Relationship between fear, fall & balance in cummunity dwelling older adults

Background: In older population the risk of fall is always at high risk and there are many contributing factor which increase the prevalence of fall. The impaired balance leads to limited daily activities and confidence level. Purpose of the study: The main purpose of this study was to determine the relationship between fall, fear and balance in older population. Method & methodology: The descriptive cross sectional study design was used and a sample of 271 older adult were recruited through purpose sampling technique. The detail demographic was noted, history of fall and other related co-morbidities were mention in performa. The standardized test Activity based confidence scale (ABC) and Time up & go (TUG) were used for proper assessment. Results: The result shows that 72% sample were composed of females and 28% were male. Majority 71% belong to age bracket 65-74 years and 79% have no history of fall. Only 19% have high level of physical function on confidence scale, 36% and 45 % were in moderate and low level of physical functioning respectively. The ralationship shows that the older adults who have impaire mobility on TUG have 30% (82) and 11.43% (31) low and moderate level of physical functioning on ABC scale respectively. Conclusions: The findings indicate that majority of older adults have no fall history but still most of them have low level of confidence & physical functioning on ABC scale. The confidence balance is associated with the physical functioning in older adults and need to improve the balance training for proper functioning

Emerging Economies' Influence in Shaping Global Governance Structures and Issues

The global economy is transforming from a bipolar structure in which developed nations mainly control the global governance system to a multipolar structure mainly due to fast industrialization and economic growth of emerging economies. These countries, including China, India and Brazil, as they grow economically and politically, are pushing for the reform of international organizations to become more democratic. The emergence of new economic and political actors, for instance BRICS and G20 is an indication of the fact that these countries are working together to redesign new international relations architectures because traditional systems failed to address emerging challenges. This paper aims at analyzing the process of evolution of the emerging economies in the context of their participation in the global governance with a focus on their effects on economic, political and security dimensions. Using China, India and Brazil as the case, the paper shows that these countries are not only demanding changes in existing institutions but are also shaping new governance structures. Finally, the paper looks into the possible future environments for global governance with an emphasis on the necessity to develop a new, fairer model that would correspond to the trends of a multipolar world. Keywords:  Emerging Economies, Global Governance, Political Clout, Multipolar World, Institution

Technological advancements in stroke rehabilitation

Early, coordinated, and multidisciplinary rehabilitation plays a major part in motor recovery after stroke. The conventional stroke rehabilitation primarily includes physical therapy, occupational therapy, and speech therapy. However, with these conventional methods, many stroke survivors still have a residual functional disability which impairs their ability to perform activities of daily living. This could be attributed to the insufficient therapy dose, low engagement and motivation of the patient, and lack of objective feedback to achieve significant improvements in function. Various technology-based stroke rehabilitation interventions have been developed in the last few decades which have shown promising results in improving stroke patients' functional mobility and independence. The use of technology promotes repetitive, task-specific training, active engagement of patients, integrating constructive and concurrent feedback, and accurately measuring functional improvement. This review summarizes the important technological advances in stroke rehabilitation, including exergames, telerehabilitation, robotic-assisted systems, virtual and augmented reality, wearable sensors, and smartphone application

Convexity of Certain Integral Operators Defined by Struve Functions

This article deals with some functional inequalities involving Struve function, generalized Struve function, and modified Struve functions. We aim to find the convexity of the integral operator defined by Struve function, generalized Struve function, and modified Struve functions

Surveillance of aetiologies, clinical presentation, and most common types of epilepsy among paediatric patients at a tertiary care hospital in Pakistan

Epilepsy is the third most common neurological disease in the world associated with a high frequency in the paediatric age group. This study aims to evaluate the prevalence, types and aetiologies of epilepsy within the Pakistani population. A retrospective review of the charts of all patients, below the age of 18 years, presenting with epilepsy to the Department of Neurology at The Children\u27s Hospital and Institute of Child Health, Lahore, from January 2016 to December 2020, was carried out. Analysis was performed using SPSS Version 26. A p value of \u3c0.05 was considered statistically significant. A total of 1,097 patients were studied, of which 644 (58.8%) were males and 451 (41.2%) females. a vast majority, i.e. 1,021 (96.1%), of the study participants, belonged to the province of Punjab. Afebrile seizures [n=798 (72.7%)] were more commonly reported than febrile seizures [n=299 (27.3%)]. Among seizure types, generalised seizures were the most common type of seizure reported in 520 (49.8%) patients. Refractory seizures were the least common type reported in 3 (0.3%) patients. Aetiology was mostly idiopathic [n=540 (49.2)], followed by congenital [n=228 (20.8%)]. The most frequently reported duration of seizure was between one and three minutes [n=116 (42.3%)]. The most common ictal features seen were a combination of up-rolling of eyes and frothing from the mouth [n=206 (34.9%)]. Results from this study can be used by health care providers to better formulate therapeutic interventions for a timely diagnosis and effective treatment of epileps

