Medicine and Health Sciences Commons^™

Burden Of Vascular Neurological Disorders: A Cross-Sectional Multicenter Study, Shafaq Saleem, Safia Awan, Ibrar Rafiq, Muhammad Hassan Shaikh, Anjum Farooq, Maimoona Siddiqui, Zainab Aslam Saeed Memon, Alam Ibrahim Siddiqui

Pakistan Journal of Neurological Sciences (PJNS)

Background and Objective

Stroke remains a leading cause of morbidity and mortality worldwide, with a particularly high burden in low- and middle-income countries (LMICs) such as Pakistan. Despite its growing prevalence, limited nationwide data exist on vascular diseases, their risk factors, and disability outcomes. The objective of this study was to identify the frequency and age-stratified type of vascular disease incidence among in-patient hospital admissions.

Methods

A retrospective observational study was conducted across 39 neurology centers in Pakistan, spanning both public and private sectors from August 2017 to December 2019. Data on demographics, comorbidities, and stroke type were systematically collected …

Electrographic Significance Of Periodic Discharges And Association With Etiology And Outcome In A Tertiary Care Hospital: A Retrospective Cohort Study, Hina Imtiaz, Zainab Memon, Ayisha Farooq Khan, Dureshahwar Kanwar, Safia Awan

Pakistan Journal of Neurological Sciences (PJNS)

Background and Objective

Periodic discharges on electroencephalograms (EEGs) are rhythmic waveforms that may indicate acute or subacute brain injury. This aim of this study was to determine the frequency distribution of periodic discharge subtypes on EEG and to assess their association with underlying etiologies and clinical outcomes in a tertiary care hospital.

Methods

This retrospective observational cohort study included neurological patients aged ≥18 years admitted to the medical ICU or ward of Aga Khan University Hospital between January 1, 2021, and January 1, 2023, with periodic discharges on EEG. Patients with prior traumatic brain injury were excluded. Data on demographics, …

Epilepsy In Pakistani Adolescents Amid The Vaping Epidemic, Maheen Kalwar, Eisha Tur Raazia, Harmain Naz Shaikh

Pakistan Journal of Neurological Sciences (PJNS)

No abstract provided.

New Onset Seizures Evolving Into Refractory Status Epilepticus In The Setting Of Covid-19: A Case Report, Mahira Mushtaq, Zuha Amin, Shafaq Saleem, Fowzia Siddiqui

Pakistan Journal of Neurological Sciences (PJNS)

The novel Coronavirus disease (COVID-19) has been shown to involve the nervous system (both central and peripheral), with or without respiratory involvement in multiple ways. Although not much is known about this disease yet, seizures and status epilepticus which may evolve into refractory status epilepticus have been associated with it along with other manifestations like encephalopathy, neuropathies etc. The mechanism for development of seizures with COVID-19 related disease is not entirely known however it can be the consequence of “cytokine release syndrome” or “cytokine storm” which has been associated with this virus. Patients with COVID-19 infection who develop resistant status …

Pakistan Ischemic Stroke Guidelines, Anjum Farooq, Maria Khan, Ayesha Zafar, Husnain Hashim, Fozan Khan, Abdul Malik, Ayeesha Kamran Kamal Aga Khan University, Karachi, Mohammad Wasay

Pakistan Journal of Neurological Sciences (PJNS)

Stroke is the second leading cause of death and disability. Mortality related to stroke is very high in low- and middle-income countries. Stroke imposes a great socioeconomical burden in Pakistan. It is important to take important steps for prevention and proper management of stroke in country. Purpose of developing stroke guidelines is to improve stroke care in Pakistan. Guidelines are designed to help neurologists and general practitioners for treating stroke. American stroke guidelines, NICE guidelines, Canadian guidelines and multiple important articles including those emphasizing stroke care in low- and middle-income countries were studied, and these current guidelines were designed in …

Assessing The Short-Term Outcomes Of Erase And Replace: A Series Of Health & Wellness Activities, Gabriela Murza, Christina Pay, Eva Timothy, Melanie Dabb, Cris Meier

Outcomes and Impact Quarterly

Utah State University Extension faculty addressed Utah's high rate of poor mental health with activities that improved participants’ connections, confidence, and abilities. These efforts positively impacted adults' mental health and quality of life and offered an additional resource to address self-care needs while encouraging connection and skill-building.

