Digital Commons Network^™

The Role Of The Triage Nurse Deployment In Reducing Triage Time In Emergency Department, Ristanti Karina, Masyitoh Basabih

Jurnal ARSI : Administrasi Rumah Sakit Indonesia

Emergency Departments (ED) operate under high-pressure conditions where rapid and accurate triage is essential to ensure optimal patient outcomes. This study aimed to evaluate whether the assignment of dedicated triage nurses could reduce triage procedure time in the ED. The study employed an observational cross-sectional design using secondary data extracted from the Hospital Information System (HIS) at XYZ Private Hospital, Bogor. The intervention involved assigning trained triage nurses for each shift starting in June 2024, replacing the previous practice of ad hoc triage by available nurses. The results showed a significant reduction in median triage time from 4 minutes and …

Determinant Factors Of Completeness Of Medical Resume Filling By Doctors At Pesawaran Regional General Hospital, Achmad Deza Farista, Aila Karyus, Abikusno Djamaluddin

Jurnal ARSI : Administrasi Rumah Sakit Indonesia

A medical resume serves as a vital document that compiles essential information related to a patient’s clinical management. In 2019, the completeness rate of medical resume documentation at Pesawaran Regional General Hospital was only 37.4%. This study aimed to identify factors influencing the completeness of medical resume documentation by doctors through a quantitative, cross-sectional design involving 37 inpatient care doctors. Data were collected via questionnaires and direct observation, then analyzed using univariate, bivariate (Chi-Square), and multivariate (Logistic Regression) methods. Observation showed that 56.8% of medical resumes were incomplete. Questionnaire results indicated that 54.1% of respondents had negative perceptions of Standard …

The Tax Adviser, Volume 8, Number 5, May 1977, American Institute Of Certified Public Accountants

Tax Adviser

No abstract provided.

Estate Planning: Significant Recent Developments Concerning Estate Planning (Part Ii), Byrle M. Abbin, Robert H. Daskal, David K. Carlson

Tax Adviser

No abstract provided.

Disabilities Project Initial Report, Enaya Othman

Journal of Gender, Ethnic, and Cross-Cultural Studies

This report describes the processes, aims, and outcomes of the Disabilities Digital Archive, a project conducted as part of Arab and Muslim Women’s Research and Resource Institute’s vision to create data and oral histories regarding women’s experiences and transform them into meaningful information. To this end, this project seeks to explore gendered disability and facilitate more complex understandings of disability at the intersection of gender, culture, immigration, and other modes of identity. By collecting data from Muslim community members in Milwaukee, including people with differences of ability and their families, caregivers, Imams and religious scholars, community organization leaders, and health …

The Stigma Attached To Disability Is An Anathema To Religion, Irfan A. Omar

Journal of Gender, Ethnic, and Cross-Cultural Studies

The “Gendered Disabilities” project is aimed at highlighting the need to support people with disabilities and the Muslim families caring for such persons. The project is rooted in the belief that every individual is equal regardless of the specific set of abilities they are able to utilize in life. Our abilities do not define us who we are as human beings, and our disabilities should not diminish our sense of self. Each person regardless of what he/she is able to do, has the right to live fully and free from stigma.

Nursing Perspective Regarding The Stigma Associated With Disability, Abir K. Bekhet

Journal of Gender, Ethnic, and Cross-Cultural Studies

The “Gendered Disabilities” project is an attempt to shed the light on the support needed for families caring for persons with disabilities, in general, and Muslim families caring for persons with disabilities, in particular. Without a doubt, stigma plays a major role in the ways in which different sociocultural groups experience disability. Therefore, understanding stigma as related to disability will help the health care professionals include strategies to reduce stigma and health disparities within minority communities.

