bluuebunny/crossref_metadata_2025_split huggingface dataset:
Primary Care Peer-Supported Internet-Mediated Psychological Treatment for Adults With Anxiety Disorders: Mixed Methods Study
Authors: Nissling Linnea , Fahlke Claudia , Lilja Josefine L , Skoglund Ingmarie , Weineland Sandra 
Published: July 2020

BackgroundThe effect of internet-delivered cognitive behavioral therapy (iCBT) on anxiety in adults is well-known. However, patient dropouts and poor adherence to treatment are common. Feelings of belonging and empowerment from the treatment might be key to the completion of iCBT. Peer support workers are people with a personal experience of mental health problems, trained to provide professional support to people who require mental health care.ObjectiveThis study aims to assess patient experiences; the feasibility, safety, and acceptability; and preliminary effectiveness on anxiety and depression, empowerment, and adherence to treatment in an 8-week peer-supported iCBT program for patients with anxiety disorders treated in primary care.MethodsThis was a single-arm mixed methods feasibility study. Participants were patients referred to a central unit for iCBT in primary care. Quantitative data were collected pre-, post-, and 3 months postintervention. Qualitative data were collected through semistructured interviews.ResultsA total of 9 participants completed the quantitative outcome assessment. Statistically significant improvements were observed in perceived empowerment at a 3-month follow-up, and significant decreases in anxiety, depression, and psychological distress at the end of the treatment were maintained at a 3-month follow-up. In total, 8 of the 9 patients showed improvement in the severity of their symptoms of anxiety. Adherence to treatment was good among the participants. No serious adverse events were reported. Eight participants were enrolled in the qualitative analysis. The qualitative results showed 3 main themes: (1) real contact in an online world, (2) empowering experiences, and (3) being behind the wheel. Qualitative results largely emphasized the personal relationship and supported the acceptability of adding peer support to iCBT.ConclusionsPeer support in digital treatment seems to be a safe and acceptable intervention. The preliminary results suggest the effectiveness of peer support on patient empowerment, anxiety, depression, psychological distress, and adherence to treatment. The results indicate the need for future studies to evaluate the effect of adding peer support to iCBT in larger randomized controlled trials.
Emergency Center Curbside Screening During the COVID-19 Pandemic: Retrospective Cohort Study
Authors: Halalau Alexandra , Ditkoff Jeffrey , Hamilton Jessica , Sharrak Aryana , Vanood Aimen , Abbas Amr , Ziadeh James 
Published: July 2020

Background
Coronavirus disease (COVID-19) is a global pandemic that has placed a significant burden on health care systems in the United States. Michigan has been one of the top states affected by COVID-19.

Objective
We describe the emergency center curbside testing procedure implemented at Beaumont Hospital, a large hospital in Royal Oak, MI, and aim to evaluate its safety and efficiency.

Methods
Anticipating a surge in patients requiring testing, Beaumont Health implemented curbside testing, operated by a multidisciplinary team of health care workers, including physicians, advanced practice providers, residents, nurses, technicians, and registration staff. We report on the following outcomes over a period of 26 days (March 12, 2020, to April 6, 2020): time to medical decision, time spent documenting electronic medical records, overall screening time, and emergency center return evaluations.

Results
In total, 2782 patients received curbside services. A nasopharyngeal swab was performed on 1176 patients (41%), out of whom 348 (29.6%) tested positive. The median time for the entire process (from registration to discharge) was 28 minutes (IQR 17-44). The median time to final medical decision was 15 minutes (IQR 8-27). The median time from medical decision to discharge was 9 minutes (IQR 5-16). Only 257 patients (9.2%) returned to the emergency center for an evaluation within 7 or more days, of whom 64 were admitted to the hospital, 11 remained admitted, and 4 expired.

