bluuebunny/crossref_metadata_2025 huggingface dataset:
Comparison of Efficacy of Botulinum Toxin Injection and Conventional Oral Drugs for Treatment of Refractory Migraine
Authors: Pervaiz Anusha , Alamgir Wasim , Khan Babar , Nawaz Khurram Haq , Ahmad Imran , Shafait Saima , Ahmad Fawad
Published: December 2023

Background: Background: Migraine, a debilitating neurological condition, significantly impacts quality of life. Despite various treatments, some cases remain refractory to conventional therapies. This study explores the efficacy of Botulinum Toxin Type A (BOTOX) injections compared to Conventional Oral Drugs (CODs) in treating refractory migraines, offering potential advancements in migraine management.
Objectives: This single-center retrospective cohort study compared the efficacy and safety of Botulinum toxin (BOTOX) injection and Conventional Oral Drugs (COD) for treating the refractory migraine.
Methods: Between May and August of 2023, 78 adults with refractory migraine were enrolled at tertiary care center in Islamabad. Their demographic data revealed the mean age of 46.5 years (SD=10.09), gender distribution of 28 males (35.90%) and 50 females (64.10%), and distribution of 27 employed (34.61%) and 51 unemployed (65.30%).
Results: Average duration of refractory migraines was 9.72 years and average number of migraines per month was 22. The number of headache days per month decreased from 22 at baseline to 19 after two months and to 12 after three months (p=0.239) as the primary outcome measure (p>0.05). The VAS scores decreased substantially from 7.6 to 5.5 (p=0.049), indicating decrease in headache severity (p<0.05). Scores on Migraine-Specific Quality of Life (MSQ) increased from 43 to 73% (p>0.05). The Migraine Disability Assessment (MIDAS) scores decreased from 66 to 48 (p=0.047) and Headache Impact Test (HIT-6) scores decreased from 69 to 40 (p=0.025), indicating an improvement in disability and quality of life (p<0.05). Injection site pain (n=35), nausea (n=25), dizziness (n=15), fatigue (n=12), parched mouth (n=5), and muscle weakness (n=5) were reported as adverse effects.
Conclusion: While BOTOX treatment significantly improved measures of headache severity, disability, and quality of life, patient tolerability and potential distress must be considered when selecting this treatment.
Estimation of Trace and Toxic Metals from Cannabis Sativa Plant in District, Kech Baluchistan, Pakistan
Authors: Inayat ullah Baloch  , Kandhro Aftab Ahmed , Laghari Abdul Hafeez , Shah Nawab , Baloch Wahid Bakhsh , Gishkori Khadim Ali
Published: December 2023

Background: Cannabis sativa, a plant indigenous to the Kech district in Baluchistan, Pakistan, is traditionally used for medicinal purposes. Understanding its trace and toxic metal content is crucial for evaluating its safety and therapeutic potential.
Objective: The primary aim of this study is to estimate the levels of trace and toxic metals in various parts of Cannabis sativa plants grown in the Kech district and assess the potential health risks associated with their consumption.
Methods: The leaves, stems, and roots of Cannabis sativa were analyzed for metals including Iron (Fe), Copper (Cu), Zinc (Zn), Potassium (K), Magnesium (Mg), Calcium (Ca), Sodium (Na), Cadmium (Cd), Lead (Pb), and Nickel (Co). Flame Atomic Absorption Spectroscopy was employed to quantify the metal content.
Results: The plant exhibited high levels of Fe (20.34 ppm in leaves), Zn (24.14 ppm in leaves), Ca (9.29 ppm in leaves), Cu (14.40 ppm in leaves), K (10.56 ppm in leaves), Mg (13.47 ppm in leaves), and Na (12.25 ppm in leaves). Conversely, lower concentrations of Cd (0.65 ppm in leaves), Co (2.29 ppm in leaves), As (0.53 ppm in leaves), and Pb (1.60 ppm in leaves) were detected. The leaves contained higher concentrations of these metals compared to the stems and roots.
Conclusion: The presence of beneficial trace metals like Fe, Cu, Zn, and Ca in significant amounts suggests Cannabis sativa's potential for treating diseases related to deficiencies of these metals. However, the low levels of toxic metals indicate minimal health risks, affirming its safety for medicinal use.
Comparison of Culture Proven Enteric Fever Treatment with Meropenem Alone Vs Combination of Meropenem and Azithromycin
Authors: Razzaq Muhammad Mehroon , Khan Wahaj Ul Hassan , Hussain Maryam , Hayat Qaiser , Wazir Saliha , Waqar Hafsa
Published: December 2023

Background: Enteric fever, primarily caused by Salmonella enterica serotypes Typhi and Paratyphi, remains a significant global health challenge, particularly in regions with limited access to clean water and sanitation. The emergence of multidrug-resistant strains has prompted the exploration of effective antibiotic regimens. While Meropenem has become a critical treatment option, the potential benefit of combining it with Azithromycin is not well established.
Objective: The study aimed to compare the efficacy of Meropenem alone versus a combination of Meropenem and Azithromycin in the treatment of culture-proven enteric fever, focusing on fever resolution time and hospital stay duration.
Methods: Conducted at the Combined Military Hospital, Peshawar, this study involved 81 patients diagnosed with enteric fever. They were randomly divided into two groups: Group 1 (n=40) received Meropenem alone, and Group 2 (n=41) received a combination of Meropenem and Azithromycin. Key parameters evaluated included gender distribution, age, duration of defervescence, and length of hospital stay. Statistical significance was assessed using appropriate tests.
Results: The study found no significant difference in the duration of fever resolution (P=0.571) and hospital stay (P=0.466) between the two groups. The mean defervescence time was 5.325 days for Group 1 and 5.4878 days for Group 2. The average hospital stay was 6.4 days for Group 1 and 6.6098 days for Group 2. Gender distribution and age profile were comparable across both groups.
Conclusion: The study concludes that there is no significant difference in the effectiveness of treating enteric fever with Meropenem alone compared to a combination of Meropenem and Azithromycin. This finding supports the use of Meropenem monotherapy as a suitable treatment for enteric fever, potentially reducing treatment protocols and addressing concerns about antibiotic overuse.
Prevalence of Gastrointestinal Tract Parasites in Dairy Cattle in Tehsil Gagra District Buner Khyber Pakhtunkhwa, Pakistan
Authors: Khan Abbas , Tasleem Samiyah , Malik Zainab , Saddozai Shagufta , Ullah Assad , Rahat Amina , Aziz Tariq , Azeem Tahir , Ur Rehman Hameed , Saeed Kausar
Published: December 2023

