Independent Samples Research Articles

Online Education in Hungary and Armenia during the Pandemic and Its Aftermath

After the breakout of the COVID-19 pandemic our lives have been profoundly changed, including higher education, where a digital form has emerged as a result. This paper presents some of the results of nearly two and a half years of research conducted in two countries. The first objective was to analyse the experience of the transition to digital education, digital competencies and equipment of staff during the COVID-19 pandemic, and the second was to summarise the impact of the alternatives to digital education at universities after the pandemic. It was also aimed at describing how digital education at the universities of these two countries with very different cultures has been tackled and whether the experiences are different. The research was carried out by means of a questionnaire including 592 instructors from Hungary and 111 from Armenia. The researchers analysed the data using SPSS 28 statistical software. Univariate and multivariate analyses were conducted, including frequency, mean and standard deviation tests, cross-tabulation analysis, ANOVA, independent samples t-test, and correlation. analyse The current study suggests that the two culturally different countries did not have completely different practices, and also the smoothness of the transition to digital education has a major impact on how digital solutions are integrated into university education in the two countries in the future. To conclude, the pandemic induced the emergence of online education, which is here to stay with us in the future to supplement traditional, offline forms.

The Effectiveness of Graphic Organizers in Fostering the Learning of Chemical Bonding in Chemistry

Graphic Organizers are visual and graphic display that illustrates the correlations between facts, terms, and ideas with a learning task. Integrating Graphic Organizers can enhance the efficiency of the teacher's delivery of lessons and students' learning. However, no study had been conducted in using graphic organizers in the process of teaching and learning. Therefore, this explanatory mixed-method study aimed to investigate the effectiveness of Graphic Organizers in teaching Chemical Bonding to grade nine (n=98) students in Samtse Dzongkhag, Bhutan. The study's main objective was to compare the academic achievement of the control group (n=53) and experimental group (n=45) and also to investigate students' and teachers' (n=6) perceptions of using Graphic Organizers in teaching and learning Chemistry over four weeks. Learning achievement tests (pre-test and post-test), semi structured interviews, and survey questionnaires were used to collect the quantitative data and qualitative data. The independent sample t-test analysis of the post-test scores revealed a statistically significant difference between the control group and the experimental group with a mean difference value of 1.17 (p=0.017), indicating that the use of Graphic Organizers improved the students' learning achievement which was also reflected in the qualitative data gathered through interview and survey questionnaire. As a result, this study strongly suggests the use of graphic Organizers as a teaching and learning tool to improve students' academic performance in Chemistry.

The Effect of Digital Stories on 4th Grade Students’ Fluent Reading Skills

This study aims to determine the effect of the digital stories on the fluent reading skills of primary school 4th-grade students. A quasi-experimental design with a pre-test and post-test control group was used in the study. The participants comprised 46 4th-grade students from the villages of the Silvan district of Diyarbakır Province. Twenty-three students formed the control group, and 23 formed the experimental group. The study was conducted in eight weeks in the 2022-2023 academic year. In this process, first, students' fluent reading skills were measured before the treatment. Then, eight reading passages were prepared in digital story format and used in Turkish lessons. When the treatment ended, the fluent reading skills of the students were measured again. Independent Sample t-test was used to determine significant differences between the experimental and control groups. The results indicated no significant difference between the initial fluent reading levels of the groups. In this context, it can be said that the use of digital stories in reading activities improves students' fluent reading skills.

Evaluation of High School Students' Knowledge and Awareness of Medical Information, Specifically on ENT Diseases

Introduction: Every stage of education is valuable, but high school is the most critical period for career choice before university. This is because the university life, which is the basis for career selection, begins after high school. The aim of this study is to evaluate the medical knowledge and awareness of high school students, focusing on ENT (ear, nose, and throat) diseases, across different grades and fields. Material and Methods: A survey form consisting of two sections was used as the data collection tool in the research. The first section contains a demographic information form, and the second section consists of 7 multiple-choice questions. An independent sample t-test was used to compare the averages of correct answers and total scores according to gender, grades, and fields. The ANOVA test was used to compare results based on age groups. Results: Of the 54 students who participated in the study, 28 (51.9%) were female, and 26 (48.1%) were male. Of the participating students, 30 were from the Science-Technology (ST) department, and 24 were from the Anatolian High School (AL) department. After excluding 2 students who had previously participated in ENT disease-related training (both from the ST group), the percentage of students who answered the general ENT questions incorrectly was 6/24 (25.0%) in the AL group and 1/28 (3.6%) in the ST group. The number of students who requested additional health-related topics in the biology curriculum was 19/24 (79.2%) in the AL group and 27/28 (96.4%) in the ST group. Conclusion: It was found that due to the science (biology) intensity of their education, the ST group had higher health knowledge specifically related to ENT diseases compared to the AL group, and the difference between the two groups was significant (p < 0.001). Despite the higher level of correct responses and knowledge in the ST group, there was a statistically significant difference between the two groups in their demand for more biology lessons (p < 0.001). Discussion: Providing more biology lessons in high school would be beneficial both for career choices and for improving health literacy.

