Significant Increase In Scores Research Articles

Aesthetic Outcome of Isolated Advancement Genioplasty With and Without Submental Liposuction in the Treatment of Skeletal Chin Deficiency in Double Chin Patients (A Randomized Controlled Clinical Trial).

This study was conducted to evaluate the effect of submental liposuction with advancement genioplasty versus advancement genioplasty alone on esthetics in double chin patients. Twenty-six patients with deficient chin were included in the study. The patients were distributed into 2 groups: submental fat liposuction in conjunction with advancement genioplasty group as intervention one and advancement genioplasty alone as a control group. Preoperative and postoperative computed tomography was performed for all patients. With the help of various software, diagnosis, virtual planning, and evaluation were done. Patient satisfaction was evaluated by a Face-Q questionnaire. The study was conducted on 26 patients with deficient chin, 88.9% were females and 11.1% were males. The mean age of cases was (25.5±3.5y), clinically all cases went uneventful, and there were no statistically significant differences regarding soft tissue relapse between the study and control groups. All patients showed statistically significant increases in scores of satisfaction with the chin, psychological well-being, and social well-being scales. Submental fat liposuction can be a good intervention choice in mild-moderate chin deficient cases when added to an advanced genioplasty procedure.

THE UTILISATION OF E-LEARNING TO IMPROVE CONTRACEPTIVE SELECTION SELF-EFFICACY POSTNATAL MOTHERS

The inadequate prevalence of postpartum contraceptive utilization is attributable to insufficient communication, information, and educational services. E-learning media warrants consideration due to its cost-effectiveness and ability to present knowledge in an appealing fashion, which influences the recipient's self-efficacy for postpartum contraception. This study aimed to analyze the effectiveness of family planning counseling media with e-learning on postpartum contraceptive selection at Wonosamudro Public Health Center. Qualitative research type Quasi-experimental approach. This research employs a pre-test and post-test group design. The populace of postpartum mothers in the Wonosamudro Health Center working area in 2023 was 386 patients; the inclusion criteria were postpartum mothers after 14 days postpartum, giving birth for the first time either average or Sectio Caesaria. The number of research samples was 80 respondents. The univariate analysis uses central tendency data, and the bivariate analysis uses the Paired T-Test test because the normality test results are typical (p value> 0.05). The results showed that after debriefing/education and follow-up via WhatsApp group and TikTok, there was a significant increase in scores (35.24). The significance level (2-tailed) of 0.000 (<0.05) indicates a substantial difference (meaningful influence) between before and after e-learning in the selection of postpartum contraception.

Effect of Health Education on Knowledge and Perceptions Regarding Cervical Cancer Screening and Prevention among Female Students of a Medical College in Rawalpindi, Pakistan: Pre and Post Analysis

Objective: To evaluate and compare the knowledge and attitude of future female health care providers regarding pap smear screening for cervical cancer at a medical and dental institution in Pakistan. The quality of knowledge of the students was analysed to measure the efficacy of awareness intervention sessions of the students. This was aimed to highlight their role in public awareness and identify the deficit thereof in their training towards practicing preventive community medicine. Study Design: This was a pre and post analysis comparative study. Place and Duration of Study: Conducted at Army Medical College Rawalpindi Pakistan, over an 8-months period from Nov 2019 to Jun 2020. Methodology: A total of 754 responses, pre intervention -401- and one-month later post intervention-353 were collected through a validated questionnaire by convenience sampling. Changes in the knowledge and attitude of students using an independent sample t test were determined one month after 20-minute educational intervention detailing cervical cancer and its screening. Association between course and year of study on the knowledge and attitude scores was determined bycomparing means using ANOVA tables. Results: Comparison of pre and post intervention scores revealed a statistically significant difference in knowledge (p< 0.001)and attitude (p=0.002) with a change in mean knowledge scores from 46.31±15.93 to 74.03±15.71 and mean attitude scores from 45.84±14.37 to 48.86±12.54 after the intervention. MBBS students showed a statistically significant improvement in attitude (p<0.001) than their BDS counterparts (p=0.535). Conclusion: Pre-intervention knowledge and attitude was inadequate. The intervention was successful with a significant increase in scores. Emphasis should be on implementing national HPV vaccination and cervical screening awareness campaigns.