Background: Gastrointestinal (GI) parasites pose a significant threat to dairy cattle health, affecting both animal welfare and agricultural productivity. In regions like Tehsil Gagra, District Buner, Khyber Pakhtunkhwa, Pakistan, where dairy farming is a crucial part of the economy, understanding the prevalence and types of these parasites is essential. The potential zoonotic impact of these parasites also raises concerns for human healthcare, emphasizing the importance of a One Health approach.
Objective: This study aimed to determine the prevalence and types of gastrointestinal parasites in dairy cattle in Tehsil Gagra, District Buner, and to understand their implications for animal health, agricultural practices, and potential zoonotic risks to human health.
Methods: A comprehensive analysis was conducted from July 2021 to July 2022. A total of 150 fecal samples from dairy cattle were collected and examined at the Veterinary Research and Disease Investigation Center, District Swat, and the Department of Zoology, University of Buner. The samples were tested using direct smear, sedimentation, and sugar flotation methods. The study also considered environmental factors and seasonal variations in its analysis.
Results: Of the 150 samples examined, 99 (66%) were positive for gastrointestinal parasites. Nematodes were the most prevalent (51.33%), followed by Protozoa (12%), Trematodes (2%), and Cestodes (0.67%). The most common parasitic species identified were Trichostrongylus (24.67%), Ostertagia ostertagi (22.67%), and Eimeria bovis (8%). Area-wise, Rega showed the highest prevalence at 80%, while Gagra recorded 46.67%.
Conclusion: The study revealed a high prevalence of GI parasites in dairy cattle in Tehsil Gagra, District Buner, emphasizing the need for improved veterinary care and farm management practices. The results highlight the importance of regular parasite control measures and suggest potential zoonotic risks, underscoring the necessity for integrated animal and human health approaches.
Prevalence of Dystocia its Risk Factors and Complications among the Women of District Buner, Pakistan
Authors: Tamanna  , Asif Muhammad , Nausheen Khattak Sania , Rahat Amina , Azeem Tahir , Ur Rehman Hameed , Amin Fazal , Saeed Kausar
Published: December 2023

Background: Dystocia, characterized by abnormally slow labor, is a significant cause of primary cesarean delivery globally. It poses serious risks to maternal and neonatal health and is often associated with increased healthcare costs. Despite its prevalence, there is no universal definition of dystocia, making it a complex condition to manage and study.
Objective: The study aimed to investigate the prevalence, risk factors, and complications associated with dystocia among women in District Buner, Pakistan, from September 2021 to September 2022. It also sought to understand the geographic distribution of dystocia cases and the effectiveness of different management strategies.
Methods: A cross-sectional study was conducted in various healthcare facilities across District Buner, including DHQ Daggar, Buner Medical Complex Daggar, and Rahman Medical Complex Jowar. A total of 1,527 women with dystocia were examined. Data collection involved structured questionnaires and interviews with healthcare professionals. The study focused on two types of dystocia: labor dystocia and shoulder dystocia. Statistical analysis was performed to assess the prevalence, risk factors, and complications related to dystocia.
Results: The study found that 97.11% of the dystocia cases were labor dystocia, and 2.881% were shoulder dystocia. Dystocia prevalence varied with age: 3.01% in women below 20 years, 2.03% in 20-30 years, and 95.02% in 30-50 years. Nulliparous women accounted for 50.03% of dystocia cases. Geographically, the prevalence of dystocia in different tehsils ranged from 0.98% to 30.58%. Breech presentation was the cause in 3.34% of dystocia cases, transverse presentation in 0.26%, and oblique presentation in 0.72%.
Conclusion: The study underscores the high prevalence of labor dystocia in District Buner, especially among nulliparous women and those in the age group of 30-50 years. It highlights the need for enhanced prenatal care and targeted intervention strategies to manage and reduce the risks associated with dystocia.
Yeni Düzen Tartışmalarında Ukrayna Savaşının Gerilimi ve Analizi
Authors: İNAÇ Hüsamettin , İLHAN Yüksel Tuğçe
Published: December 2023

Rusya-Ukrayna arasında 24 Şubat 2022 tarihinde başlayan ve halihazırda devam eden savaş, ABD’nin hegemon gücünü sürdürmesi, AB’nin Rus korkusuyla ABD’nin hakimiyeti altına sığınması, Rusya’nın yıpratılması gibi stratejik amaçlara ulaşılabilmesi için Anglosakson İttifakı’nın teşvikiyle çıkarılmıştır. Nitekim geldiğimiz noktada Rusya’dan ucuz enerji alamayan ve Çin’le ticaret hacmi kısıtlanan AB çökmenin eşiğine gelmiş, Rusya yıpranmış ve ABD küresel hegemonya sürecini uzatmış görünmektedir. Makale bu süreçleri yeni dünya düzeninin inşası bağlamında irdelemeyi amaçlamaktadır.
Bağımsızlık Sonrası TCMB’nin Analitik Bilançosunda Gelişmeler ve Makro Ekonomik Yansımaları
Authors: DEMİR Nihan , UYSAL Yaşar
Published: December 2023

