bluuebunny/crossref_metadata_2025_split huggingface dataset:
The Effect of Puzzle-playing on Fine Motor Development in Preschool Children
Authors: Ni Kadek Dian Arisanti  , Anak Ayu Nyoman Trisna Narta Dewi  , Agung Wiwiek Indrayani  
Published: May 2023

Background: Development is developing human maturity and psychological processes that cannot be measured, such as increasing skills. The development speed in children is influenced by various factors such as the environment, health, nutrition, stimulation, and the role of parents. Fine motor development can be improved by applying the learning process and playing with interesting media, so children do not get bored easily. The media should be educative, like a puzzle game. Physiotherapy plays a role in preventing and reducing further complications that do not occur in children who experience fine motor delays. This research aims to determine the effect of giving puzzle games on fine motor development in preschool children.
Methods: The method applied is a literature study by looking for theoretical references related to the research carried out. This literature review uses secondary data and information from journals collected from the Google Scholar, PubMed, and ScienceDirect databases over the last ten years as data sources.
Results: Four studies discuss the impact of puzzle games on the fine motor development of preschool children. According to all journals, puzzle games impact the fine motor development of preschool-aged children. On average, about 25 children participate in each study.
Conclusion: The findings obtained based on the literature that has been reviewed and the discussion state that giving puzzle games affects fine motor development in preschool children. The findings of this research can be used as a basis for puzzle therapy in children and are expected to be used to improve children's fine motor development through other games. There isn’t any clinical implication from this literature review.
Effectiveness of ultrasound addition in intervention McKenzie’s neck exercise in reducing the mechanical neck pain
Authors: Arti Widi , Andi Fadhilah Tenriwulan  , Bagas Anjasmara  
Published: May 2023

Background: The activity of using a smartphone for a long time in a static position and bad posture, will result in Mechanical neck pain (MNP), which is known as a neck condition caused by change in the cervical curve to flatten due to overload on the muscles, ligaments, joints, and bones of the neck at the back and the muscles of the upper back and shoulders. The effectiveness of adding ultrasound to the McKenzie’s neck exercise (MNE) intervention to reduce MNP.
Methods: The study used a quasi-experimental method with a pre and post-two-group design. The number of samples was 20 research subjects experiencing chronic non-specific MNP, not experiencing spondylolisthesis, fracture, and hernia nucleus pulposus in the cervical area. Group I was given the MNE and ultrasound, and group II was give MNE only. This research was conducted three times a week for four weeks at the Action and Hydrotherapy Laboratory. The measuring tool used is the northwick neck pain tool. Normality test using Shapiro Wilk test and homogeneity test using Lavene's test. Paired sample t-test was used to determine the effectiveness of the intervention of the two groups in reducing MNP, and an independent sample t-test was to see the difference in the effect of the intervention results of the two groups.
Results: The characteristics of study respondents by age were in the average range of 19.7±0.9 years for group I and 19.6±0.6 years for group II. Based on other data, groups I and II decreased pain significantly after their respective treatments (p =0.04). There is no significant difference effect after interventions between the group I and group II (p >0.05).
Conclusions: The program of MNE only effectively reduced MNP with the same good effect as the MNE with ultrasound therapy in subject with MNE. The addition of ultrasound to the MNE does not have a significant effect on pain reduction.
The relationship of smoking habits to sleep quality and the risk of hypertension in adolescents in Banjar Adat Pande, Bangli district
Authors: Paramurthi I.A. Pascha , I Gusti Ayu Sri Wahyuni Novianti  , Ida Ayu Ratih Wulansari Manuaba  , Luh Dian Raika Pramesti  
Published: May 2023

