Digital Commons Network^™

Beyond Tuition: Understanding The Financial Impact Of Full-Time Clinical Education On Doctor Of Physical Therapy Students, Michelle L. Donahue

Internet Journal of Allied Health Sciences and Practice

Purpose: The physical therapy literature has explored the cost and affordability of a Doctor of Physical Therapy (DPT) education; however, academic and clinical educators may lack a nuanced understanding of the costs students incur to complete their full-time Clinical Education (CE) experiences. This study explored expenses beyond course credits during a full-time CE experience. As this was the first exploratory study on this topic, the aim was to gather information from a diverse sample of participants about the costs associated with a CE experience and the perceived financial burden. Method: A survey was developed and administered to collect quantitative and …

Effectiveness Of A Training Program In Enhancing The Knowledge Of Intensive Care Unit Staff Regarding Emergency Response: A Quasi-Experimental Pre–Post Study, Abdulrahman Abbas Jasim, Shimaa Gomaa, Rofida Albash, Amira B Kassem, Shahab Abdulla, Ralela Makline, Mustafa Abbass

AUIQ Complementary Biological System

Background: Timely and effective emergency response by intensive care unit (ICU) staff is critical for patient outcomes. Objective: To evaluate the effect of a structured educational intervention on ICU staff knowledge of emergency response. Methods: A one-group quasi-experimental pre–post study was conducted among ICU healthcare professionals in Thi-Qar Governorate hospitals. Participants completed a validated questionnaire assessing emergency response knowledge before and after a structured lecture covering cardiopulmonary resuscitation (CPR), airway management, bleeding control, and the ABCDE protocol. Paired statistical analyses were applied, and p-values <0.05 were considered significant. Results: Forty-one participants completed both assessments. Significant improvements were observed in recognition …

Effectiveness Of Parenting Readiness Education Program At A Clinical Healthcare Setting In A Tertiary Care Hospital, Shelina Bhamani, Sara Sheikh, Misbah Shams, Kiran Aslam, Zaibunissa Karim, Samira Lakhani, Shehzeen Niaz Ali, Khairunnissa Hooda, Monica Oxford

Journal of Asian Midwives (JAM)

Introduction. Healthcare settings can serve as hubs for promoting Early Childhood Development (ECD) and responsive caregiving through parenting education programs. Parenting education programs delivered through healthcare professionals, particularly nurses, support parents in becoming responsive and providing nurturing care for their children, resulting in optimal developmental outcomes. The first aim of the study is to assess the effectiveness of a hospital-based parenting education program on mothers' parental confidence, while the second aim is to evaluate the impact of a nursing education program on nurses' self-efficacy and knowledge pertinent to ECD and responsive caregiving.
Methods. A quasi-experimental study was conducted in the …

Trx Suspension Vs Swiss-Ball Core Training For Core-Muscle Endurance And Static/Dynamic Balance In Overweight Inactive Women: A Randomized Trial, Siavash Naddafha, Mona Sarhadi, Maryam Taherkhani, Abbas Biniaz

Research outputs 2022 to 2026

Purpose: Prolonged sitting and physical inactivity are key risk factors for trunk-muscle weakness, impaired balance, and low-back pain in overweight women. Although unstable-surface training is widely prescribed, head-to-head comparisons between TRX suspension and Swiss-ball exercise are limited. We compared these modalities for effects on core-muscle endurance and balance.

Methods: Thirty overweight, inactive women (30 ± 5 years; BMI 27.3 ± 1.6 kg·m⁻2) were block-randomized (1:1) to 8 weeks (3 sessions/week) of TRX or Swiss-ball training using five matched exercises at Borg RPE 13–15 on the 6–20 scale. Outcomes were trunk-extensor (Biering-Sørensen), trunk-flexor (60° curl-up), and trunk-lateral (side-bridge) endurance; static balance …

Association Of The Pan-Immune-Inflammation Value-To-Albumin Ratio As A Novel Cardiovascular Disease Predictor In Type 2 Diabetes: A Prospective Cohort Study, Fangyuan Liu, Xinghua Yang, Bo Gao, Yanxia Luo, Lixin Tao, Xiuhua Guo

Research outputs 2022 to 2026

Objectives: Individuals with type 2 diabetes (T2D) remain at high cardiovascular disease (CVD) risk. The pan-immune-inflammation value (PIV) integrates circulating neutrophils, monocytes, platelets, and lymphocytes but does not capture albumin-related nutritional and inflammatory reserve. We investigated associations between the PIV-to-albumin ratio (PIVA) and incident CVD, cardiovascular mortality, and disease progression in individuals with T2D.

