bluuebunny/crossref_metadata_2025 huggingface dataset:
A música em jogo: explorando o potencial dos jogos digitais na educação musical
Authors: Ogata Beatriz Oliveira , Sousa Sidinei Oliveira
Published: December 2024

Com a crescente popularidade dos jogos digitais entre os jovens e a necessidade de incluir o ensino de música nas escolas, surge a oportunidade de integrar esses jogos na educação musical. Nesse contexto, este estudo tem por objetivo investigar a influência dos jogos digitais na educação musical de estudantes do Ensino Fundamental. Para tanto, foi realizada uma pesquisa, de abordagem qualiquantitativa, com a participação de estudantes do 5º e 9º anos de uma escola particular no interior de São Paulo, envolvendo 10 estudantes de cada turma, que participaram voluntariamente de uma intervenção. A intervenção pedagógica, realizada ao longo de uma semana, utilizou o jogo "Tap Tap Music" para o 5º ano e "Geometry Dash" para o 9º ano. A coleta de dados incluiu a aplicação de um questionário antes e depois da intervenção. Os resultados demonstraram melhorias significativas nos conhecimentos musicais dos estudantes que participaram da intervenção, com avanços na compreensão de conceitos musicais como ritmo, altura e timbre. A pesquisa evidenciou que o uso de jogos digitais como ferramentas educativas pode tornar o ensino de música mais dinâmico e significativo para estudantes do Ensino Fundamental.
Insuficiência cardíaca em paciente jovem no Hospital Regional de Sobradinho (HRS – DF): relato de caso
Authors: Martins Silva Renata , Carvalho Barros Renato , Oliveira Serafim Leonardo
Published: December 2024

A insuficiência cardíaca (IC) é uma condição clínica de etiologias variáveis, potencialmente grave, que acomete mais pacientes idosos, sendo necessário tratamento não farmacológico e farmacológico logo que diagnosticado e seguimento médico para mudança de estratégia terapêutica conforme evolução da doença. Objetivo: relatar um caso de IC de difícil diagnóstico no contexto da pandemia de covid-19 em um paciente jovem do Hospital Regional de Sobradinho, portador de fatores de risco – obesidade e hipertensão arterial mal controlada – e que durante a internação evoluiu com infarto agudo do miocárdio com supra de ST. Método: trata-se de um relato de caso. Resultados: apesar do quadro de dor torácica típica e diagnóstico de IAM com supra de ST, o paciente, mediante instituição de tratamento medicamentoso, evoluiu com melhora clínica e permaneceu assintomático. Em geral, pacientes jovens e hipertensos com esse diagnóstico apresentam desfecho desfavorável (mortalidade de 50%). Conclusão: como o paciente apresenta alteração estrutural e funcional do coração, é fundamental acompanhamento da evolução clínica para determinar o tratamento adequado em cada fase de doença, visando diminuir a mortalidade e consequências devastadoras para o paciente.
MENGGALI KEINDAHAN KEBERAGAMAN: NILAI-NILAI MULTIKULTURAL PPTQ BAITUL ABIDIN DARUSSALAM KALIBEBER WONOSOBO
Authors: AMAL IHSANUL , MA’RIFAH ROUDHOTUL , MUBIN NURUL , SUHARDI MUHAMAD
Published: December 2024

This article examines the implementation of multicultural values at PPTQ (Pondok Pesantren Tahfidzul Qur’an) Baitul Abidin Darussalam, Kalibeber, Wonosobo. Using a qualitative approach, this study aims to explore how the pesantren integrates cultural, religious, and ethnic diversity into the education of its students. The findings indicate that the multicultural values at this PPTQ have successfully created an inclusive and harmonious environment. The students are taught to respect differences and build tolerance, which allows them to live harmoniously in the midst of diversity. The article concludes that the application of multicultural values in pesantren can serve as an effective educational model in shaping tolerant and broad-minded students. It provides recommendations for pesantren managers and educators to continue strengthening multicultural values in the daily activities of students. This reinforcement is crucial for preparing students to face rapid social changes. Therefore, the multicultural values applied at PPTQ Baitul Abidin Darussalam can serve as an example for other educational institutions in building a harmonious and inclusive society.
ABSTRAKArtikel ini mengkaji penerapan nilai-nilai multikultural di PPTQ (Pondok Pesantren Tahfidzul Qur’an) Baitul Abidin Darussalam, Kalibeber, Wonosobo. Melalui pendekatan kualitatif, penelitian ini bertujuan untuk mengungkap bagaimana pesantren ini mengintegrasikan keberagaman budaya, agama, dan etnis dalam pendidikan santri. Hasil penelitian menunjukkan bahwa nilai-nilai multikultural di PPTQ ini berhasil menciptakan lingkungan yang inklusif dan harmonis. Para santri diajarkan untuk menghargai perbedaan dan membangun toleransi, yang memungkinkan mereka untuk hidup berdampingan secara harmonis di tengah keberagaman. Artikel ini menyimpulkan bahwa penerapan nilai-nilai multikultural di lingkungan pesantren dapat menjadi model pendidikan yang efektif dalam membentuk karakter santri yang toleran dan berwawasan luas. Artikel ini memberikan rekomendasi bagi pengelola pesantren dan pendidik untuk terus memperkuat nilai-nilai multikultural dalam kegiatan harian santri. Penguatan ini penting untuk mempersiapkan santri menghadapi perubahan sosial yang cepat. Dengan demikian, nilai-nilai multikultural yang diterapkan di PPTQ Baitul Abidin Darussalam dapat berfungsi sebagai contoh bagi lembaga pendidikan lainnya dalam membangun masyarakat yang harmonis dan inklusif.
DESENVOLVIMENTO DE CATALISADORES VERDES PARA REAÇÕES SUSTENTÁVEIS
Authors: Reis Ederson dos Santos , Madureira Moisés Tales
Published: December 2024

