bluuebunny/crossref_metadata_2025 huggingface dataset:
Does the perception of training in labor law knowledge affect job satisfaction and organizational commitment in commercial banks?
Authors: Dao Mong Diep , Phan Thanh Hai
Published: December 2023

This study investigates the relationship and the magnitude of the influence of perceived training in labor law knowledge on employees’ organizational commitment, with job satisfaction as a mediating factor. The study concentrates on the commercial banking sector in Vietnam, an emerging developing country in Southeast Asia. Data were gathered through interviews with 496 employees from 20 commercial banks in Vietnam. Applying partial least squares structural equation modeling, the analysis indicates that employees’ perceptions of training in labor law knowledge have both direct and indirect effects on their job satisfaction and organizational commitment. The perceived motivation for training, perceived benefits of training, perceived availability of training, and perceived support from management and colleagues all serve as significant mediators in this relationship. Notably, increased job satisfaction significantly contributes to a positive impact on employees’ commitment to the organization. However, the study results suggest that employees’ perceived benefits of labor law training do not have a significant influence on their commitment to the organization. Nonetheless, these results serve as a foundation for managerial implications, offering valuable insights to enterprise managers in the commercial bank sector to improve future labor law training.
AcknowledgmentThis collaborative research involves scholars from the University of Law – Hue University and Duy Tan University. The authors extend their gratitude to both institutions for their support and assistance in facilitating the publication of this research.
Cenário de Evidências Científicas Sobre o Sofrimento Mental de Pessoas Transgênero
Authors: Viana Rayane Emilly Neves , Pereira Ivoneide Lucena , Da Silva Francisca Vilena , De Queiroz Lívia Maria Nascimento , De Almeida Sandra Aparecida
Published: December 2023

Objetivo: Mapear a produção científica sobre o sofrimento mental em pessoas transgêneros. Método: Realizou-se uma Revisão de Escopo pautada nas etapas do Joanna Briggs Institute (JBI), seguindo as recomendações do Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews (Prisma-ScR). Foram considerados como critérios de inclusão: estudos com textos disponíveis para acesso público, publicados entre 2012 e 2022, em formato de artigo, com idiomas em inglês, espanhol ou português. As fontes de informação utilizadas foram BVS, Web of Science e CINAHL via Portal da Capes, Scielo e Scopus, com os descritores “angústia psicológica”, “pessoas transgêneros”, “psychological distress” e “transgender persons”, entre agosto e outubro de 2022. Os dados foram analisados por meio de estatística descritiva e a síntese desta análise foi organizada pela similaridade das temáticas. Resultados: Foram incluídos 24 artigos nesta revisão. Com a finalidade de agrupar informações relevantes foram destacadas três categorias principais: “Incidência do sofrimento mental”, que evidencia os índices desse sofrimento; “Discriminação e estigmas”, que apresenta a complexidade e as consequências negativas da discriminação; e “Impactos do acesso aos serviços de saúde”, que retrata a adversidade, na qual os indivíduos transgêneros não conseguem usufruir dos seus direitos dentro dos diferentes níveis de atenção à saúde. Conclusão: Evidencia-se altos índices de sofrimento mental em pessoas transgêneros quando comparadas às cisgêneras, relacionados à discriminação, preconceito, estigmas, falta de apoio social e familiar e acesso aos serviços de saúde.
Effects of Handrail Support usage during CPET on Metabolic Responses in Healthy Participants
Authors: Guiraldelli Luciano , Fontanelli Matheus de Souza , Correa Gabriel Couto , Migliorini Frederico Pauzer , Da Silva Guilherme Santos , Ulbrich Gustavo Zampier dos Santos , Ulbrich Anderson Zampier
Published: December 2023

Background: Using the support of a handrail during cardiopulmonary exercise testing (CPET) may alter physiologic parameters. The purpose is investigate the effects of handrail usage during the CPET in the metabolic parameters outcomes of young adults. Material and Methods: 39 young adults (age in years, 20.8 ± 2.9) of both sexes, 17 woman and 22 men performed two treadmill CPET on Ellestad protocol, in non-consecutive days. The first (T1) offered access to the support of a handrail; after 7 days, the second (T2) was performed without it. Differences between protocols for metabolic variables were compared using paried the t-test and repeated measures ANOVAS with interaction. Results: Regardless of sex, all participants exhibited superior results of metabolic parameters at T2 in contrast to T1. During T2, there was a major perception of respiratory and muscular effort, as well as a higher respiratory quotient for both sexes. When comparing T1 with T2, the VE/VCO2 slope was also significantly higher for women (29.31 ± 4.7 and 27.27 ± 4.53). For both sexes, when comparing the tests by stages, it was observed in stages 2, 3 and 4 higher values in the metabolic parameters for T2. The percentile difference for both sexes was 17% higher in S3 for women (T1=26.20±4.1 ml.kg-1.min-1;T2 28.79±4.2 ml.kg-1.min-1) and men (T1= 40.07±6.6 ml.kg-1.min-1; T2 45.92±4.8 ml.kg-1.min-1).Conclusion: The holding of the handrail attenuated the participants' cardiorespiratory and metabolic responses by more than 15% during CPET.
Material and Methods: 39 young adults (age in years, 20.8 ± 2.9) of both sexes, 17 woman and 22 men performed two treadmill CPET on Ellestad protocol, in non-consecutive days. The first (T1) offered access to the support of a handrail; after 7 days, the second (T2) was performed without it. Differences between protocols for metabolic variables were compared using paried the t-test and repeated measures ANOVAs with interaction.
Results: Regardless of sex, all participants exhibited superior results of metabolic parameters at T2 in contrast to T1. During T2, there was a major perception of respiratory and muscular effort, as well as a higher respiratory quotient for both sexes. When comparing T1 with T2, the VE/VCO2 slope was also significantly higher for women (29.31 ± 4.7 and 27.27 ± 4.53). For both sexes, when comparing the tests by stages, it was observed in stages 2, 3 and 4 higher values in the metabolic parameters for T2. VO2 was approximately 17% higher at T2, stage 3, for women and men.
Conclusion: The holding of the handrail attenuated the participants' cardiorespiratory and metabolic responses by more than 15% during CPET.
Retrospective Analysis of Seasonal Changes in Semen Analysis Parameters
Authors: Ates Sinan , Yener Cem , Arikan Mehmet Gurkan , Arda Ersan , Cokay Deniz , Elter Koray
Published: December 2023

