bluuebunny/crossref_metadata_2025_split huggingface dataset:
Comparison Of The Effectiveness Of High Intensity Laser Therapy (HILT) And Low-Level Laser Therapy (LLLT) On Improving Balance In Knee Osteoarthritis
Authors: Wibisono Kukuh , Handoyo Rudy , Setiawati Erna 
Published: March 2024

BACKGROUND : Osteoarthritis (OA) of the knee is a joint disease with a high prevalence among the elderly. OA can cause balance disorders, which are one of the main causes of falls in the elderly. Balance can be measured using several scoring systems, one of which is the Berg Balance Scale (BBS). One of the treatment modalities for OA is laser therapy which is non-invasive and easy to apply. Low level laser therapy (LLLT) has been widely used in patients with knee OA, but recently high intensity laser therapy (HILT) has begun to be used in physical therapy with advantages over a wider range and depth.
AIMS : to compare the effect of LLLT and HILT therapy on improving functional balance in the elderly with knee OA.
METHOD : This research is a randomized controlled trial pre-test and post-test-controlled group design. The sampling method used in this study is the simple random sampling method. The sample size was 27 subjects and divided into two groups, the LLLT group (n=14) and the HILT group (n=13). Each subject received laser therapy sessions 2 times a week for 4 weeks. Balance was assessed using the BBS before and after the intervention.
RESULT : There was an increase in BBS scores before and after treatment in the HILT group (p<0.001) and in the LLLT group (p<0.001), with the increase in the HILT group (7.79 ± 2.16) significantly greater than in the LLLT group (3 .08 ± 0.76) (p<0.001).
CONCLUSION : HILT improves balance score better than LLLT.
Effectiveness of Foot Exercises together with the Hydrotherapy program on Blood Sugar Levels in Elderly People without Diabetes
Authors: Putra Edy Nuswantara , Supatmo Yuswo , Setiawati Erna , Marijo  
Published: March 2024

Background: The elderly human population is susceptible to health problems due to decreased organ function. The risk of diabetes in old age also reduces quality of life. Preventing the risk of developing diabetes mellitus requires simple and simple exercise programs such as foot exercises and hydrotherapy. The effect of light leg exercise and hydrotherapy on carbohydrate metabolism is unknown.
Objectives: To find out the impact of hydrotherapy alone or in combination with foot exercise on elderly's blood sugar levels.
Methods: Parallel three-group pre and post-test designs for an experimental investigation. 21 elderly in RW 04 Karangwetan, Ungaran served as research participants, divided into control group (n=7), combination of foot exercises and hydrotherapy intervention group (n=7), and foot exercise intervention group (n=7). The intervention took place three times per week for five weeks. We used POCT to assess blood sugar levels.
Results: There is no significant decrease in blood sugar levels from control group (p>0.05). There is significant decrease in blood sugar levels from foot exercise and hydrotherapy intervention group (p<0.05) and foot exercise intervention group (p<0.05). The difference in blood sugar levels showed significant results between foot exercise and hydrotherapy intervention group and control group (p=0.000) and between foot exercise intervention group and control group (p=0.004). There is no significant differences in blood sugar levels between foot exercise and hydrotherapy intervention group and foot exercise intervention group (p=0.112).
Conclusion: Simple exercise activities such as foot exercises together with hydrotherapy have been proven to reduce blood sugar levels in healthy elderly populations without diabetes
Prevalence of Hypomagnesaemia in Asthma Patients-A Cross-Sectional Study
Authors: Gondalia Gordhanbhai L  
Published: March 2024

