Independent T-test Research Articles

The Impact of Google Translate on High School Students’ Writing Ability

The rapid development of information and communication technology, Google Translate has become a tool that used often in education, especially to help student in written assignments. This study aims to explore the impact of using Google Translate on high school students' writing abilities. This research uses mixed methods including, quantitative methods with a quasi-experimental design and using a questionnaire to measure students' perceptions on how much impact Google Translate has on writing skills. Quantitative methods with the Independent Samples T-test to assess differences in writing ability between groups who use Google Translate and those who do not. In addition, descriptive analysis was carried out on questionnaire data to understand students' perceptions of the impact of Google Translate in the writing learning process. The results show that the use of Google Translate has a positive impact on increasing students' writing scores. However, there is variation in student perceptions regarding the effectiveness and accuracy of these tools. This research provides important insights for educators in integrating technology in education, by considering the benefits and limitations of these digital translation tool in the context of learning to write.

Health-related quality of life and its associated factors among infertile women compared with fertile women in public hospital Addis Ababa, Ethiopia: a comparative cross-sectional study

BackgroundInfertility can have detrimental physical, psychological, and social effects that significantly impact health-related quality of life. Although the impact of infertility on quality of life is well established, there is a lack of research comparing the quality of life between fertile and infertile women in Ethiopia.MethodsA hospital-based comparative cross-sectional study was conducted among 287 infertile and 301 fertile women. Participants were selected using systematic random sampling. A structured, validated tool was used to collect data. An independent sample t-test was conducted to determine if there was a difference in the study participants' quality of life domains and the mean total quality of life score. Multiple linear regressions were used to correlate quality of life scores with significant predictor factors for the infertile group.ResultsInfertile women had a mean total Herbal of 66.54 ± 10.18, and fertile women (72.68 ± 7.57) were found to be statistically different between the groups. All domains except the physical domain were significantly different between the groups. Duration of marriage (β = -0.529), number of previous sexual partners (β = -0.410), total number of working hours per day (β = -0.345), types of infertility (β = -0.34), and history of the sexually transmitted disease (β = -0.277), in decreasing order of effect, were found to be associated with the quality of life of infertile women (R2 = 0.725).ConclusionsThe study found that infertile women had a lower mean HRQoL score compared to fertile women, with all domains except for the physical domain being significantly different between the two groups. This suggests that infertility can have a significant impact on various aspects of a woman's life, including her emotional well-being, social functioning, and psychological health. The factors associated with the quality of life of infertile women were the duration of marriage, the number of previous sexual partners, the total number of working hours per day, the types of infertility, and the history of sexually transmitted diseases, with duration of marriage having the strongest association. These findings highlight the need for healthcare providers to address the psychological and social aspects of infertility.

Trueness of 3D-printed cobalt chromium versus titanium removable partial denture clasps.

The purpose of this in vitro study was to evaluate the trueness of removable partial denture clasps fabricated with titanium (Ti) through the selective laser melting (SLM) technique compared to cobalt-chromium alloys (CoCr). A virtual Aker clasp was designed on a scanned tooth, and SLM printers were used to print 20 claps using cobalt chromium (n = 10) and titanium alloy (n = 10). The deviation between the printed clasps and reference design was measured using the surface matching software (Geomagic control x) at rest, retentive tip, reciprocal tip, retentive shoulder, and reciprocal shoulder. An Independent t-test was used to determine the influence of 3D-printed material on the trueness (a = 0.05). The gap distance in mm between the reference design and printed in titanium showed an average of 0.0001 ±0.0544, 0.0256 ±0.1309, 0.0230 ±0.1028, 0.0701 ±0.1234, and 0.0013 ±0.0735mm in rest, reciprocal arm tip, retentive arm tip, retentive arm shoulder, and reciprocal arm shoulder, respectively. The gap distance in mm between the reference design and printed clasps in CoCr alloy showed an average of 0.0316 ±0.0692, 0.2783 ±0.1678, 0.1446 ±0.1528, 0.0315 ±0.0906, and 0.0419 ±0.1088mm in rest, reciprocal arm tip, retentive arm tip, retentive arm shoulder, and reciprocal arm shoulder, respectively. The difference between titanium and CoCr alloys at each observation site was significant. Clasps fabricated from titanium with SLM printing have the least deviation and better trueness compared to those fabricated from cobalt chromium.

