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Upper Extremity Biomechanical Analysis Of Defensive Flag Pulling In Flag Football, Rianne L. Aguilar, Claudia De La Cruz, Travis J. Peterson Jan 2026

Upper Extremity Biomechanical Analysis Of Defensive Flag Pulling In Flag Football, Rianne L. Aguilar, Claudia De La Cruz, Travis J. Peterson

International Journal of Exercise Science: Conference Proceedings

PURPOSE: This project aimed to determine upper extremity techniques during defensive flag pulls in women’s flag football. METHODS: Eleven healthy, female flag football players with at least high school varsity experience volunteered to participate in this study. Participants were instructed to pull the flag(s) of a stationary dummy placed 3 yards away as fast as possible. Trials were conducted in flags facing forward (F), angled 45° left (L), and angled 45° right (R) of the flag puller. Motion capture (Vicon, 120 Hz) and video analysis were used to analyze technique. The Waterloo Handedness Survey was used to indicate hand preference. …


Influence Of Virtual Reality Cognitive Fidelity On Biomechanical Adaptation And Motor Strategies With A Custom Prosthesis And Foot Controller., Marek R. Kwasek Jan 2026

Influence Of Virtual Reality Cognitive Fidelity On Biomechanical Adaptation And Motor Strategies With A Custom Prosthesis And Foot Controller., Marek R. Kwasek

International Journal of Exercise Science: Conference Proceedings

In an age of digitization, rehabilitation is embracing newer technologies, particularly VR, to enhance motor development and learning skills with real-world applications. With its practical replicability, VR’s visual (i.e., how visually realistic a virtual environment is) and cognitive fidelity (i.e., how well a virtual environment mimics the cognitive demands of real-world tasks) has the potential to influence motor strategies and, ultimately, a person’s functional biomechanics when learning a new skill. PURPOSE: To examine how different levels of visual and cognitive fidelity impact users’ reaching biomechanics when controlling a prosthetic arm using a foot controller. METHODS: Participants completed 12 …


Nanomechanical Effects Of Microgravity On Murine Tendon Fibrils, Patrick Bialy, Andrew S. Ichimura, Kent A. Lorenz, Ryan T. Scott, James R. Bagley Jan 2026

Nanomechanical Effects Of Microgravity On Murine Tendon Fibrils, Patrick Bialy, Andrew S. Ichimura, Kent A. Lorenz, Ryan T. Scott, James R. Bagley

International Journal of Exercise Science: Conference Proceedings

Microgravity, characterized by a weak gravitational pull, poses physiological risks to astronaut health and performance. While its impact on muscle and bone is well documented, effects on connective tissue, such as tendon, remain understudied. PURPOSE: This study aimed to 1) quantify the effects of 37 days of microgravity on the compressive nanomechanics of individual collagen fibrils and 2) compare these findings to existing literature and previously collected lab data. We hypothesized that spaceflight (SF) fibrils would exhibit a lower Young’s Modulus (YM) than ground controls (GC). METHODS: Female C57BL/6J mice were exposed to 37 days of spaceflight aboard the International …


Effects Of Acute Sleep Reduction And Aerobic Exercise On Metabolic Function In Healthy Adults, Eric Lessard, Gracie Dupuis, Jocelyn Kaveney, Braden Wilson, Grahm Mcginnis, Ryan Perkins Jan 2026

Effects Of Acute Sleep Reduction And Aerobic Exercise On Metabolic Function In Healthy Adults, Eric Lessard, Gracie Dupuis, Jocelyn Kaveney, Braden Wilson, Grahm Mcginnis, Ryan Perkins

International Journal of Exercise Science: Conference Proceedings

INTRODUCTION: The number of adults who receive insufficient sleep is progressively increasing, impacting the established relationship between sleep and metabolic function. PURPOSE: The purpose of this study was to explore the effects of acute sleep reduction on metabolic variables at rest and during aerobic exercise. METHODS: Healthy, active adults (n=11; 26.4±5.4 yr; 45% female) were screened to ensure eligibility (i.e., meeting the CDC’s sleep recommendations of 7-9hr/night, apparently healthy, recreationally active, and non-smoking), characterize body composition via DXA and measure maximal cardiovascular capacity (VO2max). Utilizing a within subjects, repeated measures design, participants completed an initial 7d period of …


