Posttest Differences Research Articles

Carousel Brainstorming – An Innovative Small Group Teaching Method to Augment Anatomical Knowledge of MBBS Students

Introduction: This study investigated the impact of Carousel Brainstorming, a collaborative and interactive teaching method, on student learning in anatomy education. Emphasizing active participation and knowledge exchange, Carousel Brainstorming aims to enhance critical thinking, teamwork, and the comprehension of complex medical concepts. The research addresses the need for objective measures in real-world settings and explores the effectiveness of Carousel Brainstorming compared to traditional Tutorials. Methodology: Phase-1 MBBS students (n=100) in the academic year 2023-2024 participated in the study through simple randomization. The research spanned four months, and after a didactic lecture on Mammary Gland, students were divided into two groups: Group A (Tutorials) and Group B (Carousel Brainstorming). The latter engaged in a structured session involving pretests, subgroups, and rotating discussions. Post-tests were administered, and a questionnaire assessed students' perceptions. Results: Statistical analysis revealed significant differences in pre-test, post-test, and difference scores between Carousel Brainstorming and Tutorials groups (p < 0.001). Carousel Brainstorming exhibited higher post-test mean scores (7.6) compared to Tutorials (5.0). Students strongly agreed (56.8%) that Carousel Brainstorming was effective. Conclusion: Carousel Brainstorming emerges as a well-received and beneficial teaching method in anatomy education. Its collaborative and interactive nature positively influences knowledge acquisition and retention, fostering active learning. Future research may explore long-term impacts and diverse applications of Carousel Brainstorming in educational settings, offering a promising avenue for innovative pedagogy. KEYWORDS: Carousel Brainstorming, Anatomy education, Teaching-learning methods, Student perception, Learning gains.

Guided Inquiry Design (GID) as a Pedagogical Practice in Teaching Practical Research

This study determined the performance of grade 12 senior high school students in Practical Research using Guided Inquiry Design during the school year 2022-2023. The study utilized the quasi-experimental research design employing pretest and posttest in Practical Research 2 during the 4th quarter. The participants of this study were 55 Grade 12 students in HUMSS F for the experimental group and 51 students of in HUMSS G for the control group. Purposive sampling technique was utilized in determining the samples of the study. This study determined the performance of grade 12 senior high school students in Practical Research using Guided Inquiry Design during the school year 2022-2023. The study utilized the quasi-experimental research design employing pretest and posttest in Practical Research 2 during the 4th quarter. The participants of this study were 55 Grade 12 students in HUMSS F for the experimental group and 51 students of in HUMSS G for the control group. Purposive sampling technique was utilized in determining the samples of the study. This study concludes that the GID was effective in enhancing the students’ learning outcomes based on the increase of the posttest result and mean difference between the pre-test and posttest. The finding implies that the students in the experimental group who were exposed to GID performed better than the control group with no exposure to GID. It is important to apply GID in class because it develops pedagogical practices that scaffold students’ independent inquiry in learning. Since GID instruction is based on team teaching and inquiry circles, this greatly helps students collaborate with each other which is vital in producing a final output in Practical Research. The researcher will continue to apply GID in teaching to improve existing practices. The researcher recommends that the School Heads will encourage the teachers to use GID in teaching. Teachers can engage in team teaching and inquiry circles to ignite more the interest of the students. Other researchers can use the findings of this study as avenues for future research.

“Discover your potential to raise your children”: A psychoeducational infancy parenting intervention in Spain

AbstractBackgroundThe quality of parenting has a significant impact on healthy development across the life cycle. Recent research has highlighted the financial return of evidence‐based parenting programs that are well designed and implemented.ObjectiveTo analyze the impact of a psychoeducational guidance intervention program aimed at improving parenting skills.MethodThirty‐five families with children aged between 0 and 3.5 years referred from the educational, social, and health departments of the Vitoria‐Gasteiz City Council (Spain) participated in the study. Using a longitudinal approach, the intervention took place over the course of three home visits: initial pretest assessment visit, feedback and orientation visit, and a final posttest assessment visit.ResultsStatistically significant pretest–posttest differences were observed in parenting skills, including cognitive and socio‐emotional development scaffolding, parental self‐efficacy, parental adaptive stress, and diversity of experiences.ConclusionsSeveral areas for improvement were detected in the context of an intervention based on customized guidance for individual families. The implementation process indicated issues to be improved in future program editions.ImplicationsOur findings provide family and public health policy makers with empirical support for the implementation of parenting programs designed to help families to acquire and improve parenting competencies to foster their children's comprehensive development, focused on the period between 0 and 3.5 years of life. Results of the study favor the propagation among Spanish professionals who work with families of the use of quality standards of the evidence‐based approach related to quality of implementation and assessment of the impact of parenting programs.

