Research Design Research Articles

Enhancing teacher competence through collaborative worksheet development: an empirical investigation

This study examined the efficacy of collaborative teaching using a projectbased learning (PjBL) worksheet on plastic waste and climate change. The research design followed a type-II development approach, with two distinct phases: exploration and development, and collaborative teaching. The study involved five science teachers, two lecturers, and 45 seventh-grade students in three limited field trials. The study found that collaborative teaching through worksheet development could increase science teachers’ professionalism, particularly in the collegial phase. Furthermore, the study developed a valid PjBL-based worksheet on plastic waste and climate change, aligning with the 2013 curriculum for science instruction in junior high school, involving three core competencies. The research design employed a lesson study framework, which allowed for a thorough exploration of the research topic, leading to the development of effective instructional material. The findings of this study have significant implications for science education in junior high school, particularly in promoting active learning and fostering a deeper understanding of complex environmental issues. Overall, the study highlights the importance of collaborative teaching and the potential of PjBL-based worksheets in enhancing teacher competence and developing relevant instructional materials that align with the curriculum.

Factors associated with toddler development

Introduction: Children are the nation's next generation; therefore, they need quality children to achieve a good future for the nation. Growth and development experience a rapid increase at an early age, namely from 0-5 years. Objective: This study knows the factors related to toddler development. Method: The research design uses correlational with a cross-sectional approach. The population of this study was all toddlers, as many as 250 toddlers. The sample of 71 toddlers used the sampling technique of proportionate random sampling. Test data analysis using the chi-square test, continue correction, and alternative Fisher’s exact test. Results: This study showed a significant association between nutritional status (p = 0.04), history of chronic disease (p = 0.01), education (p = 0.04), history of childbirth (p = 0.03), stimulation (p = 0.04) with toddler development and there was no significant relationship between socioeconomic (p = 0.71) and toddler development. Conclusion: there is a relationship between nutritional status, history of chronic disease, education, history of childbirth, and stimulation with toddler development. Health workers should be advised to detect child growth and development early by looking at the history of chronic diseases suffered and stimulating toddlers for optimal development.

The Effect of Post-Placental Intrauterine Contraceptive Devices on Decreasing in Uterine Fundus Height in Postpartum SC Mothers

Introduction: Contraception and family planning services are an essential part of reproductive health. Postpartum IUDs in SC postpartum have a much lower expulsion rate than vaginal delivery. Objective: to determine the effect of post-placental intrauterine devices on the decrease in fundus uteri. Methods: Using a correlational analytical research design, the research design used is a prospective cohort with a sample size of 30 for the treatment group and 30 for the control group. Result: It can be concluded that the effect 2 hours after the installation of post-placental IUD is known (p-value = 0.279), which indicates that there is no influence between the variable of post-placental IUD installation of SC delivery mothers and the decrease in fundus uteri height. The effect of post-placental IUD insertion on the decrease in fundus uteri height in SC postpartum mothers at Karanganyar Regional Hospital on day 3 shows a p-value of 0.262, and it shows that there is no influence between the variable post-placental IUD insertion of SC mothers and the decrease in fundus uteri height. On day 7, the p-value = 0.008 means that the p-value is smaller than the value of α = 0.05 (p-value < 0.05) and that there is an influence between the variable of post-placental IUD insertion of SC mothers and the decrease in fundus uteri height. Post-placental IUD is a reference for making birth control choices during the postpartum period without interfering with breast milk. Conclusion: The conclusion does not prove the hypothesis in part because the rapid effect on the decrease in TFU in SC postpartum mothers is only after 7 days from the insertion of the IUD, while at 2 hours of IUD insertion and day 3 of IUD insertion, it does not have a rapid effect on reducing TFU in SC postpartum mothers. implications for the management of maternity women who plan to postpone the next pregnancy and this research can be used as empirical evidence that a post-placental intrauterine device acceptor has the potential to increase uterine contractions and accelerate the decrease in fundus uteri height on day 7.