Comparative Analysis of Price and Service Quality Factors on Shopee and Lazada User Loyalty

This study aims to determine whether or not there are differences in price and quality factors on Shopee and Lazada user loyalty. The research method used is variable data, namely by giving questionnaires to Shopee and Lazada users with a sample size of 36 respondents. The analysis technique used in this study is the Normality Test, Homogeneity Test, and Independent Sample T-Test. The results of this study indicate that there is no difference between product quality and price on the Shopee and Lazada marketplaces. While in data analysis using SPSS 24. Keywords: Product Quality, Loyalty, Price, Shopee, Lazada.

The impact of cognitive fusion on stress among nurses: Exploring gender as a moderator controlling for depressive symptoms.

To investigate the influence of cognitive fusion on stress among nurses, with a focus on exploring gender as a moderator among Jordanian nurses controlling for depressive symptoms. Stress is a significant concern among healthcare workers, particularly nurses, given the escalating work demands and organizational constraints. Data were collected from 206 nurses using a cross-sectional design. Participants completed surveys that included measures for cognitive fusion, stress, and depressive symptoms. Statistical analysis included bivariate correlations, independent sample t-tests, and moderation analysis using Hayes PROCESS. The results were reported using The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) guidelines. The findings revealed a moderate correlation among stress, cognitive fusion, and depressive symptoms. The regression model explained 42% of the variance in stress, with significant contributions from cognitive fusion, gender, depressive symptoms, and the interaction between cognitive fusion and gender. Gender moderated the relationship between cognitive fusion and stress, indicating differential effects for males and females. This study underscores the importance of cognitive fusion in understanding and managing stress among nurses. The moderating effect of gender highlights the need for tailored interventions. Reducing stress among nurses may benefit their mental health and potentially enhance patient care and treatment outcomes. IMPLICATIONS FORNURSING PRACTICE AND POLICY: The study highlights crucial implications for nursing policy. Addressing cognitive fusion is vital to reducing nurse stress, directly impacting patient care quality and healthcare outcomes. Policymakers should prioritize gender-aware strategies within nursing policies, fostering a less stressful and more supportive work environment. By doing so, healthcare institutions can enhance the well-being of nurses and ultimately improve patient care, aligning with broader healthcare policy objectives of patient safety and quality improvement.

Clinical characteristics, anti-SARS-CoV-2 IgG titers, and inflammatory markers in individuals with post-COVID-19 condition in Kenya: a cross-sectional study.

Post-coronavirus disease 2019 (post-COVID-19) is associated with considerable morbidity and reduced quality of life. However, studies characterizing the post-COVID-19 condition in Kenya are limited. This study aimed to determine the prevalence of post-COVID-19 condition and determine the clinical characteristics, anti-SARS-CoV-2 IgG titers, and concentrations of inflammatory markers of individuals with post-COVID-19 condition in Kenya. This descriptive cross-sectional study was conducted at the Kenyatta University Health Unit, Kenya. Demographic and clinical data were collected using a questionnaire. The serum levels of anti-SARS-CoV-2 antibodies, interleukin 6 (IL-6), and C-reactive protein (CRP) were quantified by enzyme-linked immunosorbent assays. Independent samples t-test was used to compare the anti-SARS-CoV-2 IgG, IL-6, and CRP levels between the participants with and without post-COVID-19 symptoms. The case definition for post-COVID-19 condition was persistence of acute COVID-19 symptoms or emergence of new symptoms 3 months after COVID-19 diagnosis, symptoms lasting for ≥2 months, and absence of any other etiological basis to explain the symptoms. A total of 189 volunteers were recruited in this study (median age: 21 years, range: 18-71 years; male, 49.2%). Forty participants reported having had at least one COVID-19 positive diagnosis in the past, of which 12 (30%) complained of post-COVID-19 symptoms. Significant differences in the number and duration of symptoms were observed between the individuals with and without post-COVID-19 symptoms (t-statistic = 2.87, p = 0.01; t-statistic = 2.39, p = 0.02, respectively). However, no significant differences in serum levels of anti-SARS-CoV-2 IgG, IL-6, and CRP were observed between the two groups (P = 0.08, 0.9, and 0.28, respectively). These findings suggest that post-COVID-19 condition is a health concern even for a relatively young population in Kenya and globally. This condition requires more attention and well-designed studies to better define it and identify clinical chemistry markers that can be used for its diagnosis.

