Skill Proficiency Research Articles

Gross Motor Skills Are Associated with Symptoms of Attention Deficit Hyperactivity Disorder in School-Aged Children.

Attention deficit hyperactivity disorder (ADHD) is among the most prevalent disorders in children and is frequently linked with motor difficulties that can impact both daily motor tasks and overall developmental trajectories. The objective of this study was to analyse the association between gross motor skills and ADHD symptoms. Using a cross-sectional research design, data were collected from a sample of primary school children (N = 2677; mean age = 8.58 years, SD = 1.49 years). The Gross Motor Development-3 Test (TGMD-3) was employed to assess participants' gross motor skills, whereas the ADHD Rating Scale (SDAI), completed by teachers, evaluated ADHD symptoms through two subscales: inattention and impulsivity/hyperactivity. The results revealed an association between motor development and ADHD symptoms, with greater proficiency in gross motor skills correlating with lower symptoms reported on the SDAI. Logistic regression analyses indicated that the TGMD-3 was significantly associated with the risk of ADHD in matched samples of at-risk children and controls. The evaluation of gross motor development proves to be a useful tool for monitoring global development, paying attention to any critical issues, particularly in relation to the variables of inattention and hyperactivity.

Use of High-Fidelity Simulation as an Adjunct to Basic Life Support Training To Promote Team-Based Resuscitation Skills: A Mixed-Methods Pilot Study.

Introduction The 2020 American Heart Association's (AHA) Basic Life Support (BLS) curriculum focuses on cardiac arrest resuscitation with one or two rescuers, providing only limited opportunities to develop higher-level skills such as leadership, communication, and debriefing. This mixed-methods pilot study evaluated whether supplementing the traditional Heartcode BLS course with a high-fidelity teamwork simulation session improved mastery of these higher-level skills. Methods Twenty-four first-year medical students completed the pilot training during sessions offered in February and May of 2023. The program included the traditional AHA Heartcode BLS course, which ranges from two to four hours, and includes both online and in-person skills components. This was followed by a 90-minute high-fidelity simulation session consisting of two simulated resuscitationsseparated by a student-led plus/delta debriefing. Facilitators then debriefed the entire activity. Students completed an anonymous online survey that used a 0-10 slider scale to attribute their perceived proficiency for specific skills to the initial BLS course or the teamwork simulations and provided qualitative feedback. Results Twenty-one students (87.5%) completed the follow-up survey. Students credited their proficiency in technical skills (e.g., "Chest Compressions") to both sessions equally, but proficiency in higher-level skills, such as leadership, communication, and teamwork, was predominantly credited to the simulation. Additionally, students reported that the teamwork simulation promoted realism and increased self-efficacy. Conclusion Team-based resuscitation simulations using high-fidelity equipment augmented the AHA BLS course by promoting perceived competence in team dynamics domains and increasing students' self-efficacy for participating in real hospital-based resuscitations. Studies with larger sample sizes and objective data should be performed, and the use of similar resuscitation simulations or the development of a formal team-based BLS certification course should be considered.

Using Engineering Methods (Kaizen and Micromovements Science) to Improve and Provide Evidence Regarding Microsurgical Hand Skills

