bluuebunny/crossref_metadata_2025 huggingface dataset:
Los placeres perdidos y lo que queda del paraíso
Authors: Aguilera Garramuño Marco Tulio
Published: June 2024

Sobre esta obra el escritor Edmundo Valadés escribió: "Novela de sátira delirante, desenfrenada y poética, Los placeres perdidos se propone bajarle los calzones a una sociedad conservadora e hipócrita y a la ciudad que la cobija, Cali, una de las ciudades más eróticas y gozonas del mundo. La ciudad de Cali que nos presenta el autor semeja una Sodoma y Gomorra en la cual Adolfo Montaño-Vivas, una especie de ángel extraviado en la tierra y un hombre del renacimiento que domina todas las artes, personaje central de la historia, se enfrenta a unos cuantos imbéciles que están convencidos de ser los justos bíblicos a quienes corresponde la potestad de oprimir y eliminar a la gran masa de los criminales, los pervertidos y los violentos, o sea los diferentes. Quizás esta obra podría incluirse en la tradición picaresca, de una picaresca trascendental, al lado de Rabelais, que sirve para plantear las preguntas esenciales ante lo extraño de la vida". Adolfo Montaño-Vivas es sin duda uno de los personajes más atractivos de la literatura contemporánea, un espíritu tan transparente y particular como el famoso Ignatius Reilly de La conjura de los necios. La ciudad de Cali en esta obra aparece en todo su esplendor, pero aquí no con las limitaciones culturales maniqueas que plantea Andrés Caicedo, sino con una riqueza de matices que convierten al territorio en un sitio de pusiones universales. La Universidad del Valle, las calles violentas, la salsa, el paisaje, la multiplicidad de tipos humanos presentados en esta obra convierten la lectura en un auténtico carnaval en el que están presentes las mejores manifestaciones del espíritu humano.
Peregrino de luz y mar
Authors: Payán Archer Guillermo
Published: June 2024

Guillermo Payán-Archer (Tumaco, 1921-Riohacha, 1993) es peregrino (del lat. peregrinus) o viajero por el litoral Pacífico, país y el mundo; ha residido en N. Y. como corresponsal periodístico en La Habana y Buenos Aires. Aquí, para la Antología poética, lo hemos nombrado Peregrino de luz y mar que, en su significado más clásico, se refiere al viajero que "por vocación o por voto, visita un santuario o algún lugar considerado sagrado". Caminante permanente, Payán-Archer se encuentra en su escritura con la Mar Pacífico, cuya madre es Yemayá, la primera orisha del universo: la deidad nació cuando Olofin, hijo del dios supremo, decidió crear el universo "después de apagar con agua el fuego que envolvía el planeta". De Yemayá y Obatalá nacerían dieciséis orishas del panteón yaruba. Payán-Archer nombrará entonces el Pacífico pluriétnico y pluricultural sus ocasos anaranjados y azules; así mismo, sus amaneceres de fuego y luz ascendente, y el radiante horizonte que los circunda en una mirada infinita. Nombra viajes de alegría y temores. Nombra los cuerpos cimbreantes y sensuales del amor y del trabajo. Nombra islas y misterios de lo insondable y desconocido. Nombra recuerdos familiares y amistosos. Nombra el furor del litoral y sus pasiones nunca olvidadas. Nombra en su escritura rítmica y maravillosa musicalidades, armonías y mundos -imaginarios del Pacífico-, como los desearía Rimbaud o Saint-John Perse. Su poesía es estallidos de luz y olas marinas, aromas, pieles y cuerpos del amor, dirigida ahora a nuevas generaciones de lectores colombianos e hispanoamericanos, en un volumen antológico impecable publicado por el Programa Editorial de la Universidad del Valle.
EFL learners’ Awareness of Decontextualized and Contextualized of Some English Phrasal Verbs
Authors: Siddiq Najim Abdullah , Khalil Ahmad Ramadhan
Published: June 2024

Phrasal verbs belong to fixed expressions and they are well-established, very popular idioms and compromise an integral part of English language .The current paper tackles EFL learners' awareness in determining the correct meaning of some contextualized and decontextualized phrasal verbs. It tries to explore the effect of context as an approach to guess the correct meaning of phrasal verbs. It hypothesizes that context plays an important role in helping students to overcome difficulties they face and hence helps them make inferences to realize the correct meaning of phrasal verbs.  In order to test the validity of this hypothesis, (6) English phrasal verbs have been incorporated in two multiple choice tests and then given to (50) EFL learners of English at their 3rd year/stage of study at the English department to choose the correct meaning of phrasal verbs. In the first test , the phrasal verbs were decontextualized and students were asked to choose the correct meaning of them  .In the second test , the same students were asked to  choose the correct meaning of the same phrasal verbs within their contexts (contextualized). Then, both tests were compared to find out the effect of context. The results show the students' ability in making use of the context and determine the correct meaning of phrasal verbs. This paper concludes that context is a very important factor in helping and enabling EFL learners to make inferences of the meanings of contextualized phrasal verbs.
Representations of Threshold Chronotope in Jessie Pope’s Selected War Poems
Authors: Hussein AL Hussein Hikmat Khalaf , TUTAŞ NAZAN
Published: June 2024