Postural analysis of adolescent young athletes in different sports branches

The effects of posture on athletic performance have been the focus of attention of many researchers and the importance of body posture in achieving success has become undeniable. This study aimed to perform the postural evaluation of adolescent youth athletes who are trained in basketball, soccer, volleyball, and swimming branches. A total of 88 adolescent athletes (32 boys and 56 girls) with an average age of ±12.37 years, an average height of ±1.58 cm, an average body weight of ±48.2 kg, an average BMI of ±18.19 and an average training age of ±2.06 years from football, volleyball, and swimming branches actively active in Manisa and Bursa provinces participated in the study. Posture analysis of the athletes was performed using the Apecs-AI Posture Evaluation and Correction System® mobile posture application. The data obtained from the athletes were evaluated with the NewYork Posture Assessment Test (NYPD). The data obtained from the study were analyzed using the SPSS 22.0 package program. One-way Analysis of Variance (ANOVA) was used for independent samples. According to the results of the analysis, there was a significant difference between training age and NYPD scores according to branches (p<.05). Significance was found between NYPD and body axis scores in volleyball and soccer athletes (p<.05). There was no difference between NYPD and other variables in swimming and basketball. As a result, it is thought that the effect of the training age variable on posture structures differs specifically according to the branches, and posture is negatively affected as the training age increases in volleyball and soccer players.

Racial disparities in end-of-life care among patients with neuroendocrine tumors.

60 Background: Due to the rising incidence of neuroendocrine tumors (NETs), the prevalence of NETs now surpasses many other malignancies. Due to a slower course of disease and lack of awareness among care teams, end-of-life (EOL) care is typically underutilized in patients with NETs. Owing to a heavy symptom burden (related to disease burden and/or functionality), patients with NETs often struggle due to lack of palliative care and eventually EOL care support. Prior studies have revealed that Black patients with advanced cancer are more likely to receive aggressive care and suffer a significant decline in quality of life at EOL. However, similar data investigating racial differences in EOL among patients with NETs are lacking. Methods: The National Inpatient Sample (NIS) was queried between years 2016-2020 to identify all hospitalizations (regardless of site of origin) with NETs utilizing the appropriate ICD-10 codes (neuroendocrine carcinomas were excluded). Hospitalizations of White and Black patients with documented inpatient mortality events were then extracted. Demographic and clinical data were analyzed using independent sample t-test, Chi-square test, and binary logistic regression (adjusted for age, gender, and Charlson comorbidity index or CCI). NIS discharge weights were applied to calculate national estimates. Statistical analyses were performed with SPSS 28.0. A p-value of <0.05 was considered statistically significant. Results: A total of 6,265 hospitalizations with NETs were included, of which 5,125 (81.8%) and 1,140 (18.2%) had White and Black patients respectively. Black patients were younger, more likely to be females, and less likely to have a do not resuscitate (DNR) code status. There was no significant difference in CCI between the groups. Palliative care consultation was less likely to be performed among Black patients (adjusted OR=0.70, p<.001). Black patients also had longer mean length of stay in the hospital (10.25 vs 8.42 days, p<.001). Black patients were also more likely to receive aggressive care in the form of mechanical ventilation at EOL (Table). Conclusions: This is the largest analysis demonstrating significant racial disparities in EOL care among patients with NETs. Black patients had longer inpatient stay, were less likely to receive inpatient palliative care consultation, have a DNR order and more likely to receive aggressive care at EOL. These findings may have implications for informing healthcare decision making for EOL care among Black patients with NETs. WhiteN=5125 BlackN=1140 aOR (95% CI) p-value Age (years) 67.67 ± 11.89 65.14 ± 11.29 - <.001 Females 46.1% 50.9% - .004 CCI 11.0 ± 3.22 10.9 ± 3.42 - .538 Mean length of stay 8.42 ± 10.03 10.25 ± 15.75 - <.001 Palliative 62.6% 54.5% 0.70 (.61-.80) <.001 DNR 64.9% 60.1% 0.80 (.70-.92) .002 Blood transfusion 13.2% 15.4% 1.18 (.98-1.41) .052 Mechanical ventilation 28.8% 38.6% 1.55 (1.35-1.77) <.001 Vasopressor 9% 9.6% 1.07 (.86-1.33) .47

