Significant Increase In Participation Research Articles

Waste Bank Program for Households as A Means of Processing Inorganic Waste

Waste management is crucial in the present day, particularly due to the increase in trash production caused by population growth. To address this issue, the government has implemented the Waste Bank Program, which aims to reduce the amount of waste stored at disposal sites. This program has had a significant impact on the management of household waste, which makes up the majority of all waste generated in Indonesia. Despite its importance, participation in the Waste Bank program is low in many communities. To address this issue, a community activity was organized in Sleman, Yogyakarta Special Region to promote and implement the Waste Bank program in one of the 44-family Neighborhood Units. The focus of this activity was the management of inorganic trash. During the six-month period from April to October 2021, the Waste Bank program had a significant increase in participation, with the percentage of community members taking part rising from 27% to 60%. As a result of these efforts, a total of 1,084 kg of inorganic trash was collected. This waste was primarily composed of paper, followed by plastic, various other materials such as iron, aluminum, and used cooking oil, and a smaller amount of glass. The report summarizes the steps taken, challenges encountered, and potential solutions implemented during the initiation of the Waste Bank program. Additionally, the community was able to save 16% of the revenue generated from the collected trash through monthly environmental fees. These findings provide valuable insight into the current state of waste generation and the community’s situation, which can inform future efforts to reduce waste.

PENDIDIKAN KESEHATAN DALAM UPAYA PENCEGAHAN DAN PENANGGULANGAN ANEMIA IBU HAMIL

Maternal mortality in pregnant women 17.52% occurred during pregnancy. One of the illnesses in pregnant women is anemia which can cause maternal death due to bleeding during delivery. Knowledge of pregnant women about anemia and nutrients rich in iron and folic acid during pregnancy are needed to ensure a good pregnancy and influence hemoglobin levels. The purpose of this community service is to increase the knowledge of pregnant women about anemia so that they can change their behavior in preventing and overcoming anemia. The method used is the lecture method and using flipcharts aimed at pregnant women at the Gerung Utara Polindes, Pohdana Village. The counseling that is carried out is an activity or effort to convey information about anemia to pregnant women, including the definition, causes, risk factors, signs and symptoms, impacts, and handling/prevention of anemia in pregnant women. To monitor the increase in knowledge of pregnant women, used pre and post-test. The results show a significant increase in participants' insight and understanding. There was an increase in the average knowledge of pregnant women about anemia from 5.93 to 7.80. Suggestions for health centers and health observers, especially pregnant women, are to provide more information about the health of pregnant women with various media so that pregnant women get the correct information and indirectly prevent risks to mothers and babies.
 Keyword; Health education, anemia of pregnant women

Edukasi tatalaksana awal pada luka bakar di Kecamatan Cempaka Baru, Jakarta Pusat (Education on early management of burns in Cempaka Baru Sub-District, Central Jakarta)

Burns can occur anywhere and anytime. However, until now there is no data on burn mortality. This activity aims to provide education on the initial management of burns in the community of Cempaka Baru Sub-District, Central Jakarta. The methods used are seminars and discussions using Powerpoint slides, as well as pre-test and post-test questionnaire instruments. Results: there were 3 groups of participants, consisting of 4 people (13.3%) young adults (age 15-30 years), 9 middle adults (age 31-50 years), or 30%, and 17 older adults (age 50 years). years) or 56.7%. There was a significant increase in participants' knowledge after the seminar, the lowest pre-test score was 20 and the lowest score was 40 in the post-test. There was an increase in the mode value or the majority value of the participants from the pre-test, which was 80 to 100 in the post-test. Then there was an increase in the average score of participants from 75.12 in the pre-test to 87.94 in the post-test (p = 0.00). After being given education, the results of data analysis still showed an increase in knowledge with significant results, namely the value of p = 0.00 (p 0.05). In conclusion, the increase in participants' knowledge about burns is better than before.

