bluuebunny/crossref_metadata_2025_split huggingface dataset:
Criticisms and perspectives of heuristic learning in physical education
Authors: D'Isanto Tiziana , Di Domenico Felice , Aliberti Sara , D'Elia Francesca , Raiola Gaetano 
Published: April 2022

Background and study aim. The ecological-dynamic approach promotes motor learning through task variability, modification of environmental constraints and appropriate use of feedback, original and creative motor solutions. This study wants to open a critical perspective on the didactics of physical activity selecting a methodological perspective adherent to ecological-dynamic approach. The aim is to highlight the significant aspects and the uniqueness and unrepeatability of heuristic learning, starting from theoretical lines.
Material and Methods. For this purpose, an accurate survey of the scientific literature has been analyzed, highlighting the points of contact and contrast of cognitive and ecological-dynamic approach.
Results. In the context of physical education, the most used pedagogical approach is the linear one. Teaching is influenced by spatial and temporal constraints, spaces and equipment, with reproduction styles and with predefined tasks and motor responses. This modality promotes awareness of motor skills and not transferability to other subject areas, as indicated by ministerial documents. Non-linear pedagogy, while promoting motor learning as a consequence of the interaction between the subject and the context, shows some limits. The first concerns the learning of transversal skills and, the second concerns the use of prescriptive teaching, absent in the ecological-dynamic approach, through heuristic learning. It is necessary to overcome the areas of prescriptiveness that still resist in the paradigm most recognized by the scientific community, the Constraints Led Approach, closely related to nonlinear pedagogy. They do not favor completely a heuristic learning as the anthropometric constraints suffer from the limitation of biomechanics. Also, goal constraints are prescriptively determined by the physical education teacher, which is not compatible with heuristic learning.
Conclusions. This analysis highlights the need, usefulness and usability of heuristic learning in different professional fields. The study aims to offer a new perspective on physical education objectives in the National Indications, projecting them towards a social and transversal purpose.
Knowledge, attitudes and practices of injury prevention towards lateral ankle sprain among amateur football players in Brunei
Authors: Haji Md Som Mohammad Aiman Hakeem , Krishnan Vasanthi Rajkumar , Subramaniam Ambusam , Nadzalan Ali Md. 
Published: April 2022

Background and Study Aim. Football is a globally recognized sport and played both professionally and recreationally. As it is a physically challenging sport, it must inform players on preventing injuries from occurring or reoccurring. This study aimed to assess the knowledge, attitudes and practices on injury prevention towards lateral ankle sprain (LAS) among amateur football players in Brunei.
Material and Methods. A total of 140 respondents participated in the cross-sectional study who fit into the inclusion criteria. An online questionnaire was adapted and shared with amateur football players in Brunei from September 2021 to October 2021. Questions were related to (1) demographic data; (2) injury history; (3) knowledge; (4) attitudes; and (5) practices to prevent a lateral ankle sprain.
Results. Tendon/ligament injury was the highest amount of frequency at n= 97 (69.3%), in which the participants have sustained it throughout their playing years. More people perceive that the cause of injury was mainly due to lack of physical fitness 84.2%, fatigue/exhaustion 55%, uncured injuries 49.3% and contact with other players 75.7%. 84.3% agreed that the importance of injury prevention is crucial. Participants reported that the injury prevention methods are mainly used to prevent lateral ankle sprain were stretching 81.4%, specific warm-up training 79.3% and taping 67.9%.
Conclusions. Our results show that players think that injury prevention is critical, yet most of them are still under-informed about avoiding injuries properly. Despite evidence that stretching is ineffective in preventing injuries, many athletes stretch to prevent damage. Warm-up training and taping are two other standard injury prevention techniques these amateur football players use. Future research should raise exercise knowledge among Brunei’s amateur football players to prevent injuries.
A comparative study between emergency department provisional diagnoses and final discharge diagnoses in tertiary and quaternary health centers of India
Authors: Patel Priyanka , Ashta Kuldeep Kumar , Subramani Yamini , Ghosh Sumit Kumar 
Published: April 2022

