bluuebunny/crossref_metadata_2025 huggingface dataset:
EFEKTIVITAS FORMAT PENDOKUMENTASIAN KEPERAWATAN
Authors: Halawa Tasya Nia Nuddin
Published: October 2020

Dokumentasi keperawatan adalah setiap catatan baik tertulis maupun elektronik yang menggambarkan layanan keperawatan yang diberikan kepada klien dan dapat digunakan sebagai bukti bagi tenaga yang berwenang. Dokumentasi keperawatan yang berlaku di rumah sakit saat ini umumnya dilakukan secara tertulis (paper based documentation). Pendokumentasian merupakan bukti legal pelaksanaan pelayanan di rumah sakit. Kualitas pelayanan disuatu rumah sakit salah satunya dapat dilihat dari pelaksanaan pendokumentasian asuhan keperawatan..Pendokumentasian berguna bagi rumah sakit dalam meningkatkan standar akreditasi, sebagai alat komunikasi antar profesi, indikator pelayanan mutu, bukti tanggung jawab, dan tanggung gugat. Kelengkapan pendokumentasian asuhan keperawatan merupakan bagian dari kualitas pelayanan keperawatan di rumah sakit. Pelaksanaan pendokumentasian adalah indikator kinerja perawat yang dipengaruhi oleh karakteristik dan beban kerja perawat.
OPTIMALISASI PROSES KEPERAWATAN UNTUK PELAYANAN KEPERAWATAN YANG BERKUALITAS
Authors: Laili Rizqiyatul
Published: October 2020

Optimalisasi proses keperawatan sangat penting dilakukan agar pelayanankeperawatan yang diberikan melalui Asuhan Keperawatan tersebut berkualitasyaitu sesuai dengan apa yang diinginkan oleh pelayanan kesehatan dan penggunalayanan kesehatan. Proses keperawatan adalah aktivitas yang mempunyai maksudyaitu praktik keperawatan yang dilakukan dengan cara yang sistematik. Selamamelaksanakan proses keperawatan, perawat menggunakan dasar pengetahuan yangkomprehensif untuk mengkaji status kesehatan klien, membuat penilaian yangbijaksana dan mendiagnosa, mengidentifikasi hasil akhir kesehatan klien danmerencanakan, menerapkan dan mengevaluasi tindakan keperawatan yang tepat, guna mencapai hasil akhir tersebut.
KONSEP DASAR DAN LANGKAH-LANGKAH PROSES KEPERAWATAN
Authors: Minannisa Cindy
Published: October 2020

Proses keperawatan adalah suatu metode yang sistematis dan terorganisasi dalampemberian asuhan keperawatan yang difokuskan pada reaksi dan respons unik dari individu padasuatu kelompok atau perorangan terhadap gangguan kesehatan yang dialami baik secara actualataupun potensial. Proses keperawatan tidak terlepas dari peran seorang perawat dalammenjalankan tugas dan tanggung jawab dalam memberikan layanan kesehatan tepatnya asuhankeperawatan terhadap pasien. Tujuan: untuk mengetahui konsep dasar dan langkah-langkahdari proses keperawatan kepada klien. Metode: Tugas ini menggunakan metode kualitatif dananalisis dari berbagai jurnal yang berhubungan dengan konsep dasar dan langkah-langkah dariproses keperawatan. Hasil: perawat mengetahui konsep dasar keperawatan dan memahamisetiap langkah-langkah dari proses keperawatan dengan baik dan tepat.
PEMAHAMAN PERAWAT MENGENAI DIAGNOSA KEPERAWATAN UNTUK MENENTUKAN PERAWATAN YANG DI BUTUHKAN PASIEN
Authors: Rahmadhani Nabila
Published: October 2020

Salah satu kegiatan yang penting dalam proses keperawatan adalah pengkajian keperawatan. Pengalaman menunjukkan bahwa sering sekali perawat kesulitan dalam menentukan diagnosis keperawatan spesifik yang dialami oleh pasien.Hal ini mungkin karena pengkajian keperawatan yang tidak terstruktur dengan baik. Salah satu upaya yang ditunjukkan dengan perumusan atau penegakan diagnosa keperawatan sejahtera yang merupakan salah satu bentuk diagnosa keperawatan yang perlu dikembangkan. Penulisan diagnosa sejahtera ini dapat dilakukan di berbagai tatanan pelayanan kesehatan dan menuntut perubahan perilaku perawat dari yang berorientasi pada upaya penyembuhan kepada upaya peningkatan kesehatan dan kesejahteraan klien
"PENGKAJIAN KEPERAWATAN UNTUK MENENTUKAN ASUHAN KEPERAWATAN PADA PASIEN"
Authors: murzella Shyfa
Published: October 2020

Dokumentasi pengkajian keperawatan merupakan catatan tentang hasil pengkajian yang dilaksanakan untuk mengumpulkan informasi dari pasien, membuat data dasar tentang pasien, dan membuat catatan tentang respons kesehatan pasien. Pengkajian yang komprehensif atau menyeluruh, sistematis yang logis akan mengarah dan mendukung pada identifikasi masalah-masalah pasien. Masalah-masalah ini dengan menggunakan data penkajian sebagai dasar formulasi yang dinyatakan sebagai diagnosa keperawatan. Sebelum berlatih mendokumentasikan tahapan pengkajian, ada beberapa format yang disediakan antara lain format catatan masuk, format data dasar, flow sheet, dan format data fungsional. Pengkajian keperawatan individu, selain data yang didapatkan dari proses wawancara juga dapat didapatkan dari hasil pemeriksaan fisik yang meliputi dari inspeksi, palpasi, perkusi dan auskultasi. Kemampuan utama yang diperlukan oleh perawat dalam proses pengkajian yaitu dapat melakukan pemeriksaan fisik head to toe secara tepat dan sistematis.
Pentingnya menentukan Diagnosa Keperawatan Yang Tepat Dalam Melakukan Asuhan Keperawatan Pada Pasien
Authors: Nasution Salsabila Mumtaza
Published: October 2020

