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Authors: Administrator Site , Osio-Salido Evelyn 
Published: February 2022

Dr. Lourdes A. Manahan Batch 1943 of the University of the Philippines College of Medicine laid the groundwork for the subspecialty of Rheumatology in the Philippines in the 1960s. She established the Section of Rheumatology in 1971, now known as the Division of Rheumatology of the Department of Medicine of the University of the Philippines Manila - Philippine General Hospital.
During those early years, as the only rheumatologist in the country, she multitasked as clinician, teacher, researcher and mentor. She represented the country in various international forums, putting the Philippines and the University of the Philippines in the international Rheumatology community.
In 1981, a formal two-year fellowship program in rheumatology at PGH was established, the first of its kind in the Philippines. From there, the Section of Rheumatology grew by one trainee every 3-5years, By the late 1980, the section had graduated five rheumatologists, all of whom stayed in the country to render service. On its 50th year, the Division which was started by two rheumatologists has produced more than 80 astute specialists to serve patients with rheumatic diseases throughout the country. Its continuing patient advocacy has led to various programs and publications targeted to improve the lives of patients. Its contribution in the field of research has been recognized in local and international venues. It is recognized as, and will continue to be, a significant contributor to the growth of Rheumatology in the Philippines in decades to come.
We hope to honor the legacy of Dr. Lourdes Manahan through this special issue. The Division is eternally grateful for the passion for teaching, service, and research of Professor Clemente Amante and Professor Ester Gonzales-Penserga who continue Dr. Manahan’s work. To my colleagues in the Division, Professor Bernadette Heizel Manapat-Reyes, Professor Michael Tee, Associate Professor Jose Paulo Lorenzo, Associate Professor Eric Jason Amante, Associate Professor Angeline-Therese Santiago, and Associate Professor Geraldine Zamora, the challenge to keep the fire burning lies with us. To all who train and trained in the Division and contribute to the research we share, congratulations!

Prof. Evelyn Osio-Salido, MD, MSc Chair, Division of Rheumatology Department of Medicine College of Medicine and Philippine General Hospital University of the Philippines Manila
Interventions for Instrumental Activities of Daily Living Among Adults With Multiple Sclerosis: A Systematic Review
Authors: Cunningham Rebecca , Uyeshiro Simon Ashley 
Published: February 2022

Abstract
Importance: Occupational therapy practitioners need updated information about interventions that may improve or maintain functional changes in instrumental activity of daily living (IADL) engagement caused by multiple sclerosis (MS).
Objective: To conduct a narrative synthesis of updated evidence on interventions within the scope of occupational therapy to improve or maintain performance of and participation in IADLs among adults with MS.
Data Sources: CINAHL, MEDLINE in PubMed, Cochrane, OTseeker, and PsycINFO.
Study Selection and Data Collection: This systematic review followed the Cochrane Collaboration methodology and is reported according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines for conducting a systematic review. Inclusion criteria were Level 1 or 2 evidence, published in English, published from January 2011 to December 2018, intervention within the occupational therapy scope of practice, and at least one IADL outcome measure.
Findings: Nineteen randomized controlled trials (including pilot and feasibility trials) and 1 preintervention–postintervention study met inclusion criteria. Results of this review show strong strength of evidence for coaching interventions in addressing physical activity (PA) routines and moderate support in addressing medication routines. Moderate strength of evidence was found with mixed results for interventions involving coaching plus prescribed PA in improving PA participation.
Conclusions and Relevance: This systematic review supports occupational therapy practitioners addressing PA and medication health management and maintenance IADLs through the use of coaching interventions when treating people with MS. Other IADLs were addressed by the articles in this review but require more evidence to make clinical recommendations.
What This Article Adds: Occupational therapy practitioners’ skills in promoting habits and routines paired with utilization of evidence-supported coaching interventions can support independence with health management and reduce the negative impact of MS on daily activity participation.
Home-Based Exercise to Habitual Physical Activity Strategies for Elderly with Sarcopenia: A Literature Review
Authors: Ni Kadek Yuni Fridayani  , Yuliana Restu Tulak  , Cheuk Hin Ho  
Published: February 2022

