Test For Independent Samples Research Articles

The Influence of SETS (Science, Environment, Technology, and Society) based E-Modules on Scientific Literacy Using the Discovery Learning Model

This research aims to identify the influence of SETS (Science, Environment, Technology, and Society) based e-modules in increasing scientific literacy using the discovery learning learning model. This research uses a quantitative approach with a quasi-experimental design in the form of a Nonequivalent Control Group Design. How to apply the sample using the Purposive Sampling technique where a total of 32 students were obtained consisting of 16 students in classes X1 and X2 as the control and experimental classes. The results showed that the average pretest score obtained by students in the experimental class was 29.68 and the average posttest score was 84.06, while in the control class the average pretest score obtained by students was 30.62 and the average score the posttest average was 69.68. Based on statistical test data using the independent sample test in SPSS Version 25, the results obtained were sig (2-tailed) 0.002 < significance 0.05, meaning that H0 was rejected and Ha was accepted. Where H0 is that there is no influence of SETS-based e-modules on students' scientific literacy and Ha is that there is an influence of SETS-based e-modules on students' scientific literacy.

INTEGRATED EDUCATION ON HEALTHY FAMILY MANAGEMENT ON THE STATUS OF DIABETIC MELLITUS PATIENTS

Insufficient pancreatic insulin production or ineffective use by the body is the main cause of diabetes mellitus. Insulin sugar is regulated by hormones. In the initial survey, five diabetes mellitus sufferers (50%) were asked and, five of them did not understand the problem, underwent routine physical examinations, but did not regularly take the prescribed medication because they lacked family support and did not understand how serious the disease was. Objective: To determine the health status of diabetes mellitus patients in the Guntur 2 Community Health Center working area and analyze healthy family management with integrated education. Method: Purposive sampling was used in a quasi-experimental two-group pre-procedure with a sample size of 20 participants. The health status of the respondents was recorded in the observation sheet after the integrated education on diabetes mellitus was carried out as stated in the Healthy Family Assistance Book. Statistical test using the Paired T-test Results: Independent sample test results were obtained with a p-value of 0.003 and paired T-test findings with p-values of 0.001 and 0.05 respectively. Conclusion: Diabetes mellitus sufferers in the Guntur II Health Center Working Area have significantly different health statuses.

Berpetualang Bersama Si Kancil Untuk Meningkatkan Kemampuan Berbahasa Siswa Taman Kanak-Kanak Usia 5-6 Tahun

Language plays an important role in children's daily lives as it is a communication tool that connects individuals in society. Language skills are the foundation for a child that is naturally acquired to adapt to their environment, as a tool to socialise and a way to respond to others. This study set out to ascertain how the roleplaying approach affected the language development of young children. One group pretest postest design is the research design that the investigators utilized. This method is carried out to take measurements before (pretest) and after (posttest) giving treatment. Because the situation before the treatment can be compared, the outcomes of the treatment can be known with more accuracy. Based on the results of the study, the results show that there is a significant influence between before and after treatment. Based on the data analysis in this study, researchers can conclude that there is a significant effect of the treatment given on the language skills of Kartika I-57 Bukittinggi kindergarten students. This is based on the results of the Independent Samples Test which shows a significance value (Sig.) of 0.001, which is smaller than 0.005. This result shows a significant difference between the pretest and posttest results, so the intervention method applied in the meeting session is effective in improving children's language development. In addition, the results of normality and homogeneity tests showed that the data were normally distributed and the research subjects had homogeneous characteristics. Keywords: Language plays an important role in children's daily lives as it is a communication tool that connects individuals in society. Language skills are the foundation for a child that is naturally acquired to adapt to their environment, as a tool to socialise and a way to respond to others. This study set out to ascertain how the roleplaying approach affected the language development of young children. One group pretest postest design is the research design that the investigators utilized. This method is carried out to take measurements before (pretest) and after (posttest) giving treatment. Because the situation before the treatment can be compared, the outcomes of the treatment can be known with more accuracy. Based on the results of the study, the results show that there is a significant influence between before and after treatment. Based on the data analysis in this study, researchers can conclude that there is a significant effect of the treatment given on the language skills of Kartika I-57 Bukittinggi kindergarten students. This is based on the results of the Independent Samples Test which shows a significance value (Sig.) of 0.001, which is smaller than 0.005. This result shows a significant difference between the pretest and posttest results, so the intervention method applied in the meeting session is effective in improving children's language development. In addition, the results of normality and homogeneity tests showed that the data were normally distributed and the research subjects had homogeneous characteristics.

