bluuebunny/crossref_metadata_2025_split huggingface dataset:
The Effect of a Problem-focused Coping Stress Management Program on Self-efficacy, Psychological Distress, and Salivary Cortisol among First-year Medical Students of Udayana University
Authors: Purnawati Susy , Adiatmika Putu Gede , Lesmana Cokorda Bagus Jaya 
Published: September 2021

Objective. Current evidence has shown academic stress to be associated with student maladaptive behavior. This study aimed to investigate the effect of a problem-focused coping stress management program on first-year medical students’ self-efficacy, psychological distress and find its effect on salivary cortisol.
Method. Forty students who scored high on academic stress and external locus of control were randomly selected as the intervention (n = 26) and control group (n = 14). An intervention in the form of a problem-focused coping stress management program was organized. The intervention was a 1½-hour training class conducted once a week for four weeks.
Results. There was a significant difference in self-efficacy between the intervention and control groups (p-value = 0.029). The self-efficacy score was significantly higher after the intervention (19.31 ± 2.396 vs 21.27 ± 2.677, p = 0.005). Likewise, a significant difference in the psychological distress between the two groups was found after the intervention (control group = 40.14 ± 3.860; intervention group = 37.12 ± 4.537, p < 0.05). We also found a significant decrease in salivary cortisol after the intervention among this group (0.68262 μg/dl ± 0.367 to 0.43304 μg/dl ± 0.231, p < 0.05), but there was no significant difference in cortisol between intervention and control group after the intervention (0.49479 μg/dl ± 0.264 and 0.43304 μg/dl ± 0.231, p = 0.448).
Conclusion. The problem-focused coping stress management program improved self-efficacy and decreased the psychological distress and salivary cortisol of first-year medical students in this research.
Establishing the Predictive Validity of the ScanCourse for Assessing On-Road Driving Performance
Authors: Chau Eric , Nishi Adam , Kristalovich Lisa , Holowaychuk Ana , Mortenson W. Ben 
Published: September 2021

Abstract
Importance: Scanning the environment is critical for driving safety. The ScanCourse is a functional assessment that assesses a person’s ability to scan the environment for visual information while in motion. Measurement properties for the ScanCourse have been reported; however, its predictive validity is unknown.
Objective: To determine the predictive validity of the ScanCourse for on-road driving performance and establish clinical cutoff scores.
Design: Retrospective chart reviews were conducted over a 6-mo period.
Setting: Four Canadian driver rehabilitation programs.
Participants: Charts from patients with neurological or vision conditions were eligible if they contained ScanCourse and on-road driving evaluation results between September 1, 2008, and August 30, 2018. Three hundred twenty-five charts were included for analysis.
Outcomes and Measures: Area under the curve (AUC) analysis was used to determine the predictive validity of ScanCourse scores for on-road outcomes; cutoff scores were established by optimizing sensitivity and specificity.
Results: The ScanCourse had an AUC of .702. The optimal cutoff score was 18/20 with a sensitivity of 76.7% and a specificity of 47.1%.
Conclusions and Relevance: Assessing the scanning abilities of at-risk drivers who intend to return to driving after sustaining an injury can help identify safety risks and inform interventions. The ScanCourse was found to have acceptable discriminatory ability for on-road driving performance. This study provides evidence supporting its continued use as a screening tool to assess driver fitness with an identified optimal cutoff score for clinical use.
What This Article Adds: Measuring the predictive ability of the ScanCourse assessment in relation to on-road driving performance provides occupational therapists with an evidence-based clinical tool to assist with screening fitness to drive among at-risk people.
Hypertensive urgencies during the first wave of COVID-19 pandemic in a tertiary hospital setting: A “U” shaped alarming curve.
Authors: LEONTSINIS IOANNIS , Katsiki Niki , PAPADEMETRIOU VASILIOS , CHRYSΟHOOU CHRISTINA , KARIORI MARIA , DALAKOURAS IOANNIS , TOLIS PANAYOTIS , FRAGOULIS CHRISTOS , KALOS THEODOROS , TATAKIS Fotios-Panagiotis , DIMITRIADIS KYRIAKOS , DOUMAS Michael , SAMBATAKOU HELEN , PIROUNAKI MARIA , MIHAS Constantinos , BHASKAR SONU , TSIVGOULIS GEORGIOS , TOUSOULIS DIMITRIOS , Banach MACIEJ , TSIOUFIS Konstantinos 
Published: September 2021