Focused Ultrasound: A New Era In Tremor Control, Sajid Hameed

Pakistan Journal of Neurological Sciences (PJNS)

No abstract provided.

Editorial Board

Nursing & Health Sciences Research Journal

No abstract provided.

Pregnancy Outcomes After Covid-19 Infection, Angela M. Blanco Guertin, Arvinder Singh, Arianna Tapia, Emily Dickinson

Nursing & Health Sciences Research Journal

Background: Since the onset of the Coronavirus 19 (COVID-19) pandemic in 2020, the medical community has raced to keep up with the continued healthcare sequelae of the virus. During this time, pregnant women and newborns have been of particular concern. A higher incidence of pregnancy-related complications was seen among women during the pandemic. This study aimed to assess the relationship between COVID-19 and pregnancy complications among women. Methods: This retrospective study analyzed records of pregnant women with active COVID-19 or a history of COVID-19 during pregnancy, admitted to a South Florida hospital between March 2020 and December 2021. Patients’ charts …

Tocilizumab In The Management Of Neuromyelitis Optica Spectrum Disorder: A Narrative Review Of Literature And Critical Appraisal, Salman Mansoor, Samar Iltaf Mairajuddin, Saqib Gul

Pakistan Journal of Neurological Sciences (PJNS)

Background and objective

Neuromyelitis Optica Spectrum disorder (NMOSD) mostly affects the spinal cord and optic nerves. This manuscript aims to explore the treatment potential of tocilizumab, a monoclonal antibody that targets the interleukin-6 (IL-6) receptor and regulates inflammatory cytokines implicated in the pathophysiology of NMOSD. Methods

A thorough search of the pertinent literature was done for this research utilising electronic databases, specifically PubMed, Cochrane Library, and Embase, which contained studies published from 2016 to 2024.

Results Clinical studies show that tocilizumab improves clinical outcomes and lowers recurrence rates in people with NMOSD, especially those who don't respond to traditional treatments. …

Chorea As A Rare Manifestation Of Neuropsychiatric Systemic Lupus Erythematosus: A Case Report, Qurat Ul Ain, Ashfeen Ishfaq, Farzana Kouser, Rabia Rasool

Pakistan Journal of Neurological Sciences (PJNS)

Systemic lupus erythematosus (SLE) is a systemic autoimmune disease with multisystemic involvement. It has variable clinical presentations and a relapsing and remitting course. Clinical manifestations are broad, ranging from mild mucocutaneous involvement to major organ involvement. We present a case of a 32-year-old female with repeated movements of the right arm, and confusion with a background of pains in multiple joints. She was diagnosed as a case of Neuropsychiatric Systemic Lupus Erythematosus (NPSLE). She was managed with pulse therapy of cyclophosphamide (CYC) along with other supportive medications. After six months of intensive immunosuppressive therapy, she remained well and continued maintenance …

A031: Design And Practice Of Ai-Powered Precision Teaching Model For Public Physical Education Courses In Universities, Dongxiao Liu, Xuankun Sun, Aowei Zhang

International Journal of Physical Activity and Health

Background/Purpose: Five major teaching pain points often occur in the teaching of public physical education courses in universities: (1) First pain point is easy to have deviations in movement cognition and self-practice. (2) It is difficult to accurately grasp the intensity and density of exercise. (3) Lack of process and phased teaching evaluations can inhibit the cultivation of autonomous exercise drive. (4) Unhealthy aesthetics have a negative impact, leading to a deviation in aesthetic perception among students. (5) Students lack autonomous learning ability and have difficulty cultivating post-class exercise habits. How to resolve these "pain points" are now the key …

A040: The Effect Of Blended Online And Offline Physical Education On The Health-Related Indexes Of Undergraduates, Shijun Gong, Aowei Zhang, Dongxiao Liu, Yanxin Liu

International Journal of Physical Activity and Health

Background/Purpose: With the explosive development of artificial intelligence, many scholars have carried out research around the combination of online and offline physical education courses. Current research has focused on developing the application of information technology in the classroom teaching of physical education. The main purpose addressed in this study was to investigate the possible effects of implementing such a blended online and offline physical education at home on the health-related indices of students.

