bluuebunny/crossref_metadata_2025 huggingface dataset:
Investigating COVID-19 Vaccine Communication and Misinformation on TikTok: Cross-sectional Study
Authors: Kampen Katherine van , Laski Jeremi , Herman Gabrielle , Chan Teresa M.
Published: November 2024

Background

The COVID-19 pandemic has highlighted the need for reliable information, especially around vaccines. Vaccine hesitancy is a growing concern and a great threat to broader public health. The prevalence of social media within our daily lives emphasizes the importance of accurately analyzing how health information is being disseminated to the public. TikTok is of particular interest, as it is an emerging social media platform that young adults may be increasingly using to access health information.

Objective

The objective of this study was to examine and describe the content within the top 100 TikToks trending with the hashtag #covidvaccine.

Methods

The top 250 most viewed TikToks with the hashtag #covidvaccine were batch downloaded on July 1, 2021, with their respective metadata. Each TikTok was subsequently viewed and encoded by 2 independent reviewers. Coding continued until 100 TikToks could be included based on language and content. Descriptive features were recorded including health care professional (HCP) status of creator, verification of HCP status, genre, and misinformation addressed. Primary inclusion criteria were any TikToks in English with discussion of a COVID-19 vaccine.

Results

Of 102 videos included, the median number of plays was 1,700,000, with median shares of 9224 and 62,200 followers. Upon analysis, 14.7% (15/102) of TikToks included HCPs, of which 80% (12/102) could be verified via social media or regulatory body search; 100% (15/15) of HCP-created TikToks supported vaccine use, and overall, 81.3% (83/102) of all TikToks (created by either a layperson or an HCP) supported vaccine use.

Conclusions

As the pandemic continues, vaccine hesitancy poses a threat to lifting restrictions, and discovering reasons for this hesitancy is important to public health measures. This study summarizes the discourse around vaccine use on TikTok. Importantly, it opens a frank discussion about the necessity to incorporate new social media platforms into medical education, so we might ensure our trainees are ready to engage with patients on novel platforms.
Free Open Access Meducation (FOAM): the rise of emergency medicine and critical care blogs and podcasts (2002-2013)
Authors: Cadogan Mike , Thoma Brent , Chan Teresa M. , Lin Michelle
Published: November 2024

Disruptive technologies are revolutionising continuing professional development in emergency medicine and critical care (EMCC). Data on EMCC blogs and podcasts were gathered prospectively from 2002 through November 2013. During this time there was a rapid expansion of EMCC websites, from two blogs and one podcast in 2002 to 141 blogs and 42 podcasts in 2013. This paper illustrates the explosive growth of EMCC websites and provides a foundation that will anchor future research in this burgeoning field.
Intrinsic or Invisible? An Audit of CanMEDS Roles in Entrustable Professional Activities
Authors: LoGiudice Andrew B , Sibbald Matthew , Monteiro Sandra , Sherbino Jonathan , Keuhl Amy , R. Norman Geoffrey , Chan Teresa M.
Published: November 2024

Purpose: Postgraduate medical education in Canada has quickly transformed to a competency-based model featuring new entrustable professional activities (EPAs) and associated milestones. It remains unclear, however, how these milestones are distributed between the central medical expert role and 6 intrinsic roles of the larger CanMEDS competency framework. A document review was thus conducted to measure how many EPA milestones are classified under each CanMEDS role, focusing on the overall balance between representation of intrinsic roles and that of medical expert.

Method: Data were extracted from the EPA guides of 40 Canadian specialties in 2021 to measure the percentage of milestones formally linked to each role. Subsequent analyses explored for differences when milestones were separated by stage of postgraduate training, weighted by an EPA's minimum number of observations, or sorted by surgical and medical specialties.

Results: Approximately half of all EPA milestones (mean = 48.6%; 95% confidence interval [CI] = 45.9, 51.3) were classified under intrinsic roles overall. However, representation of the health advocate role was consistently low (mean = 2.95%; 95% CI = 2.49, 3.41), and some intrinsic roles-mainly leader, scholar, and professional-were more heavily concentrated in the final stage of postgraduate training. These findings held true under all conditions examined.

Conclusions: The observed distribution of roles in EPA milestones fits with high-level descriptions of CanMEDS in that intrinsic roles are viewed as inextricably linked to medical expertise, implying both are equally important to cultivate through curricula. Yet a fine-grained analysis suggests that a low prevalence or late emphasis of some intrinsic roles may hinder how they are taught or assessed. Future work must explore whether the quantity or timing of milestones shapes the perceived value of each role, and other factors determining the optimal distribution of roles throughout training.
Neurology podcast utilization during the COVID-19 pandemic
Authors: Siegler James E. , Boreskie Patrick E , Strowd Roy , Rook Robert , Goss Adeline , Al-Mufti Fawaz , Rossow Bonnie , Miller Alexandra , Chamberlain Amanda , London Zachary , Hurley Jennifer , Geocadin Romergryko , Richie Megan , Isaacson Richard , Rybinnik Igor , Chan Teresa M.
Published: November 2024

Background

As medical education shifted to a virtual environment during the early coronavirus disease 2019 (COVID-19) pandemic, we evaluated how neurology podcasting may have been utilized during this period, and which features of podcasts have been more highly sought by a medical audience.

Methods

We conducted a retrospective analysis of neurology-themed blogs and/or podcasts between April 2019 and May 2020. Programs were eligible if they reported mean monthly downloads > 2000, were affiliated with an academic society, or offered continuing medical education credit. Thirty-day download counts were compared between study months, with adjustment for multiple testing. Exploratory analyses were performed to determine which podcast features were associated with higher downloads.