Vocal Fatigue Index (VFI): Cross-Cultural Adaptation, Validation, and Cut-off Values of the Arabic Version

ObjectiveThis study aims to validate, cross-culturally and linguistically adapt the Vocal Fatigue Index (VFI) into Arabic. Study DesignCross-sectional study. MethodsThe VFI was translated into Arabic, reverse translated, and content validated. To assess its psychometric properties, 398 patients with voice disorders (199 males, 199 females, mean age = 46.2 ± 15.0 years) and 121 vocally healthy controls (57 males, 64 females, mean age = 42.1 ± 6.9 years) completed the VFI-Arabic. We calculated internal consistency and test-retest reliability using Cronbach’s alpha and intraclass correlation coefficients. Independent sample t-tests determined mean factor score differences between groups, while ROC curves analyzed sensitivity, specificity, and cut-off scores for the three factors. ResultsThe overall Cronbach’s alpha was 0.95, across all factors combined, it was 0.68; and for factors 1, 2, and 3, it was 0.95, 0.91, and 0.91, respectively. Test-retest reliability for the subscales was excellent (intraclass correlation: 0.97, 0.91, 0.82 for factors 1, 2, and 3). Mean subscale scores were significantly higher in the voice-disordered group than in controls. The AUC for factors 1, 2, and 3 was 0.824, 0.759, and 0.646, respectively. Best cut-off scores were ≥ 14.5 (69.8% sensitivity, 83.1% specificity) for factor 1, ≥ 3.5 (66.3% sensitivity, 74.4% specificity) for factor 2, and ≥ 5.5 (60.1% sensitivity, 64.5% specificity) for factor 3. ConclusionThe VFI-Arabic is a valid and reliable tool for identifying and quantifying vocal fatigue symptoms in Arabic speakers.

Influence of breastfeeding type and gender on child development: differences in global and fine motor skills.

There are few studies that approach the subject of breastfeeding related to the development of motor skills. The study aimed to verify if there are differences in the global and fine motor skills, considering the variables gender and type of breastfeeding, in children from 18 to 44 months. We developed a quantitative correctional typology, being a cross-sectional study with a sample of 128 children of both genders. The instruments used in the study were the Peabody Developmental Motor Scales-2, and to assess the profile of the children a questionnaire was delivered to the parents. To test the normality of the sample, we applied the Kolmogorov-Smirnov Test and the Shapiro-Wilk Test. The Mann-Whitney U-Test was used for independent samples, also calculating the effect size. The boys obtained higher mean values in all motor skills, except for the fine motor skills and fine motricity, and in these, the girls obtainied the higher mean values. With respect to the inferential analysis, concerning the variable gender, there are statistically significant differences (P<0.00) in the variables: locomotor skills, object handling skills, global motricity and global motor quotient (P=0.017) the boys exhibiting the higher values, which means the better performances. We also verify that children who were not breastfed with breast milk, through feeding bottle with replacement milk, obtained higher mean values in all motor skills when compared to the ones who were breastfed with breast milk, and there is a statistically significant difference in the variable fine manipulation skills (P=0.024). Male children obtained better results in all motor skills, except for fine motricity, comparing with female children. Regarding breastfeeding, the children who were not breastfed with breast milk, show better results, mainly in Fine manipulation skills, which may be due to the previous need to handle the bottle on early age.

