Expert Practitioners Research Articles

Accuracy and Self-Confidence Level of Freehand Drilling and Dynamic Navigation System of Dental Implants: An In Vitro Study.

The impact of the experience of the clinician on learning a new skill or equipment was still an intriguing subject. The goal of this research is to determine the accuracy level of a dynamic navigation system to that of freehand drilling by expert and novice practitioners with varied levels of experience. Additionally, the duration of the surgical procedure and the self-confidence level of the surgeons were also evaluated. An analogimpression of the patient was used to make 20 polyurethane simulation models of the maxilla. Five expert and five inexperienced surgeons prepared the site and placed the implants at random on ten models each. Two different techniques were used to insert dental implants: freehand and dynamic navigation systems. Dental implants were placed in Group 1 utilizing a computer-assisted dynamic navigation device. The implants in Group 2 were secured using free-hand drilling. The dental implants were inserted first in the maxillary right first molar, then in the maxillary right lateral incisor, and the maxillary left second premolar. Preoperative and postoperative CBCT scans were superimposed by employing the Evalunav software and contrasted. The coronal 3-D, apex 3-D, apex vertical depth, and angular deviations for both procedures were evaluated. A pre-tested self-confidence questionnaire was also administered to assess the self-confidence of the practitioners. The duration of the surgical time was also documented for each strategy. The t-test was used to measure the difference in accuracy and confidence levels between freehand and dynamic navigation systems among expert and novice surgeons using SPSS software (IBM Corp., Armonk, NY, USA). A total of 60 implants were used (three insertion sites, two methods, and 10 practitioners). Each of the five expert and novice clinicians implanted 15 implants (five models each). Except for entry 3-D, there was a statistically significant difference between the two approaches in all of the primary outcome variables. The apex 3-D (5.89±1.08 mm) and apex vertical (2.08±1.27 mm) dimensions of the dynamic navigation system were significantly smaller than those of the freehand drilling approach (p<005). Dynamic navigation and freehand drilling had angular deviations of 7.16±1.76ᵒ and 9.06±2.18ᵒ, respectively (p=0.0004). The apex vertical deviation was reduced in the navigation technique (2.07±1.5 mm) than in the freehand drilling (2.86±1.4 mm) by experienced practitioners (p=0.04). The difference in time between the two procedures was determined to be statistically highly significant (p<0.001) by both expert and novice surgeons. Furthermore, when contrasting with experienced practitioners, novice practitioners had an overall increase in surgery time (p<0.001) for both approaches. The current in vitro study found that the dynamic navigation system enables more accurate implant placement than the freehand drilling technique, irrespective of the experience of the surgeons. However, this technique appears to benefit novice practitioners more, as they can profoundly minimize their deviations while accomplishing results comparable to those of expert surgeons.

Cranky Games through Peaceful Values on Improving Early Adolescent Mental Health in Banyuwangi Regency

This article aims to describe the development of peace cranks towards improving early adolescent mental health in Banyuwangi Regency. The research design uses a literature review through descriptive analysis which is described regularly. To develop further research, researchers used this type of R&amp;D research which was carried out in 5 stages. Research and development procedures are carried out starting from the stages of problem identification, data collection, product design, product validation, and finally, product revision. Product evaluation is carried out by material experts, media experts and practitioner experts. Meanwhile, product trials were carried out on students in groups of 8-12 students in their early teens. The types of data obtained and used are qualitative and quantitative data. Data collection uses a mental health scale, material expert scale, media expert scale and practitioner expert scale. Data analysis using qualitative and quantitative analysis. The whole discussion is described in this article

Implementing and scaling authentic assessment through a pedagogical technology partnership

