The Influence of Make A Match Learning Model on Student Achiement in Class IV SDN Puspajaya Material of Style Benefits in Daily Life

Science learning is the science of natural phenomena in the form of facts generated based on field observations including science. In natural science learning there are several obstacles, namely the low learning achievement of students, in the learning process in the classroom still using conventional learning models only with lectures and centered on textbooks only, there is no group discussion students tend to be passive and the teacher becomes the center of the learning process, so that students in science learning in the classroom feels boring and less challenging so students are less active in class. Based on the problem of difficulties in the learning process, the application of the make a match learning model is expected to be able to improve student achievement in the material benefits of style in everyday life of class IV SDN Puspajaya. The study uses quantitative research methods with experimental research methods using quasi-external design with nonequivalent control group design. The study was conducted at SDN Puspajaya with a population of twenty students by using a saturated sample that divides students into two classes, namely the control class of ten students and the experimental class of ten students. Data collection techniques were performed using pretest and posttest tests and the data were analyzed using SPSS version 23

Primary Care Providers' Views of Recent Trends in Health Care Delivery and Payment:Findings from the Commonwealth Fund/Kaiser Family Foundation 2015 National Survey of Primary Care Providers

A new survey from The Commonwealth Fund and The Kaiser Family Foundation asked primary care providers—physicians, nurse practitioners, and physician assistants—about their experiences with and reactions to recent changes in health care delivery and payment. Providers' views are generally positive regarding the impact of health information technology on quality of care, but they are more divided on the increased use of medical homes and accountable care organizations. Overall, providers are more negative about the increased reliance on quality metrics to assess their performance and about financial penalties. Many physicians expressed frustration with the speed and administrative burden of Medicaid and Medicare payments. An earlier brief focused on providers' experiences under the ACA's coverage expansions and their opinions about the law

Peran Pendidikan Kewarganegaraan dalam Menumbuhkan Kedisiplinan Norma Siswa Sekolah Dasar

ABSTRACT The purpose of this study was to determine the role of civic education in fostering discipline norms of elementary school students. With education, it will arise in a person to compete and motivate ourselves to be better in all aspects of life. This study uses a qualitative method approach. The results showed that civic education teaches students about values, norms and morals. By practicing values, norms and morals, it will create a disciplined character in students. The existence of discipline makes the educational process that takes place at school will go well, because students do not violate school rules. The conclusion of this study is that the discipline of norms in elementary school students is really needed, because the discipline of norms is included in the formation of character in children. Keywords: Citizenship Education, Discipline, Student Norms. &nbsp

Experiences and Attitudes of Primary Care Providers Under the First Year of ACA Coverage Expansion: Findings from the Kaiser Family Foundation/Commonwealth Fund 2015 National Survey of Primary Care Providers

A new survey from The Kaiser Family Foundation and The Commonwealth Fund asked primary care providers—physicians, nurse practitioners, and physician assistants—about their views of and experiences with the Affordable Care Act (ACA) and other changes in health care delivery and payment, as well as their thoughts on the future of primary care. In this first brief based on the survey, many providers reported seeing an increased number of patients since the coverage expansions went into effect, but not an accompanying compromise in quality of care. A large majority of primary care providers are satisfied with their medical practice, but a substantial percentage of physicians expressed pessimism about the future of primary care. Similar to the population overall, providers' views of the ACA are divided along party lines. A second brief will report on providers' reactions to other changes occurring in primary care delivery and payment

Development of a Multilevel Intervention to Increase Colorectal Cancer Screening in Appalachia

Background Colorectal cancer (CRC) screening rates are lower in Appalachian regions of the United States than in non-Appalachian regions. Given the availability of various screening modalities, there is critical need for culturally relevant interventions addressing multiple socioecological levels to reduce the regional CRC burden. In this report, we describe the development and baseline findings from year 1 of “Accelerating Colorectal Cancer Screening through Implementation Science (ACCSIS) in Appalachia,” a 5-year, National Cancer Institute Cancer MoonshotSM-funded multilevel intervention (MLI) project to increase screening in Appalachian Kentucky and Ohio primary care clinics. Methods Project development was theory-driven and included the establishment of both an external Scientific Advisory Board and a Community Advisory Board to provide guidance in conducting formative activities in two Appalachian counties: one in Kentucky and one in Ohio. Activities included identifying and describing the study communities and primary care clinics, selecting appropriate evidence-based interventions (EBIs), and conducting a pilot test of MLI strategies addressing patient, provider, clinic, and community needs. Results Key informant interviews identified multiple barriers to CRC screening, including fear of screening, test results, and financial concerns (patient level); lack of time and competing priorities (provider level); lack of reminder or tracking systems and staff burden (clinic level); and cultural issues, societal norms, and transportation (community level). With this information, investigators then offered clinics a menu of EBIs and strategies to address barriers at each level. Clinics selected individually tailored MLIs, including improvement of patient education materials, provision of provider education (resulting in increased knowledge, p = .003), enhancement of electronic health record (EHR) systems and development of clinic screening protocols, and implementation of community CRC awareness events, all of which promoted stool-based screening (i.e., FIT or FIT-DNA). Variability among clinics, including differences in EHR systems, was the most salient barrier to EBI implementation, particularly in terms of tracking follow-up of positive screening results, whereas the development of clinic-wide screening protocols was found to promote fidelity to EBI components. Conclusions Lessons learned from year 1 included increased recognition of variability among the clinics and how they function, appreciation for clinic staff and provider workload, and development of strategies to utilize EHR systems. These findings necessitated a modification of study design for subsequent years. Trial registration Trial NCT04427527 is registered at https://clinicaltrials.gov and was registered on June 11, 2020

