bluuebunny/crossref_metadata_2025_split huggingface dataset:
A50The SEIPS game: An interprofessional teaching aid to promote understanding of human factors in healthcare
Authors: Millett Ruth , van Vuren Eloise , Wadsworth Jessica , Blair Jennifer 
Published: October 2023

As a human-factors focused simulation centre, we begin all our simulation courses with a human factors workshop introducing participants to the SEIPS model of human factors [1]. This enables them to explore systems-based impacts on clinical practice during post-scenario debriefs. However, we have noticed that some participants struggle to identify and discuss human factor themes which impact on them in their workplace. We aimed to develop an innovative teaching aid which would promote participant understanding and engagement.
Previous experience has provided evidence that participants enjoy simulation games. Therefore, we chose to develop a table-top game to play with participants based on the SEIPS work system. We worked with interprofessional colleagues to identify factors that help and hinder processes in the work system and categorized them under SEIPS headings. We made a series of cards based on these factors which participants collect. The winner was the person who collected a helpful card for each SEIPS heading first.
We have piloted our SEIPS game with interprofessional faculty, including those with specialist expertise in human factors in healthcare. We surveyed participants to obtain feedback. Survey results so far include data contained in
‘Play’ is a kinaesthetic way of learning and helps embed ideas and thinking. It also can create opportunities for discussion on different headings for human factors and systems thinking.
The examples are fun but are also realistic so helps you see how HF is relevant. With the examples of human factors in the game it could be useful for staff with little clinical experience.
Liked the competitive element and the examples helped expand on what SEIPS was and how it could be relevant to lots of areas.
SEIPS game participant survey results
We have developed a SEIPS game to facilitate discussion of human factors in healthcare. This novel approach has received positive initial feedback following our pilot. We are confident we can now move forward to integrate our SEIPS game into our Foundation Doctor’s simulation programme from August 2023. Following this, we intend to continue the process of data collection and analysis, with the intention of incorporating our SEIPS game more widely across simulation courses within various clinical specialties in future.
Authors confirm that all relevant ethical standards for research conduct and dissemination have been met. The submitting author confirms that relevant ethical approval was granted, if applicable.
A41Implementation of virtual clinical experiences for Myanmar medical students: a pilot rollout of remote-synchronous simulation
Authors: Raza Haseeb , Gupta Anchal , Ahmed Abdelrahman , Ying Haw , Ling Tan Huai , Hesg Swe 
Published: October 2023

Background and aim:
Severe disruptions have plagued Myanmar’s undergraduate and postgraduate medical education – firstly with the Covid-19 pandemic and later with a military coup d’état in February 2021. In the wake of the current humanitarian and political crisis, many medical students partaking in civil disobedience have been driven underground for fear of retribution. Foregoing bedside teaching and crucial clinical learning opportunities in hospitals – for online education through teleconferencing and live broadcast via social media. To scale up these efforts the Global Health Education Group’s (GHEG) novel XR platform was piloted to provide remote clinical experiences streamed to Myanmar students with the help of diaspora doctors and virtual patients in the UK [1].
Methods:
The pilot held over a 4-day period in February comprised 4 Virtual Clinical Experience (VCE) sessions each covering two simulated patient scenarios related to the following disciplines: Medicine, Surgery, Obstetrics and Gynaecology, and Paediatrics. Each session had an introductory, consultation, and debrief phase that ran for 1.5 – 2 hours altogether. This was held on GHEG’s newly developed Virtual CP platform [2], which enabled the students to view a live stream of the consultation with the patient-actor through the clinician’s smart glasses and provided the opportunity for real-time interaction.
Results:
The sessions were successfully delivered to 400 students from across 5 Myanmar Universities. The student’s satisfaction was assessed using an anonymous feedback form that was disseminated; a total of 38 responses was obtained which was overwhelmingly positive. 76.3% of the respondents rated the session to be ‘helpful’ or ‘extremely helpful’ and 68.4% rated the session to be representative of a real clinical experience. On a scale out of 10, 57.8% of respondents rated the VCE platform a 6 and above on ease of use. Technical difficulties did arise affecting 68.4% of respondents, although free text feedback purported they were promptly addressed in subsequent sessions.
Conclusion:
Synchronous remote learning through virtual clinical experiences can be used to address the dearth of clinical opportunities afforded to medical students in Myanmar.
Ethics statement:
Authors confirm that all relevant ethical standards for research conduct and dissemination have been met. The submitting author confirms that relevant ethical approval was granted, if applicable.
A94Starting from scratch, creating a sustainable multi-professional student simulation programme
Authors: Hester Ben , Hill Shona 
Published: October 2023