A Química Verde surgiu a partir da ideia de se realizar um desenvolvimento econômico e social que respeitasse a natureza, que tem sofrido com o progresso desmedido e despreocupado do homem. A principal ideia, ou pode-se chamar de objetivo, é que se concilie o respeito ao meio ambiente e a evolução do homem, agredindo o mínimo possível o meio ambiente. Nesse sentido, alinhado aos conceitos de sustentabilidade ambiental, ações proativas inspiram a realização de empreendimentos que reduzam ou evitem a utilização de materiais não renováveis. E no que se refere ao setor produtivo industrial e processos químicos, os catalisadores assumem papéis fundamentais. O presente trabalho, faz uma abordagem do tema na forma de uma revisão de literatura, de caráter exploratória, sobre os aspectos inerentes ao desenvolvimento e emprego de materiais “verdes” na concepção de projetos que visam conformidade em termos ambientais (incluindo os catalisadores verdes). Foi apresentado um estudo de caso, buscando evidenciar os benefícios de se empreender projetos com o emprego de materiais sustentáveis. Através de um levantamento comparativo entre tipos de catalisadores, concluiu-se que catalisadores verdes apresentam vantagens técnicas e econômicas que apontam resultados operacionais satisfatórios, principalmente do ponto de vista ambiental, tais como diminuição da poluição e da quantidade de resíduos na indústria química, bem como redução da toxicidade de reagentes e produtos e o uso de matéria-prima provenientes de fontes renováveis. Vale ressaltar ainda que mais e novos projetos sejam implementados para o incremento da inovação e obtenção de novas tecnologias.
A CONTRIBUIÇÃO DA ESPIRITUALIDADE E RELIGIOSIDADE NO ALÍVIO DO SOFRIMENTO EM CUIDADOS PALIATIVOS
Authors: Silva Camilla Chaves da , Barbosa Roselita Oliveira , Santiago Jamilli Soares , Motta Jéssica Maila Roque , Amaral Fernando Salgado do
Published: December 2024

Esse artigo buscou destacar a contribuição da Espiritualidade e Religiosidade (E/R) no alívio do sofrimento de pacientes em Cuidados Paliativos (CP), buscando melhorar a qualidade de vida do paciente de forma integral, com foco na assistência emocional e espiritual. A metodologia utilizada foi a revisão bibliográfica qualitativa, baseada em artigos e estudos que abordam a integração entre E/R e CP, com ênfase no impacto positivo das práticas religiosas e espirituais na experiência do paciente. O trabalho enfatiza que a E/R, além de promoverem cooperação efetiva ao paciente, devem oferecer também suporte integral aos familiares, que necessitam de apoio emocional, e à equipe de saúde, que vivencia experiências positivas ao longo do processo. Como resultados, a Espiritualidade e Religiosidade são apresentadas como ferramentas importantes no enfrentamento da doença, impactando positivamente na redução de sentimentos negativos como o medo e a ansiedade, estimulando emoções positivas durante o processo saúde/doença, além de confiança para o autocuidado e um novo sentido à vida. Conclui-se que é necessário capacitar os profissionais de saúde, especialmente a equipe de enfermagem, para lidar com questões espirituais, reconhecendo as práticas religiosas no cuidado diário e respeitando as crenças e valores individuais, a fim de proporcionar uma assistência humanizada e eficaz, que contemple as dimensões emocionais, espirituais e físicas no contexto do cuidado paliativo.
PANDANGAN FILSAFAT TERHADAP ILMU KEOLAHRAGAAN PADA PENDIDIKAN GENERASI Z
Authors: Maulana Putra Ikhsan
Published: December 2024

Philosophy of Sport is a branch of philosophy that analyzes the concept of sport as part of human activity. In its development, the philosophy of sport discusses metaphysics and ethical and moral philosophy. This study aims to understand the basic concept of the philosophy of sports science in Generation Z Education. It uses a literature study method with secondary data collection from books and scientific articles. The results of this literature research show the importance of conducting research in the form of searching for information about sports today from the perspective of sports philosophy. Philosophy and education are closely related to making each individual aware of constructive critical thinking. In line with that, learning activities in sports for Generation Z must prioritize cooperation and minimize unsportsmanlike competition for mutual progress. Generation Z must have the motivation to support the quality of sports education. So, every Generation Z needs to make sports philosophy a foundation in learning practices.
Climate Variability And Fish Hole Production In The Lower Oueme Valley
Authors: AISSI Jean- Roitinos
Published: December 2024