Gendered Disabilities Project Report, Enaya Othman

Journal of Gender, Ethnic, and Cross-Cultural Studies

This report presents our yearly progress in the third year of the Gendered Disabilities Project that aims to collect data and create a digital database on the experiences of Muslim women as people with disability or caretakers, including their access to healthcare services. With the outbreak of the COVID-19 pandemic, which has influenced the structure of our research and has strong implications for our research topic, we have integrated the issue into our themes. Meanwhile, we adapted our methodology to the measures and thus conducted the interviews virtually. The remainder of this report first focuses on the integration of COVID19 …

The Impact Of The Pandemic On Religious Practices: Data Analysis From Responses By Muslim And Arab Christian Participants, Irfan A. Omar

Journal of Gender, Ethnic, and Cross-Cultural Studies

The following is a brief qualitative analysis based on interviews data and focusing on select questions regarding the impacts of the COVID-19 and the disruption in religious services. The data examined for this report includes responses from over twenty men and women (most of them were women) concerning how (and if) they were impacted by the challenges in practicing their faith. Interviewees were overwhelmingly Muslim but there were also some who identified themselves as Christian. Most of them came from immigrant background.

Educating Future Nurse Practitioners And Physician Associates On Pretreatment Of Swallowing In Head And Neck Cancer, Hannah M. Berk, Erin L. O'Bryan, Imran Musaji, Carly A. Thomas, Jamie Harrington

Teaching and Learning in Communication Sciences & Disorders

Head and neck cancer treatment frequently results in long-term severe swallowing deficits, often requiring feeding tube dependency. Patients who have completed swallowing exercise programs before and during cancer treatment experienced more positive swallowing outcomes, but most patients are not referred for swallowing intervention early enough in their care to prevent long-term deficits. This student research project aimed to measure health profession students’ knowledge of swallowing pretreatment for head and neck cancer patients and to investigate the impact of an educational module developed and presented by a Communication Sciences and Disorders graduate student to improve knowledge and awareness of this clinical …

A Mixed-Methods Examination Of Interprofessional Preschool Virtual Simulations For Speech-Language Pathology And Occupational Therapy Graduate Students, Danika Pfeiffer, Ashley Lankford, Alexandra Durfee, Casey Branson

Teaching and Learning in Communication Sciences & Disorders

Interprofessional education (IPE) is a required prerequisite of interprofessional practice (IPP), the most collaborative service delivery model for speech-language pathologists working in both health care and educational settings. This exploratory, mixed methods study was conducted to examine the impact of an experiential IPE training program on graduate speech-language pathology (SLP) and occupational therapy (OT) students working together in a preschool classroom for children with developmental disabilities. Eight SLP and five OT students participated in a 2-hour in-person workshop and two 1.5-hour virtual simulations using ViewPoint technology. The training program provided instruction related to: three of the Interprofessional Education Collaborative’s (IPEC) …

The Role Of Interprofessional Education In Preparing The Next Generation Of Pre-Service Professionals: A Pilot Study, Shannon Wade Salley, Jennifer Cuchna, Tammy M. Hines, Karla Collins, Jennifer Hutchinson

Teaching and Learning in Communication Sciences & Disorders

Interprofessional practice is a growing expectation in health and human services professions, as is collaboration between education professionals, to bring the best care and services to clients and students. Future professionals need to learn about other professions and be taught how to work with others as members of an interprofessional team. This mixed-methods pilot study examined the impact of an interprofessional education experience on future education, health, and human services professionals, including speech language pathologists, teachers, and counselors. Event participants showed an increased understanding of the roles of other professionals and recognition of the benefits of working in an interprofessional …

The Impact Of Year-Long Teaching Symposium On Faculty Implementation Of Evidence-Based Education Approaches, Julie A. Honaker, Joan Besing, Radhika Aravamudhan, Loretta Nunez

Teaching and Learning in Communication Sciences & Disorders

On May 17-28, 2021, the American Speech-Language-Hearing Association (ASHA) launched a two-week teaching symposium on Foundational Communication Sciences and Disorders (CSD) science courses and innovation in teaching and learning: speech, language, and hearing sciences. Participants also joined asynchronous threaded discussions and a series of synchronous peer-based online discussions. Ninety-four participants completed a teaching symposium pre-assessment and two post-assessment surveys, and quantitative and qualitative results were reviewed across all time points. All 94 participants indicated motivation to use evidence-based strategies to improve teaching and students’ learning after participation, reinforcing the need for continued review and faculty engagement in these topics.

