Is adherence to the 24-h movement guidelines associated with greater academic-related outcomes in children and adolescents? A systematic review and meta-analysis

The purpose of this systematic review was to synthesise the evidence for the association of adherence to the 24-h movement guidelines with academic-related outcomes in children and adolescents. This systematic review was based on the Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) statement. PubMed, PsycINFO, Scopus, WOS, SPORTDiscus, and EMBASE were searched from their inception to 12 December 2023. The Joanna Briggs Institute (JBI) Critical Appraisal Checklist was used to assess the risk of bias of included studies. In total, 4326 records were identified through database searches; 10 articles met the inclusion criteria and were included in this systematic review. There were eight cross-sectional studies and two longitudinal studies; the main academic-related outcomes were academic achievement and cognitive function. A small association between adherence to all three recommendations and academic achievement (k = 5, r = 0.17, 95% CI = 0.10-0.24, I2 = 49%) was found compared to those who did not adhere to any recommendations.   Conclusion: Findings from this systematic review and meta-analysis reveal a small association between adherence to all three recommendations and greater academic achievement in children and adolescents. Nevertheless, it is imperative to underscore the need for more studies to establish robust evidence underpinning this relationship.   Trial registration: PROSPERO (CRD42021295403). What is Known: • Regular physical activity, reduced screen time, and optimal sleep duration are independently associated with improved academic-related outcomes in children and adolescents. • The associations between adherence to the 24-h movement guidelines and academic-related outcomes in children and adolescents have not been quantitatively synthesised. What is New: • There is a small but positive association between adherence to all three recommendations of the 24-h movement guidelines and greater academic achievement in children and adolescents. • Further well-designed research is needed to focus on academic achievement, cognitive function and classroom behaviours in young individuals.

"Indexed journals with no or low article processing charges: An alternative publishing venue for Pakistani researchers" because it will be concise and better structured that way

Publishing research is an integral part of an individual’s academic career. It is a requirement during higher education (e.g., Masters, PhD). Publication profile is also needed for job appointments and promotions as a mandatory requirement by several organisations. For example, the Higher Education Commission of Pakistan has specified the number of publications required for academic jobs and promotions.1 Therefore, many of us in academia are under constant pressure to publish for further professional growth. However, two major questions for the researchers from low- and middle-income countries, particularly Pakistan, are: 1) what are the options for openaccess publishing with no or low article processing charges? and 2) are such journals indexed in major bibliographic databases such as Scopus, Web of Science and/or PubMed? To answer these questions, this editorial aims to present information about indexed journals with low or no article processing charges, with particular emphasis on journals from Pakistan. Continued...

Awareness of having hypertension, diabetes and dyslipidaemia among US adults: The 2011-2018 NHANES data

AIM

This study aimed to investigate awareness of having hypertension, diabetes and dyslipidaemia and their associated factors among US adults.

METHODS

Data from the National Health and Nutrition Examination Survey, including 21,399 adults aged ⩾20 years (pregnant women excluded) collected between 2011 and 2018, were used. Blood pressure was measured using a Baumanometer calibrated mercury true gravity wall model sphygmomanometer. Serum total cholesterol levels were measured using enzymatic assays. The percentage of haemoglobin A1C (HbA1c), which reflects long-term blood glucose levels, was measured and used to identify diabetes. Participants self-reported whether they were told by a doctor that they have hypertension, dyslipidaemia and diabetes. Awareness was defined as alignment between objective and self-reported measures for having the conditions. Sampling weights and the Taylor series linearisation variance estimation method were used in the analyses.

RESULTS

The findings showed that 64.06% of people with hypertension, 54.71% of those with dyslipidaemia and 78.40% of those with diabetes were aware of having the respective condition. Age, sex and health insurance were associated with awareness of having all three conditions, but marital status was not associated with any outcome. Weight status was associated with awareness of having hypertension and dyslipidaemia, whereas ethnicity was associated with awareness of having hypertension and diabetes. Relative family income was only associated with awareness of having hypertension.

CONCLUSIONS

Large proportions of US adults with hypertension, dyslipidaemia and diabetes are not aware of having the conditions. Interventions targeting groups at higher risk of being unaware of these conditions are needed.

Health Benefits of Different Sports: a Systematic Review and Meta-Analysis of Longitudinal and Intervention Studies Including 2.6 Million Adult Participants

BACKGROUND

Several reviews have examined the health benefits of participation in specific sports, such as baseball, cricket, cross-country skiing, cycling, downhill skiing, football, golf, judo, rugby, running and swimming. However, new primary studies on the topic have recently been published, and the respective meta-analytic evidence needs to be updated.

OBJECTIVES

To systematically review, summarise and appraise evidence on physical health benefits of participation in different recreational sports.

METHODS

Searches for journal articles were conducted in PubMed/MEDLINE, Scopus, SpoLit, SPORTDiscus, Sports Medicine & Education Index and Web of Science. We included longitudinal and intervention studies investigating physical health outcomes associated with participation in a given sport among generally healthy adults without disability.