The First World War displayed the complicated connection that people have with space as they navigate between the exterior environment and their interior emotional reactions. Among these spaces is the threshold chronotope, which is one of the most notable ones that Mikhail Bakhtin discusses in his article “Forms of the Chronotope in the Novel”. He characterizes this category of space as one that elucidates the demarcation between spaces symbolized by the in-between; it can be summed up in periods of unrest and absence of resolution and decision-making during times of crisis, such as train stations, airports, bridges, and borders; it is also exemplified in the time of anticipation, as when women wait in windows and doors in the time of the war. This study aims to examine the poems of Jessie Pope’s war poems in terms of her representation of the chronotope of threshold based on the spatial perspectives of Bakhtin. During wartime, this space category has a direct impact on the experiences of women and soldiers. Pope, despite her supportive and encouraging stance and her explicit response towards war through her patriotic poems for soldiers during the time of the war; however, she employs threshold chronotope to address the challenging issues and situations that arise during times of crisis, including isolation, fragmentation, separation, distance, marginalization, and restriction. She employs metaphor to represent this form of chronotope, as areas that affect women’s lives as poets, ordinary citizens, and soldiers who are the women’s sons, brothers, husbands, and friends. Finally, Pope’s portrayal of space as a crisis-ridden environment that befalls both women and soldiers corresponds with Bakhtin’s definition of the concept of the threshold.
The Role of Teachers in Implementing Inclusive Education in Basic Schools in Kurdistan Region-Iraq
Authors: Abdulqader Gorani Adnan Abdulkareem , Mahmood Najmuldeen Shamsulddin
Published: June 2024

This study is conducted to investigate the teachers’ attitudes toward inclusive education. The participants are teachers from primary schools who have at least one student with special needs learning within the ordinary class. The study aims to clarify the teachers’ attitudes toward inclusive education and to identify the difficulties of implementing inclusive education, in addition, to showing the role of regular and special education teachers in promoting inclusive education. To achieve the aims of the study, it is worth eliciting the answers from the teachers’ feelings towards inclusive education and finding the challenges faced in the implementation of inclusive education in the basic schools in the city of Duhok. The study structure is based on both primary and secondary sources. The first one is a questionnaire used to collect data from the teachers’ opinions and attitudes, and the second one is the sources from various books, journals, and research articles related to inclusive education. The study also includes the views and thoughts of the researchers as they have experiences in the field. This study has tried to provide some information regarding teachers’ perceptions, challenges, and concerns about implementing Inclusive education in the basic schools in the Kurdistan region. An integrative questionnaire is used as a study design to investigate the teachers’ attitudes.  15 teachers have responded to the questionnaire, namely 8 inclusive education teachers, and 7 regular teachers. These samples are taken by using systematic random sampling to give a fair and equal chance of selection for both types of teachers. The findings indicate that even though some opportunities support inclusive education, regular teachers do not support the idea of having students with disabilities in their classes.  The regular teachers do not feel comfortable having students with disabilities in their classes. Consequently, there is a challenge to impede the implementation of inclusive education. Overall, it can be concluded that the teachers lack the awareness, knowledge, and adequate training to be supportive of inclusive education.
انتقال الدلالة من الحسّي إلى المجرّد في كتاب المفردات في غريب القرآن للراغِب الأصفهاني(ت502هـ)
Authors: رشيد سعد علي
Published: June 2024

يعالج بحثنا هذا موضوع (انتقال الدلالة من الحسيّ إلى المجرّد) موزعًا على مباحث علم الدلالة في كتاب المفردات في غريب القرآن للراغب الأصفهانيّ(ت502هـ)، الذي هو من أبرز المُصنَّفات اللغوية التي تعنى بأصول الألفاظ ، لاسيما القرآنية منها.
        وقد أوضح البحث أنّ الراغِب كان يقف كثيرًا على دلالة الألفاظ ويتتبع ما حدث فيها من تطوّر مع الإشارة إلى مظاهره، من ذلك أنه أرجع الكثير من المعاني الذهنية المجرّدة إلى أصول حسيّة، وذلك أثناء كشفه عن أصول الألفاظ القرآنية.
        وهذا يدلّ على أنَّ علماء اللغة القدماء قد أسهموا وأسسوا لأبحاث علم الدلالة الحديث، وأنهم واعون لما قرره علم اللغة الحديث من أنّ الحسيّ أسبق في الوجود من الذهني المجرّد، وأنّ الحسيَّ أصل له، وهذا ما حاولنا الوقوف عليه وتأكيده في هذه الدراسة من خلال رصد أمثلته في كتاب لغوي قديم.
The human translation and the electronic translation , An applied compartive study of selected Hebrew poetic texts
Authors: Dawah Wisam Abd Al-Satar
Published: June 2024

This research study with an important translation aspect: the relationship between human translation and electronic translation. which included different titles starting with the topic of translation, in which we touched an overview of translation and the definition of translation in the modern context as referring to a linguistic act or transferring meaning from one language to another within the language itself and the most important problems facing the translator, Then we touched on the definition of electronic translation, which is the machine translation of content from one language to another without human hands, the definition of computer and the language of the machine. And we concluded our research with a comparative applied study of selected Hebrew poetry texts where we produced models of Hebrew poetry texts with mention of human translation and electronic translation of poetry texts, We pointed to the degree of similarity between human and machine translation, as well as the proposed translation of poetry texts .
The multimodality of Chinese folklore images
Authors: Nemkina Nikol Igorevna
Published: June 2024

