bluuebunny/crossref_metadata_2025 huggingface dataset:
The Effects of Parents' Attention and Learning Discipline on the English Learning Achievement in Junior High Schools
Authors: Sukhadman Sukhadman , Suyata Pujiati
Published: June 2020

This research aimed to desribe the effects of parents’ attention and learning discipline on the English learning achievement and  the correlation between parents’ attention and learning discipline and the English learning achievement at grade 9th in Junior High School. This research was an expost facto research. The population was 2.716 students. A sample of 337 students was established using  the proportional stratified random sampling technique. The techniques of data collection were the questionnaries and the document of students’ English learning achievement in the even of year 8 in 2012/2013. The instrument valididty was assessed in terms of the content validity using Factor Analysis. The reliabilty of the instrument was assessed using Cronbach Alpha. The data were analyzed using the Multiple Regression and partial correlation analysis. Multiple Regression test results show that parents’ attention and learning discipline simultaneously affect the English learning achivement with the value of F = 43.311 and p ≤ 0.05. Adjusted R² value = 0.197 means that the variant of the English learning achivement variable could be predicted by parents’ attention and learning discipline 19.7%. Meanwhile, according to the partial correlation analysis, parents’ attention correlates with English learning achievement (r = 0.385 and p ≤ 0.05).  Learning discipline correlates with the English learning achievement (r = 0.182 and p ≤ 0.05). Keywords: parents’ attention, learning discipline, and English learning achievement.
Design approach to blended learning in teaching EFL for Indonesian university students
Authors: Sari Nila Kurnia
Published: June 2020

With the rapidly increasing involvement of technology in the teaching and learning process in higher education, lecturers are constantly on the lookout for better ways to integrate technology into their classes. Blended learning emerged in 2000 and has been one of the most popular approaches to teaching EFL. Despite having been around for years, not many people fully understand the principle behind it and how to design an effective blended course. Such is the case in most higher education institutions in Indonesia. This article reports on the result of a survey-based research in which the aim was to investigate how EFL lecturers in Yogyakarta State University, Indonesia design their blended courses. As many as 9 lecturers were involved as respondents in an online survey, an interview, and documents inspection. The data from the survey were then analyzed using two major theories of blended learning design approach by Lai, M., Lam, K. M., & Lim, C. P. (2016) and Alammary, Sheard, and Carbone (2014). The findings revealed that EFL lecturers designed their blended learning based on the principle of extension by Lai, M., Lam, K. M., & Lim, C. P. (2016) and the low-impact model Alammary, Sheard, and Carbone (2014) was preferred to the other models.
EHealth Literacy in UK Teenagers and Young Adults: Exploration of Predictors and Factor Structure of the eHealth Literacy Scale (eHEALS)
Authors: Holch Patricia , Marwood Jordan R
Published: June 2020

Background

Increasingly, teenagers and young adults (TYAs) seek out health information online; however, it is not clear whether they possess electronic health (eHealth) literacy, defined as “the ability to select, appraise, and utilize good quality health information from the internet.” A number of factors are included in the Lily model proposed by Norman and Skinner underpinning the development of eHealth literacy. It is important to understand which elements may influence the development of eHealth literacy in young people, as the current generation will continue to “Google it” when faced with a health problem throughout their lives.

Objective

The objectives of this study are to explore potential factors influencing young people’s eHealth literacy and explore the underlying constructs of the eHealth Literacy Scale (eHEALS) in a population of UK university students.

Methods

A total of 188 undergraduate psychology students from a large UK University were recruited as an opportunity sample. Of these, 88.8% (167/188) of participants were female with a mean age of 20.13 (SD 2.16) years and the majority were White British (159/188, 84.6%). Employing a cross-sectional design TYAs completed the following measures exploring eHealth literacy (eHEALS): Irrational Health Belief Scale; Newest Vital Sign (NVS), a measure of functional health literacy; Need for Cognition Scale, a preference for effortful cognitive activity; and General Self-Efficacy (GSE) Scale, exploring personal agency and confidence. The eHEALS was also subject to exploratory factor analysis (EFA), for which in addition to the total variance explained, the scree plot, eigenvalues, and factor loadings were assessed to verify the structure.

Results

eHEALS and GSE were significantly positively correlated (r=0.28, P<.001) and hierarchical linear modeling revealed GSE as the significant predictor of scores on the eHEALS (F1,186=16.16, P<.001, R2=0.08), accounting for 8.0% of the variance. Other notable relationships were GSE and need for cognition (NFC) were also positively correlated (r=0.33, P<.001), and NFC and irrational health beliefs were significantly negatively correlated (r=–.14, P=.03). Using Spearman correlations, GSE and NVS (rs=0.14, P=.04) and NFC and NVS (rs=0.19, P=.003) were positively correlated. An EFA revealed the scale to be stable and identified a 2-factor structure related to information acquisition and information application.

Conclusions

This is the first study in the UK to explore relationships between these key variables and verify the structure of the eHEALS in a TYA population in the UK. The findings that self-efficacy has a major influence firmly consolidate its status as fundamental to the development of eHealth literacy. Future studies will explore the influence of body image and the development of eHealth literacy in more diverse TYA populations.
Effects of the e-Motivate4Change Program on Metabolic Syndrome in Young Adults Using Health Apps and Wearable Devices: Quasi-Experimental Study
Authors: Lee Ji-Soo , Kang Min-Ah , Lee Soo-Kyoung
Published: June 2020

Background

The health behaviors of young adults lag behind those of other age groups, and active health management is needed to improve health behaviors and prevent chronic diseases. In addition, developing good lifestyle habits earlier in life could reduce the risk of metabolic syndrome (MetS) later on.

