Digital Commons Network^™

Effect Of Thoracic And Rib Manipulation On Pain And Restricted Shoulder Mobility In Subjects With Frozen Shoulder A Randomised Clinical Trial, Jyotsna V. Chitroda, Anand Heggannavar

Indian Journal of Health Sciences and Biomedical Research KLEU

Purpose:

The purpose of this study was to determine the effects of thoracic and rib manipulation on pain and restricted shoulder mobility in subjects with frozen shoulder.

Relevance:

The term frozen shoulder was first introduced by Codman in 1934 and described as "a painful condition of insidious onset that was associated with stiffness and difficulty in sleeping on the affected side." The main physical therapy program consists of thermotherapy, shoulder exercise, mobilization techniques, Codman's exercise, and capsular stretches. Recent discussion in the physical therapy community has been targeted toward addressing the thoracic spine for treating the patients with shoulder impairments. …

Prevalence Of Overweight /Obesity Among Adolescent Girls In Salem District, India, T. Kowsalya, R. Parimalavalli

Indian Journal of Health Sciences and Biomedical Research KLEU

Objective:

In India, the proportions of overweight and obese people now co-exist with those who are undernourished. The current study attempted to estimate the prevalence of overweight/obesity among adolescent girls in Salem District, India.

Materials and Methods:

The study was carried out at the Salem block in Salem District from November 2012 to March 2013. Totally 6619 school going adolescents had been included, their anthropometric measures include height (cm), weight (kg), waist (cm) and hip circumference were measured. Body mass index (BMI) and waist-hip ratio (WHR) were calculated. Overweight and obese adolescents were identified based on their BMI. For comparison, …

Psychosocial Therapeutic Techniques To Reduce Family Care Burden In Psychiatric Disorders, Sateesh R. Koujalgi, Shobhadevi R. Patil, Raghavendra B. Nayak, Nanasaheb M. Patil

Indian Journal of Health Sciences and Biomedical Research KLEU

The purpose of this review was to address current psychosocial therapeutic techniques which reduce family care burden in psychiatric disorders. Various types of psychosocial/psychotherapeutic techniques have been developed to reduce the family burden in key caregivers and to provide support. These techniques include training programs, spiritual support, religious coping, psychotherapy, cognitive-behavioral family intervention, enhancing social support, and a combination of education and emotional support.

Who Millennium Development Goals And Achievements So Far, Gajanan S. Gaude

Indian Journal of Health Sciences and Biomedical Research KLEU

No abstract provided.

J1) Virtual Reality And Multifaith Pilgrimage: Assessing The Impact Of Vr Technology On Religious Tourism Across Different Traditions, Md. Javed Kawsar, Rashed Khan

International Religious Tourism and Pilgrimage Conferences

Religious tourism has traditionally been a deeply immersive, physical experience, drawing in millions of pilgrims to sacred sites across different faiths. However, with advancements in Virtual Reality (VR) technology, religious tourism is evolving to offer virtual experiences of these sacred spaces. VR's potential to make sacred journeys more accessible, especially for individuals facing physical, financial, or geopolitical barriers. While VR enhances interfaith understanding and can complement traditional pilgrimages through immersive and educational experiences, it raises critical questions about spiritual authenticity, theological legitimacy, and ethical use. However, VR is not a full replacement for physical pilgrimage due to its limitations in …

Cars And Trucks: Driving A Paradigm Shift In Hematologic Malignancies, Christine Charek, Tia Solh

Lynchburg Journal of Medical Science

Hematologic malignancies account for a significant number of annual cancer diagnoses and deaths across the globe. Historically, the prognosis for relapsed and/or refractory disease after standard therapies, such as chemotherapy and/or radiation, was poor. Chimeric antigen receptor (CAR) T-cell therapy offers an additional treatment option. While promising, this type of immunotherapy also comes with potentially severe side effects, toxicities, and limitations. A better understanding of the development, administration, and management of patients undergoing treatment can provide the general clinician with the knowledge to assist within a multidisciplinary team to ultimately improve patient outcomes.