Correlational Analysis Between Fat-Free Mass And Physical Performance In College Students, Rhea Misra, Giselle Murillo, Fraz Tahir, Tianou Zhang Jan 2026

Correlational Analysis Between Fat-Free Mass And Physical Performance In College Students, Rhea Misra, Giselle Murillo, Fraz Tahir, Tianou Zhang

International Journal of Exercise Science: Conference Proceedings

Fat-free mass (FFM), the body’s metabolically active tissue excluding fat, plays a critical role in strength, endurance, and overall physical performance. PURPOSE: The objective of this study is to investigate the association between FFM and physical performance in college students. METHODS: FFM was evaluated using the BodPod in a sample of 21 male and 12 female students. Various performance metrics were measured, including handgrip strength, aerobic capacity (via VO2max test), anaerobic capacity (peak power and peak force through Wingate test), vertical jump height, and broad jump distance. Spearman correlations were used to evaluate correlations between FFM and performance …


Interleukin-6 As A Mediator Of Circadian And Sex Differences In Exercise-Induced Stat3 And Autophagy Signaling, Srushti Wagh, Ariana Khzarjyan, Joshua Corpuz, Elias M. Malek, Charli Aguilar, Michael Dial, Paula Martinez, Graham Mcginnis Jan 2026

Interleukin-6 As A Mediator Of Circadian And Sex Differences In Exercise-Induced Stat3 And Autophagy Signaling, Srushti Wagh, Ariana Khzarjyan, Joshua Corpuz, Elias M. Malek, Charli Aguilar, Michael Dial, Paula Martinez, Graham Mcginnis

International Journal of Exercise Science: Conference Proceedings

Circadian rhythms are highly conserved across tissues and play an important role in regulating how the heart responds to physiological and pathological stress. Exercise is known to be cardioprotective, yet the impact of exercise timing on molecular signaling is still being explored. Interleukin-6 (IL-6) is an exercise-induced cytokine which has been shown to be important to cardioprotection and metabolism. It is currently unknown how exercise timing modulates the IL-6 signaling pathway in the heart.

PURPOSE: To investigate how time-of-day and IL-6 influence exercise-induced activation of STAT3 and its downstream signaling pathways in male and female mouse hearts.

METHODS: Wild-type and …


Comparison Of Lower Limb Sagittal Plane Kinematics Measured Using Opencap And Traditional Mocap During Single Limb Squat Analysis In Patients Post-Aclr, Alexander Chen, Jiaqi Wang, Susan Sigward, Willa Ma, Grace Choi Jan 2026

Comparison Of Lower Limb Sagittal Plane Kinematics Measured Using Opencap And Traditional Mocap During Single Limb Squat Analysis In Patients Post-Aclr, Alexander Chen, Jiaqi Wang, Susan Sigward, Willa Ma, Grace Choi

International Journal of Exercise Science: Conference Proceedings

OpenCap (Stanford University) uses standard smartphone cameras and computer vision algorithms to estimate joint kinematics without markers. With affordable equipment and reasonable setup procedures, it may provide an alternative to visual assessment of movement impairments in the clinic. Subtle alterations in joint kinematics can be relevant to the interpretation of recovery progress following musculoskeletal injury or surgery such as anterior cruciate ligament reconstruction (ACLr). It is important to understand the level of agreement between new tools for assessment and gold standard kinematic measures. PURPOSE: To determine concurrent validity of kinematic data collected using OpenCap and gold standard technologies during …


The Effect Of Fatigue On Hip, Knee, And Ankle Kinetics During Rear Foot-Elevated Split Squats, Sara C. Mills, Jaime Alvarado, Tyler Lindholm, Michele Leblanc Facsm Jan 2026

