bluuebunny/crossref_metadata_2025 huggingface dataset:
Frequency of Patellofemoral Pain in Female Athletes of Different Universities
Authors: Ameer Taiba , Batool Sana , Tanvir Amna , Yousafzai Muhammad Sulaiman
Published: December 2024

Objective: The objective is to determine frequency of patellofemoral pain in university female athletes Methodology: A cross sectional study was conducted and data was collected through Non- probability convenient sampling. Study sample of 106 females was selected. This study was followed in a period of 6 months. Methodology: This study was conducted from university of Lahore, university of central Punjab, and comsats university Lahore. Analysis was done by the spss versoin 25.0. Factual instruments applied in the current investigation incorporate frequencies, rate, mean and standard deviation. Results: The results concluded that most of the female athletes had patellofemoral pain. 160 females were taken for the test from which 34/160(21.3%) feel limp, 104/160(65%) felt pain while walking, all of them felt difficulty climbing stairs, 25/160(15.6%) were unable to run, and 5 4 / 1 6 0 ( 3 3 . 8 % ) f e l t s l i g h t p a i n w h i l e 73/160(45.6%) felt severe pain. Conclusions: Overall most of them were in pain after patellofemoral syndrome Conclusions: The study highlighted that a high frequency of patellofemoral pain was found in female athletes. The athletic females needed strategies to overcome the patellofemoral pain. It will reduce the frequency of patellofemoral pain. There is a need of further research to investigate the occurrence of patellofemoral pain experienced by the females.
How Smart Phones Effects Health/ Tech Neck: Causes and Preventions
Authors: Wasay Tanweer Syed Abdul
Published: December 2024

Now a days every other individual irrespectiveof the age is spending hours and hours on mobilephones or laptops. There is a research stating thatnormally people spend 1400 hours every year ontheir smart phones. We don't realize and noticethat when we are checking our mails, Facebookor instagram post we are placing our neck inoverstressed forward posture. To mention andprevent this problem WHO gave it's the name ofTech Neck Syndrome. In medical terms Techneck is also known as Cervical KyphosisSyndrome. This is a result of hunch back slouchposture which is very painful and doesn't allowindividuals to perform daily activities. When aperson bend his neck in forward posture to lookat screen of laptop or mobile that is where theproblem starts which causes pain and tension inneck and shoulders. Its symptoms vary fromindividual to individual i.e. Cariogenicheadaches, Stiff back and necks. In most chronicsituations patients feels numbness and tinglingradiation towards arm. There are manypreventive measures that can be taken whileusing electronic devices to prevent thissyndrome. It includes raising the phone to eyelevel while using it or adjusting the table heightto eye level while using laptop. Individualshould sit straight with back straight and takefrequent breaks while using it. The mostimportant way to prevent such pains are toexercise healthy and maintain a good life style.
Effect of Sitting Postures on the Shoulder Range of Motion
Authors: Zafar Hamayun
Published: December 2024

The human shoulder joint is one of the mostmobile joint of the body and requiresuninterrupted scapulohumeral rhythm fornormal Range of Motion (ROM). Body posturehas been shown to inuence scapular positionand thus can affect overall shoulder function.Objective:To study the effect of US and SS postures on theshoulder ROM during Flex, Ext, and Abd.
Methodology:This cross-sectional study included 135 younghealthy adults, 100 males and 35 females (aged18–30 years). The shoulder ROM during Flex,Ext, and Abd was measured three times eachusing a standard 12-inch plastic goniometerduring upright and slouch sitting test conditions.
Results:The Ext-ROM values during both US and SSposture for males were signicantly higher thanthat for females (p<0.0001). In both males andfemales, the Flex-ROM values during uprightsitting were signicantly higher than SS testconditions and Ext-ROM values were foundsignicantly higher during SS than US testconditions (p<0.0001). No effect of the studiedsitting conditions was found on the ROM ofshoulder Abd.
Conclusions:The US and SS postures can affect the shoulderROM in different planes. Clinical protocols forthe assessment, treatment and management ofshoulder joint pain and dysfunction can beimproved by including these ndings.
Developing Research Culture among Physiotherapists in Pakistan
Authors: Arsalan Syed Asad Ullah
Published: December 2024

Studying or knowing about something is the act of devoting time to learning about any topic or area of knowledge. While studying, we gain knowledge which is already discovered andprovides base to originate an innovation on existing knowledge. The linkage between existing and innovated knowledge is the research which systematically makes the innovated knowledge acceptable for academic field. Creation of knowledge requires complex set of skills and an intrinsic connection between study and research on the basis of evidencebased practice. The patient should be provided best available treatment by using conscientious, explicit and judicious evidence in decision making which could only be attained by using a reliable research methodology. A strong relationship between advanced knowledge, research and innovation has better impact on healthy society. Apart from knowledge and training a strong scientific method is required to perform scientific research. For productive results, research-informed physiotherapy practice is needed both at clinical and academic platforms. Physiotherapists have a very unique r o l e i n e a c h s o c i e t y a n d r e s e a r c h i n physiotherapy has grown exponentially over the last four decades. In the 20th century, the physiotherapists had started publishing scientific research and in 1929, first scientific randomized controlled trial (RCT) was reported. Easy access to research based scientific knowledge has helped in the development of research based physiotherapy profession. Research projects by physiotherapists are addressing different areas ranging from basic research to specific clinical questions and with t h e p a s s a g e o f t i m e m o r e n u m b e r o f physiotherapists are engaging in research. Physiotherapists are also pursuing their doctoral degrees in order to be competent in research.
Prevalence of Compression Neuropathies during Pregnancy
Authors: Bukhari Bazal , Afzal Saba , Gilani Mehak hamna Zahra , Tariq Mariam , Nasir Maham , Arsalan Syed Asad Ullah
Published: December 2024

