bluuebunny/crossref_metadata_2025 huggingface dataset:
Textilome de la fosse lombaire révélé par un abcès du muscle psoas gauche : rapport de cas et revue de la littérature
Authors:   Service d’Urologie-Andrologie, Hôpital Principal de Dakar, Dakar, Sénégal, Faye ST , Sow TAO ,   Service d’Urologie, Hôpital de l’Amitié Sino-guinéenne, Université Gama Abdel Nasser, Konakry, Guinée, Dembélé M ,   Service d’Urologie-Andrologie, Hôpital Principal de Dakar, Dakar, Sénégal, Gueye I ,   Service d’Urologie-Andrologie, Hôpital Principal de Dakar, Dakar, Sénégal, Seck M ,   Service d’Urologie-Andrologie, Hôpital Principal de Dakar, Dakar, Sénégal, Bianquinch O ,   Service d’Urologie-Andrologie, Hôpital Principal de Dakar, Dakar, Sénégal, Mbengue A ,   Service d’Imagerie médicale et de Radiologie interventionnelle, Hôpital Principal de Dakar, Dakar, Sénégal, Kane R ,   Service d’Urologie-Andrologie, Hôpital Principal de Dakar, Dakar, Sénégal, Ndiaye A ,   Service d’Urologie-Andrologie, Hôpital Principal de Dakar, Dakar, Sénégal
Published: December 2024

Rapporter un cas de textilome de la fosse lombaire simulant un abcès du psoas gauche fistulisé et une revue de la littérature.
Cas clinique : Il s’agissait d’un patient de 41 ans aux antécédents d’une montée de JJ droite et pyéloplastie gauche. Les suites opératoires étaient marquées par un retard de cicatrisation. Une fistule cutanée associée syndrome infectieux sont apparus, motivant une admission dans le service. Une Uro-tomodensitométrie faite en urgence a objectivé une persistance de la dilatation des cavités pyélocalicielles bilatérales, associée à un abcès du psoas gauche, sondes doubles J en place et un corps étranger d’aspect métallique en regard de la sonde JJ gauche. La lombotomie faite sur l’ancienne cicatrice a permis de mettre en évidence une collection du pus franc d’environ 200 ml et la découverte d’une compresse abdominale bleue au fond de la fosse lombaire en regard du muscle psoas, autour duquel, s’était développé l’abcès. Après l’ablation du textilome, la fosse lombaire était abondamment lavée au sérum salé tiède et fermé sur un drain de Redon aspiratif. Les suites opératoires étaient simples. La cicatrisation était complète à J 21.
Conclusion : Le comptage des compresses et des champs abdominaux par l’équipe opératoire en début et fin d’intervention est le seul moyen de diminuer le risque de textilome, qui est véritablement une erreur médicale passible de poursuite judiciaire.
Mots-clés : textilome, fosse lombaire, abcès du psoas, lombotomie.
Dépistage couplé du VIH et du portage de l’antigène HBs a l’initiative du soignant dans une zone minière cosmopolite : cas de Siguiri (guinée)
Authors:   Service de Médecine Générale de l’Hôpital Préfectoral de Siguiri, Camara T , Camara M ,   Cabinet d’Imagerie d’Exploration et de Diagnostic (CIMED), Conakry-Guinée, Sacho FA ,   Service de Maladie Infectieuse du CHU de Donka, Conakry-Guinée, Cissé M ,   Service de Dermatologie, du CHU de Donka, Conakry-Guinée
Published: December 2024

Objectif : Décrire le profil épidémiologique des patients dépistés à l’initiative du soignant pour le VIH et le portage de l’AgHBs à l’hôpital Préfectoral de Siguiri.
Méthodologie : Il s’agissait d’une étude analytique et transversale à collecte prospective d’une durée de six mois allant du 1er Mai 2020 au 31 Octobre 2020. Elle a porté sur l’ensemble des patients reçus en consultation au service de Médecine générale de l’Hôpital préfectoral de Siguiri pendant la période d’étude et au terme des examens ont présenté les résultats positifs à l’hépatite B et au VIH.
Résultats : Au cours de notre étude, la séroprévalence du VIH, du VHB et de la co-infection VIH+AgHBs étaient respectivement de 20,61%, 12,60% et 2,67%. Les caractéristiques sociodémographiques étaient dominées par les adultes jeunes de sexe féminin mariés et ménagères résidents à Siguiri. Le VIH de type 1 a été majoritairement représenté avec 90,74%. Le facteur de risque de survenue de l’infection par le VIH était les antécédents de transfusion sanguine avec une différence statistiquement significative de (p = 0,00).
Conclusion : La prévalence de l’infection par le VIH et du portage de l’AgHBs était élevée chez les patients reçus en consultation. La nécessité de réalisation d’une étude multicentrique prenant en compte d’autres facteurs permettrait de mieux comprendre la stratégie du dépistage couplé du VIH et du portage de l’AgHBs.
Mots-clés : Séroprévalence, VIH, AgHBs, Cosmopolite, Hôpital Préfectoral Siguiri.
EFEKTIVITAS MODEL TREFFINGER DALAM MENGEMBANGKAN DISPOSISI KREATIF DAN KETERAMPILAN BERPIKIR KREATIF SAINS PADA SISWA SEKOLAH DASAR: STUDI LITERATUR REVIEW
Authors: Fitriana Iin Mahlia , Sukarso AA , Gunawan  , Asrin  , Subarinah Sri
Published: December 2024

