bluuebunny/crossref_metadata_2025_split huggingface dataset:
Analysis of Knowledge, Attitude and Practices regarding Sexually Transmitted Infections among post-secondary students Thailand.
Authors: Walemba E M , Taweeyanyongkul K 
Published: December 2019

This paper reports on the Knowledge, Attitude and Practices regarding Sexually Transmitted Infections among post-secondary students in faith-based institution and public institutions. A survey was administered to select three different universities and over 700 participants were selected randomly. The survey included outcome measures including biodata and socio-economic status, moral and religious beliefs, sex and sexuality, STI knowledge and screening. The students responded range in age from 15 to 27+ years old and include freshmen, sophomores, juniors and seniors. Most respondents (86%) were female and aged 19-22 years old (88%). The respondents self-reported as Muslim (66%) or Buddhist (34%) and as conservative (29%), moderate (66%) or liberal (5%). Although 55% and 97% of respondents reported that there were sexual health discussions at their university, and their university had programs that teach about the pros and cons based on religion, respectively, over 82% report that they are still curious about sex and STI. Almost all students (97%) know what an STI is and can correctly identify the most publicized STIs. A large number (24%) failed to select genital warts as an STI. However, their attitudes about sexual relationships suggest unsafe sexual behavior. Almost half of the respondents think that one must have sex more than one time to catch an STI. Overall 34% say sex is ok as long as it does not lead to an STI or pregnancy and 51% said that promoting safe sex is more important than promoting abstinence. Some respondents also have some falsely held beliefs such as STIs can be spread by touching (26%) and insects (27%). This study concludes that Knowledge about sexually transmitted infections and programs delivered at tertiary institutions surveyed do not reduce risky behavior among the students. New methods of equipping students with knowledge and greater access to confidential advice and counselling may bring about better integration of awareness and knowledge to student lifestyle.
Compensation and Social Support on Continuance Commitment of Working Students in Adventist University of the Philippines
Authors: PEPRAH WILLIAMS KWASI , Mattu Amyman Gulshan , Antwi-Yamoah Patience Boatemaa 
Published: December 2019

Continuance commitment is essential in our world today because employees have the fear that a loss of their jobs will affect their income and their livelihood. This is not an exception for working students. The Commission on Higher Education (CHED), Philippines has recounted that eight of the students are working student. Work-study is also an accepted practice of the most Seventh-day Adventist universities. This study seeks to investigate the continuance commitment of the students as related to compensation and social support. This study is correlational research design. Out of the 450, working students in AUP 100 were randomly sampled to answer the self-constructed questionnaires. The study used Pearson correlation to analysis the relationship and T-Test and ANOVA to analyze the difference. This study revealed that there is a high positive significant relationship between compensation and continuance commitment and a moderate positive significant relationship between social support and continuance commitment. Also, there was no significant difference in continuance commitment based on sex, age, and the number of units of the working students. The working students stay on their job because of the high compensation they receive from AUP and the moderate social support they get from their families, friends, and relatives. Both male and female working students are committed to staying on their job. The number of units did not deter the working students from being a commitment to their jobs. The study has revealed that the continuance commitment of working students is based on compensation and social support. The research recommends that in order to get the commitment of working students, the wage payments to them must be high with moderate social support.
The Difference Between Ghana Cocoa Farmers’ Personal Profile on their Financial Sustainability
Authors: PEPRAH WILLIAMS KWASI , Carpizo Ruben T. , Asuah-Duodu Enoch 
Published: December 2019

In pursuing their enterprises, cocoa farmers now need financial sustainability. This research focuses on financial sustainability because it is linked to the accessibility of agricultural funding and the effect on society for current and future generations in order to guarantee a sustainable livelihood. This study considers the personal profiles of cocoa farmers, which are sex, education level, number of dependents, and farm sizes. The cocoa farmers profile has a divergent view on their financial sustainability. The study is quantitative research andcorrelational design research. The sample population of 1,000 Cocoa farmers was conveniently sampled from the six cocoa-growing regions of Ghana as respondents. The study used selfconstructed questionnaires to measure financial sustainability, which had sub-variables of financial viability, financial self-sufficiency, and financial impact. The statistical analysis for the differences was computed by using SPSS 23 with T’Test and ANOVA. The results of the study revealed that there was no significant difference in a number of dependents and educational level of cocoa farmers on their financial sustainability. Also, farm size and sex proofed to have a significant difference in the financial sustainability of the cocoa farmer. Large farm size indicated a major difference in financial sustainability as compared to small farm size. Male cocoa farmers were better than the female cocoa farmers on their financialsustainability. The dominance of males in cocoa farming in Ghana makes them consider the financial sustainability of the cocoa farming venture more than females. This is because they are mainly supporting the livelihood of their families. Farm Size as a determinant of financialsustainability is evident by the yield larger farm size can give a cocoa farmer. The study recommends that in order to attain financial sustainability for the cocoa farmer, the farm size and sex must be considered.
The Influence of Organizing Practices on Organizational Performance of Five Selected Small, Medium and Large Business in the Philippines
Authors: ASUAH-DUODU ENOCH , Gubalane Jeanda P. , Nudalo Starrie Bloom 
Published: December 2019

