bluuebunny/crossref_metadata_2025_split huggingface dataset:
Improving obstetrics and gynaecology departmental induction using simulation
Authors: Matary Rania El , Obadahun Wuraola , Herridge Daniel 
Published: November 2022

It is well established that trainee doctors struggle with the transition into a new department. There is evidence that simulation-based education (SBE) improves competence and confidence [1]. At our Trust, there is a one-day induction for Obstetrics and Gynaecology (O&G) introducing logistics of the Department and basic skills (e.g. rota and speculum examination). However, it had limited coverage of clinical knowledge, trust protocols, and management of common O&G presentations. The aim of this study was to improve the confidence of new doctors beginning their O&G clinical rotation by increasing their knowledge-base of common presentations, protocols, and procedures through designing and implementing a trainee-focused simulation-based training programme into their induction.
We collected feedback from six trainees who had undergone the previous induction programme regarding its utility and how confident the trainees felt on starting their rotation. It was evident from this that the induction did not adequately prepare them for their role and all were in agreement to have simulation embedded into the induction programme. We designed six scenarios based on common O&G presentations and used Trust Protocols (consenting, postnatal ward round checks, bleeding in pregnancy) as a guide for best practice. The programme was delivered to two cohorts (total of 12 trainees) in December 2021 and April 2022. During the new simulation-based induction, trainees completed a pre- and post-programme questionnaire which measured self-reported changes in confidence levels, O&G knowledge, and departmental protocols via a 5-point Likert scale. The questionnaire also explored their expectations of the day, whether they were met, and if this programme should feature permanently in the O&G departmental induction. These responses were analysed using the framework analysis.
Quantitative results revealed: increased confidence (+80%; p<0.001), decreased anxiety (-53.4%; p<0.001), increased knowledgebase (+50%; p=0.003), increased knowledge of Trust protocols (+82.6%: p=0.001), and all 12 participants were able to locate them when needed. Analysis of qualitative results revealed common themes of improved confidence, increased knowledgebase, clearer expectations of their job roles, and 100% of participants agreed that simulation should form a permanent part of their induction. Furthermore, their expectations of the programme were met was confirmed by the thematic analysis of participants’ expectations before and after the induction.
We recommend the use of simulation in departmental inductions as it is essential in improving trainee confidence; increasing their knowledge of common O&G presentations and of Trust protocols and procedures, and of their roles within the department.
1. Lateef F. Simulation-based learning: Just like the real thing. Journal of Emergencies, Trauma and Shock. 2010;3(4):348.
Introduction of an internal medical trainee high-fidelity simulation course programme
Authors: Simkin Mark 
Published: November 2022

The Trust felt that a targeted programme was needed to help further prepare Internal Medical Trainees’ (IMT) for their current duties and forthcoming roles as registrars. We wanted to provide them with the opportunity to boost their confidence and practice working alongside junior medical colleagues, in order to enhance patient safety [1]. These programmes could also work alongside the regional THRIVE and STRIVE sessions.
A three-year programme was introduced. For IMT year 1, it is a half-day of 3 scenarios following a patient’s journey through an admission with key objectives being around difficult decision-making and communication. For IMT year 2, this includes a day of 5 challenging scenarios based around situations the IMT’s are called for. They look at non-technical aspects of their job in the context of complex clinical situations including bradycardia, supraventricular tachycardia, cardiac arrests, mental capacity, and duty of candour. IMT year 3, includes two days with the IMT3A course involving trainees working with Foundation Year Doctors over 5 scenarios where they are escalated to as the senior on call. The focus is developing skills such as prioritisation, leadership and communication. All candidates take part in the debriefing. The IMT3B course is a day of 5 extremely challenging scenarios in difficult settings such as out of hours or with limited senior presence. These scenarios are devised to push the IMT3 candidates in order to help prepare them for working under pressure. Scenarios include difficult ethical decision-making, litigation issues, and complex patients (e.g. pregnancy).
The sessions were positively evaluated by the IMT who expressed how they will help change their practice and enhance patient safety (see
Feedback from the internal medical trainees
We feel that as the IMT work through the programme prepares them for what is a difficult transition. Over their IMT simulation training they will take part in 18 scenarios either as a candidate or in the debriefing. It has given the IMT the chance to have high quality training in a high-fidelity environment thus promoting enhanced care and patient safety.
1. Wayne D, Didwania A, Feinglass J, Fudala M, Barsuk J,McGaghie W. Simulation-based education improves quality of care during cardiac arrest team responses at an academic teaching hospital: A case controlled study. Chest. 2008;133(1):6–9.
Medical procedures initiative from simulation laboratory to medical wards
Authors: Hatta Syarifah Syafiqah Binti Wan Muhamad , Mahmoud Huda , Christian Vicky , Webb Steve , Oduntun Olawale , Marriot Joel 
Published: November 2022

