bluuebunny/crossref_metadata_2025_split huggingface dataset:
How Critical is Tourism Engagement in Determining Traveller Loyalty?
Authors: Yulia Yosephine Angelina , Untoro Wisnu , Suryandari Retno Tanding , Wahyudi Lilik 
Published: June 2024

Objective: This research aims to determine the relationship between Emotional and Recreational Experience on Customer Engagement and the relationship between Customer Engagement on Destination Loyalty and satisfaction felt while traveling.

Method: This research is survey research, with the sample research consisted two parts respondent's criteria, the first part included 180 respondents from the mountaineering community who had climbed Mount Lawu and Mount Merbabu, and the second part consisted of 180 respondents who had visited the Prambanan Temple and Borobudur Temple tourist attractions. Primary data collection in this research was carried out using a questionnaire. The data analysis technique in this research uses the multivariate Structural Equation Model (SEM) method with the Smart PLS3 program

Results and Discussion: From the model, five significant hypothesized paths are the influence of emotional experiences on customer engagement, the influence of recreational experiences on customer engagement, the influence of between customer engagement on destination loyalty through, and the influence of customer engagement on destination loyalty. The results of further analysis of the role of satisfaction on destination loyalty show that higher tourist satisfaction leads to higher destination loyalty, which encourages tourists to revisit the destination and recommend the destination to others.

Conclussion: This research concludes that emotional and recreational experiences can increase customer engagement with tourists who visit tourist destinations.
Implementation of VCDLN-Learning Multiplatform Through Mobile Communication Based on Artificial Intelligence in Asia
Authors: Darmawan Deni , Risda Dianni , Jenuri  , Suwarma Dina Mayadiana , Rostika Deti , Komariah  
Published: June 2024

Purpose: This research is a continuation of the previous year, namely 2022, which functions to implement VCDLN through Mobile Communication-based TVUPI media which uses Android Mobile Phones in building a distance learning system in Asia. In doing so, it is carried out based on the work of Artificial Intelligence (AI).

Method: This research uses the Research and Development method through the ADDIE model (Analysis, Design, Development, Implementation, and Evaluation). Specifically, implementation involves assessments from teachers from Indonesia, Japan, and South Korea. Meanwhile, evaluation indicators use indicators from AI from Expert.

Result and Conclusion: In addition, the opinions of educators from South Korea Japan, and Indonesia support the expansion of VCDLN-Learning through Mobile Communication Based on AI services to other countries. Three aspects of the AI Framework tend to get high scores, namely the Deep Learning aspect with scores of 185, 187, and 189. Then the Robotics aspect with scores of 187, 192, and 195, and the Neural Network aspect with scores of 192,196 and 198 from a maximum score of 200.

Implementation of The Research: This finding is reinforced by the thought of AI experts that the VCDLN innovation applies the framework of AI, especially in building mobile communication and fast access automation systems from Big Data for Mobile VCDLN-learning in Learning Services.

Originality/Value: This research contributes to existing literature regarding Virtual Community Digital Learning, Television Technology, media, and digital applications regarding mobile communication. Strengthening the contribution of theories about Artificial Intelligence technology to Digital Mobile Communications in Asia.
Pregnancy outcomes of COVID-19 infection in Iraqi women presented to primary health care center
Authors: Hussein Dalal I. 
Published: June 2024

