bluuebunny/crossref_metadata_2025 huggingface dataset:
Discontinuing statins or not in the elderly? Study protocol for a randomized controlled trial
Authors: Bonnet Fabrice , Bénard Antoine , Poulizac Pierre , Afonso Mélanie , Maillard Aline , Salvo Francesco , Berdaï Driss , Salles Nathalie , Rousselot Nicolas , Marchi Sébastien , Hayes Nathalie , Joseph Jean-Philippe
Published: September 2019

Background The risk/benefit ratio of using statins for cardiovascular (CV) primary prevention in elderly people has not been established. The main objectives of the present study are to assess the cost-effectiveness of statin cessation and to examine the non-inferiority of statin cessation in terms of mortality in patients aged 75 and over treated with statins for primary prevention.Methods The Statins In The Elderly (SITE) Study is an ongoing 3-year follow-up, open-label comparative multi-centre randomised clinical trial that is being conducted in two parallel groups in outpatient primary care offices. Participants meeting the following criteria are being included: people aged 75 years and older being treated with statins as primary prevention for CV events who provide informed consent. After randomisation, patients in the statin-cessation strategy are instructed to withdraw their treatment. In the comparison strategy, patients continue their statin treatment at the usual dosage. The cost-effectiveness of the statin-cessation strategy compared to continuing statins will be estimated through the incremental cost per quality-adjusted life years (QALY) gained at 36 months based on the perspective of the French healthcare system. Overall mortality will be the primary clinical endpoint. We assumed that the mortality rate at 3 years will be 15%. The sample size was computed to achieve 90% power in showing the non-inferiority of statin cessation, assuming a non-inferiority margin of 5% of the between-group difference in overall mortality. In total, the SITE study will include 2,430 individuals. Discussion There is some debate regarding the value of statins in people over 75 years old, especially for primary prevention, due to a lack of evidence of their efficacy in this population, potential compliance-related events, drug-drug interactions and side effects that could impair quality of life. Data from clinical trials guide the initiation of medication therapy for primary or secondary prevention of CV disease but do not define the timing, safety, or risks of discontinuing the agents. The SITE study is one of the first to examine whether treatment cessation is a cost-effective strategy that has no adverse effects on the prognosis of people over 75 years old formerly treated with statins. Trial registration This research has been registered at clinicaltrials.gov under number NCT02547883, 11 September 2015, https://clinicaltrials.gov/ct2/show/NCT02547883
A brief transdiagnostic psychological intervention for Afghan asylum seekers and refugees in Austria: A Randomized Controlled Trial
Authors: Knefel Matthias , Kantor Viktoria , Nicholson Andrew A. , Schieß-Jokanovic Jennifer , Weindl Dina , Schäfer Ingo , Lueger-Schuster Brigitte
Published: September 2019

Background Asylum seekers and refugees are at great risk for developing mental disorders. Afghan refugees are a particularly vulnerable group with a low average educational and mental health literacy level. Traumatic experiences and hardship pre- and during migration are predictive of mental health problems. However, post-migration living difficulties (PMLDs) also account for a large proportion of mental distress in such populations, which critically are not sufficiently considered in treatment protocols and research investigations. Indeed, the evidence base for the treatment of refugees and asylum seekers is sparse and mainly limited to trauma-specific treatments, where refugees may likely suffer from other mental health problems such as depression or anxiety as well. Methods/design This trial is the first evaluation of the efficacy of a short-term, transdiagnostic treatment protocol adapted to address mental health problems and PMLDs for treatment seeking Afghan refugees using an adapted version of the Problem Management Plus (PM+) protocol. We investigate the efficacy of an intervention manual with a prospective, single-center, randomized, assessor blind, two-group trial. Furthermore we investigate participants’ subjective experiences with the intervention manual with in-depth interviews. One-hundred-twenty people will be assessed and randomly allocated to either the intervention arm or a TAU arm. Clinical psychologists will conduct the treatment and the sessions will take place with a Dari interpreter. The protocol includes six 90-minute sessions. The primary endpoint is the general symptom distress measure, assessed with the General Health Questionnaire 28 (GHQ-28). Secondary endpoints include the Post-Migration Living Difficulties Checklist (PMLDC), the International Trauma Questionnaire (ITQ), the WHO Quality of Life Questionnaire (WHOQOL-BREF), the Psychological Outcome Profile (PSYCHLOPS), service and health care use (assessed with several items), and the Immigrant Integration Index (IPL-12). Discussion This trial may provide substantial evidence for a brief transdiagnostic psychological intervention. Here, we intend to contribute to the treatment of mental health problems among Afghan refugees. The assessment of subjective experience with this treatment manual, as well as the evaluation of its clinical applicability, may optimize treatment acceptance and outcomes across a wide range of mental health problems among refugees.
Practices, Challenges and Perceived Influence of Classroom Assessment on Mathematics Instruction
Authors: BUABENG İsaac , ATİNGANE Amoah Barnabas , AMOAKO İsaac
Published: September 2019