The current business environment in the Philippines has become very challenging and competitive. As a result, firms are seeking means to improve their performance in the areas of employee productivity, customer and employee satisfaction. The study examined how organizing practices are used to influence the performance of small, medium, and large businesses in the Philippines. This descriptive-correlation study conveniently sampled 50 respondents from the small, medium, and large companies to answer self-constructed questionnaires. The statistical tools used for analyzing the results were Pearson correlation and standard deviation and the mean for the descriptive study. The results of the study showed that both organizing practices and organizational performance are high. There is also a high positive significant relationship between organizing practices and organizational performance. For businesses to improve their performance, there must be a good organizing structure. This is noted to be affecting customer satisfaction, employee productivity, and satisfaction. The study recommends that businesses pay attention to organizing practices as it is important in business. The study also recommends for other researchers to use other variables in relation toorganizational performance.
Missed opportunities: are residents prepared to care for transgender patients? A study of family medicine, psychiatry, endocrinology, and urology residents
Authors: Coutin Alexandre , Wright Sarah , Li Christine , Fung Raymond 
Published: December 2019

Background: The transgender (trans) population faces multiple barriers in accessing health care, with knowledge deficits of health care providers contributing substantially. Trans patients report having to teach health care professionals about their own health needs.We compared perceptions of trans-care education and training across family medicine, psychiatry, endocrinology, and urology residency training programs at the University of Toronto. Methods: We surveyed residents to assess their perceptions of and attitudes towards trans-care, exposure to trans patients, knowledge of trans-specific clinical care, and the state of trans-care education within their training. We used Likert scale data to identify patterns across residency programs. We collected open-ended responses to further explain quantitative findings where appropriate.Results: Of 556 residents approached, 319 participated (response rate = 57.4%). Nearly all endocrinology and psychiatry residents agreed that trans-care falls within their scope of practice, while only 71% and 50% of family medicine and urology residents did, respectively. Though participants were at different stages of their postgraduate training when surveyed, only 17% of all participants predicted they would feel competent to provide specialty-specific trans-care by the end of their residency and only 12% felt that their training was adequate to care for this population.Conclusion: Though the study revealed a willingness to serve this population, there was a lack of clinical exposure and trans-related teaching within postgraduate curricula resulting in feelings of unpreparedness to meet the health care needs of this underserved population.
Implementation of a university faculty mentorship program
Authors: Foxcroft Laura , Jones Douglas , Steele Margaret , Lim Rodrick 
Published: December 2019

Objective: To implement a University Faculty mentorship program in the Division of Emergency Medicine. Methods: A program based on a unique Schulich faculty mentorship policy was implemented with the help of a Provider Value Officer. The process involved creating a training program which defined the roles of the mentors and mentees and established the principles of an effective mentor-mentee relationship. Faculty received training on how to participate effectively in a Schulich faculty mentorship committee. Each committee consisted of a mentee, and two mentors at the associate professor level (one internal and one external) . Thirteen distinct external divisions were represented. They were instructed to meet twice per year, as arranged by the mentee. The mentee created mentor minutes using a template, and then submitted the minutes to the members of the mentorship committee and the Chair/Chief of Emergency medicine. The Chair/Chief used the minutes during the annual Continuing Professional Development meeting.Results: In less than a year, the division has successfully transformed its mentorship program. Using the above-mentioned process, 31 of 34 (91%) eligible assistant professors have functioning mentorship committees. Collaboration and participation between the different faculties has increased. Follow-up meetings with the Chair/Chief and the Provider Value Officer revealed the theme that, universally, participants have perceived Schulich Faculty Mentorship committees as beneficial and are happy with the "fit" of their mentorship committees. Conclusion: Through careful planning and training, a successful Faculty Mentorship program can be initiated in an academic division in less than a year with the help of a local champion given protected time.
Where does resiliency fit into the residency training experience: a framework for understanding the relationship between wellness, burnout, and resiliency during residency training
Authors: Berger Liora , Waidyaratne-Wijeratne Nishardi 
Published: December 2019