OBJECTIVE: Seasonal and environmental temperature changes may affect semen analysis results. This study aimed to evaluate the effect of seasonal changes on semen analysis parameters.
Retrospective study conducted at Trakya University Faculty of Medicine, Department of Obstetrics and Gynecology, Edirne, Türkiye. Data from 2055 semen analyses collected between January 2014 and December 2019 from 1358 patients living in the Thrace region of Türkiye were analyzed retrospectively. Sperm analysis was performed according to 2010 WHO criteria.
RESULTS: Sperm concentration was significantly higher in autumn months compared to spring and summer months (p<0.05). The total motility rate of sperm was significantly lower in winter months compared to other months (p<0.05). No statistically significant seasonal differences were observed in semen volume or morphology (p>0.05).
CONCLUSIONS: Our study showed that seasonal changes in semen analysis parameters, including peak sperm concentrations in autumn and low motility rates in winter, may be related to air temperature, daylight duration, etc., and may prompt further study of environmental conditions on male fertility.
Violación de los derechos humanos a los defensores y defensoras de los derechos humanos en Colombia
Authors: Orozco Rodríguez Lucero
Published: December 2023

Mediante la presente investigación, se busca realizar una descripción clara frente al concepto de trabajo teniendo en cuenta las normativas internacionales y nacionales para que bajo este concepto se pueda brindar una revisión frente a la estabilidad laboral que tienen los defensores y defensoras de los Derechos Humanos, y lo vulnerables que son a las violaciones sistemáticas contra sus Derechos Humanos por ser partícipes de una actividad social.
En este mismo sentido se busca tener en cuenta las funciones que ejerce un defensor o defensora de los Derechos Humanos puesto que en la Resolución 1671/1999 en donde la Comisión Interamericana De Derechos Humanos y la Organización de los Estados Americanos establece quienes son defensores y defensoras de los Derechos Humanos y que funciones deben cumplir.
El objeto de la presente es investigar y dar a conocer el incumplimiento por parte del Estado colombiano a la protección y garantía como un Estado social de derechos y siendo Estado parte a la ratiﬁcación de la Declaración Universal de los Derechos Humanos, de quienes ejercen este ejercicio a la defensa de los Derechos Humanos en Colombia, involucrando el aumento de asesinatos de nuestros defensores y defensoras de los Derechos Humanos en Colombia examinando los convenios y tratados internacionales, ratiﬁcados por Colombia, en donde se busca la protección a la vida, seguridad y libertad laboral, teniendo en cuenta las diferentes resoluciones y directivas por entidades estatales en Colombia en donde buscan minimizar las violaciones de DD.HH. de nuestros defensores y defensoras de los Derechos Humanos en Colombia y proponiendo estrategias para su protección gracias a políticas públicas existentes o complementando a los diferentes programas y estrategias estatales que hay frente a estas vulneraciones a los Derechos Humanos.
Salud de las personas transgénero: panorama de protección desde la jurisprudencia de la Corte Constitucional
Authors: Carmona Montoya Adiley
Published: December 2023

Actualmente organizaciones de carácter internacional, así como las legislaciones de diversos países del mundo, se han preocupado por profundizar en aquellos temas y problemáticas relacionadas con la identidad de género, la diversidad sexual y la variabilidad de género, buscando suplir la necesidad de dar visibilidad y reivindicar los derechos que son inherentes a todas las personas y que, por diversas circunstancias, entre otras, los roles sociales y las costumbres, se han visto amenazados o vulnerados. Es así como el derecho a la salud de las personas transgénero no resulta ser la excepción respecto a la realidad de la vulneración de derechos y discriminación.
Jestem INFP, a Ty? Wpływ internetowego testu osobowości Myers-Briggs na tożsamość człowieka w kulturze płynnej nowoczesności
Authors: Kus Edyta
Published: December 2023