Assessment is a powerful tool for raising the
standards of teaching and learning of mathematics at the junior high school
level. This study therefore explored the perceived influence of assessment on
the teaching and learning of mathematics in junior high schools of OLA Circuit
in Cape Coast Metropolitan area. The research design used for the study is a
concurrent triangulation mixed method design. A simple random sampling
technique was used to select four (4) public junior high schools out of eight
(8) schools in the circuit. A multi-stage sampling procedure was employed to
select the schools and participants for the study. A total of 134 participants
comprising 15 teachers and 119 students participated in the study. The data for
the study were mainly collected through questionnaires and interviews. Findings
of the study revealed that class exercise, homework, and trial work were the most
common mode of assessment used by teachers during mathematics instruction.
Again, the study discovered that teachers faced some challenges in the
implementation of classroom assessment. The study therefore makes certain
recommendations likely to improve on the quality of assessment practices in
mathematics classrooms in the focal schools.
Ultrasound screening marker for availability of the fetus bicuspid
aortic valve
Authors: A.Yu. Blinov
Published: September 2019

A simple ultrasound test is proposed that can be used as a screening method to detect a fetus at risk group
for presence of a bicuspid aortic valve.
Russian education faults
Authors: Voronova Tatyana A. , Gretchenko Anatoliy I. , Kulapov Mikhail N. , Zuev Valeriy M. , Kalinina Irina A.
Published: September 2019

Despite the efforts made, various and progressive innovations in the education system remain a number of national problems, referred to as the “faults” of Russian education, which do not allow to achieve the strategic goals.

The purpose of the study: to analyze the evolution of the reform of the domestic education system for a long historical period, analyzes the content of legal acts relating to Russian education, in particular the Law of the Russian Federation “On education in the Russian Federation”. The formation of education goals and the problems currently facing the Ministry of science and higher education of the Russian Federation, the Ministry of education of the Russian Federation and the independent Federal authority – Rosobrnadzor are analyzed.

Two concepts of basic models of education, European and Anglo-American, are considered. It is noted that the Russian education in the present period of time, as well as other public institutions, in many respects are at the crossroads between the two models of management systems.

Materials and method: comparative analysis of approaches to education management, as well as methods of scenario modeling and structural and functional analysis were chosen as research methods.

The results of the comparative analysis allow us to state that the Russian education now, are at the crossroads of the choice of management system, the choice of which is hidden in the “rivalry” of the two concepts of the main models of education: European or Anglo-American.

The European model assumes orientation of education on formation of the personality, the statement about need of orientation of formation of the personality in the mode of pragmatism is the basis of the Anglo-American model.

The analysis allows us to conclude that the choice of management system largely depends on the socio-economic environment and the processes taking place in the country.
Perceptions and Experiences of Women Participating in a Digital Technology–Based Physical Activity Intervention (the mPED Trial): Qualitative Study
Authors: Lindgren Teri , Hooper Julie , Fukuoka Yoshimi
Published: September 2019

Background

Despite the benefits of regular physical activity, women in every age group have lower activity levels than men, and few women meet the recommended levels of physical activity. Digital technologies have been useful in increasing physical activity during the course of an interventional study. However, sustaining that activity once the clinical trial was complete was a major challenge.

Objective

This study aimed to describe the experiences and perspectives of physically inactive women who completed the mobile phone–based physical activity education (mPED), a randomized controlled trial, at 12 months.

Methods

Of 210 women who were enrolled in the mPED trial, 203 completed a 12-month open-ended exit interview and survey through phone. The participants were asked about their physical activity levels; their digital technology use; what they learned from, liked, and would change about the trial; their motivations to keep active post-trial; and their advice for other women. Interviews were transcribed verbatim and thematically analyzed using the brief survey qualitative description. Descriptive statistics were used to describe the survey data with the significance level set at P<.05.

Results

In the 12-month survey, a greater proportion of the participants in the intervention group, compared with the control group, reported that they regularly wore a pedometer or physical activity tracker (49.3%, 66/143 vs 26.1%, 18/69; P=.002) and engaged in brisk walking (54.5%, 73/134 vs 30.4%, 21/69; P=.001). The experiences and perceptions of physical activity of physically inactive women over time were embedded in a complex interplay of internal and external factors. A total of 6 interactive themes emerged as critical in supporting continued engagement in physical activity postintervention: tracking, technology versus personal touch, accountability, resources and environment, motivation, and habit formation. Technology allowed for self-tracking, which supported internal accountability. However, tracking by another person (personal touch) was needed for external accountability. Resources and environment underpinned the relationship among the themes of tracking, technology versus personal touch, accountability, motivation, and habit formation.

Conclusions

Future research is needed to identify the best ways to harness this dynamic process in promoting and sustaining physical activity among inactive women. Digital technology is evolving at an exponential rate and provides new opportunities to transform research into new approaches to promote physical activity.

