Salud, Ciencia y Tecnología (Journal)
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Digital Technology Innovation in TVET: Rifdarmon-Based E-Learning Model Enhancing Learning Outcomes and 4C Skills
Get PDFAutomotive Electrical Electronics courses require effective learning models that can develop both technical knowledge and 21st-century skills. E-learning approaches offer potential solutions to enhance educational outcomes in this field. This study examined the effectiveness of the Rifdarmon-Based E-Learning Model in improving learning outcomes and 4C skills (creativity, critical thinking, collaboration, and communication) in an Automotive Electrical Electronics course at Universitas Negeri Padang\u27s Automotive Engineering Department. The research employed an experimental design comparing an experimental group using the Rifdarmon-Based E-Learning Model with a control group using conventional learning methods. Pre-tests and post-tests were conducted to measure learning outcomes, while specialized assessments evaluated 4C skills development. The experimental group showed significant improvements in learning outcomes, with pre-test scores increasing from 69.1 to 87.2 in post-test, compared to the control group\u27s increase from 64.9 to 84.4. The 4C skills assessment revealed higher scores in the experimental group (86.6) versus the control group (74.95). Statistical analyses confirmed the model\u27s effectiveness with a large effect size (point estimate -2.511) and significant multivariate test results (F=29.356, p<0.001). The Rifdarmon-Based E-Learning Model proved effective in enhancing both learning outcomes and 4C skills development in Automotive Electrical Electronics education. The integration of e-learning with the Rifdarmon model demonstrated significant improvements in students\u27 academic performance and complex skill development compared to conventional learning methods
Nonmaleficence. monitoring renal function in critically ill patients
Get PDFIntroduction: This case report examines the breach of the non-maleficence principle in monitoring renal function in a critically ill patient, highlighting the importance of accurate clinical documentation and effective communication in the intensive care setting. Case Presentation: The case describes the clinical course of a 48-year-old male with a history of hypertension who underwent a radical nephrectomy due to a large renal tumor. During transport to the ICU, the patient suffered two episodes of acute myocardial infarction, which necessitated the induction of a pharmacologic coma, intubation, and mechanical ventilation. Initial examinations indicated preserved renal function in the remaining kidney; however, errors in recording urine output—attributed to inadequate supervision of trainee staff—led to the erroneous administration of diuretics. This intervention resulted in significant glomerular damage, acute glomerulonephritis, and eventually renal failure requiring hemodialysis, culminating in the development of metastatic renal carcinoma and the patient’s subsequent death. Discussion: This case illustrates how the failure to verify critical data and inadequate communication during shift changes can trigger severe iatrogenic errors. It underscores the importance of adhering to strict protocols and fundamental bioethical principles, such as non-maleficence, to prevent complications that compromise patient safety. The experience highlights the need for double-check systems and a safety culture that promotes continuous improvement in clinical care. Conclusion: This case report emphasizes the urgent need for precise and coordinated monitoring in the ICU. Rigorous verification of clinical information, along with effective communication and ethical training of nursing staff, is essential to prevent interventions that may cause harm and worsen the patient’s prognosis.
Self-Regulation and Communication Skills in Biology Enthusiast Students: A Gender Study
Get PDFIntroduction: This research investigated the influence of gender on self-regulation and communication skills in 11th-grade Biology students. Effective self-regulation and communication are crucial for academic success and personal development, making this investigation vital for informing targeted educational strategies.Methods: A concurrent embedded mixed methods approach was utilized in this study. Data were collected from 104 11th-grade Biology students at SMAN 3 Singaraja and three Biology teachers. Quantitative data on self-regulation and communication skills were gathered via a Google Form questionnaire and analyzed using descriptive and inferential statistics (Mann-Whitney U test). Qualitative data, comprising teachers\u27 perspectives, were analyzed using qualitative descriptive analysis.Results: Analysis revealed: (1) No significant gender difference in overall self-regulation, except for self-observation and self-reaction; and (2) Significant gender differences in communication skills, excluding assertive communication.Conclusions: These findings highlight the nuanced relationship between gender and these skills. While overall self-regulation showed no significant gender disparity, specific indicators and communication skills exhibited gender-based differences. Future research should focus on developing gender-sensitive learning models to enhance self-regulation and communication skills in Biology students