Conclusions
Our curbside testing model encourages the incorporation of this model at other high-volume facilities during an infectious disease pandemic.
External Validation of the International IgA Nephropathy Prediction Tool
Authors: Zhang Junjun , Huang Bo , Liu Zhangsuo , Wang Xutong , Xie Minhua , Guo Ruxue , Wang Yongli , Yu Dan , Wang Panfei , Zhu Yuze , Ren Jingjing 
Published: July 2020

Background and objectives
The International IgA Nephropathy Network recently developed and externally validated two models to predict the risk of progression of IgA nephropathy: full models without and with race. This study sought to externally validate the International IgA Nephropathy Prediction Tool in a large, independent, and contemporary cohort in China.

Design, setting, participants, & measurements
We included 1373 patients with biopsy-confirmed primary IgA nephropathy from The First Affiliated Hospital of Zhengzhou University from January 2012 to May 2018 and calculated predicted risks for each patient. The outcomes of interest were a 50% decline in eGFR or kidney failure. We assessed the performance of both models using discrimination (concordance statistics and Kaplan–Meier curves between subgroups), calibration (calibration plots), reclassification (net reclassification improvement and integrated discrimination improvement), and clinical utility (decision curve analysis).

Results
The median follow-up was 29 months (interquartile range, 21–43 months; range, 1–95 months), and 186 (14%) patients reached the kidney outcomes of interest. Both models showed excellent discrimination (concordance statistics >0.85 and well separated survival curves). Overall, the full model without race generally underestimated the risk of primary outcome, whereas the full model with race was well calibrated for predicting 5-year risk. Compared with the full model without race, the full model with race had significant improvement in reclassification, as assessed by the net reclassification improvement (0.49; 95% confidence interval, 0.41 to 0.59) and integrated discrimination improvement (0.06; 95% confidence interval, 0.04 to 0.08). Decision curve analysis showed that both full models had a higher net benefit than default strategies, and the model with race performed better.

Conclusions
In this study, both full models demonstrated remarkable discrimination, acceptable calibration, and satisfactory clinical utility. The relatively short follow-up time may have limited the validation of these models.
Smoking and exposure to environmental tobacco smoke among health occupations students in Iran
Authors: Khoshnevisan Mohammad Hossein , Deghatipour Marzie , EbnAhmady Arezoo , Keshavarz Hooman 
Published: July 2020

Objective: The purpose of this study was to evaluate the smoking behaviour and exposure to environmental tobacco smoke (ETS) among the students of Shahid Beheshti University of Medical Sciences (SBUMS).
Methods: This survey was conducted using a self-administered anonymous questionnaire mainly based on the Persian version of the Global Health Professions Student Survey (GHPSS) questionnaire. The students of eight disciplines (Dentistry, Environmental health engineering, Medicine, Nursing, Nutrition, Pharmacy, Physiotherapy, and Public health) of SBUMS were invited to participate in this study. Chi-square test, Mann-Whitney U test, and logistic regression served for statistical analyses. The P-value of â‰¤ 0.05 was considered statistically significant.
Results: A total of 290 students (151 male) participated in the study. About 1.4% of the participants were 15-18 years old, 85.5% were 19-24, 8.6% were 25-29, 3.4% were 30 or older, and 1.0% of them did not report their age. Among all the disciplines, dental students reported the highest prevalence (52.0%) for current cigarette smoking while public health students reported the lowest (0.0%). Regarding the prevalence of exposure to ETS, nutrition students reported the highest (96.4%), and nursing students reported the lowest (57.1%). Current cigarette smoking was reported by 34.4% of the participants. This rate was significantly higher in men when compared to women (PË‚0.001). Among participants, 78.6% had been exposed to ETS. The frequency distribution of exposure to ETS was statistically significantly different between males and females (P Ë‚ 0.001).
Conclusion: This study showed that the prevalence of current cigarette smoking and/or the prevalence of exposure to ETS among the students of SBUMS were alarming. These results have further highlighted the importance and necessity of planning to reduce tobacco use and increase awareness of the harmful effects of tobacco products on overall health among the students of SBUMS.
Uji Aktivitas Antiinflamasi Infusa Daun Afrika (Vernonia amygdalina) pada Tikus Putih yang Diinduksi Karagenan
Authors: Setiani Lusi Agus , Moerfiah Moerfiah , Yulianita Yulianita 
Published: July 2020

