Score Of Component Research Articles

Association of Oxidative Stress and Proinflammation with Insomnia in Perimenopause.

Background: The levels of oxidative stress and proinflammatory factors in perimenopausal females increased, and they were also deeply troubled by insomnia. The occurrence of insomnia is related to the changes of oxidative stress and inflammation levels in the body. Perimenopausal insomnia may be related to mild systemic inflammation, and oxidative stress can promote chronic inflammation. However, the underlying mechanism behind the phenomenon is still unclear. Objective: The aim was to investigate whether the occurrence of perimenopausal insomnia disorder is related to higher levels of oxidative stress and inflammation in the body, and to explore the role of inducible nitric oxide synthase (iNOS) in perimenopausal insomnia. Methods: A total of 127 perimenopausal participants were recruited in this study. Participants with global scores of the Pittsburgh sleep quality index (PSQI) >7 were diagnosed with insomnia (n = 54). The patient health questionnaire-9 (PHQ-9) and generalized anxiety disorder-7 (GAD-7) were evaluated, and sociodemographic data were obtained. The serum concentrations of iNOS, interleukin 6 (IL6), and tumor necrosis factor α (TNFα) were measured using commercial assays. Results: In the insomnia group, IL6 levels were positively correlated with scores of component 5 and component 7 of PSQI, respectively. PHQ-9 and GAD-7 were positively correlated with the global score of PSQI component 7 and PSQI, respectively; PHQ-9 was positively correlated with the global score of PSQI component 1. Finally, PHQ-9, iNOS, and IL6 were found to be independent predictors of perimenopausal insomnia using logistic regression. Conclusions: Moderate oxidative stress caused by a certain concentration of iNOS plays a protective role in perimenopausal insomnia, while proinflammation and depression are potential risk factors.

Genç Yetişkinlerde Aktif Boş Zaman Kullanımının Yaşam Kalitesine Etkisi

ABSTRACT
 The aim of this study is to evaluate the effect of active leisure use on the quality of life of young adults. The study data were collected from associate degree students studying at a university between October and November 2022. The sample size of the study was 366 students. The study data were collected using a form that included socio-demographic characteristics, the Leisure Attitudes Scale and the SF-12 Quality of Life Scale. Pearson correlation analysis and Tukey test for multiple comparisons were used to evaluate the data. It was observed that the mean score of the emotional sub-dimension of the Leisure Attitude Scale was statistically higher in students who stated that their weekly leisure was sufficient. A strong relationship was found between the age of the students and the mean score of the mental component. The mean mental component scores of students who reported having enough free time per week were better than the others (p

Brain regions associated with balance function assessed by the Berg Balance Scale in post-stroke patients.

[Purpose] To assess the neural fiber damage causing balance deficits in post-stroke patients. [Participants and Methods] Diffusion tensor imaging was conducted during the second week after stroke onset, and the Berg Balance Scale scores were recorded at discharge from our affiliated rehabilitation facility. The total score of the motor component of the Stroke Impairment Assessment Set and the Functional Independence Measure motor score were also documented. Brain images were analyzed using tract-based spatial statistics to extract the mean fractional anisotropy values from representative neural tracts. Stepwise multivariate analyses were conducted using fractional anisotropy values in the lesioned hemispheres as explanatory variables and clinical outcomes as target values. [Results] This study included 65 patients. The analyses identified the following significant associations: the corticospinal tract and the motor component of the Stroke Impairment Assessment Set score; the corticospinal tract, cingulum bundle, and inferior fronto-occipital fasciculus and the Berg Balance Scale score; and the superior longitudinal fasciculus and inferior fronto-occipital fasciculus and the Functional Independence Measure motor score. [Conclusion] The brain areas associated with balance function include the corticospinal tract and inferior fronto-occipital fasciculus, implying that the balance function links extremity functions to activities of daily living. This finding highlights the importance of rehabilitative training for balance function in post-stroke patients.

