Evaluation of Anticipatory Postural Adjustment before Quantified Weight Shifting—System Development and Reliability Test

Anticipatory postural adjustment (APA) existed before a self-induced perturbation is an important motor control skill for balance and gait initiation, but cannot be easily monitored. During proactive balance test, a self-initiated weight shifting is produced. This might be an optimal paradigm for APA measurement. The purpose of this study was to investigate if APAs existed in the proactive balance test which consists of quantifiable weight shifting. The feature and reliability of the APAs were also evaluated. We firstly built a proactive balance test program on the commercially available Wii balance board. The program could generate adjustable target direction and distance for guiding subjects performing quantifiable weight shifting. The center of pressure (COP) was recorded and analyzed for balance-related variables (path length, path time, and direction error) and APA-related variables (APA time, APA distance, and APA correction). The results showed that APAs could be detected in every testing trial. Adequate to good reliability in both balance and APA-related variables were found. This study proved the feasibility of quantifying APA during proactive balance tests and its feasibility for clinical- and home-based measurements.

DEVELOPING LEARNING MEDIA WITH ADOBE FLASH IN THE SUBJECT OF COMMUNICATION IN NETWORK FOR X GRADE OF VOCATIONAL HIGH SCHOOL

Learning with computer media that has not been multi-direction and lack of activeness of students makes learning less effective. Therefore, this study aims to develop learning media using Adobe Flash CS6, design and implement the development of instructional media on the subject of Communication in the Network, and test the feasibility of learning media. This research is a development research (R&D) with ADDIE model. The results of alpha testing, the assessment of material experts is in the very good category with an average score of 4.28. The assessment of media experts is in a very good category with an average score of 4.86. The results of the beta testing trial, the trial with the teacher, show a very good category with an average score of 5. Trials with students got a very good category with an average score of 4.25

Evaluating Winter Barley Cultivar Using Data Envelopment Analysis Models

Unlike feed barley, malting barley must meet a specific set of quality standards for acceptability by maltsters. Multiple quality criteria in addition to the grain yield makes ranking of genotypes challenging. The objective of this study was to apply data envelopment analysis (DEA) models to rank the efficiencies of 27 winter barley entries based on grain yield and quality indices. Four methods of DEA including Charnes, Cooper and Rhodes (CCR), Färe and Grosskopf (FG), Banker, Charnes and Cooper (BCC), and Seiford and Thrall (ST) used for the ranking. Testing trial included 14 two-rows and 13 six-rows winter barley. All entries except two, demonstrated high winter survival ratings. Overall, the six-row cultivars out-yielded the two-row cultivars by 18%. However, in terms of brewing quality, the two-row entries performed better than six-row entries and had 40% lower thinness, 12% higher plump, and lower grain protein content. The six-row entries had 32% higher germinative energy than two-row entries. The ranking by four models were not similar, however, SU-Mateo and Calypso had the highest efficiency (1.0) by all four models followed by Wintmalt and Vincenta.

The Application of Quantum Learning Interactive Multimedia Assisted Learning Model towards the Student’s Learning Outcomes in Animalia Material

Observation was done to biology teachers and students in MAN 2 Semarang, so that students have not experienced difficulty of learning the Animalia material. The less of media and facilities make students' motivation low, so it impacts on learning outcomes. The classical completeness average of daily tests on the material value of invertebrates is less than 60% with a minimum completeness criteria (KKM) is 75. The model can be used in providing an understanding of Animalia matter is learning Quantum Learning. The Quantum Learning is learning to use a syntax TANDUR (Tandur/Grow, Alami/Natural, Namai/ Name, Demonstrasikan/Demonstrate, Ulangi/Repeat, Rayakan/Celebrate). The research was conducted in MAN 2 Semarang with the research method used Pre-Eperimental, One Shot Case Study. The research design used in this research is quantitative 1q. The research steps include making proposals and instruments, testing trial and feasibility, instrument validation, application of learning method and end data processing. The results are cognitive and psychomotor learning outcomes. The cognitive learning outcomes showed the classical completeness of experimental class 95% and 90%, the average value of class X IPA 1 85 and 80. Psychomotor learning outcomes showed the experimental class average 82 and 81 with good criteria. Based on the data obtained indicates that the method applied is effective to maximize the learning outcomes. The learning outcome is effective when classical learning completeness reached ≥75% of the total and ≥75% for psychomotor aspect. Therefore, according to the results of this study, it can be concluded that the application of Quantum Learning- assisted Interactive Multimedia learning model towards student’s learning outcomes in Animalia material on SMA / MA and teachers give a positive response to the applied learning. Further, it can be imlied that Quantum Learning-assisted interactive multimedia learning model effect on student learning outcomes.

Structural Pluralism for Medicine and Religion

A spirituality of immanence has privatized other spiritual traditions in the practice of medicine. This creates social structures that make it increasingly difficult for patients to receive spiritual care from within their own spiritual traditions. Structural pluralism identifies and challenges the hegemony of immanence by imagining an alternative way to practice medicine. This form of pluralism argues for an intermediate space for communal traditions to hold structural space within the deep practices of medicine, thus upholding the tradition-dependent nature of spirituality and spiritual care, maintaining that spirituality in medicine must protect religious freedom against all forms of spiritual coercion, and identifying an incremental and scientific manner to move from the structures of immanence to pluralism. This proposal calls for a gradual unfolding through scientific testing, trial, and public evaluation toward the common good to enhance spiritual care for patients facing serious illness without imposing religion on patients or clinicians.

Immediate Rule-Out of Acute Myocardial Infarction Using Electrocardiogram and Baseline High-Sensitivity Troponin I

AIMS Serial measurements of high-sensitivity troponin are used to rule out acute myocardial infarction (AMI) with an assay specific cutoff at the 99th percentile. Here, we evaluated the performance of a single admission troponin with a lower cutoff combined with a low risk electrocardiogram (ECG) to rule out AMI. METHODS Troponin I measured with a high-sensitivity assay (hs-TnI) was determined at admission in 1040 patients presenting with suspected AMI (BACC study). To rule out AMI we calculated the negative predictive value (NPV) utilizing the optimal hs-TnI cutoff combined with a low risk ECG. The results were validated in 3566 patients with suspected AMI [2-h Accelerated Diagnostic Protocol to Assess Patients With Chest Pain Symptoms Using Contemporary Troponins as the Only Biomarker (ADAPT) studies]. Patients were followed for 6 or 12 months. RESULTS 184 of all patients were diagnosed with AMI. An hs-TnI cutoff of 3 ng/L resulted in a NPV of 99.3% (CI 97.3–100.0), ruling out 35% of all non-AMI patients. Adding the information of a low risk ECG resulted in a 100% (CI 97.5–100.0) NPV (28% ruled out). The 2 validation cohorts replicated the high NPV of this approach. The follow-up mortality in the ruled out population was low (0 deaths in BACC and Stenocardia, 1 death in ADAPT). CONCLUSIONS A single hs-TnI measurement on admission combined with a low risk ECG appears to rule out AMI safely without need for serial troponin testing. Trial Registration: www.clinicaltrials.gov (NCT02355457).