scholarly journals Pelatihan Remaja “Peduli” Sebagai Upaya Preventif Terjadinya Perilaku Bullying Pada Remaja

2021 ◽  
Vol 4 (1) ◽  
pp. 45-50
Author(s):  
Amherstia Pasca Rina ◽  
Rahma Kusumandari ◽  
Ricky Alejandro Martin ◽  
Mohammad Fais Imron
Keyword(s):  
Community Service ◽  
Test Scores ◽  
Single Group ◽  
Peer Counselors ◽  
Before And After ◽  
Quasi Experimental ◽  
Perpetrators And Victims ◽  
The Impact ◽  
Design Result ◽  
Education Process

Abstract: The large number of bullying cases involving teenagers both as perpetrators and victims shows that intervention is needed to prevent the increasing number of cases. The education process for adolescents will be effective if it is carried out by their peers. Therefore, a module is needed to provide education for adolescents so that they can act as counselors for their peers in order to prevent bullying from occurring. The purpose of the community service activities carried out is to implement the Remaja “PEDULI” (Peka, Dukung, Lindungi) program to increase participants' knowledge of bullying and the skills needed as peer counselors.This training was conducted online for 2 meetings and post training assignments. The Remaja “PEDULI” module was developed using the ADDIE approach which consist of analisys, design, develop, implement, and evaluate. The impact of the module implementation was tested using a quasi-experimental method used a single group with a pretest and postest design. Result of data analysis showed that there was differences between mean test scores of participants before and after the training with value of t = -2.921 and value of p = 0.005 (p <0.01). It can be concluded that the Remaja “PEDULI” program is effective in increasing adolescents' knowledge about bullying and skills required as peer counselors. Keywords: adolescents; bullying; online training            Abstrak: Banyaknya kasus bullying yang banyak melibatkan remaja baik sebagai pelaku maupun korban menunjukkan bahwa dibutuhkan intervensi untuk mencegah meningkatnya jumlah kasus tersebut. Proses edukasi bagi remaja akan efektif apabila dilakukan oleh sebayanya, oleh karena itu diperlukan modul untuk memberikan edukasi berupa pelatihan kepada remaja agar dapat berperan sebagai konselor bagi sebayanya agar dapat mencegah terjadinya bullying.  Tujuan dari kegiatan pengabdian yang dilakukan adalah untuk mengimplementasikan program remaja “PEDULI” (Peka, Dukung, Lindungi) untuk meningkatkan pengetahuan peserta tentang bullying dan ketrampilan yang dibutuhkan sebagai konselor sebaya. Program pelatihan ini dilakukan secara daring selama 2 kali pertemuan dan penugasan pasca pelatihan. Modul pelatihan remaja PEDULI ini disusun menggunakan pendekatan ADDIE, yang terdiri dari 5 tahap, yaitu: analisis, desain, develop, implement, dan evaluate. Media yang digunakan dalam pelatihan ini adalah presentasi, video, dan komik. Dampak dari implementasi modul diuji menggunakan metode eksperimen quasi dengan desain single group with pretest and postest design. Hasil uji beda skor tes pengetahuan pada peserta sebelum dan sesudah pelatihan menghasilkan nilai t = -2,921 dengan nilai p = 0,005 (p<0,01). Dapat disimpulkan bahwa program remaja “PEDULI” efektif untuk meningkatkan pengetahuan remaja rentang bullying dan ketrampilan yang diperlukan sebagai konselor sebaya. Kata kunci: bullying; pelatihan daring; remaja

scholarly journals The Use of Procalcitonin as a Sepsis Marker in a Community Hospital

2019 ◽  
Vol 3 (4) ◽  
pp. 545-552
Author(s):  
Nathalia De Oro ◽  
Maria E Gauthreaux ◽  
Julie Lamoureux ◽  
Joseph Scott
Keyword(s):  
Lactic Acid ◽  
Length Of Stay ◽  
Community Hospital ◽  
Unit Length ◽  
Hospital Setting ◽  
Control Group ◽  
Before And After ◽  
Quasi Experimental ◽  
Current Cutoff ◽  
The Impact