Results

Of the 12 neurology podcasts surveyed, 8 completed the survey and 5 met inclusion criteria. The median monthly download count was 2865 (IQR 869–7497), with significant variability between programs (p < 0.001). While there was a 358% increase in downloads during April 2020 when compared to the previous month, this was not significant (median 8124 [IQR 2913–14,177] vs. 2268 [IQR 540–6116], padj = 0.80). The non-significant increase in overall downloads during April 2020 corresponded to an increase in unique episodes during that month (r = 0.48, p = 0.003). There was no difference in 30-day downloads among episodes including COVID-19 content versus not (median 1979 [IQR 791–2873] vs. 1171 [IQR 405–2665], p = 0.28).

Conclusions

In this unique, exploratory study of academic neurology-themed podcasts, there was no significant increase in episode downloads during the early COVID-19 pandemic. A more comprehensive analysis of general and subspecialty medical podcasts is underway.
The Impact of Electronic Data to Capture Qualitative Comments in a Competency-Based Assessment System
Authors: Chan Teresa M. , Sebok-Syer Stefanie S. , Yilmaz Yusuf , Monteiro Sandra
Published: November 2024

Introduction Digitalizing workplace-based assessments (WBA) holds the potential for facilitating feedback and performance review, wherein we can easily record, store, and analyze data in real time. When digitizing assessment systems, however, it is unclear what is gained and lost in the message as a result of the change in medium. This study evaluates the quality of comments generated in paper vs. electronic media and the influence of an assessor's seniority. Methods Using a realist evaluation framework, a retrospective database review was conducted with paper-based and electronic medium comments. A sample of assessments was examined to determine any influence of the medium on the word count and the Quality of Assessment for Learning (QuAL) score. A correlation analysis evaluated the relationship between word count and QuAL score. Separate univariate analyses of variance (ANOVAs) were used to examine the influence of the assessor's seniority and medium on word count, QuAL score, and WBA scores. Results The analysis included a total of 1,825 records. The average word count for the electronic comments (M=16) was significantly higher than the paper version (M=12; p=0.01). Longer comments positively correlated with QuAL score (r=0.2). Paper-based comments received lower QuAL scores (0.41) compared to electronic (0.51; p<0.01). Years in practice was negatively correlated with QuAL score (r=-0.08; p<0.001) as was word count (r=-0.2; p<0.001). Conclusion Digitization of WBAs increased the length of comments and did not appear to jeopardize the quality of WBAs; these results indicate higher-quality assessment data. True digital transformation may be possible by harnessing trainee data repositories and repurposing them to analyze for faculty-relevant metrics.
Dedicated time for deliberate practice: one emergency medicine program's approach to point-of-care ultrasound (PoCUS) training
Authors: Hayward Melissa , Chan Teresa M. , Healey Andrew
Published: November 2024

Point-of-care ultrasound (PoCUS) has become an essential skill in the practice of emergency medicine (EM). Various EM residency programs now require competency in basic PoCUS applications. The education literature suggests that deliberate practice is necessary for skill acquisition and mastery. We used an educational theory, Ericsson's model of deliberate practice, to create a PoCUS curriculum for our Royal College of Physicians and Surgeons of Canada EM residency. Although international recommendations around curriculum requirements exist, this will be one of the first papers to describe the implementation of a specific PoCUS training program. This paper details the features of the program and lessons learned during its initial 3 years. Sharing this experience may serve as a nidus for scholarly discussion around how to best approach medical education in this area.
The Journal Club 3.0: A qualitative, multisite study examining a new educational paradigm in the era of open educational resources
Authors: Ting Daniel K. , Bailey Britt H , Scheuermeyer Frank X. , Harris Devin R. , Chan Teresa M.
Published: November 2024

Background: The journal club is a ubiquitous and time-honored tradition within medical education. However, in recent years, open educational resources (OERs) have become increasingly influential in how physicians interact with the medical literature across multiple specialties. The authors sought to explore how emergency medicine (EM) resident physicians reconcile different perspectives across OERs into their educational experience at the journal club.

Methods: From January 2018 to September 2019, the authors enrolled 25 EM residents from four teaching sites associated with the University of British Columbia, Canada, to participate in either a focus group (seven residents) or individual interviews (18 residents). The authors used a snowball sampling technique. Using a constructivist grounded theory analysis, two investigators independently reviewed transcripts, meeting regularly to discuss themes until sufficiency was achieved.

Results: The study data expand the theoretical understanding of the resident journal club experience. Residents used multiple sources including OERs to learn about new evidence in the specialty. The rise of OERs helped residents to focus on developing critical appraisal skills and social bonds during the journal club. The local journal club gained a new relevancy in acting as a quality control mechanism against the premature adoption of research findings discussed in OERs.

Discussion: To date, most educators assume that residents prepare for a journal club by reading the selected articles and applying knowledge from their previous education. Instead, our findings suggest a more dynamic experience that integrates OERs. OERs enhance the journal club experience by allowing junior residents to more easily participate in discussions and to broaden the discussion to multiple clinical settings. Understanding these processes could inform future educational strategies around the journal club.
Window to the Unknown: Using Storytelling to Identify Learning Needs for the Intrinsic Competencies Within an Online Needs Assessment
Authors: Chan Teresa M. , Tseng Eric K , Jo David , Shih Andrew W. , Wit Kerstin de
Published: November 2024

Introduction: Needs assessments are important for developing online educational resources, but they frequently do not capture learning needs in the intrinsic physician competencies. Storytelling exercises, by promoting critical reflection and emphasizing values and context, may assist curriculum developers in identifying emergent knowledge gaps in these areas that are initially unknown to learners.