Experimental Study on Video Discharge Instructions for Pediatric Fever in an Emergency Department.

Fever is a frequent cause of consultation in the pediatric emergency department (PED). Adequate discharge instructions are essential to guarantee good management at home and can reduce caregivers' anxiety and re-consultations. This study compares the improvement of caregivers' knowledge regarding fever between verbal discharge instructions and the addition of a video to verbal information. As a secondary outcome, we compared the rate of return visits. An experimental, prospective, single-center study was conducted in a tertiary hospital PED. Patients between 3months and 5years old with febrile syndrome were enrolled. Patients with comorbidities or SARS-COV2 infection were excluded. First, caregivers answered a written test concerning fever characteristics, management, and warning signs. Patients were assigned by simple randomization to a control group (standard verbal and written instructions) or to an intervention group (which additionally received video instructions). After discharge, investigators contacted caregivers by telephone. Caregivers were asked to answer the same questions as in the written test in addition to the need for subsequent visits (at the PED or any other healthcare facility) after discharge. Seventy-three patients were randomized to the intervention group and 77 to the control group (2 were lost during follow-up). There were no differences in the acquisition of caregiver's knowledge, with a median score improvement of 2 points in both groups (control group interquartile range (IQR) 1-2; intervention group IQR 1-3) (P =.389). In the intervention group, we observed a significant increase of correct answers in 4 out of 7 questions compared to 3 out of 7 questions in the control group. In the control group, 18.7% reconsulted compared to 10.9% in the intervention group (P =.188). Video instructions were not superior to verbal instructions at improving caregivers' knowledge of fever overall. However, more questions obtained a significant score increase in those that received video and verbal instructions. Our results suggest that the addition of video instructions could help reduce return visits.

Trajectories of personal agency by gender and pubertal development among adolescents in Kinshasa: Longitudinal evidence from the GlobalEarly Adolescent Study

BackgroundEmpowerment research has largely focused on adult women with little focus on younger adolescents. Additionally, despite recognition that empowerment is a process, few studies have longitudinally explored its development. MethodsWe used secondary data from four waves of the Global Early Adolescent Study to explore trajectories in the development of three domains of agency (i.e. the internal processes composing empowerment) - Freedom of Movement, Voice, and Decision-Making - for 1188 boys and 1153 girls in Kinshasa, Democratic Republic of Congo. Respondents were age 10–14 at enrollment and followed through age 14–18. We created scales for each domain and conducted gender- and age-stratified latent growth curve modeling with random effects, comparing age 10–14 to age 15–18, accounting for clustering within individuals over waves. We examined the role of puberty within each domain in the analysis of age 10–14. ResultsScores across all domains increased with age for boys and girls, with the exception of Voice amongst boys 10–14. Rates of change varied by age group and gender; for boys, scores increased at a faster rate for older boys relative to younger boys for Freedom of Movement (ß(10-14): 3.98 versus ß(15-18): 6.12) and Voice (ß(10-14): .50 versus ß(15-18): 2.54). Relative to younger girls, scores amongst older girls increased at a faster rate for Freedom of Movement (ß(10-14): 1.76 versus ß(15-18): 3.72) and a slower rate for Decision-Making (ß(10-14): 6.41 versus ß(15-18): 2.80). Puberty was associated with significant increases in scores across all domains for both genders, with the exception of Decision-Making for girls. InterpretationYoung people develop/acquire different forms of agency at different stages of adolescence and development is not uniform across forms. Gender inequalities in agency amplify at puberty, signaling the need to intervene at or before this critical stage of development.

