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Post-Activation Performance Enhancement Through Variable Loading Maintains Power Output Over Five Sets In Highly Trained Athletes, Robert Rocanelli, Morgan Siegel, Pedro Yunes, Pete Bommarito, Monique Mokha

Journal for Sports Neuroscience

The goal was to examine the acute effects of five sets of variable loading (VL) on the post-activation performance enhancement (PAPE) response during a live training session in highly trained athletes. PAPE is the phenomenon where acute improvements in power production in light loaded movements occur post near maximal loaded muscle contraction. PAPE may be induced with VL where resistance in the form of chains or bands is added to the bar as it displaces in the concentric phase. Participants were American football players from a variety of field positions (n=12, height =188 ± 0.01 cm, total body mass = …

Predictors Of Pharmacy Students' Attitudes About The Therapeutic Use Of Psilocybin, Nm Mahmudul Alam Bhuiya, Robin J. Jacobs, Karina Wang, Yiqun Sun, Brenda Nava, Luke Sampiere, Akhila Yerubandi, Joshua Caballero

HPD Articles

Background Psilocybin has been studied for its potential therapeutic benefits, particularly for the treatment of psychiatric disorders such as anxiety, depression, and obsessive-compulsive disorder. While more research is needed as psilocybin-assisted therapy becomes more prevalent, future pharmacists will probably be involved at some level. At present, pharmacists receive minimal training on psilocybin, and little is known about their attitudes toward its use for medical purposes. Findings from recent clinical studies have attempted to establish the safety and medical efficacy of psilocybin, leading to an increased interest in therapeutic psilocybin use in the United States. This study aimed to assess if …

Inferior Vena Cava Thrombus Associated With Renal Cell Carcinoma With An Atypical Radiological Presentation: A Case Report, Kareem Elgendi, Mohamadhusni Zarli, Sohaib Ahmed, Nicole Szell

HPD Articles

Renal cell carcinoma (RCC) is characterized by the development of kidney masses, which can lead to various long-term complications. Among the extrarenal manifestations associated with RCC, the formation of a thrombus within the inferior vena cava (IVC) is particularly prevalent due to the substantial tumor burden imposed by the kidneys. In this report, we present an exceptional case involving an 80-year-old male patient who presented with an intravascular thrombus within the inferior vena cava (IVC), which originated from RCC. The diagnosis of RCC was conclusively established through core needle biopsy and subsequent tumor marker staining. Remarkably, despite the confirmation of …

Health Issues Among Nepalese Youth: A Literature Review, Veenah Stoll, Naomi Edwin, Kripa Dahal, John Barnes, Miranda Pfautsch, Lahana Maharjan, Cyril Blavo

HPD Articles

Nepal is one of the world's least-developed countries. Nepalese children are often vulnerable to a lack of resources which leads to suboptimal levels of health in turn. This review article aims to identify health issues and inequities faced by school-aged children greater than five years old in Nepal. A comprehensive search of the literature was conducted in PubMed and Global Health databases to gather relevant studies. Inclusion and exclusion criteria were applied to select appropriate articles, and 35 full-length articles were reviewed in-depth. The literature supports the association between inadequate resource distribution among Nepalese children and poorer health outcomes compared …

Assessing Non-Invasive Imaging Devices To Detect Temperature Differentiation And Lymphatic/Venous Flow To The Head And Neck During Head Down Tilt, Supine, And Sitting Positions The Niid Study (Non-Invasive Imaging Device), Matthew Melin, Heather Hettrick, Frank Aviles, Johanna Pannunzio, Nathan Sirkis, Chantel Hubbard, Patrick Hardigan, Sabrina Ginsburg, Harvey N. Mayrovitz

HPD Articles

Under the influence of standard developmental physiology on the Earth’s surface (1 gravity equivalent known as “1G”), 70% of body fluids reside below the level of the heart.Fluid shifts towards the cephalic region during microgravity have also been speculated to contribute towards spaceflight associated neuroocular syndrome (SANS).Although a significant barrier to spaceflight, the underlying mechanism of SANS is not well understood, partially due to the spaceflight environment and limited medical capabilities including invasive diagnostic testing. Thus, non-invasive approaches to studying real-time fluid shifts in weightlessness could serve as critical areas of research to further SANS study and effective countermeasure protocol …

