bluuebunny/crossref_metadata_2025 huggingface dataset:
Khảo sát nồng độ M2BPGi ở bệnh nhân viêm gan B mạn và xơ gan do viêm gan B
Authors: Anh Nguyễn Thị Vân , Hằng Đào Việt
Published: September 2024

Viêm gan B mạn là nguyên nhân hàng đầu dẫn đến xơ gan tại Việt Nam, do đó việc phát hiện sớm giai đoạn xơ hóa là rất quan trọng trong quản lý bệnh. Nghiên cứu được tiến hành với mục tiêu là khảo sát nồng độ M2BPGi và các yếu tố liên quan ở hai nhóm bệnh nhân viêm gan B mạn và xơ gan do viêm gan B. Thiết kế nghiên cứu cắt ngang trên 90 bệnh nhân VGB mạn tính và 52 bệnh nhân xơ gan do VGB được thực hiện tại Bệnh viện Đại học Y Hà Nội và Viện Nghiên cứu và Đào tạo Tiêu hóa Gan mật từ tháng 8/2023 đến tháng 6/2024. Kết quả nghiên cứu ghi nhận trung vị nồng độ M2BPGi ở nhóm xơ gan (2,56 COI) và nhóm VGB (0,68 COI). Có sự gia tăng nồng độ M2BPGi theo các giai đoạn xơ hóa trên ARFI (F0-4) và chỉ số xơ hóa APRI, FIB-4, sự khác biệt này có ý nghĩa thống kê với p < 0,05. Phân tích tương quan Spearman, nồng độ M2BPGi có mối tương quan trung bình đến mạnh với các chỉ số cận lâm sàng như: AST, ALT, PT, Albumin, PLT, AFP, các chỉ số xơ hóa APRI, FIB-4 và vận tốc sóng ARFI. Từ những kết quả trên cho thấy dấu ấn sinh học M2BPGi rất có tiềm năng trong việc phát hiện sớm xơ hóa trên bệnh nhân viêm gan B mạn.
Kết quả điều trị sẹo lồi bằng tiêm Triamcinolone Acetonide kết hợp Botulinum toxin A trong tổn thương
Authors: Thuý Hoàng Thị , Chính Phạm Công
Published: September 2024

Nghiên cứu nhằm đánh giá kết quả điều trị sẹo lồi bằng tiêm Triamcinolone acetonide (TAC) kết hợp Botulinum toxin A (BTA) trong tổn thương. Nghiên cứu thử nghiệm lâm sàng không đối chứng trên 26 bệnh nhân với 49 sẹo lồi. Trước điều trị trung bình độ dày sẹo là 1,86 ± 0,76, độ cứng là 3 ± 0,84 và tổng điểm VSS (Vancouver Scar Score sheet) là 7,53 ± 2,22. Sau điều trị các giá trị tương ứng giảm lần lượt là 0,43 ± 0,65; 0,53 ± 0,65 và 4,29 ± 2,82 (p < 0,05). Điểm trung bình trước điều trị của sắc tố sẹo là 3 ± 0,84 và mạch máu sẹo là 2,02 ± 0,80, sau điều trị tăng lần lượt là 1,02 ± 1,01 và 2,33 ± 0,94 (p < 0,05). Điểm trung bình POSAS (Patient and Observer Scar Assessment Scale) của người quan sát trước điều trị là 31,02 ± 7,40, sau điều tri là 14,29 ± 4,96 (p < 0,05) và của bệnh nhân tự đánh giá tương ứng là 37,45 ± 9,59 và 14,16 ± 4,75 (p < 0,05). Trung bình tỷ lệ cải thiện độ dày sẹo sau điều trị là 79,93% ± 29,65%, trong đó 63,3% sẹo xẹp hoàn toàn. Nghiên cứu của chúng tôi cho thấy điều trị sẹo lồi bằng tiêm kết hợp TAC và BTA có hiệu quả cao: giảm rõ rệt triệu chứng cơ năng và độ dày sẹo, đồng thời có tỷ lệ hài lòng cao của bệnh nhân.
Tỉ lệ mắc lao trong nhóm có yếu tố nguy cơ thông qua sàng lọc lao chủ động tại huyện Tam Dương và huyện Bình Xuyên, tỉnh Vĩnh Phúc
Authors: Trường Nguyễn Văn , Oanh Kim Thúy , Đồng Nguyễn Văn , Tâm Nguyễn Thị Minh , Sung Bùi Thị
Published: September 2024

Lao là một trong những bệnh truyền nhiễm gây tử vong hàng đầu trên thế giới. Vì thế việc phát hiện chủ động bệnh lao trong cộng đồng là hết sức cần thiết. Vĩnh Phúc là một tỉnh thuộc vùng đồng bằng sông Hồng, nằm trong quy hoạch thủ đô Hà Nội, có nhiều khu công nghiệp và hệ thống giao thông thuận lợi, là nơi giao thương giữa vùng Trung du miền núi phía Bắc với Thủ đô Hà Nội. Nghiên cứu mô tả cắt ngang trên 1100 đối tượng tại 2 huyện Tam Dương (từ tháng 10/2020 - 11/2020) và Bình Xuyên (từ tháng 10/2022 - 12/2022). Kết quả: Tỷ lệ hiện mắc lao trong nhóm có yếu tố nguy cơ ở huyện Bình Xuyên là 3,1% và huyện Tam Dương là 2,5%. Tỷ lệ lao phổi có bằng chứng vi sinh là 2%, lao phổi không có bằng chứng vi sinh là 0,8%. Nam giới có nguy cơ mắc lao cao hơn nữ giới. Có mối liên quan giữa tổn thương trên X-quang phổi với triệu chứng lâm sàng nghi lao và bằng chứng vi khuẩn học về lao.
Giá trị của thuật toán GAAD trong hỗ trợ sàng lọc ung thư biểu mô tế bào gan nguyên phát trên bệnh nhân viêm gan B mạn có AFP < 20 ng/ml
Authors: Anh Đới Ngọc , Thư Nguyễn Kim , Thạch Phạm Ngọc , Hải Nguyễn Thị Thanh
Published: September 2024