This scientific article examines the phenomenon of multimodality based on the material of Chinese folklore images. The object of the research is the images of fictional characters of Chinese folklore works, and the subject is the analysis of images of Chinese folklore works in their multimodal expression in modern adaptations. The purpose of the study is to show how modern discursive practices, characterized by a high degree of multimodality, affect the development of the concept of the image of a folklore work in the recipient's mind. The tasks that were solved within the framework of this study: 1) description of the phenomenon of multimodality in the context of modern multimedia technologies; 2) analysis of image concepts in mobile game, cartoons and TV show; 3) assessment of the influence of multimodality on the peculiarities of the development of image concepts and their perception in the recipient's mind. The methods used are the continuous sampling method for collecting the analyzed material, as well as methods of semantic, contextual and conceptual analysis. The scientific novelty of the work is due to the fact that for the first time are studied the various images of Chinese folklore works in their modern interpretation. As a result of a comprehensive analysis, the following conclusions were drawn: multimodality affects the degree of perception of an image in the recipient's mind in different ways, on the one hand, it leads to a simplification of the understanding of meanings, on the other hand, to a complication of systems for creating these meanings. One of the manifestations of this complication is the existence of a high degree of intertextuality, which can undermine perception of fictional characters, lead to the false assumption of some characters for others. The desire to get closer to the preferences of the modern viewer leads both to a slight difference in the basic features of the concepts, and to their complete opposite, which also affects the process of perception of the image. Nevertheless, despite the significant degree of adaptation of images that cause different user assessments, the social and cultural-historical processes of a dynamically changing world require compliance with the conditions of functioning of modern discursive practices.
The Efficacy of Exercise Therapy for Rotator Cuff–Related Shoulder Pain According to the FITT Principle: A Systematic Review With Meta-analyses
Authors: Lafrance Simon , Charron Maxime , Dubé Marc-Olivier , Desmeules François , Roy Jean-Sébastien , Juul-Kristensen Birgit , Kennedy Leonora , McCreesh Karen
Published: June 2024

OBJECTIVE: To evaluate the efficacy of exercise interventions with differing frequency, intensity, type, and time (FITT) on shoulder pain and disability in people with rotator cuff–related shoulder pain (RCRSP).

DESIGN: Intervention systematic review with meta-analyses.

LITERATURE SEARCH: Electronic searches were conducted up to May 2023.

STUDY SELECTION CRITERIA: Randomized controlled trials (RCTs) comparing the effects of exercise interventions differing in prescription according to the FITT principle, in people with RCRSP.

DATA SYNTHESIS: Separate meta-analyses comparing exercise type (specific versus nonspecific exercise) and intensity (high versus low) were conducted. Grading of Recommendations, Assessment, Development, and Evaluations (GRADE) was used to evaluate the certainty of evidence.

RESULTS: Twenty-two RCTs (n = 1281) were included. There was moderate-certainty evidence that motor control exercise programs, when compared to nonspecific exercise programs, significantly reduced disability in the short (SMD: −0.29; 95% CI: −0.51, −0.07; n = 323; 7 RCTs) and medium terms (SMD: −0.33; 95% CI: −0.57, −0.09; n = 286; 5 RCTs), but not pain in the short term (SMD: −0.19; 95% CI: −0.41, 0.03; n = 323; 7 RCTs). Uncertainties remained regarding other exercise types (eccentric and scapula-focused exercise programs) versus nonspecific exercise programs, and exercise intensity due to low- to very low–certainty evidence. No trials were identified that compared different frequencies or times.

CONCLUSION: For adults with RCRSP, motor control exercise programs were probably slightly superior to nonspecific exercise programs. However, it is unclear if the effects were due to motor control exercise or to other program characteristics such as progression and tailoring. J Orthop Sports Phys Ther 2024;54(8):499-512. Epub 7 June 2024. doi:10.2519/jospt.2024.12453
Clinical Pearls on How Practitioners Can Best Support Elite Soccer Players to Return to Peak Performance After Injury
Authors: Taberner Matt , Distin Sylvain , Chance Olivia , Cohen Daniel D. , Ardern Clare L.
Published: June 2024

Shared decision making for return to sport (RTS) is complex and typically influenced by advice from different stakeholders in the coaching, medical, and performance teams. Involving the player by listening to their needs is critical to RTS decision making, yet player narratives are rarely part of published research. In this editorial, we highlight the voices of 1 former elite male player and 1 current elite female player who worked with a practitioner to (1) summarize key themes through an iterative process of writing and reflecting, and (2) derive 6 key messages that the players wanted to share with sports medicine and rehabilitation practitioners to enhance successful RTS.

JOSPT Cases 2021;1(3):126–128. doi:10.2519/josptcases.2021.0103
Encephalic Symptoms Leading to Diagnosis of Cervical Myelopathy
Authors: Bengtsson Alex , Mabry Lance M.
Published: June 2024

Background

Dizziness is a common symptom with a plethora of etiologies. Diplopia can implicate severe neurologic disease, including cerebral lesions. When patients are referred to physical therapy with a diagnosis of dizziness, thorough clinical reasoning and medical screening are of utmost importance.

Case Presentation

A 55-year-old woman presented to a physical therapy clinic with primary symptoms of dizziness and diplopia that were reproduced with active and sustained cervical rotation. Additional history included dysarthria and dysphasia. Sensation and upper and lower motor neuron tests were unremarkable. Horizontal and vertical corrective saccades were observed. Suspicion of cervical arterial dysfunction was cleared by her neurologist. Primary symptoms were reproduced with neurodynamic testing, prompting concern for central pathology and referral back to the neurologist. Magnetic resonance imaging revealed cervical cord compression, subsequently treated with cervical fusion. Postoperative physical therapy included neurodynamic techniques.