Methods: This prospective study included 15,355 UK Biobank participants with T2D and no baseline CVD. PIVA was calculated from peripheral blood cell counts and serum albumin and was natural log-transformed. Fine–Gray competing-risk and cause-specific Cox models were used to evaluate incident CVD and cardiovascular mortality. Multi-state …

Cardiovascular Disease Incidence And Cancer Risk In Two Large European Prospective Cohorts, Emma Fontvieille, Vivian Viallon, Laia Peruchet-Noray, Quan Gan, N. Charlotte Onland-Moret, Yvonne Koop, Anne Tjønneland, Nicola Bondonno, Verena Katzke, Rudolf Kaaks, Matthias B. Schulze, Catarina Schiborn, Calogero Saieva, Vittorio Simeon, Claudia Agnoli, Rosario Tumino, Fulvio Ricceri, Leila Luján-Barroso, Maria José Sánchez, Conchi Moreno-Iribas, Konstantinos K. Tsilidis, Marc J. Gunter, Adam Butterworth, Elio Riboli, Heinz Freisling, Pietro Ferrari

Research outputs 2022 to 2026

Our study investigated the association between incident cardiovascular disease (CVD) and subsequent cancer risk in two large European prospective cohorts. We included 568,926 adults from the European Prospective Investigation into Cancer and Nutrition and United Kingdom Biobank, all of whom were free of CVD, cancer and type 2 diabetes at baseline. Multivariable Cox proportional hazards regression models were used to estimate cancer hazard ratios (HRs) and 95% confidence intervals (CIs) in relation to incident CVD events. CVD was treated as a time-varying exposure, and models accounted for time since CVD diagnosis and other lifestyle factors. Study-specific estimates were pooled using …

Characterising The Beyond 50 Cohort: Preliminary Exploration Of Physical And Psychosocial Health Factors And Substance Use Among A Cohort Of Community Dwelling Adults Aged 50–70 Years, Rose Laing, Tina Lam, Bosco Rowland, Paul Dietze, Aislinn Lalor, Keith D. Hill, Laura Alfrey, Nadine E. Andrew, Shalini Arunogiri, Stephen Bright, Louisa Picco, Suzanne Nielsen

Research outputs 2022 to 2026

Introduction: Older adults exhibit unique risks associated with poor mental health and substance use. The Beyond 50 study is a longitudinal cohort investigating the determinants of healthy ageing, including relationships between physical and psychosocial health and substance use. We aim to characterise the Beyond 50 cohort and explore patterns of physical and psychosocial health and substance use. Methods: Baseline data collection was completed between September 2023 and August 2024. Annual follow-up data collection commenced in September 2024. Descriptive statistics will be used to characterise the cohort at the time of baseline survey completion. Results: Of the 1059 participants, the mean …

Artificial Intelligence (Ai) In Home-Care And Community Nursing: A Scoping Review, Haiying Wang, Grace Y. Wang, Tao Wang, Lori Delaney, Jonathan Bayuo, Mengyuan Li, Jing Yu Tan

Research outputs 2022 to 2026

Background/Objectives: Artificial intelligence (AI) is increasingly being applied across healthcare, but empirical evidence on its use in home-care and community nursing remains fragmented across technologies, clinical contexts, nursing roles, and stages of implementation. This scoping review aimed to map current AI applications in home-care and community nursing and synthesize reported implementation experiences, benefits, challenges, and future considerations.

