Daily Quality Research Articles

Using syndromic surveillance to rapidly assess the impact of a June 2023 wildfire smoke event on respiratory-related emergency department visits, Massachusetts, United States

Abstract A statewide air quality advisory was issued in Massachusetts for 6–7 June 2023 due to smoke originating from wildfires in Canada. Of particular concern was fine particulate matter, which has an aerodynamic diameter of ⩽2.5 μm (PM2.5) and has been linked to adverse respiratory outcomes. The objective of this study was to rapidly assess the impact of this wildfire smoke event on respiratory-related emergency department (ED) visits among Massachusetts residents. For exposure, daily air quality index (AQI) data from the US Environmental Protection Agency were used. Massachusetts counties, where for each day from 6 to 8 June 2023, the daily AQI was ⩾101 (i.e. unhealthy air quality), were considered exposed. For each exposed period, two unexposed reference periods where AQI < 101 (i.e. ‘good’ or ‘moderate’ air quality) were identified within the two weeks prior to the exposed period, with the same days of the week and in the same county. Data from the Massachusetts Department of Public Health’s syndromic surveillance system were used to examine daily counts of ED visits for asthma, air-quality-related respiratory illness, and all causes by county of residence, age group, race, and Hispanic/Latino ethnicity. For each outcome, the numbers of ED visits were compared between the exposed and reference periods. Overall, there were no large increases in ED visits for any conditions examined during this wildfire smoke event. However, residents who were aged 18–64 years, Hispanic/Latino or White experienced small but not statistically significant increases in asthma-related ED visits. These potential differences in the effect on asthma-related ED visits by age and race/ethnicity may be relevant for analyses of future events. This study provides an example of how real-time, publicly available exposure data can be used in conjunction with outcome data from syndromic surveillance to rapidly examine the impact of wildfires and other acute environmental events on health.

Growth optimalization of bileh fish seeds (Rasbora sp.) through different feeding frequencies

Bileh fish is a type of freshwater fish that is sought after by the people of Aceh because it has a delicious taste and is quite tasty. Bileh fish is a local fish species that has the potential to be developed as an aquaculture commodity and its population must be preserved from overfishing. The aim of this research was to determine the effect of different feeding frequencies on the growth of bileh fish fry (Rasbora sp.). This research used a non-factorial completely randomized design (CRD) method consisting of 4 treatments and 3 replications each, namely the frequency of feeding 1 time/day (P1), feeding 2 times/day (P2), feeding 3 times/day day (P3) and feeding 4 times/day (P4). The feed given is commercial feed PF 500 with 39% protein. The parameters observed included survival rate, length growth, weight growth, daily growth rate, feed efficiency and water quality. The results showed that different feeding frequencies had no significant effect on survival rate, absolute length and daily growth rate of bileh fish (Rasbora sp.). However, it has a real effect on weight growth and feed efficiency. The best feeding frequency to optimize the weight growth of bileh fish (Rasbora sp.) is in the P3 treatment with a frequency of 3 times/day.Keywords: Feed Efficiency; Feeding Frequency; Growth; Rasbora

Air Quality Prediction and Ranking Assessment Based on Bootstrap-XGBoost Algorithm and Ordinal Classification Models

Along with the rapid development of industries and the acceleration of urbanisation, the problem of air pollution is becoming more serious. Exploring the relevant factors affecting air quality and accurately predicting the air quality index are significant in improving the overall environmental quality and realising green economic development. Machine learning algorithms and statistical models have been widely used in air quality prediction and ranking assessment. In this paper, based on daily air quality data for the city of Xi’an, China, from 1 October 2022 to 30 September 2023, we construct support vector regression (SVR), gradient boosting decision tree (GBDT), extreme gradient boosting (XGBoost), random forests (RF), neural network (NN) and long short-term memory (LSTM) models to analyse the influence of the air quality index for Xi’an and to conduct comparative tests. The predicted values and 95% prediction intervals of the AQI for the next 15 days for Xi’an, China, are given based on the Bootstrap-XGBoost algorithm. Further, the ordinal logit regression and ordinal probit regression models are constructed to evaluate and accurately predict the AQI ranks of the data from 1 October 2023 to 15 October 2023 for Xi’an. Finally, this paper proposes some suggestions and policy measures based on the findings of this paper.

