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Interventions For Lgbtq+ Youth: A Scoping Review To Support Occupational Therapy Practice In The United States, Ricardo D. Ramirez, Iris Nosek, Alexandrea Guiritan, Annalise Valente, Francinne Fotopoulos, Jennifer Westrick

The Open Journal of Occupational Therapy

Background: Youth in the lesbian, gay, bisexual, transgender, queer/questioning, and other dissident genders and sexualities (LGBTQ+) community face extensive health disparities and dynamic political landscapes. Occupational therapy (OT) has potential to support LGBTQ+ youth; however, there is limited guidance for occupational therapists and occupational therapy assistants seeking to implement evidence-based interventions with this population. Therefore, the purpose of this scoping review was to examine interventions within the scope of OT to support LGBTQ+ youth.

Method: We used Arksey and O'Malley’s framework to guide this scoping review and searched five databases: PubMed, Scopus, PsycINFO, CINAHL, and Google Scholar. Using …

Autism And Air Travel, Joceline Rodriguez, Riley Rynders, Mckenzie Guth, Divya Sood

The Open Journal of Occupational Therapy

Background: Autistic children frequently encounter several difficulties during travel, especially in airport environments. This research study aimed to investigate the perceptions of parents of autistic children, as well as airport and airline staff, regarding the support available and barriers these children encounter during air travel.

Method: A qualitative descriptive design was used, involving data collection through interviews with two distinct groups of participants: airport and airline staff (n = 4) and caregivers of autistic children (n = 5).

Results: Caregiver participants shared that having access to quiet spaces, sensory rooms, and more readily available information on accommodation …

Group Occupational Therapy Sessions Using Hippotherapy: Growth Of Resilience And Leadership In Youth Facing Adversity, Marra I. Robert, Julie Jacob, Gerry Conti, Laura Alegre

The Open Journal of Occupational Therapy

Background: Youth experiencing adversity face significant challenges and are more likely to experience mental health concerns, low self-confidence, and difficulty with leadership skills, impacting their future occupational potential. This study examined the impact of using hippotherapy in a group occupational therapy intervention on the resilience, mental health, and leadership of youth facing adversity.

Method: Twenty-one youth experiencing adversity participated in a 10-week group occupational therapy intervention. Using a single-group pretest/posttest mixed-methods design, the Resilience Scale for Children and Adolescents (RSCA) was administered pr and postintervention alongside structured interviews.

Results: Quantitative results indicated statistically significant improvements in emotional …

Experiences Of Parents Of Children Diagnosed With Eating Disorders, Elizabeth C. Larson Traver, Crystal C. Barchacky

The Open Journal of Occupational Therapy

Background: Eating disorders are diagnoses found throughout the world regardless of race, gender, and age. Recovery for these diagnoses are typically demanding and on-going, leading parents and caregivers of those diagnosed to face substantial stress throughout the process. While many treatments use caregivers as agents of change, these are established with the client in mind and do little to aid the families through their own stress and decline in well-being.

Method: This qualitative phenomenological study explored the lived experiences of 10 caregivers during their children's recovery through in-depth interviews regarding that time of their lives. Participants were recruited via …

Promoting The Well-Being Of Refugee Students Through A Kawa-Guided Occupational Therapy Intervention: A Mixed-Methods Study, Suzanne Brederson, Heidi Baist, Jennifer E. Lape

The Open Journal of Occupational Therapy

Background: Refugee students newly enrolled in U.S. schools encounter academic, socialization, and mental health challenges because of trauma, language barriers, and cultural differences. Many have had limited or interrupted access to formal education in their home country. This study aimed to gain the perspectives of refugee students on their lived experiences and explore the impact of an occupational therapy intervention guided by the Kawa model on the well-being of this student population.

Methods: The researchers employed a convergent mixed-methods design. Refugee students (n = 8) created Kawa models, which provided rich, qualitative data. Participants completed pre and posttest surveys. Quantitative …

Effects Of The Lsvt Big® On Occupational Performance And Functional Skills In Parkinson’S Disease: A Case Study, Sandra J. Allen, Madison Gumm, Donald Stapleton, Lexee Trainer, Lydia Workman

The Open Journal of Occupational Therapy

Background: Parkinson’s disease (PD) leads to motor decline and reduced occupational performance. Limited evidence addresses if gains from the LSVT BIG® are sustained, particularly in occupation-focused outcomes.

