Case-based learning (CBL) is a newer modality of teaching healthcare, combining medical theory and practices. Many researchs reported effectivity of CBL to improve student-centered learning. The aim of this study is to evaluate how CBL improved students' clinical reasoning compared with other method such as problem-based learning. An interventional research involved 4th grade medical students receiving PBL and CBL methods supervised by a tutor or instructure. An alternative method combining CBL and structured role play (in an Integrated-Patient Management method) also performed using clinical scenario with medical practice setting. The result showed that student received CBL had better clinical reasoning indicated from better miniquizz result compared with PBL students (p < 0,05, Mann Whitney U test. Students exposed with CBL had final MCQ and essay exam grade compared with unexposed students. Students exposed with CBL also had better clinical skill indicated from Objective Structure Clinical Examination (OSCE) result (p < 0,05, independent t test). Students' acceptance level on CBL method is 79, 4%. It is concluded that compared with PBL, CBL is more effective in improved students' performance, learning outcomes and clinical reasoning and also had high acceptance among medical students.
Aedes aegypti is a vector of many arboviruses. Information of the breeding site of this vector is important for preventing many diseases and for design intervention programs. This study was to determine the breeding place of Ae. aegypti, type of water-holding container and susceptibility for organophosphate insecticide in Banguntapan village. Design of this research was cross-sectional study that located in Banguntapan village from November 2016 until January 2017 on 400 houses. All water holding container that present in and around houses were inspected for the presence of Ae. aegypti with single larvae method. Susceptibility test using bioassay and biochemist test was applied on F1 generation larvae. Risk indicator of the entomological survey was the free larvae index (FLI), house index, container index and breteau index. A total 696 container were inspected, of which 149 containers were positive Ae. aegypti, with FLI 73%, HI 27%, BI of 33%, CI 18.14% and PI of 17.5%. The most common breeding habitats for larvae were bathtub, bucket, plant’s pot, birds drinking pot. Susceptibility status to temephos was susceptible, whiles for organophosphate insecticide was medium resistance. Banguntapan village was a high potential for arbovirus transmission and bathtub is the most potential breeding place for Ae. aegypti mosquitoes.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.