Background: Medical literature reports high rates of burnout among medical professionals. The terms wellness and resilience are often used interchangeably in the solution focused discussions. By confusing the terminology, the distinct role of resilience within residency training may be ill-appreciated. The objective of this paper is to define wellness, burnout, and resiliency and detail a proposed framework to explain how these terms manifest within residency training. Methods: MEDLINE and EMBASE searches were performed using the key words “resilience,” “residency,” “wellness,” and “burnout.” The search was limited to English language articles published between 2003-2017. Results: The authors propose a framework based on the literature review. This work supports the implementation of resilience-based interventions that enable residents to engage with workplace adversity in a healthy way, acquire skills during the process and avoid resource depletion and, ultimately, burnout.Conclusion: This framework can be used by residency programs to promote educators and residents’ understanding of the unique role of resilience within residency, and the importance of differentiating between wellness and resilience initiatives. Future research is required to study the utility of this framework.
Transition to practice: creation of a transitional rotation for radiation oncology
Authors: Dahn Hannah , Watts Karen , Best Lara , Bowes David 
Published: December 2019

Background: Implementation of Competence by Design (CBD) will require residency training programs to develop formalized “Transition to Practice” (TTP) experiences. A multidisciplinary group of Radiation Oncology stakeholders from tertiary care centres in Atlantic Canada were surveyed regarding a proposed TTP rotation. Methods: The survey asked participants to quantitatively rank various learning objectives based on defined CanMEDS skills that are expected to be mastered by a graduating resident. Mean perceived importance scores were calculated for each objective as well as for their CanMEDS category. Specific written qualitative feedback was also collected.Results: The survey was circulated to 59 participants with a response rate of 73%. The three objectives with the highest mean importance score were “Independently assessing and managing patients seen in consultation,” “Developing and demonstrating communication skills with patients at an advanced level,” and “Independently assessing and managing follow up patients,” respectively from highest to lowest. The CanMEDS roles with the highest importance score was “Communicator.”Conclusion: Quantitative and qualitative data from a multidisciplinary survey based on CanMEDS roles guided the implementation of a TTP rotation for PGY-5 residents at a tertiary care centre in Atlantic Canada. These results may be relevant to other training programs developing TTP experiences.
Less is more: a rationalization of daily labwork
Authors: Chan Barry , Nazerali-Maitland Alasdair , Hopman Wilma , Zelt David , Morton Ross 
Published: December 2019

Routine daily phlebotomy can often act as a replacement for direct patient care. Some tests are necessary to gauge treatment response, however many are unnecessary and increase a patient’s risk of complications and can impede laboratory processing times. This study addresses the effects of providing resident trainees, who often lack an understanding of the financial impact of the tests they order, with summative feedback. This encouraged them to be resource-conscious. Internal Medicine teams were provided with weekly laboratory spending reports and this resulted in a 33% reduction in Per Person Per Day spending. No changes in mortality were noted.
Internal medicine residents’ achievement goals and efficacy, emotions, and assessments
Authors: Daniels Lia , Daniels Vijay 
Published: December 2019

Background: Achievement goal theory is consistently associated with specific cognitions, emotions, and behaviours that support learning in many domains, but has not been examined in postgraduate medical education. The purpose of this research was to examine internal medicine residents’ achievement goals, and how these relate to their sense of self-efficacy, epistemic emotions, and valuing of formative compared to summative assessments. These outcomes will be important as programs transition more to competency based education that is characterized by ongoing formative assessments. Methods: Using a correlational design, we distributed a self-report questionnaire containing 49 items measuring achievement goals, self-efficacy, emotions, and response to assessments to internal medicine residents. We used Pearson correlations to examine associations between all variables.Results: Mastery-approach goals were positively associated with self-efficacy and curiosity and negatively correlated with frustration and anxiety. Mastery-approach goals were associated with a greater value for feedback derived from annual ACP exams, end-of-rotation written exams, and annual OSCEs. Performance-approach goals were only associated with valuing ACP exams.Conclusion: Mastery-approach goals were associated with self-efficacy and epistemic emotions among residents, two constructs that facilitate autonomous learning. Residents with mastery-approach goals also appeared to value a wider range of types of assessment data. This profile will likely be beneficial for learners in a competency-based environment that involves high levels of formative feedback.
Reverse Objective Structured Clinical Examination (ROSCE)
Authors: Srivastava Tripti K , Waghmare Lalitbhushan 
Published: December 2019

The authors propose a method "Reverse OSCE" which is built upon the principles of OSCE. It is a step forward to conventional OSCE wherein the role of tutor and student is reversed. Reverse OSCE as an assessment tool can assess the observational skill of a student along with knowledge and understanding of various procedural skills. It retains the obvious advantages of conventional OSCE in terms of objectivity, reproducibility, and easy recall along with the added benefit of versatility and ever broadening scope.
From good to great: learners’ perceptions of the qualities of effective medical teachers and clinical supervisors in psychiatry
Authors: Harms Sheila , Bogie Bryce , Lizius Anne , Saperson Karen , Jack Susan , McConnell Meghan 
Published: December 2019

