigna unguiculata (L.) on Physicochemical and Sensory Properties of Chicken Mortadella
Authors: Abdel Hassan Khalid H. , Eskander Mohammed Z. , Al-Rubai’y Hassan H. M. 
Published: October 2022

Four chicken mortadella were prepared: C (control), M1, M2 and M3 by addition of 10%, 15%, and 20% of minced cowpea, respectively). The effect of adding minced cowpea on the physical, chemical, microbial, and sensory evaluation of mortadella had been studied. Results revealed that there were significant differences in fat, carbohydrates, and ash percentages in the mortadella. The fat percentage was gradually decreased from 15.13 % in the control group to 11.03 % in M3. Carbohydrate and ash were increased from 3.94, 2.53 % in the control group to 7.14, and 2.76 % in M3 respectively according to the increase of cowpea in the mortadella. Protein and moisture were increased with no significant difference in all mortadella examined. Water holding capacity was increased significantly by adding minced cowpea. Microbial load test revealed that there was an obvious decrease in total bacterial count and Escherichia coli with an increase of cowpea in the mortadella. For sensory evaluation there were significant differences in some characteristics between control and other groups, colour, flavour, and taste decreased according to the increase of cowpea in the mortadella formulations, the decrease was high in the M3 group and low in M1 and M2 groups with some similarity to the control group. The texture was improved by adding more minced cowpea to the mortadella particularly in the M3 group. Accordingly, the effect of these quality properties was reflected in the degree of general acceptance of the mortadella formulations.
Canadian Rheumatology Association Recommendations for the Screening, Monitoring, and Treatment of Juvenile Idiopathic Arthritis-associated Uveitis
Authors: Berard Roberta , Ng Hon Yan , Human Andrea , Piskin David , Dhalla Muhammed , Gottlieb Chloe , Batthish Michelle , Chédeville Gaëlle , Forest Christina , Fortin Eric , Gardiner Jane , Gerhold Kerstin , Jastrzebski Andre , Lang Bianca , Miettunen Paivi M.H. , Morgenstern Sabrina , Morin Marie-Paule , Rosenberg Alan , Rumsey Dax G. , Solarte Carlos E. , Tehrani Nasrin , Watanabe Duffy Karen , Pardo Pardo Jordi , Hazlewood Glen S. , Levy Deborah M. 
Published: October 2022

ObjectiveTo develop Canadian recommendations for the screening, monitoring, and treatment of uveitis associated with juvenile idiopathic arthritis (JIA).MethodsRecommendations were developed using the Grading of Recommendations Assessment, Development, and Evaluation (GRADE)-ADOLOPMENT approach. A working group of 14 pediatric rheumatologists, 6 ophthalmologists, 2 methodologists, and 3 caregiver/patient representatives reviewed recent American College of Rheumatology (ACR)/Arthritis Foundation (AF) recommendations and worked in pairs to develop evidence-to-decision (EtD) tables. A survey to assess agreement and recommendations requiring group discussion was completed. EtD tables were presented, discussed, and voted upon at a virtual meeting, to produce the final recommendations. A health equity framework was applied to all aspects of the adolopment process including the EtD tables, survey responses, and virtual meeting discussion.ResultsThe survey identified that 7 of the 19 recommendations required rigorous discussion. Seventy-five percent of working group members attended the virtual meeting to discuss controversial topics as they pertained to the Canadian environment, including timing to first eye exam, frequency of screening, escalation criteria for systemic and biologic therapy, and the role of nonbiologic therapies. Equity issues related to access to care and advanced therapeutics across Canadian provinces and territories were highlighted. Following the virtual meeting, 5 recommendations were adapted, 2 recommendations were removed, and 1 was developed de novo.ConclusionRecommendations for JIA-associated uveitis were adapted to the Canadian context by a working group of pediatric rheumatologists, ophthalmologists with expertise in the management of uveitis, and parent/patient input, taking into consideration cost, equity, and access.
Management of Peripheral Arthritis in Patients With Psoriatic Arthritis: An Updated Literature Review Informing the 2021 GRAPPA Treatment Recommendations
Authors: Leung Ying-Ying , Korotaeva Tatiana V. , Candia Liliana , Pedersen Susanne Juhl , Molano Wilson Bautista , Ruderman Eric M. , Bisoendial Radjesh , Perez-Alamino Rodolfo , Olsder Wendy , Möller Burkhard , Grazio Simeon , Gudu Tania , Mody Girish M. , Pineda Carlos , Raffayova Helena , Rohekar Sherry , Goldenstein-Schainberg Claudia , Gutierrez Urena Sergio R. , Casasola Vargas Julio César , Meghnathi Bhowmik , Prasad Roopa , Richette Pascal , Miranda Jose Roberto S. , Malliotis Nikolas , Lindqvist Ulla , Simon David , Ezeonyeji Amara , Soriano Enrique R. , FitzGerald Oliver 
Published: October 2022

