Hypertension is a high-risk factor for cardiovascular diseases and its prevalence rate is increasing due to risk factors such as unhealthy lifestyles and aging populations. Managing hypertension is crucial to avoid complications such as stroke, heart failure, and kidney failure. In Northern Cyprus, where hypertension is a growing public health concern, pharmacists are increasingly recognized as key players in managing this ongoing condition. This study investigates the impact of pharmacists in controlling hypertension in Northern Cyprus through a survey-based observational approach. Data were collected from 70 hypertension patients engaging with community pharmacists. The results highlight pharmacists’ contributions to patient education, blood pressure monitoring, and medication adherence. Relevant studies in other countries contextualize the findings about the importance of the pharmacist role. An analysis of the data confirms significant improvements in patient outcomes with pharmacist interventions. The survey results provide insights suggesting that overcoming systemic barriers and strengthening collaboration can optimize pharmacists' roles in managing hypertension in Northern Cyprus.
Mediterranean journal of pharmacy and pharmaceutical sciences
The inculcation of Islamic religious values ??is an effort to shape the character of students to achieve a degree as a human being who is in accordance with norms, culture and religion. This research describes the process of internalization and the method of cultivating Islamic religious values ??in an unusual situation, namely in the era of the Covid-19 pandemic. In this study, researchers used a qualitative approach, a type of case study with interview and observation data collection techniques. The results of this study indicate that the implementation of student learning in a pandemic situation is carried out in two ways, namely (1) online and (2) offline. The values ??instilled in students include (a) worship, (b) faith and (c) morals. Meanwhile, the methods used by teachers in the process of inculcating Islamic religious values ??during the pandemic were practice methods, guidance methods, and memorization methods. Penanaman nilai-nilai agama Islam merupakan sebuah upaya dalam membentuk karakter siswa untuk mencapai derajat sebagai manusia yang sesuai norma, budaya serta agama. penelitian ini mendeskripsikan proses internalisasi hingga metode penanaman nilai-nilai agama Islam di situasi yang tidak biasa yakni di era pandemi covid-19. Dalam penelitian ini, peneliti menggunakan pendekatan kualitatif, jenis studi kasus dengan teknik pengumpulan data wawancara dan observasi. Hasil dari penelitian ini menunjukkan bahwa pelaksanaan pembelajaran siswa dalam situasi pandemi dilakukan dengan dua cara yakni (1) daring dan (2) luring. Nilai-nilai yang ditanamkan kepada siswa meliputi (a) ibadah, (b) keimanan dan (c) akhlak. Sedangkan metode-metode yang digunakan guru dalam proses penanaman nilai-nilai agama Islam selama pandemi adalah metode praktik, metode bimbingan, dan metode hafalan.
Background: COVID-19-positive patients are at increased risk of adverse clinical outcomes, with type 2 diabetes cohorts at substantially higher risk compared to the general population. The additional role of diabetic and non-diabetic polypharmacy in these patients' clinical course has remained unexamined. In this study we have comprehensively examined the role of polypharmacy in the determination of mortality outcomes in patients with COVID-19 clinical syndrome. Methods: We retrospectively examined case notes and electronic records of N = 497 patients with type 2 diabetes and COVID-19 infection. We ascertained the number of medications each patient was taking and used this to categorize the study cohort into diabetic [n = 246] (5 or more diabetic medications), and non-diabetic polypharmacy [n = 251] (5 or more non-diabetic medications). The primary outcome was the need for intensive care admission between the two groups. Results: In patients with “non-diabetic polypharmacy” (>5 medications), advancing age, and higher HBA1c levels, were associated with increased risk of Intensive care admission (OR 1.06 [CI 1.03-1.07], P = <0001), (OR 1.01 [CI 1.01- 1.20], P 0.017), respectively. Patients taking 5 or more non-diabetic medications had an increased likelihood of admission into the intensive care unit compared to those on lower medication thresholds (OR = 1.7; CI = 1.1 to 1.3; p-value = <0.0006). Conclusion: In an inpatient cohort of type 2 diabetic patients with COVID-19, non-diabetic polypharmacy was associated with a multiplicative risk of intensive care admissions. This will necessitate the need for periodic medication reviews in these cohorts of patients to mitigate these potential risks and improve clinical outcomes.