Przedmiotem badania zaprezentowanego w artykule jest popularny test osobowości Myers-Briggs, a celem wykazanie potencjału, jaki ów test posiada, by być narzędziem reprodukcji władzy i tym samym wpływać na tożsamość człowieka w postmodernistycznych czasach niepewności. Główne wnioski płynące z badania osadzone są w ramach teoretycznych kultury algorytmów powstałej na bazie potrzeby upraszczania rozmaitych elementów świata. Zwracają one uwagę na społeczny wymiar tożsamości oraz proces kwantyfikacji, jakiemu ona podlega. Sprowadzenie osobowości do liczb odbywa się nie tylko na poziomie podziału społeczeństwana 16 typów, ale również m.in. poprzez wykorzystanie skali odpowiedzi w teście, zaprezentowanie cech charakteru za pomocą procentów czy skróty literowe opisujące poszczególne typy. Jako metoda badawcza posłużyła krytyczna analiza dyskursu.
New Ureas and Amides - An Account of Recent Trends and Developments in Low
Molecular Weight Gelators
Authors: Patel Ajaykumar Manibhai , Bhardwaj Varsha , Ballabh Amar
Published: December 2023

The last 20 years have witnessed major advancements in the field of supramolecular
chemistry and have brought us closer to the designing of low molecular
weight gelators with desired properties and applications. In that regard, amide- and ureabased
gelators comprise a unique class as they are extremely versatile in terms of molecular
design and offer a wide range of applications, like anion responsive materials,
selective sensing of heavy metal ions, environmental remediation and many more. Both
sets of compounds have similar molecular scaffolds, making them an excellent tool to
determine the relative importance of the supramolecular interactions involved in the
gelation process. Besides, the concept of crystal engineering can also be employed to
understand the underlying mechanism of gelation by scrutinizing the interactions and
supramolecular assemblies formed by these systems. In this article, we focus on various supramolecular
assemblies formed by various amide and urea derivatives and their recently reported applications to establish
structure-property correlation and their futuristic aspects.
Hypertension Management in Peripheral Artery Disease: A Mini Review
Authors: Kharawala A. , Nagraj S. , Pargaonkar S. , Seo J. , Kokkinidis D.G. , Altin S.E.
Published: December 2023

Lower extremity peripheral artery disease (PAD) affects over 230 million adults globally, with hypertension being one of the major risk factors for the development of PAD. Despite
the high prevalence, patients with hypertension who have concomitant PAD are less likely to receive adequate therapy. Through this review, we present the current evidence underlying hypertension management in PAD, guideline-directed therapies, and areas pending further investigation. Multiple studies have shown that both high and relatively lower blood pressure levels are
associated with worse health outcomes, including increased morbidity and mortality. Hence,
guideline-directed recommendation involves cautious management of hypertensive patients with
PAD while ensuring hypotension does not occur. Although any antihypertensive medication can
be used to treat these patients, the 2017 American Heart Association/American College of Cardiology (AHA/ACC), 2017 European Society of Cardiology (ESC), and 2022 Canadian guidelines favor the use of angiotensin-converting enzyme inhibitors (ACEI) or angiotensin receptor
blockers (ARB) as the initial choice. Importantly, data on blood pressure targets and treatment of
hypertension in PAD are limited and largely stem from sub-group studies and post-hoc analysis.
Large randomized trials in patients with PAD are required in the future to delineate hypertension
management in this complex patient population.
Selvbiografi som en performativ akt. En undersøgelse af Leonora Christina Skovs selvbiografiske romaner
Authors: Malinowska Kamila
Published: December 2023

The aim of the article is to examine the self-creation process depicted in Leonora Christina Skov’s two autobiographical novels (Den, der lever stille [2018], Hvis vi ikke taler om det [2021]). The theory underlying this analysis is that autobiographical acts are in their essence more performative than constative. Following the post-structuralists claims, the study assumes that an autobiographical project consists in (re)creating the author's self rather than reflecting them as a pre-existing individual. Furthermore, self-narration will be considered here as necessary in the process of identity formation just as it is stated in Lacan’s identity theory. Such a project of (re)making oneself through self-narration is taken in Skov’s novels and its structure consists of three main phases. The first concerns processing the childhood traumas as well as fighting for independence as an individual. The second involves delivering a specific model of oneself through the text production. The third consists of making corrections in the previously made self-portrayal (and thus placing the identity formation in a state of constant motion). The novels’ main character’s striving to take control over the narrative of her life resonates perfectly with the trends of our time, where identity is often demonstrated as an ongoing process of portraying oneself through various media.
Geen plaats van bestemming. Over Honger van Knut Hamsun
Authors: Van der Liet Henk
Published: December 2023