Exploring Metacognition And Mindset In Communication Sciences And Disorders Graduate Students, Kelly Rutherford

Teaching and Learning in Communication Sciences & Disorders

Purpose: Embedding metacognition into higher education curricula can be particularly challenging in accredited communication sciences and disorders (CSD) graduate programs. Many faculty aim to promote both metacognitive development and a growth mindset among students. This pilot study explored the use of periodic "mindset check-in" surveys within a neurology course for speech-language pathology (SLP) students to examine changes in student attitudes and learning behaviors over time.

Method: This study examined metacognition and mindset in graduate CSD students through six surveys tracking attitudes, study habits, and mindset. Using varied question formats, data analysis summarized patterns and cohort growth over time.

Results: Students …

Comparing Massed And Distributed Course Formats: Effects On Outcomes In A Graduate Augmentative And Alternative Communication Course, Brandon Scott Eddy, Alli Sauerwein, Leah Meloy, Eric Sanders

Teaching and Learning in Communication Sciences & Disorders

The effects of massed versus distributed learning have been well studied in the verbal and motor learning literature, with findings suggesting enhanced outcomes from distributing learning over time. However, some studies have found limited evidence to support enhanced outcomes from distributed learning when applied to an entire academic course. The effects of course scheduling on student learning in speech-language pathology graduate coursework have received limited attention. This study compared learning outcomes between a one-week massed format and an eight-week distributed format in an online two-credit augmentative and alternative communication graduate-level course. Learning outcomes were assessed before students enrolled, immediately after …

Applying Interprofessional Practice And Education With Slp Graduate Students: An Exploratory Study, Mariam Abdelaziz, Ye He, Mayra Hayes

Teaching and Learning in Communication Sciences & Disorders

Purpose: The present study examines the impact of an interdisciplinary case-based learning experience between pre-service speech-language pathology (SLP) and pre-service teachers from the teaching English to speakers of other language (TESOL) program.

Method: Over the course of a semester, 34 SLP students built rapport, provided education, collaborated and designed an evaluation plan about a fictional client using the knowledge gained from their TESOL counterpart. This mixed-methods study utilized paired t-tests to measure the efficacy of the learning experience and one-way ANOVA as well as content analysis to identify key differences in the qualitative data across four student groups based on …

Students’ And Faculty’S Experiences With An Objective Structured Clinical Examination: A Pilot Study, Carrie A. Axt, Jessica M. Smith, Kathie M. Stillwell

Teaching and Learning in Communication Sciences & Disorders

This study examined the implementation of an objective structured clinical examination (OSCE) as a competency-based assessment in a graduate speech-language pathology program. Although OSCEs are widely used in health professions education, they remain less common in speech-language pathology. OSCEs provide opportunities to assess clinical skills beyond traditional knowledge-based measures through simulated patient encounters across multiple stations. The purpose of this mixed-methods study was to explore student and faculty perceptions of OSCE participation, identify factors contributing to effective competency assessment, and gather feedback for future use. Fifteen first-year graduate students and four faculty members completed surveys, station rating scales, and interviews. …

Impact Of A Novel Hybrid Computer-Based Simulation Adult Dysphagia Training On The Confidence And Clinical Knowledge Of Speech-Language Pathology Graduate Students, Jaime Bauer Malandraki, Jennine Bryan, Dawn Wetzel, Allison Schaser, Bruce A. Craig, Georgia A. Malandraki

Teaching and Learning in Communication Sciences & Disorders

The purpose of this project was to examine the impact of a novel hybrid computer-based dysphagia simulation training on student confidence and clinical decision-making in the area of adult dysphagia. We developed a pilot SBT database, including computer-based simulations utilizing real-life actors who simulated standardized adult patients with dysphagia. Students completed a comprehensive bedside swallowing evaluation and analysis of a videofluoroscopic swallow study (VFSS) as part of the training. We evaluated confidence and clinical decision-making through the following outcome measures: student self-rated confidence levels using a self-efficacy survey and agreement levels with our gold standard rater on clinical evaluation forms. …

