scholarly journals Remote vs. In-person Delivery of LearningRx One-on-One Cognitive Training During the COVID-19 Pandemic: A Non-inferiority Study

2021 ◽  
Vol 12 ◽  
Author(s):  
Amy Lawson Moore ◽  
Terissa Michele Miller ◽  
Christina Ledbetter

The COVID-19 pandemic challenged in-person delivery of cognitive training. Some clinics pivoted to remote delivery for those impacted by lockdowns, illness, or fear of exposure to the virus. However, it was unknown if remote delivery using teleconferencing technology was as effective as in-person delivery. The current study compared the outcomes of remote delivery to in-person delivery of ThinkRx cognitive training during 2020. The sample included 381 child and adult clients from 18 cognitive training centers. One group (n = 178, mean age = 12.3) received traditional in-person delivery of cognitive training. The second group (n = 203, mean age = 11.7) received remote delivery of one-on-one cognitive training via Zoom teleconferencing. Each client was assessed before and after the intervention using the Woodcock Johnson IV Tests of Cognitive Abilities. Clients completed an average of 112 h of cognitive training delivered by a clinician in 90-min sessions 3 or 4 days per week. Paired samples t-tests revealed significant differences from pretest to post-test across all constructs for both groups. After Bonferroni correction, MANOVA revealed no significant difference in changes scores between the two intervention groups on any of the subtests. With very small effect sizes, linear regression analyses indicated that age was a significant predictor of change in working memory and processing speed for the in-person group, and a significant predictor of change in overall IQ score for the teletherapy group. Non-inferiority analyses indicated remote delivery is not inferior to in-person delivery on the primary outcome measure of overall IQ score along with processing speed, fluid reasoning, long-term memory, and visual processing. Although in-person training results were slightly higher than remote training results, the current study reveals remote delivery of cognitive training during COVID-19 was a viable alternative to in-person delivery of cognitive training with little practical differences based on the age of client.

2018 ◽  
Vol 1 ◽  
pp. 107
Author(s):  
Adi Heryadi ◽  
Evianawati Evianawati

This study aims to prove whether transformational leadership training is effective for building anti-corruption attitudes of villages in Kebonharjo village, subdistrict Samigaluh Kulonprogo. This research is an experimental research with one group pre and posttest design.Subject design is 17 people from village of 21 candidates registered. Measuring tool used in this research is the scale of anti-corruption perception made by the researcher referring to the 9 anti-corruption values with the value of reliability coefficient of 0.871. The module used as an intervention made by the researcher refers to the transformational leadership dimension (Bass, 1990). The data collected is analyzed by statistical analysis of different test Paired Sample Test. Initial data collection results obtained sign value of 0.770 which means> 0.05 or no significant difference between anti-corruption perception score between before and after training. After a period of less than 1 (one) month then conducted again the measurement of follow-up of the study subjects in the measurement again using the scale of anti-corruption perception. The results of the second data collection were analysed with Paired Samples Test and obtained the value of 0.623 sign meaning p> 0.05 or no significant difference between post test data with follow-up data so that the hypothesis of this study was rejected.


2017 ◽  
Vol 9 (1-4) ◽  
Author(s):  
Mohamad Nizam Arshad ◽  
Noor Azean Atan ◽  
Abdul Halim Abdullah ◽  
Mahani Mokhtar ◽  
Mohd Salleh Abu

Reasoning skills are very important in encouraging students to think more critically and logically, as depicted in the Malaysian Education Development Plan (2013-2025). Therefore, this study looked into improving the Differentiation Reasoning Level (DRL) of reasoning skills among students for a topic in the Additional Mathematics subject,  known as Differentiation, through reasoning learning strategy. The study participants consisted of a total of 31 students from a secondary boarding school in Johor, selected through a purposive sampling method. A pre-test was carried out for the participants, from the advanced level, followed by a number of repetition tests, before the post-test assessment was conducted. The data collection for this study employed a set of Reasoning Test on Differentiation (RTD) and 10 sets of learning activities on Differentiation based on modified Marzano Rubric for Specific Task of Situations (1992). This dimension involved four types of reasoning skills, namely,  comparison, classification, inductive, and deductive. The survey data, through paired samples t-test, revealed a significant difference between the mean scores in pre-test and post-test (p <0.05). In addition, the paired sample t-test showed a significant difference on the level of reasoning among students from each construct in the reasoning skills before and after using this module. In conclusion, the Marzano Model of Dimensional Learning (1992) is a thinking skill model that can help improve students' reasoning skills. The model covers analysis aspects of what has been learned by implementing the process of identifying reasons, which will help students to add and expand their knowledge. The findings also implied that, the processes of teaching and learning play an important role in ensuring students’ capability to emphasize on the implementation process of reasoning skills