Bu çalışmanın amacı, TCMB’nin bağımsızlık sonrası analitik bilançosunda meydana gelen gelişmeleri ve bu gelişmelerin makro ekonomik yansımalarını incelemektir. Bu çerçevede bağımsızlık sonrası analitik bilançonun hem aktifi hem de pasifinde önemli bir farklılaşmalar meydana gelmiştir. Bu doğrultuda, bağımsızlık sonrası Hazine’yi finanse etmesinin sınırlandırılmasıyla bütçe açığındaki artışta önemli gerileme yaşandığı, dolayısıyla bağımsızlığın bütçe disiplinine de katkı sağladığı anlaşılmıştır. Bu sonuçlara bağlı olarak TCMB’nin bağımsız hale gelmesinde beklenen işlevlerin kısmen de olsa gerçekleştiğini söylemek mümkün olmuştur. Bununla birlikte bağımsızlığın iç dengeleri iyileştirirken dış dengeleri bozduğu anlaşılmıştır.
The Analysıs Of Relatıonshıp Between Crıme and Poverty For The Test Of Culture Of Poverty In Turkey
Authors: ÇİFTÇİ Ayşe Nur , GÜMÜŞ İskender
Published: December 2023

In the culture of poverty approach, it is argued that the poor form a subculture. Crime is common in this subculture. It is claimed that there is a strong link between poverty and crime. In the culture of poverty approach, it is argued that the poor are considered as potential criminals. It is pointed out that an approach that sees the poor as potential criminals will be biased. It is a basic assumption that the culture of poverty is universal. In other words, the relationship between poverty and crime is expected to be similar in every part of the world. The starting point in the preparation of this study is to test the validity of the universal claim in the culture of poverty approach. The analyzes carried out with the 2019 TURKSTAT data supported that the relationship between poverty and crime in Turkey is very limited, and that it is seen in a few types of crime. However, it was expected that there would be a relationship between crime and poverty in many more types of crime. Therefore, Turkey cannot provide serious evidence for the poverty and crime relationship of the culture of poverty approach. This reinforces that the culture of poverty approach does not have a universal feature.
Sessiz İstifanın Linkedin’de Analizi: Turizm ve Planlama İçin Çıkarımlar
Authors: KARADUMAN Emre
Published: December 2023

Sessiz istifa kavramı, eski bir davranış biçimi olmasına rağmen kavramsal olarak yeni bir terimdir ve çalışanların işlerinden ayrılmadan daha pasif bir iş yaşamı sürdürmelerini ifade eder. Bu durum, çalışanların işlerinin gerektirdiği asgari çabayı yerine getirme ve her türlü fedakarlıktan kaçınma eğiliminde olduklarını belirtir. Bu çalışma, sessiz istifa kavramını bir sosyal paylaşım platformu perspektifinden incelemekte olup, verilerini iş dünyasındaki insanların iletişim kurduğu bir sosyal paylaşım platformu olan LinkedIn üzerinden almaktadır. İK profesyonelleri, yönetim danışmanları, akademisyenler ve ilgili sektör temsilcilerinden oluşan 89 LinkedIn hesabının sessiz istifa ile ilgili paylaşımları üzerinde yapılan doküman analizi, turizm ve planlama profesyonelleri için sessiz istifa kavramına ilişkin alt boyutlar ile neden-sonuç düzleminde bir çalışma sunmaktadır. Çalışma aynı zamanda sessiz istifaya karşı alınabilecek önlemleri de içermektedir.
Physiotherapy Interventions in Lateral Epicondylitis
Authors: Putra Kadek Ari Widyakusuma , Kamayoga I Dewa Gede Alit
Published: December 2023

Background: Lateral epicondylitis, commonly called “tennis elbow”, is an overuse injury to the wrist extensor that causes inflammation resulting in degenerative changes such as tendinosis and micro-teared (small tears) in the fibrous tissue. The risk of lateral epicondylitis is highest in workers who lift heavy weights and workers whose work requires repetitive movements of the wrist extensors. Degenerative factors are also one of the factors that can affect the development of lateral epicondylitis. From Magnetic Resonance Imaging (MRI) scans of 369 patients without clinical complaints of lateral epicondylitis, MRI signs consistent with lateral epicondylitis were seen in 5.7% of individuals in the 18-30 years age group and 16% in individuals over 70 years of age.

Objective: The purpose of this study is to summarize secondary data related to interventions that can be applied to cases of lateral epicondylitis.

Methods: The study method used is a literature study using secondary data in journals related to physiotherapy management in cases of lateral epicondylitis obtained through Google Scholar, Science Direct, and PubMed.

Results: Several studies have shown various interventions can be applied to overcome the problems experienced by patients with lateral epicondylitis and provide good results in overcoming pain and gripping muscle weakness.