Shear Bond Strength of Orthodontic Brackets Bonded with Thermo-Cured Glass-Based Materials-An In Vitro Study.

The results of orthodontic therapy largely depend, among other factors, on the preparation of the tooth enamel itself and the choice of material used to bond orthodontic brackets. The aim of this in vitro study was to determine the shear bond strength (SBS) and adhesive remnant index (ARI) score of thermo-cured glass-ionomers on different pretreated enamel, in comparison with the commonly used composite cement. Three commercially available nano-ionomer or highly viscous glass-ionomer cements (EQUIA Forte® Fil, EQUIA Fil, Ketac Universal) and two types of compo-sites (Heliosit Orthodontic, ConTec Go!) were investigated in this study. The research involved two hundred human premolars. The teeth were cleaned and polished, then randomly divided into five groups according to the enamel preparation method and the type of material. The enamel was treated in three different ways: polyacrylic acid, phosphoric acid, 5% NaOCl + etching with phosphoric acid, and a control group without treatment. Glass-ionomer cement was thermo-cured with heat from a polymerization unit during setting. Statistical analysis was performed using a Chi-square test and one-way ANOVA for independent samples. Spearman's Rho correlation coefficient was used to examine the relationship. Regardless of the material type, the results indicated that the weakest bond between the bracket and tooth enamel was found in samples without enamel pretreatment. The majority of the materials stayed on the brackets in samples without enamel preparation, according to ARI scores. The study's findings demonstrated that the strength of the adhesion between the bracket and enamel is greatly influenced by enamel etching and glass-ionomer thermo-curing. Clinical investigations would be required to validate the outcomes.

Molecular subtype and risk of local recurrence after nipple‑sparing mastectomy for breast cancer.

The present study aimed to investigate whether local recurrence (LR) after nipple-sparing mastectomy (NSM) and reconstruction was associated with i) Ki67 values and molecular subtypes of the initial lesions, and ii) the size of the initial tumor and the size of the implant. A total of 156 patients with breast cancer with a mean age of 51.58 years (age range, 26-75 years) who underwent NSM with primary implant breast reconstruction were analyzed. After surgery, the mean follow-up time was 59.26 months (range, 17-85 months). Molecular subtypes, Ki67 values, estrogen receptor (ER), progesterone receptor (PR) and human epidermal growth factor receptor 2 (HER2) status were recorded for each patient. Additionally, information regarding the size of the implant and the initial tumor size were collected. The information was used to assess LR. For univariate analyses of risk factors, χ2 test, Fisher's exact test, Mann-Whitney U test and Student's t-test for independent samples were used. For multivariate analyses, a Cox proportional-hazards model was used. NSM was the primary treatment for breast cancer in 34/156 patients (21.8%), while 122/156 (78.2%) of patients received neoadjuvant chemotherapy followed by surgery. Luminal B was the most frequent molecular subtype, detected in 82/156 patients (52.6%), whereas the luminal A subtype was detected in 37 patients (23.7%) and the HER2-enriched subtype was detected in 17/156 patients (10.9%). Ki67 expression was low in 13/156 patients (8.3%), while medium expression was detected in 78/156 patients (50.0%) and high expression was present in 58/156 patients (37.2%). LR was noted in 17/156 patients (10.9%). As determined by univariate analysis, lower ER (P=0.010) and PR (P=0.008) expression were indicated to be significant risk factors for LR. In conclusion, in the present patient cohort, low ER and PR expression were risk factors for LR of breast cancer, whereas Ki67 status and molecular subtype were not statistically significant risk factors for LR. Additionally, the size of the initial tumor and the size of the implant were not risk factors for LR. These findings are consistent with the current literature, and should be utilized when discussing treatment options and potential clinical outcomes with patients prior to surgical management.