Diagnosis Keperawatan merupakan keputusan klinik tentang respon individu, keluarga dan masyarakat tentang masalah kesehatan aktual atau potensial, dimana berdasarkan pendidikan dan pengalamannya, perawat secara akuntabilitas dapat mengidentifikasi dan memberikan intervensi secara pasti untuk menjaga, menurunkan, membatasi, mencegah dan merubah status kesehatan klien (Yeni, 2008). Semua data yang didapatkan dari pengkajian keperawatan akan diperlukan untuk merumuskan diagnosa keperawatan. Adapun perencanaan merupakan tahap selanjutnya setelah pengkajian dan penentuan diagnosa keperawatan. Perencanaan juga merupakan petunjuk tertulis yang menggambarkan secara tepat mengenai rencana tindakan yang akan dilakukan terhadap pasien sesuai dengan tingkat kebutuhan pasien berdasarkan diagnosa keperawatan yang telah di susun. Untuk itu rencana tindakan yang baik tentunya harus berdasarkan pada diagnosa keperawatan yang telah dirumuskan (Hartati, Handoyo, Anis, 2010). Untuk dapat merumuskan diagnosa keperawatan dibutuhkan kemampuan analisis yang tinggi dan berfikir kritis sehingga diperlukan sumber daya manusia yang capable dan mempunyai motivasi kuat untuk maju serta berpandangan maju (futuristic). Perawat melihat status pasien yang telah dikaji dan ditulis format pengkajian selanjutnya dengan data tersebut perawat memulai untuk merumuskan diagnosa keperawatan pasien. Dengan adanya format pengkajian yang di sampingnya telah terletak diagnosa keperawatannya, akan lebih memudahkan perawat, tetapi di samping itu juga dapat menyebabkan perawat menjadi malas dan kurang inisiatif untuk menganalisa data lalu merumuskan diagnosa keperawatan sendiri apabila ditemukan data yang berbeda. Sehingga kondisi demikian juga menimbulkan kualitas perawat dalam melakukan diagnosa keperawatan menjadi monoton dan kurang mempunyai keahlian.
IDENTIFIKASI PERAWAT PROFESIONAL DALAM MENERAPKAN PROSES DOKUMENTASI PENGAMBILAN KEPUTUSAN DAN DIAGNOSA KEPERAWATAN PADA PASIEN DI RUMAH SAKIT
Authors: SARI NOVITA
Published: October 2020

Diagnosis Keperawatan merupakan keputusan klinik tentang respon individu, keluarga dan masyarakat tentang masalah kesehatan aktual atau potensial, dimana berdasarkan pendidikan dan pengalamannya, perawat secara akontabilitas dapat mengidentifikasi dan memberikan intervensi secara pasti untuk menjaga, menurunkan, membatasi, mencegah danmerubah status kesehatan klien. NANDA Menyatakan bahwa diagnosa keperawatan adalah “keputusan klinik tentang respon individu ,keluarga dan masyarakat tentang masalah kesehatan actual atau potensial ,sebagai dasar seleksi intervensi keperawatan untuk mencapai tujuan asuhan keperawatan sesuai dengan kewenangan perawat “semua diagnosa keperawatan harus didukung oleh data ,dimana menurut NANDA diartikan sebagai”definisi karaktristik “definisi karakterristik di namakan “tanda dan gejalah “tanda adalah suatu yang dapat diobossitas dan gejalah adalahb sesuatu yang di rasakan oleh klien. Tujuan: Untuk mengetahui proses dan model-model pengambilan keputusan dengan konsep berfikir kritis agar dapat meningkatkan kemampuan dan ketrampilan perawat dalam pengambilan keputusan. Pengambilan keputusan tidak dilakukan secara sembrono tapi harus berdasarkan pada sistematika tertentu. Metode:Metode penulisan ini adalah Literature Riview, dimana ini menganalisis artikel yang relevan dan berfokus pada tema.
Pentingnya Pendokumentasian Dalam Diagnosa Keperawatan
Authors: ginting Syifa amalia br
Published: October 2020

Keperawatan di Indonesia saat ini masih dalam suatu proses profesionalisasi, yaitu terjadinya suatu perubahan dan perkembangan karakteristik sesuai tuntutan secara global dan lokal. Untuk mewujudkannya maka perawat harus mampu memberikan asuhan keperawatan secara profesional kepada klien. Salah satu bukti asuhan keperawatan yang profesional tercermin dalam pendokumentasian proses keperawatan. Dokumentasi keperawatan adalah bagian dari keseluruhan tanggung jawab perawatan pasien. Catatan klinis memfasilitasi pemberian perawatan, meningkatkan kontinuitas perawatan dan membantu mengkoordinasikan pengobatan dan evaluasi pasien.
PENTINGNYA PENDOKUMENTASIAN DALAM ASUHAN KEPERAWATAN
Authors: Harun Nadilla Juliansyah
Published: October 2020