This study aims to analyze the effectiveness of the Treffinger Model in fostering creative disposition and science creative thinking skills in elementary school students through a comprehensive literature review. The study will examine various relevant literature, including scientific journals, books, and research reports, discussing the implementation and impact of the Treffinger Model in science education at the elementary school level. The analysis will focus on how the Treffinger Model can facilitate the enhancement of creative disposition, such as curiosity, openness to new experiences, and a willingness to take risks, as well as science creative thinking skills, such as the ability to ask questions, generate novel ideas, and solve problems creatively. The findings of this analysis are expected to provide valuable insights for educators and researchers in designing more effective science learning strategies to cultivate the creative potential of elementary school student
PENGENALAN PEMBENTUKAN JENTIK-JENTIK CILIK UNTUK PENCEGAHAN DEMAM BERDARAH DI SDN 4 LENDANG NANGKA
Authors: Patimatuzzahro  , Arniati Irma , Kurniatussolihah Lilik , Watulummah Siti Mira
Published: December 2024

Dengue fever (DBD) is one of the main health issues in Indonesia that requires active community involvement in its prevention. The Jentik Cilik program, initiated at SDN 4 Lendang Nangka, aims to provide education and involve elementary school students as agents of change in mosquito nest eradication (PSN). This study aims to evaluate the implementation of the Jentik Cilik program and its impact on student awareness and the condition of the school environment. Using a descriptive qualitative method, the research shows that this program enhances students' understanding of PSN and results in a decrease in the mosquito larva population in the school environment. This article is expected to serve as a reference for the implementation of similar programs in other schools as part of the national dengue prevention effort.
Surface tension and in vitro tyrosinase inhibitory activity of tamanu oil (Calophyllum inophyllum L.)
Authors: Kusnaedi Anggi , Andrianto Dimas , Syaefudin
Published: December 2024

Tamanu or nyamplung oil, derived from Calophyllum inophyllum L., is commonly used in traditional medicine and occasionally used as a moisturizer in skincare cosmetics. In silico predictions suggested that tamanu oil contained compounds capable of inhibiting tyrosinase activity. This study aimed to measure the surface tension of tamanu oil and evaluate its tyrosinase inhibitory activity in vitro. The surface tension of tamanu oil was measured using the du-Nouy ring method with a tensiometer, while tyrosinase inhibitory activity was assessed by spectrophotometry using a microplate reader. The study revealed that the surface tension of tamanu oil was measured at 41.83±0.76 mN/m, and the tyrosinase inhibitory activity of tamanu oil was determined to be 83.75±0.41%. Notably, the inhibitory activity of tamanu oil was comparable to that of the positive control, kojic acid, which exhibited a tyrosinase inhibition of 84.59±2.04%. We concluded that tamanu oil has potential as a natural surfactant raw material and may serve as an effective tyrosinase inhibitor.
Vegetation diversity in mangrove forest area of mojo village, Ulujami district, Pemalang regency, Central Java
Authors: Fajar Kartika Aisyah , Fikriyya Nabela , Nurul Zulkarnaen Rizmoon
Published: December 2024

Mangrove forests are vital for coastal protection, biodiversity, and local livelihoods but face significant threats such as erosion, land-use changes, sedimentation, and waste pollution. This study assessed the diversity, dominance, and evenness of the mangrove ecosystem in Mojo Village, Ulujami District, Pemalang Regency, an area impacted by coastal abrasion. The research, conducted from August to September 2023, used purposive sampling with quadrant transects at four stations. Three plot sizes (10 m × 10 m, 5 m × 5 m, and 2 m × 2 m) were employed to analyze different mangrove growth stages (tree, sapling, and seedling). The mangrove diversity index ranged from 0 to 1.232, with the highest value observed in the tree stage (1.232) and the lowest in the seedling stage (0). The species Avicennia alba exhibited the highest dominance across all stages. The evenness index varied between 0 and 0.95209, indicating high evenness in trees and saplings, while the seedling stage exhibited low evenness. Water quality parameters were found to be supportive of mangrove growth. They included temperature (28.8–30.5°C), salinity (25–30 ppt), pH (5.90–6.21), and dissolved oxygen (5.5–14.9 mg/l). The results highlighted variations in diversity and evenness across the mangrove ecosystem's growth stages. The findings provide valuable insights into the current state of mangroves in the area and underscore the urgent need for continued monitoring and sustainable management to restore and conserve the mangrove forests in Mojo Village.
Dinámica estacional de colémbolos arbóreos (Collembola, Hexapoda) capturados con trampas Malaise en Aranjuez
Authors: Luciáñez Sánchez María José , Rivera Montero Amalia Beatriz
Published: December 2024

A first approach to the study of springtails that inhabit the arboreal vegetation, which can therefore be collected with Malaise traps, was carried out. Sampling was carried out monthly for one year in a kermes oak grove (Quercus coccifera L.) in the El Regajal Mar de Ontígola Regional Park in Aranjuez (Madrid, Spain). A marked substitution of springtail taxa was observed. In spring and summer predominated Entomobryomorpha, whereas in autumn and winter predominated Symphypleona species and summer species where absent. This could indicate the different ecological preferences of the two groups. Statistical analyses supported this seasonal succession in the springtail fauna. The faunal assemblage of the arboreal vegetation was completely different from that found in edaphic assemblages previously studied in the same kermes oak grove. For this reason, the study of springtails is of great interest to better understand the biodiversity in the area and to improve protection plans.
Empowering Futures: The Role of Education in Advancing Women’s
Authors:   Department of School Education, Jammu and Kahmir, Shah Azmat Hussain
Published: December 2024

