Average Score Research Articles

Use of Android-Based Flipbook Educational Media to Increase Knowledge, Beliefs, Attitudes, and Intentions of Prospective Brides in Stunting Prevention in Semarang City

Background: The prevalence of stunting in Semarang City is still relatively high. Low public knowledge about stunting prevention can increase the incidence of stunting. Stunting can be prevented before pregnancy. Prospective brides are strategic targets in stunting prevention so that they can prepare for a healthy pregnancy. Increasing the knowledge of the prospective brides can be done by providing education using media that follows the characteristics of the prospective brides, namely using Android-based flipbook media. Aims: The study aims to analyze the effect of education using Android-based flipbook media on increasing knowledge, beliefs, attitudes, and intentions of prospective brides in stunting prevention in Semarang City. Method: This study used a quasi-experimental research design with a nonequivalent control group design. The sample of the research was prospective brides totaling 94 people, consisting of treatment and control groups of 47 people. Data collection used pre-test and post-test questionnaires to measure prospective brides’ knowledge, beliefs, attitudes, and intentions in stunting prevention. Results: The results showed that there were significant differences in the average knowledge score (p = 0.001), beliefs (p = 0.016), attitude (p = 0.001), and intention (p = 0.001) of prospective brides in stunting prevention. Conclusion: So it can be concluded that education about stunting prevention using Android-based flipbook media influences increasing knowledge, beliefs, attitudes, and intentions of prospective brides in stunting prevention. The greatest influence is shown on the knowledge variable, which is equal to 29,7%.

Therapy of netakimab in nail psoriasis

Introduction. The nail psoriasis severity does not always correspond to the skin process intensity, but often correlates with a more severe, prolonged and aggressive course of the disease.Materials and methods. 48 adult patients (n = 48) with nail psoriasis were under observation. The severity of the psoriatic lesion of the nails was determined using the NAPSI index (Nail Psoriasis Severity Index). The assessment was carried out before the start of treatment, in the first week, and then every 4 weeks up to and including 52 weeks. The Dermatological Quality of Life Index (DLQI) were determined by questionnaires before the start of treatment, at the 12th and 52nd weeks. All patients on an outpatient basis received netakimab monotherapy at a dose of 120 mg in the form of two subcutaneous injections of 1 ml (60 mg) of the drug, each administered once a week at weeks 0, 1 and 2, then 1 time every 4 weeks. The total duration of treatment for each patient was 52 weeks. The safety of netakimab was evaluated based on the development of adverse events and local reactions to the administration of the drug.Results. The results of the study for 52 weeks showed high efficacy of netakimab. Average NAPSI score improved – 33.1% by the week 12 of treatment and – 72.3% by the week 52 compared to baseline, the quality of their life improved. During the 52 weeks of the study, there were no cases of early withdrawal due to adverse events and cases of serious adverse events.Conclusion. Based on the study results we recommend netakimab for medical use among patients with moderate and severe nail psoriasis.

Dental Students' Satisfaction With Web-Based Learning During the Initial Phase of the COVID-19 Pandemic: Mixed Methods Study.