ObjectiveMicrosurgical interventions involve the interaction of numerous variables, making objective analysis of skill proficiency challenging. This difficulty is even more pronounced in low-resource contexts. Continuous improvement methodologies such as Kaizen-PDCA and Micro-Movements Science can address this issue. This study aimed to demonstrate the advantages of designing and implementing microsurgical training programs using these methodologies. MethodsFollowing an extensive literature review of Kaizen-PDCA and Micro-Movements Science and under the guidance of experienced neurosurgeons and engineers, a microvascular bypass training program was developed using the human placenta. Subsequently, the training program was used to analyze and describe the process of a trainee neurosurgeon in Argentina with no prior experience in microvascular anastomosis, as the operator gained proficiency. ResultsThe trainee required 12 attempts to achieve the program goals. The longest procedural time was during the first attempt (1 h 49 min 05 s with two mistakes), while the shortest time was during the fourth attempt (53 min 29 s with three mistakes). After 12 attempts, the trainee made no mistakes, and the procedural time was reduced to 57 min 37 s. The final learning curve demonstrated a regular pattern and reached a plateau after seven attempts. ConclusionsThe training program and methodology effectively assessed, facilitated, and demonstrated the acquisition of microsurgical skills. Kaizen-PDCA and Micro-Movements Science enabled the effective use of expert experience, detailed evaluation of microsurgical procedures, and integration into a continuous improvement cycle. The program structure could also be valuable for teaching, evaluating, and enhancing similar surgical procedures.

Best practices in online/distance pharmacy practice course didactic instruction

AbstractThis commentary provides an overview of the current literature and best practices for online learning and assessment within the didactic curriculum of pharmacy education, building on the 2022 ACCP commentary addressing remote experiential learning. Lessons learned from online delivery of curricula and best practices for programs to create the optimal online learning environment for students are reviewed. Although benefits of online learning have been found, such as flexibility, convenience, and efficient use of time, with similar short‐term student performance, the potential long‐term implications on pharmacy students are not fully known, particularly concerning board pass rates, job attainment, and knowledge/skills application in the workplace. This commentary reviews and recommends the types of teaching modalities that align best with an online format for knowledge acquisition and student satisfaction. The most challenging part of didactic curricula to teach remotely is skills development. Proficiency in skills (e.g., compounding preparations or physical assessment) is best evaluated in person to promote student self‐confidence in pharmacy practice and patient care. This commentary reviews the needed components for designing quality online courses, all in the context of remembering the significance of instructor engagement. The commentary also discusses the importance of bidirectional feedback for the instructor and student and the deliberate use of formative assessments of learning to gauge student performance. A review of online summative and high‐stakes assessments is included with a focus on ensuring academic integrity while also minimizing any impact on student performance and anxiety. As pharmacy education has learned from the experiences with the COVID‐19 transition to online learning, consideration should be given to best practices regarding when and how to use online modalities to teach students and foster student learning. Regardless of the format, courses should engage the student and instructor and be evaluated routinely to promote achievement of learning outcomes.

Integrating creative pedagogy into problem-based learning: The effects on higher order thinking skills in science education

This study aimed to assess the impact of incorporating creative pedagogy within a Problem-Based Learning (PBL) on the development of higher-order thinking skills (HOTS) in the field of natural science. A sample of 280 eighth-grade students from a province in Lampung participated in the study. Employing a quasi-experiment design, one experimental group underwent the integration of creative pedagogy within the PBL model, while two control groups did not receive this treatment. The findings from the experiment strongly suggest that the integration of creative pedagogy in PBL sessions significantly enhances the proficiency of higher-order thinking skills within the context of natural science education. Specifically, this integration fosters the students' capacity to critically analyze, evaluate, and devise innovative solutions for intricate problems. By integrating creative pedagogy, students were encouraged to transcend conventional knowledge and apply their critical thinking in authentic real-world scenarios. Notably, students demonstrated not only the capability to pinpoint problem origins but also exhibited prowess in evaluating diverse alternatives, considering consequences, generating creative and workable solutions. However, it is essential to acknowledge the existence of challenges and resistance encountered by both educators and students when implementing creative pedagogy in PBL activities. The implications of integrating creative pedagogy within the PBL model in natural science education underscore a paradigm shift in the learning approach, which has the potential to significantly enrich students' learning experiences.