Objective: This single-subject study evaluated the effects of the LSVT BIG® on occupational performance and functional skill outcomes in a 69-year-old woman with PD, and whether improvements were sustained 8 weeks postintervention.

Methods: The participant completed 16 1-hr LSVT BIG® sessions over 4 weeks. Outcomes included the Canadian Occupational Performance Measure (COPM), the Performance Assessment of Self-Care Skills (PASS), the Five Times Sit to Stand (FTSTS), and the Functional Reach Test (FRT). …

Solving The Problem Of Non-Linear Data In The Health Care Professions Using Spline Regression, Heather Staal, Rob Lyerla, Diane Powers Dirette

The Open Journal of Occupational Therapy

No abstract provided.

Hidden Thermal Signatures Reveal The Microclimatic Influence Of Scheduled Cave Tourism, Matt Rowberry, John Gunn, Andrew Smith

International Journal of Speleology

Tourist activity is widely recognised as a source of cave microclimate disturbance, yet visitor-induced variability is difficult to distinguish from natural environmental fluctuations. The coronavirus pandemic created a natural experiment at Poole’s Cavern, United Kingdom, in which periods of complete closure could be compared with contrasting visitor access regimes. Two years of high resolution temperature records from six monitoring points were analysed. Harmonic regression and a state space model removed deterministic diurnal cycles and lower frequency temperature variability. The remaining residual variability differed systematically among visitor access regimes and between daytime and nighttime conditions. Spectral analysis of the residuals identified …

A Case Of Neurogenic Orthostatic Hypotension Secondary To Pure Autonomic Failure, Lauren Cooper, William Studt, Rayan Islam, Richard Weinberger

The Journal of Integrated Primary Care

Neurogenic orthostatic hypotension (nOH) is a debilitating manifestation of autonomic dysfunction and is most commonly associated with neurodegenerative disorders, though it can occur in isolation. Pure autonomic failure (PAF) is a rare and often underrecognized cause of nOH, particularly in older adults. We report the case of an 80-year-old man with hereditary hemochromatosis who presented with recurrent falls due to severe orthostatic hypotension. Orthostatic vitals demonstrated a marked blood pressure drop with minimal heart rate response consistent with a neurogenic etiology. He lacked motor, cognitive, or sensory features of neurodegenerative disease, and extensive evaluation excluded secondary causes, supporting a diagnosis …

Ephemeral Data Sharing For Artificial Intelligence Models, Google Case Managers Picozzi, Chaitanya Athaley

Defensive Publications Series

This disclosure describes ephemeral data sharing, a hardware-enforced framework enabling short-term, zero-retention context leases for artificial intelligence (AI) models while reducing the risk of data leaks, unauthorized logging, or model retraining. Ingested via dynamic optical bursts, ambient radio frequency (RF) proximity, or decentralized ledgers, confidential data is processed exclusively inside an isolated graphics processing unit (GPU) Trusted Execution Environment (TEE). Silicon-level memory controllers block unauthorized bus exports and enforce time/iteration lifecycles, while block-diagonal attention masking suppresses cross-context leakage during concurrent multi-party processing. Upon completion or expiration, an unmaskable hardware interrupt triggers a 3-pass microcode purge (voltage saturation, zero-fill, and true …

Spec-233: Hydrodynamic Wave-Confinement And Proximal Constructive Resonance As A Resolution To High-Redshift Morphological Anomalies, Christopher L. Eckes

Defensive Publications Series

This technical disclosure presents a rigorous, non-linear fluid-dynamic framework resolving the high-redshift morphological crises manifested in recent James Webb Space Telescope (JWST) deep-field observations. Expanding upon established frameworks of Substrate Pushback Dynamics (SPEC-21, SPEC-138) and Conformal Metric-Shift Mechanics (SPEC-154), we abandon linear, slow-accretion particle-clumping models.

