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Rohman, Mojibur, Marji ., Dwi Agus Sudjimat, and R. Machmud Sugandi. "Dukungan Keluarga dan Kesiapan Kerja di Kalangan Siswa SMK di Indonesia: Efek Mediasi dari Wawasan Dunia Kerja." Jurnal Pendidikan Teknik Mesin Undiksha 10, no. 1 (March 31, 2022): 1–9. http://dx.doi.org/10.23887/jptm.v10i1.43409.
Повний текст джерелаАнотація:
Abstrak Kesiapan kerja siswa kejuruan di Indonesia menjadi salah satu isu penting yang terus dibahas. Hal tersebut dikarenakan lulusan pendidikan kejuruan tersebut masih menduduki posisi teratas untuk angka pengangguran dibandingkan tingkat pendidikan yang lain. Rendahnya kesiapan kerja di kalangan siswa dipengaruhi oleh banyak faktor yang perlu diidentifikasi. Penelitian ini bertujuan untuk menguji secara empiris pengaruh dukungan keluarga terhadap kesiapan kerja siswa kejuruan yang dimediasi oleh wawasan dunia kerja. Untuk itu 115 siswa dipilih melalui teknik cluster random sampling dari 4 SMK yang ada di Jawa Timur, Indonesia. Pengumpulan data menggunakan kuesioner untuk mengukur skala dukungan keluarga, wawasan dunia kerja dan kesiapan kerja siswa. Pengujian hipotesis dilakukan dengan analisis jalur pada tingkat signifikansi 0,05. Hasil penelitian menujukkan bahwa dukungan keluarga berpengaruh signifikan terhadap kesiapan kerja siswa, baik secara langsung maupun tidak langsung melalui wawasan dunia kerja. Dengan demikian, keterlibatan keluarga harus maksimal dalam memberikan dukungan yang dibutuhkan oleh siswa. Di sisi lain, sekolah harus mampu menyediakan informasi pekerjaan yang tepat untuk membantu siswa dalam memperluas wawasan mereka tentang dunia kerja.Kata kunci: kesiapan kerja; dukungan keluarga; wawasan dunia kerja; SMK. AbstractJob readiness of vocational students in Indonesia is one of the important issues that continues to be discussed. This is because vocational education graduates still occupy the top position for unemployment rates compared to other levels of education. The low job readiness among students is influenced by many factors that need to be identified. This study aims to empirically examine the effect of family support on vocational students' job readiness mediated by the world of work insight. For this reason, 115 students were selected through a cluster random sampling technique from 4 vocational schools in East Java, Indonesia. Collecting data using a questionnaire to measure the scale of family support, insight into the world of work and student work readiness. Hypothesis testing was carried out by path analysis at a significance level of 0.05. The results of the study show that family support has a significant effect on students' work readiness, both directly and indirectly through insight into the world of work. Thus, family involvement should be maximized in providing the support needed by students. On the other hand, schools must be able to provide appropriate job information to assist students in broadening their horizons about the world of work.Keywords : working readiness; family support; insight into the world of work; SMK.DAFTAR RUJUKANSuswanto, H., Asfani, K., and Wibawa, A.P. (2017). Contribution of teaching performance, learning satisfaction and achievement motivation to students’ competence achievement. Global J. of Engng. Educ., 19, 1, 66-71.Billett, S. (2011). Vocational Education Purposes, Traditions and Prospects. New York: Springer,.Pavlova, M. (2009). Technology And Vocational Education For Sustainable Development : Empowering Individuals for the Future. Queensland: Springer.Badan Pusat Statistik (BPS), Tingkat Pengangguran Terbuka (TPT) sebesar 5,34 persen (2018), 14 May 2019, https://www.bps.go.id/pressrelease/2018/11/05/1485/agustus-2018--tingkat-pengangguran-terbuka--tpt--sebesar-5-34-persen.htmlSasmito, A.P., Kustono, D. & Patmanthara, S. (2015). Kesiapan Memasuki Dunia Usaha/Dunia Industri (DU/DI) Siswa Paket Keahlian Rekayasa Perangkat Lunak di SMK. Teknologi dan Kejuruan, 38, 1, 25-40.Caballero, C., Walker, A., & Fuller-Tyszkiewicz, M. (2011). The Work Readiness Scale (WRS): Developing a measure to assess work readiness in college graduates. J. of Teaching and Learning for Graduate Employability, 2, 2, 41-54.Caballero, C., & Walker, A. (2010). Work readiness in graduate recruitment and selection: A review of current assessment methods. J. of Teaching and Learning for Graduate Employability, 1, 1, 13- 25.Setyawati, R., (2017). Pengaruh Pengalaman Praktik Kerja Industri, Pelaksanaan Bimbingan Kejuruan dan Dukungan Keluarga terhadap Kesiapan Kerja Siswa SMK Swasta di Kabupaten Bantul. Jurnal Sosial Humaniora dan Pendidikan, 2, 1, 36-45.Grant, K.B. & Ray, J.A., (2010). Home, School, and Community Collaboration. United Stae of America: SAGE Publication, Inc.,King, R.B., & McInerney, D.M., (2019). Family-support goals drive engagement and achievement in a collectivist context: Integrating etic and emic approaches in goal research. Contemporary Educational Psychology 58, 338-353.Igberadja, S., (2015). Factors Influencing Performance In Basic Technology Among Secondary School Students of Delta South Senatorial District in Delta State, Nigeria, Journal of Technical Education and Training (JTET), 7, 2, 24-34.Odo, M. I. (2015). Sustaining Occupational Information for Career Choice and Development in Students of Technical Colleges in Enugu State, Nigeria. Journal of Technical Education and Training (JTET), 7, 1, 1-9.Saniter, N., Schnitzlein, D.,D., & Siedler, T. (2019). Occupational Knowledge and Educational Mobility: Evidence from the Introduction of Job Information Centers. Economics of Education Review, 69, 108-124.Feldt, L.S., & Brennan, R.L., (1989). Reliability educational measurement. New York: McMillan Publishing Company.Isarabhakdi, P. & Pewnil, T. (2016). Engagement with family, peers, and Internet use and its effect on mental well-being among high school students in Kanchanaburi Province, Thailand, International Journal of Adolescence and Youth, 21, 1, 15-26.Smitsa, J. & Hosgor, A.G. (2006). Effects of family background characteristics on educational participation in Turkey, International Journal of Educational Development, 26, 545-560.Ismail, M.E., Hashim, S., Hamzah, N., Samad, N.A., Masran, S.M., Mat Daud, K.A., Amin, N.F.M.,, Samsudin, M.A. & Kamarudin, N.Z.S. (2019). Factors that Influence Students’ Learning: An observation on Vocational College students, Journal Of Technical Education And Trainin, 11, 1, 93-99.Ainane, S., Bouabid, A. & Sokkary, W.E. (2019). Factors that influence the high percentage of women enrolled in engineering in the UAE and preparing for careers in the oil and gas industry, Global Journal of Engineering Education., 21, 1, 62-68.
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Zoeckler, Jeanette M. "Occupational Stress Among Home Healthcare Workers: Integrating Worker and Agency-Level Factors." NEW SOLUTIONS: A Journal of Environmental and Occupational Health Policy 27, no. 4 (November 23, 2017): 524–42. http://dx.doi.org/10.1177/1048291117742678.
Повний текст джерелаАнотація:
Home healthcare work is physically and emotionally exhausting. In addition, home healthcare workers frequently work under precarious work arrangements for low wages and in poor work conditions. Little is known about how sources of job strain for home healthcare workers might be reduced. This research examines the occupational stressors among paid home care workers by analyzing home healthcare agency characteristics and individual home healthcare workers’ experiences in upstate New York agencies (n = 9). The study augments existing theoretical models and describes new sources of stress arising from the nature of agency-based caregiving. Results feature the analysis of both agency executives’ (n = 20) and home healthcare workers’ narratives (n = 25) to make the agency's inner workings more transparent. Agency structures and culture are implicated in the lack of progress to address home care workers’ health problems. Policy change should focus on compensation, healthier work conditions, and training requirements.
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Yung, Janette, Jiehui Li, Rebecca D. Kehm, James E. Cone, Hilary Parton, Mary Huynh, and Mark R. Farfel. "COVID-19-Specific Mortality among World Trade Center Health Registry Enrollees Who Resided in New York City." International Journal of Environmental Research and Public Health 19, no. 21 (November 2, 2022): 14348. http://dx.doi.org/10.3390/ijerph192114348.
Повний текст джерелаАнотація:
We examined the all-cause and COVID-19-specific mortality among World Trade Center Health Registry (WTCHR) enrollees. We also examined the socioeconomic factors associated with COVID-19-specific death. Mortality data from the NYC Bureau of Vital Statistics between 2015–2020 were linked to the WTCHR. COVID-19-specific death was defined as having positive COVID-19 tests that match to a death certificate or COVID-19 mentioned on the death certificate via text searching. We conducted step change and pulse regression to assess excess deaths. Limiting to those who died in 2019 (n = 210) and 2020 (n = 286), we examined factors associated with COVID-19-specific deaths using multinomial logistic regression. Death rate among WTCHR enrollees increased during the pandemic (RR: 1.70, 95% CL: 1.25–2.32), driven by the pulse in March–April 2020 (RR: 3.38, 95% CL: 2.62–4.30). No significantly increased death rate was observed during May–December 2020. Being non-Hispanic Black and having at least one co-morbidity had a higher likelihood of COVID-19-associated mortality than being non-Hispanic White and not having any co-morbidity (AOR: 2.43, 95%CL: 1.23–4.77; AOR: 2.86, 95%CL: 1.19–6.88, respectively). The racial disparity in COVID-19-specific deaths attenuated after including neighborhood proportion of essential workers in the model (AOR:1.98, 95%CL: 0.98–4.01). Racial disparities continue to impact mortality by differential occupational exposure and structural inequality in neighborhood representation. The WTC-exposed population are no exception. Continued efforts to reduce transmission risk in communities of color is crucial for addressing health inequities.
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Leibowitz, George S., Win Turner, Patricia Bruckenthal, Maria Mezzatesta, Kelly S. Ramsey, and Mary Ellen Dyer. "Lessening the Impact of Opioid Misuse at a Federally Qualified Health Center in New York: Outcomes of an Integrated Workforce Training Program." Public Health Reports 138, no. 1_suppl (May 2023): 42S—47S. http://dx.doi.org/10.1177/00333549231170216.
Повний текст джерелаАнотація:
The COVID-19 pandemic has placed an unprecedented burden on patients, health care providers, and communities and has been particularly challenging for medically underserved populations impacted by the social determinants of health, as well as people with co-occurring mental health and substance use risks. This case study examines outcomes and lessons learned from a multisite low-threshold medication-assisted treatment (MAT) program at a federally qualified health center in partnership with a large suburban public university in New York to integrate and train Health Resources & Services Administration Behavioral Health Workforce Education and Training–funded graduate student trainees in social work and nursing in screening, brief intervention, and referral to treatment and patient care coordination, including social determinants of health and medical and behavioral comorbidities. The MAT program for the treatment of opioid use disorder has a low threshold for entry that is accessible and affordable, reduces barriers to care, and uses a harm reduction approach. Outcome data showed an average 70% retention rate in the MAT program and reductions in substance use. And, while more than 73% of patients reported being somewhat or definitely impacted by the pandemic, most patients endorsed the effectiveness of telemedicine and telebehavioral health, such that 86% indicated the pandemic did not affect the quality of their health care. The main implementation lessons learned were the importance of increasing the capacity of primary care and health care centers to deliver integrated care, using cross-disciplinary practicum experiences to enhance trainee competencies, and addressing the social determinants of health among populations with social vulnerabilities and chronic medical conditions.
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Michaels, Isaac, Sylvia Pirani, Molly Fleming, Mayela M. Arana, Emily D’Angelo, Cristina Dyer-Drobnack, Margaret DiManno, Sarah Ravenhall, and Christian T. Gloria. "Enumeration of the Public Health Workforce in New York State: Workforce Changes in the Wake of COVID-19." International Journal of Environmental Research and Public Health 19, no. 20 (October 20, 2022): 13592. http://dx.doi.org/10.3390/ijerph192013592.
Повний текст джерелаАнотація:
The governmental public health workforce in the United States has faced staffing shortages for over a decade that have been exacerbated by the COVID-19 pandemic. To assess this critical issue, the Region 2 Public Health Training Center collaborated with the New York State Association of County Health Officials to enumerate the city and county public health workforce in New York State. The organizations used an online survey to: (1) count employees and full-time equivalent (FTEs) staff in local health departments in 2021; (2) assess workforce trends since the COVID-19 pandemic; and, (3) identify challenges local health departments encounter in recruiting and retaining qualified public health workers. To assess trends, findings were compared with secondary data from 2019. Despite playing a central role in COVID-19 mitigation, local health departments experienced no overall increase in staffing in 2021 compared to 2019, with many health departments experiencing large increases in vacant positions. Recruitment challenges include noncompetitive salaries, difficulties finding qualified candidates, and lengthy hiring processes. This study complements accumulating evidence indicating that long-term investment in local public health infrastructure is needed to bolster the workforce and ensure that communities are protected from current and future health threats.
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Bittencourt, Hugo Souza, Cristiano Gonçalves Cruz, Bruno Costa David, Erenaldo Rodrigues-Jr, Camille Magalhães Abade, Roque Aras Junior, Vitor Oliveira Carvalho, Francisco Borges Faria dos Reis, and Mansueto Gomes Neto. "Addition of non-invasive ventilatory support to combined aerobic and resistance training improves dyspnea and quality of life in heart failure patients: a randomized controlled trial." Clinical Rehabilitation 31, no. 11 (April 5, 2017): 1508–15. http://dx.doi.org/10.1177/0269215517704269.
Повний текст джерелаАнотація:
Objective: To test the hypothesis that combined aerobic and resistance training and non-invasive ventilatory support result in additional benefits compared with combined aerobic and resistance training alone in heart failure patients. Design: A randomized, single-blind, controlled study. Setting: Cardiac rehabilitation center. Participants: A total of 46 patients with New York Heart Association class II/III heart failure were randomly assigned to a 10-week program of combined aerobic and resistance training, plus non-invasive ventilatory support ( n = 23) or combined aerobic and resistance training alone ( n = 23). Methods: Before and after intervention, results for the following were obtained: 6-minute walk test, forced vital capacity, forced expiratory volume at one second, maximal inspiratory muscle pressure, and maximal expiratory muscle pressure, with evaluation of dyspnea by the London Chest Activity of Daily Living scale, and quality of life with the Minnesota Living With Heart Failure questionnaire. Results: Of the 46 included patients, 40 completed the protocol. The combined aerobic and resistance training plus non-invasive ventilatory support, as compared with combined aerobic and resistance training alone, resulted in significantly greater benefit for dyspnea (mean change: 4.8 vs. 1.3, p = 0.004), and quality of life (mean change: 19.3 vs. 6.8, p = 0.017 ). In both groups, the 6-minute walk test improved significantly (mean change: 45.7 vs. 44.1, p = 0.924), but without a statistically significant difference. Conclusion: Non-invasive ventilatory support combined with combined aerobic and resistance training provides additional benefits for dyspnea and quality of life in moderate heart failure patients. Trial registration: ClinicalTrials.gov identifier: NCT02384798. Registered 03 April 2015.
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Brackbill, Robert M., Amy R. Kahn, Jiehui Li, Rachel Zeig-Owens, David G. Goldfarb, Molly Skerker, Mark R. Farfel, et al. "Combining Three Cohorts of World Trade Center Rescue/Recovery Workers for Assessing Cancer Incidence and Mortality." International Journal of Environmental Research and Public Health 18, no. 4 (February 3, 2021): 1386. http://dx.doi.org/10.3390/ijerph18041386.
Повний текст джерелаАнотація:
Three cohorts including the Fire Department of the City of New York (FDNY), the World Trade Center Health Registry (WTCHR), and the General Responder Cohort (GRC), each funded by the World Trade Center Health Program have reported associations between WTC-exposures and cancer. Results have generally been consistent with effect estimates for excess incidence for all cancers ranging from 6 to 14% above background rates. Pooling would increase sample size and de-duplicate cases between the cohorts. However, pooling required time consuming steps: obtaining Institutional Review Board (IRB) approvals and legal agreements from entities involved; establishing an honest broker for managing the data; de-duplicating the pooled cohort files; applying to State Cancer Registries (SCRs) for matched cancer cases; and finalizing analysis data files. Obtaining SCR data use agreements ranged from 6.5 to 114.5 weeks with six states requiring >20 weeks. Records from FDNY (n = 16,221), WTCHR (n = 29,372), and GRC (n = 33,427) were combined de-duplicated resulting in 69,102 unique individuals. Overall, 7894 cancer tumors were matched to the pooled cohort, increasing the number cancers by as much as 58% compared to previous analyses. Pooling resulted in a coherent resource for future research for studies on rare cancers and mortality, with more representative of occupations and WTC- exposure.
