Effectiveness Of Program Research Articles

The effect of a recreational sports program on some biochemical variables and the quality of life of patients with type II diabetes

The effect of a recreational sports program on some biochemical variables and the quality of life of patients with type II diabetes

The effectiveness of a recovery program on some biological variables and stress levels for Beginners in gymnastics

The effectiveness of a recovery program on some biological variables and stress levels for Beginners in gymnastics

The effect of an online education program on nurses' knowledge of electrocardiogram interpretation

The effect of an online education program on nurses' knowledge of electrocardiogram interpretation

포디프레임을 활용한 오르골 제작과 창의적 활동을 포함한 융합교육프로그램의 교육적 효과

Objectives In this study, we investigated the educational effectiveness of a convergence education program in which students make music boxes and participate in creative activities using 4Dframes. Methods For the purpose, we developed a convergence education program that includes music box production and creative activities using 4Dframes. And this research was conducted with a total of 12 students, including 4 students of middle school, and 8 students of elementary school. Students were divided into four teams and took classes, and a survey consisting of 6 items on a Likert scale was conducted to determine the effectiveness of the program. Additionally, for qualitative research, three researchers independently analyzed video recordings and transcriptions, including students' activities, in-depth interviews, observation records, and evaluation meetings. Results The convergence education program consisting of a total of 10 sessions was developed and administered to students to confirm its educational effectiveness. Through the convergence education program that links music education, engineering, science, and technology activities developed in this study, changes in perception regard-ing students' enjoyment of music box making, self-evaluation of scientific inquiry ability, awareness of creative ability, preference for music concerto, heip with studying sheet music and playing musical insturments, and desire for music creation were confirmed. In particular, unlike traditional music classes where students play the piano while reading sheet music, they were able to gain a specific and intuitive understanding of playing music through creative activities such as making a music box with a 4Dframe and modifying it in various ways, and had a positive experience with music related activities. Conclusions Teachers can contribute to educational success by actively listening to students' ideas to stimulate their thinking processes, acknowledging the work students produce, and working collaboratively with students to explore the significance of these activities. Additionally, as digital technology makes it possible for students to take on the roles of composer, performer, and listener simultaneously. As future changes may occur in the way stu-dents engage with music in education, teachers must be equipped to design teaching methods that take advant-age of the opportunities offered by new technologies.

Brand Churn A Significant Percentage of Customers Leaving for Competitors

Abstract: Brand churn, characterized by a significant percentage of customers leaving for competitors, poses a substantial challenge for businesses across industries. To understand the underlying factors contributing to brand churn and devise effective retention strategies, a survey questionnaire method was employed. The questionnaire was designed to gather insights into customers' reasons for switching brands, their perceptions of competitor offerings, and their preferences for brand loyalty incentives. A diverse sample of respondents representing various demographic segments and purchasing behaviours was targeted to ensure comprehensive data collection. The survey findings revealed key drivers of brand churn, including dissatisfaction with product quality, pricing competitiveness, and customer service experiences. Additionally, insights into customers' perceptions of competitor brands and the effectiveness of loyalty programs in retaining customers were garnered. The results of this survey provide valuable insights for businesses seeking to mitigate brand churn by addressing customer needs and preferences effectively. By implementing targeted retention strategies informed by these findings, businesses can enhance customer loyalty, reduce churn rates, and maintain a competitive edge in the marketplace.

Sensory stimulation interventions in ICU: A comprehensive systematic review on enhancing consciousness in unconscious patients

