Average Final Score Research Articles

A Unified Platelet-rich Plasma Preparation Protocol Using a Customizable Concentration System for Knee Osteoarthritis

Introduction:Platelet-rich plasma (PRP) is an autologous solution of platelets, concentrated over baseline, that delivers a high dose of anti-inflammatory and anabolic proteins. High-quality data support its use for pathology like knee osteoarthritis (OA), but vast heterogeneity among PRP processing methods and product content make synthesizing clinical data very challenging. Most processing techniques rely upon centrifugation and often involve manual processing steps, such as resuspension or extraction of platelets, which can introduce further heterogeneity in the final product. The Angel cPRP device is a fully automated device that uses both centrifugation and principles of flow cytometry in its PRP processing. However, the system has a wide range of preprocessing settings that alter PRP composition and there are no recommendations or standards on which settings should be used for OA. The aims of this manuscript are to (1) describe a unified PRP processing technique using this system and (2) report preliminary outcomes using that unified protocol when treating knee OA.Methods:For the processing of PRP, all patients had whole blood drawn under aseptic conditions (104 cc whole blood for unilateral OA, 156 cc whole blood for bilateral OA) that was then processed at the unified setting of 0% hematocrit, first spin performed at 4000 rpm for 11 minutes and the second spin at 3000 rpm for 2 minutes. The device automatically separated the resulting PRP that was then injected. For the second aim of this work, 90 knees (63 patients) met the criteria for inclusion. International Knee Documentation Committee (IKDC) subjective scores completed at baseline and 3 months were collected and analyzed.Results:Overall, IKDC score improved from 42.3±14.1 preinjection to 59.7±17.5 at 3 months postinjection (P<0.001). Of the 90 knees injected with PRP, 57% met the criteria for a positive response at 3 months with an average final IKDC score of 66.5±15.0 (Δ 24.7±10.9). Increased patient age (P=0.008) and body mass index (P=0.008) were associated with lower 3-month subjective IKDC scores.Discussion:A single PRP injection created with the unified preparation protocol described here resulted in significant improvement in preliminary patient-reported outcomes. There was a positive response in 57% of patients. Higher age and body mass index were associated with worse outcomes. Given the wide range of preprocessing settings available on this device, the protocol described here can serve as an initial guide for clinical and research implementation.

Blended Teaching Design of College Students’ Mental Health Education Course Based on Artificial Intelligence Flipped Class

The current education methods are mostly based on test-oriented education and rarely really care about the content of students’ concerns, and flipped psychological education methods have appeared in some areas. The main purpose of this thesis is to combine artificial intelligence and flipped classroom psychology. This article mainly introduces the characteristics of artificial intelligence and the definition of flipped classroom. What are the advantages of the intelligent teaching platform compared to traditional teaching? This article selects key 1 class, key 2 class, key 3 class, and key 4 class from the students of our school. Groups A1 and B1 conduct a semester of artificial intelligence combined with the concept of flipped classroom psychology. Groups A2 and B2 teach students in accordance with traditional teaching. The experimental results show that the proportion of groups A1 and B1 increased by 8.2% and 8.14%. The midterm and final average scores of groups A1 and B1 are 10.87, 7.2, 14.13, and 12.2 points higher than those of groups A2 and B2, and their scores have increased by 10.3% and 7.02%, 12.4%, and 11.9%. The mental health education course effect of artificial intelligence and flipped classroom psychology can more stimulate students’ interest and promote the improvement of students’ performance through autonomous learning.

THE PREDICTION OF ALL-AROUND EVENT FINAL SCORE BASED ON D AND E SCORE FACTORS IN WOMEN'S ARTISTIC GYMNASTICS

In the present study, we try to establish whether specific disciplines in women’s artisticgymnastics are equal and should the applicable Code of Points (COP) be revised in terms ofpoint standardization on apparatus. Our sample included all-around senior female gymnastswho participated in the qualification (C-I) competitions from 2009 to 2019. The aim of ourresearch was to determine the impact of individual apparatus D and E score in women'sartistic gymnastic in relation to the final result of all-around event. The age among seniorsrise from 2009 to 2019 for 1.88 years. In our analysis, we have found that the results achievedon each apparatus were significantly different. The average final scores on vault weresignificantly higher than on all other apparatus. Significant predictors of all-around successseem to be uneven bars D and E scores and balance beam E score. It was interesting toobserve that the vault, balance beam and floor D scores were not significant predictors.Coaches can use the results from this research in their planning of preparation tactics forgymnasts in all-around, team and apparatus competitions.