A medication error is any preventable event that may cause or lead to inappropriate use of drugs or patient harm if it is not under the control of the health care professional. Despite the fact that healthcare professionals take the responsibility very seriously, it has been estimated that 250 000 Americans die annually due to medication errors. Although, estimates show that one in ten patients worldwide is affected by medication errors while receiving hospital care, the harm can be caused by a range of incidents or adverse events. The exact incidence of medication errors in the neonatal intensive care unit (NICU) is unknown. In neonates especially premature infants, the immaturity of developing body systems affects the absorption, distribution, metabolism and excretion of drugs and therefore an exponential risk for medication errors is present. The risk of medication errors in children are much greater than adults.
Mediterranean journal of pharmacy and pharmaceutical sciences
Tuberculosis (TB) is an infectious disease caused by bacteria called Mycobacterium tuberculosis. The disease mainly affects lungs and causes pulmonary tuberculosis. It can also affect intestine, meninges, skin, bones and other tissues of the body. Although the drugs alone can cure TB, it still remains a major public health problem worldwide. The aim of the study was to assess the quality of life and medication adherence in TB patients. The Quality of life was assessed using SF-36 in patients receiving DOTS treatment in initial or continuous phase while the medication adherence was analyzed using Morisky Green Levine Scale. Subjects were also counselled about their disease during their first visit and a follow up was done after a month. A total of 152 subjects were enrolled in the study of which majority of the subjects had Pulmonary TB (55.26%). Diabetes was found to be the most common comorbidity followed by HTN. The average Physical Component Summary (PCS) and Mental component summary (MCS) were found to be 44.34 and 39.60 respectively. Females had a better quality of life scores compared to males. High adherence was seen in 32.24% of patients while 28.29% had low adherence. Follow up was done for 135 subjects. 15 subjects defaulted and 2 of them died. There was a significant increase in the QoL scores and medication adherence after one month. A significant association was found between the Physical functioning (p=0.001) and emotional wellbeing (p=0.01) with Duration of treatment indicating that subjects who had completed more than one month of their treatment had marked improvement in Physical functioning and emotional well-being scores
The mechanical heart valve prosthesis with a caged ball has been around for 60 years. It has since experienced changes and adjustments. The Starr–Edwards (SE) valve was a pioneer and was taken out of clinical use in the late 2000s. SE is reportedly close to or has reached the age of 50, according to numerous sources from around the globe. The author’s observations and review of the literature about thrombogenicity, pannus formation, left ventricular outflow tract obstructions, and infective endocarditis in the SE valves, which were reportedly higher before its clinical ending, were only an overestimation and were not supported by scientific data. However, it was less discussed in the article, along with potential benefits. The main reasons for its demise were its obtrusive size and unattractive shape. There have been several successful implantations of these valves in Asian nations and reports of fewer primary failures and unexpected cardiac fatalities. Therefore, there is a need for extensive data gathering, documentation, and more recent studies on these valves to prepare for a prospective revival of use with newer research, mainly when long-term durability is considered.
Study DesignA multicenter retrospective study. ObjectivesTo determine the rate of Apex facet fusion in children with Early Onset Scoliosis treated surgically with the Active Apex Correction (APC) technique. MethodsSeventeen patients were treated with the APC technique as index surgery for Early Onset Scoliosis with more than 1 year of follow-up. A 3D CT scan was done to determine the facet fusion rate in the deformity’s apex controlled with posterior tethering. ResultsThe average follow-up time was 26.4 months (12-56), Average age at index surgery was 81.2 months (30-132), and average number of surgeries done 1.3. Apical vertebrae studied for facet fusion were the 3 vertebrae in the apex in each patient that were subjected to posterior tethering according to the APC technique. In total they were 86 apical vertebrae (172 Facets studied with 86 convex side, 86 concave side). Our observations showed that 29 facet joints were fused (16% of the total facets studied),15 were on the convex, 14 on the concave side (no statistically significant difference). Regarding the facet joint distance in the non-fused facets was 0.99 mm on the convex side and 1.08 mm on the concave side with no statistical significance difference. ConclusionAPC for Early Onset Scoliosis achieves apical growth modulation and control utilizing posterior tethering without inducing fusion. This study demonstrated that APC is an effective non-fusion technique through the low incidence of facet fusion levels at the Apex, limiting the crankshaft phenomena seen in cases with apex control through arthrodesis.