Comparison of Yo-Yo Intermittent Recovery Test Level-1 Performance Between Basketball and Field Hockey Players: A Comparative Analysis

Background: The Yo-Yo Intermittent Recovery Test Level-1 (YYIR1) is widely used to evaluate aerobic capacity and recovery in intermittent sports. This study aims to compare YYIR1 performance between basketball and field hockey players to understand sport-specific fitness adaptations and inform training protocols. Methods: A total of 60 male athletes (30 basketball players and 30 field hockey players) from competitive clubs participated in this study. Participants performed the YYIR1 test, which involves repeated 2x20 meter shuttle runs at increasing speeds interspersed with 10-second recovery periods, until exhaustion. Key performance metrics measured were total distance covered and VO2 max, calculated based on the test results. Data were analysed using independent t-tests to compare the performances between the two groups. Results: The basketball players covered a mean distance of 1235 ± 210 meters, while the field hockey players covered 1280 ± 195 meters. The difference in total distance covered between the groups was not statistically significant (p > 0.05). Similarly, VO2 max values were comparable between basketball players (47.8 ± 4.2 mL/kg/min) and field hockey players (48.5 ± 3.9 mL/kg/min), with no significant difference observed (p > 0.05). Conclusion: This study demonstrates that there are no significant differences in YYIR1 performance between basketball and field hockey players, suggesting similar aerobic capacities and recovery abilities across these sports. The findings align with previous research by Mirani and Patil (2021) and Schmitz et al. (2018), indicating the robustness of the YYIR1 test in measuring aerobic endurance irrespective of sport-specific demands. These results highlight the need for tailored training programs that focus on enhancing sport-specific skills rather than general aerobic capacity alone. Keywords: Yo-Yo Intermittent Recovery Test Level-1, basketball, field hockey, VO2Max, sports performance

An analysis of the relative importance of healthcare services indicators in South Africa: Utilities Analysis Approach

Background: There is a wide gap in healthcare access between the poor and the rich in South Africa. The government has implemented several policies to address this gap; nonetheless the complaints about poor healthcare delivery exist. Aims: The objective of this study is to examine the relative importance of healthcare service indicators in Tshwane Municipality, South Africa. Methods: This research uses a utility approach to analyse the relative importance of healthcare service indicators in the context of the Tshwane Municipality in South Africa. The study applies conjoint analysis to better understand healthcare users' preferences for several factors such as service range, waiting time for medications and consultations, waiting time for elective operations, and location. Questionnaire was administered on 280 respondents, comprising the following: Black – 130, Whites – 70, Indians – 40, and Coloured – 40. The data was collected from both public and private healthcare users, and the results were compared using an independent t-test. Results: The study found that there were no statistically significant variations in the mean utilities of public and private healthcare users. The finding suggests that healthcare users' preferences, whether they utilize public or private services, are largely comparable and can be addressed by utilizing unified techniques. The result also demonstrates the most favoured levels for each metric, providing insights into patient preferences and their social impacts. The study further highlights various healthcare preferences of users. Conclusion: This finding emphasises that healthcare users have unique expectations, requiring personalised healthcare delivery. The findings have several recommendations for policymakers and healthcare practitioners to improve service delivery and patient satisfaction. Received: 01 May 2024 | Reviewed: 03 June 2024 | Revised: 12 July 2024 | Accepted: 21 July 2024.

Assessing the Influence of the Flipped Classroom on Physical Education Students’ Engagement in Basketball Learning Activities

Background. The flipped classroom approach has been gaining increasing attention across various educational domains, including physical education. Recent research has underscored the necessity for innovative strategies to enhance student engagement in physical education, particularly in basketball instruction. Objectives. This study aimed to investigate the influence of the flipped classroom approach on student engagement in Basketball instruction within the Physical Education, Health, and Recreation program at the University level. Materials and methods. The research method involved an experimental design using the static group comparison approach, where 62 students enrolled in physical education were divided into experimental and control groups. The experimental group received instruction through the flipped classroom approach, while the control group underwent conventional instruction, with the intervention lasting for seven weeks. A comprehensive engagement scale questionnaire was used as the research instrument. Data analysis techniques included descriptive analysis and independent samples t-test. Results. The research findings revealed significantly higher levels of engagement in the agentic, behavioral, emotional, and cognitive dimensions among students in the flipped classroom group compared to those in the conventional classroom group. This indicates that the flipped classroom approach has a considerable effect on student engagement in basketball instruction. Conclusions. The study’s results have confirmed the effectiveness of the innovative pedagogical strategy of the flipped classroom in fostering meaningful learning experiences and motivating students within the context of physical education.

