Test Scores Research Articles

Effect of problem‐solving training for mothers of children with special needs: A randomised controlled study

AbstractThis study investigates the effect of problem‐solving training on the interpersonal problem‐solving skills of mothers of children with special needs. The parallel randomised controlled trial was conducted between August 2021 and March 2022. A priori power analysis was conducted, and 98 mothers who met the inclusion criteria were included in the study. The analysis indicated that a sample size of 39 participants per group was required. Data were collected using a personal information form and the Interpersonal Problem Solving Inventory. The mothers were divided into control and experimental groups. The participants in the experimental group were given a problem‐solving training program, while the control group was not exposed to any intervention. There was no significant difference in the pre‐training test scores for any of the dimensions (p > 0.05). However, the post‐training test scores in the experimental group were significantly higher than post‐training test scores in the control group (p < 0.05). There were significant differences between the pre‐training and post‐training test scores in the experimental group (p < 0.05). Interpersonal problem‐solving skills can be improved by providing problem‐solving training to the mothers of children with special needs. Based on the findings of this study, it is recommended that psychiatric nurses provide training to protect and improve the wellbeing of children with special needs and their families.

CLOUD-EDGE CONTINUUM FRAMEWORK FOR ADMISSION DATA MANAGEMENT USING DEEP LEARNING MODEL

The surge in applications necessitates a more intelligent and automated Higher Education Admission Management System (HEAMS). This research proposes a novel Deep Learning (DL)-based HEAMS utilizing a Cloud-Edge Architecture. The first step collects applicant data like transcripts, test scores, essays, and recommendations. Edge devices perform initial cleaning and preprocessing on these data to ensure quality and privacy. These preprocessed data using normalization and feature extraction using the Latent Dirichlet Allocation (LDA) are then transferred to the cloud where DL models, such as Convolutional Neural Networks (CNNs) for essays or Recurrent Neural Networks (RNNs) for transcripts, are trained. These models learn complex patterns from historical labeled data (admitted/not admitted) to predict an applicant’s success probability. During application evaluation, new data are fed through the trained models on the edge, generating probabilities for predefined classifications — high-potential, moderate, or low-potential. The cloud receives these probabilities and combines them with predefined admission criteria like minimum GPA. This combined analysis leads to a final classification using Novel Lite Convolutional Neural Network with Hybrid Leader-based Optimization (Lite CNN-HLO) for each applicant — admitted, waitlisted, or rejected and admission management system by refining admission decisions for admitted, waitlisted, and rejected applicants based on institutional priorities and constraints. The system not only generates classifications but also provides detailed model score breakdowns for transparency. This Cloud-Edge HEAMS offers improved efficiency, reduced workload for admissions staff, and potentially fairer decisions by mitigating bias through data-driven analysis.

The Influence of Character Building and Parents Economic Conditions on Student Learning Achievement

Based on the observations, it was found that a significant number of eighth-grade students at SMP Negeri 1 Alasa demonstrate low academic achievement, as evidenced by their test scores not meeting the Minimum Competency Criteria (KKM). Additionally, many students in this grade frequently fail to complete homework and exhibit a lack of motivation during the learning process. This study aims to analyze the influence of Character building and parental economic conditions on the academic performance of eighth-grade students at SMP Negeri 1 Alasa in 2024. The research employed a quantitative methodology. The findings indicate that Character building, in isolation, has a significant impact on the academic performance of eighth-grade students at SMP Negeri 1 Alasa, with a t-value of 2.231, which exceeds the critical t-value of 1.673. On the other hand, parental economic conditions do not have a significant effect on students' academic achievement when considered independently. This is evidenced by a t-value of -0.084, which is below the critical t-value of 1.673. Thus, students can achieve academic success regardless of their parents' lower economic status, and wealthier parents do not necessarily guarantee improved academic performance in their children.