Methods: We developed an online curriculum for thrombosis and hemostasis based on an open-access online needs assessment comprised of a topic list, case scenarios, and storytelling exercise. In the storytelling exercise, learners described 1) a difficult clinical case and 2) why that case was difficult. In this qualitative descriptive study, we performed a secondary thematic analysis of this storytelling data, coded for the CanMEDS 2015 intrinsic roles. Two investigators independently coded transcripts with iterative comparison.

Results: A total of 143 respondents completed the storytelling exercise. All responses yielded a gap in medical expertise, while 25 (17.5%) described an additional intrinsic role. Learning needs in all six intrinsic roles were identified. The most commonly cited learning needs were in the leader (recognizing how resource allocation impacts health care), communicator (communicating knowledge with patients), and collaborator (unclear communication between providers) roles. These excerpts were notable for how they expressed the complexity and affective components of medicine.

Conclusions: Storytelling exercises can highlight context, attitudes, and relationships that provide depth to needs assessments. These narratives are a novel method of identifying gaps in intrinsic physician competencies that are initially unknown by learners (Johari window). These emergent intrinsic learning needs may be used to enrich learner-centered curricula.
Helping medical educators worldwide to pivot curricula online: pivotmeded.com
Authors: Keegan David A , Chan Ming-Ka , Chan Teresa M.
Published: November 2024

[para. 1]: "The coronavirus disease 2019 (COVID‐19) pandemic has resulted in the implementation of restrictions on group gatherings and educational events in many countries, creating imperatives for medical educators to move curricula online at short notice. Within medical schools and health sciences programmes, this urgency was compounded by competing priorities of health care delivery as many medical educators are also clinicians."
Developing ClerkCast: An Emergency Medicine Clerkship Needs Assessment Project
Authors: Forestell Ben , Beals Lauren , Shah Ajay , Chan Teresa M.
Published: November 2024

Introduction and objectives: For Canadian medical students completing their emergency medicine (EM) clerkship rotation, developing an approach to undifferentiated patients can be difficult. Open educational resources (OERs) are a convenient solution, but faculty authored materials may not meet students' needs. There is a lack of EM OERs that deconstruct these undifferentiated EM presentations for medical students. The objective of this study was to identify EM topics poorly understood by medical students to inform a novel Free Open Access Medical Education podcast curriculum for approaching undifferentiated EM patients for medical students.

Methods: An online survey-based needs assessment was distributed to key stakeholders through direct email, social media, and the blog CanadiEM. The survey included 32 EM topics graded on a five-point Likert scale according to how much participants believe medical students require further teaching.

Results: Over six weeks, a total of 74 participants completed the needs assessment survey, and 58 participants met the criteria for inclusion into our study: medical students (n=23) and EM educators (inclusive of resident physicians (n=19), and staff EM physicians (n=16)). A number of presentations (n=23) were prioritized by both students and EM educators to be of the greatest need for medical students. No presentations identified as high priority by students were not also identified as high priority by EM educators.

Conclusions: The greatest mean topic scores in both EM educators and medical student responses included critical care and acute medicine topics. Of the 32 topics in the survey, 23 topics were determined to be high priority for the development of future online educational resources. Analysis of free-text responses revealed nine topics not previously listed in our survey. Our findings will be used to inform the development of our new open access podcast and can be useful for developing medical student curricula in EM.
Curated Collections for Educators: Five Key Papers on Clinical Teaching
Authors: Quinn Antonia , Gottlieb Michael , Chan Teresa M. , Nickson Christopher P. , Mitzman Jennifer , Natesan Sreeja , Stehman Christine , Young Amanda , Messman Anne
Published: November 2024

The ability to teach in the clinical setting is of paramount importance. Clinical teaching is at the heart of medical education, irrespective of the learner’s level of training. Learners desire and need effective, competent, and thoughtful clinical teaching from their instructors. However, many clinician-educators lack formal training on this important skill and thus may provide a variable experience to their learners. Although formal training of clinician-educators is standard and required in many other countries, the United States has yet to follow suit, leaving many faculty members to fend for themselves to learn these important skills. 

In September 2018, the Academic Life in Emergency Medicine (ALiEM) 2018-2019 Faculty Incubator program discussed the topic of clinical teaching techniques. We gathered the titles of papers that were cited, shared, and recommended within our online discussion forum and compiled the articles pertaining to the topic of clinical teaching techniques. To augment the list, the authors did a formal literature search using the search terms “teaching techniques", "clinical teaching", "medical education", "medical students", and "residents” on Google Scholar and PubMed. Finally, we posted a call for important papers on the topic of clinical teaching techniques on Twitter.

