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Occupation-Based Practice Needs Occupation-Based Assessments: The Loss Of The Amps Family Assessments And How We Move Forward From Here, Leon Kirschner

The Open Journal of Occupational Therapy

The Occupational Therapy Domain and Process identifies participation in life activities as a key aspect of occupational therapy’s domain. It also identifies assessment as a key process in our practice. Still, few commonly used assessments use real, meaningful activities in real context to identify what factors are affecting performance. The AMPS family of assessments were among the only assessments used for these purposes. Because of a series of factors, these assessments recently became unavailable for new users and are no longer supported by a central organization. This paper explores the strengths and needs for these types of assessments, the factors …

Benefits Of Strategic Memory Advanced Reasoning Training (Smart) In Occupational Therapy Graduate Students, Asha K. Vas, Lori G. Cook, Wanyi Wang, Alisha Schaefer

The Open Journal of Occupational Therapy

Occupational therapists engage in critical thinking to integrate knowledge into clinical application. Academic curricula offer critical thinking strategies to facilitate flexible thinking and innovation to optimize clinical outcomes. Prior research has demonstrated that a gist-based reasoning program called Strategic Memory Advanced Reasoning Training (SMART) is beneficial in improving critical thinking skills in both healthy and clinical populations. The current study examined the benefits of the SMART program in masters-level occupational therapy (OT) students. Fourteen students between the ages of 22 and 45 (M = 25.71, SD = 6.34) completed the research study. The SMART program teaches strategies of strategic attention, …

Occupational Therapy Students’ Perceptions Of Using Chatgpt For An Academic Course Assignment, Diane Tom, Robyn Wu, Chi-Kwan Shea

The Open Journal of Occupational Therapy

Chat Generative Pre-Trained Transformer (ChatGPT), a natural language based artificial intelligence (AI), has been either welcomed or maligned by academia. This project aimed to: (a) provide a structured opportunity for students to use ChatGPT and critique its responses and (b) investigate student perceptions before and after using ChatGPT for a class assignment. Forty graduate occupational therapy students used ChatGPT to complete two written assignments. Pre- and post-ChatGPT assignment surveys completed by students were analyzed. After using ChatGPT to complete course assignments, students were significantly more likely to agree that: (a) ChatGPT is helpful for completing assignments, (b) ChatGPT provides accurate …

The Verses That Abrogated Others And The Abrogated Ones Regarding Marriage, Abdullah Mohammed Alaskar

UB Journal for Humanities

Given the importance of knowing abrogation in some of the verses of the Quran, and the legal rulings derived from that, as the rulings of marriage are the most important matters one should learn about. Therefore, the study came to discuss the case of abrogation in the verses of marriage, and to explain the discussion among scholars regarding these verses. Furthermore, studying the difference of opinion among scholars, and evaluating those sayings with what is believed to be the truth that Allaah (sw) has legislated. The study was divided into two sections: The first section: The preface, in which the …

Pay-To-Play: Maine’S Unconstitutional Requirement For Indigent Defendants To Pay To Appeal Eviction Judgments, Shianne Bowlin, Fred Kerrigan, Alice Neal

Maine Law Review

Maine’s eviction appeal process imposes financial barriers that effectively condition appellate review on a tenant’s ability to pay. Under Maine law, tenants must pay rent or arrears—often in dispute—before filing an appeal. This “pay-to-play” requirement disproportionately harms low-income tenants, particularly those receiving public assistance, and violates constitutional due process and equal protection guarantees. Despite federal and state precedent rejecting financial barriers to appeals, Maine’s eviction appeal system continues to restrict access to justice for indigent tenants. This Article examines the legal and constitutional implications of these requirements, comparing Maine’s approach to eviction appeals with those of other states. It explores …