Trial Registration

ClinicalTrials.gov NCT01280812; https://clinicaltrials.gov/ct2/show/NCT01280812

International Registered Report Identifier (IRRID)

RR2-10.1186/1471-2485-11-933
Increasing the Impact of JMIR Journals in the Attention Economy (Preprint)
Authors: Leung Ricky
Published: September 2019

UNSTRUCTURED

JMIR has attained remarkable achievements in the past twenty years. By depth, JMIR has published the most impactful research in medical informatics and is top ranked in the field. By width, JMIR has spun off to about thirty sister journals to cover topics such as serious games, mobile health, public health, surveillance, and other medical areas. With ever-increasing data and research findings, academic publishers need to be competitive to win readers’ attention. While JMIR is well-positioned in the field, the journal will need more creative strategies to increase its attention base and maintain its leading position. Viable strategies include the creation of online collaborative spaces, the engagement of more diverse audience from less traditional channels, and partnerships with other publishers and academic institutes. Doing so could also enable JMIR researchers to turn research insights into practical strategies to improve personal health and medical services.
Managing Differences and Building Trust: Challenges to U.S. – China Relations
Authors: Rachmat Yuliantoro Nur
Published: September 2019

The relations between two great nations, the United States and China, have attracted the attention of many. Different in several aspects, both countries face a number of challenges and problems in their relationship, ranging from misperception, mutual distrust, and the potential for conflict in the South China Sea as well as East China Sea. The leaders of both countries have difficult task to drive the bilateral relations positively for mutual benefit. This article demonstrates that while to some extent their differences are difficult to settle, they need to be put aside to build mutual trust as a basic ground for cooperation. Unfortunately, it seems that their relations in the future has still characterized, among others, by the absence of the will to understand each other.
The Philippine-US Relations: Living or Leaving the Bandung Spirit?
Authors: Rhodora Solar Anna , Matthew Poblete John
Published: September 2019

The Philippines had its own share of colonial past. Just as other Asian and African countries which were under the Western colonizers, the Philippines partook of the momentous event that proposed an alternative to the world order dominated by superpowers—the Bandung Conference. The principles collectively known as Bandung Spirit were embraced by the Philippines and had a clear understanding of its symbolic significance. Yet such understanding of these principles was coupled with compromises on the Philippines relations with the United States. Over the decades, the Philippines had to do a balancing act between its being sovereign, independent state and its recognition of the relevance of its past colonial master—the US. Hence, this raises the question of whether the Philippines is living or leaving the Bandung Spirit. Specifically, this paper assesses whether the Philippines still upholds the same Bandung Spirit in its traditional form or has it given a contemporary understanding of it. The paper argues that the Philippine-US relations remain to be an evident display of US presence in Southeast Asia albeit redefined to blend with the Bandung Spirit.
WTO’S Trade Policy Review Mechanism (TPRM) and Indonesia’s Compliance in Agriculture Sector
Authors: Dematar Dewangga Dura
Published: September 2019

This article is designed to appraise TPRM as a monitoring instrument in WTO and understand how it affects Indonesia’s compliance in the agriculture sector. On paper, TPRM should be exercised as a surveillance system to boost transparency and compliance. However, the author doubts the current periodic, differentiated by economic power, and the self-serving reporting system of the TPRM. As this process is complicated and flexible, where often used as a diplomatic visit or excuses to initiate diplomatic relations between turbulent nations, the writer believes that TPRM is only the tip of the iceberg with unlimited complex problems underneath. Adapting instruments from International Law and Rational Choice Theory, the writer borrowed Guzman’s framework to determine how TPRM could affect Indonesia’s compliance in the agriculture sector. This article will give a better understanding of the monitoring process of an international institution, especially the one with no law enforcement system and  held fundamentally by mutual respect and good faith.
Deflection test on different orthodontic wire materials sized 0.016 x 0.022 inches
Authors: Pratomo Harris Gadih , Mardiati Endah , Soemantri Eky Soeria , Evangelina Ida Ayu
Published: September 2019

The development of technology in orthodontic field produces some orthodontic wires that have different deflection abilities. Loading force is the force needed to place an orthodontic wire in bracket slot (activation). Unloading force is the force produced by an orthodontic wire to move tooth (deactivation). Deflection test with three-point bending technique is a technique that is often used to determine the magnitude of the activation and deactivation force of orthodontic wire. Stainless steel (SS), nickel titanium (NiTi), copper nickel titanium (CuNiTi), and beta titanium (TMA), are the types of frequently used wires. This study aimed to compare loading and unloading force on the deflection test of SS, NiTi, CuNiTi, and TMA orthodontic wires sized 0.016 x 0.022 inch on the load-deflection graph. This is a laboratoryexperimental research on a total of 16 pieces of SS, NiTi, CuNiTi, and TMA orthodontic wires sized 0.016 x 0.022 inches. The group was divided based on the type of material. The deflection test was performed using a universal testing machine with a press speed of 5 mm/minute. Loading and unloading forces were recorded on deflections of 0.5; 1; and1.5 mm. Statistical tests of differences among groups were carried out by ANOVA analysis (p-value ≤ 0.05) and post-hoc analysis with T-test. There were significant differences in the loading and unloading forces recorded on deflections of 0.5; 1; and 1.5 mm; except for deflections of 0.5 mm of the SS and nickel-titanium wires. The wire deflection force fromthe lowest to the highest was CuNiTi wire, nickel-titanium wire, TMA wire, and stainless-steel wire.
Predictores del comportamiento de automanejo en personas con enfermedades crónicas de Tamaulipas
Authors: León-Hernández R.C. , Peñarrieta-de Córdova M.I. , Gutiérrez-Gómez T. , Banda-González O. , Flores-Barrios F. , Rivera M.C.
Published: September 2019