Implementation of Knowledge Sharing in Learning to Write Essay Through Genre Based Approach

The aim of this research is to obtain an overview of improving essay-writing skills through implementing knowledge sharing in the genre pedagogy approach (Genre Based Approach) in The Indonesian Language and Literature Education Study Program at higher education. The research design uses quantitative methods (pretest posttest design) and qualitative data in the form of student responses to applied knowledge sharing. The research sample consisted of 20 students who took part in writing lessons. The data obtained is in the form of essay texts based on the stages of guided construction, independent construction in the form of average scores on the pretest and posttest. The results of the research are test scores with an average of 75.1 and at posttest 85.3. The results of the second research are the percentage of responses via Google Form (as a form of implementation of the socialization of 'tacit knowledge' to externalization' resulting in construction products, both joint and independent construction. Through the application of knowledge sharing and genre pedagogy, it appears that the student response is that knowledge sharing can stimulate critical thinking, sharing knowledge creates learning outcomes products, accommodating the implementation of joint construction as part of the genre-based approach stage, with a high response.

ADAPTATION OF TESTING PROCEDURES AND STABILIZATION OF RESULTS IN PRESCHOOL RHYTHMIC GYMNASTS

The aim of this study was to familiarize preschool rhythmic gymnasts with testing procedures and to determine the number of familiarization attempts needed to stabilize the test results. Thirty-six female rhythmic gymnasts aged 5.14±0.79 years (body height: 119.44±5.98 cm; body mass: 21.46±3.35 kg) volunteered for the study. All gymnasts were free of injury, trained regularly (two days per week, approximately 60 minutes per session), and participated in the individual B level competitions. The main findings indicated a statistically significant difference between the variables of spine and leg flexibility (p<0.00), standing long jump (p<0.00), balance (p<0.00), and shoulder flexion and extension (p<0.00). According to the results obtained in this research, familiarization can significantly improve scores in motor tests for all variables (spine and leg flexibility, balance, standing long jump, and shoulder flexion and extension) in preschool rhythmic gymnasts. These findings suggest several possibilities for further research, such as investigating the long-term effects of familiarization on motor skill development, the specific mechanisms through which familiarization enhances performance, and its impact across different age groups and skill levels in rhythmic gymnastics. Rhythmic gymnastics trainers and other coaches of aesthetic sports should adapt and introduce participants to test protocols to avoid errors in testing.

The non-linear correlation between the severity of alcohol consumption and depressive symptoms in the Chinese Wa ethnic minority

ObjectiveThe aim of this research was to examine the association between alcohol consumption and depressive symptoms in the Wa ethnic minority of China, a population where this relationship has been insufficiently explored.MethodsA cross-sectional analysis was conducted on a sample of 317 current drinkers from the Wa ethnic minority, a “direct fast-forward” group in Cangyuan County, between December 1, 2022, and February 28, 2023. Utilizing a multi-stage cluster sampling approach, participants were selected, each of whom exhibited an Alcohol Use Disorder Identification Test (AUDIT) score exceeding 0. Data were collected via face-to-face interviews employing a uniform questionnaire. Quantification of alcohol use was achieved through the application of the AUDIT, while the Patient Health Questionnaire (PHQ)-9 was employed to gauge depressive symptoms. The relationship between the severity of alcohol consumption and depressive symptoms was evaluated using a multivariable logistic regression model. Subsequently, potential non-linear associations were scrutinized through the application of a smoothing plot.ResultsThe study included 317 current drinkers (196 males [61.83%]; mean age 41.78 ± 12.91 years), of which 94 (29.65%) exhibited comorbid depressive symptoms. Multivariable logistic regression analysis, adjusting for confounders, revealed that higher AUDIT scores were significantly associated with an increased probability of depressive symptoms (OR = 1.09, 95% CI: 1.02–1.18, p = 0.008). The risk of depressive symptoms was notably greater in the group with alcohol dependent range in contrast the group at low-risk range (OR = 7.01, 95% CI: 1.66–29.62, p = 0.008). The smoothing plot indicated a J-shaped non-linear relationship with an inflection point at an AUDIT score of 15. To the left of this inflection point, no significant relationship was observed, whereas to the right, a positive correlation emerged (OR = 1.39, 95% CI: 1.11–1.74, p < 0.001).ConclusionThe findings reveal a non-linear relationship between alcohol consumption and the probability of depressive symptoms within the Wa ethnic minority in China, with implications for the development of nuanced and effective treatment strategies tailored to this population.

