Comprehensive Concept Research Articles

Empowering Health: A Comprehensive Concept Analysis of Breast Self-Examination for Proactive Breast Health Management

The review paper discusses the concept of breast self-examination (BSE), a vital screening method for early detection and diagnosis of breast cancer. It uses the Walker and Avant analysis method to develop an operational definition, identify critical attributes, antecedents, consequences, and empirical referents of BSE. BSE is crucial for early detection and survival rates, especially in developing countries. It is a cheap and accessible technique for detecting abnormal cells in normal breast tissue, making it useful in underdeveloped countries with limited resources. Defining attributes of BSE include breast awareness, breast examination for lumps and changes, a screening measure for detecting breast cancer, recommended timing after the menstrual period, primary prevention of breast cancer, self-awareness aiding in early detection, and cost-effectiveness in resource-poor countries. The paper also discusses antecedents and consequences of BSE, including knowledge and perception about BSE, personal and family history of breast cancer, health literacy campaigns, education level, increasing age, obesity, and reproductive factors. Conclusions of BSE include the practice of BSE and early detection of breast cancer, motivation towards screening, self-awareness, physical activity, and self-efficacy. The paper provides empirical referents for measuring and assessing BSE, such as structured questionnaires, scales based on health belief models, knowledge tests, and health action process approaches.

The design of project-based learning model based on local potential and social constructive investigation and its impact on students' green behavior

The Problem and Purpose of the Study. In Indonesia, the development of PBL models grounded in local potential and constructive social investigations has not previously been undertaken. Conversely, incorporating local potential into the curriculum is essential for enhancing conceptual comprehension, critical thinking skills, and environmental knowledge and fostering respect and concern for the environment. This study proposes a project-based learning (PBL) model rooted in local potential and constructive social investigations. Research Methods. This study adopts and adapts the Borg & Gall development model, which comprises four stages: (a) needs analysis and identification of local potential, (b) model development, (c) model validation, and (d) implementation. Results. The study's findings indicate that (a) the incorporation of local potential into the project-based learning model is crucial in the context of rehabilitating and reclaiming local potential in Lombok, West Nusa Tenggara, (b) the design of the PBL learning model, integrated with local potential, is achieved by including local potential materials within the framework of the existing curriculum. This integration aligns with the principles of social constructive inquiry by identifying community problems and habits and discovering and implementing problem-solving solutions. (c) Model validation, conducted through expert assessment, demonstrates that the model meets the necessary criteria for validity and practicality, with validator ratings of 3.6 and 3.65, respectively, falling within the "very good" category. The Percentage of Agreement (PA) ranges from 83.3% to 100% in the "reliable" category. (d) The implementation shows that the developed learning model is effective in enhancing students' environmentally friendly behaviour, with N-gain scores of 50.148 (effective), 50.921 (effective), and 50.256 (effective). That it, the PBL learning model based on local potential and constructive social investigations significantly influences student environmentally friendly behaviour (p < 0.05). Practical significance. This research was conducted to develop and test the effectiveness of a projectbased learning model design based on local potential and social constructive investigations to empower students' green behavior. The results of this research provide initial data in the form of local potential mapping which is integrated into model design and field testing of green behavior, so that it can be used as input for teachers and lecturers to continue implementing green behavior and exploring other local potential in learning.

Physics learning module on google sites-assisted case-based learning measure-ment material

This study introduced the development of a physics learning module on the topic of measurements based on case-based learning, supported by Google Sites. In the research background, the importance of innovative approaches in physics education for enhancing student understanding had been recognized. Therefore, the primary aim of this research was to develop an effective instructional module that would improve students' comprehension of measurement concepts. The research adopted a research and development approach using the 4D development model (Define, Design, Develop, Disseminate). During the "Define" phase, the need for the module and the scope of the teaching material were identified. Subsequently, in the "Design" phase, the module structure was designed, and case-based learning strategies were planned. The "Develop" phase involved creating the module as per the specified design, including the integration of case-based scenarios and the utilization of the Google Sites platform. In the final "Disseminate" phase, an assessment was conducted on the usability and effectiveness of the developed module. The result of this study yielded a comprehensive physics learning module centered around measurement concepts and utilizing case-based learning techniques. The module was successfully validated as an effective teaching tool capable of enhancing students' understanding of measurement concepts.