Inflammation is one of the immune system's main responses to infection and irritation. One of the medicinal plants that can be used as anti-inflammatory is African leaves because there have flavonoid compounds. Flavonoid compounds have anti-inflammatory effects that can regulate arachidonic acid metabolism by inhibiting cyclooxygenase (COX) and lipooxygenase activity.This study aims to determine the effectiveness and determine the effective dose of African leaf infusion as anti-inflammatory in sparague dawley strain induced carrageenan male white rats. The method used is measurement of udema with subplantar 1% carrageenan induction.Test animals used were 20 male rats divided into 5 groups. Each group consisted of 4 rats. Group I as a negative control was given CMC-Na solution, the second group as a positive control was given diclofenac sodium with 1.26 mg/200 gBB body weight, group III, IV and V were given African leaf infusion with three dose ratings namely 100, 150, 200 mg/kgBB bodyweight. The results showed that the infusion of African leaves had Antiinflammatory Activity with dose 200 mg/kg body weight as the most effective dose against inhibition of inflammation.
PROFIL KEMAMPUAN PEMBEDAAN RANGKAIAN SERI DAN PARALEL CALON GURU SEKOLAH DASAR
Authors: Erfan Muhammad , Maulyda Mohammad Archi , Ermiana Ida , Hidayati Vivi Rachmatul , Ratu Tursina 
Published: July 2020

Penelitian ini bertujuan untuk mendeskripsikan profil kemampuan calon guru sekolah dasar dalam membedakan rangkaian seri dan rangkaian paralel. Penelitian ini termasuk penelitian kuantitatif dengan pendekatan deskriptif. Sampel diambil secara acak (random sampling) sebanyak 195 orang mahasiswa calon guru sekolah dasar di salah satu universitas negeri di kota Mataram, Nusa Tenggara Barat. Data dikumpulkan melalui tes sebanyak 40 butir soal berbentuk pilihan ganda dengan dua opsi jawaban. Teknik analisis data dilakukan dengan peresentase ketercapaian per indikator dan dikatagorikan berdasarkan kriteria yang ditetapkan.Berdasarkan persentase jawaban mahasiswa pada masing-masing indikator diperoleh bahwa pada besaran satuan rangkaian listrik katagori baik, pada alat ukur listrik katagori cukup, pada susunan rangkaian listrik katagori kurang, pada karakteristik rangkaian berdasarkan arus listrik kategori cukup, pada karakteristik rangkaian berdasarkan tegangan listrik katagori cukup, serta pada karakteristik rangkaian berdasarkan daya listrik adalah katagori cukup. Secara keseluruhan mahasiswa calon guru sekolah dasar cukup mampu membedakan rangkaian seri dan rangkaian paralel.
Membangun Media Interaktif Belajar Anak Usia Dini Dalam Mengenal Huruf dan Angka
Authors: Susilawati Beti , Satriawan Dedi 
Published: July 2020