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Palladino, Jenna, Deirdra Frum-Vassallo, Joanne D. Taylor, and Victoria L. Webb. "Improving medical residents’ utilisation of integrated mental health in primary care." BMJ Open Quality 10, no. 3 (August 2021): e001388. http://dx.doi.org/10.1136/bmjoq-2021-001388.
Повний текст джерелаАнотація:
BackgroundIntegration of mental health services allows for improved prevention and management of chronic conditions within the primary care setting. This quality improvement project aimed to increase adherence to and functioning of an integrated care model within a patient-centred medical home. Specifically, the project focused on improving collaboration between Primary Care Mental Health Integration (PC-MHI) and the medical resident Patient Aligned Care Teams (PACT) at a Veterans Affairs Medical Center in Northport,New York (VAMC Northport).MethodThe project used increased education, training and relationship building among the medical resident PACTs, and the establishment of regularly occurring integrated team meetings for medical and mental health providers. Education of residents was measured with a self-assessment pre-training and post-training, while utilisation was measured by the percentage of patients currently on a PACT’s panel with at least one PC-MHI encounter in the last 12 months (known in VAMC Northport as PACT-15 metric).ResultsTwo resident PACTs that received both training and weekly integrated meetings increased their utilisation of integrated mental health services by 3.8% and 4.5%, respectively. PACTs that participated in training only, with no regular meetings, showed an initial improvement in utilisation that declined over time.ConclusionsTraining alone appeared beneficial but insufficient for increased integration over time. The addition of a regularly occurring integrated weekly meeting may be a critical component of facilitating sustained mental health integration in a primary care medical home model.
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Dixon, L. Beth, Andrew Breck, and Laura Kettel Khan. "Comparison of children’s food and beverage intakes with national recommendations in New York City child-care centres." Public Health Nutrition 19, no. 13 (May 10, 2016): 2451–57. http://dx.doi.org/10.1017/s1368980016001129.
Повний текст джерелаАнотація:
AbstractObjectiveThe present study compared foods and beverages provided to and consumed by children at child-care centres in New York City (NYC) with national nutrition recommendations.DesignThe study used survey, observational and centre record data collected from child-care centres. Food and beverage intakes from two days of observation and amounts of energy and nutrients were estimated using the US National Cancer Institute’s Automated Self-Administered 24 h Recall system.SettingMeal and snack time at 108 child-care centres in low-income communities in NYC.SubjectsChildren aged 3–4 years old in classrooms selected by the directors of the participating child-care centres.ResultsFoods and beverages provided to and consumed by children (n 630) met >50 % of the Dietary Reference Intake (DRI) for most nutrients. Intakes of fibre and vitamins D and E were <30 % of the DRI. Foods and beverages provided >50 % of the recommended average daily intake amounts for total grains, fruits and fruit juices, and dairy, but <50 % of the recommended amounts for whole grains, protein foods and vegetables. Intake of oils was below the allowance for energy levels, but foods and beverages with solid fats and added sugars exceeded the limits by 68 %.ConclusionsProviding more whole grains, vegetables and low-fat dairy and fewer foods with solid fats and added sugars may improve children’s diet quality when at child-care centres. Centre staff may need training, resources and strategies in order to meet the nutrition recommendations.
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Banauch, Gisela I., Gabriel Izbicki, Vasilios Christodoulou, Michael D. Weiden, Mayris P. Webber, Hillel Cohen, Jackson Gustave, et al. "Trial of Prophylactic Inhaled Steroids to Prevent or Reduce Pulmonary Function Decline, Pulmonary Symptoms, and Airway Hyperreactivity in Firefighters at the World Trade Center Site." Disaster Medicine and Public Health Preparedness 2, no. 1 (March 2008): 33–39. http://dx.doi.org/10.1097/dmp.0b013e318164ee0c.
Повний текст джерелаАнотація:
ABSTRACTBackground: Inhaled corticosteroids (ICS) are the most effective anti-inflammatory treatment for asthmatics. This trial evaluated the effects of prophylactic ICS in firefighters exposed to the World Trade Center disaster.Methods: Inhaled budesonide via a dry powder inhaler (Pulmicort Turbuhaler, AstraZeneca, Wilmington, DE) was offered on-site to New York City firefighters between September 18 and 25, 2001. One to 2 years later, firefighters (n = 64) who completed 4 weeks of daily ICS treatment were evaluated and compared with an age- and exposure-matched comparison group (n = 72) who did not use ICS.Results: When spirometry results at the final visit were compared with those from the weeks following the 9/11 disaster, the treatment group had a greater increase in forced vital capacity (P = .009) and possibly a slower decline in forced expiratory volume at 1 second (P = .11), as well as a greater improvement in perceived well-being as assessed by the St George's Respiratory Questionnaire (P < .01). There was no difference in airway hyperreactivity and no evidence of adverse effects from ICS.Conclusions: Because the potential for hazardous exposures is great at many disasters, disease prevention programs based on environmental controls and respiratory protection are warranted immediately. Our results suggest that, pending further study with a larger sample, prophylactic ICS should be considered, along with respiratory protection, to minimize possible lung insult. (Disaster Med Public Health Preparedness. 2008;2:33–39)
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Landekić, Matija, Marin Bačić, Matija Bakarić, Mario Šporčić, and Zdravko Pandur. "Working Posture and the Center of Mass Assessment While Starting a Chainsaw: A Case Study among Forestry Workers in Croatia." Forests 14, no. 2 (February 15, 2023): 395. http://dx.doi.org/10.3390/f14020395.
Повний текст джерелаАнотація:
Motor-manual work with a chainsaw is still an irreplaceable occupational activity in forest harvesting operations in Croatia and in many other countries. Chainsaw workers are exposed to different risk factors, such as noise and vibrations, heavy load lifting, awkward and preflexion postures, repetitive movements, etc. The working posture and the assessment of the center of mass plays an important role in understanding the exposure of forest workers to postural and occupational risks, either as a part of the entire work process or as a part of an individual element of the work technique. Therefore, the aim of this research was to investigate the impact of three different chainsaw starting methods (from the ground, between the knees, and “drop starting”) on the postural load of the chainsaw worker and its association with personal and occupational factors. The field portion of data collection was conducted in the second and third quarters of 2022. For trunk posture assessment (n = 74), the rapid entire body assessment (REBA) tool was used, and for the center of mass measurement (n = 28), the Xsens MVN Link motion capture suit was used, a relatively new technology that allows data collection in real field conditions. Descriptive and inferential statistical methods were used to verify and analyze the field data. Based on the obtained results, almost 50% of the sampled chainsaw workers ignored safety instructions and preferred “drop starting” a chainsaw. The results also showed that there is a significant difference between the three starting methods in the REBA score, as well as in the number of segments scored during the assessment. The obtained mean REBA score for all three methods is between 4 and 7, placing all methods at a medium level of MSD risk. Regarding the analysis of the Center of Mass (CoM) vertical deviation, the statistical difference is noticeable for the body mass index (BMI) group, the group related to experience with the chainsaw, and the age and height group in relation to three methods for starting a chainsaw. The safest method, which implies starting a chainsaw from the ground, resulted also as the riskiest in terms of postural strain, which, cumulatively over the time variable, can contribute to health problems in forest workers. In conclusion, related to the future process of professional training development for chainsaw workers, an integral part of the training must contain the most optimal postural-movement habits that need to be defined by further kinematic research in forestry.
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Harkin, Nicole, Emily Johnston, Tony Mathews, Yu Guo, Arthur Schwartzbard, Jeffrey Berger, and Eugenia Gianos. "Physicians’ Dietary Knowledge, Attitudes, and Counseling Practices: The Experience of a Single Health Care Center at Changing the Landscape for Dietary Education." American Journal of Lifestyle Medicine 13, no. 3 (November 23, 2018): 292–300. http://dx.doi.org/10.1177/1559827618809934.
Повний текст джерелаАнотація:
Morbidity and mortality associated with cardiovascular disease can be significantly modified through lifestyle interventions, yet there is little emphasis on nutrition and lifestyle in medical education. Improving nutrition education for future physicians would likely lead to improved preparedness to counsel patients on lifestyle interventions. An online anonymous survey of medical residents, cardiology fellows, and faculty in Internal Medicine and Cardiology was conducted at New York University Langone Health assessing basic nutritional knowledge, self-reported attitudes and practices. A total of 248 physicians responded (26.7% response rate). Nutrition knowledge was fair, but few (13.5%) felt adequately trained to discuss nutrition with patients. A majority (78.4%) agreed that additional training in nutrition would allow them to provide better clinical care. Based on survey responses, a dedicated continuing medical education (CME) conference was developed to improve knowledge and lifestyle counseling skills of healthcare providers. In postconference evaluations, attendees reported improved knowledge of evidence-based lifestyle interventions. Most noted that they would prescribe a Mediterranean or plant-based diet and would make changes to their practice based on the conference. An annual CME conference on diet and lifestyle can effectively help interested providers overcome barriers to lifestyle change in clinical practice through improved nutrition knowledge.
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Treiber, Jeanette, Diana Cassady, Robin Kipke, Nicole Kwon, and Travis Satterlund. "Building the Evaluation Capacity of California’s Local Tobacco Control Programs." Health Promotion Practice 12, no. 6_suppl_2 (November 2011): 118S—124S. http://dx.doi.org/10.1177/1524839911414411.
Повний текст джерелаАнотація:
Successful evaluation capacity building requires a dynamic balance between responding to local agency needs and ensuring that local staff have appropriate skills to conduct rigorous evaluations. In 2004, the California Tobacco Control Program established the Tobacco Control Evaluation Center (TCEC), based at a public research university, to provide evaluation technical assistance to approximately 100 local agencies implementing tobacco control programs. TCEC has been responsive to local needs, for instance, by answering 512 technical assistance requests in the first 5 years of operation and by tailoring training according to needs assessment results. About 50% of the technical assistance requests were for new data collection instruments ( n = 255). TCEC has sought proactively to improve local evaluation skills, most recently in a data analysis and report writing skill building campaign that included a webinar, newsletter, and seven regional training meetings. Preliminary analysis suggests a 20% improvement in scores for the local final evaluation reports as a result of this campaign. It is concluded that evaluation technical assistance can be provided effectively by a university as long as the local context is kept in mind, and a balance of responsive and proactive technical assistance is provided.
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Webber, Mayris P., Ankura Singh, Rachel Zeig-Owens, Joke Salako, Molly Skerker, Charles B. Hall, David G. Goldfarb, Nadia Jaber, Robert D. Daniels, and David J. Prezant. "Cancer incidence in World Trade Center-exposed and non-exposed male firefighters, as compared with the US adult male population: 2001–2016." Occupational and Environmental Medicine 78, no. 10 (September 10, 2021): 707–14. http://dx.doi.org/10.1136/oemed-2021-107570.
Повний текст джерелаАнотація:
ObjectiveTo compare cancer incidence in Fire Department of the City of New York (FDNY) firefighters who worked at the World Trade Center (WTC) site to incidence in a population of non-WTC-exposed firefighters, the Career Firefighter Health Study (CFHS) cohort, and to compare rates from each firefighter cohort to rates in demographically similar US males.MethodsFDNY (N=10 786) and CFHS (N=8813) cohorts included male firefighters who were active on 11 September 2001 (9/11) and were followed until death or 31 December 2016. Cases were identified from 15 state cancer registries. Poisson regression models assessed cancers in each group (FDNY and CFHS) versus US males, and associations between group and cancer rates; these models estimated standardised incidence ratios (SIRs) and adjusted relative rates (RRs), respectively. Secondary analyses assessed surveillance bias and smoking history.ResultsWe identified 915 cancer cases in 841 FDNY firefighters and 1002 cases in 909 CFHS firefighters. FDNY had: higher rates for all cancers (RR=1.13; 95% CI 1.02 to 1.25), prostate (RR=1.39; 95% CI 1.19 to 1.63) and thyroid cancer (RR=2.53; 95% CI 1.37 to 4.70); younger median ages at diagnosis (55.6 vs 59.4; p<0.001, all cancers); and more cases with localised disease when compared with CFHS. Compared with US males, both firefighter cohorts had elevated SIRs for prostate cancer and melanoma. Control for surveillance bias in FDNY reduced most differences.ConclusionsExcess cancers occurred in WTC-exposed firefighters relative to each comparison group, which may partially be explained by heightened surveillance. Two decades post-9/11, clearer understanding of WTC-related risk requires extended follow-up and modelling studies (laboratory or animal based) to identify workplace exposures in all firefighters.
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Brown, Mary Beth, Attie Kempf, Catherine M. Collins, Gary M. Long, Matthew Owens, Shikha Gupta, Yaron Hellman, Vincent Wong, Mark Farber, and Tim Lahm. "A prescribed walking regimen plus arginine supplementation improves function and quality of life for patients with pulmonary arterial hypertension: a pilot study." Pulmonary Circulation 8, no. 1 (December 4, 2017): 204589321774396. http://dx.doi.org/10.1177/2045893217743966.
Повний текст джерелаАнотація:
Current evidence suggests that exercise training is beneficial in pulmonary arterial hypertension (PAH). Unfortunately, the standard supervised, hospital-based programs limit patient accessibility to this important intervention. Our proof-of-concept study aimed to provide insight into the usefulness of a prescribed walking regimen along with arginine supplementation to improve outcomes for patients with PAH. Twelve PAH patients (all women) in New York Heart Association (NYHA) functional class (FC) II (n = 7) or III (n = 5) and in stable condition for ≥ 3 months were enrolled. Patients performed home- and fitness-center- based walking at 65–75% heart rate (HR) reserve for 45 min, six sessions/week for 12 weeks. Concomitant L-arginine supplementation (6000 mg/day) was provided to maximize beneficial endothelial training adaptations. Cardiopulmonary exercise testing, 6-min walk testing (6MWT), echocardiography, laboratory studies, and quality of life (QoL) survey (SF-36) were performed at baseline and 12 weeks. Eleven patients completed the study (72 session adherence rate = 96 ± 3%). Objective improvement was demonstrated by the 6MWT distance (increased by 40 ± 13 m, P = 0.01), VO2max (increased by 2 ± 0.7 mL/kg/min, P = 0.02), time-to-VO2max (increased by 2.5 ± 0.6 min, P = 0.001), VO2 at anaerobic threshold (increased by 1.3 ± 0.5 mL/kg/min, P = 0.04), HR recovery (reduced by 68 ± 23% in slope, P = 0.01), and SF-36 subscales of Physical Functioning and Energy/Fatigue (increased by 70 ± 34% and 74 ± 34%, respectively, P < 0.05). No adverse events occurred, and right ventricular function and brain natriuretic peptide levels remained stable, suggesting safety of the intervention. This proof-of-concept study indicates that a simple walking regimen with arginine supplementation is a safe and efficacious intervention for clinically stable PAH patients, with gains in objective function and QoL measures. Further investigation in a randomized controlled trial is warranted.
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Serrano, Natalicio, Gunter Diem, Vilius Grabauskas, Aushra Shatchkute, Sylvie Stachenko, Anjali Deshpande, Kathleen N. Gillespie, Elizabeth A. Baker, Erkki Vartinaien, and Ross C. Brownson. "Building the capacity – examining the impact of evidence-based public health trainings in Europe: a mixed methods approach." Global Health Promotion 27, no. 2 (April 3, 2019): 45–53. http://dx.doi.org/10.1177/1757975918811102.
Повний текст джерелаАнотація:
Objective: Since 2002, a course entitled ‘Evidence-Based Public Health (EBPH): A Course in Noncommunicable Disease (NCD) Prevention’ has been taught annually in Europe as a collaboration between the Prevention Research Center in St Louis and other international organizations. The core purpose of this training is to strengthen the capacity of public health professionals, in order to apply and adapt evidence-based programmes in NCD prevention. The purpose of the present study is to assess the effectiveness of this EBPH course, in order to inform and improve future EBPH trainings. Methods: A total of 208 individuals participated in the European EBPH course between 2007 and 2016. Of these, 86 (41%) completed an online survey. Outcomes measured include frequency of use of EBPH skills/materials/resources, benefits of using EBPH and barriers to using EBPH. Analysis was performed to see if time since taking the course affected EBPH effectiveness. Participants were then stratified by frequency of EBPH use (low v. high) and asked to participate in in-depth telephone interviews to further examine the long-term impact of the course ( n = 11 (6 low use, 5 high use)). Findings: The most commonly reported benefits among participants included: acquiring knowledge about a new subject (95%), seeing applications for this knowledge in their own work (84%), and becoming a better leader to promote evidence-based decision-making (82%). Additionally, not having enough funding for continued training in EBPH (44%), co-workers not having EBPH training (33%) and not having enough time to implement EBPH approaches (30%) were the most commonly reported barriers to using EBPH. Interviews indicated that work-place and leadership support were important in facilitating the use of EBPH. Conclusion: Although the EBPH course effectively benefits participants, barriers remain towards widely implementing evidence-based approaches. Reaching and communicating with those in leadership roles may facilitate the growth of EBPH across countries.
