Full Guidance Research Articles

Text Messaging as an Instruction Support on Spelling Performance of the Learners

The purpose of this study was to explore the effect of text messaging on the spelling performance skills of the learners in selected elementary schools. It utilized the descriptive method of research to explore the prevailing or existing condition as to the extent of text messaging and the spelling performance of the learners. The findings revealed in the dictation and written test of the learners that their spelling skills highest frequency was “Good.” Further, the results showed a highly significant relationship between the extent of cellphone use on text messaging and the spelling performance of the learners. However, some of the participants contradicted the views mentioned, according to them, using a cellphone in texting can be used as a tool to enhance the spelling performance of the learners due to the built-in features of grammar and spelling. Therefore, it is concluded that text messaging can be used as a tool to support instruction in the spelling skills of the learners. Further, it is recommended to give full guidance on the proper usage of a cellphone to appropriately correct the learners’ spelling skills.

Summary: Appropriate Use Criteria for the Use of Nuclear Medicine in Fever of Unknown Origin.

The diagnostic work-up of patients with fever of unknown origin (FUO) begins with a thorough history and physical examination, complete blood count with differential, chest x-ray, urinalysis and culture, electrolyte panel, liver enzymes, erythrocyte sedimentation rate, and C-reactive protein level. Additional imaging procedures, including nuclear medicine tests, are generally used as second-line procedures, with 18F-FDG PET and PET/CT assuming increasingly important roles in the diagnostic work-up. The Society of Nuclear Medicine and Molecular Imaging, the Infectious Diseases Society of America, and the American College of Nuclear Medicine convened an autonomous expert work group to comprehensively review the published literature for nuclear imaging in adults and children with FUO and establish appropriate use criteria (AUC). This process was performed in accordance with the Protecting Access to Medicare Act of 2014, which requires that all referring physicians consult AUC by using a clinical decision support mechanism before ordering advanced diagnostic imaging services. The complete findings and discussions of the work group were published on January 8, 2023, and are available at https://www.snmmi.org/ClinicalPractice/content.aspx?ItemNumber=15666 The AUC in the final document are intended to assist referring health care providers in appropriate use of nuclear medicine imaging procedures in patients with FUO. The work group noted limitations in the current literature on nuclear medicine imaging for FUO, with the need for well-designed prospective multicenter investigations. Consensus findings from published data and expert opinions were used to create recommendations in common clinical scenarios for adults and children. Included in the complete document is a discussion of inflammation of unknown origin (IUO), a recently described entity. In view of the fact that the criteria for FUO and IUO are similar (except for fever > 38.3°C [100.9°F]) and that the most common etiologies of these 2 entities are similar, it is the expert opinion of the work group that the recommendations for nuclear medicine imaging of FUO are also applicable to IUO. These recommendations are included in the full guidance document. This summary reviews rationale, methodology, and main findings and refers the reader to the complete AUC document.

Review of medical image processing using quantum-enabled algorithms

Efficient and reliable storage, analysis, and transmission of medical images are imperative for accurate diagnosis, treatment, and management of various diseases. Since quantum computing can revolutionize big data analytics by providing faster solutions and security tactics, numerous studies in this field have focused on the use of quantum and quantum-inspired algorithms to enhance the performance of traditional medical image processing approaches. This review aims to provide readers with a succinct yet adequate compendium of the advances in medical image processing combined with quantum behaviors for disease diagnosis and medical image security. Some open challenges are outlined, identifying the performance limitations of current quantum technology in their applications, while addressing the short-, medium-, and long-term development plans of this field in designing future quantum healthcare systems. We hope that this review will provide full guidance for upcoming researchers interested in this area and will stimulate further appetite of experts already active in this area aimed at the pursuit of more advanced quantum paradigms in medical image processing applications.

The Accuracy of Dental Implant Placement With Different Methods of Computer-Assisted Implant Surgery: A Network Meta-Analysis of Clinical Studies.