SELF-CARE ACTIVITY PREVENT COMPLICATION DIABETIC PATIENT IN PUSKESMAS SITOPENG CIREBON

Background: Diabetic foot ulcer (DFU) is responsible for approximately 85% of all amputations performed in individuals with diabetes. Providing education and physical exercise based on Self-care Activities (SCA) aims to prevent complications in type 2 diabetes mellitus (DM) patients at Sitopeng Health Center. Self-care Activities (SCA) in diabetes entail actions individuals take to manage the condition, including examination and prevention. Objective: The objective was to enhance the knowledge and skills of patients in preventing and minimizing complications of type 2 DM, particularly diabetic foot wounds, through education on physical exercises based on Self-care Activities (SCA). Method: Direct education commences with administering a pre-test questionnaire to assess patient knowledge, followed by material presentation, blood pressure checks, blood glucose monitoring, and instruction on physical exercises based on Self-care Activities (SCA) for type 2 DM patients. Finally, a post-test questionnaire (DKQ-24) is administered. Results: Following participation in the community service, 85% of the participants experienced an increase in knowledge level and demonstrated proficiency in foot exercise skills. Conclusion: Type 2 DM patients in the Sitopeng Health Center catchment area exhibit improved knowledge and skills after engaging in community service activities, reflecting effective collaboration between service and educational institutions.

Study Abroad at Home: The Impact of a Multilingual and Multicultural Classroom Experience on Non-Native Medical Students’ English Language Skills Development

Study Abroad programs yield substantial linguistic advantages in addition to fostering academic and intercultural enrichment. Nevertheless, some students miss these programs due to financial constraints, academic commitments, or insufficient language skills. This paper reports the findings of a qualitative action research study that seeks to evaluate the impact of a multilingual and multicultural class, designed as a quasi-Study Abroad experience, on Hungarian medical students’ perceived English linguistic development by the end of the semester. Semi-structured focus group interviews were carried out with 42 Hungarian medical students at the end of the spring and autumn semesters of the 2021–2022 and the 2022–2023 academic years. The outcomes of the focus-group interviews indicated that the students had a positive experience studying in a multilingual and multicultural environment; their willingness to engage in English communication, along with an increase in self-confidence, was apparent, ultimately showcasing improved perceived proficiency in English communication skills by the end of the term. Creating an educational setting abundant in linguistic and cultural diversity and integrating multicultural project-based learning activities within the curriculum to simulate a quasi-Study Abroad experience represent methodological frameworks that could serve as pivotal models for shaping similar courses in the future.

Determining skills of basic schoolteachers in test item construction

AbstractAssessment practices play a crucial role in fostering student learning and guiding instructional decision‐making. The ability to construct effective test items is of utmost importance in evaluating student learning and shaping instructional strategies. This study aims to investigate the skills of Ghanaian basic schoolteachers in test item construction. The study focused on the revised Bloom's taxonomy. A cross‐sectional survey design was employed, and a questionnaire was developed and used to collect the needed data. The data were collected from 560 basic schoolteachers selected by using a simple random sampling technique. The participants comprised 280 male teachers and 280 female teachers. The data were collected and subjected to descriptive statistics analysis via mean, and standard deviation. While the p‐value (α ≤ 0.05) was used to determine the differences in the teachers' test item construction skills, the independence t‐test was used to compare the differences between the proficiency of male and female participants. The analysis revealed a notable contrast in how participants perceived their abilities in constructing test items, indicating a statistically significant difference. Specifically, female teachers demonstrated a stronger proficiency in test item construction skills compared to their male counterparts. Also, most teachers prioritised the lower levels within Bloom's taxonomy while crafting test items. Regular in‐service training on test item construction was recommended at the district level for teachers to update and upgrade their skills.

Shifting the Curve: Mastery Learning to Teach Nerve Conduction Studies in Physical Medicine and Rehabilitation Residency.