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Pastora-Bernal, José-Manuel, Joaquín-Jesús Hernández-Fernández, María-José Estebanez-Pérez, Guadalupe Molina-Torres, Francisco-José García-López, and Rocío Martín-Valero. "Efficacy, Feasibility, Adherence, and Cost Effectiveness of a mHealth Telerehabilitation Program in Low Risk Cardiac Patients: A Study Protocol." International Journal of Environmental Research and Public Health 18, no. 8 (April 12, 2021): 4038. http://dx.doi.org/10.3390/ijerph18084038.
Повний текст джерелаАнотація:
Individual and group cardiac rehabilitation (CR) programs reduce cardiovascular morbidity and mortality by reducing recurrent events, improving risk factors, aiding compliance with drug treatment, and improving quality of life through physical activity and education. Home-based programs are equally effective in improving exercise capacity, risk factors, mortality, and health-related quality of life outcomes compared to hospital-based intervention. Cardio-telerehabilitation (CTR) programs are a supplement or an alternative to hospital rehabilitation programs providing similar benefits to usual hospital and home care. Despite this statement, implementation in the public and private healthcare environment is still scarce and limited. The main objective of this research was to evaluate the efficacy, feasibility, and adherence of a personalized eight-week mHealth telerehabilitation program in low-risk cardiac patients in the hospital of Melilla (Spain). The secondary aims were to investigate patient satisfaction, identify barriers of implementation and adverse events, and assess cost-effectiveness from a health system perspective. A study protocol for a single center prospective controlled trial was conducted at the Regional Hospital of Melilla (Spain), with a sample size of (n = 30) patients with a diagnosis of low-risk CVD with class I heart failure according to NYHA (New York Heart Association). Outcomes of this study, will add new evidence that could support the use of CTR in cardiac patients clinical guidelines.
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Shechter, Ari, Codruta Chiuzan, Yimeng Shang, Gavin Ko, Franchesca Diaz, Hadiah K. Venner, Kaitlin Shaw, et al. "Prevalence, Incidence, and Factors Associated with Posttraumatic Stress at Three-Month Follow-Up among New York City Healthcare Workers after the First Wave of the COVID-19 Pandemic." International Journal of Environmental Research and Public Health 19, no. 1 (December 27, 2021): 262. http://dx.doi.org/10.3390/ijerph19010262.
Повний текст джерелаАнотація:
Background: Prevalence, incidence, and factors associated with posttraumatic stress disorder (PTSD) symptoms at follow-up among healthcare workers after the first wave of the COVID-19 pandemic are unknown. Methods: A web survey invitation was sent to healthcare worker listservs at a NYC medical center (April, 2020). The Primary Care (PC)-PTSD questionnaire was used to screen for PTSD symptoms at baseline and then every 2 weeks for 10 weeks. Incidence and prevalence of PTSD symptoms were determined at each time point. Multivariable generalized estimating equation models were performed to investigate the factors associated with a positive PC-PTSD screen at follow-up. Results: Median age (interquartile range) of N = 230 participants was 36 (31–48) years; 79.6% were women; 82.6% worked in COVID-19-focused settings. The prevalence of PTSD symptoms decreased from 55.2% at baseline to 25.0% at 10 weeks (p < 0.001). Among participants who had a baseline negative screen for PTSD symptoms, the incidence of PTSD at 10 weeks was 12.2% (p-trend 0.034). In multivariable-adjusted analyses, being a nurse (odds ratio [OR]: 1.70, 95% confidence interval [CI]: 1.06–2.71), female (OR: 3.00, 95% CI: 1.59, 5.72), and working in a COVID-19-focused location (OR: 1.51, 95% CI: 1.02, 2.21) were associated with increased odds of PTSD symptoms at 10-weeks. Conclusions: PTSD symptoms improved over 3 months following the first wave of the COVID-19 pandemic. However, one out of four NYC healthcare workers still had an increased risk for PTSD at 10-weeks. Screening healthcare workers for PTSD symptoms should be considered during the COVID-19 pandemic.
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Han, Steve C., Rebecca S. Stainman, Neil A. Busis, Scott N. Grossman, Sujata P. Thawani, and Arielle M. Kurzweil. "Curriculum Innovations: A Comprehensive Teleneurology Curriculum for Neurology Trainees." Neurology: Education 2, no. 3 (August 3, 2023): e200084. http://dx.doi.org/10.1212/ne9.0000000000200084.
Повний текст джерелаАнотація:
Introduction and Problem StatementAs the role of teleneurology expands, it is important to prepare trainees to perform virtual encounters proficiently.ObjectivesWe created a comprehensive multimodality teleneurology curriculum for residents to teach key aspects of telehealth encounters including the virtual examination and skill development across several environments.Methods and Curriculum DescriptionWe developed and implemented a teleneurology curriculum focused on teaching the virtual neurologic examination, measuring teleneurology competency, and providing opportunities for trainees to perform telehealth encounters in multiple settings. Residents (N = 22) were first surveyed on what methods would be most helpful to learn teleneurology. Trainees observed a faculty member conducting a teleneurology visit with another faculty member playing a patient. Residents then practiced a teleneurology encounter during a 10-minute objective structured clinical examination (OSCE) at a simulation center. After positive feedback from the fall of 2020, we adapted the OSCE to be completely remote in the spring of 2021 for senior residents. Trainees then performed teleneurology visits during their continuity clinics and subspecialty clinic rotations.Results and Assessment DataAll neurology residents from adult and child neurology and neuropsychiatry programs at New York University Grossman School of Medicine participated in the curriculum. Residents identified a variety of teaching modalities that would help them learn teleneurology: didactics with slides (25%), live demonstration (25%), simulated experience (23%), starting with live patients (23%), and articles/reading material (4%). To date, 68 trainees participated in the OSCE. Trainees who completed on-site and remote simulations reported increased comfort (p< 0.05) and interest in teleneurology (p< 0.05) and requested more access to simulations during training. Sensorimotor assessment and adequate visualization of the affected limb were identified as areas for improvement.Discussion and Lessons LearnedOur multimodal 3-year teleneurology curriculum provides opportunities for residents to learn and apply teleneurology. Survey tools helped strengthen the curriculum to optimize educational potential. We implemented a teleneurology simulation with and without the use of a simulation center. We plan to expand our teleneurology clinical and simulation experiences to trainees based on our data and further developments in teleneurology and to track the progress of teleneurology skills as residents advance through training.
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Moldovan, Flaviu, Adrian Gligor, Liviu Moldovan, and Tiberiu Bataga. "The Impact of the COVID-19 Pandemic on the Orthopedic Residents: A Pan-Romanian Survey." International Journal of Environmental Research and Public Health 19, no. 15 (July 27, 2022): 9176. http://dx.doi.org/10.3390/ijerph19159176.
Повний текст джерелаАнотація:
The COVID-19 pandemic has brought unprecedented challenges, with a potential stress which might affect the education of resident doctors in the field of orthopedics and traumatology. Its repercussion on the residents’ strain and training routes is not well known. After two years of pandemic, this paper aims to analyze the repercussion of the coronavirus disease 2019 (COVID-19) on education, medical training, and the mental well-being of Romanian resident doctors in orthopedics and traumatology. In January–February 2022, an electronic questionnaire was distributed to all orthopedic resident doctors in the 12 residential training centers in Romania. Participants (n = 236) were resident doctors with an employment contract and professional activity during the COVID-19 pandemic. Resident doctors who did not work during this period were excluded. An online survey generator was used to electronically create the questionnaire. Statistical analysis was performed in Matlab version R2022a, with the support of Statistics and Machine Learning Toolbox Version 12.3. Descriptive statistics were performed for the standardized questions, while for the open questions, answers were collected by topic. The results of the Chi-square test indicate that there is a statistically significant association regarding the prevalence of infection among residents involved in the treatment of patients with COVID-19 (p = 0.028), and the influence of secondment in COVID-19 sections (p = 0.0003). The infection of residents is not related to their affiliation with a particular medical training center (p = 0.608), gender (p = 0.175), the year of study in residency (p = 0.733), the age group (p = 0.178), and the secondment period (p = 0.114). Residents who participated in the study had an overall well-being index of 13.8 ± 5.7, which indicates a low level of well-being for a large number of residents. Residents who would like to choose a new residency specialization, or would choose a non-medical career, had reduced average WHO wellness rates, as the risk of infection is associated with the treatment of patients with COVID-19 and secondment in COVID-19 sections. The findings of this study may help residency training centers to develop robust programs that can alleviate the impact of this pandemic. Some major changes will be needed to be integrated into residency training programs around the world. Emphasis should be placed on electronic educational portfolios, simulation of surgical processes, and distance learning, all of which have a high potential for health and safety,as well asfor the moral support of residents.
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Simmons, Janie, Luther Elliott, Alex S. Bennett, Leo Beletsky, Sonali Rajan, Brad Anders, and Nicole Dastparvardeh. "Evaluation of an Experimental Web-based Educational Module on Opioid-related Occupational Safety Among Police Officers: Protocol for a Randomized Pragmatic Trial to Minimize Barriers to Overdose Response." JMIR Research Protocols 11, no. 2 (February 25, 2022): e33451. http://dx.doi.org/10.2196/33451.
Повний текст джерелаАнотація:
Background As drug-related morbidity and mortality continue to surge, police officers are on the front lines of the North American overdose (OD) crisis. Drug law enforcement shapes health risks among people who use drugs (PWUD), while also impacting the occupational health and wellness of officers. Effective interventions to align law enforcement practices with public health and occupational safety goals remain underresearched. Objective The Opioids and Police Safety Study (OPS) aims to shift police practices relating to PWUD. It adapts and evaluates the relative effectiveness of a curriculum that bundles content on public health promotion with occupational risk reduction (ORR) to supplement a web-based OD response and naloxone training platform (GetNaloxoneNow.org, or GNN). This novel approach has the potential to improve public health and occupational safety practices, including using naloxone to reverse ODs, referring PWUD to treatment and other supportive services, and avoiding syringe confiscation. Methods This longitudinal study uses a randomized pragmatic trial design. A sample of 300 active-duty police officers from select counties in Pennsylvania, Vermont, and New Hampshire with high OD fatality rates will be randomized (n=150 each) to either the experimental arm (GNN + OPS) or the control arm (GNN + COVID-19 ORR). A pre- and posttraining survey will be administered to all 300 officers, after which they will be administered quarterly surveys for 12 months. A subsample of police officers will also be qualitatively followed in a simultaneous embedded mixed-methods approach. Research ethics approval was obtained from the New York University Institutional Review Board. Results Results will provide an understanding of the experiences, knowledge, and perceptions of this sample of law enforcement personnel. Generalized linear models will be used to analyze differences in key behavioral outcomes between the participants in each of the 2 study arms and across multiple time points (anticipated minimum effect size to be detected, d=0.50). Findings will be disseminated widely, and the training products will be available nationally once the study is completed. Conclusions The OPS is the first study to longitudinally assess the impact of a web-based opioid-related ORR intervention for law enforcement in the U.S. Our randomized pragmatic clinical trial aims to remove barriers to life-saving police engagement with PWUD/people who inject drugs by focusing both on the safety of law enforcement and evidence-based and best practices for working with persons at risk of an opioid OD. Our simultaneous embedded mixed-methods approach will provide empirical evaluation of the diffusion of the naloxone-based response among law enforcement. Trial Registration ClinicalTrail.gov NCT05008523; https://clinicaltrials.gov/show/NCT05008523 International Registered Report Identifier (IRRID) DERR1-10.2196/33451
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Krishna, Annamdevula Vamsi, Chandan Das, Samir Sahu, Soumya Ranjan Mahapatra, Priyanka Samal, Siba Prasad Dalai, Brijeshraj Swain, et al. "Prevalence of iron deficiency in non-anemic heart failure patients." Journal of Associated Medical Sciences 56, no. 3 (September 4, 2023): 89–95. http://dx.doi.org/10.12982/jams.2023.058.
Повний текст джерелаАнотація:
Background: To study the prevalence of iron deficiency in non-anemic heart failure patients. Materials and methods: This is a single-center cross-sectional study done in the Department of General Medicine at the Institute of Medical Sciences and SUM Hospital, Odisha, between November 2020 and June 2022. The selection of participants was made based on Framingham criteria. An iron profile was used to detect iron deficiency anemia during the study period. According to the WHO, Anemia is defined as having a hemoglobin (Hb) level below 12 gm/dL in females and 13 gm/dL in males. Serum ferritin below 100 ng/mL is considered an absolute iron deficiency, and serum ferritin between 100 and 300 ng/mL with low transferrin saturation (TSAT <20%) is regarded as functional Iron deficiency. Results: A total of 100 individuals with non-anemic heart failure (53% men and 47% women) were included in the study. Most of the individuals were of class IV New York Heart Association (NYHA) (N=39). Iron deficiency was present in 60% of individuals, with 32% having absolute iron deficiency and 28% having functional iron deficiency. Men and women had almost the same prevalence of iron deficiency (62.2% vs 57.44%). The levels of mean Hb, ferritin, and transferrin saturation in the iron deficiency group (i.e., 13.2 gm/dL, 139.7 ng/mL, and 14.4%) were less when compared to the non-iron deficiency group (i.e., 13.3 gm/dL, 391.35 ng/mL and 36.1%). Conclusion: Our research emphasizes the impact of iron deficiency on heart failure patients in India, which is still underappreciated and ignored. This study recommends more in-depth analysis to define this manageable illness correctly and explore habitual testing in upcoming national recommendations.
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Borges, Regilson Maciel, and José Carlos Rothen. "Abordagens de avaliação educacional: a constituição do campo teórico no cenário internacional (Educational evaluation approaches: constitution of the theoretical field in the international scenario)." Revista Eletrônica de Educação 13, no. 2 (May 10, 2019): 749. http://dx.doi.org/10.14244/198271992481.
Повний текст джерелаАнотація:
This article presents a theoretical review of the main evaluation approaches that marked the trajectory of educational evaluation in the international scenario. This is a bibliographical research that, based on the assessment literature, aimed at studying the various dimensions and different meanings that have historically constituted the educational evaluation field. Seven evaluation approaches are described: goal-based evaluation, evaluation based on scientific logic, value-based evaluation, decision-making evaluation, consumer-oriented evaluation, participant-centered evaluation, and qualitative evaluation. Each one of them is characterized according to its protagonists, objectives, conceptual approaches, theoretical orientations deriving from methodological assumptions, and the scholars who continued their respective approaches. Such international literature had a strong influence on Brazilian evaluation researchers who, based on these references, sought to support a field of knowledge that is still in the process of constitution and strengthening in our country.ResumoEste artigo apresenta uma revisão teórica das principais abordagens de avaliação que marcaram a trajetória da avaliação educacional no cenário internacional. Trata-se de uma pesquisa bibliográfica que, referenciada na literatura da avaliação, busca estudar as variadas dimensões e os diferentes sentidos que constituíram historicamente o campo da avaliação educacional. São descritas sete abordagens de avaliação: a avaliação baseada em objetivos, a avaliação baseada na lógica científica, a avaliação baseada no valor agregado, a avaliação a serviço da decisão, a avaliação orientada para consumidores, a avaliação centrada nos participantes e a avaliação qualitativa. Cada uma dessas abordagens é caracterizada segundo seus protagonistas, objetivos, enfoques conceituais, orientações teóricas decorrentes de pressupostos metodológicos e os estudiosos que deram continuidade nas suas respectivas abordagens. Essa literatura internacional exerceu forte influência sobre os pesquisadores brasileiros da avaliação que, fundamentados nesses referenciais, buscaram sustentar uma área de conhecimento que ainda se encontra em processo de constituição e fortalecimento em nosso país.Keywords: Educational evaluation, Evaluation approaches, Theories on evaluation.Palavras-chave: Avaliação educacional, Abordagens de avaliação, Teorias em avaliação.ReferencesALKIN, Marvin C.; CHRISTIE, Christina A. An evaluation theory tree. In: ALKIN, Marvin C. (Ed.). Evaluation roots: tracing theorists’ views and influences. London: Sage, 2004. p. 381-392.CAMPBELL, Donald T.; STANLEY, Julian C. Experimental and quasi-experimental designs for research on teaching. In: GAGE, N. L. (Ed.). Handbook of research on training. Chicago: Rand McNally, 1963. p. 1-84.DE KETELE, Jean-Marie. L’évaluation conjuguée en paradigmes. Revue Française de Pédagogie, Lyon, n. 103, p. 59-80, 1993.DIAS SOBRINHO, José. Campo e caminhos da avaliação: a avaliação da educação superior no Brasil. In: FREITAS, Luiz Carlos (Org.). Avaliação: construindo o campo e a crítica. Florianópolis: Insular, 2002. p. 13-62.FERNANDES, Domingos. Acerca da articulação de perspectivas e da construção teórica em avaliação educacional. In: ESTEBAN, Maria Teresa; AFONSO, Almerindo Janela (Orgs.). Olhares e interfaces: reflexões críticas sobre a avaliação. São Paulo: Cortez, 2010. p. 15-44.GUBA, Egon G.; LINCOLN, Yvonna S. Avaliação de quarta geração. Trad. Beth Honorato. Campinas: Editora da Unicamp, 2011.HOUSE, Ernest; HOWE, Kenneth R. Deliberative democratic evaluation in practice. In: STUFFLEBEAM, Daniel L.; MADAUS, George F.; KELLAGHAN, Thomas (Eds.). Evaluation models: viewpoints on educational and human services evaluation. Boston: Kluwer Academic Publishers, 2000. p. 409-422.MACDONALD, Barry. Uma classificação política dos estudos avaliativos. In: GOLDBERG, Maria Amélia Azevedo; SOUSA, Clarilza Prado de (Orgs.). Avaliação de programas educacionais: vicissitudes, controvérsias, desafios. São Paulo: EPU, 1982. p. 16-17.OWSTON, Ron. Models and Methods for Evaluation. In: SPECTOR, J. Michael et al. (Eds.). Handbook of Research on Educational Communications and Technology. New York: Lawrence Erlbaum Associates, 2008. p. 605-618.PARLETT, Malcolm; HAMILTON, David. Avaliação Iluminativa: uma nova abordagem no estudo de programas inovadores. In: GOLDBERG, Maria Amélia Azevedo; SOUSA, Clarilza Prado de (Orgs.). Avaliação de programas educacionais: vicissitudes, controvérsias, desafios. São Paulo: EPU, 1982. p. 38-45.SANDERS, William L.; HORN, Sandra P. The Tennessee value-added assessment system (TVAAS): mixed model methodology in educational assessment. Journal of Personnel Evaluation in Education, New York, v. 8, n. 3, p. 299-311, 1994.SANDERS, William L.; RIVERS, June C. Cumulative and residual effects of teachers on future student academic achievement. Knoxville: University of Tennessee Value-Added Research and Assessment Center, 1996.STAKE, Robert E. Evaluation the arts in education: a responsive approach. Columbus: Merril, 1975a.STAKE, Robert E. Program evaluation, particularly responsive evaluation. Kalamazoo: Western Michigan University Evaluation Center, 1975b. (Occasional paper n. 5).STUFFLEBEAM, Daniel L. Evaluation models. New directions for evaluation, San Francisco, n. 89, p. 7-98, 2001.STUFFLEBEAM, Daniel L.; SHINKFIELD, Anthony L. Evaluación sistemática: guía teórica y práctica. Trad. Carlos Losilla. Barcelona: Paidós, 1987.WORTHEN, Blaine R.; SANDERS, James S.; FITZPATRICK, Jody L. Avaliação de programas: concepções e práticas. Trad. Dinah de Abreu Azevedo. São Paulo: Gente, 2004.