PELATIHAN TOEFL-LIKE DENGAN MEDIA E-LEARNING BAGI PESERTA DIDIK DI SMAN 5 MADIUN

TOEFL which stands for Test of English as a Foreign Language is a test used to measure the English proficiency of those who are non-native English language speakers. This test is usually becoming one of the requirements to enrol on domestic and foreign universities and apply to the state-owned enterprise (BUMN) and to some other companies. SMAN 5 Madiun has not given any TOEFL introduction lessons to its students. This program aimed at providing the participants with the ability to solve every question in TOEFL. This society service program was done through e-learning due to the covid-19 pandemic's unable us to have offline meetings. The methods used in this program are demonstration, exercising, and lecturing. The evaluation done by comparing the result of pre and post-tests showed that there is a significant increase in participants’ ability to solve the TOEFL questions.

Structural racism in healthcare and research: A community-led model of curriculum development and implementation.

Structural racism in the USA has roots that extend deep into healthcare and medical research, and it remains a key driver of illness and early death for Black, Indigenous, People of Color (BIPOC). Furthermore, the persistence of racism within academic medicine compels an interrogation of education and research within this context. In the spirit of this interrogation, this article highlights a unique model of community-engaged education that integrates cultural humility. As an individual and institutional stance, cultural humility denotes lifelong learning and self-critique, the mitigation of power imbalances, and accountability. The integration of cultural humility emphasizes that when space is created for BIPOC communities to lead the way, education regarding healthcare and research can be effectively reimagined. Demonstrating this effectiveness, six community partners led the development and implementation of a five-module Structural Racism in Healthcare and Research course. Using a cohort model approach, the pilot course enrolled 12 community members and 12 researchers. The curriculum covered topics such as history of racism in healthcare and research, and introduced participants to a cultural resilience framework. Evaluation results demonstrated a significant increase in participants' knowledge and ability to identify and take action to address inequities related to racism in healthcare and research.

An Education Intervention Addressing Health Students’ COVID-19 Vaccine Knowledge, Attitudes, and Behaviours

Background: COVID-19 impacted higher education (HE) students studying health degrees with an embedded placement in a unique way. At the height of the pandemic AHPRA declared that health students completing placements were required to be vaccinated against COVID-19 and be competent at providing advice and information about the COVID-19 vaccine to the public. It is yet to be determined if there is hesitancy amongst students studying health degrees. This study aimed to determine if offering an evidence-based targeted educational intervention changes health student knowledge, attitudes, and willingness to have the vaccine. Methods: An evidence-based educational intervention was developed and delivered to students studying health. A purpose developed survey was designed to assess health students’ knowledge, and willingness to have the COVID-19 vaccine, before and after this targeted educational intervention. Results: A total of 290 students from eight health disciplines completed the intervention and pre- and post-surveys. Analyses demonstrated a statistically significant increase in participants’ willingness to receive the COVID-19 vaccine, and how confident participants felt about explaining Covid vaccines and their safety, with an increase in accuracy of knowledge about professional responsibility. Conclusion: This study shows that targeted educational intervention can positively influence HE health care students. Increasing the knowledge and confidence of our trainee health professionals is paramount to enable them to be sources of accurate information and advice in relation to Covid vaccination.

Upaya Peningkatan Kesadaran Masyarakat terhadap Stunting pada Balita serta Peningkatan Gizi melalui Pengembangan Potensi Desa

Stunting is a chronic malnutritional problem identified by a shorter than normal. Children who suffer from stunting are more susceptible to infectious diseases, and as adults are at risk for degenerative diseases.The prevalence of stunting in Klaten Regency has increased. In 2021 the prevalence of stunting in Klaten Regency is 8.9%, while in 2022 it is 9.3%. One of the government policies to overcome stunting is to increase the efficiency of the food and nutrition information system. Methods to increase public awareness regarding stunting and improvement of under-five nutrition include: observation of village potential, seminars and discussions. The target of community service activities is the PKK community in Polanharjo District, Klaten Regency. Based on the post test results, it was found that there was a significant increase in participants' knowledge, namely 41%, in understanding the risk factors that cause stunting. By knowing and understanding stunting information, the community can apply stunting prevention behavior properly, through the supervision of cadres and health workers in their area.

A HyFlex-Flipped Class in Action Learning: A Connectivist MOOC for Creative Problem-Solving

This design research aims to propose a HyFlex strategy for students and participants in the workplace using massive open online course (MOOC) flipped between the two settings, an active in-classroom to an action learning in the workplace. The research methods were designed into two major parts, where the first part was a design stage which included the review and design process, while the second part involved case studies. The learning design is analogous to an origami paper folding system that processes the diversified questioning of real-world problems and recursively reflects the thought, action, and solutions to the problems. The case studies showed a statistically significant increase in participants’ creative problem-solving at the 0.5 level.