Conclusion: Several interventions can be given to overcome the problems experienced by lateral epicondylitis patients, such as Cyriax, low-level laser therapy, mulligan mobilization with movement, ultrasound, eccentric exercise, concentric exercise, and kinesiotaping. Based on the literature review results, it can be concluded that these interventions can have a good effect in overcoming complaints experienced by patients with lateral epicondylitis.
Physiotherapy Management in Meniscus Injury
Authors: Sari Made Ayu Indah Puspa , Kurniawati Ida
Published: December 2023

Background: Meniscus injury is one of the most common knee injuries in the orthopedic field. This injury often occurs in sports that involve rotating movements, squats/excessive knee joint flexion such as in basketball, soccer or badminton. The medial meniscus is injured more often than the lateral meniscus, and this is due to the tight attachment of the meniscus to the medial collateral ligament of the knee joint, which limits its movement. Injury occurs when the femur rotates about the tibia, or the tibia against the femur, with the knee joint slightly flexed and supporting body weight.
 
Objective: This study aims to summarize secondary data related to meniscus injuries.
 
Methods: The research method used was a literature study using secondary data in the form of journals related to the topic of meniscus injury obtained through Google Scholar, Science Direct, and PubMed.
 
Results: Several studies have shown that someone with a knee injury can be given physiotherapy intervention in the form of exercise that is tailored to the symptoms experienced.
 
Conclusion: Based on the results of a literature review, neuromuscular and strengthening exercises, Mulligan's squeeze technique with conventional therapy, open and closed kinematic chain and education can improve symptoms after meniscus injury.
Penatalaksanaan Fisioterapi Pada Kasus Tennis Elbow
Authors: Parwata I Gede Candra Adi Parwata , Widanti Herista Novia
Published: December 2023

ABSTRAK

Latar Belakang: Tennis elbow atau epikondilitis lateral merupakan salah satu tipe peradangan pada tendon yang paling sering terjadi dan dapat menyebabkan terjadinya penurunan fungsi anggota gerak yang terkena, merupakan cedera overuse pada wrist extensors yang mengalami perubahan degeneratif seperti tendinosis dan mikro-teared (robekan kecil) pada jaringan fibrous. Prevalensi tennis elbow sekitar 1-3% pada populasi umum, dan dapat bertambah menjadi 23% pada kalangan pekerja. Nilai tertinggi prevalensi diperkirakan naik sekitar 1.3% pada usia 45-54 tahun.

Tujuan: Studi ini bertujuan untuk merangkum data sekunder yang berhubungan dengan intervensi yang dapat diterapkan pada kasus tennis elbow

Metode: Metode penelitian yang digunakan adalah studi literature dengan menggunakan data sekunder berupa jurnal-jurnal yang berhubungan dengan topik penatalaksanaan fisioterapi pada kasus tennis elbow yang didapatkan melalui Google Scholar, Science Direct, dan PubMed.

Hasil: Beberapa penelitian membuktikan bahwa terdapat berbagai intervensi yang dapat diterapkan untuk mengatasi permasalahan yang dialami pasien tennis elbow dan memberikan hasil yang baik dalam mengatasi nyeri dan juga kelemahan otot menggenggam.

Kesimpulan: Pada pasien dengan diagnosis tennis elbow dapat mengalami nyeri dan kelemahan otot dalam menggenggam. Terdapat beberapa intervensi yang dapat diberikan untuk mengatasi permasalahan yang dialami, seperti: cyriax, progresive resistensi xercise, Exentric and Coxentric Exercise, ultrasound, eccentric exercise, concentric exercise, kinesio tape. Berdasarkan hasil dari kajian pustaka tersebut maka dapat disimpulkan bahwa intervensi-intervensi tersebut dapat memberikan efek yang baik dalam mengatasi keluhan yang dialami pasien tennis elbow.
MANAJEMEN FISIOTERAPI PADA KASUS HAMSTRING INJURY
Authors: Sasmitha Ni Luh Ayu , Aritama I Putu Kharismawan
Published: December 2023

Latar Belakang: Cedera regangan hamstring/Hamstrings strain injury (HSI) adalah cedera non-kontak yang paling umum di beberapa olahraga. Cedera hamstring biasanya terjadi selama fase ayunan akhir hingga fase kontak awal gaya berjalan di mana fleksi pinggul dan ekstensi lutut terjadi secara bersamaan. Faktor risiko cedera hamstring telah dilaporkan beragam dan termasuk usia, posisi lapangan, kelemahan otot, kurangnya fleksibilitas, ketidakseimbangan kekuatan, dan ras.

Tujuan: Studi ini bertujuan untuk merangkum data sekunder yang berhubungan dengan cedera regangan hamstring

Metode: Metode penelitian yang digunakan adalah studi literature dengan menggunakan data sekunder berupa jurnal-jurnal yang berhubungan dengan topik cedera hamstring yang didapatkan melalui Google Scholar, Science Direct, dan PubMed.

Hasil: Beberapa penelitian membuktikan bahwa intervensi fisioterapi kecuali LLLT efektif dalam meningkatkan kekuatan otot, mengurangi keparahan cedera dan mempercepat waktu untuk kembali berolahraga pada atlet

Kesimpulan: Berdasarkan hasil dari kajian pustaka tersebut maka dapat disimpulkan bahwa dengan memberikan intervensi berupa lengthening exercise, LLLT, Nordic curl exercise, single-leg Roman chair dapat meningkatkan kekuatan otot, mengurangi keparahan cedera, dan mempercepat waktu untuk kembali berolahraga.
PENANGANAN FISIOTERAPI PADA KASUS ILLIOTIBIAL BAND SYNDROME (ITBS)
Authors: L. Ade Sintia Devi , Dewi Anak Agung Istri Agung Padmi Swari
Published: December 2023

ABSTRAK

 

Pendahuluan- Iliotibial band syndrome adalah cedera berlebihan non-traumatik dan merupakan penyebab paling umum dari nyeri lutut lateral pada pelari, dengan tingkat kejadian 22,2% di semua cedera ekstremitas bawah pada pelari. ITB adalah fasia tebal yang berasal dari tuberkulum krista iliaka, tensor fascia latae, dan otot gluteal lateral. Kemudian melewati distal dan melekat pada retinaculum patellae lateralis, tuberkulum mayor dan kepala fibula proksimal.