Dokumentasi secara umum merupakan suatu catatan otentik atau semua warkat asli yang dapat dibuktikan atau dijadikan bukti dalam persoalan hukum, sedangkan dokumentasi keperawatan merupakan bukti pencatatan dan pelaporan yang dimiliki oleh perawat dalam melakukan catatan perawatan yang berguna untuk kepentingan klien, perawat, dan tim kesehatan dalam memberikan pelayanan kesehatan dengan dasar komunikasi yang akurat dan lengkap secara tertulis dengan tanggung jawab perawat (Hidayat, 2002). Dokumentasi merupakan bagian integral proses keperawatan, bukan sesuatu yang berbeda dari metode problem solving. Dokumentasi proses keperawatan mencakup pengkajian, identifikasi masalah, perencanaan, tindakan, dan evaluasi terhadap klien (Nursalam, 2009).
PROSES KEPERAWATAN SEBAGAI SISTEM
Authors: Sianturi Wahyuni Apriani
Published: October 2020

Perawat dalam memberikan asuhan keperawatan kepada klien, membutuhkansuatu proses, proses tersebut yaitu proses keperawatan. Proses keperawatan merupakan suatupendekatan yang bertujuan untuk memecahkan masalah yang mendukung kemampuan perawatuntuk mengatur dan memberikan asuhan keperawatan. Dalam proses keperawatan terdapat tahap-tahapan yang dilakukan, lalu tahapan tersebut memiliki sifat yang dimana akan mempengaruhi hasildari proses keperawatan. Dimana untuk menjelaskan sifat proses keperawatan dan penerapan sifat proses keperawatan dalam menjalankan proses keperawatan sehingga asuhan keperawatan yang diberikan tepat sesuai kebutuhan klien.
Pengaruh kepemimpinan Gembala sidang terhadap pertumbuhan gereja masa kini
Authors: Panjaitan Juliana
Published: October 2020

Pada masa kini kepemimpinan merupan sesuatu yang sangat dibutuhkan didalam organisasi-oraganisasi, bahkan gereja juga membutuhkan kepemimpinan yang tepat agar gereja dapat bertumbuh. Gereja yang tidak bertumbuh merupakan gereja yang mati. Pertumbuhan gereja dapat dinilai dari pertambahan jumlah jemaat, kualitas atau mutu jemaat yang berkembang dan keadaan organisasi yang tersusun. Agar gereja dapat bertumbuh gereja memerlukan sosok pemimpin yang menyediakan kepemimpinan yang tepat sesuai dengan kebutuhan gereja masa kini. Untuk memenuhi krisis kepemimpinan masa kini maka gereja harus memiliki seorang pemimpin yang Transformatif. Selain kepemimpinan, gembala juga harus memiliki karakter yang unggul dan harus menghindari beberapa sifat yang dapat menghambat pertumbuhan gerejanya.
PENGAMBILAN KEPUTUSAN TERHADAP TINGKAT PENGETAHUAN PERAWAT DALAM KEPERAWATAN KLINIS TRIASE DI RUANG IGD
Authors: Panggabean Selly Febi Margaretha
Published: October 2020

Instalasi gawat darurat merupakan salah satu uni di rumah sakit yang umumnya harusdapat memberikan pelayanan kegawatdaruratan secara umum baik bersifat akut, kronis, korbankecelakaan, dan berbagai pelayanan kegawatan lainnya yang memerlukan penanganan dengansegera. Triase adalah suatu proses penggolongan pasien berdasarkan type dan tingkat kegawatankondisinya. Triase juga diartikan sebagai suatu tindakan pengelompokkan penderita berdasarkanpada beratnya cedera yang diprioritaskan ada tidaknya gangguan pada airway (A), breathing (B),dan Circulation (C). Tujuan ialah untuk meningkatkan pengetahuan perawat dalam pengambilankeputusan saat pelaksanaan triase, agar seorang perawat tidak salah dalam mengambil tindakanyang akan dilakukan di ruang Instalasi Gawat Darurat (IGD).
PENTINGNYA PENDOKUMENTASIAN YANG AKURAT DALAM KEPERAWATAN
Authors: Ginting Ebial Fitri
Published: October 2020

Pendokumentasian yang akurat dan baikdalam asuhan keperawatan merupakanhal yang sangat penting, namun dalam prakteknya masih banyak hambatanhambatanyang mengakibatkan pendokumentasian yang dilakukan oleh perawat belum sempurna.Kurang patuhnya perawat akan berakibat rendahnya mutu asuhan keperawatan danmasih banyak lagi faktor-faktor yang mempengaruhi pelaksanaan pendokumentasianasuhan keperawatan.Dengan terdapatnya kesadaran diri dari perawat maka akan meningkatkanmotivasi perawat dalam melakukan pendokumentasian asuhan keperawatan.
Fuzzy Genetic Algorithm Approach for Verification of Reachability and Detection of Deadlock in Graph Transformation Systems
Authors: Salimi Nahid , Rafe Vahid , tabrizchi hamed , Mosavi Amir
Published: October 2020

Model-checking techniques are often used for theverification of software systems. Such techniques areaccompanied with several advantages. However, state-spaceexplosion is one of the drawbacks to model checking. Duringrecent years, several methods have been proposed based onevolutionary and meta-heuristic algorithms to solve thisproblem. In this paper, a hybrid approach is presented to copewith the SSE problem in model checking of systems modeled byGTS with an ample state space. Most of existence proposedmethods that aim to verify systems are applied to detectdeadlocks by graph transformations. The proposed approach isbased on the fuzzy genetic algorithm and is designed to declinethe safety property by verifying the reachability property anddetecting deadlocks. In this solution, the state space of thesystem is searched by a fuzzy genetic algorithm to find the statein which the specified property is refuted/verified. To implementand evaluate the suggested approach, GROOVE is used as apowerful designing and model checking toolset in GTS. Theexperimental results indicate that the presented hybrid fuzzymethod improves speed and performance by comparing othertechniques.
Peran Perawat Menentukan Diagnosa Keperawatan untuk Memenuhi Kebutuhan Asuhan Keperawatan pada Pasien di Rumah Sakit
Authors: 191101110 Afna Saharani
Published: October 2020