Highlighting the Power of Sleep: Employees’ Daily Sleep Quality and Emotion Regulation at Work

Highlighting the Power of Sleep: Employees’ Daily Sleep Quality and Emotion Regulation at Work

Acupuncture for Residual Dizziness After Successful Repositioning Maneuvers in Patients with Benign Paroxysmal Positional Vertigo: Study Protocol for a Randomized Noninferiority Trial.

Benign paroxysmal positional vertigo (BPPV) is the most common cause of peripheral vertigo among adults. Successful treatment often requires an appropriate canalith repositioning procedure (CRP), which has proven effective in the treatment of BPPV. However, some patients experience residual dizziness (RD) after CRP, affecting their daily activities and quality of life. Although oral betahistine is a common clinical treatment for RD, some patients may discontinue this medication due to adverse effects. Conversely, acupuncture has demonstrated efficacy in treating dizziness with minimal adverse effects. However, to date, no trials have directly compared the efficacy of acupuncture and betahistine in treating RD. Our goal was to assess the noninferiority of acupuncture in treating RD compared with the commonly used oral betahistine treatment. A randomized, controlled, non-inferiority trial was conducted to compare the effectiveness of acupuncture and betahistine in patients with BPPV who experience RD after a successful CRP. Eighty-four participants were randomly assigned to two treatment groups, each receiving either acupuncture or betahistine. The assessors and statisticians were blinded to treatment allocation. The primary outcomes were the response rate and change in vertigo level, and secondary outcomes included Visual Analog Scores and the presence and change in depressive symptoms among patients. Scale measures were recorded at baseline, 2, 4, and 12 weeks after randomization. This trial aims to provide causal evidence supporting the non-inferiority of acupuncture therapy relative to oral betahistine, offering an alternative treatment avenue for patients intolerant to betahistine. Ethics approval was obtained from the Affiliated Hospital of Shandong University of Traditional Chinese Medicine, with permission number 2023-095-KY. Written informed consent was obtained from the enrolled patients.

From maca to marijuana: cultural influences on joint pain symptoms and management in urban perimenopausal and early postmenopausal Latinas.

The purpose of this qualitative study was to explore the symptom experience and coping strategies for managing joint pain during the menopause transition in urban Latina women. We conducted focus groups with 13 English-speaking peri and early postmenopausal Latinas living in Upper Manhattan in New York City in 2014. Eligible participants were self-identified Latinas aged 45 to 60 years with new onset or worsening joint pain and spontaneous amenorrhea, recruited through flyers and snowball sampling. Focus group interviews conducted in English were audiotaped, transcribed, and analyzed by a bilingual research team, using NVivo software (QSR International) to organize and code themes. On average, participants were aged 51.7 ± 4.8 years and overweight (body mass index of 29.3 ± 6.7 kg/m 2 ); 10 (76.9%) were Puerto Rican, and the last menstrual period was 1 month to 5 years ago. The following four themes emerged: 1) menopause and joint pain are an alarming package; 2) pain disrupts life and livelihood; 3) medical management is unsatisfactory and raises worries about addiction; and 4) home remedies for coping with pain-from maca to marijuana. Despite access to a world-class medical facility in their neighborhood, women seeking pain relief preferred to self-manage joint pain with exercise, over-the-counter products, and other culturally valued home remedies. Many suffered through it. For midlife Latinas, joint pain symptoms may emerge or worsen unexpectedly as part of the menopause transition and carry distressing consequences for daily activities and quality of life. There is a need to develop more culturally specific approaches for menopause-related pain management in this underserved population.

Mean of Daily Versus Single Week Recall-Based Pain Quality Assessments in Neuropathic Pain Trials: Implications for Assay Sensitivity