Metode pembelajaran mengalami perkembangan seiring dengang perkembangan teknologi yang semakin maju. Salah satu media yang mulai banyak digunakansaat ini yaitu penggunaan aplikasi visual seperti media pembelajaran berbasis dua dimensi. Media pembelajaran berbasis dua dimensi ini di bangun sebagaipelengkap dan pendukung metode belajar, diskusi informasi dan Tanya jawab. Pengumpulan data dilakukan untuk memperoleh informasi yang dibutuhkandalam rangka mencapai tujuan. Teknik pengumpulan data menggunakan teknik studi pustaka yaitu metode pengumpulan data yang diarahkan kepada pencarian data dan informasi melalui dokumen-dokumen, baik dokumen tertulis, foto-foto, gambar, maupun dokumen elektronik yang dapat mendukung dalam proses penulisan. Perangkat lunak yang digunakan dalam membangun media interaktif belajar ini adalah Sitem Operasi : Microsoft Windows Seven (7) Ulitimate dan SoftwareAdobe Flash CS3 Professional. Hasil yang akan dicapai dari pembuatan media pembelajaran ini adalah bahwaanak-anak balita yang memainkan aplikasi ini dapat memahami tujuan suatumedia interaktif karena disajikan secara visual dengan gambar dan animasi sehingga proses dalam penyajian tidak membosankan dan lebih menyenangkan. Diharapkan dengan adanya desain media interaktif ini dapat memudahkan para orang tua agar sang buah hati belajar dengan senang hati tanpa paksaan tanpa dimintaKata kunci : Media Interaktif, Anak Balita, Huruf, Angka
Pengaruh Pemanfaatan Media Interaktif Limbah Bekas Terhadap Berfikir Kreatif Mahasiswa
Authors: Meriyati Meriyati 
Published: July 2020

Limbah adalah buangan yang dihasilkan dari suatu proses produksi baik industri maupun domestik (rumah tangga, yang lebih dikenal sebagai sampah), yang kehadirannya pada suatu saat dan tempat tertentu tidak dikehendaki lingkungan karena tidak memiliki nilai ekonomis.Penelitian ini merupakan penelitian eksperimen dengan sampel mahasiswa PIAUD yang mengambil mata kuliah media pembelajaran AUDPenelitian ini bertujuan : (1) Membangun komunitas berbasis pendidikan kreatif. Dalam hal ini, guru dan siswanya. (2) Mengembangkan berbagai alternative media sederhana yang kreatif dan berkesinambungan sedemikian rupa, sehingga mampu membantu mahasiswa tumbuh dan berkembang menjadi pribadi yang kritis, kreatif, mandiri dan peduli terhadap lingkungannya.(3) Membangun kerja sama antar pendidik dalam upaya mengembangkan berbagai media alternative yang kreatif, sederhana dan murah sebagai pendidik mandiri yang peduli lingkungan sekitar sekolah dan masyarakat.Analisa data bertujuan untuk mengetahui seberapa besar pengaruh pemanfaatan media interaktif limbah bekas terhadap berfikir kreatif mahasiswa dengan menggunakan analisis statistic uji t atau t-test Uji hipotesis dilakukan pada taraf signifikan , dengan membandingkan hasil t hitung dibandingkan dengan hasil tabel untuk mengambil kesimpulan hipotesisBerdasarkan hasil penelitian yang telah dilakukan terhadap 38 sampel pada Jurusan Pendidikan Islam Anak Usia Dini yang mengambil mata kuliah media pembelajaran AUD diperoleh kesimpulan sebagai berikut: “ Terdapat pengaruh uang signifikan pemanfaatan media interaktif limbah bekas terhadap berfikir kreatif mahasiswa Kata Kunci : media interaktif, limbah bekas, berfikir kreatif
Peranan Guru Dalam Mengembangkan Kognitif Anak Usia Dini
Authors: NURRAHMAWATI ERFHA 
Published: July 2020

