bluuebunny/crossref_metadata_2025 huggingface dataset:
CLMM: Towards a Collaborative Chinese University Laboratory Model
Authors: Hu Huiying , Abdullah @ Dolah Natrah , Ahmad Nor Diana
Published: November 2024

With universities continually producing data in their laboratories, effective data management has become increasingly crucial. To meet this demand, the application of laboratory information management systems (LIMS) is becoming increasingly widespread. LIMS is a complex computing system used to manage laboratory data. There are currently a variety of LIMS to choose from, but most LIMS use proprietary codes, so the development cost is very high. At the same time, existing LIMS models usually only focus on functional requirements and ignore the specific means of functional implementation, which leads to difficulties for users in management. In addition, since LIMS are very complex, they are often designed to meet the needs of specific laboratories, which makes their versatility and reusability very poor. Therefore, this paper presents the Collaborative Laboratory Management Model(CLMM), which introduces advanced management ideas based on the LIMS model, aiming to make the model focus on both function and technology. CLMM integrates workflows, and users can create and manage workflows themselves. This not only improves the flexibility of the model, but also increases reusability, which can meet the needs of different types of laboratories. With the development of the model, we hope to improve the management efficiency of laboratories by managing the data of university laboratory information, equipment, instruments, etc., and contribute to the complex management work of universities.
Adaptive Active Noise Cancellation Method of High Voltage Reactor Based on DnCNN Network
Authors: Han Li , Lu Bin , Fang Jizhong , Zhang Qingxia , Qian Yong , Ma Rui , Guo Wei , Cheng Cheng
Published: November 2024

Current noise cancellation methods can barely deal with nonlinear signals in an effective way and the overall noise reduction performance is relatively poor. Aiming at these issues, we propose an adaptive active noise cancellation (ANC) method of high voltage reactors based on the denoising convolutional neural network (DnCNN). First, a feedforward adaptive ANC system was designed by considering the noise characteristics of high voltage reactors. Then, a noise control model was constructed and the weight coefficient of the filter was optimized by using the DnCNN network; meanwhile, the inverse waveform was reconstructed by adding spectrum analysis, thereby achieving effective control of noise signals. Additionally, the whale optimization algorithm was employed to solve the problem models of minimization of total radiation power of different sound sources, and the optimized location, amplitude, and phase angle of the secondary sound sources were determined. Based on LabVIEW, an online noise monitoring and ANC system was developed and used for experimental analysis of the proposed method. The results showed that the noise reduction performance was optimized (the overall noise reduction = 9 dB) when the number of secondary sound sources was 8 and the distance from the primary sound source was 1.0 m, suggesting that the proposed method can reliably reduce the noises of high voltage reactors.
Construction and Implementation of Human-Machine Collaborative Practice Teaching Mode Based on AI – Take the “Python and Web Crawler” Lesson as an Example
Authors: Han Na , Zhang Fa , Lan Shujuan , Li Yumin , Chen Dongwei
Published: November 2024

With the rapid development of information technology, artificial intelligence technology gradually penetrates the field of education, providing new possibilities for the innovation of teaching mode. The traditional teaching mode often has problems such as single teaching resources, low student participation and insufficient cultivation of practical ability. To solve these problems, this paper proposes a practical teaching mode based on the concept of Human-Machine collaboration. It aims to harness the advantages of human and machine and improve teaching efficiency and quality. Taking the course “Python and Web Crawler” as an example, a teaching framework includes four modules: knowledge learning, practical training, evaluation feedback and personalized tutoring. An AI-assisted teaching system integrating the functions of knowledge base, adaptive learning, automatic evaluation, virtual practice and teacher assistance is also developed. The application of this model in practical teaching shows that the Human-Machine collaborative teaching model is effective. According to the experimental results of this research, firstly, the average learning time of students this semester has decreased by about 20% compared to the previous semester, but the average score of the final grade has improved by about 5%. Secondly, the students’ project works are better than in the previous semester in terms of code quality and functional completion, especially the improvement in code quality is the most obvious. Finally, based on ten questions, the overall evaluation of the students on the course this semester is significantly higher than that of the last semester. Therefore, we firmly believe that this research provides a useful exploration for the application of AI in education.
Resolution-Agnostic Transformer-based Climate Downscaling
Authors: Curran Declan J. , Saleem Hira , Hobeichi Sanaa , Salim Flora D.
Published: November 2024

Understanding future weather changes at regional and local scales is crucial for planning and decision-making, particularly in the context of extreme weather events, as well as for broader applications in agriculture, insurance, and infrastructure development. However, the computational cost of downscaling Global Climate Models (GCMs) to the fine resolutions needed for such applications presents a significant barrier. Drawing on advancements in weather forecasting models, this study introduces a cost-efficient downscaling method using a pretrained Earth Vision Transformer (Earth ViT) model. Initially trained on ERA5 data to downscale from 50 km to 25 km resolution, the model is then tested on the higher resolution BARRA-SY dataset at a 3 km resolution. Remarkably, it performs well without additional training, demonstrating its ability to generalize across different resolutions. This approach holds promise for generating large ensembles of regional climate simulations by downscaling GCMs with varying input resolutions without incurring additional training costs. Ultimately, this method could provide more comprehensive estimates of potential future changes in key climate variables, aiding in effective planning for extreme weather events and climate change adaptation strategies.
Turkey’s Earthquakes: Damage Prediction and Feature Significance Using A Multivariate Analysis
Authors: Shah Shrey , Lin Alex , Lin Scott , Patel Josh , Zhu Kevin
Published: November 2024