Abstract Background Procalcitonin (PCT) is a biomarker that shows good sensitivity and specificity in identifying septic patients. Methods This study investigated the diagnostic accuracy of PCT in a community hospital setting and how it compared to that of lactic acid. It explored the impact on patient care before and after PCT implementation regarding costs and length of stay. Two comparative groups were analyzed using an exploratory descriptive case–control study with data from a 19-month period after PCT implementation and a retrospective quasi-experimental study using a control group of emergency department patients diagnosed with sepsis using data before PCT implementation. Results Post-procalcitonin implementation samples included 165 cases and pre-procalcitonin implementation sample included 69 cases. From the 165 sepsis cases who had positive blood cultures, PCT had a sensitivity of 89.7%. In comparison, lactic acid's sensitivity at the current cutoff of 18.02 mg/dL (2.0 mmol/L) was 64.9%. There was a 32% decrease in median cost before and after PCT implementation, even with the length of stay remaining at 5 days in both time periods. Conclusions There was a significant decrease after the implementation of PCT in cost of hospitalization compared to costs before implementation. This cost is highly correlated with length of stay; neither the hospital nor the intensive care unit length of stay showed a difference with before and after implementation. There was a positive correlation between lactic acid and PCT values. PCT values had a higher predictive usefulness than the lactic acid values.

scholarly journals SP10.1.7 The Important Role of In-Situ Simulation in Preparing Surgeons for the COVID-19 Pandemic

2021 ◽  
Vol 108 (Supplement_7) ◽  
Author(s):  
Pierre Montauban ◽  
Charannya Balakumar ◽  
Jaideep Rait ◽  
Prizzi Zarsadias ◽  
Sara Iqbal ◽  
...  
Keyword(s):  
High Risk ◽  
In Situ Simulation ◽  
Level Of Confidence ◽  
Effective Training ◽  
Before And After ◽  
Quasi Experimental ◽  
Surgical Teams ◽  
Imminent Threat ◽  
The Impact

Abstract Background Effective training is vital when facing viral outbreaks such as the SARS Coronavirus 2 (SARS-CoV-2) outbreak of 2019. The objective of this study was to measure the impact of in-situ simulation on the confidence of the surgical teams of two hospitals in assessing and managing acutely unwell surgical patients who are high-risk or confirmed to have COVID-19. Methods This was a quasi-experimental study with a pretest-posttest design. The surgical teams at each hospital participated in multi-disciplinary simulation sessions to explore the assessment and management of a patient requiring emergency surgery who is high risk for COVID-19. The participants were surveyed before and after receiving simulation training to determine their level of confidence on a Visual Analog Scale (VAS) for the premise stated in each of the nine questions in the survey, which represented multiple aspects of the care of these patients. Results 27 participants responded the pre-simulation survey and 24 the one post-simulation. The level of confidence (VAS score) were statistically significantly higher for all nine questions after the simulation. Specific themes were identified for further training and changes in policy. Conclusion In-situ simulation is an effective training method. Its versatility allows it to be set up quickly as rapid-response training in the face of an imminent threat. In this study, it improved the preparedness of two surgical teams for the challenges of the COVID-19 pandemic.

scholarly journals Efficacy of standard- vs reduced-dose insulin for treatment of hyperkalemia: A quasi-experiment

2021 ◽  
Author(s):  
Sara Catherine Pearson ◽  
Kristin O’Connor ◽  
Kimberly Keller ◽  
T J Hodge ◽  
Ross Nesbit
Keyword(s):  
Glucose Level ◽  
Standard Dose ◽  
Additional Treatment ◽  
Treatment Pathway ◽  
Reduced Dose ◽  
Significant Difference ◽  
Before And After ◽  
Quasi Experimental ◽  
Stage Renal Disease ◽  
The Impact