Tujuan-Tujuan penelitian ini adalah untuk mengetahui penanganan fisioterapi pada kasus

illiotibial band syndrome

Metode-Metode penelitian pada studi ini adalah literature review atau studi literatur artikel. Penelitian dilakukan dengan mengkaji beberapa artikel jurnal penelitian yang telah dipublikasikan pada Google Schoolar, Pubmed, NCBI, dan Science Direct

Hasil- Penanganan fisioterapi pada kasus illiotibial band syndrome yakni dapat berupa latihan peregangan untuk meningkatkan kekuatan otot, meningkatkan lingkup gerak sendi pasif, dan mengurangi nyeri. Latihan dapat dilakukan berupa jongkok satu kaki, peregangan dengan ekstensi hip, clamshell, dan abduksi hip. Selain itu terdapat modalitas fisioterapi yang dapat diberikan pada atlet dengan illiotibial band syndrome yakni RSWT yang berfungsi untuk meningkatkan difusi sitokin pada pemendekan otot. Pemberian manual terapi dengan metode mulligan yakni mobilization with movement serta latihan mandiri dirumah dapat meningkatkan penyembuhan pada kasus illiotibial band syndrome . Penggunaan alat bantu yakni foam roller juga dapat digunakan untuk meningkatkan myofacial release sehingga mengurangi nyeri otot.

Kesimpulan-Berdasarkan hasil penelitian ini diketahui bahwa terdapat latihan, modalitas fisioterapi, manual terapi, dan alat bantu foam roller yang efektif untuk membantu pasien dengan kasus illiotibial band syndrome.

 

Kata kunci : illiotibial band syndrome (ITBS), fisioterapi, atlit, rehabilitasi
EFEKTIVITAS INTERVENSI FISIOTERAPI PADA CHRONIC ANKLE INSTABILITY
Authors: Ade Utari  , Kasidi I Made Aditya Pramana
Published: December 2023

Latar belakang : Chronic ankle instability (CAI) menggambarkan kombinasi mekanik dan ketidakstabilan fungsional dengan gejala sisa ankle sprain seperti nyeri, bengkak, kelemahan, ketidakstabilan, dan episode ''giving way'' berulang. Gejala sisa ini bisa menghambat aktivitas fisik yang dapat secara negatif mempengaruhi kesehatan dan kualitas hidup pasien secara keseluruhan. Intervensi fisioterapi sebagai tatalaksana chronic ankle instability cukup bervariasi dari beberapa exercise.

Tujuan : Untuk mengetahui efektivitas intervensi fisioterapi pada chronic ankle instability (CAI).

Metode: Metode penelitian yang digunakan yaitu studi literatur artikel dengan menggunakan data sekunder berupa kajian beberapa artikel jurnal mengenai efektivitas intervensi fisioterapi pada chronic ankle instability.

Hasil: Beberapa penelitian membuktikan bahwa intervensi fisioterapi seperti balance training, strengthening dan stabilization ecxercise terkait peningkatan kontrol neuromuskular dan proprioseptif efektif dalam menangani chronic ankle instability (CAI).

Kesimpulan : Intervensi fisioterapi seperti balance exercise, whole body vibration, wobble board rehabilitation, hip strengthening exercise, hop stabilization exercise efektif dalam penanganan injury yakni chronic ankle instability.

 

Kata kunci : Intervensi fisioterapi, Chronic ankle instability
Relationship between lower limb muscle strength and kinesiophobia with functional stability and knee function in anterior cruciate ligament reconstruction patients: a literature review
Authors: Gede Wahyu Pratama Wijaya  , I Putu Gde Surya Adhitya  , Anak Agung Gede Angga Puspa Negara
Published: December 2023

Background: One of the most prevalent knee injuries among athletes is a torn anterior cruciate ligament (ACL). ACL injuries may lead to various unpleasant symptoms, including joint instability, muscular atrophy, and soreness. ACL reconstruction is usually recommended to restore peace and function to the knee joint. After ACL reconstruction, knee muscle strength can remain compromised, leading to deficits in stability and functional limitations. ACL reconstruction also has psychological consequences, such as fear of moving due to injury or kinesiophobia.

Purpose: To determine the relationship between lower leg muscle strength and kinesiophobia with functional stability and knee function in patients with ACL reconstruction.

Method: The research method used is a literature review using data from scientific articles in scientific journal databases related to muscle strength, kinesiophobia, functional stability, and knee function after ACL reconstruction. The literature search used the keywords "ACL," "Strength," "Function," and "Kinesiophobia" by combining the Boolean Operators" OR "and "AND."

Results: Based on the results of the journal review, it was found that after ACL reconstruction, muscle strength and kinesiophobia will affect the functional stability and function of the knee. Decreased muscle strength will lead to lower knee stability and function. Kinesiophobia level is associated with poorer clinical outcomes after ACL reconstruction.

Conclusion: Based on the review results, it can be concluded that there may be problems arising from ACL reconstruction. Decreased muscle strength and psychological consequences such as fear of moving due to injury or kinesiophobia can affect the knee's functional stability and function.
The relationship between knee function and psychology on sports readiness, overuse conditions, and physical activity post anterior aruciate ligament reconstructions: a literature review
Authors: Bondeng Vinzenza , Adhitya I Putu Gde Surya , Thanaya Sayu Aryantari Putri
Published: December 2023

Background : Anterior cruciate ligament (ACL) injuries are injuries that result from a tear in the ligament that connects the femur and tibia. This injury can be treated with anterior cruciate ligament reconstruction (ACLR), which is an operation in the form of replacing the ACL ligament with other tissue grafts. ACLR can affect knee function so that it has an impact on readiness to return to sports, physical activity levels and the emergence of overuse conditions.