The Effects of Problem-Based, Project-Based, and Multicultural Learning on Prosocial Behavior in Elementary School Students

This study aims to determine the influence of Problem-Based Learning, Project Based Learning and Multicookural Based Learning on prosocial behaviour in elementary school students. This study is a type of quasi-experimental research with a model using the Nonequavalen Control Group Postest Design. The research population consisted of 284 public elementary schools (SD) in Surabaya. In comparison, the research sample consisted of grade V students in three schools, namely SDN Margerejo I, SDN Sumur Welut III Surabaya, and SDN Menanggal 601 Surabaya. The data collection technique uses a questionnaire with 30 questions. The research instrument used the Measure of Prosocial Tendencies by adapting Carlo. Data analysis with statistical analysis of ANOVA test. The results of this study concluded the effect of project-based learning on prosocial behaviour in elementary school students with an ANOVA test score sig. 0.05. These findings show that the project-based learning model can foster prosocial behavior in elementary school students.

Integration of Multiple Intelligences Theory in Project-Based Learning, How It Impacts on Students' Critical Thinking and Mathematical Communication Skills?

In this study, we aim to assess the effectiveness of Project-Based Learning (PjBL) based on Multiple Intelligences (MI) theory on students' critical thinking and mathematical communication skills. This research is a quasi-experiment using non-equivalent (pre-test and post-test) control-group design. The population in this study were VIII grade students in a public junior high school in Yogyakarta and two sample classes were selected based on recommendations from teachers and had mathematical abilities that could be considered equal. The experimental class applied PjBL based on MI theory and the control class applied PjBL learning. Data collection was conducted using a test instrument in the form of description questions. This instrument is valid and reliable. Learning is said to be effective if: (1) the mean test score of critical thinking and communication skills is at least 70 (from a score range of 0-100); (2) the mean of post-test of critical thinking and communication skills is higher than the mean of pre-test; (3) the mean final score of students' critical thinking and mathematical communication skills in the experimental class is higher than the control class. Data analysis used one-sample t-test, paired-sample t-test, and T2 Hotteling test. The results of the study using the significance level α = 5% showed that (1) PjBL learning based on MI theory is effective in terms of students' critical thinking and mathematical communication skills; (2) PjBL based on MI theory learning is more effective than PjBL learning in terms of communication, but not more effective in terms of critical thinking skills. Although the data from the sample showed the acquisition of mean scores and the increase in the mean value of critical thinking learning in PjBL based on MI theory was better than PjBL learning in terms of critical thinking skill, but statistically both did not show a significant difference.

Analisis Keterbacaan Petunjuk Praktikum Ekologi Perairan: Perspektif Mahasiswa

This research aims to analyze the results of tests on the readability of aquatic ecology practical instructions. This type of research is descriptive qualitative. Data collection techniques use readability and documentation tests. The data analysis technique uses percentage techniques. The research results showed that the student readability test score was 84%. With this result, the aquatic ecology practical instructions that have been prepared are in the very good category and do not need to be revised.

Note on the radical inflation in the estimates of error variance in measurement models

This note discusses the radical technical inflation in error variance and the related standard error of test scores from both conceptual and empirical viewpoints. This technical inflation arises as a direct consequence of the technical underestimation of item-score correlation by the product–moment coefficient of correlation (PMC), which is embedded in the traditional estimators of reliability such as coefficients alpha, theta, omega, or rho (maximal reliability). Specifically, in educational settings where compilations usually include both easy and difficult items, the estimate by PMC may substantially deviate from the true association between an item and the score. Consequently, the use of traditional estimators of reliability leads to technically inflated estimates of standard errors, as the error variance related to these traditional measurement models is significantly inflated, resulting in deflated reliability estimates. In educational testing, employing deflation-corrected standard errors, calculated using deflation-corrected reliability estimators, would provide a more accurate measure of the test score’s true precision.