Authentic assessment has been identified as an effective strategy to transform assessment, with a focus on measuring students’ success in skill-relevant and real-life situations (Wiggins, 1998). However, effectively implementing activities that can help foster authentic assessment, such as peer feedback, group work, or team-based learning, especially in online and hybrid courses and large cohorts, is a consistent challenge. (Shank, 2009) To combat this challenge, the higher education institution Deakin University partnered with the pedagogical technology company FeedbackFruits, with the initial focus on developing a solution aimed at optimising group work. Due to the positive impact of the partnership, the two organisations continued their collaboration and worked together on implementing faculty-wide authentic assessment strategies with pedagogical technology, across a wide range of course sizes and modalities. The first collaborative project was meant to build on FeedbackFruits’s two solutions, Peer Review, for streamlining peer feedback, and Group Member Evaluation, enabling group member evaluation. Deakin University signalled the need for a pedagogical feature that would ensure fairness in group work. The two organisations developed the Group Contribution Grading feature that based the students’ grades on the contribution of each individual to the group deliverable and allowed the instructor to later manually adjust the grade. With increased visibility for teachers and between students on their performance and contribution to group work, students had more opportunities for autonomy and self-regulation. The results of the initial collaboration encouraged Deakin University to continue collaborating with FeedbackFruits on a wider scope. Since FeedbackFruits’s pedagogical technology included multiple tools that supported a wide range of learning approaches, the new project introduced the possibility to link different elements of different assignment types to customise the setup flow of assignments. As a result, educators could create complete, diversified activities more quickly and easily, as well as access the combined analytics in one place. Following the success of the past projects, the two organisations, together with several other higher education institutions, developed an AI-powered tool, Automated Feedback, that provided instant formative feedback to students on “lower-level” academic writing concerns, such as citation, academic style, grammar, and structure, freeing up time for the instructors to provide personalised feedback on “higher-order” concerns such as comprehension and critical argumentation of concepts. The most recent collaborative project involved leveraging the team-based learning (TBL) framework to provide additional learning experiences in established authentic assessment, with plans to scale up across STEM faculty. Following the principles for defining and measuring authentic assessment (Schultz et al., 2021), the institution used the team-based learning Tool 4 to conduct intra-group evaluation after authentic group projects. The collaboration between Deakin University and FeedbackFruits resulted in a robust ecosystem of co-developed authentic assessment technology that has prioritised the lived experience of educators and continuous improvement. Combining the expertise of higher education practitioners and pedagogical technology developers enabled a highly engaging, innovative learning experience for all students.

UJI KELAYAKAN MEDIA MIND MAPPING MOTIVASI BELAJAR

This article aims to determine the feasibility test of mind mapping media in group guidance on the learning motivation of class VIII students of SMPN 2 Rancaekek. This article is part of research and development or Research and Development (R&amp;D) according to Borg and Gall which includes an assessment of the feasibility test of material experts, media experts and expert guidance and counseling teacher practitioners. The data collection technique in this development research is through a questionnaire/instrument. The data obtained from the instrument questionnaire were analyzed descriptively qualitatively and quantitatively. The results of this study indicate that; The feasibility test of mind mapping media is assessed based on; a. Material experts get a total score of 70 with a percentage of 97.2% which is in the very feasible category, b. Media experts get a total score of 96 with a percentage of 96% being in the very decent category, and c. Expert practitioners get a total score of 96 with a percentage of 96% that fall into the very decent category. which can be concluded that the learning motivation mind mapping media product is very feasible to be used in the group guidance service process.

EFEKTIVITAS PENGEMBANGAN MODUL BIMBINGAN KLASIKAL UNTUK KESADARAN DIRI PESERTA DIDIK KELAS VIII SMP FK BINA MUDA

Development of modules as a medium of innovation in guidance and counseling activities, especially in classical guidance services. This module is used as teaching material for service materials that are focused on the context of learners' self-awareness. This research uses an R&amp;D method developed by Borg and Gall which was adapted to stage seven. The purpose of this study is to produce a product that has been tested by several experts such as material experts, media experts, and practitioner experts. The research subjects consisted of 39 students at SMP FK Bina Muda who were specially selected to measure product feasibility through modules. Based on the product testing results that have been obtained from several experts and the response of students, this module has an average percentage of 9 1.63% according to the criteria that this product is very feasible to use for the Junior High School level. Meanwhile, the results of the t-test analysis on the pretest and posttest result data were obtained by sig. (2-tailed) by 0.000. Thus, the results of the research on the effectiveness of this analysis showed that there was a positive change between the use of modules and the self-awareness of class VIII students at SMP FK Bina Muda.

