Investigating News Sources and Effective Factors in Their Selection among Faculty Members of North Khorasan University of Medical Sciences

Introduction: Academics are among the most influential and important citizens in the culture and scientific security of a society. As a result, this study was based on the hypothesis that the existence of a constant concern about the effect of emerging media provides the ground for misleading this group. Methods: This research is a descriptive-survey study. A total of 101 professors from North Khorasan University of Medical Sciences were selected by convenience sampling and entered into the study. The data collection tool included a researcher-made questionnaire. The initial questionnaire was prepared based on the study of texts and review of various sources. To determine the validity of the questionnaire, the content validity method was used. Data analysis was performed by SPSS16 statistical software using descriptive and inferential statistical tests. Results: Among the participants, 36 were female and 65 were male, 68 were married and 29 were single. Also, in terms of academic rank, the majority of the subjects had the academic rank of instructor or assistant professor. In terms of the use of social networks to obtain news and information, the findings showed that about 48% of the subjects used Telegram messenger as a source of their news and information. Conclusion: Based on the results, it can be stated that the rate of national news follow-up by the studied units has exceeded the follow-up of provincial and international news.

‘Everyone seems to be agreeing at the minute that face-to-face is the way forward’: practitioners’ perspectives on post-pandemic mathematics and statistics support

Mathematics and statistics support (MSS) is now firmly embedded in the learning and teaching infra-structure of most UK universities and in many universities worldwide. In common with other higher education activities, in response to restrictions put in place to reduce the spread of Covid-19, MSS transitioned rapidly to online delivery in spring 2020. This paper reports on thinking within the practitioner community about good practice in the delivery of online MSS. A two-phase approach was used to collect this shared wisdom: an initial questionnaire in May 2020 (just after provision had moved online) and interviews with practitioners in January/February 2021 after colleagues had some experience in online provision and had had the opportunity to reflect on and modify the measures hastily put in place in spring 2020. The focus of the study is not only on what is currently being provided but also on what MSS will look like once all pandemic related restrictions have been ended. The overall feeling of the participants is that face-to-face MSS will return as the dominant form of delivery but that the benefits of online provision are such that a significant minority of provision will remain in this form.

Development and Verification of a Model for Assessment of Risk Factors of Death in Floods

Background: Determination of the causes of flood-related deaths is the precondition for effective interventions aimed at the reduction of such deaths. There is a gap in the design and the development of a valid and reliable tool for measuring underlying factors of death in the flood.Methods: A complete set of causes of flood deaths was collected. After forming the pool of items, an initial questionnaire was designed and divided into two parts of objective and subjective factors. The questionnaire’s psychometric evaluation was performed for the subjective part.Results: At the design stage, the objective and subjective sections were designed. During the psychometric evaluation, the number of items was reduced. While measuring the content validity 13 questions were excluded. Finally, a 33-item questionnaire was developed in seven categories. In the confirmatory factor analysis, the KMO coefficient was higher than .05 for all constructs. The internal consistency of the instrument using Cronbach's alpha coefficient was 0.92. Finally, in order to perform the stability test, the Pearson correlation coefficient was calculated for all questions. This was above .05 and acceptable.Conclusions: FAFDQ can be used to make decisions, identify groups at risk of flood-related deaths, and implement flood-related death-reduction interventions. Indeed, these measures have led to the development of a comprehensive and reliable questionnaire for measuring the factors affecting flood deaths: a comprehensive set of factors that can be scientifically and accurately classified as flood-related deaths, appropriately categorizing the subjective and objective factors, psychometric assessment of the SFAFDQ, confirmatory factor analysis and questionnaire testing in a case-control Study.

Veterans Affairs hematology/oncology clinic video telehealth experience.