Motivational component profiles in learning embryology: A comparative study between first and final year medical students

Background: As a part of the "triangulation approach" for remodeling teaching-learning pedagogy related to embryology, we conceived the idea of comparing the motivational component profiles of first-year and final-year students, who might have realized the salience of learning embryology after seeing remarkable cases of congenital malformations. Methods: We used an observational study design for assessing the interrelation of motivational component profiles between both cohorts using the Science Motivation Questionnaire II (SMQ II)1. Of the total sample size of 150 first-year students, 126 agreed to participate, and similarly, out of 150 final-year students, 105 had consented to participation [‘convenience’ model of sampling]. The measures of central tendency, i.e., mean and standard deviation, were calculated for each item, and the Mann-Whitney test was utilized to compare the mean score of each motivational component. Results: Our results indicate that the overall motivational profile for learning embryology differs among first and final-year students. The mean intrinsic motivation and self-determination scores were slightly higher in the first-year cohort, whereas self-efficacy scores were slightly higher in the final-year cohort. This information integrates students’ levels and types of motivation into the planning, delivery, and evaluation of medical education. Conclusion: Despite being one of the key components of self-regulated learning, motivational component profiles remain unaddressed in contemporary medical education owing to their abstractness and subjectivity in terms of documentation. The current study helped us envisage the difference in motivational component profiles toward learning embryology in cross-section. It also senses the need for incorporating motivational short courses in undergraduate curricula, especially in remediation programs.

Comparison of the effects of manual therapy and scapular stabilization exercises on pain, functional status, and quality of life in subacromial impingement syndrome

Aims: This study aimed to determine the effects of manual therapy and scapular stabilization exercises combined with conventional physiotherapy on pain, functional status, and quality of life, and whether they are superior in individuals with subacromial impingement.
 Methods: 30 patients between the ages of 25-65 who were diagnosed with subacromial impingement syndrome were included in the study. Individuals were randomized 1:1 to "conventional physiotherapy+scapular stabilization" and "conventional physiotherapy+manual therapy" groups. Individuals' age, gender, medication use, and presence of chronic disease were recorded. The presence of pain was measured by the Visual Analogue Scale, shoulder range of motion was measured by a goniometer, quality of life was measured by Short Form-12 Quality of Life Survey, and functional status was evaluated with the Questionnaire Quick Disability of the Arm, Shoulder, and Hand Problems. The conventional physiotherapy program applied to both groups included electrotherapy, passive and active assisted range of motion exercises, and rotator cuff strengthening exercises. Both groups received a total of 12 sessions of physiotherapy, 3 days per week, for 4 weeks.
 Results: 19 females and 11 males, participated in the study. There were no statistically significant differences between the groups at baseline assessment for pain at rest, activity, and night (p=0,37; 0,39; 0,17, respectively), range of motion of shoulder flexion, abduction, internal rotation, and, external rotation (p=0,5; 0,1; 0,91; 0,9, respectively), Questionnaire Quick Disability of the Arm, Shoulder, and Hand Problems score (p: 0,09) and Short Form-12 Quality of Life Survey scores physical and mental component (p=0,23; 0,98, respectively). After treatment, both groups observed positive improvements in pain at rest, activity, and night (p=0,001), range of motion of shoulder flexion, abduction, internal rotation, and, external rotation (p=0,001), Questionnaire Quick Disability of the Arm, Shoulder, and Hand Problems score (p=0,001) and Short Form-12 Quality of Life Survey scores physical and mental component (Group1; p=0,001; 0,001, Group 2; p=0,001; 0,005, respectively). There was no statistically significant advantage among the treatment methods except for shoulder abduction and internal rotation range of motion parameters (p=0,04; 0,009, respectively).
 Conclusion: When applied with traditional physiotherapy, both treatment methods provided significant improvements in pain, functional condition, quality of life, and joint motion clarity compared to before treatment. However, the methods applied are not superior to each other. It is important to choose the appropriate technique for the patient in the treatment of subacromial impingement syndrome, and it is useful to prepare personalized, combined programs. It is envisaged that researching more effective exercise methods for patients with subacromial impingement syndrome in the future will increase the usefulness of the treatment.