The COVID-19 pandemic has precipitated an accelerated shift in education, moving from traditional learning to web-based learning. This transition introduced a notable transactional distance (TD) between the instructors and learners. Although disease control and staff and students' safety are the top priorities during a pandemic, the successful delivery of education is equally crucial. However, the ramifications of this swift transition are particularly critical in the context of dental education. Dental education is inherently practice oriented, necessitating hands-on training and manual skills development, which poses unique challenges to distance learning approaches. This study aims to examine dental students' web-based learning satisfaction and experience of TD, investigate the predictors of web-based learning satisfaction, and explore the perceptions of students about the advantages and disadvantages of web-based learning. This study explored the factors associated with web-based learning satisfaction using TD theory during the transition to web-based education. Psychological factors that could influence satisfaction were adapted from the health belief model. We conducted a cross-sectional web-based survey of 345 dental students from 2 institutions in South Korea who were enrolled in the spring semester of 2020. Data were collected between July 8 and September 14, 2020. Qualitative analysis was used to examine responses to open-ended questions concerning perceptions of web-based learning. A multivariate hierarchical linear regression model was used to analyze the effects of student characteristics, TD, and psychological factors (ie, perceived risk of infection and efficacy belief of web-based learning) on web-based learning satisfaction. The average score for web-based learning satisfaction was 3.62 (SD 0.84), just above the midpoint of the possible range (1-5). Self-regulated learning (β=0.08; P=.046), learner-instructor interaction (β=0.08; P=.03), and learner-content interaction (β=0.64; P<.001) were associated with higher levels of satisfaction. Moreover, a significant association was revealed between high efficacy beliefs in web-based learning (β=0.20; P<.001) and satisfaction. Although the learning structure (synchronous vs asynchronous) did not exhibit a significant association with satisfaction, the qualitative analysis results revealed that each structure possesses distinct strengths and weaknesses. The students in synchronous learning (79/345, 22.9%) recognized heightened autonomy in the "learning environment" (19/79, 24%); however, technical issues (28/79, 35%) and reduced concentration (15/79, 19%) were identified as downsides. Conversely, the students in asynchronous settings (266/345, 77.1%) emphasized unlimited access to learning content (74/266, 27.8%) and the flexibility of "learning in preferred time" (69/266, 25.9%). Nevertheless, challenges, such as self-management difficulties (66/266, 24.8%) and limited interactions (55/266, 20.7%), were evident. The findings suggest that efforts to minimize TD, facilitating self-regulated learning and interaction among students and instructors, are critical for achieving web-based learning satisfaction. Moreover, establishing a common understanding among students regarding the necessity and efficacy of web-based learning during epidemics could enhance their satisfaction.

Enhancing Science Process Skills in Physics Education: The Impact of the Phyphox Smartphone Application in High School Laboratories

This study explores the effectiveness of smartphones as measurement tools in physics laboratories, focusing on the science process skills of Class XI students at SMA Negeri 1 Wajo. Employing a Pre-Experimental One-Shot Case Study design, we integrated the Phyphox application into the curriculum and analyzed its impact on students' scientific understanding. Our methodology included purposive sampling of 24 students and data collection via science process skill tests, lesson plans, and student worksheets. Descriptive and inferential statistical analyses revealed a significant improvement in students' science process skills, with an average score of 72.08. The one-sample t-test showed an essential value of 0.000, indicating a positive effect of the Phyphox application. These findings suggest a potential shift towards technologically integrated learning environments in physics education, enhancing student engagement and comprehension. While promising, the study acknowledges its sample size and context limitations, highlighting the need for further research in diverse educational settings. This study contributes to the growing body of research advocating digital tools in education, aiming to prepare students for a technologically advanced world.

Development of Website-based Risk Mitigation to Prevent Non-performing Loans at Pt. Prima Kencana Rejeki

Competition in the business world, especially in sales, requires people to aggressively increase sales volume. Therefore, various efforts were made by the company to further increase the level of sales. One of them is to provide convenience in the form of sales on credit even though it has credit risks, such as an increase in the number of Non-performing Loans. This research was carried out to produce a risk mitigation website that could facilitate companies in their efforts to prevent credit risk, in this case, Non-performing Loans at PT. Prima Kencana Fortune. This study used the research and development method involving collecting initial information, planning, initial product development, initial trials, and product revisions. This website consists of two user pages: the admin user page and the sales user page. The feasibility test results based on the convenience aspect have an average score of 3.18, with very good criteria. The attractiveness aspect received an average score of 2.73, a good criteria. For the usefulness aspect, the average score was 3.41, with very good criteria.&#x0D; Keywords: non-performing loan, credits, risk, website

Assessing physicians’ knowledge, attitude, and practice on anticoagulant therapy in non-valvular atrial fibrillation: Syrian insights

