bluuebunny/crossref_metadata_2025 huggingface dataset:
The moment of communicating the diagnosis of neuromuscular diseases: an integrative review
Authors: Fernandes Isabella Araujo Mota , Batista Alex Novais , Melo Letícia Pinheiro , Menezes Renata Oliveira Almeida , Rego Guilhermina
Published: May 2021

Background: The communication of diagnosis of neuromuscular genetic diseases is a very important moment, because if there is a lack of understanding about the disease, it can limit decision-making, compromising freedom and autonomy of the patients, with several repercussions, such as tendency towards more aggressive therapies in detriment of ensuring better quality of life. Methods: The guiding question was: did the moment of communicating the diagnosis of neuromuscular diseases value the ethical principles of beneficence, non-maleficence and autonomy? So it was carried out a integrative review with the search for original research articles in the portals Pubmed, Bireme and Scopus between November 2020 and March 2021, whose descriptors were (“Muscular Diseases" OR "Neuromuscular Diseases") AND "Truth Disclosure".Results: Only one article was found, published in 1983, which had as object of study the diagnosis of Duchenne Muscular Dystrophy. In this study, most patients received the diagnosis without the support of a family member, the time elapsed until the diagnosis was variable, with greater satisfaction for those who had their diagnosis more quickly. Another relevant factor in satisfaction was the scheduling of a return visit to answer questions and discuss the disease management.Conclusions: The present studies deal with clinical observations, screening methods, complementary exams and treatments, but little is discussed about the communication of the diagnosis and how this moment impacts on the lives of the patients. Thus, the ethical principles of non-maleficence, beneficence and autonomy must also be applied when diagnosing these diseases, in order to ensure a better doctor-patient relationship and better follow-up of the disease.
PART-TIME WORK FOR UNIVERSITY STUDENTS
Authors: Zaitsev O. , Dvorianova T.
Published: May 2021

The article draws attention to the Ukrainian full-time students (bachelor's and master's levels of education) who want to combine their studies at a higher education institution with temporary short-term paid work. It is a situation is considered when a full-time student, who has the main activity of the study process in a higher education institution, has a desire to temporarily or once perform certain types of work in order to obtain income. For a student this work is not the main activity, but it is an activity that can take place only in his extracurricular time. In other words, our study examines current employment opportunities for full-time students (bachelor's and master's levels of education) to their free time or in extracurricular activities.
This article is about the state of opportunities and directions of organizing temporary employment with payment for work performed for full-time students. The article examines that about 90-99% of full-time students do not have the opportunity to improve their financial situation by applying for a paid job in the educational institution where they study. The study presented in the article showed that in Ukraine there are from 500 to 600 thousand full-time students (bachelor's and master's levels of education) who do not have an entrepreneurially organized opportunity for fast and reliable temporary part-time work. Each student is looking for a temporary part-time job individually and individually outside of their institution.
It is proposed to create such an entrepreneurial structure, which, on the one hand, tracks, collects and accumulates applications from legal entities and individuals for certain temporary jobs, and on the other hand, forms its own database of students wishing to work for pay. We are talking about a service business structure subordinated to the educational institution. In Ukraine, such structures are a rare phenomenon. Thus, according to the authors, the further development of research in the direction of the organization of student part-time work includes the development of entrepreneurial measures to create the above service structures under the direct regulation of the educational institution where the student studies.
Status małżeństw nieważnych z powodu zaistniałej przeszkody lub braku formy kanonicznej w kanonicznym porządku prawnym (kan. 1107 KPK)
Authors: Dzierżon Ginter
Published: May 2021

W zaprezentowanym opracowaniu Autor poddał analizie kan. 1107 KPK dotyczącego statusu małżeństw nieważnych z powodu zaistniałej przeszkody lub braku formy kanonicznej w kanonicznym porządku prawnym. Z przeprowadzonych badań wynika, iż jego funkcjonowanie jest wyrazem troski prawodawcy kościelnego o ochronę wymiaru prawnoformalnego węzła małżeńskiego. Wykazał, iż ratio legis tego kanonu jest umożliwienie konwalidacji nieważnego związku z powodu zaistnienia przeszkody zrywającej lub braku formy kanonicznej.
Single Nucleotide Polymorphisms as the Efficient Prognostic Markers in Breast Cancer
Authors: Alimardani Maliheh , Moghbeli Meysam , Rastgar-Moghadam Azam , Shandiz Fatemeh Homaei , Abbaszadegan Mohammad Reza
Published: May 2021

Background:

Breast cancer (BC) is known as the most common malignancy in women.
Environmental and genetic factors are associated with BC progression. Genetic polymorphisms
have been reported as important risk factors for BC prognosis and drug response.

Main body:

In the present review, we have summarized all of the single nucleotide polymorphisms
(SNPs) which have been significantly associated with drug response in BC patients in the
world. We have also categorized the reported SNPs based on their related gene functions to clarify
the molecular biology of drug responses in BC.