Improving resilience and mental well-being among refugees residing at asylum centers in the Netherlands: A pre-post feasibility study

BackgroundFew studies have explored the effects of mental health and psychosocial support programs among refugees residing at asylum centers. The aim of this study was to assess the feasibility of a positive psychology intervention called BAMBOO among refugees temporarily residing at asylum centers in the Netherlands. MethodData was collected at 35 asylum centers from 243 participants who completed five weekly two-hour sessions. Pre- and post-changes in resilience, happiness, and positive and negative affect were assessed using a one-group pretest–posttest design. Also, program fidelity, participant satisfaction, and program activity suitability were evaluated. ResultsCompleter and intention-to-treat analyses revealed a significant medium increase in resilience, a large increase in happiness, a small increase in positive affect, and a medium decrease in negative affect. Reliable change indices showed a positive change in 24 % of the participants on resilience and 13 % on positive and negative affect, respectively. Participant retention was 80 %. Moreover, participant satisfaction was high. Also, a substantial proportion of participants evaluated reading and writing-based activities as less suitable in comparison to activities based on verbal and creative expression, physical movement, and meditation/prayer. ConclusionsFindings showed significant increases in scores from pre- to post-assessment on resilience, happiness, and positive affect and a decrease in negative affect. Since the study design limits the ability to attribute causation, future controlled studies should be conducted to stablish stronger evidence regarding the program's effects. Additionally, the program could benefit from further adaptation to enhance its cultural sensitivity. Trial registration number: ISRCTN18019972

Effects of 8 weeks of rhythmic physical activity on gross motor movements in 4-5-year-olds: A randomized controlled trial

ObjectiveRhythmic physical activity holds promise for positively influencing the gross motor development of 4-5-year-old children, yet empirical research in this domain remains limited. This study aimed to investigate the effects of rhythmic physical activity on the gross motor development in children aged 4–5 years. MethodsFifty children aged 4–5 years were recruited and randomly assigned to either the intervention or control group. Both groups participated in a 10-week intervention program facilitated by a professional trainer, with support from numerous dedicated volunteers from reputable sports universities. This program comprised a one-week baseline assessment followed by 8 weeks of rhythmic physical activity training conducted three times per week. Gross motor performance was assessed using the PGMQ scale before and one week after the intervention. ResultsFollowing the 8-week intervention, the intervention group demonstrated significant enhancements in displacement ability, with notable improvements observed in. Specifically, the scores for running, sliding lateral transfer, leaping step, two-footed back-and-forth jump, and total displacement ability showed significant increases (P < 0.05). Moreover, the total scores for running, standing long jump, sliding lateral transfer, leaping step, two-footed back-and-forth jump, and displacement ability exhibited significant differences between the intervention and control groups (P < 0.05). Regarding manipulative ability, the intervention group showed significant increases in scores for over-the-shoulder throwing, two-handed catching, and kicking (P < 0.05). Moreover, there were significant differences between groups in the scores for two-handed catching and kicking (P < 0.05). Concerning balance ability, the intervention group exhibited significant improvements in scores for single-leg stand, double-leg stand, and total balance ability (P < 0.05). No significant differences were observed in any of the indices within the control group (P > 0.05). The two-way repeated measures ANOVA of intervention × time revealed significant differences in scores for running, sliding lateral movement, leaping step, jumping back and forth with both feet, leading ability, kicking, manipulation ability, single-leg stand, double-leg stand, balance ability, and gross motor scores (P < 0.05). ConclusionsThis study underscores the beneficial impact of engaging in eight weeks of rhythmic physical activity on the gross motor development of 4-5-year-olds. Furthermore, the improvements in gross motor development achieved through rhythmic physical activity may surpass those obtained through general physical activity.