Examination of sex differences in fatigability and neuromuscular responses during continuous, maximal, isometric leg extension

Objective.This study examined sex-related differences in fatigability and neuromuscular responses using surface electromyographic (sEMG) and mechanomyographic (sMMG) amplitude (AMP) and frequency (MPF) during fatiguing, maximal, bilateral isometric leg extensions.Approach.Twenty recreationally active males and females with resistance training experience performed continuous, maximal effort, bilateral isometric leg extensions until their force reduced by 50%. Linear mixed effect models analyzed patterns of force, sEMG, and sMMG AMP and MPF responses in the dominant limb. An independent samples t-test compared time-to-task failure (TTF) between sexes.Main Results.There were no significant differences in TTF between males and females. However, males experienced a greater rate of force loss compared to females. Furthermore, sEMG AMP and MPF and sMMG AMP responses followed similar linear trends for both sexes, while sMMG MPF showed non-linear responses with sex-dependent differences.Significance.These data suggest that although TTF was similar, males had a higher rate of force reduction, likely due to greater absolute strength. Furthermore, despite parallel changes in sEMG AMP and MPF, as well as sMMG AMP, the divergent responses observed in sMMG MPF highlight sex-dependent differences in how males and females experience changes in the firing rates of active motor units during sustained maximal contractions.

The Effect of Using Virtual Reality Goggles on Psychological Well-Being and Care Burden of Informal Caregivers of Patients Hospitalized in Palliative Care Clinic

PurposeThis study was conducted to determine the effect of virtual reality goggles on the psychological well-being and care burden of informal caregivers of patients hospitalized in a palliative care clinic. MethodsPretest-posttest randomized controlled study. Conducted June-October 2023 with 44 informal caregivers (22 control, 22 intervention). Caregivers in the intervention group were shown 3600 relaxing virtual reality videos with virtual reality goggles for four weeks, three days a week, 30 minutes per use. The control group did not receive any intervention. Data were collected using the caregiver introduction form, psychological well-being scale, caregiving burden scale, and satisfaction form for virtual reality goggles. Analyses were performed with Independent Sample T-Test and Paired Sample T-Test. ResultsIt was determined that the post-test mean score of the psychological well-being scale of the intervention group was statistically significantly higher than the control group (p<0.05). It was determined that the post-test mean score of the caregiving burden scale of the control group was statistically significantly higher than the intervention group (p<0.05). It was found that 68% of the caregivers in the intervention group were very satisfied with using virtual reality goggles. This study revealed that using virtual reality goggles increased psychological well-being and reduced the care burden of informal caregivers of patients hospitalized in a palliative care clinic. ConclusionThe results of this study have revealed that virtual reality glasses can be used to support informal caregivers in palliative care. This study reveals promising results for improving the quality of patient care by supporting informal caregivers. ClinicalTrials.gov IDNCT06156540

Pengaruh Model Pembelajaran Kooperatif Tipe Inside Outside Circle Berbantuan Media Audio Visual terhadap Kemampuan Berpikir Kritis Siswa SMP dalam Pembelajaran Matematika

One of the factors that causes low critical thinking skills of students is the use of inappropriate learning models in the learning process. The learning process has an important role in developing students' critical thinking skills. One of the learning models that is considered effective in improving students' critical thinking skills is the Inside Outside Circle model. So this study aims to determine the Effect of the Inside Outside Circle Cooperative Learning Model Assisted by Audio Visual Media on the Critical Thinking Skills of Junior High School Students in Mathematics Learning. The research method used is quantitative descriptive using the quasi-experimental method. The results of this study obtained the Independent sample t-test test showing that the significance of 0.024 at the significance level α = 0.05, the two-sided p significance level of 0.024, which means less than 0.05, then H_a is accepted and H_0 is rejected, which means there is a statistically significant effect of the Inside Outside Circle cooperative learning model assisted by audiovisual media on critical thinking skills.

Pengaruh Model Pembelajaran Berbasis Proyek terhadap Siswa pada Mata Pelajaran PAI di SMPIT Aulia Muara Bulian

This study aims to evaluate the effectiveness of the project-based learning model in enhancing students' critical thinking skills in Islamic Religious Education (PAI) subjects in the fifth grade at SMPIT AULIA Muara Bulian,. The research method employed is true experimental with a quantitative approach. The study involves two groups: an experimental group that receives project-based learning and a control group that does not. Research instruments include pretests and posttests validated by experts. Statistical tests include normality tests, homogeneity tests, hypothesis testing using simple regression analysis, and Independent Sample t-Test. The research results indicate that the project-based learning model is effective in enhancing students' critical thinking skills. The experimental group showed significant improvement in posttest results compared to the control group. The normality and homogeneity tests indicated that the data were normally distributed and had homogeneous variance, thus valid for further analysis. Based on these findings, it is recommended that the project-based learning model be more widely implemented in PAI education to develop students' critical thinking skills from an early age.

