Psychomotor Development Research Articles

Serious games are more than just games.

Serious games (SG) or educational games are complete games designed for a specific purpose that fulfill both their classic function of entertainment and promote the learning of specific concepts or skills and optimize health care in general. In the pediatric setting, these games combine strategies to educate about health issues, promote healthy behaviors, provide therapy or medical treatment. SG have been shown to promote adherence to treatment in children with chronic diseases, reduce anxiety in those undergoing invasive medical procedures, and stimulate the development of cognitive, emotional, or psychomotor skills. However, it is important to emphasize that the success of SG in pediatrics depends to a large extent on game quality, their design based on clear objectives, and their accurate adaptation to the individual needs and preferences of patients.

Evaluation of the physicochemical, bioactive, and sensory properties of yogurt fortified with microencapsulated iron

Iron deficiency anemia is a public health issue; this condition causes psychomotor development disorders and impairs cognitive functions. Various fortification practices have been developed for foods such as yogurt; however, interactions between nutrients and minerals often result in product rejection. Therefore, the aim of this research was to evaluate the physicochemical, bioactive, and sensory properties of yogurt fortified with microencapsulated iron. Formulations of the encapsulant composed of chitosan, sodium alginate, and maltodextrin were developed, using 6% (w/v) coating material and 3% (w/v) ferrous sulfate. The best result of microencapsulation revealed a yield of 45.86%, efficiency of 60.79%, moisture content of 13.48%, and an iron load of 1.36 mg/50 mg. For fortification, 200 mg of microcapsules were used in 250 mL of yogurt. The evaluation of this fortification was conducted twice per week, two days apart, over a period of 10 days. pH and total soluble solids increased, the acidity index decreased during storage, and the peroxide percentage was not affected. It was found that the fortified yogurt did not retain water well, leading to increased whey separation and changes in firmness. Proximal and color analyses of the fortified and control yogurt samples showed no significant difference (P > 0.05). The total phenol content decreased during storage, and the sensory evaluation indicated no significant difference in the acceptance of both samples.

Learning to Hunt on the Go: Dietary Changes During Development of Rhinolophid Bats

Mammals may experience physical changes from birth, and their diet varies at different stages of life. This study investigates the impact of development on the diet composition of three horseshoe bats: Rhinolophus euryale, R. hipposideros, and R. ferrumequinum in the Basque Country, north of the Iberian Peninsula. The diets of juvenile and adult individuals of each species were obtained by analysing their droppings using metabarcoding and then compared at (1) the taxonomic and (2) prey trait levels (size, flying speed, hardness). The diets of juvenile and adult individuals of R. euryale and R. hipposideros showed significant differences at the taxonomic level and regarding prey traits. In contrast, in the case of R. ferrumequinum, we could only observe discernible diet patterns through the trait analysis. Additionally, we discovered a shared pattern: younger individuals tend to feed on easier-to-hunt and/or handle smaller and smoother prey. The varying degrees of dissimilarity between juvenile and adult diets observed in this study suggest that the relative importance of psychomotor development, foraging strategies, prey discrimination, and/or spatial learning may differ among species. These findings contribute to conservation efforts, especially by recognising the dietary needs of juveniles for their survival and successful development.

Commercial Wearables for the Management of People with Autism Spectrum Disorder: A Review

Autism Spectrum Disorder (ASD) necessitates comprehensive management, addressing complex challenges in social communication, behavioral regulation, and sensory processing, for which wearable technologies offer valuable tools to monitor and support interventions. Therefore, this review explores recent advancements in wearable technology, categorizing devices based on executive function, psychomotor skills, and the behavioral/emotional/sensory domain, highlighting their potential to improve ongoing management and intervention. To ensure rigor and comprehensiveness, the review employs a PRISMA-based methodology. Specifically, literature searches were conducted across diverse databases, focusing on studies published between 2014 and 2024, to identify the most commonly used wearables in ASD research. Notably, 55.45% of the 110 devices analyzed had an undefined FDA status, 23.6% received 510(k) clearance, and only a small percentage were classified as FDA Breakthrough Devices or in the submission process. Additionally, approximately 50% of the devices utilized sensors like ECG, EEG, PPG, and EMG, highlighting their widespread use in real-time physiological monitoring. Our work comprehensively analyzes a wide array of wearable technologies, including emerging and advanced. While these technologies have the potential to transform ASD management through real-time data collection and personalized interventions, improved clinical validation and user-centered design are essential for maximizing their effectiveness and user acceptance.