Pengembangan Modul Sirah Rasul Ulul ‘Azmi Untuk Meningkatkan Sikap Religius Siswa

This article aims to find out how the development of the Apostle Ulul 'Azmi sirah module in improving the religious attitude of students at SMA An-Nadwa Binjai. This study uses a 4-D model; namely definition, design, development, and deployment. Sampling used a random sampling technique with class XI A as the control class and class XI as the experimental class with a total of 35 students. The results of this study state that the feasibility of the Sirah Rasulullah Ulul 'Azmi module is feasible to use through 3 expert validation tests, the feasibility of the module is seen from 3 components namely material experts, language and design. The validation results of the three validators are: the average score of the content component is 77.27, the linguistic component is 83.65, and the presentation component is 81.73. These three scores indicate a good/proper category, which means that the Sirah Rasulullah Ulul 'Azmi module can be used with a little revision. As for the effectiveness of the Sirah Rasul Ulul 'Azmi module in increasing students' religious attitudes when seen from the test results between the control class and the experimental class, with the control class's average score of 69.71, while the experimental class's average score was 75.52. Based on the results of data analysis, it can be concluded that the Sirah Rasulullah Ulul 'Azmi module is effective in increasing religious attitudes in class XI SMA An-Nadwa in PAI learning.

Факторы риска и качество жизни женщин в периодах пери- и постменопаузы в городе Ереван, Армения

INTRODUCTION: Menopause is associated with various somatic, vasomotor, sexual and psychological symptoms that adversely affect the quality of life of women in peri- and postmenopausal periods. AIM: To assess the quality of life (QoL) of women in peri- and postmenopausal periods, to identify factors producing a negative effect on him during these periods. MATERIALS AND METHODS: А cross-sectional study was conducted through a survey of 353 women above 40. To assess QoL, the SF 36 questionnaire was used. Sociodemographic factors and peculiarities of health status of the participants were considered risk factors. The data were introduced and analyzed using SPSS 23 statistical package. Statistical significance of the results was evaluated by Kruskal–Wallis test with the subsequent a posteriori analysis, and Mann–Whitney test. RESULTS: Peri- and post menopause had negative impact on the parameters of physical component of QoL and all its domains. Participants with regular menstruation had a reliably higher score of physical component of QoL compared to peri- and postmenopausal women (p < 0.001). The scores of physical component of QoL were higher in women at the age under 50 compared to women of older age groups. The scores were higher in women with higher and secondary special education compared to participants with general secondary education (p < 0.05). Higher scores of physical and psychological components of QoL were recorded in working women compared to the retired group (p < 0.05). The parameters of psychological component of QoL were the highest among married and single women. Parameters of physical and mental components of QoL were higher in groups with the income above and at the level of the living minimum compared to those who reported the income below the minimum wage (p < 0.001). A reliably higher scores of physical and mental components of QoL were recorded in participants with favorable microclimate in families compared to the group with an unfavorable one (p < 0.01). A reliable relationship was found between the evaluation of the health and parameters of both components of QoL by the participants. Higher scores were recorded in women who evaluated their health as excellent and above average compared to all other groups (p < 0.05). The presence of chronic diseases had a negative impact on both components of QoL. CONCLUSION: The factors producing negative effects on QoL of women in peri- and postmenopausal periods were the older age, general health status, low educational level, retirement, unfavorable family status and family microclimate, low family income.

Late Holocene vegetation and climate change in the northern Tibetan Plateau region based on a palynological analysis from Lake Ayakum

In this paper, we undertake a high-resolution palynological analysis of a sediment core covering the last 1500 years obtained from Lake Ayakum in the northern Tibetan Plateau, to improve the understanding of regional climate fluctuations and their driving mechanisms. The pollen spectra are dominated by herbaceous species such as Artemisia, Chenopodiaceae, Cyperaceae and Poaceae, which grew in various alpine desert settings. Four pollen assemblage zones are identified using stratigraphically constrained cluster analysis, representing climate history at different stages. The Artemisia/Chenopodiaceae (A/C) ratio and axis score of the first principal component are used to infer regional moisture conditions and reveal a temporal pattern that is consistent with various records from central Asia. The source of Cyperaceae pollen is mainly from marsh wetlands distributed around the lake, which responded sensitively to the lake level fluctuations. In contrast, arboreal pollen is mainly a long-distance transported component, reflecting changes in regional vegetation. Our findings show that the northern Tibetan Plateau experienced relatively wet conditions during the Dark Age Cold Period and the Little Ice Age, while relatively dry conditions occurred during the Medieval Warm Period and the last two centuries. Fluctuations in moisture levels are broadly consistent with moisture records elsewhere in western China, and show a good correlation with phase changes of the North Atlantic Oscillation. The climate changes in the northern Tibetan Plateau are supposed to be primarily triggered by the NAO phases through south-north migrations of the mid-latitude westerlies during the late Holocene.