Met de roman Sult brak de Noorse schrijver Knut Hamsun (1859-1952) in 1890 definitief door. In de decennia die op dit eerste succes volgden, schreef hij nog tientallen romans, toneelstukken en gedichten die samen een omvangrijk, veel gelezen en ook veel besproken oeuvre vormen. In 1920 ontving Hamsun de Nobelprijs voor de letterkunde voor zijn roman Hoe het groeide (1917). De literaire vernieuwing die Hamsun teweegbracht is in de eerste plaats te danken aan Sult of Honger zoals de roman in het Nederlands heet. Honger gaat over een straatarme sloeber, die in het Oslo van de late 19de eeuw gaandeweg aan de honger dreigt te bezwijken. Deze anonieme ik-verteller kan nog net de eindjes aan elkaar knopen door zo af en toe een stukje aan een krant of tijdschrift te slijten. Maar de honger krijgt steeds meer vat op hem en drijft hem, niet alleen lichamelijk maar ook geestelijk, steeds verder richting de afgrond. De werkelijkheid wordt steeds onsamenhangender en spiegelt op die manier de hectiek van het leven in de moderne stad, een stad die nauwelijks op het toen nog provinciaalse Oslo lijkt, maar meer gemeen heeft met dynamische wereldsteden als Chicago en New York. In deze bijdrage wordt Honger gelezen als een claustrofobisch-psychologisch journaal vol menselijke ontreddering, zelfbeklag en zelfbedrog, maar ook met humor en een kritische houding ten aanzien van de heersende tijdgeest aan het einde van de 19de eeuw. In dit essay wordt Honger gepresenteerd tegen de achtergrond van een ironische, cultuurkritische traditie en de bewogen levensloop van de auteur. Wat dat laatste betreft is de carrière van Hamsun een ware achtbaan geweest: opgegroeid in deerniswekkende omstandigheden, later op handen gedragen als een van de grootste Noorse schrijvers van zijn tijd en uiteindelijk tot op het bod verguisd vanwege zijn collaboratie met de Duitse bezetter.
Współpraca międzynarodowa województwa mazowieckiego Umowy o współpracy zagranicznej Część pierwsza
Authors: Faliński Stanisław
Published: December 2023

Artykuł jest poświęcony współpracy międzynarodowej największego polskiego województwa samorzą- dowego, czyli Mazowsza. Ze względu na swoją objętość jest on podzielony na dwie części. Pierwsza, poniżej publikowana, nosi tytuł Umowy o współpracy zagranicznej. Przedstawiono w niej Priorytety współ- pracy zagranicznej województwa mazowieckiego oraz szczegółowo i analitycznie omówiono wynikające z Priorytetów umowy o współpracy Mazowsza z jego zagranicznymi partnerami z Europy i ze świata. Słowa kluczowe: samorząd wojewódzki, województwo mazowieckie, współpraca międzynarodowa
Financial Literacy and Financial Fragility in Mexico
Authors: Moreno-García Elena , Hernández-Mejía Sergio , Salazar Núñez Héctor Francisco
Published: December 2023

El objetivo de esta investigación es analizar la relación entre la fragilidad financiera de los mexicanos y las siguientes variables: alfabetización financiera, ahorro, tenencia de activos, shocks financieros, educación financiera e inclusión financiera. También se identifican las características socioeconómicas y demográficas asociadas a la fragilidad financiera. Se utiliza un modelo Probit dicotómico estimado con datos de la Encuesta Nacional de Inclusión Financiera, 2021. Los resultados muestran que la alfabetización financiera, el ahorro (formal e informal), la educación financiera y la tenencia de activos se relacionan negativamente con la probabilidad de ser financieramente frágil. Los altos ingresos y la tenencia de ahorros formales e informales son los predictores más robustos de fragilidad financiera, con un efecto marginal de -9.40%, -5.34% y -5.27%, respectivamente. La probabilidad de ser financieramente frágil está relacionada con bajos ingresos y bajo nivel educativo, así como haber experimentado sobreendeudamiento en el último año. Los hallazgos pueden ser de utilidad para el diseño de estrategias de educación financiera que brinden a la población capacitación y de esta forma protección contra la disminución de ingresos.
Asociación entre enfermedad periodontal y enfermedad de Alzheimer
Authors: García-Vásquez Andrea Tamara , Vidal-Chávez Sandy Ruth , Anccasi-Zevallos Miriam , Franco-Quispe Gina Adaliz , Ramos-Perfecto Donald , Mattos-Vela Manuel Antonio
Published: December 2023

La periodontitis es una enfermedad crónica que genera un deterioro progresivo de la salud periodontal y se caracteriza por inflamación de la encía, sangrado, bolsa periodontal, movilidad dental, así como la presencia de bacterias periodontopatógenas, como la Porphyromonas gingivalis, Aggregatibacter actinomycetemcomitans, Fusobacterium nucleatum, entre otras, agravan el estado cognitivo de estos pacientes y según varios estudios apuntarían a una potencial relación con la enfermedad de Alzheimer; enfermedad neurodegenerativa que se identifica por ocasionar demencia, pérdida de la memoria y disfunción cognitiva; asociada a múltiples factores de riesgo. Se confirmó la relación entre la enfermedad periodontal y enfermedad de Alzheimer, donde la presencia de bacterias periodontopatógenas agrava el estado cognitivo de los pacientes con este tipo de demencia. Conclusión: existe una relación importante entre la enfermedad periodontal y el Alzheimer, sustentado en estudios observacionales.
Palabras clave: Enfermedades periodontales, Enfermedad de Alzheimer, Inflamación, Demencia.
Effect of Foliar Application of Alhagi maurorum Extract on Foeniculum vulgare Growth
Authors: Hantoosh Neamah Wurood , Ali Hasan Fatimah
Published: December 2023

Among medicinal plants humans use, fennel (Foeniculum vulgare) is essential due to its flavor and health benefits. A clean environment requires sustainable methods to reduce soil, water, and air pollution. Camel thorn (Alhagi maurorum) is a desert plant distributed widely in Iraq. This experiment investigated the effect of A. maurorumextract spraying on vegetative, floral, and seed numbers of F. vulgare. 0, 1.5 and 3 g L-1 concentrations of shoot root extracts of A. maurorumwere utilized as a foliar application on F. vulgare.A significant increase in studied characteristics of F. vulgare was obtained under extract treatments. Spray with 3 and 1.5 g L-1 of shoot root extracts obtained the highest number of seeds per plant. The results of the present study exhibited a potential to use A. maurorum as a natural fertilizer.