Improving Asthma Management through Iot-Based Telemedicine Spirometry in The Post-COVID-19 Era in Sidoarjo Tofu Making Community, Indonesia

Asthma is a chronic inflammatory disease of the airways that causes recurrent episodes of wheezing, shortness of breath, chest tightness and coughing. The partners in this study face the problem that tofu factories in their area use plastic waste as fuel, which can aggravate respiratory conditions. In addition, the partners need more knowledge about the clear signs of asthma attacks, asthma symptom control and risk factors for asthma patients. The solution provided through the Community Service Programme with the PKM (Student Creativity Programme) scheme is to measure lung volumes using an IoT-based telemedicine device, specifically a spirometry tool that can be used with an Android mobile phone. In addition, partners will receive support to improve their knowledge, skills and attitudes in the management of asthma exacerbations. The implementation method includes providing health education on asthma, clear signs of asthma attacks, asthma symptom control and risk factors for asthma patients, as well as self-management skills for asthma patients and efforts to monitor asthma signs and symptoms. Lung capacity is measured using a spirometry device connected to an Android mobile phone for direct measurement by health workers. The results of the community service show an increase in respondents' knowledge about asthma after a lecture intervention. This was tested using the Wilcoxon signed rank test, which showed a statistically significant increase in scores from pre-test to post-test. All changes were positive, indicating the effectiveness of the learning methods used. Spirometry measurements showed that the respondents' lungs were functioning well without significant airway obstruction, indicating that the intervention was successful in increasing knowledge about asthma and asthma control

Macrophytes as Key Element to Determine Ecological Quality Changes in Transitional Water Systems: The Venice Lagoon as Study Case

According to European Union guidelines, the assessment of the ecological status of Transitional Water Systems (TWSs) should be based on the monitoring of biological communities rather than physico-chemical parameters and pollutants. Macrophytes, including aquatic angiosperms and macroalgae, are organisms that respond more quickly to environmental changes by varying the structure and biomass of their assemblages. There are several ecological indices based on macrophytes, among them the Macrophyte Quality Index (MaQI), which has been intercalibrated with water and sediment parameters, nutrient concentrations, and pollutants and is used to determine the ecological status of Italian TWSs. In the Venice Lagoon, it was applied to 87 stations, showing a significant score increase over the last ten years of monitoring (2011–2021) due to progressive lagoon environmental recovery. The dominant taxa assemblages, previously dominated by Ulvaceae, were replaced by species of higher ecological value, with an increase in the number and distribution of sensitive species, as well as the spread and cover of aquatic angiosperms. The rise in the Ecological Quality Ratio (EQR) determined by the MaQI confirms the key role of macrophyte monitoring in detecting environmental changes in TWSs. In fact, a simple check of the presence or absence of aquatic angiosperms and sensitive species is sufficient for an initial rapid assessment of the ecological status of these environments.

Peningkatan Kemampuan Analisis Struktur Teks Laporan Hasil Observasi (LHO) dengan Metode Colaborative Learning

This study aims to improve the ability to analyze the text structure of the Report of Observation Results (LHO) in class X TITL 1 SMK Negeri 5 Surabaya through the application of collaborative learning methods. This research was conducted in two cycles. In cycle 1, most groups scored below the Minimum Completion Criteria (KKM). However, after improvements were made in cycle 2 by adding differentiation of the learning process according to students' learning modalities, there was a significant increase in scores. The results showed an increase in students' scores by 20% to 50%, with all groups successfully exceeding the KKM. Group 6 experienced the highest increase, from 50 to 100. This finding shows that the collaborative learning method is effective in improving the ability to analyze the structure of LHO text. The application of this method achieved maximum results, so it can be recommended as a learning strategy for similar materials in the future.