Methods: Guided by Joanna Briggs Institute methodology and reported according to PRISMA-ScR, eight databases and grey literature via ProQuest were searched for English-language empirical studies published from 1 January 2020 to 14 May 2026. Retrieved records were screened independently by two reviewers, with …

New Zealand Osteopaths And The Management Of Older Adults: Outcomes From A Practice-Based Research Network, Ana Paula Antunes Ferreira, Michael Fleischmann, Lee Muddle, Jack Feehan, Kesava Kovanur Sampath, Brett Vaughan

Research outputs 2022 to 2026

Older adults represent a growing proportion of healthcare consumers, and yet little is known about the osteopathic practitioners who regularly manage this population. This study set out to understand what characteristics are common among New Zealand osteopaths who regularly treat older adults. This cross-sectional, exploratory study was a secondary analysis of questionnaire data collected through a practice-based research network. The questionnaire captured osteopaths’ demographic characteristics, practice settings, and clinical management approaches. Of the 277 osteopaths who completed the questionnaire, 188 (67.9%) reported frequently treating older adults. Those most likely to do so were based in urban areas, treated wrist and …

Study Protocol Of The Endobronchial Valves For Pneumothorax To Reduce Admission Time (Evaporate) Pilot Multicentre Randomised Clinical Trial, Nai-Chien Huan, Niranjan Ananda Setty, Ai Ling Tan, Dhaval Thakkar, Taha Huseini, Elaine Yap, Jonathan Williamson, Phan Nguyen, Paul Lilburn, Matthew Salamonsen, Arash Badiei, Matthew Ing, Sanjeevan Muruganandan, Bapti Roy, Brent Gardiner, Lonny B. Yarmus, Steven P. Walker, Y. C. Gary Lee

Research outputs 2022 to 2026

Background: Pneumothorax with persistent air leak (PAL) is a debilitating condition. Patients with PAL often require prolonged chest drainage, with associated complications, such as, hospital-acquired infections, thromboembolism, and deconditioning. Endobronchial valves (EBVs) are an approved bronchoscopic treatment for PAL and may allow earlier chest tube removal and hospital discharge. Current evidence supporting the use of EBV is limited to case series and uncontrolled studies. EBVs are usually used as a last resort when other treatments failed. Whether early referral for EBV placement is feasible and can reduce hospital length of stay in patients with pneumothorax and PAL has not been …

Towards Equivalence Of Care: Integrating Custodial Settings Into Alcohol And Other Drug Strategies In Australia, Thileepan Naren, Jocelyn Chan, Sarah Pellicano, Michael Curtis, Shelley Walker, Jocelyn Jones, Jarrah Duckett, Alexander Campbell, Stuart A. Kinner

Research outputs 2022 to 2026

No abstract provided.

Association Between Estimated Time With Low Glomerular Filtration Rate And Access To Transplant Among Youth With Advanced Chronic Kidney Disease., Elaine Ku, Timothy Copeland, Charles E. Mcculloch, Jonathan D. Savant, Bradley A. Warady, Susan L. Furth, Sarah Kizilbash, Daniel I. Feig, Roshan P. George, Joseph T. Flynn, Judith Jerry-Fluker, Matthew B. Matheson, Sandra Amaral, Ckid Investigators

Manuscripts, Articles, Book Chapters and Other Papers

BACKGROUND: Slower chronic kidney disease (CKD) progression allows more time for transplant preparation. Whether differences in CKD progression by race/ethnicity associate with preemptive or living donor transplantation in youth has not been well studied.

METHODS: We examined the association between time spent with low eGFR (between 10-30 mL/min/1.73 m²) and odds of preemptive or living donor transplantation among youth with CKD. eGFR was estimated using the bedside Schwartz (if < 18 years) and CKD-EPI 2021 equations (if ≥ 18 years) and the CKiD U25 equation in sensitivity analysis. Time spent with low eGFR was compared by race/ethnicity.

RESULTS: Among 333 youth with CKD (median age 11 years [IQR 7,14]), median time spent with low eGFR was 28.8 months. 77% were preemptively waitlisted, and 45% received preemptive …

Maternal Violent Injury And Child Exposure To Violence-A Call For Trauma-Informed And Structural Responses., Gunjan Tiyyagura, M Katherine Henry, Kimberly Randell

Manuscripts, Articles, Book Chapters and Other Papers

No abstract provided.