A Preliminary Survey Of Slp Students’ Language Sample Analysis Experiences, Rebecca Bawayan, Michelle H. Lenhart, Alexa Van Doren

Teaching and Learning in Communication Sciences & Disorders

Purpose: Although practicing school-based speech-language pathologists (SLPs) report that most of their training in language sample analysis (LSA) comes during their educational program, SLP students’ experiences with LSA in their training program have not been investigated. The purpose of this study was to gather information on the LSA use, methods, and contexts in addition to perceived knowledge and skills of speech-language pathology undergraduate and graduate students.

Method: Undergraduate and graduate students studying speech-language pathology responded to an invitation to complete an online survey related to LSA knowledge and experiences.

Results: Results indicated that most students gain experience with LSA …

Kicking In The Copper Country: The Rise And Fall Of Early Soccer In Michigan's Upper Peninsula 1909-1914, Gabe Logan

Upper Country: A Journal of the Lake Superior Region

Near the beginning of the twentieth century, Cornish miners introduced soccer to Michigan's Upper Peninsula. They initially played informal scrimmages and friendlies until 1909 when several mining communities organized the Copper League. This began spirited competition until the Copper Strike of 1913-1914 terminated interest in the sport. Following labor hostilities, many players moved away from the Keweenaw and ended this once promising league.

Sink, Sherry Coman

Journal of Religion & Film

This is a film review of Sink (2025), directed by Zain Duarte.

Bridging Autism Care: Dental And Occupational Therapy School Collaboration, Trina Hoang, Divya Desai

Oral Health

This study examines the interdisciplinary collaboration between dental and occupational therapy schools to support dental education on autism spectrum disorder (ASD). An occupational therapy student created a recorded training module to educate international dental students on ASD. The participants completed a self-reported pre- and post-survey questionnaire examining their confidence levels in interacting with the ASD population and their awareness of other healthcare professions. The survey results showed improvements in confidence levels for identifying characteristics of ASD, communicating with clients with ASD, identifying sensory-based strategies, navigating uncooperative behaviors, and providing education for at-home care. There was an increase in the awareness …

Erector Spinae Plane Block For Preserving Pulmonary Function In Patients With Traumatic Rib Fractures, Dakoda Farrington

Lynchburg Journal of Medical Science

Rib fractures are frequently seen in trauma patients and are associated with increased mortality, primarily due to pulmonary complications. This study investigates the efficacy of erector spinae plane block (ESPB) in preserving pulmonary function in patients with traumatic rib fractures. A search was conducted in PubMed using the terms "erector spinae plane" AND ("rib fracture" OR "rib fractures") AND trauma. The results were filtered to include studies within the past five years, available full-text articles, and relevancy to this research question. Ultimately, five studies were isolated and included in this review. The methodology for measuring pulmonary function varied between the …

Post Spinal Cord Injury (Sci) Related Depression And Anxiety, Felecia Marshall

Lynchburg Journal of Medical Science

This article aims to examine the prevalence, significant factors, and clinical significance of depression and anxiety in individuals with spinal cord injury (SCI). Depression and anxiety are common after an SCI. These problems are difficult to recover from and, as such, can have a negative impact on a patient’s quality of life. This article stresses the need for early diagnosis and treatment with both cognitive behavioral therapy and pharmacological treatments for those with SCI. Mental health can be improved through this method. A comprehensive search of studies in PubMed was conducted. In 10 peer-reviewed articles, researchers uncovered findings concerning the …

A Comparison Of Muscular Strength And Power Development In Unilateral And Bilateral Lower Body Exercises, Natalie M. Pickeral, Duann Kremer, Jill M. Lucas