Patients with neuropathic pain often present with variable pain and nonpainful sensory qualities that could serve as outcomes in randomized clinical trials (RCTs). This study aimed to investigate the within-participant variability in the severity of these sensory qualities and whether the means of 7 daily pain quality assessments provide better assay sensitivity (ie, more sensitivity to treatment effects) than single-week recall-based assessments. This secondary analysis used data from an RCT of transcutaneous electrical nerve stimulation for chemotherapy-induced peripheral neuropathy (N = 142). Participants rated the severity of painful and nonpainful sensory qualities using 0 to 10 numeric rating scales daily for 1 week (24-hour recall) and 1 time at the end of each week (week recall) at trial baseline and endpoint (after 6 weeks of treatment). For pain quality assay sensitivity analyses, the 2 types of measures were used to 1) define the study sample (ie, how many participants met minimum baseline pain quality severity) and 2) calculate the observed effect sizes (ie, between-group differences in mean pain qualities) using analysis of covariances. The projected sample sizes required to detect the observed effect sizes in future clinical trials for hot/burning pain and cramping were substantially smaller using the daily mean outcome compared with week recall (ie, hot/burning pain: 153 vs 388, cramping: 121 vs 349), and only marginally larger for sharp/shooting pain (22 participants) with the daily mean outcome. Compared with single-week recall-based assessments of pain qualities, the mean of daily assessments may improve RCT assay sensitivity when used to define entry criteria and assess outcomes. PerspectiveThis study suggests that means of daily pain quality assessments may improve assay sensitivity when used to define entry criteria and assess outcomes in clinical trials. This work may inform design of future clinical trials evaluating the intensity of different pain qualities.

Association of ambient temperature on acute ischemic stroke in Yancheng, China

BackgroundAcute ischemic stroke (AIS) is a major global public health issue. There is limited research on the relationship between ambient temperature and AIS hospital admissions, and the results are controversial. Our objective is to assess the short-term impact of ambient temperature on the risk of AIS hospital admissions in Yancheng, China.MethodsWe collected data on daily AIS hospital admissions, meteorological factors, and air quality in Yancheng from 2014 to 2019. We used Poisson regression to fit generalized linear models and distributed lag non-linear models to explore the association between ambient temperature and AIS hospital admissions. The effects of these associations were evaluated by stratified analysis by sex and age.ResultsFrom 2014 to 2019, we identified a total of 13,391 AIS hospital admissions. We observed that the influence of extreme cold and heat on admissions for AIS manifests immediately on the day of exposure and continues for a duration of 3–5 days. Compared to the optimal temperature (24.4 °C), the cumulative relative risk under extreme cold temperature (-1.3 °C) conditions with a lag of 0–5 days was 1.88 (95%CI: 1.28, 2.78), and under extreme heat temperature (30.5 °C) conditions with a lag of 0–5 days was 1.48 (95%CI: 1.26, 1.73).ConclusionsThere is a non-linear association between ambient temperature and AIS hospital admission risk in Yancheng, China. Women and older patients are more vulnerable to non-optimal temperatures. Our findings may reveal the potential impact of climate change on the risk of AIS hospital admissions.

Pet your cat, walk your dog: The spillover effects of morning quality time with pets on outcomes during and after the workday.

For decades, psychologists have explored dynamics within the realm of human-animal interaction. Organizational psychologists are no different; research has found that exchanges with pets and other animals have the potential to influence important work outcomes, such as performance, well-being, and satisfaction. Relatively little is understood, however, regarding the potential spillover effects of human-animal interaction from the non-work to work context. To address this gap in the literature, the present research-synthesising Broaden and Build Theory and Conservation of Resources Theory-explores the daily spillover effects of morning quality time with pets on affective, behavioural, and cognitive outcomes for employees, both during and after the workday. It is also suggested that openness to experience may act as a cross-level moderator for these daily relationships. An occupationally heterogenous daily diary sample of employed pet owners from the United Kingdom (NLevel 1=405, NLevel 2=81) was used to test these relationships. Using a mixed effects modelling approach, it was revealed that morning quality time with pets was associated with reduced Negative Affect (NA) during the workday, and reduced incivility and withdrawal upon returning home from work. Moreover, higher levels of trait openness to experience strengthened the negative relationships between daily morning quality time with pets and daily workday NA and afterwork incivility. Implications for research and practice are discussed.

How we get along depends on how you make me feel: An episodic perspective on leader–follower emotional entrainment and daily interaction quality

AbstractLeader–follower relationships are a cornerstone of leadership research. Considering recent developments that point to emotions as key determinants of dyadic relationships, we shift the focus of this literature to the episodic interplay of leader emotional expressions and follower emotional reactions for the emergence of high‐quality interactions. Specifically, we develop an emotional entrainment perspective stating that the trajectory of leader emotional expressions and corresponding follower emotional reactions over the course of a day gives rise to follower perceptions of their interaction quality with their leader. We glean additional insights by examining follower attachment styles as a moderator. Results of an experience sampling study (Nemployees = 72, Ndays = 479) demonstrate that emotional entrainment of high‐activated emotions (joy and fear) predicts end‐of‐day interaction quality contingent on followers' (avoidant and anxious) attachment styles. Future avenues for research on the emergence of high‐quality leader–follower relationships are discussed.