Outcome and Follow-Up

Primary symptoms resolved without recurrence over 12 months, and Dizziness Handicap Inventory scores improved significantly.

Discussion

Cervical myelopathy can severely impact function and quality of life. Differential diagnosis, screening, appropriate referral, and communication with other providers are among physical therapists' primary responsibilities and integral contributions to the interprofessional care team. JOSPT Cases 2021;1(2):87–91. doi:10.2519/josptcases.2021.10048
Patellar Clunk Syndrome—A Complication After Total Knee Arthroplasty: A Case Report
Authors: Rademacher Maria J. , Dunleavy Kim
Published: June 2024

Background

Patellar clunk syndrome (PCS) is a rare complication post total knee arthroplasty (TKA), with minimal information available on its physical therapy management. This case report describes the presentation and management of this infrequent diagnosis.

Case Presentation

A 68-year-old woman reported symptoms 6 months post TKA that included patellar “popping” and was diagnosed with PCS. This case report presents the interventions and outcomes during the second course of physical therapy.

Outcome and Follow-Up

Self-reported outcome measures included the Lower Extremity Functional Scale (LEFS), 11-item Tampa Scale of Kinesiophobia (TSK-11), and Knee injury and Osteoarthritis Outcome Score for Joint Replacement (KOOS-JR). Scores for the LEFS decreased, TSK-11 scores increased, and no significant changes occurred with the KOOS-JR.

Discussion

Clinicians should be aware of the possibility of this complication. Patient expectations and desire for immediate relief of symptoms may impact the patient's prognosis. There is a need to determine whether early management of impairments impacts outcomes. JOSPT Cases 2021;1(2):80–84. doi:10.2519/josptcases.2021.10068
Lower-Limb Pain Differentiation by a Physical Therapist in an Amateur Cyclist: A Case Report
Authors: Brindisino Fabrizio , Signorelli Marisa , Rizzo Salvatore , Heick John Duane , Maselli Filippo
Published: June 2024

Background

Cycling is one of the most popular sports worldwide, and cycling-related injuries often involve overuse of the musculoskeletal system. However, cyclists who have been referred to a physical therapist may also present with nonmusculoskeletal conditions.

Case Presentation

A 57-year-old recreational amateur cyclist presented with a 2-month history of thigh and leg pain. At the clinical examination, a positive pedal plantar flexion test, a reduced 6-minute walk test, and a reduced ankle brachial index confirmed a vascular impairment. Therefore, the patient was referred to a vascular surgeon, and his symptoms were resolved with angioplasty.

Outcome and Follow-Up

After 3 months of physical therapy treatment, all screening tests showed normal values. The ankle brachial index value for the left lower extremity was normal. The Medical Outcomes Study 36-Item Short-Form Health Survey and the Vascular Quality of Life questionnaire showed large improvements in all domains.

Discussion

Clinicians should consider vascular conditions, even in endurance sports, to differentiate between musculoskeletal and nonmusculoskeletal conditions and refer patients to the appropriate health care professional. JOSPT Cases 2021;1(2):114–123. doi:10.2519/josptcases.2021.10089
Indirect Treatment of Coccygodynia With Low Thoracic Spine and Costotransverse Joint Mobilizations: A Case Report
Authors: Jan Sara , Fecteau Luc
Published: June 2024

Background

Coccygodynia is an uncommon disorder characterized by localized pain in the coccyx. Coccygodynia treatments include local remedies; however, there is a gap in the literature regarding the effects of indirect manual treatments to relieve persistent coccygodynia.

Case Presentation

A 29-year-old man presented with a diagnosis of coccygodynia that had not resolved with pelvic physical therapy. The patient reported persistent pain in the coccygeal region and reproduction of symptoms with cervical and thoracic flexion. Manual joint mobilizations to the thoracic spinal segments and the costotransverse joints were performed with the patient in unloaded (supine) and loaded (sitting) positions, and while in neural tension.

Outcome and Follow-Up

The patient had complete resolution of coccyx pain, with continued relief 3 months later.

Discussion

This case demonstrates the use of manual therapy to the thoracic spine to relieve coccygodynia. These findings led us to think more globally about potential contributing factors to symptoms of coccygodynia. JOSPT Cases 2021;1(2):94–98. doi:10.2519/josptcases.2021.10166
Varus Stress Injury to the Knee During Soccer
Authors: Lee Jamie , Hensley Craig
Published: June 2024

The patient was a 24-year-old man who presented to a direct-access clinic 1 day following a noncontact trauma to the right knee while sprinting during soccer. The patient was evaluated by a dual-licensed physical therapist and nurse practitioner. Following examination, the patient was referred for radiographs, due to acute twisting trauma and knee effusion. Radiographs revealed an avulsion fracture at the tibial plateau, commonly known as a Segond fracture. Magnetic resonance imaging 2 days later revealed a complete ACL rupture, a tear in the posterior horn of the lateral meniscus, and improved visualization of the Segond fracture. JOSPT Cases 2021;1(2):124–125. doi:10.2519/josptcases.2021.10256
Unrecognized Posterior Shoulder Dislocation in a Recreational Cyclist: A Case Report
Authors: Salomon Mattia , Cammareri Jessica , Filipponi Marco , Maselli Filippo , Brindisino Fabrizio
Published: June 2024

Background

Posterior shoulder dislocation (PSD) is commonly associated with a history of strong excessive muscle contraction (generalized seizures, electric shock) and may result from high-energy injuries such as a motor vehicle accident.