Features of the Clinical Course and Quality of Life in a State with Chronic Pancreatitis and Gastroduodenal Changes

Despite the significant progress in the study of pancreatic gland (PG) pathology, the clinical symptoms and syndromes, as well as assessment of quality of life using the SF-36 and GSRS questionnaires in patients with chronic pancreatitis (CP) in combination with comorbid pathology of the organs of the gastroduodenal zone (GDZ) remain insufficiently studied and substantiated. The objective: to analyze the clinical symptoms and assessment of quality of life using the SF 36 and GSRS questionnaires in the comorbidity of chronic pancreatitis with H. pylori-associated chronic gastritis. Materials and methods. An examination and study of indicators of 30 outpatients with CP and 117 patients with CP in comorbidity with chronic gastritis (CG) associated with H. pylori was carried out. 87 (59.2%) men and 60 (40.8%) women from 19 to 76 years old (average age – 48.29±1.04 years) were the participants. The control group included 30 practically healthy persons, comparable in age and sex. The clinical manifestations of the participants of the study groups were analyzed. For a reliable assessment of the quality of life, groups of patients were compared: the control group, patients with CP and patients with comorbidities. The physical and psychological components were evaluated using the SF-36 questionnaire. Indicators of the quality of life components of patients according to the scales of the GSRS questionnaire were also studied. Results. Clinical symptomatology in the comorbidity of CP with concomitant gastroduodenal disorders had features compared to those in isolated CP. Painful, dyspeptic, enteropancreatic and asthenovegetative, anemic syndromes were more often detected in patients with CP and disorders of the gastrointestinal tract. It was found that the average total score of the physical component in patients with CP and comorbidity was significantly lower than that in the group of isolated CP according to the SF-36 questionnaire: the difference between the values of the average total score of the physical component of quality of life in patients of the comparison groups was 10.42 points (11.2%). Conclusions. The results of the study show that the difference between the total indicators of the scales of the psychological component of the quality of life according to the SF-36 questionnaire of the groups of patients with CP and patients with comorbidity is 9.71 (11.5%). This proves that the psychological state of patients with CP with accompanying gastroduodenal changes is significantly worse.

SUPPORTIVE SUPERVISION AS A TOOL FOR IMPROVING PERFORMANCE OF VACCINE STORAGE FACILITIES IN AGAR-MALWA DISTRICT OF MADHYA PRADESH

Background: One of the novel interventions to improve immunization coverage is Supportive supervision which is described as a process of helping staff involved in immunization to improve their work performance continuously. The present study was done as a part of RIPDSS initiative with the objective to assess the effect of supportive supervision on the performance of District & Sub-District Vaccine Storage points of Agar-Malwa district. A facility-based, cross sectional study was Material & Methods: conducted in November & December 2022. Structured Questionnaire as a part of standard supportive supervision checklist prescribed by Government of India was used for data collection & assessment was done based on scores obtained in various components in the rst and second visit. On the spot problem solving along with feedback was also given to the vaccine & cold chain staff. Cumulative score of 211 Results: (70.33%) and 246 (82%) out of 300 was obtained in the rst and second supervision visit of DVS respectively. In the rst and second visit of SubDVS, scores obtained were 132 (40.62%) and 217 (66.76%) out of 325. Apart from overall improvement, score of vaccine management component improved in both DVS & Sub-DVS but that of CCE maintenance declined in Sub-DVS. If the logistical, physical, and Conclusion: human resources are in place to improve service delivery, a supportive supervisory method can be more effective in enhancing the cold chain maintenance process. Frequent follow up visits are also required for this method to be effective