It is common perception that Pakistani women suffering from compression neuropathies during pregnancies which may lead to functional limitations. Objective: To find the frequency of common neuropathies during pregnancy, nerves commonly involved and common causes of compression neuropathies. Methods: This was a cross sectional study. Duration of thestudy was 3 months after approval of synopsis. Convenient sampling was used. This study was conducted at private hospitals of Lahore (Iqra Medical Complex, Saira Memorial hospital and UOL teaching Hospital). Inclusion criteria were women of 30-45 years, women with symptoms of neuropathy, primigravidas and Multigravidas women were included. Exclusion criteria were women who so not fit in above age group, women having any surgical intervention before conception and having any trauma. A Performa was used for each patient, which was filled out based on their symptoms. Statistical analysis was done by using SPSS 17. Results: From the data of 35 multigravida pregnant women, compression of sciatic nerve and median nerve are common during 3rd trimester. The increased body weight during pregnancy involved during pregnancy in multigravida  women. The compression neuropathies occur commonly in 3rd trimester of pregnancy. The increase weight during pregnancy, poor economic status and bad posture are significant causes of compression neuropathies.
COVID-19 Effect on Mental Health of Health Care Workers
Authors: Gilani Syed Amir
Published: December 2024

There is a new wave of coronavirus known as COVID-19 is causing this pandemic. This wave of this deadly virus has started on 7 January 2020. As of June 2020 it stared to spread globally from one country to another country. Till now there is no treatment and proper vaccines for this virus. All research labs of different countries are using hit and trial method to make a proper vaccine bit no success till now. There are no successful vaccines or treatment. Convalescent plasma transfusion can be a potential treatment, but it is in experimental stages. 
This Virus is seriously effecting the mental health of different health care workers. Professionals and health care workers who work under this high anxiety environment are facing a lot of mental and behavioral changes. Counselling and psychotherapy based on the stress-adaptation model can serve as an early and prompt intervention. As a result, addressing mental health problems among medical personnel is critical for better pandemic prevention and control. Medical staff are typically rotated among the provinces of the state to care for confirmed or suspected cases, reinforce logistic support, and relieve strain on health-care personnel. In this case, broadcasting medical advice on how to avoid the risk of transmission between patients and medical workers in a medical setting through online and electronic media could alleviate the pressure on medical workers.
Knowledge and Beliefs of Medical Practitioners about Exercise during Pregnancy
Authors: Khan Memoona , Ashfaq Arooj , Hanif Kamran , Yousaf Ruhamah , Faridi Tallat Anwar
Published: December 2024

Exercise in pregnancy is connected with a reduction in numerous regular issues of pregnancy (1). It is presented that ladies are not meeting the activity proposal of the past studies(2). A bunch of variables not constrained to convictions and states of mind of ladies concerning exercise in pregnancy (3). Normal exercise has been embroiled as imperative elements inclining to practice commitment or fear among pregnant women Objective: Objective of this study is awareness of benefits of exercise in gynecologic and obstetric conditions. To access the views of medical practitioners about exercise in pregnancy.Methods: A solace test of ninety-three specialists were chosen, working in the private and government therapeutic administrations division, 29 medicinal Professionals took participate , there were 26 Gyne doctors, 14 physiotherapists included and 24 restorative officers participated,appreciated this observational study, realistic outline mull over. A survey consist of 21 questions was passed on physically at helpful practices and through email to an on-line. Expressive experiences and repeat tables were figured for all request. P esteem was critical less than 0.05. Results: Most of experts74% assumes that movement in the midst of pregnancy is invaluable, and was capable on an extensive part of the typical focal points. Forty-nine percent assumed that giving movement direction is a basic bit of pre-birth care, at any rate only 50 % gave illuminating flyers and few (24 %) insinuated rehearse experts. (48 %) were oblivious to the endorsed practice rules. Conclusions: The results from this examination were found that medical professionals had their optimistic rejoinder concerning preparation in the midst of pregnancy. They endorse guide control exercises to their patients.
Prevalence of Generalized Joint Hypermobility and Its Association with Sports Injuries in Cricket Players
Authors: Abbas Esha , Iqbal Syeda Amna , Ahmad Asad
Published: December 2024

Background: Generalized joint hypermobility has been initiated as a risk factor for injuries to the ankle, knee, and shoulder joints
Objective: The objective is to assess the prevalence of generalized joint hypermobility and its association with sports injuries in cricket players.
Methodology: A total number of One hundred and fifty one subjects 115 male, 36 female; mean age 27.45 participated in this study by using non probability convenience sampling. Self-modified questionnaire was used.
Results: The results exhibited that 49 players (32.5%) have hypermobility and 102 players (67.5%) did not have hypermobility. (9.9%) of the participants have 0 score out of 9 which is minimum and (21.2%) of the participants have 4 score out of 9 which is maximum. Indirect (overuse) injuries 46.3% had higher percentage. 20.5% of the athlete had a history of recurrence. (0.043) was the p-value which indicated that a significant association between sports injuries and generalized joint hypermobility.
Conclusions: Negative hypermobile athletes also prone to sports injuries. Among all the sports injuries, injuries of the lower limb (hamstring and quadriceps strain) were most common as compared to the upper limb.
PREVALENCE OF KNEE PAIN IN WOMEN DURING THIRD TRIMESTER OF PREGNANCY
Authors: Narjis Syeda Farheen
Published: December 2024