Talent Development versus Talent Management: Unblurring the Lines for Workforce and Organizational Performance

The Problem In reference to workforce development for organizational performance, the blurry lines between talent development and talent management have resulted to several HRD scholars interchangeably using talent management in replacement of talent development. However, talent development as an HRD function supersedes talent management. Therefore, to demarcate the existing lines which exists between both, it is important that HRD practitioners develop the required awareness. The Solution Talent development is a necessity for efficient management of people. To bring about a fundamental change on the need to clearly differentiate between talent development and talent management, the expertise of HRD practitioners in collaboration with industry professionals, is required to develop new knowledge and models for workforce and organizational performance. The Stakeholders Scholars and practitioners of human resource development and other fields within the management discipline, in addition to managers and the workforce across all sectors in various industries.

Pengembangan Media Wayang Kartun Untuk Meningkatkan Keterampilan Menyimak Pada Tema 2 Subtema 1 Siswa Kelas III SDN 091407 Sarimatondang

This research aims to determine the feasibility, practicality and effectiveness of Cartoon Puppet Media to improve students' listening skills in Theme 2 Sub-theme 1 for Class III Students at SD N 091407 Sarimatondang. This research is research and development using the ADDIE development model which consists of 5 stages, namely Analysis, Design, Development, Implementation and Evaluation. Based on the research results obtained, validation by media experts obtained 90% in the "Very Appropriate" category, validation by material experts obtained 84% in the "Very Appropriate" category, practicality test results by education practitioner experts obtained 90% in the "Very Practical" category. The results of the students' listening skills test were with an average pre-test score of 60.8 with a completion percentage of 25% in the "Not Effective" category. Meanwhile, from the post-test results, an average score increase of 90.2 was obtained with a completion percentage of 100% in the "Very Effective" category. From these results it can be concluded that Puppet Cartoon media is feasible, practical and effective to use to improve students' listening skills.

Developing a framework for a games-based injury prevention exercise programme for post-primary (12–18 years) physical education class: A Delphi poll study

Despite calls for injury prevention exercise programmes (IPEPs) to move to school settings for the general adolescent population, current research has had mixed outcomes regarding their efficacy in schools as many of the traditional barriers to IPEP implementation still exist, for example, lack of engagement with the programme. A games-based approach may negate some of these barriers as it has been shown to increase participation and adherence to activity. The aim of this study was to achieve consensus on the fundamental framework for the development of a games-based IPEP for physical education (PE) class. Nineteen academic and practitioner experts in the areas of PE, injury prevention and adolescent coaching took part in a four-round Delphi poll, consisting of an opening exploration round followed by three subsequent rounds of questions. Agreement of at least 67% was required for consensus to be deemed achieved on outcomes. Agreement was reached on the key components of an IPEP and potential layouts of the programme. Requirements for an activity/exercise to be deemed games-based and key outcome measures for a games-based IPEP for PE class were established. Finally, PE teacher supports and resources required for implementing a games-based IPEP in PE class were determined, including supports for PE teachers and IPEP location within the class. The recommendations of this study provide a fundamental framework for the development of future games-based IPEPs that could be applied internationally as it provides the flexibility to be adapted to suit various constraints of PE classes across the globe.

The Headache Psychologists’ Role in Pediatric and Adult Headache Care: A Qualitative Study of Expert Practitioners

ObjectiveWe examined the perspectives of expert headache psychologists to inform best practices for integrating headache psychologists into the care of children and adults with headache disorders within medical settings.BackgroundHeadache disorders are prevalent, chronic, and disabling neurological conditions. As clinical providers trained in evidence-based behavior change interventions with expertise in headache disorders, headache psychologists are uniquely positioned to provide behavioral headache treatment.MethodsIn 2020, we conducted semi-structured interviews with a purposive sample of expert headache psychologists working across the United States. Open–ended questions focused on their roles, clinical flow, and treatment content. Interviews were audio-recorded, transcribed, de-identified, and analyzed using a rapid qualitative analysis method.ResultsWe interviewed seven expert headache psychologists who have worked for an average of 18 years in outpatient settings with pediatric (n = 4) and adult (n = 3) patients with headache. The themes that emerged across the clinical workflow related to key components of behavioral headache treatment, effective behavioral treatment referral practices, and barriers to patient engagement. The expert headache psychologists offered evidence-based behavioral headache interventions such as biofeedback, relaxation training, and cognitive behavioral therapy emphasizing lifestyle modification as standalone options or concurrently with pharmacological treatment and were of brief duration. Participants reported many of their patients appeared reluctant to seek behavioral treatment for headache. Participants believed referrals were most effective when the referring provider explained to the patient the rationale for behavioral treatment, treatment content, and positive impact on headache activity, functioning, and quality of life. Barriers cited by participants to integrating headache psychology into headache care included the paucity of psychologists with specialized headache training, lack of insurance reimbursement, limited patient time to seek behavioral treatment, and inadequate patient knowledge of what behavioral treatment entails.ConclusionHeadache psychologists are often core members of multidisciplinary headache teams offering short-term, evidence-based behavioral interventions, both as a standalone treatment or in conjunction with pharmacotherapy. However, barriers to care persist.Enhancing referring providers’ familiarity with psychologists’ role in headache care may aid successful referrals for behavioral interventions for headache.

