bluuebunny/crossref_metadata_2025_split huggingface dataset:
Ab. No. 127 Rapid Resolution of Knee Pain and Recovery of Function, in Patients Diagnosed With Mucoid Degeneration of the ACL (MDACL), Using the Mckenzie Method (MDT): A Case Study
Authors: Keswani Shweta Dhamani 
Published: June 2024

Introduction:
To present the symptomatic and functional outcome of patients diagnosed with MDACL using MDT principles. Currently, the role of physiotherapy in management of MDACL is not very well documented. This case study provides insight on use of MDT in assessing and managing these patients.

Methods:
Participants:
VG, 48-year-old female, diagnosed with MDACL, presents with insidious onset Right Knee pain, 8-9/10 on NPRS, major loss of knee flexion, minimum loss of knee extension ROM and painful limitation in sitting and standing from chair/car, climbing stairs and sitting cross-legged from last 4-6 weeks.
CR, 52-year-old female, diagnosed with MDACL, presents with insidious onset Left Knee pain, 7-8/10 on NPRS, major loss of knee flexion, minimum loss of knee extension ROM and painful limitation in climbing stairs, bringing the left leg inside the car on navigation seat and sitting cross-legged from last 6 months, worse in last 3 weeks.
Each patient was assessed and treated with MDT principles of repeated movements of directional preference exercises, (identified as flexion) and force progression. Outcome was measured as change in NPRS score, Knee ROM and functional improvement as reported by the patient.

Results:
Both patients showed rapid reduction in pain, improvement in ROM and function with the DP exercises, in a single session. VG, after 6 sessions in 3 weeks, demonstrated full recovery of function and no pain and maintains the same at 3-year follow-up. CR, on 4th day as of today post 1st session, has been able to maintain the effects of DP exercises through home exercise program.

Conclusion:
Although positive outcome is seen in this case study, a cause-effect relationship cannot be determined.

Implications:
It opens up avenues to study the effectiveness of MDT and developing treatment guidelines in patients with MDACL.
Ab. No. 139 Exploration of Physical Fitness Attributes and Kinanthropometric Measurements in Mallakhamb Players
Authors: Pilli Devi Nagini , Shetty Triveni 
Published: June 2024

Introduction:
Mallakhamb, an ancient sport against gravity combines yoga, gymnastics and martial arts. In a competitive set-up, Mallakhamb players showcase their skills in dynamic 90-second routines which demands various physical fitness attributes and kinanthropometric measurements.
The purpose is to explore the physical fitness and kinanthropometric measurements of the Pole Mallakhamb players, the association between (1) The physical fitness and kinanthropometric measurements. (2) physical fitness and injury profile of players, as the literature related to this is scare.
Physiotherapists can design effective exercise regimens and injury prevention program addressing biomechanical imbalances and performance enhancement of Mallakhamb players through evidence-based interventions.

Methods:
41 elite and sub-elite mallakhamb players (male and female, age- 18-40 years) were randomly selected for the study.
Descriptive data was employed to analyse the kinanthropometric measurements and physical fitness. Pearson’s correlation for Associations between kinanthropometric measurements, physical fitness, and injury profiles.

Result:
Agility was poor, UE and LE strength was good in male players. Whereas in female players, endurance, flexibility and balance was good, agility was poor, UE and LE strength was fair. Arm and Thigh circumstance was greater as compared to normal individuals whereas waist circumference was less. The BMI of both male and female players was normal (acc WHO).

Conclusion:
Understanding physical fitness and kinanthropometric aspects in Pole Mallakhamb players helps to form the basis for tailored training, improving overall performance and guiding coaches to focus more on domains like agility.

Implications:
Research findings can guide the development of skill-specific training protocols.
Ab. No. 158 Lack of Rural Rehab: A Case Report of Chronic Stiffness Post Tibia Fracture
Authors: Lakhani Nirati , Shah Dhairav 
Published: June 2024

Introduction:
Even after 7 decades, referral depends on acceptance of physiotherapy as an independent profession. Even if prescribed, rural rehabilitation is not always executed with regular follow up.Neither documentation of rural physiotherapist-population ratio requirements, nor regulatory body to standardize rehabilitation level is available. Only 3% Anganwadi workers were informed about physiotherapy, though Maharashtra has 214 PHCs with wellness room for physiotherapy/yoga. Regain quality of life, return to employment, which was lacking a year after proximal tibial fracture, due to lack of referral to post-operative physiotherapy in Maharashtra’s Mangaon taluka.