This research was initiated to study the impacts of climate variability on the production of fish holes in the lower Ouémé valley.To achieve this objective, the analysis of the climatological data from the period 1986 to 2015, extracted from the ASECNA files using the parameters of the descriptive statistics allowed to characterize the evolution of the climate, Water and flow data extracted from the DG-Eau files and then the fish statistics obtained from the Fisheries Directorate made it possible to analyze the evolution of fish hatchery yields in the study environment. The SPSS software was used to show the correlations between the evolution of climatic parameters and the production of fish holes with the correlation text of the Pearson correlation at a threshold of 5%.Analyzes show that changes in fish yields are positively correlated with rainfall, while there is a negative correlation between fishery yields and thermal management.
Exploration Of Sacredity In Traditional Cultural Rituals In Pemalang Through The Banyu Panguripan Dance
Authors: Ilafi Afiliasi , Sudardi Bani , Subiyantoro Slamet , Pitana Titis Srimuda
Published: December 2024

Implementation in the series of banyu panguripan ruwat traditions, there is a dance created as a representation that depicts the existence of sacredness in the banyu panguripan traditional ritual. Then the dance is called the Banyu Panguripan dance which in its creation was inspired by classical palace dance, the creation of the Banyu Panguripan dance is carried out exclusively and contemporary which is only displayed in a series of wong gunung festival activities. This research is a qualitative research that aims to describe and explore the meaning and sacred value of the Banyu Panguripan dance itself. The data collection technique used was by conducting interviews and analyzing the documentation that had been collected. The research findings revealed that the banyu panguripan dance not only functions as an event filler in a traditional cultural tourism attraction entitled the Wong Gunung Festival but also as a symbol of local cultural identity and sustainability. Through each dance movement that is harmonized with the tune of the song which contains philosophical meaning. the banyu panguripan dance displays the spirituality and social values of the Pulosari community, Pemalang Regency. Exploring the sacredness of traditional cultural rituals in Pemalang Regency through the Banyu Panguripan dance provides an understanding of the complex relationship between humans, nature, and spirituality in the context of local community life.
Quality Control Through the Implementation of HACCP in the Process of Frozen Tuna Loin Processing at PT. Lintas Laut Samudera, Bungus, West Sumatra
Authors: Fitria Yuli , . Yusra , . Suparno , . Arlius , Munzir Abdullah
Published: December 2024

In order to meet maximum export needs, PT. Lintas Laut Samudera has implemented the HACCP concept in implementing product quality requirement standards to strengthen its competitive share in export countries. The purpose of this research is to analyse the quality of frozen tuna loin products by conducting organoleptic tests, microbiological tests, and histamine chemistry, then reviewing the application of HACCP in the processing of tuna loin products produced at PT. Lintas Laut Samudera. The research was conducted from April to August 2024 at PT. Lintas Laut Samudera, Bungus, Padang City, using a quantitative descriptive research method. The test results obtained showed that this processing commodity was still within a safe range, and according to the results of the analysis of the application of HACCP in determining critical control points in the processing of fresh tuna at PT. Lintas Laut Samudera, there are 3 CCPs from all stages of the process, namely in receiving raw materials, packaging, and cold storage.
APDS Disorder Masked Under Asthma And Tuberculosis: A Rare Case Report
Authors: Gorle Sri Anjali , Reddy Pannala Harsha , Ali Raef Nizar , Vala Akhila , Patel Shivkumar Vikasbhai , Srijamya Dr. , Izhar Dr. Munawar
Published: December 2024

Background: Activated Phosphoinositide 3 Kinase Delta Syndrome (APDS) is a rare condition that affects the immune system. It is caused by specific genetic mutations that lead to increased activity of PI3Kδ. One of the main features of this syndrome is recurrent infections in the ear, sinuses, upper and lower respiratory tract. Lymphoma and complications from stem cell transplant are the primary factors contributing to mortality in APDS patients, with mortality rates of 47.6% and 15.6% respectively. Case: The study presents a case of 24-year-old female with medical history of recurring infections and asthma that was diagnosed at the age of 8. At the tender age of 20, her health began to decline as she faced a series of challenging infections started with Aspergillus, followed by Tuberculosis, then COVID-19, and finally Nocardia.Discussion: An investigation into primary immunodeficiency was carried out. The immunoglobulin levels were found to be within the normal range, ruling out Common Variable Immunodeficiency (CVID). An analysis of immunochemistry data indicated a significant reduction in the proportion and total count of Natural Killer cells. Although the occurrence of Aspergillosis with a secondary Tuberculosis infection is not frequently observed in APDS, it was indeed identified in this specific case.Conclusion: This case emphasises the challenging issue of persistent occurrence of opportunistic infections such as nocardiosis, coupled with the development of antibiotic resistance due to prolonged usage making the diagnosis and treatment tough.
Improving Learning Activities Through Interactive Digital Book Applications in Project-Based Learning
Authors: Susanti Diana , Fitriani Vivi , Sari Liza Yulia , Afza Aulia
Published: December 2024

21st-century learning is usually accompanied by projects that can foster students' creativity in building their knowledge. Interactive digital books with projects are not used in the courseThis research focuses on student activities using project-based interactive digital books while studying. This research is experimental, samples were taken from a total sampling of 32 students who were attending lectures. The instruments used are activity questionnaires in five observation activities, namely studying basic questions, discussing with lecturers, discussing with friends, discussing project activities to be carried out, and presenting product results. Data was obtained quantitatively and processed using SPSS. The results obtained show that the use of project-based interactive electronic books makes student learning active because projects can improve students' skills.
Importance of Clinical Research in Physical Therapy
Authors: Ahmad Ashfaq
Published: December 2024