Historically, attaining medical procedural competency during training has been challenging [1–3]. At a small district general hospital, initiatives were implemented to address these mandatory curriculum components.
1) Ten skill-sessions were organized, to encompass all mandatory procedures such as skills in central venous catheter, chest drain, ascitic drain, lumbar puncture, DC cardioversion, pacing, and interosseous access. Doctors, advanced clinical and nurse practitioners were invited to attend a face-to-face procedure session. Manikins alongside medical procedure toolkits were provided to assist in simulation training. Pre- and post-Likert Scale questionnaire was used to assess skill-specific confidence levels.
2) A specific WhatsApp group was used to alert doctors of procedural training opportunities within the hospital. Terms of reference and clear clinical governance guidance were provided prior to sign-up. To assess the effectiveness of this method, a questionnaire was distributed amongst the users.
Thirty-eight professionals in training attended the sessions. The cumulative rating of all skills revealed an improvement in skill confidence from 15% to 80%. This was most marked in the interosseous access (17% to 100%) and abdominal paracentesis (27% to 100%). However, aptitude in central venous catheter was identified as having the lowest confidence skill level both pre-and post-sessions (0% to 60%). 86% of trainees found the WhatsApp group to be effective or very effective to communicate procedural training opportunities within the hospital. Within six-months, bedside training in DC cardioversion, ascitic drains, interosseous access, pleural aspiration, and drains were achieved.
The training sessions improved skill-specific confidence. Equally, the more challenging procedural skills were identified for more training. Further plans for this Quality Improvement Programme will include utilizing the hospital’s online communication platform, organizing procedure-specific human factors teaching, and extending training sessions to consultants to evidence the upkeep of procedural competency.
We would like to thank and acknowledge the contribution of the Dinwoodie Charity Company of Physicians. The medical registrar: Empowering the unsung heroes of patient care. RCP, 2013.
1. Tasker F, Dacombe P, Goddard AF, Burr B. Improving core medical training – Innovative and feasible ideas to better training. Clinical Medicine. 2014;14(6):612–617.
2. Tasker F, Newbery N, Burr B, Goddard AF. Survey of core medical trainees in the United Kingdom 2013 – Inconsistencies in training experience and competing with service demands. Clinical Medicine. 2014;14(2):149–156.
3. Lim CT, Gibbs V, Lim CS. Invasive medical procedure skills amongst Foundation Year Doctors – a questionnaire study. JRSM Open. 2014;5(5):2054270414527934.
Japonya'da İslam Peygamberi Hz. Muhammed Hakkında Yapılan Çalışmalar (1873-1926): Dinler Tarihi Açısından Değerlendirme
Authors: KUŞÇULU Ayhan , KARAOĞLU Yetkin 
Published: November 2022

Amaç: Bu makalede, 1873-1926 yılları arasında Japonya’da Hz. Muhammed hakkında yapılan tercüme ve telif çalışmaların dinler tarihi perspektifinde değerlendirmesi amaçlanmıştır.
Yöntem: Nitel araştırma yöntemi bağlamında yürütülen makale, doküman incelemesine uygun olarak oluşturulmuştur.
Bulgular: Bu makalede, 1873-1926 yılları arasında Hz. Muhammed hakkında yapılmış çalışmaların hangi dini bakış açısından ele alındığı ve hangi kutsal kişi anlayışların ilgili eserlerde ağırlık kazandığına dair incelemeler yürütülmüştür. Bu sayede Hz. Muhammed’in kutsal bir şahsiyet olarak görüldüğüne dair bulgulara ulaşılmıştır.
Sonuç: Çalışmada Hz. Muhammed ilk olarak dini bir uzman ve kutsal kişi olarak algılanmıştır. İkinci olarak Hz. Muhammed, misyonu gereği kutsaldan emirler alan, dini kurallar belirleyen, bu kuralların nasıl uygulanması gerektiğine karar veren ve buna yönelik eylemlerde bulunan bir din kurucu olarak algılanmıştır. Üçüncü olarak Hz. Muhammed kendi toplumu için yabancı olmayan bir dini tesis etme gayretinde bulunan reformcu olarak algılanmıştır. Dördüncü olarak Hz. Muhammed mistik bir şahsiyet olarak algılanmıştır. Dolayısıyla Hz. Muhammed Japonya’da 1873-1926 yılları arasında dini uzman, din kurucu, reformcu ve mistik bir şahsiyet olarak dört bakış açısından ele alınmış onun kutsal bir şahsiyet olduğu ifade edilmiştir.
Özgünlük: Bu makalede, Hz. Muhammed’in 1873-1926 yılları arasında Japonya’da nasıl anlaşıldığı ilgili alan literatürü çerçevesinde açıklamaya kavuşturmaya yönelik incelemeler yürütülmüştür. Bu sayede ele alınan veriler Hz. Muhammed’in Japonya’da kutsal kişi olarak çeşitli bakış açılarından değerlendirildiği ve nitelendirildiğine dair özgün izahlara dönüştürülmüştür.
CONTANDO HISTÓRIAS E INSPIRANDO CRIANÇAS COM NARRATIVAS DE MULHERES CIENTISTAS
Authors: Soares Sara Silva , Hyrycena Ana Carolina , Pricinotto Gustavo , Crespan Estela dos Reis , Marciniuk Letícia Ledo 
Published: November 2022

