Evaluation Questionnaire Research Articles

Validation of the JH-SEFAC Questionnaire on Knowledge on Insulin Management by Patients with Diabetes in Community Pharmacies

To review and validate a questionnaire on knowledge of injectable insulin management (JH-SEFAC) by patients with diabetes for use in community pharmacies. Study design: cross-sectional observational in Spanish community pharmacies during the first half of 2023. Inclusion criteria: patients with diabetes, of legal age, on insulin treatment. Questionnaire design: a nominal group of community pharmacists reviewed and piloted the initial questionnaire to determine its feasibility. It was approved by the CEIC of Aragón (PI22/375). Content validation: by a multidisciplinary group of experts in diabetes, using an ad hoc evaluation questionnaire of 10 questions (Likert scale of 1-5). Reliability: by means of the internal consistency index (Cronbach's alpha) and the intraclass correlation coefficient (ICC). Reproducibility (test/retest): the results of the questionnaire administered twice 2-3 weeks apart to the group of patients were compared. Pharmacists members of the SEFAC Diabetes Working Group collaborated. Sample: calculated in 127 subjects (95% CI and precision of 10%). 20 community pharmacies from 13 autonomous communities included 131 patients. The expert assessment was 4.52 out of 5 (90.4%). The Keiser-Meyer-Olkin test was 0.626 and Bartlett's test was significant (p<0.001). The Cronbach's alpha of the global questionnaire was 0.804 and the ICC was 0.902. The mean score of the questionnaire was 15.98 out of 31 points. The JH-SEFAC questionnaire was validated to evaluate the management of insulin injectables, providing community pharmacists with a valuable tool for therapeutic education.

Acceptability of a remotely delivered sedentary behaviour intervention to improve sarcopenia and maintain independent living in older adults with frailty: a mixed-methods study

BackgroundSarcopenia is a leading cause of functional decline, loss of independence, premature mortality, and frailty in older adults. Reducing and breaking up sedentary behaviour is associated with positive sarcopenia and frailty outcomes. This study aimed to explore the acceptability, engagement and experiences of a remotely delivered sedentary behaviour intervention to improve sarcopenia and independent living in older adults with frailty.MethodsThis was a mixed-methods study. In-depth qualitative semi-structed interviews were conducted with a subset (N = 15) of participants with frailty (aged 74 ± 6 years) who had participated in the Frail-LESS (LEss Sitting and Sarcopenia in Frail older adults) intervention aimed at reducing sedentary behaviour. The interviews explored acceptability of the intervention overall and its individual components (a psychoeducation workbook, wrist-worn activity tracker, health coaching, online peer support and tailored feedback on sitting, standing and stepping). Process evaluation questionnaires with closed and scaled questions explored intervention engagement, fidelity and experiences.ResultsOverall acceptability of the intervention was good with most participants perceiving the intervention to have supported them in reducing and/or breaking up their sedentary behaviour. The wrist-worn activity tracker and health coaching appeared to be the most acceptable and useful components, with high levels of engagement. There was attendance at 104 of 150 health coaching sessions offered and 92% of participants reported using the wrist-worn activity tracker. There was a mixed response regarding acceptability of, and engagement with, the psychoeducation workbook, tailored feedback, and online peer support.ConclusionsThe Frail-LESS intervention had good levels of acceptability and engagement for some components. The findings of the study can inform modifications to the intervention to optimise acceptability and engagement in a future definitive randomised controlled trial.Trial registrationThe trial was registered with ISRCTN (number ISRCTN17158017).

Meningkatkan Hasil Belajar (Pada Materi Aku Memiliki Kemampuan) Bagi Peserta Didik Kelas VII SMP Negeri 1 Kualuh Hulu

This study aims to improve the learning outcomes of Grade VII students on the topic "I Have Abilities" through the application of the Problem-Based Learning (PBL) model for students at SMP Negeri 1 Kualuh Hulu in the 2024/2025 academic year. The PBL method was chosen for its ability to enhance student engagement, critical thinking skills, and problem-solving abilities relevant to everyday life. This research employs a classroom action research (CAR) design involving two cycles of action. Data were collected through learning outcome tests, observations of the learning process, and evaluation questionnaires. The results of the study show a significant improvement in students' learning outcomes, as evidenced by increased test scores and positive feedback from students regarding the learning process. The implementation of the PBL model also demonstrated improvements in students' collaboration skills and learning motivation. Therefore, the use of the Problem-Based Learning model can be considered effective in improving students' learning outcomes in the taught material.