Objective : To determine the relationship between knee function and psychology on readiness to return to sports, overuse conditions, and physical activity after Anterior Cruciate Ligament Reconstructions.

Method : The method used is a literature review study using secondary data from published literature. The literature search was conducted online through PubMed, Pedro, Garuda and Google Scholar, using the “key words” Anterior cruciate ligament reconstructions (ACLR), ACL injury, psychological factors, physical activity of ACL athletes, and overuse injuries and selected based on inclusion and exclusion criteria.

Results : From the literature used, it is stated that poor knee function can cause severe pain and fear of re-injury so that it has an impact on readiness to return to sports and decreased levels of physical activity after ACLR. Poor knee function due to surgical factors such as the ipsilateral ACL autograft surgical technique can result in an overuse condition characterized by the emergence of patellofemoral pain syndrome.

Conclusion : There is a relationship between knee function on psychological readiness to return to sports, level of physical activity and overuse conditions in athletes after ACL reconstruction.

Keywords : ACL Reconstruction, Psychological Readiness and Physical Activity of ACLR Athletes.
Penerapan Pendidikan Agama Islam Melalui Budaya Religius (Application of Islamic Relegios Education Through Religios Cultural)
Authors: Siregar Ririn Suriani
Published: December 2023

The education system of Islamic Religion in  is a form of  elaboration of the mandate of Act No. 20 of 2003 on National Education  System, in order to prepare students to be a man of faith and piety and  morality, but in practice they have drawn criticism from the public that PAI  in school during is rated only equip learners only religious knowledge  (cognitive) less emphasis on the aspect of practice (affective andpsychomotor).Where necessary the development of PAI itself, so that PAI is  not only limited knowledge but also can be practiced in everyday life either  at school or in everyday environments. Either by teachers, and students.  Therefore, it is necessary to build a culture of religious (religious culture) in  religious activities in schools to improve the practice of affective so in tune  with our educational goals.The quality of education will be achieved, if it is supported by all who are organized education component with all considerations.  Some of those components  are inputs, processes, and outputs, and need full support from those who  have an important role in educational institutions. But one thing that is the focus here is that it is very important for education to implement religious values into independent education by using religious culture in its daily application so that students or society remain morally Islamic every day and to always remember Allah swt.  Kata kunci: Pendidikan; Religi ,dan Islam Budaya Keagamaan (Budaya keagamaan)
Pendidikan dan Masyarakat Serta Pentingnya Pendidikan Karakter Terhadap Moralitas Pelajar di Lingkungan Masyarakat Era Digital
Authors: Basri Hasan
Published: December 2023

Education is the process of teaching and learning patterns of human behavior according to what society expects. Education is concerned with the development and changes in the behavior of students. Education is closely related to the transmission or distribution of knowledge, attitudes, beliefs, skills and other aspects of behavior to the younger generation. Human behavior is essentially almost entirely social, that is, what is learned in interaction with other humans. What we learn is the result of relationships with other people at home, school, playgrounds, workplaces, and so on. The learning material or content of education is determined by the group or community. This article philosophically aims to explore the basic ideas and concepts implicit in education and society. What is education and social environment? What is education and society? What is the perspective of education in society?Community-based education is the concept of education "from the community, by the community and for the community".
Pemanfaatan Media Belajar Berbasis Artificial Intelegency dalam Pembelajaran Di MAN 2 Padangsidimpuan
Authors: Sofyan Siregar Ahmad
Published: December 2023

This research explores the use of learning media based on Artificial Intelligence (AI) at MAN 2 Padangsidimpuan. By involving 36 teachers as respondents, this research analyzed the type of learning media used, the intensity of use of AI-based media, teachers' understanding of the technology, and the perceived benefits. The research results show that the majority of teachers still use conventional media, although 94.4% have used AI-based media. Canva and Quizizz are favorite media, but their intensity of use is limited. Teachers' understanding of AI varies, with around 16.6% having a very good understanding. Perceived benefits ranged from limited to very large, with approximately 44.4% experiencing moderate benefits. Even though the intensity of using AI-based media is quite high, there are still limitations in the type of media used, influenced by the teacher's level of understanding. In conclusion, the use of AI-based media at MAN 2 Padangsidimpuan is common, but further efforts are needed to increase understanding and optimize its potential in learning. Suggestions for future research include focusing on strategies for developing learning with AI-based media in the classroom
Peranan Pembelajaran Kitab Ta’lim Muta’allim Thariqatta’allum Karangan Syaikh az-Zarnuji Terhadap Akhlak Siswa Di MA Swasta Dar Al-Ma’arif Basilam Baru
Authors: Harahap Barani , Hasibuan Zainal Efendi
Published: December 2023

