Documentation Guidelines Research Articles

Ethnomathematics: Exploration of Lampung Bark Manuscript Transcription

The mathematical concept is used to explore the mathematics existence in culture, especially in art. One of them is Lampung bark manuscript. It is caused by a lack of learning source innovation based on ethnomathematics. Then in the field of culture, it happens the cultural values erosion in the younger generation, and they begin to forget the existence of bark manuscripts in Lampung society itself. Formerly, it was created bark manuscript as a guide and rules of life for Lampung people. Then, it became a social need for the community of Lampung itself for everyday activities, without realizing they have been using ethnomathematics activity. This research aimed to produce new learning sources using Lampung bark manuscript based ethnomathematics. The data obtained was in the form of qualitative data while the data source obtained from observation, documentation, and interviews associated with Lampung script. The instrument in this study was the researcher himself. The tools used were interview guidance, documentation, and observation guidelines. Data validity technique was done by triangulation method through checking data source and triangulation method. The data were analyzed by descriptive qualitative. The results showed that from Lampung bark manuscript could be used as a source of learning mathematics because of the existence of ethnomathematics activity that was measuring and counting activity.

Educational Empowerment in Managing Means and Infrastructure on Faculty of Teacher Training and Education (FKIP) at Tanjungpura University

<p>Empowerment is the giving of strength to individuals or groups to be more empowered than before and has a responsibility in exercising the authority entrusted to them. Therefore, empowerment is essential for an institution as a form of enormous internal power contributing to the institution. With the empowerment, institutions are increasingly responsive to change, renewal science, and technology, especially in the field of education which continues to grow following the demands of the times. This research focuses on empowering education personnel in managing facilities and infrastructure at the Teacher Training and Education Faculty. The focus of this study is "How is the empowerment of educational staff in managing facilities and infrastructure at the Teacher Training and Education Faculty?". Based on the focus of the research, the research problems are detailed as follows: 1. What is the planning of empowering education personnel in managing facilities and infrastructure? 2. How is the implementation of the empowerment of education staff in managing facilities and infrastructure?. 3 What are the steps taken by the faculty leaders in empowering education personnel? 4. How is the evaluation of the empowerment of education personnel in managing facilities and infrastructure? 5. What are the factors that support and inhibit empowering communities against the revitalization of education?</p>This study uses a descriptive method with a qualitative approach. The data collection tools used were interviews, observation and documentation guidelines. Based on the results of the study, it was found that empowerment planning was carried out by a team that had been formed to create a program based on the faculty's vision and mission. In implementing the empowerment of education staff the leaders coordinated, but on the other hand, the methods used to optimize work were still conventional. Evaluation of the empowerment of education personnel is carried out still by manual process, including the reporting system: The supporting factors include; Availability of internet access and utilization of technology for monitoring. Openness in planning to evaluation. The participation of all faculties in ensuring the optimization of education staff. Dedication and totality of education staff, especially team who have been assigned for more than five years in FKIP. While the inhibiting factors include: The flow of institutional planning and organization at the university which is considered too long (less simple), most monitoring and evaluation systems still use manuals, but online (modern) reporting and evaluation systems are being prepared. Central government policies related to the procurement of facilities and infrastructure that must be submitted a maximum of two years earlier. All activities need to be planned with good predictions so that challenges for HR (Human Resources) planning. The absence of performance monitoring technology, such as CCTV as a support tool for staff control in managing facilities and infrastructure.

Guidelines for Documentation of Occupational Therapy.

Guidelines for Documentation of Occupational Therapy.

Survey of anesthesiologists\u2019 practices related to steep Trendelenburg positioning in the USA

BackgroundSteep Trendelenburg during surgery has been associated with many position-related injuries. The American Society of Anesthesiology practice advisory recommends documentation, frequent position checks, avoiding shoulder braces, and limiting abduction of upper extremities to avoid brachial plexopathy. We conducted a web-based survey to assess anesthesiologists’ practices, institutional policies, and complications encountered when using steep Trendelenburg.MethodsTwo thousand fifty randomly selected active members of the American Society of Anesthesiology were invited via email to participate in a 9-item web-based survey. Results are reported as absolute numbers and proportions with 95% confidence interval (CI).ResultsSurvey response rate was 290 of 2050 (14.1%). 44.6% (95% CI, 38.9–50.3) of the respondents documented anesthesia start and finish, 73.9% (95% CI, 68.8–79) frequently checked positioning during surgery, 30.8% (95% CI, 25.4–36.2) reported using shoulder braces, 66.9% (95% CI, 61.5–72.3) tucked patients’ arms to the side, 54.0% (95% CI, 48.2–59.8) limited fluid administration, and more than two-thirds did not limit the duration or inclination angle. Notably, 63/290 (21.7%) reported a complication and only 6/289 (2.1%) had an institutional policy. The most common complication was airway and face edema, second was brachial plexus injury, and third was corneal abrasions. Most institutional policies, when present, focused on limiting duration of steep Trendelenburg and communication with surgical team. Only 1/6 policies required avoiding use of shoulder braces.ConclusionBased on survey results, practices related to steep Trendelenburg varied among USA anesthesiologists. Differences included protective measures, documentation, positioning techniques, fluid management, and institutional guidelines. The singular commonality found among all respondents was lack of institutional policies. Survey results highlighted the need for institutional policies and more education.

