Digital Commons Network^™

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.

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 …

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.

Iranian Culture In Bahram Beyzaie’S Cinema And Theatre: Paradigms Of Being And Belonging (1959-79), Hessam Abedini

Journal of Religion & Film

This is a book review of Saeed Talajooy, Iranian Culture in Bahram Beyzaie’s Cinema and Theatre: Paradigms of Being and Belonging (1959-79) (London: I.B. Tauris, 2023)

Mapping Muslimness In Hindi Cinema, Syed Haider

Journal of Religion & Film

This essay reviews two books: Nadira Khatun, Postcolonial Bollywood and Muslim Identity: Production, Representation, and Reception (Oxford: Oxford University Press, 2024), and Mohammed Asim Siddiqui, Muslim Identity in Hindi Cinema (New York: Routledge, 2025).

Lived Islam In Films: Faith-Based Resilient Responses Of Syrian Refugees, Jumana S. Al-Ahmad

Journal of Religion & Film

This article provides educators in fields such as Middle Eastern studies, refugee studies, cultural and Islamic studies with a framework from documentaries to challenge stereotypes about Muslim refugees and migrants. Using the framework of lived Islam, the article explores how Syrian Muslim migrants, as seen in documentaries, draw on their faith to build resilience that enables them to continue striving for better lives. Resilience is defined as the ability to overcome challenges and catastrophes, envision solutions, and lead a purposeful life. This article conceptualizes resilience not only as a personal trait but also as a collective tool for survival and …

Monstrous Girls And Celestial Lovers: Fantasy, Fear, And Female Adolescence In The Malayalam Films Ennu Swantham Janakikutty And Njan Gandharvan, Helena Reddington

Journal of Religion & Film

The Malayalam films Ennu Swantham Janakikutty and Njan Gandharvan reimagine figures from Kerala folklore, namely the Yakṣi and the Gandharva, within coming-of-age narratives. Both films position the characters of the Yakṣi and the Gandharva as fantastical figures who usher the young female protagonist into maturity. Rather than offering a pan-Hindu survey, this study focuses specifically on Kerala’s unique reimaginings of these celestial beings, where these figures carry distinct cultural meanings. This interpretive analysis is situated at the intersection of film studies, religious studies, as well as gender and sexuality studies, drawing particularly on feminist theory and critical approaches to vernacular …

Women’S Bonds And Chance Encounters: An Analogical Reading Of The Book Of Ruth And Joshua Marston’S Film Maria Full Of Grace, Luigi De Angelis Soriano

Journal of Religion & Film

This article offers an analogical reading of the biblical book of Ruth and Joshua Marston’s 2004 film Maria Full of Grace, examining how both narratives portray migrant women who form strategic social bonds to navigate precariousness within limiting power structures. While Ruth and María inhabit vastly different cultural and historical contexts, their stories meet in their emphasis on female solidarity and human agency. Focusing on key verses from Ruth and pivotal scenes from Maria Full of Grace, this study highlights how emotional and ethical relationships among women—whether covenantal or born of desperation—become sources of strength in the absence …

The Secular Eschatology Of Once Upon A Time...In Hollywood, Timothy Winterstein

Journal of Religion & Film

This article considers the ending of Quentin Tarantino's 2019 film Once Upon a Time...in Hollywood in light of Christian eschatology. I argue that Tarantino gives us an image of a temporal, partial eschatological moment, which relates to and interacts with a scriptural, Christian perspective on hope and the universal human longing for things to be other than what they are.

Hermeneutical Priming And Linguistic Hijacking In The God’S Not Dead Series, Brant Entrekin

Journal of Religion & Film

In this paper, I analyze the evangelical Christian film series God's Not Dead. I argue that the film series functions as Christian Nationalist propaganda through its rhetoric and aesthetic choices. I then develop two forms of epistemic manipulation that the film uses to fulfill its propagandistic function: hermeneutical priming and linguistic hijacking. I suggest that the film series' use of these rhetorical strategies highlights some of the ways that evangelical Christian cinema is engaging with rising right-wing political movements and developing unique evangelical imaginations.

100 Years Of Sergei Eisenstein: Iconographic Language And Revolution, Milja Radovic

Journal of Religion & Film

As we commemorate the 100th anniversary of Sergei Eisenstein’s masterpiece Броненосец Потёмкин / Battleship Potemkin (1925), it is essential to re-examine the film that has had enduring influence on film theory, history, and scholarship. Voted one of the greatest films of all time, Eisenstein’s cinematic genius has been crucial to understanding the power of film language. This paper focuses on the underexplored relationship between Eisenstein’s film language and iconography, examining the ways in which Orthodox Christian iconography shaped the story of revolution. The paper delves into the ways in which Eisenstein conveyed complex ideas, demonstrating the technical developments of film …

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 …

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 …

Leading With A Doctorate: The Impact Of Advanced Scholarship On Leadership Effectiveness, James R. Kilgore