Abstract Disclaimer In an effort to expedite the publication of articles related to the COVID-19 pandemic, AJHP is posting these manuscripts online as soon as possible after acceptance. Accepted manuscripts have been peer-reviewed and copyedited, but are posted online before technical formatting and author proofing. These manuscripts are not the final version of record and will be replaced with the final article (formatted per AJHP style and proofed by the authors) at a later time. Purpose Hyperkalemia more commonly affects patients with a glomerular filtration rate of less than 60 mL/min. Using intravenous (IV) insulin to shift potassium intracellularly may cause hypoglycemia, requiring additional treatment or longer hospitalization. Literature on insulin dosing in this context is limited, with one previous study indicating that 5 units of IV insulin might be as effective and result in less hypoglycemia than the standard dose of 10 units of IV insulin. The hyperkalemia treatment pathway at our institution was revised in May 2018 to include a reduced-dose option (5 units of insulin) for patients with end-stage renal disease. This study aimed to compare the prevalence of hypoglycemia between patients who received standard-dose vs reduced-dose IV insulin. Methods This single-center, retrospective, quasi-experimental study evaluated the impact of revision of the hyperkalemia treatment pathway by assessing rates of hypoglycemia during the 6 months before and after implementation of the revised pathway. The primary endpoint was prevalence of hypoglycemia, defined as a blood glucose level of less than or equal to 70 mg/dL. Results There was no statistically significant difference in the occurrence of hypoglycemia when comparing the pre- and postimplementation groups (36 [17.7%] patients vs 34 [18.7%] patients; P = 0.7924). The postimplementation group had a statistically significant lower reduction in potassium levels after treatment than the preimplementation group (mean [interquartile range], –0.9 [–1.3, –0.5] mEq/L vs –0.6 [–1.2, –0.2] mEq/L; P = 0.0095). Baseline potassium levels were similar between the groups. Conclusion Administration of reduced-dose IV insulin for treatment of hyperkalemia was significantly less effective in lowering serum potassium levels and did not decrease prevalence of hypoglycemia. When accounting for potential confounders, the only variable that was associated with hypoglycemia was pretreatment glucose level.

scholarly journals 1039. Forty-eight-hour Antibiotic Time-out: Impact on Antibiotic Duration and Clinical Outcomes

2019 ◽  
Vol 6 (Supplement_2) ◽  
pp. S365-S366
Author(s):  
Natasha N Pettit ◽  
Palak Bhagat ◽  
Cynthia T Nguyen ◽  
Victoria J L Konold ◽  
Madan Kumar ◽  
...  
Keyword(s):  
Pediatric Patients ◽  
Medical Center ◽  
Inpatient Setting ◽  
Core Element ◽  
Time Out ◽  
Before And After ◽  
Control And Prevention ◽  
Quasi Experimental ◽  
Tract Infections ◽  
The Impact

