bluuebunny/crossref_metadata_2025 huggingface dataset:
Sleep Patterns Analysis Using Polysomnography: A Comparison Between Active and Sedentary Male
Authors: Kaur Jagdeep , Deol Nishan Singh , Singh Balkar
Published: September 2024

While there is a rising focus on sleep issues among population, a notable gap exists in the comparative analyses of sleep patterns between Active and Sedentary Male. The purpose of this study is to investigate and compare sleep patterns and polysomnography measures between active and sedentary men. Total ten male participants were randomly selected to fulfill the purpose of the study. All the participants were in the age group 18-25 only. The selected variable, i.e. Total sleep time (TST), sleep onset latency (SOL), sleep efficiency (SE) and wake after sleep onset (WASO) was measured by RMS Quest 24/32 channel polysomnography machine. The obtained data were analyzed by applying independent t-test to identify the significant difference. An α-value <0.05 was considered statistically significant. Results indicate that significant difference were found in selected variables as total sleep time (TST) of active and sedentary male, as the p-value (000) was < 0.05, a significant difference in the sleep onset latency (SOL) of active and sedentary male, as the p-value (000) was < 0.05, a significant difference in the wake after sleep onset  (WASO) of active and sedentary male, as the p-value (000) was < 0.05, also a significant difference in the sleep efficiency (SE) of active and sedentary male, as the p-value (000) was < 0.05, at 5% level of significance.
The Role of Blood Group in Cancer Risk: Correlations with Site, Age, and Body Mass Index
Authors: Abdullah Sunbul Mohammed Zeki , Mohammed Mayada K. , Hamdi Maha A.
Published: September 2024

Background: Cancer is a complicated group of diseases in which cells grow and divide without being controlled. It is still one of the main reasons of death in the world, which presents major public health issues.  Blood group links to cancer risk have been getting more and more attention over the past few years, among other things being studied.
Aim of the study: This study aimed to assess the relation between ABO blood groups and the occurrence of different cancer types among the population of Kirkuk city.
Patients and methods: This cross-sectional study was carried out in Kirkuk city from the period 15th October 2023 to 15th May 2024 on cancer patients of Kirkuk's Oncology and Hematology Centre. Data was collected from medical records and patient interviews to examine demographic characteristics, lifestyle factors, medical history, and potential exposures. The study included 398 patients diagnosed with cancer within a specified time frame, selected from medical records of healthcare facilities in the target area.. Blood samples were collected from each participant in the study for determination of blood group and Rh.
Results:  The study reveals that breast cancer is the most prevalent cancer, accounting for 45.98% of all cases. The study presents the distribution of cancer patients according to their blood groups, with O positive and A positive blood types accounting for the highest percentage at 33.67%. Other blood types such as B positive, AB positive, O negative, B negative, AB negative, and A negative are represented in smaller percentages ranging from 1.26% to 20.60%. The duration of cancer is examined in relation to blood groups, providing insights into mean durations across different ABO blood types and Rh factors. Blood type A exhibits the longest mean duration at 1.71 years, followed closely by blood type B at 1.74 years, while blood type O presents a slightly shorter mean duration at 1.52 years.  In the current study, blood group A is predominantly seen in brain cancer for males (100%), with a considerable presence in digestive system cancers, split nearly evenly between males (41.94%) and females (58.06%). Blood group B appears infrequently but is represented in the digestive system and female reproductive cancers, demonstrating a minor presence compared to other groups. Skin cancer shows a potential link between blood group distribution and family history of the disease, suggesting a genetic predisposition or a significant association worth further investigation.
Investigation of Introns in Proteus Mirabilis Bacteria and Extent of their Resistance to Antibiotics
Authors: Al-Azzawi Monther Nouman , Abbas Methal Kareem
Published: September 2024

Proteus mirabilis is an opportunistic pathogen meaning that causes infection in people with reduced natural immunity. These bacteria possess many virulence factors or pathogens which is essential for colonizing new areas, including tissues and hosts. The study aimed to investigate phenotypically or genetically the introns (MIs) in P. mirabilis by estimate the extent of its resistance to antibiotics. The results showed that the appearance of genetic packages for all migrated isolates at one level. This is an indication of the binding of the primer to its complementary sequence in the DNA strand. The molecular weights of the resulting genetic packages were estimated based on known standard packages, the apparent molecular weights in the path (M) with a graduated size (100- 200 bp). The results also showed a clear similarity of the molecular weight of the resulting bands (1500 bp) with the molecular weight of the diagnostic gene rRNA 16s. In addition, 20 isolates were examined using PCR technology for the three classes of introns gene. All isolates were carried the chromosome intron gene. The appearance of the intron 1 gene on all isolates was (100%).
Higher insulin resistance is associated with decreased expression of the vitamin D receptor gene in obese type II diabetic patients with vitamin D deficiency
Authors: Msolly Awatef A. , Rahim Ali Ismail A. Abdul , Alshehri Zafer S. , Alhajlah Sharif H. , Alshehri Faez F. , Elmahdi Essam M. , Almotiri Alhomidi , Elneam Ahmed Ibrahim Abd
Published: September 2024