Interpreting the direct- and derived-Trail Making Test scores in Argentinian children: regression-based norms, convergent validity, test-retest reliability, and practice effects

Objective: We carried out two research studies (using a cross-sectional and a longitudinal design) to establish regression-based normative data, and to examine the convergent validity, the test-retest reliability, and the changes in performance with practice (1-month and 1-year interval) of the direct- and derived- (B-A, B + A, and B/A ratio) Trail Making Test (TMT) scores in Spanish-speaking children. Method: In S1 (n = 413 6- to 15-year-old children and adolescents), regression-based norming procedure and partial correlations were employed. In S2 (n = 110 6- to 12-year-old children), intraclass correlation coefficient (ICC2,1), Pearson’s r-product-moment correlations, and paired t-tests were used. Results: S1 demonstrated that age was associated with better performance on both TMT-A and TMT-B. This improvement was more strongly related to direct scores than derived measures B-A and B/A. Additionally, TMT-B was found to be more related to other executive functions (EF) compared to the performance of TMT-A. Among the derived scores, only the B-A was related primarily to cognitive flexibility, while the B + A index was associated with most EF, suggesting a general measure of cognitive functioning. In S2, fair to good test-retest reliability coefficients were found at Time 2 for TMT-A and TMT-B, as well as the B + A index, both in 6 to 8-year-olds (ICCs .61 to .74) and 9 to 12-year-olds (ICCs .53 to .65). There was a significant increase in performance on TMT-A and TMT-B from the first assessment (Time 1) to the follow-up testing at Time 2 in older children. However, this significant improvement was not observed for TMT-B in the younger group. Test scores on the TMT direct measures improved significantly across 1-year. The B-A and B/A ratio scores did not change across examinations. Conclusions: These findings have important implications for assessing EF and developing interventions that target cognitive flexibility in pediatric populations.

Accumulated seizure burden predicts neurodevelopmental outcome at 36 months of age in patients with tuberous sclerosis complex.

Epilepsy and intellectual disability are common in tuberous sclerosis complex (TSC). Although early life seizures and intellectual disability are known to be correlated in TSC, the differential effects of age at seizure onset and accumulated seizure burden on development remain unclear. Daily seizure diaries, serial neurodevelopmental testing, and brain magnetic resonance imaging were analyzed for 129 TSC patients followed from 0 to 36 months. We used machine learning to identify subgroups of patients based on neurodevelopmental test scores at 36 months of age and assessed the stability of those subgroups at 12 months. We tested the ability of candidate biomarkers to predict 36-month neurodevelopmental subgroup using univariable and multivariable logistic regression. Candidate biomarkers included age at seizure onset, accumulated seizure burden, tuber volume, sex, and earlier neurodevelopmental test scores. Patients clustered into two neurodevelopmental subgroups at 36 months of age, higher and lower scoring. Subgroup was mostly (75%) the same at 12 months. Significant univariable effects on subgroup were seen only for accumulated seizure burden (largest effect), earlier test scores, and tuber volume. Neither age at seizure onset nor sex significantly distinguished 36-month subgroups, although for girls but not boys there was a significant effect of age at seizure onset. In the multivariable model, accumulated seizure burden and earlier test scores together predicted 36-month neurodevelopmental group with 82% accuracy and an area under the curve of .86. These results untangle the contributions of age at seizure onset and accumulated seizure burden to neurodevelopmental outcomes in young children with TSC. Accumulated seizure burden, rather than the age at seizure onset, most accurately predicts neurodevelopmental outcome at 36 months of age. These results emphasize the need to manage seizures aggressively during the first 3 years of life for patients with TSC, not only to promote seizure control but to optimize cognitive function.

Assessment of Community Knowledge, Attitudes, and Perceptions Toward Effluent Quality Discharged from the Shirere Wastewater Treatment Plant to the Isiukhu River, Kakamega County, Kenya