A Sustainable Revolution in Sisal Fiber with Enhanced Mechanical Properties of Concrete

Introduction This study provides a comprehensive comparative analysis of conventional concrete (CC) and Sisal Fiber Concrete (SFC) and incorporates sisal fiber into a concrete blend for the M25 grade concrete mix. Methods In order to evaluate the efficacy of both variations of concrete, mechanical and durability parameters were examined. As compared to CC, the results indicated that SFC had a substantially greater compressive strength. The average compressive strength of SFC at the 28-day was 29.47 N/mm2, which signified a significant incremental percentage growth of 9.58% in comparison to CC. In the same way, SFC exhibited an exceptional flexural strength, as evidenced by its mean value of 7.81 N/mm2, which represented a significant 34.42% improvement in comparison to CC. The Bayesian factor independent sample test yielded a t-test value of 12.495 for compressive strength, accompanied by a p-value below 0.001. These results suggest that the observed difference was statistically significant. Conversely, a t-test value of 19.380 and a p-value below 0.001 were produced by the Bayesian factor independent sample test for flexural strength, both of which further supported the existence of a significant difference. The mean disparity in compressive strength between CC and SFC was 5.1522 N/mm2, with a 95% confidence interval encompassing values between 4.2856 and 6.0188 N/mm2. In a similar manner, the mean discrepancy in flexural strength was 2.0000 N/mm2, accompanied by a 95% confidence interval that varied between 1.7831 and 2.2169 N/mm2. Results The obtained results provide further evidence that SFC is stronger than CC in both compressive and flexural strength, which is consistent with the results obtained from the frequentist statistical analysis. Conclusion With its eco-friendly properties, sisal fiber concrete could indeed play a significant role in the future of sustainable construction.

The Effect of Auricular Acupressure on Uterine Contractions, Fetal Heart Rate, and Length of Labor in the Active Phase of Primigravida

The still high maternal mortality rate (MMR) in Indonesia, especially in East Java, is caused by indirect causes or other causes such as prolonged labor, so a method is needed to treat cases of prolonged labor such as auricular acupressure. Auricular acupressure (AKAR) is a non-pharmacological method proven effective for uterine contractions, but its side effects on the fetal heart rate (FHR) are unknown. The research aimed to analyze the AKAR method on uterine contractions, FHR, and labor duration in the first stage's active phase. This type of research is truly experimental, with a pretest-posttest control group design. The research subjects were 41 respondents, primigravida active phase first-stage mothers, selected by consecutive sampling and randomly divided into two groups, namely 21 AKAR groups and 20 deep breathing relaxation control groups. The research results of the Friedman test statistical test ρ-value equal 0.000 in the AKAR group and ρ-value equal 0.000 in the control group, meaning that AKAR influences uterine contractions. The Friedman Test findings show that AKAR does not affect FHR (ρ-value equal 0.618). The Independent Sample Test ρ-value equal 0.29 indicates no statistically significant difference between the two groups' labor lengths throughout the first stage's active phase. The AKAR group's average labor time in the first stage of the active phase was 365.40 minutes, with a minimum of 267 minutes and a high of 395 minutes. Conclusion: The auricular acupressure method affects uterine contractions but does not affect the fetal heart rate. There was no difference in the length of labor in the first active phase of labor between the auricular acupressure and deep breathing relaxation groups, so it is recommended that the auricular acupressure method can be used as an alternative complementary care to prevent prolonged labor.