Navigating Legal Awareness in the Digital Era: Cultivating A Digital Culture in Indonesia

This research investigates the various impacts of digital transformation on legal culture and societal norms in present-day Indonesia. By examining the convergence of legal changes, technological progress, and cultural shifts, the study underscores the significance of maintaining traditional values in the face of rapid digital advancements. Emphasizing the importance of legal literacy, the paper advocates for innovative educational initiatives, such as those utilizing film and podcasts, to improve public comprehension of legal concepts. The analysis highlights the careful equilibrium needed for Indonesia to embrace digital culture while preserving its diverse cultural legacy.

Informed consent-patients' understanding of risk.

The central concept of informed consent is communication of the chance of a successful outcome. The risks and benefits are probabilistic concepts derived from populations; they do not map with any certainty to the individual. We tested patients' comprehension of basic probability concepts that are needed for informed consent. Patients (n=478) completed five questions designed to test risk estimates that are relevant to informed consent. The questions posed non-medical scenarios to avoid patients associating them with their clinical care. The questionnaire was in English and was only offered to patients whose nurse felt that they had sufficient English literacy to understand the questions. Out of a possible total of five correct answers, Asian patients scored lowest, and significantly less than Pākehā/Europeans (average total score 2.6±1.7 vs 3.6±1.4, p<0.001, 95% confidence interval 0.5 to 1.38). The total score for Māori/Pasifika was intermediate (3.2±1.4), yet they had the lowest deprivation index. This discordant finding may be due to poorer English literacy among Asian participants. On multiple linear regression, Asian ethnicity and advancing age were the independent predictors of a low score. Socio-economic deprivation decile and sex were not. When answering questions constructed according to best practice, many (but not all) patients have reasonable risk comprehension. Further improvement could target older patients, those of Asian ethnicity and probably all patients where English is a second language. Liberal use of interpreters is suggested.

The impact of collaborative ePortfolios on academic learning in a university setting

This study is focused on promoting self-reflection and self-regulation of learning through the use of digital tools to improve the academic performance of university students. Specifically, the main objective is to evaluate the impact of the use of collaborative ePortfolios on facilitating the comprehension of the concepts being studied. During the 2021/2022 academic term, a voluntary survey was administered to 60 students in the Adaptation Course of the Primary Education Degree Program. Through a structural equation analysis, a theoretical model was analyzed in which the intensity of participation in the ePortfolio appears as a mediating variable between the different independent variables and the improvement in academic learning. The results of the study confirm this mediating function for some variables, while at the same time they show a direct positive relationship between the intensity of participation in the ePortfolio and comprehension of the course concepts. The findings of this study can have important implications for the promotion of digital tools, such as ePortfolios, to improve learning in the university context. In addition, the work offers methodological alternatives to the recurring problem of analyzing complex relationships (both direct and indirect effects) with small samples.

Trust in the Leader and Trust in the Organization in Healthcare: A Concept Analysis Based on a Systematic Review

Orientation. Trust is the central part of leadership and organizational culture and can often go unnoticed until it decreases. There is a lack of a comprehensive concept analysis of trust in the healthcare setting. Research Purpose. The research aim was to gather, assess, and synthesize previous empirical evidence from the field of healthcare about the concepts of trust in the leader and trust in the organization. Motivation for the Study. To create a comprehensive and generic concept analysis of trust in the leader and organization for the healthcare sector based on recent empirical studies. Research Design and Method. A concept analysis, which followed the method presented by Walker and Avant, was conducted as a systematic review that adhered to the PRISMA guidelines. A total of eight databases were searched for relevant literature and 42 articles were included. Main Findings. The definitions of trust in the leader and the organization were based on emotion and cognition. Trust in the leader emerged as a core feature of collaborative leader-employee relationships, whereas trust in the organization was a key construct of organizational functioning. Trust in the leader and the organization contributed to commitment, increased work production, enhanced collaboration, and improved workplace well-being. Defense mechanisms were identified as a new contrary concept, while justice was found to be a related concept. Contribution. Both trust in the leader and trust in the organization positively impact an organization, nurse leaders, and employees. Deeper knowledge of trust and its attributes will be critical to the operationalization and estimation of levels of trust in healthcare organizations. Managerial Implications. Trust in the leader and the organization can significantly influence the attractiveness of an organization, retention of personnel, productivity, and work-related well-being. Thus, this aspect should be measured and developed systematically while acknowledging the antecedents of trust building.