RESULTS

A total of 136 papers from 76 studies conducted among 2.6 million participants were included in the review. Our meta-analyses of available evidence found that: (1) cycling reduces the risk of coronary heart disease by 16% (pooled hazard ratio [HR] = 0.84; 95% confidence interval [CI]: 0.80, 0.89), all-cause mortality by 21% (HR = 0.79; 95% CI: 0.73, 0.84), cancer mortality by 10% (HR = 0.90; 95% CI: 0.85, 0.96) and cardiovascular mortality by 20% (HR = 0.80; 95% CI: 0.74, 0.86); (2) football has favourable effects on body composition, blood lipids, fasting blood glucose, blood pressure, cardiovascular function at rest, cardiorespiratory fitness and bone strength (p < 0.050); (3) handball has favourable effects on body composition and cardiorespiratory fitness (p < 0.050); (4) running reduces the risk of all-cause mortality by 23% (HR = 0.77; 95% CI: 0.70, 0.85), cancer mortality by 20% (HR = 0.80; 95% CI: 0.72, 0.89) and cardiovascular mortality by 27% (HR = 0.73; 95% CI: 0.57, 0.94) and improves body composition, cardiovascular function at rest and cardiorespiratory fitness (p < 0.010); and (5) swimming reduces the risk of all-cause mortality by 24% (HR = 0.76; 95% CI: 0.63, 0.92) and improves body composition and blood lipids (p < 0.010).

CONCLUSIONS

A range of physical health benefits are associated with participation in recreational cycling, football, handball, running and swimming. More studies are needed to enable meta-analyses of health benefits of participation in other sports. PROSPERO registration number CRD42021234839.

Exploring relationship of poor sleeping habits with prenatal stress among pregnant women in Pakistan: a cross-sectional study

OBJECTIVE

Pregnancy is a complex phenomenon accompanied by biological, physiological and psychosocial changes for a mother. It is also regarded as a stressful life event where a woman's role, identity and interpersonal relationships are restructured. The present study from Pakistan explores the association of sleep quality and poor sleeping habits with prenatal stress using Pittsburgh Sleep quality Index.

RESULTS

There were a total of 516 women (mean age = 29.82 years), with more than half reporting poor sleep quality. Ethnically, a majority (395, 76.6%) were natives of the Punjab province while rest were non-natives. A high percentage of respondents reported poor subjective sleep quality (22.1%), sleep latency (44.1%), habitual sleep efficiency (27.5%), sleep disturbance (30.1%), use of medications (7.1%) and daytime dysfunction (29.5%). According to logistic regression analysis, respondents with poor sleep quality were 2.24 (95% CI = 1.55-3.22, P < 0.001) times more likely to have high stress levels (P < 0.001).

Factors influencing the work of researchers in Scientific Initiation: A systematic review protocol

INTRODUCTION

Scientific Initiation (SI) is an educational activity that allows students to begin their scientific training and research under the guidance of an experienced researcher. While several studies have examined students' perceptions of SI, research on the perspective of researchers working in this field is currently lacking. Thus, this study's aim is to describe the protocol design for conducting a systematic review. At the same time, the review aims also to identify factors influencing the work of researchers in SI and explore the motivations leading researchers to engage in research projects within institutions and their respective impacts.

METHOD AND ANALYSES

Literature search will be done using the bibliographic databases, including Academic Search Premier, APA PsycNet, CINAHL Plus, ERIC, SocINDEX, Scopus, and Web of Science. The search strategy was guided by the PICo framework (Population, phenomenon of Interest, and Context). The preparation and development of this protocol following guidelines were employed: Preferred Reporting Items for Systematic Reviews and Meta-Analyses for Protocols 2015 (PRISMA-P 2015), Peer Review of Electronic Search Strategies 2015 (PRESS 2015), and PRISMA-Search (PRISMA-S). Original, peer-reviewed articles that examine the factors related to the work of researchers in SI will be included without any language or publication date restrictions. Qualitative, quantitative, and mixed-methods studies will be screened by two independent researchers. The included studies will be analyzed to identify factors, policies, and their impacts obtained analytically. Findings will be objectively categorized and synthetically represented through figures, diagrams, and graphic models. The risk of bias will be assessed using the Critical Appraisal Skills Program (CASP) and the Downs and Black checklists. A third senior reviewer will resolve any discrepancies.

DISCUSSION

We aim to understand the factors that drive researchers to engage in SI research through the dissemination of the findings of this systematic review. This may aid the development of institutional strategies and actions that can support the enhancement of SI programs and encourage greater researcher participation.

Association between meeting the 24-h movement guidelines and psychosocial health in children: A cross-sectional study

OBJECTIVE

Emerging evidence suggests that meeting the 24-h movement guidelines is associated with optimal mental health. However, there remains some uncertainty regarding this association in children. Therefore, this study aimed to examine the association between meeting the 24-h movement guidelines and psychosocial health in children.

METHODS

A cross-sectional study design was employed to investigate 2005 children aged 9-12 years from four districts of Shanghai, China. The 24-h movement behaviours were assessed using selected items from the Health Behaviour in School-aged Children (HBSC) survey questionnaire. Children's self-rated psychosocial health was evaluated using the Strengths or Difficulties Questionnaire (SDQ). Generalised Linear Models with the ordinal logistic module were employed to analyse the association between meeting the 24-h movement guidelines and psychosocial health.