The Role Of Applied Behavior Analysis Therapy In Autism Spectrum Disorder, Tracy A. Hourican

Lynchburg Journal of Medical Science

This paper evaluates the development, core principles, efficacy, and controversies surrounding applied behavior analysis (ABA) therapy in treating autism spectrum disorder (ASD), a developmental disorder that affects behavior, social, and communication skills. The diagnosis of ASD continues to rise, highlighting the importance of understanding effective interventions as early as possible, which is critical for improving long-term outcomes. A comprehensive literature review was conducted using the National Library of Medicine’s^® (NLM) database PubMed^®. Filters were applied to include peer-reviewed articles from the past five years, focusing on clinical trials, meta-analyses, and reviews published in behavioral pediatrics and psychology …

Transforming Primary Care: Innovative Post Graduate Pa Training For Real-World Solutions, Kenneth Botelho, James Ali

Lynchburg Journal of Medical Science

The ongoing crisis in primary care demands innovative and scalable strategies to prepare and retain advanced practice providers. This article introduces the Primary Care Practitioner (PCP) Program, a conceptual postgraduate training model designed for certified physician associates/assistants (PAs) who aim to serve in underserved and rural communities. The program integrates advanced clinical training, leadership development, telehealth competencies, VR-enhanced simulation, and evidence-based strategies to promote provider resilience. Rooted in systems-based thinking and real-world applicability, the PCP Program culminates in capstone projects that encourage innovation in care delivery and population health.

Aligned with national frameworks such as the HRSA Primary Care Training …

Surviving The Angry Patient, Brittany N. Mertz

Lynchburg Journal of Medical Science

Urgent care medicine balances clinical efficiency and patient satisfaction. Providers are expected to see 40-60 patients during a 12-hour shift, provide timely and appropriate medical care, document comprehensively, all while maintaining a patient satisfaction score of 70% or higher. Difficult patient encounters are inevitable in a specialty that thrives on patient satisfaction and throughput. Encountering a problematic patient can derail the rest of the day and demands empathy and patience. All of which makes it hard to meet metrics. This article examines how difficult patient encounters contribute to provider burnout, lowers patient satisfaction, and increases the risk of litigation. Additionally, …

The Effects Of E-Cigarettes And Oxidative Stress On Cognitive Function And Adolescent Academics, Alexis A. Kaminsky Jr.

Lynchburg Journal of Medical Science

Electronic cigarettes are the fastest growing method of tobacco consumption in the United States despite an overall decline in smoking rates. Evidence has shown that enticing flavor and trendy marketing campaigns have increased use among younger consumers. Nicotine use is a risk factor among younger individuals for damage to brain development and cognitive impairment, and electronic cigarettes are no exception. This paper attempts to review and clarify previously observed health impacts of electronic cigarette use among younger individuals, as measured by academic grades and scores. A focus on the effect of oxidative stress on the body and the resulting academic …

Unraveling The Mystery: A Case Study On Eosinophilic Esophagitis, Echo Kopplin

Lynchburg Journal of Medical Science

The incidence of Eosinophilic Esophagitis (EoE) has dramatically increased in the last two decades. This article reviews the presentation, diagnosis, and treatment of EoE, enhancing clinician awareness and recognition of the condition.

Idiopathic Transverse Myelitis: A Case Report, Danielle Whitacre

Lynchburg Journal of Medical Science

The objective of this paper is to review a case report for a patient with idiopathic transverse myelitis. This rare disease can easily be forgotten based on the vagueness of symptoms and as the presentation can vary drastically. In this case, a magnetic resonance imaging (MRI) test was ordered after a patient presented with a sensory deficit from the level of his chest to his toes that showed a 1.5 centimeter (cm) intramedullary spinal cord lesion at the level of T1. From the imaging, the differential diagnosis included transverse myelitis, a demyelinating lesion, and primary neoplasms such as ependymoma and …