Abstract Background A core element of the Centers for Disease Control and Prevention Antimicrobial Stewardship standard for the inpatient setting includes a 48-hour antibiotic time-out (ATO) process to reassess antibiotic indication. We implemented an automated alert in the electronic health record (EHR) that identifies patients that have received >=48hours of antibiotic therapy. The alert requires the clinician (physician or pharmacist) to note an indication for continuation or plan for discontinuation. Within the alert, a dashboard was developed to include relevant patient information (e.g., temperature, white blood cell count, microbiology, etc). We sought to evaluate the impact of the ATO alert on the duration of therapy (DOT) of cefepime (CFP), ceftazidime (CTZ) and vancomycin (VAN), for the treatment of pneumonia (PNA) and urinary tract infections (UTI) for adult and pediatric patients. Methods This quasi-experimental, retrospective analysis included adult and pediatric patients that received ≥48 hours of CFP, CTZ, or VAN for UTI or PNA between April 1, 2017 and July 31, 2017 (pre-48H ATO) and October 1, 2018–December 31, 2018 (post-48H ATO). Fields at order-entry to specify an antibiotic indication were not available prior to our EHR interventions. A randomized subset from the Pre-48Hr ATO group was selected for detailed analysis. The primary endpoint was to evaluate the average DOT of CFP/CTZ combined, VAN alone, and the combination of CFP/CTZ/VAN. We also evaluated length of stay (LOS), all-cause inpatient mortality, and 30-day readmissions. Results A total of 157 antibiotic orders (n = 94 patients) were evaluated in the pre-48h ATO group, and 2093 antibiotic orders (n = 521 patients) post-48H ATO group. Pre-48H ATO, 85 patients received CFP/CTZ and 72 VAN. Post-48H ATO, 322 patients received CFP/CTZ and 198 VAN. PNA was the most common indication pre- and post-48H ATO. DOT significantly decreased pre- vs. post-48H ATO (Figure 1). LOS was 2 days shorter (P = 0.01) in the post-48H ATO group, mortality and 30-day readmissions was similar between groups (Table 1). Conclusion Average antibiotic DOT for CFP/CTZ, and VAN significantly decreased following the implementation of the 48H ATO at our medical center. LOS was reduced by 2 days, while mortality and 30-day readmissions were similar before and after. Disclosures All authors: No reported disclosures.

Efeito de intervenção educativa sobre eventos adversos pós-vacina pentavalente: estudo quase-experimental

2016 ◽  
Vol 15 (2) ◽  
Author(s):  
Francisca Agda Alexandre Porto ◽  
Allan Raniere Santos Silva ◽  
Lívia Maia Pascoal ◽  
Ismália Cassandra Costa Maia Dias ◽  
Leonardo Hunaldo Dos Santos ◽  
...  
Keyword(s):  
Adverse Events ◽  
Maternity Hospital ◽  
Single Group ◽  
Pentavalent Vaccine ◽  
Intervention Method ◽  
Before And After ◽  
Quasi Experimental ◽  
Level Of Understanding ◽  
Study Participants

Aim:  To  evaluate  the  knowledge  of  mothers  regarding  adverse consequences from the pentavalent vaccination before and after they participated in an educative  intervention.  Method:  This is  a  quasi-experimental  study,  with  a  before-and-after analysis, of a single group of 100 mothers of breastfeeding babies, from September to October 2014, in an outpatient clinic of a public maternity hospital in the municipality of  Imperatriz,  Brazil.  Results:  Following  the  intervention, a  significant  increase  in understanding  was  observed  among  the  study  participants  in  all  questions  (p<0.05) regarding adverse events after the pentavalent vaccine. After the intervention, there was a significant increase of right answers to the questions: who to seek advice from after an adverse  event  due  to  the  vaccine  (p=0.004)  and  which  adverse  events  from  the pentavalent vaccine are known to mothers (p=0.04). Conclusion: The results indicate a positive change in the  level  of  understanding  of  mothers regarding the  adverse  events after the  pentavalent vaccination.  The  study  provides  a  basis  for the  adoption  of long-term intervention strategies for nurses.

The impact of a TV report in schizophrenia stigma reduction: A quasi-experimental study

2017 ◽  
Vol 63 (3) ◽  
pp. 275-277 ◽  
Author(s):  
Nathaly de Oliveira Bosoni ◽  
Geraldo Busatto Filho ◽  
Daniel Martins de Barros
Keyword(s):  
Brief Intervention ◽  
Social Distance ◽  
Mass Communication ◽  
Long Term Effects ◽  
Stigma Reduction ◽  
The Social ◽  
Before And After ◽  
Quasi Experimental ◽  
The Impact

Background: Stigma is a major problem in schizophrenia, and the most effective way to reduce it is to provide information. But literature lacks studies evaluating long-term efficacy of mass communication. Aims: This is a pilot study to assess if a brief intervention (TV report) may have long-term effects. Method: Assessing stigma scores from subjects before and after seeing a vignette. Results: We found that the social distance and restriction to patients not only fell after a brief intervention but also kept lower after 1 and 3 months. Conclusion: We conclude that even brief intervention may create persistent impact in reducing discrimination.