Nghiên cứu mô tả cắt ngang đánh giá hiệu quả chẩn đoán ung thư biểu mô tế bào gan nguyên phát trên đối tượng nguy cơ cao viêm gan B mạn được theo dõi định kỳ AFP âm tính (< 20 ng/ml) bằng thang điểm GAAD. Nghiên cứu thực hiện kết hợp hồi cứu và tiến cứu trên 225 bệnh nhân được chẩn đoán viêm gan B mạn làm đủ xét nghiệm AFP và PIVKA II có AFP < 20 ng/mL được theo dõi từ 1/2022-7/2024 tại Bệnh viện Bệnh nhiệt đới Trung ương. Kết quả GAAD có độ nhạy cao hơn AFP và PIVKA II riêng lẻ trong hỗ trợ chẩn đoán sàng lọc ung thư biểu mô tế bào gan. Diện tích dưới đường cong AUC của GAAD là 0,854 (95% CI: 0,800 - 0,907) cao hơn PIVKA II là 0,800 (95% CI: 0,737 - 0,862). Điểm cắt tối ưu của GAAD là 1,09 với độ nhạy 86,3%, độ đặc hiệu 75,7%. Như vậy, thang điểm GAAD có thể là chỉ số hỗ trợ giúp tăng độ nhạy sàng lọc sớm ung thư biểu mô tế bào gan cho bệnh nhân viêm gan B mãn tính, đặc biệt những trường hợp AFP và PIVKA-II âm tính.
Glôcôm góc đóng cấp tính thứ phát do thuốc Topiramate: Báo cáo ca lâm sàng và hồi cứu y văn
Authors: Hoàng Lê Phi
Published: September 2024

Chúng tôi báo cáo một trường hợp glôcôm góc đóng cấp tính thứ phát sau khi dùng thuốc topiramate để điều trị đau nửa đầu với các dấu hiệu điển hình bao gồm: xảy ra ở cả 2 mắt, đóng góc tiền phòng kèm tăng nhãn áp cấp tính, cận thị cấp tính và tràn dịch thể mi - hắc mạc. Ban đầu, bệnh nhân bị chẩn đoán nhầm với glôcôm góc đóng cấp tính nguyên phát nhưng sau đó đã được điều chỉnh chẩn đoán và điều trị thành công bằng thuốc hạ nhãn áp, liệt điều tiết và corticoid. Thông qua ca bệnh, chúng tôi hồi cứu y văn về cơ chế bệnh sinh, đặc điểm lâm sàng, cận lâm sàng và những lưu ý trong quá trình điều trị hình thái glôcôm hiếm gặp này.
Thực trạng và một số yếu tố liên quan đến hội chứng dễ bị tổn thương ở bệnh nhân cao tuổi
Authors: Hương Nguyễn Thị Mai , Hạnh Nguyễn Hồng , Long Võ Hoàng , Hương Nguyễn Thị Thu , Thanh Nguyễn Xuân , Huyền Vũ Thị Thanh
Published: September 2024

Nghiên cứu này được thực hiện nhằm xác định tỷ lệ mắc hội chứng dễ bị tổn thương và một số yếu tố liên quan đến hội chứng dễ bị tổn thương bằng cách đánh giá theo tiêu chuẩn Fried sửa đổi ở những bệnh nhân từ 60 tuổi trở lên. Nghiên cứu thu nhận 1796 bệnh nhân là người cao tuổi tại Bệnh viện E Trung ương và Bệnh viện Lão khoa Trung ương trong năm 2022. Theo tiêu chuẩn của Fried sửa đổi, tỷ lệ người cao tuổi được chẩn đoán tiền hội chứng dễ bị tổn thương và gặp phải hội chứng dễ bị tổn thương tương ứng là 38,59% và 41,70%. Giữa nhóm người cao tuổi có hội chứng dễ bị tổn thương và nhóm không có hội chứng dễ bị tổn thương, có sự khác biệt có ý nghĩa thống kê theo độ tuổi, nhóm tuổi, phân loại BMI, tình trạng hôn nhân, khu vực sinh sống, trình độ học vấn, bảo hiểm y tế và chỉ số đa bệnh lý Charlson. Độ tuổi, phân loại BMI, trình độ học vấn và bảo hiểm y tế là các yếu tố liên quan có ý nghĩa thống kê đến hội chứng dễ bị tổn thương ở bệnh nhân người cao tuổi. Chúng tôi nhận thấy tỷ lệ được chẩn đoán hội chứng dễ bị tổn thương theo tiêu chí Fried là phù hợp với các nghiên cứu ở các quốc gia có thu nhập thấp và trung bình khác. Nghiên cứu chỉ ra có mối liên quan độc lập có ý nghĩa thống kê giữa độ tuổi, phân loại BMI, trình độ học vấn và bảo hiểm y tế với hội chứng dễ bị tổn thương ở bệnh nhân người cao tuổi.
Đánh giá mức độ sạch và tuân thủ phác đồ chuẩn bị nội soi đại tràng có sử dụng phần mềm điện thoại thông minh
Authors: Hảo Nguyễn Thị Thanh , Hằng Đào Việt
Published: September 2024

Nghiên cứu thử nghiệm lâm sàng mù đơn, có nhóm chứng trên người bệnh có chỉ định chuẩn bị nội soi đại tràng toàn bộ sử dụng phác đồ uống thuốc Golistin soda tại bệnh viện Đa khoa tỉnh Hòa Bình từ tháng 10/2023 đến tháng 10/2024. Kết quả: 298 người bệnh tham gia nghiên cứu (149 dùng app), 100% tuân thủ uống đủ thuốc, 72,2% tuân thủ uống đủ nước. Tuân thủ đi lại và xoa bụng ở nhóm can thiệp có tỷ lệ cao hơn nhóm chứng (89,3% - 82,6% và 87,3% - 76,5%%). Tỷ lệ sạch đạt mức 4 ở nhóm can thiệp cao hơn nhóm chứng (99,3% và 97,3%). Điểm trung bình BBPS của tất cả ba đoạn đại tràng ở nhóm can thiệp là cao hơn so với nhóm chứng (8,1 ± 0,9 và 7,4 ± 1,0), sự khác biệt có ý nghĩa thống kê (p < 0,05). Kết luận: Phần mềm điện thoại thông minh hỗ trợ người bệnh tuân thủ phác đồ chuẩn bị nội soi đại tràng và cải thiện mức độ sạch của đại tràng hơn.
Psikiyatrik Hastalığa Sahip Olan Bireylerin Tekrarlayan Klinik Yatışlarını Etkileyen Risk Faktörlerinin İncelenmesi: Sistematik İnceleme
Authors: Şahin Necla , Özkan Birgül
Published: September 2024

