Cuestiones de Fisioterapia
type: channel
description: IMPORTANT NOTICE: Manuscript Submission and Editorial Contact Researchers and authors are invited to submit their articles through email. For submissions and all editorial inquiries, contact: cuestionesdefisioterapia.editor@gmail.com Communication email for Cuestiones de Fisioterapia is: editor@cuestionesdefisioterapia.com , So, we inform you to communicate through this given email only. Sending communication to any other email id will not be considered for enquiries or submissions. The journal CUESTIONES DE FISIOTERAPIA journal publisher is a organization that produces and distributes scientific journal focused on various aspects of medicine, healthcare, and life sciences. The journal CUESTIONES DE FISIOTERAPIA play a crucial role in disseminating research findings, reviews, and editorials to the medical community, academia, and industry professionals. The journal CUESTIONES DE FISIOTERAPIA - online journal with open access options - Manage the peer-review process to ensure manuscript quality and validity - Work with editors, reviewers, and authors to improve manuscript quality - Provide indexing and abstracting services to increase journal visibility - Maintain ethical standards and publication integrity - Offer reprints, permissions, and licensing services - Keep up with industry trends, technological advancements, and changing research landscapes The journal CUESTIONES DE FISIOTERAPIA specialize in specific Physician therapy or cover a broad range of topics, contributing to the advancement of social science knowledge. NOTE: Please be aware that Cuestiones de Fisioterapia does not guarantee indexing of any kind. Indexing is entirely at the discretion of the indexing authorities and not the publisher. Our responsibility as publishers is to maintain high standards of publication quality, but the ultimate decision on indexing lies with the indexing agencies. Additionally, the Article Processing Charges (APC) are a one-time fee for editing, reviewing, and publishing …
publisher: SOFIA
language: en
publication name: Cuestiones de Fisioterapia
issn: 1135-8599
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items: Thyroid Dysfunction and Limb Muscle Strength in Elderly Patients: A Review of Sarcopenia, Myopathy, and Functional Assessment
items: Emerging Noninvasive Biomarkers for Portal Hypertension: The Role of Right Liver Lobe Diameter/Albumin Ratio and APRI in Predicting Esophageal Varices and Bleeding Risk
items: STEMI in Egypt: From Risk Factors to Reperfusion:An Updated Review of National Evidence
items: Occupational Neurobehavioral and Respiratory Health Effects among Printing Press Workers: A Comprehensive Review
items: THE ROLE OF DATA ANALYTICS IN ENHANCING E-COMMERCE REVENUE PERFORMANCE IN THE U.S.
items: MACHINE LEARNING MODELS FOR PREDICTING PATIENT OUTCOMES IN INTENSIVE CARE UNITS: A CASE STUDY IN U.S. HOSPITALS
items: ACCOMMODATION PREFERENCES AND RENTAL CHALLENGES IN URBAN DHAKA: A MIXED-METHODS STUDY
items: ADVANCING US CRITICAL INDUSTRY SUPPLY CHAIN THROUGH AI AND MACHINE LEARNING-DRIVEN LOGISTICS, RISK MITIGATION, AND OPERATIONAL EXCELLENCE
items: MACHINE LEARNING-BASED PREDICTION OF FUNCTIONAL RECOVERY IN STROKE PATIENTS USING PHYSIOTHERAPY AND CLINICAL ASSESSMENT DATA
items: AI-DRIVEN REHABILITATION MONITORING SYSTEM FOR REAL TIME EVALUATION OF POST-STROKE PHYSIOTHERAPY OUTCOMES
items: Fixed-Dose Herbal Extracts for Symptomatic Knee Osteoarthritis: Effectiveness and NSAID-Sparing Benefits
items: Functional Outcome of Modified Tension Band Wiring in Displaced Transverse Patellar Fractures: A Prospective Observational Study
items: In Silico Molecular Docking Analysis of Carrageenan Against Oral Pathogenic Proteins
items: The Multi-Dimensional Impact of Problematic Smartphone Usage on Physical, Psychological, and Academic Wellbeing: A Comprehensive Literature Review
items: ESTIMATION THE PATHOGENESIS OF ENTEROBACTER CLOACAE ISOLATED FROM HIGH VAGINAL SWAB IN PREGNANT WOMEN
items: EVALUATION OF ANTIBACTERIAL AND HEAMOLYTIC ACTIVITY OF MELALEUCA ALTERNIFOLIA
items: Phytochemical Profiling and In Vitro Evaluation of the Antioxidant Potential of Carica Papaya Leaf Extracts
items: Modern Endoscopic Management of Sellar and Suprasellar Pathologies: Anatomy, Technique, and Evidence-Based Outcomes
items: In Vitro Anti-diabetic Activity of Clove and Lemongrass Extract-Mediated Strontium Nanoparticles
items: CHITOSAN AND ZINC OXIDE NANOPARTICLE BASED GUIDED TISSUE REGENERATION MEMBRANE PREPARATION AND ITS CHARACTERISATION
items: Evaluation of cytotoxic and anti-migratory potential of Aegle marmelos fruit extract on osteosarcoma cell line
items: Motor-Preserving Analgesic Strategies After Total Knee Arthroplasty: Evolving Roles of Genicular Nerve and Adductor Canal Blocks
items: Occupational Respiratory, Auditory, and Musculoskeletal Disorders among Workers in Food Processing Industries: Exposure Risks, Health Outcomes, and Preventive Strategies
items: Awareness of Breast Cancer and Mammography Among Women: A Comprehensive Public Health Review of Determinants, Barriers, and Screening
items: Occupational Respiratory and Auditory Health Hazards Among Concrete Industry Workers: A Comprehensive Review of Exposure, Pathophysiology, and Prevention
items: Different extractions and their impact on bioactive potentials of leaf extracts of Solanum trilobatum against oral pathogens
items: Effect of pH cycling on the marginal integrity of Glass Ionomer Cement - An invitro study
items: Irrigation techniques in endodontics - An overview
items: Comparison of silk sutures vs vicryl sutures in 3rd molar surgery
items: Antibacterial activity and hemocomptability of gelatin and metal oxide for wound healing applications