Salah satu keputusan klinik yang penting termasuk di dalamnya adalah dalam menentukan diagnosis keperawatan dan diagnosis kolaboratif yang tepat dan juga untuk menentukan tujuan yang ingin dicapai/ outcome dan intervensi bagi pasien. Salah satu permasalahan yang penting untuk diperhatikan adalah bahwa sampai dengan saat ini perawat masih perlu meningkatkan kemampuannya untuk mendiagnosis sehingga diagnosis keperawatan dan diagnosis kolaboratif yang ditegakkan oleh perawat akurat dan sesuai dengan kondisi pasien. Seorang perawat perlu memiliki kemampuan untuk mengkaji dan mengidentifikasi masalah kesehatan yang akurat dan membuat perencanaan yang tepat untuk mengatasi masalah pasien (Tanner et al., 1987).
Tuning to Real-Life Language Statistics: Online Processing of Multiword Sequences in Native and Non-Native Speakers Across Language Registers
Authors: Kerz Elma , Wiechmann Daniel , Frinsel Felicity , Christiansen Morten H.
Published: October 2020

A large body of research over the past two decades has demonstrated that children and adults are equipped with statistical learning mechanisms that facilitate their language processing and boost their acquisition. However, this research has been conducted primarily using artificial languages that are highly simplified relative to real language input. Here, we aimed to determine to what extent adult native and non-native speakers show sensitivity to real-life language statistics obtained from large-scale analyses of authentic language use. Through a within-subject design, we conducted a series of behavioral experiments geared towards assessing the sensitivity to two types of distributional statistics (frequency and entropy) during online processing of multiword sequences across four registers of English (spoken, fiction, news and academic language). Our results show that both native and non-native speakers are able to `tune to' multiple distributional statistics inherent in different types of real language input.
Saudi EFL Teacher Professional Identity and Emotions: Emotions Regulation Perspective
Authors: AlHarbi Mohammed S. , Ahmad Hussain
Published: October 2020

Research has shown that a strong teacher professional identity is an integral part of teaching as well as learning processes. Unlike the traditional view of who teachers are, nowadays conceptualization considers teachers not only as reservoirs of knowledge but individuals that inspire other individuals in unique ways. Teacher professional identity exhibits teachers’ beliefs, emotions, and teaching philosophies. Among other aspects, teacher emotions are a strong indicator of teacher professional identity; therefore, unless teachers are better equipped with cognitive strategies to regulate their emotions and are more emotionally intelligent, achieving their teaching and non-teaching goals will remain a forlorn dream. The current paper encapsulated various aspects of teacher emotions and emotion regulation models and has sought to answer the following overarching research question: How do emotions influence teacher professional identity and how do Saudi EFL teachers regulate their emotions? Hence, the factors that lead to Saudi English as a foreign language (EFL) teachers’ emotional arousal and disturbances have been critically summarized. Finally, the applications of emotion regulation models in the Saudi EFL context have been highlighted. The theoretical conceptualizations presented in this paper have implications for EFL teachers, teacher trainers, and professional development specialists.
Physically distant but socially close? Changes in intergenerational non-physical contacts during the COVID-19 pandemic among older people in France, Italy and Spain
Authors: Arpino Bruno , Pasqualini Marta , Bordone Valeria
Published: October 2020

Keeping physical distance is intended to mitigate the spread of the Sars-CoV-2 virus. However, the impact of a decrease in face-to-face interactions on non-physical social contacts of older people remains unclear. In particular, we focus on intergenerational contacts that are particularly relevant for older people’s mental health implications. Our analyses rely on an on-line representative survey conducted in Italy, Spain and France during April 14-24 2020. We considered the sub-sample of individuals aged 50+ (N=4,207). We calculated post-stratification weights based on official statistics and used logistic regressions to analyse how changes in intergenerational relationships differed by socio-economic factors in the three considered countries and to what extent non-physical contacts (via phone, social media, etc.) have compensated the reduction in physical interactions. Finally, changes in the use of digital devices has been explored as a consequence of both, decreased in physical and increased in non-physical intergenerational contacts. Our findings are relevant to understand changes in intergenerational relationships during the pandemic and to better plan future outbreak responses.
The Impact of Virtual Classes on Second Language Interaction in the Saudi EFL Context: A Case Study of Saudi Undergraduate Students
Authors: Alahmadi Nesreen , Alraddadi Budoor Muslim
Published: October 2020

This study was performed to investigate the impact of the virtual classroom on second/foreign language (L2) interaction. A total of 90 Saudi female undergraduate students participated in this study. All participants were enrolled in an English language course in the Preparatory Year Programme (PYP) at a Saudi English Language Centre (ELC), with the English language being taught as a core module in this course. The English language proficiency level of the participants was equal to beginner or low intermediate, which was determined to be the A2 language level of the Common European Framework of Reference for Languages (CEFR). A quantitative research method, a questionnaire was developed with 19 statements to test the hypotheses of this study, which sought to determine whether virtual classes had an effective impact on language interaction and L2 learning, and whether participants had a positive attitude towards interaction and learning via virtual classes. The study revealed that there was a good degree of communication and interaction among Saudi students specifically in virtual classes. Also, participants showed a positive attitude towards using online classes for L2 learning. Thus, implementing virtual classes for language learning and teaching is highly recommend not only in this particular Saudi learning environment, but also across other EFL contexts. The study aspired to answer the following research questions:1. How effective are virtual classes for promoting interaction through the English language in the preparatory year in Saudi Arabia? 2. To what extent can Saudi students use virtual classes for learning English?
Returning to Graduation Project: Attitudes and Perceived Challenges of Students and Staff at a Libyan EFL Department
Authors: Elmabruk Reda , Bishti Rasha
Published: October 2020

