Teaching evidence-based medicine with electronic databases for preclinical education

To evaluate the efficacy of an educational module on evidence-based medicine (EBM) assisted with electronic medical databases (EMDs) for preclinical education, medical students ( n = 111) were matriculated in a program consisted of 16 2-h sessions on EBM plus hands-on experience on EMDs in a problem-based learning-type format. Students were required to make an oral presentation on designated clinical scenarios before and after the sessions, without prior notice, as an indicator of performance. In addition, questionnaires focusing on behavioral changes, awareness, and confidence of mastering EBM were administered before and after the sessions to assess the attitudinal and behavioral impact of the intervention on the participants. We found evidence of better postprogram performance in utilizing EBM-relevant concepts and resources when the enrolled medical students were giving oral presentations. Moreover, the participants reported increased awareness of EBM and, behaviorally, increased utilization of EBM-relevant resources provided by libraries. Also, they reported improvement on appropriately using EBM-relevant resources, and 99% of the participants reported strong confidence in practicing EBM. In conclusion, modules on EBM implemented with EMDs benefitted medical students in scenario-oriented PBL tutorials. Improvements in awareness, behavior, confidence, and performance in mastering EBM were noted.

STRESS IN ALEX MICHAELIDAS’ NOVEL THE SILENT PATIENT

The study focuses on the stress experienced by the protagonist, Alicia Berenson. The main purpose of this study is to determine the types and the impacts of stress experienced by the protagonist by the name of Alicia Berenson, based on the theory of stress proposed by Priyoto (2014). In analyzing The Silent Patient, the researchers use qualitative research method to process and arranges the data. The data collected are divided into two categories i.e. primary data and secondary data. The primary data is the novel The Silent Patient (2019), and the researchers find fifteen data to be included in the analysis. The secondary data are books and other sources related to the analysis such as books or journals of stress issues, literary theory, the author’s biography, internet and other relevant information to the analysis of this research paper. The data are collected through library research and searched based on the explanation from types and the impact of Stress proposed by Priyoto. The results of the study show the following conclusion. First, Alicia suffers from chronic stress which can be shown through impaired social relationships and nervousness. Second, the behavioral impact is shown through changes in the behavior system to be silent, aggressive behavior and self-injured.

A Qualitative Study on the Behavioral Impact of TikTok’s Platform Mechanics on Economically Driven Content Creators

The aim of this paper is to analyze the behavioral impact of TikTok’s platform mechanics and actions on economically driven, thus objective oriented content creators on the platform. Since almost all social media platforms monetize user content, platform objectives were related to exhibited platform mechanics to propose a conceptual model for the behavioral altercation potential of TikTok. The underlying data and insights were collected via qualitative interviews of economically driven content creators. Gained insights were contrasted against intrinsically motivated content creators on the basis of a behavioral change model.

633 Incorporating checkpoint inhibitors into cancer care: a study of the impact of digital education on clinical competence and practice patterns

BackgroundImmune checkpoint inhibitors have transformed the treatment landscape for a variety of tumors and have significantly improved patient prognosis and longevity. Evolving practice standards for diagnostic testing and extensive emerging clinical trial data have left clinicians challenged to apply newer treatments in practice and manage associated side effects. Additionally, improved patient prognosis has created a greater need for survivorship care plans; clinicians must be able to tailor plans to the needs of patients treated with these agents. Education pertaining to biomarker testing, applications of checkpoint inhibitors, adverse event management, and survivorship care is critical to ability to improve patient experience and quality of life.MethodsA 4-hour CME activity was broadcast live-online in June, July, and August 2020 and remained on-demand through February 2021 at OMedLive.com. The program was provided in partnership with the Society for Immunotherapy in Cancer (SITC). The initiative was divided into themes including biomarker usage for checkpoint inhibitor selection, adverse event management, survivorship care, and use of checkpoint inhibitors and combination therapies in the metastatic setting. Knowledge and competence questions were administered pre-, immediate post-, and 2 mos. post-activity. Behavioral impact questions were also asked at follow-up. Data from these questions were analyzed to determine engagement and clinical impact.ResultsFinal program results from 1,909 learners showed that post-activity engagement resulted in 61% reporting a positive impact on patient experience, and 74% reporting a positive impact on clinical practice, with 179 qualitative write-in examples detailing improvements in diagnosis, use of newer therapies, ability to manage adverse events, and patients' tolerance of treatments. All 14 CME test questions reflected statistically significant improvements on biomarker utility, checkpoint inhibitors, combination therapy applications, adverse event management, and survivorship care, with an average of 15% pre to 2-month follow-up improvement. The overall average effect size from pre- to post-test was d = 1.27, and d = 0.429 for pre- to 2-month follow-up point. Practice pattern questions elucidated preferences for biomarker testing, challenges of integrating immunotherapy, areas of difficulty in survivorship care, and challenges enrolling in clinical trials.ConclusionsThe activity was successful in improving clinician understanding of the use of biomarker testing to determine treatment plans, applications of checkpoint inhibitors and combination therapies, adverse event management, and survivorship care planning. Open-ended responses to behavioral impact questions illustrated clear improvements in clinician-reported patient impacts, including improved psychological tolerance of treatment, quality of life, and overall wellness.