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Kusuma Wijayanti, Puspita Adhi, and Surya Cahyadi. "Antecedents-Consequences Modification to Decrease Hyper-activity and Improve Attention of Child with ADHD." JPUD - Jurnal Pendidikan Usia Dini 13, no. 2 (November 30, 2019): 232–48. http://dx.doi.org/10.21009/jpud.132.03.
Повний текст джерелаАнотація:
The prevalence of ADHD children increases every year. Some researchers have shown that psychosocial behavior therapy (antecedents-consequences modification) was effective to decrease hyperactivity and increase attention to ADHD children. This study aims to find out the effectiveness of antecedents-consequences modification by parents and teachers to decrease hyperactivity and increase attention to a 6 years old boy with ADHD. The study was a single case experimental design. Psychosocial behavior therapy has been used with antecedents-consequences modification. The antecedents-consequences modification was applied by teacher at school and parents at home. Data were analyzed using Wilcoxon Signed Rank Test. Results showed that there’s a significant decrease of hyperactivity behavior and significant increase of doing his assignment both at school and also at home. Not only about the content of behavior therapy itself, but how to give the therapy is important. Parents and teacher should do the therapy consistently, immediately, specifically and saliency to reach the target of intervention.
Keywords: ADHD Children, Antecedents, Consequences, Modification
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Avitisov, P. V., D. N. Belova, and R. K. Nazyrov. "Analysis of attitudes to vaccination against COVID-19 in personnel of rescue military formations of the EMERCOM of Russia." Medicо-Biological and Socio-Psychological Problems of Safety in Emergency Situations, no. 1 (June 16, 2022): 101–8. http://dx.doi.org/10.25016/2541-7487-2022-0-1-101-108.
Повний текст джерелаАнотація:
Relevance. Uncertainty and inconsistency of information related to the new coronavirus infection resulted in distrust in vaccination among population of different countries worldwide. Intention: To clarify attitudes to vaccination and some reasons for refusing vaccination during the COVID-19 pandemic among military personnel. Methodology: 536 male military cadets of the university, who voluntarily underwent vaccination against COVID-19 as recommended by military authorities, were anonymously surveyed. The average age of the respondents was (21.5 ± 4.5) years. Two groups of cadets were formed: Group 1 (n = 465) with I and II category of fitness for work and Group 2 (n = 71) with III category of fitness for work according to professional psychological selection. The results were checked for the normality of distribution. Similarities (differences) in the answers between groups were assessed using χ2 criterion. Results and Discussion. A survey of military cadets revealed that professional psychological selection contributes not only to the effectiveness of professional training, but also to adherence to vaccination against COVID-19. If, according to the Russian Public Opinion Research Center, 55% of Russians have a positive attitude to being vaccinated against COVID-19, such persons amounted to 91.6% (p < 0.001) among cadets assigned to categories I-II and to 47.9% among those assigned to category III of fitness for work based on professional psychological selection. Up to 4.7% of cadets in Group 1 and 29.6% in Group 2 (p < 0.001) mentioned possible early complications during vaccination, for example, being affected by COVID-19. The authors of the vaccine also claim a small percentage of possible complications in the early post-vaccination period. In this regard, the answers of the cadets in Group 1 are quite consistent with the opinion of the scientists and developers and indicate the validity of the studies. Conclusion. Increased anxiety in a situation of uncertainty during the COVID-19 pandemic can be overcome by timely informing the public about vaccine effectiveness and contraindications by medical professionals.
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Fauzi, Chandra, and Basikin. "The Impact of the Whole Language Approach Towards Children Early Reading and Writing in English." JPUD - Jurnal Pendidikan Usia Dini 14, no. 1 (April 30, 2020): 87–101. http://dx.doi.org/10.21009/jpud.141.07.
Повний текст джерелаАнотація:
This study aims to determine the effect of the whole language approach to the ability to read and write in English in early stages of children aged 5-6 years in one of the kindergartens in the Yogyakarta Special Region. The population in this study were 43 children who were in the age range of 5-6 years in the kindergarten. Twenty-nine participants were included in the experimental class subjects as well as the control class with posttest only control group design. Observation is a way to record data in research on early reading and writing ability. The results of Multivariate Anal- ysis of Covariance (Manova) to the data shows that 1) there is a difference in ability between the application of the whole language approach and the conventional approach to the ability to read the beginning of English; 2) there is a difference in ability between applying a whole language approach and a conventional approach to writing English beginning skills; 3) there is a difference in ability between the whole language approach and the conventional approach to the ability to read and write the beginning in English
Keywords: Whole language approach, Early reading, Early writing, Early childhood
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Hapidin, R. Sri Martini Meilanie, and Eriva Syamsiatin. "Multi Perspectives on Play Based Curriculum Quality Standards in the Center Learning Model." JPUD - Jurnal Pendidikan Usia Dini 14, no. 1 (April 30, 2020): 15–31. http://dx.doi.org/10.21009/jpud.141.02.
Повний текст джерелаАнотація:
Playing curriculum development based on early childhood learning is a major issue in international early childhood education discussions. This study aims to look at the concepts and practices of play-based curriculum in early childhood education institutions. The study uses qualitative methods with the CIPP model program evaluation on play-based curriculum. Data collection techniqueswere carriedout using participatory observation, document studies and interviews. Participants are early childhood educators, early childhood and parents. The results found that the play-based curriculum has not yet become the main note in the preparation and development of concepts and learning practices in early childhood. Play-based curriculum quality standards have not provided a solid and clear concept foundation in placing play in the center of learning models. Other findings the institution has not been able to use the DAP (Developmentally Appropriate Practice) approach fully, and has not been able to carry out the philosophy and ways for developing a curriculum based on play. However, quite a lot of research found good practices implemented in learning centers in early childhood education institutions, such as develop children's independence programs through habituation to toilet training and fantasy play.
Keywords: Play Based Curriculum, Center Learning Model, Curriculum Quality Standards, Early Childhood Education
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Abdillah, Awaluddin Muhammad, I. Gede Sudirtha, and I. Dewa Ayu Made Budhyani. "PENGEMBANGAN BUSANA KERJA DARI KAIN SONGKET BIMA." Jurnal BOSAPARIS: Pendidikan Kesejahteraan Keluarga 12, no. 1 (March 30, 2021): 1. http://dx.doi.org/10.23887/jppkk.v12i1.32792.
Повний текст джерелаАнотація:
Tujuan dari penilitian ini yaitu untuk: Mengetahui hasil pengembangan busana kerja dari kain songket Bima. Jenis dari penelitian ini adalah penelitian Research and Development atau penelitian dan pengembangan dengan model PPE (Planning, Production and Evaluation) .Isntrumen yang digunakan dalam mengumpulkan data yaitu kuesioner. Data yang terkumpul dianalisis dengan teknik analisis deskriptif kuantitatif dan teknik analisis deskriptif kualitatif. Penelitian dilakukan dengan uji coba produk yang melibatkan dua ahli busana. Adapun hasil dari penelitian ini yaitu : 1) Dari hasil uji isi untuk kuisioner pengembangan busana kerja , terdapat 3 indikator yang terdiri dari 7 butir pertanyaan yang dinyatakan valid oleh ahli isi. 2) Hasil produk jika di konversikan kedalam persentase memiliki kualifikasi sangat baik dengan tingkat pencapaian 92,5%. 3) Perlu diperhatikan kesesuaian desain dengan hasil jadi busana kerja. 4). Pemilihan bahan yang tepat dapat menunjang pengembangan busana kerja.. Kata Kunci : PPE, Busana Kerja, Kain songket Bima.The aim of this study was to acknowledge the result of the development of work uniform from Bima songket cloth. Type of study used in this study was Research and Development with PPE (Planning, Production and Evaluation) model. The instrument used to collect the data was questionnaire. The data gathered then being analyzed by using descriptive qualitative and descriptive qualitative technique. The research was done by testing the product with involving the experts of contents and fashion. The result of the study was: 1) From the testing of contents for questionnaire in the development of work uniform, there were 3 indicators which consist of 7 questions that are declared as valid by contents expert. 2) The percentage of the converted product showed to have excellent qualification with achievement level in 92,5%. 3) Need to be noticed the comformity between the design and the result of work uniform. 4) The proper choice of the material can support the work uniform development. Key words: PPE, Work Uniform, Bima songket cloth.DAFTAR PUSTAKA Agustini, Sudiartha, G., Angendari, M. D. 2019. Pengembangan Busana Pesta Malam dengan Sumber Ide Dari Mitologi Kerajaan Yunani. Tersedia di: https://ejournal.undiksha.ac.id/index.php/JJPKK/article/view/22152.Diakses 10 Oktober 2019.Arikunto, S. 2006. Metode Penelitian Kualitatif. Jakarta: Bumi Aksara.Borg, W R & Gall, M D. 2003. Educational Research: an Introduction (7. ed). New York: Logman Inc.Chandra, J. 1994. Kreativitas, Bagaimana Menanam ,Membangun dan Mengembangkannya. Yogyakarta : Kanisius.Ernawati, Izweni, Weni, N. 2008. Tata Busana Jilid 1 untuk Sekolah Menengah Kejuruan. Jakarta: Direktorat Pembinaan Sekolah Menengah kejuruan.Haryawati, I L A., Sudiartha, I G., Angendari, M.D. 2019. Pembuatan Busana Fantasi dengan Sumber ide Dramatari Calonarang, tersedia di: https://ejournal.undiksha.ac.id/index.php/JJPKK/article/view/22151. Diakses 11 Januari 2020.Khayati, E. Z. 1998. Pembuatan busana III. Yogyakarta: IKIP Yogyakarta.Lestari, A P R P., Sudirtha, I G., Angendari, M D. 2019. Pengembangan Busana Fantasi dengan Sumber Ide Kekaisaran Jepang. Tersedia di: https://ejournal.undiksha.ac.id/index.php/JJPKK/article/view/15991. Diakses 11 Januari 2020.Munandar, S.C. Utami. 1992. Mengembangkan Bakat dan Kreativitas Anak Sekolah. Jakarta: PT. Gramedia Widiasarana Indonesia.Ngalimun, 2013. Perkembangan dan Pengembangan Kreativitas. Yogyakarta: Aswaja PressindoNurcahyani, L. 2018. Strategi Pengembangan Produk Kain Tenun Ikat Sintang. Tersedia di: https://jurnaldikbud.kemdikbud.go.id/index.php/jpnk/ article/view/530. Diakses 11 Januari 2020.Riyanto, A. A. 2003. Desain Busana. Bandung: Yapemdo.Robert, B. M. 2009. Instructional Design-The ADDIE Approach. New York: Springer.Rukmana, N.S.R., Yarmaidi, Y., Suwarni, N. 2014. Kain Songket dalam Upaya Pelestarian Budaya Daerah Palembang Muara Penimbung Ulu. Tersedia di: https://www.neliti.com/id/publications/247898/kain-songket-dalam-upaya-pelestarian-budaya-daerah-palembang-di-muara-penimbung. Diakses 11 Januari 2020.Soekarno. 2002. Buku Penuntun Membuat Pola Busana Tingkat Dasar. Jakarta: PT Gramedia Pustaka Utama.Sugiyono. 2009. Metode Penelitian Kuantitatif, Kualitati Dan R&D. Bandung : Alfa Beta.Sugiyono. 2014. Metode Penelitian Kuantitatif, Kualitatif dan R&D. Jakarta: Alfabeta.Sugiyono. 2019. Metode Penelitian Kuantitatif, Kualitatif dan R&B. Jakarta: Alfabeta.Tegeh, Made Dkk. 2014. Model Penelitian Pengembangan. Yokyakarta: Graha IlmuThiagarajan. 1974. Instructional Development for Training Teachers of Exceptional Children. Washinton DC: National Center for Improvement Educational System.
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Aziz, Abdul, Martini Jamaris, and Tjipto Sumadi. "Development of a learning disabilities test: a case study at elementary school." COUNS-EDU: The International Journal of Counseling and Education 6, no. 4 (December 21, 2021): 129–34. http://dx.doi.org/10.23916/0020210638540.