ObjectiveWe aimed to compile evidence for the efficacy and safety of therapeutic options for the peripheral arthritis domain of psoriatic arthritis (PsA) for the revised 2021 Group in Research and Assessment of Psoriasis and Psoriatic Arthritis (GRAPPA) treatment recommendations.MethodsA working group consisting of clinicians and patient research partners was convened. We reviewed the evidence from new randomized controlled trials (RCTs) for PsA treatment from February 19, 2013, to August 28, 2020. We used the Grading of Recommendations Assessment, Development, and Evaluation (GRADE)-informed approach to derive evidence for the classes of therapeutic options for 3 patient groups: (1) naïve to treatment, (2) inadequate response to conventional synthetic disease-modifying antirheumatic drugs (csDMARDs), and (3) inadequate response to biologic DMARDs (bDMARDs). Recommendations were derived through consensus meetings.ResultsThe evidence review included 69 RCTs. We derived GRADE evidence for each class of therapeutic options and achieved consensus for the recommendations. For patients naïve to treatment, the working group strongly recommends csDMARDs (methotrexate, sulfasalazine, leflunomide) and phosphodiesterase 4 inhibitors, and emphasizes regular assessment and early escalation to achieve treatment target. bDMARDs (tumor necrosis factor inhibitors [TNFi], interleukin 17 inhibitors [IL-17i], IL-12/23i, IL-23i) and Janus kinase inhibitors (JAKi) are also strongly recommended. For patients with inadequate response to csDMARDs, we strongly recommend TNFi, IL-17i, IL-12/23i, IL-23i, and JAKi. For those who had prior experience with bDMARDs, we strongly recommend a second TNFi, IL-17i, IL-23i, and JAKi. The evidence supporting nonpharmacological interventions was very low. An expert panel conditionally recommends adequate physical activity, smoking cessation, and diet to control weight gain.ConclusionEvidence supporting optimal therapy for the peripheral arthritis domain of PsA was compiled for the revised 2021 GRAPPA treatment recommendations.
Identifying Axial Spondyloarthritis in Patients With Inflammatory Bowel Disease Using Computed Tomography
Authors: Lim Chong S.E. , Hamilton Louise , Low Samantha B.L. , Toms Andoni , Macgregor Alexander , Gaffney Karl 
Published: October 2022

ObjectiveThe diagnosis of axial spondyloarthritis (axSpA) is hampered by diagnostic delay. Computed tomography (CT) undertaken for nonmusculoskeletal (non-MSK) indications in patients with inflammatory bowel disease (IBD) offers an opportunity to identify sacroiliitis for prompt rheumatology referral. This study aims to identify what proportion of patients with IBD who underwent abdominopelvic CT for non-MSK indications have axSpA and to explore the role of a standardized screening tool to prospectively identify axSpA on imaging.MethodsAbdominopelvic CT scans of patients with verified IBD, aged 18 to 55 years, performed for non-MSK indications were reviewed by radiologists for the presence of CT-defined sacroiliitis (CTSI), using criteria from a validated CT screening tool. All patients identified were sent a screening questionnaire, and those with self-reported chronic back pain (CBP), CBP duration of greater than 3 months, and age of onset of less than 45 years were invited for rheumatology review.ResultsCTSI was identified in 60 out of 301 (19.9%) patients. Out of these 60 patients, 32 (53%) responded to an invitation to participate, and 27 out of 32 (84.3%) were enrolled. Of these, 8 had a preexisting axSpA diagnosis and 5 did not report CBP. In total, 14 patients underwent rheumatology assessment, and 3 out of 14 (21.4%, 95% CI 4.7-50.8) had undiagnosed axSpA. In total, 11 out of 27 (40.7%, 95% CI 22.4-61.2) patients had a rheumatologist-verified diagnosis of axSpA.ConclusionIn this study, 5% (3/60) of patients with IBD undergoing abdominopelvic CT for non-MSK indications with CTSI were found to have undiagnosed axSpA and, overall, 18.3% (11/60) were found to have axSpA. This reveals a significant hidden population of axSpA and highlights the need for a streamlined pathway from sacroiliitis detection to rheumatology referral.
Sex-Specific Differences in Patients With Psoriatic Arthritis: A Systematic Review
Authors: Coates Laura C. , van der Horst-Bruinsma Irene E. , Lubrano Ennio , Beaver Steph , Drane Emma , Ufuktepe Baran , Ogdie Alexis R. 
Published: October 2022