Severe Covid-19 Infection In An Infant With 8p Inverted Duplication/Deletion Syndrome: Is Vaccination Still A Debate?, Andrew M. Joseph, Monica Karas, Ernesto Joubran, Yaseen O. Ramadan, Blakley A. Fowler

HPD Articles

Despite having a milder course of coronavirus disease 2019 (COVID-19) in comparison to adults, children are at risk for more significant complications, including acute neurological, renal, respiratory, and cardiovascular complications. Acute complications can manifest as encephalopathy, renal injury, interstitial pneumonia, and heart failure. However, the most severe complication is multisystem inflammatory syndrome in children, which often requires intensive care to manage the subsequent respiratory failure. Moreover, children with comorbidities such as chronic lung disease, neurological disorders, and cardiovascular disease are at an elevated risk of morbidity and mortality. Here, we present the case of an 11- month-old white female patient, …

The Effects Of Inhaled Anesthetic Agents On Long-Term Cognitive Decline, Viktor Kunder, Matthew Tayem, Sneh Parekh

HPD Articles

Background: Anesthesia is generally considered safe, but studies have shown the potential relationship between anesthetic agents and dementia after surgery. Several studies have pointed out how the commonly used anesthetic drugs induce cytotoxicity, ultimately leading to neurodegeneration and even Alzheimer's Disease (AD). Specifically, inhaled anesthetics such as isoflurane, sevoflurane, and desflurane have been shown to impact the neurophysiology of the brain. However, there is no established relationship between aesthetics and long-term postoperative cognitive decline.

Objective: The objective of this study is to explore the available research on anesthetic agents and the potential role that they have played in postoperative cognitive …

Supporting Vulnerable Older Adults With Telehealth Through Wellness Calls And Tablet Distribution During Covid-19: Quality Improvement Project, Sweta Tewary, Nicole J. Cook, Marie Dezine, Oksana Shnayder, Naushira Pandya

HPD Articles

BACKGROUND: Loneliness, social isolation, and lack of technical literacy are associated with poorer health outcomes. To help improve social connection during the COVID-19 pandemic, Nova Southeastern University's South Florida Geriatric Workforce Enhancement Program partnered with a community-based organization to provide educational resources to promote telehealth services.

OBJECTIVE: This study aimed to provide educational resources to older adults with limited resources and promote the use of telehealth services in this population.

METHODS: Through this pilot project, we contacted 66 vulnerable older adults who expressed interest in telehealth support through wellness calls, with 44 participants moving on to participate in tablet usage. …

Violinmaking Apprenticeship: A Qualitative Investigation Of Learning As Embodied Familiarization, Isaac Calvert, Melissa Noel Hawkley, Samantha Swift

The Qualitative Report

This case study examines Yanchar, Spackman, and Faulconer’s “Learning as Embodied Familiarization” (hereafter LAEF) framework in the case of a violinmaking apprenticeship. Its purpose is to critically examine each facet of the LAEF framework as manifest in the lived experience of both master and apprentice. While previous studies investigating this framework have used various qualitative and hermeneutic methodologies, none have done so from a prolonged, ethnographic perspective. This perspective comes from an immersive autoethnography in which I apprenticed under a master violinmaker in an informal, one-on-one workshop environment for six months working four to five days a week for three …

Barriers To Establish A Cooperative To Manage A Machinery Rental Business In Farmer Groups: A Multi-Case Study Approach, Sri Hanggana, Andi Asri Hapsari, Putri Nugrahaningsih, Amirotul Musthofiah Hidayah Mahmudah

The Qualitative Report

This study aimed to analyze the barriers faced by farmer groups in establishing a cooperative to manage a machinery rental business. The qualitative method with a multi-case study approach was used in this study with farmer groups as the research objects and chairpersons and members as the participants. The chairpersons were chosen by purposeful sampling and the members by snowball sampling. Data collection techniques were in-depth interviews and focus group discussions. The data credibility tests were triangulation and member checks. The results showed that all chairpersons and members positively responded to the cooperative and that the main barrier to establishing …

Biology Teachers’ Perspective On Change Of Curriculum Policy: A Case For Implementation Of “Independent” Curriculum, Kintan Limiansi, Suranto Aw, Paidi Paidi, Caly Setiawan