Conclusion:

The majority of SNPs were reported in detoxifying enzymes which introduced such
genes as the main genetic risk factors during BC drug responses. This review paves the way for introducing
a prognostic panel of SNPs for the BC patients in the world.
Green Organic Inhibitors for Corrosion Protection
Authors: Nageswar Y.V.D.
Published: May 2021

Plants are a rich source of different varied organic compounds. Due to the important applications of naturally occurring chemicals their derivatives are also pursued for modifying and potentiating the activities of natural products. Metallic corrosion is a natural process resulting in heavy losses in various fields. Non hazardous and non toxic corrosion inhibitors gained significance due to the environmental regularities and guidelines issued in the course of saving the pristine nature of environment and to maintain the sustainability of our earth. Green corrosion inhibitors play a potential role for the above said cause. Recent research contributions on green corrosion inhibitors from the active researchers in the concerned expertise are presented briefly here to give an idea about the current research activity across the world.
role of customer satisfaction in mediating the influence of service quality and perceived value on brand loyalty
Authors: Devi Anak Agung Diah Tarama , Yasa Ni Nyoman Kerti
Published: May 2021

The study investigates how service quality and perceived value influence brand loyalty of Lion Air customers in Denpasar and how these relationships are mediated by customer satisfaction. The research was conducted in Denpasar, Bali. Sample size of 128 respondents was collected through a questionnaire and has been tested for its validity and reliability. The analysis technique used is Structural Equation Model (SEM) and using Smart PLS 3.0. The results showed that service quality, perceived value and customer satisfaction had a positive and significant effect on brand loyalty of Lion Air customers in Denpasar. Another result is that customer satisfaction is able to partially mediate the relationship between service quality and perceived value with brand loyalty of Lion Air customers in Denpasar. This research is expected to be empirical evidence for future research and be able to enrich the development of marketing management science related to service quality, perceived value, customer satisfaction and brand loyalty. The practical implication in this research is that Lion Air customer loyalty can be created when consumers feel that the quality of service provided by Lion Air meets their expectations, feels added value when using Lion Air, and feels right and satisfied when using Lion Air.
Anxiety Level Of Family Physicians And Family Health Workers In Covid-19 Pandemic
Authors: ASLANER Humeyra , BENLİ Ali Ramazan , YILDIZ Serkan , ŞAHİN Taner , GÖKÇEK Mebrure Beyza , MISTIK Selçuk
Published: May 2021

Introduction: It has been observed that outbreaks experienced throughout history have caused anxiety by profoundly affecting societies. COVID-19 pandemic soon affected the entire world and caused the deaths of thousands of people. Frequently encountering COVID-19 patients increase the anxiety levels of healthcare workers during the pandemic. This study aimed to determine the anxiety levels of healthcare workers of family health centers in Kayseri during the pandemic. Materials and Methods: A total of 214 physicians and family health workers between the ages of 20 and 65 and actively working in Family Health Centers in Kayseri participated in the study. The Beck Anxiety Inventory (BAI) was used to determine the level of anxiety. Results: Of 214 people who participated in the study, 71.0% were female, 82.7% were married, 52.8% were physicians and 47.2% were family health workers. Their mean age was 38.85. Median employment duration was 14 (min-max: 1-34) years and the median Beck Anxiety Inventory Score was 17 (min-max: 0-63). Of the participants, 53.7% stated that they attended a training program on COVID-19 while 84.1% stated that the outbreak had psychologically affected them. Conclusion: The pandemic has increased the anxiety level of healthcare workers. Mental health of healthcare workers in family health centers affects the quality of the service they provide in the primary care. Therefore, psychosocial support teams should be built up in our country and around the world, and health workers should be supported psychologically as well as patients.
Криоспектроскопическое исследование резонансных мультиплетов ν-=SUB=-s-=/SUB=- ~2ν-=SUB=-b-=/SUB=- в молекуле CHF-=SUB=-3-=/SUB=-
Authors: Меликова С.М. , Рутковский К.С. , Щепкин Д.Н. , Махолл С. , Херребут В.
Published: May 2021

The sequences of Fermi resonances vs~2vb in the IR spectrum of a solution of fluoroform (CHF3) in liquefied krypton are investigated. Here vs is the CH stretching vibration, vb is the bending vibration. It is shown that for a correct description of resonance multiplets (polyads) at a high degree of vibrational excitation, it is necessary to use an extended set of spectroscopic parameters. In particular, it is necessary to take into account the dependence of the anharmonic interaction constant asbb on the vibrational quantum numbers. The conclusions are generalized for the arbitrary case of the CH-chromophore CHX3.
Формирование и оптические свойства нанорешеток на поверхности фторида кальция, генерируемых при фемтосекундном лазерном воздействии
Authors: Рупасов А.Е. , Данилов П.А. , Ионин А.А. , Смирнов Н.А. , Кудряшов С.И. , Руденко А.А. , Путилин А.Н. , Заколдаев Р.А.
Published: May 2021

Femtosecond laser structuring of dielectrics is an urgent problem for the creation of optical elements. In this work, we performed femtosecond laser nanostructuring of the calcium fluoride surface with the formation of self-organizing periodic gratings with subwavelength periods of the order of 200 and 350 nm. During the work, the dependence of the period of the structures on the wavelength of laser radiation was established, which was confirmed by the simulation results. The structures show a decrease in transmission over the entire visible range, predominantly due to diffraction and light scattering. Keywords: direct laser recording, femtosecond laser pulses, surface functional nano- and micro-optical structures, diffraction.
Persepsi Mahasiswa dan Dosen terhadap Early Clinical Experience pada Program SI Keperawatan STIK Immanuel Bandung
Authors: Yuliana Yuliana , Emilia Ova , Rahayu Gandes Retno
Published: May 2021