Thermal Breast Cancer Detection Using Deep Learning and Grad-CAM Visualization
Get PDFThis paper presents a robust deep learning framework for thermal breast cancer detection using grayscale thermal images. Leveraging a pre-trained VGG16 model, we classify images into \u27normal\u27 and \u27abnormal\u27 categories, integrating data augmentation techniques to improve model generalization. Grad-CAM visualization elucidates the regions influencing predictions, aiding interpretability. Testing on the DMR-IR dataset yielded a remarkable AUC-ROC score of 0.97 and accuracy exceeding 94%. These findings underscore the potential of thermal imaging and deep learning in non-invasive cancer screening, bridging diagnostic accuracy with interpretability for clinical application
The Relationship Between Women\u27s Empowerment and Demographic Characteristics with the Desire to Have Children in Indonesia
Get PDFIntroduction The desire to have children is a key determinant of women\u27s fertility behavior, inherently linked to their role in childbirth. However, women\u27s empowerment in Indonesia remains low due to a persistent patriarchal culture limiting their decision-making autonomy. Men hold greater authority in decisions, including childbearing. The desire to have children is also influenced by demographic factors like age, education level, and place of residence. This study aims to examine the relationship between women\u27s empowerment and demographic characteristics in relation to the desire to have children among Indonesian women of reproductive age (15-49 years).Methods This study used secondary data from the 2017 Indonesian Demographic and Health Survey (IDHS) with a cross-sectional design. Univariate analysis, Chi-square tests, and multivariate logistic regression examined the relationship between women\u27s empowerment, demographic characteristics, and the desire to have children, using STATA version 15.Result The findings indicate that several factors are significantly associated with the desire to have children. Women aged 40-49 years [AOR=37.48, 95% CI=32.20-43.62], unemployed status [AOR=1.12, 95% CI=1.05-1.20], the highest household wealth index [AOR=1.33, 95% CI=1.17-1.53], history of primary school education [AOR: 1.34, 95% CI=1.02-1.76], Women who agree with their attitude towards wife beating [AOR=0.90, 95% CI=0.83-0.6], the wife has the right to refuse sex with her husband [AOR=1.10, 95% CI=1.03-1.18] significantly related to the desire to have children.Conclusion The desire to have children is influenced by both women\u27s empowerment and demographic characteristics. Strengthening women\u27s empowerment is crucial for fostering more equitable decision-making within families
Influence Of Immediate Dentin Sealing On The Durability And Efficiency Of Dentin Bonding: An Evidence-Based Study
Get PDFAdvances in bonding agents for enamel and dentin have revolutionized dentistry in the last decade, achieving stronger and more durable bonds. Currently, adhesive systems are classified into two main techniques: total etch and self-etch, favoring less invasive and more predictable procedures compared to conventional restorations. This research analyzes the influence of immediate dentin sealing on dentin adhesive strength by means of a literature review, using a qualitative-quantitative, descriptive methodology based on documentary analysis. The results show that the adhesive material plays a key role in the preservation of restorations, concluding that immediate dentin sealing significantly improves adhesion and, therefore, the effectiveness of dental treatment
Early Versus Delayed Surgical Repair in Neonates with Esophageal Atresia: A Systematic Review of Long-Term Survival and Complications
Get PDFThis systematic review is aimed to explore long-term survival and complications associated with early versus delayed surgical repair in neonates with long-gap esophageal atresia (LGEA).Through analysis of studies published from 2012-2025 was conducted and we collected data from 7 papers, with long-term follow-up, up to one year. Delayed primary anastomosis (DPA) was most frequently employed intervention with mean repair timing of 11.9 weeks. Results indicate that over 90% of patients achieved functional esophageal continuity with the majority able to eat without swallowing difficulties. Gastroesophageal reflux (GER) was prevalent complication which was affecting 30%–40.8% of cases with strictures occurring in 53.7%–60% of patients and statistically significant association with anastomotic leaks (p < 0.0001). Dysphagia was also linked to GER (p = 0.0174) and need long-term monitoring and management. Early surgical repair while reducing the duration of preoperative interventions, demonstrated a higher incidence of anastomotic leaks (22.7%–30%) and strictures increasing need for subsequent dilations or surgical revisions. All the evidences that we reported find delayed repair as a feasible approach with favorable long-term outcomes like high esophageal preservation rates and reduced early postoperative complications. Patient selection and institutional expertise play critical roles in optimizing surgical outcomes and study limitations include heterogeneity in study designs or large variations of follow-up durations and outcome definitions. Further prospective studies can establish standardized treatment protocols which can minimize complications which are associated with both early and delayed approaches.