An Argument For Housing Reparations, Lisa Lucile Owens

Maine Law Review

This Article explores recent applications and framing of municipal reparatory housing policies and assesses equal protection challenges, including specific discussion of an emerging case in Evanston, Illinois. Because of recent changes to the Supreme Court’s approach to applying strict scrutiny in equal protection challenges of race-conscious policies as reflected in Students for Fair Admissions v. Harvard, race-based applications of reparations have been criticized as dead on arrival. However, this Article finds that housing-related reparatory policies are dissimilar from affirmative action admissions policies in several ways relevant to the Court’s application of strict scrutiny. Housing reparations policies are more in line …

Evicted From The Outside, Colleen Cosgriff

Maine Law Review

In recent years, Maine has seen an increase in the number of people experiencing homelessness who are living outdoors. People living in these circumstances often shelter together in groups of tents or other temporary structures commonly referred to as “encampments.”As municipalities across Maine struggled with how best to respond to the increase in encampments across the state, the United States Supreme Court decided City of Grants Pass v. Johnson, a case originating in Grants Pass, Oregon. Grants Pass wanted to issue civil and criminal fines to people for sleeping outdoors, even when no alternative shelter was available. The city ultimately …

Evaluating The Impact Of Inefficient Maintenance Practices Of Diesel Engines On The Ship’S Operational Efficiency, Çağlar Karatuğ

Seatific Journal

This paper analyses the influence of inefficient operations performed on the ship regarding the carbon intensity indicator. In this case, different malfunctions regarding the ship's main diesel engine have been taken into consideration, such as extended fuel injection timing, wear of injector nozzles, exhaust valve leakage, and deposit of scavenging air ports. The effects of these faults on fuel usage are determined through simulations in an engine room simulator. The resulting effect values are subsequently utilized to calculate the impact on the noon report data for a bulk carrier. Finally, the effect of improper maintenance practices on the vessel's operational …

Race-Neutral Pft: Implementing Patient Activation Measure Following Race- Neutral Pulmonary Function Testing, Ann M. Way

Dissertations

Abstract

Background

The introduction of a race-neutral equation to predict normal values on pulmonary function testing (PFT) has led to changes in the diagnosis of pulmonary diseases previously diagnosed using a race specific equation. Minority patients appear to be most likely impacted by this change, potentially impacting how they self-manage their pulmonary health. Patient self-management can be measured and assessed by using the Patient Activation Measure (PAM) tool.

Purpose

The purpose of this project is to assess patient activation levels amongst minority patients with a new or changed pulmonary diagnosis to identify a possible need for interventions to improve patient …

Evaluation And Expansion Of Posttraumatic Avoidance Assessment: Proposal Of A Novel Measure Of Posttraumatic Positive And Negative Experiential Avoidance For Use In Research And Clinical Practice, Marissa A. Yetter

Dissertations

Avoidance is a well-established mechanism in the development and maintenance of posttraumatic stress disorder (PTSD) and a central treatment target in gold standard evidence-based interventions. While traditionally defined as avoidance of trauma-related distressing thoughts, emotions, and reminders, emerging research highlights the need for a broader conceptualization of posttraumatic avoidance that includes both negative and positive emotional experiences. The current study aimed to explore an expanded conceptualization of clinically relevant posttraumatic avoidance using an experiential avoidance framework, a more generally defined unwillingness to remain in contact with distressing thoughts, feelings, memories, and other internal experiences. A sample of non-treatment seeking U.S.-based …

Leon Drummond V. Progressive Specialty Insurance Co

2025 Decisions

USDC for the Eastern District of Pennsylvania

Ajani Posey V. Scott Klinefelter

2025 Decisions

USDC for the Western District of Pennsylvania

Mohammad Qatanani V. Attorney General United States Of America

2025 Decisions

Agency

Best Practice Toolkit For Burnout Prevention In Emergency Department Nurses, Moises A. De Oleo

Student Scholarly Projects

Practice Problem: Burnout Syndrome (BS) is a serious problem in emergency department (ED) nurses and is associated with higher nurse turnover rates. A burnout prevention toolkit is needed.