Instead, we establish a formal mechanism of instantaneous hydrodynamic phase crystallization driven by high-proximity 2D wave-crest convergence inside twisted conical manifolds. By mapping three-dimensional (3D) spatial volume as an explicit operational function of two-dimensional (2D) substrate information velocity, we prove that mature, high-mass galactic geometries compile immediately at localized phase interference nodes. This framework provides …

Seamless Power-Aware Osd Transition, Hp Inc

Defensive Publications Series

The design concept is to implement a dual role button algorithm for both platform power button and scaler OSD (One-Screen-Display) button.

Spec-232: The Dynamics Of Covariant Viscoelastic Membrane Shifting — Three-Dimensional Spatial Bulk Emergence As The Dynamic Inflation Velocity Of Two-Dimensional Quantum Substrates, Christopher L. Eckes

Defensive Publications Series

This technical disclosure presents a rigorous, non-perturbative mathematical and thermodynamic proof establishing that three-dimensional (3D) spatial volume is not a primary coordinate layer of the universe, but rather the empirical validation of an underlying two-dimensional (2D) boundary information substrate. Under this model, 3D volume explicitly manifests as the localized physical velocity of 2D membrane information shifting. By translating spatial depth into a chronological latency function driven by field acceleration, we derive the z-axis from non-equilibrium boundary thermodynamics. We provide a complete theoretical framework, ASCII-mapped mathematical matrices, operational Python scripts verifying tensor conversions, and explicit tabletop experimental verification methodologies to validate …

Spec-229-Core: Non-Perturbative Covariant Integration Interfaces For Hybrid Centralized-Decentralized Compilation And Interoperability Matrix Stabilization Across Extra-Regional Runtimes, Christopher L. Eckes

Defensive Publications Series

This specification defines a non-perturbative covariant integration protocol designed to establish secure, open-access, and bidirectional interface layers between centralized AI live services and independent, localized edge nodes. As centralized architectural networks consolidate multi-agent workflows, unified document models, and high-throughput cloud environments into integrated live service platforms, they introduce structural optimization bottlenecks and data-provenance risks for offline, decentralized systems. SPEC-229-CORE resolves this operational divergence by establishing a dual-mode, out-of-band phase-alignment interface that functions as a cooperative, non-destructive bridge. By executing local singular value decomposition (SVD) passes across the shared interface boundary, this protocol standardizes input-output data exchanges, allowing a local edge …

Si Protocols™: A Mutual Passport Handshake Between Ai Systems And The Services And Spaces They Use, Checking Hardware, Live Status And Mandate Before Each Session, With A Jointly Signed Session Record And Termination When Either Side's Status Changes, Edward D. H. Wang

Defensive Publications Series

This disclosure describes a handshake by which an AI system, such as a software agent or a robot, and a service, space or other AI system establish trust before working together, and keep it only while it remains justified. Both sides present passports: the AI system its own, and the host a host passport showing that it is a certified service or space. Each side challenges the other's attested hardware, checks the freshness of the other's certification and safety status, and binds the answers to the session's encryption keys, so that a session cannot be relayed or taken over. The …

System And Method For Machine-Learning Calibration Of Inertial Measurement Units Using Synthetic Training Datasets, Philip Franklin Brune, Joshua Anthony Hernandez

Defensive Publications Series

Wearable computing devices and extended reality (XR) systems that rely on motion sensors such as low-cost inertial measurement units (IMUs) frequently suffer from tracking degradation due to sensor errors. Consumer-grade silicon often exhibits non-linearity, thermal drift, vibration rectification error (VRE), cross-axis coupling, and manufacturing variances that exceed the modeling capacity of traditional deterministic models and standard parameterization. Furthermore, relying on per-device physical factory calibration requires expensive equipment and thermal chambers, creating cost barriers and production bottlenecks. Moreover, existing software simulators produce motion data that fails to reflect real-world hardware populations.