Cet article montre l’analyse des erreurs dans l’enseignement/apprentissage du Français Langue Étrangère au Ghana. Il a pour objectif principal d’analyser les erreurs commises en production écrite par les étudiants de Français Langue Étrangère (FLE) à l’Université du Ghana. Le corpus a été constitué du lexique de 100 apprenants. Les instruments de collecte des données ont été les questionnaires et les rédactions/compositions. Ces derniers ont été rédigés par les étudiants des niveaux 300 et 400. Etant donné la nature de l’étude, l’approche quantitative et l’approche qualitative ont été utilisées comme mode d’investigation. L’approche qualitative porte sur le modèle de l’analyse des erreurs proposé par Corder (1967) et l’approche quantitative met en évidence des données observables et quantifiables. Les principales erreurs rencontrées dans les productions écrites des étudiants ont été celles de la morphosyntaxe. Ces erreurs commises ont été analysés. Les recommandations de notre étude ont pour but d’améliorer la production écrite en Français Langue Étrangère.
Three commonly used legumes, Macrotyloma uniflorum (Lam.) Verdc., Phaseolus lunatus Linn., and Phaseolus vulgaris Linn. were subjected to determine their minerals and phytic acid contents to correlate their nutritional and medicinal properties. The atomic absorption spectroscopic method was used to quantify essential minerals, while the spectrophotometric method was used for phytic acid estimation. Fe, Mg, Mn, P and Zn were recorded in reasonable quantities, Ca and Cu in moderate, and K in small amounts in the seed flours of all the three tested legumes. Maximum Fe and Zn content (0.38 and 0.40 mg/g) were recorded in P. vulgaris, while M. uniflorum delivered high content of Mg, Mn, P and Ca (0.21, 0.20, 77.94 and 0.04 mg/g) and 0.04 mg/g Cu was recorded in P. lunatus. The highest level of phytic acid (37.00 mg/g) was recorded in M. uniflorum at 519 nm. The estimated quantities of minerals and phytic acid provide an excellent opportunity to conclude that all three tested legumes could be used as food to achieve nutritional and health-related functional benefits.
La problématique de l’accès à l’eau potable soulève de nombreux enjeux de développement au regard des impacts qu’elle génère en milieu rural. C’est pourquoi plusieurs organisations internationales œuvrent aux côtés de l’Etat ivoirien afin de garantir un accès durable et sécurisé à cette ressource pour les populations. Cependant, il existe encore des zones en Côte d’Ivoire où les populations continuent de vivre au quotidien des pénuries d’eau potable. C’est le cas de la Sous-Préfecture de Gboguhé où cette problématique entrave considérablement le développement socioéconomique des villages. Partant de ce contexte, cette contribution tente d’analyser les impacts de la pénurie d’eau potable dans cette zone en s’inscrivant dans une perspective socioanthropologique. Pour ce faire, elle se base sur une approche essentiellement qualitative, mobilisant les techniques de revue de littérature, d’entretiens semi-directifs et d’observations directes pour la production de données. L’étude révèle que la pénurie d’eau potable dans la sous-préfecture de Gboguhé est un facteur de vulnérabilité chez les populations locales au regard des impacts sociaux, économiques, sanitaires et territoriaux qu’elle entraîne.
It is virtually impossible to mention the phrase ‘project management’ without introducing the concept of risk management. As Hillson (2016, p.11) states, “risks [are] particularly relevant to projects” suggesting that effective management of risk is an integral ingredient for project success. The close link that exists between projects and risks may be deduced by the definition of the word ‘project’. In simple terms, projects refer to unique endeavours undertaken with the aim of achieving desired outcomes. These endeavours typically specific start and completion dates, and involve resource, time and cost constraints. These characteristics imply that projects are intended to deliver identifiable benefits to the organisation; these benefits, however, are not enjoyed immediately even if the project is completed. On the contrary, projects commonly create capabilities that call for operation or utilisation for the actual gains to be generated (Hillson, 2016 p.11). The interpretation of this is that projects have a risk element in that they contain a potential reward and possibility of loss. For this reason, project managers must be well-versed with risk management.
COVID-19 is associate communicable disease caused by severe acute respiratory syndrome coronavirus. It's currently a virulent disease unfold moving several countries globally. The aim of this study is to assess the knowledge and practices of COVID-19 among general public at the selected setting, Chennai. The main objective was to assess the knowledge and practice on COVID-19, correlate the knowledge with practice on COVID-19, and associate the knowledge and practice on COVID-19 with the demographic variables among the public. A Quantitative non-experimental analysis style was used to assess the knowledge and practice of COVID-19. Sixty individuals were chosen through the non-probability convenience sampling technique. The findings of the analysis disclosed that the majority (40%) of the samples had a high level of knowledge and 43.3% of them had a good practice, 33.3% of them had a moderate level of knowledge and 30% of them had moderate practice, whereas 26.7% of them had a low level of knowledge and 26.7% of them had poor practice on COVID 19. Keywords:- COVID-19, Knowledge, Practice, Pandemic, General Public.