In 1997, the Department of English (Faculty of Languages, University of Tripoli) canceled Graduation Project (GP) as a graduation requirement primarily due to growing student plagiarism. Two decades on, the Department decided it is time for Returning to Graduation Project (RGP). In preparation for this, a Research Methods (RM) module was delivered to students, and an intense ‘research design and methodology’ course was taken by the staff. In this exploratory mixed-methods case-study research, the main question focuses on attitudes and perceived challenges facing students and staff concerning RGP. The aim is to tackle negative attitudes and perceived obstacles in anticipation of a successful RGP, which spells out the significance of the research. Data were collected through a questionnaire (n=52) and a focus group discussion with seventh-semester students (10); semi-structured interviews with staff (13). A small majority of students (54%) supported RGP; the remaining 46% raised two kinds of concerns: realistic challenges of lacking resources, inadequate RM skills, and supervisor issues; unrealistic challenges involved time constraints, fear of presenting, and problems of determining research topics. Staff members were receptive to RGP but raised numerous concerns. Whereas experienced members expressed cynicism due to low students competencies and lacking resources, others saw RGP as an opportunity for students to gain practical research experience ahead of postgraduate study. Several challenges were perceived, chief among them are students lack of research skills, inexperienced supervisors, inadequate resources, and an ever-lasting concern with plagiarism. New staff reported the need for tuition in ‘data analysis and interpretation’, and ‘supervision practice’. Peculiarities characteristic of the case milieu emerged.
Saudi EFL Teachers’ Identity Formation in Saudi Schools: A case Study
Authors: Aljuhaish Fahd , Othman Juliana , Senom Fatiha
Published: October 2020

This study aims to explore the influence of contextual factors on English as a Foreign Language (EFL) teachers’ professional identity formation in the context of Saudi Arabia. More specifically, it aims to examine how the participants’ educational background, life experiences and professional setting influence their professional identities as EFL teachers in Saudi secondary schools. This study involved three EFL teachers who are based in Riyadh. Employing a case study method, the data collection techniques of this qualitative study included in-depth interviews and observations. Drawing upon Wenger’s (1998) concept of communities of practice, the data analysis reveals several factors affecting the EFL Saudi teachers’ professional identity. This study found that the Saudi teachers’ educational background and life experiences act as formative elements which influence their EFL professional identity formation. Moreover, the participating teachers agree that practical experience and teaching community played a more significant role than their educational background in terms of shaping their teacher’s identity construction and their classroom practices. The results have many implications for Saudi Arabia's development of current teacher education programme. If teacher education curriculum is aimed at improving the professional identity building of EFL teachers, then the policymakers might need to review the curricula of English language teacher education and incorporate some improvements within the programme.
The Impact of Cultural Background on Listening Comprehension of Saudi EFL Students
Authors: Al-khresheh Mohammad Hamad
Published: October 2020

One of the most critical areas where considerable attention is required in teaching a foreign language involves listening skills. Listening plays an essential role in both communication and learning, and it is one of the most crucial necessary language skills in the field of language learning. Recent studies in foreign language listening have extensively focused on the prevailing difficulties of listening. There has been little research on the cultural- background as a sociolinguistic dimension of listening. Therefore, this study set out to determine whether Saudi EFL students face particular difficulty in their listening comprehension, to identify possible reasons for the problems, and to find out whether the cultural- background affects the listening process. To achieve these objectives, a triangulation method was followed. A diagnostic test and a questionnaire were used on a group of 31 Saudi students of English and a reflective essay was carried out on eight EFL teachers. The findings suggest, first, that listening is the most challenging language skill and, second, that Saudi EFL students encounter substantial difficulty in the perception, parsing, and utilization phases of their listening comprehension for many reasons. The findings also suggest that the cultural background has a significant effect on their listening process. This study is expected to contribute markedly towards increasing the understanding of listening difficulties in language learning, and improving the teaching-learning process, by recommending effective remedies for addressing such challenges.
The Fundamental Problem of Four Methods to Analyze Data
Authors: Setiawan Adib Rifqi
Published: October 2020

Using pre- and posttest scores from two sections of thematic learning (Theme 6 and 7) offered during 2019 at 5th grade of MI NU Taywiquth Thullab Salafiyyah (TBS) Kudus, we illustrate how the commonly methods used in the educational research literature: comparing (1) raw change scores; (2) normalized gain scores ; (3) normalized change scores c; and 4) effect sizes d; can lead to erroneous conclusions, and not an effective framework for distinguishing the impact of an instructional intervention.
Korištenje IRAP metodologije pri selektiranju prometnih nesreća uzrokovanih umorom vozača cestovnih vozila
Authors: Jovanović Bojan , Ševrović Marko , Tokić Sandro , Sumpor Davor
Published: October 2020