Penelitian ini bertujuan untuk mengetahui (1) Proses Pembelajaran Kitab Ta’lim Muta’allim Thariqatta’allum di MA Swasta Dar Al-Ma’arif Basilam Baru (2) Keadaan Akhlak Siswa di MA Swasta Dar Al-Ma’arif Basilam Baru (3) Peranan Pembelajaran Kitab Ta’lim Muta’allim Thariqatta’allum terhadap akhlak siswa di MA Swasta Dar Al-Ma’arif Basilam Baru. Penelitian ini dilakukan di MA Swasta Dar Al-Ma’arif Basilam Baru. Penelitian ini menggunakan metode kualitatif yaitu meneliti pelaksanaan pembelajaran kitab Ta’lim Muta’allim Thariqatta’allum karangan syaikh az-Zarnuji di MA Swasta Dar al-Ma’arif Basilam Baru dan pengaruhnya terhadap akhlak siswa di MA Swasta Dar Al-Ma’arif Basilam Baru. Teknik analisis data dilakukan dengan 1. reduksi data, 2. penyajian data dan 3. penarikan kesimpulan. Selanjutnya informan dalam penelitian ini adalah guru kitab Ta’lim Muta’allim Thariqatta’allum,  siswa dan kepala madrasah  MA Swasta Dar Al-ma’arif Basilam Baru. Hasil menunjukkan bahwa pembelajaran kitab Ta’lim Muta’allim Thariqatta’allum tergolong baik ditinjau dari tujuan, metode, media dan evaluasi pembelajaran. Akhlak siswa di sekolah ini secara umum adalah baik. Peranan pembelajaran kitab Ta’lim Muta’allim Thariqatta’allum terhadap akhlak siswa terbagi kepada tiga macam yakni pertama akhlak kepada guru, orang tua dan teman, kedua menghindarkan siswa dari kenakalan remaja dan ketiga akhlak (adab) kepada kitab.
Las bebidas piratas: vinos, ron, pisco y chocolate (Caribe y Pacífico Sur, 1680-1712)
Authors: Lacoste Pablo
Published: December 2023

Se examina el vínculo de los piratas con cuatro bebidas: ron, vino, pisco y chocolate a partir de las crónicas y memorias de los mismos piratas elaboradas a partir de sus correrías por el Caribe y las costas del Pacífico americano. Se detecta una interacción bidireccional: estos productos influyeron en los piratas y a la vez, los piratas en ellos, aportando a su visibilidad, promoción, difusión y patrimonialización. Entre otros efectos, los piratas contribuyeron a la mundialización del ron, al incorporarse parcialmente a la marina británica y exigir raciones diarias de este destilado. También llevaron los primeros piscos peruanos al Atlántico y el Caribe, a la vez que promovieron el origen del pisco chileno. Además, establecieron una jerarquía de vinos en Chile y Perú según calidad y prestigio. Finalmente, entablaron un vínculo fuerte con el cacao del Reino de Quito, al cual reconocieron como el mejor del mundo.
La Secuencia Perversa: del Absolutismo al Populismo y sus Giros Teóricos
Authors: Saguier Eduardo R.
Published: December 2023

Para conocer la secuencia de ideologías que desataron el terrorismo y la guerra es preciso comparar los genocidios y sus nexos a lo largo de sucesivas etapas históricas con el despotismo oriental, el absolutismo, el bonapartismo, el fascismo, el totalitarismo y el populismo. Una secuencia pendular que va desde el monarquismo maquiaveliano, pasando por la dramaturgia romántica jolyana, la conversación tardeana y la deliberación habermasiana hasta alcanzar el transformismo rosiano. Este artículo es una revisión exhaustiva desde una perspectiva de la larga duración sobre la historia del pensamiento occidental.
La imagen del mundo y el lugar del ser humano en él en las clases de psicología social de Norbert Elias (1950-1951)
Authors: Sierra G. David
Published: December 2023

Norbert Elias es uno de los primeros sociólogos que se planteó seriamente la tarea de indagar las condiciones empíricamente comprobables que hicieron posible la historia propiamente humana, junto a aquello que se puede rescatar de la reconstrucción de dichas condiciones para el entendimiento de la dirección del desarrollo histórico. Fue uno de los pocos pensadores del siglo pasado que dieron con una visión sintética del ser humano en ese sentido. En este artículo se analizan pruebas documentales hasta el momento poco comentadas, que ayudan a esclarecer la manera en la cual el sociólogo se acercó a este problema entre 1950 y 1951 en sus clases de psicología social en Londres.
El desarrollo histórico-cognitivo de los conceptos en la psicología evolutiva de Steven Pinker: crítica del modelo modular
Authors: Lara Wilson
Published: December 2023

Este artículo estudia la obra de Steven Pinker con el propósito de evaluar la relevancia de sus investigaciones para superar las dificultades que enfrentan las ciencias sociales al tratar de reconstruir el proceso de desarrollo humano en la historia. Se otorga especial atención a su esfuerzo por caracterizar la naturaleza cognitiva de tales barreras. En ese sentido, es importante destacar el interés de este autor por trascender una matriz interpretativa de la mente y cultura de corte axiológico y teleológico, a través de la reconstrucción histórica del desarrollo cognitivo en el curso del cual la comprensión de la naturaleza se seculariza. Para cumplir este objetivo, el artículo empieza por justificar la necesidad de repensar la obra de Pinker ante el panorama epistemológico que actualmente enfrentan las ciencias humanas. A continuación, se introduce la discusión sobre los aspectos conceptuales en los cuales Pinker asienta su optimismo. Se hace énfasis en su interés por capitalizar los objetivos de la psicología continental de inicios del siglo XX, al introducir la notoria novedad del modelo modular de la mente y los sistemas adaptativos. Al final, se esbozan algunas de las limitaciones de esta empresa intelectual mediante una comparación de los registros empíricos consolidados en otras áreas de investigación, como lo son los estudios psicogenéticos, de quien Norbert Elias es representante, y la teoría histórico-genética de la cultura, que se muestra como la continuación más promisoria de la estrategia psicogenética.
Los comerciantes extranjeros en el Callao y sus conexiones con los puertos del Pacífico norte 1819-1829
Authors: Mazzeo Cristina
Published: December 2023