Simulation Based Education (SBE) is well established across healthcare disciplines. However, the benefits can only be obtained in their entirety if simulation is embedded routinely in the healthcare system [1].
Aim: To create and embed SBE sessions targeted at Nursing and Allied Health Profession students within their placement learning.
We collaborated with clinicians to create training sessions covering clinical and transferable skills alongside scenarios that are not covered in university teaching. Attendance of the sessions was voluntary, allocating places on a first come, first served basis.
The session format consisted of an initial teaching presentation followed by a simulated scenario, debrief, topic specific activities and a final group discussion.
We collated data from students immediately after the session via anonymous, online feedback forms. We have since sent follow up questionnaires to all students we had contact details for who attended a session in 2022.
We created and delivered 18 simulation training sessions covering 13 topics, totalling 70 hours of training delivery. A total of 103 students from 6 professional groups participated. The students were in varying stages of their education, belonging to 8 HEIs. We received 74 responses out of the 103 students.
Our results showed 99% of students felt the training session met their learning needs and 62.7% found the simulation and debrief the most beneficial part. Additionally, 87.5% found it beneficial working alongside other students and 81.3% reported the session allowed them to gain better understanding of differing professional roles.
Students’ confidence levels relating to their ability to manage the clinical scenario significantly increased post simulation with 64.7% rating ‘Somewhat Confident’ and 27.5% rating ‘Extremely Confident’.
We received 26 responses to the follow up questionnaire. In total 94% reported they have since applied the skills they learnt in practice. Furthermore, 42.9% stated their experience in our sessions had been influential in considering applying for posts in Trust.
Simulation allows NHS students to learn essential clinical skills and collaborative working [2]. Our data proves our sessions are successful in increasing confidence scores, insight into other roles and provided invaluable networking time and peer support.
We have created a catalogue of simulations that are sustainable and can be utilized in future student placements. We can also conclude we are not only developing our student NHS population but directly influencing our future workforce in Somerset.
Authors confirm that all relevant ethical standards for research conduct and dissemination have been met. The submitting author confirms that relevant ethical approval was granted, if applicable.
A97Applying the Mental Capacity Act through multi-disciplinary simulation - A successful pilot
Authors: Gonzalez Sebastian , Wood Jennie , Stevens Lisa , Plaum Christiane , John Sini , Opoku Eric 
Published: October 2023

An assessment of mental capacity involves determining if a person can make a decision, or whether this needs to be done in their best interests [1]. The Mental Capacity Act (MCA) 2005, provides a legal framework that protects people who might not be able to make decisions for themselves and guides professionals during their practice. Research has shown inconsistencies on how the Mental Capacity Act is applied in health and social care settings [2], therefore ensuring that professionals have are provided with the right support to confidently apply the act should be a priority. Simulation has been effectively used in healthcare education [3] and could also be implemented to support this area of practice. The Homerton Healthcare NHS Foundation Trust’s Simulation Team and Adult Safeguarding Team, jointly worked in developing a simulation-based session which focused on mental capacity assessments in different situations. The aim of these sessions was to increase participants’ confidence to assess mental capacity and to manage challenging conversations during assessment.
Scenarios were designed for hospital and community settings, the topics covered included consent to treatment, self-discharge, compliance with treatment, substance misuse, mental health problems, dementia and learning disability. The target audience was senior healthcare professionals that are regularly involved in making decisions related to mental capacity. Scenarios were designed to be flexible and adaptable according to the attendants’ needs, for example the learning disability scenarios involved the use of easy read information that was specifically provided or created. Actors were used for the role of patients or relatives, and members of the adult safeguarding team were part of the faculty to support or lead the debrief process.
Between January 2023 and February 2023, the faculty delivered 3 sessions, with a total of 20 participants from different professional groups including doctors, nurses and allied health professionals. Anonymous feedback was collected at the end of each session, with 84.62% (
Studies have shown that healthcare professionals’ confidence in applying the mental capacity act can vary [2]. Solely focusing on traditional forms of education might not be enough to prepare our workforce, in this case simulation-based training has provided a valuable tool to enhance participant’s abilities in relation to the mental capacity act and its application in healthcare practice.
Authors confirm that all relevant ethical standards for research conduct and dissemination have been met. The submitting author confirms that relevant ethical approval was granted, if applicable.
Giving Soursop Leaf Extract (Annona Muricata L) to Lower Blood Pressure for Patients with Hypertension
Authors: Ayunita Dian , Supodo Timbul , Akbar Torontju Sultan 
Published: October 2023

