bluuebunny/crossref_metadata_2025_split huggingface dataset:
Effect of 12 Sessions of Oculus-guided Rehabilitation on Balance and Reaction Time in Recreational Athletes with Ankle Instability: A Randomized Controlled Trial
Authors: Metgud Santosh , Deshpande Mrunmayi , Sharma Govind , Fernandes Emberly 
Published: February 2025

Context:
Ankle instability is an issue among recreational athletes, resulting in injuries such as sprains which lead to impaired proprioception and balance, increasing the risk of injury and affecting performance. Traditional rehabilitation focuses on strengthening exercises, recent technology such as oculus-guided virtual reality (VR) rehabilitation offers a more engaging approach proven to improve motor skills, balance, and reaction time and hence enhancing recovery in individuals with ankle instability.

Aims:
The aim of this study was to evaluate the effects of traditional exercises versus oculus-guided rehabilitation on the balance and reaction time in recreational athletes with ankle instability.

Settings and Design:
This randomized controlled trial was conducted in the tertiary care hospital of Belagavi City.

Subjects and Methods:
Individuals with ankle instability (n = 30) were randomly allocated into oculus-guided rehabilitation with traditional exercises and conventional group of exercises for 4 weeks, three times per week, respectively. Outcomes assessed were BlazePod and Star Excursion Balance Test which were measured pre and post, and at the end, participants received physical activity enjoyment scale questionnaire.

Statistical Analysis:
Comparison within the group was analyzed using a paired sample t-test and between the groups was analyzed using an independent t-test.

Results:
There was a significant improvement was seen in Cumberland Ankle Instability Tool scores (P = 0.0361) and reaction time (P = 0.001) in the oculus group as compared to the control. Furthermore, the participants enjoyed the oculus mode of intervention and were adherent to sessions than conventional exercises.

Conclusion:
Oculus-guided rehabilitation was more effective to the conventional mode of exercise for improving reaction time and balance. Oculus VR must be a part of reactional rehabilitation for athletes to be regular and adherent to treatment regimens.
Assessment of Empathy in Healthcare Professional Students and its Association with Patients’ Quality of Life Undergoing Cancer Rehabilitation-an Evaluation Study
Authors: Pattanshetty Renu , Dsouza Hazel Felix , Patil Harshita Balasaheb , Poojari Grace Mahesh 
Published: February 2025

Context:
Cancer patients face physical and psychological distress, along with fear of uncertainty about their illness and treatment. Clinical empathy is essential to address their psychosocial needs alongside medical care.

Aims:
The aim of this study was to assess the effect of empathy in healthcare professional students and its association to the quality of life (QOL) of patients undergoing cancer rehabilitation.

Settings and Study Design:
An observational study conducted on healthcare professional students and cancer patients from a tertiary care hospital, Belagavi.

Materials and Methods:
An observational study was carried out which involved 384 students from different healthcare professions and 196 cancer patients from a tertiary care hospital, Belagavi. Empathy was assessed using the Jefferson Scale of Empathy in students and Functional Assessment of Cancer Therapy-General (FACT-G) for QOL in all cancer patients for a period of 4 months.

Results:
The correlation coefficient between the Jefferson scale and FACT-G scale using the Karl Pearson method suggested that in the nursing profession, empathy is associated with social/family well-being (r = 0.085) and emotional well-being (r = 0.03). For the pharmacy profession, empathy is associated with the QOL of patients with domains such as social/family (r = 0.026) well-being and functional well-being (r = 0.090). For the physical therapy profession, it suggested that empathy of this profession is associated with domains of physical well-being (r = 0.016) and emotional well-being (r = 0.060) in cancer patients, showcasing a 5% significance level and a linear affiliation which means that these variables move in the same direction when associated with each other, which is also referred to as a direct relationship between the variables.