Management of patients with myocardial ischemia/infarction with non-obstructive coronary artery disease in Italian catheterization laboratories: results of the SICI-GISE national survey promoted by the GISE Young Committee

Myocardial ischemia (INOCA) and acute myocardial infarction with non-obstructive coronary artery disease (MINOCA) represent emerging entities in the landscape of interventional cardiology. These conditions have heterogeneous pathophysiological mechanisms and clinical presentations, complex diagnostics, and high prognostic significance. This survey was carried out jointly by the GISE Young Committee with the support of the SICI-GISE Society and the ICOT group with the aim of evaluating the implementation of diagnostic-therapeutic pathways in cases of suspected/confirmed INOCA and MINOCA diseases. A web-based questionnaire based on 22 questions was distributed to SICI-GISE and ICOT members. The survey was distributed to 1550 physicians with 104 (7%) responses. The majority of participants included interventional cardiologists (70%), in two-thirds of cases working in centers with high volume of procedures (>1000 coronary angiographies/year), who estimated a <10% annual rate of INOCA and MINOCA cases in their case load. Approximately 25% of the participants stated that they do not have the option of performing any investigation for the evaluation of patients with suspected INOCA, and less than 50% make use of advanced invasive testing for the diagnosis of MINOCA, including physiology and intravascular imaging tests. It also turns out that about 50% of respondents reported the present and future absence of dedicated diagnostic-therapeutic pathways. Even with a high perception of the clinical relevance of these diseases, about 40% of the respondents rely on clinical experience or do not deal with their management, also reporting a low prevalence of dedicated follow-up care (20% of cases followed at dedicated outpatient clinics). Factors predominantly limiting the prevalence of appropriate diagnostic and treatment pathways included the cost of materials, lack of training and expertise of practitioners, and of solid data on the long-term clinical efficacy of treatments. Currently, the proper management of INOCA and MINOCA disease is widely advocated but poorly implemented in clinical practice. To reverse the trend and solve the remaining controversies, it is necessary to enhance awareness, produce robust scientific data, and implement dedicated pathways for patients.

Treating Older Children with Clubfoot: Results of a Cross-Sectional Survey of Expert Practitioners.

Treating clubfoot in walking-age children is debated, despite studies showing that using the Ponseti casting principles can correct the midfoot effectively. We aimed to explore techniques and approaches for the management of older children with clubfoot and identify consensus areas. A mixed-methods cross-sectional electronic survey on delayed-presenting clubfoot (DPC) was sent to 88 clubfoot practitioners (response rate 56.8%). We collected data on decision-making, casting, imaging, orthotics, surgery, recurrence, rehabilitation, multidisciplinary care, and contextual factors. The quantitative data were analysed using descriptive statistics. The qualitative data were analysed using conventional content analysis. Many respondents reported using the Pirani score and some used the PAVER score to aid deformity severity assessment and correctability. Respondents consistently applied the Ponseti casting principles with a stepwise approach. Respondents reported economic, social, and other contextual factors that influenced the timing of the treatment, the decision to treat a bilateral deformity simultaneously, and casting intervals. Differences were seen around orthotic usage and surgical approaches, such as the use of tibialis anterior tendon transfer following full correction. In summary, the survey identified consensus areas in the overall principles of management for older children with clubfoot and the implementation of the Ponseti principles. The results indicate these principles are well recognised as a multidisciplinary approach for older children with clubfoot and can be adapted well for different geographical and healthcare contexts.