Background: Sarcopenia’s definition are low muscle strength, low muscle quantity or quality, and low muscle performance. Several studies have found that skeletal mass can decrease as a result of a lack of physical activity and it along have to increase risk of adverse outcomes including falls, frailty, disability, morbidity and mortality. Exercise interventions is the most effective strategy for increasing the skeletal muscle mass and maintain functional independence of elderly people. In this review will discuss about how physical activity be a habitual exercise that less cost and easy to do, will be home based exercise for elderly people with sarcopenia to decrease of exacerbate.
Methods: The literature had selected studies from the following databases: PubMed, Google Scholar and PEDro. We explored evidence which relevant topic using the following database with keyword ‘sarcopenia and pre-sarcopenia’, ‘exercise for sarcopenia and pre-sarcopenia’, 'home-based exercise’, ‘physical activity for elderly’, ‘elderly with sarcopenia’ and selection by inclusion and exclusion criteria.
Results: Four studies were corresponded with home exercise-based habitual physical activity for people with pre sarcopenia and prevent sarcopenia which have been analyzed as results of the study. The habitual physical activity that can be home based exercise for prevent decreasing of muscle mass in elderly people are exercise snacking, stretching exercise, walking and tele exercise. All of the exercises showed significantly increased muscle mass and were easy to do, and those safety. The easiest is exercise snacking, but stretching exercise and walking around are more effective to increase the muscle mass and muscle strength compared to exercise snacking along.
Conclusion: Sarcopenia can be prevented in older adults with in home-based exercise from habitual physical activity such as exercise snacking, stretching exercise, walking around, and tele-exercise.
The Effectiveness of Core Stability Exercise to Improve Functional Ability in A Lumbar Herniated Nucleus Pulposus Patient: A Case Study
Authors: Denny Pratama Aditya , Muhamad Elfitra Salam  
Published: February 2022

Background: Hernia Nucleus Pulposus (HNP) is a condition in which the nucleus pulposus has bulged from the intervertebral disc, consequently damages the walls of the annulus fibrosus and compresses the nerves. Clinical problems such as radiating pain, sensory disturbances according to dermatomes, muscle weakness, restricted range of motion, especially during flexion, and decreased functional ability. Core stability exercise is one of the physiotherapy treatments to reduce pain and improve the patient's functional ability with lumbar HNP. The purpose of this study is to determine the effectiveness of core stability exercise on increasing functional ability in cases of lumbar HNP with Modified Oswestry Low Back Pain Disability Questionnaire as a parameter. Methods: A single case study provided a physiotherapy intervention to a 56-year-old female patient for four weeks with four evaluations. The dose of exercise given was three times a week, three sets, five repetitions, 6-9 minutes of each type of exercise, and hold time 5-10 seconds. The improvement of functional ability is measured by using the Modified Oswestry Low Back Pain Disability Questionnaire.
Results: There was an improvement in functional ability as measured by Modified Oswestry Low Back Pain Disability Questionnaire. At pre-intervention, the Modified Oswestry score was 52% meaning the patient had severe disability. On the 4th week evaluation, the patient's Modified Oswestry score decreased to 26%, indicating moderate disability.
Conclusion: This study showed that core stability exercise effectively improved functional ability in a patient with lumbar HNP.
The The Relationship of Leg Muscle Strength on Dynamic Balance among Elderly
Authors: Kadek Liza Widya Astari  , I Putu Prisa Jaya  , I.A Pascha Paramurthi  
Published: February 2022

Background: Elderly is someone who has reached the age of 60 years and over. Along with increasing age, a person will experience physical changes in the musculoskeletal system, which causes a decrease in the number of muscle fibers and muscle mass. This can result in a decrease in muscle strength, especially in the leg muscles, which is one of the factors that can affect the balance of the human body. The decreased dynamic balance will result in the risk of injury in the elderly.
Objective: The aim of this study was to prove the relationship of leg muscle strength and dynamic balance in the elderly.
Methods: The design of this study was a cross sectional study conducted in April 2021 with a population of all elderly people in Banjar Jasan, Desa Sebatu, Kecamatan Tegalalang, Kabupaten Gianyar, that met the inclusion and exclusion criteria, so that 46 samples were obtained. Measurement of muscle strength using a Leg Dynamometer and dynamic balance using the TUG test. Data analyzed using computer software, namely the Pearson test to determine the relationship of leg muscle strength and dynamic balance.
Results: The results showed that from 46 elderly there was a relationship of leg muscle strength and dynamic balance using the Pearson test with p results of 0.001 (p < 0.05) with a correlation coefficient of -0.819 (r > 0.05) which indicates a very strong correlation.
Conclusion: It can be concluded that there is a very strong and negative relationship between leg muscle strength and dynamic balance in the elderly.
Physiotherapy Management on Anterior Cruciate Ligament (ACL) Reconstruction: A Case Report
Authors: Ketiga Pande Komang Ute , Putra Ferdi Perdana 
Published: February 2022

