Artigos de revistas sobre o tema "Margaret's College (N.Z.)"

Abstract Dr Dorothy Klenke Nash (1898-1976) became the first female neurosurgeon in the United States in 1928 and maintained her status as the country's only female neurosurgeon until 1960. She graduated with her medical degree from the Columbia College of Physicians and Surgeons in 1927 and then trained at the Neurologic Institute of New York under Dr Byron Stookey. During her training, she contributed to the advancement of neurosurgical practice through academic research. In 1931, she married Charles B. Nash, and together they had 2 children, George (1932) and Dorothy Patricia (1937). Dr Nash became a senior surgeon at St. Margaret's Hospital in Pittsburgh in 1942. Shortly thereafter, she joined the inaugural University of Pittsburgh Department of Neurosurgery led by Dr Stuart N. Rowe and became an instructor of neurosurgery at the University of Pittsburgh School of Medicine. In acknowledgment of her advocacy for public access to services for mental health and cerebral palsy, Dr Nash was recognized as a Distinguished Daughter of Pennsylvania (1953) and honored by Mercy Hospital (1957), Bryn Mawr College (1960), and Columbia University (1968). She retired from neurosurgical practice in 1965, at which time she devoted herself to her grandchildren and her Catholic faith. She died on March 5, 1976 at the age of 77. With unwavering tenacity, Dr Nash paved the way for all women in neurosurgery.

Background: Diagnosis of pulmonary tuberculosis is confirmed by sputum microscopy. Sputum can be stained by Ziehl-Neelsen (Z-N) staining and examined by conventional light microscopy. Again it can also be stained with Auramine O stain and examined by light emitting diode (LED) fluorescence microscopy. This study was planned to find the most sensitive, specific and feasible technique for the diagnosis of pulmonary tuberculosis. Materials and Method: This cross-sectional analytical study was conducted in the department of Medicine in collaboration with the department of Microbiology, Sylhet M.A.G. Osmani medical college, Sylhet from 1st January, 2019 to 30th June, 2019. All clinically suspected patients with pulmonary tuberculosis attending both outpatient and inpatient department of Medicine Sylhet M.A.G Osmani medical college hospital, Sylhet during the study period were the study population. Total 380 patients were recruited as study sample after fulfilling the inclusion and exclusion criteria by purposive sampling method. All the patients were referred to department of Microbiology, Sylhet M.A.G Osmani medical college for sputum for AFB examination. All the samples were divided in to two portion and then one portion was marked as group-A-and another portion as group-B. In group-A, conventional Ziehl Neelsen (Z-N) staining with light microscopy and in group-B, Auramine staining with LED fluorescent microscopy were done. Result: Among 380 patients, 47 (12.4%) patients and 52(13.7%) patients were diagnosed as pulmonary tuberculosis by Z-N method and LED fluorescence microscopy respectively but this difference was not significant (*Z=-0.532; p>0.05). Paucibacillary (scanty and 1+) cases were observed more in LED 34 (8.9%) method in comparison to Z-N 31 (8.2%) method. But this difference again did not reach the level of significance (*Z=0.345; p>0.05). But the time required to read the smear by LED method (6.30 ± 0.33 minutes) was significantly shorter than that of Z-N method (3.01 ± 0.27 minutes) (t=561.146; *p<0.001). Conclusion: LED fluorescence microscopy is better than conventional light microscopy in consideration of time taken to finalize result.

AMERICAN POSTSECONDARY INSTITUTIONS engage in what Frederick, Sasso, & Barrat (2015) described as the fundamental attribution error of higher education. Many in higher education institutions (HEIs) might assume that all students seamlessly matriculate through a P-16 pipeline in which all students begin college at equal levels. Pre-college inequalities, particularly among first-generation students, often leave HEI stymied for approaches to engage these students. The numbers of first-generation students continue to rise, while this population becomes increasingly diverse, particularly as a new student generation styled as Generation- Z has emerged on college campuses. This single-institution, exploratory, and descriptive survey study (n= 254) profiled first-generation, Generation-Z traditional undergraduate students using the Barratt & Frederick (2007) University Learning Outcomes Assessment (UNiLOA). Results indicate a self-reported gender differential in scores and that involvement opportunities may increase scores across the domains of the assessment. Implications for practice include intrusive and supportive policies to further intentionally engage first-generation, Generation-Z students.

This cross-cultural investigation sought to compare American and Finnish university students’ communication and personality traits (i.e., argumentativeness, assertiveness, Machiavellianism, and verbal aggressiveness) as well as out-of-class communication with their instructors. American (N = 286) and Finnish (N = 113) university students completed several self-report measures. The results of a MANOVA, an independent samples t-test, Pearson correlational analyses, and Fisher’s z tests revealed significant cultural differences, although the relationships between students’ traits and their out-of-class communication with instructors remained relatively similar in both samples.

AbstractThis study explored the furry identity. Furries are humans interested in anthropomorphic art and cartoons. Some furries have zoomorphic tendencies. Furries often identify with, and/or assume, characteristics of a special/totem species of nonhuman animal. This research surveyed both furries (n = 217) and non-furry individuals (n = 29) attending a furry convention and a comparison group of college students (n = 68). Furries commonly indicated dragons and various canine and feline species as their alternate-species identity; none reported a nonhuman-primate identity. Dichotomous responses (“yes” or “no”) to two key furry-identity questions (“do you consider yourself to be less than 100% human” and “if you could become 0% human, would you”) produced a two-by-two furry typology. These two independent dimensions are self-perception (undistorted versus distorted) and species identity (attained versus unattained). One-quarter of the furry sample answered “yes” to both questions, placing them in the “Distorted Unattained” quadrant. This type of furry has certain characteristics paralleling gender-identity disorder. To explore this parallel, the furry typology, and the proposed construct of “Species Identity Disorder” needs further research.

Background: Tuberculosis is a highly infectious disease and has the highest burden with it. Diagnosis of tuberculosis in many countries is still dependent on microscopy. For developing countries with a large number of cases and financial constraints, evaluation of rapid and inexpensive diagnostic methods has great importance. The bacilli in the sputum can be detected microscopically by ZN stain and fluorochrome stain.Objective: The purpose of the present study was to compare the efficacy of flurochrome(FI) stain with Z-N stain in the diagnosis of pulmonary tuberculosis.Methodology: This cross sectional study was done in the Department of Microbiology at Sir Salimullah Medical College, Dhaka and National Institute of Chest Disease & Hospital (NIDCH), Dhaka during the period of January 2014 to December 2015 for a period of 1(one) year. Sputum samples from suspected MDR-TB patients were collected by purposive sampling technique from OPD of Sir Salimullah Medical College (SSMC) and NIDCH. Microscopy, liquid culture in liquid MGIT 960 media were done for MTB diagnosis.Result: this study shows the comparison of results of microscopic examination of Fluorochrome and Z-N stained sputum smear. Both Fluorochrome and Ziehl-Neelsen stains showed predominant positive results, that is, 3+ in 50% and 50.94% samples respectively, followed by 2+ in 30.65% and 32.07% samples, 1+ in 14.5% and 13.2% samples and scanty in 4.84% and 3.77% samples respectively. On the other hand, Fluorochrome stain gave negative report in 38 (38%) samples, whereas Z-N staining showed 47 (47%) negative results.Conclusion: Fluorochrome stain yielded more positive result than Z-N stain under microscope in smear of sputum.J Shaheed Suhrawardy Med Coll, June 2018, Vol.10(1); 28-30

Abstract Introduction College students are at risk for sleep disturbances that may influence academic performance and cognitive function. Poor sleep hygiene and sleep quality over time results in inadequate sleep and daytime sleepiness, which, if not addressed, eventually leads to sleep deprivation and adverse health effects. The current study aims to identify if sleep hygiene practices and self-efficacy relate to poor and good sleepers categorized according to the Pittsburg Sleep Quality Index (PSQI) Score &gt; or &lt; 5) among a sample of college students. Methods Secondary analysis of baseline data from college student participants aged 18-26 from an intervention study was used. All participants completed demographic, sleep hygiene, and sleep quality assessments. (e.g., Sleep hygiene index [SHI], Self-efficacy for sleep hygiene inventory [SHESHI], and PSQI). Descriptive statistics were calculated for demographic, sleep quality, and sleep hygiene variables. Results The sample (n=119) included 15 Freshmen, 30 Sophomores, 52 Juniors, and 21 Seniors, of which 26 were male and 93 female college students. The total sample mean age=20.6 y +2.0, range: 18-26; 82.4% were White, 55% worked part-time, and 69.8% considered themselves night owls. Data were examined to determine if poor and good sleepers differed across key demographic variables. There were no statistically significant differences between the groups. The sample comprised 47.0 % (n=56) poor sleepers and 52.9% (n=63) good sleepers. A Mann-Whitney U test was run to determine if there were differences in self-efficacy scores and sleep hygiene practices between poor and good sleepers. Mean rank self-efficacy scores for poor sleepers (44.15) were significantly lower than for good sleepers (74.09), U=876, z = -4.725, p &lt;.001. Mean rank sleep hygiene index scores for poor sleepers (76.05) were significantly higher than good sleepers (45.73) U=865, z = -4.793, p &lt;.001. Conclusion Preliminary descriptive findings highlight significant characteristics of sleep hygiene efficacy in college students with good and poor sleep. All surveys were subjective measures. Future use of an objective measure of actual sleep time and sleep health index would add to an understanding of sleep issues in college students. Support (if any) N/A

Millennials make up the largest segment of the workforce today and it is estimated that by 2025, 75% of the global workforce will comprise this emerging generation (Fry, 2018). In this current study, I examine the career attitudes of Latinx and Asian American Millennial and Gen Z college students to understand better how their unique college experiences- shaped by their familial, cultural, and personal backgrounds – can inform how they imagine their post-college trajectory. Specifically, I explore to what extent these sociocultural influences impact MilleniGenZ’s interest and attainment in leadership roles within their future careers. Two sets of surveys were administered. A 184-question survey was administered to college students in Southern California in 2017 (N=936), and in 2020, an updated 211-question survey was administered (N=742). The findings show the importance of providing better career resources (e.g., workshops, mentorship, networking opportunities) for MilleniGenZ during college, which will ease their transition into the workforce and potential leadership roles. The findings of the current study contribute to the existing literature by unpacking how complex sociocultural factors intersect to influence Latinx and Asian American college students’ career attitudes. Based on our findings, institutions, and organizations should incorporate diversity and inclusion considerations into the career planning process to support individuals in overcoming systemic barriers.