Nerve conduction studies are a commonly performed procedure and a core competency for physical medicine and rehabilitation residents. Nerve conduction studies are complex to learn and no standardized training protocols exist across physical medicine and rehabilitation programs. The aims of this study are to standardize training and assessment of resident proficiency in nerve conduction studies skills and to evaluate the impact of an educational intervention on skills development. This was a repeated measures design wherein 36 physical medicine and rehabilitation residents underwent a pretest, followed by a mastery learning-based intervention, including deliberate practice. Residents were then expected to meet or exceed a minimum passing score at posttest. Performance improved from a median score of 4.5/66 on the pretest to a median score of 63/66 on the posttest. Thirty-three of 36 residents achieved the minimum passing score on the first attempt; three residents required additional deliberate practice and met the minimum passing score on the second attempt. A curriculum featuring deliberate practice dramatically increased checklist scores of residents performing nerve conduction studies. This mastery learning program shows a reliable and reproducible method to achieve procedural competency within a physical medicine and rehabilitation residency program and can shift the curve to allow residents to immediately start performing nerve conduction studies at the start of their clinical experience.

Digital Skills, STEM Occupation, and Job Automation Risks Among the Older Workers in the United States.

Advancing automation technologies are replacing certain occupations such as those involving simple food preparation more than occupations such as those in STEM fields (e.g., engineering and health care). Older workers generally face higher job automation risks in part due to their lower levels of digital skills. A better understanding of the associations between job automation risk, digital skills, and type of occupation (e.g., STEM vs non-STEM) can facilitate preparations for job automation and workforce population aging. We analyzed a nationally representative sample (N = 1,560) of middle-aged and older U.S. workers aged 50-74 years from the 2012/2014/2017 Program for International Assessment of Adult Competencies (PIAAC) restricted-use file. The estimated job automation risks (i.e., percentage of jobs to be automated in the next decades) were derived from the previous studies. PIAAC digital problem-solving skills proficiency (measured on a scale of 0-500 points) was assessed based on a series of practical digital tasks (e.g., finding a job research website that does not require registration). Linear regression analysis showed that greater digital skill proficiency (b = -0.04, p < .05) and STEM occupations (b = -17.78, p < .001) each were associated with lower job automation risks, even after adjusting for a series of demographic, socioeconomic, and civic engagement characteristics. Education and labor policy interventions to promote digital skills among older workers and non-STEM workers may better prepare an aging workforce for the dynamic labor market needs in the United States.

Enhancing Skill, Socio-Economic Status &amp; Family Welfare: Employment-Specific on Job Training in Pakistan's Informal Sector

Pakistan, with a population exceeding 200 million and the 10th largest labor force globally, grapples with a significant informal sector, employing a majority of its workforce, particularly the youth. This research paper explores the dynamics of the informal sector, its contributions to the economy, and the challenges faced by informal workers. The focus is on the crucial role of employment-specific training in enhancing the skills and livelihoods of the labor force engaged in micro-businesses within the informal economy. The data was collected from 1200workers and 60 entrepreneurs from 6 major cities of Pakistan. The application of the chi-square technique revealed significant positive correlations between on job training and various variables. Notably, a positive correlation was observed between on job training and skill proficiency, emphasizing the role of training in enhancing workers' skills. Positive correlations were also found with factors such as total duration and resources, wages, socio-economic status, engagement level, family welfare, and positive attitude This paper delves into the complexities and contributions of the informal sector, emphasizing the need for tailored policies and strategies.

Unveiling the professional identity construction of in-service university English language teachers: Evidence from Bangladesh

This study aims to investigate the construction of professional identity among Bangladeshi university English as a Foreign Language (EFL) teachers and its influence on classroom performance. Employing a qualitative case study approach, data were gathered through semi-structured interviews and classroom observations. Interviews were conducted with two Bangladeshi university teachers who have significant experience in EFL teaching. The interview questions were designed based on the language teachers’ identity formation model, focusing on factors relevant to foundational competences. Content analysis was employed to analyze the collected data and identify emergent themes. The findings indicate that proficiency in language skills, contextual knowledge, self-awareness, disciplinary knowledge, and classroom management skills play pivotal roles in reshaping the professional identities of Bangladeshi university EFL teachers. Classroom observations revealed the strategies employed by these teachers in language use, pedagogical approaches, and classroom management to construct their professional identities. Despite aspirations to conduct classes solely in English, teachers often resorted to using the students' mother tongue for better comprehension. Based on these findings, the study suggests a focus on diverse teacher education programs in Bangladesh to produce more proficient teachers.