R&amp;D team network configurations, knowledge diversity and breakthrough innovation: a combined effect framework

PurposeThis study aims to propose a combined effect framework to explore the relationship between research and development (R&amp;D) team networks, knowledge diversity and breakthrough technological innovation. In contrast to conventional linear net effects, the article explores three possible types of team configuration within enterprises and their breakthrough innovation-driving mechanisms based on machine learning methods.Design/methodology/approachBased on the patent application data of 2,337 Chinese companies in the biopharmaceutical manufacturing industry to construct the R&amp;D team network, the study uses the K-Means method to explore the configuration types of R&amp;D teams with the principle of greatest intergroup differences. Further, a decision tree model (DT) is utilized to excavate the conditional combined relationships between diverse team network configuration factors, knowledge diversity and breakthrough innovation. The network driving mechanism of corporate breakthrough innovation is analyzed from the perspective of team configurations.FindingsIt has been discerned that in the biopharmaceutical manufacturing industry, there exist three main types of enterprise R&amp;D team configurations: tight collaboration, knowledge expansion and scale orientation, which reflect the three resource investment preferences of enterprises in technological innovation, network relationships, knowledge resources and human capital. The results highlight both the crowding-out effects and complementary effects between knowledge diversity and team network characteristics in tight collaborative teams. Low knowledge diversity and high team structure holes (SHs) are found to be the optimal team configuration conditions for breakthrough innovation in knowledge-expanding and scale-oriented teams.Originality/valuePrevious studies have mainly focused on the relationship between the external collaboration network and corporate innovation. Moreover, traditional regression methods mainly describe the linear net effects between variables, neglecting that technological breakthroughs are a comprehensive concept that requires the combined action of multiple factors. To address the gap, this article proposes a combination effect framework between R&amp;D teams and enterprise breakthrough innovation, further improving social network theory and expanding the applicability of data mining methods in the field of innovation management.

Rescue From Permanent Kidney Injury in Acute Thrombosis of Both Renal Veins, the Inferior Vena Cava, and Both Iliofemoral Veins by Catheter-Based Thrombectomy.

A 33-year-old man with previously diagnosed lupus membranous nephropathy presented with painful swelling in both legs. Laboratory tests revealed acute kidney injury, and imaging studies by duplex ultrasound and computed tomography scan showed acute thrombosis of both renal veins, the infrahepatic inferior vena cava, and both iliofemoral venous segments. Initially, pharmacomechanical thrombolysis led to an insufficient morphological result. The therapeutic breakthrough was achieved by catheter-based mechanical thrombectomy of the infrarenal vena cava and both renal veins, which successfully cleared all affected venous segments from thrombus, paralleled by improvement of the patient's condition. However, after 1 week, the patient experienced recurrent thrombosis of the right renal vein with hemorrhagic infarction of the right kidney. After further optimization of immunomodulatory and antithrombotic therapy, a repeated catheter-based mechanical thrombectomy resulted in sustained clinical improvement and preservation of renal venous drainage and kidney function. Extensive acute thrombosis of both renal veins, the inferior vena cava, and both iliofemoral venous segments is a rare emergency potentially threatening kidney function. Immediate effective thrombus removal is essential to preserve kidney function and can be achieved by catheter-based mechanical thrombectomy embedded in a comprehensive immunomodulatory and antithrombotic therapeutic concept. This case demonstrated the efficacy of a catheter-based therapeutic approach in patients with extensive thrombosis of the venous system. A catheter-based approach must be embedded in a comprehensive medical therapeutic concept, which is essential to achieve a sustainable result.