Improvement of gross motor skills in children with hearing loss: through a game model reviewed from the aspect of independence

Abstract. This study aims to find out: (1) The difference in the influence of the water game model and the dingklik relay game on the improvement of gross motor skills in deaf children. (2) The difference in the effect between high and low independence on the improvement of gross motor skills in deaf children. (3) The interaction between the water game model and the dingklik relay game was reviewed from the aspect of independence to improve gross motor skills in deaf children. This type of research is an experiment using a 2 x 2 factorial design. The population in this study is 38 deaf children of SLB N Mesuji Lampung. The sample in this study amounted to 20 deaf children who were taken using the purposive sampling technique, then ordinal pairing was carried out to divide each group. The instrument used was to measure independence using the questionnaire method, while gross motor used (1) a test of walking on a straight line of 5 meters, (2) a test of running avoiding five obstacles as far as 15 meters, (3) a test of standing on one foot for 10 seconds, (4) a test of jumping from a 15 cm high block, (5) a test of jumping from a 15 cm high beam. The data analysis technique used is ANOVA two-way. The results showed that: (1) There was a difference in the influence of the water game model and the dingklik relay game on the improvement of gross motor skills in deaf children, with a value of F 8.667 and a significance value of p 0.010 < 0.05. The water competition group was higher (good) compared to the dingklik relay game group with an average posttest difference of 1.3. (2) There is a difference in the influence between high and low independence on the improvement of gross motor ability in deaf children, it is proven that the F value is 22.615 and the significance value p is 0.000 < 0.05. Children who have high independence are higher (good) compared to children who have low independence, with an average posttest difference of 2.1. (3) There was an interaction between the water game model and the dingklik relay game from the aspect of independence (high and low) on the improvement of gross motor skills in deaf children, with a value of F 70.205 and a significance value of p 0.000 < 0.05.

Improvements in upper extremity isometric muscle strength, dexterity, and self-care independence during the sub-acute phase of stroke recovery: an observational study on the effects of intensive comprehensive rehabilitation.

Stroke often impairs upper extremity motor function, with recovery in the sub-acute phase being crucial for regaining independence. This study examines changes in isometric muscle strength, dexterity, and self-care independence during this period, and evaluates the effects of a comprehensive intensive rehabilitation (COMIRESTROKE). Individuals in sub-acute stroke recovery and age- and sex-matched controls were assessed for pre- and post-rehabilitation differences in primary outcomes (grip/pinch strength, Nine Hole Peg Test [NHPT], Action Research Arm Test [ARAT]). COMIRESTROKE's effects on primary and secondary outcomes (National Institute of Health Stroke Scale [NIHSS], Modified Rankin Scale [MRS], Functional Independence Measure [FIM]) were evaluated. Outcomes were analyzed for dominant and non-dominant limbs, both regardless of impairment and with a focus on impaired limbs. Fifty-two individuals with stroke (NIHSS 7.51 ± 5.71, age 70.25 ± 12.66 years, 21.36 ± 12.06 days post-stroke) and forty-six controls participated. At baseline, individuals with stroke showed significantly lower strength (dominant grip, key pinch, tip-tip pinch, p adj < 0.05), higher NHPT scores (p adj < 0.05), and lower ARAT scores (p adj < 0.001). COMIRESTROKE led to improvements in dominant key pinch, non-dominant tip-tip pinch, NHPT, and both dominant and non-dominant ARAT (p adj < 0.05). Notably, non-dominant key pinch improved significantly when considering only impaired hands. Pre- and post-test differences between groups were significant only for ARAT (both limbs), even after adjustment (p adj < 0.05). All secondary outcomes (NIHSS, MRS, FIM) showed significant improvement post-COMIRESTROKE (p adj < 0.001). Individuals with stroke exhibit reduced muscle strength and dexterity, impairing independence. However, comprehensive intensive rehabilitation significantly improves these functions. Data are available from the corresponding author upon request and are part of a sub-study of NCT05323916.