Keywords: Foeniculum vulgare; Alhagi maurorum; foliar application; natural fertilizer; flavonoids; essential oil.
Machine Learning Approaches for the Image-Based Identification of Surgical Wound Infections: Scoping Review
Authors: Tabja Bortesi Juan Pablo , Ranisau Jonathan , Di Shuang , McGillion Michael , Rosella Laura , Johnson Alistair , Devereaux PJ , Petch Jeremy
Published: December 2023

Background

Surgical site infections (SSIs) occur frequently and impact patients and health care systems. Remote surveillance of surgical wounds is currently limited by the need for manual assessment by clinicians. Machine learning (ML)–based methods have recently been used to address various aspects of the postoperative wound healing process and may be used to improve the scalability and cost-effectiveness of remote surgical wound assessment.

Objective

The objective of this review was to provide an overview of the ML methods that have been used to identify surgical wound infections from images.

Methods

We conducted a scoping review of ML approaches for visual detection of SSIs following the JBI (Joanna Briggs Institute) methodology. Reports of participants in any postoperative context focusing on identification of surgical wound infections were included. Studies that did not address SSI identification, surgical wounds, or did not use image or video data were excluded. We searched MEDLINE, Embase, CINAHL, CENTRAL, Web of Science Core Collection, IEEE Xplore, Compendex, and arXiv for relevant studies in November 2022. The records retrieved were double screened for eligibility. A data extraction tool was used to chart the relevant data, which was described narratively and presented using tables. Employment of TRIPOD (Transparent Reporting of a Multivariable Prediction Model for Individual Prognosis or Diagnosis) guidelines was evaluated and PROBAST (Prediction Model Risk of Bias Assessment Tool) was used to assess risk of bias (RoB).

Results

In total, 10 of the 715 unique records screened met the eligibility criteria. In these studies, the clinical contexts and surgical procedures were diverse. All papers developed diagnostic models, though none performed external validation. Both traditional ML and deep learning methods were used to identify SSIs from mostly color images, and the volume of images used ranged from under 50 to thousands. Further, 10 TRIPOD items were reported in at least 4 studies, though 15 items were reported in fewer than 4 studies. PROBAST assessment led to 9 studies being identified as having an overall high RoB, with 1 study having overall unclear RoB.

Conclusions

Research on the image-based identification of surgical wound infections using ML remains novel, and there is a need for standardized reporting. Limitations related to variability in image capture, model building, and data sources should be addressed in the future.
Health Storylines Mobile Application and Self-Management Among Chronically Ill Patients: A Quasi-Experimental Research Design (Preprint)
Authors:   F1 SLU BSN 2024
Published: December 2023

BACKGROUND

Self-management plays a crucial role in the care of individuals with chronic illnesses. Among these individuals, those afflicted with chronic illnesses constitute a distinct cohort that necessitates tailored nursing care. Mobile applications (mAPPs) have emerged to accommodate the diverse health needs of this population. However, feedback on the improvement of self-management remains inconsistent, and existing scientific literature concerning the efficacy of mAPPs on self-management among chronically ill Filipino patients remains limited.

OBJECTIVE

The study aims to investigate the usability and effectiveness of the Health Storylines mAPP in conjunction with pamphlets for enhancing self-management among individuals with chronic illnesses in Baguio City, Philippines.

METHODS

The study utilized a two-arm quasi-experimental research design to evaluate the usability and effectiveness of the Health Storylines mAPP in improving self-management among chronically-ill patients in Baguio City. Convenience non-random sampling was employed to select study participants who were aged 18 years old or above, diagnosed with a chronic illness within the last 6 months, residing in Baguio City, and possessed smartphones and internet connectivity. The intervention group received the mAPP to be utilized for four weeks, while the comparison group received a placebo pamphlet. Data were collected using the Self-Management Assessment Scale (SMASc), and outcomes were analyzed pre- and post-intervention.

RESULTS

A total of 33 individuals were recruited, with 17 assigned to the intervention group and 16 to the comparison group. Pre-test results revealed that the participants are capable of always managing their own condition (μ= 5.20 and SD= 0.70). Post-test analysis among those in the intervention group revealed a non-significant decrease in mean value at 5.00 with a paired t-test value of 1.14 and p-value of 0.27. The comparison group exhibited a non-significant increase in mean value at 5.37 with a paired t-test value of -0.52 and p-value of 0.61. Overall, there was no significant difference in self-management scores between the intervention group (μ= 5.00, SD= 0.80) and the comparison group (μ= 5.30, SD= 0.92), as shown by the non-significant U-test results (U= 83.50, df= 28.0, p=0.23).