The present study explores the Role of Education in Advancing Women’s Empowerment. This study highlights how quality education equips women with the skills and confidence necessary to participate in economic, social, and political spheres, enabling them to challenge traditional norms and advocate for their rights. The study addresses significant barriers to educational access, including socioeconomic and cultural factors, and underscores the need for inclusive, high-quality education to foster gender equality. By employing secondary data analysis from various reputable sources, the research examines the multifaceted contributions of education to women's empowerment across dimensions such as economic independence, social engagement, political participation, and health outcomes. The findings reveal that educated women tend to achieve higher earning potential, improved family well-being, and increased civic engagement, thereby benefiting entire communities. This related literature underscores the transformative power of education in women’s empowerment, enhancing economic, social, and political outcomes. Inclusive, quality education fosters gender equality, financial independence, and sustainable societal development. The study concludes by emphasizing the urgent need for targeted interventions to enhance women's access to education, ultimately advocating for policies that prioritize women's educational opportunities as a pathway to societal progress and sustainable development.
A Systematic Literature Review Of Satellite-Based Monitoring Systems In Road Transportation: Techniques, Applications, And Challenges
Authors:   Assistant Director (Engineer), Bangladesh Road Transport Authority (BRTA), Jhalakathi Circle, Jhalakathi, Bankladesh, Rahman S M Mahfuzur
Published: December 2024

This study presents a systematic review of the advancements, applications, and challenges associated with satellite-based monitoring systems in road transportation, encompassing real-time traffic management, road safety, infrastructure planning, and environmental sustainability. Using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, a total of 65 peer-reviewed articles were analyzed to provide a comprehensive understanding of these systems. The findings highlight that satellite-based technologies have significantly enhanced transportation efficiency by enabling real-time congestion detection, reducing response times during emergencies, and optimizing road maintenance and urban planning. Furthermore, these systems have proven effective in environmental monitoring, aiding in emission control and supporting the development of electric vehicle (EV) infrastructure. However, the review identifies critical gaps, including underexplored applications in autonomous vehicles, limited comparative studies with alternative monitoring systems, and insufficient regulatory frameworks addressing data privacy, interoperability, and cross-border collaboration. This study consolidates existing knowledge and provides valuable insights into the transformative potential of satellite-based systems, offering a foundational resource for policymakers, researchers, and practitioners striving to develop more efficient and sustainable transportation solutions.
¿Puede la construcción de un puente entre Saltos del Guairá-Paraguay y Guaíra-Brasil impulsar el comercio bilateral y el desarrollo regional?
Authors: Duarte Sánchez Derlis Daniel
Published: December 2024

La infraestructura es fundamental para el desarrollo económico local, ya que proporciona las bases necesarias para el crecimiento sostenible. Facilita el transporte eficiente de bienes y personas, mejora el acceso a los mercados y servicios, impulsa la productividad y la competitividad de las empresas locales, y fomenta la inversión y la creación de empleo. El objetivo de la investigación consiste en analizar la importancia de la construcción de un puente que conecte la ciudad de Saltos del Guairá-Paraguay y Guaíra-Brasil. Para lo cual, se utilizó una metodología de enfoque  cualitativo, descriptivo de revisión documental, se ha revisado 49 artículos científicos para la elaboración del manuscrito, para el análisis de los resultados, se ha revisado dos casos particulares, el caso de la construcción del puente que conecta Ciudad del Este con Foz de Iguazu y Encarnación con Posadas. Los principales resultados demuestran que, los beneficios potenciales incluyen una mayor eficiencia en el transporte de mercancías, la promoción del comercio internacional y el estímulo del desarrollo local. Además, la inversión en infraestructura de transporte puede contribuir significativamente al crecimiento económico y la mejora de la calidad de vida de los habitantes de la zona. En resumen, la construcción de un puente en Saltos del Guairá representa una oportunidad única para impulsar el desarrollo económico y social en la región, aprovechando al máximo su posición estratégica en la frontera con Brasil.  Los estudios examinados demuestran que, la integración física entre países a través de puentes ha generado cambios significativos en la dinámica económica, facilitando el comercio bilateral, estimulando el turismo y promoviendo el desarrollo urbano.
Evaluación del Grado de Carbonatación del Hormigón Producido con Caliza como Agregado Grueso en Ambientes Urbanos del Departamento de Concepción – Py
Authors: González Duarte Ana Gabriela , Villasboa González Inés Alejandra
Published: December 2024

