bluuebunny/crossref_metadata_2025_split huggingface dataset:
بررسی تاثیر میدان های شعوری طاهری بر کاهش اختلالات شخصیت مرزی در بیماران مراجعه کننده به کلینیک روانشناسی در پایتخت ایران
Authors: شیخو مهری , طاهری محمد علی 
Published: September 2023

هر ذره ای درجهان هستی تحت تاثیر میدانهای مختلفی از جمله میدان گرانشی، میدان الکترومغناطیسی، میدان هسته ای ضعیف، و میدان هسته ای قوی قرار دارد. بر اساس تئوری محمد علی طاهری، بنیانگذار طب های مکمل (فرادرمانی ـ سایمنتولوژی)، میدانهای متفاوتی از سایر میدانهای فیزیکی، با ماهیتی غیرمادی وغیرانرژیایی به نام میدانهای شعوری طاهری (ط) معرفی میشوند که درحال حاضر، فقط از طریق تجربه میتوان به وجود آنها پی برد. یکی از نتایج عملکرد میدانهای شعوری (ط)، تشخیص و درمان اختلالات ذهنی–روانی وجود انسان است. اختلال شخصیت مرزی، اختلالی چندبعدی است که با نارسایهای متعددی در روابط بین فردی، خود پنداره و کنشهای شناختی مشخص میشود. هدف پژوهش حاضر، بررسی امکان کاهش اختلالات شخصیت مرزی با قرارگیری در میدانهای شعوری (ط) است. روش پژوهش حاضر از نوع شبه آزمایشی، دارای دو گروه کنترل و آزمایش است و نمرات پیش آزمون، طی فرایند تحلیل کنترل شده است. جامعه آماری، از بین مراجعین دارای تشخیص اختلال شخصیت مرزی مراجعه کننده به یکی از کلینیک های روانشناسی تهران در سال 1398 انتخاب شده اند. نمونه آماری شامل 28 نفر از مراجعین زن دارای تشخیص اختلال شخصیت مرزی با استفاده از پرسشنامه شخصیت مرزی (STB) است. انتخاب نمونه بصورت تصادفی بوده و افراد در دو گروه کنترل وآزمایش گمارش شدند. گروه آزمایش در این مطالعه بیمارانی هستند که به مدت 60 دقیقه تحت تاثیر میدانهای شعوری (ط) قرار گرفتند. جهت تعیین اثربخشی مداخله از ازمون آنکوا با کنترل پیش آزمون استفاده شد. نتایج حاکی از اثربخشی مداخله و 27 درصد واریانس تفاوت دو گروه به علت مداخله بود. بنابراین فرضیه اصلی پژوهش تائید میشود. جهت بررسی فرضیه های فرعی از آزمون مانکوا استفاده شد. بین دو گروه در متغیرهای وابسته تفاوت معنیداری وجود داشت و اثر بخشی درمان 32 درصد بود و توان آماری نیز حاکی از کفایت نسبی حجم نمونه بوده است. طبق نتایج، تاثیر میدانهای شعوری (ط) درکاهش ناامیدی، تکانشگری به ترتیب 25 درصد، 14 درصد موثر بوده است. بنابراین فرضیه های فرعی 1 و 2 تائید و فرضیه 3 تاثیر بر عالئم تجزیه ای شخصیت (پارانوئید) رد شد.
بررسی تاثیر آموزش فرادرمانی و سایمنتولوژی بر معنای زندگی، در افراد مراجعه کننده به مرکز عرفان کمال در شهر تهران
Authors: طاهری محمد علی , پدرام نیا آرزو , لرستانی افشین , حداد منیر 
Published: September 2023