New Assessment Method for Upper Limb Function in Patients with Cervical Spondylotic Myelopathy: The 10 Coins Test.

Retrospective cohort study. Although there are several methods available to assess upper limb function in patients with cervical spondylotic myelopathy, few methods can evaluate the degree of upper limb functional impairment in activities of daily living. We devised and evaluated the utility of a new assessment method called the 10 Coins Test, which is based on daily movements. The study included 39 patients who underwent spinal surgery for cervical spondylotic myelopathy and who were followed up for 1 year postoperatively. The mean age was 65.2±11.5 years, with 31 (79.5%) male and 8 (20.5%) female patients. The 10 Coins Test is a simple examination that measures the time it takes to pick up and move 10 coins forward. Patient satisfaction with surgery was evaluated on a 5-point scale. We compared the 10 Coins Test results, patient satisfaction, and Japanese Orthopaedic Association Cervical Myelopathy Evaluation Questionnaire (JOACMEQ) results before and after surgery. The mean time to perform the 10 Coins Test was 27.4 seconds for the dominant hand and 24.5 seconds for the non-dominant hand preoperatively. In control group, the average time was 14.6 seconds for the dominant hand and 15.0 seconds for the non-dominant hand. The cut-off value was 16.2 seconds. There was a significant difference in the 10 Coins Test time and satisfaction for both hands at 1 week postoperatively compared with preoperatively. The JOACMEQ upper limb motor function showed a significant improvement 3 months postoperatively compared with preoperatively. The 10 Coins Test result was correlated with satisfaction and the JOACMEQ upper limb motor function. The 10 Coins Test allows for the quantitative evaluation of complex movements. It is convenient and highly useful for assessing upper limb function in patients with cervical spondylotic myelopathy.

Effects of traditional Chinese medicine on symptoms of patients with spleen and stomach deficiency-related tinnitus.

Tinnitus affects 10%-30% of the population. Recent evidence suggests that tinnitus is associated with spleen deficiency. However, compared with kidney deficiency-related tinnitus, less research has been conducted on the impact of spleen deficiency-related tinnitus. To investigate the clinical efficacy of using Guipi Wan and dietary and lifestyle modification based on traditional Chinese medicine for treatment of patients with spleen and stomach deficiency-related tinnitus. We enrolled 110 patients with spleen and stomach deficiency-related tinnitus who were distributed into treatment (58 cases) and control (52 cases) groups. Tinnitus severity, sleep quality and emotional state were assessed by questionnaires [Tinnitus Evaluation Questionnaire (TEQ); Pittsburgh Sleep Quality Index (PSQI); Depression-Anxiety-Stress Scale-21 (DASS-21)] that were used for analysis in the two groups during the initial and intervention and after. In the treatment group, patients were treated with oral administration of Guipi Wan and consulted for healthy dietary and lifestyle modification. In the control group, patients were only assessed and not treated. At the end of the 6-months, TEQ scores decreased significantly in the treatment group (P = 0.021) but not in the Control group. Significant effects in the treatment group were noted for PSQI total score (P = 0.043) and several PSQI component scores in the treatment group (P < 0.05). After treatment, the DASS-21 scores were significantly reduced in the treatment group (P < 0.05). Guipi Wan combined with dietary and lifestyle modification based on regulating the spleen and stomach can be considered core to the treatment of tinnitus related to spleen and stomach deficiency.

Meningkatkan Hasil Belajar Pak Siswa Kelas VII Melalui Penggunaan Model PBL SMP Negeri 2 Harian Pada Materi Aku Memiliki Kemampuan

This study aims to improve the learning outcomes of grade VII students on the material "I Have the Ability" through the application of the Problem-Based Learning (PBL) model at SMP Negeri 2 Harian in the 2024/2025 academic year. The PBL method was chosen because of its ability to increase student engagement, critical thinking skills, and problem solving that is relevant to everyday life. This study uses a classroom action research (CAR) design involving two cycles of action. Data were collected through learning outcome tests, observations of the learning process, and evaluation questionnaires. The results showed a significant increase in student learning outcomes, as indicated by an increase in test scores and positive feedback from students regarding the learning process. The application of the PBL model also showed an increase in collaboration skills and student learning motivation. Thus, the use of the Problem-Based Learning model can be considered effective in improving student learning outcomes on the material taught.