A Pilot Study Examining The Efficacy Of Occupational Therapy Rehabilitation Programmes For Students With Work-Related Muscular-Skeletal Disorders

Background: Musculoskeletal issues at work have an influence on daily life, productivity, and quality of life. Musculoskeletal issues that go untreated can result in severe damage and function loss, which can limit participation, cause financial loss, and add to the rising burden of illness in the world. Objective: The purpose of this study was to find the effect of occupational therapy rehabilitation program in occupational therapy students with work related musculoskeletal disorder. Study Design:Quasi-experimental, pilot study design was chosen for the research Methods: The study employed a quasi-experimental study design. Thirty occupational therapy students aged 20-25 years were recruited through convenience sampling after a prevalence check where 30 students reported 54 musculoskeletal problems. A total number of participants (n= 30) received occupational therapy rehabilitation program. Standardised Nordic musculoskeletal questionnaire (SNMQ) and Numeric pain rating scale (NPRS) were administered to Pain and work related musculoskeletal disorder for all the participants. Result: It revealed that there was a statistically significant difference in pre-test and post-test with numeric pain rating scale (t=10.625, p=0.000). There was a significant difference in percentage in 7 days component of SNMQ. There was no statistical difference with post-test of score of 12 months component of SNMQ. Conclusion: Occupational therapy rehabilitation program is effective for reducing Musculoskeletal disorder or discomfort in occupational therapy students.

Improving Mental Health Outcome in Hypertensive Patients: The Role of Relaxation Techniques

Background: Relaxation techniques (progressive muscle relaxation and deep breathing) have an impact on the patients with hypertension as they produce a relaxation response within the body and thus, are efficient in lowering the stress and blood pressure in the patients. Objective: This study aims to determine the role of relaxation techniques (progressive muscle relaxation and deep breathing) on improving mental health outcome in hypertensive patients (depression, anxiety and stress). Methodology: A Quasi-experimental design used to guide this study, it was conducted by use of a pre-posttest approach during the period 26th of November, 2023 to 7th of April, 2024. A non-probability (purposive) sampling has been performed during a selection of (100) patients who attending Outpatient Clinic in Al-Diwaniyah Teaching Hospital, (50) patients as control group and (50) patients as study group. The researcher used a socio-demographic and psychological parameter scale (DASS-21). Results: The findings of the current study show highly statistically significant differences in post-test between study and control group (at P ≤ 0.001). On other hand, there is no statistically significant difference in the pre-test between the two group of all psychological parameter (at P ≤ 0.05). Conclusion: Based on the study's findings, progressive muscle relaxation and deep breathing exercises can both proved to be significantly effective in improve mental health in hypertensive patients (depression, anxiety and stress). Recommendations: In order to reduce hypertension and other psychological parameters in patients with essential hypertension, the researcher suggested combining pharmacological therapies with non-drug therapy (relaxation techniques intervention) in the management of hypertension.

Safety and efficacy of a novel quantitative phase I exercise in patients after cardiopulmonary bypass: a single-blind, prospective, non-randomized study.