When Centers for Medicare & Medicaid Services Treats Throat Cancer Like Pharyngitis

The changes to Medicare payment documentation guidelines proposed by the Centers for Medicare & Medicaid Services may simplify documentation requirements. However, this commentary argues that the p...

Advance Care Planning in Cognitively Impaired Older Adults.

Older adults with cognitive impairment face many healthcare challenges, chief among them participating in medical decision-making about their own health care. Advance care planning (ACP) is the process whereby individuals communicate their wishes for future care with their clinicians and surrogate decision-makers while they are still able to do so. ACP has been shown to improve important outcomes for individuals with cognitive impairment, but rates of ACP for these individuals are low because of individual-, clinician-, and system-related factors. Addressing ACP early in the illness trajectory can maximize the chances that people can participate meaningfully. This article recommends best practices for approaching ACP for older adults with cognitive impairment. The importance of providing anticipatory guidance and eliciting values to guide future care to create a shared framework between clinicians, individuals, and surrogate decision-makers is emphasized. It is recommended that ACP be approached as an iterative process to continue to honor and support people's wishes as cognitive impairment progresses and increasingly threatens independence and function. The article describes effective strategies for assessing decision-making capacity, identifying surrogate decision-makers, and using structured communication tools for ACP. It also provides guidelines for documentation and billing. Finally, special considerations for individuals with advanced dementia are described, including the use of artificial hydration and nutrition, decisions about site of care, and the role of hospice care.

The Potential Impact of Scribes on Medical School Applicants and Medical Students with the New Clinical Documentation Guidelines.

The presence of scribes in various specialties, including internal medicine, is being heralded as a way to decrease clinician documentation time and burnout. Many medical school applicants become scribes to understand life as a doctor and gain clinical experience. Scribing is already perceived by some as a new key to successfully gaining entrance to medical school. One season of our admissions data showed that scribes were more likely to be admitted (OR = 1.61). Scribes may also inadvertently make it harder for medical schools to secure clinical placements for medical students. While trained scribes are highly valued by providers struggling to deal with increasing documentation burdens, supervising or training scribes also requires time that cannot be devoted to teaching. Medical documentation duties could provide valuable learning experiences for medical students. The recent ruling allowing medical students to contribute directly to clinical documentation without requiring redocumentation by supervisors gives medical schools and clinician-educators an opportunity to consider the unintended consequences of the scribe movement for medical education. Educators should consider when and how students can maximize the educational benefits of participating in patient documentation despite the templated methods commonly used in electronic health record (EHR) systems.

Peningkatan Keterampilan Menulis Descriptive Text melalui Genre Based Approach Berbantuan Media Instagram

Penelitian ini bertujuan untuk meningkatkan keterampilan siswa dalam menulis descriptive text melalui Genre Based Approach berbantuan media Instagram. Desain penelitian ini adalah Penelitian Tindakan Kelas (PTK). Penelitian ini dilaksanakan di SMP Negeri 2 Banjarnegara pada semester genap Tahun Pelajaran 2017/2018. Subjek dari penelitian ini ialah siswa kelas 7H yang berjumlah 30 siswa. Data diperoleh selama perencanaan, pelaksanaan tindakan, pengamatan dan refleksi melalui test, observasi kelas, serta dokumentasi. Test dilakukan sebanyak tiga kali (tes awal, tes siklus I, dan tes siklus II). Instrument penelitian yang digunakan yaitu soal tes keterampilan menulis descriptive text, lembar observasi, serta panduan dokumentasi. Metode analisis data yang digunakan adalah deskriptif kualitatif. Berdasarkan hasil pengamatan kelas, siswa terlihat lebih aktif dalam mengikuti kegiatan pembelajaran. Hasil dokumentasi dari teks yang dihasilkan oleh siswa menunjukkan adanya peningkatan pada kualitas tulisan. Begitu pula dengan Tes Awal, Siklus I dan Siklus II. Nilai tes mengalami peningkatan dari 62, 68, dan 71. Dengan demikian, hipotesis tindakan diterima atau dapat disimpulkan bahwa penerapan Genre Based Approach berbantuan media Instagram mampu meningkatkan keterampilan siswa dalam menulis descriptive text.