Methods:
A 41-year-old patient with right undisplaced lateral tibial condyle fracture complained of limited knee range, stiffness, pain on standing, prolonged sitting, stairclimbing, reduced walking speed, loss of job as a coal miner. He was explained that restricted flexion was due to internal bony fragments, which caused fear of end range flexion, and was advised to undergo a revision surgery inspite of poor expected outcome. 4-week protocol included strengthening for quadriceps, hamstrings, hip abductors, flexors, calf, stretching, weight bearing exercises. Home exercises were regularly progressed. Adjuncts used were dry cupping, IASTM, dry needling.

Result:
Range increased from 10°-86° to 0°-112°, extensor lag, antalgic gait was corrected, thigh girth increased by 1.5 cm. Pain reduced while climbing stairs (4/10 to 0/10), standing after prolonged sitting (6/10 to 4/10), and walking (1/10 to 0/10). Squatting, cross leg sitting with minimal pain, return to work as a full-time coal miner was achieved. Revision surgery and disability were prevented.

Conclusion:
Rural early rehabilitative protocol could have prevented 1 year of unemployment, pain, stiffness.

Implications:
Highlights need for streamlined referral system to match evidence that recommends early ROM and weight bearing. Stimulate public –private partnerships for creating the role of physiotherapy assistant/technician at the existent PHCs. Facilitate followed-up tele-rehabilitation for rural physiotherapy.
Ab. No. 162 Autonomic Tone (Galvanic Skin Response) During Vertical Height Tolerance (VHT) Using Stairs in Young Adults: A Cross-Sectional Study
Authors: Iyer Janani , Debur Ramesh , Shanbhag Sushma 
Published: June 2024

Introduction:
Autonomic tone influences segmental dissociation, balance strategies and the control of the centre of gravity during activities of daily living (ADL). Stair climbing is a common ADL which has been noted to be challenging and linked to fear avoidance. It is vital to understand the activity of the autonomic nervous system (ANS) during stair climbing in the normal population, to optimize therapies for the patient population. The GSR is an objective measure of the ANS that detects changes in electrical conductivity of the skin due to increased sweat gland activity, seen in fearful individuals. The study aims to understand the changes in the autonomic tone measured by galvanic skin response (GSR) during VHT using stairs in young adults.

Methods:
34 young adults (18 to 25 years) were recruited based on the eligibility criteria using convenience sampling. A cross-sectional study was performed. Baseline GSR was recorded for 20 seconds in both sitting and standing positions. Participants were then required to stand at the edge of 4 steps with uniform height increments. GSR values were recorded on each step with eyes open and eyes closed for 20 seconds each.

Result:
ANOVA showed statistically significant difference between each task position (χ
2=175, p<0.001). Statistically significant difference was seen in DSCF Pairwise comparisons between baseline sitting & all positions (p<0.001), step 1 & step 3 (w=4.8, p<0.003) and step 1 & step 4 (w=5.9, p<0.001).

Conclusion:
VHI using stairs generates significant changes in the autonomic tone in young adults.

Implications:
Understanding the sensitivity of the GSR response during ADLs such as stair climbing in normal populations may help optimize treatment techniques in the patient population having a fear of falls
Incidence, Treatment, and Outcomes of Childhood Cancers in Calabar, Nigeria: A 10-year Review
Authors: Nlemadim Anthony Chibueze , Akaba Kingsley Onorhide , Ekanem Ima-Obong Asuquo , Duke Roseline Ekanem , Nkanga Elizabeth Dennis , Ugbem Theophilus Ipeh , Udie Gabriel Unimke , Asuquo Ekaete Joseph , Okoi-Obuli Jacinta Banku , Ikpeme Anthonia Asanye , Odey Friday Akwagiobe , Meremikwu Martin Madu 
Published: June 2024

Abstract

Introduction:
Cancers invade and destroy various parts of the body leading to death, if untreated. The burden of pediatric cancer is rising, especially in resource-poor regions. The aim of the study was to determine the incidence of childhood cancer types, basis of diagnosis, therapy received, and outcomes.

Materials and Methods:
This was a retrospective study of children aged 0-17 who were diagnosed and treated for cancer from January 2013 to December 2022. Data obtained included biodata, diagnoses, initial disease stage, diagnostic investigation results and treatments from medical records. Other outcomes assessed were relapse, abandonment of therapy, and death.

