Digital Commons Network^™

Use Of Simulation In Interprofessional Education In U.S. Physical Therapist Programs: A Multiple Case Study, Sarah Ross

Internet Journal of Allied Health Sciences and Practice

Purpose: Interprofessional education (IPE) is a cornerstone of healthcare professional education, facilitating professions learning about and with each other. Simulation-based learning (SBL) is teaching and learning modality that is frequently used to incorporate IPE into curricula. Current research shows that physical therapist (PT) education programs are increasingly using SBL for IPE purposes. However, there is little research outlining how programs are using simulation.

Method: The data in this study were pulled from a larger qualitative study looking at how US PT programs use simulation because of the heavy emphasis on IPE. Three programs were selected from a pool of volunteers …

Knowledge Of Alzheimer’S Disease-Related Dementia In Down Syndrome: A Cross-Section Survey Of Rehabilitation Graduate Students, Alan F. Smith, Abigail R. Donaway

Internet Journal of Allied Health Sciences and Practice

Purpose: Adults with Down syndrome have an increased risk for Alzheimer’s disease–related dementia, often presenting with behavioral and functional changes rather than early memory impairment. Rehabilitation professionals may observe these changes across the lifespan; however, preparedness during professional training is unclear. This study examined graduate student knowledge of dementia in individuals with Down syndrome across rehabilitation disciplines. Methods: A cross-sectional survey was distributed to graduate students in speech-language pathology, occupational therapy, and physical therapy programs in the United States (N = 322). Outcomes included factual knowledge, recognition of stage-related characteristics, and familiarity with diagnostic and care considerations. …

State-Level Implementation Of Health And Safety Policies In Mississippi Secondary Schools, Heather L. Shirley, Valerie J. Moody

Internet Journal of Allied Health Sciences and Practice

Background: State-level investigations of health and safety policy implementation in secondary school athletics highlight ongoing challenges in ensuring student-athlete safety that aligns with evidence-based best practices. Purpose: The purpose of this study was to examine current state-level implementation of health and safety policies in Mississippi secondary schools from the perspective of athletics/activities directors, athletic trainers, and other school administrators. Methods: In May 2025, a 26-item web-based questionnaire was distributed to 226 athletic directors and 114 athletic trainers across Mississippi secondary schools. The survey assessed participant demographics, access to healthcare resources, emergency action planning (EAP), required coaches’ health and safety training, …

Females With Urinary Incontinence Demonstrate Impaired Postural Stability, Jean L. Mccrory, Corrie Mancinelli, Kate Harrison, Samantha K. Rondini Monaco, Krystal L. Thomas

Internet Journal of Allied Health Sciences and Practice

Introduction: Females with urinary incontinence (UI) have an increased risk of falls.  Few studies have quantified postural control, namely center of pressure (COP) movement and vertical ground reaction force in static and dynamic tasks, in females with UI. Purpose: The aim of our study was to examine static and perturbed postural stability in females with UI compared to unaffected females. Methods: The study design was a between-group comparison (UI vs control) on our static outcome variables of anteroposterior and mediolateral COP sway, COP displacement, average and instantaneous maximum COP velocity, and standard deviations of anteroposterior and mediolateral COP movement and …

Current Status And Future Needs Of Audiology Services In Saudi Arabia: An Exploratory Study, Ahmad A. Alanazi, Alhanouf N. Alhathal

Internet Journal of Allied Health Sciences and Practice

Purpose: Audiology services in Saudi Arabia are expanding; however, workforce shortages, limited postgraduate training programs, and variability in specialized services may affect equitable access to care. This study aimed to examine the current status of audiology services in Saudi Arabia and identify future needs related to service availability, workforce capacity, and specialized clinical provision to support the development of equitable, standardized, and high-quality audiological care nationwide. Methods: An exploratory cross-sectional study was conducted among practicing audiologists across healthcare facilities in Saudi Arabia. Because a comprehensive national registry of audiology clinics is unavailable, a purposive convenience sampling strategy was used to …

Beyond The Classroom: Impact Of An Interprofessional Exertional Heat Stroke Simulation On Knowledge And Confidence, Hannah L. Stedge, Amanda Hawkes, Melani Kelly, Behle Burns, Sara Beaudry

Internet Journal of Allied Health Sciences and Practice

Purpose: The primary aim of this study was to examine the impact of a high-fidelity exertional heat stroke (EHS) live broadcasted simulation on the knowledge and confidence of a multidisciplinary group of healthcare professionals attending an interprofessional continuing education conference. Methods: Participants were eligible for this study if they were a credentialed athletic trainer, physician, or emergency medical services professional. Participants attended an interprofessional symposium on EHS which included didactic training sessions followed by a live broadcasted EHS simulation and group debrief. Participants completed the 29-item survey instrument modeled after the Emergency Medical Services Knowledge of Exertional Heat Stroke Questionnaire …

