bluuebunny/crossref_metadata_2025_split huggingface dataset:
Prevalence of Thumb Pain Among Physiotherapists Perform Manual Techniques During Clinical Practice
Authors: Kareem Ihsan , Amjad Fareeha , Arif Samia , Batool Sana 
Published: December 2024

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

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

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

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

Background: Varicose veins is a type of chronic venous disease which may affects the lower limbs. It is the dilation of the subcutaneous veins, three to four millimeter in diameter. Lower limb varicose veins are common and known to have higher prevalence among people who work in occupation requiring long standing.
Objective: To observe the prevalence of varicose veins among teachers in Lahore Pakistan.
Methodology: This cross-sectional study was conducted in Lahore on 111 individuals, both males and females of ages between 35 to 55 years. Individuals with any history of acute DVT, acute venous disease etc. were excluded from the study. For the collection of the data, a Venus-Sym Questionnaire was used. An informed consent was taken from the study participants. SPSS 21 was used for data analysis.

Results: 37.8% prevalence of varicose veins was found out in teachers in which females were found more prevalent. Long standings and insufficient sittings gaps could be the reason for varicose veins among teachers.

Conclusion: There is a high prevalence of varicose veins or venous deficit. School teachers stand for numerous hours in classes and, it makes them prone to developing varicose veins. Because of hormonal changes during menstrual cycles, female educators have a high risk of being affected by varicose veins than males.
EFFECTS OF PHONOPHORESIS WITH AND WITHOUT MUSCLE ENERGY TECHNIQUE ON PAIN, CERVICAL RANGE OF MOTION AND FUNCTIONAL DISABILITY IN PATIENTS WITH DEGENERATIVE CERVICAL RADICULOPATHY; A RANDOMIZED CONTROLLED TRIAL
Authors: Ashraf Maheen 
Published: December 2024

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

In ICU settings physical therapists play an important role in early mobilization, getting a better prognosis and proper breathing patterns in severely sick patients. However, due to lack of awareness and knowledge, the role of physical therapists in ICUs is not properly defined. Objective: To assess the levels of knowledge, attitudes and practices of cardiopulmonary rehabilitation among Physiotherapists working in the ICU. Materials and Methods: This cross-sectional study was conducted on 143 physical therapists working in the ICU. Inclusion criteria were males and females of ages between 25 and above. Exclusion criteria was participants not willing to participate and not working in the ICU. For the collection of the data, non-probability convenient sampling technique was used. An informed consent was taken from the study participants. SPSS 25 was used for data analysis. Results: There were 32 participants who considered post cardiac event or surgery suitable for CPR, 32 for COPD, 14 for post any kind of surgery, 12 for muscular dystrophy, 8 for cancer survivors, 9 for diabetics, 20 for pulmonary diseases, 11 for before and after transplantation surgery and 5 for obesity. 49 participants treated 0 patients, 35 were treating 1-2 patients, 40 treated 3-10 patients, 5 treated 11-20 patients and 14 treated >21 patients. There were 70 participants who agreed and 73 who disagreed to CPR being difficult to be referred to patients in the country. Conclusion: Physiotherapists hold a pivotal role in advancing cardiopulmonary rehabilitation. The distribution of knowledge levels highlights a majority with very good to excellent knowledge. Positive attitudes are evident towards cardiopulmonary rehabilitation, with majority physiotherapists actively treating patients.
Retornos privados a la educación para trabajadores del sector comercial en Popayán, Colombia
Authors: Giraldo Caiza Jorge , Gómez-Sánchez Andrés Mauricio 
Published: December 2024

El objetivo de este documento es estimar los retornos privados a la educación de los trabajadores del sector comercial de Popayán, Colombia. Es importante estudiar estos tópicos debido a que este sector es el segundo más importante de la ciudad y es donde se concentra gran parte de la población con poco estudio. Para lograrlo, se parte de una encuesta representativa que consta de 519 observaciones, con la cual se estima un modelo de Mincer ampliado bajo el método generalizado de momentos (GMM). Las variables instrumentales utilizadas son los años de educación, tanto de la madre como del padre, y una combinación de ambos. Los resultados señalan que los retornos a la educación, considerando únicamente la educación de la madre, son del 17 % y del 10 % por año adicional de experiencia. En el caso de las mujeres, sus retornos están 12,3 % por debajo de los hombres y para los migrantes venezolanos son menores en 53,3 % frente a los trabajadores nacionales. Estos resultados indican que debería implementarse una política pública diferencial local para ayudar a mujeres y migrantes en la mejora de sus condiciones laborales.
Research on Strategies of Improving Security Level of Industrial Chain and Supply Chain
Authors: Xiong Bo 
Published: December 2024