Is Pocus The New Stethoscope For The Critical Care Pa?, Meredith Buckley

Lynchburg Journal of Medical Science

ABSTRACT
The objective of this paper is to emphasize the vitality of POCUS (Point-of-care ultrasound) and the practical bedside application for diagnosing critical diseases in critical care, specifically critical respiratory illnesses. A literature review search was conducted using PubMed, and identified 5 journals to substantiate the purpose of the paper. The results showed that proper training in POCUS is crucial for practicing critical care PAs (Physician Associates/Assistants), but the type of training is still dependent on the credentialing that the hospital or practice requires. POCUS is not the ultimate authority, but proper utilization can decrease the need for advanced imaging, …

Single Maintenance And Reliever Therapy (Smart) For Pediatric Asthma, Mark Elsesser

Lynchburg Journal of Medical Science

Asthma is a commonly occurring pediatric condition managed in primary care. In 2020, asthma guidelines changed for treating mild persistent asthma. Now, experts recommend using Single Maintenance and Reliever Therapy (SMART) in children 4 years of age and older. With the SMART approach, patients use one inhaler to maintain and relieve symptoms, as the name implies. The combination inhaler contains budesonide, an inhaled corticosteroid (ICS), and formoterol, a long-acting beta-2 agonist (LABA). The most common brand name associated with this regimen in the United States is Symbicort. While there are various options for ICS therapy, formoterol is currently the sole …

The Impact Of Tailored Educational Strategies On Academic Performance Among Physician Assistant Students, Lauren L. Lieb

Lynchburg Journal of Medical Science

Impact of Tailored Educational Strategies on Academic Performance

This article explores the impact of customizing education to accommodate different learning styles and its potential to enhance Physician Assistant (PA) student success. Tailored learning strategies can address diverse learners, leading to improved retention of medical knowledge. PA students who retain information become better-prepared healthcare providers, which in turn leads to improved patient outcomes. The literature review highlights Kolb's learning style inventory, which includes visual, auditory, kinesthetic, and tactile learning styles. However, with a deeper look into learning styles, they can be further defined as sensing and intuitive perception, visual and verbal …

Empowering Interprofessional Collaboration: Peer Teaching In Doctor Of Physical Therapy And Nursing Education, Debra Ann Beazley, Jill Foster, Samantha Elam, Stephen W. Elam

Lynchburg Journal of Medical Science

Purpose: This empirical study examined an interprofessional education (IPE) experience designed to develop communication and collaboration skills among Doctor of Physical Therapy (DPT) and nursing (NSG) students at a university in Virginia. Method: Second-year DPT students acted as peer educators, teaching patient management and mobility skills to first-year nursing students, with first-year DPT students serving as standardized patients. Result: A mixed-methods analysis of surveys and reflections from 106 participants indicated generally positive perceptions of the activity, which was described as engaging, collaborative, and relevant to future practice. Second-year DPT and nursing students differed significantly in their perceptions of …

Innovation In Active Learning: Evaluating The Flipped Classroom Method In Physician Associate Education, Malatrice R. Montgomery

Lynchburg Journal of Medical Science

The purpose of this review article aims to explore the effect of innovative, active learning methods, such as the flipped classroom, compared to traditional lectures to assess whether academic performance and learning outcomes are improved and result in better student engagement and knowledge retention. A literature search using the PubMed database was conducted. Six journal articles were identified that provided evidence to support the purpose of the article review. Findings demonstrated a higher academic performance in the flipped classroom. Results showed test scores were significantly higher for a majority of the flipped classroom courses. Research also indicated the opportunity for …

The Importance Of Simulation Fidelity To Physician Assistant/Associate Education, Taylor L. Fischer

Lynchburg Journal of Medical Science

Simulation, a tool that has consistently demonstrated its effectiveness, is a cornerstone of medical education. Simulation implies an imitation of reality and includes any activity, exercise, or teaching modality mimicking some aspect of actual patient care. Although much of the work on simulation education has been published by nurses and physicians, Physician Assistant/Associates (PA) have begun to contribute to the literature. Still, the use of simulation in PA training has room for growth. On average, physician assistant/associate (PA) programs spend $29,400 annually on simulation activities, roughly 1.6% of the average PA program’s yearly expenditures, according to the latest PA Program …

The Role Of Glp-1ras In Depression Among Patients With Metabolic Conditions, Madge Fleurimond Cemelus Dmsc, Pa-C

