Documentation Of Test Results Research Articles

The Effect of the Use of Mobile Learning Applications on Students' Listening Skills

Listening skills are a key element in language learning, serving as the basis for speaking, reading, and writing skills. This study explores the influence of mobile learning applications on students' listening skills, with a qualitative approach and case study design. The research subjects consisted of high school students and English teachers who used mobile learning applications. Data is collected through in-depth interviews, observations, and documentation of test results. The findings show that the use of mobile learning applications significantly improves students' listening skills, strengthens comprehension, and increases motivation to learn independently. Interactive features in the app, such as varied audio, practice questions, and instant feedback, allow students to learn in a more flexible and personalized way. Despite challenges such as the technology access gap, mobile learning apps offer innovative solutions that support inclusive learning. This study recommends the integration of technology in the language learning curriculum to facilitate the development of more effective listening skills. Thus, mobile learning not only improves learning outcomes but also builds students' interest in language learning, preparing them for the challenges of global communication.

Analisis Kemampuan Pemecahan Masalah Matematika Siswa Kelas VII pada Materi Bilangan Pecahan Melalui Pendekatan Metakognitif-Diskursif di SMPK St. Paulus Karuni

This research aims to determine the mathematical problem solving abilities of class VII students who use the Metacognitive-Discursive approach to fractional number material based on the Polya indicator. The type of research used is qualitative descriptive research. The subjects in this research consisted of 3 students. Data collection techniques in this research used test methods, interviews and documentation of test results. The data analysis technique is: first, students are asked to work on questions. Second, the results of student work are analyzed with the aim of finding out what students’ abilities are in solving problems. Third, from the results of the analysis conclusions are drawn. The results of this research show that each student has a different problem solving process, namely, students in the high category are able to solve mathematical problems through the Polya stages. Students in the medium category have not been able to solve mathematical problems through the Polya stages as a whole. Even though there are several Polya strategies that are not used in the completion step, they can complete it well. Students in the low category tend to be limited to understanding the problem and have not been able to solve mathematical problems through all stages of Polya

Documentation of results and medication prescribing after combinatorial psychiatric pharmacogenetic testing: A case for discrete results

PurposeCombinatorial pharmacogenetic (PGx) panels intended to aid psychiatric prescribing are available to clinicians. Here, we evaluated the documentation of PGx panel results and subsequent prescribing patterns within a tertiary health care system. MethodsWe performed a query of psychiatry service note text in our electronic health record using 71 predefined PGx terms. Patients who underwent combinatorial PGx testing were identified, and documentation of test results was analyzed. Prescription data following testing were examined for the frequency of prescriptions influenced by genes on the panel along with the medical specialties involved. ResultsA total of 341 patients received combinatorial PGx testing, and documentation of results was found to be absent or incomplete for 198 patients (58%). The predominant method of documentation was through portable document formats uploaded to the electronic health record’s “Media” section. Among patients with at least 1 year of follow-up, a large majority (194/228, 85%) received orders for medications affected by the tested genes, including 132 of 228 (58%) patients receiving at least 1 non-psychiatric medication influenced by the test results. ConclusionResults from combinatorial PGx testing were poorly documented. Medications affected by these results were often prescribed after testing, highlighting the need for discrete results and clinical decision support.

Impact of a New Diagnostic Stewardship Team on Utilization and Interpretation of a Microbial Cell-Free DNA Detection Test