Enhancing the security level of industrial and supply chains is a critical issue in contemporary economic development and national security. The increasing complexity and uncertainty of the global political and economic landscape, have revealed the vulnerabilities of global supply chains. This paper analyzes the primary challenges facing China in improving supply chain security, including external uncertainties, technological security risks, and imbalanced resource allocation. It also proposes corresponding strategies, such as strengthening the construction of the industrial ecosystem, promoting the self-controllability of key technologies, facilitating the open sharing of supply chain elements, and enhancing talent cultivation and technological innovation. By integrating these measures, the aim is to enhance the resilience and competitiveness of China's industrial and supply chains, thereby ensuring sustainable economic development.
Intraoperative Cardiac Arrest in Orthopaedic Surgery: A Case Series of 42 Patients
Authors: Mika Aleksander P. , Ponce Robert B. , Wrenn Sean P. , Lawrenz Joshua M. , Stinner Daniel J. , Mitchell Phillip M. 
Published: December 2024

Introduction:
Intraoperative cardiac arrest (IOCA) is a rare event during orthopaedic surgery. Although infrequent, it has a notable effect, with mortality as high as 35%. Little is known about the outcomes of IOCA in orthopaedic surgery, and this study aims to fill that knowledge gap to improve patient counseling and treatment decisions.

Methods:
A retrospective review of a single health system over a 20-year period identified 42 patients who experienced IOCA during orthopaedic surgery. Patient characteristics, procedure details, cardiac event specifics, and postoperative complications with an emphasis on morbidity and mortality were collected.

Results:
Return of spontaneous circulation (ROSC) was achieved in 88% (37 of 42) of patients. In-hospital death following successful resuscitation occurred in 22% (8 of 37) of patients. In those who survived their hospitalization (29 of 42, 69%), 59% (17 of 29) required additional treatment for medical complications acquired secondary to their arrest. IOCA occurred most often during spinal surgery, intramedullary nailing, and cemented endoprosthetic reconstruction, accounting for one-half of cases. Pulmonary embolism was the most common cause of IOCA. In patients requiring case abortion with rapid closure and a delayed return to the operating room for case completion, the infection rate was 40%.

Conclusion:
The majority of orthopaedic surgery patients achieve ROSC following IOCA. For patients who achieve ROSC, two-thirds had either subsequent in-hospital death or a long-term medical complication secondary to their arrest. These findings suggest that a cautious prognosis is indicated even after a successful resuscitation.

Level of Evidence:
IV
Analisis Implementasi Model Pembelajaran Problem Based Learning terhadap Peningkatan Hasil Belajar Siswa Sekolah Dasar
Authors: Anggraini Enggar Ayu , Marzuki Ismail 
Published: December 2024

Penelitian ini bertujuan untuk mengalisis implementasi model pembelajaran Problem Based Learning terhadap siswa sekolah dasar. Penelitian ini menngunakan metode studi dokumen yang mengkaji 10 artikel dari berbagai jurnal ilmiah yang berputasi dan terindeks nasional. Hasil penelitian ini menunjukkan bahwa dengan penggunaan model pembelajaran Problem Based Learning dapat meningkatkan hasil belajar siswa. Hal ini dapat dibuktikan dengan Skor rata-rata sebelum penerapan model Pembelajaran Berbasis Masalah adalah 60,46 yang meningkat sebesar 38,91% menjadi 82,23 Berdasarkan hasil yang diperoleh dapat disimpulkan bahwa penerapan model pembelajaran Problem Based Learning memberikan peningkatan terhadap hasil belajar siswa sekolah dasar.
Do credit ratings affect European banks’ equity capital?
Authors: BEN HMIDEN OUSSAMA , BEN ZAIED YOUNES , BEN CHEIKH NIDHALEDDINE , BEN LAHOUEL BECHIR 
Published: December 2024

