Redefining the Neck: A Retrospective Review Utilizing Hyoid Suspension

2018 ◽  
Vol 35 (4) ◽  
pp. 198-204
Author(s):  
Sami A. Nizam ◽  
Rhys Branman
Keyword(s):  
Standard Deviation ◽  
Statistical Significance ◽  
Biomechanical Testing ◽  
Retrospective Chart Review ◽  
Mean Difference ◽  
Control Group ◽  
P Value ◽  
Hyoid Suspension ◽  
The Mean ◽  
Experimental Group

Neck contouring is one of the most frequent reasons patients seek cervicofacial rhytidectomy. But what makes for aesthetically pleasing youthful neck? Ellenbogen and Karlin described 5 criteria in their 1980 landmark publication, including having a cervicomental angle between 105° and 120° and a visible subhyoid depression. Recent advances in neck anatomy have revealed the existence of ligamentous like structures attaching the skin and platysma to the hyoid. These have been termed the hyoplatysmal ligament (HPL) and cervicomental suspensory angle ligament by different authors. This study was undertaken to determine whether surgically reestablishing the above structures utilizing a hyoid suspension technique resulted in statistically significant changes in cervicomental contour. A retrospective chart review was performed from January 2014 to present. After December 2016, the second author began utilizing a hyoid suspension technique where the inter- and subplatysmal fat was resected and the HPL was reestablished surgically (hyoid suspension). Cases before this date served as controls if a similar neck manipulation was performed without reestablishing the HPL. In total, 104 charts were queried, of which, 21 charts fit inclusion criteria to serve as controls and 20 as the experimental group. Before and after profile pictures were then compared for differences in cervicomental angle utilizing commercially available imaging software (Canfield Mirror, Parsippany, New Jersey). An unpaired Student t test was then performed to determine whether this 2 groups differed significantly utilizing a P value of .05 to denote statistical significance. The mean difference between pre- and postoperative cervicomental angle for the control group was 17.38° with a standard deviation of 8.05°. The mean difference between pre and postoperative cervicomental angle for the experimental group was 28.75° with a standard deviation of 15.52°. The resulting 11.37° difference in cervicomental angle between the 2 groups was found to be statistically significant with a P value of .0051. Our cosmetic surgical and anatomical knowledge continues to progress. Brant first described a ligamentous structure that attaches the platysma to the hyoid. Through biomechanical testing, he noted this ligament to be one of the weakest in the face and neck. Thereafter, in 2016 Yousif et al and Le Lourn separately described similar procedures to attach the platysma to the hyoid, in effect reestablishing this ligament. Utilizing one simple surgical maneuver, the hyoid suspension reestablishes the HPL. This surgically creates an acute cervicomental angle, resulting in less platysmal displacement postoperatively, with virtually no addition to surgical time or morbidity.

scholarly journals Pengaruh Jus Apel Terhadap Penurunan Tekanan Darah pada Lansia Hipertensi di Puskesmas Muara Kaman

2018 ◽  
Vol 5 (2) ◽  
pp. 121-129
Author(s):  
Siti Khoiroh
Keyword(s):  
Blood Pressure ◽  
Community Health ◽  
Apple Juice ◽  
Antihypertensive Drugs ◽  
Intervention Group ◽  
T Test ◽  
Mean Difference ◽  
Control Group ◽  
P Value ◽  
The Mean

Background : Hypertension is a condition of high blood pressure in the arteries that lasted continuously for the long term. Hypertension can be overcome in two ways: pharmacology and non-pharmacology. Pharmacology treatment usually use medicine while one of the ways for non-pharmacology treatment is to consumes apple juice.Research Objective : The aim of this research is to know the effect of apple juice on blood pressure decrease in elderly people with hypertension at Muara Kaman Community Health Center.Methods : The design of this research used quasi experimental design (quasi experiment) with pretest posttest control group design. The sample of the research was hypertensive respondents at Muara Kaman Community Health Center as many as 30 respondents were divided into 2 groups, 15 intervention groups and 15 control groups. The sampling technique used purposive sampling. The research instruments were stethoscope and sphygmomanometer, data analysis using t test dependent and t test independent.Results : There were a significant influence between pretest and posttest of apple juice in the intervention group (P value = 0,000; P <0.005). The mean difference in systolic blood pressure in the intervention group and the control group also had significant differences (P value = 0.002; P <0.05), where as the mean difference in diastolic blood pressure in the intervention group and the control group also had significant differences (P value = 0,039; P <0,05).The Conclusions : The results of this research showed that consumes apple juice gives an effect on the blood pressure of hypertensive patients by consumes regularly.The Suggestions : Nurses and the public can use apple juice as one of the ways to handling to hypertension sufferers besides antihypertensive drugs.