Conclusion:
There exists a correlation between the level of empathy demonstrated by healthcare professional students and the QOL experienced by patients undergoing cancer rehabilitation.
Effect of Music Therapy versus Guided Imagery on Healthcare Professional Students with Stress and Anxiety: A Randomized Clinical Trial
Authors: Muragod Anil , Jadav Kaustubh , Dalal Jenisha Rajendra , Joshi Vedashri 
Published: February 2025

Context:
The healthcare profession is highly challenging and distinctive, requiring students to possess exceptional academic performance and clinical competencies in addition to interpersonal skills. Accumulating stress developed by these factors increases anxiety among students affecting their performance in numerous aspects. Music therapy and guided imagery have proven to be effective in reducing stress and anxiety. However, no studies have been done comparing these two interventions.

Aims and Objectives:
The aims and objectives of this study were to evaluate the effect of music therapy versus guided imagery on healthcare professional students suffering from stress and anxiety.

Settings and Design:
A randomized clinical trial study was conducted at the healthcare institution.

Subjects and Methods:
Ethical clearance was granted by the institutional research and ethics committee before the study commenced. Fifty individuals with stress and anxiety were recruited in the study, and informed consent was taken. They were randomly allotted into two Groups A and B. “A” received music therapy from Peter Sterling’s album “The Angels Gift” and “B” received guided imagery audio by Johns Hopkins. Both groups received intervention for 15 min for 4 days a week for 3 weeks. Pre- and post-assessment was taken of both the groups by measuring their stress and anxiety scoring based on the Perceived Stress Scale and Hamilton Anxiety Rating Scale.

Statistical Analysis:
Version 29.0.10 Statistical Package for the Social Studies (SPSS) program (SPSS Inc.; Chicago, IL, USA) was used for analysis. Independent sample t-test and Paired t-test were used for analysis. P < 0.05 was selected.

Results:
Music therapy and guided imagery were both equally effective in the reduction of stress and anxiety levels with P > 0.05.in healthcare professional students.

Conclusion:
Music therapy and guided imagery showed significant effects in reducing stress and anxiety among healthcare professional students. Outcomes showed that both were equally reliable.
Efficacy of Cryotherapy and Phonophoresis along with Conventional Exercises in Tennis Elbow Patients
Authors: Tejwani Somesh Motilal , Varadharajulu G. 
Published: February 2025

Context:
Tennis elbow is primarily the result of overuse injuries brought on by repetitive motions involving a heavy grip or wrist extension. Physical treatments (such as phonophoresis, cryotherapy, and others) have been utilized to decrease pain, control swelling or inflammation, and enhance or restore function in the management of musculoskeletal injuries for many years and are still being used today.

Aims:
The aim of the study is to find out the effect of the combination of phonophoresis, and cryotherapy in lateral epicondylitis (LE).

Setting and Design:
This was a pre- and postinterventional study design with 30 participants with lateral epicondylitis.

Methodology:
It is a pre- and postintervention study with 30 subjects in the age group of 30–60 who were diagnosed with LE by a physiotherapist. The procedure of the study was briefed and all the participants were provided with a written informed consent form before the intervention. Assessments like visual analog scale (VAS) and PRTEE were assessed pre- and postintervention.

Statistical Analysis Used:
The statistical analysis was calculated using the software “InStat”. The pre- and postvalues of the VAS scale at rest and on activity were compared using paired t-tests. The PRTEE assessment values were compared. The pre- and postresults were compared through paired test and two tail P value comparison.

Results:
Thirty–40 years group had 14 subjects while groups 41–50 years and 51–60 years had 9 and 7 subjects, respectively, of which 14 were female while 16 were male. The statistical analysis showed significant results when compared pre- and postevaluation with P < 0.0001 for both VAS and PRTEE.

Conclusion:
This research clarifies the positive result of the treatment protocol (cryotherapy, phonophoresis, and cryotherapy) making it an eligible plan to be followed by physiotherapists for a positive treatment outcome in lateral epicondylitis.
Effect of Jacobson Relaxation and Structured Exercise Protocol in Stage I Hypertension – A Randomized Clinical Trial
Authors: Shinde Veena V. , Naik Varun 
Published: February 2025

Context:
Stage I hypertension is a prevalent condition associated with an increased risk of cardiovascular disease. Nonpharmacological interventions such as aerobic exercise and relaxation methods are essential for management. This study evaluates the comparative effectiveness of Jacobson relaxation and organized exercise programs in lowering hypertension-related markers.