Background: Unconsciousness is a common and critical condition among patients admitted to the Intensive Care Unit (ICU). The potential impact of sensory stimulation as a therapeutic intervention for improving consciousness in these patients has gained increasing attention. This systematic review aims to evaluate the effectiveness of sensory stimulation programs in enhancing consciousness levels among unconscious patients in the ICU. Objectives: The primary objective of this review is to assess the effectiveness of sensory stimulation programs in promoting consciousness among unconscious patients in the ICU. Secondary objectives include identifying specific types of sensory stimulation techniques employed, examining eligibility criteria for patient inclusion in relevant studies, and exploring the reported results and conclusions relating to the review questions and objectives. Inclusion and Exclusion Criteria: Studies were included if they focused on sensory stimulation interventions for unconscious patients in the ICU. There were no restrictions on publication date or language. Studies that did not assess consciousness as an outcome or lacked sufficient data were excluded. Sources of Evidence: PubMed, EMBASE, Cochrane Library, and Web of Science will be searched to identify relevant articles. The last search was conducted on 2022. Assessment of Risk of Bias: The included studies were assessed for risk of bias using standardized tools, such as the PEDRO tool for randomized controlled trials. Discrepancies in the assessment were resolved through consensus or consultation with a third reviewer. Methods for Presenting and Synthesizing Results: Study characteristics, patient demographics, intervention details, outcomes, and results were extracted and summarized. Number of Included Studies and Participants: A total of 11 studies involving 500 participants were included. The characteristics of the included studies, such as study design, sample size, sensory stimulation techniques used, and outcome measures, were summarized. Charting Methods: Two independent reviewers will extract data and assess the eligibility of studies based on predefined inclusion and exclusion criteria. Any discrepancies will be resolved through discussion or consultation with a third reviewer. A standardized data extraction form will be used to record relevant information, including study characteristics, patient demographics, intervention details, outcomes, and results. Results: Upon completion of the data extraction process, study characteristics, sensory stimulation techniques, and reported results will be summarized. If feasible, a meta-analysis will be conducted to provide a quantitative synthesis of the findings. Any limitations and potential biases identified among the included studies will be discussed.

Assessing Weekly Wellness Sessions: Cordillera Administrative Region's Social Welfare Impact

This literature review examines the efficacy of workplace wellness initiatives, focusing on the Weekly Wellness Sessions (WWS) conducted by the Department of Social Welfare and Development (DSWD) Field Office Cordillera Administrative Region. The study evaluates staff participation rates, the effectiveness of wellness programs, and challenges encountered in availing the WWS. Primary and secondary sources materials were used in the analysis of this literature review. Casual observations were also integrated. Findings reveal coffee sessions as the most popular activity, while limited facilities and costs hindered participation in other activities. The WWS were perceived as highly effective across multiple dimensions of well-being, with minimal variation based on gender or age. However, differences in effectiveness were noted among different positions and offices/divisions. Common challenges included time constraints, financial limitations, and personal barriers. Recommendations include enhancing financial accessibility, tailoring interventions, offering flexible scheduling, promoting awareness, and cultivating a culture of health and wellness. Addressing these recommendations can optimize the impact of the WWS and contribute to a healthier, more productive workforce within DSWD FO CAR.

Expert opinion regarding early screening, patient awareness, and telemedicine practices in Indian settings

Objective: To collect clinicians’ perspectives regarding the significance of early screening, patient awareness, and telemedicine practice in routine Indian settings for diabetes management. Methodology: The study employed a 25-item questionnaire to gather insights from specialists across different Indian settings regarding their perspectives on early screening, patient awareness, and telemedicine practices among diabetologists. Results: According to the cross-sectional survey, 59% of respondents believed that regular awareness programs were helpful in the early screening of diabetes among high-risk individuals. Meanwhile, 64% of clinicians reported that clinical-level screening was a more effective tool for early screening. Around 74% of clinicians reported that microvascular complications namely diabetic retinopathy, diabetic neuropathy, and diabetic kidney diseases should be targeted during early screening of diabetes. The American Diabetes Association (ADA) risk score was the most commonly used risk score for early diabetes screening, according to 54% of clinicians. Moreover, 67% of clinicians reported that 11 to 25% of diabetic individuals had complications of lipitension, and 64% reported that 11 to 20% of T2DM individuals had depression. Regarding telemedicine, 65% of clinicians preferred to use it occasionally. However, at an individual level, factors like cost, literacy, less familiarity with using the tool, and emotional reasons hindered the effective adoption of telemedicine, as reported by 56% of clinicians. Conclusion: The survey highlighted the effectiveness of awareness programs and clinical-level screening for early diabetes management, emphasizing the importance of targeting microvascular complications. Increased prevalence of complications like lipitension and depression was noted in diabetic individuals. Telemedicine, though recognized as valuable, faces challenges due to individual-level factors.