El incremento de la construcción de edificios, puentes y otras infraestructuras en el departamento de Concepción ha impulsado la necesidad de investigar la durabilidad del hormigón y su impacto en las emisiones y absorción de dióxido de carbono (CO2) a lo largo de su vida útil. Este estudio busca demostrar la viabilidad de desarrollar hormigones utilizando materiales locales, específicamente piedra caliza, que satisfagan las demandas económicas, estructurales y ambientales, contribuyendo así a la mitigación de impactos en el medio ambiente y al cumplimiento de los Objetivos de Desarrollo Sostenible. Tradicionalmente, se han utilizado áridos basálticos en la construcción, debido a su buen comportamiento y disponibilidad. En este contexto, se ha optado por la piedra caliza como agregado grueso, dado que es abundante en la región y resulta más económica. Para el desarrollo experimental, se fabricaron hormigones con agregados de caliza y basalto, con resistencias de 25 MPa y 35 MPa. Los cuerpos de prueba fueron sometidos a un proceso de carbonatación natural en sectores industriales de Concepción, donde permanecieron estáticos hasta completar el periodo de reposo y exposición. Posteriormente, se evaluó el grado de carbonatación mediante la solución de fenolftaleína. Los resultados evidencian ventajas significativas en el uso de la piedra caliza como agregado grueso, mostrando un comportamiento favorable respecto al proceso de carbonatación en un ambiente urbano agresivo. Se concluye que la incorporación de piedra caliza en la producción de hormigón no solo es viable desde el punto de vista técnico, sino que también contribuye a la sostenibilidad económica y ambiental de las construcciones en la región.
ASSESSMENT OF SATISFACTORY LEVEL OF PHYSIOTHERAPISTS REGARDING DIAGNOSTIC IMAGING IN PHYSIOTHERAPY PRACTICE
Authors: Ismail Muhammad Usman , Iftikhar Komal , Shoaib Aziz Muhammad , Saqib Muhammad , Shaukat Samara , Naveed Muhammad , Quratulain  , Imtiaz Rafia
Published: December 2024

Background: The integration of diagnostic imaging (DI) in physiotherapy practice has gained importance for its role in enhancing diagnostic accuracy and improving patient care outcomes. Physiotherapists’ ability to effectively utilize and interpret DI is crucial for informed clinical decision-making. However, knowledge regarding their satisfaction and proficiency in using DI remains limited, particularly in government hospital settings, where resource constraints may affect access and training.
Objective: This study aimed to evaluate the satisfaction levels of physiotherapists with their knowledge, skills, and attitudes towards diagnostic imaging in clinical practice.
Methods: An observational cross-sectional study was conducted over six months in the physiotherapy departments of government hospitals in Lahore, following ethical approval. A sample of 80 participants, calculated using Cochran's formula, was recruited through non-probability convenient sampling. Eligible participants were male and female physiotherapists aged 25-40 years with at least two years of clinical experience. Exclusion criteria included physiotherapists without a hospital practice setting or a completed degree. A Likert scale questionnaire assessed satisfaction levels, with data analyzed using SPSS version 25.
Results: Of the 80 respondents, 68% expressed satisfaction with DI practices in their clinical roles, while 30.1% reported moderate responses. The most frequent DI usage rate was 47.6%, with 59.8% expressing confidence in their ability to interpret DI results. Access to DI resources satisfied 41.5% of respondents, and 52.4% were satisfied with the quality of DI services available at their workplace.
Conclusion: The study concluded that a majority of physiotherapists demonstrated satisfaction with DI in their practice, indicating the potential benefits of improved access and targeted training for optimizing DI utility in clinical settings.
COMPARATIVE EFFECTIVENESS OF CROSS-FRICTIONAL MASSAGE VERSUS MYOFASCIAL CUPPING THERAPY IN PATIENTS WITH NON-SPECIFIC NECK PAIN
Authors: Javaid Janeeta , Mughees Maria , Arooj Ayesha , Rehman Sofia , Kifayat Ayesha , Imtiaz Rafia
Published: December 2024

Background: Non-specific neck pain is commonly associated with reduced cervical spine range of motion, often implicating the trapezius muscle. Comparative studies on the effectiveness of cross frictional massage and myofascial cupping therapy are limited, particularly in terms of pain relief and mobility improvement.
Objective: This study aims to evaluate and compare the efficacy of cross frictional massage and myofascial cupping therapy in treating non-specific neck pain and enhancing cervical range of motion.
Methods: Thirty participants aged 20 to 40 with non-specific neck pain were randomized into two groups. Group 1 received cross frictional massage, and Group 2 underwent myofascial cupping therapy targeting the trapezius fibers. Assessments of range of motion, pain intensity, and functional impairment were conducted before treatment and 72 hours post-treatment.
Results: Both treatment groups demonstrated statistically significant improvements in range of motion, pain reduction, and function (p<0.0001), with 95% confidence intervals affirming the efficacy of both modalities. Comparisons of mean differences between groups revealed no significant disparities. However, participants reported greater perceived effectiveness from myofascial cupping therapy.
Conclusion: Cross frictional massage and myofascial cupping therapy both significantly enhance range of motion, alleviate pain, and improve function in individuals with non-specific neck pain, although no significant differences in their effectiveness were statistically evident. Participant feedback favored myofascial cupping therapy for perceived efficiency.
A COMPARATIVE STUDY OF EXTRACTION AND QUANTIFICATION METHODS OF PROTEIN ISOLATED FROM BEANS
Authors: Saliha Khalid  , Drakhshaan  , Alaa Ghaleb Alsawwa  , Md Kamrul Islam  , Khizra Hashmat  , Ahmad Ibne Yousaf  , Abu Baker Sidiq  , Muhammad Sikandar Subhani
Published: December 2024