Accurate damage prediction is crucial for disaster preparedness and response strategies, particularly given the frequent earthquakes in Turkey. Utilizing datasets on earthquake data, infrastructural quality metrics, and contemporary socioeconomic factors, we tested various machine-learning architectures to forecast death tolls and fatalities per affected population. Our findings indicate that the Random Forest model provides the most reliable predictions. The model highlights earthquake magnitude and building stability as the primary determinants of damage. This research contributes to the reduction of fatalities in future seismic events in Turkey.
Telemedicina en Chile: la experiencia pionera del Centro Regional de Telemedicina y Telesalud del Biobío
Authors: Chiavarelli Maurizio Mattoli , Veloso Angelica Avendaño , Valenzuela Eileen Sepúlveda , Andalaft Camila Barra , Zúñiga San Martín Carlos
Published: November 2024

Chile, con su geografía extensa y concentración demográfica en la zona central, enfrenta el desafío de escasez de especialistas sanitarios y especialmente en zonas remotas y aisladas. En este contexto surge la necesidad de acercar la Telesalud a sectores alejados y con necesidades sanitarias a través de la creación del Centro Regional de Telemedicina y Telesalud del Biobío CRT Biobío.Objetivo: Describir la implementación y resultados de un Centro Regional de Telemedicina y Telesalud en una Región del Sur de Chile. Metodología: Se utilizó una metodología interdisciplinaria, colaborativa e integradora basada en guías de inversión e implementación de intervenciones de salud digital OMS/OPS. Además, se complementa con el Modelo de Vinculación con el Medio de la Universidad de Concepción UdeC, caracterizado por la bidireccionalidad y la colaboración entre gobierno, academia e instituciones sanitarias. Como sustento teórico conceptual el modelo b-Health fue utilizado como marco de referencia, llevándolo a la práctica a través de cuatros ejes esenciales de trabajo que coexisten para finalmente entregar servicios de Telemedicina y Telesalud. Resultados: CRT Biobío ha desplegado 12 antenas satelitales en territorios de la región, contribuyendo a la habilitación tecnológica e innovando en los procesos clínicos asistenciales. También, ha emitido más de 6.000 certificaciones tras ofrecer su Plan de Capacitación a funcionarios de salud y a la población en general. Por otra parte, se han realizado 55.800 prestaciones de salud otorgadas con tecnología CRT Biobío, contribuyendo a mejorar la resolutividad y pertinencia diagnóstica y terapéutica, impactando la calidad de vida de las personas de la región del Biobío, Chile. Conclusión: CRT Biobío ha demostrado tener un impacto positivo en la calidad de vida de las personas de la Región del Biobío, acercando la atención especializada, capacitando y contribuyendo a mejorar la resolutividad de los equipos de salud, a través de estrategias de telesalud y telemedicina en sitios de difícil acceso.
El nivel de madurez en los servicios de telesalud en México: Informe de la encuesta aplicada a las coordinaciones estatales de telemedicina
Authors: Montoya Yibran Alejandro Hernández , López Adrian Pacheco , Aguiñaga Chantal Escarlett Del Rosario Zambrano , Estefany Lozano Arroyo Karla
Published: November 2024

Luego de la pandemia de COVID-19 con la identificación de algunos obstáculos estructurales en el uso de la telesalud en las instituciones, se observó la necesidad de identificar estrategias que permitan implementar proyectos y programas de telemedicina con menor dificultad. Objetivo: Identificar el nivel de madurez en los servicios de telesalud en México, a través del desarrollo e implementación de un instrumento que evalúe este diagnóstico situacional general en las Coordinaciones de Telemedicina en las entidades Federativas de México. Metodología: Este trabajo contó con 2 etapas principales relacionadas con la construcción del cuestionario: (1) planificación; (2) elaboración de las preguntas por categoría. Después de finalizar la construcción, se realizó la etapa de (3) aplicación del formulario. Resultados: De las 32 Entidades Federativas (EF) en México que fueron parte de este análisis, el 94% (30 EF) contestó el formulario, mientras que del 6% (2 EF) restante no lo hicieron. Discusión y conclusión: A partir del análisis de los resultados obtenidos mediante la aplicación del cuestionario se puede debatir sobre el diagnóstico general de las Coordinaciones de Telemedicina en las mismas Secretarías de Salud Estatales. De esta manera, el análisis de los resultados discutidos puede servir como base teórica y metodológica para.
Анализ влияния шага дискретизации на точность цифровых
измерений шаговых параметров шероховатости поверхности
Authors: Лысенко Валерий Григорьевич
Published: November 2024

Автор продолжает серию публикаций в журнале «Законодательная и прикладная метрология», посвящённых цифровым методам измерений геометрических параметров шероховатости поверхности, в связи с внедрением стандартов – отечественного ГОСТ Р ИСО 4287 и международных
серии ISO 5436 и ISO 25178. Анализируется влияние шага дискретизации профиля при цифровых измерениях на точность
измерений шаговых параметров шероховатости по отечественному ГОСТ Р ИСО 4287 и международным серии ISO 5436 и ISO 25178. Исследована систематическая погрешность, возникающая при цифровом измерении шаговых
параметров n (0), m, S, Sm (Rsm). Получены рекомендации по оценке систематической погрешности и её компенсации.
Pembelajaran Agama Islam dan Kearifan Lokal: Strategi Integrasi Budaya dalam Kurikulum Sekolah Dasar
Authors: Farid Haluti  , Jumahir  , Sukmawati
Published: November 2024