Home-based tele-exercise training and physical activity during the COVID-19 pandemic in chronic kidney disease patients.

The coronavirus disease 2019 (COVID-19) pandemic and lockdown reduced physical activity levels in hemodialysis (HD) patients and kidney transplant recipients (KTRs). This study aimed to describe physical activity levels during lockdown and assess the effects of an online home-based exercise training program on physical activity levels in HD patients and KTRs. Forty-five HD patients and thirty-five KTRs were divided into four groups: exercise groups 1 (ΕΧ-HD) and 2 (EX-KTR) followed a 4-month tele-exercise training program, while control groups received usual care. All participants at baseline and at the end of the study completed the International Physical Activity Questionnaire (IPAQ), while their daily physical activity levels were recorded via a step counting application. At the end of the study, the repeated measures analysis revealed a significant effect of time, group, and time-by-group interaction in the average steps per day, walking, and moderate activity for the exercise-HD group (p < 0.05). Similarly, the analysis revealed a notable effect of time, group, and time-by-group interaction in the exercise-KTR group in average daily steps, vigorous and walking activity (p < 0.05). Multiple regression analysis showed that the level of physical activity at the end of the study was related to the urban place of residence and theparticipation in the 4-month exercise program of both HD patients and KTRs. Participation in a tele-exercise training program led to favorable effects on physical activity levels both in HD patients and KTRsduring lockdown.

Moving beyond borders: impacts of interstate migration on Supplemental Nutrition Assistance Program participation

ABSTRACT Understanding the impact of interstate migration on Supplemental Nutrition Assistance Program (SNAP) participation is crucial due to the potential influence of such migration on the effectiveness of social welfare programs. This study shows that interstate migration decreases the probability of SNAP participation, finding a reduction in SNAP benefits of $462.7 among interstate migrants relative to non-migrants in the subsequent year. These findings suggest that simplifying the recertification process for interstate migrants could serve as an effective policy intervention to address these challenges.

Different sampling strategies for optimal detection of the overall genetic diversity of methicillin-resistant Staphylococcus aureus.

Surveillance schemes for methicillin-resistant Staphylococcus aureus (MRSA) are widely established at the national and international levels. Due to the simple standardization of the protocol, mainly isolates from bloodstream infections are used. However, the limitations of this simple surveillance system are well described. We conducted a comprehensive analysis of MRSA isolates in a large Slovenian region over 5 years to identify the optimal sample group for assessing the overall MRSA diversity. At the same time, this study provides to date non-available molecular characterization of Slovenian MRSA isolates. A total of 306 MRSA isolates from various sources were sequenced and phenotypically tested for resistance. The isolates exhibited significant molecular diversity, encompassing 30 multi locus sequence type (MLST) sequence types (STs), 39 ST-SCCmec genetic lineages, 49 spa types, and 29 antibiotic resistance profiles. Furthermore, the isolate pool comprised 57 resistance genes, representing 22 resistance mechanisms, and 96 virulence genes. While bloodstream isolates, commonly used in surveillance, provided insights into frequently detected clones, they overlooked majority of clones and important virulence and resistance genes. Blood culture isolates detected 21.3% spa types, 24.1% resistance phenotypes, and 28.2% MLST-SCCmec profiles. In contrast, strains from soft tissues demonstrated superior genomic diversity capture, with 65.3% spa types, 58.6% resistance phenotypes, and 71.8% MLST-SCCmec profiles. These strains also encompassed 100.0% of virulence and 82.5% of resistance genes, making them better candidates for inclusion in surveillance programs. This study highlights the limitations of relying solely on bloodstream isolates in MRSA surveillance and suggests incorporating strains from soft tissues to obtain a more comprehensive understanding of the epidemiology of MRSA.IMPORTANCEIn this study, we investigated the diversity of methicillin-resistant Staphylococcus aureus (MRSA), a bacterium that can cause infections that are difficult to treat due to its resistance to antimicrobial agents. Currently, surveillance programs for MRSA mainly rely on isolates from bloodstream infections, employing a standardized protocol. However, this study highlights the limitations of this approach and introduces a more comprehensive method. The main goal was to determine which group of samples is best suited to understand the overall diversity of MRSA and to provide, for the first time, molecular characterization of Slovenian MRSA isolates. Our results suggest that including MRSA strains from soft tissue infections rather than just blood infections provides a more accurate and comprehensive view of bacterial diversity and characteristics. This insight is valuable for improving the effectiveness of surveillance programs and for developing strategies to better manage MRSA infections.