An Emergency Department (ED), or the Emergency Room (ER), is a specialized patient care facility in tertiary and quaternary health care centers dedicated to Emergency Medicine. The main function of which, is to take care of patients with immediate and emergent health issues. In view of limited literature on Emergency Medicine in India, a comparative study of the admission and discharge diagnoses was performed, as a baseline for future reference in continuous quality improvement. A scientific endeavor dedicated to undertake a comparative study between the emergency department provisional diagnosis and the final inpatient discharge diagnosis, thus determining the diagnostic accuracy of the emergency medicine department in large health care centers of India. A total of 3000 patients visiting the emergency department were considered and a comparative study was performed between the emergency department diagnoses and the final discharge diagnoses of these patients after admission to respective specialties. In 81% cases the emergency department diagnoses was found to be concordant with the discharge diagnoses of the patients under study, and the concordance was found to be statistically significant. According to our study, the initial diagnoses made by emergency department physicians were mostly consistent with the final diagnoses. The significance of a correct diagnosis in the emergency department is far reaching. A correct diagnosis of the disease in the emergency enables prompt implementation of desired management protocols facilitating better patient outcomes and favorable disease prognosis. However, our study also highlights the need for further improvement in the diagnostic protocols in the emergency department.
Psychological assessment of paramedical staff working in covid-19 ward
Authors: Aphale Manasi , Vivek Kirpekar , Sudhir Bhave , Rahul Tadke , Abhijeet Faye , Sushil Gawande 
Published: April 2022

In a densely populated country like India, the COVID-19 pandemic poses a major concern in front of the already overworked healthcare workers. Paramedical staff deals with patients of COVID-19 throughout their stay in the hospital and hence these workers are susceptible to the psychological changes followed by this stressful exposure. If these symptoms are dealt with in a professional manner and if they receive proper care then their work efficiency will improve immensely. A cross-sectional study was carried out in 65 consecutively selected paramedical staff including 50 nurses and 15 attendants. They were interviewed telephonically after taking their informed consent. Data was collected using semi-structured proforma, Hamilton Anxiety Rating Scale (HAM-A) and Hamilton Depression Rating Scale (HAM-D). Statistical analysis was done using mean, chi square test. Statistically significant difference was found between married and unmarried participants in total Ham-A score (mean score 7.75 in married and 3.85 in unmarried, P=0.0008); insomnia early in the night (28.57% in married and 61.36% in unmarried, P=0.033); anxiety psychic (76.19% in unmarried and 84.09% in married; P=0.004); anxiety somatic (61.9% in unmarried and 84.09% in married, P= 0.012); Somatic symptoms gastrointestinal (19.05% in unmarried and 61.36% in married, P=0.006); general somatic symptoms (28.57% in unmarried and 68.18% in married, P=0.006); HAM-D total score (mean score 2.90 in unmarried and 6.06 in married, P=0.0003). 1. Paramedical staff working in COVID-19 wards are susceptible for psychological symptoms; 2. Anxious mood was the most common symptom reported.
Utility of cartridge based nucleic acid amplification test in diagnosis of tubercular lymph nodes on fine needle aspiration and its comparison with zeihl-neelsen staining and concentration bleach method
Authors: Dhote Anjali R , Gaikwad Amrapali , Datar Sonali , Kowe B 
Published: April 2022

Tuberculosis (TB) is one of the oldest disease known to humanity and among the deadliest epidemics and is in the top 10 causes of death worldwide. The incidence of tuberculosis in India has dramatically increased and contributing to it is Human Immunodeficiency Virus (HIV). Various diagnostic methods are available for detection of tubercular bacilli. Only full proof criteria for diagnosis of TB is to demonstrate the bacilli from affected tissue. This study was planned in extra pulmonary tuberculosis cases to evaluate different staining methods for demonstration of mycobacterium on FNAC material. To evaluate efficacy of Cartridge Based Nucleic Acid Amplification Test (CBNAAT) in the initial cytodiagnosis of Tubercular Lymphadenitis 147 clinically suspected cases of extra pulmonary tuberculosis mainly TB lymphadenitis who attended cytology OPD were selected irrespective of age and sex. FNAC was performed. Slides stained for PAP, ZN and concentration bleach. Material remained in hub was sent for CBNAAT. PAP stained slides were observed for various morphological pattern.Six morphological patterns were observed. Positivity for acid fast bacilli by ZN staining, concentration bleach method and CBNAAT were compared. Detection of acid-fast bacilli by CBNATT was found more as compared to ZN and Concentration bleach method.
Varying zinc levels in pediatric nephrotic syndrome patients and its correlation with remission and relapse: An observational study
Authors: Mishra Nandita , Jaiswal Rahul , Shrivastava Anubha , Tiwari A D , Yadav R K , Maurya Manisha 
Published: April 2022