Background: Musculoskeletal problems are widespread in the obstetric population, with one out of every four women experiencing debilitating symptoms. Because of hormonal, anatomical, physiologic, and morphological changes during pregnancy, pregnant women frequently develop musculoskeletal disorders involving the lower extremities. Symptoms such as muscular strain, cramps, discomfort, weariness, and knee soreness are common.
Objective: Prevalence of knee pain in women during the third trimester of pregnancy
Material and Methods: This cross-sectional study was conducted on 152 participants. Data were collected through a convenient sampling technique by using the modified KNEST questionnaire. The study added women in the third trimester of 18-30 years with knee discomfort started after the second trimester.
Results: The mean age of women was 23.14 ±3.43 years, with a lower limit of 18 and an upper limit of 30 years. 26.3% of women had no pain in or around the knee. About 67.1% of women consulted their GP due to knee pain, 30.9% of patients visited physiotherapists, 9.9% of patients had consulted a medical specialist, 6.6% of patients visited a chiropractor, and 3.3% of patients had taken knee injections in their third trimester.
Conclusion: The prevalence of knee pain in pregnant females in the third trimester was high; 73.68%. Most pregnant females visit physiotherapists to manage knee pain in the third trimester, preferably than going for injections and other treatment options.
PHYSICAL ACTIVITIES AS A THERAPEUTIC MEANS OF HEALTHFUL LIVING AMONG STUDENTS OF UNIVERSITY OF ILORIN, ILORIN, KWARA STATE
Authors: ALADESUSI GBOYEGA , Bakinde Surajudeen Tosho
Published: December 2024

Healthful living extends to areas such as the state of mind, relationship with people, environment, mental health, physiological state of the body, ability of an individual, interests, habits, behavior, taking full responsibility and making smart and good health choices for today and for the future.
Objectives: The study examined physical activities as a therapeutic for healthful living among students of University of Ilorin Nigeria.
Methodology: The study adopted a descriptive research of survey type. This method is used to enable researchers to obtain quick information on physical activities as a therapeutic means of healthful living among students of University of Ilorin, Ilorin, Kwara State directly from the primary source and also conducting rigorous quantitative and qualitative research. Multi-stage sampling technique was used to select sample for this study.  First, proportionate sampling technique using researcher advisors models was used to sampled 5% (200) undergraduates students from 4000 undergraduates in 2019/2020 and simple random sampling techniques were used to select 200 undergraduates students for the study . The instrument was self-structured questionnaire validated and tested for reliability through test-retest method. Chi-square (X2) statistic was used to test the hypotheses at 0.05 alpha level and to test the relationship between categorical variables stated in the hypotheses.  Statistical package for social science (SPSS) version 25.0 was used for data analysis.
Results: Table two shows that, the calculated value of 70.899 is greater than the critical value of 21.03 at the degree of freedom of 12 at 0.05 alpha level, the null hypothesis is thereby rejected. This means that there is significant influence of the impact and benefit of physical activities in promoting and maintaining the better health of students. The results also  revealed that there is significant influence effect of physical activities among students in their daily activities of an active healthful living and that there is significant influence of student’s knowledge about physical activities and physiological functioning among students of University of Ilorin.
Conclusion: The study concluded that there was significant influence of the impact and benefits of physical activities in promoting and maintaining the better health of students in University of Ilorin and Physical activities had significant influence on the daily activities and healthful living of students of University of Ilorin.
EFFECTS OF MOTOR IMAGERY TRAINING AMONG PARKINSON’S PATIENTS ON GAIT, BALANCE AND MOBILITY DYSFUNCTIONS
Authors: Liaqat Amara , Mubeen Iqra , Murtaza Farukh , Asif Tooba , Anjum Aqsa , Subhani Rabia Mahboob
Published: December 2024

Gait disorders in individuals with Parkinson’s disease (PD) may be associated with alterations in the motor control system and aggravated by psych emotional and cognitive issues. Motor imagery (MI) has been shown to be one of these strategies, but there is still no clear evidence of its applicability in this population.
OBJECTIVE: This trial aimed to determine the effects of motor-imagery training on gait, balance and mobility dysfunction of individuals with PD.
MATERIAL AND METHODS: A randomized controlled trial was conducted on sample of 40 individuals, aged between 45 and 75 years, in the mild and moderate phase of the Parkinson’s disease, with the ability to generate voluntary mental images. The experimental group performed motor imagery and gait exercises, while the control group was only engaged in gait exercises. Twelve training sessions were conducted, lasting up to 90 min each, three times a week, for 4 weeks.
RESULTS: The results regarding within-group analysis in the motor imagery group showed that there was a significant improvement in all of the outcomes, p value 0.000. The results regarding within control group analysis showed that there was significant improvement in all of outcomes, p value a 0.000.
CONCLUSION: Motor imagery training was significantly more effective than routine physical therapy alone in improving gait, balance, and mobility dysfunction in patients with Parkinson’s disease.
FREQUENCY OF LATERAL EPICONDYLITIS AMONG TANDOOR WORKERS
Authors: Sarfraz Neha , Shabbir Mahnoor
Published: December 2024