Lynchburg Journal of Medical Science

ABSTRACT

In an era marked by rapid change and complex challenges, the demand for effective leadership has never been more critical. This manuscript explores the transformative impact of doctoral-level education on leadership effectiveness across various sectors, including healthcare and education. Through a comprehensive review of recent literature, this study examines how advanced scholarship fosters critical thinking, ethical reasoning, and strategic insight, which are essential traits for successful leadership. The methodology involves a systematic review of peer-reviewed articles, books, and other scholarly resources published within the past decade, utilizing databases such as PubMed, Cochrane Database of Systematic Reviews, and Google Scholar. …

America's Physician Shortage: Look To Pas, Not Abroad, Raquelle Akavan, Laura Juarez

Lynchburg Journal of Medical Science

The United States has long addressed physician shortages by recruiting international medical graduates (IMGs), often from low- and- middle income countries. This "brain drain" deprives already fragile health systems and adds to worldwide health disparities. New state legislation has eased licensing standards for IMGs and generated variable training pathways creating patient safety risk in underserved groups. At the same time, the U.S. has a sustainable, highly trained, and proven ready workforce: physician associates (PA). Created in the 1960s to address physician shortages, PAs undergo intensive graduate-degree education, uniform clinical education, and national certification on par with physicians. Nonetheless, obsolete laws …

Problematic Smartphone Use Experiences Of Students, Gbolahan Olasina

The African Journal of Information Systems

Smartphones extend people's opportunities by improving their daily living and well-being. Hence, given the tool’s features and affordances that promote human development, smartphones facilitate the achievement of the individual liberties and freedoms of ordinary people. However, there are serious concerns about the emotional, social and cultural factors underlying smartphone usage patterns and their association with problematic use and depressive behaviors. Therefore, the overriding goal of the research reported on in this paper was to investigate how smartphone use influences individuals’ emotional wellness, interpersonal relationships and sociocultural contexts. Existing academic literature indicated that there was a need to investigate the intricate …

Sustainable Practices In The Restaurant Industry: Review 2020-2025, Joel Reynolds

ICHRIE Research Reports

This review examines sustainability practices in the restaurant industry from 2020-2025, analyzing environmental, social, economic, and technological dimensions. Using a rigorous methodology including comprehensive database searches and thematic synthesis, we identified significant fragmentation across research streams and persistent gaps between theoretical frameworks and practical implementation. Our analysis reveals how contextual factors—including geographical location and restaurant segment—significantly influence sustainability approaches, challenging universal prescriptions. The review highlights critical methodological limitations in current research, particularly regarding measurement approaches, system boundaries, and ethical considerations of technological innovations. These findings provide a foundation for developing more integrated, context-sensitive sustainability frameworks for both researchers and practitioners.

Beyond Compliance: Investigating The Motivational Power Of Equality, Diversity And Inclusion (Edi) In European Hospitality, Alessandro Ferrazza Dr

ICHRIE Research Reports

The base concept of this study is to explore the interrelationship between Equality, Diversity and Inclusion (EDI) practices, employee motivation and performance within the European Hospitality Industry. The research aims to identify the barriers and facilitators that shape motivational synergies stimulating performance outcomes, particularly for underrepresented employee groups. The researcher employed a mixed-methods approach underpinned by a pragmatic interpretivist framework. The findings revealed that there is wide use of discriminatory practices, limited career progression and poor work-life balance which act as significant demotivators (Siu et al., 1997). The study also reconceptualises EDI not merely as a compliance requirement, but as …

Are We Truly Diverse: Investigating The Diversity In Hospitality And Tourism Faculty Within The United States, Michael D. Caligiuri, Abigail Foster, Phillip M. Jolly, Miranda Kitterlin

ICHRIE Research Reports

Both practice and research within the hospitality and tourism field have grown increasingly concerned with issues of diversity, equity, and inclusion (DEI). Yet while a significant and growing body of research has looked into the drivers and effects of representation in the workplace, very little has investigated the state of diversity in hospitality and tourism faculties. This is a serious oversight, as faculty diversity has been linked to a number of individual, organizational, and societal benefits. Drawing on an in-depth investigation of the racial/ethnic and gender makeup of 57 hospitality and tourism programs in the United States, our results indicate …

Imus Longganisa: A Cultural Heritage Food In Cavite, Marie A. Aquino, Dyan Loreine V. Lopez, Colleen Daphne U. Villanueva, Jimford U. Tabuyo

ICHRIE Research Reports

This study assessed the cultural heritage significance of Imus Longganisa, a traditional delicacy from Cavite, Philippines. Grounded in the cultural heritage preservation framework, the research examined the aesthetic, social, and historical dimensions of Imus Longganisa as perceived by the Imuseños. Utilized a quantitative evaluative design, the study employed purposive sampling of 291 respondents from Imus City, gathering data through validated online survey questionnaires using a 4-point likert scale. Analytical methods, including descriptive statistics and ANOVA, identified significant variations in perceptions based on demographics such as age, frequency of consumption, and budget. Findings revealed that respondents appreciated the aesthetic appeal of …