Abstract Introduction Studies consistently demonstrate a link between subjective sleep disturbances and the continuum of suicidality, although this evidence primarily comes from retrospective, cross-sectional studies using limited items to assess sleep. Longitudinal assessment of well-defined and measured sleep/wake behaviors with high-risk individuals are needed to enhance the specificity of near-term suicide risk detection and render concrete targets for suicide prevention. Methods Participants (N=46) included ultra-high-risk adolescents (N=29 ages 12-18) and college students (N=17 ages 18-24). For up to 12 weeks, participants wore an actigraph to yield objective data on sleep/wake, and concurrently completed daily cellphone-based ratings of subjective sleep and suicidality. Generalized estimating equations were used to examine the association between sleep parameters (subjective and objective) and the odds of next-day suicidal outcomes (i.e., passive death wish [PDW], suicidal ideation, suicidal intent) controlling for age, gender, and depression severity. Results Significant quadratic relationships were observed between actigraphy-derived total sleep time (TST) and probability of next-day PDW (Z=3.7, p=0.0002), suicidal ideation (Z=2.1, p=0.04), and suicidal intent (Z=2.78, p=0.006), with increasing suicidality at low and high values of TST. Low sleep efficiency (&lt;75%) was associated with increased odds of next-day PDW (OR=1.24, Z=2.07, p=0.038). Subjectively (sleep diary measures), low sleep quality (&lt;50 on 100-point scale) was associated with increased odds of next-day suicidal ideation (OR=1.57, Z=3.42, p&lt;0.001), and longer sleep onset latency (&gt;20 minutes) with next-day suicidal intent (OR=3.00, Z=2.37, p=0.018). Conclusion Poor sleep health may signal increasing suicide risk, and are modifiable risk factors. We document a significant temporal association whereby objectively-derived short and long TST and low sleep efficiency, as well as subjective sleep quality and sleep onset latency, predicts next day’s suicidality. Further understanding of the temporal association between sleep and suicidality may hold promise to inform real-time monitoring and preventive strategies. Interventions targeting these factors may therefore help reduce suicidality in high-risk youth. Support American Foundation for Suicide Prevention; University of Pittsburgh Clinical and Translational Science Institute

Background: Tuberculosis continues to be the biggest health problem in India. Tuberculosis involves respiratory, gastrointestinal tract as well as extrapulmonary site. Tubercular lymphadenopathy is the most common form of extrapulmonary tuberculosis. FNAC plays a vital role in diagnosis of tubercular lymphadenopathy. FNAC is not only used for cytological diagnosis but also used for other ancillary tests like Ziehl-Neelsen staining and AFB culture.Methods: The study was conducted in the department of pathology, Government Medical College, Jammu over a period of 6 months and included 450 cases presenting with superficial lymphadenopathy. FNAC was performed in the cases and smears in each case, were stained with May Grunwald Giemsa (MGG), Papanicolaou and Z-N stain.Results: Out of 450 cases,160 cases (35.5%) showed features of tubercular lymphadenitis. The most common site of presentation, being cervical region with 75% cases. Females outnumbered males by ratio of 1.46:1. In cytomorphology 93 cases (58.1%) showed epithelioid granulomas with caseous necrosis,37 cases (23.1%) showed caseous necrosis only while only epithelioid granulomas were seen in 30 cases (23.1%). AFB positivity was seen in 82 cases with maximum AFB positivity (78.3%) seen in cases with necrosis only.Conclusions: FNAC is a rapid diagnostic technique because of its simplicity, cost effectiveness, early availability of results and minimal invasion. FNAC is a reliable and sensitive first line investigation in diagnosis of tubercular lymphadenitis combined with AFB staining.

Abstract Objective The objective of the current study is to examine the effects of depression, anxiety, and comorbid depression/anxiety on neurocognitive performance in college athletes. We hypothesized a priori that the mood disorder groups would perform worse than healthy controls, with the comorbid group performing worst overall. Method 831 (M = 620, F = 211) collegiate athletes completed a comprehensive neuropsychological test battery at baseline which included self-report measures of anxiety and depression. Athletes were separated into 4 groups (Healthy Control (HC) (n = 578), Depression Only (n = 137), Anxiety Only (n = 54), Comorbid Depression/Anxiety (n = 62)) based on their anxiety and depression scores. Athletes’ neurocognitive functioning was analyzed via z-score composites of Attention/Processing Speed, Memory, and Global Functioning. Results A one-way ANOVA comparing the means of the four groups revealed that, compared to athletes in the HC group (e.g. those with no affective symptoms), those in the depression only and anxiety only groups were not significantly different from one another or the HC group on neurocognitive outcomes. However, the comorbid group performed significantly worse than the HC group on Attention/Processing Speed, t(827) = −2.28, p = 0.023, d = 0.30, and Global Functioning, t(827) = −2.32, p = 0.020, d = 0.30, but not on the Memory composite. Conclusions Athletes in the comorbid group performed significantly worse than HCs on composites of Attention/Processing Speed and Global Functioning. These results show that collegiate athletes tested at baseline who have comorbid depression and anxiety should be identified, as their poorer cognitive performance at baseline could skew future/post-concussion comparisons.

The objective of this study is to investigate the effects of functional corrective training and static stretching on the quality of movement patterns and physical fitness in college students. The study was conducted with 30 male college students from a university in Guangzhou, China. The participants were randomly assigned to either the functional corrective training group (FCT, n = 15, age = 20.93 ± 0.85, BMI = 22.07 ± 2.33) or the static stretching group (SS, n = 13, age = 20.85 ± 0.86, BMI = 21.98 ± 1.80). Two participants from the SS group dropped out due to personal reasons, leaving 13 subjects in that group. Both groups underwent a 6-week training intervention, with sessions held twice a week. The FCT group participated in flexibility training, and/or static motor control training, and/or dynamic motor control training for 10–15 min. The SS group performed static stretching exercises targeting five specific muscles, with 30 s per side and two sets. The Functional Movement Screen (FMS), body composition, sit-and-reach, standing long jump, and pull-ups were assessed before and after the intervention. Differences in FMS outcomes were analyzed using two samples of the Mann-Whitney U test. Physical fitness outcomes were analyzed using a repeated measures analysis of variance (ANOVA) with a 2 (group) × 2 (time) design. After 6 weeks of intervention, the FCT group showed statistically significant improvements in the hurdle step (Z = −2.449, p = 0.014), inline lunge (Z = −2.000, p = 0.046), rotary stability (Z = −2.309, p = 0.021), and composite scores (Z = −3.316, p = 0.001). Comparisons between groups indicated that BMI (FCT, ES = 0.04; SS, ES = −0.11), 30-m sprint (FCT, ES = 0.12; SS, ES = 0.28), body fat percentage (BF%) (FCT, ES = −0.25; SS, ES = −0.07), and sit-and-reach (FCT, ES = 0.17; SS, ES = 0.06) were not statistically significant in both the pre- and post-tests. The effect sizes of all physical fitness indicators were greater in the FCT group than in the SS group. The FCT, consisting of two sessions per week for 6 weeks, has been proven to be effective in improving the quality of movement patterns by improved stability and advanced movements. However, the improvements in physical fitness did not reach statistical significance. FMS and FCT are generally affordable and accessible for college students. College students have the opportunity to employ the FMS tool to assess potential injury risks and address them, thereby reducing the risk of injuries.

This study seeks to know how climate change frames and jargon in online news influence Gen Z’s awareness. It is important since only a few studies on climate change communication focus on Gen Z. The research took the quantitative within-subject experimental method to college students as participants (N=110). Participants were divided into an experimental and control group and manipulated by customised online news containing frames and jargon about climate change. The finding is that the climate change frame on the online news influences Gen Z’s awareness, while jargon does not. The awareness is higher when Gen-Z was given an uncertainty-risk frame than an economic cost-benefit frame. Despite Gen Z being aware of climate change, a correlation between cognitive and conative awareness is arguably low. The internal factor (less role model) and external factor (less policy involvement) could be the factors of low conative awareness.