Reflete-se neste texto a respeito de uma experiência mediante ao trabalho realizado na disciplina de “Instrumentação para o ensino de Química” em que nos propusemos em representar mulheres cientistas por meio de uma roda de conversa pautada na literatura de rachel ignotofsky em seu livro “As Cientista, 50 mulheres que mudaram o mundo” em um centro de convivência em uma região marginalizada na cidade de Campo Mourão (PR). O presente estudo apresenta um olhar sobre os efeitos motivadores de espaços não formais e suas possíveis contribuições para o ensino de Química, pois acreditamos que os ciclos de leituras em ambientes não institucionalizados é uma alternativa que aponta caminhos e possibilidades para romper com roteiros preestabelecidos em nossa sociedade patriarcal.
UM ESTUDO DO AVANÇO DA INDÚSTRIA 4.0 E OS DESAFIOS LOGÍSTICOS DO POLO INDUSTRIAL DE MANAUS
Authors: De Souza Carolina Gonçalves , Santos Luciano Balbino dos 
Published: November 2022

A presente pesquisa busca identificar o nível de maturidade da indústria no Brasil e no Estado do Amazonas, com relação as tecnologias que marcam a Quarta Revolução Industrial, conhecida pela expressão “indústria 4.0”. O objetivo consiste em avaliar em que medida, esse novo modo de produção impacta os processos logísticos experimentados pelas empresas que integram o Polo Industrial de Manaus (PIM), Capital do Amazonas, considerando o fato de que a logística se constitui no principal impedimento ao desenvolvimento desse Estado, em função do isolamento da região. Para isso, se faz uso de uma metodologia de natureza bibliográfica e exploratória, buscando identificar na literatura mais atualizada e pertinente ao tema, sinalizações que possam atender ao objetivo proposto. Os resultados mostram que os avanços do PIM, na direção da migração para a indústria 4.0 ainda é inexpressivo e que os desafios logísticos que impedem o aumento da competividade das empresas do Polo, também se configura como um grave problema para evolução das práticas que caracterizam a indústria 4.0, que precisa ser superado.
Exploraciones tecno-estéticas: reinterpretar el mundo a través de sus materialidades. Entrevista a Juan Pablo Zaramella
Authors: Martinez Luján Ailen , Zaramella Juan Pablo 
Published: November 2022

Juan Pablo Zaramella es uno de los realizadores de animación más destacados de este tiempo. Trabaja tanto en publicidad como en ficción y su técnica predilecta es el stop motion, a través del cual explora con distintas materialidades y posibilidades expresivas, para crear mundos, viñetas de universos alternativos que se imbrican en las posibilidades de lo cotidiano. Su obra propone volver a mirar y experimentar de otro modo los límites de lo real, entre la ficción, el humor y la sensibilidad artística.
En las líneas que siguen, se comparte una breve entrevista a Juan Pablo Zaramella en donde convergen la reflexión de su trayectoria profesional, sus búsquedas artísticas, las tecnologías y las dinámicas de la industria de la animación en Argentina.
PENYULUHAN TENTANG PENGELOLAAN BADAN USAHA MILIK DESA DI DESA TELAGA PACA KECAMATAN TOBELO SELATAN KABUPATEN HALMAHERA UTARA
Authors: Djiko Richard 
Published: November 2022