CONCLUSIONS

Based on the findings, it can be concluded that the majority of the participants demonstrated the capability to effectively manage their health conditions. The utilization of technological innovations such as the Health Storylines mAPP had a limited influence or marginal impact on self-management. However, it was observed that the use of pamphlets showed a positive effect on self-management.
EXCITING STUDENT CURIOSITY FOR A FUTURE CAREER: COVID-19 PANDEMIC ELECTIVE COURSE PROGRAM
Authors: Astuti Triwahju , Duta Garinda Alma
Published: December 2023

Background: Medical education disruptions as the impact of COVID-19 pandemic transform the way of Faculty of Medicine, Universitas Brawijaya conducted an elective clerkship program session.Aims: We consider evaluating the purpose and passion of 194 medical students that join the 2 weeks virtual Elective Course Program.Curriculum Discussion: Fifty-two tutors and 56 topics are involved. This integrates e-learning program divided into three Google Classrooms elective program. The survey at the end of program expressed the satisfaction of most of the students (59.7%). The online course programs also describe the future plan for the students. Seventy-one per cent students wish to continue specialization programs soon within a year after graduating and this interest is consistent and tends to grow after fifteen years from now.Conclusion: The enthusiasm to pursue a career seems has not been limited due to the COVID 19 Pandemic.
SURVEY OF DENTAL STUDENTS’ SELF-PERCEIVED PRACTICE, ATTITUDE, AND KNOWLEDGE TOWARD EVIDENCE-BASED DENTISTRY IN INDONESIA
Authors: Baqir Ahmad Haidar , Firman Dani Rizali , Putri Fidya Meditia
Published: December 2023

Background: Currently, evidence-based dentistry (EBD) is considered as the “gold standard” in providing oral healthcare. EBD integrates the best scientific evidence with the dentist’s clinical expertise and patient’s value. The aim of this study was to assess dental students’ practice, attitude, and level of knowledge toward EBD in Indonesia.Methods: In this descriptive cross-sectional study, dental students in Indonesia who were at least in their third semester of the clinical program were asked to fill out an online questionnaire. Samples were obtained using the convenience sampling technique. The instruments used were the Indonesian version of Student Evidence-based Practice Questionnaire (S-EBPQ) and a set of sociodemographic questions. Descriptive analysis was conducted in this study.Results: Three hundred eighty-one dental students from 22 dental schools in Indonesia completed the questionnaire and met the criteria needed. The means score of practice, attitude, knowledge in retrieving & reviewing evidence, and knowledge in sharing & applying evidence were 5.02 ± 0.96, 5.75 ± 0.99, 4.86 ± 0.88, and 5.22 ± 0.87.Conclusion: Dental students in Indonesia believe that their level of knowledge and frequency in practicing steps in EBD were tolerable. They also showed a positive attitude toward the implementation of EBD in clinical practice.
STUDENT EXPERIENCE IN CREATING SIMULATION VIDEOS OF EXPERT WITNESS TESTIMONY IN COURT: FROM THE THEORY TO PRACTICE
Authors: Suryadi Taufik , Mulya Intan Chaharunia , Kulsum Kulsum
Published: December 2023

Background: This study aims to explore the experience of clinical students studying at the Department of Forensic medicine in creating simulation videos of expert witness testimony in court.Methods: This one-center study used a qualitative story telling design. Twenty clinical students volunteered to simulate expert witness testimony in court by taking 59 recorded scenes as teaching materials for preclinical medical students. The room was set resembling to a courtroom following the instruction of scriptwriter and director by lecturer. Students were distributed into several playing characters such as judges, prosecutors, lawyers, defendant and doctors, while others served as assistant directors, cameramen, narrator, scene takers, artistic directors, equipment stylists, and editors. The scenario is outlined in detailed scenes to guide the students in performing the characters. After completing the simulation, each student reflected on their experience during the creation of simulation video. The results of these reflections are then compiled into a learning concept adjusting to narrative medicine.Result: Students claimed that they obtained new experiences during the learning process. The experience allowed students to learn in more interesting way by transforming theory into practice. Students also agreed on proposing this learning channel as a breakthrough in learning process. Creating simulation video plays a significant role in the audiovisual learning process which supported students comprehending the process of giving an expert witness testimony.Conclusion: Transforming education into video simulation is recommended as a game changer in a learning process. Most medical students are likely to absorb the knowledge better when it is applied into video simulation.
THE VIRTUAL NEUROLOGY EXAMINATION AS A LEARNING TOOL FOR MEDICAL STUDENTS UNDERGOING CLINICAL CLERKSHIPS DURING THE PANDEMIC ERA OF COVID-19
Authors: Pinzon Rizaldy Taslim , Veronica Vanessa
Published: December 2023