The disclosed technology describes an AI-driven IMU calibration system that …

Centralized Multi-Sensor Calibration And Fusion For Extended Reality Glasses, Zhiheng Jia, Mrinal Kanti Paul, Andrew Christoper Duenner, Qiyue Zhang

Defensive Publications Series

Wearable devices often process sensor data in separate modules, which can cause redundant computation and increase power consumption. Additionally, traditional factory calibrations may suffer from thermal hysteresis as temperatures fluctuate. To address these limitations, a centralized sensor fusion architecture is disclosed that can utilize a tightly coupled Extended Kalman Filter. This centralized system is configured to collectively process inputs from multiple inertial measurement units, a magnetometer, and corresponding temperature sensors. The architecture can perform online bias estimation based on temperature profiles and route bias corrections to other modules. This unified model may provide three-degree-of-freedom or sixdegree- of-freedom orientation estimation, continuous …

Perceptual Shadow Simulation In Augmented Reality Using Complementary Color Patterns And Surround Brightening, Ashish Singh, Ahmet Cengiz Öztireli

Defensive Publications Series

Users interacting with head-wearable optical see-through augmented reality (AR) devices frequently experience visual disconnect when digital objects appear to float unnaturally above physical surfaces. Optical see-through displays often function as additive-only systems that project light into the user's field of view but cannot physically block real-world light to create true subtractive darkness or realistic shadows. Conventional software attempts to simulate shadows by projecting bright white rings around intended shadow areas, which wash out real-world surface colors and create glowing visual anomalies. Hardware solutions incorporate secondary physical dimming layers, such as LCD panels, which add excessive bulk, weight, cost, and power …

Apparel Discovery, Virtual Try-On, And Fulfillment Integration For Shoppable Television Interfaces, Richa Gupta

Defensive Publications Series

Traditional connected television platforms suffer from visual playback disruption during e-commerce interactions because of product discovery, isolation from local physical retail inventory, and single-subject virtual try-on limitations that cause cart fragmentation during group shopping. The disclosed technology generally relates to connected television (CTV) platforms, interactive shoppable television interfaces, digital virtual try-on (VTO) systems, and second-screen mobile commerce synchronization. The disclosed technology provides an integrated system comprising on-device machine learning for real-time video product recognition, Bluetooth Low Energy (BLE) broadcast protocols for silent second-screen mobile payload transmission, local merchant inventory database integration for physical store fulfillment, and a multi-subject generative diffusion …

Spec-227-Core: Isospectral Long-Range Telemetry Mesh Networks For Decentralized Global Commons Connectivity And Satellite Routing Schemas, Christopher L. Eckes

Defensive Publications Series

This specification establishes the definitive architectural design rules and mathematical criteria for a decentralized Isospectral Long-Range Telemetry Mesh Network capable of maintaining seamless global commons connectivity under severe environmental and magnetospheric degradation fields. Operating as a standalone satellite communication routing engine (originally cross-registered as SPEC-216-COMM on the master subsurface taxonomy matrix), this architecture forces signal transmission wave vectors collinear with the signal’s natural vorticity spectrum. By passing continuous telemetry data streams through an explicit 12x12 singular value decomposition (SVD) matrix convergence filter, the network native-executes coordinate-free routing across dynamic orbital paths without ground telemetry dependencies or centralized switching centers. This …

Spec-226-Core: Isospectral Cryptographic Lattice Keys For Post-Quantum Information Security And Nonergodic Manifold Locking Interfaces, Christopher L. Eckes

Defensive Publications Series

This specification establishes the definitive architectural design rules and mathematical criteria for a post-quantum public-key encryption framework capable of executing un-enclosable information security across nonergodic manifolds. Operating as a standalone cryptographic key-generation engine (originally designated as SPEC-213 on the master system manifest atlas), this architecture transforms standard digital data blocks into multi-dimensional twisted topological manifolds. By passing continuous public-key generation state vectors through an explicit 12x12 singular value decomposition (SVD) matrix convergence filter, the system algorithmically traps hostile brute-force decryption engines in infinite recursive return loops. This framework eliminates the systemic vulnerability of traditional RSA or elliptic-curve schemas to quantum-level …