This study investigates the impact of credit rating changes on banks’ equity capital following the 2008 financial crisis. Using data describing European commercial banks and a robust generalized method of moments estimation method, we find a negative association between equity capital and bank ratings. Investors may perceive a rating downgrade as a signal from rating agencies about a bank’s financial stability. We confirm empirically that riskier European banks are forced to hold higher equity, and that market risk rather than regulatory constraints significantly increases banks’ equity capital.
PENYULUHAN TENTANG ALUR PELAYANAN BEROBAT DI RUMAH SAKIT KEPADA MASYARAKAT KELURAHAN PEBATUAN KECAMATAN TENAYAN RAYA TAHUN 2021
Authors: Tonis Marian , Firdaus Muhammad , Angella Shelly , Annisa Aulia 
Published: December 2024

Sebagian besar dari masyarakat kelurahan pebatuan masih banyak yang kebingungan terkait alur pelayanan yang ada di rumah sakit dikarenakan kurangnya informasi terkait hal tersebut. Hal ini menyebabkan beberapa kalangan masyarakat malas berobat ke rumah sakit dengan alasan prosesnya susah dan lainnya. Maka dari itu diadakannya kegiatan penyuluhan terkait alur pelayanan yang ada di rumah sakit mulai dari pasien masuk, kemudian pendaftaran, tindakan, rawat inap atau rawat jalan, apotik, kasir sampai pasien pulang. Metode pengabdian ke masyarakat yaitu dengan membagikan brosur, ceramah, dan diskusi serta satnya jawab. Pengabdian masyarakat ini dilaksanakan di kelurahan pebatuan kecamatan tenayan raya, dilaksanakan pada hari rabu, tanggal 24 februari 2021. Pelaksanaan dimulai dari pembukaan dan salam dari pembawa acara, selanjutnya pemberian materi o;eh narasumber, sesi Tanya jawab dan diskusi kemudian ditutup dengan mengucapkan salam. Pengabdian masyarakat ini penting bagi masyarakat untuk memberikan informasi yang jelas terkait alur pelayanan yang ada di rumah sakit, serta penting bagi masyarakat yang adat budaya nya masih kental.
EU-handelsakkoorden als duurzaamheids­instrumenten: uitdagingen in de ‘nieuwe aanpak’
Authors: Kübek G. , Wessel R.A. 
Published: December 2024

EU-handelsakkoorden als duurzaamheidsinstrumenten: uitdagingen in de ‘nieuwe aanpak’
In 2022 onthulde de Europese Commissie een ‘nieuwe aanpak’ voor het bevorderen van duurzaamheid via handelsakkoorden. In de praktijk ging deze ‘nieuwe aanpak’ hand in hand met de opkomst van nieuwe unilaterale EU-instrumenten die duurzaamheidsnormen handhaven. Deze bijdrage geeft een overzicht van de huidige stand van zaken met betrekking tot de externe en interne handelsinstrumenten die momenteel door de Europese Unie worden ingezet om (onder andere) mondiale duurzaamheidsnormen te versterken en laat zien dat het bevorderen van duurzaamheid via handel inmiddels gemeengoed is geworden in de Europese Unie.
Optimising 'Lambe Hoaks' Digital Literacy to Strengthen National Resilience Against Hoaxes
Authors: Putra Fadhil A. , Samad M. Yusuf , Mulyadi  
Published: December 2024

Purpose: The spread of hoaxes has intensified in recent years, posing a threat to national resilience due to their potential to incite national disintegration. This study aims to optimise the "Lambe Hoaks" digital literacy program on Instagram to mitigate the spread of misinformation and strengthen national resilience.
Study Design/Methodology/Approach: This research employs a qualitative approach, gathering data through interviews with key informants from both the governmental and private sectors. The analysis focuses on assessing the effectiveness of the "Lambe Hoaks" programme and identifying strategies for improvement.
Findings: The "Lambe Hoaks" programme, which combines contemporary appeal with accurate information dissemination, holds significant potential to serve as a primary reference for the public in verifying information. However, findings reveal a gap between the programme's objectives and its actual impact. Addressing this discrepancy requires enhancements to content quality, increased audience engagement, and the implementation of a more effective promotional strategy.
Originality/Value: This study provides a focused analysis of the "Lambe Hoaks" initiative, highlighting its potential and limitations in combating hoaxes. It offers practical recommendations for optimising digital literacy efforts to safeguard national resilience, enriching the discourse on countering misinformation in the digital age.