The efficiency of Ram Thai with Nine Square dance on physical performance and cognitive functions: a model for elderly school

Age-related declines in health-related physical fitness and cognitive function can be mitigated by a multi-movement exercise program. Therefore, the aim of this study was to determine the efficiency of Ram Thai with nine square dances on physical performance and cognitive functions in the elderly. Participants were randomly assigned into an experimental or control group. The Montreal cognitive assessment-basic (MoCA-B, Thai version) were chosen from screened volunteers and randomly assigned into 2 groups; Ram Thai with nine square dances (RTND:33) and brisk walking exercise (BWE:34) aged 65.3±2.4 years old, body mass index (BMI) 25.5±11.9 kg/m2. The physical performance parameters assessed were as follows: Back-scratch test (BST), Chair sit and reach test (CSRT), Chair stand test (CST), 30-second arm curl test (ACT), 6-minute walk test (6-WT) and timed up and go test (TUG) were conducted respectively. Our results showed the physiological revealed a reduction in body fat percentage, while significant increase in VO2max test scores observed in both groups (p≤.05). Additionally, there was an improved lower limb strength, as evidenced by statistically significant increases in scores for the CST, 6-WT, and TUG compared to pretest values (p≤.05). In terms of BST performance, the RTND group showed significantly better results compared to the BWE group (p≤.001). Moreover, we discovered that significantly superior results indicate increased variability in MoCA-B scores (24.11≈26.37) among elderly participants in the RTND group (p≤.001). The data indicates that RTND effectively enhances physiological aspects, physical performance control, and overall cognitive function in elderly individuals with mild cognitive impairment (MCI). Keywords: physical performance, cognitive function, mild cognitive impairment, elderly

Study on the intervention effect of HCH integrated SMG health management model on community high-risk group of cardiovascular disease.

This study aimed to evaluate the integration of the Hospital-Community-Home (HCH) model with the Self-Mutual-Group (SMG) health management model for high-risk populations with cardiovascular disease in the Yuhua community of Shijiazhuang city. The study focused on implementing care interventions (HCH, SMG) with a specific emphasis on SMG to promote beneficial views/behaviors, enhance self-efficacy/agency, and address detrimental determinants of health, ultimately leading to durable changes and healthier lifestyles. Comparing the HCH model with the combined SMG model helps to comprehensively assess the strengths and weaknesses of different health management approaches. This comparison contributes to theoretical innovation and practical development in the field of health management, as well as improving patients' health outcomes and quality of life. This study employed a quasi-experimental design. Using stratified sampling, individuals who underwent health examinations in Community A and Community B from Shijiazhuang city between May 2023 and August 2023 were randomly selected. After informing the participants about the study and obtaining informed consent via telephone, high-risk patients with cardiovascular disease were screened based on their medical examination reports. Data on lifestyle behaviors, self-efficacy, medical responses, quality of life, and readmission rates were collected and compared before and after the intervention. A total of 526 eligible participants were included, with 241 in the control group and 285 in the study group. After the intervention, there was no significant change in the proportions of smokers, alcohol consumers, and individuals engaging in leisure exercises in the control group. However, in the study group, the proportions of smokers and alcohol consumers significantly decreased, while the proportion of individuals engaging in leisure exercises significantly increased. After the intervention, both the study group and the control group showed significant increases in scores on the General Self-Efficacy Scale-Schwarzer (GSES) and the Seattle Angina Questionnaire (SAQ), with the study group scoring significantly higher than the control group. Avoidance and surrender scores significantly increased after the intervention, with the study group scoring significantly lower than the control group. Confrontation scores significantly increased after the intervention, with the study group scoring significantly higher than the control group. During the follow-up period, the study group had a significantly lower readmission rate than the control group. The integration of HCH with SMG health management model can significantly improve lifestyle behaviors, optimize medical responses, enhance self-efficacy and quality of life, and significantly reduce readmission rates among high-risk populations with cardiovascular disease.