Zinc deficiency, common in children of developing countries, leads to susceptibility to infections. Relapses in nephrotic syndrome are precipitated mostly by infections. Most of morbidity and mortality in nephrotic patients is during nephrotic range proteinuria. Management of factors which reduce duration of relapse, can decrease morbidity in pediatric nephrotic patients. We aimed to study serum zinc levels, in patients of nephrotic syndrome, at onset/relapse and at remission and tried to find out correlation between serum zinc levels and time to achieve remission.Observational study was conducted in tertiary centre of North India over 12 months. Consecutive pediatric patients, with initial episode/relapse of NS were enrolled. Patients were treated as per standard protocol. Time taken for remission was noted. Serum zinc level was estimated first at confirmation of initial episode/relapse and then at remission. Data were summarized as mean ± standard deviation. Groups were compared by paired t test. Pearson correlation analysis was done to assess association between initial zinc level and time to attain remission.68 patients were screened for inclusion in the study but only 49 qualified for final analysis. Serum zinc level was statistically different in all patients at enrolment and at remission. Pearson correlation analysis showed an insignificant and inverse correlation between time to remission and serum zinc level (r=0.14, p&#62;0.05) suggesting that, as serum zinc level at enrolment decreases, the time to remission lengthens.Zinc level at initial episode/relapse was found to have negative correlation with time to attain remission.
A cross sectional study of correlation of serum ferritin levels with NIHSS scoring scale in patients of acute ischemic stroke
Authors: G Madhu , Shivakumar Hrishikesh , Durairaj Anugraha , A C Nirmala 
Published: April 2022

IStroke is one of the leading causes of mortality and morbidity in the world. The National Institutes of Health Stroke Scale (NIHSS) is one of the most common stroke scale used by neurologist around the world. Serum Ferritin is an acute phase reactant, which increases during acute conditions like inflammation and also in vascular events.This is a study that correlates the S.Ferritin levels with NIHSS scoring scale to assess the severity of stroke, which can also be used as an adjuvant tool for better assessment of severity of stroke in patients, which further helps in improving the management of patients with stroke.This study aims to estimate serum ferritin and the NIHSS stroke scale in patients with acute ischemic stroke, and then to correlate serum ferritin with NIHSS stroke scale.A cross sectional study was done during the period of November 2017-May 2019 in hospitals affiliated to Bangalore Medical College & Research Institute , Bangalore on 106 patients with acute ischemic stroke at the time of admission. NCCT brain was done and Serum Ferritin levels determined for patients who fit into the inclusion and exclusion criteria. Data was analyzed using SPSS 21.0 software by descriptive statistics in the form of mean values, standard deviation and percentages. Chi Square test was used for association of qualitative variables.There was linear increase of S.Ferritin with increase in severity of stroke ( As determined by NIHSS scoring scale). It was a found that male sex had a higher increase in S.Ferritin levels compared to females, with statistically significant correlation. It was also found that the maximum number of patients with increase in S.Ferritin levels belonged to severe stroke category.As there was a linear increase of S.Ferritin with increase in severity of stroke (NIHSS scoring scale), we can conclude that Serum Ferritin level had a positive correlation with the severity of ischemic stroke indicating that S.Ferritin levels can also be used as an adjuvant tool for assessing the severity of stroke along with other tools and facilitate adequate and timely management of these patients. S Ferritin can be used as a Prognostic marker in predicting the severity of Acute Ischaemic stroke.
Perception among undergraduate medical students towards health research methodology & publications in a tertiary care hospital of Assam
Authors: Ullah Md Kalim , Dutta Bhaskar J , Ullah Md Alim , Chakravarty Pinaki , Adak Karabi 
Published: April 2022