Kegiatan Pengabdian masyarakat ini bertujuan untuk meningkatkan pengetahuan tentang perencanaan dan pengembangan BUMdes dengan memanfaatkan potensi desa, dan meningkatkan pengetahuan tentang pengadministrasian keuangan BUMDes. Metode yang dipakai dalam kegiatan ini adalah penyuluhan dengan beberapa tahapan, yakni observasi untuk persiapan, kegiatan penyuluhan dan evaluasi. Kegiatan penyuluhan dihadiri oleh Pengelola BUMDes, Kepala Desa Telaga Paca, Anggota BPD, dan staf pegawai Kantor Desa Telaga Paca yang berjumlah 34. Hasil Evaluasi menunjukkan bahwa terjadi peningkatan pengetahuan tentang perencanaan dan pengembangan BUMdes dengan memanfaatkan fungsi manajemen. dan pengadministrasian keuangan BUMDes.
Characteristics of soil and water loss and its control technology in Power grid construction in the Loess Arid Area
Authors: Qian Yong , Han Li , Fang Jizhong , Xiao Qingming , Wu Yang 
Published: November 2022

Due to the variety of power transmission and transformation projects, through different types of erosion along the way, affected by topography, topography, climate and other factors, the forms of soil and water loss are also different. Taking A Power Supply Project In An Arid Arae (Part Of Qinghai Province) As An Example The Characteristics And Intensity Of Soil And Water Loss Caused By The Project Are Described From The Perspective Of Soil And Water Loss Prevention Area. Damage area of soil and water conservation facilities, soil and water loss risk analysis, soil and water loss prediction, etc. According to the prediction results, the project construction period (including construction preparation period and construction period) is determined as the main runoff area. This paper analyzes and evaluates the distribution of soil and water conservation measures, ecological restoration and effective management measures, and predicts the benefits of soil and water conservation measures. The Results Show That The Measures Adopted In Different Control Areas are reasonable And effective, and have good effect on Soil erosion control during the construction period. It can provide reference for soil and water loss prevention and control of the same production and construction projects in dryland and desert areas.
A Study on Static and Dynamic Provincial-level Measurements of Tourism Industry Efficiency in China -Based on Malmquist-Luenberger Index and SBM-DEA models
Authors: Liu Yuyao 
Published: November 2022

While existing studies have considered economic inputs and outputs into the industrial efficiency measurement models for eco-tourism industries in China, few of them have put environment inputs such as natural resources and outputs such as carbon emission into account. This study applies the tourism stripping factor method to measure provincial tourism carbon emissions and innovatively employs the Malmquist-Luenberger and SBM-DEA models with unfavorable outputs to evaluate the eco-efficiency of China's provincial tourism industry by adding input and output variables reflecting environmental factors. The study found that, unlike the results from traditional models without unfavorable outputs, which showed a slight downward trend in pure economic efficiency, the industrial efficiency including the environmental factors of 31 Chinese provinces showed an upward trend through the static analysis, representing an increase in the eco-efficiency of the tourism industry. The tourism industrial efficiency values in each region evaluated dynamically are less volatile than the results from traditional models, which may support the moderating effect of the technological upgrading of China's green industry on the efficiency of the tourism industry. Theoretical and empirical findings of this research are also illustrated.
Ecological effects of the road and railway in the Golmud-Lhasa section of the Qinghai-Tibet traffic corridor
Authors: Yang Siqi , Zhu Gaoru , Gao Yujian , Jiang Wenxi , Xu Donghui , Liu Jie 
Published: November 2022