IntroductionCorona virus disease (COVID)-19 pandemic provoked unprecedented disturbance in hypertension care, while alarming concerns arose about its long-term consequences. We assessed the impact of COVID-19 spread on population behavior regarding hypertension urgencies during its first wave.Material and methodsData from daily unscheduled visits and admission counts in the Cardiology sector were collected from the Emergency Department database of a tertiary General Hospital in Athens, Greece from January 15th-July 15th 2020. This data was compared with the ones from the previous year. Cases presented with hypertensive urgency or admitted due to uncontrolled hypertension were separately analyzed.ResultsA total of 7,373 patients records were analyzed. Hypertension urgency cases demonstrated a “U” shaped distribution in 2020, showing declining trend during the rapid virus spread, an image that was reversed after the transmission rate’s fade. COVID-19 incidence in Greece was inversely associated with uncontrolled hypertension admissions during its declining phase (r=-0.64 p=0.009), whereas total attendance exhibited a similar correlation during the first and the following months of the pandemic (r=0.677, p=0.031, r=-0.789, p=0.001). Uncontrolled hypertension rate on admission was positively related to the national incidence of COVID-19 cases during the first months of 2020 (r= 0.82, p=0.045).ConclusionsHypertensive urgency-related visits followed a “U” shape distribution during the pandemic’s first wave with attendance nadir coincidence to the virus spread peak. The initial relative increase in uncontrolled hypertension-related admissions rate, combined with the later increment of hypertensive urgencies may indicate blood pressure deregulation among the studied population which is multifactorial and potentially detrimental.
Patiromer (Veltassa)
Authors: Reimbursement Team  
Published: September 2021

CADTH reimbursement reviews are comprehensive assessments of the clinical effectiveness and cost-effectiveness, as well as patient and clinician perspectives, of a drug or drug class.
The assessments inform non-binding recommendations that help guide the reimbursement decisions of Canada's federal, provincial, and territorial governments, with the exception of Quebec.
This review assesses patiromer (Veltassa), 8.4 g, 16.8 g, 25.2 g patiromer (as patiromer sorbitex calcium) and patiromer powder for oral suspension.
Indication: For the treatment of hyperkalemia in adults with chronic kidney disease (estimated glomerular filtration rate ≥ 15 mL/min/1.73 m2).
Reimbursement request: For the treatment of hyperkalemia in patients with chronic kidney disease 3 to 4 on renin-angiotensin-aldosterone system inhibitor therapy.
Medications Containing Low-Dose Codeine for the Treatment of Pain and Coughs
Authors: Young Calvin , Loshak Hannah 
Published: September 2021

Codeine and codeine-containing medicines are used to treat people experiencing pain or cough symptoms. Whereas most products containing codeine require a prescription in Canada, some jurisdictions permit over-the-counter sales of products containing low doses of codeine mixed with other non-narcotic medicinal ingredients.
Three overviews of reviews and 13 systematic reviews of variable methodological quality failed to identify studies on the effectiveness of low-dose codeine (i.e., 8 mg of codeine per tablet or 20 mg of codeine per 30 mL in liquid products) for the treatment of pain or coughs.
There is a lack of evidence on the clinical effectiveness of oral analgesics and oral antitussives containing low doses of codeine.
Human Insulin (Entuzity KwikPen)
Authors: Reimbursement Team  
Published: September 2021