Giriş ve Amaç: Bu araştırma, psikiyatrik bozukluk tanısı olan bireylerin tekrarlayan klinik yatışlarını etkileyen faktörlerin incelenmesi amacıyla yapılmış sistematik bir derlemedir.
Gereç ve Yöntem: Çalışma için son literatür taraması Mart 2023 tarihinde yapılmıştır. Bu çalışma kapsamına psikiyatrik bozukluk tanısı olan ve klinik yatışı bulunan bireyler dahil edilmiştir. Science Direct, Pubmed, Cochrane, YökTez, Ulakbim veri tabanı ve Dergipark veri tabanlarına ait son 6 yılda yapılmış çalışmalar taranarak araştırma yürütülmüştür. Bu çalışmada ‘tekrarlayan yatış’, yeniden yatış’, ’tekrarlayan klinik yatış’ ve ‘recurrent psychiatric readmissions’ terimleri ile kombinasyonlar yapılarak tarama yürütülmüştür.
Bulgular ve Sonuç: Değerlendirme ölçütlerini karşılayan toplam 8 çalışma incelemeye dahil edilmiştir. Bu çalışmada 7 adet araştırma makalesi ve 1 tez incelenmiştir. 7 uluslararası makale ve 1 Türkiye’de yapılmış hemşirelik anabilim dalı yüksek lisans tezi mevcuttur. Türkiye’de yapılmış kriterlere uygun sadece 1 yüksek lisans tezine rastlanmıştır. Çalışmaların verileri tekrarlayan psikiyatri kliniği yatışlarını etkileyen çeşitli risk faktörleri sunmaktadır. Elde edilen veriler; ‘örneklemin özellikleri’ ‘müdahale ve prosedürler’ ‘tekrarlayan yatış için risk faktörleri’ şeklinde başlıklar halinde sunulmuştur. Değerlendirmeye alınan çalışmaların bulgularına göre çeşitli risk faktörleri belirtilmektedir.
Bu sistematik derleme psikiyatri kliniğine tekrarlayan yatışı etkileyen risk faktörlerinin fazla olduğu ancak önlemeye yönelik yeterli çalışmanın ve müdahalelerin yapılmadığı sonucuna varmaktadır.
Gelişen Dünyada Cerrahi Hemşiresinin Rol Değişimleri
Authors: Yazar Melike , Bayer Yücel Başak , Özkan Burcu
Published: September 2024

ÖZET
GİRİŞ-AMAÇ: Hemşirelik, güvenli ve etkili bakımın sağlanmasında önemli bir sağlık disiplini olup, temel olarak fiziksel, psikolojik ve ruhsal ihtiyaçlara odaklanan profesyonel bir meslektir. Hemşireler hastalarının mevcut ihtiyaçlarını karşılamak için var olan bilgilerini arttırmalıdır çünkü günümüzdeki görevleri geçmişten çok farklıdır. Günümüzde hemşirelik pasif durumdan bağımsız, karar verici bir mesleğe dönüşmüştür ve bu gelişiminin hemşirelik bakımı üzerinde olumlu etkileri olup, hemşirelerin görevlerini daha iyi yerine getirebilmelerini sağlar. İleri düzeyde hemşirelik rollerini gerçekleştirebilmek için, hemşirelerin profesyonel görevlerinin yanı sıra, birden çok alandan profesyonelle de iş birliği içinde çalışması gereklidir. Birçok profesyonelle çalışmasını gerektiren alanlardan biri olan adli hemşirelik, hemşirelerde ve hastalarda daha fazla memnuniyet sağlamanın yanı sıra bütüncül, kaliteli ve güvenli hasta bakımı açısından da çok önemli uzmanlık alanlarından biridir. Hemşirelerin yalnızca kaliteli bakım sağlamak için değil aynı zamanda gerekli durumlarda haklarını savunabilmek için de yasal kavramlara hâkim olmaları gerekir. Adli hemşirelik, sağlık ve hukuk disiplinlerinin kesişim noktasında yer alan önemli bir alandır. Bu makalede, adli hemşirelik kavramının anlamı, amacı ve adli süreçteki rolü ele alınacaktır. Ayrıca, adli hemşirelerin güncel konulara odaklanmalarının önemi ve adli durumlarla ilgili zorluklar tartışılacaktır.
Anahtar Kelimeler:
Hemşirelik bakımı, adli, hemşirelik, hemşirelik rolü.
The Impact of the COVID-19 Pandemic on Nursing: A SWOT Analysis
Authors: Yazıcı Gülay , Erişti Elif
Published: September 2024

Abstract
Aim: The research was conducted descriptively using the SWOT analysis method to determine the impact of the COVID-19 pandemic on nursing.
Material and method: The research was completed with 300 volunteers working in COVID intensive care units and clinics in a city hospital in Turkey. A survey form consisting of two parts, evaluating sociodemographic characteristics and SWOT categories, was used as a data collection tool in the study. Nurses who agreed to participate in the research and whose written permission/verbal consent was obtained were asked to fill out the questionnaire in the nurse's room, accompanied by the researcher, under the conditions permitted by the institution, taking into account the COVID-19 pandemic process and infection rules. The dataset was evaluated with the SPSS program.
Results: In the research, when the impact of the COVID-19 epidemic on nursing was evaluated according to SWOT analysis, 34% of the nurses had professional factors under the strengths category (21.7%); 81.7% had psychological factors under the weakness category (59%); It was determined that 29.3% identified occupational factors (19.3%) under the opportunity category and 79% identified occupational factors (64%) under the threat category (p
Study to determine medical imaging devices costs of maintenance and repair: case of a university hospital in turkey
Authors: Taşer Murat , Uzunca Şahidi
Published: September 2024

Abstract
Objectives: Unperformed maintenance and repairs cause medical devices to become idle or unusable before their useful life. In this study, it was aimed to determine a standard for maintenance and spare parts expenditures of medical imaging devices. Methods: In the study conducted on nearly 30 medical imaging devices of a university hospital, firstly, the economic life of the devices was determined depending on the intensity of use. It was determined that the expenditures changed in the first five years, the second five years and after the economic life. Expenditures were categorized according to the period and technological level. Results: According to the results obtained, the annual expenditure of medium technology devices varies between 2% and 7% of the current price. For high-tech devices, expenditures vary between 4% and 13%. In the study, the required expenditure rates for the devices according to the technology level were also predicted. Conclusions: It has been determined that the maintenance and repair practices of imaging devices in health institutions in Turkey are inadequate. Managers should closely monitor the inventory of medical imaging devices for effective use, quality service delivery and employee health.
Kadın doğum acillere tekrarlı başvuruların incelenmesi: Neden? Ne kadar?
Authors: Özkan Asibe , Acar Zehra
Published: September 2024