Introduction: Anterior Cruciate Ligament (ACL) is one of knee’s ligaments that serves as a passive stabilization of the knee joint, to prevent excessive anterior tibia translation. On the medical management of an ACL tear, will be reconstructed with a surgical procedure, to graft the ACL using tendon tissue to restore joint fixation and stabilization, this surgery can be done with arthroscopy. In the post-reconstruction conditions, appropriate physiotherapy management is needed to reduce the risk of complications such as swelling, decreased joint range motion, muscle weakness, decreased balance and functional activity. Therefore, in this case, we discuss the early management of physiotherapy in cases of ACL reconstruction.
Case Report: The patient was a male of 25 years who suffered a complete tear of the right ACL. He underwent an arthroscopically aided reconstruction 2 weeks after the injury with hamstring autograft. After 1 weeks, he visited the physiotherapy clinic and at the time had trouble bending and straighten the knee, his thigh muscles seemed to shrink, and difficulty to walk. Rehabilitation is carried out one session a day, six days a week, included exercise to improve ROM, strength, and gait training.
Conclusion: This case suggests the exercise program provided can increase the range of motion of the knee joint after ACL reconstruction. Results of this case suggest a need for continued research with a larger group of patients with long-term evaluation is necessary to evaluate the safety and efficiency of exercise program in this case.
The Correlation of Body Mass Index and Physical Activity on Cardiorespiratory Endurance among Elderly
Authors: Dharma I Kadek Dwi Widhi , Jaya I Putu Prisa , Prianthara I Made Dhita 
Published: February 2022

Background: Elderly is assumed as a person who has been at the age of 60 and will be some alterations, physical alteration in term ages. The physical alteration that is commonly found in the elderly is a condition of the body mass index that will not be taken care of optimally due to the degenerative factor.
Purpose: This study is aimed at proving the relation of body mass index towards the cardiorespiratory endurance along with the relation of physical activities towards the cardiorespiratory endurance.
Methods: The study design was cross sectional with the population of the elderly in Banjar Alas Arum in which they qualified the inclusion and exclusion criteria. From the elderly that had been selected by means of purposive sampling, it was obtained 48 samples. The BMI was measured by formula calculation. The physical activity level was measured by the International Physical Activity Questionnaire and the cardiorespiratory endurance used 6 minutes walking test. The data were analyzed by software computer which was Somers’ D test.
Results: The result of this study showed that by 48 the relation of BMI towards the cardiorespiratory endurance showed that the result of p was 0.000 (p<0.05). Concerning on the relation of physical activities towards the cardiorespiratory endurance shown that the result of p was 0.000 (p<0.05).
Conclusion: It can be concluded that there is a significant relation in this study.
IMPACTO MUNDIAL PSICOLÓGICO DA PANDEMIA CORONAVÍRUS EM DENTISTAS NA PRÁTICA CLÍNICA PRIVADA
Authors: Coutinho Jôobeya , Boehm Francielly Censi , Avelino Cintia Aparecida Santana , Aquino Maria Vanderlandia Mendes Bezerra , Gomes Tatiane Cristina Albino , Cavalero Clara , Tanaka Caio Junji 
Published: February 2022

Os estados de emergências na saúde pública têm um impacto sobre a saúde mental da população. O surto do novo coronavírus (COVID-19) afetou o mundo todo de forma psicológica, economica, educacional e política. O objetivo deste estudo foi relatar questões que envolvem os impactos psicológicos nos cirugiões dentistas em contextos pessoais, familiares, financeiros e profissionais, de modo a compreender a nova realidade durante a pandemia da COVID-19. A revisão abrangeu toda a literatura até agosto de 2021; sendo incluídos estudos mais relevantes. Com base na revisão da literatura, pode-se concluir que o profissional da odontologia teve grande impacto na vida pessoal e profissional, sendo abalados emocionalmente desde o início da pandemia até os dias atuais. A resiliência, o autocuidado e a interação com profissional da mesma área é fundamental neste momento para que o dentista estabeleça estratégias e permaneça atuante nos atendimentos odontológicos de seus pacientes. O aconselhamento psicológico profissional lhe dará a liberdade de expor suas angústias, medos e preocupações em meio à pandemia que o mundo está vivendo.
SÍNDROME DE DOWN E O DESENVOLVIMENTO PEDAGÓGICO
Authors: Duarte Elisangela Evangelista 
Published: February 2022