RESULTS

The overall prevalence of meeting all three 24-h movement recommendations was 10.2%. Among children, 7.9% of them exhibited abnormal total difficulties, with a notable difference between sex (boys: 11.2%, girls: 7.0%, p = 0.001). Meeting all three 24-h movement behaviour recommendations was associated with reduced total difficulties, emotional symptoms, conduct problems, hyperactivity and peer problems. Furthermore, a dose-response association was observed, indicating that meeting a greater number of 24-h movement behaviour recommendations was associated with enhanced psychosocial health, particularly in boys.

CONCLUSION

The findings of this study highlight the positive association between meeting the 24-h movement guidelines and psychosocial health in children. Notably, meeting more of these recommendations was associated with a lower likelihood of experiencing psychosocial problems, with greater benefits observed in boys compared with girls.

A Toolkit for Detecting Fallacious Calls for Papers from Potential Predatory Journals

Purpose

Flattering emails are crucial in tempting authors to submit papers to predatory journals. Although there is ample literature regarding the questionable practices of predatory journals, the nature and detection of spam emails need more attention. Current research provides insight into fallacious calls for papers from potential predatory journals and develops a toolkit in this regard.

Methods

In this study, we analyzed three datasets of calls for papers from potential predatory journals and legitimate journals using a text mining approach and R programming language.

Results

Overall, most potential predatory journals use similar language and templates in their calls for papers. Importantly, these journals praise themselves in glorious terms involving positive words that may be rarely seen in emails from legitimate journals. Based on these findings, we developed a lexicon for detecting unsolicited calls for papers from potential predatory journals.

Conclusion

We conclude that calls for papers from potential predatory journals and legitimate journals are different, and it can help to distinguish them. By providing an educational plan and easily usable tools, we can deal with predatory journals better than previously.

Prevalence of symptoms of work-related musculoskeletal disorders and their associated factors: A cross-sectional survey of sewing machine operators in Sindh, Pakistan

BACKGROUND: The nature of the work of sewing machine operators predisposes them to a wide variety of symptoms of musculoskeletal disorders and obesity. However, there is a paucity of studies on the prevalence and associated factors for symptoms of work-related musculoskeletal disorders (WMSDs) among this occupational group. OBJECTIVES: This study aimed to determine the prevalence of symptoms of WMSDs and their association with personal and occupational factors and body mass index (BMI) among sewing machine operators of Sindh province in Pakistan. METHODS: This cross-sectional study was conducted on male sewing machine operators in two major cities (i.e., Hyderabad and Nawabshah) of Sindh province in Pakistan. Obesity was determined through the BMI cutoff values for Asians. Standardized Nordic Musculoskeletal Questionnaire and Numeric Rating Scale were used. Data analysis was performed using SPSS v20. RESULTS: Of the 200 participants, 91% participants had symptoms of WMSDs in the past 12 months. Most (41.5%) participants reported pain and discomfort during the last 12 months in the lower back region. Symptoms of WMSDs in the lower back region had a significant positive association with working days/week (r = .196** p = .005). Symptoms of WMSDs in the ankle/feet region had a significant positive association with age (r = .246** p = .001) and work experience (r = .276** p = .001). CONCLUSIONS: Prevalence of symptoms work-related musculoskeletal disorders is high among sewing machine operators of Sindh province in Pakistan, with significant associations between personal and occupational factors.

Barriers to high school and university students' physical activity: A systematic review

Physical inactivity commonly occurs throughout one's life, particularly during adolescence and young adulthood. Multiple factors can negatively influence participation in physical activity, but there has been no review examining the barriers to physical activity among high school and university students. Therefore, the aim of this systematic review was to summarize evidence of barriers to the practice of physical activity among high school and university students. The literature search was conducted without time limits using five databases, including CINAHL, Cochrane Library, Embase, PubMed, and Scopus. In total, 59 studies (37 with high school students [n = 22,908] and 22 with university students [n = 15,411]) were included. The main barriers identified in high school and university students were lack of time, lack of motivation, and lack of accessible places. These findings may be useful in designing and implementing evidence-informed interventions and programs for physical activity promotion in students.

The Associations of Active Travel to School With Physical Activity and Screen Time Among Adolescents: Do Individual and Parental Characteristics Matter?

Little is known about the relationship of active travel to school (ATS) with physical activity (PA) and screen time (ST) by individual and parental characteristics among adolescents, especially in China. To address the research gap, this study aimed to explore the difference of sex, age, living environment, parental occupation and education level in the relationship of ATS with PA and ST among students of grades 7–12 (aged 10–18 years) using cross-sectional data. In 13 cities of Hubei province, China, students from 39 public schools were recruited to engage in the survey. In total, 5,898 students (response rate = 89.6%) were invited into this study. Participants were required to report their ATS (including its types), PA and ST as well as sociodemographic information using a validated questionnaire. Descriptive analyses were used to report the information of all variables. Regression models were used to analyse the relationships of ATS and its types with PA and ST. In a total of 4,128 participants (boys: 50.9%; younger adolescents: 61.9%) included in the final analysis, the proportion of those with ATS was 47.3%. Regarding the types of ATS, walking accounted for over 30%, while cycling was 13.2%. Participants with ATS were more likely to have sufficient PA (OR = 1.26, 95% CI: 1.14–1.39), especially among boys, younger adolescents and those with lower parental education level. However, ATS was not associated with ST (OR = 0.94, 95% CI: 0.86–1.01). Participants with cycling had a higher odds ratio of being physically active (OR for cycling = 1.47, 95% CI: 1.27–1.70; OR for walking = 1.18, 95% CI: 1.06–1.32). The association of ATS types with PA and ST differed by gender, age, living environment and parental educational level as well as occupations. ATS may be a useful approach to increase PA among adolescents, but this should be explained by individual and parental characteristics.