Project Yarn Circle: development and pilot evaluation of a cultural connection suicide prevention program for Aboriginal and Torres Strait Islander young people

ABSTRACT Background Aboriginal and Torres Strait Islander young people experience markedly higher suicide mortality than non-Indigenous youth in Australia, yet there is little evidence of effective preventative strategies. Many are misaligned to the needs of First Nations young people due to a lack of consideration of protective factors such as community and cultural connection. Objective To date no research has examined whether increasing cultural connectedness may reduce Aboriginal and Torres Strait Islander youth suicidality. The current study outlines the development, implementation, and pilot evaluation of Project Yarn Circle, a school-based suicide prevention initiative utilising cultural education and connection. Method Project Yarn Circle was piloted by an Indigenous owned and managed youth mental health organisation, delivering 5 weekly sessions to 276 young people at 9 schools in Southeast Queensland, Australia, between 2019 and 2023. Sessions connected students to cultural knowledge and practices (stories, painting, dance, Indigenous languages) with Elders and local cultural knowledge facilitators. Results Pre- and post-program evaluation questionnaires completed 6–8 weeks apart found that participants had significantly lower suicidal ideation (GHQ-18-SS), pre 7.16, post 6.61, p = .043 higher positive ideation/reasons for living (PANSI-PI) pre 22.44, post 23.60, p = .009, and higher self-esteem (RSES) pre 16.55, post 23.60, p = .005. Analyses of cultural connectedness items co-designed for this evaluation study and validated using Exploratory Factor Analysis found that students demonstrated greater cultural identity clarity, peer cultural competence, strength from culture, salience of cultural continuity and sense of belonging. Conclusions These findings provide new evidence towards utilising cultural connectedness as an intervention mechanism in Indigenous youth suicide prevention.

Meningkatkan Hasil Belajar (pada Materi Aku Memiliki Kemampuan ) Bagi Peserta Didik Kelas VII-2 SMP Negeri 1 Nainggolan

This study aims to improve the learning outcomes of Grade VII-2 students on the topic "I Have Abilities" through the application of the Problem-Based Learning (PBL) model for students at SMP Negeri 1 Nainggolan in the 2024/2025 academic year. The PBL method was chosen for its ability to enhance student engagement, critical thinking skills, and problem-solving abilities relevant to everyday life. This research employs a classroom action research (CAR) design involving two cycles of action. Data were collected through learning outcome tests, observations of the learning process, and evaluation questionnaires. The results of the study show a significant improvement in students' learning outcomes, as evidenced by increased test scores and positive feedback from students regarding the learning process. The implementation of the PBL model also demonstrated improvements in students' collaboration skills and learning motivation. Therefore, the use of the Problem-Based Learning model can be considered effective in improving students' learning outcomes in the taught material.

The minimal clinically important difference of two multifaceted fatigue evaluation questionnaires in chronic stroke

ABSTRACT Purpose This research sought to ascertain the Minimal Clinically Important Difference (MCID) and Robust Clinically Important Difference (RCID) of the Multidimensional Fatigue Symptom Inventory-Short Form (MFSI-SF) and Chalder Fatigue Questionnaire-11 (CFQ-11) as two important concepts for the clinical interpretation of the results in chronic post-stroke population. Methods A total of 128 subjects with chronic post-stroke completed the MFSI-SF and CFQ-11 before and after six weeks of intervention. The MCIDs were derived using both anchor- and distribution-based methods; however, only anchor-based methods were used to estimate RCIDs. Results Anchor-based MCIDs for MFSI-SF and CFQ-11 were in the range of −5 to −6.28 and −2 to −4.56, respectively. Distribution-based MCIDs in MFSI-SF and CFQ-11 were calculated in the range of −4.17 to −24.05 and −1.72 to −7.68, respectively. RCID ranges of −10 to −15 were obtained for the MFSI-SF and −6 to −7.33 for the CFQ-11. Conclusion These findings may have implications for clinical experts in the clinical interpretation of fatigue changes observed in MFSI-SF and CFQ-11 in individuals with chronic stroke.