scholarly journals The Effects of Chemical Disinfection on Dimensional Stability among Different Type of Impression Addition Silicon Materials

2020 ◽  
Vol 5 (12) ◽  
pp. 645-649
Author(s):  
Salah A. Yousief ◽  
Khames T. Alzahrani ◽  
Suha M. Alhuwairini ◽  
Fai Y. Alharbi ◽  
Dalal A. Eissa ◽  
...  
Keyword(s):  
Standard Deviation ◽  
Epoxy Resin ◽  
Dimensional Stability ◽  
Control Group ◽  
P Value ◽  
Impression Material ◽  
Dimensional Changes ◽  
The Mean ◽  
Master Model ◽  
The Cross

Introduction: Saliva and blood contaminated impressions are often a source of cross contamination between the clinic and dental laboratory. Explicit communication and observance of an infection control protocol for handling of dental impressions must exist among the office staff as well as between office and dental laboratories. Though disinfection of impression is routinely followed, autoclaving elastomeric impression is an effective method of sterilization them. Objectives: The purpose of this study was to evaluate dimensional stability and detail reproduction of a new addition silicon impression material after disinfection. Methods: In this study, a total of twenty impressions for the master model using heat resistant plastic stock trays. The twenty impressions were divided into two groups according to disinfection technique: (Table 2) Group 1: (n=10) Control group, untreated impressions. (C.G) Group 2: (n=10) Impressions were chemically disinfected. (D.G). after all impressions treatment, they were poured with extra hard stone (type IV) to get stone casts. Dimensional accuracy and detail reproduction of the impression material were evaluated indirectly through the recovered improved stone casts from impressions of the master model using the travelling microscope. Results: Cross arch distance (A): Epoxy resin master model cross arch distance measurement (A) was (41.36 mm). 1.1 Measurements of the cross-arch distance of stone casts Control group (C.G): The mean and standard deviation values of distance (A) in stone models obtained from C.G. were 41.553 ± 0.170 mm. Disinfection group (D.G): The mean and standard deviation values of distance (A) in stone models obtained from D.G were 41.368 ± 0.083 mm. ANOVA test showed that there was a statistically difference shrinkage between the groups (P-value = 0.006). 1.2 Measurement of the dimensional changes in the cross-arch distance of the different groups. The mean and standard deviation values of cross arch distance changes in stone models of C.G. were 0.191 ± 0.170 mm. while dimensional changes in stone models obtained from D.G. were 0.006 ± 0.082 mm. Conclusion: The purpose of this study was to evaluate dimensional stability and detail reproduction of a new addition silicon impression material after disinfection. In this study an epoxy resin master model was duplicated from a modified dentate mandibular model. Within the limitations of this study, it could be concluded that Chemical disinfectant of polyvinyl siloxane impression material can be successfully used in making fixed partial dentures.

scholarly journals Pirzi Doll”: A Method for Increasing Children’s Knowledge and Attitude in Balanced Nutrition

2019 ◽  
Vol 8 (2S9) ◽  
pp. 165-169
Keyword(s):  
Nutrition Education ◽  
Control Group ◽  
P Value ◽  
Nutritional Education ◽  
Control Groups ◽  
School Aged Children ◽  
The Mean ◽  
Knowledge And Attitude ◽  
And Control ◽  
Experimental Group

Nutrition is one of the main problems in the world, where the number of malnourished patients reaches less than 104 million children and one third of all causes of child mortality worldwide are still caused by malnutrition. Nutrition knowledge in school-aged children is one of the factors determining patterns food consumption and nutritional status. Nutrition education in school-aged children can improve children's nutritional knowledge and play a role in food selection and eating habits. Nutrition education should start from an early age. Nutrition and health education began to be directed at kindergarten and elementary school students, since this age group has a habit of attitude that is relatively easy to be formed. This study aims to determine the effect of nutrition education by story’s telling with pirzi doll media to increase knowledge and attitude of children about balanced nutrition. This study used quasi-experimental design with two group pre and post-test design sampling was carried out with a systematic random sampling. Sample of research were children enrolled in Kindergarten IT Rabbani and IT Menara Fitrah in Ogan Ilir District. There were 37 samples on control group dan 39 samples on experimental group. The results of statistical analysis using Mann-Whitney test. The mean score of knowledge after being given a nutritional education was 26.15 ± 3.10 in the experimental group and in the control group was 26.05± 3.16 (p-value=0.817). The mean score of attitudes after being given a nutritional education was 13.69 ± 1.97 in the experimental group and in the control group was 11.24 ± 3.67 (p-value=0.002). There was no difference in mean score of knowledge between the experimental and control groups after being given a nutritional education. There was a difference in mean values of attitudes between the experimental and control groups after being given a nutritional education.