Just In Time! Assessment of Internal Medicine Resident Point of Care Ultrasound (POCUS) Attitudes and Behaviors After Spaced Intervention at Two Residency Programs

Point of care ultrasound (POCUS) is a complex psychomotor skill that requires scaffolded support for skill acquisition. However, the effect of spaced curricular elements on learner POCUS behaviors are not clearly understood. Using a multi-site observational cross-sectional survey study, we measured resident baseline POCUS use, behaviors, and attitudes and then implemented POCUS workflow and just-in-time POCUS curricula during internal medicine resident ward rotations and assessed changes. Self-reported personal and team POCUS use and documentation habits all improved between baseline and the just-in-time teaching. Personal POCUS use correlated with team POCUS use (ρ=0.431; p<0.001) and co-resident POCUS use (ρ=0.242; p=0.035). Attending POCUS use correlated with team POCUS use (ρ=0.523; p< 0.001), but not personal use. Overall, we found moderate, but statistically significant, improvements in reported resident and team performance of POCUS and documentation habits, suggesting that just-in-time interventions may promote POCUS use. Co-learning also appears to be a key influencer for POCUS use.

Exploring the dynamics of ultrasound training in medical education: current trends, debates, and approaches to didactics and hands-on learning.

Medical education, especially in ultrasound training, is undergoing significant changes. This study examines practical issues in ultrasound medical education, emphasizing state-of-the-art teaching methods, their effectiveness, and implementation challenges. The study analyzed advancements in ultrasound education, including randomized controlled trials comparing peer-to-peer teaching with traditional faculty-led instruction. It evaluated the effectiveness of collaborative small-group training and group size impact in simulation-based training. The study also assessed practical training components outlined in the WFUMB Position Paper Part II. Findings indicate that peer-to-peer and collaborative small-group training are effective and cost-efficient. Group size did not significantly affect training outcomes. Key practical training elements, including early hands-on sessions and exposure to various equipment, substantially improved learning outcomes. Simulation tools like virtual reality (VR), augmented reality (AR), and phantoms were crucial for teaching standardized procedures and rare pathologies. Challenges identified include developing robust image acquisition skills, scarcity of qualified student tutors, and the need for reliable ultrasound skill assessment methods. Integrating peer-to-peer teaching and advanced simulation technologies significantly advances ultrasound medical education. These methods enhance cognitive and psychomotor skills but also present challenges such as ensuring quality education and developing effective assessment methods. Future research should compare different simulation tools and establish objective ultrasound proficiency assessment criteria. Continual method evaluation and improvement are essential for effective and standardized ultrasound training, ultimately enhancing patient care and clinical outcomes.

Noonan Syndrome: Relation of Genotype to Cardiovascular Phenotype—A Multi-Center Retrospective Study

Background: Noonan syndrome (NS) is a congenital genetic disorder with a prevalence of 1 in 1000 to 2500 live births, and is characterized by distinctive facial features, short stature, chest deformities, and congenital heart disease. This study aims to evaluate the prevalence of specific genetic mutations and their impact on cardiovascular and other outcomes in NS. Methods: We conducted a retrospective clinical study of 25 pediatric patients diagnosed with NS at two institutions: The Mother and Child Health Care Institute of Serbia and the Clinic for Children Diseases, University Clinical Center of the Republic of Srpska. Patients underwent whole-exome sequencing (WES) to identify genetic mutations. Clinical data, including cardiovascular manifestations, psychomotor development, and stature, were analyzed in relation to mutation types. Results: The cohort comprised 60% male and 40% female patients, with a median age at diagnosis of 7.2 years. Cardiovascular abnormalities were present in 88% of patients. Mutations in PTPN11 were most commonly associated with pulmonary valve stenosis (PVS), while RAF1 mutations were prevalent in patients with hypertrophic cardiomyopathy (HCM). No significant association was found between cardiac disease and delayed psychomotor development (p = 0.755), even though the likelihood ratio showed significance in that regard (p = 0.018). Short stature was observed in 48% of patients but was not significantly correlated with genetic type of disease, presence of cardiac disease, or developmental delay. Conclusions: The study confirms the high prevalence of cardiovascular manifestations in NS and highlights genotype–phenotype correlations. While cardiac abnormalities are common, their impact on psychomotor development and stature is less clear. Further research is needed to explore genetic interactions influencing these outcomes and refine clinical management strategies.