Total scores and section scores (both corrected and uncorrected for guessing) on the Cornell Critical Thinking Test—Level Z were analyzed for evidence of construct validity. The test performance of three ability groupings of college students and a “no-booklet” (guessers) group (Total N = 527) was examined. Statistically significant differences were found among the corrected total score means for all four groups. Differences among the means of the three ability groups were statistically significant on one corrected and one uncorrected section of the test. In addition, the formula which corrects for guessing substantially improved the estimate of internal consistency reliability for the low-ability group only. Support for the heterogeneity of the thinking skills measured by Form Z was mixed and inconclusive. Implications for the use or modification of the test are discussed.

Background: There is little published about non-traditional and online college students’ health and well-being. College health services must evolve to address the needs of this growing population. The purpose of this study was to explore risk factors, perceived well-being, health behaviors, and health education preferences of US college students enrolled in a fully online academic programs compared to a national sample of college students enrolled in campus based programs. Methods: This cross-sectional study included a volunteer sample of 961 college students enrolled in two large, U.S. accredited online universities. Participants completed an online survey that included questions and sub scales from the National College Health Assessment (NCHA, IIb). Responses on survey items from student learning online were compared to an equal sample of college students enrolled in non-online programs, randomly drawn from the NCHA IIb national data set (n = 961). Frequencies on survey items were calculated and mean scores of subset measures for online students were compared against those from the NCHA data set using two tailed z-test scores and independent sample t-tests with alpha at 0.05. Results: Online students reported significantly (P ≤ 0.05) higher percentages of chronic illnesses, psychiatric conditions, mobility disabilities, deafness/hearing loss, speech/language disorders,cigarette use, obesity, sedentary activity, and depression than the NCHA national sample. Implication for Practice: Health professionals and leaders who work in higher education must consider the shifting landscape and demographics in higher education in order to develop more tailored, innovative digital health promotion approaches that effectively reach the growing population of online, commuter, and older learners.

The article deals with the theoretical definition of the concept of “Ukrainian-speaking personality” in the modern educational space in general, medicine in particular. We carried out the analysis of scientific views on the interpretation of the concept of “linguistic personality” in the works of researchers: Z. Bakum, F. Bacevich, D. Ganych, N. Duda, N. Kalyuzhna, Yu. Kosenko, O. Mamchich, I. Oliynyk, N. Otreshko, O Selivanova. Also, we analyzed the structural components in their logical combination: personality, language, speech, language personality, communication. We determined the relevance of the specified problem within the specifics of the medical field, taking into account the requirements and needs of the leadership. In this perspective, we analyzed the works of I. Gumennaya, V. Kulchytskyi, I. Lisovoy, V. Mikayelyan. Basing on the realized theoretical analysis, the sought-after concept is interpreted as an individual ability to verbal use, fluency in language constructions, appropriate use of synonymous means, correct interaction of sound signals and graphic symbols in various situations during communication or assimilation of certain information, exchange opinions, positions, experiences, feelings. We demonstrated the ways to solve a specific problem through the prism of the competence paradigm of education, where communication becomes the leading condition for quality information, interaction and perception. Based on the scientific-theoretical analysis carried out during the research, we identified the specific features of nursing communication. We revealed and specified the nature of the leading didactic factors that ensure the formation of linguistic personality in accordance with the educational goal at each educational stage. We proposeda system of exercises and tasks, which ensure a high-quality through-and-through formation of the Ukrainian-speaking personality during the teaching of non-philological disciplines in a medical college.

The research problem relates to the examination of the relationof socio-demographic characteristics (gender, level of education and the place where most of childhood was spent) and the self-esteem of the respondents with loneliness.In investigating this problem, the focus was primarily on the perception of the distribution of loneliness, and the examination of the relation of independent variables (socio-demographic characteristics and self-esteem) with the dependent variable (loneliness).The sample of respondents consists of 677 high school students (49.34%) and college students (50.66%) of Bosnia and Herzegovina. The range of years of subjects ranges from 15 to 23 (AS = 18.696).The results of the study show that there is a statistically significant difference in loneliness with regard to gender (U = 38672.000, Z = -6.122, p = .000), to the level of education (U = 42292.500, Z = -5.905, p = .000) and the place in which the respondents spent most of their childhood (χ2 = 9.383, df = 2, sig = .009). The results show that there is a statistically significant relation between self-esteem and loneliness (ro = -.401, sig = .000, N = 676).

Existing previous studies that investigated stalking perception focused on investigating specific age groups such as college students rather than various age groups. However, as can be seen from the phrase contemporary asynchronism, people in one society live with different values. Therefore, the purpose of this study is to empirically verify how the perception of stalking differs between generations by classifying the generation who shared a specific historical experience into the baby boomers, Generation X, Generation M, and Generation Z. Using a South Korean adult sample(n=336), we examine stalking perceptions according to generation differences were analyzed. The results show that there were statistically significant differences between generations in the classification of stalking punishment opinions and stalking behavior. Implications for practice and future research are discussed.

Recenzja omawia The Routledge Companion to Puppetry and Material Performance jako wartościową publikację na temat teatru lalek, a także wybór referatów wygłoszonych podczas Puppetry and Postdramatic Performance International Conference on Performing Objects in the 21 Century, która odbyła się na Uniwersytecie Connecticut w kwietniu 2011 roku. Książka została zredagowana przez Johna Bella (Ballard Institute Museum of Puppetry), Claudię Orenstein (Hunter College) oraz Dossię N. Posner (Northwestern University). Tom zawiera teksty dwudziestu ośmiu autorów podzielone na trzy części: 1. Teoria i praktyka, 2. Nowe dialogi z historią i tradycją, 3. Współczesne badania i hybrydyzacje. Redaktorzy deklarują, że prezentuje ona w większości prace anglojęzycznych badaczy, którzy przyglądają się lalce i materialnemu performansowi z perspektywy filozofii, historii i teatru. Książka charakteryzuje się nie tylko zróżnicowaną tematyką, ale także różnorodnością metodologiczną. Jest dowodem na to, że współczesny teatr lalek i materialny performans przyciągają wybitnych badaczy i intelektualistów, którzy zręcznie posługują się metodami wypracowanymi przez współczesną psychologię, filozofię, antropologię i teatrologię.

Pulmonary tuberculosis is one of the commonest infectious diseases in developing countries including Bangladesh. Hepatic involvement is common in disseminated tuberculosis which may be symptomatic or asymptomatic. But isolated hepatic TB without any symptoms is a rare presentation. We report a case of isolated hepatic TB in a 40 year old housewife who presented with low grade fever, vague abdominal pain and weight loss. She had no pulmonary or hepatic complains. We diagnosed the case when ultrasonogram of abdomen showed multiple space occupying lesions from where FNAC was done and sent for histopathology and Z-N staining and revealed hepatic TB. DOI: http://dx.doi.org/10.3329/jdmc.v23i1.22706 J Dhaka Medical College, Vol. 23, No.1, April, 2014, Page 121-123

This study sought to determine if personalized moderate-intensity continuous exercise training (MICT) combined with high-intensity interval training (HIIT) was more effective at improving comprehensive training responsiveness than MICT alone. Apparently healthy, but physically inactive men and women (n = 54) were randomized to a non-exercise control group or one of two 13-week exercise training groups: (1) a personalized MICT + HIIT aerobic and resistance training program based on the American Council on Exercise guidelines, or (2) a standardized MICT aerobic and resistance training program designed according to current American College of Sports Medicine guidelines. Mean changes in maximal oxygen uptake (VO2max) and Metabolic (MetS) z-score in the personalized MICT + HIIT group were more favorable (p < 0.05) when compared to both the standardized MICT and control groups. Additionally, on the individual level, there were positive improvements in VO2max (Δ > 4.9%) and MetS z-score (Δ ≤ −0.48) in 100% (16/16) of participants in the personalized MICT + HIIT group. In the present study, a personalized exercise prescription combining MICT + HIIT in conjunction with resistance training elicited greater improvements in VO2max, MetS z-score reductions, and diminished inter-individual variation in VO2max and cardiometabolic training responses when compared to standardized MICT.

The goal of this study tested the effectiveness of Mindfulness training to overcome insomnia in college students.The number of participating subjects amounted to 8 people in the weight category, with four people in each group(experiment and control). Treatment was given to subjects in the experimental group as many as four meetings with11 sessions within one month. For control is given a mindfulness diary to find out the emotional condition and sleep of the subject. The study used the Jakarta Psychiatric Study Group – Insomnia Rating Scale as a pre-test and post-test to measure insomnia levels before and after treatment. The data analysis technique used in the study was the Mann-Whitney U Test. The results showed that the experimental group’s results (Mdn=7) were higher than those of the control group (Mdn=15.8). Mann-Whitney’s test results showed a significant difference in pain scores between the experimental and control groups (N experiment = 4, Control = 4, Z =-2,337; p=0.019). This can be seen in the decrease in insomnia score in the experimental group. Mindfulness training proved to be appropriate for overcoming insomnia in college students.