Despite the positive effect of early post-cardiac surgery exercises, the concern of safety issues is high, indicating the need for standardized and quantitative mobility indicators to enhance early mobilization monitoring in the intensive care unit while ensuring patient safety. This study aimed to compare the safety and efficacy of quantitative phase I exercise versus usual care in patients who have undergone cardiac surgery. In this non-randomized, single-blind trial, patients following on-pump cardiac surgery were allocated to either quantitative exercise (intervention group, n=114) or usual care (control group, n=114) based on their willingness. Continuous cycling ergometer was used for intervention, and the peak power was recorded for setting next exercise intensity. Noninvasive cardiac output monitoring during exercise was used for safety management. Patients received one time per day, seven sessions in total. Two-way repeated-measure analysis of variance demonstrated significant group and test time difference for forced expiratory volume in 1 s (FEV1) (P=0.01), maximum expiratory pressure (MEP) (P=0.02), peak expiratory flow (PEF) rate (P=0.045), and 6-minute walking distance (6MWD) (P=0.001); more improvement of 6MWD in intervention group (P<0.001). Intervention group showed significant post-test improvements except FEV1/forced vital capacity (FVC). Post-test differences between groups were observed in FEV1 (P=0.02), FVC (P=0.02), MEP (P=0.02), 6MWD (P<0.001), and △6MWD (P<0.001). Analysis of covariance with smoking as covariate showed consistent results. Postoperative stay in intensive-care unit in the intervention group [mean ± standard deviation (SD), 3.0±1.3] was shorter than that in the control group (mean ± SD, 3.5±2.2) (P=0.03). Quantitative phase I exercise applied to patients following cardiopulmonary bypass is safe and recovers respiratory and physical capacity more quickly.

Sex Differences in Neuromuscular Adaptations Following 12 Weeks of Kettlebell Swing Training.

The purpose of this study was to investigate whether there are sex differences in strength, power, and muscular endurance gains following a 12-week kettlebell swing protocol. Twenty-eight men (29.4 ± 7.3 years; 176.4 ± 6.2 cm; 80.1 ± 11.0 kg; 146.0 ± 22.3 kg in deadlift; 1.8 ± 0.2 kg/body mass deadlift relative strength) and 25 women (32.3 ± 5.5 years; 162.5 ± 7.5 cm; 66.2 ± 9.7 kg; 92.4 ± 17.3 kg in deadlift; 1.4 ± 0.2 kg/body mass deadlift relative strength) participated in this study. Measures of strength in the deadlift, power in the countermovement jump, muscular endurance in the deadlift, and workout of the day (WOD) were obtained before and following six and 12-week time points. Both sexes showed pre- to post-test differences in strength (p < 0.001; one repetition maximum (1RM) improvement of 12.6% for men and 11.7% for women), power (p < 0.001; jump height improvement of 12.9% for men and 6.8% for women), and muscular endurance deadlift test (p < 0.001; improvement in deadlift repetitions of 24.5% for men and 29.2 for women), and only men improved performance in DT WOD (p < 0.001; WOD improvement of 21.3% for men and 1.3% for women). Furthermore, men had greater gains in the power test (p = 0.02) and in the DT WOD endurance test (p = 0.04). Kettlebell training appears to be an effective strategy for increasing strength, power, and endurance in both men and women, but considering the lower responses in power and DT WOD, other strategies should also be considered to optimize women's results in these tests.

Impacts of Hyperbaric Oxygen Therapy (HBOT) on Verbal Scores in Children With Autism: A Secondary Analysis of the HBOT Trial Using Multivariate Analysis of Variance (MANOVA).

Introduction A secondary analysis employing advanced statistical methodologies constitutes a robust means of validating initial findings in systematic empiricism. The current research will undertake a secondary analysis of the impacts of Hyperbaric Oxygen Therapy (HBOT) on verbal behaviors in children with autism using the original dataset. This approach aims to enhance the robustness of the initial results, thereby providing a deeper understanding of the data and potentially uncovering additional insights. Materials and methods From January 2018 to July 2021, all cohorts of autistic children (n = 65) were scheduled, evaluated, and treated at The Oxford Center(TOC) in Brighton and Troy, Michigan, USA. Trained research assistants retrospectively extracted pretest and posttest data from electronic medical records from the Verbal Behavior Milestones Assessment and Placement Program (VB-MAPP) and the Assessment of Basic Language and Learning Skills (ABLLS). This data collection focused on children with autism who received either non-HBOT control with Applied Behavior Analysis (ABA) treatment only or ABA + HBOT interventions. For the VB-MAPP, the experimental group (ABA + HBOT) included 23 children, while the control group (ABA only) included 12 children. For the ABLLS, the experimental group (ABA + HBOT) consisted of nine children, compared to 21 children in the control group (ABA only). Demographic information was systematically summarized. Two independent sample t-tests were recomputed from the original study. Multivariate Analysis of Variance (MANOVA) were conducted, followed by one-way Analyses of Variance (ANOVA) post hoc analyses to elucidate the findings. Results The ages in both groups ranged from 2 to 17 years (M = 5.7 years ± 3.08), with median ages of four years for the experimental group and five years for the control group. The p-values and effect sizes indicated that the two independent sample t-tests from the original study and the MANOVAs from the current research are in agreement. This concordance provided confirmatory evidence for the validity of the pretest and posttest differences in VB-MAPP and ABLLS scores for the control group (ABA only) and the experimental group (ABA + HBOT), highlighting the impact of HBOT on verbal scores in children with autism. Conclusions The results from the two independent sample t-tests from the initial study exhibited high alignment with those derived from the current study's MANOVAs. Both statistical methodologies were applied to the same VB-MAPP and ABLLS datasets. The convergence of results from these two distinct statistical analyses may reinforce the credibility of the original research findings. It supports the hypothesis that the combined ABA and HBOT intervention may offer additional benefits over ABA therapy alone, with verbal milestone behaviors in children with autism.

