Patients with chronic diseases: tomorrow, all sentinels?

Author(s):  
Jean-David Cohen ◽  
Cyril Crozet ◽  
Jean-François d’Ivernois ◽  
Rémi Gagnayre

Very old studies and clinical experiences of physicians already signal the ability of some patients to feel subclinical signs. These patients are called sentinel patients because they can anticipate crisis very early and therefore intervene quickly to prevent them. Studies have shown that these patients develop these skills from their own experience, in steps which are similar to quasi-experimental research. They test and adjust their competence all the more easily as they have an objective external measure available. This faculty of patients suggests the possibility of using medical devices as a means of learning for patients to tutor themselves in support of this singular skill.

2019 ◽  
Vol 7 (2) ◽  
Author(s):  
Fatma Gustina ◽  
Khadijah Khadijah ◽  
Fauziah Nasution

<p><em>This research was conducted at TK Islam Ibnu Qoyyim, Medan Selayang District. Tthe type of research is experimental research with uses Quasi Experimental Designs. This study aims to determine the influence of Maria Montessori's learning model on the discipline of children in TK Islam Ibnu Qoyyim. The results showed that the Montessori learning model had an effect on the discipline of group A children. The results of the pretest class were 9.3 and the post-test average was 16.80 with the highest post-test 20 and the lowest post-test 12. Class control with an average pre test 9.7 and the average post test 11.7 with the highest value 16 and the lowest value 7. The results of hypothesis testing obtained t count&gt; t table is 18.31&gt; 2.048 with significant numbers. Thus the hypothesis Ho is rejected and Ha is accepted so that it is stated that there is a Significant Effect of Maria Montessori's Learning Model on the Discipline of Group A Children 4-5 Years Old in the TK Islam Ibnu Qoyyim.</em><em></em></p>


2018 ◽  
Vol 2 (2) ◽  
pp. 210-220
Author(s):  
Wendelinus Oscar Janggo ◽  
Yuliana Wisnawati Nona Nungsi

This research is entitled “The Effectiveness of Using Cooperative Script Method to Improve Students’ Reading Comprehension on Recount Text of 8th Grade Students of SMP N Kewapante, Maumere in Academic Year 2017/ 2018”. The objective of this research is to investigate and to find out whether the use of cooperative script method effective to improve students’ reading comprehension on recount text. The method of this research is experimental research especially quasi experimental research. In analyzing the data, the researcher combined both quantitative and qualitative data analysis. In qualitative data analysis, the researcher used interview technique in order to get information about students’ perceptions in reading, while in quantitative data analysis, the researcher used SPSS version 16. The result of the research showed that the implementation of Cooperative Script Method in experimental class was more effective to help the students in reading comprehension on recount text compared to the use of the conventional method in control class of the eighth grade students of SMP N Kewapante, Maumere. It is also found that cooperative script method positively contributed to improve students’ reading comprehension. Therefore ,the researcher  suggests the teachers to use cooperative script method in order to improve students reading comprehension Additionally, cooperative script method can also motivate students to be more active, relax and enthusiastic to comprehend reading texts.


2021 ◽  
pp. 307-310
Author(s):  
Amanda Muse ◽  
Julie Marie Baldwin

2020 ◽  
Vol 11 (2) ◽  
pp. 189-204
Author(s):  
Nurjannah Nurjannah ◽  
Taufiq Hidayah ◽  
Muhammad Nazar

This research is entitled “Using graphic organizer strategy in teaching writing on narrative paragraph (experimental research). Writing is a very important subject that should be learned by English learners. The students should be able to express their ideas and opinion either in the form of a sentence or paragraph. However, the researcher found that many students at the Second Grade Students of SMP Negeri 1 Tanah Luas could not express their ideas and develop into the paragraph. Hence, the appropriate strategy of teaching and learning is very important to help students master writing skills. This research aims to know the effect of achievement between the students who are taught writing by using graphic organizers from those taught writing in the narrative by using traditional methods. This research was experimental research and used a quasi-experimental design. The samples chosen in this research were the whole students of class VIII2 and VIII4 of SMPN 1 Tanah Luas. Class VIII2 consisted of 25 students was chosen as experimental group and class VIII4 consisted of 24 students was chosen as control group. This research was conducted in three phrases; there were pre-test, treatments and post-test. The data collection technique used in this research was test. The tests were pre-test and post-test. The researcher gave pre-test before giving treatment and post-test after giving treatment. The treatment was conducted in three meetings. The data was analyzed by using t-test formula. The research result and the hypothesis authentication found by using t-test formula in significant level 5% or α = 0.05 were obtained that ttest > ttable. The ttest found in this research was 3.91. Meanwhile, ttable was gotten from the list of distribution value with degree of freedom = 47, because the data not in the table, the researcher used interpolation approach and obtained = 1.67. So >  = 3.91 > 1.67. It meant that Ha was accepted and Ho was rejected. So, graphic organizer strategy significantly affects the students’ ability in mastering writing.   Kata Kunci: graphic organizer strategy, teaching and learning, writing narrative paragraph