Objectives This study was conducted to confirm the mediating effect of depression in the relationship between smartphone addiction and memory loss in nursing students. Methods Data collection was conducted from November 20, 2022 to December 10, 2022 for nursing college students in one area, and a total of 166 data were used for the final analysis. For data analysis, independent t-test, ANOVA, Pearson's correlation coefficients, and linear regression analysis were used. Results Smartphone addiction and depression (r=.34 p<.001), smartphone addiction and memory decline (r=.17 p=.014), depression and memory loss (r=.42 p<.001) showed a significant static correlation. In addition, it was confirmed that there was a complete mediating effect of depression in the relationship between smartphone addiction and subjective memory loss in nursing students, and the explanatory power was 18%. In Smartphone addiction and subjective memory loss, depression, had complete mediating effect (Z=3.50, p<.001), and explanatory power was 18.0%. Conclusions It is expected to be used as basic data for the development and application of smartphone addiction prevention education and depression improvement programs to prevent memory loss in nursing college students n the future.

Background: Incivility experienced by pre-licensure nursing students in clinical settings continues to grow. Interventions for clinical incivility to nursing students are needed. Our study aimed to examine the effects of a piloted two-hour interactive incivility management module on nursing students’ perceived stress and general self-efficacy levels and preparedness for responding professionally to clinical incivility. Methods: A quasi-experimental post-test-only non-equivalent comparison design with control and experimental groups was used. Senior nursing students enrolled in a Bachelor of Science in Nursing program from a nursing college located in Seoul, South Korea, were recruited. The control group (n = 94) completed a self-administered online survey without the clinical incivility management module. The experimental group (n = 93) completed the same survey after receiving the clinical incivility management module. The two groups’ survey data were compared; qualitative data from the experimental group’s post-module debriefing session were also analyzed. Results: The prevalence of reported clinical incivility was 72.73% (n = 137 out of 187 participants). Clinical incivility experienced by the experimental group was significantly lower than that of the control group (z = −4.865, p < 0.001). However, there was no significant difference in stress levels and self-efficacy between the two groups. The mean score of the experimental group on preparedness for responding professionally to clinical incivility was statistically higher than the control group’s mean score (z = −2.850, p = 0.004). Conclusions: Interventions to prepare students for the experience of clinical incivility are useful; they can positively affect the students’ ability to respond professionally.

ABSTRACT Opioid prescriptions have been monitored by the College of Physicians and Surgeons of Alberta (CPSA) since 1986, and benzodiazepine prescriptions since 2015. Recently the CPSA developed the “MD Snapshot-Prescribing Profile,” a feedback intervention consisting of a personalized report for physicians to see how many opioids and/or benzodiazepines they have prescribed to their patients. The aim of this study was to determine the attitudes and opinions of physicians in Alberta who received their prescribing profile from the CPSA in December 2016. Following mail-out of the prescribing profile, an online survey was emailed to recipients (n=8,213). The mixed survey asked five closed-ended questions, and an open-ended question asking for comments. Results from the closed-ended questions were compiled via Survey Monkey and responses to the open-ended question were analyzed using a qualitative content analysis method. Total survey response rate was 27% (n=2,148). More than half of physician-respondents indicated that they plan to make changes to their prescribing practice based on the prescribing profile and two-thirds of respondents found the information in the prescribing profile useful. Responses to the open-ended question were mixed. Physicians' attitudes and opinions regarding the receipt of their prescribing profile are diverse. Most recipients found benefit in their profile, and plan to use forthcoming versions as a useful instrument in their practices. Given the high rates of opioid/benzodiazepine prescriptions and related opioid epidemic, the MD Snapshot-Prescribing Profile is an innovative and important tool that can assist in improving physician prescribing practices.

Abstract Objective To explore whether the average price of houses per postcode sector [sector house average prices (SHAP)] is related to perinatal outcomes and whether gestational age would be lower and mortality higher in the least expensive areas compared to the most expensive. Methods All neonatal unit admissions at King’s College Hospital from 1/1/2012 to 31/12/2016 were reviewed. The SHAP was retrieved from the Land Registry and the population was divided in equal quintiles with quintiles 1 and 5 representing the most and least expensive areas, respectively. Gestational age and birth weight z-score were collected. Mortality was defined as death before discharge from neonatal care. Results Three thousand three hundred and sixty infants were included and divided in quintiles consisting of 672 infants. Gestational age was lower in quintile 5 compared to all other quintiles (adjusted P<0.001). Birthweight z-score was not significantly different between the quintiles. The SHAP was lower in the infants who died before discharge (n=92) compared to the SHAP of the infants who were alive at discharge (n=3268) (P<0.001). Infants of quintile 5 had 6 times higher risk of death before discharge from neonatal care compared to infants of quintile 1. Conclusion Low SHAPs were associated with poorer perinatal outcomes suggesting SHAP could potentially be used in perinatal populations to determine socio-economic status and associated outcomes.

This study aims to translate and adapt the Cornell Critical Thinking Test- Level Z (CCTT-Z) into Urdu language in Pakistani population. Phase-I of the study dealt with Urdu translation, back translation, and cross-language validation. Recommended protocols were followed for forward and backward translations. Results of cross-language validation based on a sample of college students (n=42, Mage=18.69 years) showed that scores on both Urdu and English language versions were positively correlated (r =.31, p<.05). Moreover, 45.2% of students reported the Urdu language version easier than the English version. Certain lingual changes were made to make the test more culturally compatible without disturbing its core structure. For the Phase-II, a sample of 367 students of undergraduate and graduate programs (Mage= 21.56 years) was obtained from colleges, universities, and a teaching hospital. The results showed that the test had a high difficulty (p=.38). Twelve items had non-significant point-biserial correlation coefficients and dropping them improved overall Cronbach alpha reliability of the test (from ?=.47 to ?=.59). Five-factor theoretical model and four-factor model (induction items removed) were examined through CFA. The test showed poor model fit and did not appear to have any meaningful factor structure. This finding was not unique as several other validation studies across various cultures also do not show theoretically predicted factor structure. The findings are discussed by examining the available literature on the cross-cultural validity studies done in several other countries.

Background: Research has shown that repetitive stress from playing an overhead (OH) sport can cause musculoskeletal and osseous adaptations to occur on the dominant side. Additionally, there are limited data about the residual effects of these adaptations after the cessation of sports participation. Purpose: To investigate the effects of prior participation in an OH sport versus not participating in an OH sport on glenohumeral range of motion (ROM), isometric strength, and humeral retroversion (HR). Study Design: Cross-sectional study; Level of evidence, 3. Methods: Forty-eight college-aged individuals participated. Participants were split into 2 groups: (1) individuals who previously participated in an OH sport (n = 20; age, 20.3 ± 1.1 years; height, 166.3 ± 15.27 cm; weight, 72.2 ± 13.5 kg) and (2) individuals who previously did not play an OH sport (n = 28; age, 20.6 ± 0.9 years; height, 168.8 ± 6.3 cm; weight, 68.1 ± 15.1 kg). After completing a health history questionnaire, the following were measured: side-to-side shoulder internal rotation (IR) and external rotation (ER) ROM via an inclinometer, isometric shoulder strength via a handheld dynamometer, and HR using an ultrasound imaging machine. A Mann-Whitney U test was used to determine group differences, and a Wilcoxon t test was used to analyze side-to-side differences within each group. Results: The Mann-Whitney U test revealed a statistically significant group difference for dominant shoulder ER ROM ( U = 162.00, P = .014). Specifically, the prior OH group had significantly more ER than the control group. Within the prior OH group, testing revealed that athletes had significantly more HR ( Z =–2.782, P = .005), ER ROM ( Z =–1.979, P = .048), and ER isometric strength ( Z =–2.763, P = .006) on their dominant than nondominant shoulder and significantly less IR ROM ( Z =–3.099, P = .002) on their dominant than nondominant shoulder. Conclusion: Prior OH sports participation may have residual osseous and musculoskeletal effects that remain after cessation of the sport.

In the United State, lung cancer remains the leading cause of cancer death in both men and women. Several reports have suggested a role for estrogens in the development and/or progression of lung cancer, especially in women. Data from the national SEER registry between the years of 1990-2011 was analyzed, women between the ages 31-50 years old were chosen as representative of the premenopausal group (n=1595) and 51-70-year-old women represented the postmenopausal group (n=7075) as defined by the American College of Obstetricians and Gynecologists. For comparison, men were divided into two categories: younger men (n=2233) aged 31- 50 years and older men (n=10908) aged 51-70 years. Survival rates were analyzed by Kaplan-Meier method and compared by Z-test through SEER*Stat software version 7.0.9. The adenocarcinoma had a significant difference between premenopausal and postmenopausal groups (62% vs. 51%) respectively. Furthermore, the survival rate in premenopausal inferior to postmenopausal women in both SCC and BAC P<0.05. Premenopausal women more commonly underwent curative surgery, 42%, and 19% of postmenopausal women treated palliative. Additionally, for every stage of disease, 55% of postmenopausal women have radiotherapy. The results suggest varying estrogen effects between the histology sub-types of NSCLC and support clinical strategies need to block the ER pathway for the treatment of NSCLC.