scholarly journals The Impact of Divergent and Convergent Tasks on Iraqi EFL Students Reading Comprehension Success

2021 ◽  
Vol 1 (1) ◽  
pp. 35-39
Author(s):  
Sabeeha Hamza Dehham ◽  
Nadia Majeed Hussein
Keyword(s):  
Reading Skills ◽  
Experimental Approach ◽  
Statistical Significance ◽  
Control Group ◽  
Efl Students ◽  
Preparatory Stage ◽  
The Mean ◽  
And Control ◽  
The Impact ◽  
Experimental Group

This research attempted to explore the effects of divergent and convergent tasks on the successful reading of EFL students at the preparatory stage. To verify the analysis, the null hypothesis was established that states "There are no differences of statistical significance at the level of (0,05) among the mean of scores of the experimental group who study according to divergent and convergent task technique and the mean of the scores of the control group who study according to the regular method".  The experimental approach is used by designing two equivalent experimental groups of 32 students studying the technique proposed, and an 8-week (2019-2020) control group of 32 students, three classes each week using the Google Classroom Platform and Telegram. The present study utilized the platform Google Classroom (GC) and Telegram as an educational platform to assist students during their course learning process. The writing skills test was administered after checking with the experts. The results show that there are statistical differences at level (0,05) between the average of the experimental and control groups' reading skills and those of the experimental group. This difference is because the experimental group uses divergent and convergent tasks.

P–328 Dienogest significantly decreases the size of the cyst and alters Anti-Müllerian Hormone concentration in patients with endometrioma

2021 ◽  
Vol 36 (Supplement_1) ◽  
Author(s):  
E Karataş ◽  
B E Temiz ◽  
S Mumusoglu ◽  
H Yarali ◽  
G Bozdag
Keyword(s):  
Primary Outcome ◽  
Statistical Significance ◽  
Mean Difference ◽  
Secondary Outcome ◽  
Control Group ◽  
Significant Drop ◽  
Mean Size ◽  
The Mean ◽  
Respective Figure

Abstract Study question Does utilization of dienogest make any impact on the size of cyst and Anti-Müllerian Hormone (AMH) concentration in patients with endometrioma throughout 12-months? Summary answer Although dienogest makes a gradual reduction in the size of endometrioma cyst throughout 12-months, a significant drop in AMH serum concentration was also noticed. What is known already According to recent studies, pre-operative serum AMH levels might be illusively increased with parallel to the size of endometrioma which will be a misleading factor while deciding to operate the patient via cystectomy. Although dienogest is one of the medical options that might be commenced in patients with endometrioma cyst, there is limited data about its effect on the size of the endometrioma and hence serum AMH concentration throughout 12 months of follow up. Study design, size, duration The current observational cohort study was conducted among patients with endometrioma those treated with dienogest from January 2017 to January 2020. The primary outcome was alteration in diameter of endometrioma cyst at 6th and 12th months of treatment. Secondary outcome was alteration in serum AMH concentration in the same period. Of 104 patients treated with dienogest, 44 patients were excluded due to being treated with any type of surgical intervention during follow up period. Participants/materials, setting, methods A total of 60 patients were recruited for the final analysis. Of them, primary symptom was dysmenorrhea, chronic pelvic pain and menstrual irregularity in 16 (26.7%), 25 (41.7%) and 8 (13.3%) patients, respectively. Eighteen patients (30%) were asymptomatic. As 21 patients had bi-lateral endometrioma, size of the leading cyst was considered to be analyzed for the primary outcome measure. Paired-t test was used for comparison of numerical values and p ≤ 0.05 was taken as statistical significance. Main results and the role of chance The mean age was 31.5±8.0 years. In the time point when dienogest was started, the mean size of the endometrioma was 46.3±17.4 mm. The mean serum AMH concentration was 3.6±2.4 ng/ml. After 6 months of treatment, the mean size of the endometrioma decreased to 38.6±14.0 mm which corresponds to a mean difference of 7.8 mm (95% CI: 3.0 to 12.6; p: 0.003). The respective figure for AMH was 3.3±2.7 ng/ml which corresponds to a mean difference of 0.3 ng/ml (95% CI: –0.2 to 0.8; p: 0.23) at 6 months. After 12 months of treatment, the mean size of the endometrioma was 37.5±15.7 mm which corresponds to a mean difference of 8.9 mm (95% CI: 2.9 to 14.9; p: 0.005) at the end of 12 months. The respective figure for AMH was 2.7±1.9 ng/ml which corresponds to a mean difference of 0.9 ng/ml (95% CI: 0.1 to 1.7; p: 0.045) at the end of 12 months. The mean diameter of endometrioma and AMH concentration did not differ throughout the time period between 6th and 12th months of the treatment. Limitations, reasons for caution Although herein we present the largest data that depicts the alteration of endometrioma cyst and AMH concentration with the application of dienogest, the lack of control group is a limitation that avoids to perform any comparison. Wider implications of the findings: A shrinkage after commencement of treatment suggest that dienogest might present improvement in patients with endometrioma with respect to radiological findings, but further studies are required whether a decline in AMH concentration after 12 months refers to a genuine decrease in ovarian reserve or resolution of misleading high pre-treatment levels. Trial registration number not available