Tennis elbow, also referred to as lateral epicondylitis and medial epicondylitis, are injuries caused by overuse that hurts and makes the elbow uncomfortable on the outside and inside of the elbow, respectively. They can harm the muscles and tendons around the joint at the elbow and are frequently linked to repetitive actions. Research has been done better to understand the connection between workplace conditions and elbow diseases. Objective: The study aimed to determine the frequency of lateral epicondylitis among tandoor workers and formulate suggestions for reducing their occupational risks. Materials and Methods: This cross-sectional study was based on a probability convenient sampling technique due to time constraints, resulting in a sample size of 106 individuals who met the inclusion and exclusion criteria. An updated version of the "Patient-Rated Elbow Evaluation" (PREE) questionnaire was administered through a paper-based form with multiple-choice answers. Results: Around 37.7% had work experience exceeding three years, while 44.3% worked for 3-5 hours. The mild pain reported during repeated movements was 41.5% with worst pain of 0.9%.  The most prevalent experience of pain at its least was mild pain (40.6%) and worst pain experienced by 0.9%. Positive Cozen and Mills tests were found in 40.6% and 34.9% of cases, respectively. Conclusion: The following research shows that lateral epicondylitis is present among tandoor workers working for more than 3-5 hours.
HESITANCY, ATTITUDE AND SIDE EFFECTS OF COVID-19 VACCINE BOOSTER DOSE AMONG PHYSICAL THERAPISTS IN PAKISTAN: A CROSS SECTIONAL SURVEY
Authors: Jamil Ayesha , Nadeem Surooj , Malik Waqas , Shahzad Adeena
Published: December 2024

Many variants of COVID-19 virus demanded need for vaccines to promote and maintain immunity among healthy and immunocompromised people. Physiotherapists have close contact to the patients so they must be fully vaccinated. However, the acceptance towards vaccine and booster dose may vary among different regions.
Materials and Methods: This cross sectional study was conducted in three months and data was collected from 511 physiotherapists through the online survey. A structured questionnaire was used to find out the hesitancy, attitude and the side effects of booster dose.
Results: Around 232 (45%) of the participants were of age 31-35 years, 264 (53%) were females, 323 (63%) were married, and 408 (80%) were having master degree. Majority were not hesitant towards vaccination with total 404 (79%) had been offered vaccination, and 383 (75%) had taken both first and second dose of COVID-19 vaccine, a total 341 (67%) showed willingness to take vaccine every year and 301 (59%) agreed for requirement of booster dose. While malaise and fatigue were most commonly reported side effects of booster dose.
Conclusion: Majority of the physical therapists in Pakistan are less hesitant, and are more agreeable on need of booster dose and experienced minimal side effects after booster dose administration.
Key words: Attitude, Booster Dose, Covid-19 vaccine, Hesitancy, Side Effects, Physical therapist
Взаимодействие правовых систем современности в целях устойчивого развития общества (по итогам XХIV Международной научной конференции студентов, магистрантов и аспирантов)
Authors: Вартанян Авак Михайлович
Published: December 2024

Освещены итоги XХIV Международной научной конференции студентов, магистрантов и аспирантов, проходившей 26 апреля 2024 г. на юридическом факультете ГрГУ им. Янки Купалы. В рамках конференции рассматривались вопросы взаимодействия современных правовых систем, их влияние на обеспечение устойчивого развития общества. Конференция проводилась в целях стимулирования научно- исследовательской работы студентов, магистрантов и аспирантов, повышения их роли в формировании научной политики Республики Беларусь, оптимизации научной и практической составляющей юридической образовательной деятельности, а также развития научного потенциала юридического факультета ГрГУ им. Янки Купалы, кадрового потенциала Республики Беларусь.
Специализация правового регулирования гражданского судопроизводства по транспортным делам
Authors: Сигаева Татьяна Адамовна
Published: December 2024

Во введении отмечена актуальность исследования проблемы специализации правового регулирования гражданского судопроизводства по транспортным делам для совершенствования законодательства и судебного правоприменения. Цель работы – выявление процессуальных норм в транспортном праве, установление причин их специализации, а также связей с общими гражданскими процессуальными предписаниями. Научная новизна заключена в их установлении, выявлении существующих проблем
в правовом регулировании, разработке предложений по совершенствованию законодательства. Область применения результатов исследования: нормотворческая, правореализационная, научно-исследовательская
деятельность. В основной части определены специальные процессуальные нормы о претензионном порядке урегулирования транспортных конфликтов, их подведомственности и подсудности, средствах
защиты транспортных прав, возбуждении и динамике гражданского судопроизводства по транспортным
делам, участвующих в них лицах, относимости и допустимости доказательств, предмете доказывания и распределении обязанностей по доказыванию, оценке доказательств, обеспечительных мерах, производстве, связанном с исполнением исполнительных документов и др. Установлены виды соответствующих транспортных процессуальных норм по связи с общими предписаниями гражданского процессуального права: дополняющие, детализирующие, исключительные. Проанализированы социально-экономические факторы, обусловливающие их наличие в транспортном праве, степень
выраженности их в праве. Выявлены погрешности в правовом регулировании исследуемой области общественных отношений, внесены предложения, направленные на их устранение. В заключении дана общая характеристика специализации правового регулирования гражданского судопроизводства по транспортным делам, обобщаются причины специализации.
Вымогательство: проблемы квалификации и законодательного определения в эпоху цифровизации
Authors: Меерсон Владислав Романович , Бахур Олег Иванович
Published: December 2024