Latar belakang penelitian ini didasarkan pada pentingnya pengajaran agama yang relevan dengan konteks budaya lokal, guna memperkuat identitas kultural dan spiritual peserta didik. Penelitian ini bertujuan untuk mengeksplorasi strategi integrasi antara pembelajaran Agama Islam dan kearifan lokal dalam kurikulum Sekolah Dasar di Kecamatan Luwuk. Metode penelitian yang digunakan adalah kualitatif deskriptif, dengan pendekatan studi kasus yang melibatkan observasi, wawancara, dan analisis dokumen. Hasil penelitian menunjukkan bahwa integrasi kearifan lokal dalam pembelajaran Agama Islam mampu meningkatkan pemahaman siswa terhadap nilai-nilai agama dan budaya lokal secara holistik. Kesimpulannya, strategi ini efektif dalam menciptakan kurikulum yang kontekstual dan berkelanjutan, yang tidak hanya memperkaya pengetahuan agama tetapi juga melestarikan kearifan lokal.
PENGUATAN KAPASITAS ADMINISTRASI PEMERINTAHAN DESA
Authors: Dewi Ayu Hartati  , Astrid Monica Carolina Ambo  , Femiranti Ihsan  , Zilan Zelila  , Maskur Alimudin  , Nursin Erwin
Published: November 2024

Pentingnya tata kelola pemerintahan desa yang efektif dalam mendukung pembangunan dan pelayanan masyarakat. Fenomena yang terjadi pada mitra menunjkan bahwa belum tersedianya data administrasi desa secara lengkap diantaranya yaitu data kependudukan yang masih belum sempurna serta Tingkat pemahaman pemerintah desa dalam mengelolah administrasi desa masih rendah yang disebabkan karena factor sumber daya manusia yang sangat terbatas. Tujuan pelaksanaan kegiatan ini tidak lain adalah untuk memberikan penguatan kapasitas dalam rangka untuk meningkatkan pengetahuan dan pemahaman pemerintah Desa Bumi Beringin Kecamatan Luwuk Utara Kabupaten Banggai. Metode yang digunakan meliputi pelatihan, pendampingan, dan evaluasi terhadap aparatur desa dalam aspek administrasi pemerintahan. Hasil pengabdian menunjukkan peningkatan signifikan dalam pemahaman dan keterampilan aparatur desa terkait administrasi pemerintahan. Terdapat perbaikan dalam sistem pengarsipan, efisiensi pelayanan publik, dan akurasi pelaporan. Kegiatan ini berkontribusi pada penguatan tata kelola pemerintahan desa yang lebih transparan dan akuntabel, serta mendorong partisipasi masyarakat dalam pembangunan desa
AI-Driven Capacity Planning in Large-Scale Infrastructure: A Comparative Analysis of LSTM Networks and Traditional Forecasting Methods
Authors: Saikiran Rallabandi
Published: November 2024

Infrastructure capacity planning presents significant challenges in modern distributed systems, where traditional forecasting methods often fail to accommodate dynamic resource demands effectively. This article examines the implementation of artificial intelligence-driven capacity planning systems, specifically focusing on Long Short-Term Memory (LSTM) networks and advanced machine learning algorithms, across large-scale infrastructure deployments. Through a mixed-methods approach combining quantitative analysis of historical performance data from multiple enterprise deployments and detailed case studies of implementations at Netflix and Microsoft Azure, we demonstrate that AI-driven planning systems achieve a 47% improvement in prediction accuracy compared to traditional methods, while reducing resource over-provisioning by 31%. The findings indicate that LSTM-based models excel particularly in environments with irregular usage patterns, achieving 93% prediction accuracy in highly variable workloads compared to 76% for conventional statistical methods. The integration of cross-layer monitoring with 5G technologies introduces transformative capabilities, enabling more sophisticated resource optimization with a 45% improvement in overall resource utilization. The article also reveals significant improvements in educational environments, with Azure's implementation demonstrating a 35% reduction in per-student costs and 64% increase in system utilization. Additionally, our investigation addresses critical security and privacy considerations in AI-driven systems, providing a comprehensive framework for privacy-preserving technology implementation and industry adoption projections. These results suggest that AI-driven capacity planning represents a significant advancement in infrastructure management, offering improved operational efficiency, substantial cost benefits, and enhanced security measures across diverse operational contexts.
Cybersecurity Framework and Risk Mitigation Strategies in the Modern Insurance Industry: A Comprehensive Analysis
Authors: Kanaka Maheswara Rao Chennuri
Published: November 2024

This comprehensive article examines the critical role of cybersecurity in the modern insurance industry, analyzing the complex interplay between technological innovation, regulatory compliance, and operational resilience. The article explores various dimensions of cybersecurity infrastructure, including advanced data protection methodologies, sophisticated threat detection mechanisms, and robust authentication protocols that form the backbone of security in insurance organizations. Particular attention is given to the evolution of Zero Trust architectures, the implementation of privacy-preserving technologies, and the development of comprehensive incident response frameworks. The article also investigates the human factor in cybersecurity, emphasizing the importance of training methodologies and awareness programs in preventing security breaches. Through analysis of current industry practices and emerging trends, this article highlights the dual challenges faced by insurers as both targets of cyber-attacks and providers of cyber risk solutions. The findings reveal the critical importance of adopting adaptive security frameworks and integrating emerging technologies while maintaining regulatory compliance and operational efficiency. This article contributes to the growing body of knowledge on cybersecurity in financial services by providing insights into effective risk mitigation strategies and identifying areas for future research and development in the insurance sector's cybersecurity landscape.
Kebisingan Di Sektor Informal : Studi Kasus Mesin Penghalus Bahan Makanan Di Kecamatan Mamuju Kabupaten Mamuju
Authors: Hairuddin Miftah Chairani , Adiningsih Ridhayani
Published: November 2024