The Qualitative Report

Curriculum change is one way of adapting education in the face of various scientific and technological developments. These changes lead to different views from numerous educational actors, one of which is teachers. This study aims to explore biology teachers' perspectives on curriculum change in Indonesia. A qualitative phenomenological study with semi-structured interviews explored the biology teachers' perspectives. The interview results were analyzed using the thematic analysis method with ATLAS.ti 22 software to determine themes. The results showed four themes from biology teachers' perspectives on curriculum change, which are (1) the factors affecting independent curriculum implementation; (2) the teachers' concerns; (3) …

A Narrative Review Of The Many Psychiatric Manifestations Of Neurosyphilis: The Great Imitator, Baneet Kaur, Deepesh Khanna

HPD Articles

Neurosyphilis is an infection of the central nervous system caused by the spirochete, Treponema pallidum. New syphilis infections have been increasing around the world each year. This disease was much of a concern in the pre-penicillin era, where when left untreated many cases progressed to tertiary syphilis which can commonly manifest as neurosyphilis. Of particular interest, neurosyphilis has been linked to masquerading itself as various psychiatric conditions. This narrative review focuses on exploring psychiatric manifestations of neurosyphilis as well as the importance of screening in psychiatric settings and clinicians maintaining high clinical suspicion of the disease. A systematic search …

The Current - Volume 34 Issue 1, Nova Southeastern University

Student Newspapers

No abstract provided.

A Rare Case Of Recurrent Parathyroid Adenomas After Initial Parathyroidectomy, Grant N. Schalet, Luke Vincent, Carl Eguez, Gerardo Diaz, Mark S. Shachner

HPD Articles

Hyperparathyroidism usually presents asymptomatically with elevated levels of calcium and parathyroid hormone; this biochemical imbalance establishes the diagnosis. In 80-85% of cases of primary hyperparathyroidism, singular parathyroid adenomas occur. In rare cases, this problem occurs due to multiple adenomas, multiglandular hyperplasia, or parathyroid carcinoma. Recurrent primary hyperparathyroidism (R-PHPT), as demonstrated in this case, is defined as hypercalcemia that arises after six months of normocalcemia following initial surgery for PHPT. The aim of this report is to describe the diagnosis and management of three parathyroid adenomas in a patient, two of which occurred after an initial partial parathyroidectomy.

Cocaine-Induced Four-Extremity Ischemia Caused By A Hypercoagulable State, Victoria Echevarria, Alexandra C. Echevarria, Damian Casadesus

HPD Articles

The use of cocaine is associated with serious complications including coronary vasospasm and myocardial, renal, intestinal, and neurological ischemia. Among these feared complications lies limb ischemia which is a rare potential side effect of chronic cocaine use. We present the case of a 50-year-old female with an extensive history of cocaine use who developed ischemia in all four limbs. Imaging studies revealed pulmonary emboli, multisystem thromboses, and microhemorrhages in the brain. Laboratory studies were significant for leukocytosis, thrombocytopenia, schistocytes on blood smear, and normal rheumatologic and hematologic studies. The patient was diagnosed with cocaine-induced thrombotic microangiopathy and she was treated …

An Unusual Case Of Nonbacterial Thrombotic Endocarditis Attributable To Malignancy, Luis E. Santiago, Winy Kujundzic, Stephanie Wong, Samyukta Swaminath, Pallavi Aneja

HPD Articles

Nonbacterial thrombotic endocarditis (NBTE), also known as marantic endocarditis, is a condition characterized by the deposition of thrombi and fibrin on normal or degenerated cardiac valves in the absence of microorganisms. We report a case of a 60-year-old male with nonbacterial thrombotic endocarditis found on transesophageal echocardiogram (TEE) after a normal TEE just one month prior. Our patient presented with abdominal pain associated with poor appetite and unintentional 20-pound weight loss for one month. Chest computed tomography revealed the presence of a mass-like opacification in the right lung middle lobe with moderate pericardial effusions. A biopsy of the mass confirmed …

Massive Giant Coronary Artery Aneurysm, Maria Beyer, Seth Shoap, Erik Beyer

HPD Articles

The largest previously documented coronary artery aneurysm (CAA) in literature is recorded to be 5 x 7 cm. With the patient in this case's aneurysm measuring at 11.2 x 9.1 cm, it is significantly larger than what has been previously reported. Due to the lack of statistical data on CAAs, we propose a largescale study be undertaken to better understand presenting symptoms, size classification, and treatment options for CAAs. Our case seeks to showcase the presentation and treatment of an exceptionally large CAA in order to begin to address the significant deficit in knowledge on this topic.