Crisis preparedness exercise on food and feed safety for IPA beneficiaries 2024.

The European Food Safety Authority (EFSA) within the framework of the Preparatory measures for the participation of IPA beneficiaries in the European Food Safety Authority 2023-2026 will organize a total of 3 crisis preparedness training events for the IPA countries (Albania, Bosnia and Herzegovina, Kosovo,* Montenegro, North Macedonia, Serbia, Türkiye). For 2024, EFSA requested to organise a simulation exercise focused on a multi-country incident related to biological risks in products of animal origin. The overall objectives of the training were: 1) to increase IPA countries' knowledge and understanding of crisis handling concepts and of EFSA's crisis handling procedures; 2) to improve preparedness and response planning for crisis situations in the domain of biological hazards; 3) to improve coherence, interoperability and coordination, to be prepared for communication and decision-making challenges in crisis situations. Working with the contractor Opera srl, EFSA organised a 2-day training on 26-27 June 2024 in Sarajevo (Bosnia and Herzegovina), attended by 24 participants (3 online) from 7 IPA countries, 2 representatives from EFSA and 1 representative from the hosting competent authority from Bosnia and Herzegovina. Participants were briefed on the IPA crisis preparedness training scheme, EFSA's crisis handling procedures, principles of crisis communication (remote mode), EFSA - ECDC Rapid Outbreak Assessment (remote mode), food safety risk assessment structures in Bosnia and Herzegovina and Serbia. Most of the workshop was dedicated to the simulation exercise, that was organized in a tabletop format, with injects describing an evolving food safety incident and a debriefing after each inject. During the exercise, 1 audio-conference meeting and a TV debate were simulated. The exercise was concluded with a brainstorming session between the tutors and participants. Three recommendations were done to improve the organization of future events. Six recommendations were given for the improvement of risk assessment, risk management and risk communication in IPA countries. The objectives were achieved, based on the results of the knowledge test and on the feedback provided by participants in the course evaluation questionnaire.

Development and User Experience Evaluation of an Experience Sampling-Based Dietary Assessment Method

BackgroundMost technology-based dietary assessment methods use the same methodology as traditional dietary assessment methods resulting in similar limitations and biases. Experience sampling methodology (ESM) is a real-life real-time data-capturing method that is explored as an alternative methodology for dietary assessment to improve feasibility and data accuracy. ObjectivesThis research aimed to develop and evaluate an experience sampling-based dietary assessment method (ESDAM) measuring habitual dietary intake. MethodsStarting from a food frequency questionnaire, experience sampling principles were implemented resulting in a pilot ESDAM. Second, the pilot ESDAM was evaluated for feasibility and convergent validity compared with a 3-d food record. Mean intake with standard deviations was compared between the pilot ESDAM, food record (FR), and food frequency questionnaire (FFQ), and Spearman correlation coefficients (SCCs) were calculated. Third, following a literature review and expert opinion, the questions and design of the pilot ESDAM were further adapted to ESM and implemented in an experience sampling survey application. The resulting prototype ESDAM underwent 2 rounds of user experience (UX) evaluation in which 10 persons tested ESDAM for 1 wk followed by a structured evaluation interview. ResultsThe pilot ESDAM, FR, and FFQ were completed by 28 participants and the evaluation questionnaire by 78 participants. Mean energy intake by the FFQ, pilot ESDAM, and FR was 1272.2 ± 308.9 kcal/d, 1592.3 ± 358.9 kcal/d, and 1664.6 ± 257.8 kcal, respectively. The evaluation revealed the limited time window (19:00–23:00) to respond was inconvenient, good acceptability, and ease of use of the pilot ESDAM. The UX evaluation study revealed overall good acceptability, ease of use, and low burden of the different prototypes of ESDAM. ConclusionsESM could advance the field beyond traditional methodologies and improve feasibility. ESDAM is unique in assessing dietary intake quantitatively through ESM. Additional assessment of validity might shed light on the data accuracy of ESDAM.