scholarly journals The effectiveness of latex wound model on wound dressing skill of the nursing students

2020 ◽  
Vol 10 (10) ◽  
pp. 68
Author(s):  
Benyaporn Bannaasan
Keyword(s):  
Nursing Students ◽  
Wound Dressing ◽  
Statistical Significance ◽  
Skill Training ◽  
Control Group ◽  
Evaluation Form ◽  
Wound Model ◽  
The Mean ◽  
Skill Evaluation ◽  
Experimental Group

Wound dressing is a skill which must be able to be performed by all nurses. If the practical ability of a nurse is weak, it will affect the quality of patient care. The objective of this research is to study the effectiveness of the latex wound model for wound dressing training on wound dressing skills of the nursing student. The latex wound model is a device used in practice which is made from rubber. The samples are the 60 second-year nursing students. Simple random sampling was applied in the selection of samples to be an experimental group and a control group for 30 persons per group. The latex wound model was provided to the experimental group for wound dressing skill training at the dormitory for a seven day period. A personal data questionnaire, wet dressing skill evaluation form, and dry dressing skill evaluation form were used for data collection. The data were analyzed using descriptive statistics, Wilcoxon Signed Ranks Test and Mann-Whitney U Test. The results indicated that: 1) the mean score of wet dressing skill and dry dressing skill after the intervention were significantly higher than before the intervention (p < .05); 2) the mean score of wet dressing skill and dry dressing skill of the experimental group were higher than that of the control group, who was given the explanation of research procedures and the use of latex wound model, at statistical significance (p < .05). The findings imply that the use of the latex wound model for wound dressing training could enhance the wound dressing practical skill of the nursing students.

Motor development in children with congenital cardiac diseases compared to their healthy peers

2007 ◽  
Vol 17 (5) ◽  
pp. 487-498 ◽  
Author(s):  
Birna Bjarnason-Wehrens ◽  
Sigrid Dordel ◽  
Sabine Schickendantz ◽  
Constanze Krumm ◽  
Daniel Bott ◽  
...  
Keyword(s):  
Standard Deviation ◽  
Motor Development ◽  
Control Group ◽  
P Value ◽  
Healthy Children ◽  
Parental Overprotection ◽  
Coordination Test ◽  
Congenital Cardiac Disease ◽  
The Mean ◽  
And Gender