Adverse events following immunization of mRNA-1273 (Moderna) booster vaccine in clerkship students

Two-dose primary vaccine administration was the best strategy to reduce the prevalence and severity of COVID-19. Improved immunity and antibody response to the new variant virus by administering a booster vaccine is needed. Health workers are the main priority for administering the mRNA-1273 (Moderna) booster vaccination in Indonesia. This vaccine has high effectiveness, and safety, however, data and evaluation of adverse events following immunization (AEFI) is required. This study aimed to determine the AEFIs of mRNA-1273 booster vaccination in clinical clerkship students as an early adult age group. The research design was a repeated cross-sectional study using purposive sampling technique. There were 214 subjects who met the requirements. Subject filled out an online questionnaire containing evaluation of AEFIs. The most local AEFIs symptoms were pain at the injection site (79.0%), while the common systemic symptoms were headache, drowsiness, weakness, and fever (37.4%; 26.2%; 9.8%; 9.3%). Most AEFIs were felt within 30 minutes to three days. No respondents required hospitalization, experienced anaphylactic shock, became disabled, or died. The AEFIs did not have a significant relationship with gender, history of allergies, co-morbidities, or history of COVID-19. This information is used as a preventive or educational effort to support implementation vaccine in Indonesia.

Education has a significant effect on the performance of implementing nurses in hospitals

Introduction: Higher education typically gives nurses a more profound knowledge of healthcare practices and recent developments and enhances nurses' analytical and problem-solving abilities, enabling them to provide more effective care. Aim: Knowing education significantly affects the performance of implementing nurses in hospitals. Methods: The research design is qualitative analytical descriptive research with a cross-sectional approach. The population is all nurses working in the internal care room, and as many as 50 responses using the sampling technique are total sampling. Results: Showing the chi-square test with the level of meaning (α) = 0.05, obtained p value = 0.003, education significantly influences the implementing nurse's performance. Conclusion: Education significantly influences the performance of implementing nurses, and continuing education can be an effective strategy for improving the standard of health care in hospitals. Nurses with higher education tend to have better clinical knowledge and skills, enabling them to provide higher-quality care.

Safety and prescribing recommendations for verapamil in newly diagnosed pediatric type 1 diabetes (T1D): The CLVer experience

ObjectivesTo report the safety and side effects associated with taking verapamil for beta-cell preservation in children with newly-diagnosed T1D. Research Design and MethodsEighty-eight participants aged 8.5 to 17.9 years weighing ≥ 30 kg were randomly assigned to verapamil (N = 47) or placebo (N = 41) within 31 days of T1D diagnosis and followed for 12 months from diagnosis, main CLVer study. Drug dosing was weight-based with incremental increases to full dosage. Side effect monitoring included serial measurements of pulse, blood pressure, liver enzymes, and electrocardiograms (ECGs). At study end, participants were enrolled in an observational extension study (CLVerEx), which is ongoing. No study drug is provided during the extension, but participants may use verapamil if prescribed by their diabetes care team. ResultsOverall rates of adverse events were low and comparable between verapamil and placebo groups. There was no difference in the frequency of liver function abnormalities. Three CLVer participants reduced or discontinued medication due to asymptomatic ECG changes. One CLVerEx participant (18 years old), treated with placebo during CLVer, who had not had a monitoring ECG, experienced complete AV block with a severe hypotensive episode 6 weeks after reaching his maximum verapamil dose following an inadvertent double dose on the day of the event. ConclusionsThe use of verapamil in youth newly-diagnosed with T1D appears generally safe and well tolerated with appropriate monitoring. We strongly recommend monitoring for potential side effects including an ECG at screening and an additional ECG once full dosage is reached.ClinicalTrials.gov number: NCT04233034.

Dental odyssey: a comprehensive literature review on global strategies, behavioral programs, and creative approaches for ages 6-12 years