“I Love Talking To Myself”: Language Learning Strategies Employed By Indonesian Faculty Members, Noprival Noprival, Alfian Alfian, Robi Soma

The Qualitative Report

Despite the existence of many studies on language learning strategies (LLS), little scholarly work reports the LLS used by faculty members in learning English, with most participants of previous studies being students. Further, most of those previous studies have been conducted using exclusively quantitative methods. In response to these empirical and methodological gaps, the current qualitative descriptive case study investigates how Indonesian lecturers employed their strategies over their path of enhancing their English proficiency. We collected data through semi-structured interviews obtained from eight Indonesian faculty members. In this study, we found five overarching themes, including practicing in academic fields, learning …

Interviewing Female Teachers As A Male Researcher: A Field Reflection From A Patriarchal Society Perspective, Khim Raj Subedi, Uttam Gaulee Dr

The Qualitative Report

This article examines the role of gender difference in a qualitative interview from the theoretical lenses of the sociocultural perspective of teachers' identity in a localized context of Ph.D. field research. The study blends the researcher's critical reflections during interviewing female teachers in exploring their teacher identity and existing literature on gender differences in a qualitative interview. In addition, a research diary is used as the data source to unpack the complexity of gender dynamics in a qualitative interview. To add to the discussion of gender difference in a qualitative interview, we argued that gender difference between the interviewer and …

A Case Of Grave’S Thyrotoxicosis-Induced Takotsubo Cardiomyopathy Presenting With Cardiac Arrest After Winning The Lottery, David Philippides, Angelina Hong, Amanda Eukovich, Ali Chaudhry

HPD Articles

Takotsubo syndrome (TTS) is a nonischemic cardiomyopathy with transient apical ballooning of the left ventricle and reduced ejection fraction that can be caused by severe emotional or physical stress, with diverse clinical presentations. This case describes a patient who went into cardiac arrest at a casino after winning the lottery. She was found to have Takotsubo cardiomyopathy, in the setting of uncontrolled hyperthyroidism. This is a very unique case of TTS presenting with cardiac arrest, and is also an uncommon example of TTS triggered by a positive rather than negative emotional life event.

Navigating Power Dynamics In Virtual Interviews With Sex Workers During Covid-19: A Researcher-Participant Perspective, Izabela Ślęzak

The Qualitative Report

Sex workers may show extreme sensitivity to power relations during qualitative research due to the previous experiences of stigmatization and marginalization. The purpose of this article is to analyze how technologically mediated communication between researchers and participants during an interview may influence the scope of control exercised by the interactional partners. During the first wave of the COVID-19 pandemic, I conducted 16 qualitative phone and videoconference interviews with female sex workers in Poland discussing the social stigmas they encounter. Each interview was followed up with extensive field notes that were analyzed using the procedures of grounded theory methodology. These very …

Unveiling The Tapestry Of Human Experience And Diversity: A Journey Through The Eight Domains Of Phenomenology And Research Methods, Tito Dimas Atmawijaya

The Qualitative Report

In this comprehensive book review, the author explores Eight Domains of Phenomenology and Research Methods by Henrik Gert Larsen, delving into the intricate world of phenomenology and its applications in research. The review critically examines Larsen's insightful exploration of the eight domains, providing an analysis of each domain's significance and the research methodologies associated with them. The review also highlights Larsen's expertise in phenomenology, as he skillfully guides readers through the complexities of understanding lived experiences and the intricate interplay between researcher and participant. By exploring the strengths and limitations of Larsen's work, the review offers valuable insights into the …

Brief Adaptation To Astigmatism Reduces Meridional Anisotropy In Contrast Sensitivity., Tsz-Wing Leung, Roger W. Li, Chea-Su Kee

HPD Articles

PURPOSE: To investigate the effect of visual adaptation to orientation-dependent optical blur on meridional contrast sensitivity function in artificially imposed astigmatism.