Thyroid Dysfunction and Limb Muscle Strength in Elderly Patients: A Review of Sarcopenia, Myopathy, and Functional Assessment
type: item
description: Background: Thyroid dysfunction is highly prevalent among older adults and represents an important yet frequently underrecognized contributor to musculoskeletal impairment, frailty, and functional decline. Thyroid hormones exert essential regulatory effects on skeletal muscle metabolism, mitochondrial activity, protein turnover, and neuromuscular function. Both hypothyroidism andhyperthyroidism have been associated with characteristic myopathic changes that may adversely
subject: Original
  topic: section
subject: Thyroid Dysfunction, Limb Muscle Strength, Elderly Patients
  topic: keywords
creator: Alshabrawy Mohammed Mahmoud, Emam Mohammed Mohammed Esmayel , Daia Abdelaaty Said , Reda Mohammed Khodry Mohammed
rights: Copyright (c) 2026 https://creativecommons.org/licenses/by/4.0/deed.en
date: 2024-11-20
publication date: 2024-11-20
starting page: 7735
ending page: 7746
doi: 10.48047/q3r9cq60

Emerging Noninvasive Biomarkers for Portal Hypertension: The Role of Right Liver Lobe Diameter/Albumin Ratio and APRI in Predicting Esophageal Varices and Bleeding Risk
type: item
description: Background: Portal hypertension is a major consequence of liver cirrhosis and is strongly associated with the development of esophageal varices (EV) and variceal hemorrhage, which remain important causes of morbidity and mortality in cirrhotic patients. Early detection and risk stratification of EV are essential for preventing life-threatening bleeding
subject: Original
  topic: section
subject: Portal Hypertension, Esophageal Varices, APRI Score
  topic: keywords
creator: Mahmoud Abdou Ahmed Ashour , Amr Talaat Mohamed Elhawary , Amr Mohamed Ali Abdelmotelb , Ibrahim Mahmoud Mohamed Eladl
rights: Copyright (c) 2026 https://creativecommons.org/licenses/by/4.0/deed.en
date: 2024-11-20
publication date: 2024-11-20
starting page: 7721
ending page: 7734
doi: 10.48047/33wc1n53

STEMI in Egypt: From Risk Factors to Reperfusion:An Updated Review of National Evidence
type: item
description: Background: ST-segment elevation myocardial infarction (STEMI) remains one of the leading causes of cardiovascular morbidity and mortality worldwide despite substantial advances in prevention, diagnosis, and reperfusion therapies. Significant regional variations exist in STEMI epidemiology, risk factor profiles, clinical presentation, treatment strategies, and outcomes. Egypt, as the most populous country in the Middle East and North Africa region, faces a substantial burden of cardiovascular disease
subject: Original
  topic: section
subject: ST-Segment Elevation Myocardial Infarction, Epidemiology, Clinical Characteristics
  topic: keywords
creator: Moataz A. Elkot , Muhammad Wafaie Aboleineen , Ahmed Shawky Shereef , Basel Hatem Saadel Din Muhammad
rights: Copyright (c) 2026 https://creativecommons.org/licenses/by/4.0/deed.en
date: 2024-11-20
publication date: 2024-11-20
starting page: 7736
ending page: 7752
doi: 10.48047/hf98ca72

Occupational Neurobehavioral and Respiratory Health Effects among Printing Press Workers: A Comprehensive Review
type: item
description: Background: The printing industry remains an important occupational sector worldwide, employing millions of workers who are routinely exposed to a wide range of hazardous agents throughout pre-press, press, and post-press operations. Printing press workers encounter multiple occupational exposures, including volatile organic compounds, heavy metals, particulate matter, paper dust, adhesives, ultraviolet-curable compounds, excessive noise, heat, and ergonomic stressors. A
subject: Original
  topic: section
subject: Occupational, Neurobehavioral, Respiratory Health Effects, Printing Press Workers
  topic: keywords
creator: Sahar Abou El Magd Abou El Magd, Raghda Ali Abdelkhalek , Soad Abdelazeem Hassan , Heba Ahmed Abdelsalam
rights: Copyright (c) 2026 https://creativecommons.org/licenses/by/4.0/deed.en
date: 2024-11-20
publication date: 2024-11-20
starting page: 7721
ending page: 7735
doi: 10.48047/c3gtv675