Predictors Of Clinical Performance On The Revised Physical Therapist Clinical Performance Instrument 3.0, Derrick F. Campbell, Nancy G. Hellman, Felicity Macahilig-Rice, Sean E. Witkin, Mansoor Alameri

Internet Journal of Allied Health Sciences and Practice

Purpose: This study aimed to evaluate the impact of the 12 performance criteria from the revised American Physical Therapy Association (APTA) Physical Therapist Clinical Performance Instrument 3.0 (PT CPI 3.0) on predicting Doctor of Physical Therapy (DPT) student clinical performance outcomes during clinical education experiences. The PT CPI 3.0 was revised in 2023 to measure DPT student clinical performance. Identifying predictors for clinical performance may help flag students who struggle to meet or fall below performance expectations.

Method: A convenience sample of 693 DPT students from a large U.S. multi-campus program during Fall 2023 clinical education experiences participated. Using an …

Coinfections In Infectious Keratitis: A Case Involving Herpes Simplex Virus (Hsv) Type 1 Infection, Saeed S Alqahtani

Internet Journal of Allied Health Sciences and Practice

Purpose: Infectious keratitis remains a major cause of corneal morbidity and vision loss. While bacterial keratitis is commonly encountered, coexisting viral infections may complicate diagnosis and delay effective treatment. This case report highlights the importance of recognizing polymicrobial keratitis in patients with atypical or non-resolving clinical courses. Method: We describe the clinical course, diagnostic evaluation, and management of a 40-year-old female contact lens wearer who presented with a severe corneal ulcer initially presumed to be bacterial in origin. The patient was treated with intensive fortified topical antibiotics based on clinical suspicion of Pseudomonas aeruginosa infection related to prolonged contact …

A Survey Of Medical Coverage In The Marching Arts, Stephanie Maszera, Luis Torres, Fredrick A. Gardin

Internet Journal of Allied Health Sciences and Practice

PURPOSE: This research aimed to identify how the marching arts’ access to medical coverage affects an individual’s success in the activity. Medical coverage in the marching arts varies greatly between the levels that exist within the activity. Marching bands’ physical demands rival traditional sports, with a longer season and fewer resources. Despite the lack of coverage, the incidence of injury remains a challenge for competing groups. METHODS: A survey was conducted to ask individuals about their experiences with their band’s medical staff and any injuries or conditions they may have dealt with. Participants were at least 18 years old and …

The Perceived Benefit Of A Degree Requirement In Emergency Medical Services Education And Success, Joseph H. Wood

Internet Journal of Allied Health Sciences and Practice

Introduction: This study sought to assess how graduates of Wallace Community College's paramedic program impacted their readiness for the NREMT Paramedic examination and entering the workforce, specifically comparing those who completed an associate degree to those who completed the certificate program. Methods: This qualitative study analyzed the perspectives of graduates from the paramedic program using a phenomenological approach. Using a purposive sampling technique, nine graduates were chosen for one-on-one interviews, and six were selected for a focus group. Results: Analysis of participant responses revealed three main themes: the perceived value of a degree, student preparedness for the NREMT exam and …

Examining The Influence Of Cognitive Load And Self-Efficacy On The Development Of Clinical Reasoning In The First Clinical Education Experience Of First Year Physical Therapy Students, Andrew S. Bartlett, Brittney Gunterstockman

Internet Journal of Allied Health Sciences and Practice

Purpose: Clinical reasoning is critical for effective decision-making and patient outcomes in physical therapy. Although self-efficacy, cognitive load, and clinical reasoning have been studied individually, limited research has examined these constructs holistically. This study explored the influence of cognitive load and self-efficacy on the development of clinical reasoning during the first clinical education experience of first-year Doctor of Physical Therapy students using a think-aloud protocol. Methods: All participants completed measures of self-efficacy (New General Self-Efficacy [NGSE], Physical Therapist Self-Efficacy [PTSE]) and cognitive load (intrinsic, extraneous, germane) before and after their first clinical education experience. Think-aloud protocols were conducted at …

Development And Initial Validation Of The Observation-Mimicking-Participation-Independent (Ompi) Workplace-Based Assessment Model For Occupational Therapy Fieldwork, Keiko Takeuchi, Hirotaka Onishi