An empirical investigation of automation technology as material waste mitigation measure at Johor construction sites

Automation technology in the construction industry is the use of advanced tools, devices, and processes that reduce manual labor and enhance efficiency in various construction activities. Automation technology can minimize waste, optimize resource utilization, and reduce the environmental impact of construction processes. This study aims to examine the relationship between automation technology adoptions (ATAs) utilizing reduce, reuse, and recycle (3R), building information modeling (BIM), industrialized building systems (IBSs), green building index (GBI), and Internet of Things (IoT) practices toward construction site performance (CSP) to measure their influences on material waste mitigation measures at Johor construction sites. To achieve these goals, five hypotheses were developed to explore the association between ATA and CSP. Data were gathered utilizing an online survey. The participants were contractors and expert practitioners in the Johor construction industry, including architects, project managers, and academicians/researchers. A total of 257 valid responses were used to investigate the assumptions. The partial least squares structural equation modeling (PLS-SEM) procedure was used. The findings revealed that ATA utilizing 3R, BIM, IBS, GBI, and IoT as material mitigation measures positively enhances CSP.

Acquisition of temporal patterns from electronic health records: an application to multimorbid patients

BackgroundThe exponential growth of digital healthcare data is fueling the development of Knowledge Discovery in Databases (KDD). Extracting temporal relationships between medical events is essential to reveal hidden patterns that can help physicians find optimal treatments, diagnose illnesses, detect drug adverse reactions, and more. This paper presents an approach for the extraction of patient evolution patterns from electronic health records written in Catalan and/or Spanish.MethodsWe propose a robust formulation for extracting Temporal Association Rules (TARs) that goes beyond simple rule extraction by considering the sequence of multiple visits. Our highly configurable algorithm leverages this formulation to extract Temporal Association Rules from sequences of medical instances. We can generate rules in the desired format, content, and temporal factors while accounting for different levels of abstraction of medical instances. To demonstrate the effectiveness of our methodology, we applied it to extract patient evolution patterns from clinical histories of multimorbid patients suffering from heart disease and stroke who visited Primary Care Centers (CAP) in Catalonia. Our main objective is to uncover complex rules with multiple temporal steps, that comprise a set of medical instances.ResultsAs we are working with real-world, error-prone data, we propose a process of validation of the results by expert practitioners in primary care. Despite our limited dataset, the high percentage of patterns deemed correct and relevant by the experts is promising. The insights gained from these patterns can inform preventive measures and help detect risk factors, ultimately leading to better treatments and outcomes for patients.ConclusionOur algorithm successfully extracted a set of meaningful and relevant temporal patterns, especially for the specific type of multimorbid patients considered. These patterns were evaluated by experts and demonstrated the ability to predict risk factors that are commonly associated with certain diseases. Moreover, the average time gap between the occurrence of medical events provided critical insight into the term of these risk factors. This information holds significant value in the context of primary healthcare and preventive medicine, highlighting the potential of our method to serve as a valuable medical tool.

Digital leadership framework to support firm-level digital transformations for Construction 4.0

PurposeAgainst a background context of Construction 4.0, this study aims to explore what digital leadership in construction firms is, why it is necessary and what considerations it involves. It provides a digital leadership considerations framework to aid organisational digital transformations.Design/methodology/approachTo address the research question informing what digital leadership involves, an interpretivist study was conducted. Eleven purposively selected expert practitioners, including construction business leaders and company digital champions were surveyed using in-depth semi-structured interviews. This obtained insights and reflections on how construction leaders can impel digital transformations.FindingsHow construction leaders can embed the skills to drive such transformation in their firms, what the essential digital skills for construction businesses now are in Construction 4.0 and how leaders can attempt to evaluate the value of digital technology for their business practices, are all crystallised. Impacts of digital transformations on the construction workplace are also highlighted.Practical implicationsBecause of this work, business leaders will be better equipped to lead and support further digital transformation efforts in Construction 4.0. Future research directions aid academics.Originality/valueClear definitions of digital transformation and digital leadership are provided, and a digital leadership considerations framework is provided to support firm-level digital transformations for Construction 4.0.