Повний текст джерелаАнотація:
This study aims to determine the procedure and to assess the quality of the development of test instruments in measuring the learning disabilities of elementary school students. Learning disabilities are formulated as disorders that occur in learning activities such as dyslexia, dysgraphia, dyscalculia. The type of the research is research and development by using Martini Jamaris’s Model. The subjects were 90 students of elementary school in Jakarta. The number of items was 75 items consisting of 19 items (dyslexia), 29 items (dysgraphia), and 27 items (dyscalculia). The results obtained in the validity test were declared valid were only 54 of the 75 items. Reliability of the test was stated to be reliable with very high interpretation in all dimensions. The results of the analysis of learning disabilities using a learning disabilities test that have been developed were obtained 90% of students experience learning disabilities.Abdurrahman, Mulyono. 2012. Anak Berkesulitan Belajar: Teori, Diagnosis, Dan Remediasinya. Jakarta: Rineka Cipta.Aiken, Lewis R., and Gary Groth-Marnat. 2005. Psychological Testing and Assessment. 12th ed. New Delhi: Pearson.Allen, K. Eileen, and Ilene S. Schwartz. 2001. The Exeptional Child Inclusion in Early Childhood Education. New York: Delmar.Aro, TuijaAhonen, Timo. 2011. Assessment of Learning Disabilities: Cooperation Beetween Teacher, Psychologists, and Parent. African ed. Finland: Suomen Yliopistopaino Oy – Uniprint.Aziz, Abdul. n.d. “Dataset Development of A Learning Disabilities Test: A Case Study at Elementary School.”Chodijah, Medina. 2014. “Model Bimbingan Kolaboratif Untuk Meningkatkan Kemampuan Akademik Anak Yang Mengalami Kesulitan Belajar (Learning Disabilities) Di Sekolah Dasar Inklusif.” Universitas Pendidikan Indonesia.Deiner, Penny L. 2013. Inclusive Early Childhood Education Development, Resources and Practice. 6th ed. USA: Wadsworth Cengage Learning.Dick, Walter, Lou Carey, and James O. Carey. 2015. The Systematic Design of Instructional. 8th ed. New York: Pearson Education Inc.Essa, Eva L. 2014. Introduction to Early Childhood Education. 7th ed. Canada: Thomson Learning Inc.Gall, Meredith D., Joyce P. Gall, and Walter R. Borg. 2003. “Educational Research: An Introduction.” Educational Research: An Introduction 683.Gephart, Harlan R. 2019. “Learning Problems in Children and Adolescents.” Pp. 9–15 in ADHD Complex.Gooch, Deanna L. 2012. “Research, Development, and Validation of A School Leader’s Resource Guide for The Facilitation of Social Media Use by School Staff.” Kansas State University.Harwell, Joan M., and rebecca W. Jackson. 2008. The Complete Learning Disabilities Handbook: Ready-to Use Strategies and Activities for Teaching Students with Learning Disabilities. 3rd ed. San Francisco: jossey-Bass.Heward, William L., Sheila R. Alber-Morgan, and Moira Konrad. 2017. Exceptional Children An Introduction to Special Education. 11th ed. New York: Pearson.Ifdil, Ifdil, Rima P. Fadli, Nilma Zola, Elfi Churnia, Yola Eka Putri, and Berru Amalianita. 2020. “The Effectiveness of Ifdil Perceptual Light Technique in Reducing Ophidiophobia.” Addictive Disorders & Their Treatment 19(4):247–51.Jamaris, Martini. 2014. Kesulitan Belajar: Perspektif, Asesmen, Dan Penanggulangannya Bagi Anak Usia Dini Dan Usia Sekolah. Jakarta: Ghalia Indonesia.Jamaris, Martini, and Edwita. 2014. “Formal Multiple Intelligences Assessment Instruments for 4-6 Years Old Children.” American Journal of Educational Research 2(12):1164–74.Juntorn, Sutinun, Sarinya Sriphetcharawut, and Peeraya Munkhetvit. 2017. “Effectiveness of Information Processing Strategy Training on Academic Task Performance in Children With Learning Disabilities: A Pilot Study.” Occupational Therapy International.Kirk, Samuel, James J. Gallagher, Mary R. Coleman, and Nick Anastasiow. 2009. Educating Exceptional Children. 12th ed. Boston: Houghton Mifflin Harcourt Publishing Company.Klein, M. Diane, Ruth E. Cook, and Anne M. Richardson-Gibson. 2001. Strategies for Including Children With Special Needs in Early Childhood Settings. New York: Delmar.Leong, Han Ming, Mark Carter, and Jennifer R. Stephenson. 2015. “Meta-Analysis of Research on Sensory Integration Therapy for Individuals with Developmental and Learning Disabilities.” Journal of Developmental and Physical Disabilities 27(2):183–206.Maehler, Claudia, and Kirsten Schuchardt. 2016. “The Importance of Working Memory for School Achievement in Primary School Children with Intellectual or Learning Disabilities.” Research in Developmental Disabilities 58:1–8.Mangunsong, Frieda. 2014. Psikologi Dan Pendidikan Anak Berkebutuhan Khusus. 1st ed. Depok: LPSP3 UI. Mora, JNC; Silva, FB; Lopez, RR; Cortez, REC. 2016. “Design, Adaptation and Content Validity Process of a Questionnaire: A Case Study.” International Journal of Management 7(7):204–16.Mulyatiningsih, Endang. 2011. “Riset Terapan Bidang Pendidikan Dan Teknik.” 1–254.N Young, Sonia, and Karen Furgal. 2016. “Effectiveness and Implication of Sensory Integration Therapy on School Performance of Children with Learning Disabilities.” International Journal of Neurorehabilitation 03(01):17–18.Pesova, Biljana, Despina Sivevska, and Jadranka Runceva. 2014. “Early Intervention and Prevention of Students With Specific Learning Disabilities.” Procedia - Social and Behavioral Sciences 149:701–8.Post, Marcel W. 2016. “What to Do with ‘Moderate’ Reliability and Validity Coefficients?” Archives of Physical Medicine and Rehabilitation 97(7):1051–52.Sidiarto, Lily D. 2007. Perkembangan Otak Dan Kesulitan Belajar Pada Anak. Jakarta: UI Press.Smith, Catherine M. 1997. “Development of A Learning Disabilities Screening TesT for Adults.” University of Toronto.Smith, Tom E. C., Edward A. Polloway, Jamews R. Patton, and Carol A. Dowdy. 2008. Teaching Students with Special Needs in Inclusive Setting. 5th ed. New York: Pearson Educational Inc.Taherdoost, Hamed. 2016. “Validity and Reliability of the Research Instrument; How to Test the Validation of aQuestionnaire/Survey in a Research.” International Journal of Academic Research in Management 5(3):28–36.
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Rehan Haider. "Mapping the Expertise and Understanding of Menarche, Menstrual Hygiene, and Menstrual Health among Adolescent Ladies in Low- and Center-Profit Nations." International Journal of Integrative Sciences 2, no. 7 (July 30, 2023): 995–1014. http://dx.doi.org/10.55927/ijis.v2i7.4395.
Повний текст джерелаАнотація:
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An early window of possibility for promoting girls’ health: Policy implications of the woman’s puberty e-book task in Tanzania. Int. Electron J Health Microbiol. 2011; 14:77–92 Dorgbetor G. Mainstreaming MHM in colleges through the play-primarily based approach: training discovered in Ghana. Waterlines. 2015;34(1): 41–50.56. Marvan ML, Vacio A, Espinosa-Hernandez G. Menstrual-associated changes expected with the aid of premenarcheal girls dwelling in rural and urban areas of Mexico. Soc Sci Med. 2003;56(4):863–8. Marvan ML, Vacio A, Espinosa-Hernandez G. A contrast of menstrual adjustments anticipated through pre-menarcheal kids and changes skilled with the aid of publish-menarcheal children in Mexico. J Sch health. 2001;71(9):458–61 Pitangui AC, et al. Menstruation disturbances: incidence, characteristics, and effects on the daily activities of adolescent girls residing in Brazil. J Pediatr Adolesc Gynecol. 2013;26(three):148–52 Santina T, Wehbe N, Ziade F. Exploring dysmenorrhea and menstrual reviews among Lebanese lady young people. East Mediterr Health J. 2012;18(8):857–63. Chaudhuri A, Singh A. How do school women cope with dysmenorrhea? J Indian Med Assoc. 2012; 10(5):287–91. Sommer M. Where the training machine and Girls’ bodies collide: The Social and fitness impact of ladies’ stories of menstruation and training in Tanzania. J Adolesc. 2010;33(4):521–9. Patil MS, Angadi MM. Menstrual patterns among adolescent girls in the rural regions of Bijapur. Al Ameen J Med Sci. 2013;6(1):17–20. Rana B, Prajapati A, Sonaliya KN, Shah V, Patel M, Solanki A. Assessment of menstrual hygiene practices among adolescent females in the Kheda district of Gujarat Kingdom, India. Healthline J. 2015;6(1):23–9. Sharma P, et al. Troubles associated with menstruation among adolescent girls. Indian J Pediatr. 2008; seventy-five (2): one hundred twenty-five–9, 65. Juyal R, Kandpal SD, Semwal J. Social elements of menstruation-associated practices in adolescent women in the district Dehradun. Indian J Network Fitness. 2013;25(three):213–6. Haque SE, et al. The impact of a school-based instructional intervention on menstrual health: An intervention examine among adolescent women in Bangladesh. BMJ Open. 2014;4(7):e004607. Bodat S, Ghate MM, Majumdar JR. School absenteeism during menstruation among rural adolescent girls in Pune. Natl J Community Med. 2013; four(2):212–6. Joshi D, Buit G, González-Botero D. Menstrual hygiene control: training and empowerment for women? Waterlines. 2015;34(1): 51–67. Sir Bernard Law et al. Sanitary pad interventions for girls’ schooling in Ghana: A pilot study. PLoS One. 2012;7(10):e48274 Oster E, Thornton R. Menstruation, sanitary products, and school attendance: Evidence from a randomized evaluation. Am Econ J. 2011;3(1):91–100. Mason L, Laserson K, Oruko K et al. Adolescent schoolgirls’ experiences of Menstrual cups and pads in rural western Kenya: A qualitative study. Waterlines. 2015;34(1):15–30. Kabir H, et al. Treatment-seeking for selected reproductive health problems: Behaviors of unmarried female adolescents in two low-performing areas of Bangladesh. Reprod Health. 2014;11:54. Nair MK, et al. Menstrual disorders and menstrual hygiene practices of girls in higher secondary schools. Indian J Pediatr. 2012;79 Suppl 1:S74–8. Baidya S, Debnath M, Das R. Reproductive health problems among rural adolescent girls of the Mohanpur Block of the West Tripura District. Al Ameen J Med Sci. 2014;7(1):78–82. Wong LP, Khoo EM. Dysmenorrhea in a multiethnic population of adolescent Asian girls. Int J Gynaecol Obstet. 2010;108(2):139–42. Poureslami M. Assessing knowledge, attitudes, and behavior of adolescent girls in suburban districts of Tehran about dysmenorrhea and menstrual hygiene. J Int Womens Stud. 2002;3(2):51–61. Eryilmaz G, Ozdemir F. Evaluation of menstrual pain management approaches by Northeastern Anatolian adolescents. Pain Manag Nurs. 2009;10(1):40–7. Wasnik VR, Dhumale D, Jawarkar AK. A study of the menstrual pattern and problems among rural school-going adolescent girls in the Amravati district of Maharashtra, India. Int J Res Med Sci. 2015;33(55):1252–6. Fakhri M, et al. Promoting menstrual health among Persian adolescent girls from a low socioeconomic background: A quasi-experimental study. BMC Public Health. 2012;12:193. Allah ESA, Elsabagh EEM. Impact of a Health education intervention on Knowledge and Practice about Menstruation among female secondary school students in Zagazig City. J Am Sci. 2011;7(9):737–47. Sumpter C, Torondel B. A systematic review of the health and social effects of menstrual hygiene management. PLoS One. 2013;8(4):e62004. Nanda PMA, Mukherjee S, Barua A Mehl GL, Venkatraman CM. A study To evaluate the effectiveness of WHO tools: an orientation program on adolescent health for healthcare providers and adolescent job aid in India. Geneva: International Center for Research on Women, 2012. Vandenhoudt H, et al. Evaluation of a U.S. evidence-based parenting intervention in rural Western Kenya: From parents’ matters! To families matter! AIDS Educ Prev. 2010;22(4):328–43. Sommer M, Ackatia-Armah N, Connolly S, Smiles D. A comparison of menstruation and education experiences of girls in Tanzania, Ghana, Cambodia, and Ethiopia. Compare. 2014;45(4):589–609. Children, S.t. Adolescent Sexual and Reproductive Health. 2015. Available from: http://www.savethechildren.org/site/c.8rKLIXMGIpI4E/b.9080949/k.F576/ Adolescent_Sexual_and_Reproductive_Health.htm Health, I.f.R. Meeting the Needs of Adolescents: Introducing CCycle-Smart2013. Available from: http://irh.org/blog/meeting-the-needs-of-adolescents introducing-the cycle smart-kit/ Health, I.f.R. A3 project. Available from: http://irh.org/projects/a3_project/. Accessed 15 Oct 2014. Kettaneh APS, Todesco M. Good policy and practice booklet no. 9: puberty education and menstrual hygiene management. Paris: United Nations Educational, Scientific, and Cultural Organization, 2014. Always. Tips and advice: “The talk.” Available from: http://always.com/en-us/ tips-and-advice/the-talk. Accessed 15 Oct 2014. George R. Celebrating womanhood: How is better menstrual hygiene management the path to better health, dignity, and business? Geneva: Water Supply and Sanitation Collaboration Council, 2013. Sommer M. V. E., Worthington, N., Sahin M. WASH in schools empowers girl’s education: proceedings of the menstrual hygiene management in schools virtual conference 2012. in Menstrual Hygiene Management in Schools Virtual Conference. New York, NY: United Nations Children’s Fund and Columbia University; 2012. Kanotra SK, Bangal VB, Bhavthankar DP. Menstrual Patterns and Problems among adolescent girls in rural areas. International Journal of Biomedical and Advance Research. 2013; 4(8):551–
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Vahldiek, J. L., K. K. Bressem, S. Niehues, L. Adams, L. Spiller, M. Protopopov, V. Rios Rodriguez, et al. "OP0254 AN ARTIFICIAL NEURAL NETWORK FOR THE DETECTION OF DEFINITE RADIOGRAPHIC SACROILIITIS WITH HIGH SPECIFICITY IN THE DIAGNOSTIC SETTING." Annals of the Rheumatic Diseases 80, Suppl 1 (May 19, 2021): 155.2–156. http://dx.doi.org/10.1136/annrheumdis-2021-eular.3512.
Повний текст джерелаАнотація:
Background:Radiographs of the sacroiliac joints are commonly used as the first imaging method for the diagnosis of axial spondyloarthritis (axSpA), but the reliability of sacroiliitis detection is usually low. Recently we developed a deep convolutional neural network (CNN) that can detect radiographic sacroiliitis with expert-like accuracy in patients with axSpA, i.e., classification as radiographic or non-radiographic [1]. There is frequent criticism that many artificial intelligence algorithms for diagnostic analysis of medical images lack robust validation in real-world clinical applications.Objectives:The aim of this study was to evaluate the performance of our deep CNN in detecting definite radiographic sacroiliitis in the diagnostic setting.Methods:In this study, we included a total of 361 patients with chronic back pain who presented to a rheumatologist in a specialized SpA center with a suspicion of axSpA within the OptiRef project [2]. All patients received a structured rheumatologic diagnostic work-up that resulted in the final diagnosis of axial SpA/no axial SpA. Radiographs of sacroiliac joints were evaluated by a rheumatologist and radiologist according to the modified New York criteria; the consensus judgement of the presence of definite radiographic sacroiliitis (>=grade 2 bilaterally or >=grade 3 unilaterally) was used as a reference. The predictions of the deep CNN’s inference (with a balanced cutoff of 0.724 for the predictions of the model that was derived from the training and validation steps [1]) on all available pelvic radiographs was compared to this reference judgement.Results:Pelvic radiographs of 340 patients (110 with axSpA including 61 patient with radiographic and 49 with non-radiographic axSpA, and 230 without SpA) were available for the CNN evaluation. The deep CNN achieved a sensitivity of 79% for the diagnosis of radiographic axSpA. The specificity of radiographic sacroiliitis detection was 94% (Table 1). The area under the receiver operating characteristics curve for the prediction of the presence of definite radiographic sacroiliitis was 88%. Figure 1 shows an exemplary class activation map of our CNN.Table 1.Convolutional neural network predictions of the presence of radiographic sacroiliitis in patients with suspected axSpA according to the final diagnosis by rheumatologist in OptiRef (N=340).Clinical diagnosisCNN’s prediction on the presence of definite radiographic sacroiliitisPresentNot presentRadiographic axial SpA48/61 (78.7%)13/61 (21.3%)Non-radiographic axial SpA4/49 (8.2%)45/49 (91.8%)No SpA (other diagnosis)14/230 (6.1%)216/230 (93.9%)Conclusion:The artificial neural network showed good generalizability and a high specificity with acceptable sensitivity in the detection of radiographic sacroiliitis when applied in the diagnostic setting of patients with chronic back pain and suspicion of axSpA. This algorithm can therefore be used to aid the detection of radiographic sacroiliitis as a part of the diagnostic approach.References:[1]Bressem KK, et al. medRxiv. 2020:2020.05.19.20105304.[2]Proft F, et al. Semin Arthritis Rheum. 2020;50:1015-1021.Acknowledgements:The OptiRef study was supported by a research grant from Novartis.Disclosure of Interests:None declared
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Lapeña, José Florencio F. "Millenials in Medicine: Tradition and Disruption." Philippine Journal of Otolaryngology-Head and Neck Surgery 32, no. 2 (July 24, 2018): 4–5. http://dx.doi.org/10.32412/pjohns.v32i2.55.
Повний текст джерелаАнотація:
“I suppose in reality not a leaf goes yellow in autumn without ceasing
to care about its sap and making the parent tree very uncomfortable by
long growling and grumbling - but surely nature might find some less irritating way of carrying on business if she would give her mind to it.
Why should the generations overlap one another at all?
Samuel Butler, The Way of All Flesh1
Millenials or Generation Y physicians (born 1977/1980-1995) today form the majority of medical personnel, from medical students and residents in their early twenties and thirties to young attending physicians hitting forty; practicing side-by-side with Generation X (1965-1976/1980) in their late thirties to early fifties; Baby Boomers (1946-1964) in their mid-fifties, sixties and early seventies; and the last of the Silent Generation or Traditionalists (1925-1945) in their mid-seventies, eighties and nineties.2,3 Among 734 Fellows of the Philippine Society of Otolaryngology – Head and Neck Surgery alone, there are currently 18 Traditionalists, 192 Boomers, 360 Generation X, and 164 Millenials. Assuming the 862 board-certified Diplomates waiting to become full-fledged Fellows and 182 Residents-in-Training are also Millenials, there are a total of 1,208 Millenials in the field of Otolaryngology Head and Neck Surgery in the Philippines. With four distinct generations simultaneously in the workforce, it is not unusual to hear older physicians gripe about “these Millenials,” and how different they are from previous generations.