Impact of pairing an augmented reality demonstration with online video lectures… Does it improve students’ performance?

Due to the increased shifts in recent technologies, the education sector has also started to reshape itself to face the future. Augmented Reality (AR) and Virtual Reality (VR) are among the few recent trends that drive this shift forward. This study was set to study the impact of pairing a video lecture course with an AR presentation. A class of multimedia students (N=33) from Vellore Institute of Technology, Vellore, India; underwent an experiment of watching a video lecture module and attending a quiz. The same class again went through a similar test where they had to watch video lectures, get to experience what they learned in Augmented Reality for 10minutes, and then appeared for the quiz. The paired t-test conducted on the two sets of scores obtained by the class indicates a statistically significant increase in the average final scores when AR experience is paired with the video lectures. The feedback from the students was also positive on the AR experience.
 
 Keywords: Augmented reality, Education, e-learning, Video lectures

Assessing the online objective structured clinical examinations in urology qualifying exam for urology residents in Indonesia during COVID-19 time

This project aimed to assess the Online National Board of Urology Objective Structured Clinical Examination (OSCE) feasibility in evaluating candidates simultaneously from five urology training centers in Indonesia during the COVID-19 pandemic. Data were collected from two online OSCE simulation trials and the Online National Board of Urology OSCE. A self-administered questionnaire was used to assess examiners and candidates’ perception. The average final score of the Online OSCE was compared to previous face-to-face OSCE results. All candidates and examiners (100%) heard and saw clearly the audio-visual in both OSCE simulation trials. None of the candidates had a failing score on the mock exam from all stations. There was a statistically significant difference between the online OSCE and December 2019 face-to-face OSCE. The Online National Board Urology OSCE was feasible and comparable to face-to-face OSCE in evaluating urology candidates. It may be beneficial for the future OSCE method in the medical education system.•Objective Structured Clinical Examination (OSCE) which assesses a broad range of urology candidates’ high-level clinical skills, is a more valid and reliable assessment instrument than the traditional oral examination•The Online National Board of Urology OSCE method can help evaluate urology candidates, especially during the unprecedented COVID-19 pandemic

Desain Modul Matematika Siswa Berbasis PMRI Kelas IV Sekolah Dasar

This study aims to develop a student mathematics module based on the Indonesian Realistic Mathematics Education (PMRI) approach to the material of factors and multiples of a number in grade IV Elementary School to help with these difficulties. The research method used in this research is development research using the Four-D Models (4-D) development model, which consists of four stages: define, design, develop, and disseminate. The research subjects were fourth-grade elementary school students. From this research, it was found that; 1) the developed module was declared valid by material, media and language experts; 2) the mathematics module that was developed practically through limited trial activities with the results of the percentage of the remaining assessment questionnaires distributed was 94.32%; 3) the developed module has a potential effect on student learning outcomes, which can be seen from the final average score of students, which is 85.33, which means that student learning outcomes are categorized as very good. Based on the study results, it can be stated that the developed module is valid, practical and has a potential effect on improving learning outcomes.

THE EFFECTIVENESS OF COLLABORATIVE LEARNING ON THE MATHEMATICS LEARNING ACHIEVEMENT AMONG 8TH GRADE STUDENTS OF SMPN 1 AJANGALE , INDONESIA

This research involved two classes to which achievement tests were administered. The initial achievement test aimed to assess students’ initial knowledge of mathematics, while the final test was carried out to evaluate students’ learning outcomes after treatment. The results of this study showed that experimental class obtained higher average final test score (84.70) than control class (80.44).The independent sample t test also showed a value lesser than alpha (0.012 ztable (2.50> 1.64). Regarding those results, the use of collaborative learning brought significant improvement in mathematics learning outcomes of 8 th grade students of SMPN 1 Ajangale.

