EFEKTIFITAS PENDEKATAN PEMBELAJARAN STEM BERBANTU MODEL PEMBELAJARAN CREATIVE PROBLEM SOLVING DALAM MENINGKATKAN KEMAMPUAN BERPIKIR KREATIF PESERTA DIDIK

EFEKTIFITAS PENDEKATAN PEMBELAJARAN STEM BERBANTU MODEL PEMBELAJARAN CREATIVE PROBLEM SOLVING DALAM MENINGKATKAN KEMAMPUAN BERPIKIR KREATIF PESERTA DIDIK Oleh: Prana Adha Kemampuan berpikir kreatif yang merupakan salah satu kemampuan paling dibutuhkan di abad 21, merupakan kemampuan yang dapat dilatihkan melalui pembelajaran. Oleh karenanya, penting bagi pendiidik untuk menerapkan pembelajaran yang dapat mengembangkan potensi kemampuan berpikir keatif siswa. Quasy Experiment ini hadir untuk mengetahui efektiitas pembelajaran STEM (Science, Technology, Engeneering, and Mathematics) berbantu CPS (Creative Problem Solving) untuk meningkatkan kemampuan berpikir kreati peserta didik. Dengan teknik pengambilan sampel Purposive Sampling, diplih 32 peserta didik sebagai subjek penelitian dari kelas eksperimen, dan 34 peserta didik sebagai kelas kontrol. Teknik pengambilan data dengan menggunakan tes kemampuan berpikir kreatif yang mengadopsi indikator berpikir kreatif trefffinger. Berdasarkan hasil uji effect size, didapatkan nilai effect size sebesar 0,69 dengan kategori tinggi. Sehingga dapat disimpulkan bahwa kombinasi pendekatan STEM dan model CPS memiliki efektifitas tinggi dalam meningkatkan kemampuan berpikir kreatif siswa Kata kunci : BerpikirKreatif, Creative Problem Solving, STE

Appropriateness of antiplatelet therapy for primary and secondary cardio- and cerebrovascular prevention in acutely hospitalized older people

Aims: Antiplatelet therapy is recommended for the secondary prevention of cardio- and cerebrovascular disease, but for primary prevention it is advised only in patients at very high risk. With this background, this study aims to assess the appropriateness of antiplatelet therapy in acutely hospitalized older people according to their risk profile. Methods: Data were obtained from the REPOSI register held in Italian and Spanish internal medicine and geriatric wards in 2012 and 2014. Hospitalized patients aged 6565 assessable at discharge were selected. Appropriateness of the antiplatelet therapy was evaluated according to their primary or secondary cardiovascular prevention profiles. Results: Of 2535 enrolled patients, 2199 were assessable at discharge. Overall 959 (43.6%, 95% CI 41.5\u201345.7) were prescribed an antiplatelet drug, aspirin being the most frequently chosen. Among patients prescribed for primary prevention, just over half were inappropriately prescribed (52.1%), being mainly overprescribed (155/209 patients, 74.2%). On the other hand, there was also a high rate of inappropriate underprescription in the context of secondary prevention (222/726 patients, 30.6%, 95% CI 27.3\u201334.0%). Conclusions: This study carried out in acutely hospitalized older people shows a high degree of inappropriate prescription among patients prescribed with antiplatelets for primary prevention, mainly due to overprescription. Further, a large proportion of patients who had had overt cardio- or cerebrovascular disease were underprescribed, in spite of the established benefits of antiplatelet drugs in the context of secondary prevention