281 Background: Many of the 40,000 veterans annually diagnosed with cancer have limited access to Hematology/Oncology care. An existing method to improve access in the Veterans Affairs (VA) system is the e-consultation, which allows text-based consultation by specialty services. However, many patients require more in-depth care than is feasible by e-consult. Amidst the COVID-19 pandemic, the James A. Haley VA (JAHVA) Hematology/Oncology department implemented VA video connect (VVC) telehealth visits to allow providers to connect with patients in their homes. Our aim was to assess the implementation of this novel telehealth service and assess provider perceptions via questionnaires. Methods: We reviewed charts of patients seen via VVC by the JAHVA Hematology/Oncology department. We gathered data including patient demographics, zip code, primary visit diagnosis, and date of visit. We adapted a previously validated telehealth usability questionnaire by Parmanto et al. Providers were surveyed about perceptions of VVCs prior to implementation and 1 year later. Responses were assessed via 5-point Likert scale. Results: From May 2020 to April 2021, 1290 VVCs were conducted. Median VVCs per month was 106 (range 26 to 161), with peak in June 2020. 71% of patients were ³65 years, 24% were 45-64 years, and 5% were <45 years. 77% of patients were white, 16% African American, 3% other, and 4% declined to answer or were of unknown race. 87% of patients were male. 12.5% of visits were for new consults. 41% of visits were for primary neoplasm-related diagnoses, 27% for hematologic diagnoses, and 32% for other. The mean residential distance from our clinic was 37.2 miles (range 0-212.7 miles). Sixteen Hematology/Oncology providers (faculty, fellows, advanced practice providers) completed the initial questionnaire, and 12 completed the follow-up questionnaire. See table for selected results. Conclusions: VVCs are a feasible method to provide remote access to care for patients. Utilization peaked in summer 2020, at the height of the COVID-19 pandemic. Providers were overall satisfied with video visits, though preference for in-person visits increased with time. Provider concern regarding personal and patient exposure to COVID-19 may have impacted perceptions regarding VVCs. Utilizing the PDSA cycle, future steps include identifying specific patient diagnoses and identifying reasons for VVC failure and using this data to optimize the experience for pati ent and providers.[Table: see text]

913 Near-Peer Teaching for Surgical Foundation Year Doctors During COVID-19 Pandemic

Introduction Literature has shown near-peer teaching to be an effective method of improving learning. There is little data on surgical teaching initiatives of this kind. Nationally and locally, teaching sessions and courses have been cancelled due to the pandemic. A new surgical lunch-time virtual course was created to fill this gap. Method FY1 doctors from University Hospital Wales were invited to participate in a survey exploring the need and topics for surgical teaching. Results were used to create a surgical teaching course. Near-peer, core surgical trainees were recruited to teach. A post-course questionnaire was distributed to FY1 doctors who attended the teaching to assess the success of the course. Results 15 FY1 doctors completed the initial questionnaire. 33% (5) were currently on a surgical placement. 60% (9) had an upcoming surgical placement. 73% (11) felt they did not have sufficient teaching on surgical specialties during medical school. 93% (14) felt they did not have sufficient teaching on how to manage surgical patients as a FY1. 100% (15) responded they would be interested in surgical teaching delivered by core surgical trainees. Eight topics were suggested, and lunchtime sessions were created. Post-course feedback was completed by 12 FY1 doctors. 88% (10) of respondents found the course ‘extremely useful’ and relevant to their surgical jobs. Conclusions There is a demand for surgical teaching for FY1s. Near-peer education designed by FY1s and delivered by CSTs is an effective way for teaching relevant surgical knowledge. Lunch-time virtual teaching is a good way to continue teaching sessions through the pandemic.