AbstractTheir perceptual and motor experiences determine the physical and motor development of children, and impact also on their emotional, psychosocial, and cognitive development. Our aim, therefore, was to evaluate motor development in children with congenitally malformed hearts compared to their healthy peers.We compared 194 children, with a mean age of 10.0 years, and standard deviation of 2.7 years, representing the entire spectrum of congenital cardiac disease, to a control group of 455 healthy children, having a mean age 9.6 years, with standard deviation of 2.17 years. The bodily coordination test for children was used to examine motor development.Of the children with congenitally malformed hearts, 26.8% showed moderate, and 31.9% had severe disturbances of motor development, compared to 16.5% and 5.5% of the control group, the p-value for these differences being less than 0.001. The mean motor quotient adjusted for age and gender was lower in the children with congenitally malformed hearts than in their healthy peers, at 79.6, with standard deviation of 18.9 as opposed to 96.6, with standard deviation of 15, this difference having a p-value of less than 0.001. Depending on the presence, and/or the degree, of residual sequels, the children with congenitally malformed hearts were divided into two subgroups, with either no or mild residual sequels, or with significant sequels. The mean motor quotient was lower in those with significant residual sequels, at 75, with standard deviation of 19.3, as opposed to 83, with standard deviation of 17.9, the p-value for this difference being less than 0.01. In both subgroups, the mean motor quotient was lower, with a p-value of less than 0.01, than in the control group.Our findings show that children with congenitally malformed hearts have deficits in their motor development, these being found in the presence of no or mild sequels, as well as with significant residual sequels. Parental overprotection may contribute to these findings.

scholarly journals KEBERKESANAN KAEDAH FLIPPED CLASSROOM DALAM MENINGKATKAN KEMAHIRAN MENGOLAH ISI KARANGAN MURID-MURID SEKOLAH RENDAH

2020 ◽  
Vol 6 (1) ◽  
pp. 189-203
Author(s):  
Md Fadzil Masri ◽  
Zamri Mahamod
Keyword(s):  
Social Sciences ◽  
Standard Deviation ◽  
Flipped Classroom ◽  
Control Group ◽  
Essay Writing ◽  
Post Test ◽  
Quasi Experimental ◽  
The Mean ◽  
And Control ◽  
Experimental Group

Kajian ini dilaksanakan bagi mengkaji keberkesanan kaedah Flipped Classroom dalam meningkatkan kemahiran mengolah isi karangan Bahasa Melayu tahun 6. Kajian kuasi-eksperimen ini adalah berbentuk kuantitatif. Kajian ini dijalankan kepada 31 responden bagi kumpulan eksperimen yang diajar menggunakan kaedah Flipped Classroom dan 28 responden bagi kumpulan kawalan. Instrumen yang digunakan merangkumi ujian pra, ujian pasca, dan senarai semak. Instrumen ujian pra dan pasca dilaksanakan bagi melihat hasil dalam perbezaan prestasi penulisan isi karangan bagi kumpulan eksperimen dan kawalan. Instrumen senarai semak digunakan bagi melihat aspek pengolahan isi karangan murid. Data yang diperoleh telah dianalisis menggunakan perisian Statistical Packages for Social Sciences (SPSS) Version 23.0. Hasil kajian juga dianalisis menggunakan ujian-t. Skor min bagi kumpulan eksperimen ialah 20.64 dengan sisihan piawai 2.244 menunjukkan dapatan yang lebih tinggi jika dibandingkan skor min bagi kumpulan kawalan 14.00 dan sisihan piawai 3.620. Hasil kajian ini boleh digunakan para guru untuk menggunakan kaedah Flipped Classroom dalam topik atau mata muridan lain dengan lebih berkesan dan bersistematik. This study was undertaken to assess the effectiveness of Flipped Classroom in improving writing skills in converting the Malay 6. In this quasi-experimental study was quantitative. This study was conducted on 31 respondents for the experimental group taught using the Flipped Classroom method and 28 respondents for the control group. The instruments used include pre-test, post-test, and checklist. Pre- and post-test instruments were implemented to see the results in the differences in essay writing performance for the experimental and control groups. The checklist instrument is used to look at the processing aspects of student essay content. The data obtained were analyzed using Statistical Packages for Social Sciences (SPSS) Version 23.0 software. The results of the study were also analyzed using t-test. The mean score for the experimental group was 20.64 with a standard deviation of 2.244 showing higher findings when compared to the mean score for the control group 14.00 and a standard deviation of 3.620. The results of this study can be used by teachers to use the Flipped Classroom method in other students' topics or points more effectively and systematically.

scholarly journals Pengaruh Massage Effleurag Terhadap Kemampuan Head Control Extensi Bayi Usia 3-4 Bulan

2021 ◽  
Vol 14 (1) ◽  
pp. 33
Author(s):  
H Hastina ◽  
S Suharto ◽  
Muh. Awal
Keyword(s):  
Treatment Group ◽  
Prone Position ◽  
Motor Performance ◽  
Infant Development ◽  
Mean Difference ◽  
Control Group ◽  
P Value ◽  
Quasi Experimental ◽  
The Mean ◽  
Head Control