SAŽETAK: Korištenjem samo klasičnih metoda zasnovanih na izračunu objektivnog statističkog rizika nakon ekspertiza prometnih nesreća vrlo je teško pouzdano izdvojiti one za koje je mogući uzrok umor vozača cestovnih vozila. IRAP metodologija može bitno pomoći u boljem izdvajanju prometnih nesreća za koje je vjerojatni uzrok umor vozača, jer se iRAP metodologijom može brzo i objektivno procijeniti statička sigurnost prometne infrastrukture, a onda i isključiti kao mogući uzrok. Prema dinamičkom otvorenom Fullerovom TCI modelu „zahtjev zadaće-sposobnost vozača“, vozači dominantno određuju željenu razinu težine zadaće tijekom vožnje odabirom brzine, što u slučaju odabira nedopuštene brzine ili brzine neprilagođene uvjetima na cesti između ostaloga može ovisiti i o tome je li vozač umoran ili ne. Na primjeru šest prometnih nesreća na autocestama u Republici Hrvatskoj, izdvojenih statističkom obradom prema karakterističnim kriterijima iz recentne znanstvene literature, pokazat će se kako se primjenom iRAP metodologije odrednice prometne infrastrukture iz skupine čimbenika „prometni okoliš“ mogu potpuno isključiti kao uzrok prometne nesreće. Što točnije izdvajanje prometnih nesreća cestovnih vozila za koje je mogući uzrok umor pomoći će kolegama istraživačima iz ostalih znanstvenih područja istražiti karakteristične čimbenike prometnih nesreća povezanih s umorom, a zbog predlaganja mjera za smanjivanje utjecaja umora na izvedbu vozača.
Description of a new water mite species of the genus Stygothrombium Viets, 1932 (Acariformes: Stygothrombioidea: Stygothrombiidae) from the Far East of Russia
Authors: Tuzovskij P.V.
Published: October 2020

A new water mite, Stygothrombum orientalis, based on male and deutonymph from running waters of the Far East is described with illustrations.
Intraoperative MRI for newly diagnosed supratentorial glioblastoma: a multicenter-registry comparative study to conventional surgery
Authors: Shah Amar S. , Sylvester Peter T. , Yahanda Alexander T. , Vellimana Ananth K. , Dunn Gavin P. , Evans John , Rich Keith M. , Dowling Joshua L. , Leuthardt Eric C. , Dacey Ralph G. , Kim Albert H. , Grubb Robert L. , Zipfel Gregory J. , Oswood Mark , Jensen Randy L. , Sutherland Garnette R. , Cahill Daniel P. , Abram Steven R. , Honeycutt John , Shah Mitesh , Tao Yu , Chicoine Michael R.
Published: October 2020

OBJECTIVE

Intraoperative MRI (iMRI) is used in the surgical treatment of glioblastoma, with uncertain effects on outcomes. The authors evaluated the impact of iMRI on extent of resection (EOR) and overall survival (OS) while controlling for other known and suspected predictors.

METHODS

A multicenter retrospective cohort of 640 adult patients with newly diagnosed supratentorial glioblastoma who underwent resection was evaluated. iMRI was performed in 332/640 cases (51.9%). Reviews of MRI features and tumor volumetric analysis were performed on a subsample of cases (n = 286; 110 non-iMRI, 176 iMRI) from a single institution.

RESULTS

The median age was 60.0 years (mean 58.5 years, range 20.5–86.3 years). The median OS was 17.0 months (95% CI 15.6–18.4 months). Gross-total resection (GTR) was achieved in 403/640 cases (63.0%). Kaplan-Meier analysis of 286 cases with volumetric analysis for EOR (grouped into 100%, 95%–99%, 80%–94%, and 50%–79%) showed longer OS for 100% EOR compared to all other groups (p < 0.01). Additional resection after iMRI was performed in 104/122 cases (85.2%) with initial subtotal resection (STR), leading to a 6.3% mean increase in EOR and a 2.2-cm3 mean decrease in tumor volume. For iMRI cases with volumetric analysis, the GTR rate increased from 54/176 (30.7%) on iMRI to 126/176 (71.5%) postoperatively. The EOR was significantly higher in the iMRI group for intended GTR and STR groups (p = 0.02 and p < 0.01, respectively). Predictors of GTR on multivariate logistic regression included iMRI use and intended GTR. Predictors of shorter OS on multivariate Cox regression included older age, STR, isocitrate dehydrogenase 1 (IDH1) wild type, no O
6-methylguanine DNA methyltransferase (MGMT) methylation, and no Stupp therapy. iMRI was a significant predictor of OS on univariate (HR 0.82, 95% CI 0.69–0.98; p = 0.03) but not multivariate analyses. Use of iMRI was not associated with an increased rate of new permanent neurological deficits.

CONCLUSIONS

GTR increased OS for patients with newly diagnosed glioblastoma after adjusting for other prognostic factors. iMRI increased EOR and GTR rate and was a significant predictor of GTR on multivariate analysis; however, iMRI was not an independent predictor of OS. Additional supporting evidence is needed to determine the clinical benefit of iMRI in the management of glioblastoma.
The interaction between parental concern and socioeconomic status in pediatric hydrocephalus management
Authors: Reynolds Rebecca A. , Dixon Makayla , Gannon Stephen , CCRP  , Zhao Shilin , Bonfield Christopher M. , Naftel Robert P. , Wellons John C. , Shannon Chevis N.
Published: October 2020

OBJECTIVE

Parent or guardian involvement is implicit in the care of pediatric patients with hydrocephalus. Some parents and guardians are more engaged than others. The relationship between socioeconomic status (SES), the level of parental concern about their child’s hydrocephalus management and future, and overall health status has not been clearly delineated. In this study, the authors sought to clarify this connection using hydrocephalus patient-reported health outcomes.

METHODS

This cross-sectional study included children with surgically managed hydrocephalus whose parent or guardian completed the validated Hydrocephalus Outcome Questionnaire (HOQ) and Hydrocephalus Concern Questionnaire for parents (HCQ-P) on a return visit to the pediatric neurosurgery clinic at Vanderbilt University Medical Center between 2016 and 2018. Patients were excluded if the questionnaires were not completed in full. The calculated Overall Health Score (OHS) was used to represent the child’s global physical, emotional, cognitive, and social health. The HCQ-P was used to assess parental concern about their child. Type of insurance was a proxy for SES.