Through this process, we identified 48 core articles on the topic of clinical teaching. We conducted a modified Delphi methodology to identify the key papers on the topic. In this paper, we present the five highest-rated articles based on the relevance to junior faculty and faculty developers. This article will review and summarize the articles we found to be the most impactful to improve one’s clinical teaching skills. 
Rice blast incidence and determination of morphological variation of Magnaporthe oryzae, Cav. in Ebonyi State, Nigeria
Authors: Yekini Buliaminu Adeniyi , Okechukwu Olaitan Chinenye , Afolabi Clement Gboyega
Published: November 2024

Blast disease is one of the major threats to rice production globally. This study investigates the prevalence, incidence, severity, damage index and morphological variation of blast disease in lowland rice in nine local government areas of Ebonyi State, Nigeria. Ebonyi State lies within Latitudes 6°15′57″N and 6°24′70″N, Longitudes 7°42′18″E and 8°26′20″E in the derived savannah zone of Nigeria. A survey was conducted on twenty-six (26) rice farms between October and November, 2017 when the rice had reached physiological maturity and infection of rice plants with blast was evident. Data collected from the farms included; rice variety cultivated, source of the seeds, area of land under cultivation, disease incidence, severity and damage, and control measures. Data obtained on disease incidence, severity and damage index were subjected to Analysis of Variance while significant means were separated with Tukey HSD test at p<0.05. Results on rice blast disease revealed that incidence, severity and damage index varied between fields and location due to the environmental conditions prevalent in each location. The highest mean disease incidence, severity and damage index 53.67%, 2.50 and 38.02% respectively due to blast, were recorded in Ishielu, while Ezza South had the least blast incidence (18.24%), Abakaliki had the least severity (1.30) and Ezza South the least damage index (6.59%). Twenty-two fungal isolates were identified and characterized from infected rice plants obtained from the field. The twenty-two isolates, identified as Magnaporthe oryzae (Mo), grown on potato dextrose agar showed various differences in their cultural and morphological characters such as colony colour, margin, pigmentation, surface texture, shapes, septate and cells. Pathogenicity study revealed the five isolates Mo-03, Mo-05, Mo-06, Mo-10 and Mo-17 where more virulent than others. Therefore, the present study recommends that the government should set up modalities to educate and train rice farmers on disease symptom recognition and the available eco-friendly management methods to reduce epidemic on rice and increase rice production both in the rice producing areas in Nigeria.
Stem Cutting, Rooting, and Shoot Growth Potentials of Some Hedge Plant Species as Influenced by Number of Nodes
Authors: Owolabi Christiana Olusola , Adediran Olukemi Ifetola , Udeh Chimezie , Fasasi Deborah Oyinlola , Bodunde Jacob Goke
Published: November 2024

Root and shoot initiation, as well as seedling growth after planting a stem cutting, is critical for ensuring seedling establishment. This study was carried out at the Department of Horticulture Nursery, Federal University of Agriculture Abeokuta, Nigeria, to examine early rooting and shoot development of landscape hedge plants during propagation with respect to the number of nodes per cutting. Species used were Duranta repense Linn., Duranta erecta Linn., Variegated Duranta erecta Linn., Ficus retusa Linn., Ixora coccinea Linn., Acalypha inferno Linn., Acalypha wilkesiana Mull. Arg. Hamelia patense Jacq., Boungainvillea glabra Wild. and Alternanthra dentata Scheygr. Stem cuttings of each of the ten species with 2, 3 and 5 nodes constituted the treatments arranged in Completely Randomized Design with three replicates. Time of root and shoot emergence, rooting percentage observed daily from one day after planting (DAP), number of leaves, seedling height, number of sprouted cuttings were measured weekly from 2 weeks after planting (WAP) and stem girth (at 15cm seedling height) 4 WAP. Fresh root and fresh shoot biomass were measured at 16 WAP. The result revealed that the number of nodes per cutting and the plant species had significant effects on the time to root, shoot initiation, cutting height, and number of leaves, stem girth, fresh root and shoot biomass. Duranta species performed best for all of these parameters while Bougainvillea glabra produced the lowest shoot biomass. Days to shoot initiation was not significantly different (p≤0.05) across the number of nodes for all species, ranging between 8 and 10 days after planting (DAP). Time to root was also similar regardless of the number of nodes across species with all species rooting at a range of 14-28 DAP. All the species used in this study, except Ficus retusa can be classified as easy to propagate because of their early root formation and relatively fast shoot initiation, indicating their potential suitability for use as hedge plants.
The Satisfaction of the Learners’ Linguistic Needs in terms of Acceleration: The Case of the Moroccan University English Learners in non-English Departments
Authors: Mustapha Boughoulid
Published: November 2024

The learning of English as a foreign language in a context where English is considered a third or fourth language leads to many difficulties for these learners, both socially and academically. This study aims to investigate the field of English language learning in such a way as to find and implement adequate teaching strategies with which teachers can accelerate the pace of learning of their learners, thereby allowing them to develop quickly their linguistic performance. The study is based on mixed-methods dimensions where a survey was conducted among 444 non-English department students in the Faculty of Legal, Economic, and Social Sciences, Cadi Ayyad University, Marrakech, Morocco. The participants are composed of two groups: undergraduates and master students. The findings of the research reveal some of the linguistic issues the learners face in terms of acquiring the English language by taking into consideration important factors such as time, energy, resources, and proficiency. In order to find a concrete solution to the problem of learning in terms of its accelerating mode, we opted for the adoption of a teaching model that should be comprehensive and instructional in such a way as to improve the language learning of students within limited periods. Through the discussion of the results after taking two experimental tests and the implementation of the Comprehensive Instructional Model of Language Learning (CIMLL) among the master students, we came to a conclusion that revealed the extent to which the majority of these students were conscious about the utility of learning the English language. It then became a requirement for them to succeed in their academic studies in terms of research and the development of their linguistic skills. Based on the existing literature, few studies seriously investigate the issue of acceleration and the sustainability of students’ learning of English, especially since there is no clear-cut model of teaching that adopts this technique.
Implementasi Konsep Local Wisdom pada Desain Interior Pendidikan Anak Usia Dini
Authors: Nastiti Ratna Andriani , Rachman R. Ayu Firdausi Novira , Mutia Fairuz
Published: November 2024