The Immediate Effect of Chest Mobilization Technique on Chest Expansion in Patients of COPD

Introduction: Chronic Obstructive Pulmonary Disease (COPD) is characterized by chronic airflow obstruction. Patients with COPD often experience reductions in lung volumes and vital capacity due to chronic respiratory muscle weakness. Additionally, they may exhibit decreased lung distensibility, leading to restrictions in lung volume. The passive recoil of the thoracic cage is influenced by gross muscle weakness, altering the neutral position at which lung and cage recoil pressures are balanced. Mobilizing rib cage joints is a specific therapeutic goal, as it aims to improve reduced rib cage mobility commonly observed in obstructive lung disease. Method: A study was conducted on COPD patients aged over 40 years, specifically including males with VC<80%. Participants with unstable vital parameters, active lung infections, or those requiring continuous oxygen therapy or mechanical ventilation were excluded. The participants were divided into two groups: Group 1 received chest mobilization and breathing exercises, while Group 2 received only breathing exercises. Chest expansion measurements were taken at the 2nd intercostal space, 4th intercostal space, and xiphoid process in both groups before and after the procedures. Result: Result obtained from SPSS20. Mean-age of Group1 was (61.9+6.0) & of Group2 was (62.05+6.1). Comparison between groups found using independent t-tests. There was significant difference of chest-expansion at 2nd IC, 4th IC and xiphoid process between both the groups. Chest-expansion at 2nd IC(M=2.0), 4th IC(M=2.85) and xiphoid process (M=3.43) was increased in group1 than group2 (M=1.58), (M=2.01) & (M=2.49) having significant difference of p<0.05. Conclusion: This study concludes that Chest Wall mobilization has significant effect on Chest-expansion in COPD patients. Hence Chest-Mobilization is definite tool for the improving condition of COPD patients, so it should be included as a part of management in COPD patients with other exercise treatment-programs. Keywords: Chest mobilization, COPD, Chest expansion, Cloth tape measurement

PENGARUH PERMAINAN ROLL DICE CHALLENGE TERHADAP LITERASI AWAL ANAK USIA 5-6 TAHUN

This study is based on the low early literacy levels of children, caused by a lack of engaging learning media that stimulates children's interest in learning and the use of inappropriate teaching methods in teaching literacy to children. The aim of this research is to determine the effect of the roll dice challenge game on the early literacy of children aged 5-6 years in Polombangkeng Utara District. The research approach used is a quantitative approach with a Quasi-Experimental Design type. The population in this study consists of children aged 5-6 years in early childhood education institutions in Polombangkeng Utara District. The sample was taken using purposive sampling technique. The research sample consisted of 34 children, 17 children as the experimental group and 17 children as the control group. The data collection techniques in this study include tests, observations, and documentation. The data analysis techniques in this study include prerequisite tests and independent sample t-tests. The results of the study concluded that the roll dice challenge game has a significant effect on the early literacy of children aged 5-6 years in Polombangkeng Utara District.

The effect of web-designed education on medication adherence, asthma control and fatigue in patients with asthma: A randomized controlled trial.

This study aimed to determine the effect of web-designed education developed for asthma patients on drug adherence, asthma control and fatigue. This randomized controlled trial was conducted between August 2021 and January 2022 with 200 individuals suffering from poor asthma control who participated in web-designed education. After the intervention, the asthma patients were followed up for 6weeks to measure Medication Adherence Report Scale (MARS), Chronic Obstructive Pulmonary Disease and Asthma Fatigue Scale (CAFS), Asthma Control Test (ACT) and Inhalation Devices Usage Techniques Knowledge Test (IDUSTKT). Data were analysed in the Statistical Package for the Social Sciences program using the Chi-square test, Independent t-test, Man-Whitney U test, Wilcoxon test, Paired t-test, Greenhouse-Geisser (F) test and Linear regression. The web-designed education had a statistically significant effect on the total scores of CAFS, ACT and IDUSTKT for individuals with asthma (p < 0.001). This intervention decreased fatigue levels, improved asthma control and enhanced knowledge of inhalation device usage techniques. Although there was an improvement in medication adherence, this difference was not statistically significant. These results suggest that web-based educational programs can be an effective tool in asthma management and may improve patients' quality of life. Future research should examine the long-term effects of such educational programs and their effectiveness across different demographic groups in more detail.