ÖZ
Giriş ve Amaç: Bu çalışma; Sağlık Bakanlığı SKS indikatörlerinden olan acil servise 24 saat içinde yeniden başvuru göstergesinin kadın doğum acil kliniklerindeki oranının, tekrarlı başvuru tanılarının belirlenmesi ve değerlendirilmesi amacı ile planlandı.
Materyal ve Metot: Retrospektif, tanımlayıcı, analitik ve ilişki arayıcı türde planlanan çalışmanın verileri, 2024 şubat ayında Türkiye Sağlıkta Kalite Göstergeleri Sistemine (TÜR-GÖS)’ e üç aylık periyotlar ile girilen verilerin geri dönük doküman analizi ile elde edildi. İlgili dönemde; (Paydadaki hastalardan 24 saat içerisinde aynı şikâyet ile tekrar başvuran hasta sayısı / Acil servise toplam başvuran hasta sayısı) x 100 formülü ile hesaplanan Acil Servise Tekrarlı Başvuru (ASTB) indikatörü çalışma verilerini; tekrarlı başvuru tanıları ve oranları oluşturdu.
Bulgular: Kadın doğum acil serviste 2023 yılında toplam 64704 hastanın muayene olduğu ve 1166’ sının acil servise 24 saat içinde tekrar başvurduğu saptandı. ASTB 1166 hastanın başvuru sebepleri incelendiğinde; %59,40 ICD-R.10. Abdominal ve pelvik ağrı, %39,42 ICD- O.26.9. Gebeliğe bağlı durum, tanımlanmamış, %1,28 ICD- R10.2. Gebelik, doğum ve lohusalık tanısının yer aldığı saptandı. 1166 hastanın 1004’ inin (%90) gebe olduğu 112’ sinin ise gebelik dışı sorunlar ile acil servisi tekrarlı başvuru (ASTB) yaptığı saptandı. Dönemler arası ASTB oranları arasında anlamlı farklılığa rastlanmaz iken her dönem hedef değerin üzerinde ASTB gerçekleştiği görüldü.
Sonuç: Bu çalışma da doğum öncesi tekrarlı acil servisi kullanımının hedef değerden fazla ve beklenenden sık olduğu görüldü. Tekrarlı başvuru indikatör takibinde; hastanın sosyo-demografik, obstetrik özelliklerinin alt indikatör olarak takibi acil servise tekrarlı başvuruların azaltılması stratejilerinde önem arz edebilir.
Evli, Siberkondriyak, Çocuklu: Ebeveynlerin Çevrimiçi Sağlık Bilgisi Arama Davranışlarına Genel Bir Bakış
Authors: Tekin Büşra , Ankara Hasan Giray
Published: September 2024

Amaç: Ebeveynlerin siberkondri seviyelerini etkileyen faktörleri incelemek ve çocuklu ve çocuksuz bireylerin siberkondri ve e-sağlık okuryazarlığı seviyelerini değerlendirmektir. Gereç ve Yöntem: Kesitsel tanımlayıcı tipte olan bu çalışma internet kullanan ve 121’i çocuk sahibi olan 396 kişi ile gerçekleştirilmiştir. Veriler katılımcılara gönderilen online form aracılığıyla Mayıs 2021-Kasım 2021 tarihleri arasında toplanmıştır. Verilerin değerlendirilmesinde tanımlayıcı istatistikler, Kruskal Wallis testi ve korelasyon kullanılmıştır. Bulgular: Çocuklu katılımcıların siberkondri seviyelerini internet kullanım süresi, internet araştırmaları, internetteki bilgilere güvenme ve bu bilgilere göre karar alma durumları etkilemektedir (p
Hipertansiyon hastalarında ilaç uyum insidansı ve girişimleri: tezlerin sistematik derlemesi
Authors: Çakmak Seher
Published: September 2024

Giriş ve Amaç: Bu sistematik derleme, Türkiye’de hipertansiyon hastalarında ilaç uyumu insidansı ve ilaç uyumunu arttırmaya yönelik girişimlere dayalı yapılan tıpta uzmanlık tezlerinin sistematik olarak incelemesi amacıyla yapıldı. Gereç ve Yöntem: Yükseköğretim Kurulu (YÖK) Tez tarama veri tabanında 1 Ocak 2013-1 Ocak 2023 tarihleri arasında yayımlanan "hipertansiyon" ve "ilaç uyumu" anahtar kelimeleri ile toplam 3345 tez çalışmasına ulaşıldı. Başlık ve özetinde anahtar kelimelerin birlikte yer aldığı 51 tez çalışması incelendi ve dokuz tez çalışması sistematik derlemeye dâhil edildi. Derleme bulguları PRISMA kontrol listesine uygun olarak raporlandı. Bulgular: Sistematik derlemeyi oluşturan tezlerin tamamının tıpta uzmanlık tezi olduğu, %88.8’inin tanımlayıcı (tanımlayıcı kesitsel, tanımlayıcı gözlemsel ve tanımlayıcı analitik) tipte yapıldığı ve %77.7’sinde ˝Morisky Antihipertansif İlaç Tedavisine Uyum Ölçeği ̏ kullanıldığı tespit edildi. Araştırmaya alınan tez çalışmalarında hipertansiyon hastalarında ilaca uyum insidansının %19.0 ile %86.02 arasında değiştiği bulundu. Deneysel tipte yapılan tez çalışmasında, antihipertansif ilaç kullanan hastalara günlük hatırlatıcı kısa mesaj gönderildiği ve ilaç uyumunu artırdığı belirlendi. Sonuç: Türkiye’de hipertansiyon hastaları ile yapılan tez çalışmalarında, çalışmaların çoğunun ilaç uyumu insidansını belirlemeye yönelik tanımlayıcı çalışmaları kapsadığı; deneysel tipteki tez çalışmasında, ilaç uyumunu arttırmada günlük hatırlatıcı kısa mesaj gönderiminin kullanıldığı tespit edildi.
SAĞLIK ÇALIŞANLARININ SAĞLIK ARAMA DAVRANIŞINA YÖNELİK TUTUMLARININ İNCELENMESİ
Authors: Yaylacı Merve , Cankul İbrahim Halil , Mete Mustafa
Published: September 2024