Sufficiency Criteria for q-Starlike Functions Associated with Cardioid

This article deals with the q-differential subordinations for starlike functions associated with the lemniscate of Bernoulli and cardioid domain. The primary goal of this work is to find the conditions on γ for 1+γz∂q hz/hn z ≺1+z, where hz is analytic function and is subordinated by the function which is producing cardioid domain as its image domain while mapping the open unit disk. Along with this, certain sufficient conditions for q-starlikeness of analytic functions are determined

Demographic psychosocial factors associated with internet addiction among the Pakistani population during COVID-19: A web-based survey

This study aims to determine the burden of COVID19-induced internet addiction and related psychosocial factors among the Pakistani sample. A web-based cross-sectional survey was conducted from January to March 2021. An analytical crosssectional survey was broadcast on the internet via a Google form completed by 1145 Pakistanis. Individuals aged 13 years and above with competency to comprehend English or Urdu language, currently residing in any province of Pakistan, having access to the questionnaire, and willing to participate were eligible to participate. Overseas Pakistanis were excluded from the study. The outcome is COVID19-induced internet addiction was measured using the validated tool Young’s Internet Addiction Test (IAT). In addition, symptoms of depression, anxiety, stress, and other psychosocial factors were assessed using the validated tool Depression, Anxiety, and Stress Scale-21 (DASS-21). Adjusted odds ratios with a 95% confidence interval were reported using multinomial logistic regression. Most participants were females and youth (between 20 and 24 years). The prevalence of problematic internet users (PIU) and addictive internet users (AIU) was 27.3% and 11.3%, respectively. The odds of extremely severe anxiety among AIU were approximately three times (Adj OR: 2.6 (1.1-7.1), followed by the odds of having extremely severe stress being about five times higher among AIU (Adj OR: 5.4 (1.6-17.6)) as compared to normal internet users (NIU). Amid COVID-19, the burden of internet addiction has surged among the Pakistani populace. This study identified that gender, marital status, depression, stress, anxiety, work situation, and mood changes during the COVID-19 pandemic are significantly correlated with problematic and addictive internet use. Preventative measures against the addictive use of the internet are needed to avoid or mitigate any serious mental health problem

COVID-19 pandemic impacted internet use and anxiety among general public during COVID-19 pandemic in Pakistan

Objective: To determine the association between internet use and anxiety among people during the coronavirus disease-2019 pandemic.Method: The cross-sectional study was conducted across Pakistan from January 14 to February 21, 2021, which was the active phase of the coronavirus disease-2019 pandemic in Pakistan. The participants were aged at least 13 years having internet access regardless of gender or their location across Pakistan. The anonymous web-based survey was conducted using a questionnaire generated on Google Forms and disseminated through various social media platforms and WhatsApp groups. Anxiety symptoms were screened using the Depression, Anxiety and Stress Scale-21, while the Young Internet Addiction Test was used to evaluate symptoms of internet addiction. Data was analysed using STATA 16.Results: Of the 1,145 subjects, 686(60%) were females and 459(40%) were males. A total of 257(22.5%) participants were found to have extremely severe anxiety and internet usage pattern was significantly associated with the level of anxiety (p\u3c0.05). Age, gender, social class and marital status were not significantly different (p\u3e0.05), while family income and area of living were significantly different (p\u3c0.05) in terms of anxity levels. . The odd of addictive internet use was 10.2 (95% confidence interval: 5.7-18.5) times greater in extreme anxiety individuals compared to individuals having no anxiety after controlling for other sociodemographic, health-related, behavioral and environmental factors during the pandemic.Conclusion: A significant association of anxiety was found with internet addiction during the coronavirus disease-2019 pandemic