Abstract Su405: Effect Of A Visual Feedback Device On The Acquisition Of Cardiopulmonary Resuscitation Skills In Training Certified By The American Heart Association: Randomized Clinical Trial

Background: High-quality cardiopulmonary resuscitation (CPR) is fundamental for the success in the care of cardiorespiratory arrest. In CPR skills training, manequins with feedback on quality parameters have been employed and received varied evaluative results. The American Heart Association (AHA) encourages the use of feedback devices in CPR training; however, its effects have not been evaluated in courses certified by it. Research Questions: Training with visual feedback devices alters the learning of students in acquiring psychomotor skills in CPR? Goals: To evaluate the effect of a visual feedback device on CPR training, in AHA certified courses. Methods: A randomized clinical trial was conducted to estimate the intervention of a visual feedback device in practical CPR training for nurses, medical students and physicians in the Advanced Cardiovascular Life Support (ACLS) courses. For that, having as parameters the quality criteria determined by the AHA, we tried to compare the performance results of the trained students with objective feedback from the device and the trained students with subjective feedback from the instructor. Statistical analysis included chi-square test, Student's t test, Mann-Whitney u test, Spearman’s-rho correlation coefficient. Significance level considered was 0.05. A survey was registered with ClinicalTrials®, under resgistration NCT 04338490. Results: The sample consisted of 209 students; of these 119 (56.9%) were women, and 148 (70.8%) were physicians. The control group had 98 students, and the intervention group 111 students. The performance of students from both groups reached the criteria of quality in CPR. The group trained with a feedback device achieved, according to guidelines, better results in the rate of chest compressions, 78 (70.3%) versus 48 (49.0%), p <0.01, and in return of the chest 100 (91; 100) versus 99 (78.25; 100), p <0.03. As for the recommended compression fraction, 60% to 80%, both groups were above 60%; however, no student in the study reached 80%. Conclusions: The visual feedback device was effective in CPR training, improving students’ performance in the criteria of compression rates between 100 and 120/min and total return of the chest between compressions.

Level of Physical and Psychomotor Skills in Children Practising Climbing in their Extracurricular Activities

Our study examines physical and psychomotor development in 12-13-year-olds engaged in climbing extracurricular activities. 24 children from Brașov and Bacău were evaluated in 2023, by using Pearson correlation coefficients to analyse relationships between indicators. Strong linear correlations were revealed at the somatic development level, at the mental ability level as well as at the level of the motor capacity testing back, abdominal and limb strength. These outcomes can give insights into the integrated development of adolescents engaged in climbing activities.

Utilizing Video Feedback for Effective Motor Skill Learning in Online Physical Education

ABSTRACT Video feedback is a commonly recommended tool for online physical education (OLPE) instructors. However, there is little evidence to support its effectiveness in motor skill learning. This study investigated the impact of different forms of pedagogical guidance delivered alongside video feedback on the acquisition and retention of two-disc golf skills: the spin putt (SP) and backhand throw (BT). Forty-three college students were randomly assigned to one of the three video feedback groups: visual cue sheet (VCS), self-assessment (SA), or delayed teacher feedback (TF). During four online practice sessions, they trained on the spin putt and backhand throw techniques. Pre-, post-, and retention tests assessed their performance on both skills. The results indicate significant improvements in BT technique at posttest for both SA and VCS groups. All participants exhibited significant gains in SP technique at posttest; however, only the VCS group sustained these improvements for both disc golf skills at the retention test. No significant differences were observed between the groups for both disc golf skills at all three measurements. These findings suggest that video feedback, particularly when combined with in-the-moment guidance like VCS or SA, can effectively enhance motor skill learning in online settings. This result underscores the potential of OLPE to go beyond fitness-based activities and effectively address psychomotor learning standards. Future research should explore the long-term impact of video feedback in OLPE and identify optimal guidance strategies for diverse motor skills and demographics.