Sağlık arama davranışının niteliği bireyin sağlık statüsünü belirlediği gibi sağlık hizmetlerine olan talebi üzerinde de etkili olabilmektedir. Bu çalışma, mevcut sağlık sisteminde görev yapan hekim, hemşire ve idari birim çalışanlarının sağlık arama davranışlarına ilişkin tutumlarını incelemek üzere tasarlanmıştır. Çalışmanın evrenini Çorum ilinde bir kamu hastanesinde görev yapan tüm hekim, hemşire ve idari birim personel grupları oluşturmaktadır. Örneklem sayısı hekim grubu için 207 kişi, hemşire grubu için 261 ve idari birim çalışanları için 102 kişi olarak basit tesadüfi yöntem ile belirlenmiştir.
Veri toplama aracı olarak Sağlık Arama Davranış Ölçeği kullanılmıştır. Envanterde katılımcıların demografik bilgilerini içeren 13 soruluk kişisel bilgi formu da yönlendirilmiştir. Toplanan veriler R 4.3.1 programıyla analiz edilmiştir. Araştırma sonucuna göre katılımcılar en sık online daha sonra sırasıyla profesyonel ve geleneksel sağlık arama davranışında bulunmaktadırlar. Çalışmaya ait bulgular literatürdeki benzer araştırmalar ile karşılaştırılmıştır.
Navigating ESL/EFL Professional Development: Exploring Formal, Informal, and Online Pathways
Authors: Al-Seghayer Khalid
Published: September 2024

In recent years, the fields of English as a second language (ESL) and English as a foreign language (EFL) have witnessed remarkable growth, driven by globalization and an escalating demand for English proficiency across diverse sectors. This article addresses the growing necessity for targeted and effective professional development (PD) opportunities for both ESL/EFL educators, acknowledging the critical role of continuous learning in maintaining high-quality instruction. To provide a holistic understanding of PD in ESL/EFL education, this article examines three key modalities: formal PD, which typically includes structured courses and certifications; informal development, which encompasses self-directed learning; and online PD, which has become increasingly relevant in the digital age. Each modality is analyzed through multiple lenses, including their objectives, potential benefits, and the associated challenges. Additionally, the article delves into the essential components that contribute to the success of these PD approaches. Drawing on a range of case studies and empirical research, evidence-based best practices are identified and proposed as actionable strategies that can be applied to enhance the quality of PD programs. Ultimately, the article serves as a comprehensive resource for educators and program designers who seek to refine and expand PD opportunities in ESL/EFL settings. By focusing on the optimization of these methods, the article contributes to the broader goal of elevating the effectiveness of English language teaching and supporting L2 educators in navigating the evolving demands of the global landscape of English education.
The Impact of Human Resource Management Practices on Organizational Performance: The Case of Libyan International Medical University
Authors: Ebrahim Abdilrahman Mohammed , Balal Mailud , ABRAHIM ABDALMANAM , Emghieb Jassem
Published: September 2024

This study aimed to investigate the impact of human resource management practices on organizational performance at Libyan International Medical University. The population consisted of 400 employees. The stratified randomized sample consisted of 196 employees. To reach the purpose of this study, data were collected from 151 employees using the questionnaire adopted from Al Shaikhly (2017). The questionnaire was revised, and validated by the supervisors. Statistical techniques such as descriptive statistics, Cronbach's alpha, multiple regressions, and stepwise regression were used to test the hypotheses. The results showed that there is a significant impact of human resource management practices (planning & recruitment, training program, and performance appraisal) on the organizational performance of Libyan International Medical University at level ( ). The results also showed that the performance appraisal variable has the most impact on organizational performance. On the other hand, the results also showed that compensation management had no impact on the organizational performance of Libyan International Medical University. The study limitations were the lack of previous studies published in Libya related to this topic, also the data were not normally distributed, and just 46% of variations in the organizational performance are explained by human resource management practices in this study. The study recommended conducting more research on the topics addressed in this study to acquire a deeper and broader understanding of human resource management practices. Keywords: Human resource management practices, organizational performance, LIMU.
Phenomenological Research Enrichment Using Photovoice and SHOWED Documentation
Authors: Deborah Yawney , Maynes Nancy
Published: September 2024

Phenomenology as a research methodology is valued for its adaptability to a wide range of circumstances. As a methodology, it can be enriched by combining it with other qualitative research methods that are suitable to the question under study. This paper explains how phenomenology was enriched for a study of food and eating habits among teens by using photovoice and SHOWED documentation to help students show examples of their thinking about food issues and document their thoughts as they complied sets of photographs that demonstrated the food issues they wanted to discuss in the research forums.
Impact Evaluation of the Digital Learning of English on Students
Authors: Lin Su-Ching , Zhang Yu-Lun
Published: September 2024

This action research aims to assess the effect of applying digital learning to English teaching on eighth-graders. The research has been implementation for 12 weeks. Participants consisted of 23 eighth graders. The study's data were collected by classroom dialogue records, reflective notes, collaborative researcher's observational records, discussion records, students' worksheets, feedback, and interview records. Quantitative data analyses included English reading comprehension tests and scales on self-regulated learning. The findings indicated that applying digital learning to English teaching can enhance eighth graders' self-regulated learning abilities and English reading comprehension abilities. However, it's important to note that this study has some limitations, such as the small sample size and the short duration of the study. Based on the findings, recommendations for schools, teachers, and future studies are also included.
Egzersiz Yapan Bireylerin Boş Zaman Tutumları: Spor Merkezlerinde Bir İnceleme
Authors: Kayhan Burcu , Demirel Mehmet , Kayhan Abdullah
Published: September 2024

Gündelik yaşamın getirdiği psikolojik ve fizyolojik sorunlarla başa çıkmada ve bireyin zinde ve sağlıklı kalmasında boş zaman faaliyetlerinin önemli bir rolü vardır. Bireylerin boş zaman faaliyetlerine devam edebilmesi, bu faaliyetlere yönelik geliştirdikleri olumlu tutumlarla mümkündür. Bu bağlamda, bireylerin boş zaman tutumlarını anlamak, onların boş zamanlarını nasıl geçirdiklerini ve bu süreçte karşılaştıkları engelleri belirlemek açısından önem taşır. Bu çalışmanın amacı, spor merkezlerinde düzenli olarak egzersiz yapan bireylerin boş zaman faaliyetlerine yönelik tutumlarını çeşitli demografik değişkenler açısından incelemektir. Bu çalışma, betimsel tarama modeli kullanılarak gerçekleştirilmiş ve nicel araştırma yöntemleriyle yürütülmüştür. Konya Meram ilçesindeki spor merkezlerinde egzersiz yapan 356 gönüllü bireyden oluşan örneklem ile gerçekleştirilmiştir. Veriler, yüz yüze anket tekniğiyle toplanmış ve Boş Zaman Tutum Ölçeği (BZTÖ) kullanılarak analiz edilmiştir. Analizlerde bağımsız örneklem T-Testi ve One-Way ANOVA testleri uygulanmış, anlamlılık düzeyi p
In This Issue: Open call papers on a wide range of food systems topics
Authors: Hilchey Duncan
Published: September 2024

