Digital Commons Network^™

Sickle Cell Visualization In Vivo In Humans: Microvascular Occlusion Formation And Hemorheological Indices, Marisa M Morakis, Luojie Huang, Gregory N. Mckay, Sophie Lanzkron, Lydia H. Pecker, Nicholas J. Durr

Cardeza Foundation for Hematologic Research

Vaso-occlusion is a signature pathology of sickle cell disease (SCD). However, the lack of in vivo methods to observe individual blood cell dynamics in humans limits our understanding of occlusion formation mechanisms. We present a novel in vivo, noninvasive, label-free, and high-resolution imaging technique to study blood flow and sickled cell behavior in affected individuals. We used oblique back-illumination microscopy (OBM) to capture videos of 91.0 ± 42.3 sublingual capillaries in each of 10 participants with SCD before and after red cell transfusions and compared the measurements to 10 unaffected controls. With direct observation of blood cell activity, we identified …

Development Of A Resilience Training Program To Combat Burnout In Nursing Practice, Maggie Doherty Lynch

Creating Healthy Work Environments (CHWE)

In a recent advisory (2022), the Surgeon General of the United States put forth a call to build a thriving healthcare workforce and address conditions contributing to burnout, citing the many detrimental effects on patient care and safety as well as the financial burden when burnout contributes to turnover. Given the physical, emotional, and intellectual demands of nursing practice, nursing professionals are at risk and the implications for healthcare delivery are significant. Acknowledging the innate stressors of providing healthcare it is the responsibility of leaders in the industry to mitigate burnout to sustain the workforce critical to healthcare in the …

The Parthenon, March 04, 2026, Baylee Parsons, Kaitlyn Fleming, Abby Ayes, Ella Hatfield, Davina Synder, Scott Price, Trista Honaker

The Parthenon

No abstract provided.

Global Patterns Of Myopia, Age, Sex And Vision Loss: A Comparative Analysis Of U.S. And South Korean National Surveys, Michael Moore, James Loughman, Seung-Hee Baek, Ian Flitcroft

Research Outputs: 2025-Present

ObjectiveMyopia prevalence is rising globally and has reached critical levels in some regions. Beyond refractive correction needs, myopia is a major risk factor for irreversible, vision-threatening ocular disease. This study investigated the relationship between myopia, age, sex, and visual impairment in two nationally representative populations in the United States and South Korea.DesignCross-sectional analysis using data from the U.S. National Health and Nutrition Examination Survey (NHANES) and the Korean National Health and Nutrition Examination Survey (KNHANES).ParticipantsParticipants in the NHANES and KNHANES.MethodsBest-corrected visual acuity and non-cycloplegic refractive error were analyzed from NHANES (1999–2008) and KNHANES (2008–2022), excluding those with cataract or refractive …

A Television Based Snacking And Hydration Assistant, Nikita Agarwal

Defensive Publications Series

A user may watch media content such as movies, television shows, or short form videos on a variety of display devices that may include, but are not limited to, smart televisions (smart TVs) and smart display devices (e.g., laptop computers, tablet computers, mobile computing devices (e.g., smartphones), etc.). User engagement with the watching of the media content may often lead to a user engaging in distracted eating and lacking hydration due to the immersive nature of the media content. Existing ways for a user to track their food consumption may include but are not limited to the manual logging of …

Mckinsey-Tarski Algebras And Raney Extensions, G. Bezhanishvili, R. Raviprakash, A. L. Suarez, Joanne Walters-Wayland

Mathematics, Physics, and Computer Science Faculty Articles and Research

We introduce the notion of Raney morphism between MT-algebras and show that the resulting category is equivalent to the category of Raney extensions. This is done by generalizing the construction of the Funayama envelope of a frame. The resulting notion of the T₀-hull of a Raney extension generalizes that of the T_D-hull of a frame.