L’annonce en oncologie pédiatrique – retour d’expérience sur les formations par méthode de simulation dans le GOCE (Grand Ouest cancer de l’enfant)

The announcement of a cancer diagnosis is a crucial moment in the management of the disease, as it is the starting point for a relationship of trust between patient and caregiver. In 2005, this issue led to the creation of an announcement system as part of the 2003-2007 cancer plan, but its implementation in practice remains uncertain. Pediatric oncology has its own specificities, with a triangular relationship and the need for doctors to adapt to the child's age. These skills require special training, and training opportunities vary from one area to another. To this end, the Angers and Caen centers have developed simulation exercises for training in pediatric oncology announcement. These consist of a theoretical part, followed by an announcement interview with actors, then a debriefing. Evaluation questionnaires are completed by learners before and after the session, and have highlighted the usefulness of this training, particularly in helping them to feel better prepared to face this stressful moment. As simulation has proved its educational value in the healthcare field, GOCE has developed simulation-based training courses for interns/CCAs/assistants in the territory. These courses are much appreciated and are proving extremely useful in clinical practice. This has led the SFCE to extend these courses to all CCAs and young PHs in pediatric oncology in France.

Use of the Oral Sialogogue “Oriza Tablet” in Reducing Drug-Induced Xerostomia in Patients with Overactive Bladder or Neurogenic Bladder: Randomized Clinical Study

Purpose Evaluate the clinical efficacy of “Oriza tablet” (OT) for patients with neurologic bladder or overactive bladder affected by xerostomia due to receiving antimuscarinic drugs. Material and methods This was a randomized clinical trial. Twenty-eight patients (median age = 64 years) with xerostomia were divided into two groups: OT (intervention group) and placebo (control) group. Both groups comprised 14 patients each. Objective We assessed severity using a questionnaire for the subjective evaluation of xerostomia. Objective evaluation was undertaken for the stimulated salivary flow rate (SSFR). Xerostomia evaluation took place before treatment (baseline) as well as 2 weeks and 4 weeks after treatment. Results The xerostomia score decreased significantly ( p &lt; 0.05) in the OT group compared to the placebo group, with scores of 2.75 versus 4.4 at 2 weeks and 2.19 versus 4.13 at 4 weeks, respectively. The SSFR increased significantly ( p &lt; 0.05) in the OT group compared to the placebo group, with SSFR of 2 versus 1.2 at 2 weeks and 1.85 versus 1.1 at 4 weeks, respectively. Throughout the trial, no patient discontinued taking antimuscarinic medications. There were no adverse effects noted. Conclusion Continuous daily use of OT for 4 weeks reduced xerostomia symptoms and increased saliva production in patients suffering from neurologic bladder or overactive bladder who received antimuscarinic medications. Clinical trial registration The study was registered with The Thai Clinical Trials Registry (TCTR). ID: TCTR20240715015.

Loneliness among first-year university students: Evaluating a peer support intervention

Loneliness is a subjective feeling of isolation or lack of companionship that is distinct from anxiety and depression. Loneliness is a significant problem for students that not only affects their wellbeing but also their ability to learn at university. Using a pre-registered protocol, this study investigated the effectiveness of a peer support intervention to ease the transition of first-year students to university life and reduce loneliness. First-year Psychology students were randomly allocated to the peer support intervention (n=20) or a no-intervention control group (n=32). Self-ratings of loneliness and wellbeing were obtained at baseline and 6 months later using the UCLA Loneliness Scale Version 3 and the General Population – Clinical Outcomes in Routine Evaluation (GP-CORE) questionnaires respectively. Despite high initial levels of loneliness, both the intervention and control groups exhibited a significant reduction over time, possibly reflecting the students’ adaptability to new social settings. However, wellbeing concerns remained persistent, highlighting that loneliness and wellbeing may require distinct approaches. The peer support intervention did not produce significant improvements, calling for more structured and effective strategies. The study also faced limitations due to low participant engagement, suggesting the need for additional motivational factors to enhance uptake of the peer support intervention.