Improving knowledge of hair loss disorders: Assessing the efficacy of a dermatologist-developed social media video library for patient education

Improving knowledge of hair loss disorders: Assessing the efficacy of a dermatologist-developed social media video library for patient education

Impact of Lifestyle Modification on Quality of Life in Patients with Metabolic Syndrome: Findings from the CHANGE Program Intervention Study in Prince Edward Island, Canada.

Purpose: To assess the modification in quality of life (QoL) of patients with metabolic syndrome (MetS) after participating in Canadian Health Advanced by Nutrition and Graded Exercise (CHANGE) program and identify predictors of this modification in QoL among participants. Methods: A convenience sample of 100 patients with MetS completed the 12-month CHANGE program (diet and exercise regular counseling). 36-Item Short Form Health Survey (SF-36), International Physical Activity Questionnaire (IPAC), Physician Assessment and Clinical Education (PACE), and the Mediterranean Diet Score (MDS) questionnaires were employed to assess participants' QoL, physical activity (PA), sedentary behaviors, and quality of diet, respectively. In addition, physical fitness tests (6-Minute Walk Test, One-Leg Stance Test, and Grip Strength Test) were used. Medical history, blood tests, and anthropometric [height, weight, and waist circumference (WC)] and blood pressure measurements were performed by a nurse. Linear regression analysis was performed to identify predictors of QoL. Results: Participants' mean age was 58.3 ± 11.0, and 75.4% were females. After the CHANGE program, participants demonstrated significant reduction in the number of MetS criteria and significant improvement of physical and mental components of QoL. Moreover, there was significant increase in participants' PA, MDS, and physical fitness mean scores with corresponding significant reduction in sedentary behavior time, blood pressure, and WC measures. Linear regression analysis revealed that age, WC, screen time, PA, and physical fitness were significant predictors of QoL. Conclusion: The 12-month group-based diet and exercise counseling led to clinically significant improvement in MetS criteria and in important measures of health and fitness among participants, which improved their QoL. Age, fitness measures, and daily screen time were associated with QoL.

Patients older than 55years regain sporting and recreational activities after arthroscopic anterior cruciate ligament reconstruction.

(1) To compare sporting and recreational activity levels before and at a minimum 6year follow-up, and (2) to assess the clinical and functional outcomes after anterior cruciate ligament (ACL) reconstruction in patients older than 55years. A retrospective evaluation of prospectively collected data of 150 patients with a mean age of 64 ± 4.5 (57-74) years was evaluated 8.6 ± 1.4 (6-11) years after primary ACL reconstruction using hamstring autograft. All patients were assessed using the International Knee Documentation Committee scoring system (IKDC), Knee injury and Osteoarthritis Outcome Score (KOOS), Tegner activity level, and visual analog scale (VAS) for pain. The level of recreational activities was assessed using a sport-specific questionnaire. All patients were categorized according to Isolated and Combined ACL injury groups. The data of 125 patients were analyzed at the last follow-up. While 25 patients were lost to follow-up, 117 of 125 patients were active before their injury in at least one sports discipline compared to 121 of 125 patients after ACL reconstruction. One hundred and two (82%) patients had returned to their recreational activities at the final follow-up. The mean IKDC subjective score increased from 49.5 ± 23.2 (11.5-100) to 76.2 ± 14.8 (33.3-100) (p < 0.0001). The mean KOOS sport increased significantly from 36 ± 36.2 (0-100) to 74.1 ± 25.5 (0-100) (p < 0.0001). The mean VAS score improved from 6.0 ± 2.6 (0-10) to 1.0 ± 1.4 (0-6) (p < 0.0001). There was no significant difference in the median Tegner activity level (preoperative 5 (2-8) vs. follow-up 5 (2-8) (n.s). There was no significant difference in the number of sports disciplines and duration when comparing pre-injury and mid-term follow-up activity after ACL reconstruction. High-impact activities experienced a significant decline, while a significant increase in participation in low-impact activities was recorded. The majority of patients with symptomatic instability regained their pre-injury recreational activity level with excellent clinical and functional outcomes after arthroscopic ACL reconstruction. Nevertheless, a change from high-to low-impact activities has been observed. Level IV.