Lynchburg Journal of Medical Science

ABSTRACT

The regular co-occurrence of depression with metabolic syndrome (Mets) results in complicated treatment circumstances and raises cardiovascular diseases and type 2 diabetes risks. GLP-1RAs demonstrate potential as an innovative treatment for depression because they have both anti-inflammatory properties and neuroprotective capabilities. This evaluation examines the advantages and results of GLP-1RAs in treatment effectiveness compared to CBT among patients with MetS. The research used PubMed and CINAHL databases to find peer-reviewed studies from 2021 until 2025. The research included the search terms “GLP-1 receptor agonists” together with “depression,” “metabolic syndrome,” and “cognitive behavioral therapy,” among other relevant terms. Applying GLP-1RAs …

Targeting Obesity: The Role Of Glp-1 Receptor Agonists In Achieving Sustainable Weight Loss, Brad Vamplew

Lynchburg Journal of Medical Science

This review critically evaluates the effectiveness of glucagon-like peptide-1 receptor agonist pharmacotherapy in managing obesity. Obesity is a health epidemic that affects 100 million Americans, and it puts individuals at higher risk for numerous health comorbidities over a lifetime. A comprehensive literature review was completed by utilizing PubMed and its clinical queries function to locate relevant research. The research information was narrowed down with a focus on obesity management and glucagon-like peptide-1 receptor agonists for therapy. Numerous current clinical studies and trials were incorporated into this review. Many clinical trials substantiated the benefits of this pharmacotherapy for the management of …

Binge Eating Disorder: A Clinical Review, Michell Mcdiffett Mshs, Pa-C

Lynchburg Journal of Medical Science

Binge eating disorder (BED) is the most common eating disorder (ED) in the United States (U.S.) and is characterized by recurrent episodes of eating a larger than normal amount of food in a discrete period of time and includes a sense of loss of control over food intake. BED is often comorbid with serious somatic and psychiatric disorders and is associated with reduced quality of life and excess mortality. Some consider BED a public health concern due to frequent co-occurrence with obesity and worse outcomes in those populations. The diagnosis is often delayed due to shame and underreporting of symptoms …

Obesity And Its Effect On Work Performance, Erin Lajoie

Lynchburg Journal of Medical Science

This research aims to examine how obesity affects work productivity and performance and how companies can support their employees diagnosed with obesity. Obesity is a growing global health concern that has significant implications for decreased workplace productivity and performance. Obesity is considered a chronic complex disease often associated with hypertension (HTN), type-II diabetes mellitus (T2DM), and heart disease that can lead to overall increases in healthcare costs for employers through increased absenteeism, presenteeism, and decreased efficiency. A systemic literature search was completed using PubMed, Cochrane Library, and Google Scholar, identifying multiple journal articles about obesity and productivity in the workplace …

A Comparative Study To Assess The Knowledge Of Rural And Urban Mothers Of Infants Regarding Weaning In Selected Areas At Belgaum, Abhay D. Pattan, Mangesh J. Jabade, Sangeeta A. Moreshwar

Indian Journal of Health Sciences and Biomedical Research KLEU

A comparative study of assessing the knowledge of mothers of infants regarding weaning in selected rural and urban areas in Belgaum.

Objectives:

The objectives of the study were to assess the knowledge of rural mothers of infants regarding weaning, to assess the knowledge of urban mothers of infants regarding weaning and to compare the knowledge of rural and urban mothers of infants regarding weaning with selected demographic variables.

Materials and Methods:

Simple random sampling technique was used to select the sample for the study. Data was collected by using structured interview schedule. The data was analysed by using descriptive and …

Effect Of Cognitive Rehabilitation For Mild Cognitive Impairment In The Geriatric Population With Early Onset Hypertension Pretest -Posttest Design, Shamim Shaikh, Sanjiv Kumar, Anil Muragod

Indian Journal of Health Sciences and Biomedical Research KLEU

Introduction and Background:

Hypertension is common among elderly and the risk of becoming hypertensive is increased considerably with age. It has a direct impact on the cognitive function. Hence it is important to examine whether the cognition related problems correlates with hypertension and is cognitive rehabilitation an effective intervention for the same.