CADTH recommends that Entuzity KwikPen should be reimbursed by public drug plans to improve glycemic control in adults and children with diabetes mellitus, if certain conditions are met.
Entuzity KwikPen should only be reimbursed if it is initiated by a specialist with experience in treating severe insulin resistance and if the cost of Entuzity KwikPen does not exceed the least expensive basal or bolus combination insulin pens or cartridges.
Entuzity KwikPen should only be covered to treat patients with diabetes mellitus with unacceptable glycemic control who require more than 200 units of insulin per day, with or without other therapies.
Brexucabtagene Autoleucel (Tecartus)
Authors: Reimbursement Team  
Published: September 2021

CADTH recommends that Tecartus should be reimbursed by public drug plans for the treatment of adult patients with relapsed or refractory mantle cell lymphoma (R/R MCL) after 2 or more lines of systemic therapy including a Bruton’s tyrosine kinase (BTK) inhibitor if certain conditions are met.
Tecartus should only be reimbursed if prescribed as a one-time therapy by experienced specialists in centres delivering cellular therapies, and the cost of Tecartus is reduced.
Tecartus should only be covered to treat patients with R/R MCL who have received treatment with a BTK inhibitor (ibrutinib or acalabrutinib) and are in a clinically reasonable health status to tolerate the treatment.
Prevention of Tuberculosis Reactivation
Authors: Brett Kendra , Severn Melissa 
Published: September 2021

It is not known if screening for latent tuberculosis infection (LTBI) is useful for reducing the risk of tuberculosis reactivation among people at risk (no evidence was found).
In people with LTBI, providing treatment for the latent infection may be helpful for preventing the development of active tuberculosis disease. (In addition, LTBI treatments do not appear to increase the risk for hepatotoxicity.) Treatment effectiveness may depend on the specific LTBI treatment regimen used.
For people at an increased risk for tuberculosis ― including those from areas with high rates of tuberculosis ― guidelines recommend screening and treatment for LTBI, as this may help prevent TB reactivation. Treatment is recommended for those who are 65 years old or younger and with a positive LTBI result (recommendation from 1 high-quality guideline).
Antipsychotic Drugs or Benzodiazepines for Rapid Tranquilization in Mental Health Facilities or Emergency Department Settings
Authors: Brankston Gabrielle , Picheca Lory 
Published: September 2021

Evidence from 5 systematic reviews, 3 randomized controlled trials, and 4 observational studies provide inconsistent evidence regarding the comparative efficacy and safety of antipsychotic drugs and benzodiazepines for adults with acute aggression or agitation requiring rapid tranquilization in emergency department or mental health inpatient settings.
Overall, the evidence came from low- to moderate-quality studies. Some studies suggested different antipsychotic drugs and benzodiazepines, alone or in combination, have similar efficacy, whereas others favoured one treatment over another.
No studies differentiated between adults aged 18 to 64 years and those older than 65 years. Most studies included mixed ages or excluded patients older than 75 years.
No studies differentiated between aggression or agitation associated with psychiatric illness and other etiologies such as alcohol intoxication.
One guideline suggests initial treatment with intramuscular lorazepam, promethazine, or 1 of aripiprazole, droperidol, or olanzapine. If the desired outcome is not achieved with monotherapy, the guideline recommends an intramuscular combination of either promethazine plus haloperidol or lorazepam plus haloperidol.
Heart Function Clinics for Patients With Heart Failure
Authors: Tran Khai , Butcher Robyn 
Published: September 2021

Low- to moderate-quality clinical evidence suggested that heart failure clinics were associated with significant reductions in all-cause mortality, reductions in heart failure‒related hospitalization, better guideline-directed medical therapy management, and higher adherence to heart failure medications compared to usual care. The findings for all-cause hospitalization were mixed.
One low-quality economic study in Denmark found that heart failure clinics were associated with higher costs but no significant difference in mortality rates compared with the usual care. Another moderate cost-effectiveness analysis study in Canada revealed that heart failure clinic interventions were cost-effective compared to standard care, with an incremental cost-effectiveness ratio below the willingness-to-pay threshold.
KETERAMPILAN MENULIS TEKS BERITA MENGGUNAKAN TEKNIK MENGAMATI, MENIRU, DAN MENAMBAHI (3M)
Authors: Firmansyah Firmansyah , Menne Amin , Posi Tajuddin 
Published: September 2021