Background and Purpose: Mathematical modelling competency is one of the vital characteristics in mathematics education. Educational researchers have updated the benefit of modelling as key factor to the study of complexity and modern science. Since many scholars frequently adopt instrument from one cultural background to another, they also offer proof on the issue of validity and reliability. The present paper aimed at validating a mathematical modelling test for secondary prospective mathematics teachers. Methodology: We utilized a survey approach to examine the factor structure of mathematical modelling test for 202 secondary prospective mathematics teachers, selected by cluster random sampling. Mathematical modeling test was adapted to measure the desired constructs. More importantly, we used exploratory factor analysis (EFA), confirmatory factor analysis (CFA) using AMOS 18 and Rasch measurement model with Winstep version 3.73 to analyze the data. Findings: The EFA and CFA technique verified that a mathematical modelling test was acceptable for Indonesian prospective mathematics teachers. In addition, Rasch analysis also confirmed that all items fit the criteria well and implied that all items are valid in measuring student mathematical modelling competency. This finding concludes that the mathematical modelling test of Indonesian prospective mathematics teachers have an eight-dimension structure. Contributions: This present research contributes towards psychometric measure on the reliability and validity of a mathematical modelling test in mathematics education programs. Keywords: Confirmatory factor analysis, mathematical modelling competency, Rasch measurement model. Cite as: Hidayat, R., Qudratuddarsi, H., Mazlan, N. H., & Mohd Zeki, M. Z. (2021). Evaluation of a test measuring mathematical modelling competency for Indonesian college students. Journal of Nusantara Studies, 6(2), 133-155. http://dx.doi.org/10.24200/jonus.vol6iss2pp133-155

Objective To compare the effects of Metformin with N-acetyl cysteine in polycystic ovarian syndrome (PCOS). Methods A prospective, randomised controlled study was conducted in the Department of Obstetrics and Gynaecology in a Medical College and General Hospital. Total 115 cases of polycystic ovarian syndrome presenting with different complaints were selected for the study. Fifty nine cases were treated with Metformin (Group-M) and other 56 with N-acetyl cysteine (Group-N). Primary outcome measures are improvement in clinical features and biochemical profile, where as secondary outcome measures are improvement in hormonal profile and ultrasonographic findings. Statistical analysis was done by Z test and Chi square test. Results From each group, 50 patients were ultimately evaluated. There was significant improvement in some of the clinical features like weight gain, acne and hirsutism in group-N ( P < 0.05), but there was no significant change in other features like oligomenorrhea, amenorrhoea and infertility. The biochemical markers of insulin resistance like fasting insulin, fasting glucose/insulin ratio and HOMA-IR were significantly reduced in group-N. Hormone levels like serum LH, FSH, TT and LH/FSH ratio was significantly decreased in group-N, but FT, FT/TT ratio and SHBG were similar in both the groups. Ultrasonographic findings were similar in both the groups. Conclusion N-acetyl Cysteine had better improvement in clinical, biochemical and hormonal profile than Metformin in PCOS patients. It can be used as a substitute for insulin reducing medications in treatment of PCOS patients, considering its limited adverse effects.

Abstract Objectives To identify possible mechanisms involved in the development and progression of NAFLD through protein expression (shotgun proteomics) analysis on liver samples of obese Zucker rats fed with either casein (CAS) or soy protein isolate (SPI) during 8 and 16 weeks. Methods 7 weeks old rats (n = 8–9 per group) were randomly assigned to an either CAS-based or a SPI-based diet. Rats were sacrificed after 8 weeks or 16 weeks of SPI feeding. Livers were immediately obtained and stored at −80 C. Ingenuity Pathway Analysis (IPA) software was used to facilitate interpretation of proteomics data. Predictions of activation or inhibition of molecules in the data was made based on activation z-score and P value of overlap (P &lt; 0.05). Activation z-scores &gt; 2.0 indicate that a molecule is activated, whereas activation z-scores of &lt; −2.0 indicate that a target molecule is inhibited. Results Upstream regulator analysis by IPA revealed 6 molecules predicted to be activated (z-scores between 2 and 2.8) and 9 inhibited (z-scores between −2 and −2.6) in SPI vs CAS-fed rats in proteomics data at 8 weeks of SPI feeding. In contrast, at 16 weeks of SPI feeding there were 12 molecules activated (z-scores between 2 and 2.5) and 18 inhibited (z-scores between −2 and −2.8) in SPI vs CAS-fed. All p values were &lt;0.05. Regulator effects analysis also revealed that some of these molecules would be participating, directly or indirectly, in the inhibition of the immune response of cells (such as IL27 and CSF2) and synthesis of lipids (CEBPA, Ins1 and IRF8) in SPI-fed rats. Conclusions These molecules and their downstream target proteins may provide clues by which soy protein produces the observed attenuation of liver steatosis that can be tested in future experiments in this obese rat model. Funding Sources This study was supported in part by the College of Medicine's University Medical Group (RH) and the Arkansas Biosciences Institute (WB, RH).

Background: This complete-enumeration, before-and-after type of study (without controls) was conducted on 61 third-year medical students at Rajiv Gandhi Medical College, Thane, Maharashtra state to study the difference in cognitive domain scores after attending lecture-based learning (by a pre-test) and after attending case-based learning (by a post-test).Methods: After approval from the institutional ethics committee, the purpose of the study was explained to third-year medical students and written informed consent was obtained. After curriculum-based lectures on integrated management of neonatal and childhood Illness, a pre-test was administered wherein each student was asked to fill up case sheets for five case scenarios. The maximum marks obtainable were 10 marks per case (total 50 marks). Case-based learning was conducted in two sub-groups comprising 31 and 30 randomly assigned students by the same faculty and students in each sub-group were exposed to identical case scenarios. The post-test was conducted using case scenarios and case sheets that were identical to that of the pre-test.Results: The overall mean score increased and the difference between the case-wise pre-test and post-test scores of both female (n=35) and male (n=26) students was highly significant (p <0.00001). However, the gender differences in pre-test score (Z=1.038; p=0.299) and post-test score were not significant (Z=0.114; p=0.909).Conclusions: Using case scenarios augmented the cognitive domain scores of participating students and the gender differences in scores were not statistically significant. The post-test scores showed higher variability. Remedial educational interventions would be required for students who obtained low scores in the post-test.

Objective:To evaluate the potential efficacy of immediate-release methylphenidate (MPH) for treating cognitive deficits in epilepsy.Methods:This was a double-blind, randomized, single-dose, 3-period crossover study in patients with epilepsy and chronic cognitive complaints comparing the effects of placebo and MPH 10 and 20 mg given 1 week apart. Cognitive outcome was evaluated on the basis of an omnibus z score calculated from performance on the Conners Continuous Performance Test 3 (ability to discriminate between target and nontarget stimuli [d'] and hit reaction time standard deviation), Symbol-Digit Modalities Test, and Medical College of Georgia Paragraph Memory Test. Adverse events and seizure frequency were monitored. An open-label follow-up is reported elsewhere.Results:Thirty-five adult patients with epilepsy participated, of whom 31 finished. Demographics included the following: mean age = 35.3 years (range 20–62 years), 13 men and 18 women, and baseline seizure frequency of 2.8 per month. Epilepsy types were focal (n = 24), generalized (n = 6), or unclassified (n = 1). Mean epilepsy duration was 12.5 years. A statistically significant performance benefit was present at both 10-mg (p = 0.030) and 20-mg (p = 0.034) MPH doses. No seizures were associated with either MPH dose. Adverse effects leading to withdrawal included cognitive “fogginess” (n = 1 on 20 mg), anxiety/agitation (n = 1 on 10 mg), and tachycardia (n = 1). One participant was lost to follow-up after one 20-mg dose without side effect.Conclusions:This single-dose study suggests that MPH may be effective in ameliorating some cognitive deficits in patients with epilepsy. Additional studies are required.ClinicalTrials.gov identifier:NCT02178995.Classification of evidence:This study provides Class II evidence that single doses of MPH improve cognitive performance on some measures of attention and processing speed in patients with epilepsy and cognitive complaints.

First-year students who enter college pursuing a STEM degree still face challenges persisting through the STEM pipeline (Chen, 2013; Leu, 2017). In this case study, researchers examine the impact of a utilitarian scientific literacy based academic intervention on retention of first-year students in STEM using a mixed methods approach. A sample (n = 116) of first-year students identified as at-risk of not persisting in STEM were enrolled in a for credit utilitarian scientific literacy course. Participants of the semester long course were then compared with a control group of first-year students identified as at-risk of persisting in STEM. A two-proportion z test was performed to assess the mean differences between students and participants of the course were given a survey to gauge student experiences. Quantitative results (φ 0.34, p < 0.05) indicate that the utilitarian scientific literacy course had a statistically significant impact on retention among first-year students at-risk of persisting in STEM. Moreover, qualitative data obtained from participant responses describe internal and external growth as positive outcomes associated with the intervention.