How Does the Training Given to Intensive Care Nurses Affect Their Attitudes Toward Preventing Pressure Ulcers?

ObjectiveThe study aimed to determine the effect of training in the prevention/treatment of pressure ulcers on nurses' attitudes. Material methodThe study was conducted experimentally in a pretest-posttest design. Training was given to nurses participating in the study with content prepared by "Wound and Ostomy Incontinence Nurses Association" guide. The study was conducted between August and October with nurses working in Level 3 intensive care units. The study was completed with 79 nurses. Before the training was given, the "Nurse Introduction Form" and " Attitude Towards Pressure Ulcer Prevention Instrument (ATPUPI)" form were applied to those. All nurses were re-administered the ATPUPI scale three months after the training to evaluate their attitudes. Frequency analysis, descriptive statistics, one-way ANOVA, and independent sample tests were used in statistical analyses. ResultsThe mean age of the nurses was 29.62±5.74 years, the mean length of service was 71.77±77.19 months, 94.9% were graduates, and 82.3% worked in shifts. The mean scores before the training were 44.53±4.13 and 45.12±2.53 after the training. It was determined that there was a significant difference between the nurses who did not receive training on pressure ulcers other than undergraduate education and those who obtained training in terms of the mean score of ATPUPI. Still, after the training, the mean scores reached a similar level, and this difference disappeared. The increase in the mean scores of those who did not receive any education other than undergraduate education was found to be statistically significant. ConclusionAs a result of our study, intensive care nurses' attitudes toward preventing pressure ulcers were found to be at a high level. It was found that the training given to nurses who had not received training on pressure ulcers other than undergraduate education had a significant positive effect on their attitudes. According to this result, it is recommended that in-service training should be given from the moment they start intensive care and repeated at regular intervals to ensure continuity in knowledge, attitude, and care behavior.

The Impact of an Instructional Package Based on a Virtual Lab on the Achievement of First-Grade Intermediate School Students in Chemistry

The current research aims to identify the impact of an instructional package based on a virtual lab on the achievement of first-year intermediate school students in chemistry. To achieve the research objective, the following null hypothesis was formulated: "There is no statistically significant difference at the 0.05 level of significance between the mean scores of the experimental group students who study according to an instructional package based on a virtual lab and the mean scores of the control group students who study according to the traditional method in chemistry achievement." The quasi-experimental design with partial control (an experimental group and a control group) with unequal numbers and a post-test in achievement was chosen. The sample consisted of 66 students from Al-Qadisiyah Intermediate School for Boys, selected randomly. The experimental group consisted of 34 students who studied according to the instructional package based on a virtual lab, and the control group consisted of 32 students who studied according to the traditional method. The experimental and control groups were equalized in terms of variables: age (in months), general average grades for the sixth grade, prior knowledge, and parental education level. A total of 24 daily teaching plans were prepared for both the experimental and control groups. The teaching plans for the experimental group were organized according to an instructional package based on a virtual lab, while the teaching plans for the control group were organized according to the traditional method. The data were statistically processed using the SPSS package for two independent samples with unequal numbers. The results showed that the experimental group, which studied according to the instructional package based on a virtual lab, outperformed their peers in the control group, who studied using the traditional method in the achievement test. Therefore, the current study recommends using an instructional package based on a virtual lab in teaching chemistry and suggests conducting further studies on different stages and subjects to identify its impact on various variables.

Correlation of serum zinc and magnesium with reduced heart rate variability in male Parkinson’s disease patients