The Arabic Poetry Of Al-Tafi’ila: Between The Terminology And the Rhythmic Determinants

This study aims at clarifying the rhythmeic values of the ancient and modern meters of Arabic poetry as a basic tool in the Arabic language teaching/learning process. It seeks to enable the students to compare and contrast the Arabic rhythm in terms of 'Tafi’ila'. It is based on pursuing the facts of the connection and the separation between the deliberative prosodic studies’ description of the nature of the rhythm that governs what is called the term 'Al-Tafi’ila poetry'. In addition, the path of the actual verification of this rhythm in modern Arabic poetry, which is done through the systematic investment in Al-Khalil’s theory to examine the rhythmic basis of "Al-Tafi’ila poetry". It is found that this examination of the theory of traditional prosody allows to remove the ambiguity about the claims of the radical modernization brought about by the “Al-Tafi’ila” system on the contemporary Arabic poem. It will also establish a comprehensive conception of the reliability of the term "Al-Tafi’ila poetry" in representing the rhythmic nature of the poems that belong to it.

Good Environmental Governance Roles in Sustainable Solid Waste Management in Indonesia: A Review

Indonesia is an archipelagic country consisting of more than 17,500 islands. Urbanization and community agglomeration in urban areas in Indonesia are increasing the complexity of solid waste management in Indonesia. The old paradigm of 'collect-transport-disposal' waste management still occurs frequently in cities in Indonesia. This research is designed to be a systematic qualitative review. The relationships between good environmental governance and sustainable solid waste management are synthesized from a perspective of current conditions in Indonesia. The solution to sustainable waste management is generally carried out through well-organized waste management in an integrated manner from upstream to downstream with a 'cradle-to-grave' mindset, including the impacts that may arise therein. Implementing sustainable solid waste management requires commitment and support from all aspects of stakeholders. Good environmental governance is a comprehensive, dynamic, and complex concept that attempts to improve environmental conditions while promoting sustainable solid waste management. The results show that good environmental governance is very influential for sustainable solid waste management, but it still needs to be implemented optimally in Indonesia. Integration and synchronization of policies between the central government and local government must be further improved to implement good environmental governance.

EFEKTIVITAS STRATEGI PEMBELAJARAN SISWA AKTIF PADA PENINGKATAN PEMAHAMAN KONSEP DAN PENERAPAN PRAKTIS

&lt;p&gt;&lt;em&gt;This study investigates the effectiveness of active student learning strategies in improving both conceptual comprehension and practical application. The research explores how engaging students in active learning methods positively influences their understanding of concepts and enhances their ability to apply theoretical knowledge in practical settings. The study employs various instructional strategies designed to promote active participation and critical thinking among students, aiming to identify the most effective approaches for optimizing learning outcomes. The findings contribute valuable insights to educational practices by highlighting the significance of incorporating active learning strategies for a comprehensive and practical understanding of academic concepts. &lt;/em&gt;&lt;/p&gt;

Implementation of a Comprehensive Eco-Riparian Concept to Landscape Design of Water Source Area in Macari Village, Batu City

The eco-riparian concept application on the riverside is one of the programs of the Ministry of Environment and Forestry of the Republic of Indonesia. The water source in Macari Village is one of the suppliers of raw water discharge in the Brantas watershed. Residential and industrial areas currently surround Macari Village Water sources, so it decreases the water quality, and pollution is often found due to industrial and household waste contamination. This research aims to find comprehensive eco-riparian concept design solutions to conserve water resources. By using a combined methodology between case studies and literature reviews, comprehensive eco-reparation design criteria were found, such as wetland restoration by using the terraced pond, vegetation management of the water bodies, ground covers, cliff retaining, aesthetic support vegetation, wastewater management, and drainage plans so it will not pollute the water sources. The development to support the area's vision is manifested in architectural design with ecological and historical characteristics. This design criteria is translated into a holistic visualization of the area to produce a coherent, functional, and aesthetic design. With the design result, all regional development visions are expected to be realized at the location.

(Non-)Conceptualisations of teaching and learning in innovative learning environments – a meta-narrative review

A current trend in educational research on innovative learning environments is to focus on student-centred learning, rather than a teacher-focused classroom. This turn to learning environments comes with theoretical and conceptual challenges concerning the dynamics of the classroom context and the interactions that take place within it. The aim of this review is to map the conceptions of teaching and learning in studies focusing on innovative learning environments and how they are applied in relation to the collected data. The review shows that several studies do not relate their empirical data to theoretical concepts in a systematic way. It is also suggested that the complexity of a learning environment requires an operationalised, conceptual comprehension in order to gain a full understanding of its conditions for teaching and learning.