فرادرمانی و سایمنتولوژی دو طب مکمل ایرانی هستند که کاربرد میدان های شعوری طاهری (TCFs) که توسط محمد علی طاهری شناسایی و معرفی شده است را در درمان اختلالات ابعاد وجودی انسان بررسی می کنند. در این روش از طریق ارتباط بین هوش جزء و هوش کل (هوشمندی کیهانی)، اسکن زیرمجموعه صورت گرفته و ترمیم و اصلاح و بهبود انجام میپذیرد. این پژوهش باهدف بررسی تاثیر روش فرادرمانی و سایمنتولوژی و میدانهای شعوری (ط) مرتبط با آنها بر معنای زندگی در مراجعه کنندگان به مرکز آموزش عرفان کمال در شهر تهران انجام شد. روش تحقیق شبه آزمایشی از نوع پیش آزمون پس آزمون بود واز روش نمونه گیری تصادفی ساده از بین 100مراجعه کننده استفاده و تعداد 35 نفر به عنوان حجم نمونه انتخاب شدند و در گروه آزمایش قرار گرفتند. (دوره ها 56 جلسه، دو بار در هفته و هر جلسه به مدت 120 دقیقه به همراه آموزش تئوری و عملی میدان های شعوری (ط) بودند). برای جمع آوری اطلاعات از پرسشنامه معنای زندگی (Wong)، استفاده شد و اطلاعات پرسشنامه با استفاده از روش تحلیل واریانس (ANOVA) و با استفاده از نرم افزار SPSS مورد تجزیه و تحلیل قرار گرفت. نتایج نشان داد که آموزش فرادرمانی و سایمنتولوژی 78 % بر معنای زندگی افراد شرکت کننده در دوره ها تاثیر مثبت داشته است. F=126.28, p=0.000, η2 = 0.78 .همچنین متغیرهای: رفتار منصفانه، صمیمیت، پذیرش خود، تعالی خود، مذهب، ارتباطات و پیشرفت افزایش نشان دادند. در مبحث فرادرمانی و سایمنتولوژی که تمرکز اصلی بر اصلاح بینش انسان و درک فلسفه خلقت میباشد پیشبینی میشود که پس از آموزشهای دوره، بینش افراد در این مقوله ها اصلاح شوند که نتایج آماری نیز آن را تایید نمودند.
بررسی اثر میدان شعوری طاهری بر سرطان بتن (ASR)
Authors: کزازی بهاره , طاهری محمد علی 
Published: September 2023

واکنش قلیایی سیلیسی بتن به عنوان یکی از واکنش های مخرب شناخته میشود و بررسی های زیادی پیرامون آن انجام شده است. از طرف دیگر، میدان های شعوری (ط) توسط محمد علی طاهری به عنوان یک روش جدید معرفی شده اند. این میدان ها نه ماده هستند و نه انرژی، بنابراین دارای کمیت نیستد، اما هم روی ماده و هم انرژی تأثیر مستقیم دارند؛ به عبارت دیگر، اگرچه میدان های شعوری (ط) به طور مستقیم قابل اندازه گیری نیستند، اما می توانیم با آزمایش های مختلف کنترل شده، تأثیرات آنها را به طور غیرمستقیم بررسی کنیم. در این آزمایش، نمونه های ملات سیمان تحت استاندارد ASTM C1260 و اثر یکی از میدان های شعوری (ط) سنجیده شد. آزمایشهای تکمیلی، پتروگرافی سنگدانه، آنالیز FT-IR (طیف سنج مادون قرمز)، SEM (میکروسکوپ الکترونی روبشی)، XRF (فلورسانس اشعه X)، XRD (پراش اشعه ایکس) و LO.I (افت حرارتی) برای بررسی بیشتر نحوه اثرگذاری میدان شعوری (ط) انجام شد. مشخص شد که میدان شعوری (ط) توانسته تا 10 درصد (متوسط ̴ %7-0.008.0=P-value) سبب کاهش انبساط و بهبود عملکرد ملات سیمان شود و در ترکیبات شیمیایی و عنصری تغییرات مشهودی ایجاد نماید.
بررسی چرخه ی سلولی رده های سلولی فیبروبلاست جنینی و SW480 (سرطان کولون) تحت تاثیر میدان های شعوری طاهری
Authors: طاهری محمدعلی , ترابی سارا , روشنی شیما , نبوی نوشین , سمسارها فرید 
Published: September 2023