Predicting Rehabilitation Manager Knowledge of Medicare Guidelines in Skilled Nursing Facilities

Aims: Rehabilitation managers in skilled nursing facilities need a clear understanding of regulatory guidelines to support successful payment of clinically appropriate and medically necessary services. Methods: A cross-sectional online survey was conducted to determine perceived and actual knowledge of 374 rehabilitation managers regarding Medicare documentation and reimbursement guidelines. Results: Respondents perceived their overall knowledge to be much higher than their actual knowledge. Scores were significantly different by practitioner level, gender, and across categories of level of education, current clinician manager role, and hours of employer-sponsored formal training related to Medicare guidelines. Perceived knowledge, level of education, current clinician manager role, years of experience in current role, and gender accounted for 20.9% of variance in overall Medicare knowledge. Conclusions: Having insight into how well clinician managers understand Medicare documentation and reimbursement guidelines can help guide educators and providers in structuring trainings to limit the spread of misinformation and keep clinicians well-informed.

The Attention Deficit: Can Prospective and Current Students Comprehend ADHD Documentation Guidelines?

Students with ADHD are less likely to graduate from college than their peers; this study examines the currency and readability of ADHD documentation guidelines of 335 randomly selected, four-year, public and non-profit private institutions in the United States. Findings reveal that ADHD documentation is current, yet composed at nearly a 17th-grade level, rendering it difficult for students to apply for the learning accommodations they need. Implications for practitioners and future research are addressed.

Surgical doctors' adherence to the RCS and GMC medical documentation guidelines

Surgical doctors' adherence to the RCS and GMC medical documentation guidelines

IMPLEMENTASI STRATEGI PEMBELAJARAN KONTEKSTUAL DALAM PEMBENTUKAN KARAKTER PESERTA DIDIK DI SMP NEGERI 2 PINRANG

This article discusses the implementation of students' character developmentstrategies in learning Islamic Education in State Yunior High School 2 Pinrang.The purpose of this study is to describe the implementation of contextuallearning strategies in the formation of character of students, to describe theimplementation of contextual learning strategies in character building ofstudents, and to describe the factors related to the strategy of developingcontextual learning strategies to build the character in SMP 2 Pinrang. Thistype of research is descriptive qualitative using the naturalistic paradigm. Theinstruments of this research are: key instrument researchers and usinginterview, observation, and documentation guidelines. Informants interviewedwere principals, vice principals, Islamic Education teachers, and students. Theresults of this study indicate that the implementation of contextual strategieswas carried out through the learning process of Islamic Education by usingmethods in the 2013 curriculum combined with the use of informationtechnology-based learning media. The implementation of the contextual impactstrategy on improving the quality of learning in Islamic Education increases theappreciation of students for religious values, and fosters positive character forstudents. Implementation of contextual strategies by several factors, namely:existing infrastructure and infrastructure, competencies and qualifications ofacademic teachers, active teachers in teacher discussion activities, and theimplementation of the 2013 curriculum related to contextual strategies, literacy,conversation, and the use of information technology-based media.

Kompetensi Guru dalam Pembelajaran Pendidikan Agama Islam Berbasis Teknologi Informasi dan Komunikasi

This study aims to find out 1) an overview of teacher competency in ICT-based PAI learning in SMP Negeri 3 Parepare, 2) form of teacher competency implementation in ICT-based PAI learning in SMP Negeri 3 Pareparel, 3) supporting and inhibiting factors for implementing teacher competence in PAI learning ICT-based in SMP Negeri 3 Parepare. This type of research is descriptive qualitative research. Research instruments are guidelines for observation, interviews, and documentation. Data collection techniques through observation, interviews, and documentation. The results of this study indicate that: (1) PAI teachers in SMP Negeri 3 Parepare, if their competencies are analyzed starting from pedagogic competencies, personality competencies, social competencies, and professional competencies and leadership competencies can be stated that PAI teachers in SMP Negeri 3 Parepare already have good competency but still needs to be improved in order to be more optimal (2) Implementation of ICT-based PAI teacher competencies in SMP Negeri 3 Parepare, analyzed from the use of theory, development of fields of study, and the use of information and communication technology (ICT) but not maximal so it still needs to be improved. (3) Supporting factors for implementing the competence of PAI teachers in SMP Negeri 3 Parepare are curriculum, teaching staff, and a conducive atmosphere of the school environment, while the inhibiting factors are facilities and infrastructure that do not support.