Aim
Magnesium intervenes in calcium transport mechanisms and intracellular phosphorylation reactions and so, it constitutes an important determinant of the contraction and relaxation state of bronchial smooth muscle. Present study was performed with an aim to know the prevalence of hypomagnesaemia in asthma patients.
Materials and Method
Sixty patients, who were attending department of respiratory medicine with steady asthma, were arbitrarily selected. They were evaluated clinically and their serum magnesium levels were calculated, than evaluated with the serum magnesium values of sixty non-asthmatic fit controls.
Results
Serum magnesium value among 1.5 and 2.5mg/dl was measured standard and every value underneath 1.5 mg/dl was measured as hypomagnesaemia. A total of 60 patients is evaluated with 60 fit persons. About 87.7% patients were establishing to have hypomagnesaemia and their serum magnesium value varies between 0.71 and 1.5 mg/dl. Remaining 12.3% patients had standard serum magnesium level.
Conclusion
Hypomagnesaemia is additional common in steady asthmatics than non-asthmatic Patients. Statistically significant association of hypomagnesaemia was observed with sternness of asthma. Future researches are desired by huge number of patients, and measuring Mg++ levels in RBC, WBC, or muscle cell in adding to serum Mg++ and this would be extremely obliging for evaluating the consequence of hypomagnesaemia in steady asthmatic patients.
Relationship between coronary artery disease and high-density lipoprotein cholesterol-monocyte ratio
Authors: Özkan Eyüp , Erdoğan Aslan 
Published: March 2024

Aims: To investigate the association between high-density lipoprotein cholesterol (HDL-C)-to- monocyte ratio(HMR) and coronary artery disease (CAD) proven by coronary angiography.
Methods: A total of 311 patients were enrolled in the retrospective study. The grouping was based on whether the stenosis of one coronary artery exceeds 50%. Gensini Score (GS) to evaluate the severity of coronary artery stenosis. Spearman correlation analysis, progressive logistic regression, and receiver operating characteristic (ROC) curve analysis were used.
Results: The HMR difference between the CAD and non-CAD groups was statistically significant (P
Interprofessional Collaborative Practice in Professional and Residency Athletic Training Programs: A Report from the Association of Athletic Training Education Research Network
Authors: Hankemeier Dorice A. , Williams Richelle M. , Wilkins Nicole A. , Manspeaker Sarah A. , Clements Chad , Walker Stacy E. , Young Justin , Eberman Lindsey E. 
Published: March 2024

Context
Interprofessional collaborative practice (IPCP) is a required component of athletic training education, yet more needs to be learned about how professional and residency programs integrate IPCP into their curricula.

Objective
Identify current strategies used in the integration, assessment, and quality of IPCP clinical experiences in athletic training programs.

Design
Cross-sectional survey.

Patients or Other Participants
Forty-two of the 288 (14.6% response rate) invited individuals participated. All reported being faculty members affiliated with a professional or residency athletic training program.

Data Collection and Analysis
The IPCP implementation and assessment was e-mailed to all accredited professional and residency program directors to evaluate: (1) institutional or organizational support for and integration of IPCP; (2) faculty, learner, or preceptor preparation for IPCP engagement; and (3) tools for assessment and quality of IPCP experiences. Survey instrumentation was validated through peer and expert review. Descriptive statistics were calculated for quantitative data, and open coding was used to analyze open-ended questions.

Results
Respondents reported favorable support from their institution or organization (administrative, financial, and organizational structure) to integrate IPCP experiences. The most common methods for IPCP implementation included clinical simulations (n = 22, 22.9%), grand rounds (n = 13, 13.5%), morbidity and mortality conferences (n = 3, 3.1%), journal clubs (n = 6, 6.3%), direct patient care (n = 14, 14.9%), and intentional clinical education experiences (n = 28, 29.2%). Respondents reported formal IPCP training for faculty (n = 7, 16.7%) and learners (n = 23, 54.8%) but not for preceptors (n = 25, 73.5%). While programs assess their learners’ IPCP experiences (n = 25, 59.5%), the quality of those experiences is not formally captured (n = 19, 45.2%).

Conclusion(s)
Interprofessional collaborative practice experiences within athletic training education continue to evolve. As such, in this study, we highlight the need for formalized training in IPCP for faculty, learners, and preceptors. Additionally, program faculty should consider implementing quality assessments of IPCP experiences to assess the quality and degree to which learners experience interprofessional collaboration.
Cytotoxic Sulfoquinovosyl Glycerols from the Seaweed Sargassum Angustifolium from Persian Gulf
Authors: Sajjadi Seyed Ebrahim , Ghobeishavi Sahar , Yegdaneh Afsaneh 
Published: March 2024

Backgrounds:
Seaweeds are an important source of marine organisms that produce a lot of bioactive compounds.