Objective

The aim of this study is to investigate the effects of the e-Motivate4Change program, for which health apps and wearable devices were selected based on user needs. The program was developed for the prevention and management of MetS in young adults.

Methods

This experimental study used a nonequivalent control group. In total, 59 students from 2 universities in Daegu, Korea participated in the study (experimental group n=30; control group n=29). Data were collected over 4 months, from June 1 to September 30, 2018. The experimental group received a 12-week e-Motivate4Change program intervention, and the control group received MetS education and booklets without the e-Motivate4Change program intervention.

Results

After the program, the experimental group had significantly higher scores for health-related lifestyle (t=3.86; P<.001) and self-efficacy (t=6.00; P<.001) than did the control group. Concerning BMI, there were significant effects by group (F=1.01; P<.001) and for the group × time interaction (F=4.71; P=.034). Concerning cholesterol, there were significant main effects for group (F=4.32; P=.042) and time (F=9.73; P<.001).

Conclusions

The e-Motivate4Change program effectively improved participants’ health-related lifestyle scores and self-efficacy, and significantly reduced their BMI and cholesterol levels. The program can be used to identify and prevent MetS among young adults.
Perceptions of Patients Regarding Mobile Health Interventions for the Management of Chronic Obstructive Pulmonary Disease: Mixed Methods Study
Authors: Alwashmi Meshari F , Fitzpatrick Beverly , Farrell Jamie , Gamble John-Michael , Davis Erin , Nguyen Hai Van , Farrell Gerard , Hawboldt John
Published: June 2020

Background

Using a mobile health (mHealth) intervention consisting of a smartphone and compatible medical device has the potential to enhance chronic obstructive pulmonary disease (COPD) treatment outcomes while mitigating health care costs.

Objective

This study aims to describe the demographics, use, and access to smartphones of patients with COPD. It also aims to explore and develop an understanding of potential facilitators and barriers that might influence patients using mHealth interventions for COPD management.

Methods

This was an explanatory, sequential mixed methods study. Patients who attended respirology clinics completed a questionnaire on technology access and use. We conducted semistructured individual interviews with the patients. Interview topics included the following: demographics, mHealth use, perceptions toward challenges of mHealth adoption, factors facilitating mHealth adoption, and preferences regarding features of mHealth interventions for COPD management.

Results

A total of 100 adults completed the survey but 22 participants were excluded because they were not diagnosed with COPD. Of these, 10 patients with COPD participated in the interview. The quantitative component revealed that many patients with COPD owned a mobile phone, but only about one-fourth of the participants (18/77, 23%) owned a smartphone. The likelihood of owning a smartphone was not associated with age, sex, marital status, or geographical location, but patients with high educational status were more likely to own a smartphone. The qualitative component found that patients with COPD, in general, had a positive attitude toward mHealth adoption for COPD management, but several facilitators and barriers were identified. The main facilitators of mHealth adoption are possible health benefits for patients, ease of use, educating patients, and credibility. Alternatively, the barriers to adoption are technical issues, lack of awareness, potential limited uptake from older adults, privacy and confidentiality issues, finances, and lack of interest in mHealth

Conclusions

It is important to understand the perceptions of patients with COPD regarding the adoption of innovative mHealth interventions for COPD management. This study identifies some potential facilitators and barriers that may inform the successful development and implementation of mHealth interventions for COPD management.
Using Smart Bracelets to Assess Heart Rate Among Students During Physical Education Lessons: Feasibility, Reliability, and Validity Study
Authors: Sun Jiangang , Liu Yang
Published: June 2020

Background

An increasing number of wrist-worn wearables are being examined in the context of health care. However, studies of their use during physical education (PE) lessons remain scarce.

Objective

We aim to examine the reliability and validity of the Fizzo Smart Bracelet (Fizzo) in measuring heart rate (HR) in the laboratory and during PE lessons.

Methods

In Study 1, 11 healthy subjects (median age 22.0 years, IQR 3.75 years) twice completed a test that involved running on a treadmill at 6 km/h for 12 minutes and 12 km/h for 5 minutes. During the test, participants wore two Fizzo devices, one each on their left and right wrists, to measure their HR. At the same time, the Polar Team2 Pro (Polar), which is worn on the chest, was used as the standard. In Study 2, we went to 10 schools and measured the HR of 24 students (median age 14.0 years, IQR 2.0 years) during PE lessons. During the PE lessons, each student wore a Polar device on their chest and a Fizzo on their right wrist to measure HR data. At the end of the PE lessons, the students and their teachers completed a questionnaire where they assessed the feasibility of Fizzo. The measurements taken by the left wrist Fizzo and the right wrist Fizzo were compared to estimate reliability, while the Fizzo measurements were compared to the Polar measurements to estimate validity. To measure reliability, intraclass correlation coefficients (ICC), mean difference (MD), standard error of measurement (SEM), and mean absolute percentage errors (MAPE) were used. To measure validity, ICC, limits of agreement (LOA), and MAPE were calculated and Bland-Altman plots were constructed. Percentage values were used to estimate the feasibility of Fizzo.