Backgrounds: In Muna Regency, if we look at the prevalence of hypertension incidence data in Katobu District with a population of 31,929 people. In 2016 it was known that the prevalence of hypertension was 80 cases per thousand population, in 2017 there were 145 cases per thousand population, in 2018amounted to 143 cases per thousand population, in 2019 there were 145 cases per thousand population and in 2020 there were 130 cases per thousand population. Based on this, it is interesting for researchers to conduct research on Giving Soursop Leaf Extract (Annona Muricata L) To Lower Blood Pressure For Patients With Hypertension.
Methods: The type of research conducted is pre-experimental research with a Pretest-Posttest design. The research was carried out in the working area of ​​the Katobu Public Health Center from April to June 2022 totaling 56 people with a sample of 49 people.
Results: The average hypertension decreased in the first week 177.24, the second week 171.73 and the third week after administration of soursop leaf extract 171.19, the difference in blood pressure reduction of the three treatment groups. Judging from the ANOVA table, the column Sig. obtained P value (P-value) = 0.000.
Conclusion: There is a significant effect between the administration of soursop leaf extract on reducing blood pressure in patients with hypertension in the working area of ​​the Katobu Public Health Center, Muna Regency.
Factors Related to the Incidence of Malaria in Konawe Islands Regency
Authors: Orin Orin , Saafi La Ode , Azizi Jaya Jayadipraja Erwin 
Published: October 2023

Introduction: This study aims to analyze risk factors related to the incidence of malaria in Konawe Islands Regency.
Methods: Research used in this study is observational research with case control design. Case groups are all respondents who have been affected by malaria, while the control group is a person who is negatively plasmodium. This study was conducted in Konawe Islands Regency with a sample of 92 respondents, consisting of 64 case groups and 46 control groups in Konawe Islands Regency.
Results: Bivariate analysis which is a risk factor for malaria events is the environmental factor of the ceiling (p-value = 0.028 OR = 3,500 Cl 95%= 1,112-11,017) and puddles (p-value = 0.037 OR = 3,763 Cl 95%= 1,038 - 13,646)
Conclusion: From the results of multivariate analysis, risk factors that affect malaria events are the existence of breeding sites, the condition of the walls of the house and the presence of bushes. The most influential factor on the risk of malaria events is the presence of breeding site (P-value = 0.028 OR = 3,500 Cl 95%= 1,
Risk Factors for Stroke Events in Bahteramas Hospital, Southeast Sulawesi Province
Authors: Seniwati Seniwati , Supodo Timbul , Rahmawati Rahmawati 
Published: October 2023