UTILIZAÇÃO DA PRÁTICA BASEADA EM EVIDÊNCIAS POR ENFERMEIROS NO SERVIÇO HOSPITALAR

Objetivo: descrever as práticas, atitudes e conhecimento dos enfermeiros hospitalares sobre a Prática Baseada em Evidências.Método: estudo descritivo, com 124 enfermeiros de um hospital universitário de Sergipe, Brasil. Foi aplicado o questionário Evidence-Based Practice Questionnaire, entre janeiro e fevereiro de 2019, e os dados analisados pelos testes de Shapiro-Wilk, Kruskal-Wallis e Post hoc.Resultados: 86,3% dos participantes são do sexo feminino, média de idade de 34,5 anos e tempo de formação entre cinco e dez anos. A pontuação média final para a escala de Prática Baseada em Evidências e Efetividade foi de 115,9, indicando atitudes positivas dos enfermeiros relacionadas à Prática Baseada em Evidências.Conclusão: as atitudes dos enfermeiros são embasadas em resultados científicos, entretanto, nem sempre as melhores evidências são utilizadas no subsídio das práticas profissionais. Difundir o uso adequado da pesquisa na Enfermagem contribui para a segurança do paciente, educação permanente e qualidade da assistência.

Comparing Student Performance in a Graduate-Level Introductory Biostatistics Course Using an Online versus a Traditional in-Person Learning Environment

Our study compared the performance of students enrolled in a graduate-level introductory biostatistics course in an online versus a traditional in-person learning environment at a school of public health in the United States. We extracted data for students enrolled in the course online and in person from 2013 to 2018. We compared average quiz and final exam scores between students in the two learning environments adjusting for demographic characteristics and prior academic performance using linear mixed models. Data were available for 1461 (83.1%) students learning online and 298 (16.9%) students learning in person. After adjusting for sex, race/ethnicity, age, quantitative GRE score, undergraduate GPA, and math refresher score, we found quiz scores for students learning online were about 2.5% lower than those for students learning in person, on average, with a 95% confidence interval ranging from 4.9% lower to 0.02% higher. Differential performance was even closer to equality for the final exam where scores for students learning online were about 0.9% higher with a 95% confidence interval ranging from a 3.9% reduction to 5.8% improvement. These estimates suggest comparable student performance can be achieved in a graduate-level introductory biostatistics course among students learning online and in person. Supplementary materials for this article are available online.

Development and prospective validation of a scoring system for the Basic Endoscopic Skills Training (BEST) box

The increased use of endoscopy as a minimally invasive therapeutic technique has created a great demand for endoscopic training. The Basic Endoscopic Skills Training (BEST) box provides a low-cost solution by adapting the Fundamentals of Laparoscopic Surgery (FLS) box for flexible endoscopic simulation. The BEST box consists of six endoscopic tasks with a 5-min time limit per task. This study aims to develop a scoring system for objective evaluation of user performance. A total of 165 participants were tested on the BEST box. Participants were divided into two groups: retrospective analysis (n = 100) and prospective analysis (n = 65). From the retrospective group, 55 individuals were also scored on the Global Assessment of Gastrointestinal Endoscopic Skills-Upper Endoscopy (GAGES-UE). Linear regression between user performance on BEST box and GAGES-UE was performed to develop the scoring system. Receiver Operating Characteristic curve was used to determine a threshold score to help users appreciate their endoscopic expertise. Prospective scoring of 65 individuals was then performed using the formula developed (20 experts and 45 trainees). The minimum and maximum possible scores are 30 and 110, respectively. Retrospective analysis showed that the scoring system was able to distinguish between experts and trainees (p < 0.001), correlated with GAGES-UE (p < 0.001), and had a reliability constant of r = 0.765 (p < 0.001). On prospective testing using the scoring system the expert group received a final average score of 92, whereas the average score for the trainee group was 61 (p < 0.001). The developed BEST box scoring system correlates with the experience level of the test taker as well as with the GAGES-UE scoring system. The results of this study add further evidence to the validity of the BEST box as an effective, low-cost endoscopic simulator with the scores used by trainees to track their performance level overtime.