Results

The Fizzo showed excellent reliability and validity in the laboratory and moderate validity in a PE lesson setting. In Study 1, reliability was excellent (ICC>0.97; MD<0.7; SEM<0.56; MAPE<1.45%). The validity as determined by comparing the left wrist Fizzo and right wrist Fizzo was excellent (ICC>0.98; MAPE<1.85%). Bland-Altman plots showed a strong correlation between left wrist Fizzo measurements (bias=0.48, LOA=–3.94 to 4.89 beats per minute) and right wrist Fizzo measurements (bias=0.56, LOA=–4.60 to 5.72 beats per minute). In Study 2, the validity of the Fizzo was lower compared to that found in Study 1 but still moderate (ICC>0.70; MAPE<9.0%). The Fizzo showed broader LOA in the Bland-Altman plots during the PE lessons (bias=–2.60, LOA=–38.89 to 33.69 beats per minute). Most participants considered the Fizzo very comfortable and easy to put on. All teachers thought the Fizzo was helpful.

Conclusions

When participants ran on a treadmill in the laboratory, both left and right wrist Fizzo measurements were accurate. The validity of the Fizzo was lower in PE lessons but still reached a moderate level. The Fizzo is feasible for use during PE lessons.
Assessment of Data Usage of Cancer e-Interventions (ADUCI) Framework for Health App Use of Cancer Patients and Their Caregivers: Framework Development Study
Authors: Heynsbergh Natalie , O Seung Chul (Eric) , Livingston Patricia M
Published: June 2020

Background

Multimedia interventions can provide a cost-effective solution to public health needs; however, user engagement is low. Multimedia use within specific populations such as those affected by cancer differs from that of the general population. To our knowledge, there are no frameworks on how to accurately assess usage within this population to ensure that interventions are appropriate for the end users. Therefore, a framework was developed to improve the accuracy of determining data usage. Formative work included creating a data usage framework during target audience testing for smartphone app development and analysis in a pilot study.

Objective

The purpose of this study was to develop a framework for assessing smartphone app usage among people living with cancer and their caregivers.

Methods

The frequency and duration of use were compared based on manual data extraction from two previous studies and the newly developed Assessment of Data Usage of Cancer e-Interventions (ADUCI) Framework.

Results

Manual extraction demonstrated that 279 logins occurred compared with 241 when the ADUCI Framework was applied. The frequency of use in each section of the app also decreased when the ADUCI Framework was used. The total duration of use was 91,256 seconds (25.3 hours) compared with 53,074 seconds (14.7 hours) when using the ADUCI Framework. The ADUCI Framework identified 38 logins with no navigation, and there were 15 discrepancies in the data where time on a specific page of the app exceeded the login time. Practice recommendations to improve user engagement and capturing usage data include tracking data use in external websites, having a login function on apps, creating a five-star page rating functionality, using the ADUCI Framework to thoroughly clean usage data, and validating the Framework between expected and observed use.

Conclusions

Applying the ADUCI Framework may eliminate errors and allow for more accurate analysis of usage data in e-research projects. The Framework can also improve the process of capturing usage data by providing a guide for usage data analysis to facilitate evidence-based assessment of user engagement with apps.
Technology Evaluation and Assessment Criteria for Health Apps (TEACH-Apps): Pilot Study
Authors: Camacho Erica , Hoffman Liza , Lagan Sarah , Rodriguez-Villa Elena , Rauseo-Ricupero Natali , Wisniewski Hannah , Henson Philip , Torous John
Published: June 2020

Background

Despite the emergence of app evaluation tools, there remains no well-defined process receptive to diverse local needs, rigorous standards, and current content. The need for such a process to assist in the implementation of app evaluation across all medical fields is evident. Such a process has the potential to increase stakeholder engagement and catalyze interest and engagement with present-day app evaluation models.

Objective

This study aimed to develop and pilot test the Technology Evaluation and Assessment Criteria for Health apps (TEACH-apps).

Methods

Tailoring a well-known implementation framework, Replicating Effective Programs, we present a new process to approach the challenges faced in implementing app evaluation tools today. As a culmination of our experience implementing this process and feedback from stakeholders, we present the four-part process to aid the implementation of mobile health technology. This paper outlines the theory, evidence, and initial versions of the process.

Results

The TEACH-apps process is designed to be broadly usable and widely applicable across all fields of health. The process comprises four parts: (1) preconditions (eg, gathering apps and considering local needs), (2) preimplementation (eg, customizing criteria and offering digital skills training), (3) implementation (eg, evaluating apps and creating educational handouts), and (4) maintenance and evolution (eg, repeating the process every 90 days and updating content). TEACH-apps has been tested internally at our hospital, and there is growing interest in partnering health care facilities to test the system at their sites.

Conclusions

This implementation framework introduces a process that equips stakeholders, clinicians, and users with the foundational tools to make informed decisions around app use and increase app evaluation engagement. The application of this process may lead to the selection of more culturally appropriate and clinically relevant tools in health care.
Determinants of Medical Practice Variation Among Primary Care Physicians: Protocol for a Three Phase Study
Authors: Shashar Sagi , Codish Shlomi , Ellen Moriah , Davidson Ehud , Novack Victor
Published: June 2020

Background

One of the greatest challenges of modern health systems is the choice and use of resources needed to diagnose and treat patients. Medical practice variation (MPV) is a broad term which entails the differences between health care providers inclusive of both the overuse and underuse. In this paper, we describe a 3-phase research protocol examining MPV in primary care.