For waste removal, advanced infrastructural technologies can be adopted in the drainage channels of effluents into water bodies though they are limited and scarce. The aim of the study was to asses community knowledge, attitude and perception towards effluent quality discharged from Shirere wastewater treatment plant up to river Isiukhu. Correlation and descriptive survey were the main research approaches adopted. The measurement of the knowledge, perception and attitude was limited to only the community members, as well as Kakamega County Water and Sanitation Company (KACWASCO) staff members. The study was anchored by the risk management theory to demonstrate the vulnerability of community hazards like water pollution. The social-economic sampling approaches applied were stratified for the community members and random for the KACWASCO workers. The population targeted was eighty community members and four KACWASCO staff members. The questionnaires were pretested through a pilot study to ascertain their reliability. This pre-test was conducted at a different Waste Water Treatment Plant (WWTP) at Nabongo. The Pearson coefficient (r) was used to compute the correlation coefficient between the two test scores. Data was analyzed using regression and correlation methods. For socio-economic, reliability test was administered by use test- retest method. A code book was prepared and scores of the first test correlated with scores of the second test, and Pearson product moment of correlation was computed using SPSS software version 21.0. By applying the analysis of variance (ANOVA), researcher was able to determine whether differences observed between groups are likely due to actual variations in their perceptions or simply due to chance. From the reliability test, all of the variables obtained had Cronbach's Alpha greater than 0.7, indicating that they met the necessary 0.7 for data internal consistency. The Bartlett's test for validity was examined using the chi-square test, which revealed that all of the variables were significant at the 5% (0.000) level of significance. Only 82 of the 84 questionnaires provided to the sampled respondents (KACWASCO staffs and community members) were filled out and returned in this study. From the study findings the value of R-square was 0.429. The ANOVA test indicated that in this model the independent variable namely; knowledge of the residents is important in predicting of waste water treatment as indicated by significance value=0.002 which is less than 0.05 level of significance (p=0.002 < 0.05). Additionally, the response under attitude and perception, the value of R-Square was 0.045 which implied that, 4.5% of variation of Wastewater Treatment Plant in Shirere was explained by attitude and perception of the residents within the area. The study also revealed that attitude and perception of the residents in Shirere had a significant influence on wastewater treatment at Shirere in Kakamega County (t-statistic = 25.674, p-value = ). Therefore, it was concluded that, at 5% level of significance, indicating that community knowledge, perception and attitude had a positive influence on waste water treatment at Shirere in Kakamega County. Likewise, for every unit increase in attitude of the residents there was a corresponding increase in wastewater treatment at Shirere in Kakamega County by 0.628. The study recommended that, the community members need more sensitization on matters pollution as revealed by this study.

Combining Instrumental Variable Estimators for a Panel Data Model with Factors

We address the estimation of factor-augmented panel data models using observed measurements to proxy for unobserved factors or loadings and explore the use of internal instruments to address the resulting endogeneity. The main challenge consists in that economic theory rarely provides insights into which measurements to choose as proxies when several are available. To overcome this problem, we propose a new class of estimators that are linear combinations of instrumental variable estimators and establish large sample results. We also show that an optimal weighting scheme exists, leading to efficiency gains relative to an instrumental variable estimator. Simulations show that the proposed approach performs better than existing methods. We illustrate the new method using data on test scores across US school districts.

Impact of Neuropsychological Assessment on Subjective Memory Complaints in Patients With Mild Cognitive Impairment.

Patients with Alzheimer's disease (AD), namely at an initial stage like amnestic cognitive impairment (aMCI), typically present with memory complaints. They also have difficulties regarding self-knowledge about their cognitive deficits. In clinical practice, a formal neuropsychological assessment is often done. The present study aimed to understand whether patients with aMCI retain the ability to monitor the success or failure in their performance during the neuropsychological assessment and adjust the report of memory complaints accordingly, as compared to healthy controls. Participants were patients with aMCI and healthy controls who were questioned about their own memory abilities using the Subjective Memory Complaints (SMC) scale, applied before and after the neuropsychological assessment protocol. A repeated measures General Linear Model was performed to analyze changes in SMC (within-subjects effects) after the neuropsychological assessment, in patients with aMCI and healthy controls (between-subjects effects). Eighty volunteers, 40 patients with aMCI and 40 healthy controls, participated in the study. Patients with aMCI showed lower MMSE scores, more depressive symptoms, and deficits in memory and learning, language and executive domains. Patients with aMCI had higher SMC scores [9.4(3.6)] than healthy controls [4.4(2.3)] before the neuropsychological assessment. A statistically significant interaction was found between the SMC and the diagnostic group, meaning that healthy controls decreased SMC [3.4(1.9)] after the neuropsychological assessment, whereas patients with aMCI kept high levels of SMC [9.6(3.9)]. In patients with aMCI, an inverse correlation between logical memory and the change in SMC was found, so that patients with lower scores in the logical memory test tended to increase their memory complaints after the assessment. Both patients with aMCI and healthy controls can monitor and update the impression about their memory abilities following a formal neuropsychological assessment. Patients with aMCI maintain a high SMC level, which is inversely associated with their memory performance. In practical terms, SMC should be measured consistently at a particular moment in time, preferably preceding the objective neuropsychological assessment.