Background: COVID-19 pandemic disease had great impact on health status in Iraq. The pregnant women and their infants might be at higher risk after infection by COVID-19 disease. Aim of study: To evaluate the maternal and neonatal characteristics of pregnant women infected by COVID-19 disease and assessing the maternal and neonatal outcomes in Iraqi from a sample of pregnant women. Patients & Methods: A clinical prospective follow up study carried out in Obstetrics care unit of Al-Jamiaa health care center of Al-Adil Health sector of Al-Karkh Health Directorate in Baghdad city-Iraq. The duration of the study was six months through the period from 1st of July to end of December, 2020. A convenient sample of 132 pregnant women at labour was selected after eligibility to inclusion and exclusion criteria. The pregnant women enrolled in the study were tested by COVID-19-Reverse transcription polymerase chain reaction test at their admission to hospital. The diagnosis was done by clinical and laboratory investigations including neutophilia and lymphopenia, very high CRP, elevated D-dimer and sometimes on extent of lung involvement by x-ray. Results: The present study showed that 63.6% of pregnant women at labour room had positive COVID-19 infection, while only 6 (4.5%) fetuses had positive COVID-19 infection after delivery. There was a highly significant association between first cesarean section of pregnant women and positive COVID-19 infection (p<0.001). A significant association was observed between preterm labour of fetuses and positive maternal COVID-19 infection (p=0.01). There was a significant association between meconium aspiration of fetuses and positive maternal COVID-19 infection (p=0.001).Conclusions: The incidence of maternal and fetal COVID-19 infection among sample of Iraqi pregnant women presented to primary health care center for antenatal care is high
Treatment of Hip and Knee Pain, With a Focus on Return to Running, Using Telemedicine: 2 Case Reports
Authors: Zeligson Emma , Donlon Louise , Camarinos James 
Published: June 2024

Background Current literature suggests positive outcomes for patients participating in telemedicine physical therapy after total joint replacements, with limited reports for other orthopaedic conditions. Telemedicine physical therapy may be an effective method for providing skilled treatment to patients with running-related pain. Case Presentation These case reports describe 2 runners presenting to physical therapy with a chief complaint of the inability to run, due to hip or knee pain. Both patients were evaluated in person at the Boston University Physical Therapy Center and received subsequent care via telemedicine. Intervention included specific exercise, neuromuscular education, and progression of return to running. Outcome and Follow-Up At discharge, both patients demonstrated improved motor control with functional testing, successful return to running, and clinically significant improvements in all patient-reported outcomes. Discussion These case reports could serve as a reference for physical therapists to consider the use of telemedicine for return-to-running training when patients are unable to attend in-person clinics. JOSPT Cases 2022;2(1):13–17. doi:10.2519/josptcases.2022.10191
Targeted Scapular and Core Stabilization Exercises for Exercise-Induced Transient Abdominal Pain (ETAP): A Case Report
Authors: Enriquez Carla S. , Tucker Jenna , Marshall Timothy , Gentile Jennifer , Lee John , McIntyre Kyle , Jeanty Seide 
Published: June 2024

Background Exercise-induced transient abdominal pain (ETAP) is a common yet poorly understood musculoskeletal disorder prevalent in physically active individuals. Proposed etiology includes diaphragm ischemia, visceral ligament strain, hypertonic beverage intake, abdominal muscle spasms, and excessive abdominal peritoneum movement during exercise. Case Presentation A 42-year-old woman presented with insidious onset of intermittent abdominal pain that was associated with ipsilateral scapulohumeral and cervical pain. Twelve 45-minute physical therapy sessions were completed, consisting of targeted scapular stabilization exercises and integrated abdominal muscle activation and strengthening techniques. Outcome and Follow-Up All regional pain symptoms resolved and maintained at 6-week follow-up. At discharge, scores on the Neck Disability Index and the Disabilities of the Arm, Shoulder and Hand questionnaire showed 68% and 46% improvement in function, respectively. Discussion Targeted scapular and abdominal stabilization exercises appeared to fully resolve the complex symptomatology and functional limitations associated with ETAP. JOSPT Cases 2022;2(1):26–31. doi:10.2519/josptcases.2022.10497
The Differential Diagnosis and Treatment of a Patient With Concurrent Cervicogenic Headache, Concussion, and Hyperlaxity
Authors: Smolgovskiy Vladimir , Swanson Brian T. 
Published: June 2024

Background Patients presenting with concurrent headache types present a challenge in diagnosis and subsequent treatment. Cervicogenic headache, concussion, and cervical artery dysfunction may present with similar and often overlapping symptoms and impairments. These include but are not limited to neck pain and headache, dysphagia, dysarthria, diplopia, dizziness, drop attacks, nystagmus, nausea, and nervousness. Case Presentation A 40-year-old female presented with a history of insidious onset left-sided neck pain, occipital headache, and subsequent concussion history. Additional symptoms included intermittent dizziness, nausea/vomiting, and intolerance of noise/computers. Cervicogenic symptoms were ruled in with upper cervical mobility tests. Vestibular symptoms were provoked with Vestibular/Ocular Motor Screening. Risk factors were carefully considered; while the patient demonstrated no increase in symptoms with vertebral artery insufficiency testing, potential vascular involvement could not be completely ruled out. Discussion This case details the clinical reasoning applied to the differential diagnosis and treatment of a complex headache presentation in the presence of conflicting symptoms. JOSPT Cases 2022;2(2):103–108. doi:10.2519/josptcases.2022.10676
Postsurgical Dance Rehabilitation for Tibial Stress Fracture: 2 Case Reports
Authors: Nabeta Yuriko , Heineman Heather , Schanfein Leigh 
Published: June 2024