Evaluation of the Free Halal Certification Program (SEHATI) for Processed Livestock Micro and Small Enterprises (MSEs) in Blitar Regency

The free halal certification program (SEHATI) aims to support the Indonesian government’s goal of having one million halal-certified food and beverage products by 2024 by accelerating the rate of halal certification through the SEHATI program. Blitar Regency has 33,932 micro and small enterprises (MSEs), but only 389 have halal certification, including egg and milk processing products. The research aims to determine the effectiveness of the SEHATI program’s implementation for livestock processing MSEs in Blitar Regency. The study uses mixed methods. Data were collected through questionnaires to 12 respondents, including stakeholders and livestock processing business actors. Data analysis was conducted using descriptive analysis and logic model evaluation analysis. The effectiveness of the SEHATI program’s implementation was the data collected in the research. The results show that the SEHATI program in Blitar Regency, through socialization and assistance to livestock processing business actors, is effective. The logic model evaluation on all indicators shows that the business actors are well-informed, understand well, and strongly agree with the input, activities, output, and outcome of the SEHATI program. The conclusion of the research is that the SEHATI program in Blitar Regency significantly benefits in raising awareness, understanding, compliance, and the number of halal products from egg and milk processing business actors. This indicates the effectiveness of this program in helping livestock processing business actors obtain halal certification.

Mechanisms of metastatic colorectal cancer.

Despite extensive research and improvements in understanding colorectal cancer (CRC), its metastatic form continues to pose a substantial challenge, primarily owing to limited therapeutic options and a poor prognosis. This Review addresses the emerging focus on metastatic CRC (mCRC), which has historically been under-studied compared with primary CRC despite its lethality. We delve into two crucial aspects: the molecular and cellular determinants facilitating CRC metastasis and the principles guiding the evolution of metastatic disease. Initially, we examine the genetic alterations integral to CRC metastasis, connecting them to clinically marked characteristics of advanced CRC. Subsequently, we scrutinize the role of cellular heterogeneity and plasticity in metastatic spread and therapy resistance. Finally, we explore how the tumour microenvironment influences metastatic disease, emphasizing the effect of stromal gene programmes and the immune context. The ongoing research in these fields holds immense importance, as its future implications are projected to revolutionize the treatment of patients with mCRC, hopefully offering a promising outlook for their survival.

Evaluating the between-day reliability and likelihood of change of a test battery incorporating vastus lateralis muscle thickness, ankle-brachial pressure index, maximal voluntary torque, and six-minute walk test in patients with claudication.