THE ROLE OF DATA ANALYTICS IN ENHANCING E-COMMERCE REVENUE PERFORMANCE IN THE U.S.
type: item
description: This study explores the growth potential of e-commerce in driving U.S. revenue through a data-driven approach. It examines how technological innovations, changing consumer behavior, mobile commerce, and artificial intelligence (AI) are transforming online shopping. Special focus is given to Gen Z and Millennials, who prefer convenience, mobile-based shopping, personalized recommendations, and the ability to purchase from anywhere. Leading platforms like Amazon and Shopify leverage augmented reality (AR), virtual reality (VR), voice shopping, subscription models, and AI-driven recommendation systems to enhance customer engagement and revenue. The research employs data analytics tools, including word clouds, Voyant tools, concordance analysis, and machine learning models such as Random Forest, LSTM, Support Vector Regression, Isolation Forest, and Convolutional Neural Networks. These methods analyze customer behavior, detect anomalies, forecast trends, and generate personalized suggestions. Historical and projected data from sources like Neural Information Processing Systems and the Cognitive Science Society (1987–2027) indicate that U.S. e-commerce revenue grew from $586.9 billion in 2019 to $792 billion in 2020, with projections reaching $1.5 trillion by 2026. Random Forest excels in classification tasks, while LSTM effectively predicts future trends. Despite challenges such as cybersecurity, logistics, and trust concerns, AI-driven e-commerce demonstrates strong potential to sustain economic growth, enhance the shopping experience, and integrate online and in-store options efficiently. The study concludes that combining data analytics and machine learning can significantly improve decision-making, optimize customer engagement, and strengthen long-term e-commerce performance in the U.S. by combining online and in-store options, and focusing on being eco-friendly.
subject: Articles
  topic: section
subject: E-commerce
  topic: keywords
subject: Revenue growth
  topic: keywords
subject: predictive analysis
  topic: keywords
subject: AI personalization
  topic: keywords
subject: Customer behavior prediction.
  topic: keywords
creator: Jakaria Ahmed Chowdhury
creator: Shohana Siddika
creator: Md Mishal Mahmood
creator: Md Ragybul Islam
creator: Samia Ara Chowdhury
creator: Amena Hoque
rights: Copyright (c) 2026 https://creativecommons.org/licenses/by/4.0/deed.en
date: 2026-06-10
publication date: 2026-06-10
starting page: 106
ending page: 121
doi: 10.48047/j9cnt517

MACHINE LEARNING MODELS FOR PREDICTING PATIENT OUTCOMES IN INTENSIVE CARE UNITS: A CASE STUDY IN U.S. HOSPITALS
type: item
description: The integration of machine learning (ML) techniques into intensive care unit (ICU) settings has opened new avenues for predicting critical patient outcomes, thereby enabling timely interventions and optimized clinical resource utilization. This study presents the development and evaluation of several supervised ML models aimed at predicting two vital ICU outcomes—length of stay (LOS) and in-hospital mortality—based on data collected within the first 24 hours of ICU admission. Leveraging the large-scale, publicly available MIMIC-III database, the study utilizes a diverse set of clinical variables, including demographics, vital signs, laboratory values, and administrative records, to construct robust predictive frameworks. The models explored include logistic regression, random forests, XGBoost, and feedforward neural networks, with logistic regression emerging as the top performer. For the classification task, distinguishing short (≤4 days) and long (>4 days) ICU stays, the logistic regression model achieved an accuracy of 88.0%, an AUC-ROC of 0.876, and an F1-score of 84.6%. Random Forest demonstrated comparable performance with identical accuracy (88.0%) and precision (89.2%), achieving an AUC-ROC of 0.855 and F1-score of 84.6%. XGBoost showed slightly lower but still robust performance with an accuracy of 87.0%, precision of 86.8%, F1-score of 83.5%, and AUC-ROC of 0.875. The neural network model yielded the lowest performance among the four approaches, achieving an accuracy of 83.0% and an AUC-ROC of 0.862. In addition to performance optimization, the study integrates explainability through SHAP and LIME, offering insights into feature contributions and supporting transparent, clinician-friendly model interpretation. The inclusion of fairness assessments further strengthens the ethical integrity of these models by addressing bias across age, gender, and ethnicity. This research underscores the feasibility and importance of incorporating interpretable, generalizab…
subject: Articles
  topic: section
subject: Intensive Care Unit
  topic: keywords
subject: Machine Learning
  topic: keywords
subject: Outcome Prediction
  topic: keywords
subject: Interpretability
  topic: keywords
subject: XGBoost.
  topic: keywords
creator: Fatima Tauseef
creator: Ahmad Jamal
creator: Fahad Naseer
creator: Mahzabin Mahmud
creator: Md Mishal Mahmood
creator: Md Ragybul Islam
creator: Samia Ara Chowdhury
rights: Copyright (c) 2026 https://creativecommons.org/licenses/by/4.0/deed.en
date: 2026-06-10
publication date: 2026-06-10
starting page: 88
ending page: 105
doi: 10.48047/y0t69v56

ACCOMMODATION PREFERENCES AND RENTAL CHALLENGES IN URBAN DHAKA: A MIXED-METHODS STUDY
type: item
description: This study examines the accommodation preferences and challenges of Dhaka’s urban residents, focusing on both public and private rental housing contexts. The city’s rapid expansion, driven by high in-migration and territorial development, has led to a severe housing shortage. Since the 1970s, multi-storied apartments have emerged as a key response to this shortage; however, significant challenges persist. As part of a mixed-methods approach, in-depth interviews and focus group discussions were combined with a structured survey of 180 respondents from key public and private rental clusters. The findings reveal that residents’ perceptions of various factors, including rental price, proximity to workplaces, utility and security services, structural integrity, availability of open space, and payment methods, differ significantly. While affordability and structural safety emerged as crucial baseline (hygiene) factors, security and payment flexibility were identified as key motivators influencing tenants’ decisions to stay or move. Despite the rise in high-rise apartment construction and increased private-sector investment, substantial gaps remain in providing safe, affordable, and equitable housing. The study further identifies systemic problems that exacerbate residents’ dissatisfaction, such as uneven rent regulation, poor utility management, and weak enforcement of building codes. These findings inform recommendations for integrated policy measures that balance the supply of public and private rental housing, improve infrastructure and service quality, strengthen regulatory frameworks, and align housing allocation with socioeconomic realities. By offering empirical evidence on tenant perspectives and decision-making processes, this study contributes to the broader discourse on sustainable urban housing. It also provides policymakers, urban planners, and other stakeholders with practical recommendations for enhancing living conditions in rapidly urbanizing cities like …
subject: Articles
  topic: section
subject: Urban housing
  topic: keywords
subject: Rental satisfaction
  topic: keywords
subject: Accommodation preferences
  topic: keywords
subject: Public housing
  topic: keywords
subject: Private housing
  topic: keywords
subject: Dhaka
  topic: keywords
creator: Md. Shamsul Arefin
creator: Bikram Biswas
creator: Md. Mahedi Hasan
rights: Copyright (c) 2025 Md. Shamsul Arefin, Bikram Biswas, Md. Mahedi Hasan (Author) https://creativecommons.org/licenses/by/4.0/deed.en
date: 2025-12-30
publication date: 2025-12-30
starting page: 5126
ending page: 5139
doi: 10.48047/7ekmjk60