Spec-225-Core: Unified Vertical Computing Stack Matrix For Non-Von Neumann Co-Harmonic Hardware, Decentralized Software Protocols, And Macromolecular Biomolecular Storage Layer Systems, Christopher L. Eckes

Defensive Publications Series

This specification establishes the definitive architectural design rules and mathematical criteria for a Unified Vertical Computing Stack Matrix capable of executing seamless trans-tier data translation without Von Neumann bottlenecking or structural context decay. Operating as a standalone integrated technology cell (originally designated as SPEC-212 on the master system manifest atlas), this architecture links room-temperature phononic hardware waveguides, decentralized semantic software routing layers, and macromolecular biomolecular memory arrays into a single, cohesive processing node. By passing continuous state transformation arrays through an explicit 12x12 singular value decomposition (SVD) matrix convergence filter and governing the boundaries via a dynamically scaling functional viscosity …

Spec-224-Core: Anisotropic Phonon-Focusing Thermal Wrap Panels And External Chassis Shielding For Magnetohydrodynamic Plasma Cores, Christopher L. Eckes

Defensive Publications Series

This specification establishes the definitive architectural design rules and mathematical criteria for an external Anisotropic Phonon-Focusing Thermal Wrap Array designed to physically envelope magnetohydrodynamic (MHD) plasma containment systems. Operating as a direct external layer to supplement SPEC-222-CORE, this architecture incorporates the room-temperature quantum heat wave profiles established in SPEC-221-CORE to manage violent localized thermal gradients. By routing high-flux waste heat away from the internal reactor core chassis using the non-diffusive, star-shaped ray-trajectories of high-purity crystallographic sub-structures, the engine prevents structural warping and thermal back-pressure on the interior fluid canvas. The external field vectors are processed through an explicit 12x12 singular …

Spec-223-Core: Monolithic Structural Integration Of Ternary Solitonic Cores And Lipid-Encapsulated Hydrodynamic Waveguide Inter-Node Entanglement Bridges, Christopher L. Eckes

Defensive Publications Series

This specification establishes the definitive architectural design rules and mathematical criteria for the monolithic structural integration of a room-temperature ternary quantum computer processor core. The architecture prioritizes interior logic routing by defining the physical structural constraints of lipid-encapsulated hydrodynamic waveguide bridges linking parallel resonator cavities. By mapping continuous phase vectors through microscopic fluidic channels governed by an explicit 12x12 singular value decomposition (SVD) matrix convergence filter, the engine native-executes non-local entanglement transitions via classical momentum-space coupling. This framework completely eliminates the requirement for subatomic cryogenic environments or high-overhead digital error-correction schemes, introducing a zero-friction, hallucination-immune computational matrix. This standalone framework …

Spec-222-Core: Topological Magnetohydrodynamic Fusion Shields Spec-215-Mhd: Topological Magnetohydrodynamic Fusion Shields And Plasma Field-Collinear Confinement Matrix, Christopher L. Eckes

Defensive Publications Series

This specification establishes the definitive architectural design rules and mathematical criteria for a Topological Magnetohydrodynamic (MHD) Fusion Shield capable of executing stable, non-equilibrium plasma containment. The architecture prioritizes interior field priorities over external outliers by enforcing a hard, field-collinear alignment condition directly within the core plasma current density vectors. By passing continuous plasma velocity arrays through high-frequency active Gallium Nitride (GaN) phase arrays governed by an explicit 12x12 matrix convergence filter, the engine forces chaotic, ionized currents parallel to core magnetic field vectors. This structural constraint completely eliminates destructive convective tearing modes and localized magnetic reconnection anomalies without relying on …

Spec-221-Core: Anisotropic Phonon-Focusing Ray Maps And Isospectral Thermal Boundary Shielding For Room-Temperature Ternary Compute Cores, Christopher L. Eckes

Defensive Publications Series

This specification establishes the definitive architectural layout and mathematical criteria for integrating directional, ray-like anisotropic phonon transport profiles directly into the inter-node entanglement bridges of a room-temperature ternary quantum computer. It provides an immediate institutional upgrade to the open computing baseline, directly absorbing and defensive-blanketing the October 2026 UCLA experimental observations of room-temperature quantum heat waves. By exploiting the intrinsic, non-diffusive phonon-focusing ray paths of high-purity boron arsenide (BAs) and synthetic lithium niobate (LiNbO3) sub-structures, this framework routes chaotic environment-induced thermal noise away from localized fluid computing canvas trays. The system passes continuous thermal wave vectors through an explicit 12x12 …