Internet Journal of Allied Health Sciences and Practice

Purpose: Workplace-based assessment (WBA) is essential for evaluating clinical competence in occupational therapy and allied health education; however, many existing assessment approaches lack an explicit developmental structure aligned with progressive learning during fieldwork. Competency-based education frameworks emphasize staged skill acquisition, yet operationalized developmental assessment models remain limited. To address this gap, this project aimed to develop the Observation–Mimicking–Participation–Independent (OMPI) model as a theoretically grounded developmental WBA framework and to conduct an initial evaluation of its reliability and educational utility in occupational therapy fieldwork education. Methods: The OMPI model was constructed to reflect staged progression in clinical learning, moving from structured …

Comparative Analysis Of Knowledge, Usage, Perceptions, And Attitudes Toward Artificial Intelligence Chatbots Among Doctor Of Physical Therapy Students And Faculty Over Two Years, Qing Zhang, Heather David, Brandy Schwarz, Kristen Johnson

Internet Journal of Allied Health Sciences and Practice

Purpose: AI chatbots (AIC) are increasingly integrated into healthcare education, yet research on DPT faculty and student perceptions remains limited. This study compared knowledge, usage, perceptions, and attitudes (KUPA) toward AIC between DPT faculty and students and examined how these changed from 2023 to 2024. Method: A repeated cross-sectional survey was administered to two consecutive first-year DPT student cohorts and core and associate faculty at one DPT program. A 20-item survey was used, incorporating items adapted from validated instruments and researcher-developed questions, using a five-point Likert scale. Results: Participation rates were 41.5% (n=62) in Year 1 and 39.1% (n=69) in …

Compression Therapy In A Patient With Lymphedema Bilateral Lower Extremities And Heart Failure: A Case Report, René Thomas

Internet Journal of Allied Health Sciences and Practice

Introduction: Patients with heart failure may develop secondary lower extremity lymphedema, yet evidence to guide compression therapy in this population is limited. This case highlights clinical decision-making in applying compression within a medically complex scenario.

Case Presentation: A 75-year-old female with chronic heart failure and multiple comorbidities presented with severe bilateral lower extremity lymphedema and reduced mobility. Interventions included compression therapy, manual lymphatic drainage, breathing exercises, and skin care education, delivered by a physical therapist with advanced cardiopulmonary and lymphedema training. Edema reduction was achieved; however, therapy was discontinued due to signs of cardiac decompensation requiring medical management.

Conclusion:This …

Beyond Walking: Exploring Functional Use Of Exoskeletons In The Home Environment, Sue D. Dahl-Popolizio, Adam M. Story, Thomas Hartman, Lacee Andrews, Jennifer Radziak, Angela Zhu, Joelly Lobato De Faria Otd, Ms, Otr/L

Internet Journal of Allied Health Sciences and Practice

Purpose: This pilot study was completed to determine whether individuals with paraplegia can perform activities of daily living (ADL) and instrumental activities of daily living (IADL) in their homes using a personal exoskeleton. The physiological effects of using an exoskeleton for these tasks were investigated as well. Methods: In this mixed-methods observational study, participants with paraplegia were observed using an exoskeleton to complete ADLs and IADLs in their homes. Performance and satisfaction with performance were measured before and after home exoskeleton use with the Canadian Occupational Performance Measure (COPM). The level of importance of completing ADLs and IADLs to the …

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 …

Planetary Defense As The Ethico-Legal Gateway For International Space Security, Evie Kendal

Space and Defense

Following the news in late 2024 that there was a city-killer asteroid on a possible collision course with Earth, many members of the public were shocked to learn there was no reliable global plan for managing such asteroidal and cometary impact hazards. While calculations of Asteroid 2024 YR4’s trajectory were further refined to exclude the previously reported 2-3% chance of collision in 2032, this event highlighted a major security threat: the lack of a globally coordinated, appropriately resourced, and politically supported planetary defense strategy (Gibney, 2025). In so doing, it also provided an opportunity for security experts to consider the …

National Security Law, Ogra Cadet, Geoffrey Goodale, Laurence R. Hull, Renee Latour, Barbara Linney, Jonathan Meyer, Guy C. Quinlan, Minji "Mj" Shin, Christopher Vallandingham, Bonnie C. Weinstein

The Year in Review

No abstract provided.

International Animal Law, Tala Dibenedetto, Edie Bowles, Paula Cardoso, Daina Bray, Rajesh K. Reddy, Regina Paulose

The Year in Review

No abstract provided.

International Human Rights, Daniel L. Appelman, John Regis Coogan, Cyreka Jacobs, Cailen Labarge, Corinne E. Lewis, Kerry Mclean, Hind Merabet, Linda S. Murnane, Thomas A. O'Keefe, Sara Sandford, Wendy Taube, James Taylor, Constance Z. Wagner

The Year in Review

No abstract provided.

Middle East, Kelly Blount, Harry Baumgarten, Nicolas Bremer, Gaurav Redhal, Seyed Mohsen Rowhani, Howard L. Stovall, Catherine Van Kampen

The Year in Review

No abstract provided.