Background: Parkinson’s disease (PD) is a neurological disorder associated with altered cardiac autonomic function. Heart rate variability (HRV) analysis is a tool to assess the cardiac autonomic status. Altered serum zinc (Zn) and magnesium (Mg) levels are observed in PD. The serum Zn and Mg alteration is associated with nerve function impairment. Objective: To evaluate the relationship between serum zinc, magnesium, and time domain measures of HRV in male patients with PD. Methods: This observational analytical cross-sectional study was conducted in 2023on 30 newly diagnosed male PD patients aged 50-60 years. In this study, 30 healthy volunteers were the control. The 30 patients were divided into different categories based on serum mineral levels. The HRV was recorded by Power Lab 8/35, AD Instruments, Australia and the time domain measures of HRV were used in data analysis. The serum Zn and Mg levels were measured by atomic absorption spectrophotometry. Independent sample ‘t’ test and Pearson’s correlation coefficient test were used for statistical analysis and p&lt;0.05 was considered statistical significance. Results: Significantly higher mean HR (Heart rate) (p&lt;0.01) and significantly lower mean RR (Normal to normal QRS complex) interval,CVRR (Coefficient variation of RR interval) (p&lt;0.01), SDRR (Standard deviation of the RR intervals), SDSD (Standard deviation of the difference between successive RR intervals), RMSSD (Square root of mean squared differences of successive RR intervals), pRR50% (Proportion of RR interval with duration &gt;50 ms) (p&lt;0.001)were observed in PD patients compared to control. In PD patients, significantly lower (p&lt;0.001) serum Zn and significantly higher (p&lt;0.01) serum Mg were observed compared to control. In addition,significant decrement was observed in SDRR, CVRR (p&lt;0.05), SDSD, RMSSD, and pRR50% (p&lt;0.01) in hypozincemic PD patients compared to normozincemic patients. On correlation analysis, significant positive correlations of serum Zn were observed with SDRR (p&lt;0.05),SDSD (p&lt;0.001), RMSSD (p&lt;0.001) and pRR50% (p&lt;0.01). Moreover,serum Mg was positively correlated with SDRR (p&lt;0.05) in PD patients. Conclusion: Hypozincemia and magnesium were directly related to reduced HRV in male PD patients. J Bangladesh Soc Physiol 2023;18(2): 63-71

Association of cardiac autonomic nerve function with serum zinc, calcium and magnesium in female hypothyroid patients

Background: Hypothyroidism is related to impaired cardiac autonomic nerve activity with altered levels of serum Zinc (Zn), Calcium (Ca) ‍and Magnesium (Mg).Altered Serum Zn,Caand Mg levels are also associated with autonomic imbalance and may raise cardiovascular risk.Heart rate variability (HRV) is an important marker for assessing cardiac autonomic nerve function(CANF). Objectives: To evaluate the association of serum Zn, Cal and Mglevels withCANF in female hypothyroid patients. Methods: This analytical cross-sectional study was conducted on 40 female hypothyroid patients aged 18-45 years. Thirty apparently healthy women were control. Serum Zn, Ca and Mg levels were estimated by autoanalyzer and CANF was assessed by time domain analysis of HRV recorded by Power Lab 8/35 AD Instruments, Australia. Statistical analysis was done by Independent sample‘t’ test, One way ANOVA followed by post-hoc Bonferroni test and Pearson’s correlation coefficient test. Results: Among time domain parameters of HRV, standard deviation of the RR intervals (SDRR), coefficient variation of RR interval (CVRR), SD rate, standard deviation of the difference between successive RR intervals (SDSD), square root of mean squared differences of successive RR intervals (RMSSD), proportion of RR interval with duration &gt;50 ms (pRR50%) were significantly lower (p&lt;0.05) in all hypothyroid patients as compared to control. On correlation analysis, serum Zn, Ca and Mg were significantly positively correlated with SDSD(p&lt;0.01, p&lt;0.001,p&lt;0.01) RMSSD(p&lt;0.01, p&lt;0.001, p&lt;0.01), pRR50%(p&lt;0.01, p&lt;0.01, p&lt;0.05)and serum Ca was also positively correlated with SDRR(p&lt;0.05) in hypothyroid patients. Conclusion:Serum ZnCa and Mg were associated with cardiac autonomic dysfunction. in female hypothyroid patients. J Bangladesh Soc Physiol 2023;18(1): 27-34

Subtypes of borderline personality features in adolescence: Insights from cross-lagged panel network analysis.

Borderline personality disorder (BPD) is a complex and severe psychiatric condition characterized by emotional, self-image, behavior, and relational instability. While adult BPD heterogeneity has been extensively studied, the phenomenological borderline personality features (BPFs) in adolescence remain uninvestigated. This study aimed to explore the potentially dynamic causal relationships between BPFs in adolescence and identify the subtypes through cross-lagged panel network (CLPN) analysis. Two independent Chinese adolescent samples were followed over 18 months (N₁ = 1,056, M1age = 15.37, SD1 = 1.86) and 6 months (N₂ = 723, M2age = 16.84, SD₂ = 0.48) to track BPFs. CLPN modeling was employed to investigate the stability, potential causal relations, and subtypes of adolescent BPFs. The results revealed a relatively stable overall adolescent BPF network structure with some subtle changes over time. Impulsivity emerged as the BPF with the highest out-expected influence, indicating its predictive role for other BPFs. A strong reciprocal causal relationship was observed between impulsivity and affective instability. Based on the CLPN estimation, two distinct BPFs subgroups were spontaneously clustered: externalized-dysregulation subtype (impulsivity, affective instability, and self-harm/suicide) and introjective-disturbance subtype (identity disturbance, chronic emptiness, and stress-related dissociation). The present study tentatively explores a potential typology for adolescent BPF based on these two clusters, which possibly have different pathological mechanisms, and moreover offer insights into the essential construct and clinical intervention of adolescent BPD. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