Where are female editors from low-income and middle-income countries? A comprehensive assessment of gender, geographical distribution and country’s income group of editorial boards of top-ranked rehabilitation and sports science journals

Objective

We aimed to examine the gender, geographical region and income group of the country of affiliation for editorial leadership (eg, editor-in-chief, section editor, associate editor) and advisors (eg, editorial board members) in top-ranked rehabilitation and sports science journals.

Methods

A list of Scopus indexed, Q1 (25% top) rehabilitation and sports science journals, available under four different journal categories, was prepared based on the data from the Scientific Journal Rankings (SJR) website. The information for editorial leadership and advisors for these journals was obtained and their gender was determined through a multistep process. The country of affiliation of editorial leadership and advisors was used to categorise them to World Bank’s different geographical regions and income groups (for countries).

Results

There were 7248 editors (35.7% leadership and 64.3% advisors) across 113 rehabilitation and sports science journals. Of all editors, 1792 (24.7%) were women. Women represented 24.5% of editorial leadership positions, 24.8% of advisory roles and 10.4% of editors-in-chief. Editors from South Asia (0.5%) and sub-Saharan Africa (0.6%) had the least representation, while those affiliated with institutions from high-income countries represented 93.5% of leadership roles and 93.1% of advisory positions. Moreover, editors affiliated with institutions from North America occupied almost half of all editorial roles.

Conclusions

Women and researchers affiliated with institutions from low-income and middle-income countries are under-represented on the editorial boards of top-ranked rehabilitation and sports science journals indexed in the Scopus database. Editors are responsible for promoting research in their specific field, and therefore, the current leadership in rehabilitation and sports science journals should consider diversifying their editorial boards by providing equitable opportunities to women and researchers from a broader geographical distribution.

Sedentary behaviour research in adults: A scoping review of systematic reviews and meta-analyses

Sedentary behaviour research is rapidly growing. Scoping reviews are important to inform policy and practice.The aim of this scoping a review was to map the available evidence from systematic reviews and meta-analyses of sedentary behaviour research on adults (≥18 years), within the phases of the behavioural epidemiology framework, and to identify bibliometric parameters of studies included in this review. Nine bibliographic databases were searched. Studies were screened and relevant information (e.g., general information, inclusion criteria, findings and reporting quality) was extracted independently by two authors. In total, 108 systematic reviews and/or meta-analyses of sedentary behaviour research in adults (≥18 years) were included. Most papers (91.7%) were published between 2010 and 2020. Studies on the relationship of sedentary behaviour with health (53.7%) and interventions to reduce sedentary behaviour (25.9%) were most common. Forty-five (41.7%) studies reported quality assessment with categorization, and 887 out of 1268 (70%) included primary studies were categorized having moderate-to-high quality. Sedentary behaviour research on adults (≥18 years) has grown exponentially in the last decade and demonstrates strength in several stages of the behavioural epidemiology framework. However, more research should focus on the measurement, prevalence/epidemiology and determinants of sedentary behaviour, to better inform policy development.

INNOVATIVE IDEAS IN REGIONAL RESEARCH: A MESSAGE FROM PAKISTANI JOURNAL EDITORS

INNOVATIVE IDEAS IN REGIONAL RESEARCH: A MESSAGE FROM PAKISTANI JOURNAL EDITORS

Publishing research during pandemics: are you vulnerable to the COVID-19 or predatory publishers?

The coronavirus disease-2019 outbreak has spread rapidly affecting 1.4 million people across the world in only four months. Healthcare fraternity is struggling to circumvent the consequences of this fast spreading infection and communicating their scientific discoveries through research publications. As a result, the scientific output on COVID-19 is growing rapidly and both the journal editors and authors are interested to publish results on scientific discoveries about it as soon as possible. However, novice and improperly trained authors are at high risk for getting duped by deceptive journals , which might keep their research unnoticed by the scientific and general community. This paper discusses these potential risks posed by deceptive (predatory) journals, for prospective authors and scientific community, during the COVID-19 outbreak. It also presents ways to address those risks and the role of journal editors and academic organisations.

Global Research Output on Sleep Research in Athletes from 1966 to 2019: A Bibliometric Analysis

This study examined sleep research in athletes published between 1966 and 2019, through a bibliometric analysis of research output in the Scopus database. Following a robust assessment of titles, the bibliometric indicators of productivity for studies included in the final analysis were: Distribution of publications and citations (excluding self-citations), top ten active journals, countries, institutions and authors, single- and multi-country collaboration, and 25 top-cited papers. Out of the 1015 papers, 313 were included in the final analysis. The majority of the papers were research articles (n = 259; 82.8%) and published in English (n = 295; 94.3%). From 2011, there was a dramatic increase in papers published (n = 257; 82.1%) and citations (n = 3538; 91.0%). The number of collaborations increased after 2001, with papers published through international (n = 81; 25.9%) and national (n = 192; 61.3%) collaboration. Australia was the most prolific country in terms of number of publications (n = 97; 31.0%), and citations (n = 1529; 15.8%). In conclusion, after the beginning of the twenty-first century, the scientific production on sleep research in athletes has seen significant growth in publication and citation output. Future research should focus on interventions to improve sleep in athletes.