Results:
Of the 229 patients, males were 57.6%, 51.5% were in age-group 0-4 years and mean(SD) annual cancer crude incidence rate (CIR) was 0.29(0.09)/100,000 children. Retinoblastoma increased from 0.16/100,000 children in 2013 to 0.27/100,000 children in 2022 and had the highest average age-standardized incidence rate (0.11/100,000 children). Other malignancies had annual CIR between 0.01 and 0.08/100,000 children. The most common method of diagnosis was primary site histology (39.7%). Majority had late-stage disease (66.4%), incomplete chemotherapy (62.5%), no surgery (54.5%), and no radiotherapy (99.1%). There was disease relapse (20.5%), treatment abandonment (42.8%), discharged against medical advice (23.6%) and death (29.7%). More males than females died (1.5:1). The crude mortality rate of retinoblastoma increased from 0.01 to 0.12/100,000 children, while others fluctuated between 0.01 and 0.04/100,000 children. The average age-standardized mortality rate was highest in 0–4 years’ age group (48.5%).

Conclusion:
The rate of new cancers, particularly retinoblastoma, is rising in our locality. Majority present in advanced disease and are not effectively treated, resulting in increasing mortality rates. Periodic audit of childhood cancer burden may help relevant stakeholders in determining ways of curbing these worsening pediatric cancer trends.
Causes of Medical Admissions and Outcomes in a Tertiary Health Centre in Northeast Nigeria
Authors: Abdu Alhaji , Maigari Ibrahim Mahmood , Lawal Suleiman Muhammad , Yakubu Kabiru Audi , Umar Murtala , Abdulrasheed Hamisu 
Published: June 2024

Abstract

Introduction:
Knowledge of prevalent medical conditions in a community is necessary for effective and efficient health-care planning. In low- and middle-income countries, community studies are very costly; hence, hospital-based studies are often employed to give rough estimates of prevalent medical conditions. This study aims to evaluate the pattern of medical admission and outcome in a tertiary health centre in Northeast Nigeria as well as the contribution of noncommunicable diseases (NCDs) to the outcome.

Materials and Methods:
This is a four-year retrospective study of all admissions into the Medical wards of Abubakar Tafawa Balewa University Teaching Hospital. The case files of all patients admitted during the study period were retrieved and the following were extracted; demographic data, admitting diagnosis, comorbid conditions, length of hospital stay, and outcome.

Results:
During the period under review 1995 patients were admitted, with mean age of males and females of 52.28 ± 19.7 years and 49.3 ± 18.7 years, respectively. Infectious/parasitic diseases constituted 28.2% followed by diseases of the circulatory and digestive systems with 27.3% and 12.9%, respectively. NCDs constitute the highest number of patients admitted (n = 1405, 71%). Two hundred and ninety-five patients died during the period (14.7%) the highest in 2021 with 93 deaths. NCDs were responsible for 64% of the mortality, whereas death among the CD was 36%.

Conclusion:
NCDs were responsible for the majority of admissions and mortality during the study period.
Sugar-Sweetened Beverage Tax: A Crucial Component of a Multisectoral Approach to Combating Non-Communicable Diseases in Nigeria
Authors: Fagbule Omotayo Francis , Amafah Joy Oyinmiebi , Sarumi Abayomi Tajudeen , Ibitoye Opeyemi Omotola , Jakpor Philip Ebuata , Oluwafemi Akinbode Mathew 
Published: June 2024

Abstract
There has been a significant increase in the burden of noncommunicable diseases (NCDs) in Nigeria in the last few decades. These diseases, such as diabetes and cardiovascular diseases, have become a major public health concern, contributing significantly to morbidity and mortality rates in the country. The consumption of Sugar-Sweetened Beverages (SSBs), including soft drinks, energy drinks, and fruit juices, has been identified as one of the major drivers of the rising trend of NCDs. This is because SSBs are high in free sugars, which are known to be associated with an increased risk of NCDs. This narrative review explored the probable role of SSB consumption in the growing burden of NCDs in Nigeria and made a case for an effective SSB tax as a major public health intervention to reduce SSB consumption and the associated burden of NCDs.
Role of serum thyroglobulin levels in differentiating hyperthyroidism and thyrotoxic phases of thyroiditis
Authors: Ramanathan Balaji , Velayutham Kumaravel , Kannan Arun 
Published: June 2024

ABSTRACT

Background:
Thyroid hormones are crucial for growth, brain development, reproduction, and the regulation of energy metabolism. The iodoglycoprotein thyroglobulin (Tg) plays a critical role in allowing the thyroid gland to synthesize the thyroid hormones T3 and T4 in humans. Thyrotoxicosis has a wide range of etiologies, symptoms, and therapeutic options. Therefore, a precise diagnosis is necessary for effective treatment. In addition to a thyroid function test (TFT), evaluation for identifying common causes of thyrotoxicosis also includes a thyroid ultrasound that measures thyroidal blood flow, a radioactive iodine uptake test, a thyrotropin receptor autoantibody (TRAb) test, and a 99mTc pertechnetate scan. We hypothesize that Tg levels may be elevated in hyperthyroidism, which includes Graves’ disease (GD) and toxic multinodular goiter (TMNG), as there is an increase in thyroid synthesis and secretion. In thyrotoxic phases of thyroiditis, Tg levels could be normal.