Objective

We aim to identify the potential targets for behavioral modification interventions to reduce the variation in practice patterns and thus improve health care, decrease costs, and prevent disparities in care.

Methods

The first phase will delineate the variation in primary care practice over a wide range of services and long follow-up period (2003-2017), the second will examine the 3 determinants of variation (ie, patient, physician, and clinic characteristics), and attempt to derive the unexplained variance. In the third phase, we will assess a novel component that might contribute to the previously unexplained variance - the physicians’ personal behavioral characteristics (such as risk aversion, fear of malpractice, stress from uncertainty, empathy, and burnout).

Results

This work was supported by the research grant from Israel National Institute for Health Policy Research (Grant No. 2014/134). Soroka University Medical Center Institutional Ethics Committee has approved the updated version of the study protocol (SOR-14-0063) in February 2019. All relevant data for phases 1 and 2, including patient, physician, and clinic, were collected from the Clalit Health Services data set in 2019 and are currently being analyzed. The evaluation of the individual physician characteristics (eg, risk aversion) by the face-to-face questionnaires was started on 2018 and remains in progress. We intend to publish the results during 2020-2021.

Conclusions

Based on the results of our study, we aim to propose a list of potential targets for focused behavioral intervention. Identifying new targets for such an intervention can potentially lead to a decrease in the unwarranted variation in the medical practice. We suggest that such an intervention will result in optimization of the health system, improvement of health outcomes, reduction of disparities in care and savings in cost.

International Registered Report Identifier (IRRID)

DERR1-10.2196/18673
Adherence of Female Health Care Workers to the Use a Web-Based Tool for Improving and Modifying Lifestyle: Prospective Target Group Pilot Study
Authors: Jukic Tomislav , Ihan Alojz , Petek Šter Marija , Strojnik Vojko , Stubljar David , Starc Andrej
Published: June 2020

Background

Health care professionals are exposed to the psychological and physiological effects of stress, which is a well-known risk factor for various mental and physical health problems.

Objective

The aims of this study were to assess the adherence of female health care workers to use a web-based tool for improving and modifying lifestyle and to identify the potential factors influencing their adherence.

Methods

A prospective, observational study was performed. A total of 80 female health care workers (physicians and gradated nurses) from 2 university medical centers and female members of a family medicine society participated. Participants completed a questionnaire that inquired about their basic demographic data and physical fitness. Physical fitness was assessed by the Rockport Fitness Walking Test. Adherence to a web-based application (24@life) was followed for 3 months and the number of log-ins into the application was counted.

Results

The study was conducted from March to October 2019. Significantly high workload has been detected in all groups (P<.05), except in the general practitioner with normal workload group. The graduated nurse working in the surgery room group showed chronic stress with elevated S-cortisol levels (>690 nmol/L); activated cellular immune system with elevated concentrations of lymphocytes (reference 1.1-2.5 × 109 cells/L), CD3 cells (reference 0.7-1.9 × 109 cells/L), CD8 cells (reference 0.2-0.7 × 109 cells/L), and HLA-DR/CD3 cells (reference 0.04-0.2 × 109 cells/L); and the worst quality of sleep (mean 2.8 [SD 1.2]). Only 32 of 80 participants (40%) were adherent to the web-based application. Participants most frequently viewed web pages on areas of physical activity (497 times) and nutrition (332 times). No factors or participant’s characteristics such as weight (odds ratio [OR] 1.026, 95% CI 0.977-1.078), BMI (OR 0.993, 95% CI 0.834-1.184), age (OR 0.970, 95% CI 0.910-1.034), or stress level (OR 0.997, 95% CI 0.995-1.000) were identified to affect the adherence rates.

Conclusions

Female health care workers exposed to high workload did not find the web-based application useful for improving and modifying their lifestyle. Therefore, other strategies that might help health care workers facing stress and improve their lifestyle should be identified.
Patient Experiences of Rehabilitation and the Potential for an mHealth System with Biofeedback After Breast Cancer Surgery: Qualitative Study
Authors: Brennan Louise , Kessie Threase , Caulfield Brian
Published: June 2020

Background

Physiotherapy-led home rehabilitation after breast cancer surgery can protect against the development of upper limb dysfunction and other disabling consequences of surgery. A variety of barriers can limit physical rehabilitation outcomes, and patients may benefit from more support during this time. Mobile health (mHealth) systems can assist patients during rehabilitation by providing exercise support, biofeedback, and information. Before designing mHealth systems for a specific population, developers must first engage with users to understand their experiences and needs.

Objective

The aims of this study were to explore patients’ rehabilitation experiences and unmet needs during home rehabilitation after breast cancer surgery and to understand their experiences of mHealth technology and the requirements they desire from an mHealth system.

Methods

This was the first stage of a user-centered design process for an mHealth system. We interviewed 10 breast cancer survivors under the two main topics of “Rehabilitation” and “Technology” and performed a thematic analysis on the interview data.

Results

Discussions regarding rehabilitation focused on the acute and long-term consequences of surgery; unmet needs and lack of support; self-driven rehabilitation; and visions for high-quality rehabilitation. Regarding technology, participants reported a lack of mHealth options for this clinical context and using non-cancer–specific applications and wearables. Participants requested an mHealth tool from a reliable source that provides exercise support.