Pelatihan Blended Learning pada Guru SMA Katolik 1 Kabanjahe

Technology information using the internet can benefit educators and provide information to students to transfer knowledge has a very high potential. The purposes of these community service are: (1) to expand the insight, knowledge, and experience directly about the model of blended learning for teachers, especially teachers of Sma Katolik 1 Kabanjahe; (2) Teachers can use elearning moodle learning technology. The techniques that are planned to shape the motivation and participation of educators ranging from the benefits of blended learning, and the application of blended learning so that educators in directly implementing it in the classroom. The implementation method starts in a structured manner starting from the initial discussion about blended learning, taking the results of the initial questionnaire, then giving independent tasks to the teachers. This community service was attended by 12 teachers at SMA Katolik 1 Kabanjahe, Kab. Karo. North Sumatra. The important conclusion of this community service is the awareness and ability of educators in using information technology, especially blended learning can increase motivation to educators to provide maximum learning to learners. Keywords: blended learning; moodle; teaching technologyAbstrak: Teknologi informasi dengan menggunakan internet dapat menguntungkan para pendidik dalam memberikan informasi kepada peserta didik. Pengetahuan tentang teknologi informasi mempunyai potensi yang sangat tinggi. Tujuan dari penulisan: (1) memperluas wawasan, pengetahuan dan pengalaman secara langsung tentang model pembelajaran blended learning untuk guru guru khususnya Guru SMA Katolik 1 Kabanjahe; (2) Guru–guru dapat menggunakan teknologi pembelajaran elearning moodle. Teknik yang direncanakan untuk membentuk motivasi dan partisipasi tenaga pendidik mulai dari keuntungan blended learning, dan pengaplikasian blended learning sehingga tenaga pendidik dalam langsung mengimplementasikannya di dalam kelas. Metode pelaksanaan dimulai secara terstruktur mulai dari diskusi awal tentang blended learning, mengambil hasil kuesioner awal, selanjutnya memberikan tugas mandiri kepada guru–guru. Pelaksanaan pengabdian kepada masyarakat ini diikuti oleh 12 guru di SMA Katolik 1 Kabanjahe, kab. Karo. Sumatera Utara. Kesimpulan penting dari pengabdian ini adalah adanya kesadaran dan kemampuan pendidik dalam menggunakan teknologi informasi khususnya blended learning dapat meningkatkan motivasi kepada tenaga pendidik untuk memberikan pembelajaran yang maksimal kepada peserta didik.Kata kunci: blended learning; moodle; teknologi pembelajaran

168 Emergency Medicine Clinicians’ Confidence in Managing Epistaxis Is Improved by A Simple Intervention: A Closed-Loop Quality Improvement Study

Aim Epistaxis is a common, potentially life-threatening presentation in the Emergency Department (ED) with an incidence of 108/100 000 population per year. 85% of all patients presenting with epistaxis are managed by ED clinicians without specialist input or admission. Guidelines exist from ENT UK on epistaxis management, however awareness of these guidelines, nuances in techniques and levels of confidence by ED clinicians is not known. This quality improvement study aims to assess the confidence of ED clinicians in managing epistaxis, and investigate whether this could be improved through educational intervention. Method A single-centre, prospective, baseline audit was conducted following local approval. An initial questionnaire assessed knowledge of appropriate Hippocratic first aid method for epistaxis, alongside individual confidence in providing epistaxis prevention advice. The educational intervention included a 30 minute interactive tutorial on epistaxis during the local department teaching for ED clinicians. The audit loop was then closed by repeating the questionnaire. Results Pre- (n = 20) and post- (n = 8) intervention questions were completed by ED clinicians. Knowledge scores of appropriate epistaxis first aid provision increased from 53% pre-intervention to 88% post-intervention. Reported confidence in providing epistaxis prevention advice also increased from a mean score of 2.7 pre-intervention to 4.1 post-intervention on a 5-point Likert scale. Conclusions ED clinicians generally lack knowledge on appropriate first aid techniques on managing epistaxis and confidence in providing epistaxis prevention advice. Both of these parameters may be improved by simple educational interventions which may be implemented nationally.