ADVANCING US CRITICAL INDUSTRY SUPPLY CHAIN THROUGH AI AND MACHINE LEARNING-DRIVEN LOGISTICS, RISK MITIGATION, AND OPERATIONAL EXCELLENCE
type: item
description: US critical industry supply chains remain inefficient, as traditional forecasting only provides 65-70% accuracy, producing 18-22% late delivery rates alongside costly 15-20%logistics costs. From the dataset of 180,519 real-world supply chain transactions from DataCo Smart Supply Chain, we build and validate a holistic AI & ML framework to jointly optimize demand prediction, logistics efficiency, and operational resilience across supply chains together at once. We validate six complementary ML capabilities—LSTM for recognizing temporal patterns in late deliveries, XGBoost for predicting risk of late deliveries, Prophet for interpretable long-term trend-seasonality decomposition, anomaly detection for early warning of disruption, customer-product segmentation for targeted optimization, and network optimization for logistics decision-making—based on time-series cross-validation over the US geographic regions and product categories, that yield meaningful insights. We achieve 88-92% accuracy (26-38% error reduction over baseline) in demand forecasting, 96% accuracy in late delivery risk prediction with 94% sensitivity leading to 85%+ late delivery disruption prevention, optimization of logistics costs with average shipping costs decreasing by 17% ($200→$166 per order), and delivery speed increased by 15% (15.2→12.8 days), and 89% of supply disruption are detected 14-21 days in advance. Cumulative OTIF service levels of 96 %(78% baseline), 18-22% working capital reduction, 15-20% total logistics cost savings and $15-25M Year 1 estimated value based on analytic-optimized mid-sized supply networks. Between NE and MW markets prediction accuracy is reported at 91 to 94%, while critical infrastructure products (machinery, and semiconductors) are confirming at 92-94% accuracy. Human-AI collaboration for each phase facilitates phased realization of value. Results from this research prove that as an actionable blueprint, the growth of intelligent enterprise can be rapid with well…
subject: Articles
  topic: section
subject: Supply chain optimization
  topic: keywords
subject: artificial intelligence
  topic: keywords
subject: machine learning
  topic: keywords
subject: demand forecasting
  topic: keywords
subject: logistics optimization
  topic: keywords
subject: risk mitigation
  topic: keywords
subject: operational excellence
  topic: keywords
subject: predictive analytics
  topic: keywords
subject: supply chain resilience
  topic: keywords
subject: DataCo dataset
  topic: keywords
creator: Kamana Parvej Mishu
creator: Nadira Kulsum Papri
creator: Apurbaa Sarker
creator: Afia Masuda Supti
creator: Mohammad Tahmid Ahmed
creator: Md Mishal Mahmood
creator: Md Ragybul Islam
rights: Copyright (c) 2023 https://creativecommons.org/licenses/by/4.0/deed.en
date: 2023-11-10
publication date: 2023-11-10
starting page: 971
ending page: 977
doi: 10.48047/7864hq08

MACHINE LEARNING-BASED PREDICTION OF FUNCTIONAL RECOVERY IN STROKE PATIENTS USING PHYSIOTHERAPY AND CLINICAL ASSESSMENT DATA
type: item
description: Stroke rehabilitation aims to restore functional independence and improve quality of life through structured physiotherapy interventions. Accurate prediction of functional recovery outcomes is important for rehabilitation planning, resource allocation, and personalized treatment design.
subject: Original
  topic: section
subject: Stroke Rehabilitation, Functional Recovery Prediction, Machine Learning, Physiotherapy Analytics, Clinical Assessment, Explainable Artificial Intelligence.
  topic: keywords
creator: S Jagadeesh, Kumbala Pradeep Reddy, B. Narendra Kumar
rights: Copyright (c) 2026 https://creativecommons.org/licenses/by/4.0/deed.en
date: 2025-03-20
publication date: 2025-03-20
starting page: 5450
ending page: 5458
doi: 10.48047/2a3xnx81

AI-DRIVEN REHABILITATION MONITORING SYSTEM FOR REAL TIME EVALUATION OF POST-STROKE PHYSIOTHERAPY OUTCOMES
type: item
description: Stroke remains one of the leading causes of long-term physical disability worldwide, often requiring prolonged physiotherapy to restore motor function and improve quality of life. Conventional rehabilitation assessment methods primarily depend on periodic clinical observations and therapist evaluations, which may not capture continuous changes in patient performance during therapy sessions
subject: Original
  topic: section
subject: Stroke Rehabilitation, Physiotherapy Monitoring, Artificial Intelligence, Wearable Sensors, Explainable AI, Healthcare Analytics
  topic: keywords
creator: Kumbala Pradeep Reddy, S Jagadeesh B. Narendra Kumar
rights: Copyright (c) 2026 https://creativecommons.org/licenses/by/4.0/deed.en
date: 2024-08-20
publication date: 2024-08-20
starting page: 7531
ending page: 7539
doi: 10.48047/6c574f80