Promoting students’ autonomous motivation for the ongoing curriculum using a ‘Societal Impact Project’ with basic psychological needs characteristics

Purpose Autonomous motivation is important for university students, but it remains a challenge to stimulate their autonomous motivation for their curricula. We developed an extracurricular intervention (Societal Impact Project) with basic psychological needs supportive characteristics such as learning with self-defined problems relevant to curriculum and society, collaborative group work, and coaching by a teacher. This study aims at evaluating the intervention in fostering students’ autonomous motivation for their regular curricula. Methods We conducted a quasi-experimental study, using between-group pre- and post-test design. Participants from the intervention and control group completed a survey before and after the intervention, which measured the satisfaction of three basic psychological needs, autonomous motivation, controlled motivation, enjoyment, value, and well-being within their regular curricula. We compared the post-test differences between the two groups while controlling for pre-test scores. Results Students in the intervention group had greater enjoyment in their regular curricula and perceived their regular curricula to have more value compared to students in the control group. The other variables did not differ significantly between the two groups in the post-test. Conclusion The intervention is effective for improving students’ enjoyment and perceived value in their regular curricula. The variables with non-significant differences indicate the difficulty to alter students’ basic psychological needs and motivation in their regular curricula, even after participating in a long-term intervention.

The effects of the 'active before school' programme on the academic skills of 8-9-year-old children: a physically and cognitively engaging intervention.

Literature underscores the significance of exercise and cognitive stimulation for achieving academic success. This study aims to investigate the effects of the technology-based "Active Before the First School Bell" programme, comparing the effects of two school-based interventions (physical activity vs. cognitive engagement) on the academic skills of 8-9-year-old children. This encompasses their school skills, visual-motor coordination, levels and attitudes towards physical activity, and fitness. The study involved 88 primary school children (age: 8.3 years, 58.0% girls). To assess the programme's distinct effects children were categorised into three groups. The first group (n = 31) participated in cognitive classes (CEG), the second (n = 27), in physical activity classes (PAEG), and the third (n = 30), was a control one (CG). A 12-week intervention, consisting of three 15-min sessions per week before school, was implemented. Self-report questionnaires gauged levels of physical activity. Academic skills were assessed using a battery of diagnostic methods for school failure in early childhood education. Fitness was measured using selected items from the Eurofit test battery. Pre- and post-test measures were collected and analysed, employing one-way ANOVA on ranks with Dunn's post-hoc tests. Significant post-test differences between the groups were observed in visual spatial function, with the PAEG outperforming the CG, and in auditory and language functions, where both experimental groups outperformed the CG. Results suggest that before school physical activities may be more effective than cognitive activities in improving the academic skills. The short-term effects obtained provide insights for implementing before-school programmes for children in the early school years.