Introduction: Oral and dental hygiene serves as an indicator of a condition free from diseases, debris, and health issues in the oral cavity, affecting individuals of all age groups. Health education through various global learning systems, behavioural programmes, and creative approaches has proven effective in enhancing children's understanding of the importance of maintaining oral and dental cleanliness. Objective: Objective: This research aims to review relevant journals contributing to the development of insights, behaviours, and understanding regarding children's oral and dental health across crucial age ranges. Methods: Using a literature review method, we filtered articles from Google Scholar, PubMed, Garuda (Digital Reference Library), and Science Direct published within the last six years. Searches in both Indonesian and English languages yielded ten articles that, after a selection process, provided diverse results regarding the implementation of learning models to enhance children's understanding of their oral and dental hygiene. Result: From the ten articles, it can be concluded that the application of education on oral and dental hygiene through various learning systems can effectively improve children's knowledge. Conclusion: the oral hygiene of elementary school children from various countries. Variations in research designs were found, and there is low awareness among children regarding dental health in Indonesia. Educational programmes, such as "Brush Day & Night," and collaborations between FDI and Unilever have proven effective in improving children's toothbrushing habits. The use of music and the snake ladder game was also considered appropriate for developing awareness and behaviours related to dental hygiene.

Research design and production of ambient atmosphere monitoring control system internet of things technology application

In this paper, presents solutions to application internet of things (IoT) technology in the field of high-tech agriculture, livestock in Vietnam is currently a new problem. The system includes an application on a smartphone; access the parameters via the web, on the computer. The product has a monitoring function: the ambient atmosphere indicators of the pig farm (temperature, humidity, CO<sub>2</sub>, NH<sub>3</sub>, H<sub>2</sub>S gas, and Biogas pressure), on the website 24/24 hour and control automatic control monitoring system. This is a problem of researching, designing and manufacturing products to automatically control the quality of the ambient atmosphere to improve productivity and quality of pig raising in practice at Bach Khoa Production, Trade and Service Joint Stock Company Bach Phuong (Address: Vinh Hao Commune, Vu Ban District, Nam Dinh Province, Vietnam).

Developing learning and training within industry model to improve work readiness of vocational high school students

<span lang="EN-US">Unemployment is still a national priority that needs to be addressed. In 2022, vocational high schools in Indonesia had the highest open unemployment rate. The highest open unemployment rate is a result of vocational high school students’ insufficient work readiness. Therefore, this research aims to develop a learning and training within industry (LTWI) model, and to evaluate the model’s efficacy in increasing vocational high school students’ work readiness. The research employed a research and development (R&D) design by Richey and Klein with the phases of needs analysis, internal validation, and external validation. There were 12 teachers and 89 students from the automotive engineering department at Muhammadiyah 1 Pakem Vocational High School and 1 Puring Vocational High School, as well as six instructors from the automotive industry: GAS Auto Service, Automotive Jogjakarta Center (OJC), Bengkel Barokah, and RND Auto Service, participated in the research. Data collection strategies adopted were interviews, questionnaires, and performance tests. The data were descriptively evaluated, and the conclusions were drawn using a categorization formula. With an average score of 3.43, the LTWI model can be used to learn very well. With an average final score of 3.32, the efficacy of the LTWI learning model falls into the category of “very good”. The LTWI model can be applied effectively to learning in vocational high schools since it has a positive influence on students’ work readiness.</span>

POSTTRAUMATIC STRESS DISORDER AND PSYCHOSOCIAL RISK FACTORS IN FIRST RESPONSE WORKERS TO EMERGENCIES. MIXED METHOD.

First responders to emergencies are exposed to various risks, including psychosocial risk factors. Caring for patients in critical situations, experiencing traumatic events, and working under highly complex conditions increase their probability of developing mental disorders, such as posttraumatic stress disorder (PTSD). The objective of the study was to determine the relationship between PTSD and psychosocial risk factors and to understand the experiences of the disorder in this population. An explanatory sequential mixed method research design was used. The quantitative phase was an analytical cross-sectional observational study (n = 193), and the qualitative phase was phenomenological (n = 5). The psychosocial risk factors that best explained the presence of PTSD symptoms were the influence of non-work conditions on work, religion, emotional avoidance, and professional support as individual factors related to coping strategies. Individual factors such as coping strategies were determining factors that explained the symptoms of PTSD, and the influence of non-work conditions on work. It was identified that the demands of the job and the organizational factors, such as leadership style and lack of institutional support, generate anguish in workers and affect their ability to regulate their emotions when exposed to critical incidents.