Psikoedukasi Psychoeducation in Increasing Knowledge about Bullying at State Senior High School 11 Padang

School-age children are very susceptible to cases of bullying. Bullying is a form of aggressive behavior that is carried out repeatedly by physically or mentally hurting someone; it could be carried out by a child or a group of children against other children. Bullying behavior has a negative and detrimental impact not only on victims but also on perpetrators. This impact is not only felt during the period when bullying behavior occurs but can continue until the perpetrator and victims enter adulthood. Based on preliminary data from interviews and observations at State Senior High School 11 Padang City, several cases of bullying were found between seniors and juniors or classmates. Some of the behaviors identified were calling friends bad names, threatening them, and making fun of them. As a result, victims experience anxiety and fear and even lose their confidence in participating in school activities. It is hoped that psychoeducation can be an intervention to increase students' knowledge of bullying behavior. Psychoeducation is carried out face-to-face in the hall. The material provided includes types of bullying behavior, the negative impacts of bullying, their roles and strategies, and what needs to be done when they see bullying. Psychoeducation was given to 347 students who took part in P5 phase F. The research method used in the study is a one-group pretest-posttest design. The results of the analysis carried out using the Wilcoxon test showed that there was a significant increase in scores before and after psychoeducation was carried out. It showed that psychoeducation was quite effective in improving students' understanding of bullying.

Investigating the immediate and mid-term effect of a gamified e-learning platform for the enhancement of traffic knowledge and skills among Vietnamese adolescents operating powered two-wheelers

Introduction: Traffic crashes caused by adolescents are being assessed as particularly serious and a common concern of society as a whole. Improving traffic knowledge and skills is crucial in reducing adolescent traffic crashes. Objectives: This study aimed to investigate the effects of a gamified e-learning platform on traffic knowledge and skills among adolescents (aged 15–18) in Vietnam. Method: Using a pretest–posttest design, this quasi-experimental study, included 350 participants within the intervention group and 350 participants within the control group. All participants were selected from three high schools in Ho Chi Minh City in Vietnam. Intervention group participants got a gamified traffic safety learning experience with a gamified e-learning platform, while control group participants received general traffic safety education through conventional methods using short videos. The effect was measured via tests focusing on traffic knowledge and skills. Data were subsequently collected from both groups before (i.e., pretest) and immediately after (i.e., posttest 1) following the education. In addition, within the intervention group also a second posttest (i.e., posttest 2) was conducted six months after following the education. Results: A significant increase in scores on posttest 1 compared to the pretest was found in the intervention group but not in the control group. Also, among the intervention group, the scores in posttest 2 were significantly better than those in the pretest, however, there was no difference in scores between posttest 1 and posttest 2. Conclusion: The results of this study indicated that the gamified e-learning platform cannot only improve participants’ knowledge of traffic safety but also help participants retain such knowledge for at least six months. Practical implications: The study findings can reinforce the important role of traffic safety education in improving adolescent traffic knowledge and skills.

THE NECESSITY OF TOEFL CLASS FOR UNDERGRADUATE STUDENTS OF CIVIL AVIATION

This article is part of a report on the implementation of training activities to increase TOEFL scores for undergraduate students at the Palembang Polytechnic of Civil Aviation. The activities were carried out partly because some of the cadets had never taken a TOEFL test before. This descriptive research was conducted on this activity. The instruments were a needs analysis questionnaire for the students and an interview guideline for the lecturer. The method of implementing the activity is carrying out a TOEFL preparation class for a 4-hour lecture course. The results of the activity show that there is a significant increase in scores but taking into account that TOEFL is divided into three parts: listening, structure and written expressions, and reading comprehension, its preparation process for TOEFL is a long study course. Each unit has different abilities with 27 skills in the listening section, 60 in the structure and written expressions, and 14 in the reading section. Therefore, with a total of 101 skills to be mastered, a 4-hour lecture course is clearly insufficient.