Comparison of quantitative detection of BCR::ABL1 p210 transcript levels: a multicenter study

Objective: To assess the capability of seven reference medical laboratories to detect BCR::ABL1 p210 transcription levels and to compare the results among those laboratories. Methods: The interlaboratory comparison was carried out in two stages. The samples were prepared by the reference laboratory. The quantitative values of BCR::ABL1 p210 of the comparison samples covered 0.001%-0.01%, 0.01%-0.1%, 0.1%-1%, 1%-10% and>10% in each stage. Real-time quantitative PCR (RT-PCR) and dPCR (digital PCR) were used to examine the samples. The conversion factor (CF) was calculated and validated for each laboratory. Results: In the RT-PCR comparison, one laboratory was failed to detect BCR::ABL1 p210 in fourteen samples at the first stage. The results of the other six laboratories were qualified with the bias <±1.2 folds (-0.133-0.338) and 95% limits of agreement within ±5 folds (upper limit 0.147-0.785, lower limit -0.770--0.109), and the corresponding CF values were calculated and validated. In the dPCR comparison, one laboratory did not report results at the second stage. The results of the other six laboratories were qualified with the bias <±1.2 folds (-0.026-0.267) and 95% limits of agreement within±5 folds (upper limit 0.084-0.991, lower limit -0.669--0.135), and the corresponding CF values were calculated and validated. The samples with BCR::ABL1 p210 quantitative values of 0.01%-0.1%, 0.1%-1%, 1%-10% and >10% could be detected by both RT-PCR and qPCR. When the quantitative value of BCR::ABL1 p210 was 0.001%-0.01%, the detection rate of dPCR was higher than that of RT-PCR (85.56% vs. 68.00%). Conclusions: A good consistency is present among various laboratories. The quantitative value of BCR::ABL1 p210 is comparable among laboratories as shown by the CF value conversion. For quantitative detection of BCR::ABL1 p210 deep molecular reaction, dPCR has a higher positive detection rate and more advantages than RT-PCR. To ensure the accuracy and reproducibility of the BCR::ABL1 p210 test, it is imperative for every laboratory to enhance their daily quality control practices.

Neuromodulation in Management of Patients with Failed Back Surgery Syndrome. An Outcome Assessment Study

Abstract Background Failed back surgery syndrome (FBSS) is a constellation of conditions that describes persistent or recurring low back pain following spine surgeries with a reported point prevalence in the general adult population of 37% and a lifetime prevalence of between 60% and 85%. It always has a significant impact on patients’ quality of life. Neuromodulation such as spinal cord stimulation has been showing significant effect and improvement in pain scores and functional capacity of the FBSS patients with a reflected effect on their daily activities and quality of life. Aim and Objectives Our aim in this study is to assess the change in pain scores, quality of life and opioid medications intake as an outcome of neuromodulation procedures performed to patients diagnosed with failed back surgery syndrome, and to detect the post procedure complications. Subjects and Methods This is a mixed prospective-retrospective study conducted at Ain Shams University (ASU) hospital and Oregon Health and Science University (OHSU) hospital during the period from September 2019 till December 2022. Patients who are 18 years old or older diagnosed with FBSS for more than 6 months and treated with spinal cord stimulation with successful trials during this time frame were included in the study. Results 34 patients were included in this study who had successful SCS trials and underwent a permanent implantation of SCS devices with post procedure follow up period of 12 months. Patients showed median pain numerical rating scale (NRS) of 7/10 at baseline with median NRS of 4/10 through the follow up period, also, there was a significant improvement of functional capacity using metabolic equivalent assessment with 74% of patients became moderate capacity compared to 32% at baseline. Quality of life assessed by activity measure of post-acute care (AM-PAC) showed significant improvement from mean of 16.87 ± 2.74 at baseline to mean of 19.97 ± 2.93 through follow up. Also there was a significant reduction of opioid medication usage. Post procedure complications was of low percentage with the most commonly detected were battery dysfunction in 7 patients and pocket pain in 6 patients. Reoperation was needed in 13 patients with 4 needed just revision and 9 patients required a complete removal of the device. Conclusion Failed back surgery syndrome is a widely described chronic pain condition which has a negative impact on the patients’ quality of life and daily activities with an evidenced effect on chronic use and abuse of opioid analgesic medications. We presented in our study that SCS could be offered as an effective modality of treatment with a statistically significant reduction in pain scores and a significant improvement in functional capacity and quality of life. Also, it has a recognizable but not statistically significant reduction in opioid analgesic medications and a very low percentage of procedure related complications.