PICOT: The project was guided by the following PICO question: "For emergency department nurses (P), how does the development of the best practice burnout prevention toolkit (I), compared to the absence of a structured intervention (C), support the establishment of nurse burnout best practices when evaluated using the CDC Program Evaluation Framework? (O)".

Evidence: The analysis of the literature supported the implementation of active interventions in the form of workshops.

Intervention: A …

Axalta Coating Systems Llc V. Faa

2025 Decisions

Agency

Effects Of Political Predispositions, Media Use, And Media Evaluation On Policy Malaise Among Indonesian And German People, Irma Garnesia

JURNAL KOMUNIKASI INDONESIA

This study explores a comparative analysis of Germany and Indonesia in the context of the Covid-19 pandemic, emphasizing the importance of addressing cross-cultural dimensions in global health crises—a field that remains underexplored. By enhancing preparedness for future emergencies, the research critically examines whether theoretical assumptions developed in Global North contexts can be meaningfully extended to Global South settings. Specifically, this study hypothesizes that political predispositions, media use, and media evaluation are associated with policy malaise, and investigates these associations in light of cross-cultural differences. Using data from Germany (n = 1,458) and Indonesia (n = 1,043), the findings reveal significant …

Dysphonia In Division I Collegiate Sideline Cheerleaders, Anna Riley Reed

Student Theses and Dissertations

Many research studies have focused on voice disorders in occupational voice users (i.e., teachers, singers, coaches). However, there is limited research on voice disorders in cheerleaders. Therefore, this study investigated the presence of dysphonia in division I collegiate sideline cheerleaders before and after the 2023 football season. Participants included twenty-six collegiate sideline cheerleaders at a division I university. Participants completed a demographic survey and the Voice Handicap Index (VHI). In addition, their modal, high, and low pitch frequencies were measured, and voices were assessed using the Consensual Auditory-Perceptual Evaluation of Voice. This study found significant results regarding the alteration subjective …

Design & Development Of Efficient Biometric Authentication And Key Agreement Schemes For Wireless Body Area Network, Aarthi S

Theses and Dissertations

Wireless Body Area Networks (WBANs) play a vital role in continuous health monitoring, where sensitive biometric and physiological data must be protected from privacy breaches and emerging quantum-based threats. Conventional security mechanisms are often inadequate due to resource constraints, scalability issues, and vulnerability to advanced attacks. To address these challenges, this research proposes a lightweight, scalable, and future-proof security framework tailored for WBAN applications, focusing on secure communication, privacy preservation, and quantum resilience.

An anonymous Certificate-Based Signcryption–Mutual Authentication and Key Agreement (CBS-MAKE) protocol is introduced to secure extra-body communications while ensuring patient anonymity. The protocol integrates Elliptic Curve Cryptography with …

Theoretical And Experimental Investigation Of Liquid-Liquid Phase Separation: Characterizing Elastin-Like-Polypeptides, Adam D. Quintana

Chemical and Biological Engineering ETDs

This dissertation develops and validates a semi-empirical Flory–Huggins-based interaction model, combined with Cahn–Hilliard simulations, for predicting multi-component liquid–liquid phase separation (LLPS) in elastin-like polypeptide (ELP) systems. Equilibrium droplet compositions, measured using a PDMS-based microfluidic device, enabled direct parameterization of interaction coefficients. The model was applied to generate phase diagrams and assess composition dependence in ternary mixtures. Cahn–Hilliard simulations were conducted to explore potential phase morphologies under different interfacial conditions. Multi-component Lattice Boltzmann simulations were implemented to model droplet morphology evolution under varying interfacial and diffusive parameters, reproducing experimentally relevant morphologies. A three-phase wetting study revealed conditions for selective wetting and …