Background: Due to the critical importance of the COVID-19 pandemic in the educational system, medical academics must consider safe and appropriate clinical clerkship learning methodologies and models implemented during the pandemic.Aims: This study aimed to construct and evaluate virtual neurology examination as a tool for medical students undergoing clinical clerkships.Learning Media Review: This learning media review was action research conducted at Bethesda Hospital Yogyakarta, Indonesia. This study was conducted in two stages: developing a virtual neurology examination and evaluating student feedback. This study enrolled 12 medical students, the majority of whom were female (58%). The majority of medical students agreed that the virtual neurology assessment was a good overall experience (83%), with the majority stating that the image and sound quality were good (75%) and the virtual neurology examination cases were quite varied (66.5%). Nine medical students (75%) strongly supported the continuation of the virtual neurology examination program, while three medical students (25%) supported its continuation.Conclusion: This study indicates that virtual neurology examination is feasible and can serve as a helpful learning tool for medical students undergoing clinical clerkships during the COVID-19 pandemic.
LESSON LEARNED FROM PILOTING COLLABORATIVE ELECTIVE POSTING FOR MEDICAL STUDENTS BASED ON LOCAL WISDOM
Authors: Mustika Rita , Felaza Estivana , Fadhilla Maulida Rohmatul
Published: December 2023

Background: The COVID-19 Pandemic urges medical education to adjust the learning process, one of which is to become more efficient. Sharing resources is one of the adjustments that could be applied, and the elective posting based on Indonesia’s local wisdom could be one of the options. Therefore, we want to share the lesson learned from a collaborative elective posting between three faculty of medicine in Indonesia that can be a model for other medical institutions in sharing resources for learning.Aims: This case study aims to describe the implementation and lessons learned from an elective posting program.Case discussion: The collaborative elective posting is the elective posting module developed by three medical institutions from three different areas based on each of their local wisdom. Each institution recruits two pre-clinical students from another institution to join the module together with a group of students from the original institution. The module is four weeks long and worth three credits. Various learning methods, including lectures, small group discussions, and field studies, were used in each module. The goal of each module was assessed by portfolio, final report, and final writing test. At the end of the module, a self-administered questionnaire was used to assess student and team satisfaction. All students (100%) enjoyed the module and received excellent final grades ranging from A- to A; however, there were some difficulties in the module management, including scheduling and facilities.Conclusion: The collaborative elective posting is a learning innovation that can be utilized to improve medical education efficiency and efficacy.
QUALITATIVE EVALUATION OF MORAL DILEMMA DISCUSSION PROGRAM FOR UNDERGRADUATE MEDICAL STUDENTS
Authors: Pratomo Fransiskus Aryo , Rahayu Gandes Retno , Suhoyo Yoyo
Published: December 2023

Background: In order to achieve professionalism in the medical profession, competence in medical knowledge and skills is crucial. However, equally important are affective components that encompass moral values. At Widya Mandala University Medical School, moral dilemma discussions are employed as a method to enhance the ethical and moral development of students. To optimize the impact of this method on students, it is necessary to delve deeper into the processes that occur within it. This study aims to qualitatively evaluate the student experience of moral dilemma discussions in terms of their moral development and ethical reasoning, their perception of the method as a learning tool, and their assessment of its effects on their moral development and ethical reasoning.Methods: This study utilized a qualitative phenomenological approach to assess the student experience of moral dilemma discussions. In-depth interviews were conducted with 15 student participants from three different academic years. The data obtained were qualitatively analyzed using the thematic analysis method.Results: The in-depth interviews with the 15 study participants yielded four main themes, namely moral development, self-development, the process of assimilation and accommodation, and enabling factors.Conclusion: All students who took part in the study reported a self-perception of higher stage of moral development. According to their experiences, moral development occurred through a process involving ethical contextualization, exposure to various points of view, and reflection. Important factors to consider include sufficient preparation, an active and enjoyable atmosphere, the use of relevant cases, and a longitudinal process.
REASONS FOR COMMITTING OR AVOIDING ACADEMIC DISHONESTY AND SOLUTIONS AMONG PRECLINICAL DENTAL STUDENTS DURING THE COVID-19 PANDEMIC: A GROUNDED THEORY APPROACH
Authors: Asmara Aditya Hari , Rahayu Gandes Retno , Prihatiningsih Titi Savitri
Published: December 2023

Background: Virtual education implemented during the COVID-19 pandemic has various limitations and one of the biggest challenges is academic dishonesty. Global research related to reasons for committing or avoiding academic dishonesty among preclinical dental students during the COVID-19 pandemic is still very limited. This study aimed to explain the reasons for committing and avoiding academic dishonesty as well as the solutions among preclinical dental students during the COVID-19 pandemic.Methods: The grounded theory approach was used by conducting semi-structured virtual in-depth interviews with preclinical dental students. Participants were selected using purposive, snowball, and maximum variation sampling. Interview transcripts were analyzed using a constant comparative approach.Results: The reasons for committing and avoiding academic dishonesty as well as the solutions among preclinical dental students during the COVID-19 pandemic can be explained by the same two factors: internal and external. Internal factors are students, while external factors are teachers and learning activities.Conclusion: Teaching adequate professionalism to students, effective faculty development, and "especially" improving learning activities can be preventive efforts against academic dishonesty.
INTEGRATION OF LEADERSHIP TRAINING IN THE MEDICAL AND HEALTH PROFESSION EDUCATION CURRICULA
Authors: Ekayani Ni Wayan Diana , Findyartini Ardi , Anugrapaksi Eghar , Nadarajah Vishna Devi V.
Published: December 2023