What is in a Day? Investigating the Relationship Between Sleep Quality and Quality of Life Among Caregivers of Children With Autism.

The purpose of this study was to investigate the relationship between sleep quality and quality of life (QOL), or overall level of well-being, in caregivers of children with autism spectrum disorder (ASD) on the daily level. This study utilizes mobile ecological momentary assessment (mEMA) to capture daily experiences of caregivers of children with ASD over a period of 14 days. Utilizing mEMA, this study examines relations between sleep quality and QOL and the role of mood and physical health as mediators on the daily level, specifically for caregivers of children with ASD (n = 51). The data were analyzed using multilevel modeling by MLMed macro. The results suggest that there is a significant positive relation between sleep quality and QOL across individuals. Surprisingly, there was a negative relation between sleep quality and QOL within individuals. The positive relationship between sleep quality and QOL across participants was explained through positive mood across individuals. Furthermore, this relationship also occurred through better physical health across and within individuals. For caregivers of children with ASD, daily positive mood and better physical health explain the relationship between daily sleep quality and QOL. Understanding daily experiences of caregivers of children with ASD may inform interventions and practices aimed at improving sleep and its associated outcomes to ultimately improve caregiver well-being.

Challenges of Using Publicly-Available Hospital Data to Quantify Health Effects from Wildfire Plumes in the East San Francisco Bay Area Communities of California, USA

In the summer and fall of 2018 and 2020, major wildfires in Northern California (USA) impacted the San Francisco Bay Area. The remote 2018 and 2020 wildfires produced the highest PM2.5 concentrations experienced in the Tri-Valley of the East Bay Area during those two years. The Tri-Valley is composed of the San Ramon, Amador, and Livermore Valleys, surrounded by local terrain that creates a small airshed. In 1967, the California Air Resources Board created 15 Air Basins defined by regional geography, topographic and meteorological conditions. Airshed is sometimes synonymous with an urban-scale component of an Air Basin. We use airshed as a Tri-Valley component of the Bay Area Air Basin. This airshed spans across two counties (Contra Costa and Alameda) and encompasses four cities: San Ramon, Dublin, Pleasanton, and Livermore. PurpleAir (PA) sensors provided good geographic coverage of variation in PM2.5 in the Tri-Valley airshed. Several studies have established significant health effects from wildfire plumes by associating daily hospital visits with PM2.5 air quality data at local and regional scales. We hypothesize that during the wildfire smoke periods of 2018 and 2020 in the Tri-Valley area, there was an increase in hospitalizations and ED visits for respiratory (asthma and COPD-related) health effects, as compared to the same time periods during years with less fire activity. The primary goal of this study was to confirm health effects from wildfire plumes on a community scale using 5 years of publicly-available health data. However, with only monthly hospitalization data available, directly linking respiratory hospital and emergency department (ED) visits with PM2.5 concentrations was unsuccessful. Also, because COVID-19 masked all other causes of hospital visits in 2020, that year was ultimately eliminated from this study. However, visits during November 2018 being much higher than any other November in 2016, 2017, and 2019 implied a potential cause and effect. Daily hospitalization and air quality data are required to quantify any relationship by regression analysis. These findings help inform future studies on the health effects of air quality at community scales. KEYWORDS: PM2.5 Air Quality; Air Pollutant Exposure; Air Quality Monitoring; Wildfire Smoke; Respiratory Health; PurpleAir Sensors

Etanercept ameliorates chronic mild stress-induced depressive-like behavior in rats: Crosstalk between MAPK and STAT3 pathways and norepinephrine and serotonin transporters

Depression is a serious medical illness characterized by persistent feelings of sadness, hopelessness, and lack of interest in daily activities. It can interfere with daily functioning and quality of life. Despite decades of research, the pathophysiology of depression remains incompletely understood. The correlation between depression and inflammation has recently attracted considerable attention. This study investigated the potential antidepressant effect of etanercept, a tumor necrosis factor-alpha (TNF-α) inhibitor, utilizing a chronic mild stress (CMS) model in rats. Male Wistar rats were divided into two groups; one following a non-stressed protocol and the other a stressed protocol for 5 weeks. From the beginning of the third week, rats were treated either with saline daily or with etanercept twice a week (0.3 mg/kg, i.p.) or with fluoxetine daily (10 mg/kg, i.p) as a reference. Etanercept exhibited comparable effects to those of fluoxetine in counteracting CMS-induced behavioral manifestation in the forced swimming and splash tests. Etanercept also restored serotonin and norepinephrine levels to control values in the prefrontal cortex (PFC). Moreover, the current study verified the antioxidant and anti-inflammatory effects of etanercept. Interestingly, etanercept halted the expression of both norepinephrine and serotonin transporters in stressed rats. This could be attributed to abrogation of the p38 mitogen-activated protein kinase (p38 MAPK) and signal transducer and activator of transcription 3 (STAT-3) pathways in the PFC. The findings of the present study contribute to the understanding of the potential of etanercept as an antidepressant and provide insights into the neurobiological mechanisms underlying its therapeutic effects.

Assessment of seasonal variations in the air quality index (2019–2022) in Al-Jahra city, Kuwait

The daily air quality indices (AQIs) for pollutants, including particulate matter (PM10 and PM2.5), carbon monoxide (CO), nitrogen oxides (NO2), ozone (O3), and sulfur dioxide (SO2), were evaluated for the period of 2019–2022 in Al-Jahra City, Kuwait. This study is designed to (1) evaluate overall and seasonal changes in pollutants, (2) investigate the correlation for PM10 and PM2.5 and other pollutants during each season, and (3) examine the best model for prediction of air pollutant concentration of PM10 and PM2.5. An assessment of air quality indices was carried out by using different algorithms models, including random forest (RF), an artificial neural network (ANN), and extreme gradient boosting (XGBoost). The overall level of PM10, PM2.5, and SO2 pollutants shows an increasing trend from 2019 to 2022, reaching their highest in 2022 with a significant decrease in 2020 during COVID-19 lockdown restrictions. The pollutants CO and O3 reached their peak in 2021.The obtained results showed that the PM10 and O3 levels are higher in the summer, whereas PM2.5, NO2, and CO were recorded at the highest levels during spring, autumn, and winter respectively due to a variation in the meteorologic condition. Furthermore, during the winter season, the PM10 is positively correlated with CO (rp = 0.401), NO2 (rp = 0.121), and SO2 (rp = 0.119) AQIs while PM2.5 is significantly positively correlated with the CO (rp = 0.198), O3 (rp = 0.310), and SO2 (rp = 0.129) AQIs. In contrast, the performance of XGBoost is a more reliable predictor for PM10 and PM2.5 levels.

What is the effectiveness of the combination of massage therapy and heat therapy on joint range of motion? Experimental study in patients with shoulder pain

This study aims to evaluate the effectiveness of a combination of massage therapy and heat therapy on improving joint range of motion in patients with shoulder pain. Shoulder pain is often accompanied by limited range of motion, which can affect daily activities and quality of life. Massage therapy is known to relieve muscle tension and improve blood circulation, while heat therapy has the effect of reducing muscle stiffness and increasing tissue elasticity. The combination of these two therapies is expected to provide synergistic benefits in overcoming shoulder pain problems and improving joint range of motion. This research method is pre-experimental with a one group pretest and posttest design approach. The study involved giving a combination of masage therapy and heat therapy regularly to a group of patients with shoulder pain. Joint range of motion was evaluated before and after the intervention using a pretest-posttest design. Statistical analysis, including t-test and significance test, was used to assess the difference between the mean pretest and posttest. The results showed a significant increase in the mean posttest compared to the pretest. The results of the significance test also showed that the effect that occurred was significant (0.001 &lt;0.05), indicating the effectiveness of the combination of massage therapy and heat therapy in increasing joint range of motion in patients with shoulder pain.These findings provide strong support for the implementation of a combination of massage therapy and heat therapy as an effective approach in shoulder pain rehabilitation by improving joint range of motion limitations. This study contributes to the scientific understanding of the synergistic benefits of both therapies and provides a basis for the development of improved treatment guidelines for individuals with similar conditions. Keywords: Massage therapy, heat therapy, joint range of motion, shoulder pain.