Research experience gained by medical students during their under graduate tenure plays a significant role in their future endeavours in the field of medical research. The aim of the present study was to assess the level of knowledge about attitudes regarding biomedical health research and publications among medical students.: A cross-sectional descriptive study was conducted and randomly selected among 200 undergraduate medical college students of Tezpur Medical College, Tezpur, Assam in 2018 to access the knowledge about their attitudes on health research and scientific publications. A prefix pretested proforma was employed to assess the knowledge and attitudes of the students. Informed consent was duly taken. The data thus obtained was then analyzed using MS Excel. : Among the 200 study participants, only 70(35%) students feel confident in interpreting and writing a research paper, and 135(67.5%) students feel lack of their knowledge on research methodology and is the cause of less publication & research, while 102(51%) and 120(60%) says lack of senior’s knowledge and mentors respectability is the cause of less publication. Interestingly only 5(2.5%) participants had published in journals and 195(97.5%) says that they were never written any scientific paper. Majority of students 174(87%) had not participated in a research project (apart from mandatory academic projects). A good number students do feel that lack of funds and facilities, and mentorship are important causes of no publication and research in medical colleges.Medical colleges should emphasize more on health research among the undergraduate students. There is a need to reform the medical curriculum with more weightage towards research methodology awareness, workshops and plannings in order toimprove the situation in the field of medical education and research.
Endometrial Fluid study for prevalence of tuberculosis by testing for diagnosis by CB NAAT culture
Authors: Gupta Mitali , Tripathi U , katare Neha , Singh Saurabh Kumar 
Published: April 2022

The frequency of Genital TB is 0.69% in evolved nations and 19% in non-industrial nations. The fallopian tube is most regularly influenced followed by endometrium and cervix. It is optional to TB concentrate somewhere else in body brought about by Mycobacterium Tuberculosis. History of essential fruitlessness in a lady whose assessment uncovers no evident reason and gives family ancestry or individual history of TB emerges doubt of genital TB. 1: To study the prevalence rate and risk factors for endometrial TB in infertile females; 2: To study clinical and reproductive profile of women diagnosed with endometrial TB; 3: To study the importance of CB NAAT over other diagnostic tests in diagnosing TB.Hospital based cross sectional study done on 100 subjects for one and a half year (June 2017 to July 2019).Labour room. Minor OT. OPD 2-5 ml endometrial fluid was retrieved on day 1/2 of menses using pipelles cannula. It was transferred to falcon tube and CB NAAT analysis was done using cartridge.Out of 100 cases, 4 were detected to be positive for endometrial TB. Out of them, 3 fell in age group of 30-39 years; all belonged to upper middle socioeconomic status. 3 cases had achieved menarche at &#62;14 years of age and one had oligomenorrhoea.Number of patients testing positive for endometrial TB by CB NAAT Culture.Genital TB is a major cause of infertity and is generally underestimated because of asymptomatic nature of infection and diagnostic challenges. Large multicentric studies are needed to estimate the magnitude of female genital TB. Our study confirmed the usefulness of CB NAAT compared to Chest X-ray and smear microscopy for early diagnosis of suspected endometrial TB. Its simplicity, sensitivity, speed and automation makes this technique a very attractive tool for diagnosis of mycobacterial TB.
Neuro-development of high-risk newborns- An experience from rural tertiary care center of Western India
Authors: Modi Prashant , Pathak Sunil , Kanara Devangi , Rasania Manish , Shah Manasi , Patel Shailee 
Published: April 2022