ObjectiveA systematic review of published literature was conducted to collate evidence on sex-specific differences in clinical characteristics, disease activity, and patient-reported outcomes (PROs) in psoriatic arthritis (PsA), including response to treatment.MethodsSearches of MEDLINE, Embase, and the Cochrane Database of Systematic Reviews were performed in November 2020 for observational studies of adults with PsA reporting outcomes by sex (published from January 1, 2015, to November 13, 2020). In addition, hand searches of systematic literature reviews and (network) metaanalysis bibliographies were performed. Searches ofClinicalTrials.govand congress abstracts from the European Alliance of Associations for Rheumatology, the American College of Rheumatology (ACR), and the American Academy of Dermatology (2019-2020) were also carried out. Eligible studies with 100 or more patients prespecified a comparison by sex and reported clinical characteristics and/or disease activity. Data extracted included patient characteristics, study design, baseline clinical characteristics, and disease activity results, including PROs.ResultsDatabase searching yielded 3283 unique records; 31 publications of 27 unique studies were included. The review found generally higher rates of peripheral disease in women, including higher tender joint counts. There was some evidence of more axial disease in men, plus greater skin disease burden. There were consistently no differences in Dermatology Life Quality Index scores, though across other PROs, women had worse scores, including pain and fatigue. Women had poorer responses to treatment, indicated by outcome measures such as ACR responses and minimal disease activity.ConclusionThis review indicates that important differences exist between the sexes in PsA. However, the limited evidence for this conclusion underlines the need for additional research in this area.
Sex-Based Differences in Sonographic and Clinical Findings Among Patients With Psoriatic Arthritis
Authors: Furer Victoria , Wollman Jonathan , Levartovsky David , Aloush Valerie , Elalouf Ofir , Sarbagil-Maman Hagit , Mendel Liran , Borok Sara , Paran Daphna , Elkayam Ori , Polachek Ari 
Published: October 2022

ObjectiveTo investigate sex-based sonographic differences in patients with psoriatic arthritis (PsA).MethodsThe study population included consecutive prospectively recruited patients with PsA, as determined by the CASPAR (Classification for Psoriatic Arthritis) criteria, who underwent clinical and physical examinations, followed by a detailed ultrasound (US) evaluation (greyscale and Doppler). US evaluation included 52 joints, 40 tendons, and 14 points of entheses (Modified Madrid Sonographic Enthesis Index [MASEI] plus lateral epicondyles) performed by an experienced sonographer blinded to the clinical data. The US score was based on the summation of a semiquantitative score for synovitis, tenosynovitis, and enthesitis. The US enthesitis score was categorized into inflammatory lesions (ie, hypoechogenicity, thickening, bursitis, and Doppler) and structural lesions (ie, enthesophytes/calcifications and erosions).ResultsThe study population of 158 patients included 70 males and 88 females. The males had higher rates of employment (P= 0.01), Psoriasis Area and Severity Index scores (P= 0.04), and mean swollen joint counts (P= 0.04). The total US score and its subcategory scores—the synovitis and tenosynovitis scores—were similar for both sexes, whereas the total enthesitis score and its subcategory score—the inflammatory enthesitis score—were significantly higher for the males compared to the females (P= 0.01 andP= 0.005, respectively). Hypoechogenicity, thickening, and enthesophytes were more prevalent in males compared to females (P< 0.05). Multivariate ordinal logistic regression models showed that male sex was associated with a higher US inflammatory enthesitis score compared to female sex (odds ratio 1.96,P= 0.02).ConclusionSonographic enthesitis was more prevalent in males compared to females with PsA. These differences were not reflected by enthesitis disease activity scores derived from clinical assessment.
Le “Kaddish” in-fini et ininterrompu d’André&#8239Schwarz-Bart&#8239: jusqu’à une pièce de théâtre et un roman en pièces
Authors: Kaufmann Francine 
Published: October 2022