Michigan Tech’S Insect Collection: An Important Historical Resource In The Upper Peninsula, Thomas E. Panella, Tara L. Bal

The Great Lakes Entomologist

Regional insect collections can be valuable resources when covering under-represented areas, unique time periods, or unique collectors. Houghton and Baraga County Michigan are two predominantly forested counties in the Upper Peninsula (UP) of Michigan. The main campus for Michigan Technological University is based in Houghton, MI with a forestry field campus in Baraga County that was acquired in 1954. The university has had forest entomology research in some capacity at least since the 1930’s with faculty, students, and members of the community preserving and submitting various specimens in the decades since then, making it a unique collection demographically. The collection …

“Today’S Video Is Sponsored By: Child Labor” The Need To Expand Federal Child Labor Protections To Online Content Creation, Zayda Torres Barrios

St. John's Law Review

(Excerpt)

The Fantastic Adventures YouTube channel, owned by Machelle Hobson, had grown to almost 800,000 subscribers and over 250 million views by 2019. The channel’s content featured Hobson’s seven adopted children in entertaining weekly ten-to-fifteen-minute skits where they did things like pretend to be superheroes and have lightsaber battles. However, things were not as blissful as they seemed as Hobson was arrested in March 2019—facing thirty child abuse related charges. The police said the children were “malnourished” and had been withdrawn from school for many years to have more time to film videos for their family channel. The probable cause …

Ladies First? The Tax Code Says Otherwise Tax Policy And The Cost Of Economic Dependence, Doron Narotzki, Tamir Shanan

St. John's Law Review

(Excerpt)

First, inclusion and equity policies—such as anti-discrimination laws, affordable childcare, or education access—increase people’s participation in the labor market and thus increase federal and state revenues. Second, ultimately, tax law is not just a mechanism for raising revenue. It actively shapes economic and social realities. By acknowledging the ways in which it has reinforced outdated structures, we can also recognize its untapped potential. If designed differently, tax policy could—and should—serve as more than just a fiscal tool. It could foster economic autonomy, address inequalities, better reflect the needs of a changing society which includes, among other factors, a transition …

The Takings Clause And The Environment, Timothy M. Harris

St. John's Law Review

(Excerpt)

Congress and state legislatures have been slow to address growing cries for increased environmental protections. Climate change and the attendant sea-level rise, wetland protections, cleanup of hazardous substances, and protections for species listed under the Endangered Species Act often require extensive regulation of private lands to be effective. The political will to implement environmentally conscious regulations varies with election cycles and social mores, but there is a legal—constitutional—impediment that overrides these political winds. The Fifth Amendment’s Takings Clause frequently creates an insurmountable budgetary obstacle to broad land use restrictions that may otherwise be implemented to protect the environment.

Government …

We May Need To Run A Few More Tests: Artificial Intelligence In Medicine Is Here And What Should Happen If Dr. Robot Makes A Mistake, Jenna Hidalgo

Penn State Journal of Law & International Affairs (2012 - Present)

No abstract provided.

Steeped In Conflict: Exploring How The United States’ Ratification Of The Icescr Could Promote International Human Rights, Particularly In The Tea Industry, Phoebe Appel

Penn State Journal of Law & International Affairs (2012 - Present)

No abstract provided.

Evolution Of Indian Bilateral Investment Treaties: Pre And Post Revision Of Model Bit, S.R. Subramanian

Penn State Journal of Law & International Affairs (2012 - Present)

No abstract provided.

The Due Diligence Standard For Preventing Trans Boundary Cyber Harm: Expectation Or Obligation?, Dafina Bucaj

Penn State Journal of Law & International Affairs (2012 - Present)

No abstract provided.

Freshwater Quality For Recreation, Heather Nix, Masha Bokar

Forestry and Natural Resources

South Carolina has many water resources that provide tremendous opportunities for people to enjoy water-based recreational activities, such as swimming, boating, and fishing. Participation in these activities produces significant economic benefits and supports many jobs throughout the state. However, at times, water quality may be unsafe for immersion or skin contact due to high levels of pollutants, such as bacteria or cyanotoxins. It is important for people to be aware of potential concerns and understand methods for determining if a waterbody’s current conditions are likely to be safe for primary or secondary recreation.