Case Presentation

A 58-year-old recreational cyclist reported night pain and functional limitations in his left shoulder, due to a trauma occurring 7 months earlier. The patient’s history and clinical examination led the physical therapist to suspect PSD. Therefore, the patient was referred to a surgeon for advanced imaging, which confirmed PSD as well as an associated McLaughlin lesion and rotator cuff tear.

Outcome and Follow-Up

Reverse total shoulder arthroplasty was performed, followed by a 12-week rehabilitation program. Muscle strength assessment, the Shoulder Disability Questionnaire, and the Medical Outcomes Study 36-Item Short-Form Health Survey were used to assess outcomes.

Discussion

The diagnosis of PSD with an associated McLaughlin lesion is often delayed. This case report highlights the importance of a thorough clinical assessment, which is mandatory to identify pathologies requiring multidisciplinary management. JOSPT Cases 2021;1(3):150–158. doi:10.2519/josptcases.2021.10388
Quadriceps Isometric Strength at 90° and 60° of Knee Flexion Following a Medial Meniscus Root Tear: A Case Report
Authors: Schoenecker Jon
Published: June 2024

Background

Meniscus injury can significantly impair an individual's quality of life. Meniscus root disruption can more quickly lead to joint degradation than other types of meniscus injuries can. Existing clinical diagnostic testing specific to a meniscus root tear is insufficient.

Case Presentation

A 51-year-old man unknowingly tore a meniscus root repair, had negative diagnostic testing performed by his primary physical therapist, and subsequently underwent isometric quadriceps and functional testing 2 weeks after his reinjury. Differential diagnosis included bone, muscle, ligament, and general joint irritation from the injury.

Outcome and Follow-Up

Isometric quadriceps strength (measured as torque production) at 90° was significantly lower (8 times) than at 60° of knee flexion in the presence of a meniscus root tear.

Discussion

Diagnostic tests for the meniscus may not always be reliable when it comes to diagnosing a root tear. Strength testing at specific angles of knee flexion may be used as a potential clinical indicator that a root tear is present. JOSPT Cases 2021;1(4):268–272. doi:10.2519/josptcases.2021.10493
Temporomandibular Joint Anterior Disc Displacement Without Reduction
Authors: Bednarczyk Victoria , Markowski Alycia
Published: June 2024

A 31-year-old woman was referred to physical therapy by her dentist for sharp pain in the right temporomandibular joint (TMJ) area. A week following the physical therapy examination, the magnetic resonance imaging previously ordered by the dentist was performed. The imaging and clinical findings met the diagnostic criteria for right anterior disc displacement without reduction and with limited mouth opening. JOSPT Cases 2021;1(4):287–288. doi:10.2519/josptcases.2021.10555
Osteoid Osteoma in a Young Patient With Hip Pain
Authors: Campbell Ashley M. , Bardowski Elizabeth A. , Manske Robert C. , Heick John D. , Voight Mike
Published: June 2024

A 23-year-old man self-referred to a multidisciplinary care clinic with a 2-year history of low back pain. He was evaluated by his primary care physician and had radiographs of the hip and magnetic resonance imaging (MRI) of the lumbar spine 8 months before, which were noncontributory. Following physical therapy examination, the medical team decided to refer the patient for more imaging. A frog-leg lateral radiograph showed cortical thickening at the femoral neck, while an MRI scan showed an osteoid osteoma, the diagnosis of which was confirmed by a computed tomography scan. JOSPT Cases 2021;1(4):266–267. doi:10.2519/josptcases.2021.9914
The Use of Corticosteroid/Anesthetic Injections in Conjunction With Physical Therapy in the Treatment of Idiopathic Frozen Shoulder: A Case Series
Authors: Venturin Davide , Brindisino Fabrizio , Ristori Diego , Rossi Alex , Vascellari Alberto , Poser Antonio
Published: June 2024

Background

Fifty percent of people diagnosed with frozen shoulder (FS) experience pain and/or stiffness for years after onset, and the best conservative treatment for this condition remains uncertain. This case series evaluated the clinical results of intra-articular corticosteroid and anesthetic injections, combined with a specific physical therapy program, in the treatment of FS.

Case Presentation

The research is based on 26 patients with idiopathic FS. The patients were treated with unguided intra-articular corticosteroid and anesthetic injections, painful/end-range mobilization techniques, and painful/end-range home stretching exercises. Range of motion was measured and the Disabilities of the Arm, Shoulder and Hand questionnaire (DASH), and the Medical Outcomes Study 36-Item Short- Form Health Survey (SF-36) were administered at 5 follow-up sessions over 3 months.

Outcome and Follow-Up

The 90% confidence intervals of the mean range-of-motion scores for flexion, extension, internal rotation, and external rotation at 90° and at 0° of abduction did not show significant differences at 3-month follow-up between the affected shoulder and the healthy one. Between baseline and 3-month follow-up, the average DASH difference was 37%, and all scores exceeded the minimal clinically important difference of the DASH. The score on the bodily pain subscale of the SF-36 improved by 43% from baseline to 3-month follow-up.

Discussion

From our clinical experience and the analyzed data, intra-articular corticosteroid and anesthetic injections, combined with the above-mentioned mobilizations and a simple home exercise program, are effective at improving shoulder pain, range of motion, and disability in the short term. JOSPT Cases 2021;1(4):248–265. doi:10.2519/josptcases.2021.9960
New Onset of Low Back Pain Masking Pneumonia in a Recreational Rugby Athlete: A Case Report
Authors: Maselli Filippo , Rossettini Giacomo , Mourad Firas , Turolla Andrea , Heick John D. , Testa Marco , Goodman Catherine C.
Published: June 2024

Background

Mechanical low back pain is commonly treated by a physical therapist and involves the assessment of red flags that may warrant referral.