Fixed-Dose Herbal Extracts for Symptomatic Knee Osteoarthritis: Effectiveness and NSAID-Sparing Benefits
type: item
description: Background: Osteoarthritis (OA) of the knee is a leading cause of pain and disability among adults aged above 50 years in South India. Long-term reliance on non-steroidal anti-inflammatory drugs (NSAIDs) is constrained by gastrointestinal, cardiovascular, and renal toxicities, especially in elderly patients with comorbidities. Phytotherapeutic agents such as Apium graveolens (celery seed) and Boswellia serrata have demonstrated anti-inflammatory and analgesic activity through inhibition of the cyclooxygenase and 5-lipoxygenase pathways. Aim and Objective: To assess the clinical effectiveness and NSAID-sparing potential of a fixed-dose combination of celery seed extract and Boswellia serrata extract as adjuvant therapy in patients with symptomatic knee OA attending orthopaedic centres in Coimbatore and Madurai, Tamil Nadu. Materials and Methods: A multicentre, prospective, open-label observational study was conducted on 312 patients (aged ≥40 years) clinically diagnosed with primary knee OA according to American College of Rheumatology criteria. Participants received a celery seed (200 mg) and Boswellia serrata (250 mg) combination tablet twice daily for 90 days, in addition to ongoing therapy. Primary outcomes were Western Ontario and McMaster Universities Arthritis Index (WOMAC) total, pain, stiffness, and physical function scores, and the proportion of patients with reduced NSAID requirement. Secondary outcomes were Visual Analogue Scale (VAS) scores at rest and on movement. Results: Statistically significant improvements (p<0.001) were observed in the WOMAC total score (21.45%), WOMAC pain (71.83%), WOMAC stiffness (68.92%), and physical function (74.16%) subscales. The VAS at rest improved by 70.34% and on movement by 62.51%. Regular NSAID usage declined from 65.38% at baseline to 28.21% at day 90, with a parallel rise in paracetamol use from 16.99% to 34.62%. Conclusion: The celery seed and Boswellia serrata combination demonstrated clinically meaningful pain r…
subject: Articles
  topic: section
subject: Knee osteoarthritis
  topic: keywords
subject: Apium graveolens
  topic: keywords
subject: Boswellia serrata
  topic: keywords
subject: NSAID-sparing effect
  topic: keywords
creator: Dr. Vamsinath P
rights: Copyright (c) 2023 Dr. Vamsinath P (Author) https://creativecommons.org/licenses/by/4.0/deed.en
date: 2023-05-15
publication date: 2023-05-15
starting page: 887
ending page: 895
doi: 10.48047/f2n0a035

Functional Outcome of Modified Tension Band Wiring in Displaced Transverse Patellar Fractures: A Prospective Observational Study
type: item
description: Background: Patellar fractures account for approximately 1% of all skeletal injuries and are a frequent cause of disruption of the extensor mechanism of the knee. Displaced transverse fractures require operative restoration of the articular surface and stability of the extensor apparatus. The modified tension band wiring (TBW) technique using two parallel Kirschner wires and a stainless-steel cerclage in a figure-of-eight configuration remains the most widely employed fixation strategy worldwide owing to its biomechanical efficiency and technical familiarity. Aim: To prospectively evaluate the radiological, clinical, and functional outcomes of modified TBW in adult patients presenting with displaced transverse patellar fractures at a tertiary-care orthopaedic centre in South India. Materials and Methods: A prospective observational study was conducted between January 2007 and December 2009 at the Department of Orthopaedics, Coimbatore Medical College and Hospital, Tamil Nadu. Thirty-eight skeletally mature patients (aged 22-58 years) with isolated, closed, displaced transverse patellar fractures (AO/OTA 34-C1.1) were treated by open reduction and modified TBW under spinal anaesthesia. A standardised postoperative protocol of antibiotic prophylaxis, immediate static quadriceps strengthening, and protected weight-bearing was followed. Functional outcome was assessed using the Böstman knee score at a minimum follow-up of six months. Results: The cohort comprised 26 men (68.42%) and 12 women (31.58%) with a mean age of 41.8 ± 9.6 years. Slip-and-fall injuries (55.26%) and road-traffic accidents (36.84%) were the leading mechanisms. Radiological union was achieved in all 38 patients within a mean of 11.4 ± 1.8 weeks. The mean Böstman score at final follow-up was 27.18 ± 2.34, with 16 excellent (42.11%), 16 good (42.11%), and 6 satisfactory (15.79%) results. Five complications (13.16%) were recorded, comprising one superficial wound infection, one persistent knee stiffnes…
subject: Articles
  topic: section
subject: Patella fracture
  topic: keywords
subject: Tension band wiring
  topic: keywords
subject: Kirschner wire
  topic: keywords
subject: Böstman score
  topic: keywords
subject: Functional outcome
  topic: keywords
creator: Dr. Vamsinath P
rights: Copyright (c) 2023 Dr. Vamsinath P (Author) https://creativecommons.org/licenses/by/4.0/deed.en
date: 2023-09-22
publication date: 2023-09-22
starting page: 896
ending page: 906
doi: 10.48047/w9tx9s42