Shared Steps To Independence: Qualitative Exploration Of A 4:1 Collaborative Pediatric Clinical Education Model, Kathryn E. Sawyer, Megan B. Flores, Elizabeth M. Ardolino

Internet Journal of Allied Health Sciences and Practice

Purpose: As demand for pediatric clinical placements increases, innovative supervision models are needed to expand capacity while supporting student learning. Grounded in situated learning and Communities of Practice theory, a 4:1 collaborative clinical education model was designed with four students to one clinical instructor (CI). This study explored how participation in this 4:1 collaborative pediatric clinical education model influenced physical therapy students’ learning, professional identity development, and clinical practice. Method: A qualitative study using a social constructivist paradigm was conducted. Nine Doctor of Physical Therapy students who completed a 4:1 collaborative pediatric clinical placement participated in semi-structured interviews immediately following …

Impressions Of An Electrolyte Beverage Among Individuals Participating In Collegiate Sports, S. Andrew Cage, Alexander P. Jacobsen, Jessie Gibson, Eric Bobel, Rebecca Peebles, Derek Lege, M.Ed., Cscs

Internet Journal of Allied Health Sciences and Practice

Purpose: The purpose of this project was to describe the appeal of an electrolyte hydration beverage for individuals participating in collegiate athletics. A secondary purpose of this project was to describe the acute impact of the examined beverage on the gastrointestinal tract. Methods: A total 100 individuals participating in collegiate athletics were enrolled in this study (age = 21 ± 2 years, Male = 51, Female = 49). Each participant was provided a packet of electrolyte drink mix (EverLyte^® sticks, Kent Precision Foods Group, Inc., Muscatine, IA). Participants were instructed to combine the drink mix with a bottle of …

Cultural Competence In Patient Care Coordination: Access To Care, Ryan Persaud

Internet Journal of Allied Health Sciences and Practice

Purpose: This paper examines cultural competence in pharmacy patient care coordination, specifically focusing on access barriers faced by diverse patient populations and evidence-based interventions to address these challenges. Methods: A comprehensive literature review examined access barriers for Native American, African American, Asian American, and Hispanic American patient populations in pharmacy settings, identifying culturally competent interventions for their effectiveness in improving medication access. Results: Each population faces distinct barriers including geographic isolation for Native Americans, economic and transportation challenges for African Americans, language and cultural navigation issues for Asian Americans, and immigration-related concerns for Hispanic Americans. Effective interventions include telepharmacy services, …

Effects Of Mindfulness-Based Intervention On Stress And Anxiety In Doctor Of Physical Therapy Students: A Prospective Cohort Design, Kelli J. Brizzolara, Kathy Shirley

Internet Journal of Allied Health Sciences and Practice

Purpose: The demanding nature of physical therapist (PT) education often leads students to experience very high stress levels, which can negatively impact both their academic performance and overall wellbeing. Mindfulness-based intervention programs have been used to decrease stress and anxiety in the general population. However, there is limited evidence of their use with Doctor of Physical Therapy (DPT) students. The purpose of this study was to explore the impact of a brief mindfulness-based intervention on stress and anxiety in DPT students. Methods: Thirty-seven DPT students completed an 8-week mindfulness program, including daily individual mindfulness sessions (10 minutes) and …

Assessing The Feasibility Of A Virtual Objective Structured Clinical Examination For Medical Education: A Mixed-Methods Study Involving Students And Educators, Jacqueline Segovia, Alejandra Quiroz, Francisco J. Villalon Lopez, Valentina Marican, Marcia Maldonado, Ivonne Moreno, Robinson Torres, Camila Peralta, Ingrid Puchi

Internet Journal of Allied Health Sciences and Practice

Purpose: The COVID-19 pandemic disrupted clinical training and accelerated the adaptation of the Objective Structured Clinical Examination to virtual formats (vOSCEs). Evidence on the feasibility of vOSCEs in undergraduate education remains limited in Latin America. Methods: A quasi-experimental mixed-methods study was conducted with fifth-year medical students at a Chilean university in 2021. Feasibility was assessed using Bowen’s framework—acceptability, implementation, integration, limited-efficacy testing, and adaptation—through online questionnaires and role-segmented focus groups. Two vOSCE iterations combined dynamic stations with simulated patients and static “mailbox” tasks delivered via Zoom and CANVAS. After the first iteration, modifications included a single Zoom session with breakout …

Prevalence And Determinants Of Perceived Stress Among Undergraduate Respiratory Therapy Students In Saudi Arabia, Abdulmajeed A. Baogbah, Ralph D. Zimmerman, Laryssa D. Frederick, Corinne M. Hathaway