Conclusions

There are unmet needs surrounding access to physiotherapy, information, and support during home rehabilitation after breast cancer surgery that could be addressed with an mHealth system. Breast cancer survivors are open to using an mHealth system and require that it comes from a reliable source and focuses on supporting exercise performance.
Acceptability and Utility of an Open-Access, Online Single-Session Intervention Platform for Adolescent Mental Health
Authors: Schleider Jessica Lee , Dobias Mallory , Sung Jenna , Mumper Emma , Mullarkey Michael C
Published: June 2020

Background

Many youths with mental health needs are unable to access care. Single-session interventions (SSIs) have helped reduce youth psychopathology across multiple trials, promising to broaden access to effective, low-intensity supports. Online, self-guided SSIs may be uniquely scalable, particularly if they are freely available for as-needed use. However, the acceptability of online SSI and their efficacy have remained unexamined outside of controlled trials, and their practical utility is poorly understood.

Objective

We evaluated the perceived acceptability and proximal effects of Project YES (Youth Empowerment & Support), an open-access platform offering three online SSIs for youth internalizing distress.

Methods

After selecting one of three SSIs to complete, participants (ages 11-17 years) reported pre- and post-SSI levels of clinically relevant outcomes that SSIs may target (eg, hopelessness, self-hate) and perceived SSI acceptability. User-pattern variables, demographics, and depressive symptoms were collected to characterize youths engaging with YES.

Results

From September 2019 through March 2020, 694 youths accessed YES, 539 began, and 187 completed a 30-minute, self-guided SSI. SSI completers reported clinically elevated depressive symptoms, on average, and were diverse on several dimensions (53.75% non-white; 78.10% female; 43.23% sexual minorities). Regardless of SSI selection, completers reported pre- to post-program reductions in hopelessness (dav=0.53; dz=0.71), self-hate (dav=0.32; dz=0.61), perceived control (dav=0.60; dz=0.72) and agency (dav=0.39; dz=0.50). Youths rated all SSIs as acceptable (eg, enjoyable, likely to help peers).

Conclusions

Results support the perceived acceptability and utility of open-access, free-of-charge SSIs for youth experiencing internalizing distress.

Trial Registration

Open Science Framework; osf.io/e52p3
Health Outcomes from Home Hospitalization: Multisource Predictive Modeling (Preprint)
Authors: Calvo Mireia , González Rubèn , Seijas Núria , Vela Emili , Hernández Carme , Batiste Guillem , Miralles Felip , Roca Josep , Cano Isaac , Jané Raimon
Published: June 2020

BACKGROUND

Home hospitalization is widely accepted as a cost-effective alternative to conventional hospitalization for selected patients. A recent analysis of the home hospitalization and early discharge (HH/ED) program at Hospital Clínic de Barcelona over a 10-year period demonstrated high levels of acceptance by patients and professionals, as well as health value-based generation at the provider and health-system levels. However, health risk assessment was identified as an unmet need with the potential to enhance clinical decision making.

OBJECTIVE

The objective of this study is to generate and assess predictive models of mortality and in-hospital admission at entry and at HH/ED discharge.

METHODS

Predictive modeling of mortality and in-hospital admission was done in 2 different scenarios: at entry into the HH/ED program and at discharge, from January 2009 to December 2015. Multisource predictive variables, including standard clinical data, patients’ functional features, and population health risk assessment, were considered.

RESULTS

We studied 1925 HH/ED patients by applying a random forest classifier, as it showed the best performance. Average results of the area under the receiver operating characteristic curve (AUROC; sensitivity/specificity) for the prediction of mortality were 0.88 (0.81/0.76) and 0.89 (0.81/0.81) at entry and at home hospitalization discharge, respectively; the AUROC (sensitivity/specificity) values for in-hospital admission were 0.71 (0.67/0.64) and 0.70 (0.71/0.61) at entry and at home hospitalization discharge, respectively.

CONCLUSIONS

The results showed potential for feeding clinical decision support systems aimed at supporting health professionals for inclusion of candidates into the HH/ED program, and have the capacity to guide transitions toward community-based care at HH discharge.
The Economic Successes and Sources of Discontent in East Central Europe
Authors: Epstein Rachel A
Published: June 2020

By some measures, the European Union’s Eastern enlargement, and the attendant securitization of East Central Europe through membership in the North Atlantic Treaty Organization, have brought significant economic and welfare benefits to the former Soviet satellites or republics that have joined these organizations. All of their economies are considerably larger than in 1989. Foreign investment has helped fuel significant growth in the region, and financial linkages between East and West had a stabilizing influence during and after the US financial crisis of 2008-09. But economic success in absolute terms has not prevented a sense of disappointment from settling over the region, nor has it forestalled an illiberal backlash in a number of countries, which has had economic, political, and in some cases ethno-populist dimensions. This article examines some of the main economic trajectories around growth, consumption, investment, and finance. It explains why, despite numerous positive measures, both economic and political liberalism are under intensifying scrutiny. Growing inequality within countries, as well as continuing inequality – including power disparities between East and West Europe – have fueled discontent with the terms on which many East Central European states have integrated into the EU.
The Effect of Green Color Breathing TherapyTowards Reduction of Stress Levels In Hemodialized Patients
Authors: Suli Didik Prasetyo , Aini Nur , Prasetyo Yoyok Bekti
Published: June 2020