Во введении указаны специфика развития охраняемых общественных отношений с учетом развития информационно-телекоммуникационных технологий, сопряженных с растущим числом новых форм совершения общественно опасных деяний. Кроме этого, во введении обозначена актуальность проблемы исследования. В качестве предмета исследования выступают уголовно-правовые нормы зарубежного уголовного законодательства, памятники права, регламентирующих особенности признаков соответствующего преступления. Целью исследования является выявление закономерностей формирования (генезиса) и текущего состояния конструкций составов преступления, предусматривающих уголовную ответственность за вымогательство, сравнительный анализ соответствующих норм с учетом особенности относительно недавних новелл, принятых законодателем в рамках повышения эффективности борьбы с рассматриваемыми общественно опасными деяниями. В основной части наряду с анализом уголовно-правовых механизмов борьбы с вымогательством на примере отдельных зарубежных стран, историческим аспектом, вытекающим из периодизации развития общественных отношений, рассмотрены специфические практические ситуации, направленные на демонстрацию существующих в правоприменительной практике дискуссионных моментов. Полученные результаты позволяют спрогнозировать перспективы формирования отраслевого законодательства, обеспечивающего уголовно-правовую охрану отношений в сфере собственности, сформировать единую правовую позицию, касающуюся решения вопросов квалификации деяний, внешне схожих с вымогательством, сопряженным с угрозой модификации, блокирования компьютерной информации, однако в силу закона таковыми не являющимися. В заключении с учетом представленного материала, существующего проблемного поля и развития цифровизации общества обозначены исчерпывающие суждения, направленные на повышение качества противодействия соответствующемупреступлению, обозначены некоторые направления совершенствования отечественного законодательства, выраженные в новой редакции ст. 208 Уголовного кодекса. Область применения полученных результатов исследования – дальнейшая научная разработка вышеуказанной сферы, нормотворческая деятельность, образовательный процесс учреждений образования, обеспечивающих получение высшего юридического образования.
Review of East Asian Trade Policy Reforms for India
Authors:   Dept. of Economics, Meerut College, Meerut., Gautam Prof. V. K.
Published: December 2024

Trade policy reforms in East Asia have been a significant driving force behind the region's economic success over the past few decades. The liberalization strategies adopted by countries like China, South Korea, and Japan have provided valuable lessons for India as it continues to reform its trade policies. This review examines the progression of trade policy reforms in East Asia and their implications for India, exploring how these strategies can be adapted to enhance India's economic growth and integration into the global economy.
The Role of Policy and Regulation in Driving Green Supply Chain Practices: A Comparative Study
Authors:   Research Scholar, Department of Commerce,University of Delhi, Delhi., Kumar Navneet
Published: December 2024

This study explores the role of policy and regulation in driving Green Supply Chain Management (GSCM) practices by a comparative analysis of the European Union (EU), the United States (US), China, and India. GSCM has become a critical component of corporate sustainability efforts, aimed at reducing environmental impact across supply chain processes. Governments play a significant role in fostering these practices, with each region adopting unique regulatory approaches shaped by economic, social, and industrial contexts. The analysis reveals that the EU?s stringent and centralized regulatory model results in high compliance rates and supports robust green practices across industries. In contrast, the US's decentralized structure allows for state-level innovation, though it creates inconsistencies in adoption. China?s policies, driven by the Circular Economy model, provide strong government incentives but face challenges in enforcement. Meanwhile, India?s emerging regulatory framework shows potential but is hindered by resource limitations and inconsistent enforcement, highlighting the need for further support to achieve widespread GSCM adoption. The findings suggest that effective regulatory frameworks are characterized by policy clarity, enforcement consistency, and industry-aligned incentives. Insights from this study can inform policymakers and industry leaders on optimizing regulatory approaches to enhance green supply chain practices globally.
Pengetahuan Manfaat Obat Terhadap Kepatuhan Penderita TBC Di Puskesmas 1 Baki
Authors: Safitri Elfiana Dwi , Mustain Mustain , Firdaus Insanul
Published: December 2024

Di Indonesia dan di seluruh dunia, tuberkulosis (TBC) merupakan masalah kesehatan masyarakat. Oleh karena itu, hal ini merupakan salah satu tujuan pembangunan kesehatan berkelanjutan. Mycobacterium tuberkulosis, sering dikenal sebagai M. tuberkulosis, adalah penyakit menular yang menyebabkan TBC, salah satu dari 10 penyakit yang paling banyak membunuh orang di seluruh dunia. Tingkat pengetahuan penderita mengenai manfaat obat dan kepatuhan penderita dalam meminum obat ini sangat erat hubungannya dan sangat berpengaruh terhadap kesembuhan penderita tuberkulosis. Jika pasien mengikuti pengobatan sesuai resep dokter selama enam hingga delapan bulan, mereka dapat sembuh dari tuberkulosis. Perjalanan pengobatan TBC memakan waktu lama. Ada kemungkinan pasien tidak akan meminum obat sesuai resep karena tidak banyak informasi tersedia mengenai manfaatnya. Penelitian ini bertujuan untuk mengetahui Hubungan Pengetahuan Manfaat Obat Terhadap Kepatuhan Penderita TBC Di Puskesmas 1 Baki. Metode penelitian deskriptif korelatif dengan model pendekatan subjek Cross Sectional. Responden yang memiliki pengetahuan manfaat obat baik sebanyak 18 (60,0%) dan responden yang memiliki kepatuhan tinggi sebanyak 18 (60,0%). Hasil uji statistik Rank Spearman didapatkan nilai p.value=0,000 (p.value=<0,05) hasil tersebut menunjukkan ada hubungan pengetahuan manfaat obat terhadap kepatuhan minum obat pada penderita TBC di Puskesmas 1 Baki.Kata Kunci: Tuberkulosis, Kepatuhan, Pengetahuan
Tarihi Sütunların Yersel Fotogrametri Yöntemiyle 3 Boyutlu Modellenmesi ve WEB Tabanlı Görselleştirilmesi
Authors: Kabadayı Adem , Kaya Yunus
Published: December 2024