Aims:
The aim of this study was to evaluate and compare how planned exercise regimens and Jacobson relaxation methods differently affect the blood pressure, heart rate, blood sugar, and ankle–brachial index of individuals with stage 1 hypertension.

Materials and Methods:
Based on specified inclusion and exclusion criteria, a total of 50 participants were selected for the study. At random, the participants were split into two equal groups: Group A followed structured aerobic exercise while Group B underwent Jacobson’s relaxation program for 4 weeks. While resting heart rate and blood pressure were assessed while seated, ankle blood pressure was measured while supine to calculate the ankle–brachial index (ABI). During a fast, blood glucose levels were also recorded. Every outcome indicator was evaluated both before and after the intervention period.

Results:
Group A showed significant reductions in fasting glucose (difference: 17.35 mg/dL, P < 0.001), glycated hemoglobin (HbA1c) (0.41, P < 0.001), and systolic blood pressure (SBP) (P < 0.001). Group B improved diastolic blood pressure (DBP) at weeks 2 and 3 (P = 0.009, P < 0.001); ABI and heart rate remained unchanged.

Conclusion:
The intervention significantly reduced fasting blood glucose, SBP, and HbA1c levels, especially in Group A, but had no effect on heart rate or ABI. Group B experienced significant decreases in DBP, suggesting that the benefits differed for each group.
Frequency and Pattern of Injuries in Rink Hockey Players
Authors: Jasmine  , Bindra Supreet , Singh Pankajpreet 
Published: February 2025

Context:
The fast-paced game of rink hockey is played using sticks, pucks, and in-line skates. The possible risk factors for injury range from falls to changing directions quickly, contacting players unintentionally, and coming into touch with boards, sticks, or pucks. In addition to raising overall expenses for individuals and society, sports-related injuries can affect a player’s ability to perform, and eventually, the success of the team as a whole.

Aim:
To find the frequency and pattern of injuries in rink hockey players.

Materials and Methods:
The study was conducted among 132 rink hockey players, both males and females with ages between 10 and 30 years old (20.37 ± 4.08), from Roller Jets, Chandigarh District Roller Skating Association and Mohali Roller Skating Association (Punjab). Rink hockey players with more than 12 months of experience, who participated in the game on the regular basis and those who had sustained had injuries from past 1 year were included from the study.

Results:
Data were analyzed using the SPSS software version 26. The study found a higher prevalence of musculoskeletal injuries among rink hockey players with knee and ankle/foot being the most affected body parts. Male players, especially seniors and those with extensive training and experience were found to be at higher risk.

Conclusions:
The prevention of musculoskeletal injuries in rink hockey players necessitates the implementation of educational initiatives, proper equipment protocols, timely evaluation of injuries, managing training intensity, and integration of physiotherapy interventions into training programs.
Awareness about Modifiable Risk Factors and Preventive Measures of Stress Urinary Incontinence in Overweight and Obese Women: An Observational Cross-sectional Study
Authors: Singhaniya Khushi Dilip , Mohan Venu 
Published: February 2025

Context:
Urinary incontinence (UI) refers to the unintentional or involuntary leakage of urine. It is more prevalent in women than men, with overweight and obese women at considerably greater risk. There are numerous risk factors that can be altered. It is both treatable and avoidable in primary care but yet gets little attention and treatment. Examining women’s UI knowledge is vital, for this reason. The purpose of this study was to assess the knowledge of stress UI among overweight or obese women.

Aim:
The aim of the study was to study the current extent of awareness about risk factors and preventive measures of stress UI among overweight and obese women.

Setting and Design:
The study design was a cross-sectional observational study.

Methodology:
Approval was taken by the Institutional Ethical Committee for the current study. A purposive sample of 150 overweight and obese women aged 35–80 years was recruited through community groups and hospitals. Women with cognitive impairments and women who are medical professionals were excluded. A self-made face-validated questionnaire was used which was divided into three sections: (1) demographics, (2) awareness about modifiable risk factors, and (3) awareness about preventive measures.