2020 ◽  
pp. 019459982096915
Author(s):  
Jaxon W. Jordan ◽  
Christopher Spankovich ◽  
Scott P. Stringer

Objective The objective of our study was to review the current literature pertaining to perioperative opioids in sinus surgery and to determine the effects of implementing opioid stewardship recommendations in the setting of endoscopic sinonasal surgery. Study Design Single-institution retrospective case-control study. Setting Academic medical center outpatient area. Methods This retrospective review comprised 163 patients who underwent routine functional endoscopic sinus surgery, septoplasty, and/or inferior turbinate reduction before and after implementation of a standardized pain control regimen based on published opioid stewardship recommendations. The regimen consisted of an oral dose of gabapentin (400 mg) and acetaminophen (1000 mg) at least 30 minutes prior to surgery, absorbable nasal packing soaked in 0.5% tetracaine intraoperatively, and a postoperative regimen of acetaminophen and nonsteroidal anti-inflammatory medications. Tramadol tablets (50 mg) were prescribed postoperatively for breakthrough pain. The primary outcome measure for the study was the average number of hydrocodone equivalents (5 mg) prescribed before and after the new protocol. Results The average number of opioid medications prescribed, measured as hydrocodone equivalents (5 mg), decreased from 24.59 preprotocol to 18.08 after the initiation of the new perioperative regimen ( P < .001). There was no significant difference between the periods ( P > .05) in number of postoperative phone calls regarding pain or in patient satisfaction scores. Conclusion Opioid stewardship recommendations can be instituted for sinonasal surgery, including multimodal perioperative pain management and substitution of tramadol for breakthrough pain, as a method to decrease the volume of opioids prescribed, without increasing patient phone calls or affecting the likelihood of physician recommendation Press Ganey scores.


Author(s):  
Maria Fransiska Wist Towa ◽  
Abdul Halim

This research is to analyze the local financial capability of Ngada Regency before and after the expansion by measuring and analyzing local financial capacity indicated by Fiscal Autonomy Degree (DOF), Routine Capacity Index (IKR) and PAD Performance Index (IPPAD). It is also analyze the correlation between local financial capability with the economic development of Ngada Regency. The data used in this research was secondary data in the form of time series with the observation period was from 2002 to 2011. The analysis tools to answer the research’s purpose were the indicator of local financial capability through Fiscal Autonomy Degree (DOF), Routine Capacity Index (IKR) and PAD Performance Index (IPPAD), paired samples test and pearson correlation.The research finding showed that the local financial capability of Ngada Regency was still low, where the Fiscal Autonomy Degree (DOF) was very less because the ratio is < 10 percent, Routine Capacity Index (IKR) had shortage since it is < 20 percent and the ratio of PAD Performance Index (IPPAD) was poor because IPPAD was < 1. There was a significant difference of the local financial capability between before and after the expansion of Ngada Regency showed by Fiscal Autonomy Degree (DOF). There was no correlation between the indicators of local financial capability (DOF, IKR and IPPAD) with the indicators of economic development through the indicator of GDP’s Ngada Regency.


2021 ◽  
Vol 2 (2) ◽  
pp. 142
Author(s):  
Arin Ramadhiani Soleha ◽  
Iza Hanifuddin

AbstractIslamic insurance has a big role in the Islamic finance sector with the principle of mutual help. Gross contribution is one of the funds that can be utilized for insurance participants and companies. Covid19, which has an impact on the economic sector, makes understanding the growth of sharia insurance before and after the pandemic in terms of gross contribution very important. This study aims to further review the gross contribution from March-December to find out whether there is a significant difference from the gross contribution of sharia insurance before and after the Covid-19 pandemic. The study was conducted using a comparative quantitative approach with two paired samples. The research sample uses time series data, namely the gross contribution of sharia insurance in 2019 and 2020 for the period from March to December. The results of this study found that the comparison of gross contribution to the Islamic insurance industry seen before the 2019 pandemic and after the 2020 pandemic which was taken from March to December was normally distributed. This means that the development of sharia insurance when viewed before the 2019 pandemic and after the 2020 pandemic according to the gross contributions from sharia insurance participants did not experience a significant difference and will certainly increase.AbstrakAsuransi syariah memiliki peran besar pada sektor keuangan syariah dengan prinsip saling tolongmenolong. Kontribusi bruto merupakan salah satu dana yang dapat dimanfaatkan bagi peserta asuransi maupun perusahaan. Covid-19 yang berdampak pada sektor perekonomian, menjadikan pemahaman mengenai pertumbuhan asuransi syariah sebelum dan sesudah pandemi ditinjau dari kontribusi bruto sangat penting. Penelitian ini bertujuan untuk meninjau lebih lanjut kontribusi bruto dari Maret-Desember untuk mengetahui apakah ada perbedaan yang signifikan dari kontribusi bruto asuransi syariah sebelum dan sesudah pandemi Covid-19. Penelitian dilakukan dengan pendekatan kuantitatif komparatif dengan dua sampel berpasangan. Sampel penelitian menggunakan data time series yaitu kontribusi bruto asuransi syariah tahun 2019 dan 2020 periode bulan Maret hingga Desember. Hasil penelitian ini menemukan bahwa perbandingan kontribusi bruto pada industri asuransi syariah dilihat saat sebelum pandemi tahun 2019 dan sesudah pandemi 2020 yang diambil pada periode Maret hingga Desember berdistribusi normal. Hal tersebut berarti bahwa perkembangan asuransi syariah jika ditinjau pada saat sebelum pandemi tahun 2019 dan sesudah pandemi tahun 2020 menurut kontribusi bruto yang berasal dari para peserta asuransi syariah tidak mengalami perbedaan yang signifikan dan dapat dipastikan akan mengalami peningkatan.