The Power of Faculty Development: The Impact on Teaching a Procedural Skill Framework.

Teaching outpatient procedures is a skill often overlooked in faculty development. This oversight may lead to faculty employing a haphazard approach. Competency in procedural skills is inherent, and acquiring proficiency in procedural skills is necessary across all medical specialties, with some centers moving towarda blended simulation-based approach rather than the traditional Halstedian "see one, do one, teach one" mantra. While both formats have their pros and cons, they share the unifying concept of performance-based assessments and a standardized method for teaching procedures, which has typically been lacking a formal framework. This study aimed to implement and evaluate the impact of teaching an educational technique in a multidisciplinary faculty education workshop about the Sawyer framework for psychomotor skill acquisition. An interactive 90-minute workshop through the Uniformed Services University Faculty Development Program was developed and presented from February 2021 to October 2023 at multiple military treatment facilities. Participants enrolled in the workshop either by online registration or by walking in on the day of the workshop. A postworkshop survey was collected voluntarily. Through the survey, participants self-evaluated their current teaching strategy and made changes to their future strategy based on the framework they learned during the workshop. This was a mixed methods approachwith quantitative survey data that were analyzed using Microsoft Excel (Microsoft Corporation, Redmond, WA) and qualitative data through thematic analysis using a constructivist inductive approach. There were 52 sessions with a total of 570 participants across 22 unique specialties. The response rate was 50%. Before the workshop, 22% of responding participants had no teaching strategy, and 49% had a partial but not explicit strategy for teaching. After the workshop, 89% of respondents answered that they would either implement a new or modify an existing strategy. Ninety-three percent of respondents reported that the Sawyer method was applicable to their future teaching. The overall themes from participants were that this procedural framework allowed for personal improvement in clear communication, individualized learner-centered teaching, and improved intentionality of teaching procedures. Almost two-thirds of the faculty did not have a formal teaching method before this course, which is consistent with current data. Implementing a standardized framework for teaching procedures through faculty development workshops for multidisciplinary medical faculty educators can improve the educational quality of procedural skills.

과업 유형이 고등학교 영어 학습자의 동사 하위범주화 자질 학습에 미치는 영향

Purpose: This study investigated the influence of task involvement levels on Korean high school students' learning of verb subcategorization knowledge. Based on the Task-induced involvement load hypothesis in vocabulary acquisition, we analyzed whether different tasks with varying levels of involvement affect the learning of sentence structures inevitably derived from verbs. Methods: Sixty homogeneous Korean second-year high school students were selected and were divided into three groups, for applying different types of tasks. We used nine verbs belonging to the “putting verb” category, and different levels of task involvement were presented to each group. Pre- and post-tests were conducted to assess the students' knowledge of verb subcategorization. Results: The results indicated that there was no statistically significant difference between task involvement levels and learning of verb subcategorization. Furthermore, a discrepancy was observed between the proficiency levels determined by the national English test and the knowledge of verb subcategorization. Conclusion: The distinction in task involvement did not significantly affect the learning of the subcategorization features of verbs. However, given the disparity between knowledge of verb subcategorization features and nationwide English proficiency assessment results, it is proposed that there is a need for English education to develop proficiency in verbal communication skills.