X-Linked Hypophosphatemia Management In Adults: An International Working Group Clinical Practice Guideline., Aliya A. Khan, Dalal S. Ali, Natasha M. Appelman-Dijkstra, Thomas O. Carpenter, Catherine Chaussain, Erik A. Imel, Suzanne M. Jan De Beur, Pablo Florenzano, Hajar Abu Alrob, Rana Aldabagh, R Todd Alexander, Farah Alsarraf, Signe Sparre Beck-Nielsen, Martin Biosse-Duplan, Martine Cohen-Solal, Rachel K. Crowley, Karel Dandurand, Guido Filler, Lisa Friedlander, Seiji Fukumoto, Claudia Gagnon, Paul Goodyer, Corinna Grasemann, Chelsey Grimbly, Salma Hussein, Muhammad K Javaid, Sarah Khan, Aneal Khan, Anna Lehman, Willem F. Lems, E Michael Lewiecki, Ciara Mcdonnell, Reza D. Mirza, Emmett Morgante, Archibald Morrison, Anthony A. Portale, Yumie Rhee, Eric T. Rush, Heide Siggelkow, Sotirios Tetradis, Laura Tosi, Leanne M. Ward, Gordon Guyatt, Maria Luisa Brandi

Manuscripts, Articles, Book Chapters and Other Papers

PURPOSE: An international working group (IWG) consisting of experts in X-linked hypophosphatemia (XLH) developed global guidelines providing a comprehensive, evidence-based approach to XLH diagnosis, management, and monitoring.

METHODS: The IWG, consisting of 43 members as well as methodologists and a patient partner, conducted 2 systematic reviews (SRs) and narrative reviews to address key areas. The SRs addressed the impact of burosumab compared to conventional therapy (phosphate and active vitamin D) or no therapy on patient-important outcomes in adults. They also evaluated conventional therapy compared to no therapy. GRADE methodology was applied to evaluate the certainty of evidence. Non-GRADED recommendations were …

Experiences Of Supervisees Developing Culturally Responsive Skills Through Clinical Supervision, Jaime Lyn Parker

Walden Dissertations and Doctoral Studies

Culturally responsive supervision has been shown to be beneficial to supervisees (Adams et al., 2023). A research gap exists in culturally responsive clinical supervision through the lens of supervisees’ experiences; as a result, supervisors are ill-equipped to offer culturally responsive clinical supervision. The purpose of this narrative inquiry study was to explore supervisees’ culturally responsive experiences in clinical supervision. Grounded in critical race theory, this study highlights the narratives of marginalized voices as they share their stories of developing culturally responsive skills through clinical supervision. That is, the research question explored the experiences of counseling supervisees as they develop culturally …

Abstracts From The 2025 Health Care Systems Research Network (Hcsrn) Annual Conference, St. Louis, Missouri, Health Care Systems Research Network

Journal of Patient-Centered Research and Reviews

The Health Care Systems Research Network (HCSRN) comprises 19 learning health systems with integrated care delivery and embedded research units. The network’s annual conference serves as a forum for research teams from member institutions to disseminate project findings, explore scientific collaborations, and share insights about population-based research practices that can measurably improve health and health care for all. The theme of this year’s conference was “Optimizing Collaborations to Advance Health in a Dynamic Research Landscape.” Abstracts presented at HCSRN 2025 are published in this issue supplement of the Journal of Patient-Centered Research and Reviews, the journal of record for …

Correction: Bid-Induced Release Of Aif/Endog From Mitochondria Causes Apoptosis Of Macrophages During Infection With Leptospira Interrogans (Frontiers In Cellular And Infection Microbiology, (2017), 7, (471), 10.3389/Fcimb.2017.00471), Wei-Lin Hu, Hai-Yan Dong, Yang Li, David M. Ojcius, Shi-Jun Li, Jie Yan