Background: Early Clinical Experiences (ECEs) is a learning strategy that helps students integrate their knowledge through clinical learning in classes easily from their initial semester of study. Advantages have been earned by both students and lecturers; nevertheless, obstacles in the implementation have frequently emerged. Ideally, lecturers and students should know their own perception on ECEs for the sake of creating good communication and expected learning results in order to improve preclinical education. The purpose of this study is to find out different perceptions between students and lecturers on ECEs in nursing undergraduate program.Method: This was a descriptive study using quantitative and qualitative approaches (mix method). Subjects comprised students in the year of 2007 and 2008 as many as 71 nursing students and 21 lecturers, consisting of 11 academic advisors and 10 clinical advisors. Qualitative method was done with Focus Group Discussion for students groups and in-depth interview to academic advisors and clinical advisors. Quantitative analysis used descriptive analysis and comparative analysis used One Way Anova analysis. Qualitative analysis used content analysis that included identification, coding, categorization, and synthesis. In the end, the result of quantitative analysis was integrated with the result of qualitative analysis.Results: Mean score of students’ perception on ECEs was 3.11 (SD 0.24) which was lower than that of academic advisors (3.27 (SD 0.28)) and of clinical advisors (3.30 (SD 0.25)), (F score of 3.18 and p<0.05) while the result of multiple comparison test of students and clinical advisors showed p=0.047. Perception difference of students and clinical advisors on ECEs components in the supervision process showed p=0.00.Conclusion: There was a significant difference among three respondent groups on ECEs perceptions. The significant difference between students and clinical advisors was in the component of supervision process while there was no significant difference between students and academic advisors as well as between academic advisors and clinical advisors. Students posed the lowest ECEs perception score compared to both academic and clinical advisors. Problems came up in the components of structure and content, supervision process, learning experience, and student evaluation.
Korelasi antara Lama Studi dan Tingkat Kecemasan Mahasiswa
Authors: Bakhriansyah Mohammad
Published: May 2021

Background: Medical students face many changes when they entered higher education. These changes of learning occurred in competency-based curriculum compared to at high school learning such as approach of problem based learning and skills lab. The changes create anxiety for them. However, theoretically, anxiety decreases with longer exposure. The aims of this study were to find out the different of students’ anxiety status when they were at semester 1 and 2. It was also to find out the correlation between the length of study and anxiety level.Method: This was a descriptive study involving UNLAM medical students. 73 students were involved in this study at semester 1 and 88 students were involved in semester 2. Anxiety status was defined by using ADS questionnaire. Afterward the data were analyzed using Chi-square and Coefficient of Correlation at 95% level of confident.Results: There was 20 students (37.4%) experiencing anxiety at semester 1 and 11 students (12.5%) at semester 2, the different was statistically different (p=0.000). The correlation between the length of study and anxiety level was also statistically different (p=0.008), with very weak negative correlation (p=0.188).Conclusion: There is a significant difference of anxiety level among medical students at semester 1 and 2. There is also significantly negative correlation between anxiety level and the length of study on medical students.
Hubungan Kurikulum Pendidikan Tahap Sarjana terhadap Kompetensi Mahasiswa pada Tahap Profesi di Rumah Sakit Pendidikan
Authors: Bustamam Nurfitri , Pradnyamita Runinda , Aprilia Citra Ayu , Wahyukarno Wahyukarno
Published: May 2021

Background: In 2010, students of Faculty of Medicine, Universitas Pembangunan Nasional Veteran Jakarta who were graduated from the competency-based curriculum (CBC) in pre-clinical phase have entered the teaching hospital for their clinical rotation phases, while students who were graduated from the conventional curriculum still learned in the same teaching hospital. This study aimed to evaluate the students competencies during the clinical rotation phase, between students who were graduated from CBC compare to students who were graduated from conventional curriculum.Method: This was a cross sectional study using 4-point Likert scale questionnaire. The population of this study were all students in clinical stage at Gatot Soebroto Hospital. The sample were 40 students from each group. Data was collected from December 2010 to January 2011. Chi-square test was used to analyze the data.Results: This study showed that the students competencies in CBC curriculum were higher in CBC significant correlation between pre-clinical curriculum with student’s competencies in communication and behavior (p= 0.006), science session and scientific report (p=0.000), and physical examination (p=0.000).However, it is found that there were no correlation between pre-clinical curriculum with student’s competencies in history taking, laboratory examination, making a diagnosis, and patient management (p > 0.05).Conclusion: Student competencies higher in CBC curriculum compare to conventional curriculum, and particularly significant in physical examination, communication & behavior and scientific report & science session competencies.
Hubungan antara Persepsi Situasi Pembelajaran dengan Pendekatan Belajar Mahasiswa Blok Muskuloskeletal di Fakultas Kedokteran Universitas Pelita Harapan
Authors: Wijayanto Rhendy , Mardiwiyoto Harsono , Kumara Amitya
Published: May 2021