Materials and Methods:
In this research, the seaweed Sargassum angustifolium was collected from Bushehr province of Persian Gulf of Iran. The seaweed was extracted by methanol:ethyl acetate (1:1) using maceration method. The compounds were isolated with different column chromatography and HPLC(High Performance Liquid Chromatography) by silica gel and hexane:ethyl acetate as mobile phase.

Results:
The isolated compounds were elucidated structurally by various 1 and 2 D-NMR and MS spectra. Besides the cytotoxicity test was done against HeLa using standard MTT assay and normal cells.

Conclusion:
It afforded four known sulfoquinovosyl diacylglycerides and fucosterol. Compounds 1-5 showed cytotoxic effects against HeLa and HUVEC cell lines, with IC50 values of 12.2 ± 2.3, 25.8 ± 3.7, 14.9 ± 2.6, 9.8 ± 1.2 μM, and 5.6 ± 1.2, respectively.
Parameatal cyst: A case series with review of literatures
Authors: Pal Diya , Gupta Naveen Kumar 
Published: March 2024

Abstract
Parameatal cyst of the external urinary meatus is a rare entity. In most of the cases, the patients are asymptomatic, and they are presented due to poor cosmesis. Complete surgical excision gives the best result in terms of recurrence. Here, we present a series of four cases of such cysts. The relevant literatures are reviewed.
Deceased donor skin banking for making use of cadaveric skin as a temporary coverage: A life saving option to the patients with extensive burn injuries
Authors: Adhya Abhishek , Sarkar Arindam , Sow Monoranjan , Gayen Soumya 
Published: March 2024

Abstract

Background:
In India, xenografts are not available yet and biosynthetic skin substitutes are unaffordable to most of people. Deceased donor skin could be a lifesaving option for the victims with extensive burn injuries.
The first deceased donor skin bank of eastern India was established at the Department of Plastic Surgery of a tertiary burn referral center, Kolkata on 22nd April 2013 for processing, storage, and utilization of donors’ skin.

Aim:
The aim of this study was to evaluate the advantages and importance of skin banking in terms of clinical outcomes based on retrospective data.

Materials and Methods:
All deceased skin harvesting was carried out under a hospital setup. Out of 56 skin donations, 17 skin harvesting was performed on the whole donated body and 39 deceased skins were harvested from the brain death declared cases.
The outcome of skin banking and its utilizations was analyzed from our record of ten years.

Result:
From April 2013 to April 2023, only 56 deceased skin donations were received. Number of the skin donations has increased especially in 2018 when the Regional Organ & Tissue Transplantation Organization (ROTTO, Eastern Zone) came forward with a structured organ donation program.
Harvested skins were utilized for 72 patients with extensive burn injuries. We observed partial adherence of cadaveric skin allografts over the wounds for 2–3 weeks. Fifty-five cases were free from infection and the conditions were beneficial for further autologous split-thickness skin grafting (STSG) in the second phase.

Conclusion:
Temporary coverage for an extensive burn injury is extremely important and beneficial, in such cases cadaveric skin could be a potentially lifesaving option with desirable clinical outcomes. Common people are gradually accepting the concept of skin donation after death, however, more awareness programs and proper counseling are essential to make the mission of the skin bank successful. This field is still virgin and open for loads of R&D.
A comparative clinical study of Janu Basti (medicated oil retention over knee) and Matra Basti (medicated oil enema) with Sahachara Taila along with Adityapaka Guggulu on osteoarthritis of knee joint
Authors: Singh Sarvesh Kumar , Rajoria Kshipra , Kumar Amit 
Published: March 2024

Background:
Osteoarthritis (OA) of knee is a chronic inflammatory condition of knee joints characterized by pain, swelling, and functional restriction of the joint. In Ayurveda, it can be correlated with Sandhigata Vata. The two most promising therapies for the Ayurveda management are Janu Basti (medicated oil retention over knee) and Matra Basti (medicated oil enema). The present study was conducted to assess the comparative effect of the two Ayurveda procedure which could assist in clinical decision-making for maximum benefit and minimum discomfort for variable requirements of the patients.