The so-called generation gap has been used to characterize inter-generational relations, wherein the preceding generation historically puts down the younger, and the succeeding generation usually complains about the older one. I posit that central to this conflict is a clash between tradition -- the way things should be done (as perceived by the older generation) -- and disruption, the way things can be done differently (from the perspective of the younger generation). In particular (meaning no offense to the “in-between” Generation X, and at risk of being overly simplistic), this is highlighted by the supposed looming showdown between Baby Boomers who are not yet ready to leave and Millenials who can hardly wait to take over.4
Tradition, a “statement, belief or practice handed down from generation to generation” comes from the Old French tradicion “transmission, presentation, handing over” and directly from the Latin traditionem “delivery, surrender, a handing down, a giving up,” from tradere “deliver, hand over,” derived from trans – “over” + dare “to give.”5 Although older generations may like to think they uphold tradition (giving them the right and duty to pass it on to succeeding ones), a large part of what defines each generation in the first place is their departure from the statements, beliefs or practices of their predecessors. Such a transition may have been gradual or sudden, and more pronounced in some generations than in others.
Our post-war Boomer generation grew up in a world where face-to-face communication was supplemented by the written (handwritten, typewritten, typeset or telegraphed) and spoken (rotary-dial telephone) word. In medicine and medical education, history and physical examination were taught through lectures (with overhead and opaque projectors, slides on carousels and filmstrips) and live demonstrations on patients and on one another. The advent of word processing and advances in telecommunications and technology that became available to Generation X (who in the Philippines include “martial law babies” oblivious to our “wonder years” of the sixties) gradually changed the landscape of medical education and practice, but it would take the digital and internet revolution to finally, drastically change the world-- and Millenials were the primary beneficiaries of this change.
Disruption, from the Latin disruptionem “a breaking asunder,” which comes from disrumpere “break apart, split, shatter, break to pieces,” from dis- “apart” + rumpere “to break”6 perhaps best describes the Baby Boomer generation’s experience of the technological revolution that Millenials grew up with. Suddenly, everything could be had in a split-second and the world was connected in real time. No longer did one have to master penmanship, typing and speed-reading, and homes no longer displayed dictionaries and encyclopedias. Even the library card catalogue and periodicals index became obsolete, as most anything became instantly available and accessible – including information, fast food and relationships. Millenials grew up with this transition, and readily mastered the rapidly changing technology. The locus of socialization was no longer face-to-face interaction within the family, but the worldwide web and social media. In medical education, lectures gave way to podcasts and webinars; heavy textbooks gave way to electronic references; and even dissection gave way to 3D virtual human anatomy.
The Millenials’ expertise in, and dependence on, technology can both be their boon and bane – as I often note when residents and students automatically search their peripheral brains (a.k.a. mobile devices) to answer a ward round question. But they are also as quick to intuitively master the diagnostic and therapeutic tools that did not exist when their older colleagues were in residency.7 The early access that Millenials and Generation X had to computer resources in childhood certainly laid “a critical foundation for use of these systems later in life,” compared to Baby Boomers and Traditionalists whose “lack of early experience may limit their enthusiasm” for such tools.3 As Cole puts it, “Baby Boomers don't react well to a 20-something coming in and disrupting the way things have ‘always been’ while Millennials don't react well when they're told to shoot for the moon and ‘do big things,’ and then when they walk in the door with new ideas ready to disrupt age-old models, get told to know their place.”8 Thus, older generations of physicians may question how the stock knowledge and clinical eye of Millenials can compare to theirs, who learned medicine without these tools, and wonder how Millenials would fare in conflict and catastrophic situations when technology fails, or in low- and middle-income rural settings where technology is scarce. Conversely, Millenials wonder why Boomers insist on their old ways and just don’t get it!
Perhaps we can learn from Mohr et al.3 about bridging generational issues in medical and surgical education—for instance, between the Socratic Method whereby Boomers may appear to intimidate learners9 versus the Millenial expectation that presentation of information be tailored to their needs, individually or via available technology.10 It could be helpful for Millenials who are “outcomes-oriented and value doing more than knowing”11 “to realize that Traditionalists and Boomers ‘know how to do’ and are ready and able to teach.”3 On the other hand, “when instructing Boomers in new technology or information,” the Millenial teacher “should recognize that this role reversal is uncomfortable to older generations” and “mitigate discomfort … by focus(ing) on the relevance of the information and creat(ing) an environment in which it is ‘safe’ to ask questions and challenge the teacher.”3 Indeed, if inter-generational differences could be surmounted, there is much that Boomers can learn from Millenials, and vice versa.
If as Cole observes, “this great debate is hauntingly similar to a parent/child argument,”8 it is because Boomers and Millennials are “also each other’s children and parents, bound together in an intricate web of love, support, anxiety, resentment, and interdependence.”4 Perhaps by involving Generation X in bridging the great divide, and fostering an environment that allows for inter-generational differences in teaching and learning styles, non-disruptive disruption of tradition can take place. Each generation must have the humility (as opposed to intellectual arrogance) to accept that they can learn from other generations – younger or older—for truly meaningful medical progress to take place. We cannot do otherwise, for Generation Z (born after 1995, and about to enter Medical School) is already poised to join the fray.
References
Butler S. The Way of All Flesh. New York: Dover Publications, 2004. 315 pages.
The Center for Generational Kinetics. How to determine generational birth years. November 28, 2016 ©2016 [cited 2017 Nov 2.] Available from: http://genhq.com/generational_birth_years/
Mohr NM, Moreno-Walton L, Mills AM, Brunett PH, Promes SB. Generational Influences in Academic Emergency Medicine: Teaching and Learning, Mentoring, and Technology (Part I). Acad Emerg Med. 2011 Feb;18(2):190-199. DOI: 10.1111/j.1553-2712.2010.00985.x PMID: 21314779 PMCID: PMC3076332
Taylor P, Pew Research Center. The Next America: Boomers, Millenials, and the Looming Generational Showdown. New York: PublicAffairs, 2016. 384 pages.
Harper D. Online Etymology Dictionary © 2001-2017 [Cited 2017 November 2.] Available from: https://www.etymonline.com/word/tradition
Harper D. Online Etymology Dictionary © 2001-2017 [Cited 2017 November 2.] Available from: https://www.etymonline.com/word/disruption
Sopher M. How Millenial Doctors Will Shape the Future of Health Care. Blog on the Internet, Baltimore: Rendia, 2016 October 26. [Cited 2017 November 2.] Available from: https://blog.rendia.com/millennials/
Cole N. The Real Reason Baby Boomers and Millenials Don’t See Eye to Eye (Written by a Millenial). Southeast Asia. 2017 Jan 20 [Cited 2017 November 2] Available from: https://www.inc.com/nicolas-cole/the-real-reason-baby-boomers-and-millennials-dont-see-eye-to-eye-written-by-a-mi.html
Seabrook M. Intimidation in medical education: students' and teachers' perspectives. Studies Higher Educ. 2004;29(1):59–74. http://dx.doi.org/10.1080/1234567032000164877
Feiertag J, Berge ZL. Training generation N: How educators should approach the Net Generation. Education and Training. 2008 September;50(6):457–64. DOI: 10.1108/00400910810901782
Mangold K. Educating a new generation: teaching baby boomer faculty about millennial students. Nurse Educ. 2007 Jan-Feb;32(1):21-23. PMID: 17220763
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Rada, Ester. "Language-based approach in achieving Sustainable Development Goals: A qualitative meta-analysis." Bedan Research Journal 7, no. 1 (April 30, 2022): 183–211. http://dx.doi.org/10.58870/berj.v7i1.37.
Повний текст джерелаАнотація:
Scholars of language believe that where there is no language there is no development, thus language is pivotal in the implementation of Sustainable Development Goals (SDGs). This study aims to explore a language-based approach to the achievement of SDGs. Studies and reports describe language theories such as Edward Sapir-Benjamin Lee Whorf Linguistic Determinism Theory, Geoffery Leech’s five characteristics of language, Lev Vygotsky Developmental Theory, Jim Cummins Principles of Language – Basic Interpersonal Skills/Cognitive Academic Language Proficiency and other relevant linguistic concepts vis-à-vis sustainability goals and enumerate how the SDGs can be translated into a plan of action through the language-based approach. Specifically, the study focuses on Goal 3- Good health and wellbeing, Goal 4 - Quality education, Goal 16 - Peace, justice, and strong institutions, and Goal 17 - Partnership for the goal. Qualitative meta-analysis was employed using a five-step synthesis approach: 1) Exploring the field and defining research questions 2) search, selection, and appraisal of studies (sampling procedure) 3) data extraction 4) aggregation and 5) synthesis to analyze data from reports, symposiums, and studies as the main sources of data. In the iterative analyses, aggregates of concepts were identified: 1) language 2) language users 3) inclusiveness, equality, and sustainability 4) Sustainable Development Goals and language-based approaches. Other concepts were extracted from data such as diversity of language, language and culture, multilingualism, plurilingualism, multiculturalism, multilingualism, mother tongue-based multilingual education, literacy and reading skills, communication disabilities, minority vs. dominant languages, language loss and language maintenance, rights language to health care, inclusivity, vulnerability, diversity, equality, global citizenship, transparency and integrity, nationalism, national unity and collective identity and their centrality in the development, implementation, and successful completion of the SDGs.ReferencesBaart, J. L.G. (2003). Sustainable development and the maintenance of Pakistan’s indigenous languages. Conference on the state of the social sciences and humanities: Current scenario and emerging trends Islamabad, September 26-27, 2003Balčiūnaitienė Asta (2018). Challenges of foreign language teaching and sustainable development competence implementation in higher education 10.2478/vtrr-2018-0004 Vocational Training: Research and Realities, 29(1), 2018 44Brisset, N. & Radhika M. (March 2017). For function or transformation? A critical discourse analysis of education under the Sustainable Development Goals. Journal for Critical Education Policy Studies, 15(1). ISSN 1740-2743 https://www.researchgate. net/ publication/314243582Creswell, J. W. & Poth, C. N. (2018). Qualitative inquiry and research design: Choose among five approaches, 4th ed. Sage.Drape, T., Westfall-Rudd, LDM., & Lawrence, C. (May 2020). A qualitative meta-analysis examining equity and inclusion in undergraduate and graduate populations. https://www.researchgate. net/publication/341323420Ezeh. N. G. & Obiageli, U.R. (2020). The role of language in achieving the world’s Sustainable Development Goals (SDGs). European Journal of English Language and Literature Studies. 8(6), pp.53-61Forman, L., Ooms, G & Brolan, C. E. (Dec., 2015). Rights language in the Sustainable Development Agenda: Has right to health discourse and norms shaped health goals? International Journal Health Policy Management. ; 4(12). 799–804. Published online 2015 Sep 29. https://doi.org.10.15171/ijhpm.2015.171Hussain, N., Jagoe, C., Mullen, R., O’Shea, A., Sutherland, D., Williams, C., & Wright, M. (2018). The importance of speech, language and communication to the United Nations sustainable development goals: A summary of evidence. International Communication Project.Language, the sustainable development goals, and vulnerable populations at the church center for the United Nations, 777 United Nations Plaza, New York, on 11 and 12 May 2017 Symposium: Study Group on Language and the United Nations. an independent group of scholars and practitioners on matters related to the international use of language (Final Report)Mweri, J. G. (2020). Sustainable development goals: Reaching people through their mother tongue. Linguistics and Literature Studies. http://doi.org.10.13189/lls.2020.080103Nwanyanwu, A. U. (2017). The place of indigenous languages in sustainable national development in the twenty-first Century: The Nigerian perspective. International Journal of English Language and Communication Studies 3(3), ISSN 2545 - 5702Obiegbu, I. (2015), The English language and sustainable development in Nigeria Open Journal of Political Science, 5(2) Article ID:54264,4 pages DOI: 10.4236/ojps.2015.52009.Ollinger, A. (2012) Communication strategies in ELF. Academia. Communication_strategies_in_ELF-with-cover-page-v2.pdfReyes, C. M., Albert, R.G., Tabuga, A. D., Arboneda, A.A., Vizmanos, V. & Cabaero, C. C. (2019). The Philippines’ voluntary national review on the sustainable development goals. Philippine Institute for Development Studies.Stein-Smith, K. (2016). The role of multilingualism in effectively addressing global issues: The sustainable development goals and beyond. ISSN 1799-2591 Theory and practice in language studies, 6(12), pp. 2254-2259Sustainability | Free Full-Text | Quality education as a sustainable development goal in the context of 2030 agenda: Bibliometric approach | HTML (mdpi.com) International communication project(www.internationalcommunicationproject.com)The Sustainable Development Goals Report (2021). United Nations. Department of Economic and Social Affairs in collaboration with more than 50 international agencies. http://The-Sustainable-Development-Goals-Report-2021.pdf (un.org)Traore, D. (2017). The role of language and culture in sustainable development 30th - 31st October - 1st - 3rd November 2017, International Conference of the Consortium for Comparative Research on Regional Integration and Social Cohesion (RISC).Vuzo, M. (2019). Implementation of sustainable language education in the Tanzanian context: A Critical review. School of Education, University of Dar es Salaam, Dar es Salaam, Tanzania African Education Indices, 11(1). ISSN 2276 – 982XWilhite, Z. B. (2013). Local languages of instruction as a right in education for sustainable development in Africa Sustainability, 5, 1994-2017; http://doi.org./10.3390/su505199
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Aliim Hidayat, Rosidah, and Zainnur Wijayanto. "PENGEMBANGAN MODEL PEMBELAJARAN BERBASIS SOSIAL HUMANISTIK DALAM MENINGKATKAN KEMAMPUAN KOMUNIKASI MATEMATIS PESERTA DIDIK SEKOLAH DASAR." Taman Cendekia: Jurnal Pendidikan Ke-SD-an 5, no. 2 (December 29, 2021): 655–69. http://dx.doi.org/10.30738/tc.v5i2.11115.
Повний текст джерелаАнотація:
The purpose of this research and development research was (1) to produce a humanistic social-based learning model that was suitable for the mathematical communication skills of elementary school students and (2) to test its effectiveness. The type of research used was RnD with a 4-D development model developed by Thiagarajan. The research subjects on a small scale were 4 students of grade IV and on a wide scale were all students in grade IV of SD Taman Muda IP. The data analysis technique used descriptive qualitative and quantitative. Qualitative analysis technique was used to describe the stages of developing a humanistic social-based learning model in improving mathematical communication skills. Quantitative analysis techniques were utilized to test the validity, practicality, and effectiveness. Based on research data, validation tests from experts and practitioners, it can be concluded that the humanistic social-based learning model in improving the mathematical communication skills of elementary school students was valid, practical, and effective. After going through the validation stage, both experts and practitioners, the product developed was said to be valid (feasible and can be used). After being tested on a small scale and a large scale, the product developed was included in the practical and effective criteria. Thus, the developed model can be used as reference material in enriching the learning process in elementary schools so that it is hoped that student learning outcomes can alsobe enhanced Keywords: humanistic, communication, mathematics, social. References: Aloni, N. 2013. Empowering dialogues in humanistic education. Educational Philosophy and Theory, 45(10), 1067-1081. Ansari, B. I. 2012. Komunikasi Matematik dan Politik. Banda Aceh: Yayasan Pena. Annisa, W.N. 2014. “Peningkatan Kemampuan Pemecahan Masalah Dan Komunikasi Matematik Melalui Pembelajaran Pendidikan Matematika Realistik Untuk Siswa SMP Negeri Di Kabupaten Garut”. Jurnal Pendidikan dan Keguruan Vol. 1 No. 1, artikel 8. Ärlebäck, J.B., & Doerr, H.M. 2017. Students’ interpretations and reasoning about phenomena with negative rates of change throughout a model development sequence. ZDM - Mathematics Education, 50(1–2), 187–200. Bozkurt, G. 2017. Social Constructivism: Does It Succeed in Reconciling Individual Cognition with Social Teaching and Learning Practices in Mathematics?, Journal of Education and Practice, 2017. Journal of Education and Practice, 8(3), 210–218. Cole, M. 1985. The Zone of Proximal Development: Where Culture and Cognition Create Each Other. In J.V. Wertsch (ed.), Culture, Communication and Cognition, p. 146-161. Cambridge: Cambridge Darminto, B. 2014. Penerapan Teori Maslow Pada Pembelajaran Matematika di SD. Jurnal Pendidikan, Volume 23, Nomor 1. Deaton, S. 2015. Social learning theory in the age of social media: Implications for educational practitioners. Journal of Educational Technology, 12(1), 1-6. Friedlaender, D. 2019. A Humanistic Approach to Scaling Up. Research Brief. Stanford Center for Opportunity Policy in Education. Gmaj, I., & Fijałkowska, B. 2021. Between a humanistic and economic model of lifelong learning: The validation system in Poland. European Journal of Education, 56(3), 407-422. Herring, C., Rosaldo, M., Seim, J., & Shestakofsky, B. 2016. Living theory: Principles and practices for teaching social theory ethnographically. Teaching Sociology, 44(3), 188-199. Jorgensen, R., Gates, P., & Roper, V. 2014. Structural exclusion through school mathematics: Using Bourdieu to understand mathematics as a social practice. Educational Studies in Mathematics, 87(2), 221-239. Kemdikbud. 2013. Modul Pelatihan Implementasi Kurikulum 2013. Jakarta: Badan Pengembangan Sumberdaya Manusia Pendidikan dan Kebudayaan. 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Sukmawati, Heni, Iwan Wisandani, and Mega Rachma Kurniaputri. "Penerimaan dan Penggunaan Muzakki dalam Membayar Zakat Non-Tunai di Jawa Barat: Ekstensi Teori Technology of Acceptance Model." Jurnal Ekonomi Syariah Teori dan Terapan 9, no. 4 (July 31, 2022): 439–52. http://dx.doi.org/10.20473/vol9iss20224pp439-452.