Abstract Background After commercial metagenomic next-generation sequencing of plasma microbial cell-free DNA (NGS-mcfDNA) became available at Children’s Healthcare of Atlanta (CHOA) in 2018 with an institutional requirement for Infectious Disease (ID) consultation and approval, we observed an initial period of test utilization without consistent ID involvement. Subsequently we assembled a Diagnostic Stewardship Team (DST) composed of a clinical microbiologist and 3 ID clinicians with expertise in diagnosis and management of infections in immunocompromised children and antimicrobial stewardship, to improve test utilization by clinicians and to optimally impact patient care. Methods We performed a retrospective medical record review as an IRB-deemed Quality Improvement project. NGS-mcfDNA results and their clinical impacts prior to the formation of the DST were assessed, using previously published standardized criteria as an initial framework (Hogan 2021)1. We shared our findings with Bone Marrow Transplant (BMT), Pediatric Intensive Care Unit (PICU), and ID clinicians, providing education on the potential benefits and limitations of NGS-mcfDNA testing. Stakeholder acceptability and engagement with the DST was prioritized, with emphasis on highlighting the benefits to clinicians of expertise in patient selection for testing and with interpretation of results which can be discordant with conventional microbiological tests. DST approval became required for all NGS-mcfDNA tests, with approval decision and discussion documented in the medical record, followed by documentation of test results, interpretation, and communications with treating and consulting clinicians. After one year of DST engagement, which began on June 1, 2021, we repeated our analysis of NGS-mcfDNA utilization and clinical impacts to evaluate the results of DST involvement. We classified time periods into pre-DST, February 28, 2018 - April 12, 2021, and post-DST, June 1, 2021 – May 31, 2022. Results The majority of NGS-mcfDNA tests sent in both the pre- and post-DST periods resulted in no or indeterminate clinical impact (65% pre-DST vs. 73% post-DST), while post-DST the percentage of positive clinical impacts increased (18% pre-DST vs. 25% post-DST), and the percentage of negative clinical impacts decreased (16% pre-DST vs. 2% post-DST), likely due to DST engagement. The number of tests per year increased by three-fold, while fewer patients had multiple NGS-mcfDNA tests sent. Awareness of the requirement for DST consultation and test approval lead to more selective NGS-mcfDNA test requests on the part of BMT clinicians, and the majority of positive clinical impacts from NGS-mcfDNA testing in BMT patients resulted from collaboration between BMT and ID in de-escalation of antimicrobials. An increased awareness of the potential benefits of NGS-mcfDNA testing for pre-treated and diagnostically challenging patients led to an increase in NGS-mcfDNA test requests from ID clinicians. Conclusion Implementation of a DST resulted in universal ID engagement with clinicians requesting NGS-mcfDNA tests and ID involvement in test interpretation. Discussion with experienced diagnostic stewards at the time of NGS-mcfDNA test consideration, with attention to the rationale for test request and consideration of potential test limitations prior to return of results, in addition to rigorous interpretation of results, can increase the positive clinical impacts and decrease the negative clinical impacts of NGS-mcfDNA tests. Reference 1. Hogan CA, Yang S, Garner OB, Green DA, Gomez CA, Dien Bard J, Pinsky BA, Banaei N. Clinical Impact of Metagenomic Next-Generation Sequencing of Plasma Cell-Free DNA for the Diagnosis of Infectious Diseases: A Multicenter Retrospective Cohort Study. Clin Infect Dis. 2021 Jan 27;72(2):239-245. doi: 10.1093/cid/ciaa035. PMID: 31942944. Characteristics of NGS-mcfDNA tests sent from CHOA NGS-mcfDNA tests in BMT patients post-DST (n=19 tests)

Implementasi metode cramer menggunakan microsoft excel dalam penyelesaian rangkaian listrik arus searah

Direct current electrical circuits are one of the materials studied by students majoring in electrical engineering. To solve electrical circuit problems, students must understand the material on systems of linear equations and matrices. The purpose of this study is to find out what percentage of students apply the Cramer method with the help of Microsoft excel in solving problems of systems of linear equations in direct current electric circuits. This research is qualitative descriptive study. Data collection technique used is the documentation of test results. The subjects of this study were 52 students. First semester of the 2022/2023 academic year, majoring in electrical engineering. The instrument used is a description test of 5 questions, and the results of interviews. Data analysis technique by looking at the effectiveness of using Microsoft Excel in learning a system of linear equations with the Cramer rule method, the results are in the moderate category. To solve the problem of a system of linear equations in direct current circuits as much 62,2% of students it is easier to use the Cramer method and can quickly use Microsoft Excel assistance in calculations, even for many n variabels.