Case Presentation

A 42-year-old man presented with acute low back pain that started after strenuous rugby practice.

Outcome and Follow-Up

Examination revealed restricted active range of motion in right sidebending and rotation, and a negative neurological examination for motor weakness, altered reflexes, or sensory impairment. Upon initial evaluation, the patient did not present with abnormal vital signs or respiratory signs or symptoms, so this system was not assessed. Two days after the evaluation, the patient developed malaise, fever, and cough with bloody sputum.

Discussion

This presentation alarmed the physical therapist, and the patient was referred to the emergency department. A computed tomography scan revealed moderate pneumonia in the lower right pulmonary lobe. Recognition of red flags is imperative in a direct-access setting, as it improves clinical efficiency and directs appropriate intervention. JOSPT Cases 2021;1(2):73–77. doi:10.2519/josptcases.2021.9972
Developing and introducing structured cooperative self-directed learning activities for undergraduate medical students
Authors: Dulloo Puja , Patel Minal , Vedi Neeraj
Published: June 2024

Objectives:

The National Medical Commission of India introduced Competency-based Medical Education in 2019 mandated duration allocation for the self-directed learning (SDL) activity in each course throughout the undergraduate medical programme. A successful implementation requires a structured methodology for the introduction of SDL activities for the undergraduate learner. The objectives of this study were as follows: (1) To develop and implement structured cooperative self-directed learning (Sc-SDL) activity for 1st-year medical students. (2) To explore perceptions of students for the developed process (Sc-SDL).

Materials and Methods:

A prospective cohort study for 1st-year medical students was initiated, exposing them to three Sc-SDL activities having sessions in a blended manner. The formative assessment score was analysed by mean, standard deviation and paired t-tests. A validated learner feedback questionnaire was submitted by the participants, which was analysed by the Friedman rank test and satisfaction index. Analysis for open-ended questions from the participants 3 months after completion of the course was by thematic analysis manually.

Results:

The academic score for topics taught through the Sc-SDL approach ranged from 67.62 ± 21.72 to 83.72 ± 24.34 (Activity-1–3), showing significant differences in scores for Activity-1 with 2, and Activity-1 with 3. The maximum satisfaction index score and Friedman rank, from the learner feedback questionnaire were for item 8 (8.80; 93.6%) and the minimum for item 10 (3.28; 57.83%). Three major themes other than suggestions for improvement were identified from the open-ended questionnaire.

Conclusion:

The Sc-SDL approach showed an increase in academic gain, thus enhancing the cognitive approach of the learner. The activity encouraged undergraduate students to attain attributional and social skills such as team-building, sharing, presentation skills and time and conflict management. However, input from other stakeholders needs to be considered.
Comparison of active release and post-isometric relaxation techniques on functional performance in patients with chronic lateral epicondylitis
Authors: Hanif Ans , Hafeez Sana , Arif Tooba , Habib Sidra
Published: June 2024

Objectives:

Lateral epicondylitis (LE) occurs as a result of repetitive strain near the place of origin of the extensor carpi radialis brevis tendon. This is due to eccentric overload and repetition, causing chronic degeneration of the forearm’s common extensor tendons, which are attached to the lateral epicondyle of the humerus. This study aimed to assess the comparative effects of post-isometric relaxation (PIR) and active release techniques (ARTs) on pain inhibition, grip strength, and functional ability among individuals suffering from chronic LE.

Methods:

A randomized clinical trial was conducted on 30 individuals suffering from chronic LE. All of the subjects were randomly assigned to one of two treatment groups: PIR method or active release approach. Both groups received 12 sessions over four weeks. The numerical pain rating scale (NPRS), handheld dynamometer, and patient-rated tennis elbow evaluation (PRTEE) were used to assess the impacts of therapy before and after treatment sessions.

Results:

The results showed that the NPRS pain score, strength of the grip, and functional performance all showed substantial differences between the two groups (P < 0.05) as well as within-group differences (P < 0.05).

Conclusion:

The study concluded that PIR techniques were more effective as compared to ARTs for pain reduction, improved strength of gripping, enhanced functionality, and showed better outcomes in terms of mean difference of NPRS, dynamometer, and PRTEE scoring across the groups.
Effects of abdominal bracing maneuver during walking on trunk muscle endurance in healthy staff of Northwest Institute: A randomized controlled pilot study
Authors: Mumtaz Hifsa , Durani Alishba , Shoaib Waqas , Ahmad Uzair , Abidin Syed Zain Ul
Published: June 2024

Objectives:

This study aimed to find the effect of abdominal bracing (AB) maneuver during walking on trunk muscle endurance in healthy individuals.

Methods:

A randomized control pilot study was conducted at Northwest Institute of Health Sciences Peshawar from July to December 2023. A total of 32 participants aged 25–40 were randomized to Groups A and B. Group A received AB maneuver with walking, while Group B received walking only. Both groups received a total of 12 sessions. Pre- and post-endurance testing was performed using McGill’s Torso Muscular Endurance Test.