BackgroundAtrial fibrillation (AF) is the most prevalent cardiac condition linked to increased mortality due to complications such as stroke. Oral anticoagulant (OAC) is the mainstay in preventing cerebrovascular accidents in patients with AF. Recent evidence identified gaps in physician’s knowledge in diagnosing and managing patients with AF. This study aims to assess Syrian physicians’ knowledge, attitude, and practices regarding the use of anticoagulant therapy in non-valvular AF (NVAF) patients. A cross-sectional study was conducted using a validated web-based questionnaire, which included 56 items separated into four sections that collected information about demographics, knowledge, attitude, and practices. Chi-square and Kruskal Wallis were performed to analyze the statistical relationships between the knowledge, attitude, practice, and demographic variables.ResultsA total of 497 participants completed the survey, of which 62.6% were between the ages of 25 and 35. The average participant scores for knowledge, attitude, and practices were (48.18 ± 21.57), (81.54 ± 9.26), and (62.83 ± 12.42), respectively. Participants who demonstrated good understanding, a positive attitude, and good practices were 22.3%, 87.3%, and 25.4%, respectively. The fear of bleeding was identified as the most significant barrier to initiating anticoagulant medication in AF patients (55.5%). Doctors who attended training had a better knowledge score than those who did not (mean ± S.D. = 57.24 ± 20.7). Participants who stated that over 70% of their AF patients use aspirin received the highest attitude score (mean ± S.D = 86.98 ± 21.17). PhD participants reported higher practice scores than those with other educational backgrounds (mean ± S.D = 73.96 ± 11.3).ConclusionThis research showed that primary care physicians in Syria had optimistic views regarding OAC therapy, suggesting that training interventions targeting physicians may lead to improvement in the treatment of patients with NVAF in Syria.

Development of a Cognitive Assessment Instrument for Simple Business, Energy and Aircraft Materials via Wordwall

Cognitive assessment of kids who still frequently use paper documents and certain school-provided software. The objective of this study is to develop a legitimate, dependable, efficient, and useful tool that may be used to teach static electricity concepts through wordwalls. This study use the ADDIE model in conjunction with the Research and Development technique. Purposive sampling is the sampling technique used, taking into account samples that have finished business, energy, and basic aviation material for science education. 52 individuals served as the samples. The study is being conducted at SMP 1 PGRI in Semarang City. Using SPSS software version 2019 and Ministep, the data analysis technique involves testing the validity, reliability, efficacy, and practicality of test instruments and questionnaires. The study's findings demonstrate that the creation of a wordwall-based cognitive instrument on static electricity learning outcomes is valid, dependable, and practically implemented, as evidenced by the instrument's 0.79 sufficient category score, 74.9 average score, and 61.40% production rate based on student responses. This means that future researchers can build on this tool to suit their needs and the reference tools that are used to assess learning.

The queen bee phenomenon in Canadian surgical subspecialties: An evaluation of gender biases in the resident training environment.

The queen bee phenomenon (QBP) describes the behavioural response that occurs when women achieve success in a male-dominated environment, and in this position of authority, treat their female subordinates more critically. It has been demonstrated in business, academia, the military, and police force. The goal of this study was to determine whether the QBP occurs in surgical specialties. We hypothesized that female surgeons, fellows, and senior surgical residents would be more critical in their assessment of junior female residents than their male counterparts. A scenario-based survey was distributed via email to all Canadian surgical programs between February and March 2021. Scenarios were designed to assess either female or male learners. Centers distributed surveys to attending surgeons, surgical fellows, resident physicians, and affiliate surgeons. Respondents average Likert score for female-based and male-based questions were calculated. Subgroup analyses were performed based on gender, age, seniority, and surgical specialty. 716 survey responses were collected, with 387 respondents identifying as male (54%) and 321 identifying as female (45%). 385 attending surgeons (54%), 66 fellows (9%), and 263 residents (37%) responded. The mean Likert scores for female respondents assessing female learners was significantly lower than male learners (p = 0·008, CI = 95%). During subgroup analysis, some specialties demonstrated significant scoring differences. The QBP was shown to be present among surgical specialties. Female respondents assessed female learners more critically than their male counterparts. These findings highlight the importance of tackling organizational biases to create more equitable educational and work environment in surgery.