Tujuan penelitian ini adalah mendeskripsikan peningkatan keterampilan menulis teks berita selama mengikuti pembelajaran dengan teknik 3M. Penelitian ini merupakan penelitian tindakan kelas yang terdiri prasiklus, siklus I, dan siklus II. Teknik pengumpulan data menggunakan tes menulis berita. Data dianalisis dengan menggunakan statistik deskriktif dalam bentuk nilai rata-rata. Berdasarkan hasil analisis data diketahui bahwa nilai rata-rata siswa pada tahap prasiklus yaitu 62,37, pada siklus I sebesar 73,68, dan pada siklus II menjadi 79,31. Hal ini menunjukkan adanya peningkatan nilai rata-rata dari tahap prasiklus hingga siklus II sebesar 20,40%. Oleh karena itu, dapat disimpulkan bahwa keterampilan menulis teks berita siswa meningkat dengan menggunakan teknik 3M.
ANALISIS KESALAHAN BERBAHASA DALAM TATARAN FONOLOGI PADA KANAL YOUTUBE “NET DRAMA”
Authors: Safitri Intan , Harnoto Putri Ayu Puspita , Nur Sahadati Dewi Masitoh 
Published: September 2021

Tujuan dari penelitian ini yaitu untuk menganalisis kesalahan berbahasa dalam tataran fonologi pada kanal Youtube “Net Drama”. Penelitian ini menggunakan metode deskriptif kualitatif. Sumber data dalam penelitian ini berupa video yang terdapat dalam kanal Youtube Net Drama yang berjudul “Kelas Internasional Season 2 – Episode 47”. Metode pengumpulan data dalam penelitian ini menggunakan metode simak dan catat. Hasil penelitian ini menunjukkan kesalahan berbahasa dalam tataran fonologi pada kanal Youtube “Net Drama” sebanyak 27 data. Jenis kesalahan yang ditemukan meliputi pengurangan fonem 5 data, penggantian fonem 12 data, dan penambahan fonem 10 data. Kesalahan fonologi yang dilakukan oleh pemeran kelas internasional pada kanal Youtube “Net Drama” merupakan kesalahan yang biasa dilakukan oleh penutur asing pada saat belajar Bahasa Indonesia. Sehingga dengan adanya penelitian ini diharapkan dapat digunakan sebagai salah satu contoh kasus kesalahan bidang fonologi.
KEMAMPUAN MENENTUKAN UNSUR INTRINSIK PUISI KARYA SOETARDJI CALZOUM BACHRI
Authors: Syamsuriani Syamsuriani , Khalik Suhartini , Ecca Suleha , Agussalim H. 
Published: September 2021

Penelitian ini bertujuan memperoleh data tentang kemampuan menentukan unsur intrinsik dalam puisi karya Sutardji Calzoum Bachri. Populasi penelitian ini adalah seluruh siswa kelas X SMA Negeri 6 Pinrang yang berjumlah 128 siswa, sampel penelitian ini ditarik dengan cara cluster sampling yakni 31 siswa. Teknik yang digunakan dalam pengumpulan data adalah teknik dekomentasi dan tes. Data dianalisis dengan menggunakan teknik statistik deskriptif dalam bentuk persentase. Berdasarkan hasil analisis data diketahui bahwa siswa sebanyak 27 siswa (87,10%) tuntas belajarnya. Sehingga disimpulkan bahwa siswa mampu menentukan unsur puisi Tragedi Shika dan Winka karya Sutardji Calzoum Bachri siswa kelas X SMA Negeri 6 Pinrang Kabupaten Pinrang. Dengan demikian, disarankan agar guru Bahasa Indonesia terus memtovasi siswa untuk meningkatkan kemampuannya dalam mengapresiasi karya sastra.
PENERAPAN METODE EKSPOSITORI DALAM MENINGKATKAN PRESTASI BELAJAR IPA
Authors: Nurhayati Nurhayati 
Published: September 2021