Background: Beans serve as a significant source of protein, minerals, and plant-derived micronutrients, holding social and economic importance. Their consumption is linked to numerous health benefits, including reducing the risk of cardiovascular disease, obesity, and diabetes. Plant-based proteins are also environmentally advantageous, as their production requires fewer natural resources and results in a smaller carbon footprint than animal-derived proteins. This study explores protein extraction methods from beans and assesses analytical techniques for protein quantification.
Objective: To examine various protein extraction and quantification techniques from beans, focusing on four primary analytical methods: SDS-PAGE, Bradford, Lowry, and spectrophotometry.
Methods: Proteins were extracted from bean samples using standardized cell disruption, solubilization, enrichment, and digestion techniques. Four analytical methods were then applied to quantify the proteins: SDS-PAGE (for molecular weight separation), Bradford (dye-binding assay), Lowry (colorimetric assay), and spectrophotometry (UV absorption at 280 nm). Each method’s precision, sensitivity, and compatibility with bean protein extracts were evaluated.
Results: SDS-PAGE effectively separated proteins in the 5-250 kDa range with a 95% consistency in molecular weight determination. The Bradford method detected protein concentrations as low as 1 µg/mL, while the Lowry method demonstrated a 10-fold sensitivity increase over spectrophotometry, which was limited by UV interference. Both Bradford and Lowry were modified for specific protein compositions, with Bradford showing less interference.
Conclusion: The Bradford method demonstrated the greatest adaptability and minimal interference in bean protein quantification, whereas SDS-PAGE proved optimal for protein fraction analysis. These findings suggest the continued development of extraction and quantification techniques to meet the increasing demand for plant-based proteins.
ROLE OF HEMOGLOBIN AND ITS IMPACT ON HUMAN HEALTH-A NARRATIVE REVIEW
Authors: Junaid Azmat  , Mamoona Waseem  , Yumna Fatima Dar  , Sara Ambreen  , Hamna Shafqat  , Yousaf Zainab
Published: December 2024

Background: Hemoglobin is a crucial protein in red blood cells, central to oxygen transport and delivery to tissues across the body. Variations in hemoglobin levels can significantly impact the function and health of various organs and systems. Both high and low hemoglobin levels are linked to a spectrum of physiological changes and are associated with various health outcomes. Understanding these effects is essential for advancing patient care and improving health outcomes through targeted management strategies.
Objective: This review aims to explore the impact of hemoglobin levels on the function of various human organs and body systems.
Findings: The review details how hemoglobin levels influence organ function through diverse physiological mechanisms. Abnormal hemoglobin levels are associated with cardiovascular diseases, respiratory and renal disorders, neurological impairments, gastrointestinal issues, metabolic conditions, and genetic diseases. By examining the intricate pathways through which hemoglobin affects organ health, this review supports the development of strategies for early detection, prevention, and management of hemoglobin-related health issues, thereby enhancing patient care.
Conclusion: This review emphasizes the importance of hemoglobin levels as a key determinant of organ function and health across different stages of life.
NURSES PERCEPTION REGARDING FAMILY INVOLVEMENT IN NEONATAL AND POSTPARTUM CARE: A QUALITATIVE STUDY
Authors: Umar Madiha , Arif Samra , Arif Sobia , Qayyum Adeela
Published: December 2024

Background: Prenatal care nurses play a pivotal role in educating and supporting new parents, fostering constructive maternal and paternal involvement from the onset of a child’s life. Understanding healthcare professionals' attitudes, beliefs, and behaviors is crucial to ensure inclusive, high-quality prenatal care. These factors can either encourage parental engagement or inadvertently marginalize fathers, thereby impacting the quality of care provided in neonatal and postpartum settings.
Objective: This study aimed to explore the attitudes, beliefs, and practices of neonatal and postpartum nurses toward fathers' involvement in newborn care, highlighting the cultural and systemic factors influencing their engagement.
Methods: A qualitative descriptive study was conducted involving ten nurses (90% female, 10% male) from neonatal and postpartum units in hospitals located in two major cities, Multan and Lahore, Punjab, Pakistan. Participants were recruited through purposive sampling. Structured interviews lasting 25–35 minutes were conducted via telephone, capturing data on nurses' attitudes, perceived efficacy, and practices related to father-directed actions. Data analysis involved qualitative content analysis using NVivo 12 software, categorizing responses into themes such as father-child interaction, parental education, and nurses’ roles.
Results: Participants demonstrated generally positive attitudes toward parental involvement; however, 80% reported that the existing healthcare culture prioritized the mother-child dyad. Over 70% expressed normative views influenced by gender, race, and cultural norms, which limited their engagement with fathers. Fathers were perceived as secondary caregivers, with 60% of nurses indicating minimal direct interactions unless prompted by fathers’ presence or inquiries. While 90% of participants acknowledged the importance of educating both parents, none had received formal training on engaging fathers, with 40% expressing a need for such instruction. Cultural differences in paternal involvement were also observed, with higher engagement noted among Nigerian and younger African American fathers compared to others.
Conclusion: The study highlights that prevailing maternal-centric attitudes among nurses may unintentionally marginalize fathers, limiting their involvement in neonatal and postpartum care. Structured training programs and policy reforms are essential to foster equitable parental engagement and support inclusive family-centered care. Further research is recommended to explore the broader impact of provider attitudes on father involvement in newborn care.
PREVALENCE OF HAND OR WRIST-RELATED PAIN AND ITS FUNCTIONAL LIMITATION AMONG HEALTHCARE PRACTITIONERS
Authors: Ayub Izza , Habiba Noor , Majeed Fatima
Published: December 2024