Statistical Analysis Used:
The data obtained were analyzed using descriptive statistics., per question analysis using Microsoft Excel.

Results:
Of the 150 participants, 54% of women had heard and/or knew about stress UI. The findings revealed that individuals showed limited knowledge of the causes of stress UI or methods for preventing it.

Conclusion:
The authors concluded that the extent of awareness of overweight and obese women about risk factors and preventive measures of urinary stress incontinence is not adequate, and knowledge of UI should be improved and assistance provided by educational programs on bladder and bowel health.
Recovery profile of desflurane with air or nitrous oxide in patients undergoing general anesthesia – A prospective cohort study
Authors: Kumar Nishant , Chauhan Nisha , Jain Aruna 
Published: February 2025

Abstract

Background and Aims:
Desflurane helps in prompt awakening when discontinued. Since desflurane has a lesser blood: gas solubility than nitrous oxide, we hypothesized that use of air with desflurane would result in a rapid recovery compared to desflurane with nitrous oxide.

Materials and Methods:
After approval from the institutional ethical committee was obtained, this prospective, nonrandomized study (CTRI/2017/11/010558) was conducted. This study included 110 American Society of Anesthesiologists I–II patients aged 18–60 years, of either sex, undergoing general anesthesia using desflurane with air or nitrous oxide for elective surgery. The primary objective was to compare the time taken to achieve a modified Aldrete score of 9/10. The secondary objectives were to compare time to spontaneous respiration, time to extubation, time to verbal response, time to orientation, intraoperative opioid consumption, and incidence of explicit recall between groups. P <0.05 was considered significant.

Results:
The time required to achieve modified Aldrete score of 9/10 was higher in those who received nitrous oxide (899.09 ± 426.85 s) compared to those who received air (464.27 ± 190.28 s; P < 0.01). Time taken for spontaneous respiration, extubation, verbal response, and orientation was significantly higher with the use of desflurane with nitrous oxide compared to use of air. The intraoperative opioid requirement was statistically significant, but clinically not significant. Explicit recall was not seen in any of the patients.

Conclusion:
Nitrous oxide delays the elimination of desflurane compared to air, thus delaying extubation and recovery and mitigating the beneficial effects of desflurane.
Deaths and cardiac arrests during anesthesia – An analysis of 361,152 procedures in a major US health system
Authors: Goudra Basavana , Guthal Arjun , Belani Kumar 
Published: February 2025

Abstract

Background and Aims:
The aim was to analyze the factors associated with intraoperative cardiac arrests at a major US academic center.

Material and Methods:
In this single-center university hospital setting retrospective study, perioperative cardiac arrest data obtained from the clinical quality improvement and local registry from June 1, 2013 to November 19, 2019 was analyzed. Descriptive statistics were used to analyze the findings.

Results:
A total of 361,152 anesthesia-requiring procedures were performed. At least 49 cardiac arrests occurred in the operating room (at a rate of 1.3 cardiac arrests for every 10,000 surgeries), of which 23 resulted in death (at a rate of 0.6 deaths for every 10,000 surgeries). Twenty-eight cardiac arrests occurred during elective procedures and the remaining were emergencies. Among the causes, hyperkalemia was seen as a likely contributory cause in six patients. PEA (Pulseless electrical activity) was the dominant rhythm and often did not precede other life-threatening arrhythmias. In terms of subspecialty, cardiac surgery witnessed the highest number of cardiac arrests followed by solid organ transplant. Nurse anesthetist/physician anesthesiologist team-delivered care was associated with intraoperative cardiac arrests, with a rate similar to that of all-physician care teams (21 vs. 28), and the death rates were similar (11 vs. 12). Highest number of cardiac arrests belonged to American Society of Anesthesiologists (ASA) 3 category. All patients who sustained cardiac arrests in ASA 2 category also died. Patients with a BMI >30.0 had the highest number of cardiac arrests, although the number of deaths was low.