Association of Inflammatory and Oxidative Status Markers with Metabolic Syndrome and Its Components in 40-to-45-Year-Old Females: A Cross-Sectional Study

Oxidative stress and sterile inflammation play roles in the induction and maintenance of metabolic syndrome (MetS). This study cohort included 170 females aged 40 to 45 years who were categorized according to the presentation of MetS components (e.g., central obesity, insulin resistance, atherogenic dyslipidemia, and elevated systolic blood pressure) as controls not presenting a single component (n = 43), those with pre-MetS displaying one to two components (n = 70), and females manifesting MetS, e.g., ≥3 components (n = 53). We analyzed the trends of seventeen oxidative and nine inflammatory status markers across three clinical categories. A multivariate regression of selected oxidative status and inflammatory markers on the components of MetS was performed. Markers of oxidative damage (malondialdehyde and advanced-glycation-end-products-associated fluorescence of plasma) were similar across the groups. Healthy controls displayed lower uricemia and higher bilirubinemia than females with MetS; and lower leukocyte counts, concentrations of C-reactive protein, interleukine-6, and higher levels of carotenoids/lipids and soluble receptors for advanced glycation end-products than those with pre-MetS and MetS. In multivariate regression models, levels of C-reactive protein, uric acid, and interleukine-6 were consistently associated with MetS components, although the impacts of single markers differed. Our data suggest that a proinflammatory imbalance precedes the manifestation of MetS, while an imbalance of oxidative status accompanies overt MetS. Further studies are needed to elucidate whether determining markers beyond traditional ones could help improve the prognosis of subjects at an early stage of MetS

Thermodynamic and dynamic contributions to seasonal Arctic sea ice thickness distributions from airborne observations

Sea ice thickness is a key parameter in the polar climate and ecosystem. Thermodynamic and dynamic processes alter the sea ice thickness. The Multidisciplinary drifting Observatory for the Study of Arctic Climate (MOSAiC) expedition provided a unique opportunity to study seasonal sea ice thickness changes of the same sea ice. We analyzed 11 large-scale (∼50 km) airborne electromagnetic sea thickness and surface roughness surveys from October 2019 to September 2020. Data from ice mass balance and position buoys provided additional information. We found that thermodynamic growth and decay dominated the seasonal cycle with a total mean sea ice thickness increase of 1.4 m (October 2019 to June 2020) and decay of 1.2 m (June 2020 to September 2020). Ice dynamics and deformation-related processes, such as thin ice formation in leads and subsequent ridging, broadened the ice thickness distribution and contributed 30% to the increase in mean thickness. These processes caused a 1-month delay between maximum thermodynamic sea ice thickness and maximum mean ice thickness. The airborne EM measurements bridged the scales from local floe-scale measurements to Arctic-wide satellite observations and model grid cells. The spatial differences in mean sea ice thickness between the Central Observatory (<10 km) of MOSAiC and the Distributed Network (<50 km) were negligible in fall and only 0.2 m in late winter, but the relative abundance of thin and thick ice varied. One unexpected outcome was the large dynamic thickening in a regime where divergence prevailed on average in the western Nansen Basin in spring. We suggest that the large dynamic thickening was due to the mobile, unconsolidated sea ice pack and periodic, sub-daily motion. We demonstrate that this Lagrangian sea ice thickness data set is well suited for validating the existing redistribution theory in sea ice models. Our comprehensive description of seasonal changes of the sea ice thickness distribution is valuable for interpreting MOSAiC time series across disciplines and can be used as a reference to advance sea ice thickness modeling

The global response to the COVID-19 pandemic: how have immunology societies contributed?

The COVID-19 pandemic is shining a spotlight on the field of immunology like never before. To appreciate the diverse ways in which immunologists have contributed, Nature Reviews Immunology invited the president of the International Union of Immunological Societies and the presidents of 15 other national immunology societies to discuss how they and their members responded following the emergence of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2).</p