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ABSTRAK Strategi penghimpunan zakat infaq dan sedekah masa kini harus selaras dengan perkembangan teknologi dan perilaku masyarakat 5.0 (society 5.0), dimana Society 5.0 menciptakan masyarakat yang berbasis teknologi sehingga pembayaran zakat, infaq, dan sedekah non tunai harus memanfaatkan teknologi finansial seperti, mobile banking, ATM, QRIS, dompet digital maupun e-commerce. Tujuan penelitian ini yaitu guna mengetahui besarnya penerimaan dan penggunaan layanan teknologi finansial dalam membayar Zakat, Infaq, dan Sedekah (ZIS) menggunakan ekstensi Technology of Acceptance Model (TAM) dengan motivasi spiritual. Adapun metode penelitian yang digunakan adalah Structural Equation Modeling Partial Least Square (SEM-PLS) dengan sebanyak 129 responden yang berasal dari Kota Bekasi, Bandung, Bogor, Cimahi, Sukabumi, Garut, Majalengka, Tasikmalaya, dan Pangandaran. Penelitian ini menemukan bahwa muzakki dalam menerima dan menggunakan layanan teknologi keuangan untuk membayar ZIS secara non tunai dipengaruhi oleh persepsi kemudahan, persepsi kegunaan, sikap, dan intensi. Implikasi dari penelitian ini adalah agar lembaga zakat dapat mengetahui penerimaan dan penggunaan teknologi muzakki dalam menunaikan zakat non tunai sehingga dapat berinovasi dalam menyediakan layanan bagi muzakki maupun masyarakat yang akan membayar zakat non tunai. Kata Kunci: Zakat Non Tunai, Kesejahteraan Umum, Perilaku Mikroekonomi, Ekonomi Keuangan. ABSTRACT The strategy of collecting zakat infaq and alms today must be in line with technological developments and community behavior 5.0 (society 5.0), where Society 5.0 creates a technology-based society. ATM, QRIS, digital wallet, and e-commerce. The purpose of this study is to determine the amount of acceptance and use of financial technology services in paying Zakat, Infaq, and Alms (ZIS) using the Technology of Acceptance Model (TAM) extension with spiritual motivation. The research method used is Structural Equation Modeling Partial Least Square (SEM-PLS) with 129 respondents taken from Bekasi, Bandung, Bogor, Cimahi, Sukabumi, Garut, Majalengka, Tasikmalaya, and Pangandaran. This study found that muzakki in accepting and using financial technology services to pay ZIS non-cash were influenced by perceived ease of use, perceived usefulness, attitudes, and intentions. However, the perceived usefulness does not affect the attitude of muzakki in paying non-cash ZIS, and indirectly the perceived usefulness does not affect the actual use of muzakki to pay ZIS. This research implies that zakat institutions can find out the acceptance and use of muzakki technology in paying zakat so that they can innovate in providing services for muzakki and people who will pay non-cash zakat. Keywords: Non-Cash Zakat, General Welfare, Microeconomic Behavior, Financial Economics. DAFTAR PUSTAKA Aini, Z. N., Yuli, S. B., & Hakim, R. (2018). Perilaku muzakki dalam membayar zakat melalui transaksi non tunai di lembaga inisiatif zakat indonesia (IZI) Surabaya. Iqtishodia, 3(1), 39-58. https://doi.org/10.35897/iqtishodia.v3i1.163 Ajzen, I. (1985). From intentions to actions: A theory of planned behavior. In Action Control (pp. 11-39). Amin, H. (2021). An analysis of online sadaqah acceptance among university graduates in Malaysia. International Journal of Islamic and Middle Eastern Finance and Management. https://doi.org/10.1108/IMEFM-01-2019-0020 Anshari. (1993). Wawasan Islam: Pokok-pokok pikiran tentang Islam dan umatnya. Jakarta: RajaGrafindo Persada. 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International Journal of Engineering & Technology, 166-169. Husaini, A. (2020). Lebih efektif lembaga amil zakat siap transformasi ke era digital. Retrieved from https://nasional.kontan.co.id/news/lebih-efektif-lembaga-amil-zakat-siap-transformasi-ke-era-digital Hussin, D. J. (2016). Forecasting patronage factors of islamic credit card as a new e-commerce banking service: An integration of TAM with perceived religiosity and trust. Journal of Islamic Marketing, 7(4), 1-35. https://doi.org/10.1108/JIMA-07-2014-0050 Ichwan, A., & Ghofur, R. A. (2020). Pengaruh technology acceptance model terhadap keputusan muzakki membayar zakat melalui fintech gopay. Jurnal Ilmiah Ekonomi Islam, 6(2), 129-135. http://dx.doi.org/10.29040/jiei.v6i2.1011 IDX. (2021). Realisasi baru 217 persen wapres implementasi zakat 2021 perlu ditingkatkan. Retrieved from https://www.idxchannel.com/syariah/realisasi-baru-217-persen-wapres-implementasi-zakat-2021-perlu-ditingkatkan Inayah, Agriyanto, & Warno. (2018). 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Schiavo, Renata, Mayela Arana, Nicole Levy, Yesenia Grijalva, Sarah Ravenhall, Margaret DiManno, and Marita Murrman. "Barriers to Meeting Community Needs in New York State during COVID-19: Results From a Pilot Survey of Nongovernmental Population and Community Health Professionals." Health Promotion Practice, December 29, 2021, 152483992110654. http://dx.doi.org/10.1177/15248399211065412.
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Capacity building and training help empower the community and population health organizations to partner with local health departments and collaboratively design multisectoral interventions that account for the complexity of public health and health promotion challenges in the era of COVID-19 and beyond. Ideally, training programs should be informed by an understanding of the needs and priorities of the professionals for whom they are intended. This brief report focuses on the results of a pilot online survey conducted as part of a larger pilot study by the New York State Association of County Health Officials and the Region 2 Public Health Training Center among population and community health professionals (n = 27) from four counties in New York State during the COVID-19 pandemic. Survey participants included a diverse group of staff members from various large and small nonprofit organizations, federally qualified health centers, academic institutions, hospitals, and insurers. Survey findings provide preliminary insights into the extent to which these organizations have been involved in the COVID-19 response in partnership with LHDs, barriers they faced in responding to the needs of the populations they serve and adjusting their work routines/operations to COVID-19 guidelines, and their top emerging organizational and training needs. Lessons learned from conducting an online survey during a public health emergency and implications for future training interventions for population and community health professionals are also discussed within the context of promoting multisectoral collaboration with local health departments, solving complex public health problems, and advancing health equity.
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Dadario, Nicholas B., Simon Bellido, Andrew Restivo, Miriam Kulkarni, Maninder Singh, Andrew Yoon, Jared Shapiro, et al. "Using a Logic Model to Enable and Evaluate Long-Term Outcomes of a Mass Casualty Training Program: A Single Center Case Study." Disaster Medicine and Public Health Preparedness, May 28, 2021, 1–7. http://dx.doi.org/10.1017/dmp.2021.66.
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Abstract Purpose: Global health disasters are on the rise and can occur at any time with little advance warning, necessitating preparation. The authors created a comprehensive evidence-based Emergency Preparedness Training Program focused on long-term retention and sustained learner engagement. Method: A prospective observational study was conducted of a simulation-based mass casualty event training program designed using an outcomes-based logic model. A total of 25 frontline healthcare workers from multiple hospital sites in the New York metropolitan area participated in an 8-hour immersive workshop. Data was collected from assessments, and surveys provided to participants 3 weeks prior to the workshop, immediately following the workshop, and 3 months after completion of the workshop. Results: The mean percentage of total knowledge scores improved across pre-workshop, post-workshop and retention (3 months post-workshop) assessments (53.2% vs. 64.8% vs. 67.6%, P < 0.05). Average comfort scores in the core MCI competencies increased across pre-workshop, post-workshop and retention self-assessments (P < 0.01). Of the participants assessed at 3 months retention (n = 14, 56%), 50.0% (n = 7) assisted in updating their hospital’s emergency operations plan and 50.0% (n = 7) pursued further self-directed learning in disaster preparedness medicine. Conclusions: The use of the logic model provided a transparent framework for the design, implementation, and evaluation of a competency-based EPT program at a single academic center.
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Stephenson, Audrey, Alessandra Calvo-Friedman, Lisa Altshuler, Sondra Zabar, and Kathleen Hanley. "Educational training to improve opioid overdose response among health center staff: a quality improvement initiative." Harm Reduction Journal 20, no. 1 (June 30, 2023). http://dx.doi.org/10.1186/s12954-023-00803-z.
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Abstract Background There were seven opioid overdoses in this New York City (NYC) federally qualified health center from December 2018 through February 2019, reflecting the rising rate of overdose deaths in NYC overall at the time. In response to these overdoses, we sought to increase the readiness of health center staff to recognize and respond to opioid overdoses and decrease stigmatizing attitudes around opioid use disorder (OUD). Methods An hour-long training focusing on opioid overdose response was administered to clinical and non-clinical staff of all levels at the health center. This training included didactic education on topics such as the overdose epidemic, stigma around OUD, and opioid overdose response, as well as discussion. A structured assessment was administered immediately before and following the training to evaluate change in knowledge and attitudes. Additionally, participants completed a feedback survey immediately after the training to assess acceptability. Paired t-tests and analysis of variance tests were used to assess changes in pre- and post-test scores. Results Over 76% of the health center staff participated in the training (N = 310). There were large and significant increases in mean knowledge and attitudinal scores from pre- to post-test (p < .001 and p < .001, respectively). While there was no significant effect of profession on attitudinal change scores, profession did have a significant effect on knowledge change scores, with administrative staff, non-clinical support staff, other healthcare staff, and therapists learning significantly more than providers (p < .001). The training had high acceptability among participants from diverse departments and levels. Conclusions An interactive educational training increased staff’s knowledge and readiness to respond to an overdose as well as improved attitudes toward individuals living with OUD. Trial registration: This project was undertaken as a quality improvement initiative at the health center and as such was not formally supervised by the Institutional Review Board per their policies. Further, per the guidelines of the International Committee of Medical Journal Editors, registration is not necessary for clinical trials whose sole purpose is to assess an intervention’s effect on providers.
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"Enhancing the Infrastructure to Safeguard the Health of America's Work Force." NEW SOLUTIONS: A Journal of Environmental and Occupational Health Policy 4, no. 3 (November 1994): 76–85. http://dx.doi.org/10.2190/ns4.3.l.
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This document presents a plan for safeguarding the health of America's workers. This plan was developed by the Occupational Health and Safety Forum of New York and New Jersey, a coalition of health and safety specialists from trade unions, industry, government and academia… The Forum is organized around the New York-New Jersey Educational Resource Center, a consortium of six universities in the New York metropolitan area whose educational and research training endeavors form the primary means through which the National Institute for Occupational Safety and Health (NIOSH) fulfills its mandate to support professional training in the region. This document provides a blueprint for improving the health and safety of workers in New York, New Jersey, and across the nation and, thus, for strengthening national productivity. The views in the report are non-partisan. They reflect the consensus opinion of specialists from industry, labor and academia, each of whom has worked for many years in the field of occupational health and safety. This document and its recommendations are not intended to be comprehensive. Important issues about which it may be difficult to find consensus, such as reform of OSHA, the overhaul of workers' compensation and others, are, therefore, not included in this document. Rather, this plan focuses on revitalizing the infrastructure of occupational health through which new approaches to addressing the health of workers might be undertaken. Through implementation of this plan, the region and the nation can expect to reduce its health care costs and increase the well-being of this and future generations of Americans.
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Jach, Elizabeth A., and Cynthia N. Carvajal. "Evaluating the effectiveness of UndocuAlly trainings: A case example in the state of New York." New Directions for Higher Education, August 19, 2023. http://dx.doi.org/10.1002/he.20477.
Повний текст джерелаАнотація:
AbstractDespite the lack of comprehensive federal legislation for undocumented students, activists catalyzed the passage of the New York State Dream Act in 2019. Yet, numerous barriers remain for undocumented students pursuing higher education. We provide a case example of UndocuAlly Trainings facilitated at a campus center in the State University of New York (SUNY), University at Albany. We consider the effectiveness of the training through an evaluation of open‐ended responses to a four‐question post‐event survey (n = 65). We examine implications for accountability within systems and institutions of higher education, emphasizing the importance of investing in dedicated centers to support students regardless of immigration status.Practical Takeaways Our UndocuAlly training sessions focused on supporting undocumented and immigrant students attending a higher education institution. The goal of these trainings is to educate stakeholders and develop a network of allies. We consider the effectiveness of the training through an evaluation of open‐ended responses to a four‐question post‐event survey. Our analysis of the survey responses demonstrates the clear need for investment in dedicated staffing, student groups, and physical space. Our findings suggest that while the training was an effective tool for awareness and education, it also emphasizes the need for accountability of greater investment toward the success of all students regardless of immigration status.
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Azofeifa, Alejandro, Ruiling Liu, Hannah Dupont, and Dori B. Reissman. "Telemedicine Trends and Lessons Learned During the COVID-19 Pandemic—World Trade Center Health Program, 2020-2021." Public Health Reports, February 1, 2024. http://dx.doi.org/10.1177/00333549231223143.
Повний текст джерелаАнотація:
The World Trade Center (WTC) Health Program, a limited federal health care program for eligible people exposed to the terrorist attacks on September 11, 2001, expanded telemedicine services during the COVID-19 pandemic (2020-2021). We analyzed service use trends from January 2020 through December 2021 to describe how the program implemented telemedicine services. About three-quarters (75%) of telemedicine visits were for mental health–related services. In the second quarter of 2020 (April–June), the number of telemedicine visits per 1000 members (n = 367) increased, exceeding in-person visits (n = 152) by 1.4-fold. The number of telemedicine visits per 1000 members decreased gradually during the rest of the study period but still represented 38% of total visits by the end of 2021. Changes in telemedicine visits were offset by comparable changes for in-person visits, such that the rate of total visits was essentially constant during the study period. Multivariate logistic regression models showed differences in telemedicine visit rates by member type and by demographic characteristics. Survivor members (vs responder members), those self-identified as non-Hispanic Other races (vs non-Hispanic White), those with preferred language not English (vs preferred language English), and those not living in the New York metropolitan area (vs living in the New York metropolitan area) were less likely to use telemedicine. Implementing telemedicine services in the WTC Health Program during the COVID-19 pandemic underscored the importance of extensive collaboration among partners, the capacity to rapidly develop necessary technical guidance, and the flexibility to address frequent regulatory guidance updates in a timely fashion. These lessons learned may guide similar health care providers posed with time-sensitive disruptions of in-person services.
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Hauck, Kevin D., Katherine A. Hochman, Mark B. Pochapin, Sondra R. Zabar, Jeffrey A. Wilhite, Gretchen Glynn, and Brian P. Bosworth. "The COVID-19 Army: Experiences From the Deployment of Non-Hospitalist Physician Volunteers During the COVID-19 Pandemic." Disaster Medicine and Public Health Preparedness, April 6, 2021, 1–5. http://dx.doi.org/10.1017/dmp.2021.109.
Повний текст джерелаАнотація:
Abstract Objective: New York City was the epicenter of the outbreak of the 2019 coronavirus disease (COVID-19) pandemic in the United States. As a large, quaternary care medical center, NYU Langone Medical Center was one of many New York medical centers that experienced an unprecedented influx of patients during this time. Clinical leadership effectively identified, oriented, and rapidly deployed a “COVID Army,” consisting of non-hospitalist physicians, to meet the needs of the patient influx. We share feedback from our providers on our processes and offer specific recommendations for systems experiencing a similar influx in the current and future pandemics. Methods: To assess the experiences and perceived readiness of these physicians (n = 183), we distributed a 32-item survey between March and June of 2020. Thematic analyses and response rates were examined to develop results. Results: Responses highlighted varying experiences and attitudes of our frontline physicians during an emerging pandemic. Thematic analyses revealed a series of lessons learned, including the need to (1) provide orientations, (2) clarify roles/workflow, (3) balance team workload, (4) keep teams updated on evolving policies, (5) make team members feel valued, and (6) ensure they have necessary tools available. Conclusions: Lessons from our deployment and assessment are scalable at other institutions.