Background Tibial stress fractures (TSFs) develop in dancers due to a complex interplay of biopsychosocial influences, occasionally resulting in delayed union and surgery. This Case Report illustrates 2 rehabilitation approaches for TSF with differing complexity in 2 professional dancers. Case Presentation The same surgeon performed intramedullary nailing procedures with screw fixation on both dancers' tibias. In Case 1, the postsurgical physiotherapy included orthopaedic postsurgical care and multimodal physiotherapy involving manual and exercise therapies with patient education and dance-specific retraining. In Case 2, the postsurgical physiotherapy included a psychologically informed approach combined with postsurgical rehabilitation to address both psychosocial comorbidities and orthopaedic deficits. Outcome and Follow-up Both dancers returned to full-time dancing within 7 months post-surgery and reported high recovery rates in long-term follow-up. Discussion The study highlights the importance of physiotherapists' role in identifying and managing psychosocial comorbidities for proper case management, optimum outcomes, and reinjury prevention. JOSPT Cases 2022;2(2):93–100. doi:10.2519/josptcases.2022.10738
Identification and Triage of Emergent Spinal Pathology via Telemedicine: A Case Report
Authors: Derian Joseph M. , Campbell Symiah S. , Hah Raymond J. , Lantz Justin M. 
Published: June 2024

Background There is little published literature concerning assessment of low-back pain (LBP) and emergent spinal pathologies via remote platforms. Case Presentation The patient was a 64-year-old female with complex medical history, referred to physical therapy for iliotibial band syndrome, reporting new onset severe LBP, bilateral leg pain/paresthesia, and urinary retention. Per the telemedicine examination, the American College of Radiology imaging guidelines for LBP, and the Guidance Document on Elective, Emergent, and Urgent Procedures for COVID-19 by the North American Spine Society (NASS), the patient was referred for magnetic resonance imaging and surgical consultation for suspected cauda equina syndrome. Outcome and Follow-Up Magnetic resonance imaging demonstrated multilevel lumbar spondylosis, facet hypertrophy, right lateral stenosis at L3–4, and a disc herniation resulting in severe central canal stenosis and cauda equina compression at L4–5. The patient subsequently underwent surgery to L4–L5 laminotomy and microdiscectomy and reported complete resolution of symptoms. Discussion Telemedicine may be effective for triaging patients with serious spinal pathology, as evidenced by the successful examination and identification of red flag symptoms, identification for advanced imaging, and referral for surgical consultation on an individual case basis. JOSPT Cases 2022;2(3):168–172. Epub: 21 June 2022. doi:10.2519/josptcases.2022.10820
Nonsurgical Treatment of a Preprofessional Contemporary Dancer With Posterior Shoulder Instability and Ehlers-Danlos Syndrome: A Case Report
Authors: Cavaleri Patricia R. , Edery-Altas Sarah , Sandow Emily , Liederbach Marijeanne 
Published: June 2024

Background Contemporary dance requires large ranges of motion of the upper extremities (UEs) to gesture, change directions, control floorwork, and partner other dancers. As a result, contemporary dancers are at a higher risk for UEs and traumatic injuries compared to other dancers. Case Presentation An 18-year-old preprofessional contemporary dancer presented to physical therapy (PT) with pain, hand numbness, and arm weakness following a traumatic shoulder dislocation. She had a 5-year history of nearly 40 previous dislocations or subluxations, 2 shoulder surgeries, and hypermobile Ehlers-Danlos syndrome. Outcome and Follow Up Over 1 month of PT treatment, she progressed through stabilization exercises and dance-based dynamic strengthening. She reported decreased pain, resolution of numbness, and near-full return to dancing over 40 hours per week. Discussion This case demonstrates that hypermobile contemporary dancers may do well with nonsurgical management of posterior shoulder instability and return to high levels of training. JOSPT Cases 2022;2(3):124–129. Epub: 21 June 2022. doi:10.2519/josptcases.2022.10853
Femoral Neuropathy Following Extreme Lateral Interbody Fusion (XLIF) Procedure: A Case Report
Authors: Hodges Michael J. , Donald Ellen 
Published: June 2024