Tarihi yapıların korunması ve sürdürülebilirliği, kültürel mirasın gelecek nesillere aktarılması için kritik bir öneme sahiptir. Bu çalışmada, bir tarihi sütun yersel fotogrametri yöntemi kullanılarak dijital olarak modellenmiş ve oluşturulan 3B model, web tabanlı bir platformda görselleştirilmiştir. Yersel fotogrametri tekniği ile çekilen fotoğraflar üzerinden yüksek hassasiyetli bir 3B model üretilmiş ve bu model Sketchfab platformuna yüklenerek kullanıcıların erişimine sunulmuştur. Çalışmada sütunun farklı açılardan fotoğrafları çekilmiş, fotoğraflar arasında yüksek bindirme oranı sağlanmış ve 38 fotoğraf kullanılarak yaklaşık 1,9 milyon yüzeyden oluşan bir model oluşturulmuştur. Modelleme süreci, Agisoft Photoscan yazılımı ve Hareket Tabanlı Yapısal Algılama (Structure from Motion-SfM) tekniği kullanılarak gerçekleştirilmiş, model üzerinde yükseklik analizi yapılmıştır. Dijitalleştirme süreci, kültürel mirasın korunmasına katkı sağlamanın yanı sıra, eserin çevrimiçi ortamda incelenmesine olanak tanımaktadır. Bu yöntem, basit ekipmanlarla dahi etkili sonuçlar elde edilmesine imkân tanımaktadır. Çalışma, tarihi yapıların dijital ortamda korunması ve daha geniş kitlelere tanıtılması açısından önemli bir katkı sağlamaktadır. Elde edilen 3B modeller hem koruma hem de eğitim amacıyla kullanılabilecek değerli bir kaynak oluştururken, sanal müze gibi yenilikçi uygulamalara da imkân tanımaktadır.
Experiences from a land-based learning project focused on local food interventions
Authors: Palmer Abbey , Warsaw Phillip , McKim Aaron , McKendree R. , Nettleton Maezie , Marzolino Tiffany , Brasier Haley
Published: December 2024

Farm-to-school programs have many documented benefits but are typically centered around school gardens or local food procurement, which can be a limitation for schools. Land-based learning takes a student-centric approach to agricultural education, allowing students to identify and develop interven­tions to improve their local food system based on the content presented in the classroom, providing the possibility for delivering farm-to-school content outside of its traditional settings. We present findings from the evaluation of a land-based learn­ing program implemented in northern Michigan. The program engaged two teachers and their respective students across two schools, each school’s food-service directors, two local farmers, and a Michigan State University extension educator to form two Locally Integrated Food Teams (LIFTs). Students were presented content about local food procurement across 20 instructional sessions, during which each LIFT worked to develop a shared understanding of the local food system and school lunch sourcing to identify an intervention to increase the amount of local food in their school lunches. The LIFTs then proposed their interventions to Michigan State University faculty, implemented their intervention, and pre­sented the results of the intervention during the program wrap-up day. To explore the experiences of LIFT members, we conducted focus groups and collected observational data from the program par­ticipants. We find that delivering farm-to-school content in a land-based learning framework pro­vides many of the same benefits of traditional farm-to-school programs, while allowing for great­er flexibility in the construction of the program and providing additional educational benefits not com­monly discussed in the farm-to-school literature.
Marshaling Normative Pragmatic Force to Secure Autonomy
Authors: Innocenti Beth
Published: December 2024

Speakers’ autonomy as arguers is impaired when they are not recognized as arguers, they can’t get their arguments heard, and their arguments are ignored, dismissed, or used against them. How do speakers cultivate conditions to secure their autonomy as arguers? This article submits that they marshal normative pragmatic force or the practical efficacy of normative materials. To support this claim, this article explains what speakers’ autonomy as arguers comprises. The article then describes three legitimate sources of force in arguing and characteristic approaches to addressing conditions that interfere with legitimate sources of force. Finally, this article explains how arguers marshal normative pragmatic force to cultivate conditions to secure autonomy for all.
Can Rational Persuasion Be Epistemically Paternalistic?
Authors: Bondy Patrick
Published: December 2024

This article addresses two related questions about belief, inquiry, and persuasion. The first is a question about the nature of epistemic paternalism, which is, roughly, the activity of interfering in other people’s inquiry, for their own epistemic benefit. The second question is about rational persuasion, and whether it can ever be paternalistic, or (better) whether it can be disrespectful and prima facie wrong in the same way that at least some cases of paternalism are disrespectful and prima facie wrong. The article argues that if rational persuasion is paternalistic, it is epistemically paternalistic. It then considers how best to characterize epistemic paternalism and answers a challenge to its justifiability. Finally, the article responds to George Tsai’s view that rational persuasion can be problematically paternalistic, arguing that Tsai’s central case falls short of the ideal of rational persuasion.
The Social-Ecological System Framework of Urban Wetlands: The Role of Collective Management at Local Level
Authors: Díaz-Pinzón Lida , Sierra Lya , Trillas Francesc , Verd Joan Miquel
Published: December 2024