Characteristics Of Individuals With Cerebral Palsy Across The Us., Bhooma R. Aravamuthan, Amy F. Bailes, Micah Baird, Kristie Bjornson, Ira Bowen, Angeline Bowman, Elizabeth R. Boyer, Rose N. Gelineau-Morel, Laurie Glader, Paul H. Gross, Stacey Hall, Edward A. Hurvitz, Michael Kruer, Thomas Larrew, Neena I. Marupudi, Patrick G. Mcphee, Stephen A. Nichols, Garey Noritz, Joyce Oleszek, Justin Ramsey, Jeffrey S. Raskin, Heather Riordan, Brandon G. Rocque, Manish N. Shah, Benjamin J. Shore, M Wade Shrader, David Spence, Charles B. Stevenson, Richard Stevenson, Sruthi P. Thomas, Joyce P. Trost, Stephen R. Wisniewski, Cerebral Palsy Research Network

Manuscripts, Articles, Book Chapters and Other Papers

This cross-sectional study examines how demographics and characteristics of individuals with cerebral palsy across the US associate with Gross Motor Function Classification System level and genetic etiology.

More Than A Free Snack: Benefits Of Mobilized Resources And Socialization For Pediatric Healthcare Workers., Thomas Ayres, Kristin Ray, Aimee M. Hoflander, Angela Myers

Manuscripts, Articles, Book Chapters and Other Papers

INTRODUCTION: Addressing the burnout epidemic in the healthcare workforce is a primary concern of the modern healthcare organization and recognized across researchers and leaders of nations. This study aims to test whether a mobilized micro-break intervention, the Wellbeing on Wheels (WOW) Cart, improved health care worker (HCW) energy perceived organizational support and work engagement.

METHODOLOGY: This study was conducted at an independent children's hospital in the midwestern United States. Between August and September 2024. A total of 367 pediatric HCWs completed our survey. IBM's SPSS was used to analyze the data using t-tests, ANOVAs, linear regression, and polynomial regression …

Characteristics Of Individuals With Cerebral Palsy Across The Us, Bhooma R Aravamuthan, Et Al.

2020-Current year OA Pubs

No abstract provided.

Sacral U-Type Fractures: A Comparative Study Of Treatment Approaches, Arnaldo Martinez Rivera, Garrison P Bentz, Dillon H Stone, Daniel E Pereira, Jeffrey T Galla, Blake K Montgomery, John C Clohisy, Jenna-Leigh Wilson, Brian J Neuman, Jacob Buchowski, Keith Bridwell, Mitchel R Obey, Anna N Miller, Mark J Lambrechts, Et Al.

2020-Current year OA Pubs

Study DesignRetrospective Cohort Study.ObjectivesTo evaluate clinical and patient reported outcomes between operative and non-operative management strategies for sacral U-type fractures.MethodsThis retrospective review included patients with sacral U-type fractures from a 12-year period at a Level 1 trauma center. Demographic, Modified 5-Item Frailty Index (mFI-5), complications, outcomes, and Patient-Reported Outcomes Measurement Information System (PROMIS) data were collected. Fractures were classified by the AO Spine Sacral Injury Classification System (AOSSIC) and analyzed by subtype and treatment modality (trans-sacral screw fixation (TSF) or lumbopelvic fixation (LPF) vs non-operative). Statistical significance was

Spinal Cord Imaging For Multiple Sclerosis: Advances, Priorities, And Opportunities, Cornelia Laule, Matthew R Brier, Et Al.

2020-Current year OA Pubs

The spinal cord plays a central role in the pathophysiology and clinical manifestations of multiple sclerosis (MS), yet remains under-studied compared with the brain. This review summarizes key insights from the 2025 North American Imaging in MS Spinal Cord Imaging Workshop, highlighting recent advances, ongoing challenges, and future opportunities in MS spinal cord imaging. We review pathological studies and outline the clinical relevance of spinal cord lesions and atrophy for diagnosis, prognosis, and disease monitoring, highlighting emerging biomarkers of progression independent of relapse activity. Correlations between magnetic resonance imaging, histopathology, and clinical outcomes support the validation and translational potential of …

Perioperative Depression And Anxiety Care In Older Patients: A Randomized Clinical Trial, Joanna Abraham, Katherine J Holzer, Simon Haroutounian, Bethany Pennington, Ana Baumann, Ryan Calfee, Theresa Cordner, Kenneth E Freedland, Thomas Kannampallil, Benjamin Kozower, Emily Lenard, J Philip Miller, Mary Politi, Michael Yingling, Michael S Avidan, Eric J Lenze

2020-Current year OA Pubs

IMPORTANCE: Depression and anxiety are common among older adults undergoing surgery and are associated with adverse postoperative outcomes. However, effective tailored perioperative mental health interventions are lacking.