Objective:
This study aimed to evaluate serum Tg levels in differentiating hyperthyroid and thyrotoxic phases of thyroiditis.

Methods:
In this study, 30 subjects with newly detected untreated thyrotoxicosis were evaluated. Serum Tg, TFT, TRAb, Anti-TPO, and technetium scan were done.

Results:
Our study results revealed that the Median Tg was highest in the subjects with toxic nodular goiter (356 ng/ml), followed by GD (150.40 ng/ml); those with subacute thyroiditis had the lowest Tg level (7.42 ng/ml); the differences in median Tg levels across the three groups were also statistically significant (P < 0.01). TRAb was significantly higher in people with GD in comparison to TMNG and thyroiditis. In addition, GD patients with a higher titter value of TRAb have elevated levels of Tg.

Conclusion:
Serum Tg levels can be utilized as a potent marker to distinguish between different types of thyrotoxicosis.
Evaluation of phytotoxicity indicators of cowpea seed treated with selected botanical insecticides
Authors: Ewah Ogbonnaya , Agina Barthlomew Chigozie , Karima Mohammed Rabiu , Elekwa Elizabeth Amah , Agu Kizito Akachukwu , John Wassagwa , Abba Jacinta Nnennaya 
Published: June 2024

Phytotoxicity is a major problem associated with the preservation of seed with synthetic insecticides. Thus, the aim of this study was to evaluate the safety of some selected plant derived insecticides on treated seed. Seed of SAMPEA 11, SAMPEA 14 and SAMPEA 12 were each divided into five (5) lots of 50 grams/lot identified, as L1, L2, L3, L4 and L5. L1 and L2 were treated with 50 and 12.5 µg/mL of myristicin and alpha-humulene based-insecticides respectively. L3 was treated with 6.25 µg/mL of azadirachtin based insecticide. L4 was not treated, while L5 was treated with diluted chlorpyrifos. In SAMPEA 12 and 11, the catalase activity and seed protein content were significantly (P<0.05) reduced compared to what obtained for L4. While in SAMPEA 14, catalase activity was not significantly (P>0.05) different from that reported for L4. Similar trend was observed on the protein content of the said cultivars treated with the aforementioned botanical insecticides. This study established similarity and variation in varietal responses to the effect the aforementioned insecticides to which the studied seed of cowpea cultivars were exposed to.
Relationship between Soluble Fms-Like Tyrosine Kinase-1 (Sflt-1) Levels in Preeclamptic Mothers with Asphyxia
Authors: Wahida Wahida , Gusriani Gusriani 
Published: June 2024

Soluble Fms like tyrosine kinase 1 (sFlt-1) is one of the markers that play a role in the pathogenesis of pregnancy-induced hypertension. The research aimed to determine the relationship between sFlt-1 level and asphyxia. The samples were preeclampsia inpartu consisting of 22 people, and normal pregnancy women consisting of 18 people. An analytic observational study with cross-sectional was conducted. The level of sFlt-1 was examined using ELISA. Statistic analysis used Kruskal Wallis test, One-way Anova test and Pearson correlation test. The results showed the facts of the study in the preeclampsia and control groups were not different (p> 0.05). In the preeclampsia group, and the control group (7.876 ± 3.792 ng / mL; p <0.05). There was a difference between sFlt-1 levels and the incidence of asphyxia (p = 0.003) in the preeclampsia group, whereas in the control group no relationship was found between sFlt-1 levels and asphyxia (p> 0.05).
Karakteristik dan Pelaksanaan Peremajaan Kelapa Sawit oleh Pekebun di Kampung Sialang Sakti Kecamatan Dayun Kabupaten Siak
Authors: Doni Putra Sonita Sihombing  , Roza Yulida  , Rosnita Rosnita  
Published: June 2024