Clinical study on aromatherapy combined with physical exercise in treating insomnia symptoms of adolescent depression

BackgroundDepression is a mental disorder caused by many factors. Aromatherapy of traditional Chinese medicine delivers aromatic drugs to the human body to effectively prevent and treat diseases. In addition, appropriate sports can also improve the depressive symptoms of adolescents. Therefore, the study will combine traditional Chinese medicine aromatherapy with sports to intervene and treat adolescents to improve their symptoms.Subjects and MethodsIn this study, 72 patients with insomnia symptoms of adolescent depression in a hospital were taken as the research object and randomly divided into groups A and B, with 36 patients in each group. Group A was given traditional methods, while group B was intervened with the combination of traditional Chinese medicine aromatherapy and sports. Pittsburgh Sleep Quality Index (PSQI) was used to quantify the score of insomnia symptoms in adolescents with depression. SPSS25.0 statistical software was used for the statistical analysis of relevant data. The results are shown in Table 1.Table 1.PSQI score results of two groups of patients before and after the interventionSleep qualitySleep timeSleep durationSleep efficiencySleep disordersDaytime functionTotal scoreBefore interventionA2.10±0.532.90±1.051.83±0.941.87±1.061.10±.0392.47±0.6712.27±1.95B2.00±0.442.50±0.761.80±0.832.07±1.101.17±0.372.57±0.6112.10±1.77After interventionA1.97±0.402.87±0.331.60±0.552.13±0.761.00±0.252.43±0.7112.00±1.95B1.76±0.501.45±0.721.14±0.861.35±0.940.72±0.442.38±0.488.78±1.67ResultsAfter the intervention, the total score of component B decreased from 12.10 ± 1.77 to 8.78 ± 1.67. To sum up, there is a big difference between group B and group A before and after the intervention, indicating that the combination of traditional Chinese medicine aromatherapy and sports has obvious advantages, which can effectively alleviate the symptoms of insomnia in young people.ConclusionsDepression is easy to cause insomnia in young people, so the combination of traditional Chinese medicine aromatherapy and sports was used in the study. The results showed that the combined treatment was significant for the treatment of insomnia in adolescent depression patients.

Hyaluronic acid alone versus hyaluronic acid associated with adelmidrol for Intra-articular treatment of knee osteoarthritis: A long-term follow-up

Background: Hyaluronic acid (HA) has been used for many years for intra-articular treatment of knee osteoarthritis with satisfactory results. HA associated with Adelmidrol – an anti-neuroinflammatory compound – have been only recently introduced in orthopedic clinical practice with good preliminary results. Objective: To investigate whether HA associated with Adelmidrol provides better results than HA alone. Methods: Two cohorts of patients with moderate knee osteoarthritis were treated. Cohort 1 received 5 weekly intra-articular injections of HA during 2017 while Cohort 2, 4 weekly intra-articular injections of HA associated with Adelmidrol during 2018. The patients of the two Cohorts were assessed by WOMAC scale, SF-12 questionnaire and PGIC scale at 1 week (T0), 6 months (T1), 1 year (T2), and 2 years (T3) after the end of treatment. All the data were statistically analyzed. A p-value of <0.05 was considered statistically significant. Results: According to the WOMAC Scale Cohort 1 had higher mean scores than Cohort 2 at each follow-up time, with a statistically significant difference between the two cohorts at T3 (p<0.03) for all the WOMAC components, except for Stiffness. WOMAC Total mean score worsened statistically significantly only in Cohort 1, from T1 to T3 (T2 vs T1: p=0.0033; T3 vs T2: p=0.0007). The same happened for WOMAC Physical Function (T2 vs T1: p=0.0146; T3 vs T2: p=0.0046) and WOMAC Pain (T2 vs T1: p=0.0004; T3 vs T2: p=0.0002). WOMAC Stiffness worsened statistically significantly in Cohort 1 from T2 to T3 (T3 vs T2: p=0.0041), while in Cohort 2 no change on WOMAC scale was statistically significant at any time-point, for any components. The mean scores of the SF-12 questionnaire were better in Cohort 2 than in Cohort 1 at each follow-up time for both the Physical and the Mental components, with a statistically significant difference between the two groups for the latter, at T0 (p=0.0001). In both cohorts the mean score of the Physical component decreased from T0 to T3, but the difference was not statistically significant between the two groups (p=0.25). The mean score of the Mental component slightly increased in Cohort 1 and decreased in Cohort 2, without statistically significant differences between the two groups at any time-point. PGIC showed that Cohort 2 scored significantly better than Cohort 1 at T3 (p=0.0336). Conclusions: Overall, HA associated with Adelmidrol gave better long-term results than HA alone. KEY WORDS: Hyaluronic acid, Adelmidrol, Palmitoylethanolamide, Knee, Osteoarthritis, Synovitis, Mastocytes, Intra-articular injections, Visco-induction.