Identification of Student Misconceptions Using Four Tier Diagnostic Instruments On Straight Motion Materials

This study aims to identify the quantity of students who misconceptions on the material of Straight Motion. The research subjects were 30 students of class X MIA 1 of Yogyakarta SahabatQu High School with purposive sampling technique. This type of research is a quantitative descriptive study with data collection techniques carried out by triangulation namely documentation of test results, interviews and questionnaires. The research instrument used was a three-tier test. the results of the most frequent misconception sequences were found in vertical motion (26%), speed and speed (18%), GLB (17%), distance and displacement (16%), and GLBB (15%). Based on the results of the interview showed the same thing.

Improving the quality of electronic discharge summaries from medical wards: A quality improvement project

The electronic discharge (e-discharge) summary forms an essential component of communication between secondary and primary care. However, its content and quality can often be substandard due to inadequate or inaccurate information. Two retrospective audits were completed with intervening e-discharge workshops. Local general practitioners were involved in identifying areas for improvement and assisted with the workshops. Crib sheets were emailed to all junior staff and posted on all medical wards. There was an improvement in the quality of e-discharges with particular improvements on the documentation of test results and patient progress and outcome. Those who attended the workshops produced better quality e-discharges and none recommended unnecessary actions for general practitioners. E-discharge workshops are effective in improving the overall quality of discharge summaries from medical wards. Introduction of mandatory e-discharge training sessions during hospital induction and junior doctor rotations would be beneficial to teach this important yet challenging skill.

Lessons Learned From a Decade of Dental Lookback Investigations in the Department of Veterans’ Affairs (VA): 2009–2019

Background: The Department of Veterans’ Affairs (VA) operates 146 hospitals providing healthcare to >6 million veterans annually, including dental care to qualified veterans. Although bloodborne pathogen transmission after dental procedures is rare, little is known of risk when there are breaches. A standardized approach to performing lookback investigations after dental infection control breaches could better quantify these risks. We reviewed dental lookback investigations from the past decade conducted by our VA office for lessons learned to improve processes. Methods: Three VA hospitals had dental infection control breaches during 1992–2016. Facility A had dental instruments that were not cleaned according to the manufacturer’s recommendations, and dentists at facilities B and C failed to adhere to proper infection control standards. Exposed veterans who underwent dental procedures were notified of possible exposure and were offered testing for human immunodeficiency (HIV-1), hepatitis B virus (HBV), and hepatitis C virus (HCV). Prior clinical testing was also reviewed. Newly identified positive results were compared to known positives prior to exposure to determine strain relatedness when sufficient plasma viral load was present for viral sequence comparison. Results: There were 2,939 patients with potential exposures in these dental investigations: 2,667 were tested for HBV, 2,642 were tested for HCV and 2,599 were tested for HIV-1. No evidence of viral transmission was found based on genetic sequence comparison of positive cases, but relatively few samples were available for this testing. Lessons Learned: Each facility faced different challenges with their investigation; however, several key processes were identified. (1) Early engagement by our office with local facility leadership and lookback teams resulted in more efficient investigation and testing processes. (2) To improve standardization, a lookback manual detailing of investigation procedures was created in 2009 and was updated subsequently. The contents of this manual include identifying and notifying patients; providing services to veterans responding to notifications; laboratory testing algorithms; disclosure and documentation of test results and clinical follow-up; and epidemiologic investigation of patients with newly identified infection. (3) Prompt patient notification and obtaining adequate samples for initial and follow-up pathogen genetic testing is critical. Determination of genetic linkages was greatly limited because specimens were unavailable for supplemental testing. (4) Ethics and legal counsel staff are key partners in providing guidance on appropriate disclosure procedures and documentation. (5) Designating a single mechanism for reporting results ensures consistent communication among stakeholders. (6) Education of dental staff on importance of following the manufacturers’ cleaning recommendations, not using outside equipment and reporting instances of concern promptly can help prevent future infection control breaches.Funding: NoneDisclosures: None

Rollout of rapid point of care tests for antenatal syphilis screening in Ghana: healthcare provider perspectives and experiences