Latar Belakang : Mesin penghalus atau penggiling menjadi salah satu penyumbang sumber kebisingan di Pasar. Mesin tentunya membutuhkan pekerja untuk dapat mengoperasikan mesin tersebut. Pekerja yang sering terpapar oleh suara yang ditimbulkan dapat menimbulkan gangguan pendengaran dari ringan hingga berat. Tujuan: Mengetahui tingkat kebisingan dan jenis kebisingan. Metode: Penelitian observasional dengan pendekatan cross sectional. Penelitian ini dilaksanakan di Kecamatan Mamuju Kabupaten Mamuju pada tahun 2023. Populasi penelitian ini adalah seluruh pedagang yang memiliki mesin penghalus bahan makanan di Kecamatan Mamuju yaitu 41 pedagang. Sampel dipilih dengan teknik total population sampling, yang berarti semua  populasi menjadi responden penelitian. Prosedur pengumpulan data untuk intensitas kebisingan diukur menggunakan Sound Level Meter, sesuai dengan standar SNI-7231-2009. Data dianalisis menggunakan metode statistik deskriptif untuk menentukan rata-rata dan distribusi karakteristik kebisingan. Hasil : Pengukuran intensitas kebisingan menunjukkan rata-rata 93,97 dB, 94,76 dB, dan 95,48 dB. Hasil pengukuran menunjukkan bahwa sebagian besar mesin menghasilkan kebisingan intermittent. Kesimpulan : intensitas kebisingan yang dihasilkan oleh mesin penghalus makanan melebihi nilai ambang batas (NAB) sebesar 85 dB.
Penerapan Sanitasi Di Pasar Tradisional Kota Palembang: Tinjauan Fasilitas Dan Perspektif Pedagang
Authors: Ardillah Yustini , Purnama Sari Indah , Septiawati Dwi
Published: November 2024

Di era pandemic Covid-19, Sanitasi menjadi bagian penting dalam pencegahan penularan virus tersebut. Pasar merupakan tempat umum yang berpotensi untuk menjadi kluster penularan. Penelitian ini bertujuan untuk menggambarkan fasilitas sanitasi di pasar serta perspektif pedagang mengenai Covid-19. Metode yang digunakan dalam penelitian ini adalah deskripsi observasional, sampel dalam penelitian ini sebanyak 206 pedagang pasar tradisional di 19 pasar Kota Palembang. Pemilihan sampel menggunakan purposive sampling. Pengambilan data dengan menggunakan wawancara dengan kuesionar terstruktur dan observasi dengan menggunakan checklist. Data dianalisis secara univariable. Hasil penelitian menemukan bahwa kurang dari 50% pasar tradisonal yang sudah memiliki fasilitas sanitasi berupa jamban, sarana cuci tangan menggunakan sabun, air bersih  dan saluran pembuangan air limbah yang memenuhi persyaratan. Sementara sikap pedagang pasar terhadap penularan Covid-19, hanya sebanyak 39% pedagang yang merasa dapat menularkan Covid-19. Penerapan protocol kesehatan juga rendah, 61.2% pedagang masih berkerumun, 60,2% tidak menggunakan masker dan 81,1% tidak menjaga jarak. Fasilitas protokol kesehatan dan fasilitas sanitasi perlu ditingkatkan untuk memaksimalkan pencegahan penularan Covid-19 di pasar tradisional.
Analysis of The Application of Kolcaba Theory in Patient Mr. S.S.M. with Post Percutaneus Coronary Intervention in The Intensive Cardiology Care Unit of the Prof. dr. R. D. Kandou Manado General Hospital
Authors: Sibua Israwati , Muliyadi Muliyadi , Nurmansyah Muhammad
Published: November 2024

Latar belakang: Penyakit jantung koroner terjadi karena adanya penyumbatan pada pembuluh koroner baik akibat endapan kolesterol maupun peradangan. Penyakit jantung dapat menimbulkan ketidaknyamanan sebelum dilakukan tindakan perawatan dan pengobatan, maupun setelah dilakukan tindakan medis, dalam hal ini percutaneus coronary intervention (PCI). Ketidaknyamanan yang dirasakan pasien post PCI berupa nyeri ringan di dada, suhu lingkungan yang dingin, prosedur tindakan dan beberapa keluhan yang mempengaruhi rasa nyaman pasien. Peneliti menemukan belum banyak penelitian tentang penerapan teory Kolcaba pada pasien post PCI. Tujuan umum: Penerapan teory Kolcaba pada pasien Tn.S.S.M. dengan memberikan bantalan hangat untuk meningkatkan kenyamanan post tindakan PCI. Metode: Penelitian menggunakan pendekatan studi kasus dengan sampel pasien post tindakan PCI. Implementasi dilakukan selama 3 hari, dengan durasi pemberian kompres bantalan hangat selama 20 menit. Hasil: Tingkat kenyamanan pasien meningkat setelah pemberian bantalan hangat. Kesimpulan: Penerapan teori Kolcaba tentang kenyamanan pada pasien post PCI dapat menjadi terapi yang efektif dan mudah dalam meningkatkan kenyamanan pasien sehingga membantu mempercepat proses penyembuhan pasien.
Prevalensi Jamur Malasssezia Furfur Pada Panu Anak Sekolah Dasar Negeri 47 Kelurahan Dufa-Dufa Kota Ternate
Authors: Puasa Rony , Anwar Aan Yulianingsih , Abubakar Nadira
Published: November 2024