OBJECTIVE: To evaluate a perioperative intervention to optimize mental health.

DESIGN, SETTING, AND PARTICIPANTS: A single-blind, hybrid, type 1, effectiveness-implementation randomized clinical trial was conducted (November 1, 2022, to March 31, 2025), with 3-month postoperative follow-up, at a US academic and community practice hospital network. Participants were 60 years or older; scheduled for cardiac, oncologic, or orthopedic surgery; and had clinically meaningful symptoms of depression and/or anxiety based on the Patient Health Questionnaire-Anxiety …

Measuring Quality Of Life In Advanced Chronic Liver Disease With Fact-Hep: Findings From The Pal Liver Trial, Manisha Verma, Binu John, Don Rockey, Sid Barritt, Victor Navarro, Linda Shaw, Andrzej Kosinski, Elliot Tapper, Archita Desai

Einstein Health Papers

BACKGROUND: Patient-reported outcome measures (PROMs) are increasingly incorporated into hepatology research, yet few have been rigorously evaluated, particularly among patients with decompensated cirrhosis. The Functional Assessment of Cancer Therapy-Hepatobiliary (FACT-Hep) captures multidimensional liver disease-specific burden, while the disease-agnostic PROMIS-29 assesses physical and mental health broadly. We evaluated the performance of FACT-Hep and its relationship to PROMIS-29 among participants with cirrhosis or hepatocellular carcinoma (HCC) enrolled in a prospective multicenter clinical trial.

METHODS: Baseline data were analyzed from 935 participants enrolled in the PAL LIVER trial. This study enrolled patients with Child-Turcotte-Pugh (CTP) B/C cirrhosis and/or with HCC. Health-related quality of …

Closing Gaps In Urban Trauma Systems: Outcomes Of An Inner-City Community Emergency Department Multidisciplinary Trauma Protocol, Kory S. London, Alan Cherney, Sulabh Neupane, H. Alex Tomlinson, Joseph Cervone, Elaine Qian, Casey Fishman, Jennifer Davis, Sean Mcgann, Varsha Goswami, George Koenig, Frederick Randolph

Department of Emergency Medicine Faculty Papers

BACKGROUND: Non-trauma center (NTC) emergency departments (EDs) play regular but underappreciated roles in the management of severely injured patients, yet many lack formal protocols to guide care. We describe the implementation and outcomes of a structured trauma evaluation and transfer protocol at an urban NTC emergency department.

METHODS: A multidisciplinary trauma protocol was implemented on April 1, 2023, at an urban NTC, supported by a Level I trauma center, 2.5 miles apart. The study period ran from January 1, 2019, to June 30, 2025. Using pre-post study design, 62 patients treated prior to implementation were compared with 49 post-intervention patients. …

Piloting The Strong Bodies Strength Training Program In Utah, Gabriela Murza, Jenna Dyckman, Cris Meier, Emma Parkhurst, Sadie Wilde, Christina Pay, Naomi Brower, Cindy Nelson

Outcomes and Impact Quarterly

Muscle and bone loss occurs as we age, impacting health and independence. We evaluated a pilot 12-week strength training program for older adults in Utah. Participants showed improved fitness metrics and increased confidence. Results demonstrate the program’s effectiveness and public value in expanding access to evidence-based exercise that supports healthy aging.

Preliminary Data: Old Trails Fire--Field Reconnaissance (Rpd1195), Rapid, University Of Washington

Spokane Wildfire Academic Consortium Repository

The .ZIP file contains preliminary field reconnaissance findings from the Old Trails Fire in Spokane, Washington, including geospatial datasets and the source code used to support the project's interactive web map. The data and observations reflect work completed through September 4 and should be considered preliminary. As additional analysis and information become available, updates will be published as new records in the Wildfire Consortium Repository.