Datura arborea Linn is a sacred plant known for over 3000 years to have been used for magical and curative purposes. It was shown to have a central nervous system depressant effect. The active substances identified were tropane alkaloids: atropine, scopolamine, and hyosine. Therefore, we aimed to find out whether the ethanol extract of Datura arborea Linn has sedative and hypnotic activity. The extract was subjected to a thiopental sodium-induced sleep test and diazepam was used as a standard drug. The plant possesses sedative-hypnotic qualities, the findings indicate that doses of 35 mg/kg (2.70.24 min), 70 mg/kg (3.80.19 min), and 140 mg/kg (4.30.20 min) decreased the control's (9.2 min) latency to fall asleep. In comparison to the control, the length of sleep was increased by 23.46 minutes for 35 mg/kg (99.002.99 min), 70 mg/kg (132.605.53 min), and 140 mg/kg (118.606.04 min), respectively. The present study established the acute toxicity of Datura arborea Linn to be less than 600 mg/kg in mice. This study indicated that the ethanol extract of Datura arborea Linn has a sedative-hypnotic activity in the diazepam-induced sleep test. It is safe to suggest that the extract acts via either β-receptor by causing hyperpolarization or a decrease in spike activity in the cell, leading to relaxation, but these effects were not blocked by β-antagonist or α2-receptor to decrease acetylcholine release, leading to relaxation of the smooth muscle.
Mediterranean journal of pharmacy and pharmaceutical sciences
The incorporation of lomustine, a hydrophobic anticancer drug into PLGA nanoparticles by interfacial deposition method was optimized. Based on the optimal parameters, it was found that lomustine-PLGA nanoparticles with acceptable properties could be obtained. Optimization of formulation variables to control the size and drug entrapment efficiency of the prepared nanoparticles seems to be based on the same scientific principles as drug-loaded nanoparticles prepared by nanoprecipitation, solvent evaporation method. The process was the most important factor to control the particle size, while both the drug-polymer interaction and the partition of drug in organic and aqueous phases were the crucial factors to govern the drug entrapment efficiency. PLGA concentration at lower level (100 mg), 1:5 organic phase: aqueous ratio, 1%w/v PVA concentration, 3%w/v pluronic F68 achieved smaller particle size. Additionally, L:G ratio of PLGA 75:25, lower volume of organic solvent (1:10 organic phase: aqueous phase), higher initial drug content (10mg) enhanced the drug entrapment efficiency and maintained lomustine concentration in blood for an extended time period, elevated lomustine concentration in lungs and slowed the elimination of lomustine. The biodistribution profiles of prepared nanoparticles in albino mice showed higher plasma drug concentration for longer period of time, elevated drug concentration in lungs and slow elimination from kidney. No toxic effects of prepared nanoparticles were observed in histopathological examination of lungs and kidney. The systematic investigation reported here promises the development of PLGA nanoparticles loaded with lomustine when tested in Lung Cancer cell line L132 and toxicological/ histopathological studies in albino mice.
Avian influenza has impacted negatively on poultry production in Nigeria. The aim of this study was to determine the status of avian influenza virus (AIV) antibodies in wild birds to provide early warning of an outbreak. One hundred and forty-six sera from five different species of wild birds were tested for antibodies to avian influenza A viruses (H5 and H9) using enzyme linked immunosorbent assay and haemagglutination inhibition (HI) tests. An overall seroprevalence of 3.4% (5/146) was recorded in the study area. Seroprevalence of 6.67% (2/30) was recorded in speckled pigeons (Columba guinea) and Village weavers (Ploceus cucullatus) respectively and 3.33% (1/30) in Cattle egrets (Bubulcus ibis). No antibodies were detected in laughing doves (Spilolepia senegalensis) and African silver bill (Euodice cantans). The serological detection of AIV subtypes H5 and H9 by HI showed the exposure of these birds to the two subtypes. The result from this study indicates evidence of the presence of H5 and H9 AI viruses in wild birds in Zaria, Kaduna State. Therefore, comprehensive surveillance of influenza A involving wild birds’ population and H5 as well as H9 subtype is recommended. This is necessary in order to know the actual status of these strains in the poultry population in Nigeria in view of their zoonotic and economic importance.