In Silico Molecular Docking Analysis of Carrageenan Against Oral Pathogenic Proteins
type: item
description: INTRODUCTION:A class of naturally occurring linear sulfated polysaccharides known as carrageenans or carrageenins are taken out of red edible seaweeds. Because of their ability to stabilise, thicken, and gel, carrageenans are frequently employed in the food business.
subject: Original
  topic: section
subject: carrageenan ,molecule,Tannerella forsythia
  topic: keywords
creator: Indu Gayathrie VT, Dr. Raj Lakshman
rights: Copyright (c) 2026 https://creativecommons.org/licenses/by/4.0/deed.en
date: 2024-11-20
publication date: 2024-11-20
starting page: 7589
ending page: 7604
doi: 10.48047/y8584m22

The Multi-Dimensional Impact of Problematic Smartphone Usage on Physical, Psychological, and Academic Wellbeing: A Comprehensive Literature Review
type: item
description: Background: The rapid proliferation and structural evolution of handheld digital devices have established the smartphone as an indispensable tool for global communication, remote learning, and commerce. However, absolute dependency has given rise to a global public health epidemic: problematic smartphone usage and behavioral addiction
subject: Original
  topic: section
subject: Smartphone Addiction, Musculoskeletal Disorders, Forward Head Posture, Text Neck, Sleep Quality, Quality of Life, Academic Distraction, COVID-19.
  topic: keywords
creator: Krupa Daniel Dokiparty , Prof. Dr. Swamy K B
rights: Copyright (c) 2026 https://creativecommons.org/licenses/by/4.0/deed.en
date: 2023-11-20
publication date: 2023-11-20
starting page: 963
ending page: 970
doi: 10.48047/2fs1f752

ESTIMATION THE PATHOGENESIS OF ENTEROBACTER CLOACAE ISOLATED FROM HIGH VAGINAL SWAB IN PREGNANT WOMEN
type: item
description: Any opportunistic Gram-negative pathogen, Enterobacter cloacae with key epidemiological features such as acquisition of antimicrobial resistance along with high adhesion to a surface leading to biofilms. To isolate and characterization of E.cloacae from High vaginal swab (HVS); to determine its antimicrobial susceptibility pattern, biofilm forming ability and catheter adherence. Samples of HVS were processed and E. cloacae was isolated in 4% of samples confirmed by VITEK® 2 system. Antimicrobial susceptibility testing revealed that all isolates were highly susceptible to most of antibiotics, particularly meropenem, gentamicin, tobramycin and many cephalosporins and least susceptible to ciprofloxacin Biofilm thickness quantification showed that isolates were able to produce biofilm in mixed populations ranging from weak to strong producers. In addition, catheter adhesion testing demonstrated strong adherence ability in all isolates, with high adhesion index values (9.47–12.60). In conclusion, although E. cloacae was infrequently isolated from HVS samples, the isolates exhibited significant virulence traits, including biofilm formation and strong adhesion, which may contribute to persistence and clinical relevance in gynecological infections.
subject: Original
  topic: section
subject: HVS
  topic: keywords
subject: Enterobacter cloacae
  topic: keywords
subject: Susceptibility test
  topic: keywords
subject: Biofilm formation
  topic: keywords
subject: Catheter adhesion
  topic: keywords
creator: Mhmood Abed Hamzah
rights: Copyright (c) 2026 Mhmood Abed Hamzah (Author) https://creativecommons.org/licenses/by/4.0/deed.en
date: 2026-06-05
publication date: 2026-06-05
starting page: 80
ending page: 87
doi: 10.48047/xr72r597

EVALUATION OF ANTIBACTERIAL AND HEAMOLYTIC ACTIVITY OF MELALEUCA ALTERNIFOLIA
type: item
description: Medicinal plants have been used for centuries as a primary source of healthcare and continue to play a significant role in modern medicine. The growing interest in natural products has led to increased research on plant-derived compounds due to their therapeutic efficacy
subject: Original
  topic: section
subject: .
  topic: keywords
creator: Samudhrasri S ,DR. S Rajeshkumar
rights: Copyright (c) 2026 https://creativecommons.org/licenses/by/4.0/deed.en
date: 2024-11-20
publication date: 2024-11-20
starting page: 7449
ending page: 7458
doi: 10.48047/d19m9t51

Phytochemical Profiling and In Vitro Evaluation of the Antioxidant Potential of Carica Papaya Leaf Extracts
type: item
description: Medicinal plants continue to serve as an important source of therapeutic agents due to their rich phytochemical profile and broad spectrum of biological activities. Carica papaya L., commonly known as papaya, is widely distributed in tropical and subtropical regions and has long been utilized in traditional medicine
subject: Original
  topic: section
subject: Carica papaya, phytochemical screening, antioxidant activity, GC–MS, flavonoids, medicinal plants, free radicals.
  topic: keywords
creator: Neha R ,Dr. Rajalakshmanan Eswaramoorthy
rights: Copyright (c) 2026 https://creativecommons.org/licenses/by/4.0/deed.en
date: 2024-11-20
publication date: 2024-11-20
starting page: 7441
ending page: 7448
doi: 10.48047/pc3m7b14

Modern Endoscopic Management of Sellar and Suprasellar Pathologies: Anatomy, Technique, and Evidence-Based Outcomes
type: item
description: Background: The management of sellar and suprasellar lesions has undergone a profound transformation over the past three decades with the widespread adoption of endoscopic endonasal surgery. Originally introduced as an alternative to microscopic transsphenoidal techniques, the endoscopic approach has evolved into the preferred surgical strategy
subject: Original
  topic: section
subject: Endoscopic endonasal surgery; Sellar lesions; Suprasellar pathology.
  topic: keywords
creator: Sami Hassanin Mohammed Salem, Adel Saad Ismaeil Metwally, Mohammed Ramadan Ibrahim Belasi, Mohammed Ahmed Samir El-Sayed
rights: Copyright (c) 2026 https://creativecommons.org/licenses/by/4.0/deed.en
date: 2024-11-20
publication date: 2024-11-20
starting page: 7709
ending page: 7720
doi: 10.48047/crckh720