Within the spheres of promotion, prevention,treatment/intervention, habilitation, andrecovery, physical therapy is concerned withdefining mobility ability and maximizing qualityof life. Physical therapy is often defined as acareer that requires specialized expertise,university education, and autonomy. Physicaltherapists are responsible for examining,analyzing, and treating physical disorders aswell as preventing physical and psychologicaldisabilities. In addition to teaching and study,the physical therapist has educational andadministrative responsibilities.
Correlation between Hand Circumference and Maximum Grip Strength
Authors: Tasawer Muhammad Noman , Ahmad Ashfaq , Khan Sadia
Published: December 2024

Grip Strength (GS) is a reliable parameter that reveals general hand condition and to determine effectiveness of treatment protocol. GS is also effective for rehabilitation of hand also for ergonomists as a way of optimizing the requirements of hand tool design.
Prevalence of Upper Extremity Musculoskeletal Disorders in Health Professionals in Lahore
Authors: Nasir Wazahat , Hassan Amber , Amjad Fareeha
Published: December 2024

Musculoskeletal disorders are dysfunctions influencing muscles, bones, nerves, ligaments, tendons, joints and peripheral nerves leading to pain or un-easiness.
Awareness & Attitude Towards Physical Activity Among Pediatric Population in Pakistan
Authors: Jawad Muhammad , Tanveer Fahad , Rauf Wardah , Pervaiz Hafz Zain
Published: December 2024

The importance of Physical Activity (PA) and its benefcial outcomes regarding health are well known facts. Modernization of the world has strong impact on lifestyles and behaviors of all individuals falling in different age groups. Children start learning routine activities in early childhood that turns into their habits in adulthood.
Spectrum of Magnetic Resonance Imaging Findings in Patients with Low Back Pain
Authors: Khaliq Abdul , Gilani Syed Amir , Malik Amna , Anjum Muhammad Nawaz , Bacha Raham , Chaudhry Umair Rashid
Published: December 2024

Low back pain (LBP) is one of the most common health problems seen in medical practice. It affects the spine's pliability, solidity, & power, which can reason pain, discomfort, and stiffness. Magnetic resonance imaging (MRI) is the modality of choice for the analysis of various reason of low back pain.
Prevalence of Urinary Incontinence in Diabetic Patients; A Cross-Sectional Study
Authors: Kayani Mahrukh , Ahmed Umair , Kaur Jaspreet , Faridi Tallat Anwar
Published: December 2024

Diabetes is related with high risk of Urinary incontinence (UI). The study was conducted to inspect that diabetes rises the risk and severity of urinary incontinence. The purpose of the current study was to examine the relationship between diabetes and urinary incontinence and factor that influence the chances of UI among diabetic patients Objective: This study assess the high risk of prevalence of Urinary incontinence (UI) among diabetic patient suffered by it. Methodology This cross-sectional study was carried out in diabetic patients, who were suffering from urinary incontinence. A total number of one hundred thirty (130) diabetic patients of all ages from 2 months to 85 were included in this study. Epidemiological study includes both male and f e m a l e p o p u l a t i o n . S e l f - a d m i n i s t e r e d questionnaire was formulated for multivariate investigation, to find out the problems, symptoms and associated risk factors for risk factors. Results: Out of 130 diabetic patients about 93(71.5%) have complain of urinary incontinence, including 50(38.5%) male and 80(61.5%) women. UI is more common in women as compared to men. There is strong relationship between diabetes and UI, but age, type of delivery, menopause is weakly associated with UI. Urinary incontinence is more dominant in diabetic patients. 54(41.54) complaining urinary leakage and 39(30.00) do not have urine leakage. Conclusions: Urinary incontinence is inconvenient problem for diabetic patient. Self-administered questionnaire was deigned to relate the problem and associated risk factors, so that essential steps a r e c a r r i e d o u t f o r i t s a v o i d a n c e a n d management.
Perception of Undergraduate Physical Therapy Students of Dual Role of Clinical Educator As A Mentor or Assessor: Influence on The Teaching-Learning Relationship
Authors: Sameer Muhammad , Ahmad Ashfaq
Published: December 2024

Academics clinical education is significant backbone of physiotherapy professionals' schooling and it is express as vital components which makes ready professionals of physiotherapy for experience inclinical set-up.Objective:To investigate understudies' view of how the dual role of CEs as mentor and evaluator affected T-L relationship.Methodology:Self-oriented questionnaire was used using the quantitative research approach. A cross-sectional survey design was used in this study. Consenting undergraduate physiotherapy clinical students fromuniversity of Lahore, Pakistan who had clinical education for at least one year completed the questionnaire. Consecutive sampling was used to recruit samples of 225 understudies.Results:The difficulties were noticed when CE needed to behave and acting as the two evaluator and guider to the necessity of understudies. They change their behavior. This affected the relationship of teachingand learning thus affected the studying of undergrad learners. Desires for understudies and CE were frequently not satisfied.
Conclusions: Discoveries found out in investigation, based on the perspectives or the encounters that understudies have of double job of their CEs, become featured. This situation become critical to think about difficulties which are faced by understudies so as to limit possible harmful impacts on understudies' studying environment caused by difficulties.Keywords:Physiotherapy students, dual role of CEs, mentor and assessor, Pakistan.
Prevalence of Thumb Pain Among Physiotherapists Perform Manual Techniques During Clinical Practice
Authors: Kareem Ihsan , Amjad Fareeha , Arif Samia , Batool Sana
Published: December 2024