Background: Adolescence is a period of transition and search for identity, which makes adolescents often follow trends that affect society and the environment. One of the adolescent behaviors caused by environmental exposure is smoking. Repeated smoking behavior will become a habit that can affect sleep quality and the risk of hypertension. This study aimed to determine the relationship between smoking habits and sleep quality with the risk of hypertension in adolescents.
Methods: This study used a cross-sectional study design. The sample is determined by purposive sampling. The number of study participants was 52 adolescents. Smoking habits were measured using the Brinkman Index questionnaire, a Sphygmomanometer to measure blood pressure, and the Pittsburgh Quality Index Questionnaire (PSQI) to measure adolescent sleep quality. Computer software analyzed data using a chi-square test to determine the relationship between smoking habits to sleep quality and the risk of hypertension in adolescents.
Results: The chi-square test of smoking habits and adolescent sleep quality was shown with a p-value of 0.008. The chi-square test results of smoking habits with risk of hypertension in adolescents were indicated by a p-value of <0.001.
Conclusion: There was a significant positive relationship between smoking habits to sleep quality and the risk of hypertension in adolescents.
The effect of neural mobilization against sensorineural symptom reduction among hand-arm vibration syndrome survivor
Authors: Marufa Siti Ainun , Widodo Tri Noor Cahyo , Rahmanto Safun , Utami Kurnia Putri 
Published: May 2023

Background: Hand-arm vibration syndrome (HAVS) is an occupational disease caused by exposure to vibration from work tools. Complaints often arise from sensorineural disorders that cause the arms and hands to tingle, numb, and experience decreased sensitivity. Neurodynamic mobilization is a manual therapy technique that utilizes tension and sliding movements that can reduce symptoms of sensorineural disorders. This study aims to determine the effect of neurodynamic mobilization on reducing sensorineural symptoms in patients with HAVS in welding workshop workers in Malang city.
Methods: The design of this study used a pre-experimental approach with a one-group pretest-posttest design approach. There were 15 samples of welding workshop workers with symptoms of sensorineural disorders. The sample was given intervention for one month at a dose of 3x/week with one exercise consisting of 20x/set (10 slidings and ten tension) with three repetitions and a rest interval of 15 seconds/set. The assessment and evaluation instrument uses the Stockholm workshop scale. Data analysis was using the Wilcoxon test.
Result: A significant decrease (p<0.000) in sensorineural symptoms among welding workshop workers in Malang city after a neurodynamic mobilization intervention was given.
Conclusion: It can be concluded that providing neurodynamic mobilization decreases sensorineural symptoms of HAVS sufferers in welding workshop workers in Malang city.
Physiotherapy management on sprain medial collateral ligament in sports injury: a literature study
Authors: Putra Sergio Johan , Anggiat Lucky 
Published: May 2023

Background: The risk of sports activities is injuries. There are two types of injury classification often experienced by athletes: acute trauma and overuse. The part of the body in sports that are quite common injuries due to body contact is the knee. Medial collateral ligament (MCL) injuries were one of the most common knee injuries in sports. The role of physiotherapy in MCL injury conditions is to improve knee conditions in athletes, prevent re-current of injuries, help heal the athlete's condition after MCL injury with existing modalities and help restore the condition, which aims to make the athlete able to return to play in their sport.
Methods: This study used library research which takes online and offline data sources to refer to books and scientific articles related to examination and physiotherapy intervention in the condition of MCL sprain injury.
Results: Physiotherapists must carefully examine every symptom that appears by examining the basic function of motion, palpation, specific test with a valgus stress test, and functional evaluation in conditions of MCL sprain injury.
Conclusions: In athletes, physiotherapy interventions must be graded, like reducing acute injury symptoms, exercising using tools, and reducing pain in the first phase; the second phase with increasing functional ability, flexibility, range of motion, and returning muscle strength; in the third phase, muscle strength must increase as before, returning agility, balance, and flexibility; furthermore, in the fourth phase, the athlete is prepared to return to sport with strength training, flexibility, agility, and sport-specific exercise.
The relationship between sitting posture and neck pain incidence in educational staff at the Universitas Muhammadiyah Surakarta
Authors: Putra Bima Lesmana , Pristianto Arif 
Published: May 2023