The Effect of Squat Training with Barbell and Resistance Band on Leg Power of Volleyball Athletes

The purpose of this study was to determine (1) the effect of squat training with barbell on increasing leg power of volleyball athletes, (2) the effect of squat training with resistance band on increasing leg power of volleyball athletes, (3) the difference in the effect of squat training with barbell and resistance band squats on increasing leg power of volleyball athletes. The type of research is experimental. The sample used is volleyball athletes totalling 20 athletes with an age range of 14-16 years. The leg power test instrument uses a vertical jump. Data analysis techniques using Paired Sample Test and Independent Samples Test. The results showed that (1) There is a significant effect of squat training with barbell on leg power of volleyball athletes (p 0.000 < 0.05), (2) There is a significant effect of squat with resistance band on leg power of volleyball athletes (p 0.000 < 0.05), (3) There is a significant difference in squat training with barbell and resistance band squats on increasing leg power of volleyball athletes. Squat training with resistance band is better than squats with barbell on increasing the leg power of volleyball athletes, with a difference of 1.30. The implication of the research results that to increase the leg power of volleyball athletes can be done by applying squat training with barbell and resistance band. This means that athletes are given exercises that are in accordance with their characteristics so that in the training process they feel happy and motivated to follow the training process, so that the training objectives will be maximised. Then another implication is that by encouraging coaches to apply suitable exercises can trigger athlete involvement in training.

Strategic Performance and Work Passion and their Relationship to Emotional Exhaustion Among Futsal Coaches

This study aimed to identify strategic performance, passion for work, and their relationship to emotional exhaustion among futsal coaches, by preparing questionnaire forms to measure strategic performance, passion for work, and emotional exhaustion. The researcher used the descriptive approach using the correlational method, as it is the appropriate approach to the nature of this research, and the community is represented. For data conforming to a normal distribution, the independent samples test was used to analyze numerical comparisons between two different groups t-test. As a result, correlation coefficients between strategic performance and job passion in the research sample the t- value reached (160.2) below the significance level (0.05) was detected.Averages of correlation coefficients between strategic performance and emotional exhaustion in the research sample the t- value reached (2.160) below the significance level (0.05) was detected. The value of the correlation coefficient between strategic performance, work passion and emotional exhaustion in the research the t- value reached (2.160) below the significance level (0.05) was detected. In conclusion, the researcher recommended strengthening the role of Strategic performance and passion for work among futsal coaches.

Prediction of Seropositivity in Suspected Autoimmune Encephalitis by Use of Radiomics: A Radiological Proof-of-Concept Study.

In this study, we sought to evaluate the capabilities of radiomics and machine learning in predicting seropositivity in patients with suspected autoimmune encephalitis (AE) from MR images obtained at symptom onset. In 83 patients diagnosed with AE between 2011 and 2022, manual bilateral segmentation of the amygdala was performed on pre-contrast T2 images using 3D Slicer open-source software. Our sample of 83 patients contained 43 seropositive and 40 seronegative AE cases. Images were obtained at our tertiary care center and at various secondary care centers in North Rhine-Westphalia, Germany. The sample was randomly split into training data and independent test data. A total of 107 radiomic features were extracted from bilateral regions of interest (ROIs). Automated machine learning (AutoML) was used to identify the most promising machine learning algorithms. Feature selection was performed using recursive feature elimination (RFE) and based on the determination of the most important features. Selected features were used to train various machine learning algorithms on 100 different data partitions. Performance was subsequently evaluated on independent test data. Our radiomics approach was able to predict the presence of autoantibodies in the independent test samples with a mean AUC of 0.90, a mean accuracy of 0.83, a mean sensitivity of 0.84 and a mean specificity of 0.82, with Lasso regression models yielding the most promising results. These results indicate that radiomics-based machine learning could be a promising tool in predicting the presence of autoantibodies in suspected AE patients. Given the implications of seropositivity for definitive diagnosis of suspected AE cases, this may expedite diagnostic workup even before results from specialized laboratory testing can be obtained. Furthermore, in conjunction with recent publications, our results indicate that characterization of AE subtypes by use of radiomics may become possible in the future, potentially allowing physicians to tailor treatment in the spirit of personalized medicine even before laboratory workup is completed.