Guidelines for Creating Senior-Friendly Product Instructions

Although older adults feel generally positive about technologies, many face difficulties when using them and need support during the process. One common form of support is the product instructions that come with devices. Unfortunately, when using them, older adults often feel confused, overwhelmed, or frustrated. In this work, we sought to address the issues that affect older adults’ ability to successfully complete tasks using product instructions. By observing how older adults used the product instructions of various devices and how they made modifications to simplify the use of the instructions, we identified 11 guidelines for creating senior-friendly product instructions. We validated the usability and effectiveness of the guidelines by evaluating how older adults used instruction manuals that were modified to adhere to these guidelines against the originals and those that were modified by interaction design researchers. Results show that, overall, participants had the highest task success rate and lowest task completion time when using guideline-modified user instructions. Participants also perceived these instructions to be the most helpful, the easiest to follow, the most complete, and the most concise among the three. We also compared the guidelines derived from this research to existing documentation guidelines and discussed potential challenges of applying them.

Oral intake evaluation in patients following critical illness: an ICU cohort study.

Timely and adequate nutrition improves health outcomes for the critically ill patient. Despite clinical guidelines recommending early oral nutrition, survivors of critical illness experience significant nutritional deficits. This cohort study evaluates the oral nutrition intake in intensive care unit (ICU) patients who have experienced recent critical illness. The oral nutrition intake of a convenience sample of ICU patients post-critical illness was observed during a 1-month period. Data pertaining to both the amount of oral nutrition intake and factors impacting optimal oral nutrition intake were collected and analysed. Inadequate oral intake was identified in 62% of the 79 patients assessed (n= 49). This was noted early in the ICU stay, around day 1-2, for most of the patients. A significant proportion (25%) of patients remained in the hospital with poor oral intake that persisted beyond ICU day 5. Unsurprisingly, these were the patients who had longer ICU stays. Critical illness weakness was a factor in the assessment of poor oral intake. To conclude, patients who have experienced critical illness also experience suboptimal oral nutrition. The three key factors that were identified as impacting optimal oral nutrition were early removal of nasogastric tubes, critical illness weakness and poor appetite post-critical illness. Seven key recommendations are made based on this cohort study. These recommendations are related to patient assessment, monitoring, documentation and future guidelines. Future research opportunities are highlighted, including the investigation of strategies to improve the transition of patients' post-critical illness to oral nutrition.

PERAN ORANG TUA ASUH DALAM MEMBINA KECERDASAN SPIRITUAL PADA ANAK DIDIK DI PANTI ASUHAN SULAIMAN DAHLAN JENANGAN PONOROGO.

This research is based on the guidance of the spiritual intelligence of the students in Sulaiman dahlan orphanage. Spiritual intelligence is influenced by several things one of them from how education or teaching done by parents, (in the discussion of this thesis is foster parents). This study aims to describe: 1) The efforts of foster parents in fostering the spiritual intelligence of students in the orphanage sulaiman dahlan. 2) The results achieved by foster parents in fostering spiritual intelligence protégé sulaiman dahlan. 3) What are the supporting factors and inhibiting factors in the effort to nurture the spiritual intelligence of students in the orphanage sulaiman dahlan. This research is a descriptive research with qualitative research approach. The subjects of this study were the head of the orphanage, foster parents, several alumni, and some santri. Data collection was done by observation method, structured interview, and documentation. Researchers are the main instruments in conducting research assisted by observation guides, interview guides, and documentation guidelines. Techniques used in data analysis are data display, data reduction and conclusion. The results of this study indicate that: 1) The role of foster parents in fostering the spiritual intelligence of students cover morale and material support. They educate and give direction at all times to their students. In addition they also facilitate students to develop the potential, according to each talent, by bringing teachers who are experienced in the field and include children in every moment that is able to develop its potential. 2) The results achieved from the guidance of spiritual intelligence include changes in attitude and morals of children before and after being in the orphanage, they also have the spirit of learning and awareness to memorize al-qur'an, and the spirit of learning is high. 3) Supporting factors that are adequate facilities and the opportunity as well as support to further develop the intelligence and inhibiting factors of spiritual intelligence of students in the orphanage sulaiman dahlan, self-motivation, the role of family environment, community environment, and school environment.