Reliability of the Star Excursion Balance Test with End-Stage Knee Osteoarthritis Patients and Its Responsiveness Following Total Knee Arthroplasty

Background/Objectives: The Star Excursion Balance Test (SEBT) is a simple and feasible tool for assessing dynamic balance in individuals with knee osteoarthritis (KOA). It has an advantage as it replicates dynamic balance better than other static balance tools. This study aims to determine how reliable SEBT is among people with end-stage KOA, as well as how responsive it is and how well it correlates with performance-based outcome measures after TKA. Methods: Patients on the waiting list for TKA performed SEBT in the anterior, posteromedial and posteriorlateral directions twice within 7 days. The measurements were repeated 6 and 12 months after TKA. The participants completed performance-based outcome measurements (PBOMs) and the Oxford Knee Score (OKS) before and after TKA to estimate correlation. Results: In all directions, the intraclass correlation coefficient range (ICC) was 0.998–0.993, and there were no significant differences between the test and re-test mean SEBT scores. The standard error of measurement (SEM) ranged from 0.37% to 0.68%, and the minimum detectable change (MDC) ranged from 1.02% to 1.89%. The post TKA SEBT results show significant improvement, with a large effect size. There were large-to-medium correlations between SEBT and PBOMs before and after TKA, while OKS correlated only before surgery. The magnitude of change in SEBT, PBOMs and OKS did not correlate. Conclusions: SEBT is an extremely reliable tool for assessing dynamic balance in all three directions of severe KOA patients. It is sensitive enough to detect balance changes at 6 and 12 months post TKA. SEBT cannot be used to reflect the change in functional outcome improvement after TKA.

The Acceptability and Feasibility of a Mobile Phone Delivered Brief Intervention for Hazardous Drinking in India

Abstract The effectiveness of Brief Interventions (BIs) for hazardous drinking is well established. However the implementation of BIs at scale in LMICs such as India is rare, primarily due to human resource related barriers. This paper describes the testing of acceptability and feasibility, and the preliminary impact, of a mobile phone delivered BI in an uncontrolled treatment cohort and nested qualitative study. Consenting adult (≥18 years) participants with an Alcohol Use Disorder Identification Test (AUDIT) score between 8 to 15 were recruited from educational institutions, workplaces, and primary care settings. The TLFB (Time-Line Follow Back) was administered to participants at baseline and 3 months post recruitment. All participants received the BI through text messages or IVR (Interactive Voice Response) over eight weeks; and in-depth interviews (IDIs) were conducted with some participants. The mean pre and post outcomes were compared using paired t-test. Qualitative data was analysed using thematic analyses. 29 participants received the intervention and 16 (55%) completed the outcome assessments. Some key qualitative findings indicated the desire from participants for fewer messages and messages that did not require interaction; and more messages with motivational content and information on practical skills to reduce drinking. The percentage days abstinent (PDA) was significantly higher at follow up than baseline in all those who had completed the TLFB at baseline and follow up. Feasibility and acceptability testing is an important component of the intervention development process to ensure that the resulting intervention is suitable for the context.

The Effect of Noise and Reverberation on Spatial Perception in Sequential Bilateral Cochlear Implant Users

Abstract Background Spatial orientation is an executive function which includes vital activities and auditory organization according to daily bodily movements, directionality, and environmental information. It is directly linked to the vision and hearing and used throughout life, building complex relationships with these systems, based on learning. Purpose Our purpose in our study is to try to see the effects of noise and reverberation on the users by comparing the localization and auditory performances of the cochlear implant (CI) user individuals in a silent, noisy environment and reverberation. Research Design All subjects were subjected to immitancemetric/audiological tests, language development test (TIFALDI, Receptive/Expressive Language Test score 7 years and above), localization determination in noise, and localization determination test in reverberation. Study sample: In our study, 18 female and 16 male bilateral CI users with profound sensorineural hearing loss were included. The age range of subjects was 8 years 4 months and 10 years 11 months. Data Collection and Analysis Data from subjects were collected prospectively. Data analysis was analyzed with SPSS 21 program. Results It was observed that the subjects did not have difficulty in determining the direction in silent condition, but they had a significant difficulty in localizing the 135-, 225-, and 315-degree angles especially when the noise was signal-to-noise ratio (SNR) –10 dB and the reverberation was 06 and 09 second (p ≤ 0.005). Subjects' performances were significantly altered in sequential implanted users both when the SNR was changed and in the presence of reverberation (p < 0.05). Conclusion As a result of our study, it is thought that individuals with hearing loss will experience intense difficulties, especially in noisy and reverberant environments such as schools, and using assistive listening devices in these environmental conditions will contribute positively to their academic development.