The historiography of the development of higher education in Chernihiv region is considered, the pre-Soviet, Soviet and modern stages of this problem are determined; it was found that researchers of the genesis of higher education in Chernihiv region paid great attention to studying the date of establishment, financing and functioning of the Chernihiv Collegium; it was defined that the development of higher education in Chernihiv region was considered by researchers through the study of two components: the system of educational institutions and educational, philanthropic and pedagogical activities of prominent personalities of Chernihiv region. It was found that the Chernihiv Collegium (1700-1786) was the first institution of secondary education in the Left Bank of Ukraine, whose activities were of great importance for the formation and development of the domestic system of higher education. The question of the history of one of the Ukrainian Orthodox colleges was the subject of study by researchers of the XIX century P. Bogoslovsky, M. Dokuchaev, V. Lytynsky, O. Shafonsky. In the first half of the XIX century some information about the Chernihiv Collegium was contained in the works of V.Askochensky, D. BantyshKamensky, M. Bulgakov, M. Markov, M. Markevich. The introduction into scientific circulation of significant archival material on the history of the college began in the second half of the XIX century, the first articles by A. Starodomsky appeared. F. Gumilevsky's works contained factual material that revealed various aspects of the history of the college, educational and philanthropic activities of its founders. A selection of archival materials on the history of the college of researchers M. Blagoveshchensky P. Dobrovolsky S. Nikolsky was published in the local press in the late nineteenth – early XX century; scientific researches of the history of the educational process of Chernihiv region were intensified (O. Andriyashev, O. Vvedensky, P. Wojciechowski, M. Golik, F. Dmytrevsky, P. Dobrovolsky, M. Domontovych, M. Zhdanovych P. Korobka, O. Musin-Pushkin O. Rusov, S. Rusova, M. Sukhomlinov, M. Tutomlin, V. Khyzhnyakov, E. Shulga). Scientists of the Soviet period studied various aspects of the development of education in Chernihiv region in the context of the genesis of education in Ukraine (V. Borysenko M. Zavoloka J. Isayevach, B. Mityurov S. Siropolko Z. Khyzhnyak, N. Ship). The modern period of historiography of the study of the development of higher education in Chernihiv region is presented in the works of A. Borovik, N. Kuzmenko, O. Pronikov, O. Travkina.

Abstract Introduction:Acute Myeloid Leukemia (AML) is a blood cancer which progresses rapidly in the absence of treatment. There have been few advances in the treatment of AML over the last three decades. In 2015 the Leukemia and Lymphoma Society (LLS) initiated a research program to assess patient preferences for AML treatments. The aim of this research was to promote patient-focused drug development and inform future regulatory decisions. We sought to develop and pilot a patient-centered survey instrument to assess patient preferences for the benefits and risks of AML treatments. Methods: Development was informed by a targeted literature review and engagement with an expert stakeholder committee (n=12) to guide the clinical accuracy and relevance of the survey instrument. A community stakeholder committee, consisting of patients with AML and caregivers (n=15), provided information about their experiences with AML and various treatments. They also engaged in pretest interviews to test comprehension and ensure it captured the patient experience. A discrete-choice experiment (DCE) was developed spanning 5 benefits and risks, including event-free survival (EFS), complete remission (CR), time in hospital, short-term side effects, and long-term side effects. This DCE consisted of 16 pairs of hypothetical treatments, with participants being asked to identify which treatment they would prefer in each pair. Results of a pilot study with AML patients and caregivers were assessed by Z-score that were derived from a conditional logistic model regressing each attribute upon their choices. Results: The pilot included 18 patients and 8 caregivers with a mean age of 50 years (range=24-81). Most participants were college educated (n=22), Caucasian (n=19), privately insured (n=21), and employed (n=13). Participants valued CR the most (Z-score=7.95, p<0.001), followed by EFS (5.32, p<0.001). They were most averse to time in hospital (-3.41, p=0.001), followed by long-term side effects (-3.03, p=0.002) and short-term side effects (-1.99, p=0.047), which was marginally significant. Conclusions: This study demonstrates the value of rigorous community engagement in developing survey instruments to measure patient preferences. The results of this pilot study demonstrate the ability of our DCE to measure treatment preferences of AML patients and caregivers. Given this success, we are currently engaged in a nationally study where we will recruit a larger and more diverse sample. The results of this national study will inform drug developers and regulatory decision makers. Disclosures Seo: The Leukemia & Lymphoma Society: Research Funding. Voyard:The Leukemia & Lymphoma Society: Employment. O'Donoghue:The Leukemia & Lymphoma Society: Employment. Bridges:The Leukemia & Lymphoma Society: Research Funding.

A Review of: Cook, J.M. (2014). A Library credit course and student success rates: A longitudinal study. College & Research Libraries 75(3), 272-283. doi:10.5860/crl12-424 Abstract Objective – To determine the impact of a credit-bearing information literacy skills course on student success rates. Design – Observational Study. Setting – An academic library at a mid-sized university in Georgia, United States of America. Subjects – Nine cohorts of students (n=15,012) who entered the institution for the first time, on a full-time basis, each year between 1999 and 2007. Methods – Aggregate data on each student cohort was gathered from the Department of Institutional Research and Planning. Data included high school ACT and SAT scores, high school graduating GPAs, college graduating GPAs, and college graduation dates. The nine cohorts were each divided into two groups: students who took a credit library course (LIBR 1101) at some point during their student career, and students who did not. For each cohort, a Pearson Chi-Square test was used to determine statistical correlation between library course enrollment and four-, five-, and six-year graduation rates. Z-tests were used to determine a difference in the average graduation GPA of students who did and did not take the course, as well as a difference in the average high school graduation GPA, ACT, and SAT scores of the two groups in each cohort. Main Results – Graduation rates were positively associated with students who took the library course at some point during their studies. Students who took the library course graduated at higher rates than students who did not: 56% of those students who took the library course graduated within the study’s time frame, compared to 30% of those who did not take the course. On average, there was no significant difference in college graduation GPAs between students who did and did not take LIBR 1101. During the time period of the study, more students who took the course graduated than those who did not, but those students who took the course did not have higher graduating GPAs. Conclusion – Students who enrolled in LIBR 1101 at some point in their studies graduated at a significantly higher rate than students who did not.

Abstract STUDY QUESTION Which transcriptomic alterations in mid-luteal endometrial scratch biopsies, taken prior to the assisted reproductive treatment (ART) treatment cycle are associated with unsuccessful pregnancy? SUMMARY ANSWER Dysregulated interleukin-17 (IL-17) pathway components are demonstrated in women who fail to become pregnant after ART. WHAT IS KNOWN ALREADY Implantation failure is now recognised as a critical factor in unexplained infertility and may be an important component of failed ART. STUDY DESIGN, SIZE, DURATION Using a prospective longitudinal study design, 29 nulliparous women with unexplained infertility undergoing ART were recruited between October 2016 and February 2018. Mid-luteal stage endometrium and matched serum samples were collected, and patients underwent a single embryo transfer in the subsequent cycle. RNA-seq analysis of endometrial biopsies was performed on the discovery cohort (n = 20). PARTICIPANTS/MATERIALS, SETTING, METHODS Gene set enrichment analysis of the differentially expressed genes (DEGs) was performed. Endometrium and serum were then prepared for IL-17A analysis by ELISA. MAIN RESULTS AND THE ROLE OF CHANCE There were 204 differentially expressed protein-coding genes identified in tissue from women who became pregnant (n = 9) compared with tissue from women who failed to become pregnant (n = 11) (false discovery rate; P &lt; 0.05). Of the 204 DEGs, 166 were decreased while 38 were increased in the pregnant compared to the non-pregnant groups. Gene set enrichment analysis of the DEGs identified an over-representation of IL-17 and Pl3K-Akt signalling pathways. All the DEGs within the IL-17 signalling pathway (MMP3, MMP1, IL1β, LCN2, S100A9 and FOSL1) demonstrated decreased expression in the pregnant group. Serum IL-17 protein levels were increased in the non-pregnant discovery cohort (n = 11) and these findings were confirmed a validation cohort (n = 9). LIMITATIONS, REASONS FOR CAUTION Limitations of our study include the cohort size and the lack of aneuploidy data for the embryos; however, all embryos transferred were single good or top-quality blastocysts. WIDER IMPLICATIONS OF THE FINDINGS These findings demonstrate dysregulated IL-17 pathway components in women who fail to become pregnant after ART. Elevated serum levels of the pro-inflammatory cytokine IL-17 may predict failure of ART in women with unexplained infertility. Future trials of anti-IL-17 therapies in this cohort warrant further investigation. STUDY FUNDING/COMPETING INTEREST(S) Funding from the UCD Wellcome Institutional Strategic Support Fund, which was financed jointly by University College Dublin and the SFI-HRB-Wellcome Biomedical Research Partnership (ref 204844/Z/16/Z), is acknowledged. The authors have no competing interests. TRIAL REGISTRATION NUMBER NA.

Diagnostically, vertical root fractures (VRFs) can be a frustrating experience for the dentist. Misdiagnosis could result in significant time and effort losses involved in erroneously intervening endodontically and/or periodontally. Certainly, diagnosing VRFs is often very difficult, and diagnoses based on speculations have led to the extraction of many salvageable teeth. This study was conducted in the radiology unit of College of Dentistry, Prince Sattam bin Abdulaziz University, between December 2021 and June 2022 to evaluate the ability to detect VRFs following the use of a novel radio-opaque dye using periapical radiographs (PARs) and cone-beam computed tomography (CBCT). After carefully inducing VRFs on extracted, single-rooted, virgin premolars (n = 26), they were assigned to control (n = 2) and experimental groups (n = 24). The fracture site of the tooth in the control group received methylene blue dye, whereas the experimental group received a novel dye. Two differently angled PARs were obtained for all the teeth, followed by a CBCT image. Three blinded investigators participated in scoring a Likert scale form with a set of questions. Inter-/intra-examiner reliability showed excellent consistency using Cronbach’s alpha test. The Z-test revealed CBCT and PAR to be equally adept at detecting VRFs, with the mean values showing no statistically significant differences. The extent of the VRFs and dye penetration were significantly better when angled radiographs and axial view CBCT were evaluated. Within the limitations of this study, the dye tested showed promising initial results as an aid in radiographically detecting VRFs. The use of such minimally invasive methods is critically needed for diagnosing and managing VRFs. However, further testing should be performed prior to its clinical use.