Latar Belakang: Indonesia merupakan negara kepulauan yang terletak di garis khatulistiwa yang mempunyai iklim tropis yang memungkinkan berkembangnya penyakit menular yang di sebabkan oleh mikroorganisme seperti jamur. Malassezia furfur merupakan salah satu jenis jamur pada kulit. Adanya Malassezia furfur pada siswa menyebabkan siswa hilang konsentrasi pada saat belajar karena adanya rasa gatal selain itu juga dapat menurunkan rasa percaya diri pada siswa tersebut. Tujuan: mengidentifikasi jamur Malassezia furfur pada siswa. Metode: Penelitian menggunakan metode deskriptif. Sampel penelitian menggunakan metode total sampling sampling dimana jumlah sampel sebanyak 33 siswa. Hasil: Ditemukan 3 Sampel Positif dan 30 Sampel Negatif Pada Swab kulit  Siswa-siswi SD Negeri 47 Kelurahan Dufa-dufa Kota Ternate. Kesimpulan: Didapatkan 10% Pertumbuhan jamur Malassezia furfur Panu Anak Sekolah Dasar Negeri 47 Kelurahan Dufa-Dufa Kota Ternate
Pengaruh Faktor Iklim, ABJ Terhadap Kejadian Demam Berdarah Dengue Menggunakan Analisis Regresi
Authors: Lutfianawati Ridha Fajar , Marlik Marlik , Ngadino Ngadino , Nurmayanti Demes , Sulistio Irwan
Published: November 2024

Background: Dengue Hemorrhagic Fever or dengue is a health problem in Indonesia. Papar District of Kediri Regency is included in the area with the highest number of dengue cases. Purpose: knowing the climatic factors (rainfall, temperature, humidity) and ABJ that affect the incidence of DBD. Methods: This type of research is quantitative with retrospective methods. Research data is secondary data. The object of the study is climate factors, ABJ and dbd cases in 2016-2021 in Kediri Regency. Analyze data using linear regression. Results: The results of the correlation test are related between humidity, temperature, rainfall and ABJ with DBD, namely -0.273 (P = 0.029), 0.332 (P = 0.007), 0.286 (P = 0.022) and (P = 0.276). The form of regression equation is DBD = 78.1 + 0.01787 Rainfall + 0.986 Humidity with an R2 value of 22.53%. Conclusion: There is a significant relationship between DBD and Climate Factors (humidity, temperature, rainfall), there is no relationship of DBD with ABJ. Regression equations can be used to prepare for DHF prevention and control measures in the future.
Burnout Perawat: Dampak Beban Kerja Dan Kurangnya Penghargaan Di Rsu Jenderal Ahmad Yani
Authors: Zain Syafira Jihan , Aprina Aprina , Sunarsih Sunarsih
Published: November 2024

Kasus burnout yang ditemukan pada 37,5% petugas kesehatan.Prevalensi burnout pada perawat 33,5%,. Prevalensi burnout padatenaga kesehatan paling banyak terjadi di Pulau Jawa (38,4%) dantenaga kesehatan yang bekerja di rumah sakit (28,6%). Berdasarkandimensi burnout, 48,2% petugas kesehatan mengalami kelelahanemosional sedang hingga tinggi, 51,8% depersonalisasi sedanghingga tinggi, dan pencapaian pribadi tinggi 96,9%. Faktor burnoutmeliputi beban kerja, lack of control, penghargaan, breakdown incommunity, treated fairly, dan stress kerja. Tujuan penelitianmengetahui hubungan beban kerja dan penghargaan terhadapburnout perawat di ruang instalasi bedah sentral dan ruang rawatinap bedah di RSUD Jenderal Ahmad Yani Kota Metro ProvinsiLampung Tahun 2024. Jenis penelitian kuantitatif, metode analitikdengan pendekatan cross sectiona. Jumlah sample yaitu 39responden. Menggunakan kuesioner Maslach Burnout Inventory,kuesioner beban kerja, kuesioner penghargaan. Waktu penelitianfebruari 2024. Uji univariat didapatkan 21 responden (53,8%)mengalami burnout berat, 17 responden (43,6%) mempunyai bebankerja besar, 27 responden (69,2%) memiliki penghargaan rendah,dan uji statistik menggunakan uji chi-square. Hasil penelitian inimenunjukkan adanya hubungan beban kerja terhadap burnoutperawat dengan nilai (p-value sebesar 0,007 (α < 0,05) dengan OR8.500 dan pengharagaan terhadap burnout perawat dengan nilai (p-value = 0,001< α (0,05) dengan OR 31.429. Saran kepada rumahsakit untuk memberi perhatian terhadap beban kerja dan jugapenghargaan perawat. Beban kerja perlu dikelola dengan baik agartidak berlebihan dan tidak memberi tekanan kepada perawat.Penghargaan perlu diberikan secara wajar proporsional kepadaperawat atas kinerja mereka. Demikian diharapkan tingkat burnoutpada perawat dapat diminimalisir.
The use of virtual nominal groups in healthcare research: An extended scoping review
Authors: Lee Seung Ho , ten Cate Olle , Gottlieb Michael , Horsley Tanya , Shea Beverley , Fournier Karine , Tran Christopher , Chan Teresa M. , Wood Timothy J. , Humphrey-Murto Susan
Published: November 2024

Introduction

The Nominal Group Technique (NGT) is a consensus group method used to synthesize expert opinions. Given the global shift to virtual meetings, the extent to which researchers leveraged virtual platforms is unclear. This scoping review explores the use of the vNGT in healthcare research during the COVID-19 pandemic.