UNLOCKING THE POTENTIAL OF PROJECT-BASED LEARNING: ELEVATING WRITING SKILLS IN ISLAMIC SCHOOL JUNIOR HIGH STUDENTS

Project-based learning (PjBL), an innovative teaching approach that emphasizes active, student-centered learning through real-world projects, serves as a cornerstone for educational advancement. However, in the specific context of Islamic schools setting, there exists a recognized need for the improvement of writing skills among first-grade students. This Classroom Action Research (CAR) study, spanning two cycles with a cohort of 15 participants at Mts. Insan Madani, Situbondo, is dedicated to achieving significant advancements in writing skill proficiency through the implementation of PjBL. Findings from the study indicate marked enhancements in creativity, engagement, and collaborative abilities. Concurrently, certain challenges surfaced, particularly in the realms of time management and the necessity for more structured guidance during the initial stages of PjBL implementation. The implications of this research underscore the efficacy of PjBL in enhancing writing skills within an Islamic school setting, emphasizing the potential for the integration of PjBL as an educational approach to nurture essential writing skills. Nevertheless, it is crucial to acknowledge the importance of providing additional support in specific areas. Recommendations for future research encompass expanding the study to different grade levels and incorporating a more extensive participant pool to further validate the findings, thereby offering a comprehensive understanding of the broader impacts of PjBL on writing skill development within Islamic schools.

The Development and Validation of the Emotionally Focused Therapy Skills Rubric

This article outlines the initial psychometric evidence for the emotionally focused therapy skills rubric (EFTSR). The EFTSR is designed to assess clinician's emotionally focused therapy (EFT) skill proficiency, identify how EFT skills are used within the basic movements of EFT, and evaluate a clinician's ability to use the EFT attachment injury resolution model . The EFTSR content validity was confirmed with two overall content validity indexes of .86 and .87. There was substantial item-level internal consistency reliability, with α scores ranging from .70 to .99 for both videos. Item-total correlations were higher than .20 for most items demonstrating substantial interrater reliability. Thus, results indicate initial support for using the EFTSR as theoretically based instrument designed to assess counselors’ ability to execute the skills of the EFT model.

Associations of obesity, movement behaviors, and socioeconomic status with fundamental movement skills in children: Results from the REACT project.

To investigate the relationship of biological characteristics (age, sex, and obesity), movement behaviors (physical activity and sedentary time), and family socioeconomic status with fundamental movement skills (FMS) in primary school children. This cross-sectional study sampled 1014 children (537 girls) aged 6 to 10 years from 25 primary schools in Matosinhos, north of Portugal. Five object control skills (dribbling, kicking, catching, throwing, and underarm rolling) were assessed with a categorical scale using the Meu Educativo® platform. Body Mass Index (BMI) was calculated and transformed into z-scores. Moderate-to-vigorous physical activity (MVPA) and sedentary time were monitored with accelerometry (ActiGraph wGT3X-BT) for seven consecutive days. Family socioeconomic status (SES) was obtained from the Portuguese social support system. Ordinal multilevel logistic regression was used to analyze the associations of weight status, MVPA, sedentary time and SES with FMS, adjusted for sex and age. Boys (odds ratio (OR) = 6.54; 95% CI: 5.13-8.36) and older children (OR = 2.04; 95% CI: 1.85-2.26) were more likely to achieve higher FMS scores. Children with obesity (OR = 0.60; 95% CI: 0.45-0.80), those less active (OR = 0.56; 95% CI: 0.42-0.75) and children with more sedentary time (OR = 0.86; 95%CI: 0.77-0.97) were less likely to score high on FMS. Family SES was not significantly associated with FMS scores. Primary school children's FMS are significantly related to biological and behavioral factors but not to family SES. These findings highlight the need for suitable strategies to enhance children's FMS proficiency, considering differences in these characteristics. Fostering adequate motor skill proficiency levels will assist in establishing a robust foundation for healthy lifestyles of all children.