Results:

The mean age of participants in Group A was 29.06 ± 5.14 years, while the mean age of participants in Group B was 27.62 ± 2.84 years. The mean and standard deviation of the flexor endurance test between Groups A and B after treatment were 27.37 ± 3.26 and 16.21 ± 2.24, respectively. A significant difference was observed in flexor endurance and right and left lateral flexor endurance between the two groups (P < 0.05). In contrast, no significant difference was observed in extensor endurance between the two groups, having P > 0.05. Within-group analysis in Group A revealed a significant difference in pre-post-intervention flexion, right and left lateral flexors, and extensors (P < 0.05). However, within-group analysis in Group B revealed a statistical difference in flexors endurance, which is not clinically significant.

Conclusion:

The AB maneuver with walking compared with walking alone may improve the endurance of the trunk flexors, specifically the right and left lateral flexors.
Cauda equina myxopapillary ependymoma in von Hippel-Lindau disease: A case report
Authors: Ribeiro Lucas , Rigau Valérie , Bauchet Luc
Published: June 2024

Background:

Patients affected by Von Hippel-Lindau (VHL) are prone to develop central nervous system neoplasms such as hemangioblastomas (HBs). Myxopapillary ependymoma (MPE) is not commonly associated with VHL disease.

Case Description:

We present the first case of a VHL patient affected by simultaneous silent cauda equina MPE and a symptomatic conus medullaris HB. The patient was first operated for systemic tumors and followed for asymptomatic HBs. Simple surveillance was maintained until neurological symptoms appeared. Regular follow-up demonstrated objective growth of the cystic conus medullaris tumor while the cauda equina lesion remained stable. Surgery was performed to avoid further neurological worsening. Histopathological examination showed conus medullaris HB and a nearby cauda equina MPE.

Conclusion:

Simultaneous spinal HBs and isolated MPE may exceptionally occur in VHL patients.
A ventral brainstem neurenteric cyst – A case report and review of the pre-brainstem location
Authors: Lemos Samuel Sequeira , Sá Maria Inês , Casimiro Carlos Daniel , Guerreiro Carla , Faria Claudia
Published: June 2024

Background:

Neurenteric cysts are uncommon, benign endoderm-derived lesions that result from aberrant embryologic development of the notochord. They are typically located in the intradural extramedullary spinal cord and rarely located intracranially. Contrary to spinal-located cysts, intracranial cysts are rarer in the pediatric population. Clinically, they may present with symptoms of mass effect, or they can be incidentally discovered.

Case Description:

A 10-year-old healthy female child presented with recurrent headaches. The physical and neurological examination was unremarkable. Brain magnetic resonance imaging (MRI) showed a well-demarcated lesion anterior to the pontomedullary junction with striking T1 and T2/T2 fluid-attenuated inversion recovery high-signal intensity and a small rounded nodule within of low signal on T1, T2, and T2*. On initial conservative strategy with serial brain MRI, there was a progressive enlargement of the lesion with significant mass effect on the brainstem. The patient underwent a right retrosigmoid craniotomy, and the cyst wall was fenestrated and drained. Part of the cyst wall and the solid nodule were adherent to the brainstem and basilar artery and were not removed. The histologic findings were consistent with the diagnosis of a benign endodermal cyst. The postoperative period was uneventful.

Conclusion:

We report a successful surgical treatment of this rare congenital cyst located in the ventral brainstem. We present pre-and post-operative imaging findings, intraoperative microscopic images of the procedure, and a brief review of relevant clinical literature on the topic.
Neuroendoscopic cyst fenestration for delayed enlargement of perianeurysmal cyst formation through long-term follow-up after endovascular treatment: A case report and review of literature
Authors: Sato Koichiro , Suzuki Kohei , Nakano Yoshiteru , Murakami Yu , Saito Takeshi , Yamamoto Junkoh
Published: June 2024

Background:

Perianeurysmal cyst formation after endovascular treatment of cerebral aneurysms is a rare complication; however, the number of reports has gradually increased in recent years due to the development of several endovascular treatments.

Case Description:

We present a case of delayed perianeurysmal cyst enlargement 8 years after endovascular treatment for multiple recurrences of a large cerebral aneurysm in the anterior communicating artery. The patient presented with obstructive hydrocephalus caused by an enlarged perianeurysmal cyst. The patient underwent cyst fenestration using neuroendoscopy and ventriculoperitoneal shunting, recovered from the clinical symptoms, and had a good prognosis. Histopathological findings showed that the cyst wall contained a fibrotic layer under the monoependymal layer with hemosiderosis without evidence of neovascularization or inflammatory cell infiltration. These findings suggest that the origin of the perianeurysmal cyst wall is not the aneurysm itself but the adjacent brain tissue.

Conclusion:

Perianeurysmal cysts can develop during long-term follow-up, and clinicians should consider surgical treatment, including cyst fenestration, using neuro-endoscopy if the cyst presents with clinical symptoms.
ANTI-INFLAMMATORY GERANYL ESTER OF IBUPROFEN AND CORRESPONDING FURFURYL AND ISOAMYL AMIDES WITH IN SILICO ANALYSIS
Authors: Bepary Sukumar , Biswas Bishyajit Kumar , Jahan Sayeda , Rahman Sanjida , Islam Md. Toufiqul
Published: June 2024