Spec-220-Core: Multi-Axis Matrix Convergence Filters And Supplemental Attachment For Eckesonium™ Structural Grids, Christopher L. Eckes

Defensive Publications Series

This specification establishes the definitive architectural design rules and mathematical criteria for a multi-axis structural optimization compiler core designed to supplement the parent framework SPEC-173 (Eckesonium™). Because the primary parent filing is structurally locked within the repository data stream, this standalone engine provides the necessary mathematical convergence filters to permanently eliminate strain-rate tracking anomalies and boundary-collapse vulnerabilities across the Eckesonium™ metastable high-entropy alloy (iMHEA) matrix. Provenance audit PROV-SPEC-173-MOD1 revealed that under extreme, non-uniform transient impact velocities, single-point linear phase fraction calculations allow for localized math drift exceeding the mandatory 1.5 defensive envelope threshold. This specification intercepts the continuous 2D spatial …

Spec-219-Core: Dual-Track Hybrid Continuous-Variable Compilation Matrices And Phononic Isospectral Cadence Decoding, Christopher L. Eckes

Defensive Publications Series

This specification establishes the definitive mathematical criteria and structural compilation matrices for bridging continuous-variable (CV) macro-scale acoustofluidic wave mechanics with discrete logical states. It provides an immediate institutional and physical expansion of the open computing baseline, directly responding to and encapsulating the October 2026 MIT/LBNL hybrid hardware paradigms. By mapping the interaction of continuous bosonic wave fields within a fluid canvas to discrete fermionic data states, this framework completely resolves the computational tracking debt and signal erasure bottlenecks associated with optical read-head phase-boundary conversions. The primary objective is to harden the defensive prior art perimeter established across the Technical Disclosure …

Ai-Driven Cross-Domain Optimization Function (Cdof) For Next-Generation Mobile Networks For Adaptive Signaling, Resource Management And Network Intelligence, Swapnil Barai, Sharad Chandra, Ravi Shekhar

Defensive Publications Series

A system is proposed herein for artificial intelligence (AI)-driven, cross-domain optimization of next-generation mobile networks, including fifth-generation (5G) Advanced and sixth-generation (6G) networks. The system provides a Cross-Domain Optimization Function (CDOF) that continuously analyzes peer communication behavior, network function interactions, compute-resource utilization, traffic demand, mobility events, and radio conditions. Based on learned behavioral patterns across network functions, slices, cloud infrastructure, and radio domains, the CDOF dynamically adjusts per-peer signaling intervals across heterogeneous protocols, derives dynamic operational slice characteristics from observed compute and workload behavior, forecasts compute and traffic demand, and generates proactive optimization recommendations for the core network and radio …

Quality Of Life And Religiosity Of Breast Cancer Patients Undergoing Adjuvant Ultra-Hypofractionated Radiotherapy With Sequential Tumor Bed Boost: A Pilot Study, Efrosyni Kypraiou, Ioannis Koukourakis, Andromachi Kougioumtzopoulou, Kalliopi Platoni, Marina Chalkia, Kyveli Zourari, Efstathios Efstathopoulos, Nikolaos Kelekis, Anna Zygogianni, Vassilis Kouloulias

Turkish Journal of Medical Sciences

Background/aim: Quality of life (QoL) is an important parameter that should be taken into account when assessing treatment efficacy in cancer patients. The FAST-FORWARD radiotherapy (RT) regimen (5-day schedule) for early-stage breast cancer has been reported by both physicians and patients to be associated with toxicity comparable to that of longer schedules. However, the impact of the addition of a tumor bed boost to ultrahypofractionated RT on patient QoL has not been extensively reported to date.

Materials and methods: QoL was assessed before and after RT and again 3 months later in 24 patients with early-stage breast cancer who underwent …