ГРАФИЧНИЯТ КОМПОНЕНТ ПРИ ПОДГОТОВКАТА ЗА ПИСАНЕ И ИЗОБРАЗИТЕЛНАТА ГРАМОТНОСТ НА ДЕЦАТА

Written literacy is achieved with a lot of hard work on the part of the teacher, and the child himself. This is explicable because written speech is a qualitatively new kind compared to oral speech and although it develops on its basis, it has a number of its own specific features which make it more difficult to acquire. The teacher's function is to build up a concept of speech through the graphic. The child's acquired ability to write plays an enormous part in his future thinking activity and especially in the constitution of his habits of behavior. In order to support and facilitate the process of children's acquisition of writing in the first grade, it is necessary to make special preparations in kindergarten for the acquisition of the graphic component of writing. This targeted preparation should be preceded by a diagnosis of the psychomotor readiness of each individual child to master the graphic component of writing, because only the diagnosis makes it possible to predict psychomotor development and to discover the potential opportunities for this in a variety of children's activities.

IMPLEMENTASI METODE DHARMA CARITA PADA MATA PELAJARAN PENDIDIKAN AGAMA HINDU DI SEKOLAH DASAR

Learning Hindu Religious Education at the elementary school level presents its own challenges compared to learning at the secondary school level. Differences in student characteristics, especially in terms of cognitive, affective, and psychomotor development, require teachers to use learning methods that suit the needs and abilities of students. One method that is considered relevant is the Dharma Carita method, which is based on Dharma Carita that contain moral and spiritual values. This study aims to exploratively analyze the use of the Dharma Carita method in an effort to improve the quality of Hindu Religious Education learning in elementary schools. The method used in this research is a literature study or literature review, which involves a critical review of the academic literature relevant to the topic. The study reviewed existing ideas, findings and knowledge related to the implementation of the Dharma Carita method in the context of religious education in primary schools. The results show that the Dharma Carita method has great potential in shaping students' character and spirituality. Through Dharma Carita , students can learn about important moral values, such as truth, honesty and responsibility. This method is considered effective in conveying moral messages in an interesting and easy-to-understand manner for elementary school students, thus making it the right choice to be used in the classroom.

Expanded Use of the EMIGS Laparobowl® for the Psychomotor Skill Development of Gynecologic Surgeons – “EMIGS Plus”

Expanded Use of the EMIGS Laparobowl® for the Psychomotor Skill Development of Gynecologic Surgeons – “EMIGS Plus”

PFAPA syndrome: a case report of a challenging diagnosis

Introduction: PFAPA syndrome (Periodic Fever, Aphthous stomatitis, Pharyngitis, and Adenitis) is the most common cause of periodic fever in childhood. Typically, it occurs in children up to five years old and is characterized by sudden and recurrent episodes of high-spiking fever accompanied by at least one of the other eponymous features. This case report enhances the importance of its recognition, to prevent unnecessary tests and/or treatments. Case description: We present a case of a four-year-old boy, with no relevant background, observed multiple times in primary and secondary care settings due to fever. His parents reported monthly episodes of high fever, usually along with pharyngitis, oral aphthosis, and/or cervical adenitis. He was completely asymptomatic between crises and showed normal growth and psychomotor development. Several oropharyngeal and nasal swab tests were performed, with negative results. After some investigation and articulation with his pediatrician, a diagnosis of PFAPA syndrome was made and he started oral corticosteroids, a single dose on the first day of every episode, obtaining fast and complete symptomatic relief. Comment: PFAPA syndrome diagnosis is challenging, and its process can trigger anxiety in the patient, his family, and even in healthcare professionals. However, this relatively common and benign condition tends to be self-limited, usually with spontaneous resolution before adolescence. Its recognition by the medical community is essential, particularly in primary care settings since family physicians are usually the first point of medical contact within the healthcare system. This case report enhances the family physician’s core competence to manage illness with nonspecific presentations and the importance of the interface with other specialties to provide the best care to the community.