How effective is proprioception exercise on pain, grip force, dexterity and proprioception of elbow joint in patients with tennis elbow? A randomized controlled trial

BackgroundPatients with tennis elbow (TE) disorder suffer from proprioception deficits alongside other symptoms, which usually is neglected to be targeted in different physiotherapy protocols. This study aimed to investigate the effects of proprioception exercises on treatment outcomes. MethodsIn this RCT, 14 males and 30 females TE volunteered patients were randomly divided into two intervention (IG) and control (CG) groups, in which CG received routine physiotherapy, while IG underwent further proprioception exercises for 18 sessions within six weeks. Pain, function, grip force, dexterity, and proprioception of elbow joint were evaluated using Patient-Rated Elbow Evaluation (PREE) questionnaire, handheld dynamometer, Purdue Pegboard, and isokinetic dynamometer, respectively. ResultsA significant within group improvement was observed in terms of pain (IG: 49.93%, CG: 42.75%), function (IG: 61.9%, CG: 48.95%), grip force (IG: 22.1% CG: 16.9%), dexterity (IG: 18.96% CG: 11.82%), active joint position error (IG: 32.99, CG: 7.33 %), and the threshold to detection of passive motion (TTDPM) for both groups (IG: 24.35, CG: 24.86%) in both groups after treatment as compared to before treatment (p < .0001), with no statistically significant differences between the groups for these variables except for active joint position error, which showed a significant reduction in the IG (p < .02). ConclusionIt could be concluded that proprioception exercises has a limited added value on routine physiotherapy it terms of pain, function, grip force, and dexterity. However, adding proprioception exercises found to be beneficial for improving variables determining joint position sense.

Innovation in Legislation and Its Role in Stimulating the Development of Legal Administration: An Analytical Study in Legal Institutions

The research aims to understand the impact of innovation in legislation on the development of legal management. We depended on 3 dimensions: (Flexibility –Transparency Inclusiveness). A sample such as a hundred employees become drawn, representing 50% of the populace size. A questionnaire become used to acquire the desired information, and the facts were analyzed the usage of SPSS 25 statistical software. The researcher dispensed 160 research bureaucracy and retrieved a 125 questionnaires, representing a reaction charge of 78%. There had been 25 invalid questionnaires for evaluation, accounting for 15.6%. Thus, 100 valid questionnaires had been obtained, forming the studies pattern with a reaction charge of 62.5 %. A set of statistical techniques changed into hired, such as imply calculation, correlation coefficient, and simple regression analysis, further to the use of a five point Likert scale for individual responses inside the sample. The studies concluded with several findings, the most vital of which might be: There is a vast impact of innovation in rules throughout its studied dimensions in stimulating the improvement of legal management. The researcher recommended the need of increasing funding in legislative development by allocating extra financial resources and human capital to enhance the prison infrastructure.

A mixed methods evaluation of the music and psychology and social connections (MAPS) pilot - A dyadic intervention for couples affected by young-onset dementia.

People living with young-onset dementia and their care-partners are at risk of a range of adverse mental health outcomes and social isolation. There are few interventions aimed at supporting couples affected by young-onset dementia, which poses unique psychosocial challenges for younger people. This pre-post interventional mixed methods pilot study aimed to assess the feasibility and acceptability of an online group program for people with young-onset dementia and their care-partners living at home in Australia. The Music And Psychology and Social connections (MAPS) program aimed to address: (1) the challenges and changes associated with young-onset dementia; and (2) coping and wellbeing. The program involved six weekly two-hour sessions co-facilitated by a psychologist and music therapist, and a private Facebook group. The primary outcomes of feasibility and acceptability were assessed through a post-program focus group, separate individual feedback sessions with each couple, and a program evaluation questionnaire. Thematic analysis was conducted on the focus group transcripts and field notes from couple feedback sessions. We also examined the preliminary utility of MAPS in improving mental health and social connectedness, using quantitative pre-post-measures. Five couples completed the MAPS program. The most common dementia type was Alzheimer's Disease. Participant attendance was 87% across all sessions. Qualitative findings supported acceptability of the program with four emergent themes: being connected to others with shared experiences; reframing thoughts and feelings about dementia; music as a therapeutic tool; and benefits of MAPS. The high retention rate, qualitative findings and positive program evaluation suggest MAPS may be a promising, feasible and acceptable program for couples affected by young-onset dementia.