Objective:

To assess and evaluate the cognitive function in early onset hypertensive geriatrics population for mild cognitive Impairment and to study the effect of cognitive rehabilitation for mild cognitive impairment.

Materials and Methods:

84 Participants above 60 years of age with early onset hypertension were screened. The total …

Effect Of Lung Squeeze Technique And Reflex Rolling On Oxygenation In Preterm Neonates With Respiratory Problems A Randomized Controlled Trial, Jaitty Kole, Deepa Metgud

Indian Journal of Health Sciences and Biomedical Research KLEU

Background and Purpose:

Respiratory problems like RDS, pneumonia and acute respiratory failure in premature neonates are one of the leading causes of neonatal morbidity and mortality in developing countries. Decreased oxygenation and excess accumulation of secretion is common leading to increase in airway resistance, and complications like atelectasis requiring prolonged ventilatory assistance or oxygen support. Apart from convention chest physiotherapy techniques like percussion and vibration newer techniques like LST and vojta have been used to clear secretions, restore homogenous inflation of the lungs and improve oxygenation. In this study, we compared the effectiveness of CPT, LST and reflex rolling on …

Developing Sky Plots Of Rocket Launches From Gps Scintillation Data, Ishaan Dey, Kshitija Deshpande

Beyond: Undergraduate Research Journal

Sky plots displaying GPS satellite and rocket launch trajectories are developed to determine the spatial correlation between satellites that display ionospheric scintillations and heavy thrust-producing rockets. The trajectories of three major Falcon Heavy and Artemis 1 rocket launches are used within this paper. Python code is utilized to compute and plot Ionospheric Pierce Point (IPP) coordinates which are then used to produce satellite trajectories from the receiver's point of view. Rocket latitude, longitude, and altitude data is integrated within the code to provide extensive detail into the location of the rocket in relation to GPS satellites that displayed scintillations from …

Keynote 3: The Future Of Religious Tourism And Pilgrimage: At The Intersection Of Sustainability, Silva Goretti

International Religious Tourism and Pilgrimage Conferences

Religious tourism, encompassing pilgrimages and spiritual journeys across diverse faith traditions, has emerged as a significant contributor to global tourism. Although exact numbers may vary according to different sources, recognition of its contribution to local development is widely acknowledged, as well as its resilience, even during economic downturns. The Bethlehem Declaration (2015) acknowledges these potentials, encouraging policies that develop religious tourism in ways that ensure community participation, socioeconomic benefits, and balanced visitor experiences. However, while presenting unique opportunities, religious tourism also poses significant challenges to sustainability due to the ecological footprint of mass gatherings, physical degradation of sacred sites, waste …

Familiarity With Health Principles And Community Engagement: A Dietary Perspective, Jimmy Adil Jr, Carthy Joy Aguillon, Ray Opao, Susa Opao, Arceli Rosario

Adventist Human-Subject Researchers Association

Familiarity with the Adventist Health Message relates differently to outreach involvement depending on diet. Among the 5,849 participants, pescatarians and vegetarians showed a stronger positive link between health message awareness and willingness to increase outreach engagement, while vegans and meat-eaters showed no significant effect, suggesting diet may shape health-belief-driven outreach.

An Exploration Of Adventist Nursing Practice In Liberia, Lendeh E. Seboe, Erhuvwukorotu S. Kollie, Boffa L. Kollie Nyumah

Adventist Human-Subject Researchers Association

This study explored nursing practice in Liberia using the integrated global framework for nursing education and practice. A descriptive Qualitative method was used through a group interview and purposive sampling technique for participant selection. FGD utilized for data collection and theoretical sampling for data saturation. Findings highlighted for improvement at the researched hospital and other SDA health care settings.

Investigating The Relationship Between Education And Health Choices Of Seventh-Day Adventists, Safary Wa-Mbaleka, Shannon M. Trecartin, Duane C. Mcbride

Adventist Human-Subject Researchers Association

No abstract provided.