scholarly journals Transit-oriented economic development: The impact of light rail on new business starts in the Phoenix, AZ Region, USA

Urban Studies ◽  
2017 ◽  
Vol 55 (13) ◽  
pp. 2838-2862 ◽  
Author(s):  
Kevin Credit
Keyword(s):  
Service Sector ◽  
Interrupted Time Series ◽  
Light Rail ◽  
Initial Increase ◽  
New Business Formation ◽  
Before And After ◽  
New Business ◽  
Quasi Experimental ◽  
And Control ◽  
The Impact

This article examines the impact of Phoenix’s light rail system, which opened in 2008, on new firm formation in specific industries. Individual business data from 1990–2014 are used in a quasi-experimental adjusted-interrupted time series (AITS) regression to compare the impact of the transit system’s construction on new business starts in ‘treatment’ and ‘control’ areas before and after the opening of the line. Findings show that the transit adjacency is worth an 88% increase in knowledge sector new starts, a 40% increase in service sector new starts and a 28% increase in retail new starts at the time the system opened, when compared with automobile-accessible control areas. However, the light rail also appears to suffer from a ‘novelty factor’– after the initial increase in new establishment activity in adjacent block groups, the effect diminishes at the rate of 8%, 6% and 7% per year, respectively. The results also provide insight into the spatial extent of light rail impacts to new business formation, with areas 1 mile from stations observing 21% fewer retail new business starts and 12% fewer knowledge sector new starts than areas within a quarter of a mile of stations.

scholarly journals The Influences of Audio Visual Media And Vocabulary Mastery towards English Learning Achievement of EFL Students

2020 ◽  
Vol 7 (1) ◽  
pp. 57-65
Author(s):  
Tubagus Zam Zam Al Arif
Keyword(s):  
Visual Media ◽  
Achievement Test ◽  
P Value ◽  
Colleges Of Education ◽  
Learning Achievement ◽  
Before And After ◽  
Quasi Experimental ◽  
Efl Students ◽  
The Impact ◽  
Test Result

This study was an attempt to determine the impact of interaction between teaching media and vocabulary mastery towards students’ learning achievement in colleges of education at Jambi University. This is a quasi-experimental study with nonequivalent control and experimental group design. Based on the test for normality, homogeneity, and analysis of variance to the data students’ achievement score of experiment class can be concluded that, there are significant differences of learners’ achievement between before and after treatment in experimental class using audio-visual media. Then, there are significant differences between the learners’ vocabulary mastery on their learning achievement. The result of this study showed; 1. There is a significant effect between teaching media toward learners’ achievement. Test result obtained that p-value 0,015 (<0,05) 2. Vocabulary mastery gave the significant effect to the learners’ achievement. Test result obtained that p-value for vocabulary mastery is 0,000 (<0,05). 3. There is no interaction influence between the teaching media and vocabulary mastery towards learners’ achievement. Test result retrieved that p-value is 0,948 (>0,05).

scholarly journals The Impact of Education on Mother’s Knowledge for Stunting Prevention Through Moringa Oleifera in Kuan Noel Village, Fatumnasi District, South Central Timor Regency

2020 ◽  
Vol 8 (3) ◽  
pp. 206
Author(s):  
IRLIN FALDE RITI
Keyword(s):  
Treatment Group ◽  
Moringa Oleifera ◽  
Sampling Technique ◽  
Control Group ◽  
South Central ◽  
Significant Difference ◽  
Before And After ◽  
Quasi Experimental ◽  
The Impact ◽  
Educational Aspect