Internet Journal of Allied Health Sciences and Practice

Background: Stress is a common phenomenon among health sciences students, severely impacting students in different ways. Similar to other students, undergraduate Respiratory Therapy (RT) students are at a high risk of stress exposure that may harm their well-being. To enhance students’ well-being, it is essential to examine the prevalence and determinants of perceived stress among undergraduate RT students. Methods: A cross-sectional study was conducted during the academic year (2023-2024) to explore the prevalence and determinants of perceived stress. Data was collected through an anonymous self-administered survey consisting of 46 questions, including demographics, the Perceived Stress Scale (PSS-14), and sources of …

Reaching Learners Where They Are: Podcasting As A Scalable Tool For The National Physical Therapy Exam Preparation, Bhupinder Singh, Rudri Purohit, Emily Gerbehy, Derek Camilleri

Internet Journal of Allied Health Sciences and Practice

Purpose: The National Physical Therapy Examination (NPTE) is a pivotal requirement for PT licensure in the US. While conventional preparation methods such as textbooks, review courses, and standardized practice exams are effective, they often pose logistical and financial challenges. Method: The COVID-19 pandemic accelerated the adoption of asynchronous, on-demand educational tools. Among these, podcasting has emerged as a promising, mobile-friendly modality, yet its usage trends and educational value for NPTE preparation remain underexplored. The purpose of this study was to analyze multiyear podcast engagement data from a high-performing NPTE-focused podcast hosted on Buzzsprout, spanning January 2020 to March 2025. Engagement …

Telerehabilitation Program In Rural South India: A Mixed-Method Analysis Of The Shared-Decision Making Process, Sylvia Langlois, Caroline Eagles, Dinesh Krishna, Navamani Venkatachalapathy, Tim Bressmann, Franzina Coutinho

Internet Journal of Allied Health Sciences and Practice

Purpose: Shared decision making (SDM) in health care teams involves partnering with the patient and family to consider treatment options, prioritizing their values and preferences while collaboratively determining the best care plan. Previous research on SDM in rural South India has only focused on adult populations receiving in-person care. This study aimed to understand parent perception of the SDM approach implemented in telerehabilitation services offered by Amar Seva Sangam Ayikudy to children with disabilities in a rural Southern Indian setting. Methods: A convergent parallel mixed-methods design was utilized. Quantitative data was collected from 187 participants using a SDM measure …

Performance Characteristics Of National Club Baseball Association Athletes Completing In-Season Elastic Resistance Training, Scott K. Harnden, Dawson M. Maxlow, Gena D. Guerin, Merrick A. Lincoln

Internet Journal of Allied Health Sciences and Practice

Purpose: The purpose of this study was to assess in-season physical performance metrics of National Club Baseball Association Athletes (NCBA) baseball players before and after a 6-week field-based elastic tubing resistance training intervention. Performance metrics included throwing velocity, isometric shoulder rotation strength, dynamic stability, muscular endurance, and range of motion (ROM). Method: A cohort of adult male NCBA athletes (n=13; 20.1±1.1years; 171.4±24.1cm; 77.0±10.5kg; all right hand dominant) enrolled in the 6-week biweekly intervention of seven upper extremity exercises. All exercises were completed with wrist-affixed elastic tubing prior to sport practices. Pre- and post-intervention testing included throwing velocity measured via pocket …

The Effectiveness Of Virtual Reality And Augmented Reality-Based Simulation On Healthcare Students' Learning-A Review Of The Literature, Matthew Mills

Internet Journal of Allied Health Sciences and Practice

Purpose: Simulation is increasingly used to supplement authentic clinical experiences in preparation for future healthcare students. However, the most realistic simulation experiences are frequently costly, time-intensive, and difficult to scale, especially for programs with budgetary restrictions. Virtual reality (VR) and augmented reality (AR) have been proposed as easily scalable tools to provide students with a realistic simulated environment. However, as technology is rapidly evolving, there is a need to understand the evidence surrounding VR and AR's impact on healthcare student learning to optimize the deployment of these technologies and justify the costs associated with implementation. Methods: A review of the …

Evidence To Support Certification In Online Nursing Teaching Excellence: A Systematic Review, Ellen Vorbeck, Louisa Krueger, Ellen Johnson