Examining the Integration of 21st Century Skills in EFL Instruction: A Case Study of Selected Saudi Universities

In an era characterized by rapid technological advancements and societal transformations, the importance of 21st-century skills in education cannot be overstated. Teachers play a pivotal role not only in imparting knowledge within the confines of the classroom but also in shaping the lives of individuals within their communities. This study investigates the acquisition of 21st-century skills among English teachers in Saudi Arabian universities, recognizing the significance of these skills in preparing educators for the evolving demands of modern society. A total of 150 respondents from five universities across Saudi Arabia participated in the survey, providing insights into their proficiency in various 21st-century skills. The results reveal that participants demonstrate that they have acquired a comparatively high level in social skills, leadership, communication, and aspects of creativity. However, skills such as digital literacy, collaboration, and critical thinking exhibit only a moderate level of acquisition among participants. Despite the overall positive indication of 21st-century skill adoption in English as a Foreign Language (EFL) instruction, there remains room for improvement. The findings suggest that while Saudi Arabian English teachers have begun integrating 21st-century skills into their teaching practices, further efforts are required to fully harness the potential of these skills. Addressing this gap may necessitate additional training opportunities and the development of English language curricula that explicitly incorporate and prioritize 21st-century skill development.

Motor network dynamic resting state fMRI connectivity of neurotypical children in regions affected by cerebral palsy.

Normative childhood motor network resting-state fMRI effective connectivity is undefined, yet necessary for translatable dynamic resting-state-network-informed evaluation in pediatric cerebral palsy. Cross-spectral dynamic causal modeling of resting-state-fMRI was investigated in 50 neurotypically developing 5- to 13-year-old children. Fully connected six-node network models per hemisphere included primary motor cortex, striatum, subthalamic nucleus, globus pallidus internus, thalamus, and contralateral cerebellum. Parametric Empirical Bayes with exhaustive Bayesian model reduction and Bayesian modeling averaging informed the model; Purdue Pegboard Test scores of hand motor behavior were the covariate at the group level to determine the effective-connectivity-functional behavior relationship. Although both hemispheres exhibited similar effective connectivity of motor cortico-basal ganglia-cerebellar networks, magnitudes were slightly greater on the right, except for left-sided connections of the striatum which were more numerous and of opposite polarity. Inter-nodal motor network effective connectivity remained consistent and robust across subjects. Age had a greater impact on connections to the contralateral cerebellum, bilaterally. Motor behavior, however, affected different connections in each hemisphere, exerting a more prominent effect on the left modulatory connections to the subthalamic nucleus, contralateral cerebellum, primary motor cortex, and thalamus. This study revealed a consistent pattern of directed resting-state effective connectivity in healthy children aged 5-13 years within the motor network, encompassing cortical, subcortical, and cerebellar regions, correlated with motor skill proficiency. Both hemispheres exhibited similar effective connectivity within motor cortico-basal ganglia-cerebellar networks reflecting inter-nodal signal direction predicted by other modalities, mainly differing from task-dependent studies due to network differences at rest. Notably, age-related changes were more pronounced in connections to the contralateral cerebellum. Conversely, motor behavior distinctly impacted connections in each hemisphere, emphasizing its role in modulating left sided connections to the subthalamic nucleus, contralateral cerebellum, primary motor cortex, and thalamus. Motor network effective connectivity was correlated with motor behavior, validating its physiological significance. This study is the first to evaluate a normative effective connectivity model for the pediatric motor network using resting-state functional MRI correlating with behavior and serves as a foundation for identifying abnormal findings and optimizing targeted interventions like deep brain stimulation, potentially influencing future therapeutic approaches for children with movement disorders.

The use of Instagram to improve students' EFL Writing

Good communication makes it easier for us to connect with the community and other individuals with various backgrounds. Language is also a catalyst for us to understand ourselves and others, and is the key that opens the window of our world’s view. Every aspect on human life is very dependent on the proficiency of language skills. The goal of this paper was to see how the use of Instagram improved the students’ EFL writing ability. The method used to conduct this paper was Systematic Literature Review. There are 10 articles from various journals that are analyzed and synthetized to extract the data from. Based on the authors finding, the use of Instagram brought forth positive improvement on the students’ writing ability, as well as their motivation in language acquisition study.