Conclusions:
Hyperkalemia is a major factor in intraoperative cardiac arrests. Majority of the cardiac arrests occur during emergency procedures. Solid organ transplant and cardiac surgery carry the highest risk of cardiac arrests.
Emotional Intelligence and Its Contribution to Academic Performance in Students, Quality Education (SDG 4)
Authors: Manrique Antony Mejia , Lazoni Erick Marco Boy , Zaga Celmira Cornejo , Chávarry Stefanny Lisset Zárate , Valdivia Yuri Freddy Curo , Reyes Miriam Rosmery Muñoz , Torres Celeste Bilbeth Rojas 
Published: February 2025

Objective: This study aims to establish the relationship between Emotional Intelligence (EI) and Academic Performance (AP) in primary school students.

Theoretical Framework: The study is based on theories of Emotional Intelligence (Salovey & Mayer, 1990; Goleman, 1995), which define EI as the ability to recognize, manage, and apply emotions effectively. It also incorporates perspectives on Academic Performance (Touron, 2004) as a key indicator of educational success.

Method: A quantitative, descriptive, and correlational research design was employed. The study examined a sample of 132 primary school students selected through non-probabilistic convenience sampling. Data collection was conducted using two questionnaires.

Results and Discussion: The findings reveal a positive but statistically insignificant correlation between Emotional Intelligence (EI) and Academic Performance (AP) (r = 0.229, p = 0.130). Similarly, the EI subdimensions—emotional perception, understanding, and regulation—show positive trends but lack statistical significance. These results align with previous research debating EI’s impact on AP, suggesting that other mediating factors may influence this relationship and highlighting the need for further investigation.

Research Implications: This research contributes to understanding the intersection of emotional and academic development. It highlights the importance of considering emotional skills in educational strategies to enhance student outcomes.

Originality/Value: This study provides new insights into the relationship between EI and AP in the Peruvian primary education context, where limited research has explored this connection. By focusing on primary school students, it underscores the significance of emotional development at an early educational stage and its potential implications for long-term academic performance.
ONE TO MANY SUB-FLOW REALIZATION IN BUSINESS PROCESSES
Authors: Abubakirova A. , Shalkharbay-uly A. 
Published: February 2025

The present paper aims to call into question how realize complex type by using BPM and C# coding to connect from one to many processes. In the background describes the IT concept part as a table and questions for monitoring all cases of Event process in SDU, data saving in one process, correction of responsible approvers. The using BPM methods implement in business processes: description and design, development and implementation, monitoring and control, optimization without different changes by table or figures. Complex Event Processing (CEP) techniques can detect event patterns that are specified as CEP rules. In the process of this article, process maturity was important, such as characteristics and abilities that determine the current state of the company on the path to understanding and managing processes. Techniques and method results will be shown by realization possibility and using comfortability with the eBA workflow system.
Digital Transformation and Its Role in Oil Production
Authors: Jumaah Dr. Abbas Ali 
Published: February 2025

Purpose: The paper performs an extensive evaluation of production logging tools (PLT) processes while examining small details and assessing shortcomings for maximizing their efficacy in improving oil extraction. The research demonstrates essential functions of production logging tools (PLT) for digital transformation in the oil and gas industry.
Materials and Methods: The work establishes the essential linkages between digitalization strategies with problem detection methodologies in addition to cost reduction models and reveals hidden relationships within the petroleum industry. Operation simplification with root strength and weakness assessment and alternative method analysis will lead to enhanced production management and operational efficiency with sustainable solutions integrated into the digital transformation of this industry. The PLT system enables professionals to track down potential reservoir issues before they arise as well as to scan for upcoming well integrity risks and equipment malfunctions.
There is considerable scope for climate change and environmental activities but the research shows oil production remained the top priority therefore this study creates new pathways to use PLT as a base for digital oil production transformation. The thesis bridges theoretical analyses and simulation research to present stakeholders with strategic guidance about why, where and how to put PLT into use for enhancing future oil production efficiency and market resource reliability alongside sustainability.