بر اساس تئوری طاهری، اعمال میدان شعوری فرادرمانی (FCF) می تواند به ترمیم و بهبود هر سیستمی که تحت تأثیر این میدان قرار می‌گیرد، منجر شود. پیش از این، اثر القا کننده رشد FCF بر روی رده‌های سلولی سرطانی MCF7 و 4T1 به ترتیب در محیط‌های in vitro و ex vivo مشاهده شد. اثر مشابهی را نمی‌توان برای آزمایش in vivo مشاهده کرد. زیرا FCF رشد تومور را در مدل‌های موش سرطانی مهار کرد. به طور کلی، نتایج مطالعات قبلی تایید کرد که بقا و رشد سلول‌های سرطانی تحت تأثیر فرادرمانی قرار گرفتند. مطالعه حاضر با هدف ارزیابی تکرارپذیری مشاهدات در مطالعات قبلی با استفاده از کشت سلولی in vitro رده سلولی فیبروبلاست و میدان شعوری فرادرمانی و رده ی سلولی سرطانی کولون (SW480) و دو نوع میدان شعوری انجام شد. تجزیه و تحلیل داده‌های چرخه ی سلولی نشان داد که فرادرمانی منجر به کاهش آپوپتوز و افزایش تکثیر در فیبروبلاست می شود و از این نظر این مشاهده مطابق با مطالعات قبلی بود. همچنین بر اساس نتایج MTT، دو میدان TCF1 وTCF2 زنده مانی SW480 را افزایش دادند. آنالیز چرخه سلولی نشان داد که TCF2 زنده مانی و میزان تکثیر SW480 را کاهش داد. در جمع‌بندی، میدان‌های شعوری(ط) مرگ و بقا را در این رده‌ها تحت تاثیر قرار داد. مطالعات in vitro و in vivo بیشتری برای مشخص کردن مکانیسم این میدان‌های غیرمادی و غیر انرژیایی نیاز است.
Effects of Taheri Consciousness Fields on Concrete (ASR)
Authors: Kazazi Bahareh , Taheri Mohammad Ali 
Published: September 2023

The Alkali-silica reaction of concrete is known as one of the destructive reactions. There are many studies in this area. Taheri Consciousness Fields (TCFs) were founded and introduced by Mohammad Ali Taheri as new Fields. These Fields are neither matter nor energy, therefore, they do not possess a quantity, but they have direct effects on both matter and energy. In other words, although TCFs cannot be directly measured, we can investigate their effects indirectly through various controlled experiments. In this study, cement mortar samples were examined by using the ASTM C1260 standard and under the effect of a type of TCF known as TCF(H). Additional experiments, aggregate petrography, L.O.I (Loss on Ignition), SEM (Scanning electron microscopy), XRD (X-ray Diffraction), XRF (X-Ray Fluorescence), and FT-IR (Fourier-transform infrared spectroscopy) were performed to further investigate the effect of TCF(H). It was found that the TCF (H) was able to reduce the expansion and improve the cement mortar function by up to 10% (average ̴̴ 7% P-value=0.008) and make observable changes in chemical and elemental compositions.
Influence of Environmentally Synthesized Silver Nanoparticles on Seed Quality Traits in Groundnut
Authors: Anitha Rose J.  , Rupesh Kumar Reddy B.  , Vasundhara S.  , Narasimha G.  
Published: September 2023

Silver nanoparticle (AgNPs) is one of the widely used nanoparticles because of their antimicrobial properties. In this present study, the effect of green synthesized silver nanoparticles and bulk form of silver (AgNO3) at different concentrations (250, 500, 750 and 1000 ppm) on seed quality parameters of groundnut were studied. Silver nanoparticles synthesized using Azadirachta indica leaves were characterized by Dynamic light scattering, UV- Vis and FTIR spectrum. Size, zeta potential, UV- Vis absorbance peak and FTIR spectrum of the AgNPs measured 28.6 nm, 24.6 mV, 350 to 490 nm and 3334.53 cm-1 respectively. The results showed that AgNPs 1000 ppm was found best in enhancing the seed quality parameters such as germination percentage, root length, shoot length, seedling length, root dry weight, shoot dry weight, seedling dry weight, seed vigour index I& II.
Cryptogenic Organizing Pneumonia
Authors: Emre Tunca İ. , Sevinç Yağcı 
Published: September 2023

The lung cancer is one of the most important health problems all over the world. Early diagnosis is life-saving for patients because it is an aggressive cancer. Cryptogenic organizing pneumonia is defined as a form of idiopathic interstitial pneumonia stem from pulmonary reactions against injuries. An interesting case that mimics cancer radiologically will be presented in this study.
A 51-year-old male patient admitted to the our clinic with cough and sputum complaints. No pathological finding was detected and, there was no obvious pathology on chest X-ray. A solitary pulmonary nodule of 10 mm in size was detected in the lateral aspect of the left upper lobe of the left lung on CT. Solitary pulmonary nodule was reported as malignancy border involvement in FDG-PET. The nodule was excised completely with the help of VATS. The pathology of the patient was reported as cryptogenic organizing pneumonia.
Cryptogenic organizing pneumonia mimics many lung pathologies, most notably lung cancer. According to the symptoms and signs, clinicians should definitely rule out lung cancer if there is suspicion. Because a late diagnosis or delayed treatment of lung cancer reduces the life expectancy.
Neurologic Complications After Repeat Epidural Blood Patch in Recurrent Spontaneous Intracranial Hypotension: A Case Report
Authors: Cho Soo ah , Song Jihyun , Jeong Seok woo , Won Young Ju 
Published: September 2023