Acute effects of whole-body vibration during dynamic lunge movement on jump and sprint performances

Background and Study Aim. The aim of this study was to examine the acute effects of whole-body vibration applied to the dominant and non-dominant leg during repetitive lunge movements on jump and sprint performance. Material and Methods. Thirty-five male students from the Faculty of Sport Sciences voluntarily participated in the study. Participants performed squat jumps and countermovement jumps, and a 30-m sprint test on a non-motorized treadmill as pre- and post-tests. Participants were divided into the experimental group (n = 19, age: 22.0 ± 1.9 years, height: 177.7 ± 6.3 cm, body weight: 75.5 ± 12.6 kg) and the control group (n = 16, age: 21.9 ± 1.9 years, height: 173.4 ± 4.1 cm, body weight: 67.7 ± 7.1 kg). In the experimental group, a whole-body vibration of 50 Hz frequency and 4 mm amplitude was continuously applied to the dominant front leg. This was done on the whole-body vibration platform for 60 seconds throughout the repetitive lunge movement. At the end of the time, the leg was changed, and whole-body vibration was applied to the non-dominant leg using the same method. The control group performed the same movement without whole-body vibration. Pre- and post-test results were compared with an independent sample t-test within the group and a paired sample t-test between the groups. The statistical significance level was determined as p ≤ 0.05. Results. The experimental group showed statistically significant pre-test and post-test differences in 30-m sprint power, non-dominant leg power, and non-dominant leg horizontal force parameters (p &lt; 0.05, p &lt; 0.01, and p &lt; 0.05, respectively). It was determined that performing dynamic lunge movements with the dominant and non-dominant legs using whole-body vibration significantly increased mean power and non-dominant leg horizontal force. Conclusions. The acute effect on power, particularly on non-dominant leg power and non-dominant leg horizontal force during the 30-m sprint, was significant. This showed that whole-body vibration can be used as a short-term training method. In studies aiming to determine the acute and chronic effects of exercises with whole-body vibration on various performance parameters, it is important to focus on the frequency and amplitude differences in certain protocols.

The Effect of Acupressure on Fasting Blood Glucose Levels in Clients with Type II Diabetes Mellitus

Diabetes mellitus is a? disease that has a characteristic signs? in the from of an increase in glucose levels exceeding normal range . The prevalence of diabetes mellitus is increasing significantly. Currently, the management? of diet, exercise and use therapy pharmacological therapy are option in the management of diabetes mellitus. In addition to these therapies, there are complementary therapies such as acupressure. The purpose of this study was to prove the acupressure intervention in influencing fasting blood glucose levels. This research was a quasi- experimental study with a nonequivalent control group design with pre – test post – test. This study had 38 respondents? whi were devided into 2 groups and were taken using a consecutive sampling techniques. This study was conducted from April 7th 2021 – May 9th 2021. The pre – test and post -test difference test used the wilcoxone test. The diferent test between groups used Man – Whitney test and Independent – t test. Study This showed that there were significant differences? before and after treatment in all groups p = &lt; 0.05. The results of the post-test differences between groups also showed p = 0.012 which shows that there are meaningful differences? between post-tests in groups intervention and control groups. Complementary therapy in the form of proven acupressure can decrease fasting blood glucose in type II diabetes mellitus patients, and complementary therapy in the form of acupressure can used for decrease fasting blood glucose levels in type II diabetes mellitus patients.

The Effects of Open and Closed Kinetic Chain Exercises on Visual Reaction Times and Certain Motor Skills in Young Male Boxers

This study aimed to determine the effects of open kinetic chain (OKC) and closed kinetic chain (CKC) exercises on visual reaction times and certain motor skills in young male boxers. Twelve young male athletes (mean age: 16.92±1.08 years) voluntarily participated in this study, which employed a pretest-posttest experimental research model, a quantitative research method, without a control group. The Ethics Committee Approval required for the research was received from Muş Alparslan University Scientific Research and Publication Ethics Committee with decision number 9/73 dated 08.11.2023. Prior to and following training in OKC and CKC exercises, the athletes were tested on visual reaction times, vertical jumping, and flexibility. The paired samples t-test was applied to normally distributed data. According to our findings, there were no significant differences in the visual reaction time and flexibility tests with respect to the pre- and post-test results for the OKC exercises (p ˃ .05), although a significant difference was detected for the vertical jump test (p ˂ .05), with the post-test values determined to be lower than the pre-test values. While there were no significant differences in the CKC exercise pre-and post-test results for the vertical jump and flexibility tests (p ˃.05), a significant difference was observed in the visual reaction test (p ˂ .05), for which the post-test values were lower than the pre-test values. Based on these results, OKC exercises were determined to have a negative impact on jumping ability, whereas CKC exercises exhibited positive effects on visual reaction times. The use of CKC exercises can thus be recommended for studies aimed at improving visual reaction performance in young male boxers.