Penelitian ini merupakan penelitian tindakan kelas yang dilakukan pada siswa kelas IV SDN 3 Macorawalie. Tujuan yang ingin dicapai adalah membuktikan bahwa dengan menerapkan metode ekspositori dapat meningkatkan prestasi belajar IPA. Pengumpulan data dilakukan melalui tes tertulis, observasi langsung, dan wawancara. Penelitian ini dilaksanakan dalam dua siklus. Hasil penelitian menunjukkan bahwa nilai rata-rata kondisi awal sebesar 4,8; pada siklus I meningkat menjadi 5,7; dan pada siklus II menjadi 6,7. Dengan demikian, disimpulkan bahwa penerapan metode ekspositori dapat meningkatkan prestasi belajar IPA pada siswa kelas IV SDN 3 Macorawalie.
PENERAPAN METODE KONTEKSTUAL TERHADAP KEMAMPUAN MENULIS PUISI SISWA
Authors: Yunita Sri Elanda , Rasyid Rustam Efendi , Takdir Muhammad 
Published: September 2021

Tujuan penelitian adalah untuk mengetahui efektivitas penerapan model pembelajaran kontekstual terhadap kemampuan menulis puisi siswa kelas VII SMP Negeri 2 Alla Kecamatan Baroko Kabupaten Enrekang. Jenis penelitian ini menggunakan jenis kuantitatif dengan tipe penelitian deskriptif. Desain yang digunakan dalam penelitian ini adalah desain eksperimen dengan menggunakan 2 jenis sampel yaitu kelas eksperimen dan kelas kontrol dari keseluruhan populasi sebanyak 4 kelas. Hasil penelitian menunjukkan bahwa metode pembelajaran tersebut tergolong belum cukup efektif dikarenakan beberapa faktor yang menyebabkan proses terganggu di masa pandemi covid-19 ini. Namun pada dasarnya, metode pembelajaran ini dapat digunakan secara berkelanjutan untuk dapat meningkatkan kemampuan menulis puisi siswa ataupun dipembelajaran kemampuan lainnya. Nilai t-hitung untuk variable kelas Eksperimen sebesar 99,888 dengan probabilitas (Sig.) 0,000, sedangkan untuk variable kelas Kontrol nilai t-hitungnya sebesar 69.534 (lebih rendah daripada t-hitung variable Kelas Eksperimen) dengan nilai probabilitas (Sig.) 0,000 < 0,05. Rata-rata dari nilai perolehannya kelas eksperimen sebesar 83.65 sedangkan kelas kontrol hanya sejumlah 76.58. Namun, untuk indeks gain skor yang diperoleh Kelas Eksperimen (dengan model pembelajaran Kontekstual) hanya sebesar 42.2 atau apabila dipersentasekan sebesar 42.2% dan termasuk dalam kategori kurang efektif.
PEMBERDAYAAN MASYARAKAT: PENINGKATAN USAHA DESA BERBASIS KEUNGGULAN LOKAL DI DESA SANTAN TENGAH KABUPATEN KUTAI KARTANEGARA
Authors: Budiman Budiman , Alaydrus Anwar , Jumansyah Jumansyah , Syarifuddin Tengku Imam , Wahyuni Anita 
Published: September 2021