The Use of Learning Videos to Improve the Skills in Writing Environmental Observation Results for Class II Students

&lt;em&gt;This research has the aim of increasing the skills to write reports on the results of simple environmental observations. The subjects of this study were class II SD Negeri 2 Kritig, totaling 15 students. This research was conducted in 3 cycles. Each cycle consists of 4 stages, namely planning, implementing and observing, and reflecting. There are two assessments carried out in this study, namely an assessment of the content of the report and an assessment of the writing. The results of his research for the assessment of report content in the first cycle of completeness reached 80% and increased in cycles II and III to reach 100%. Then for the written assessment, completeness reached 26.67% in the first cycle increased to 67% in the second cycle and 86.7% in the third cycle. Furthermore, the average final score in cycle I reached 73.99, increased to 78.75 in cycle II and reached 80.2 in cycle III. So the conclusion is that through the use of instructional video media it can improve the skills of writing reports on environmental observations of grade II students of SD Negeri 2 Kritig.&lt;/em&gt;

Developing Students’ Worksheet Based Educational Comic for Eleventh Grade of Vocational High School Agriculture

This article was development students’ worksheet based educational comic for eleventh grade of vocatational high school (SMK) agriculture in Bumi Nabung.The development research model used is 4D which stands for Define, Design, Development and Disseminate. Based on the data analysis of the research obtained an average final score by media experts of 69 that is very worth category, on average by material experts of 44 that is worth category, average by language expert of 36 that is worth category, as well as testing students' worksheets conducted on 5 students obtained an average value of 71,6 that is very worth category. This shows that the developed teaching materials are suitable to be used as teaching materials in teaching and learning activities.&#x0D; Keywords : Developing, Students' Worksheets, Educational Comic

Learning outcomes and perceptions of midwifery students about peer - teaching and lecture method in gynecology and infertility course

This study was conducted to compare teaching gynecology and infertility courses with both lecture and peer methods. In 2018, a quasi-experimental study was designed at the midwifery department of a state university in Iran. A total of 32 midwifery students were participated in the study. During the first eight sessions, 50% of the course content was taught in the form of same-level peer – teaching. The last eight sessions of the course were taught by lecture. At the end of each session, students were given a post-test, also midterm and final exam. At the end of exams, each student was asked to complete a questionnaire assessing students' perception about teaching methods. The average mid- term exam score for peer – teaching (34.5 ± 5.5 ) was significantly (p<0.01 ) higher than the lecture method (30.4 ± 5.8 ), as well as average final exam score (7.2 ± 1.5 vs. 5.8 ± 1.6 ). The average overall student perception score for the peer – teaching method was significantly (p<0.01 ) higher than the corresponding score for the lecture method (86.8 ± 11.5 vs. 74.1 ± 12.4 ). Using the peer education as a complementary method in teaching theoretical courses along with the traditional lecture method seems to be appropriate.

A Longitudinal Curriculum for Quality Improvement, Leadership Experience, and Scholarship in a Family Medicine Residency Program.

The Accreditation Council for Graduate Medical Education (ACGME) requires all residents be trained in quality improvement (QI), and that they produce scholarly projects. While not an ACGME requirement, residents need leadership skills to apply QI knowledge. We developed the Skills-based Experiential Embedded Quality Improvement (SEE-QI) curriculum to integrate training in QI, leadership, and scholarship. The University of Utah Family Medicine Residency Program began using the novel curriculum in 2012. The aim of the curriculum is to tie didactic teaching in quality improvement, leadership, and scholarship with skills application on multidisciplinary QI teams. Coaching for resident leaders is provided by faculty. Third-year resident leaders prepare academic presentations. Results of the ACGME Practice-Based Learning and Improvement (PBLI) 3 scores and number of scholarship presentations are described as a measure of efficacy. Two cohorts of residents completed the curriculum and all competency assessments. The average initial and final competency scores for competency PBLI-3 showed improvement and the average final competency for each cohort was above the proficient level. The residency requirements for QI scholarship did not change with introduction of the curriculum, but the amount of optional curricular QI scholarship and independent QI scholarship increased. The SEE-QI curriculum resulted in a high level of resident QI competency, opportunity for leadership training, and an increase in scholarship. We studied the results of this curriculum at one institution. Efforts to tie QI, leadership, and scholarship training should be evaluated at other programs.