Computer-assisted implant surgery (CAIS) has been introduced as a tool to aid in reaching a more accurate implant position. The aim of this network meta-analysis was to compare all the available CAIS techniques and obtain collective evidence on the method that offers the highest accuracy compared to freehand implant placement. Database search was done in PubMed, Scopus, and Cochrane library in addition to extensive search in the gray literature and related systematic reviews, aiming to find clinical studies that compared any CAIS technique with another, or with freehand implant placement. The outcomes evaluated were angle, platform, and apex deviation. The search process ended on March 18, 2024. Thirty-three studies were included. All CAIS techniques (static with partial or full guidance, dynamic with partial or full guidance, the combination of static and dynamic CAIS) showed significantly less deviation than freehand implant placement, except for the static CAIS with guidance for the pilot drill only. The combination of static and dynamic CAIS ranked best among all other methods. Based on the GRADE system, the certainty of evidence in the outcomes of the meta-analysis was judged as low or moderate. The current study demonstrates that computer-assisted implant surgery provides significantly higher accuracy in implant placement, with the combination of static and dynamic CAIS being the most precise. Nevertheless, future studies are needed, considering the different types, locations, and extents of edentulism in the analyzed investigations, as well as the necessity of obtaining stronger evidence. PROSPERIO number: CRD42023482030.

A Human-Machine Agent Based on Active Reinforcement Learning for Target Classification in Wargame.

To meet the requirements of high accuracy and low cost of target classification in modern warfare, and lay the foundation for target threat assessment, the article proposes a human-machine agent for target classification based on active reinforcement learning (TCARL_H-M), inferring when to introduce human experience guidance for model and how to autonomously classify detected targets into predefined categories with equipment information. To simulate different levels of human guidance, we set up two modes for the model: the easier-to-obtain but low-value-type cues simulated by Mode 1 and the labor-intensive but high-value class labels simulated by Mode 2. In addition, to analyze the respective roles of human experience guidance and machine data learning in target classification tasks, the article proposes a machine-based learner (TCARL_M) with zero human participation and a human-based interventionist with full human guidance (TCARL_H). Finally, based on the simulation data from a wargame, we carried out performance evaluation and application analysis for the proposed models in terms of target prediction and target classification, respectively, and the obtained results demonstrate that TCARL_H-M can not only greatly save labor costs, but achieve more competitive classification accuracy compared with our TCARL_M, TCARL_H, a purely supervised model-long short-term memory network (LSTM), a classic active learning algorithm-Query By Committee (QBC), and the common active learning model-uncertainty sampling (Uncertainty).

Daily Time Table of Students in Gurukul: A Study of Gurukul in Devghat, Tanahun

This study aims to show the timetable applied / practiced by the students in Gurukuls , especially with reference to Mahesh Gurukul located in Devghat, Tanahun. Gurukul has got credit in the development of an innate sense of concentration of students to involve them in their study. The students will be around the environment of a teacher so that they can develop physical, mental, cognitive and spiritual goodness in them according to their regular timetable. Gurukul is an education system of receiving education under the full guidance of a guru/teacher. This system has been in practice since ancient times. In Gurukul education, Sanskrit language is considered as the first and oldest language used since the past time period. It has also got its own unique teaching style. Its value is that it reflects the culture in education system. There are around two hundred fifty Gurukuls in Nepal. The curriculum of traditional Gurukul education had been prepared by a guru/ teacher and would be completed within a fixed time. Furthermore, particular subjects would be completed by students within the given time period. In this context, the learners had to follow real time to complete the study of Bhagawat, Puranas or Vedas etc. It is to be understood that Gurukul education plays significant role for children who have not access to another type of formal education. It is generally related to teacher-centered method of learning. Gurukul education system has been established on Hindu religious and cultural practices. There are only three ways to get education in Gurukul education system: knowledge gained through Guru's service, cooperation of skill and friendly environment. Gurukul education has followed particular and certain time table to promote their traditional norms and values. So, all students and teachers should follow the time table fixed by Gurukul. The methodology of this paper is opened ended interview with head teacher and teachers and focus group discussion was held with students.

Using problem-based exploratory training to improve pilot understanding of autopilot functions

Previous research indicated a need to improve pilot training with regard to understanding of autopilot logic and behavior, especially in non-routine situations. Therefore, we tested the effect of problem-based exploratory training on pilots’ understanding of autopilot functions. Using a moving-base flight simulator, general aviation pilots (n = 45) were trained to diagnose failures either without foreknowledge and guidance (exploratory group), without foreknowledge but with some guidance (exploratory-guidance group) or with foreknowledge and full guidance (control group). They subsequently performed six test scenarios in which their understanding of the effects of failures was tested by requiring them to deduce the failures and select autopilot modes that were still functioning. Those who received exploratory training with guidance were significantly more likely than the other groups to diagnose failures correctly. The exploratory training group also selected the most appropriate functioning autopilot modes significantly faster than the control group. The results suggest that exploratory training with an appropriate level of guidance is useful for gaining a practical understanding of autopilot logic and behavior. Exploratory training may help to improve transfer of training to operational practice, and prevent automation surprises and accidents.