Video animation in coordination system to improve students’ cognitive ability

The biological concept has a broad scope and requires the visualisation of bioprocesses to provide complex understanding. Learning media can help visualise bioprocesses to enhance students’ cognitive abilities. The study aimed to develop, test the practicality, and test the effectiveness of video animation in improving grade XI high school students’ und erstanding of the coordination system. This study involved 66 high school students in grade XI of the science department at State Senior High School 2 Malang, Indonesia. This research used the Lee &amp; Owens Multimedia-Based Instructional Design method, which consisted of analysis, design, development, implementation, and evaluation stages. In the evaluation stage, we conducted face validity by media experts and content validity by material experts, successively getting results of 97% and 100%. Then, the concurrent validity test was obtained from student assessments of the media interface with a result of 97%, the user-friendly with a result of 100%, and the appropriateness of the material with a result of 95%. In the final stage, construct validity was carried out through an effectiveness test using a quasi-experimental design with a pretest-posttest control group design. Data analysis was performed using the Independent T-test, with the results showing a significance of 0.006 &lt; 0.05, which showed a significant difference in the average post-test between the control and experimental classes. The average score in the experimental class increased from 76.32 to 89.03, but the control class increased from 76.38 to 84.56. The results showed that the video animation media effectively improved students’ abilities. Therefore, this learning media can be a recommendation in the learning coordination system.

Combined Sleeve Gastrectomy and Omentoplasty Improves Inflammation and Insulin Resistance in Obese Rats with Type II Diabetes Mellitus: A Randomized Controlled Trials

BACKGROUND: Diabetes mellitus (DM) is often associated with obesity, which can lead to chronic inflammation. Sleeve gastrectomy (SG) is a common treatment for obesity. Combining SG with omentoplasty, might help reducing inflammation in pancreatic beta cells. However, there is limited research regarding the combined effects of SG and omentoplasty in type 2 DM (T2DM). This study was conducted to fill this gap by evaluating the impact on body weight, insulin resistance, glucagon expression, and levels of interleukins (IL)-1, IL-6, and IL-10 in obese rats with type II DM.METHODS: An experimental study was conducted on 18 obese Wistar rats with DM that were randomized into: control, T1 (SG), and T2 (SG + omentoplasty). SG involved the surgical removal of a portion of the stomach to reduce its size, while omentoplasty utilized the omentum to target inflammation in pancreatic beta cells. Venous blood samples were taken from subjects one day before and ten days after the intervention to measure the biomedical parameters with various methods. Data was statistically analyzed using paired t-tests for pre-test and post-test differences, and Post Hoc tests or Mann-Whitney tests for hypothesis testing.RESULTS: All rats were confirmed to have obesity and DM according to the Lee index and blood glucose levels. T2 group exhibited a significant decrease in body weight, homeostatic model assessment of insulin resistance (HOMA-IR) values were lower, and glucagon expression, IL-1, IL-6, and IL-10 levels were significantly greater compared to both control and T1 groups.CONCLUSION: The combination of SG and omentoplasty significantly improves inflammation and insulin resistance in obese rats with T2DM.KEYWORDS: diabetes mellitus, sleeve gastrectomy, omentoplasty, inflammation, obesity

Determining the Impact of Adapted Yoga Training on Physical Functioning in Students with Mild Intellectual Disability