Tanaman kelapa sawit di Kampung Sialang Sakti Kecamatan Dayun Kabupaten Siak berumur 25 tahun ke atas sehingga perlu dilaksanakan peremajaan. Peremajaan dilakukan oleh pekebun yang tergabung ke dalam kelompok tani. Karakteristik pekebun yang melaksanakan peremajaan kelapa sawit sangat beragam dimulai dari usia pekebun yang berbeda, latar pendidikan yang berbeda, lamanya pengalaman berusahatani yang beragam, dan lain-lain. Penelitian ini bertujuan untuk mendeskripsikan karakteristik petani kelapa sawit di Kampung Sialang Sakti Kabupaten Siak, dan mengetahui pelaksanaan peremajaan kelapa sawit oleh petani di Kampung Sialang Sakti Kabupaten Siak. Teknik pengambilan sampel yang digunakan purposive sampling dengan mengambil sampel sebanyak 30 orang. Karakteristik yang dibahas adalah umur, tingkat pendidikan, jumlah tanggungan, pendapatan, luas lahan, dan pengalaman. Hasil dari penelitian ini adalah: pertama, karakteristik pekebun kelapa sawit di Kampung Sialang Sakti didominasi oleh usia produktif sebanyak 96,67 %, tingkat pendidikan sebagian besar tamatan SMA sebanyak 53,33 %, rumah tangga pekebun termasuk ke dalam rumah tangga kecil (2 sampai 3 orang) sebanyak 86,67 %, pekebun memiliki jumlah pendapatan yang sangat tinggi (Rp 3.000.000 s/d Rp 9.000.000 per bulan) lebih mendominasi sebanyak 90 %, jumlah pekebun yang memiliki luas lahan ≥4 Ha yang sebanyak 86,67 %, dan 50 % pekebun memiliki pengalaman usaha tani yang lama (> 20 tahun). Kedua, peremajaan yang dilakukan dengan tumbang serempak. Teknik peremajaan yang dilakukan di lapangan sesuai dengan pedoman teknis Permentan Nomor 18 tahun 2016. Kesimpulan pada penelitian ini adalah pekebun di Kampung Sialang Sakti memiliki karakteristik beragam dan telah melaksanakan peremajaan kelapa sawit sesuai dengan Permentan Nomor 18 tahun 2016.
Proses Transformasi dan Kesiapan Petani Millenial Menghadapi Disrupsi Pertanian Cerdas (Smart Farming) (Analisis Keberlanjutan Pembangunan Pertanian di Jawa Tengah Indonesia)
Authors: Lutfan Makmun  , Daniel Daud Kameo  , Lasmono Tri Sunaryanto  , Wida Wahidah Mubarokah  
Published: June 2024

Proses transformasi dan kesiapan petani millenial menghadapi disrupsi pertanian cerdas (smart farming) hal penting dalam keberlanjutan pembangunan pertanian. Tujuan penelitian: 1) menganalisis proses dan mengukur kesiapan transformasi pertanian cerdas petani millenial; 2) menyusun rekomendasi keberlanjutan pembangunan pertanian era disrupsi pertanian cerdas. Pendekatan penelitian menggunakan multimetode triangulasi atau metode campuran dengan strategi sekuensial kuantitatif – kualitatif. Analisis data menggunakan Structural Equation Modelling (SEM) dengan software IBM AMOS. Pengujian model keseluruhan (overal/fit) dilakukan uji validitas, reliabilitas, normalitas, outlier dan analisis pengaruh. Hasil analisis pengaruh model akhir, rata-rata signifikansi 0,02 sehingga dikatakan berpengaruh karena nilai signifikansi <0,05. Kontribusi variable bebas terhadap tidak bebas dengan R square sebesar 0,924 berarti kontribusi variable X5 dan X6 terhadap Z sebesar 92,4%. Penelitian dilakukan 6 bulan dari bulan Maret - Agustus 2023. Sampel penelitian adalah petani millenial usia 17-39 tahun dari 10 Kabupaten/Kota di Provinsi Jawa Tengah berjumlah 216, pengambilan sampel dengan metode purposive sampling. Hasil penelitian, proses transformasi petani mellenial masuk dalam fase proses Penilaian (2.063). Kesiapan transformasi pertanian cerdas petani millenial dalam kategori Pemula Digital (2.046). Hasil penelitian evaluasi eksisting keberlanjutan pembangunan rata – rata dalam kategori Kurang (2.026) atau (less sustainable). Rendahnya keberlanjutan pertanian oleh petani millenial di Jawa Tengah disebabkan rendahnya kesadaran menerapkan keseimbangan faktor sosial, ekonomi, dan lingkungan dalam Scenario Business as Usual (BAU) dan strategi bisnis. Rekomendasi dan saran diperlukan adanya kajian/ penelitian multidisiplin mendalam lebih lanjut terkait proses transformasi, kesiapan transformasi pertanian cerdas oleh petani millenial menghadapi era disrupsi agar keberlanjutan pembangunan pertanian dapat dicapai terkait dukungan dan komitmen kuat stake holder terutama pemerintah sebagai regulator pembangunan.