Method: Totally 14,708 college students participated, including 6,125 males and 8,583 females. In the analysis approach, research was adopted using SPSS 26.0, specifically the paired-samples T test …

A046: Recreational Skiing Injury Rate: A Case Study Of A Ski Resort In Central New York, Hongwei Guan, David Guan, Xiaoran Li

International Journal of Physical Activity and Health

Background/Purpose: More people in China are participating in snow sports, especially after the Beijing 2022 Winter Olympics. Despite health benefits, skiing and snowboarding are associated with injury risk. Ski safety and injury prevention are essential for sustainable operation of ski resorts with the rapid development of snow sports in China. The purpose of this study was to examine the injury rate at a popular medium-sized ski resort in Central New York and compare it with that of similar ski resorts in Northeastern China.

Method: Direct ski patrol observation and injury incident reports of three seasons from 2020-21 to 2022-23 were …

A049: Associations Between 24-Hour Accelerometer-Derived Novel Metrics With Health-Related Physical Fitness In Chinese Adolescents, Yanping Qiu, Lijuan Wang, Huan Chen, Xiaoqing Li

International Journal of Physical Activity and Health

Background/Purpose: Time-use estimates are commonly utilized for describing 24-hour movement behaviors. Nonetheless, the average acceleration (AvAcc), intensity gradient (IG) and the most active X minutes (MX metrics) have been proposed as 24-hour movement behaviors novel metrics describing the volume of activity, the intensity distribution and the most active time periods of the 24-h cycle. This cross-sectional study aimed to examine associations between 24-h accelerometer-derived metrics and health-related physical fitness in Chinese adolescents.

Methods: This study recruited 240 students aged 12-18 (143 males, 97 females) from a middle school in Haizhu District, Guangzhou City. The data collection period was from March …

A052: Construction Of Ski Instructors' Competency Evaluation Index System Based On O*Net Working Analysis, Juan Ran, Hongyan Wang

International Journal of Physical Activity and Health

Background/Purpose: Skiing has emerged as a preeminent activity in ice and snow tourism, with ski resorts significantly bolstering the winter tourism economy. However, the burgeoning demand for instructors, coupled with the increasing number of enthusiasts, poses critical challenges for the sport's development. To address these issues, we have undertaken a comprehensive competency assessment to inform the training and retraining of instructors. This evaluation is also pertinent for selecting unlicensed instructors.

Method: The study involved 12 experts and 250 ski instructors from Jilin Province. Research was conducted using keywords such as 'competency model' and 'instructor quality'. The O*NET questionnaire and a …

A055: The Relationship Between Grip Strength And Quality Of Life In The Elderly Based, Fanhao Meng

International Journal of Physical Activity and Health

Background: The World Health Organization (WHO) has launched the "Decade of Healthy Ageing" from 2021 to 2030 to address the challenges of a rapidly ageing global population. The extension of human lifespan is a manifestation of social progress, but aging and increased longevity may be accompanied by problems such as reduced physical and mental abilities and increased risk of diseases, which affects quality of life (QOL). Grip as an indicator of strength and is associated with physical activity in older adults. It is readily applicable in clinical and community settings, and there is an association between grip strength and health-related …

A058: The Impact Of Multi-Directional Training On Change-Of-Direction Speed And Short-Distance Sprint Ability In Tennis Student-Athletes, Ke Zhang, Yue Zhao, Zhihui Zhou, Haijun Wu

International Journal of Physical Activity and Health

Objective: Tennis, characterized by rapid multi-directional sprints, involves lateral movements along the baseline constituting approximately 70% of gameplay, with each single movement covering around 3 meters. On average, there are 2-4 direction changes per point, and each stroke requires 0.4 seconds. Recognizing the imperative need for tennis players to rapidly change direction and execute short-distance sprints, influenced by factors like the ball's trajectory, opponent's movements or disguise movements, this study aimed to investigate the impact of three weeks of multi-directional sprint training on the change-of-direction speed and short-distance sprint ability of tennis student-athletes.