Background The extreme lateral interbody fusion approach (XLIF) is a surgical technique introduced two decades ago for spinal fusions. However, little has been published on the particular complications associated with this surgical technique and the rehabilitation. The purpose of this report is to describe a case of post-operative complication of retroperitoneal hematoma following XLIF with subsequent femoral neuropathy and the physical therapy intervention approach applying the repetitions in reserve (RIR) concept. Case Presentation A 60-year-old female presented with severe right hip flexor and quadriceps weakness from a retroperitoneal hematoma following a right-sided XLIF procedure for severe right L4-5 radiculopathy. Post-surgical physical therapy treatment and 6-month outcomes are described. Outcome and Follow Up By post-operative week 12, the patient obtained a knee brace that eliminated her falls due to quadriceps weakness. At 6 months post-operatively, she demonstrated significantly improved quadriceps and hip flexor strength (from 1/5 and 2+/5, respectively, to 3+/5), and improved lower extremity functional scale score, from 30 to 58. She was also able to complete a 6-minute walk test and ambulated 128 m. Discussion Significant improvement in motor function and functional outcomes was noted by post-operative month six. The role of physical therapy was to focus on the timing of muscle reactivation using electrical stimulation and progressive resistance exercises using the RIR concept as nerve function returned. JOSPT Cases 2022;2(3):162–165. Epub: 21 June 2022. doi:10.2519/josptcases.2022.10895
The Triple Crown: A Regional Independence Approach to Managing Axillary Pain, A Case Report
Authors: Gulla Nicholas , Mansfield Cody , Bleacher Jake , Kirby Kenneth , Briggs Matthew 
Published: June 2024

BACKGROUND: The regional interdependence model is an approach that can assist in better discerning complex symptom presentations and developing a specific plan of care. CASE PRESENTATION: A 33-year-old female equine stable worker presented with reports of chronic axillary pain limiting work participation. Objective testing revealed radiating axillary pain with thoracic and rib testing, scapular dyskinesis with shoulder girdle and kinetic chain strength deficits, and thoracic spine hypomobility. OUTCOME AND FOLLOW-UP: The patient returned to full-time work in 3 sessions with treatment focused on thoracic/rib mobilization and shoulder loading. Full recovery was facilitated through combined kinetic chain and functional shoulder loading. DISCUSSION: The principles of regional interdependence can play a role in effective and efficient diagnosis and treatment of many orthopaedic conditions. Considering regional interactions can be particularly important for both differential diagnosis and treatment of patients with orthopaedic pathologies where the pain generator is unclear, such as axillary pain. JOSPT Cases 2023;3(1):59–73. Epub: 4 November 2022. doi:10.2519/josptcases.2022.11295
Conservative Management of Inguinal Hernia: A Case Report
Authors: Tafoya Tomas V. , Walsh Adam 
Published: June 2024

BACKGROUND: Few articles explore effectiveness of physical therapy in delaying surgical intervention for patients with inguinal hernia pain. As such, there is limited evidence guiding effective treatment approaches. A focus on retraining the deep stabilizing core musculature was successful in improving pain and function in a patient with an inguinal hernia in this case report. CASE PRESENTATION: The patient presented with moderate pain, utilization of a hernia belt for all functional tasks, and decreased overall functional ability. The patient had difficulty conducting his exercise regimen and tasks around his horse ranch. OUTCOME AND FOLLOW-UP: At discharge, the patient was able to lift 25 lbs, had no pain, utilized his hernia belt only when lifting over 25 lbs, and increased his score on the Lower Extremity Functional Scale by 16 points. 6 DISCUSSION: This case demonstrates the role physical therapy plays in conservative management of inguinal hernia pain and the associated loss of function with this diagnosis. JOSPT Cases 2023;3(1):37–42. Epub: 14 December 2022. doi:10.2519/josptcases.2022.11368
Dry Needling Added to Conservative Care in a Patient With Freezing to Frozen Presentation of Adhesive Capsulitis: A Case Report
Authors: Reynolds Breanna , Collings Cooper , Heyer Brianna , Fijalkowski Alyssa , Rossi Andrea , Graunke Natalie , Durr Pamela , Kelly Joseph 
Published: June 2024