The Effect Of Fatigue On Hip, Knee, And Ankle Kinetics During Rear Foot-Elevated Split Squats, Sara C. Mills, Jaime Alvarado, Tyler Lindholm, Michele Leblanc Facsm

International Journal of Exercise Science: Conference Proceedings

Rear foot-elevated split squats (RFESS) are a widely used movement to increase lower body strength, but little is known about how fatigue alters joint torque demands across the ankle, knee, and hip. Previous research has shown that fatigue changes kinematics during RFESS, increasing hip and knee motion while reducing ankle movement, but the effect on joint torques remains unclear. PURPOSE: To examine the effects of fatigue on ankle, knee, and hip torque in the sagittal and frontal planes during the eccentric and concentric phases of the RFESS in active females aged 18–25. METHODS: Participants performed repeated body weight RFESS until …


High-Dose Sodium Supplementation On Hydration And Thermoregulatory Responses While Cycling In The Heat, Melani Kelly Jan 2026

High-Dose Sodium Supplementation On Hydration And Thermoregulatory Responses While Cycling In The Heat, Melani Kelly

International Journal of Exercise Science: Conference Proceedings

Sodium is commonly included in sports beverages to promote hydration and support carbohydrate (CHO) absorption, typically at concentrations of ~270-400mg. Recently, high-dose sodium supplements, often approaching 1000mg and lacking CHO, have entered the market with minimal evidence to support their use. PURPOSE: Investigate how hydration and thermoregulatory responses change during cycling in the heat when consuming a supplement containing 810mg of sodium. METHODS: Twenty recreationally active participants (15 males, 5 females; age = 23.4 ± 2.8) completed a 2-h bout of cycling in an environmental chamber (37.3℃, 59.1 ± 4.4% relative humidity) on two occasions separated by > 7 …


Understanding The Effects Of Training On Brain And Muscle Hemodynamics During Exercise-Induced Muscle Fatigue, Aqueen Lenon, Christine Dy, Stefan Keslacy Jan 2026

Understanding The Effects Of Training On Brain And Muscle Hemodynamics During Exercise-Induced Muscle Fatigue, Aqueen Lenon, Christine Dy, Stefan Keslacy

International Journal of Exercise Science: Conference Proceedings

BACKGROUND: While the muscle fatigue during weightlifting exercise is well-documented, the relationship of brain/muscle activity are less known. PURPOSE: to investigate the changes in oxygenation levels in the brain and muscles during resistance training, comparing these effects between athletes (ATH) and sedentary (SED) individuals. METHODS: 24 participants (14 SED, 10 ATH) were recruited. The bench press protocol included four sets of twelve repetitions at a weight corresponding to a Rate of Perceived Exertion (RPE) of 6. Oxygenation levels in prefrontal cortex and the right triceps muscle were continuously monitored using near-infrared spectroscopy (NIRS) (Oxymon Mk III). NIRS data …


Intensity Over Effort: Exercise Prescription Strategies For Glycemic Control, Oscar Chavez Jr., Marissa Ramirez, Jacob Dawes, Isaac Chapman, Kosar Valaei, Maja Gebauer, Christine Mermier, Jonathan Little Facsm, Luotao Lin, Gretchen Ray, Roberto M. Alvidrez, Zachary Mang, Fabiano T. Amorim, Valmor Tricoli, Flavio De Castro Magalhaes Jan 2026

Intensity Over Effort: Exercise Prescription Strategies For Glycemic Control, Oscar Chavez Jr., Marissa Ramirez, Jacob Dawes, Isaac Chapman, Kosar Valaei, Maja Gebauer, Christine Mermier, Jonathan Little Facsm, Luotao Lin, Gretchen Ray, Roberto M. Alvidrez, Zachary Mang, Fabiano T. Amorim, Valmor Tricoli, Flavio De Castro Magalhaes