2021 ◽  
Vol 36 (4) ◽  
pp. 667-667
Author(s):  
Sohoni R ◽  
Gorres K ◽  
Sibol M ◽  
Yousif M ◽  
LoGalbo A

Abstract Objective SWAY is a mobile software system using an accelerometer designed to measure postural sway and reaction time in the context of concussion. This study examined the efficacy of SWAY in detecting changes in balance and reaction time before and after concussion. Methods College athletes (N = 30, 10 females) underwent baseline, post-trauma, and follow-up evaluations following a concussion including SWAY, mBESS, Sports Concussion Assessment Tool 5th Edition (SCAT-5), and Immediate Post Concussion Assessment and Cognitive Testing (ImPACT). Results Paired-samples t-tests revealed a decline in SWAY balance from baseline (M = 82.65, SD = 14.48) to post-trauma (M = 74.61, SD = 17.41), t(29) = 2.99, p = 0.006, but no significant difference was observed in reaction time (M = 5.07, SD = 13.61), t(29) = 2.04, p = 0.050. Meanwhile, balance improved at follow-up (M = 78.93, SD = 15.32), and was no longer discrepant from baseline (M = 81.97, SD = 14.51), t(21) = 1.03, p = 0.316. Similarly, there was a significant decline in mBESS scores from baseline (M = 2.88, SD = 3.62) to post-trauma (M = 5.68, SD = 5.32), t(24) = −3.51, p = 0.002, followed by a return to baseline at follow up (M = 4.22, SD = 4.95), t(22) = −1.60, p = 0.124. Conclusions Although challenges were apparent in obtaining an optimal baseline, current results appear to support the clinical utility of SWAY for assessing balance in the context of concussion evaluations. Further research appears warranted to support SWAY as a method of diagnosing concussion and monitoring return to baseline.


2018 ◽  
Vol 3 (01) ◽  
pp. 54
Author(s):  
Dedy Mulyadi ◽  
Kartika .

Considering the major role of human resource in achieving the company’s goal the company should provide an operational skill or knowledge directly from manager to employee’s levels. The company should give the employees a better understanding that the training is provided not only to execute the pre-determined program smoothly, but also to increase the quality of their achievement in their own field that in turn will influence their income, performance and future career planning. Comparing the statistical scores gained by the employee before and after the training proves the significant difference. After the training the score was higher (3.87%) than before the training (3.08%), which means that the training gave good impact. Other statistical computation using t – paired samples with α = 0.005 and degree of freedom (df = 29) also proved the difference where t counted (-38.445) is bigger than t table (-1.669). The training was basically aiming at formulating the expected ability from the employees to change their behavior. Such a change was formulated in terms of behavioral change and a short-term educational program by using systemic and organized procedures, so that operative employees learn technical and skill knowledge for specific purpose.


2020 ◽  
Vol 8 (1) ◽  
pp. 22-24
Author(s):  
Sri Aryanda ◽  
Azizah Nasution ◽  
Khairunissa K

Objective: To study the impact of intervention on the reduction of white blood cells (WBC) in the management of infection in patients with pneumonia in Universitas Sumatera Utara (USU) hospital period July through September 2019. Method: This three-month analytical prospective cohort study analyzed the reduction of WBC in the management of infection in pneumonia patients (n=42) before and after intervention in USU hospital. A self-designed questionair was used to assess the patients characterics, the required laboratory data including WBC, and length of stay (LOS). The base-line data were assessed after three days of treatment. The data with  intervetion were assessed between July - September 2019. The Patients characteristics and drug utilization were analyzed descriptively. The levels of WBC before and after interventions were compared using paired samples t test (p < 0.05) was considered significant. Results: Characteristics of the pneumonia patients: male, 61.9%; female, 38.1%. The mean age of patients with pneumonia was 60.48 ± 14.76 years. The most widely used antibiotic was ceftriaxone as much as 48%. There was a significant difference in reduction of WBC between patients with pneumonia before and after intervention, p= 0.002. Conclusions: Intervention can significantly increase the treatment of infection in patients with pneumonia.  