Background: Work-related hand and wrist injuries are among the most common occupational traumas, particularly affecting healthcare practitioners due to prolonged manual tasks and repetitive movements. These injuries significantly impact the practitioners' functional abilities and overall productivity. Addressing this issue is critical not only to enhance the health and well-being of healthcare workers but also to maintain high standards of patient care. This study aimed to evaluate the prevalence of hand and wrist pain and its associated functional limitations among healthcare practitioners.
Objective: To assess the prevalence and impact of hand and wrist pain on functional limitations among healthcare practitioners in diverse healthcare settings.
Methods: A cross-sectional study was conducted between March 2024 and July 2024, involving 70 healthcare practitioners aged 21 to 35 years from Madinah Teaching Hospital, Faisalabad International Hospital, Civil Hospital, Sahil Hospital, and Prime Care Hospital. Approval was obtained from the Ethical Institutional Review Board (Ref: TUF/IRB/329/24). Participants were selected using purposive sampling, including those with at least one year of clinical experience and a minimum of four working hours per day. Data were collected using validated tools: Pain Rated Wrist/Hand Evaluation (PRWHE), Numeric Pain Rating Scale (NPRS), and Michigan Hand Outcome Questionnaire (MHOQ). Exclusion criteria included unhealed fractures, arthritis, neurological disorders, neoplasms, diagnosed diabetes mellitus, smoking or drug abuse >2 years, and systemic conditions affecting musculoskeletal function.
Results: The PRWHE, NPRS, and MHOQ showed mean values of 31.57 (SD 18.75), 3.64 (SD 1.75), and 66.25 (SD 12.29), respectively. Functional domains of MHOQ recorded percentages for Function (59.42%), Activities of Daily Living (70.06%), Work (58.28%), Pain (36.35%), Aesthetics/Appearance (83.75%), and Satisfaction (61.85%). Urologists demonstrated the highest pain levels (PRWHE: 41.64; NPRS: 4.57) and lowest functional outcomes (MHOQ: Function: 50.71%). Surgeons exhibited the highest overall hand functionality (MHOQ: 69.16%), while nurses and dentists reported significant limitations in pain and work-related capabilities.
Conclusion: The study identified a considerable prevalence of hand and wrist pain and associated functional limitations among healthcare practitioners. These findings underscore the necessity of ergonomic interventions and workplace modifications to alleviate musculoskeletal strain and improve the well-being and productivity of healthcare workers.
EFFECTS OF FUNCTIONAL ELECTRICAL STIMULATIONS WITH AND WITHOUT MOTOR PRIMING EXERCISES ON TENODESIS GRIP IN PATIENTS WITH SPINAL CORD INJURY
Authors: Noor Laraib , Binash Afzal  , Tarab Rasool  , Fatima Shafaqat Ali  , Asfoora Azmat  , Muhammed Shahwaiz  , Ramsha Umar  , Hafiza Motia Tabassum  , Manzoor Urooj
Published: December 2024

Background: Spinal cord injury (SCI) disrupts motor and sensory functions, often impairing hand strength and precision grip, particularly in cervical-level injuries. Tenodesis grip plays a critical role in enabling functional independence in such patients. Rehabilitation strategies like functional electrical stimulations (FES) and motor priming exercises (MPE) aim to enhance grip strength and dexterity. This study evaluates the comparative effects of FES with and without MPE and conventional exercise training (CET) on grip strength and functional recovery in SCI patients.
Objective: To determine the effect of functional electrical stimulations with and without motor priming exercises on improving grip strength, prehension performance, and quality of life in patients with spinal cord injury.
Methods: This randomized controlled trial included 27 participants aged 18 to 60 years with C6-C7 neurological level of injury. Participants were divided into three groups of 9 each: Group 1 received FES combined with MPE, Group 2 received FES alone, and Group 3 underwent CET. Baseline data were collected using manual muscle testing, the modified Ashworth scale, and tenodesis function. Interventions were conducted for six weeks, with daily sessions of 1.5 hours for Group 1 and 30–45 minutes for Groups 2 and 3. Post-intervention assessments included grip strength, lateral pinch grip, prehension performance, and quality of life, measured using validated tools like GRASSP and SCIM.
Results: A statistically significant improvement (p < 0.05) was observed in grip strength, lateral pinch grip, and quality of life among the three groups. Post-intervention right-hand grip strength increased to 11.50 ± 2.32 in Group 1, compared to 6.29 ± 1.41 in Group 2 and 4.00 ± 1.41 in Group 3. Left-hand grip strength improved to 10.50 ± 2.13 in Group 1, outperforming Group 2 (5.57 ± 1.38) and Group 3 (3.58 ± 1.31). Prehension scores in Group 1 reached 20.71 ± 3.45, compared to 5.71 ± 1.88 and 4.28 ± 1.88 in Groups 2 and 3, respectively.
Conclusion: The combination of MPE and FES significantly enhanced hand function, including grip strength, lateral pinch grip, and prehension performance, compared to FES alone or CET. These findings support integrating MPE with FES for optimizing functional recovery in individuals with cervical spinal cord injuries.
KNOWLEDGE AND ADHERENCE TO OSTEOARTHRITIS CLINICAL PRACTICE GUIDELINES AMONG PHYSIOTHERAPISTS IN FAISALABAD
Authors: Zulfqar Rubina , Naiha Gull  , Rabia Ali  , Ayila Mouzam  , Sundas Farooq  , Aneela Umar
Published: December 2024