The study aims to evaluate the between-day reliability of a proposed test battery for patients with claudication that can be used for monitoring the effectiveness of exercise interventions and other therapeutic strategies tailored to this patient population. Twenty-five men with claudication were recruited. The test battery consisted of the Vastus Lateralis muscle thickness (VL-MT), ankle-brachial pressure index (ABI), unilateral isometric knee extension maximal voluntary torque (MVT) and 6-minute walk test (6MWT). A single investigator conducted the tests for each patient on two separate testing sessions (T1 and T2) 5-7days apart. Good to excellent reliability was observed for VL-MT (ICC = 0.95, 95% LOA = ±3.10mm, SEM = 0.81mm), ABI (ICC = 0.97, 95% LOA = ±0.10, SEM = 0.02), MVT (ICC = 0.97, 95% LOA = ±24.0N·m, SEM = 6.31N·m), 6MWT distance (ICC = 0.99, 95% LOA = ±39.6m, SEM = 11.0m), 6MWT time to claudication (ICC = 0.99, 95% LOA = ±30.8s, SEM = 7.8s), and 6MWT ratings of pain (ICC = 0.87, 95% LOA = ±2.4 CR-10+, SEM = 0.7 CR-10+ ). Analysis derived from reliability data indicates a change of 1.4mm for VL-MT, 0.14 for ABI, 12N·m for MVT, 25m for 6MWT distance, 15s for 6MWT time to claudication and 1 CR-10+ for 6MWT ratings of pain is required to be interpreted as the minimum 'likely' change (76% chance). The test battery provides a reliable assessment of patients with claudication and can be widely used to evaluate the effects of exercise programmes and other therapeutic interventions. For the individual, changes in VL-MT, ABI, MVT, and 6MWT greater than the minimum likely change as a result of an exercise programme or an intervention are likely changes and less influenced by error associated with the test.

Effect of 6-Week Instrument-Assisted Soft Tissue Mobilization on Joint Flexibility and Musculotendinous Properties

Instrument-assisted soft tissue mobilization (IASTM) stimulates soft subcutaneous tissues by applying pressure to the skin with a specialized bar or spurtle-like instrument. No studies have verified whether several weeks of continuous IASTM alone can alter joint flexibility and musculotendinous properties in healthy participants. We examined the effect of a 6-week IASTM program on joint flexibility and the musculotendinous properties of the lower limbs. Fourteen healthy men (aged 19–35 years) who participated in a 6-week IASTM program (3 days weekly) for the soft tissue of the posterior aspect of one lower leg were included. The other leg served as the control. Before and after the intervention, we measured the maximal ankle joint dorsiflexion angle (dorsiflexion range of motion: DFROM) and maximal passive torque (MPT), a measure of stretch tolerance. We measured muscle and tendon stiffness using shear wave elastography on the gastrocnemius and Achilles tendon. IASTM significantly increased the DFROM and MPT (p &lt; 0.05 for both). However, no significant changes were observed in muscle and tendon stiffness. None of the parameters changed significantly in the control group. The 6-week IASTM program increased stretch tolerance and joint flexibility but did not change muscle and tendon stiffness.

A COMPREHENSIVE ANALYSIS OF COMPETENCY AND TRAINING PERSPECTIVES AMONG AIR TRAFFIC CONTROLLERS

The aim of the study was to examine air traffic controllers’ perspectives on competency, performance, and training. Analysing data from 182 participants, the results revealed a strong focus on competency with the controllers actively evaluating their skills. Notably, the experienced controllers (19+ years) displayed a heightened commitment to continuous learning, reflected in their higher participation in individual training and perception of its value for their career goals and adaptation to the evolving aviation industry. Competency-based training programs also received positive feedback across experience levels, highlighting their potential effectiveness. Moreover, training was universally perceived as key to performance throughout careers. These results highlighted the importance of fostering a culture of continuous learning within air traffic control (ATC) communities. Aviation authorities can support this by providing diverse training opportunities, including individual and competency-based programs. Future research should continue investigating the impact of technological advancements and AI/machine learning on ATC competencies, the effectiveness of competency-based training programs, and the role of individual training in competency development, ultimately ensuring the vital role of air traffic controllers in aviation safety.

Literature Review on The Use of Cloud-Based Learning for Islamic Religious Education

Cloud-based learning shows a significant impact on Islamic religious education, especially in the use of Google Classroom. Several studies have examined the effectiveness of cloud-based learning programs in developing reflective thinking skills and increasing student learning motivation in Islamic religious education. In addition, the application of Google Classroom for distance learning has overcome problems related to the number of students in Islamic religious education subjects. The research also explores the use of cloud technology and ICT tools to improve the teaching of Islamic religious education and support personalized learning trajectories for students. Overall, the literature highlights the transformative potential of cloud-based learning and technology to revolutionize the learning experience in Islamic religious education. This research uses a systematic and comprehensive literature study method to analyze books, scientific articles and related sources that are relevant to the topic of cloud-based learning in the use of Google Classroom for Islamic religious education. The methodological framework includes the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines for the identification and selection of eligible studies, as well as the use of well-known research quality assessment tools. Analysis results are synthesized to produce reports that are informative, well-organized, and context-rich.