Penulis melakukan survey di TK Raudlatul Ulum Kresnomulyo Pringsewu. Penelitian ini menggunakan metode kualitatif, metode observasi, wawancara dan dokumentasi. Tujuan penelitian ini untuk mengetahui peranan guru dalam mengembangkan kognitif anak usia dini dan sejauh mana guru dapat berperan dalam mengembangkan kognitif yang dimiliki anak usia dini. Dan hasil penelitian terhadap perkembangan kognitif belum sepenuhnya baik, dikarenakan guru belum melaksanakan peranannya dengan baik dan ketidak maksimalnya peranan guru disebabkan karena pertama, terlalu banyak pekerjaan yang wajib diselesaikan, seperti membuat PR, dan menyiapkan pembelajaran untuk besok, dan mengoreksi pekerjaan anak-anak, sehingga guru tidak fokus lagi dengan pembelajaran dan perkembangan anak. Kedua guru kurang dapat memanfaatkan waktu dengan baik. Ketiga guru masih perlu belajar tentang memaksimalkan potensi-potensi peserta didik. Dari satu potensi yang dihargai oleh guru sesungguhnya anak dengan dirinya sendiri akan berusaha memunculkan potensi-potensi yang lain. Karena anak bahagia dan senang dilingkungan sekolahnya. Keempat Guru sudah melaksanakan peranannya tetapi kurang maksimal dan kurang tepat dengan sasarannya, yaitu anak usia dini, pembelajaran yang disajikan guru lebih tepat untuk anak SD yang benar-benar sudah dituntut untuk menekuni pembelajaran dengan serius
Manajemen Pembelajaran Pendidikan Anak Usia Dini
Authors: Hadiati Eti , Fidrayani Fidrayani 
Published: July 2020

Penelitian ini bertujuan untuk mengetahui bagaimana manajemen pembelajaran pendidikan anak usia dini (PAUD) se-RA kota Bandar Lampung. Metode penelitian ini adalah deskriptif kualitatif. pengumpulan data dengan menggunakan teknik wawancara, dokumentasi, dan observasi dengan menggunakan Model yang berupa analisis data yang digunakan yaitu analisis data interaktif (interactive) atau analisis data mengalir (Flow Model Analisis); yakni model analisis data yang terdiri dari pengumpulan data, reduksi Data, display data, pengambilan kesimpulan dan verifikasi. Teknik trianggulasi data digunakan untuk menguji keabsaan data yang telah dikumpulkan. Hasil penelitian mendiskripsikan bahwa pelaksanaan pembelajaran di sebagian besar RA Se-Kota Bandar Lampung dalam merealisasikan perencanaan pembelajaran dimulai menyusun program tahunan (PROTA) yang berisi kegiatan-kegiatan di RA dari awal tahun ajaran sampai akhir, dilanjutkan dengan penyusunan program semester (PROMES/PROSEM), RKM dan RKH. Dengan menggunakan langkah-langkah dalam pembelajaran dengan perencanaan yang telah disusun yaitu dimulai dengan kegiatan pendahuluan atau kegiatan awal yang ada dalam RKH/RPPH.Kata Kunci: Manajemen; Pembelajaran; RA; PAUD.
Pengembangan Media Pembelajaran Apron Hitung Untuk Meningkatkan Kemampuan Berhitung Anak
Authors: Due Germana , Ita Efrida 
Published: July 2020

Masalah yang ditemukan dalam penelitian ini adalah kurangnya media pembelajaran yang mendukung dalam proses belajar anak sesuai dengan karakteristik anak dalam perkembangan kognitif yang berkaitan dengan kemampuan berhitung pada anak usia dini. Penelitian ini bertujuan untuk: (1) menghasilkan media apron hitung yang sesuai dengan karakteristik anak di kelompok B PAUD Terpadu Citra Bakti, (2) mengetahui desain media pembelajaran apron hitung untuk meningkatkan kemampuan berhitung pada anak usia dini di kelompok B PAUD Terpadu Citra Bakti. Penelitian ini adalah penelitian pengembangan dengan menggunakan model ADDIE yang terdiri dari lima tahap yakni Analysis, Design, Develop, Implement and Evaluate. Metode yang digunakan dalam penelitian ini adalah metode observasi, metode wawancara, metode angket, dan metode dokumentasi. Instrumen penelitian ini adalah panduan observasi, wawancara, angket dan dokumentasi mengenai tujuan pembelajaran aspek kognitif. Hasil penelitian pengembangan menunjukkan bahwa dari validasi ahli materi dengan hasil penilaian yang dilakukan oleh ahli materi mendapatkan skor 100% dengan kategori “sangat valid”, penilaian oleh ahli media mendapatkan skor 100% dengan kategori “sangat valid”, penilaian yang dilakukan oleh ahli desain pembelajaran mendapatkan skor 100% dengan kategori “sangat valid”, serta hasil uji coba perorangan yang dilakukan pada dua orang siswa kelompok B PAUD Terpadu Citra Bakti mendapatkan skor 100% dengan kategori “sangat valid” dan uji coba kelompok kecil pada lima orang siswa mendapat skor 100% dengan kategori “sangat valid”. Dengan demikian, pengembangan media pembelajaran apron hitung untuk meningkatkan kemampuan berhitung pada anak usia dini di kelompok B PAUD Terpadu Citra Bakti layak untuk digunakan.
Quality Management of Inpatient Medication Administration in Hong Kong Public Hospitals
Authors: Kwong Kiu Yan , Fong Ben Y.F 
Published: July 2020

