Discussions and Replies Session 3

ABSTRAK   Efendi, Syaiful. 2016. Perbedaan Kompetensi Produktif antara Siswa Kelas Industri dengan Kelas Reguler Paket Keahlian Teknik Kendaraan Ringan di SMKN 10 Malang. Skripsi, Jurusan Teknik Mesin, Fakultas Teknik, Universitas Negeri Malang. Pembimbing: (I) Dr. Syarif Suhartadi, M.Pd., (II) Drs. H. Agus Sholah, M.Pd. Kata Kunci: kompetensi produktif, kelas industri, kelas reguler   Tujuan SMK adalah menyiapkan siswa untuk memasuki lapangan kerja dan  mengembangkan sikap profesionalis. Hal ini dapat diwujudkan melalui kerjasama internal dengan membuka kelas kerjasama atau kelas industri pada SMK. SMKN 10 Malang adalah salah satu sekolah yang menerapkan kelas kerjasama dengan pihak Honda di jurusan teknik kendaraan ringan. Kelas tersebut bernama kelas HTEC (Honda Technician Education Class) yang dirilis sejak tanggal 10 Desember 2014. Tujuan dengan adanya kelas HTEC ini mampu meningkatkan kompetensi produktif siswa pada kelas XII agar  mempunyai kompetensi yang baik. Penelitian ini bertujuan untuk mengetahui perbedaan kompetensi produktif antara siswa kelas industri dengan kelas reguler. Desain penelitian ini termasuk dalam desain eksperimen dengan post-test only control design. Variabel dalam penelitian ini terdiri dari variabel bebas dan variabel terikat. Variabel bebas dalam penelitian ini adalah pengelompokkan kelas yang terdiri dari kelas industri dan kelas reguler sedangkan kompetensi produktif merupakan variabel terikat. Subyek penelitian ini adalah siswa kelas XII Teknik Kendaraan Ringan pada kelas industri dan kelas reguler menggunakancluster sampling dan proportional sample sebagai teknik pengambilan sampel penelitian. Teknik analisis data yang digunakan adalah teknik uji t (Independent Sample t-Test). Rata-rata nilai post-test kompetensi produktif siswa kelas industri adalah 83.8 dan rata-rata nilai post-test kompetensi produktif siswa kelas reguler adalah 76.94. Hasil uji t diperoleh nilai sig. (2 tailed

Naar een praktische adaptieve aanpak voor spreekvaardigheidsonderwijs in moderne vreemde talen

A teaching method will only be implemented in the classroom if it is not only of benefit to students but is also practicable for teachers. In this contribution we propose an adaptive teaching method for speaking skills in foreign languages. To make it practicable, we used the Bridging Model which assumes that regular teaching and the new method are shaped around the same lesson segments. By recombination of these segments teachers can adapt the new method to their teaching context. Based on questionnaires and visual representations of lessons, we examined how and with which considerations 13 teachers enacted the method in practice. Furthermore, the practicability was examined using impact analysis. Results show that the teachers succeeded in applying the method in practice and found the adaptive method to be significantly more desirable than their regular teaching. The flexibility of the method could be an ingredient for curriculum reforms in general.Theoretical and Experimental Linguistic

How the data revolution can benefit farmers

Background: Iodine deficiency occurs in West European countries. Iodine is important for brain development of the foetus and infant. The current iodine status of pregnant and lactating Dutch women is unknown. Methods: In a pilot study we examined the iodine status of 36 women. From 20 gestational weeks (GW) until 4 weeks postpartum, they ingested 150 mu g iodine/day in the form of a multivitamin supplement for pregnant and lactating women. Twenty-four hour urine samples were collected at 20 and 36 GW and at 4 weeks postpartum. A breast milk sample was collected at 4 weeks postpartum. Iodine concentrations were analysed by inductively coupled plasma-mass spectrometry. Cut-off values for the urinary iodine concentration (UIC) for pregnant and lactating women are 150 and 100 mu g/l, respectively. Adequate intakes (AI) of iodine for infants aged 0-6 months are 1.1 mu mol/l (Institute of Medicine recommendations) or 0.5 mu mol/l (Nordic Council recommendations). Results: The median UICs (percentages below cut-off) were 102 mu g/l (83%) at 20 GW, 144 mu g/l (56%) at 36 GW and 112 mu g/l (40%) at 4 weeks postpartum. The median breast milk iodine concentration was 1.2 mu mol/l (range 0.5-3.0); 33% and 0% of the infants had estimated iodine intakes below the IOM-AI and Nordic-AI, respectively. Conclusion: This pilot study suggested a high prevalence of iodine deficiency during pregnancy. Daily supplementation of 150 mu g iodine from 20 GW might be insufficient to reach maternal iodine adequacy. The median breast milk iodine concentration seems adequate. Further studies, using a representative sample of the Dutch population, are needed to establish the current Dutch iodine status of pregnant and lactating women

Clinical and self-reported markers of reproductive function in female survivors of childhood Hodgkin lymphoma