Thumb pain among the physiotherapists is c o m m o n o c c u p a t i o n a l h a z a r d s . T h e physiotherapists working in their fields perform repetitively manual techniques, massage, mobilization and glides etc. This occupation needs to find out the number of physiotherapists having thumb pain due to manual work they perform during clinical practice in different rehabilitation centers.Objectives: To determine the frequency of thumb pain among physiotherapists perform manual techniques in clinical practice; a cross sectionalstudy Methods: A cross-sectional study design with convenient sampling technique was used, with sample size 190 to determine the frequency of thumb pain among physiotherapists in Lahore and data was analyzed by SPSS, mean and standard deviation was calculated for the quantitative variable while qualitative variable was presented in the form of frequency and percentage. Results: In the present study a self-made questionnaire was distributed among 190 physiotherapists. Among 190 participants 58(30.5%) were male and 132(69.5%) were Females. 40(21.1%) felt pain while performing ischemic pressure release from thumb. 38(20.0%) felt pain while giving massage. 12(6.3%) felt pain while holding an object between thumb and index finger. 2(1.1%) felt pain in circumduction. (5.3%) felt pain while making snuff box. 24(12.6%) felt pain in isometric exercises of thumb. 27(14.2%) felt pain in hyper flexion at DIP. 17(8.9%) felt pain in hyper flexion at PIP. 51(26.8%) rated 3 pain and 15(7.9%) rate 5 pain on VAS. Conlusions: Study concluded that frequency of thumb pain among physiotherapists working in different hospitals of Lahore was found to be 35.26%. This thumb pain was due to their professional techniques including, manual therapy, ischemicpressure release, massage, mobilization, and gliding etc.
Scope of Tele-Rehabilitaion and Digital Physical Therapy
Authors: Arsalan Syed Asad Ullah
Published: December 2024

Rapid progression of technology has encouraged health practitioners to adapt changes and deliver health care facilities in a remote and new fashion. Moreover, recently mHealth is introduced, concept of utilizing cellphones, laptops, tablets in public health as well as in medicine. mHealth has brought a huge change worldwide due to low cost and high scope.
The revolutionary change towards utilization of technology-based treatment is exceptionally relevant area for health practitioners to efficiently communicate and treat variety of patients.
Tele- rehabilitation refers to usage of information and communication technologies (ICT) in order to deliver rehabilitation to people remotely in home or in any other environment. Such rehabilitation services includes interventions related to therapeutics, distant intensive care, awareness, consultation and means of social networking for individuals with disabilities.
Specific to physiotherapy management and home based exercise program, smartphone applications offer emerging mode to deliver physiotherapy that also encourages active participation from both physiotherapist as well as from patient during treatment. Usage of technology in order to deliver physiotherapy rehabilitation is beneficial not only for clinicians but also for patients. It provides a personal autonomy and empowerment sense to patients, enables them to have control in management of various health conditions. It also allows access to care for patients specifically in remote areas or for individuals who are suffering from mobility related issues associated with impairments and socioeconomic factors.  It has been found through research that rehabilitation needed for individuals having long-term disability such as stroke, Traumatic brain injuries or neurological disorders are often remained untreated in patient’s local community.
With the emerging technology and mHeath applications, physiotherapist’s future generation must be mindful of evolving fluctuations in technology in order to make physiotherapy as an interactive session with the patient. This will also facilitates and motivates individuals for participation in home based exercise program. The new trend of physiotherapy could enhance patient adherence through creating an interactive environment that will enhance self-efficacy through better communication and reporting means.
Correlation between Neck Pain and Disability among People Wearing Helmet
Authors: Jafri Munam Raza , Nisa Zaib-un , Zaheer Anna , Khan Zeeshan , Perveen Ishrat , Zahid Sana , Arsalan Syed Asad Ullah
Published: December 2024

Helmet is an effective gear to protect from life threatening injuries during road traffic accidents (RTA).Parameters such as neck pain and disability while wearing helmet should beanalyzed as independent concepts and two different dimensions because various factors might affect this relationship Objective: To find out the correlation between neck painintensity and disability of bike riders who wear helmet. Methods: This was a cross sectional study in which NDI (Neck disability Index) was used to find out level of disability among helmet wearing bike riders. Data was collected from 2017 August to 2018 January from department of physiotherapy, University of Lahore. Convenient sampling technique was used for data collection. Sample size was 184. Male motorbike rider of age 19-35 years old who wear helmet were included. Participants having Tumor, Infection, fracture of spine and its surrounding tissues/Structures were excluded. Results: Mean of age was 22.52±3.57 years. Out of total 184, 126(68.5%) respondents reported no pain at all. Majority of the participant 78(44.2%) had no disability 35(19%) bike riders had no pain and were also not disable according to NDI scoring .The correlation between pain intensity and NDI score was 0.601 (p= 0.000). Conslusions: Among all bike rider wearing helmet, majority had no neck pain and disability but few were suffering from mild neck pain. This was concluded that there was moderately positive correlation between neck pain and disability scores of those participants.
Impact of Sedentary Lifestyle on Physical Activity and Quality of Life of Undergraduate Students during SARS-Cov-2 Pandemic Lockdown
Authors: Ishaque Zunaira , Tauqueer Noor
Published: December 2024