PENGEMBANGAN PANDUAN BIMBINGAN KARIER UNTUK MENINGKATKAN KEMATANGAN KARIER SISWA SMA TINGKAT XI

The problems to be revealed: 1) How is the process of developing career guidance guides to improve the career maturity of XI level high school students, 2) How is the feasibility of developing career guidance guides to increase career maturity of XI level high school students, 3) How are students' responses in developing career guidance guides to increase the career maturity of high school students level XI, 4) How effective is the development of career guidance guides to improve the career maturity of high school students level XI. The method used is Research and development (R &amp; D). This study uses analysis of student needs in the form of a career maturity questionnaire, data collection by distributing questionnaires. The instruments used in this study were 1) an assessment sheet on the career guidance guide from media, material and practitioner experts, 2) a career maturity questionnaire, 3) a student response questionnaire to the career guidance guide.

Modeling the competition-restrictive actions in public works procurement

PurposeWith the surge in public procurement, especially in developing countries, ensuring fair competition in procurement has assumed paramount importance. Academic endeavors in the domain of competition issues have often lacked the views of field-level functionaries. This study aims to involve a large number of expert practitioners in India to identify the significant contemporary competition risks in public procurement from the procurer and supplier sides and develop a model depicting the hierarchy of competition-restrictive actions (CRAs) in procurement based on their mutual interactions.Design/methodology/approachThe significant CRAs along the procurement cycle are identified through literature survey, interactive workshops and expert interviews. A questionnaire survey covering 143 respondents from 12 public organizations is used to evaluate their impact. Considering the complex causal interactions involved, interpretive structural modeling followed by MICMAC (Iimpact matrix cross-reference multiplication applied to a classification analysis is used to develop a hierarchical model of competition risks in procurement.FindingsTailor-made contracts, splitting of a project below competition thresholds, restrictive selection criteria and awarding the contract on nomination emerge as CRAs with the highest driving power. Horizontal collusion among vendors strongly depends on practices followed in the procuring organization.Research limitations/implicationsThe survey data and the experts’ opinions emanate from practitioners in India, which is a limitation. However, with necessary contextual calibrations, the study is of high functional utility to policymakers and practitioners.Social implicationsThe research facilitates a comprehensive understanding to procurement managers/policymakers of the CRAs along the procurement cycle and their interdependencies. It offers valuable insights for improving competition, which is foundational for optimal procurement outcomes.Originality/valueThe study enriches the public procurement domain knowledge by identifying and assessing the significant contemporary CRAs, examining their mutual interactions and developing an interpretive structural model. Although contributing to the body of knowledge, the study is unique in being grounded in field realities.

Non-Invasive Portable Technologies for Monitoring Breast Cancer Related Lymphedema to Facilitate Telehealth: A Scoping Review.

Breast cancer related lymphedema (BCRL) is a common, debilitating condition that can affect up to one in five breast cancer surviving patients (BCSP). BCRL can significantly reduce the quality of life (QOL) of patients and poses a significant challenge to healthcare providers. Early detection and continuous monitoring of lymphedema is crucial for the development of client-centered treatment plans for post-cancer surgery patients. Therefore, this comprehensive scoping review aimed to investigate the current technology methods used for the remote monitoring of BCRL and their potential to facilitate telehealth in the treatment of lymphedema. Initially, five electronic databases were systematically searched and analyzed following the PRISMA flow diagram. Studies were included, specifically if they provided data on the effectiveness of the intervention and were designed for the remote monitoring of BCRL. A total of 25 included studies reported 18 technological solutions to remotely monitor BCRL with significant methodological variation. Additionally, the technologies were categorized by method of detection and wearability. The findings of this comprehensive scoping review indicate that state-of-the-art commercial technologies were found to be more appropriate for clinical use than home monitoring, with portable 3D imaging tools being popular (SD 53.40) and accurate (correlation 0.9, p 0.05) for evaluating lymphedema in both clinic and home settings with expert practitioners and therapists. However, wearable technologies showed the most future potential for accessible and clinical long-term lymphedema management with positive telehealth outcomes. In conclusion, the absence of a viable telehealth device highlights the need for urgent research to develop a wearable device that can effectively track BCRL and facilitate remote monitoring, ultimately improving the quality of life for patients following post-cancer treatment.