Knowledge, Attitudes, and Practices of Plagiarism as Reported by Participants Completing the AuthorAID MOOC on Research Writing

To explore the knowledge, attitudes and practices regarding plagiarism in a large culturally diverse sample of researchers who participated in the AuthorAID MOOC on Research Writing. An online survey was designed and delivered through Google Forms to the participants in the AuthorAID MOOC on Research Writing during April to June 2017. A total of 765 participants completed the survey (response rate 47.8%), and 746 responses were included in the analysis. Almost all participants (97.6%) reported knowledge of the term "plagiarism", and 89.1% of them understand the meaning of the term before joining the course. Most participants reported that their university does not provide access to plagiarism detection software (82.0%), and 35% participants admitted they had been involved in plagiarism during their education. Overall attitudes toward plagiarism (65.3 ± 10.93) indicated low acceptance of plagiarism. Moreover, low scores were reported for approval attitude (25.22 ± 5.63), disapproval attitude (11.78 ± 3.64), and knowledge of subjective norms (20.63 ± 5.22). The most common reason for plagiarizing was lack of time (16.1%), and the most common consequence was the perception that "those who plagiarize are not respected or seen positively" (71.4%). Developing country researchers appear to be familiar with the concept of plagiarism, but knowledge among the participants surveyed here was incomplete. Knowledge about plagiarism and awareness of its harmfulness must be improved, because there is an obvious relationship between attitudes toward plagiarism and knowledge, reasons and consequences. The use of plagiarism-detection software can raise awareness about plagiarism.

Association of body mass index, cardiorespiratory fitness, and their correlates among female physiotherapy students in Nawabshah

OBJECTIVE

To explore the association of body mass index with cardiorespiratory fitness and other health correlates among physiotherapy students.

METHODS

This cross-sectional study was conducted from February to July 2018 at the Peoples University of Medical and Health Sciences for Women, Nawabshah, Pakistan, comprising female undergraduate physiotherapy students aged 17-25 years. All the eligible participants were assessed using a self-report questionnaire, body mass index, and standardised cardiorespiratory fitness criteria. SPSS 20 was used for data analysis.

RESULTS

There were 228 subjects with a mean age of 20.89±1.66 years. Of the total, 77(33.8%) students were overweight/obese and 52(22.8%) were underweight. Overall, 212(93%) reported good quality of life, and 189(82.9%) were satisfied with their general health. Also, 180(79%) subjects had a post-exercise heart rate below average. There was a significant negative correlation for body mass index and maximum oxygen uptake, body mass index and age, and maximum oxygen uptake and subjective quality of life (p<0.05 each).

CONCLUSIONS

The frequency of both overweight/obesity and underweight physiotherapy undergraduates was high.

Scholarly publishing and research dissemination in South Asia: some exemplary initiatives and the way forward

High costs associated with traditional print-based publishing have made open access publishing a popular way to improve research dissemination. Now several options and initiatives are enabling developing-world authors to attain equitable access to the scientific literature. However, little is known about the role of journals and initiatives from low- and middle-income countries in Asia regarding open access and their publication standards. Therefore, this article presents some exemplar y initiatives to promote research dissemination in South Asia through open access and publishing standards of the regional journals. Such initiatives deserve wider recognition, especially when u nder taken by resource -limited cou ntr ies, an d international collaboration schemes hold the potential to build further on current achievements.

Bibliometric analysis of the Journal of Pakistan Medical Association during the period from 1965 to 2018

OBJECTIVE

To conduct a bibliometric analysis of the citable documents published in the Journal of Pakistan Medical Association from 1965 to 2018.

METHODS

This bibliometric study of the Journal of Pakistan Medical Association was conducted using Scopus and included citable documents (original articles and review articles). The outcome parameters were number of publications, citations, top countries, authors, institutions, and citation analysis and impact factor. In addition, most frequent author keywords were presented as visualization map, using VOS viewer. The data was imported from Scopus as Microsoft Excel files and analyzed.

RESULTS

The total number of documents identified was 8,521 and 7,245 (85.03%) were included in the analysis. Articles were the most common category of the documents articles published in the journal were articles (n=6,721; 78.88%). The highest number of publications (n=441) was recorded for 2016 and citations (n=3,060) for 2017. The highest number of documents came from Pakistan (57.83%) and Aga Khan University (26%). There was a steep increase in impact factor from 0.409 to 0.718 from 2013 to 2017. The most common author keywords on the visualization map were 'Pakistan', 'diabetes', 'medical students', 'diabetes mellitus', 'prevalence'.

CONCLUSIONS

There is a continuous increase in the number of publications, citations, and impact factor of the Journal of Pakistan Medical Association. In addition, the journal appears to attract wider audience, which is reflected by the analysis of its two-thousand highly cited papers.

Psychological Stress and Satisfaction with Life among Physical Therapy Students of Rawalpindi / Islamabad, Pakistan

OBJECTIVE

To determine the occurrence of perceived stress and satisfaction with life as well as the association between the two among under graduate physical therapy students.