Methods

Following the Arksey and O’Malley’s framework, eight cross-disciplinary databases were searched (January 2020-July 2022). Research articles that reported all four vNGT stages (idea generation, round robin sharing, clarification, voting) were included. Media Synchronicity Theory informed analysis. Corresponding authors were surveyed for additional information.

Results

Of 2,589 citations, 32 references were included. Articles covered healthcare (27/32) and healthcare education (4/32). Platforms used most were Zoom, MS Teams and GoTo but was not reported in 44% of studies. Only 22% commented on the benefits/challenges of moving the NGT virtually. Among authors who responded to our survey (16/32), 80% felt that the vNGT was comparable or superior.

Conclusions

The vNGT provides several advantages such as the inclusion of geographically dispersed participants, scheduling flexibility and cost savings. It is a promising alternative to the traditional in-person meeting, but researchers should carefully describe modifications, potential limitations, and impact on results.
Protocol for an extended scoping review on the use of virtual nominal group technique in research
Authors: Humphrey-Murto Susan , Ho Lee Seung , Gottlieb Michael , Horsley Tanya , Shea Bev , Fournier Karine , Tran Christopher , Chan Teresa M. , Wood Timothy J. , ten Cate Olle
Published: November 2024

Introduction

Consensus group methods such as the Nominal Group Technique (NGT) and Delphi method are commonly used in research to elicit and synthesize expert opinions when evidence is lacking. Traditionally, the NGT involves a face-to-face interaction. However, due to the COVID-19 pandemic, many in-person meetings have moved to online settings. It is unclear to what extent the NGT has been undertaken in virtual settings. The overarching aim of this scoping review is to explore the use of the virtual NGT in research. Our specific objectives are to answer the following questions: To what extent has the NGT been used virtually? What modifications were made to accommodate this online format? What advantages and disadvantages were noted by authors in comparison with the face-to-face mode of the technique?

Materials and methods

This scoping review will follow the steps outlined by Arksey and O’Malley and the PRISMA-ScR guidelines. Several pilot searches were completed to refine inclusion and exclusion criteria. Media Synchronicity Theory will provide a conceptual framework to inform the research, including data extraction and summarizing results. As an additional extension to the literature review, online interviews with corresponding authors will be conducted to gather further information.
The rebel, the professor, and the entrepreneur: Qualitative study to explore creator stories of FOAM
Authors: Zuckerman Matthew , Pardis Parnian , Horsley Tanya , Dhanireddy Bhargavi , Yilmaz Yusuf , Gottlieb Michael , Thoma Brent , Chan Teresa M.
Published: November 2024

Introduction

The free open access medical education (#FOAMed, or FOAM) movement creates educational content intended to inform medical education and clinical practice and is distributed in an unrestricted fashion (e.g., open access website). The who, what, and in particular the how of FOAM has raised important questions about the sustainability of the movement.

Methods

We recruited a diverse research team that included educational researchers, FOAM contributors, a business academician, and medical trainees to design and conduct a qualitative study exploring the work of FOAM creators. We analyzed the transcripts of interviews with 11 participants from top FOAM websites in emergency medicine and critical care. The team met frequently to iteratively identify and discuss emergent themes (major and minor) until saturation of concepts was achieved.

Results

Creators of FOAM could be categorized using three archetypes: the rebel, the professor, and the entrepreneur. The rebel was categorized as distinctly rejecting “traditional academic structures” yet was compelled to deliver educational content via alternative routes. The professor retained a traditional academic role, instead creating FOAM to supplement academic activities (teaching courses, disseminating scholarship, promotion). Entrepreneurs focused on creating a sustainable entity in an effort to supplement their income and reduce clinical obligations.

Conclusion

While all FOAM creators appear unified in their passion to create, promote, and distribute educational material with unfettered access to educators, their motivations for creating content could be differentiated. Given the grassroots nature of FOAM, creators share concerns related to financing, time commitments, and threats to sustainability of these businesses. The longevity of FOAM and what business models are best suited to support them are uncertain. Further exploration of the implications could investigate the best ways to engage with and support the different FOAM creator archetypes and develop models of sustainability.
Eight ways to support faculty with Entrustable Professional Activities
Authors: Woods Rob , Bouwsema Melissa , Cheung Warren , Hall Andrew , Chan Teresa M. , Paterson Quinten
Published: November 2024

Competency Based Medical Education (CBME) is pushing the medical profession to be more accountable in our standards of assessment. This has led us to focus our efforts at the top of Miller’s pyramid, where we aim to see what the trainee ‘does’ in the clinical environment. In Canadian Royal College specialty training, this has come in the form of workplace-based supervision of trainees performing Entrustable Professional Activities (EPAs). This is unfamiliar territory for many residents and faculty, and implementation of an additional assessment process into already busy clinical practice has been particularly challenging. Because EPA assessments serve as significant contributors in new programs of assessment, failure to collect high quality EPA assessments threaten the validity of this new system. Understanding the barriers to and enablers of EPA acquisition can inform faculty development initiatives to ensure success.