Hemodialysis therapy is a lifelong therapy for the patient. One therapy that can be used in lowering stress levels and not yet widely used in Indonesia is color therapy (chromotherapy). The research design was quasi experimental with a pre-post test with control group design. The total sample of 12 intervention groups and 13 control groups was taken by purposive sampling technique. The study was conducted in March 2017 at Dr. Soepraoen Malang Hospital. The variables observed were a decrease in stress levels using the DASS questionnaire. Data were analyzed by the Mann-Whitney test. The results showed that at pretest the majority of the intervention groups were at moderate stress levels of 5 people (41,7%), while in the control group 8 people (61,5%). After posttest the stress level in the intervention group fell to normal 8 people (66,7%) while in the control group it remained. The results of statistical tests obtained p value 0.001 < α 0.05 so it can be concluded that there is an effect of giving green color breathing therapy to decrease stress levels. Green color affects the central nervous system by using the retinohypothalamic tract as the main pathway of the color transmission mechanism to the limbic system and the endocrine system, so it will provide a calming effect, cause a sense of comfort, and reduce stress.
Relationship of Self-Efication and Organizational Culture with Nurse Behavior in the Implementation of Safe Injecting Practices in Kendari City Hospital
Authors: Alifariki La Ode , Rahmawati Rahmawati , La Rangki La Rangki , Kusnan Adius
Published: June 2020

Infections that occur in the hospital one of which is a nosocomial infection. Injection is one of the medical methods most often used to introduce drugs or other substances into the body for medicinal or preventive purposes. The high number of officers taking unsafe injections is one of the risk factors for nosocomial infections. The purpose of this study was to analyze the relationship between self-efficacy and organizational culture with nurse behavior in the application of safe injecting practices in Kendari City Hospital. This study used observational analytic with cross sectional approach with a sample of 55 people taken by proportional random sampling using the chi square test. The results showed that there was a relationship of self-efficacy (X2hit = 10,977, p value = 0,001), organizational culture (X2hit = 18,366, p value = 0,000) with nurses' behavior in applying safe injecting practices in Kendari City Hospital. The conclusion of the study is that all independent variables (self-efficacy and organizational culture) are related to nurses' behavior in applying safe injecting practices. It is recommended that the Hospital can provide socialization about safe injections to the nurse nurses and improve organizational culture and improve the self-efficacy efforts of implementing nurses.
Relationship between Workload with the Professional Quality of Life of Community Health Nursing in the Health Center Agriculture Area ofJember
Authors: Fujianti Mery Eka Yaya , Wuryaningsih Emi Wuri , Hadi K Enggal
Published: June 2020

The number of community health nurses is not balanced with the workload given. This causes nurses at risk of experiencing physical and psychological problems that have an impact on the quality of life of the professional community health nurses. The purpose of this study is to find out the relationship between workload and professional quality of life in percescent nurses at the Jember district health center. This study uses a cross-sectional design with a sample size of 74 respondents. The sampling technique used was cluster sampling and proportionate random sampling. Data collection was conducted in January-March 2019. The questionnaire used was NASA-TLX (α = 0.781) and ProQoL-5 (α = 0.903). The statistical test used is spearman rank. The results showed that there was no relationship between workload and professional quality of life (p value = 0.372; CI = 95%). Community health nurses have workload (78.4%), compassion satisfaction (9.5%), burnout (59.5%) and stress traumatic secunder (13.5%) in the moderate category. High motivation and hard work of nurses in carrying out their responsibilities make the performance of nurses good, even though they have a moderate workload. Evaluation from the head of the room and also the demands of the workplace agency make the nurse work optimally. No one has measured the quality of life professionally directly but through their performance. The results of this study are expected to be an additional reference in the development of research in the field of workload and quality of life professional.
Relation Of Resilience With Psychological Distress On Tobacco Farmers In Kalisat District, Jember Regency
Authors: Wuryaningsih Emi Wuri , Holivia Tria Mega , Hadi K Enggal
Published: June 2020

Tobacco farmers are prone to various health problems both physically and psychologically or mentally due to several problems such as Green Tobacco Sickness (GTS), crop failure and weather anomalies. Resilience is one of the coping mechanisms that can be used to prevent psychological distress. This study used a cross-sectional study design with cluster random sampling technique, a sample of 96 respondents. The study was conducted in February-March in Kalisat District, Jember Regency. Bivariate analysis used Pearson correlation (α
“Vetores epistemológicos”: Ratos, fronteiras e o Antropoceno
Authors: Carvalho André Luis de Lima
Published: June 2020

O presente artigo apresenta resultados preliminares de um estudo que lanca mao das duas especies de ratos urbanos cosmopolitas – rato de telhado (Rattus rattus – Lineu, 1758) e ratazana (Rattus norvegicus - Berkenhout, 1769) – para conduzir a exploracao de problemas de pesquisa ligados ao conceito de Antropoceno. Analiso o Antropoceno em dois eixos narrativos. No primeiro, Antropoceno-como-problema, avalio a urbanizacao e suas implicacoes ambientais sob a expressao-sintese “ratos e cidades”. No segundo, Antropoceno-como-agenda, defendo a importancia da perspectiva multiespecies e sua relacao obrigatoria com a transdisciplinaridade, sob a expressao-sintese “superacao do antropocentrismo”. Sustento que a plasticidade adaptativa e identitaria dos ratos, assim como suas caracteristicas de organismos de fronteiras, credenciam esses animais como “vetores epistemologicos” capazes de conduzir leitores e pesquisadores pela teia viva e labirintos narrativos do Antropoceno.
Analisis Tingkat Kepercayaan Publik Terhadap STIKI Ditinjau Asal Mahasiswa Berbasis SIG
Authors: Putra I Kadek Adiana
Published: June 2020