BackgroundEffective implementation of rapid point of care tests (POCTs) for antenatal syphilis screening especially in settings where antenatal care attendance is high, can significantly increase screening coverage and treatment uptake. The operational challenges of introducing rapid syphilis POCTs at scale needs to be investigated. This study explores healthcare providers’ experiences and challenges in antenatal syphilis screening following the national rollout of rapid syphilis POCTs in Ghana.MethodsPrior to the main study, we undertook a desk review of key syphilis policy documents, and conducted key stakeholder interviews and a baseline survey of syphilis screening practices. Antenatal syphilis screening had been poorly implemented mainly due to inadequate technical and logistic support, and lack of monitoring and supervision. For the main research, semi-structured interviews were conducted with 51 purposively selected healthcare staff involved in antenatal syphilis screening in 15 health facilities in three regions, representative of all levels of healthcare in Ghana and two regional programme coordinators, at least four months after the rollout. The interviews were supplemented with an audit of the conduct of antenatal care, syphilis-related supplies and other maternal and newborn interventions. Qualitative data were coded and analysed using Nvivo software.ResultsSyphilis screening with rapid POCTs was integrated into antenatal care in almost all (13/15) the facilities surveyed. Testing and treatment were offered free of charge to pregnant women, their partners and babies. In most facilities, midwives were performing syphilis tests together with HIV tests. Operational challenges included: inadequate training and lack of refresher training, lack of clear testing guidelines, clear channels of communication, supervision, and guidance on treatment and referral procedures, frequent stockouts of, or expired test kits, staff overload, and poor documentation of test results and treatment.ConclusionAlthough syphilis screening with rapid syphilis POCTs was integrated into antenatal care, key challenges, particularly around supply chain and supervision, need to be addressed to improve and sustain such a programme.

Matrix Cracking of High-Performance Composite Laminates with Variation of Laminate Stacking Sequence and Testing Temperature

Extensive investigation has been done on composite cross-ply laminates; however, in practical use, the laminate layers are in multiple angles. The quasi-laminate is one example of a multi-angle laminate. Matrix fracture mechanisms of quasi-laminates are significant in composites design and application. This paper describes the experimental details in laminate parameter selection, microcracking tests, observation of matrix cracking mechanisms, and documentation of test results. The first material failure mode, matrix crack initiation, and matrix cracking propagation in the width and length of the specimen were determined. Results are presented for high-performance X5250/IM7 cross-ply and quasi-laminates in thin and thick prepregs. Ultrasonic C-scanning and optical microscopy were used as the primary means to detect and track matrix cracking. The specimens have a variety of lay-up sequences and thicknesses. The effects of stacking sequence and ply thickness on the matrix cracking behavior were determined. Based on test results, a finite element modeling approach was performed for quasi-laminates, which includes three-dimensional stress distribution analysis for the free edge and middle plane of the specimen. Both test results and theoretical analyses provide a deeper understanding of the matrix cracking mechanisms that operate at the microstructure level.

Documenting Tuberculin Skin Test Results-Reply

In Reply . —We concur with Dr Bluhm and colleagues that methods to facilitate documentation of test results, including tuberculin skin testing, are important for efficient patient care. Since we collected data only on patients with culture-proven pulmonary tuberculosis, the tuberculin skin test utilization rate and rate of test documentation as quoted by Bluhm and colleagues does not represent our overall hospital rates for patients with suspected pulmonary tuberculosis. Further studies are necessary to evaluate tuberculin skin test utilization and documentation rates to more clearly define patients in whom this test is indicated.

Mechanical random access of blood bank records.

A filing system of cumulative patient record cards is described for use by large or active blood banks. Cards are retrieved for review of patient identification, past transfusion history, and legally necessary documentation of test results. Information on the cards is handwritten (as is required in most blood banks) only once, reducing transcription error. Card acquisition depends on an electromechanical delivery system, which is selectively activated by a programmed key-stroke sequence. Cards are filed and accessed randomly so that records cannot be lost. A backup system for delivery permits certainty of retrieval of records. The system contains 40,000 complete patient records on line, can easily be expanded, may be linked to off-line files or a computer, and is simple to operate.