METHODS

The cross-sectional study was conducted from January to July 2015 at Riphah International University, Isra University and Foundation University, Islamabad, Pakistan, and comprised Doctor of Physical Therapy students aged 17-23 years. Perceived Stress Scale and Satisfaction with Life Scale were used as tools to measure the outcomes. Data was analysed using S P SS 2 0..

RESULTS

Of the 306 students approached, 279(91%) responded. There were 39(14%) males and 240(86%) females with an overall mean age of 19.18±0.92 years. Mean stress and satisfaction with life scores were 21.35±5.76 and 24.49±5.77. Significant negative co-relation between the two scores was observed (p=0.001). There was no significant association of age with satisfaction with life (p=0.591) and perceived stress (p=0.283). A significant gender-based difference was observed in terms of perceived stress (p=0.037) and satisfaction with life ( (p=0.008), with females scoring higher.

CONCLUSIONS

Male students were more satisfied with life compared to female students, and satisfaction with life decreased with an increase in stress.

Open Researcher and Contributor Identifier and other author identifiers: Perspective from Pakistan

The Open Researcher and Contributor ID (ORCID) is a globally trending initiative for author name disambiguation and serves as a 'digital curriculum vitae' for displaying an individual's research output. Although there are several other tools similar to ORCID, the collaborative efforts by ORCID make it the most attractive option. Most of the organizations and publishers are increasingly adopting ORCID in their systems, and authors from West and other parts of the world have attempted to create awareness about ORCID initiative. However, researchers from Pakistan and other developing countries should be introduced to this concept and be encouraged to adopt to such initiatives. Therefore, this paper aims to present a brief introduction to author identifiers, with special focus on the ORCID.

Predatory conferences: Addressing researchers from developing countries

Publishing a manuscript or presenting at a conference are considered valuable accomplishments in one's professional career. However, it is necessary that the outlet be a legitimate rather than a fraudulent or predatory one. Predatory journals have been explored previously to a greater extent but the conference version of predatory entities is the newest iteration. To date, very few studies have endeavored to address the nuisance of predatory conferences and to explain the full magnitude of their significance. Our study addresses the issue of predatory conferences as an educational article for the readership of the Journal of Pakistan Medical Association, and highlights their features, available literature on predatory conferences, and puts forward several new suggestions to avoid falling prey to these illegal entities.

Predatory Journals Spamming for Publications: What Should Researchers Do?

In the internet era spam has become a big problem. Researchers are troubled with unsolicited or bulk spam emails inviting them to publish. However, this strategy has helped predatory journals hunt their prey and earn money. These journals have grown tremendously during the past few years despite serious efforts by researchers and scholarly organizations to hinder their growth. Predatory journals and publishers are often based in developing countries, and they potentially target researchers from these counties by using different tactics identified in previous research. In response to the spread of predatory publishing, scientists are trying to develop criteria and guidelines to help avoid them-for example, the recently reported "predatory rate". This article attempts to (a) highlight the strategies used by predatory journals to convince researchers to publish with them, (b) report their article processing charges, (c) note their presence in Jeffrey Beall's List of Predatory Publishers, (d) rank them based on the predatory rate, and (e) put forward suggestions for junior researchers (especially in developing counties), who are the most likely targets of predatory journals.

The effectiveness of an incentivized physical activity programme (Active Student) among female medical students in Pakistan: A Randomized Controlled Trial

OBJECTIVE

To determine the efficacy of an incentive-based approach combined with a smartphone application in promoting physical activity and weight-loss among female medical students, and to explore among them psychological effects pertaining to self-esteem, guilt, body-shaming, and perception of physical beauty.

METHODS

The pilot, randomised controlled trial was conducted at the Peoples University of Medical and Health Sciences for Women, Nawabshah, Pakistan, from March to May 2017, and comprised female students who were randomly allocated to either the incentivized or the non-incentivized group. The incentivized group was given a weekly financial incentive based on the required level of physical activity, measured each week for five weeks using Moves application. All subjects completed several questionnaires covering secondary outcomes at the end of the trial. SPSS 20 was used for data analysis.

RESULTS

Of the 56 subjects, there were 28(50%) in each of the two groups. The use of financial incentives combined with the smartphone application did not result in a significant increase in physical activity (p>0.05). However, within-group weight-loss at the end of intervention was significant for both the groups (p<0.05). There was no significant change in the number of steps in the control group during the course of intervention (p>0.05), but there was a significant decline in the number of steps in intervention group from weeks 4 and 5 compared to the baseline physical activity (p<0.05).

CONCLUSIONS

Financial incentives combined with a smartphone app designed to track physical activity did not promote physical activity or decrease obesity.

Motivation and factors affecting sports participation: a cross-sectional study on female medical students in Pakistan

OBJECTIVE

To determine the factors associated with participation of Pakistani female students in organised sports at a university in a rural setting in Pakistan.

METHODS

This cross-sectional study was conducted during March and April 2017 at the Peoples University of Medical & Health Sciences for Women, Nawabshah in the Sindh province of Pakistan, and comprised undergraduate female students who got injured during the "Sports Week" organized at the university and visited the on-site physiotherapy camp. Data collection tools included physical activity and leisure motivation scale, sport motivation scale, and athlete fear avoidance questionnaire. SPSS v20 was used for data analysis.