Background: Based on Stroke data in the Bahteramas Hospital of Southeast Sulawesi Province in 2019, there were 53 cases. In 2020 the number of stroke cases was 119 cases and in 2021 the number of stroke cases was 164 cases. The purpose of the study was to analyze the risk factors for Hypertension, DM, Cholesterol and Diet against the incidence of Stroke in the Bahteramas Hospital, Southeast Sulawesi Province.
Methods: This study used a Case Control Study approach. The population numbered 136 people. The Study Sample totaled 68 of Stroke patients and 68 of patients who did not stroke. The sample technique is Simple Random Sampling. The data is processed using the Odds Ratio Test and logistic regression.
Result: The results showed that hypertension is a risk factor with an OR value of 12,963, Diabetes Mellitus or OR value of 2,263, cholesterol OR value of 7,756 and a diet of OR value of 1,304. Regression tests showed that hypertension and cholesterol were the factors most at risk for stroke
Conclusion: Hypertension, diabetes mellitus, cholesterol and diet are risk factors for the incidence of stroke in the Bahteramas Hospital, Southeast Sulawesi Province. The most dominant factors at risk for the incidence of stroke are hypertension and cholesterol.
Risk Factors for Neonatal Death in Konawe Islands District
Authors: Badriah Siti , Amraeni Yunita , Tasnim Tasnim 
Published: October 2023

Background: The prevalence of neonatal mortality rate of Konawe Islands Regency in 2019 was 22 per 1000 live births, in 2020 it was 26.2 per 1000 live births and experienced a significant increase in 2021 to 34.9 per 1000 live births (Konawe Islands Regency Health Office 2019-2021). The purpose of the study was to analyze the risk factors of Mothers, Infants, Work and Postpartum care for Neonatal deaths in the Konawe Islands Regency.
Methods: This study used a Case Control Study approach. The population numbered 48 people. The Study Sample totaled 24 case samples and 24 control samples. The sample technique in this study is Simple Random Sampling. The data is processed using the Odds Ratio Test.
Result: The results showed that the gestational age or 7,286 LL value 2,034 and UL 26,102, PARITY OR 3,215 LL value 0.902 and UL value 11,460, disease history OR 6,000 LL value 1,711 and UL value 21,038, BMI OR 4,200 LL value 1,228 and UL value 14,365, against Neonatal deaths in the Konawe Islands Regency Area.
Conclusion: The conclusions in this study show that maternal factors, infant factors and postpartum care are risk factors while occupation is not a risk factor for neonatal mortality in the Konawe Islands Regency. It is expected for the Health Office and Puskesmas to always provide education in the form of counseling and counseling related to maternal and child health to reduce neonatal death cases.
Administração pública consensual e o direito à participação
Authors: Pinto Vitor Barbosa , De Carvalho Luciani Coimbra 
Published: October 2023

No estágio atual do Estado democrático de direito há a preocupação com a criação de espaços decisórios que possibilitem a participação ativa do povo na tomada de decisões da Administração Pública. Nesse cenário, o presente artigo tem por problemática presente artigo, ora pretende-se analisar de modo geral a participação popular na tomada de decisões da administração pública e de modo específico, analisar a gestão consensual na Administração Pública em um Estado Democrático de Direito. Os resultados foram encontrados através da pesquisa descritiva e exploratória, utilizando-se da coleta de dados em fontes documentais e bibliográficas com a análise e comparação de normas, obras e artigos científicos. A base lógica se deu por meio do método dedutivo, partindo-se de teorias gerais para chegar a conclusões particulares. Resultados parciais apontam que a participação administrativa tem sido substanciada juridicamente, como uma forma de aproximar a ação estatal com a comunidade e atender princípios instrutores de um Estado Democrático de Direito.
A utilização da comunicação via satélite como meio de contribuição no ensino em localidades remotas através da educação mediada por tecnologias
Authors: Oliveira Tiago Coelho , Damasceno Williams Sousa , Silva Ivys de Alcântara , Rodrigues Robson Alves , Bandeira Márcia Cristina dos Santos , Da Silva Edilson Mateus Costa 
Published: October 2023