Background and Aim: The purpose of this research was to examine the influence of Z-Prime Plus and G-Bond on zirconia posts fracture resistance affixed to the walls of root canals. Place of Study: Avicenna Medical College Lahore Study Duration: March 2021 to April 2022 Materials and Methods: In this in-vitro experimental study, the diameter and length of each of the 20 mandibular premolars used were identical. This assured that the study's findings were comparable. Once a cut was made at the cementoenamel junction (CEJ) to prepare the teeth for root canal therapy, the teeth were randomly assigned to one of two groups (n=11) with the same number of teeth in each group. In the experiment, a single tooth from each group was chosen at random to serve as the control. A post space of approximately 10 millimeters in length was established in the remaining teeth. The following process involved etching the intracanal dentin, followed by rinsing and drying the material. The technique involved filling the canal with Panavia F2 resin cement. After applying G-Bond and Z-Prime Plus to the zirconia posts in respectively, groups 1 and 2, the placement of post was done in the canals and subsequently cemented. The photo core resin composite material was utilized in the fabrication of the cores. The longitudinal axis of the teeth was compressed by a force application to the core of central fossa o at a crosshead speed of 0.5 millimeters per minute. This was accomplished with a crosshead speed of 0.5 mm/min. The load that caused the fracture was measured and documented. To analyze the data, a t-test was conducted, and a normal distribution was also taken into account. Result: The results indicated that the average fracture resistance of G-Bond was 1088.1±330 while the average fracture resistance of Z-Prime Plus was 898.4±369 however, the difference was not statistically significant (P=0.3). Practical Implication: The influence of Z-Prime Plus and G-Bond on zirconia posts fracture resistance affixed to the walls of root canals Conclusion: There was no significant difference between the fracture resistance of zirconia posts bound with G-Bond and Z-Prime Plus to root canal walls. In contrast, G-Bond is highly advised for usage in this application due to its decreased coefficient of variation (CV) and significantly increased fracture resistance. This makes it a great option for the current endeavor. Keywords: Primer; resin composite; shear bond strength; zirconia ceramic, G-Bond, Post and Core Technique, Z-Prime Plus

ABSTRAK Penurunan profit bisnis kecil akibat implikasi ekonomi pasca pandemi COVID-19. Persoalan struktur permodalan menjadi kendala dalam mempertahankan dan meningkatkan usahanya secara terus menerus seiring kerubahan zaman. Koperasi Syariah sebagai salah satu lembaga keuangan Islam yang keislaman lebih dekat secara eksistensi maupun teritorial dengan masyarakat tingkat bawah sehingga menjadi alternatif pengembangan usaha masyarakat secara syariah sesuai persyaratan yang diberikan. Studi ini bertujuan untuk untuk menganalisis pengaruh literasi keuangan syariah dalam sikap, pengaruh sosial dan self-efficacy terhadap perilaku pemanfaatan produk koperasi syariah di Indonesia. Studi kuantitatif survey online dengan melibatkan 280 calon anggota koperasi syariah yang membutuhkan pembiayaan dan merupakan pemilik UMKM dijalankan dengan teknik analisis SEM PLS. Hasil studi menunjukkan pengaruh literasi keuangan terhadap sikap, pengaruh sosial dan self-efficacy lalu dilanjutkan arah jalur dukungan hipotesis terhadap niat untuk memilih Koperasi Syariah sebagai solusi kebutuhan finansial UMKM ditemukan. Strategi manajerial khususnya pemasaran dikembangkan dengan mempertimbangkan efek sikap positif, pengaruh sosial dan efikasi diri calon anggota sebagai pemilik bisnis atau produk keuangan syariah yang akan mereka tawarkan kepada pelanggan mereka akan berkontribusi pada pertumbuhan sektor UMKM khususnya UMKM Generasi Millenial dan UMKM Hijau di Indonesia melalui upaya promosi dan kerjasama. Kata Kunci: ASE Model, Ekonomi Islam, Koperasi Syariah, Pemberdayaan, UMKM. ABSTRACT The decline in small business profits due to the post-COVID-19 pandemic economy. The issue of capital structure is an obstacle in maintaining and increasing development continuously in line with the changing times. Sharia cooperatives as one of the Islamic financial institutions are closer in existence and territorially to the lower level of society so that they become an alternative for community business development in accordance with the requirements given. This study aims to analyze the effect of Islamic financial literacy on attitudes, social influence and self-efficacy on the application of Islamic cooperative products in Indonesia. Quantitative study of online surveys involving 280 prospective members of Islamic cooperatives who need financing and are MSME owners carried out with the PLS SEM analysis technique. The results of the study show the effect of financial literacy on attitudes, social influence and self-efficacy, then choosing the direction of hypothesis support for the intention to find Islamic Cooperatives as a solution to the financial needs of MSMEs. Managerial strategies especially marketing that are developed taking into account the effects of positive attitudes, social influence and self-efficacy of prospective members as owners or Islamic financial products that they will offer to their customers will increase the growth of the MSME sector, especially Millennial Generation MSMEs and Green MSMEs in Indonesia through promotional efforts and cooperation. Keywords: ASE Model, Islamic Economics, Sharia Cooperatives, Empowerment, MSMEs. REFERENCES Abourrig, A. (2021). Social influence in predicting Islamic banking acceptance: Evidence from Morocco. International Journal of Accounting, Finance, Auditing, 2(2), 42–56. https://doi.org/10.5281/zenodo.4641472 Ajzen, I. (1991a). The theory of planned behavior. Organizational Behavior and Human Decision Processes, 50(2), 179–211. https://doi.org/10.1016/0749-5978(91)90020-T Ajzen, I. (1991b). The theory of planned behavior. 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ABSTRACTINTRODUCTION: Anemia in pregnancy is an important factor which is associated with a number of maternal and fetal complications. It is a major contributor to poor pregnancy and birth outcomes in developing countries. This study aims at finding the prevalence of anemia among pregnant women living in rural Warangal and to determine the socio-demographic features of pregnant women.METHODOLOGY: A community based cross-sectional study was conducted in Wardhanapet, the rural field practicing area of Kakatiya medical college, Warangal, Telangana. All pregnant women between the ages of 15 and 49 years were included in the study.The sample size was calculated by using the formula *P*Q/ = 382 pregnant women. Where Z is confidence level at 95% (standard value is 1.96); P is proportion (prevalence of anemia during pregnancy 54.4%, NFHS-5); L is precision at 95% CI = 0.05.Simple random sampling was done and the data was collected using a pre-designed, semi-structured questionnaire. Hemoglobin levels were taken from existing lab reports of the subjects. Hemoglobin cut-off for anemia during pregnancy was taken as per WHO criteria. The data collected was entered in MS-EXCEL and exported to SPSS V20 for further analysis. Chi square test was used to find out the significance and p value ≥0.05 was considered significant.RESULTS: Among 382 subjects, the prevalence of anemia was 62%. Of them, 40% (n=130) had mild, 55% (n=155) had moderate anemia and 5% (n=12) had severe anemia. Significant association was found between anemia and parity, birth spacing, intake of IFA tablets, education and type of diet. There was no association between age of the subject, age at first conception and socioeconomic status.CONCLUSION: As prevalence of anemia is 62%, efforts to identify modifiable factors of anemia the importance of prevention of anemia must be reinforced in pregnant women.

ObjectiveThe gene coding for C-reactive protein (CRP) is located on chromosome 1q23.2, which falls within a linkage region thought to harbor a systemic lupus erythematosus (SLE) susceptibility gene. Recently, 2 single-nucleotide polymorphisms (SNP) in the CRP gene (+838, +2043) have been shown to be associated with CRP concentrations and/or SLE risk in a British family-based cohort. Our study was done to confirm the reported association in an independent population-based case-control cohort, and also to investigate the influence of 3 additional CRP tagSNP (−861, −390, +90) on SLE risk and serum CRP concentrations.MethodsDNA from 337 Caucasian women who met the American College of Rheumatology criteria for definite (n = 324) or probable (n = 13) SLE and 448 Caucasian healthy female controls was genotyped for 5 CRP tagSNP (−861, −390, +90, +838, +2043). Genotyping was performed using restriction fragment length polymorphism-polymerase chain reaction, pyrosequencing, or TaqMan assays. Serum CRP levels were measured using ELISA. Association studies were performed using the chi-squared distribution, Z-test, Fisher’s exact test, and analysis of variance. Haplotype analysis was performed using EH software and the haplo.stats package in R 2.1.2.ResultsWhile none of the SNP were found to be associated with SLE risk individually, there was an association with the 5 SNP haplotypes (p < 0.001). Three SNP (−861, −390, +90) were found to significantly influence serum CRP level in SLE cases, both independently and as haplotypes.ConclusionOur data suggest that unique haplotype combinations in the CRP gene may modify the risk of developing SLE and influence circulating CRP levels.