Lynchburg Journal of Medical Science

The purpose of this study was to compare muscle strength and power development following training programs that involved unilateral and bilateral lower-body exercises. A randomized between-groups research design was used in which results from a pretest and posttest were compared across the unilateral and bilateral groups. Sled machine one repetition maximum (1-RM) testing was used as a measure of strength, and countermovement vertical jump (CMVJ) testing was used as a measure of absolute power. Total body bioelectrical impedance analysis testing was used to predict lean body mass in both the left and right legs. Six college-aged female students who were …

An Analysis Of Mental Health In Menopause, Christy Thozer

Lynchburg Journal of Medical Science

Menopause is a major life transition and is frequently accompanied by significant symptoms. While many complaints are often addressed by healthcare providers, many others are frequently left out of the discussion. While these symptoms are significantly detrimental to quality of life and effective treatments are available, many symptoms of menopause remain under-addressed. Mental health symptomatology such as depression, cognitive changes, and decline in libido are common and frequently distressing in the menopause transition and are well worth focused attention. Depression in menopause is well treated by selective serotonin reuptake inhibitors (SSRIs) but may also benefit from treatment with menopausal hormone …

Orthostatic Hypotension In Older Adults And Its Economic Impact On The Healthcare System: A Systematic Literature Review, Olushola E. Ilogho, Jennifer Broyles, Viet Le, Denise Rizzolo

Lynchburg Journal of Medical Science

ABSTRACT

Orthostatic Hypotension (OH) has been shown to lead to poor quality of life, falls, and death. Literature suggests that falls from OH may be preventable, therefore opportunities to reduce its associated cost to the healthcare system exist. This literature review aims to evaluate the importance of diagnosing and treating OH in older adult patients. OH is the drop in blood pressure upon changing to an upright position. This acute hemodynamic drop in blood pressure causes hypoperfusion in the brain, leading to dizziness, syncope, and falls. An extensive literature search for publications in PubMed and Cumulative Index in Nursing and …

Recognizing And Addressing Burnout In Physician Associates, Nellie Garcia

Lynchburg Journal of Medical Science

ABSTRACT

Burnout among Physician Associates (PAs) is a pervasive occupational hazard with far-reaching consequences for clinician well-being, patient safety, and the sustainability of healthcare systems. This doctoral project examines the multifaceted nature of PA burnout, focusing on its impact on mental and physical health, clinical performance, team dynamics, and workforce retention. A structured literature review of peer-reviewed studies published between 2020 and 2025 revealed consistent associations between burnout and emotional exhaustion, anxiety, depression, and diminished job satisfaction. These symptoms impair decision-making, reduce empathy, and elevate the risk of medical errors—factors that compromise patient outcomes and disrupt collaborative care.

The review …

Folinic Acid For Impaired Folate Metabolism To Improve Communication Deficits In Children With Autism Spectrum Disorder, Cheri L. Collins

Lynchburg Journal of Medical Science

The purpose of this review is to evaluate the efficacy of folinic acid supplementation in addressing communication deficits in children with autism spectrum disorder (ASD). ASD is characterized by persistent deficiency in social communication and interaction, accompanied by restricted and repetitive patterns of behavior. Communication impairments are a core challenge in ASD and remain difficult to treat. Although there is no confirmed etiology, emerging evidence suggests that a subset of children with ASD may have underlying abnormalities in folate metabolism. Folate receptor alpha autoantibodies (FRAAs) are immunoglobulins that interfere with folate metabolism. When present, they can disrupt the transfer of …

Pain Neuroscience Education In A Telehealth Format: A Case Report, Jason E. Grandeo, Lee Ann Eagler

Lynchburg Journal of Medical Science

Abstract:

Background and Purpose: Describe if pain neuroscience education via telehealth is beneficial for an older adult with persistent pain.

Case Description: A 76 year old female presented with persistent pain in the low back and neck. Pain neuroscience education was delivered via telehealth through book club format and with flash cards.

Outcomes

NPRS improved over the 7 sessions. ROM measures did not show improvement. Fear avoidance belief scores showed significant improvement. The patient reported: “The more understanding about the science behind pain, the more tolerable the pain becomes.”

Discussion:

PNE in a telehealth format is a viable option for …