Comparative analysis of pain outcomes in hypoglossal nerve stimulation: Avoiding the digastric tendon

ObjectiveUpper airway stimulation effectively treats patients with obstructive sleep apnea, especially among those with low long-term compliance with continuous positive airway pressure. Traditional methods to implant the hypoglossal nerve stimulator involve retraction of the digastric tendon to identify the nerve and improve exposure for stimulator implantation. Transient submental pain and discomfort are known side effects of the procedure. Placement without retraction provides an alternative approach to minimize postoperative pain. This study compares post-operative pain outcomes of patients in whom the digastric tendon was and was not retracted. MethodsRetrospective chart review of patients who received the hypoglossal nerve stimulation implant at a single institution between 2017 and 2021. A combination of descriptive and qualitative data, including age, gender, comorbidities, and postoperative symptoms are analyzed to characterize patient outcomes resulting from this intraoperative technique. The categorical and continuous variables were analyzed using chi-squared tests and independent t-tests, respectively. ResultsPatients report overall satisfaction after implantation and titration. A total of 108 patients underwent HGNS implantation between September 2017 and January 2021 using the aforementioned techniques. 1.69 % of patients experienced postoperative submental pain as compared to 18.37 % prior to the change in technique (p < 0.01). ConclusionAvoidance of digastric tendon retraction in the implantation of the stimulating lead is a safe and effective technique that reduces postoperative pain and discomfort. Our institution has demonstrated an alternative technique for hypoglossal stimulator implantation which improves perioperative outcomes. Lay summaryUpper airway stimulation is an effective treatment for obstructive sleep apnea. During surgery, the digastric tendon is often moved to identify the nerve and improve access. This study shows that avoiding digastric tendon movement safely reduces postoperative pain and discomfort. Level of evidenceIII

Exploratory Study into the Classification Agreement between Self-Reported Age of Menarche and Calculated Maturity Offset in Adolescent Girls: A Two-Year Follow-Up Study.

Menarche is a significant pubertal event influencing girls' participation in physical activity. As menarche is a sensitive matter, a non-invasive substitute is needed to help classify girls' maturity status and provide physical literacy to them in this regard. The objective of this exploratory study was to investigate the classification agreement between self-reported age of menarche and calculated maturity offset in adolescent girls from South Africa by making use of various statistical methods. Fifty-eight girls, n = 13 pre- and n = 45 post-menarche (Status Quo method) aged 13.51 ± 3.51 years at baseline, were analyzed (2010-2012). Independent t-testing, cross-tabulation, Roc Curve statistics and logistic regression were used to analyze the classification agreement between markers. All four statistical methods revealed the potential to categorize different maturity groups through the maturity offset equation, although the accuracy declined with increased age. A realized power of 0.92 was found for the group in the first year of the study, with a gradual and significant decline over time. Cross-tabs showed a significant moderate predictive effectiveness (Chi-square = 0.042) during T1, closer to PHV (13.51 years) although also declining significantly with increased age (T2, 14.51 years) beyond PHV (Chi-square = 0.459). Although positive results were found, caution must be used when using maturity offset equations in different homogenic populations due to their unique growth characteristics.

Derailment is associated with increased depressed mood at lower levels of stress: An experimental approach