Teaching three-phase half-wave power electronic rectifier with gamified augmented reality support

This paper presents a support tool designed for instructors in technical education within engineering programs, focusing specifically on power electronics and laboratory procedures related to the three-phase half-wave rectifier. The Augmented Reality (AR) application was developed for Android devices using Unity+Vuforia, employing a gamification-based approach. The application allows students to evaluate their knowledge and skills in real-time and offers an interactive learning environment. It provides learning diagnostics and sends each student's evaluation to a database stored on Google-Forms that is accessible by the instructor or assessor in question. It's important to note that this APP is freely accessible through the Android APP store. The learning strategy is around a game that tests players on their knowledge of measuring devices and theoretical concepts. Additionally, there is a puzzle task that encourages learners to correctly arrange the waveforms in a rectifier. Students can also connect the half-wave rectifier's essential connections and the transformer's delta-star connections through touch interaction. A comparison study between traditional teaching methods and the innovative AR-based approach has been conducted. This educational proposal itself is an innovative solution that will be especially helpful for laboratories lacking useful equipment in Mexican colleges. To test the effect of AR application on student success, an experimental study was conducted on two groups of students (a control group [non-using AR] and a test group [using AR]). To determine significant difference in acquired learning, an ANOVA statistical analysis was conducted using independent sample tests. According to tests result, there is a significant difference in the acquired knowledge for those who used the designed tool. The probability value (p = 1e-5 <0.05) for the use of AR is found. They increase their initial average grade from 27.08% to 72.3%, in contrast to the control group with no significant increasing learning, reporting an initial average grade of 28.75–43.33%. These results show that the use of AR in electronic practice makes a significant difference in student success.

Effect of apple pomace degraded by Pleurotus ostreatus on growth and meat quality parameters of broiler chickens

The objective of this work was to compare the growth and physicochemical parameters of the meat of broiler chickens (Gallus gallus), fed with a supplemented diet (SD) consisting of 3% pleurotin, compared to those obtained when using a traditional diet (CD). Pleurotin is the remaining material from the biodegradation of substrates such as apple pomace used to cultivate the Pleurotus ostreatus fungus. The experience lasted 48 days and in the first eight days, the birds were divided into two groups of 24 individuals, one group for each treatment. On day 12, each initial group was subdivided into four experimental units (replicates) of 6 chickens each. The growth parameters measured were total weight gain (TWG), final live weight (FLW), carcass weight (CW), average daily gain (ADG) in weight, and feed conversion ratio (FCR). Physicochemical parameters such as pH, water content (WC), CIE color, total fat (TF), and fatty acid composition (FAC) were also measured. Statistical analysis was carried out through the t-Student independent samples test. FLW was on average 7.6% significantly higher with SD than with CD, however, no difference was detected in CW. The total ADG was 7.4%, significantly higher with SD while the FCR was 32.0% lower with SD than with CD. No significant differences were found in any of the meat quality parameters measured for the same piece. Despite these latest results in terms of meat quality, it is concluded that the increase found in total ADG and FLW, and an improvement in FCR values with SD favor the use of this amendment in chicken rearing. In addition, the introduction of the by-product of the juice industries of the Río Negro Valley in other production cycles, such as edible mushrooms production and a supplement for bird diets (pleurotin), promotes a circular bioeconomic mechanism.