全程化就业指导服务中辅导员的角色与定位研究

全程化就业指导服务中辅导员的角色与定位研究

Optical Accuracy Assessment of Robotically Assisted Dental Implant Surgery for Partially Edentulous Patients: A Single-Arm Clinical Trial.

To quantify the clinical accuracy of a robotically assisted implant guidance system in partially edentulous patients without the use of postoperative CBCT. A total of 10 implants (7 patients) were placed in partially edentulous patients utilizing a robotically assisted implant guidance system. Following the implant placement, an intraoral scan was performed to register the implant position after attaching a scan body. The virtual plan and the postoperative intraoral scan with the scan bodies were exported as STL files and superimposed, and discrepancies were analyzed using Geomagic Control X software. Positional deviations were measured between the midpoint of the platform and apex of the planned and achieved implant positions. Seven of the 10 implants in this study were defined as fully robotically guided, while 3 were partially robotically guided. For the fully robotic dynamically guided group, the mean deviation at the midpoint of the restorative platform of the implant, the apex of the implant, the top of the scan body, and the mean angular deviation were 1.31 ± 0.46 mm, 1.58 ± 0.61 mm, 1.11 ± 0.57 mm, and 2.34 ± 1.71 degrees, respectively. For the partially robotic dynamically guided cases, these values were 1.31 ± 0.49 mm, 1.45 ± 0.3 mm, 1.74 ± 0.47 mm, and 3.75 ± 2.53 degrees, respectively. Eight of the 10 implants (irrespective of full or partial guidance) showed a buccal displacement. Robotic surgery offers a level of accuracy similar to fully guided implant placement, without the need for a physical template, and allows for changes in the surgical plan at any time. The analytical method described in this study is an effective and radiation-free quality-control tool that can be used in implant dentistry as well as in other areas of dental research.

Learn about EEOC's new guidance on visual disabilities and the ADA

The U.S. Equal Employment Opportunity Commission recently issued new guidance on how the Americans with Disabilities Act applies to employees and job applicants with visual disabilities. This column explains the key points below. You can find the full guidance document here (https://bit.ly/3Otf0oe).

Hakikat Peserta Didik Dalam Pendidikan Islam

Writing this article aims to find out how the nature of students in Islamic education. One important component in an educational process is students. Adab which defines students as people who are studying or studying in educational institutions, and are called students, santri to students. This study uses a qualitative research method that is library research which uses books and other literature as the main object, and uses a descriptive method in analyzing the data. This descriptive analysis method provides clear, objective and systematic descriptions and explanations. This research found that every student must take part in a particular type of education or system to grow and develop himself. Learners are people who are in a phase of growth and development both physically and psychologically who need guidance from an educator. Students in searching for life values, must get full guidance from educators. According to Islamic education, children are born in a state of fitrah and the natural surroundings will give color to the value of their life, and determine how their condition will be in the future.

Systematic development for fast and high-accuracy wavefront corrector based on liquid crystal on silicon device

ABSTRACT For wavefront corrector (WFC) based on liquid crystal on silicon (LCoS), existing good phase change linearity and fast response are the key requirements to achieve fast and high-accuracy performance. Aiming at this, refreshing manner and period is optimised firstly to minimise the temporal phase fluctuation derived from pixels phase updating. Grey bit of applied voltage used for LCoS-WFC is also optimised to form better phase linearity and phase modulating accuracy, whether the LCoS is under over-driving method or not. After optimisation, both the phase error derived from poor phase linearity and the temporal phase fluctuation derived from improper refreshing process could be reduced by nearly one time, and the phase modulated step can be reduced to 80% of that before optimisation. This result can not only save significant LCoS design costs, but also provide full design guidance for future improvement of LCoS WFC.