Pendidikan Anak Usia Dini mengajarkan hal-hal dasar yang menjadi bekal anak seperti kemandirian dan adaptasi dengan lingkungan. Kegiatan pembelajaran dilakukan dengan mengemas materi pembelajaran secara fun dan playfull sesuai dengan kebutuhan pendidikan pada usia dini. Sejalan dengan kegiatan pembelajaran yang ada, pengenalan local wisdom pada anak kerap menjadi fokus utama beberapa tahun terakhir. Hal ini bertujuan untuk meningkatkan pemahaman anak terhadap lingkungan serta memupuk rasa cinta tanah air. Dalam hal tersebut lingkungan kelas yang menunjang pembelajaran memiliki peranan penting terhadap keberlangsungan kegiatan belajar. Penelitian ini bertujuan untuk mengidentifikasi penerapan konsep local wisdom pada desain interior kelas. Studi kasus yang dijadikan topik pada penelitian ini adalah PAUD Teratai, yang terletak di kawasan pesisir Desa Bhinor. Penelitian ini merupakan penelitian kualitatif dengan mengadaptasi metode design thinking. Hasil penelitian ini berupa gagasan kreatif desain interior ruang kelas dengan mengusung konsep local wisdom sebagai konsep utama. Gagasan kreatif tersebut berupa desain elemen dinding dan alternatif desain furnitur untuk mendukung pembelajaran anak usia dini. Selanjutnya hasil penelitian ini diharapkan dapat dijadikan sebagai acuan dalam mendesain ruang kelas yang mengadaptasi local wisdom, khususnya di kawasan pesisir.
Perancangan Ulang Ruang Rawat Inap Non-Infeksius Rumah Sakit Hewan Cikole Dengan Pendekatan Desain Biofilia
Authors: Julius Wayne , Rifanindio Edwin
Published: November 2024

Di rumah sakit hewan Cikole, kondisi ruang rawat inap non-infeksius masih belum memenuhi standar baik secara visual (dinding retak, terkelupas, warna kusam, dan kotor) dan fungsional (kandang hewan berhadapan satu sama lain). Kondisi ini dapat menyebabkan hewan resah dan stres sehingga dapat menyebabkan keributan dan mengganggu kenyamanan pengunjung maupun dokter hewan. Perancangan ulang ruang rawat inap non-infeksius dengan menggunakan konsep desain biofilia bertujuan untuk mengurangi stres pada hewan karena menghadirkan unsur-unsur alam ke dalam ruangan yang dapat memberikan dampak positif terhadap kesehatan dan kesejahteraan hewan. Metode penelitian dimulai dari tahap pengumpulan data, analisa data, mengangkat masalah, rencana pemecahan masalah berupa program dan konsep hingga hasil akhir desain. Aplikasi desain biofilia dilakukan dengan beberapa cara yaitu penggunaan kaca untuk menghadirkan suasana alam, pola bentuk pada permukaan dinding dan lantai yang mengacu pada bentuk daun dan pegunungan, penerapan warna alami kayu dan hijau daun pada pola dinding dan lantai serta penempatan kandang menghadap dinding, dapat mengurangi rasa stres dan meningkatkan kenyamanan manusia dan hewan.
Analysis Of The Relationship Between Factors Of Providing Complementary Foods, Exclusive Breastfeeding, And Immunization With Stunting
Authors: Yuliawati Yuliawati , Putri Reza Resinta , Widiyanti Septi , Sadiman Sadiman
Published: November 2024

Latar Belakang: Stunting merupakan kondisi tinggi badan anak lebih pendek dari standar usianya. Prevalensi stunting di Kota Metro tahun 2021 sebesar 7,29% dan meningkat menjadi 10,4% pada tahun 2022. Di Puskesmas Yosomulyo, prevalensi stunting mencapai 11% pada tahun 2021 dan tetap sama pada tahun 2022. Penelitian ini bertujuan untuk mengetahui hubungan antara pemberian MP-ASI, ASI Eksklusif, dan imunisasi lengkap dengan stunting.Metode: Penelitian ini menggunakan desain case-control dengan total sampel 66 responden, terdiri dari 33 kasus stunting dan 33 kontrol. Pengambilan sampel dilakukan dengan accidental sampling, dan data dikumpulkan melalui wawancara dan dokumentasi. Analisis data menggunakan uji Chi-Square.Hasil: Hasil penelitian menunjukkan ada hubungan signifikan antara MP-ASI dengan nilai p=0,047), ASI Eksklusif dengan nilai p=0,013, dan imunisasi dengan nilai p=0,023 dengan kejadian stunting. Simpulan: ada hubungan antara pemberian MP-ASI tidak sesuai, ASI Eksklusif, dan imunisasi tidak lengkap dengan stunting.Saran: Health workers, especially midwives, can increase the role of mothers by increasing the provision of breast milk, complementary feeding, and complete immunization according to age. Kata kunci: ASI Eksklusif, Imunisasi, Makanan Pendamping ASI, dan Stunting. ABSTRACT Background: Stunting is a condition where a child's height is shorter than the standard for their age. The prevalence of stunting in Metro City in 2021 was 7.29% and increased to 10.4% in 2022. At the Yosomulyo Health Center, the prevalence of stunting reached 11% in 2021 and remained the same in 2022. This study aims to determine the relationship between the provision of complementary feeding, exclusive breastfeeding, and complete immunization with stunting. This study used a case-control design with a total sample of 66 respondents, consisting of 33 stunting cases and 33 controls. Sampling was carried out by accidental sampling, and data were collected through interviews and documentation.Method: This study used a case-control design with a total sample of 66 respondents, consisting of 33 stunting cases and 33 controls. Sampling was done by accidental sampling.  Data analysis used the Chi-Square test.Data analysis used the Chi-Square test.Results: The results showed a significant relationship between complementary feeding with a p value = 0.047), exclusive breastfeeding with a p value = 0.013, and immunization with a p value = 0.023 with the incidence of stunting.Conclusion: There is a relationship between the provision of inappropriate complementary feeding, exclusive breastfeeding, and incomplete immunization with stunting Keywords: Exclusive Breastfeeding, Immunization, Complementary Foods, and Stunting.
Penerimaan Keluarga pada Orang dengan HIV/AIDS (ODHA)
Authors: Choiriyah Choiriyah , Pujianto Ahmat , Ose Maria Imaculata , Wahyudi Donny Tri , Paridah Paridah
Published: November 2024