Este artigo tem por objetivo explanar sobre a Educação Especial/Inclusão e a Síndrome de Down e seus aspectos, de forma que irá demonstrar resultados de estudos realizados em artigos, sites acadêmicos e livros, para a elaboração do referido. Após a leitura deste, o leitor compreenderá como foi a história da Educação Especial/Inclusão e seus objetivos, trazendo para o leitor uma rápida leitura e compreensão de como foi o decorrer de sua história no Brasil, quando ocorreu e as leis criadas para a inclusão de pessoas com deficiências físicas, psicológicas e o que trouxe em benefício para as pessoas com necessidades especiais, sejam elas permanentes ou não, também será citado escolas onde as pessoas com necessidades especiais em geral poderão encontrar atendimento pelo país. Durante a elaboração do trabalho foi realizada leituras em livros especializados em Síndrome de Down, que será relatado a história da Síndrome de Down, como foi descoberta, quais suas semelhanças físicas para perceber uma pessoa com a Síndrome, que não é uma doença e sim uma mudança genética, que não tem cura e não é transmitida e sim uma mutação genética chamada de Trissomia do 21, ou síndrome de Down. Ao término do trabalho, todas as questões levantadas serão respondidas de forma clara e objetiva, levando ao leitor uma compreensão do título proposto neste trabalho como também o incentivando a procurar saber mais sobre o assunto tão importante que faz parte do nosso dia a dia.
ESTADO E EDUCAÇÃO PÚBLICA
Authors: Rosa Denise Lustosa Marcondes 
Published: February 2022

Este estudo pretende abordar dentro da concepção do materialismo histórico, os fundamentos que balizam as políticas educacionais dentro do estado brasileiro, estado este de cunho capitalista, dependente, autoritário e máximo. Máximo para o capital.Para tanto é necessário situar as origens deste Estado e analisar contextos em que se formaram suas especificidades, e qual a finalidade de sua manutenção, afim de compreender seu papel dentro da economia global, e a qual o projeto de sociedade a educação pública se sujeita na busca de atender os anseios do capital internacionalizado.
BREVE ESTUDO SOBRE A LEI 11.340/2006 – LEI MARIA DA PENHA
Authors: Peres Rafaela Espinosa , Sousa  Keilor Dasilva de , Pereira Thiago Vieira da Cunha 
Published: February 2022

O presente artigo aborda a Lei 11.340/2006, conhecida popularmente como Lei Maria da Penha. Preliminarmente foi abordado o aspecto histórico partindo de sua motivação inicial, quando na oportunidade o Brasil foi compelido pela OEA a buscar mecanismos de controle da violência doméstica, cenário que ensejou a promulgação da lei em estudo. Superado o debate histórico, o artigo passa a apontar aspectos importantes da referida lei, dando ênfase ao procedimento especial aplicado aos crimes relacionados a temática, além das atualizações mais recentes e suas implicações no mundo jurídico. Por fim, o presente aborda ainda, alguns pontos que geraram controvérsias no mundo jurídico, inclusive com posterior formulação de súmulas, pelos Tribunais Superiores sobre os aludidos temas.
INFLUÊNCIA DA AUTORREGRA DE ADAPTAÇÃO SITUACIONAL PARA A VIDA DO INDIVÍDUO IMPACTANDO NO SETOR ORGANIZACIONAL DO TRABALHO
Authors: Oliveira Fabiana Gilda Maria de 
Published: February 2022

O foco principal deste artigo é refletir sobre o impacto da elaboração de novas regras adaptativas na vida do indivíduo. Este artigo tem como objetivo repercutir sobre a influência de regras com flexibilidade em mudanças perante as situações problemas exprimindo no contexto organizacional do trabalhador. Realizou-se uma pesquisa bibliográfica considerando as contribuições de autores como BANHATO (2019), CAVALHEIRO (2011), SANZOVO (2007), entre outros, procurando ressaltar a relevância em analisar que dependendo de quais são as auto- regra que o trabalhador tenha fixado poderá influenciar no seu desenvolvimento com o trabalho e também em sua saúde mental. Conclui-se a pertinência de analisar o desenvolvimento no trabalho com uma percepção ampla, dando ênfase a todos os setores da vida do indivíduo em que consiste como biopsicossocial, levando em consideração que estão articulados.
O CONHECIMENTO ACERCA DAS INFECÇÕES SEXUALMENTE TRANSMISSIVEÍS POR UNIVERSITARIOS
Authors: Santos Tiago de Andrade , Oliveira Valdira Viera de 
Published: February 2022