Evaluation of soft tissue profile changes following autogenous fat or onlay PEEK augmentation versus sliding genioplasty for correction of deficient chin: Randomized controlled clinical trial

AimThe study was conducted to evaluate soft tissue profile changes using autogenous fat augmentation or onlay PEEK versus sliding genioplasty for correction of deficient chin in patients with retruded chin. Material and methodsThirty-three patients with deficient chins were included in the study. The patients were distributed into 3 groups: the fat augmentation group as intervention I, the PEEK augmentation group as intervention II, and the osseous genioplasty group as control group. Preoperative and postoperative CBCT were performed for all patients. With the aid of MIMICS,3-MATIC, and PROPLAN software, diagnosis, virtual planning, and evaluation were performed. The Face-Q questionnaire was used to assess patient satisfaction. ResultsThere was a statistically significant difference regarding soft tissue relapse in the fat group after 6 months when compared to the control group (mean difference= 0.770), while there was no statistically significant difference regarding soft tissue relapse between PEEK and control group (mean difference= -0.060). Intragroup comparison has shown no statistically significant difference regarding soft tissue relapse within all groups between follow-up periods (P = 0.1389 for the fat group, P = 0.8739 for the peek group, and P = 0.8410 for the control group). All patients showed a statistically significant increase in scores of satisfaction with the chin between follow-up periods (P = 0.0165, P = 0.0150, and P = 0.0293) respectively. ConclusionsFat augmentation can be a good intervention choice in mild-moderate deficient cases. PEEK PSI has a stable surgical outcome.

Post Solution Posing Based on Qiraah Learning Model for Developing Critical Thinking Process

This research aimed to provide solutions to Qiraah teachers, in order to train and develop students' thinking abilities through a post-solution position-based learning model. The development of the learning model is based on the Qiraah learning constraints and problems faced by lecturers and students, which are obtained from needs analysis. The post-solution posing model applies six phases in learning activities, namely establishing set, comprehension, social interaction, explain, feedback, and extended practice. This research used research and development method. Data are collected through questionnaire, interview, document, and test conducted in the Arabic Language Education Study Program involving 45 students. The effectiveness of the six phases of the post-solution posing model which has been tested on learning through Qiraah using the one-group pretest-posttest technique, produces a significance value (2-tailed) of 0.000 (p &lt; 0.05). This shows a significant increase in scores, so that the post-solution position learning model in the Qiraah course is considered effective for training the development of thinking skills in students.

Boosting Students’ Reading Comprehension Using REAP Method

This research highlights the vital role of English reading skills in students'' literacy and comprehension. Implementing the REAP technique enhances reading comprehension by fostering interactive study-reading methods. Addressing issues like lack of interest, it offers a promising approach to enhance English education at SMA Institut Indonesia Semarang, as evidenced by its effectiveness in improving 11th-grade students' reading abilities. This quasi pre-experimental research employs a one-group pretest-posttest design, chosen for its convenience in obtaining internal samples. Class XI-3 was selected based on teacher recommendations. With 31 students, the study adopts a quantitative approach, focusing on reading comprehension tests administered before and after classroom instruction using multiple-choice questions as the assessment instrument. The pre-test, revealing a range of scores from 44 to 76 with a mean of 64.12, highlights initial reading struggles. Post-treatment, the post-test exhibits diverse scores, averaging 76.38, indicating improvement. The REAP method effectively enhances comprehension, as evidenced by the significant score increase from pre-test (64.12) to post-test (76.38), validating its efficacy. The research findings reveal a notable improvement in students'' reading comprehension abilities following the implementation of the REAP Method, despite initial unsatisfactory grades. The approach effectively enhances students' understanding and analytical skills, demonstrating its high effectiveness as a reading comprehension strategy. Overall, the significant difference between pre-test and post-test scores underscores the success of the REAP Method in advancing students' reading comprehension abilities, affirming its efficacy as a teaching approach

Dermal Allograft Augmentation for Large and Massive Rotator Cuff Tears and Revisions: A Case Series.