Sustainable Regional Straw Utilization: Collaborative Approaches and Network Optimization

The SDGS repeatedly emphasizes the importance of reducing greenhouse gas emissions such as carbon dioxide. The strategic utilization of straw resources to curtail open-air burning not only epitomizes optimal resource deployment but also constitutes a significant stride in environmental preservation and sustainable development. Globally, the imperative of this challenge is increasingly recognized, prompting nations to enhance straw resource utilization technologies, devise regional management strategies, and extend requisite policy support. Regional straw utilization encapsulates a comprehensive concept involving an array of stakeholders including governments, farmers, corporations, brokers, and rural cooperatives, with each one of these uniquely contributing to a multifaceted network that is influenced by their respective resource utilization intentions. This heterogeneity, coupled with the diverse roles of these stakeholders, renders the identification of the pivotal participants and their specific functions within the intricate network. To navigate this complexity, this study employed text analysis and social network analysis, uncovering 30 robust associative rules within this domain. Our findings elucidate that the stakeholder network in regional straw resource utilization exhibits characteristics akin to the NW small-world network model. The key network entities identified include farmers, corporations, governments, and rural cooperatives. Furthermore, the study systematically categorizes the principal entities and elucidates the dynamics of this multi-stakeholder network. This research delineates four developmental models that are pertinent to regional straw resource utilization, which is a framework that is instrumental in pinpointing the accountable parties and optimizing the overarching benefits derived from these resources. The significance of this research lies not only in showcasing the potential of straw resources for environmental conservation but also in underscoring the importance of collaborative strategies and network optimization in order to achieve sustainable development goals.

Research on Boethius’s Views on the Nature of Good and Evil

This inquiry delves into the nuanced perspectives of Boethius on the existence of evil, placing a particular emphasis on its ontological dimensions within the overarching framework of absolute good. The primary focus of this analysis centers around Boethius’s seminal works, The Consolation of Philosophy and Hebdomads which serve as the key repositories of his philosophical reflections. In the former, Boethius conducts a profound exploration of the problem of evil and good, with a specific focus on the ontological realm. The latter work, Hebdomads contributes a metaphysical foundation for a more profound comprehension of these philosophical concepts. This study bifurcates the thematic exploration into two core aspects: the ontological–metaphysical dimension, scrutinizing the concepts of good and bad beyond the realm of human action, and the ethical– moral dimension, acknowledging its importance for a comprehensive understanding of the metaphysical. This dualistic approach enriches the hermeneutic perspective, facilitating a more holistic understanding of Boethius’s intricate thoughts on the nature of good and evil. The synthesis of these levels not only illuminates Boethius’s intellectual journey but also contributes to the broader discourse on the philosophical exploration of ontological dimensions within the context of absolute good.

Role of belief in miracles in clinical settings – a literature review

Health professionals, in their daily clinical practice, are often faced with the verbalization of belief in miracles by patients and surrogates, in cases of serious diseases. Many of them consider the content of this belief in decision-making in terminal stages of the disease. However, this topic is little discussed in academic and scientific circles, together with a large gap in health training. The objective of this study is to understand the research scenario for the topic in question, how it has been approached in contemporary times, what perspectives and methodologies have been adopted in published studies, what results they have achieved, and to what extent they are or are not convergent or divergent each other in terms of implications for clinical practice. A literature review was carried out, using the descriptors: faith healing, delivery of health care, belief, miracle, clinical practice and divine cure, in Portuguese and English, in the VHL, PubMed, SciELO, PsycInfo databases. From a total of 2,369 articles initially found, 32 were selected, 14 of which resulted from empirical research, 13 were theoretical in nature and five were opinion-based. Twenty-three articles focused on the professional's perspective on the topic. In addition to the onesided nature of the studies, which tend to present only the perspectives of health professionals and neglect the experiences of patients and caregivers themselves in relation to the phenomenon of belief in miracles, it was observed that it tends to be stigmatized and interpreted as a mere denial of reality, with the potential to trigger conflicts between patients/surrogates and health professionals. It may be concluded that there is a need for more studies focusing on the genuine experiences of patients and surrogates, in order to support an epistemologically qualified clinical practice, for an understanding of the phenomenon of belief in miracles and its subjective and intersubjective impacts in clinical contexts and, consequently, consistent with a more comprehensive conception of physical and mental health

Analyzing metaphor patterns in COVID-19 news pictures: A critical study in China.