The social-ecological system of wetlands supports biodiversity and enhances the mental well-being of urban inhabitants. However, wetlands in Latin America face pressures from urban expansion, agriculture, governance conflicts, and poorly enforced regulations driven by economic activities, resulting in biodiversity loss and diminished ecosystem services. This study applies the social-ecological system framework to identify ecosystem services and evaluate factors influencing collective actions and governance effectiveness for urban and peri-urban wetlands. The case study is based in Cali, Colombia, using 33 semi-structured interviews, document analysis, and field visits. We find that facilitators such as leadership, networking, social capital, and community-based rules drive positive outcomes, enhancing ecosystem services. In contrast, barriers to collective action in wetland governance include low resource dependence, diverse actors, exclusion of groups, large resource size, pollution, conflicts, and property-rights issues, leading to ecosystem degradation. Additionally, our research shows how ecosystem services are influenced by environmental conflicts, property-rights systems, and community-led initiatives. Collaboration between communities and public agencies is crucial, enhancing local governance efficiency and ecosystem services.
Development and Evaluation of a Virtual Reality Program for Immediate Newborn Care Training in Nursing Education: A Feasibility Study
Authors: Hung Hsiao-Ying , Wang Yu-Wen , Hsieh Min-Chai , Chen Po-Yu , Chang Ying-Ju
Published: December 2024

Introduction: Nursing education equips students with the skills necessary to navigate the clinical environment. Repetitive training in complex skills ensures patient and student safety. Immersive virtual reality (VR) offers a realistic and safe environment for such repetitive learning processes. However, the feasibility of integrating such technology into the training of immediate newborn care skills remains unexplored.
Methods: In this feasibility study, the care procedure for immediate newborn care (INC) was standardized and converted into a VR teaching model. Experts and students were then recruited to assess and evaluate the suitability, usefulness and user-friendliness of the INC-VR model. A total of 35 students were recruited and allocated to a VR learning group and a traditional learning group to evaluate the INC-VR model in terms of knowledge acquisition, skill confidence, performance accuracy, and the time required to complete the INC tasks.
Results: Thirteen INC care tasks were transformed into a 15-minute INC-VR model, and the suitability, usefulness, and user-friendliness of the model were validated by both students and experts. Furthermore, students in the VR group demonstrated comparable INC knowledge, confidence, and performance accuracy to those in the traditional group, with a more time-efficient learning framework (10.3 minutes vs. 35 minutes).
Discussion: The INC-VR model developed herein can supplement traditional teaching to enhance students’ learning. This model could provide an accessible platform for additional practice and remediation, addressing the limitations of real-time skill practice opportunities. Therefore, it may also serve as a valuable reference for other institutions developing similar VR educational tools.
Comparison Of Sanger Sequencing And Next Generation Sequencing Methods For Investigation Of Jak2 Exon 12 Mutations In Follow-Up Of Patients With Chronic Myeloproliferative Disease And Jak2 V617f Non-Mutation
Authors: Arslan Mustafa , Çavdarlı Büşranur , Topçu Vehap , Taştan Hakkı
Published: December 2024

Myeloproliferative neoplasms (MPNs) are clonal disorders of hematopoietic stem cells with increased proliferation and efficient maturation of myeloid cells, leading to peripheral blood leukocytosis and excess erythrocytes or platelets. Mutations of the JAK2 V617F, CALR and MPL genes confirm the diagnosis of myeloproliferative neoplasm (MPN). Mutations in JAK2 have been identified in the majority of patients with PV, ET and PM, highlighting the importance of constitutive activation of JAK2 signaling induced by mutations. In our study, Sanger Sequencing and Next Generation Sequencing methods were used to search for JAK2 Exon 12 mutations in 100 individuals who suffered from Chronic Myeloproliferative Disease and did not have JAK2 V617F mutation by Real-Time PCR method, and the results were examined comparatively. The examination was made with DNA material isolated from peripheral blood samples taken from patients who were referred to Ankara Numune Training and Research Hospital (ANEAH) Genetic Diseases Diagnosis Center. First of all, individuals who have with negative JAK2 V617F RT-PCR test results were selected. PCR was performed by adjusting sufficient amounts and concentrations from the DNA samples obtained from the peripheral blood of these patients. After the PCR process, the JAK2 Exon 12 regions were sequenced and examined using the Sanger sequencing method. A Next Generation Sequencing (NGS) study was performed by creating libraries from the DNA of the patients whose JAK2 Exon 12 region was negative, and the results were analyzed using the database. Some of the studies were conducted at the ANEAH Genetic Diseases Diagnostic Center, and the other 46 patients were performed at the Intergen Genetic Diseases Diagnosis Center within the scope of NGS study service procurement. According to the analyzes made, the results of Sanger Sequencing and Next Generation Sequencing studies showed similarity. Despite the deep bottom readings, a different result could not be obtained from the Sanger Sequencing method in the NGS study.
Sistem Informasi Pemesanan Genteng Berbasis Website di Dusun Kebak
Authors: Supriyanto Kukuh , Wijiyanto Wijiyanto , Sumarlinda Sri
Published: December 2024