2007 ◽  
Vol 1 (2) ◽  
pp. 77-99
Author(s):  
Douglas Klayman ◽  
Jenny Crawford

This article presents findings from the five-year evaluation of a youth wraparound mental health program called Community Kids. The structure of the program, sociological theories underlying the philosophy of wraparound, and the context of the mental health system prior to program implementation are discussed. Included are utilization trends from inception through program termination. The impact analysis is presented in terms of five outcome domains for three participant cohorts, defined by tenure in the program. This longitudinal quasi-experimental research provides additional evidence of the efficacy of systems of care and the wraparound model in terms of improving clinical outcomes for youth.


2021 ◽  
Vol 4 (3) ◽  
Author(s):  
Hermawan Gatot Priyadi ◽  
◽  
Yumiati Yumiati

This study aimed to determine the effect of the implementation of the Contextual Teaching and Learning (CTL) model with the outdoor approach towards students’ ability in mathematical representation. It was quasi-experimental research consisting of two experimental classes and one control group. It used a pretest-posttest control group design. The population of this study was the students of SUPM Tegal. Sampling was conducted using cluster random consisting of three classes. The first experimental group was carried out by implementing the learning model of CTL with the outdoor approach. The second experimental group was carried out by implementing a learning model of CTL, while the control group was conducted by implementing a conventional learning model. The research instrument was a 7-point mathematical representation test in the form of an essay. The results of the research were 1) the learning model of CTL with an outdoor approach affected the improvement and achievement of the students’ ability in mathematical representation and was higher than CTL and a conventional learning; 2) the improvement of the students’ ability of representation in the groups of CTL with outdoor approach, CTL, and conventional learning respectively was in high, medium, and low category.


2020 ◽  
Vol 11 (2) ◽  
pp. 175
Author(s):  
Ni Kadek Dewi Novianti ◽  
Handoko Santoso ◽  
Agil Lepiyanto

The Effect of using the Problem Based Instruction (PBI) learning model to determine the effect on learning outcomes using the Problem Based Instruction (PBI) learning process. This research is a quasi experimental research which consists of a control class and an experimental class. The control class uses the conventional learning model and the experimental class uses the Problem Based Instruction (PBI) learning model, conducted in the X MIPA 1 and X MIPA 2 in SMA Negeri 1 Rumbia. The research data were obtained from test sheets and observations at the end of each lesson. The average cognitive learning outcomes of the experimental class were 80% and the control class was 63,83%. The average psychomotor learning outcomes of the experimental class were 80,46% and the experimental class was 75%. The results showed that there was an influence of the Problem Based Instruction (PBI) learning model on the learning outcomes of students in learning biology. Kata Kunci : Model Pembelajaran Problem Based Instruction (PBI), Hasil, Belajar peserta didik


Author(s):  
Eulis Rahmawati

Some problems are faced by students in reading of English text. The interesting strategy is needed to teach them. Story Pyramid Strategyis one of strategies to teach reading comprehension. This strategy forces students to review and summarize the main points of a story. The research aimed at knowing the effectiveness of using story pyramid strategy in teaching  narrative text toward students’ reading comprehension was conducted in SMAN 1 Serang. The research design of this reseacrh was quasi experimental research with quantitative approach. The  research  finding  showed  that  Story Pyramid  Strategy  is  effective in  teaching  narrative  text  toward  students’ reading comprehension to Senior High School.