Background: While working, many educational staffs complain about musculoskeletal problems due to sitting for an extended periods. Sitting posture affects neck pain because the pressure on the intervertebral disc is twice as great when sitting compared to standing. A good sitting posture is to relax momentarily because the muscles experience tension, reducing neck pain.
Methods: This cross-sectional study was carried out in December 2022 with a population of Educational Staff at the Universitas Muhammadiyah Surakarta who met the inclusion and exclusion criteria. The sampling technique in this study was purposive sampling, and 84 samples were obtained. The research data were collected by broadcast email, WhatsApp messages, and direct distribution to staff. Data were analyzed with SPSS 25.0 to determine the correlation between sitting posture and the incidence of neck pain.
Results: The Spearman Rho test analysis showed a p-value<0.05, indicating a significant relationship between sitting posture and neck pain among educational staffs at the Universitas Muhammadiyah Surakarta. In contrast, the correlation coefficient showed 0.452, indicating a moderate correlation between sitting posture and neck pain. The relationship was in positive value so that the level of neck pain was reduced.
Conclusion: The sitting posture is related to neck pain incidence among academic staff at the Universitas Muhammadiyah Surakarta. This study has an excellent impact on observing the factors contributing to neck pain incidence in academic staff at the Universitas Muhammadiyah Surakarta. In contrast, the further study requires finding the other aspects of neck pain in teams to minimize the occurrence of complaints in the future.
Correlation between body mass index with musculoskeletal disorders in employees at Annika Linden Center
Authors: Novianti I Gusti Ayu Sri , Paramurthi I. A. Pascha , Suparwati Komang Tri Adi , Dewa Ayu Agustini  
Published: May 2023

Background: Problems that often occur in employees are health problems, especially musculoskeletal complaints. Internal and external factors can cause musculoskeletal complaints in employees. One of the internal factors is body mass index (BMI). Someone with an obese BMI will increase the risk of musculoskeletal disorders because when they want to work, the pressure on the waist usually feels heavy due to weakened muscle tone. This study aims to determine the relationship between BMI with musculoskeletal disorders (MSDs).
Methods: This study used a cross-sectional study design. The sampling technique in this study uses the total sampling method. The number of samples is 50 people. Researchers took place at the Annika Linden Center. The measurement of musculoskeletal disorders using the Nordic body map (NBM).
Results: The analysis of the relationship between BMI and musculoskeletal disorders using the Somers test obtained p=0.001 (p<0.05), meaning a significant relationship exists between body mass index and musculoskeletal disorders.
Conclusion: There is a significant relationship between BMI and musculoskeletal complaints in Annika Linden Center employees.
The relationship between self-efficacy and self-management in post stroke patients at Home Stroke Rehabilitation Malang
Authors: Nur Safitri Hazanah  , Siti Ainun Marufa  , Atika Yulianti  
Published: May 2023

Background: Stroke is a neurological disorder characterized by blockage of blood vessels. The effects of stroke cause problems with motor, sensory and cognitive functions. These problems result in patients often complaining and feeling useless, so patients experience a decrease in self-efficacy. Low self-efficacy will cause a low level of self-acceptance and motivation that affects the patient's confidence in performing functional activities and self-management related to the healing process in stroke patients.
Objective: This study aimed to analyze the relationship between self-efficacy and self-management in stroke patients.
Methods: The research design used a cross-sectional study method conducted in December 2022 with a population of all stroke patients at Home Stroke Rehabilitation Malang who met the criteria to become participants in this study. Measurement of self-efficacy using The Stroke Self Efficacy Quetionnaire (SSEQ) and self-management using The Southampton Stroke Self Management Quetionnaire (SSSMQ). Rank Spearman was used to determining the relationship between the two variables showed that out of 49 respondents, there was a relationship between self-efficacy and self-management using the Rank Spearman test.
Results: The study’s result (p = 0.000, r = 0.949) shows a very strong correlation. It can be concluded that there is a very strong relationship between self-efficacy and self-management in stroke patients because high confidence is very influential on the actions or attitudes of patients so that patients can move and prevent recurrent strokes and carry out rehabilitation programs properly.
Conclusion: The higher the self-efficacy, the higher the self-management in post-stroke patients and vice versa. These two crucial components will affect the rehabilitation phase of post-stroke patients.
BACTERIAL PROFILE OF MIDDLE EAR INFECTIONS, COEIXSTENCE OF PSEUDOMONAS, PROTEUS SPECIES IN MIDDLE EAR INFECTIONS AND THEIR ANTIBIOTIC SENSITIVITY PATTERN
Authors: RAIHA QURBAN  , QURAT UL AIN  , JALEES KHALID KHAN  , ASIF NAVEED  , ASIF SHAHEEN  , RAFEEDA MAAB  
Published: May 2023