Introducción: Dado el carácter prioritario de atención a las enfermedades no transmisibles, la Organización Mundial de la Salud propuso el Modelo de Cuidados Crónicos. En este modelo incluye el automanejo como un elemento principal en el combate de dichas enfermedades.
Objetivo: identificar las variables predictoras del comportamiento de automanejo en usuarios con Diabetes Mellitus, Hipertensión Arterial y Obesidad.
Métodos: La muestra no probabilística e intencional fue de 386 usuarios de la Secretaría de Salud de Tamaulipas (Ciudad Victoria y Tampico). El diseño de estudio fue no experimental, transversal.
Resultados: casi la mitad (42.2%) de los participantes con ECNT refieren síntomas de trastorno depresivo en el continuo de leve a grave, la categoría que obtuvo mayor porcentaje de IMC fue sobrepeso con 33.2% y más de un tercio de la población (36.8%) percibe algún grado de disfunción familiar. Así también se aplicó un análisis de Regresión Lineal Múltiple con el método de pasos, el modelo indica que fueron siete predictores del comportamiento de Automanejo (varianza explicada R2=.325); la variable autoeficacia fue el más importante (β=38) y el apoyo social percibido el predictor con carga más baja (β=.10).
Conclusiones: estos predictores representan elementos importantes para ampliar el conocimiento y entender el comportamiento del automanejo, área que es promovida en el modelo de atención a crónicos de la Organización Mundial de la Salud y en la actualidad es liderada por el área de enfermería.
Espiritualidad y calidad de vida en mujeres con cáncer de mama: una revisión integrativa
Authors: Pérez-Hernández S. , Okino-Sawada N. , Díaz-Oviedo A. , Lordelo-Marinho P.M. , Ruiz-Paloalto M.L.
Published: September 2019

Introducción: Las mujeres que padecen cáncer de mama requieren de acciones que busquen mejorar su calidad de vida, a pesar del tratamiento. La espiritualidad parece ser un mecanismo de afrontamiento a la enfermedad.
Objetivo: Identificar las evidencias disponibles sobre espiritualidad, para la mejora de la calidad de vida de mujeres con cáncer de mama, por medio de una revisión integrativa como metodología.
Métodos: La búsqueda fue realizada en las bases de datos: PubMed, LILACS y Scopus, en un intervalo de 10 años. Se incluyeron artículos en los idiomas: inglés, portugués y español; con una temática relacionada a la espiritualidad, calidad de vida y cáncer de mama.
Resultados: La muestra final fue de 23 artículos, mismos que fueron analizados y agrupados en tres categorías: Calidad de vida y espiritualidad; La espiritualidad como estrategia de afrontamiento y las Intervenciones que apoyan la espiritualidad.
Discusión: Mujeres con cáncer de mama de diferentes culturas y prácticas espirituales, infieren que la espiritualidad les ayudó a reorganizarse psicológicamente, por lo tanto, es importante reconocer las necesidades espirituales de estas mujeres, proporcionar un cuidado holístico y humanizado, por ende mejorar su calidad de vida.
Conclusiones: Las instituciones de salud deben poner énfasis en la incorporación de prácticas espirituales y religiosas, como parte integral en el tratamiento, una vez que, en su mayoría no requieren de recursos financieros, sino de los recursos espirituales propios de cada una de estas mujeres.
La autotrascendencia en la prevención del consumo de alcohol en adolescentes hijos de padres consumidores
Authors: Blanco-Enríquez F.E. , Díaz-Heredia L.P. , Caro-Castillo C.V.
Published: September 2019

Introducción: Múltiples factores propician el abuso en el consumo de alcohol en adolescentes hijos de padres consumidores, entre ellos, el desconocimiento de sus recursos personales para enfrentar la situación. En este sentido, la Teoría de Autotrascendencia de Reed, ha sido utilizada como sustento teórico en diversas problemáticas como el consumo de alcohol.
Objetivo: Elaborar una propuesta para la gestión del cuidado de Enfermería, orientada a la prevención del consumo de alcohol en adolescentes hijos de padres consumidores, basada en la Teoría de Autotrascendencia de Pamela Reed.
Metodología: Análisis y adaptación de la teoría de Reed con la utilización del modelo de marco lógico como herramienta para la planificación de indicadores, medios de verificación y supuestos, de acuerdo al objetivo planteado.
Resultado: Se presenta un proyecto de gestión del cuidado de Enfermería que incluye siete sesiones con actividades que abordan los conceptos vulnerabilidad, factores moderadores-mediadores, autotrascendencia y autoconocimiento-autoestima, para promover el desarrollo de la trascendencia “hacia dentro”, de forma que permita el propio conocimiento y aceptación de elementos que contribuyan a la adopción de conductas saludables, para la prevención de ingesta de bebidas alcohólicas.
Conclusión: La aplicación de la Teoría de Autotrascendencia de Pamela Reed, en la estructuración de un proyecto de gestión con adolescentes hijos de padres consumidores de alcohol, es una propuesta orientada a una problemática de salud que actualmente viven los jóvenes como población vulnerable.
Importancia de la calidad de la Investigación Cualitativa
Authors: Duque-Páramo M.C.
Published: September 2019