International Journal of Exercise Science: Conference Proceedings

ABSTRACT

Resistance exercise (RE) is effective in mitigating the development of type 2 diabetes (T2D) and prediabetes, but long-term adherence is low in these populations. Continuous glucose monitoring (CGM) devices are important tools in clinical practices to assist glycemic control. Previous meta-analysis shows the functionality of CGM devices among different exercise modalities but mentions the lack of studies with controlled diet and physical activity levels in free-living conditions. PURPOSE: To examine whether perceived effort during RE influences glycemic control and psychological outcomes in individuals with prediabetes and T2D using CGM under free-living conditions. METHODS: In randomized order, 25 …


Dexterity Assessment Scores Vary With Controller Type But Not Super Smash Bros. Ultimate Player Skill, Jacob D. Cervantes, Dillon Harris, Zachary R. Mcfadden, Steven B. Machek Jan 2026

Dexterity Assessment Scores Vary With Controller Type But Not Super Smash Bros. Ultimate Player Skill, Jacob D. Cervantes, Dillon Harris, Zachary R. Mcfadden, Steven B. Machek

International Journal of Exercise Science: Conference Proceedings

Within the expanding Esports industry, competitive Super Smash Bros Ultimate (SSBU) players require high neuromotor execution. They consequently select controllers and permit functional modifications to match the individual precision and dexterity preferences within their playstyle. PURPOSE: To examine how skill level and controller preference impact dexterity scores in SSBU players of differing skill relative to each other and non-gamers. METHODS: 56 (22 male casual CAS; 24y ± 4; play >4 hr per week, 15 male ES; 24y ± 4; top 150 globally- ranked competitive SSBU players, and 19 non-gamer controls NG; 24y ± 5; 16F/3M) subjects voluntarily participated …


Different Glycemic Control Responses In Women And Men With Type 2 Diabetes And Prediabetes To Resistance Exercise, Kosar Valaei, Oscar Chavez Jr., Marissa Ramirez, Jacob D. Dawes, Isaac Chapman, Maja Gebauer, Christine M. Mermier, Jonathan Little, Luotao Lin, Gretchen M. Ray, Roberto Mota, Zachary A. Mang, Fabiano Amorim, Valmor Tricoli, Flavio De Castro Magalhaes Jan 2026

Different Glycemic Control Responses In Women And Men With Type 2 Diabetes And Prediabetes To Resistance Exercise, Kosar Valaei, Oscar Chavez Jr., Marissa Ramirez, Jacob D. Dawes, Isaac Chapman, Maja Gebauer, Christine M. Mermier, Jonathan Little, Luotao Lin, Gretchen M. Ray, Roberto Mota, Zachary A. Mang, Fabiano Amorim, Valmor Tricoli, Flavio De Castro Magalhaes

International Journal of Exercise Science: Conference Proceedings

Resistance exercise (RE) is recommended for individuals with type 2 diabetes (T2D) and prediabetes to improve glycemic control, but sex differences remain unclear. PURPOSE: To investigate sex-related differences in glycemic responses to RE in individuals with T2D and prediabetes METHODS: Twenty-five participants (12 males, 13 females, 36–78 year) with T2D or prediabetes completed four randomized crossover sessions: a high-intensity (HI) RE session (3 sets × 8 reps, 75%-1RM, 120 seconds interval), a rest-redistribution (RR) RE session (6 sets × 4 reps, 75%-1RM, 60 seconds interval), a low-load (LL) RE session (3 sets × 16 reps, 37.5%-1RM, 103 seconds …


Trunk Rotational Range Of Motion And Abdominal Oblique Strength In High School And Collegiate Baseball Pitchers: Implications For Performance And Energy Flow, Belinda Aldern, Arnel Aguinaldo, Avery Takata, Antonio Squillante Jan 2026

Trunk Rotational Range Of Motion And Abdominal Oblique Strength In High School And Collegiate Baseball Pitchers: Implications For Performance And Energy Flow, Belinda Aldern, Arnel Aguinaldo, Avery Takata, Antonio Squillante