Neurodevelopment of an infant is affected by various factors like birth weight, perinatal events, environmental factors, psychosocial, socioeconomic condition, genetic, racial and nutritional factors, and hypoxic ischemic Encephalopathy following perinatal Asphyxia. Timely and appropriate intervention can modify many of these disabilities.: To assess the neurodevelopmental outcome of high-risk neonates discharged from NICU. 80 Babies, discharged from NICU were followed up to the one year, and their Neurodevelopment assessment was done at 6 and 12 months of age by using DASII. Babies were diagnosed as delayed development if development quotient of &#60; 70% was found. Associated risk factors like birth weight, gestational age at birth, perinatal events and course during NICU stay were analyzed.: Mean DMoQ and DMeQ and overall DQ at 6 month were 81%, 82%, 81.5% and at 12 months of age 85%, 86%and 85.5% respectively. Out of 80 patients, 16(20%) babies had development delay at 6th months and 10(12.5%) at 12 months. 16(20%) babies with delayed development at 6 months had DMoQ 46.2+14.7, DMeQ 42.7 +13.8 and Mean DQ of 44.5 +14.3. 10(12.5%) babies with delayed development at 12 months had DMoQ 65.5+15.5, DMeQ 61.6+16.5 and mean DQ of 63.5 +14.1. 9 out of 10 babies having delayed development at 12 months had birth asphyxia at birth. : We concluded that Incidence of neurodevelopment delay among high-risk infant is significantly high in babies with birth asphyxia, HIE and seizure. An appropriate follow-up program is helpful in early detection of development delay.
Thyroid dsyfunctions in down’s syndrome
Authors: Wagh Prashant S , Kashyape Subhash , Wagh Swati 
Published: April 2022

Down’s syndrome is one of the common chromosomal abnormalities seen. Also means yes having thyroid dysfunctions would be better than neonatal having thyroid dysfunction. The patients having Down’s syndrome are having thyroid dysfunction and the children having down’s syndrome are at higher risk to have thyroid dysfunction and these children are having both the hypothyroidism and hyperthyroidism. The present study aims at identifying the thyroid dysfunctions among the patients having Down’s syndrome. : The present study is an observational study which is being conducted in tertiary care hospital from March 2018 to June 2019. In this study 80 neonatal having Down’s syndrome were being examined and the thyroid function tests are being performed on the patients for identifying the prevalence of thyroid dysfunction in patients with Down’s syndrome. The patients are being selected on the basis of inclusion and exclusion criteria. In the present study it is being found that 56% of the patients were having normal thyroid function and 44% were having abnormal thyroid function. TSH value of the patients having abnormal thyroid function is significantly higher as compared to the patients having normal thyroid function. The mean of FT3 (pg/ml) among the patients having normal and abnormal thyroid function was found to be 2.9±0.4 and 2.5±0.9 respectively and the mean of FT4 (pg/ml) among the patients having normal and abnormal thyroid function was found to be 14.9±8.4 and 2.5±0.9 respectively 13.5±7.9. The study concluded that there is a significant impact of down syndrome on the thyroid function and the patients having down syndrome are at higher risk of thyroid diseases as it is found that the patients having down syndrome are having abnormal thyroid function and higher TSH value.
Effect of lockdown on children during COVID-19 pandemic–A cross-sectional study
Authors: Sahoo Bishnupriya , Varshney Mohit , Khurana Ruparna , Kumar Guresh , Dhingra Himani , Richa  , Yadav Daksh , Kaur Jasleen , Kapur Satyakiran , Abrol Pankaj 
Published: April 2022

: COVID-19 infection and the pandemic have crippled the global life. Direct effects of infection and its severity among children were yet to define, but its indirect effects and associated consequences were significant but largely unknown. Aim of the current study was to address the impact of lockdown on food attitude, physical activity, sleep pattern, functionality and anxiety level among children of 6-18 years age. Cross sectional study was conducted by the help of web based performa circulated to the parents as survey. It was a predesigned structured questionnaire based upon the published study in relation to sleep, food habit, anxiety, physical activity and overall wellbeing. Total 206 children were enrolled, with mean age of 11.54 ± 4.2 years. They grouped as those below 10yrs and 10 or above and the body weight as normal against overweight or obese. 70% of children were 10 or more and 20% being overweight or obese. The bad eating habits [AFHC, OR], poor physical activity [UKPAQ, OR] and severe anxiety [GAD-7, OR] is significantly affected among the overweight or obese group (p&#60;0.01). Children of ≥ 10 years group showed poor physical activity [OR, p 0.05]. Parenteral concern was noted in. Presumption of less vulnerability of children to COVID-19 needs a revision. During lockdown the poor physical activity, higher anxiety, and unhealthy diet pattern were significantly observed. Its emphasized to develop and adopt holistic approaches to guide our young generation during this uncertain COVID-19 pandemic or similar situations in future.