In Vitro Anti-diabetic Activity of Clove and Lemongrass Extract-Mediated Strontium Nanoparticles
type: item
description: Introduction: Diabetes mellitus is a progressive metabolic disorder marked by chronic hyperglycemia and impaired carbohydrate metabolism. The inhibition of carbohydrate-hydrolyzing enzymes, especially α-amylase, is a widely used strategy for reducing postprandial blood glucose. Medicinal plants such as clove (Syzygium aromaticum) and lemongrass (Cymbopogon citratus) contain bioactive compounds with antioxidant and antidiabetic potential. In recent years, green synthesis of nanoparticles has emerged as a promising approach to enhance the biological activity of plant extracts.
subject: Original
  topic: section
subject: Clove, lemongrass, strontium nanoparticles, green synthesis, antidiabetic activity, α-amylase inhibition
  topic: keywords
creator: Neha R,DR. S Rajeshkumar,
rights: Copyright (c) 2026 https://creativecommons.org/licenses/by/4.0/deed.en
date: 2023-03-15
publication date: 2023-03-15
starting page: 927
ending page: 937
doi: 10.48047/n3mbn265

CHITOSAN AND ZINC OXIDE NANOPARTICLE BASED GUIDED TISSUE REGENERATION MEMBRANE PREPARATION AND ITS CHARACTERISATION
type: item
description: A regeneration membrane is surgically implanted as part of the GTR treatment for periodontitis with the express purpose of restoring the periodontal tissues supporting the teeth. The membrane serves as a barrier to stop epithelial and gingival connective cells from developing into periodontal lesions and as a favourable niche to maximise
subject: Original
  topic: section
subject: chitosan membrane, zinc oxide nano particles, guided tissue regeneration
  topic: keywords
creator: Sneha Harshini S,Balaji Ganesh S
rights: Copyright (c) 2026 https://creativecommons.org/licenses/by/4.0/deed.en
date: 2023-03-15
publication date: 2023-03-15
starting page: 950
ending page: 962
doi: 10.48047/9ym8ve60

Evaluation of cytotoxic and anti-migratory potential of Aegle marmelos fruit extract on osteosarcoma cell line
type: item
description: Background: An osteosarcoma is a cancerous tumor in a bone and is an aggressive malignant neoplasm that arises from primitive transformed cells of mesenchymal, origin and produces malignant osteoid.Although a number of anticancer drugs
subject: Original
  topic: section
subject: Aegle marmelos, Osteosarcoma, Cytotoxicity, Cell Migration, Metastasis.
  topic: keywords
creator: Ms. Samudhrasri S,Dr. Lakshmi Thangavelu,Dr. Elumalai Perumal
rights: Copyright (c) 2026 https://creativecommons.org/licenses/by/4.0/deed.en
date: 2023-03-15
publication date: 2023-03-15
starting page: 938
ending page: 949
doi: 10.48047/wd87cy28

Motor-Preserving Analgesic Strategies After Total Knee Arthroplasty: Evolving Roles of Genicular Nerve and Adductor Canal Blocks
type: item
description: Background: Total knee arthroplasty (TKA) is one of the most commonly performed orthopedic procedures for management of advanced knee osteoarthritis, providing substantial pain relief and functional improvement. Despite its clinical success, postoperative pain following TKA remains a major challenge that may negatively influence early mobilization, rehabilitation participation, patient satisfaction,hospital stay, and long-term recovery outcomes
subject: Original
  topic: section
subject: Motor-Preserving, Analgesic Strategies,Total Knee Arthroplasty: Genicular Nerve ,Adductor Canal Blocks
  topic: keywords
creator: Mona Abdelrazik Shahin, Shereen Elsayed Abd Ellatif, Soha Saad Eldin Mohamed
rights: Copyright (c) 2026 https://creativecommons.org/licenses/by/4.0/deed.en
date: 2024-11-20
publication date: 2024-11-20
starting page: 7693
ending page: 7708
doi: 10.48047/nxsgwx50

Occupational Respiratory, Auditory, and Musculoskeletal Disorders among Workers in Food Processing Industries: Exposure Risks, Health Outcomes, and Preventive Strategies
type: item
description: Background: The food processing industry is one of the fastest-growing industrial sectors worldwide and plays a fundamental role in food security, economic development, and global supply chains. The rapid expansion of food manufacturing activities has substantially increased the workforce engaged in processing, packaging, preservation
subject: Original
  topic: section
subject: Occupational Health, Food Processing Industries, Work-Related Disorders
  topic: keywords
creator: Mona Radwan, Amani Shawki Ahmed Abdullah, Hadeer Mohsen Mohamed Negmeldin, Raghda Ali Elshamy
rights: Copyright (c) 2026 https://creativecommons.org/licenses/by/4.0/deed.en
date: 2024-11-20
publication date: 2024-11-20
starting page: 7675
ending page: 7692
doi: 10.48047/cd0esf73