Operation Outbreak: A Periop 101 Exam Review Escape Room

Background: Perioperative nursing is expected to see a 20% reduction in the workforce due to retirement within five (5) years. To recruit and retain nurses within this specialty, the Association of Operating Room Nurses (AORN) Periop 101: Core Curriculum™ OR was added to an existing nurse residency program. Periop 101 is an online learning program providing evidence-based guidelines for practice and requires the learner to pass a final exam with a score of 80% or higher. Following a didactic final exam review session, most nurse residents at a midwestern community hospital failed to pass the final exam on their first attempt. Aim: To address this knowledge gap, the clinical educators decided to create a more interactive review session by creating an escape room. Current literature supports the use of escape rooms to increase knowledge and learner engagement. Method: Nurse residents participate in Operation Outbreak during the exam review session. A convenience sample of twenty-two (22) registered nurses were included in the quality improvement project. Group one consisted of 18 participants who received only the didactic review session. Group two had four participants who participated in the didactic review session as well as the Operation Outbreak escape room. Results/Conclusion: Overall, there was improvement in the average final exam scores and average percentage of residents to pass the exam on the first attempt after the addition of the escape room. Statistical analysis was not performed due to sample limitations.

IMPLEMENTATION OF CO-CREATION BY USING STUDENTS’ MASTERY OF10 SKILLS AS A NEW PRODUCT IN HIGHER EDUCATION 4.0

Purpose of the study: To determine the effectiveness of co-creation implementation by using students’ mastery of 10 skills as a new product, and to analyze the readiness stage for digitally integrated marketing communication 4.0 in higher education.&#x0D; Methodology: The technique of data collection was administered by giving questionnaires to respondents. The questionnaire consisting of 10 closed questions was created by researchers. Afterward, the data were processed by the SPSS application. The results proved to be valid if each indicator question had a value of Pearson correlation significant 1-tail less than 0.05. Meanwhile, the data are reliable if the Cronbach’s alpha reliability value is more than 0.60. The average final score can be converted into a level of product quality qualitatively with ideal assessment guidelines.&#x0D; Main Findings: The average percentage of students’ mastery of 10 skills in IAIN Salatiga is 47 percent for ability to solve complex problems, 49 percent for critical thinking, 50 percent for creativity, 51 percent for organizational ability, 57 percent for ability to corporate, 52 percent for emotional intelligence, 55 percent for daring to make a decision, 54 percent for contentment to serve, 52 percent for negotiation ability, and 55 percent for flexibility thinking. The students ‘mastery average of all skills is 52 percent in the range of Fair (F). The readiness to continue the next steps of digital integrated marketing 4.0 is quite ready (QR).&#x0D; Applications of this study: This study can be useful for practical review for the implementation of co-creation in higher education as the new vision of marketing in the 4.0 era.&#x0D; Novelty/Originality of this study: This study proposes that the effectiveness of co-creation in higher education can be measured by the students’ mastery of the 10 skills.

Changes in patient health questionnaire (PHQ-9) scores in adults with medical authorization for cannabis

BackgroundLegal access to medical cannabis is increasing world-wide. Despite this, there is a lack of evidence surrounding its efficacy on mental health outcomes, particularly, on depression. This study assesses the effect of medical cannabis on Patient Health Questionnaire (PHQ-9) scores in adult patients between 2014 and 2019 in Ontario and Alberta, Canada.MethodsAn observational cohort study of medically authorized cannabis patients in Ontario and Alberta. Overall change in PHQ-9 scores from baseline to follow-up were evaluated (mean change) over a time period of up to 3.2 years.Results37,338 patients from the cohort had an initial PHQ-9 score recorded with 5103 (13.7%) patients having follow-up PHQ-9 scores. The average age was 54 yrs. (SD 15.7), 46% male, 50% noted depression at baseline. The average PHQ-9 score at baseline was 10.5 (SD 6.9), following a median follow-up time of 196 days (IQR: 77–451) the average final PHQ-9 score was 10.3 (SD 6.8) with a mean change of − 0.20 (95% CI: − 0.26, − 0.14, p-value < 0.0001). Overall, 4855 (95.1%) had no clinically significant change in their PHQ-9 score following medical cannabis use while 172 (3.4%) reported improvement and 76 (1.5%) reported worsening of their depression symptoms.ConclusionsAlthough the majority showed no clinically important changes in PHQ-9 scores, a number of patients showed improvement or deteriorations in PHQ-9 scores. Future studies should focus on the parallel use of screening questionnaires to control for PHQ-9 sensitivity and to explore potential factors that may have attributed to the improvement in scores pre- and post- 3-6 month time period.