Pemanfaatan teknologi Sistem Informasi Geografis (SIG) untuk menganalisis dan memetakan jumlah dan pola distribusi mahasiswa angkatan 2015/2016 sampai 2017/2018. Teknlogi SIG digunakan dalam tabulasi, analisis, overlay dan menyajikan data dalam bentuk peta, statistic dan grafik, sehingga dapat dengan mudah mengetahui pola distribusi dan jumlah mahasiswa pada masing-masing angkatan. Pola distribusi mahasiswa baru menunjukan bahwa asal mahasiswa teraglomerasi pada beberapa wilayah yaitu Bali, Jawa, NTT, dan NTB.Provinsi Bali sebagai tempat berkembanya lembaga berada pada peringkat yang paling tinggi dari masing-masingt provinsidengan rata-rata jumah mahasiswa mencapai 60%. Tingginya kepercayaan masyarakat dipengaruhi Besarnya derajat konsistensi dan peningkatan jumlah mahasiswa tidak lepas dari pengaruh alumnus yang memberikan kontribusi yang cukup tinggi sebagai media informasi dan promosi secara tidak langsung.
MENGGALI NILAI-NILAI PELESTARIAN LINGKUNGAN GEOGRAFIS PADA BEBERAPA DESAIN SENI PEWAYANGAN BALI
Authors: Suryana I Gede Putu Eka , Antara I Gede Made Yudi
Published: June 2020

Lingkungan merupakan tempat yang menyediakan berbagai sumberdaya sekaligus permasalahan dalam menghadapi pembangunan yang berkelanjutan. Perspektif global mengajarkan kita berpikir secara global dan bertindak secara lokal. Pelajaran yang dapat kita petik dari hal tersebut adalah nilai-nilai kearifan lokal yang beberapa berasal dari warisan budaya yang diperoleh secara turun temurun dapat dijadikan bahan, pedoman yang mungkin saja relevan untuk diterapkan saat ini. Adapun metodologi yang dirancang terdiri dari pengumpulan data terkait data produk seni dalam pewayangan Bali. Pewayangan Bali dipilih karena sangat karena seagai penyampaian pesan yang kaya makna. Setelah data terkumpul maka dilanjutkan identifikasi dan analisis. Analisis yang dilakukan melibatkan analisis hermeneutik.  Hasil analisis yang diperoleh adalah dalam salah satu parwa cerita pewayangan yakni Adi Parwa yang mengisahkan adanya pencarian tirta amerta, memperoleh konsep saat ini yang kita kenal sebagai Padmasana. Padmasana ini yang dikenal sebagai bangunan religious oleh umat hindu menggunakan metode analisis hermeneutic coba diabstraksi kembali secara fungsionalitas untuk menginspirasi tindakan kitaKata Kunci : Nilai, Pelestarian Lingkungan, Seni, Wayang
KAJIAN INFLOW, OUTFLOW DAN WATER BALANCE DANAU BERATAN DI DATARAN TINGGI BEDUGUL BALI
Authors: Atmaja Dewa Made
Published: June 2020

Pengetahuan tentang imbangan air merupakan suatu komponen yang tidak dapat dipisahkan antara lain: pengaliran masuk (inflow), pengaliran keluar (outflow), dan timbunan air. Penelitian bertujuan untuk: 1) mengetahui variasi inflow (curah hujan, limpasan), 2)  mengetahui variasi aliran outflow (evaporasi, pemakaian air), 3) mengetahui water balance yang terjadi di Danau Beratan. Objek penelitian ini adalah kuantitas air Danau Beratan, metode pengumpulan data yang digunakan adalah metode observasi, metode interview/wawancara, dan metode studi dokumentasi. Analisis data dalam penelitian ini seluruhnya menggunakan metode deskriptif kuantitatif.Hasil penelitian ini menunjukan bahwa, variasi pengaliran masuk (inflow) Danau Beratan rata-rata bulanan terendah selama 5 tahun terdapat pada bulan September sebesar 3,18 x 106 m3 dan rata-rata bulanan tertinggi terdapat pada bulan Januari sebesar 269,63 x 106 m3. Besar pengaliran masuk (inflow) tahunan rata-rata sebesar 107,50 x 106 m3. Adanya variasi pengaliran masuk (inflow) tersebut disebabkan oleh faktor vegetasi penutup lahan (land cover vegetation); topografi serta kemiringan lereng. Variasi pengaliran keluar (outflow) Danau Beratan rata-rata bulanan terendah selama 5 tahun terdapat November sebesar 27,3 x 106 m3 dan rata-rata bulan tertinggi terdapat pada bulan Maret sebesar 27,4 x 106 m3. Pengaliran ke luar (outflow) tahunan rata-rata sebesar 328,32 x 106 m3. Imbangan air periode tahun 2013-2017 memiliki nilai pengaliran masuk (inflow) bulanan lebih besar daripada pengaliran ke luar (outflow), yaitu sebesar 961,64 x 106 m3 atau dengan imbangan rata-rata tiap bulannya sebesar 80,14 x 106 m3. Berdasarkan analisa debit perubahan timbunan air selama 5 tahun dari tahun 2013-2017, menunjukan rata-rata imbangan air bulanan tertinggi terdapat pada bulan Januari dan Desember sebesar 312,22 x 106 m3 (positif), sedangkan terendah terdapat pada bulan Agustus sebesar -24,14 x 106 m3 (negatif).
PENGEMBANGAN MEDIA PEMBELAJARAN GEOGRAFI BERBENTUK PERMAINAN ULAR TANGGA BERBANTUAN LEAFLET DI SMA DWIJENDRA DENPASAR
Authors: Dwisukamsurya P.Md.Desy , Lasmawan I Wayan , Sriartha I Putu
Published: June 2020