Community pharmacies not only act as sites of drug purchase but also as healthcare setting. The aim of this study is to examine the extent of public’s use of community pharmacy and their reasons of visiting to Sabha, South part of Libya. Thus, a descriptive, cross-sectional survey with self-administered questionnaire was developed and validated. Data was collected during 2019 by registered pharmacists using the self-designed prepared questionnaire for community pharmacies in Sebha. Of all 600 questionnaires were handed during 2020, 462 forms were returned (77%, response rate). The majority of the respondents reported they had visited the community pharmacies at least once in a month (n = 343, 74%). The highest reason of visiting reported by the respondents was dispensing their prescription medications (n = 304, 65%) while purchasing medication without prescriptions was accounted with n = 162, (35%). The highest rate of the respondents was given advice about antibiotic use (n = 224, 48%) followed by physical exercises (n = 178, 39%) and healthy eating (n = 173, 37%). The majority of the respondents preferred to visit community pharmacy over other healthcare centers because of minor health problems (n = 358, 77%). The major factors influence the consumers choose any particular pharmacy were the professionalism of pharmacy staff (n = 254, 55%) and the availability of the medical products (n = 221, 48%). The respondents incline to choose community pharmacy as a primary health center when they faced drug related problem (n = 248, 54%). In conclusion, the current study revealed that the majority of Libyan people are regular users of community pharmacies and various services and topics of advice have been given by their staff. However, shortage of professional pharmacists in community pharmacies can undermine the opportunity of given reliable pharmaceutical care from these communications.
Mediterranean journal of pharmacy and pharmaceutical sciences
Development of thematic teaching materials based on Islamic values, especially those related to the contents of the verses of the Alqur'an and / or hadith as the basis of all science. In the available books, there are no thematic teaching materials that are integrated with the Al-Quran and Hadith, as well as Islamic values ??that are able to implement the core competencies of the 2013 curriculum, namely the competence of spiritual attitudes in thematic learning. The formulation of this research is: (1) producing thematic teaching materials based on Islamic values ??theme 7 (Leadership) class 6 Madrasah Ibtidaiyah Negeri 2 Jember. (2) to determine the effectiveness of thematic teaching materials based on Islamic values ??in learning. This study uses a research and development research type, the Borg and Gall model which is divided into 10 steps, namely: (1) research and data collection (2) planning, (3) product draft development, (4) initial field trials, ( 5) revising the results of trials, (6) field trials, (7) improving products from field tests, (8) conducting field trials, (9) improving product results, and (10) disseminating and implementing. The testing technique was carried out by comparing the pre-test and post-test values. The data was calculated using the t-test and processed using the SPSS application to determine the effectiveness of teaching materials. The results of this study indicate: the validation test produces an average of 88.79% with the criteria that the book is very suitable for use in learning. In terms of attractiveness, this book is very interesting to use for students, this is based on the results of the questionnaire data given to students with an average of 88.24% with very attractive qualifications. Meanwhile, from the results of the pre-test and post-test based on the t count which shows that it is greater than the t table, it means that the book is effective for use in learning. Pengembangan bahan ajar tematik berbasis nilai keislaman, terutama yang terkait dengan isi ayat Alqur'an dan/atau hadits sebagai dasar dari semua sains. Dalam buku yang telah tersedia tidak ada bahan ajar tematik yang terintegrasi dengan Al-Quran, dan Hadits, serta nilai-nilai Islam yang mampu mengimplementasikan kompetensi inti dari kurikulum 2013 yaitu kompetensi sikap spiritual dalam pembelajaran tematik. Perumusan penelitian ini yaitu: (1) menghasilkan bahan ajar tematik berbasis nilai keislaman tema 7 (Kepemimpinan) kelas 6 Madrasah Ibtidaiyah Negeri 2 Jember. (2) mengetahui efektifitas bahan ajar tematik berbasis nilai-nilai keislaman dalam pembelajaran. Penelitian ini menggunakan jenis penelitian pengembangan Research and Development, model Borg and Gall yang terbagi menjadi 10 langkah, yaitu: (1) penelitian dan pengumpulan data (2) perencanaan, (3) pengembangan draf produk, (4) uji coba lapangan awal, (5) merevisi hasil uji coba, (6) uji coba lapangan, (7) penyempurnaan produk hasil uji lapangan, (8) uji pelaksanaan lapangan, (9) penyempurnaan produk hasil, dan (10) diseminasi dan implementasi. Teknik uji coba dilakukan dengan membandingkan nilai pre-test dan post-test. Data dihitung dengan uji-t dan diolah menggunakan aplikasi SPSS untuk mengetahui efektifitas bahan ajar. Hasil penelitian ini menunjukkan: uji validasi tersebut rata-rata menghasilkan 88,79 % dengan kriteria bahwa buku tersebut sangat layak untuk digunakan dalam pembelajaran. Dari segi kemenarikan, buku ini sangat menarik untuk digunakan pada siswa, hal ini berdasarkan dari hasil data angket yang diberikan kepada siswa dengan rata-rata 88,24% dengan kualifikasi sangat menarik. Sedangkan dari hasil pre-test dan pos-test berdasarkan uji t hitung yang menunjukan lebih besar dari t tabel, berarti buku tersebut efektif untuk digunakan dalam pembelajaran.