Women Recruitment in Winning Party 2019 Election for DPR RI Seats; PDIP Case Study
Get PDFOnly 26 women or 20,15 % of the total 129 seats in the Indonesian House of Representatives were obtained by the Indonesian Democratic Party of Struggle (PDIP), indicating that PDIP is not yet serious about recruiting women in the 2019 election. In fact, PDIP is the winning party in the 2019 election and its general chair, Megawati Soekarno Putri, is a woman who holds the prerogative in her party who determines the attitude and policies in each nomination of DPR members. This is the purpose of this study, namely to find out why PDIP has not been able to present 30% of women in the DPR RI in the 2019 election and how the nomination of women in PDIP for DPR RI seats has still not been able to realize women\u27s representation in the DPR RI as a result of the 2019 election. Using the perspective of Pippa Norris\u27 political recruitment theory and qualitative methods with data from interviews, documents and literature reviews, this study found that there were the most prominent internal party reasons, namely Megawati as the center and top of the selector implementing an elite nomination recruitment strategy based on considerations of personal loyalty and party loyalty requirements that are identical to Soekarno\u27s political teachings, in addition to still requiring political capital, especially networks and financial capabilities, as well as motivation requirements, especially women who come from the nuclear family of loyal party cadres. With these requirements, women recruited by PDIP are still limited
Developing and Assessing the Impact of an Integrated STEM Project-Based Learning Model in Vocational Education for Enhanced Competence and Employability
Get PDFThe increasing demand for skilled professionals in technical fields such as Industrial Automation Engineering necessitates the implementation of effective teaching methods in vocational education. This study aims to evaluate the effectiveness of an Integrated STEM (Science, Technology, Engineering, and Mathematics) Project-Based Learning (PBL) model in enhancing students’ competence and employability at SMK Negeri 1 Pariaman. Employing a quasi-experimental Nonequivalent Control Group Design, the research involved 60 students divided equally into an experimental group and a control group. The experimental group received instruction through the integrated STEM-PBL approach, while the control group followed conventional teaching methods. Data were collected using pre- and post-tests, as well as qualitative surveys and interviews, to assess students’ academic performance, learning engagement, and perceptions of the educational experience. The findings revealed that students exposed to the STEM-PBL model showed significant improvements in both theoretical knowledge and practical skills, outperforming those in the control group. Additionally, qualitative data indicated that the STEM-PBL approach fostered greater student engagement, motivation, and the development of critical 21st-century skills, such as critical thinking, problem-solving, and teamwork, which are essential for success in the industrial workforce. The study concludes that integrating STEM principles with project-based learning substantially enhances vocational students’ readiness for employment by providing both cognitive and non-cognitive competencies. It recommends broader implementation of this model within vocational institutions. Future research is encouraged to explore the integration of emerging technologies to further strengthen the impact of project-based learning in technical and vocational education settings
"Scale for Assessing Care Needs in Dependent Persons Based on Virginia Henderson\u27s Theory"
Get PDFIntroduction: Nursing care has evolved into a scientific discipline that requires the application of theoretical frameworks to guide professional practice. Virginia Henderson’s theory of the 14 basic human needs stands out for offering a comprehensive and humanized approach to care. However, its application in clinical training poses challenges due to the lack of objective evaluation tools. In this context, a scale was developed to assess nursing students\u27 competence in applying Henderson’s model to dependent patients. Objective: To design and validate an instrument that evaluates nursing students\u27 competence in identifying, assessing, and addressing the 14 fundamental human needs in dependent individuals, according to Virginia Henderson’s theoretical model. Methodology: A quantitative, descriptive, and instrumental study. The instrument was validated in two phases: expert judgment (three PhD nurses) to assess content validity, and a pilot application with 72 sixth-semester nursing students to evaluate internal consistency using Cronbach’s alpha coefficient. A Likert-type scale was used to measure perceived competence in each of Henderson’s 14 needs. (ENCH-56: Henderson Care Needs Scale) Results: The scale showed excellent reliability (α = 0.97), indicating high internal consistency. Item means ranged from 2.54 to 3.38, with generally low standard deviations, reflecting a medium-to-high perceived competence among students. Items related to the use of dependency scales and clinical documentation showed higher dispersion, indicating areas for improvement in training. Discussion: The validated instrument is psychometrically robust and conceptually aligned with Henderson’s theory. Its application enables the identification of strengths and weaknesses in clinical training, promotes critical thinking, and strengthens the theory-practice link. Additionally, it suggests pedagogical opportunities to improve nursing education. Conclusions: The scale is a useful tool for formative evaluation of clinical competencies based on the Henderson model. Its implementation will help strengthen educational quality and person-centered nursing care, grounded in ethical and scientific principles