The co-development and evaluation of an e-learning course on spinal cord injury physical activity counselling: a randomized controlled trial

BackgroundHealth, fitness and lifestyle professionals can play important roles in promoting physical activity in groups at risk of developing an inactive lifestyle, such as people with spinal cord injury (SCI). Tailored counselling is a promising tool to promote and improve physical activity levels. To support professionals to effectively have a conversation about physical activity with clients with SCI, evidence-based training and resources are needed. This project aimed to (1) co-develop an e-learning course on best practices for SCI physical activity counselling and, (2) examine the effectiveness and usability of this course.MethodsGuided by the technology-enhanced learning (TEL) evaluation framework, we used a systematic, multistep approach to co-develop and evaluate an e-learning course. The development process was informed by input and feedback from a diverse group of end-users and experts (n > 160) via online surveys and (think-aloud) interviews. A randomized controlled trial was used to compare learning outcomes (post-knowledge and self-efficacy) between participants who completed the course (intervention group) and the wait-listed control group. Usability, learning experiences, and satisfaction were assessed among all participants.ResultsForty-one participants (21 intervention-group; 20 control-group) with various backgrounds (e.g., lifestyle counsellors, physiotherapists, occupational therapists, recreation therapists, fitness trainers) enrolled in the randomized controlled trial. After completing the course, participants in the intervention group showed significantly improved knowledge on the best practices for SCI physical activity counselling and higher self-efficacy for using these best practices in conversations with clients with SCI compared to the control group (p <.001). Participants reported above average usability scores, positive learning experiences, and high levels of satisfaction when completing the course.ConclusionWe used a systematic, multi-step, theory-informed approach to co-develop and evaluate an evidence-based e-learning course on SCI physical activity counselling to support professionals to promote physical activity in their daily practices. The overall positive findings demonstrate that the e-learning course is feasible and ready for further implementation in various health and community settings. Implementation of the e-learning course can help professionals improve the physical activity support they provide to their clients, and subsequently increase physical activity participation in people with SCI.

Evaluating online patient education materials for liver cirrhosis.

Liver cirrhosis affects 4.5 million adults in the United States (US). As more patients educate themselves online, we evaluated the accessibility, quality, understandability, accuracy, readability, and comprehensiveness (AQUA-RC) of online patient education materials for cirrhosis. Cross-sectional analysis using Google® and YouTube® on a cleared internet browser from 12 cities across the US. The authors independently reviewed the top 25 search results from each platform using search terms "liver cirrhosis" and "cirrhosis". Accessibility was evaluated from twelve cities in six regions across the US. We evaluated resource quality using the DISCERN score, understandability using the PEMAT score, readability using the Flesch-Kinkaid score, and accuracy/comprehensiveness using a list of author-generated criteria. AQUA-RC was compared between 1) academic websites (AW) vs. non-academic websites (NAW), and 2) websites vs. YouTube® videos. 28 websites and 25 videos were included. Accessibility was equal across all regions. Websites had higher average quality scores than videos, although this was not statistically significant (p = 0.84). Websites were more understandable than videos (p < 0.00001). Both websites and videos were 100% accurate. Readability for websites was higher than recommended standards. Websites were more comprehensive than videos (p = 0.02). Online patient education materials for cirrhosis in the US are equally accessible, but readability and understandability are too complex. Websites are of greater quality, accuracy, and comprehensiveness than YouTube videos, which are often narrowly focused and targeted at the medical community rather than patients. Further efforts should be made to improve online patient education and expand content across platforms.

IOTeeth

While occlusal diseases - the main cause of tooth loss -- significantly impact patients' teeth and well-being, they are the most underdiagnosed dental diseases nowadays. Experiencing occlusal diseases could result in difficulties in eating, speaking, and chronicle headaches, ultimately impacting patients' quality of life. Although attempts have been made to develop sensing systems for teeth activity monitoring, solutions that support sufficient sensing resolution for occlusal monitoring are missing. To fill that gap, this paper presents IOTeeth, a cost-effective and automated intra-oral sensing system for continuous and fine-grained monitoring of occlusal diseases. The IOTeeth system includes an intra-oral piezoelectric-based sensing array integrated into a dental retainer platform to support reliable occlusal disease recognition. IOTeeth focuses on biting and grinding activities from the canines and front teeth, which contain essential information of occlusion. IOTeeth's intra-oral wearable collects signals from the sensors and fetches them into a lightweight and robust deep learning model called Physioaware Attention Network (PAN Net) for occlusal disease recognition. We evaluate IOTeeth with 12 articulator teeth models from dental clinic patients. Evaluation results show an F1 score of 0.97 for activity recognition with leave-one-out validation and an average F1 score of 0.92 for dental disease recognition for different activities with leave-one-out validation.