Background: Osteoarthritis (OA) is a prevalent and disabling musculoskeletal condition worldwide, with clinical practice guidelines (CPGs) offering evidence-based recommendations to optimize its management. Despite the availability of guidelines such as those from OARSI, NICE, and EULAR, adherence among healthcare professionals remains inconsistent. This study was conducted to evaluate the knowledge and adherence of physiotherapists in Faisalabad to OA CPGs, aiming to identify gaps in practice and potential areas for improvement to enhance patient outcomes.
Objective: To evaluate the knowledge and adherence of Faisalabad physiotherapists to osteoarthritis clinical practice guidelines.
Methods: A cross-sectional survey was conducted in February 2023 across private and government healthcare settings in Faisalabad. Data were collected through in-person visits to hospitals and clinics, using a questionnaire based on OARSI, NICE, and EULAR guidelines. The questionnaire consisted of 25 statements covering diagnostic measures and therapeutic interventions for knee and hip OA. Demographic data, including gender, qualifications, and years of practice, were also recorded. Ethical approval was obtained, and informed consent was secured from all participants before survey administration. A total of 109 physiotherapists who met the inclusion criteria participated in the study.
Results: Among the 109 participants, 75.2% were female and 24.8% male. Most physiotherapists (70.6%) held a Doctor of Physical Therapy (DPT) qualification, while 26.6% held a master’s degree. Full adherence to CPG11 was observed in 100% of participants, while 53.2% rejected CPG7. Overall, 92% demonstrated knowledge of and adherence to OA CPGs. However, adherence to first-line treatments, such as weight reduction and exercise, was inconsistent, with secondary interventions like manual therapy being more commonly favored.
Conclusion: The study identified a sufficient level of knowledge among physiotherapists regarding OA CPGs, though gaps in adherence were evident, particularly concerning the integration of evidence-based practices into clinical care. Addressing these gaps through targeted education and simplified guidelines may improve OA management and patient outcomes.
MANAGEMENT AND RECONSTRUCTION OF RECURRENT SIALOBLASTOMA AND ITS COMPLICATIONS IN A PEDIATRIC PATIENT: A MULTIDISCIPLINARY APPROACH
Authors: Aiza Bint e Shafqat  , Ehtesham-Ul-Haq  , Sana Rasheed  , Ahmed Ibrahim  , Muhammad Ali Hassan  , Muhammad Abdullah Yousaf
Published: December 2024

Background: Sialoblastoma is an exceedingly rare congenital epithelial tumor of salivary gland origin, predominantly affecting infants. It exhibits aggressive behavior with potential for recurrence and requires a multidisciplinary approach for management. This case report highlights the challenges of diagnosing and treating recurrent sialoblastoma in a pediatric patient, emphasizing innovative reconstructive techniques.
Case Presentation: A 2-year-old South Asian boy presented with a progressively enlarging left cheek swelling since infancy. Initial imaging and cytology suggested a salivary gland neoplasm, leading to total parotidectomy. Histopathological analysis confirmed sialoblastoma. Despite adjuvant chemotherapy, local recurrence occurred, requiring further surgical intervention, including hemimandibulectomy. Postoperative radiotherapy was administered; however, complications such as wound dehiscence and tumor recurrence necessitated additional surgical and reconstructive measures.
Intervention and Outcomes: The patient underwent a multidisciplinary surgical approach involving lesion excision, removal of the exposed mandibular plate, and mandibular reconstruction using a pedicled osseomyocutaneous pectoralis major flap with the sixth rib. Six-month follow-up showed no recurrence, with satisfactory functional and cosmetic outcomes.
Conclusion: This case underscores the aggressive nature of sialoblastoma, the importance of complete tumor excision, and the utility of innovative surgical reconstruction techniques. Multidisciplinary management and vigilant long-term follow-up are crucial for improving outcomes in pediatric sialoblastoma.
PREVALENCE OF MIGRAINE AMONG NURSES AND ITS RELATIONSHIP WITH NURSING STATION ERGONOMICS
Authors: Javeria Sami  , Kiran Shehzadi  , Humaira Sadique  , Sayeda Sidra Tasneem  , Rubina Jabeen  , Muhammad Zeeshan Anwar
Published: December 2024

Background: Ergonomics, the science of optimizing interactions between individuals and their work environment, plays a crucial role in improving efficiency, comfort, safety, and health. In healthcare, particularly at nursing stations, ergonomic design significantly impacts nurse satisfaction, stress levels, and patient outcomes. Poor ergonomic practices have been associated with increased musculoskeletal discomfort and headaches, making workplace design a critical factor for the well-being of nurses, who often operate in high-stress environments.
Objective: To investigate the prevalence of migraines among nurses and explore its correlation with the ergonomic conditions of nursing stations.
Methods: This cross-sectional study included 100 female nurses with a mean age of 28.89 years (SD = 3.513). Data were collected using two validated tools: the International Classification of Headache Disorders, Third Edition (ICHD-3), to assess migraine prevalence and the Nursing Station Ergonomics Assessment (NSEA) to evaluate ergonomic compliance across 64 factors. Statistical analysis, including the Pearson Chi-Square test, was performed using IBM SPSS (2020) software to determine the relationship between migraines and nursing station ergonomics.
Results: The prevalence of migraines was notably high, with 65% (n = 65) experiencing migraines and 35% (n = 35) categorized as non-migraine. Among participants, 27% (n = 27) reported working in "good ergonomics" environments, while 73% (n = 73) described their conditions as "bad ergonomics." Migraine prevalence was higher in poor ergonomic conditions, with 45 participants reporting migraines compared to 20 in good ergonomic settings. A Pearson Chi-Square test revealed no statistically significant correlation between ergonomics and migraines (χ2 = 1.339, df = 1, p = 0.247), but trends suggested an indirect influence of ergonomics on migraine occurrence.
Conclusion: The study identified a high prevalence of migraines among nurses, with trends indicating that poor ergonomic conditions may exacerbate their occurrence, even in the absence of statistically significant results. Improving ergonomic conditions in nursing stations could enhance nurse well-being and mitigate health issues like migraines, highlighting the importance of workplace design in healthcare environments.
EFFECTS OF HIGH LOAD STRENGTH TRAINING WITH AND WITHOUT TISSUE SPECIFIC PLANTAR FASCIA STRETCHING EXERCISE ON PAIN, RANGE OF MOTION AND FUNCTIONAL DISABILITY AMONG ATHLETES WITH PLANTAR FASCIITIS
Authors: Ilyas Muhammad , Javed Adiba , Nadeem Maryam , Dastgeer Ghulam , Jawaid Muhammad Tauseef , Shah Syed Nasir Ali , Asim Hafiz Ali Bin
Published: December 2024