Background: Comprehension on student’s learning approach is an essential issue because it deals with the learning quality. Student’s perception on learning environment is a factor that influences student’s learning approach. The aims of this study were to describe student’s perception on learning environment, student’s learning approach, relationship between student’s perception on learning environment with learning approach applied in musculoskeletal block at Faculty of Medicine Pelita Harapan University.Method: This research was conducted using mixed method which combines two approaches type. A quantitative approach was the main approach, while qualitative approach acted as facilitatory approach. As many as 106 students of musculoskeletal block participated as sample.Results: Descriptive analysis showed that students perception was good on teaching quality (77.36%), clear goals (59.43%), and learning ability acquired (88.68%). Meanwhile 68.87% of sample had unsatisfied perception on assessment and on workload (73.58%). The correlation of learning environment perception to learning approach revealed p value>0.05 which was not statistically significant. Qualitative findings showed the role of internal motivation in determining learning approach adopted by student. Internal motivation comprised interest in subject, previous knowledge, and self-esteem.Conclusion: Student’s perception of learning environment is not a predictor of learning approach applied by student in musculoskeletal block. Internal motivation take part in determining students’ learning approach.
Pengaruh Peer Assessment dalam Meningkatkan Keterampilan Anamnesis di Skills Laboratory
Authors: Kiay Demak Indah Puspasari , Kumara Amitya , Suryadi Efrayim
Published: May 2021

Background: Peer assessment is a breakthrough innovation in assessment method where students assess their fellows. The benefits of it are feedback, cognitive and metacognitive gain, motivation, collaborative learning, self-regulated learning and performance enhancement. Learning in skills laboratory, students are expected to be able to master not only knowledge but also skills. Peer assessment is expected to make students be more motivate in learning and enhance performance. The aim of this study is to find out whether peer assessment can enhance students’ medical interview skills in skills laboratory.Method: The method was a quasi-experiment study with matching-only pretest posttest control group design. The subjects were third-year students in Medical School of Tadulako University which were divided into 2 experiment groups and 2 control groups. Before giving treatment, the skills of students in all group were assessed (pre test). After the treatment, post test was held as an evaluation tool. The raising score from pre test to post test will be analyzed with student t test.Results: P value for raising score was 0,907 (á > 0.05) with mean difference -0.091, which means statistically not significant. The negative number of mean difference indicate that the raising score in experiment group was lower than in control group.Conclusion: Raising score in control group was higher than in experiment group, but not significance statistically. Application of peer assessment in skills laboratory should be more concern in students ability in assessing which can be obtain by intense training and continuous monitoring and feedback from instructor.
Evaluasi Penerapan Metode Pembelajaran Berpusat pada Mahasiswa (Student Centred Learning) pada Program Studi Ilmu Gizi Fakultas Kedokteran Masyarakat Universitas Hasanudin
Authors: Aminuddin Aminuddin , Rahayu Gandes Retno , Suryadi Efrayim
Published: May 2021

Background: Shifting method from teaching to learning approaches require students to take the initiative to learn more, while academic staff only acts as a facilitator and requires them to be able to manage learning activities well. Thus it is necessary for them to know several methods of essential student centered learning so they can select the most suitable type of learning method to achieve the learning competencies from a single subject. The objective of this study is to evaluate academic staff knowledge, students of Nutrition Department, Faculty of Public Health class of 2008 and 2009 and supporting staff’s knowledge about student learning centered method.Method: This research was conducted with the mixed method (embedded design, qualitative research as part of the quantitative research) with a primary emphasis on quantitative research involving all students of class 2008 and 2009, who are still in the academic phase, academic staff of nutritional department and supporting staff of Faculty of Public Health, Hasanuddin University.Results: There are 3 methods most answer correctly by 54,5% of respondents that the advantages of using small group discussion, advantages of cooperative learning and problem based learning weaknesses. While the least correct answer is the advantage of problem-based learning method that is 4,5% respondents. For open questions, the most preferred methods are small group of, 18,2%; case studies of 18,2% and PBL of 13,6%. While the least preferred methods are cooperative learning and discovery learning 13,6%, respectively. This question is actually an open question so there were 27,3% of the respondents that did not answer; the preferred method or not.Conclusion: Respondents generally knew and heard the term SCL through correspondence, newspaper and faculty meetings. Respondents define SCL as learning with computers, in small rooms or some sort of FGD. In terms of the benefits of SCL respondents define it variously; to develop the potential and motivation of students, students more actively seek and accept; provide opportunities for students to obtain more sources, students find it easier to find lecture material”; student is more serious in his courses”; students more active in the lecture”; students are more self-sufficient“. Efforts made for the implementation of the SCL, according to in formant sare facilitating room equipments, props and LCD; expedite the administrative process; monitoring, inserting topics, and being ontime in the implementation of lecturers and improvementals of academic staff.
Gambaran Distress pada Mahasiswa Preklinik Tahun Ketiga Fakultas Kedokteran
Authors: Hardisman Hardisman , Pertiwi Dian
Published: May 2021

Background: Learning process in medical school is a big stressor for the students. Many researchers have reported higher distress and related psychological health problems in medical students than in general population and non-medical students. This study explored how distress affects Indonesian medical students in FMAU, and its association with academic performance and demographic factors.Method: Cross sectional study was conducted on 185 subjects in the third year medical student of FMAU between April-May 2013. Level of stress was measured using Indonesian version of General Health Questionnaire-12 (GHQ-12), with Liker scale indicator (distress is when the score is >15). Demographic variables such as gender, source of finance, and economic status were assessed in the study. Academic performance was measured by cumulative Grade Point Average (GPA) and last semester GPA. Analyses were done using SPSS.Results: This study identified 35.7% of students were in distress, with average GHQ-12 score 13.42+SD4.97. No association was found between admission pathway, academic performance and distress. However, the study revealed that female students had higher risk of distress (p<0.05).Conclusion: Risk of distress is relatively high in medical students. However, there is no association between demographic factors, academic performance and distress. Further research needs to be conducted to explore risk factors that cause distress of medical students in Indonesian context.
Hubungan Antara Kepribadian Dasar dan Kapasitas Mental dengan Persepsi, Perilaku dan Intensi Integritas Akademik
Authors: Muktamiroh Hikmah , Prabandari Yayi Suryo , Sastrowijoto Soenarto
Published: May 2021

Background: Educational institutions must promote the learning of professional behavior as early as possible and conduct evaluation of the implementation, including evaluation of the academic integrity implementation. This study aims to determine the academic integrity perception, behavior and intention of students and their relation to mental capacity and basic personality of students based on the MMPI-2 measurements.Method: This was a non-experimental, conducting quantitative survey involving 209 medical students from one of Faculty of Medicine in Indonesia.Results: The relationship between mental capacity and basic personality based on the measurement of MMPI-2 and the perceptions, attitude and intentions of academic integrity were found. On mental capacity, a correlation was found between potential performance and perceptions (r = 0.169 and p = 0.014) and academic integrity behavior (r = 0.170 and p = 0.014), between adaptability and perception of academic integrity of fellow students (r = 0.149 and p = 0.032), between psychological constraints and academic integrity behavior score (r = 0.137 and p = 0.049) and between moral integrity and perception score of academic integrity (r = - 0.220 and p = 0.001). On the basic personality, there was a correlation between openness to pressure and perceptions of academic integrity of fellow students (r = 0.141 and p = 0.041), as well as between basic personality and perception (r = 0.169 and p = 0.014) and academic integrity behavior (r = 0.154 and p = 0.026).Conclusion: There is a correlation in some variables of mental capacity and basic personality based on MMPI-2 to perception and academic integrity behavior.
Revealing "Tut Wuri Handayani" - A Student-Centred Learning Approach- by Ki Hajar Dewantara from The Early 20th Century: A Literature Review
Authors: Claramita Mora
Published: May 2021

Background: Student-centred learning is characterized by constructive, collaborative and contextual learning; derived from the constructivism theory. We studied the principle of “Tut Wuri Handayani” / TWH (to follow the learners to achieve their utmost potentials) which was initiated in 1922 by Dewantara, who was the first Ministry of Education, Republic of Indonesia.Method: A qualitative method with ‘content-analysis’ was used to study the articles written by Dewantara published in Indonesian newspapers between 1920-1960. We reflected the articles into current evidences of student-centred learning principles. Validations were done through three times focus group discussions (FGDs) by 30 students of a master’s of health professional education program and in-depth interview with two national experts in higher education.Results: In the period of early 20th century, Dewantara’s ideas had arrived at ‘contextual’ and ‘collaborative’ principles; the basis of current philosophy of student-centred learning. Dewantara’s exceptional initiatives were: (1) emphasizing equity between learners and teachers regardless the strong hierarchical social culture among Indonesian, (2) making the best use of cultural events and instruments as rigorous learning resources to enhance the sensory abilities and social sensitivity of the students towards community’s needs, (3) promoting observation-based learning to promote self-directed learning by helping the students to reflect on their mistakes, to be independent thinkers and to be responsible persons, to minimize gaps between attitudes and behaviours, and to provide role models and opportunities for students to actively participate in learning.Conclusion: “Tut Wuri Handayani” or ‘to follow the learners to achieve their utmost potentials’ revealed as a student-centred learning principle emphasizes life-long learning. Dewantara may be regarded as one of the world-wide leaders in education.
Comparison of Small-Class Versus Large-Class Tutorial Discussions
Authors: Ridawati Indah Dewi , Prihatiningsih Titi Savitri , Widyandana Widyandana
Published: May 2021

Background: Not all small tutorial discussion groups discuss national integrated antenatal care. Tutorial discussion in a large class provide discussion together among small discussion groups of the seventh jump.Method: This study was an explanatory design, mixed-methods study. The research sample amounted to 60 students of 2.6 block in the Gadjah Mada University Bachelor Nursing Program and semi-structured interviews conducted on 10 respondents were included in the quantitative study. The data collection conducted on April 14 until June 16 2016. Antenatal knowledge instrument consists 35 multiple choice questions valid and reliable that created on antenatal module. The effect of tutorial measured after day 3 from the treatment time. Nine-eleven student in 3 small tutorial discussion groups in the different room and 30 students in a large tutorial discussion group divided into 3 small discussion groups in the same room got 4 times tutorial in 2 weeks. Materials provided include antenatal delivery.Results: Based on paired sample t test in get difference the average value of knowledge before and after the tutorial discussion, average increase of knowledge in small tutorial discussion was 0.09 (p=0.93, p<0.05) and 3.62 (p=0.02, p<0.05) in a large tutorial discussion. The qualitative data analysis showed that discussion together among small discussion groups of the seventh jump can increase knowledge acquisition.Conclusion: The results showed discussion tutorial in a large class more effective increase antenatal care knowledge acquisition than small class.
Hubungan Kualitas dan Kuantitas Tidur dengan Prestasi Belajar pada Mahasiswa Fakultas Kedokteran
Authors: Fenny Fenny , Supriatmo Supriatmo
Published: May 2021

Background: Sleeping is an essential need for every human beings in fulfilling their lives. There are two main components needed to put into consideration; they are sleeping quality and quantity. If the components are being distracted, it will cause impact on memory and concentration system. Consequently, it will cause the decline in academic achievements. The population who are at risk the most will be the collegestudents, especially medical students. Therefore, a research is conducted in order to determine relationship sleep quality and quantity with FK USU students’ academic achievement’s.Method: This research, which is held from March to December 2015, uses analytic methods of case control study. In this study, there are 594 samples that correspond with inclusion and exclusion criterias; then, 150 subjects are being chosen for the case group and 150 subjects are also being chosen for the control group by using a simple random sampling technique. In addition, the research’s datas are collected by using the PSQI and STQ questionnaires, then, they are analyzed by the SPSS computer program. Results: A frequency distribution of the bad sleep quality and the less sleep quantity are the most in the USU’s medical students with the respective figures of 185 respondents (61,7%) and 163 respondents (54,3%). The result of Chi Square analysis also shows that there is a significant relationship with the p value <0,0001 (p≤0,05). Besides, the result of multivariat analysis, which uses logistic regression, shows a final model formula is log p (bad academic achievement) = -1,068+0,570(sleeping quality)+1,303(sleeping quantity). Conclusion: There is a relationship between the sleep quality and quantity with the FK USU students’ academic achievement.
Intergrating Problem-Based Learning and Team-Based Learning (PITBL) in Nursing Students: A Pilot study
Authors: Kusuma Yossi Indra , Rahayu Gandes Retno , Shitarukmi Savitri
Published: May 2021

Background: Change seems to be a constant in education. The shifting paradigm from teacher-centered to student-centered impact on demands of medical and health professions education institution to undertake curricullum reform. The development of PBL requires the provision of resources needed for its implementation. The emergence of newly developed method, TBL, garnered interest because of its potential to promote active learning without requiring large numbers of resources. The integration of these two methods can complement each deficiencies with their advantages, so it can optimize student learning. This study is aimed to determine the impact of the integration of PBL and TBL (PiTBL) on student engagement and to evaluate the perceptions of students in terms of accountability, preferences and their satisfaction with this method.Method: This study was a pre-experimental with one group pre and post test design. Subjects consisted of 103 nursing students who enrolled Fluid, Electrolyte an Elimination course. The collection of data before and after the intervention were held to determine the difference in student engagement, using “Classroom Engagement Survey” instrument from Baylor University. Students perceptions in terms of accountability, preference and satisfaction were measured with PiTBL-Student Assessment Instrument (PiTBL-SAI).Results: PiTBL had a positive impact on student engagement, but its results were lower then PBL. The difference was not significant for participation sub-scale, and significant in several weeks of course for enjoyment sub-scale and total value of student engagement. Students perceptions in terms of accountability, preference and their satisfaction with PiTBL all showed positive results.Conclusions: PiTBL had a positive impact on student engagement, although lower than PBL. Students perceptions in terms of their accountability, preference and satisfatction with this method is also positive. We concluded that this method can be used as an alternative in implementing an effective and eficient active learning method.
Identification of Anatomy Contents for Medical Students Using DELPHI Technique
Authors: Munawaroh Siti , Rahayu Gandes Retno , Suryadi Efrayim
Published: May 2021

Background: Anatomy is one of basic science in medicine. As doctors are obligated to assure their service is safe and efficient, they need to master anatomy science to support their work on comprehend the patient condition. In another condition, there is a shifting on medical curricula that impacted on decrease of anatomy instructional hours. This condition result in lower of anatomy academic achievement among medical students. The third of ten question Harden in curriculum development, that is what content should be included? need to be resolved so that the limited time available can be utilized as well as possible. This study aims to achieve national scope consensus among anatomical expert about anatomical material course that must be delivered to medical students.Method: This study was design in qualitative approach with specified method of two round Delphi Technique. Using purposive sampling method, the subject of study involved was 20 experts of anatomical science in Indonesia. The questionnaire as instrument in this study arranged based on anatomy text book. The first Delphi purpose to select the anatomical course material and additional course material. The second Delphi round intent to provide level range from 1-4. The consensus level established by the researcher at 80% point.Results: The first Delphi round result in 760 anatomy topics consist of 636 original material arranged by researcher and 124 additional material added by the Delphi panel. Additional materials are osteomyology and sesnsory system. The second Delphi round agree 64% material of first Delphi round (489).Conclusion: Indonesian anatomical experts agree in which not all of anatomy material need to be learned by medical student. Their consensus is about 64% of all the material that must be learned.
WHAT CHANGES IN IMPLEMENTING COMPETENCE-BASED MEDICAL EDUCATION IN INDONESIA: A QUALITATIVE STUDY
Authors: Prihatiningsih Titi Savitri , Nurokhmanti Hikmawati , Baujea Geraldine
Published: May 2021

Background: Competence-based Medical Education (CBME) is the latest curriculum model adopted by many countries since 1970s. Reforming medical curriculum to adopt CBME implicates major changes in all aspects and research on this is still lacking. This study aims at identifying changes in implementing CBME from the aspects of organization and structural changes, curricular design, implementation and evaluation and cultural changes. Methods: Retrospective qualitative method is applied using purposive sampling. Selected documents are used as the data and analysed using thematic analysis. Results: Four themes are identified for the first aspect, i.e. the role of central authority, multidepartment committees, committed change agents, and decision-making procedures. Whereas for the second aspect, five themes are pinpointed, consisting of curriculum design at macro level, meso and micro level, faculty development program, learning resources, implementation, and monitoring and qualitative evaluation. For the third aspect, four themes emerge, namely enabling factor, inhibiting factor, the paradox of the new curriculum and quality assurance. Conclusion: Major changes taking place in the design and implementation of CBME have been identified from three aspects inductively. Awareness of the kinds of changes and using them for curriculum planning could improve the success in shifting towards CBME.
Paradigms and Four Levels of Scientific Controversies
Authors: Akasofu Syun-Ichi
Published: May 2021

A paradigm transition or change is essential in the development of science. During the transition, there are intense debates and controversies among scientists. In this paper, we attempt to analyze controversies in four levels and also three types of researchers.
Прогнозирование выработки мишени планарных МРС
Authors: Колесников А.Г. , Горбунов Н.В. , Крюков Ю.А.
Published: May 2021

Предложена упрощенная модель магнетронного разряда с выводом полуэмпирических формул, позволяющих, зная или вычисляя распределение магнитного поля над поверх­ностью мишени с помощью программы ELCUT для расчета полей, прогнозировать форму эрозии мишени МРС. Разработана программа вычисления Pretarger на основе MATLAB. Необходима обкатка программы на сравнение прогнозируемой эрозии с выработанными мишенями для разнообразных магнетронов.
KÜLTÜR ENDÜSTRİ ETKİSİNDE ÇAĞDAŞ SANAT VE TÜRKİYE’DEKİ YANSIMALARI ÜZERİNE BİR İNCELEME
Authors: KAMACIOĞLU Büşra
Published: May 2021

Yirminci yüzyılda kapitalizm kültürü ve endüstriyi sanayileştirmiş, toplumu endüstriyel bir ürün haline getirmiştir ve bunun sonucunda kültür endüstri kavramı ortaya çıkmıştır. Kültür endüstrisi toplumsal yaşayış şekli dâhil olmakla birlikte sanat, felsefe, mimari ve edebiyat gibi alanlarda değişimler meydana getirmiştir. Kitle iletişim araçları ile uluslararası sınırlar ortadan kalkmış ve küreselleşme ile birlikte ülkeler arası kültürel ve ekonomik etkileşim artmıştır. Bu durum sanat ve ekonomiyi karşı karşıya getirerek bir pazar ortaya çıkarmıştır. Bu pazar günümüz sanat anlayışını ve ortamını etkilemektedir.
Çalışmanın amacı kültür endüstrisi olgusunun çağdaş sanat üzerindeki etkilerini ele alarak Türkiye’de günümüz sanatındaki yansımalarını incelemektir. Buna ek olarak, kültürel etkinlikler ve sanatsal ürünler üzerindeki etkisini ortaya koymaktır. Bu araştırmada literatür tarama yöntemi sonucu elde edilen bulguların özetlenip yorumlandığı, nitel araştırma yöntemlerinden biri olan betimsel analiz yöntemi kullanılmıştır. Bunun sonucunda elde edilen bulgular düzenlenerek ve yorumlanarak sunulmaktadır.
FRAKTAL SANAT VE DİLE GELMEYEN SANATÇILARI
Authors: BOYACI Melis
Published: May 2021