Background: Sedentary lifestyle can increase the complication of many cardiovascular diseases. The Physical inactivity can induce many cardiovascular and metabolic diseases in people. It can even cause deaths in people.
Objective: The purpose of the study is to analyze the effect of lockdown on physical activity and sedentary lifestyle. Secondary aim was to know if the changes in sedentary behavior and physical activity have affected the quality of life of undergraduate students. 
Methods: A descriptive cross-sectional study was conducted on 187 responders. Participants were recruited using convenience sampling techniques. Data was collected via online questionnaire from the undergraduates of Lahore. Duration of study was within 2 months after the approval of synopsis.
Results: The result of the study was that there were 76(40%) were male and 111(60%) were female out of 187. Mean age was 21.17 and standard deviation was 2.40801., 6(3%) did vigorous activity in 4 days in last seven days and 122(65.2%) did activity in seven day. P value above 0.05 indicates insignificant differences of quality of life among various categories of physical activity during lockdown in both males and females. There are no differences on basis of gender as well. Physical activity level impacted quality of life equally all.
Conclusions: No statistically significant association was found between physical activity and quality of life but it can be stated that physical inactivity and sedentary behavior impacted both genders equally in terms of fair quality of life.
Prevalence of Varicose Veins Among Teachers in Lahore, Pakistan
Authors: Ilyas Iqra , Ashfaq Huda Binte , Ul Ain Qurat
Published: December 2024

Background: Varicose veins is a type of chronic venous disease which may affects the lower limbs. It is the dilation of the subcutaneous veins, three to four millimeter in diameter. Lower limb varicose veins are common and known to have higher prevalence among people who work in occupation requiring long standing.
Objective: To observe the prevalence of varicose veins among teachers in Lahore Pakistan.
Methodology: This cross-sectional study was conducted in Lahore on 111 individuals, both males and females of ages between 35 to 55 years. Individuals with any history of acute DVT, acute venous disease etc. were excluded from the study. For the collection of the data, a Venus-Sym Questionnaire was used. An informed consent was taken from the study participants. SPSS 21 was used for data analysis.
 
Results: 37.8% prevalence of varicose veins was found out in teachers in which females were found more prevalent. Long standings and insufficient sittings gaps could be the reason for varicose veins among teachers.
 
Conclusion: There is a high prevalence of varicose veins or venous deficit. School teachers stand for numerous hours in classes and, it makes them prone to developing varicose veins. Because of hormonal changes during menstrual cycles, female educators have a high risk of being affected by varicose veins than males.
RELIABILITY OF SHOULDER MOBILITY USING A GONIOMETER IN PATIENTS WITH ROTATOR CUFF TENDINOPATHY
Authors: Shakoor Arooj , Raza Dr. Arooj , Safdar Zainab
Published: December 2024

Measurements of joint range of motion (ROM) were a part of a physical therapist's daily work. Activities of daily living and exercises were challenging to perform once computer memory was restricted, and counting on daily living stress, the shoulder joint needs different computer memory.
Objective: To find out reliability of shoulder mobility using a goniometer in patients with rotator cuff tendinopathy.
Methods: It was a cross sectional study in which data were collected from the patients of Central Park Teaching Hospital, Jinnah Hospital, Mayo Hospital and Doctors Hospital by using self-administered questionnaire. Rotator cuff tendinopathy angles were measured in fixed positions for 140 shoulder Joints (70 female patients) with Goniometer.
Results: The results exhibited that the Inter class correlation coefficient value of right shoulder was 0.958 and mean value of mean of right shoulder reading was 31±1.2. The Inter class correlation coefficient value of left shoulder was 0.973, and the mean value of mean of left shoulder was 31.33±1.36. Inter class correlation coefficient test value of Cronbach’s alpha for right shoulder was 0.958 hence it was stated that the reliability of goniometer for right shoulder was Excellent.
Conclusion: Goniometer is a reliable tool for the assessment of shoulder mobility in patients with rotator cuff tendinopathy. Inter Class Correlation Coefficient showed excellent reliability for both; left and right side of shoulder joint.
COMPARISONOF MIRROR THERAPY VERSUS MUSCLE STRENGTHENING EXERCISES IN ARM REHABILITATION IN SUB ACUTE STAGE OF STROKE : A RANDOMIZED CONTROL TRAIL
Authors: Saleem Maham , Mumtaz Sara , Gul Nadia , Gulab Asmah Arshad , Bukhari Bazal
Published: December 2024