First paragraph: On the cover of this fall 2024 issue is a family of happy strawberry pickers at Last Resort Farm in Monkton, Vermont (photo by farmner Eugenie Doyle). Such pictures may seem a bit cliché, but they serve to remind us of the tremendous value of getting out and getting a bit of dirt under our nails from time to time. I believe that as a part of self-care, agritourism can be particularly important during these turbulent times that are fraught with toxic politics, war, and environmental challenges that keep us on edge. It is easy for those of us involved in food systems work to forget that we are quite privileged to know farmers and local food businesses on a personal basis. And so, on this issue’s cover we take the opportunity to celebrate agritourism as a contributor to community development. Later in this issue, Chadley R. Hollas and colleagues take a close look at farm-based recreation and hospitality data in the U.S. Census of Agriculture and find the USDA definition wanting.
Inflammatory and nutritional markers in colorectal cancer: Implications for prognosis and treatment
Authors: Tez Mesut
Published: September 2024

The prognosis of colorectal cancer (CRC) patients with peritoneal metastasis remains poor despite advancements in detection and treatment. Preoperative inflammatory and nutritional markers have emerged as significant predictors of prognosis in CRC, potentially guiding treatment decisions and improving patient outcomes. This editorial explores the prognostic value of markers such as the neutrophil-to-lymphocyte ratio, hemoglobin, and serum albumin levels. By integrating these markers into prognostic models, clinicians can better stratify patients, personalize treatment strategies, and ultimately enhance clinical outcomes. This review highlights the importance of these markers in providing a comprehensive assessment of patient condition and underscores the need for further research to validate their clinical utility and uncover underlying mechanisms.
Comprehensive assessment of the association between tumor-infiltrating immune cells and the prognosis of renal cell carcinoma
Authors: Wei Guo-Hao , Wei Xi-Yi , Fan Ling-Yao , Zhou Wen-Zheng , Sun Ming , Zhu Chuan-Dong
Published: September 2024

BACKGROUND

According to current statistics, renal cancer accounts for 3% of all cancers worldwide. Renal cell carcinoma (RCC) is the most common solid lesion in the kidney and accounts for approximately 90% of all renal malignancies. Increasing evidence has shown an association between immune infiltration in RCC and clinical outcomes. To discover possible targets for the immune system, we investigated the link between tumor-infiltrating immune cells (TIICs) and the prognosis of RCC.

AIM

To investigate the effects of 22 TIICs on the prognosis of RCC patients and identify potential therapeutic targets for RCC immunotherapy.

METHODS

The CIBERSORT algorithm partitioned the 22 TIICs from the Cancer Genome Atlas cohort into proportions. Cox regression analysis was employed to evaluate the impact of 22 TIICs on the probability of developing RCC. A predictive model for immunological risk was developed by analyzing the statistical relationship between the subpopulations of TIICs and survival outcomes. Furthermore, multivariate Cox regression analysis was used to investigate independent factors for the prognostic prediction of RCC. A value of P < 0.05 was regarded as statistically significant.

RESULTS

Compared to normal tissues, RCC tissues exhibited a distinct infiltration of immune cells. An immune risk score model was established and univariate Cox regression analysis revealed a significant association between four immune cell types and the survival risk connected to RCC. High-risk individuals were correlated to poorer outcomes according to the Kaplan-Meier survival curve (P = 1E−05). The immunological risk score model was demonstrated to be a dependable predictor of survival risk (area under the curve = 0.747) via the receiver operating characteristic curve. According to multivariate Cox regression analysis, the immune risk score model independently predicted RCC patients' prognosis (hazard ratio = 1.550, 95%CI: 1.342–1.791; P < 0.001). Finally, we established a nomogram that accurately and comprehensively forecast the survival of patients with RCC.

CONCLUSION

TIICs play various roles in RCC prognosis. The immunological risk score is an independent predictor of poor survival in kidney cancer cases.
Acute severe hypokalemia caused by treatment of tongue squamous cell carcinoma with docetaxel and cisplatin: A case report
Authors: Jiang Hong-Mei , Sun Rong , Ning Bing-Jie , Yang Xue-Qin , Zhu Xiao-Ju
Published: September 2024

BACKGROUND

The tongue squamous cell carcinoma (TSCC) is an oral malignant tumor arising from the squamous epithelium of the tongue mucosa, characterized by a high malignant degree, invasive growth, early lymph node metastasis, and poor prognosis. Paclitaxel, represented by docetaxel, is now the standard first-line treatment for head and neck squamous cell carcinoma. Docetaxel, which belongs to the class of drugs known as paclitaxel, is an antitumor drug that inhibits cell mitosis and proliferation. Its adverse effects include myelosuppression, hair loss, gastrointestinal reactions, fluid retention, and allergic reactions. However, hypokalemia is rare, most cases are mild or moderate, and severe hypokalemia is seldom reported.

CASE SUMMARY

During chemotherapy with docetaxel and cisplatin, a patient with TSCC developed severe hypokalemia. His potassium level was found to have been reduced to 1.85 mmol/L at the most critical situation. The patient had grade 1 muscle strength in all four limbs and could not perform any action, which was considered to be a sign of severe hypokalemia. Measures taken included intravenous infusion via micro-pump, intravenous injection, and oral potassium supplement, which gradually improved muscle strength and serum potassium levels. The patient survived the critical period of severe hypokalemia after chemotherapy. He was generally in good condition following treatment and discharged in stable condition.

CONCLUSION

Docetaxel may cause severe hypokalemia with hypomagnesemia and the mechanism for this is not yet known to researchers yet. This means that nurses specializing in chemotherapy must exercise a high degree of responsibility, closely observe the patient’s reaction to the anticancer medication, notice any symptoms of adverse effects early. It is necessary to be considerate regarding individual differences between patients when selecting chemotherapy regimens and adhere to the principle of individualized treatment. Following multiple cycles of chemotherapy, patients should be aware of the accumulation of toxic side effects and receive blood tests reviewed within 24 hours of completion. It is essential to monitor electrolyte levels in patients suffering from severe gastrointestinal reactions to avoid complications that may result in death.
Cervical myeloid sarcoma as an initial clinical manifestation: Four case reports
Authors: Li Jin-Ke , Wang Xiao-Xue , Fu Jia-Jun , Zhang Dan-Dan
Published: September 2024

BACKGROUND

Cervical myeloid sarcoma (MS) is a rare hematological malignancy characterized by the formation of extramedullary soft tissue masses in the cervical region. Due to its uncommon presentation in the female reproductive system, cervical MS poses significant diagnostic and therapeutic challenges. Consequently, there is a pressing need for more research and clinical experience to better understand, diagnose, and manage this condition effectively.