BACKGROUND: Current evidence supports conservative care in addressing pain, range of motion (ROM), and function for individuals with adhesive capsulitis (AC). Evidence examining the effect of dry needling (DN) is limited. The purpose of this case study was to describe the effects of DN for a patient with AC in the freezing to frozen stage with worsening pain and function. CASE PRESENTATION: A 49-year-old female physical therapist with history of left shoulder pain and subsequent progressive ROM loss in all planes over the last 8 months despite self-management efforts. OUTCOME AND FOLLOW-UP: Dry needling had an immediate positive effect, and continued improvement was noted over the 5 treatment sessions. Clinically meaningful improvements in pain, ROM, and function were maintained at the final treatment session and at a follow-up session. DISCUSSION: Steroid injection was avoided, and the patient with stage 2–3 AC experienced improved pain, motion, and function with the addition of DN to physical therapy management. JOSPT Cases 2023;3(1):29–36. Epub: 4 November 2022. doi:10.2519/josptcases.2022.11381
Chronic Periostitis of the Anterior Tibia Treated With a Combination of Shock Wave Therapy and Gait Retraining: A Case Report
Authors: Douglas Stephanie R. , Posilkin Joshua I. , Tenforde Adam S. 
Published: June 2024

Background Tibial periostitis is a cause of exertional leg pain in athletes. Gait retraining may relieve symptoms by reducing loading rates and improving gait symmetry. Extracorporeal shock wave therapy has been used to treat overuse bone and soft tissue injuries in athletes. Case Presentation A 34-year-old female runner with chronic periostitis attempted gait retraining, but her pain returned. She subsequently completed 3 sessions of radial extracorporeal shock wave therapy and experienced improvement in leg pain that allowed her to progress through gait retraining. Outcome and Follow-Up Video analysis demonstrated conversion to a forefoot strike following gait retraining. Instrumented treadmill analysis showed improved stride symmetry and reduced vertical ground reaction forces. She continued to run pain free at 18 months following discharge. Discussion This case report illustrates the possible synergistic value of radial extracorporeal shock wave therapy with gait retraining for the management of tibial periostitis. JOSPT Cases 2022;2(1):18–23. doi:10.2519/josptcases.2022.9947
Deep Vein Thrombosis Responding to Blood Flow Restriction of Uninvolved Extremities: A Case Report
Authors: Landers Josh , Allen Melissa , Mennemeier Mark , Carroll Stacia 
Published: June 2024

BACKGROUND: Deep vein thrombosis (DVT) is a risk factor following lower extremity orthopedic surgery. Tissue plasminogen activator, a thrombus-degrading protein, is elevated after using blood flow restriction (BFR). This case study explores the use BFR concurrent with treatment of DVT. CASE PRESENTATION: A 40-year-old man presented to physical therapy (PT) 50 days following right knee lateral meniscectomy with severe pain at the lower aspect of the popliteal fossa into the proximal calf secondary to an active DVT. The patient took apixaban (5mg, twice daily) and aspirin (81mg, once daily) for a 3-month period to treat the DVT with no symptomatic improvement or change in the ultrasound imaging. OUTCOME AND FOLLOW-UP: The patient's visual analog scale for pain decreased from a 7/10 to a 1/10, and the venous duplex of the lower extremity was negative for DVT after 5 PT treatments using BFR in the uninvolved extremities over a 2.5-week period. DISCUSSION: Blood flow restriction applied to the uninvolved limbs in a patient with a DVT was associated with resolution of the DVT without adverse effects. BFR could facilitate fibrinolysis of a blood clot by increasing the tissue plasminogen activator systemically, but further study is needed. JOSPT Cases 2023;3(2):102–107. Epub: 13 April 2023. doi:10.2519/josptcases.2023.11071