The Effect of Drill Training Program Like Game Situation on Forehand and Backhand Shots in Pickleball Sport

This research aims to see how the situational game-like drill training program influences pickleball shots. Pickleball is an increasingly popular sport with a need for evolving techniques and strategies. A structured and effective practice program is critical to improving pickleball players' skills. One interesting approach is the drill-like game situation training program, which aims to simulate game situations similar to real matches. This study aimed to explore the effects of such a training program on hitting in pickleball. This research provides an essential contribution to understanding the effectiveness of the drill-like game situation training program in improving hitting skills in pickleball. These findings imply that pickleball coaches and players may consider integrating such training programs into their training plans to achieve better match results.

Educational telerehabilitation program for women with pelvic floor dysfunctions after gynecological pelvic cancer treatment: protocol study for a randomized and controlled clinical trial

BackgroundEducational and self-care measures are important for women after gynecological pelvic cancer treatment. Pelvic floor muscle training exercises (PFMT) are a conservative treatment for pelvic floor (PF) dysfunction. The purpose is to evaluate the impact of a telerehabilitation and self-care program on PF dysfunctions, reports of urinary incontinence (UI), and physical–emotional factors of participants post-treatment for gynecological pelvic cancer.MethodsTwo-arm randomized clinical trial: an intervention group (IG) will evaluate the effect of a telerehabilitation program on women undergoing clinical practice of radiotherapy for the treatment of gynecological pelvic cancer and a control group (CG) will maintain the routine. Primary outcome is the prevalence of reports of UI, which will be assessed using the International Consultation on Incontinence Questionnaire—Short Form (ICIQ-SF). The secondary outcomes will be the severity and impact of UI on quality of life, location and perception of pain intensity, presence and intensity of dyspareunia, vaginal stenosis, fecal incontinence (FI), and levels of physical activity. Statistical analysis will be performed by intention-to-treat, and multivariate mixed effects analysis will be used to compare results.DiscussionActivities in the context of telerehabilitation using PFMT and self-care can represent a viable and effective solution to minimize the side effects of gynecological cancer treatment and improve women’s quality of life.

Listening to Stakeholders’ Voices on Funding Social Inclusion in Sport for People with Disabilities—Proposal for Criteria

The value of sport is extensively documented; however, there are still groups who do not have the opportunity to enjoy the benefits of sport due to lack of investment, particularly important for people with disabilities. A gap persists in understanding the effectiveness of inclusive sport programs in addressing equity-related targets, particularly on the effective methods of financing inclusion in sport for individuals with disabilities. Therefore, providing a platform for stakeholders to express their perspectives becomes crucial. Through focus groups and the World Café approach, the aim of this study was to gather insights from athletes, parents, professionals, and sport club managers regarding the funding of inclusive sport for people with disabilities. A total of 72 participants took part in nine focus groups in Portugal, Slovenia, and Hungary: 27 athletes with disabilities, 22 coaches, other technicians and parents, and 23 club managers/directors. Findings were divided into five topics: (1) perspectives on current funding satisfaction; (2) perspectives on sources and criteria for funding; (3) perspectives on ideal funding; (4) perspectives on ideas to reach decision-makers; and (5) proposals on ideal criteria for funding. Based on these findings, six measurable criteria for fair funding allocation were suggested that could develop a properly weighted system of criteria for decision-makers to assess the allocation of funding among inclusive sport organizations with the potential to catalyze broader policy and societal changes. Additionally, there is a pressing need to develop a funding model for inclusive sport for individuals with disabilities.