CASE SUMMARY

This report details four cases, the diagnostic process, treatment strategy, and outcomes, discussing cervical MS as an initial clinical manifestation. The disease exhibits varied clinical presentations, such as irregular vaginal bleeding and palpation of cervical masses. The treatment approaches discussed include neoadjuvant chemotherapy, surgery, and postoperative chemotherapy, though managing the disease remains challenging. The report also features a comprehensive literature review that underscores the importance of immunohistochemistry for accurate diagnosis, identifying key markers, including myeloperoxidase, cluster of differentiation (CD) 68, and CD43, stressing the need for further research to improve treatment strategies and prognosis.

CONCLUSION

Immunohistochemical diagnosis and tailored therapeutic strategies are essential. Further research is crucial in improving outcomes and developing effective treatment protocols.
Perioperative management of postoperative sigmoid colon cancer complicated by a large abdominal wall defect: A case report
Authors: Zhu Yan-Ling , Li Rui , Cheng Yuan-Guang , Wang Ya-Fei
Published: September 2024

BACKGROUND

Large abdominal wall defect (LAWD) measures > 20 cm in width. LAWD can easily lead to intestinal necrosis, peritonitis, other complications, and even multiple organ dysfunction syndrome. Multiple intestinal fistulas are high-flow fistulas that can cause severe water–electrolyte imbalance and malnutrition, as well as inflammation, high metabolic status, and chronic intestinal failure caused by intestinal fluid corrosion in tissues around the orifice fistulas.

CASE SUMMARY

This article summarizes the nursing experience of a patient with sigmoid carcinoma who has LAWD with multiple intestinal fistula due to repeated operations for postoperative complications. The key points of care: Scientific assessment of nutritional status, dynamic adjustment of nutritional support programmes, comprehensive adoption of enteral nutrition, parenteral nutrition and combined nutrition of enteral and parenteral; taking good care of abdominal wall defects and intestinal fistulas; continuous flushing of the abdominal drainage tube and low negative pressure drainage; prevention of venous thrombosis; strengthening of physical exercise; implementation of positive psychological interventions.

CONCLUSION

After more than 7 months of careful care, the patient's physical fitness has been well recovered, local inflammation is well controlled, which wins the opportunity for the operation, and the postoperative recovery is good.
Hypofractionated and intensity-modulated radiotherapy combined with systemic therapy in metastatic hepatocellular carcinoma: A case report
Authors: Chen Qiu-Qiu , Chen Chun-Qiao , Liu Jin-Kun , Huang Ming-Yue , Pan Min , Huang Hui
Published: September 2024

BACKGROUND

Liver cancer treatment is characterized by multidisciplinary participation and coexistence of multiple treatment methods. Hypofractionated and intensity-modulated radiotherapy is a new precise radiotherapy technique applied to the treatment of systemic malignant tumors. There is a lack of understanding of hypofractionated and intensity-modulated radiotherapy combined with systemic therapy in metastatic hepatocellular carcinoma (HCC).

CASE SUMMARY

We report a case of metastatic HCC treated with hypofractionated and intensity-modulated radiotherapy combined with systemic therapy. A 41-year-old man was diagnosed with metastatic HCC (T3N1M1 stage IVB). Because it was found to be in the late stage of cancer and had already metastasized, it was impossible to undergo surgical treatment. In addition to aggressive comprehensive treatment for the primary lesion, local treatment for metastatic cancer can improve the patient's survival potential. Hypofractionated and intensity-modulated radiotherapy can provide a larger single treatment dose within a shorter overall treatment time, and improve the local control rate of the tumor. Follow-up examination demonstrated that the tumor and metastatic lesions had shrunk after therapy. The treatment has showed good efficacy. The patient survived for 18 months without disease progression and stable disease persisted for > 38 months.

CONCLUSION

Targeted therapy and immunotherapy followed by hypofractionated and intensity-modulated radiotherapy are also effective for advanced metastatic HCC.
Disitamab vedotin combined with apatinib in gastric cancer: A case report and review of literature
Authors: Li Xiao-Qian , Yang Jing , Liu Bo , Han Shu-Mei
Published: September 2024

BACKGROUND

In patients with human epidermal growth factor receptor 2 (HER2)-overexpressing gastric cancer (GC), the combination of HER2 targeting and a standard first-line chemotherapy regimen has been demonstrated to significantly improve their prognosis. However, in a proportion of patients, cancer progresses within a short period of time, and there is currently no standard treatment after disease progression.

CASE SUMMARY

This study presents a case of a 51-year-old male with advanced GC who underwent radical resection (Billroth type II subtotal gastrectomy and gastrojejunostomy) and resection of liver metastases. Immunohistochemical staining revealed a HER2 score of 2+, a dMMR status, and a Ki67 proliferation index of 30% to 40%. The gene test results indicated the presence of ERBB2 amplification and a PD-L1 expression level of less than 5%. Since December 2021, the patient has experienced disease progression during both first-line (two cycles of KN026 combined with KN046) and second-line (five cycles of nivolumab combined with trastuzumab and SOX chemotherapy) treatment regimens. The patient's prognosis following the first and second lines of treatment was unfavorable, with progression occurring in a relatively short time. For third-line therapy, disitamab vedotin (RC48) plus apatinib was used. At the time of this report, the patient had achieved a progression-free survival (PFS) of 25.8 months, which exceeded the median survival time for patients with advanced GC.

CONCLUSION

Despite the unfavorable prognosis associated with advanced GC, the implementation of personalized treatment approaches may still prove beneficial for select patients. In patients with HER2-positive GC with extensive metastatic involvement, the use of the HER2-targeted combination with apatinib has demonstrated the potential to prolong both PFS and overall survival.
Vaginal clear cell adenocarcinoma in Herlyn-Werner-Wunderlich syndrome: A case report
Authors: Lei Xian-Gao , Zhang Heng
Published: September 2024

BACKGROUND

Herlyn-Werner-Wunderlich (HWW) syndrome is a rare Müllerian duct anomaly, characterized by a combination of urogenital abnormalities. The occurrence of primary cervico-vaginal carcinomas in patients with HWW syndrome is exceptionally rare, posing significant challenges for screening, early diagnosis, and effective management.