Background:  Plantar fasciitis is a common overuse injury characterized by debilitating heel pain and reduced functional capacity, frequently affecting athletes due to repetitive stress on the plantar fascia. This condition significantly impairs daily activities and athletic performance, necessitating effective interventions. High-load strength training (HLST) has shown promise in managing plantar fasciitis, with the potential for improved outcomes when combined with tissue-specific plantar fascia stretching exercises. This study investigates the comparative effectiveness of HLST with and without stretching exercises.
Objective: To compare the effectiveness of high-load strength training with and without tissue-specific plantar fascia stretching exercises in reducing pain, improving range of motion, and alleviating functional disability among athletes with plantar fasciitis.
Methods: This randomized controlled trial included 34 male athletes aged 20–35 years, divided equally into two groups. Group A received HLST combined with tissue-specific plantar fascia stretching exercises, while Group B underwent HLST alone. The study was conducted over six months, from March 2024 to September 2024, at a sports club in Mirpur, AJK. Participants were assessed using the Numeric Pain Rating Scale (NPRS), Functional Foot Index (FFI), and goniometer. Pre- and post-intervention measurements were analyzed using SPSS Version 25, with paired and independent sample t-tests used to determine statistical significance.
Results: Post-treatment NPRS values significantly improved in Group A (4.235 ± 0.903, p=0.029) compared to Group B (4.941 ± 0.899, p=0.039). Similarly, FFI values improved more significantly in Group A (66.705 ± 7.235, p=0.015) than in Group B (62.764 ± 4.115, p=0.004). Ankle dorsiflexion and plantar flexion were also better in Group A, with dorsiflexion improving from 17.529 ± 1.328 to 23.411 ± 2.032 (p=0.003), and plantar flexion increasing from 35.941 ± 2.221 to 46.117 ± 2.471 (p=0.002).
Conclusion: Both high-load strength training alone and in combination with stretching exercises effectively reduced pain, improved range of motion, and alleviated functional disability in athletes with plantar fasciitis. However, HLST combined with tissue-specific plantar fascia stretching was significantly more effective, offering superior outcomes across all measures.
PREVALENCE OF NEUROPHOBIA AND ITS ASSOCIATED RISK FACTOR AMONG PHYSICAL THERAPY STUDENTS IN PESHAWAR: A CROSS-SECTIONAL STUDY”
Authors: Atif Muhammad , Shah Faisal Wazir  , Syed Issam Ullah Jan  , Nafeesa Taj  , Aqsa Rehan  , Anosha Tariq
Published: December 2024

Background: Neurology is widely regarded as a challenging field due to the intricate structure of the nervous system and the diversity of neurological disorders and symptoms. Neurophobia, defined as the fear or anxiety surrounding neurology, often arises from its perceived complexity and the challenges of diagnosing and managing neurological conditions. This phenomenon is frequently reported among medical and allied health students, potentially impacting their academic confidence and clinical performance.
Objective: To assess the prevalence of neurophobia and its associated risk factors among physical therapy students in Peshawar.
Methods: A cross-sectional survey was conducted using a validated neurophobia questionnaire developed by Schon et al., along with demographic information. The study included 324 physical therapy students, both male and female, selected conveniently from rehabilitation institutes in Peshawar. Data collection spanned six months, and responses were documented via face-to-face interviews. Statistical analysis was performed using SPSS version 23, with descriptive and inferential tests applied to determine associations between neurophobia and its risk factors.
Results: Out of 324 participants, 91.4% (n=296) reported experiencing neurophobia. Among them, 88.1% (n=261) were undergraduate students, with fourth-year students showing the highest prevalence, followed by fifth, third, and second-year students. Females were more commonly affected than males. A majority identified key factors contributing to neurophobia, including lack of exposure (70.4%, n=228), limited faculty support (54.7%, n=162), and fear of making mistakes (67.3%, n=218). However, no statistically significant associations were found between these factors and neurophobia (p>0.05). A significant association was observed between neurophobia and undergraduate students as well as rehabilitation institutes (p<0.05).
Conclusion: The study revealed a high prevalence of neurophobia among physical therapy students in Peshawar, particularly among undergraduates. The findings emphasize the need for targeted educational interventions to address this issue and improve student confidence in neurology.