This research aimed to develop geography learning media in the form of snake ladder game assisted by leaflet, analyzing the effectiveness to activity and students learning achievement. This research used development (R&D) research design with analysis, design, development, implementation, evaluation (ADDIE). The students learning activity data were collected through observation, besideds, the students learning achievement were collected through multiple choice test. The data collected then analyzed descriptively and quantitatively. The final design of geography learning media in the form of snake ladder game assisted by leaflet was geography learning media based on the evaluation : 1) material and media expert valid average score 3,18; 2) small grup trials valid average score 3,69 the data were reasonably used. The geography learning media in the form of snake ladder game assisted by leaflet effectively improved the learning activity equal to 15,36% and effectively improved the students learning achievement with the level of completeness of student learning achievement at 91,43% with fine category.
KETERKAITAN EKONOMI PERDESAAN DAN PERKOTAAN DI DAERAH TERTINGGAL (KASUS KABUPATEN ACEH SINGKIL)
Authors: Permana Sendi , Rijanta R. , Hizbaron Dyah Rahmawati
Published: June 2020

Pembangunan wilayah di Kabupaten Aceh Singkil masih dihadapkan pada kesenjangan pembangunan antara perdesaan dan perkotaan. Terdapat indikasi bahwa pembangunan perkotaan tidak memberikan efek penetasan pembangunan pada perdesaan, hal yang terjadi justru pengurasan sumber daya yang ada di perdesaan. Hal ini menunjukkan bahwa keunggulan usaha perkebunan rakyat di perdesaan belum berdampak signifikaan terhadap kemajuan perekonomian perdesaan. Penelitian ini bertujuan untuk menganalisis keterkaitan ekonomi antara perdesaan dan perkotaan. Metode yang digunakan dalam penelitian ini adalah survei deskriptif dengan pengumpulan data melalui wawancara. Hasil penelitian menunjukan bahwa sebagian besar kelompok tani belum mengakses fasilitas pelayanan permodalan yang terdapat di perkotaan, sedangkan kebutuhan sarana produksi sebagian besar dapat dipenuhi oleh toko penjual sarana produksi yang berada di perdesaan. Adapun aliran bahan baku hasil produksi perkebunan terjalin di wilayah perdesaan dan pendistribusian hasil produksi perkebunan sebagian besar dilakukan oleh agen desa ke satuan pengumpul lalu ke pabrik. Rantai penjualan tandan buah sawit yang panjang turut menyebabkan minimnya pendapatan yang diterima petani. Adapun pendapatan yang diterima petani jauh dibawah standar UMR (Upah Minimum Regional) yang berlaku. Selain itu, kegiatan industri yang dikembangkan melalui pabrik pengolahan minyak kelapa swasta hanya sebatas area produksi CPO (Crude Palm Oil). Seluruh hasil produksi CPO diekspor melalui pelabuhan Belawan yang berlokasi di Kota Medan, sehingga perolehan nilai tambah (add value) masuk ke wilayah Kota Medan.
Analisis Kekeringan Berdasarkan Bentuklahan Di Das Bompon
Authors: Rahmi Maulida , Setiawan M. Anggri , Mardiatno Djati
Published: June 2020

Analisis kerawanan kekeringan dipengaruhi oleh kondisi satuan bentuklahan yang bervariasi pada wilayah kajian. Tujuan dari penelitian ini adalah (1) Memetakan kerawanan kekeringan menggunakan pengharkatan, (2) Menganalisis kerawanan kekeringan berdasarkan bentuklahan. Metode yang digunakan untuk memetakan kerawanan kekeringan yaitu pendekatan geomorfologi, pembobotan atau skoring diberikan pada setiap satuan bentuklahan sebagai indikator yang digunakan untuk menilai kelas kerawanan. Semakin besar pengaruh yang diberikan oleh indikator maka semakin besar pula skor atau pengharkatan yang diberikan. Hasil penelitian menunjukkan bahwa satuan bentuklahan interfluve dan lereng atas perbukitan memiliki tingkat kerawanan kekeringan tinggi. Kelas kerawanan kategori tinggi ditandai dengan kemunculan airtanah yang sulit ditemui. Kerawanan kekeringan kelas sedang berada pada bentuklahan lereng tengah perbukitan dan lereng bawah perbukitan. Bentuklahan lereng kaki koluvial dan dataran aluvial berada pada tingkat kekeringan kelas rendah, hal ini sesuai dengan kondisi yang ditemukan di lapangan, yaitu kemunculan airtanah yang mudah ditemui. Kekeringan pada satuan bentuklahan ditandai oleh kondisi morfologi dan lokasi ditemukannya mataair yang muncul di tekuk lereng. Penggunaan metode untuk kajian kekeringan dengan skala detail baik secara kualitatif dan kuantitatif perlu dilakukan lagi untuk menemukan perkembangan metode yang tepat dalam melakukan analisis kajian kekeringan dari segi sosial. Kata kunci: Bentuklahan; Daerah Aliran Sungai (DAS); Geomorfologi; Kerawanan; Kekeringan