RESULTS

Of the 403 students participating in the Sports Week, sports injuries were reported by 127(31.51%) students. Regular physical activity was reported by only 28(22%) participants. Overuse was the most common cause of sports injuries 67(52.8%). Ankle was the main affected site 31(24.4%). The most common injury types were cramps 59(46.5%) and sprains 58(45.7%). Use of improper technique was observed in 61(48%) students. The most common intrinsic motives were 'enjoyment', with a mean value of 21.3±2.71, and 'to know' 21.71±5.2. The most common extrinsic motives were 'physical condition', with a mean value of 21.51±2.81, and 'identified regulation' 21.74±5.6.

CONCLUSIONS

Prevalence of sports injuries in female university students was high. The students should be trained about the proper way of sports participation.

Indexing by Bibliographic Databases of Journals Published in the Developing World

The removal of Beall's blog may result in increased numbers of predatory journals and their subsequent victims. Recognizing this, the World Association of Medical Editors (WAME) suggested criteria for identifying predatory journals in a statement issued on February 18, 2017. These criteria may be helpful in the current scenario of scientific publishing. However, a few lapses and limitations need to be taken into account when translating these policies to the situation in developing countries. This letter presents several cases of legitimate journals and platforms from the developing world that may be erroneously categorized as predatory according to the WAME criteria. We also suggest some improvements in these journals' policies.

End of 2016: Can We Save Research from Predators in 2017?

At the beginning of every year, we expect to see worthwhile improvements on the past. The end of 2016 showcased many important issues in the scientific world, ranging from criticisms of research misconduct and fraud to the introduction of new scientometrics. Despite the scientific community's continuing efforts, predatory journals and publishers are still on the rise, and the Beall's list calls attention to the need to take a firm action across the board. This short opinion piece highlights research conducted by the scholarly community on research publication predators during 2016, and offers suggestions as to how to bring about future improvements.

Moodle and Online Learning in Pakistani Medical Universities: An opportunity worth exploring in higher education and research

Medical education and pedagogy have undergone a massive change in the 21st century. Still, there is a lack of computer-assisted learning in most of the Pakistani medical schools. Modular Object-Oriented Dynamic Learning Environment (Moodle), is a user-friendly, online learning management system that is being used globally in teaching online courses to undergraduates, residents and doctoral students. Many international universities and medical institutes have integrated Moodle in their medical education and literature supports the use and importance of such tools. Still very few Pakistani medical schools are utilizing Moodle and similar blended-learning approaches in medical education. We recommend that Pakistani medical schools should consider using Moodle as an online learning platform to promote blended-learning in order to enhance the training of students and faculty, and improving their standards in line with the international standards.

Physiotherapy and pharmacy students perception of educational environment in a medical university from Pakistan

OBJECTIVE

To assess and compare the perceptions of the educational environment between physiotherapy and pharmacy students in a public-sector medical university.

METHODS

This cross-sectional study was conducted at the Peoples University of Medical and Health Sciences for Women, Nawabshah, Pakistan, and comprised undergraduate physiotherapy and pharmacy students. The Dundee Ready Educational Environment Measure questionnaire was used to assess the perceptions of students about their educational environment. Global and subscale scores were computed and compared between the respondents. P<0.05 was considered statistically significant.

RESULTS

Of the 300 questionnaires, 281(93.66%) were returned duly filled in. The overall mean global score was 127.2±16.0. For physiotherapy students, the mean global score was 124.9±14.0 while it was 131.7±18.9 for pharmacy students (p=0.16). The domain scores were comparable for both specialties (p>0.05). There was no significance difference in the global and domain scores for preclinical and clinical years in the students (p>0.05). However, in the physiotherapy students, the global and domain scores for Dundee Ready Educational Environment Measure were significantly lower in clinical than preclinical students (p<0.05) except for students' social self-perception (p>0.05).

CONCLUSIONS

Students were overall positive about their educational environment.

Study of Human Biochemical Parameters During and After Ramadan

Ramadan fasting is obligatory for Muslims each year. They abstain from drinking, eating and intimate relationship between dawn and dusk during this month. Dietary restriction during Ramadan has various biochemical and physiological effects. It is shown to decrease the body weight, glucose and lipid profile. This study aims to analyze the changes in body weight, glucose and lipid profile during Ramadan in physiotherapy students in Pakistan. The study was conducted during June-July 2013 (Hijri year 1434). There were 80 students (50 males and 30 females) recruited in the experiment. They all were healthy adults between the age group of 18-24 (mean age 20.5) years. All subjects underwent a general physical examination and interview, and non-healthy subjects were excluded. On statistical analysis, quantitative data were expressed in terms of mean ± SD and a p value of ≤0.05 was believed statically significant. Paired t test was used to compare the variables. There was a little reduction in body weight (62.7 ± 8.8 vs. 62.3 ± 9.0; p value = 0.009) but a significant decline in glucose level (72.6 ± 12.5 vs. 57.9 ± 10.7; p value = 0.000), low-density lipoprotein level (2.9 ± 0.3 vs. 2.5 ± 0.3; p value = 0.000), total cholesterol (4.6 ± 0.4 vs. 4.2 ± 0.5; p value = 0.000) and triglycerides (1.4 ± 0.5 vs. 1.2 ± 0.5; p value = 0.000) was observed. Moreover, there was some reduction in high-density lipoprotein cholesterol level (1.2 ± 0.3 vs. 1.1 ± 0.3; p value = 0.045). This study shows that Ramadan fasting, a religious obligation for purification of body and soul, resulted in reduced body weight and a positive effect on glucose level and lipid profile.

The effect of deep cross friction massage on spasticity of children with cerebral palsy: A double-blind randomised controlled trial

OBJECTIVE

To find out the effect of deep cross-friction massage on spasticity in children with cerebral palsy.

METHODS

This double-blind randomised controlled trial was conducted at the National Institute of Rehabilitation Medicine, Islamabad, Pakistan, from January to July 2013, and comprised paediatric patients with spastic diplegic cerebral palsy. The participants were equally divided into control and treatment groups by a staff member unaware of the treatment (allocation ratio 1:1). The control group received routine physiotherapy, while the experimental group was additionally given deep cross-friction massage for 30 minutes, 5 times a week lasting 6 weeks. The outcome was measured using Modified Ashworth Scale and functional level scale before the treatment and 6 weeks later. Baseline information and characteristics of the patients were also recorded. SPSS 20 was used for data analysis.

RESULTS

Of the 60 patients, there were 30(50%) in each group. The control group consisted of 14(46.7%) males and 16(53.3%) females compared to 16(53.3%) males and 14(46.7%) females in the experimental group (p=0.72). The overall mean age was 6.03±1.73 years. All patients (100%) were followed up for a period of 6 weeks and there was not a significant (p=0.26) improvement in experimental group compared to control group evident on Modified Ashworth Scale. The experimental group, however, had significant improvement after 6 weeks compared to the baseline values (p<0.001). However, functional level did not improve (p=0.55) by the end of study.

CONCLUSIONS

Deep cross-friction massage is an efficacious treatment option for the management of spasticity in children with cerebral palsy.

ResearchGate is no longer reliable: leniency towards ghost journals may decrease its impact on the scientific community

ResearchGate has been regarded as one of the most attractive academic social networking site for scientific community. It has been trying to improve user-centered interfaces to gain more attractiveness to scientists around the world. Display of journal related scietometric measures (such as impact factor, 5-year impact, cited half-life, eigenfactor) is an important feature in ResearchGate. Open access publishing has added more to increased visibility of research work and easy access to information related to research. Moreover, scientific community has been much interested in promoting their work and exhibiting its impact to others through reliable scientometric measures. However, with the growing market of publications and improvements in the field of research, this community has been victimized by the cybercrime in the form of ghost journals, fake publishers and magical impact measures. Particularly, ResearchGate more recently, has been lenient in its policies against this dark side of academic writing. Therefore, this communication aims to discuss concerns associated with leniency in ResearchGate policies and its impact of scientific community.

Physical therapy as a profession and its educational development in Pakistan

Physical therapists work in different medical and related settings and serve to maintain and restore functional capability. Pakistan has a disability rate of 2.65% with a total of around 5.035 million disabled people. Physical therapy as a profession started in 1956 at the Jinnah Postgraduate Medical Centre with a 2-year diploma, later on 4 years bachelors programme was also started. In 2008, doctor of physical therapy programme was initiated. The representative body "Pakistan Physical Therapy Association" was also established in 2008 which then joined the World Confederation for Physical Therapy in 2011. There is plenty of work being done in the field and it has seen a rapid growth in the past decade compared to the last 50 years. Currently, there are 69 institutions in Pakistan offering various physical therapy courses. The profession currently requires an autonomous regulatory body to control its educational curriculum and development as well as safeguard its interests.

Expression characteristics of ARF1 and SAR1 during development and the de-etiolation process

ARF1 (ADP-ribosylation factor 1) and SAR1 (secretion-associated RAS super family) are involved in the formation and budding of vesicles throughout plant endomembrane systems. The molecular mechanisms of this transport have been studied extensively in mammalian and yeast cells. However, very little is known about the mechanisms of coat protein complex (COP) formation and recruitment of COP-vesicle cargoes in plants. To provide insights into vesicular trafficking in Pisum sativum L., we investigated mRNA and protein expression patterns of ARF1 and SAR1 in roots and shoots at early growth stages and in the de-etiolation process. We showed that ARF1 was concentrated mostly in the crude Golgi fractions, and SAR1 was concentrated predominantly in the crude ER fractions of de-etiolated shoots. ARF1 and SAR1 proteins were several times more abundant in shoots relative to roots. In total protein homogenates, the expression level of SAR1 and ARF1 was higher in shoots of dark-grown pea plants than light-grown plants. In contrast, ARF1 was higher in roots of light-grown pea relative to roots of dark-grown pea. With ageing, the ARF1 mRNA in roots was reduced, while SAR1 expression increased. Unlike ARF1 transcripts, ARF1 protein levels did not fluctuate significantly in root and shoot tissue during early development. The relative abundance of SAR1 protein in root tissues may suggest a high level of vesicular transport from the ER to the Golgi. Experimental results suggested that white light probably affects the regulation of ARF1 and SAR1 protein levels. On the other hand, short-term white light affects SAR1 but not ARF1.