Shifting plant leaf anatomical strategic spectra of 286 plants in the eastern Qinghai-Tibet Plateau: Changing gears along 1050–3070 m

Leaf anatomical traits can reflect plant adaptation to environmental changes. However, whether the trade-offs among leaf anatomical traits can reflect the strategies spectrum of plant response to environmental changes and the strategic spectrum will shift with altitudes are not clear. In this study, 286 plant species from 19 altitudinal gradients from 1050 m to 3070 m on the eastern Tibetan Plateau were selected and 16 anatomical characters of blade, mesophyll and midrib were measured. The strategic spectra of leaf anatomical trait formation were studied by the principal components analysis, followed by generalized additive models of the strategic spectra with shift in elevation to test the shift of strategy spectra along altitudes. There are differences in response mode and intensity between woody plants and herbaceous plants along altitudes. Blade strategic spectrum (BSS), blade and mesophyll strategic spectrum (BMSS) and midrib strategic spectrum (MSS) were formed in the tissue of leaves, and the score of principal component one (PC1) was not significant between herbs and woody plants (P > 0.05). There was mainly the spectrum of conservation and supported strategies and the spectrum of resource acquisition and consumption. With increasing altitudes, the habita tended to become unsuitable for plant growth and the resources available to plants reduced. Consequently, the plants shifted from a “invest-fast-reap” acquisition strategy to a “invest-slow-reap” conservative strategy.

People's Perception of Well-Being during the COVID-19 Pandemic: A Case Study in Japan.

This study aims to examine people’s perception of well-being during the COVID-19 pandemic in Japan and quantitatively clarify key factors towards realizing evidence-based policymaking. In March 2022, 400 participants responded to a survey conducted through Rakuten Insight. The authors applied an ordinal logistic regression (OLR), followed by principal component analysis (PCA), to create a new compound indicator (CI) to represent people’s perception of well-being during the pandemic in addition to ordinary least squares (OLS) regression with a forward-backward stepwise selection method, where the dependent variable is the principal component score of the first principal component (PC1), while the independent variables are the same as the abovementioned OLR. Consequently, while analyzing OLR, some independent variables showed statistical significance, while the CI provided an option to grasp people’s perception of well-being. Furthermore, family structure was statistically significant in all cases of OLR and OLS. Moreover, in terms of the standardized coefficients (beta) of OLS, the family structure had the greatest impact on the CI. Based on the study results, the authors advocate that the Japanese government should pay more attention to single-person households affected by the COVID-19 pandemic.

An integrated dynamic model to locate a competitive closed-loop supply chain facility under conditions of uncertainty: A case study of the auto parts industry