Interactive Neurosurgery Lecture Series: A Global Education Platform of Tele-Teaching During the Coronavirus Disease 2019 Pandemic and Beyond

To explore the worldwide impact of a virtual neurosurgery-neuroscience lecture series on optimizing neurosurgical education with tele-teaching. A retrospective analysis was performed from our Zoom database to collect data from October 15, 2020, to December 14, 2020, and from September 27, 2021, to December 13, 2021. A comparative analysis of participants in the 2 different time frames was performed to investigate the impact of tele-teaching on neurosurgical education worldwide. To evaluate participant satisfaction, the yearly continuing medical education reports of 2020-2021 were analyzed. Data related to the distribution of lectures by subspecialties were also described. Among the 11 lectures of the first period, 257 participants from 17 countries in 4 different continents were recorded, with a mean of 64 (standard deviation= 9.30) participants for each meeting; 342 attendees participated from 19 countries in 5 continents over the 11 lectures of the second part, with an average of 82.8 (standard deviation= 14.04) attendees; a statistically significant increase in participation between the 2 periods was identified (P < 0.001) A total of 19 (2020) and 21 (2021) participants submitted the continuing medical education yearly survey. More than 86.4% of overall responses considered the lectures "excellent." The main topics reported during lectures in 2020-2021 were related to brain tumors (33.7%) and education (22.1%). The COVID-19 pandemic has increased the need to introduce new educational approaches for teaching novel ways to optimize patient care. Our multidisciplinary Web-based virtual lecture series could represent an innovative tele-teaching platform in neurosurgical training.

COVID-19 Preparedness and Response Hands-on Training to Healthcare Workers at Shree Birendra Hospital, Nepal

Introduction: COVID-19 pandemic in many countries of the world, including Nepal, is requiring a level of response which is beyond the capacity of the nation. It needs collaborative action to increase the capacity to respond to outbreaks. With the aim of providing and assessing the effectiveness of hands-on training, healthcare professionals from Nepalese Army Institute of Health Sciences (NAIHS) and Shree Birendra Hospital (SBH) started COVID-19 Preparedness and Response Hands-on training to frontline workers from April to December 2020. Methods: The training was initiated with the formation of core group of trainers, who conducted training of trainers (TOT) for 31 healthcare workers. The trainers who received TOT further trained 2549 healthcare workers from different health institutions. The training included topics like COVID-19 introduction and case definition; hand hygiene, respiratory hygiene and physical distancing; donning and doffing; disinfection and waste management; sample collection; patient transfer; dead body management and stress coping. Pre-test and post-test was done on 821 training participants to assess the effectiveness of training by using semi-structured self-administered questionnaire. From among 821 trainees involved in pre and post-test, 266 participants were randomly selected for data analysis from the training register. Data were analyzed by using Microsoft Excel and described by using descriptive and inferential statistics. Results: In our study, a score of ≥80% was acquired by 25.2% participants in pre-test and 76.3% participants in post-test. There was a significant increase in participants’ scores in post-test as compared to pre-test scores (p-value &lt;0.001). Conclusions: On-site hands-on training is effective in acquisition of knowledge on key areas of COVID-19 preparedness and response.

Changes in College Students’ Body Mass Index, Physical Activity, and Motivation Before and During the COVID-19 Third-wave Lockdown