Abstrak

Meningkatkan peluang dan potensi usaha desa berbasis keunggulan lokal bertujuan untuk mengoptimalkan pembangunan Desa Santan Tengah dengan menggali potensi desa Santan Tengah yang kurang diketahuai oleh pemerintah desa dan diminati oleh masyarakat, sehingga kedepan desa Santan Tengah dapat menjadi desa mandiri melalui keunggulan lokal. Tahap awal kegiatan, akan dilakukan pembahasan awal dengan pihak pemerintah desa untuk mendapatkan gambaran umum terkait desa Santan Tengah, selanjutnya akan dilakukan survei potensi desa dengan kerja sama pihak desa. Tahap selanjutnya dari hasil survei tersebut dilakukan pembahasan bersama pihak desa dan beberapa perwakilan masyarakat untuk menentukan skala prioritas keunggulan desa yang dapat memberikan dampak signifikan terhadap pembangunan desa kedepan melalui usaha desa. Kemudian di sosialisasikan kepada masyarakat dalam rangka meciptakan kesadaran akan keunggulan desa yang dapat menjadi peluang dan potensi kemandirian ekonomi masyarakat desa. Luaran dari kegiatan ini berupa rekomendasi perencanaan strategis peningkatan uasaha desa, publikasi tulisan penciptaan desa madiri dan rencana prioritas usaha desa akan isosialisasikan secara daring dan luring secara berkelanjutan agar masayarakat dapat aktif dalam mendukung rencana peningkatan usaha desa Santan Tengah. Dari kagiatan pengabdian masyarakat ini memberikan manfaat kepada pemerintah desa dan masyarakat di desa Santanh Tengah berupa kemudahan dalam merencanakan alternatif perencanan strategis peningkatan usaha desa berbasis keunggulan lokal yaitu usaha minyak kelapa dan usaha pemasokan tandan buah segar (TBS) kelapa sawit hasil produksi perkebunan masyarakat kepada perusahaan pengelolah buah sawit.
UPAYA MENINGKATKAN MOTIVASI BELAJAR SISWA PADA MATA PELAJARAN GEOGRAFI DENGAN MODEL PEMBELAJARAN GUIDED DISCOVERY PADA SMAN 9 KOTA JAMBI
Authors: TIGWANDI TIGWANDI 
Published: September 2021

Penelitian ini bertujuan untuk: 1) mengetahui bagaimana gambaran motivasi belajar geografi siswa dengan menggunakan model pembelajaran Guided Discovery di kelas XII SMA Negeri 9 Kota Jambi. 2) mengetahui peningkatan motivasi belajar geografi dengan menggunakan model pembelajaran Guided Discovery di kelas XII SMA Negeri 9 Kota Jambi. Sasaran dalam penelitian ini adalah siswa kelas XII IPS-2 SMA Negeri 9 Kota Jambi yang berjumlah 35 siswa. Jenis penelitian yang digunakan adalah Penelitian Tindakan Kelas (PTK). Penelitian ini Terdiri dari 2 siklus dimana setiap siklus terdiri dari tiga pertemuan. Pertemuan ke-1 dan ke-2 merupakan pemberian materi dan pertemuan ke-3 adalah evaluasi akhir siklus. Motivasi penelitian ini menunjukkan 1) Rerata motivasi belajar siswa sebelum menggunakan model pembelajaran Guided Discovery adalah 40,67. Kemudian meningkat setelah penerapan model pembelajaran Guided Discovery pada siklus I sebesar 63,267 termasuk dalam kategori sedang, dan pada siklus II sebesar 75,33 juga termasuk dalam kategori sedang dengan persentase peningkatan 13,79%. 2) Motivasi observasi aktivitas siswa dalam proses belajar mengajar juga terjadi peningkatan, pada siklus I pertemuan pertama sebesar 60,14% kemudian mengalami peningkatan pada pertemuan kedua sebesar 68,88%. Pada siklus II pertemuan ke-1 sebesar 70,83% dan mengalami perubahan pada pertemuan ke-2 sebesar 78,47% termasuk dalam kategori “sangat aktif”.
Broadband Speeds in Fibered us Markets: An Empirical Analysis
Authors: Kotrous Michael , Bailey James 
Published: September 2021

ABSTRACTBroadband deployment policies have directly subsidized fiber providers because fiber broadband delivers fast download speeds. This article examines whether recent fiber buildout has increased competition for Asymmetric Digital Subscriber Lines (aDSL) and cable incumbents and whether entry by a fiber competitor predicts faster incumbent download speeds. Despite significant growth in fiber broadband service in the United States between 2014 and 2019, the number of fiber competitors in census blocks with aDSL or cable incumbents remains low. Further, our econometric results, while not interpretable as causal relationships, suggest that the entry of a rival fiber operator does not explain recent increases in cable and aDSL speeds.