Transformation of Emotional Intelligence Resilience Towards Psychological and Behavioral of Youth

This article is focused on discussing the importance of strengthening emotional intelligence to achieve more integrated human domains. The discussion is in terms of challenges and resilience of emotional intelligence transformation on the psychological and behavioral impact of youth. Human capital resources among youths are the main thrusts of national development, especially from political, economic, social, and educational aspects. However, the role of youth as agents of change in society would be meaningless if it is a transformation from darkness to brightness, from positive to negative, and from peace to chaos. The important elements that need to be as a knowledgeable youth are not merely intellectual intelligence alone, but also need to have a strong emotional and spiritual intelligence to achieve the positive of emotional, thinking and behavior. Emotional intelligence can be a determining factor in behavior and ideology that is more mature and prosperous among the youth of the country. Therefore, the need to have emotional intelligence is as important as intellectual intelligence to achieve a real balance in life. Positive youth can stand up as a citizen who is full of identity and dare to cope with the competitive world, but also wisely handle whatever challenges. A strong emotional intelligence in the youth can also help transform the country's expectations into reality in the quest for the creation of a first-class human capital.

Applying treatment advances in castration-resistant prostate cancer: The influence of serial digital education on the uro-oncology team.

20 Background: Improvements in the understanding of prostate tumor development have spurred advances in biomarker testing and new therapies for prostate cancer, providing clinicians with expanded testing and treatment options. However, these changes have led to competence gaps regarding the use of biomarker testing, integration of PARP inhibitors, application of new data for nmCRPC and mCRPC, and adverse event management. To address these needs, a serial educational initiative was designed for the urology-oncology team. Methods: A 4-part CE activity was launched live-online in December, 2020, and remains on-demand through December, 2021 at UroCareLive.com and OMedLive.com. The activity was launched in partnership with Large Urology Group Practice Association (LUGPA) and included case presentations, live polling, and Q&A. Knowledge and competence questions were administered pre-activity, immediate post-activity, and 2-months post-activity. Patient and clinical practice-impact questions were also asked at the 2-month follow-up. Data from these questions were analyzed to determine engagement and clinical impact. Results: To date, 761 clinicians have participated in the activity. All 12 CE test questions reflected improvements in knowledge and competence, 11 of which were statistically significant. Questions focused on: genomic testing, biomarker analysis, recent clinical trial study results, newly approved therapies, and adverse event management. At 2-mos. follow-up, 70% reported improved behavioral impact on clinical practice and 63% reported impact on patient experience and outcomes. Clinicians provided write-in examples of these changes, illustrating improvements in patient-reported satisfaction, genetic testing, and use of newer therapies, including PARP inhibitors. Practice pattern questions pertaining to biomarker testing and the use of emerging therapies showed the majority of post-program respondents (42%) preferred to utilize blood/serum-based biomarker tests for their patient vs urine- or tissue-based tests. The greatest reported challenges to biomarker testing were affordability (30%) and lack of guideline clarity (23%). The top 2 barriers to adoption of new agents were reported as lack of awareness and lack of experience (32% and 20%, respectively). Conclusions: The activity successfully improved uro-oncology team knowledge of genetic testing and newer therapies to manage castration-resistant prostate cancer. Learners demonstrated significant improvements in competence concerning biomarker testing, treatment personalization, and adverse event management. Open-ended responses to behavioral impact questions illustrated improvements in biomarker usage, application of newer therapies, and confidence in patient counseling regarding treatment options.

The Influence of Reputation on Consumer Purchasing Behavior

This study created a new model to explore the impact of social network word of mouth on the credibility of the website platform factors. This model contains three assumptions, including website trust, consumer repurchase, and timely response from website customer service. This structure has been discussed a lot in e-commerce literature. This hypothesis is explored through empirical research testing. The data of this study is a questionnaire survey of consumers on a platform of a case company. The data is collected from 100 consumers in 2014.The results show that the word-of-mouth information and online immediacy have a relevant influence and help on consumers' re-purchase behavior. At the same time, the results show that there is a good interaction between online word-of-mouth and online immediacy. The results of this study provide useful insights into how to enhance consumers' perception of online word-of-mouth messages and online immediacy in order to enhance the behavioral impact on consumers' repurchase intentions.