Background: It is less known how the constraints placed upon public spaces and social interaction have impacted college students’ motivation to be physically active. Objective: This study examined, first, the changes in college students’ body mass index (BMI), physical activity (PA), and self-determined motivation before and during the COVID-19 third-wave lockdown and, second, the role of moderate-to-vigorous PA (MVPA) and self-determined motivation on BMI during the lockdown. Method: This study was a longitudinal prospective study with two data collection phases. A sample of 104 college students (69 females, 35 males, Mage = 18.19[1.5]) completing both pre- and posttest data turned in self-report data on BMI, PA (vigorous PA - VPA, moderate PA - MPA), MVPA, and self-determined motivation. Results: The results showed a statistically significant increase in participants’ BMI (t[79] = 4.70[2.98], p =.001, d =.11) but no statistically significant changes in PA. The findings demonstrated changes in college students’ integrated regulation (↓; t[78]= -3.20[.16], p =.002, d =.35), identified regulation (↓; t[76] = -4.07[.16], p .001, d =.52), extrinsic regulation (↑; t[78] = 2.28[1.80], p =.025, d =.02), and amotivation (↑; t[78] = 4.42[1.21], p .001, d =.48). Finally, neither PA nor self-determined motivation played a role in BMI, but the previous MVPA and BMI did. Conclusion: This study suggests that COVID-19 had a negative impact on self-determined motivation decreasing adaptive and increasing maladaptive motivation. However, neither MVPA nor self-determined motivation played a role in BMI during the COVID-19 lockdown. Instead, pre-COVID BMI (large effect) and MVPA (small effect) determined students’ BMI during the lockdown.

Perception of the Nose and Lower Face Before and After Orthognathic Surgery in Subjects with Dento-maxillofacial Deformities: An Eye-Tracking Study.

Dento-maxillofacial deformities are often associated with nasal deviation, and patients often complain of nasal deviation after orthognathic surgery. This study aimed to quantitatively evaluate the facial visual attention given to dento-maxillofacial deformities accompanying nasal deviation from the perspective of patients and determine whether orthognathic surgery could alter this outcome. The scanning paths of 137 patients were recorded using an eye-tracking device; recordings were made while the patients viewed images of dento-maxillofacial deformities associated with various degrees of nasal deviation before or after orthognathic surgery. Visual attention focused on the lower face and nose was analyzed. When viewing postoperative faces, the participants focused more visual attention on noses and less on the lower face than they did on preoperative faces. Interestingly, for preoperative faces, nasal deviation could significantly increase participants' visual attention to the lower face, and visual attention to noses was significantly increased when noses were deviated 12°, while for postoperative faces, a nasal deviation of 4° or more was associated with a significant increase in participants' visual attention to the nose. Patients tended to focus their visual attention on the lower region of preoperative faces and ignored nose irregularities. Orthognathic surgery can alter visual attention, shifting it from the lower face to the nose, and a deviation of 4° or more could be a potential concern for patients. Clinicians must inform patients preoperatively about preexisting nasal deviations, which can guide surgical planning and help manage patient expectations. This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .

Critical Problems for Research in Animal Sheltering, a Conceptual Analysis.

Animal shelter research has seen significant increases in participation over the past several decades from academic organizations, private organizations, public entities, and even corporations that aims to improve shelter programs, processes, operations, and outcomes for the various stakeholders/participants involved in a shelter system (animals, humans, the community, wildlife, and the environment). These efforts are scattered through a huge variety of different research areas that are challenging to define and scope for organizations seeking to start new lines of research inquiry. This work aims to enumerate some of the most critical outstanding problems for research in animal sheltering in a conceptual framework that is intended to help direct research conversations toward the research topics of highest impact (with the highest quality outcomes possible). To this end, we define seven (7) key areas for research: animal behavior, adoptions and special needs populations, medical conditions, disease transmission, community, ecology, and wellness (one health), operations, and public-private-academic-corporate collaboration. Within each of these areas, we review specific problems and highlight examples of successes in each area in the past several decades. We close with a discussion of some of the topics that were not detailed in this manuscript but, nonetheless, deserve some mention. Through this enumeration, we hope to spur conversation around innovative methodologies, technologies, and concepts in both research and practice in animal sheltering.

Pentingnya Pengetahuan Pemeriksaan Payudara Sendiri sebagai Deteksi Dini Kanker Payudara