RESULTS

The HOQ and HCQ-P were administered and completed in full by 170 patient families. In the cohort, 91% of patients (n = 155) had shunt-treated hydrocephalus, and the remaining patients had undergone endoscopic third ventriculostomy. The mean (± SD) patient age was 12 ± 4 years. Half of the patients were male (n = 90, 53%), and most were Caucasian (n = 134, 79%). One in four patients lived in single-parent homes or with a designated guardian (n = 45, 26%). Public insurance and self-pay accounted for 38% of patients (n = 64), while the remaining 62% had private or military insurance. In general, parents with higher concern about their child’s medical condition indicated that their son or daughter had a higher OHS (χ2 = 17.07, p < 0.001). Patients in families with a lower SES did not have different OHSs from those with a higher SES (χ2 = 3.53, p = 0.06). However, parents with a lower SES were more worried about management of their child’s hydrocephalus and their child’s future success (χ2 = 11.49, p < 0.001). In general, parents were not preoccupied with one particular aspect of their child’s hydrocephalus management.

CONCLUSIONS

More engaged parents, regardless of their family’s SES, reported a better OHS for their child. Parents with public or self-paid insurance were more likely to report higher concern about their child’s hydrocephalus and future, but this was not associated with a difference in their child’s current health status.
A single-center retrospective analysis of 3- or 4-level anterior cervical discectomy and fusion: surgical outcomes in 66 patients
Authors: McClure Jesse J. , Desai Bhargav D. , Shabo Leah M. , Buell Thomas J. , Yen Chun-Po , Smith Justin S. , Shaffrey Christopher I. , Shaffrey Mark E. , Buchholz Avery L.
Published: October 2020

OBJECTIVE

Anterior cervical discectomy and fusion (ACDF) is a safe and effective intervention to treat cervical spine pathology. Although these were originally performed as single-level procedures, multilevel ACDF has been performed for patients with extensive degenerative disc disease. To date, there is a paucity of data regarding outcomes related to ACDFs of 3 or more levels. The purpose of this study was to compare surgical outcomes of 3- and 4-level ACDF procedures.

METHODS

The authors performed a retrospective chart review of patients who underwent 3- and 4-level ACDF at the University of Virginia Health System between January 2010 and December 2017. In patients meeting the inclusion/exclusion criteria, demographics, fusion rates, time to fusion, and reoperation rates were evaluated. Fusion was determined by < 1 mm of change in interspinous distance between individual fused vertebrae on lateral flexion/extension radiographs and lack of radiolucency between the grafts and vertebral bodies. Any procedure requiring a surgical revision was considered a failure.

RESULTS

Sixty-six patients (47 with 3-level and 19 with 4-level ACDFs) met the inclusion/exclusion criteria of having at least one lateral flexion/extension radiograph series ≥ 12 months after surgery. Seventy percent of 3-level patients and 68% of 4-level patients had ≥ 24 months of follow-up. Ninety-four percent of 3-level patients and 100% of 4-level patients achieved radiographic fusion for at least 1 surgical level. Eighty-eight percent and 82% of 3- and 4-level patients achieved fusion at C3–4; 85% and 89% of 3- and 4-level patients achieved fusion at C4–5; 68% and 89% of 3- and 4-level patients achieved fusion at C5–6; 44% and 42% of 3- and 4-level patients achieved fusion at C6–7; and no patients achieved fusion at C7–T1. Time to fusion was not significantly different between levels. Revision was required in 6.4% of patients with 3-level and in 16% of patients with 4-level ACDF. The mean time to revision was 46.2 and 45.4 months for 3- and 4-level ACDF, respectively. The most common reason for revision was worsening of initial symptoms.

CONCLUSIONS

The authors’ experience with long-segment anterior cervical fusions shows their fusion rates exceeding most of the reported fusion rates for similar procedures in the literature, with rates similar to those reported for short-segment ACDFs. Three-level and 4-level ACDF procedures are viable options for cervical spine pathology, and the authors’ analysis demonstrates an equivalent rate of fusion and time to fusion between 3- and 4-level surgeries.
Time Investment for Program Implementation to Manage Neuropsychiatric Symptoms: An Observational Longitudinal Study in In-Home and Residential Care Settings
Authors: Nakanishi Miharu , Niimura Junko , Ziylan Canan , Bakker Ton TJEM , Granvik Eva , Nägga Katarina , Shindo Yumi , Nishida Atsushi
Published: October 2020

Background:

There are no studies on how the same psychosocial dementia care program is adapted to both in-home and residential care settings.

Objective:

To evaluate the time investment required by professionals to implement a psychosocial dementia care program to manage neuropsychiatric symptoms.

Methods:

A prospective observational study design was used. The program consisted of 1) a one-day training course, 2) three interdisciplinary discussion meetings in five months, and 3) a web-based tool for the continued assessment of neuropsychiatric symptoms. Care professionals implemented the intervention in in-home (19 in-home care management agencies and 14 multiple in-home service providers) and residential care settings (19 group homes and eight nursing homes) in Japan from October 2019 to February 2020. The level of neuropsychiatric symptoms for the participants was evaluated using the Neuropsychiatric Inventory (NPI: 0–144). The time investment was reported by participating professionals. A total of 125 persons with dementia were included at baseline.

Results:

Neuropsychiatric symptoms were significantly decreased at the final follow-up in all types of providers (Cohen’s drm = 0.44–0.61). The mean (SD) time required for the five-month implementation was 417.9 (219.8) minutes. There was a mean (SD) decrease of 8.6 (14.0) points in the total NPI score among the 103 persons with completed interventions. The time investment was significantly lower in in-home care management agencies than in group homes, and lower in follow-ups than at baseline assessment.