ABSTRACT HIV/AIDS is still being a problem that threatens the Indonesian people. The incidence rate in 2019 was 50,282 cases and it increased by 543,100 cases in 2022. People who are HIV positive, of course, will have problems both physically and psychologically. The problem that is currently being highlighted is family acceptance of people living with HIV/AIDS (PLWHA). Since the family is the first social environment that has an emotional attachment to one another, family support is a form of family acceptance of PLWHA. This research aimed to identify the description of family acceptance of people living with HIV/AIDS. Method: A descriptive quantitative research method with univariate analysis was employed on a sample sure of 105 respondents to describe the family acceptance. The result of the analysis showed that mean of the respondents had a low level of family acceptance. It could be concluded that PLWHA still got stigma and discrimination from that families. It is expected that health personal can be more active in providing education and socialization regarding HIV/AIDS and PLWHA to families and societer to reduce stigma and discrimination on order to improve the quality of life of PLWHA. Keywords: HIV/AIDS, PLWHA, Family Acceptance   ABSTRAK HIV/AIDS masih menjadi masalah yang mengancam Indonesia. Angka kejadian tahun 2019 sebanyak 50.282 kasus dan tahun 2022 meningkat sebanyak 543.100 kasus. Bagi orang–orang yang divonis positif HIV, tentu akan memiliki masalah baik itu fisik, maupun psikologis. Permasalahan yang saat ini terus menerus disorot adalah penerimaan keluarga pada ODHA. Mengingat keluarga adalah lingkungan sosial pertama yang memiliki keterikatan emosional antar satu sama lain. Dukungan keluarga menjadi salah bentuk penerimaan keluarga terhadap ODHA. Sehingga penelitian ini bertujuan. Tujuan dari penelitian ini untuk mengidentifikasi gambaran penerimaan keluarga orang dengan HIV/AIDS (ODHA). Penelitian ini merupakan penelitian kuantitatif deskriptif yang melibatkan 105 responden. Hasil penelitian menunjukkan bahwa sebagian besar responden dengan tingkat penerimaan keluarga rendah. ODHA masih mendapatkan stigma dan diskriminasi dari keluarga. Diharapkan petugas kesehatan untuk lebih aktif dalam memberikan edukasi dan sosialisasi terkait HIV/AIDS dan ODHA kepada keluarga dan masyarakat umum untuk menurunkan angka stigma dan diskriminasi agar meningkatkan kualitas hidup ODHA. Kata Kunci: HIV/AIDS, ODHA, Penerimaan Keluarga
Hubungan Pengetahuan dengan Kepatuhan Penggunaan Insulin dada Pasien DM Tipe 2
Authors: Rangga Alfrida , Najihah Najihah , Wijayanti Dewi , Tukan Ramdya Akbar , Lesmana Hendy , Iskandar Ayuk Cucuk
Published: November 2024

ABSTRACT Diabetes is a chronic disease in the form of a metabolic disorder characterized by blood sugar levels that exceed normal limits. Type II diabetes mellitus is a disease caused by an increase in blood sugar due to a decrease in low insulin secretion by the pancreas gland. The therapy that is often used in type II diabetes patients is using insulin therapy. Insulin is a safe and effective drug in maintaining blood glucose levels within normal limits. To determine the relationship between knowledge and compliance with insulin use in Type 2 DM patients. Using a cross sectional study research method. Sampling used the Incidental Sampling technique with a sample size of 51 people. The results of the analysis from the Chi square test showed that the sig value was <0.0001 (P < 0.05), so it was said that there was a relationship between knowledge and compliance with insulin use in Type 2 DM patients. Respondents' knowledge about insulin use was related to compliance with insulin use. It is hoped that nurses can pay more attention to nursing care for patients in treating type 2 diabetes mellitus patients  Keywords: Diabetes Mellitus Type 2, Insulin, Compliance, Knowledge  ABSTRAK Diabetes adalah penyakit menahun (kronis) berupa gangguan metabolik yang ditandai dengan kadar gula darah yang melebihi batas normal. Diabetes melitus tipe II merupakan penyakit yang disebabkan kenaikan gula darah karena penurunan sekresi insulin yang rendah oleh kelenjar pancreas Terapi yang banyak dilakukan pada pasien diabetes tipe II ini yaitu menggunakan terapi insulin. Insulin merupakan obat yang aman dan efektif dalam menjaga kadar glukosa darah dalam ambang normal. Untuk mengetahui hubungan pengetahuan dengan kepatuhan penggunaan insulin pada pasien DM Tipe 2. Metode Penelitian dengan menggunakan metode penelitian cross sectional study. Pengambilan sampel menggunakan teknik Sampling Incidental dengan jumlah sampel sebanyak 51 orang. Hasil analisis dari Chi square test didapatkan tetap nilai sig sebesar <0.0001 (P < 0.05) sehingga dikatakan ada hubungan pengetahuan dengan kepatuhan penggunaan insulin pada pasien DM Tipe 2. Pengetahuan responden tentang penggunaan insulin berhubungan dengan kepatuhan dalam penggunaan insulin. Diharapkan perawat dapat lebih memperhatikan asuhan keperawatan pada pasien dalam penanganan pasien diabetes melitus tipe 2 Kata Kunci: Diabetes Melitus Tipe 2, Insulin, Kepatuhan, Pengetahuan
Pengaruh Konseling Teknik Menyusui terhadap Kejadian Lecet Puting Susu pada Ibu Multipara
Authors: Henniwati Henniwati , Fazdria Fazdria , Harahap Meliani Sukmadewi , Nurdahliana Nurdahliana , Alchalidi Alchalidi
Published: November 2024