BackgroundAs an emergent developmental construct, derailment – an individual difference hallmarked by a temporal discordance of the self – has been positively associated with depressive features, though less is known about the role of stress in this relationship. The aim of the present study was to explore the interaction between derailment and subjective stress on depressed mood. Methods265 adults recruited through Prolific – a crowd sourcing platform were first tasked with completing baseline measures, then were randomly assigned to a low stress or high stress condition. We utilized an adapted version of the Online Trier Stress Test to manipulate stress levels. Next, depressed mood and post-test perceived stress were measured. We analyzed data through STATA using a two-tailed independent samples t-test and multiple linear regression. ResultsFindings suggested the experimental manipulation increased subjective stress within the high stress condition compared to the low stress condition (Mdiff = 36.14, SE = 4.4, t = 8.21, p < .001). Further, we found the interaction between derailment and stress conditions was associated with increased depressed mood (β = −0.11, SE = 0.05, p = .038, R2 = 0.5). Notably, we found significant between-condition differences in depressed mood for those who endorsed either low (d = 0.22, SE = 0.07, p = .003) or moderate levels of derailment (d = 0.11, SE = 0.05, p = .033), but not for those who endorsed high levels of derailment (d = 0.01, SE = 0.07, p = .92). LimitationsThis study utilized self-report measures, which may be susceptible to biased responses. ConclusionsDerailment may play a role in the persistence of depressed mood regardless of varying contexts of stress.

Evaluasi Kualitas Hidup Pasien Diabetes Mellitus Tipe 2 Dengan Kombinasi Anti Diabetik Oral-Oral Di RSUD Provinsi NTB

Background: based on data from the Ministry of Health NTB, the prevalence of Diabetes Mellitus in West Nusa Tenggara in 2020 is around 59,606 people divided into 10 regencies and cities. The highest prevalence of diabetes is type 2 diabetes mellitus (DMT2). One way to assess the success of T2DM therapy is to measure quality of life using Quessionnair's Diabetic Quality Of Life Clinical Trial (DQLCTQ) questionnaire. The purpose of the study: to evaluate the quality of life of DMT2 patients who received oral-oral antidiabetic combination at West Nusa Tenggara Provincial Hospital. Method: observational analytic with Cross Sectional design with Concurrent patient data collection. Samples: 56 T2DM patients. The results of the study: on the characteristics of respondents there was no difference in quality of life on gender, age, occupation and length of suffering from T2DM. Patients who received the combination of metformin and glimepiride had a quality of life score of 71.84, while patients who received the combination of metformin and glimepiride 74.77. Research conclusion: statistical test with independent sample t-test showed no significant difference between the two groups (p = 0.268).

The Effect of Education and Monitoring via Tele-Nursing to Elderly Cancer Patients Using Oral Anticancer Agents on Self-efficacy and Medication Adherence: A Randomized Controlled Trial

ObjectivesThis study was conducted as a randomized controlled trial to determine the effect of the education and monitoring provided via tele-nursing to elderly cancer patients using oral anticancer agents on their medication treatment adherence self-efficacy and medication adherence. MethodsThe sample of the study consisted of 60 elderly cancer patients who presented to the oncology outpatient clinics of a medical faculty hospital in Turkey. An Elderly Information Form, the Oral Chemotherapy Adherence Scale, the Medication Adherence Self-Efficacy Scale, a Tele-nursing Evaluation Form, and a Telephone Monitoring Form were used to collect data. Patients in the intervention group were sent text messages and educational videos via WhatsApp® for the first four weeks, and after the fifth week, they were monitored by phone for eight weeks. Data collection tools were applied to the control and intervention groups at weeks 1, 8, and 12. Independent samples t-test, Repeated measurements analysis of variance chi-square test, and Pearson correlation test were used to analyze the data. ResultsIn the study, while there was no significant difference between the mean scores of the intervention and control groups on the pretest application of the Oral Chemotherapy Adherence Scale and the Medication Adherence Self-Efficacy Scale (p > .05), a significant difference was found between the mean posttest scores of the groups (p < .05). ConclusionsIn this study, it was determined that the education and monitoring provided to elderly cancer patients via tele-nursing positively affected their self-efficacy and medication adherence. Implications for nursing practiceIn line with the research results, it is recommended that nurses use tele-nursing applications in the care of elderly cancer patients using oral anticancer agents.

PEMANFAATAN APLIKASI QUIZIZZ SEBAGAI MEDIA GAME BASED LEARNING (Dalam Meningkatkan Konsentrasi Siswa Dalam Belajar Matematika Pada Matei Eksponen Di Mts Fathus Salafi Putri Mangaran Situbondo)

Currently, technology is developing very quickly and cannot be avoided. However, this technology must be utilized as well as possible. One of the game-based learning that can increase students' concentration in learning is by using Quizziz, which is very young for students to use because it uses technology that can support students' concentration. Based on the results of observations, it was found that many students lacked concentration in doing mathematics. This research uses experimental research, namely conducting experiments in two classes with different treatments and obtained. Based on the average score of both classes. Groups taught using modelsPBLhad an average of 80, while the group taught using the discussion method had an average of 70. The results of the researcher's testing using the Independent Sample T-Test test obtained a Sig. (2-tailed) namely 0.033 &lt; 0.05 and the calculation results show that .