Mesmo com o avanço da tecnologia e acesso à internet, muitas regiões periféricas ainda não possuem acesso à internet e ensino de qualidade como nas regiões centrais. Pesquisas mostram que há obstáculos para o ensino à distância em lugares remotos, principalmente pelas limitações de acesso às tecnologias nessas regiões. Este artigo tem como objetivo mostrar como está sendo realizado o aprendizado de alunos em localidades remotas do Estado do Pará por meio da utilização da comunicação via satélite através de um projeto realizado pela Secretaria de Educação, em uma modalidade de ensino intitulada Educação mediada por tecnologias. Este trabalho apresenta, além de elementos técnicos da composição da estrutura tecnológica para o funcionamento das aulas, os tipos de serviços utilizados, bem como alguns resultados obtidos com a implantação do projeto.
Penerapan Technique for Order Performance by Similarity to Ideal Solution (TOPSIS) untuk Mendiagnosa Penyakit Bercak Daun Cabai
Authors: Devianto Yudo , Dwiasnati Saruni , Sukowo Bambang , Fauzi Ahmad , Baihaqi Kiki Ahmad 
Published: October 2023

Produktivitas tanaman cabai bergantung kepada iklim, lingkungan, serta hama dan penyakit. Petani yang baru dalam budidaya cabai merah menghadapi beberapa kesulitan karena memiliki sedikit pengalaman dalam budidaya, sehingga sulit untuk mengidentifikasi jenis penyakit dan hama yang menyerang. Hal ini menyebabkan penurunan produktivitas. Selain itu, petani juga belum memiliki pengalaman dalam menangani masalah yang timbul pada tanaman yang mereka budidayakan. Dalam rangka membantu petani mengatasi masalah ini, SPK berbasis web telah dikembangkan. Sistem ini menggunakan metode Technique for Order of Preference by Similarity to Ideal Solution (TOPSIS). Kriteria yang digunakan dalam metode ini adalah daun mudah mengkerut dengan warna mosaic kekuningan, daun mengkerut hingga menjadi ukuran kecil dan lebih tebal, bercak bulat berwarna coklat pada daun yang mengering, terdapat lubang pada bercak tua, dan pucuk daun yang berubah menjadi kuning jelas. Alternatif yang dipertimbangkan dalam penelitian ini Daun Cabai " Penyakit Layu Bakteri ", Daun Cabai " Layu Pusertium ", Daun Cabai " Penyakit Virus Kuning ", dan Daun Cabai “Penyakit Bercak Daun”. Perhitungan dengan metode TOPSIS, Daun Cabai " Penyakit Virus Kuning" mendapatkan peringkat dengan nilai preferensi sebesar 2.0118. Penelitian ini disimpulkan bahwa metode TOPSIS dapat digunakan untuk mengetahui daun cabai dengan kriteria apa yang terbaik berdasarkan kriteria
Prevalence and Commonly Employed Premenstrual Syndrome Management Strategies Among Female Students at a Private University in Kenya
Authors: Ruto Abigail , Kipkoech Vincent , Barasa Bristone , Walekhwa Michael 
Published: October 2023

Premenstrual syndrome (PMS) is a common occurrence experienced by most women before and during their menstrual period. It is estimated that 58.1% of university going students in Turkey experience PMS while 53.87% female students in Ethiopia experience PMS. The condition is widely spread affecting 95.5% of female nurses in Nairobi, Kenya. Different management interventions have been used to manage PMS symptoms including use of painkillers and massage but; information on how University students manage the symptoms is either limited or completely lacking. This study aimed to investigate the prevalence of premenstrual syndrome (PMS) and commonly employed management strategies among female students enrolled at Kabarak University in Kenya. A cross-sectional descriptive study was conducted among 356 female students at Kabarak University from December 2022 to February 2023. Subjects were recruited using simple random sampling technique. Standardized close-ended questionnaires were used to collect data on prevalence and commonly used medical interventions. A total of 316 valid responses were obtained representing an 88.76% response rate. Majority of study subjects were between the ages of 18-23, single, and in their first year of education. Prevalence of PMS among the participants was found to be high, with 86.7% reporting experiencing PMS symptoms. The most common duration of menstrual cycles reported was 4-6 days. The majority of participants (63.9%) used some form of treatment to manage PMS symptoms, with medication being the most commonly employed approach (51.3%). Non-pharmacological interventions such as sleeping and warm/cold showers were also frequently utilized. In conclusion, PMS prevalence was high at the university highlighting the need for increased awareness and support for female students. Additionally, tailored interventions that address the diverse needs and preferences of the students are crucial for effectively managing their PMS symptoms.