El uso creciente de la Investigación Cualitativa (IC), por parte de enfermeras investigadoras en el mundo, desde los años noventa, ha llevado a que poco a poco sea reconocida como una herramienta legítimo para la comprensión de las perspectivas de las personas y los sujetos sociales, de manera particular los sujetos del cuidado de enfermería. Así, a través de la práctica de la IC, que partió de una crítica a la hegemonía de los modelos biologicistas y positivistas, con el interés de contribuir a la humanización del cuidado de enfermería, algunas enfermeras en América Latina, han buscado incluir las voces de las personas con quienes trabajamos como parte del conocimiento disciplinar, como insumos para el diseño de políticas y acciones en el campo de la salud.
Paso de guardia en enfermería: Una revisión sistemática
Authors: Charfuelan-Laguna Y. , Hidalgo-Bolaños D. , Acosta-Franco L. , Espejo-Quiroga D. , Tibaquicha-Bernal D. , Montaña-Vásquez J. , Henao-Castaño A.
Published: September 2019

El paso de guardia en enfermería es una actividad fundamental para dar continuidad al cuidado de los pacientes, se realiza como cumplimiento obligatorio de una tarea en el quehacer laboral.
Objetivo: Describir la producción científica publicada entre 2007-2017, referente a la temática de paso de guardia de enfermería en los servicios de urgencias. Metodología: Se desarrolló una revisión sistemática en seis bases de datos, se incluyeron estudios en idiomas inglés, español y portugués que estuvieran publicados en revistas indexadas con acceso a texto completo. Se realizó un análisis crítico de cada uno de los artículos con las Herramientas CASPe y STROBE, los resultados se ordenaron en una matriz que facilitó la obtención de información y categorías.
Resultados: De un total de 430 artículos, se incluyeron a la investigación únicamente 19, de los cuales 17 están escritos en idioma inglés y dos en español. Después del análisis de los artículos seleccionados se estructuraron dos categorías: Características del paso de guardia y Estandarización del proceso.
Conclusiones: Las brechas en la comunicación se perfilan como uno de los principales aspectos a tener en cuenta, para mejorar el paso de guardia. El lugar más recomendable para que se lleve a cabo el proceso debe ser en la habitación del paciente y verificado por los dos equipos de enfermería. En la actualidad es necesario realizar investigaciones para mejorar el nivel de evidencia de los estudios.
Capacidad de marcha y dependencia funcional en adultos mayores con alteración visual
Authors: Duran-Badillo T. , Hernández-Cortés P.L. , Guevara-Valtier M.C. , Gutiérrez-Sánchez G. , Martínez-Aguilar M.L. , Salazar-Barajas M.E.
Published: September 2019

Introducción: La alteración visual puede producir cambios en la marcha y afectar la autonomía del adulto mayor, entendida como la necesidad de ayuda de otras personas o aditamentos para realizar, adecuadamente, sus actividades de la vida diaria. Objetivo: Conocer la relación entre la capacidad de marcha y dependencia funcional en adultos mayores con alteración de la agudeza visual. Material y métodos: Estudio descriptivo y correlacional, en una población de adultos mayores con alteración de la agudeza visual, muestra conformada por 94 adultos mayores. La marcha se midió con el sistema GAITRite, para la dependencia en Actividades Básicas de la Vida Diaria, se utilizó el Índice de Barthel, para las Actividades Instrumentales de la Vida Diaria el índice de Lawton y Brody. Resultados: La capacidad de marcha y dependencia funcional, presentó relación positiva entre la velocidad de marcha (p = 0.000) y longitud del paso (p = 0.000) con las ABVD; la velocidad de marcha (p = 0.000), cadencia (p = 0.023) y longitud del paso (p = 0.000) con las AIVD y relación negativa entre la amplitud del paso (p = 0.012) y AIVD. Conclusión: La valoración de la marcha en los AM con alteración en la agudeza visual, desde el primer nivel de atención, permitirá desarrollar intervenciones y programas encaminados a preservar la independencia del adulto mayor, reducir las tasas de morbilidad, disminuir costos en salud y contribuir en una mejor calidad de vida.
Percepciones de los estudiantes sobre sus vivencias en las prácticas clínicas
Authors: García-Carpintero Blas E. , Siles-González J. , Martínez-Roche M.E. , Martínez-Miguel E. , Manso-Perea C. , González-Cervantes S. , García-García E.
Published: September 2019

Introducción: Los estudiantes de enfermería deben adquirir conocimientos, habilidades, actitudes y valores, para proporcionar cuidados de calidad. Las prácticas clínicas son el contexto ideal para lograr algunas de las competencias requeridas.
Objetivo: Explorar las percepciones de los estudiantes sobre sus vivencias durante sus prácticas clínicas.
Método: Abordaje metodológico descriptivo de tipo cualitativo y con un encuadre sociocrítico. Se analizaron los 45 portafolios de estudiantes de 4º curso de la Escuela Universitaria de Enfermería (EUE) Cruz Roja, donde explican sus vivencias en prácticas. Se optó por un portafolio semiestructurado en función de la competencia a demostrar definiendo previamente las tareas o evidencias Se realizó un análisis de contenido que comprendía las siguientes fases: reducción de los datos; categorización-codificación, presentación de datos y conclusiones/verificación de los datos. Se alcanzó saturación en la información sobre las categorías presentadas.
Resultados: Del análisis de los datos emergen distintas unidades de significado que se engloban en tres categorías: aprendizaje en prácticas, dificultades del entorno, crecimiento personal y profesional.
Conclusiones: El estudio evidencia la importancia de las prácticas clínicas para los estudiantes dentro del plan de estudios, ya que es donde aplican lo que han aprendido en el aula y son conscientes de la realidad a la que se enfrentan. El entorno clínico y la relación que se establezca entre este y el estudiante determina en muchas ocasiones el aprendizaje. Queda patente que los estudiantes durante sus prácticas clínicas toman conciencia de aquellos conocimientos del saber, saber hacer y saber estar.
Estrategias para mejorar el proceso de revisión por pares en Enfermería Universitaria
Authors: García-Cardona M.
Published: September 2019