Breast cancer is included in the five types of cancer that result in death. The reason is the delay in early detection so that survivors of this type of cancer are generally detected at an advanced stage. The community service entitled "PKM Knowledge and Early Detection of Breast Cancer in Women of Reproductive Age" aims to provide knowledge about the importance of breast self-examination (BSE) as an effort to detect breast cancer early. The method used is through online seminars via Zoom Meetings to 20 employees and their families at the Obstetrics and Gynecology Clinic, Muhammadiyah Asri Medical Center Hospital, Yogyakarta. The material provided was in the form of knowledge about women's health, breast cancer and its treatment, and training on BSE, which was preceded by a pretest to measure participants' knowledge before the seminar and a posttest at the end of the activity after receiving the seminar. The results of the pretest and posttest were analyzed using the Wilcoxon Signed-Rank test method. The results of the pretest showed that 17 participants (85.0%) had sufficient knowledge about BSE and 2 participants (10.0%) had less knowledge. The posttest results showed that all participants (100.0%) had knowledge in the good category about BSE. The test results showed a significance value of 0.001 (p 0.05), which means that there was a significant increase in participants' knowledge about BSE as early detection of breast cancer before and after the seminar.

Interdependence, bonding and support are associated with improved mental wellbeing following an outdoor team challenge.

Social relationships and mental health are functionally integrated throughout the lifespan. Although recent laboratory-based research has begun to reveal psychological pathways linking social interaction, interdependence, bonding and wellbeing, more evidence is needed to integrate and understand the potential significance of these accounts for real-world events and interventions. In a questionnaire-based, repeated measures design, we measured the wellbeing of 13- to 19-year-old participants (n = 226) in the Ten Tors Challenge (United Kingdom) 7-10days before (T1) and after (T4) the event. Immediately before (T2) and after (T3) the event, we administered measures of team bonding, perceived and experienced interdependence, perceived and received support, physical pain and fatigue, and performance satisfaction. There was a significant increase in participants' wellbeing (pre-to-post event). Post-event social bonding and performance satisfaction positively predicted the wellbeing increase. Bonding was, in turn, positively predicted by experienced interdependence, received support, pain and fatigue, and the sense of having done better as a team than expected. Results provide novel field-based evidence on the associations between meaningful bonds of mutual reliance in a challenging team event and adolescent wellbeing. Team challenge events potentially offer effective contexts for forging social interactions, interdependencies, and bonds that can support mental and physical health.

Increasing motivation for cancer treatment adherence in children through a mobile educational game: a pilot study

INTRODUCTION: It is crucial to educate childhood cancer patients (CCPs) about their illness and motivate them for cancer treatment and treatment side-effects management.OBJECTIVES: This paper describes the design, development and pilot evaluation of the proposed serious game intervention with CCPs in Malaysia.METHODS: A single-centre, single-arm intervention was conducted with CCPs (n=8). Surveys were done pre-test and post-test.RESULTS: The Protection Motivation Theory was used to measure the participants' motivation. Self-reported surveys with CCPs and caregiver dyads showed a significant increase in participants’ intention to use cancer treatment. Although the increase in the intention to use daily self-care and cancer knowledge survey scores was not substantial, the post-test caregivers' feedback revealed that the game was beneficial for their children.CONCLUSION: Early results of the study have shown the intervention’s potential to boost the knowledge and motivations of CCPs.

Impact of the Appalachian Career Training in Oncology (ACTION) Program on Undergraduate Participants.

Kentucky ranks first in the nation in cancer incidence and mortality. The Appalachian region of the state experiences the highest cancer disparities due to inequities in many social determinants of health. As a strategy for addressing cancer and education disparities in the region, the Appalachian Career Training in Oncology (ACTION) Program at the University of Kentucky Markey Cancer Center engaged 16 Appalachian-native undergraduate student participants annually in cancer-related activities. Students were recruited on an annual basis for the 2-year ACTION program. Entry, mid-point, and exit surveys were administered to participants. Classical test theory and exploratory factor analysis were used to examine the instruments used for program evaluation, whereas repeated measures ANOVA, paired t-tests, chi-squared, and post hoc analyses were used to analyze 6years of survey data. There was a significant increase in participants' understanding of cancer-related topics among the entry, midpoint, and exit surveys (p < .001) and a significant increase in comfort with research, clinical, and outreach activities between entry and midpoint and entry and exit (p < .001), but not between midpoint and exit. With respect to research skills and perceptions of the program, increases in mean scores were observed between midpoint and exit, but these increases were not statistically significant (p = .167, p = 223, respectively). ACTION increased participants' understanding of cancer-related topics; comfort with research, clinical, and outreach activities; and research skills. These data suggest that ACTION has a significant impact on participants.