DESIGN OF LEARNING MATERIALS ON LIMIT FUNCTION BASED MATHEMATICAL UNDERSTANDING

In learning process, students are currently cannot be separated from learning difficulties, including the study material algebra limit function. It because the level of students' mathematical understanding regarding the material is still quite low. This study aimed to analyze the barriers to student learning, designing learning materials based on the material mathematics understanding algebra limit function is valid, determine teacher intervention during the implementation of learning materials and to analyze barriers to student learning after the implementation of learning materials. This research is a qualitative research study design using the form Didactical Design Research. Stages of research conducted: 1) analysis of the situation didactic before learning, 2) analysis of metapedadidatik and 3) the retrospective analysis. Data collection techniques used were tests, interviews, questionnaires, and documentation. The instrument used was a matter TKPM (Comprehension Mathematical Ability Test), interview, validation sheet materials, and documentation guidelines. Research results obtained are students experiencing obstacle to learning the material limit algebra functions. These obstacles are 1) students' difficulties in relating the material prerequisites to limit problems. 2) students can not write properly limit symbol, 3) students can not apply a limit theorem, 4) students are not able to determine the limit value at one point, and 5) students cannot determine the value of the limit at infinity. Learning materials that have been made have validation level of with very valid criteria. The response was given when the student intervention, generally in accordance with response prediction so that interventions carried out in accordance with the design that has been made. After learning materials student learning obstacles implemented reduced/minimized.

DESIGN OF LEARNING MATERIALS ON LIMIT FUNCTION BASED MATHEMATICAL UNDERSTANDING

In learning process, students are currently cannot be separated from learning difficulties, including the study material algebra limit function. It because the level of students' mathematical understanding regarding the material is still quite low. This study aimed to analyze the barriers to student learning, designing learning materials based on the material mathematics understanding algebra limit function is valid, determine teacher intervention during the implementation of learning materials and to analyze barriers to student learning after the implementation of learning materials. This research is a qualitative research study design using the form Didactical Design Research. Stages of research conducted: 1) analysis of the situation didactic before learning, 2) analysis of metapedadidatik and 3) the retrospective analysis. Data collection techniques used were tests, interviews, questionnaires, and documentation. The instrument used was a matter TKPM (Comprehension Mathematical Ability Test), interview, validation sheet materials, and documentation guidelines. Research results obtained are students experiencing obstacle to learning the material limit algebra functions. These obstacles are 1) students' difficulties in relating the material prerequisites to limit problems. 2) students can not write properly limit symbol, 3) students can not apply a limit theorem, 4) students are not able to determine the limit value at one point, and 5) students cannot determine the value of the limit at infinity. Learning materials that have been made have validation level of with very valid criteria. The response was given when the student intervention, generally in accordance with response prediction so that interventions carried out in accordance with the design that has been made. After learning materials student learning obstacles implemented reduced/minimized.

Assessment of heritage timber structures: Review of standards, guidelines and procedures

Abstract This paper reviews the official documentation (standards, guidelines and procedures) available for the assessment of heritage timber structures. The subsequent discussion does not catalogue all relevant technical literature. Instead, it intends to convey the state of background knowledge, recommendations and code rules using some illustrative examples. A specific focus is given to visual inspection as a fundamental first step for all different scopes and levels of assessment. The objectives of this review are to: (1) highlight the gaps and limitations in the currently available tools as well as the need for standardization; (2) contribute to the definition of an ontological approach, relating the scope of the assessment, information required and necessary procedures, (3) identify guidance for the different scopes of the assessment. The variety of timber species, architectural typologies and structural solutions, together with the varied response of these structures to climatic and other natural and man-made hazards, warrant a multifaceted and integrated assessment methodology that accounts for the hierarchical nature of timber structures behaviour and the multitude of agents affecting such behaviour. A review of existing standards and guidelines illustrates the need for a tool to consistently record the assessment process and the final decision taken, which will serve to constitute the knowledge base for the development of the next generation of more integrated and heritage specific guidelines.

Ruinous RegulationsDistracted: How Regulations Are Destroying The Practice Of Medicine And Preventing True Health-Care Reform By Matthew Hahn New York (NY): Skyhorse Publishing, 2017 224 pp., $24.99

Ruinous RegulationsDistracted: How Regulations Are Destroying The Practice Of Medicine And Preventing True Health-Care Reform By Matthew Hahn New York (NY): Skyhorse Publishing, 2017 224 pp., $24.99