A 61-year-old male patient presented to Guro Korea University Medical Center with a one-month history of increasingly severe headaches that were aggravated by an upright position and alleviated by a supine position. The patient had no other specific underlying disease. Epidural blood patch was repeatedly performed several times because headache was not fully subsided, 10 minutes after fourth EBP, the patient showed a decrease in motor grade 1 in both lower limbs, Lt. Upper limbs and Grade 3 for Rt. upper limbs. Urgent surgical evacuation of spinal epidural hematoma was conducted. After operation, patient recovered from neurologic deficit.
While epidural blood patches are generally considered safe and effective for treating SIH, like any medical procedure, there can be potential complications. It's important to note that complications are relatively rare, and the benefits of the procedure often outweigh the risks. When we repeatedly perform epidural blood patches, more caution is required. Careful evaluation of absolute indications is necessary to prevent additional complications and possible complications should be seriously considered.
Psychosocial Impact of COVID-19 among Recovered Workers in the Banking Sector: A Cross-Sectional Study
Authors: Yansane Alhousseine , Diallo Aminata , Ataboho Ebenguela Ebatetou , Keita Moussa , Diallo Amadou Mouctar , Dalil Tidjani , Akinocho El-Mouksitou 
Published: September 2023

Introduction: The emergence of COVID-19-induced psychosis has seen a notable increase in the workplace, leading to significant psychosocial repercussions among employees, with a potential impact on business productivity. This study aimed to analyze the psychosocial impact of COVID-19 on recovered employees working in the banking sector in Conakry.
Materials and Methods: This was a cross-sectional study conducted over a one-year period, from January to December 2022. It focused on employees in the banking sector who had overcome COVID-19. Validated questionnaires were used to assess anxiety, depression, psychological distress, stress, and sleep disorders.
Results: Among the seven banks selected in Conakry, 1239 employees were employed. Of this number, 112 presented symptoms of COVID-19 and recovered, representing a frequency of 9%. The average age of the recovered employees was 43 ± 11 years. Men accounted for 72.3% of this sample. The psychosocial consequences observed among the recovered employees were manifested by mild anxiety in 46.4% of cases, and mild psychological distress in 34.8% of them. Moderate severity insomnia and stress affected 35.7% and 40.2% of individuals, respectively. Less than half (44.6%) had a good work resumption capacity.
Conclusion: COVID-19 has undoubtedly led to consequences on the mental health of recovered employees in the banking sector in Conakry. It would be prudent to consider implementing a multidisciplinary care program during epidemics to mitigate the psychosocial effects of the disease and ensure optimal conditions for professional resumption.
IT Alignment and Performance: A Study in UAE Higher Education Institutions
Authors: Alobthani Manal Mane Salmeen , Ismail Norain Binti , Mansor Nusaibah Binti 
Published: September 2023

Purpose: This study investigates the impact of IT alignment on institutional performance in United Arab Emirates (UAE) higher education institutions. Moreover, the study adopts a theoretical framework of IT alignment in education, encompassing IT governance, IT competence, IT communications, IT partnership, IT scope, and architecture, as well as IT skills, in an effort to explore the aforementioned components’ impact on the performance of higher education institutions, in particular Zaid University.
Design/Methodology/Approach: Using a cross-sectional approach, data are gathered from 310 Zaid University employees through a questionnaire strategy and analyzed using partial least squares under structural equation modeling to explore the relationships among IT alignment components, IT flexibility, and institutional performance.
Findings: The study reveals a significant positive effect of IT alignment, while IT flexibility moderates the relationship between IT alignment components and institutional performance.
Research, Practical & Social Implications: This study contributes to IT literature, by highlighting the role of IT in enhancing institutional performance, emphasizing the importance of IT governance and competence at the senior management level. It offers practical and social implications for leveraging IT to improve the quality of education and work efficiency.
Originality/Value: This study advances the understanding of IT alignment in education, showcasing its positive impact on institutional performance and the interplay between senior management IT competency and IT-business alignment. Additionally, it enriches the existing body of knowledge on IT governance through empirical insights garnered from practical investigations.
Treatment Failure and Adverse Events After Amoxicillin-Clavulanate vs Amoxicillin for Pediatric Acute Sinusitis
Authors: Savage Timothy J. , Kronman Matthew P. , Sreedhara Sushama Kattinakere , Lee Su Been , Oduol Theresa , Huybrechts Krista F. 
Published: September 2023

ImportanceAcute sinusitis is one of the most common indications for antibiotic prescribing in children, with an estimated 4.9 million such prescriptions in the US annually. Consensus does not exist regarding the optimal empirical antibiotic.ObjectiveTo compare amoxicillin-clavulanate vs amoxicillin for the treatment of acute sinusitis in outpatient children.Design, Setting, and ParticipantsCohort study of children and adolescents aged 17 years or younger with a new outpatient diagnosis of acute sinusitis and a same-day new prescription dispensation of amoxicillin-clavulanate or amoxicillin in a nationwide health care utilization database. Propensity score matching was used to mitigate confounding.ExposureA new prescription dispensation of amoxicillin-clavulanate or amoxicillin.Main Outcomes and MeasuresTreatment failure, defined as an aggregate of a new antibiotic dispensation, emergency department or inpatient encounter for acute sinusitis, or inpatient encounter for a sinusitis complication, was assessed 1 to 14 days after cohort enrollment. Adverse events were evaluated, including gastrointestinal symptoms, hypersensitivity and skin reactions, acute kidney injury, and secondary infections.ResultsThe cohort included 320 141 patients. After propensity score matching, there were 198 942 patients (99 471 patients per group), including 100 340 (50.4%) who were female, 101 726 (51.1%) adolescents aged 12 to 17 years, 52 149 (26.2%) children aged 6 to 11 years, and 45 067 (22.7%) children aged 0 to 5 years. Treatment failure occurred in 3.1% overall; 0.05% had serious failure (an emergency department or inpatient encounter). The relative risk of treatment failure for the amoxicillin-clavulanate group compared to the amoxicillin group was 1.10 (95% CI, 1.05-1.16). The risk of gastrointestinal symptoms (RR, 1.15 [95% CI, 1.05-1.25]) and yeast infections (RR, 1.33 [95% CI, 1.16-1.54]) was higher with amoxicillin-clavulanate. After patients were stratified by age, the risk of treatment failure after amoxicillin-clavulanate was an RR of 1.21 (95% CI, 1.09-1.33) for ages 0 to 5 years; RR was 1.16 (95% CI, 1.05-1.29) for 6 to 11 years; and RR was 0.95 (95% CI, 0.88-1.02) for 12 to 17 years. The age-stratified risk of adverse events after amoxicillin-clavulanate was an RR of 1.23 (95% CI, 1.10-1.37) for ages 0 to 5 years; RR was 1.19 (95% CI, 1.04-1.35) for 6 to 11 years; and RR was 1.04 (95% CI, 0.95-1.14) for 12 to 17 years.Conclusions and RelevanceIn children with acute sinusitis who were treated as outpatients, amoxicillin-clavulanate compared with amoxicillin was associated with a slightly higher risk of treatment failure, defined as lack of effectiveness or intolerability, and amoxicillin-clavulanate was associated with a higher risk of gastrointestinal symptoms and yeast infections. These findings may help inform decisions for empirical antibiotic selection in acute sinusitis.
Screening for Hypertensive Disorders of Pregnancy
Authors: Henderson Jillian T. , Webber Elizabeth M. , Thomas Rachel G. , Vesco Kimberly K. 
Published: September 2023

ImportanceHypertensive disorders of pregnancy are a leading cause of pregnancy-related morbidity and mortality in the US.ObjectiveTo conduct a targeted systematic review to update the evidence on the effectiveness of screening for hypertensive disorders of pregnancy to inform the US Preventive Services Task Force.Data SourcesMEDLINE and the Cochrane Central Register of Controlled Trials for relevant studies published between January 1, 2014, and January 4, 2022; surveillance through February 21, 2023.Study SelectionEnglish-language comparative effectiveness studies comparing screening strategies in pregnant or postpartum individuals.Data Extraction and SynthesisTwo reviewers independently appraised articles and extracted relevant data from fair-or good-quality studies; no quantitative synthesis was conducted.Main outcomes and measuresMorbidity or mortality, measures of health-related quality of life.ResultsThe review included 6 fair-quality studies (5 trials and 1 nonrandomized study; N = 10 165) comparing changes in prenatal screening practices with usual care, which was routine screening at in-person office visits. No studies addressed screening for new-onset hypertensive disorders of pregnancy in the postpartum period. One trial (n = 2521) evaluated home blood pressure measurement as a supplement to usual care; 3 trials (total n = 5203) evaluated reduced prenatal visit schedules. One study (n = 2441) evaluated proteinuria screening conducted only for specific clinical indications, compared with a historical control group that received routine proteinuria screening. One additional trial (n = 80) only addressed the comparative harms of home blood pressure measurement. The studies did not report statistically significant differences in maternal and infant complications with alternate strategies compared with usual care; however, estimates were imprecise for serious, rare health outcomes. Home blood pressure measurement added to prenatal care visits was not associated with earlier diagnosis of a hypertensive disorder of pregnancy (104.3 vs 106.2 days), and incidence was not different between groups in 3 trials of reduced prenatal visit schedules. No harms of the different screening strategies were identified.Conclusions and RelevanceThis review did not identify evidence that any alternative screening strategies for hypertensive disorders of pregnancy were more effective than routine blood pressure measurement at in-person prenatal visits. Morbidity and mortality from hypertensive disorders of pregnancy can be prevented, yet American Indian/Alaska Native persons and Black persons experience inequitable rates of adverse outcomes. Further research is needed to identify screening approaches that may lead to improved disease detection and health outcomes.
Effect of Extracurricular After-School Physical Activities on Academic Performance of Schoolchildren
Authors: Wang Decai , Xiong Ruilin , Zhang Jiaqing , Han Xiaotong , Jin Ling , Liu Weijia , Qu Yabin , Chen Qianyun , Chen Shida , Chen Xiang , Li Yuting , He Mingguang , Zeng Yangfa , Liu Yizhi 
Published: September 2023

ImportanceThe beneficial effects of increasing outdoor physical activity time on children’s myopia onset and physical well-being are widely acknowledged. However, in countries with competitive educational systems, such as China, parents and school administrators may be relatively reluctant to increase the extracurricular physical activity time for children due to concerns that this action will compromise children’s academic performance.ObjectiveTo investigate whether additional extracurricular physical activity time after school compromises the academic performance of schoolchildren.Design, Setting, and ParticipantsThis cluster randomized clinical trial was conducted from October 2020 to June 2021 in Yudu, Jiangxi, China. Eligible children in grades 3 and 4 from 24 elementary schools were randomized to the intervention or control group. Primary analysis was conducted in the full sample using the intention-to-treat principle.InterventionsThe intervention group received 2 hours of after-school physical activity time outdoors on school days. The control group was free to arrange their after-school activity.Main Outcomes and MeasuresThe primary outcome was the between-group mean difference in mathematics test scores at the end of 1 academic year, with a noninferiority margin of −3.3 points. Standardized mathematics tests, physical fitness assessments (in reference to the 2018 National Physical Fitness Survey Monitoring Programme in China), and cycloplegic autorefraction were performed at baseline and the end of 1 academic year. Myopia was defined as a cycloplegic spherical equivalent refraction of −0.5 diopters or less in either eye.ResultsA total of 2032 children (mean [SD] age, 9.22 [0.62] years; 1040 girls [51.2%]) from 24 schools were randomized to the intervention group (12 schools; 1012 children) or control group (12 schools; 1020 children). The mean (SD) mathematics score at the end of 1 academic year was 78.01 (17.56) points in the intervention group and 77.70 (17.29) points in the control group. The adjusted between-group mean difference was 0.65 points (95% CI, −2.85 to 4.15). The adjusted between-group mean difference in physical fitness score was 4.95 points (95% CI, 3.56-6.34; P &amp;lt; .001) and −1.90% (95% CI, −18.72% to 14.91%; P &amp;gt; .99) in myopia incidence.Conclusions and RelevanceResults of this trial indicate that, compared with the control practice of free play after school, adding 2 hours of extracurricular physical activity outdoors after school was noninferior in academic performance and had superior efficacy in improving physical fitness.Trial RegistrationClinicalTrials.gov Identifier: NCT04587765