Analysis of the influence of communication, leadership, and work teams on nurse discipline

Introduction: The availability of quality health services for the community must receive attention from the government as one of the efforts to develop the health sector. Disappointing evidence regarding improvement in nurses' safe and quality care elevates the need to broaden our knowledge regarding the factors that enhance constant learning in nursing teams. Objective: Analyzes the effect of communication, leadership, and teamwork on nurse discipline. Methods: This quantitative research uses an analytical observational approach and a cross-sectional research design. With the analysis of the data, a linear regression test. The sample was selected using the cluster random sampling method with 36 respondents. Result: This shows the results of a linear regression test with a communication value of p = 0.024, a leadership p = 0.057, and a work team value of p = 0.004, so it can be supposed that there is an influence between the effectiveness of the work team and nurse discipline. So, it can be concluded that the point of communication and the effectiveness of the work team affect the discipline of nurses. Conclusion: the effect of the level of communication effectiveness and the effectiveness of the work team on the discipline of nurses. The story of the effectiveness of nurses can be increased by regulating the flow of information by sending authorized delegates. They are utilizing feedback to maintain organizational communication effectiveness by providing nurses with orientation, direction, and supervision.

Self-regulatory-based compliance module improve chronic kidney failure patients condition

Adherence is very important to pay attention to in health management and the quality of life among end-stage renal disease (ESRD) patients, in the fact that adherence is still lacking. This study aimed to analyze the effect of self-regulatory-based compliance modules improving interdialytic weight gains (IDWG), blood pressure (BP), sodium levels, and functional independence. A quantitative research design with a quasi-experiment approach (pre and post-test control study). A total of 28 samples for each group were taken using purposive sampling. Self-regulation based on health promotion was given using module and IDWG, sodium levels, BP measured with laboratories and physical examination, and Functional Independence measured using a questionnaire. Wilcoxon signed-rank test and Mann-Whitney test were the selected analyses for this study. There was a significant effect on self-regulation-based compliance to IDWG (p=0.012), sodium levels (p=0.001), systolic pressure (p=0.003), and functional independence (p=0.002) in the intervention group. A significant difference was also shown between the two groups (p<0.05). The self-regulation-based compliance module showed improved patient compliance in terms of fluid restriction, taking drugs, paying attention to diet, and managing activities. Adherence to patients increases good outcomes in controlling IDWG, BP, sodium levels, and functional independence in ESRD patients.

Development and Evaluation of an Immersive Cinematic Escape Room for Disaster Preparedness and Self-Efficacy Among Nurses

BackgroundThe occurrence of natural disasters is unpredictable. Nurses need to have the core competency of disaster nursing to effectively respond to natural disasters. This study aimed to develop and evaluate the effectiveness of an immersive cinematic escape room (ICER) instructional approach in disaster preparedness and self-efficacy in nurses. MethodThis quasi-experimental research design used a convenience sample of 115 nurses. The course contents covered establishment of medical stations, incident command system (ICS), personal preparedness and protection in disasters, and mass casualty triage (START). Evaluation of disaster preparedness and self-efficacy occurred before, one week after and four weeks after the course. ResultsThe experimental group, lacking prior disaster preparedness education experiences, demonstrated a statistically significant improvement (p < .01) compared to the control group with more such experiences. At week four, both groups showed improvement in the self-efficacy scores, but the improvement did not achieve statistical significance (p > .05). ConclusionThe ICER approach significantly enhanced nurses’ disaster preparedness and self-efficacy. Educators are encouraged to adopt this approach for comprehensive disaster nursing education.

Servant leadership’s impact on trust, commitment, and performance in higher education

&lt;span lang="EN-US"&gt;This research examined the relationship between servant leadership (SL), organizational trust (OT), organizational commitment (OC), and task performance (TP). It employed a quantitative research design with partial least squares-structural equation modeling (PLS-SEM) and bootstrap estimation. Data were collected through a survey of 111 lecturers from 12 universities in Eastern Indonesia. It found that SL does not affect TP and OC. Meanwhile, OT affects OC but not TP. Further, OC does not affect TP. Therefore, OT does not affect TP through OC. Likewise, SL does not affect TP through OC. It practically implies that universities should be concerned the selection and placement of professional leaders. Successful professional leaders support and enhance the OC and TP of lecturers with SL. This study enriches leadership literature empirically examining SL, TP, OT, and OC in religious higher education. Besides, it provides evidence that SL in tertiary institutions does not exhibit a positive impact on lecturer performance. Institutional limitations lead to difficult situations and allow lecturers to accept reality. Furthermore, it uncovers challenges and demands the need for in-depth investigation of SL studies, which are paradoxical and contradictory to the previous SL theories and findings.&lt;/span&gt;