Unloading the left ventricle in VA-ECMO: a comparative analysis of outcomes

Abstract Funding Acknowledgements None. Introduction Venoarterial Extracorporeal Membrane Oxygenation (VA-ECMO) has radically changed the way we see and treat cardiogenic shock, despite the challenges it presents. The retrograde delivery of oxygenated blood to the aorta via the arterial cannula imposes increased afterload on an already strained left ventricle (LV). Unloading techniques aim to reduce the preload and afterload caused by VA-ECMO on the LV. Purpose Our study aims to compare the clinical outcomes of patients on VA-ECMO where additional invasive techniques were employed to unload the LV, against those without unloading strategies. Methods Patients treated with VA-ECMO in our hospital since 2012 were categorized into two groups: the Venting Group (VG) that received LV unloading interventions and the Non-Venting Group (NVG) without such interventions. We collected comprehensive clinical data, including demographics, baseline characteristics, ECMO-related parameters, in-hospital complications, and patient outcomes. Statistical analyses involved chi-square tests for categorical variables and independent samples t-tests for continuous variables to assess the impact of unloading strategies on patient outcomes. Results Our hospital treated 100 patients with VA-ECMO (mean age 58.4 ± 11.9 years, 60% male). Approximately 39% of patients received LV unloading support. The choice of unloading device was guided by our center's expertise. Most commonly, Intra-Aortic Balloon Pump (IABP) was used (61.5%), followed by Impella CP (23.1%), percutaneous atrial septostomy (2.6%) and surgical LV venting (12.8%). Unloading techniques were implemented either concurrently with VA-ECMO cannulation (58.9%), before (17.9%), or after its insertion (23.2%). Most patients (68%) received inotropic drugs, predominantly dobutamine. The mean duration of venting device use was 4.2 ± 3.8 days. Airway bleeding (3.3% NVG vs. 17.9% VG, p=0.032) and thromboembolic complications (19.7% NVG vs. 41.0% VG, p=0.036) were significantly more prevalent in the VG. There were no significant differences in the others reported ECMO-related complications. No significant differences were observed in the mean duration of support with VA-ECMO (3 days NVG vs. 4 days VG, p=0.147) or in the mean duration of hospitalization (13 days NVG vs. 12 VG, p=0.619) between the two groups. The 30-day survival rates were 42% (95% CI, 0.30-0.59) in NVG and 29% (95% CI, 0.18-0.49) in VG, which did not display statistical significance, p=0.24 [Figure 1]. Conclusions In our cohort, incorporating unloading devices alongside VA-ECMO did not yield major differences in survival rates, yet led to a considerable increase in airway bleeding and thromboembolic complications. The precocity of unloading device implantation occurred either as an initial strategy or to prevent increased afterload in hearts with limited contractile reserve.Characteristics and Clinical OutcomesSurviving Curves VG vs. NVG

Developing mobile taxation accounting dictionary application: Augmenting speaking proficiency in project-based learning

This study aims to investigate and develop a mobile tax accounting dictionary that functions as a self-learning tool for improving speaking competence through project-based learning. The dictionary was created based on the ADDIE Model (analysis, design, development, implementation, and evaluation). The application was developed utilizing the Waterfall approach, PHP programming language, and the SLIM framework. The application covered a wide range of tax accounting terms with bilingual sample sentences, learning materials focusing on grammatical constructions utilized in business meeting presentations, an evaluation section featuring vocabulary placement tests, and exercises at varying difficulty levels. During the implementation phase, a quasi-experimental approach was employed using a pretest-posttest control group design with 52 participants from the Accounting Taxation Study Program. To evaluate the impact of the dictionary application on student learning achievement, the speaking scores of the students were analyzed using the Kolmogorov-Smirnov test and the SPSS Statistics 25 program. The data analysis, specifically the independent Samples Test output table, revealed a significant difference (Sig value &lt; 0.05) between the results of the control and treatment classes. Consequently, the self-learning Taxation Accounting Dictionary application produced in this study was an excellent aid for boosting students’ speaking skills, as evidenced by improved performance after using the application.