Navigating Reproductive Care in Patients With Inflammatory Bowel Disease: A Comprehensive Review.

Inflammatory bowel disease [IBD] is often diagnosed in patients during their reproductive years. It is crucial that both healthcare providers and patients are adequately informed to avoid misguided decisions regarding family planning. One of the most important aspects during conception and pregnancy is to maintain disease remission, as disease activity is associated with adverse pregnancy outcomes. Apart from methotrexate, most conventional drugs used in IBD are considered low risk during conception and pregnancy. For newer agents, evidence is still limited. If needed, surgery must not be postponed and should ideally be performed in specialized centres. In most patients, delivery should be vaginal except for patients with complex perianal disease, with an ileoanal pouch anastomosis, or if there is an obstetric contraindication. In children exposed to biological treatments during pregnancy, the risk of infections appears to be low, and psychomotor development is probably not affected. Regarding immunizations, the standard vaccination schedule for inactivated vaccines should be followed for children exposed to biologics in utero. In the case of live vaccines, such as rotavirus, decisions should be individualized and take into consideration the risk-benefit ratio, particularly in developing countries. In this review, we provide a comprehensive and updated overview of aspects related to fertility, pregnancy, breastfeeding, and the impact on the care of children born to mothers with IBD. Both the available evidence and areas of uncertainty are discussed, with the goal of assisting healthcare professionals caring for IBD patients during this important stage of their lives.

Chorionicity and Psychomotor Development From Infancy to Childhood: The Japan Environment and Children's Study.

Twins lag behind singletons in their early psychomotor development, but little is known about how chorionicity affects this difference. We compared early psychomotor development in singletons, monochorionic (MC) twins and dichorionic (DC) twins. Our longitudinal data from the Japan Environment and Children's Study (JECS; see Appendix) included 98,042 singletons, 577 MC twins and 1051 DC twins representing the general Japanese population. Chorionicity was evaluated by ultrasound images and complemented by postnatal pathological examinations. Five domains of psychomotor development were evaluated at 6 time points from 6 months to 3 years of age using the Ages and Stages Questionnaires (ASQ-3). The data were analyzed using linear regression models. Twins lagged behind singletons in all areas of psychomotor development during infancy. This gap decreased over time but was still noticeable at 3 years of age. More than half of this difference was attributed to twins having lower birth weight and being born earlier in gestation. MC twins showed slightly delayed development compared to DC twins, but this difference was minor compared to the overall gap between twins and singletons. Twins delay singletons in their early psychomotor development, and this delay is not specific to MC twinning.

Improving Students' Social Emotional Abilities Through PKN Subjects in Class X of SMAN 14 Medan

This research was written with the aim of finding out the influence of PKN learning on the development and character formation of students through improving social emotional abilities as outlined in the material on the Position of Pancasila as the Foundation of the State, View of Life and State Ideology. The background to this research is that there are learning problems caused by teachers' lack of attention to students' affective development, which hinders progress in other aspects, namely students' cognitive and psychomotor skills, the lack of students' social-emotional abilities in the classroom resulting in disharmony between students and other students. between students and teachers. These problems appear when learning is taking place, students show attitudes that are oriented towards the problem of low social emotional abilities, such as students not showing optimal self-confidence, when asked questions, students are just silent and sometimes answer with answers that are stuck to the book and lack confidence, then students do not dare to be themselves but are more fixated and less creatively active in carrying out learning activities, students are less independent in solving the problems they are given, when there are problems between fellow students the students tend to be apathetic and lack good social sense, and students lack of courage to take decisions and take responsibility. This was seen when given the order to choose a group leader, no one dared to volunteer and had to be appointed first by the teacher. The solution to these problems is provided in this research, namely by taking a social emotional learning approach to students through PKN subjects using a chain whisper game so that students can build character according to good social emotional skills. This research uses a quantitative approach with the type of research being Classroom Action Research which consists of two cycles, and each cycle has two meetings with a total of 2 cycles totaling 4 meetings, each cycle is arranged in stages namely Planning, Implementing Action, Observation and Reflection. The subjects in this research were class The results in this research were that there was a good and significant increase, where the results obtained were good with achievements passing the threshold category of 80%. Based on the data obtained above, it can be concluded that efforts to improve students' social emotional abilities have increased significantly, initially the total average at the first meeting of the first cycle was 54%, increasing to 77% and in the second cycle the initial value was 76% to 84%.. The results obtained show that the research has passed the success category limit of 80% with the final result being 84% with Good status.