Introduction Arthroscopic advancements have notably improved rotator cuff repair, yet the healing of tendons and retear risks still pose significant challenges, especially with massive and large tears. These larger tears have shown a quadruple increase in retear rate when the tear size grows from 1-3 cm. The prevalent cause of failure, particularly in tears with fatty degeneration, is suture tearing.As such, techniques that enhance tendon healing are pivotal due to their correlation with improved functional outcomes. Dermal allograft augmentation (DAA) is one method that has demonstrated improvements in rotator cuff repair biomechanics, as well as the promotion of vascularization and neotendon formation. This study evaluates the efficacy of DAA in the postoperative healing of large and massive rotator cuff tears, assessed through patient-reported outcomes and functional range of motion. Methods This retrospective study reviewed a single surgeon's database, selecting patients who underwent arthroscopic surgery for full-thickness rotator cuff tears measuring at least 3 cm, or those with maximum stage II fatty infiltration of the supraspinatus or infraspinatus muscle on MRI. We used three validated patient-reported outcome (PRO) measures, American Shoulder and Elbow Surgeon Score (ASES), Single Assessment Numeric Evaluation (SANE), and Simple Shoulder Test (SST), alongside a range of motion metrics, external rotation (ER), and forward flexion (FF). These were recorded pre-operatively and, at minimum, one year post-operatively, with a standard student t-test employed for comparative analysis. Results Out of 18 total patients, the average age was 61 years, and 83% were male. The cause of injury was mostly traumatic in nature (n=11), with the remainder being chronic (n=7). All three PROs (n=11) demonstrated a statistically significant increase in score including ASES (p=0.003), SANE (p=0.004), and SST (p=0.039). External rotation also significantly improved pre- to post-operative function (46 vs 58, p=0.049).Three patients (17%) suffered from a retear within three months of their rotator cuff repair. Two patients (11%) required a reverse shoulder arthroplasty within a year. Conclusion Our study demonstrated that DAA in rotator cuff repair yielded notable functional and clinical advancements, with a moderately low retear rate as confirmed by ultrasound. These outcomes suggest that DAA is a promising intervention for large and historically difficult rotator cuff tears, offering significant implications for future treatment protocols.

Investigating the effect of a school-based WASH intervention on soil-transmitted helminth and schistosome infections and nutritional status of school children in Ethiopia: a quasi-experimental study

BackgroundThe impact of access to improved water, sanitation and hygiene (WASH) and health education on large-scale deworming programs aimed at controlling soil-transmitted helminth (STH) and schistosome (SCH) infections has not been well studied. We assessed the additional impact of improved WASH infrastructure and health education at schools on STH and SCH infections in Ethiopia.MethodsThe study used a quasi-experimental design under which 30 schools were assigned to either an intervention (15 schools) or control (15 schools) arm. Both arms received a standard deworming treatment and lunch. In the intervention arm, improved WASH and health education were provided. At three consecutive time points (baseline in 2013, 2014 and 2015), the prevalence and intensity of STH and SCH infections and the nutritional status [hemoglobin concentrations and physical growth (height and weight)] were determined. To verify whether interventions were successfully implemented, the WASH status at school and the student knowledge, attitudes and practices related to WASH (WASH-KAP) were recorded. Differences in metrics between arms at baseline (2013) and follow-up (2015) were assessed both within and between the arms.ResultsA significant increase in scores for both the school WASH and student KAP was found in the intervention arm, indicating successful implementation of the intervention. The prevalence of any STH infection was significantly reduced in the intervention arm but not in the control arm (F = 4.486, p = 0.034). There was a significantly greater reduction in the intensity of infection of hookworm and Ascaris lumbricoides compared to baseline in both arms. The intervention did not affect school children’s height-for-age z-score (intervention arm * time coef = 0.12, p = 0.400) and body mass index-for-age z-scores (intervention * time coef = − 0.06, p = 0.526). Hemoglobin concentrations increased significantly more in the control than the intervention arm (coef = − 0.16, p = 0.006).ConclusionsAlthough the intervention did increase school WASH and student WASH-KAP, our study found poor evidence of the additional benefit of improved WASH and health education to deworming and school food programs on parasite re-infection and the health outcomes of children.Graphical