Conclusion:

The program implementation may incur a substantial time investment regardless of setting. An additional benefit scheme to reward the time investment would be helpful to encourage implementation until the follow-ups.
Asymptotically vanishing nodal solutions for critical double phase problems
Authors: Liu Zhenhai , Papageorgiou Nikolaos S.
Published: October 2020

We consider a Dirichlet double phase problem with unbalanced growth. In the reaction we have the combined effects of a critical term and of a locally defined Carathéodory perturbation. Using cut-off functions and truncation techniques we bypass the critical term and deal with a coercive problem. Using this auxillary problem, we show that the original Dirichlet equation has a whole sequence of nodal (sign-changing) solutions which converge to zero in the Musielak–Orlice–Sobolev space and in [Formula: see text].
Risk recognition and identification of sports activities in colleges and universities
Authors: Wang Hejin , Li Zihao
Published: October 2020

Recently, Intense training in specialized sport among colleges and universities has steadily improved. Although most sportspeople accept that some degree of expertise in sport is required to achieve the elite stage, there is controversy over risk recognition and identification of sports activities in colleges and universities to optimize future performance. There is concern that a young athlete can suffer from sports specialization before adolescence due to various risk factors such as injuries, social tension, and hypertension etc..,. Furthermore, PubMed and OVID are looking to discuss sports specialization and athlete experience-based consensus opinions and position statements based on Universities and Colleges. Risk recognition and identification tools are developed to identify the locations of athletes within the specialization spectrum using Linear Structural Modeling (LSM). Here, a degree of sports expertise is needed to create elite skill levels to overcome risk factors that have been suggested in the linear model. In most sports, though, such accelerated preparation should be deferred until late adolescence to reduce risk factors. The psychological burden has been analyzed for recognition, and classification based on the case study has been firmly researched in this paper.
An improved machine learning and artificial intelligence algorithm for classroom management of English distance education
Authors: Wang Yuzhe
Published: October 2020

As an inevitable trend in the development of English teaching, English distance education needs to use artificial intelligence to control the classroom, so as to improve the degree of control of teacher over the classroom. Based on the machine learning algorithm, according to the needs of English distance education classroom management, this paper builds an English distance education classroom management system based on improved machine learning artificial intelligence algorithms. Moreover, this research constructs the system function module through requirement analysis, and combines the positioning algorithm to locate students in real time. In addition, this study analyzes the students’ status through intelligent database processing to grasp the students’ learning status in a timely and effective manner. In order to verify the performance of this system, this study verifies the performance of the model by means of comparative experiments. The research results show that the system constructed in this paper has a certain effect.
Workload prediction of cloud computing based on SVM and BP neural networks
Authors: Sun Qiong , Tan Zhiyong , Zhou Xiaolu
Published: October 2020

In this study, support vector machine (SVM) and back-propagation (BP) neural networks were combined to predict the workload of cloud computing physical machine, so as to improve the work efficiency of physical machine and service quality of cloud computing. Then, the SVM and BP neural network was simulated and analyzed in MATLAB software and compared with SVM, BP and radial basis function (RBF) prediction models. The results showed that the average error of the SVM and BP based model was 0.670%, and the average error of SVM, BP and RBF was 0.781%, 0.759% and 0.708%, respectively; in the multi-step prediction, the prediction accuracy of SVM, BP, RBF and SVM + BP in the first step was 89.3%, 94.6%, 96.3% and 98.5%, respectively, the second step was 87.4%, 93.1%, 95.2% and 97.8%, respectively, the third step was 83.5%, 90.3%, 93.1% and 95.7%, the fourth step was 79.1%, 87.4%, 90.5% and 93.2%, respectively, the fifth step was 75.3%, 81.3%, 85.9% and 91.1% respectively, and the sixth step was 71.1%, 76.6%, 82.1% and 89.4%, respectively.
Emotional-physic analysis using multi-feature hybrid classification
Authors: Khan Asif , Li Jian Ping , Haq Amin Ul , Memon Imran , Patel Sarosh H. , ud. Din Salah
Published: October 2020

On-time recovery and treatment of disease is always desirable. The use of Machine learning in health-care has grown very fast to diagnosis the different kinds of diseases in the past few years. In such a diagnosis, past and real-time data are playing very crucial role in using data mining techniques. Still, we are lacking in diagnosing the emotional mental disturbance accurately in the early stages. Thus,the initial diagnosis of depression expressively stances a great problem for both,researchers and clinical professionals. We have addressed the said problem in our proposed work using Pipeline Machine Learning technique where people based on emotional stages have been effectively classified into different groups in e-healthcare. To implement Hybrid classification, a well known machine learning multi-feature hybrid classifier is used by having the emotional stimulation in form of negative or positive people. In order to improve classification, an Ensemble Learning Algorithm is used which helps in choosing the more suitable features from the available genres-emotion data on online media. Additionally, Hold out validation method has been to split the dataset for training and testing of the predictive model. Further, performance evaluation measures have been applied to check the proposed system evaluation. This study is done on Genres-Tags MovieLens dataset. The experimental results show that applied ensemble method provides optimal classification performance by choosing the best subset of features. The said results proved the excellency of the proposed system which comes from the choosing most related features selected by the Integrated Learning algorithm. Additionally, suggested approach is used to accurately and effectively diagnose the depression in its early stage. It will help in recovery and treatment of depressed people. We conclude that use of the suggested method is highly suitable in all aspects of e-healthcare for depress stimulation.