With the expansion of competitive markets, supply chain management has become one of the critical issues facing businesses. One of the advantages of sustainable competition for companies is to make supply chain activities more efficient and effective. This paper aims at an integrated closed-loop supply chain (CLSC) problem which is multi-objective, multi-product, multi-period, and multi-level with limited capacities and uncertain conditions of demand and return products. The proposed supply chain network consists of five levels in the forward flow. There are five centers in the backward flow as well. The purpose of this network is to determine the optimal number and location of facilities required in each period and the optimal amount of the transfer flow of products or raw materials through different transportation modes between facilities. In this proposed model, three objective functions are taken into consideration. The first one minimizes all the costs. The second objective function maximizes the quality of products. The third objective function seeks to minimize the sum of deviations from the ideal score of the principal component of each supplier. The data of this research are taken from Pishro Diesel Company. To solve the proposed problem, several methods and algorithms have been used, including unscaled goal programming, boundary objectives, three single-objective meta-heuristic algorithms (PSO, RDA, and TGA), and multi-objective meta-heuristic algorithm (MOGA-II). As the results show, considering products and returned parts in products, a simultaneous practice of forward and reverse supply chains leads to better product quality, less damage to the environment, and lower costs for customers.

Evaluation of Creativity in Contemporary Dance in Terms of Audience Perception

ABSTRACT Today creativity is increasingly recognized as an essential component of success. The purpose of the study is to test a method of consensus assessment of contemporary dance, which allows a viewer to subconsciously assess the manifestation of creativity in contemporary dance. The sample of participants was formed on the basis of users of Chinese social networks (WeChat, Weibo, Qzone, Youku) and consisted of 46 dancers, 12 choreographers and 123 spectators. The methodology of the experiment is based on the LAVAAN package. The results showed that the presence of creative experience of a rater has a positive effect on the rating score of the creativity component. At the same time, self-proclaimed experts in creativity gave lower points to the creativity in dance videos. It can be argued that the understanding of contemporary dance is much greater for those who have had experience of choreographing dances; simply teaching dance does not necessarily develop the ability to comprehend its meaning. The use of the Likert scale has demonstrated its effectiveness in the analysis of contemporary dance. The results of the study can be useful in the field of choreography, pedagogy, sociology and psychology in the aspect of creativity and culture.

PROFIL KEMAMPUAN CALON GURU MATEMATIKA DALAM MENGEMBANGKAN PERANGKAT PEMBELAJARAN SELAMA MELAKSANAKAN MICRO TEACHING

This study aims to describe the ability of prospective mathematics teachers in developing lesson plans during micro teaching activities. This study is a qualitative descriptive research equipped with quantitative data used to explain the findings that exist before the results of the study concluded in qualitative form. To obtain the data, the researchers conducted observations and assessments using assessment instrument sheets based on Permendikbud number 22 of 2016 against the lesson plan prepared by 34 prospective mathematics teachers UIN North Sumatra Medan during micro teaching activities and interviews. Assessment of the lesson plan is done by giving a score on each aspect of the component with a scale assessment of 3 that is fully appropriate, partially appropriate, and not appropriate. The assessment score of each RPP component is processed by descriptive statistics and then categorized according to quantitative data classification and converted into qualitative data of three categories, namely high, medium, and low categories. The results of this study indicate that the ability of prospective teachers of mathematics in preparing all components of the lesson plan reached a high category except on one component.

Association of hearing loss and tinnitus symptoms with health-related quality of life among long-term oropharyngeal cancer survivors.

This study investigated the association of hearing loss and tinnitus with overall health-related quality of life (HRQoL) among long-term oropharyngeal cancer (OPC) survivors. This study included OPC survivors treated between 2000 and 2013 and surveyed from September 2015 to July 2016. Hearing loss and tinnitus were measured by asking survivors to rate their "difficulty with hearing loss and/or ringing in the ears" from 0 (not present) to 10 (as bad as you can imagine). Hearing loss and tinnitus scores were categorized as follows: 0 for none, 1-4 for mild, and 5-10 for moderate to severe. The primary outcome was the mean score of MD nderson Symptom Inventory Head & Neck module interference component as a HRQoL surrogate dichotomized as follows: 0 to 4 for none to mild and 5 to 10 for moderate to severe interference. Among 880 OPC survivors, 35.6% (314), reported none, 39.3% (347) reported mild, and 25.1% (221) reported moderate to severe hearing loss and tinnitus. On multivariable analysis, mild (OR, 5.83; 95% CI; 1.48-22.88; p=0.012) and moderate (OR, 30.01; 95% CI; 7.96-113.10; p < 0.001) hearing loss and tinnitus were associated with higher odds of reporting moderate to severe symptom interference scores in comparison to no hearing loss and tinnitus. This association of hearing dysfunction was consistent with all domains of HRQoL. Our findings provide preliminary evidence to support the need for continued audiological evaluations and surveillance to detect hearing dysfunction, to allow for early management and to alleviate the long-term impact on QoL.