The Background: The etiology of numerous medical conditions, such as metabolic irregularities, is interconnected with the insufficiency of vitamin D. Furthermore, a theoretical association between the resistance to insulin and the insufficiency of vitamin D has been postulated. This concept is substantiated by empirical evidence obtained through various investigations. The objective of this investigation is to analyze and investigate the significance and influence of vitamin D and the expression of the vitamin D receptor (VDR) gene in the progression of insulin resistance in individuals with T2DM.
Methods: The study was carried out 100 type II diabetic patients and 100 healthy controls. Both groups had anthropometry examinations to determine their weights, heights, hip and waist circumferences. Fasting glucose, insulin, insulin resistance (HOMA-IR), and vitamin D levels were all measured. Quantitative real-time PCR was used to analyze the expression of VDR genes in both groups. The folding change was computed using the conventional 2-(∆∆ct) technique.
Results: T2DM patients had higher levels of all anthropological measurements, and biochemical parameters compared to controls. Patients had lower levels VDR folding change and vitamin D levels. The diagnostic accuracy of anthropological assessments and biochemical parameters in prediction disease showed significant results. VDR gene expression has a highly significant negative linear association with insulin resistance in obese with vitamin D deficiency patients. Also, negative linear correlation noted between insulin resistance and serum vitamin D levels without significant variation.
Conclusion: VDR gene expression and insulin resistance were connected in obese patients T2DM with vitamin D insufficiency..
Management Challanges In Healthcare Service Of Hospitals In India
Authors: John Byju , Rai Nitin Ranjan
Published: September 2024

The true values of human life are found in medicine and health care. Human life expectancy has grown as a result of their development, giving them a true dictatorship. Not only does the opening of hospitals or health centres impact the development of healthcare facilities, but their administration and management have a greater impact. Proper management of hospitals and health care centres would allow for the expansion of medical facilities with the least amount of investment. Any act or performance that is primarily intangible and does not lead to the ownership of anything is considered a service. By this view, the hospital offers us perishable, intangible medical and health care services. The service sector is highly diverse, and hospitals are no exception. They could be employed by the government, a private charity, or a commercial enterprise. The following adjectives best describe the qualities of the goods they sell: Kindness Paying attention and showing compassion. Any country's lifeline is its medical and health care facilities, which fall under the broad category of people-based services.
Analysing The Stress Level Management For Cancer Patients In India
Authors: Nihlani Dr. Ankita , Rai Nitin Ranjan
Published: September 2024

In human life, stress is frequently associated with strain, concern, anxiety, and pressure. Stress can have positive or negative impacts and is a necessary part of life, as is well acknowledged. Physical, emotional, mental, spiritual, or social impacts are all possible.  A person experiencing illness experiences additional stress, so it is occasionally necessary to find a speedy solution to such a stressful scenario in order to determine whether an increasing level of stress could eventually overwhelm the person experiencing it. Comprehending the notion of stress is crucial, as it offers a means of perceiving an individual as a cohesive entity that reacts comprehensively to diverse forms of disorder seen in everyday existence. Patients with cancer and tuberculosis experienced anxiety as a result of their unlucky diagnosis, societal unrest, financial difficulties, and familial issues. Compared to others, they experience higher levels of stress, tension, annoyance, and anxiety as a result. For the patient, the only options are costly surgery or chemotherapy. This takes a lot of time and requires the patient's family to be very involved, both physically and emotionally. As a result, the cancer patient faces stress during the whole therapeutic process. Thus, the purpose of this study is to look into how cancer patients control their stress levels.
Factors Of Accidental Falls Among In Elderly Living Alone In Phetchaburi Province Thailand
Authors: Srenual Praseart , Kanokthet Thanach
Published: September 2024

This research was to study the factors of accidental falls among elderly living alone. The researcher conducted a mixed methods research (Mixed Methods Research) to study factors affecting the incidence of falls and falls in elderly people who live alone. The research results found that Factors that result in falls and falls in elderly people who live alone. Phetchaburi Province has a total of 5 main factors and 24 sub-factors, consisting of main physical factors. Sub-factors were eye disease (p = 0.001, β =1.063), osteoarthritis (p = 0.001, β = 0.955), urinary system intelligence (p = 0.001, β =1.588), frequently going to the bathroom at night (p = 0.001, β =1.236) Congenital disease (p = 0.001, β = 1.638) Regular hospital visits (p = 0.001, β = 1.494) Main behavioral factors Sub-factors include taking medicine to treat chronic diseases (p = 0.001, β = 2.959), using alcoholic beverages (p = 0.001, β = 4.014), not exercising (p = 0.001, β = 5.350), wearing comfortable shoes. Inappropriate (p = 0.001, β = 2.723) Inappropriate clothing (p = 0.001, β = 3.574) Main environmental factors Sub-factors: regularly using stairs (p = 0.001, β = 3.354), two-story house (p = 0.001, β = 4.571), split-level house (p =0.001, β = 2.296), light switch not nearby. mattress (p = 0.001, β =2.363) main economic and social factors The sub-factor was frequently attending social events (p = 0.001, β = 6.633), missing home visits from the health service unit (p = 0.001, β = 3.916). The main factor was caregiver. The sub-factor is living with offspring (p = 0.001, β = 6.019 ) and having to live alone (p =0.001, β = 1.002 ).
A Study on Mother Empathy and Social Suppport Affecting on Emotional Regulation of Children with Adhd Symptoms
Authors: Kim  , Minkyeong
Published: September 2024