PELATIHAN 3D PRINTING UPAYA UNTUK MENINGKATKAN KEMAMPUAN GURU SMK NEGERI DI DEPOK

Abstrak: Kegiatan Pengabdian Kepada Masyarakat (PKM) ini bermitra dengan Sekolah Menengah Kejuruan Negeri di Depok. Pada kegiatan pembelajaran dan praktek sangat sering mengalami kesulitan mendapatkan komponen tertentu yang jarang didapat atau dijual di pasaran. Hal ini tentunya dapat diatasi dengan menggunakan mesin 3D Printing, karena guru-guru dapat membuat sendiri komponen dengan menggunakan mesin ini. Tujuan pengabdian ini adalah untuk memberikan pelatihan pada guru-guru mengenai mesin 3D printing. Pelaksanaan pada kegiatan pengabdian masyarakat kali ini dilakukan secara daring/online dalam bentuk Webinar dengan diskusi, tanya jawab, dan praktek, angket awal digunakan untuk mengetahui seberapa jauh para peserta guru memiliki pengetahuan tentang teknologi 3D printing. Hasilnya 100% guru-guru belum mengetahui teknologi mesin 3D Printing. Setelah pelatihan didapatkan hasil angket akhir menunjukan bahwa keberhasilan memberikan pemahaman pengetahuannya mengenai teknologi 3D printing bertambah. Hal tersebut dapat dilihat dari jawaban peserta dari dari segi kebermanfaatan 83,3% setuju dan 16,7 tidak setuju, dari tingkat kepahaman peserta menjawab 66,7% dan 33,3% tidak setuju.Kata Kunci: 3D Printing, guru, KomponenAbstract: This Community Service (PKM) activity is in partnership with a State Vocational High School in Depok. In learning and practice activities, it is very often difficult to get certain components that are rarely obtained or sold in the market. Of course, this can be overcome by using a 3D Printing machine, because teachers can make their own components using this machine. The purpose of this service is to provide training to teachers regarding 3D printing machines. The implementation of this community service activity was carried out online in the form of a Webinar with discussions, questions and answers, and practice, the initial questionnaire was used to find out how far the teacher participants had knowledge of 3D printing technology. The result is that 100% of the teachers do not know about 3D Printing machine technology. After the training, the results of the final questionnaire showed that their success in providing an understanding of their knowledge about 3D printing technology increased. This can be seen from the participants' answers in terms of usefulness 83.3% agree and 16.7 disagree, from the level of understanding participants answered 66.7% and 33.3% disagreeKeywords: 3D Printing, teacher, Component

Expulsions, a risk factor for school dropout and failure

The present study tries to analyze the variables influencing school dropout and failure, focusing on a specific population with the highest risk, minors expelled from schools. For this, the data collected during five school years (2014-15 to 2018-19) has been taken, through an initial questionnaire carried out in the Civic Association for Prevention (ACP), within the Project for Attention to Minors in Expulsion (PAMEX), to a total of 523 minors. It can be observed in the results obtained the determination of a profile that characterizes these students, mostly boys of the first cycle of secondary education, with similar hobbies and enjoyment of free time, as well as the consumption of addictive substances, highlighting the importance of abuse of energy drinks. This longitudinal study has made it possible to compare these variables over time and how they have been maintained. Future lines of research and intervention are also proposed after the confinement suffered by minors due to COVID-19, focused on mitigating variables such as resilience and engagement.

Psychometric evaluation of the perceived access to health care questionnaire

Background and objective Access to health care is a universal concern. Therefore, this study was conducted to develop a questionnaire to assess the Perceived Access to Health care based on Penchansky and Thomas’s definition of access and the assessment of its psychometric properties. Method The initial questionnaire contains 31 items developed based on a deductive approach with an extensive review of the related literature. Content validity, face validity, construct validity, internal consistency, and instrument reliability were further examined. Data analysis was conducted using SPSS software version 24, R software version 4, and lavaan package. Results The initial questionnaire was examined using qualitative content validity, and the necessary modifications were applied to each item. The content validity ratio (CVR) was approved in 30 items with a value greater than 0.78, and one item with a CVR value lower than 0.78 was removed. In the case of the content validity index (CVI), 29 items were approved with a CVI value of greater than 0.79, and one item with a CVI value between 0.70 and 0.79 was revised. In qualitative face validity, all items were approved by a panel of experts and the participants. All 30 items with an impact score index higher than 1.5 were approved for the next steps. The confirmatory factor analysis results showed that the six-factor model of access to health care has an appropriate fit. Cronbach’s alpha coefficient for the questionnaire was calculated 0.86. The value of Cronbach’s alpha for the dimensions of availability, accessibility, affordability, accommodation, acceptability, and awareness were 0.61, 0.76, 0.66, 0.60, 0.80, and 0.76, respectively. The Intraclass Correlation Index (ICC) value for reliability (test-retest) of the whole instrument was calculated 0.94 using the two-way mixed absolute agreement method. Conclusion The success of health programs depends on eliminating barriers to access to provided health care services. One of the most critical barriers to understanding access is a perception of limited access. This questionnaire might be used further to understand perceived health care access in different global contexts.