METHODS: The study adopted a top-up adapt-test paradigm. During the blur adaptation process, the 18 non-astigmatic young adult participants were briefly presented with natural scene images (first trial, 10 minutes; subsequent trials, 6 seconds). Contrast sensitivities for horizontal and vertical gratings at spatial frequencies ranging from 1 to 8 cycles per degree (cpd) were measured immediately before and after adaptation to +3.00 diopters cylinder (DC) with-the-rule or against-the-rule astigmatism. Meridional anisotropy was measured to quantify the contrast sensitivity difference …

Trochanteric Bolt Failure In A Modular Femoral Revision System, Daniel Acevedo, Justin E Trapana, David Constantinescu, Jaime Alberto Carvajal Alba

HPD Articles

With the incidence of primary total hip arthroplasty continuing to rise in the United States, the innovation behind improving current total hip arthroplasty systems inevitably grows with it-each new design potentially ushering in new flaws. We report a case of screw failure with the Arcos Modular Femoral Revision System-Trochanteric Bolt and Claw Technique in a 74-year-old male patient. The patient presented to the investigator's clinic for their 20-month follow-up evaluation of their complex right hip revision. Radiographs revealed failure of the screw attaching the claw plate to the stem resulting in dislodgement and relocation of the screw within the intra-articular …

Addressing The Need For Depression Inventories In American Sign Language, Josephine F. Wilson, Michelle Niehaus, Jared A. Embree, Deb S. Guthmann, Steven R. Sligar, Janet C. Titus, Annie Welch, Kathy Taylor

JADARA

Using state-of-the-art techniques, the authors interpreted two commonly used depression inventories, the revised Beck Depression Inventory (BDI-II) and Patient Health Questionnaire–9 (PHQ-9), into American Sign Language (ASL): BDI-II-ASL and PHQ-9-ASL, respectively. A national sample of 361 deaf individuals who preferentially use ASL completed the BDI-II-ASL and PHQ-9-ASL online. BDI-II-ASL and PHQ-9-ASL scores were significantly and positively correlated. The results showed no significant differences in scores due to gender, Deaf cultural identification, race, ethnicity, or employment status. However, the results did show that less education was significantly associated with higher depression scores. The BDI-II-ASL and PHQ-9-ASL require norming in a comparative …

Leader-Member Exchange And The Effect Of Deaf Identity On Relationship Quality, David Hylan Jr., Melissa J. Hawthorne

JADARA

The focus of this study was the relationship between leaders and their team members and how Deaf identity can predict the quality of that relationship. Employment and personal identity are often linked, and this is true of Deaf identity. This study explores how Deaf identity impacts leader-member exchanges and seeks to identify components of Deaf identity that promote better workplace experiences. The results of a Pearson r correlation analysis supported a significant positive correlation between the Deaf Acculturation Scale score and the Leader-Member Exchange 7 questionnaire score. A linear regression analysis indicated that Deaf identity was a significant predictor of …

Letter From The Editor

JADARA

None

Intra-Operative Guidelines For The Prevention Of Uterine Niche Formation In Cesarean Sections: A Review, Sean Backer, Deepesh Khanna, Sonia Sadr, Ali Khatibi,

HPD Articles

Formation of a uterine niche following a C-section can predispose the patient to future obstetric complications such as dehiscence, uterine rupture, ectopic pregnancy, and placenta accreta. The significant morbidity and mortality of these complications along with increasing C-section rates emphasizes the importance of prevention. However, there are no clear guidelines on intra-operative protocol to prevent postpartum niche formation. Besides surgical technique, the novel use of platelet-rich plasma (PRP) and mesenchymal stem cell (MSC) injections has demonstrated promising potential and may have applications in hysterotomy closures. The objective is to examine current research on optimal C-section procedures to prevent uterine niche …

Working With Deaf Children In Healthcare Settings, Maria E. Lombardi

JADARA

Effective and efficient health care is greatly influenced by communication between patient and provider. Federal laws require the use of a sign language interpreter (SLI) or other appropriate accommodations to ensure effective communication within the health care system for deaf children. Specialized training and certifications are available for SLIs choosing to specialize in the health care field. The training is typically geared toward SLIs working with adults rather than children. In addition, very few studies focus on the use of SLIs for children within health care settings. SLIs bring unique perspectives to their respective settings when referencing one’s skill set. …

Major Factors Influencing The Utilization Of Maternal Health Services In Nepal, Kaitlyn Alessi, Michael Ierardi, Nadia Anderson, Sujan Babu Marahatta, Cyril Blavo

HPD Articles

According to the World Health Organization, maternal health services (MHS) include antenatal care, perinatal care, and postnatal care. MHS have been underutilized in Nepal and are contributing to an increased morbidity and mortality in the region leading to various adverse outcomes for both mothers and their newborns. Many of these adverse outcomes can be avoided with increased use of antenatal, perinatal, and postnatal checkups.