Multidomain cognitive improvement in patients with severe aortic valve stenosis undergoing transcatheter aortic valve implantation

Abstract Background Cognitive impairment is prevalent in one third of patients with symptomatic severe aortic valve stenosis scheduled for transcatheter aortic valve implantation (TAVI). How TAVI affects cognitive functioning in these patients remains unknown. Purpose The CAPITA study (CArdiac outPut, cerebral blood flow and cognition In patients with severe aortic valve stenosis undergoing Transcatheter Aortic valve implantation) assessed the effects of TAVI on cerebral lesions and cognitive functioning. Methods CAPITA is a prospective study of cerebral and cognitive outcomes in 148 patients undergoing TAVI. One day before and three months after TAVI, patients underwent a standardized multidomain neuropsychological assessment, and simultaneous brain magnetic resonance imaging. The primary outcome was change in global cognitive functioning as measured with z-scores. Also, we assessed the cognitive subdomains of attention/psychomotor speed, memory, language, and executive functioning. Z-scores for each cognitive domain were constructed as: (test score - mean baseline score) / standard deviation. Global cognitive function was calculated as the mean from the four domain scores. Results Mean age was 80.5±5.7 years, 43% was female and median STS-PROM (Society for Thoracic Surgeons Predicted Risk for 30-day Mortality) was 2.0% (IQR 1.4%-2.9%). MoCA scores improved from 23.3±3.7 to 24.4±3.3, (p<0.001) and MMSE scores from 26.4±2.6 to 26.9±2.4 (p=0.01). There was an overall increase in global cognitive z-scores (0.02±0.52 to 0.15±0.48, p<0.001). Cognitive domains of memory (0.03±0.77 to 0.18±0.80, p=0.003) and language (-0.07±1.07 to 0.20±0.80, p=0.02) significantly improved, whereas executive function (0.01±0.70 to 0.06±0.76, p=0.42) and attention (0.10±0.69 to 0.17±0.69, p=0.06) did not significantly change. Quality of life on the visual analogue scale improved from 66.4±15.9 to 72.9±12.8, (p<0.001). Patients in the lowest tertile of baseline cognitive functioning (i.e., those with worst baseline cognitive functioning), had the largest increase in cognitive functioning, compared with patients in the intermediate or highest tertile of baseline cognitive functioning (0.30±0.55 vs 0.09±0.27 vs 0.01±0.16, p=0.002). Patients with >0.5 SD decline in cognitive functioning (12%), had a higher volume of new white matter hyperintensities on follow-up MRI than patients with stable or improved cognitive functioning (1.26±2.96, vs 0.29±0.45 vs 0.31±0.91 mL, p=0.06). Conclusions In 148 patients who underwent TAVI, there was an overall improvement in cognitive functioning at three months follow-up. This improvement was consistent through different cognitive domains and most prominent in patient with lowest baseline cognitive functioning.Change in cognitive functionin

An investigation into how mindfulness practice might improve listening comprehension of English learners in Viet Nam

This study investigated the effect of short mindfulness exercises on the listening comprehension of Vietnamese students learning English. Research participants (N = 190) were randomly divided into two groups: the experimental group who received three five-minute mindfulness sessions before listening tests and the control group who received the mindfulness intervention only before the last listening test. The results showed a significant interaction effect between the group variable and test scores, indicating that mindfulness meditation can enhance listening comprehension of the experimental compared to the control group. These findings align with previous studies on the positive effects of mindfulness on listening comprehension of foreign language learners. This study suggests that mindfulness may be a valuable tool not only in education in general but also in language learning and teaching.