Access the interactive map: https://designsafe-ci.github.io/rapid-fire-field-reconnaissance/

Access the DesignSafe-CI rapid-fire-field-reconnaissance GitHub repository: https://github.com/DesignSafe-CI/rapid-fire-field-reconnaissance/

The Ramifications Of Covid-19 On Young Adults With Ocd, Clare E. Mcintosh

Dissertations

The coronavirus disease of 2019 (COVID-19) pandemic was a profound event in modern history, contributing to significant disruptions on a societal and individual level. This period of time was marked by elevated uncertainty and fear among individuals. COVID-19 contributed to deterioration in not only physical health but also psychological well-being. One mental health condition frequently under-examined and saturated with misconceptions is obsessive-compulsive disorder. Obsessive-compulsive disorder is a condition characterized by the presence of obsessions and/or compulsions. Intolerance of uncertainty is a core component of the condition, and the pandemic was riddled with unpredictability. The purpose of this study was to …

Micrognathia, Children's Mercy Kansas City

Clinical Pathways (Formally Known As Care Process Models)

No abstract provided.

Emergency Contraception, Children's Mercy Kansas City

Clinical Pathways (Formally Known As Care Process Models)

No abstract provided.

Volume 32, Issue 3

Metro Denver Dental Society Articulator Magazine

The 3rd Quarter 2026 issue of the Articulator explores the evolving clinical, professional and personal challenges shaping dentistry today, from emerging aligner technology and periodontal science to leadership and professional well-being. Articles include:

• MDDS President Dr. J.R. Franco reflects on family history, justice, patient advocacy and the responsibility of dentists to create meaningful change through organized dentistry.
• Dr. Amisha Singh examines how service and achievement can become tied to professional identity, and encourages dental professionals to find purpose and worth beyond accomplishment.
• Ms. Laura Ramsey explores advances in clear aligner therapy, including digital workflows, artificial intelligence and 3D printing, while …

Aligner Technology Today:, Laura Ramsey

Metro Denver Dental Society Articulator Magazine

Clear aligner therapy continues to advance through digital scanning, AI, treatment-planning software and emerging 3D-printing technologies. This article explores how these innovations are improving efficiency and expanding treatment options while emphasizing that successful outcomes still depend on sound diagnosis, biomechanics and clinical judgment.

Department Of Health Exerts Strong Control Over Cbct In Dental Offices: Regulations, Adopted Over Objection From Nysda, Take Effect Immediately., Lance Plunkett Jd, Llm

The New York State Dental Journal

On July 22, the New York State Department of Health finally adopted an entire set of new regulations covering all aspects of ionizing radiation. Contained in Article 16 of Title 10 of the Official Compilation of Codes, Rules and Regulations of the State of New York (10 NYCRR), the new regulations repealed and replaced the old Article 16. It is important to note that the new regulations are in effect only in counties outside of New York City. Dentists in New York City should still rely on guidance from the city Department of Mental Health and Hygiene. The regulations contain …

Lidocaine Combined With Low-Dose Esketamine For Movement-Evoked Pain After Hepatectomy: A Double-Blind Randomised Controlled Trial, Yan Xu, Li Zhou, Qianqian Tang, Feng Yu, Jingwen Wu, Siyu Yan, Min Cai, Jialu Wan, Yi Kang, Lajing Luowu, Mengmeng Zhou, Lulong Bo, Daniel I Sessler, Chunling Jiang

Faculty, Staff and Student Publications

Introduction: Pain following hepatectomy may delay recovery and increase opioid use. We tested the primary hypothesis that combining lidocaine and low-dose esketamine would reduce movement-evoked pain 24 h after hepatic resection. We also evaluated whether this approach reduced opioid consumption and improved quality of recovery.

Methods: Patients having elective hepatic resections were allocated randomly to receive lidocaine-esketamine or placebo from induction of anaesthesia until the end of surgery. After surgery, patients allocated to lidocaine-esketamine were given a continuous infusion of lidocaine with esketamine for 72 h. All patients received transversus abdominis plane blocks with ropivacaine 2 mg.kg-1 after induction of …