2015 ◽  
Vol 3 (2) ◽  
Author(s):  
Yunita P. Moniaga ◽  
Youla A. Assa ◽  
Stefana H. M. Kaligis

Abstract: Human body needs various substances to function properly; one of which is micronutrient. Iron is one of the micronutrients required by the body that is involved in several body processes including hemoglobin formation, energy metabolism, and immune system. Iron can be excreted through feces, urine, and sweat which could increase as a result of doing vigorious physical activity. This study aimed to compare blood iron level before and after vigorous intensity exercise. This was a pre-experimental study with one group pre-test post-test approach. Respondents were chosen by using simple random sampling method. The vigorous intensity exercise was playing futsal for 2 x 20 minutes and a 10-minute rest without any subtitution. The results showed that the mean of blood iron levels before vigorous intensity exercise was 83.86 ug/dL and after the exercise was 84.95 ug/dL. The analysis using paired-samples t-test showed a P value = 0.595. Conclusion: There was no significant difference between blood iron level before and after vigorous physical activity.Keywords: blood iron level, exxercise, vigorous intensityAbstrak: Tubuh manusia memerlukan berbagai macam zat untuk berfungsi, salah satunya ialah mikronutrien. Besi merupakan salah satu mikronutrien penting yang dibutuhkan tubuh untuk pembentukan hemoglobin, metabolisme energi, dan sistem kekebalan tubuh. Besi dapat diekskresikan melalui tinja, urin, dan keringat yang dapat meningkat akibat aktivitas fisik intensitas berat. Penelitian ini bertujuan untuk mengetahui perbandingan kadar besi darah sebelum dan sesudah aktivitas fisik intensitas berat. Penelitian ini bersifat pre-ekperimental dengan pendekatan one group pre-test post-test. Responden dipilih menggunakan metode simple random sampling. Aktivitas fisik intensitas berat yang dilakukan ialah olahraga futsal dengan durasi permainan 2 x 20 menit dan jeda 10 menit tanpa adanya pergantian pemain. Hasil penelitian menunjukkan nilai rata-rata kadar besi darah sebelum aktivitas fisik 83,86 μg/dL dan sesudah 84,95 μg/dL. Hasil analisis menggunakan paired-samples t-test menunjukkan nilai P = 0,595. Simpulan: Tidak terdapat perbedaan bermakna antara kadar besi darah sebelum dan sesudah aktivitas fisik intensitas berat.Kata kunci: kadar besi darah, aktivitas fisik, intensitas berat


2019 ◽  
Vol 34 (2) ◽  
Author(s):  
C H Asta Nugraha ◽  
Suroto Suroto

<p>This study aims to find out the empirical evidence of Indonesia capital market investors’ reaction toward presidential election 2019. The population in this study is the companies’ stocks which are included in the LQ-45 index during this study. The data used is secondary data in the form of LQ-45 stocks and daily Composite index three days before and three days after the event. By implementing the one sample t-test and paired samples t-test, the result shows that there is a positive and significant abnormal return around the event especially on the third day (t+3) after the event.  Moreover, there is an insignificant difference in the average of negative abnormal return and significant difference on the average of negative trading volume activity, before and after the presidential election 2019.</p><p><strong>Keywords:</strong> Capital Market, Event Study, Abnormal Return, Trading Volume Activity, Investors’ Reactions</p><p class="Default"><em>Penelitian ini bertujuan untuk menemukan bukti empiris reaksi investor pasar modal Indonesia terhadap peristiwa pemilihan presiden 2019. Populasi penelitian ini adalah saham-saham perusahaan yang konsisten tergabung dalam indeks LQ-45 selama periode penelitian. Data yang digunakan adalah data sekunder berupa harga saham LQ-45 dan IHSG harian tiga hari sebelum dan tiga hari setelah peristiwa. Uji statistik yang digunakan untuk menguji hipotesis adalah one sample t-test dan  paired samples t-test. Hasil yang diperoleh menunjukkan terdapat abnormal return positif dan signifikan di sekitar  peristiwa terutama pada hari ke-3 (t+3) setelah peristiwa. Selain itu, terdapat perbedaan rata-rata abnormal retrun negatif tidak signifikan dan terdapat perbedaan rata-rata trading volume activity negatif yang signifikan antara sebelum dan setelah peristiwa pemilihan presiden 2019. </em></p><p><strong><em>Kata Kunci</em></strong><em>: Pasar Modal, Studi Peristiwa, </em>Abnormal Return, Trading Volume Activity, <em>Reaksi Investor</em></p>


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