The impact of spinal fusion of adolescent idiopathic scoliosis in Salah (Islamic Prayer) movement: a retrospective case-control study

Background: Corrective spine surgery is widely accepted for treating severe adolescent idiopathic scoliosis (AIS). Postoperative spinal range of motion (ROM) could be affected after such surgery. In certain populations, such as Muslims, this ROM change can impact daily life, as it may affect the five-times-a-day prayer (Salah). This study aims to assess the influence of spinal fusion (SF) in Adolescent Idiopathic Scoliosis (AIS) during the daily Islamic prayer (Salah). Methods: SF-AIS patients were videoed while performing Salah prayer. The kinematic documentation was assessed and compared to Salah movements of a control group of age-matched Muslim AIS patients, who had not had surgery. The prayer quality changes were subjectively classified into improved, no change/remained, and worsened, according to the Global Perceived Effect (GPE). Functional outcome and pain were assessed by the Scoliosis Research Society Questionnaire Version 30 (SRS-30). Results: Thirty-nine women and five men (mean age±SD: 14.8±2.3 years) met the inclusion criteria, and unoperated AIS patients were used as control (twenty-two women, mean age±SD: 15.32±1.43 years). The prostrations ROM of the SF-AIS group differed significantly from the control group (p&lt;0.05). The GPE of the prayer movement showed improvement in 36.4%, no change in 59.1%, and worsening in 4.5% of the SF-AIS patients. The worsened group had a significantly lower bowing ROM and higher prostrations ROM compared to all groups of prayer quality changes (p&lt;0.05). SRS-30 scores showed good outcomes (function 4.0±0.2, pain 4.2±0.5), along with the overall bowing ROM and prostrations ROM (84.2±12.0° and 53.4±9.6°, respectively). Moreover, a significant moderate positive correlation between the bowing ROM and pain (r=0.417, p=0.007) was also found. Conclusion: Spinal fusion positively affects AIS Islamic patients in maintaining their daily Salah movement, ROM and prayer quality. Prayer quality assessment should be given extra attention as an adjuvant of the SRS-30 questionnaire to evaluate Muslim patients.

Effects of a low, medium, and high-intensity aquatic physiotherapy protocol on functional and biochemical parameters in individuals with knee osteoarthritis: protocol for a crossover randomized controlled trial

Background Knee osteoarthritis affects the performance of daily activities, independence, and quality of life. The etiopathogenesis of this condition considers the mechanisms of activation of metalloproteinase and reactive oxygen species production pathways. Metalloproteinases-3 (MMP-3) and Glutathione Peroxidase (GPx) may be responsible for cartilage destruction. Aquatic physiotherapy promotes a positive impact on the clinical picture of osteoarthritis, and this study presents an intervention protocol that aims to evaluate the effects of a single session of different aquatic physiotherapy modalities on the biochemical and functional behavior of patients with knee osteoarthritis. Methods This will be a crossover randomized controlled trial in which 15 individuals will be submitted to three aquatic physiotherapy modalities with a minimum 15-day wash-out period in patients over 50 years old and diagnosed with OA in at least one knee, presence of pain and at least one functional dysfunction for at least 6 months, absence of physical limitation that prevents the exercise protocol from being performed, Kellgren and Lawrence ranking between I and IV, walk independently and without auxiliary device. Variations in the concentrations of MMP-3 and GPx in peripheral blood, pain, edema, and flexibility resulting from the three aquatic physiotherapeutic interventions will be evaluated both pre- and immediate post-intervention. The reference group will be submitted to the same aquatic physiotherapy protocols, however, only the biochemical parameters and the self-perception questionnaires will be evaluated. Registration ClinicalTrials.gov (NCT05610696, 18/01/2023).

Erratum: Preliminary study on the design of a predictive structural model for daily quality assurance in proton beams

Erratum: Preliminary study on the design of a predictive structural model for daily quality assurance in proton beams