CASE SUMMARY

We report a rare case of primary clear cell carcinoma of the vagina complicated in a 40-year-old woman with HWW syndrome. The patient presented with irregular vaginal bleeding for 4 years. On gynecological examination, an oblique vaginal septum was suspected. Surgical resection of the vaginal septum revealed a communicating fistula and a tumor on the left vagina and the left side of the septum, which was confirmed as clear cell carcinoma. One month later, she underwent a radical hysterectomy, vaginectomy, bilateral salpingo-oophorectomy, and pelvic lymph node dissection. Due to significant side effects, she completed only one course of chemotherapy. A year later, lung metastasis was detected and continued to grow. A thoracoscopic wedge resection of the right upper lobe was performed 4 years after the initial surgery. We also conducted a systemic review of the literature on primary cervical or vaginal carcinoma in HWW syndrome to explore this rare entity.

CONCLUSION

Cervico-vaginal adenocarcinomas in patients with HWW syndrome are occult, and require early surgical intervention and regular imaging surveillance.
Gastric metastasis of small cell lung carcinoma: A rare but noteworthy entity to consider
Authors: Dursun Cemal Ugur , Tugcu Ahmet Oguz , Dogru Galip Dogukan
Published: September 2024

Small cell lung carcinoma (SCLC) is an aggressive malignancy known for its propensity for early and extensive metastatic spread. Gastric metastasis, where cancer cells disseminate from the lung to the stomach, is a rare but increasingly recognized complication of SCLC. This review provides a comprehensive overview of gastric metastasis in SCLC, addressing its clinical significance, diagnostic challenges, management strategies, and prognosis. Additionally, it examines the broader metastatic patterns of SCLC and compares them with other malignancies known for gastric metastasis. Gastric metastasis in SCLC, though infrequent, is clinically significant and often indicates advanced disease with a poor prognosis. SCLC typically metastasizes to the liver, brain, bones, and adrenal glands, with the stomach being an unusual site. The incidence of gastric metastasis ranges from 1% to 5% in autopsy studies, although this may be underestimated due to diagnostic difficulties and asymptomatic early lesions. Diagnosing gastric metastasis presents several challenges, including the asymptomatic nature of many cases, limitations of conventional imaging techniques, and difficulties in distinguishing metastatic lesions from primary gastric cancer via endoscopy. Histopathological diagnosis requires careful examination to identify SCLC cells through their characteristic small cell morphology and neuroendocrine markers. Management of gastric metastasis in SCLC typically involves a multidisciplinary approach. Systemic therapy, primarily chemotherapy, remains the cornerstone of treatment, with palliative care addressing symptoms and complications. Surgical intervention is usually reserved for specific cases requiring symptomatic relief. The prognosis for patients with gastric metastasis from SCLC is generally poor, reflecting the advanced stage of the disease. Median survival is significantly reduced compared to patients without gastric metastasis. This review emphasizes the need for enhanced awareness and early detection to improve patient outcomes and highlights the importance of ongoing research into better diagnostic and therapeutic strategies.
Implementasi Kurikulum Merdeka Belajar pada Lembaga Pendidikan Anak Usia Dini di KB PAUD Permata Bangsa
Authors: Rohiyatun Baiq , Garnika Eneng , Jaswandi Lalu
Published: September 2024

Pendidikan sekarang sangat banyak memikul beban aturan atau birokrasi yang sangat membingungkan dan berbelit sehingga, meyita waktu bagi guru dan pengelola untuk fokus pada pengembangan sekolah. Kurikulum Merdeka Belajar adalah kurikulum dengan memfokuskan pada pembalajaran intrakulikuler yang dirancang lebih fokus sehingga murid dan waktu yang disiapkan bisa dipergunakan untuk mendalami topik lebih mendalam sehingga tujuan menguatkan kompetensi secara beragam, maksimal dan murid memiliki waktu yang cukup untuk memperdalam kopnsep. Tujuan penelitian ini dilakukan untuk mengetahui bentuk implemantasi kurikulum merdeka belajar yang sedang dicanangkan oleh pemerintah khususnya di lembaga PAUD yang dapat memberikan kebebasan atau merdeka belajar, merdeka bermain bagi anak usia dini. Metode penelitian yang digunakan pendekatan tindakan dan observasi. Pengumpulan data menggunakan teknik, tanya jawab (wawancara), kunjungan lapangan (observasi) dan sumber data (dokumentasi) dan hasil dari pengumpulan data dilakukan analisis dengan tujuan agar orang lain atau individu bisa memahami dan mengerti kesimpulan yang akan di buat. Hasil penelitian yang dilakukan menunjukkan bahwa : mulai terlihat perubahan perilaku peserta didik saat masuk sekolah terlihat lebih ceria, proses belajar baik guru dan murid terasanyaman, guru tidak keliatan kaku dikarenakan di bebaskan memilih pengalaman, materi penting yang sesuai untuk mencapai tujuan pembelajaran. Peserta didik di berikan keleluasan untuk berekpresi sesuai dengan bakat dan kemampuan yang dimiliki, serta terlihat tidak ada perbedaan antara murid semua memiliki kesempatan yang sama.
Pengembangan Buku Ajar Pembelajaran Apresiasi Seni Rupa Berbasis Ingkuiri Yang Valid untuk Meningkatkan Kreativitas Siswa Fase F
Authors: Sulfahri Sulfahri , Fuadi Fuadi
Published: September 2024

Salah satu keterampilan yang dibutuhkan di abad 21 yaitu kreativitas (creativity). Namun di lapangan masih ditemukan permasalahan belum maksimalnya kreativitas siswa, salah satu faktornya adalah kurangnya bahan ajar yang mendukung. Bahan ajar yang tersedia disekolah sangat terbatas. Padahal dalam pembelajaran apresiasi seni rupa berpotensi mengembangkan kreativitas siswa. Pembelajaran seni memiliki peran membentuk kreativitas peserta didik. Sehingga solusi yang diambil melalui penelitian ini adalah mengembangkan buku ajar berbasis inkuiri. Tujuan Penelitian adalah mengembangkan buku ajar pembelajaran apresiasi seni rupa berbasis inkuiri yang valid untuk meningkatkan kreativitas siswa fase F di SMA Negeri 1 Palibelo Bima yang disesuaikan dengan kurikulum merdeka. Metode penelitian adalah metode pengembangan yang mengacu pada model ADDIE. Hasil penelitian menunjukkan bahwa penilaian ahli I, II, III untuk aspek cakupan materi berturut-turut dengan persentase 96%, 94% , 94% berkategori sangat baik. Penilaian ahli I, II, II untuk aspek kebahasaan dengan persentase 90%, 90%, 95% berkategori sangat baik. Penilaian ahli I, II, III Aspek Kontruk/tampilan dengan persentase 83% berkategori sangat baik dan 80%,81% berkategori baik. Jadi Buku ajar yang dikembangkan valid digunakan untuk meningkatkan kreativitas siswa.