Ibuprofen is a commercially available and widely used non-steroidal antiinflammatory drug being used in managing inflammatory disorders worldwide. This acid molecule has been subjected to esterification by coupling with geraniol as well as to amide formation by coupling with furfurylamine and isoamylamine for observing the changes in anti-inflammatory potential due to the addition of relatively long aliphatic chains. During these reactions, the reaction yields were within 88-94%. In this in vitro evaluation, the prevention of egg albumin denaturation and human red blood cell (HRBC) membrane stabilization were observed. For observing potential for preventing egg albumin denaturation, the synthesized compounds were applied as doses of 10 μg/ml, 20 μg/ml, 30 μg/ml, and 40 μg/ml. For observing the better response from ester derivative, 50 μg/ml, 100 μg/ml and 200 μg/ml doses were also tried. For observing the Human RBC membrane stabilization with amides, 50 μg/ml and 100 μg/ml doses were tried. Ibuprofen was taken as the reference compound and was applied in same doses in all of the experiments. The antiinflammatory potential of the synthesized geranyl ester was remarkable in comparatively higher doses (16%, 45%, and 54% reduction in protein denaturation from 50 μg/ml, 100 μg/ml, and 200 μg/ml doses respectively). Isoamylamide was relatively more potent than geranyl ester in preventing egg albumin denaturation (reductions were 9%, 13%, 17%, and 31% from 10, 20, 30, and 40 µg/ml doses respectively). Furfurylamide was more potent than isoamylamide by showing 9%, 17%, 31%, and 46% inhibitions respectively. There were dose-dependent antiinflammatory actions observed from both the geranyl ester and amides. The synthesized compounds were also subjected to the in silico study for observing the ligand-receptor interactions in the binding site of the cyclooxygenase enzyme.
Development Of Digital Comic Learning Media Based on Local Wisdom in Pancasila And Citizenship Education Subjects
Authors: Alfanda Noviyasti , Jamaludin Ujang , Bahrudin Febrian Alwan
Published: June 2024

Education is an attempt made to facilitate understanding, awareness, and development of knowledge, analytical skills, and effective skills through various learning media. In this research, problems existed in the form of a lack of innovation in the use of learning media and difficulty for students to understand the material. Thus, there was a need for innovative media for learning, like digital comics. However, digital comic media had drawbacks that must be improved through the development stage. Hence, this research aimed to create innovation by developing media for learning in the form of corresponding digital comics. The method used was R&D (Research and Development) with Thiagarajan's 4D model, consisting of Define, Design, Development, and Dissemination. The findings showed: "Highly Feasible" by media validators with 84.76%, "Feasible" results from material experts with 71%, and "Highly Feasible" results by practicing material experts with 92%. Furthermore, students' responses to conducted by limited trials to seventh grade students of SMP Negeri 2 Anyer obtained "Excellent" results with 85.04% and in the field test to seventh grade students of SMP Negeri 2 Anyer obtained "Excellent" results with 84.83%. Accordingly, the findings were considered significantly important to create innovation in the use of media for learning, and it is possible to deduce that digital comic learning media based on local wisdom of Pancasila and education citizenship subject.
Topological properties of interfacial hydrogen bond networks
Authors: Wang Ruiyu , DelloStritto Mark , Klein Michael L. , Borguet Eric , Carnevale Vincenzo
Published: June 2024

Hydrogen bonds play a crucial role in the anomalous behavior of water. While the properties of individual H-bonds have been extensively studied, the topological characteristics of the resulting H-bond network remain less explored. In this study, we employ molecular dynamics simulations to examine various aqueous interfaces, uncovering an increased number of H-bonds parallel to surfaces compared to bulk water. To quantify the topology of these networks, we introduce novel estimators for network percolation and dimensionality. Our findings reveal that the elevated proportion of H-bonds parallel to the interface significantly influences network connectivity, reducing both the number of water layers and the distance from the surface at which the network achieves full connectivity. Consequently, H-bond networks at interfaces exhibit more "two-dimensional" characteristics than those in bulk water due to high local water density and the competition between water-water H-bonds and water-surface interactions.
Chiral Triazole-substituted Iodonium Salts in Enantioselective Halogen Bond Catalysis
Authors: Damrath Mattis , Scheele Tarek , Duvinage Daniel , Neudecker Tim , Nachtsheim Boris Johannes
Published: June 2024

Herein, we present the synthesis of chiral triazole-based diaryliodonium salts and their application as monodentate asymmetric iodine(III) derivates in halogen bond (XB) catalyzed reactions. These potential Lewis acids were successfully benchmarked in the vinylogous Mannich reaction of cyanomethyl coumarin with isatin-derived ketimine to obtain the addition product in up to 99% yield and >99:1 e.r. Furthermore, these halogen bond catalysts allowed an efficient functionalization of ketimines with various alcohols toward N,O-acetals in up to 99% yield and 90:10 e.r. Additionally, we studied the origin of the enantioselectivity based on Density Functional Theory (DFT) and the catalyst crystal structure. These unveiled the first approach of asymmetric induction facilitated by using σ-hole stabilized chiral moieties in iodine(III)-based catalysts and exclusively predicated upon XB activation.
acumulação originária que se renova
Authors: Prestes Pazello Ricardo , Uchimura Guilherme Cavicchioli , Soares Ferreira Matheus
Published: June 2024

A partir de trabalho em campo de observação participante, pretendemos discutir a categoria da acumulação originária permanente a partir de dados e informações sobre o contexto epidemiológico de Barra Longa/MG, município brutalmente atingido pelo rompimento da Barragem de Fundão no ano de 2015. Observamos que os movimentos que organizam as populações atingidas pelo rompimento da barragem do Fundão, em Barra Longa, em especial o Movimento dos Atingidos por Barragens, têm no centro de sua intencionalidade política a reivindicação na participação e controle da proposta de reparação dos danos Ã  saúde. Trata-se de uma participação protagônica, em oposição Ã  participação agônica, esta realizada sob a forma da gestão empresarial do processo de reparação.