International Journal of Exercise Science: Conference Proceedings

BACKGROUND: Baseball pitching requires complex sequencing of the kinetic chain, with the trunk serving as an integral role for linking the lower body to the upper body. Despite past research on energy flow in pitching, there is an increased need to study age-specific performance. PURPOSE: The purpose of this study was to examine differences in Trunk Rotational Range of Motion (TRROM) and Abdominal Oblique Strength (AOS) between high school and collegiate baseball pitchers and how these variables relate to performance and mechanical energy flow through the lumbosacral (L5S1) joint. METHODS: 12 High School and 12 Collegiate aged pitchers …


A Case Of Listeria Monocytogenes Bacteremia In A Middle-Aged Woman With A History Of Primary Biliary Cholangitis, Caleb Smack, Jared T. Lausen, Aaron Mills Jan 2026

A Case Of Listeria Monocytogenes Bacteremia In A Middle-Aged Woman With A History Of Primary Biliary Cholangitis, Caleb Smack, Jared T. Lausen, Aaron Mills

Eastern Virginia Medical Journal

In this report, we discuss the case of a patient with Listeria monocytogenes bacteremia likely resulting from primary biliary cholangitis (PBC) induced cirrhosis. We aim to bolster the body of literature on Listeria bacteremia and establish PBC as a risk factor for this rare complication. Our patient, who presented with sepsis, was subsequently found to have Listeria bacteremia and received intravenous antibiotic treatment of ampicillin for 3 total weeks with complete resolution of her disease. This is the first case suggesting that cirrhosis as a result of PBC may be an independent risk factor for Listeria bacteremia. In patients at …


“No Ifs, Ands, Or Butts”: Analyzing Race And Gender In Sex And The City Through Black Feminist Theory, Daniella Orias Jan 2026

“No Ifs, Ands, Or Butts”: Analyzing Race And Gender In Sex And The City Through Black Feminist Theory, Daniella Orias

Dialogue: The Interdisciplinary Journal of Popular Culture and Pedagogy

This article analyzes Season 3, Episode 5 of Sex and the City, “No Ifs, Ands, or Butts,” through the lens of Black feminist theory. It investigates how race and gender are constructed, stereotyped, and selectively represented within the episode’s narrative. The analysis focuses on two Black characters who were featured only in one episode of the series, Adeena and Chivon, and examines how the show portrays harmful stereotypes such as the angry Black woman (Adeena) and sexualized Black male (Chivon) in the episode. These limited and harmful representations are further scrutinized by the fact that the show is often …


Existence Of Traveling Waves Of Lotka Volterra Type Models With Delayed Diffusion Term And Partial Quasimonotonicity, William Barker Jan 2026

Existence Of Traveling Waves Of Lotka Volterra Type Models With Delayed Diffusion Term And Partial Quasimonotonicity, William Barker

Faculty Scholarship

This paper investigates the existence of traveling wave solutions for diffusive two-species Lotka–Volterra systems with delays in both the reaction and diffusion terms under partial monotonicity assumptions. The model incorporates small-memory effects in the homo- geneous diffusion term, representing a modification of the random-walk interpretation underlying Fick’s law. We extend the partial (cross) monotone iteration method to systems satisfying a partial quasi-monotone condition through the construction of appropriate upper and lower solutions. Convergence of the iteration is established using Schauder’s fixed point theorem.


Enhancing Wound Healing With Synergistic Dual-Drug Electrospun Roflumilast And L-Arginine Loaded Pla/Pva Nanofibers Through Fabrication, Optimization, And In Vivo Assessment, Samar A. Salim Jan 2026

Enhancing Wound Healing With Synergistic Dual-Drug Electrospun Roflumilast And L-Arginine Loaded Pla/Pva Nanofibers Through Fabrication, Optimization, And In Vivo Assessment, Samar A. Salim