The Qinghai-Tibet corridor includes road and railway in the highland area, characterized as the highest altitude, longest route and various sensitive ecosystems. Quantitative analysis of ecological effects along the Qinghai-Tibet corridor is critical to understand the impact of different traffic infrastructure on global hotpot of biodiversity maintenance. In this study, the Golmud-Lhasa national highway, railway and expressway were selected to analyse the impact of buffer zone and the pattern of landscape, thereby clarify the land use change, vegetation dynamics and landscape change. The results showed that the dominant type of grassland decreased and unused land increased in 2020 within the national highway buffer zone. As for railway station buffer zone, dominant grassland and unused land decreased while construction land increased in 2020. In buffer zones of national highway, there were contrary trends in cropland across periods, which decreased in 2000 and 2020 while increased in 2010; in different periods, the proportion of forest, water body and unused land increased, while the proportion of shrubland and construction land decreased, and waterbody and grassland were increased obviously within 0-3000m. In buffer zones of railway station, there were threshold effects in each land use types alongside distance gradients, in details, the threshold of grassland, shrubland and unused land was about 8000m. The vegetation status in the national highway and railway station buffer zone were improved over time, especially in the buffer zone of railway stations in 2010 and 2020. The results of landscape pattern index showed that although the highway construction caused the increased landscape fragmentation, it also improved the diversity and evenness of landscape. Therefore, the future expressway construction should be aimed at improving connectivity and maintaining stability.
Redesign Lembar Kerja Siswa Pembelajaran Matematika dengan Menggunakan Bahasa Akhlak
Authors: Hamid Hijerani , Nurdin K.  , Mirnawati  
Published: November 2022

Penelitian ini membahas tentang Redesign (mendesain ulang) Lembar Kerja Siswa (LKS) Pembelajaran Matematika dengan Menggunakan Bahasa Akhlak di kelas V SDIT Al-Bashirah Kota Palopo. Penelitian ini bertujuan: Untuk mengetahui rancangan/design LKS matematika dengan menggunakan bahasa akhlak di kelas V SDIT Al-Bashirah Kota Palopo; Untuk mengetahui tingkat kevalidan LKS matematika dengan menggunakan bahasa akhlak di kelas V SDIT Al-Bashirah Kota Palopo. Jenis penelitian ini adalah penelitian Research and Development (Penelitian dan Pengembangan) dengan mengacu pada model pengembangan 4D yang terdiri dari 4 tahap utama yaitu, Define (Pendefinisian), Design (Desain), Develop (Pengembangan), dan Desseminate (Penyebaran). Akan tetapi pada penelitian ini, peneliti membatasi tahap penelitian pada tahap Develop (Pengembangan). Instrumen yang digunakan berupa lembar validasi dengan analisis data berupa uji validitas LKS. Hasil penelitian menunjukkan bahwa: (1) Rancangan/design LKS matematika dengan menggunakan bahasa akhlak mengacu pada model pengembangan 4-D dengan mendesain ulang LKS rujukan dari segi bahasa dan tampilan LKS menjadi tampak Islami, (2) LKS matematika dengan menggunakan bahasa akhlak telah memenuhi kriteria bahan ajar yang valid yaitu rata–rata penilaian 3,49 berada pada kategori valid.
Responsibility Guru Pendidik Agama Islam di Sekolah Luar Biasa
Authors: Mariska  , Muhaemin  , Firman  
Published: November 2022

Penelitian ini bertujuan untuk: 1. Mendeskripsikan tentang metode penanaman pendidikan agama Islam di SLB Negeri 1 Palopo, 2. Menemukan kendala dalam menanamkan pendidikan agama Islam di SLB Negeri 1 Palopo. Jenis penelitian yang digunakan adalah penelitian kualitatif. Pemeriksaan data pada penelitian ini dilakukan dengan cara perpanjangan, keikutsertaan, ketekunan, pengamatan melalui wawancara atau diskusi, dan pengamatan secara langsung. Analisis data dilakukan dengan memberikan makna terhadap data yang berhasil dikumpulkan dalam analisis data peneliti menggunakan teori Seiddel yakni Mencatat hasil data dari lapangan, Mengumpulkan, dan Berfikir tentang keterkaitan data yang ada. Hasil penelitian menunjukan bahwa: Guru Pendidikan Agama Islam di SLB Negeri I Palopo menggunakan pendekatan persuasif. Pembinaan ini dilakukan dengan kondisi peserta didik, adapun strategi yang digunakan yaitu strategi pengajaran kooperatif, modifikasi tingkah laku dengan metode maternal reflektif (MMR) dan ceramah. Materi yang diajarkan meliputi pembinaan iman (seperti pengenalan rukun iman), ibadah (tata cara wudhlu, shalat berjamaah), dan akhlak (bertingkah laku dengan teman, guru dan orang tua)., 2. faktor penghambat pembinaan agama Islam di SLB Negeri I Palopo adalah kemampuan dan karakter anak yang tidak sama, dan guru yang kurang., adapun kendala lain yaitu penggunaan mushallah sebagai pusat pembinaan belum maksimal karena dalam tahap perbaikan. Selain itu minimnya alat peraga menjadi satu penghambat dalam memberikan materi kepada peserta didik.