Abstract Background This study examined the role of anxiety and coronavirus disease 2019 (COVID-19) burnout in the relationship between coronavirus stress and overeating among Chinese college students during the COVID-19 pandemic. Methods Chinese college students (N = 2926; Mage = 19.90, SD = 1.47, range = 18–25 years old; 54.34% female) completed self-reported online questionnaires regarding coronavirus stress, anxiety, COVID-19 burnout, and overeating. Results Anxiety showed partially indirect effect on the association between coronavirus stress and overeating. COVID-19 burnout exacerbated the indirect pathway between coronavirus stress and overeating via anxiety. Discussion and conclusion This is the first study, to our knowledge, that examines the underlying mechanisms of the coronavirus stress and overeating behavior association among Chinese college students. The results support several existing theories on stress and problematic eating behaviors and provide practical implications for prevention and intervention programs of overeating during the COVID-19 pandemic.

Abstract Background Nutrition health has become a major public health issue in both high and middle-income countries. Nutrition literacy is an important indicator to evaluate the effect of public health intervention and one of the important concepts in health promotion. Thus, this study aimed to verify the reliability and validity of a nutrition literacy assessment questionnaire (NLAQ) and investigate the associated factors of nutrition literacy among college students. Methods We conducted a cross-sectional online survey of college students from April to November 2022 in Wuhan (N = 774). We employed the Cronbach’s alpha coefficient, exploratory and confirmatory factor analysis to evaluate the reliability and validity. We used latent profile analysis to classify the nutrition literacy. We conducted Chi-square test and binary logistic regression to identify the influencing factors. Results The Cronbach’s alpha coefficient of the NLAQ and its dimension was ranging from 0.837 to 0.909. The common factors were consistent with the original dimensions. All indicators met the requirements (χ2/df = 6.16 < 8, GFI = 0.929, NFI = 0.939, CFI = 0.948, RMSEA = 0.082 < 0.1). College students’ disciplines (χ2 = 7.769, P = 0.021), mothers’ education level (χ2 = 26.599, P < 0.001), and fathers’ occupation type (χ2 = 11.218, P = 0.024) had impacts on nutrition literacy. Conclusion The NLAQ has good reliability and validity, and could be used as a measurement tool to evaluate college students’ nutrition literacy. Schools and families should take targeted measures to improve the college students’ nutrition literacy.

Abstract Objectives: The current study aims to examine the prevalence rates and the relationship of symptoms of depression, anxiety, and comorbid depression/anxiety with neurocognitive performance in college athletes at baseline. We hypothesized a priori that the mood disturbance groups would perform worse than healthy controls, with the comorbid group performing worst overall. Methods: Eight hundred and thirty-one (M = 620, F = 211) collegiate athletes completed a comprehensive neuropsychological test battery at baseline which included self-report measures of anxiety and depression. Athletes were separated into four groups [Healthy Control (HC) (n = 578), Depressive Symptoms Only (n = 137), Anxiety Symptoms Only (n = 54), and Comorbid Depressive/Anxiety Symptoms (n = 62)] based on their anxiety and depression scores. Athletes’ neurocognitive functioning was analyzed via Z score composites of Attention/Processing Speed and Memory. Results: One-way analysis of variance revealed that, compared to HC athletes, the comorbid group performed significantly worse on measures of Attention/Processing Speed but not Memory. However, those in the depressive symptoms only and anxiety symptoms only groups were not significantly different from one another or the HC group on neurocognitive outcomes. Chi-square analyses revealed that a significantly greater proportion of athletes in all three affective groups were neurocognitively impaired compared to the HC group. Conclusions: These results demonstrate that collegiate athletes with comorbid depressive/anxiety symptoms should be identified, as their poorer cognitive performance at baseline could complicate post-concussion interpretation. Thus, assessing for mood disturbance at baseline is essential to obtain an accurate measurement of baseline functioning. Further, given the negative health outcomes associated with affective symptomatology, especially comorbidities, it is important to provide care as appropriate.

The Millennial Generation is frequently identified with narcissistic behavior. However, less work has examined the narcissism of the subsequent generational cohort, Generation Z. In this article, we review the literature on the relationship between narcissism and undergraduate academic major in a college of business, campus involvement, and several demographic variables. We then conduct a study ( N = 660) to evaluate subclinical narcissism and its relationship to those choices and traits among contemporary undergraduate business college students using the Narcissistic Personality Inventory (NPI) and the Single Item Narcissism Scale (SINS). Results reveal one of the highest mean NPI scores in the literature, corroborating prior findings concerning elevated narcissism among business students and providing a piece of evidence concerning intergenerational narcissism. Then, using a set of regression models, we find that NPI scores are higher among finance majors, leaders of student organizations, males, younger students, extrinsically religious students, and non-White students. The SINS is supported as a valid measure of subclinical narcissism. We then discuss how these findings have influenced our approach to course policy and classroom management, and we outline directions for future research based on this exploratory study of Generation Z college students.

AbstractAlcohol intoxication is a prevalent feature of university life and campus sexual assault cases. While previous research has examined how students perceive obvious cases of assault, less is known about how students evaluate more ambiguous sexual scenarios—such as those including two intoxicated individuals. In three survey experiments with college students (N = 990), we examined how manipulating the intoxication (sober vs. drunk) of a man accused of assault (the respondent) influenced perceptions of a hook-up scenario involving an intoxicated woman. Although university policies indicate that respondent intoxication should not influence evaluations of these scenarios, we hypothesized that students would be influenced by cues of respondent intoxication when making judgments of the hook-up and the individuals involved. Students reported that the hook-up was a sexual assault more often when the respondent was sober compared to when he was drunk, and they found sober respondents more responsible for the encounter than drunk respondents. Although effect sizes fluctuated across studies, an internal meta-analysis found evidence of significant (but modest) aggregate effects. Furthermore, perceptions of the respondent’s agency mediated the effects of intoxication on perceptions of respondent responsibility (Studies 2 & 3). We also manipulated whether the respondent should have reasonably known the complainant was drunk (Studies 1 & 2) and whether the complainant or the complainant’s friend reported the incident (Study 3), but these manipulations had little effect on students’ perceptions of the vignettes. We discuss how our findings can guide future research and consider implications of our results for university stakeholders.

AbstractThe purpose of this study was to compare the effects of High-Intensity Interval Training (HIIT) and Moderate-Intensity Continuous Training (MICT) on weight, body composition, blood lipid indicators, and metabolic status in college students living with obesity. The study focused on a sample of 40 college students living with obesity, including 20 males and 20 females, aged between 18 and 25. Participants were randomly assigned to either the HIIT group or the MICT group. Both groups underwent an 8-week intervention, consisting of three sessions per week with alternate-day training. The MICT group's training consisted of continuous aerobic exercise for 35 min at 60–70% of maximum heart rate. The HIIT group engaged in 28 min of alternating high-intensity and low-intensity exercise, where the high-intensity phase was at 85–90% of maximum heart rate for 4 min, followed by a 3-min recovery period at 50–60% of maximum heart rate, repeated four times. Both groups underwent heart rate monitoring before and after the training sessions to ensure the accuracy of the training intensity. Within each group, further distinctions were made based on gender, resulting in the following subgroups: Male HIIT group (n = 10), Female HIIT group (n = 10), Male MICT group (n = 10), and Female MICT group (n = 10). Differences in anthropometric and biochemical indicators among the groups were analyzed, and the different effects of the two intervention strategies on the obese college student population were comprehensively evaluated. Compared to the baseline assessment, the HIIT group showed a more favorable declining trend than the MICT group in terms of body morphology and body composition, particularly in the aspect of body fat percentage (BF%). The male HIIT group, female HIIT group, male MICT group, and female MICT group respectively reduced by − 23.71%, − 26.76%, − 9.81%, − 7.16%. Male and female HIIT group experienced a more pronounced decrease compared to the MICT group, with the female HIIT group reducing an additional 3.75% more than the male HIIT group. Regarding intergroup differences, BF% significant differences were shown between male MICT group and the HIIT group (P < 0.05), and female MICT group and the HIIT group (P < 0.01). In terms of biochemical indicators, the HIIT group also presented a more favorable declining trend compared to the MICT group, with male HIIT participants showing more reduction than female HIIT participants, especially in total cholesterol (TC) (10.64%), low-density lipoprotein cholesterol (LDL-C) (11.73%), alanine aminotransferase (ALT) (11.99%), and uric acid (UA) (11.76%). Regarding triglycerides (TG), significant intergroup differences were observed between male MICT and HIIT groups (P < 0.01) and female MICT and HIIT groups (P < 0.01). Concerning ALT, a significant difference was shown between female MICT and HIIT groups (P < 0.01), while no significant difference was observed among male participants. Overall, for college students living with obesity, both HIIT and MICT have shown positive effects. Among these, HIIT demonstrates greater effectiveness compared to MICT in BF% and biochemical markers.