Nanotechnology Research Centre

Current trends in improved wound management emphasize the development of dual-drug-loaded electrospun nanofibrous scaffolds. Herein, electrospun dual-drug loaded PLA/PVA nanofibrous scaffolds, incorporating roflumilast, a selective phosphodiesterase-4 inhibitor with anti-inflammatory activity, and L-arginine, a precursor to nitric oxide with stimulating activity towards wound healing and tissue regeneration, were developed. A dual-spinneret electrospinning process enabled the coloading of drugs in PLA and PVA phases. Scaffolds were characterized by SEM, FTIR, and XRD, showing consistent fiber morphology, and amorphous drug formation. FTIR analysis was performed to confirm drug–polymer compatibility and successful incorporation of roflumilast and L-arginine within the PLA/ PVA nanofibrous matrix. Swelling …


Interactive Effects Of Hyposalinity And Nitrate Loading On Growth, Physiology, And Nitrogen Status Of The Seagrass, Halodule Wrightii, Joseph L. Kowalski, Hudson R. Deyoe, Kirk Cammarata, Kristina P. Vatcheva Jan 2026

Interactive Effects Of Hyposalinity And Nitrate Loading On Growth, Physiology, And Nitrogen Status Of The Seagrass, Halodule Wrightii, Joseph L. Kowalski, Hudson R. Deyoe, Kirk Cammarata, Kristina P. Vatcheva

School of Earth, Environmental, & Marine Sciences Faculty Publications

The study goal was to examine the interactive physiological effects of two freshwater inflow stressors, nitrate pulses coupled with salinity decrease, on the seagrass Halodule wrightii. A microcosm experiment was designed to approximate an observed freshwater inflow event. Over a 13-day period plants were subjected to three sequential salinity drops (S35→ S23→ S15→ S5) with nitrate-nitrogen added simultaneously at 0, 30 or 60 µM. For comparisons, the Control was no salinity change and no nitrate added denoted by S35/No N. Measurements of H. wrightii shoot production, photosynthesis, respiration, quantum efficiency, %N, C:N ratios and δ15N …


Perception As Beholding: Theological Possibility And Moral Implication Of Merleau-Ponty's Notion Of Embodied Subject, Erickson L. Totanes Jan 2026

Perception As Beholding: Theological Possibility And Moral Implication Of Merleau-Ponty's Notion Of Embodied Subject, Erickson L. Totanes

Budhi: A Journal of Ideas and Culture

In this article, I argue that Merleau -Ponty’s concept of perception reveals a way of seeing where the subject is involved with the object in a dynamic, reversible, and expanding relationship. This notion challenges the traditional and Cartesian subject -object dichotomy by emphasizing the embodied and lived experience of perception which elicits a process, a way of looking, anticipating, and reflexively, a way of being itself. By aligning seeing with beholding, I attempt to show how as simple an act as seein g evokes a manner of being related to an object, other people, and the world. The emergence of …


Circulating Tumor Dna: Reducing Burden In Hpv+ Oropharyngeal Cancer Surveillance, Liza M. Joseph Pa-C Jan 2026

Circulating Tumor Dna: Reducing Burden In Hpv+ Oropharyngeal Cancer Surveillance, Liza M. Joseph Pa-C

Lynchburg Journal of Medical Science

This review examines the rising prevalence of human papillomavirus-related (HPV+) oropharyngeal squamous cell carcinoma (OPSCC) and evaluates the role of circulating tumor HPV DNA (ctHPVDNA) in diagnosis and post-treatment surveillance. A comprehensive literature search of electronic databases, including PubMed, Medline, Cochrane Library, and Google Scholar, identified studies that validated ctHPVDNA as a biomarker with high sensitivity and specificity, assessed its cost-effectiveness, and explored patient and provider perceptions. Clinical evidence supports that plasma-based ctHPVDNA is the most accurate method for detecting disease recurrence and quantifying tumor burden. Patient perception studies reported high confidence in ctHPVDNA testing, while providers viewed it as …


Wilderness Therapy As An Intervention For Teens Who Are At The End Of Their Rope, Blake C. Neal, Heather Summers Jan 2026