Aim:
The aim of the study was to ascertain the better management among the two therapies. The objective of the study was to assess changes in pain in knee joints through the Visual Analog Scale (VAS) and disability through Western Ontario and McMaster Universities OA Index (WOMAC) from baseline to 30th day in both the therapies and compare the effect of the both therapies on pain and disability.

Materials and methods:
In this study, a total of 30 patients having the complaints of OA of knee joint were randomly divided into two groups. Fifteen patients were treated in group A with Janu Basti (external oleation through retention of oil over knee joints for 30 min) with Sahachara Taila along with Adityapaka Guggulu (oral medication) and 15 patients were treated in group B with Matra Basti (enema with medicated oil) with Sahachara Taila along with Adityapaka Guggulu. For the assessment, VAS for pain scoring, WOMAC for disability, Ritchie articular index for tenderness were used, and X-ray were graded on the basis of Kellgren–Lawrence system for OA severity. All the results were calculated by using InStat GraphPad 3 software. For intra-group comparison nonparametric data; “Wilcoxon matched-pairs signed ranks test” and “Paired-t-test” was used. For calculating the inter-group comparison, “Mann–Whitney test” and “unpaired-t-test” was used. All the statistical tests were interpreted as significance at 5% level (P < 0.05).

Results:
There were significant changes in VAS, WOMAC score, and tenderness of the affected joint in both the groups. On intergroup comparison, Matra Basti with Sahachara Taila in group B has provided better relief in Sandhigatavata of Janu Snadhi along with Adityapaka Guggulu.

Conclusion:
The result shows that Ayurvedic management with Matra Basti and Janu Basti along with Adityapaka Guggulu are effective in the management of osteoarthritis (OA) of knee joint. However, Matra Basti along with Adityapaka Guggulu is a better management option than Janu Basti.
A Cross-sectional Study to Determine Pregnancy Outcomes in Transabdominal Ultrasound-guided Embryo Transfer
Authors: Jamwal Vishan Dev Singh , Jamwal Shallu , Sharma Rajesh , Tandon Aseem , Jha Rahul , Acharya Alok P , Bhukya Subhash 
Published: March 2024

Introduction:
The success of any in vitro fertilization (IVF) program depends upon a number of factors, including the ovarian stimulation protocol, quality and quantity of gametes obtained, and the embryo transfer (ET) procedure itself. ET procedure is a crucial step in the success of any IVF or intracytoplasmic sperm injection cycle and has to be mastered and meticulously performed. Ultrasound, being a noninvasive procedure, is used extensively in assisted reproduction and has an important role in ET procedure. Hormonal stimulation of the ovaries causes their enlargement, thereby resulting in variation of the uterine position. There is a paucity of literature documenting this change in uterine position, especially in the Indian population. Therefore, this study was undertaken to find any variation in the uterine position and its impact on pregnancy rates.

Methadology:
In vitro fertilization was done after ovarian stimulation and ET was done on day 3 at 8 cell stage. Biochemical Pregnancy Rates and clinical pregnancy rates were determined for all the ET procedures.

Results:
The anteverted uterus was present in 102 cases, amounting to 77.2%, whereas the remaining 30 cases had retroverted uterus, amounting to 22.8%. The ET procedure in anteverted cases was performed with ease in the majority of the cases. However, three cases had difficult ET. In comparison, the six difficult ETs were reported out of a total of 30 retroverted uterus, amounting to 20% of cases.

Conclusion:
The superiority of ultrasound-guided ET has been proved beyond any doubt as compared to the clinical touch method and it remains the mainstay of ET procedure.
Knowledge, Attitude, and Practice Regarding Coronavirus Disease-2019 among Geriatric Patients in a Tertiary Care Center in Central Kerala: A Cross-sectional Study
Authors: Poly Geethu , Varma Beena , Aravind MS , Neelamana Sandhya Kizhakke , Jose Renju , Nair Priya K 
Published: March 2024

Abstract

Context:
Evidence shows that knowledge is important in tackling pandemics. By assessing awareness and knowledge about the coronavirus, more profound insights can be gained into existing public reception and practices, thereby helping to identify attributes that influence the adoption of healthy practices and responsive behavior. Assessing knowledge is important in identifying gaps and strengthening ongoing prevention efforts.