Medicine maladministration can result in various side effects to patients, including serious complications, extended medical care, incapacity and death. In Hong Kong public hospitals, the pattern of medication error consists of prescribing error usually made by physicians, dispensing error resulted from pharmacists and dispensers, drug administration error caused by nurses and patient-care workers and technology-related error associated with technology used in the drug administration process. Medication Administration Record (MAR) and ward stock are the usual inpatient medication system within Hospital Authority public hospitals before the development of the electronic system, while the Inpatient Medication Order Entry (IPMOE) functions to provide real-time accessibility in patients’ medication profiles by different professions and health units. However, several factors are related with medication errors. For instance, the ambiguous handwriting orders in the MAR prescribed by physicians affect the transcription by pharmacists and the administration procedures in ward by nurses. Administering medicines in ward stock before pharmacists vetting increase the chance of making errors. Poor interface issues between users and system, and the computer over-reliance are also contributed in resultant technology-related errors. In order to reduce the occurrence of medication incidents, implementation of Automated Pharmacy Distribution Systems helps moving towards a closed loop medication management system. Modifying technologies in barcode assisted medication administration and enhancing the IPMOE with a pop-up message could help intercepting drug administration errors to patients.. The elimination of the potential risks arising from the prescribing, dispensing and drug administration processes brings the achievement of medication safety in Hong Kong public hospitals.
Optimasi pembakaran menyeluruh pada reaktor pirolisis dalam menghasilkan bioarang dan asap cair
Authors: Ridhuan Kemas , Mafruddin Mafruddin , Rasyid Alfi Al 
Published: July 2020

Pyrolysis is a process of combustion in a reactor with less or no air. The results of this process in the form of bio-charcoal products, liquid smoke, tar, and sin gas. To obtain optimal bio-charcoal products and liquid smoke, it is necessary to develop a pyrolysis process by means of thorough combustion. This combustion has the advantage that the combustion fire will heat up the entire reactor wall so that it will speed up the pyrolysis process and the combustion temperature will be high so it will generate more products, especially liquid smoke. This study aims to determine combustion achievement temperatures in the combustion chamber and reactor as well as the efficiency of the results of bio-charcoal and liquid smoke obtained. This research was conducted at the Laboratory of Mechanical Engineering Universitas Muhammadiyah Metro, this study uses a pyrolysis reactor with a total combustion chamber and uses fine sand insulation. The condenser uses a 0.5-inch diameter copper pipe with 11 turns. Biomass fuels use sengon wood. The raw material of sengon wood is 10 kg. Data from this study are compared with research data on pyrolysis reactors that have not been optimized so that the differences are known. The results obtained are the combustion temperature in the combustion chamber in the previous conditions, namely 563° C, and the optimization conditions 651° C, then the combustion temperature in the reactor in conditions before 370° C and the optimization conditions 329° C. Liquid smoke results obtained in conditions before 0.9 liters and 1.2-liter optimization conditions. Then the results of bio-charcoal obtained in conditions before 2.0 kg and 2.5 kg optimization conditions.Keywords: Pyrolysis, comprehensive burning, liquid smoke, bio-charcoal, optimization.