Introduction: Otitis media is the leading cause of hearing impairment in developed countries. The permanent hearing loss due to otitis media has the prevalence of 2 to 35 per 10,000. The major pathogens of acute otitis media are i. e; S. pneumonia, S.pyogenes, Moraxella catarrhalis, Haemophilus influenza and rarely S.aureus and those of chronic otitis media are i. e; Pseudomonas, Proteus, E. coli and S. aureus.
Objective: To determine the bacterial profile of otitis media, to estimate the coexistence of pseudomonas and proteus and to check the antibiotic sensitivity pattern of different bacteria in otitis media.
Material and methods: Sample size of 85 samples is estimated by using 95% confidence level, 10% absolute precision with expected percentage of susceptibility pattern of otopathogens as 32.8% the research article” Microbiological profile and their antimicrobial sensitivity pattern in patients of otitis media with ear discharge” (15). Samples from outdoor patients of ENT department , Mayo Hospital, Lahore, with discharging ear of all ages and both genders were taken excluding patients with external ear infections.
Study design: Cross sectional study.
Setting: Department of Diagnostic Microbiology, the Mayo Hospital and the Institute of King Edward Medical University, Lahore
Sample technique: Non Probability Purposive Sampling
Results: Out of total 85 samples, 38(44.7%) and 47(55.3%) were male and female respectively. Mean age + SD was 24 + 16 years. Out of 85 samples 58 (68.2%) cases were positive with 27 (46.5%) samples positive in males and 31 (53.4%) samples positive in females. Out of positive cases, 18(31.0%) were Gram positive and 30(51.7%) cases showed growth of Gram negative organisms. The coexistence of Pseudomonas and Proteus was found in 12(20.6%) of positive cases.
DISTRIBUTION OF AXIAL LENGTH READINGS IN PATIENTS UNDERGOING CATARACT SURGERY
Authors: MUHAMMAD MOIN  , AROOJ AMJAD  
Published: May 2023

Purpose: To find the axial length distribution in patients undergoing cataract surgery with the comparison between genders and age groups.
Study Design: Cross sectional study.
Place and Duration of Study: Lahore General Hospital & Yaqin Vision Eye Center, Lahore from February 2000 to May 2018.
Material and Methods: All patients undergoing routine cataract surgery who were more than 20 years of age were included in the study. Patients with corneal scars were excluded. Biometry readings included K reading, axial length and IOL number in diopters aimed for emmetropia using the SRK-T Formula. The patients were divided into 4 groups according to age, Group V (20-39 years), Group X (40-59 years), Group Y (60-79 years) and Group Z (80-99 years). Moreover the patients were also divided into 6 groups according to Axial length, Group A (20.7-21.5 mm), Group B (21.6-22.5 mm), Group C (22.6-23.5 mm), Group D (23.6-24.5 mm), Group E (24.6-25.5 mm) and Group F (25.6-27.6 mm). Cross tabulation between age groups versus axial length and axial length versus gender was done using SPSS version 20.
Results: There were 2146 patients included in the study out of which 1073 were male and 1073 were female patients. The mean axial length of all the patients was 23.36 ± 1 mm. The most common axial length seen in 40.7% of the patients was in the range of 22.6 to 23.5 mm. This was followed by 23.6-24.5 mm and was seen in 26.7% patients. The least common axial length seen in 2.3% patients was in the range of 20.7-21.5 mm. High Hypermetropia (20.721.5 mm) was more common in females and was seen in 80% of the patients. However, High Myopia (25.6-27.6 mm) was more common in males and was seen in 74.6% the patients.
Conclusion: In our population High Hypermetropia is common in females while High myopia is common in males. The most common axial length seen is between 22.6-23.5 mm.
COMPARATIVE ANTI-INFLUENZA POTENTIAL OF MORINGA OLEIFERA LEAVES AND AMANTADINE INVITRO
Authors: MONEEB ASHRAF  , SAADIA SHAHZAD ALAM  , MUFAKHARA FATIMA  , IMRAN ALTAF  , FAIZA KHAN  , AJMAL AFZAL  
Published: May 2023