La calidad de las investigaciones publicadas, se fundamenta en gran medida, en el proceso de revisión por pares, por tanto, habitualmente las revistas consideran entre sus objetivos primordiales y permanentes mejorar la calidad de este proceso, con el fin de agregar evidencia científica correcta a la práctica. En Enfermería Universitaria compartimos el interés por mejorar día a día nuestro proceso editorial, este propósito ha sido el motor para diversas estrategias que se han implementado: desde 2014, con apoyo de la Red Mexicana de Editoras de Revistas Científicas de Enfermería (Red MERCE), se ha organizado un encuentro anual, dirigido a los revisores e integrantes de los equipos editoriales de cada una de las revistas que integran esta red; de forma puntual se han analizado las diversas características, problemáticas y, aspectos vinculados con la calidad de la revisión por pares, así como de diseños, o tipos de investigación específicos. Como resultado ha sido posible la actualización de todos los participantes; un logro adicional es contribuir a construir la identidad del revisor, la necesaria profesionalización de esta tarea, y el sentido de importancia de esta participación.
PROFIL KOMPETENSI GURU BIMBINGAN DAN KONSELING DALAM PELAYANAN KELOMPOK DI SMA SUMATRA BARAT
Authors: Kasih, M.Pd Kons Fitria
Published: September 2019

The purpose of this study was to describe: (1) Teachers of Guidance and Counseling Competence seen from the service formation phase in group (2) Teachers of Guidance and Counseling Competence seen from the service transitional in group, (3) Teachers of Guidance and Counseling Competence seen from the service phase activity in group, (4) Teachers of Guidance and Counseling Competence seen from the service ending phase in group. This study was descriptive qualitative approach.  The informants were teachers of Guidance and Counseling as the leader of the group, group members, and coworkers’ group leader. The instruments were interview and documentation study. Technique of data analysis was data reduction, data presentation and conclusion inductively. The results of the study were (1) Phase of formation has not focus on the explanation of the activities purpose towards the growing sense to know each other among the group members, (2) Phase of transition has not been confirmed to move on the next phase, (3) Phase of activity has not been demonstrated as a regulator in this activity, and yet liven in group, (4) Phase of ending did not really understand that the group members can commit to either, yet the conclusion of this activity. The Implication is teachers of Guidance and Counseling obviously need to improve their competence in service groups according to the phases  of group services.
HUBUNGAN MOTIVASI BELAJAR DENGAN HASIL BELAJAR MATEMATIKA SISWA
Authors: Syahniar Syahniar , Dwi Besti Nora
Published: September 2019

This research is motivated by the problems were many students are having problems of mathematics learning outcomes at schools. Many students did not complete the study of mathematics. The research aims to describe (1) learning motivation,(2) the correlation of learning motivation and student learning outcomes.This study used a descriptive correlational quantitative method. The study population were students of SMAN 1 Rambatan School Year 2014/2015 522 people the sample of 208 people, which is selected by stratified random sampling technique. The instrument was a questionnaire with reliability of 0.971 (motivation to learn). Data have analyzed with descriptive statistics,simple linear regression and multiple regression.The research result showed that (1) students' motivation were at high enough category,(2) there was a correlation of learning motivation the learning outcomes of student.Keyword : Learning Motivation, Mathematics Learning Outcomes.
Profil Motivasi Belajar Siswa SMP Pembangunan Laboratorium Padang
Authors: Nur Arsida , Suryadi Suryadi
Published: September 2019

This research is based on the researcher's awareness of the students who have low learning motivation that there are students who play in learning, lazy learning as disturbing his friends, telling when the teacher explained the lesson, playing Mobile, doodling his book that has nothing to do with lessons and doodling tables and student achievements that are still many under the minimum mastery criteria . This study aims to describe students' learning motivation. The sample in this study amounted to 210 students. This research is a research with quantitative descriptive approach. The result of this study shows that the students' learning motivation belongs to high category, based on the indicators of persistence in learning are in the high category, so the tenacious indicators are in high category, the interest indicator is in the high category and the independence indicator is in the category
Learning Motivation of Religious Program in Senior High School Students Viewed Residence and Its Implication in Guidance and Counseling
Authors: Wae Rahma Wati , Chandra Yasrial
Published: September 2019

ABSTRACT Learning motivation can be defined as internal and external encouragement in the students to make a change over their behavior. Someone’s learning motivation is affected by various factors which might come either from themselves or from outside. The factor is  gender residence. The purpose of this research was to reveal of religious program insenior high school students learning motivation viewed from residence and its implication in guidance and counseling. This research method was ex post facto by using a factorial design 2 x 2. The population of this research was the students of religious program in senior high school that consist of 108 people. All of the population was taken as the sample. The instrument of the research was Likert scale model. The data obtained in this research was analyzed by using analysis of variant (ANOVA).The results of data analysis indicated that: learning motivation of the students who lived in the boarding school and those who did not live in the boarding school was in high category in which there was not significant difference between learning motivation of student who lived in the boarding school and those who did not live in the boarding school. Keyword : Learning Motivation, Residence ABSTRAKMotivasi belajar merupakan dorongan internal dan eksternal pada diri siswa yang sedang belajar untuk mengadakan perubahan tingkahlaku. Motivasi belajar siswa banyak dipengaruhi oleh berbagai faktor yang berasal dari dalam diri dan luar diri. Faktor yang mempengaruhi motivasi belajar diantaranya adalah tempat tinggal. Penelitian ini bertujuan untuk mendeskripsikan motivasi belajar siswa Madrasah Aliyah Keagamaan (MAK) ditinjau dari tempat tinggal serta implikasinya pada layanan bimbingan dan konseling. Metode penelitian yang digunakan adalah ex post facto dengan desain faktorial 2 x 2. Populasinya adalah siswa MAK sebanyak 108 orang dan dijadikan sampel penelitian. Instrumen yang digunakan adalah model skala Likert. Data dianalisis dengan menggunakan teknik analisis varian (ANAVA). Hasil analisis data menunjukkan bahwa:  motivasi belajar siswa ditinjau dari tempat tinggal yaitu siswa yang tinggal di asrama dan yang tidak tinggal di asrama berada pada kategori tinggi, dan tidak terdapat perbedaan motivasi belajar antara siswa yang tinggal di asrama dan yang tidak tinggal di asrama. Kata Kunci : Motivasi Belajar, Tempat Tinggal
KAJIAN REKLAMASI LAHAN DAERAH ALIRAN SUNGAI BATANG KURANJI KOTA PADANG
Authors: Suryani Ade Irma
Published: September 2019

Reclamation activities aimed at fixing or setting up a land use that is disturbed as a result of business activities penggolahan inappropriate environment, in order to function and useful for their designated purpose. This study aims to determine land use (DAS) Kuranji Batang Padang city, and the direction of land reclamation in the watershed (DAS) Kuranji Batang Padang. Tutorial reklamsi done on land along the streams of the river is, with methods of soil conservation by means of agronomic or vegetative, mechanical and chemical.Keywords: watershed, land use, land reclamation landing
STRATEGI PETANI KARET DALAM MEMENUHI KEBUTUHAN HIDUP DI NAGARI TARUANG-TARUANG KECAMATAN RAO KABUPATEN PASAMAN
Authors: Rianto Slamet
Published: September 2019

This study aims to gather information, analyze and discuss data on Strategies rubber farmers in meeting the needs of life in Kenagarian Taruang-Taruang districts Rao Pasaman district. This research is descriptive qualitative techniques. To answer this problem used secondary data and primary data. Primary data was collected through observation, interviews, discussions with rubber farmers. The study concluded that: 1) People Nagari Tarung-Tarung have rubber land on average 2-5 hectares, the number of plants owned rubber generally 300 stems / ha, the average distance between the rubber plantation is 2-5 km from the farmhouse. Tools commonly used knives, machetes and hoes, 2) If more rain than the summer, the harvest will be disturbed, to overcome this is usually done fertilization, while the average frequency of harvest by the farmers is 1 time in 2 days, 3) production of rubber farmers in Nagari Tarung-Tarung generally is pure rubber because the selling price was good, generally sold to toke / traders who have a subscription, 4) Income rubber farmers sourced from rubber plantations, the highest selling price obtained farmers from the sap of pure, without mixture. Rubber prices are normal can meet the needs of farmers, but the farmers are not trying to sell directly to the factory rubber. Stable prices because there is no middleman and 5) Alternative business other than farming communities rubber is mostly done in Nagari-Combat Combat is aquaculture, rice paddies and trade was done to reduce the risk in the event of prolonged rainy seasonKeywords: Farmers Strategy Rubber Meets Needs In Life
TEKNOLOGI HIJAU: SOLUSI UNTUK PELESTARIAN SUMBER AIR
Authors: Nefilinda Nefilinda
Published: September 2019

This study aims to determine how these green technologies is a solution to preserve water resources. The research method is literature. The results obtained are: climate change caused by global warming are already being felt its impact in people's lives. If no preventive efforts, the impact of global warming in the future is a very serious threat to the lives of all the creatures on earth. In the face of the impact of Global Warming necessary mitigation efforts and adaptation that involves the community, such as water resource conservation technology with plant biology (bio-park), domestic waste water treatment technology with ecological sanitation (Ecosan), flower garden waste water (waste water garden), sanitation garden (sanita) and the concept of green technology (green tecnology). Green technology is one of adaptation and mitigation of the impact of Global Warming which is in line with the principle of sustainable development (sustainable development). Various Green Technology in the field of preservation of water resources and wastewater treatment has been available to be applied in the construction. Suggestions in this study are: for the government to attempt to campaign for the use of green technology and for the community also can use green technology in order to minimize global warming ranging from the household.Keywords: green technology and conservation of water resources
POTENSI PASAR TRADISIONAL SIMABUR BAGI MASYARAKAT DI NAGARI SIMABUR KECAMATAN PARIANGAN KABUPATEN TANAH DATAR
Authors: Mustafa Ahmad
Published: September 2019