ABSTRACT A common problem in breastfeeding is nipple blisters/pain. Due to an error in the breastfeeding technique, the baby does not breastfeed until the areola is present. The impact that occurs if the breastfeeding technique is not correct is that it can cause breast swelling, mastitis/breast abscess, anatomical abnormalities in the nipples such as sinking nipples or flat nipples, nipple blisters and breast milk does not come out optimally. This study aimed to determine the effect of breastfeeding technique counseling on the incidence of nipple blisters. This type of research is quasi-experimental with a posttest control group design. The sample in this study was multiparous postpartum mothers totaling 36 people who were divided into two groups (control and treatment)—data analysis using the Mann-Whitney test. The study results obtained in the control group showed that the mean of 13.31 was lower than that of the treatment group, which was 23.69 and the Sig. 2-tailed obtained 0.001, it can be concluded that the provision of breastfeeding technique counseling affects the incidence of nipple blisters in postpartum women. The conclusion in this study is that providing counseling on breastfeeding techniques has an effect on the incidence of sore nipples in postpartum mothers. It is expected that health workers can always provide counseling on correct breastfeeding techniques to mothers. Keywords: Counseling, Breastfeeding Technique, Nipple Chafing  ABSTRAK Masalah yang sering terjadi dalam proses menyusui adalah puting susu lecet/nyeri. Hal ini disebabkan kesalahan dalam teknik menyusui yaitu bayi tidak menyusui sampai ke areola. Dampak yang terjadi jika teknik menyusui yang tidak benar yaitu dapat menyebabkan payudara bengkak, mastitis/abses payudara, kelainan anatomis pada puting susu seperti puting susu yang tenggelam atau puting susu yang datar, puting susu lecet dan ASI tidak keluar optimal. Tujuan penenlitian untuk mengetahui pengaruh konseling teknik menyusui terhadap kejadian putting lecet. Jenis penelitian ini quasi eksperimen dengan desain posttest control group desain. Sampel pada penelitian ini ibu nifas multipara yang berjumlah 36 orang yang dibagi menjadi 2 kelompok (control dan perlakuan).Analisa data menggunakan uji mann-whitney test. Hasil penelitian didapat pada kelompok control rerata 13,31 lebih rendah dari pada rerata kelompok perlakuan yaitu 23,69 dan niali Sig. 2-tailed didapat 0,001, maka berate bahwa pemberian konseling tehnik menyusui berpengaruh terjadap kejadian putting lecet pada ibu nifas. Kesimpulan dalam penelitian ini pemberian konseling tehnik menyusui berpengaruh terjadap kejadian putting lecet pada ibu nifas. Diharapkan untuk tenaga kesehatan dapat selalu memberikan konseling tehnik menyusui yang benar kepada ibu.                     Kata Kunci: Konseling, Teknik Menyusui, Puting Lecet
Hubungan Dukungan Keluarga dengan Self Care Management Pada Penderita Hipertensi di Wilayah Kerja UPTD Puskesmas Sukawati I
Authors: Antari Luh Putu Juni , Kamaryati Ni Putu , Krisnandari D Anak Agung Istri Wulan
Published: November 2024

ABSTRACT Implementing self care management for patient with hypertension is one way to prevent uncontrolled hypertension. Successful implementation of self care management requires support from family. Good family support will influence the implementation of self care management in hypertensive patients. This stdu aims to determine the correlation between family support and self care management in hypertensive patients in UPTD Puskesmas Sukawati I. This study employed correlation analytical design with cross sectional approach. There were 166 respondents recruited as the sample through convenience sampling technique. Data was collected using questionnaires of family support and Self Care Management and analyzed by using Spearman's Rho in the SPSS version 20. The findings showed there were 67 respondents (40.4%) stated that the family support provided was in sufficient category and 126 respondents (75.9%) were in the category of good self care management. Moreover, there was a significantly associated between family support and self care management (r = 0,804, p-value = < 0,001). Based on the result of the study, it can be concluded that the better family support, the better the application of self care management in hypertensive patients. It is hoped that nurses and community officers can include the families in the hypertension control program. Keywords: Hypertension, Family Support, Self Care Management  ABSTRAK Penerapan self care management pada penderita hipertensi salah satu cara mencegah hipertensi yang tidak terkontrol. Dalam keberhasilan penerapan self care management diperlukan dukungan keluarga. Dukungan keluarga yang baik akan berpengaruh terhadap penerapan self care management pada penderita hipertensi.  Penelitian ini bertujuan untuk mengetahui hubungan dukungan keluarga dengan self care management pada penderita hipertensi di Wilayah Kerja UPTD Puskesmas Sukawati I. Desain yang digunakan dalam penelitian ini adalah analitik korelasional dengan pendekatan cross sectional. Sampel yang digunakan berjumlah 166 responden dengan teknik convenience sampling. Pengumpulan data menggunakan kuesioner dukungan keluarga dan Self Care Management serrta analisis yang digunakan adalah Spearman’s Rho menggunakan SPSS versi 20. Hasil penelitian ini menunjukkan sebanyak 67 (40.4%) responden menyatakan dukungan keluarga yang diberikan cukup. Sebanyak 126 (75.9%) responden sudah dalam kategori self care management baik. Terdapat hubungan natara dukungan keluarga dengan self care management (r = 0,804, p-value = < 0,001).  Semakin baik dukungan keluarga maka semakin baik pula penerapan self care management pada penderita hipertensi. Diharapkan perawat dan petugas ditatanan komunitas dapat mengikutsertakan keluarga dalam program pengendalian hipertensi. Kata Kunci: Hipertensi, Dukungan Keluarga, Self Care Management
Hubungan Pola Asuh Orang Tua dengan Kepercayaan Diri Mahasiswa Program Studi Keperawatan S-1 Universitas Muhammadiyah Purwokerto
Authors: Kusumawati Khadija , Yektiningtyastuti Yektiningtyastuti , Mujahid Ikhsan
Published: November 2024