Pacific Faculty Work

In the published article, there was an error in Figure 1E as published. The representative flow dot plots were misplaced. The corrected Figure 1 appears below. Apoptosis, pathological changes, and MMP decrease in leptospire-infected macrophages. (A) Apoptosis of macrophages infected with L. interrogans strain Lai at the optimal apoptosis-causing time for different MOIs. J774A.1 and THP-1 cells were infected with leptospires at 4 h. Bars show the mean ± SD of three independent experiments. Five thousand cells were analyzed in each specimen. *p < 0.05 vs. apoptotic ratios in leptospire-infected macrophages with an MOI of 10, 50, 100, or 500. (B) Apoptosis of macrophages infected with L. interrogans strain Lai at the optimal apoptosis-causing MOI for different times. J774A.1 and THP-1 cells were infected at an MOI of 100. Bars show the mean ± SD of three independent experiments. Five thousand cells were analyzed in each specimen. *p < 0.05 vs. apoptotic ratios in each macrophage type before infection. (C) The representative pathological changes in the nucleus and mitochondria in macrophages infected with L. interrogans strain Lai (MOI 100) for 4 h. a: healthly cells showed normal cellular morphology, b: chromatin margination in leptospire-infected macrophages crescent, c: mitochondrial shape in healthly macrophages, d: disappearance of mitochondrial cristae in leptospire-infected macrophages. (D) The representative MMP changes in macrophages during infection with L. interrogans strain Lai for the indicated times determined by fluorescence microscopy. The red cells have a high MMP while the green cells have a low MMP. (E) The representative MMP changes in macrophages during infection with L. interrogans strain Lai for the indicated times determined by flow cytometry. The FL2 channel indicates high MMP (red) while the FL1 channel shows low MMP (green). (F) Statistical summary of MMP changes by flow cytometry in leptospire-infected macrophages. Statistical data from experiments such as shown in (E). Bars show the mean ± SD of three independent experiments. The values at “0” h show the MMP values before infection. Five thousand cells were analyzed in each specimen. *p < 0.05 vs. MMP value of the macrophages before infection. (G) CSA blockage of the apoptosis in macrophages infected with L. interrogans strain Lai. Bars show the mean ± SD of three independent experiments. Five thousand cells were analyzed in each specimen. *p < 0.05 vs. apoptotic ratios in each macrophage type unpretreated with CSA infected with the spirochetes. The authors apologize for this error and state that this does not change the scientific conclusions of the article in any way. The original article has been updated.

Predictors Of Final Visual Outcome In Patients With Leber Hereditary Optic Neuropathy Treated With Lenadogene Nolparvovec Gene Therapy, Robert C Sergott, Valerio Carelli, Nancy Newman, Valérie Biousse, Patrick Yu-Wai-Man, Catherine Vignal-Clermont, Constant Josse, Magali Taiel, José-Alain Sahel, Piero Barboni

Wills Eye Hospital Papers

PURPOSE: This exploratory analysis aimed to identify predictive factors of final best-corrected visual acuity (BCVA) in patients with Leber hereditary optic neuropathy (LHON) harboring the m.11778G>A mutation who received lenadogene nolparvovec gene therapy.

METHODS: The following covariates were individually evaluated as possible factors associated with improved final BCVA: age, gender, timing of treatment, baseline BCVA value, and baseline optical coherence tomography (OCT) parameters. Univariate analyses were performed from three phase 3 studies (RESCUE, REVERSE, and REFLECT), using BCVA at 1.5 years post-treatment as the dependent variable.

RESULTS: In 113 eyes treated at least 6 months after disease onset, the …

Patient Information Needs During Ambulatory Medication Changes: A Qualitative Study, Elaine Giletta, Vanessa B. Hurley, Yushi Yang, Jessica L. Schwartz, Rabia Jalalzai, Nicole L. Mollenkopf, Raquel Mayne, Samantha I. Pitts

Journal of Patient-Centered Research and Reviews

Purpose: We performed interviews with patients and caregivers to explore whole-person, whole-regimen information needs at times of routine outpatient medication changes. We categorized information needs in this relatively unstudied context and identified which needs were commonly recognized as insufficiently met.

Methods: We explored the content of the semi-structured interviews, which involved nine patients and two caregivers of pediatric patients, all of whom experienced a recent medication change in the outpatient setting of a large urban academic healthcare system. We used inductive thematic analysis to organize information needs into categories to identify key information gaps.