A Comparative Study of Hip Arthroplasty and Closed Reduction Proximal Femur Nail in the Treatment of Elderly Patients with Hip Fractures.

ObjectiveTo compare the clinical effect of hip arthroplasty and closed reduction intramedullary nailing of proximal femur in the treatment of elderly hip fracture patients.MethodsThere are 90 elderly hip fracture patients being recruited in the present study. Fifty patients in Group A received closed reduction intramedullary nailing of proximal femur, and 40 patients in Group B received hip arthroplasty. All patients were followed up for 12 months after surgery, clinical outcomes included surgical indicators, visual analog scale (VAS) score, Harris score, quality of life, mental status, and complications.ResultsThe surgery time, bleeding volume, infusion volume of patients in Group A are all significantly lower than those in Group B (p < 0.05), while the weight-bearing activity time and first workout time of Group A are all significantly higher than those in Group B (p < 0.05). The VAS score in patients of Group A at 1 week postoperative is significantly lower than that in patients of Group B (p < 0.05). The Harris score in patients of Group A at 3, 6, and 12 months postoperative are all significantly higher than those in patients of Group B (p < 0.05), and the excellent and good rate of hip function recovery at 12 months postoperative in patient of Group A is significantly lower than that in patients of Group B (80% vs. 95%, p < 0.05). Furthermore, The score of SF-36 standardized physical component, SF-36 standardized mental component and Barthel in patients of Group A at 6 months postoperative are significantly lower than those in patients of Group B (p < 0.05), and the score of mini-mental state examination is significantly higher (p < 0.05), while there are not significantly different at 12 months postoperative (p > 0.05). The incidence of postoperative complications in Group A was significantly lower than that in Group B (10% vs. 27.5%, p < 0.05).ConclusionElderly hip fracture patients treated with closed reduction intramedullary nailing of proximal femur has less surgical trauma and lower complication rates, but slower postoperative recovery compared with hip arthroplasty.

Analysis of the association between areal socioeconomic deprivation levels and viral hepatitis B and C infections in Japanese municipalities

BackgroundWe investigated the association between municipal socioeconomic deprivation levels and the positivity of hepatitis B surface antigen (HBsAg) and the prevalence of hepatitis C virus (HCV) among individuals who have never participated in hepatitis screening using Japanese national screening data.MethodsThe hepatitis virus screening data analyzed included the 5-year age group-specific number of participants aged 40 years or older, number of HBsAg-positive persons, and number of HCV carriers for each municipality from 2013 to 2017. Principal component analysis was used to derive a socioeconomic deprivation level using the socioeconomic characteristics of municipalities. Bayesian spatial Poisson regression analysis was conducted to investigate the association between the socioeconomic deprivation level and the results of screening. Data on 1,660 municipalities were used in the analysis.ResultsThe data of 4,233,819 participants in the HBV screening and 4,216,720 in the HCV screening were used in the analysis. A principal component interpreted as level of rurality (principal component 1) and another principal component interpreted as level of low socioeconomic status among individuals (principal component 2) were extracted as the major principal components. Their principal component scores were used as the deprivation levels of municipalities. Spatial regression analysis showed that the deprivation level derived from the sum of the scores of principal components 1 and 2 was significantly and positively associated with HBsAg positivity and HCV prevalence. In addition, the deprivation level derived only from the score of principal component 2 was also significantly and positively associated with the outcomes. Conversely, the deprivation level derived only from the score of principal component 1 was not associated with the outcomes. Moreover, population density was significantly and positively associated with HBsAg positivity and HCV prevalence.ConclusionsThis study suggested that participation in hepatitis virus screening is important and meaningful, particularly for areas with a higher lower socioeconomic level in Japan.