Abstrak. Head control merupakan salah satu penggerak yang terpenting dari sebagian besar dalam penilaian perkembangan bayi. Gangguan head control sering dikutip sebagai faktor resiko awal penundaan perkembangan head control. Penelitian ini merupakan jenis penelitian quasi eksperiment yang bertujuan untuk mengetahui pengaruh massage bayi dengan teknik effleurage  terhadap kemampuan head control extensi pada posisi tengkurap bayi usia 3-4 bulan, dimana responden penelitian dibagi menjadi dua yaitu kelompok perlakuan berjumlah 8 responden dan kelompok control berjumlah 8 responden. Penelitian ini dilaksanakan di puskesmas paccerakkang Makassar. Instrument penelitian dengan menggunakan Test Of  Infant Motor Performance (TIMP) yang digunakan untuk menilai control kepala pada bayi usia 34 minggu sampai dengan 4 bulan. Penelaian ini menilai seberapa lama dan seberapa tinggi bayi dapat mengangkat dan mempertahankan kepala saat posisi tengkurap. Berdasarkan uji mann whitney diperoleh nilai p 0.001 < 0,005 yang berarti bahwa ada pengaruh yang bermakna antra kelompok perlakuan (massage bayi) dengan kelompok kontrol. Untuk melihat hasil yang lebih baik berdasarkan nilai selisih reratanya ternyata kelompok perlakuan lebih tinggi nilai selisih rerata yaitu 18,75 dibanding kelompok kontrol. Kata kunci : Massage Effleurage, head control, bayi usia 3-4 bulan.  Effect of Massage Effleurage on Head Control Ability of Infant 3-4 Month Old Extensions Abstract. Head control is one of the most important drivers of most of the assessment of infant development. Head control disorders are often cited as a risk factor for early delays in head control development. This research is a quasi-experimental research which aims to determine the effect of massage effleurage on the ability of head control extension in the prone position of infants aged 3-4 months, where the research respondents are divided into two, namely the treatment group of 8 respondents and the control group of 8 respondents. This research was conducted at the Puskesmas Paccerakkang Makassar. The research instrument used the Test Of Infant Motor Performance (TIMP) which was used to assess head control in infants aged 34 weeks to 4 months. This study assesses how long and how high the baby can lift and hold the head in a prone position. Based on the Mann Whitney test, the p value was 0.001 <0.005, which means that there was a significant effect between the treatment group (baby massage) and the control group. To see a better result based on the mean difference value, it turns out that the treatment group has a higher mean difference value, namely 18.75 than the control group. Keywords  : massage effleurage, head control,baby aged 3-4 months

scholarly journals Effect of Using Scientific Stations Strategy in Developing Deductive Thinking of Intermediate School Students in General Sciences

2020 ◽  
Vol 12 (2) ◽  
pp. 35-48
Author(s):  
Heba Mohammed Saleh Al-Hafidh
Keyword(s):  
Statistical Processing ◽  
Mean Difference ◽  
Control Group ◽  
Intermediate School ◽  
School Students ◽  
Statistical Significant Difference ◽  
Significant Difference ◽  
The Mean ◽  
Level Of Significance ◽  
Experimental Group

The study aimed to know the effect of using the Scientific stations strategy in developing Deductive thinking of intermediate school students in the science subject. To achieve the aim of the research, the researcher used experimental design with two equal groups, the research sample consisted of (65) intermediate-grade students in Al Nidhal school for boys represented by (30) students of the experimental group and (35) students for the control group, the researcher equivalence of the two research groups with a set of variables including (Intelligence, parents ’educational level, previous achievement, age calculated by months and pre-test for Deductive thinking), to verify the research aim the researcher put the two hypotheses as following : 1- There is no statistical significant difference at the level of significance (0.05) between the scores mean of the members of the experimental group and the members of the control group in the post test of Deductive thinking. 2- There is no statistical significant difference at the level of significance (0.05) between the mean difference between the (pre and post) tests of both experimental and control groups in the Deductive thinking test. To verify the research hypotheses, the researcher prepared a test for Deductive thinking consisting of (20) items the researcher applied the test of Deductive thinking, collected the data, and tabulated it in tables for statistical processing and the results indicated: 1- There is a statistical significant difference between the scores mean of students in both groups in the Deductive thinking test and in favor of the experimental group. 2- There is a statistical significant difference between the mean difference between the two tests (pre - post) and in favor of the experimental group.

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