Women's Interest Network, Julie King, Christine Korper, Abiola Afolayan, Marie Elena Angulo, Michela Cocchi, Angela M. Gallerizzo, Dolly Hernandez, Margaret Kamm, Dana Katz, Kendra Muller, Sierra Paola, Vanessa Romero Rocha, Aina Serret, Sandhya Taneja, Catherine Van Kampen

The Year in Review

No abstract provided.

International Litigation, Jonathan I. Blackman, Carmine D. Boccuzzi, Theodore J. Folkman, Phillip B. Dye Jr., Matthew D. Slater, Mark Mcdonald, Ari Mackinnon, Igor V. Timofeyev, Joseph R. Profaizer

The Year in Review

No abstract provided.

International Criminal Law, International Courts, And Judicial Affairs, Manish N. Bhatt, Giovanni Chiarini, Katherine Maddox Davis, Beth Farmer, Timothy Franklin, Cyreka C. Jacobs, Stéphane De Navacelle, Sara L. Ochs, Alexander S. Vesselinovitch, Melissa Ginsberg, Marc Weitz, Julie Zorrilla

The Year in Review

No abstract provided.

International Contracts, Deana Davis, Izak Rosenfeld, Alison Strongwater, Martin E. Aquilina, Vicky Li, Willem Den Hertog

The Year in Review

No abstract provided.

Mexico, Kelsey Quigley, Josè Luis Lizárraga, John Walsh, Danielle Morris, Maria Camila Hoyos, David Ross, Lauren Mandell, Noah Guiney, Carlo Cannizzo, Enrique García, Vanessa Romero

The Year in Review

No abstract provided.

The Impact Of Social Expectations And Gender Norms On Women Leaders' Marital And Partner Relationships And Their Influence On Workplace Outcomes, Hedi Kovacs-Resnik

Economic and Business Review

Leadership sustainability among women remains insufficiently explained in leadership research, as dominant models prioritise workplace factors, neglecting the role of private-life demands. This research explored how social expectations and gender norms influence women's private lives and how the emotional impact spills over into their leadership style and performance, thereby influencing their career progression. Using a qualitative design and thematic analysis of 18 interviews with women in leadership roles, the research examined what it means to lead while also navigating family and relationships.
The findings revealed that the boundaries between women's private and professional lives are almost nonexistent. Professional success often …

When Loyalty Intentions Fail: Evidence On The Intention–Behaviour Gap And Customer Retention In Mobile Telecommunications, Danilo Tomšič

Economic and Business Review

This paper quantifies and explains the consumer intention–behaviour gap in mobile telecommunications and shows how it matters for competitive resource allocation. Using a two-wave longitudinal survey of 4887 consumers, I compare stated switching intentions at time t with self-reported provider choice at t + 1 and identify a 15.4% divergence comprising two forms: nonswitching intenders (consumers who intended to switch but did not) and switching nonintenders (consumers who did not intend to switch but did). Binary logistic models reveal temporal asymmetry in determinants. Among nonswitching intenders, higher baseline loyalty (satisfaction, repeat-choice commitment, and recommendation intention) lowers the likelihood of remaining …

System And Method For Statistical Modeling And Automated Lifecycle Refresh Detection Of Digital Media Assets, Manisha Arora, Yassine Idrissi, Bruno Caforio

Defensive Publications Series

A data-driven, statistically rigorous analytical framework is disclosed for determining performance decay and optimizing the replacement timing of digital media assets (such as images and videos) in digital media campaigns. The system ingests campaign-level and asset-level metrics on a daily basis and extracts high-dimensional visual and semantic embedding vectors from the media assets using a deep neural network feature extractor. A visual taxonomy is constructed by clustering similar assets into visual archetypes using K-Means clustering, allowing for aggregate fatigue analysis within specific thematic content clusters. The statistical decay engine fits a non-linear saturation model (e.g., a Hill function S-curve) to …

Adaptive Homeostasis: A Strategy For Preserving Stability And Generative Capacity Under Uncertainty, Volodymyr Kotegov

Defensive Publications Series

This document offers a practical framework of priorities and working tools for people confronting a shrinking planning horizon, the declining value of conventional educational and professional pathways, rising psychophysical exhaustion, and a loss of coherent direction.

The strategy addresses two related tasks. The first is to protect psychological and physical health, secure basic material stability, and maintain the capacity for clear thinking. The second is to sustain generative capacity—the ability to produce non-trivial observations, hypotheses, and life trajectories. Generativity is treated first and foremost as a present-day resource. It supports a sense of meaning, adaptability, and psychological resilience. Secondarily, it …