Methods: Nineteen male tennis athletes with an …

A062: Experimental Research Of Impact Of Large-Unit Soccer Teaching On Elementary School Students' Physical Health, Yin Zhao, Ziming Shao

International Journal of Physical Activity and Health

Objective: The "Compulsory Education Curriculum Standards: Physical Education and Health(2022 Edition) in China" explicitly proposes that from grades 3-6, at least one sport from six major specialized sports skills should be chosen for at least 18 class periods of relatively systematic and complete teaching, enabling students to not only master the sports skills of the chosen project but also deepen their comprehensive experience and understanding of the sport. Long-standing issues in elementary school football teaching include superficial teaching depth, isolated and incoherent content, and disconnection between educational stages. There is an urgent need for physical education teachers to organize systematic …

A059: Multidimensional Interpretation And Development Strategies For The International Communication Of Dragon And Lion Dancing, Weiyan Wang, Li Zhou, Cuili Zhai

International Journal of Physical Activity and Health

The dragon and lion dance, as the bright treasure of Chinese traditional sports culture, demonstrates Chinese cultural confidence and distinct national characteristics, serving as an important showcase for China's image. However, the international communication of dragon and lion dance faces numerous challenges, including understanding barriers caused by cultural differences, limitations in promotion scope, uneven overall development levels, and balancing cultural impact with cultural identity. These issues are pertinent to the future development of dragon and lion dance.

After conducting a literature analysis, the historical origins, cultural connotations, and communication processes of dragon and lion dances were systematically examined, laying a …

A063: Electroencephalogram (Eeg) Signal Analysis For College Students' Attention And Meditation Level In Yoga Courses, Zhonghui He, Fangxin Li, Xi Qi, Honglin Chen

International Journal of Physical Activity and Health

PURPOSE: Yoga is associated with psychological and physiological benefits, including relaxation and increased attention. Electroencephalograms (EEG) signals reflect the electrical activity of the brain and transformed Alpha and Beta brainwaves into meditation and attention values. This study primarily aimed to measure college students’ attention and meditation level in yoga courses. The secondary aim was to explore yoga’s effect on students’ cognitive ability.

METHODS: The study selected two yoga classes in the first semester of 2023 in an academic university in China. Using convenience sampling methods, 16 college students who attended yoga courses voluntarily participated in this study. All learning phases, …

A064: An Experimental Study On Pe Teachers' Motivational Style Change On Adolescents' Physical Activity, Zhigang Xue

International Journal of Physical Activity and Health

Research background: Realistic demands: The decline of adolescents' physical health has been the focus of global attention. Current needs: Youth physical activity needs to be improved. Key issue: The interest and motivation of adolescents to participate in physical activity are generally low. Ways to improve: physical education can effectively promote the physical activity of teenagers in their leisure time. It is of great theoretical and practical value to study the integration of planned behavior theory and self-determination theory to explain adolescents' leisure time physical activity behavior to promote physical activity level using physical activity interventions.

Research method: Mainly through the …

A066: Differences In Body Stability During Continuous Turning In Older And Younger Adults, Yulong Bo

International Journal of Physical Activity and Health

Background/Purpose: The deterioration of body stability with age remains an area of interest, particularly in the context of continuous turning during walking among older adults. This study aimed to describe the characteristics of body stability during continuous turning in older and younger individuals, as well as identify potential risk factors, providing a theoretical basis for fall prevention in older adults during continuous turning.

Methods: Fifteen older adults (mean age 69.58 ± 3.84 years) and fifteen younger individuals (mean age 23.93 ± 1.14 years) were recruited from the community. Participants were asked to walk around an 8-shaped continuous turning path (diameter …

A068: A Case Study Of Hippy Family Intervention On Motor Ability In Children With Developmental Delays, Jiayu Zhou, Xiaozan Wang, Qinping Xu

International Journal of Physical Activity and Health

Background: The phenomenon of motor retardation caused by serious insufficient physical activity of children is increasing. Improving the family's parenting knowledge and skills can promote the family's healthy lifestyle and have a positive impact on the healthy development of children.

Method: The children with developmental delays were followed in their natural state for three months, combined with the "HIPPY family intervention model" to improve their family's parenting knowledge and skills, and to intervene in the behavioral performance and physical activity of children with motor development delays.