PENGGUNAAN MODEL PEMBELAJARAN PROBLEM BASED LEARNING DAN PROJECT BASED LEARNING SEBAGAI UPAYA MENINGKATKAN KEMAMPUAN BERPIKIR KRITIS (HOTS) PADA MATA PELAJARAN PRAKARYA DAN KEWIRAUSAHAAN KELAS XII IPS SMA NEGERI 1 MOTOLING

&#x0D; &#x0D; &#x0D; &#x0D; &#x0D; ABSTRACK&#x0D; Before the action was implemented, the average score for Class XII students' Creative Products and Entrepreneurship lessons was 66.67. After taking action in cycle I, the average student critical thinking ability score was 72.89. Furthermore, in cycle II the average critical thinking ability of students increased, namely 89.48. Before the action was carried out, the average critical thinking ability of students was in the low category with a completion level of 44% out of 27 students. In cycle I, after taking action, students' critical thinking skills were still in the low category with a completion level of 56% out of 27 students. In cycle II, after carrying out further action as a result of reflection in cycle I, students' critical thinking abilities were in the medium category with a completion level of 93%, with a total of 25 students passing out of a total of 27 students.&#x0D; Keywords Keywords: Problem Based Learning Model, Project Based Learning, Critical Thinking Ability&#x0D; &#x0D; &#x0D; &#x0D;

Independently Trained Multi-Scale Registration Network Based on Image Pyramid.

Image registration is a fundamental task in various applications of medical image analysis and plays a crucial role in auxiliary diagnosis, treatment, and surgical navigation. However, cardiac image registration is challenging due to the large non-rigid deformation of the heart and the complex anatomical structure. To address this challenge, this paper proposes an independently trained multi-scale registration network based on an image pyramid. By down-sampling the original input image multiple times, we can construct image pyramid pairs, and design a multi-scale registration network using image pyramid pairs of different resolutions as the training set. Using image pairs of different resolutions, train each registration network independently to extract image features from the image pairs at different resolutions. During the testing stage, the large deformation registration is decomposed into a multi-scale registration process. The deformation fields of different resolutions are fused by a step-by-step deformation method, thereby addressing the challenge of directly handling large deformations. Experiments were conducted on the open cardiac dataset ACDC (Automated Cardiac Diagnosis Challenge); the proposed method achieved an average Dice score of 0.828 in the experimental results. Through comparative experiments, it has been demonstrated that the proposed method effectively addressed the challenge of heart image registration and achieved superior registration results for cardiac images.

Understanding the Intersection of Occupational Health and Infectious Diseases: Addressing Underexplored Risks in High-Risk Work Environments

This study investigates the differences in knowledge across several professional areas for the prevention of infectious diseases. The survey included a sample of 600 people from the manufacturing, services, healthcare, and agricultural sectors. An organized survey was used to gauge participants' degree of understanding on the prevention of infectious diseases. The data was analyzed using an Analysis of Variance (ANOVA) and descriptive statistics. The results show that there are notable variations in the average knowledge scores between occupational sectors (F (3, 596) = 23.14, p &lt; 0.001). Healthcare professionals had noticeably greater knowledge scores than those in the manufacturing (p = 0.005), services (p = 0.002), and agricultural (p &lt; 0.001) sectors. Nonetheless, no noteworthy distinctions were noted across the manufacturing, services, and agricultural sectors. The research highlights significant gaps in knowledge on the prevention of infectious diseases among various occupational sectors, emphasizing the necessity for customized interventions aimed at improving preventative measures and closing the knowledge divide between sectors.

Use of Supervision Data to Improve Quality of Care for Malaria in Pregnancy: Experience in Six African Countries.