10.29406/627 ◽  
2017 ◽  
Vol 4 (2) ◽  
Author(s):  
Nur Fitriani

ABSTRAKHasil belajar siswa kelas VIII di MTs. Al-Mustaqim 1 Arang Limbung pada mata materi sistem pernapasan manusia masih di bawah KKM (<75) dengan persentase ketuntasan 42,60%. Tujuan penelitian ini yaitu 1) untuk melihat perbedaan hasil belajar siswa pada materi Sistem Pernapasan Manusia menggunakan metode pembelajaran Pictorial Riddle dengan Modified Free Inqury di kelas VIII di MTs. Al-Mustaqim 1 Arang Limbung. 2) untuk melihat metode yang paling efektif untuk meningkatkan hasil belajar siswa pada materi Sistem Pernapasan Manusia kelas VIII MTs. Al-Mustaqim 1 Arang Limbung. Metode penelitian yang digunakan adalah metode penelitian eksperimen. Bentuk penelitian menggunakan quasi experimental research dengan rancangan nonquivalent control group design. Teknik sampling yang digunakan adalah purposive sampling. Teknik pengumpulan data yang digunakan adalah teknik pengukuran dan observasi langsung. Hasil penelitian menunjukan bahwa hasil belajar siswa kelas Pictorial Riddle berbeda dengan kelas Modified Free Inqury berdasarkan hasil uji U-Mann Withney diperoleh nilai signifikasi 0,000< 0,05. Keefektifan penggunaan metode dilihat dari hasil perhitungan N-Gain di kelas Pictorial Riddle sebesar 0,75 dan kelas Modified Free Inqury sebesar 0,62. Kesimpulan dalam penelitian ini adalah terdapat perbedaan hasil belajar siswa menggunakan metode Pictorial Riddle dan Modified Free Inqury. Metode pembelajaran Pictorial Riddle merupakan metode yang lebih efektif ditunjukkan dari nilai perhitungan N-Gain sebesar 0,75 dengan kategori tinggi.viKata Kunci : Hasil belajar, materi sistem pernapasan manusia, Modified Free Inqury, Pictorial Riddle.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Sarah Jeong ◽  
Peter Cleasby ◽  
Se Ok Ohr ◽  
Tomiko Barrett ◽  
Ryan Davey ◽  
...  

Abstract Background Advance Care Planning (ACP) has emerged to improve end-of-life processes and experiences. However, the available evidence presents the gloomy picture of increasing number of older people living with chronic diseases and the mismatch between their preferences for and the actual place of death. The study aimed to investigate the efficacy of normalisation of an Advance Care Planning (NACP) service delivered by specially trained Registered Nurses (RNs) in hospital and community settings. Methods A quasi-experimental study was conducted involving 16 sites (eight hospital and eight community sites) in Australia. Patients who were aged ≥18 years, who had at least one of nine chronic conditions, and who did not have an Advance Care Directive (ACD) were offered the NACP service. ACP was normalised as part of routine service on admission. The intervention, NACP, was a series of facilitated conversations about the components of ACP. The primary outcomes which included the completion of ACDs, and/or appointment of an Enduring Guardian (EG), were assessed in both intervention and control sites at pre and post intervention stages. Numbers of patients who completed an ACD or appointed an EG were described by count (percentage). ACD completion was compared between intervention and control sites using a logistic mixed effects regression model. The model includes fixed effects for treatment group, period, and their interaction, as well as random site level intercepts. Secondary model included potentially confounding variables as covariates, including age, sex and chronic diseases. Results The prevalence of legally binding ACDs in intervention sites has increased from five to 85 (from 0.85% in pre to 17.6% in post), whereas it has slightly decreased from five to 2 (from 1.2% in pre and to 0.49% in post) in control sites (the difference in these changes being statistically significant p < 0.001). ACD completion rate was 3.6% (n = 4) in LHD1 and 1.2% (n = 3) in LHD2 in hospital whereas it was 53% (n = 26) in LHD1 and 80% (n = 52) in LHD2 in community. Conclusions The study demonstrated that NACP service delivered by ACP RNs was effective in increasing completion of ACDs (interaction odds ratio = 50) and was more effective in community than hospital settings. Involvement of various healthcare professionals are warranted to ensure concordance of care. Trial registration The study was retrospectively registered with the Australian New Zealand Clinical Trials Registry (Trial ID: ACTRN12618001627246) on 03/10/2018. The URL of the trial registry record http://www.anzctr.org.au/trial/MyTrial.aspx


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