Awareness of Breast Cancer and Mammography Among Women: A Comprehensive Public Health Review of Determinants, Barriers, and Screening
type: item
description: Background: Breast cancer remains the most frequently diagnosed malignancy among women worldwide and represents a major public health challenge, particularly in low- and middle-income countries where late-stage presentation is common. Despite advances in early detection and treatment, mortality rates remain disproportionately high in these settings
subject: Original
  topic: section
subject: Breast Cancer, Mammography, Public Health
  topic: keywords
creator: Wafaa Atwa El-nemr, Hanaa Abu-Elazayem Nofal, Asmaa Abdallah Hussein, Hagar Nader Mohamed Salem
rights: Copyright (c) 2026 https://creativecommons.org/licenses/by/4.0/deed.en
date: 2024-11-20
publication date: 2024-11-20
starting page: 7666
ending page: 7674
doi: 10.48047/5rewwn52

Occupational Respiratory and Auditory Health Hazards Among Concrete Industry Workers: A Comprehensive Review of Exposure, Pathophysiology, and Prevention
type: item
description: Background: Concrete industry workers are routinely exposed to a complex mixture of occupational hazards, primarily respirable dust containing crystalline silica and high-intensity noise, both of which contribute significantly to adverse respiratory and auditory health outcomes. The increasing expansion of the concrete and cement industry, particularly in developing countries such as Egypt, hasintensified concerns regarding the occupational health burden among exposed workers.
subject: Original
  topic: section
subject: Respiratory, Auditory Health Hazards, Concrete Industry Workers
  topic: keywords
creator: Safaa AbdElmoez Mohamed Elnaggar, Raghda Ali AbdellKhalek Ali, Mona Fathy Ali Zaitoun Arwa Khaled Abdelaleem Abdelmohaimen Sallam
rights: Copyright (c) 2026 https://creativecommons.org/licenses/by/4.0/deed.en
date: 2024-11-20
publication date: 2024-11-20
starting page: 7656
ending page: 7665
doi: 10.48047/1d9mr341

Different extractions and their impact on bioactive potentials of leaf extracts of Solanum trilobatum against oral pathogens
type: item
description: Aim: The enormous medicinal value of Solanum trilobatum was utilised in indigenous medicine. Diverse portions of S. trilobatum, like leaves, flowers, stems and fruits were utilised for the treatment purposes. The diverse secondary phytocompounds like phenolics, flavonoids, alkaloids, terpenoids, glycosides, etc. are rich in the S. trilobatum attributes numerous
subject: Original
  topic: section
subject: S. trilobatum, antibacterial, cytotoxicity, antioxidant, well-being, extraction.
  topic: keywords
creator: Nehal Safiya, Baskar V, Mahathi Neralla
rights: Copyright (c) 2026 https://creativecommons.org/licenses/by/4.0/deed.en
date: 2024-11-20
publication date: 2024-11-20
starting page: 7656
ending page: 7664
doi: 10.48047/j3c93d82

Effect of pH cycling on the marginal integrity of Glass Ionomer Cement - An invitro study
type: item
description: Background: Marginal adaptation is the interfacial distance among the restoration and the tooth structure. The better sealing for the margin the lesser microleakage occurs furthermore secondary caries and postoperative sensitivity will be reduced. Glass ionomer based materials are clinically popular in several areas of restorative dentistry, but restoration of cervical lesions has proven particularly successful.
subject: Original
  topic: section
subject: Marginal adaptation, GIC, microleakage, cervical lesions, secondary caries.
  topic: keywords
creator: Ridha Azimudin, Dr. Balaji Ganesh.S
rights: Copyright (c) 2026 https://creativecommons.org/licenses/by/4.0/deed.en
date: 2023-11-20
publication date: 2023-11-20
starting page: 920
ending page: 926
doi: 10.48047/zdet2p22

Irrigation techniques in endodontics - An overview
type: item
description: Background: The success of endodontic therapy depends on the extensive removal of microorganisms and the thorough clearance of their by-products from the root canal system including lateral canals. Irrigation aims to remove bacteria, eliminate microbial biofilms and by-products from the root canal system, and prevent subsequent contamination of the intracanal spaces. The reduction of the bacterial load to assure healing is achieved
subject: Original
  topic: section
subject: Irrigation, root canals, microorganisms, endodontic therapy.
  topic: keywords
creator: Ridha Azimudin ,Dr. Rajasekar G
rights: Copyright (c) 2026 https://creativecommons.org/licenses/by/4.0/deed.en
date: 2023-11-20
publication date: 2023-11-20
starting page: 908
ending page: 919
doi: 10.48047/yqy0g821

Comparison of silk sutures vs vicryl sutures in 3rd molar surgery
type: item
description: Background: Sutures play a vital role in wound closure and healing following third molar surgeries. Among the commonly used suture materials, silk (non-absorbable, natural) and Vicryl (absorbable, synthetic) offer distinct properties that may influence clinical outcomes such as pain, healing, infection rates, and patient comfort
subject: Original
  topic: section
subject: Third molar surgery, silk sutures, Vicryl sutures, wound healing, postoperative pain, infection rates, patient comfort
  topic: keywords
creator: Ridha Azimudin, Dr. Soya Alfred Xavier
rights: Copyright (c) 2026 https://creativecommons.org/licenses/by/4.0/deed.en
date: 2024-11-20
publication date: 2024-11-20
starting page: 7433
ending page: 7440
doi: 10.48047/5n8q4d10

Antibacterial activity and hemocomptability of gelatin and metal oxide for wound healing applications
type: item
description: Skin heals normally through the natural skin restoration phenomenon. However, many challenges overcome the proper and rapid wound-healing process.
subject: Original
  topic: section
subject: .
  topic: keywords
creator: Ridha Azimudin, Dr.Kalaiyarasan M
rights: Copyright (c) 2026 https://creativecommons.org/licenses/by/4.0/deed.en
date: 2024-11-20
publication date: 2024-11-20
starting page: 7422
ending page: 7432
doi: 10.48047/y24qtq84