Malaria in pregnancy (MiP) intervention coverage, especially intermittent preventive treatment in pregnancy (IPTp), lags behind other global malaria indicators. In 2020, across Africa, only 32% of eligible pregnant women received at least three IPTp doses, despite high antenatal care attendance. We conducted a secondary analysis of data collected during Outreach Training and Supportive Supervision visits from 2019 to 2020 to assess quality of care and explore factors contributing to providers' competence in providing IPTp, insecticide-treated nets, malaria case management, and respectful maternity care. Data were collected during observations of provider-patient interactions in six countries (Cameroon, Cote d'Ivoire, Ghana, Kenya, Mali, and Niger). Competency scores (i.e., composite scores of supervisory checklist observations) were calculated across three domains: MiP prevention, MiP treatment, and respectful maternity care. Scores are used to understand drivers of competency, rather than to assess individual health worker performance. Country-specific multilinear regressions were used to assess how competency score was influenced by commodity availability, training, provider gender and cadre, job aid availability, and facility type. Average competency scores varied across countries: prevention (44-90%), treatment (78-90%), and respectful maternity care (53-93%). The relative association of each factor with competency score varied. Commodity availability, training, and access to job aids correlated positively with competency in multiple countries. To improve MiP service quality, equitable access to training opportunities for different cadres, targeted training, and access to job aids and guidelines should be available for providers. Collection and analysis of routine supervision data can support tailored actions to improve quality MiP services.

Exploring the relationship between users characteristics and movie recommendations using a KNN-based recommender system

The central aim of this research is to elucidate the degree to which demographic variables, including but not limited to age and gender, bear on the performance of movie recommendation algorithms within film recommendation systems. Further, we endeavor to uncover any existent correlations between these user characteristics and the resultant outputs of such systems. Leveraging the expansive dataset available via MovieLens, we employ a linear regression model to ascertain the four critical variables (age, gender, occupation, and the average user rating for films previously watched) that have the most profound influence on movie recommendation algorithms. Once these salient factors have been determined, we assign their respective weights and incorporate these into a KNN algorithm. We then subject the resultant model to rigorous testing to verify the accuracy of our results and to ascertain whether the integration of these weighted elements enhances the overall precision of the movie recommendation system. While extant literature predominantly focuses on the amalgamation of KNN with other algorithms, our study charts a novel course by using linear regression. This methodology allows us to intuitively illustrate the relationship between user demographics and the movie recommendation system and enables us to evaluate whether emphasizing certain characteristics can augment the system's effectiveness. Our findings suggest that of all the user characteristics examined, the mean of users ratings for movies previously watched exerts the greatest influence on the outputs of the movie recommendation system. Moreover, incorporating weights reflective of the average user ratings across all movie features within the KNN algorithm can significantly bolster the accuracy of the resultant movie recommendations.

The Influence of Utilizing Inquiry-Based Learning Strategy on Science Accomplishment of Primary Students’ Stage

This study examines the impact of inquiry-based learning (IBL) on the academic performance of third-grade students in the science unit “Materials” from the third-grade science textbook in schools under the Directorate of Education in Irbid, Jordan. A sample of 71 students was selected and separated into two groups: an experimental group of 36 students and a control group of 35 students. The empirical group used IBL, while the reference group was taught using conventional teaching techniques. An achievement test of multiple-choice questions was prepared for the study, comprising 24 items. The test’s content validity was confirmed through expert judgment, and its reliability was assessed using Cronbach’s alpha coefficient, which was found to be 0.83. The test’s content validity was confirmed through expert judgment, and its reliability was assessed using Cronbach’s alpha coefficient, which was found to be 0.83. Data were collected and processed using SPSS software. The findings showed statistically significant differences in the average scores of the study participants on the post-test based on the teaching technique variable, indicating a preference for survey-based learning. Based on these findings, the investigation recommends providing in-service and pre-service training on IBL for science supervisors and teachers at the primary education level.

Analisis kemampuan guru dalam penggunaan perangkat chromebook pada pembelajaran IPAS di kelas V sekolah dasar

&lt;p class="Abstract"&gt;The aim of this research is to describe teachers' abilities in using chromebook media in science and social studies learning in class V of SD Negeri Cinderejo, Surakarta city. This research is qualitative descriptive research with a case study approach. The research subject was a fifth grade teacher at Cinderejo State Elementary School, Surakarta City. The data collection techniques used were written tests, observations, interviews. and documentation. Content validity is carried out by expert assessment. Data validity uses source triangulation and technical triangulation. The data analysis used is the interactive analysis of the Miles and Huberman model. The research results show that the ability of class V teachers to use chromebook media is theoretically in the "very good" category with an average score for each variable of 90.75% obtained through test results. However, the practical ability of class V teachers in using chromebook media in science and science learning in class V is included in the "sufficient" category with a score of 41.9% obtained through observation results. Based on the research results, it can be concluded that the teacher's teachers' abilities in using chromebook media in science and social studies learning in class V of SD Negeri Cinderejo, Surakarta City has a gap between theory and practice due to time factors and technical support.&lt;/p&gt;