<p align="center"><strong>ABSTRAK</strong></p><p><strong>Background:</strong> One of nutritious problems susceptibly encountred in the world nowadays is kid’s stunting. Stunting is a failure of growth condition and cronical nutritious problems caused by poor nutritious supply because of improper meal provisions in long term growth consumptions. Stunting could be primarily prevented by increasing knowledge about stunting prevention through consuming moringa oleifera regularly. <strong>The aim:</strong> This study is intended to know the impact of education on mother’s knowledge for stunting prevention through regular moringa oleifera consumption. <strong>Research Method: </strong>This research applied a quasi experimental design by generating non equivalent control group which complied two groups; 30 subjects (mothers) were considered as treatment group; whereas, other 30 subjects (mothers) were taken as control group. Thus sampling technique applied was consecutive sampling. <strong>Results:</strong> The study showed that there was a significant impact on education score before and after intervention effects towards the treatment group (p=0,000); whereas there was no significant difference on the control group (p=0,184). The statistical analysis applied independent sample t-test which showed if educational aspect significantly impacted on the increase of mother’s knowledge (p=0,000). <strong>Conclusion:</strong> Educational aspect impacted on mother’s knowledge for stunting prevention through moringa oleifera.</p>

scholarly journals Quality of Life in Patients with Multiple Sclerosis after Autologous Hematopoietic Stem Cell Transplantation

Blood ◽  
2019 ◽  
Vol 134 (Supplement_1) ◽  
pp. 5708-5708
Author(s):  
Juan Carlos Olivares-Gazca ◽  
Iván Murrieta-Álvarez ◽  
Jesús Mauricio Olivares-Gazca ◽  
Yarely Itzayana García-Navarrete ◽  
Yahveth Cantero-Fortiz ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Multiple Sclerosis ◽  
Cell Transplantation ◽  
Hematopoietic Cell Transplantation ◽  
Conflicts Of Interest ◽  
Hematopoietic Stem ◽  
Before And After ◽  
Quasi Experimental ◽  
The Impact

Introduction Multiple sclerosis (MS) is an inflammatory, demyelinating and neurodegenerative disease of the central nervous system (CNS) that causes a whole spectrum of neurological disorders associated with a profound decrease in the quality of life of affected patients. Currently, autologous hematopoietic cell transplantation (ASCT) is a validated therapeutic approach and has been shown to be superior to new immunomodulatory agents. However, the impact of these therapies on the quality of life of patients with MS is unknown. Objective Identify the impact on the quality of life in patients with multiple sclerosis after ASCT at our center. Methods A quasi-experimental, longitudinal, prospective and single-center study was conducted in which the quality of life was determined in patients with MS before and after ASCT. Patients who could not answer the questionnaire themselves were excluded and incomplete questionnaires were eliminated. The quality of life was determined by applying the MS-QoL 29 instrument which is validated instrument for this pathology (Cronbach 0.88-0.90 and Pearson with high correlation with MS-QoL56). The variables related to the physical and mental components of the instrument as well as demographic characteristics were studied. The statistical analysis of the data included measures of central tendency as well as inferential for the comparison of means and proportions (NC 95%, p <0.05). Results We included 52 patients prospectively from October 2018 to June 2019, 71% of the patients were women and the remaining 29% men. The median of age of the subset is 50 years (Interval 27-65). Of the selected patients, 45% has PPMS, 39% has SPMS and 16% has PPMS. Twenty six patients were followed at 3 months and seventeen were followed 6 months after ASCT. The statistical differences between the quality of life in the patients prior to the ASCT and the follow-up at 3 and 6 months in both the physical and mental components was analyzed. In the physical component the differences at 3 months (A) were significant (p = 0.019, 95% NC) as well as the differences at 6 months (b) after ASCT (p = 0.0024, 95% NC). In the mental component the differences were significant at 3 months (C) (p = 0.0012, NC 95%) as well as the differences at 6 months (D) after ASCT (p = 0.0007, NC 95%). Conclusions The study suggests that ASCT is a feasible and safe therapeutic alternative to improve the quality of life in patients with multiple sclerosis. Figure Disclosures No relevant conflicts of interest to declare.

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