Drawing on Critical Metaphor Analysis, this study investigates major metaphors of the COVID-19 pandemic used by the Chinese government in the specific genre of news picture. It examines patterns of metaphor use in the first year of the pandemic in China and explains how and why the government employs the identified metaphors in the Chinese political context. Results reveal that pandemic metaphors (45%) are not as widely used in news pictures as presumed, the vast majority (95%) are rendered in verbal mode, and the most salient metaphors used in news pictures are the UP/DOWN (spatial), WAR, FAMILY, and COMPETITION metaphors. This study then addresses how COVID-19 metaphors are used in the Chinese political context and claims that the Chinese government uses specific metaphors with persuasive and ideological functions. The WAR metaphor aids comprehension of abstract concepts of the pandemic treatment, the FAMILY metaphor fosters empathy among Chinese individuals to counter blame and discrimination in society, UP/DOWN (spatial) and COMPETITION metaphors stimulate action to overcome the common "enemy." WAR and FAMILY metaphors also contribute to the construction of a greater sense of collectivism and play a crucial role in fostering a positive national identity. Implications, limitations and some directions for future research are suggested.

Exploring the hidden canvas: Conceptualisations of nature in early years curricula and standard documents in Turkey

AbstractThis paper examines underlying beliefs and values about nature within the early years education in Turkey, as reflected in the curricula and standards documents guiding instruction. Given that not every child has the opportunity for nature‐based education, it becomes essential to incorporate nature‐based learning into indoor classrooms. Employing a document analysis, we comprehensively analyse the Ministry of Education's Preschool Education Program (2013), Activity Book‐1 (2013a), and Activity Book‐2 (2018), which guides teachers in shaping their classroom practices, therefore providing in‐depth insights into the conceptualisations of nature. Our analysis reveals that ‘nature’ in these documents is characterised by its connection to and intersections of specific settings, concepts, and resources. Moreover, we found out that the identified patterns of relationships in the examined curriculum and standards documents demonstrate a purposeful initiative to engage preschool children in the realm of nature through various means, including conceptual comprehension, hands‐on interaction with materials, and direct involvement in natural surroundings. The intersections among these elements unveil a complex network of opportunities to promote an enhanced learning journey. By fostering a deeper understanding of the relationship between curriculum guidelines and nature activities, we aim to empower early childhood educators to embrace nature as an integral part of their classroom practices.

Teaching residents to teach: A pilot study for an innovative online curriculum.

Resident-as-teacher (RAT) curricula have improved teaching behavior, ability, and confidence among resident participants. However, there are limited data on the appropriate format, length, and content. With teaching being a core residency competency and residents delivering one-third of student teaching in the clinical setting, properly training residents in clinical teaching is essential. We created a formal, scalable, asynchronous RAT curriculum. We report the pilot implementation of this curriculum along with feasibility, user acceptability, and preliminary knowledge outcomes. In this pilot pre-post interventional study, senior emergency medicine residents completed a formalized online education curriculum during their "teach month." The curriculum consisted of three online modules completed weekly over a 4-week rotation. Topics included adult learning, assessment and feedback, and group teaching. Several surveys were sent to residents before and after curriculum implementation. The surveys rated satisfaction and asked several education-specific knowledge questions to assess learning. Ratings were analyzed using means and confidence intervals (95%). Knowledge questions were graded and then analyzed by ANOVA and Fisher's LSD test. After the online modules were completed, the intervention group residents' mean score on knowledge questions was significantly higher than that prior to the curriculum and significantly higher than that the control group (previous graduated residents; 6.00 vs. 2.70, p = 0.0001; and 6.00 vs. 3.00, p = 0.0003, respectively). This score was maintained 3 months after completing the online modules. Intervention group residents were more satisfied with the online education resources than the control group (p = 0.048). Residents participating in a formalized online curriculum during their teach month demonstrate a high comprehension of education concepts and increased satisfaction with the provided educational resources and report high satisfaction with the teach month. Our pilot study suggests that a short online education-focused curriculum is an effective method of providing RAT training and may be applicable to clinical teachers across specialties and experience levels.