Electromagnetic fields exposure and neuropsychological effects in young people

Abstract Background In recent years, there has been a large increase in the use of communication/connected devices and technologies. This raises a question about radiofrequency electromagnetic fields (RF-EMF) exposure levels and neuropsychological effects of RF-EMF in young people. The aim of this study was to assess the pattern of use of communication/connected devices and technologies and its impact on cognition and mental health of early school age children in Poland. Methods The study population consists of 293 children from Polish Mother and Child Cohort (REPRO_PL). The study was based on questionnaire data covering type and duration of usage of communication/connected devices and technologies by mothers during pregnancy and children at age of 7 years. The environmental exposure to RF-EMF was also taken into account. Based on such data RF-EMF exposure was assessed. Child emotional and behavioral assessment was done by Strengths and Difficulties Questionnaire whereas IQ and psychomotor development of children was performed by psychologist using Intelligence and Development Scales. Results About 75% of young people used smartphones (2% for voice calls and 7% for Internet browsing at least one hour per day). Tablet or laptop use was declared by 59% and 56% of respondents, respectively. More than 10% declared that they use these devices at least one hour a day. The main factors determining the use of new technology devices were parental age and education (p < 0.05) and the age at which youth started school education (p = 0.06). In multivariable regression model higher level of RF-EMF was associated with total difficulties and emotional problems (p < 0.05). Conclusions This study presents the pattern of use of new technology devices by early school age children in Poland and the association between the exposure to RF-EMF and child mental health. Key messages • The use of communication/connected devices and technologies is common among young people in Poland. • The exposure to RF-EMF can increase mental health problems among young people.

Examinatıon of Assessment and Evaluation Elements in 5th, 6th and 7th Grade Social Studies Middle School Textbooks

Textbooks are the most fundamental educational materials. For these materials to be effectively used, they need to be relevant to the era we live in. In this context, since 2004, the content of textbooks in Turkey has been prepared within the framework of constructivist education, aiming to enhance students’ cognitive, affective, and psychomotor skills. This study examines the assessment and evaluation elements within Social Studies textbooks to determine their alignment with constructivist education and the specific skills they target for students. The research analyzes assessment components found in six different textbooks approved by the Ministry of National Education (MEB). Within these textbooks, the assessment elements related to seven learning approaches—such as preparatory questions, in-text questions, activities, end-of-text evaluations, self-assessment, peer assessment, concept maps, end-of-unit assessment questions, and group self-assessment—are classified and studied from a constructivist perspective. Using a qualitative research design, document analysis is employed to identify assessment elements and link them to skills consistent with constructivist education. Finally, a comparative evaluation reveals differences between textbooks at different educational levels, contributing to the literature on the relationship between assessment elements and constructivist education in Social Studies textbooks.

Development of Small-Scale Kits and Flipbooks for Practical Acid-Base Instruction

Practicum is essential to learning because it provides practical learning opportunities in building students' knowledge. Learning using the practical method can explain abstract theories into concrete ones and can be analyzed in more detail so that this method can improve cognitive, psychomotor, and affective skills. Practical activities in schools currently still use large amounts of chemicals. The resulting waste is only thrown in the trash or the drain. Disposal of large amounts of chemical waste will affect the surrounding environment. Based on this background, the researcher aims to develop a small-scale practical kit and flipbook for instructions on practical acid and base solutions. This type of research is development research (R&D) and uses the ADDIE development model (Analysis, Design, Development, Implementation, and Evaluation). Material and language experts and media experts validate products. Product trials were carried out at SMAN 15 Tangerang Regency. The results of the validation of the small-scale practicum kit and flipbook practicum instructions were material 87% (very feasible), language 80% (feasible), and media 84% (very feasible). The product trial results stated that the small-scale practical kit and practical flipbook instructions were suitable for use in the learning process