Digital Commons Network^™

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

Internet Journal of Allied Health Sciences and Practice

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

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

Internet Journal of Allied Health Sciences and Practice

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

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

Internet Journal of Allied Health Sciences and Practice

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

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

Internet Journal of Allied Health Sciences and Practice

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

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

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

Internet Journal of Allied Health Sciences and Practice

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

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

Internet Journal of Allied Health Sciences and Practice

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

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

Internet Journal of Allied Health Sciences and Practice

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

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

Internet Journal of Allied Health Sciences and Practice

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

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

Internet Journal of Allied Health Sciences and Practice

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

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

Internet Journal of Allied Health Sciences and Practice

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

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

Internet Journal of Allied Health Sciences and Practice

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

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

Conclusion:This …

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

Internet Journal of Allied Health Sciences and Practice

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

Beyond Tuition: Understanding The Financial Impact Of Full-Time Clinical Education On Doctor Of Physical Therapy Students, Michelle L. Donahue

Internet Journal of Allied Health Sciences and Practice

Purpose: The physical therapy literature has explored the cost and affordability of a Doctor of Physical Therapy (DPT) education; however, academic and clinical educators may lack a nuanced understanding of the costs students incur to complete their full-time Clinical Education (CE) experiences. This study explored expenses beyond course credits during a full-time CE experience. As this was the first exploratory study on this topic, the aim was to gather information from a diverse sample of participants about the costs associated with a CE experience and the perceived financial burden. Method: A survey was developed and administered to collect quantitative and …

Notes For The Contributors, Space & Defense

Space and Defense

No abstract provided.

Death Of Battlefield Hide-And-Seek, Lily Cheatham

Space and Defense

For the past twenty years, the stealth regime defined military thinking, prioritizing technologies and tactics designed to evade enemy defense systems. Ensuring radar invisibility and maintaining information dominance have been the keys to survival and strategic advantage. On June 21-22, 2025, the United States conducted "Operation Midnight Hammer" against Iranian nuclear facilities at Fordow, Natanz, and Isfahan. The principal strike package included seven B-2 Spirit stealth bombers, whose crews flew approximately 18 hours to reach the target area and roughly 36 hours and 13,000 miles round trip. The B-2s dropped 14 GBU-57 Massive Ordnance Penetrators on Fordow and Natanz, marking …

Autonomous Navigation In Cislunar Satellites, Heith Johnson

Space and Defense

Cislunar space—the region between Earth’s geosynchronous orbit (about 36,000 kilometers from Earth) and the Moon (roughly 384,000 kilometers away)—is becoming a critical frontier for future space exploration and commercialization.1 This zone includes the Moon’s orbit, transfer orbits, and the Earth-Moon Lagrange points. Additionally, as more nations and corporations launch lunar missions and establish long-term infrastructure, cislunar space is increasingly becoming a strategic focus for exploration, logistics, and transportation.

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

Space and Defense

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

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

The Year in Review

No abstract provided.

Europe, Duncan Gorst, Luigi Pavanello, Willem Den Hertog, Jonathan A. Mcgowan

The Year in Review

No abstract provided.

International Transportation Law, James Henry Bergeron, Attilio M. Costabel, Andrew M. Danas, Gregory C. Maddaleni, Rebecca Fenneman

The Year in Review

No abstract provided.

International Legal Developments Year In Review: 2021, Jason S. Palmer, Kimberly Y. W. Holst

The Year in Review

No abstract provided.

Effectiveness Of A Training Program In Enhancing The Knowledge Of Intensive Care Unit Staff Regarding Emergency Response: A Quasi-Experimental Pre–Post Study, Abdulrahman Abbas Jasim, Shimaa Gomaa, Rofida Albash, Amira B Kassem, Shahab Abdulla, Ralela Makline, Mustafa Abbass

AUIQ Complementary Biological System

Background: Timely and effective emergency response by intensive care unit (ICU) staff is critical for patient outcomes. Objective: To evaluate the effect of a structured educational intervention on ICU staff knowledge of emergency response. Methods: A one-group quasi-experimental pre–post study was conducted among ICU healthcare professionals in Thi-Qar Governorate hospitals. Participants completed a validated questionnaire assessing emergency response knowledge before and after a structured lecture covering cardiopulmonary resuscitation (CPR), airway management, bleeding control, and the ABCDE protocol. Paired statistical analyses were applied, and p-values <0.05 were considered significant. Results: Forty-one participants completed both assessments. Significant improvements were observed in recognition …

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

Economic and Business Review

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

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

Economic and Business Review

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

Beyond Adoption: How Technology–Organization–Environment Factors Shape The Use Of Social Media Technologies And Performance In B2b Companies, Peter Grabner, Barbara Čater