The Examination of In-Service Training Programs via Distance Education in Turkey According to Teachers' Opinions

The aim of this study is to determine teachers' satisfaction with in-service training programs organized through distance education and their opinions about the program. In this research, the survey model, one of the quantitative research methods, was used. The sample of this study consisted of 955 teachers working in kindergartens, primary schools, secondary schools and high schools affiliated with the Ministry of National Education in Eskişehir province, in Turkey, in the 2020-2021 academic year. Stratified sampling was used in sample selection. In the study, Satisfaction Questionnaire for In-Service Training Programs Implemented by the Ministry of Education through Distance Education, In-Service Program Evaluation Questionnaire Implemented by the Ministry of National Education Through Distance Education were used. 921 scales and surveys collected for data analysis were evaluated. Statistical Package for the Social Sciences (SPSS) analysis program was used to analyze the data. The analysis results were tabulated and the data obtained were interpreted with numbers (N) and percentages (%). Descriptive analyzes were used in the research. It has been concluded that the 54.6 percent of the teachers are satisfied with the in-service training courses implemented through distance education so far. In addition, it has been revealed that teachers' opinions about in-service activities organized by the Ministry of National Education through distance education are positive.

The Role of Cage Placement Angle in Optimizing Short-Term Clinical Outcomes in Lateral Lumbar Interbody Fusion

OBJECTIVEThe purpose is to investigate the impact of cage angle on clinical outcomes and indirect decompression efficacy in patients undergoing lateral lumbar interbody fusion (LLIF). METHODSA retrospective review was conducted on 87 patients with single-level lumbar degenerative disease (LDD) who underwent LLIF. Patients were grouped based on the angle of cage placement: minimal (0°-5°), mild (>5° ≤ 15°), and severe (>15°). Clinical outcomes assessed included pain intensity, functional improvement, and complication rates. Magnetic resonance imaging (MRI) evaluations included measurements of canal diameter (CD) and central canal area (CCA) pre- and postoperatively. Patient-reported outcomes were also analyzed using the Japanese Orthopaedic Association Back Pain Evaluation Questionnaire (JOABPEQ). RESULTSClinical and radiographic outcomes were significantly improved across all cage angle groups. Reductions in low back pain, leg pain, and numbness were significant in all groups, with no significant differences. MRI evaluations revealed significant increases in CD and CCA postoperatively, confirming effective indirect decompression. JOABPEQ scores showed significant improvements in all domains, including low back pain, lumbar function, walking ability, social life function, and mental health. However, the severe angle group had higher rates of delayed cage subsidence (DCS). Complications such as transient motor weakness, thigh pain, numbness, and the need for revision surgery were consistent across groups, with no significant differences. CONCLUSIONSLLIF effectively treats LDD patients, providing significant short-term clinical and radiographic improvements regardless of cage angle. However, oblique cage placement increases the risk of cage subsidence, requiring careful surgical planning and postoperative following.

Achieving a Strong and Straight Septal Extension Graft: A Novel Four-step Surgical Approach in Rhinoplasty.

Septal extension grafts allow the precise elongation of the nasal septum to attain facial harmony and optimize aesthetic outcomes. In this context, septal surgery requires meticulous design to address both functional and aesthetic goals. Traditional septoplasty techniques often overlook aesthetic considerations and postoperative nasal structural stability, resulting in unresolved or recurrent deviations, nose tip drooping, and obstruction recurrences. Despite advancements in surgical techniques, achieving simultaneous septal alignment and long-term stability remains a significant challenge. This study introduces a systematic 4-step technique. The procedure encompasses caudal septum liberation, placement of the septum extension cartilage graft, positioning of an ethmoidal bone graft, and redefinition through an intermediate cartilage. A retrospective analysis of outcomes involving 753 patients was conducted with a minimum follow-up of 6 months. During follow-up visits, 1.73% of cases exhibited residual columellar asymmetry, and 0.66% showed tip asymmetries. The infection rate was 0.40%, with no cases of tip drop identified. The overall satisfaction rating on the Rhinoplasty Outcomes Evaluation questionnaire at 12 months postoperative was 9.3. The technique provides a systematic approach to integrate functional and aesthetic objectives, emphasizing septal stability and alignment while concurrently addressing tip projection and stability. The study provides comprehensive insights into the principles, methodology, and advantages of this rhinoplasty technique. The outcomes underscore the efficacy of the technique, presenting a reliable and long-term stable solution.