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B2041171004, ANGGA HENDHARSA. "PERAN KOMITMEN ORGANISASIONAL DAN KOMPENSASI TERHADAP KEPUASAN KERJA DENGAN MODERASI BUDAYA ORGANISASI KARYAWAN PT.PLN (PERSERO) UNIT INDUK WILAYAH KALIMANTAN BARAT." Equator Journal of Management and Entrepreneurship (EJME) 8, no. 1 (September 23, 2019). http://dx.doi.org/10.26418/ejme.v8i1.35694.
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Tujuan dalam penelitian ini adalah untuk mengetahui Peran Komitmen organisasional yang terdiri dari komitment afektif, normative, dan kontinuan dan Kompensasi baik itu kompensasi finansial dan non-finansial terhadap Kepuasan kerja dengan moderasi Budaya organisasi sebagai variabel penguat atau memperlemah pada karyawan PT.PLN (Persero) Unit Induk Wilayah Kalimantan Barat. Sampel dalam penelitian ini adalah 200 orang karyawan dan data yang dapat di olah sebanyak 200 sampel. PT.PLN (Persero) Unit Induk Wilayah Kalimantan Barat. Data dianalisis menggunakan WrapPls 6.0 dan SPSS 16 untuk menguji Uji asumsi Normalitas dan Linieritas.Hasil penelitian ini menyimpulkan bahwa komitmen organisasi berpengaruh positif terhadap kepuasan kerja karyawan PT.PLN (Persero) Unit Induk Wilayah Kalimantan Barat. Kompensasi juag berpengaruh positif terhadap kepuasan kerja karyawan PT.PLN (Persero) Unit Induk Wilayah Kalimantan Barat. Selain itu Budaya sebagai variabel moderasi memiliki hubungan yang signifikan sebagai moderasi antar hubungan komitmen organisasional terhadap kepuasan kerja, tetapi tidak memoderasi hubungan kompensasi terhadap kepuasan kerja. Kata Kunci : komitmen organisasional,kompensasi,kepuasan kerja dan budaya organisasiDAFTAR PUSTAKA Adeniji, A. A., & Osibanjo, A. O., (2012). Human Resource Management: Theory & Practice.Lagos, Nigeria: Pumark Nigeria Limited. Allen N J, & Meyer J P., (1990). The measurement & antecedents of affective, Continuance & normative commitment to the organization. Jurnal of Occupational Psychology (1990), 63, 1-18 Printed in great Britain 1990 the British Psychological Society.Allen N J, & Meyer J P., (1996). Affective, Continuance, & Normative Commitment to the Organization: An Examination of Construct Validity. 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Jacobs, Laurie G., Jason A. Korcak, and Marygrace Zetkulic. "Physician Workforce Response to the COVID-19 Pandemic at an Academic Medical Center." Disaster Medicine and Public Health Preparedness, October 12, 2020, 1–4. http://dx.doi.org/10.1017/dmp.2020.377.
Повний текст джерелаАнотація:
ABSTRACT Objectives: The aim of this study was to describe the planning, implementation, and outcome of an acute care physician supplemental workforce during the local coronavirus disease 2019 (COVID-19) surge at a 771-bed academic medical center, from March 25 to May 5, 2020, in New Jersey, United States. Methods: The Department of Medicine sought participation by “independent” and redeployed “employed” physicians to provide acute hospital care, as well as assistance with occupational health and family communication. Plans addressed training, compensation, clinical privileges, malpractice, and collaboration with the existing hospitalist service. Results: Redeployed employed physicians (81% internists) selected either acute care (n = 68; median age, 52 y [range, 32-72 y]; 28% female) or non-face-to-face supportive roles (n = 69; median age, 52 y [range, 32-84 y]; 28% female). The redeployed physician group totaled 474 twelve-h daytime shifts typically caring for 10 patients per day. Six employed physicians refused redeployment, and only 3 independent physicians participated (all acute care). Of note, COVID-19 infection occurred in 10 hospitalists and intensivists, and in several redeployed physicians. Conclusions: Successful physician workforce staffing for medical disasters, such as the COVID-19 pandemic, requires consideration of personal risk, as well as medicolegal, financial, and clinical competency issues.
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Kim, Eun-Ae, and Keun-Ja Cho. "Comparing the Effectiveness of Two New CPR Training Methods in Korea: Medical Virtual Reality Simulation and Flipped Learning." Iranian Journal of Public Health, July 23, 2023. http://dx.doi.org/10.18502/ijph.v52i7.13244.
Повний текст джерелаАнотація:
Background: We compared the educational effects of two training methods that have gained momentum: medical virtual reality (medi-VR) simulation and flipped learning.
Methods: Firefighters (n=128; 116 men and 12 women; mean age=28 years) in training from the Emergency Educational Simulation Center of Korea National Fire Service Academy, Gongju-si, Korea, were randomly assigned to two groups: medi-VR simulation and flipped learning in 2022. The participants were trained to perform cardiopulmonary resuscitation (CPR) using medi-VR simulation and the flipped learning methods. CPR self-efficacy, knowledge, performance, class immersion, and class satisfaction were compared between the groups. To analyze educational effects, paired and independent t-tests were performed.
Results: The post-education scores for CPR performance knowledge and CPR performance were significantly higher in the medi-VR simulation group compared to the flipped learning counterparts (P<0.001). Moreover, despite the lack of a significant difference between the groups, post-education scores for self-efficacy, class immersion, and class satisfaction showed a positive effect on learning.
Conclusion: Medi-VR simulation can be utilized as effective educational intervention, while providing a new direction for teaching methods.
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Banerjee, Smita C., Charlotte D. Malling, Megan J. Shen, Timothy J. Williamson, Carma L. Bylund, Jamie L. Studts, Timothy Mullett, et al. "Getting ready for prime time: Recommended adaptations of an Empathic Communication Skills training intervention to reduce lung cancer stigma for a national multi-center trial." Translational Behavioral Medicine, August 14, 2023. http://dx.doi.org/10.1093/tbm/ibad048.
Повний текст джерелаАнотація:
Abstract Building upon prior work developing and pilot testing a provider-focused Empathic Communication Skills (ECS) training intervention, this study sought feedback from key invested partners who work with individuals with lung cancer (i.e. stakeholders including scientific and clinical advisors and patient advocates) on the ECS training intervention. The findings will be used to launch a national virtually-delivered multi-center clinical trial that will examine the effectiveness and implementation of the evidence-based ECS training intervention to reduce patients’ experience of lung cancer stigma. A 1-day, hybrid, key invested partners meeting was held in New York City in Fall 2021. We presented the ECS training intervention to all conference attendees (N = 25) to seek constructive feedback on modifications of the training content and platform for intervention delivery to maximize its impact. After participating in the immersive training, all participants engaged in a group discussion guided by semi-structured probes. A deductive thematic content analysis was conducted to code focus group responses into 12 distinct a priori content modification recommendations. Content refinement was suggested in 8 of the 12 content modification themes: tailoring/tweaking/refining, adding elements, removing elements, shortening/condensing content, lengthening/extending content, substituting elements, re-ordering elements, and repeating elements. Engagement and feedback from key invested multi-sector partner is a valuable resource for intervention content modifications. Using a structured format for refining evidence-based interventions can facilitate efforts to understand the nature of modifications required for scaling up interventions and the impact of these modifications on outcomes of interest. ClinicalTrials.gov Identifier: NCT05456841.
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Yasuda, Risako, Keitaro Akita, Kohei Hasegawa, mathew S. Maurer, Albree Tower-Rader, Michael A. Fifer, Veli Topkara, Muredach P. Reilly, and Yuichi Shimada. "Abstract 12822: Prediction of New-Onset Atrial Fibrillation in Patients With Hypertrophic Cardiomyopathy Using RNA-Sequencing of Plasma Small Non-Coding RNAs." Circulation 148, Suppl_1 (November 7, 2023). http://dx.doi.org/10.1161/circ.148.suppl_1.12822.
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Background: It is known that about 20% of patients with hypertrophic cardiomyopathy (HCM) develop atrial fibrillation (AF), which can lead to stroke and worsening of heart failure. The current clinical model to predict new-onset AF in patients with HCM (HCM-AF score) offers only modest accuracy. RNA-sequencing (RNA-Seq) can determine concentrations of thousands of small non-coding RNAs (sncRNAs) in plasma. Hypothesis/Aims: To test the hypothesis that RNA-Seq of plasma sncRNAs predicts new-onset AF in HCM. Methods: In this prospective, multi-center cohort study, we conducted RNA-Seq of 3,740 plasma sncRNAs at enrollment on 283 patients with HCM without a prior history of AF. The outcome was new-onset AF. We developed a sncRNA-Seq-based LASSO classification model (sncRNA-Seq-based model) to predict new-onset AF using data from one institution (training set, n=193). We tested the predictive ability of the model in independent samples from the other institutions (test set, n=90). We also developed a clinical model with LASSO using all components of HCM-AF score - i.e., left atrial diameter, age, age at HCM diagnosis, and New York Heart Association functional class ≥2. We then compared the area under the receiver-operating characteristic curve (AUC) between the sncRNA-Seq-based model and the clinical model in the test set. Results: During a median follow-up of 2.8 [1.9-5.1] years, 25 patients (13%) in the training set and 7 (8%) in the test set developed new-onset AF. Using the sncRNA-Seq-based model developed in the training set, the AUC to predict new-onset AF in the test set was 0.82 (95% confidence interval [CI] 0.71-0.94, Figure ). This model outperformed the clinical model (AUC 0.59; 95% CI 0.38-0.81; Delong’s test P=0.02). Conclusion: This study serves as the first to demonstrate the ability of plasma sncRNA-Seq to predict new-onset AF in patients with HCM. The prediction model may help physicians identify patients with HCM who are at high risk of developing new-onset AF.
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Chen, Allen P. F., Sean A. P. Clouston, Minos Kritikos, Lauren Richmond, Jaymie Meliker, Frank Mann, Stephanie Santiago-Michels, et al. "A deep learning approach for monitoring parietal-dominant Alzheimer’s disease in World Trade Center responders at midlife." Brain Communications, July 2, 2021. http://dx.doi.org/10.1093/braincomms/fcab145.
Повний текст джерелаАнотація:
Abstract Little is known about the characteristics and causes of early-onset cognitive impairment. Responders to the 2001 New York World Trade Center disaster represent an aging population that was recently shown to have an excess prevalence of cognitive impairment. Neuroimaging and molecular data demonstrate that a subgroup of affected responders may have a unique form of parietal-dominant Alzheimer’s Disease. Recent neuropsychological testing and artificial intelligence approaches have emerged as methods that can be used to identify and monitor subtypes of cognitive impairment. We utilized data from World Trade Center responders participating in a health monitoring program and applied a deep learning approach to evaluate neuropsychological and neuroimaging data to generate a cortical atrophy risk score. We examined risk factors associated with the prevalence and incidence of high risk for brain atrophy in responders who are now at midlife. Training was conducted in a randomly selected two-thirds sample (N = 99) enrolled using of the results of a structural neuroimaging study. Testing accuracy was estimated for each training cycle in the remaining third subsample. After training was completed, the scoring methodology that was generated was applied to longitudinal data from 1,441 World Trade Center responders. The artificial neural network provided accurate classifications of these responders in both the testing (Area Under the Receiver Operating Curve, 0.91) and validation samples (Area Under the Receiver Operating Curve, 0.87). At baseline and follow-up, responders identified as having a high risk of atrophy (n=378) showed poorer cognitive functioning, most notably in domains that included memory, throughput, and variability as compared to their counterparts at low risk for atrophy (n=1,063). Factors associated with atrophy risk included older age (adjusted hazard ratio, 1.045 [95% confidence interval = 1.027–1.065]), increased duration of exposure at the WTC site (adjusted hazard ratio, 2.815 [1.781–4.449]), and a higher prevalence of post-traumatic stress disorder (aHR, 2.072 [1.408–3.050]). High atrophy risk was associated with an increased risk of all-cause mortality (adjusted risk ratio, 3.19 [1.13–9.00]). In sum, the high atrophy risk group displayed higher levels of previously-identified risk factors and characteristics of cognitive impairment, including advanced age, symptoms of post-traumatic stress disorder, and prolonged duration of exposure to particulate matter. Thus, this study suggests that a high risk of brain atrophy may be accurately monitored using cognitive data.
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Khan, Maria R., Lee Hoff, Luther Elliott, Joy D. Scheidell, John R. Pamplin, Tarlise N. Townsend, Natalia M. Irvine, and Alex S. Bennett. "Racial/ethnic disparities in opioid overdose prevention: comparison of the naloxone care cascade in White, Latinx, and Black people who use opioids in New York City." Harm Reduction Journal 20, no. 1 (February 25, 2023). http://dx.doi.org/10.1186/s12954-023-00736-7.
Повний текст джерелаАнотація:
Abstract Background Drug overdose mortality is rising precipitously among Black people who use drugs. In NYC, the overdose mortality rate is now highest in Black (38.2 per 100,000) followed by the Latinx (33.6 per 100,000) and white (32.7 per 100,000) residents. Improved understanding of access to harm reduction including naloxone across racial/ethnic groups is warranted. Methods Using data from an ongoing study of people who use illicit opioids in NYC (N = 575), we quantified racial/ethnic differences in the naloxone care cascade. Results We observed gaps across the cascade overall in the cohort, including in naloxone training (66%), current possession (53%) daily access during using and non-using days (21%), 100% access during opioid use (20%), and complete protection (having naloxone and someone who could administer it present during 100% of opioid use events; 12%). Naloxone coverage was greater in white (training: 79%, possession: 62%, daily access: 33%, access during use: 27%, and complete protection: 13%, respectively) and Latinx (training: 67%, possession: 54%, daily access: 22%, access during use: 24%, and complete protection: 16%, respectively) versus Black (training: 59%, possession: 48%, daily access:13%, access during use: 12%, and complete protection: 8%, respectively) participants. Black participants, versus white participants, had disproportionately low odds of naloxone training (OR 0.40, 95% CI 0.22–0.72). Among participants aged 51 years or older, Black race (versus white, the referent) was strongly associated with lower levels of being trained in naloxone use (OR 0.20, 95% CI 0.07–0.63) and having 100% naloxone access during use (OR 0.34, 95% CI 0.13–0.91). Compared to white women, Black women had 0.27 times the odds of being trained in naloxone use (95% CI 0.10–0.72). Conclusions There is insufficient protection by naloxone during opioid use, with disproportionately low access among Black people who use drugs, and a heightened disparity among older Black people and Black women.
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Pourtaher, Elham, Emily R. Payne, Nicole Fera, Kirsten Rowe, Shu-Yin John Leung, Sharon Stancliff, Mark Hammer, Joshua Vinehout, and Michael W. Dailey. "Naloxone administration by law enforcement officers in New York State (2015–2020)." Harm Reduction Journal 19, no. 1 (September 19, 2022). http://dx.doi.org/10.1186/s12954-022-00682-w.
Повний текст джерелаАнотація:
Abstract Background The COVID-19 pandemic has amplified the need for wide deployment of effective harm reduction strategies in preventing opioid overdose mortality. Placing naloxone in the hands of key responders, including law enforcement officers who are often first on the scene of a suspected overdose, is one such strategy. New York State (NYS) was one of the first states to implement a statewide law enforcement naloxone administration program. This article provides an overview of the law enforcement administration of naloxone in NYS between 2015 and 2020 and highlights key characteristics of over 9000 opioid overdose reversal events. Methods Data in naloxone usage report forms completed by police officers were compiled and analyzed. Data included 9133 naloxone administration reports by 5835 unique officers located in 60 counties across NYS. Descriptive statistics were used to examine attributes of the aided individuals, including differences between fatal and non-fatal incidents. Additional descriptive analyses were conducted for incidents in which law enforcement officers arrived first at the scene of suspected overdose. Comparisons were made to examine year-over-year trends in administration as naloxone formulations were changed. Quantitative analysis was supplemented by content analysis of officers’ notes (n = 2192). Results In 85.9% of cases, law enforcement officers arrived at the scene of a suspected overdose prior to emergency medical services (EMS) personnel. These officers assessed the likelihood of an opioid overdose having occurred based on the aided person’s breathing status and other information obtained on the scene. They administered an average of 2 doses of naloxone to aided individuals. In 36.8% of cases, they reported additional administration of naloxone by other responders including EMS, fire departments, and laypersons. Data indicated the aided survived the suspected overdose in 87.4% of cases. Conclusions With appropriate training, law enforcement personnel were able to recognize opioid overdoses and prevent fatalities by administering naloxone and carrying out time-sensitive medical interventions. These officers provided life-saving services to aided individuals alongside other responders including EMS, fire departments, and bystanders. Further expansion of law enforcement naloxone administration nationally and internationally could help decrease opioid overdose mortality.