Being and Becoming an Evidence-Based Practitioner: Occupational Therapists' Journey Toward Expertise.

Despite mounting evidence for the management of various health care conditions, the uptake of scientific evidence in occupational therapy is often suboptimal. Although positive attitudes and self-efficacy are key to evidence-based practices (EBPs), how one becomes an evidence-based practitioner, and how expertise in EBP manifests in practice, remains unclear. To describe how expert evidence-based practitioners conceptualize and enact their expertise in stroke rehabilitation. Qualitative interpretive descriptive study using in-depth semistructured interviews with eight occupational therapists identified as expert evidence-based practitioners in a previous study. Transcripts were analyzed using an inductive thematic content analysis, and emergent themes were identified. Rehabilitation settings across Canada. Six overarching themes emerged: (1) relying on personal attributes to engage in practice improvement, (2) acting on factors that motivate and trigger EBP, (3) achieving better outcomes because of engagement in EBP, (4) using an adaptive decision-making process, (5) participating in professional activities that contribute to practice improvement, and (6) working in a practice area with a large body of evidence. Expertise in stroke rehabilitation EBP appears to be a function of several personal attributes and habits of mind in addition to being influenced by a commitment to client-centered practice. Expertise requires a combination of deliberate effort and motivation to improve client outcomes, always in a context conducive to reflection, adaptation, and openness to innovation. Experts who model these traits and articulate the processes used to develop their expertise can be viewed as promising educational and continuing professional development resources. What This Article Adds: Expert evidence-based occupational therapists develop their expertise in this domain through commitment to client-centered practice, efforts toward honing this aspect of practice, and a willingness to innovate and adapt to challenging situations.

Development of Pocketbooks as an Education and Compliance Module for Diabetes Mellitus Patients at the Kaliwungu Health Center, Kudus, Indonesia

Diabetes mellitus (DM) is a chronic disease that requires long-term treatment. Management of DM patients is one of them by providing education. This study aimed to determine the product trial of developing a pocketbook as an educational module using the assessment parameters of experts and DM patients who meet the eligibility criteria at Kaliwungu Health Center, Kudus. This study used qualitative and quantitative analysis. Qualitative analysis in the form of suggestions and input from experts, and quantitative analysis in the form of assessment scores. The method used in this research is research and development. Product development with Borg and Gall procedures. Product trials of pocket book development as a DM patient education module at Kaliwungu Health Center, Kudus, using expert parameters including media experts at 100%, material expert I with a value of 84%, material expert II with a value of 92.3%, material expert III with a value of 100%, expert practitioners with a value of 100% and DM patients with an average value of 80.5% in the category worth using with revision.

Development of Pancasila-Oriented Serial Image Media Student Profiles Dimensions of Mutual Cooperation to Improve Students' Skills in Writing Narrative Texts in High School Classes

The background that prompted this research was that teachers did not use instructional media to increase student interest, students did not play an active role in learning, only listened to the teacher's explanations, students had difficulty expressing ideas because there were no teaching materials or media that supported learning activities, students' questions are only given without media such as images to be narrated to trigger ideas, and students are still difficult to compose narrative text coherently. Meanwhile, the formulation of the problem in this study is "What are the needs, prototypes, feasibility, and effectiveness of serial image media" This study aims to define the needs and prototypes of serial image media and to determine the feasibility and effectiveness of serial image media. This type of research is RnD using the Borg &amp; Gall model. Data collection was carried out through interviews, observation, and questionnaires. This research was conducted in class IV at SD Negeri Jrahi 01. The results of data analysis showed that material validation obtained a percentage of 96% with very feasible criteria, media validation obtained a percentage of 88% with very feasible criteria, and expert practitioner validation showed that the percentage of the total score was 96.7% with very feasible criteria. The practicality percentage results were obtained at 96.7%, so the serial image media is included in the very good category. The results of the study showed that students were helped by the presence of serial picture media oriented to Pancasila student profiles in the dimensions of cooperation. Based on this, it can be concluded that serial image media oriented on Pancasila student profiles, the dimensions of cooperation are valid and practical to use in learning. The advice that can be given in this thesis is for teachers to innovate in learning media to make learning more enjoyable. Keywords: Serial Image Media, Writing Skills, Narrative Text.