Background. Individuals with mild intellectual disability (ID) often encounter challenges in physical functioning, impacting their overall well-being and quality of life. Traditional exercise programs may not always be accessible or effective for this population due to various barriers. Adapted yoga programs have emerged as a promising alternative, offering tailored interventions to address the unique needs of individuals with ID. Objectives. The study aimed to close this gap by examining the effect of a structured, modified yoga programme on factors related to physical functioning. Materials and methods. A total of 40 students with mild ID, aged between 11 and 15 years, were selected from Special Schools in Coimbatore, Tamil Nadu. A quasi-experimental design was used in this study. The participants were divided into an experimental group undergoing an 8-week adapted yoga program and a control group maintaining regular activities. Physical function parameters were assessed using standardized tests measuring cardiorespiratory endurance, muscular strength and endurance, flexibility, body composition, and balance. The adapted yoga program, conducted by qualified instructors, comprised 8 weeks of sessions, 5 days a week, each lasting 45 to 60 minutes. Statistical analyses confirmed the normal distribution of data and employed paired sample t-tests to assess pre- and post-test differences, with SPSS version 20.0 used for analysis, setting the significance level at 0.05. Results. After undergoing 8 weeks of adapted yoga training, the results showed a significant improvement in the upper body strength (P &lt; 0.04), lower body strength (P &lt; 0.001), core strength (P &lt; 0.002), flexibility (P &lt; 0.00), and static balance (P &lt; 0.00). However, there was no significant difference in body fat and cardiorespiratory endurance between adapted yoga training. Conclusions. This study highlights the potential of adapted yoga programs as an intervention for improving physical functioning in students with mild ID. These findings indicate that the implementation of adapted yoga can be a valuable and accessible intervention for enhancing physical functioning in this population.

Consumption of Purple Sweet Potato Snack Bar and Self Help Group for Blood Glucose Levels in Patients Diabetes Mellitus Type 2

Background: Diabetes Mellitus is one of the most common chronic diseases in the world, occurs when insulin production in the pancreas is insufficient or when insulin cannot be used effectively by the body, so that blood sugar levels exceed the normal range. The increase in the prevalence of diabetes mellitus from year to year has increased significantly. Currently, diet management, exercise and the use of pharmacological therapy are options in the management of diabetes mellitus. In addition to this therapy, there is therapy by giving purple sweet potato snack bars and self help groups. Purpose: to prove the effectiveness of the intervention of a combination of purple sweet potato snack bar and self help group on fasting blood glucose levels of respondents with diabetes mellitus.Methods: This research is a true experimental study with a pretest-posttest design. This study had 60 respondents who were divided into 2 groups and were taken using non-probability sampling techniques with the stratified random sampling method. The study was conducted on March 12, 2022 – June 3, 2022. In this study, statistical analysis was carried out computerized. The pre-test post-test difference test uses the Wilcoxon test. Difference test between groups using Mann-Whitney. Results: This study showed that a significant difference before being given treatment with purple sweet potato snack bars 2x32 grams/3 days a week for 21 days and self-help group therapy for 3 meetings in 21 days showed a significant decrease from 173.30 mg/dl. to 130.03 mg/dl with a delta difference of - 43.267 mg/dl in the intervention group, while the control group also decreased after giving self help group therapy for 3 meetings in 21 days showing a decrease from 189.53 mg/dl to 163.83 mg/dl with a delta difference of -25,700 mg/dl (p = 0.033). Conclusion: Treatment in the form of purple sweet potato snack bar intervention and self help group had an effect on reducing fasting blood sugar levels of respondents with type II diabetes mellitus. type II diabetes mellitus patient.

Applying Peer Review to Improve Students’ Descriptive Writing Text

This research is conducted to determine whether there is a significant difference in students’ descriptive writing score after being treated using peer review compared to those students who did not get the same treatment. This is a quasi-experimental research design with one group as the experimental and one group as the control. Pre-test and post-test were also administered before and after the 10 times treatment given. The population of this research are all of the seventh-grade students in Bangka Islandy the total 80 students. Meanwhile, 50 students from two different classes were the sample of this research. The result of this research showed that the t-obtained in equal variances assumed 6.353 and the significant (2-tailed) was 0.00. Since t-obtained was higher than t-table (2.02) and the significant (2-tailed) was lower than computation with level significant (0.05), it could be stated that there was a significant difference in post-test between the experimental class and control class. It can be concluded that the using of peer review is able to improve the students’ descriptive writing score significantly.