Cet article s’articule autour de la question de la satire chez Sony Labou Tansi dans La vie et demie. Conscient de la complexité de la notion de la satire dans le temps et chez les spécialistes, il nous a semblé judicieux de confiner notre étude dans le strict cadre de la satire entendue comme genre et non comme esprit ou mode. Nous avons démontré que la satire dans La vie et demie se justifie par la présence des topiques qui fonctionnent comme une signature du genre. L’argumentation a mis un accent sur la dimension rhétorique de la satire en parlant des formes de comique mises en place dans La vie et demie, lesquels participent à l’étayage de la satire politique du Guide providentiel et de ses nuisibles descendants. Aussi, avons-nous souligné que la dimension rhétorique de la satire se justifie par la présence de la ménagerie. L ’imagerie animale qui permet de caractériser les personnages de Sony Labou Tansi emprunte à la faune sauvage sa diversité des bêtes.
As we aware diabetes is not only one kind of symptomatic disease but its occurrence spread through the various metabolic channels and hence raises other disorders. The prolonged symptoms of diabetes also cause the complications of eyesight, Night blindness, kidney failure, and other autoimmuno dysfunction including sexual dysfunction. In those symptomatic diseases various drugs are used to treat the diabetes such as biosimilar therapy including use of insulin and insulin analogues, oral hypoglycaemic agents and various other complementary medicines. As herbal remedies i.e. M charantia Linn. (Bitter Gourd) are commonly known as fruit vegetables. The Leaves, Seeds, Roots, Fruits and the stem part of the plants are medicinally used in different diseases. It is most effectively used to treat the acidic condition of gastrointestinal tract. M.charantia is also called the oxygen radical scavenger, which takes part into metabolic pathway. Due to the oxygen radical scavenging activity of GSH it directly expedites the ROS neutralization and the repair of ROS-induced damage which is important to neutralize the acidic condition of gastrointestinal tract.The present investigation was carried out to study the characterization of present antidiabetic compound having different solvent extract of M.charantia in various solvent system. The overall conclusion suggested that the extracted compound shows the antidiabetic and diuretic properties. The total unknown protein concentration was 21.01 µg/mL which is similar with standard antidiabetic drug and the slope consists of 0.0314 with the line of intercept 0.081, which has been elaborated in results and conclusion.
his study aims to explain the optimization of the ARCS learning model as an effort to increase the learning motivation of students, especially in thematic learning at MI At-Taqwa Bondowoso. The method used is qualitative with a descriptive qualitative approach, while the type of research used in this research is field research. The data collection techniques used interviews, observation, and documentation. Data analysis used was condensation, data presentation, and verification. And the validity of the data uses triangulation of sources and techniques. The results of this study indicate (1) Thematic Learning Problems at MI At-Taqwa Bondowoso, namely: Teachers are less biased in utilizing learning media, so that the only sources used are textbooks, classroom learning is only centered in the teacher, the students' lack of interest in the learning process, so that students do not pay attention to the teacher who teaches. (2) The application of the ARCS model in thematic learning at MI At-Taqwa Bondowoso, namely: The implementation of the ARCS model was carried out by teachers with several methods and strategies such as modeling the way strategy and also contextual teaching and learning, ARCS Model as an alternative solution in learning for increasing students 'learning motivation is able to stimulate students' enthusiasm in thematic learning.