Dusun Kebak merupakan sentral tempat pengrajin genteng. Disana terdapat 10 pengrajin genteng yang masih melakukan produksi genteng setiap hari nya. Dusun Kebak menjadi satu-satu nya dusun pengrajin genteng terbanyak se-Desa Wirun. Permasalahan yang dihadapi para pengrajin genteng di Dusun Kebak adalah kurangnya perluasan jaringan pelanggan dikarenakan pelanggan yang ingin melakukan pemesanan harus datang bertemu dengan pengrajin secara langsung sehingga pelanggan yang memiliki waktu dan jarak yang terbatas kesulitan dalam melakukan pemesanan. Sebagai upaya untuk mengatasi permasalahan tersebut, maka para pengrajin genteng di Dusun Kebak memerlukan sistem informasi pemesanan yang dapat memudahkan calon pelanggan untuk melakukan pemesanan produk genteng tanpa harus datang menemui pengrajin genteng secara langsung.Sistem yang akan di buat akan menampilkan informasi terkait produk produk yang akan dijual dan memproses pesanan pelanggan. Untuk pengembangan sistem menggunakkan metode Waterfall dan bahasa pemrograman. PHP. Sistem pemesanan yang dibuat memiliki 2 hak akses antara lain : pelanggan dan admin
Consejos para desarrollar una carrera investigadora: un decálogo basado en la experiencia personal
Authors: Ungerfeld Rodolfo
Published: December 2024

La cantidad de personas que trabaja en actividades de investigación es muy baja a nivel mundial, y aún más en Latinoamérica. Esta actividad es consecuencia de procesos de formación que son altamente selectivos, lo que ha llevado a la elaboración de una serie de recomendaciones basadas en experiencias personales. Estas recomendaciones constituyen un marco general que debe adaptarse a cada caso particular, considerando el contexto en el que se desarrolla, y las condiciones disponibles.  Las recomendaciones han sido agrupadas en 10 puntos principales: 1. Alta dedicación a la actividad; 2. Pasión por lo que se hace; 3. Honestidad en la forma de proceder; 4. Formación continua y humildad frente a lo desconocido; 5. Trabajo en equipo y colaboración; 6. Desarrollo de visiones amplias para responder preguntas científicas de calidad; 7. Comprender que los resultados son consecuencia del proceso en sí mismo; 8. Adquirir e integrar conocimientos específicos, pero también transversales; 9. Visualizar líneas de trabajo y desarrollo científico más allá de cada experimento; 10. Enfocarse en la formación de nuevos investigadores. La actividad del investigador es apasionante, pero también exige un nivel muy alto de dedicación, tanto en términos de tiempo como de capacidades. Esta carrera requiere esfuerzos sostenidos, de corto y de largo plazo. El entorno en el que se desarrolle la actividad influye de manera significativa en las oportunidades y posibilidades, por lo que es crucial evaluar el contexto con visión crítica y buscar las mejores estrategias para consolidar el camino profesional. No existe un único camino para desarrollar esta carrera, y por ello, los puntos mencionados deben considerarse simplemente como el resultado de la experiencia de una persona. En última instancia, quién más debe reflexionar y definir su propio camino es la persona que realiza o desea emprender una carrera como investigador. Espero que estas recomendaciones puedan servir como una guía útil para facilitar ese recorrido.
Crecimiento, ciclo económico y brecha del PIB de Honduras 2000-2022: análisis y proyecciones
Authors: Santos Barahona Dustin Uriel
Published: December 2024

El análisis realizado en este estudio tiene el objetivo de estudiar el comportamiento y pronóstico de la producción real y el crecimiento de Honduras en el periodo 2000-2022. En la primera parte se replica la realización de los datos del PIB real trimestral mediante el uso de modelos univariantes del tipo ARIMA con diferentes niveles AR y MA, así como un valor constante para la deriva y finalmente un ajuste con variables dummy por periodos de shock relevantes. El proceso de selección del mejor modelo es descrito y explicado detalladamente. En esta etapa se realizan y analizan proyecciones de corto plazo, en lo particular de 8 trimestres hacia el futuro.
En la segunda parte, se estiman los ciclos económicos de Honduras durante el periodo, haciendo énfasis en la duración y amplitud de las etapas de recesión y expansiones, así como la duración promedio de los ciclos. Finalmente se realiza un análisis del PIB potencial y de la brecha del producto, señalando momentos de mayor auge o brecha. Para estos análisis se utilizan dos técnicas de filtrado cuya relevancia empírica ha sido objeto de debate en los últimos años, tal es el caso de los filtros Hodrick - Prescott y Hamilton.
POLÍTICAS PÚBLICAS E RELAÇÕES INTERNACIONAIS: IDENTIFICANDO INTERSEÇÕES ENTRE AS DUAS DISCIPLINAS
Authors: Mercher Leonardo
Published: December 2024

O presente artigo busca identificar os principais temas interseccionais entre Políticas Públicas e Relações Internacionais. Levantou-se as teses de doutorado da Universidade Federal do Paraná, de 2015-2022, nos programas de pós-graduação em Ciência Política e Políticas Públicas. Identificou-se cinco áreas: análises comparativas; transferência de políticas; política externa e paradiplomacia; políticas públicas frente dinâmicas transnacionais; e regimes.