Economic and Business Review

This study examines how technological, organizational, and environmental factors shape social media technology (SMT) use in business-to-business (B2B) markets and how SMT use relates to customer relationship performance and marketing performance. Building on the technology–organization–environment (TOE) framework, we develop and test a structural model in which perceived simplicity of SMT (technology), SMT strategy (organization), and mimetic competitive pressure (environment) shape SMT use, which in turn affects customer relationship and marketing performance. We collected data with an online survey of 195 marketing and sales professionals from B2B companies in Slovenia. Results indicate that SMT strategy is the strongest predictor of SMT …

Geographical Pattern Analysis Of Gis Images With Deep Learning And Voronoi Network, Nidaa Kareem, Tawfiq A. Al-Assadi

Journal of Intelligent Informatics, Networking, and Cybersecurity

Localization is not enough for the analysis of spatial patterns; a principled geometric and statistical framework is required. This paper proposes an integrated spatial intelligence system combining deep learning, computational geometry, and spatial statistics, which is a unified and interpretable system. It is based on segmentation localization that accurately localizes the centroid of each object without the disadvantages of the bounding box. These centroids form a natural Voronoi tessellation of regions of spatial influence intrinsic to the data instead of imposing any artificial restrictions. A geometry-based density formulation is used to improve representation, which includes Voronoi cell areas and neighborhood …

Key Strategies Enabling The Contribution Of Social Infrastructure In Climate-Proofing Cities: An Explorative Case Study Of Rotterdam, The Netherlands, Sara Elgamal, Alaa El.Eashy, Sherif Sheta

HBRC Journal

Social infrastructure, as the physical medium for social life in cities, is increasingly being acknowledged for its ability to offer climate-proofing benefits both in times of climate stability and climate disturbances. However, more evidence is needed on how social infrastructure can be deliberately shaped to contribute to climate-proofing cities. Our study addresses this gap through exploring the key strategies which ensure the effective engagement of social infrastructure (SI) in climate proofing cities (CPC). An explorative case study of Rotterdam city is performed, as the city is well recognized as a pioneer in climate resilience through spatial planning. Data sources for …

Fabrication And Performance Evaluation Of Electrospun Pvdf/Pan Nanofibrous Membranes For Oily Wastewater Separation, Ahmed H. Oleiwi, Akram R. Jabur, Qusay F. Alsalhy, Doinita Roxana Cioroiu Tirpan, Claudia Ana Maria Patrichi

Engineering and Technology Journal

Electrospun nanofibrous membranes are a promising technique for wastewater treatment owing to their high porosity and surface properties. This manuscript presents a systematically designed investigation on the preparation and optimization of poly(vinylidene fluoride) (PVDF)/polyacrylonitrile (PAN) blended nanofibrous membranes for oil/water separation. Nanofibrous membranes were synthesized by electrospinning with PAN weight percentages of 0 wt%, 10 wt%, 25 wt%, and 50 wt%. The impact of PAN weight percentages on the morphology and separation performance of the membranes was investigated. The membranes were analyzed harnessing scanning electron microscopy (SEM), energy-dispersive X-ray spectroscopy (EDS), Fourier-transform infrared spectroscopy (FTIR), and water contact angle (WCA) …

Tio2 Quantum Dots Supported On Poly(Chloroaniline): Enhanced Photocatalytic Degradation And Recyclability For Wastewater Treatment, Ibrahem A. Ibrahem

University of Bisha Journal for Basic and Applied Sciences

A poly(chloroaniline)/TiO₂ quantum-dot (ClAn/TiQD) hybrid photocatalyst was prepared by in situ oxidative polymerization to address the limited visible-light utilization and charge recombination commonly associated with TiO₂-based systems in dye-bearing wastewater treatment. Structural and spectroscopic analyses confirmed retention of anatase TiO₂ after hybrid formation, preservation of the conjugated polymer backbone, and interfacial coupling between TiQD and ClAn. TEM showed ClAn particles of 33–42 nm, TiQD domains of 3.9–6.9 nm, and hybrid particles of 22–25 nm. The composite also exhibited improved thermal resistance relative to ClAn, with the principal degradation stage shifted to higher temperature and the total …

Integrative Dna Barcoding In Ficus Cultivars In Taif Highlands, Saudi Arabia: Complementary Roles Of Rbcl And Trnh-Psba Markers, Amal A. Alyamani

University of Bisha Journal for Basic and Applied Sciences

The common fig (Ficus carica L.) is a commercially significant fruit crop in Saudi Arabia, with particular importance in the Al-Taif highland region. In this study, three DNA barcodes (rbcL, ITS, and trnH-psbA) were evaluated on eleven fig cultivars collected from various geographically distinct sites within the Al-Taif highlands. A combination of three plant DNA barcoding markers, rbcL, ITS, and trnH-psbA, alongside selected morphological traits of mature leaves and fruits, was used to assess the genetic and phenotypic diversity among Fig varieties. The integrative approach aimed to achieve reliable cultivar discrimination and enhance understanding of the genetic structure and …