A partir de la coyuntura del comercio neutral el intercambio entre España y América se vio entorpecido. La situación se precipitó a partir de 1814 hasta 1821, especialmente en el Pacífico Sur, debido a los acontecimientos bélicos. Fue a partir de 1818 con la Independencia de Chile que muchos comerciantes extranjeros aprovecharon para ingresar al circuito del comercio español americano instalándose principalmente en el puerto del Callao. Analizaremos los circuitos mercantiles en el área del Pacífico norte a partir del puerto del Callao hacia California, pasando por puertos centroamericanos (Sonsonate, Realejo), San Blas en México en el período de transición entre el imperio y los nuevos estados (1819-1829), para comparar lo ya investigado para el área sur (Callao- Valparaíso- Buenos Aires) durante el mismo tiempo.
 Partimos de datos referentes a embarcaciones, hombres y mercancías que se desplazaron por el Pacífico. ¿Cómo impactaron las coyunturas bélicas en el Pacífico norte? ¿Fueron los mismos comerciantes extranjeros y norteamericanos los que participaron en los circuitos norte al igual que en los del sur? ¿Cuáles fueron los productos de intercambio? Esta investigación nos permitiría visualizar los intercambios mercantiles a partir del puerto del Callao en el período de transición entre la etapa virreinal y republicana.
Graduate Employability as a Key to the Efficiency of Tertiary Education
Authors: Blašková Veronika , Staňková Michaela
Published: December 2023

In the 21st century there is a lot of attention on sustainability (whether social or environmental). However, unfortunately, the economic perspective has been largely neglected in the field of education. This article deals with a quantitative assessment of the efficiency of tertiary education in individual EU countries, which allows to include the economic aspect of the evaluation. Furthermore, we are expanding the commonly established evaluation system based on the number of graduates to include another area, namely the graduate's employability on the labor market. We believe that for a correct evaluation of individual education systems it is necessary to include the relevance and quality of acquired knowledge and skills. Although the efficiency assessment is carried out for the whole EU, the results are presented according to identified groups of countries that have similar education systems. Countries such as Ireland and France emerge as top performers because of their ability to produce large numbers of graduates given their resources. Malta and Luxembourg have also performed very well in the efficiency assessment, although they produce far fewer graduates in terms of resources, but thanks to the system set up, graduates in these countries are highly employable in the labor market.
A State-Level Analysis of Mexican Education and Its Impact on Regional, Economic, and Social Development: Two-Stage Network DEA Approach
Authors: Flegl Martin , Avilés-Sacoto Sonia Valeria , Güemes-Castorena David , Avilés-Sacoto Estefanía Caridad
Published: December 2023

Education has been considered a cornerstone for human and economic development. Although there is a national educational strategy in most countries, various implementations are at the state level. This paper studies academic efficiency at the primary and secondary levels and the human development dimensions –long and healthy life, being knowledgeable, and enjoying a decent standard of life– at the state level. For this purpose, a network data envelopment analysis (NDEA) with two stages was proposed. The first stage studies the educational process efficiency, while the second evaluates its impact in the form of the human development index. The study found significant differences between the evaluated states in the education stage, where the lowest efficiencies are mainly in the southwest of Mexico. The results also indicate that better education quality leads to greater regional, economic, and social development at the state level. This study contributes to the NDEA applications on the understanding of the impact that education has in improving the development of the regions holistically.
Education Performance of Czech Public Higher Education Institutions Using Data Envelopment and Panel Regression Analysis
Authors: Hančlová Jana , Chytilová Lucie
Published: December 2023

The priority goals of the development of Czech higher education include ensuring the quality of its activities, improving the availability and relevance of flexible forms of education, and increasing efficiency in teaching and research. Several professional articles evaluated educational efficiency, but the proposed models did not include unemployed graduate students. The paper assesses education efficiency at public universities in the Czech Republic in 2020-2021 using an extended Data envelopment model with undesirable outputs, non-proportional and non-radial measures of distance from the efficient frontier. The influence of selected economic, social, regional and institutional factors on education efficiency is estimated by a panel regression model using the Feasible generalized least squares method. The results document the level and development of education efficiency and find insufficient reduction of unemployed graduates as a critical problem of inefficiency. More prominent universities achieve higher education efficiency. The main statistically significant factors influencing changes in education efficiency are population density, the unemployment rate, the location of the university in larger urban centres and the number of students per university employee.
Sources of supply of composite bows to the Buryats
Authors: Kharitonov Roman Mikhailovich , Mikhienko Valeriya Alekseevna
Published: December 2023

The article discusses the main sources of supply of composite bows to the Buryats. In the works of domestic researchers, starting from the 18th century, individual theses appear on the local and imported nature of objects, their characteristics and differences are mentioned, and the manufacturing process is described, but these data have not been generalized to date. The subject of the study is a complex of written, material and pictorial sources containing information about the place and time of manufacture of composite bows used by Buryat archers. The article analyzes data from written sources and published works of specialists on the topic. The data is compared with identified composite bows from museum and private collections collected in the territory of Buryat residence or received from Buryat archers, as well as with a series of published images. As a result of the analysis, it was possible to identify and prove the existence of two sources of supply of composite bows to Buryat archers: imports and local production. Imported products are represented by various variants of the “Manchu-Mongolian” tradition, differing in the general ideas of the craftsmen about morphology, sizes and basic manufacturing techniques; Bright decor was used for decoration. The most common were locally made compound bows. Despite some differences, locally produced items are fundamentally different from imported ones in terms of morphometric features, which confirms that the Buryats have a local, distinctive culture of shooting and making composite bows.