Background: The shift in postgraduate medical training towards a competency-based medical education framework has inspired research focused on medical educator competencies. This research has rarely considered the importance of the learning environment in terms of both setting and specialty-specific factors. The current study attempted to fill this gap by examining narrative comments from psychiatry faculty evaluations to understand learners’ perceptions of educator effectiveness.
Methods: Data consisted of psychiatry faculty evaluations completed in 2015-2016 by undergraduate and postgraduate learners (N= 324) from McMaster University. Evaluations were provided for medical teachers and clinical supervisors in classroom and clinical settings. Narrative comments were analyzed using descriptive qualitative methodology by three independent reviewers to answer: “What do undergraduate and postgraduate medical learners perceive about educator effectiveness in psychiatry?”

Results: Narrative comments were provided on 270/324 (83%) faculty evaluation forms. Four themes and two sub-themes emerged from the qualitative analysis. Effective psychiatry educators demonstrated specific personal characteristics that aligned with previous research on educator effectiveness. Novel themes included the importance of relationships and affective factors, including learner security and inspiration through role modeling
Conclusion: Contemporary discussions about educator effectiveness in psychiatry have excluded the dynamic, relational and affective components of the educational exchange highlighted in the current study. This may be an important focus for future educational research.
Improving the competence and confidence of pulmonary and critical care medicine fellows in performing a cricothyrotomy
Authors: Rajwani Kapil , Mauer Elizabeth , Clapper Timothy C. 
Published: December 2019

Clinical opportunities to practice or perform a cricothyrotomy are limited. We developed an evidence-based cricothyrotomy course following the 4-phase lesson plan for simulation that provides pulmonary and critical care medicine fellows with demonstrations, practice, and feedback to increase their confidence and competence.Survey results demonstrated an improvement in perceived confidence (p<0.005) and competence (p<0.002) following this educational intervention. Fellows also achieved significant improvement in knowledge (p<0.003) and performance in two cricothyrotomy techniques (Seldinger and MacIntyre) (p<0.004).It is important that we provide fellows with practice opportunities that can be used to develop and maintain proficiency, particularly in low frequency events.
Masculinités des hommes réfugiés rohingyas en Malaisie : le rôle des violences de genre
Authors: Voisin Élodie 
Published: December 2019

À travers l'étude des violences de genre en contexte de migrations forcées, parmi les Rohingyas de Birmanie réfugiés en Malaisie, cet article tentera de répondre à deux questions : quel rôle jouent, ici, les violences de genre dans la construction des masculinités ? En quoi les travaux sur la militarisation peuvent-ils être utiles ? En Malaisie, second pays de destination pour les réfugiés rohingyas, deux formes de masculinité sont observables : une hypermasculinité (idéalisant la violence et la misogynie) et une « masculinité du peuple » (l'immersion en Dieu et l'idée d'un peuple musulman). Ces deux formes de masculinité sont des tentatives par les réfugiés d'incarner une masculinité dans une situation de vulnérabilités sociales multiples et complexes. Cette analyse sur les violences de genre permet de rendre visibles des dynamiques militarisées, masculinisées, racialisées et genrées cachées derrière des rhétoriques nationalistes et protectionnistes.
The Llonin Cave (Peñamellera Alta, Asturias, Spain), level III (Galería): techno-typological characterisation of the Badegoulian lithic and bone assemblages
Authors: Rasilla Vives Marco de la , Duarte Matías Elsa , Aura Tortosa Joan Emili , Sanchis Serra Alfred , Carrión Marco Yolanda , Pérez Ripoll Manuel , Rodríguez Otero Vicente 
Published: December 2019

Llonin cave is located in the Cares river valley, between the sea and the
Cantabrian Cordillera. In level III, hunted fauna comes from a rocky and
mountainous biotope with chamois predominance over red deer and Spanish ibex. On
top of this level there is an Upper Magdalenian level (II) and underneath an
Upper Solutrean one (IV). Level III is formed by materials linked to fire, with
a specific functionality, and there is an extraordinary association of elements:
raclettes, single-beveled points (Placard type) and
“pseudoexcisa” decoration. In addition, the substrate tools dominate, beginning
with the splintered pieces, which are the best represented, both in quartzite
and flint, followed by notches and denticulates in quartzite. Flakes are the
priority blanks; blade production is low and bladelets are scarce. Actually the
archaeological record is not related to the Cantabrian Solutrean or the
Magdalenian, but agrees with the Badegoulian. The level has been dated
~18.000 BP (21584–21935 cal BP).