Effectiveness of Using Macbox Media to Improve Students’Grammar Mastery

Grammar as essential aspect of English component helps students to recognize pattern and avoid errors. Alternative media is needed to make grammar learning more successful since students find it challenging to master grammar when it is taught using conventional method. This research aimed to find out about how effectively Macbox media works to help students in improving their grammar mastery. True-experimental research design was used in this research by using class X MA Matholi'ul Huda Bugel students as the research population. The two classes used as sample are 36 students of XG as the experimental class and 38 students of XH as the control class. Both classes received pre-test, treatment and post-test in order to gather research data. Then, SPSS 25.0 was utilized to examine the data outcomes. The findings of the research showed that the differences were seen in the two classes' average scores. For pre-test, the experimental class's average pre-test score was 48.47, while the control class' was 48.02. For post-test, the experimental class’s average score was 75,41 and the control class’ was 62,76. The significance value for both classes was revealed by the independent sample t-test analysis result, which were 0.000 (sig (2-tailed) &lt; 0,05). It means that there are the significant differences between both classes. The result and discussion show the use of Macbox media is significantly effective in improving students’ grammar mastery. It means that the use of Macbox media is more effective in improving students' grammar mastery compared to the use of conventional learning method

Inequality in continuity of care after hospitalization due to cardiac conditions

Abstract Background Cardiac conditions are a common cause of hospitalization worldwide. The need for follow-up within primary care and/or specialized care continues after discharge. Continuity of care is crucial to enable a seamless chain of care after hospitalization. Research regarding inequality in continuity of care after discharge is lacking. Purpose The aim was to investigate how patients’ perceptions of continuity of care vary between age, gender, and diagnosis groups. Methods Patients were consecutively included within six weeks after hospitalization due to a cardiac condition. Data were collected with the short version of the Patient Continuity of Care Questionnaire (PCCQ-12). The independent t-test was used to compare differences between sexes and age groups (&amp;lt; 65 years or ≥ 65 years). Differences between diagnosis groups were evaluated with the one-way analysis of variance (ANOVA) and post-hoc analysis with the least significant difference (LSD) correction. The significance level was set at p &amp;lt;0.05 for all analyses. Results A total of 1,000 patients were included (mean age 72 years (SD 10) 66% male). The patients were hospitalized due to myocardial infarction (36%), atrial fibrillation (26%), angina pectoris (21%) or heart failure (17%). Significant differences between age, gender and diagnosis were found: Patients &amp;lt; 65 years perceived significantly higher levels of continuity of care than patients ≥ 65 years. Men had significantly higher scores than women. Patients hospitalized due to acute myocardial infarction perceived significantly higher levels of continuity of care compared to patients who had been hospitalized due to angina pectoris, atrial fibrillation, or heart failure (Table 1). Significant differences were also found between men and women. Men &amp;lt;65 years perceived significantly higher levels of continuity of care (mean 48.08) compared to men ≥ 65 years (mean 45.51, p= 0.008 ). Men who had been hospitalized due to myocardial infarction had significantly higher scores on the PCCQ-12 (mean 48.82) compared to men who had been hospitalized due to angina (mean 44.48), atrial fibrillation (mean 44.09) and heart failure (mean 45.24) (Figure 1). Women &amp;lt;65 years had significantly higher scores on the PCCQ-12 (mean 45.00) compared to women ≥ 65 years (mean 40.71, p 0.018). Women who had been hospitalized due to myocardial infarction or atrial fibrillation had significantly higher scores on the PCCQ-12 (mean 42.48 and 43.02, respectively) compared to women hospitalized due to heart failure (mean 38.00) (Figure 1). Conclusion Overall, patients hospitalized due to cardiac conditions perceive a rather high level of continuity of care. However, statistically significant differences were found between men and women, between younger and older patients, and between diagnosis groups, indicating that care inequality exists in continuity of care.