(091) Use of a Vibrating Device in the Management of Female Situational Anorgasmia: Prospective Case Series Study in Women from Southeastern Spain

Abstract Introduction Around 40 percent of women in Spain are unable to achieve orgasm during coital relations, although most can do so through other means. Many of these women do not seek treatment, even though this situation may affect their sexual and relational life. Female Orgasm Disorder (FOD) treatment has seen little innovation since the 1980s. The growing acceptance, technological development, and focus on diversity have contributed to the flourishing of the sex toy industry. This sector has enabled the development of therapeutic devices that have already demonstrated usefulness in addressing other female and male sexual dysfunctions, often making treatments more Accessible. However, more scientific studies are needed on this topic. Objective Present the results of the utility and safety of using a vibrating device in the management of situational female orgasm disorder (FOD) in a group of women from Spain. Methods A case report study of an observational, descriptive, prospective nature, involving 19 women undergoing treatment, that meet criteria for lifelong, situational FOD from the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) was conducted in Murcia, Spain, from January 2022 to July 2023. Patients were 18 years or older, generally healthy as evidenced by medical history, were sexually active, in a current relationship of 3 months or longer, and participation was voluntary. Patients did not meet criteria for PTSD, psychosis or dissociative disorders, depression or bipolar disorders, were not pregnant or in menopause and did not use drugs known to interfere with sexual functioning. Main outcome measures were assessed using the Female Sexual Function Index (FSFI) domain for orgasm at baseline and after 6 and 12 weeks, as well as the success rate of achieving orgasm during coital relations. Treatment consisted of an educational session where a vibrating device called Crescendo II® and its accompanying resource of different positions, Play Book was provided, along with instructions for using the device during coital relations. Results Patients had a mean age of 31.19 years (range 27–53). An improvement was observed in the average scores at six and twelve weeks in FSFI orgasmic domain, (mean pre = 1.62 (SD) = 0.42, mean post six weeks = 3.47 (SD) = 1.26, mean post twelve weeks = 3.43 (SD) = 1.25). The success rate (orgasm achievement during intercourse) at the end of the study was 90.47%. Conclusions This case series suggests that the use of a vibration device could be an effective and safe therapeutic option for female situational anorgasmia in addition to reducing the length and cost of treatment. Future research with experimental designs should confirm the clear potential of the use of these devices in treating FOD and clarify issues related to the most appropriate amplitude and frequency of vibration, as well as the possible long-term effects of using these types of vibration devices in patients. Disclosure Any of the authors act as a consultant, employee or shareholder of an industry for: Mysteryvibe.

ChatGPT as an information tool in rhinology. Can we trust each other today?

ChatGPT (Chat-Generative Pre-trained Transformer) has proven to be a powerful information tool on various topics, including healthcare. This system is based on information obtained on the Internet, but this information is not always reliable. Currently, few studies analyze the validity of these responses in rhinology. Our work aims to assess the quality and reliability of the information provided by AI regarding the main rhinological pathologies. We asked to the default ChatGPT version (GPT-3.5) 65 questions about the most prevalent pathologies in rhinology. The focus was learning about the causes, risk factors, treatments, prognosis, and outcomes. We use the Discern questionnaire and a hexagonal radar schema to evaluate the quality of the information. We use Fleiss's kappa statistical analysis to determine the consistency of agreement between different observers. The overall evaluation of the Discern questionnaire resulted in a score of 4.05 (± 0.6). The results in the Reliability section are worse, with an average score of 3.18. (± 1.77). This score is affected by the responses to questions about the source of the information provided. The average score for the Quality section was 3.59 (± 1.18). Fleiss's Kappa shows substantial agreement, with a K of 0.69 (p < 0.001). The ChatGPT answers are accurate and reliable. It generates a simple and understandable description of the pathology for the patient's benefit. Our team considers that ChatGPT could be a useful tool to provide information under prior supervision by a health professional.