The purpose of this study was to identify the effects of mother empathy and social support to emotional regulation children with ADHD symptoms. SPSS version 20.0 for Windows was used for data analysis to verify the relations and affects. Relations and regression test were conducted. The results of this study are summarized as follows. Mother empathy showed the highest positive correlation with social support and emotional regulation. In the relationship between mother empathy and emotional regulation, it was found that mother empathy directly affects emotional regulation. This study has significance in terms that it proved the effects of a mother empathy and social support to emotional regulation of children with ADHD symptoms.
Olena Kasyanova1, Olga Kvasnyk2, Igor Bodnia3, Iryna Rudnyeva4, Olena Bespartochna5, Tamara Poyasok6 1Doctor of Pedago
Authors: Kasyanova Olena , Kvasnyk Olga , Bodnia Igor , Rudnyeva Iryna , Bespartochna Olena , Tamara Poyasok
Published: September 2024

This study elucidates the theoretical underpinnings and underscores the imperative of enhancing master's training programs for higher education teachers within the educational digitalization landscape on the public health education example. The research elucidates that at the core of this evolution lies the technological concept, necessitating the development of a meticulously grounded model for the purposeful and well-organized training of higher education faculty within a digitally transformed educational framework. This model delineates a meticulously outlined structure, content framework, a judicious selection of methodologies and techniques, and a methodical integration of technological advancements to ensure the realization of desired educational outcomes. The structural-functional model encompasses integral components such as the methodological-objective facet (incorporating societal demands, educational objectives, conceptual approaches to professional development, and digitalization elements), the constructive-procedural dimension (comprising educational directions, organizational forms in the digital paradigm), the profession-specific aspect (encompassing content, technologies, methods, pedagogical tools), and the analytical-effective domain (defining criteria, process metrics, diagnostic tools), in conjunction with organizational-pedagogical parameters. Emphasis is placed on nurturing a tailored educational milieu and fostering educational innovations to augment the efficacy of training enhancements with a specific lens toward public health implications. The article substantiates the criteria and metrics for bolstering master's training initiatives for higher education instructors, underlining the distinct facets of national educational digitalization and the unique dynamics among higher education stakeholders. The contemporary relevance of revamping master's programs for teachers is underscored through exploring diverse digital learning formats employing information technologies, digital resources, and cloud-based tools. Initiatives aimed at reshaping the master's educational landscape to align with the digital era will entail validating the proposed model's efficacy through experimental validation across domestic and international educational realms.
The Relationship Between Sustainable Human Resource Management and Green Human Resource Management- A Case of Medical Sector in Hyderabad, India
Authors: P. Kranthi  , Dr Kiran Kumar Thoti  , Dr Shilpa Bhakar  , Dr R. Arun  , Dr Biswo Ranjan Mishra
Published: September 2024

Background: Human Resource Management (SHRM) and Green Human Resource Management (GHRM) are the subjects of this investigation of their interplay in Hyderabad, India's industrial sector. There is a growing need to include eco-friendly practices into HRM due to the increased global focus on sustainability in medical industry. Aim: Sustainable The study's overarching goal is to deduce how green HRM (GHRM) programs and SHRM practices—which prioritize the well-being of employees and the longevity of organizations—are compatible with one another.  Method: The study surveyed 409 medical employees in Hyderabad using a quantitative research approach based on questionnaires and the data was analysis using SMART PLS.  Results: There is a strong positive relationship between SHRM and GHRM, according to the results, thus businesses that use thorough SHRM are also more likely to use GHRM strategies that work. Human resource managers can help promote a sustainable culture, gain a competitive edge, and advance environmental goals by implementing the sustainable and green practices suggested in the study's conclusion.  Conclusion: The study adds to the expanding corpus of literature on sustainable business practices and have important implications for industrial policy and practice.
Knowledge and Attitudes of General Population's Toward Rheumatoid Arthritis in Hail, Saudi Arabia
Authors: Alshurtan Kareemah , Aldugieman Mnieaam Zaal , Bader Jazzaa Alshammari  , Ali Turki Alodily  , Yateem Hisham Ali , Alanzi Kholood Hussein , Almallahi Anwar Essa , Alahmadi Raed Hassan , Almijrad Salem Abdulaziz
Published: September 2024

Background: A chronic inflammatory autoimmune illness, rheumatoid arthritis (RA) mainly affects small, symmetrical joints, especially those in the hand, wrist, and foot. However, it can also affect other joints and systems. Joint deformity, persistent pain, and a reduced quality of life are brought on by recurrent assaults.
Aim: The objective of the research is to evaluate the general public's awareness and insights regarding rheumatoid arthritis in Hail, Saudi Arabia.
Method: The cross-sectional research took place on people in Hail who were at least 18 years old and over.  A self-administered questionnaire was distributed among Hail population using online platforms primarily social media. The questionnaire includes basic demographic characteristics, types of RA, the causes of RA, the symptoms, the risk factors, complications, treatment of RA and whether they know what RA is or not.
Results: 532 people in responded to the questionnaire; of them, 42.5% were female and 50.9% were male. 8.3% had received a diagnosis of RA, and 60.0% correctly associated it with joint pain and morning stiffness. 67.3% believed that RA is not a contagious disease. A significant majority (56.6%) correctly identified that women are more likely to develop RA. Regarding risk factors, 28.0% acknowledged smoking as a significant factor. A notable finding is that 63.7% were uncertain about RA's impact on pregnancy. Knowledge about specific joint involvement varied, with 60.0% correctly associating RA with inflammation in small joints.
Conclusion: The results indicate that while some participants demonstrated a correct comprehension of the disease, there were misconceptions, particularly regarding the joint pain characteristic, types of joint involvement and extra-articular manifestations. These results emphasize how crucial it is to set educational initiatives in place to clear up these misunderstandings and raise community understanding about rheumatoid arthritis.
Functional Outcome of Perpendicular Plating Versus Parallel Plating In The Management Of Distal Humerus Fractures- A Comparative Study
Authors: Krishnan S. Navaneetha , Yeshwanth Subash
Published: September 2024

Distal humerus fractures are quite uncommon but pose significant challenges in management due to their complex anatomy and varied fracture patterns. Surgical intervention, particularly using plate fixation, is often necessary to achieve stable fracture union and restore functional elbow mobility. This prospective comparative study aimed to analyse the outcomes of distal humeral fracture management using perpendicular and parallel plating techniques. Thirty patients with distal humeral fractures underwent osteosynthesis with either perpendicular or parallel plating between November 2020 and October 2022 at Saveetha Medical College and Hospital in Chennai. The Mayo Elbow Performance Score has been utilized to measure the following assessment parameters: pain, radiological, stiffness and clinical union, and functional elbow ability at 6 weeks, 3 months, 6 months, and 1 year after the surgery.Both techniques yielded satisfactory outcomes in terms of fracture union and functional recovery. However, complications and biomechanical properties differed significantly between the two methods. Parallel plating demonstrated superior stability and resistance to plastic deformation, particularly in osteoporotic bone, suggesting potential advantages in managing comminuted distal humerus fractures with an intraarticular component. This study contributes valuable insights into the optimal management strategies for distal humeral fractures and highlights the importance of considering individual patient factors and fracture characteristics when selecting the most suitable surgical approach. Additional investigation is necessary to verify these results and improve methods of treatment for this difficult kind of fracture.
Outcome Comparison of Multidirectional Locked Nailing and Plating for Distal Tibial Fractures: A Comparative Analytical Study
Authors: RM Subramanian1  , Subash Yeshwanth
Published: September 2024

Introduction: This comparative analytical study explores the functional outcomes of treating distal tibial fractures using multidirectional locked nailing and plating. Distal tibia fractures, resulting from high-energy trauma, pose challenges due to soft tissue damage, infection risks, and potential unfavorable outcomes. Our study seeks to evaluate and contrast the functional results of treating distal tibial fractures using multidirectional locked nailing versus plating techniques. Materials and Methods: Conducted at Saveetha Medical College and Hospital from August 2022 to October 2023, the study involved 20 cases meeting specific criteria. Adult patients (18-70 years) with closed fractures and grade I compound fractures of distal tibia (AO type 43-A1, 43-A2, and 43-A3) were included. The cases were evenly divided between multidirectional locked nailing and plating groups. Subsequent evaluations, comprising both radiographic and clinical analyses, were performed at 6, 12, and 24-week intervals. Results: The study encompassed various parameters, including age distribution, causes of fractures, weight-bearing protocols, and joint movements. Multidirectional locked nailing demonstrated a shorter fracture union time, promoting earlier weight-bearing and functional exercises. Ankle and knee scores in this group indicated successful joint function restoration but with a higher malunion rate. Plating exhibited a lower malunion rate but a prolonged time to union. Complications, including superficial infections and wound dehiscence, were observed, emphasizing the importance of postoperative monitoring. Despite challenges, the plate group achieved satisfactory functional outcomes, highlighting fair to good ankle scores and full knee movement in all cases. Conclusion: In conclusion, the study underscores the distinctive advantages and considerations of each treatment approach. Multidirectional locked nailing facilitates faster union and joint function restoration but carries a higher malunion risk. Plating, with a lower malunion rate, requires meticulous postoperative care. The choice between the two methods should be individualized, considering patient-specific factors, fracture characteristics, and the surgeon's expertise. This research contributes valuable insights for informed decision-making in distal tibia fracture treatment.
Assessment of Cup Placement Impact on Functional Outcomes in Total Hip Replacement: A Retrospective Analysis of 20 Patients
Authors: Kumar Akshay J , Subash Yeshwanth
Published: September 2024

Introduction:Total hip replacement surgery is gaining popularity as a treatment for hip disorders, replacing alternative treatments like excisional arthroplasty, osteotomy, arthrodesis, and hemiarthroplasty. This research aims to evaluate the effect of the acetabular cup on functional outcomes, particularly in younger patients with hip arthritis and femur neck fractures.Materials And Methods:This study aimed to evaluate the placement of the acetabular cup and its association with functional outcomes in total hip replacement (THR). 20 patients were randomly selected from the MRD department and underwent pelvic CT scans postoperatively. Functional results have been analyzed using the Harris Hip Score. The acceptable cup version range was 15 ± 10 degrees, and patients outside this range were closely examined for rotational movements. Results: A study of 20 patients with a neck or femur fracture found that 11 patients had a right knee injury, while 9 had a left knee injury. After a year postoperatively, 18 patients reported no pain, while 2 had mild pain. Functional assessment depicted better outcomes in 17 patients, good outcomes in 2 patients, and fair outcomes in 1 patient. Radiological analysis revealed a mean cup version of 17.77 degrees, with complications including one dislocation and three limb length discrepancies. None of the patients developed an infection.Conclusion:The study found that 90% of patients had excellent functional outcomes, with only 10% exhibiting excessive anteversion. CT scan-based measurements of cup placement provided reliable predictions, consistent with intraoperative assessment of cup positioning.
Functional and Radiological Outcome Following Imil Nailing for Floating Knee
Authors: Kumar D Raja Sujith , Subash Yeshwanth
Published: September 2024

Introduction:  The term "Floating Knee" denoted fractures that occur simultaneously on the same side of the tibia and femur, resulting in the knee joint flailing. Typically caused by high-energy traumas, like motor vehicle accidents or falls from height, these injuries present challenges due to related consequences like vascular injuries, compartment syndrome, and ligament damage. The study aimed to evaluate various surgical treatments for floating knee injuries, considering factors influencing prognosis and complications.
Patients and Methods: A prospective survey of 15 patients with Frazer type 1 floating knee injuries, conducted from April 2022-2023, involved clinical and radiographic assessments. Exclusions encompass skeletally immature patients, those unfit for surgery, extensive soft tissue injuries, knee ligament involvement, intraarticular fractures, and pathological fractures. All patients underwent thorough preoperative evaluations, with treatment including intramedullary nailing. Postoperative rehabilitation and follow-up were integral components of the study.
Results: The study involved 15 patients (mean age 30.9 years) with floating knee injuries, predominantly because of RTAs (Road Traffic Accidents). Intramedullary nailing for the femur, as well as tibia fractures, exhibited an average surgery duration of 2 hours 32 minutes and an average blood loss of 270 ml. Complications, including knee stiffness and infections, were managed effectively. Follow-up assessments according to Karlstrom's criteria revealed excellent results in 20%, good in 60%, and acceptable in 20% of cases.
Conclusion:The floating knee injury involves complexities impacting prognosis beyond simultaneous fractures of the femur and tibia. A meticulous initial assessment, prioritizing the identification of life-threatening related injuries, is crucial. Surgical fixation, preferably through intramedullary nailing, along with early and intensive postoperative rehabilitation, is recommended for improved functional and radiological outcomes.
Assessment of Knowledge, Attitude and Awareness Towards Genetic Disorders Among Healthcare Professional Students: A Cross-Sectional Study
Authors: Thangavelu Lakshmi , Priyadarshini Uma , AT MithunAthiraj , Ross Dhyana Sharon , Jothinathan Mukesh Kumar Dharmalingam , Karobari Mohmed Isaqali
Published: September 2024

India does not have a separate national program for public health aimed at screening newbornsfor genetic disorders. In present-day developing countries like India, the consideration of treatment through genetics is out of the question due to the unavailability of resources for such complicated treatments; the best approach that can be adopted is prevention. This study aims to surveying the current state of knowledge, awareness, and attitude of medical students towards genetic diseases, pointing out the advantages and disadvantages of the existing educational approach, and suggesting corrections. The study encompassed 402 individuals, consisting of undergraduate students and interns. A Google Forms survey was disseminated to assess knowledge, awareness, and attitudes about genetic illnesses and testing. The results indicated a significant variation in knowledge and attitudes between male and female students and highlighted the need for improved genetics education.
Assessment of Functional outcomes Following Arthroscopy-Assisted Anterior Cruciate Ligament Reconstruction Utilizing Autograft Bone-Patellar Tendon-Bone
Authors: Partheeswar Dr. , Subash Dr.Yeshwanth
Published: September 2024

Anterior cruciate ligament (ACL) injuries are prevalent in athletes and active individuals, necessitating effective surgical interventions for restoring knee stability and function. This study evaluates the outcomes of Arthroscopic ACL reconstruction using bone-patellar tendon-bone (BPTB). This prospective study conducted from March 2022 to August 2023 evaluated the functional outcomes of 21 patients undergoing ACL reconstruction with BPTB autografts. Clinical assessments, including the Lachman and Lysholm scores, were utilized to assess knee stability and function preoperatively and postoperatively. Significant improvements were observed postoperatively in clinical assessments, with mean Lysholm scores increasing from 51.74 preoperatively to 91.64 at the 12-month follow-up (p < 0.001). The study also highlighted the prevalence of associated meniscal injuries and postoperative complications. Despite study limitations, including sample size constraints, our findings support the efficacy of ACL reconstruction with BPTB autografts in restoring knee function and stability. Evidence-based decision-making and comprehensive patient care are crucial for optimizing surgical outcomes in ACL injuries. Further research with larger cohorts and long-term follow-up is warranted to validate these results and explore optimal management strategies.
Effect of Pranayama Exercises on Stage 1 Hypertension-Related Aggression
Authors: Rana Dipti , Sharan Anjali Midha
Published: September 2024

This study highlighted the effect of Pranayama exercises on stage 1 hypertension related aggression patients. This study explores the intricate relationship between aggression and Stage 1 hypertension, with a specific focus on the impact of breathing exercises, particularly Pranayama, on hypertension-induced aggression. Hypertension, a prevalent cardiovascular condition, is increasingly recognized for its bidirectional association with psychological factors, including aggression. The study investigates individuals with Stage 1 hypertension, characterized by elevated blood pressure, acknowledging its significant prevalence and potential implications for cardiovascular health. Utilizing a quantitative cross-sectional research design, the study examines the correlation between Pranayama practice and aggression in a sample of 120 participants. The data analysis reveals noteworthy correlations between Buss-Perry Aggression Questionnaire (BPAQ) scores in different yoga conditions, suggesting a potential association between engaging in yoga, especially under professional guidance, and lower aggression levels. The discussion interprets these findings, emphasizing the role of expert instruction in enhancing the stress-reducing and aggression-reducing effects of yoga. The study contributes valuable insights into the potential benefits of Pranayama in managing hypertension-induced aggression, paving the way for further targeted research in this evolving field.
Enhancing Public Health: Research on Occupational Health Measures and Employee Productivity in Manufacturing
Authors: Upadhyay Naveen , Sehgal Rajesh
Published: September 2024

Occupational health measures are rules and regulations designed to protect workers' physical and mental health while they are at work. These precautions consist of health exams, safety procedures, environmental modification, and stress reduction plans. This research’s goal is to investigate the impact of occupational health measure (OHM), work environment, and employee productivity, to investigate the significant variable in manufacturing. A total of 54 respondents were provided. Questions were used to get the data. SPSS software is used. ANOVA, chi-square test, regression analysis test, Pearson correlation coefficient (PCC) test, and Cronbach’s alpha (α) test are employed in the analysis of the outcomes. The findings indicate that OHM, employee productivity, and work environment in enhancing public health are simultaneously significant to manufacturing. OHM and employee productivity are the significant factor that affects manufacturing. By mitigating health hazards and advancing employee welfare, businesses establish more secure work environments that promote increased productivity and effectiveness. In the end, successful public health programs support both overall corporate performance and employee happiness.
Epidemiology and Risk Factors for Recurrence of Inguinal Hernia
Authors: Dalaf Fadhil Ahmed , Abed Firas Najm , Ibrahim Omar Khaleel
Published: September 2024

Following inguinal hernia surgery, the risk of recurrence is a major clinical concern. The issue involves several recurrent risk factors, including surgery. We have recognized the approach, recurrence, and familial background. Patient-related variables, while not technically complex, have an impact on the risk. Few studies have examined the risk of recurrence following inguinal hernia surgery. The statistical features of inguinal hernia incidence Both initially and later on, in addition to examining the patient's There are several factors that can lead to the failure of inguinal hernia surgery. The thesis includes research on historical and ecological issues. The epidemiologic data for groin hernias nationwide has been revealed. The geographical distribution of groin hernias and the risk of non-technical exposure is being investigated. elements linked to the recurrence of symptoms. According to the results, mundane, Characteristics that are specific to the patient have a significant impact on the risk. The incidence of recurrence following inguinal hernia repair is an important consideration. The rationale behind , combination of factors likely contribute to the recurrence of inguinal hernias, which typically occur in the  range of patient-related risk factors, both technical and non-technical, are present. Furthermore, there are various types of groin hernias that can individual pathophysiologies.  We need to put this knowledge into practice. utilized in clinical settings to reduce the risk of recurrence.Regarding the design of future studies that investigate recurrence after the consequence of inguinal hernia surgery Methods: All patients admitted to the hospital exhibited groin edema, soreness, or both. We palpated the patient's groins on all sides to look for a hernia, impulse, or scar from a prior procedure. We recorded additional details about the hernia, such as its primary or recurring nature.   Results showed that the most prevalent age group was 31–60 years old, and that out of the 140 patients, 79.2% were male and 20.8% were female. While 25.5% of the cases were recurrent hernias, 74.5% were primary hernias. Although a small percentage of individuals experienced swelling for longer than two years, the vast majority experienced it for no more than six months. Incorrect defecation (46.7% of cases) and excessive lifting (52.4%) were the leading causes of hernias. Conclusions  In order to aid future research in predicting the occurrence of inguinal hernias, it is necessary to undertake this type of study in every geographical location. Aim of study to show   recurrence inguinal hernia after surgery related to epidemiology and risk factors.
Multi-Dimensional Investigation of Factors Affecting Peer Educator Self-Assurance in Teaching Adolescent Sexual and Reproductive Health
Authors: Afridah Wiwik , Martiana Tri , Widiyanti Prihartini , Qomaruddin Mochammad Bagus
Published: September 2024

Purpose: to examine the factors affecting the self-confidence of peer educators. Design/Methodology/Approach: a correlational descriptive study utilizing the SEM method, conducted with 216 health students. Findings: The self-confidence of peer educators is significantly influenced by the following factors: impact from situations, impact from other people, self-awareness, perceived advantages of action, perceived obstacles to action, perceived self-efficacy, emotion connected to the activity, and dedication to a planned course of action. Among these factors, Commitment to Plan Action is the most influential in shaping peer educators' self-confidence. Research limitation/implications: Higher commitment to planning actions, when paired with self-awareness, leads to a significant boost in peer educators' assurance in teaching teenagers about sexual and reproductive health. Practical Implication: This study focuses on enhancing self-awareness while strengthening self-efficacy and commitment to planning actions. Social Implications: The results provide an understanding of the elements that might increase peer educators' self-assurance while instructing adolescents on sexual and reproductive healthcare. Originality/Value: To improve peer educators' self-confidence, the study suggests a framework for raising self-awareness and creating a dedicated action plan.
ICT Effect on India's Healthcare Management Services Development
Authors: Nihlani Ankita , Rana Naveen Singh
Published: September 2024

In today's healthcare services, information and communication technology is no longer only employed to automate procedures. Rather, Information Communication Technology is being utilized as a significant system for offering kinds of help to individuals. The execution of ICT in the clinical benefits region enjoys accomplished different benefits, such as enhanced revenue, effectiveness, efficacy, faster service, customer satisfaction, ease for customers, flexibility in operation, continuously operations, capacity money saved, and expense benefits. ICT has been used in the healthcare industry in many creative ways that have improved communication between physicians, patients, and other stakeholders. This can be accomplished by enlisting the aid of social entrepreneurs to help create a wealth opportunity. The researcher's goal in this study is to evaluate how widely ICT is being used in India's various health fields. It is additionally considered critical to identify and evaluate the technology in the medical services area to recommend appropriate proactive, protecting, and advancing methodologies that would improve the authenticity and viability of medical services offices in India
Managing Change in Healthcare Systems Policy and Healthcare Service Delivery System in India
Authors: Nihlani Ankita , Rana Naveen Singh
Published: September 2024

Health is not just the absence of disease; it is a state of total physical, mental, and social well-being." The purposeful arrangement of individuals, organizations, and resources that provides healthcare services to the target population in need is known as the healthcare system. Around the world, there are as many different types of healthcare systems as there are civilizations, cultures, societies, and histories. This implies that a country must create its own healthcare system based on its requirements and available resources. An examination of the Indian health sector reveals the labour, difficulties, supply, demand, and necessary future research. In addition to the excellent work that is readily apparent, there are other areas that require development and attention. It is imperative that research of this kind be conducted to address the uncharted territory. The goal of this study is to examine potential workable remedies for the health-related problems. Additionally, the study attempts to solve the issues and create some framework for the health care system.
Study of the Elements Affecting the Patients' Quality of Life During Hemodialysis
Authors: Wijayanti Lono , Yusuf Ah , Widyawati Ika Yuni , Septianingrum Yurike , Rohmawati Riska , Mahgfiroh Alfina
Published: September 2024

Background: Patients receiving hemodialysis have a low quality of life because from both the health issues associated with their condition and the lifelong nature of their treatment. This research attempted to determine the variables influencing hemodialysis patients' quality of life. Utilizing a cross-sectional methodology and correlational design, the study, involving 100 respondents at the Sidoarjo Regional General Hospital, with 80 participants selected through simple random sampling. Quality of life was the dependent variable, while independent factors were age, length of hemodialysis, knowledge, pain perception, and motivation. A questionnaire was used to gather data, and the Spearman Rank test was used to evaluate it. Age (p=0.114), pain perception (p=0.549), hemodialysis time (p=0.001), education (p=0.003), and motivation (p=0.003) correlated with quality of life. The study concluded that hemodialysis patients need assistance, resources, and health education to improve their quality of life
Physiotherapeutic Assessment in Oncological Post-Mastectomy Patients
Authors: Llumiquinga-Panchi Esteban-David , Maldonado-Cornejo Jorge-Gabriel , Iñiguez-Jimenez Samuel-Olegario , Bonilla-Yacelga Klever-Armando , Guzmán-Moreno Karla-Ivonne
Published: September 2024

Introduction: Breast cancer is one of the most prevalent forms of cancer among women, and the medical treatment protocols are highly aggressive. In the case of mastectomy, a number of different sequelae are generated, including pain, functional limitation of the shoulder, dehiscence of the wound, decrease in joint range, decrease in muscle strength, lymphedema, and so forth. Such consequences directly impact the functionality and quality of life of the individual. Physiotherapy represents a potential avenue for addressing the sequelae resulting from the surgical procedure. Objective: The objective is to conduct a bibliographic research on the early physiotherapeutic treatment of post-mastectomy cancer patients. Methodology: A search for clinical trials from 2016 to 2023 was conducted in multiple languages, including English, Portuguese, and Spanish, across several databases: PEDro, PubMed, ScienceDirect, Cochrane, and Google Scholar. The inclusion and exclusion criteria facilitated an appropriate selection process for clinical trials, in conjunction with the PRISMA method. The selected clinical trials included a total sample of 644 individuals, in which various physiotherapeutic modalities were evaluated for the purpose of combating the various sequelae generated by mastectomy. Conclusions: Physiotherapy offers a range of beneficial therapeutic modalities, which, when applied early in post-mastectomy cancer patients, have a positive impact on these individuals. These include therapeutic exercise, hydrotherapy, and resistance aerobic exercise. Conversely, there are modalities such as manual lymphatic drainage and extracorporeal shock wave therapy that have uncertain benefits, given the lack of consensus on their evidence base.
Infective Endocarditis Due to S. Aureus in Adult Patients: Clinical Study in Neiva (2022-2024)
Authors: Casagua María Sofia Gonzalez , Lara Helena Mercedes Navarro , Polanía Uan Camilo Cortés , Aguirre Eylyn Dayanna Molina , Guerrero Paula Andrea de la Hoz
Published: September 2024

A documentary review was conducted on the production and dissemination of research papers pertaining to the study of infective endocarditis in adult patients and clinical care. The objective of the bibliometric analysis presented in this document was to ascertain the principal characteristics of the corpus of publications registered in the Scopus database during the period 2022-2024, resulting in the identification of 95 publications. The data provided by this platform was organized into graphs and figures, which categorized the information by year of publication, country of origin, area of knowledge and type of publication. Subsequently, the position of different authors regarding the proposed theme is referenced through a qualitative analysis, once the aforementioned characteristics have been described. The research yielded several noteworthy findings. Notably, the United States led in scientific production, with 40 publications, among countries with authors affiliated with institutions in that nation. The area of knowledge that made the greatest contribution to the construction of bibliographic material related to the study of infective endocarditis in adult patients and clinical care was medicine, with 89 published documents. Furthermore, the most used type of publication during the period indicated above was the journal article, which constituted 88% of the total scientific production. Furthermore, a case study is proposed for the care of this type of patient in a clinic in Neiva, Huila, Colombia. Through the observation technique, it is expected that the cases presented in older adults and their evolution will be characterized.
Intervention on ADHD: Effectiveness of Parental Group Discussion Based on Caring Swanson Theory
Authors: Dianti Meilina Ratna , Nurmala Ira , Puspitasari Nunik
Published: September 2024

The main goal of CST is to provide convenience caring process for clients to go through the transition period by facilitating everything the client needs. The aim of this study was to intervene the caring process of parents as caregivers of ADHD children by using SCT module in a closeted room of parental group discussion that were performed in four-time sessions. Parental group discussions are conducted online and offline. In the process, the discussion group will discuss developments of caring process. The control group were only provided a room to discuss their problem while the experimental group received the intervention. This type of research is quasi experiment with pretest and post-test control group design. The research population was all parents as caregivers of ADHD children in the Malang City area, East Java, Indonesia. The instruments used in data collection were the SCT module for caregivers and a questionnaire with responses. Parents as caregivers will fill out a questionnaire before and after the parental group discussion process. The average parents’ responses were 76.07 in experimental group, so it is categorized as strongly agree. Parents from the experimental group were stating that they were more composed in handling the caring process daily now that they have new insight of what goal must’ve been achieved from caring ADHD children.
A Study on Mother Empathy and Social Support Affecting Emotional Regulation of Children with ADHD Symptoms
Authors: Kim  , Minkyeong
Published: September 2024

The purpose of this study was to identify the effects of mother empathy and social support to emotional regulation in children with ADHD symptoms. SPSS version 20.0 for Windows was used for data analysis to verify the relations and effects. Relations and regression tests were conducted. The results of this study are summarized as follows. Mother empathy showed the highest positive correlation with social support and emotional regulation. In the relationship between mother empathy and emotional regulation, it was found that mother empathy directly affects emotional regulation. This study has significance in terms of proving the effects of a mother's empathy and social support on the emotional regulation of children with ADHD symptoms.