Results: After 3 months of HIPPY family intervention, TGMD showed an overall upward trend, …

A070: Research On The Promotion Strategy Of Sports Tourism Consumption Based On Consumer Evaluation, Wang Yan, Jinsheng Liu

International Journal of Physical Activity and Health

Background/Purpose: Recently, challenges coupled with constraints such as shrinking demand and weakening consumption expectations have greatly increased the complexity and vulnerability of the internal and external environment of the sports tourism consumption system. Consumer evaluation is an important way of consumption decision-making reference and information exchange, which affects consumers' purchase decision, consumption experience, habits and attitude. Sports tourism boutique project is a consumption project and key consumption content with sports tourism characteristics. The purpose of this study was to conduct an analysis of the consumption evaluation of specific Chinese sports tourism boutique projects through the user evaluation data from Ctrip …

A073: Factors Affecting Continuous Use Of Metaverse-Based Sports Products: Based On Perceived Value, Enjoyment, And Immersion, Qiao Yang, Aisha Wang

International Journal of Physical Activity and Health

Purpose: Metaverse technology has introduced a new era of sports interaction, offering users an extraordinary virtual environment for immersive experiences. However, there is still a lack of comprehensive understanding regarding the determinants of continuous use in metaverse-based sports products. This study aimed to delve into the factors influencing the continuous use of sports products based on the metaverse.

Methods: To collect data for this study, an online questionnaire survey was conducted among Chinese digital natives residing in major cities (Beijing, Shanghai, Guangzhou, and Shenzhen) who frequently used metaverse-based sports products. A total of 634 participants were collected, of which 520 …

A083: Effects Of Muscle Energy Technique On Neuromuscular Function In Patients With Non-Specific Lower Back Pain, Zhipeng Zhou, Jianbin Zhao

International Journal of Physical Activity and Health

Background/Purpose: Non-specific lower back pain (NLBP) is one of the most common causes of disability worldwide. In patients with NLBP, reduced lumbar flexion-relaxation and reduced variability of muscle activity distribution are reported as abnormal muscle activity. Muscle energy technique (MET) is used to be a conservative, non-pharmacological treatment method for somatic dysfunctions of the musculoskeletal system. However, the effect of MET approach on the flexion-relaxation phenomena (FRP) is unclear. Therefore, the purpose of this study was to investigate the effects of MET on pain, lumbar function, and FRP in patients with NLBP.

Methods/Design: Thirty patients with NLBP were randomized into …

A082: Theoretical Deconstruction And Value Implication Of Physical Participation Of Fitness Group Under Field Theory, Mengyu Huo, Pengfei Gao, Guangbin Bai, Xinyan Shi, Chongqing Hu, Ruidi Wang

International Journal of Physical Activity and Health

Research background: In the transformation of consumer society, the body is gradually regarded as an important symbol. People are often willing to consume for the body in different ways to seek the shaping of body image. Therefore, the value of body shaping through sports has been gradually paid attention to, and "Fitness fever" has gradually become a new fashion. Based on this, Pierre Bourdieu's social practice theory makes a rational interpretation of the participation behavior of individual actors in the field of sports and analyzes the value correlation between individual sports behavior and society, which is another important consideration for …

A088: Virtual And Real: An Exploration Of The Body Sense Of Generation Z E-Sports Players, Yuxin Luo, Xianglin Luo, Lu Liu

International Journal of Physical Activity and Health

Background：The advent of eSports has catalyzed a fresh wave of contemplation within the sports science community regarding the concept of the body. With the digital revolution, eSports has emerged as a significant segment within the realm of sports, further solidified by its recognition in prestigious events like the Asian Games. However, despite its elevated status, eSports continues to grapple with skepticism over its 'non-physical' nature due to the apparent lack of physical activity that characterizes traditional sports. Exploring Generation Z's experiences in eSports enhances our grasp of digital gaming's corporeal aspects and unveils complex ties between the body, eSports, …

A084: Research On The Value Connotation And Development Strategy Of Chinese Mass Fencing Event Certification System, Yue Wang, Tianfeng Lu

International Journal of Physical Activity and Health

Background: Sports events are one of the most important forms of national fitness activities and promoting its high-quality development is an inevitable requirement to protect the basic sports rights and interests of the people and respond to the need for a higher quality of life. As a pioneer in the fencing industry, Chinese Fencing Association has taken the lead in developing and implementing certification standards for mass fencing events. This study proposed optimization strategies to improve the development environment of mass fencing events through research and analysis of the certification system of mass fencing events in China.

Methods: The author …