Aims:
The study aimed to investigate the geriatric population’s knowledge, attitudes, and practices (KAP) toward coronavirus disease-2019 (COVID-19) during the pandemic spike.

Settings and Design:
The study was designed as a cross-sectional study; a questionnaire was developed regarding the World Health Organization training material for the detection, prevention, response, and control of COVID-19 and was validated by experts in geriatrics and public health.

Materials and Methods:
A prevalidated questionnaire consisting of four sections will be used. The first section consists of demographic data such as age and gender. The second, third, and fourth section will include prevalidated questions to gather information about the patient’s KAP regarding general awareness of COVID-19 among geriatric patients in a tertiary care center in central Kerala. The inclusion criteria included patients of age 60 years and above, patients who are willing to participate in the study, and patients who are willing to give informed consent. The questionnaire was answered by over 199 participants anonymously from November 01, 2021, to February 08, 2022.

Results:
In our study, 199 participants were involved the mean knowledge score was 10.3 ± 1.224. The average attitude score regarding COVID-19 among the participants was 1.9 ± 1.1. The majority of the participants (67.8%) had a poor attitude toward COVID-19. There was a significant difference in average attitude scores according to socioeconomic status. According to the present study, the average correct answer score of the ten questions regarding COVID-19 practice was 6.3 ± 1.4. The majority of participants (75.4%) had moderate practice toward COVID-19. The average practice scores were significant difference among the socioeconomic status.

Conclusions:
The third wave of the pandemic demonstrated good knowledge, positive attitudes, and reasonable practice regarding COVID-19 during the outbreak. The results indicated the need for the health system to attempt to increase the public knowledge of the older people to improve their attitude and practice to deal with the crisis.
Prescribing Cascade Complicating a Geriatric Patient
Authors: Samajdar Shambo Samrat , Mukherjee Shatavisa , Sarkar Sougata , Chatterjee Nandini , Roy Mrinal K. , Pal Jyotirmoy , Tripathi Santanu K. , Joshi Shashank R. 
Published: March 2024

Abstract
Prescribing cascades entail misinterpreting drug-related adverse events as new medical problems, resulting in unnecessary prescriptions and potential harm, especially in the elderly, leading to adverse outcomes like falls, cognitive defects, and increased health-care costs. For geriatric patients with complex medical histories, the intricacies of symptom differentiation and polypharmacy poses further challenges. This report focuses on managing a geriatric patient with multiple conditions, highlighting the risks and complexities of prescribing cascades.
PERKUATAN FUNGSI LEMBAGA DPR
Authors: Ibrahim Helmi 
Published: March 2024

Abstrak
Reformasi konstitusi UUD 1945 merupakan momentum reformasi tata kelola negara dan pemerintahan menuju yang lebih baik dimulai dari reposisi fungsi lembaga-lembaga negara utama seperti Presiden, DPR, MPR, DPD, serta MA dan MK dalam pilar kekuasaan negara sebagaimana disebutkan dalam teori Trias Politica Montesquieu, yakni legislatif, eksekutif dan yudikatif dalam rangka mendukung penguatan sistem pemerintahan presidensial khususnya hubungan antara Presiden dan DPR ada dalam keseimbangan check and balances dan menghilangkan kesan executive heavy maupun legislative heavy. Penguatan kelembagaan lembaga-lembaga tinggi negara adalah konsekuensi logis untuk mewujudkan negara kesatuan republik Indonesia sebagai negara hukum yang demokratis atau negara demokratis yang konstitusional.
Kata Kunci : Reformasi konstitusi UUD 1945, check and balances, executive heavy, legislative heavy, penguatan lembaga tinggi negara

Abstract
The constitutional reform of the 1945 Constitution is a momentum for reform of state governance and government towards a better one starting from the repositioning of the functions of key state institutions such as the President, DPR, MPR, DPD, and MA and MK in the pillars of state power as stated in the theory of Trias Politica Montesquieu, namely the legislature, executive and judiciary in order to support the strengthening of the presidential government system, especially the relationship between the President and the DPR is in a balance of checks and balances and eliminates the impression of executive heavy and legislative heavy. Institutional strengthening of high state institutions is a logical consequence for realizing the unitary state of the Republic of Indonesia as a democratic legal state or a constitutional democratic state.
Keywords: