Digital Commons Network^™

Trauma Informed Care Approach To Family Violence : Preliminary Insights Of A Pilot Youth Justice Violence Prevention Program, Antonette Francis-Sheaerer Phd, Amber Singleton, Denise Shaw, Kierra Echols, L. Lynette Parker, Caroline O. Dodson, Ashley Y. Williams Md

Community Health Workers Posters

Background: Modern juvenile justice research increasingly identifies family violence as a primary driver of youth legal and social transgressions. To address this, the Strickland Youth Detention Center, in partnership with the USA Health Center for Healthy Communities, launched the Building Safer Communities Collaborative (BSCC)in Mobile, Alabama, in September 2025. This pilot program employs a public health, trauma-informed prevention model to intervene before youth face serious tenure within the justice system.

Methods: The BSCC utilizes a Community Health Worker (CHW) model focusing on 37 youth currently on informal probation. Over a six-month period, the program facilitates twice-monthly encounters with youth and …

The Use Of Tens To Help Manage Post-Mastectomy Pain, Alyssa B. Carey, Amanda Giarratano, Verena Gorgi, Lauren Vera

Oncology Rehabilitation in Practice

Transcutaneous electrical nerve stimulation (TENS) has been demonstrated to be an effective non-pharmacological adjunct for postoperative pain management in thoracic surgeries. However, few studies have examined its benefits in managing post-mastectomy pain. This study found that TENS provided positive effects on postoperative pain control, which were associated with improved physical and psychological outcomes. Overall, TENS appears to be a safe and effective modality for managing acute postmastectomy pain.

Whole-Body Vibration As An Adjunctive Modality For Radiation-Induced Fibrosis In Breast Cancer Rehabilitation: A Physical Therapist’S Perspective, Carla Steinberg

Oncology Rehabilitation in Practice

No abstract provided.

Occupational Therapy Interventions For Pediatric Patients With Cancer And Avascular Necrosis: A Case Report, Lucy Weathers, Sandra Murphy, Michael Neel, Raul Riberio

Oncology Rehabilitation in Practice

Background: Avascular necrosis (AVN) is a rare disease that can be caused by cancer treatment. AVN can affect multiple joints, which can disrupt one’s ability to perform daily activities. Rehabilitation services, including occupational therapy (OT) and physical therapy, are used to improve a patient’s quality of life through skilled conservative interventions that improve daily task engagement. Occupational therapists are trained to address functional deficits experienced by pediatric patients with cancer and may play a key role in treating patients who have AVN. This case report describes the role of OT in addressing self-care for a patient experiencing early multifocal AVN. …

Individualized Aerobic Exercise Prescription As Part Of A Comprehensive Physical Therapy Treatment During Systemic Chemotherapy: A Case Report, Veronica Griesemer

Oncology Rehabilitation in Practice

Background: Cardiovascular disease (CVD) is commonly seen in cancer survivors. Multiple treatment modalities for breast cancer can cause cardiotoxicity during or even decades after treatment. Aerobic exercise has been well documented to treat non-cancer-related CVD; however, research regarding optimal dosing within the cancer population is needed. This case report discusses the examination, evaluation, and treatment of a patient with breast cancer receiving potentially cardiotoxic chemotherapy.

Case Description: This patient presented with decreased cardiorespiratory fitness, elevated heart rate, and shortness of breath when climbing the stairs after completing systemic chemotherapies doxorubicin and cyclophosphamide. She was preparing to start paclitaxel treatments and …

The Relationship Between Fatigue And Quality Of Life For Patients Participating In A Cancer Survivor Program, Madge Suzanne Tinsley, Marie Vazquez Morgan, Elizabeth Disbrow, Carol Crooms

Oncology Rehabilitation in Practice

Introduction: The purpose of this chart review was to examine differences in fatigue and quality of life following cancer treatment based on gender, race, age, cancer type, and referral for rehabilitation services.

Methods: Ninety-one patient charts were reviewed for demographic variables, cancer type, rehabilitation referral, and baseline scores on the Brief Fatigue Inventory (BFI) and Reintegration to Normal Life Index (RNLI). Group differences were analyzed using the Mann–Whitney U test, and correlations between fatigue and quality of life were assessed using Pearson’s correlation (p < 0.05).

Results: Participants included 65 females (71%) and 26 males (29%), with 73% identifying as Black, 26% …

Impact Of Lymphedema Treatment Act Implementation On Lymphedema Therapists’ Compression Garment Practices, Sarah Stolker, Karla T. Washington, Kimberly Karr, Andrew Amari, Kyle A. Pitzer

Oncology Rehabilitation in Practice

Purpose: Lymphedema management requires routine use of compression garments to stabilize limb volume and diminish infection risk. The 2024 Lymphedema Treatment Act (LTA) established Medicare coverage for these essential medical supplies. However, this legislation introduced structural challenges to clinical workflows for lymphedema therapists, who traditionally perform measuring, ordering, and fitting. This study evaluated contemporary practices in compression garment fitting, procurement, compensation patterns, and policy-driven impacts on therapist workload and stress.

Methods: A cross-sectional exploratory survey of US lymphedema therapists evaluated the impact of the LTA on clinical workflows. The survey assessed weekly time spent on garment-related tasks, workflow changes since …

Demonstrating Competence In Oncology Rehabilitation: Credentials, Clinical Preparation, And Professional Trust, Christopher M. Wilson

Oncology Rehabilitation in Practice

Every rehabilitation professional will inevitably provide care for people living with and beyond cancer across acute care, outpatient settings, inpatient settings, and home care and within the community. Yet, many clinicians report feeling underprepared or unqualified to address the complex effects of cancer and its treatments. Continuing education, mentorship, and clinical experience remain important routes to professional development, but advanced credentials can offer a structured pathway for developing knowledge and skills and an external recognition of this preparation. This perspective discusses the potential value of specialization or board certification for rehabilitation professionals and other pathways for skill and knowledge attainment …

Editor's Message: About This Issue, Bryan A. Spinelli

Oncology Rehabilitation in Practice

In this issue, we are pleased to publish the President’s Message, two research reports, two case studies, a research round-up, and a clinical perspective. In the President’s Message, Dr. Wilson discusses the role that advanced credentials and mentorship can play in enhancing professional development and fostering interprofessional trust.

Cover And Front Matter, Volume 3, Issue 3

Oncology Rehabilitation in Practice

No abstract provided.

A Correlational Study Of Work Stress And Marital Stability Among Married Female Police Personnel In Kwara State, Nigeria, Haruna Ibrahim

Buletin Konseling Inovatif

This study investigated the relationship between job stress and marital stability among married female police personnel in Kwara State, Nigeria. A Descriptive Research Design of correlational type was adopted. The sample size (Target Population) of the study comprised all the 112 married female police personnel in Kwara State, Nigeria. Based on the relatively small sample size, population census (Total enumeration) was adopted for this study, where all the married female police personnel were sampled. The Operational Police Stress Questionnaire and Dyadic Adjustment Scale were used for data collection. Findings revealed a significant correlation between the independent variables and the dependent …

J Mich Dent Assoc Nov. 2026

The Journal of the Michigan Dental Association

The November 2026 issue of the Journal of the Michigan Dental Association provides comprehensive coverage of professional, legal, and operational developments impacting Michigan dentists. Key topics include an analysis of dental emergency visits at Federally Qualified Health Centers (FQHCs), leadership principles within organized dentistry, advocacy efforts surrounding Senate Bill 105 regarding virtual credit card reimbursement fees, practice transition, embezzlement prevention, employee documentation compliance, and member services. This issue highlights community, equity, and legislative engagement aimed at supporting dental practices and improving statewide public oral health.

Reliability And Validity Of Upper Extremity Neurocognitive Reactive Tests In Collegiate Athletes, Matthew L. Gauthier, Marisa Pontillo, George J. Davies

Physical Therapy Faculty Publications

Objectives: Neurocognitive function is vital in sports, but evidence supporting neurocognitive reaction testing in upper extremity return-to-sport testing is limited. This study's purpose was to quantify measurement properties of upper extremity reactive testing in collegiate athletes, hypothesizing acceptable measurement properties for clinical use.

Design: Cross-Sectional Study.

Setting: Collegiate athletics.

Participants: Sixty-three healthy athletes (25 females, age = 20.8 ± 1.6 years, BMI = 25.6 ± 2.6 kg/m2; 38 males, age = 20.8 ± 1.6, BMI = 25.7 ± 2.6 kg/m2).

Main outcome measure(s): Successful touches and average reaction time on the Upper Extremity Reactive Closed Kinetic Chain Test (UERCKCT) and …

The Influence Of Childhood Experiential History On Elon Musk’S Personality, Amelia Brower, Aubrey Immelman

Psychology Faculty Publications

This paper presents the results of a developmental causal analysis of the adult personality of innovative entrepreneur and business leader Elon Musk, from the conceptual perspective of personologist Theodore Millon.

Psychodiagnostically relevant data relating to Musk’s personality were collected from biographical sources and media reports and synthesized into a personality profile using the Millon Inventory of Diagnostic Criteria (MIDC), which yields 34 normal and maladaptive personality classifications congruent with DSM-III-R, DSM-IV, and DSM-5-TR.

The findings of the personality assessment were previously reported in a separate paper. Musk’s primary personality patterns were found to be Ambitious/self-serving and Dominant/controlling, …

November 2026, Swosu Bulldog Wellness Committee

SWOSU BULLDOG WELLNESS

National Diabetes Awareness Month

Healthy Habits for Bulldogs

GET INVOLVED WITH BULLDOG WELLNESS

Bulldog Resources

Wellness Word Search

Life Participation In Parents Of Children With Ckd., Anastasia Hughes, Andrea Matus Gonzalez, Anita Van Zwieten, Chandana Guha, Simon Carter, Germaine Wong, Dale Coghlan, Amanda Dominello, Jonathan C. Craig, Martin Howell, Siah Kim, Karine Manera, Colm O'Reilly, Javier Recabarren Silva, Angela Rejuso, Benedicte Sautenet, Nicole Scholes-Robertson, Amanda Sluiter, Rebecca Wu, Mignon Mcculloch, Natalia Armijo, Ximena Atilano-Carsi, Patricia De La Cerda, Gabriel Alexis Gallardo Letelier, Carla Galvez, Nicole Gonzalez-Agüero, Maria Maldonado, Viola Pinto, Lilian Reyes, Lena Rodriguez, Angelica Rojo, Alejandro Sepúlveda, Luca G. Torrisi, Andrea K. Viecelli, Bashir Admani, Bethany J. Foster, Alexander J. Hamilton, Augustina Jankauskiene, Rebecca J. Johnson, Jasmijn Kerklaan, Isaac Liu, Stephen D. Marks, Cozumel S. Pruette, Franz Schaefer, Sebastian Wolfenden, Allison Jaure, Song-Kids Life Participation Workshop Investigators

Manuscripts, Articles, Book Chapters and Other Papers

BACKGROUND: The caregiver burden among parents of children with chronic kidney disease (CKD) is high and can impair their life participation, which may in turn have negative consequences on their children's care and outcomes. We aim to describe effects on life participation in parents of children with CKD, from the perspectives of their children, health professionals, and the parents themselves.

METHODS: We thematically analyzed data from the Standardized Outcomes in Nephrology-Children and Adolescents Initiative (SONG-Kids) life participation workshops involving children with childhood CKD, parents or caregivers, and health professionals, for content related to perspectives on life participation among parents of …

Effects Of Differentiated Physical Education Learning On Physical Fitness And Active Lifestyle Among Junior High School Students: A Quasi-Experimental Study, Asep Akbaruddin, Sumbara Hambali, Wahyu Saputra, Mochamad Fajar Permana

Indonesian Journal of Research in Physical Education, Sport, and Health

Background: Low levels of physical fitness and physical activity among junior high school students remain a significant concern in physical education. Differentiated instruction offers a potentially effective approach by tailoring learning activities, levels of difficulty, and instructional experiences to students’ readiness, interests, and abilities. Objective: This study aimed to investigate the effects of differentiated physical education instruction on physical fitness and active lifestyles among junior high school students. Methods: A quantitative approach employing a quasi-experimental, nonequivalent control-group design was adopted. A total of 90 junior high school students participated in the study, with 45 assigned to the experimental group and …

Participatory Research With People With Aphasia: Frameworks, Examples, And Implementation Guidance, Jacqueline J. Hinckley, Katie A. Strong, Brent Archer, Lauren Bislick, Suma R. Devanga, Amy E. R. Engelhoven, Anthony Pak-Hin Kong

The Qualitative Report

Participatory research (PR) improves the meaningfulness and efficiency of research and reduces the research-to-practice gap, because it includes the lived experience of those who are affected by the research in the planning, execution, and dissemination of the research. Communication disabilities, like aphasia due to stroke, or communication differences impact the way in which meaningful research collaborations can take place. The purpose of this paper is to describe the ethics, challenges, and opportunities for involving people with aphasia as collaborators in research. We highlight specific examples of PR projects undertaken by community member teams composed of researchers, clinicians, people with aphasia, …

Investigating The Prevalence Of Human Papilloma Virus In A College-Aged Sample Group And Its Link To Sexual Behaviors And Attitudes, Gabriela Lewczyk, Eva Pollak, Phoebe Stryker, Samantha Hickey, Emily Moyer, Katelyn Ambrose, Alexander Knight, Rahjai Thomas, Adriana Burk, Paul E. Richardson

Journal of the South Carolina Academy of Science

Human Papilloma Virus (HPV) is the most common sexually transmitted infection (STI) in the United States, infecting up to 75% of sexually active individuals, with a prevalence rising significantly around age nineteen for oral and genital infections. Because the virus infects epithelial cells and is transmitted primarily through skin-to-skin contact, it is found mainly in the cervix, oral cavity, and on/within ones’ skin. While most of the 200+ HPV subtypes are benign and tend to self-clear within six months to two years, twelve of these strains are classified as high-risk oncogenic strains that drive malignant progression. Furthermore, HPV is linked …

From Hired To Hands-On-Deck Status: Solving Delays In Health Care Hiring Processes And Supporting Workforce Safety Across A Large For-Profit Health System, Cynthia Skeens

HCA Healthcare Journal of Medicine

Background

During and after the COVID-19 pandemic, health care staffing shortages and onboarding inefficiencies, specifically delays in employee health clearance, prolonged time to hire, and threatened workplace and patient safety.

Methods

An employee health onboarding workflow at a large health care organization was redesigned across 3 domains: people, process, and technology. Interventions included workflow standardization, elimination of non–value-added steps, optimized tuberculosis screening, increased appointment capacity, and technology integration (electronic health record [EHR]documentation, centralized scheduling and communication, and completion of pre-visit forms). Following a pilot from May to December 2022, the workflow was expanded organization-wide with a structured rollout and ongoing …

Promoting Safety In Alcohol Withdrawal Syndrome: A Proactive Nursing Process Framework, Julie Anne C. Comia, Elizabeth Card

HCA Healthcare Journal of Medicine

Background

Alcohol withdrawal syndrome (AWS) is a potentially life-threatening response to the abrupt cessation or reduction of heavy, prolonged alcohol use. Untreated, it can progress to delirium tremens (DT), a medical emergency historically associated with mortality as high as 40%. Agitation and hallucinations during withdrawal also pose safety risks to the health care team in addition to the patient. Because deterioration follows a predictable course, timely nursing recognition and intervention are central to protecting both the patient and the care team from avoidable harm. The evidence-based framework is intended as an educational tool to help nurses anticipate and avoid harm; …

Assessment Of Hypoglycemia Management In Acute Care Hospitals, Carley Warren, Christina Wing, Chenette Burks, Brooke Schmidt, Adam Hasse

HCA Healthcare Journal of Medicine

Background

Hypoglycemia is a common and potentially preventable complication among hospitalized patients, particularly those receiving insulin or other glucose-lowering therapies. Delayed recognition and inconsistent management can increase adverse outcomes. Although protocols exist, variability in treatment selection and timing may influence the likelihood of returning to normoglycemia. Understanding these patterns is critical to optimizing patient safety in acute care settings.

Methods

This retrospective review evaluated hypoglycemia management in adult inpatients across acute care hospitals within a large health system. Patients were included if they were aged 18 years or older, were hospitalized within the health system, and experienced a hypoglycemic event, …

The Use Of Infra-Red Spectroscopy To Assess Intact Skin Of Various Skin Tones, Mary Lee A. Potter, Stacie Sosa, Charlott Polm, Sherry Campton, Wisam Salameh, Ronnie Klein, Yaniv Cohen

HCA Healthcare Journal of Medicine

Background

Pressure injuries (PI) continue to be a serious medical complication in the acute care setting. Industry leaders advocate for the use of objective technologies to provide accurate and quantifiable skin assessments for all patients across diverse skin tones. The Infra-Red Spectroscopy Scanner (IRSS) is a novel non-invasive decision support system (DSS) electro-optic technology that uses near infra-red spectroscopy to examine and assess physical and chemical changes prior to visual skin breakdown in real-time.

Methods

A 2-phase prospective open-label pilot device study was launched under protocol IRM-02-1123 (USA version 3.0, November 1, 2023). In both Phase 1 and Phase 2, …

Building A Culture Of Safety Through Faculty Mentorship: The Peer Pairing Framework For Clinical Nurse Educators, Clare A. Chambers

HCA Healthcare Journal of Medicine

Background

Clinical nurse educators often transition from bedside practice to clinical education in high-risk settings without structured support. Limited or absent mentorship during this transition may affect educator confidence, student learning outcomes, patient outcomes, and the ability to sustain a culture of safety. Although mentorship is widely recommended in nursing education, implementation strategies remain limited. The Peer Pairing Framework was developed as a staged mentorship approach to support clinical nurse educators and inform a comprehensive mentorship model.

Methods

The Peer Pairing Framework was informed by a voluntary onboarding survey of 914 clinical faculty, of whom 73.52% expressed interest in having …

Laboratory Study Of A Waste Anesthetic Gas Mask Scavenging System To Reduce Airborne Pathogen Exposure For Health Care Workers In Post Anesthesia Care Units, Josh Horton, Trevor Lim, Andrew Kanach, John Moenning, James Mcglothlin, Bruce M. Applegate Sr.

HCA Healthcare Journal of Medicine

Introduction

A scavenging oxygen mask system (SOMS) utilizing house vacuum has been demonstrated to significantly reduce exposure of post anesthesia care unit (PACU) health care workers (HCWs) to waste anesthetic gases (WAGs). Therefore, it was proposed that the same system could also be used to protect HCWs in the PACU by reducing Infectious Respiratory Particles (IRPs) spread from patients who may harbor airborne infective pathogens, such as Mycobacterium tuberculosis, certain strains of influenza, and SARS-CoV-2.

Methods

A life-like adult manikin head equipped with a bio-aerosol Collison nebulizer was set up to simulate patients exhausting pathogenic droplets. Further evaluation of …

Bathrooms As A Patient Safety Blind Spot In Emergency Departments: A Narrative Review And Nursing Practice Framework, Carmelo Villani

HCA Healthcare Journal of Medicine

Background

Emergency department (ED) bathrooms preserve privacy and dignity but interrupt direct observation. Risks described across clinical publications and professional guidance include falls, unrecognized deterioration, overdose, hazardous ingestion, infection, inaccessible environments, and unmet elimination needs. This review integrated those risks and translated them into a nursing practice framework.

Methods

For the structured narrative review, PubMed/MEDLINE, CINAHL Plus, and Scopus were searched on July 30, 2026, without date, language, age, or publication-type filters. Backward and forward citation chasing and a targeted search for professional documents supplemented database searching. Publications were categorized by ED relevance and synthesized thematically. Professional guidance was analyzed …

From Restraint To Calm: A Narrative Review Of Nonpharmacologic Alternatives To Physical Restraints In Adult Acute Care And Introduction Of The Calm Bedside Restraint Alternatives Framework, Elizabeth Card, Brandi Puet

HCA Healthcare Journal of Medicine

Background

Nurses and health care workers are dedicated to creating a therapeutic environment for healing. Sometimes, physical restraints may be used to ensure safety in patients exhibiting violence, confusion, or agitation, or in patients with life-saving medical devices. While the regulatory requirements for use of physical restraints are well developed, this is not the case with alternatives to using restraints, and many nurses may lack clarity on the best practice for identification and application of alternatives to physical restraint use.

Methods

Two trained reviewers searched PubMed, Google Scholar, and professional health care organizations’ websites guided by a search strategy and …

No Place For Workplace Violence, Ryan Sledge

HCA Healthcare Journal of Medicine

Workplace violence in health care is often discussed as an employee safety issue, but that framing misses a larger operational reality. Violent incidents affect the individuals involved, but they also disrupt care delivery, strain teams, reduce patient safety, contribute to health care worker burnout, and expose organizational conditions that leaders cannot afford to ignore. Incident reports rarely tell the full story. In many settings, aggressive behavior becomes normalized to the point that staff stop reporting much of what they experience. This creates a false sense of awareness and visibility. This editorial argues that health care leaders should approach workplace violence …

Safer Together: A Special Nursing Issue Focusing On Safety In Health Care, Tracy A. Ortelli, Lori M. Brodie

HCA Healthcare Journal of Medicine

Safety is a shared responsibility dependent upon the collective efforts of health care professionals, educators, leaders, organizations, and systems. This special nurse-led issue of the HCA Healthcare Journal of Medicine highlights scholarly works addressing education, clinical practice, and health care workforces. We are informed about safety through research, clinical reviews, case-based learning, and education. This issue was created to inspire the entire health care workforce to pursue continuous improvement to make health care safer together.

Asteroid Hyalosis Mimicking Vitreous Hemorrhage On Point-Of-Care Ultrasound Following Blunt Ocular Trauma: A Case Report, Obiaara Ukah, Jared Marx

Graduate Medical Education Research Journal

Background. Ocular complaints account for approximately 1.5% of emergency department (ED) visits, and point-of-care ultrasound (POCUS) is a valuable tool for evaluating posterior chamber pathology, including vitreous hemorrhage (VH), retinal detachment, and vitreous detachment. However, benign conditions may mimic these pathologies and create diagnostic uncertainty. We describe a case of asteroid hyalosis (AH), a benign vitreous condition that was initially mistaken for vitreous hemorrhage on ocular POCUS following blunt ocular trauma. This case highlights an uncommon sonographic mimic of VH and contributes to the emergency medicine literature by emphasizing ultrasound features that may help distinguish AH from true posterior chamber …