Based on our previous work studying early experiences of EPA assessment acquisition in Emergency Medicine, we have identified eight key concepts to guide faculty development initiatives, namely: the rationale for CBME, the ‘behind the scenes’ of CBME, how to construct rich narrative comments, effective use of supervision scales, the tension of EPA assessments being both formative and summative, the importance of a shared responsibility between residents and faculty for EPA assessment completion, familiarity with the suite of EPAs, and tips and tricks for incorporating EPA assessment completion into busy clinical practice. These key concepts can be integrated into an overall faculty development strategy for building this now essential skill set.
Educator's blueprint: A how-to guide for creating analog serious games for learning in medical education
Authors: Chan Teresa M. , Edwards Sarah , Swamy Lakshman , Cosimini Michael , Watsjold Bjorn
Published: November 2024

 

Serious games are an emerging tool for teaching and learning within medical education. These games can be used to facilitate learning or to demonstrate complex concepts in short bursts of interactive learning. This educator's blueprint will provide 10 strategies for creating a serious game, focusing on card and board games. These strategies include creating a project charter; determining the nature of the game; establishing game mechanics; selecting the best medium; prototyping and playtesting; reviewing sensitivity to equity, diversity, and inclusion; reviewing and refining content; funding game development, manufacture, and distribution; marketing and publicizing the game; and future-proofing the game. This blueprint hopes to help aspiring serious game designers and educators to conceptualize the steps for successfully creating a new serious game for medical education.
ALiEM Connect: Large-Scale, Interactive, Virtual Residency Programming in Response to COVID-19
Authors: Rose Christian C , Haas Mary Rose Calderone , Yilmaz Yusuf , Alvarez Al'ai , Mott Sarah E. , Landry Adaira I , Gisondi Michael A. , Ankel Felix , Lin Michelle , Chan Teresa M.
Published: November 2024

Problem: The COVID-19 pandemic restricted in-person gatherings, including residency conferences. The pressure to quickly reorganize educational conferences and convert content to a remote format overwhelmed many programs. This article describes the pilot event of a large-scale, interactive, virtual educational conference modeled, designed, and implemented by Academic Life in Emergency Medicine (ALiEM), called ALiEM Connect.

Approach: The pilot ALiEM Connect event was conceptualized and implemented within a 2-week period in March 2020. The pilot was livestreamed via a combination of Zoom and YouTube and was archived by YouTube. Slack was used as a backchannel to allow interaction with other participants and engagement with the speakers (via moderators who posed questions from the backchannel to the speakers live during the videoconference).

Outcomes: The RE-AIM (Reach, Effectiveness, Adoption, Implementation, Maintenance) framework was used for program evaluation, showing that 64 U.S. Accreditation Council for Graduate Medical Education-accredited emergency medicine residency programs participated in the pilot event, with 1,178 unique users during the event (reach). For effectiveness, 93% (139/149) of trainees reported the pilot as enjoyable and 85% (126/149) reported it was equivalent to or better than their usual academic proceedings. Adoption for ALiEM Connect was fairly good with 64/237 (27%) of invited residency programs registering and participating in the pilot event. Implementation was demonstrated by nearly half of the livestream viewers (47%, 553/1,178) interacting in the backchannel discussion, sending a total of 4,128 messages in the first 4 hours.

Next steps: The final component of the RE-AIM framework, maintenance, will take more time to evaluate. Further study is required to measure the educational impact of events like the ALiEM Connect pilot. The ALiEM Connect model could potentially be used to replace educational conferences that have been canceled or to implement and/or augment a large-scale, shared curriculum among residency programs in the future.
Creating GridlockED: A Serious Game for Teaching About Multipatient Environments
Authors: Chan Teresa M. , Tsoy Daniel , Sneath Paula , Rempel Josh , Huang Simon , Bodnariuc Nicole , Mercuri Mathew , Pardhan Alim
Published: November 2024

Problem: As patient volumes increase, it is becoming increasingly important to find novel ways to teach junior medical learners about the intricacies of managing multiple patients simultaneously and about working in a resource-limited environment.

Approach: Serious games (i.e., games not intended purely for fun) are a teaching modality that have been gaining momentum as teaching tools in medical education. From May 2016 to August 2017, the authors designed and tested a serious game, called GridlockED, to provide a focused educational experience for medical trainees to learn about multipatient care and patient flow. The game allows as many as six people to play it at once. Gameplay relies on the players working collaboratively (as simulated members of a medical team) to triage, treat, and disposition "patients" in a manner that simulates true emergency department operations. After researching serious games, the authors developed the game through an iterative design process. Next, the game underwent preliminary peer review by experienced gamers and practicing clinicians, whose feedback the authors used to adjust the game. Attending physicians, nurses, and residents have tested GridlockED for usability, fidelity, acceptability, and applicability.

Outcomes: On the basis of initial testing, clinicians suggest that this game will be useful and has fidelity for teaching patient-flow concepts.