Functional assessment of people practicing Brazilian martial art – Capoeira

Introduction: Due to the growing interest in the subject of health and fitness in the general public, people began to reach for various forms of self-improvement. One of these methods is Capoeira, which is becoming increasingly popular among all age groups and genders. It combines elements of both a fight and a dance. It’s mainly based on kicks, dodges and acrobatics.Aim: The main goal of the study was to conduct a functional assessment of people practicing the Brazilian martial art – Capoeira, and an assessment of the risk of injury.Materials and methods: A total of 25 people were tested in two groups of 13 and 12 people each. The first group consisted of people between the ages of 19 and 43 (mean age 30.92±7.99) who have trained Capoeira for at least one year. The second group was a control group and consisted of people from 21 to 49 years of age (mean age 36.08±10.09) exercising regularly.Results: In the Capoeira group consisting of 13 people, the average final score of the FMS test was 16 points out of 21 achievable. The average score of a control group is 14.5 points. According to the FMS test, 41.67% of people in the non-Capoeira group are at increased risk of injury in sports, while in the Capoeira group of people there is no increased risk of injury (p=0,035).Conclusions: Capoeira group achieved significantly higher results in FMS. According to FMS, Control group showed an increased risk of injury. In the group of active people who did not train martial arts, almost half were characterized by an increased risk of injury.

MODEL PEMBELAJARAN QUANTUM LEARNING DENGAN MEDIA SQUARE BOARD TERHADAP HASIL BELAJAR SISWA PADA MATERI SEGIEMPAT

This research aims to determine the effect of Square Board Media with Quantum Learning model on learning outcomes, student and teacher activities and student responses in class VII-D students of Muhammadiyah 2 Junior High School Surabaya. This research is a type of quantitative research with the True Experimental method. The design used in this study is Pretest-Posttest Control Group Design. Samples taken were 52 students consisting of 26 experimental class students and 26 control class students. The results showed that the average final test score in the experimental class was better than the average test final score in the class control; (2) The most dominant student activity occurs is the activity of students "discussing with groups and actively participating in activities" with a percentage of 33%; (3) Teacher's activity in managing learning gets an average score of 3.5 with very good criteria; and (4) Student responses to learning showed that ≥ 90 students respond positively. Thus, it can be concluded that mathematics learning with Square Board Media has a positive and significant effect on class VII-D students of Muhammadiyah 2 Junior High School Surabaya&#x0D; .

Dorsal Capsule Interpositional Arthroplasty of the Metacarpophalangeal Joint.

Background: Current recommendations for osteoarthritis of the metacarpophalangeal joint (MCPJ) are confined to implant arthroplasty to preserve joint motion and provide pain relief. This study documents the median 2-year results of a novel soft tissue arthroplasty technique that interposes the dorsal capsule. Methods: A retrospective review of 10 MCPJ dorsal capsule interposition arthroplasties in 8 patients was conducted. Physical evaluation assessed MCPJ range of motion (ROM), grip strength, and pain. Outcome tests used were the Michigan Hand Outcome Score, Visual Analog Scale (VAS), and Quick Disabilities of the Arm, Shoulder, and Hand (QuickDASH). Kellgren and Lawrence Classification assessed severity of MCPJ osteoarthritis on preoperative radiographs. Results: The mean follow-up was 29 months from surgery. Average VAS was 2/10 postoperatively and average postoperative ROM improved 7 degrees. Average postoperative grip strength of the surgical hand was 30 kg. The QuickDASH average score was 24. Average Michigan Hand Questionnaire final score was 70. Patients with Kellgren Grades 2 or 3 osteoarthritis had the best QuickDASH and Michigan Hand Outcome scores. All patients working before surgery returned to work. No patient required a second surgery. Conclusion: This technique of dorsal capsule interposition arthroplasty provides a viable surgical option for isolated degenerative or traumatic arthritis of the MCPJ at an average follow-up of 2 years. Pain relief was most reliably provided in patients with less severe radiograph findings. The advantages of this procedure include preservation of bony anatomy, collateral ligaments, and volar plate to not preclude later implant arthroplasty.