The Effect of Primary School Children’s Sleeping Habits on School Motivation

Background and Objective The objective of this study was to determine effects of primary school age children’s sleep habits on school motivation.Methods Research data available between February 9, 2024, and April 6, 2024 were collected online. The study group consisted of primary school children. Written with the consent of their parents who voluntarily participated in collecting research data. Socio-demographic data were collected online from 250 primary school children living in Hakkari, Türkiye using, Sleep Hygiene Index (SHI) and Academic Intrinsic Motivation Scale (AIMS). These children were selected with a convenience sampling method, one of the improbable sampling methods. SPSS 26.0 data analysis program was used for statistical analysis of data obtained in the study. Independent sample t-test, anaysis of variance (ANOVA), and Pearson correlation were used to analyze the data.Results Of the study group of primary school children, 45.7% were boys and 54.3% were girls. There were significant differences in effects of gender factor on primary school children’s SHI and AIMS sub-dimension scores of achievement requirement, social acceptance, fear of failure, and expertise (p &lt; 0.05).Conclusions Age and class status of primary school children’s sleeping habits can affect school motivation. Gender is a variable that can affect sleep hygiene and school motivation.

Investigation of Teachers Proactivity, Psychological Well-Being and Professional Satisfaction

The aim of the study was to examine teachers’ proactivity, psychological well-being and professional satisfaction levels and the relationship between them. In order to reach this purpose, a quantitative cross-sectional study, one of the quantitative research methods, was used. Within the scope of the determined purpose, firstly, it was examined whether there was a significant difference in terms of seniority, number of close friends, working in the hometown/abroad, being a teacher/administrator, and marital status. Secondly, it was investigated whether there is a significant relationship between proactivity, psychological well-being and professional satisfaction. The study group of the research consists of 162 teachers working in Kilis. "Abbreviated Proactivity Scale", "Psychological Well-being Scale”, "Occupational Satisfaction Scale” and "Personal Information Form" were used as data collection tools. Independent sample t-test, ANOVA, Pearson correlation analysis and regression analysis were used to analyze the data. As a result of the study, significant positive relationships were found between proactivity, psychological well-being and occupational satisfaction variables. Regarding demographic variables, it was determined that proactivity differed according to seniority and number of close friends; psychological well-being differed according to the number of close friends and being a teacher/administrator. Professional satisfaction differed according to seniority, number of close friends and working in hometown/abroad. No difference was found in any of the variables of the study according to marital status. There was a moderate positive and significant relationship between psychological well-being and proactivity. A weak positive and significant relationship between psychological well-being and professional satisfaction. A weak positive and significant relationship between proactivity and professional satisfaction. Suggestions were made in line with these results.

Current Status and Factors Influencing Mental Health Literacy in Patients With Coronary Heart Disease: A Cross-Sectional Study.

This study aimed to investigate the current status of mental health literacy and related influencing factors in patients with coronary heart disease. Four hundred and thirty-five patients with coronary heart disease were recruited in this survey. Data collection was conducted using the General Information Questionnaire, the Chinese version of the Mental Health Literacy Scale, Coronary Artery Disease Self-Management Scale, Social Support Rating Scale, and Coronary Heart Disease Self-Efficacy Scale. Descriptive methods, independent samples t-test or one-way ANOVA, Pearson's correlation analysis, and multiple linear regression were used for data analysis. The results showed that the mean total mental health literacy score of patients with coronary heart disease was 96.42 ± 8.40; gender, age, education level, monthly per capita family income, first diagnosed with coronary heart disease, cardiac function classification, self-management ability, social support, and self-efficacy were the factors influencing the level of mental health literacy in patients with coronary heart disease (all p < 0.05). The study suggests that mental health literacy can improve patients' self-management ability and self-efficacy, and healthcare professionals should emphasize the strengthening of this aspect of health education in order to better improve patient's prognosis.