Wilderness Therapy As An Intervention For Teens Who Are At The End Of Their Rope, Blake C. Neal, Heather Summers

Lynchburg Journal of Medical Science

Abstract

Wilderness therapy, treatment offered in a natural setting, is offered as an alternative to traditional treatment methods (Lodato, N., Blivas, R., & Blivas, N. L. and R., 2024). This model is often used as a last resort for teens who are unsuccessful in other environments. However, when used as a blanket treatment model for all mental health concerns, there is a risk for greater harm inflicted on participants. A case study approach provides evidence of a teen in one of these settings struggling with an eating disorder and self-harm. Although potentially helpful with some concerns, we learn from this …


Subcutaneous Insulin Use In Diabetic Ketoacidosis, Patrick Mcgrath Jan 2026

Subcutaneous Insulin Use In Diabetic Ketoacidosis, Patrick Mcgrath

Lynchburg Journal of Medical Science

The reviewed literature focuses on the clinical application of subcutaneous (SQ) insulin, particularly rapid-acting insulin analogs (RAIAs), in treating selected patients with mild to moderate diabetic ketoacidosis (DKA). The use of SQ insulin offers a viable alternative to traditional intravenous (IV) insulin infusions, enabling DKA management outside intensive care unit (ICU) settings and reducing healthcare resource utilization. Current DKA management protocols emphasize comprehensive fluid resuscitation and correction of electrolyte imbalances, with IV regular insulin administered at 0.1 units/kg/hour. This review synthesizes findings from multicenter cohort studies, meta-analyses, and randomized controlled trials (RCTs) available via PubMed, focusing on adult patients diagnosed …


Brief Overview Of Assessment And Prognostication Tools For Palliative Care Oncology Patients, Nicole Schwensow Jan 2026

Brief Overview Of Assessment And Prognostication Tools For Palliative Care Oncology Patients, Nicole Schwensow

Lynchburg Journal of Medical Science

Patients with life-threatening illnesses can be at risk for the progression of their disease over time. Consequences of such an illness can include recurrent hospitalizations, poor symptom control, and a lack of understanding by the patient and family of the disease, its usual course, and prognosis. Palliative care is a philosophy of care intended to address these issues. While receiving palliative care, patients can continue to undergo treatments directed at a cure, whereas hospice patients no longer receive treatment for underlying diseases. Both approaches focus on symptom control. To best care for palliative patients over time, several outcome domains should …


Management Of Difficult Patient Situations, Sangeetha Larsen Mpas, Pa-C Jan 2026

Management Of Difficult Patient Situations, Sangeetha Larsen Mpas, Pa-C

Lynchburg Journal of Medical Science

The purpose of this paper is to provide strategies for clinicians to manage difficult patient interactions. A comprehensive search of PubMed was conducted, identifying articles that identified the root cause of difficult patient interactions and assessed methods for successfully navigating these situations. The term “difficult patient” reflects the interaction of patient behavior, clinician perception, and systemic constraints rather than an inherent patient flaw. Effective management involves reframing difficult behavior as an expression of unmet needs and responding with empathy, active listening, clear boundaries, and collaborative decision-making. System-level strategies reduce patient distress and clinician burnout. Ultimately, the difficult patient represents strained …


Understanding Monoclonal Gammopathy Of Undetermined Significance, Scott Winkel Msph, Mhs, Pa-C Jan 2026

Understanding Monoclonal Gammopathy Of Undetermined Significance, Scott Winkel Msph, Mhs, Pa-C

Lynchburg Journal of Medical Science

Monoclonal gammopathy of undetermined significance (MGUS) is a premalignant plasma cell disorder characterized by serum monoclonal protein (M-protein) levels less than 3.0 g/dL, less than 10% plasma cells in the bone marrow, and absence of end-organ damage. It mainly affects older adults and is often an incidental finding. While most cases remain indolent, a subset progresses to malignancies such as multiple myeloma, smoldering myeloma, AL amyloidosis, lymphoproliferative disorders, macroglobulinemia, and monoclonal gammopathy of renal significance. This review summarizes current insights into MGUS pathophysiology, risk factors, molecular mechanisms, clinical features, diagnostic approaches, including laboratory assessments and imaging, and emphasizes early detection …