Determinants associated with carpal tunnel syndrome complaints

Introduction: Carpal Tunnel Syndrome (CTS) is one of the most common problems in the upper extremities caused by the narrowing of the carpal tunnel, which results in pressure on the median nerve. Increased pressure in the carpal tunnel causes compression and damage to the median nerve. Objective: determinants associated with carpal tunnel syndrome . Methods: quantitative research with a cross-sectional research design. The sampling technique in this study used a total sampling technique in which the entire population is equal to the number of samples, namely 36 people. Data obtained by using a questionnaire. The analytical method used was univariate and bivariate analysis using the chi-square test. Result: showed that there was a relationship between length of work and carpal tunnel syndrome (p-value = 0.0190. There is a relationship between age and complaints of carpal tunnel syndrome (p-value = 0.032. There is no relationship between personal protective equipment and complaints of carpal tunnel syndrome (p-value = 0.759). There is no relationship between repetitive movements and carpal tunnel syndrome (p-value = 0.787. Conclusion: It was concluded that there is a relationship between length of service and carpal tunnel syndrome complaints, there is a relationship between age and carpal tunnel syndrome complaints and there is no relationship between body mass index and carpal tunnel syndrome complaints . In this study, researchers suggest to companies to pay more attention to employees who have a long working period so as not to do excessive work and for employees to take advantage of adequate rest time to minimize the occurrence of complaints of Carpal Tunnel Syndrome (CTS).

PATIENT FACTORS ASSOCIATED WITH NOVEL EAR-Q APPEARANCE, PSYCHOSOCIAL AND SOCIAL SCALES: A CROSS-SECTIONAL STUDY AND REGRESSION ANALYSIS

IntroductionThe EAR-Q is a rigorously validated patient-reported outcome measure which evaluates ear appearance and health-related quality of life (HRQL) in patients with congenital or acquired ear conditions. The aim of this study was to conduct an exploratory analysis to examine factors associated with EAR-Q appearance and HRQL scale scores. Methods862 participants, aged 8-29 years, with a congenital or acquired ear condition, completed the EAR-Q as part of an international field-test study. Patients responded to demographic and clinical questions as well as the EAR-Q. Univariable and multivariable linear regression analyses were used to determine which factors were significant predictors for scores on the EAR-Q Appearance, Psychological, and Social scales. ResultsMost participants were male (57.4%), awaiting treatment (55.0%), and had a microtia diagnosis (70.4%), with a mean age of 13 (±4) years. Worse ear appearance scores were associated (p<0.02) with male gender, microtia, no history of treatment, ear surgery within 6 months, unilateral involvement, and greater self-reported ear asymmetry. Decreased psychological scores were associated (p<0.01) with increasing participant age, no treatment history, recent ear surgery and dissatisfaction with ears matching/overall. Lower social scores were associated (p≤0.04) with no treatment history, those awaiting surgery, ear surgery within the last 6 months, bilateral involvement, and self-reported ears matching/appearance overall. ConclusionThis analysis identifies patient factors that may influence ear appearance and HRQL scale scores. The findings provide evidence of patient factors that should be adjusted for when undertaking future observational research designs using the EAR-Q in this patient population.