Background: Leadership is a crucial competency for health professions to collaborate and improve health services. Health profession schools should facilitate students in developing leadership competency to prepare them for their duties in the future.Gaps: Indonesia has complex health problems, high-power distance, and collectivist culture. Leadership training in Indonesia has not been widely reported. The tight curriculum, lack of students' awareness about the importance of leadership competency, and students who focus on improving knowledge and skills about their profession are challenges in integrating leadership into formal education.Recommendation: Health profession schools should identify the needs and domain of leadership competency in the respective profession. We should also identify opportunities to integrate leadership into the curricula. Integration of the leadership program should be conducted longitudinally, all along with the curricula. Preparation of learning methods, systematic assessment, and faculty development should be considered. Last, students must be involved and supported in every activity to make them engage with the program and learn best.
HOW TO DEAL WITH BURNOUT DURING ONLINE LEARNING IN MEDICAL EDUCATION? A SYSTEMATIC REVIEW
Authors: Arigi Lalu Ahmad Gamal , Mustika Rita , Greviana Nadia
Published: December 2023

Background: During their education, medical students face various types of stress in medical school. The COVID-19 pandemic has caused significant changes in communication. Technology improves the usage of telecommunications in medical education, making students spend more time staring at screens, tablets, and smartphones, which may affect stress and lead to burnout. This study aims to explore burnout and strategies for reducing the occurrence of burnout in students during online learning.Method: This study is a systematic review aimed at exploring the burnout phenomena in medical students doing online learning and strategies to prevent it. The journal articles were sought from the PubMed, Google Scholar, and Springerlink databases. We applied the inclusion and exclusion criteria to select the relevant journal articles. We analyze the validity and review the articles descriptively. Results: After the systematic selection of the journal articles, there are 28 full journals related to burnout and prevention strategies. The result defines Burnout as an individual's reaction to long-term work stress that lasts for a long time and can become chronic. In this article, six strategies can be used by institutions, educators, and students to help overcome the incidence of burnout during online learning.Conclusion: There is a need for a strategy carried out by institutions that provide facilities to provide emotional support to students; develop educators to prevent burnout during the learning process; apply healthy practices in preventing the eyes from doing ice-breaking between online learning sessions, and use various visual interactive learning methods to increase the interest and motivation of students to avoid burnout during online learning.
CLINICAL EDUCATION DURING COVID-19 PANDEMIC: EXPLORING MEDICAL STUDENTS AND CLINICAL SUPERVISORS’ EXPERIENCES
Authors: Noija Stazia , Suhoyo Yoyo , Hidayah Rachmadya Nur
Published: December 2023

Background: COVID-19 has become a global pandemic that has caused significant changes, including in the context of implementing clinical education. Medical students and clinical supervisors face various adjustments that become a dilemma. This study aims to explore the implementation of clinical education in the era of the COVID-19 pandemic based on the experiences of medical students and clinical supervisors.Methods: Qualitative research was performed using purposive sampling. Informant interviews were arranged until data saturation was achieved, followed by an analysis process using thematic analysis.Results: Seven themes were identified, including learning opportunities and engagement, interaction with patients, communication and interaction with colleagues and supervisors, facility and individual management, supervision process, awareness and confidence, and evaluation and assessment on clinical rotation. The results of this study indicate several changes in the implementation of clinical education during the COVID-19 pandemic compared to before the COVID-19 pandemic.Conclusion: There are several noticeable changes in the implementation of clinical education during the COVID-19 pandemic compared to before the pandemic by referring to the experiences of medical students and clinical supervisors. It is related to the factors that influence the implementation of clinical education during the COVID-19 pandemic.
CHALLENGES AND FACTORS INFLUENCING THE IMPLEMENTATION OF CLINICAL SKILL TRAINING AS A TRANSITION TO CLERKSHIP COURSE
Authors: Aisyah Windy Nurul , Hidayah Rachmadya Nur , Suhoyo Yoyo
Published: December 2023

Background: Transitioning from a preclinical environment to clinical practice requires different skills than academic abilities.  Medical students and tutors must make various adaptations that can be challenging during the clinical transition. Efforts to improve student preparation to face the transition from preclinical to clinical can be done with transition-to-clerkship courses (TTCC). The purpose of this study is to find out the benefits and challenges of implementing the Clinical Skill Training (CST) program as a transition-to-clerkship course (TTCC)Methods: Qualitative research with a case studies approach was performed using purposive sampling. Focus Group Discussion (FGD) and the in-depth interview continued until data saturation was reached, after that thematic analysis approach was used to do the analysis.Results: Students stated that CST is a learning program aimed at refreshing or recalling previously obtained material.  Apart from being a material refresher program, CST facilitates peer learning about exchanging information and giving each other feedback. The tutors thought that CST can bridge the knowledge gap possessed by previous students regarding a disease diagnosis. The link between theory and practice of action will be strengthened during CST. The challenges include supervisor absence, lack of facilities, short intervention time, incomplete evaluation tools, and lack of clinical case variety.Conclusion: The implementation of CST can improve clinical reasoning, provide focused skills learning, and as a good transition program. This study should be used as feedback for the CST program, and further study is suggested to generalize the findings nationwide.