SHIELD Human Factors Taxonomy and Database for Learning from Aviation and Maritime Safety Occurrences

Human factors (HF) in aviation and maritime safety occurrences are not always systematically analysed and reported in a way that makes the extraction of trends and comparisons possible in support of effective safety management and feedback for design. As a way forward, a taxonomy and data repository were designed for the systematic collection and assessment of human factors in aviation and maritime incidents and accidents, called SHIELD (Safety Human Incident and Error Learning Database). The HF taxonomy uses four layers: The top layer addresses the sharp end where acts of human operators contribute to a safety occurrence; the next layer concerns preconditions that affect human performance; the third layer describes decisions or policies of operations leaders that affect the practices or conditions of operations; and the bottom layer concerns influences from decisions, policies or methods adopted at an organisational level. The paper presents the full details, guidance and examples for the effective use of the HF taxonomy. The taxonomy has been effectively used by maritime and aviation stakeholders, as follows from questionnaire evaluation scores and feedback. It was found to offer an intuitive and well-documented framework to classify HF in safety occurrences.

Peran Pendampingan Kerabat Di Masa Pandemic Covid Dalam Meningkatkan Motivasi Belajar Anak Usia Sekolah Dasar

<p><em>Implementation and transition of learning systems, changes in learning methods due to the Covid-19 pandemic require adaptation of all elements in education. The busyness of parents in working and taking care of the household causes children not to get full guidance. This causes children's activities and children's enthusiasm for learning to be out of control by parents. Parents take the initiative and on the basis of family concerns, relatives as the child's second closest person provide assistance. This study aims to determine the role, positive impact of family assistance in increasing the learning motivation of elementary school-age children in Pekalongan Regency. The chosen research approach is descriptive qualitative research and uses field qualitative research. Data obtained from observation, interviews and documentation. Sources of data come from</em><em> student,</em><em> </em><em>family </em><em>relatives, </em><em>and </em><em>parents</em><em>. </em><em>Data analysis techniques include data reduction, data presented and concluded. Based on the results of research on the role of accompanying relatives in increasing learning motivation, relatives act as supervisors, role as learners, role as advisors and directors. Furthermore, the positive impact of mentoring is to strengthen brotherhood, children feel cared for, children become enthusiastic about learning, and mentoring/supervision by relatives helps parents</em></p><p> </p><p><strong><em>Keyword</em></strong><em>: covid</em><em>19</em><em>,</em><em> </em><em>family assistance</em><em>,</em><em> learning motivation, elementary school</em><em> children</em></p>

Key elements and checklist of shared decision-making conversation on life-sustaining treatment in emergency: a multispecialty study from China.

Shared decision-making (SDM) has broad application in emergencies. Most published studies have focused on SDM for a certain disease or expert opinions on future research gaps without revealing the full picture or detailed guidance for clinical practice. This study is to investigate the optimal application of SDM to guide life-sustaining treatment (LST) in emergencies. This study was a prospective two-round Delphi consensus-seeking survey among multiple stakeholders at the China Consortium of Elite Teaching Hospitals for Residency Education. Participants were identified based on their expertise in medicine, law, administration, medical education, or patient advocacy. All individual items and questions in the questionnaire were scored using a 5-point Likert scale, with responses ranging from "very unimportant" (a score of 1) to "extremely important" (a score of 5). The percentages of the responses that had scores of 4-5 on the 5-point Likert scale were calculated. A Kendall's W coefficient was calculated to evaluate the consensus of experts. A two-level framework consisting of 4 domains and 22 items as well as a ready-to-use checklist for the informed consent process for LST was established. An acceptable Kendall's W coefficient was achieved. A consensus-based framework supporting SDM during LST in an emergency department can inform the implementation of guidelines for clinical interventions, research studies, medical education, and policy initiatives.

Chances for the upscaling of living-cost neutral renovations in the Netherlands

Many multi-owned condominiums need an energy renovation, but in practice the number of such renovations is low. Dutch policy emphasizes the need to search for cost-neutral renovation solutions. This study therefore examined how the number of living-cost neutral renovations of buildings owned by assemblies of homeowners in the Netherlands can be increased by means of an integrated unburdening offer that includes energy performance guarantees and supply chain integration. The study uses scientific literature, project experiences and in-depth interviews with experts to examine how policy, demand and supply currently play a role in the upscaling of living-cost neutral renovations. The study finds that customized guidance is needed for condominium associations to steer their maintenance decision processes towards deep renovations. Also chances are detected to link living cost neutrality with energy neutrality, while developing an integrated supply chain that takes into account full process guidance including the provision of performance guarantees. This is now already successfully implemented in a new non-profit service desk and a new process model will be tested in multiple regions.