Results: We identified five categories of …

Age, Gender, And Length Of Stay For Copd Patients In Florida Community Hospitals For 2019, Dr. Carol-Ann Miller

Walden Dissertations and Doctoral Studies

Hospital administrators have been challenged due to length of stay (LOS) among patients suffering with chronic obstructive pulmonary disease (COPD). The purpose of this quantitative study was to examine whether there was a relationship between age, gender, and length of stay for COPD patients in Florida during the year 2019. The dependent variable was COPD length of stay, and independent variables were age and gender in Florida community hospitals during 2019. The Donabedian model was selected as the theoretical framework for this study to address structure, process, and outcomes associated with COPD readmissions. Secondary data was obtained from the Healthcare …

Effective Strategies Adult Education Business Leaders Use To Attain Their Organization's Sustainability, Ryan J. Bagshaw

Walden Dissertations and Doctoral Studies

Leaders in nonprofit adult education frequently struggle with maintaining financial sustainability, a challenge that can compromise their operations and the positive influence they have on their communities. This issue is critical for education leaders and policymakers who rely on these institutions to support workforce development and foster economic growth. Grounded in the Baldrige framework, the purpose of this qualitative single-case study was to identify and explore the strategies employed by leaders of a Caribbean nonprofit adult education organization to enhance their organization’s sustainability. The participants were four leaders from an adult education facility in St. Lucia, the Caribbean. Data sources …

Role Of Surgical Excision In The Treatment Of Large Macrocystic Lymphatic Malformations In Children, Hiba Mahmood Yousuf, Moaied A. Hassan

Iraqi National Journal of Medicine

Background: Lymphatic malformations are rare benign congenital cystic lesions that can develop anywhere in the body. Therapeutic options for these lesions include intralesional sclerotherapy, surgical excision, and other modalities. Aim: This study aims to assess the safety and efficacy of complete surgical excision as a therapeutic option in the treatment of large macrocystic lymphatic malformations in children, as well as to introduce a novel modification to the surgical procedure. Methods: A prospective study was conducted on 14 patients with large macrocystic lymphatic malformations in different body locations, treated between October 2018 and October 2021 at our institution. Complete surgical excision …

Assessment Of Knowledge About Toxoplasmosis Among Nursing College Students, Zainab Hassan, Saba Adnan, Abdulameer Abdullah Al- Musawi

Iraqi National Journal of Medicine

Background: Toxoplasmosis is a parasitic disease caused by Toxoplasma gondii. Humans acquire toxoplasmosis by consuming infected meat containing cysts of T. gondii or through contact with cat feces. Toxoplasmosis is known to cause miscarriage, also referred to as spontaneous abortion or pregnancy loss, which pertains to an unviable intrauterine pregnancy occurring during the first trimester and is the most common type of miscarriage. Aim: The aim of this study is to assess the level of knowledge of nursing students about toxoplasmosis. Methods: A questionnaire was administered to 90 nursing students. The self-completed questionnaire consisted of 17 questions covering the parasite, …

Knowledge And Attitudes Of Doctors In Basra Governorate Regarding The International Classification Of Diseases (Icd-10), Nada Hasan Abdulraheem Al-Kawaz, , Huda Hassan Muhaibes Al-Abbodi, Ziyad Tarik Shwaish

Iraqi National Journal of Medicine

Background: The International Classification of Diseases, Tenth Revision (ICD-10), is a critical tool for standardizing health information globally. Despite its widespread adoption, gaps in understanding and application among healthcare providers persist, potentially affecting patient care and health system efficiency. Aim: To examine the knowledge, attitudes, and practices of physicians regarding the implementation of the ICD-10 system Methods: This descriptive, cross-sectional study assessed the knowledge and attitudes of 67 healthcare professionals (27 specialists, 25 senior residents, eight general practitioners, and seven junior residents) from various medical settings in Basra, southern Iraq, including hospitals and clinics. Participants completed a questionnaire evaluating their …