Stroke is the leading cause of brain damage and disability. Rehabilitation measures help to restore lost abilities and improve the quality of life. Motor function deficits due to stroke affect the patient's mobility and cause limitations in daily life activities. Rehabilitation training is one of the most effective ways to reduce motor impairments in stroke patients.Objective: To find the effects of mirror therapy compared with muscle strengthening exercises for arm rehabilitation during the sub-acute stage of stroke.Material and methods: A quasi-experimental study of 35 patients in the sub-acute stage was conducted to compare the effects of mirror therapy on strengthening exercises for arm rehabilitation. The sample was divided into two groups; the experimental group of stroke patients receiving mirror therapy with baseline treatment, and the conventional group of stroke patients receiving baseline treatment using a non-probability purposive sampling the technique was used.Results: At baseline, patients of both groups showed no significant difference regarding both treatments shown by the action research arm test and Fugyl Meyer assessment scale.Conclusion: The study concluded that mirror therapy has a significant role in improving motor function and strength in the upper extremity, especially as an adjunct treatment to conventional therapy in patients with sub-acute stroke.
EFFECTS OF PHONOPHORESIS WITH AND WITHOUT MUSCLE ENERGY TECHNIQUE ON PAIN, CERVICAL RANGE OF MOTION AND FUNCTIONAL DISABILITY IN PATIENTS WITH DEGENERATIVE CERVICAL RADICULOPATHY; A RANDOMIZED CONTROLLED TRIAL
Authors: Ashraf Maheen
Published: December 2024

BACKGROUND: The muscle energy technique and phonophoresis interventions are incredibly affordable, non-invasive and efcient in treating pain and muscle spasms, enhancing the range of motion and reducing functional impairment in degenerative cervical cancer radiculopathy.
OBJECTIVE: To determine the effects of phonophoresis with and without muscle energy technique on pain, cervical range of motion and functional disability in patients with degenerative cervical radiculopathy.MATERIAL & METHODS: This randomized controlled trial was conducted in the physical therapy OPD of Allied hospital, Faisalabad. Fifty individuals with degenerative cervical radiculopathy were recruited for the study. They were randomized into two groups where group A received ketoprofen phonophoresis along with muscle energy technique. Meanwhile, group B received ketoprofen phonophoresis. Both groups also received conventional therapy. Participants in both groups received their respective therapy in 12 sessions and four weeks. Primary outcome measures were pain intensity and active range of motion. The secondary variable was functionaldisability. These were monitored three times: before treatment, in 2nd week, and 4th week.
RESULTS: Mean age was almost 44 years in group A and 42 years in group B. Both groups showed improvement in all statistically significant variables within the group. In between groups analysis, group A showed significant results statically in reducing pain, ROMs, and functional disability, i.e. (p<0.05). Group A s howed more improvement except for contralateral lateral exion and contralateral rotation, but it was not statistically significant (p>0.05).CONCLUSION: Phonophoresis is found to be good for cervical radiculopathy treatment, but its coupling with MET is more beneficial in improving ROMs and reducing pain and functional disability.
ASSOCIATION OF CERVICOGENICHEADACHE WITH CERVICAL RADIOCULOPATHY
Authors: Feroz Nisha , Nawaz Umber
Published: December 2024

Objective: The objective of this study was to determine the association of cervicogenic headache with cervicalradiculopathy.
Methods: A cross sectional study was conducted on 150 adult population.People who were willing to participate were selected. SF36 questionnaire was used to conduct study. Demographic data and questions were asked to rule out common association of cervicogenic headache with cervical radiculopathy.
Results:In the current study we have studied 150 adults ranging from 20 to 32 with cervicogenic headache associated with cervical radioculopathy. 38.1 % have age range of 24-28 while the 23.9 have the age range of 28- 32 shows that the descriptive statics of age. The result shows that the there is no association of radioculopathy with age but age is strongly associated with pain numerically represented by chi-square test with p-value .350 which is < 0.005.
Conclusion:This study presents the association of cervicogenic headache with cervical radioculopathy which was conducted in univertity. The high frequency in 38.1% in adult population with the age of 24-28 year- old with cervicogenic headache. The study result showed that age has negative correlation with GH with p- value is -.027.
Key Words: Cervicogenic headache, cervical radiculopathy.
KNOWLEDGE, ATTITUDES AND PRACTICES OF CARDIOPLMONARY REHABILITATION AMONG PHYSIOTHERAPISTS IN ICU
Authors: Akmal Shanza , Murtaza Farrukh
Published: December 2024

In ICU settings physical therapists play an important role in early mobilization, getting a better prognosis and proper breathing patterns in severely sick patients. However, due to lack of awareness and knowledge, the role of physical therapists in ICUs is not properly defined.  Objective: To assess the levels of knowledge, attitudes and practices of cardiopulmonary rehabilitation among Physiotherapists working in the ICU. Materials and Methods: This cross-sectional study was conducted on 143 physical therapists working in the ICU. Inclusion criteria were males and females of ages between 25 and above. Exclusion criteria was participants not willing to participate and not working in the ICU. For the collection of the data, non-probability convenient sampling technique was used. An informed consent was taken from the study participants. SPSS 25 was used for data analysis. Results: There were 32 participants who considered post cardiac event or surgery suitable for CPR, 32 for COPD, 14 for post any kind of surgery, 12 for muscular dystrophy, 8 for cancer survivors, 9 for diabetics, 20 for pulmonary diseases, 11 for before and after transplantation surgery and 5 for obesity. 49 participants treated 0 patients, 35 were treating 1-2 patients, 40 treated 3-10 patients, 5 treated 11-20 patients and 14 treated >21 patients. There were 70 participants who agreed and 73 who disagreed to CPR being difficult to be referred to patients in the country.  Conclusion: Physiotherapists hold a pivotal role in advancing cardiopulmonary rehabilitation. The distribution of knowledge levels highlights a majority with very good to excellent knowledge. Positive attitudes are evident towards cardiopulmonary rehabilitation, with majority physiotherapists actively treating patients.
The Effect Of Dietary Inflamatory Index (Dii) On 50 Grams Oral Glucose Challenge Test (Ogct) In Pregnant Woman.
Authors:   University of Health Sciences, Etlik Zubeyde Hanım Women’s Health Care, Training and Research Hospital, PERÇİN KAFAOĞLU Sezin Cansın ,   Giresun Women’s Health and Children Training and Research Hospital, KÖKSAL Zuhal ,   Ankara Etlik City Hospital Internal Medicine, YÜCEL Aykan ,   University of Health Sciences, Etlik Zubeyde Hanım Women’s Health Care, Training and Research Hospital,   University of Health Sciences, Ankara Bilkent City Hospital
Published: December 2024