19. yüzyılın sonlarından itibaren geliştirilen bilimsel teoriler ve bunlardan beslenerek gelişen kuantum fiziği ile toplum yeni bir dünya görüşüne de kapılarını açmıştır. Fraktal geometri dünyayı analiz, nicelik, mekanizma açılarından gören, kapalı ve mekanik bilim dünya görüşüne karşı bir açılım sunar. Doğa, dolayısıyla yaşam, durgunluk dönemleri, dalgalanmalar ve ani sıçrayışlar içeren lineer olmayan bir yapı göstermektedir. Bu bakımdan fraktaller, yeni dünya anlayışına karşılık bir cevap oluştururken bir yandan da sanatta da yaşayan ve devinen evrenin ve algılayışın somutlaştırılmış biçimleri olarak yerini alır. Türkiye’de fraktaller çağdaş sanattaki yansımaları bağlamında makalelere, tezlere konu olmakla beraber fraktal sanat ve sanatçılar ayrı bir başlık altında ele alınmamıştır. Bu makalede 21. yüzyılın dijital sanat çalışmalarının hem kavramsal hem de teknik anlamda öncüllerinden olan Fraktal sanatın fraktal fonksiyonların hesaplanmasıyla oluşturulan dijital görüntüleriyle çalışan sanatçılarının yanında pek de ele alınmayan ve temel olarak fraktal düşünceyi kavramsal açıdan ele alarak sanatsal anlayışlarını ve biçemlerini geliştiren sanatçılar üzerinde durulmuştur.
Digital Eye Strain During COVID-19 Lockdown in Jeddah, Saudi Arabia
Authors: Almarzouki Nawaf , Faisal Konooz , Nassief Arwa , Najem Noura , Eid Rayana , Albakri Renad , Alhibshi Dana , Alwethinani Shehana , Ashi Heba
Published: May 2021

Objectives: This study aimed to determine the prevalence of computer vision syndrome (CVS) and associated risk factors of prolonged use of electronics.

Methods:

This was an online non-interventional cross-sectional studyconducted over the period of COVID curfew in Jeddah city from April to June 2020, through a questionnaire. Participants were between 20 and 60 years of age and used electronic devices.

Results:

Total 1,227 participants were recruited between 20 and 60 years of age. The majority of them were females (69.9%). Almost 1,048 participants used smartphones or laptops. More than half (54.5%) of them used electronics for more than 4 hours daily. A high symptom severity score was found in 44% of the respondents. Taking breaks during electronics use <30 minutes (P=0.018), viewing computers at a distance less than arm length (P=0.001), and the use of screen protectors (p=0.014) were significant factors related to the symptomâ€™s severity score.

Conclusion:

CVS was prevalent among the participants who used electronics for more than 4 hours daily. Taking breaks during electronics use, viewing computers at an appropriate distance, and the use of screen protectors were effective practices to relieve the eye symptoms severity score.
Oral health of children in association with gender and mothersâ€™ education: a comparative cross-sectional study
Authors: Ashi Heba
Published: May 2021

Objectives: To evaluate the association between gender and mothers' education, and the oral hygiene of their children.

Methods: This comparative cross-sectional study included 531 children in Jeddah, Saudi Arabia. Arabic was chosen for this survey to avoid possibilities of language barriers, followed by data analysis and segregation from the survey. Students were stratified according to gender and their motherâ€™s education. Data was analyzed using the Statistical Package for the Social Sciences (SPSS), version 25.

Results: Brushing twice daily, using the dental floss, using fluoridated toothpaste, using mouthwash regularly, and bruxism were higher among females than males (58% VS 28%, 28.2% VS 10.9%, 71% VS 30%,55% VS 35% and 16.5% VS 9.8% respectively) with a significant difference (p<0.001, <0.001, <0.001, <0.001 and <0.001 respectively). Meanwhile, using toothpick, clenching, and biting on hard objects were higher among males than females 

49.3% VS 34.9%, 21.7% VS 7.1% and 46.7% VS 34.9% respectively) with a significant difference (<0.001 and <0.001, respectively).

Going to dentists during the last three months was significantly higher among females than males (47% vs. 33%), with a significant difference (p<0.001). On the other hand, going to dentists every six months was notably higher among males than females (22% vs. 17%) (p<0.001). Regular check-ups were higher among females (27.8% vs. 16.7%), with a significant difference (p=0.007). In accordance with the mothers' education, brushing more than twice daily, manual toothbrush, electrical toothbrush, dental floss, and using toothpaste were significantly higher among those who received a university and post-graduate education (p<0.001, <0.001, <0.001, and 0.049, respectively). Going to dentists during the previous three and six months was higher among those who received a university and post-graduate education (p=0.001).

Conclusion: Girls and children whose mothers had a university and post-graduate education had better attitudes toward oral hygiene. Therefore, we highly recommend more oral hygiene health education programs, especially for mothers with less education.
The Process of Playful Learning in Higher Education: A Phenomenological Study
Authors: Forbes Lisa
Published: May 2021

Higher education faculty strive to adopt pedagogical approaches that generate student engagement, motivation, and quality learning experiences. The literature on play has much to offer higher education. However, playful pedagogy remains an uncommon approach in education and is often represented in the literature as a practice utilized for a singular purpose and not as an underlying teaching philosophy. This phenomenological study examines the meaning of students’ experiences of play as a foundation to learning. The themes that emerge are: 1) play is underutilized and devalued in higher education, 2) play cultivates relational safety and a warm classroom environment, 3) play removes barriers to learning, 4) play awakens students’ positive affect and motivation, and 5) play ignites an open and engaged learning stance to enhance learning.
[Conto] El jaguar
Authors: Rossi Anacristina
Published: May 2021

Conto em espanhol.