Introdução: As infecções sexualmente transmissíveis (IST) são patologias causadas por microrganismos, cuja principal via de transmissão é o sexo desprotegido seja ele oral, anal ou vaginal. Objetivo: levantar informações atuais sobre o conhecimento de jovens/adultos universitários acerca das infecções sexualmente transmissíveis. Metodologia: trata-se de uma revisão de literatura integrativa, na qual foi feito uma síntese de vários estudos já publicados, por meio de busca on-line das produções cientificas publicadas no período de 2014 a 2019. Baseadas na pergunta: “Qual o conhecimento acerca das IST´s por jovens/adultos universitários?”. Resultados: Os oitos artigos selecionadas atenderam aos critérios de inclusão e estão assim distribuídos: cinco na base BDENF; dois na Lilacs e um na Medline. Apesar de os estudantes obterem maior conhecimento acerca riscos da exposição a IST’s, visto o nível da escolaridade e acesso à informação, continuam se envolvendo em comportamentos inadequados, pois subestimam a probabilidade de serem infectados, pois compreendem-se imunes e não se identificam dentro de grupos de risco. Considerações finais: A pesquisa verificou que os jovens universitários possuem conhecimento em relação às infecções abaixo da média, evidenciando lacunas no conhecimento e justificando a importância de ações de educação em saúde.
REPRESENTAÇÕES DA CULTURA BUSHIDÔ EM GHOST OF TSUSHIMA
Authors: Rangel Matheus 
Published: February 2022

O objetivo principal deste artigo é analisar as representações da cultura do Bushidô no videojogo Ghost of Tsushima, além de identificar as vantagens das implicações da utilização dos videojogos no ensino de História. Para tanto, considera-se comparar os elementos do game com os materiais bibliográficos referentes à filosofia e código de ética samurai.
Erratum to: Bloss JE, LePrevost CE, Cofie LE, Lee JGL. Creating information resources and trainings for farmworker-serving community health workers. J Med Libr Assoc. 2022;110(1):113–118. DOI: https://doi.org/10.5195/jmla.2022.1272.
Authors: Bloss Jamie E 
Published: February 2022

The following funding disclosure was left out of the manuscript during the submission and production process. The original manuscript has been updated to include this statement.
FUNDING STATEMENT
Research reported in this publication was supported by the National Library of Medicine of the National Institutes of Health under Award Number G08LM013198. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health.
HUBUNGAN POLA MAKAN, AKTIVITAS FISIK, DAN CITRA TUBUH DENGAN STATUS GIZI LEBIH PADA REMAJA PUTRI DI SMA NEGERI 3 TAMBUN SELATAN
Authors: Damayanti Erina Rizky 
Published: February 2022

Masa remaja merupakan masa terjadinya perkembangan dan pertumbuhan dari aspek fisiologis, psikologis, dan sosial pada masa anak-anak menuju dewasa serta masa remaja rentan akan masalah gizi lebih karena adanya ketidakseimbangan antara asupan makan dan pengeluaran energi melalui aktivitas fisik. Ketidakpuasan akan citra tubuh menjadi perhatian khusus pada remaja putri untuk mengontrol berat badan. Penelitian ini bertujuan untuk mengetahui hubungan antara pola makan, aktivitas fisik, dan citra tubuh dengan status gizi lebih pada remaja putri di SMAN 3 Tambun Selatan. Penelitian menggunakan desain cross sectional dengan metode uji chi-square. Penilaian pola makan dilakukan menggunakan SQ-FFQ, aktivitas fisik dilakukan menggunakan PAL dan citra tubuh dilakukan menggunakan BSQ-16 serta pengukuran antropometri meliputi berat badan dan tinggi badan kepada 58 remaja putri. Hasil analisis menunjukkan bahwa pola makan (p=0,014), aktivitas fisik (p=0,023), dan citra tubuh (p=0,000) memiliki hubungan terhadap status gizi lebih remaja putri (p<0,05). Hal ini menunjukkan bahwa ada hubungan antara pola makan, aktivitas fisik, dan citra tubuh dengan status gizi lebih pada remaja putri SMAN 3 Tambun Selatan.

Kata Kunci : Remaja Putri, Pola Makan, Aktivitas Fisik, Citra Tubuh, Status Gizi Lebih.