Efektivitas Layanan Bimbingan Klasikal dengan Metode Diskusi untuk Meningkatkan Motivasi Belajar Siswa

The problem that will be raised in this study is whether there is an effective classical guidance service with the discussion method to increase student motivation at SMA N 3 Pati. Based on the problem formulation, the purpose of this study was to find out how effective the discussion method classical guidance service was to increase student motivation at SMA N 3 Pati. This type of research is experimental. This research method uses a true experimental design with a posttest-only control design technique. The population in this study is class XI MIPA 1, XI MIPA 2, XI MIPA 3, XI MIPA 4, XI MIPA 5, XI MIPA 6, XI MIPA 7, XI MIPA 8, XI MIPA 9, XI IPS 1, XI IPS 2, and XI IPS 3 with a total of 377 students. The sample in this study was selected randomly which was then divided into 2 classes, namely XI MIPA 4 experimental class and XI MIPA 5 control class. The sampling used is cluster random sampling. The results of this research analysis revealed that the independent sample test test obtained post-test data with a value of sig, 0.006 &lt;0.05, which means that there is a difference in the increase in student motivation to learn in the group given treatment or treatment through classical guidance services with the discussion method.

MENINGKATKAN KEMAMPUAN BERPIKIR KRITIS MELALUI MEDIA PEMBELAJARAN DI SMA MUHAMMADIYAH 4 KOTA BENGKULU

This research aims to determine the differences in the use of Microsoft PowerPoint-based learning media in improving students' critical thinking skills in class X economics subjects at SMA Muhammadiyah 4 Bengkulu City. The type of research used is quasi-experimental research. The population in this study was 35 students. Data collection techniques use observation and tests. The data analysis technique used is the t test, namely the Independent Sample Test, with the average test score in the control class being 74.4706. Meanwhile, in the experimental class the average test score was 77.5556. The data was tested using the Independent Sample T-Test. The test results show that the significant value is 0.001, which means it is smaller than (&lt;) 0.05 based on the test decision, Ho is rejected and Ha is accepted, so it can be said that there is an average difference in students' critical thinking abilities between the control class and the experimental class. In other words, students' critical thinking abilities are better when using Microsoft Power Point-based learning media than without using learning media.

Meta Analysis Of The PMRI (Indonesian Realistic Mathematics Education) Approach To Improving Primary Students Mathematics Learning Outcomes

Research objectives This is For analyze PMRI approach (Mathematics Education Realistic Indonesia) towards results Study students at school base. PMRI's approach is a mathematization - oriented approach experience everyday and also apply mathematics in life daily . Study This use method meta- analysis research. Data analysis was carried out with SPSS 22.00 for windows help . Result of data analysis that has been done done done show that PMRI approach ( Mathematics Education Realistic Indonesia) is influential big to results Study students , the results of the independent samples test show that mark significance (2-tailed) 0.000 &lt;0.05, the result of the effect size calculation is -2.65773, so it can be concluded that the influence of the PMRI (Indonesian Realistic Mathematics Education) approach is significantly more effective compared to conventional learning in terms of elementary school student learning outcomes. The results of data analysis show a significant difference between learning outcomes in the experimental class and the control class with a Sig (2-tailed) result of 0.000 and a small effect size. The results of data analysis can then be said that there is a significant difference between the learning outcomes of the experimental and control groups, however the treatment in this study showed a small effect on learning.

Does patient-specific instrumentation in primary total knee arthroplasty improve long-term satisfaction or function? A randomized trial with a 9-year follow-up