Introduction: Influenza is an extremely communicable respirational disease with widespread morbidity and mortality. Amantadine is a standard drug used against influenza virus and blocks its replication by preventing uncoating of the virus. Moringa oleifera is an herbal plant with extensive therapeutic effects and has established antiviral potential against Equine herpes virus 1 and Herpes simplex virus1.
Objective: Comparison of cytotoxic and anti-influenza potential of Moringa oleifera leaves and amantadine.
Methods: This project was done in the department of Pharmacology Shaikh Zayed Postgraduate Medical Institute in collaboration with University of Veterinary and Animal Sciences (UVAS), Lahore. Influenza virus (H9) was obtained from Quality Operational Lab (UVAS) followed by its identification by using standardized method of haemagglutination inhibition assay and quantification by haemagglutination assay and tissue culture infective dose (TCID50). Ethanolic extract of Moringa oleifera leaves (EEOMOL) was produced using soxhlet apparatus. Fibroblast cell line established from chicken embryo was used for testing of cytotoxic and anti-influenza potential of EEOMOL and amantadine using MTT assay.
Results: EEOMOL has higher CC50 (100ug/ml) value compared to that of amantadine (50ug/ml). Regarding antiviral activity, EEOMOL showed significantly better (P< 0.05) anti influenza activity (0.78µg/ml to 100ug/ml) as compared to that of amantadine (12.5ug/ml to 50ug/ml).
Conclusion: These findings conclude that Moringa oleifera leaves possess wider range of anti- influenza activity compared to amantadine.
TYPE OF STROMAL COLLAGEN FIBERS IN THE ORAL SQUAMOUS CELL CARCINOMA… A HISTOCHEMICAL STUDY USING PICROSIRIUS RED STAIN
Authors: WAJIHA KHALID  , UMER FAROOQ  , MUNAZZA HASSAN  , GULNAZ AKHTAR  
Published: May 2023

Objective: Determination of the type of stromal collagen fibers in the Oral Squamous Cell Carcinoma.
Materials and Methods: Biopsies were taken from 71 patients of oral squamous cell carcinoma. Slides were stained with Picrosirius red (PSR) stain. All the samples were evaluated for the type of collagen fibers by examining under light microscope using polarizing lens.
Results: Type III collagen was the predominant type of collagen seen in the poorly differentiated oral squamous cell carcinoma cases, whereas type I collagen fibers were sparse. The percentage of type I collagen was highest in well differentiated oral squamous cell carcinoma cases and type III collagen fibers were infrequent. While the percentage of type III collagen fibers was more than type I collagen fibers in the moderately differentiated oral squamous cell carcinoma cases. In the present study, this variation in types of collagen fibers in the three histological grades of oral squamous cell carcinoma was found to be statistically significant (p= 0.08).
Conclusion: In the light of the results of the present study it is concluded the collagen profiling can be effectively used as a prognostic marker in oral squamous cell carcinoma cases. Abundance of type III collagen fibers in tumor stroma seems to be a poor prognostic indicator.
ROLE OF PREOPERATIVE EMBOLIZATION IN SURGERY FOR NASOPHARYNGEAL ANGIOFIBROMA: A FIVE YEARS EXPERIENCE
Authors: MUHAMMAD ILYAS  , MAZHER IFTIKHAR  , MUHAMMAD IQBAL  , AAMER AYUB  , FAIZA BAJWA  , NAJAM-UL-HASNAIN  , ISRAR AHMAD  
Published: May 2023

Background: Nasopharyngeal angiofibroma is extremely vascular, locally invasive and aggressive tumor. Among all neck and head tumors, NA prevalence is 0.05 percent to 0.5 percent but its most frequent tumor of the nasopharynx and virtually affects the male adolescents only. Nasopharyngeal angiofibroma shows a strong propensity to bleed in the surgical procedure. Currently, preoperative embolization is frequently utilized to reduce such intraoperative blood loss.
Objective: The objective of the study was to assess the role of preoperative embolization in surgery for nasopharyngeal angiofibroma among patients.
Method: It was cross-sectional descriptive study in which 60 patients with nasopharyngeal angiofibroma admitted in ENT Department of Lahore General Hospital Lahore were included. Data was collected through proforma which was entered into computer software SPSS version 22.0.
Results: Among 60 patients, 63.3% were 12-14 years old. All (100.0%) patients had nasal bleeding and nasal obstruction, 10.0% had proptosis and 18.3% patients had broadening of nose. Among patients, 65.0% had 100-200 ml peroperative bleeding and 76.7% had 4-5 days hospital stay.
Conclusion: Study concluded that preoperative embolization reduces the peroperative bleeding and hospital stay among patients.