Objective: To determine the effect of the Dietary
Inflammatory Index (DII) on the results of 50 grams oral
glucose challenge test (OGCT).
Methods: 278 patients who referred to the outpatient
clinics of the University of Health Sciences, Etlik Zubeyde
Hanım Women’s Health Care, Training and Research
Hospital between the 24th and 28th gestational weeks
and had taken 50 grams OGCT were included in this
study. Demographic data, health records, physical activity
levels, glycosylated hemoglobin (HbA1c) and oral glucose
tolerance test (OGTT) results of participants and 3- day
food consumption records were collected. Patients’ 3-day
food consumption data was separated to food parameters
using the BEBIS(Nutrition Data System) program v8.1. The
DII scores of patients were calculated using the Numbers
version 6.2.1(Apple Inc.) application.
Results: There were no difference between the DII scores
of subjects with positive and negative 50 grams OGCT and
100 grams OGTT results. There was a statistically significant
(p <0,001) decrease in DII scores with multivitamin use.
Overall carbohydrate consumption was higher (p=0.03)
and fat consumption was lower (p=0.046) in 235 patients
whose 50grams OGCT results were <140 mg/dL, but no such
correlation was found in patients diagnosed with GDM.
Conclusion: There is no relationship between DII scores and
the detection of GDM in 50 grams OGCT and 100 grams OGTT.
Non-competition clause in business representative relationships
Authors: Bivol Sergiu , Bitca Ion
Published: December 2024

A non-competition clause is that contractual stipulation that restricts the possibility of carrying out commercial activities similar to those carried out by virtue of the contract, both during the execution of the contract and after its termination. To be valid, it must meet certain conditions, conditions resulting from the provisions of art. 1700, para. 2, C. civ. Thus, the non-competition clause must take written form, the form necessary for its validity. Regarding the substantive conditions, from the legislation of Rep. Moldova and the specialized doctrine, it appears that they are: a) to refer to a determined territory; b) to provide for the activities that will be restricted; c) there must be a justified interest of the beneficiary of the clause; d) not to affect the freedom to carry out a commercial activity; e) not to violate the rules regarding competition. As for the effects of non-compete clauses, they must be analyzed in light of the fact that such a clause restricts the action of the principle of contractual freedom. It will begin to produce effects from the moment the contractual representation contract is terminated and will last for a period that cannot exceed 2 years. Regarding the sanction of the non-competition clause, we have to differentiate, as the non-competition clause is invalidated or the non-competition clause is violated. a) If the non-competition clause is affected by the nullity, it will attract the nullity of the entire contract if it was decisive at the conclusion of the representation contract. The determined character will be assumed. b) If the non-competition clause is violated, the effects of such a violation will have to be analyzed in the relations with the representative and in the relations with the contracting third parties.
The role of the financial function in the organizational structure of the company
Authors: Duhlicher Grigore , Coreachin Serghei
Published: December 2024

Financial organization is a fundamental part in the management strategy of any enterprise, having a direct impact on its performance and viability. The financial function is a central element in the organizational structure of the enterprise, having a role of coordination and integration of financial activities with the other functions, thus contributing to the achievement of the organization's global objectives. Enterprise financial management, as a component of general management, plays a crucial role in the success and viability of any business, it contributes not only to the financial health of the business, but also to the creation of an organizational culture oriented towards long-term performance and sustainability.
The role of the Caspian region in energy security of the European Union
Authors: Gilca Constantin , Coreachin Serghei
Published: December 2024

The Caspian region plays an important role in the energy security of the European Union due to its rich hydrocarbon resources and its strategic position. The energy security of the European Union is influenced by the political stability of the Caspian region. Geopolitical conflicts or tensions can affect energy supplies. Thus, strengthening relations with the states in this region is crucial for ensuring a constant flow of resources. Close collaboration, diversification of energy sources and promotion of geopolitical stability are essential to ensure a sustainable and secure energy future for Europe.
The relevance of intervention programs in developing of the resilience în children with diabetes
Authors: Cucui Corina
Published: December 2024

The article highlights the significance of developing resilience among children with diabetes, particularly during the school age, which is considered an important stage for personal and emotional development. During this phase, children face specific challenges associated with the illness as well as demands related to their cognitive and emotional maturation. To support them in managing these challenges, it is essential to strengthen resilience, growth mindset, self-esteem, and emotional intelligence through intervention programs based on the concept of assisted resilience, tailored to their specific developmental and support needs, coordinated by specialists in the field. We believe it is essential to implement strategies to enhance resilience in all children, even when their symptoms appear minimal and they seem to have adequate social support and adaptive skills.