This research conducted in kenagarian Simabur Pariangan districs Tanah Datar regency, which aims to determine the potential of tradisional market Simabur for people in villages Simabur Pariangan districs Tanah Datar regency both interms of jobs, household incomes and land lease. The type of the research belong to the descriptive study sampling taken technique Proporsional Random Sampling, with a sample of 73 people. The sample is peope there, merchants located around the Simabur market, collecting data though observation and direct observation from the field to the questionnaire. This research resulted in several conclussions : (1) The potential market for employment in the village community in Simabur Pariangan districs Tanah Datar regency to work, on a general merchant, (2) The potential market for the income of the people in the Simabur village Pariangan districs Tanah Datar regency the average income of market than Rp.2.000.000, (3) Potential market for land lease communities in Simabur village Pariangan districs Tanah Datar regency the everage lease for every day is Rp.3000-6000. Keywords : Potential, Market, Communities
WISATA ALAM KABUPATEN LIMA PULUH KOTA MEMBUKA PELUANG USAHA BAGI MASYARAKAT
Authors: Erita Yeni
Published: September 2019

The purpose of this research is to determine the nature contained and dispersed in the District Fifty Cities that can open up business opportunities for the local population. Natural state is owned by the City District Fifty is a natural resource that has been built and developed into a tourist attraction presented by the landscape to the audience, so it has a charm that is intended as a tourist. The method used in this research is descriptive qualitative, which intends to describe and narrate stretch of natural attractions located in the district of Lima City. The results that this is a reference nature to be visited by the visitors and the benefit and satisfaction of natural attractions Fifty Cities and counties get a good service to menikmat so that the service stepping indulgence for the nature lovers. With the ministry's stepping opens opportunities for people who are around him, both in terms of sauvenir and cafes that serve regional specialties Fifty Cities districts themselves.Keywords: Object, Tour, Landscape.
PENGEMBANGAN OBJEK WISATA PANORAMA TERTINGGAL DI KABUPATEN TANAH DATAR
Authors: Dt. Tanamir Momon.
Published: September 2019

This research was motivated by the development of tourism in the district of Tanah Datar in recent years has decreased mainly attraction of natural scenery. This study aims to determine what strategies can be done in the development of attractions panorama in Tanah Datar. This research is classified in a qualitative study using SWOT analysis. The data used are primary data and secondary data. Mechanical withdrawal informants using purposive sampling technique. Data were analyzed using three stages, namely; data reduction, data presentation, and conclusion. Examination of the validity of data consisting of; extension of participation, diligence in observation, and triangulation. The results show that the strategy can be done to tourism development Panorama in Tanah Datar, among others; 1) Publish that some panoramas in Tanah Datar has used biased historical attractions history. 2) Increase the promotion via its website and location map attractions Tanah Datar. 3) Perform pruning of pine trees that have been blocking the view. 4) Improved cooperation between the Regional Government (Department of Tourism, Wali Nagari with business attractions. 5) Local governments must be able to draw up a budget to allocate infrastructure and maintenance so as to increase the waiter towards tourists.Keywords: Development, attractions, Panorama
STUDI PEMANFAATAN LIMBAH TANDAN KOSONG KELAPA SAWIT OLEH MASYARAKAT DI JORONG KOTO SAWAH NAGARI UJUNG GADING KECAMATAN LEMBAH MELINTANG
Authors: Salmina Salmina
Published: September 2019

This study aims to know waste utilization of oil palm empty fruit bunches in Jorong Koto Sawah  Nagari Ujunggading District Of Lembah Melintang  West Pasaman. This type of research is descriptive. The population is head of the family in Jorong Koto Sawah Nagari Ujunggading District of Lembah Melintang  totaled  1141 households. Samples were taken by purposive sampling region (designation) with 3 Jorong Koto Sawah 1) Dusun Banjar Kapar, 2) Dusun Muara Simpang, 3) Dusun Tanjung Harapan which has the highest number of people in Jorong Koto Sawah. The sample of respondents was taken with the proportion of 25% of the number of households, so that a population of 100 families. Data collection through questionnaires or instruments. Techniques of analysis using the analysis of the percentage formula. The research found that: (1) Awareness of the utilization of waste palm empty fruit bunches are in less good criteria, with a percentage of 56,8%, (2) Public Participation on the utilization of waste oil palm empty fruit bunches are in less good criteria, with a percentage of 56,9%, and (3) Motivation Communities to the utilization of waste oil palm empty fruit bunches are in the criteria is not good, with a percentage of 53.5%
DINAMIKA KEHIDUPAN MANUSIA DAN KONDISI SUMBERDAYA ALAM DAERAH ALIRAN SUNGAI
Authors: Zuriyani Elvi
Published: September 2019

The purpose of writing this article is to give an overview of watershed damage that has occurred, which also led to the occurrence of natural disasters. Watershed damage that occurs due to the interaction between human and natural resources show that the interaction is negative in the end will result in damage and natural disasters. This paper is a literature review on the analysis of the facts that occurred on the field of natural resource conditions watersheds, as well as in the analysis of the theories associated with pegelolaan DAS. Based on the problems and phenomena of watershed degradation that has occurred in recent years, it is necessary efforts and strategies for watershed management that are useful for the realization of the sustainability of the watershed for the present and future. Cooperation between the public and the government in watershed management is the key factor required. The government must be able to move the various stakeholders in the management of natural resources, including natural resources watersheds, through policies, strategies, and programs to both short term and long term.Keywords: dynamics, human, watershed resources.