Internet Journal of Allied Health Sciences and Practice

Abstract

A systematic review of the literature following PRISMA© (2020) was conducted to determine the evidence within nursing and higher education literature to support certification in online teaching and to determine the value of additional certification for nurse educators in higher education nursing programs. Data from CINAHL, ERIC, EBSCO, COCHRANE, AND PUBMED databases were collected following inclusion and exclusion criteria. An independent review by two authors was conducted with twenty-seven articles and one report identified. Bias was examined, followed by deductive analysis, which identified common themes and subthemes within the research. The results suggest that high-quality online courses require instructors …

Agreement Of Chatgpt With Clinical Practice Guidelines For Knee Osteoarthritis Treatment, Alessandra N. Garcia, Brian Neville, Bradley Myers, Lori Leineke, Karlyn Green

Internet Journal of Allied Health Sciences and Practice

Purpose: This cross-sectional study evaluated whether Chat Generative Pre-Trained Transformer (ChatGPT) GPT-3.5 and GPT-4O provide treatment information consistent with high-quality clinical practice guidelines (CPGs) for knee osteoarthritis (OA). Methods: High-quality CPGs published in the past decade were identified via PubMed and PEDro, with the search updated on November 11, 2024. Guidelines were appraised using the AGREE II tool. GPT-3.5 and GPT-4O were queried with common treatment-related questions, and their responses were compared to CPG recommendations. Two independent reviewers conducted a thematic content analysis of GPT-3.5 and GPT-4O responses using a deductive–inductive codebook, iteratively refined through consensus, to identify major themes/subthemes, …

National Physical Therapy Examination Scores From 2023 And 2024 Cohorts In The United States, Richard Cahanin, James W. Farris, Tara Andrews, Preston Warren, Jennifer Patterson, Shawn Drake, Barry Dale

Internet Journal of Allied Health Sciences and Practice

Purpose: This study aimed to determine which student academic performance variables within physical therapy education programs most strongly predicted NPTE scores. Methods: A prospective, multi-institutional cohort study with 228 doctoral physical therapy students representing the 2023 and 2024 cohorts was conducted. Hierarchical multiple linear regression and receiver operating characteristic analyses were used to evaluate research hypotheses. Results: No significant difference in NPTE scores between the 2023 and 2024 cohorts was found (p = .936). A streamlined model identified 2-year DPT GPA (p < .001), total PEAT score (p = .004), and total GRE score (p = .046) as the most significant …

A Mixed Method Approach To Assessing The Feasibility Of Implementing The Ottawa Paramedic Physical Abilities Test (Tm) In The Australian Context, Samantha Sheridan, Rodney Pope, Renee S. Macphee, Alexander Macquarrie, Steven Fischer, Gavin Buzza, Hannah Stack, Lyndal Bolton, Jacob Grevell, Christopher Tony Sheridan, Jacinta Buckman, Russell Rayner

Internet Journal of Allied Health Sciences and Practice

Introduction: There is a need for evidence-based pre-employment physical fitness test standards in paramedic organisations. This study aimed to assess the feasibility of implementing an existing, international, standardised pre-employment paramedic physical capacity test, the Ottawa Paramedic Physical Abilities Test (OPPAT^TM), in the Australian context. Methods: In this mixed-method feasibility study, 12 undergraduate paramedicine students completed two generic predictive tests - a three-minute step test (3MST₂₀) and a grip strength test - and two physical employment tests: the Ottawa Paramedic Physical Abilities Test (OPPAT^TM) and the New South Wales Ambulance Test (NSWAT) – and a …

Does Relevant Work Experience Influence Academic Success? A Retrospective Study Of Doctor Of Physical Therapy Students, Nicole Tombers, Kate Corrigan, Rylee Kwiatkowski, Gwinna Remillard, Morgan Scanlon, Maddy Soderberg

Internet Journal of Allied Health Sciences and Practice

Purpose: Relevant work experience is a factor considered in holistic admissions practices of many health profession education programs. The benefits of observation hours on student career choice and subsequent academic success have been explored. Many programs additionally consider paid work experience as a factor in admissions decisions; however the influence of relevant work experience on academic outcomes is unknown. This study examined relationships between paid physical therapy related work experience and performance in a DPT program. Method: Data from 945 applicants resulting in 191 matriculants to a single DPT program were included. Employment history for all applicants was coded as …