Purpose: To evaluate the impact of treatment for Hodgkin lymphoma (HL) on clinical reproductive markers and pregnancy outcomes.Methods: This study was embedded within the DCOG LATER-VEVO study; a Dutch, multicenter, retrospective cohort study between 2004 and 2014. Serum anti-Müllerian hormone (AMH), follicle stimulating hormone (FSH), inhibin B, antral follicle count (AFC), and self-reported (first) pregnancy outcomes were evaluated in female childhood HL survivors and controls.Results: 84 HL survivors and 798 controls were included, aged 29.6 and 32.7 years old at time of assessment. Median age at HL diagnosis was 13.4 years. Cyclophosphamide equivalent dose (CED-score) exceeded 6000 mg/m2 in 56 women and 14 survivors received pelvic irradiation.All clinical markers were significantly deteriorated in survivors (odds-ratio for low AMH (&lt; p10) 10.1 [95% CI 4.9; 20.6]; low AFC (&lt; p10) 4.6 [95% CI 2.1; 9.9]; elevated FSH (&gt; 10 IU/l) 15.3 [95% CI 5.7; 41.1], low Inhibin B (&lt; 20 ng/l) 3.6 [95% CI 1.7; 7.7], p &lt; 0.001). Pregnancy outcomes were comparable between survivors and controls (± 80% live birth, ± 20% miscarriage). However, survivors were significantly younger at first pregnancy (27.0 years vs 29.0 years, P = 0.04). Adjusted odds-ratio for time to pregnancy &gt; 12 months was 2.5 [95% CI 1.1; 5.6] in survivors, p = 0.031. Adverse outcomes were specifically present after treatment with procarbazine and higher CED-score.Conclusion: HL survivors appear to have an impaired ovarian reserve. However, chance to achieve pregnancy seems reassuring at a young age. Additional follow-up studies are needed to assess fertile life span and reproductive potential of HL survivors, in particular for current HL treatments that are hypothesized to be less gonadotoxic.</p

Technique of anterior colporrhaphy: a Dutch evaluation

Contains fulltext : 96395.pdf (publisher's version ) (Closed access)INTRODUCTION AND HYPOTHESIS: To evaluate the variation in techniques of anterior colporrhaphy among members of the Dutch Urogynecologic Society. METHODS: A questionnaire evaluating the technique of anterior colporrhaphy, preoperative and postoperative care, and use of the POP-Q score was sent out by e-mail. RESULTS: One hundred thirty-three completed questionnaires were received. The response rate was 65%. There are large variations in incisions, use of hydrodissection, method of plication, and excision of redundant vaginal epithelium. The urinary catheter was generally removed on day 2 after surgery and the vaginal pack on day 1. Less than half of the respondents used the POP-Q score routinely. CONCLUSIONS: Dutch gynecologists use a variety of surgical techniques to operate on a cystocele. This suggests that there is no widely accepted opinion on the best surgical approach. The lack of differentiation between central and lateral defects is striking and in contrast with the, mostly, American literature

Midline fascial plication under continuous digital transrectal control: which factors determine anatomic outcome?

Contains fulltext : 88897.pdf (publisher's version ) (Closed access)INTRODUCTION AND HYPOTHESIS: The aim of the study was to report anatomic and functional outcome of midline fascial plication under continuous digital transrectal control and to identify predictors of anatomic failure. METHODS: Prospective observational cohort. Anatomic success defined as POP-Q stage or= II underwent midline fascial plication under continuous digital transrectal control. Median follow-up was 14 months (12-35 months), and anatomic success was 80.3% (95% CI 75-86). Independent predictors of failure were posterior compartment POP stage >or= III [OR 8.7 (95% CI 2.7-28.1)] and prior colposuspension [OR 5.6 (95% CI 1.1-27.8)]. Sixty-three percent of patients bothered by obstructed defaecation experienced relief after surgery. CONCLUSIONS: Anatomic and functional outcomes were good. Risk factors for anatomic failure were initial size of posterior POP (stage >or= III) and prior colposuspension.1 juni 201

Tensor based multichannel reconstruction for breast tumours identification from DCE-MRIs

A new methodology based on tensor algebra that uses a higher order singular value decomposition to perform three-dimensional voxel reconstruction from a series of temporal images obtained using dynamic contrast-enhanced magnetic resonance imaging (DCE-MRI) is proposed. Principal component analysis (PCA) is used to robustly extract the spatial and temporal image features and simultaneously de-noise the datasets. Tumour segmentation on enhanced scaled (ES) images performed using a fuzzy C-means (FCM) cluster algorithm is compared with that achieved using the proposed tensorial framework. The proposed algorithm explores the correlations between spatial and temporal features in the tumours. The multi-channel reconstruction enables improved breast tumour identification through enhanced de-noising and improved intensity consistency. The reconstructed tumours have clear and continuous boundaries; furthermore the reconstruction shows better voxel clustering in tumour regions of interest. A more homogenous intensity distribution is also observed, enabling improved image contrast between tumours and background, especially in places where fatty tissue is imaged. The fidelity of reconstruction is further evaluated on the basis of five new qualitative metrics. Results confirm the superiority of the tensorial approach. The proposed reconstruction metrics should also find future applications in the assessment of other reconstruction algorithms