Returning To Roots: A Self-Study Of Married Faculty Transitioning To Faculty Roles At Alma Maters, David Wolff, Melissa Wolff, Mark Diacopoulos Jan 2026

Returning To Roots: A Self-Study Of Married Faculty Transitioning To Faculty Roles At Alma Maters, David Wolff, Melissa Wolff, Mark Diacopoulos

The Interactive Journal of Global Leadership and Learning

This self-study explores the transition of two faculty members returning to teach at their alma maters. Using visual methods, reflective journals, and peer dialogue, the researchers documented their experiences over six months. Triangulated data revealed eight themes, including: Identity Formation, Shifting Perspectives from Student to Faculty, Interpersonal Attunement, Navigating Changes, Memories Shape Perception, Occupational Stressors Impacting Transitions, Student Advocacy, and Personal Growth. The study highlights how personal and professional identities evolve during career transitions, and how reflective practices can deepen understanding of adaptation in higher education. These findings contribute to the literature on faculty development and offer insight into the …


Models Of Care In Higher Education: Comparing Integrated And Standalone Approaches To Student Mental Health, Tevia Q. Strand Jan 2026

Models Of Care In Higher Education: Comparing Integrated And Standalone Approaches To Student Mental Health, Tevia Q. Strand

The Interactive Journal of Global Leadership and Learning

This qualitative study examines how the organization of campus mental health services—integrated, co-located care versus standalone counseling centers—shapes college students’ awareness, access, stigma/privacy, and engagement. Semi-structured interviews with five Midwestern undergraduate women (n = 5) explored perceptions of visibility, ease of use, barriers, and improvement ideas. Transcripts were analyzed using reflexive thematic analysis. Themes included confusion about entry pathways, visibility-related stigma, and the salience of faculty/peer bridges to services. Students generally preferred integrated models, citing privacy through co-location, normalization, and easier warm handoffs; some noted that standalone centers can feel more specialized yet risk heightened visibility depending on location. Findings …


Reclaiming My Story: A Freirean Framework For Surviving Trauma And Transforming Recovery Into Liberation, Carl Bryan Jan 2026

Reclaiming My Story: A Freirean Framework For Surviving Trauma And Transforming Recovery Into Liberation, Carl Bryan

The Interactive Journal of Global Leadership and Learning

This white paper explores trauma recovery through the lens of Paulo Freire’s Pedagogy of the Oppressed (1970/2018), framing healing as an act of critical consciousness and liberation rather than passive survival. Using the author’s lived experience of stalking, manipulation, and emotional abuse as a case study, it reimagines recovery not as a return to normalcy but as a dialectical process of reclaiming narrative agency, reconstructing identity, and transforming pain into purpose. Drawing upon Freirean concepts of conscientização (critical consciousness), dialogue, and praxis, the paper outlines a model for survivors to move from internalized oppression toward empowerment and social transformation.


Voices From The Hyflex Classroom: Understanding The Graduate Counseling Student Experience, Taryn Akgul, Jessica Brown, Aaron Suomala Folkerds Jan 2026

Voices From The Hyflex Classroom: Understanding The Graduate Counseling Student Experience, Taryn Akgul, Jessica Brown, Aaron Suomala Folkerds

The Interactive Journal of Global Leadership and Learning

Counselor education and counseling master’s Programs face a changing landscape in higher education. This includes balancing the demand for a high-quality HyFlex program that prepares students for the counseling field. This qualitative exploratory study utilized a phenomenological approach to understand the counseling master's student experience in a hybrid program. The research questions focused on the students' experience attending the program either strictly on zoom, in person, or a combination of both and how that impacted them and their learning. The study consisted of eight participants who were alumni from one CACREP accredited counseling masters program. The findings included themes of …