ABSTRACT Parenting is intimately tied to an adult's personality. Self-confidence is one of important characteristic of personality in adolescent development. Character building for self-confidence starts with family education and parenting. The amount of self-confidence one has will affect his or her educational and career goals. This investigation aspires to determine the relationship between parenting patterns and self- confidence in S-1 Nursing college students of the Faculty of Health Sciences, Muhammadiyah Purwokerto University. This research design is descriptive correlation with cross sectional approach. A selection of 109 college student was acquired through proportional random sampling technique. Data was gathered using a questionnaire form and research data analysis using the Chi-Square test. The Chi-Square test results showed that the relationship between parental parenting style and the confidence of S-1 Nursing students was obtained with a significance value of p-value = 0.000 (pv < 0.05). There was a significant relationship between parenting patterns and the self-confidence of BSN students. Keywords: Parenting, Self-Confidence, Nursing Students ABSTRAK  Pola asuh orang tua sangat erat kaitannya dengan kepribadian seseorang saat dewasa. Rasa kepercayaan diri merupakan salah satu aspek kepribadian yang penting dalam perkembangan remaja. Pembentukan karakter kepercayaan diri dimulai dari pendidikan dan pengasuhan keluarga yaitu orang tua. Rasa Kepercayaan diri yang dimiliki seseorang akan mempengaruhi tujuan pendidikan dan karirnya. Penelitian ini bertujuan untuk mengetahui hubungan antara pola asuh orang tua dengan kepercayaan diri mahasiswa Program Studi Keperawatan S-1 di Fakultas Ilmu Kesehatan Universitas Muhammadiyah Purwokerto (FIKES UMP). Desain penelitian yang digunakan adalah deskriptif korelasional dengan menggunakan pendekatan cross-sectional. Sampel sebanyak 109 mahasiswa yang diambil melalui teknik proportional random   sampling. Pengambilan data dilakukan dengan menggunakan kuesioner. Analisis data penelitian dibantu melalui uji Chi-Square. Hasil uji Chi-Square hubungan pola asuh orang tua dengan kepercayaan diri mahasiswa Program Studi S-1 Keperawatan diperoleh nilai signifikansi p-value = 0,000 (pv < 0,05). Terdapat hubungan yang signifikan antara pola asuh orang tua dengan kepercayaan diri mahasiswa Program Studi S-1 Keperawatan. Kata Kunci: Pola Asuh, Kepercayaan Diri, Mahasiswa S-1 Keperawatan
Characteristics of Chronic Kidney Disease Patients Undergoing Hemodialysis at RSPAL Dr. Ramelan Surabaya from January to June 2022
Authors: Carolina Anita , Wibowo Prajogo , Prameswari Renata
Published: November 2024

Chronic Kidney Disease (CKD) is a persistent abnormality in kidney function or structure, with or without a decline in glomerular filtration rate (GFR) below 60 mL/min/1.73 m², lasting for more than three months. CKD diagnosis relies on markers of kidney damage and/or a reduction in GFR. Patients with advanced CKD, characterized by a GFR below 15 mL/min/1.73 m², typically require dialysis. In 2018, 60,852 individuals in Indonesia were reported to have CKD requiring lifelong dialysis. This study aims to assess the characteristics of CKD patients undergoing hemodialysis. This research employs descriptive design. The sample consists of all CKD patients undergoing hemodialysis, as recorded in the medical records of RSPAL dr. Ramelan Surabaya between January and June 2022. The findings reveal that more than half of the patients (52.7%) had been on hemodialysis for more than 12 months. Many of the patients (66.2%) were between 40 and 60 years old, with males accounting for 54.1% of the sample. Hypertension and diabetes mellitus were identified as the most common comorbid conditions (31.1%), while pain medication consumption was the least reported cause (2.7%). All patients had hemoglobin levels below the normal range (<13 g/dL for males and <12 g/dL for females) and relied on BPJS (Indonesia’s national health insurance) to cover the cost of hemodialysis. Furthermore, most patients exhibited creatinine levels exceeding 1.5 mg/dL, blood urea nitrogen (BUN) levels above 24 mg/dL, serum iron (SI) levels between 45 and 158 µg/dL, and total iron-binding capacity (TIBC) levels below 250 µg/dL.