Holistic Pedadogy of Family-Based for Adolescent Identity Development

Adolescent’s deviate behavior may be caused by many different factors. A symptom of deviation that arose is just an indicator of a bigger crucial problem inside. Complexity of affective, cognitive and psychomotor in adolescence period that did not obtain proper nurture and guidance could bring them to an anomaly way. State of full guidance on adolescent brings them to finished development period and creates holistic awareness about their true identity as an entity of huge universe civilization. Holistic pedagogy comes to bring a discourse as thinking basic for describing about how to humanize adolescent that starts from the first step, home. The importance of human awareness as an entity of universe civilization with its tasks is a duty of adolescent’s development that often disappear from chains of multigenerational transmission in family, school and societal environment, where it is considered as a trigger of nowadays adolescent problems.

Increasing the Talent of High School Students through Islamic Counseling Guidance

Students, especially high school students, will always be faced with several choices, both related to personal, social, study, career, and talent lives. They often have difficulty making decisions in determining which options to choose. One of them is the difficulty in understanding oneself related to his talent and the talent plans that will be selected for his future. Difficulties in making decisions when choosing talents can be avoided if students have a sufficient amount of information about matters relating to the world of their talents. Therefore they need to get development in their talent. This research uses the literature study method. The results of this study indicate that full Islamic guidance and counseling is needed as an effort to obtain an adequate understanding of various conditions and characteristics of himself, as a 'servant of Allah' who chooses nature (potential) both about talents, interests, ideas, various strengths and weaknesses. that is in him so as not to be wrong in developing his talents in accordance with Islamic guidance (Al-Qur'an and Hadith).

Does guided level (fully or partially) influence implant placement accuracy at post-extraction sockets and healed sites? An in vitro study.

The aim of this study is to evaluate the effect of guide level on the accuracy of static computer-aided implant surgery (sCAIS) at post-extraction sockets and healed sites. A total of 30 duplicate dental models, with 300 potential implant sites, were used. All the models were equally randomized into three groups: fully guided (FG, n = 100), partially guided (PG, n = 100), and free handed (FH, n = 100) surgeries. After implant placement, the mean global, horizontal, depth, and angular deviations between the virtually planned and actual implant positions were measured automatically by a Python script within software Blender. Both FG and PG surgeries showed significantly higher accuracy than FH surgery at post-extraction sockets and healed sites. In both sCAIS groups, there were nearly 50% more deviations from implants placed at sockets than those from delayed placement. For the immediate implant placement, the accuracy of sCAIS was significantly affected by the level of guidance. The FG group exhibited lower deviations than the PG group, with a significant difference in coronal global and horizontal deviations (p < .05). For the healed sites, two guided groups exhibited similar outcomes (p > .05). sCAISs provide more accuracy than the free-handed approach in position transferring from planning to a model simulation. Full guidance can significantly increase the accuracy, especially at post-extraction sites. Guided protocols showed significantly higher accuracy than free-handed surgery regardless of implantation timing, but both had nearly 50% more deviations in immediate implant placement.

Incidence of fractures and clinical profile of patients following up at a Fracture Liaison Service in the city of Curitiba

BackgroundOsteoporotic fractures are common, and their incidence are increasing worldwide. The first fracture doubles the risk of new fractures. Despite that, up to 80% of patients with a fragility fracture are evaluated or treated to reduce the risk of new fractures.AimsTo evaluate the results of the operation of the hospital Fracture Liaison Service (FLS) and to analyze the clinical characteristics of the patients attending the service in its first 2 years of operation and to estimate the fracture risk reduction ratio.MethodsThe FLS managed patients older than 50 years who were admitted with a low-energy trauma fracture between January 2017 and April 2018. This management consists in a full medical evaluation, nutritional and physical activity guidance, and specific osteoporosis treatment, if needed.ResultsWe monitored and treated 135 patients. Forty percent of them had a previous fracture and only 20.3% of them received treatment to prevent new fractures. On Kaplan–Meier analysis, the estimated incidence of new fractures over 24 months was 12.1% (95% CI 7.2–20.8%), indicating that the percentage of patients without new fractures due to bone fragility during treatment was estimated at 87.9% (95% CI 79.2–92.8%).ConclusionsThe evaluation and treatment of patients who sustained a fragility fracture to prevent a secondary fracture is effective in reducing the risk of new fractures in high-risk patients.