Background: Patient-specific instrumentation (PSI) aims to increase the accuracy of total knee arthroplasty (TKA). However, the long-term benefit compared to conventional instrumentation (CI), is still controversial. This randomized controlled trial compares the long-term outcomes between PSI and CI in TKA. Methods: Patients submitted to PSI or CI TKA with a minimum follow-up of 8 years were evaluated. Satisfaction levels, forgotten joint score (FJS) and Western Ontario and McMaster university osteoarthritis index (WOMAC) scores were compared. Regarding descriptive statistics, mean, standard deviation and frequencies were obtained. For inferential statistics we used the t test for independent samples the Mann-Whitney test and the Wilcoxon Test. Results: A total of 50 TKA were included (48% CI; 52% PSI) with an average follow-up time of 9.3 years. At the final follow-up the WOMAC score was similar between groups (p=0.846; CI:26.8±22.5; PSI:26.8±25.3). Similarly, no differences were seen for the FJS (p=0.785; CI:59.6±35.1; PSI:57.1±36.2) or satisfaction (p=0.486; CI:8.1±2.8; PSI:9.1±1.4). However, at the final follow-up, the total WOMAC score had worse results when compared to the previous evaluations (p=0.013 for CI group; p=0.009 for PSI group). No significant differences in the satisfaction levels were detected regarding the initial and final evaluations (p=0.581 for CI group; p=0.936 for PSI group). Conclusions: Nine years after TKA, PSI and CI patients reported similar levels of satisfaction and functioning. Both groups achieved similar results concerning the WOMAC, FJS scores and satisfaction levels. This study suggests that long-term satisfaction and functioning levels are similar in both PSI and CI.

Aligning front-of-pack labelling with dietary guidelines: including whole grains in the health star rating

PurposeFront-of-pack labelling systems, such as the Health Star Rating (HSR), aim to aid healthy consumer dietary choices and complement national dietary guidelines. Dietary guidelines aim to be holistic by extending beyond the individual nutrients of food, including other food components that indicate diet quality, including whole grains. We aimed to test the feasibility of including whole grains in the HSR algorithm, to better inform dietary guidance in Australia coherent with existing dietary guidelines.MethodsWe assigned whole-grain points as a favourable component of the HSR based on the whole-grain content of foods. We compared the original, and three modified HSR algorithms (including altered thresholds for star ratings) using independent-samples median tests. Finally, we used Spearman’s correlation to measure the strength of association between an item’s nutritional composition (all components of the HSR algorithm including all favourable and unfavourable components) and their HSR using each algorithm.ResultsUp to 10 points were added for products with ≥ 50% whole-grain content, with no points for products with < 25%. Adjusting the HSR score cut-off by 3 points for grain products created the greatest difference in median HSR between refined and whole-grain items (up to 2 stars difference), compared to the original algorithm (a maximum of 1 star).ConclusionsThe addition of whole grains to the HSR algorithm improved the differentiation of refined and whole-grain items, and therefore better aligned with dietary guidelines. Holistic approaches to food guidance systems are required to provide consistent messaging and inform positive food choices.

Postresidency Practice Setting and Clinical Care Features According to 3 Versus 4 Years of Training in Family Medicine: A Length of Training Pilot Study.

Factors associated with physician practice choice include residency location, training experiences, and financial incentives. How length of training affects practice setting and clinical care features postgraduation is unknown. In this Length of Training Pilot (LoTP) study, we surveyed 366 graduates of 3-year (3YR) and 434 graduates of 4-year (4YR) programs 1 year after completion of training between 2013 and 2021. Variables assessed included reasons for practice setting choice, practice type, location, practice and community size, specialty mix, and clinical care delivery features (eg, integrated behavioral health, risk stratified care management). We compared different length of training models using χ2 or Fisher's exact tests for categorical variables and independent samples, and t test (unequal variances) for continuous variables. Response rates ranged from 50% to 88% for 3YR graduates and 68% to 95% for 4YR graduates. Scope of practice was a predominant reason for graduates choosing their eventual practice, and salary was a less likely reason for those completing 4 years versus 3 years of training (scope, 72% vs 55%, P=.001; salary, 15% vs 22%, P=.028). Community size, practice size, practice type, specialty mix, and practice in a federally designated underserved site did not differ between the two groups. We found no differences in patient-centered medical home features when comparing the practices of 3YR to 4YR graduates. Training length did not affect practice setting or practice features for graduates of LoTP programs. Future LoTP analyses will examine how length of training affects scope of practice and clinical preparedness, which may elucidate other elements associated with practice choice.