André Schwarz-Bart n’a jamais eu la plume facile. Même ses livres édités ont failli ne jamais voir le jour. Il a d’ailleurs cessé de publier son œuvre personnelle après 1972, alors qu’il n’a jamais cessé d’écrire jusqu’à la fin de sa vie, en septembre 2006. Mais il détruisait au fur et à mesure ses manuscrits, non sans se remettre ensuite au travail, parfois sur le même projet, parfois sur un projet similaire. Cette étude se propose de chercher les raisons, biographiques et esthétiques, de ses luttes avec l’écriture. Elle tente d’expliquer l’inachèvement, mais aussi les recommencements perpétuels de son dernier projet, Kaddish, une pièce de théâtre et un roman, dont on trouve des milliers de traces : plans, épisodes, dialogues, enfouis dans ses cahiers, ses carnets et les pages annotées de ses livres.
Petrolio de Pasolini, un livre-somme inachevé ou inachevable ?
Authors: Colomb Chantal 
Published: October 2022

Pasolini n’a pas pu terminer Petrolio, qu’il écrivait lorsqu’il fut assassiné dans la nuit du 1er au 2 novembre 1975. Tantôt appelé Roman, tantôt dénommé Poème, Petrolio n’est pas subdivisé en chapitres mais en appunti (notes), ce qui révèle que, pour Pasolini, aucune section du livre n’était achevée. Plusieurs modèles d’œuvres très longues l’ont inspiré : La Divine Comédie de Dante, les contes des Mille et une nuits ou encore À la recherche du temps perdu de Proust. Pasolini considérait Petrolio comme une œuvre-somme, il avait même dit que ce serait son dernier livre. Nous nous interrogerons sur la faisabilité du livre. Pasolini pouvait-il achever le livre tel qu’il l’avait conçu ? Dès le début du roman, il semble indiquer qu’il n’aura ni début, ni fin. La pluralité des narrateurs, la diversité des lieux, des époques ou la référence à des mythes permettent à Pasolini d’élaborer toute une poétique de l’inachèvement. Mais reste la question du sens du livre. Il semble que Pasolini ait voulu entrelacer les significations politique, sexuelle et mystique de son livre, ce qui renforce sa complexité.
Le journal de René&#8239Depestre peut-il faire œuvre ?
Authors: Cauvin Gaëlle 
Published: October 2022

Un démarrage difficile caractérise le journal cubain de René Depestre : l’écrivain se plaint de n’avoir pas commencé plus tôt à le tenir, doute de son entreprise et écrit sporadiquement. L’homme traverse une crise existentielle dont le journal peut témoigner. Cependant, les pages manuscrites montrent une certaine obstination, une volonté de faire œuvre, sans même parler de la version tapuscrite établie par ses soins. Et la morale de René Depestre ? Si elle fut un frein, c’est elle qui lui a permis de finir ce qu’il avait entamé, et de dénouer ses difficultés de vie.
Le monologue épistolaire, poétique de l’inachèvement dans Confiteor
Authors: Doig Katherine 
Published: October 2022

« J’ai considéré ce roman comme définitivement inachevé le 27 janvier 2011 » : ainsi s’ouvre la postface du romancier catalan Jaume Cabré à son Confiteor (Jo confesso, 2011, traduit par E. Raillard en 2013). Cette formule qui pointe, au-delà de la totalité d’une oeuvre publiée, l’infini du possible, résonne dans les préoccupations esthétiques et éthiques du roman. Malgré l’assiduité du narrateur, Adrià, à chercher l’exhaustivité, l’aboutissement, le point final, dans la longue lettre qu’il écrit pour “tout” dire à sa bien-aimée, l’univers littéraire les lui refuse : par le destin que Cabré lui impose (non pas la mort, mais Alzheimer), par la forme du monologue épistolaire dont le destin lui échappe néecssairement, par la confusion qui hante la fin de la diégèse. Cette impossibilité à aboutir se révèle comme une valeur littéraire : valeur réaliste, soulignant la continuité de la vie malgré les fins narratives qu’on lui impose ; valeur humaine, car, comme le souligne la forme de la lettre, le roman est un appel à la réinvention permanente ; valeur éthique, car cette ouverture s’oppose aux systèmes totalisants et totalitaristes, aux solutions finales qui, chez Cabré, représentent le Mal.