Effect of perineal massage and gentle techniques on perineal rupture in primigravida maternity mothers

Background: Perineal rupture is a tear that occurs when a baby is born, either spontaneously or by using tools/actions. Preventive efforts can be made to reduce the risk of perineal rupture by massaging the perineum and using good pressure techniques during labor. Objective: To determine the effect of perineal massage techniques and pressure on perineal rupture in primigravida mothers who give birth. Method: This research uses experimental research methods; this type of research is quantitative with a pretest-posttest research design with a control group and an analytical study design with a retrospective approach. The total research sample required was 30 primigravidas, with details, namely 15 people from the perineal massage group and 15 from the gentle technique. Sampling was taken using an accidental sampling technique, where subjects were selected as research samples based on cases/respondents who happened to be available in a place according to the context. Results: research results of primigravid mothers who experienced perineal rupture in the perineal massage group were two people (20%), and in the menstrual technique group, there were eight people (80%), based on the results of data analysis using the Wilcoxon test, the p-value was obtained. In the perineal massage group, it was 0.000; in the gentle technique group, it was 0.005. Conclusion: It can be concluded that perineal massage is more effective than gentle techniques in preventing perineal rupture in primigravida mothers. To ensure the effectiveness of the chosen method, it is advisable to consult with medical personnel experienced in this field and follow the recommendations and protocols approved by the relevant health authorities. In addition, careful monitoring and care during labor is also essential to minimize the risk of perineal rupture.

Edge of a Precipice: Multi-Party electoral violence in Jirapa Municipal in Ghana before and after the 2020 national elections

Countries in Africa experience both violent and non-violent conflicts during elections. Ghana, specifically Jirapa Municipality, has experienced this challenge in eight national elections since 1992. The Theory of Social Identity was used to establish the theoretical framework. The mixed research design for data collection and analyses was adopted. The study administered household questionnaires with a sample size of 400, and interviewed 15 key informants. The questionnaires were analyzed descriptively using the Statistical Package for Social Sciences version 22 while the interviews were analyzed using the thematic analysis. The results showed that the major multiple causal factors responsible for the periodic violence were youth unemployment, political parties/politicians seeking re-election, clientelism and inadequate political education. These have had an effect on the social structure of the community relative to weakened communal cohesion, reduced loyalty to traditional leaders, voter apathy, weak public institutions, slowed down economic activities and general distortion of democratic development. The study recommends that the dictates of chapter nine of the 1992 Fourth Republican Constitution of Ghana should be strictly followed by public institutions in charge of electoral governance without biases.

Supportive psychotherapeutic intervention and video directing observed therapy to increase family adherence

To determine the effect of supportive psychotherapy and video-directing observed therapy interventions on family compliance in assisting patients with mental disorders in the working area of the Kabila Health Center, Bone Bolango District, Gorontalo City. Research design quasi-experimental design with a one group pre- and post-test design, where the variables to be measured are family adherence in providing treatment assistance, which are included in the dependent variable. The independent variables in this study were supportive psychotherapy and video-directed observation therapy. The sampling technique used was a total sampling technique with a sample size of 39 respondents. Data analysis was performed using univariate analysis, namely descriptive analysis (frequency, percentage, median, minimum value, and maximum value) and bivariate analysis (Wilcoxon test), with a significance level of &amp;lt;0.05, which was performed using SPSS version 25 software. Supportive psychotherapy and video-directing observed therapy increased family compliance accompanying the treatment of patients with mental disorders (p-value of x1=0.020, x2=0.000, p&amp;lt;0.05). Supportive psychotherapy interventions and video-directed observed therapy have been proven to increase family compliance in treatment assistance, which can improve the quality of life of patients with mental disorders.

An enhanced domain ontology model of database course in computing curricula

The ACM/IEEE Computing Curricula 2020 includes the study of relational databases in four of its six disciplines. However, a domain ontology model of multidisciplinary database course does not exist. Therefore, the current study aims to build a domain ontology model for the multidisciplinary database course. The research process comprises three phases: a review of database course contents based on the ACM/IEEE Computing Curricula 2020, a literature review of relevant domain ontology models, and a design research phase using the NeOn methodology framework. The ontology building involves the ontology reuse and reengineering of existing models, along with the construction of some classes from a non-ontological resource. The approach to ontology reuse and reengineering demonstrates ontology reusability. The final domain ontology model is then evaluated using two ontology syntactic metrics: Relationship Richness and Information Richness. These metrics reflect the diversity of relationships and the breadth of knowledge in the model, respectively. In conclusion, the current research contributes to the Computing Curricula by providing an ontology model for a multidisciplinary database course. The model, developed through ontology reuse and reengineering and the integration of non-ontological resources, exhibits more diverse relationships and represents a broader range of knowledge.