Next steps: Further play testing will be needed to fully examine learning opportunities for various populations of trainees and for various media. GridlockED may also serve as a model for developing other games to teach about processes in other environments or specialties.
Systems-Based Practice in Graduate Medical Education: Evolving Toward an Ideal Future State
Authors: Bhate Tahara D , Sukhera Javeed , Litwin Sasha , Chan Teresa M. , Wong Brian M. , Smeraglio Andrea
Published: November 2024

Systems-based practice (SBP) was first introduced as a core competency in graduate medical education (GME) in 2002 by the Accreditation Council for Graduate Medical Education as part of the Outcomes Project. While inclusion of SBP content in GME has become increasingly common, there have also been well-documented stumbling blocks, including perceptions that SBP has eroded the amount of curricular time available for more medically focused competencies, is not relevant for some practice contexts, and is not introduced early enough in training. As a result, SBP learning experiences often feel disconnected from medical trainees' practical reality. In this commentary, the authors provide guidance regarding potential changes that may facilitate the evolution of SBP toward an ideal future state where graduates bring a systems science mindset to all aspects of their work. Specific suggestions include the following: (1) expanding the SBP toolbox to reflect current-day health system needs, (2) evolve the teaching methodology, (3) broadening the scope of relevant SBP content areas, and (4) emphasizing SBP as an integrated responsibility for all health care team members. Levers to enact this transformation exist and must be used to influence change at the learner, faculty, program, and clinical learning environment levels.Physicians operate within an increasingly complex health care system that highlights the intersection of health care with complex social, environmental, and relational contexts. Consequently, the role of SBP in both physician work responsibilities and educational requirements continues to expand. To meet this growing demand, GME must adapt how it supports and trains the next generation of systems thinkers, ensuring they understand how levers in the health care system directly affect health outcomes for their patients, and integrate SBP into the foundation of GME curricula in an inclusive, holistic, and unrestrained way.
Off-Script, Online: Virtual Medical Improv Pilot Program for Enhancing Well-being and Clinical Skills among Psychiatry Residents
Authors: Westcott Sandra , Simms Kayla , Kampen Katherine van , Jafine Hartley , Chan Teresa M.
Published: November 2024

Objective: Clinical interactions demand a balance of structure and flexibility in response to unpredictable situations. Medical improv is a form of experiential learning that applies techniques from improvisational theater to the healthcare setting, deliberately targeting clinical skills of communication, teamwork, and cognitive abilities. Psychiatry Education through Play and Talk (PEP Talks) is a novel medical improv program designed specifically for psychiatry residents with the goal of improving communication, teamwork, and conflict resolution skills, as well as enhancing residents' well-being and capacity for self-reflection.

Methods: PEP Talks was delivered virtually by an experienced medical improv facilitator in spring 2021 to a self-selected group of psychiatry residents at a Canadian university. Aligned with the context-input-process-product (CIPP) evaluation model, outcomes were assessed through mixed methods surveys, recorded debriefings, and a focus group.

Results: PEP Talks enhanced residents' self-reported well-being, reflective capacity, and communication skills. Participants made qualitative connections between PEP Talks and their well-being, inter- and intra-personal skills, and clinical experiences in psychiatry. Processes in PEP Talks that led to these outcomes included the following: joy, building community, personal reflection and discovery, going off-script, immersion, and virtual engagement.

Conclusions: Virtual medical improv offers an innovative solution to the pedagogical challenges of training psychiatrists to be proficient communicators, collaborators, and professionals capable of reflective practice. Additionally, this innovation demonstrates that medical improv can be delivered in a virtual format and may offer a unique solution to support resident well-being and foster connection amid remote learning during a global pandemic.
In Reply to Phillips et al
Authors: Chan Teresa M. , Thoma Brent
Published: November 2024

[para. 1]: "We thank Dr. Phillips and colleagues for their letter detailing their experience with peer review on their blog. The process they describe sounds similar to ours, and we are excited to see other blogs taking on scholarly approaches to fostering future authors."
A Short History of Free Open Access Medical Education: The Past, Present, and Future
Authors: Chan Teresa M. , Stehman Christine , Gottlieb Michael , Thoma Brent
Published: November 2024

Free Open Access Medical education (FOAM) has taken the emergency medicine and critical care worlds by storm in the past decade. This article represents one perspective on the stages of transition for FOAM from its humble beginnings as a grassroots movement to the more recent multiauthor blogs that are described in the peer-reviewed literature. In this article, the authors describe the following four distinct waves of people within the movement, with each wave creating a new stage in the evolution of the FOAM community: Creation by the Founders, Adoption by the Enthusiasts, Structure and Formalization by the Structuralists, and Engagement and Activity by the End Users. The authors contextualize some of the phenomena that have been observed within this field and highlight challenges for the field moving forward.
Serious Games Without Screens. Comment on “Involvement of End Users in the Development of Serious Games for Health Care Professions Education: Systematic Descriptive Review”
Authors: Cosimini Michael Joseph , Watsjold Bjorn , Chan Teresa M.
Published: November 2024

[para. 3]: "We would like to challenge the persistent usage of the narrow digital-only definition of a serious game seen in health professionals’ education, often citing the same 2012 review or its source, a 2006 book about the design of serious video games. While the focus of JMIR Serious Games may be digital games and gamification, not all games are digital, and similarly, not all serious games are digital. As designers of card and board games used for health professionals’ education, we invite those in our field to reconsider this narrow definition. With its origin in mind, a more inclusive definition of serious games would be any standalone game designed with a specific purpose beyond entertainment regardless of medium. "
Delving into Delphis
Authors: Chan Teresa M. , Yarris Lalena M. , Humphrey-Murto Susan
Published: November 2024

In this issue of CJEM, we find two education papers that use the Delphi method, or at least a modification of such, to determine the outcome of their study. The Delphi is the most commonly applied consensus group method, or systematic means to measure and develop a consensus.

The modified Delphi study has become a more frequently used investigatory tool in the last several years, especially in medical education. This method can be especially useful when examining questions requiring expertise, and therefore might be applied to a variety of emergency medicine (EM) questions and problems for which uncertain empirical evidences exist.